Unveiling Milan's hidden cases of plague occurred in autumn 1629, before the great 1630 epidemic.

Le infezioni in medicina Pub Date : 2024-09-01 eCollection Date: 2024-01-01 DOI:10.53854/liim-3203-15
Riccardo Nodari, Luca Fois, Ester Luconi, Folco Vaglienti, Francesco Comandatore, Massimo Galli
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Abstract

In the summer of 1630, Milan experienced the most devastating plague epidemic in its history. In this study, addressed to investigate the earliest phases of the epidemic in the autumn of 1629, a set of unpublished and only partially known primary sources produced by the city's Officium Sanitatis was consulted and compared for the first time. Including those of two foreigners who died in the Lazzaretto, it was possible to ascertain a total of 39 cases of plague occurred in Milan between 9 October 1629 and the first weeks of 1630, of which 29 (74.4%) ended in death. Seven deaths presumably occurred at home were not recorded in the Liber Mortuorum, in which at least three other deaths caused by plague were deliberately attributed to a different cause. In particular, the case of the Vicario di Provisione in charge, Alfonso Visconti, probably the first death from plague occurred in Milan that year, was deliberately concealed for political reasons. Nevertheless, the spread of the disease remained limited in autumn 1629 and it was probably stopped until the following spring more by climatic factors than by the interventions of public health officials.

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揭开米兰隐藏的鼠疫病例的面纱发生在 1629 年秋天,也就是 1630 年大流行之前。
1630 年夏天,米兰经历了其历史上最具破坏性的鼠疫疫情。本研究旨在调查 1629 年秋季流行病的最初阶段,研究人员首次查阅并比较了由该市卫生官员制作的一套未出版且仅有部分已知的原始资料。包括两名死于拉扎雷托的外国人的病例在内,可以确定从 1629 年 10 月 9 日到 1630 年的前几周,米兰共发生了 39 起鼠疫病例,其中 29 起(74.4%)最终导致死亡。Liber Mortuorum》中没有记录七例可能发生在家中的死亡,其中至少有三例由鼠疫导致的死亡被故意归咎于其他原因。特别是负责供应的总督阿方索-维斯康蒂的病例,可能是当年米兰第一例死于鼠疫的病例,出于政治原因被故意隐瞒。尽管如此,1629 年秋天,疾病的传播仍然有限,直到第二年春天,疾病的传播才被阻止,这与其说是由于公共卫生官员的干预,不如说是由于气候因素。
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