van Gulik T M
Amsterdam UMC, locatie AMC-UvA, afd. Chirurgie, Amsterdam.
Contact: T.M. van Gulik (
Ned Tijdschr Geneeskd. 2020 Dec 3;164:D5440.
The plague epidemics wiped out large parts of the city population from the 15th to the 17th century in the Netherlands. The plague bacterium (Yersinia pestis) is transmitted to humans through infected rats and fleas and has been transferred from China to Europe via the trade routes over land and sea. Meetings were banned, plague victims were isolated at home or in pest houses, and ships quarantined. In the densely populated, poor neighborhoods of the cities, however, isolation and keeping distance were not feasible, which allowed the plague to rapidly spread. The lessons we have learned from the plague epidemics are timeless. Isolation, keeping your distance and quarantine were key principles and now apply again in the approach to the current Covid-19 pandemic. How effective these measures are depends on the social context in which they are applied.
从15世纪到17世纪,鼠疫疫情致使荷兰城市的大部分人口死亡。鼠疫杆菌(耶尔森氏鼠疫杆菌)通过受感染的老鼠和跳蚤传播给人类,并经由海陆贸易路线从中国传入欧洲。集会被禁止,鼠疫患者被隔离在家中或鼠疫隔离所,船只也被检疫。然而,在城市人口密集的贫困社区,隔离和保持社交距离并不可行,这使得鼠疫迅速传播。我们从鼠疫疫情中学到的经验教训永不过时。隔离、保持社交距离和检疫是关键原则,如今在应对当前的新冠疫情时再次适用。这些措施的有效性取决于实施它们的社会背景。