Citizens of Tournai
 bury plague victims. Detail of a miniature from "The Chronicles of 
Gilles Li Muisis" (1472–1552). Bibliothèque royale de Belgique, MS 
13076-77, f. 24v.
The consequences of the Black Death have short and long-term 
effects on human population across the world. They include a series of 
biological, social, economic, political and religious upheavals which 
had profound effects on the course of world history, especially the History of Europe. Often referred to as simply "The Plague", the Black Death was one of the most devastating pandemics
 in human history, peaking in Europe between 1348 and 1350 with an 
estimated one-third of the continent's population ultimately succumbing 
to the disease. Historians estimate that it reduced the total world population
 from 475 million to between 350 and 375 million. In most parts of 
Europe, it took nearly 80 years for population sizes to recover, and in 
some areas more than 150 years.
From the perspective of many of the survivors, the effect of the 
plague may have been ultimately favorable, as the massive reduction of 
the workforce meant their labor was suddenly in higher demand. R. H. Hilton
 has argued that those English peasants who survived found their 
situation to be much improved. For many Europeans, the 15th century was a
 golden age of prosperity and new opportunities. The land was plentiful, wages high, and serfdom had all but disappeared. A century later, as population growth resumed, the lower classes again faced deprivation and famine.
The spread of the "Black Death" through Europe from 1347 to 1351
Death toll
Figures for the death toll
 vary widely by area and from source to source, and estimates are 
frequently revised as historical research brings new discoveries to 
light. Most scholars estimate that the Black Death killed between 75 and
 200 million people in the 14th century, at a time when the entire world
 population was still less than 500 million.
 Even where the historical record is considered reliable, only rough 
estimates of the total number of deaths from the plague are possible.
Europe
Europe 
suffered an especially significant death toll from the plague. Modern 
estimates range between roughly one-third and one-half of the total 
European population in the five-year period of 1347 to 1351, during 
which the most severely affected areas may have lost up to 80 percent of
 the population.
Contemporary chronicler Jean Froissart,
 incidentally, estimated the toll to be one-third, which modern scholars
 consider less an accurate assessment than an allusion to the Book of Revelation meant to suggest the scope of the plague.
 Deaths were not evenly distributed across Europe, with some areas 
affected very little while others were all but entirely depopulated.
The Black Death hit the culture of towns and cities 
disproportionately hard, although rural areas (where most of the 
population lived at the time) were also significantly affected. Larger 
cities were the worst off, as population densities and close living 
quarters made disease transmission easier. Cities were also strikingly 
filthy, infested with lice, fleas, and rats, and subject to diseases caused by malnutrition and poor hygiene. Florence's population was reduced from 110,000–120,000 inhabitants in 1338 to 50,000 in 1351. Between 60 and 70 percent of Hamburg's and Bremen's populations died. In Provence, Dauphiné, and Normandy,
 historians observe a decrease of 60 percent of fiscal hearths. In some 
regions, two-thirds of the population was annihilated. In the town of Givry, in the Bourgogne
 region of France, the local friar, who used to note 28 to 29 funerals a
 year, recorded 649 deaths in 1348, half of them in September. About 
half of Perpignan's
 population died over the course of several months (only two of the 
eight physicians survived the plague). Over 60 percent of Norway's 
population died between 1348 and 1350. London may have lost two-thirds of its population during the 1348–49 outbreak;
 England as a whole may have lost 70 percent of its population, which 
declined from 7 million before the plague to 2 million in 1400.
Some places, including Kingdom of Poland, parts of Hungary, the Brabant region, Hainaut, and Limbourg (in modern Belgium), as well as Santiago de Compostela, were unaffected for unknown reasons. Some historians have assumed that the presence of resistant blood groups
 in the local population helped them resist infection, although these 
regions were touched by the second plague outbreak in 1360–63 (the 
"little mortality") and later during the numerous resurgences of the 
plague (in 1366–69, 1374–75, 1400, 1407, etc.). Other areas which 
escaped the plague were isolated in mountainous regions (e.g. the Pyrenees). 
All social classes were affected, although the lower classes, living together in unhealthy places, were most vulnerable. Alfonso XI of Castile and Joan of Navarre (daughter of Louis X le Hutin and Margaret of Burgundy) were the only European monarch to die of the plague, but Peter IV of Aragon lost his wife, his daughter, and a niece in six months. Joan of England, daughter of Edward III, died in Bordeaux on her way to Castile to marry Alfonso's son, Pedro. The Byzantine Emperor lost his son, while in the Kingdom of France, Bonne of Luxembourg, the wife of the future John II of France, died of the plague.
Asia
Estimates of 
the demographic effect of the plague in Asia are based on population 
figures during this time and estimates of the disease's toll on 
population centers. The most severe outbreak of plague, in the Chinese province of Hubei in 1334, claimed up to 80 percent of the population. China had several epidemics and famines from 1200 to the 1350s and its population decreased from an estimated 125 million to 65 million in the late 14th century. 
The precise demographic effect of the disease in the Middle East is very difficult to calculate. Mortality was particularly high in rural areas, including significant areas of Gaza and Syria.
 Many rural people fled, leaving their fields and crops, and entire 
rural provinces are recorded as being totally depopulated. Surviving 
records in some cities reveal a devastating number of deaths. The 1348 
outbreak in Gaza left an estimated 10,000 people dead, while Aleppo recorded a death rate of 500 per day during the same year. In Damascus,
 at the disease's peak in September and October 1348, a thousand deaths 
were recorded every day, with overall mortality estimated at between 25 
and 38 percent. Syria
 lost a total of 400,000 people by the time the epidemic subsided in 
March 1349. In contrast to some higher mortality estimates in Asia and 
Europe, scholars such as John Fields of Trinity College
 in Dublin believe the mortality rate in the Middle East was less than 
one-third of the total population, with higher rates in selected areas.
Social, environmental, and economic effects
Because
 14th-century healers were at a loss to explain the cause of the Black 
Death, many Europeans ascribed supernatural forces, earthquakes and 
malicious conspiracies, among other things, as possible reasons for the 
plague's emergence.
 No one in the 14th century considered rat control a way to ward off the
 plague, and people began to believe only God's anger could produce such
 horrific displays of suffering and death. Giovanni Boccaccio,
 an Italian writer and poet of the era, questioned whether it was sent 
by God for their correction, or that it came through the influence of 
the heavenly bodies.
 Christians accused Jews of poisoning public water supplies in an effort
 to ruin European civilization. The spreading of this rumor led to 
complete destruction of entire Jewish towns, and was simply caused by 
suspicion on part of the Christians, who noticed that the Jews had lost 
fewer lives to the plague due to their hygienic practices. In February 1349, 2,000 Jews were murdered in Strasbourg. In August of the same year, the Jewish communities of Mainz and Cologne were exterminated.
Where government authorities were concerned, most monarchs instituted measures that prohibited exports of foodstuffs, condemned black market speculators, set price controls
 on grain, and outlawed large-scale fishing. At best, they proved mostly
 unenforceable. At worst, they contributed to a continent-wide downward 
spiral. The hardest hit lands, like England, were unable to buy grain 
abroad from France because of the prohibition and from most of the rest 
of the grain producers because of crop failures from shortage of labour.
 Any grain that could be shipped was eventually taken by pirates or looters
 to be sold on the black market. Meanwhile, many of the largest 
countries, most notably England and Scotland, had been at war, using up 
much of their treasury and exacerbating inflation. In 1337, on the eve of the first wave of the Black Death, England and France went to war in what would become known as the Hundred Years' War.
 Malnutrition, poverty, disease and hunger, coupled with war, growing 
inflation and other economic concerns made Europe in the mid-14th 
century ripe for tragedy.
Europe had been overpopulated
 before the plague, and a reduction of 30 to 50 percent of the 
population could have resulted in higher wages and more available land 
and food for peasants because of less competition for resources. Historian Walter Scheidel
 contends that waves of plague following the initial outbreak of the 
Black Death had a leveling effect that changed the ratio of land to 
labour, reducing the value of the former while boosting that of the 
latter, which lowered economic inequality
 by making landowners and employers less well off while improving the 
lot of the workers. He states that "the observed improvement in living 
standards of the laboring population was rooted in the suffering and 
premature death of tens of millions over the course of several 
generations." This leveling effect was reversed by a "demographic 
recovery that resulted in renewed population pressure." In 1357, a third of property in London was unused due to a severe outbreak in 1348–49.
 However, for reasons that are still debated, population levels declined
 after the Black Death's first outbreak until around 1420 and did not 
begin to rise again until 1470, so the initial Black Death event on its 
own does not entirely provide a satisfactory explanation to this 
extended period of decline in prosperity. See Medieval demography for a more complete treatment of this issue and current theories on why improvements in living standards took longer to evolve.
Effect on the peasantry
The
 great population loss brought favourable results to the surviving 
peasants in England and Western Europe. There was increased social 
mobility, as depopulation further eroded the peasants' already weakened 
obligations to remain on their traditional holdings. Seigneurialism
 never recovered. Land was plentiful, wages high, and serfdom had all 
but disappeared. It was possible to move about and rise higher in life. 
Younger sons and women especially benefited. As population growth resumed, however, the peasants again faced deprivation and famine.
In Eastern Europe,
 by contrast, renewed stringency of laws tied the remaining peasant 
population more tightly to the land than ever before through serfdom.
 Sparsely populated Eastern Europe was less affected by the Black Death 
and so peasant revolts were less common in the fourteenth and fifteenth 
centuries, not occurring in the east until the sixteenth through 
nineteenth centuries.
Furthermore, the plague's great population reduction brought 
cheaper land prices, more food for the average peasant, and a relatively
 large increase in per capita income among the peasantry, if not 
immediately, in the coming century.
 Since the plague left vast areas of farmland untended, they were made 
available for pasture and put more meat on the market; the consumption 
of meat and dairy products went up, as did the export of beef and butter
 from the Low Countries, Scandinavia and northern Germany. However, the 
upper class often attempted to stop these changes, initially in Western 
Europe, and more forcefully and successfully in Eastern Europe, by 
instituting sumptuary laws.
 These regulated what people (particularly of the peasant class) could 
wear, so that nobles could ensure that peasants did not begin to dress 
and act as a higher class member with their increased wealth. Another 
tactic was to fix prices and wages so that peasants could not demand 
more with increasing value. In England, the Statute of Labourers 1351 was enforced, meaning no peasant could ask for more wages than in 1346.
 This was met with varying success depending on the amount of rebellion 
it inspired; such a law was one of the causes of the 1381 Peasants' Revolt in England.
The rapid development of the use
 was probably one of the consequences of the Black Death, during which 
many landowning nobility died, leaving their realty to their widows and 
minor orphans.
Effect on urban workers
In
 the wake of the drastic population decline brought on by the plague, 
wages shot up and labourers could move to new localities in response to 
wage offers. Local and royal authorities in Western Europe instituted 
wage controls. These governmental controls sought to freeze wages at the old levels before the Black Death. Within England, for example, the Ordinance of Labourers, enacted in 1349, and the Statute of Labourers, enacted in 1351, restricted both wage increases and the relocation of workers.
 If workers attempted to leave their current post, employers were given 
the right to have them imprisoned. The Statute was poorly enforced in 
most areas, and farm wages in England on average doubled between 1350 
and 1450, although they were static thereafter until the end of the 19th century.
Cohn, comparing numerous countries, argues that these laws were 
not primarily designed to freeze wages. Instead, he says the energetic 
local and royal measures to control labor and artisans' prices was a 
response to elite fears of the greed and possible new powers of lesser 
classes that had gained new freedom. Cohn says the laws reflect the 
anxiety that followed the Black Death's new horrors of mass mortality 
and destruction, and from elite anxiety about manifestations such as the
 flagellant movement and the persecution of Jews, Catalans (in Sicily), 
and beggars.
Labour-saving innovation
By
 1200, virtually all of the Mediterranean basin and most of northern 
Germany had been deforested and cultivated. Indigenous flora and fauna 
were replaced by domestic grasses and animals and domestic woodlands 
were lost. With depopulation, this process was reversed. Much of the 
primeval vegetation returned, and abandoned fields and pastures were 
reforested.
The Black Death encouraged innovation of labour-saving technologies, leading to higher productivity.
 There was a shift from grain farming to animal husbandry. Grain farming
 was very labor-intensive, but animal husbandry needed only a shepherd 
and a few dogs and pastureland.
Plague brought an eventual end of Serfdom in Western Europe. The 
manorial system was already in trouble, but the Black Death assured its 
demise throughout much of western and central Europe by 1500. Severe 
depopulation and migration of the village to cities caused an acute 
shortage of agricultural labourers. Many villages were abandoned. In 
England, more than 1300 villages were deserted between 1350 and 1500.
 Wages of labourers were high, but the rise in nominal wages following 
the Black Death was swamped by post-Plague inflation, so that real wages
 fell.
Labor was in such a short supply that Lords were forced to give 
better terms of tenure. This resulted in much lower rents in western 
Europe. By 1500, a new form of tenure called copyhold became prevalent 
in Europe. In copyhold, both a Lord and peasant made their best business
 deal, whereby the peasant got use of the land and the Lord got a fixed 
annual payment and both possessed a copy of the tenure agreement. 
Serfdom did not end everywhere. It lingered in parts of Western Europe 
and was introduced to Eastern Europe after the Black Death.
There was change in the inheritance law. Before the plague, only 
sons and especially the elder son inherited the ancestral property. Post
 plague all sons as well as daughters started inheriting property.
Persecutions
Renewed religious fervor and fanaticism came in the wake of the Black
 Death. Some Europeans targeted "groups such as Jews, friars, 
foreigners, beggars, pilgrims", lepers and Romani, thinking that they were to blame for the crisis. 
Differences in cultural and lifestyle practices also led to 
persecution. As the plague swept across Europe in the mid-14th century, 
annihilating more than half the population, Jews were taken as scapegoats, in part because better hygiene among Jewish communities and isolation in the ghettos meant that Jews were less affected. Accusations spread that Jews had caused the disease by deliberately poisoning wells.
 European mobs attacked Jewish settlements across Europe; by 1351, 60 
major and 150 smaller Jewish communities had been destroyed, and more 
than 350 separate massacres had occurred. 
According to Joseph P. Byrne, women also faced persecution during the Black Death. Muslim women in Cairo became scapegoats when the plague struck.
 Byrne writes that in 1438, the sultan of Cairo was informed by his 
religious lawyers that the arrival of the plague was Allah's punishment 
for the sin of fornication
 and that in accordance with this theory, a law was set in place stating
 that women were not allowed to make public appearances as they may 
tempt men into sin. Byrne describes that this law was only lifted when 
"the wealthy complained that their female servants could not shop for 
food."
Religion
The Black Death hit the monasteries
 very hard because of their proximity with the sick who sought refuge 
there. This left a severe shortage of clergy after the epidemic cycle. 
Eventually the losses were replaced by hastily trained and inexperienced
 clergy members, many of whom knew little of the rigors of their 
predecessors. New colleges were opened at established universities, and 
the training process sped up.
 The shortage of priests opened new opportunities for laywomen to assume
 more extensive and more important service roles in the local parish.
Woodcut of flagellants (Nuremberg Chronicle, 1493)
Flagellants
 practiced self-flogging (whipping of oneself) to atone for sins. The 
movement became popular after the Black Death. It may be that the 
flagellants' later involvement in hedonism was an effort to accelerate 
or absorb God's wrath, to shorten the time with which others suffered. 
More likely, the focus of attention and popularity of their cause 
contributed to a sense that the world itself was ending and that their 
individual actions were of no consequence.
Reformers rarely pointed to failures on the part of the Church in dealing with the catastrophe.
Cultural effect
The Triumph of Death (1446)
The Black Death had a profound effect on art and literature. After 1350, European culture
 in general turned very morbid. The general mood was one of pessimism, 
and contemporary art turned dark with representations of death. The 
widespread image of the "dance of death" showed death (a skeleton) 
choosing victims at random. Many of the most graphic depictions come 
from writers such as Boccaccio and Petrarch. Peire Lunel de Montech, writing about 1348 in the lyric style long out of fashion, composed the following sorrowful sirventes "Meravilhar no·s devo pas las gens" during the height of the plague in Toulouse:
They died by the hundreds, both day and night, and all were thrown in ... ditches and covered with earth. And as soon as those ditches were filled, more were dug. And I, Agnolo di Tura ... buried my five children with my own hands ... And so many died that all believed it was the end of the world.
Boccaccio wrote:
How many valiant men, how many fair ladies, breakfast with their kinfolk and the same night supped with their ancestors in the next world! The condition of the people was pitiable to behold. They sickened by the thousands daily, and died unattended and without help. Many died in the open street, others dying in their houses, made it known by the stench of their rotting bodies. Consecrated churchyards did not suffice for the burial of the vast multitude of bodies, which were heaped by the hundreds in vast trenches, like goods in a ship's hold and covered with a little earth.
Danse Macabre from the Nuremberg Chronicle (1493).
Medicine
Although
 the Black Death highlighted the shortcomings of medical science in the 
medieval era, it also led to positive changes in the field of medicine. 
As described by David Herlihy in The Black Death and the Transformation of the West, more emphasis was placed on “anatomical investigations” following the Black Death.
 How individuals studied the human body notably changed, becoming a 
process that dealt more directly with the human body in varied states of
 sickness and health. Further, at this time, the importance of surgeons 
became more evident.
A theory put forth by Stephen O'Brien says the Black Death is likely responsible, through natural selection, for the high frequency of the CCR5-Δ32 genetic defect in people of European descent. The gene affects T cell function and provides protection against HIV, smallpox, and possibly plague,
 though for the last, no explanation as to how it would do that exists. 
This, however, is now challenged, given that the CCR5-Δ32 gene has been 
found to be just as common in Bronze Age tissue samples.
Architecture
The
 Black Death also inspired European architecture to move in two 
different directions: (1) a revival of Greco-Roman styles, and (2) a 
further elaboration of the Gothic style.
 Late medieval churches had impressive structures centred on 
verticality, where one's eye is drawn up towards the high ceiling. The 
basic Gothic style was revamped with elaborate decoration in the late 
medieval period. Sculptors in Italian city-states emulated the work of 
their Roman forefathers while sculptors in northern Europe, no doubt 
inspired by the devastation they had witnessed, gave way to a heightened
 expression of emotion and an emphasis on individual differences.
 A tough realism came forth in architecture as in literature. Images of 
intense sorrow, decaying corpses, and individuals with faults as well as
 virtues emerged. North of the Alps, painting reached a pinnacle of 
precise realism with Early Dutch painting by artists such as Jan van Eyck
 (c. 1390–by 1441). The natural world was reproduced in these works with
 meticulous detail whose realism was not unlike photography.