Hektoen International

A Journal of Medical Humanities

The rat in medicine

Rats occupy a peculiar position in their relation to humans. Traditionally despised and hated as carriers of disease, they have become in recent years indispensable partners in the pursuit of better health, therapeutic innovation, and understanding of disease mechanisms. They are easy to handle, have a long history of selective breeding, and are physiologically and genetically similar to humans. Their organ systems, metabolic pathways, and behavioral patterns mirror humans in meaningful ways. Their larger size compared to mice allows for more precise surgical procedures, easier blood sampling, and more detailed physiological measurements. This makes them especially useful in cardiovascular research, endocrinology, and neuroscience, where detailed data collection is essential.

Rats were among the first animals to be systematically bred for laboratory use. The use of inbred strains in the early twentieth century allowed researchers to study hypertension, cancer susceptibility, and behavioral genetics. The spontaneously hypertensive rat became a cornerstone model for studying high blood pressure and testing antihypertensive drugs.

Rats have also played a pivotal role in understanding the brain and behavior. Their cognitive abilities, social structures, and capacity for learning make them ideal subjects for psychological and neurological research. Studies using rats have illuminated the mechanisms of addiction, memory formation, stress responses, and neurodegenerative diseases. Rat models have contributed to research into Parkinson’s disease, stroke recovery, and traumatic brain injury recovery.

In pharmacology, rats have been essential for evaluating the safety and efficacy of new drugs. Before a medication reaches human trials, it must undergo rigorous testing in animal models to assess toxicity, metabolism, and therapeutic potential. Rats provide a reliable system for predicting how humans might respond to a new compound. Their use has been instrumental in the development of antibiotics, vaccines, pain medications, and countless other therapies. Their role continues to evolve as new technologies emerge, but their importance remains undeniable.

Yet rats have also been undisputed agents of disease transmission. Thriving in environments shaped by human activity, their success has been tied to their intelligence, reproductive capacity, and ability to exploit food waste and shelter created by dense human populations. They serve as reservoirs for bacteria, viruses, and parasites that can spread to humans through bites, contaminated food, or the fleas and mites that live on them.

Historically, the most infamous example of rat‑associated disease is the bubonic plague, caused by Yersinia pestis. Although the bacterium is transmitted primarily by fleas, the black rat (Rattus rattus) played a central role in sustaining flea populations and bringing them into close contact with humans. The plague pandemics of the 14th and 17th centuries reshaped societies, economies, and demographics across Europe, Asia, and North Africa. Plague still exists in some regions, reminding us that the ecological relationship between rats, fleas, and humans remains relevant.

Beyond plague, rats are implicated in a wide range of other diseases. Leptospirosis, a bacterial infection spread through rat urine, is a major concern in tropical and urban environments. Contaminated water entering the human body through cuts or mucous membranes can cause severe illnesses such as kidney failure or meningitis. Outbreaks of diseases carried by rats often follow heavy rainfall or flooding, especially in areas with inadequate sanitation.

Another important disease linked to rats is hantavirus. Humans can contract hantavirus pulmonary syndrome by inhaling aerosolized particles from rat droppings or nesting materials. The disease is relatively rare but has a high mortality rate and underscores the risks associated with rodent infestations in rural and suburban settings.

Rats also contribute to the spread of salmonellosis, rat‑bite fever, and various parasitic infections. Their ability to contaminate food storage areas makes them a persistent threat in both developed and developing nations. In urban centers, rat populations can grow rapidly when waste management systems are inadequate, creating conditions for disease transmission on a large scale. Yet despite their negative reputation, rats are not inherently “villains.” They are opportunistic survivors responding to ineffective human public health measures.


GEORGE DUNEA, MD, Editor-in-Chief

Winter 2026

|

|