Science of Conflict

Diseases

The piercing of an arrow, the cut of a sword were just as deadly as the slow killers that lurked in the mud and filth of battle fields. Infection often heralded a slower but just as painful a death as the tearing of flesh from flying shrapnel. As late as the 1920s more soldiers died from diseases, poor diet and exposure to the elements than from wounds. During the American Civil war twice as many men died from disease than were killed in action.
The main killer during the American Civil War was dysentry, while during WW1 typhus was the greatest killer been attributed with 3 million Russian lives by the end of the war.
Few diseases devastated an army more than syphilis. This bacterial infection, as pictured on the right, caused havoc amongst civilisations killing millions. Columbus introduced this disease to Europe which spread quickly in the brothels and taverns. In 1494, a year after Columbus's return, Henry VIII of France attacked Italy. Henry experienced instant success with his army made of mercenaries gathered from a number of European countries. Celebration and exhilaration accompanied the confident army as they advanced to Naples. All opposition melted away with the exception of a small group of Italian and Spanish soldiers held up in a citadel just outside the city. The Spanish were fresh from the taverns and brothels of Spain infected with syphilis. Henry's army chose to sit and starve this ragtag army into surrender.
Through a clever act of deception, the now desperate besieged army, allowed the prettiest women infected with syphilis, to live the citadel. French troops, attracted by the women gave them asylum. The outcome was devastating for Henry's glorious army. The long, torturous march back home saw many fall dead by the road while others appeared like lepers as the disease covered their faces and hands with syphilitic sores, as shown on the right. Many French soldiers became blind or went insane before been relieved by death. Even more tragic, many found their way back to their homelands where the telltale signs of the early onset of syphilis went unnoticed. Relieved to be home the soldiers passed on the disease before succumbing to it themselves.

Infection was thought by many to be God's vengeance or the influence of evil spirits. Since little was known about the way infection is spread many field hospitals were a breeding ground for bacterial and viral infections. The confusion of how to treat diseases is captured perfectly by the recollection of an American doctor Edward Jarvis during his experience as a field doctor in the 1830's. While bandaging a wounded leg he turned to an assistant and asked for a plaster. The young assistant replied," I do not know if we have exactly the one you need in the drawer". To Jarvis's horror the cupboard revealed a collection of used plasters and bandages that had been removed from ulcers, cuts and other wounds and covered in blood and pus ready to be reused.

Many more soldiers died needlessly on hopsital beds before the link between infection and hygiene was to be made during the second half of the nineteenth century.

What are the symptoms of typhus?

How does syphilis bacteria enter the body?
What are the symptoms of syphilis?
Can syphilis be teated by modern day drugs?

How does good hygiene prevent deadly infections?

How did hospitals contribute to the high mortality rate?

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Continue with ancient Egyption medicine