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Epidemics Resulting from Wars

Chapter VI · THE EPIDEMICS OF TYPHUS FEVER IN CENTRAL EUROPE FOLLOWING UPON THE RUSSIAN CAMPAIGN AND DURING THE WARS OF LIBERATION (1812–14) (continued 2)

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The rest of Bohemia suffered less severely from typhus fever in the winter of 1813–14. In the Beraun district, lying to the south-west of Prague, it began in October 1813, when the homes of the citizens became crowded with convalescing soldiers; the epidemic came to an end in March 1814. The number of people who contracted the disease was 3,807, while the number who succumbed was 296. The adjacent districts of Pilsen and Kattau were likewise attacked; in the Pilsen district typhus fever broke out in October 1813, in consequence of the arrival of French prisoners; a number of places were infected by them, so that in November and December it developed into an epidemic, which lasted until April. Of 1,185 people who contracted the disease, 237 died. In the Kattau district 645 contracted the disease and 132 succumbed.

In the eastern part of the country the districts of Tabor and Czaslau were severely attacked. ‘In the Tabor district’, we read in the above-mentioned report,[181] ‘there appeared in the month of August at Neuhaus, where a field-hospital had been erected, several biliary-mucous nerve-fevers, which broke out in numerous places along the road to Prague, soon spread to the Tabor district, and became epidemic. They quickly revealed their presence in all places where sick soldiers passed the night, or where the natives took part in 161the transportation of sick soldiers.’ The climax of the epidemic was in January, and in the middle of May it disappeared; of 4,267 people who contracted the disease, 448 succumbed. In the Czaslau district, adjacent to the Tabor district on the north, the disease was disseminated in November 1813 by transports of prisoners and troops, by the quartering of convalescents in the homes of peasants, and by peasants who helped to transport sick soldiers. On December 16, 1813, no less than 4,313 civilians in thirteen places were suffering from typhus fever. The highest mortality prevailed in the vicinity of the hospitals; the epidemic disappeared with the arrival of spring.

Typhus fever was also conveyed into various parts of Moravia,[182] partly by Austrian troops, and partly by French prisoners; in the districts of Brünn, Iglau, Olmütz, and Teschen it broke out in numerous places. In twelve communities in these districts, having a combined population of 28,267, some 2,126 people contracted the disease between December 1813 and the summer of 1814, and 207 persons succumbed. In March the epidemic disappeared almost everywhere. According to the figures compiled by J. Hain,[183] the number of deaths in Moravia and Austrian-Silesia together was:

July (1813) 3,818

August 3,893

September 3,888

October 4,059

November 4,457

December 5,202

January (1814) 8,280

February 7,249

March 7,756

April 5,464

May 5,541

June 4,147

162In Lower Austria typhus fever also broke out, particularly in Vienna; the number of deaths there was:

Due to typhus fever. All deaths.

1813 784 12,971

1814 1,529 15,309

In the rest of the country few diseases appeared, despite the fact that troops kept marching back and forth.

Typhus fever was conveyed by marching troops to Styria also; the source of the pestilence was the seven military hospitals in Graz. We read in the report:[184] ‘The pestilence, proceeding principally from the seven military hospitals lying within the city limits as from a focus, was spread abroad by convalescents, attendants, physicians, &c. The mortality in these hospitals was extremely high; the buildings set aside for the purpose could scarcely accommodate the number of sick. Everything was topsy-turvy; the corps of field-doctors on hand was not nearly large enough to take even the most necessary care of the large number of patients.’ The region around Graz, Marburg, and Bruck was most severely attacked by the disease, which also spread to Carinthia and broke out in Klagenfurt and vicinity.

7. Survey of the Epidemic of Typhus Fever in the Years 1813–14

It is impossible to draw an accurate picture of the loss of human life which typhus fever caused in the years 1813–14. This is due, on the one hand, to the lack of reliable statistics, and, on the other hand, to the fact that the several regions suffered to a varying degree, depending upon the number 163of troops, prisoners, and refugees that they received. The number of persons that succumbed to typhus fever in Germany during the years 1813–14 must be estimated at least as high as 200,000 or 300,000. Assuming that 200,000 people succumbed to the disease, the number that contracted it would amount to some 2,000,000. Since Germany at that time had hardly more than 20,000,000 inhabitants, some ten per cent of them, on the basis of this assumption, contracted the disease. The size of this number is significant, when we consider that the stronger and older people manifested particular susceptibility to the disease.

One of the chief causes of the wide dissemination of typhus fever in the years 1813–14 was the imperfect development of the lazaret system. If at first a lazaret for infectious diseases was available, the number of patients it was called upon to accommodate in a few days became so large that new buildings always had to be opened for them, and it was impossible to keep them isolated. The efforts of the various municipal administrations to have the lazarets erected outside the city limits were powerless against the brutal obstinacy of the French, and, later, of the Russian generals. The severity of the penalty which they had to pay for unceremoniously housing infected French troops in strongholds together with healthy men, is evident from the fearful devastation caused by typhus fever in Danzig, Torgau, Mayence, &c. The little communities were absolutely helpless against the dominating power of the soldiers. One might reproach the municipal administrations of that time with failing to adopt measures of prevention against the menacing danger of pestilence, particularly in places which did not suffer in consequence of the marching back and forth of soldiers. But one must take into account the excitement which permeated the entire people at that time—the hopeful longing to be freed from the national enemy’s long oppression, toward which all thinking and planning was directed, the employment of all resources for this 164purpose, and in particular the fact that sheer ignorance rendered appropriate measures impossible. If this ignorance prevailed in the highest places, nothing better was to be expected of the administrations of the smaller cities and towns. The population was therefore everywhere defenceless against the intrusion of the pestilence, which was given an opportunity to become more and more widespread. This, however, had not been the case in Central Europe since the Thirty Years’ War.

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