I always thought "miasms" were an older concept in medicine, a theory about chronic and congenital disease.
The word comes from "miasma", which is a cloud of vapour or noxious gasses which literally hangs over a swampy area like a cloud of its own pollutions. The image itself brings to mind all those swampy, malarial places--which would be a kind of miasmatic illness in itself.
Divina
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