Antonine Plague
pandemic

The Antonine Plague of AD 165 to 180 (named for the emperors Marcus Aurelius and Lucius Verus of the Antonine dynasty), also known as the Plague of Galen (after Galen, the Greek physician who described it), was a prolonged and destructive epidemic, which affected the Roman Empire. It was possibly contracted and spread by soldiers who were returning from a campaign in the Near East.
Scholars generally believed that the plague was smallpox, due to the skin eruptions over the entirety of the body which appeared to be red and black (Horgan), but recent genetic evidence strongly suggests that the most severe form of smallpox did not arise in Europe until much later. Measles has also been suggested as a possible cause. As yet, there is no genetic evidence from the Antonine plague.
Ancient sources agree that the plague is likely to have appeared during the Roman siege of the Mesopotamian city of Seleucia in the winter of 165–166, during the Parthian campaign of Lucius Verus. Ammianus Marcellinus reported that the plague spread to Gaul and to the legions along the Rhine. Eutropius stated that a large proportion of the empire's population died from this outbreak. According to the contemporary Roman historian Cassius Dio, the disease broke out again nine years later in 189 AD and caused up to 2,000 deaths a day in the city of Rome, 25% of those who were affected. The total death count has been estimated at 5–10 million, roughly 10% of the population of the empire.
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