
The plague of Justinian or Justinianic plague (AD 541–549) was an
epidemic
An epidemic (from Greek ἐπί ''epi'' "upon or above" and δῆμος ''demos'' "people") is the rapid spread of disease to a large number of hosts in a given population within a short period of time. For example, in meningococcal infection ...
of
plague that afflicted the entire
Mediterranean Basin, Europe, and the
Near East
The Near East () is a transcontinental region around the Eastern Mediterranean encompassing the historical Fertile Crescent, the Levant, Anatolia, Egypt, Mesopotamia, and coastal areas of the Arabian Peninsula. The term was invented in the 20th ...
, especially the
Sasanian Empire
The Sasanian Empire (), officially Eranshahr ( , "Empire of the Iranian peoples, Iranians"), was an List of monarchs of Iran, Iranian empire that was founded and ruled by the House of Sasan from 224 to 651. Enduring for over four centuries, th ...
and the
Byzantine Empire
The Byzantine Empire, also known as the Eastern Roman Empire, was the continuation of the Roman Empire centred on Constantinople during late antiquity and the Middle Ages. Having survived History of the Roman Empire, the events that caused the ...
.
The plague is named for the Byzantine Emperor
Justinian I
Justinian I (, ; 48214 November 565), also known as Justinian the Great, was Roman emperor from 527 to 565.
His reign was marked by the ambitious but only partly realized ''renovatio imperii'', or "restoration of the Empire". This ambition was ...
(r. 527–565) who, according to his
court
A court is an institution, often a government entity, with the authority to adjudicate legal disputes between Party (law), parties and Administration of justice, administer justice in Civil law (common law), civil, Criminal law, criminal, an ...
historian
Procopius
Procopius of Caesarea (; ''Prokópios ho Kaisareús''; ; – 565) was a prominent Late antiquity, late antique Byzantine Greeks, Greek scholar and historian from Caesarea Maritima. Accompanying the Roman general Belisarius in Justinian I, Empe ...
, contracted the disease and recovered in 542, at the height of the epidemic which killed about a fifth of the population in the imperial capital
Constantinople
Constantinople (#Names of Constantinople, see other names) was a historical city located on the Bosporus that served as the capital of the Roman Empire, Roman, Byzantine Empire, Byzantine, Latin Empire, Latin, and Ottoman Empire, Ottoman empire ...
.
The contagion arrived in
Roman Egypt
Roman Egypt was an imperial province of the Roman Empire from 30 BC to AD 642. The province encompassed most of modern-day Egypt except for the Sinai. It was bordered by the provinces of Crete and Cyrenaica to the west and Judaea, ...
in 541, spread around the Mediterranean Sea until 544, and persisted in
Northern Europe
The northern region of Europe has several definitions. A restrictive definition may describe northern Europe as being roughly north of the southern coast of the Baltic Sea, which is about 54th parallel north, 54°N, or may be based on other ge ...
and the
Arabian Peninsula
The Arabian Peninsula (, , or , , ) or Arabia, is a peninsula in West Asia, situated north-east of Africa on the Arabian plate. At , comparable in size to India, the Arabian Peninsula is the largest peninsula in the world.
Geographically, the ...
until 549. By 543, the plague had spread to every corner of the empire.
The plague's severity and impact remain debated. Some scholars assert that as the first episode of 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 5 ...
, it had profound economic, social, and political effects across Europe and the Near East and cultural and religious impact on Eastern Roman society. Others reject the cataclysmic view, arguing for a limited impact.
In 2013, researchers confirmed earlier speculation that the cause of the plague of Justinian was ''
Yersinia pestis
''Yersinia pestis'' (''Y. pestis''; formerly ''Pasteurella pestis'') is a Gram-negative bacteria, gram-negative, non-motile bacteria, non-motile, coccobacillus Bacteria, bacterium without Endospore, spores. It is related to pathogens ''Yer ...
'', the same bacterium responsible for the
Black Death
The Black Death was a bubonic plague pandemic that occurred in Europe from 1346 to 1353. It was one of the list of epidemics, most fatal pandemics in human history; as many as people perished, perhaps 50% of Europe's 14th century population. ...
(1346–1353). Ancient and modern ''Yersinia pestis''
strains are closely related to the ancestor of the Justinian plague strain that has been found in the
Tian Shan
The Tian Shan, also known as the Tengri Tagh or Tengir-Too, meaning the "Mountains of God/Heaven", is a large system of mountain ranges in Central Asia. The highest peak is Jengish Chokusu at high and located in Kyrgyzstan. Its lowest point is ...
, a system of mountain ranges on the borders of
Kyrgyzstan
Kyrgyzstan, officially the Kyrgyz Republic, is a landlocked country in Central Asia lying in the Tian Shan and Pamir Mountains, Pamir mountain ranges. Bishkek is the Capital city, capital and List of cities in Kyrgyzstan, largest city. Kyrgyz ...
,
Kazakhstan
Kazakhstan, officially the Republic of Kazakhstan, is a landlocked country primarily in Central Asia, with a European Kazakhstan, small portion in Eastern Europe. It borders Russia to the Kazakhstan–Russia border, north and west, China to th ...
, and
China
China, officially the People's Republic of China (PRC), is a country in East Asia. With population of China, a population exceeding 1.4 billion, it is the list of countries by population (United Nations), second-most populous country after ...
, suggesting that the Justinian plague originated in or near that region.
However, there would appear to be no mention of bubonic plague in China until the year 610.
History
The Byzantine historian
Procopius
Procopius of Caesarea (; ''Prokópios ho Kaisareús''; ; – 565) was a prominent Late antiquity, late antique Byzantine Greeks, Greek scholar and historian from Caesarea Maritima. Accompanying the Roman general Belisarius in Justinian I, Empe ...
first reported the epidemic in 541 from the port of
Pelusium
Pelusium (Ancient Egyptian: ; /, romanized: , or , romanized: ; ; ; ; ) was an important city in the eastern extremes of Egypt's Nile Delta, to the southeast of the modern Port Said. It became a Roman provincial capital and Metropolitan arc ...
, near
Suez
Suez (, , , ) is a Port#Seaport, seaport city with a population of about 800,000 in north-eastern Egypt, located on the north coast of the Gulf of Suez on the Red Sea, near the southern terminus of the Suez Canal. It is the capital and largest c ...
in Egypt.
Two other first-hand reports of the plague's ravages were by the
Syriac church historian
John of Ephesus
John of Ephesus (or of Asia) (Greek: Ίωάννης ό Έφέσιος, Classical Syriac: ܝܘܚܢܢ ܕܐܦܣܘܣ, c. 507 – c. 588 AD) was a leader of the early Syriac Orthodox Church in the sixth century and one of the earliest and the most im ...
and by
Evagrius Scholasticus
Evagrius Scholasticus () was a Syrian scholar and intellectual living in the 6th century AD, and an aide to the patriarch Gregory of Antioch. His surviving work, ''Ecclesiastical History'' (), comprises a six-volume collection concerning the Chu ...
, who was a child in
Antioch
Antioch on the Orontes (; , ) "Antioch on Daphne"; or "Antioch the Great"; ; ; ; ; ; ; . was a Hellenistic Greek city founded by Seleucus I Nicator in 300 BC. One of the most important Greek cities of the Hellenistic period, it served as ...
at the time and later became a church historian. Evagrius was afflicted with the
buboes
A bubo (Greek βουβών, ''boubṓn'', 'groin') is adenitis or inflammation of the lymph nodes and is an example of reactive infectious lymphadenopathy.
Classification
Buboes are a symptom of bubonic plague and occur as painful swellings i ...
associated with the disease, but survived. During the disease's four returns in his lifetime, he lost his wife, a daughter and her child, other children, most of his servants, and people from his country estate.
According to contemporary sources, the outbreak in
Constantinople
Constantinople (#Names of Constantinople, see other names) was a historical city located on the Bosporus that served as the capital of the Roman Empire, Roman, Byzantine Empire, Byzantine, Latin Empire, Latin, and Ottoman Empire, Ottoman empire ...
was thought to have been carried to the city by infected rats on grain ships arriving from Egypt.
To feed its citizens, the city and outlying communities imported large amounts of grain, mostly from Egypt. The rat population in Egypt thrived on feeding from the large
granaries
A granary, also known as a grain house and historically as a granarium in Latin, is a post-harvest storage building primarily for grains or seeds. Granaries are typically built above the ground to prevent spoilage and protect the stored grains o ...
maintained by the government, and fleas thrived as well.
Procopius, in a passage closely modelled on
Thucydides
Thucydides ( ; ; BC) was an Classical Athens, Athenian historian and general. His ''History of the Peloponnesian War'' recounts Peloponnesian War, the fifth-century BC war between Sparta and Athens until the year 411 BC. Thucydides has been d ...
, recorded that at its peak the plague was killing 10,000 people in Constantinople daily, but the accuracy of the figure is in question, and the true number will probably never be known. He noted that because there was no room to bury the dead, bodies were left stacked in the open, funeral rites were often left unattended to, and the entire city smelled like the dead. Given such circumstances, it is highly probable that a sudden increase in mortality rates may not have been as accurately recorded, hence why the overall death toll is based on an estimate.
In Procopius' ''
Secret History,'' he records the devastation in the countryside and reports the ruthless response by the hard-pressed Justinian:
When pestilence swept through the whole known world and notably the Roman Empire, wiping out most of the farming community and of necessity leaving a trail of desolation in its wake, Justinian showed no mercy towards the ruined freeholders. Even then, he did not refrain from demanding the annual tax, not only the amount at which he assessed each individual, but also the amount for which his deceased neighbors were liable.
As a result of the plague in the countryside, farmers could not take care of crops and the price of grain rose in Constantinople. Justinian had expended huge amounts of money for wars against the
Vandals
The Vandals were a Germanic people who were first reported in the written records as inhabitants of what is now Poland, during the period of the Roman Empire. Much later, in the fifth century, a group of Vandals led by kings established Vand ...
in the region of
Carthage
Carthage was an ancient city in Northern Africa, on the eastern side of the Lake of Tunis in what is now Tunisia. Carthage was one of the most important trading hubs of the Ancient Mediterranean and one of the most affluent cities of the classic ...
and against the
Ostrogoths
The Ostrogoths () were a Roman-era Germanic peoples, Germanic people. In the 5th century, they followed the Visigoths in creating one of the two great Goths, Gothic kingdoms within the Western Roman Empire, drawing upon the large Gothic populatio ...
'
kingdom in Italy. He had invested heavily in the construction of great churches, such as
Hagia Sophia
Hagia Sophia (; ; ; ; ), officially the Hagia Sophia Grand Mosque (; ), is a mosque and former Church (building), church serving as a major cultural and historical site in Istanbul, Turkey. The last of three church buildings to be successively ...
. As the empire tried to fund the projects, the plague caused tax revenues to decline through the massive number of deaths and the disruption of agriculture and trade. Justinian swiftly enacted new legislation to deal more efficiently with the glut of inheritance suits being brought as a result of victims dying
intestate
Intestacy is the condition of the estate of a person who dies without a legally valid will, resulting in the distribution of their estate under statutory intestacy laws rather than by their expressed wishes. Alternatively this may also apply ...
.
The plague's long-term effects on European and
Christian
A Christian () is a person who follows or adheres to Christianity, a Monotheism, monotheistic Abrahamic religion based on the life and teachings of Jesus in Christianity, Jesus Christ. Christians form the largest religious community in the wo ...
history were enormous. As the disease spread to port cities around the Mediterranean, the struggling
Goths
The Goths were a Germanic people who played a major role in the fall of the Western Roman Empire and the emergence of medieval Europe. They were first reported by Graeco-Roman authors in the 3rd century AD, living north of the Danube in what is ...
were reinvigorated and
their conflict with Constantinople entered a new phase. The plague weakened the Byzantine Empire at a critical point, when Justinian's armies had nearly retaken all of Italy and the western Mediterranean coast; the evolving conquest would have reunited the core of the
Western Roman Empire
In modern historiography, the Western Roman Empire was the western provinces of the Roman Empire, collectively, during any period in which they were administered separately from the eastern provinces by a separate, independent imperial court. ...
with the
Eastern Roman Empire
The Byzantine Empire, also known as the Eastern Roman Empire, was the continuation of the Roman Empire centred on Constantinople during late antiquity and the Middle Ages. Having survived the events that caused the fall of the Western Roman E ...
. Although the conquest occurred in 554, the reunification did not last long. In 568, the
Lombards
The Lombards () or Longobards () were a Germanic peoples, Germanic people who conquered most of the Italian Peninsula between 568 and 774.
The medieval Lombard historian Paul the Deacon wrote in the ''History of the Lombards'' (written betwee ...
invaded
Northern Italy
Northern Italy (, , ) is a geographical and cultural region in the northern part of Italy. The Italian National Institute of Statistics defines the region as encompassing the four Northwest Italy, northwestern Regions of Italy, regions of Piedmo ...
, defeated the small Byzantine army that had been left behind and established the
Kingdom of the Lombards
The Kingdom of the Lombards, also known as the Lombard Kingdom and later as the Kingdom of all Italy (), was an Early Middle Ages, early medieval state established by the Lombards, a Germanic people, on the Italian Peninsula in the latter part ...
.
Gaul
Gaul () was a region of Western Europe first clearly described by the Roman people, Romans, encompassing present-day France, Belgium, Luxembourg, and parts of Switzerland, the Netherlands, Germany, and Northern Italy. It covered an area of . Ac ...
is known to have suffered severely from the plague, and plague victims at an early Anglo-Saxon burial site at Edix Hill near
Cambridge
Cambridge ( ) is a List of cities in the United Kingdom, city and non-metropolitan district in the county of Cambridgeshire, England. It is the county town of Cambridgeshire and is located on the River Cam, north of London. As of the 2021 Unit ...
show that it also reached Britain.
Procopius said that plague sufferers experienced delusions, nightmares, fevers, swellings in the groin, armpits and behind the ears, and coma or death. Treatments included cold baths, powders "blessed" by saints, magic
amulet
An amulet, also known as a good luck charm or phylactery, is an object believed to confer protection upon its possessor. The word "amulet" comes from the Latin word , which Pliny's ''Natural History'' describes as "an object that protects a perso ...
s or rings, and various drugs, especially
alkaloid
Alkaloids are a broad class of natural product, naturally occurring organic compounds that contain at least one nitrogen atom. Some synthetic compounds of similar structure may also be termed alkaloids.
Alkaloids are produced by a large varie ...
s. When these treatments failed, people went to hospitals or tried to
quarantine
A quarantine is a restriction on the movement of people, animals, and goods which is intended to prevent the spread of disease or pests. It is often used in connection to disease and illness, preventing the movement of those who may have bee ...
themselves.
Onset of the first plague pandemic
The Plague of Justinian is the first and the best known outbreak of the first plague pandemic, which continued to recur until the middle of the 8th century.
Some historians believe the first plague pandemic was one of the
deadliest pandemics in history
This is a list of the largest known epidemics and pandemics caused by an infectious disease in humans. Widespread non-communicable diseases such as cardiovascular disease and cancer are not included. An epidemic is the rapid spread of disease to ...
, resulting in the deaths of an estimated 15 to 100 million people during two centuries of recurrence, a death toll equivalent to 25 to 60% of Europe's population at the time of the first outbreak.
Research published in 2019 argued that the 200-year-long pandemic's death toll and social effects have been exaggerated, comparing it to the modern
third plague pandemic
The third plague pandemic was a major bubonic plague pandemic that began in Yunnan, China, in 1855. This episode of bubonic plague spread to all inhabited continents, and ultimately led to more than 12 million deaths in India and China (and perh ...
(1855–1960s).
Furthermore, some historians argue that the eyewitness accounts of the disease are hysterical in tone and therefore misleading.
Epidemiology
Genetics of the Justinian plague strain
The plague of Justinian is generally regarded as the first historically recorded epidemic of ''
Yersinia pestis
''Yersinia pestis'' (''Y. pestis''; formerly ''Pasteurella pestis'') is a Gram-negative bacteria, gram-negative, non-motile bacteria, non-motile, coccobacillus Bacteria, bacterium without Endospore, spores. It is related to pathogens ''Yer ...
''. This conclusion is based on historical descriptions of the clinical manifestations of the disease and the detection of ''Y. pestis''
DNA
Deoxyribonucleic acid (; DNA) is a polymer composed of two polynucleotide chains that coil around each other to form a double helix. The polymer carries genetic instructions for the development, functioning, growth and reproduction of al ...
from human remains at ancient grave sites dated to that period.
Genetic studies of modern and ancient ''Yersinia pestis'' DNA suggest that the origin of the Justinian plague was in
Central Asia
Central Asia is a region of Asia consisting of Kazakhstan, Kyrgyzstan, Tajikistan, Turkmenistan, and Uzbekistan. The countries as a group are also colloquially referred to as the "-stans" as all have names ending with the Persian language, Pers ...
. The most
basal, or root level, existing strains of the ''Yersinia pestis'' as a whole species are found in
Qinghai
Qinghai is an inland Provinces of China, province in Northwestern China. It is the largest provinces of China, province of China (excluding autonomous regions) by area and has the third smallest population. Its capital and largest city is Xin ...
, China. Other scholars contest that, rather than Central Asia, the specific strain that composed the Justinian plague began in sub-Saharan Africa, and that the plague was spread to the Mediterranean by merchants from the
Kingdom of Aksum
The Kingdom of Aksum, or the Aksumite Empire, was a kingdom in East Africa and South Arabia from classical antiquity to the Middle Ages, based in what is now northern Ethiopia and Eritrea, and spanning present-day Djibouti and Sudan. Emerging ...
in
East Africa
East Africa, also known as Eastern Africa or the East of Africa, is a region at the eastern edge of the Africa, African continent, distinguished by its unique geographical, historical, and cultural landscape. Defined in varying scopes, the regi ...
. This point of origin aligns more with the general south–north spread of the disease from Egypt into the rest of the Mediterranean world. It also explains why
Sassanid
The Sasanian Empire (), officially Eranshahr ( , "Empire of the Iranian peoples, Iranians"), was an List of monarchs of Iran, Iranian empire that was founded and ruled by the House of Sasan from 224 to 651. Enduring for over four centuries, th ...
Persia saw a later development of the outbreak despite stronger trade links with Central Asia. After samples of DNA from ''Yersinia pestis'' were isolated from skeletons of Justinian plague victims in Germany, it was found that modern strains currently found in the
Tian Shan
The Tian Shan, also known as the Tengri Tagh or Tengir-Too, meaning the "Mountains of God/Heaven", is a large system of mountain ranges in Central Asia. The highest peak is Jengish Chokusu at high and located in Kyrgyzstan. Its lowest point is ...
mountain range system are most basal known in comparison with the Justinian plague strain.
Additionally, a skeleton found in Tian Shan dating to around 180 AD and identified as an "early Hun" was found to contain DNA from ''Yersinia pestis'' closely related to the Tian Shan strain basal ancestor of the Justinian plague strain German samples.
This finding suggests that the expansion of nomadic peoples who moved across the
Eurasian steppe
The Eurasian Steppe, also called the Great Steppe or The Steppes, is the vast steppe ecoregion of Eurasia in the temperate grasslands, savannas and shrublands biome. It stretches through Manchuria, Mongolia, Xinjiang, Kazakhstan, Siberia, Europea ...
, such as the
Xiongnu
The Xiongnu (, ) were a tribal confederation of Nomad, nomadic peoples who, according to ancient Chinese historiography, Chinese sources, inhabited the eastern Eurasian Steppe from the 3rd century BC to the late 1st century AD. Modu Chanyu, t ...
and the later
Huns
The Huns were a nomadic people who lived in Central Asia, the Caucasus, and Eastern Europe between the 4th and 6th centuries AD. According to European tradition, they were first reported living east of the Volga River, in an area that was par ...
, had a role in spreading plague to West Eurasia from an origin in Central Asia.
Earlier samples of ''Yersinia pestis'' DNA have been found in skeletons dating from 3000 to 800 BC, across West and East Eurasia. The strain of ''Yersinia pestis'' responsible for the
Black Death
The Black Death was a bubonic plague pandemic that occurred in Europe from 1346 to 1353. It was one of the list of epidemics, most fatal pandemics in human history; as many as people perished, perhaps 50% of Europe's 14th century population. ...
, the devastating pandemic of
bubonic plague
Bubonic plague is one of three types of Plague (disease), plague caused by the Bacteria, bacterium ''Yersinia pestis''. One to seven days after exposure to the bacteria, flu-like symptoms develop. These symptoms include fever, headaches, and ...
, does not appear to be a direct descendant of the Justinian plague strain. However, the spread of Justinian plague may have caused the
evolutionary radiation
An evolutionary radiation is an increase in taxonomic diversity that is caused by elevated rates of speciation, that may or may not be associated with an increase in morphological disparity. A significantly large and diverse radiation within ...
that gave rise to the currently extant 0ANT.1
clade
In biology, a clade (), also known as a Monophyly, monophyletic group or natural group, is a group of organisms that is composed of a common ancestor and all of its descendants. Clades are the fundamental unit of cladistics, a modern approach t ...
of strains.
Virulence and mortality rate
The mortality rate is uncertain and remains heavily debated. Some modern scholars believe that the plague killed up to 5,000 people per day in Constantinople at the peak of the pandemic.
According to one view, the initial plague ultimately killed perhaps 40% of the city's inhabitants and caused the deaths of up to a quarter of the human population of the
Eastern Mediterranean
The Eastern Mediterranean is a loosely delimited region comprising the easternmost portion of the Mediterranean Sea, and well as the adjoining land—often defined as the countries around the Levantine Sea. It includes the southern half of Turkey ...
. Frequent subsequent waves of the plague continued to strike throughout the 6th, 7th and 8th centuries, with the disease becoming more localized and less virulent.
Revisionist views suggest that the mortality of the Justinian Plague was far lower than previously believed. Lee Mordechai and Merle Eisenberg argue that the plague might have caused high mortality in specific places, but it did not cause widespread demographic decline or decimate Mediterranean populations. Therefore, any direct mid-to-long term effects of plague were minor.
However,
Peter Sarris criticizes their methodology and source handling, and provides a discussion of the genetic evidence, including the suggestion that the plague may have entered Western Eurasia via more than one route, and perhaps struck England before Constantinople.
On the other hand, Haggai Olshanetsky and Lev Cosijns reassert the view that the plague had a limited impact, as various archaeological evidence indicates there was no demographic or economic decline in the 6th century Eastern Mediterranean.
Climate connections
According to 2024 research, major plagues that significantly impacted the
Roman Empire
The Roman Empire ruled the Mediterranean and much of Europe, Western Asia and North Africa. The Roman people, Romans conquered most of this during the Roman Republic, Republic, and it was ruled by emperors following Octavian's assumption of ...
, such as the
Antonine Plague
The Antonine Plague of AD 165 to 180, also known as the Plague of Galen (after Galen, the Greek physician who described it), was a prolonged and destructive epidemic, which affected the Roman Empire. It was possibly contracted and spread by so ...
, the
Plague of Cyprian
The Plague of Cyprian was a pandemic which afflicted the Roman Empire from about AD 249 to 262, or 251/2 to 270. The plague is thought to have caused widespread manpower shortages for food production and the Roman army, severely weakening the em ...
, and the Plague of Justinian, are strongly linked to periods of cooler and drier climate conditions, indicating that colder weather may have contributed to the spread of these diseases during that time. It is thought that climate stress interacted with social and biological variables, such as food availability, rodent populations, and human migration, making populations more susceptible to disease.
See also
Notes
Sources
*
*
*
*
Mordechai, Lee, and Merle Eisenberg. 2019. "Rejecting Catastrophe: the case of the Justinianic Plague." ''Past & Present''* Mordechai, L; Eisenberg M; Newfield T; Izdebski A; Kay Janet; Poinar H. (2019). "The Justinianic Plague: An inconsequential pandemic?", PNAS https://doi.org/10.1073/pnas.1903797116.
*
Procopius
Procopius of Caesarea (; ''Prokópios ho Kaisareús''; ; – 565) was a prominent Late antiquity, late antique Byzantine Greeks, Greek scholar and historian from Caesarea Maritima. Accompanying the Roman general Belisarius in Justinian I, Empe ...
. ''History of the Wars, Books I and II (The Persian War)''. Trans.
H. B. Dewing. Vol. 1. Cambridge: Loeb-Harvard UP, 1954.—Chapters XXII and XXIII of Book II (pages 451–473) are Procopius's famous description of the Plague of Justinian. This includes the famous statistic of 10,000 people per day dying in Constantinople (page 465).
Further reading
*
* Eisenberg, Merle, and Lee Mordechai. "The Justinianic Plague and Global Pandemics: The Making of the Plague Concept." ''American Historical Review'' 125.5 (2020): 1632–1667.
*
*
*
*
*
{{DEFAULTSORT:Plague Of Justinian
First plague pandemic
Plague pandemics
6th-century disasters
Health disasters in Africa
Health disasters in Asia
Health disasters in Europe
Byzantine medicine
Medieval health disasters
Justinian I
541
542
540s in the Byzantine Empire
Sasanian Empire
1st-millennium health disasters
Pelusium