Exploring the History of Medicine, Part 59: Rome, Part 4

September 1, 2025

The Roman Forum (Foro Romano) – Continued
As mentioned in the previous issue, Rome began on seven hills.

Streams from these seven hills flowed down into the valleys between them, forming swamplands.

These wetlands became breeding grounds for mosquitoes and were unsuitable for human habitation.

It was King Tarquinius in the 6th century BCE who envisioned reclaiming the marshes to make the area livable.

He mobilized citizens to undertake the construction of a sewer system.

Although he was eventually exiled from Rome for overworking the populace, his vision ultimately bore fruit in the form of the Cloaca Maxima—a great sewer. 

This massive drainage system, stretching 1.5 kilometers, carried water from the marshes to the Tiber River, transforming the wetlands into the Eternal City, Rome.

At the center of the city was the public square that still stands today: the Roman Forum.

By the 4th century BCE, the drainage system had been covered and turned into an underground culvert.

Remarkably, it is said that since the fall of the Roman Empire, the main Roman sewer has never been cleaned.

Nevertheless, it still functions impressively to this day.

The greatest achievement in the medical history of ancient Rome was the development of public sanitation—including water supply systems, sewers, and public baths.

Cloaca Maxima is spelled "Cloaca Massima" in Italian.

Massima is a variation of massimo, meaning "greatest."
Like the English word maximum, it is derived from the Latin maximus, meaning "greatest."
 The word cloaca means sewer or drain, but in anatomy, it refers to the cloaca—a common cavity into which the intestinal, urinary, and reproductive tracts open.

It is found in animals such as birds and frogs.

In these animals, feces, urine, eggs, and sperm are all expelled from the same opening.

I learned this in anatomy during my student days, but I didn’t know the word also meant “sewer.”

So, except for those born by Caesarean section, you and I all came out of the sewer, so to speak!

 

To be continued

 インフルエンザ予防接種の予診票は当院受付にてお配りしている他、本サイトからもダウンロードできます。予め記入後お持ち下さい。

  ただし、「65歳以上の藤沢市民」は、インフルエンザ・コロナワクチン共に、当院にて専用の予診票に記入して頂く必要があります。ダウンロードはできません。

お知らせ

8月10日(日)から15日(金)まで夏期休業いたします。

院長から一言を更新しました(令和7年6月1日)。

医学の歴史を訪ねて 第56回 ローマ編 その1

12月29日(日)から1月3日(金)まで休診します。

8月13日(火)、14日(水)、15日(木)の3日間、夏期休診させて頂きます。

Message from the Directorを更新しました(Jul 1, 2024)。 

令和6年4月以降、発熱など風邪症状がある方も、電話連絡等は不要となりました。

令和6年3月14日(木)、21日(木)、28日(木)の各木曜日休診します。

4月以降も、毎週木曜日休診します。

3月7日(木)臨時休診します。

2月28日(水)から3月5日(火)まで臨時休診します。3月6日(水)から診療再開します。