Search This Blog

Friday, March 27, 2020

Crisis of the Late Middle Ages

From Wikipedia, the free encyclopedia
 
Citizens of Tournai (Belgium) bury plague victims
 

The crisis of the Late Middle Ages was a series of events in the fourteenth and fifteenth centuries that brought centuries of European stability to a halt. Three major crises led to radical changes in all areas of society: demographic collapse, political instabilities and religious upheavals.

A series of disasters, beginning with the Great Famine of 1315–17 and especially the Black Death of 1347-1351, reduced the population perhaps by half or more as the Medieval Warm Period came to a close and the first century of the Little Ice Age began. It took 150 years for the European population to regain the levels of 1300.

Popular revolts in late-medieval Europe and civil wars between nobles within countries such as the Wars of the Roses were common—with France fighting internally nine times—and there were international conflicts between kings such as France and England in the Hundred Years' War. The unity of the Roman Catholic Church was shattered by the Western Schism. The Holy Roman Empire was also in decline; in the aftermath of the Great Interregnum (1247–1273), the Empire lost cohesion and politically the separate dynasties of the various German states became more important than their common empire.

Historiography

The expression "Crisis of the Late Middle Ages" is used commonly in western historiography, especially in English and German, and somewhat less among other western European scholarship to refer individually or collectively to different crises besetting Europe in the 14th and 15th centuries. The expression often carries a modifier to refer more specifically to one or another aspect of Late Middle Age crisis, such as the Urban Crisis of the Late Middle Ages, or the Cultural, Monastic, Religious, Social, Economic, Intellectual, or Agrarian crisis of the Late Middle Ages, or a national or regional modifier, e.g. Catalan or French crisis. 

By 1929, French historian Marc Bloch was already writing about the effects of the crisis of the Late Middle Ages, and by mid-century there were academic debates being held about it. In his 1981 article Late Middle Age Agrarian Crisis or Crisis of Feudalism?, Peter Kriedte reprises some of the early works in the field from historians writing in the 1930s, including Marc Bloch, Henri Pirenne, Wilhelm Abel, and Michael Postan. Referred to in Italian as the "Crisis of the 14th Century", Giovanni Cherubini alluded to the debate that already by 1974 had been going on "for several decades" in French, British, American, and German historiography.

Arno Borst (1992) says that it "is a given that fourteenth century Latin Christianity was in a crisis", and goes on to say that the intellectual aspects and how universities were affected by the crisis is underrepresented in the scholarship hitherto: "When we discuss the crisis of the Late Middle Ages, we consider intellectual movements beside religious, social, and economic ones", and gives some examples.

Some question whether "crisis" is the right expression for the period at the end of the Middle Ages and the transition to Modernity. In his 1981 article The End of the Middle Ages: Decline, Crisis or Transformation? Donald Sullivan addresses this question, claiming that scholarship has neglected the period and viewed it largely as a precursor to subsequent climactic events such as the Renaissance and Reformation.

In his "Introduction to the History of the Middle Ages in Europe", Mitre Fernández wrote in 2004 that "[t]o talk about a general crisis of the Late Middle Ages is already a commonplace in the study of medieval history." 

Heribert Müller, in his 2012 book on the religious crisis of the late Middle Ages, discussed whether the term itself was in crisis, saying,
No doubt the thesis of the crisis of the late Middle Ages has itself been in crisis for some time now, and hardly anyone considered an expert in the field would still profess it without some ifs and buts, and especially so in the case of German Medieval historians.
In his 2014 historiographical article about the crisis in the Middle Ages, Peter Schuster quotes historian Léopold Genicot's 1971 article "Crisis: From the Middle Ages to Modern Times" where Genicot wrote, "Crisis is the word which comes immediately to the historian's mind when he thinks of the fourteenth and the fifteenth centuries."

Demography

Some scholars contend that at the beginning of the 14th century, Europe had become overpopulated. By the 14th century frontiers had ceased to expand and internal colonization was coming to an end, but population levels remained high.

The Medieval Warm Period ended sometime towards the end of the 13th century, bringing the "Little Ice Age" and harsher winters with reduced harvests. In Northern Europe, new technological innovations such as the heavy plough and the three-field system 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 rapidly inflating 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.

Their scarcity resulted in malnutrition, which increases susceptibility to infections due to weakened immune systems. In the autumn of 1314, heavy rains began to fall, which were the start of several years of cold and wet winters. The already weak harvests of the north suffered and the seven-year famine ensued. In the years 1315 to 1317 a catastrophic famine, known as the Great Famine, struck much of North West Europe. It was arguably the worst in European history, perhaps reducing the population by more than 10%.

Genoese (red) and Venetian (green) maritime trade routes in the Mediterranean and Black Sea

Most governments 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 and 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 became known as the Hundred Years' War. This situation was worsened when landowners and monarchs such as Edward III of England (r. 1327–1377) and Philip VI of France (r. 1328–1350), raised the fines and rents of their tenants out of a fear that their comparatively high standard of living would decline.

The European economy entered a vicious circle in which hunger and chronic, low-level debilitating disease reduced the productivity of labourers, and so the grain output was reduced, causing grain prices to increase. Standards of living fell drastically, diets grew more limited, and Europeans as a whole experienced more health problems.

When a typhoid epidemic emerged, many thousands died in populated urban centres, most significantly Ypres (now in Belgium). In 1318 a pestilence of unknown origin, sometimes identified as anthrax, targeted the animals of Europe, notably sheep and cattle, further reducing the food supply and income of the peasantry.

Climate change and the Great Famine

As Europe moved out of the Medieval Warm Period and into the Little Ice Age, a decrease in temperature and a great number of devastating floods disrupted harvests and caused mass famine. The cold and the rain proved to be particularly disastrous from 1315 to 1317 in which poor weather interrupted the maturation of many grains and beans and flooding turned fields rocky and barren. Scarcity of grain caused price inflation, as described in one account of grain prices in Europe in which the price of wheat doubled from twenty shillings per quarter in 1315 to forty shillings per quarter by June of the following year. Grape harvests also suffered, which reduced wine production throughout Europe. The wine production from the vineyards surrounding the Abbey of Saint-Arnould in France decreased as much as eighty percent by 1317. During this climatic change and subsequent famine, Europe's cattle were struck with Bovine Pestilence, a pathogen of unknown identity. The pathogen began spreading throughout Europe from Eastern Asia in 1315 and reached the British Isles by 1319. Manorial accounts of cattle populations in the year between 1319 and 1320, places a sixty-two percent loss in England and Wales alone. In these countries, some correlation can be found between the places where poor weather reduced crop harvests and places where the bovine population was particularly negatively affected. It is hypothesized that both low temperatures and lack of nutrition lowered the cattle populations' immune systems and made them vulnerable to disease. The mass death and illness of cattle drastically affected dairy production, and the output did not return to its pre-pestilence amount until 1331. Much of the medieval peasants' protein was obtained from dairy, and milk shortages likely caused nutritional deficiency in the European population. Famine and pestilence, exacerbated with the prevalence of war during this time, led to the death of an estimated ten to fifteen percent of Europe's population.

Climate change and plague epidemic correlation

The Black Death was a particularly devastating epidemic in Europe during this time, and is notable due to the number of people who succumbed to the disease within the few years the disease was active. It was fatal to an estimated thirty to sixty percent of the population where the disease was present. While there is some question of whether it was a particularly deadly strain of Yersinia pestis that caused the Black Death, research indicates no significant difference in bacterial phenotype. Thus environmental stressors are considered when hypothesizing the deadliness of the Black Plague, such as crop failures due to changes in weather, the subsequent famine, and an influx of host rats into Europe from China. The Black Death was so devastating that a comparable plague in terms of virulence had not been seen since the Justinian plague, before the Medieval warm period. This gap in plague activity during the Medieval Warm Period contributes to the hypothesis that climate conditions would have affected Europe's susceptibility to disease when the climate began to cool during the arrival of the Little Ice Age in the 13th century.

Popular revolt

Richard II of England meets the rebels of the Peasants' Revolt of 1381.

Before the 14th century, popular uprisings were not unknown, for example, uprisings at a manor house against an unpleasant overlord, but they were local in scope. This changed in the 14th and 15th centuries when new downward pressures on the poor resulted in mass movements and popular uprisings across Europe. To indicate how common and widespread these movements became, in Germany between 1336 and 1525 there were no less than sixty phases of militant peasant unrest.

Political and religious factors


Almost constant warfare caused taxes to rise to crippling levels. The unity of the Roman Catholic Church was shattered by the Western Schism. The Holy Roman Empire was also in decline in the aftermath of the Great Interregnum (1247–1273); the Empire lost cohesion, and politically the separate dynasties of the various German states became more important than their common empire.

Civil wars

International wars

Malthusian hypothesis

Scholars such as David Herlihy and Michael Postan use the term Malthusian limit to express and explain some tragedies as resulting from overpopulation. In his 1798 Essay on the Principle of Population, Thomas Malthus asserted that eventually humans would reproduce so greatly that they would go beyond the limits of necessary resources; once they reach this point, catastrophe becomes inevitable. In his book, The Black Death and the Transformation of the West, professor David Herlihy explores this idea of plague as an inevitable crisis imposed on humanity to control the population and human resources. In the book The Black Death; A Turning Point in History? (ed. William M. Bowsky) he "implies that the Black Death's pivotal role in late medieval society ... was now being challenged. Arguing on the basis of a neo-Malthusian economics, revisionist historians recast the Black Death as a necessary and long overdue corrective to an overpopulated Europe."

Herlihy also examined the arguments against the Malthusian crisis, stating "if the Black Death was a response to excessive human numbers it should have arrived several decades earlier" in consequence of the population growth of years before the outbreak of the Black Death. Herlihy also brings up other, biological factors that argue against the plague as a "reckoning" by arguing "the role of famines in affecting population movements is also problematic. The many famines preceding the Black Death, even the 'great hunger' of 1315 to 1317, did not result in any appreciable reduction in population levels". Herlihy concludes the matter stating, "the medieval experience shows us not a Malthusian crisis but a stalemate, in the sense that the community was maintaining at stable levels very large numbers over a lengthy period" and states that the phenomenon should be referred to as more of a deadlock, rather than a crisis, to describe Europe before the epidemics.

Consequences of the Black Death

From Wikipedia, the free encyclopedia
 
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 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.

Black Death

From Wikipedia, the free encyclopedia
Spread of the Black Death in Europe and the Near East (1346–1353)

The Black Death, also known as the Pestilence, Great Bubonic Plague, the Great Plague or the Plague, or less commonly the Great Mortality or the Black Plague, was the most devastating pandemic recorded in human history, resulting in the deaths of an estimated 75 to 200 million people in Eurasia, peaking in Europe from 1347 to 1351. The bacterium Yersinia pestis, which results in several forms of plague (septicemic, pneumonic and, the most common, bubonic), is believed to have been the cause. The Black Death was the first major European outbreak of plague and the second plague pandemic. The plague created a number of religious, social and economic upheavals, with profound effects on the course of European history.

The Black Death probably originated in Central Asia or East Asia, from where it travelled along the Silk Road, reaching Crimea by 1343. From there, it was most likely carried by fleas living on the black rats that traveled on Genoese merchant ships, spreading throughout the Mediterranean Basin, reaching the rest of Europe via the Italian peninsula.

The Black Death is estimated to have killed 30% to 60% of Europe's population. In total, the plague may have reduced the world population from an estimated 475 million to 350–375 million in the 14th century. It took 200 years for Europe's population to recover to its previous level, and some regions (such as Florence) only recovered by the 19th century. Outbreaks of the plague recurred until the early 20th century.

Names

The phrase "black death" (mors nigra) was used in 1350 by Simon de Covino or Couvin, a Belgian astronomer, who wrote the poem "On the Judgment of the Sun at a Feast of Saturn" (De judicio Solis in convivio Saturni), which attributes the plague to a conjunction of Jupiter and Saturn. In 1908, Gasquet claimed that use of the name atra mors for the 14th-century epidemic first appeared in a 1631 book on Danish history by J. I. Pontanus: "Commonly and from its effects, they called it the black death" (Vulgo & ab effectu atram mortem vocitabant). The name spread through Scandinavia and then Germany, gradually becoming attached to the mid 14th-century epidemic as a proper name.

However, atra mors is used to refer to a pestilential fever (febris pestilentialis) already in the 12th-century On the Signs and Symptoms of Diseases (Latin: De signis et sinthomatibus egritudinum) by French physician Gilles de Corbeil. In English, the term was first used in 1755. Writers contemporary with the plague described the event as "great plague" or "great pestilence".

Chronology

Origins

The plague disease, caused by Yersinia pestis, is enzootic (commonly present) in populations of fleas carried by ground rodents, including marmots, in various areas, including Central Asia, Kurdistan, Western Asia, North India, and Uganda. Due to climate change in Asia, rodents began to flee the dried-out grasslands to more populated areas, spreading the disease. In October 2010, medical geneticists suggested that all three of the great waves of the plague originated in China. Research in 2017 concerning Nestorian graves dating to 1338–1339 near Issyk-Kul in Kyrgyzstan that have inscriptions referring to plague, has led many epidemiologists to think they mark the outbreak of the epidemic; from which it could easily have spread to China and India.

Research in 2018 found evidence of Yersinia pestis in an ancient Swedish tomb, which may have been the cause of what has been described as the Neolithic decline around 3000 BC, in which European populations declined significantly. In 2013, researchers confirmed earlier speculation that the cause of the Plague of Justinian (541–542 AD, with recurrences until 750) was Yersinia pestis.

The 13th-century Mongol conquest of China caused a decline in farming and trading. Economic recovery had been observed at the beginning of the fourteenth century. In the 1330s, many natural disasters and plagues led to widespread famine, starting in 1331, with a deadly plague arriving soon after. Epidemics, that may have included the plague, killed an estimated 25 million across Asia during the fifteen years before it reached Constantinople in 1347.

The disease may have traveled along the Silk Road with Mongol armies and traders, or it could have arrived via ship. By the end of 1346, reports of plague had reached the seaports of Europe: "India was depopulated, Tartary, Mesopotamia, Syria, Armenia were covered with dead bodies".

Plague was reportedly first introduced to Europe via Genoese traders from the port city of Kaffa in the Crimea in 1347. During a protracted siege of the city by the Mongol army under Jani Beg, whose army was suffering from the disease, the army catapulted infected corpses over the city walls of Kaffa to infect the inhabitants. The Genoese traders fled, taking the plague by ship into Sicily, then the Italian mainland, whence it spread north. Whether or not this hypothesis is accurate, it is clear that several existing conditions, such as war, famine, and weather, contributed to the severity of the Black Death. Among many other culprits of plague contagiousness, malnutrition, even if distantly, also contributed to such an immense loss in European population, since it weakened immune systems.

European outbreak

The seventh year after it began, it came to England and first began in the towns and ports joining on the seacoasts, in Dorsetshire, where, as in other counties, it made the country quite void of inhabitants so that there were almost none left alive.
... But at length it came to Gloucester, yea even to Oxford and to London, and finally it spread over all England and so wasted the people that scarce the tenth person of any sort was left alive.--Geoffrey the Baker, Chronicon Angliae
There appear to have been several introductions into Europe. The plague reached Sicily in October 1347, carried by twelve Genoese galleys, and rapidly spread all over the island. Galleys from Kaffa reached Genoa and Venice in January 1348, but it was the outbreak in Pisa a few weeks later that was the entry point to northern Italy. Towards the end of January, one of the galleys expelled from Italy arrived in Marseille.

From Italy, the disease spread northwest across Europe, striking France, Spain (which was hit due to the heat – the epidemic raged in the early weeks of July), Portugal and England by June 1348, then spread east and north through Germany, Scotland and Scandinavia from 1348 to 1350. It was introduced into Norway in 1349 when a ship landed at Askøy, then spread to Bjørgvin (modern Bergen) and Iceland. Finally, it spread to northwestern Russia in 1351. The plague was somewhat more uncommon in parts of Europe with less developed trade with their neighbours, including the majority of the Basque Country, isolated parts of Belgium and the Netherlands, and isolated alpine villages throughout the continent.

According to some epidemiologists, periods of unfavorable weather decimated plague-infected rodent populations and forced their fleas onto alternative hosts, inducing plague outbreaks which often peaked in the hot summers of the Mediterranean, as well as during the cool autumn months of the southern Baltic states. However, other researchers do not think that the plague ever became endemic in Europe or its rat population. The disease repeatedly wiped out the rodent carriers, so that the fleas died out until a new outbreak from Central Asia repeated the process. The outbreaks have been shown to occur roughly 15 years after a warmer and wetter period in areas where plague is endemic in other species, such as gerbils.

Middle Eastern outbreak

The plague struck various regions in the Middle East during the pandemic, leading to serious depopulation and permanent change in both economic and social structures. It may have spread from Central Asia with the Mongols to a trading post in Crimea, called Kaffa, controlled by the Republic of Genoa. As infected rodents infected new rodents, the disease spread across the region, including South Africa entering also from southern Russia. By autumn 1347, the plague reached Alexandria in Egypt, through the port's trade with Constantinople, and ports on the Black Sea. During 1347, the disease travelled eastward to Gaza, and north along the eastern coast to cities in modern Lebanon, Syria, Israel and Palestine, including Ashkelon, Acre, Jerusalem, Sidon, Damascus, Homs, and Aleppo. Within two years, the plague had spread throughout the entire Muslim empire from Arabia across North Africa. In 1348–1349, the disease reached Antioch. The city's residents fled to the north, but most of them ended up dying during the journey.

Mecca became infected in 1349. During the same year, records show the city of Mosul suffered a massive epidemic, and the city of Baghdad experienced a second round of the disease. 

Muslim religious scholars taught that the plague was a “martyrdom and mercy” from God, assuring the believer's place in paradise. For non-believers, it was a punishment. Some Muslim doctors cautioned against trying to prevent or treat a disease sent by God. Others adopted many of the same preventive measures and treatments for the plague used by the Europeans. These Muslim doctors also depended on the writings of the ancient Greeks.

Signs and symptoms

A hand showing how acral gangrene of the fingers due to bubonic plague causes the skin and flesh to die and turn black
 
An inguinal bubo on the upper thigh of a person infected with bubonic plague. Swollen lymph nodes (buboes) often occur in the neck, armpit and groin (inguinal) regions of plague victims.

Contemporary accounts of the plague are often varied or imprecise. The most commonly noted symptom was the appearance of buboes (or gavocciolos) in the groin, the neck and armpits, which oozed pus and bled when opened. Boccaccio's description:
In men and women alike it first betrayed itself by the emergence of certain tumours in the groin or armpits, some of which grew as large as a common apple, others as an egg ... From the two said parts of the body this deadly gavocciolo soon began to propagate and spread itself in all directions indifferently; after which the form of the malady began to change, black spots or livid making their appearance in many cases on the arm or the thigh or elsewhere, now few and large, now minute and numerous. As the gavocciolo had been and still was an infallible token of approaching death, such also were these spots on whomsoever they showed themselves.
The only medical detail that is questionable in Boccaccio's description is that the gavocciolo was an "infallible token of approaching death", as, if the bubo discharges, recovery is possible.

This was followed by acute fever and vomiting of blood. Most victims died two to seven days after initial infection. Freckle-like spots and rashes, which could have been caused by flea-bites, were identified as another potential sign of the plague.

Some accounts, like that of Lodewijk Heyligen, whose master the Cardinal Colonna died of the plague in 1348, noted a distinct form of the disease that infected the lungs and led to respiratory problems and is identified with pneumonic plague.
It is said that the plague takes three forms. In the first people suffer an infection of the lungs, which leads to breathing difficulties. Whoever has this corruption or contamination to any extent cannot escape but will die within two days. Another form ... in which boils erupt under the armpits, ... a third form in which people of both sexes are attacked in the groin.

Causes

The Oriental rat flea (Xenopsylla cheopis) engorged with blood. This species of flea is the primary vector for the transmission of Yersinia pestis, the organism responsible for spreading bubonic plague in most plague epidemics. Both male and female fleas feed on blood and can transmit the infection.
 
Oriental rat flea (Xenopsylla cheopis) infected with the Yersinia pestis bacterium which appears as a dark mass in the gut. The foregut (proventriculus) of this flea is blocked by a Y. pestis biofilm; when the flea feeds on an uninfected host Y. pestis is regurgitated into the wound, causing infection.
 
Yersinia pestis (200× magnification), the bacterium which causes bubonic plague
 
Medical knowledge had stagnated during the Middle Ages. The most authoritative account at the time came from the medical faculty in Paris in a report to the king of France that blamed the heavens, in the form of a conjunction of three planets in 1345 that caused a "great pestilence in the air". This report became the first and most widely circulated of a series of plague tracts that sought to give advice to sufferers. That the plague was caused by bad air became the most widely accepted theory at the time, the miasma theory. The word plague did not at first refer to a specific illness, and only the recurrence of outbreaks during the Middle Ages gave it the meaning which persists in modern medicine. 

The importance of hygiene was recognised only in the nineteenth century; until then streets were commonly filthy, with live animals of all sorts around and human parasites abounding, facilitating the spread of transmissible disease. One early medical advance as a result of the Black Death was the establishment of the idea of quarantine in the city-state of Ragusa (modern Dubrovnik, Croatia) in 1377 after continuing outbreaks.

Today, the dominant explanation for the Black Death is the plague theory, which attributes the outbreak to Yersinia pestis, also responsible for an epidemic that began in southern China in 1865, eventually spreading to India. The investigation of the pathogen that caused the 19th-century plague was begun by teams of scientists who visited Hong Kong in 1894, among whom was the French-Swiss bacteriologist Alexandre Yersin, after whom the pathogen was named. The mechanism by which Y. pestis is usually transmitted was established in 1898 by Paul-Louis Simond and was found to involve the bites of fleas whose midguts had become obstructed by replicating Y. pestis several days after feeding on an infected host. This blockage starves the fleas and drives them to aggressive feeding behaviour and attempts to clear the blockage by regurgitation, resulting in thousands of plague bacteria being flushed into the feeding site, infecting the host. The bubonic plague mechanism was also dependent on two populations of rodents: one resistant to the disease, which act as hosts, keeping the disease endemic, and a second that lack resistance. When the second population dies, the fleas move on to other hosts, including people, thus creating a human epidemic.

The historian Francis Aidan Gasquet wrote about the Great Pestilence in 1893 and suggested that "it would appear to be some form of the ordinary Eastern or bubonic plague". He was able to adopt the epidemiology of the bubonic plague for the Black Death for the second edition in 1908, implicating rats and fleas in the process, and his interpretation was widely accepted for other ancient and medieval epidemics, such as the Plague of Justinian that was prevalent in the Eastern Roman Empire from 541 to 700 CE.

An estimate of the case fatality rate for the modern bubonic plague, following the introduction of antibiotics, is 11%, although it may be higher in underdeveloped regions. Symptoms of the disease include fever of 38–41 °C (100–106 °F), headaches, painful aching joints, nausea and vomiting, and a general feeling of malaise. Left untreated, of those that contract the bubonic plague, 80 percent die within eight days. Pneumonic plague has a mortality rate of 90 to 95 percent. Symptoms include fever, cough, and blood-tinged sputum. As the disease progresses, sputum becomes free-flowing and bright red. Septicemic plague is the least common of the three forms, with a mortality rate near 100%. Symptoms are high fevers and purple skin patches (purpura due to disseminated intravascular coagulation). In cases of pneumonic and particularly septicemic plague, the progress of the disease is so rapid that there would often be no time for the development of the enlarged lymph nodes that were noted as buboes.

A number of alternative theories, implicating other diseases in the Black Death pandemic, have also been proposed by some modern scientist.

DNA evidence

Skeletons in a mass grave from 1720–1721 in Martigues, France, yielded molecular evidence of the orientalis strain of Yersinia pestis, the organism responsible for bubonic plague. The second pandemic of bubonic plague was active in Europe from 1347, the beginning of the Black Death, until 1750.

In 1998, Drancourt et al. reported the detection of Y. pestis DNA in human dental pulp from a medieval grave. Another team led by Tom Gilbert cast doubt on this identification and the techniques employed, stating that this method "does not allow us to confirm the identification of Y. pestis as the aetiological agent of the Black Death and subsequent plagues. In addition, the utility of the published tooth-based ancient DNA technique used to diagnose fatal bacteraemias in historical epidemics still awaits independent corroboration".

Definitive confirmation of the role of Y. pestis arrived in 2010 with a publication in PLOS Pathogens by Haensch et al. They assessed the presence of DNA/RNA with polymerase chain reaction (PCR) techniques for Y. pestis from the tooth sockets in human skeletons from mass graves in northern, central and southern Europe that were associated archaeologically with the Black Death and subsequent resurgences. The authors concluded that this new research, together with prior analyses from the south of France and Germany, "ends the debate about the cause of the Black Death, and unambiguously demonstrates that Y. pestis was the causative agent of the epidemic plague that devastated Europe during the Middle Ages". In 2011, these results were further confirmed with genetic evidence derived from Black Death victims in the East Smithfield burial site in England. Schuenemann et al. concluded in 2011 "that the Black Death in medieval Europe was caused by a variant of Y. pestis that may no longer exist."

Later in 2011, Bos et al. reported in Nature the first draft genome of Y. pestis from plague victims from the same East Smithfield cemetery and indicated that the strain that caused the Black Death is ancestral to most modern strains of Y. pestis.

Since this time, further genomic papers have further confirmed the phylogenetic placement of the Y. pestis strain responsible for the Black Death as both the ancestor of later plague epidemics including the third plague pandemic and as the descendant of the strain responsible for the Plague of Justinian. In addition, plague genomes from significantly earlier in prehistory have been recovered.

DNA taken from 25 skeletons from 14th century London have shown the plague is a strain of Y. pestis almost identical to that which hit Madagascar in 2013.

Alternative explanations

The plague theory implicating Y. pestis was first significantly challenged by the work of British bacteriologist J. F. D. Shrewsbury in 1970, who noted that the reported rates of mortality in rural areas during the 14th-century pandemic were inconsistent with the modern bubonic plague, leading him to conclude that contemporary accounts were exaggerations. In 1984, zoologist Graham Twigg produced the first major work to challenge the bubonic plague theory directly, and his doubts about the identity of the Black Death have been taken up by a number of authors, including Samuel K. Cohn, Jr. (2002 and 2013), David Herlihy (1997), and Susan Scott and Christopher Duncan (2001).

It is recognised that an epidemiological account of the plague is as important as an identification of symptoms, but researchers are hampered by the lack of reliable statistics from this period. Most work has been done on the spread of the plague in England, and even estimates of overall population at the start vary by over 100% as no census was undertaken between the time of publication of the Domesday Book and poll tax of the year 1377. Estimates of plague victims are usually extrapolated from figures for the clergy. 

In addition to arguing that the rat population was insufficient to account for a bubonic plague pandemic, sceptics of the bubonic plague theory point out that the symptoms of the Black Death are not unique (and arguably in some accounts may differ from bubonic plague); that transference via fleas in goods was likely to be of marginal significance; and that the DNA results may be flawed and might not have been repeated elsewhere or were not replicable at all, despite extensive samples from other mass graves. Other arguments include the lack of accounts of the death of rats before outbreaks of plague between the 14th and 17th centuries; temperatures that are too cold in northern Europe for the survival of fleas; that, despite primitive transport systems, the spread of the Black Death was much faster than that of modern bubonic plague; that mortality rates of the Black Death appear to be very high; that, while modern bubonic plague is largely endemic as a rural disease, the Black Death indiscriminately struck urban and rural areas; and that the pattern of the Black Death, with major outbreaks in the same areas separated by 5 to 15 years, differs from modern bubonic plague—which often becomes endemic for decades with annual flare-ups.

McCormick has suggested that earlier archaeologists were simply not interested in the "laborious" processes needed to discover rat remains. Walløe complains that all of these authors "take it for granted that Simond's infection model, black rat → rat flea → human, which was developed to explain the spread of plague in India, is the only way an epidemic of Yersinia pestis infection could spread", whilst pointing to several other possibilities. Similarly, Green has argued that greater attention is needed to the range of (especially non-commensal) animals that might be involved in the transmission of plague.

Anthrax skin lesion

A variety of alternatives to Y. pestis have been put forward. Twigg suggested that the cause was a form of anthrax, and Norman Cantor thought it may have been a combination of anthrax and other pandemics. Scott and Duncan have argued that the pandemic was a form of infectious disease that they characterise as hemorrhagic plague similar to Ebola. Archaeologist Barney Sloane has argued that there is insufficient evidence of the extinction of numerous rats in the archaeological record of the medieval waterfront in London and that the plague spread too quickly to support the thesis that Y. pestis was spread from fleas on rats; he argues that transmission must have been person to person. This theory is supported by research in 2018 which suggested transmission was more likely by body lice and human fleas during the second plague pandemic.

However, no single alternative solution has achieved widespread acceptance. Many scholars arguing for Y. pestis as the major agent of the pandemic suggest that its extent and symptoms can be explained by a combination of bubonic plague with other diseases, including typhus, smallpox and respiratory infections. In addition to the bubonic infection, others point to additional septicemic (a type of "blood poisoning") and pneumonic (an airborne plague that attacks the lungs before the rest of the body) forms of the plague, which lengthen the duration of outbreaks throughout the seasons and help account for its high mortality rate and additional recorded symptoms. In 2014, Public Health England announced the results of an examination of 25 bodies exhumed in the Clerkenwell area of London, as well as of wills registered in London during the period, which supported the pneumonic hypothesis.

The historian George Hussman claimed that the plague had not occurred in East Africa until the 1900s. However, other sources suggest that the Second pandemic did indeed reach Sub-Saharan Africa.

Consequences

Death toll

Citizens of Tournai bury plague victims

There are no exact figures for the death toll; the rate varied widely by locality. In urban centres, the greater the population before the outbreak, the longer the duration of the period of abnormal mortality. It killed some 75 to 200 million people in Eurasia. According to medieval historian Philip Daileader in 2007:
The trend of recent research is pointing to a figure more like 45–50% of the European population dying during a four-year period. There is a fair amount of geographic variation. In Mediterranean Europe, areas such as Italy, the south of France and Spain, where plague ran for about four years consecutively, it was probably closer to 75–80% of the population. In Germany and England ... it was probably closer to 20%.
A death rate as high as 60% in Europe has been suggested by Norwegian historian Ole Benedictow:
Detailed study of the mortality data available points to two conspicuous features in relation to the mortality caused by the Black Death: namely the extreme level of mortality caused by the Black Death, and the remarkable similarity or consistency of the level of mortality, from Spain in southern Europe to England in north-western Europe. The data is sufficiently widespread and numerous to make it likely that the Black Death swept away around 60 per cent of Europe's population. It is generally assumed that the size of Europe's population at the time was around 80 million. This implies that around 50 million people died in the Black Death.
Half of Paris's population of 100,000 people died. In Italy, the population of Florence was reduced from 110,000–120,000 inhabitants in 1338 down to 50,000 in 1351. At least 60% of the population of Hamburg and Bremen perished, and a similar percentage of Londoners may have died from the disease as well. In London approximately 62,000 people died between 1346 and 1353. While contemporary reports account of mass burial pits being created in response to the large numbers of dead, recent scientific investigations of a burial pit in Central London found well-preserved individuals to be buried in isolated, evenly spaced graves, suggesting at least some pre-planning and Christian burials at this time. Before 1350, there were about 170,000 settlements in Germany, and this was reduced by nearly 40,000 by 1450. In 1348, the plague spread so rapidly that before any physicians or government authorities had time to reflect upon its origins, about a third of the European population had already perished. In crowded cities, it was not uncommon for as much as 50% of the population to die. The disease bypassed some areas, and the most isolated areas were less vulnerable to contagion. Monks, nuns and priests were especially hard-hit since they cared for victims of the Black Death.

The most widely accepted estimate for the Middle East, including Iraq, Iran and Syria, during this time, is for a death toll of about a third of the population. The Black Death killed about 40% of Egypt's population.

Economic

With such a large population decline from the plague, wages soared in response to a labor shortage. Landowners were also pushed to substitute monetary rents for labour services in an effort to keep tenants.

Environmental

Some historians believe the innumerable deaths brought on by the plague cooled the climate by freeing up land and triggering reforestation. This may have led to the Little Ice Age.

Persecutions

Inspired by the Black Death, The Dance of Death, or Danse Macabre, an allegory on the universality of death, was a common painting motif in the late medieval period.
 
Renewed religious fervour and fanaticism bloomed in the wake of the Black Death. Some Europeans targeted "various groups such as Jews, friars, foreigners, beggars, pilgrims", lepers, and Romani, blaming them for the crisis. Lepers, and others with skin diseases such as acne or psoriasis, were killed throughout Europe.

Because 14th-century healers and governments were at a loss to explain or stop the disease, Europeans turned to astrological forces, earthquakes, and the poisoning of wells by Jews as possible reasons for outbreaks. Many believed the epidemic was a punishment by God for their sins, and could be relieved by winning God's forgiveness.

There were many attacks against Jewish communities. In the Strasbourg massacre of February 1349, about 2,000 Jews were murdered. In August 1349, the Jewish communities in Mainz and Cologne were annihilated. By 1351, 60 major and 150 smaller Jewish communities had been destroyed. During this period many Jews relocated to Poland, where they received a warm welcome from King Casimir the Great.

Second plague pandemic

The Great Plague of London, in 1665, killed up to 100,000 people.

The plague repeatedly returned to haunt Europe and the Mediterranean throughout the 14th to 17th centuries. According to Biraben, the plague was present somewhere in Europe in every year between 1346 and 1671. (Note that some researchers  have cautions about the uncritical use of Biraben's data.) The second pandemic was particularly widespread in the following years: 1360–1363; 1374; 1400; 1438–1439; 1456–1457; 1464–1466; 1481–1485; 1500–1503; 1518–1531; 1544–1548; 1563–1566; 1573–1588; 1596–1599; 1602–1611; 1623–1640; 1644–1654; and 1664–1667. Subsequent outbreaks, though severe, marked the retreat from most of Europe (18th century) and northern Africa (19th century). According to Geoffrey Parker, "France alone lost almost a million people to the plague in the epidemic of 1628–31."

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 subsided, but further outbreaks occurred in 1361–1362, 1369, 1379–1383, 1389–1393, and throughout the first half of the 15th century. An outbreak in 1471 took as much as 10–15% of the population, while the death rate of the plague of 1479–1480 could have been as high as 20%. The most general outbreaks in Tudor and Stuart England seem to have begun in 1498, 1535, 1543, 1563, 1589, 1603, 1625, and 1636, and ended with the Great Plague of London in 1665.

Contemporary engraving of Marseille during the Great Plague in 1720

In 1466, perhaps 40,000 people died of the plague in Paris. During the 16th and 17th centuries, the plague was present in Paris around 30 percent of the time. The Black Death ravaged Europe for three years before it continued on into Russia, where the disease was present somewhere in the country 25 times between 1350 and 1490. Plague epidemics ravaged London in 1563, 1593, 1603, 1625, 1636, and 1665, reducing its population by 10 to 30% during those years. Over 10% of Amsterdam's population died in 1623–1625, and again in 1635–1636, 1655, and 1664. Plague occurred in Venice 22 times between 1361 and 1528. The plague of 1576–1577 killed 50,000 in Venice, almost a third of the population. Late outbreaks in central Europe included the Italian Plague of 1629–1631, which is associated with troop movements during the Thirty Years' War, and the Great Plague of Vienna in 1679. Over 60% of Norway's population died in 1348–1350. The last plague outbreak ravaged Oslo in 1654.

A plague doctor and his typical apparel during the 17th Century Outbreak.

In the first half of the 17th century, a plague claimed some 1.7 million victims in Italy, or about 14% of the population. In 1656, the Naples Plague killed about half of Naples' 300,000 inhabitants. More than 1.25 million deaths resulted from the extreme incidence of plague in 17th-century Spain. The plague of 1649 probably reduced the population of Seville by half. In 1709–1713, a plague epidemic that followed the Great Northern War (1700–1721, Sweden v. Russia and allies) killed about 100,000 in Sweden, and 300,000 in Prussia. The plague killed two-thirds of the inhabitants of Helsinki, and claimed a third of Stockholm's population. Western Europe's last major epidemic occurred in 1720 in Marseille. The 1770–1772 Russian plague killed up to 100,000 people in Moscow. An estimated 60,000 people died during the Caragea's plague in 1813–1814, 20–30,000 of them in Bucharest.

Contemporary engraving of Naples during the Naples Plague in 1656

The Black Death ravaged much of the Islamic world. Plague was present in at least one location in the Islamic world virtually every year between 1500 and 1850. Plague repeatedly struck the cities of North Africa. Algiers lost 30,000–50,000 inhabitants to it in 1620–1621, and again in 1654–1657, 1665, 1691, and 1740–1742. Plague remained a major event in Ottoman society until the second quarter of the 19th century. Between 1701 and 1750, thirty-seven larger and smaller epidemics were recorded in Constantinople, and an additional thirty-one between 1751 and 1800. Baghdad has suffered severely from visitations of the plague, and sometimes two-thirds of its population has been wiped out.

Social

One theory that has been advanced is that the devastation in Florence caused by the Black Death, which hit Europe between 1348 and 1350, resulted in a shift in the world view of people in 14th-century Italy and led to the Renaissance. Italy was particularly badly hit by the plague, and it has been speculated that the resulting familiarity with death caused thinkers to dwell more on their lives on Earth, rather than on spirituality and the afterlife. It has also been argued that the Black Death prompted a new wave of piety, manifested in the sponsorship of religious works of art. However, this does not fully explain why the Renaissance occurred specifically in Italy in the 14th century. The Black Death was a pandemic that affected all of Europe in the ways described, not only Italy. The Renaissance's emergence in Italy was most likely the result of the complex interaction of the above factors, in combination with an influx of Greek scholars following the fall of the Byzantine Empire.

Pieter Bruegel's The Triumph of Death reflects the social upheaval and terror that followed plague, which devastated medieval Europe.
 
The plague was carried by fleas on sailing vessels returning from the ports of Asia, spreading quickly due to lack of proper sanitation: the population of England, then about 4.2 million, lost 1.4 million people to the bubonic plague. Florence's population was nearly halved in the year 1347. As a result of the decimation in the populace the value of the working class increased, and commoners came to enjoy more freedom. To answer the increased need for labor, workers traveled in search of the most favorable position economically.

The demographic decline due to the plague had economic consequences: the prices of food dropped and land values declined by 30–40% in most parts of Europe between 1350 and 1400. Landholders faced a great loss, but for ordinary men and women it was a windfall. The survivors of the plague found not only that the prices of food were cheaper but also that lands were more abundant, and many of them inherited property from their dead relatives, and this probably destabilized feudalism

The spread of disease was significantly more rampant in areas of poverty. Epidemics ravaged cities, particularly children. Plagues were easily spread by lice, unsanitary drinking water, armies, or by poor sanitation. Children were hit the hardest because many diseases, such as typhus and congenital syphilis, target the immune system, leaving young children without a fighting chance. Children in city dwellings were more affected by the spread of disease than the children of the wealthy.
Italian chronicler Agnolo di Tura recorded his experience from Siena:
Father abandoned child, wife husband, one brother another; for this illness seemed to strike through the breath and sight. And so they died. And none could be found to bury the dead for money or friendship. Members of a household brought their dead to a ditch as best they could, without priest, without divine offices ... great pits were dug and piled deep with the multitude of dead. And they died by the hundreds both day and night ... 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 there were also those who were so sparsely covered with earth that the dogs dragged them forth and devoured many bodies throughout the city. There was no one who wept for any death, for all awaited death. And so many died that all believed it was the end of the world.
The Black Death caused greater upheaval to Florence's social and political structure than later epidemics. Despite a significant number of deaths among members of the ruling classes, the government of Florence continued to function during this period. Formal meetings of elected representatives were suspended during the height of the epidemic due to the chaotic conditions in the city, but a small group of officials was appointed to conduct the affairs of the city, which ensured continuity of government.

Third plague pandemic

Worldwide distribution of plague-infected animals, 1998

The third plague pandemic (1855–1859) started in China in the mid-19th century, spreading to all inhabited continents and killing 10 million people in India alone. Twelve plague outbreaks in Australia between 1900 and 1925 resulted in well over 1,000 deaths, chiefly in Sydney. This led to the establishment of a Public Health Department there which undertook some leading-edge research on plague transmission from rat fleas to humans via the bacillus Yersinia pestis.

The first North American plague epidemic was the San Francisco plague of 1900–1904, followed by another outbreak in 1907–1908.

Modern treatment methods include insecticides, the use of antibiotics, and a plague vaccine. It is feared that the plague bacterium could develop drug resistance and again become a major health threat. One case of a drug-resistant form of the bacterium was found in Madagascar in 1995. A further outbreak in Madagascar was reported in November 2014. In October 2017 the deadliest outbreak of the plague in modern times hit Madagascar, killing 170 people and infecting thousands.

Reproductive rights

From Wikipedia, the free encyclo...