Category Archives: disease

Capt. Cook’s Family

From The Wide Wide Sea: Imperial Ambition, First Contact and the Fateful Final Voyage of Captain James Cook, by Hampton Sides (Knopf Doubleday, 2024), Kindle pp. 347-348:

ELIZABETH COOK NEVER remarried and remained a widow for fifty-six years. Sadly, she outlived all of her children, none of whom had children of their own. In October of 1780, the same month the Resolution and the Discovery returned to England, Nathaniel Cook, a midshipman serving on the HMS Thunderer, went down with more than six hundred other souls in a massive hurricane off Jamaica. He was only sixteen. Thirteen years later, in 1793, Hugh Cook perished from scarlet fever while at Cambridge, where he was studying to be an Anglican minister. Only a month after that, the eldest of the Cook boys, James, drowned near the Isle of Wight. The shock of losing her last two sons in such rapid succession proved too much for Elizabeth—it was said she spent almost three years confined to her bed.

At least, thanks to Lord Sandwich, she received a pension of £200 each year from the Admiralty, which, together with her husband’s share of the royalties from the publication of his voyage accounts, saw her into old age. “She kept her faculties to the end,” wrote Elizabeth’s cousin Canon Bennett, describing her as “a handsome and venerable lady, her white hair rolled back in ancient fashion, always dressed in black satin. She wore a ring with her husband’s hair in it, and she entertained the highest respect for his memory, measuring everything by his standard of honor and morality. Her keenest expression of disapprobation was that ‘Mr. Cook’—to her he was always Mr. Cook, not Captain—‘would never have done so.’ Like many widows of sailors, she could never sleep in high wind for thinking of the men at sea.”

Elizabeth Cook died in 1835, aged ninety-three.

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Capt. Cook’s Shipboard Hygiene

From The Wide Wide Sea: Imperial Ambition, First Contact and the Fateful Final Voyage of Captain James Cook, by Hampton Sides (Knopf Doubleday, 2024), Kindle pp. 15-17:

DURING HIS TWO voyages, Cook had shown himself to be a benevolent though strict leader of his own men—sparing with the lash and solicitous of his crew’s happiness, comfort, and health. These should be attributes for any good naval officer, but so many ship captains of the era could be unimaginably brutal in their punishments, tyrannical in their command style, and indifferent to conditions belowdecks. The Royal Navy, it was famously said, was “manned by violence and maintained by cruelty.”

Cook, however, was a different sort of captain. He constantly experimented with schemes for shipboard hygiene and diet. He knew that prolonged dampness and darkness were eternal enemies that worked in concert and must be mercilessly fought. Many diseases killed sailors on long voyages, but most of them, Cook found, could be prevented by maintaining strict cleanliness, especially in the galley.

Germ theory was only a nascent and controversial concept among medical scientists at the time, but Cook intuitively seemed to grasp its essence. Ever at war against grime, he kept his men scrubbing the decks with soap and vinegar, and often ordered smoking fires, set in pots, to be lit deep within the ship. His perpetual campaign against cockroaches, rats, weevils, and other vermin was resourceful, almost scientific, in its approach. “To cleanliness, as well in the ship as amongst the people, enough attention cannot be paid,” Cook insisted. “The least neglect occasions a putrid and disagreeable smell below.”

Then there was the most dreaded maritime disease of all: scurvy, a ghastly disorder that was considered an almost inevitable occupational hazard of long ocean voyages. During the Age of Sail, it was generally assumed that scurvy would kill off half the crew members on any lengthy expedition. The malady’s progression was all too well known: spongy gums, fetid breath, protuberant eyes, scaly skin, a breakdown in the tissues and cells of the body, convulsions, and, eventually, death.

But amazingly, during his two odysseys, it seemed that Cook had beaten scurvy. On his second voyage, the Resolution was at sea for three years, but not a single one of his men died of the disease—or even, it seems, developed advanced symptoms. This was a historic breakthrough. He didn’t understand scurvy’s true cause, its etiology; that it resulted from a deficiency of vitamin C would not be determined until the 1930s, when scientists deduced the compound’s chemical structure.

But Cook, following his own hunches while building on a host of older theories, had put in place an astoundingly efficacious system of prevention. A Scottish surgeon named James Lind had demonstrated as far back as the 1750s that scurvy could be treated by consuming citrus fruit, but it took decades before his ideas were aggressively adopted. Building on Lind’s findings, Cook insisted that whenever possible, his sailors—accustomed to a diet of salted meat and stale biscuits—consume fresh fruits, vegetables, and greens. On the Resolution he kept some strange-sounding supplementary items on the menu as well, such as carrot marmalade, wort of malt, rob of orange, inspissated lemon juice, and a concoction known as saloop, which was steeped from the root of a common meadow plant, Orchis mascula.

Cook hadn’t really conquered scurvy, though—the particular lessons he’d learned through hard and patient experimentation would be unlearned and then learned again, dismissed and revived in piecemeal fashion, over the next several decades. But for now, the Admiralty viewed Cook’s apparent mastery over the disease as possibly an even more consequential achievement than proving the Southern Continent’s nonexistence. So many sons of England, so many sons of so many countries, had died of this horrible malady. It has been estimated that nearly two million European sailors perished from scurvy between 1600 and 1800. The notion that a thousand-day voyage could be undertaken without the disease’s appearance represented a radical shifting of the possibilities; it meant that His Majesty’s ships could range wider and longer, extending the reach of the Crown to the world’s most distant nooks and corners, to complete the maps of the globe.

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Indentured Servitude vs. Slavery

From The Caribbean: A History of the Region and Its Peoples, ed. by Stephan Palmié and Francisco A. Scarano (U. Chicago Press, 2013), Kindle pp. 214-215:

As the 17th century drew to a close, English and French colonists were no longer able to justify investments in indentured servitude, even as temporary chattel, on economic grounds. They were, however, able to promote the institution on social and political grounds. The policy decision to pull white women from field gangs because they were better placed to serve the colonial enterprise in the field of reproduction exemplifies the significance of social forces in determining the shape of the labor system. Importantly, it shows that the planters’ efforts to reinvent servitude as slavery received some pushback for social and political purposes. In addition, there was the matter of sustaining militia regiments to assist in the suppression of enslaved Africans. To these ends colonial governments, rather than planters, sought to ramp up the demand for male servants.

Given the harshness of Caribbean work and epidemiological environments, for many servants the plantation experience amounted to lifelong enslavement. The legal requirement of fixed-time servitude and the social reality of lifelong labor were offset by mortality trends and management policy. To suggest, as one scholar does, that it “was, of course, inconceivable that any of the [white] labor pools mentioned (convicts, prisoners of war, or vagrants) could have been converted into chattel slaves” is to ignore what was taking place on the ground in the colonies (Eltis 2000, 70).

The conversion of servitude into slavery was conceived by planters of cotton, tobacco, and sugar. If these planters failed at this conversion, it was not because of weak managerial resolve, but because of the multiple internal and external forces that militated against them, including servants’ unrelenting ambition to participate in colonialism as independent wealth makers.

From the beginning, those Barbadian planters who received large grants of land calculated the benefits of importing African labor to work them. Pre-sugar Barbadian planters, such as James Drax, were directly involved in sponsoring slave voyages to the African coast; the Drax family later became sugar barons in Barbados and Jamaica. Other English merchants with investment interests in Barbados were known slave traders. The Earl of Warwick, who claimed in 1629 that Barbados was granted him by the monarch, and Maurice Thompson, a large landowner, were involved in the supply of enslaved Africans directly to Barbados before the “sugar revolution.”

The contrast with smaller landholders is sharp. Before the [Dutch] Brazilian political crisis of 1645 wrecked that country’s sugar industry, the Dutch West India Company was selling slaves on easy terms to creditable planters in Barbados and Guadeloupe. Strapped for cash and alienated from credit, the “small holders did not take to sugar,” says Blackburn, “because it was a new and unfamiliar crop, and because it could not be harvested for at least eighteen months after the first planting” (Blackburn 1997, 231). They did not attract Dutch or English credit, had no access to core funding for slave purchase, and thus remained in the servant market. In this way they drove the demand for servants despite the potential availability of slaves.

“Slavery and cotton,” then, was as established in Barbados and Guadeloupe in 1640 as would be “sugar and servitude” in 1650 and “sugar and slavery” in 1660. Between 1645 and 1650, the midpoint of the transition, the mixed-labor regime was at its peak. As big investors in cotton production, planters with financial access did two things that prepared them for sugar: they consolidated small plantations into large ones, and they made substantive purchases of enslaved Africans. Economies of scale in cotton production enabled many of these planters to access larger external credit instruments that enabled the expansion of both the servant trade and the slave trade. In addition, the planters sped up the land consolidation process that facilitated the sugar industry.

These investors became industry leaders who championed the charge into sugar production and plantation expansion after 1645. In effect, they were deepening rather than creating the reliance upon enslaved Africans. Capital was scarce and expensive; risks were high. In pursuit of profits, planters fully exploited whatever labor was within their reach. Alongside “sugar and black slavery” there was “sugar and white slavery.” Plantation agriculture before, during, and after the sugar revolution generally meant disciplined, coerced labor—and, as Williams so aptly concluded, “at times that labor has been slave, at other times nominally free; at times black, at other times white or brown or yellow” (Williams 1944, 29).

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Caribbean Demographic Changes, 1600s

From The Caribbean: A History of the Region and Its Peoples, ed. by Stephan Palmié and Francisco A. Scarano (U. Chicago Press, 2013), Kindle pp. 197-199:

European and African populations in the Caribbean grew quickly, almost exclusively through migration rather than natural increase. If the numbers are often vague, two patterns are clear. First, the white population in the islands was predominantly young and male until the late 17th century. Second, the population came to be dominated by enslaved Africans by the end of the century, first on the English islands and then on the French. The population of the French islands was 19% black by 1650 but 36% by 1660 (Boucher 2008, 115). By 1655 the population of Barbados contained some 20,000 Africans and 23,000 Europeans; 18 years later, the slave population outnumbered the European population, 33,184 to 21,309 (Dunn 1973, 87). Enslaved Africans came from a variety of ethnic groups, as did Europeans—especially on the English and Dutch islands.

Although most European migrants traveled as indentured laborers, there were some free migrants as well. Some were ambitious men eager to improve their economic condition: Tom Verney hoped in 1639 that his time in Barbados would “be an engagement for mee for my new lead-life,” promising both prosperity and personal redemption for past failures (Games 1999, 80). Some were men of the cloth. The presence of Caribs on French-occupied islands not only hindered French settlement but also inspired the French to send Catholic missionaries to proselytize. Jews found haven in Suriname, Curaçao, Barbados, and Jamaica. English Catholics, forbidden to practice their faith openly at home and banned from holding public office, inhabited all of the English colonies in the Caribbean. French Huguenots made their way to the islands, too, where many governors tolerated their presence. If for many the 17th-century Caribbean was a place of violence, premature death, and avarice, for others the islands offered relative sanctuary—whether prompted by indifference or acceptance from neighbors—from some of the religious and political violence of the era.

European affairs continued to punctuate Caribbean life in the middle of the 17th century, defining mature colonial settlements just as they had facilitated their creation. Other regions of the Atlantic also began to shape the Caribbean. Trading ties thickened connections to the American mainland, Europe, and Africa. One overpopulated Caribbean colony, Barbados, even spawned a supply colony on the American mainland, Carolina. Africans became a larger presence in the region, dominating some islands and posing strategic challenges and opportunities for residents and invaders. Several regional transitions illustrate these new intersections.

The first transition involved sugar, another commodity of growing popularity in Europe. Tobacco may have sparked interest in Caribbean land in the 1620s, but sugar wrought an even greater frenzy. It took hold gradually in the English and especially the French Caribbean, primarily because sugarcane cultivation and processing required a large capital investment in equipment and labor, one well beyond the reach of most European planters, many of whom also lacked expertise in processing cane. In 1654 came a crucial turning point in the Caribbean, sparked by events outside the region: the Dutch, after nine years of struggle with the Portuguese, finally abandoned Brazil, where they had learned the complicated and costly techniques of sugar cultivation and, more important, of transforming sugar into rum and molasses. As Dutch merchants, planters, and investors dispersed into the Caribbean, they brought those techniques with them. While some English settlers had already begun to experiment with sugar on Barbados, the infusion of Dutch capital contributed to the “sugar revolution,” in which sugar monoculture replaced other crops and enslaved Africans replaced European indentured laborers.

Sugar wrought major environmental transformations wherever it took hold, and those changes assisted the Aedes aegypti mosquito, which had crossed the Atlantic from Africa in slaving vessels. As Europeans cleared land for sugarcane, they felled trees, removing bird habitats and facilitating the survival of insects the birds had once consumed. Sugar processing also required clay pots, which stood empty much of the year, collecting rainwater that enabled mosquitoes to flourish. A. aegypti is the vector for yellow fever, and it is no accident that the Caribbean’s first yellow fever epidemic started in Barbados in 1647, in the wake of sugar’s introduction to the island. In that first epidemic, as much as one-third of the island’s population may have died.

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Pinpointing the SARS Outbreak, 2003

From Seeing: A Memoir of Truth and Courage from China’s Most Influential Television Journalist by Chai Jing, trans. by Yan Yan, Jack Hargreaves (Astra House, 2023), Kindle pp. 45-48, 50-51:

I wanted to go back to People’s Hospital [in Beijing], because I couldn’t stop thinking about the “courtyard problem.” By then, it’d become the site of one of the biggest and most difficult battles against SARS. Starting on April 5, about 222 people had been infected at the hospital, including ninety-three hospital staff across nearly half the departments. The emergency ward north of the outpatient wing was the most severely affected; that was where the courtyard was. On April 22, I had seen patients covered in white cloth being rolled out of there. Two days later, when our van passed by once more, the eighty-five-year-old hospital had just announced a full quarantine. Beyond the yellow quarantine tape, three nurses sat on the empty steps, holding their blue nurse’s caps. Their long wet hair was drying in the sun. As they sat in silence, one would occasionally comb her fingers through the hair hanging in front of her chest. Our van parked in front of the hospital for over ten minutes. Xiao Peng pointed his camcorder at them from a distance.

I felt that there must be a correlation between the twenty-nine patients I’d witnessed being transferred without proper protection and the high rate of infection now sweeping the hospital. I wanted to know more about what had happened. No one asked me to work on the story. I wasn’t even sure if I could make it at all, let alone get it on the air, but my team was willing to work with me….

I ended up getting an interview with Zhu Jihong, the director of the emergency ward. He confessed to me that, at the time of transfer, the twenty-nine patients I’d counted were all in fact infected with SARS. In fact, the emergency ward had already been battling known cases since April 5. But rather than report the cases, the real numbers were hidden from the World Health Organization when they came to inspect the hospital. The patients had been transferred to ambulances that drove around Beijing in circles until the inspectors left.

I’d spent a long time convincing Zhu Jihong to accept the interview. I said, “You don’t need to make any judgments or draw any conclusions, just describe what you saw, heard, and felt, that’s all.”

After a long pause on the phone, he said, “The memory is too painful.”

“Of course,” I said, “but pain can be cathartic, consolation for one’s sacrifices.”

Zhu Jihong led me through the emergency ward corridor. He leaned over, undid the heavy chain lock, and pushed the door open. He reached for the wall with his left hand and after some flickering the lights turned on. In the ashen light, the classroom-sized space was filled with blue IV chairs tagged with white labels that read: April 17, Thursday; April 17, Thursday

The beds were littered with rumpled blankets, some of which had fallen to the ground. Chairs were upturned, four feet in the air, left there by people fleeing for their lives.

This was the courtyard I had been hearing so much about. It was a space wedged between four buildings. With the addition of a roof, it had become an indoor space, sealed off from traffic in the rest of the hospital. They’d used it as the IV room, where all the patients with fevers came to receive their drips. Twenty-seven beds sat shoulder to shoulder with only the space of a fist between them. Every day, almost sixty people had sat tightly together on the beds and among a few chairs. Even during the daytime, the room completely depended on artificial lighting. There was no airflow, no windows, only a ventilation panel connected to the central air conditioning system, which spread the germs across the whole hospital.

The patient files that piled up in a mound on a desk were yellowing with age. I hesitated for a second. Zhu Xuhong said with a dismal smile, “Allow me.” He opened the files, which said pneumonia. He pointed toward a blackboard. Next to the twenty-two names written in white chalk, nineteen read: pneumonia, pneumonia, pneumonia

“In fact, it was SARS,” he said.

Even the patients had not known. It was like a taboo. No one in the hospital had even called SARS by its name. They’d called it “that thing.” The first patient had come in on April 5. The doctors suspected she was a SARS patient after seeing her chest radiograph. But the government announced that all cases were from outside Beijing. All public hospitals are managed by the government. And according to the standards for diagnosis and treatment in Beijing, the doctors could only diagnose someone who had a history of direct contact with a confirmed infected person.

On April 22, Zeng Guang, the chief scientist at the Chinese Center for Disease Control and Prevention examined this hospital. He said, “When buildings are about to collapse, escaping is the only choice.” Two days later, People’s Hospital quarantined. Zhang Wenkang, the minister of health, was fired, and within one week, the army built the biggest field medical hospital in Beijing. There were 686 SARS cases there, almost one-tenth of all global cases.

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Khmer Rouge Fertilizer Crews

From Prisoners of Class: A Historical Memoir of the Khmer Rouge Revolution, by Chan Samoeun, tr. by Matthew Madden (Mekong River Press, 2023), Kindle pp. 201-203:

The piles of ash on the farm are all used up now. The fertilizer unit makes its own ashes to mix with the excrement. Making ashes is not an easy task; we must fell large trees, saw them into pieces, carry them and place them into piles, and then light fires to burn them. Now the fertilizer unit has been divided into three teams: the ash makers, the excrement carriers, and the fertilizer mixers.

I and Bong Sae, my group leader (a former teacher in Kampong Speu province), who both have similar wounds, are placed in the excrement carrying team. This team has four people: Bong Sae, Bong Phon, Bong Him, and me. We stop using bangky baskets to carry the excrement because we find two wooden buckets, each attached to a board. We carry one bucket between two people. It’s very difficult because we can’t breathe without taking in the stench, but our labor is not as rigorous as that of the ash makers.

Each morning we carry the buckets from the fertilizer shed and scoop the excrement out of the latrines from one end of the village to the other and then back again. In the morning, we must carry four buckets, and another four buckets in the evening. At first, we are reluctant out of sheer disgust. Then after doing it every day, our noses get tighter, and we grow accustomed to the stench. After scooping the excrement into the buckets, those who smoke sit and have a smoke to gather their strength. I’m not a smoker, so I walk around and look at the villagers’ huts, observing the lives of each family. Only we, the excrement carriers, have the possibility of becoming so intimately familiar with the real lives of the villagers.

We go from one latrine to the next, from one hut to the next. The shit from this latrine is like the shit from that one, their shit is like my shit. All of it is dark green colored like the leaves of trees, different from animal droppings only in that ours smells worse. Before we had latrines, we relieved ourselves in the fields. When they encountered our excrement now and then, the base people would say, “human tracks, but animal shit.” Only the excrement of the cadres, the chhlops [lit. ‘spies’: monitors and enforcers], the cooperative chief, and the soldiers has a natural color. If any of the people’s latrines has fresh excrement with a color like that of an animal, it is certain that last night they had rice or corn to eat. If they didn’t trade for it, then they must have stolen some corn from someone’s field.

Some latrines have a decent amount of excrement, while others hardly have anything at all to scoop out—even if we only come by once a week. It’s because the owner is down sick and has no leaves to eat, so there’s not much excrement to produce. At each hut we see illness and suffering. Tears, pus, blood, clear fluid from sores, all flowing and mixing together. When I never saw anybody besides myself, I used to think that I suffered the worst. But after seeing others around me, I am surprised. Most of the people in the village are suffering as badly as I am. Some even have it worse than I do: they have no family, but are left to suffer in illness, all alone.

Some days, the excrement carriers postpone scooping excrement for a while to help carry a dead body to be buried. We cut wild bamboo and split it into strips about a meter-eighty in length, then we use dah kun, yeav, or preng vines to weave the strips into a lattice to wrap the corpse in (instead of a coffin) and carry it to be buried. Some corpses have grass mats to be wrapped in, while other corpses have nothing at all but these bamboo lattices. The four of us don’t know any proper religious rites, so we simply bury the corpses straight, like we would any other thing. And we are not afraid of the corpses either, for we have become the village corpse buriers, and we are as accustomed to this work as we are to the smell of excrement.

Those with strength are sent out on mobile assignments away from the village, and those who are ill nearby have no strength to carry the corpses to be buried. So it falls to the excrement carriers. Every two or three days we have a body to carry off and bury.

There is no special place for burying bodies. We usually bury them in the forest behind the houses of the dead, a distance of only about 100 or 150 meters.

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Khmer Jungle Hospital

From Prisoners of Class: A Historical Memoir of the Khmer Rouge Revolution, by Chan Samoeun, tr. by Matthew Madden (Mekong River Press, 2023), Kindle pp. 157-158:

All the patients at the hospital are Life Slaves; there are no base people mixed in. Some people have the shivers, some have swelling, some have dysentery, some have skin lesions. These are the types of illnesses common during this so-called revolutionary era. Patients lie moaning and groaning day and night. Some patients with no hope of survival have been abandoned here by their families to lie alone, sick and moaning. Some of them have siblings or a spouse to sit with them, help them relieve themselves, and bring them food or water.

We can’t tell who are the medics and who are the soldiers. They all wear the same black clothing and black caps with silk kramas around their necks. The medics don’t watch the patients. They are at their own place over near the dining hall all the time. At about nine in the morning, three or four of them walk over to poke their heads in and check on us. In the afternoon, at about three o’clock, they come again. If a patient dies in the night, the body lies with us until morning. If a patient dies during the day, only after one of the patients goes to tell the medics will they quickly take the body away to be buried. They have no medical supplies or equipment whatsoever. They don’t come by to treat the patients; they only check to see who is close to dying and who is not yet close to dying.

Contrary to what I had heard, there is not much medicine. I have been here for four or five days now and haven’t seen so much as a single pill. If there is medicine, it is mostly just “rabbit turd” pills. If liquid medicine, it is mostly clear or reddish-colored medicine in old soft-drink bottles.

Most of the medics are females who seem to have no medical expertise. One day they bring some foreign medicine to administer by injection to patients with shivering fever. They have ampules with the word QUINOBLEU written in French on the sides, containing a dark blue intravenous liquid. The female medics give me an injection. I feel excited to be so fortunate to be treated with foreign drugs. They turn my arms back and forth, left and right, forearms, wrists, looking for a vein. One of the female medics gives up and hands the task over to another medic. They trade off back and forth and after ten sticks still can’t find a vein. I am sick and just can’t take any more of this, and I beg them to stop sticking me. They don’t know how to give an injection or how to find a vein. I’ve lost my chance at the good medicine.

The two other patients who came with me from the village to stay in this hospital house are both gone now. One of the men, about my age, had a shivering fever but was still able to walk. He went back to the village after trying out the hospital for about two days. It’s better that he left anyway; if he had stayed, it would only have led to catching some other illness. Like me—when I left the village, I only had a shivering fever, but now I have swelling as well.

As for the other man (about forty years old), who had some swelling when he left the village, after he got to the hospital the swelling got worse. He came from the village alone, like me, without any wife or children accompanying him. He dies after sleeping at the hospital for nearly a week. I’m not able to go back to the village, but if I remain, the outcome is clear.

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Status of Moldova, 2006

From Bessarabia: German Colonists on the Black Sea, by Ute Schmidt, trans. by James T. Gessele (Germans from Russia Heritage Collection, 2011), pp. 363-364:

To this day, the Republic of Moldova, with its population of about 4.5 million people, remains the poorest of European countries. In 2002 it still ranked behind Albania, which, however, received four times the international monetary aid. In 2006 the per capita gross domestic product was a 991 US dollars (the comparative figure for Germany was at 34,433 US dollars). The world’s largest steel mill on the Dniester that once employed ten thousand workers has virtually fallen silent. The once-flourishing “vegetable and fruit garden and vineyard of Russia” lies fallow in many places. Its rich soils are depleted and overfertilized, its water polluted. As always, Moldova belongs to the ten largest wine producers in the world but has tried in vain to gain a foothold in the international market. Until recently, more than 90 percent of Moldovan wine production was exported to Russia. For that reason, Russia’s 2006 declared import ban has hit the Moldovan wine industry quite hard. The Republic of Moldova is therefore trying even more to intensify relations with the European Union; it strives for integration into the European structure as an independent partner. Germany is one of Moldova’s most important trade partners. Several German firms have already become successfully engaged in the region.

Nonetheless, hundreds of thousands of young people still seek employment abroad. In recent years, almost 300,000 Moldovans have obtained Romanian passports, giving them freedom of travel. More than anyone, the elite (e.g., academics and physicians) are moving away. Hospital conditions are a catastrophe; tuberculosis and hepatitis are rampant. On the other hand, one finds a considerable number of Western luxury limousines and sports cars on Chișinău’s boulevards. Apparently a stratum of the nouveau riches is doing profitable business, e.g., in smuggling cigarettes, gasoline or with weapons out of Transnistria. Until early March 2006, there was no customs check between Transnistria and Moldova, allowing goods from Ukraine to flow into the country unhindered. As a result, the country lost an immense amount of tax collections. An especially lucrative business for the criminal circle—here subsumed under the name “Mafia”—is apparently white slave trade. Ostensibly, according to press reports, up to thirty thousand young women and girls have been placed in western and central European brothels in recent years.

The capital Chișinău has changed its appearance. Old Jewish residential districts on the city center’s edge were torn down over large areas from the close of the 1980s through the early 1990s and replaced by apartment buildings and arterial roads. Many large-scale projects ventured earlier now stand as abandoned ruins. Meanwhile, one can observe how with American support a new beginning of Jewish life is developing in the city. American youth groups of the Jewish movement Chabad assisted in the revival of a small district with Jewish facilities around a synagogue, which is conducted by the Lubavitch Hassidic school of thought.

In the heart of the old city Chișinău, behind high walls and relatively unnoticed by city dwellers and tourists, there is the house that Russian poet Alexander Pushkin occupied from 1820 to 1823 during his banishment to Kishinev. Here today is a small, lovingly appointed museum that houses witness to all phases of the poet’s life. Within sight of the building resided his protector, Governor of Bessarabia, General Inzov, of whose palace not a single trace remains today.

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Smallpox Epidemics of 1775, 1779

From Lakota America: A New History of Indigenous Power, by Pekka Hämäläinen (The Lamar Series in Western History; Yale U. Press, 2019), Kindle pp. 94-96:

The smallpox epidemic began in late 1775 in Quebec and spread down the eastern seaboard with the peripatetic British and Patriot armies. The epidemic’s most significant intrusion into the war came in 1781, when it caught up with the loyalist African Americans who had joined the British Army in a march across the South. In September General Charles Cornwallis was besieged in Yorktown, his black allies dying in masses and his soldiers succumbing to malaria. When Cornwallis surrendered, his army had nearly melted away under the double pathogenic assault. The first British Empire had come to an end.

While smallpox was thriving in the war-ravaged East, it found another opening some fifteen hundred miles to the west. This epidemic originated in Mexico City in August 1779 and moved from there to New Orleans, San Antonio, and Santa Fe by December 1780. There trade became the principal vehicle for transmission. Comanches, who dominated the lands amid those colonial capitals, were infected and seem to have passed on the pestilence to their trading partners, some of whom transmitted it into the Missouri Valley. Carried by equestrian Indians, the malady could travel far during its long incubation period, and a trading expedition may have reached the Missouri with the virus before succumbing to it.

Dying began in 1781—just as the British Army was wasting away at Yorktown—among Arikaras and Mandans. Lakotas contracted the disease around the same time, possibly while raiding. Oglala and Sicangu winter counts record two successive years of smallpox. They depict human figures in agony, their faces and torsos covered with red spots, documenting the infection’s aggressive spread from small blood vessels in the mouth and throat across the body until sharply raised, pus-filled blisters covered the skin; they capture the ineffectiveness of traditional healings methods in the face of an alien organism. There is no way of knowing how many died. Lakotas’ migratory way of life and dispersal into small hunting bands gave them a measure of protection against the pestilence, but cold and erratic weather around the outbreak must have compromised their ability to fight off the virus.

While the epidemic ravaged Lakotas, it nearly ruined the villagers. The virus found in the crowded villages an auspicious setting to spread. Arikaras may have lost more than three-fourths of their people, and they abandoned all but seven of their thirty-two villages. Mandan losses were similarly catastrophic. Their eight villages were reduced to two, and their thirteen clans became seven. The Hidatsa population was cut by half. An ancient political geography collapsed in a matter of months as the combined villager population of tens of thousands was reduced to roughly eight thousand. Thick clusters of Arikara, Mandan, and Hidatsa villages melted into thinly sprinkled nodes; permanent settlements no longer governed the riverscape. Cheyennes, too, were afflicted. Most of them abandoned their Missouri villages, making an abrupt and uncertain leap to a nomadic existence in the open plains to the west. Only one band, the Masikotas, stayed along the Missouri, attaching themselves to Lakotas.

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European Islets, Indigenous Sea, 1600s

From Lakota America: A New History of Indigenous Power, by Pekka Hämäläinen (The Lamar Series in Western History; Yale U. Press, 2019), Kindle pp. 46-47:

Seventeenth-century North America was a vast Indigenous ocean speckled with tiny European islands. The Spanish, English, and French newcomers claimed vast chunks of the continent through the doctrines of discovery and terra nullius (no one’s land), but such claims mattered little on the ground where the Indians controlled the balance of power. Through shrewd diplomacy, warfare, and sheer force of numbers, the Indians held the line. In 1700 French settlement remained tethered to the St. Lawrence and a small foothold on the mouth of the Mississippi, and the Spanish possessions amounted to two isolated clusters of missions in New Mexico and in Florida. English settlers were more numerous and assertive, but they too huddled on the margins, expanding up and down the coastal lowlands rather than inland. Conquistador fantasies stayed alive, but they were becoming increasingly detached from reality.

Yet, wherever they planted themselves, the colonists were a force to be reckoned with. Their fringe outposts were pockets of dense military-technological power that could shape developments far beyond their borders. The Europeans fought, dispossessed, and enslaved nearby Indians, whose ability to resist was severely compromised by disease epidemics. The more distant Indians in the interior required more subtle measures, for the colonists could not simply rely on pathogens to obliterate them. Numerous and fiercely independent, the interior Indians could be neither killed nor commanded; they needed to be cajoled and co-opted. The key instrument for achieving this was a frontier post. Europeans thought of trading posts and missions—military forts would come later—as means to claim and control faraway lands. Indeed, an inland post brought the frontier into existence and demarcated it by announcing that the lands around and behind it belonged to the people who had built it. Posts made empires.

Such ideas were laughable to the Indians, who thought that land belonged to those who lived on it and whose ancestors lay in it. They almost invariably welcomed trading posts and missions on their lands because they were concrete expressions of the newcomers’ largesse—both material and spiritual—and of their willingness to share their power. A trading post was particularly desired because it signaled a commitment to a particular people and its needs. This is why the Indians competed so fiercely to secure them. A single post could dramatically change their fortunes by opening access to the new technologies that had irrevocably changed the parameters of the possible. Reliable access to guns, powder, and iron was a promise of safety, prosperity, and otherworldly power, while lacking them spelled hurt, retreat, and shame.

At the turn of the century Sioux knew both sides of the equation. Since the 1650s they had seen how French trading posts proliferated in the western Great Lakes among their enemies, rendering them horribly vulnerable. An alliance with Sauteurs [Ojibwe] in the late 1670s punctured the imagined wall that cast them as outsiders. They had their own post from 1685 onward and, at last, a secure access to firearms. Guns gave military teeth to their overwhelming demographic strength, making them the epicenter of interior politics. French officials saw them as the last best hope to contain the Iroquois and save New France, and they worked hard to integrate them into their alliance system. For decades Sioux had grappled on the margins of the bustling Indian-European world of trade and alliance that had emerged in the east; now that world began to converge around them, bestowing them with substance and power. They now had options and, it seemed, time to weigh them.

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