An account of the plague which raged at Moscow, in 1771

by Charles de Mertens

This idea of security, which was countenanced by the before-mentioned state-physician, Dr. Rinder, continued until the month of March. The medical consultations ceased. In spite of all our efforts to the contrary, every kind of precaution was neglected in the city; it was only at the military-hospital that, by order of the Empress, the means of prevention were still observed; in consequence whereof the plague was entirely suppressed there, after twenty-four persons had been seized with it, only two of whom recovered[10]. Six weeks after the death of the last of them, all their clothes, beds, &c. together with the house, to which they had been removed, and which was built of wood, were burnt. The hospital was opened again at the end of February.

The generality of mankind judge of things by events only; and will never believe that the plague is among them, until they have certain proof thereof in the number of funerals[11]. It is owing to this and other mistaken notions, that the plague is not put a stop to in the beginning; at which period it may be compared to a spark which might easily be extinguished, but which, if left to itself, bursts out into a conflagration which nothing can resist.

The opinion which went to assure the inhabitants that they were safe from the plague, was very generally believed, as in such cases almost always happens[12]. It only remained for us to console ourselves with the consciousness of having discharged our duty faithfully, and to the best of our abilities. Would to God that the business had stopped here, and that what afterwards took place had not confirmed the truth of our assertions. We should not then have beheld the dreadful destruction of so many of our fellow-creatures, nor have witnessed the most horrid of all public calamities.

On the 11th of March we are again convened at the Board of Health. In the centre of the town there was a large building used for manufacturing clothing for the army; three thousand persons were employed in it, nearly a third part of whom, of the most necessitous class, occupied the ground-floors; the rest, after working there the whole day, returned in the evening to their respective homes, in different parts of the town. Dr. Yagelsky, at that time second physician to the Military Hospital, whom the Governor-General had sent to the manufactory in the morning, brings word that he had found several patients, (eight to the best of my recollection) labouring under the same disorder, (accompanied with petechiæ, vibices, carbuncles, and buboes) which he had seen three months before at the military hospital; and that on seven dead bodies which he had examined, he had perceived similar appearances. On enquiring of the workmen in the manufactory, in what manner, and how long this disorder had made its appearance among them, he was told that a woman who had a swelling in her cheek, had betaken herself to one of her relations who lived in the manufactory, and had died there; and that, from that time, one or other of them was every day taken ill of the disorder. They further stated, that from the period above-mentioned to the present day, they had lost one hundred and seventeen persons, including the seven dead bodies not yet interred. This account given by Dr. Yagelsky, was corroborated by two other physicians, who had been sent the same day to examine the patients and dead bodies.

In a Memoir addressed to the Governor-General and the Senate (by whom we had been called together) we renew our declarations, that this disorder is the plague[13]; and we advise them to remove out of the town all the persons dwelling in the manufactory, taking care to separate the sick from the healthy; that they should order the clothes and furniture of the dead and infected to be burnt; and that the strictest search should be made to find out whether the contagion existed in any other part of the city. The inhabitants are again seized with a panic; and they now too well perceive the consequences of their neglect of the precautions recommended. We were thirteen physicians at this meeting[14], two of whom, who three months before had agreed with us that the disease which broke out at the military hospital was the plague, now said that the present disorder was not the plague, but a putrid fever; an opinion which they enforced in a separate conference with the Senate. These two physicians (Drs. Kuhlmann and Schiadan) who still differed from us in opinion, had been led into their error, by observing that the number of deaths in the town was not greater than usual, but rather less than in the preceding years, and that there were very few people ill.

Some days after, being summoned to meet the other physicians and surgeons at the senate, where each of us was required to deliver our sentiments explicitly, I affirmed, in the most solemn manner, that I was thoroughly convinced that the disease under consideration was the plague; ten of my colleagues were of the same opinion, and the two others before mentioned still maintained the contrary[15]; nevertheless, they admitted the propriety of adopting precautions against a disorder, which, though not the plague, was of a contagious nature.

The first day (the 11th of March) is spent in deliberations. The infected building is shut up, and guards are placed there, to prevent any person from going in or coming out. Several make their escape through the windows, and the rest are removed out of the town during the night, the uninfected to the convent of St. Simon, and the infected to the convent of St. Nicholas, one of which is distant six, and the other eight versts[16]; from Moscow. These convents are surrounded with high walls, and have only one entrance. As it was discovered that some had died among the workmen who lived in their own houses, these were taken to a third convent, situated in like manner out of the town. Orders were given to the surgeons who had the care of all these people, to transmit daily to the Board of Health a list of the sick and dead. A committee of physicians was appointed to regulate every thing concerning the treatment of the sick, and the keeping of those who were performing quarantine free from infection; and great attention was paid to the interment of the dead. Drs. Erasmus and Yagelsky (now no more!) were entitled to great praise for the manner in which they acquitted themselves in this business. When any one of those who were under quarantine was taken ill, he was put in a separate room, and kept there until the symptoms of the plague shewed themselves, when he was conveyed in a carriage, by persons hired for that purpose, to the pest-house, viz. the convent of St. Nicholas.

The public baths, where the people are accustomed to go, at least once a week, were shut up. The town was divided into seven districts, to each of which one physician and two surgeons were appointed, for the purpose of examining all the sick as well as the dead bodies; in which business police-officers were joined with them. It was forbidden to bury the dead within the city; proper places for burying-grounds were fixed upon at some distance from the town. It was ordered, that whenever any one of the common people should be seized with the plague, he should be sent to the hospital of St. Nicholas, and that, after burning his clothes and furniture, those who had been living in the same apartment should be detained for the space of forty days in some buildings appropriated to that purpose out of the town; that if the like occurrence should happen in the house of a principal inhabitant or person of rank, all the servants who had been in the same room with the patient should perform quarantine, and that the master, together with all his family, should remain shut up in his own house for the space of eleven days. All this was sanctioned and passed into the form of a law by a resolution of the Senate. General Peter Demitrewich de Yeropkin, not more distinguished by his birth and valour than by his polished manners and humane disposition, was appointed by the Empress, Director-General of Health.