210 Class 4 – History of Epidemic Disease, Germ Warfare, Anthrax
XXI.Health politics A. Extraordinarily complex! B. Major players 1. Patients 2. Doctors and other health care providers 3. Health care institutions (hospitals, etc.) 4. Private insurance 5. Public insurance (Medicare, Medicaid, Social Security)
I. History of disease - the Black Death Black Death: Natural and Human Disaster in Medieval Europe. Robert S. Gottfried. New York: Free Press. 1983. A. Overview 1. Caused by bacillus Yersinia pestis 2. A disease of rats spread to humans by fleas
3.3 "pandemics" wiped out large proportions of populations a.400-500 AD Romeb.1347-1665 Europe – killed 33%-50% of populationc.1896-1933 Asia
B. Bubonic plague in medieval Europe 1. Symptoms 2. Medieval treatment totally ineffective 3. Modern treatment is streptomycin - cuts mortality to 5%
C.Transmission of bubonic plague1.Rats carry fleas, which carry the bacteria2.Rats usually have partial immunity to the plague3.But when the fleas carry the bacteria to a new rat population without immunity, the rats die off, the fleas jump to humans, and a human epidemic breaks out
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- Fall '09
- Bubonic Plague, Germ Warfare, B. Bubonic plague