The Death – a Medieval Epidemic

Honestly, I always get blamed for everything.
Honestly, I always get blamed for everything.

Useful sites:

Bubonic plague: 

http://plague.emedtv.com/bubonic-plague/bubonic-plague-symptoms.html

Pneumonic plague: 

http://plague.emedtv.com/pneumonic-plague/pneumonic-plague.html

An intelligent account of plague symptoms:

http://historymedren.about.com/od/theblackdeath/a/death_defined.htm

More details about the plague:

http://www.william-shakespeare.info/bubonic-black-plague-modern-day.htm

An Introduction to the Black Death

The people of Sydney and Melbourne have even experienced this disease…

In 1900, 303 people in Sydney caught the bubonic plague and 103 died. By this stage in history people knew what caused the disease, whereas in 1348, when the disease broke out in Europe, absurd and false theories abounded.

In Sydney, a bounty was put on rats – sixpence a rat according to one Melbourne report. Poor and unemployed men became professional rat catchers. This would have been an excellent idea in the Middle Ages, but people didn’t know that the fleas on black rats were spreading the disease back then. Nor did they know of the existence of bacteria.

Here is a picture of the rat-catchers at work:

Professional rat catchers, Sydney 1900 © State of New South Wales through the State Records Authority of NSW'

Copyright:State of NSW. Kindly provided by the State Records Authority of NSW.  That pile in the middle is dead rats. 

♦Go to this link to view other fascinating and gruesome pictures, including closeups of rat heaps, quarantine areas being demolished, etc:
LINK: http://gallery.records.nsw.gov.au/index.php/galleries/purging-pestilence-plague/

♦Marvellous Melbourne (or Smellbourne as one wag of the period called it) also suffered from a case of the disease; read about a case in Camberwell at the link below:
LINK: Plague in Camberwell

The Black Death in Medieval Europe

One-third of the people of Europe died from this disease – and that is only counting the first time it struck. In 1348 the population had no immunity at all. In the same way, the native populations of South America and Australia had no immunity to smallpox, which helps to explain why smallpox wiped out between a substantial percentage of these populations. The plague returned at regular intervals over the next 350 years in Europe. It was always devastating, but it did not kill as many people as in 1348 and 1349.

The situation in medieval Europe made people particularly vulnerable to such a disease:

Sanitation: General hygiene was very poor. People didn’t know about bacteria and as they walked along streets they had to step over faeces. The cities stank. Rats had plenty to feed on thanks to the butchers working in public and leaving piles of offal on the streets. Fleas were also commonplace. Peasants expected to have fleas.

 Widespread Poverty: There was a great deal of poverty, malnutrition and poor health in a large percentage of the population. When the Black Death came, it attacked an already weakened population.The rate of mortality in untreated cases is reportedly around 40–60%. Presumably a healthy, well-fed person would have a better chance of surviving than a poor, malnourished peasant – and Europe’s population was largely made up of poor, malnourished peasants.

The medieval life expectancy

According to a book from our school library, “The Death” by Amanda Braxton-Smith, some historians believe, based on evidence from digs in Ireland, that the average lifespan in the Middle Ages could have been about 25 years. This evidence suggests that over half the women were dead by the age of 35 and one-third of the population had died before the age of 14. Of course, this may not be true of Europe as a whole but it gives an insight into medieval life (and death).

♦To read about the mortality rate of the plague, go to the link below. You should be aware that just to complicate matters there were three kinds of plague, and the prognosis (likely medical outcome) for each was different.

LINK: Details of the plague’s mortality rate (with extra information about rats, fleas and so forth)

Medical Knowledge in Christian Europe: Medical knowledge, at least amongst Christians, was almost non-existent. While Islamic physicians were quite scientific in their methods, Christian doctors were ignorant of anatomy and did not use a scientific method in their treatments. The Roman Church was partly to blame. It controlled what doctors learned and it prohibited the dissection of bodies. This meant that in one French medical school, for instance, there was only one practical anatomy lesson in two years. An abdomen was opened and inspected; that was all. The prescriptions of doctors at the time of the plague were dangerous rather than therapeutic.

The Church: Another problem was that the Church viewed disease as a punishment for sin. Some people believed that leprosy could be brought on by too much lust. In such an environment, careful scientific examination and rigorous observation of symptoms would be uncommon.

Ignorance and Superstition: If doctors were ignorant, then the rest of the population, mostly illiterate, was even more so. Wild rumours and prejudices rapidly took hold. This meant that instead of doing useful things like quarantining people, cleaning up filthy areas and burning plague-infested areas – all measures taken by the Sydney administration in 1900 – medieval people often reacted by blaming the innocent.

800px-FrenchJews1 Wikimedia Commons from 1901-6 Jewish Encyclopedia

From Wikipedia Commons, originally from the Jewish Encyclopedia, 1901–1906, and now in the Public Domain; picture titled, “French Jews of the Middle Ages”

Persecution of Jewish People: The Jews were one group who were accused of poisoning wells and infecting people with plague.

Historians have suggested this might have been connected with the fact that fewer Jews died from the plague. The Jewish holy book (Torah) gives advice on basic hygiene to stop the spread of diseases. This meant many Jews refused to use the unhygienic wells (located near the town sewage pit), choosing instead to drink from fresh water sources.

This may have caused superstitious and ignorant people to blame the Jews for the plague. Consequently Jews were massacred, tortured and even burned alive. It was horrific. Some writers believe it was the worst persecution of the Jews before the 20th century, when the Nazis, with all the technology of the modern world behind them, committed atrocities against the Jewish population of Europe.

A massacre of a specific minority is sometimes called a pogrom.

Black_Death pd pic from wikimedia commons

Picture in Public Domain from Wikimedia Commons. Check the buboes. The man in the background may be holding a bunch of herbs, which were erroneously thought to help ward off disease by filling the air or at least the person’s breathing space with healthy odours.

“Woe is me of the shilling in the arm-pit; it is seething, terrible, wherever it may come, a head that gives pain and causes a loud cry, a burden carried under the arms, a painful angry knob…” – Jeuan Gethin (died 1349) – quoted in “The Death” by Amanda Braxton-Smith.

Medieval Recommendations for the Plague

Durer's Praying Hands by an unknown studentPeople should seclude themselves from others and stay away from the infected air.

Durer's Praying Hands by an unknown studentPeople should burn scented woods to purify the bad air and fill their homes with pleasant-smelling plants and flowers. 

Durer's Praying Hands by an unknown studentTry to remain tranquil.

Durer's Praying Hands by an unknown studentOpen and cauterize the buboes (burn them with a hot iron or caustic agent) and apply some substance to draw out the poison. One recipe for such a substance was a plaster made from gum resin, roots of white lilies and dried human excrement.

Durer's Praying Hands by an unknown studentTake soothing potions. One recipe for a potion was: take an ounce (28 grams) of gold, 11 ounces of quicksilver, dissolve and let the quicksilver escape; add 47 ounces of water and drink. Fortunately few people would have had the wealth or resources to make such a potion.

Durer's Praying Hands by an unknown studentSome doctors suggested people should bathe in urine. Others warned against bathing as it would open the pores to let in the disease.

Durer's Praying Hands by an unknown studentSome people thought the plague could be avoided by sniffing bad smells such as latrines (a hole in the ground used as a toilet). Following the theory that the two bad smells worked against each another, some people put dead animals in their houses.

Task 1: Use the links at the top of this post to type an account of the causes and symptoms of the plague. Set out a table like the one below:

Type of Plague Bubonic Plague Pneumonic Plague Septicaemic Plague
Symptoms, prognosis and other details

Task 2: Read through the Quizlet below:

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