Here’s The Grisly Details On The Most Devastating And Deadly Plagues, Pandemics, and Epidemics in History
 April 26, 2020 By Paige Steinman

Flickr/Scanpix

As the World Economic Forum notes: “Throughout history, as humans spread across the world, infectious diseases have been a constant companion.” While some of these diseases come and go, others have left the world in turmoil and tens of millions dead. Here’s a grisly in-depth look at some of the deadliest, most devastating epidemics and pandemics of all time, how they spread, and the havoc they wreaked.

1. Antonine Plague (165-180)

When the Roman army returned from their siege of ancient Mesopotamia in 165, they may have achieved a military win. But that victory came with a lot of losses in the aftermath, thanks to the germs the soldiers brought back with them. In total, five million people died during the Antonine Plague not only in the Roman Empire, but across the Mediterranean region.


Nicholas Poussin/Wikimedia Commons

While no one is exactly sure what the disease itself was, many historians guess it was a strain of measles or smallpox. When the plague began, the Roman Empire was at the height of their power. By the end, the unknown disease had killed millions of Romans, and the ranks of the once-mighty Roman military had been decimated.





2. Plague of Justinian (541-542)

To imagine the Plague of Justinian happening today would be like picturing the apocalypse happening right in front of our eyes. An astounding 25 million people (at minimum) died from this early pandemic, killing 10 percent of the entire world’s population and one-fourth of the total population living in the Eastern Mediterranean region.


Josse Lieferinxe/WIkimedia Commons

The plague’s epicenter was in Constantinople, the capital of the Byzantine Empire at the time, and was named for the Byzantine emperor himself, who managed to survive the disease. At its peak, the Plague of Justinian is believed to have killed 5,000 people in the city every single day. There was no infrastructure to support this amount of death, so corpses would sometimes be placed in the streets or in empty buildings.





3. Black Death (1347-1351)

There’s a reason the Black Death, otherwise known as the Great Bubonic Plague, remains so infamous. With jaw-dropping speed and fatality, it claimed the lives of up to 200 million people over just four years. Entire populations of towns were completely obliterated, and the dead often had to be tossed into mass graves.



Pep Roig/Alamy Stock Photo

While the Black Death hit Europe the hardest, this strain of plague is thought to have originated in Asia. The disease reportedly spread because merchants often traveled back and forth between the continents. Unbeknownst to them, as they carried with them on board goods to sell, hitching a ride were the flea-infested rats responsible for transmitting the illness.





4. New World Smallpox Outbreak (1520-1902)

While Europeans had generations to build up a natural immunity, when European explorers entered the “New World” of the Americas, the smallpox they brought with them was absolutely catastrophic to communities living there. For example, by the time the Pilgrims landed in Massachusetts, it’s estimated that 90% of local peoples had already died of smallpox germs that had traveled north from Spanish colonies. By then, nearly the entire native population of Central and South America had succumbed.



Smith Collection/Gado/Getty Images

In total, over 56 million people across the Americas died as a result of smallpox. Mexico’s population crashed from around 11 million before European arrival to just one million. As it spread south, the disease was credited with weakening the Aztec and Inca Empires even before Spanish conquest. Smallpox is ancient, as evidenced from signs on 3,000-year-old Egyptian mummies, and eventually was the first pandemic to be eradicated via vaccination.





5. Italian Plague (1629-1631)

Long after the Black Death had ended, the same viral strain popped up again after troops returned home to Italy from the Thirty Years’ War. And this time, Italy would lose about 1 million of its residents. This deadly pandemic in Italy caused those who were infected to have to stay in sick houses and burn all of their possessions out of fear.



Dea Picture Library/De Agostini via Getty Images

This period also gave rise to the now-iconic plague doctors, who were paid by the city to treat everyone regardless of their wealth. These doctors famously wore a black overcoat, along with a bizarre, macabre mask featuring glass eye openings and a beak-like nose. Unfortunately, many of these doctors had little to no training, and more often than not, their patients would die.





6. Great Plague of London (1665-1666)

In the centuries following the Black Death, the bubonic plague sprang up a few more times throughout Europe, but the capital of England was the hardest hit during the Great Plague of London in 1665. During that time, 100,000 Londoners died in just seven short months. Throughout London, one of Europe’s largest cities even then, every resident was quarantined and public events were banned.



Archive Photos/Getty Images

As the wealthy fled their London homes for the countryside, the poor were left to suffer the losses. All homes where a family member was sick had to be marked with a red cross painted on their doors. As animals beyond just rats were rumored to have carried the disease, many families had to put down their livestock and pets during this tragic time.


7. Yellow Fever (1793)

In 1793, Philadelphia was the capital of the United States, and it was facing a major health crisis. In a short period of time, 5,000 people in just that city alone had died, and thousands had met a similar fate across the Eastern United States due to yellow fever.



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Researchers at the time knew that this outbreak had been caused primarily by mosquitoes. Because of this, they also believed that slaves who had been sent over from Africa had an immunity to this illness. Female slaves were sent to work in hospitals. In total, 100,000 to 150,000 people died of the disease during the hot summer of 1793. The epidemic only ended when the winter months killed off the mosquitoes.





8. Cholera Pandemics 1-6 (1817-1923)

In the 19th and 20th centuries, six different waves of cholera pandemics surged across the globe. They wreaked havoc throughout Asia, Europe, North America, and Africa, and cost the lives of over 1 million people worldwide. The disease’s cause, now widely-known to be caused by contaminated and unsafe food and drinking water, managed to stump researchers for a long time.



Bettmann/Getty Images

That was until the English doctor John Snow began studying the infections throughout mid-19th century England. Dr. Snow traced 500 fatal cases to one area surrounding the Broad Street water pump in London’s West End, where much of the city got its drinking water. Once a piece was removed, cases in that area cleared up, and scientists began to realize that contaminated water was a vector. However, it would be nearly a century before cholera pandemics ceased spreading.





9. Third Plague (1855)

Over time, the Plague of Justinian became known as the First Plague and the Black Death was often referred to as the Second Plague. But in 1855, a new pandemic sweeping across the world killed 12 to 15 million people, landing itself a place in notoriety with its name, the Third Plague.



Hulton Archive/Getty Images

This pandemic originated in Yunnan Province in southern China and ravaged both China and India, but quickly spread to every inhabited continent in the world. The disease was thought to have been caused by fleas found on rats, and just as the Black Death had traveled, it spread as these rats stowed away on cargo ships from one country to the next. That theory was later proven in 1894.


10. Russian Flu (1889-1890)

For many of the plagues and flues that came before, the world’s population was relatively safe because travel was not very easy. When these viruses spread in the past, it was largely because of cargo ships. That all changed with the arrival of the late-19th century pandemic called the Russian flu or the Asiatic flu.


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This virus includes Russia in its name because at that time the Russian Empire had significantly built up its railroads, causing the disease to spread rapidly within a matter of days as people traveled. By the time it ended, it had killed approximately 1 million people, and became known as the last major pandemic of the 19th century.





11. Spanish Flu (1918-1920)

The First World War had devastated a generation — and then, even before it had ended, along came the Spanish flu. In total, an estimated 500 million people became infected. About one-fifth of those infected, about 40 to 50 million people, died due to the illness. But while it holds the name Spanish flu, this deadly strain of influenza did not start in Spain at all.



Library of Congress/Interim Archives/Getty Images

During World War I, Spain was one of the few neutral nations, and therefore had a free press that did not censor its news. As the flu spread throughout the country, infecting even the king, the Spanish press was one of the few outlets able to freely publish its startling death tolls. This led many in the world to think that the epicenter was in Spain, though in reality, this flu had spread all over the world.





12. Asian Flu (1957-1958)

The pandemic now known as the Asian flu was an influenza strain that the world had not yet seen before. The H2N2 subtype of influenza A spread quickly. Its first outbreak was traced back to the Guizhou Province in China, and the disease had spread to Singapore by February of 1957.



Flickr/Scanpix

By April that same year, Hong Kong was experiencing an outbreak, and by the summer of 1957, the Asian flu had reached the shores of the United States. Estimated death tolls vary, but are usually said to be between 1.1 and 2 million, with over 69,000 deaths occurring in the United States alone.





13. Hong Kong Flu (1968-1970)

The Hong Kong flu began, as the name would show, in Hong Kong, but this dangerous strain of H3N2 influenza A traveled quickly. The first case ever reported was recorded on July 13, 1968. Just 17 short days later, there were outbreaks popping up elsewhere in East Asia, in countries such as Singapore and Vietnam.



Bettmann/Getty Images

From there, the virus continued to spread throughout the Philippines, as well as infecting populations in India, Australia, Europe, and parts of the United States. Over the following few years, 1 million people died as a result, including about 500,000 people in Hong Kong, which accounted for about 15 percent of Hong Kong’s total population.





14. HIV/AIDS (1981-present)

The first official case of HIV/AIDS was identified in the Democratic Republic of the Congo in 1976. From there, this truly devastating pandemic has gone on to claim the lives of an estimated 35 million people worldwide. In 1980s and 1990s, the disease had reached a peak in the United States, disproportionately affecting the country’s gay and black communities.



Mark Peterson/Corbis via Getty Images

As there was no cure for decades, along with much governmental failure to adequately respond, the epidemic wiped out nearly an entire generation of gay men. While a “drug cocktail” was finally developed and brought the mortality rate down, there are still an estimated 31 to 35 million people living with HIV, most of whom reside in Sub-Saharan Africa.





15. SARS (2002-2003)

Severe acute respiratory syndrome, otherwise known as SARS, was first identified in November 2002 in China. The first “super-spreader” of SARS is believed to have been a Chinese fisherman who spread the disease to 30 nurses and doctors. And from this group, the virus quickly spread to Hong Kong, Vietnam, Canada, Taiwan, Singapore, and other parts of the world.



Joel Nito/AFP via Getty Images

At the time of the outbreak, China was criticized not only for its slow response to SARS, but also for not being very forthcoming with information related to deaths and infections. By the time the outbreak was finally contained, it had infected 8,000 people and killed nearly 800.





16. Swine Flu (2009-2010)

Swine flu was given its name because this particular strain of influenza had genetic features very similar to the type that affects pigs. Never before witnessed affecting humans, in 2000 the virus began to emerge in Mexico, causing devastation in its wake as it spread across the planet.



Alfredo Estrella/AFP via Getty Images

In just one year, an estimated 200,000 people died due to swine flu, and as many as 1.4 billion people became infected. Unlike many other flu strains, this particular flu affected young people much more frequently than those over the age of 65. After this breakout, a vaccine was developed that is now regularly administered.





17. Ebola (2014-2016)

Ebola was one of the first, if not the first, epidemic to have played out during a 24-hour news cycle. Because of this, as the story spread almost as fast as the disease itself, millions of people watched the devastating effects of ebola from their TV screens, while those living in West Africa had to watch it unfold first hand.




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Ebola was not a new phenomenon. But during this particular ebola outbreak, the deadliest in history, 11,315 people died in six West African countries just 21 months after the epidemic was declared. The virus killed about 66 percent of the people it infected, turning a diagnosis into somewhat of a death sentence. In the years since, the World Health Organization has declared the region ebola-free, only for new cases to pop up almost immediately.





18. MERS (2015-Present)

Middle East respiratory syndrome, also known as MERS, was first discovered in 2012 in Saudi Arabia, giving this particular virus its name. But it took years before this strange new virus began to spread. But its travel path, although not as large as other epidemics, was deadly. For every 50 people infected with MERS, about 17 died.



Chung Sung-Jun/Getty Images

The virus, which was thought to have been passed on through infected camels, was most common in Saudi Arabia. In that country alone, 1,030 people were infected and 453 died, a roughly 44 percent fatality rate. The second most-affected country was far away in South Korea, which saw 182 cases. In total, 850 people passed away from MERS during the outbreak.





19. Zika Virus (2015-2016)

What made Zika virus so terrifying was that it did not seem to affect adults or children as much as it affected infants who were still in the womb, the most defenseless. The virus, linked to infected mosquitoes, caused thousands of babies across South and Central America to be born with underdeveloped brains, neurological problems, and small misshapen heads.



Christophe Simon/AFP via Getty Images

The outbreak became so horrifying and was spreading so rapidly that women in places like Brazil were warned to delay any pregnancies. Women across the world who were pregnant or hoped to soon be pregnant were advised not to visit affected countries.





20. COVID-19 (2019-Present)

COVID-19, also referred to as Coronavirus, first began in Wuhan Province in China, but before long the entire world was feeling its crippling effects. What first started as a lockdown in Wuhan quickly turned the world into one continuous ghost town, with nearly every town and city in the world shut down for business as the virus spread.



Flickr/A Great Reckoning

Entire countries closed down for business and people were told not to leave their homes beyond absolute necessities, let alone without face masks. The number of cases and the death toll continued to climb with numbers nearly rivaling the Spanish flu. Chinese wet markets were once said to be the cause of COVID-19, though other research has disputed those claims leaving this global pandemic somewhat of a mystery.

Sources: World Economic Forum, CNN, CDC

Plague and Spanish flu shaped our world – will the  Coronavirus pandemic as big an impact?

The Black Death killed as many as half of all Europeans and the worst influenza pandemic claimed the lives of up to 100 million people

Both fundamentally changed the fabric of societies. Will historians say the same about Covid-19?

Charles C. Mann Published:14 Jun, 2020

In 2008, a young economist named Craig Garthwaite went looking for sick people. He found them in the National Health Inter­view Survey (NHIS). Conducted annually by the United States Census Bureau since 1957, the NHIS is the oldest and biggest continuing effort to track Americans’ health.

The survey asks a large sample of the citizenry whether they have a variety of ailments, including diabetes, kidney disorders and several types of heart disease. Garthwaite sought out a particular subset of respondents: people born between October 1918 and June 1919.

Those months were the height and immediate after­math of the world’s worst-ever influenza pandemic. Although medical data from the time is too scant to be definitive, the first case is generally said to have been in Kansas in March 1918, as the US was stepping up its involvement in World War I.

In a flurry of wartime propaganda, American and European governments downplayed the epidemic, which helped it spread. Estimates of the final death toll range from 17 million to 100 million, depending on assumptions about the number of uncounted victims. Almost 700,000 people are thought to have died in the US – as a proportion of the population equivalent to more than two million people today.

An announcement from the Illustrated Current News dated October 18, 1918, offering tips for how to stop the spread of influenza. Photo: National Library of Medicine

Remarkably, the calamity left few visible traces in American culture. Writers Ernest Hemingway, William Faulkner and F. Scott Fitzgerald saw its terrible effects first-hand, but almost never mentioned it in their work. Nor did the flu affect US policies – Congress didn’t even allocate extra money for flu research afterwards.

Just a few decades after the pandemic, American-history textbooks by the distinguished likes of Arthur M. Schlesinger Jnr, Richard Hofstadter, Henry Steele Commager and Samuel Eliot Morison said not a word about it. The first history of the 1918 flu wasn’t published until 1976. Written by the late Alfred W. Crosby, the book is called America’s Forgotten Pandemic.

Americans may have forgotten the 1918 pandemic, but it did not forget them. Garthwaite matched NHIS respon­dents’ health conditions to the dates when their mothers were probably exposed to the flu. Mothers who got sick in the first months of pregnancy, he discovered, had babies who, 60 or 70 years later, were unusually likely to have diabetes; mothers afflicted at the end of pregnancy tended to bear children prone to kidney disease. The middle months were associated with heart disease.



Other studies showed different consequences. Children born during the pandemic grew into shorter, poorer, less educated adults with higher rates of physical disability than one would expect. Chances are that none of Garthwaite’s flu babies ever knew about the shadow the pandemic cast over their lives. But they were living testaments to a brutal truth: pandemics – even forgotten ones – have long-term, power­ful after-effects.

The distinguished historians can be forgiven for passing over this truth. Most modern people assume that our species controls its own destiny. “We’re in charge!” we think. Being modern people, historians have had trouble, as a profession, accepting that brainless packets of RNA and DNA can capsize humankind in a few weeks or months.

The convulsive social changes of the 1920s – the frenzy of financial speculation, the resurgence of the Ku Klux Klan, the explosion of Dionysian popular culture (jazz, flappers, speakeasies) – were easily attributed to the war, an initiative directed and conducted by humans, rather than to the blind actions of microorganisms. But the micro­organisms likely killed more people than the war did. Their effects spread across the globe, emptying city streets and filling cemeteries on six continents.

Unlike the war, the flu was incomprehensible – the virus wasn’t even identified until 1931. It inspired fear of immi­grants and foreigners, and anger towards the politicians who played down the virus. Like the war, influenza (and tuberculosis, which subsequently hit many flu sufferers) killed more men than women, skewing sex ratios for years afterwards. Can one be sure that the ensuing, abrupt changes in gender roles had nothing to do with the virus?

We will probably never disentangle the war and the flu. But one way to summarise the impact of the pandemic is to say that its magnitude was in the same neighbourhood as that of the “war to end all wars”.

Claims about the Black Death’s origin invoked “floods of snakes and toads, snows that melted mountains, black smoke, venomous fumes, deafening thunder, lightning bolts, hailstones and eight-legged worms that killed with their stench”. Photo: Shutterstock

Nobody can predict the consequences of today’s pandemic. But
history can tell us a little about what kind of landscape we are approaching.

Consider the Black Death. Sweeping through Europe from about 1347 to 1350, the plague killed somewhere between a third and half of all Europeans. In England, so many people died that the population didn’t climb back to its pre-plague level for almost 400 years.

With the supply of workers suddenly reduced and the demand for labour relatively unchanged, medieval land­owners found themselves in a pickle: they could leave their grain to rot in the fields, or they could abandon all sense of right and wrong and raise wages enough to attract scarce workers.

In northern Italy, landlords tended to raise wages, which fostered the development of a middle class. In southern Italy, the nobility enacted decrees to prevent peasants from leaving to take better offers. Some historians date the separation in fortunes of the two halves of Italy – the rich north, the poor south – to these decisions.

When the Black Death began, the English Plantagenets were waging a long, brutal campaign to conquer France. The population losses meant such a rise in the cost of infantrymen that the whole enterprise foundered. English nobles did not occupy French chateaux. Instead they stayed home and tried to force their farmhands to accept lower wages. The result, the Peasants’ Revolt of 1381, nearly toppled the English crown. King Richard II narrowly won out, but the monarchy’s ability to impose taxes, and thus its will, was permanently weakened.

An illustration by James William Edmund Doyle shows England’s King Richard II meeting rebels during the Peasants’ Revolt in 1381. Photo: Getty Images

Nobody thinks the coronavirus will kill anywhere near as many people as the Black Death did. A shortage of labour due to corpses piling up in the streets will not cause wages to rise. Even so, the new virus has been a shock to society. The plague struck a Europe that was used to widespread death from contagious disease, especially among children. The coronavirus is hitting societies that regarded deadly epidemics as things of the past, like whalebone corsets and bowler hats.

When I went to college, in the 1970s, pre-med students carried around a fat textbook co-written by the Nobel Prize-winning virologist Macfarlane Burnet. “The most likely forecast about the future of infectious disease,” it sunnily concluded, “is that it will be very dull.”

Such optimism was not exceptional. A few years later, Robert Petersdorf, a future president of the Association of American Medical Colleges, contemplated the current crop of MDs seeking certification in infectious disease and said, “I cannot conceive of a need for 309 more infectious-disease experts unless they spend their time culturing each other.”

When Aids came into the world, disease researchers reconsidered, loudly warning of new pandemics. Journalists wrote books with titles such as The Coming Plague and Spillover: Animal Infections and the Next Human Pandemic.

But not many non-scientists took these warnings to heart. The public has not enjoyed its surprise re-entry into the world of contagion and quarantine – and this unhappiness seems likely to have consequences.

Demonstrators protest the inflated prices charged by pharmaceutical companies for Aids treatment drugs, in 1997. Photo: AFP
Scholars have long posited that the shattering of norms by the Black Death was the first step on the path that led to the Renaissance and the Reformation. Neither government nor Church could explain the plague or provide a cure, the theory goes, leading to a crisis in belief. Secular and religi­ous leaders died just like common people – the Black Death killed the archbishop of Canterbury, Thomas Bradwardine, a mere 40 days after he assumed office. People sought new sources of authority, finding them through direct personal experience with the world and with God.

To some extent, all of this is surely true. The plague came in waves, and after each wave doctors, clerics and chroni­clers speculated about the causes and described the treatments they had seen deployed.

As the University of Glasgow historian Samuel Cohn Jnr has shown, the early claims about the plague’s origin invoked “floods of snakes and toads, snows that melted mountains, black smoke, venomous fumes, deafening thunder, lightning bolts, hailstones and eight-legged worms that killed with their stench”. Some writers blamed the poor: their fecund­ity, their improvidence, their sinfulness. Others pointed fingers at that ever-ready European bogeyman, the Jew.

Scared Europeans sought favour from the heavens, most famously taking off their clothes in groups and striking one another with whips and sticks. Images of half-nude flagellants have, since Monty Python, become a comic staple. Far less comical was the accompanying flood of anti-Semitic violence. As it spread through Germany, Switzerland, France, Spain and the Low Countries, it left behind a trail of beaten cadavers and burned homes.

Within a few decades, Cohn wrote, hysteria gave way to sober observation. Medical tracts stopped referring to conjunctions of Saturn and prescribed more earthly cures: ointments, herbs, methods for lancing boils. Even priestly writings focused on the empirical. “God was not mentioned,” Cohn noted. The massacres of Jews mostly stopped.

A protester holds up a placard with a message against Bill Gates, during a demonstration against the lockdown imposed to slow down the spread of the coronavirus, in Berlin, Germany, in April. Photo: Reuters
It’s easy to see this as a comforting parable of rationality winning out over the engines of rumour, prejudice and superstition, ultimately leading to the Renaissance and the Enlightenment. But the lesson seems more that humans confronting unexpected disaster engage in a contest for explanation – and the outcome can have consequences that ripple for decades or centuries.

And the contest for explanation is well under way – Donald Trump is to blame, or Barack Obama, or the Centres for Disease Control and Prevention, or China, or the US military’s biowarfare experiments, or Bill Gates. Nobody has yet invoked eight-legged worms. But in our age of social media, rumour, prejudice and superstition may have even greater power than they did in the era of the Black Death.

Christopher Columbus’ journey to the Americas set off the worst demographic catastrophe in history. The indigenous societies of the Americas had few diseases – no smallpox, no measles, no cholera, no typhoid, no malaria, no bubonic plague. When Europeans imported these diseases, it was as if all the suffering and death these ailments had caused in Europe during the previous millennia were compressed into 150 years.

Up to nine-tenths of people in the Americas died. Many later European settlers believed they were coming to a vacant wilderness. But the land was not empty; it had been emptied – a world of loss encompassed in a shift of tense.

Absent the diseases, it is difficult to imagine how small groups of poorly equipped Europeans could have survived in the alien ecosystems of the Americas. “I fully support banning travel from Europe to prevent the spread of infectious disease,” the Cherokee journalist Rebecca Nagle remarked after Trump announced his plan to do this. “I just think it’s 528 years too late.”

Members of the Red Cross Motor Corps wear masks while transporting a patient in St Louis, Missouri, in October 1918. Photo: Getty Images

For Native Americans, the epidemic era lasted for centuries. Isolated Hawaii had almost no bacterial or viral disease until 1778, when the islands were “discovered” by British explorer James Cook. Islanders learned the cruel facts of contagion so rapidly that by 1806, local leaders were refusing to allow European ships to dock if they had sick people on board.

Nonetheless, Hawaii’s king and queen, Kamehameha II and Kamamalu, travelled from their clean islands to London, that cesspool of disease, arriving in May 1824. By July they were dead – measles.

The royals had gone to Britain to negotiate an alliance against the US, which they correctly believed had designs on their nation. The monarch’s successor, 12-year-old King Kamehameha III, could not resume the talks. The results changed the islands’ destiny. Undeterred by the British Navy, the US annexed Hawaii in 1898. Historians have seldom noted the connection between measles and the presidency of Obama.

As a rule, epidemics create what researchers call a “U-shaped curve” of mortality – high death rates among the very young and very old, lower rates among working-age adults. (The 1918 flu was an exception; a disproportionate number of twenty-somethings perished.) For Native peoples, the U-shaped curve was as devastating as the sheer loss of life.

As an indigenous archaeologist once put it to me, the epidemics simultaneously robbed his nation of its future and its past: the former, by killing all the children; the latter, by killing all the elders, who were its storehouses of wisdom and experience.

I have no idea what the ultimate effects of the corona­virus will be, but I hope that they will be like those of the 2003 Sars epidemic in Hong Kong. That epidemic, which killed 299 people in the city, was stopped only by heroic communal efforts

For reasons as yet unknown, the U-shaped curve does not apply to today’s coronavirus. This virus largely (but not entirely) spares the young and targets the old. Terrible stories of it
sweeping through nursing homes reinforce this impression, especially if, like me, you’ve lost a relative in one. The result will be, among other things, a test of how much contemporary society values the elderly.

So far, the evidence suggests: not much. The speed with which pundits in the US emerged to propose that it could more easily tolerate a raft of dead oldsters than an econo­mic contraction indicates that the reservoir of appreciation for today’s elders is not as deep as it once was. This change may reflect another: today’s old are older than the old of the past, when lifespans were shorter.

Past societies mourned the loss of collective memory caused by epidemics. Ours may not, at least at first.I have no idea what the ultimate effects of the corona­virus will be, but I hope that they will be like those of the 2003 severe acute respiratory syndrome (Sars) epidemic in Hong Kong. That epidemic, which killed 299 people in the city, was stopped only by heroic communal efforts.

Everyone in Hong Kong knows the city dodged a bullet. Or it seems that way when I visit. My work has taken me there, off and on, since 1992. In a city that once resounded with smokers’ coughs, people now don masks at the first sign of a cold. Omnipresent signs – in hotel lifts, on con­veni­ence-store doors, in office waiting rooms – describe how often their locations are disinfected. An amazing number of people wear surgical gloves to serve food, handle papers, even push lift buttons.

Hongkongers in Central during the 2003 Sars outbreak. Photo: AFP


These measures may suggest a community in the grip of fear. But the masks and signs and gloves seem more like the “victory gardens” outside homes during World War II – cheerful public notices of people doing their part. Most important, Hong Kong may have contained Covid-19 faster than any other place in the world.

I was there during last autumn’s protests. At one point, I found myself near a university at the centre of the unrest. Almost nobody was outside and the shops were closed. There was a lot of debris and smoke. As I stood there, befuddled, a man ran out of a convenience store and pulled me inside. “The police are coming,” he said. “Very dangerous!”

Inside was a cross section of Hong Kong citizens – young and old, trainers and salaryman shoes, quite a few in makeshift masks. I thanked the proprietor for rescuing me from what could have been an unpleasant encounter. “We are all here together,” someone said.

Later it occurred to me that a possible legacy of Hong Kong’s success with Sars is that its citizens seem to put more faith in collective action than they used to. I’ve met plenty of Hongkongers who believe that the members of their community can work together for the greater good – as they did in suppressing Sars and will, with luck, keep doing with Covid-19. It’s probably naive of me to hope that containing the coronavirus would impart some of the same faith elsewhere, but I do anyway.

Financial support for this article was provided by the HHMI Department of Science Education.

Text: The Atlantic Magazine

Charles C. Mann is an American journalist and author, specialising in scientific topics.

‘If you catch it, don't spread it to others’, 1949 flu advice still applies to coronavirus pandemic

Disease

How disease has fed on China’s progress – shift from nomadic hunters to farming communities sowed the seeds for millennia of sickness

From malarial neolithic settlements on the Yellow River plain to the plague-ravaged Mongols and today’s host-jumping pathogens, disease has long helped to shape China

Thomas Bird Published: 24 May, 2020


In 1999, while most people were anticipating what the new millennium might bring, American academic Jared Diamond cast his gaze back 10,000 years to question whether the agricultural revolution that had germinated settled society had really been such a great leap forward.

Writing in Discover Magazine, Diamond contended, “With agri­culture came the gross social and sexual inequal­ity, the disease and despotism, that curse our existence.” Significantly, epidemics that “couldn’t take hold when populations were scattered in small bands that constantly shifted camp” spread only after humans began to grow crops and raise chickens. “Tuberculosis and diarrheal disease had to await the rise of farming; measles and bubonic plague the appearance of large cities.”

Yet for the Chinese, the idea that agriculture was the wellspring of civilisation is seldom, if ever questioned.

From the revolutionaries that settled the Yellow River valley thousands of years ago, Chinese history is often framed with Long March gallantry, leading step by step from paddy field to palatial shopping centre. Chinese civilisation, the story goes, outlasted all its rivals and triumphed over the vagaries of nature, stoically enduring episodes of turmoil to arrive at the current age of abundance. It is a tale of great and ongoing struggle, soaked in blood, sweat and jingoism.

Since AD200-250, traditional Chinese medicine has harnessed all aspects of life, from food to sex. (Illustration from G.N. Wright’s 1843 book, China, In a Series of Views, Displaying the Scenery, Architecture, and Social Habits, of That Ancient Empire.) Photo: Getty Images

But what if it was the millet first planted by China’s neolithic ancestors that sowed the seeds for centuries of untold misery?

Like those of ancient Greece, China’s origin myths were created in hindsight and reflect a preordained greatness to come. Shennong, the god of agriculture, taught the Chinese to farm, while his successor, Huangdi, the Yellow Emperor, symbolically battled his rival Chiyou for control of the hazardous Yellow River, from whose surroundings would grow the very idea of China as we know it.

As far back as records go, we know the Yellow River was a capricious mistress. Its lethal capacity to shift course without warning, causing massive floods accompanied by famine and disease, prompted author Philip Ball to remark in The Water Kingdom (2016), “it’s hard to imagine how anyone, let alone millions, endured it routinely”.

The river’s propensity for disaster continued until the modern era. In 1887, as many as 2.5 million people were killed by floods or related diseases such as typhoid. And yet, along its muddy banks in about 7500BC – at roughly the same time the Fertile Crescent was being settled in the Middle East – neolithic societies decided to make a go of it as farmers. By 2070BC, a state had emerged: the mysterious Xia people.

We don’t know much about Xia society but evidence suggests bean curd, fruits such as oranges and peaches, and animal husbandry were established means of food production for the pioneer Chinese state. But living in settlements meant the Xia – followed by the Shang and Zhou dynasties – unearthed “snakes” and “dragons” from the Yellow River plain, or what Mary Dobson in Murderous Contagion (2014) dubs “ancient maladies” like malaria and schistosomiasis.

The latter is caused by parasitic flatworms that “became a significant human infection in river valleys such as the Euphrates, the Nile in Egypt and the Yellow (Huang He) River in China, when people began to settle, farm and irrigate the land”.

Living in proximity to domesticated animals put people in range of other invisible enemies, as Yuval Noah Harari outlines in Sapiens (2011): “Most of the infectious diseases that have plagued agricultural and industrial societies (such as smallpox, measles and tuberculosis) originated in domesticated animals and were transferred to humans only after the Agricultural Revolution.”

Evidence for this can be found in the 3,000-year-old Chinese character jia, meaning “home” and “family”, which is represented by a pig in a house. A typical Shang dynasty household would have lived cheek-by-jowl with their live­stock, oblivious to the dangers this arrangement posed.

A 1907 illustration in Paris’ Le Petit Journal shows cholera victims in China and government officials being mobbed by starving people. Photo: Getty Images
A host of “lifestyle diseases” afflicted the Chinese, too. From sunrise to sunset, toiling farmers were weakened by “slipped discs, arthritis and hernias”, writes Harari, ailments unknown to hunter-gatherers who “spent their time in more stimulating and varied ways, and were less in danger of starvation and disease”. Nomadic and semi-nomadic peoples, such as the Xiongnu, Toba, Khitan and Mongols – to name but a few “barbarian” peoples given to pillaging China – would know little of such maladies.

As the Chinese had committed themselves to the land, they couldn’t abandon their pastures and ride off into the sunset, as their enemies invariably did. So while rationalist culture and philosophical debate evolved in the open city of Athens, on the other side of the world, the Chinese began to wall themselves in, a mode of defence that was well under way by the latter half the Eastern Zhou dynasty (770-256BC).

Every siheyuan, or quadrangle courtyard house, would have its “garden” or social space located inside; every village, town and city would be ringed with rammed earth or stone. Even the imperial frontier would be demarcated by the Great Wall, the earliest version of which dates back to 300BC and the Zhao State, according to wall historian William Lindesay. Only in the 20th century did China begin to demolish its city ramparts.

These barriers helped slow the progress of China’s external enemies, but made the enemy within harder to contain. As Harari writes, “most people in agricultural and industrial societies lived in dense, unhygienic permanent settlements – ideal hotbeds of disease”. Thus China was forced to fight a protracted campaign on two fronts, against invading steppe peoples and the baibing (100 diseases): both microbe and marauding Mongols could become a potential regime changer if left unchecked.

The shift from nomadic hunters to settled farming communities sowed the seeds for millennia of disease. Photo: Getty Images

To confront wily tribes, China was able to make war, Diamond writes: “Farming could support many more people than hunting, albeit with a poorer quality of life […] a hundred malnourished farmers can still outfight one healthy hunter.” So the Chinese played the numbers game, unaware the imperial granaries hid a Malthusian trap – unchecked population growth versus a static food supply.

As early as 1300BC, Anyang, in Henan province, was the biggest city in the world. By the Tang dynasty (AD618-907) Chang’an (modern Xian) was home to more than a million people. Han China (202BC-AD220) was more populous than its Western contemporary, the Roman Empire.

Running low on space, farmers “crept over the face of China like a skin rash”, as travel writer Bruce Chatwin put it, settling further and further from their Yellow River homeland, and often within range of steppe nomads or southern barbarians – the Baiyue, meaning 100 yue, or peoples. Though famine, disease and war occasionally levelled the population, a period of peace or a new innova­tion, such as the introduction of counter-cyclical New World crops like corn and potatoes during the Qing dynasty (1644-1912), saw numbers rise over time.

Just as Europeans sent their excess population to the colonies of the New World, the Chinese, too, were forced to “colonise” fresh pastures. They sailed across the straits to Taiwan, intruded on the Tibetan plateau, crept northeast into Manchuria and southwest into the tribal lands of Yunnan and Guizhou, displacing indigenous peoples and forging the ethnic and political tensions of today. But unlike Europeans, who took lethal germs to the Americas, the Chinese often found themselves contracting new indigenous diseases, especially in the tropical south.

The Mawangdui medical texts demonstrate the Han aristocrats’ obsession with preserving health, avoiding disease, and living life to the fullestRuth Rogaski, scholar

Agriculture may not have brought a better life for the average Zhou, but it did bring surplus, which as Diamond points out, fed a class society. China’s pampered elites congregated in great urban centres – Chang’an, Luoyang and, later, Beijing – from where they sought to manage their expansive realm. They imposed strict rules on their subjects, such as
the nightly imperial curfew.

But these security measures only helped make Chinese settlements hotbeds for “crowd diseases” such as smallpox and measles. Besides the poisoning and assassinations that were the stuff of court politics, disease remained an emperor’s biggest threat. By the time of the Han dynasty, the literate Chinese had amassed the greatest canon of medical texts in the world.

“Among the earliest extant medical texts are those recovered from the Mawangdui tomb (sealed 168BC) in present-day Hunan,” writes scholar Ruth Rogaski in her 2014 book Hygienic Modernity. “The Mawangdui medical texts demonstrate the Han aristocrats’ obsession with preserving health, avoiding disease, and living life to the fullest.” The text reads like the advice of a modern health guru, describing, “sexual practices, dietetic regimens, movements and medicines designed to nurture vital forces and ensure the proper flow of qi within the body”.

The Han period, now considered an early “scientific golden era”, also produced a number of famous doctors. Some are revered to this day, such as Hua Tuo, the first to use a general anaesthetic.

The Chinese gave fantastically descriptive names to the “pestilent qi” that afflicted them: “toad fever”, for example, caused the abdomen to swell, and “crab fever” caused small red bumps on the throat.

In a 1922 illustration from Myths and Legends of China, by Edward T.C. Lerner, plague-disseminating umbrellas are defeated by the wave of a magic fan. Photo: Getty Images

With a vocabulary born of Taoism, which advocates harmony with the natural order of the cosmos, traditional Chinese medicine brought together myriad means of “guarding life” (weisheng) and “nurturing life” (yansheng), including meditation and martial arts, sex and sexual abstinence, tea and food, cosmology and herbology. All aspects of life were marshalled to the cause of weisheng zhi dao, the way of guarding life.

Medical quests are a recurring theme in Chinese history, most famously perhaps the unifying emperor Qin Shihuang’s hunt for the elixir of immortality, which saw him order a sea expedition to mythical Penglai Mountain to find a 1,000-year-old magician who held the secrets of longevity. The ship never returned and Qin died two years later, after swallowing mercury pills given to him by the court doctor.

The legend lingered for a millennia and, in 1220, Genghis Khan, having already conquered much of northern China and Eurasia, summoned Taoist master Qiu Chuji from Shandong to his royal camp in present-day Uzbekistan to ask him for the medicine of immortality. Although Qiu did not have the elixir the Great Khan sought, Rogaski writes, “The Daoist master [offered]a regimen that could strengthen the body’s resistance to illness.”

The advice included “a diet harmonised with the seasons” as well as “quiet meditation” and warned against the “dangers of sex”. That pearl of wisdom was conveniently ignored by a man for whom harems, concubines and the rape of enemy wives was the norm. According to an international genetic study published in 2003, the Great Khan may have as many as 16 million descendants living today in the lands of the former Mongol empire.

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But 50 years later, the Mongol Yuan dynasty would be in trouble. The Mongols adapted poorly to sedentary life, preferring to live in tents rather than the palaces of Dadu (Beijing). Despite Kublai Khan’s Confucian pretensions, he continued to banquet like a Mongol, but without hunting he grew from the “well-formed” figure Marco Polo met to an obese ruler afflicted by severe rheumatism and gout. The Mongol aristocrats squabbled, their mastery of siege warfare no apprenticeship for Chinese statecraft and they were resented by the majority Han Chinese.

But what really plagued Yuan China was, well, plague. We don’t know if the virulent strain of bubonic plague that ravaged China in the 1330s was the Black Death that crept into Europe in the 1340s and killed two-thirds of the population, though a similarly horrific mortality rate in China suggests it was.

Fourteenth century Europeans often called it “the pestilence from the East”. Given the timing of the disease, it was likely introduced to China via Himalayan horsemen, then travelled down the recently opened Silk Road. Hubei province lost 90 per cent of its population, according to historian Jonathan Fenby. Plague and other epidemics saw the population decline under the Mongols from an estimated 110 million to 85 million by the time they lost power, in 1368, after a series of popular uprisings against China’s ancient foes: nomads and disease.
The early Ming dynasty that followed was a prosperous period epitomised by the voyages of
Admiral Zheng He, who famously sailed the South China Sea and Indian Ocean projecting Chinese state power to the known world. But as during any stable epoch, the population spiked, a rise accompanied by frequent outbreaks of measles and smallpox.

Plague inspectors in Hong Kong in August 1890; the disease broke out in Western district and continued sporadically until the 1920s. Photo: Getty Images

“In 1407, 78,400 died from epidemics in Jiangsu and Fujian provinces alone,” writes Louise Levathes in When China Ruled the Seas (1994). And so Zheng’s fourth expedition had clandestine motives, namely to collect medicinal herbs and cures from the markets of Sumatra, Malacca and Ceylon, and take them back to China to help heal the sick.

When the Portuguese sailed into the same ports less than a century later, they heard stories of the great Chinese fleet that had preceded them. When they arrived in South China, in 1513, the Celestial Kingdom appeared to live up to its lofty reputation. Accounts from the time credit the Chinese with being civil and clean. Adventurer Galeote Pereira wrote, “They feed with two sticks, refraining from touching their meat with their hands, even as we do with forks, for which respect, they less do need any tablecloths. Neither is the nation only civil at meat, but also in conversation and in courtesy they seem to exceed all.”

Such praise helped provoke a mania for chinoiserie in 17th century Europe. Commodities such as fine tea, porcelain and silks helped engender an imagined oriental heaven, free from the suffering of disease-ridden Europe.

When Europeans finally did intrude on China, in the wake of British gunboats at the conclusion of the first opium war, in 1842, their elevated opinion of the Chinese had turned to arrogant contempt. They regarded the Qing empire as being home to godless heathens, dirty and diseased, and “in need of foreign salvation and admini­stration”, as Beijing-based historian Jeremiah Jenne explains the pretext for carving up China.

Superstition was so rife in China that fighters in the 1899-1901 Boxer Rebellion relied on amulets for protection. Photo: Getty Images
The imperial interlopers established sheltered com­munities, often on islands, away from the “natives” who spat and smoked opium, much of which was imported by Europeans. Accounts at the time express revulsion for the smells and “miasmas” endemic to China’s overcrowded cities. Cholera outbreaks were frequent and misery was a virtue to be endured.

The Chinese appeared so burdened by history as to be blind to the light of modernity – slaves to injudicious Manchu overlords and superstitious beyond comprehension. When sick, they prayed at the Medicine King Temple or drank bitter herbal concoctions. They believed sacred amulets could protect the wearer from harm, as evidenced during the catastrophic Boxer Rebellion of 1899-1901, when northern Chinese peasants rose up against Christian missionaries and Western merchants, leading to their wholesale massacre and the sacking of Beijing’s Summer Palace by British and French soldiers.

Feeding the prejudice, two outbreaks of plague in late-Qing China rocked the world. What the Chinese called the “rat epidemic” emerged in 1855 in Yunnan province, where the Han Chinese had been moving in great numbers to mine tin. Ethnic tensions between minority peoples, especially Hui Muslims, and the newly arrived Han, erupted into rebellion. The Qing government sent troops to quash the revolt and they returned infected with the disease. Within weeks, it had killed 60,000 people in Guangzhou, then in 1894, it spread to Hong Kong, Britain’s new global entrepôt.

“From Hong Kong steamships carried the plague bacilli to all the major seaports in the world,” writes Carol Benedict in her 1996 book, Bubonic Plague in Nineteenth-Century China. “In most cases, the disease did not spread further inland, but in India plague claimed some 6,000,000 victims between 1898 and 1908.”

Swiss-French scientist Alexandre Yersin. Photo: Institut Pasteur

Plague would periodically resurface in Hong Kong and India until the 1940s. During what is now dubbed the “third plague pandemic”, in the 19th century, Europeans, North Americans and the Japanese were generating new mecha­nisms to combat illness. This scientific revolution was to liberate mankind from the virulent by-products of settled civilisation. No more leech therapy or bloodletting.

The pioneering work of bacteriologists such as Frenchman Louis Pasteur (1822-95) and German Robert Koch (1843-1910) were giving name and form to human “curses”, not as qi or miasmas, but as germs. By identifying the enemy, humans would learn how to fight it.

With people dying in such large numbers in Asia, the race was on to identify the source of the plague. It was won by Swiss-born bacteriologist Alexandre Yersin, working in a straw hut in Hong Kong. According to Dobson, he “procured cadavers of plague victims to study by bribing English sailors who had the job of disposing of bodies”. In 1894, Yersin identified Yersinia pestis, as the lethal bacteria is now known in his honour.

Japanese scientist Masanori Ogata, working in Taiwan, would suggest rat fleas carried the bacteria, a link proved in 1898 by Frenchman Paul-Louis Simond, working in India. The knowledge that killing flea-infested rats slowed the disease’s spread was critical towards overcoming it.

When plague re-emerged in China in 1910 – this time pneumonic plague, born of trade in marmot fur in Manchuria – and spread along its nascent railway network, taking more than 60,000 lives, it spurred new health care innovations. Malaysian-born, English-trained Chinese doctor Wu Lien-teh introduced quarantine, isolation, limits on travel and face masks to bring the outbreak under control by the following year, according to historian Paul French.

The straw hut “laboratory” in Hong Kong where Yersin identified the Yersinia pestis bacteria, which causes bubonic plague and was named for him. Photo: Institut Pasteur

Wu was a brilliant doctor who helped contain a potential pandemic, as well as equipping us with means to hamper future outbreaks. But racialising disease was infectious and prejudices accompanied the measures to curb disease.

As Dobson writes of plague outbreaks in the late 19th and early 20th centuries, “across the world, ports and cities struggled to contain the disease and the situation was, in many ways, reminiscent of older outbreaks, while also linked to newer issues of imperialism and race […] Blame was attached to certain groups – often, in this case, to immigrants, such as the Chinese …”

In 1882, the draconian Chinese Exclusion Act had wrote Sinophobia into law in the United States, while in Britain, in 1912, a struggling writer using the pseudonym Sax Rohmer and trading on racial stereotypes invented Fu Manchu, an opium-sickened criminal mastermind bent on world domination who would embody “Yellow Peril” for decades to come.
Meanwhile, reformers in China were trading a vision of an ill nation to further their political objectives. The term “Asia’s sick man”, which recently saw
three Wall Street Journal correspondents ejected from Beijing, might have been first applied by late-19th century political philosopher Liang Qichao, who translated Western medical texts as a call to arms against China’s antiquated culture. The lines blurred between individual health and that of the country, as Rogaski writes in Hygienic Modernity: “By creating an ideal West that ‘stresses scientific principles in all aspects of life,’ he creates a deficient China that is mired in superstition and disease.”

Liang would inspire generations of revolutionary reformers, including Sun Yat-sen, the political agitator who became the first president of the republic, in 1912; and writer Lu Xun, who studied medicine in Japan before taking up the pen to heal China’s “spiritual sickness”.

Wu Lien-teh, a Malaysia-born Chinese doctor introduced quarantine, isolation, limits on travel and face masks to bring the 1910 outbreak of plague in China under control. Photo: Handout

After the foundation of the People’s Republic of China, in 1949, the quest for scientific modernity would assume the guise of imperial China’s medical quests, collectivised under socialism. Yet progress was hampered by trouble at the top.

“Mao was almost completely ignorant of modern medicine,” wrote the Great Helmsman’s personal doctor, Li Zhisui, in his 1994 memoir The Private Life of Chairman Mao. “His thinking remained prescientific.” Li’s book tells of how Mao washed his teeth with green tea, believed smoking was a breathing exercise, abused sleeping pills and slept with a harem of young women, his “elixir for a long life”.

Mao might have been ignorant of science but he was well versed in history. Li chronicles Mao’s admiration of some of China’s great tyrants, believing everything under heaven had to be conquered, including nature, as expressed by the ancestors who had first sought to restrain the Yellow River. As Mao’s rule became more despotic, it derailed China’s efforts to modernise, medically or otherwise.

In 1958, Mao introduced the “four pests campaign”, when killing rodents, mosquitoes, flies and sparrows assumed a nationwide patriotic fervour. Yet millions of people would die, not from insect bites or rodent-borne disease but from famine as the Great Leap Forward, designed to pole-vault the country forward, failed spectacularly. Even as peasants perished in the fields, provincial cadres reported record yields, unwilling to challenge Mao’s decree. While China has come a long way since Mao’s time, the chairman casts a long shadow.

“Balance” is a concept embedded in some of China’s earliest efforts to combat disease, from the Taoist recog­ni­tion of cosmic harmony to Han-era doctors who prescribed diets by the seasons. But China’s development of the past four decades has been utterly unbalanced. Cutthroat capitalism driven by utopian Marxism is now leading the country to the precipice. When the sacred threshold between the natural and human world is breached, hostile forces are unleashed – exemplified by a stressed pathogen that jumps hosts.

It’s happened before, when neolithic farmers unearthed parasitic worms from the Yellow River flood plains and when miners settled Yunnan to be greeted by the plague.

The Chinese have been shaped by their history and environment to be at once stoical and versatile. But if the world’s oldest surviving civilisation cannot adopt a more harmonious form, one akin to that propagated by Taoist sages three millennia ago, “the disease and despotism, that curse our existence” will continue to plague China.

The Chinese who built America’s Transcontinental railroad are recognised, at last

The First Transcontinental Railroad changed America forever, but thousands of men who had toiled on the tracks were erased from history

On the 150th anniversary of its inauguration, hundreds of Chinese-Americans gather in Utah to set the record straight


Alan Chin 23 May, 2019

New York photographer and activist Corky Lee’s 2019 reenactment of the iconic 1869 photograph, but with the descendants of Chinese railroad workers and other Chinese-Americans. Photo: Alan Chin

Connie Young Yu has put forward her arguments many times. Having been invited by the United States’ National Park Service to celebrate the 150th anniversary of the inaugur­ation of the First Transcontinen­tal Railroad, the writer and historian stands on stage in Promontory Summit, Utah, before 20,000 people, and opens the commemor­a­tions: “My great-grandfather, Lee Wong Sang, was one of the thousands of unsung heroes, building the railroad across the Sierra Nevada mountains, laying tracks through to Utah, uniting the country by rail.

“Many descendants of Chinese railroad workers are here today. This is a far cry from 50 years ago. [Then], my mother, Mary Lee Young, was the only such descendant present. Yet why were the Chinese denied their rightful place in history at the 100th anniversary?” Yu asks.

“Why was Philip Choy, president of the Chinese Historical Society of America, kept from making a presentation on the official programme?”

Choy, who was also an architect, was in attendance at the 1969 ceremony but was denied the five-minute address to the audience he had been promised, in which he planned to acknowledge the contribution made by Chinese labourers. It is said that his slot was instead given to actor John Wayne.

“Because the contribution of the Chinese to the Transcontinental was kept from national memory,” Yu says, answering her own question. “The Exclusion law of 1882 stopped the immigration of Chinese labourers, and denied all Chinese naturalisation to US citizen­ship.”

The iconic photograph taken by Andrew J. Russell on May 10, 1869, in Promontory Summit, Utah, after Leland Stanford, president of the Central Pacific Railroad Company of California, ceremonially drove in the railway line’s golden Last Spike. Despite as many as 15,000 Chinese having worked on the railroad, none are pictured. Photo: Andrew J. Russell

The Chinese Exclusion Act was followed, in 1892, by the Geary Act, which was still more draconian and demonstrated the lengths to which authorities would go to expunge Chinese people from the American experience. Not only were no more Chinese labourers allowed to immigrate to the US, those already in the country were told they had to carry at all times a resident’s permit.


Failure to do so (and few did) was punishable by deportation or a year’s hard labour. “In effect, for 61 years, the law excluded the Chinese from American history.”

Standing a few feet away, listening to her remarks boom from loudspeakers, caressed by a cool breeze, tears well up in my eyes and a chill runs down my spine. As a Chinese-American, I trace my own lineage to a village not a dozen miles from that of Yu’s great-grand­father, in Toishan county, Guangdong province.

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Although my ancestors didn’t work on the American railroad, they too embarked on extraordinary parallel journeys to arrive on the New World’s shores: smuggled in the coal holds of steamships, assuming fictional identities as paper sons and suffering decades of separation from wives and children.

One hundred and fifty years ago, on May 10, 1869, the First Transcontinental Railroad – a 3,077km (1,912 mile) line connecting America’s eastern rail network with the Pacific coast, on San Francisco Bay – was completed.

The rail link would revolutionise settlement of the American West as well as its economy; it would bring the western states and territories into alignment with the northern industrial states and make the transport of passengers and goods from coast to coast quicker and less expensive.

Corky Lee at the Chinese Arch, a natural formation marking the spot where Chinese railroad workers camped in 1869. Photo: Alan Chin

Through traffic began to roll after Leland Stanford, president of the Central Pacific Railroad Company of California (and founder of Stanford University), drove in the Last Spike.

Made of gold – it would later be referred to as the Golden Spike – it was driven home with a silver hammer here, at Promontory Summit, a desolate spot on the high plains in what was then not yet a state.

The steam locomotive, the telegraph and the photo­graph were among the most important developments of the 19th century, and all three played their part in this historic moment. News of the railroad’s completion was dissemina­ted from the site by telegram once Stanford had struck the Golden Spike.

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The soon-to-be iconic photograph of the scene, taken by Andrew J. Russell, followed, splashed across the front pages of newspapers around the world.

The picture shows dozens of railroad executives, government officials and ordinary workers surrounding two steam engines: the Central Pacific’s Jupiter from the west, on the left, and the Union Pacific’s #119 from the east, on the right. Yet despite 12,000 to 15,000 Chinese having laboured on the project from 1863 to 1869, and up to 1,000 having died while doing so, none are pictured.

Their story is part of the oral history that I and other Chinese-Americans were raised with – but official accounts scarcely mention their contribution.

Chinese railroad workers depicted in a mural on a wall in Ogden Union Station, Utah. Photo: Alan Chin
Since 2014, New York photographer and activist Corky Lee has organised an annual restaging of the 1869 photograph, in front of replica locomotives, with descendants of Chinese railroad workers and other Chinese-Americans filling the frame. This year, between 400 and 500 Chinese-Americans have made the pilgrimage, in the largest such gathering to date

“I want to pop the champagne that my grandfather could not,” says John Mark, a descendant of a Chinese railroad worker who has come from California. May Chin Ng, who has driven 3,500km (2,200 miles) from Huntington, New York, says she has come in case the sacrifice made by her ances­tral countrymen is lost “on the wayside of history”.

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Lee has to move the platform and ladder he is using several times to accommodate the chaotic and growing crowd before he can take this year’s photograph.

The joy and sense of delayed justice are palpable and moving. Yet the occasion remains primarily one of contem­porary American patriotism. The Stars and Stripes flies at many spots along the only road to Promontory and Secretary of Transportation Elaine Chao, the first Chinese-American woman of cabinet rank, makes appropriate com­ments with anodyne phrasing: “The Central Pacific Railroad needed industrious, tireless workers and the Chinese workers answered the call with great skill and dedication.”

Secretary of Transportation Elaine Chao. Photo: Alan Chin

It may have been too much to expect her to mention the disciplined and non-violent strike that the railroad workers successfully executed in 1867, as they sought the same pay as their white colleagues, or the anti-Chinese massacres and pogroms in Los Angeles and Wyoming that marred the era. After all, Utah residents and railroad fans from across the country make up the bulk of the large crowd.

The multiracial theatre group that performs As One, a musical retelling of the great narrative, are wearing the wrong kind of Chinese peasant hats and Utah senator Mitt Romney seems to be already politicking for another cam­paign.

A large bronze statue of a bison is unveiled; a group of children parade around, wear­ing red neckerchiefs in an evocation of the Wild West; and a “sheriff’s posse” make for picturesque perimeter guards on horseback. The event feels like a middle American county fair rather than a cathartic coming to terms with past injustices.

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Nevertheless, “I think [the Chinese labourers] would feel so happy,” Margaret Yee tells me. She is a Chinese-American resident of Salt Lake City who had great-grand­fathers on both the paternal and maternal sides who worked on the railroad.

“They had no idea they could transform the USA. The Chinese built the railroad, and the railroad built America. Up in the sky they are smiling over us.”

Above us, the day’s celebrations conclude with four Air Force fighter jets roaring past, over bursting fireworks, as a brass band plays the national anthem.

Connie Young Yu shows her parents’ photographs from 50 years earlier. Photo: Alan Chin

Members of a “sheriff’s posse” act as perimeter guards at this year’s gathering. Photo: Alan Chin

Margaret Yee, a descendant of 19th century railroad workers. Photo: Alan Chin

A restored steam engine at Ogden Union Station. Photo: Alan Chin

Actors representing 19th century railroad workers and other characters perform a musical about the railroad’s construction. Photo: Alan Chin

Children in period costume attend the celebrations. Photo: Alan Chin

The bison sculpture Distant Thunder, by Utah artist Michael Coleman, is unveiled as part of the 2019 ceremonies. Photo: Alan Chin

Alan Chin was born and raised in New York City’s Chinatown. Since 1996, he has worked in China, the former Yugoslavia, Afghanistan, Egypt, Iraq, Central Asia, and Ukraine, as well as extensively in the United States. He is a contributing photographer to The New York Times and many other publications, an Adjunct Professor at the Columbia University Graduate School of Journalism, and his work is in the collections of the Museum Of Modern Art and the Detroit Institute of Art. The New York Times twice nominated Alan for the Pulitzer Prize for coverage of the Kosovo conflict in 1999 and 2000.

How East Asians in the UK are fighting back against a rising tide of racism

Racism and prejudice

Post-Brexit bigotry was already escalating when the coronavirus pandemic unleashed a new wave of Sinophobia. Rather than retreat, the UK’s Asian community is lobbying the media, public figures and politicians to promote solidarity


Simon Parry Published:  31 May, 2020


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David Tse Ka-shing was taking his daily exercise, jogging through Soho in the heart of London, in the early days of Britain’s coronavirus lockdown in March, when he found himself at the receiving end of a racist outburst that dragged him back to the darkest times of his childhood.

The Hong Kong-born actor and director had just passed a white, female pedestrian in her early 30s at a safe distance when she barked at him to “F*** off back to China.” When Tse turned back in dismay and replied, “I’m British. How dare you?”, she yelled, “Take your f***ing virus home with you.”

For Tse, 55, who moved to England with his family at the age of six, the foul-mouthed outburst was a shocking wake-up call to a tide of racism unleashed by the coronavirus pandemic in his adopted country.

“The UK was incredibly racist when I grew up here in the 70s and 80s,” he recalls of his boyhood in the West Midlands town of Leominster. “We lived in a small market town and my parents ran a fish-and-chip shop and Chinese takeaway. Every Friday and Saturday night we used to get racist behaviour from drunken customers. They would come in to be served and at the same time abuse us.

Tse with his mother, Tse Lai Oi-lin, and father, Tse Siu-kay, outside their Golden Dragon takeaway in Leominster, in the 1980s. Photo: Red Door News

“This happened throughout my childhood because me and my siblings all worked in my parents’ takeaway when we were old enough. My parents were somewhat shielded because they were working in the kitchen, so we bore the brunt of it.

“I remember thinking, ‘Why the hell did we ever leave Hong Kong?’ I grew up on
Cheung Chau, part of a warm, loving, interconnected large community of family and friends. I had an idyllic childhood and then I arrived in this country that was cold, grey and unwelcoming.”

Tse came to believe Britain had grown more civilised and tolerant. He was the founding artistic director of the Yellow Earth Theatre, which showcases East Asian talent, and has directed productions at the Royal Shakespeare Company and the Barbican.

The unprovoked hostility in Soho “brought out the anger in me because you scratch the surface, and suddenly you’re back to a much darker period of British cultural history, when people were overtly racist”, he says. “I think people here are still racist towards Chinese and East Asians, although there was a grudging respect because of the way China has advanced and become an economic superpower. All that seems to have changed with
Covid-19.”

Tse’s experience is far from unique. In the first three months of 2020, police say there have been at least 267 recorded hate crimes against Chinese, East Asian and Southeast Asian people in Britain, compared with 375 in the whole of 2019. Thousands more are believed to have gone unreported.

A survey of more than 400 people of these ethnicities living in Britain found more than a third had experienced racism in public places since the beginning of the outbreak. Researchers warn incidents are likely to increase as the lockdown is lifted.
In a matter of weeks, a country mostly seen as diverse, tolerant and generally welcoming has become a toxic mixture of post-
Brexit racism and Sinophobia, a sometimes menacing place for a resident population of more than 430,000 Chinese people, as well as more than 120,000 Chinese students at British universities.

The threat was most vividly illustrated in early March by a vicious attack on Singaporean student Jonathan Mok, who was left with a black eye, a broken bone below his eye and a swollen face after being attacked by a two teenagers in Oxford Street, just a few minutes’ walk from where Tse would later be verbally abused. Mok told police that as the teenagers attacked him, one shouted, “I don’t want your coronavirus in my country.”

Jonathan Mok posted this picture of his injuries on Facebook after the Singapore student was attacked in Oxford Street, London. Photo: Facebook / Jonathan Mok

Now a group of prominent Chinese, East Asians and Hongkongers living in Britain have banded together to fight the rising tide of attacks and discrimination. CARG –
the Covid-19 Anti-Racism Group – has launched a petition calling on
Prime Minister Boris Johnson to make a clear declaration that the British government “deplores racism and hate crimes arising from Covid-19 against British East Asian people and international students in our country”.

The group also issued a statement calling on the media, public figures and political leaders to emphasise “solidarity, courage and mutual support across all communities rather than feed hostility, division and racism”.

The depth of concern among Chinese and East Asian communities in Britain can be seen in the messages posted by people signing up to CARG. “I’m living in fear for my children and me because of the rising hate crimes,” wrote one. “I’m very worried about my future as a British Chinese living in the UK,” wrote another.

“We’ve had Brexit already so there’s a lot of racist anti-immigrant thinking in this country and now it’s being stoked further,” says Tse, a founding member of CARG. “It is a very dangerous time we are living in. Some Hong Kong students might want to think twice about coming here. I wouldn’t want Hongkongers and mainland Chinese to put their lives at risk. It’s only a matter of time before this Brexit ‘Britain First’ toxicity affects one of us very badly.

They have racialised a disease and they are promoting Sino­phobic propaganda, echoing what the Nazis did in Germany against the Jews

David Tse
“They are playing the racecard and scapegoating. They have racialised a disease and they are promoting Sino­phobic propaganda, echoing what the Nazis did in Germany against the Jews. People are angry. It’s like the 1930s in the sense that the economy is going to tank and people are listening more to extremist voices. Propa­ganda works, especially when people are hurting.”

At the root of the problem, Tse believes, is the fact that while Asian countries have handled the coronavirus effec­tively, Britain’s approach has been marred by “complacency, negligence and incompetence”. He says, “It shows the resi­dual colonialism, arrogance and the notion they knew better because they were more advanced and more civil­ised.

“They were looking down their noses and treating it as a foreign disease that could not possibly affect plucky little Britain. We had nine weeks to prepare and throughout that time I was aware of the severity of the outbreak because all my family and friends in Hong Kong were WhatsApping me on a daily basis. But the government here was just twiddling its thumbs.”

In April, arts patron and CARG founding member Geoff Leong had all four tyres on his Mercedes slashed outside the house he shares with his wife, Marie-Claire, and their three children in north London.

Geoff Leong with wife Marie-Claire. Photo: Red Door News

The founder of Dumplings’ Legend restaurant, in London’s Chinatown, a favourite among celebrities and royalty, believes his car was targeted by someone who knew he was Chinese. He responded by writing the word “Why?” on each damaged tyre and posting a message on the car asking: “How is my NHS (National Health Service) doctor wife going to get to work today?”

“We have to stop this,” Leong says. “There must be no more of this prejudice. People have to speak with a strong voice against race crime, not just put their heads down and ignore it.”

He noticed attitudes to Asians in London had begun to change when he saw a woman stepping to one side and “staring me out” in a shop before the lockdown began. “It was like a comic scene at first,” he says. “Another time, a couple were walking their dog and saw me approach and literally dragged their dog aside to get it away from me – and this was before social distancing was introduced.”

Soon after, Leong’s 12-year-old daughter was shouted at by a woman in their local supermarket and Leong “went back to the shopkeeper who had seen it happen and I said it was really wrong and that you need to stand up to people who do these things”.

Leong with Stephen Fry (second from right) in London, in 2017. Photo: Red Door News
Having moved to Britain from Hong Kong at the age of 10, to attend boarding school, Leong says the atmosphere in London is markedly different now. “London is a very diverse, metropolitan city, people know about political correctness, but the agenda changed when Brexit came and when Trump came. Now, people are thinking, ‘You look Chinese, you look East Asian, you must have Covid-19.’ That is absolutely wrong and we have to stamp this out.”

An early focus of CARG’s campaign were reports in the British press that they say racialised Covid-19 and created “a climate of fear, anger and hatred” towards British Chinese and East and Southeast Asian communities. References to the pandemic as “the Chinese virus” and attempts by the government to deflect criticism of its failure to prepare for the coronavirus’ arrival have triggered racist attacks and attitudes, the group claims.

British-born Chinese Pek-san Tan, who works as head of press at the London Chinatown Chinese Associ­ation and whose parents-in-law are from Hong Kong, is concerned about the potential long-term impact of “casual racism” on her children, aged five and three.

Before schools closed and the lockdown began, young children were playing games of coronavirus “it” in some primary school playgrounds and singling out Asian pupils, she says. “I had seen what was happening and I didn’t think young impressionable minds should be subjected to that because you don’t know what psychological effect it will have on them in the future.”

A shop owner outside her business in Holloway Road. Photo: Alex Hofford

Since the outbreak began, Tan has not taken her children on public transport. Fortunately, her children were at home when she was confronted by three girls who verbally abused her as she walked through a London Underground station with an elderly relative in February. “They started swearing about the coronavirus and using the worst expletives you can imagine,” she says. “I told them they were being ignorant and that the virus doesn’t discriminate.”

Minutes later, as she spoke on her phone to the British Transport Police to report the incident outside the station, Tan was subjected to a second assault. “A well-dressed couple came towards me and the man walked right up to me and coughed in my face,” she says.

Tan says it is important to confront Sinophobia early to stop it spreading. “I know the Chinese com­mu­nity are having it really bad now but I look to other communities in the country – my Muslim friends or my black friends, who have a whole history of racism against them – and I think this is the poem And then they came for me.

“What we are doing with CARG is firefighting an immediate issue in our own city, because we are British citizens and this is our home, and I can’t bear to see my countrymen descend into this sort of discrimination.”

David Tse. Photo: Red Door News

This rising tide of race attacks and Britain’s inability to contain it could have an impact on the number of Chinese and East Asian students who sign up for universities in the country. More than 120,000 attended in the last academic year – a 30,000 increase on 2014-15 – but it is unclear how many will return in the autumn.

For now, at least, it appears racism is not their biggest worry, according to Tan, who has spoken to friends with children at British universities. “The way they see it is that racism is everywhere and their biggest concern is whether the UK health care system can sort itself out and people can learn to wear masks,” she says.

Whether the Covid-19 racism coursing through Britain outlives the pandemic or dies away with it remains to be seen. Whatever happens, walking away is not an option for Tse and many others for whom Britain has been home for decades.

“If I were to leave now and go back to Hong Kong, it would feel like running away from a problem that needs to be resolved,” he says.

Instead, when he found himself confronted by bigotry in Soho, he made sure that – unlike during his days behind the counter in his parents’ takeaway – he wasn’t going to let a racist have the last word. “When she had finished yelling at me, I said, ‘F*** your f***ing racism and your f***ing paranoia,’” he says. “She seemed quite shocked that a Chinese person was assertive enough to answer her in the same way she had spoken to me.”

A chronology of racism – ‘We are not welcomed’

January 30 A female Chinese student in Sheffield, where there are 8,000 Chinese students, is shoved and abused in the street for wearing a face mask. Sarah Ng, from the Sheffield Chinese Commu­nity Centre, says the student was following advice from the media in mainland China and Hong Kong to wear a mask but said the sight of them added to a sense of “panic” in the population.

“We need to put out a balanced message of under­stand­ing about why Chinese students are wearing masks,” she suggests.

February 3 Two Asian students aged 16 and 17 are pelted with eggs in Market Harborough, Leicester­shire. University of Leicester stu­dents also report being subjected to racist attacks for wearing masks.

February 8 Financial worker Pawat Silawattakun, 24, from Thailand, is assaulted and robbed as he gets off a bus in Fulham Road, London, by two teenagers who punch him, breaking his nose, and run away with jeers of “corona­virus”. “It’s made me very wary. It isn’t just a robbery. There’s also knowing I’ve been targeted because of my ethnicity,” he says.
A woman wears a mask during Lunar New Year celebrations in London’s Chinatown, on January 26. Photo: AFP
February 9 A 28-year-old Chinese woman in Birmingham is accused of having coronavirus, called “a dirty c***” and told to “take your f***ing coronavirus back to China”. An Indian friend of the woman, who steps in to protect her, is punched unconscious and hospitalised.

In another incident in the city, a Chinese student is reportedly punched in the face for wearing a face mask and suffers a dislocated jaw. A spokeswoman for the Birmingham Chinese Society says: “There has always been abuse. The virus has given some individuals a reason for that abuse.”

February 24
Singaporean student Jonathan Mok, 23, is left bleeding and bruised after being beaten up in Oxford Street, London, by a gang of four teenagers who shout: “We don’t want your corona­virus in our country.” Two boys aged 15 and 16 are later arrested for racially aggravated assault. Mok says: “I just think it’s a pity to have such experiences taint the image of this beautiful city with so many nice people.”

March 5 A PhD student from China studying at Scotland’s Glasgow University has his clothes torn by a gang of three attackers, who shout “coronavirus” at him. Politician Sandra White says: “To attack an innocent person in the street for no other reason than sheer ignorance is utterly appalling.”

Police CCTV pictures show the two suspects in Jonathan Mok’s attack. Photo: MET / Red Door News

March 12 A teenager spits in the face of a Chinese takeaway owner in Hitchin, Hertfordshire, shouting: “Do you have coronavirus? Do you have coronavirus?” The owner’s daughter, Sharon So, says: “We are worried for my father’s health. What if that boy had the virus? He spat in my dad’s face – my dad could easily be infected.”

March 20 Four Chinese people in their 20s wearing face masks are attacked in Southampton, in southern England, by youths aged 11 to 13 in what police described as a racially aggravated attack linked to the coronavirus outbreak.

March/April Students around Britain report being attacked and abused for wearing face masks. A 24-year-old Chinese postgraduate student in Manchester describes being targeted by a passing car while shopping with a friend: “They rolled down the window and sneezed at us and then laughed.” Some students have stopped going out because of the threat of abuse. “I feel like an outsider,” one says. “We are not welcomed.”