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History of smallpox Wiki2Web Clarity Challenge

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Study Guide: The History and Impact of Smallpox

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The History and Impact of Smallpox Study Guide

Origins and Ancient History

Genetic analysis indicates the initial emergence of the smallpox virus occurred approximately 3,000 to 4,000 years ago.

Answer: True

Explanation: Genetic evidence suggests that the smallpox virus first emerged between 3,000 and 4,000 years ago. Prior to this period, ancestral viruses may have circulated among other mammals.

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The earliest physical evidence of smallpox was found in ancient Egyptian mummies.

Answer: True

Explanation: The earliest physical evidence of smallpox has been identified in Egyptian mummies dating back approximately 3,000 years, providing tangible archaeological proof of the disease's ancient presence.

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It has been suggested that smallpox was a significant component of the Plague of Athens, described by the historian Thucydides.

Answer: True

Explanation: The symptoms documented by Thucydides in his account of the Plague of Athens (430 BCE) bear resemblances to smallpox, leading scholars to hypothesize its involvement.

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Galen's detailed descriptions of the Antonine Plague (165-180 CE) suggest it was likely caused by smallpox.

Answer: True

Explanation: The clinical descriptions provided by the physician Galen for the Antonine Plague strongly indicate that smallpox was the causative agent, contributing to significant mortality within the Roman Empire.

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The Plague of Cyprian, occurring from 251 to 266 CE, is believed by some historians to have been either smallpox or measles.

Answer: True

Explanation: Historical analysis of the Plague of Cyprian (251-266 CE) suggests it was likely caused by either smallpox or measles, with its impact potentially contributing to the cessation of Roman expansion.

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The Sushruta Samhita, an Indian medical text written before 400 AD, documented a disease characterized by pustules and burning pain, describing the pustules as red, yellow, and white.

Answer: True

Explanation: The ancient Indian medical text Sushruta Samhita, predating 400 AD, contains descriptions of a disease with symptoms consistent with smallpox, including pustules of varying colors.

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According to genetic evidence, approximately when did the smallpox virus first emerge?

Answer: Approximately 3,000 to 4,000 years ago

Explanation: Genetic analysis indicates that the smallpox virus first emerged approximately 3,000 to 4,000 years ago.

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What is the earliest physical evidence found that points to the existence of smallpox?

Answer: Egyptian mummies dating back about 3,000 years

Explanation: The earliest tangible evidence of smallpox has been found in Egyptian mummies dating back approximately 3,000 years.

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The descriptions of which historical plague by Thucydides have led to suggestions that smallpox was a significant component?

Answer: The Plague of Athens

Explanation: Thucydides's historical account of the Plague of Athens has led scholars to propose that smallpox was a significant factor in the epidemic.

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What evidence strongly suggests that the Antonine Plague (165-180 CE) was caused by smallpox?

Answer: Galen's detailed medical descriptions

Explanation: The detailed medical descriptions provided by the physician Galen for the Antonine Plague are considered strong evidence suggesting it was caused by smallpox.

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The Plague of Cyprian (251-266 CE) is believed by some historians to have been either smallpox or which other disease?

Answer: Measles

Explanation: Historians suggest that the Plague of Cyprian, which afflicted the Roman Empire from 251 to 266 CE, was likely either smallpox or measles.

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Which ancient Indian medical text, written before 400 AD, described symptoms consistent with smallpox, including red, yellow, and white pustules?

Answer: The Sushruta Samhita

Explanation: The Sushruta Samhita, an ancient Indian medical treatise composed before 400 AD, documented symptoms that align with smallpox, including descriptions of pustules of various colors.

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Medieval and Early Modern Spread

During the 18th century, smallpox caused an estimated annual mortality of 400,000 individuals in Europe.

Answer: True

Explanation: In the 18th century, smallpox was a pervasive threat in Europe, leading to an estimated 400,000 deaths annually, impacting all strata of society.

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In India, the goddess Sitala is revered as the deity who causes and cures smallpox.

Answer: True

Explanation: Within Hindu tradition, Sitala is venerated as the goddess associated with diseases like smallpox, believed to both inflict and heal its symptoms.

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The first definitive account of smallpox in Western Europe was provided by Bishop Gregory of Tours in 581 AD.

Answer: True

Explanation: Bishop Gregory of Tours documented the first clear eyewitness description of smallpox in Western Europe in 581 AD, detailing its characteristic symptoms.

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Smallpox was reintroduced into Europe in the 8th century via trade routes through Iberia.

Answer: True

Explanation: The reintroduction of smallpox into Europe during the 8th century is attributed to its arrival via Iberia, following the Umayyad conquest of the region.

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The Japanese smallpox epidemic of 735-737 CE is estimated to have killed as much as one-third of Japan's population.

Answer: True

Explanation: The devastating smallpox epidemic that struck Japan between 735 and 737 CE is believed to have caused the deaths of approximately one-third of the nation's population.

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The Persian physician Rhazes (Muhammad ibn Zakariya ar-Razi) was the first to clearly distinguish smallpox from measles and chickenpox.

Answer: True

Explanation: In the 9th century, Rhazes made a significant contribution to medical understanding by being the first physician to accurately differentiate smallpox from measles and chickenpox in his writings.

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What was the estimated annual death toll of smallpox in Europe during the 18th century?

Answer: Approximately 400,000 people

Explanation: During the 18th century, smallpox was responsible for an estimated 400,000 deaths annually across Europe.

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In India, the goddess Sitala is associated with which disease, revered as both its cause and cure?

Answer: Smallpox

Explanation: The goddess Sitala in India is venerated as the deity responsible for both causing and curing smallpox and its associated symptoms.

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Who provided the first definitive eyewitness description of smallpox in Western Europe in 581 AD?

Answer: Bishop Gregory of Tours

Explanation: Bishop Gregory of Tours offered the first definitive eyewitness account of smallpox in Western Europe in 581 AD, detailing its characteristic clinical presentation.

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Smallpox was reintroduced into Europe in the 8th century primarily through which region?

Answer: Iberia (Spain and Portugal)

Explanation: The reintroduction of smallpox into Europe during the 8th century occurred primarily through the Iberian Peninsula, following the Umayyad conquest.

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What was the estimated impact of the Japanese smallpox epidemic of 735-737 CE on the population?

Answer: It potentially caused the deaths of as much as one-third of the population.

Explanation: The smallpox epidemic in Japan from 735 to 737 CE was exceptionally severe, potentially leading to the demise of as much as one-third of the population.

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Which physician is credited as the first to clearly differentiate smallpox from measles and chickenpox in his writings?

Answer: Rhazes (Muhammad ibn Zakariya ar-Razi)

Explanation: The Persian physician Rhazes (Muhammad ibn Zakariya ar-Razi) is recognized as the first to provide clear clinical distinctions between smallpox, measles, and chickenpox in his medical texts.

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Impact on Global Populations

Smallpox played a significant role in the population decline of indigenous peoples in the Americas following European contact.

Answer: True

Explanation: Smallpox was a primary factor in the severe population reductions observed among indigenous peoples in the Americas after European colonization, facilitating conquest and demographic shifts.

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Smallpox was the sole cause of the devastating population decline among indigenous peoples in the Americas.

Answer: False

Explanation: While smallpox was a primary factor, it was not the sole cause of the population decline among indigenous peoples in the Americas; other Old World diseases also contributed significantly.

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Smallpox significantly weakened the Aztec Empire, contributing to its conquest by Hernán Cortés.

Answer: True

Explanation: The introduction of smallpox to Mexico in 1520 severely weakened the Aztec population and military, playing a critical role in the subsequent Spanish conquest led by Hernán Cortés.

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The Inca Emperor Huayna Capac died from an illness other than smallpox, leading to a succession crisis.

Answer: False

Explanation: Historical accounts indicate that the Inca Emperor Huayna Capac died from smallpox, an event that precipitated a succession crisis and civil war within the empire.

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The 1561-1562 smallpox outbreak in Chile caused a population decline of approximately 50%.

Answer: False

Explanation: The smallpox outbreak in Chile in 1561-1562 resulted in a significant population decline, estimated at 20% to 25%, rather than 50%.

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The Franco-Prussian War triggered a smallpox pandemic from 1870 to 1875 that resulted in approximately 500,000 deaths.

Answer: True

Explanation: The Franco-Prussian War (1870-1875) coincided with a major smallpox pandemic in Europe, which caused an estimated 500,000 fatalities, partly due to insufficient vaccination among some combatants.

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Infectious diseases like smallpox were a minor factor in the decline of the Ainu population in Hokkaido during the 19th century.

Answer: False

Explanation: Infectious diseases, particularly smallpox introduced by settlers, were a major cause of the drastic population decline experienced by the Ainu people in Hokkaido during the 19th century.

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The enslavement of Africans played a significant role in spreading smallpox across the continent.

Answer: True

Explanation: The slave trade facilitated the spread of smallpox throughout Africa, as individuals involved in raiding and those awaiting transport carried the disease along trade routes.

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The 1713 smallpox outbreak in South Africa, originating from a ship docking at Cape Town, had a severe impact on both the European settler population and the Khoisan people.

Answer: True

Explanation: The 1713 smallpox outbreak in South Africa, initiated by a ship from India, devastated both European settlers and decimated entire Khoisan clans, spreading widely across the region.

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How did smallpox significantly impact indigenous populations in regions like the Americas and Australia upon initial foreign contact?

Answer: It caused rapid and severe population reductions, facilitating conquest.

Explanation: Upon initial foreign contact, smallpox caused catastrophic and rapid population declines among indigenous peoples in the Americas and Australia, significantly weakening their societies and facilitating European colonization.

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Following European contact, what percentage of the native population in the New World is estimated to have died from smallpox?

Answer: 90-95%

Explanation: It is estimated that smallpox caused the deaths of 90-95% of the indigenous population in the New World following initial European contact.

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How did smallpox contribute to the Spanish conquest of the Aztec Empire?

Answer: It weakened the Aztec population and army significantly before the final siege.

Explanation: Smallpox significantly weakened the Aztec population and military forces, thereby playing a crucial role in the success of the Spanish conquest led by Hernán Cortés.

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What immediate consequence of the smallpox outbreak in the Inca Empire is mentioned in the source?

Answer: The death of Emperor Huayna Capac and most of the ruling elite.

Explanation: The smallpox outbreak in the Inca Empire led to the death of Emperor Huayna Capac and a substantial portion of the ruling class, triggering a succession crisis.

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What was the estimated population decline among the native inhabitants of Chile due to the smallpox outbreak of 1561-1562?

Answer: 20% to 25%

Explanation: The smallpox epidemic in Chile between 1561 and 1562 caused an estimated population decline of 20% to 25% among the indigenous population.

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Which war triggered a major smallpox pandemic in Europe between 1870 and 1875?

Answer: The Franco-Prussian War

Explanation: The Franco-Prussian War (1870-1875) precipitated a significant smallpox pandemic across Europe, resulting in approximately 500,000 deaths.

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What was the primary cause attributed to the drastic decrease in the Ainu population in Hokkaido during the 19th century?

Answer: Infectious diseases like smallpox introduced by settlers

Explanation: The Ainu population in Hokkaido experienced a severe decline in the 19th century, primarily attributed to infectious diseases, notably smallpox, introduced by Japanese settlers.

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How did the enslavement of Africans contribute to the spread of smallpox?

Answer: Raiders and those awaiting transport carried the disease along caravan routes and during transit.

Explanation: The process of enslavement, including raids and the transit of individuals, facilitated the spread of smallpox across Africa along trade routes.

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The 1713 smallpox outbreak in South Africa, originating from a ship docking at Cape Town, had a severe impact on which population group?

Answer: Both the European settler population and the Khoisan people

Explanation: The 1713 smallpox outbreak in South Africa severely affected both the European settler population and the indigenous Khoisan people, leading to widespread mortality.

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Variolation and Vaccination

The 1721 smallpox outbreak in Boston is notable for the early use of inoculation (variolation) and the public debates it generated.

Answer: True

Explanation: The severe smallpox epidemic in Boston in 1721 is historically significant for the early implementation of inoculation (variolation) and the ensuing public discourse on its efficacy and safety.

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Variolation, or inoculation, involves deliberately infecting people with material from smallpox scabs to induce immunity.

Answer: True

Explanation: Variolation, an early method of inducing immunity, involved the deliberate inoculation of individuals with material derived from smallpox pustules, aiming for a milder infection and subsequent protection.

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Lady Mary Wortley Montagu introduced variolation to England after observing its practice in the Ottoman Empire.

Answer: True

Explanation: Lady Mary Wortley Montagu was instrumental in introducing variolation to England in the early 18th century, having witnessed its use during her time in the Ottoman Empire.

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The 1721 smallpox outbreak in Boston is particularly noted for:

Answer: The early use of inoculation (variolation) and resulting public debates.

Explanation: The 1721 smallpox epidemic in Boston is historically significant for its early application of inoculation (variolation) and the substantial public controversy it generated.

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What practice, first used in China around the 10th century, involved deliberately infecting people with smallpox material to induce immunity?

Answer: Inoculation

Explanation: Inoculation, also known as variolation, was a practice originating in China around the 10th century that involved deliberately introducing smallpox material to confer immunity.

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Lady Mary Wortley Montagu introduced variolation to England after observing its practice in the Ottoman Empire.

Answer: Lady Mary Wortley Montagu

Explanation: Lady Mary Wortley Montagu played a pivotal role in introducing variolation to England in the early 18th century, having observed the practice during her time in the Ottoman Empire.

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Eradication and Public Health

Smallpox infections were characterized by a high mortality rate, with significantly more than 10% of infected individuals typically succumbing to the disease.

Answer: True

Explanation: Contrary to a low mortality rate, smallpox infections were highly lethal, with mortality rates often exceeding 10% and reaching much higher levels in specific populations, such as children.

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The cumulative global mortality from smallpox during the 20th century significantly exceeded 100 million deaths.

Answer: True

Explanation: Smallpox caused an immense global death toll in the 20th century alone, with estimates ranging from 250 to 500 million fatalities, far surpassing 100 million.

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The World Health Organization (WHO) officially certified the global eradication of smallpox in May of 1980.

Answer: True

Explanation: Following decades of concerted global vaccination efforts, the World Health Organization (WHO) declared smallpox eradicated worldwide in May 1980, a landmark public health achievement.

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In addition to smallpox, Rinderpest is the only other infectious disease to have achieved global eradication.

Answer: True

Explanation: Smallpox holds the distinction of being one of only two infectious diseases to have been globally eradicated; the other is Rinderpest, declared eradicated in 2011.

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In 1832, the U.S. federal government established a smallpox vaccination program for Native American tribes.

Answer: True

Explanation: The U.S. federal government initiated a smallpox vaccination program for Native American tribes in 1832, aiming to protect these vulnerable populations and foster cooperation.

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The Supreme Court case Jacobson v. Massachusetts (1905) ruled that states cannot mandate vaccinations without individual consent.

Answer: False

Explanation: The Supreme Court case Jacobson v. Massachusetts (1905) upheld the authority of states to mandate public health measures, including vaccination, establishing that community health can supersede individual objections.

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Which age group experienced the highest mortality rate from smallpox infections?

Answer: Infected children, with rates exceeding 80%

Explanation: Children who contracted smallpox faced the highest mortality rates, with the disease proving fatal in over 80% of infected cases within this demographic.

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What staggering number of deaths worldwide is attributed to smallpox during the 20th century alone?

Answer: 250 to 500 million

Explanation: Smallpox caused an estimated 250 to 500 million deaths globally throughout the 20th century, highlighting its immense impact.

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In what year did the World Health Organization (WHO) officially certify the global eradication of smallpox?

Answer: 1980

Explanation: The World Health Organization (WHO) officially certified the global eradication of smallpox in May 1980, marking a monumental public health milestone.

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Besides smallpox, what other infectious disease has been globally eradicated?

Answer: Rinderpest

Explanation: Rinderpest is the only other infectious disease, besides smallpox, that has been successfully eradicated globally.

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What was a key objective of the U.S. federal government's smallpox vaccination program for Native Americans established in 1832?

Answer: To protect these populations and foster cooperation with the government.

Explanation: The U.S. federal government's 1832 vaccination program for Native Americans aimed to provide protection against smallpox and to cultivate cooperative relationships with tribal communities.

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What legal precedent was established by the U.S. Supreme Court case Jacobson v. Massachusetts (1905)?

Answer: States have the authority to mandate public health measures like vaccination.

Explanation: The Supreme Court ruling in Jacobson v. Massachusetts (1905) affirmed the authority of states to implement mandatory public health measures, such as vaccination, to protect the collective well-being.

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