The Bubonic Plague: A Silent Slayer Juhi Ramchandani Due: 06/05/07 4B For centuries, a disease has haunted nations around the world. This particular disease is known for causing some of the worst symptoms and for killing individuals within days. Whether it was called the Black Death or anything else, this silent killer has been on the loose ever since Italian ships brought it into the lands of the Greeks and Romans [WideOpenDoors.net]. In the past, it was unstoppable, yet now modern day technology has been able to resolve many of the problems associated with this deadly assassin. The silent, yet deadly, killer is the bubonic plague, and it has affected the lives of doctors, societies, and the field of medicine drastically and has changed the methods of diagnosing, treating, and curing patients who are afflicted with the bubonic plague. The methods of diagnosing the bubonic plague have changed drastically through time. For instance, it was said that this disease was a result of an imbalance of four vital bodily fluids [Andrews, Brainard, Halay, Mussuri, Stefoff, and Austrian 97-99]. These bodily fluids were blood, black bile, phlegm, and yellow bile [Andrews, Brainard, Halay, Mussuri, Stefoff, and Austrian 97-99]. In addition, witchcraft, or magic, was thought of as a cause of the bubonic plague [Andrews, Brainard, Halay, Mussuri, Stefoff, and Austrian 97-99]. Presently, medical professionals believe the cause to be a lack of sanitation [Andrews, Brainard, Halay, Mussuri, Stefoff, and Austrian 97-99]. In addition, people may be afflicted with this disease if they were to be bitten by an insect, a rodent, or a flea that contains the Yesinia pestis bacteria [eMedTV]. This is an intracellular parasite that enters the cells of the patient, unlike other types of bacteria, and is hence said to be quite deadly [Wikipedia]. It may also be likely for a human to transport this disease to others through contact, but this form of transmission is rare and quite uncommon [Altman 64; 96]. Furthermore, after encountering the bubonic plague, one may develop several symptoms indicating that they have caught this disease over the course of merely a few days [eMedTV]. For instance, individuals may develop sores or swellings, called buboes [eMedTV]. These buboes, or infected lymph nodes, then drain the area from which the Yesinia pestis bacteria was first introduced [Gale Encyclopedia of Science]. These lymph nodes enlarge and turn black [Gale Encyclopedia of Science]. They can be found under the armpits, groin and neck areas [Gale Encyclopedia of Science]. They can range in size from being a centimeter to almost ten centimeters long [Wikipedia]. Various other symptoms include fever, headache, chills, nausea, vomiting, abdominal pain, diarrhea (possibly bloody), and a decrease in appetite [eMedTV]. Another common trait found in patients with this disease would be congested blood vessels [eMedTV]. In addition, there are miniscule broken blood vessels and swollen, purple blotches under the skin that are caused by internal bleeding [Andrews, Brainard, Halay, Mussuri, Stefoff, Austrian 9799]. Moreover, the methods of treating this disease have also evolved over time. For instance, in medieval times, one form of treatment for the bubonic plague would be with vinegar and rose water [History Learning Site]. The individual would be put to bed and would be told to wash themselves with rose water and vinegar [History Learning Site]. In addition, another form of treatment would be buboe lancing, which was when the sores (called buboes) were cut open and a mixture of tree resin, white lily roots, and dried human excrement were to be applied to the cuts made [History Learning Site]. Moreover, bleeding was another option [History Learning Site]. Also, pestilence medicine was a very popular method of treating this disease [History Learning Site]. This type of medicine was comprised of newly laid roasted egg shells that had been grounded to powder and had been placed in an ale pot with marigolds and treacle and had been heated over a fire [History Learning Site]. This mixture was to be drunk every morning and night by the patient [History Learning Site]. People even went as far as using witchcraft to cure this ailment [History Learning Site]. For this treatment, a live hen was placed next to the inflicted individual and that person was told to drink his or her own urine two times a day [History Learning Site]. Now, the afflicted individuals generally are told to take injected medicine or pills [Wikipedia], usually antibiotics such as Streptomycin and Gentamycin, for a certain number of days, depending on the severity of the disease [eMedTV]. In conclusion, the bubonic plague has transformed both modern day medicine and the global society quite drastically. It has affected the world in a negative way, by wiping out entire town populations and causing a lack of workers in the past [WideOpenDoors.Net]. On the contrary, this disease has also helped shape some of the modern methods of treating diseases similar to the bubonic plague. Overall, the bubonic plague and its methods of diagnosing and treating this disease have revolutionized over time and may continue to change in the future. Bibliography Altman, Linda J. Plague and Pestilence: a History of Infectious Disease. Springfield: Enslow, Inc., 1998. 64; 96. Andrews, John F., Guy Austrian, Jean Brainard, John Halay, Mark Mussari, and Rebecca Stefoff. Shakespeare's World and Work. Vol. I. New York: Library of Congress, 2001. 97-99. "Bubonic Plague Causes." EMedTV. 2006. Clinaero, Inc. 18 May 2007 <http://plague.emedtv.com/bubonic-plague/bubonic-plague-causes.html>. 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