瘟疫之船 (2020)
Plague Ships (2020)

原始链接: https://www.afloat.com.au/feature/plague-ships/

几个世纪以来,通过船舶传播疾病一直是全球威胁,这一事实在最近的“海洋公主号”事件等事件中常常被忽视。虽然现代应对有时会失误,但历史例子表明,早在14世纪,人们就采取了令人惊讶的积极检疫措施。 黑死病于1347年抵达西西里岛,摧毁了欧洲,导致三分之一的人口死亡。这促使人们开发了预防措施:杜布罗夫尼克在靠岸前实施了30天的等待期(演变为“检疫”),而威尼斯在1423年建立了健康证明、检疫站和船舶熏蒸,从而认识到空气传播。 即使如此,政治考虑有时会凌驾于公共卫生之上,例如在1918年的西班牙流感(可能起源于堪萨斯州)期间。各国政府优先考虑战争生产而非社交隔离,导致了毁灭性的爆发。这种流感是一种具有高度传染性的H1N1病毒,导致数百万人死亡,对年轻人影响尤为严重。 历史记录表明,一直存在一种规律:疾病伴随着贸易传播,而有效的控制需要警惕、知情的行动以及愿意优先考虑公共卫生而非短期利益。

一个黑客新闻的讨论集中在“瘟疫船”的概念上——即使面临极高的风险,继续运营反而会无意中传播疾病或危害的情况。最初的帖子引发了关于航空公司即使在乘客很少的情况下,仍继续飞往埃博拉地区的争论,这源于“使用或失去”的机场航线规则。评论者质疑了做出此类决定的相关人员的伦理和潜在法律责任。 对话扩展到历史案例,例如中世纪意大利出现携带大量瘟疫船员的船只,以及一战军队调动对西班牙流感传播的影响——特别是,军事医院如何扩大了更具毒性的菌株。一个相关的观点强调,医院获得性肺炎是美国重症监护室死亡的主要原因,说明了集中疾病的危险。 最终,该讨论探讨了经济压力、物流规则和公共卫生之间的紧张关系,质疑维护系统何时会超过潜在的灾难性后果。
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原文

It was not just the Ruby Princess that allowed unchecked and infected passengers ashore, this has been happening for centuries. But 600 years ago, some local officials were more cognisant and proactive towards the dangers of infection than we have seen recently in NSW. Quirky, who readers will suspect only paid attention during the history and English classes at school, rambles on …

Since 1887, every ship arriving in a foreign port is required to fly a yellow flag which according to our pilot book means “My ship is healthy and I require free pratique.” So in 1963, by a navigational error, when my sailing mates and I arrived in the French port of Cherbourg instead of the British port of Alderney, we hung up a well used yellow duster from the cabin cleaning gear. The local douanier was bemused by this and our lack of passports, he shrugged it off and pointed to a local bar which took English pounds.

Quirky Plague Ships Fashion hereticThis is curious because for centuries, yellow was the colour associated with disease and infection. In the Middle Ages, heretics had to wear yellow clothing, this being considered the colour of hell fire. During plague epidemics, infected houses were daubed with yellow paint and their inhabitants made to wear yellow clothes. Denmark decreed the yellow flag in 1887 for their own ships to signify they were healthy and the practice was adopted internationally.

In December 1347, the residents of Messina in Sicily watched bemused as 12 trading ships from Black Sea ports made desperately incompetent efforts to dock alongside the harbour walls. Then the reason became devastatingly clear; very few of their crews were still alive. The living were emaciated skeletons, covered with black boils that oozed blood and pus. The authorities ordered the ships out of the harbour but it was too late. Within five years, the Black Death would kill over 20 million people in Europe. It is believed that the source of infection on these ships originated in the Middle East and China. The symptoms were swellings of the groin, under the armpits with all the side effects of fever, aches and pains, diarrhoea and vomiting. This air borne bacillus brought a very nasty death to a staggering one third of the population. Not only people, but farm animals were infected which further spread the disease and brought food shortages even with a reduced population.

In 1377 a system was established in Dubrovnik whereby ships were to wait for 30 days before entering port which was based on medical advice at the time. Then it appeared religion got involved by quoting all the significant traumas in the Bible were for 40 days and 40 nights. So this became the norm and as Dubrovnik was Venetian at the time and the language was Italian, you know what word we got from that.

In the trading port of Venice itself, arriving ships that were suspected of carrying infection were required to send the captain ashore in a boat to the Health Magistrate’s office where he would be interviewed through a glass window. Even then they were aware that infection could be spread by air droplets. The captain had to show a health certificate from the port of loading that his crew, passengers and cargo were free of infection. If there was doubt, they would all be sent to a quarantine station for 40 days and the whole ship fumigated. An isolation hospital was established on the island of Santa Maria di Nazareth. Are you paying attention here? This was in 1423. Nearly 600 years ago.

Interesting how the self-claimed leading authority on Coronavirus and just about everything else in the Western World (‘It will disappear like magic’) and whose daily reading attention span is reported to be almost the number of words on the average postage stamp, wants to call the infection the Wuhan Virus or China Virus because of its source of origin. Fine with me, but let’s call the Spanish flu by its correct name. Remember that from your extensive reading Mr. POTUS? You know, the one that infected a third of the world’s population and killed between 25 and 50 million people 100 years ago? Probably not, it wasn’t on Fox TV.

It was called the Spanish flu by the Allies to focus on how devastating it was in that neutral country during the latter days of WW1. But mainly to hide the fact it was slaughtering millions in the rest of the world. So let’s call it by its correct name: The Kansas Flu.

Quirky Plague Ships TOTO we're not in Kansas any moreAccording to the Kansas Historical Society the first recorded case was a US Army cook at Camp Funston who was hospitalised with a 104˚F fever. It quickly spread through the Army base to infect 54,000 troops in one month. 1,100 were hospitalised and 38 died. A local doctor reported this to the Public Health Service but he got the same brushoff as the whistle blower in Wuhan who also became infected. Fortunately, he survived.

So they were packed into troopships and freighters, (Humphrey Bogart was a crew member on one) and sent to the jammed mud and muck of the trenches of WW1. This deadly H1N1 influenza-A virus lasted two years and mutated to become the most deadly disease ever known on the face of the earth.

Not just the first wave. It changed to a more virulent and deadly strain, killing people in less than a day. Mainly fit people between 25 and 35 years of age, who drowned in the fluid of their own lungs. The devastation of this virus was prolonged by governments not considering any social distancing, such as practiced by the Venetians, because it might affect production in the munitions factories and slow the big Liberty Loan Drives. 200,000 people gathered in Philadelphia in September 1918 for a Liberty Loan Drive after they were told the Flu had passed. Well, maybe the first wave had passed but two days later, every hospital bed was filled.

A third wave developed in … Australia of all places and worked its way back to Europe.

So let’s all follow the advice of people who know what they are talking about.

Today, this is very unlikely to be the leader of a major world power.

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