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The Pharmaceutical Journal
Vol 271 No 7280 p873-875
20/27 December 2003

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Christmas miscellany summary


Astronomy, weather and welfare

Two centuries ago, novelist Charles Kingsley, wrote: “Tis the hard grey weather, Breeds hard English men”. In this article, Peter Cooper, FRPharmS, looks at how astronomy and the weather have affected our lives


Samuel Johnson remarked back in 1758: “When two Englishmen meet, their first talk is of the weather.” The comment remains apposite to this day. Sensitivity to weather extends as far back as civilisation, if not further. Humanity has always looked to the atmospheric disturbances of its planet for warnings of calamities to come and assurances of a brighter future. Unusual astronomical events such as the appearance of a comet out of the blue, the flight of a meteorite across the heavens, or a notable constellation in the night sky, have been looked upon as portents, and the pseudoscience of astrology gave employment to many wise men and arrant rogues in the households of great princes. In the course of time, the correlation of human events with atmospheric phenomena acquired a rather superficial precision suggesting the scientific approach.

During the Crimean War a certain M. de Maout, who was a pharmacist in Saint-Brieuc in Brittany, kept careful records of his local rainfall and related them to the days of battles. He discovered that most of the wet days occurred on dates that clashes took place in the Crimea and concluded that the roar of cannons and the clashing of swords disturbed the atmosphere sufficiently to precipitate rainfall as far away as Brittany and elsewhere. De Maout also thought that the ringing of church bells might have a similar effect, and ventured that if Napoleon had been aware of this reaction he might have used it to win the battle of Waterloo and so change the course of history.

Weather and health

Weather, we must now accept, has an important influence upon the health of man and his domesticated animals, and this has had, and continues to have, a profound influence on human welfare and history. In his classic work ‘Epidemics of the middle ages,’ Julius Hecker wrote: “That omnipotence which has called the world with all its living creatures into one animated being, especially reveals himself in the desolation of great pestilences. The powers of creation come into violent collision; the sultry dryness of the atmosphere; the subterranean thunders; the mist of overflowing waters, are the harbingers of destruction.” According to Hecker, a violent and extensive catarrhal fever, which the Italians called influenza, overran France and other parts of Europe in 1510, in the wake of a freezing winter of violent wind storms, accompanied by earthquakes in northern and central Italy. People began to suffer from giddiness, headache, shooting muscular pains, delirium and excitement.

After an exceptionally dry summer in 1557, another outbreak occurred, involving hoarseness, feelings of head and chest oppression, shivering and violent cough, at first dry but then becoming copiously productive. Languor, loss of strength and appetite, nausea, abundant sweating and sometimes diarrhoea followed. In Holland this epidemic was promptly followed by bubonic plague, from which 5,000 inhabitants of Delft died.

In 1505, Europe had a wet summer and a severe winter. Comets were seen and there were eruptions of Vesuvius. These portents were followed by an outbreak of the “sweating sickness”, a violent inflammatory fever that peaked after 24 hours and had a mortality rate exceeding 29 per cent. This illness had also occurred in England in 1485 after the battle of Bosworth Field, during an unusually high humidity, which was characterised by heavy mists and dark clouds. There was another outbreak in 1528, affecting England and the Continent, bringing destruction and death. It followed a year of heavy rain, flooding rivers and rotting crops. It was noted that suicide in northern Europe, previously rare, became frequent. There were impenetrable fogs and unusual appearances of comets over a period of six months. Again in 1551 there was a serious outbreak of sweating sickness in Shrewsbury, spreading over the country and killing 960 people in the Severn area.

The dogstar

The classical writers who enjoyed a sunnier climate around the Mediterranean, nevertheless had to contend with many sicknesses, which came with changes in the weather. The worst season for them was midsummer, when the dogstar Sirius was ascending, accompanied by great heat.

Virgil remarked that the dogstar brought thirst and disease to mortals. It “saddens heaven with its maleficent light”, he wrote. Horace regarded Sirius as the symbol of physical exhaustion, and Pliny the Elder commented: “It is indeed beyond doubt that dogs throughout the whole of that period are especially liable to rabies.” Pliny goes further and claims “that we learn by the storms that the sun is completing its orbit; and not only by rainfall or storms but by many things that happen to our bodies and to the fields. Some men are paralysed by a star, others suffer periodic disturbances of the stomach, sinews, head, or mind.”

The moon

Pliny rightly observed that the phases of the moon affect the life of the sea creatures of the littoral, and the shrew, the mouse and the ant. “This makes ignorance all the more disgraceful to humans, especially as they admit that eye diseases in some cattle wax and wane with the moon,” he wrote. In 1708, the physician Richard Mead wrote “A discourse concerning the action of the sun and moon on animal bodies,” in which he quotes the case of “a young gentle-woman whose beauty depended upon the lunar force, insomuch that at full moon she was plump and very handsome, but in the decrease of the planet so wan and ill-favoured that she was ashamed to go abroad till the return of the new moon”.

Since Roman times the moon had evil repute as a cause of eye disorders. In 1822 Thomas De Quincey recorded that a traveller from Upper Egypt had assured him that by sleeping a few hours under the light of a full moon, which is as much shunned in some parts of the East as sleeping on the wet ground with us, or standing bareheaded under the noonday sun in Bengal, he had sorely damaged his vision. On the other hand, David Livingstone informed a correspondent: “I have myself slept for weeks on the bare ground and often looked up to the beautifully clear orb until I have fallen asleep. Yet I have felt nothing in consequence, nor have I heard the natives ascribe anything baneful to her rays.”

However, there was an old Devonshire belief that the onset of measles was always during a waxing moon, never a waning one, and in Sussex exposure to a May moon was reckoned to cure scrofulous complaints. Even today we have not completely divested ourselves of belief in the malign influence of the moon and the term lunacy remains in our vocabulary.

The wind

When we consider the effects of winds and air turbulence in general on the state of our health and the progress of diseases we find no shortage of data. The Romans took account of winds not only because of their varied effects upon agriculture and crops, but also because they recognised their influence over diseases of cattle and of humans. The elder Pliny held that of the four major winds recognised, “the healthiest of all is the north wind; the south is harmful, and most of all when dry, perhaps because when it is damp it is colder; living creatures are thought to be less hungry while it is blowing”.

Aubert de la Rue wrote ‘L’homme et le vent’, a book examining, extensively, the many aspects of winds upon human affairs. He notes that wind causes fatigue, abrupt changes in air temperature and humidity, and carries dust particles and micro-organisms up into the atmosphere and distributes them over wide areas of land and sea. The results were described by Hippocrates in the 4th century BC, who noted that “in towns frequently exposed to winds such as those blowing from the east and west, and sheltered from the north winds, the slightest circumstance may change sores into ulcers. The inhabitants of such places lack force and vigour; the women are sickly and voluntarily barren; the children are attacked by convulsions; men are subject to dysentery and long winter fevers.”

Certain of the distinctive winds affecting the Mediterranean region have become proverbial on account of their effects upon body and mind. The mistral, which ravages Provence from the north to the north west, is dry, cold and powerful. It is responsible for the proverb that in Avignon it is unpleasant when the wind blows, and unhealthy when it does not. The mistral blows mainly in spring and autumn, when pressure is high in the north and west of France and low over the Mediterranean between Spain and Italy. Since it is directed by the mountains into the Rhône valley it develops considerable force there, between Valence and Arles, and may be felt as far away as Nice. Lasting for up to a week, the mistral inevitably has a disastrous effect on crops, and dries the soil of Provence, where rains are irregular. Its effect on the human spirit is additional to its physical onslaught.

Bora, fohn and sirocco winds

In narrow gorges wind speed may exceed 90mph. Strabo, at the end of the 1st century BC, writes of the wind called melamboreas “which displaces rocks, hurls men from their chariots, crushes their limbs, and strips them of their clothes and arms”. It is a cold wind, which can lower air temperature by 10C in 24 hours.

The bora is the prevailing wind of the Adriatic, blowing from the north east over Italy when pressure over the Balkans is high. It is a descending cold dry current affecting mainly the coastal region from Trieste to Ragusa and is disastrous for crops. Like the mistral, it descends through mountain passes with great ferocity, and has been known to derail trains. Once out to sea it loses much of its force.

The fohn, by contrast, is a hot wind from the south, affecting the northern valleys of the Alps, particularly in autumn and winter. It can electrify the hair of humans exposed to it, and is responsible for fires in wooden structures. Its effect on the nervous system is to make people ill at ease and feverish. When it occurs in spring it brings floods as mountain avalanches occur, but there is some benefit in ridding the land of snow earlier than would otherwise happen. Another hot and dust-laden wind blowing from the Sahara to the Mediterranean shores is the sirocco, known for its enervating effect on men and animals. There is also a local wind affecting the Lyons region which raises air temperature and reduces humidity. People exposed to it complain of malaise, headache, rheumatic pains, a sense of stifling, and high irritability. This wind is reported to increase asthmatic attacks, particularly in children. In Morocco the sirocco upsets fluid balance unless extra liquid is taken to counteract its effect, and children may suffer heat stroke. There are conflicting reports of its effect upon the mind, but it has been held responsible for outbreaks of violence and suicide among garrisons of the French Foreign Legion in North Africa.

East winds

East winds in our own islands have always been suspected as ill-omened. The royal house of Stuart was at one time held to be particularly threatened by them since there was an east wind blowing in London on the day when Charles I was beheaded, and also later when James II was deposed. Voltaire tells us that an English physician friend had assured him that in London the easterly wind was responsible for a wave of suicides during November and March.

In Edinburgh east winds were notorious for their lethal effects on the body and their depressive effects on the spirit. Robert Louis Stevenson, who spent his childhood under their influence, said that his native climate was “one of the vilest climates under heaven”. He remarked that Edinburgh was “liable to be beaten upon by all the winds that blow, to be drenched with rain, to be buried in cold sea fogs out of the east, and powdered with snow as it comes flying southward from the Highland hills. The weather is raw and boisterous in winter, shifty and ungenial in summer, and a downright meteorological purgatory in the spring. The delicate die early, and I, as a survivor among bleak winds and plunging rain, have been sometimes tempted to envy them their fate.” Curiously enough, Stevenson took some interest in meteorological phenomena, and while still living in Edinburgh wrote a paper “On the thermal effect of forests” which he read before the Royal Society of Edinburgh. And he took advantage of a dismally wet and cold season to write his ‘Treasure island’ in 1883. Although he shared the depression as well as the physical effect of atrocious weather, he never heard of that strange phenomenon that today we call seasonal affective disorder. Nor did he have the opportunity of hearing of the disastrous experiences of Robert Scott in 1912 who, with his companions retreating from the South Pole, when only a few miles from their base in the face of a prolonged blizzard, lost the capacity for clear thought and effort .

Weather and morbidity

Over the past few decades efforts have been made to assess with precision the effects of local weather conditions on morbidity. Ellsworth Huntington of Yale published, in 1915, an important work examining the relationship between civilisation and climate. He concluded that extreme dryness anywhere in the world is a threat to health, and that high humidity and variability of weather play a role in determining health and mortality from day to day and year to year. In Boston he detected a fall in the death rate when temperature fell, and vice versa. When research was done on the deadly influenza epidemics after 1918, starkly different death rates from pneumonia occurred in different cities of the United States, with marked effects being attributable to local temperature and humidity during the preceding month. Warmth and wetness raised mortality.

Since Huntington’s time, many factors have been confirmed as influencing the health of humans and animals. Highly changeable weather, particularly in winter, appears to be both physically and mentally invigorating. In regions where humans are hard driven of necessity, their growth and development are more rapid and resistance to infection is higher. But in tropical lowlands infections are more common and lack of energy and drive result in neglect of personal and public hygiene. Winter cold and wind storms in northern countries cause a sharp rise in respiratory infections, with bodily exhaustion. In the same regions summer heat and lack of storms induce fatigue. In countries in the southern hemisphere, such as Australia and Argentina, weather tends to be more equable and the winter increase of infections less marked. Migration from a relaxing weather pattern into one with more storms tends to increase mortality, since winter storms threw an increased burden on the cardiovascular system, with more heart failure, coronary occlusion and cerebrovascular accidents.

The highest incidence of diabetes mellitus is seen in regions where climate is most stimulating, and the metabolic diseases, particularly diabetes and toxic goitre, show more complications in spring and winter. A marked fall in atmospheric pressure causes tissue swelling which facilitates the entry of micro-organisms lurking in the vicinity. The incidence of acute appendicitis during heat waves has been shown to increase if a rise in air temperature coincides with a fall in barometric pressure.

Body chilling from any cause may precipitate respiratory and rheumatic attacks in susceptible people. Furthermore, the existence of “thunderstorm asthma” has been supported by research, following sporadic reports of asthma epidemics after thunderstorms. For example, research published in the BMJ (1996;312:601–4) studied records in 12 accident and emergency departments in London after a thunderstorm and found almost 10 times the expected number of cases of asthma. This has been linked with the sudden rise in aeroallergens that can accompany thunderstorms. The researchers suggested that gusting winds resuspend residual pollen and that allergens, such as fungal spores, are carried up by the rapid uplifts of air associated with convective storms and before being redeposited by rain.

Mental health

The most fascinating aspect of the relationship between weather and health is that of mental health. Mental acuity and level of performance of tasks commonly fall when atmospheric pressure is rapidly declining. Mental instability is increased when
frequent and abrupt storms are passing.

Suicide is less frequent when the barometer is high or mounting than when it is falling, but only when the change is abrupt or marked. Yet it is believed that as a centre of low pressure approaches there may be a feeling of futility, and an inability to accomplish the usual intellectual tasks without extra effort. Children may show increased irritability, restlessness and petulance. Adults may become more quarrelsome and pessimistic. As the centre of low pressure retreats exhilaration follows. Artists and musicians discover new creativity, and everyone grows a little easier to live with.

Today there are so many devices for creating a microclimate in the home, the workplace and the car that we are in danger of eliminating many of the stresses and challenges that the weather presents to us. And if we develop too great an independence from our atmosphere we may find that we have destroyed much of the interest in living, which spurs us on to creative efforts.

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