Angelo Antonio Frari

Angelo Antonio Frari ("Croat." Anđeo Antun) (Šibenik/Sebenico, Dalmatia, Republic of Venice, now Croatia 1780 – Venice 1865) was the municipal physician and the head of the lazaretto of Split/Spalato (1806-1821), the protomedicus, and the president of the Maritime Health Magistrate of Venice (1835-1843), famous italian epidemiologist and historian of medicine.

Origins

Angelo Frari came from an illustrious Šibenik medical family. His father Giuseppe Frari came from Treviso, Italy to Šibenik, Dalmatia, where he became the Chief Municipal Physician and the author of the first Croatian work on rabies published in 1782 in Ancona. His brother Sebastiano was also the Chief Municipal Physician of Šibenik, as well as his nephew Luigi, who was also the mayor of Šibenik. His son Michele Carlo Frari was an illustrious professor of obstetrics at Padua University.

Medical Education

Angelo Antonio Frari graduated in medicine from Padua University in 1801 and acquired further medical education in Vienna as a student of the famous public health ideologist and the founder of hygiene as a science, Dr Johan Peter Frank.

Work in Dalmatia

As a prominent epidemiologist, Angelo Frari became the municipal physician in Split and headed the lazaretto of Split in the period of Napoleon’s government (1806-1813), and later, until 1821. He was famous for his efforts and success in the improvement of the Dalmatian quarantine system and municipal hygiene. Frari, astonished with the poor sanitary conditions and poverty in Dalmatia, undertook numerous actions in order to improve the sanitary conditions. He warned the Napoleon’s governor Vincenzo Dandolo about the tragic health and social situation in Split and its surroundings. He also incited the launching the new Law on Health Issues, which was officially accepted in 1812, together with the “Instructiones sur les Lazarets”, which were mostly composed by Frari. During this period of his life, Frari was also very effective in the suppression of plague epidemics in Split, Makarska, and in some regions of Montenegro and Albania. In 1815, he himself got ill, but cured himself by cutting the bubonic masses and treating them with oil and sweat.

Work in Venice

Frari, as a supporter of the Franch revolutionary ideas, had to leave Split in 1821 and stayed in Zadar for a short period. In 1822, he left Dalmatia for good and moved to Verona and three years later to Venice, where he was active as an epidemiologist and writer. He served as the protomedicus of Venice and the president of the Maritime Health Magistrate of Venice from 1830 until 1843. In 1835 he went to Egypt, as a consultant in the suppression of plague.

Publications

Angelo Antonio Frari published a number of medical papers. In Padua, in 1817 (2nd edition in Split 1820), he published a description of typhus fever in Split and the surrounding area (the towns of Trogir and Kaštela, and the island of Brač), called “Storia dell febre epidemica che regno a Spalato e luoghi vicini nell’ anno 1817”. Frari named the illness typhus because it, apparently, resembled the yellow fever (typhus icteroides) in its symptoms and changes found on the autopsies.His later work “Cenni storici sull’isola di Poveglia e sulla sua importanza sotto l’aspetto sanitario” (Venice 1837) provided arguments in favor of the quarantine protection system, in particular of the one on the island of Poveglia at the entrance to Venice. Antonio Frari obviously found the quarantine protection system extremely important, which even brought him to the conflict with the protomedicus of the Austrian Littoral, Dr Franz Weber, who proposed certain restrictions of the quarantine system, in order to stimulate the Mediterranean steamship traffic. The issue of the quarantine system finally led Frari to his involuntary retirement in 1843, since he was accused of corruption related to public health and quarantine system.Angelo Antonio Frari’s capital work was Della peste e della publica amministrazione sanitaria (Venice 1840), which is considered the world’s best general history of the plague epidemics up to that time. In almost 1000 pages, he described plague epidemics in the world and, in particular, Dalmatia in great detail. In this overall review, he discussed various diagnostic possibilities, methods of treatment, and reported on autopsy results, and methods of disinfection, describing the methods such as fumigation. Frari was convinced that the cause of the disease was a specific contagious germ (“germe del contagio”), even though the bacillus of plague (Yersinia pestis) was discovered as late as in 1894.

Reflections on Frari's Work

Antonio Frari’s scientific work and medical practice was especially praised by Frari’s close friend Niccolo Tommaseo, the famous Šibenik-born Italian and Croatian writer, novelist, and revolutionary politician in his “Intimate Diary” and poems dedicated to doctor Frari. Tommaseo, on Frari’s proposal, even wrote a letter of protest to the Austrian Emperor regarding poverty and poor sanitary conditions in Dalmatia.

Angelo Antonio Frari was awarded by the Emperor Franz Joseph I of Austria for his epidemiologic work in Dalmatia (“medaglia d’oro di onore del merito civile per servizi prestati in circostanze di peste”).
Mirko Dražen Grmek described Angelo Antonio Frari as the first Croatian historian of medicine.

Literature

*Krnić A. Giuseppe and Aloysius Frari’s Works on Rabies and History of Frari Medical Family of Šibenik, Dalmatia. Croat Med J. 2007 June; 48(3): 378–390. [http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=2080547]
*Coons RE. Steamships and quarantines at Trieste, 1837-1848. J Hist Med Allied Sci. 1989;44:28–55. [http://www.ncbi.nlm.nih.gov/pubmed/2644345]
*Grmek MD. Antun Anđeo Frari, the illustrious social medicine writer, epidemiologist, and historian of medicine [in Croatian] . In: Zaslužni splitski liječnici u prošlosti do 1945. godine. Zbornik radova. Split: Hrvatski liječnički zbor; 1995. p. 53-63.