Bull Hist Med. 2020;94(4):590-601. doi: 10.1353/bhm.2020.0084.
This article applies the model developed in Charles Rosenberg's seminal article "What is an Epidemic?" to typhus outbreaks in eighteenth-century London. That framework remains valuable for understanding contagious disease in early modernity by helping to highlight the structure of responses to epidemics. So-called "Jail Fever" outbreaks are especially instructive, in part because the most notorious of these epidemics were small affairs when compared to the larger pandemics that Rosenberg explored. Considering that they accounted for relatively few deaths, historians must answer why they caused such a stir. Whereas the raw body count often drives development of narratives about epidemics, eighteenth-century typhus epidemics often hinged more on who died and where than how many. Typhus ravaged poor and working class communities throughout the period. However, even significant spikes in mortality occurring in poor neighborhoods often failed to trigger proclamations of epidemics. Some deaths mattered more than others in this regard, suggesting that qualitative criteria may have played a greater role than quantitative criteria when it came to identifying which events registered as epidemics in the eighteenth century.
本文运用了 Charles Rosenberg 开创性文章《何为传染病?》中提出的模型,对 18 世纪伦敦的斑疹伤寒爆发进行了分析。该框架对于理解近代早期的传染病仍然具有价值,有助于突出对传染病的反应结构。所谓的“监狱热”爆发尤其具有启发性,部分原因是与 Rosenberg 所探讨的更大规模的大流行相比,这些流行病中最臭名昭著的规模较小。考虑到它们导致的死亡人数相对较少,历史学家必须回答为什么它们会引起如此大的轰动。虽然原始的死亡人数通常是引发关于传染病的叙述的关键,但 18 世纪的斑疹伤寒爆发往往更多地取决于谁死了,以及死在哪里,而不是死了多少人。整个时期,斑疹伤寒都在贫困和工人阶级社区肆虐。然而,即使在贫困社区出现了显著的死亡率上升,也往往不会引发传染病的宣布。在这方面,有些死亡比其他死亡更重要,这表明在确定哪些事件在 18 世纪被视为传染病时,定性标准可能比定量标准发挥了更大的作用。