Nobel prize-winning author Orhan Pamuk spent five years working on Nights of Plague, well before the onset of the current pandemic. Perhaps he foresaw history repeating itself; the political fallout from the outbreak of the bubonic plague on his make-believe island of Mingheria in 1901 resonates eerily with our world today.
Pamuk, who won the Nobel Prize for Literature in 2006, does not shy away from the representation of sensitive cultural and political attitudes, as we witness throughout Nights of Plague. The novel provokes in other ways too. At 683 pages it is a good choice for a long journey, a sleepless night or even a period of COVID isolation.
The Night Of The Plague
Plague DoctorSideNeutralGamemodesCorona, CrimsonDescriptionVisits a person each night to infect them with the plague. The infected players will spread the plague to those who they visit and those who visit them. Once all of town is infected the village has one day to lynch the plague doctor before the plague doctor wins.(Min party size: 8)ObjectiveInfect everyone
The town seems to have lost its usual liveliness. The streets are empty, the shops are closed, and a fog covers the entire village. Not a single soul dares to step out into the night. Out of the fog steps out a black, hooded figure with a bird mask. It's time...
Night Plague was a terrible disease that was used by the Usij, necromantic followers of the Osirian Pharaoh of Forgotten Plagues in -3064 AR to wreak havoc among the royal houses of Jistka Imperium. The Usij captured a Jistkan efreeti commander and transformed him into a ghul. They infected him with the terrible disease, which the enslaved efreeti traitor took back to his homeland. The deadly Night Plague specifically affected only the members of Jistka's royal houses. When the nobles were beset with the plague, it was a matter of time before their previous feuds re-emerged amid the chaos, leading to the downfall of the Jistka Imperium which collapsed three centuries later.[1][2][3]
Dark Night InfoA stealthy batlike creature is scaring both criminals and partygoers out late at night Traits NeededNight WraithTravel Speed 2 AchievementDark NightDark Night is a symptom combo exclusive to the Shadow Plague DLC. The player can get this if they evolve Night Wraith and Travel Speed 2.
On August 5, 1983, plague was diagnosed in a 13-year-old girl inSouth Carolina. She became ill while en route to Maryland from herprevious residence in Santa Fe, New Mexico, and subsequently died.The area in which she had lived had been recognized as a localitywhere sylvatic plague was enzootic.
On July 25, the girl, a horsewoman who spent considerable timeoutdoors, handled and then released a wild chipmunk. On July 27, sheflew to Atlanta, Georgia, and spent the night with friends; thefollowing day she was driven to Seneca, South Carolina. That evening,she complained of a sore throat and tenderness in her right groin andreportedly had a temperature of 40.0 C (104 F). On July 29, she saw aphysician, who noted an oral temperature of 38.3 C (101 F), pharyngealerythema, tender cervical lymph nodes, and a 1-x-2-centimeter tenderright inguinal lymph node. Laboratory tests, including complete bloodcount, urinalysis, and throat culture, and tests for mononucleosis,were done, and oral penicillin was prescribed. Three days later shewas seen again, still febrile and with expanding right inguinalnodes. Her white blood cell count was 20,500, and a chest x-ray wasnormal. Because of her history of residence in a plague-enzooticstate, a diagnosis of plague was considered. She was hospitalized andgiven parenteral therapy, including streptomycin. By the followingmorning, she was tachypneic, with productive bloody sputum, andappeared moribund. She was transferred to a large, regional medicalcenter where, despite intensive supportive care and therapy withintravenous chloramphenicol, she developed overwhelming sepsis anddied on August 2. A chest radiograph taken before death revealedextensive pulmonary infiltrates.
Editorial Note: This is the fifth documented case of plague east ofthe hundredth meridian (south central Texas to north central NorthDakota), excluding laboratory accidents, since 1920. All fivepatients were exposed in enzootic areas (four in the western UnitedStates, one in Vietnam). Considering this patient's outdooractivities and area of residence, exposure possibilities are numerous;her exact exposure will probably never be known, since the chipmunkwas not captured. That she was able to handle the animal suggests itwas not healthy.
Because the patient had no evidence of pneumonia beforehospitalization, no chemoprophylaxis was recommended for the friendswith whom she stayed in Georgia; there were no secondary cases. Basedon the clinical picture and the positive FA results from sputum, itappears that pneumonic plague and the potential for human-to-humantransmission existed terminally. Local health-care providers hadplaced her in complete isolation before this development. Hospitalstaff directly in contact with her at this point were placed onprophylactic tetracycline and followed up for evidence of illness. Nosecondary cases appeared during the expected incubation period.
Primary pneumonic plague in the United States has been describedas rare, with only three cases between 1926 and 1977--all inlaboratory workers (1). However, since 1975, four persons havedeveloped primary pneumonic plague, presumably from exposure tohousehold pets with secondary plague pneumonia (2,3). Recentinvestigations suggest that plague pneumonia (i.e., secondary tobubonic plague) is more common (4). Thus far in 1983, 24 cases ofhuman plague have originated in New Mexico, and three (13%) of themhave had pneumonic involvement (5). No transmission to contacts ofpatients with pneumonic plague has been documented in the UnitedStates since 1925.
Delay in diagnosing and treating plague increases the potentialfor pulmonary involvement and person-to-person transmission. In thepast 8 years, 32 (20%) of 164 plague patients reported to CDC havedeveloped pulmonary disease. Three (33%) of the nine plague patientswho had been interstate travelers developed pneumonia, including thegirl reported here (Table 1) (3). In addition to plague cases amongpersons traveling between states (3,6), one case was documented in aserviceman returning to Texas from Vietnam in 1966 (7). This caseemphasizes the need for physicians in all parts of the country toconsider plague in the differential diagnosis of patients with feverand/or lymphadenopathy who have histories of recent travel orresidence in areas where plague is enzootic/endemic.
Bubonic plague did not arrive in London suddenly in 1665. For over a year, reports of cases had been talked about endlessly. The wealthy increasingly avoided the city and might very well survive an outbreak.
For the poor escaping London was more difficult and the cramped and filthy conditions in which many lived encouraged the spread of the disease. Any house where plague was identified was supposed to be shut up for 40 days with the family inside, marked with a cross and guarded by watchmen. Fear of being locked in with the dying meant that many early cases of plague were kept quiet.
The last reported case of the plague in London was in 1679. Although no one knew it at the time, this would mark the end of the era of plague that had devastated populations across Europe from the 14th Century.
Medical folk discussed the transmission of the illness through bad smells. There was a good trade in nosegays and pomanders stuffed with medicinal herbs, and a proposal to float a ship of peeled onions down the Thames to counter the evil odours was entertained. Some people put their faith in amulets and charms or, like Samuel Pepys, chewed tobacco to ward off the plague:
The plague was actually caused by infected fleas carried by black rats, although this would not be known for centuries to come. Rats were particularly prevalent in the cramped and dirty streets of the capital occupied by the poorest residents.
The study, from the U.S. Centers for Disease Control and Prevention, found that close to 20 percent of all women aged 40 to 59 said they had trouble falling asleep on four or more nights in the prior week.
Sleep troubles were even more likely if the woman was in the years where she's transitioning into menopause ("perimenopause"). Among these women, more than half (56 percent) said they typically got less than the seven hours of sleep per night that experts deem restful and healthy.
The stage of menopause a woman was in seemed to play a big role in whether or not she got good shut-eye. For example, while 56 percent of perimenopausal women failed to get a healthy seven hours of sleep per night, that number dropped to about one-third for premenopausal women, and a little over 40 percent for postmenopausal women.
"Estrogen helps out with muscle tone in the upper airways, and the loss of that contributes to obstructive sleep apnea risk," he pointed out. "Insomnia risk also goes up as we age, along with restless leg syndrome, which interferes with falling asleep. Also as we age, heart failure, lung disease and psychiatric disease risk goes up, and medications to treat these can boost insomnia and the need to go to the bathroom at night." 2ff7e9595c
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