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See also:PLAGUE (in Gr. Xotµos; in See also:Lat. pestis, pestilentia) , in See also:medicine, a See also:term given to any epidemic disease causing a See also:great mortality, and used in this sense by See also:Galen and the See also:ancient medical writers, but now confined to a See also:special disease, otherwise called See also:Oriental, Levantine, or Bubonic See also:Plague, which may be shortly defined asand to Dioscorides and See also:Posidonius, who fully described these buboes in a See also:work on the plague which prevailed in See also:Libya in their See also:time . Whatever the precise date of these physicians may have been, this passage shows the antiquity of the plague in See also:northern See also:Africa, which for centuries was considered as its See also:home . The great plague referred to by See also:Livy (lx . See also:Epitome) and more fully by See also:Orosius (Histor. iv . II) was probably the same, though the symptoms are not recorded . It is reported to have destroyed a million of persons in Africa, but is not stated to have passed into See also:Europe . It is not till the 6th See also:century of our era, in the reign of Justinian, that we find bubonic plague in Europe, as a See also:part of the great See also:cycle of pestilence, accompanied by extraordinary natural phenomena, which lasted fifty years, and is described with a singular misunderstanding of medical terms by See also:Gibbon in his See also:forty-third See also:chapter . The descriptions of the contemporary writers See also:Procopius, See also:Evagrius and See also:Gregory of See also:Tours are quite unmistakable.3 The plague of Justinian began at See also:Pelusium in See also:Egypt in A.D . 542; it spread over Egypt, and in the same or the next See also:year passed to See also:Constantinople, where it carried off 1o,000 persons in one See also:day, with all the symptoms of bubonic plague . It appeared in See also:Gaul in 546, where it is described by Gregory of Tours with the same symptoms as lues inguinaria (from the frequent seat of buboes in the See also:groin) . In See also:Italy there was a great mortality in 543, but the most notable epidemic was in 565, which so depopulated the See also:country as to leave it an easy See also:prey to the See also:Lombards . In 571 it is again recorded in See also:Liguria, 1 Amm . Marcell. See also:xxiii . 7; see See also:Hecker, De peste Antoniana (See also:Berlin, 1835) . 2 See also:Lib. xliv. cap . 17—fEuvres de Oribase, ed . Bussemaker and Daremberg (See also:Paris, 1851), iii . 607 . 3 Evagrius, Hist., See also:eccles. iv . 29; PrOCOpius, De See also:bello persico, ii . 22, 23 . and in 590 a great epidemic at See also:Rome is connected with the pontificate of Gregory the Great . But it spread in fact over the whole See also:Roman See also:world, beginning in maritime towns and radiating inland . In another direction it extended from Egypt along the See also:north See also:coast of Africa .
Whether the numerous pestilences recorded in the 7th century were the plague cannot now be said; but it is possible the pestilences in See also:England chronicled by See also:Bede in the years 664, 672, 679 and 683 may have been of this disease, especially as in 690 pestis inguinaria is again recorded in Rome
.
For the epidemics of the succeeding centuries we must refer to more detailed See also:works .1
It is impossible, however, to pass over the great cycle of epidemics in the 14th century known as the See also:Black See also:Death
.
The Black Whether in all the pestilences known by this name Death. the disease was really the same may admit of doubt,
but it is clear that in some at least it was the bubonic plague
.
Contemporary observers agree that the disease was introduced from the See also:East; and one eyewitness, See also:Gabriel de Mussis, an See also:Italian lawyer, traced, or indeed accompanied, the See also: The outbreaks of 1361 and 1368, known as the second and third plagues of the reign of See also:Edward III., were doubtless of the same disease, though by some historians not called the black death . See also:Scotland and See also:Ireland, though later affected, did not See also:escape . The nature of this pestilence has been a See also:matter of much controversy, and some have doubted its being truly the plague . But when the symptoms are fully described they seem to justify this conclusion, one See also:character only being thought to make a distinction between this and Oriental plague, viz, the special implication of the lungs as shown by spitting of See also:blood and other symptoms . See also:Guy de Chauliac notes this feature in the earlier epidemic at See also:Avignon, not in the later . Moreover, as this cornplication was. a marked feature in certain epidemics of plague in See also:India, the See also:hypothesis has been framed by See also:Hirsch that a special variety of plague, pestis indica, still found in India, is that which overran the world in the 14th century . But the same symptoms (haemoptysis) have been seen, though less notably, in many 1 See See also:Noah See also:Webster's See also:History of Epidemic Diseases, 8vo (2 vols., London, 'Soo) (a work which makes no pretension to medical learning, but exhibits the history of epidemics in connexion with See also:physical disasters—as earthquakes, famines, &c.); Lersch, Kleine Pest-Chronik (Evo, 188o) (a convenient See also:short compendium, but not always accurate) ; " Athanasii Kircheri Chronologia Pestium " (to A.D . 1656), in Scrutinium pestis (Rome, 1658; See also:Leipzig, 1671, co) ; Bascome, History of Epidemic Pestilences (London, 1851, 8vo). he most See also:complete medical history of epidemics is Haser's Geschichte der epidemischen Krankheiten (3rd ed., See also:Jena, 1882), forming the third See also:volume of his History of Medicine . 2 See the See also:original See also:account reprinted with other documents in Haser, op. cit . ; also Hecker, Epidemics of the See also:Middle Ages, trans. by See also:Babington, See also:Sydenham See also:Soc . (London, 1844); Volkskrankheiten See also:des Mittelalters, ed . Hirsch (Berlin, 1865) ; R . Hoeniger, Der schwarze See also:Tod in Deutschland (Berlin, 1882).plague epidemics, even in the latest, that in See also:Russia in 1878-1879, and, moreover, according to the latest accounts, are not a special feature of See also:Indian plague . According to a Surgeon-See also:General See also:Francis (Trans . Epidem . Soc. v . 398) " See also:haemorrhage is not an See also:ordinary See also:accompaniment " of Indian plague, though when seen it is in the See also:form of haemoptysis . It seems, therefore, impossible to make a special variety of Indian plague, or to refer the black death to any such special form . Gabriel de Mussis describes it even in the East, before its arrival in Europe, as a bubonic disease . The mortality of the black death was, as is well known, enormous . It is estimated in various parts of Europe at two-thirds or three-fourths of the population in the first pestilence, in England even higher; but some countries were much less severely affected . Hecker calculates that one-See also:fourth of the population of Europe, or 25 millions of persons, died in the whole of the epidemics . In the 15th century the plague recurred frequently in nearly all parts of Europe . In the first See also:quarter it was very destructive in Italy, in Spain (especially See also:Barcelona and See also:Seville), in Germany and in England, where London was severely visited in 1400 and 1406, and again in 1428 .
In 1427, 8o,00o persons died in Dantzic and the neighbourhood
.
In 1438–1439 the plague was in Germany, and its occurrence at See also:Basel was described by See also:Aeneas Sylvius, after-wards See also:Pope See also:Pius II
.
In 1448–1450 Italy (See also:Kircher), Germany (Lersch, from old chronicles), France and Spain, were ravaged by a plague supposed to have arisen in Asia, scarcely less destructive than the black death
.
England was probably seldom quite See also:free from plague, but the next great outbreak is recorded in 1472 and following years
.
In 1466, 40,000 persons died of plague in Paris; in 1477–1485 the cities of northern Italy were devastated, and in 1485 See also:Brussels
.
In the fifteenth year of See also: In Paris about this time plague was an everyday occurrence, of' which some were less afraid than of a headache (Borgarucci) . In 1570, 200,000 persons died in See also:Moscow and the neighbourhood, in 1572, 50,000 at See also:Lyons; in 1568 and 1574 plague was at Edinburgh, and in 1570 at New-See also:castle . When, however, in 1575 a new See also:wave of plague passed over Europe, its origin was referred to Constantinople, whence it was said to have spread by See also:sea to See also:Malta, Sicily and Italy, and by See also:land through the See also:Austrian territories to Germany . Others contended that the disease originated locally; and, indeed, considering previous history, no importation of plague would seem necessary to explain its presence in Europe . Italy suffered severely (See also:Venice, in 1576, lost 70,000); North Europe not less, though later; London in 1580-1582 . In 1585 See also:Breslau witnessed the most destructive plague known in its history . The great plague of 1592 in London seems to have been a part of the same epidemic, which was hardly extinguished by the end of the century, and is noted in London again in 1599 . On the whole, this century shows a decrease of plague in Europe . In the first half of the 17th century plague was still prevalent in Europe, though considerably less so than in the middle ages . In the second half a still greater decline is observable, and by the third quarter the disease had disappeared or was disappearing from a great part of western Europe . The epidemics in England will be most conveniently considered in one See also:series . From this time Vochs, Opusculum de pestilentia (1537); Fracastorius, " De Cotrtagione, &c.," See also:Opera (Venice, 1555) ; Hieron .
Mercurialis, De peste, praesertim de Veneta et Patavina (Basel, 1577) ; Prosper Borgarutius, De peste (Venice, 1565), 8vo; Filippo Ingrassia, Informatione del pestifero morbo
.
.
.
See also:Palermo e . regno di Sicilia (1575-1576, 4to, Palermo, 1576–1577); A
.
Massaria, De peste (Venice, 1597); See also:Diomedes Amicus, Tres tractatus (Venice, 1599), 4to; See also:Victor de Bonagentibus, Decem problemata de peste (Venice, 1556), 8vo; Georgius See also: After this there is a remission till about 262o, when plague again began to spread in northern Europe, especially Germany and Holland, which was at that time ravaged by See also:war . In 1625 (the year of the See also:siege of See also:Breda in Holland) is the third great London plague with 35,417 deaths—though the year 1624 was remarkably exempt, and 1626 nearly so . In 163o was the great plague of See also:Milan, described by Ripamonti.2 In 1632 a severe epidemic, apparently plague, was in Derbyshire . 1636 is the fourth great plague year in London with a mortality of 10,400, and even in the next year 3082 persons died of the same disease . The same year 7000 out of 20,000 inhabitants of Newcastle died of plague; in 1635 it was at See also:Hull . About the same time, 1635–1637, plague was prevalent in Holland, and the epidemic of See also:Nijmwegen is celebrated as having been described by Diemerbroeck, whose work (Tractatus de peste, 4to, 1641–1665) is one of the most important on the subject . The English epidemic. was widely spread and lasted till 1647, in which year, the mortality amounting to 3597, we have the fifth epidemic in London . The See also:army diseases of the See also:Civil See also:Wars were chiefly typhus and malarial fevers, but plague was not unknown among them, as at See also:Wallingford Castle (See also:Willis, " Of Feavers," Works, ed . 1681, p . 131) and Dunstar Castle . From this time till 1664 little was heard of plague in England, though it did not cease on the See also:Continent . In Ireland it is said to have been seen for the last time in 16502 In 1656 one of the most destructive of all recorded epidemics in Europe raged in See also:Naples; it is said to have carried off 300,000 persons in the space of five months .
It passed to Rome, but there was much less fatal, making 14,000 victims only—a result attributed by some to the precautions and sanitary See also:measures introduced by See also:Cardinal Gastaldi, whose work, a splendid See also:folio, written on
this occasion (Tractatus de avertenda et profliganda peste politico-
legalis, See also:Bologna, 1684) is historically one of the most important on the subject of See also:quarantine, &c
.
Genoa lost 60,000 inhabitants from the same disease, but See also:Tuscany remained untouched
.
The comparatively limited spread of this frightful epidemic in Italy at this time is a most noteworthy fact
.
See also:Minorca is said to have been depopulated
.
Nevertheless the epidemic spread in the next few years over Spain and Germany, and a little later to Holland, where See also:Amsterdam in 1663–1664 was again ravaged with a mortality given as 50,000, also See also:Rotterdam and See also:Haarlem
.
See also:Hamburg suffered in 1664
.
The Great Plague of London.—The preceding enumeration will have prepared the reader to view the great plague of 1664-1665 Great in its true relation to others, and not as an isolated Plague of phenomenon
.
The preceding years had been unusu-Lonaon. ally free from plague, and it was not mentioned in the bills of mortality till in the autumn of 1664 (Nov
.
2) a few isolated cases were observed in the parishes of St See also:Giles and St See also: The See also:total number of deaths from plague in that year, according to the bills of mortality, was 68,596, in a population estimated at 46o,000,3 out of whom two-thirds are supposed to have fled to escape the contagion . This number is likely to be rather too See also:low than too high, since of the 6432 deaths from spotted fever many were probably really from plague, though not declared so to avoid painful restrictions . In See also:December there was a sudden fall in the mortality which continued through the winter; but in 1666 nearly 2000 deaths from plague are recorded . ' See also:Josephus Ripamontius, De peste anni 163o (Milan, 1641), 4to . 2 For this period see See also:Index to Remembrancia in Archives of City of London 1599–1664 (London, 1878) ; See also:Richardson, Plague and Pestilence in North of England (Newcastle, 1852) . Graunt, Observations on the Bills of Mortality (3rd ed., London, 1665) . According to some authorities, especially Hodges, the plague was imported into London by See also:bales of merchandise from Holland, which came originally from the See also:Levant; according to others it was introduced by Dutch prisoners of war; but Boghurst regarded it as of See also:local origin . It is in favour of the theory that it spread by some means from Holland that plague had been all but See also:extinct in London for some seventeen years, and prevailed in Holland in 1663-1664 . But from its past history and local conditions, London might well be deemed capable of producing such an epidemic . In the bills of mortality since 1603 there are only three years when no deaths from plague are recorded . The uncleanliness of the city was comparable to that of oriental cities at the See also:present day, and, according to contemporary testimony (Garencieres, Angliae flagellum, London, 1647, p . 85), little improved since See also:Erasmus wrote his well-known description . The spread of the disease only partially supported the See also:doctrine of contagion, as Boghurst says: " The disease spread not altogether, by contagion at first, nor began only at one place and spread further and further as an eating sore See also:cloth all over the See also:body, but See also:fell upon several places of city and suburbs like See also:rain." In fact dissemination seems to have taken place, as usual, by the See also:conversion of one See also:house after another into a See also:focus of disease, a See also:process favoured by the fatal See also:custom of shutting up infected houses with all their inmates, which was not only almost- See also:equivalent to a See also:sentence of death on all therein, but caused a dangerous concentration of the See also:poison . The well-known custom of marking such houses with a red See also:cross and the See also:legend " See also:God have See also:mercy upon us!" was no new thing: it is found in a See also:proclamation in the See also:possession of the present writer dated 1641; and it was probably older still . ' Hodges testifies to the futility and injurious effects of these regulations . The See also:lord See also:mayor and magistrates not only carried out the appointed administrative measures, but looked to the cleanliness of the city and the See also:relief of the poor, so that there was little or no actual want; and the See also:burial arrangements appear to have been well attended to . The See also:college of physicians, by royal command, put forth such See also:advice and prescriptions as were thought best for the emergency . But it is clear that neither these measures nor medical treatment had any effect in checking the disease . Early in November with colder See also:weather it began to decline; and in December there was so little fear of contagion that those who had See also:left the city " crowded back as thick as they fled." As has often been observed in other plague epidemics, See also:sound See also:people could enter infected houses and even See also:sleep in the beds of those who had died of the plague " before they were even See also:cold or ,cleansed from the stench of the diseased " (Hodges) . The symptoms of the disease being such as have been generally observed need not be here considered . The disease was, as always, most destructive in squalid, dirty neighbourhoods and among the poor, so as to be called the " poor's plague." Those who lived in the See also:town in See also:barges or See also:ships did not take the disease; and the houses on London See also:Bridge were but little affected . Of those doctors who remained in the city some eight or nine died, not a large proportion . Some had the rare courage to investigate the mysterious disease by dissecting the bodies of the dead., Hodges implies that he did so, though he left no full account of his observations . Dr See also:George See also:Thomson, a chemist and a See also:disciple of See also:Van See also:Helmont, followed the example, and nearly lost his See also:life by an attack which immediately foIlowed.4 The plague of 1665 was widely spread over England, and was 4 On the plague of 1665 see Nath .
Hodges, Loimologia sive pestis nuperae aP"d populum londinensem narratio (London, 1672) 8vo—in English by See also:Quincy (London, 1720), (the See also:chief authority) ; Aoc ioypa¢ta
or an Experimental Relation of the last Plague in the City of London,
by See also: The disappearance of plague in London was attributed to the Great See also:Fire, but no such cause existed in other cities . It has also been ascribed to quarantine, but no effective quarantine was established till 1720, so that the cessation of plague in England must be regarded as spontaneous . But this was no isolated fact . A similar cessation of plague was noted soon after in the greater part of western Europe . In 1666 a severe plague raged in See also:Cologne and on the See also:Rhine, which was See also:pro-longed till 167o in the See also:district . In the See also:Netherlands there was plague in 1667–1669, but there are no definite notices of it after 1672 . France saw the last plague epidemic in 1668, till it reappeared in 1720 . In the years 1675–1684 a new plague epidemic appeared in North Africa, See also:Turkey, See also:Poland, See also:Hungary, See also:Austria and Germany, progressing generally northward . Malta lost 11,000 persons in 1675 . The plague of See also:Vienna in 1679 was very severe, causing 76,000 or probably more deaths . See also:Prague in 1681 lost 83,000 by plague . See also:Dresden was affected in 168o, See also:Magdeburg and See also:Halle in 1682—in the latter town with a mortality of 4397 out of a population of about 1o,000 . Many North See also:German cities suffered about the same time; but in 1683 the plague disappeared from Germany till the epidemic of 1707 . In Spain it ceased about 1681; in Italy certain cities were attacked till the end of the century, but not later (Hirsch) . Plague in the 18th Century.—At the beginning of this period plague was very prevalent in Constantinople and along the See also:Danube . In 1703 it caused great destruction in the See also:Ukraine . In 1704 it began to spread through Poland, and later to See also:Silesia, Lithuania, See also:Prussia and a great part of Germany and Scandinavia . In Prussia and Lithuania 283,000 persons perished; Dantzig, Hamburg and other northern cities suffered severely . See also: |