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Worlds of Design: Pestilence & Plague
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<blockquote data-quote="AdmundfortGeographer" data-source="post: 8261300" data-attributes="member: 4682"><p>I think you were a bit to light on Milan’s avoidance of the Plague. It was far less random and far more deliberate and managed. <a href="https://www.washingtonpost.com/opinions/2020/04/27/milans-medieval-response-plague-holds-lessons-today/" target="_blank">https://www.washingtonpost.com/opinions/2020/04/27/milans-medieval-response-plague-holds-lessons-today/</a></p><p></p><p><em>The city of Milan led the way. In the 1370s, Milan began separating the sick from the healthy and instituted self-quarantine measures. Those in close contact with the sick were required to isolate themselves for 10 days. As successive waves of plague hit the city, Milan’s epidemiological defenses became more elaborate. Plague hospitals were opened. Pilgrims passing through Milanese territory were detoured around the city itself, and camps were set up to keep travelers housed and fed without having to enter densely populated areas.</em></p><p><em></em></p><p><em>Most impressive was Milan’s detailed monitoring of cases. Physicians appear to have been quite skilled at recognizing plague symptoms, developing detailed criteria for discerning plague buboes from other, less deadly swellings. They identified patients who needed to be isolated and reported this information, along with a list of all deaths, to city authorities. These reports kept the city a step ahead of the disease, allowing its government to ramp up measures of isolation when the plague was on the rise and relax such measures when the plague had disappeared from the city.</em></p><p></p><p>The physicians of Milan instituted health passes, too, to certify someone as unaffected. The word quarantine comes from Venetian law requiring plague affected ships to not allow passengers and cargo off and wait off the coast for 40 days. Other places that instituted a quarantine required specific places that people waited, like islands or nearby towns.</p><p></p><p>If a plagues goes widespread, I think it is likely civilizations would institute a quarantine until it died out. Marking afflicted/unafflicted peoples with non-removable magic. World building and playing out a quarantine would be fascinating with teleportation and plane hopping magics.</p></blockquote><p></p>
[QUOTE="AdmundfortGeographer, post: 8261300, member: 4682"] I think you were a bit to light on Milan’s avoidance of the Plague. It was far less random and far more deliberate and managed. [URL]https://www.washingtonpost.com/opinions/2020/04/27/milans-medieval-response-plague-holds-lessons-today/[/URL] [I]The city of Milan led the way. In the 1370s, Milan began separating the sick from the healthy and instituted self-quarantine measures. Those in close contact with the sick were required to isolate themselves for 10 days. As successive waves of plague hit the city, Milan’s epidemiological defenses became more elaborate. Plague hospitals were opened. Pilgrims passing through Milanese territory were detoured around the city itself, and camps were set up to keep travelers housed and fed without having to enter densely populated areas. Most impressive was Milan’s detailed monitoring of cases. Physicians appear to have been quite skilled at recognizing plague symptoms, developing detailed criteria for discerning plague buboes from other, less deadly swellings. They identified patients who needed to be isolated and reported this information, along with a list of all deaths, to city authorities. These reports kept the city a step ahead of the disease, allowing its government to ramp up measures of isolation when the plague was on the rise and relax such measures when the plague had disappeared from the city.[/I] The physicians of Milan instituted health passes, too, to certify someone as unaffected. The word quarantine comes from Venetian law requiring plague affected ships to not allow passengers and cargo off and wait off the coast for 40 days. Other places that instituted a quarantine required specific places that people waited, like islands or nearby towns. If a plagues goes widespread, I think it is likely civilizations would institute a quarantine until it died out. Marking afflicted/unafflicted peoples with non-removable magic. World building and playing out a quarantine would be fascinating with teleportation and plane hopping magics. [/QUOTE]
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