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Wednesday, June 24, 2020

Grigori Rasputin

From Wikipedia, the free encyclopedia

Grigori Rasputin
Rasputin PA.jpg
Native name
Григорий Ефимович Распутин
ChurchRussian Orthodox Church
Personal details
Birth nameGrigori Yefimovich Rasputin
Born21 January [O.S. 9 January] 1869
Pokrovskoye, Tyumensky Uyezd, Tobolsk Governorate (Siberia), Russian Empire
Died30 December [O.S. 17 December] 1916 (aged 47)
Saint Petersburg, Russian Empire
NationalityRussian
Parents
  • Yefim Rasputin
  • Anna Parshukova
Spouse
Praskovya Fedorovna Dubrovina (m. 1887)
Children
  • Dmitri (1895–1937)
  • Maria (1898–1977)
  • Varvara (1900–1925)

Grigori Yefimovich Rasputin (/ræˈspjtɪn/; Russian: Григорий Ефимович Распутин [ɡrʲɪˈɡorʲɪj jɪˈfʲiməvʲɪtɕ rɐˈsputʲɪn]; 21 January [O.S. 9 January] 1869 – 30 December [O.S. 17 December] 1916) was a Russian mystic and self-proclaimed holy man who befriended the family of Emperor Nicholas II, the last monarch of Russia, and gained considerable influence in late imperial Russia.

Rasputin was born to a peasant family in the Siberian village of Pokrovskoye in the Tyumensky Uyezd of Tobolsk Governorate (now Yarkovsky District of Tyumen Oblast). He had a religious conversion experience after taking a pilgrimage to a monastery in 1897. He has been described as a monk or as a "strannik" (wanderer or pilgrim), though he held no official position in the Russian Orthodox Church. He traveled to St. Petersburg in 1903 or the winter of 1904–05, where he captivated some church and social leaders. He became a society figure and met the tsar and Tsarina Alexandra in November 1905.

In late 1906, Rasputin began acting as a healer for the only son of Tsar Nicholas II, Alexei, who suffered from hemophilia. He was a divisive figure at court, seen by some Russians as a mystic, visionary, and prophet, and by others as a religious charlatan. The high point of Rasputin's power was in 1915 when Nicholas II left St. Petersburg to oversee Russian armies fighting World War I, increasing both Alexandra and Rasputin's influence. Russian defeats mounted during the war, however, and both Rasputin and Alexandra became increasingly unpopular. In the early morning of 30 December [O.S. 17 December] 1916, Rasputin was assassinated by a group of conservative noblemen who opposed his influence over Alexandra and the tsar.

Historians often suggest that Rasputin's terrible reputation helped discredit the tsarist government and thus helped precipitate the overthrow of the Romanov dynasty which happened a few weeks after he was assassinated. Accounts of his life and influence were often based on hearsay and rumor.

Early life

Pokrovskoye in 1912
 
Rasputin with his children

Rasputin was born a peasant in the small village of Pokrovskoye, along the Tura River in the Tobolsk Governorate (now Tyumen Oblast) in Siberia. According to official records, he was born on 21 January [O.S. 9 January] 1869 and christened the following day. He was named for St. Gregory of Nyssa, whose feast was celebrated on 10 January.

There are few records of Rasputin's parents. His father, Yefim, was a peasant farmer and church elder who had been born in Pokrovskoye in 1842, and married Rasputin's mother, Anna Parshukova, in 1863. Yefim also worked as a government courier, ferrying people and goods between Tobolsk and Tyumen The couple had seven other children, all of whom died in infancy and early childhood; there may have been a ninth child, Feodosiya. According to historian Joseph T. Fuhrmann, Rasputin was certainly close to Feodosiya and was godfather to her children, but "the records that have survived do not permit us to say more than that".

According to historian Douglas Smith, Rasputin's youth and early adulthood are "a black hole about which we know almost nothing", though the lack of reliable sources and information did not stop others from fabricating stories about his parents and his youth after Rasputin's rise to fame. Historians agree, however, that like most Siberian peasants, including his mother and father, Rasputin was not formally educated and remained illiterate well into his early adulthood. Local archival records suggest that he had a somewhat unruly youth – possibly involving drinking, small thefts, and disrespect for local authorities – but contain no evidence of his being charged with stealing horses, blasphemy, or bearing false witness, all major crimes that he was later rumored to have committed as a young man.

In 1886, Rasputin travelled to Abalak, Russia, some 250 km east-northeast of Tyumen and 2,800 km east of Moscow, where he met a peasant girl named Praskovya Dubrovina. After a courtship of several months, they married in February 1887. Praskovya remained in Pokrovskoye throughout Rasputin's later travels and rise to prominence and remained devoted to him until his death. The couple had seven children, though only three survived to adulthood: Dmitry (b. 1895), Maria (b. 1898), and Varvara (b. 1900).

Religious conversion

In 1897, Rasputin developed a renewed interest in religion and left Pokrovskoye to go on a pilgrimage. His reasons for doing so are unclear; according to some sources, Rasputin left the village to escape punishment for his role in a horse theft. Other sources suggest that he had a vision – either of the Virgin Mary or of St. Simeon of Verkhoturye – while still others suggest that Rasputin's pilgrimage was inspired by his interactions with a young theological student, Melity Zaborovsky. Whatever his reasons, Rasputin's departure was a radical life change: he was twenty-eight, had been married ten years, and had an infant son with another child on the way. According to Douglas Smith, his decision "could only have been occasioned by some sort of emotional or spiritual crisis".

Rasputin had undertaken earlier, shorter pilgrimages to the Holy Znamensky Monastery at Abalak and to Tobolsk's cathedral, but his visit to the St. Nicholas Monastery at Verkhoturye in 1897 was transformative. There, he met and was "profoundly humbled" by a starets (elder) known as Makary. Rasputin may have spent several months at Verkhoturye, and it was perhaps here that he learned to read and write, but he later complained about the monastery, claiming that some of the monks engaged in homosexuality and criticizing monastic life as too coercive. He returned to Pokrovskoye a changed man, looking disheveled and behaving differently than he had before. He became a vegetarian, swore off alcohol, and prayed and sang much more fervently than he had in the past.

Rasputin spent the years that followed living as a Strannik (a holy wanderer, or pilgrim), leaving Pokrovskoye for months or even years at a time to wander the country and visited a variety of holy sites. It is possible that Rasputin wandered as far as Athos, Greece – the center of Eastern Orthodox monastic life – in 1900.
By the early 1900s, Rasputin had developed a small circle of acolytes, primarily family members and other local peasants, who prayed with him on Sundays and other holy days when he was in Pokrovskoye. Building a makeshift chapel in Efim's root cellar – Rasputin was still living within his father's household at the time – the group held secret prayer meetings there. These meetings were the subject of some suspicion and hostility from the village priest and other villagers. It was rumored that female followers were ceremonially washing him before each meeting, that the group sang strange songs that the villagers had not heard before, and even that Rasputin had joined the Khlysty, a religious sect whose ecstatic rituals were rumored to include self-flagellation and sexual orgies. According to historian Joseph Fuhrmann, however, "repeated investigations failed to establish that Rasputin was ever a member of the sect", and rumors that he was a Khlyst appear to have been unfounded.

Rise to prominence


Word of Rasputin's activity and charisma began to spread in Siberia during the early 1900s. Sometime between 1902 and 1904, he travelled to the city of Kazan on the Volga river, where he acquired a reputation as a wise and perceptive starets, or holy man, who could help people resolve their spiritual crises and anxieties. Despite rumors that Rasputin was having sex with some of his female followers, he won over the father superior of the Seven Lakes Monastery outside Kazan, as well as a local church officials Archimandrite Andrei and Bishop Chrysthanos, who gave him a letter of recommendation to Bishop Sergei, the rector of the St. Petersburg Theological Seminary at the Alexander Nevsky Monastery, and arranged for him to travel to St. Petersburg, either in 1903 or in the winter of 1904–05.

Upon meeting Sergei at the Nevsky Monastery, Rasputin was introduced to church leaders, including Archimandrite Feofan, who was the inspector of the theological seminary, was well-connected in St. Petersburg society, and later served as confessor to the tsar and his wife. Feofan was so impressed with Rasputin that he invited him to stay in his home and became one of Rasputin's most important and influential friends in St. Petersburg.

According to Joseph T. Fuhrmann, Rasputin stayed in St. Petersburg for only a few months on his first visit and returned to Pokrovskoye in the fall of 1903. Historian Douglas Smith, however, argues that it is impossible to know whether Rasputin stayed in St. Petersburg or returned to Pokrovskoye at some point between his first arrival there and 1905. Regardless, by 1905 Rasputin had formed friendships with several members of the aristocracy, including the "Black Princesses", Militsa and Anastasia of Montenegro, who had married the tsar's cousins (Grand Duke Peter Nikolaevich and Grand Duke Nikolai Nikolaevich), and were instrumental in introducing Rasputin to the tsar and his family.

Rasputin first met the tsar on 1 November 1905, at the Peterhof Palace. The tsar recorded the event in his diary, writing that he and Alexandra had "made the acquaintance of a man of God – Grigory, from Tobolsk province". Rasputin returned to Pokrovskoye shortly after their first meeting and did not return to St. Petersburg until July 1906. On his return, Rasputin sent Nicholas a telegram asking to present the tsar with an icon of Simeon of Verkhoturye. He met with Nicholas and Alexandra on 18 July and again in October, when he first met their children. At some point, the royal family became convinced that Rasputin possessed the power to heal Alexei, but historians disagree over when: according to Orlando Figes, Rasputin was first introduced to the tsar and tsarina as a healer who could help their son in November 1905, while Joseph Fuhrmann has speculated that it was in October 1906 that Rasputin was first asked to pray for the health of Alexei.

Healer to Alexei

Alexandra Feodorovna with her children, Rasputin and the nurse Maria Ivanova Vishnyakova (1908)
 
Much of Rasputin's influence with the royal family stemmed from the belief by Alexandra and others that he had eased the pain and stopped the bleeding of the tsarevich – who suffered from hemophilia – on several occasions. According to historian Marc Ferro, the tsarina had a "passionate attachment" to Rasputin as a result of her belief that he could heal her son's affliction. Harold Shukman wrote that Rasputin became "an indispensable member of the royal entourage" as a result. It is unclear when Rasputin first learned of Alexei's hemophilia, or when he first acted as a healer for Alexei. He may have been aware of Alexei's condition as early as October 1906, and was summoned by Alexandra to pray for Alexei when he had an internal hemorrhage in the spring of 1907. Alexei recovered the next morning. Rasputin had been rumored to be capable of faith-healing since his arrival in St. Petersburg, and the tsarina's friend Anna Vyrubova became convinced that Rasputin had miraculous powers shortly thereafter. Vyrubova would become one of Rasputin's most influential advocates.

During the summer of 1912, Alexei developed a hemorrhage in his thigh and groin after a jolting carriage ride near the royal hunting grounds at Spala, which caused a large hematoma. In severe pain and delirious with fever, the tsarevich appeared to be close to death. In desperation, the tsarina asked Vyrubova to send Rasputin (who was in Siberia) a telegram, asking him to pray for Alexei. Rasputin wrote back quickly, telling the tsarina that "God has seen your tears and heard your prayers. Do not grieve. The Little One will not die. Do not allow the doctors to bother him too much." The next morning, Alexei's condition was unchanged, but Alexandra was encouraged by the message and regained some hope that Alexei would survive. Alexei's bleeding stopped the following day.

Historian Robert K. Massie has calls Alexei's recovery "one of the most mysterious episodes of the whole Rasputin legend". The cause of his recovery is unclear: Massie speculated that Rasputin's suggestion not to let doctors disturb Alexei had aided his recovery by allowing him to rest and heal, or that his message may have aided Alexei's recovery by calming Alexandra and reducing the emotional stress on Alexei. Alexandra, however, believed that Rasputin had performed a miracle, and concluded that he was essential to Alexei's survival. Some writers and historians, such as Ferro, claim that Rasputin stopped Alexei's bleeding on other occasions through hypnosis.

Controversy

Rasputin among admirers, 1914

The royal family's belief that Rasputin possessed the power to heal Alexei brought him considerable status and power at court. The tsar appointed Rasputin his lampadnik (lamplighter) who was charged with keeping the lamps lit that burned in front of religious icons in the palace, and he thus had regular access to the palace and royal family. By December 1906, Rasputin had become close enough to the royal family to ask a special favor of the tsar: that he be permitted to change his surname to Rasputin-Novyi (Rasputin-New). Nicholas granted the request and the name change was speedily processed, suggesting that the tsar viewed and treated Rasputin favorably at that time. Rasputin used his status and power to full effect, accepting bribes and sexual favors from admirers and working diligently to expand his influence. He soon became a controversial figure; he was accused by his enemies of religious heresy and rape, was suspected of exerting undue political influence over the tsar, and was even rumored to be having an affair with the tsarina.

Alternative religious movements had become popular among the city's aristocracy before Rasputin's arrival in St. Petersburg in 1903, such as spiritualism and theosophy, and many of the aristocracy were intensely curious about the occult and the supernatural. The Saint Petersburg elite were fascinated by Rasputin but did not widely accept him. He did not fit in with the royal family, and he had a very strained relationship with the Russian Orthodox Church. The Holy Synod frequently attacked Rasputin, accusing him of a variety of immoral or evil practices.

Rasputin with his wife and daughter Matryona (Maria) in his St. Petersburg apartment in 1911
 
Caricature of Rasputin and the Imperial couple (1916)
 
World War I, the disappearance of feudalism, and a meddling government bureaucracy all contributed to Russia's declining economy at a very rapid rate. Many laid the blame with Alexandra and with Rasputin, because of his influence over her. Here is an example:
Vladimir Purishkevich was an outspoken member of the Duma. On 19 November 1916, Purishkevich made a rousing speech in the Duma, in which he stated, "The tsar's ministers who have been turned into marionettes, marionettes whose threads have been taken firmly in hand by Rasputin and the Empress Alexandra Fyodorovna – the evil genius of Russia and the Tsarina… who has remained a German on the Russian throne and alien to the country and its people." Felix Yusupov attended the speech and afterwards contacted Purishkevich, who quickly agreed to participate in the murder of Rasputin.
Rasputin's influence over the royal family was used against him and the Romanovs by politicians and journalists who wanted to weaken the integrity of the dynasty, force the tsar to give up his absolute political power, and separate the Russian Orthodox Church from the state.

Assassination attempt

On 12 July [O.S. 29 June] 1914 a 33-year-old peasant woman named Chionya Guseva attempted to assassinate Rasputin by stabbing him in the stomach outside his home in Pokrovskoye. Rasputin was seriously wounded, and for a time it was not clear that he would survive. After surgery and some time in a hospital in Tyumen, he recovered.

Guseva was a follower of Iliodor, a former priest who had supported Rasputin before denouncing his sexual escapades and self-aggrandizement in December 1911. A radical conservative and anti-semite, Iliodor had been part of a group of establishment figures who had attempted to drive a wedge between the royal family and Rasputin in 1911. When this effort failed, Iliodor was banished from Saint Petersburg and was ultimately defrocked. Guseva claimed to have acted alone, having read about Rasputin in the newspapers and believing him to be a "false prophet and even an Antichrist". Both the police and Rasputin, however, believed that Iliodor had played some role in the attempt on Rasputin's life. Iliodor fled the country before he could be questioned about the assassination attempt, and Guseva was found to be not responsible for her actions by reason of insanity.

Death

Felix Yusupov (1914) married Irina Aleksandrovna Romanova, the Tsar's niece.

A group of nobles led by Prince Felix Yusupov, Grand Duke Dmitri Pavlovich, and right-wing politician Vladimir Purishkevich decided that Rasputin's influence over the tsarina had made him a threat to the empire, and they concocted a plan in December 1916 to kill him, apparently by luring him to the Yusupovs' Moika Palace.

Basement of the Yusupov Palace on the Moika in St. Petersburg where Rasputin was murdered
 
 
The wooden Bolshoy Petrovsky Bridge, from which Rasputin's body was thrown into the Malaya Nevka River
 
Rasputin was murdered during the early morning on 30 December [O.S. 17 December] 1916 at the home of Felix Yusupov. He died of three gunshot wounds, one of which was a close-range shot to his forehead. Little is certain about his death beyond this, and the circumstances of his death have been the subject of considerable speculation. According to historian Douglas Smith, "what really happened at the Yusupov home on 17 December will never be known". The story that Yusupov recounted in his memoirs, however, has become the most frequently told version of events.

Rasputin's body with bullet wound in forehead
 
Yusupov claimed that he invited Rasputin to his home shortly after midnight and ushered him into the basement. Yusupov offered Rasputin tea and cakes which had been laced with cyanide. Rasputin initially refused the cakes but then began to eat them and, to Yusupov's surprise, he did not appear to be affected by the poison. Rasputin then asked for some Madeira wine (which had also been poisoned) and drank three glasses, but still showed no sign of distress. At around 2:30 am, Yusupov excused himself to go upstairs, where his fellow conspirators were waiting. He took a revolver from Dmitry Pavlovich, then returned to the basement and told Rasputin that he'd "better look at the crucifix and say a prayer", referring to a crucifix in the room, then shot him once in the chest. The conspirators then drove to Rasputin's apartment, with Sukhotin wearing Rasputin's coat and hat in an attempt to make it look as though Rasputin had returned home that night. They then returned to the Moika Palace and Yusupov went back to the basement to ensure that Rasputin was dead. Suddenly, Rasputin leapt up and attacked Yusupov, who freed himself with some effort and fled upstairs. Rasputin followed and made it into the palace's courtyard before being shot by Purishkevich and collapsing into a snowbank. The conspirators then wrapped his body in cloth, drove it to the Petrovsky Bridge, and dropped it into the Malaya Nevka River.

Aftermath

News of Rasputin's murder spread quickly, even before his body was found. According to Douglas Smith, Purishkevich spoke openly about Rasputin's murder to two soldiers and to a policeman who was investigating reports of shots shortly after the event, but he urged them not to tell anyone else. An investigation was launched the next morning. The Stock Exchange Gazette ran a report of Rasputin's death "after a party in one of the most aristocratic homes in the center of the city" on the afternoon of 30 December [O.S. 17 December] 1916.

Two workmen noticed blood on the railing of the Petrovsky Bridge and found a boot on the ice below, and police began searching the area. Rasputin's body was found under the river ice on 1 January (O.S. 19 December) approximately 200 meters downstream from the bridge. Dr. Dmitry Kosorotov, the city's senior autopsy surgeon, conducted an autopsy. Kosorotov's report was lost, but he later stated that Rasputin's body had shown signs of severe trauma, including three gunshot wounds (one at close range to the forehead), a slice wound to his left side, and many other injuries, many of which Kosorotov felt had been sustained post-mortem. Kosorotov found a single bullet in Rasputin's body but stated that it was too badly deformed and of a type too widely used to trace. He found no evidence that Rasputin had been poisoned. According to both Douglas Smith and Joseph Fuhrmann, Kosorotov found no water in Rasputin's lungs, and reports were incorrect that Rasputin had been thrown into the water alive. Some later accounts claimed that Rasputin's penis had been severed, but Kosorotov found his genitals intact.

Rasputin was buried on 2 January (O.S. 21 December) at a small church that Anna Vyrubova had been building at Tsarskoye Selo. The funeral was attended only by the royal family and a few of their intimates. Rasputin's wife, mistress, and children were not invited, although his daughters met with the royal family at Vyrubova's home later that day. His body was exhumed and burned by a detachment of soldiers shortly after the tsar abdicated the throne in March 1917, in order to prevent his burial site from becoming a rallying point for supporters of the old regime.

Theory of British involvement

Some writers have suggested that agents of the British Secret Intelligence Service (BSIS) were involved in Rasputin's assassination. According to this theory, British agents were concerned that Rasputin was urging the tsar to make a separate peace with Germany, which would allow Germany to concentrate its military efforts on the Western Front. There are several variants of this theory, but they generally suggest that British intelligence agents were directly involved in planning and carrying out the assassination under the command of Samuel Hoare and Oswald Rayner, who had attended Oxford University with Yusopov, or that Rayner had personally shot Rasputin. However, historians do not seriously consider this theory. According to historian Douglas Smith, "there is no convincing evidence that places any British agents at the murder scene". Historian Keith Jeffery states that if British Intelligence agents had been involved in the assassination of Rasputin, "I would have expected to find some trace of that" in the Secret Intelligence Service archives, but no such evidence exists.

Daughter

Rasputin's daughter, Maria Rasputin (born Matryona Rasputina) (1898–1977), emigrated to France after the October Revolution and then to the United States. There, she worked as a dancer and then a lion tamer in a circus.

Treaty of Versailles

From Wikipedia, the free encyclopedia

Treaty of Versailles
Treaty of Versailles, English version.jpg
Cover of the English version
Signed28 June 1919
LocationHall of Mirrors in the Palace of Versailles, Paris, France
Effective10 January 1920
ConditionRatification by Germany and three Principal Allied Powers.
Signatories
 Germany
DepositaryFrench Government
LanguagesFrench and English
Treaty of Versailles at Wikisource


The Treaty of Versailles (French: Traité de Versailles) was the most important of the peace treaties that brought World War I to an end. The Treaty ended the state of war between Germany and the Allied Powers. It was signed on 28 June 1919 in Versailles, exactly five years after the assassination of Archduke Franz Ferdinand, which had directly led to the war. The other Central Powers on the German side signed separate treaties. Although the armistice, signed on 11 November 1918, ended the actual fighting, it took six months of Allied negotiations at the Paris Peace Conference to conclude the peace treaty. The treaty was registered by the Secretariat of the League of Nations on 21 October 1919.

Of the many provisions in the treaty, one of the most important and controversial required "Germany [to] accept the responsibility of Germany and her allies for causing all the loss and damage" during the war (the other members of the Central Powers signed treaties containing similar articles). This article, Article 231, later became known as the War Guilt clause. The treaty required Germany to disarm, make ample territorial concessions, and pay reparations to certain countries that had formed the Entente powers. In 1921 the total cost of these reparations was assessed at 132 billion marks (then $31.4 billion or £6.6 billion, roughly equivalent to US$442 billion or UK£284 billion in 2020). At the time economists, notably John Maynard Keynes (a British delegate to the Paris Peace Conference), predicted that the treaty was too harsh—a "Carthaginian peace"—and said the reparations figure was excessive and counter-productive, views that, since then, have been the subject of ongoing debate by historians and economists. On the other hand, prominent figures on the Allied side, such as French Marshal Ferdinand Foch, criticized the treaty for treating Germany too leniently.

The result of these competing and sometimes conflicting goals among the victors was a compromise that left no one satisfied, and, in particular, Germany was neither pacified nor conciliated, nor was it permanently weakened. The problems that arose from the treaty would lead to the Locarno Treaties, which improved relations between Germany and the other European powers, and the re-negotiation of the reparation system resulting in the Dawes Plan, the Young Plan, and the indefinite postponement of reparations at the Lausanne Conference of 1932. The treaty has sometimes been cited as a cause of World War II: although its actual impact was not as severe as feared, its terms led to great resentment in Germany which powered the rise of Hitler's Nazis. 

Although it is often referred to as the "Versailles Conference", only the actual signing of the treaty took place at the historic palace. Most of the negotiations were in Paris, with the "Big Four" meetings taking place generally at the French Ministry of Foreign Affairs on the Quai d'Orsay.

Background

First World War

Newsreel footage of the signing of the peace treaty at Versailles

On 28 June 1914, the heir to the throne of Austria-Hungary, the Archduke Franz Ferdinand of Austria, was assassinated by a Serbian nationalist. This caused a rapidly escalating July Crisis resulting in Austria-Hungary declaring war on Serbia, followed quickly by the entry of most European powers into the First World War. Two alliances faced off, the Central Powers (led by Germany) and the Triple Entente (led by Britain, France and Russia). Other countries entered as fighting raged widely across Europe, as well as the Middle East, Africa and Asia. In 1917, two revolutions occurred within the Russian Empire. The new Bolshevik government under Vladimir Lenin in March 1918 signed the Treaty of Brest-Litovsk that was highly favourable to Germany. Sensing victory before American armies could be ready, Germany now shifted force to the Western Front and tried to overwhelm the Allies. It failed. Instead the Allies won decisively on the battlefield and forced an armistice in November 1918 that resembled a surrender.

US entry and the Fourteen Points

On 6 April 1917, the United States entered the war against the Central Powers. The motives were twofold: German submarine warfare against merchant ships trading with France and Britain, which led to the sinking of the RMS Lusitania and the loss of 128 American lives; and the interception of the German Zimmermann Telegram, urging Mexico to declare war against the United States. The American war aim was to detach the war from nationalistic disputes and ambitions after the Bolshevik disclosure of secret treaties between the Allies. The existence of these treaties tended to discredit Allied claims that Germany was the sole power with aggressive ambitions.

On 8 January 1918, President Woodrow Wilson issued the nation's postwar goals, the Fourteen Points. It outlined a policy of free trade, open agreements, and democracy. While the term was not used self-determination was assumed. It called for a negotiated end to the war, international disarmament, the withdrawal of the Central Powers from occupied territories, the creation of a Polish state, the redrawing of Europe's borders along ethnic lines, and the formation of a League of Nations to guarantee the political independence and territorial integrity of all states. It called for a just and democratic peace uncompromised by territorial annexation. The Fourteen Points were based on the research of the Inquiry, a team of about 150 advisors led by foreign-policy advisor Edward M. House, into the topics likely to arise in the expected peace conference.

Treaty of Brest-Litovsk, 1918

Map of Eastern Europe. A bold line shows the new border of Soviet Russia. The coloured portion indicates the area occupied by the Central Powers.
The borders of Eastern Europe, as drawn up by the Treaty of Brest-Litovsk
 
After the Central Powers launched Operation Faustschlag on the Eastern Front, the new Soviet Government of Russia signed the Treaty of Brest-Litovsk with Germany on 3 March 1918. This treaty ended the war between Russia and the Central powers and annexed 1,300,000 square miles (3,400,000 km2) of territory and 62 million people. This loss equated to a third of the Russian population, a quarter of its territory, around a third of the country's arable land, three-quarters of its coal and iron, a third of its factories (totalling 54 percent of the nation's industrial capacity), and a quarter of its railroads.

Armistice

During the autumn of 1918, the Central Powers began to collapse. Desertion rates within the German army began to increase, and civilian strikes drastically reduced war production. On the Western Front, the Allied forces launched the Hundred Days Offensive and decisively defeated the German western armies. Sailors of the Imperial German Navy at Kiel mutinied, which prompted uprisings in Germany, which became known as the German Revolution. The German government tried to obtain a peace settlement based on the Fourteen Points, and maintained it was on this basis that they surrendered. Following negotiations, the Allied powers and Germany signed an armistice, which came into effect on 11 November while German forces were still positioned in France and Belgium.

Occupation

The terms of the armistice called for an immediate evacuation of German troops from occupied Belgium, France, and Luxembourg within fifteen days. In addition, it established that Allied forces would occupy the Rhineland. In late 1918, Allied troops entered Germany and began the occupation.

Blockade

Both Germany and Great Britain were dependent on imports of food and raw materials, most of which had to be shipped across the Atlantic Ocean. The Blockade of Germany (1914–1919) was a naval operation conducted by the Allied Powers to stop the supply of raw materials and foodstuffs reaching the Central Powers. The German Kaiserliche Marine was mainly restricted to the German Bight and used commerce raiders and unrestricted submarine warfare for a counter-blockade. The German Board of Public Health in December 1918 stated that 763,000 German civilians had died during the Allied blockade, although an academic study in 1928 put the death toll at 424,000 people.

Negotiations

The heads of the "Big Four" nations at the Paris Peace Conference, 27 May 1919. From left to right: David Lloyd George, Vittorio Orlando, Georges Clemenceau, and Woodrow Wilson
 
Talks between the Allies to establish a common negotiating position started on 18 January 1919, in the Salle de l'Horloge at the French Foreign Ministry on the Quai d'Orsay in Paris. Initially, 70 delegates from 27 nations participated in the negotiations. Russia was excluded due to their signing of a separate peace (the Treaty of Brest-Litovsk) and early withdrawal from the war. Furthermore, German negotiators were excluded to deny them an opportunity to divide the Allies diplomatically.

Initially, a "Council of Ten" (comprising two delegates each from Britain, France, the United States, Italy, and Japan) met officially to decide the peace terms. This council was replaced by the "Council of Five", formed from each country's foreign ministers, to discuss minor matters. French Prime Minister Georges Clemenceau, Italian Prime Minister Vittorio Emanuele Orlando, British Prime Minister David Lloyd George, and United States President Woodrow Wilson formed the "Big Four" (at one point becoming the "Big Three" following the temporary withdrawal of Vittorio Emanuele Orlando). These four men met in 145 closed sessions to make all the major decisions, which were later ratified by the entire assembly. The minor powers attended a weekly "Plenary Conference" that discussed issues in a general forum but made no decisions. These members formed over 50 commissions that made various recommendations, many of which were incorporated into the final text of the treaty.

French aims

France had lost 1.3 million soldiers, including 25% of French men aged 18–30 and 400,000 civilians. France had also been more physically damaged than any other nation (the so-called zone rouge (Red Zone); the most industrialized region and the source of most coal and iron ore in the north-east had been devastated and in the final days of the war mines had been flooded and railways, bridges and factories destroyed.) Clemenceau intended to ensure the security of France, by weakening Germany economically, militarily, territorially and by supplanting Germany as the leading producer of steel in Europe. British economist and Versailles negotiator John Maynard Keynes summarized this position as attempting to "set the clock back and undo what, since 1870, the progress of Germany had accomplished."

Clemenceau told Wilson: "America is far away, protected by the ocean. Not even Napoleon himself could touch England. You are both sheltered; we are not". The French wanted a frontier on the Rhine, to protect France from a German invasion and compensate for French demographic and economic inferiority. American and British representatives refused the French claim and after two months of negotiations, the French accepted a British pledge to provide an immediate alliance with France if Germany attacked again, and Wilson agreed to put a similar proposal to the Senate. Clemenceau had told the Chamber of Deputies, in December 1918, that his goal was to maintain an alliance with both countries. Clemenceau accepted the offer, in return for an occupation of the Rhineland for fifteen years and that Germany would also demilitarise the Rhineland.

French negotiators required reparations, to make Germany pay for the destruction induced throughout the war and to decrease German strength. The French also wanted the iron ore and coal of the Saar Valley, by annexation to France. The French were willing to accept a smaller amount of reparations than the Americans would concede and Clemenceau was willing to discuss German capacity to pay with the German delegation, before the final settlement was drafted. In April and May 1919, the French and Germans held separate talks, on mutually acceptable arrangements on issues like reparation, reconstruction and industrial collaboration. France, along with the British Dominions and Belgium, opposed mandates and favored annexation of former German colonies.

British aims

A man poses for a photograph.
British Prime Minister David Lloyd George

Britain had suffered heavy financial costs but suffered little physical devastation during the war. However, the British wartime coalition was re-elected during the so-called Coupon election at the end of 1918, with a policy of squeezing the German "'til the pips squeak". Public opinion favoured a "just peace", which would force Germany to pay reparations and be unable to repeat the aggression of 1914, although those of a "liberal and advanced opinion" shared Wilson's ideal of a peace of reconciliation.

In private Lloyd George opposed revenge and attempted to compromise between Clemenceau's demands and the Fourteen Points, because Europe would eventually have to reconcile with Germany. Lloyd George wanted terms of reparation that would not cripple the German economy, so that Germany would remain a viable economic power and trading partner. By arguing that British war pensions and widows' allowances should be included in the German reparation sum, Lloyd George ensured that a large amount would go to the British Empire.

Lloyd George also intended to maintain a European balance of power to thwart a French attempt to establish itself as the dominant European power. A revived Germany would be a counterweight to France and a deterrent to Bolshevik Russia. Lloyd George also wanted to neutralize the German navy to keep the Royal Navy as the greatest naval power in the world; dismantle the German colonial empire with several of its territorial possessions ceded to Britain and others being established as League of Nations mandates, a position opposed by the Dominions.

American aims

Prior to the American entry into the war, Wilson had talked of a 'peace without victory'. This position fluctuated following the US entry into the war. Wilson spoke of the German aggressors, with whom there could be no compromised peace. However, on 8 January 1918, Wilson delivered a speech (known as the Fourteen Points) that declared the American peace objectives: the rebuilding of the European economy, self-determination of European and Middle Eastern ethnic groups, the promotion of free trade, the creation of appropriate mandates for former colonies, and above all, the creation of a powerful League of Nations that would ensure the peace. The aim of the latter was to provide a forum to revise the peace treaties as needed, and deal with problems that arose as a result of the peace and the rise of new states.

Wilson brought along top intellectuals as advisors to the American peace delegation, and the overall American position echoed the Fourteen Points. Wilson firmly opposed harsh treatment on Germany. While the British and French wanted to largely annex the German colonial empire, Wilson saw that as a violation of the fundamental principles of justice and human rights of the native populations, and favored them having the right of self-determination via the creation of mandates. The promoted idea called for the major powers to act as disinterested trustees over a region, aiding the native populations until they could govern themselves. In spite of this position and in order to ensure that Japan did not refuse to join the League of Nations, Wilson favored turning over the former German colony of Shandong, in Eastern China, to Japan rather than return the area to Chinese control. Further confounding the Americans, was US internal partisan politics. In November 1918, the Republican Party won the Senate election by a slim margin. Wilson, a Democrat, refused to include prominent Republicans in the American delegation making his efforts seem partisan, and contributed to a risk of political defeat at home.

Italian aims

Vittorio Emanuele Orlando and his foreign minister Sidney Sonnino, an Anglican of British origins, worked primarily to secure the partition of the Habsburg Empire and their attitude towards Germany was not as hostile. Generally speaking, Sonnino was in line with the British position while Orlando favored a compromise between Clemenceau and Wilson. Within the negotiations for the Treaty of Versailles, Orlando obtained certain results such as the permanent membership of Italy in the security council of the League of Nations and a promised transfer of British Jubaland and French Aozou strip to the Italian colonies of Somalia and Libya respectively. Italian nationalists, however, saw WW1 as a mutilated victory for what they considered to be little territorial gains achieved in the other treaties directly impacting Italy's borders. Orlando was ultimately forced to abandon the conference and resign. Orlando refused to see World War One as a mutilated victory, replying at nationalists calling for a greater expansion that "Italy today is a great state....on par with the great historic and contemporary states. This is, for me, our main and principal expansion." Francesco Saverio Nitti took Orlando's place in signing the treaty of Versailles.

Treaty content and signing

Numerous men stand and sit around a long table, while the man sitting in the foreground signs a document.
German delegate Johannes Bell signing the Treaty of Versailles in the Hall of Mirrors, with various Allied delegations sitting and standing in front of him

In June 1919, the Allies declared that war would resume if the German government did not sign the treaty they had agreed to among themselves. The government headed by Philipp Scheidemann was unable to agree on a common position, and Scheidemann himself resigned rather than agree to sign the treaty. Gustav Bauer, the head of the new government, sent a telegram stating his intention to sign the treaty if certain articles were withdrawn, including Articles 227, 230 and 231. In response, the Allies issued an ultimatum stating that Germany would have to accept the treaty or face an invasion of Allied forces across the Rhine within 24 hours. On 23 June, Bauer capitulated and sent a second telegram with a confirmation that a German delegation would arrive shortly to sign the treaty. On 28 June 1919, the fifth anniversary of the assassination of Archduke Franz Ferdinand (the immediate impetus for the war), the peace treaty was signed. The treaty had clauses ranging from war crimes, the prohibition on the merging of the Republic of German Austria with Germany without the consent of the League of Nations, freedom of navigation on major European rivers, to the returning of a Koran to the king of Hedjaz.

Territorial changes

A map of Germany. It is colour-coded to show the transfer of territory from German to the surrounding countries and define the new borders.
Germany after Versailles:
  Administered by the League of Nations
  Annexed or transferred to neighbouring countries by the treaty, or later via plebiscite and League of Nations action

The treaty stripped Germany of 25,000 square miles (65,000 km2) of territory and 7 million people. It also required Germany to give up the gains made via the Treaty of Brest-Litovsk and grant independence to the protectorates that had been established. In Western Europe Germany was required to recognize Belgian sovereignty over Moresnet and cede control of the Eupen-Malmedy area. Within six months of the transfer, Belgium was required to conduct a plebiscite on whether the citizens of the region wanted to remain under Belgian sovereignty or return to German control, communicate the results to the League of Nations and abide by the League's decision. To compensate for the destruction of French coal mines, Germany was to cede the output of the Saar coalmines to France and control of the Saar to the League of Nations for 15 years; a plebiscite would then be held to decide sovereignty. The treaty restored the provinces of Alsace-Lorraine to France by rescinding the treaties of Versailles and Frankfurt of 1871 as they pertained to this issue. France was able to make the claim that the provinces of Alsace-Lorraine were indeed part of France and not part of Germany by disclosing a letter sent from the Prussian King to Empress Eugénie that Eugénie provided, in which William I wrote that the territories of Alsace-Lorraine were requested by Germany for the sole purpose of national defense and not to expand the German territory. The sovereignty of Schleswig-Holstein was to be resolved by a plebiscite to be held at a future time.

In Central Europe Germany was to recognize the independence of Czechoslovakia (which had actually been controlled by Austria) and cede parts of the province of Upper Silesia. Germany had to recognize the independence of Poland and renounce "all rights and title over the territory". Portions of Upper Silesia were to be ceded to Poland, with the future of the rest of the province to be decided by plebiscite. The border would be fixed with regard to the vote and to the geographical and economic conditions of each locality. The province of Posen (now Poznań), which had come under Polish control during the Greater Poland Uprising, was also to be ceded to Poland Pomerelia (Eastern Pomerania), on historical and ethnic grounds, was transferred to Poland so that the new state could have access to the sea and became known as the Polish Corridor. The sovereignty of part of southern East Prussia was to be decided via plebiscite while the East Prussian Soldau area, which was astride the rail line between Warsaw and Danzig, was transferred to Poland outright without plebiscite. An area of 51,800 square kilometres (20,000 square miles) was granted to Poland at the expense of Germany. Memel was to be ceded to the Allied and Associated powers, for disposal according to their wishes. Germany was to cede the city of Danzig and its hinterland, including the delta of the Vistula River on the Baltic Sea, for the League of Nations to establish the Free City of Danzig.

Mandates

German colonies (light blue) were made into League of Nations mandates.

Article 119 of the treaty required Germany to renounce sovereignty over former colonies and Article 22 converted the territories into League of Nations mandates under the control of Allied states. Togoland and German Kamerun (Cameroon) were transferred to France. Ruanda and Urundi were allocated to Belgium, whereas German South-West Africa went to South Africa and Britain obtained German East Africa. As compensation for the German invasion of Portuguese Africa, Portugal was granted the Kionga Triangle, a sliver of German East Africa in northern Mozambique. Article 156 of the treaty transferred German concessions in Shandong, China, to Japan, not to China. Japan was granted all German possessions in the Pacific north of the equator and those south of the equator went to Australia, except for German Samoa, which was taken by New Zealand.

Military restrictions

The treaty was comprehensive and complex in the restrictions imposed upon the post-war German armed forces (the Reichswehr). The provisions were intended to make the Reichswehr incapable of offensive action and to encourage international disarmament.  Germany was to demobilize sufficient soldiers by 31 March 1920 to leave an army of no more than 100,000 men in a maximum of seven infantry and three cavalry divisions. The treaty laid down the organisation of the divisions and support units, and the General Staff was to be dissolved. Military schools for officer training were limited to three, one school per arm, and conscription was abolished. Private soldiers and non-commissioned officers were to be retained for at least twelve years and officers for a minimum of 25 years, with former officers being forbidden to attend military exercises. To prevent Germany from building up a large cadre of trained men, the number of men allowed to leave early was limited.

Three men sit on top of a large artillery piece.
Workmen decommissioning a heavy gun, to comply with the treaty

The number of civilian staff supporting the army was reduced and the police force was reduced to its pre-war size, with increases limited to population increases; paramilitary forces were forbidden. The Rhineland was to be demilitarized, all fortifications in the Rhineland and 50 kilometres (31 miles) east of the river were to be demolished and new construction was forbidden. Military structures and fortifications on the islands of Heligoland and Düne were to be destroyed. Germany was prohibited from the arms trade, limits were imposed on the type and quantity of weapons and prohibited from the manufacture or stockpile of chemical weapons, armoured cars, tanks and military aircraft. The German navy was allowed six pre-dreadnought battleships and was limited to a maximum of six light cruisers (not exceeding 6,000 long tons (6,100 t)), twelve destroyers (not exceeding 800 long tons (810 t)) and twelve torpedo boats (not exceeding 200 long tons (200 t)) and was forbidden submarines. The manpower of the navy was not to exceed 15,000 men, including manning for the fleet, coast defences, signal stations, administration, other land services, officers and men of all grades and corps. The number of officers and warrant officers was not allowed to exceed 1,500 men. Germany surrendered eight battleships, eight light cruisers, forty-two destroyers, and fifty torpedo boats for decommissioning. Thirty-two auxiliary ships were to be disarmed and converted to merchant use. Article 198 prohibited Germany from having an air force, including naval air forces, and required Germany to hand over all aerial related materials. In conjunction, Germany was forbidden to manufacture or import aircraft or related material for a period of six months following the signing of the treaty.

Reparations

In Article 231 Germany accepted responsibility for the losses and damages caused by the war "as a consequence of the ... aggression of Germany and her allies." The treaty required Germany to compensate the Allied powers, and it also established an Allied "Reparation Commission" to determine the exact amount which Germany would pay and the form that such payment would take. The commission was required to "give to the German Government a just opportunity to be heard", and to submit its conclusions by 1 May 1921. In the interim, the treaty required Germany to pay an equivalent of 20 billion gold marks ($5 billion) in gold, commodities, ships, securities or other forms. The money would help to pay for Allied occupation costs and buy food and raw materials for Germany.

Guarantees

Map of northwest Europe showing France, Germany and the Low Countries. The Yellow area highlights the Rhineland of Germany.
Location of the Rhineland (yellow)
 
To ensure compliance, the Rhineland and bridgeheads east of the Rhine were to be occupied by Allied troops for fifteen years. If Germany had not committed aggression, a staged withdrawal would take place; after five years, the Cologne bridgehead and the territory north of a line along the Ruhr would be evacuated. After ten years, the bridgehead at Coblenz and the territories to the north would be evacuated and after fifteen years remaining Allied forces would be withdrawn. If Germany reneged on the treaty obligations, the bridgeheads would be reoccupied immediately.

International organizations

Part I of the treaty, as per all the treaties signed during the Paris Peace Conference, was the Covenant of the League of Nations, which provided for the creation of the League, an organization for the arbitration of international disputes. Part XIII organized the establishment of the International Labour Officer, to regulate hours of work, including a maximum working day and week; the regulation of the labour supply; the prevention of unemployment; the provision of a living wage; the protection of the worker against sickness, disease and injury arising out of his employment; the protection of children, young persons and women; provision for old age and injury; protection of the interests of workers when employed abroad; recognition of the principle of freedom of association; the organization of vocational and technical education and other measures. The treaty also called for the signatories to sign or ratify the International Opium Convention.

Tuesday, June 23, 2020

Encephalitis lethargica

From Wikipedia, the free encyclopedia
 
Encephalitis lethargica is an atypical form of encephalitis. Also known as "sleeping sickness" or "sleepy sickness" (distinct from tsetse fly-transmitted sleeping sickness), it was first described in 1917 by the neurologist Constantin von Economo and the pathologist Jean-René Cruchet.

The disease attacks the brain, leaving some victims in a statue-like condition, speechless and motionless. Between 1915 and 1926, an epidemic of encephalitis lethargica spread around the world. Nearly five million people were affected, a third of whom died in the acute stages. Many of those who survived never returned to their pre-existing "aliveness".
They would be conscious and aware – yet not fully awake; they would sit motionless and speechless all day in their chairs, totally lacking energy, impetus, initiative, motive, appetite, affect or desire; they registered what went on about them without active attention, and with profound indifference. They neither conveyed nor felt the feeling of life; they were as insubstantial as ghosts, and as passive as zombies.
No recurrence of the epidemic has since been reported, though isolated cases continue to occur.

Signs and symptoms

Encephalitis lethargica is characterized by high fever, sore throat, double vision, delayed physical and mental response, sleep inversion and catatonia. In severe cases, patients may enter a coma-like state (akinetic mutism). Patients may also experience abnormal eye movements ("oculogyric crises"), Parkinsonism, upper body weakness, muscular pains, tremors, neck rigidity, and behavioral changes including psychosis. Klazomania (a vocal tic) is sometimes present.

Cause

Encephalitis lethargica. Its sequelae and treatment – Constantin Von Economo, 1931: front page

The causes of encephalitis lethargica are uncertain.

Some studies have explored its origins in an autoimmune response, and, separately or in relation to an immune response, links to pathologies of infectious disease — viral and bacterial, e.g., in the case of influenza, where a link with encephalitis is clear. Postencephalitic parkinsonism was clearly documented to have followed an outbreak of encephalitis lethargica following the 1918 influenza pandemic; evidence for viral causation of the Parkinson's symptoms is circumstantial (epidemiologic, and finding influenza antigens in encephalitis lethargica patients), while evidence arguing against this cause is of the negative sort (e.g., lack of viral RNA in postencephalitic parkinsonian brain material). In reviewing the relationship between influenza and encephalitis lethargica (EL), McCall and coworkers conclude, as of 2008, that while "the case against influenza [is] less decisive than currently perceived… there is little direct evidence supporting influenza in the etiology of EL," and that "[a]lmost 100 years after the EL epidemic, its etiology remains enigmatic." Hence, while opinions on the relationship of encephalitis lethargica to influenza remain divided, the preponderance of literature appears skeptical.

German neurologist Felix Stern, who examined hundreds of encephalitis lethargica patients during the 1920s, pointed out that the encephalitis lethargica typically evolved over time. The early symptom would be dominated by sleepiness or wakefulness. A second symptom would lead to an oculogyric crisis. The third symptom would be recovery, followed by a Parkinson-like symptom. If patients of Stern followed this course of disease, he diagnosed them with encephalitis lethargica. Stern suspected encephalitis lethargica to be close to polio without evidence. Nevertheless, he experimented with the convalescent serum of survivors of the first acute symptom. He vaccinated patients with early stage symptoms and told them that it might be successful. Stern is author of the 1920s definitive book Die Epidemische Encephalitis (1920 and 2nd ed. 1928). Stern was driven to suicide during the Holocaust by the German state, his research forgotten.

In 2010, in a substantial Oxford University Press compendium reviewing the historic and contemporary views on EL, its editor, Joel Vilensky of the Indiana University School of Medicine, quotes Pool, writing in 1930, who states, "we must confess that etiology is still obscure, the causative agent still unknown, the pathological riddle still unsolved…", and goes on to offer the following conclusion, as of that publication date:
Does the present volume solve the "riddle" of EL, which… has been referred to as the greatest medical mystery of the 20th century? Unfortunately, no: but inroads are certainly made here pertaining to diagnosis, pathology, and even treatment."
Subsequent to publication of this compendium, an enterovirus was discovered in encephalitis lethargica cases from the epidemic. In 2012, Oliver Sacks acknowledged this virus as the probable cause of the disease. Other sources have suggested Diplococcus as a cause.

History

Occurrences

Retrospective diagnosis tentatively suggests numerous accounts of encephalitis lethargica throughout history:
  • In 1580, Europe was swept by a serious febrile and lethargic illness, which led to Parkinsonian and other neurological sequelae.
  • In 1673–1675, a similar serious epidemic occurred in London, which Thomas Sydenham described as "febris comatosa."
  • In 1695, a 20-year-old woman in Germany experienced oculogyric crises, Parkinsonism, diplopia, strabismus, and other symptoms following an attack of somnolent brain fever, as described by Dr. Albrecht of Hildesheim.
  • In 1712–1713, a severe epidemic of Schlafkrankheit (encephalitis lethargica) occurred in Tübingen, Germany, followed in many cases by persistent slowness of movement and lack of initiative (aboulia).
  • Between 1750 and 1800, France and Germany experienced minor epidemics of "coma somnolentum" with Parkinsonian features, including hyperkinetic hiccough, myoclonus, chorea, and tics.
  • Between 1848 and 1882, Paris-based neurologist Jean-Martin Charcot documented many isolated cases of juvenile Parkinsonism, associated with diplopia, oculogyria, tachypnoea (hyperventilation), retropulsion, tics, and obsessional disorders, which were almost certainly post-encephalitic in origin.
  • In 1890 in Italy, following the influenza epidemic of 1889–1890, a severe epidemic of somnolent illnesses (nicknamed the "Nona") appeared. For the few survivors of the Nona, Parkinsonism and other sequelae developed in almost all cases.
  • Between 1915 and 1926, a world-wide encephalitis lethargica pandemic occurred, impacting nearly 5 million people and killing an estimated 1.6 million people.

The encephalitis lethargica pandemic of 1915–1926

In the winter of 1916–1917, a "new" illness suddenly appeared in Vienna and other cities, and rapidly spread world-wide over the next three years. Earlier reports appeared throughout Europe as early as the winter of 1915–1916, but communication about the disease was slow and chaotic, given the varied manifestation of symptoms and difficulties disseminating information in wartime. Until Constantin von Economo identified a unique pattern of damage among the brains of deceased patients and introduced the unifying name encephalitis lethargica, reports of the protean disease came in under a range of names: botulism, toxic ophthalmoplegia, epidemic stupor, epidemic lethargic encephalitis, acute polioencephalitis, Heine-Medin disease, bulbar paralysis, hystero-epilepsy, acute dementia, and sometimes just "an obscure disease with cerebral symptoms." Just ten days before von Economo's breakthrough in Vienna, Jean-René Cruchet described forty cases of "subacute encephalomyelitis" in France.

In the ten years that the pandemic raged, nearly five million people's lives were taken or ravaged. Encephalitis lethargica assumed its most virulent form between October 1918 and January 1919. The pandemic disappeared in 1927 as abruptly and mysteriously as it first appeared. The great encephalitis pandemic coincided with the 1918 influenza pandemic, and it is likely that the influenza virus potentiated the effects of the encephalitis virus or lowered resistance to it in a catastrophic way.

Aftermath of the pandemic (postencephalitic syndromes)

Many surviving patients of the 1915–1926 encephalitis lethargica pandemic seemed to make a complete recovery and return to their normal lives. However, the majority of survivors subsequently developed neurological or psychiatric disorders, often after years or decades of seemingly perfect health. Post-encephalitic syndromes varied widely: sometimes they proceeded rapidly, leading to profound disability or death; sometimes very slowly; sometimes they progressed to a certain point and then stayed at this point for years or decades; and sometimes, following their initial onslaught, they remitted and disappeared. Postencephaltic Parkinsonism is perhaps the most widely recognized of such syndromes.

Diagnosis

There have been several proposed diagnostic criteria for encephalitis lethargica. One, which has been widely accepted, includes an acute or subacute encephalitic illness where all other known causes of encephalitis have been excluded. Another diagnostic criterion, suggested more recently, says that the diagnosis of encephalitis lethargica "may be considered if the patient’s condition cannot be attributed to any other known neurological condition and that they show the following signs: Influenza-like signs; hypersomnolence (hypersomnia), wakeability, ophthalmoplegia (paralysis of the muscles that control the movement of the eye), and psychiatric changes."

Treatment


Modern treatment approaches to encephalitis lethargica include immunomodulating therapies, and treatments to remediate specific symptoms.

There is little evidence so far of a consistent effective treatment for the initial stages, though some patients given steroids have seen improvement. The disease becomes progressive, with evidence of brain damage similar to Parkinson's disease.

Treatment is then symptomatic. Levodopa (L-DOPA) and other anti-Parkinson drugs often produce dramatic responses; however, most people given L-DOPA experience improvements that are short lived.

Notable cases

Notable cases include:
  • Muriel "Kit" Richardson (née Hewitt), first wife of actor Sir Ralph Richardson, died of the condition in October 1942, having first shown symptoms in 1927–28.
  • There is speculation that Adolf Hitler may have had encephalitis lethargica when he was a young adult (in addition to the more substantial case for Parkinsonism in his later years).
  • Mervyn Peake (1911–1968), author of the Gormenghast books, began his decline towards death which was initially attributed to encephalitis lethargica with Parkinson's disease-like symptoms, although others have later suggested his decline in health and eventual death may have been due to Lewy body dementia.
  • Rosita Renard (1894–1949), Chilean pianist, contemporary of Claudio Arrau and student of Martin Krause.
  • Those described in the book Awakenings by the British neurologist Oliver Sacks.

Inequality (mathematics)

From Wikipedia, the free encyclopedia https://en.wikipedia.org/wiki/Inequality...