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You've been feeling pretty lonely lately, so you decide that it's time to get yourself
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a pet.
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But you don't want to be too mainstream about it, so instead of a nice dog or cat you opt
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for a rat- hey, rats can be cute too you know.
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You and your rat, Wilbur, quickly become best of friends, but then one day your best rat
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buddy picks up an unwanted hitch hiker- a flea.
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Then Wilbur's flea decides that it'd like to take a chomp out of you, and without you
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even feeling it, the tiny flea has bitten you and sucked on your blood.
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For the next three days you and Wilbur continue your best friendship, going on best friend
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adventures and solving mysteries together- then on the fourth day you start to not feel
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so hot.
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You chalk it up to all the excitement you and Wilbur have been sharing lately, but as
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the symptoms progress you start to feel like you might have the flu instead.
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Then suddenly you start growing what look like huge blisters in your armpits and groin,
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and the tips of your fingers turn black as the flesh begins to die!
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Congratulations, because you've got the bubonic plague and much like most of Europe back in
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the 1300s, you're about to be dead.
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The plague, or black death as it is most commonly known, has its origins amongst the fleas of
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rodents from the Central and Western Asian region of the world.
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It's believed that climate change during a period of warming during the medieval ages
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caused the rodents who carried the infected fleas to flee the drying up grasslands, while
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those rodents who didn't believe in climate change stayed behind and died.
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Forced into close contact with humanity, the fleas of these rodents began to feast on our
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soft, supple human flesh, and in return infected us with the plague.
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Historians believe that the plague killed off many early populations of humans before
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naturally receding, but what would come to be known as the Black Death kicked off in
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earnest early in the 1300s.
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A secession of natural disasters and lesser plagues hit south and central asia, which
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led to widespread famine.
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Not wanting to be left out of the 'kill all humans' party, the bubonic plague arrived
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in 1331, and is believed to have killed 25 million Chinese people before it finally reached
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Constantinople in 1347.
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Mongol raids and travelers along the famous silk road are believed to have pushed the
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disease further and further west, but it wasn't until Genoese traders brought plague-infected
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fleas into the port city of Kaffa in Crimea in 1347 that the bubonic plague went mainstream.
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Pretty soon the black death, as it was known by then, was all the rage amongst Europeans,
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and by 1351 it had reached as far west as Spain and as far north as Russia.
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Before the black death went out of style, it had killed between 75 to 200 million people,
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and it's believed that it took the world 200 years to recover the numbers lost to the disease.
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In the wake of the plague, zealous persecution of various scapegoats blamed for the outbreak
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led to the deaths of many thousands more, including Jews, friars, foreigners, beggars,
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pilgrims, lepers, gypsies, and people who get to the front of the line at Starbucks
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and have to check the menu because they still aren't sure what to order.
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The plague had had such a good time in Europe though that it revisited the continent intermittently
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throughout the 14th and 17th centuries, causing many hundreds of thousands of additional deaths.
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In 1771 the Plague hit Moscow and killed between 50,000 and 100,000 people, or as much as 33%
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of the city's population.
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A hundred years before that the plague killed 100,000 in London.
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Like adventurous European university students though the plague went global, and between
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1500 and 1850 the plague was present in at least one location throughout the entire Islamic
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world.
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So you've gone and gotten yourself infected with the Black Death- because maybe modern
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diseases are just too trendy for you- why is this the worst thing that could ever happen
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to you?
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Well, first, could it happen to you?
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The answer to that question is no, humanity has long since overcome the terrible affliction
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known as the Black Death and is safe from the ravages that once killed hundreds of millions
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of people.
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Just kidding, you can totally get the Black Death today, and if you think you're safe
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in your First World life because surely it's only a disease that strikes at the most remote,
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poorest regions of the world, you may want to think again.
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As of 1900 the Black Death had made its way to the United States, when an epidemic struck
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San Francisco and lasted until 1904, then quickly made a comeback throughout 1907 and
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1908.
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While that was over a hundred years ago and we have developed many drugs and treatments
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for the plague, just in October of 2017 the deadliest outbreak in modern times hit Madagascar
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and killed 170 people while infecting thousands more.
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But that's in an island off the coast of Africa, and San Francisco was over a hundred years
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in the past, surely we're safe today.
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Once more, no, absolutely not, and in fact the western United States is one of the largest
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geographic areas where the plague is reported in wild animals and livestock alike- so keep
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that in mind next time you decide to hit up a petting zoo.
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But what about the plague is so terrible?
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Well, before we tell you we'll warn you to go ahead and finish eating if you were eating,
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or to cancel any lunch or dinner plans you may have had coming up, because we doubt you'll
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have the appetite after this episode.
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It starts off with a flea bite, or perhaps a bite from an infected rodent, and then suddenly
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your body is host to a nasty little bacteria called Yersinia pestis.
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Our bodies however have had plenty of exposure to the plague by now, seeing as Yersinia pestis'
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favorite historical past time was to murder all humans, and so the body has learned to
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very quickly recognize Y. pestis from a unique molecule in its outer membrane.
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Unfortunately, some time in the past Y. pestis caught on to this fact and now when it detects
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a temperature of about 98.6 degrees (37 Celsius), the bacteria figures that it's inside a warm
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blooded mammal.
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This triggers Y. pestis to modify the structure of the give-away molecule, effectively blinding
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your body's immune system to its real identity.
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With your immune system fooled, Y pestis makes a mad dash for your lymph nodes- which seems
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like an odd choice for an invading bacteria because your body's lymph nodes are basically
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immune system fortresses, and constantly looking for foreign invaders to wipe out.
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For any other bacteria this would pretty much be a suicide run, but Y pestis is basically
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the Seal Team Six of bacteria.
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Your body immediately tries to stop the bacteria with white blood cells, the cells responsible
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for immune system response, but Y pestis responds by shooting these responding cells with an
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appendage that injects toxins directly inside the cell's membrane, destroying it.
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After owning the crap out of your immune system, Y pestis needs to recover by getting a hold
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of some iron, and luckily for it your body is chock full of it.
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Unfortunately for the bacteria, all that precious iron in your body is wrapped up in hemoglobin
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and other proteins- or unfortunate for you really, because if you've learned anything
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by now it's that Y pestis gets what it wants when it wants it.
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While it holds the fort down in your lymph node, each bacteria releases a molecule called
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yersiniabactin which has a very high affinity for iron.
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The molecules cruise through your blood system on the lookout for a specific iron-rich protein
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in your body called transferrin.
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Once the molecules find some transferrin they literally rip the iron away from the protein,
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destroying it in the process, and bringing it back home to Y pestis.
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By now the plague is happily making your lymph nodes into its new home, kicking up its feet
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and replicating out of control thanks to a rich supply of iron.
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At this point you're definitely feeling under the weather, with general flu-like symptoms,
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but if you're like most people you ignore these symptoms and push through without going
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to the doctor.
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In this case your failure to get checked out will be fatal, as with modern medicine the
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plague can be cured in over 90% of cases if caught early.
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If not, well your odds aren't very good at all.
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At this point your lymph nodes begin swelling up, which create the iconic “buboes” so
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characteristic of the bubonic plague.
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These look like very large blisters and can appear on the arms, leg, groin, and arm-pits,
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can grow to be as big as an apple!
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By now you're going to have a really high fever and might even be vomiting blood, and
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if any of those buboes burst open you'll be oozing pus and other disgusting fluids from
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the open sores.
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This can be extremely dangerous, because buboes that are burst open can lead to secondary
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infections from other bacteria, but luckily for you you'll be dead long before any of
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these infections can properly set in.
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Gangrene can also set into extremities, and fingers and toes can blacken as the flesh
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dies and eventually fall off.
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Incredibly, it's not the plague that kills you though, but rather your own body that
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does the deed.
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With Y pestis bacteria throughout your blood stream your immune system totally loses its
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cool and triggers a condition known as septic shock, causing your blood vessels to leak
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which lowers blood volume, clotting, and eventually, organ failure.
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Luckily though modern medicine is able to cure plague if caught quickly enough, though
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many doctors today worry that the plague will very quickly begin to develop an immunity
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to most of the drugs we use against it.
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This has prompted a renewal of the arms race that has lasted for millennia between man
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and bacteria, and it's hoped that new vaccines and antibodies can be developed to stop the
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plague before it kicks off another world tour and leaves millions dead in its wake.
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Where in the past the remote nature of most human villages and cities made it difficult
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for the plague to be transmitted and thus limited its lethality, today's hyperconnected
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world would let the plague travel around the world in as little as a day, and an outbreak
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that started far overseas could be in your neighborhood by that evening.
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In fact, it might already be there, and we might all be on the verge of the next huge
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outbreak.
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Do you think we could survive another outbreak of the plague?
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Let us know in the comments!
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Also, check out the brand new channel called“I Am.”
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Real stories come to life as they're told from the perspective of the people who lived
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it.
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Check out “I Am a Plague Doctor” right now and be one of the first to subscribe!