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English

The Black Death

The word quarantine comes from quaranta, Italian for forty, the number of days some ports made travellers wait after the Black Death.

1 Cemeteries near Lake Issyk-Kul, Kyrgyzstan, with gravestones of 1338 and 1339, 2 the lower Volga, heart of the Golden Horde, 3 Caffa in Crimea (1346), 4 Constantinople (1347), 5 Messina (October 1347), 6 Marseille, 7 Florence and 8 Paris (all 1348), 9 Melcombe in southern England (1348), 10 Ragusa, now Dubrovnik (quarantine law, 1377). The dashed line is a simplified picture of the spread, not an exact route. A Caspian Sea, B Black Sea, C Mediterranean.

A disease from central Asia

The Black Death was an epidemic of plague, caused by the bacterium Yersinia pestis, that swept across western Asia, North Africa and Europe from 1346 to 1353. Plague lives in wild rodents such as marmots and is passed on by the bite of their fleas. It can spread through rats that live close to people, and in its pneumonic form, when it infects the lungs, it passes from person to person in coughed droplets. For a long time the starting point was argued over. In 2022 a team publishing in Nature recovered plague DNA from people buried in two cemeteries, Kara-Djigach and Burana, near Lake Issyk-Kul in modern Kyrgyzstan, where gravestones dated 1338 and 1339 give pestilence as the cause of death. The ancient genomes sit right at the point where the plague strains linked to the Black Death branch out, which supports a start in that part of central Eurasia about eight years before plague reached the Black Sea.

From Caffa to Messina

By 1346 plague had reached the Golden Horde on the lower Volga and the shores of the Black Sea. That year the khan Janibeg was besieging Caffa, a Genoese trading port in Crimea, today Feodosia. A notary from Piacenza, Gabriele de’ Mussi, later wrote that the besiegers, dying of plague, threw corpses over the walls with catapults. He was probably not there, and historians doubt this was how the disease got in, since rats and fleas cross walls easily. Whatever the route, ships carried plague west. It reached Constantinople in 1347, and by October 1347 it was in Messina in Sicily; a Franciscan friar, Michele da Piazza, wrote about ten years later that it arrived on twelve Genoese galleys. From the ports it moved inland along roads and rivers. Marseille, Florence and Paris were struck in 1348. Britannica says it reached southern England in 1348 and northern Britain and Scandinavia by 1350.

How many died

No one counted the dead reliably at the time, so historians work from tax lists, church records and the rolls of manor courts (unit 4). Britannica estimates that about 25 million people died in Europe between 1347 and 1351, a figure often summed up as a third of the population; some modern estimates go higher, to half or more, and the toll varied greatly from place to place. In crowded towns it was not unusual for half the people to die. Giovanni Boccaccio described Florence in 1348 at the start of the Decameron: neighbours stopped visiting the sick, some parents abandoned their children, and when the churchyards were full the dead were laid in great trenches, layer upon layer, like cargo in a ship. Plague came back every decade or two for centuries, and Europe’s population took more than a century to recover.

What people did, and what changed

Physicians of the time blamed bad air, miasma, or the stars; in 1348 the medical faculty of Paris pointed to a conjunction of Saturn, Jupiter and Mars in 1345. Some people joined processions of flagellants who whipped themselves in public penance. In many towns of the Rhineland and beyond, Jews were falsely accused of poisoning wells and murdered, even though Pope Clement VI issued bulls in 1348 rejecting the accusation. Towns also tried practical measures. On 27 July 1377 the Great Council of Ragusa (Dubrovnik) ordered that newcomers from plague areas spend 30 days in isolation before entering the city; in the following decades the period was stretched to 40 days, the quarantine. In the longer run, with far fewer workers, surviving peasants could demand higher wages and better terms. In England the Ordinance of Labourers (1349) and the Statute of Labourers (1351) tried to hold wages at the old level, and the resentment fed into the Peasants’ Revolt of 1381.

BackgroundBoccaccio built his most famous book on the plague. In the Decameron, seven young women and three young men meet in the church of Santa Maria Novella in Florence in 1348 and decide to escape the dying city for villas in the hills. To pass the time they agree that each of them will tell one story a day. Over ten days that makes a hundred stories, comic, sad and often rude, about merchants, priests, lovers and tricksters. The frame is grim, but the stories are mostly about ordinary life going on, which is one reason the book was read so widely and is still in print.
Plague still exists in wild rodents in parts of Africa, Asia and the Americas and today is treated with antibiotics. This unit is history, not medical advice.
  • 1338: Pestilence gravestones near Lake Issyk-Kul (1338 and 1339)
  • 1345: Planetary conjunction later blamed by Paris physicians
  • 1346: Plague at Caffa and on the lower Volga
  • 1347: Constantinople; Messina in October
  • 1348: Florence, Marseille, Paris, southern England
  • 1349: Ordinance of Labourers in England
  • 1350: Northern Britain and Scandinavia reached
  • 1351: Statute of Labourers
  • 1377: Ragusa orders 30 days of isolation, 27 July
  • 1381: Peasants’ Revolt in England
Yersinia pestisThe bacterium that causes plague
Bubonic plagueForm spread by flea bites, with swollen lymph nodes (buboes)
Pneumonic plagueLung form, spread person to person by coughing
CaffaGenoese port in Crimea besieged in 1346
MiasmaBad air, the medieval explanation for disease
FlagellantsPenitents who whipped themselves in processions
QuarantineFrom quaranta, forty days of waiting
Statute of LabourersEnglish law of 1351 to hold wages down
  1. What causes plague?
    • The bacterium Yersinia pestis
    • Bad air
    • A conjunction of planets
  2. Where did a 2022 DNA study find early victims of the Black Death strain?
    • Near Lake Issyk-Kul in Kyrgyzstan
    • In Caffa
    • In Messina
  3. Which Sicilian port did plague reach in October 1347?
    • Messina
    • Palermo
    • Syracuse
  4. What did the Paris medical faculty blame in 1348?
    • A conjunction of Saturn, Jupiter and Mars
    • Fleas on rats
    • Bacteria in water
  5. Why did wages rise after the Black Death?
    • There were far fewer workers
    • Gold was discovered
    • Kings ordered higher pay
  6. What did Ragusa order in 1377?
    • 30 days of isolation for newcomers from plague areas
    • Closing the port for ever
    • Burning all foreign ships
  7. What is the frame story of the Decameron?
    • Ten young people flee plague and tell 100 stories
    • A doctor’s diary of the plague
    • A king’s law against the plague
  8. Ragusa first required 30 days; the later rule was 40. How many extra days was that?
  9. A town of 12,000 people loses one third of them to plague. How many die?
  10. Put these events in order, earliest first.
Sources: Spyrou et al., “The source of the Black Death in fourteenth-century central Eurasia”, Nature 606 (2022); Britannica, “Black Death” (about 25 million deaths in Europe, 1347 to 1351); CDC Emerging Infectious Diseases, “Etymologia: Quarantine” (2013) and “Lessons from the History of Quarantine” (2013); Emerging Infectious Diseases, “The Old Port of Dubrovnik” (2002, decree of 27 July 1377); Boccaccio, Decameron, introduction to the first day.
Sources for this course (9)
  • The Met Heilbrunn Timeline essay "The Byzantine State under Justinian I" (metmuseum.org/essays) and Met object 1993.256, Safe Conduct Pass (Paiza) in Phags-pa script
  • British Museum, "The Anglo-Saxon ship burial at Sutton Hoo" and "The Bayeux Tapestry" exhibition page (britishmuseum.org)
  • The National Archives, "Domesday Book" research guide (nationalarchives.gov.uk)
  • Britannica: "Black Death", "Mongol empire", "Genghis Khan", "Battle of Hattin"
  • Spyrou et al., "The source of the Black Death in fourteenth-century central Eurasia", Nature 606 (2022)
  • CDC Emerging Infectious Diseases, "Etymologia: Quarantine" (2013) and "Lessons from the History of Quarantine" (2013)
  • Library of Congress, The Canon of Medicine record (loc.gov/item/2021667335)
  • Fordham University Internet Medieval Sourcebook, "Urban II: Speech at Council of Clermont, 1095"
  • Natural Earth coastlines (public domain).

Checked: 2026-10-17