The fifth cholera pandemic (1881–1896) was the fifth major international outbreak of

cholera Cholera is an infection of the small intestine by some strains of the bacterium '' Vibrio cholerae''. Symptoms may range from none, to mild, to severe. The classic symptom is large amounts of watery diarrhea that lasts a few days. Vomiting an ...

in the 19th century. It spread throughout Asia and Africa, and reached parts of France, Germany, Russia, and South America. It claimed 200,000 lives in Russia between 1893 and 1894; and 90,000 in Japan between 1887 and 1889. The 1892 outbreak in

Hamburg Hamburg (, ; nds, label=Hamburg German, Low Saxon, Hamborg ), officially the Free and Hanseatic City of Hamburg (german: Freie und Hansestadt Hamburg; nds, label=Low Saxon, Friee un Hansestadt Hamborg),. is the List of cities in Germany by popul ...

, Germany was the biggest European outbreak; about 8,600 people died in that city. Although many residents held the city government responsible for the virulence of the epidemic (leading to cholera riots in 1893), it continued with practices largely unchanged. This was the last serious European cholera outbreak of the century.

Pope Leo XIII Pope Leo XIII ( it, Leone XIII; born Vincenzo Gioacchino Raffaele Luigi Pecci; 2 March 1810 – 20 July 1903) was the head of the Catholic Church from 20 February 1878 to his death in July 1903. Living until the age of 93, he was the second-ol ...

authorized the construction of a

hospice Hospice care is a type of health care that focuses on the palliation of a terminally ill patient's pain and symptoms and attending to their emotional and spiritual needs at the end of life. Hospice care prioritizes comfort and quality of life b ...

inside the

Vatican Vatican may refer to: Vatican City, the city-state ruled by the pope in Rome, including St. Peter's Basilica, Sistine Chapel, Vatican Museum The Holy See * The Holy See, the governing body of the Catholic Church and sovereign entity recognized ...

for afflicted residents of nearby Roman neighbourhoods. That building was torn down in 1996 to make way for construction of the

Domus Sanctae Marthae The Domus Sanctae Marthae (Latin for Saint Martha's House; it, Casa Santa Marta) is a building adjacent to St. Peter's Basilica in Vatican City. Completed in 1996, during the pontificate of Pope John Paul II, it is named after Martha of Bethan ...

. The events surrounding the cholera pandemic in Bologna in 1855 were described by the city's Sanitation Department or Delegation, published in 1857. The treatise also describes prior plagues afflicting the city.

Scientific debate

During the pandemic,

Robert Koch Heinrich Hermann Robert Koch ( , ; 11 December 1843 – 27 May 1910) was a German physician and microbiologist. As the discoverer of the specific causative agents of deadly infectious diseases including tuberculosis, cholera (though the bacteri ...

isolated ''

Vibrio cholerae ''Vibrio cholerae'' is a species of Gram-negative, facultative anaerobe and comma-shaped bacteria. The bacteria naturally live in brackish or saltwater where they attach themselves easily to the chitin-containing shells of crabs, shrimps, and oth ...

'' and proposed postulates to explain how bacteria caused disease. His work helped to establish the

germ theory of disease The germ theory of disease is the currently accepted scientific theory for many diseases. It states that microorganisms known as pathogens or "germs" can lead to disease. These small organisms, too small to be seen without magnification, invade ...

. Prior to this time, many physicians believed the disease was caused by direct exposure to the products of filth and decay. Koch helped establish that the disease was more specifically

contagious Contagious may refer to: * Contagious disease Literature * Contagious (magazine), a marketing publication * ''Contagious'' (novel), a science fiction thriller novel by Scott Sigler Music Albums *''Contagious'' (Peggy Scott-Adams album), 1997 ...

and was transmitted by exposure to the feces of an infected person, including through contaminated water supply.

Mark Twain

American author

Mark Twain Samuel Langhorne Clemens (November 30, 1835 – April 21, 1910), known by his pen name Mark Twain, was an American writer, humorist, entrepreneur, publisher, and lecturer. He was praised as the "greatest humorist the United States has pr ...

, an avid traveler, visited Hamburg during the cholera outbreak, and he described his experience in a short, uncollected piece dated "1891–1892". Therein, he notes alarmingly the lack of information in Hamburg newspapers about the cholera event, particularly death totals. He also criticizes the treatment of the poor, as many, Twain says, were getting "snatched from their homes to the pest houses", where "a good many of them ... die unknown and are buried so". Twain concludes by lamenting the lack of awareness worldwide, especially in America.

Scientific debate

Mark Twain

See also

References

Further reading