edited by: Claire L. Carlin
Basingstoke, Palgrave Macmillan, 2005, ISBN: 9781403939265; 304pp.; Price: £58.00
University College London
Date accessed: 20 April, 2014
Early-modern Europe (here covering the years from 1492 to 1750) was constantly beset by plagues of all kinds. Scarcely a year passed in western Europe until the 1720s without an outbreak of ‘pestilence’, and scarcely a decade without a major epidemic that killed ten, twenty, or even forty per cent of the community. Expansion brought with it new dangers. Columbus and his men were credited with the introduction of syphilis from the New World, although at least until the 1550s most doctors believed that it had been spread by French soldiers as they raped and pillaged their way back from a campaign in Naples. Neighbouring nations agreed in blaming each other for recurrent epidemics. The ‘French pox’, the ‘English sweat’, the ‘Moravian plague’ were only a few of the names used to define diseases that, it was thought, could not have had their origin in the local community. Scarcely noticed in this volume, European settlers brought with them to communities around the world new diseases that decimated many of the inhabitants, and gave to the Europeans the illusion that they were entering an empty land, or one populated by those too weak to put up resistance.
Some of these diseases, like ‘pestilence’ or the ‘sweat’, were regarded as epidemics affecting whole towns or regions, the result of changes in the ambient air that all could breathe. Responses were usually on a communal scale, ranging in severity from street cleaning and removing dead animals from water courses, through the banning of assemblies, whether in church or theatre, and the closing down of brothels, to the most dreaded of all administrative action, the imposition of a quarantine. Italian towns, administratively more sophisticated than northern European ones, had by 1600 established a complex system of surveillance in the hope of forestalling the arrival of plague from elsewhere, a nuisance to travellers and merchants but one that, as Montaigne found, could be mitigated or avoided entirely. But a quarantine imposed on a whole town meant civic ruin, the suspension of economic activity, near-starvation for the poor, and, possibly, a financial burden for the town for a generation or more. No wonder that in 1576 two professors, called from Padua to Venice to decide whether ‘plague’ had broken out, were for several months unwilling to concede that ‘pestilential fever’ had now been superseded by ‘plague’ and that strict quarantine measures should be imposed. Thousands of Venetians died in the ensuing epidemic, which was then blamed by the doctors on the tardiness of the authorities in implementing the public-health provisions that they themselves had only reluctantly ordered.
Two theories were advanced to explain these epidemics. The first, familiar since Antiquity, was a combination of bad air (‘mal'aria’) and individual imbalance. The foulness of the air explained why many people had the same symptoms of disease, individual susceptibility why not everyone caught it. In 1546 the Veronese doctor Girolamo Fracastoro in his De morbis contagiosis developed another theory from Antiquity, that of contagion, to explain plague. The notion of contagion was already well known, sometimes referring to something transmitted by touch, but more loosely to diseases of propinquity. It explained the evil eye as well as love, ophthalmia as well as phthisis. It was foolish, everyone knew, to stand near a sufferer from plague, or scabies; Venetian authorities banned certain sufferers from seeking alms on the Rialto bridge lest their poisonous breath pollute the air by contagion. Fracastoro's achievement was to offer a new explanation of what happened in contagion. ‘Seeds of disease’ were passed on directly from the sufferer into the atmosphere, where they multiplied and could infect others. Some seeds were passed on directly by touch, others, called ‘fomites’, indirectly in clothing or carpets. His theory could thus be used to justify the quarantining practices of Health Boards, aimed at stopping contagion, and, as Girolamo Mercuriale argued in his De peste of 1577, it was entirely compatible with the standard theory of ‘bad air’. Indeed, far from being a revolutionary idea, it was easily assimilated by writers on plague; it explained why the air became bad. Only Simone Simoni, describing the Leipzig plague of 1574, took Fracastoro's views to their logical conclusion. Each epidemic disease had its own type of seed, only those struck by a seed fell ill, and, at least in plague, the seed was so poisonous that it made no distinction between individuals. Individual preventative measures, he argued, were irrelevant. Contagion, ‘being touched’ by the seed of disease, was enough by itself to explain the pattern of morbidity.
This is the background to the essays that make up this volume, the result of a 2003 conference in Canada. While all of the contributors have interesting points to make, the non-specialist may have difficulty in placing what they have to say into a proper context. Don Beecher, in his afterword, tries to bring the very varied essays together, but even he fails to put them into the wider picture. Very often, as with Hammond on southern Germany or Pantin on Fracastoro, the author makes an excellent small point, examining in detail a particular idea or incident, but leaving it to the reader to explore its wider significance. Both Gagnon's and Pantin's discussion of Fracastoro should now be compared with those of Concetta Pennuto and Hiroshi Hirai in Gerolamo Fracastoro fra Medicina, Filosofia e Scienze della Natura, ed. A. Pastore and E. Peruzzi (Florence, 2006). Other authors, Beecher and Frelick on love, Poirier on syphilis, Closson on demonic possession, offer fascinating perspectives on some diseases thought to have links with contagion, even if they formed only a small part of the overall explanation.
The book's strength (and also its weakness) is its use of literary sources to explore contemporary understanding of contagion. Cazes's discussion of Montaigne's ideas on smell in his Essais neatly explicates a variety of passages, yet oddly without reference to Corbin's The foul and the fragrant or to Montaigne's own experiences with plague and plague controls as described in his Journal. Shuttleton on smallpox takes us well into the ‘Age of Inoculation’, which stretches the notion of Early-modern Europe somewhat. More problematic are those essays in which contagion seems to offer at best a metaphorical starting point. Given that, from at least the fourth century CE onwards, the religious beliefs of others could be stigmatized in terms of a dangerous and deadly contagion, it is wrong to place too much emphasis on the novelty of contamination by heresy, whether in Naples, England, or Sweden. What is unclear is the extent to which contemporaries adopted the language of recent medical debates in order to categorize the failings of their opponents. Much of the evidence presented here seems to me to fall under the heading of ‘dead’ metaphor, and there is only an occasional nod towards linking the literary text with medical or social responses to contagious diseases. The contagion of laughter had been a question since at least the time of Galen, although Laurent Joubert's treatise on laughter of 1579 ensured that medical debates on the subject reached a much wider audience.
This volume illustrates the difficulties of cross-disciplinary investigation. While each contribution has something new to offer, not least in revealing the considerable extent to which French authors drew on medical themes for their poetry and plays, the lack of a strong medical, institutional, or social context for the ideas discussed robs them of utility for the medical historian. A strong editorial introduction would have helped to set the agenda, as well as providing a basis for the non-specialist to appreciate what is new in this volume. As it is, this is a book that is somewhat less than the sum of its parts.
It is an honour to have Imagining Contagion in Early Modern Europe reviewed by such an eminent historian of medicine, although one might wish that he had been able to appreciate fully the nature of the project. The book’s preface explains its conception and evolution: the team of authors met for an intensive workshop (rather than a conference) in Victoria, British Columbia, each having previously submitted a one-thousand-word abstract of her or his proposed contribution. At that meeting, links among the chapters were discussed so that each author could take the work of the others into account, including explicit references to other chapters. The result was a volume that coheres, rather than a collection of disparate essays. Unfortunately, the translation of quotations into English took up the space that should have been devoted to an editorial introduction, and, as Vivian Nutton rightly notes, the book would have benefited from well-developed presentation of the European medical and social context. That said, our aims were not to assess scientific advances or to describe social realities, but rather to explore the elusive ‘imaginary’ associated with the notion of contagion.
The authors are social and cultural historians, literary scholars, a philosopher and an art historian, all of whom have worked in the history of medicine, but from the perspective of their own discipline. Each contribution does indeed have something new to offer to scholars interested in the discourse surrounding the threat of contagion as it emerged at various moments and in different locales in early-modern Europe. Together, these varied perspectives contribute to our understanding of the fears and desires of those threatened by disease, of the body or the soul.
A revealing example of the advantages of such an approach appears in the chapter Dr Nutton singles out for apparent bibliographical omissions, Hélène Cazes’s ‘Apples and moustaches: Montaigne’s grin in the face of infection’. It should be noted that she cites the French original of Alain Corbin’s Le miasme et la jonquille (p. 90, note 4; also in the Index); more important is the choice to examine Montaigne’s Essays rather than his Journal. The approach to the plague Cazes finds in the Essays is quite different from Montaigne’s discourse on the disease as a public figure, the Mayor of Bordeaux. In the Essays, instead of focusing on the smell caused by the disease or on possible treatments, Montaigne discusses those odours that will protect one from the plague by creating a personal space, penetrable by others yet prophylactic. ‘To the collective danger embodied by contagious illness, the writer answers with personal invention…’ (p. 89)—just as the Essays themselves negotiate the relationship between individual writer’s integrity and the influence of the classics.
Rather than a ‘dead’ metaphor, the notion of contagion is powerful in its ability to probe the gap between mind and body and to explore early-modern strategies for mediation between the individual and society. Linking literary or other non-medical texts with medical responses to contagious disease was of less interest to the authors of Imagining Contagion in Early Modern Europe than examining how representations of disease illustrate shifts in social perceptions. For scholars from any discipline who are interested in what rhetoric can reveal about society, each chapter provides a small piece of the complex story of how physical suffering meets metaphor in the concept of contagion.