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Authors: Barbara W. Tuchman

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In Florence Giovanni Villani, the great historian of his time, died at 68 in the midst of an unfinished sentence: “… 
e dure questo pistolenza fino a
 … (in the midst of this pestilence there came to an end …).” Siena’s master painters, the brothers Ambrogio and Pietro Lorenzetti, whose names never appear after 1348, presumably perished in the plague, as did Andrea Pisano, architect and sculptor of Florence. William of Ockham and the English mystic Richard Rolle of Hampole both disappear from mention after 1349. Francisco Datini, merchant of Prato, lost both his parents and two siblings. Curious sweeps of mortality afflicted certain bodies of merchants in London. All eight wardens of the Company of Cutters, all six wardens of the Hatters, and four wardens of the Goldsmiths died before July 1350. Sir John Pulteney,
master draper and four times Mayor of London, was a victim, likewise Sir John Montgomery, Governor of Calais.

Among the clergy and doctors the mortality was naturally high because of the nature of their professions. Out of 24 physicians in Venice, 20 were said to have lost their lives in the plague, although, according to another account, some were believed to have fled or to have shut themselves up in their houses. At Montpellier, site of the leading medieval medical school, the physician Simon de Covino reported that, despite the great number of doctors, “hardly one of them escaped.” In Avignon, Guy de Chauliac confessed that he performed his medical visits only because he dared not stay away for fear of infamy, but “I was in continual fear.” He claimed to have contracted the disease but to have cured himself by his own treatment; if so, he was one of the few who recovered.

Clerical mortality varied with rank. Although the one-third toll of cardinals reflects the same proportion as the whole, this was probably due to their concentration in Avignon. In England, in strange and almost sinister procession, the Archbishop of Canterbury, John Stratford, died in August 1348, his appointed successor died in May 1349, and the next appointee three months later, all three within a year. Despite such weird vagaries, prelates in general managed to sustain a higher survival rate than the lesser clergy. Among bishops the deaths have been estimated at about one in twenty. The loss of priests, even if many avoided their fearful duty of attending the dying, was about the same as among the population as a whole.

Government officials, whose loss contributed to the general chaos, found, on the whole, no special shelter. In Siena four of the nine members of the governing oligarchy died, in France one third of the royal notaries, in Bristol 15 out of the 52 members of the Town Council or almost one third. Tax-collecting obviously suffered, with the result that Philip VI was unable to collect more than a fraction of the subsidy granted him by the Estates in the winter of 1347–48.

Lawlessness and debauchery accompanied the plague as they had during the great plague of Athens of 430
B.C
., when according to Thucydides, men grew bold in the indulgence of pleasure: “For seeing how the rich died in a moment and those who had nothing immediately inherited their property, they reflected that life and riches were alike transitory and they resolved to enjoy themselves while they could.” Human behavior is timeless. When St. John had his vision of plague in Revelation, he knew from some experience or race memory that those who survived “repented not of the work of their hands.… Neither
repented they of their murders, nor of their sorceries, nor of their fornication, nor of their thefts.”

Ignorance of the cause augmented the sense of horror. Of the real carriers, rats and fleas, the 14th century had no suspicion, perhaps because they were so familiar. Fleas, though a common household nuisance, are not once mentioned in contemporary plague writings, and rats only incidentally, although folklore commonly associated them with pestilence. The legend of the Pied Piper arose from an outbreak of 1284. The actual plague bacillus,
Pasturella pestis
, remained undiscovered for another 500 years. Living alternately in the stomach of the flea and the bloodstream of the rat who was the flea’s host, the bacillus in its bubonic form was transferred to humans and animals by the bite of either rat or flea. It traveled by virtue of
Rattus rattus
, the small medieval black rat that lived on ships, as well as by the heavier brown or sewer rat. What precipitated the turn of the bacillus from innocuous to virulent form is unknown, but the occurrence is now believed to have taken place not in China but somewhere in central Asia and to have spread along the caravan routes.
Chinese origin was a mistaken notion of the 14th century based on real but belated reports of huge death tolls in China from drought, famine, and pestilence which have since been traced to the 1330s, too soon to be responsible for the plague that appeared in India in 1346.

The phantom enemy had no name. Called the Black Death only in later recurrences, it was known during the first epidemic simply as the Pestilence or Great Mortality.
Reports from the East, swollen by fearful imaginings, told of strange tempests and “sheets of fire” mingled with huge hailstones that “slew almost all,” or a “vast rain of fire” that burned up men, beasts, stones, trees, villages, and cities. In another version, “foul blasts of wind” from the fires carried the infection to Europe “and now as some suspect it cometh round the seacoast.” Accurate observation in this case could not make the mental jump to ships and rats because no idea of animal- or insect-borne contagion existed.

The earthquake was blamed for releasing sulfurous and foul fumes from the earth’s interior, or as evidence of a titanic struggle of planets and oceans causing waters to rise and vaporize until fish died in masses and corrupted the air. All these explanations had in common a factor of poisoned air, of miasmas and thick, stinking mists traced to every kind of natural or imagined agency from stagnant lakes to malign conjunction of the planets, from the hand of the Evil One to the wrath of God. Medical thinking, trapped in the theory of astral influences,
stressed air as the communicator of disease, ignoring sanitation or visible carriers. The existence of two carriers confused the trail, the more so because the flea could live and travel independently of the rat for as long as a month and, if infected by the particularly virulent septicemic form of the bacillus, could infect humans without reinfecting itself from the rat. The simultaneous presence of the pneumonic form of the disease, which was indeed communicated through the air, blurred the problem further.

The mystery of the contagion was “the most terrible of all the terrors,” as an anonymous Flemish cleric in Avignon wrote to a correspondent in Bruges. Plagues had been known before, from the plague of Athens (believed to have been typhus) to the prolonged epidemic of the 6th century
A.D
., to the recurrence of sporadic outbreaks in the 12th and 13th centuries, but they had left no accumulated store of understanding. That the infection came from contact with the sick or with their houses, clothes, or corpses was quickly observed but not comprehended. Gentile da Foligno, renowned physician of Perugia and doctor of medicine at the universities of Bologna and Padua, came close to respiratory infection when he surmised that poisonous material was “communicated by means of air breathed out and in.” Having no idea of microscopic carriers, he had to assume that the air was corrupted by planetary influences. Planets, however, could not explain the ongoing contagion. The agonized search for an answer gave rise to such theories as transference by sight. People fell ill, wrote Guy de Chauliac, not only by remaining with the sick but “even by looking at them.” Three hundred years later Joshua Barnes, the 17th century biographer of Edward III, could write that the power of infection had entered into beams of light and “darted death from the eyes.”

Doctors struggling with the evidence could not break away from the terms of astrology, to which they believed all human physiology was subject. Medicine was the one aspect of medieval life, perhaps because of its links with the Arabs, not shaped by Christian doctrine. Clerics detested astrology, but could not dislodge its influence. Guy de Chauliac, physician to three popes in succession, practiced in obedience to the zodiac. While his
Cirurgia
was the major treatise on surgery of its time, while he understood the use of anesthesia made from the juice of opium, mandrake, or hemlock, he nevertheless prescribed bleeding and purgatives by the planets and divided chronic from acute diseases on the basis of one being under the rule of the sun and the other of the moon.

In October 1348 Philip VI asked the medical faculty of the University of Paris for a report on the affliction that seemed to threaten human
survival. With careful thesis, antithesis, and proofs, the doctors ascribed it to a triple conjunction of Saturn, Jupiter, and Mars in the 40th degree of Aquarius said to have occurred on March 20, 1345. They acknowledged, however, effects “whose cause is hidden from even the most highly trained intellects.” The verdict of the masters of Paris became the official version. Borrowed, copied by scribes, carried abroad, translated from Latin into various vernaculars, it was everywhere accepted, even by the Arab physicians of Cordova and Granada, as the scientific if not the popular answer. Because of the terrible interest of the subject, the translations of the plague tracts stimulated use of national languages. In that one respect, life came from death.

To the people at large there could be but one explanation—the wrath of God. Planets might satisfy the learned doctors, but God was closer to the average man. A scourge so sweeping and unsparing without any visible cause could only be seen as Divine punishment upon mankind for its sins. It might even be God’s terminal disappointment in his creature. Matteo Villani compared the plague to the Flood in ultimate purpose and believed he was recording “the extermination of mankind.” Efforts to appease Divine wrath took many forms, as when the city of Rouen ordered that everything that could anger God, such as gambling, cursing, and drinking, must be stopped. More general were the penitent processions authorized at first by the Pope, some lasting as long as three days, some attended by as many as 2,000, which everywhere accompanied the plague and helped to spread it.

Barefoot in sackcloth, sprinkled with ashes, weeping, praying, tearing their hair, carrying candles and relics, sometimes with ropes around their necks or beating themselves with whips, the penitents wound through the streets, imploring the mercy of the Virgin and saints at their shrines. In a vivid illustration for the
Très Riches Heures
of the Duc de Berry, the Pope is shown in a penitent procession attended by four cardinals in scarlet from hat to hem. He raises both arms in supplication to the angel on top of the Castel Sant’Angelo, while white-robed priests bearing banners and relics in golden cases turn to look as one of their number, stricken by the plague, falls to the ground, his face contorted with anxiety. In the rear, a gray-clad monk falls beside another victim already on the ground as the townspeople gaze in horror. (Nominally the illustration represents a 6th century plague in the time of Pope Gregory the Great, but as medieval artists made no distinction between past and present, the scene is shown as the artist would have seen it in the 14th century.) When it became evident that
these processions were sources of infection, Clement VI had to prohibit them.

In Messina, where the plague first appeared, the people begged the Archbishop of neighboring C
atania to lend them the relics of St. Agatha. When the Catanians refused to let the relics go, the Archbishop dipped them in holy water and took the water himself to Messina, where he carried it in a procession with prayers and litanies through the streets. The demonic, which shared the medieval cosmos with God, appeared as “demons in the shape of dogs” to terrify the people. “A black dog with a drawn sword in his paws appeared among them, gnashing his teeth and rushing upon them and breaking all the silver vessels and lamps and candlesticks on the altars and casting them hither and thither.… So the people of Messina, terrified by this prodigious vision, were all strangely overcome by fear.”

The apparent absence of earthly cause gave the plague a supernatural and sinister quality. Scandinavians believed that a Pest Maiden emerged from the mouth of the dead in the form of a blue flame and flew through the air to infect the next house. In Lithuania the Maiden was said to wave a red scarf through the door or window to let in the pest. One brave man, according to legend, deliberately waited at his open window with drawn sword and, at the fluttering of the scarf, chopped off the hand. He died of his deed, but his village was spared and the scarf long preserved as a relic in the local church.

Beyond demons and superstition the final hand was God’s. The Pope acknowledged it in a Bull of September 1348, speaking of the “pestilence with which God is afflicting the Christian people.” To the Emperor John
Cantacuzene it was manifest that a malady of such horrors, stenches, and agonies, and especially one bringing the dismal despair that settled upon its victims before they died, was not a plague “natural” to mankind but “a chastisement from Heaven.” To Piers Plowman “these pestilences were for pure sin.”

The general acceptance of this view created an expanded sense of guilt, for if the plague were punishment there had to be terrible sin to have occasioned it. What sins were on the 14th century conscience? Primarily greed, the sin of avarice, followed by usury, worldliness, adultery, blasphemy, falsehood, luxury, irreligion. Giovanni Villani, attempting to account for the cascade of calamity that had fallen upon Florence, concluded that it was retribution for the sins of avarice and usury that oppressed the poor. Pity and anger about the condition of the poor, especially victimization of the peasantry in war, was often expressed by writers of the time and was certainly on the conscience of the century. Beneath it all was the daily condition of medieval life, in
which hardly an act or thought, sexual, mercantile, or military, did not contravene the dictates of the Church. Mere failure to fast or attend mass was sin. The result was an underground lake of guilt in the soul that the plague now tapped.

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