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01-03-2022 | Plague | Original Research

Pandemic Patterns: How Artistic Depictions of Past Epidemics Illuminate Thematic and Structural Responses to COVID-19 Today

Authors: Marta Hanson, PhD, Lauren Small, PhD

Published in: Journal of General Internal Medicine | Issue 4/2022

Abstract

From the beginning of recorded history, human beings have encountered epidemics. They have also memorialized these events, which can be deeply traumatic and scarring, in visual art and literature. In this article, we look at a selection of artistic depictions of past epidemics in Western culture in light of what they can teach us about COVID-19 today. Our analysis reveals that while responses to epidemics are culturally bound to specific times and places, they also share common features. What surfaces again and again are pandemic patterns: persistent themes, such as divine revelation, “othering,” freedom, and exile, girded by a four-part dramaturgical structure as originally articulated by medical historian Charles Rosenberg. We argue that our response to COVID-19 is neither uniformly progressive nor linear, but rather circular or overlapping in time and space. COVID-19 may feel new to us, but in important ways, it is quite old. It has awoken an ancient and durable human script, laid out and reenacted over thousands of years. Understanding these pandemic patterns may help clinicians and health policy makers alike better craft a response to COVID-19 today and to the future epidemics that undoubtedly will come.

Archives of Community Medicine and Public Health. COVID-19: an unprecedented crisis that needs an extraordinary response. Available at: https://www.peertechzpublications.com/articles/ACMPH-6-175.php. Accessed January 30, 2021.

Crosby A W. America’s forgotten pandemic: the influenza of 1918. Cambridge: Cambridge University Press; 2003. https://doi.org/10.1017/CBO9780511586576

Johns Hopkins University and Medicine Coronavirus Resource Center. Available at: https://coronavirus.jhu.edu/map.html. Accessed October 10, 2020.

Fissell M. Pandemics come and go. The way people respond to them barely changes: Coronavirus is hitting our society the same way the bubonic plague hit England in 1665. Washington Post. 7 May 2020. Available at: https://www.washingtonpost.com/outlook/2020/05/07/coronavirus-bubonic-plague-london/. Accessed on January 30, 2021.

Freeland J. The magnifying glass: how Covid revealed the truth about our world. The guardian. Available at: https://www.theguardian.com/world/2020/dec/11/covid-upturned-planet-freedland. Accessed April 6, 2021.

The Iliad of Homer, rendered into English prose for the use of those who cannot read the original. Trans. Samuel Butler. London/New York/Bombay: Longmans, Green, and Co.; 1898. Book I: Achilles and Oalchas 3, 23. Full 1898 text available from babel.hathitrust.org Available at: https://babel.hathitrust.org/cgi/pt?id=coo1.ark:/13960/t1zc8h28j&view=1up&seq=7. Accessed January 30, 2021.

Zechariah 1: 8–11. The New Jerusalem Bible. New York: Doubleday; 1985:1593. Available at: https://babel.hathitrust.org/cgi/pt?id=umn.31951p00477700i&view=1up&seq=7. Accessed January 30, 2021.

Ezekiel 14:21. The Jerusalem Bible. New York: Doubleday; 1985:1419–1420. Available at: https://babel.hathitrust.org/cgi/pt?id=umn.31951p00477700i&view=1up&seq=7. Accessed January 30, 2021.

Revelation 6:1–8. The New Jerusalem Bible. New York: Doubleday; 1985:2036. Available at: https://babel.hathitrust.org/cgi/pt?id=umn.31951p00477700i&view=1up&seq=7. Accessed January 30, 2021.

10.

Dürer A. The Four Horseman of the Apocalypse. Available at: https://commons.wikimedia.org/wiki/File:Albrecht_d%C3%BCrer,_i_quattro_cavalieri_dell%27apocalisse,_1497-98,_02.jpg. Accessed September 2, 2021.

11.

West, B. Death on The Pale Horse. Available at: https://commons.wikimedia.org/wiki/File:Benjamin_West_-_Death_on_the_Pale_Horse_-_79.33_-_Detroit_Institute_of_Arts.jpg. Assessed September 2, 2021.

12.

Blake W. Death on a Pale Horse. Available at: https://commons.wikimedia.org/wiki/File:William_Blake_-_Death_on_a_Pale_Horse_-_Butlin_517.jpg. Accessed September 2, 2021.

13.

Vasnetsov V. Four Horsemen of Apocalypse. Available at: https://commons.wikimedia.org/wiki/File:Apocalypse_vasnetsov.jpg. Accessed January 30, 2021.

14.

Porter KA. Pale Horse Pale Rider. Florida: Harcourt Brace; 1939:143.

15.

Archibald A. The four horsemen of the apocalypse are tiring of Trump. Pax on both houses. Available at: http://paxonbothhouses.blogspot.com/2018/11/cartoon-four-horsemen-of-apocalypse-are.html. Accessed January 30, 2021.

16.

Exodus 30: 1. The Jerusalem Bible. New York: Doubleday; 1966:93–94.

17.

Numbers 16: 46–48. The Jerusalem Bible. New York: Doubleday; 1966:141–187.

18.

Camus A. The Plague. New York: Random House; 1948:92.

19.

Gov. John Bel Edwards calls for three days of prayer, fasting because of COVID-19. WDSU News. 20 July 2020. Available at: https://www.wdsu.com/article/gov-john-bel-edwards-calls-for-three-days-of-prayer-fasting-because-of-covid-19/33368262. Accessed September 9, 2020.

20.

Covid-19 prayer resources. The Salvation Army. Available at: https://www.salvationarmy.org/ihq/covid19-prayer. Accessed April 6, 2021.

21.

Covid-19: Faithful respond to Pope’s invitation to pray on May 14. Vatican news. Available at: https://www.vaticannews.va/en/church/news/2020-05/covid-19-faithful-respond-to-popes-invitation-to-pray-may-14.html Accessed on April 6, 2021.

22.

Howe A. Justices revive religious groups’ attempts to block COVID-related restrictions in Colorado, New Jersey. Supreme Court of the Unites States Blog. 15 December 2020. Available at: https://www.scotusblog.com/2020/12/justices-revive-religious-groups-attempts-to-block-covid-related-restrictions-in-colorado-new-jersey/. Accessed on January 4, 2021.

23.

Barmania S, Reiss MJ(2020) How religion can aid public health messaging during a pandemic: Religious leaders have distinctive networks that can help disseminate important messages in the COVID-19 crisis. Nature India. 20 May 2020. Available at: https://www.natureasia.com/en/nindia/article/ https://doi.org/10.1038/nindia.2020.87. Accessed January 30., 2021.

24.

Thucydides. History of the Peloponnesian War. Trans. Richard Crawley. London: J. M. Dent & Sons, Ltd; New York: E. P. Dutton & Co; 1914: Book II, Chapter VII, 48 [129].

25.

Foa A. The Jews of Europe After the Black Death. Berkeley: Univ of California Pr; 2000: 146. See also Barzilay T. Early Accusations of Well Poisoning against Jews: Medieval Reality or Historiographical Fiction? Medieval Encounters. 2016; 22(5):517–39. doi.org/https://doi.org/10.1163/15700674-12342236.

26.

Mann T. Death in Venice. New York: Random House; 1930:53.

27.

Porter K A. Pale Horse Pale Rider. Florida: Harcourt Brace; 1939:162-163.

28.

Camus A. The Plague. New York: Random House; 1948:35.

29.

Mohan BS, Nambiar V. COVID-19: An Insight into SARS-CoV-2 Pandemic Originated at Wuhan City in Hubei Province of China. J Infect Dis Epidemiol. 2020; 6:146.

30.

White IRW and King KQ. The U.S. has an ugly history of blaming ‘foreigners’ for disease: That attitude can spread more quickly than a virus. Washington Post. 24 March 2020. Available at: https://www.washingtonpost.com/politics/2020/03/24/us-has-an-ugly-history-blaming-foreigners-disease/. Accessed on January 30, 2021.

31.

Nabong P. ‘Trauma upon trauma’: Asian Americans say mental health has suffered amid COVID-19, anti-Asian violence. 9 April 2021 Available at: https://chicago.suntimes.com/politics/2021/4/9/22372260/asian-americans-mental-health-covid-pandemic-violence-chicago-atlanta Accessed on April 9, 2021.

32.

What is the impact of the COVID-19 pandemic on immigrants and their children? OECD policy responses to coronavirus (COVID-19). 19 October 2020. Available at: https://www.oecd.org/coronavirus/policy-responses/what-is-the-impact-of-the-covid-19-pandemic-on-immigrants-and-their-children-e7cbb7de/. Accessed on January 15, 2021.

33.

Robson M. How the rich and famous escape the pandemic. 27 December 2021. Available at: https://www.forbes.com/sites/michelerobson/2021/12/27/how-the-rich--famous-escape-the-pandemic/?sh=255464905521. Accessed April 9, 2021.

34.

Poe EA. The Masque of the Red Death. Available at: https://www.gutenberg.org/files/1064/1064-h/1064-h.htm. Accessed January 30, 2021.

35.

White House hosted Covid ‘super spreader’ event says Dr. Fauci. BBC News. Available at: https://www.bbc.com/news/election-us-2020-54487154. Accessed April 9, 2021.

36.

Peeler KR and S Podolsky. “COVID-19, Asylum, and False Binaries of Detention. Health and Human Rights Journal 9 June 2020. Available at: https://www.hhrjournal.org/2020/06/covid-19-asylum-and-false-binaries-of-detention/ . Accessed July 25, 2021.

37.

Beaubien J. COVID-19’s Global Spread Among The Relatively Rich Has Been Remarkable. National Public Radio, Weekend Edition Sunday. 14 March 2020. Available at: https://www.npr.org/2020/03/15/815828858/coronavirus-and-the-rich-beaubien Accessed July 25, 2021.

38.

Pearkes G. The fight over masks is really a debate over how Americans view our fundamental freedoms. Business Insider. 30 August 2020. Available at: https://www.businessinsider.com/fight-anti-masks-coronavirus-pandemic-freedom-us-politics-2020-8. Accessed April 9, 2021.

39.

Navarro JA. Mask resistance during a pandemic isn’t new—in 1918 many Americans were ‘slackers.’ The Conversation. 13 July 2020. Available at: https://theconversation.com/mask-resistance-during-a-pandemic-isnt-new-in-1918-many-americans-were-slackers-141687. Accessed on January 30, 2021. See also Dolan B. Unmasking history: who was behind the anti-mask league protests during the 1918 influenza epidemic in San Francisco? Perspectives in Medical Humanities (UC Medical Humanities Consortium, May 19, 2020). https://doi.org/10.34947/M7QP4M.

40.

Porter D and R. Porter. The politics of prevention: anti-vaccination and public health in 19^th-century England. Medical History. 1988;32:231–252.

41.

Bayer R. The continuing tensions between individual rights and public health. Talking Point on public health versus civil liberties. EMBO Rep. 2007 Dec 8; 12:1099–1103.https://doi.org/10.1038/sj.embor.7401134. [PMID: 18059307]

42.

Lepore J. How do plague stories end? The New Yorker. 24 March 2021.

43.

Camus A. The Plague. New York: Random House; 1948:71.

44.

Mann T. Death in Venice. New York: Random House; 1930:30.

45.

Mann T. Death in Venice. New York: Random House; 1930:34.

46.

Camus A. The Plague. New York: Random House; 1948:91.

47.

Camus A. The Plague. New York: Random House; 1948:172.

48.

Porter KA. Pale Horse Pale Rider. Florida: Harcourt Brace; 1939:184.

49.

Mann T. Death in Venice. New York: Random House; 1930:47.

50.

Camus A. The Plague. New York: Random House; 1948:77.

51.

Galea S. and SM Abdalla. COVID-19 Pandemic, Unemployment, and Civil Unrest: Underlying Deep Racial and Socioeconomic Divides. JAMA. 2020;324(3):227–228. doi: https://doi.org/10.1001/jama.2020.11132.

52.

Camus A. The Plague. New York: Random House; 1948:177.

53.

Camus A. The Plague. New York: Random House; 1948:37.

54.

Gander J. History tells us epidemics are followed by huge civil unrest for these three reasons. Newsweek. Available at: https://www.newsweek.com/history-epidemics-pandemic-civil-unrest-reasons-1530055. Accessed April 9, 2021.

55.

Lepore J. How do plague stories end? The New Yorker. 3.24.2021. Available at: https://www.newyorker.com/books/page-turner/how-do-plague-stories-end. Accessed April 9, 2021.

56.

Rosenberg CE. What Is an Epidemic? AIDS in Historical Perspective. Daedalus 118.2 (1989): 1–17. Republished as ch. 13 in Rosenberg CE. Explaining Epidemics. Cambridge, England: Cambridge University Press, 1992: 279.

57.

Shapin S. COVID and Community. Los Angeles Review of Books. March 30, 2020. Available at: https://lareviewofbooks.org/article/covid-and-community/. Accessed May 21, 2021.

58.

Jones DS. History in a Crisis – Lessons for Covid-19” N Engl J Med 382:18 April 30, 2020 Available at: https://www-nejm-org.proxy1.library.jhu.edu/doi/pdf/https://doi.org/10.1056/NEJMp2004361?articleTools=true. Assessed May 21, 2021.

59.

Charters E and RA McKay. The history of science and medicine in the context of COVID-19. Centaurus 2020;62:223–233. Accessed at https://onlinelibrary-wiley-com.proxy1.library.jhu.edu/doi/epdf/https://doi.org/10.1111/1600-0498.12311. Accessed May 21, 2021.

60.

Greene JA and D Vargha. How Epidemics End. Boston Review June 30, 2020. Available at: http://bostonreview.net/science-nature/jeremy-greene-dora-vargha-how-epidemics-end. Accessed May 21, 2021.

61.

Landstaff A. Pandemic Narratives and the Historian. Los Angeles Review of Books. May 18, 2020. Available at: https://lareviewofbooks.org/article/pandemic-narratives-and-the-historian/. Accessed May 21, 2021.

62.

Rosenberg CE. Shaping a Pandemic Narrative. Social Research: An International Quarterly 2020; 87(2): 287-288.

63.

Wolfe D. and D. Dale. It’s going to disappear: a timeline of Trump’s claims that COVID-19 will vanish. CNN. 31 Oct 2020. Available at: https://www.cnn.com/interactive/2020/10/politics/covid-disappearing-trump-comment-tracker/. Accessed January 16, 2021.

64.

Zakaria F. Ten Lessons for a Post-pandemic World. New York: W.W. Norton; 2020.

65.

Imhoff R. and PA Lamberty. Bioweapon or a Hoax? The Link Between Distinct Conspiracy Beliefs About the Coronavirus Disease (COVID-19) Outbreak and Pandemic Behavior. Soc Psychol Personal Sci. 6 Jul 2020. Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7342934/. Accessed July 2, 2021.

66.

Saslow E. ‘What are we so afraid of?’ Tony Green, on dismissing, denying, contracting and spreading the coronavirus. 10 October 2020. Available at: https://www.washingtonpost.com/nation/2020/10/10/coronavirus-denier-sick-spreader/. Accessed July 25, 2021.

67.

Rosenberg CE. What Is an Epidemic? AIDS in Historical Perspective. Daedalus. 1989; 118(2):1–17. Republished as ch. 13 in Rosenberg CE. Explaining Epidemics. Cambridge, England: Cambridge University Press; 1992:286.

68.

Porter KA. Pale Horse Pale Rider. Florida: Harcourt Brace; 1939:208

69.

Bulaong O. Reflections in a time of quarantine. Markkula Center for applied ethics at Santa Clara University. Available at: https://www.scu.edu/ethics-spotlight/covid-19/reflections-in-a-time-of-quarantine/. Accessed January 18, 2021.

70.

Manni N. and S. Galea.COVID-19 and Underinvestment in the Public Health Infrastructure of the United States. The Milbank Quarterly. May 2020; 98: DOI: https://doi.org/10.1111/1468-0009.12463 Available at: https://www.milbank.org/quarterly/articles/covid-19-and-underinvestment-in-the-public-health-infrastructure-of-the-united-states/. Accessed July 25, 2021.

71.

Spinney L. Pale Rider: The 1918 Spanish Flu and How it Changed the World. London: Jonathan Cape; 2017.

72.

Cunningham PW. When will 2021 feel normal again? Here’s what eight experts predict. The Washington Post. 4 January 2021. Available at: https://www.washingtonpost.com/politics/2021/01/04/health-202-when-will-2021-feel-normal-again-here-what-eight-experts-predict/. Accessed January 4, 2021.

73.

Yong E. The Deadly Panic-Neglect Cycle in Pandemic Funding. The Atlantic. 24 October 2017. Available at: https://www.theatlantic.com/science/archive/2017/10/panic-neglect-pandemic-funding/543696/. Accessed January 18, 2021.

74.

Camus A. The Plague. New York: Random House; 1948:280.

75.

Schiele E. Portrait of Edith. Available at: https://commons.wikimedia.org/w/index.php?search=Egon+Schiele++portrait+of+edith&title=Special:Search&profile=advanced&fulltext=1&advancedSearch-current=%7B%7D&ns0=1&ns6=1&ns12=1&ns14=1&ns100=1&ns106=1#/media/File:Schiele_-_Edith_Schiele_sterbend_-_1918.jpg. Accessed January 30, 2021.

76.

Moore L. Face Time. The New Yorker. 28 September 2020. Also, Doyle R. Roddy Doyle on writing from the pandemic. The New Yorker. 12 October 2020.

77.

Art in the Time of Corona: A Global Art Project. Available at: https://www.dabart.me/art-in-the-time-of-corona. Accessed January 30, 2021. Burke K. “Some Hoax!” Available at: https://kellyburke-artworks.com/. Accessed September 2, 2021. Painting published in catalogue for exhibition “SOS Planet Earth,” Stola Contemporary Art, Chicago, July 30-Sept 12, 2021. Available at: https://www.amazon.com/dp/B09B7FSJHQ?ref_=pe_3052080_397514860. Accessed September 14, 2021.

78.

Camus A. The Plague. New York: Random House; 1948:161.

Title: Pandemic Patterns: How Artistic Depictions of Past Epidemics Illuminate Thematic and Structural Responses to COVID-19 Today
Authors: Marta Hanson, PhD
Lauren Small, PhD
Publication date: 01-03-2022
Publisher: Springer International Publishing
Keywords: Plague
COVID-19
Published in: Journal of General Internal Medicine / Issue 4/2022
Print ISSN: 0884-8734
Electronic ISSN: 1525-1497
DOI: https://doi.org/10.1007/s11606-021-07214-5

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