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Morbusalkmea, or just alkmea, was a bacterial infection central to the stomach and small intestines. Symptoms included anaemia, black vomit and explosive diarrhea. It was identified in the 14th century by the ADA doctor Alkmeon Hortenus Ambustus. Rehydration therapies and immunisation were its main treatments, and sanitisation in the first and second worlds greatly reduced its prevalence.
- First pandemic 1797/8(1044/5), 1801-3(1048-50): The disease this time started in Tainocai (15,000) and then spread to the mainland, killing 30,000 Roman Terranovans and continuing to the Totonic Empire (three million). It was identified again in Nihhon in 1801, killing 100,000, and ending in Indo-Sinica, having killed 200,000 and 300,000. The total of dead was estimated around four million.
- Second pandemic 1835-9(1082-6): Simultaneously showed up in Hispania (52,000), Felix (15,000), and India (60,000), spread through southern Europe (100,000) and the Eastern Mediterranean (90,000), into Indo-Sinica (150,000) and Cental Asia (12,000?), Asia Australis (300,000?) and Sinica (72,000).
- Slavic outbreak: It then seemed to go into remission until the 1980’s(1227+) when it killed 35,000 in the eastern Kipchak Cilaf, spreading to the Slavic nations killing an estimated 50,000.
In the Slavic lands alkmea continued to be a minor but persistent disease but also continued to dwindle in severity as northeastern Europe was civilised. It also continued to be a problem for uncivilised Africa.