Thesis (M.A.)--Wisconsin. / Includes bibliographical references (leaves 80-85).

Thesis--Universiteit van Amsterdam, 1913. / Includes bibliographical references (p. [197]-247).

Proefschrift--Amsterdam. / "Stellingen": p. [89]-[90].

Thesis (M.A.)--Oregon State University, 2008. / Printout. Includes bibliographical references (leaves 256-266). Also available on the World Wide Web.

Inaug.--Diss.--Helmstedt, 1744.

Thesis--Universität Zürich, 1984. / "Sonderabdruck aus: Jahrbuch für Solothurnische Geschichte, Bd. 57, 1984, Walter-Verlag, Olten." Quellen und Literatur: p. 193-194.

Thesis (M.A.)--University of Wisconsin--Madison, 1981. / Typescript. eContent provider-neutral record in process. Description based on print version record. Includes bibliographical references.

Plague is a classic zoonosis caused by the bacterium Yersinia pestis and is subject to the International Health Regulations, 1969. In the last two millennia, plague has become widespread, with three pandemics occurring in the 6th, 14th and 20th centuries. Currently, plague outbreaks and epidemics still occur worldwide. This study attempts to develop formal work methods and procedures for plague surveillance and control by environmental health practitioners as a strategy to ensure that field data can be integrated within the municipal, provincial and national spheres of government. A qualitative, explorative, descriptive, inductive and deductive research design was followed. A documentary research approach was employed as the primary method of data collection. To obtain additional information, both semi-structured personal interviews and physical observations during plague surveillance were adopted by the researcher. The organisational structure of the health care system in South Africa was analysed to identify and explain the role and functions of relevant decision-makers related to the surveillance and control of plague within the different spheres of government. Legislative measures regarding plague surveillance and control were also presented. As a prerequisite for the development of work methods and procedures for plague surveillance and control, the epidemiology of plague was discussed with emphasis on the distribution and characteristics of the disease in South Africa. Important rodent reservoirs and flea vectors of plague in South Africa were identified. Clinical manifestations, diagnosis and treatment of plague were described and discussed. Within this qualitative study an attempt has been made to develop work methods (xiii) and procedures for plague surveillance and control in South Africa. Relevant field data forms to be used during plague surveillance and control strategies were also developed. Recommendations emanating from the study can be found in the final chapter.

Bibliography: pages 115-125. / This dissertation concerns itself with the study of epidemics between 430 B.C. - A.D. 600, in an attempt to find positive evidence for the existence of bubonic plague in the ancient world. Most major studies on the Black Death have concerned themselves with the great pandemics of the Middle Ages and none (to my knowledge), have systematically examined the ancient records for earlier evidence of the disease. The time period chosen for this study, from the Athenian Plague to the Plague of Justinian, contains some relatively well documented epidemics, which has made it possible, in some cases, to identify the disease. Plague is a complicated disease, dependent on numerous factors for its successful spread, but few historians have considered this. The word 'plague' was loosely used in ancient texts to denote any epidemic disease with a high mortality rate and not a specific microbial infection. Most historians however translate 'plague' as bubonic plague and make no attempt at a medical analysis of the symptoms given by a particular author. The point of this dissertation is to examine the ancient epidemics from a medical as well as a historical angle. Our evidence for the existence of epidemic diseases comes from a variety of sources, and these are examined. Sculptures and frescoes show numerous chronic and acute disorders. Human remains have shown evidence of certain diseases, while animal and parasitic remains have helped to confirm the existence of certain species instrumental in the spread of a specific disease. However, written texts are the most reliable source for obtaining a detailed account of the symptoms and accurate interpretation of these texts is therefore important. To achieve this, the symptoms mentioned by an ancient author are compared and contrasted, through the use of tables, with the symptoms of some of the known infectious diseases of today. This dissertation will show that epidemics which were previously labelled plague could either not be identified as such, or were misdiagnosed. Evidence does point to the existence of bubonic plague in the ancient world, but it never reached epidemic proportions until A.D. 600.

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