ABSTRACT

In this and the next chapter we look at some of the

classic plagues which have afflicted human popu-

lations for many centuries. Just how long such dis-

eases have been part of the human condition remains

a matter of speculation but it seems likely that most

followed on from the invention of agriculture. Before

that revolution (around 5000 BC), hunter-gatherers

were constantly on the move in small groups. They

ate varied diets, were too small in numbers to provide

long-term disease reservoirs, and were seldom pres-

ent long enough to allow oral-faecal diseases to

flourish in contaminated water supplies. But with

agriculture came settlement and sedentism. Peoples

lived in large numbers, increasingly at high densities,

and often cheek by jowl with their domesticated ani-

mals. In these conditions, water teemed with

pathogens, waste piled up, diets narrowed, and the

preconditions for rapidly spreading epidemic diseases

were established. As urban populations grew and

interacted with each other through expanding trade,

so also did the ability to carry the burgeoning number

of disease strains around the world.