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Black Death The Black Death (also known as the Pestilence, the Great Mortality or the Plague) was a bubonic plague pandemic occurring in Western Eurasia and North Africa from 1346 to 1353. It is the most fatal pandemic recorded in human history, causi ...
was one of the most devastating pandemics in human history, resulting in the deaths of an estimated 75 to 200 million people in
Eurasia Eurasia (, ) is the largest continental area on Earth, comprising all of Europe and Asia. Primarily in the Northern and Eastern Hemispheres, it spans from the British Isles and the Iberian Peninsula in the west to the Japanese archipelago a ...
, and peaking in Eurasia from 1321 to 1353. Its migration followed the sea and land trading routes of the medieval world. This migration has been studied for centuries as an example of how the spread of contagious diseases is impacted by human society and economics.
Plague Plague or The Plague may refer to: Agriculture, fauna, and medicine *Plague (disease), a disease caused by ''Yersinia pestis'' * An epidemic of infectious disease (medical or agricultural) * A pandemic caused by such a disease * A swarm of pe ...
is caused by ''
Yersinia pestis ''Yersinia pestis'' (''Y. pestis''; formerly '' Pasteurella pestis'') is a gram-negative, non-motile, coccobacillus bacterium without spores that is related to both ''Yersinia pseudotuberculosis'' and ''Yersinia enterocolitica''. It is a facult ...
'', and is
enzootic Enzootic is the non-human equivalent of endemic and means, in a broad sense, "belonging to" or "native to", "characteristic of", or "prevalent in" a particular geography, race, field, area, or environment; native to an area or scope. It also has ...
(commonly present) in populations of ground
rodent Rodents (from Latin , 'to gnaw') are mammals of the order Rodentia (), which are characterized by a single pair of continuously growing incisors in each of the upper and lower jaws. About 40% of all mammal species are rodents. They are na ...
s in
Central Asia Central Asia, also known as Middle Asia, is a subregion, region of Asia that stretches from the Caspian Sea in the west to western China and Mongolia in the east, and from Afghanistan and Iran in the south to Russia in the north. It includes t ...
. While initial phylogenetic studies suggested that the plague bacillus evolved 2,000 years ago near China, specifically in the
Tian Shan mountains The Tian Shan,, , otk, 𐰴𐰣 𐱅𐰭𐰼𐰃, , tr, Tanrı Dağı, mn, Тэнгэр уул, , ug, تەڭرىتاغ, , , kk, Тәңіртауы / Алатау, , , ky, Теңир-Тоо / Ала-Тоо, , , uz, Tyan-Shan / Tangritog‘ ...
on the border between modern-day
China China, officially the People's Republic of China (PRC), is a country in East Asia. It is the world's most populous country, with a population exceeding 1.4 billion, slightly ahead of India. China spans the equivalent of five time zones and ...
and
Kyrgyzstan Kyrgyzstan,, pronounced or the Kyrgyz Republic, is a landlocked country in Central Asia. Kyrgyzstan is bordered by Kazakhstan to the north, Uzbekistan to the west, Tajikistan to the south, and the People's Republic of China to the east. ...
, this view has been contested by recent molecular studies which have indicated that the plague was present in Scandinavia 3,000 years earlier. Likewise, the immediate origins of the Black Death are also uncertain. The pandemic has often been assumed to have started in China, but lack of physical and specific textual evidence for it in 14th century China has resulted in continued disputes on the origin to this day. Other theories of origin place the first cases in the
steppe In physical geography, a steppe () is an ecoregion characterized by grassland plains without trees apart from those near rivers and lakes. Steppe biomes may include: * the montane grasslands and shrublands biome * the temperate grasslands, ...
s of Central Asia or the Near East. Historians Michael W. Dols and Ole Benedictow argue that the historical evidence concerning epidemics in the
Mediterranean The Mediterranean Sea is a sea connected to the Atlantic Ocean, surrounded by the Mediterranean Basin and almost completely enclosed by land: on the north by Western and Southern Europe and Anatolia, on the south by North Africa, and on the e ...
and specifically the
Plague of Justinian The plague of Justinian or Justinianic plague (541–549 AD) was the first recorded major outbreak of the first plague pandemic, the first Old World pandemic of plague, the contagious disease caused by the bacterium ''Yersinia pestis''. The dis ...
point to a probability that the Black Death originated in Central Asia, where it then became entrenched among the rodent population. According to eastern origin theories, it has been assumed that the plague transferred from Central Asia east and west along the
Silk Road The Silk Road () was a network of Eurasian trade routes active from the second century BCE until the mid-15th century. Spanning over 6,400 kilometers (4,000 miles), it played a central role in facilitating economic, cultural, political, and reli ...
, by
Mongol The Mongols ( mn, Монголчууд, , , ; ; russian: Монголы) are an East Asian ethnic group native to Mongolia, Inner Mongolia in China and the Buryatia Republic of the Russian Federation. The Mongols are the principal member of ...
armies and traders making use of the opportunities of free passage within the
Mongol Empire The Mongol Empire of the 13th and 14th centuries was the largest contiguous land empire in history. Originating in present-day Mongolia in East Asia, the Mongol Empire at its height stretched from the Sea of Japan to parts of Eastern Europe, ...
offered by the
Pax Mongolica The ''Pax Mongolica'' (Latin for "Mongol Peace"), less often known as ''Pax Tatarica'' ("Tatar Peace"), is a historiographical term modelled after the original phrase ''Pax Romana'' which describes the stabilizing effects of the conquests of the ...
. It was reportedly first introduced to Europe when Mongols lobbed plague-infected corpses during the siege of the city of
Caffa uk, Феодосія, Теодосія crh, Kefe , official_name = () , settlement_type= , image_skyline = THEODOSIA 01.jpg , imagesize = 250px , image_caption = Genoese fortress of Caffa , image_shield = Fe ...
in the
Crimea Crimea, crh, Къырым, Qırım, grc, Κιμμερία / Ταυρική, translit=Kimmería / Taurikḗ ( ) is a peninsula in Ukraine, on the northern coast of the Black Sea, that has been occupied by Russia since 2014. It has a pop ...
in 1347. The Genoese traders fled, bringing the plague by ship into Sicily and
Southern Europe Southern Europe is the southern regions of Europe, region of Europe. It is also known as Mediterranean Europe, as its geography is essentially marked by the Mediterranean Sea. Definitions of Southern Europe include some or all of these countrie ...
, whence it spread. However even the Silk Road spread theory is disputed, as others point out that the Pax Mongolica had already broken down by 1325, when Western and Persian traders found it difficult to conduct trade in the region, and impossible by 1340.https://academicworks.cuny.edu/cgi/viewcontent.cgi?article=1052&context=lg_pubs


Preexisting conditions

Regardless of its origin, it is clear that several preexisting conditions such as
war War is an intense armed conflict between states, governments, societies, or paramilitary groups such as mercenaries, insurgents, and militias. It is generally characterized by extreme violence, destruction, and mortality, using regular o ...
,
famine A famine is a widespread scarcity of food, caused by several factors including war, natural disasters, crop failure, Demographic trap, population imbalance, widespread poverty, an Financial crisis, economic catastrophe or government policies. Th ...
, and weather contributed to the severity of the Black Death. In China, the 13th-century
Mongol conquest The Mongol invasions and conquests took place during the 13th and 14th centuries, creating history's largest contiguous empire: the Mongol Empire (1206-1368), which by 1300 covered large parts of Eurasia. Historians regard the destruction under t ...
disrupted farming and trading, and led to widespread famine. The population dropped from approximately 120 to 60 million. In Northern Europe, new technological innovations such as the heavy plough and the
three-field system The three-field system is a regime of crop rotation in which a field is planted with one set of crops one year, a different set in the second year, and left fallow in the third year. A set of crops is ''rotated'' from one field to another. The tec ...
were not as effective in clearing new fields for harvest as they were in the Mediterranean because the north had poor, clay-like soil. Food shortages and skyrocketing prices were a fact of life for as much as a century before the plague. Wheat, oats, hay, and consequently livestock, were all in short supply, and their scarcity resulted in hunger and malnutrition. The result was a mounting human vulnerability to disease due to weakened immune systems. The
Medieval Warm Period The Medieval Warm Period (MWP), also known as the Medieval Climate Optimum or the Medieval Climatic Anomaly, was a time of warm climate in the North Atlantic region that lasted from to . Proxy (climate), Climate proxy records show peak warmth oc ...
ended in Europe sometime in the 13th century, bringing harsher winters and reduced harvests. Heavy rains in late 1314 began several years of cold and wet winters. The already weak harvests of the north suffered. In the years 1315 to 1317, a catastrophic famine, known as the Great Famine, struck much of
Northwest Europe Northwestern Europe, or Northwest Europe, is a loosely defined subregion of Europe, overlapping Northern and Western Europe. The region can be defined both geographically and ethnographically. Geographic definitions Geographically, Northw ...
. The famine came about as the result of a large population growth in the previous centuries, with the result that, in the early 14th century the population exceeded the number that could be sustained by farming. The Great Famine was the worst in European history, reducing the population by at least ten percent. Records recreated from
dendrochronological Dendrochronology (or tree-ring dating) is the scientific method of dating tree rings (also called growth rings) to the exact year they were formed. As well as dating them, this can give data for dendroclimatology, the study of climate and atmos ...
studies show a hiatus in building construction during the period, as well as a deterioration in climate. This was the economic and social situation in which the predictor of the coming disaster, a
typhoid Typhoid fever, also known as typhoid, is a disease caused by '' Salmonella'' serotype Typhi bacteria. Symptoms vary from mild to severe, and usually begin six to 30 days after exposure. Often there is a gradual onset of a high fever over several ...
epidemic, emerged. Many thousands died in populated urban centres, most significantly
Ypres Ypres ( , ; nl, Ieper ; vls, Yper; german: Ypern ) is a Belgian city and municipality in the province of West Flanders. Though the Dutch name is the official one, the city's French name is most commonly used in English. The municipality co ...
. In 1318 a pestilence of unknown origin, sometimes identified as
anthrax Anthrax is an infection caused by the bacterium ''Bacillus anthracis''. It can occur in four forms: skin, lungs, intestinal, and injection. Symptom onset occurs between one day and more than two months after the infection is contracted. The sk ...
, affected the animals of Europe, notably sheep and cattle, further reducing the food supply and income of the peasantry. The European economy entered a vicious circle in which hunger and chronic, low-level debilitating disease reduced the
productivity Productivity is the efficiency of production of goods or services expressed by some measure. Measurements of productivity are often expressed as a ratio of an aggregate output to a single input or an aggregate input used in a production proces ...
of labourers, and so the grain output was reduced, causing grain prices to increase. This situation was worsened when landowners and monarchs like
Edward III of England Edward III (13 November 1312 – 21 June 1377), also known as Edward of Windsor before his accession, was King of England and Lord of Ireland from January 1327 until his death in 1377. He is noted for his military success and for restoring ro ...
(r. 1327–1377) and
Philip VI of France Philip VI (french: Philippe; 1293 – 22 August 1350), called the Fortunate (french: le Fortuné, link=no) or the Catholic (french: le Catholique, link=no) and of Valois, was the first king of France from the House of Valois, reigning from 1328 ...
(r. 1328–1350), out of a fear that their comparatively high standard of living would decline, raised the fines and rents of their tenants.Bennett and Hollister, ''Medieval Europe, p. 327 Standards of living then fell drastically, diets grew more limited, and Europeans as a whole experienced more health problems.


Possible Asian outbreak


China

For years it was common for Europeans to assume that the Black Death originated in China. Charles Creighton, in his ''History of Epidemics in Britain'' (1891), summarizes the tendency to retrospectively describe the origins of the Black Death in China despite lack of evidence for it: "In that nebulous and unsatisfactory state the old tradition of the Black Death originating in China has remained to the present hour". There were records of epidemics from 1308 to 1347 but the loss of life is "clearly assigned to floods and famines, with their attendant sickness."Charles Creighton's ''A History of Epidemics in Britain'', Cambridge: At the University Press. 1891. pg 153. In 1308, there was a plague or malignant fever in
Jiangxi Jiangxi (; ; formerly romanized as Kiangsi or Chianghsi) is a landlocked province in the east of the People's Republic of China. Its major cities include Nanchang and Jiujiang. Spanning from the banks of the Yangtze river in the north int ...
and
Zhejiang Zhejiang ( or , ; , also romanized as Chekiang) is an eastern, coastal province of the People's Republic of China. Its capital and largest city is Hangzhou, and other notable cities include Ningbo and Wenzhou. Zhejiang is bordered by Jiang ...
following floods, locusts, and failure of crops. In 1313 there was an epidemic in the capital. According to Creighton, Chinese records of pestilence and epidemics in the 14th century suggest nothing more than
typhus Typhus, also known as typhus fever, is a group of infectious diseases that include epidemic typhus, scrub typhus, and murine typhus. Common symptoms include fever, headache, and a rash. Typically these begin one to two weeks after exposure. ...
, and the dates of major Chinese outbreaks of epidemic disease, marked as "great pestilence" or "great plague" from 1352 to 1363, post-date the European epidemic by several years.Charles Creighton's ''A History of Epidemics in Britain'', Cambridge: At the University Press. 1891. pg 153. Three waves of epidemics occurred in the last years of the
Yuan dynasty The Yuan dynasty (), officially the Great Yuan (; xng, , , literally "Great Yuan State"), was a Mongol-led imperial dynasty of China and a successor state to the Mongol Empire after its division. It was established by Kublai, the fifth ...
: 1331-34 spreading from
Hebei Hebei or , (; alternately Hopeh) is a northern province of China. Hebei is China's sixth most populous province, with over 75 million people. Shijiazhuang is the capital city. The province is 96% Han Chinese, 3% Manchu, 0.8% Hui, an ...
to
Hunan Hunan (, ; ) is a landlocked province of the People's Republic of China, part of the South Central China region. Located in the middle reaches of the Yangtze watershed, it borders the province-level divisions of Hubei to the north, Jiangxi to ...
, in 1344–46 in coastal
Fujian Fujian (; alternately romanized as Fukien or Hokkien) is a province on the southeastern coast of China. Fujian is bordered by Zhejiang to the north, Jiangxi to the west, Guangdong to the south, and the Taiwan Strait to the east. Its capi ...
and
Shandong Shandong ( , ; ; alternately romanized as Shantung) is a coastal province of the People's Republic of China and is part of the East China region. Shandong has played a major role in Chinese history since the beginning of Chinese civilizati ...
, and in the 1350s throughout northern and central China. The epidemic of 1331-34 recorded a death toll of 13 million people by 1333. The epidemic of 1344-46 was called a "great pestilence." On the heels of the European epidemic, a widespread disaster occurred in China during 1353–1354. Chinese accounts of this wave of the disease record a spread to eight distinct areas:
Hubei Hubei (; ; alternately Hupeh) is a landlocked province of the People's Republic of China, and is part of the Central China region. The name of the province means "north of the lake", referring to its position north of Dongting Lake. The prov ...
,
Jiangxi Jiangxi (; ; formerly romanized as Kiangsi or Chianghsi) is a landlocked province in the east of the People's Republic of China. Its major cities include Nanchang and Jiujiang. Spanning from the banks of the Yangtze river in the north int ...
,
Shanxi Shanxi (; ; formerly romanised as Shansi) is a landlocked province of the People's Republic of China and is part of the North China region. The capital and largest city of the province is Taiyuan, while its next most populated prefecture-lev ...
,
Hunan Hunan (, ; ) is a landlocked province of the People's Republic of China, part of the South Central China region. Located in the middle reaches of the Yangtze watershed, it borders the province-level divisions of Hubei to the north, Jiangxi to ...
,
Guangdong Guangdong (, ), alternatively romanized as Canton or Kwangtung, is a coastal province in South China on the north shore of the South China Sea. The capital of the province is Guangzhou. With a population of 126.01 million (as of 2020) ...
,
Guangxi Guangxi (; ; Chinese postal romanization, alternately romanized as Kwanghsi; ; za, Gvangjsih, italics=yes), officially the Guangxi Zhuang Autonomous Region (GZAR), is an Autonomous regions of China, autonomous region of the People's Republic ...
,
Henan Henan (; or ; ; alternatively Honan) is a landlocked province of China, in the central part of the country. Henan is often referred to as Zhongyuan or Zhongzhou (), which literally means "central plain" or "midland", although the name is al ...
, and
Suiyuan Suiyuan () is a ''de jure'' province of the Republic of China according to the ROC law, as the ROC government formally claims to be the legitimate government of China, with its capital located Guisui (now Hohhot). The abbreviation was (pinyi ...
. More than two thirds of the population in part of Shanxi died and six or seven out of ten in Hubei died. Epidemics afflicted various provinces from 1356 to 1360. In 1358, over 200,000 in Shanxi and Hubei died. In Hebei and Shandong, the population fell from 3.3 million in 1207 to 1.1 million in 1393, however the population in the southern
Yangzi The Yangtze or Yangzi ( or ; ) is the longest river in Asia, the third-longest in the world, and the longest in the world to flow entirely within one country. It rises at Jari Hill in the Tanggula Mountains (Tibetan Plateau) and flows ...
region continued to grow from 1210 to the mid-1350s and only fell by less than 10 percent by 1381. Research on the
Delhi Sultanate The Delhi Sultanate was an Islamic empire based in Delhi that stretched over large parts of the Indian subcontinent for 320 years (1206–1526).
and the
Yuan dynasty The Yuan dynasty (), officially the Great Yuan (; xng, , , literally "Great Yuan State"), was a Mongol-led imperial dynasty of China and a successor state to the Mongol Empire after its division. It was established by Kublai, the fifth ...
shows no evidence of any serious epidemic in fourteenth-century India and no specific evidence of plague in fourteenth-century China, suggesting that the Black Death may not have reached these regions. According to Dr Mark Achtman, the Black Death evolved in China over 2,600 years but the dating of the plague suggests that it was not carried along the
Silk Road The Silk Road () was a network of Eurasian trade routes active from the second century BCE until the mid-15th century. Spanning over 6,400 kilometers (4,000 miles), it played a central role in facilitating economic, cultural, political, and reli ...
and its appearance there probably postdates the European outbreak. There is also no physical or specific textual evidence for the Black Death in 14th century China. It's speculated that rats aboard
Zheng He Zheng He (; 1371–1433 or 1435) was a Chinese mariner, explorer, diplomat, fleet admiral, and court eunuch during China's early Ming dynasty. He was originally born as Ma He in a Muslim family and later adopted the surname Zheng conferred ...
's ships in the 15th century may have carried the plague to
Southeast Asia Southeast Asia, also spelled South East Asia and South-East Asia, and also known as Southeastern Asia, South-eastern Asia or SEA, is the geographical United Nations geoscheme for Asia#South-eastern Asia, south-eastern region of Asia, consistin ...
,
India India, officially the Republic of India (Hindi: ), is a country in South Asia. It is the seventh-largest country by area, the second-most populous country, and the most populous democracy in the world. Bounded by the Indian Ocean on the so ...
, and
Africa Africa is the world's second-largest and second-most populous continent, after Asia in both cases. At about 30.3 million km2 (11.7 million square miles) including adjacent islands, it covers 6% of Earth's total surface area ...
. In the present state of research, it is unclear whether 13th-century epidemics in China were in fact outbreaks of the Black Death. According to George D. Sussman, although a case for the Black Death in China is stronger than India, there are several reasons to question it. One, it did not seem to spread throughout all of China but only in certain provinces and regions, unlike in Europe, despite its relatively dense population and integrated economy. Two, there are no descriptions of the symptoms of the Black Death. Three, the timing does not seem to coincide with the spread of the Black Death elsewhere. Bubonic plague in its endemic form was mentioned for the first time in Chinese sources in 610 and 652, which if presumed to be in connection to the
first plague pandemic The first plague pandemic was the first historically recorded Old World pandemic of plague, the contagious disease caused by the bacterium ''Yersinia pestis''. Also called the early medieval pandemic, it began with the Plague of Justinian in 541 ...
, would have required human spread for a realistic spread rate from west to east over 5,500 km. In 610,
Chao Yuanfang Chao Yuanfang () was a Chinese physician and medical author who was court physician at the Sui Dynasty (581–618 CE) between the years 605 and 616. Traditionally, he had been attributed the co-authorship or authorship of the Chinese medical clas ...
mentioned a "malignant bubo" "coming on abruptly with high fever together with the appearance of a bundle of nodes beneath the tissues." Sun Simo, who died in 652, also mentioned a "malignant bubo" and plague that was common in
Guangdong Guangdong (, ), alternatively romanized as Canton or Kwangtung, is a coastal province in South China on the north shore of the South China Sea. The capital of the province is Guangzhou. With a population of 126.01 million (as of 2020) ...
but was rare in interior provinces. Benedictow believes this indicates the spread of an offshoot of the first plague pandemic which reached Chinese territory by 600. The earliest Chinese description of the Black Death comes from a local gazetteer from Shanxi in 1644: "In the autumn there was a great epidemic. The victim first developed a hard lump below the armpits or between the thighs or else coughed thin blood and died before they had time to take medicine. Even friends and relations did not dare to ask after the sick or come with their condolences. There were whole families wiped out with none to bury them." The Customs Service list described it as a "Great pestilence in Lu-an" where "Those attacked had hard lumps grow on the neck or arm, like clotted blood. Whole families perished. In some cases the victims spat blood suddenly, and expired." This coincided with two epidemics from 1586 to 1589 and 1639–44 that have been characterized as the most deadly in Chinese history. Even then the epidemics do not seem to have behaved the same as in Europe. The epidemics in 17th century China were preceded by huge die offs in the rodent population and took decades to spread from province to province and never spread throughout the whole country, ultimately killing less than 5% of the population.


India

It has been debated whether or not the Black Death occurred in India.Harrison, Dick, ''Stora döden: den värsta katastrof som drabbat Europa'', Ordfront, Stockholm, 2000 The sultan of the
Delhi Sultanate The Delhi Sultanate was an Islamic empire based in Delhi that stretched over large parts of the Indian subcontinent for 320 years (1206–1526).
,
Muhammad bin Tughluq Muhammad bin Tughluq (1290 – 20 March 1351) was the eighteenth Sultan of Delhi. He reigned from February 1325 until his death in 1351. The sultan was the eldest son of Ghiyath al-Din Tughluq, founder of the Tughlaq dynasty. In 1321, the youn ...
, made a military campaign toward the South of India in 1334–1335. The military expedition was suddenly interrupted when an epidemic started to spread within his army to such an extent that the whole expedition had to be stopped, and the army returned to Delhi. When the army returned to Delhi, only a third of the soldiers were reportedly left. Due to the fragmentary sources available, it is not known what illness this was and if it was the same as the Black Death. It is known, however, that the Sultan of Delhi recruited many mercenaries from Central Asia in to his army, and since the Black Death is known to have been present in Central Asia, it is considered theoretically possible that the plague could have been carried to India by them. Whether the Black Death occurred in India is not known, but it is regarded as a possibility and a possible contributor to the sudden decrease in power and expansion of the Delhi Sultanate in this time period.


European outbreak

In 1345 the Mongols under Khan Jani Berg of the Golden Horde besieged
Caffa uk, Феодосія, Теодосія crh, Kefe , official_name = () , settlement_type= , image_skyline = THEODOSIA 01.jpg , imagesize = 250px , image_caption = Genoese fortress of Caffa , image_shield = Fe ...
. Suffering from an outbreak of black plague, the Mongols placed plague-infected corpses in catapults and threw them into the city. In October 1347, a fleet of Genoese trading ships fleeing Caffa reached the port of
Messina Messina (, also , ) is a harbour city and the capital of the Italian Metropolitan City of Messina. It is the third largest city on the island of Sicily, and the 13th largest city in Italy, with a population of more than 219,000 inhabitants in ...
in
Sicily (man) it, Siciliana (woman) , population_note = , population_blank1_title = , population_blank1 = , demographics_type1 = Ethnicity , demographics1_footnotes = , demographi ...
. By the time the fleet reached Messina, all the crew members were either infected or dead. It is presumed that the ships also carried infected rats and/or fleas. Some ships were found grounded on shorelines, with no one aboard remaining alive. Looting of these lost ships also helped spread the disease. From there, the plague spread to
Genoa Genoa ( ; it, Genova ; lij, Zêna ). is the capital of the Italian region of Liguria and the List of cities in Italy, sixth-largest city in Italy. In 2015, 594,733 people lived within the city's administrative limits. As of the 2011 Italian ce ...
and
Venice Venice ( ; it, Venezia ; vec, Venesia or ) is a city in northeastern Italy and the capital of the Veneto Regions of Italy, region. It is built on a group of 118 small islands that are separated by canals and linked by over 400  ...
by the turn of 1347–1348, spreading across Italy. From Italy the disease spread northwest across Europe, striking France, the Crown of Aragon, the Crown of Castile,
Portugal Portugal, officially the Portuguese Republic ( pt, República Portuguesa, links=yes ), is a country whose mainland is located on the Iberian Peninsula of Southwestern Europe, and whose territory also includes the Atlantic archipelagos of ...
and England by June 1348, then turned and spread east through Germany and
Scandinavia Scandinavia; Sámi languages: /. ( ) is a subregion#Europe, subregion in Northern Europe, with strong historical, cultural, and linguistic ties between its constituent peoples. In English usage, ''Scandinavia'' most commonly refers to Denmark, ...
from 1348 to 1350. It was introduced in Norway in 1349 when a ship landed at
Askøy Askøy is a municipality in Vestland county, Norway. The island municipality is located in the Midhordland district of the county, sitting in a large group of islands immediately northwest of the city of Bergen. The administrative centre of the ...
, then proceeded to spread to Bjørgvin (modern
Bergen Bergen (), historically Bjørgvin, is a city and municipality in Vestland county on the west coast of Norway. , its population is roughly 285,900. Bergen is the second-largest city in Norway. The municipality covers and is on the peninsula of ...
). From Norway it continued to Sweden, by which point it had already spread around Denmark. Finally it spread to north-eastern Russia in 1351; however, the plague largely spared some parts of Europe, including the
Kingdom of Poland The Kingdom of Poland ( pl, Królestwo Polskie; Latin: ''Regnum Poloniae'') was a state in Central Europe. It may refer to: Historical political entities *Kingdom of Poland, a kingdom existing from 1025 to 1031 *Kingdom of Poland, a kingdom exist ...
, isolated parts of
Belgium Belgium, ; french: Belgique ; german: Belgien officially the Kingdom of Belgium, is a country in Northwestern Europe. The country is bordered by the Netherlands to the north, Germany to the east, Luxembourg to the southeast, France to th ...
and the
Netherlands ) , anthem = ( en, "William of Nassau") , image_map = , map_caption = , subdivision_type = Sovereign state , subdivision_name = Kingdom of the Netherlands , established_title = Before independence , established_date = Spanish Netherl ...
,
Milan Milan ( , , Lombard: ; it, Milano ) is a city in northern Italy, capital of Lombardy, and the second-most populous city proper in Italy after Rome. The city proper has a population of about 1.4 million, while its metropolitan city h ...
and the modern-day France-Spain border. At
Siena Siena ( , ; lat, Sena Iulia) is a city in Tuscany, Italy. It is the capital of the province of Siena. The city is historically linked to commercial and banking activities, having been a major banking center until the 13th and 14th centuri ...
, Agnolo di Tura wrote:


Middle Eastern outbreak

The plague struck various countries in the Middle East during the
pandemic A pandemic () is an epidemic of an infectious disease that has spread across a large region, for instance multiple continents or worldwide, affecting a substantial number of individuals. A widespread endemic (epidemiology), endemic disease wi ...
, leading to serious depopulation and permanent change in both economic and social structures. As it spread to western Europe, the disease also entered the region from southern Russia. By autumn 1347, the plague reached
Alexandria Alexandria ( or ; ar, ٱلْإِسْكَنْدَرِيَّةُ ; grc-gre, Αλεξάνδρεια, Alexándria) is the second largest city in Egypt, and the largest city on the Mediterranean coast. Founded in by Alexander the Great, Alexandria ...
in
Egypt Egypt ( ar, مصر , ), officially the Arab Republic of Egypt, is a transcontinental country spanning the northeast corner of Africa and southwest corner of Asia via a land bridge formed by the Sinai Peninsula. It is bordered by the Mediter ...
, probably through the port's trade with
Constantinople la, Constantinopolis ota, قسطنطينيه , alternate_name = Byzantion (earlier Greek name), Nova Roma ("New Rome"), Miklagard/Miklagarth (Old Norse), Tsargrad ( Slavic), Qustantiniya (Arabic), Basileuousa ("Queen of Cities"), Megalopolis (" ...
, and ports on the
Black Sea The Black Sea is a marginal mediterranean sea of the Atlantic Ocean lying between Europe and Asia, east of the Balkans, south of the East European Plain, west of the Caucasus, and north of Anatolia. It is bounded by Bulgaria, Georgia, Roma ...
. During 1348, the disease travelled eastward to Gaza, and north along the eastern coast to cities including
Ashkelon Ashkelon or Ashqelon (; Hebrew: , , ; Philistine: ), also known as Ascalon (; Ancient Greek: , ; Arabic: , ), is a coastal city in the Southern District of Israel on the Mediterranean coast, south of Tel Aviv, and north of the border with ...
,
Acre The acre is a unit of land area used in the imperial Imperial is that which relates to an empire, emperor, or imperialism. Imperial or The Imperial may also refer to: Places United States * Imperial, California * Imperial, Missouri * Imp ...
,
Jerusalem Jerusalem (; he, יְרוּשָׁלַיִם ; ar, القُدس ) (combining the Biblical and common usage Arabic names); grc, Ἱερουσαλήμ/Ἰεροσόλυμα, Hierousalḗm/Hierosóluma; hy, Երուսաղեմ, Erusałēm. i ...
,
Sidon Sidon ( ; he, צִידוֹן, ''Ṣīḏōn'') known locally as Sayda or Saida ( ar, صيدا ''Ṣaydā''), is the third-largest city in Lebanon. It is located in the South Governorate, of which it is the capital, on the Mediterranean coast. ...
,
Damascus )), is an adjective which means "spacious". , motto = , image_flag = Flag of Damascus.svg , image_seal = Emblem of Damascus.svg , seal_type = Seal , map_caption = , ...
,
Homs Homs ( , , , ; ar, حِمْص / ALA-LC: ; Levantine Arabic: / ''Ḥomṣ'' ), known in pre-Islamic Syria as Emesa ( ; grc, Ἔμεσα, Émesa), is a city in western Syria and the capital of the Homs Governorate. It is Metres above sea level ...
, and
Aleppo )), is an adjective which means "white-colored mixed with black". , motto = , image_map = , mapsize = , map_caption = , image_map1 = ...
. In 1348–49, the disease reached
Antioch Antioch on the Orontes (; grc-gre, Ἀντιόχεια ἡ ἐπὶ Ὀρόντου, ''Antiókheia hē epì Oróntou'', Learned ; also Syrian Antioch) grc-koi, Ἀντιόχεια ἡ ἐπὶ Ὀρόντου; or Ἀντιόχεια ἡ ἐπ ...
. The city's residents fled to the north, most of them dying during the journey, but the infection had been spread to the people of
Asia Minor Anatolia, tr, Anadolu Yarımadası), and the Anatolian plateau, also known as Asia Minor, is a large peninsula in Western Asia and the westernmost protrusion of the Asian continent. It constitutes the major part of modern-day Turkey. The re ...
.
Mecca Mecca (; officially Makkah al-Mukarramah, commonly shortened to Makkah ()) is a city and administrative center of the Mecca Province of Saudi Arabia, and the Holiest sites in Islam, holiest city in Islam. It is inland from Jeddah on the Red ...
became infected in 1349. During the same year, records show the city of Mawsil (
Mosul Mosul ( ar, الموصل, al-Mawṣil, ku, مووسڵ, translit=Mûsil, Turkish: ''Musul'', syr, ܡܘܨܠ, Māwṣil) is a major city in northern Iraq, serving as the capital of Nineveh Governorate. The city is considered the second large ...
) suffered a massive epidemic, and the city of
Baghdad Baghdad (; ar, بَغْدَاد , ) is the capital of Iraq and the second-largest city in the Arab world after Cairo. It is located on the Tigris near the ruins of the ancient city of Babylon and the Sassanid Persian capital of Ctesiphon ...
experienced a second round of the disease. In 1351, Yemen experienced an outbreak of the plague. This coincided with the return of King Mujahid of
Yemen Yemen (; ar, ٱلْيَمَن, al-Yaman), officially the Republic of Yemen,, ) is a country in Western Asia. It is situated on the southern end of the Arabian Peninsula, and borders Saudi Arabia to the Saudi Arabia–Yemen border, north and ...
from imprisonment in
Cairo Cairo ( ; ar, القاهرة, al-Qāhirah, ) is the capital of Egypt and its largest city, home to 10 million people. It is also part of the largest urban agglomeration in Africa, the Arab world and the Middle East: The Greater Cairo metro ...
. His party may have brought the disease with them from Egypt.


Recurrence

In England, in the absence of census figures, historians propose a range of pre-incident population figures from as high as 7 million to as low as 4 million in 1300, and a post-incident population figure as low as 2 million. By the end of 1350 the Black Death had subsided, but it never really died out in England over the next few hundred years: there were further outbreaks in 1361–62, 1369, 1379–83, 1389–93, and throughout the first half of the 15th century. The plague often killed 10% of a community in less than a year—in the worst epidemics, such as at
Norwich Norwich () is a cathedral city and district of Norfolk, England, of which it is the county town. Norwich is by the River Wensum, about north-east of London, north of Ipswich and east of Peterborough. As the seat of the See of Norwich, with ...
in 1579 and
Newcastle Newcastle usually refers to: *Newcastle upon Tyne, a city and metropolitan borough in Tyne and Wear, England *Newcastle-under-Lyme, a town in Staffordshire, England *Newcastle, New South Wales, a metropolitan area in Australia, named after Newcastle ...
in 1636, as many as 30 or 40%. The most general outbreaks in Tudor and Stuart England, all coinciding with years of plague in Germany and the
Low Countries The term Low Countries, also known as the Low Lands ( nl, de Lage Landen, french: les Pays-Bas, lb, déi Niddereg Lännereien) and historically called the Netherlands ( nl, de Nederlanden), Flanders, or Belgica, is a coastal lowland region in N ...
, seem to have begun in 1498, 1535, 1543, 1563, 1589, 1603, 1625, and 1636. The plague repeatedly returned to haunt Europe and the Mediterranean throughout the 14th to 18th centuries, and still occurs in isolated cases today. The plague of 1575–77 claimed some 50,000 victims in
Venice Venice ( ; it, Venezia ; vec, Venesia or ) is a city in northeastern Italy and the capital of the Veneto Regions of Italy, region. It is built on a group of 118 small islands that are separated by canals and linked by over 400  ...
. In 1634, an outbreak of plague killed 15,000
Munich Munich ( ; german: München ; bar, Minga ) is the capital and most populous city of the States of Germany, German state of Bavaria. With a population of 1,558,395 inhabitants as of 31 July 2020, it is the List of cities in Germany by popu ...
residents. Late outbreaks in central Europe include the
Italian Plague of 1629–1631 Italian(s) may refer to: * Anything of, from, or related to the people of Italy over the centuries ** Italians, an ethnic group or simply a citizen of the Italian Republic or Italian Kingdom ** Italian language, a Romance language *** Regional ...
, which is associated with troop movements during the
Thirty Years' War The Thirty Years' War was one of the longest and most destructive conflicts in European history The history of Europe is traditionally divided into four time periods: prehistoric Europe (prior to about 800 BC), classical antiquity (80 ...
, and the
Great Plague of Vienna The Great Plague of Vienna occurred in 1679 in Vienna, Austria, the imperial residence of the Austrian Habsburg rulers. From contemporary descriptions, the disease is believed to have been bubonic plague, which is caused by the bacterium ''Yers ...
in 1679. About 200,000 people in
Moscow Moscow ( , US chiefly ; rus, links=no, Москва, r=Moskva, p=mɐskˈva, a=Москва.ogg) is the capital and largest city of Russia. The city stands on the Moskva River in Central Russia, with a population estimated at 13.0 million ...
died of the disease from 1654 to 1656.
Oslo Oslo ( , , or ; sma, Oslove) is the capital and most populous city of Norway. It constitutes both a county and a municipality. The municipality of Oslo had a population of in 2022, while the city's greater urban area had a population of ...
was last ravaged in 1654. In 1656 the plague killed about half of
Naples Naples (; it, Napoli ; nap, Napule ), from grc, Νεάπολις, Neápolis, lit=new city. is the regional capital of Campania and the third-largest city of Italy, after Rome and Milan, with a population of 909,048 within the city's adminis ...
' 300,000 inhabitants.
Amsterdam Amsterdam ( , , , lit. ''The Dam on the River Amstel'') is the Capital of the Netherlands, capital and Municipalities of the Netherlands, most populous city of the Netherlands, with The Hague being the seat of government. It has a population ...
was ravaged in 1663–1664, with a mortality given as 50,000. The
Great Plague of London The Great Plague of London, lasting from 1665 to 1666, was the last major epidemic of the bubonic plague to occur in England. It happened within the centuries-long Second Pandemic, a period of intermittent bubonic plague epidemics that origi ...
in 1665–1666 is generally recognized as one of the last major outbreaks. A plague epidemic known as the
Great Northern War plague outbreak During the Great Northern War (1700–1721), many towns and areas around the Baltic Sea and East-Central Europe had a severe outbreak of the plague with a peak from 1708 to 1712. This epidemic was probably part of a pandemic affecting an area from ...
, that followed the
Great Northern War The Great Northern War (1700–1721) was a conflict in which a coalition led by the Tsardom of Russia successfully contested the supremacy of the Swedish Empire in Northern, Central and Eastern Europe. The initial leaders of the anti-Swedi ...
(1700–1721,
Sweden Sweden, formally the Kingdom of Sweden,The United Nations Group of Experts on Geographical Names states that the country's formal name is the Kingdom of SwedenUNGEGN World Geographical Names, Sweden./ref> is a Nordic country located on ...
v. Russia and allies) wiped out almost 1/3 of the population in the region. An estimated one-third of
East Prussia East Prussia ; german: Ostpreißen, label=Low Prussian; pl, Prusy Wschodnie; lt, Rytų Prūsija was a province of the Kingdom of Prussia from 1773 to 1829 and again from 1878 (with the Kingdom itself being part of the German Empire from 187 ...
's population died in the plague of 1709–1711. The plague of 1710 killed two-thirds of the inhabitants of
Helsinki Helsinki ( or ; ; sv, Helsingfors, ) is the Capital city, capital, primate city, primate, and List of cities and towns in Finland, most populous city of Finland. Located on the shore of the Gulf of Finland, it is the seat of the region of U ...
. An outbreak of plague between 1710 and 1711 claimed a third of
Stockholm Stockholm () is the Capital city, capital and List of urban areas in Sweden by population, largest city of Sweden as well as the List of urban areas in the Nordic countries, largest urban area in Scandinavia. Approximately 980,000 people liv ...
's population. During the
Great Plague of 1738 The Great Plague of 1738 was an outbreak of the bubonic plague between 1738 and 1740 that affected areas of the Habsburg Empire, now in the modern nations of Romania, Hungary, Ukraine, Serbia, Croatia, Slovakia, Czechia and Austria. Although no exac ...
, the epidemic struck again, this time in Eastern Europe, spreading from
Ukraine Ukraine ( uk, Україна, Ukraïna, ) is a country in Eastern Europe. It is the second-largest European country after Russia, which it borders to the east and northeast. Ukraine covers approximately . Prior to the ongoing Russian inv ...
to the
Adriatic Sea The Adriatic Sea () is a body of water separating the Italian Peninsula from the Balkan Peninsula. The Adriatic is the northernmost arm of the Mediterranean Sea, extending from the Strait of Otranto (where it connects to the Ionian Sea) to t ...
, then onwards by ship to infect some in
Tunisia ) , image_map = Tunisia location (orthographic projection).svg , map_caption = Location of Tunisia in northern Africa , image_map2 = , capital = Tunis , largest_city = capital , ...
. The destruction in several cities in what is now
Romania Romania ( ; ro, România ) is a country located at the crossroads of Central Europe, Central, Eastern Europe, Eastern, and Southeast Europe, Southeastern Europe. It borders Bulgaria to the south, Ukraine to the north, Hungary to the west, S ...
(such as
Timișoara ), City of Roses ( ro, Orașul florilor), City of Parks ( ro, Orașul parcurilor) , image_map = Timisoara jud Timis.svg , map_caption = Location in Timiș County , pushpin_map = Romania#Europe , pushpin_ ...
) was formidable, claiming tens of thousands of lives.


Notes


References


Bibliography

* * {{Black Death
Migration Migration, migratory, or migrate may refer to: Human migration * Human migration, physical movement by humans from one region to another ** International migration, when peoples cross state boundaries and stay in the host state for some minimum le ...
Second plague pandemic