Knowledge (XXG)

Mozart and smallpox

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According to Halliwell, "popular resistance was fierce," and both the government and the Roman Catholic Church (previously an opponent) took stern measures to promote vaccination. The first relative of Mozart's known to have been vaccinated was Johanna Berchtold von Sonnenberg, called "Jeannette" (1789–1805), Nannerl's youngest child; she was vaccinated during the 1802 campaign in Salzburg.
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to conduct an inoculation program. Ingenhousz's program worked first among poor people, with the goal of developing a weakened strain of the disease; poor parents in Vienna were paid a ducat to have their children inoculated. The inoculations performed with this weakened strain on the imperial family
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Inoculation offered immunity to smallpox, but the procedure carried a definite risk that the inoculated person could die from smallpox as a result. Thus, many parents felt that they would rather do nothing, risking future smallpox arriving at random, rather than carry out a deliberate act that might
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The Mozarts were renting rooms in the home of the goldsmith Johann Schmalecker, and were horrified when all three of Schmalecker's children came down with smallpox. Alarmed, Leopold first left Schmalacker's house, taking Wolfgang (only) with him (17 October). Six days later (23 October), the entire
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From the modern perspective—with most children now made safe from several terrible diseases by vaccination—it is easy to make the superficial interpretation that Leopold was acting foolishly, relying on divine will when direct action was available that would have helped his children. However, since
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revolutionized the ability of medicine to deal with smallpox. Vaccination reached Vienna around 1800, when yet another local epidemic created impetus for its adoption. One of the doctors trained in the Vienna campaign, named Doutrepout, then brought vaccination to Mozart's native city of Salzburg.
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Wolfgang was complaining of his eyes. I noticed his head was warm, that his cheeks were hot and very red, but that his hands were cold as ice. Moreover, his pulse was not right. So we gave him some black powder and put him to bed. During the night he was rather restless and in the morning he still
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They are trying to persuade me to let my boy be inoculated with smallpox. But as I have expressed sufficiently clearly my aversion to this impertinence they are leaving me in peace. Here inoculation is the general fashion. But for my part I leave the matter to the grace of God. It depends on His
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By 10 November, Wolfgang was feeling better, but then Nannerl also contracted smallpox, and was ill for three weeks. The Mozart children were thereafter safe from the disease, which confers immunity on its survivors. According to Leopold, both children were pitted in the locations of the former
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to the disease, and his mother Maria Theresa also caught it (she survived). The imperial bride-to-be Maria Josepha caught the disease in October and died of it on the 15th, the day after she had been scheduled to be married. In the following week, presumably before the onset of his illness, the
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Smallpox in 18th-century Europe was a devastating disease, recurring frequently in epidemics and killing or disfiguring millions of people. The 18th century was probably a particularly terrible time for smallpox in Europe: urbanization had increased crowding, making it easier for the disease to
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With both children's illness to contend with, the Mozarts spent a total of four months away from Vienna. They eventually returned there and were received in the Imperial court on 19 January 1768. The Empress, who had by now lost three children to smallpox, conversed with Frau Mozart about the
248:. Leopold had known Podstatsky when the Count had previously worked in Salzburg. The count, learning that Wolfgang was showing symptoms of smallpox, insisted that the Mozarts move into his home, and he placed Mozart under the excellent care of his personal physician, Dr. Joseph Wolff. 546:
The implication that Leopold valued Wolfgang's survival over Nannerl's is not necessarily correct; according to Sadie and Zaslaw (2006, 132), the parents "suspected, wrongly, that Nannerl had already had smallpox as a child and so was in less danger"; see also
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Although blindness was indeed a common result of smallpox, ophthalmologist Richard H. C. Zegers suggests that Mozart's symptoms did not represent actual blindness, but rather resulted from the pustular rash of the disease affecting his eyelids.
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The physical appearance of the disease was frightening to patients and to their caretakers: the patient's skin became covered with large, bulging pustules, which often left conspicuous pitting on the skin of patients who survived the disease.
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but worse. In fact it is not related to chickenpox, and it was unimaginably worse. In an unvaccinated population, something like 10–30 percent of all patients with smallpox would be expected to die. And dying was not easy; smallpox was, as
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Smallpox struck the Mozart family again in the next generation: Nannerl's eldest son Leopold and two of her stepchildren caught the disease during an outbreak in the Salzburg area in 1787. All three children survived.
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The remainder of the trip was not especially successful. Leopold apparently misinterpreted a chance remark of the Emperor as a firm invitation for Wolfgang to compose an opera; this resulted in Wolfgang writing
241:). It was there that, on 26 October, Wolfgang showed the first symptoms of smallpox. Given the incubation period of the disease (roughly, 12 days), it can be ascertained that he had already caught it in Vienna. 1140: 24:. Like all smallpox victims, he was at serious risk of dying, but he survived the disease. This article discusses smallpox as it existed in Mozart's time, the decision taken in 1764 by Mozart's father 120:
in Leopold's day it was not firmly established that inoculation was beneficial, his remarks can be seen to be more of appeal to religion to resolve what must have seemed an impossible dilemma.
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which later succeeded in eradicating the disease; rather, an inoculated person was treated with live smallpox virus, taken from pustules of the mildest variety of smallpox that could be found.
1170: 148:" of Europe, performing in England, France, and elsewhere, and hoped to achieve even greater recognition (and income) in the Imperial capital. The forthcoming marriage of the 16-year-old 237:. Count Schrattenbach invited them to give a concert, but Leopold, impelled by an "inner urge," wanted to go farther, and the family continued northward after two days to OlmĂĽtz (today 260:
A frightening symptom of Wolfgang's illness, not made explicit in Leopold's letter, was an inability to see. In a letter written much later (1800), his sister Nannerl reported:
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Those who survived smallpox did not always survive intact; it frequently inflicted blindness on its survivors. The survival rate was particularly low for children.
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The experience of losing three of her children to smallpox led Empress Maria Theresa to become a convert to inoculation. In 1768, she engaged the Dutch physician
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He caught the smallpox, which made him so ill that he could see nothing for nine days and had to spare his eyes for several weeks after his recovery.
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points out, it is in this context that we must interpret a letter sent by Leopold Mozart on 22 February 1764 to his landlord and friend
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Medicine had made only slight progress against the disease in Mozart's time. Around the second decade of the 18th century the method of
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With vaccination, great progress was made in reducing incidence of the disease, and it was eventually confirmed as eradicated in 1979.
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on 11 September 1767. They had been there before, exhibiting the children's talents, in 1762; by this time they had completed their "
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grace whether He wishes to keep this prodigy of nature in this world in which He placed it or to take it to Himself.
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Leopold consulted an acquaintance, Count Leopold Anton Podstatsky, who was dean of the cathedral and rector of the
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11-year-old composer wrote an inexplicably cheerful elegy, a fragmentary duet for two sopranos in F major (
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Unfortunately, there was an outbreak of smallpox in Vienna at the time. On 28 May of that year, Emperor
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not to inoculate his children against the disease, the course of Mozart's illness, and the aftermath.
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During his recovery, Wolfgang, who needed to spare his eyes, spent the time learning card tricks and
156:, scheduled for October 14, promised many festivities and thus opportunities for visiting musicians. 103: 1289: 1224: 1217: 1211: 177: 41: 1283: 1195: 1001: 846: 91:, which had originated in Asia, reached European countries. Inoculation was not the same as the 1442: 1259: 1253: 1082: 993: 952: 913: 885: 863: 290: 133: 129: 298:
eventually was premiered in Salzburg, following the Mozarts' return there on 5 January 1769.
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were successful, and led to greater public acceptance for the procedure.
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The address was at #3 Weihburggasse; the building no longer exists
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In 1796, the discovery of vaccination—the use of the related
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The Mozart family (Wolfgang, his father Leopold, his mother
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So what was it like? As children, we were told it was like
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was discovered only at the end of the century (see below).
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wrote, 'the most terrible of all the ministers of death.'
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spread; yet effective protection from smallpox through a
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Zegers, Richard H. C. (2007). "Mozart and smallpox".
1371: 1335: 1238: 1204: 1131: 1050: 587:Source for this paragraph except where indicated: 901:The Mozart Family: Four Lives in a Social Context 54:The disease was a terrible one for its victims. 929:"Mozart and medicine in the eighteenth century" 511:University of Music and Performing Arts Vienna 1028: 8: 82: 1201: 1035: 1021: 1013: 757: 363: 225:They headed north, into what today is the 946: 884:. Cambridge: Cambridge University Press. 796: 784: 772: 753: 621: 600: 588: 548: 534: 472: 448: 429: 387: 375: 934:Journal of the Royal Society of Medicine 912:. Chicago: University of Chicago Press. 910:The Greatest Killer: Smallpox in History 633:Letter of 10 November 1767; quoted from 404: 207:She gives herself to be death's offering 978:Clinical and Experimental Ophthalmology 768: 766: 741: 729: 717: 705: 676: 652: 634: 604: 575: 563: 522: 502:"Ach, was mĂĽssen wir erfahren!" (audio) 460: 428:The primary source for this section is 416: 400: 351: 344: 853:. Stanford: Stanford University Press. 692: 680: 664: 647: 645: 643: 559: 557: 444: 442: 440: 438: 328:virus to immunize against smallpox—by 217:Protects her from the cold stretcher. 99:well kill their children immediately. 83:Leopold's decision against inoculation 7: 839:The Letters of Mozart and his Family 509:, soloists of the WebernKammerchor, 163:Archduchess Maria Josepha of Austria 180:Anh.24a/43a) to an anonymous text: 215:To which she was wholly dedicated, 16:In 1767, the 11-year-old composer 14: 273:pustules, but neither seriously. 198:SchĂĽtzt sie vor der kalten Bahr. 192:Nicht die Glut der frohen Jugend, 1412: 1411: 1272:Maria Anna Thekla Mozart (Bäsle) 990:10.1111/j.1442-9071.2007.01488.x 211:Neither the glow of happy youth, 188:Sie gibt in den schönsten Jahren 123: 1389:Beethoven–Haydn–Mozart Memorial 851:Mozart: A Documentary Biography 209:In the most beautiful of years. 882:The Life and Death of Smallpox 1: 862:. Houghton Mifflin Harcourt. 485:Ach, was mĂĽssen wir erfahren! 194:Nicht die angestammte Tugend, 186:Wie? Josepha lebt nicht mehr! 184:Ach, was mĂĽssen wir erfahren! 1298:(paternal great-grandfather) 1141:Concert arias, songs, canons 860:Mozart: A Cultural Biography 1278:Franz Xaver Wolfgang Mozart 1260:Maria Anna Mozart (Nannerl) 984:(4pages=372–373): 372–373. 971:. New York: Harper Collins. 908:Hopkins, Donald R. (2002). 308:Smallpox § Eradication 235:Sigismund von Schrattenbach 205:How? Josepha lives no more. 1469: 903:. Oxford: Clarendon Press. 858:Gutman, Robert W. (2000). 305: 196:Der sie ganz gewidmet war, 35: 1407: 1384:Mozart in popular culture 1196:Relationship with G minor 880:; Glynn, Jenifer (2004). 809:World Health Organization 190:Sich zum Todesopfer mehr. 171:had lost his second wife 150:Archduchess Maria Josepha 124:Mozart's case of smallpox 58:and Jenifer Glynn write: 1113:Appearance and character 899:Halliwell, Ruth (1998). 618:pulvis epilecticus niger 616:"The black powders were 213:Nor the ancestral virtue 182: 32:Smallpox in Mozart's day 1438:Wolfgang Amadeus Mozart 1399:Mozart Monument, Vienna 1044:Wolfgang Amadeus Mozart 927:Jenkins, J. S. (1995). 132:, and his older sister 18:Wolfgang Amadeus Mozart 1292:(paternal grandfather) 758:Glynn & Glynn 2004 364:Glynn & Glynn 2004 266: 258: 222:family fled the city. 203:Oh, what we must know! 164: 152:, daughter of Empress 117: 73: 262: 253: 251:Leopold later wrote: 162: 136:) left their home in 112: 110:concerning smallpox: 102:As Mozart biographer 60: 1448:Health by individual 1191:Compositional method 1171:Works for solo piano 704:For discussion, see 246:University in OlmĂĽtz 1290:Johann Georg Mozart 1225:Neue Mozart-Ausgabe 1218:Alte Mozart-Ausgabe 847:Deutsch, Otto Erich 42:History of smallpox 31: 1284:Karl Thomas Mozart 818:2007-09-21 at the 813:Factsheet Smallpox 256:had the dry fever. 165: 1453:Health in Austria 1425: 1424: 1254:Anna Maria Mozart 1234: 1233: 403:, 410, who cites 399:Translation from 296:La finta semplice 291:La finta semplice 229:, first reaching 1460: 1415: 1414: 1304:(brother-in-law) 1266:Constanze Mozart 1212:Köchel catalogue 1202: 1186:Violin 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1040: 1039: 1032: 1025: 1017: 1011: 1010: 973: 969:Mozart: A Life 961: 941:(7): 408–413. 924: 918: 905: 896: 890: 874: 868: 855: 843: 829: 826: 824: 823: 801: 797:Halliwell 1998 789: 785:Halliwell 1998 777: 773:Halliwell 1998 762: 754:Halliwell 1998 746: 734: 722: 710: 697: 685: 669: 657: 639: 626: 622:Halliwell 1998 609: 601:Halliwell 1998 593: 589:Halliwell 1998 580: 568: 553: 549:Halliwell 1998 539: 535:Halliwell 1998 527: 514: 493: 477: 473:Halliwell 1998 465: 453: 449:Halliwell 1998 434: 430:Halliwell 1998 421: 409: 392: 388:Halliwell 1998 380: 376:Halliwell 1998 368: 356: 343: 341: 338: 314:Jan Ingenhousz 303: 300: 227:Czech Republic 201: 125: 122: 104:Ruth Halliwell 84: 81: 33: 30: 20:was struck by 13: 10: 9: 6: 4: 3: 2: 1465: 1454: 1451: 1449: 1446: 1444: 1441: 1439: 1436: 1435: 1433: 1418: 1410: 1409: 1406: 1400: 1397: 1395: 1394:Mozart effect 1392: 1390: 1387: 1385: 1382: 1380: 1377: 1376: 1374: 1370: 1364: 1361: 1359: 1356: 1354: 1351: 1349: 1346: 1344: 1341: 1340: 1338: 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50: 43: 39: 29: 27: 23: 19: 1379:Georg Nissen 1326:Sophie Weber 1302:Joseph Lange 1296:Franz Mozart 1223: 1216: 1118:Pet starling 1092: 981: 977: 968: 938: 932: 909: 900: 881: 859: 850: 838: 804: 792: 780: 749: 742:Deutsch 1965 737: 730:Deutsch 1965 725: 718:Solomon 1995 713: 706:Solomon 1995 700: 688: 677:Hopkins 2002 672: 660: 653:Solomon 1995 651:Quoted from 635:Solomon 1995 629: 617: 612: 605:Deutsch 1965 596: 583: 576:Hopkins 2002 571: 564:Deutsch 1965 542: 530: 523:Deutsch 1965 517: 496: 484: 480: 468: 461:Solomon 1995 456: 424: 417:Hopkins 2002 412: 401:Jenkins 1995 395: 383: 371: 359: 352:Hopkins 2002 347: 335: 323: 319: 311: 295: 289: 286: 282: 275: 271: 267: 263: 259: 254: 250: 243: 224: 220: 202: 183: 166: 127: 118: 113: 101: 97: 86: 77: 74: 61: 53: 45: 15: 1353:Freemasonry 1078:Nationality 1058:Biographies 693:Gutman 2000 681:Gutman 2000 665:Zegers 2007 603:, 124–125; 93:vaccination 89:inoculation 1432:Categories 1336:Influences 1181:Symphonies 1068:Grand tour 1063:Birthplace 878:Glynn, Ian 306:See also: 146:Grand Tour 130:Anna Maria 64:chickenpox 1343:Beethoven 1088:Scatology 1083:Residence 1051:Biography 284:disease. 169:Joseph II 1443:Smallpox 1417:Category 1262:(sister) 1256:(mother) 1250:(father) 1205:Editions 1093:Smallpox 998:17539792 967:(1995). 849:(1965). 837:(1985). 816:Archived 463:, 40–42. 390:, 71–72. 138:Salzburg 69:Macaulay 38:Smallpox 22:smallpox 1372:Related 1363:Salieri 1176:Sonatas 1006:7238140 957:7562811 948:1295274 828:Sources 760:, 82–83 756:, 126, 708:, 73–74 507:YouTube 278:fencing 239:Olomouc 134:Nannerl 26:Leopold 1268:(wife) 1240:Family 1161:Operas 1156:Masses 1146:Dances 1108:Prague 1103:Berlin 1004:  996:  955:  945:  916:  888:  866:  799:, 685. 787:, 617. 695:, 233. 679:, 63, 667:, 372. 624:, 294. 537:, 123. 475:, 122. 326:cowpox 142:Vienna 1358:Haydn 1286:(son) 1280:(son) 1133:Music 1123:Death 1098:Italy 1002:S2CID 775:, 573 744:, 86. 732:, 89. 720:, 71. 683:, 233 637:, 70. 591:, 124 578:, 63. 551:, 125 525:, 77. 489:Score 451:, 120 378:, 70. 354:, 62. 340:Notes 1073:Name 994:PMID 953:PMID 914:ISBN 886:ISBN 864:ISBN 655:, 70 607:, 77 566:, 77 366:, 2. 231:Brno 140:for 40:and 986:doi 943:PMC 505:on 56:Ian 1434:: 1000:. 992:. 982:35 980:. 951:. 939:88 937:. 931:. 811:: 765:^ 642:^ 556:^ 437:^ 280:. 178:K. 1036:e 1029:t 1022:v 1008:. 988:: 959:. 922:. 894:. 872:. 841:. 491:) 487:( 407:.

Index

Wolfgang Amadeus Mozart
smallpox
Leopold
Smallpox
History of smallpox
smallpox vaccine
Ian
chickenpox
Macaulay
inoculation
vaccination
Ruth Halliwell
Lorenz Hagenauer
Anna Maria
Nannerl
Salzburg
Vienna
Grand Tour
Archduchess Maria Josepha
Maria Theresa

Joseph II
Maria Josepha
K.
Czech Republic
Brno
Sigismund von Schrattenbach
Olomouc
University in OlmĂĽtz
fencing

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