Plague epidemics in Malta

During the medieval period a number of epidemics are known to have impacted the Maltese Islands, but little information is known about them. The first plague epidemic in Malta might have occurred in the late 13th century, and a cemetery in Rabat, Gozo might have contained remains of victims from this plague.

The Black Death pandemic spread throughout Europe starting from October 1347, when a Genoese ship brought the plague to Messina in Sicily. The pandemic is believed to have reached Malta in 1348,{{cite web |last1=Savona-Ventura |first1=Charles |title=The Medical History of the Maltese Islands: Medieval |url=http://staff.um.edu.mt/csav1/history/medieval.pdf |website=University of Malta |archive-url=https://web.archive.org/web/20160303202637/http://staff.um.edu.mt/csav1/history/medieval.pdf |archive-date=3 March 2016}} due to the close economic and maritime relations between the two islands. The details of how the pandemic affected Malta are not known.

Other plague epidemics are known to have occurred in 1427–28, 1453, 1501, 1519{{cite book|last=Miège|first=Par M.|title=Histoire de Malte: Histoire|url=https://archive.org/details/bub_gb_Q2w5AAAAcAAJ|year=1840|publisher=Paulin|page=[https://archive.org/details/bub_gb_Q2w5AAAAcAAJ/page/n423 416]}} and 1523. In the latter, the disease was introduced by a galleon which had been captured. When the disease was discovered, the municipal authority of Mdina tried to isolate the crew, submerge the ship and burn its cargo. Its owners refused, and the ship was burnt. Despite this, plague still broke out in the town of Birgu and the settlement was cordoned off and isolated from the rest of the country.

Epidemics of other diseases apart from the plague also occurred. Between 1453 and November 1455, an epidemic of morbus di la gula et di la punta, possibly scarlet fever, resulted in many deaths.

{{Main article | 1592–1593 Malta plague epidemic}}

This epidemic is the first documented in Malta. The disease arrives by a ship coming from Alexandria. Around {{formatnum: 3300}} victims are counted, more than 12% of the total population of the archipelago. Mismanagement of the disease leads to the implementation of more effective quarantine measures.{{cite book | language = en | first = Anne | last = Brogini | title = Malta, border of Christianity (1530-1670) | chapter = Chapitre XI. l'Irrésistible ascension du commerce | publisher = Publications of the French School of Rome | year = 2005 | pages = 565–615 | isbn = 9782728307425 | chapter-url=http://books.openedition.org/efr/131?lang=fr| series = Bibliothèque des Écoles françaises d'Athènes et de Rome }}

{{Main article|1623 Malta plague outbreak}}

The disease broke out in the house of Paolo Emilio Ramucci, the guardian of the port of Malta. The disease then quickly spreads to surrounding homes. Authorities quickly isolate the infected and take quarantine measures. The disease is quickly circumscribed but still causes the death of 40 people.{{cite book|author=Giovanni Francesco Abela|title=Malta illustrata... accresciuta dal Cte G.A. Ciantar|url=https://books.google.com/books?id=owq3PSvrIdYC|year=1780|publisher=Mallia|page=188}}

{{main|Lazzaretto of Manoel Island}}

File:Malta; view of the quarantine area. Etching by M-A. Benoist, Wellcome L0019027.jpg]]

It was not until 1643 that Malta acquired a lazaret, installed on the island of Marsamxett bay, which was quite late and well after the lazaretto of Venice, opened in 1403, or that of Marseille in 1526. But its organization quickly became very efficient and made Malta one of the safest ports in the Mediterranean. Henceforth, the Maltese non-contagion license, issued after quarantine controlled by the health authorities is one of the most respected. It allows ships to then be able to land directly in a port in Western Europe. The organization being well established and the port well stocked, the sanitary stopover in Malta will be often used and will participate in the Maltese economic development.{{cite journal|language=fr|author=Carmen Depasquale|title=La Quarantaine in Malta in the 17th and 18th centuries in the memories, newspapers and accounts of some travelers|journal=The Northern Mariner|date=April 2009|url=http://www.cnrs-scrn.org/northern_mariner/vol19/tnm_19_149-170.pdf}}{{Citation|last=Blondy|first=Alain|title=The Order of St John and the economic development of Malta (1530-1798)|journal=Review of the Muslim World and the Mediterranean 'The Maltese Crossroads'|volume=71|pages=75–90|year=1994|language=en|url=http://www.persee.fr/web/journals/home/prescript/article/remmm_0997-1327_1994_num_71_1_1636}}

{{Main article|1655 Malta plague outbreak}}

The third epidemic began in September 1655 in a house near the "Porta Maggiore" (today the "Victoria Gate") near a place of anchoring of ships coming from the Levant. The owner is said to have had contact with a crew member of an infected vessel, and to have transmitted the disease to his sister inhabiting Żejtun. When the disease spreads to other family members, the authorities immediately take quarantine measures by isolating people in contact with the lazaretto. The epidemic was quickly brought under control with around a hundred patients, 52 of whom survived thanks to effective medical care. The assessment is of fifty victims.{{cite web|language=en|author=Anne Brogini|title=The population of Malta in c. XVII, a reflection of modernity|periodical=Mediterranean Notebooks|volume=68|year=2004|pages=17–38|url=http://cdlm.revues.org/641#tocto2n6}}

{{Main article|1675–1676 Malta plague epidemic}}

This fourth epidemic of unknown origin is the deadliest known in Malta. It killed {{formatnum: 11300}} persons,{{cite book|author=Bartolomeo Dal Pozzo|title=Historia della sacre religione militare di S. Giovanni gerosolimitano della di Malta|url=https://books.google.com/books?id=N69aKnsp0sYC|year=1715|publisher=Albrizzi|page=455}} about a quarter of the Maltese population, and even more in the Grand Harbour area, many of which are knights.{{cite book|author=Louis François Villeneuve-Trans (marquis de)|title=Monumens des grands-maîtres de l'Ordre de Saint-Jean de Jérusalem ou Vues des tombeaux élevés à Jérusalem, à Ptolémaïs, à Rhodes, à Malta, etc., accompagnés de notices historiques sur chacun des grands-maîtres|url=https://books.google.com/books?id=UF0PAQAAMAAJ|year=1829|publisher=J.J. Blaise|page=781}} The help of French doctors and surgeons from Marseille will prove very useful.{{cite book|author=Antoine Barthélémy Clot|title=De la peste observée en Égypte: recherches et considérations sur cette maladie|url=https://archive.org/details/delapesteobserv00clotgoog|year=1840|publisher=Fortin, Masson|page=[https://archive.org/details/delapesteobserv00clotgoog/page/n379 394]}}

{{Main article|1813–1814 Malta plague epidemic}}

This epidemic, the first under British administration, has been carried by ship since Alexandria.{{cite news |last1=Mangion |first1=Fabian |title=Maltese islands devastated by a deadly epidemic 200 years ago |url=https://timesofmalta.com/articles/view/maltese-islands-devastated-by-a-deadly-epidemic-200-years-ago.470542 |work=Times of Malta |date=19 May 2013 |archive-url=https://web.archive.org/web/20200312144053/https://timesofmalta.com/articles/view/maltese-islands-devastated-by-a-deadly-epidemic-200-years-ago.470542 |archive-date=12 March 2020}} The disease first spreads slowly to Valletta before ravaging the countryside, and in particular the cities of Ħaż-Żebbuġ and Qormi where about 15% of their inhabitants died.{{cite web |language=en|url=https://lancstolevant.wordpress.com/2014/12/31/the-rise-and-fall-of-the-callus-fortunes-plague-of-malta-1813/|title=The Rise and Fall of the Callus Fortunes – Plague of Malta 1813| website=From Lancs to the Levant|author=Chris Grech|year=2013|access-date= 15 June 2015}} Late draconian measures will eventually put an end to the scourge, which briefly reaches Gozo at the end of the epidemic.{{cite book|author=James D. Tully|title=The History of Plague: As it Has Lately Appeared in the Islands of Malta, Gozo, Corfu, Cephalonia, Etc. Detailing Important Facts, Illustrative of the Specific Contagion of that Disease, with Particulars of the Means Adopted for Its Eradication|url=https://archive.org/details/historyofplaguea00unse|year=1821|publisher=Longman, Hurst, Rees, Orme, and Brown|page=[https://archive.org/details/historyofplaguea00unse/page/30 30]}}

Between April 1813 and September 1814, the epidemic killed 4668 of a Maltese population estimated at about 100,000, with a total mortality of 4 to 6%.{{cite news |last1=Attard |first1=Eddie |title=Role of the Police in the plague of 1813 |url=https://timesofmalta.com/articles/view/Role-of-the-Police-in-the-plague-of-1813.473584 |work=Times of Malta |date=9 June 2013 |archive-url=https://web.archive.org/web/20200312214312/https://timesofmalta.com/articles/view/Role-of-the-Police-in-the-plague-of-1813.473584 |archive-date=12 March 2020}}

A small epidemic of plague infected 8 dockers at the Grand Harbor in 1917, with 4 deaths between 2 March and 2 April 1917.{{cite journal|lang=en|title=Prevalence of Disease: Foreign|periodical=Public Health Reports|volume=33|number=2|date=11 January 1918|pages=50–53|jstor=4574717|publisher=Association of Schools of Public Health}} The disease stems from the opening of a box from Mesopotamia, where an epidemic raged.{{cite journal|language=en|author1=R. Pollitzer|title=Plague studies: a summary of the history and a survey of the present distribution of the disease|periodical=Bull Org Mond Santé|volume=4|year=1951|issue=4|pages=475–533|pmid=14925809|pmc=2554113|url=http://whqlibdoc.who.int/bulletin/1951/Vol4/Vol4-No4/bulletin_1951_4%284%29_475-533.pdf|archive-url=https://web.archive.org/web/20040304163608/http://whqlibdoc.who.int/bulletin/1951/Vol4/Vol4-No4/bulletin_1951_4(4)_475-533.pdf|url-status=dead|archive-date=March 4, 2004}}

File:Turkish fleet in Malta 1936.jpg

A plague began in 1936 in Qormi with the Grech family, a family of bakers from Raffaella Street. The grandfather first presented buboes and a high fever before dying on April 8. It was then the turn of her 42-year-old son on April 13. The 20-year-old grandson was also reached and transferred to the lazaretto and survived. Then neighbours begin to be reached.{{cite news |last1=Attard |first1=Christian |title=Malta's plague epidemic 75 years ago |url=https://timesofmalta.com/articles/view/malta-s-plague-epidemic-75-years-ago.363129 |work=Times of Malta |date=1 May 2011 |archive-url=https://web.archive.org/web/20200315155525/https://timesofmalta.com/articles/view/malta-s-plague-epidemic-75-years-ago.363129 |archive-date=15 March 2020}}

The origin remains unclear, perhaps from hay bales and straws imported from Tunisia.

In total in Qormi, eight people will be affected in 13 months of the epidemic, four of whom will die. A health barrier around Qormi is installed, but proves to be ineffective. The plague soon spreads to the neighboring village of Żebbuġ where eleven people are infected with three deaths, including a girl aged 7. The disease was also found in Rabat, Mtaħleb, Marsa, Attard, Mosta and maybe Gozo. The plague lingers until 1937 with another five cases in Luqa including one fatal and one case in Qrendi.{{cite web|language=fr|title=Plague|periodical=Weekly Yepidemiological Record|volume=12|number=5|date=4 February 1937|pages=54|url=http://whqlibdoc.who.int/wer/WHO_WER_1937/R_H_571_1937.pdf|archive-url=https://web.archive.org/web/20031129164041/http://whqlibdoc.who.int/wer/WHO_WER_1937/R_H_571_1937.pdf|url-status=dead|archive-date=November 29, 2003}}

Significant research was carried out by Themistocles Zammit, who succeeded in isolating plague bacillus cultures from 15 of the 1,500 rats studied. He discovers that the main vector is the Black Rat (Rattus rattus), fairly recently established on the Maltese Islands, whose proliferation was making it take the place of the former local rat, the brown rat (Rattus norvegicus).

In total, and according to the different counts, between 25{{cite journal |last1=Mafart |first1=B. |last2=Brisou |first2=P. |last3=Bertherat |first3=E. |title=Épidémiologie et prise en charge des épidémies de peste en Méditerranée au cours de la Seconde Guerre mondiale |journal=Bulletin de la Société de Pathologie Exotique |date=2004 |volume=97 |issue=4 |pages=306–310 |url=http://www.pathexo.fr/documents/articles-bull/T97-4-2564-5p.pdf |language=fr |archive-url=https://web.archive.org/web/20170728042541/http://www.pathexo.fr/documents/articles-bull/T97-4-2564-5p.pdf |archive-date=28 July 2017}} and 33{{cite journal |language=en|author=S.C. Barnett|title=Rat control in a plague outbreak in Malta|periodical=J Hyg Camb|volume=46|issue=1|year=1948|pages=10–18|pmc=2235074|pmid=18861427|doi=10.1017/s0022172400036019}} people were infected, killing between eight and twelve people.

• Cholera epidemics in Malta

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Category:Disease outbreaks in Malta

Category:Social history of Malta

Category:Plague (disease)