The astonishing, hitherto unknown truths about a disease that transformed the United States at its birth A horrifying epidemic of smallpox was sweeping across the Americas when the American Revolution began, and yet we know almost nothing about it. Elizabeth A. Fenn is the first historian to reveal how deeply variola affected the outcome of the war in every colony and the lives of everyone in North America. By 1776, when military action and political ferment increased the movement of people and microbes, the epidemic worsened. Fenn's remarkable research shows us how smallpox devastated the American troops at Québec and kept them at bay during the British occupation of Boston. Soon the disease affected the war in Virginia, where it ravaged slaves who had escaped to join the British forces. During the terrible winter at Valley Forge, General Washington had to decide if and when to attempt the risky inoculation of his troops. In 1779, while Creeks and Cherokees were dying in Georgia, smallpox broke out in Mexico City, whence it followed travelers going north, striking Santa Fe and outlying pueblos in January 1781. Simultaneously it moved up the Pacific coast and east across the plains as far as Hudson's Bay. The destructive, desolating power of smallpox made for a cascade of public-health crises and heartbreaking human drama. Fenn's innovative work shows how this mega-tragedy was met and what its consequences were for America.

This book explores the identity of the 'French disease' (alias the 'French pox' or 'Morbus Gallicus') in the German Imperial city of Augsburg between 1495 and 1630. Rejecting the imposition of modern conceptions of disease upon the past, it reveals how early modern medical theory facilitated enormous flexibility in defining disease, and how disease identification was a local matter, and one of constant negotiation and renegotiation. Drawing on a wealth of primary source material this work combines concern with the conceptualisation of the disease with its practical application, and argues for the inseparability of both. It focuses on how theoretical understanding of the pox shaped the various therapeutic reactions, and vice versa. It exemplifies this in the specific socio-cultural context of sixteenth- and seventeenth-century Augsburg, through an investigation of the city's municipal and private pox hospitals. Combining medical, religious, economic, municipal and institutional history this book offers a fascinating insight into how early modern society came to terms with disease both in a practical and theoretical sense. This revised English translation of Dr Stein's original German book adds new layers of understanding to a fascinating but complex subject.