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Exploring Cocoliztli Epidemic Causes

May 13, 2025

One of History's Worst Epidemics and its Potential Cause

Overview

  • The article investigates a historical epidemic in the 16th century, particularly affecting native Mesoamericans, potentially caused by Salmonella enterica.
  • The epidemic is referred to as "cocoliztli" in Nahuatl, marked by severe symptoms and high mortality.
  • New DNA evidence suggests a connection to salmonella, challenging previous notions of hemorrhagic fever.

Key Details

Background

  • Cocoliztli Epidemic: First appeared in Mexico (then New Spain) in the 16th century.
    • Characterized by symptoms unlike any seen before: jaundice, bleeding from orifices, hallucinations, and convulsions.
    • Estimated 45% of the native population perished.
  • Historical records previously suggested a hemorrhagic fever similar to Ebola.

New Research Findings

  • DNA Evidence: Researchers analyzed DNA from 29 skeletons unearthed from Teposcolula Yucundaa in Oaxaca, Mexico.
    • 24 skeletons from the 1545 outbreak period.
    • 5 skeletons from a cemetery predating European contact.
  • Salmonella Detection: DNA extracted from the teeth linked to Salmonella enterica, particularly paratyphi C, suggests enteric fever.
    • Found in 10 skeletons corresponding to the outbreak.
    • Absent in pre-contact skeletons.

Implications

  • European Connection: Suggests Europeans might have introduced salmonella through livestock or human carriers.
    • Similar salmonella found in an 800-year-old Norwegian skeleton.
  • Local Impact: Indigenous populations possibly had little immunity due to a lack of previous exposure.
    • Contributed to the epidemic alongside environmental factors like drought and malnutrition.

Scientific Opinions

  • Some experts caution against attributing the epidemic solely to salmonella.
    • Possible it was one of several pathogens involved.
    • Symptoms described historically do not completely align with salmonella infections.
  • The possibility of massive bacterial infection could mimic hemorrhagic fever symptoms.

Conclusion

  • While the connection to salmonella offers a new perspective, it is uncertain if it was the exclusive cause of the cocoliztli.
  • Further research needed to fully understand the epidemic's dynamics and contributing factors.

References

  • Correction note: Global cases of enteric fever exceed 21 million annually, with fewer than 6000 in the U.S.
  • DOI: 10.1126/science.aat0253