The Attic plague, which ravaged the Peloponnesus 430 years before Christ, has been accurately described by an eye-witness, the historian Thucydides. His narration may be considered the earliest exact record of an epidemic. Like all the great epidemics of subsequent ages, it was ushered in by the overcrowding, the misery and the famine consequent upon prolonged wars. The combustible material was there, and all that necessary was the spark to begin the work of death and devastation. It is noteworthy that the origin of the pest was traced by Thucydides to Egypt or Ethiopia, from whence it spread gradually overland to Asia Minor and thence by boat to Athens. The nature of this first great historic epidemic is and will remain uncertain. There are those who consider the Attic pestilence as one of bubonic plague, but the fact that in the very careful description of the disease no mention is made of buboes and the statement that death occurred from the seventh to the ninth day would indicate that the disease was something else. Buboes are characteristic, it is true, of the plague, but it should be remembered that outbreaks of the pneumonic form, with little or no glandular enlargement are not uncommon. Death, however, in the case of plague is very common on the second or third day, and is less liable to occur in more protracted cases. These facts lead to the commonly accepted belief that the Attic pest was not the bubonic plague. It may have been typhus fever, possibly smallpox. The great pestilence which devastated Rome and its dependencies in 166, Anno Domini, is known as the plague of Antoninus or of Galen. This prolonged epidemic was brought to Rome by the returning legions from Seleucia. It was not characterized by buboes, and it is very probable that it was largely smallpox. On the other hand, the plague of Saint Cyprian, which prevailed from 251 to 266 Anno Domini, may have been partly bubonic in nature, since, it prevailed during the fall and winter months and ceased during the hot summer. The disease was said to be communicated by means of clothing and by the look. It spread from Ethiopia to Egypt and thence through the known world.