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Smallpox is an infectious disease unique to humans, caused by either of two
virus variants,
Variola major
and
Variola minor.
The disease is also known by the Latin names
Variola
or
Variola vera,
which is a derivative of the Latin
varius,
meaning spotted, or
varus,
meaning "pimple". The term "smallpox" was first used in Europe in the 15th
century to distinguish variola from the "great pox“,syphilis. This disease
was the main fatal disease for native Americans in North and South America
from the first European contacts through the 19th
century. Historical records from Asia describe evidence of smallpox-like
disease in medical writings from ancient China (1122 B.C.) and India (as
early as 1500 B.C. The earliest credible clinical evidence of smallpox is
found in the Egyptian mummies of persons who died some 3000 years ago. It
has been speculated that Egyptian traders brought smallpox to India during
the 1st millennium BC, where it remained as an endemic human disease for at
least 2000 years. Unmistakable descriptions of smallpox first appeared in
the 4th century AD in China and the 7th century in India. Smallpox was
likely introduced in China during the 1st century AD from the southwest, and
in the 6th century was carried from China to Japan. In Japan, the epidemic
of 735-737 is believed to have killed as much as one-third of the
population. At least seven religious deities have been specifically
dedicated to smallpox, such as the god
Sopona in the Yoruba
religion. In India, the Hindu goddess of smallpox, Sitala Mata, was
worshiped in temples throughout the country. There are no credible
descriptions of smallpox-like disease in the Americas before the westward
exploration in the 15th century AD. In 1507 smallpox was introduced into the
Caribbean island of Hispaniola and to the mainland in 1520, when Spanish
settlers from Hispaniola arriving in Mexico brought smallpox with them.
Smallpox devastated the native Amerindian population and was an important
factor in the conquest of the Aztecs and the Incas by the Spaniards.
Settlement of the east coast of North America in 1633 in Plymouth
Massachusetts was also accompanied by devastating outbreaks of smallpox
among Native American populations, and subsequently among the native-born
colonists. Some estimates indicate case fatality rates of 80-90 % in Native
American populations during smallpox epidemics.
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