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Biomedical Ephemera, or: A Frog for Your Boils

@biomedicalephemera / biomedicalephemera.tumblr.com

A blog for all biological and medical ephemera, from the age of Abraham through the era of medical quackery and cure-all nostrums. Featuring illustrations, history, and totally useless trivia from the diverse realms of nature and medicine. Buy me a coffee so I can stay up and keep the lights on around here!
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Ways to Die: The Great Smog of London

Just Another Pea-Souper When it happened, it seemed almost normal - after all, dense, pea-soup fog often descended over London, and since the Industrial Revolution, that fog had often been riddled with coal dust and particulate matter from the factories. Charles Dickens was so familiar with it that "Pea Soupers" was even in his dictionary of city life. People had seen it all before. London was famous for its fog.

On December 5, 1952, an anticyclone descended upon Southern England, and the often-blustery city became almost windless. Combined with the atmospheric "cap" of warm air that the anticyclone provided, the chilly air of the city's fog was trapped in one place. It wasn't blown away, and it couldn't rise into the upper atmosphere. By that evening, visibility was down to five yards.

For four more days, conditions deteriorated, until you could not see your hand in front of your face. The buses that had been guided by police with torches came to a standstill by the evening of December 8. The wall of haze was penetrated only by the huge, snowflake-like chimney soot crystals. Apart from the London Underground, there was no transportation within the city. Even ambulances no longer went out, after a record number of collisions during the first night of blindness.

But there was no panic. Those who could stay inside, did. If you could make it to the chemists, you would buy a smog mask and remember not to wear your good clothing while you shuffled slowly and carefully down the street. By the morning of December 9, 1952, the atmospheric inversion lifted, and the smog began to rise. By the next day, the winds were back, sweeping away the rest of the pea-soup haze.

Unseen Deaths The toll that the smog took on the city was not realized until nearly three weeks after it occurred. Four thousand had died during those five days. Tens of thousands sought health care shortly after, for ongoing respiratory distress. The death toll in the city remained significantly elevated through Christmas, and people with ongoing health effects continued to die in the coming months and years, as a direct or indirect result of their exposure to The Great Smog. The final death toll is estimated at twelve thousand dead, and 25-40,000 with significant chronic health effects.

Though it was not realized until long after the smog had passed, and the Clean Air Act of 1956 had gone into effect, there were more killers in the smog than were understood back then. The hidden killer was not the coal soot that fell like dark snowflakes, or the staining, acid-forming smoke from household chimneys. While those caused significant expenses and damages to buildings, and some deaths from outright hypoxia (lack of oxygen - in this case, from asthma or obstructive coughing fits) they were not the deadly, bronchiole-irritating, pus-causing killers that so many succumbed to.

The real culprits in many deaths, especially those caused by the strangling pus of bronchopneumonia, or acute purulent bronchitis, were the ultrafine particulate matter floating within the smoke. Sulfur dioxide, nitrogen oxides, heavy metal molecules, and more, were known to be components of smog, but prior to the 1960s, it was not realized how truly deadly these invisible particles were. While the body has many defenses against larger particulate, ultrafine particles can reach the deepest recesses of the lungs, and cause irritation of the bronchioles and alveolar sacs. These fill with fluid or pus, often allowing infection to take hold, and the victim is strangled from the inside.

A Slow Reform Despite the thousands of deaths that were brought to the attention of Parliament by the Ministry of Health, the government of England did not truly accept that there had been an environmental disaster right on their doorsteps, fearing the economic ramifications of any meaningful reform. They invented an "influenza epidemic" and claimed it spread during that time. Historical data and autopsy reports prove that no increase in deaths from influenza was concurrent with the Great Smog.

Despite reforms passed by the Clean Air Act of 1956, there was another deadly pea-souper, exactly one decade later, in early December 1962. Continued reform throughout the 1960s meant that no standout disasters were visible for all to see, but pollution in the city continued to kill hundreds every year, well into the 1970s.

The Continuing Fight for Clean Air While we may not have smoky coal or sooty buildings to contend with in the Americas or most of Europe, ultrafine particulate pollution (in the United States, caused primarily by automobiles) is still a major threat to health, and its invisible nature means that no major disasters like The Great Smog will come around to slap us in the face about its importance. But every year, thousands still die from the effects of living in areas where they cant escape the constant exhaust from vehicles. Millions more have chronic health effects due to the same toxins.

It might not seem like one person doing one thing can help much, but this Earth Day, take a walk instead of a drive. If you're going down the street, ride your bike, not your car. Not every trip has to be by foot, and  sometimes a vehicle might be necessary, but why put more toxins and deadly fumes into the air (that you have to breathe, too!) than you absolutely have to?

We may not have the coal and diesel exhaust of 1950s London, but doesn't that make getting out of the car that much nicer? It's a beautiful world out there. Take it in, and help keep it that way.

More on The Great Smog:

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An etching by William Heath depicting a woman dropping her tea-cup in horror upon discovering the monstrous contents found in a magnified drop of Thames water. In the nineteenth century, sewage and waste contaminated the River Thames in London, making it a prime source of water-borne diseases such as cholera and typhoid.

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Hi! I'm at BTEC Medical Science A-Level student and really enjoy your blog. I have even showed some of it to the rest of my class! Have you ever been o the Hunterian Museum in the Royal college of Surgeons, in London? It's a fantastic collection of William Hunter's gatherings, including hairy babies and an irish giant! I really recommend it to anyone with a fascination in medical science :)

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Thanks! I know my blog isn't always the cream of the crop, but when I know people have used my content (images or otherwise) while teaching anatomy, entomology, medical greek & latin, and just to show their friends and colleagues, that's one of the things that keeps me wanting to continue to collect and read interesting research and great images for the blog. :3

I haven't been to any medical museums or exhibits in the UK yet. Really, the longest I've been in London is during some epic layovers at Heathrow. In Europe, most of where I've been has focused on purely cultural aspects of history, but I did manage to drag my friends through one of the very good "History of Sex"  travelling exhibits that was in Prague at the same time as us. :D It was from Greek society - the Regency, ended shortly before 1800 and was only Western culture, but was very thorough on what it covered.

I have a solid list of museums I want to visit over in Europe, but I didn't know William Hunter's collections had their own showcase museum! He was a great anatomist and is definitely on my list.

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"Mad dog"

This 1826 cartoon depicts a "mad dog" in the London streets, attacking people. You can note the "Hydrophobia!" warning posted in the upper left-hand side of the caricature.

Rabies was definitely a thing people wanted to avoid, and was especially terrifying because they didn't understand anything useful about the virus. All they knew was if you got bit by a mad dog, you had less than a year before you went dumb or manic and then ended up dead, yourself...at least if your bite wound didn't get infected and kill you before then!

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Stuffed Quagga at the London Natural History Museum

This is one of 23 skins/stuffed Quagga still in existence. There were 24, but the one kept at a museum in Kaliningrad, Germany, was destroyed during WWII. Several of the specimens, including this one, have had their DNA sampled and analyzed. From this analysis, it's been determined that the quagga and plains zebra species diverged between 120,000 and 290,000 years ago.

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Quagga Mare - The only photograph of her kind

This 1870 photograph is of the quagga mare who resided at the Regent's Park Zoo in London. She died not long after being photographed, and a few years later, the last wild quagga was shot. In 1883 in Amsterdam, the last captive quagga died. Only 100 years after being recognized as a separate species from the other zebras of South Africa, the species was extinct.

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I didn't finish up the ticks/lice yet, but I feel like I should actually post something today.

Teius rufescens [now known as Tupinambis rufescens] - the Red Tegu

Native to Paraguay, West Argentina, South Brazil, and Bolivia.

Transactions of the Zoological Society of London, vol. XI. 1885.

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Galago crassicaudatus [syn. Otolemur crassicaudatus] - Greater Galago, aka the Thick-Tailed Bushbaby

Superficial musculature of the Bushbaby - This is the largest of the galagos and lorises, and a good generic example of the Galagidae. 

I love bushbabies for how they raise their infants. The mother of course stays in the trees when her infant is a newborn so that it doesn't get eaten by predators, but after just 6-8 days (while the infant is pretty much unable to move by itself and can barely see), the mom brings it with her while she feeds. I totally get the need to eat, but she carries it around in her mouth...and sets it down on a branch while she eats o_O There was a BBC show that had bushbabies on it, and two separate infants fell off the branch onto the ground....they both survived, but still! Every other primate has their baby hanging on like a good infant that doesn't want to die! Why are you putting yours on a branch when they can barely move, but can just squirm enough to fall off?!

Transactions of the Zoological Society of London, Volume VII. 1872.

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Interesting post on the Museum of London’s blog about the “catastrophe cemetery” created at East Smithfield for victims of the Black Death:
The plague, or the Black Death, is a particularly interesting period in London’s history; it was both short and dramatic, hitting hardest in 1349 to 50. Whilst outbreaks of plague in London would continue throughout the following two centuries (and still occur throughout undeveloped parts of the world), the largest death toll occurred in a very brief period. Families were wiped out, whole neighbourhoods destroyed and the landscape of the medieval city was changed for good.
Image: Georgian London. (Shown: Jelena Bekvalac, osteologist at Museum of London.)

When the Black Death left Italy, it was moving north at a steady rate of 2 miles/day...might not sound like a lot, but it really is, especially in an era where the vast majority of the population was rural, transport was by foot or horseback, and the disease incapacitated someone after a very short incubation period. And it got all the way up to Scotland! I dunno, I find that quite impressive as far as infectiousness goes.

Around the cities, there's evidence in the tree ring stomatas that after the Black Death, forests grew back (since no one was around to cut them down for building/burning), and weren't cut down at the same rate as before the Black Death until almost 1600. That's a lot of dead people, if it affects things enough that even the trees notice. 

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