Ledermann D Walter
Rev Chilena Infectol. 2010 Apr;27(2):165-9. Epub 2010 May 13.
The existence of infectious diseases specialists in Ancient Rome is unlikely, but there were at least three authors able of keen observations on infectious matters, with enough merit to be considered our predecessors: Varro, Columella and Vitruvius, none of them physicians. Varro, in his first Book on Agriculture recommended, "Build the houses distant from swamps, because certain minute creatures are bred which cannot be followed with the eyes but which float in the air and enter the body through the mouth and nose, giving rise to severe diseases". Also in a text of agriculture and in the same sense, Columella says "that with heat a swamp releases a pestilential vapor and produces a very dense swarm of insects, which come flying over us armed with harmful stings Vitruvius, the great architect was worried about drinkable water: its sources and properties, how to obtain it and the methods for testing its quality. The concern on its distribution and disposal of sewage started on 614 B.C., little after the foundation of Rome, with the building of the first aqueduct, the Aqua Marcia. This aqueduct in Trajan's times (century II A.D.), reached a total of 443 km, with 49,500 meters of arcades, which were up to 32 meters high, plus 2.4 km of an underground net. This system released 947,200 m(3) of water per day, two thirds of which were for public use and one third for private customers.
古罗马不太可能存在传染病专家,但至少有三位作者能够对传染病问题进行敏锐观察,其功绩足以被视为我们的前辈:瓦罗、科卢梅拉和维特鲁威,他们都不是医生。瓦罗在其关于农业的第一本书中建议:“建造远离沼泽的房屋,因为会滋生某些微小生物,肉眼无法察觉,但它们飘浮在空气中,通过口鼻进入人体,引发严重疾病。”同样在一篇关于农业的文章中,科卢梅拉也表达了类似观点:“沼泽受热会释放出有害蒸汽,并产生大量密集的昆虫,它们带着有害的刺向我们飞来。”伟大的建筑师维特鲁威则关注饮用水:其水源和特性、获取方式以及检测水质的方法。对污水排放和处理的关注始于公元前614年,即罗马建城后不久,当时建造了第一条引水渠——马尔恰水道。这条引水渠在图拉真时代(公元2世纪),总长达到443公里,有49500米的拱廊,高达32米,还有2.4公里的地下管网。这个系统每天供水947200立方米,其中三分之二供公共使用,三分之一供私人用户使用。