Manchurian plague
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The Manchurian plague was a
pneumonic plague Pneumonic plague is a severe lung infection caused by the bacterium ''Yersinia pestis''. Symptoms include fever, headache, shortness of breath, chest pain, and coughing. They typically start about three to seven days after exposure. It is one ...
that occurred mainly in
Manchuria Manchuria is an exonym (derived from the endo demonym " Manchu") for a historical and geographic region in Northeast Asia encompassing the entirety of present-day Northeast China (Inner Manchuria) and parts of the Russian Far East (Outer M ...
in 1910–1911. It killed 60,000 people, stimulating a multinational medical response and the wearing of the first
personal protective equipment Personal protective equipment (PPE) is protective clothing, helmets, goggles, or other garments or equipment designed to protect the wearer's body from injury or infection. The hazards addressed by protective equipment include physical, ...
(PPE). __TOC__


History

The plague is thought to have originated from a tarbagan marmot infected with bacterial pneumonia. Tarbagan marmots were hunted for their fur in Manchuria. It was an airborne spread disease and was incredibly deadly, with a near 100 percent mortality rate. Its spread was magnified by marmot hunters gathering in the bitter winter months, and the eventual travel of migrant workers during the
Chinese New Year Chinese New Year is the festival that celebrates the beginning of a new year on the traditional lunisolar and solar Chinese calendar. In Chinese and other East Asian cultures, the festival is commonly referred to as the Spring Festival () a ...
. Russia and Japan both had economic interests in the region and needed to cooperate with Chinese authorities. The
Cambridge Cambridge ( ) is a university city and the county town in Cambridgeshire, England. It is located on the River Cam approximately north of London. As of the 2021 United Kingdom census, the population of Cambridge was 145,700. Cambridge bec ...
-trained doctor
Wu Lien-teh Wu Lien-teh (; Goh Lean Tuck and Ng Leen Tuck in Minnan and Cantonese transliteration respectively; 10 March 1879 – 21 January 1960) was a Malayan physician renowned for his work in public health, particularly the Manchurian plague of 191 ...
led Chinese efforts to end the plague, and promoted
quarantine A quarantine is a restriction on the movement of people, animals and goods which is intended to prevent the spread of disease or pests. It is often used in connection to disease and illness, preventing the movement of those who may have been ...
and the wearing of
cloth face mask A cloth face mask is a mask made of common textiles, usually cotton, worn over the mouth and nose. When more effective masks are not available, and when physical distancing is impossible, cloth face masks are recommended by public health agenc ...
s. He also convened the International Plague Conference in
Mukden Shenyang (, ; ; Mandarin pronunciation: ), formerly known as Fengtian () or by its Manchu name Mukden, is a major Chinese sub-provincial city and the provincial capital of Liaoning province. Located in central-north Liaoning, it is the provinc ...
in April 1911, the first major event of its kind that brought together an international team of scientists concerned with disease control. The Chinese government also sought the support of foreign doctors, a number of whom died as a consequence of the disease. In Harbin, this included the Frenchman Gérald Mesny, from the Imperial Medical College in Tientsin, who disputed Wu's recommendation of masks; a few days later, he died after catching the plague when visiting patients without wearing a mask. Another was the 26-year-old Arthur F. Jackson, a
United Free Church of Scotland The United Free Church of Scotland (UF Church; gd, An Eaglais Shaor Aonaichte, sco, The Unitit Free Kirk o Scotland) is a Scottish Presbyterian denomination formed in 1900 by the union of the United Presbyterian Church of Scotland (or UP) and ...
missionary doctor, who fell ill within eight days of inspecting and quarantining hundreds of poor laborers; he died two days later in Mukden. In the end, the death toll reached some 60,000 lives. The hardest hit cities included
Changchun Changchun (, ; ), also romanized as Ch'angch'un, is the capital and largest city of Jilin Province, People's Republic of China. Lying in the center of the Songliao Plain, Changchun is administered as a , comprising 7 districts, 1 county and 3 ...
,
Harbin Harbin (; mnc, , v=Halbin; ) is a sub-provincial city and the provincial capital and the largest city of Heilongjiang province, People's Republic of China, as well as the second largest city by urban population after Shenyang and largest c ...
, and Mukden. Although the disease was largely confined to Manchuria, cases were found elsewhere in cities such as
Beijing } Beijing ( ; ; ), Chinese postal romanization, alternatively romanized as Peking ( ), is the Capital city, capital of the China, People's Republic of China. It is the center of power and development of the country. Beijing is the world's Li ...
and
Tianjin Tianjin (; ; Mandarin: ), alternately romanized as Tientsin (), is a municipality and a coastal metropolis in Northern China on the shore of the Bohai Sea. It is one of the nine national central cities in Mainland China, with a total popu ...
.


Significance

The Manchurian plague is believed to have highlighted the importance of a multinational medical response, setting precedents for organizations such as the
World Health Organization The World Health Organization (WHO) is a specialized agency of the United Nations responsible for international public health. The WHO Constitution states its main objective as "the attainment by all peoples of the highest possible level o ...
. Wu Lien-teh's widespread promotion of cloth plague mask-wearing by doctors, nurses, patients, contacts, and (to the degree that it was possible) the population at large was the first time such an epidemic containment measure had been attempted. The event was also influential in establishing the use of
personal protective equipment Personal protective equipment (PPE) is protective clothing, helmets, goggles, or other garments or equipment designed to protect the wearer's body from injury or infection. The hazards addressed by protective equipment include physical, ...
to stop the spread of disease, and is credited for the origins of the modern hazmat suit. Parallels have also been made between the management and control of the Manchurian plague and other outbreaks of infectious disease such as the Ebola epidemic in West Africa (2013–2016) and COVID-19 pandemic (2019–present).


References

{{DEFAULTSORT:Manchurian plague 1910 in China 1911 in China 1910 disease outbreaks 1911 disease outbreaks 20th-century epidemics Disease outbreaks in China History of Manchuria Qing dynasty Plague (disease) 1910 disasters in Asia 1911 disasters in Asia