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These are the user uploaded subtitles that are being translated: 1 00:00:01,919 --> 00:00:04,630 WILLIAM SHATNER: From the plagues of Egypt 2 00:00:04,796 --> 00:00:06,632 to the black death, 3 00:00:06,757 --> 00:00:08,717 smallpox, 4 00:00:08,842 --> 00:00:10,511 cholera, 5 00:00:10,677 --> 00:00:12,346 and the Spanish flu, 6 00:00:12,471 --> 00:00:16,308 humans have repeatedly faced contagious diseases 7 00:00:16,433 --> 00:00:20,562 that have the power to change the course of history. 8 00:00:21,313 --> 00:00:24,441 We like to think that modern medicine 9 00:00:24,566 --> 00:00:28,153 can protect us against almost everything, but... 10 00:00:28,278 --> 00:00:30,113 is that really true? 11 00:00:30,197 --> 00:00:32,157 Or are we destined to face a future 12 00:00:32,282 --> 00:00:36,745 of ever more potent illnesses 13 00:00:36,870 --> 00:00:40,791 that attack without warning 14 00:00:40,916 --> 00:00:43,919 and can bring civilization to its knees? 15 00:00:44,044 --> 00:00:45,963 Well... 16 00:00:46,129 --> 00:00:47,089 (sucks air through teeth) 17 00:00:47,172 --> 00:00:49,633 ...that is what we'll try and find out. 18 00:00:49,758 --> 00:00:51,635 ♪ ♪ 19 00:01:07,109 --> 00:01:08,860 SHATNER: News reports surface that a new, 20 00:01:08,986 --> 00:01:13,615 highly contagious disease first discovered in Wuhan, China, 21 00:01:13,740 --> 00:01:16,493 is spreading like wildfire. 22 00:01:16,660 --> 00:01:18,912 In a matter of weeks, the lethal virus‐‐ 23 00:01:19,037 --> 00:01:22,499 known as "coronavirus" or "COVID‐19"‐‐ 24 00:01:22,624 --> 00:01:23,959 sweeps the globe. 25 00:01:24,084 --> 00:01:25,794 On March 11, 26 00:01:25,919 --> 00:01:27,629 as the number of infections and deaths 27 00:01:27,754 --> 00:01:29,798 continue to climb, 28 00:01:29,923 --> 00:01:32,551 the World Health Organization declares 29 00:01:32,676 --> 00:01:36,555 that the outbreak has become a worldwide pandemic. 30 00:01:37,681 --> 00:01:40,017 RAJ DASGUPTA: What separates, clinically, 31 00:01:40,142 --> 00:01:44,146 coronavirus from other common viruses such as influenza 32 00:01:44,271 --> 00:01:47,316 is that it knows how to hide itself. 33 00:01:48,275 --> 00:01:53,322 It has what we call a period where you could be asymptomatic. 34 00:01:53,488 --> 00:01:55,449 That means without symptoms. 35 00:01:55,574 --> 00:01:59,119 That's a chance to pass that virus to other people, 36 00:01:59,244 --> 00:02:02,414 keeping the disease going on and spreading. 37 00:02:02,539 --> 00:02:04,958 Most of the time, when you wait for these symptoms, 38 00:02:05,083 --> 00:02:06,585 you've already missed it. 39 00:02:07,544 --> 00:02:09,254 SHATNER: In the wake of the harrowing effects 40 00:02:09,379 --> 00:02:11,298 of the coronavirus outbreak, 41 00:02:11,423 --> 00:02:13,550 scientists have been compelled to reexamine 42 00:02:13,675 --> 00:02:17,638 the nature of viruses themselves. 43 00:02:19,890 --> 00:02:21,975 Viruses are very mysterious, 44 00:02:22,100 --> 00:02:23,935 because you can't see them. 45 00:02:24,061 --> 00:02:26,271 You need a very powerful microscope 46 00:02:26,355 --> 00:02:27,481 to be able to see them. 47 00:02:27,564 --> 00:02:30,776 And we didn't even know that they were around 48 00:02:30,859 --> 00:02:34,154 until relatively recently. 49 00:02:35,405 --> 00:02:38,241 KIRSTEN FISHER: A virus is essentially a bit of nucleic acid, 50 00:02:38,367 --> 00:02:40,077 either DNA or RNA, 51 00:02:40,202 --> 00:02:42,829 encapsulated in some sort of coating. Right? 52 00:02:42,954 --> 00:02:46,667 So it needs to‐‐ it needs to get into another organism 53 00:02:46,792 --> 00:02:50,962 and then essentially hijack that organism's cellular machinery 54 00:02:51,046 --> 00:02:53,674 to make more copies of itself. 55 00:02:55,175 --> 00:02:56,385 DASGUPTA: It needs to 56 00:02:56,510 --> 00:02:59,304 actually take over another living cell. 57 00:02:59,429 --> 00:03:01,723 And whether that's the living cell of a human, 58 00:03:01,848 --> 00:03:03,058 animal, 59 00:03:03,183 --> 00:03:06,436 plant or even a bacteria, 60 00:03:06,561 --> 00:03:07,854 it needs that. 61 00:03:08,021 --> 00:03:10,357 It's making more and more viruses 62 00:03:10,524 --> 00:03:12,442 till that cell is not needed anymore. 63 00:03:14,027 --> 00:03:16,488 FISHER: A virus relies on either 64 00:03:16,655 --> 00:03:20,033 direct transmission through sneezing or coughing 65 00:03:20,200 --> 00:03:21,910 or touching, um, a viral particle 66 00:03:22,035 --> 00:03:23,453 from a person who's expelled it. 67 00:03:25,288 --> 00:03:28,875 Or they rely on a mosquito or some other organism 68 00:03:28,959 --> 00:03:30,627 to be transmitted between people. 69 00:03:31,586 --> 00:03:33,505 And so the density of people 70 00:03:33,672 --> 00:03:37,134 will facilitate quicker spread of viruses, 71 00:03:37,217 --> 00:03:39,386 especially if it's, um, relatively contagious 72 00:03:39,511 --> 00:03:42,514 and‐and easy to‐to transfer from one person to another. 73 00:03:43,348 --> 00:03:45,100 SHATNER: According to experts, 74 00:03:45,225 --> 00:03:46,977 the origins of many viruses 75 00:03:47,102 --> 00:03:50,021 remain shrouded in mystery. 76 00:03:50,147 --> 00:03:51,565 DASGUPTA: It's so difficult 77 00:03:51,690 --> 00:03:54,276 to determine the origin of viruses because, 78 00:03:54,401 --> 00:03:56,570 when you want to study that virus, 79 00:03:56,695 --> 00:04:01,491 you have to separate what is the natural history of that cell. 80 00:04:01,575 --> 00:04:03,410 So one of the important things 81 00:04:03,535 --> 00:04:07,372 that epidemiologists are looking at right now is, 82 00:04:07,539 --> 00:04:09,833 what did we learn from the past? 83 00:04:09,958 --> 00:04:11,251 What should we be looking at? 84 00:04:11,376 --> 00:04:12,919 Where should we be looking? 85 00:04:15,172 --> 00:04:18,800 Some of the earliest records of plagues 86 00:04:18,967 --> 00:04:21,845 are found in ancient India, 87 00:04:21,970 --> 00:04:24,389 China, the Middle East, 88 00:04:24,514 --> 00:04:27,392 and they talk about plagues occurring 89 00:04:27,517 --> 00:04:29,811 before the very first civilization, 90 00:04:29,936 --> 00:04:32,522 around 3200 BC. 91 00:04:32,689 --> 00:04:34,649 SHATNER: Throughout human history, 92 00:04:34,733 --> 00:04:36,902 there have been accounts of devastating afflictions 93 00:04:37,027 --> 00:04:41,531 that defied understanding at the time they happened. 94 00:04:41,656 --> 00:04:45,202 But perhaps a closer examination of these plagues 95 00:04:45,368 --> 00:04:49,331 will provide some lessons about infectious diseases 96 00:04:49,456 --> 00:04:51,666 and how they begin. 97 00:04:53,668 --> 00:04:55,629 (gull calling) 98 00:05:00,050 --> 00:05:03,637 Emperor Justinian sits atop a powerful throne. 99 00:05:03,762 --> 00:05:07,307 But lurking in the shadows is a hidden enemy 100 00:05:07,390 --> 00:05:10,393 about to consume his kingdom. 101 00:05:11,686 --> 00:05:12,979 A plague 102 00:05:13,146 --> 00:05:15,232 started by a bacteria 103 00:05:15,357 --> 00:05:17,067 comes out of the East 104 00:05:17,192 --> 00:05:19,444 and infects. 105 00:05:19,569 --> 00:05:22,113 This simple bacteria 106 00:05:22,239 --> 00:05:24,032 ended up killing 107 00:05:24,157 --> 00:05:29,621 almost one half the population of the entire Old Empire. 108 00:05:29,746 --> 00:05:33,124 With that type of death toll, 109 00:05:33,208 --> 00:05:36,962 the economic and social ramifications 110 00:05:37,128 --> 00:05:38,505 were catastrophic. 111 00:05:38,630 --> 00:05:42,801 Everything that Justinian had tried 112 00:05:42,926 --> 00:05:43,802 was now collapsing. 113 00:05:43,969 --> 00:05:47,597 His military collapsed, his economy collapsed. 114 00:05:47,722 --> 00:05:50,725 And everything that he tried to do 115 00:05:50,851 --> 00:05:52,644 was of no avail. 116 00:05:52,811 --> 00:05:53,812 (coughing) 117 00:05:53,937 --> 00:05:57,148 FISHER: Justinian Plague is caused by a bacterium, 118 00:05:57,232 --> 00:05:58,900 Yersinia pestis. 119 00:05:59,025 --> 00:06:01,653 It can either enter humans directly, um, through‐‐ 120 00:06:01,820 --> 00:06:03,989 from saliva or‐or coughing. 121 00:06:04,072 --> 00:06:05,657 It usually manifests itself 122 00:06:05,740 --> 00:06:07,534 in terms of swelling of the lymph nodes. 123 00:06:07,659 --> 00:06:09,828 The skin turns black and basically dies. 124 00:06:09,995 --> 00:06:11,496 And then there's a progression of fever 125 00:06:11,621 --> 00:06:13,415 and chills and eventual death. 126 00:06:14,541 --> 00:06:18,753 TZADOK: As Justinian's empire was collapsing and breaking 127 00:06:18,879 --> 00:06:21,923 and his military strength was waning‐‐ 128 00:06:22,007 --> 00:06:24,759 because the science of medicine in those days 129 00:06:24,885 --> 00:06:28,138 was far more primitive than we have today. 130 00:06:28,263 --> 00:06:31,057 People cry out, "Why? 131 00:06:31,182 --> 00:06:32,809 Why is this happening?" 132 00:06:34,060 --> 00:06:36,855 SHATNER: The Plague of Justinian, as it became known, 133 00:06:36,980 --> 00:06:40,609 ultimately killed an estimated 50 million people. 134 00:06:40,692 --> 00:06:43,486 The vast Byzantine Empire was crippled 135 00:06:43,570 --> 00:06:45,822 not by an invading army 136 00:06:45,989 --> 00:06:51,453 but by an enemy they could not see and did not understand. 137 00:06:52,370 --> 00:06:53,955 At the time, 138 00:06:54,080 --> 00:06:56,666 since the existence of bacteria and viruses 139 00:06:56,791 --> 00:06:59,002 had not yet been discovered, 140 00:06:59,127 --> 00:07:03,798 many believed that the invisible force that caused the plague 141 00:07:03,882 --> 00:07:05,884 was God himself. 142 00:07:06,009 --> 00:07:07,928 It was a belief that was widely accepted, 143 00:07:08,053 --> 00:07:10,639 because people would read in the Bible 144 00:07:10,764 --> 00:07:13,516 about how pestilence from the past 145 00:07:13,683 --> 00:07:16,853 had been created by the hand of God. 146 00:07:18,939 --> 00:07:23,193 Whenever humanity is infected 147 00:07:23,318 --> 00:07:28,114 by something greater and beyond human understanding, 148 00:07:28,239 --> 00:07:33,620 it has always been psychologically understood 149 00:07:33,703 --> 00:07:38,708 to be an expression of the wrath of God. 150 00:07:39,459 --> 00:07:41,544 We have in the Book of Exodus 151 00:07:41,670 --> 00:07:44,923 the famous ten plagues of Egypt. 152 00:07:45,006 --> 00:07:50,303 Moses had come back after seeing God on the mountain 153 00:07:50,428 --> 00:07:53,056 to free the Hebrews from slavery. 154 00:07:53,181 --> 00:07:57,477 He went before the pharaoh and asked to let his people go. 155 00:07:57,644 --> 00:08:00,063 Of course, the pharaoh said no. 156 00:08:00,188 --> 00:08:04,776 Therefore, the Hebrew God sent a number of plagues through Egypt. 157 00:08:08,154 --> 00:08:10,740 TZADOK: The Bible stories are clear. 158 00:08:10,865 --> 00:08:15,370 The order of the plagues are well‐documented in the Bible. 159 00:08:15,495 --> 00:08:17,163 We know, of course, 160 00:08:17,330 --> 00:08:20,917 that there was the turning of the Nile into blood. 161 00:08:21,001 --> 00:08:22,669 There were the frogs, the lice, 162 00:08:22,836 --> 00:08:25,130 the pestilence and, of course, 163 00:08:25,255 --> 00:08:28,133 the great plagues of the Three Days of Darkness 164 00:08:28,299 --> 00:08:31,136 and, of course, the death of the firstborn. 165 00:08:33,179 --> 00:08:36,391 BIDMEAD: The biblical writer who is writing what happens 166 00:08:36,516 --> 00:08:37,809 and is inspired by God 167 00:08:37,892 --> 00:08:39,769 does say that the plague stopped 168 00:08:39,894 --> 00:08:42,397 after the Hebrews were finally free. 169 00:08:42,522 --> 00:08:46,401 So, perhaps there was some divine intervention from God. 170 00:08:46,526 --> 00:08:48,069 But we'll never know, 171 00:08:48,194 --> 00:08:50,655 because miracles are very difficult to prove. 172 00:08:50,780 --> 00:08:53,158 SHATNER: Was there a higher power involved 173 00:08:53,283 --> 00:08:57,245 that both started and ended the plagues of Egypt 174 00:08:57,370 --> 00:08:59,664 and the Plague of Justinian? 175 00:08:59,789 --> 00:09:03,793 Perhaps more clues as to what causes devastating plagues 176 00:09:03,918 --> 00:09:06,671 can be found by examining the disease responsible 177 00:09:06,796 --> 00:09:09,841 for claiming more lives than any other. 178 00:09:21,102 --> 00:09:24,647 Officials from the California oDepartment of Public Health 179 00:09:24,731 --> 00:09:28,318 alert residents that a woman has tested positive 180 00:09:28,401 --> 00:09:32,739 for a dangerous and quite unexpected disease. 181 00:09:33,698 --> 00:09:35,825 The bubonic plague, 182 00:09:35,909 --> 00:09:39,412 otherwise known as the black death. 183 00:09:40,371 --> 00:09:43,041 DASGUPTA: Does the bubonic plague still exist? 184 00:09:43,208 --> 00:09:45,418 The answer is... yes. 185 00:09:45,543 --> 00:09:46,920 And it's amazing 186 00:09:47,003 --> 00:09:49,756 how, many centuries later, 187 00:09:49,881 --> 00:09:52,467 you could say this with a calm voice. 188 00:09:52,634 --> 00:09:54,385 What is the difference? 189 00:09:54,511 --> 00:09:57,097 The answer is antibiotics. 190 00:09:57,180 --> 00:10:00,016 We know that if you have symptoms early 191 00:10:00,183 --> 00:10:03,812 that antibiotics can save your life. 192 00:10:03,937 --> 00:10:07,190 FISHER: While it's not as prevalent anymore, 193 00:10:07,315 --> 00:10:11,236 the plague is certainly still in circulation. 194 00:10:11,361 --> 00:10:12,987 In the United States, right, in more rural areas, 195 00:10:13,154 --> 00:10:15,031 where people come into contact with‐with rodents 196 00:10:15,156 --> 00:10:16,741 that might be infected with it, 197 00:10:16,866 --> 00:10:19,869 it's still known to, like, crop up here and there. 198 00:10:21,913 --> 00:10:24,749 The worst case of the bubonic plague that there was 199 00:10:24,874 --> 00:10:26,626 was known as the black death, 200 00:10:26,709 --> 00:10:30,421 in the middle of the 1300s. 201 00:10:30,505 --> 00:10:32,799 And that wiped out 202 00:10:32,882 --> 00:10:38,680 60% of all of Europe's population. 203 00:10:43,017 --> 00:10:45,645 SHATNER: 12 trade ships arrive 204 00:10:45,728 --> 00:10:47,438 from the Black Sea 205 00:10:47,522 --> 00:10:50,525 and drift into the port of Messina to unload freight. 206 00:10:50,692 --> 00:10:52,527 As dockworkers 207 00:10:52,652 --> 00:10:53,987 approach the vessels, 208 00:10:54,070 --> 00:10:56,781 they discover a disturbing scene. 209 00:10:56,906 --> 00:10:59,784 DASGUPTA: The port master goes on board 210 00:10:59,909 --> 00:11:03,163 to see the crew, and, to their surprise, 211 00:11:03,246 --> 00:11:05,748 it was almost like there were zombies on the ship. 212 00:11:05,874 --> 00:11:09,043 Gangrene fingers. 213 00:11:09,169 --> 00:11:11,129 Big boils. 214 00:11:11,254 --> 00:11:12,463 And if I saw 215 00:11:12,547 --> 00:11:14,632 a crew that had black fingers 216 00:11:14,716 --> 00:11:16,134 and boils, let's be honest: 217 00:11:16,259 --> 00:11:18,845 it sounds like a zombie apocalypse. 218 00:11:19,012 --> 00:11:21,681 The black death seemed to have been introduced 219 00:11:21,806 --> 00:11:22,515 via the Silk Road, 220 00:11:22,682 --> 00:11:24,976 which is a major trading route 221 00:11:25,143 --> 00:11:28,021 in the early medieval period from central Asia 222 00:11:28,188 --> 00:11:31,065 where the bubonic plague regularly pops up. 223 00:11:31,191 --> 00:11:33,484 Europe seems to have been largely unprepared 224 00:11:33,610 --> 00:11:34,944 for this devastating event. 225 00:11:35,028 --> 00:11:36,696 This is in the 1300s. 226 00:11:36,821 --> 00:11:38,156 It went for quite a few years, 227 00:11:38,281 --> 00:11:42,327 and whole villages and areas were wiped out. 228 00:11:42,410 --> 00:11:45,830 And like many plagues, uh, people wondered why. 229 00:11:45,997 --> 00:11:47,832 DASGUPTA: These cities would get the plague, 230 00:11:47,957 --> 00:11:49,626 and no one knew why. 231 00:11:49,709 --> 00:11:51,169 And then we always have the advantage 232 00:11:51,294 --> 00:11:54,714 of looking back on history and tracing. 233 00:11:54,839 --> 00:11:56,633 Historians could look back and say, "Wait a minute. 234 00:11:56,758 --> 00:11:58,760 "All the cities with ports 235 00:11:58,885 --> 00:12:01,221 "that do a lot of trading were infected. 236 00:12:01,346 --> 00:12:05,141 And what were going to all these ports? Ships." 237 00:12:06,017 --> 00:12:08,228 PHILLIPS: The black death 238 00:12:08,353 --> 00:12:10,813 was spread by fleas that lived on rats. 239 00:12:10,897 --> 00:12:14,150 And wherever these rats went, the fleas went, 240 00:12:14,234 --> 00:12:16,611 and they bit people. That's what made them ill. 241 00:12:16,736 --> 00:12:19,572 CHRISTINE COLBY: The flea would actually vomit the bacteria 242 00:12:19,697 --> 00:12:21,908 onto the person's skin while biting them. 243 00:12:22,867 --> 00:12:24,994 The disease spreads to the body's lymph nodes 244 00:12:25,078 --> 00:12:26,746 and causes buboes, 245 00:12:26,871 --> 00:12:28,081 which are infected sores 246 00:12:28,206 --> 00:12:30,291 which get to be about the size of an egg. 247 00:12:30,375 --> 00:12:33,711 And they eventually burst and expel bloody pus. 248 00:12:33,836 --> 00:12:35,797 The body goes through 249 00:12:35,880 --> 00:12:37,632 such horrific and gruesome transformations 250 00:12:37,757 --> 00:12:41,844 that from the time you contract the bubonic plague until death 251 00:12:41,970 --> 00:12:43,930 can sometimes only be a matter of days. 252 00:12:44,055 --> 00:12:46,849 SHATNER: During the Middle Ages, many believed 253 00:12:46,975 --> 00:12:50,144 that demons were responsible for the black death. 254 00:12:50,270 --> 00:12:52,522 ‐(coughs) ‐And people who were deemed 255 00:12:52,647 --> 00:12:55,400 to be wicked or unworthy 256 00:12:55,525 --> 00:12:56,818 were punished 257 00:12:56,943 --> 00:13:00,280 in hopes of driving the demons away. 258 00:13:02,615 --> 00:13:05,493 TZADOK: Many people believed 259 00:13:05,576 --> 00:13:09,038 that the source of this plague 260 00:13:09,163 --> 00:13:11,416 was caused by evil spirits, 261 00:13:11,541 --> 00:13:14,294 witchcraft and the like. 262 00:13:15,837 --> 00:13:17,547 The powers of the occult. 263 00:13:17,672 --> 00:13:20,800 And this led many people 264 00:13:20,883 --> 00:13:24,095 to seek out any type of expressions 265 00:13:24,178 --> 00:13:27,265 of the occult, witchcraft and the like... 266 00:13:28,975 --> 00:13:30,643 ...and to root it out 267 00:13:30,727 --> 00:13:34,147 in the attempt to placate God. 268 00:13:34,230 --> 00:13:35,648 (screams) 269 00:13:38,318 --> 00:13:40,320 SHATNER: Some were so convinced that the black death 270 00:13:40,403 --> 00:13:43,072 was a scourge brought by evil spirits, 271 00:13:43,197 --> 00:13:48,328 they were willing to scourge themselves. 272 00:13:49,662 --> 00:13:51,998 One common occurrence during the time of the black death 273 00:13:52,123 --> 00:13:56,085 was to see, uh, people that were called flagellants, which... 274 00:13:56,210 --> 00:13:58,129 They were under the belief that they were being punished 275 00:13:58,254 --> 00:14:01,215 by God for their sins, so they would publicly atone, 276 00:14:01,341 --> 00:14:03,843 and they would march through the town square, 277 00:14:04,010 --> 00:14:06,679 flogging themselves in the name of God. 278 00:14:06,804 --> 00:14:08,931 (groaning) 279 00:14:11,642 --> 00:14:14,103 THOMPSON: This flagellation movement really exploded. 280 00:14:14,228 --> 00:14:16,647 Whole towns flagellating themselves. 281 00:14:16,773 --> 00:14:19,192 Those that didn't were accused of being with the devil. 282 00:14:20,234 --> 00:14:24,322 PHILLIPS: Something else that came from the black death was 283 00:14:24,489 --> 00:14:28,076 the practice of selling holy relics. 284 00:14:28,201 --> 00:14:32,455 When the black death was decimating Europe, 285 00:14:32,538 --> 00:14:34,874 the Church were saying, 286 00:14:34,999 --> 00:14:36,459 "Come to us, 287 00:14:36,626 --> 00:14:38,961 and we can cure you." 288 00:14:39,087 --> 00:14:40,922 The bones of a saint 289 00:14:41,047 --> 00:14:43,508 or something that had once belonged to a saint 290 00:14:43,633 --> 00:14:45,968 kept in these churches. They were called relics. 291 00:14:46,094 --> 00:14:47,887 And people believed that if they went there 292 00:14:48,012 --> 00:14:49,639 or close to such relics, 293 00:14:49,806 --> 00:14:51,766 prayed, that God may intervene 294 00:14:51,849 --> 00:14:53,810 and protect them from the plague. 295 00:14:53,935 --> 00:14:56,312 Now, they weren't curing anyone, 296 00:14:56,396 --> 00:14:59,982 but people were still flocking to the churches 297 00:15:00,108 --> 00:15:03,194 just on the hope that they could be cured. 298 00:15:04,195 --> 00:15:06,864 DASGUPTA: So, when we talk about the many lives 299 00:15:06,989 --> 00:15:09,200 that were lost during the black death, 300 00:15:09,325 --> 00:15:10,743 I think about a horror movie. 301 00:15:11,786 --> 00:15:14,288 SHATNER: Historians estimate that the black death 302 00:15:14,372 --> 00:15:18,042 wiped out anywhere from 50 to 200 million people, 303 00:15:18,167 --> 00:15:20,753 at least a third of Europe's population. 304 00:15:20,837 --> 00:15:22,672 So it's little wonder 305 00:15:22,797 --> 00:15:25,299 that most people thought that something so destructive 306 00:15:25,425 --> 00:15:28,678 must have been some kind of punishment from God. 307 00:15:28,803 --> 00:15:32,306 But today, we have a much different understanding 308 00:15:32,473 --> 00:15:33,975 of this disease. 309 00:15:34,100 --> 00:15:35,935 GRONVALL: We call it the black death, 310 00:15:36,060 --> 00:15:39,021 but it's‐it's a bacteria called Yersinia pestis. 311 00:15:39,147 --> 00:15:42,984 But it's not as dangerous as it was then. 312 00:15:43,151 --> 00:15:45,736 Now we have antibiotics. 313 00:15:45,862 --> 00:15:47,613 We can detect it. 314 00:15:47,697 --> 00:15:49,449 You know, you can treat it. 315 00:15:51,534 --> 00:15:53,077 In any case, 316 00:15:53,202 --> 00:15:56,706 Yersinia pestis is still around today, 317 00:15:56,831 --> 00:15:59,375 which begs the question, 318 00:15:59,500 --> 00:16:00,877 is it possible 319 00:16:01,002 --> 00:16:03,463 to actually kill off a fatal disease 320 00:16:03,588 --> 00:16:04,839 once and for all? 321 00:16:04,964 --> 00:16:06,132 Perhaps the answer can be found 322 00:16:06,215 --> 00:16:08,551 by examining a deadly plague 323 00:16:08,676 --> 00:16:10,136 that, believe it or not, 324 00:16:10,219 --> 00:16:12,972 has been infecting humankind 325 00:16:13,097 --> 00:16:16,559 for more than 10,000 years. 326 00:16:23,357 --> 00:16:25,401 SHATNER: The Valley of Mexico. 327 00:16:30,198 --> 00:16:33,743 Spanish conquistadors led by Hernán Cortés 328 00:16:33,868 --> 00:16:37,413 arrive at Tenochtitlán, the capital of the Aztec Empire, 329 00:16:37,538 --> 00:16:39,999 bearing dreams of conquest 330 00:16:40,166 --> 00:16:42,668 and an insatiable desire for gold. 331 00:16:42,793 --> 00:16:47,924 But they also brought with them a lethal, infectious disease. 332 00:16:48,007 --> 00:16:50,009 THOMPSON: Smallpox is introduced 333 00:16:50,176 --> 00:16:53,638 into the Americas very dramatically 334 00:16:53,721 --> 00:16:54,514 at a specific point in time 335 00:16:54,639 --> 00:16:57,183 and alongside the European invasion. 336 00:16:57,350 --> 00:17:01,312 This is a tremendous sort of clash of civilizations, 337 00:17:01,395 --> 00:17:03,981 the likes of which the world had never seen before 338 00:17:04,148 --> 00:17:05,233 and will never see again. 339 00:17:05,358 --> 00:17:09,487 The single most deciding factor 340 00:17:09,570 --> 00:17:13,616 as to why Native American civilizations fell so rapidly 341 00:17:13,699 --> 00:17:15,368 was the introduction of smallpox. 342 00:17:18,496 --> 00:17:21,040 FISHER: So, smallpox is a virus. 343 00:17:21,165 --> 00:17:24,794 It causes these sort of irregularly spaced, 344 00:17:24,961 --> 00:17:27,338 pustule‐y skin lesions 345 00:17:27,463 --> 00:17:29,048 and had a devastating effect 346 00:17:29,173 --> 00:17:32,426 on‐on Native Americans, um, in the New World. 347 00:17:33,469 --> 00:17:37,682 GRONVALL: In Europe, most people had experienced smallpox. 348 00:17:37,807 --> 00:17:39,267 They had the scars, 349 00:17:39,350 --> 00:17:40,601 or they had it as children. 350 00:17:40,726 --> 00:17:44,146 But there was no immunity in the New World. 351 00:17:44,272 --> 00:17:46,315 There was no immunity among kids. 352 00:17:46,440 --> 00:17:48,484 There was no immunity among adults. 353 00:17:48,568 --> 00:17:51,654 And so, when this new disease came, 354 00:17:51,821 --> 00:17:54,323 everybody was vulnerable. 355 00:17:54,407 --> 00:17:56,659 And so it spread like wildfire. 356 00:17:57,994 --> 00:18:00,871 SHATNER: Although the exact numbers will never be known, 357 00:18:00,997 --> 00:18:02,748 many experts estimate 358 00:18:02,873 --> 00:18:06,252 that a staggering 95% of the indigenous population 359 00:18:06,335 --> 00:18:09,380 would eventually die from smallpox. 360 00:18:09,505 --> 00:18:11,924 But what's even more chilling 361 00:18:12,008 --> 00:18:14,302 is the fact that smallpox ran rampant 362 00:18:14,468 --> 00:18:16,846 for thousands of years. 363 00:18:16,971 --> 00:18:20,308 GRONVALL: I am astounded 364 00:18:20,433 --> 00:18:23,603 by how far back smallpox goes. 365 00:18:23,686 --> 00:18:26,439 For most of human recorded history, 366 00:18:26,522 --> 00:18:28,399 we believe it's the same strain 367 00:18:28,524 --> 00:18:30,818 that was infecting one person after another, 368 00:18:30,943 --> 00:18:32,987 this human chain of infection. 369 00:18:33,112 --> 00:18:39,452 The Egyptian pharaoh Ramses V had scarring on his face 370 00:18:39,577 --> 00:18:42,371 that's consistent with smallpox. 371 00:18:45,458 --> 00:18:48,085 SHATNER: It is estimated that smallpox has killed 372 00:18:48,169 --> 00:18:50,504 between 300 and 500 million people 373 00:18:50,671 --> 00:18:54,467 in its more than 10,000‐year existence. 374 00:18:54,592 --> 00:18:58,471 Which begs the question: how did we finally beat it? 375 00:19:01,349 --> 00:19:03,809 Well, it just so happens that the cure for smallpox 376 00:19:03,976 --> 00:19:08,981 was discovered in a small English village in the 1790s. 377 00:19:09,106 --> 00:19:12,818 GRONVALL: In the late 1700s, doctors were noticing 378 00:19:12,985 --> 00:19:17,198 that milkmaids did not seem to be affected by smallpox, 379 00:19:17,365 --> 00:19:21,827 and their complexions remained unscarred. 380 00:19:21,994 --> 00:19:26,123 And people were starting to make that connection 381 00:19:26,248 --> 00:19:29,502 that there might be immunity from catching 382 00:19:29,627 --> 00:19:33,673 a different kind of pox virus, cow pox. 383 00:19:33,798 --> 00:19:37,802 So milkmaids were exposed to the cow pox virus, 384 00:19:37,927 --> 00:19:39,762 probably got infected, 385 00:19:39,845 --> 00:19:42,682 and were then immune to smallpox. 386 00:19:44,642 --> 00:19:46,435 Edward Jenner was an English physician, 387 00:19:46,519 --> 00:19:50,189 and decided to test this observation, 388 00:19:50,356 --> 00:19:53,401 and took a piece of an ulcer from a cow 389 00:19:53,526 --> 00:19:55,569 that was infected by cow pox, 390 00:19:55,695 --> 00:19:59,323 and gave it to an eight‐year‐old boy. 391 00:19:59,407 --> 00:20:02,243 And then, a little bit later, 392 00:20:02,368 --> 00:20:06,414 gave this little boy a dose of smallpox. 393 00:20:06,539 --> 00:20:10,960 Fortunately, the eight‐year‐old boy did not develop smallpox 394 00:20:11,085 --> 00:20:14,130 and was actually protected. 395 00:20:14,255 --> 00:20:16,757 Because it wasn't, like, a direct viral intake, 396 00:20:16,841 --> 00:20:20,469 you would get, like, a slightly lesser version of the disease. 397 00:20:20,594 --> 00:20:22,638 But because you had been exposed to it, 398 00:20:22,763 --> 00:20:25,307 you would, of course, then have immunity. 399 00:20:25,433 --> 00:20:27,268 So it was probably the first instance 400 00:20:27,351 --> 00:20:29,603 of a crude version of vaccination. 401 00:20:31,021 --> 00:20:34,275 SHATNER: As it turns out, Edward Jenner's revolutionary experiment 402 00:20:34,400 --> 00:20:37,194 is remembered today for its inspiration, 403 00:20:37,319 --> 00:20:40,197 its sheer audacity 404 00:20:40,322 --> 00:20:42,616 and because it provided a new defense 405 00:20:42,700 --> 00:20:44,326 against infectious disease, 406 00:20:44,452 --> 00:20:49,582 which we now refer to as "the vaccine." 407 00:20:49,707 --> 00:20:52,960 The word "vaccine" comes from the virus name "vaccinia," 408 00:20:53,043 --> 00:20:57,882 which was the virus that was the cow pox‐derived virus 409 00:20:58,007 --> 00:21:01,302 that left people immune to smallpox. 410 00:21:01,385 --> 00:21:04,680 Vaccines prevent disease, 411 00:21:04,847 --> 00:21:07,808 and some vaccines can last for decades, 412 00:21:07,892 --> 00:21:12,146 and some vaccines need to be given every year. 413 00:21:12,229 --> 00:21:16,108 For smallpox, people had to get vaccinated every ten years. 414 00:21:17,651 --> 00:21:20,988 SHATNER: Vaccines are humanity's single greatest weapon 415 00:21:21,071 --> 00:21:22,823 against plagues. 416 00:21:22,907 --> 00:21:25,701 Rooted in science and not superstition, 417 00:21:25,826 --> 00:21:29,663 they provide a powerful way to fight outbreaks. 418 00:21:29,789 --> 00:21:32,166 GRONVALL: The last naturally occurring case of smallpox 419 00:21:32,291 --> 00:21:36,253 was identified in 1979, and in 1980, 420 00:21:36,337 --> 00:21:38,088 the World Health Organization declared 421 00:21:38,214 --> 00:21:40,299 that smallpox was eradicated. 422 00:21:40,382 --> 00:21:43,636 So no longer spreading from person to person. 423 00:21:43,761 --> 00:21:47,890 Eradicating smallpox was the biggest public health victory 424 00:21:48,015 --> 00:21:50,893 in the history of the human race. 425 00:21:52,102 --> 00:21:55,314 SHATNER: The eradication of smallpox is the most famous use 426 00:21:55,397 --> 00:21:57,817 of a highly‐effective vaccine, 427 00:21:57,900 --> 00:22:02,363 but there are some diseases that are harder to cure. 428 00:22:02,488 --> 00:22:04,573 MICHIO KAKU: There are viruses 429 00:22:04,698 --> 00:22:06,700 for which we have no vaccines at all, 430 00:22:06,826 --> 00:22:08,702 because they mutate too rapidly. 431 00:22:08,869 --> 00:22:12,039 And so, because viruses mutate, 432 00:22:12,206 --> 00:22:15,876 there's a certain limitation to what you can do with vaccines. 433 00:22:17,837 --> 00:22:19,964 DASGUPTA: The minute you get too confident, 434 00:22:20,047 --> 00:22:22,633 and you think that we defeated Mother Nature, 435 00:22:22,800 --> 00:22:25,719 somehow, it always finds a way to come back. 436 00:22:25,845 --> 00:22:28,138 SHATNER: Vaccines are one of mankind's 437 00:22:28,305 --> 00:22:30,391 greatest scientific triumphs. 438 00:22:30,516 --> 00:22:32,601 But not all medical recoveries 439 00:22:32,726 --> 00:22:34,687 can be easily explained by science. 440 00:22:34,812 --> 00:22:37,815 Sometimes, the body's reaction 441 00:22:37,898 --> 00:22:41,485 to an infection is so bizarre and so inexplicable 442 00:22:41,569 --> 00:22:44,989 that it can only be described as... 443 00:22:45,114 --> 00:22:50,744 miraculous. 444 00:22:50,870 --> 00:22:53,414 SHATNER: July 4, 1863. 445 00:22:53,539 --> 00:22:55,875 Gettysburg, Pennsylvania. 446 00:22:56,000 --> 00:22:57,543 On the morning after the bloodiest battle 447 00:22:57,668 --> 00:22:59,003 of the Civil War, 448 00:22:59,128 --> 00:23:02,298 thousands of dead soldiers lay strewn 449 00:23:02,423 --> 00:23:04,592 across the blood‐soaked farmland. 450 00:23:04,717 --> 00:23:09,263 But while the brutality of the Civil War is well‐documented, 451 00:23:09,388 --> 00:23:12,016 approximately two‐thirds of the more 452 00:23:12,182 --> 00:23:14,184 than 600,000 deaths in the war 453 00:23:14,351 --> 00:23:18,397 weren't caused by injuries sustained on the battlefield, 454 00:23:18,522 --> 00:23:21,609 but rather... by disease. 455 00:23:24,320 --> 00:23:26,113 FISHER: The Civil War represents 456 00:23:26,196 --> 00:23:30,659 the last major conflict that, um, that humans experienced 457 00:23:30,826 --> 00:23:33,662 um, before the, sort of, the inception 458 00:23:33,746 --> 00:23:35,372 or the origins of germ theory. 459 00:23:35,497 --> 00:23:37,958 You can imagine the conditions 460 00:23:38,042 --> 00:23:41,086 that soldiers live in, crowded together, 461 00:23:41,211 --> 00:23:43,088 substandard sanitation. 462 00:23:43,213 --> 00:23:45,049 In some cases, 463 00:23:45,174 --> 00:23:47,760 open wounds that aren't being treated correctly. 464 00:23:47,843 --> 00:23:49,762 WYNN: It's really gross. 465 00:23:49,845 --> 00:23:51,639 Everything smells terrible. 466 00:23:51,764 --> 00:23:54,141 Uh, these doctors aren't washing their aprons. 467 00:23:54,266 --> 00:23:58,312 They can't explain where they're getting these diseases from, 468 00:23:58,395 --> 00:23:59,980 how they may be spreading it. 469 00:24:00,147 --> 00:24:03,484 SHATNER: As uncontrollable infections ravaged 470 00:24:03,567 --> 00:24:06,612 both Union and Confederate encampments, 471 00:24:06,695 --> 00:24:10,074 soldiers and their doctors debated the cause 472 00:24:10,199 --> 00:24:11,784 of their afflictions. 473 00:24:11,867 --> 00:24:17,665 Many came to believe that the air itself was poisoned. 474 00:24:17,790 --> 00:24:19,708 DASGUPTA: When we talk about 475 00:24:19,833 --> 00:24:22,711 some of the deadliest viruses that we know, 476 00:24:22,836 --> 00:24:27,758 some of them get transmitted by respiratory droplets, the air. 477 00:24:27,841 --> 00:24:32,805 When you cough, when you sneeze, just by talking. 478 00:24:32,888 --> 00:24:36,892 So maybe they weren't too off by saying the air is bad. 479 00:24:37,851 --> 00:24:40,479 SHATNER: In the mid‐nineteenth century, 480 00:24:40,604 --> 00:24:42,606 little was known about disease control 481 00:24:42,690 --> 00:24:45,818 or preventing the spread of germs. 482 00:24:45,943 --> 00:24:49,154 But as the scope of the war widened 483 00:24:49,279 --> 00:24:52,616 and the ferocity of infectious outbreaks resulted 484 00:24:52,700 --> 00:24:55,077 in even more horrific causalities, 485 00:24:55,202 --> 00:24:59,581 doctors were forced to expand their knowledge of diseases 486 00:24:59,707 --> 00:25:01,667 and how to contain them. 487 00:25:01,750 --> 00:25:03,669 WYNN: They realize that 488 00:25:03,794 --> 00:25:06,672 maybe a barn isn't the best place to be doing 489 00:25:06,797 --> 00:25:09,842 amputations and open surgeries. 490 00:25:09,967 --> 00:25:12,511 So, as the war goes on, 491 00:25:12,636 --> 00:25:14,304 there's beginning to be an understanding 492 00:25:14,388 --> 00:25:15,806 of what medicine should be. 493 00:25:15,931 --> 00:25:17,558 Things like triage, 494 00:25:17,683 --> 00:25:21,145 things like an ambulance system, hospitals‐‐ 495 00:25:21,228 --> 00:25:22,938 these are all established during the Civil War 496 00:25:23,063 --> 00:25:24,898 in the United States for the first time. 497 00:25:25,024 --> 00:25:27,735 SHATNER: In many ways, the Civil War marked the beginning 498 00:25:27,860 --> 00:25:29,570 of medical science as we know it 499 00:25:29,695 --> 00:25:31,905 and the end of mankind's 500 00:25:32,031 --> 00:25:35,159 superstitious attitude towards disease. 501 00:25:35,242 --> 00:25:37,995 But there is one event on the battlefield 502 00:25:38,120 --> 00:25:41,582 that medical historians still struggle to explain to this day, 503 00:25:41,707 --> 00:25:44,877 because it simply defies understanding. 504 00:25:48,881 --> 00:25:53,052 April 7, 1862, Hardin County, Tennessee. 505 00:25:53,177 --> 00:25:56,680 Union and Confederate forces square off 506 00:25:56,847 --> 00:25:58,682 in one of the bloodiest confrontations 507 00:25:58,807 --> 00:26:01,810 of the Civil War‐‐ The Battle of Shiloh. 508 00:26:03,812 --> 00:26:06,607 After two days of vicious fighting... 509 00:26:06,690 --> 00:26:08,901 (yelling) 510 00:26:09,026 --> 00:26:14,073 ...more than 20,000 men lie dead or dying. 511 00:26:15,282 --> 00:26:17,701 WYNN: So, Ulysses S. Grant is the commander 512 00:26:17,868 --> 00:26:18,994 of the Union army at this battle. 513 00:26:19,119 --> 00:26:21,163 He went out, and looked over the battlefield, 514 00:26:21,330 --> 00:26:25,000 and he could see that there were so many soldiers who had been 515 00:26:25,125 --> 00:26:27,878 wounded and killed that he could have walked across one side 516 00:26:28,003 --> 00:26:29,463 of the battlefield to the other 517 00:26:29,588 --> 00:26:30,881 without ever touching the ground, 518 00:26:31,006 --> 00:26:33,967 walking from body to body to body. 519 00:26:34,093 --> 00:26:37,679 SHATNER: As night falls over the battlefield, 520 00:26:37,846 --> 00:26:40,891 many injured soldiers lie helpless, 521 00:26:41,016 --> 00:26:44,144 hoping to be rescued before their wounds become infected. 522 00:26:44,269 --> 00:26:48,315 What happens next is one of the enduring mysteries 523 00:26:48,440 --> 00:26:50,150 of the Civil War. 524 00:26:50,234 --> 00:26:53,487 WYNN: Soldiers are out between the lines, 525 00:26:53,612 --> 00:26:55,280 wounded during the course of the battle. 526 00:26:55,364 --> 00:26:57,574 It's cold at night. They're out there shivering. 527 00:26:57,699 --> 00:27:01,995 And they happen to look down at their shattered arm or leg, 528 00:27:02,121 --> 00:27:07,084 and they notice this soft, faint, bluish‐greenish glow 529 00:27:07,209 --> 00:27:09,503 seeming to come off their wounds in the darkness. 530 00:27:09,628 --> 00:27:13,090 There was a connection that was being made amongst the soldiers 531 00:27:13,215 --> 00:27:17,136 that those who experienced this glowing wound effect 532 00:27:17,219 --> 00:27:19,972 seemed to have better outcomes 533 00:27:20,055 --> 00:27:22,266 when they went back to the field hospital, and it seemed 534 00:27:22,349 --> 00:27:25,894 as though their wounds may not have been as infected. 535 00:27:26,019 --> 00:27:30,566 BIDMEAD: They termed this bluish‐green glow 536 00:27:30,691 --> 00:27:32,943 Angel's Glow. Why? 537 00:27:33,068 --> 00:27:36,155 Because, to them, it looked like a halo. 538 00:27:36,238 --> 00:27:38,907 Mystical light surrounding them. 539 00:27:39,032 --> 00:27:41,076 So, it was a way of them thinking that God 540 00:27:41,201 --> 00:27:44,079 or the angels were protecting these particular soldiers. 541 00:27:44,204 --> 00:27:47,499 SHATNER: Was the so‐called Angel's Glow 542 00:27:47,624 --> 00:27:49,501 a type of divine intervention 543 00:27:49,668 --> 00:27:53,881 that somehow protected certain soldiers from deadly infections? 544 00:27:54,006 --> 00:27:57,926 Perhaps. But recently, a new theory has surfaced‐‐ 545 00:27:58,051 --> 00:28:00,304 one that suggests this phenomenon 546 00:28:00,387 --> 00:28:05,726 may have had a more conventional explanation. 547 00:28:05,851 --> 00:28:08,937 It wasn't until many years, like 150 years later, 548 00:28:09,021 --> 00:28:13,066 that a 17‐year‐old high school student visited Shiloh, 549 00:28:13,192 --> 00:28:15,652 and he decided for his science project 550 00:28:15,777 --> 00:28:18,405 to research bacterium that glows. 551 00:28:18,530 --> 00:28:22,242 And they were able to find out that there was a bacteria 552 00:28:22,367 --> 00:28:25,245 that would emit some sort of parasitic worm. 553 00:28:25,370 --> 00:28:28,123 It would get into the veins, and then it would glow. 554 00:28:28,248 --> 00:28:31,335 SHATNER: Could the Angel's Glow 555 00:28:31,460 --> 00:28:34,004 really have been a sign of a type of bacteria, 556 00:28:34,129 --> 00:28:36,465 rather than guardian angels? 557 00:28:36,632 --> 00:28:40,260 And if so, could this bacteria have actually been responsible 558 00:28:40,385 --> 00:28:44,640 for saving the lives of the wounded soldiers? 559 00:28:44,765 --> 00:28:46,767 Presumably, what happened with those soldiers 560 00:28:46,850 --> 00:28:48,393 with the Angel's Glow 561 00:28:48,518 --> 00:28:51,939 is that those bacteria were actually infecting their wounds. 562 00:28:52,022 --> 00:28:55,442 And because those bacteria exude a lot of antibacterial 563 00:28:55,525 --> 00:28:58,820 and antimicrobial compounds, they actually reduce the level 564 00:28:58,904 --> 00:29:00,322 of infection in the soldiers 565 00:29:00,405 --> 00:29:03,075 that they, that they, uh, colonized. 566 00:29:03,951 --> 00:29:04,993 SHATNER: The bacteria theory 567 00:29:05,077 --> 00:29:08,121 is the best scientific explanation we have 568 00:29:08,205 --> 00:29:11,625 for what caused the Angel's Glow. 569 00:29:11,750 --> 00:29:13,794 If this incredible theory is true, 570 00:29:13,877 --> 00:29:16,838 then it seems that some forms of bacteria 571 00:29:16,964 --> 00:29:20,384 can actually help us in the fight against disease. 572 00:29:20,509 --> 00:29:23,178 But the soldiers whose lives were saved 573 00:29:23,303 --> 00:29:27,266 at the Battle of Shiloh believed that what healed them 574 00:29:27,349 --> 00:29:30,602 could only have been sent from heaven. 575 00:29:30,686 --> 00:29:32,312 WYNN: We can't know what those soldiers experienced 576 00:29:32,396 --> 00:29:35,607 out there on the battlefield between the lines. 577 00:29:35,691 --> 00:29:38,318 They're in the dark, they're suffering from shock. 578 00:29:38,443 --> 00:29:40,237 Who's to say that they didn't experience that 579 00:29:40,362 --> 00:29:43,156 or that they did experience that? 580 00:29:44,783 --> 00:29:48,370 Guardian angels, reaching down to comfort 581 00:29:48,495 --> 00:29:52,874 and even cure dying soldiers during the American Civil War? 582 00:29:53,000 --> 00:29:56,003 To some it sounds like pure fantasy. 583 00:29:56,128 --> 00:29:58,505 But to others, especially those 584 00:29:58,630 --> 00:30:02,009 who've had their own close calls with death, 585 00:30:02,134 --> 00:30:06,513 there's no doubt that such a notion is entirely plausible. 586 00:30:06,638 --> 00:30:09,182 Let's face it: when dealing with deadly diseases, 587 00:30:09,349 --> 00:30:11,810 it's hard to be certain of pretty much anything. 588 00:30:11,935 --> 00:30:15,731 Not only do we often know very little 589 00:30:15,856 --> 00:30:17,607 about how to cure an illness, 590 00:30:17,733 --> 00:30:21,153 we know even less about where an illness comes from. 591 00:30:21,278 --> 00:30:23,488 For instance, what if I told you 592 00:30:23,613 --> 00:30:27,326 that what we commonly refer to as the Spanish flu 593 00:30:27,492 --> 00:30:32,331 didn't come from Spain at all, but from a remote army base... 594 00:30:33,915 --> 00:30:36,001 ...in Kansas? 595 00:30:47,179 --> 00:30:49,473 SHATNER: At the height of World War I, 596 00:30:49,598 --> 00:30:53,310 more than 50 years after the end of the American Civil War, 597 00:30:53,393 --> 00:30:57,189 soldiers from more than 30 nations are engaged 598 00:30:57,314 --> 00:30:59,983 in trench warfare all over Europe... 599 00:31:01,360 --> 00:31:04,946 ...and a new, unexpected enemy emerges... 600 00:31:05,030 --> 00:31:08,075 ‐(coughing) ‐...the Spanish flu. 601 00:31:09,034 --> 00:31:10,118 WYNN: Europe is awash 602 00:31:10,243 --> 00:31:13,080 in the influenza virus. 603 00:31:13,205 --> 00:31:17,125 They had a massive outbreak of influenza, 604 00:31:17,209 --> 00:31:19,961 and these soldiers serving at the front lines 605 00:31:20,087 --> 00:31:23,131 are directly impacted on both sides of the conflict. 606 00:31:23,215 --> 00:31:26,468 ‐(coughing) ‐The symptoms were pretty horrific, 607 00:31:26,593 --> 00:31:28,470 and so these soldiers were not capable of performing 608 00:31:28,595 --> 00:31:31,390 their duties, and many of them actually die of the disease. 609 00:31:33,141 --> 00:31:36,228 GRONVALL: We're used to the flu, but the 1918 flu 610 00:31:36,353 --> 00:31:40,148 had more severe symptoms and lingering effects. 611 00:31:41,358 --> 00:31:43,610 When the flu first started spreading, 612 00:31:43,735 --> 00:31:46,905 their skin turned blue. 613 00:31:47,030 --> 00:31:49,783 They just had no oxygen in their blood. 614 00:31:49,866 --> 00:31:53,495 It was not uncommon for people to lose all their hair. 615 00:31:53,578 --> 00:31:57,707 It was not uncommon to have neurological side effects. 616 00:31:59,126 --> 00:32:01,336 WYNN: The 1918 influenza strain 617 00:32:01,503 --> 00:32:04,798 caused an incredibly high fever, it caused coughing. 618 00:32:04,923 --> 00:32:08,802 In many cases, patients' lungs would fill with fluid 619 00:32:08,969 --> 00:32:10,637 as this virus is taking over their body. 620 00:32:10,720 --> 00:32:13,974 That would cause an immune system overreaction 621 00:32:14,057 --> 00:32:15,809 and they would essentially drown. 622 00:32:17,394 --> 00:32:18,812 SHATNER: Medics on the front lines, 623 00:32:18,937 --> 00:32:20,522 prepared for the ravages of war, 624 00:32:20,647 --> 00:32:24,901 look on in horror as young, healthy soldiers 625 00:32:25,026 --> 00:32:26,862 begin to die within days, 626 00:32:26,987 --> 00:32:30,532 or even hours of showing symptoms. 627 00:32:30,657 --> 00:32:35,245 The Spanish flu was caused by, um, an H1N1 influenza virus. 628 00:32:35,370 --> 00:32:38,457 And the particular strain of the H1N1 virus 629 00:32:38,540 --> 00:32:41,251 was a little unusual amongst influenza viruses 630 00:32:41,334 --> 00:32:44,463 in that it was much more contagious, it was much easier 631 00:32:44,546 --> 00:32:46,798 to expel and spread between people. 632 00:32:46,882 --> 00:32:49,551 In 1918, we still really were 633 00:32:49,676 --> 00:32:52,179 sort of incapable of stopping its spread. 634 00:32:52,304 --> 00:32:54,681 This was right at the end of World War I, 635 00:32:54,848 --> 00:32:58,018 and so soldiers were, of course, kept in close quarters 636 00:32:58,185 --> 00:32:59,394 and barracks together. 637 00:32:59,519 --> 00:33:03,148 And then, also, people were sort of moving around the world 638 00:33:03,231 --> 00:33:04,774 more than they probably normally would have been 639 00:33:04,858 --> 00:33:06,276 sort of traveling. 640 00:33:06,359 --> 00:33:09,196 Um, and so those were some of the factors 641 00:33:09,321 --> 00:33:11,448 that caused it to spread really rapidly. 642 00:33:11,531 --> 00:33:15,035 SHATNER: Since finding a cure for a mysterious virus 643 00:33:15,160 --> 00:33:18,079 in the midst of a world war is a difficult, 644 00:33:18,205 --> 00:33:20,165 if not impossible undertaking, 645 00:33:20,290 --> 00:33:24,002 both the Central Powers and the Allied Powers 646 00:33:24,127 --> 00:33:25,962 decided the best course of action 647 00:33:26,087 --> 00:33:30,425 was to downplay the threat posed by the disease. 648 00:33:30,509 --> 00:33:34,012 In fact, the 1918 flu is called the Spanish flu 649 00:33:34,179 --> 00:33:37,307 not because it came from Spain, but because, 650 00:33:37,474 --> 00:33:40,977 initially, Spain was the only country willing 651 00:33:41,061 --> 00:33:42,896 to acknowledge its existence. 652 00:33:46,274 --> 00:33:48,318 GRONVALL: The reason we think of it as the Spanish flu 653 00:33:48,443 --> 00:33:51,154 is because Spain had a free press at that time, 654 00:33:51,321 --> 00:33:54,533 and the rest of the world did not. 655 00:33:54,658 --> 00:33:57,369 Spain was not involved in World War I, 656 00:33:57,536 --> 00:34:01,081 and their king ended up getting the 1918 flu. 657 00:34:01,206 --> 00:34:02,916 So it was a matter of national interest, 658 00:34:03,041 --> 00:34:06,670 and most Americans learned of the flu 659 00:34:06,836 --> 00:34:08,672 from the Spanish papers. 660 00:34:11,299 --> 00:34:14,844 SHATNER: The so‐called Spanish flu is estimated to have infected 661 00:34:14,970 --> 00:34:18,265 one third of the world's population at the time, 662 00:34:18,348 --> 00:34:20,350 roughly 500 million people. 663 00:34:20,475 --> 00:34:23,895 But while the press created a lasting nickname 664 00:34:24,020 --> 00:34:25,188 for the 1918 flu, 665 00:34:25,355 --> 00:34:29,651 some researchers have suggested that it actually originated 666 00:34:29,776 --> 00:34:33,280 in the heartland of the United States. 667 00:34:37,200 --> 00:34:39,661 March 4, 1918. 668 00:34:39,744 --> 00:34:41,621 Fort Riley, Kansas. 669 00:34:41,705 --> 00:34:46,960 Before the so‐called Spanish flu outbreak was reported in Europe, 670 00:34:47,043 --> 00:34:51,214 a private at this remote Army base in the United States 671 00:34:51,339 --> 00:34:55,468 starts to feel ill. 672 00:34:55,594 --> 00:34:59,014 WYNN: In March of 1918, an Army private named Albert Gitchell‐‐ 673 00:34:59,139 --> 00:35:01,224 he's a cook with the army‐‐ 674 00:35:01,349 --> 00:35:03,310 he reports symptoms, so he goes to the hospital. 675 00:35:03,435 --> 00:35:05,562 Uh, he's sick, he's‐he's not feeling well. 676 00:35:05,687 --> 00:35:07,355 He's got a bit of a cough, bit of a fever. 677 00:35:07,522 --> 00:35:10,275 In the end, he ultimately goes in to work, 678 00:35:10,358 --> 00:35:13,653 feeding all of these soldiers in this army camp. 679 00:35:13,778 --> 00:35:17,616 In the weeks that follow, the members of this camp 680 00:35:17,741 --> 00:35:21,411 come down with a pretty nasty flu strain. 681 00:35:21,536 --> 00:35:25,332 And there are no other outbreaks similar to this at this point, 682 00:35:25,457 --> 00:35:29,127 which suggests that this outbreak is starting 683 00:35:29,294 --> 00:35:31,630 at that camp, and potentially with that soldier. 684 00:35:32,964 --> 00:35:37,469 COLBY: There were 1,127 cases just at Fort Riley itself, 685 00:35:37,552 --> 00:35:39,262 and 46 people died. 686 00:35:39,346 --> 00:35:40,930 So all these soldiers at Fort Riley are thinking 687 00:35:41,014 --> 00:35:44,392 they just had a bad cold, or maybe even a mild flu. 688 00:35:44,517 --> 00:35:47,145 They were eventually all put on trains, 689 00:35:47,228 --> 00:35:48,396 which spread all over the country 690 00:35:48,521 --> 00:35:49,522 going to various ports. 691 00:35:49,648 --> 00:35:51,191 And then they were all shipped off to Europe 692 00:35:51,316 --> 00:35:52,817 to fight in the war. 693 00:35:52,901 --> 00:35:56,821 SHATNER: Many scientist now believe that Army Private Albert Gitchell 694 00:35:56,905 --> 00:36:01,117 was the first man to contract the 1918 flu. 695 00:36:01,201 --> 00:36:03,411 Gitchell spread it to his fellow servicemen 696 00:36:03,536 --> 00:36:05,330 when he served them food. 697 00:36:05,413 --> 00:36:07,332 And soldiers then were sent overseas 698 00:36:07,499 --> 00:36:10,502 to fight in the war, and they unwittingly 699 00:36:10,627 --> 00:36:12,587 spread the disease around the globe. 700 00:36:12,671 --> 00:36:16,466 But of course that explanation is only a theory. 701 00:36:16,549 --> 00:36:20,720 The situation fits the epidemiology, 702 00:36:20,845 --> 00:36:23,390 the number of people who got sick afterwards. 703 00:36:23,515 --> 00:36:26,518 But whether we will ever know for sure 704 00:36:26,643 --> 00:36:28,812 who patient zero was, 705 00:36:28,937 --> 00:36:31,523 or whether it absolutely came from Kansas, 706 00:36:31,690 --> 00:36:33,858 it's hard to be absolutely sure. 707 00:36:33,983 --> 00:36:36,653 It's really hard to learn where any virus starts, 708 00:36:36,736 --> 00:36:40,365 Where any pandemic starts, because you're not recording 709 00:36:40,490 --> 00:36:42,492 everywhere all the time, 710 00:36:42,575 --> 00:36:44,119 and having the scientific tools in place 711 00:36:44,202 --> 00:36:45,662 to be able to detect it. 712 00:36:47,831 --> 00:36:49,666 WYNN: The great mystery of any of these pandemics 713 00:36:49,791 --> 00:36:52,669 or public health crises is where did it start? 714 00:36:52,794 --> 00:36:54,045 And, ultimately, why did it start? 715 00:36:54,170 --> 00:36:57,590 And what were the circumstances that allowed that to happen? 716 00:36:57,716 --> 00:37:00,510 It's the story of how we interact with one another, 717 00:37:00,635 --> 00:37:03,388 and how we spread diseases amongst each other. 718 00:37:03,513 --> 00:37:06,558 If you track that and you find that out, 719 00:37:06,683 --> 00:37:09,811 we could prevent it happening again in the future. 720 00:37:12,939 --> 00:37:16,443 SHATNER: The Spanish flu outbreak lasted for three long years 721 00:37:16,568 --> 00:37:20,155 and killed an estimated 50 million people 722 00:37:20,238 --> 00:37:24,868 before society finally developed enough collective immunity 723 00:37:24,993 --> 00:37:27,537 for the virus to die out. 724 00:37:27,704 --> 00:37:31,541 History shows us that no matter how lethal a disease may be, 725 00:37:31,666 --> 00:37:34,794 humankind has always found a way to endure it, 726 00:37:34,919 --> 00:37:37,797 whether by employing medical breakthroughs 727 00:37:37,922 --> 00:37:39,924 or sheer patience. 728 00:37:40,049 --> 00:37:43,344 But what kind of illnesses will we have to face in the future? 729 00:37:43,470 --> 00:37:45,472 Could they be different than 730 00:37:45,597 --> 00:37:47,515 what we've experienced in the past? 731 00:37:47,682 --> 00:37:52,020 And might they come to our planet from another world? 732 00:38:00,069 --> 00:38:01,988 SHATNER: British astronomer Sir Fred Hoyle 733 00:38:02,113 --> 00:38:06,159 publishes a book titled Astronomical Origins of Life: 734 00:38:06,284 --> 00:38:09,412 Steps Towards Panspermia. 735 00:38:09,537 --> 00:38:12,165 In it, Hoyle investigates the controversial theory 736 00:38:12,332 --> 00:38:14,667 of panspermia, which suggests that 737 00:38:14,793 --> 00:38:18,463 life on Earth did not originate here 738 00:38:18,546 --> 00:38:21,174 but rather in space, 739 00:38:21,341 --> 00:38:23,676 and that asteroids carried the microbial 740 00:38:23,802 --> 00:38:26,554 building blocks of DNA to our planet. 741 00:38:29,766 --> 00:38:31,559 KAKU: You cannot dismiss the possibility 742 00:38:31,684 --> 00:38:34,395 that maybe life came from outer space. 743 00:38:34,521 --> 00:38:38,316 That we were seeded. Seeded by asteroids or comets 744 00:38:38,441 --> 00:38:40,527 that then put their organic materials 745 00:38:40,693 --> 00:38:43,029 onto the planet Earth. 746 00:38:43,154 --> 00:38:45,865 And so there's a new theory in astronomy that says that 747 00:38:45,990 --> 00:38:48,284 the solar system is like a ping‐pong game 748 00:38:48,368 --> 00:38:51,412 with meteorites carrying microbial lifeforms, 749 00:38:51,538 --> 00:38:54,374 going back and forth between Venus, Mars, 750 00:38:54,499 --> 00:38:56,501 the Earth and the Moon. 751 00:38:56,668 --> 00:38:59,546 This has given momentum to the panspermia theory. 752 00:39:00,964 --> 00:39:03,216 SHATNER: Some scientists have suggested that if the theory 753 00:39:03,341 --> 00:39:04,884 of panspermia is true, 754 00:39:05,009 --> 00:39:09,264 then it's possible that extraterrestrial viruses 755 00:39:09,347 --> 00:39:13,226 could also travel here, bringing with them diseases 756 00:39:13,351 --> 00:39:14,894 that would be much different 757 00:39:15,019 --> 00:39:18,106 from the ones that exist on Earth. 758 00:39:18,231 --> 00:39:19,816 MICHAEL DENNIN: When you think about the core elements 759 00:39:19,941 --> 00:39:23,152 of viral plagues‐‐ those are the four genetic codes, 760 00:39:23,278 --> 00:39:25,822 DNA or RNA within a protein shell‐‐ 761 00:39:25,989 --> 00:39:28,408 that's something that's easier to imagine being stable 762 00:39:28,533 --> 00:39:30,243 deep inside an asteroid, and safe. 763 00:39:30,368 --> 00:39:32,579 And so any sort of virus or plague, 764 00:39:32,704 --> 00:39:34,497 you can imagine them starting from 765 00:39:34,664 --> 00:39:37,125 one of these asteroid events. 766 00:39:37,208 --> 00:39:41,296 A space plague is a leap into the unknown. 767 00:39:41,379 --> 00:39:44,215 We have no way of knowing what kinds of DNA, 768 00:39:44,340 --> 00:39:47,886 or maybe a modified DNA version exists in outer space. 769 00:39:49,262 --> 00:39:53,600 We have never seen other kinds of viruses from outer space 770 00:39:53,683 --> 00:39:56,477 that can infect Earthlings. 771 00:39:56,603 --> 00:39:58,771 So right now we simply don't know the answer. 772 00:39:58,897 --> 00:40:01,983 DENNIN: I think if a plague came from outer space, 773 00:40:02,108 --> 00:40:04,485 just like the way some of the plagues we know 774 00:40:04,611 --> 00:40:06,863 jump from animals to humans, suddenly, 775 00:40:06,988 --> 00:40:10,617 any sudden change in the viruses 776 00:40:10,700 --> 00:40:12,994 or bacteria that are attacking you as a human, 777 00:40:13,119 --> 00:40:16,205 your immune system will not have a defense to, most likely. 778 00:40:16,331 --> 00:40:18,499 These dramatic events, whether it's from space 779 00:40:18,625 --> 00:40:20,919 or a sudden jumping from animals to humans, 780 00:40:21,002 --> 00:40:23,796 are the reason these plagues can be so devastating. 781 00:40:23,963 --> 00:40:27,550 SHATNER: A plague from outer space? 782 00:40:27,675 --> 00:40:29,802 While that may seem like a far‐fetched notion, 783 00:40:29,928 --> 00:40:34,641 it's a possibility that science must be prepared for. 784 00:40:34,766 --> 00:40:36,851 WYNN: There are always these viruses out there, 785 00:40:37,018 --> 00:40:38,227 these things that we can't explain. 786 00:40:38,353 --> 00:40:41,898 It's important for us to always be vigilant, to be aware 787 00:40:42,023 --> 00:40:43,733 and to have our public health authorities 788 00:40:43,858 --> 00:40:45,318 always on the lookout. 789 00:40:45,485 --> 00:40:46,653 So we can never put our guard down. 790 00:40:46,778 --> 00:40:48,905 DENNIN: Hopefully, the faster we are 791 00:40:49,030 --> 00:40:51,157 and the better we are at bioengineering, 792 00:40:51,282 --> 00:40:54,160 the faster we can make vaccines and countermeasures. 793 00:40:54,327 --> 00:40:57,288 It's key to have them so that we can make ways 794 00:40:57,372 --> 00:40:58,665 to protect ourselves. 795 00:40:58,790 --> 00:41:01,793 Preparing for any disease is complex, 796 00:41:01,918 --> 00:41:06,798 and it requires a lot of, um, mobilization of government, 797 00:41:06,965 --> 00:41:10,510 public health, and the science to be able to figure out 798 00:41:10,677 --> 00:41:13,554 what happened, and to prevent it from happening again. 799 00:41:13,680 --> 00:41:17,809 To be able to halt transmission of this disease, whatever it is. 800 00:41:17,934 --> 00:41:20,937 It becomes a detective story as well. 801 00:41:21,020 --> 00:41:23,940 You need to figure out where it came from 802 00:41:24,023 --> 00:41:25,900 and how to attribute the disease. 803 00:41:26,025 --> 00:41:29,821 It's a mystery that our lives depend on, 804 00:41:29,904 --> 00:41:32,031 and we need people to be working on that 805 00:41:32,198 --> 00:41:34,158 and thinking about that. 806 00:41:34,283 --> 00:41:38,204 Perhaps what makes deadly diseases so frightening 807 00:41:38,329 --> 00:41:41,582 is that we never know when they're going to strike next. 808 00:41:41,708 --> 00:41:44,836 And that uncertainty is also what forces us 809 00:41:44,961 --> 00:41:48,798 to ask ourselves are we really safe? 810 00:41:48,965 --> 00:41:52,760 Well, the truth is that only time will tell. 811 00:41:52,885 --> 00:41:55,096 Which means that, at least for now, 812 00:41:55,221 --> 00:41:59,809 these questions will remain unexplained. 813 00:41:59,934 --> 00:42:02,812 CAPTIONING PROVIDED BY A+E NETWORKS 64484

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