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However, the Hindu blamed the Muslims and in the end everyone blamed the Europeans [ 4 - 6 ]. The affliction spread to the whole population, including King Alcithous. The nymph Ammerice counseled the inhabitants to offer Apollo further sacrifices, one of which was Syphilus himself, and also to sacrifice to Juno and Tellus, the latter offering the people the tree of Guaiac Guaiacum officinalea very used therapeutic medicine in times of Fracastoro [ 6 - 8 ].
Hypotheses on the origin of syphilis The pre-columbian hypothesis. The advocates of this hypothesis claim that not only syphilis was widely spread in both Old and New World, but also the other treponemal diseases.
In Europe, most of these conditions were mistaken for leprosy [ 3 ]. According to this hypothesis, pinta occurred in Afro-Asian zone by the year Yaws appeared as a consequence of the mutations in pinta around The endemic syphilis emerged from jaws by the selection of several treponemas, as a consequence of climate changes the appearance of the arid climate around BC.
Around BC the sexually transmitted syphilis emerged from endemic syphilis in South-Western Asia, due to lower temperatures of the post-glacial era and spread to Europe and the rest of the world. Initially it manifested as a mild disease, eventually aggravated and grew in virulence, suffering from several mutations, at the end of the 15th century [ 23 ]. Considered by some authors as a variant of the pre-Columbian hypothesis, it advocates that the treponemal diseases had always had a global distribution.
According to this theory, both syphilis and non-venereal treponemal diseases are variants of the same infections and the clinical differences happen only because of geographic and climate variations and to the degree of cultural development of populations within disparate areas.
Briefly, pinta, yaws, endemic syphilis and venereal syphilis are considered as adaptative responses of T. Pallidum to changes in the environment, cultural differences and contact between various populations [ 39 ]. Yaws, endemic in Africa for that time being, would have remained unmodified in countries with similar climate conditions as those in the origin countries, but would have evolved into endemic syphilis in countries with colder and drier climate in which personal hygiene was overlooked and disregarded and into venereal syphilis in those areas where inhabitants exhibited a civilized society and paid more attention to personal hygiene.
The advocates of this hypothesis consider as irrelevant the theory according to which the 44 members of Christopher Columbus crew and the 10 indigenes brought along to Europe could be blamed for syphilis spreading in the whole Europe in just a few years [ 1011 ]. This very popular hypothesis states that the navigators in Columbus fleet would have brought the affliction on their return form the New World in [ 312 ].
This theory is supported by documents belonging to Fernandez de Oviedo and Ruy Diaz de Isla, two physicians with Spanish origins who were present at the moment when Christopher Columbus returned from America.