somewhere on the continent of Africa, although it is true that
there are traditions pointing to its existence in Hindustan at
least 1000 B
There seems very little doubt that the home of smallpox was
somewhere on the continent of Africa, although it is true that
there are traditions pointing to its existence in Hindustan at
least 1000 B.C. One Hindu account alludes to an ointment for
removing the cicatrices of eruption. Africa has certainly for
long been a prolific source of it: every time a fresh batch of
slaves was brought over to the United States of America there
was a fresh outbreak of smallpox.[2] It seems that the first
outbreak in Europe in the Christian era was in the latter half
of the sixth century, when it traveled from Arabia, visiting
Egypt on the way. The earliest definite statements about it
come from Arabia and are contained in an Arabic manuscript now
in the University of Leyden, which refers to the years A.D. 570
and 571. There is a good deal of evidence that the Arabs
introduced smallpox into Egypt at the sacking of Alexandria in
A.D. 640. Pilgrims and merchants distributed it throughout
Syria and Palestine and along the north of Africa; then,
crossing the Mediterranean, they took it over to Italy. The
Moors introduced it into Spain whence, via Portugal, Navarre,
Languedoc and Guienne it was carried into western and northern
Europe. The earliest physician to describe smallpox is Ahrun, a
Christian Egyptian, who wrote in Greek. He lived in Alexandria
from A.D. 610 to 641. The first independent treatise on the
disease was by the famous Arabian physician, Rhazes, who wrote
in Syriac in 920 A.D., but his book has been translated into
both Greek and Latin. The first allusion to smallpox in English
is in an Anglo-Saxon manuscript of the early part of the tenth
century; the passage is interesting--'Against pockes: very much
shall one let blood and drink a bowl full of melted butter; if
they [pustules] strike out, one should dig each with a thorn
and then drop one-year alder drink in, then they will not be
seen,' this was evidently to prevent the pitting dreaded even
at so early a date. Smallpox was first described in Germany in
1493, and appeared in Sweden first in 1578.
