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A HISTORY OF EPIDEMICS IN BRITAIN.




  London: C. J. CLAY AND SONS,
  CAMBRIDGE UNIVERSITY PRESS WAREHOUSE,
  AND
  H. K. LEWIS,
  136, GOWER STREET, W.C.

  Cambridge: DEIGHTON, BELL AND CO.
  Leipzig: F. A. BROCKHAUS.
  New York: MACMILLAN AND CO.




  A HISTORY OF EPIDEMICS IN BRITAIN

  from A.D. 664 to the Extinction of Plague


  BY CHARLES CREIGHTON, M.A., M.D.,
  FORMERLY DEMONSTRATOR OF ANATOMY IN THE UNIVERSITY OF CAMBRIDGE.


  CAMBRIDGE:
  AT THE UNIVERSITY PRESS.
  1891

  [_All rights reserved._]




  Cambridge:
  PRINTED BY C. J. CLAY, M.A. AND SONS,
  AT THE UNIVERSITY PRESS.




PREFACE.


The title and contents-table of this volume will show sufficiently its
scope, and a glance at the references in the several chapters will show
its sources. But it may be convenient to premise a few general remarks
under each of those heads. The date 664 A.D. has been chosen as a
starting-point, for the reason that it is the year of the first pestilence
in Britain recorded on contemporary or almost contemporary authority, that
of Beda’s ‘Ecclesiastical History.’ The other limit of the volume, the
extinction of plague in 1665-66, marks the end of a long era of epidemic
sickness, which differed much in character from the era next following. At
or near the Restoration we come, as it were, to the opening of a new seal
or the outpouring of another vial. The history proceeds thenceforth on
other lines and comes largely from sources of another kind; allowing for a
little overlapping about the middle of the seventeenth century, it might
be continued from 1666 almost without reference to what had gone before.
The history is confined to Great Britain and Ireland, except in Chapter
XI. which is occupied with the first Colonies and the early voyages,
excepting also certain sections of other chapters, where the history has
to trace the antecedents of some great epidemic sickness on a foreign
soil.

The sources of the work have been the ordinary first-hand sources of
English history in general. In the medieval period these include the
monastic histories, chronicles, lives, or the like (partly in the editions
of Gale, Savile, Twysden, and Hearne, and of the English Historical
Society, but chiefly in the great series edited for the Master of the
Rolls), the older printed collections of State documents, and, for the
Black Death, the recently published researches upon the rolls of manor
courts and upon other records. From near the beginning of the Tudor
period, the Calendars of State Papers (Domestic, Foreign, and Colonial),
become an invaluable source of information for the epidemiologist just as
for other historians. Also the Reports of the Historical Manuscripts
Commission, together with its Calendars of private collections of papers,
have yielded a good many facts. Many exact data, relating more
particularly to local outbreaks of plague, have been found in the county,
borough, and parish histories, which are of very unequal value for the
purpose and are often sadly to seek in the matter of an index. The
miscellaneous sources drawn upon have been very numerous, perhaps more
numerous, from the nature of the subject, than in most other branches of
history.

Medical books proper are hardly available for a history of English
epidemics until the Elizabethan period, and they do not begin to be really
important for the purpose until shortly before the date at which the
present history ends. These have been carefully sought for, most of the
known books having been met with and examined closely for illustrative
facts. In the latter part of the seventeenth century the best English
writers on medicine occupied themselves largely with the epidemics of
their own time, and the British school of epidemiology, which took a
distinguished start with Willis, Sydenham and Morton, was worthily
continued by many writers throughout the eighteenth century; so that the
history subsequent to the period here treated of becomes more and more
dependent upon medical sources, and of more special interest to the
profession itself.

Reference has been made not unfrequently to manuscripts; of which the more
important that have been used (for the first time) are a treatise on the
Sweating Sickness of 1485 by a contemporary physician in London, two
original London plague-bills of the reign of Henry VIII., and a valuable
set of tables of the weekly burials and christenings in London for five
years (almost complete) from 1578 to 1583, among the Cecil papers--these
last by kind permission of the Marquis of Salisbury.

Collecting materials for a British epidemiology from these various sources
is not an easy task; had it been so, it would hardly have been left to be
done, or, so far as one knows, even attempted, for the first time at so
late a period. Where the sources of information are so dispersed and
casual it is inevitable that some things should have been overlooked: be
the omissions few or many, they would certainly have been more but for
suggestions and assistance kindly given from time to time by various
friends.

The materials being collected, it remained to consider how best to use
them. The existing national epidemiologies, such as that of Italy by
Professor Corradi or the older ‘Epidemiologia Española’ of Villalba, are
in the form of Annals. But it seemed practicable, without sacrificing a
single item of the chronology, to construct from the greater events of
sickness in the national annals a systematic history that should touch and
connect with the general history at many points and make a volume
supplementary to the same. Such has been the attempt; and in estimating
the measure of its success it may be kept in mind that it is the first of
the kind, British or foreign, in its own department. The author can hardly
hope to have altogether escaped errors in touching upon the general
history of the country over so long a period; but he has endeavoured to go
as little as possible outside his proper province and to avoid making
gratuitous reflections upon historical characters and events. The greater
epidemic diseases have, however, been discussed freely--from the
scientific side or from the point of view of their theory.

It remains to acknowledge the liberality of the Syndics of the Cambridge
University Press in the matter of publication, and the friendly interest
taken in the work by their Chairman, the Master of Peterhouse.

_November, 1891._




CONTENTS.


                                                                      PAGE

  CHAPTER I.

  PESTILENCES PREVIOUS TO THE BLACK DEATH, CHIEFLY FROM FAMINES.

  The plague of 664-684 described by Beda, and its probable
  relation to the plague of Justinian’s reign, 542-                      4

  Other medieval epidemics not from famine                               9

  Chronology of Famine Sicknesses, with full accounts of those
  of 1194-7, 1257-9, and 1315-16                                        15

  Few traces of epidemics of Ergotism; reason of England’s
  immunity from _ignis sacer_                                           52

  Generalities on medieval famines in England                           65


  CHAPTER II.

  LEPROSY IN MEDIEVAL BRITAIN.

  Medieval meanings of _lepra_                                          69

  Biblical associations of Leprosy                                      79

  Medieval religious sentiment towards lepers                           81

  Leprosy-prevalence judged by the leper-houses,--their number
  in England, special destination, and duration                         86

  Leper-houses in Scotland and Ireland                                  99

  The prejudice against lepers                                         100

  Laws against lepers                                                  106

  Things favouring Leprosy in the manner of life--Modern analogy
  of Pellagra                                                          107


  CHAPTER III.

  THE BLACK DEATH OF 1348-9.

  Arrival of the Black Death, and progress through Britain, with
  contemporary English and Irish notices of the symptoms               114

  Inquiry into the extent of the mortality                             123

  Antecedents of the Black Death in the East--Overland China
  trade--Favouring conditions in China                                 142

  The Theory of Bubo-Plague                                            156

  Illustrations from modern times                                      163

  Summary of causes, and of European favouring conditions              173


  CHAPTER IV.

  ENGLAND AFTER THE BLACK DEATH, WITH THE EPIDEMICS TO 1485.

  Efforts to renew the war with France                                 177

  Direct social and economic consequences in town and country          180

  More lasting effects on farming, industries and population           190

  Epidemics following the Black Death                                  202

  Medieval English MSS. on Plague                                      208

  The 14th century chronology continued                                215

  The public health in the 15th century                                222

  Chronology of Plagues, 15th century                                  225

  Plague &c. in Scotland and Ireland, 1349-1475                        233


  CHAPTER V.

  THE SWEATING SICKNESS, 1485-1551.

  The First invasion of the Sweat in 1485                              237

  The Second outbreak in 1508                                          243

  The Third Sweat in 1517                                              245

  The Fourth Sweat in 1528                                             250

  Extension of the Fourth Sweat to the Continent in 1529               256

  The Fifth Sweat in 1551                                              259

  Antecedents of the English Sweat                                     265

  Endemic Sweat of Normandy                                            271

  Theory of the English Sweat                                          273

  Extinction of the Sweat in England                                   279


  CHAPTER VI.

  PLAGUE IN THE TUDOR PERIOD.

  Chronology of the outbreaks of Plague in London, provincial
  towns, and the country generally, from 1485 to 1556                  282

  The London Plague of 1563                                            304

  Preventive practice in Plague-time under the Tudors                  309

  Sanitation in Plantagenet and Tudor times                            322

  The disposal of the dead                                             332

  Chronology of Plague 1564-1592--Vital statistics of London
  1578-1583                                                            337

  The London Plague of 1592-1593                                       351

  Plague in the Provinces, 1592-1598                                   356

  Plague in Scotland, 1495-1603--Skene on the Plague (1568)            360

  Plague in Ireland in the Tudor period                                371


  CHAPTER VII.

  GAOL FEVERS, INFLUENZAS, AND OTHER FEVERS IN THE TUDOR PERIOD.

  The Black Assizes of Cambridge, 1522                                 375

  Oxford Black Assizes, 1577                                           376

  Exeter Black Assizes, 1586                                           383

  Increase of Pauperism, Vagrancy, &c. in the Tudor period             387

  Influenzas and other “strange fevers” and fluxes, 1540-1597          397


  CHAPTER VIII.

  THE FRENCH POX.

  Meagreness of English records                                        414

  Evidence of its invasion of Scotland and England, in 1497 and
  subsequent years                                                     417

  English writings on the Pox in the Elizabethan period, with
  some notices for the Stuart period                                   423

  The circumstances of the great European outbreak in 1494--
  Invasion of Italy by Charles VIII.                                   429


  CHAPTER IX.

  SMALLPOX AND MEASLES.

  First accounts of Smallpox in Arabic writings--Nature of the
  disease                                                              439

  European Smallpox in the Middle Ages                                 445

  Measles in medieval writings--Origin of the names “measles”
  and “pocks”                                                          448

  First English notices of Smallpox in the Tudor period                456

  Great increase of Smallpox in the Stuart period                      463

  Smallpox in Continental writings of the 16th century                 467


  CHAPTER X.

  PLAGUE, FEVER AND INFLUENZA FROM THE ACCESSION OF JAMES I.
  TO THE RESTORATION.

  Growth of London in the Tudor and Stuart periods                     471

  The London Plague of 1603                                            474

  Annual Plague in London after 1603                                   493

  Plague in the Provinces, Ireland and Scotland, in 1603 and
  following years                                                      496

  Malignant Fever preceding the Plague of 1625                         504

  The London Plague of 1625                                            507

  Plague in the Provinces in 1625 and following years                  520

  The London Plague of 1636                                            529

  Fever in London and in England generally to 1643                     532

  War Typhus in Oxfordshire &c. and at Tiverton, 1643-44               547

  Plague in the Provinces, Scotland and Ireland during the
  Civil Wars                                                           555

  Fever in England 1651-52                                             566

  The Influenzas or Fevers of 1657-59                                  568


  CHAPTER XI.

  SICKNESSES OF EARLY VOYAGES AND COLONIES.

  Scurvy in the early voyages, north and south                         579

  The remarkable epidemic of Fever in Drake’s expedition of
  1585-6 to the Spanish Main                                           585

  Other instances of ship-fevers, flux, scurvy, &c.                    590

  Scurvy &c. in the East India Company’s ships: the treatment          599

  Sickness of Virginian and New England voyages and colonies           609

  Early West Indian epidemics, including the first of Yellow
  Fever--The Slave Trade                                               613

  The epidemic of 1655-6 at the first planting of Jamaica              634


  CHAPTER XII.

  THE GREAT PLAGUE OF LONDON, AND THE LAST OF PLAGUE IN ENGLAND.

  Literature of the Great Plague                                       646

  Antecedents, beginnings and progress of the London Plague of
  1665                                                                 651

  Mortality and incidents of the Great Plague--Characters of the
  disease                                                              660

  Plague near London and in the Provinces, 1665-66                     679

  The Plague at Eyam 1665-66                                           682

  The Plague at Colchester, 1665-66, and the last of Plague in
  England                                                              688




ERRATA.


At p. 28 line 4, _for_ “for” _read_ “at.” At p. 126 line 2 _for_ “1351”
_read_ “1350;” same change at p. 130, lines 6 and 9. At p. 185 note 1
_read_ “Ochenkowski.” At p. 264 line 18, and at p. 554 line 11 from
bottom, read “_pathognomonicum_.” At p. 401, note 3 _for_ “1658” _read_
“1558.” At p. 420, line 17, _for_ “Henry IV.,” _read_ “Henry V.” At p.
474, line 4, _for_ “more” _read_ “less.” At p. 649 line 22 _omit_
“Hancock.”




CHAPTER I.

PESTILENCES PREVIOUS TO THE BLACK DEATH, CHIEFLY FROM FAMINES.


The Middle Age of European history has no naturally fixed beginning or
ending. The period of Antiquity may be taken as concluded by the fourth
Christian century, or by the fifth or by the sixth; the Modern period may
be made to commence in the fourteenth, or in the fifteenth or in the
sixteenth. The historian Hallam includes a thousand years in the medieval
period, from the invasion of France by Clovis to the invasion of Italy by
Charles VIII. in 1494. We begin, he says, in darkness and calamity, and we
break off as the morning breathes upon us and the twilight reddens into
the lustre of day. To the epidemiologist the medieval period is rounded
more definitely. At the one end comes the great plague in the reign of
Justinian, and at the other end the Black Death. Those are the two
greatest pestilences in recorded history; each has no parallel except in
the other. They were in the march of events, and should not be fixed upon
as doing more than their share in shaping the course of history. But no
single thing stands out more clearly as the stroke of fate in bringing the
ancient civilization to an end than the vast depopulation and solitude
made by the plague which came with the corn-ships from Egypt to Byzantium
in the year 543; and nothing marks so definitely the emergence of Europe
from the middle period of stagnation as the other depopulation and social
upheaval made by the plague which came in the overland track of Genoese
and Venetian traders from China in the year 1347. While many other
influences were in the air to determine the oncoming and the offgoing of
the middle darkness, those two world-wide pestilences were singular in
their respective effects: of the one, we may say that it turned the key of
the medieval prison-house; and of the other, that it unlocked the door
after eight hundred years.

The Black Death and its after-effects will occupy a large part of this
work, so that what has just been said of it will not stand as a bare
assertion. But the plague in the reign of Justinian hardly touches British
history, and must be left with a brief reference. Gibbon was not
insensible of the part that it played in the great drama of his history.
“There was,” he says, “a visible decrease of the human species, which has
never been repaired in some of the fairest countries of the globe.” After
vainly trying to construe the arithmetic of Procopius, who was a witness
of the calamity at Byzantium, he agrees to strike off one or more ciphers,
and adopts as an estimate “not wholly inadmissible,” a mortality of one
hundred millions. The effects of that depopulation, in part due to war,
are not followed in the history. So far as Gibbon’s method could go, the
plague came for him into the same group of phenomena as comets and
earthquakes; it was part of the stage scenery amidst which the drama of
emperors, pontiffs, generals, eunuchs, Theodoras, and adventurers
proceeded. Even of the comets and earthquakes, he remarks that they were
subject to physical laws; and it was from no want of scientific spirit
that he omitted to show how a plague of such magnitude had a place in the
physical order, and not less in the moral order.

A new science of epidemiology has sprung up since the time of Gibbon, who
had to depend on the writings of Mead, a busy and not very profound Court
physician. More particularly the Egyptian origin of the plague of the
sixth century, and its significance, have been elucidated by the brilliant
theory of Pariset, of which some account will be given at the end of the
chapter on the Black Death. For the present, we are concerned with it only
in so far as it may have a bearing upon the pestilences of Britain. The
plague of the sixth century made the greatest impression, naturally, upon
the oldest civilized countries of Europe; but it extended also to the
outlying provinces of the empire, and to the countries of the barbarians.
It was the same disease as the Black Death of the fourteenth century, the
bubo-plague; and it spread from country to country, and lasted from
generation to generation, as that more familiar infection is known to have
done[1].

Renewals of it are heard of in one part of Europe or another until the end
of the sixth century, when its continuity is lost. But it is clear that
the seeds of pestilence were not wanting in Rome and elsewhere in the
centuries following. Thus, about the year 668, the English
archbishop-elect, Vighard, having gone to Rome to get his election
confirmed by the Pope Vitalianus, was shortly after his arrival cut off by
pestilence, with almost all who had gone with him[2]. Twelve years after,
in 680, there was another severe pestilence in the months of July, August
and September, causing a great mortality at Rome, and such panic at Pavia
that the inhabitants fled to the mountains[3]. In 746 a pestilence is said
to have advanced from Sicily and Calabria, and to have made such
devastation in Rome that there were houses without a single inhabitant
left[4]. The common name for all such epidemics is _pestis_ or
_pestilentia_ or _magna mortalitas_, so that it is open to contend that
some other type than bubo-plague, such as fever or flux, may have been at
least a part of them; but no type of infection has ever been so mortal as
the bubo-plague, and a mortality that is distinguished by a chronicler as
causing panic and devastation was presumably of that type.


Pestilence in England and Ireland in the Seventh Century.

It is more than a century after the first great wave of pestilence had
passed over Europe in the reign of Justinian, before we hear of a great
plague in England and Ireland. Dr Willan, the one English writer on
medicine who has turned his erudition to that period, conjectures that the
infection must have come to this country from the continent at an earlier
date. From the year 597, he says, the progress of conversion to the
Christian religion “led to such frequent intercourse with Italy, France
and Belgium, that the epidemical and contagious disease prevailing on the
continent at the close of the sixth century must necessarily be
communicated from time to time through the Heptarchy[5].” Until we come to
the _Ecclesiastical History_ of Beda, the only authorities are the Irish
annals; and in them, the first undoubted entry of a great plague
corresponds in date with that of Beda’s history, the year 664. It is true,
indeed, that the Irish annals, or the later recensions of them, carry the
name that was given to the plague of 664 (_pestis ictericia_ or _buide
connaill_) back to an alleged mortality in 543, or 548, and make the
latter the “first _buide connaill_”; but the obituary of saints on that
occasion is merely what might have occurred in the ordinary way, and it is
probable, from the form of entry, that it was really the rumour of the
great plague at Byzantium and elsewhere in 543 and subsequent years that
had reached the Irish annalist[6].

The plague of 664 is the only epidemic in early British annals that can be
regarded as a plague of the same nature, and on the same great scale, as
the devastation of the continent of Europe more than a century earlier,
whether it be taken to be a late offshoot of that or not. The English
pestilence of 664 is the same that was fabled long after in prose and
verse as the great plague “of Cadwallader’s time.” It left a mark on the
traditions of England, which may be taken as an index of its reality and
its severity; and with it the history of epidemics in Britain may be said
to begin. It was still sufficiently recent to have been narrated by
eyewitnesses to Beda, whose _Ecclesiastical History_ is the one authentic
source, besides the entry in the Irish annals, of our information
concerning it.

The pestilence broke out suddenly in the year 664, and after
“depopulating” the southern parts of England, seized upon the province of
Northumbria, where it raged for a long time far and wide, destroying an
immense multitude of people[7]. In another passage Beda says that the same
mortality occurred also among the East Saxons, and he appears to connect
therewith their lapse to paganism[8].

The epidemic is said to have entered Ireland at the beginning of August,
but whether in 664 or 665 is not clear. According to one of those vague
estimates which we shall find again in connexion with the Black Death, the
mortality in Ireland was so vast that only a third part of the people were
left alive. The Irish annals do, however, contain a long list of notables
who died in the pestilence[9].

Beda follows his general reference to the plague by a story of the
monastery of Rathmelsigi, identified with Melfont in Meath, which he
heard many years after from the chief actor in it. Egbert, an English
youth of noble birth, had gone to Ireland to lead the monastic life, like
many more of his countrymen of the same rank or of the middle class. The
plague in his monastery had been so severe that all the monks either were
dead of it or had fled before it, save himself and another, who were both
lying sick of the disease. Egbert’s companion died; and he himself, having
vowed to lead a life of austerity if he were spared, survived to give
effect to his vow and died in the year 729 with a great name for sanctity
at the age of ninety.

The plague of 664 is said, perhaps on constructive evidence[10], to have
continued in England and Ireland for twenty years; and there are several
stories told by Beda of incidents in monasteries which show, at least,
that outbreaks of a fatal infection occurred here or there as late as 685.
Several of these relate to the new monastery of Barking in Essex, founded
for monks and nuns by a bishop of London in 676. First we have a story
relating to many deaths on the male side of the house[11], and then two
stories in which a child of three and certain nuns figure as dying of the
pestilence[12]. Another story appears to relate to the plague in a
monastery on the Sussex coast, seemingly Selsea[13]. Still another, in
which Beda himself is supposed to have played a part, is told of the
monastery of Jarrow, the date of it being deducible from the context as
the year 685.

Of the two Northumbrian monasteries founded by Benedict, that of Wearmouth
lost several of its monks by the plague, as well as its abbot Easterwine,
who is otherwise known to have died in March, 685. The other monastery of
Jarrow, of which Ceolfrith was abbot, was even more reduced by the
pestilence. All who could read, or preach, or say the antiphonies and
responses were cut off, excepting the abbot and one little boy whom
Ceolfrith had brought up and taught. For a week the abbot conducted the
shortened services by himself, after which he was joined by the voice of
the boy; and these two carried on the work until others had been
instructed. Beda, who is known to have been a pupil of Ceolfrith’s at
Jarrow, would then have been about twelve years old, and would correspond
to the boy in the story[14].

The nature of these plagues, beginning with the great invasion of 664, can
only be guessed. They have the look of having been due to some poison in
the soil, running hither and thither, as the Black Death did seven
centuries after, and remaining in the country to break out afresh, not
universally as at first, but here and there, as in monasteries. The
hypothesis of a late extension to England and Ireland of the great
European invasion of bubo-plague in 543, would suit the facts so far as we
know them. The one medical detail which has been preserved, on doubtful
authority, that the disease was a _pestis ictericia_, marked by yellowness
of the skin, and colloquially known in the Irish language as _buide
connaill_, is not incompatible with the hypothesis of bubo-plague, and is
otherwise unintelligible[15].

For the next seven centuries, the pestilences of Britain are mainly the
results of famine and are therefore of indigenous origin. So strongly is
the type of famine-pestilence impressed upon the epidemic history of
medieval England that the chroniclers and romancists are unable to
dissociate famine from their ideas of pestilence in general. Thus Higden,
in his reference to the outbreak of the Justinian plague at
Constantinople, associates it with famine alone[16]; and the metrical
romancist, Robert of Brunne, who had the great English famine of 1315-16
fresh in his memory, describes circumstantially the plague of 664 or the
plague of Cadwallader’s time, as a famine-pestilence, his details being
taken in part from the account given by Simeon of Durham of the harrying
of Yorkshire by William the Conqueror, and in part, doubtless, from his
own recent experience of a great English famine[17]. But before we come to
these typical famine-pestilences of Britain, which fill the medieval
interval between the foreign invasion of plague in Beda’s time and the
foreign invasion of 1348, it remains to dispose in this place of those
outbreaks on English soil which do not bear the marks of famine-sickness,
but, on the other hand, the marks of a virulent infection arising at
particular spots probably from a tainted soil. These have to be collected
from casual notices in the most unlikely corners of monastic chronicles;
but it is just the casual nature of the references that makes them
credible, and leads one to suppose that the recorded instances are only
samples of epidemics not altogether rare in the medieval life of England.


Early Epidemics not connected with Famine.

The earliest of these is mentioned in the annals of the priory of Christ
Church, Canterbury. In the year 829, all the monks save five are said to
have died of pestilence, so that the monastery was left almost desolate.
The archbishop Ceolnoth, who was also the abbot of the monastery, filled
up the vacancies with secular clerks, and he is said to have done so with
the consent of the five monks “that did outlive the plague.” The incident
comes into the Canterbury MS. of the Anglo-Saxon Chronicle[18] under the
year 870, in connexion with the death of Ceolnoth and the action of his
successor in expelling the seculars and completing the original number of
regulars. So far as the records inform us, that great mortality within the
priory of Christ Church two centuries after it was founded by Augustine,
was an isolated event; the nearest general epidemic to it in the
Anglo-Saxon Chronicle was a great mortality of man and beast about the
year 897 following the Danish invasion which Alfred at length repelled.

That such deadly intramural epidemics in monasteries were not impossible
is conclusively proved by the authentic particulars of a sudden and severe
mortality among the rich monks of Croyland at a much more recent
date--between the years 1304 and 1315. In the appendix to the chronicle of
Ramsey Abbey[19] there is printed a letter from Simon, abbot of Croyland,
without date but falling between the years above given, addressed to his
neighbours the abbots of Ramsey, Peterborough and Thorney, and the prior
of Spalding. The letter is to ask their prayers on the occasion of the
sudden death of thirteen of the monks of Croyland and the sickness of
others; that large number of the brethren had been cut off within fifteen
days--“potius violenter rapti quam fataliter resoluti[20].” The letter is
written from Daddington, whither abbot Simon had doubtless gone to escape
the infection.

These are two instances of deadly epidemics within the walls of English
monasteries. In the plague-years 664-685, and long after in the Black
Death, the mortalities among the monks were of the same degree, only there
was an easy explanation of them, in one if not in both cases, as being
part of an imported infection universally diffused in English soil. What
the nature of the occasional outbreaks in earlier times may have been, we
can only guess: something almost as deadly, we may say, as the plague
itself, and equally sudden. The experience was not peculiar to England. An
incident at Rome almost identical with that of Vighard in 668 is related
in a letter sent home in 1188, by Honorius the prior of Canterbury, who
had gone with others of the abbey on a mission to Rome to obtain judgment
in a dispute between the archbishop and the abbey, that the whole of his
following was stricken with sickness and that five were dead. John de
Bremble, who being also abroad was ordered to go to the help of the prior,
wrote home to the abbey that when he reached Rome only one of the brethren
was alive, and he in great danger, and that the first thing he had to do
on his arrival was to attend the cook’s funeral[21].

There is no clue to the type of these fatal outbreaks of sickness within
monastic communities. One naturally thinks of a soil-poison fermenting
within and around the monastery walls, and striking down the inmates by a
common influence as if at one blow. There are in the medieval history
previous to the Black Death a few instances of local pestilences among the
common people also, which differ from the ordinary famine-sicknesses of
the time. The most significant of these is a story told by William of
Newburgh at the end of his chronicle and probably dating from the
corresponding period, about the year 1196[22]. For several years there had
been, as we shall see, famine and fever in England; but the particular
incident does not relate to the famine, although it may join on to it. It
is the story of a ghost walking, and it comes from the village of Annan on
the Solway, having been related to the monk of Newburgh in Yorkshire by
one who had been an actor in it. A man who had fled from Yorkshire and
taken refuge in the village under the castle of Annan, was killed in a
quarrel about the woman whom he had married, and was buried without the
rites of the church. His unquiet ghost walked, and his corpse tainted the
air of the village; pestilence was in every house, so that the place which
had been populous looked as if deserted, those who escaped the plague
having fled. William of Newburgh’s informant had been in the midst of
these calamities, and had taken a lead in mitigating them; he had gone to
certain wise men living “in sacra dominica quae Palmarum dicitur,” and
having taken counsel with them, he addressed the people: “Let us dig up
that pestilence and let us burn it with fire” (_effodiamus pestem illam et
comburamus igni_). Two young men were, accordingly, induced to set about
the task. They had not far to dig: “repente cadaver non multa humo egesta
nudaverunt, enormi corpulentia distentum, facie rubenti turgentique supra
modum.”

The story, like others of the kind with a mixture of legend in them, is
more symbolical than real. The wise men of Annan may have been in error in
tracing the plague of their village to a single corpse, but they were
probably on the right lines of causation. It is curious to observe in
another chronicler of the same period, Ralph of Coggeshall in Essex, and
in a part of his chronicle which relates to the last years of Richard I.,
and first years of John, a comment upon the action of Pope Innocent III.
(about 1200 A.D.) in interdicting all Christian rites save baptism by the
clergy in France: “O how horrible ... to refuse the Christian rite of
burial to the bodies of the dead, so that they infected the air by their
foetor and struck horror into the souls of the living by their ghastly
looks[23].” The same pope’s interdict of decent burial and of other
clerical rites extended to England in 1208, the famous Interdict of the
reign of John. It was the papal method of checkmating the kingdoms of this
world; that it was subversive of traditional decency and immemorial
sanitary precaution was a small matter beside the assertion of the
authority of Peter.

Rightly or wrongly, taught by experience or misled by fancy, the medieval
world firmly believed that the formal and elaborate disposal of the dead
had a sanitary aspect as well as a pious. The infection of the air, of
which we shall hear much more in connexion with the plague, was a current
notion in England for several centuries before the Black Death. Especially
does the dread of it find expression where corpses were unburied after a
battle, massacre, or calamity of nature. The exertions made in these
circumstances to bury the dead, even when all pious and domestic feeling
was hardened to the barest thought of self-preservation, are explained in
set terms as instigated by the fear of breeding a pestilence. The instinct
is as wide as human nature, and there is clear evidence in our own early
writers that its sanitary meaning was recognised. One such instance may be
quoted from the St Albans annalist of the time of John and first years of
Henry III.[24] In the year 1234, an unusually savage raid was made by the
Welsh as far as Shrewsbury; they laid waste the country by fire and sword;
wayfarers were horrified at the sight of naked and unburied corpses
without number by the road sides, preyed on by ravenous beasts and birds;
the foetor of so much corruption infected the air on all sides, so that
even the dead slew the living. The chronicler’s language, “quod etiam
homines sanos mortui peremerunt,” is marked by the perspicacity or
correctness which distinguishes him. When the bubo-plague came to be
domesticated in English soil more than a century later, the disposal of
the dead became a sanitary question of obvious importance. But even in the
centuries before the Black Death, and most of all in the times when the
traditional practices of decent burial were interdicted by Popes or turned
to mercenary purposes by clergy[25], we shall perhaps not err in looking
for one, at least, of the causes of localised outbreaks of pestilence in
the tainting of the soil and the air by the corruption of corpses
insufficiently buried and coffined.

There still remains, before we come to famine-sickness as the common type
of pestilence in medieval England, to discover from the records any
evidence of pestilence due to war and invasion. The domestic history from
first to last is singularly free from such calamities. The whole history
of Mohammedan conquest and occupation is a history of infection following
in the train of war; and in Western Europe, at least from the invasion of
Italy by Charles VIII., when the medieval period (according to Hallam)
closes, the sieges, battles, and campaigns are constantly associated with
epidemic sickness among the people as well as among the troops. There is
only one period in the history of England, that of the civil wars of the
Parliament and the Royalists, in which the people had a real taste of the
common continental experience. The civil wars of York and Lancaster, as we
shall see, touched the common people little, and appear to have bred no
epidemics.

Apart from civil war, there were invasions, by the Welsh and Scots on the
western and northern marches, and by the Danes. One instance of pestilence
following a Welsh raid in the thirteenth century has been given from Roger
of Wendover. A single instance is recorded in the history of the Danish
invasions. It has been preserved by several independent chroniclers, with
some variation in details; and it appears to have been distinguished by so
much notice for the reason that it illustrates the magnanimity, sanctity,
and miraculous power of St Elphege, archbishop of Canterbury.

In the year 1010 (or 1011 according to some), the Danes had stormed
Canterbury, burnt the fair city, massacred the inhabitants, or carried
them captive to their ships at Sandwich. The archbishop Elphege was put
on board a small vessel and taken (doubtless by the inland channel which
was then open from the Stour to the Thames) to Greenwich, where he was
imprisoned for seven months[26]. A council had assembled in London for the
purpose of raising forty thousand pounds to buy off the invaders.
According to the account used by Higden[27], Elphege refused to sanction
the payment of a ransom of three thousand pounds for his own person: he
was accordingly taken from prison, and on the 13th of the Calends of May,
1010, was stoned to death by the Danes disappointed of his ransom.
Therefore a pestilence fell upon the invaders, a _dolor viscerum_, which
destroyed them by tens and twenties so that a large number perished. The
earlier narrative of William of Malmesbury[28] is diversified by the
introduction of a miracle, and is otherwise more circumstantial. While the
archbishop was held in durance, a deadly sickness broke out among the
Danes, affecting them in troops (_catervatim_), and proving so rapid in
its effects that death ensued before they could feel pain. The stench of
their unburied bodies so infected the air as to bring a plague upon those
of them who had remained well. As the survivors were thrown into a panic,
“sine numero, sine modo,” Elphege appeared upon the scene, and having
administered to them the consecrated bread, restored them to health and
put an end to the plague.

Disregarding what is fabulous, we may take these narratives to establish
the fact that a swift and fatal pestilence did break out among the Danes
in Kent. It had consisted probably of the same forms of camp sickness,
including dysentery (as the name _dolor viscerum_ implies), which have
occurred in later times. It is the only instance of the kind recorded in
the early history.


Medieval Famine-pestilences.

The foregoing are all the instances of pestilence in early English
history, unconnected with famine, that have been collected in a search
through the most likely sources. The history of English epidemics,
previous to the Black Death, is almost wholly a history of famine
sicknesses; and the list of such famines with attendant sickness, without
mentioning the years of mere scarcity, is a considerable one.

TABLE OF FAMINE-PESTILENCES IN ENGLAND.

  Year            Character                       Authority

  679     Three years’ famine in Sussex    Beda, _Hist. Eccles._ § 290
            from droughts

  793     General famine and severe        Anglo-Saxon Chronicle, _sub
            mortality                        anno_. Roger of Howden.
                                             Simeon of Durham

  897     Mortality of men and cattle      Anglo-Saxon Chronicle. Florence
            for three years during and       of Worcester. Annales
            after Danish invasion            Cambriae (_anno_ 896)

  962     Great mortality: “the great      Anglo-Saxon Chronicle
            fever in London”

  976     Famine                           Anglo-Saxon Chronicle. Roger of
                                             Howden

  984 }   Famine. Fever of men and         Anglo-Saxon Chronicle. Roger of
  986 }     murrain of cattle                Howden. Simeon of Durham.
  987 }                                      Malmesbury. _Gest. Pontif.
                                             Angl._ p. 171. Flor. of
                                             Worcester. Roger of Wendover,
                                             _Flor. Hist._ Bromton (in
                                             Twysden). Higden

  1005    Desolation following expulsion   Henry of Huntingdon
            of Danes

  1036 }  Famine                           Anglo-Saxon Chronicle. Henry of
  1039 }                                     Huntingdon

  1044    Famine                           Anglo-Saxon Chronicle

  1046    Very hard winter; pestilence     Anglo-Saxon Chronicle
            and murrain

  1048 }  Great mortality of men and       Anglo-Saxon Chronicle (_sub
  1049 }    cattle                           anno_ 1049). Roger of Howden.
                                             Simeon of Durham (_sub anno_
                                             1048)

  1069    Wasting of Yorkshire             Simeon of Durham, ii. 188

  1086 }  Great fever-pestilence.          Anglo-Saxon Chronicle.
  1087 }    Sharp famine                     Malmesbury. Henry of
                                             Huntingdon, and most
                                             annalists

  1091    Siege of Durham by the Scots     Simeon of Durham, ii. 339

  1093 }  Floods; hard winter; severe      Anglo-Saxon Chronicle. Annals
  1095 }    famines; universal               of Winchester. William of
  1096 }    sickness and mortality           Malmesbury. Henry of
  1097 }                                     Huntingdon. Annals of Margan.
                                             Matthew Paris, and others

  1103 }  General pestilence and           Anglo-Saxon Chronicle. Roger of
  1104 }    murrain                          Wendover
  1105 }

  1110 }  Famine                           Anglo-Saxon Chronicle. Roger of
  1111 }                                     Wendover

  1112    “Destructive pestilence”         Anglo-Saxon Chronicle. Annals
                                             of Osney. Annales Cambriae

  1114    Famine in Ireland; flight        Annals of Margan
            or death of people

  1125    Most dire famine in all          Anglo-Saxon Chronicle. William
            England; pestilence and          of Malmesbury, _Gest. Pont._
            murrain                          p. 442. Henry of Huntingdon.
                                             Annals of Margan. Roger of
                                             Howden.

  [1130   Great murrain                    Annals of Margan. Anglo-Saxon
                                             Chronicle (_sub anno_ 1131)]

  1137 }  Famine from civil war;           Anglo-Saxon Chronicle. Annals
  1140 }    mortality                        of Winchester. Henry of
                                             Huntingdon (1138)

  1143    Famine and mortality.            Gesta Stephani, p. 98. William
                                             of Newburgh. Henry of
                                             Huntingdon

  1171    Famine in London in Spring       Stow, _Survey of London_

  1172    Dysentery among the troops       Radulphus de Diceto, _Imag.
            in Ireland                       Hist._ i. 348

  1173    “Tussis quaedam mala et          Chronica de Mailros
            inaudita”

  1175    Pestilence; famine               Benedict of Peterborough. Roger
                                             of Howden

  1189    Famine and mortality             Annals of Margan. Giraldus
                                             Cambrensis, _Itin. Walliae_

  1194}   Effects of a five years’         Annals of Burton. William of
  1195}     scarcity; great mortality        Newburgh. Roger of Howden
  1196}     over all England                 iii. 290. Rigord. Bromton
  1197}                                      (in Twysden col. 1271).
                                             Radulphus de Diceto (_sub
                                             anno_ 1197)

  1201    Unprecedented plague of          Chronicon de Lanercost (probably
            people and murrain of            relates to 1203)
            animals

  1203    Great famine and mortality       Annals of Waverley. Annals of
                                             Tewkesbury. Annals of Margan.
                                             Ralph of Coggeshall (_sub
                                             anno_ 1205)

  1210    Sickly year throughout           Annals of Margan
            England

  1234    Third year of scarcity;          Roger of Wendover. Annals of
            sickness                         Tewkesbury

  1247    Pestilence from September        Matthew Paris. Higden
            to November; dearth and          Annales Cambriae (_sub anno_
            famine                            1248)

  1257}   Bad harvests; famine and         Matthew Paris. Annals of
  1258}     fever in London and the          Tewkesbury. Continuator of M.
  1259}     country                          Paris (1259). Rishanger

  1268    Probably murrain only.           Chronicon de Lanercost
            (“Lungessouth”)

  1271    Great famine and pestilence      Continuator of William of
            in England and Ireland           Newburgh ii. 560 [doubtful]

  [1274   Beginning of a great imported    Rishanger (also _sub anno_
            murrain among                    1275). Contin. Fl. of
            sheep                            Worcester _sub anno_ 1276]

  1285    Deaths from heat and             Rishanger
            drought

  1294    Great scarcity; epidemics        Rishanger. Continuator of
            of flux                          Florence of Worcester p. 405.
                                             Trivet

  1315}   General famine in England;       Trokelowe. Walsingham, _Hist.
  1316}     great mortality from fever,      Angl._ i. 146. Contin.
            flux &c.; murrain                Trivet, pp. 18, 27. Rogers,
                                             _Hist. of Agric. and Prices_

  1322    Famine and mortality in          Higden. Annales Londinenses
            Edward II.’s army in
            Scotland; scarcity in
            London

The period covered by this long list is itself a long one; and the
intervals between successive famine-pestilences are sometimes more than a
generation. A history of epidemics is necessarily a morbid history. In
this chapter of it, we search out the lean years, saying nothing of the
fat years; and by exclusively dwelling upon the dark side we may form an
entirely wrong opinion of the comforts or hardships, prosperity or
adversity, of these remote times. English writers of the earliest period,
when they use generalities, are loud in praise of the advantages of their
own island; until we come to the fourteenth century poem of ‘The Vision of
Piers the Ploughman’ we should hardly suspect, from their usual strain,
that England was other than an earthly paradise, and every village an
Auburn, “where health and plenty cheered the labouring swain.” There is a
poem preserved in Higden’s _Polychronicon_ by one Henricus, who is almost
certainly Henry archdeacon of Huntingdon in the time of Henry I., although
the poem is not included among the archdeacon’s extant verse. The subject
is ‘De Praerogativis Angliae,’ and the period, be it remarked, is one of
the early Norman reigns, when the heel of the conquering race is supposed
to have been upon the neck of the English. Yet this poem contains the
famous boast of ‘Merry England,’ and much else that is the reverse of
unhappy:--

  “Anglia terra ferax et fertilis angulus orbis.
   Anglia plena jocis, gens libera, digna jocari;
   Libera gens, cui libera mens et libera lingua;
   Sed lingua melior liberiorque manus.
   Anglia terrarum decus et flos finitimarum,
   Est contenta sui fertilitate boni.
   Externas gentes consumptis rebus egentes,
   Quando fames laedit, recreat et reficit.
   Commoda terra satis mirandae fertilitatis
   Prosperitate viget, cum bona pacis habet[29].”

Or, to take another distich, apparently by Alfred of Beverley,

  “Insula praedives, quae toto non eget orbe,
   Et cujus totus indiget orbis ope.”

Or, in Higden’s own fourteenth century words, after quoting these earlier
estimates: “Prae ceteris gulae dedita, in victu et vestitu multum
sumptuosa[30].”

On the other hand there is a medieval proverbial saying which places
England in a light strangely at variance with this native boast of
fertility, plenty, and abundance overflowing to the famished peoples
abroad: “Tres plagae tribus regionibus appropriari solent, Anglorum fames,
Gallorum ignis, Normannorum lepra”--three afflictions proper to three
countries, famine to England, St Anthony’s fire to France, leprosy to
Normandy[31]. Whatever the “lepra Normannorum” may refer to, there is no
doubt that St Anthony’s fire, or ergotism from the use of bread containing
the grains of spurred rye, was a frequent scourge of some parts of France;
and, in common repute abroad, famine seems to have been equally
characteristic of England. Perhaps the explanation of England’s evil name
for famines is that there were three great English famines in the medieval
history, before the Black Death, separated by generations, no doubt, but
yet of such magnitude and attended by so disgraceful circumstances that
the rumour of them must have spread to foreign countries and made England
a by-word among the nations. These were the famines of 1194-96, 1257-59,
and 1315-16. Of the first we have a tolerably full account by William of
Newburgh, who saw it in Yorkshire; of the second we have many particulars
and generalities by Matthew Paris of St Albans, who died towards the end
of it; and of the third we have an account by one of his successors as
historiographer at St Albans, John Trokelowe. All other references to
famine in England are meagre beside the narratives of these competent
observers, although there were probably two or three famines in the Norman
period equally worthy of the historian’s pen. For the comprehension of
English famine-pestilences in general, we ought to take the best recorded
first; but it will be on the whole more convenient to observe the
chronological order, and to introduce, as occasion offers, some
generalities on the types of disease which famine induced, the extent of
the mortalities, and the conditions of English agriculture and food-supply
which made possible occasional famines of such magnitude.

From the great plague “of Cadwallader’s time,” which corresponds in
history to the foreign invasion of pestilence in 664, until nearly the end
of the Anglo-Saxon rule, there is little recorded of famines and
consequent epidemic sickness. It does not follow that the period was one
of plenty and prosperity for the people at large. The Anglo-Saxon
Chronicle is at no period detailed or circumstantial on the subject of
famines and pestilences; and although the entries become more numerous in
the last hundred years before the Chronicle came to an end in 1137, their
paucity in the earlier period probably means no more than the imperfection
of the record. Some of the generalities of Malthus might be applied to
help the imagination over a period of history which we might otherwise be
disposed to view as the Golden Age. One of these, originally written for
the South Sea Islands, is applicable to all romantic pictures of “rude
plenty,” such as the picture of the Anglo-Saxon household in _Ivanhoe_. It
has been remarked of Scott as a novelist that he always feeds everyone
well; but the picture, grateful to the imagination though it be, is
probably an illusion. “In a state of society,” says Malthus, “where the
lives of the inferior order of the people seem to be considered by their
superiors as of little or no value, it is evident that we are very liable
to be deceived with regard to the appearances of abundance”; and again:
“We may safely pronounce that among the shepherds of the North of Europe,
war and famine were the principal checks that kept the population down to
the level of their scanty means of subsistence.” The history of English
agriculture is known with some degree of accuracy from the thirteenth
century, and it is a history of prices becoming steadier and crops more
certain. It is not to be supposed that tillage was more advanced before
the Conquest than after it. On the other hand the probabilities are that
England had steadily emerged from a pastoral state. It would be unfair to
judge of the state of rural England at any time by the state of Wales in
the twelfth century, as it is described by Giraldus Cambrensis, or by the
condition of Ireland as described from the same traveller’s observations.
But in the absence of any concrete view of primitive England itself, the
picture of the two neighbouring provinces may be introduced here.

Ireland, says Giraldus, closely following Beda, is a fertile land
neglected; it had no agriculture, industries or arts; its inhabitants were
rude and inhospitable, leading a purely pastoral life, and living more
upon milk than upon meat. At the same time there was little sickness; the
island had little need of physicians; you will hardly ever find people ill
unless they be at the extremity of death; between continuous good health
and final dissolution there was no middle term. The excessive number of
children born blind, or deaf, or deformed, he ascribes to incestuous
unions and other sexual laxities[32].

The picture of Wales is that of a not less primitive society[33]. The
Welsh do not congregate in towns, or in villages, or in fortified places,
but live solitary in the woods; they build no sumptuous houses of stone
and lime, but only ozier booths, sufficient for the year, which they run
up with little labour or cost. They have neither orchards nor gardens, and
little else than pasture land. They partake of a sober meal in the
evening, and if there should be little or nothing to eat at the close of
day, they wait patiently until the next evening. They do not use
table-cloths nor towels; they are more natural than neat (_naturae magis
student quam nitori_). They lie down to sleep in their day clothes, all in
one room, with a coarse covering drawn over them, their feet to the fire,
lying close to keep each other warm, and when they are sore on one side
from lying on the hard floor, they turn over to the other. There are no
beggars among this nation. It is of interest, from the point of view of
the “positive checks” of Malthus, to note that Giraldus more than hints at
the practice of a grosser form of immorality than he had charged the Irish
with. Spinning and weaving were of course not unknown, for the hard and
rough blanket mentioned above was a native product. By the time that
Higden wrote (about 1340), he has to record a considerable advance in the
civilization of Wales. Having used the description of Giraldus, he adds:
“They now acquire property, apply themselves to agriculture, and live in
towns[34].” But in the reign of Henry II., it was found easy to bring the
rebellious Welsh to terms by stopping the supplies of corn from England,
upon which they were largely dependent[35].

Of the condition of Scotland in the twelfth century we have no such sketch
as Giraldus has left for Wales and Ireland. Uncivilized compared with
England, the northern part of the island must certainly have been, if we
may trust the indignant references by Simeon of Durham and Henry of
Huntingdon to the savage practices of the Scots who swarmed over the
border, with or without their king to lead them, or the remark by William
of Malmesbury concerning the Scots who went on the Crusade leaving behind
them the insects of their native country.

Giraldus intended to have written an itinerary or topography of England
also, but his purpose does not appear to have been fulfilled. Higden, his
immediate successor in that kind of writing a century and a half later, is
content, in his section on England, to reproduce the generalities of
earlier authors from Pliny downwards. Of these, we have already quoted the
‘Prerogatives of England’ by Henry of Huntingdon, from which one might
infer that the British Isles, under the Norman yoke, were the Islands of
the Blest. On the other hand, the impression made by the details of the
Domesday survey upon a historian of the soundest judgment, Hallam, is an
impression of poor cultivation and scanty sustenance. “There cannot be a
more striking proof,” he says, “of the low condition of English
agriculture in the eleventh century than is exhibited in Domesday book.
Though almost all England had been partially cultivated, and we find
nearly the same manors, except in the north, which exist at present, yet
the value and extent of cultivated ground are inconceivably small. With
every allowance for the inaccuracies and partialities of those by whom
that famous survey was completed, we are lost in amazement at the constant
recurrence of two or three carucates in demesne, with folkland occupied by
ten or a dozen villeins, valued all together at forty shillings, as the
return of a manor which now would yield a competent income to a
gentleman[36].”

    Whether, the population at the Domesday survey were nearer two
    millions than one, the people were almost wholly on the land. Of the
    size of the chief towns, as the Normans found them, we may form a not
    incorrect estimate from the Domesday enumeration of houses held of the
    king or of other superiors[37]. London, Winchester and Bristol do not
    come at all into the survey. Besides these, the towns of the first
    rank are Norwich, York, Lincoln, Thetford, Colchester, Ipswich,
    Gloucester, Oxford, Cambridge, and Exeter.

    Norwich had 1320 burgesses in the time of Edward the Confessor; in the
    borough were 665 English burgesses rendering custom, and 480 bordarii
    rendering none on account of their poverty; there were also more than
    one hundred French households. Lincoln had 970 inhabited houses in
    King Edward’s time, of which 200 were waste at the survey. Thetford
    had 943 burgesses before the Conquest, and at the survey 720, with 224
    houses vacant. York was so desolated just before the survey that it is
    not easy to estimate its ordinary population; but it may be put at
    about 1200 houses. Gloucester had 612 burgesses. Oxford seems to have
    had about 800 houses; and for Cambridge we find an enumeration of the
    houses in nine of the ten wards of the town in King Edward’s time, the
    total being about 400. Colchester appears to have had some 700 houses,
    Ipswich 538 burgesses, with 328 houses “waste” so far as tax was
    concerned. Exeter had 300 king’s houses, and an uncertain number more.
    Next in importance come such places as Southampton, Wallingford,
    Northampton, Leicester, Warwick, Shrewsbury, Nottingham, Coventry,
    Derby, Canterbury, Yarmouth, Rochester, Dover, Sandwich (about 400
    houses), and Sudbury. In a third class may be placed towns like
    Dorchester, Ilchester, Bridport, Wareham, Shaftesbury, Bath,
    Chichester, Lewes, Guildford, Hythe, Romney, Pevensey, Windsor, Bath,
    Chester, Worcester, Hereford, Huntingdon, Stamford, Grantham,
    Hertford, St Albans, Torchesey, Maldon, each with from 100 to 200
    burgesses. Dover and Sandwich each supplied twenty ships, with crews
    of twenty-four men, for King Edward’s service during fifteen days of
    the year. In Hereford there were six smiths, each rendering one penny
    a year for his forge, and making 120 nails of the king’s iron. Many of
    these houses were exceedingly small, with a frontage of seven feet;
    the poorest class were mere sheds, built in the ditch against the
    town wall, as at York and Canterbury.

It would be within the mark to say that less than one-tenth of the
population of England was urban in any distinctive sense of the term.
After London, Norwich, York, and Lincoln, there were probably no towns
with five thousand inhabitants. There were, of course, the simpler forms
of industries, and there was a certain amount of commerce from the Thames,
the East Coast, and the Channel ports. The fertile soil of England
doubtless sustained abundance of fruit trees and produced corn to the
measure of perhaps four or six times the seed. There were flocks of sheep,
yielding more wool than the country used, herds of swine and of cattle.
The exports of wool, hides, iron, lead, and white metal gave occasion to
the importation of commodities and luxuries from Flanders, Normandy, and
Gascony. If there was “rude plenty” in England, it was for a sparse
population, and it was dependent upon the clemency of the skies. A bad
season brought scarcity and murrain, and two bad seasons in succession
brought famine and pestilence.

Of the general state of health we may form some idea from the Anglo-Saxon
leechdoms, or collections of remedies, charms and divinations, supposed to
date from the eleventh century[38]. The maladies to which the English
people were liable in these early times correspond on the whole to the
everyday diseases of our own age. There were then, as now, cancers and
consumptions, scrofula or “kernels,” the gout and the stone, the falling
sickness and St Vitus’ dance, apoplexies and palsies, jaundice, dropsies
and fluxes, quinsies and anginas, sore eyes and putrid mouth, carbuncles,
boils and wildfire, agues, rheums and coughs. Maladies peculiar to women
occupy a chief place, and there is evidence that hysteria, the outcome of
hardships, entered largely into the forms of sickness, as it did in the
time of Sydenham. Among the curiosities of the nosology may be mentioned
wrist-drop, doubtless from working in lead. One great chapter in disease,
the sickness and mortality of infants and children, is almost a complete
blank. It ought doubtless to have been the greatest chapter of all. The
population remained small, for one reason among others, that the children
would be difficult to rear. There is no direct evidence; but we may infer
from analogous circumstances, that the inexpansive population meant an
enormous infant mortality. The sounds which fell on the ear of Æneas as he
crossed the threshold of the nether world may be taken as prophetic, like
so much else in Virgil, of the experience of the Middle Ages:

  “Continuo auditae voces, vagitus et ingens
   Infantumque animae flentes, in limine primo:
   Quos dulcis vitae exsortes, et ab ubere raptos,
   Abstulit atra dies, et funere mersit acerbo.”

We come, then, to the chronology of famine-pestilences, and first in the
Anglo-Saxon period. The years from 664 to 685 are occupied, as we have
seen, by a great plague, probably the bubo-plague, which returned in 1348
as the Black Death, affecting, like the latter, the whole of England and
Ireland on its first appearance, and afterwards particular monasteries,
such as Barking and Jarrow. But it is clear that famine-sickness was also
an incident of the same years. The metrical romancist of the fourteenth
century, Robert of Brunne, was probably mistaken in tracing the great
plague of “Cadwaladre’s time” to famine in the first instance; there is no
such suggestion in the authentic history of Beda. But that historian does
make a clear reference to famine in Sussex about the year 679[39].
Describing the conversion of Sussex to Christianity by Wilfrid, he says
that the province had been afflicted with famine owing to three seasons of
drought, that the people were dying of hunger, and that often forty or
fifty together, “inedia macerati,” would proceed to the edge of the Sussex
cliffs, and, joining hands, throw themselves into the sea. But on the very
day when the people accepted the Christian baptism, there fell a
plenteous rain, the earth flourished anew, and a glad and fruitful season
ensued[40].

The anarchy in Northumbria which followed the death of Beda (in 735), with
the decline of piety and learning in the northern monasteries, is said to
have led to famine and plague[41]. It is not until the year 793 that an
entry of famine and mortality occurs in the Anglo-Saxon Chronicle. It is
in keeping with the disappointing nature of all these early records that
Simeon of Durham and Roger of Howden, the two compilers who had access to
lost records, are more particular in enumerating the portents that
preceded the calamity than in describing its actual circumstances. Then a
whole century elapses (but for a vague entry under the year 822) until we
come to the three calamitous years, with 897 as the centre, which followed
Alfred’s famous resistance to the Danes. In that mortality, many of the
chief thanes died, and there was a murrain of cattle, with a scarcity of
food in Ireland. Two generations pass before the chronicle contains
another entry of the kind: in 962 there was a great mortality, and the
“great fever” was in London. At no long intervals there are two more
famines, in 976 and 986. That of 986 (or 987) would appear to have been
severe; the church plate at Winchester was melted for the benefit of the
starving[42], and there was “a fever of men and a murrain of cattle[43].”
After the expulsion of the Danes in 1005, says Henry of Huntingdon, there
was such desolation of famine as no one remembered. Then in 1010 or 1011
comes the incident of St Elphege, already given. From 1036 to 1049 we find
mention of four, or perhaps five, famines, those of the years 1046 and
1049 being marked by a great mortality of men and murrain of cattle.

Except in Yorkshire, the Norman Conquest had no immediate effects upon the
people of England in the way of famine and pestilence. From the last great
mortality of 1049, a period of nearly forty years elapses until we come to
the great pestilence and sharp famine in the last year of the Conqueror’s
reign (1086-7). The harrying of Yorkshire, however, is too important a
local incident to be passed over in this history. Of these ruthless
horrors in the autumn of 1069 we have some particulars from the pen of
Simeon of Durham, who has contemporary authority. There was such hunger,
he says, that men ate the flesh of their own kind, of horses, of dogs, and
of cats. Others sold themselves into perpetual slavery in order that they
might be able to sustain their miserable lives on any terms (like the
Chinese in later times). Others setting out in exile from their country
perished before their journey was ended. It was horrible to look into the
houses and farmyards, or by the wayside, and see the human corpses
dissolved in corruption and crawling with worms. There was no one to bury
them, for all were gone, either in flight or dead by the sword and famine.
The country was one wide solitude, and remained so for nine years. Between
York and Durham no one dwelt, and travellers went in great fear of wild
beasts and of robbers[44]. William of Malmesbury says that the city of
York was so wasted by fire that an old inhabitant would not have
recognized it; and that the country was still waste for sixty miles at the
time of his writing (1125)[45]. In the Domesday survey we find that there
were 540 houses so waste that they paid nothing, 400 houses “not
inhabited,” of which the better sort pay one penny and others less, and
only 50 inhabited houses paying full dues.

The same local chronicler who has left particulars of the devastation of
1069-70, has given also a picture of the siege of Durham by Malcolm
Canmore in 1091, which may serve to realize for us what a medieval siege
was, and what the Scots marches had to endure for intervals during several
centuries:--

    Malcolm advancing drives the Northumbrians before him, some into the
    woods and hills, others into the city of Durham; for there have they
    always a sure refuge. Thither they drive their whole flocks and herds
    and carry their furniture, so that there is hardly room within the
    town for so great a crowd. Malcolm arrives and invests the city. It
    was not easy for one to go outside, and the sheep and cattle could not
    be driven to pasture: the churchyard was filled with them, and the
    church itself was scarcely kept clear of them. Mixed with the cattle,
    a crowd of women and children surrounded the church, so that the
    voices of the choristers were drowned by the clamour. The heat of
    summer adds to the miseries of famine. Every-where throughout the town
    were the sounds of grief, ‘et plurima mortis imago,’ as in the sack of
    Troy. The siege is raised by the miraculous intervention of St
    Cuthbert[46].

The wasting of Yorkshire by William and the five incursions of the Scots
into Northumberland and Durham in the reign of Malcolm Canmore had the
effect of reducing a large part of the soil of England to a comparatively
unproductive state. The effacement of farms (and churches) in Hampshire,
for the planting of the New Forest, had the same effect in a minor degree.
The rigorous enforcement of the forest laws in the interests of the Norman
nobles must have served also to remove one considerable source of the
means of subsistence from the people. Whether these things, together with
the general oppression of the poor, contributed much or little to what
followed, it is the fact that the long period from the last two years of
William to the welcomed advent of Henry II. to the throne in 1154, is
filled with a record of famines, pestilences, and other national
misfortunes such as no other period of English history shows.

The first general famine and pestilence under Norman rule was in the years
1086 and 1087, the last of the Conqueror’s reign. It is probable from the
entries in the Anglo-Saxon Chronicle that the aggravation (for which we
must always look in order to explain a historical famine and pestilence)
was due to two bad harvests in succession. The year 1086 was “heavy,
toilsome and sorrowful,” through failure of the corn and fruit crops owing
to an inclement season, and through murrain of cattle[47]. Some form of
sickness appears to have been prevalent between that harvest and the next.
Almost every other man, says the Anglo-Saxon Chronicle, was stricken with
fever, and that so sharply that many died of it. “Alas! how miserable and
how rueful a time was then! when the wretched men lay driven almost to
death, and afterwards came the sharp famine and destroyed them quite.” It
is probably a careless gloss upon that, by a historian of the next
generation[48], when he says that “a promiscuous fever destroyed more than
half the people,” and that famine, coming after, destroyed those whom the
fever had spared[49]. But there can be no question that this was one of
those great periodic conjunctions of famine and fever (λιμὸν ὁμοῦ καὶ
λοιμόν), of which we shall find fuller details in the chronicles of the
twelfth, thirteenth and fourteenth centuries. It is easy to understand
that England, with all her wealth of fruits and corn in a good season, had
no reserve for the poor at least, and sometimes not even for the rich, to
get through two or more bad seasons with. How much the corn crop in those
days depended on the season is clear from the entry in the chronicle two
years after (1089), that reaping was still in progress at Martinmas (11
November) and even later. Fields cultivated to yield an average of only
four or six times the seed were, of course, more at the mercy of the
seasons than the highly cultivated corn-land of our own time.

The next famine with pestilence in England, seven years later, or in the
seventh year of William Rufus, introduces us to a new set of
considerations. It was the time when the exactions of tribute for the
king’s wars in Normandy, or for the satisfaction of his greed and that of
his court, were severely felt both by the church and the people. England,
says one[50], was suffocated and unable to breathe. Both clergy and
laity, says another[51], were in such misery that they were weary of life.
But the most remarkable phraseology is that of William of Malmesbury, the
chief historian of the period, who seldom descends from the region of high
political and ecclesiastical affairs to take notice of such things as
famine and pestilence. In the 7th year of Rufus, he says, “agriculture
failed” on account of the tributes which the king had decreed from his
position in Normandy. The fields running to waste, a famine followed, and
that in turn was succeeded by a mortality so general that the dying were
left untended and the dead unburied[52]. The phrase about the lack of
cultivation is a significant and not incredible statement, which places
the England of Rufus in the same light as certain belated feudal parts of
India within recent memory.

    In the villages of Gujerat, when the festival comes round early in
    May, the chief of a village collects the cultivators and tells them
    that it is time for them to commence work. They say: “No! the
    assessment was too heavy last year, you lay too many taxes upon us.”
    However, after much higgling, and presents made to the more important
    men, a day is fixed for cultivation to begin, and the clearing and
    manuring of the fields proceeds as before[53]. But while Gujerat was
    still possessed by hundreds of petty feudal chiefs under the Mahratta
    rule, previous to the establishment of the British Agency in 1821, the
    exactions of tribute by the Baroda government were so extreme, and
    enforced by so violent means[54], that cultivation was almost
    neglected; the towns and villages swarmed with idlers, who subsisted
    upon milk and ghee from their cows, while indolence and inactivity
    affected the whole community[55]. A dreadful famine had “raged with
    destructive fury” over Gujerat and Kattiwar for more than one year
    about 1812-13-14, which was followed, not by a contagious fever, but
    by the true bubo-plague.

If the English historian’s language, “agricultura defecit,” with
reference to the tribute exacted by Rufus, have that fitness which we have
reason to expect from him,--Higden varies it to “ita ut agricultura
cessaret et fames succederet,”--then the famine and mortality about the
years 1094-5 were due to no less remarkable a cause than a refusal to
cultivate the land. It is not to be supposed that the incubus of excessive
tribute passed away with the accession of Henry I. The Anglo-Saxon
Chronicle repeats the complaint of heavy taxation in connexion with bad
harvests and murrains in 1103, 1105 and 1110[56]. Severe winters, or
autumn floods, with murrains and scarcity, are recorded also for the years
1111, 1115, 1116, 1117, 1124 and 1125, the famine of 1125 having been
attended with a mortality, and having been sufficiently great and general
to be mentioned by several chroniclers[57]. In the midst of these years of
scarcity and its effects upon the population, there occurs one singular
entry of another kind in the Anglo-Saxon Chronicle, under the year 1112:
“This was a very good year, and very abundant in wood and in field; but it
was a very sad and sorrowful one, through a most destructive
pestilence[58].” Under the year 1130, the annalist of the Welsh monastery
of Margan, who is specially attentive to domestic events, records a
murrain of cattle all over England, which lasted several years so that
scarcely one township escaped the pest, the pigsties becoming suddenly
empty, and whole meadows swept of their cattle. It is to the same murrain
that the Anglo-Saxon Chronicle refers under the year 1131: in towns where
there had been ten or twelve ploughs going there was not one left, and the
man who had 200 or 300 swine had not one left; after that died the
domestic fowls.

These things happened from time to time in the comparatively prosperous
reign of Henry I. But with the death of Henry in 1135, there began a state
of misery and lawlessness lasting almost to the accession of Henry II. in
1154, beside which the former state of England was spoken of as “most
flourishing[59].” Besides the barbarities of the Scots and the Welsh on
the northern and western marches[60], there were the civil wars of the
factions of King Stephen and the Empress Maud, and the cruelties and
predations of the unruly nobles under the walls of a thousand newly-built
strongholds. A graphic account of the condition of England remains to us
from the pen of an eyewitness, the observant author of the _Gesta
Stephani_[61]. Under the year 1143 he writes that there was most dire
famine in all England; the people ate the flesh of dogs and horses or the
raw garbage of herbs and roots. The people in crowds pined and died, or
another part entered on a sorrowful exile with their whole families. One
might see houses of great name standing nearly empty, the residents of
either sex and of every age being dead. As autumn drew near and the fields
whitened for the harvest, there was no one to reap them, for the
cultivators were cut off by the pestilent hunger which had come between.
To these home troubles was added the presence of a multitude of barbarous
adventurers, without bowels of pity and compassion, who had flocked to the
country for military service. The occasion was one of those which cause
the archdeacon of Huntingdon to break out into his elegiac verse:

  “Ecce Stygis facies, consimilisque lues[62].”

“And in those days,” says another, “there was no king in Israel[63].” The
Anglo-Saxon Chronicle, which comes to an end in this scene of universal
gloom, describes how one might go a day’s journey and never find a man
sitting in a town, or the land tilled, and how men who once were rich had
to go begging their bread, concluding with the words, “And they said
openly that Christ and His saints slept.”

Among the penances of Henry II. after the murder of Becket, there is
recorded his charity in feeding during a dearth ten thousand persons daily
from the first of April, 1171, until the harvest[64]. But, apart from a
reference to a flux among the troops in Ireland in 1172, from errors of
diet[65], the long reign of Henry II. is marked by only one record of
general pestilence. It is recorded by the best contemporary writer,
Benedict of Peterborough, and it is the first instance in which the number
of burials in a day (perhaps at Peterborough) is given. In the year 1175,
he says, there was in England and the adjacent regions a pestilential
mortality of men, such that on many days seven or eight corpses were
carried out to be buried. And immediately upon that pestilential mortality
there followed a dire famine[66]. It is to be observed that the famine is
explicitly stated to have come after the pestilence, just as in the great
mortality of 1087; and, as in the latter case, it may be that a hard
winter, with scarcity of food, brought a general sickness, and that the
scarcity had been raised to famine point by a second bad harvest. The
entry in the chronicle of Melrose for 1173 may refer to Scotland only: a
bad kind of cough, unheard of before, affected almost everyone far and
wide, whereof, “or from which pest,” many died. This is perhaps the only
special reference to “tussis” as epidemic until the influenzas of the
seventeenth century.

The comparative freedom of the long reign of Henry II. from famines and
national distress probably arose as much from good government as from the
clemency of the seasons. The country was growing rich by foreign trade. In
1190 the two leading Jews of York, Joyce and Benedict, were occupying
residences in the heart of the town like royal palaces in size and in the
sumptuousness of their furniture. The same historian, William of
Newburgh, who records the king’s protection of these envied capitalists,
mentions also his protection of “the poor, the widows and the orphans,”
and his liberal charities. That the king’s protection of his poorer
subjects was not unneeded, would be obvious if we could trust the
extraordinary account of the keen traders of London which is put by
Richard of Devizes into the mouth of a hostile witness[67]. The peoples of
all nations, it appears, flocked to London, each nationality contributing
to the morals of the capital its proper vices and manners. There was no
righteous person in London, no, not one; there were more thieves in London
than in all France[68]. In the entirely different account, of the same
date, by an enthusiastic Londoner, the monk Fitz-Stephen, the only
“plagues” of London are said to be “the immoderate drinking of fools and
the frequency of fires.” The city and suburbs had one hundred and
twenty-six small parish churches, besides thirteen greater conventual
churches; and it was a model to all the world for religious observances.
“Nearly all the bishops, abbots, and magnates of England are, as it were,
citizens and freemen of London; having there their own splendid houses, to
which they resort, where they spend largely when summoned to great
councils by the king or by their metropolitan, or drawn thither by their
own private affairs[69].” The archdeacon of London, of the same date,
Peter of Blois, in a letter to the pope, Innocent III., concerning the
extent of his duties and the smallness of his stipend, gives the parish
churches in the city at one hundred and twenty, and the population at
forty thousand[70]. The Germans who came in the train of Richard I. on
his return to England in 1194, after his release from the hands of the
emperor, were amazed at the display of wealth and finery which the
Londoners made to welcome back the king; if the emperor had known the
riches of England, they said, he would have demanded a heavier ransom[71].
The ransom, all the same, required a second, or even a third levy before
it was raised, owing, it was said, to peculation; and the ecclesiastics,
who held a large part of the soil, appear to have had so little in hand to
pay their share that they had to pledge the gold and silver vessels of the
altar[72].

The year of Richard’s accession, 1189, is given by the annalist of the
Welsh monastery of Margan, as a year of severe famine and of a mortality
of men. Probably it was a local famine, and it may well have been the same
in which Giraldus Cambrensis says that he himself saw crowds of poor
people coming day after day to the gates of the monastery of Margan, so
that the brethren took counsel and sent a ship to Bristol for corn[73].
The great and general famine with pestilence in Richard’s time was in the
years 1193, 1194, 1195, 1196 and 1197, and it appears to have been felt in
France, in the basin of the Danube, and over all Europe, as well as in
England. Of the pestilence which came with it in England we have an
exceptionally full account from the pen of William of Newburgh. The
monastery in which William wrote his history was situated among woods by
the side of a stream under the Hambledon hills in Yorkshire, on the road
between York and the mouth of the Tees; so that when he says of this
famine and pestilence, “we speak what we do know, and testify what we have
seen,” he may be taken as recording the experience of a sufficiently
typical region of rural England.

His narrative of the pestilence[74] is given under the year 1196, which
was the fourth year of the scarcity or famine: After the crowds of poor
had been dying on all sides of want, a most savage plague ensued, as if
from air corrupted by dead bodies of the poor. This pestilence showed but
little respect even for those who had abundance of food; and as to those
who were in want, it put an end to their long agony of hunger. The disease
crept about everywhere, always of one type, namely that of an acute fever.
Day after day it seized so many, and finished so many more, so that there
were scarcely to be found any to give heed to the sick or to bury the
dead. The usual rites of burial were omitted, except in the case of some
nobler or richer person; at whatever hour anyone died the body was
forthwith committed to the earth, and in many places great trenches were
made if the number of corpses was too great to afford time for burying
them one by one. And as so many were dying every day, even those who were
in health fell into low spirits, and went about with pale faces,
themselves the living picture of death. In the monasteries alone was this
pestilence comparatively unfelt. After it had raged on all sides for five
or six months, it subsided when the winter cold came.

Those lean years were doubtless followed by seven fat years; for it is not
until 1203, the fourth year of John, that we again meet with the records
of famine and pestilence. From various monasteries, from Waverley in
Sussex, Tewkesbury in Gloucester and Margan in Glamorgan, we have the same
testimony--“fames magna et mortalitas,” “fames valida, et saeva mortalitas
multitudinem pauperum extinguit,” “maxima fames.” The monks of Waverley
had to leave their own house and disperse themselves through various
monasteries. Two years after, 1205, there came so hard a season that the
winter-sown seed was almost killed by frost. The Thames was crossed on the
ice, and there was no ploughing for many weeks. An Essex annalist says
there was a famine, and quotes the famine prices: a quarter of wheat was
sold for a pound in many parts of England, although in Henry II.’s time it
was often as low as twelve pence; a quarter of beans ten shillings; a
quarter of oats forty pence, which used to be four pence[75]. The annalist
at Margan enters also the year 1210 as a sickly one throughout
England[76].

We are now come to the period when we can read the succession of these
events in the domestic life of the people from the more trustworthy
records of the St Albans school of historians. Of the scarcity and
sickness among the poor in 1234 we have some suggestive particulars by
Roger of Wendover[77], and for the series of famines and epidemics from
1257 to 1259 we have a comparatively full account by his famous successor
in the office of historiographer to the abbey, Matthew Paris[78]. The next
St Albans _scriptorius_, Rishanger[79], notes the kind of harvest every
year from 1259 to 1305, and for only one of those years after the scarcity
of 1259 was past, namely the year 1294, does he speak of the people dying
of hunger. His successor, John Trokelowe[80], carries on the annals to
1323, and gives us some particulars, not without diagnostic value, of the
great famine-sickness of 1315-16, and of the succession of dear years of
which the epidemic was an incident. It is on these contemporary accounts
by the St Albans school, together with the record for the year 1196 by
William of Newburgh, that our knowledge of the famine-pestilences of
England must be based.

With the harvest of 1259 begins the tabulation of agricultural prices from
farm-bailiffs’ accounts, by Professor Thorold Rogers, a work of vast
labour in which the economic history of the English people is written in
indubitable characters, and by means of which we are enabled to check the
more general and often rhetorical statements of the contemporary
historians.

Although the history of the last year or two of John and of the earlier
years of Henry III. is full of turbulence and rapine, yet we hear of no
general distress among the cultivators of the soil. The contemporary
authority, Roger of Wendover, has no entry of the kind until 1234,
excepting a single note under the year 1222, that wheat rose to twelve
shillings the quarter. We hear of king John and his following as
plundering the rich churchmen and laymen all the way from St Albans to
Nottingham, of William Longspée, earl of Salisbury, carrying on the same
practices in the counties of Essex, Middlesex, Hertford, Cambridge and
Huntingdon, of the spoliation of the Isle of Ely, and of the occupation of
towns and villages in Essex, Suffolk and Norfolk by Louis, Dauphin of
France, the king-elect, or broken reed, on whom the Barons of Magna Charta
thought for a time to lean[81]. But the whole of that period, and of the
years following until 1234, is absolutely free from any record of
wide-spread distress among the lower class. We are reminded of the
observation by Philip de Comines, with the civil wars of York and
Lancaster in his mind, a saying which is doubtless true of all the
struggles in England for the settlement of the respective claims of king
and aristocracy: “England has this peculiar grace,” says the French
statesman, “that neither the country, nor the people, nor the houses are
wasted or demolished; but the calamities and misfortunes of the war fall
only upon the soldiers and especially the nobility, of whom they are more
than ordinarily jealous: for nothing is perfect in this world.” That
cannot apply of course to the barbarous incursions of the Scots and the
Welsh; for the northern marches were often reduced to desolation during a
period of three hundred years after the Conquest and were never more
desolate than in the reign of Richard II.; while the marches of Wales were
subject to not less ruthless spoliations until the concessions to the
Welsh by Edward I. Nor is the immunity of the peasantry from the troubles
of civil war to be taken as absolute; for we find under the year 1264,
when Simon de Montfort was in the field against the king, an explicit
statement that the small peasantry were plundered even to the poor
furniture of their cottages. But on the whole we may take it that the
paralysing effect of civil war seldom reached to the English lower classes
in the medieval period, that the tenour of their lives was seldom
disturbed except by famine or plague, and that kings and nobles were left
to fight it out among themselves.

We become aware, however, from the time of the Great Charter, and during
the steady growth of the country’s prosperity, of a widening chasm between
the rich and the poor within the ranks of the commons themselves, and that
too, not only in the centres of trade (as we shall see), but also in
country districts. The claims of feudal service did not prevent some among
the villagers from adding house to house, and field to field, thereby
marking in every parish the interval between the thriving and comfortable
and a residuum of _pauperes_ composed of the less capable or the less
fortunate. A curious story, told by Roger of Wendover of the village of
Abbotsley near St Neots, will serve as an illustration of a fact which we
might be otherwise well assured of from first principles[82].

The year 1234 was the third of a succession of lean years. So sharp was
the famine before the harvest of that year, that crowds of the poor went
to the fields in the month of July, and plucked the unripe ears of corn,
rubbing them in their hands and eating the raw grain. The St Albans monk
is full of indignation against the prevailing spirit of avarice which
reduced some of the people to that sad necessity: Alms had everywhere gone
out of fashion; the rich, abounding in all manner of temporal goods, were
so smitten with blind greed that they suffered Christian men, made in the
image of God, to die for want of food. Some, indeed, were so impious as to
say that their wealth was due to their own industry, and not to the gift
of God. Of that mind seem to have been the more prosperous cultivators of
the village of Abbotsley “who looked on the needy with an eye of
suspicion[83].”

    The following story is told of them. Seeing the poor making free with
    their corn in the ear, they assembled in the parish church on a Sunday
    in August, and assailed the parson with their clamours, demanding that
    he would forthwith pronounce the ban of the Church upon those who
    helped themselves to the ears of corn. The parson, notwithstanding a
    well-known precedent in the Gospels, was about to yield to their
    insistence, when a man of religion and piety rose in the congregation
    and adjured the priest, in the name of God and all His saints, to
    refrain from the sentence, adding that those who were in need were
    welcome to help themselves to his own corn. The others, however,
    insisted, and the parson was just beginning to ban the pilferers, when
    a thunderstorm suddenly burst, with hail and torrents of rain. When
    the storm had passed, the peasants went out to find their crops
    destroyed,--all but that one simple and just man who found his corn
    untouched.

We have only to recall the minute subdivisions of the common field, or
fields, of the parish into half-acre strips separated by balks of turf,
and the fact that no two half-acres of the same cultivator lay together,
to realize how nice must have been the discrimination[84].

But the moral of the story is obvious. It is an appeal to the teaching and
the sanction of the Gospels, against the rooted belief of the natural man
that he owes what he has to his own industry and thrift, and that it is no
business of his to part with his goods for the sustenance of a helpless
and improvident class.

The spirit of avarice, according to Wendover, permeated all classes at
this period, from high ecclesiastics downwards. Walter, archbishop of
York, had his granaries full of corn during the scarcity, some of it five
years old. When the peasants on his manors asked to be supplied from these
stores in the summer of 1234, the archbishop instructed his bailiffs to
give out the old corn on condition of getting new for it when the harvest
was over. It need not be told at length how the archbishop’s barns at
Ripon were found on examination to be infested with vermin, how the corn
had turned mouldy and rotten, and how the whole of it had to be destroyed
by fire[85]. Of the same import are the raids upon the barns of the alien
or Italian clergy in 1228, in the diocese of Winchester and elsewhere, and
the ostentatious distribution by the raiders of doles to the poor[86].

The somewhat parallel course of public morality in the centres of trade,
or, as Wendover would call it, the prevalence of avarice, demands a brief
notice for our purpose.

In every state of society, there will of course be rich and poor. But a
class of _pauperes_ seems to emerge more distinctly in the life of England
from about the beginning of the thirteenth century. The period corresponds
to the appearance on the scene of St Francis and his friars. Doubtless St
Francis was inspired by a true sense of what the time needed, even if it
be open to contend that his ministrations of charity brought out,
consolidated, and kept alive a helpless class who would have been less
heard of if they had been left to the tender mercies of economic
principles. The mission of the friars was not merely to the poor; it was
also to the rich, whether of the church or of the world, “to soften the
hardness of their hearts by the oil of preaching[87].” It was one of these
interpositions, ever needed and never wanting, to reduce the inequalities
of the human lot, not by preaching down-right theoretical communism, but,
more by force of rhetoric than of logic, to extort from the strong some
concessions to the weak, to mitigate the severity of the struggle for
existence, and to bring the respectable vices of greed and sharp practice
to the bar of conscience.

As early as 1196 there is the significant incident, in the city of London,
of the rising of the poorer class and the middling class, headed by
Fitzosbert Longbeard, himself one of the privileged citizens, against an
assessment in which the class represented by the mayor and aldermen were
alleged to have been very tender of their own interests[88]. Longbeard was
hailed as “the friend of the poor,” and, having lost his life in their
cause (whether in the street before Bow Church, or on a gallows at Tyburn,
or at the Smithfield elms, the narratives are not agreed), he is
celebrated by the sympathetic Matthew Paris as “the martyr of the
poor[89].” That historian continues, after the manner of his predecessor
Wendover, to speak of Londoners as on the one hand the “mediocres,
populares et plebei,” and on the other hand the “divites.” In 1258 the
latter class overreached themselves: they were caught in actual vulgar
peculation of money raised by assessment for repairing the city walls;
some of them were thrown into prison and only escaped death through the
royal clemency at the instance of the notorious pluralist John Mansel, and
on making restitution of their plunder; but one of them, the mayor, never
recovered the blow to his respectability, and died soon after of
grief[90]. Whether it meant a wide-spread spirit of petty fraud, or some
unadjusted change in value, the young king in 1228, during a journey from
York to London, took occasion along his route to destroy the “false
measures” of corn, ale and wine, to substitute more ample measures, and to
increase the weight of the loaf.

The scarcity or famine of 1234, to which the Abbotsley incident belongs,
was accompanied, says the St Albans annalist, by a mortality which raged
cruelly everywhere. On the other hand the annalist of Tewkesbury may be
credited when he says that, although the year was one of scarcity, corn
being at eight shillings, yet “by the grace of God the poor were better
sustained than in other years[91].”

There was an epidemic in 1247, but it is not clear whether it was due to
famine. Although Higden, quoting from some unknown record, says that there
was dearth in England in that year, wheat being at twelve shillings the
quarter, yet he does not mention sickness at all; and Matthew Paris, who
was then living, is explicit that the harvest of 1247 was an abundant one,
and that the mortality did not begin until September of that year. There
does appear, however, to have been a sharp famine in Wales; and it is
recorded that the bishop of Norwich, “about the year 1245,” in a time of
great dearth, sold all his plate and distributed it to the poor[92]. All
that we know of this epidemic is the statement of Matthew Paris, that it
began in September and lasted for three months; and that as many as nine
or ten bodies were buried in one day in the single churchyard of St
Peter’s at Saint Albans[93].

Matthew Paris notes the quality of the harvest and the prices of grain
every year, and his successor Rishanger continues the practice. The prices
noted appear, from comparison with those tabulated by Thorold Rogers from
actual accounts, to have been the lowest market rates of the year. The
harvest of 1248 was plentiful, and wheat sold at two shillings and
sixpence a quarter. In 1249 and 1250 it was at two shillings, oats being
at one shilling. But those years of exceptional abundance were followed at
no long interval by a series of years of scarcity or famine, which brought
pestilential sickness of the severest kind.

The scarcity or famine in the years 1256-59 was all the more acutely felt
owing to the dearth of money in the country. The burden of the history of
Matthew Paris before he comes to the famine is that England had been
emptied of treasure by the exactions of king and pope. Henry III. was
under some not quite intelligible obligation of money to his brother, the
earl of Cornwall. The English earl was a candidate for the Imperial crown,
and had got so far towards the dignity of emperor as to have been made
king of the Germans. It was English money that went to pay his German
troops, and to further his cause with the electoral princes; but the
circulating coin of England does not appear to have sufficed for these and
domestic purposes also. The harvest of 1256 had been spoiled by wet, and
the weather of the spring of 1257 was wretched in the extreme. All England
was in a state of marsh and mud, and the roads were impassable. Many sowed
their fields over again; but the autumn proved as wet as the rest of the
year. “Whatever had been sown in winter, whatever had germinated in
spring, whatever the summer had brought forward--all was drowned in the
floods of autumn.” The want of coins in circulation caused unheard-of
poverty. At the end of the year the fields lay untilled, and a multitude
of people were dead of famine. At Christmas wheat rose to ten shillings a
quarter. But the year 1257 appears to have had “lethal fevers” before the
loss of the harvest of that year could be felt. Not to mention other
places, says the St Albans historian, there was at St Edmundsbury in the
dog-days so great a mortality that more than two thousand bodies were
buried in its spacious cemetery[94].

The full effects of the famine were not felt until the spring of 1258. So
great was the pinch in London from the failure of the crops and the want
of money that fifteen thousand[95] are said to have died of famine, and of
a grievous and wide-spread pestilence that broke out about the feast of
the Trinity (19 May).

The earl of Cornwall (and king of Germany) who had relieved the country of
a great part of its circulating coin, took the opportunity to buy up corn
in Germany and Holland for the supply of the London market. Fifty great
ships, says Matthew Paris, arrived in the Thames laden with wheat, barley,
and other grain. Not three English counties had produced as much as was
imported. The corn was for such as could buy it; but the king interposed
with an edict that, whereas greed was to be discouraged, no one was to buy
the foreign corn in order to store it up and trade in it. Those who had no
money, we are expressly told, died of hunger, even after the arrival of
the ships; and even men of good position went about with faces pinched by
hunger, and passed sleepless nights sighing for bread. No one had seen
such famine and misery, although many would have remembered corn at higher
prices. The price quoted about this stage of the narrative, although not
with special reference to the foreign wheat, is nine shillings the
quarter. Elsewhere the price is said to have mounted up to fifteen
shillings, which may have been the rate before the foreign supply came in.
But such was the scarceness of money, we are told, that if the price of
the quarter of wheat had been less, there would hardly have been found
anyone to buy it. Even those who were wont to succour the miserable were
now reduced to perish along with them. It is difficult to believe that the
historian has not given way to the temptations of rhetoric, and it is
pleasing to be able to give the following complement to his picture. After
some 15,000 had died in London, mostly of the poorer sort, one might hear
a crier making proclamation to the starving multitude to go to a
distribution of bread by this or that nobleman, at such and such a place,
mentioning the name of the benefactor and the place of dole.

In other passages, which may be taken as picturing the state of matters in
the country, the historian says that the bodies of the starved were found
swollen and livid, lying five or six together in pig-sties, or on
dungheaps, or in the mud of farmyards. The dying were refused shelter and
succour for fear of contagion, and scarcely anyone would go near the dead
to bury them. Where many corpses were found together, they were buried in
capacious trenches in the churchyards.

We come now to the harvest of 1258. After a bleak and late spring the
crops had come forward well under excessive heat in summer, and the
harvest was an unusually abundant, although a late one. Rains set in
before the corn could be cut, and at the feast of All Saints (1 November)
the heavy crops had rotted until the fields were like so many dungheaps.
Only in some places was any attempt made to carry the harvest home, and
then it was so spoiled as to be hardly worth the trouble. Even the mouldy
grain sold as high as sixteen shillings a quarter. The famishing people
resorted to various shifts, selling their cattle and reducing their
households. How the country got through the winter, we are not told.
Matthew Paris himself died early in 1259, and the annalist who added a few
pages to the _Chronica Majora_ after his death, merely mentions that the
corn, the oil and the wine turned corrupt, and that as the sun entered
Cancer a pestilence and mortality of men began unexpectedly, in which many
died. Among others Fulk, the bishop of London, died of pestilence in the
spring of 1259; and, to say nothing of many other places, at Paris
----thousand (the number is left blank) were buried.

The vagueness of the last statement reminds us that we are now deprived of
the comparatively safe guidance of Matthew Paris. His successor in the
office of annalist at St Albans, Rishanger, is much less trustworthy. He
sums up the year 1259 in a paragraph which repeats exactly the facts of
the notorious year 1258, and probably applies to that alone; for the year
1260 his summary is that it was more severe, more cruel and more terrible
to all living things than the year before, the pestilence and famine being
intolerable. There is, however, no confirmation of that in the authentic
prices of the year collected by Thorold Rogers. Parcels of wheat of the
harvest of 1259 were sold at about five and six shillings, and of the
harvest of 1260 at from three shillings and sixpence to six shillings. For
a number of years, corresponding to the Barons’ war and the war in Wales,
the price is moderate or low, the figures of extant bailiffs’ accounts
agreeing on the whole with Rishanger’s summary statements about the
respective harvests[96]. The years from 1271 to 1273 were dear years, and
for the first of the series we find a doubtful record by the Yorkshire
continuator of William of Newburgh that there was “a great famine and
pestilence in England and Ireland[97].” The harvest of 1288 was so
abundant that the price of wheat in the bailiffs’ accounts is mostly about
two shillings, ranging from sixteen pence to four and eightpence.
Rishanger’s prices for the year are sufficiently near the mark: in some
places wheat sold at twenty pence the quarter, in others at sixteen pence,
and in others at twelve pence. From that extremely low point, a rise
begins which culminates in 1294. The chronicler’s statement for 1289, that
in London the bushel of wheat rose from threepence to two shillings, is
not borne out by the bailiffs’ accounts, which show a range of from two
shillings and eightpence to six shillings the quarter. But these accounts
confirm the statement that the years following were dear years, and that
1294 was a year of famine prices, wheat having touched fourteen shillings
at Cambridge, in July. Rishanger’s two notes are that the poor perished of
hunger, and that the poor died of hunger on all sides, afflicted with a
looseness (_lienteria_)[98]. The two years following are also given as
hard for the poor, but not as years of famine or sickness; the country was
at the same time heavily taxed for the expenses of the war which Edward I.
was waging against the Scots. Ordinary prosperity attends the cultivators
of the soil until the end of Rishanger’s chronicle in 1305; and from the
beginning of Trokelowe’s in 1307, the year of Edward II.’s accession,
there is nothing for our purpose until we come to the great famine of
1315[99].

It is clear, however, that prices were high in every year from 1309 until
that famine, with the single exception of the harvest of 1311. At the
meeting of Parliament in London before Easter in 1315, the dearth was a
subject of deliberation, and a King’s writ was issued attempting to fix
the prices at which fat oxen, cows, sheep, pigs, geese, fowls, capons,
chickens, pigeons and eggs should be sold on demand, subject to
confiscation if the sale were refused. The statute was ineffective (it was
repealed the year after), and provisions became dearer than ever. The
quarter of wheat, beans and peas sold for twenty shillings, of oats for
ten shillings, and of salt for thirty-five. When the king stopped at St
Albans at the feast of St Lawrence, says Trokelowe, it was hardly possible
to buy bread for the use of his household. The scarcity was most felt from
the month of May until the harvest. With the new crop, ruined as it was by
rains and floods, the scarcity lessened somewhat, but not before many had
felt the pinch of hunger, and others were seen (as the St Albans annalist
says he saw them) lying squalid and dead in the villages and by the
road-sides. At Midsummer, 1316, wheat rose to thirty shillings, and after
that as high as forty shillings (the highest price found by Thorold Rogers
is twenty-six shillings and eightpence at Leatherhead in July). The
various forms of famine-sickness are mentioned:--dysentery from corrupt
food, affecting nearly everyone, an acute fever which killed many, or a
putrid sore throat (_pestis gutturuosa_). To show the extremities to which
England was reduced, Trokelowe specially inserts the following: Ordinary
flesh was not to be had, but horse-flesh was eaten, fat dogs were stolen
to eat, and it was rumoured abroad that in many places both men and women
secretly ate the flesh of their own children, or of the children of
others. But the detail which Trokelowe justly thinks posterity will be
most horrified to read, is that prisoners in gaols set upon the thieves
newly brought in and devoured them alive.

It is probably the same famine and pestilence that we find worked into the
metrical romance of Robert of Brunne (1338), under the guise of the plague
‘in Cadwaladre’s time,’ that is, the pestilence recorded by Beda for the
year 664. The Lincolnshire romancist must have seen the famine and
pestilence of 1315-16, for he was then in the prime of life, and probably
he transferred his own experiences of famine and pestilence to the remote
episode of the seventh century, to which he devotes thirty-eight lines of
his romance. In Cadwaladre’s time the corn fails and there is great
hunger. A man may go for three days before he can buy any food in burgh,
or in city, or in upland; he may indeed catch wild creatures, or fishes,
or gather leaves and roots. Worse still, a plague comes, from rotten air
and wicked winds, so that hale men fall down suddenly and die; gentle and
bondmen all go, hardly any are left to till the land, the living cannot
bury the dead, those who try fall dead in the grave. Men leave house and
land, and few are left in the country. Eleven years does Britain lie waste
with but few folk to till the land[100].

After the famine of 1315-16, the third and last of the great and, one may
say, disgraceful famines which gave rise to the by-word “Anglorum fames,”
prices continued at their ordinary level for several years. But from 1320
to 1323 they again came to a height. To that period probably belongs a
mortality which is entered, in a chronicle of the next century[101], under
the year 1325. On the contemporary authority of Higden we know that, in
1322, the king went to Scotland about the feast of St Peter ad Vincula,
“and though he met not with resistance, lost many of his own by famine and
disease.” After that period of scarcity comes a long succession of cheap
years, covering the interval to the next great event in the annals of
pestilence that concerns us, the arrival of the Black Death in the autumn
of 1348. With that great event the history of English epidemics enters
upon a new chapter. There were, of course, years of dearth and scarcity in
the centuries following, but there were no great famine-pestilences like
those of 1196, 1258 and 1315.

The period of the great famines ought not to be left without another
reference to the widening gulf between the rich and the poor, and the
keenness of traders which led them sometimes to incur the restraints of
government and the punishments of justice.

On 26 March, 1269, was issued one of those ordinances against
forestalling, of which many more followed for several centuries: no
citizen to go outside the city of London, either by road or river, to meet
victuals coming to market. In the 7th year of Edward I., clipping or
debasing the coinage was carried on so systematically that nearly three
hundred persons, mostly of the Hebrew race, were drawn and hanged for it.
In the 11th year of Edward I. (1283) a statute had been directed against
cheating by bakers and millers. Meanwhile the nobility retaliated by
plundering the traders and merchants at Boston fair, and the king settled
the account with these marauding nobles by hanging them. A statute of
1316, the second year of the famine, to fix the price of ale, has an
interest on account of its motive--“ne frumentum ulterius per potum
consumeretur.” The proportion of the corn of the country turned into malt,
or the amount diverted from bread to beer, may be guessed from the fact
that in London, for which the beer ordinance was first made, there were in
1309, brewhouses to the number of 1334, and taverns to the number of
354[102]. In the very year of great famine, 1316, an ordinance was issued
(in French, dated from King’s Langley) against extravagant
housekeeping[103]. In the year of great scarcity and mortality, 1322,
there was such a crowd for a funeral dole at Blackfriars (for the soul of
Henry Fingret) that fifty-five persons, children and adults, were crushed
to death in the scramble[104]. At the same time the prior of Christ
Church, Canterbury, was sitting down to dinners of seventeen dishes, the
cellarer had thirty-eight servants under him, the chamberlain and sacrist
had large numbers of people employed as tailors, furriers, launderers and
the like, and the servants and equipages of the one hundred and forty
brethren were numerous and splendid[105]. The monasteries, on which the
relief of the poor mostly depended, have been thus characterized:

    “From the end of the twelfth century until the Reformation,” says
    Bishop Stubbs, “from the days of Hubert Walter to those of Wolsey, the
    monasteries remained magnificent hostelries: their churches were
    splendid chapels for noble patrons; their inhabitants were bachelor
    country gentlemen, more polished and charitable, but little more
    learned or more pure in life than their lay neighbours; their estates
    were well managed, and enjoyed great advantages and exemptions; they
    were, in fact, an element of peace in a nation that delighted in war.
    But, with a few noble exceptions, there was nothing in the system that
    did spiritual service[106].”

There is little to be said, at this period, of the profession most
directly concerned with sickness, epidemic or other, namely the medical.
We become aware of its existence on rare occasions: as in the account of
the death of William the Conqueror at Rouen on 9 September, 1087, of the
illness and death of Hubert, archbishop of Canterbury, on 13 July, 1205,
at one of his manors on a journey to Rochester[107], or in the reference
by William of Newburgh, to the noted Jewish physician of King’s Lynn,
whose honourable repute among the citizens for skill and modesty did not
save him from the murderous fanaticism against his race in 1190[108], or
in occasional letters of the time[109]. There were doubtless benevolent
men among the practitioners of medicine, then as now; but the profession
has never been one in which individuals could rise conspicuously above the
level of their age, and the moral standard of those centuries was a poor
one. It is not surprising, then, that John of Salisbury, indulging a taste
for epigram, should have characterized the profession of medicine in the
twelfth century as follows: “They have only two maxims which they never
violate, ‘Never mind the poor; never refuse money from the rich’[110].”

The one English physician whose writings have come down to us from the
period that we are still engaged with, is John of Gaddesden. There is
every reason to think that he was practising at the time of the famine and
pestilence of 1315-16; but it is not from his bulky treatise on medicine
that we learn the nosological types of the epidemic maladies of those
years. Some account of his _Rosa Anglica_ will be found in the chapter on
Smallpox; it must suffice to say here that he was a verbalist compiler
from other books, themselves not altogether original, and that, according
to Dr Freind, he displays no great knowledge of his profession.

It is nothing strange, therefore, that Gaddesden throws no light upon the
famine-pestilences of England, such as those of 1315-16, which he lived
through. Dysentery and lientery, he treats of almost in the very words of
Gilbertus Anglicus; but those maladies might have been among the dwellers
in another planet, so far as native experience comes in. He reproduces
whole chapters from his predecessors, on _synochus_ and _synocha_, without
a hint that England ever witnessed such scenes of hunger-typhus as the St
Albans chroniclers have recorded for us from their own observation. The
reference by Trokelowe to the prevalence of _pestis gutturuosa_ in 1316,
is one that a medical writer of the time might well have amplified; but
Gaddesden missed the opportunity of perhaps anticipating Fothergill’s
description of putrid sore-throat by more than four hundred years.


Epidemics of St Anthony’s Fire, or Ergotism.

One form of epidemic malady, intimately connected with bad harvests and a
poor state of agriculture, namely Ergotism, from the mixture of poisoned
grains in the rye or other corn, is conspicuously missed from English
records of the medieval period, although it plays a great part in the
history of French epidemics of the Middle Ages, under such names as _ignis
sacer_, _ignis S. Antonii_, or _ignis infernalis_. According to the
proverbial saying already quoted, France was as notorious for _ignis_ as
England for famine, and Normandy for lepra: “Tres plagae tribus regionibus
appropriari solent, Anglorum fames, Gallorum ignis, Normannorum
lepra[111].” The malady was of a nature to attract notice and excite pity;
it is entered by chroniclers, and is a frequent topic in French legends of
the Saints. Its occurrence in epidemic form can be traced in France, with
a degree of probability, as far back as 857 (perhaps to 590); six great
outbreaks are recorded in the tenth century, seven in the eleventh, ten in
the twelfth, and three in the thirteenth, the medieval series ending with
one in the year 1373. The estimates of mortality in the several epidemics
of ergotism over a larger or smaller area of France, range as high as
40,000, and 14,000, which numbers may be taken to be the roughest of
guesses; but in later times upwards of 500 deaths from ergotism have been
accurately counted in a single outbreak within a limited district. The
epidemics have been observed in particular seasons, sometimes twenty years
or more elapsing without the disease being seen; they have occurred also
in particular provinces--in the basin of the Loire, in Lorraine, and,
since the close of the medieval period, especially in the Sologne. The
disease has usually been traced to a spoiled rye crop; but there is
undoubted evidence from the more recent period that a poison with
corresponding effects can be produced in some other cereals, even in wheat
itself.

In a field of rye, especially after a wet sowing or a wet season of
growth, a certain proportion of the heads bear long brown or purple corns,
one or more upon a head, projecting in the shape of a cock’s spur, whence
the French name of ergot. The spur appears to be, and probably is, an
overgrown grain of rye; it is grooved like a rye-corn, occupies the place
of the corn between the two chaff-coverings, and contains an abundant
whitish meal. Microscopic research has detected in or upon the spurred rye
the filaments of a minute parasitic mould; so that it is to the invasion
by a parasite that we may trace the enormous overgrowth of one or more
grains on an ear, and it is probably to the ferment-action of the fungus
that we should ascribe the poisonous properties of the meal. The
proportion of all the stalks in a field so affected will vary
considerably, as well as the proportion of grains on each affected head of
corn[112]. Rye affected with ergot is apt to be a poor crop at any rate;
one or more spurred corns on a head tend to keep the rest of the grains
small or unfilled; and if there be many stalks in the field so affected,
the spurred grain will bulk considerably in the whole yield. When the
diseased grains are ground to meal along with the healthy grains, the meal
and the bread will contain an appreciable quantity of the poison of ergot;
and if rye-bread were the staple food, there would be a great risk, after
an unusually bad harvest, of an outbreak of the remarkable constitutional
effects of ergotism. Rye-bread with much ergot in it may be rather blacker
than usual; but it is said to have no peculiar taste.

It is almost exclusively among the peasantry that symptoms of ergotism
have been seen, and among children particularly. The attack usually began
with intense pains in the legs or feet, causing the victims to writhe and
scream. A fire seemed to burn between the flesh and the bones, and, at a
later stage, even in the bowels, the surface of the body being all the
while cold as ice. Sometimes the skin of affected limbs became livid or
black; now and then large blebs or blisters arose upon it, as in bad kinds
of erysipelas. Gangrene or sloughing of the extremities followed; a foot
or a hand fell off, or the flesh of a whole limb was destroyed down to the
bones, by a process which began in the deeper textures. The spontaneous
separation of a gangrenous hand or foot was on the whole a good sign for
the recovery of the patient. Such was the _ignis sacer_, or _ignis S.
Antonii_ which figures prominently, I am told, in the French legends of
the Saints, and of which epidemics are recorded in the French medieval
chronicles. Corresponding effects of ergotism may or may not have occurred
during the medieval period in other countries of Europe where rye was
grown.

The remarkable thing is, that when we do begin in the sixteenth and
seventeenth centuries to obtain evidence of agrarian epidemics in Germany,
Sweden and Russia, which have eventually come to be identified, in the
light of more recent knowledge, with ergotism, the type of the disease is
different, not perhaps fundamentally or in the ultimate pathological
analysis, but at all events different as being a functional disorder of
the nervous system, instead of a disorder, on nervous lines, affecting the
nutrition of parts and their structural integrity. This newer form,
distinctive of Germany and north-eastern Europe, was known by the name of
Kriebelkrankheit, from the creeping or itching sensations in the limbs at
the beginning of it; these heightened sensibilities often amounted to
acute pain, as in the beginning of the gangrenous form also; but the
affection of the sensory nerves, instead of leading to a breakdown in the
nutrition of the parts and to gangrene, was followed by disorder of the
motor nerves,--by spasms of the hands and arms, feet and legs, very often
passing into contractures of the joints which no force could unbend, and
in some cases passing into periodic convulsive fits of the whole body like
epilepsy, whence the name of convulsive ergotism[113].

Side by side with these German, Swedish and Russian outbreaks of
convulsive ergotism, or Kriebelkrankheit (called by Linnaeus in Sweden by
the Latin name _raphania_), there had been a renewal or continuance of the
medieval epidemics in France, notably in the Sologne; but the French
ergotism has retained its old type of _ignis_ or gangrene. It was not
until the eighteenth century that the learned world became clear as to the
connexion between either of those forms of disease among the peasantry and
a damaged rye-crop, although the country people themselves, and the
observant medical practitioners of the affected districts, had put this
and that together long before. Thus, as late as 1672-75, there were
communications made to the Paris Academy of Medicine[114] by observers in
the Sologne and especially around Montargis, in which ergot of rye is
clearly described, as well as the associated symptoms of gangrenous
disease in the peasantry; but the connexion between the two was still
regarded as open to doubt, and as a question that could only be settled by
experiment; while there is not a hint given that these modern outbreaks
were of the same nature as the notorious medieval _ignis sacer_. According
to Häser, it was not until the French essay of Read (Strasbourg, 1771)
that the identity of the old _ignis_ with the modern gangrenous ergotism
was pointed out.

The result of the modern study of outbreaks of ergotism, including the
minute record of individual cases, has been to show that there is no hard
and fast line between the gangrenous and convulsive forms, that the French
epidemics, although on the whole marked by the phenomena of gangrene, have
not been wanting in functional nervous symptoms, and that the German or
northern outbreaks have often been of a mixed type. Thus, in the French
accounts of 1676, “malign fevers accompanied with drowsiness and raving,”
are mentioned along with “the gangrene in the arms but mostly in the legs,
which ordinarily are corrupted first.”

Again, the observations of Th. O. Heusinger[115] on an outbreak near
Marburg in 1855-56, led him decidedly to conclude for the essential
sameness of _ignis_ and Kriebelkrankheit, and for the existence of a
middle type, although undoubtedly the sensory and motor disorders,
including hyperaesthesia, pain and anaesthesia on the one hand, and
contractures of the joints, choreic movements and convulsions on the
other, were more distinctive of the epidemics of ergotism on German or
northern European soil.

Thus far the foreign experience of ergotism, both medieval and modern, and
of its several types. We shall now be in a position to examine the English
records for indications of the same effects of damaged grain.

In the English medieval chronicles an occasional reference may be found to
_ignis_ or wild fire. The reference to wild fire in Derbyshire in the
Anglo-Saxon Chronicle under the year 1049, probably means some
meteorological phenomenon, elsewhere called _ignis sylvaticus_: “Eac þ
wilde fyr on Deorbyscire micel yfel dyde[116].” Whatever the _ignis
sylvaticus_ or _ignis aereus_ was, which destroyed houses as well as
crops, there appears to be no warrant for the conclusion of C. F.
Heusinger that it was the same as the _ignis sacer_ of the French
peasantry[117]. An undoubted reference to _ignis infernalis_ as a human
malady occurs in the _Topography of Ireland_ by Giraldus Cambrensis: a
certain archer who had ravished a woman at St Fechin’s mill at Fore was
overtaken by swift vengeance, “igne infernali in membro percussus, usque
in ipsum corpus statim exarsit, et nocte eadem exspiravit.” Taking the
incident as legendary, and the diagnosis as valueless, we may still
conclude that the name, at least, of _ignis infernalis_ was familiar to
English writers. But in all the accounts of English famines and
wide-spread sicknesses in the medieval period which have been extracted
from the nearest contemporary authorities, I have found no mention of any
disease that might correspond to ergotism[118].

The first undoubted instance of ergotism in England belongs to the
eighteenth century. On or about the 10th of January, 1762, a peasant’s
family (father, mother, and six children) of Wattisham in Suffolk, were
attacked almost simultaneously with the symptoms of gangrenous ergotism,
several of them eventually losing portions of their limbs. The disease
began with intense pain in the legs, and contractures of the hands and
feet. It was proved that they had not been using rye flour; but their
bread for a short time before had been made exclusively from damaged
wheat, grown in the neighbourhood and kept apart from the farmer’s good
corn so as not to spoil his sample. It had been sent to the mill just
before Christmas, and had been used by some others besides the family who
developed the symptoms of ergotism[119].

In that authentic instance of ergotism (although not from rye), there was
one symptom, the contractures of the hands and feet, which is distinctive
of the convulsive form; so that the English type may be said to have been
a mixture of the French form and of the form special to the north-eastern
countries of Europe. With that instance as a type, let us now inquire
whether any epidemics in England at earlier periods may not be brought
under the head of ergotism. It is to be kept in mind that none of the
medieval outbreaks were called by their present name, or traced to their
true source, until centuries after; so that our task is, not to search the
records for the name of ergotism, but to scrutinize any anomalous outbreak
of disease, or any outbreak distinguished in the chronicles by some
unusual mark, with a view to discovering whether it suits the hypothesis
of ergotism. I shall have to speak of three such outbreaks in the
fourteenth century, and of one in Lancashire and Cheshire in 1702[120].

The first of these is given by Knighton for a period and a locality that
may have been within his own cognizance. In the summer of 1340 there
happened in England generally, but especially in the county of Leicester,
a certain deplorable and enormous infirmity. It was marked by paroxysms or
fits, attended by intolerable suffering; while the fit lasted, the victims
emitted a noise like the barking of dogs. A “great pestilence,” or perhaps
a great mortality, is said to have ensued[121]. In that record the salient
points are, firstly the wide or epidemic incidence of the malady, at all
events in Leicestershire, which was Knighton’s own county; secondly the
paroxysmal nature of the attacks, and the strange noises emitted
therewith; thirdly the intolerable suffering (_poena_) that attended each
fit (_passio_). Except for the clear indication of pain, one might think
of the strange hysterical outbreaks, extending, by a kind of psychical
contagion, to whole communities, which were observed about the same period
in some parts of the continent of Europe. But of these medieval
psychopathies, as they are called, there is hardly any trace in England.
The Flagellants came over from Zealand to London in 1349, and gave
exhibitions at St Paul’s, but that pseudo-religious mania does not appear
to have taken hold among the English. The epidemic recorded by Knighton
had probably a more material cause. To illustrate the somewhat meagre
reference by Knighton to the strange epidemic of 1340, I shall proceed at
once to the remarkable outbreak in Lancashire and Cheshire in 1702, which
was clearly not a psychopathy or hysterical outbreak, and yet had a
seemingly hysterical element in it. An account of it was sent to the Royal
Society by Dr Charles Leigh “of Lancashire[122].”

    “We have this year [1702] had an epidemical fever, attended with very
    surprising symptoms. In the beginning, the patient was frequently
    attacked with the colica ventriculi; convulsions in various parts,
    sometimes violent vomitings, and a dysentery; the jaundice, and in
    many of them, a suppression of urine; and what urine was made was
    highly saturated with choler. About the state of the distemper, large
    purple spots appeared, and on each side of ’em two large blisters,
    which continued three or four days: these blisters were so placed
    about the spots that they might in some measure be term’d satellites
    or tenders: of these there were in many four different eruptions. But
    the most remarkable instance I saw in the fever was in a poor boy of
    Lymm in Cheshire, one John Pownel, about 13 years of age, who was
    affected with the following symptoms:--

    “Upon the crisis or turn of the fever, he was seized with an aphonia,
    and was speechless six weeks [? days], with the following convulsions:
    the distemper infested the nerves of both arms and legs which produced
    the Chorea Sancti Viti, or St Vitus’s dance; and the legs sometimes
    were both so contracted that no person could reduce them to their
    natural position. Besides these, he had most terrible symptoms, which
    began in the following manner: [description of convulsions follows]
    ... and then he barked in all the usual notes of a dog, sometimes
    snarling, barking, and at the last howling like an hound. After this
    the nerves of the mandibles were convulsed, and then the jaws clashed
    together with that violence that several of his teeth were beaten out,
    and then at several times there came a great foam from his mouth....
    These symptoms were so amazing that several persons about him believed
    he was possessed. I told them there was no ground for such
    suppositions, but that the distemper was natural, and a species of an
    epilepsy, and by the effects I convinced them of the truth of it; for
    in a week’s time I recovered the boy his speech, his senses returned,
    his convulsions vanished, and the boy is now very cheerful. There have
    been other persons in this country much after the same manner.”

This epidemic of 1702 in Lancashire and Cheshire was recorded as something
unusual. It had certain intestinal symptoms such as colic, which may well
have followed the use of poisoned food and are indeed described among the
symptoms of ergotism; there were also convulsions, large purple spots with
blisters coming and going on the skin near them, and, in the single case
that is given with details, there were contractures of the legs “so that
no person could reduce them to their natural position,” and a continuance
for several days of painful epileptiform fits attended with noises like
the barking of a dog, or the hissing of a goose, “all which different
sounds (I take it) proceed from the different contractions of the lungs
variously forcing out the air.” The remarkable case of the boy, certified
by several witnesses, is expressly given as one belonging to the general
epidemic of the locality, others having been affected “much after the same
manner.” Whatever suggestion there may be of ergotism in these
particulars, nothing is said of gangrene of the limbs, although the livid
spots and blisters are part of the symptoms of gangrenous ergotism, just
as the convulsions and contractures are of convulsive ergotism. In the
Suffolk cases of 1762 there were both contractures of the limbs and
gangrene.

Knighton’s mention of the barking noises emitted by the sufferers of 1340
has suggested to Nichols, the author of the _History of
Leicestershire_[123], a comparison of them with the cases investigated by
Dr Freind in the year 1700, at the village of Blackthorn in Oxfordshire.
Having heard a great rumour in the summer of that year that certain girls
at that Oxfordshire village were taken with frequent barkings like dogs,
Dr Freind made a journey to the place to investigate the cases[124].

    He found that this _pestis_ or plague had invaded two families in the
    village, on terms of close intimacy with each other. Two or three
    girls in each family are specially referred to: they were seized at
    intervals of a few hours with spasms of the neck and mouth, attended
    by vociferous cries; the spasmodic movements increased to a climax,
    when the victims sank exhausted. The fits had kept occurring for
    several weeks, and had appeared in the second family at a considerable
    interval after the first. The symptoms, said Freind, were those that
    had been described by Seidelius--distortion of the mouth, indecorous
    working of the tongue, and noises emitted like barking. He found
    nothing in the girls’ symptoms that could not be referred to a form of
    St Vitus’ dance or to hysteria, in which maladies, laughter, howling
    and beating of the breast are occasionally seen as well as the
    spasmodic working of the neck and limbs.

The question remains whether the cases of 1700 in the Oxfordshire village,
assuming Dr Freind’s reading of them to be correct, were as illustrative
of the outbreak of 1340 as the cases of 1702 in Lancashire and Cheshire,
which were probably too numerous and too much complicated with symptoms
of material toxic disorder to be explained as hysterical. There is,
indeed, a larger question raised, whether the so-called psychopathies of
the medieval and more recent periods may not have had a beginning, at
least, in some toxic property of the staple food. The imagination readily
fixes upon such symptoms as foaming at the mouth and barking noises,
exalts these phenomena over deeper symptoms that a physician might have
detected, and finds a simple explanation of the whole complex seizure as
demoniac possession or, in modern phrase, as a psychopathy. Without
questioning the subjective or imitative nature of many outbreaks which
have been set down to hysteria, it may be well to use some discrimination
before we exclude altogether an element of material poisoning such as
ergot in the staple food, more especially in the case of the wide-spread
hysterical epidemics of Sweden, a country subject to ergotism also[125].

These eighteenth-century instances have been brought in to illustrate
Knighton’s account of the epidemic of 1340. The next strange outbreak of
the fourteenth century is recorded by the St Albans historian
(“Walsingham”) under a year between 1361 and 1365, probably the year 1362.
Like so many more of the medieval records of epidemic sickness, it is a
meagre and confused statement: “Numbers died of the disease of lethargy,
prophesying troubles to many; many women also died by the flux; and there
was a general murrain of cattle[126].” Along with that enigmatical entry,
we may take the last of the kind that here concerns us. At Cambridge, in
1389, there occurred an epidemic of “phrensy;” it is described as “a great
and formidable pestilence, which arose suddenly, and in which men were
attacked all at once by the disease of phrensy of the mind, dying without
the _viaticum_, and in a state of unconsciousness[127].” The names of
phrensy and lethargy occur in the manuscript medical treatises of the time
in the chapters upon diseases of the brain and nerves[128]; strictly they
are names of symptoms, and not of forms or types of disease, and they may
be used loosely of various morbid states which have little in common. A
lethargy would in some cases be a name for coma in fever, or for a
paralytic stroke; a phrensy might be actual mania, or it might be the
delirium of plague or typhus fever. The “lethargy” of 1362 is alleged of a
number of people as if in an epidemic, whatever the singular phrase
“prophetantes infortunia multis” may mean; and the “phrensy of the mind”
of which many died suddenly at Cambridge in 1389, does not look as if it
had been a symptom of plague or pestilential fever. The judicious reader
will make what he can of these disappointingly meagre details. But for his
guidance it may be added that the French accounts of ergotism in 1676 give
one of the poisonous effects as being “to cause sometimes malign fevers
accompanied with drowsiness and raving,” which terms might stand for
lethargy and phrensy; also that it has not always been easy, in an
epidemic among the peasantry after a bad harvest, to distinguish the cases
of ergotism from the cases of typhus, the contractures of the limbs, which
seem so special to ergotism, having been described also for undoubted
cases of typhus[129].

Whether these anomalous epidemics in medieval England were instances of
convulsive ergotism or not, the English records are on the whole wanting
in the evidence of such wide-spread and frequent disasters from a poisoned
harvest as distinguish the French annals of the same period. One reason of
our immunity may have been that the grain was better grown; another reason
certainly is that rye was a comparatively rare crop in England, wheaten
bread being preferred, although bread made from beans and barley was not
uncommon. Thorold Rogers says: “Rye was scantily cultivated. An occasional
crop on many estates, it is habitually sown in few. It is regularly sown
in Cambridgeshire and some other of the eastern counties. As the period
before us passes on [1259-1400], it becomes still more rare, and as will
be seen below, some of the later years of this enquiry contain no entries
of its purchase and sale[130].” But it is clear from the entries in
chronicles, more particularly about the very period of the fourteenth
century to which the three epidemics suggestive of ergotism belong, that
the English peasantry suffered from the poisonous effects of damaged food,
even if they suffered little from spurred rye. Thus, under the year 1383,
in the history known as Walsingham’s, there is an unmistakeable reference
to many fatalities, as well as serious maladies, caused by the eating of
damaged fruit[131]. Again, under 1391, it is stated that this was “a hard
and difficult year for the poor owing to a dearth of fruits, which had now
lasted two years; whence it happened that at the time of the nuts and
apples, many of the poor died of dysentery brought on by eating them; and
the pestilence would have been worse had it not been for the laudable
diligence of the Mayor of London, who caused corn to be brought to London
from over sea[132].”


Generalities on Medieval Famines in England.

Summing up the English famine-pestilences of the medieval period, we find
that they included the usual forms of such sickness--spotted fever of the
nature of typhus, dysentery, lientery or looseness (such as has often
subsequently accompanied typhus or famine-fever in Ireland), and putrid
sore-throat. That some of these effects were due to spoiled grain and
fruits, as well as to absolute want, we may reasonably conclude; for
example the harvest of 1258 rotted on the ground, and yet the mouldy corn
was sold at famine prices. With all those records of famines and their
attendant sicknesses in England, it is significant that there is little
indication of ergotism. The immunity of England from ergotism, with such a
record of famines as the annals show, can only have been because little
rye was grown and little black bread eaten. The standard of living would
appear to have been higher among the English peasantry than among the
French. A bad harvest, still more two bad harvests in succession, made
them feel the pinch of famine more acutely, perhaps, than if they had
accommodated themselves to the more sober level of rye bread. Hence the
somewhat paradoxical but doubtless true saying of the Middle
Ages--“Anglorum fames, Francorum ignis.” The saying really means, not that
England was a poor country, which would be an absurd repute for foreigners
to have fixed upon her; but that the English were subject to alternating
periods of abundance and scarcity, of surfeit and starvation. The earliest
English work which deals fully and concretely with the social condition of
the country is the fourteenth-century poem of “The Vision of Piers the
Ploughman.” A few passages from that poem will be of use as throwing light
upon the famines of England, before we finally leave the period of which
they are characteristic.

Langland’s poem describes the social state of England in peculiar
circumstances, namely, after the upheaval and dislocation of the Great
Mortality of 1349; and in that respect it has an interest for our subject
which comes into a later chapter. But in so far as it illustrates the
alternating periods of abundance and scarcity, the vision of medieval
England concerns us here before we quit the subject of famine-pestilences.
The average industrious ploughman, represented by Piers himself, fares but
soberly until Lammas comes round[133]:--

  “I have no penny, quod Piers, pullets for to buy,
   Ne neither geese nor pigs, but two green cheeses,
   A few cruddes and cream, and an haver-cake,
   And two loaves of beans and bran ybake for my fauntis.
   And yet I say, by my soul, I have no salt bacon,
   Nor no cookeney, by Christ, collops for to maken.
   And I have percil and porettes and many kole-plantes,
   And eke a cow and a calf, and a cart-mare
   To draw afield my dung the while the drought lasteth.
   And by this lyflode me mot live till lammas time;
   And by that I hope to have harvest in my croft;
   And then may I digte thy dinner as me dear liketh.”

Some are worse off than the ploughman in the slack time before the
harvest:

  “All the poor people tho pesecoddes fetched,
   Beans and baken apples they brought in their lappes,
   Chibolles and chervelles and ripe cherries many,
   And proferred Piers this present to plead with Hunger.
   All Hunger ate in haste, and axed after more.
   Then poor folk for fear fed Hunger eagerlie,
   With green poret and pesen, to poison Hunger they thought.
   By that it nighed near harvest, new corn came to chipping.
   Then was folk fain, and fed Hunger with the best,
   With good ale, as glutton taught, and gerte Hunger go sleep.
   And though would waster not work but wandren about,
   Ne no beggar eat bread that beans in were,
   But of cocket or clerematyn or else of clean wheat:
   Ne no halfpenny ale in none wise drink,
   But of the best and of the brownest that in burgh is to sell.
   Labourers that have no land to live on, but their hands,
   Deigned nought to dine a-day night-old wortes.
   May no penny ale them pay ne no piece of bacon,
   But if it be fresh flesh other fish fried other bake.”

The waster being now in his season of plenty falls to abusing the Statute
of Labourers:

  “And then cursed he the king and all his council after,
   Such laws to loke, labourers to grieve.
   But whiles Hunger was their master there would none of them chide,
   Nor strive against _his_ statute, so sternly he looked.
   And I warn you, workmen, wynneth while ye mowe,
   For Hunger hitherward hasteth him fast.
   He shall awake with water wasters to chasten.
   Ere five year be fulfilled such famine shall arise
   Through floods and through foul weathers fruits shall fail.
   And so said Saturn, and sent you to warn ...
   Then shall death withdraw and dearth be justice,
   And Daw the dyker die for hunger,
   But if God of his goodness grant us a truce.”

He proposes to feed the lazy wasters on beans:

  “And gif the groomes grudge, bid them go swynk,
   And he shall sup the sweeter when he hath deserved.”

The ploughman asks Hunger the reason why both himself and his servants are
unable to work:

  “I wot well, quod Hunger, what sickness you aileth.
   Ye have maunged over much, and that maketh you groan ...
   Let not sir Surfeit sitten at thy board ...
   And gif thy diet be thus, I dare lay mine ears
   That Physic shall his furred hoods for his food sell,
   And his cloak of calabre with all the knaps of gold,
   And be fain, by my faith, his physic to let,
   And learn to labour with land, for lyflode is sweet:
   For murtherers are many leeches, Lord them amend!
   They do men kill through their drinks, or destiny it would.
   By Saint Poul, quod Piers, these aren profitable words.”

In another place, Hawkin the minstrel confesses to gluttony:

  “And more meat ate and drank than nature might digest,
   And caught sickness some time for my surfeits oft.”

A liking for the best of food, and plenty of it, when it was to be had,
has clearly been an English trait from the earliest times. Conversely
thrift does not appear to have been a virtue or a grace of the labouring
class in England. Thus a bad harvest brought wide-spread scarcity, and two
bad harvests brought famine and famine-pestilences. The contrasts were
sharp because the standard of living was high. And although three, at
least, of the English famines were disgraceful to so rich a country, and
were probably the occasion of the foreign reproach of “Anglorum fames;”
yet the significant fact remains that the disease of the European
peasantry, which is the truest index of an inferior diet, namely ergotism,
has little or no place in our annals of sickness.




CHAPTER II.

LEPROSY IN MEDIEVAL BRITAIN.


The history of leprosy in Britain can hardly be the history of leprosy
alone, but of that disease along with others which were either mistaken
for it or conveniently and euphemistically included under it. That there
was leprosy in the country is undoubted; but it is just as certain that
there was _lues venerea_; that the latter as a primary lesion led an
anonymous existence or was called _lepra_ or _morphaea_ if it were called
anything; that the remote effects of the lues were not known as such,
being taken for detached or original outcomes of the disordered humours
and therefore in the same general class as leprous manifestations; and
that the popular and clerical notions of leprosy were too superstitious
and inexact, even if the diagnostic intention had been more resolute than
it was, to permit of any clear separation of the leprous from the
syphilitic, to say nothing of their separation from the poor victims of
lupus and cancer of the face, of scrofulous running sores, or of neglected
skin-eruptions more repulsive to the eye than serious in their nature. I
shall give some proof of each of those assertions--as an essential
preliminary to any correct handling of the historical records of British
leprosy.


Leprosy in Medieval Medical Treatises.

The picture given of true leprosy in the medieval treatises on medicine is
unmistakeable. There are two systematic writers about the year 1300 who
have left a better account of it than the Arabian authors from whom they
mostly copied. While the writers in question have transferred whole
chapters unaltered from Avicenna, Rhazes and Theodoric, they have improved
upon their models in the stock chapter ‘De Lepra.’ It so happens that
those two writers, Bernard Gordonio and Gilbertus Anglicus, bear names
which have been taken to indicate British nationality, and the picture of
leprosy by the latter has actually been adduced as a contemporary account
of the disease observed in England[134]. Gordonio was a professor at
Montpellier, and his experience and scholarship are purely foreign. The
circumstances of Gilbert the Englishman are not so well known; but it is
tolerably certain that he was not, as often assumed, the Gilbert Langley,
Gilbert de l’Aigle, or Gilbertus de Aquila, who was physician to Hubert,
archbishop of Canterbury († 13 July, 1205)[135], having been a pupil at
Salerno in the time of Aegidius of Corbeil (about 1180). The treatise of
Gilbertus Anglicus bears internal evidence of a later century and school;
it is distinguished by method and comprehensiveness, and is almost exactly
on the lines of the _Lilium Medicinae_ by Gordonio, whose date at
Montpellier is known with some exactness to have been from 1285 to about
1307. Future research may perhaps discover where Gilbert taught or was
taught; meanwhile we may safely assume that his scholarship and system
were of a foreign colour. The medical writer of that time in England was
John of Gaddesden, mentioned in the end of the foregoing chapter; he is
the merest plagiary, and the one or two original remarks in his chapter
‘De Lepra’ would almost justify the epithet of “fatuous” which Guy de
Chauliac applied to him.

Although we cannot appeal to Gilbertus Anglicus for native English
experience any more than we can to his _alter ego_, Gordonio, yet we may
assume that the picture of leprosy which they give might have been
sketched in England as well as in Italy or in Provence. The conditions
were practically uniform throughout Christendom; the true leprosy of any
one part of medieval Europe is the true leprosy of the whole.

Gilbert’s picture[136], as we have said, is unmistakeable, and the same
might be said of Bernard’s[137]--the eyebrows falling bare and getting
knotted with uneven tuberosities, the nose and other features becoming
thick, coarse and lumpy, the face losing its mobility or play of
expression, the raucous voice, the loss of sensibility in the hands, and
the ultimate break-up or _naufragium_ of the leprous growths into foul
running sores. The enumeration of nervous symptoms, which are now
recognised to be fundamental in the pathology of leprosy, shows that
Gilbert went below the surface. Among the “signa leprae generalia” he
mentions such forms of hyperaesthesia as _formicatio_ (the creeping of
ants), and the feeling of “needles and pins;” and, in the way of
anaesthesia, he speaks of the loss of sensibility from the little finger
to the elbow, as well as in the exposed parts where the blanched spots or
thickenings come--the forehead, cheeks, eyebrows, to which he adds the
tongue. Gilbert’s whole chapter ‘De Lepra’ is an obvious improvement upon
the corresponding one in Avicenna, who says that _lepra_ is a cancer of
the whole body, cancer being the _lepra_ of a single member, and is
probably confusing lupus with leprosy when he describes the cartilages of
the nose as corroded in the latter, and the nostrils destroyed by the same
kind of _naufragium_ as the fingers and toes. All students of the history
or clinical characters of leprosy, from Guy de Chauliac, who wrote about
1350, down to Hensler and Sprengel, have recognised in Gilbert’s and
Bernard’s account of it the marks of first-hand observation; so that we
may take it, without farther debate, that leprosy, as correctly diagnosed,
was a disease of Europe and of Britain in the Middle Ages.

Having got so far, we come next to a region of almost inextricable
confusion, a region of secrecy and mystification, as well as of real
contemporary ignorance. We may best approach it by one or two passages
from Gilbert and Gordonio themselves. The systematic handling of _lepra_
in their writings is one thing, and their more concrete remarks on its
conditions of origin, its occasions, or circumstances are another. What
are we to make of this kind of leprosy?--“In hoc genere, causa est
accessus ad mulierem ad quam accessit prius leprosus; et corrumpit
velocius vir sanus quam mulier a leproso.... Et penetrant [venena] in
nervos calidos et arterias et venas viriles, et inficiunt spiritus et
bubones, et hoc velocius si mulier,” etc. Or to quote Gilbert again: “Ex
accessu ad mulieres, diximus superius, lepram in plerisque generari post
coitûs leprosos[138].” Or in Gordonio: “Et provenit [lepra] etiam ex nimia
confibulatione cum leprosis, et ex coitu cum leprosa, et qui jacuit cum
muliere cum qua jacuit leprosus[139].” That these circumstances of
contracting _lepra_ were not mere verbal theorizings inspired by the
pathology of the day and capable of being now set aside, is obvious from a
_historia_ or case which Gordonio introduces into his text. “I shall tell
what happened,” he says; and then proceeds to the following relation:[140]

“Quaedam comtissa venit leprosa ad Montem Pessulanum [Montpellier], et
erat in fine in cura mea; et quidam Baccalarius in medicina ministrabat
ei, et jacuit cum ea, et impregnavit eam, et perfectissime leprosus factus
est.” Happy is he therefore, he adds, who learns caution from the risks of
others.

Here we have sufficient evidence, from the beginning of the fourteenth
century, of a disease being called _lepra_ which does not conform to the
conditions of leprosy as we now understand them. The same confusion
between leprosy and the _lues venerea_ prevailed through the whole
medieval period. Thus, in the single known instance of a severe edict
against lepers in England, the order of Edward III. to the mayor and
sheriffs of London in 1346[141], the reasons for driving lepers out of the
City are given,--among others, because they communicate their disease “by
carnal intercourse with women in stews and other secret places,” and by
their polluted breath. It was pointed out long ago by Beckett in his
paper on the antiquity of the _lues venerea_[142], that the polluted
breath was characteristic of the latter, but not of leprosy. Of course the
pollution of their breath might have meant no more than the theoretical
reasoning of the books (as in Gilbert, where the breath of lepers, as well
as the mere sight of them, is said to give the disease, p. 337), but the
breath was probably obnoxious in a more real way, just as we know, from
Gordonio’s case at Montpellier, that the other alleged source of “leprous”
contagion was no mere theoretical deduction. As the medieval period came
to an end the leper-houses (in France) were found to contain a
miscellaneous gathering of cases generically called leprous; and about the
same time, the year 1488, an edict of the same purport as Edward III.’s
London one of 1346, was issued by the provost of Paris against _les
lépreux_ of that city. The year 1488 is so near the epidemic outburst of
the _morbus Gallicus_ during the French campaigns on Italian soil in
1494-95, that the historian has not hesitated to set down that sudden
reappearance of leprous contagion, in a proclamation of the State, to a
real prevalence already in Paris of the contagious malady which was to be
heard of to the farthest corners of Europe a few years after[143].

There is no difficulty in producing evidence from medieval English records
of the prevalence of _lues venerea_, which was not concealed under the
euphemistic or mistaken diagnosis of leprosy. Instances of a very bad
kind, authenticated with the names of the individuals, are given in
Gascoigne’s _Liber Veritatum_, under the date of 1433[144].

In the medieval text-books of Avicenna, Gilbert and others, there are
invariably paragraphs on _pustulae et apostemata virgae_. In the only
original English medical work of those times, by John Ardern, who was
practising at Newark from 1349 to 1370, and came afterwards to London,
appearances are described which can mean nothing else than
condylomata[145]. From a manuscript prescription-book of the medieval
period, in the British Museum, I have collected some receipts (or their
headings) which relate, as an index of later date prefixed to the MS.
says, to “the pox of old[146].”

Some have refused to see in such cases any real correspondence with the
modern forms of syphilis because only local effects are described and no
constitutional consequences traced. But no one in those times thought of a
primary focus of infection with its remoter effects at large, in the case
of any disease whatsoever. Even in the great epidemic of syphilis at the
end of the fifteenth century, the sequence of primary and secondary
(tertiaries were unheard of until long after), was not at first
understood; the eruption of the skin, which was compared to a bad kind of
variola, the imposthumes of the head and of the bones elsewhere, together
with all other constitutional or general symptoms, were traced, in good
faith, to a disordered liver, an organ which was chosen on theoretical
grounds as the _minera morbi_ or laboratory of the disease[147]. The
circumstances of the great epidemic were, of course, special, but they
were not altogether new. No medieval miracle could have been more of a
suspension of the order of nature than that _luxuria_, _immunditia_, and
_foeditas_, with their attendant _corruptio membrorum_, should have been
free from those consequences, in the individual and in the community,
which are more familiar in our own not less clean-living days merely
because the sequence of events is better understood. That such vices
abounded in the medieval world we have sufficient evidence. They were
notorious among the Norman conquerors of England, especially notorious in
the reign of William Rufus[148]; hence, perhaps, the significance of the
phrase _lepra Normannorum_. That particular vice which amounts to a felony
was the subject of the sixth charge (unproved) in the indictment of the
order of the Templars before the Pope Clement V. in 1307. Effects on the
public health traceable to such causes, for the most part _sub rosa_, have
been often felt in the history of nations, from the Biblical episode of
Baal-peor down to modern times. The evidence is written at large in the
works of Astruc, Hensler and Rosenbaum. We are here concerned with a much
smaller matter, namely, any evidence from England which may throw light
upon the classes of cases that were called leprous if they were called by
a name at all.

Under the year 1258, Matthew Paris introduces a singular paragraph, which
is headed, “The Bishop of Hereford smitten with polypus.” The bishop, a
Provençal, had made himself obnoxious by his treacherous conduct as the
agent of Henry III. at the Holy See in the matter of the English subsidies
to the pope. Accordingly it was by the justice of God that he was deformed
by a most disgraceful disease, to wit, _morphea_, or again, “morphea
polipo, vel quadam specie leprae[149].” According to the medical teaching
of the time, as we find it in Gilbertus Anglicus, _morphaea_ was an
infection producing a change in the natural colour of the skin; it was
confined to the skin, whereas _lepra_ was in the flesh also; the former
was curable, the latter incurable; _morphaea_ might be white, red, or
black[150]. The account of _morphaea_ by Gordonio is somewhat fuller. All
things, he says, that are causes of _lepra_ are causes of _morphaea_; so
that what is in the flesh _lepra_ is _morphaea_ in the skin. It was a
patchy discoloration of the skin, reddish, yellowish, whitish, dusky, or
black, producing _terribilis aspectus_; curable if recent, incurable if of
long standing; curable also if of moderate extent, but difficult to cure
if of great extent[151]. In this description by Gordonio a modern French
writer on leprosy[152] discovers the classical characters of the syphilis
of our own day: “not one sign is wanting.”

No doubt the medical writers drew a distinction between _morphaea_ and
_lepra_, as we have seen in quoting Gilbert and Gordonio. Gaddesden, also,
who mostly copies them, interpolates here an original remark. No one
should be adjudged leprous, he says, and separated from his fellows,
merely because the “figure and form” (the stock phrase) of the face are
corrupted: the disease might be “scabies foeda,” or if in the feet, it
might be “cancer.” Nodosities or tubercles should not be taken to mean
leprosy, unless they are confirmed (inveterate) in the face[153]. But how
uncertain are these diagnostic indications, as between _lepra_ and
_morphaea_, _lepra_ and “scabies foeda,” _lepra_ and “cancer in pedibus!”
If there were any object in calling the disease by one name rather than
another, it is clear that the same disease might be called by a euphemism
in one case and by a term meant to be opprobrious in another. Although
leprosy was not in general a disease that anyone might wish to be credited
with, yet there were circumstances when the diagnosis of leprosy had its
advantages. It was of use to a beggar or tramp to be called a leper: he
would excite more pity, he might get admission to a hospital, and he might
solicit alms, under royal privilege, although begging in ordinary was
punishable. It is conceivable also that the diagnosis of leprosy was a
convenient one for men in conspicuous positions in Church and State. It is
most improbable that the “lepra Normannorum” was all leprosy; it is absurd
to suppose that leprosy became common in Europe because returning
Crusaders introduced it from the East, as if leprosy could be “introduced”
in any such way; and it is not easy to arrive at certitude, that all the
cases of leprosy in princes and other high-placed personages (Baldwin IV.
of Jerusalem who died at the age of twenty-five,[154] Robert the Bruce of
Scotland,[155] and Henry IV. of England[156]) were cases that would now be
diagnosed leprous.

Instances may be quoted to show that the name of leper was flung about
somewhat at random. Thus, in an edict issued by Henry II., during the
absence of Becket abroad for the settlement of his quarrel with the king,
it was decreed that anyone who brought into the country documents relating
to the threatened papal interdict should have his feet cut off if he were
a regular cleric, his eyes put out if a secular clerk, should be hanged if
a layman, and be burned if a _leprosus_--that is to say, a beggar or
common tramp. Again, in the charges brought for Henry III. against the
powerful minister Hubert de Burg in 1239, one item is that he had
prevented the marriage of our lord the king with a certain noble lady by
representing to the latter and to her guardian that the king was “a
squinter, and a fool, and a good-for-nothing, and that he had a kind of
leprosy, and was a deceiver, and a perjurer, and more of a craven than any
woman[157]” etc.

There is also a curious instance of the term leprous being applied to the
Scots, evidently in the sense in which William of Malmesbury, and many
more after him, twitted that nation with their cutaneous infirmities. When
the Black Death of 1348-9 had reached the northern counties of England,
the Scots took advantage of their prostrate state to gather in the forest
of Selkirk for an invasion, exulting in the “foul death of England.”
Knighton says that the plague reached them there, that five thousand of
them died, and that their rout was completed by the English falling upon
them[158]. But the other contemporary chronicler of the Black Death,
Geoffrey le Baker[159], tells the story with a curious difference. The
Scots, he says, swearing by the foul death of the English, passed from the
extreme of exultation to that of grief; the sword of God’s wrath was
lifted from the English and fell in its fury upon the Scots, “et [Scotos]
per lepram, nec minus quam Anglicos per apostemata et pustulos, mactavit.”
The _apostemata_ and _pustuli_ were indeed the buboes, boils and
carbuncles of the plague, correctly named; but what was the _lepra_ of the
Scots? It was probably a vague term of abuse; but, if the clerk of Osney
attached any meaning to it, it is clear that he saw nothing improbable in
a disease called _lepra_ springing up suddenly and spreading among a body
of men.

We conclude, then, that _lepra_ was a term used in a generic sense because
of a real uncertainty of diagnosis, or because there was some advantage to
be got from being called _leprosus_, or because it was flung about at
random. But there is still another reason for the inexact use of the terms
_lepra_ and _leprosus_ in the medieval period, namely, the dominant
influence of religious tradition. The heritage or accretion of religious
sentiment not only perverted the correct use of the name, but led to
regulations and proscriptions which were out of place even for the real
disease.


The Biblical Associations of Leprosy.

Among the synonyms for _leprosi_ we find the terms “pauperes Christi,
videlicet Lazares,” the name of “Christ’s poor” being given to lepers by
Aelred in the twelfth century and by Matthew Paris in the thirteenth. The
association of ideas with Lazarus is a good sample of the want of
discrimination in all that pertains to medieval leprosy. The Lazarus of St
Luke’s Gospel, who was laid at the rich man’s gate full of sores, is a
representative person, existing only in parable. On the other hand, the
Lazarus of St John’s Gospel, Lazarus of Bethany, the brother of Martha and
Mary, the man of many friends, is both a historical personage and a saint
in the calendar. But there is nothing to show that he was a leper. He had
a remarkable experience of restoration to the light of day, and it was
probably on account of an episode in his life that made so much talk that
he received posthumously the name of Lazarus, or “helped of God[160].” The
name of the man in the parable is also generic, just as generic as that
of his contrast Dives is; but specifically there was nothing in common
between the one Lazarus and the other. Yet St Lazarus specially named as
the brother of Martha and Mary (as in the charter of the leper-house at
Sherburn) became the patron of lepers. The ascription to Lazarus of
Bethany of the malady of Lazarus in the parable has done much for the
prestige of the latter’s disease; in the medieval world it brought all
persons full of sores within a nimbus of sanctity, as being in a special
sense “pauperes Christi,” the successors at once of him whom Jesus loved
and of “Lazarus ulcerosus.” Doubtless the lepers deserved all the charity
that they got; but we shall not easily understand the interest
exceptionally taken in them, amidst abounding suffering and wretchedness
in other forms, unless we keep in mind that they somehow came to be
regarded as Christ’s poor.

Next to the image of Lazarus, or rather the composite image of the two
Lazaruses, the picture of leprosy that filled the imagination was that of
the thirteenth and fourteenth chapters of Leviticus. That picture is even
more composite than the other, and for leprosy in the strict sense it is
absolutely misleading. The word translated “leprosy” is a generic term for
various communicable maladies, most of which were curable within a
definite period, sometimes no longer than a week. It rested with the skill
of the priesthood to discriminate between the forms of communicable
disease, and to prescribe the appropriate ceremonial treatment for each;
the people had one common name for them all, and beyond that they were in
the hands of their priests, who knew quite well what they were about. The
Christian Church dealt with all those archaic institutions of an Eastern
people in a child-like spirit of verbal or literal interpretation,
doubtless finding the greater part of them a meaningless jargon. But some
verses would touch the imagination and call up a real and vivid picture,
such verses, for example, as the following:

    “And the leper in whom the plague is, his clothes shall be rent, and
    his head bare, and he shall put a covering upon his upper lip, and
    shall cry, Unclean, unclean. All the days wherein the plague shall be
    in him he shall be defiled; he is unclean; he shall dwell alone;
    without the camp shall his habitation be.”

Even in that comparatively plain direction, the obvious suggestion that
the unclean person would not always be unclean, and that there was a term
to his stay outside the camp, would go for little in reading the
scripture. The medieval religious world took those parts of the Jewish
teaching that appealed to their apprehension, and applied them to the
circumstances of their own time with as much of zeal as the common sense
of the community would permit. We have clear evidence of the effect of the
Levitical teaching about “leprosy” upon English practice in the ordinances
of the St Albans leper hospital of St Julian, which will be given in the
sequel.


The Medieval Religious Sentiment towards Lepers.

Several incidents told of lepers by the chroniclers bring out that
exaggerated religious view of the disease. Roger of Howden has preserved
the following mythical story of Edward the Confessor. Proceeding one day
from his palace to the Abbey Church in pomp and state, he passed with his
train of nobles and ecclesiastics through a street in which sat a leper
full of sores. The courtiers were about to drive the wretched man out from
the royal presence, when the king ordered them to let him sit where he
was. The leper, waxing bold after this concession, addressed the king, “I
adjure thee by the living God to take me on thy shoulders and bring me
into the church;” whereupon the king bowed his head and took the leper
upon his shoulders. And as the king went, he prayed that God would give
health to the leper; and his prayer was heard, and the leper was made
whole from that very hour, praising and glorifying God[161].

It is not the miraculous ending of this incident that need surprise us
most; for the Royal touch by which the Confessor wrought his numerous
cures of the blind and the halt and the scrofulous, continued to be
exercised, with unabated virtue, down to the eighteenth century, and came
at length to be supervised by Court surgeons who were fellows of the Royal
Society. It is the humility of a crowned head in the presence of a leper
that marks an old-world kind of religious sentiment. The nearest approach
to it in our time is the feet-washing of the poor by the empress at Vienna
on Corpus Christi day.

A similar story, with a truer touch of nature in it, is told of Matilda,
queen of Henry I.; and it happens to be related on so good authority that
we may believe every word of it. Matilda was a Saxon princess, daughter of
Margaret the Atheling, the queen of Malcolm Canmore. The other actor in
the story was her brother David, afterwards king of Scots and, like his
mother, honoured as a saint of the Church. The narrator is Aelred, abbot
of Rievaulx, in the North Riding of Yorkshire, celebrated for his Latin
style and his care for Saxon history. The abbot was a friend of St David,
whose virtues he celebrates at length; the incident of queen Matilda and
the lepers was one that he often heard from David’s own lips (quod ex ore
saepe Davidis regis audivi). The princess Matilda, taking more after her
mother than her father, had been brought up in an English convent under
her aunt, the abbess of it. When it came to a marriage between her and
Henry I., an alliance which was meant to reconcile the Saxons to Norman
rule, the question arose in the mind of Anselm whether the princess
Matilda had not actually taken the veil, and whether he could legally
marry her to the king. Questioned as to the fact, the princess made answer
that she had indeed worn the veil in public, but only as a protection from
the licentious insolence of the Norman nobles. She had no liking for the
great match arranged for her, and consented unwillingly although the king
was enamoured of her. Such was her humility that Aelred designates her
“the Esther of our times.” The marriage was on the 15th of November, 1100;
and in the next year, according to the usual date given, the young queen
sought relief and effusion for her religious instincts by founding the
leper hospital of St Giles in the Fields, “with a chapel and a sufficient
edifice.” Matthew Paris, a century and a half after, saw it standing as
queen Matilda had built it, and made a sketch of it in colours on the
margin of his page, still remaining to us in a library at Cambridge, with
the description, “Memoriale Matild. Regine.”

The story which her brother David told to the abbot of Rievaulx is as
follows:

    When he was serving as a youth at the English Court, one evening he
    was with his companions in his lodging, when the queen called him into
    her chamber. He found the place full of lepers, and the queen standing
    in the midst, with her robe laid aside and a towel girt round her.
    Having filled a basin with water, she proceeded to wash the feet of
    the lepers and to wipe them with the towel, and then taking them in
    both her hands, she kissed them with devotion. To whom her brother:
    “What dost thou, my lady? Certes if the king were to know this, never
    would he deign to kiss with his lips that mouth of thine polluted with
    the soil of leprous feet.” But she answered with a smile: “Who does
    not know that the feet of an Eternal King are to be preferred to the
    lips of a mortal king? See, then, dearest brother, wherefore I have
    called thee, that thou mayest learn by my example to do so also. Take
    the basin, and do what thou hast seen me do.” “At this,” said David,
    narrating to the abbot, “I was sore afraid, and answered that I could
    on no account endure it. For as yet I did not know the Lord, nor had
    His Spirit been revealed to me. And as she proceeded with her task, I
    laughed--_mea culpa_--and returned to my comrades[162].”

The example of his sister, however, was not lost upon him; for when he
acquired the earldom and manor of Huntingdon, and so became an opulent
English noble, he founded a leper-hospital there. Aelred sees him in
Abraham’s bosom with Lazarus.

The meaning of all this devotion to lepers is shown in the name which
Aelred applies to them--_pauperes Christi_. In washing their feet the
pious Matilda was in effect washing the feet of an Eternal King; and that,
in her estimation, was better than kissing the lips of a mortal king.

Again, in the Life of St Hugh of Lincoln we see the good bishop moved to
treat the leprous poor with a sort of attention which they can hardly have
needed or expected, merely because they were, as his biographer says, the
successors of _Lazarus ulcerosus_, and the special _protegés_ of Jesus.
Not a few, says the biographer, were kept in seclusion owing to that
disease, both men and women. Bishop Hugh would take up his abode among
them and speak to them words of good cheer, promising them the flowers of
Paradise and an immortal crown. Having sent the women lepers out of the
way, he would go round among the men to kiss them, and when he came to one
who was more atrociously marked by the disease than another, he would hold
him in a longer and more gracious embrace. It was too much for the
bishop’s biographer: “Spare, good Jesus, the unhappy soul of him who
relates these things”--horrified, as he says he was, at seeing the
“swollen and livid faces, deformed and sanious, with the eyelids everted,
the eyeballs dug out, and the lips wasted away, faces which it were
impossible to touch close or even to behold afar off[163]”. But these
horrible disfigurements of the face are by no means the distinctive marks
of leprosy. The dragging down of the eyelids is an effect of leprosy but
as likely to happen in lupus or rodent ulcer. The loss of the eyeball may
be a leprous sign, or perhaps from tumour. The wasting of the lips is a
characteristic feature of lupus, after it has scarred, or if there be an
actual loss of substance, of epithelial cancer; in leprosy, on the other
hand, the lips, as well as other prominent folds of the face, undergo
thickening, and will probably remain thickened to the end. The sufferers
who excited the compassion of St Hugh must have merited it; only they were
not all lepers, nor probably the majority of them[164].

Two leper-stories are told to the honour of St Francis of Assisi. Seeing
one day a friar of his order named James the Simple, consorting on the way
to church with a leper from the hospital under his care, St Francis
rebuked the friar for allowing the leper to be at large. While he thus
admonished the friar, he thought that he observed the leper to blush, and
was stricken with a sudden remorse that he should have said anything to
hurt the wretched man’s feelings. Having confessed and taken counsel, he
resolved, by way of penance, to sit beside the leper at table and to eat
with him out of the same dish, a penance all the greater, says the
biographer, that the leper was covered all over with offensive sores and
that the blood and sanies trickled down his fingers as he dipped them in
the dish. The other story is a more pleasing one. There was a certain
leper among those cared for by the friars, who would appear from the
description of him to have been one of the class of truculent impostors,
made all the worse by the morbid consideration with which his disease, or
supposed disease, was regarded. One of his complaints was that no one
would wash him; whereupon St Francis, having ordered a friar to bring a
basin of perfumed water, proceeded to wash the leper with his own
hands[165].

These four tales, all of them told of saints except that of Matilda--she
somehow missed being canonised along with her mother St Margaret and her
brother St David--will serve to show what a halo of morbid exaggeration
surrounded the idea of leprosy in the medieval religious mind. We live in
a time of saner and better-proportioned sentiment; but the critical
spirit, which has set so much else in a sober light, has spared the
medieval tradition of leprosy. Not only so, but our more graphic writers
have put that disease into the medieval foreground as if it had been the
commonest affliction of the time. We are taught to see the figures of
lepers in their grey or russet gowns flitting everywhere through the
scene; the air of those remote times is as if filled with the dull
creaking of St Lazarus’s rattle. Our business here is to apply to the
question of leprosy in medieval Britain the same kind of scrutiny which
has been applied to the question of famines and famine-fevers, and remains
to be applied next in order to the great question of plague--the kind of
scrutiny which no historian would be excused from if his business were
with politics, or campaigns, or economics, or manners and customs. The
best available evidence for our purpose is the history of the
leper-houses, to which we shall now proceed.


The English Leper-houses.

The English charitable foundations, or hospitals of all kinds previous to
the dissolution of the monasteries, including almshouses, infirmaries,
Maisons Dieu and lazar-houses, amount to five hundred and nine in the
index of Bishop Tanner’s _Notitia Monastica_. In the 1830 edition of the
_Monasticon Anglicanum_, the latest recension of those immense volumes of
antiquarian research, there are one hundred and four such foundations
given, for which the original charters, or confirming charters, or reports
of inquisitions, are known; and, besides these, there are about three
hundred and sixty given in the section on “Additional Hospitals,” the
existence and circumstances of which rest upon such evidence as casual
mention in old documents, or entries in monastery annals, or surviving
names and traditions of the locality. Our task is to discover, if we can,
what share of this charitable provision in medieval England, embracing at
least four hundred and sixty houses, was intended for the class of
_leprosi_; what indications there are of the sort of patients reckoned
_leprosi_; how many sick inmates the leper-houses had, absolutely as well
as in proportion to their clerical staff; and how far those refuges were
in request among the people, either from a natural desire to find a refuge
or from the social pressure upon them to keep themselves out of the way.

It is clear that the endowed hospitals of medieval England were in no
exclusive sense leper-hospitals, but a general provision, under religious
discipline, for the infirm and sick poor, for infirm and ailing monks and
clergy, and here or there for decayed gentlefolk. The earliest of them
that is known, St Peter’s and St Leonard’s hospital at York, founded in
936 by king Athelstane, and enlarged more especially on its religious side
by king Stephen, was a great establishment for the relief of the poor,
with no reference to leprosy; it provided for no fewer than two hundred
and six bedesmen, and was served by a master, thirteen brethren, four
seculars, eight sisters, thirty choristers and six servitors. When
Lanfranc, the first Norman archbishop of Canterbury, set about organising
the charitable relief of his see in 1084, he endowed two hospitals, one
for the sick and infirm poor in general, and the other for _leprosi_[166].
The former, St John Baptist’s hospital, was at the north gate, a
commodious house of stone, for poor, infirm, lame or blind men and women.
The latter was the hospital of Herbaldown, an erection of timber, in the
woods of Blean about a mile from the west gate, for persons _regia
valetudine fluentibus_ (?), who are styled _leprosi_ in a confirming
charter of Henry II.[167] The charge of both these houses was given to the
new priory of St Gregory, over against St John Baptist’s hospital, endowed
with tithes for secular clergy. The leper-house at Herbaldown was divided
between men and women; but in a later reign (Henry II.) a hospital
entirely for women (twenty-five leprous sisters) was founded at
Tannington, outside Canterbury, with a master, prioress and three priests.
There was still a third hospital at Canterbury, St Lawrence’s, founded
about 1137, for the relief of leprous monks or for the poor parents and
relations of the monks of St Augustine’s.

London had two endowed leper-hospitals under ecclesiastical government, as
well as certain spitals or refuges of comparatively late date. The
hospital and chapel of St Giles in the Fields was founded, as we have
seen, by Matilda, queen of Henry I., in 1101, and was commonly known for
long after as Matilda’s hospital. It was built for forty _leprosi_, who
may or may not all have lived in it; and it was supported in part by the
voluntary contributions of the citizens collected by a proctor. Its staff
was at first exceptionally small for the number of patients,--a chaplain,
a clerk and a messenger; but as its endowments increased several other
clerics and some matrons were added. By a king’s charter of 1208 (10th
John), it was to receive sixty shillings annually. It is next heard of, in
the Rolls of Parliament, in connexion with a petition of 1314-15 (8 Ed.
II.), by the terms of which, and of the reply to it, we can see that there
were then some lepers in the hospital but also patients of another kind.
It is mentioned by Wendover, under the year 1222, as the scene of a trial
of strength between the citizens and the _comprovinciales extra urbem
positos_[168]: at that date it stood well in the country, probably near to
where the church of St Giles now stands at the end of old High Holborn.
The drawing of the hospital on the margin of Matthew Paris’s manuscript
shows it as a house of stone, with a tower at the east end and a smaller
one over the west porch, and with a chapel and a hall, but probably no
dormitories for forty lepers[169].

The other endowed leper-house of the metropolis was the hospital of St
James, in the fields beyond Westminster. It was of ancient date, and
provided for fourteen female patients, who came somehow to be called the
_leprosae puellae_[170], although youth is by no means specially
associated with leprosy. This house grew rich, and supported eight
brethren for the religious services of the sixteen patients[171].

It is usual to enumerate five, and sometimes six, other leper-hospitals,
in the outskirts of London--at Kingsland or Hackney, in Kent Street,
Southwark (the Lock), at Highgate, at Mile End, at Knightsbridge and at
Hammersmith. But the earliest of these were founded in the reign of Edward
III. (about 1346) at a time when the old ecclesiastical leper-houses were
nearly empty of lepers. It would be misleading to include them among the
medieval leper-houses proper, and I shall refer to them in a later part of
this chapter.

The example of archbishop Lanfranc at Canterbury and of queen Matilda in
London was soon followed by other founders and benefactors. The movement
in favour of lepers--there was probably too real an occasion for it to
call it a craze--gained much from the appearance on the scene of the
Knights of the Order of St Lazarus of Jerusalem. Those knights were the
most sentimental of the orders of chivalry, and probably not more
reputable than the Templars or the main body of the Hospitallers from
which they branched off. If we may judge of them by modern instances, they
wanted to do some great thing, and to do it in the most theatrical way,
with everybody looking on. What real services they may have rendered to
the sick poor, leprous or other, there is little to show. The
head-quarters of the order were at Jerusalem, the Grand Master and the
Knights there being all _leprosi_--doubtless in a liberal sense of the
term. We should be doing them no injustice if we take them to have been
Crusaders so badly hit by their vices or their misfortunes as to be marked
off into a separate order by a natural line. However, many others enlisted
under the banner of St Lazarus who were not _leprosi_; these established
themselves in various countries of Europe, acquired many manors and built
fine houses[172]. In England their chief house was at Burton in
Leicestershire; it was not by any means a great leper-hospital, but a
Commandery or Preceptory for eight whole knights, with some provision for
an uncertain number of poor brethren--the real Lazaruses who, like their
prototype, would receive the crumbs from the high table. The house of
Burton Lazars gradually swallowed up the lands of leper-hospitals
elsewhere, as these passed into desuetude, and at the valuation of Henry
VIII. it headed the list with an annual rental of £250. Their
establishment in England dates from the early part of the twelfth century,
and although the house at Burton appears to have been their only
considerable possession, they are said, on vague evidence, to have
enlisted many knights from England, and, curiously enough, still more from
Scotland. A letter is extant by the celebrated schoolman, John of
Salisbury, afterwards bishop of Chartres, written in the reign of Henry
II. to a bishop of Salisbury, from which it would appear that the “Fratres
Hospitales” were regarded with jealousy and dislike by the clerical
profession; “rapiunt ut distribuant,” says the writer, as if there were
something at once forced and forcible in their charities[173].

Coincidently with the appearance in England of the Knights of St Lazarus,
we find the monasteries, and sometimes private benefactors among the
nobility, beginning to make provision for lepers, either along with other
deserving poor or in houses apart. After the hospitals at Canterbury and
London (as well as an eleventh-century foundation at Northampton, which
may or may not have been originally destined for _leprosi_), come the two
leper-houses founded by the great abbey of St Albans. As these were
probably as good instances as can be found, their history is worth
following.

In the time of abbot Gregory (1119 to 1146), the hospital and church of St
Julian was built on the London road, for six poor brethren (_Lazares_ or
_pauperes Christi_) governed by a master and four chaplains. The
mastership of St Julian’s is twice mentioned in the abbey chronicles as a
valuable piece of preferment. In 1254 the lands of the hospital were so
heavily taxed, for the king and the pope, that the _miselli_, according to
Matthew Paris, had barely the necessaries of life. But a century after,
in 1350, the revenues were too large for its needs, and new statutes were
made; the accommodation of its six beds was by no means in request, the
number of inmates being never more than three, sometimes only two, and
occasionally only one[174]. The fate of the other leper-house of St Albans
abbey, that of St Mary de Pratis for women, is not less instructive. The
date of its foundation is not known, but in 1254 it had a church and a
hospital occupied by _misellae_[175]. A century later we hear of the house
being shared between illiterate sisters and nuns. The former are not
called lepers, but simply poor sisters; whatever they were, the nuns and
they did not get on comfortably together, and the abbot restored harmony
by turning the hospital into a nunnery pure and simple[176]. Similar was
the history of one of the richest foundations of the kind, that of Mayden
Bradley in Wiltshire. It was originally endowed shortly before or shortly
after the accession of Henry II. (1135) by a noble family for an unstated
number of poor women, generally assumed to have been _leprosae_, and for
an unstated number of regular and secular clerics to perform the religious
offices and manage the property. It had not existed long, however, when
the bishop of Salisbury, in 1190, got the charter altered so as to assign
the revenues to eight canons and--poor sisters, and so it continued until
the valuation of Henry VIII., when it was found to be of considerable
wealth. In like manner the hospital of St James, at Tannington near
Canterbury, founded in the reign of Henry II. for twenty-five “leprous
sisters,” was found, in the reign of Edward III. (1344), to contain no
lepers, its “corrodies” being much sought after by needy gentlewomen[177].

Another foundation of Henry II.’s reign was the leper-hospital of St Mary
Magdalen at Sponne, outside the walls of Coventry. It was founded by an
Earl of Chester, who, having a certain leprous knight in his household,
gave in pure alms for the health of his soul and the souls of his
ancestors his chapel at Sponne with the site thereof, and half a carucate
of land for the maintenance of such lepers as should happen to be in the
town of Coventry. There was one priest to celebrate, and with him were
wont to be also certain brethren or sisters together with the lepers,
praying to God for the good estate of all their benefactors. “But clear it
is,” says Dugdale, “that the monks shortly after appropriated it to their
own use.” However, they were in time dispossessed by the Crown, to which
the hospital belonged until the 14th of Edward IV[178].

One of the most typical as well as earliest foundations was the hospital
of the Holy Innocents at Lincoln, endowed by Henry I. We owe our knowledge
of its charter to an inquisition of Edward III. It was intended for ten
_leprosi_, who were to be of the outcasts (_de ejectibus_) of the city of
Lincoln, the presentation to be in the king’s gift or in that of the mayor
or other good men of the city, and the administration of it by a master or
warden, two chaplains and one clerk. In the space of two centuries from
its foundation the character of its inmates had gradually changed. Edward
III.’s commissioners found nine poor brethren or sisters in it; only one
of them was _leprosus_, and he had obtained admission by a golden key;
also the seven poor women had got in _per viam pecuniam_. In Henry VI.’s
time provision was made for the possibility of lepers still requiring its
shelter--_quod absit_, as the new charter said.

In the same reign (end of Henry I.) the hospital of St Peter was founded
at Bury St Edmunds by abbot Anselm, for priests and others when they grew
old and infirm, leprous or diseased. The other hospital at Bury, St
Saviour’s, had no explicit reference to leprosy at all. It was founded by
the famous abbot Samson about 1184, for a warden, twelve chaplain-priests,
six clerks, twelve poor gentlemen, and twelve poor women. About a hundred
years later the poor sisters had to go, in order to make room for old and
infirm priests.

Sometime before his death in 1139, Thurstan, archbishop of York, founded a
hospital at Ripon for the relief of “all the lepers in Richmondshire;” the
provision was for eighteen patients, a chaplain and sisters. At an
uncertain date afterwards the house was found to contain a master, two or
three chaplains and some brethren, who are not styled _leprosi_; and from
the inquisition of Edward III. we learn that its original destination had
been for the relief as much of the poor as the leprous (_tam pauperum quam
leprosorum_), and that there was no leprous person in it at the date of
the inquisition.

The mixed character of hospitals commonly reckoned leper-hospitals is
shown by several other instances. St Mary Magdalene’s at Lynn (1145)
provided for a prior and twelve brethren or sisters, nine of whom were to
be whole and three leprous. St Leonard’s at Lancaster (time of king John)
was endowed for a master, a chaplain, and nine poor persons, three of them
to be leprous. St Bartholomew’s at Oxford provided for a master, a clerk,
two whole brethren and six infirm or leprous brethren; but the infirm or
leprous brethren had all been changed into whole brethren by the time of
Edward III[179]. So again the Normans’ spital at Norwich was found to be
sheltering “seven whole sisters and seven half-sisters.”

The leper-hospital at Stourbridge, near Cambridge, was founded for lepers
by king John, the one king in English history who cared greatly about his
leprous subjects. It was committed to the charge of the burgesses of
Cambridge, but it was shortly after seized by Hugo de Norwold, bishop of
Ely, and within little more than fifty years from its foundation (7 Ed.
I.) it was found that the bishop of Ely of that day was using it for some
purposes of his own, but “was keeping no lepers in it, as he ought, and as
the custom had been[180].”

The ostentatious patronage of lepers by king John, of which something more
might be said, was preceded by a more important interposition on their
behalf by the third Council of the Lateran in 1179 (Alexander III.). The
position of _leprosi_ in the community had clearly become anomalous, and
one of the decrees of the Council was directed to setting it right.
Lepers, who were “unable to live with sound persons, or to attend church
with them, or to get buried in the same churchyard, or to have the
ministrations of the proper priest,” were enjoined to have their own
presbytery, church, and churchyard, and their lands were to be exempt from
tithe[181]. Within two or three years of that decree, in or near 1181, we
find a bishop of Durham, Hugh de Puiset, endowing the greatest of all the
English leper-hospitals, at Sherburn, a mile or more outside the city of
Durham. The bishop was a noted instance of the worldly ecclesiastic of his
time. He was accused by the king of misappropriating money left by the
archbishop of York, and his defence was that he had spent it on the blind,
the deaf, the dumb, the leprous, and such like deserving objects[182].
William of Newburgh has left us his opinion of the bishop’s charity: it
was a noble hospital lavishly provided for, “but with largess not quite
honestly come by” (_sed tamen ex parte minus honesta largitione_[183]).
The hospital of bishop Hugh, dedicated to the Saviour, the Blessed Virgin,
St Lazarus, and his sisters Mary and Martha, still exists as Christ’s
Hospital, a quadrangular building enclosing about an acre in a sunny
valley to the south of the city, with a fine chapel, a great hall (of
which the ancient raftered roof existed into the present century), a
master’s lodge, and a low range of buildings on the west side of the
square for the poor brethren, with their own modest hall in the middle of
it. The original foundation was certainly on a princely scale, as things
then went: it was for five “convents” of lepers, including in all
sixty-five persons of both sexes, with a steward or guardian to be their
own proper representative or protector, three priests, four attendant
clerks, and a prior and prioress. We hear nothing more of the hospital for
a century and a half, during which time it had doubtless been filled by a
succession of poor brethren, or sick poor brethren, but whether leprous
brethren, or even mainly leprous, may well be doubted after the recorded
experiences of Ripon, Lincoln and Stourbridge. Its charter was confirmed
by bishop Kellaw about 1311-1316; and in an ordinance of 1349 we still
read, but not without a feeling of something forced and unreal, of the
hospital ministering to the hunger, the thirst, the nakedness of the
leprous, and to the other wants and miseries by which they are incessantly
afflicted. But within ninety years of that time (1434) the real state of
the case becomes apparent; the poor brethren had been neglected, and the
estates so mismanaged or alienated to other uses, that new statutes were
made reducing the number of inmates to thirteen poor brethren and two
lepers, the latter being thrown in, “if they can be found in these parts,”
in order to preserve the memory of the original foundation[184].

To these samples, which are also the chief instances of English
leper-hospitals, may be added two or three more to bring out another side
of the matter. In the cases already given, it has been seen that the
provision for the clerical staff was either a very liberal one at first or
became so in course of time. The hospitals, whether leprous or other, were
for the most part dependencies of the abbeys, affording occupation and
residence to so many more monks, just as if they had been “cells” of the
abbey. The enormous disproportion of the clerical staff to the inmates of
hospitals (not, however, leprous) is seen in the instances of St Giles’s
at Norwich, St Saviour’s at Bury and St Cross at Winchester. The provision
was about six for the poor and half-a-dozen for the monks. But even the
purely nosocomial part of these charities was in not a few instances for
the immediate relief of the monasteries themselves. St Bartholomew’s at
Chatham, one of the earliest foundations usually counted among the
leper-hospitals, was for sick or infirm monks. The hospital at
Basingstoke, endowed by Merton College, Oxford, was for incurably sick
fellows and scholars of Merton itself. The leper-hospital at Ilford in
Essex was founded about 1180 by the rich abbey of Barking, for the leprous
tenants and servants of the abbey, the provision being for a secular
master, a leprous master, thirteen leprous brethren, two chaplains and a
clerk. St Lawrence’s at Canterbury (1137) was for leprous monks or for the
poor parents and relations of monks. St Peter’s at Bury St Edmunds,
founded by abbot Anselm in the reign of Henry I., was for priests and
others when they grew old, infirm, leprous, or diseased.

The instances which have been detailed in the last few pages, perhaps not
without risk of tediousness, have not been chosen to give a colour to the
view of medieval leprosy; they are a fair sample of the whole, and they
include nearly all those leper-hospitals of which the charters or other
authentic records are known[185]. It is possible by using every verbal
reference to leprosy that may be found in connexion with all the five
hundred or more medieval English hospitals in Bishop Tanner’s _Notitia
Monastica_ or in Dugdale’s _Monasticon_, to make out a list of over a
hundred leper-hospitals of one kind or another. But there are probably not
thirty of them for which the special destination of the charity is known
from charters or inquisitions; and even these, as we have seen, were not
all purely for lepers or even mainly for lepers. As to the rest of the
list of one hundred, the connexion with leprosy is of the vaguest kind.
Thus, four out of the five hospitals in Cornwall are called lazar-houses
or leper-hospitals, but they were so called merely on the authority of
antiquaries subsequent to the sixteenth century. The same criticism
applies almost equally to the eight so-called leper-hospitals, out of a
total of fourteen medieval hospitals of all kinds, in Devonshire. It is
clear that “lazar-house” became an even more widely generic term than the
terms _lepra_ and _leprosus_ themselves[186].

Thus our doubts as to the amount of true leprosy that once existed in
England, and was provided for in the access of chivalrous sentiment that
came upon Christendom in the twelfth and thirteenth centuries, tend to
multiply in a compound ratio. We doubt whether many of the so-called
leper-houses or lazar-houses in the list of one hundred, more or less,
that may be compiled from the _Monasticon_, were not ordinary refuges for
the sick and infirm poor, like the three or four hundred other religious
charities of the country. We know that, in some instances of
leper-hospitals with authentic charters, the provision for the leprous was
in the proportion of one to three or four of non-leprous inmates. We know
that as early as the end of the thirteenth century the _leprosi_ were
disappearing or getting displaced even from hospitals where the intentions
of the founder were explicit. And lastly we doubt the homogeneity of the
disease called _lepra_ and of the class called _leprosi_.

As to the foundations of a later age they were no longer under
ecclesiastical management, and they seem to have been mostly rude shelters
on the outskirts of the larger towns. In 1316 a burgess of Rochester, who
had sat in Parliament, left a house in Eastgate to be called St
Katharine’s Spital, “for poor men of the city, leprous or otherwise
diseased, impotent and poor”--or, in other words, a common almshouse. The
remarkable ordinance of Edward III. in 1346, for the expulsion of lepers
from London, seems to have been the occasion of the founding of two
so-called lazar-houses, one in Kent Street, Southwark, called “the
Loke[187],” and the other at Hackney or Kingsland. These are the only two
mentioned in the subsequent orders to the porters of the City Gates in
1375; and as late as the reign of Henry VI. they are the only two, besides
the ancient Matilda’s Hospital in St Giles’s Fields, to which bequests
were made in the will of Ralph Holland, merchant taylor[188]. Another of
the suburban leper-spitals was founded at Highgate by a citizen in
1468[189], and it is not until the reign of Henry VIII. that we hear of
the spitals at Mile End, Knightsbridge and Hammersmith[190]. By that time
leprosy had ceased to be heard of in England; but another disease,
syphilis, had become exceedingly common; and it is known that those
spitals, together with the older leper-hospitals, were used for the poorer
victims of that disease. Stow is unable to give the exact date of any of
these foundations except that at Highgate. He assumes that the others were
all built on the occasion of the ordinance of 20 Edward III.; but it is
probable that only two of them, the Lock and the Kingsland or Hackney
spital were built at that time[191].

An early instance of a leper-spital or refuge apparently without
ecclesiastical discipline is mentioned in a charter roll of 1207-8, in
which king John grants to the leprosi of Bristol a croft outside the
Laffard gate, whereon to reside under the king’s protection and to beg
with impunity. On the roads leading to Norwich there were four such
shelters, outside the gates of St Mary Magdalene, St Bennet, St Giles and
St Stephen respectively; these houses were each under a keeper, and were
supported by the alms of the townsfolk or of travellers; only one of the
four is alleged to have had a chapel attached. The date of these is
unknown, but they were probably late. On the roads leading from Lynn,
there were three such erections, at Cowgate, Letchhythe and West Lynn,
which are first mentioned in a will of 1432. These non-religious and
unendowed leper-spitals were probably rude erections on the outskirts of
the town, at the door of which, or on the roadside near, one or more
lepers would sit and beg. The liberty of soliciting alms was one of their
privileges, only they were not allowed to carry their importunity too far;
hence the ordinance of most countries that the lepers were not to enter
mills and bake-houses; and hence some ordinances of the Scots parliament
limiting the excursions of the leper folk. One of the most considerable
privileges to lepers was granted to the lepers of Shrewsbury in 1204 by
king John, who did not lose the chance of earning a cheap reputation for
Christian charity by his ostentatious patronage of the _pauperes Christi_:
they were entitled to take a handful of corn or flour from all sacks
exposed in Shrewsbury market.


Leper-houses in Scotland and Ireland.

Most of the leper-spitals of Scotland would appear to have been of the
poorest kind, unendowed and unprovided with priests. The richest
foundation for lepers in Scotland was at Kingcase, near Prestwick in
Ayrshire, endowed with lands and consisting of a hospital of eight beds.
One or more leper-hospitals were built by the rich abbeys on the Tweed (at
Aldcambus in Berwickshire and probably at another place). Another great
ecclesiastical centre in Scotland, Elgin, had a leper-house at Rothfan,
with accommodation for seven lepers, a chaplain, and a servant. After
these, the Scots leper-houses may be taken to have been mere refuges, in
which the lepers supported themselves by begging. One such secular
hospital was in the Gorbals of Glasgow, founded in 1350. Liberton, near
Edinburgh, is supposed to mean Leper-town, and to have been a resort of
the sick on account of its medicinal spring. The hospital at Greenside,
then outside Edinburgh, was built in 1589. There was a leper-spital
outside the Gallow-gate of Aberdeen, on a road which still bears the name
of the Spital. Similar shelters may be inferred to have existed at Perth,
Stirling, Linlithgow and other places. James IV., in his journeys, used to
distribute small sums to the sick folk in the “grandgore” (syphilis), to
the poor folk, and to the lipper-folk, “at the town end[192].”

There were some leper-hospitals in Ireland, but it is not easy to
distinguish them in every case from general hospitals for the sick poor.
Thus the hospital built by the monks of Innisfallen in 869 is merely
called _nosocomium_, although it is usually reckoned an early foundation
for lepers in Ireland. A hospital at Waterford was “confirmed to the poor”
by the Benedictines in 1185. St Stephen’s in Dublin (1344) is specially
named as the residence of the “poor lepers of the city” in a deed of gift
about 1360-70; a locality of the city called Leper-hill was perhaps the
site of another refuge. Lepers also may have been the occupants of the
hospitals at Kilbrixy in Westmeath (St Bridget’s), of St Mary Magdalene’s
at Wexford (previous to 1408), of the house at “Hospital,” Lismore (1467),
at Downpatrick, at Kilclief in county Down, at Cloyne, and of one or more
of four old hospitals in or near Cork. The hospital at Galway, built “for
the poor of the town” about 1543, was not a leper-house, nor is there
reason to take the old hospital at Dungarvan as a foundation specially for
lepers[193].


The Prejudice against Lepers.

It will have been inferred, from many particulars given, that the
segregation of lepers in the Middle Ages was far from complete, and that
many ministered to them without fear and without risk. The same hospital
received both _leprosi_ and others, the hospitals were served by staffs of
chaplains, clerks and sometimes women attendants; and yet nothing is
anywhere said of contagion being feared or of the disease spreading by
contagion. The experience of these medieval hospitals was doubtless the
same as in the West Indies and other parts of the world in our own day.
It is true that the medical writers pronounce the disease to be
contagious, _ut docet Avicenna_; but the public would seem to have been
unaware of that, and they certainly lost nothing by their ignorance of the
medical dogma, which, in the text-books, is merely the result of a
concatenation of verbalist arguments. At the same time it is clear that
there was a certain amount of segregation of the leprous. The inmates of
the hospital at Lincoln are significantly described as “de ejectibus” of
the city. The third Lateran Council based one of its decrees upon what
must have been a common experience, namely, that lepers were unable to mix
freely with others, and that they were objected to in the same church, and
even as corpses in the same churchyard. There are some particular
indications of that feeling to be gathered from the chroniclers.

One of the most remarkable histories is that of a high ecclesiastic in the
pre-Norman period. In the year 1044, Aelfward, bishop of London, being
stricken with leprosy (_lepra perfusus_) sought an asylum in the monastery
of Evesham, of which he was the prior. The monks may have had more than
one reason for not welcoming back their prior; at all events they declined
to let him stay, so that he repaired to the abbey of Ramsey, where he had
passed his noviciate and been shorn a monk. He carried off with him from
Evesham certain valuables and relics; and his old comrades at Ramsey,
undeterred by his leprosy or counter-attracted by his treasures, took him
in and kept him until his death. The incident can hardly be legendary for
it is related in the annals of Ramsey Abbey by one who wrote within a
hundred years of the event[194].

Another case, which may also be accepted as authentic, is given by Eadmer
in his _Life of Anselm_. Among the penitents who sought counsel and
consolation of Anselm while he was still abbot of Bec in Normandy, with a
great name for sanctity, was a certain powerful noble from the marches of
Flanders. He had been stricken with leprosy in his body, and his grief was
all the greater that he saw himself despised beneath his hereditary rank,
and shunned by his peers _pro obscenitate tanti mali_[195].

Besides such notable cases, we find more evidence in the ordinances of the
hospital of St Julian at St Albans, which have been preserved more
completely than those of any other leper-house. Forasmuch as the disease
of leprosy is of all infirmities held the most in contempt, the
unfortunate person who is about to be received into the St Albans house is
directed to work himself up into a state of the most factitious
melancholy; he is reminded, not only of the passage in Leviticus about
“Unclean, unclean!”, but also of the blessed Job, who was himself a leper
(in the 14th century his boils became identified with the plague, and in
the end of the 15th century the patriarch was claimed as an early victim
of the _lues venerea_); and further of the verse in the 53rd of Isaiah:
“Et nos putavimus eum leprosum, percussum a Deo, et humiliatum[196].” The
St Albans house, with its six beds, appears to have been carefully
managed, and its inmates well provided for; but the unreal atmosphere of
the place had been too much for the leprous or other patients of the
district; for we find it on record that they could hardly be persuaded to
don its russet uniform, and submit themselves for the rest of their lives
to its discipline.

There can be no question, then, that persons adjudged leprous were
shunned, driven out or ostracised by public opinion, and even legislated
against. The reality of these practices should not be confounded with a
real need for them. Least of all should they be ascribed to a general
belief in the contagiousness of the disease. In practice no one heeded the
medical dogma of leprous contagion, because no one attached any concrete
meaning to it or had any real experience of it. There was prejudice
against lepers, partly on account of Biblical tradition, and partly
because the “terribilis aspectus” of a leper was repulsive or uncanny.
Further, in genuine leprosy, the most wretched part of the victim’s
condition was not his appearance (which in a large proportion of cases
may present little that is noticeable to passing observation), but his
unfitness for exertion, his listlessness, and depression of spirits, owing
to the profound disorganisation of his nerves. A leprous member of a
family would be a real burden to his relatives; and in a hard and cruel
age he would be little better off than the stricken deer of the herd or
the winged bird of the flock. To become a beggar was his natural fate; and
as a beggar he became privileged, by royal patent or by prescription,
while beggars in ordinary were under a ban.

It is undoubted that the privilege of begging accorded to lepers was
abused, and was claimed by numbers who feigned to be lepers[197]. The one
severe edict against lepers in England was the ordinance of Edward III.
for the exclusion of lepers from London in 1346; it is clear, however,
from the text of the ordinance that the occasion of it was not any fixed
persuasion of the need for isolating leprous subjects, but some
intolerable behaviour of lepers or of those who passed as such. The mayor
and sheriffs are ordered to procure that all lepers should avoid the city
within fifteen days, for the reason that persons of that class, as well by
the pollution of their breath, etc. “as by carnal intercourse with women
in stews and other secret places, detestably frequenting the same, do so
taint persons who are sound, both male and female, to the great injury
etc.[198]” That is the old confusion which we have already noticed in
Bernard Gordonio and Gilbert; it is an edict against _lepra_ in its
generic sense, and against the same class that William Clowes
characterizes so forcibly in his book on the _morbus Gallicus_ in 1579. At
a date intermediate between those two, in 1488, an order was made by the
provost of Paris, that “lepers” should leave the city; but that is too
late a date for leprosy, although not too early for syphilis. On the 24th
August, 1375, the porters of the City Gates were sworn to prevent lepers
from entering the city, or from staying in the same, or in the suburbs
thereof; and on the same date, the foreman at ‘Le Loke’ (the Lock Hospital
in Southwark) and the foreman at the leper-spital of Hackney took oath
that they will not bring lepers, or know of their being brought, into the
city, but that they will inform the said porters and prevent the said
lepers from entering, so far as they may[199].

When all word of leprosy had long ceased in England the porters of the
City Gates had the same duties towards beggars in general. Thus in
Bullein’s _Dialogue_ of 1564, the action begins with a whining beggar from
Northumberland saying the Lord’s Prayer at the door of a citizen. The
citizen asks him, “How got you in at the gates?” whereupon it appears that
the Northumbrian had a friend at Court: “I have many countrymen in the
city,” among the rest an influential personage, the Beadle of the
Beggars[200].

While it cannot be maintained that lepers were tolerated or looked upon
with indifference, yet it was for other reasons than fear of contagion
that they were objectionable. The prejudices against them have been
already illustrated from periods as early as the eleventh century. They
were, to say the least, undesirable companions, and in certain occupations
they must have been peculiarly objectionable. Thus, on the 11th June,
1372, in the city of London, John Mayn, baker, who had often times before
been commanded by the mayor and aldermen to depart from the city, and
provide for himself some dwelling without the same, and avoid the common
conversation of mankind, seeing that he the same John was smitten with the
blemish of leprosy--was again ordered to depart[201]. It does not appear
whether the baker departed that time, nor is there any good diagnosis of
his leprosy; there was certainly a prejudice against him, but the occasion
of it may have been nothing more than the eczematous crusts on the hands
and arms, sometimes very inveterate, which men of his trade are subject
to.

It is clear also from a singular case in the _Foedera_, that a false
accusation of leprosy was sometimes brought against an individual, perhaps
out of enmity, like an accusation of witchcraft. In 1468 a woman accused
of leprosy appealed to Edward IV., who issued a chancery warrant for her
examination.

    The writ of 3rd July, 1468, is to the king’s physicians, “sworn to the
    safe-keeping of our person,” William Hatteclyff, Roger Marschall, and
    Dominic de Serego, doctors of Arts and Medicine; and the subject of
    the inquisition is Johanna Nightyngale of Brentwood in Essex, who was
    presumed by certain of her neighbours to be infected by the foul
    contagion of _lepra_, and for whose removal from the common
    intercourse of men a petition had been laid in Chancery. She had
    refused to remove herself to a solitary place, _prout moris est_; the
    physicians are accordingly ordered to associate with themselves
    certain legal persons, to inquire whether the woman was leprous, and,
    if so, to have her removed to a solitary place _honestiori modo quo
    poteris_. On the 1st of November, 1468, the court of inquiry reported
    that they found the woman to be in no way leprous, nor to have been.
    The woman had been brought before them: they had passed in review
    twenty-five or more of the commonly reputed signs of _lepra_, but they
    had not found that she could be convicted of leprosy from them, or
    from a sufficient number of them; again, passing in review each of the
    four species of lepra (_alopecia_, _tinia_, _leonina_, and
    _elephantia_) and the forty or more distinctive signs of the species
    of _lepra_, they found not that the woman was marked by any of the
    species of _lepra_, but that she was altogether free and immune from
    every species of _lepra_[202].


Laws against Lepers.

The ordinance of 21 Edward III. (1346) against the harbouring of lepers in
London is the only one of the kind (so far as I know) in English history;
the Statutes of the realm contain no reference to lepers or leprosy from
first to last; the references in the Rolls of Parliament are to the taxing
of their houses and lands. The laws which deprived lepers of marital
rights and of heirship appear to have been wholly foreign; in England,
leprosy as a bar to succession was made a plea in the law courts. It
appears, however, that a law against lepers was made by a Welsh king in
the tenth century[203]. It is not easy to realize the state of Welsh
society in the tenth century; but we know enough of it in the twelfth
century, from the description of Giraldus Cambrensis, to assert with some
confidence that “leprosy” might have meant anything--perhaps the “lepra
Normannorum[204].”

In Scotland the laws and ordinances, civil and ecclesiastical, against
lepers have been more numerous. In 1242 and 1269, canons of the Scots
Church were made, ordering that lepers should be separated from society in
accordance with general custom. In 1283-84, the statutes of the Society of
Merchants, or the Guildry, of Berwick provided that lepers should not
enter the borough, and that “some gude man sall gather alms for them.” In
1427 the Parliament of Perth authorised ministers and others to search the
parishes for lepers[205].

We conclude, then, that little was made of leprosy by English legislators
(rather more by the Scots), just as we have found that in the endowment of
charities, the leprous had only a small share, and that share a somewhat
exaggerated one owing to the morbid sentimentality of the chivalrous
period. The most liberal estimate of the amount of true leprosy at any
time in England would hardly place it so high as in the worst provinces of
India at the present day. In the province of Burdwan, with a population of
over two millions, which may be taken to have been nearly the population
of England in the thirteenth century, there are enumerated 4604 lepers, or
2·26 in every thousand inhabitants. But even with that excessive
prevalence of leprosy, and with no seclusion of the lepers, a traveller
may visit the province of Burdwan, and not be aware that leprosy is
“frightfully common” in it. In medieval England the village leper may have
been about as common as the village fool; while in the larger towns or
cities, such as London, Norwich, York, Bristol, and Lincoln, true lepers
can hardly have been so numerous as the friars themselves, who are
supposed to have found a large part of their occupation in ministering to
their wants. A rigorous scepticism might be justified, by the absence of
any good diagnostic evidence, in going farther than this. But the
convergence of probabilities does point to a real prevalence of leprosy in
medieval England; and those probabilities will be greatly strengthened by
discovering in the then habits of English living a _vera causa_ for the
disease.


Causes of Medieval Leprosy.

What was there in the medieval manner of life to give rise to a certain
number of cases of leprosy in all the countries of Europe? Granting that
not all who were called _leprosi_ and _leprosae_, were actually the
subjects of _lepra_ as correctly diagnosed, and that the misnomer was not
unlikely to have been applied in the case of princes, nobles and great
ecclesiastics, we have still to reckon with the apparition of leprosy
among the people in medieval Europe and with its gradual extinction, an
extinction that became absolute in most parts of Europe before the Modern
period had begun.

Of the “importation” of leprosy into Britain from some source outside
there can be no serious thought; the words are a meaningless phrase, which
no one with a real knowledge of the conditions, nature and affinities of
leprosy would care to resort to. The varying types of diseases, or their
existence at one time and absence at another, are a reflex of the
variations in the life of the people--in food and drink, wages, domestic
comfort, town life or country life, and the like. No one doubts that the
birth-rate and the death-rate have had great variations from time to time,
depending on the greater or less abundance of the means of subsistence, on
overcrowding, or other things; and the variation in the birth-rate and
death-rate is only the most obvious and numerically precise of a whole
series of variations in vital phenomena, of which the successions,
alternations, and novelties in the types of disease are the least simple,
and least within the reach of mere notional apprehension or mere
statistical management. The apparition and vanishing of leprosy in
medieval Europe was one of those vital phenomena. It may be more easily
apprehended by placing beside it a simple example from our own times.

The pellagra of the North Italian peasantry (and of Roumania, Gascony and
some other limited areas) is the nearest affinity to leprosy among the
species of disease. Strip leprosy of all its superficial and sentimental
characters, analyse its essential phenomena, reduce its pathology to the
most correct outlines, and we shall find it a chronic constitutional
malady not far removed in type from pellagra. In both diseases there are
the early warnings in the excessive sensibility, excessive redness and
changes of colour, at certain spots of skin on or about the face or on the
hands and feet. In both diseases, permanent loss of sensibility follows
the previous exaggeration, blanching of the skin will remain for good at
the spots where redness and discoloration were apt to come and go, and
these affections of the end-regions of nerves will settle, in less
definite way, upon the nervous system at large,--the cerebro-spinal
nervous system, or the organic nervous system, or both together. What
makes leprosy seem a disease in a different class from that, is the
formation of nodules, or lumps, in the regions of affected skin in a
certain proportion of the cases. If leprosy were all anaesthetic leprosy,
its affinities to pellagra would be more quickly perceived; it is because
about one-half of it has more or less of the tuberculated character that a
diversion is created towards another kind of pathology. But the fact that
some cases of leprosy develop nodules along the disordered nerves does not
remove the disease as a whole from the class to which pellagra belongs. In
both diseases we are dealing essentially with a profound disorder of the
nerves and nerve-centres, commencing in local skin-affections which come
and go and at length settle, proceeding to implicate the nervous functions
generally, impairing the efficiency of the individual, and bringing him to
a miserable end. The two diseases diverge each along its own path, leprosy
becoming more a hopeless disorder of the nerves of tissue-nutrition, and
so taking on a structural character mainly but not exclusively, and
pellagra becoming more a hopeless disorder of the organic nervous system
(digestion, circulation, etc.) with implication of the higher nervous
functions, such as the senses, the intellect, and the emotions, and so
taking on a functional character mainly but not exclusively. The
correlation of structure and function is one that goes all through
pathology as well as biology; and here we find it giving character to each
of two chronic disorders of the nervous system, according as the
structural side or the functional side comes uppermost.

What, then, are the circumstances of pellagra, and do these throw light
upon the medieval prevalence of leprosy? Pellagra has been proved with the
highest attainable scientific certainty to be due to a staple diet of
bread or porridge made from damaged or spoilt maize. It followed the
introduction of maize into Lombardy at an interval of two or three
generations, and its distribution corresponds closely to the poorer kinds
of maize on colder soils, and to the class of the peasantry who get the
worst kind of corn or meal for their food. The cases of the disease among
the peasantry of Lombardy and some other maize-growing provinces of
Northern Italy, were about one hundred thousand when last estimated; the
endowed charitable houses and lunatic asylums are full of them. The
connexion of the disease with its causes is perfectly well understood; but
the economic questions of starvation wages, of truck, of large farms with
bailiffs, and of agricultural usage, have proved too much for the chambers
of commerce and the Government; so that there is as yet little or no sign
of the decline of pellagra in the richest provinces of Italy. This disease
is not mentioned in the Bible, therefore it has no traditional vogue; it
is not well suited to knight-errantry, because it is a common evil of
whole provinces; its causes are economic and social, therefore there is no
ready favour to be earned by systematic attempts to deal with them; and
there is absolutely no opening for heroism and self-sacrifice of the more
ostentatious kind. These are among the reasons why this great
object-lesson of a chronic disorder of nutrition, proceeding steadily
before our eyes, has been so little perceived. It is in pellagra, however,
that we find the key to the ancient problem of leprosy. The two diseases
are closely allied in the insidious approach of their symptoms, in their
implicating the tissue-nutrition through the nerves, or the nervous
functions through the nutrition, in their cumulating and incurable
character, and in their transmissibility by inheritance. Thus
nosologically allied, they may be reasonably suspected of having analogous
causes; and as we know the cause of modern pellagra to be something
noxious in the habitual diet of the people, we may look for the cause of
medieval leprosy in something of the same kind.

The dietetic cause is not far to seek, and it cannot be stated better than
in the following well-known passage by the philosophical Gilbert White in
his _Natural History of Selborne_[206]:--

    “It must, therefore, in these days be, to a humane and thinking
    person, a matter of equal wonder and satisfaction, when he
    contemplates how nearly this pest is eradicated, and observes that a
    leper is now [1778] a rare sight. He will, moreover, when engaged in
    such a train of thought, naturally inquire for the reason. This happy
    change perhaps may have originated and been continued from the much
    smaller quantity of salted meat and fish now eaten in these kingdoms;
    from the use of linen next the skin; from the plenty of bread; and
    from the profusion of fruits, roots, legumes, and greens, so common in
    every family. Three or four centuries ago, before there were any
    enclosures, sown-grasses, field-turnips, or field-carrots, or hay, all
    the cattle which had grown fat in summer, and were not killed for
    winter use, were turned out soon after Michaelmas to shift as they
    could through the dead months; so that no fresh meat could be had in
    winter or spring. Hence the marvellous account of vast stores of
    salted flesh found in the larder of the eldest Spencer even so late in
    the spring as the 3rd of May (600 bacons, 80 carcases of beef, and 600
    muttons)[207]. It was from magazines like these that the turbulent
    barons supported in idleness their riotous swarms of retainers, ready
    for any disorder or mischief. But agriculture is now arrived at such
    pitch of perfection, that our best and fattest meats are killed in the
    winter; and no man needs eat salted flesh, unless he prefers it, that
    has money to buy fresh.

    “One cause of this distemper might be no doubt the quantity of
    wretched fresh and salt fish consumed by the commonalty at all seasons
    as well as in Lent, which our poor now would hardly be persuaded to
    touch.... The plenty of good wheaten bread that now is found among all
    ranks of people in the south, instead of that miserable sort which
    used, in old days, to be made of barley or beans, may contribute not a
    little to the sweetening their blood and correcting their juices.”

Let us add to this, that the meat diet of the poorer class, whether serfs
or freemen, would be apt to consist of the more worthless portions, the
semi-putrid pieces in the salted sides of bacon, mutton or beef, and that
badly-cured pork was in many parts the usual kind of flesh-food; and we
shall have no difficulty in finding the noxious element in the diet of the
Middle Ages, which the dietetic hypothesis of leprosy requires. Some who
have advocated that hypothesis for modern leprosy, have laid themselves
open, notwithstanding the ability and industry of their research, to
plausible objections which have no bearing if the hypothesis be
sufficiently safe-guarded. Leprosy, like every other _morbus miseriae_,
needs a number of things working together to produce it, its more or less
uniform specific character or distinctive mark being determined by the
presence of one factor in particular. The special factor should be
generalised as much as possible, so as to cover the whole circumstances of
leprosy: it is not only half-cured or semi-putrid fish[208], but
half-cured or semi-putrid flesh of any kind. The most general expression
for leprosy is a semi-putrid or toxic character of animal food, just as
for the allied pellagra, it is a semi-putrid or toxic character of the
bread or porridge. Moreover it is that noxious or unnatural thing in the
food, not once and again, or as a _bonne bouche_, but somewhat steadily
from day to day as a chief part of the sustenance, and from year to year.
As the rain-drops wear the stones, so the poison in the daily diet tells
upon the constitution. Once more, such special causes may be present in a
country generally, among the poor of all the towns, villages and hamlets,
and yet only one person here and there may show specific effects that are
recognisable as a disease to which we give a name. Unless there be present
the aiding and abetting things, the special factor will hardly make itself
felt; and if there be not the special factor, there may be some other
_morbus miseriae_ but there will not be that one. These aiding things are
for the most part the usual concomitants of poverty and hardships, wearing
out the nerves far more than is commonly supposed and producing in
ordinary an excessive amount of nervous affections among the poor. But
among the poor themselves, as well as among the well-to-do, there are
special susceptibilities in individuals and in families. One person may
have the same unwholesome surroundings as another and the same poisonous
element in his diet, but he may fall into no such train of symptoms as his
leprous neighbour because he is not formed in quite the same way, because
he has “no nerves,” or is of a hardier stock, or because his unwholesome
manner of life comes out in some other form of disease (scrofula perhaps,
less probably gout), or for some other reason deeply hidden in his
ancestry and his personal peculiarities. The chances would be always
largely against that particular combination of factors needed to make
leprosy. It was a _morbus miseriae_ of the Middle Ages, but on the whole
not a very common one; and it was easily shaken off by the national life
when the conditions changed ever so little. It was all the more easily
shaken off by reason of the facilities for divorce, the prohibition of
marriage, and the monastic discipline.

The staple diet as a cause of leprosy was suspected in the Middle Ages,
and by writers as ancient as Galen. It is not without significance that
the minute directions for the dieting of the lepers in the rich hospital
of Sherburn, near Durham, urge special caution as to the freshness of the
fish: when fresh fish was not to be had, red herrings might be
substituted, but only if they were well cured, not putrid nor corrupt.
Those directions were in accordance with the best medical teaching of the
time on the dietetics of leprosy, or on how to prevent leprosy, as it is
given with considerable minuteness in Gordonio and Gilbert[209].

On the other hand we find a singular ordinance of the Scots Parliament at
Scone in 1386, or some forty years after the date of the Durham
regulations: “Gif ony man brings to the market corrupt swine or salmond to
be sauld, they sall be taken by the Bailie and incontinent without ony
question sall be sent to the lepper-folke; and gif there be na
lepper-folke, they sall be destroyed alluterlie[210].” Nothing could be
more significant for the prevalence and persistence of leprosy in
Scotland[211]. Putrid fish and pork did actually come to market; the
dangers of them as regarded the production of leprosy were unsuspected;
and the lepers (genuine or mistaken) were actually directed to be fed with
them. Such food for “lepers” could only have fed the disease; and if it be
the case that genuine leprosy was met with in Edinburgh and Glasgow more
than two centuries after it ceased to be heard of in England, we need be
at no loss to assign the reason why the disease was more inveterate in the
one country than in the other.




CHAPTER III.

THE BLACK DEATH.


The most likely of the fourteenth-century English annalists to have given
us a good account of the Black Death was the historian Ranulphus Higden,
author of the _Polychronicon_, who became a monk of St Werburgh’s abbey at
Chester about the beginning of the century, and lived to see the
disastrous year of 1349[212]. That part of his history which relates to
his own period he brings down year by year to 1348, with less fulness of
detail in the later years, as if old age were making him brief. Under the
year 1348 he begins the subject of the great mortality, speaks of the
incessant rains of the second half of the year from Midsummer to
Christmas, refers to the ravages of the plague at Avignon, the then
ecclesiastical capital of Christendom, just mentions England and Ireland,
and then lets the pen fall from his hand. Higden is believed to have
resumed his annals after 1352; but he was then a very old man, and the
last entries are unimportant. But the period from 1348 to 1352 is an
absolute blank. He comes to the edge of the great subject of that time, as
if he had intended to deal with it comprehensively, beginning with a
notice of the previous weather, which is by no means irrelevant, and after
two or three lines more he breaks off. Most of the monastic chronicles are
interrupted at the same point; if there is an entry at all under the year
1349 it is for the most part merely the words magna mortalitas. The
prevailing sense of desolation and despair comes out in the record made by
a friar of Kilkenny, who kept a chronicle of passing events, and escaped
the fate of his brethren in the convent only long enough to record a few
particulars of the great mortality[213]:

    “And I, friar John Clyn, of the Order of Friars Minor, and of the
    convent of Kilkenny, wrote in this book those notable things which
    happened in my time, which I saw with my eyes, or which I learned from
    persons worthy of credit. And lest things worthy of remembrance should
    perish with time, and fall away from the memory of those who are to
    come after us, I, seeing these many evils, and the whole world lying,
    as it were, in the wicked one, among the dead waiting for death till
    it come--as I have truly heard and examined, so have I reduced these
    things to writing; and lest the writing should perish with the writer,
    and the work fail together with the workman, I leave parchment for
    continuing the work, if haply any man survive, and any of the race of
    Adam escape this pestilence and continue the work which I have
    commenced.”

There is nothing in the English chronicles so directly personal as that,
but there are some facts recorded of the mortality in four of them which
have contemporary value, or almost contemporary. The best of these
accounts, as a piece of history, is that of Henry Knighton, canon of
Leicester[214], who acknowledges his indebtedness to Higden’s
_Polychronicon_ for the events down to 1326, but after that date either
writes from his own observation or takes his facts from some unknown
contemporary source. The next in importance is Geoffrey le Baker[215], a
clerk of the abbey of Osney, near Oxford, whose account of the arrival of
the Black Death in England has obtained wide currency as copied literally
in the 1605 edition of Stow’s _Annals_. The third is Robert de
Avesbury[216], whose _History of Edward III._ serves as a chronicle for
the city of London more particularly. The fourth is the Malmesbury monk
who wrote, about 1367, the chronicle known as the _Eulogium_[217].

From the systematic paragraphs of those writers, and from various other
incidental notices, an outline of the progress of the pestilence in
England, Scotland and Ireland, may be traced. It entered English soil at a
port of Dorsetshire--said in the _Eulogium_ to have been Melcombe
(Weymouth)--in the beginning of August, 1348. It is said to have spread
rapidly through Dorset, Devon and Somerset, almost stripping those
counties of their inhabitants, and to have reached Bristol by the 15th of
August. The people of Gloucester in vain tried to keep out the infection
by cutting off all intercourse with Bristol; from Gloucester it came to
Oxford, and from Oxford to London, reaching the capital at Michaelmas,
according to one account, or at All Saints (1st November) according to
another. Although the 15th of August is definitely given as the date of
its arrival at Bristol from the Dorset coast, it must not be assumed that
the infection covered the ground so quickly as that in the rest of its
progresses. We have a measure of the rate of its advance south-westward
through Devonshire to Cornwall, in a contemporary entry in the register of
the Church of Friars Minor at Bodmin[218]: confirming the independent
statements that the pestilence entered England at the beginning of August,
the register goes on to record that it reached the town of Bodmin shortly
before Christmas, and that there died in that town about fifteen hundred
persons, as estimated.

The corporation records of Bridport, a town near to the place in Dorset
where the infection landed, show that four bailiffs held office, instead
of two, in the 23rd of Edward III., _in tempore pestilentiae_; the 23rd of
Edward III. would begin 25 Jan. 1349, but the municipal year would
probably have extended from September 1348, so that Bridport may have had
the infection before the end of that year[219]. It seems probable that the
smaller towns, and the villages, all over the South-west, had been
infected in the end of 1348, but somewhat later than Bristol and
Gloucester. The mandate of Ralph, bishop of Bath and Wells, “On
confessions in the time of the pestilence,” is dated Wynchelcomb, 4. id.
Jan. M.CCC.XLVIII. (10 January, 1349) and it speaks of the contagion
spreading everywhere, and of many parish churches and other cures in his
diocese being left without curate and priest to visit the sick and
administer the sacraments[220].

The autumn of 1348 may be taken, then, as correct for the South-west; and
there is no doubt that the infection had been severe enough in London
before the end of that year to move the authorities to action.

“Owing to the increasing severity of the sudden plague day by day at
Westminster and places adjoining,” Parliament was prorogued on the 1st of
January, 1349[221]. There was a further prorogation on the 10th of March,
for the reason given that “the pestilence was continuing at Westminster,
in the city of London, and in other places, more severely than before”
(_gravius solito_)[222]. This agrees with Avesbury’s statement that the
epidemic in London reached a height (_in tantum excrevit_) after
Candlemas, 1349, and that it was over about Pentecost. One of the best
proofs of the season and duration of the Black Death in London is got from
the number of wills enrolled in the Husting Court of the city in the
successive months. Those who died of the plague leaving wills were, of
course, but a small fraction of the whole mortality; but the wills during
some eight months of 1349 are ten or fifteen times more numerous than in
any other year before or after, excepting perhaps the year of the _pestis
secunda_, 1361. Starting from 3 in November, 1348 (none in December), the
probates rise to 18 in January, 1349, 42 in February, 41 in March, none in
April (owing to paralysis of business, doubtless), but 121 in May, 31 in
June, 51 in July, none in August and September, 18 in October, 27 in
November, and then an ordinary average[223]. Thus it would have had a
duration of some seven or eight months in the capital, with a curve of
increase, maximum intensity, and decrease, just as the great London
epidemics of the same disease in the 16th and 17th centuries are known
from the weekly bills to have had.

It does not appear to have been felt at all in Norwich and other places in
the Eastern Counties until the end of March, 1349, its enormous ravages in
that part of England falling mostly in the summer. There is a definite
statement that it began at York about the feast of the Ascension, by which
time it had almost ceased in London, and that it lasted in the capital of
the northern province until the end of July. The infection almost emptied
the abbey of Meaux, in Holdernesse, of its monks, and the abbey lands of
their tenants; and the date given in the abbey chronicle is the month of
August, 1349. The spring and summer of that year appear to have been the
seasons of the great mortality all over England, excepting perhaps in the
southern counties where the outbreak began; even at Oxford, which is one
of the towns mentioned as on the route of the pestilence from Dorsetshire
to London, the mortality is entered under the year 1349, which was also
the year of its enormous prevalence among the farmers and peasants on the
manor of Winslow, in the county of Bucks.

Its invasion of the mountainous country of Wales (by no means exempt from
plague in the 17th century) may have been a season later--_anno sequenti_,
says Le Baker, which may mean either 1349 or 1350. In the Irish annals,
the first mention of the pestilence is under the year 1348; but it was
probably only the rumour of the mortality at Avignon and elsewhere abroad
that caused the alarm in Ireland among ecclesiastics and in gatherings of
the people. It was first seen on the shores of Dublin Bay, at Howth and
Dalkey, and a little farther north on the coast at Drogheda; it raged in
Dublin “from the beginning of August until the Nativity[224],” which may
mean the year 1348, although the year 1349 is the date given for the great
mortality in Ireland in later chronicles.

The experience of Scotland illustrates still farther the slow progression
of the plague, and its dependence to some extent upon the season of the
year. Two English chroniclers (Le Baker and Knighton) mention that it got
among the Scots assembled in the forest of Selkirk for an invasion at the
time when the mortality was greatest in the northern counties, the autumn
of 1349. But the winter cold must have held it in check as regards the
rest of Scotland; for it is clear from Fordoun that its great season in
that country generally was the year 1350. Thus the Black Death may be said
to have extended over three seasons in the British Islands--a partial
season in the south of England in 1348, a great season all over England,
in Ireland and in the south of Scotland in 1349, and a late extension to
Scotland generally in 1350. The experience of all Europe was similar, the
Mediterranean provinces receiving the infection as early as 1347, and the
northern countries, on the Baltic and North Seas, as late as 1350.


Symptoms and Type of the Black Death.

This sweeping pestilence was part of a great wave of infection which
passed over Europe from the remote East, and of which we shall trace the
antecedents in the latter part of this chapter. The type and symptoms of
the disease are sufficiently well-known from foreign descriptions--by Guy
de Chauliac and Raymond de Chalin, both of Avignon, by Boccaccio, and by
the Villani of Florence. It was the bubo-plague, a disease which is known
to have existed in Egypt in the time of the Ptolemies, and made its first
great incursion from that country into Europe in the reign of Justinian in
the year 543 (see Chapter I.). Its second great invasion, but from a new
direction, was the Black Death of 1347-9; and from that time it remained
domesticated in the soil of Europe for more than three hundred years as
“the plague.” The first medical descriptions of it by native British
writers are comparatively late. Manuscript treatises or “ordinances” on
the plague circulated in England from the reign of Richard II., most of
them being copies of a short work of no great value by one John of
Burgoyne or John of Bordeaux. There is also extant an English translation
in manuscript, assigned to the 14th century (but belonging to the end of
it, if not to the 15th), of a really good work on the plague by the bishop
of Aarhus, in Denmark, of which I shall have more to say in the next
chapter. But none of these give English experience; and the earliest of
our 16th century plague-books, by Phaer, is a compilation mostly, if not
entirely, from the Danish bishop’s treatise, the latter having been
printed in its English form in or near 1480. It is not until we come to
the work of Dr Gilbert Skene of Edinburgh, printed in 1568, that we find a
treatise on plague showing traces of first-hand observation and
reflection. Then follow the essay of Simon Kellwaye on the London plague
of 1593, and that of the well-known Elizabethan poet and physician Thomas
Lodge, on the plague of 1603. Thus the reign of the plague in Britain was
approaching an end before the native medical profession began to write
upon it. Its eventful history from its arrival in 1348 down to a
comparatively late period has to be constructed from other materials than
the records or systematic writings of the faculty.

The type of the Black Death in England is sufficiently indicated by Le
Baker, who was probably living at Osney, near Oxford, when the infection
began, and indubitably by friar Clyn of Kilkenny. Le Baker mentions the
_apostemata_ or swellings in diverse parts, their sudden eruption, and
their extreme hardness and dryness, so that hardly any fluid escaped when
they were lanced according to the usual method of treating them[225]. He
speaks also of a peculiarly fatal form, from which few or none recovered;
it was characterised by “small black pustules” on the skin, probably the
livid spots or “tokens” which came to be considered the peculiar mark of
the plague, and were certainly the index of a malignant type of it, just
as the corresponding haemorrhages are in pestilential fever (or typhus)
and in yellow fever. The disease, he adds, was swift in doing its work:
one day people were in high health and the next day dead and buried.
Knighton also says, with special reference to Bristol, that the attack was
fatal sometimes within twelve hours, and usually within three days at the
most. The treatment, which would have been, according to all subsequent
experience, the privilege only of those who could pay for it, would appear
to have consisted in lancing the risings or botches in the armpits, neck,
or groins; these were the lymph-glands enlarged to the size of a walnut or
of a hen’s egg, and of a livid colour,--the most striking and certain of
all the plague-signs.

Clyn’s account of the disease, as he saw it at Kilkenny in 1349, is
important for including one remarkable symptom on which great importance
has been laid as distinctive of the Black Death among the epidemics of
bubo-plague, namely haemorrhage from the lungs: “For many died from
carbuncles, and boils, and botches which grew on the legs and under the
arms; others from passion of the head, as if thrown into a frenzy; others
by vomiting blood[226].” It was so contagious, he says, that those who
touched the dead, or even the sick, were incontinently infected that they
died, and both penitent and confessor were borne together to the same
grave. Such was the fear and horror of it that men scarce dared exercise
the offices of pity, namely, to visit the sick and bury the dead. Clyn’s
list of symptoms includes all the most prominent features of the plague as
we shall find them described for the great epidemics of the Stuart
period--the botches in the armpits or groins, the carbuncles, the boils
(or blains), and the frenzy or delirium, as well as the special symptom of
the great mortality--vomiting of blood.

Of the botch, which was the most striking sign of the plague, the
following description, by Woodall (1639), may be introduced here, to
supplement the more meagre accounts of the bubo-plague on its first
appearance. Woodall had himself suffered from the bubo or botch on two
occasions, in its comparatively safe suppurating form; his description
relates to the hard, tense, and dry botch, especially mentioned by Le
Baker for 1349, and always the index of great malignity:

    “But the pestilential bubo or boyle commeth ever furiously on, and as
    in a rage of a Feaver, and as being in haste; sometimes it lighteth on
    or near the inguen thwart, but more often lower upon the thigh,
    pointing downward with one end, the upper end towards the belly being
    commonly the biggest or the fullest part of the bubo, the whole thigh
    being also inflamed[227].”

Of this disease, says Le Baker, few of the first rank died, but of the
common people an incalculable number, and of the clergy and the cleric
class a multitude known to God only. It was mostly the young and strong
who were cut off, the aged and weakly being commonly spared. No one dared
come near the sick, and the bodies of the dead were shunned. Both Le Baker
and Knighton speak of whole villages and hamlets left desolate, and of
numbers of houses, both great and small, left empty and falling to ruin.
It was not merely one in a house that died, says friar Clyn of Kilkenny,
but commonly husband, wife, children and domestics all went the same way
of death; the friar himself wrote as one _inter mortuos mortem expectans_.
Without naming the locality, Avesbury says that in a single day, twenty,
forty, sixty or more corpses were buried in the same trench[228]. The
stereotyped phrase in the monastic chronicles is that not more than a
tenth part of the people were left alive. However, the author of the
_Eulogium_, a monk of Malmesbury who brought his history down to 1366,
gives a numerical estimate at the other extreme. He says that the plague
entered England at Melcumbe, destroyed innumerable people in Dorset, Devon
and Somerset, and, having left few alive in Bristol, proceeded northwards,
leaving no city, nor town, nor hamlet, nor scarcely a house, in which it
did not cut off the greater part of the people, or the whole of them; but
he adds, somewhat inconsequently, “so that a fifth part of the men, women
and children in all England were consigned to the grave[229].” These are
the vague contemporary estimates of the mortality--ranging from
nine-tenths to one-fifth of the whole population. It is possible, however,
to come much nearer to precision by the systematic use of documents; and
in that exercise we shall now proceed, in an order from the more general
to the more particular.


Estimates of the Mortality.

There are two State documents the language of which favours the more
moderate kind of estimate. In a letter of the king[230], dated 1 December,
1349, or after the epidemic was over, to the mayor and bailiffs of
Sandwich, ordering them to watch all who took ship for foreign parts so as
to arrest the exit of men and money, the preamble or motive is: “Quia non
modica pars populi regni nostri Angliae praesenti Pestilentia est
defuncta.” (Forasmuch as no mean part of the people of our kingdom of
England is dead of the present pestilence.) The Statute of Labourers, 18
November, 1350, begins: “Quia magna pars populi, et maximé operariorum et
servientium jam in ultima pestilentia est defuncta.” (Forasmuch as a great
part of the people, principally of artisans and labourers, is dead in the
late pestilence.) The statute would have emphasized the loss of artizans
and labourers as these were its special subjects, but the _maximé
operariorum et servientium_ may be fairly taken in a literal sense to mean
that the adult and able-bodied of the working class suffered most. One of
the contemporary chronicles says that the women and children were sent to
take the places of the men in field labour[231]. It is also significant
that the “second plague” of 1361 is named by two independent chroniclers
the _pestis puerorum_, or plague of the juveniles, as if it were now their
turn. The _pestis secunda_ was also notable, both in England and on the
Continent, for the numbers of the nobility which it carried off, and in
that respect it was contrasted with the Black Death.

Next we come to certain numerical statements as to the mortality of 1349,
which have an air of precision. They relate to Leicester, Oxford, Bodmin,
Norwich, Yarmouth and London. In Leicester, according to Knighton, who was
a canon there at the time or shortly after, the burials from the Black
Death were more than 700 in St Margaret’s churchyard, more than 400 in
Holy Cross parish (afterwards St Martin’s), more than 380 in St Leonard’s
parish, which was a small one, and in the same proportion in the other
parishes, which were three or four in number, and none of them so large as
the two first named. Knighton’s round numbers for three parishes are not
improbable, considering that Leicester was a comparatively populous town
at the time of the poll-tax of 1377: the numbers who paid the tax were
2101, which would give, by the usual way of reckoning, a population of
3939. The population of the same three parishes in 1558, or shortly after
the period when English towns were described in the statute of 32 Henry
VIII. as being much decayed, would have been about 820 in St Margaret’s,
800 in St Martin’s (Holy Cross), and 160 in St Leonard’s[232]. In 1712,
when the hosiery industry had been flourishing for thirty years, the
population of St Margaret’s was about 1900 and of St Martin’s about 1750,
the estimated population of the whole town having been 6450, or about
one-half more than we may assume it to have been in 1349.

In order to realise what the pestilence of 1349 meant to these parishes of
Leicester, let us take the actual burials from the parish register of one
of them, St Martin’s, in the comparatively mild plague years of 1610 and
1611, a period when the population, as calculated from the annual averages
of births and deaths, would have been from 3000 to 3500, probably less,
therefore, by some hundreds than it was in the years before the Black
Death. In 1610 there were 82 burials in St Martin’s parish, or about twice
the average of non-plague years; in 1611 there were 128 burials, or three
to four times the annual average[233]. Knighton’s 400 deaths for the same
parish in 1349 would mean that the ordinary burials were multiplied about
ten times; while his figures for two other parishes would mean a still
greater ratio of increase[234].

For Oxford the estimate is not less precise or more moderate. “’Tis
reported,” says Anthony Wood, under the year 1349, “that no less than
sixteen bodies in one day were carried to one churchyard[235].”

The information for Bodmin, in Cornwall, comes from William of
Worcester[236] who read it, about a century after the event, in the
register of the Franciscan church in that town. The entry in the register
was doubtless made at the time, and as made by Franciscans familiar with
burials it deserves some credit for approximate accuracy. The deaths are
put down in round numbers at fifteen hundred, which may seem large for
Bodmin at that date. But the truth is that the Cornish borough was a
place of relatively greater importance then than afterwards. In the king’s
writ of 1351, for men-at-arms, in which each town was rated on the old
basis before the Black Death, Bodmin comes fourteenth in order, being
rated at eight men, while such towns as Gloucester, Hereford and
Shrewsbury are rated at ten each. It may well have had a population of
three or four thousand, of which the numbers said to have died in the
great mortality would be less than one-half.

Perhaps the most satisfactory reckoning of the dead from contemporary
statements is that which can be made for London. The disease, as we know,
reached the capital at Michaelmas or All Souls (1st November), and its
prevalence led to a prorogation of Parliament on the 1st of January, and
again on the 10th of March, the reason assigned for the farther
prorogation being that the pestilence was raging _gravius solito_--more
severely than usual. The winter mortality must have been considerable,
although doubtless the season of the year kept it in check, as in all
subsequent experience. But there is evidence that three more
burying-places became necessary early in the year 1349. One of these, of
no great extent, was on the east side of the City, in the part that is now
the Minories[237]; and two were on the north side, not far apart. Of the
latter, one formerly called Nomansland, in West Smithfield, was also of
small extent[238]; but the other was a field of thirteen acres and a rood,
which became in the course of years the property of the Carthusians and
the site of the Charterhouse (partly covered now by Merchant Taylors
School). The larger burial-ground, called Manny’s cemetery after its donor
sir Walter Manny, the king’s minister and high admiral, was consecrated by
the bishop of London and opened for use at Candlemas, 1349. Now comes in
the testimony of Avesbury, the only chronicler of good authority for
London in those years. The mortality increased so much, he says (_in
tantum excrevit_), that there were buried in Manny’s cemetery from the
feast of the Purification (when it was opened) until Easter more than 200
in a single day (_quasi diebus singulis_), besides the burials in other
cemeteries[239]. The language of the chronicler implies that the burials
in the new cemetery rose to a maximum of 200 in a day. The Black Death
must have been like the great London plagues of later times in this
respect, at least, that it rose to a height, remained at its highest level
for some two, three or four weeks, and gradually declined. A maximum of
200 in a day, in the cemetery which would have at that stage received
nearly all the dead, would mean a plague-mortality from first to last, or
an epidemic curve, not unlike that of the London plague of 1563, for which
we have the exact weekly totals[240]: the five successive weeks at the
height of that plague (Sept. 3 to Oct. 8) produced mortalities of 1454,
1626, 1372, 1828 and 1262; and the epidemic throughout its whole curve of
intensity from June to December caused a mortality of 17,404. If
Avesbury’s figures had been at all near the mark, the Black Death in
London would have been a twenty-thousand plague, or to make a most liberal
allowance for burials in other cemeteries than Manny’s when the epidemic
was at its worst, it might have been a thirty-thousand plague. Even at the
smaller of those estimates it would have been a much more severe
visitation upon the London of Edward III. than the plague with 17,404
deaths was upon the London of the 5th of Elizabeth.

The mortality of London in the Black Death has been usually estimated at a
far higher figure than 20,000 or 30,000. There was a brass fixed to a
stone monument in the Charterhouse churchyard (Manny’s cemetery), bearing
an inscription which was read there both by Stow and Camden. Stow gives
the Latin words, of which the following is a translation: “Anno Domini
1349, while the great pestilence was reigning, this cemetery was
consecrated, wherein, and within the walls of the present monastery, were
buried more than fifty thousand bodies of the dead, besides many more from
that time to the present, on whose souls may God have mercy. Amen.” Camden
says the number on the brass was forty thousand, but his memory had
probably misled him[241]. This has been accepted as if trustworthy,
apparently because it was inscribed upon a monument in the cemetery; and
it has been argued that if one cemetery received 50,000 corpses in the
plague, the other cemeteries and parish churchyards of London would have
together received as many more, so that the whole mortality of London
would have been 100,000[242].

But that mode of reckoning disregards alike the scrutiny of documents and
the probabilities of the case. The inscription bears upon it that it was
written subsequent to the erection of the Carthusian monastery, which was
not begun until 1371[243]. The round estimate of 50,000 is at least
twenty-two years later than the mortality to which it relates, and may
easily have been magnified by rumour in the course of transmission. Even
if it had contemporary value we should have to take it as the roughest of
guesses. The latter objection applies in a measure to Avesbury’s estimate
of 200 burials in a day at the height of the epidemic; but clearly it is
easier to count correctly up to 200 in a day than to 50,000 in the space
of three or four months. On the ground of probability, also, the number of
50,000 in one cemetery (or 100,000 for all London) is wholly incredible.
The evidence to be given in the sequel shows that the mortality was about
one-half the population. Assuming one-half as the death-rate, that would
have brought the whole population of London in the 23rd of Edward III. up
to about 200,000--a number hardly exceeded at the accession of James I.,
after a great expansion which had proceeded visibly in the Elizabethan
period under the eyes of citizens like John Stow, had crowded the
half-occupied space between the City gates and the bars of the Liberties,
and had overflowed into the out-parishes to such an extent that
proclamations from the year 1580 onwards were thought necessary for its
restraint[244].

Hardly any details of the Black Death in London are known, but the few
personal facts that we have are significant. Thus, in the charter of
incorporation of the Company of Cutlers, granted in 1344, eight persons
are named as wardens, and these are stated in a note to have been all dead
five years after, that is to say, in the year of the Black Death, 1349,
although their deaths are not set down to the plague[245]. Again, in the
articles of the Hatters’ Company, which were drawn up only a year before
the plague began (Dec. 13, 1347), six persons are named as wardens, and
these according to a note of the time were all dead before the 7th of
July, 1350[246], the cause of mortality being again unmentioned probably
because it was familiar knowledge to those then living. It is known also
that four wardens of the Goldsmiths’ Company died in the year of the Black
Death. These instances show that the plague, on its first arrival, carried
off many more of the richer class of citizens than it did in the
disastrous epidemics of the sixteenth and seventeenth centuries. The same
is shown by the number of wills, already given. Perhaps the greatest of
the victims of plague in London was Bradwardine, “doctor profundus,” the
newly-appointed archbishop of Canterbury, who died at Lambeth, with the
fatal botch in the armpits, on 26 Aug. 1349, just a week after landing at
Dover from Avignon.

The often-quoted figures for Norwich, 57,374 deaths in the city from the
pestilence of 1349, are wholly incredible. They are derived from an entry
in the borough records in the Gildhall[247]: “In yis yere was swiche a
Dethe in Norwic that there died of ye Pestilence LVII Mil III C LXXIIII
besyd Relygius and Beggars.” We should probably come much nearer the truth
by reading “XVII Mil.” for “LVII Mil.” It does not appear at what time the
entry was made, nor by what computation the numbers were got. Norwich was
certainly smaller than London; in the king’s writ of 1351 for men-at-arms,
London’s quota is 100, and that of Norwich 60; the next in order being
Bristol’s, 20, and Lynn’s, 20. These were probably the old proportions,
fixed before the Black Death, and re-issued in 1351 without regard to what
had happened meanwhile, and they correspond on the whole to the number of
parishes in each city (about 120 in London and 60 in Norwich[248]).
Norwich may have had from 25,000 to 30,000 people before the pestilence,
but almost certainly not more. The city must have suffered terribly in
1349, for we find, by the returns in the Subsidy Roll showing the amount
raised by the poll-tax of 1377 and the numbers in each county and town on
whom it was levied, that only 3952 paid the tax in Norwich, whereas 23,314
paid it in London[249]. That is a very different proportion from the 60 to
100, as in the writ for men-at-arms; and the difference is the index of
the decline of Norwich down to the year 1377. In that year, the
population, by the usual reckoning from the poll-tax, would have been
about 7410; and it is conceivable that at least twice that number had died
of the plague within the city during the spring and summer of 1349.

The figures given of the mortality at Yarmouth, 7052, are those inscribed
upon a document or a brass that once stood in the parish church; it was
seen there in the fifteenth century by William of Worcester, a squire of
the Fastolf family connected with Yarmouth, who gives the numbers as 7000,
giving also the exact dimensions of the great church itself[250]. They are
adduced by the burgesses of Yarmouth in a petition of 17 Henry VII.
(1502), as follows: “Buried in the parish church and churchyard of the
said town 7052 men.” Yarmouth, like Norwich, suffered unusually from the
Black Death; in 1377, by the poll-tax reckoning, its population was about
3639. It may be assumed to have lost more than half its people; but it
recovered quickly, was made a seat of the wool-staple, and threatened to
rival Norwich.

Clyn’s statement that 14,000 died in Dublin from the beginning of August
until Christmas may also be taken merely as illustrating the inability of
early writers to count correctly up to large numbers.

The most trustworthy figures of mortality in the Black Death which were
recorded at the time are those given for the inmates of particular
monasteries; and these are such as to give colour to the remark
interpolated in Higden’s _Polychronicon_ that “in some houses of religion,
of twenty there were left but twain.”

At St Albans, the abbot Michael died of the common plague at Easter, 1349,
one of the first victims in the monastery. The mortality in the house
increased daily, until forty-seven monks, “eminent for religion,” and
including the prior and sub-prior, were dead, besides those who died in
large numbers in the various cells or dependencies of the great religious
house[251]. At the Yorkshire abbey of Meaux, in Holdernesse, the
visitation was in August, although the epidemic in the city of York was
already over by the end of July[252]. The abbot Hugh died at Meaux on the
12th of August, and five other monks were lying unburied the same day.
Before the end of August twenty-two monks and six lay-brethren had died,
and when the epidemic was over there were only ten monks and lay-brethren
left alive out of a total of forty-three monks (including the abbot) and
seven lay-brethren. The chronicler adds that the greater part of the
tenants on the abbey lands died also[253]. In the Lincolnshire monastery
of Croxton, all the monks died save the abbot and prior[254]. In the
hospital of Sandon, Surrey, the master and brethren all died[255].

At Ely 28 monks survived out of 43[256]. In the Irish monasteries the
mortality had been equally severe: in the Franciscan convent at Drogheda,
25 friars died; in the corresponding fraternity at Dublin, 23; and in that
of Kilkenny 8 down to the 6th of March[257], with probably others (Clyn
himself) afterwards.

The following mortalities have been collected for East Anglian religious
houses: At Hickling, a religious house in Norfolk, with a prior and nine
or ten canons (‘Monasticon’), only one canon survived. At Heveringham in
the same county the prior and canons died to a man. At the College of St
Mary in the Fields, near Norwich, five of the seven prebendaries died. Of
seven nunneries in Norfolk and Suffolk, five lost their prioress as well
as an unknown number of nuns[258]. At the nunnery of Great Winthorp on the
Hill, near Stamford, all the nuns save one either died of the plague or
fled from it, so that the house fell to ruin and the lands were annexed by
a convent near it[259].

The experience of Canterbury appears to have been altogether different,
and was perhaps exceptional. In a community of some eighty monks only four
died of the plague in 1349[260]. It is known, however, that when the new
abbot of St Albans halted at Canterbury on his way to Avignon after his
election at Easter, one of the two monks who accompanied him was there
seized with plague and died[261].

These monastic experiences in England were the same as in other parts of
Europe. At Avignon, in 1348, sixty-six Carmelite monks were found lying
dead in one monastery, no one outside the walls having heard that the
plague was amongst them. In the English College at Avignon the whole of
the monks are said to have died[262].

What remains to be said of the death-rate in the great mortality of 1349
is constructive or inferential, and that part of the evidence, not the
least valuable of the whole, has been worked out only within a recent
period. The enormous thinning of the ranks of the clergy was recorded at
the time, in general terms, by Knighton, and the difficulty of supplying
the parishes with educated priests is brought to light by various things,
including the founding of colleges for their education at Cambridge
(Corpus Christi) and at Oxford (Durham College). The first to examine
closely the number of vacancies in cures after the great mortality was
Blomefield in the third volume of the _History of Norfolk_ published in
1741. The Institution Book of the diocese of Norwich, he says (with a
reference to No. IV. of the _Lib. Instit._), shows 863 institutions to
benefices in 1349, “the clergy dying so fast that they were obliged to
admit numbers of youths, that had only devoted themselves for clerks by
being shaven, to be rectors of parishes[263].” A more precise use of
Institution Books, but more to show how zealous the clergy had been in
exposing themselves to infection than to ascertain the death-rate, was
made (1825) for the archdeaconry of Salop. It was found that twenty-nine
new presentations, after death-vacancies, had been made in the single year
of 1349, the average number of death vacancies at the time having been
three in two years[264]. The first systematic attempt to deduce the
mortality of 1349 from the number of benefices vacant through death was
made in 1865 by Mr Seebohm, by original researches for the diocese of York
and by using Blomefield’s collections for the diocese of Norwich[265]. In
the archdeaconry of the West Riding there were 96 death vacancies in 1349,
leaving only 45 parishes in which the incumbent had survived. In the East
Riding 60 incumbents died out of 95 parishes. In the archdeaconry of
Nottingham there were deaths of priests in 65 parishes, and 61 survivals.
In the diocese of Norwich there were 527 vacancies by death or transfer,
while in 272 benefices there was no change. Thus the statement made to the
pope by the bishop of Norwich, that two-thirds of the clergy had died in
the great mortality is almost exact for his own diocese as well as for the
diocese of York. These figures of mortality among the Norfolk clergy were
confirmed, with fuller details, by a later writer[266]: the 527 new
institutions in the diocese of Norwich fall between the months of March
and October--23 before the end of April; 74 in May; 39 from 30th May to
10th June; 100 from 10th June to 4th July; 209 in July; and 82 more to
October. According to another enumeration of the same author for East
Anglia, upwards of 800 parishes lost their parsons from March 1349 to
March 1350, 83 parishes having been twice vacant, and 10 three times.

There is no mistaking the significance of these facts as regards the
clergy: some two-thirds of a class composed of adult males in moderate
circumstances, and living mostly in country villages, were cut off by the
plague in Norfolk and Suffolk, in Yorkshire and Shropshire, and probably
all over England. That alone would suffice to show that the virus of the
Black Death permeated the soil everywhere, country and town alike. It is
this universality of incidence that chiefly distinguishes the Black Death
from the later outbreaks of plague, which were more often in towns than in
villages or scattered houses, and were seldom in many places in the same
year. But there remains to be mentioned, lastly, evidence inferential from
another source, which shows that the incidence in the country districts
was upon the people at large. That evidence is derived from the rolls of
the manor courts.

It was remarked in one of the earliest works (1852) upon the history of an
English manor and of its courts, that “the real life or history of a
nation is to be gathered from the humble and seemingly trivial records of
these petty local courts[267],” and so the researches of the generation
following have abundantly proved. Much of this curious learning lies
outside the present subject and is unfamiliar to the writer, but some of
it intimately concerns us, and a few general remarks appear to be called
for.

The manor was the unit of local government as the Normans found it. The
lord of the manor and the cultivators of the soil had respectively their
rights and duties, with a court to exact them. There are no written
records of manor courts extant from a period before the reign of Edward
I., when justice began to be administered according to regular forms. But
in the year 1279 we find written rolls of a manor court[268]. From the
reign of Edward III. these rolls begin to be fairly numerous; for example,
there is extant a complete series of them for the manor of Chedzey in
Somerset from 1329-30 to 1413-14. The court met twice, thrice, or four
times in the year, and the business transacted at each sitting was
engrossed by the clerk upon a long roll of parchment. The business related
to fines and heriots payable to the lord by the various orders of tenants
on various occasions, including changes in tenancy, successions by
heirship, death-duties, the marriages of daughters, the births of
illegitimate children, the commission of nuisances, poaching, and all
matters of petty local government. The first court of the year has usually
the longest roll, the parchment being written on one side, perhaps to the
length of twenty or twenty-four inches; the margin bears the amount of
fines opposite each entry; there are occasionally jury lists where causes
had to be tried. Of the community whose business was thus managed a notion
may be formed from the instance of the Castle Combe manor[269]: in 1340 it
had two open fields, each of about 500 acres, on its hill-slopes,
cultivated by 10 freemen tenants, 15 villeins, 11 other bondsmen
cultivating a half-acre each; 8 tenants of cottages with crofts, 12
tenants of cottages without crofts, as well as 3 tenants of cottages in
Malmesbury.

It will be readily understood that an unusual event such as the great
mortality of 1348-49 would leave its mark upon the rolls of the manor
courts; the death-vacancies, with their fines and heriots, and all entries
relating to changes in tenancy, would be unusually numerous. Accordingly
we find in the rolls for that year that there was much to record; at the
first glance the parchments are seen to be written within and without,
like the roll in the prophet’s vision; and that is perhaps all that the
inspection will show unless the student be expert in one of the most
difficult of all kinds of ancient handwriting,--most difficult because
most full of contractions and conventional forms. But by a few those
palaeographic difficulties have been surmounted (doubtless at some cost of
expert labour), and the results as regards the great mortality of 1349
have been disclosed.

The manor of Winslow, in Buckinghamshire, belonging to the great abbey of
St Albans, was a large and typical one[270]. Besides the principal village
it had six hamlets. At the manor courts held in 1348-9 no fewer than 153
holdings are entered as changing hands from the deaths of previous
holders, the tenancies being either re-granted to the single heir of the
deceased or to reversioners, or, in default of such, retained by the lord.
Of the 153 deceased tenants, 28 were holders of virgates and 14 of
half-virgates; or, in other words, there died 42 small farmers,
cultivating from forty to fifteen acres each, in half-acre strips
scattered all over the common fields of the manor. These 42 held twice as
much land as all the remaining 111 together; the latter more numerous
class were the crofters, who cultivated one or more half-acre strips: they
would include the various small traders, artisans and labourers of the
village and its hamlets; while the former class represented “the highest
grades of tenants in villenage.”

Of both classes together 153 had died in the great mortality. What
proportion that number bore to the whole body of tenants on the manor may
be inferred from the following: out of 43 jurymen belonging almost
exclusively to the class of larger holders, who had served upon the petty
jury in 1346, 1347 and 1348, as many as 27 had died in 1349; so that we
may reckon three out of every five adult males to have died in the Winslow
district, although it would be erroneous to conclude that the same
proportion of adult women had died, or of aged persons, or of infants and
young children.

Another more varied body of evidence has been obtained from researches in
the rolls of manor courts in East Anglia[271].

In the parish of Hunstanton, in the extreme north of Norfolk, with an area
of about 2000 to 2500 acres, 63 men and 15 women had been carried off in
two months: in 31 of these instances there were only women and children to
succeed, and in 9 of the cases there were no heirs at all; the whole
number of tenants of the manor dead in eight months was 172, of whom 74
left no heirs male, and 19 others had no blood relations left to claim the
inheritance. The following is the record of the manor court of Cornard
Parva, a small parish in Suffolk: on 31st March, 1349, 6 women and 3 men
reported dead; on 1st May, 13 men and 2 women, of whom 7 had no heirs; at
the next meeting on 3 November, 36 more deaths of tenants, of whom 13 left
no heirs. At Hadeston, a hamlet of Bunwell, twelve miles from Norwich,
which could not possibly have had 400 inhabitants, 54 men and 14 women
were carried off in six months, 24 of them without anyone to inherit. At
the manor court of Croxton, near Thetford, on 24th July, 17 deaths are
reported since last court, 8 of these without heirs. At the Raynham court,
on the same day, 18 tenements had fallen into the lord’s hands, 8 of them
absolutely escheated, and the rest retained until the heir should appear.
At other courts, the suits set down for hearing could not be proceeded
with owing to the deaths of witnesses (e.g. 11 deaths among 16 witnesses)
or of principals. The manor court rolls of Lessingham have an entry, 15th
January, 1350, that only thirty shillings of tallage was demanded,
“because the greater part of those tenants who were wont to render tallage
had died in the previous year by reason of the deadly pestilence[272].”

Further research upon the records of the manor courts will doubtless show
that the experience of Buckinghamshire, Norfolk, Suffolk and Lancashire
was not singular. From the Castle Combe rolls nothing has been extracted
as to the mortality in 1348-9, except one entry (Nov. 13, 1357) that a
certain tenement was ruinous, having remained in the lord’s hands since
the time of the pestilence for want of a purchaser; but it would be unsafe
to conclude that this sequestered manor of Wiltshire had not shared the
common fate. The accounts of certain manors in Hertfordshire were headed,
for thirty years after the Black Death, with a list of those who had
vacated tenancies by death in that pestilence[273]. A decayed inscription
cut in the stone of the parish church of Ashwell, in the same county,
records the great mortality of 1349 and the great tempest in January,
1362[274]. The tenants of the abbey of Meaux, in the Holdernesse division
of Yorkshire, were nearly all dead, as well as the monks within the
monastery walls. On the manor of Ensham, near Oxford, “there remained
hardly two tenants[275].”

The immediate effects of the great mortality were not so striking as might
have been supposed. Although it fell upon town and country in one terrific
blow, yet some places had recovered from it before others felt it; it was
over in Bristol (so far as we know) before it came to a height in London,
and nearly over in London before it began in York. The dead were
expeditiously buried in trenches; vacancies among the clergy were promptly
filled; the manor courts met and transacted business, and had their
records engrossed for the most part in the usual clerkly style. So great a
dislocation of society naturally gave rise to some irregularities:
stripping the dead is reported from one district in Norfolk, fights and
quarrels came into court more often than ever in 1349 and 1350, and we
read of two women who each had three husbands in as many months[276].
Knighton says that sheep and cattle were left to wander about untended,
and that they often perished in ditches by the wayside. A murrain occurred
the same year; at one place five thousand sheep died in the pasture and
were left to putrefy[277]. The price of a horse fell from forty shillings
to half a marc; a fat ox could be bought for four shillings, a cow for
twelve pence, a heifer for sixpence, a fat sheep for four pence, a stone
of wool for nine pence[278]. On the other hand, when the harvest of 1349
had to be gathered, the price of labour rose enormously. According to
Knighton, a reaper got eightpence a day, with his food, and a mower
twelvepence. The extant accounts tabulated by Thorold Rogers confirm the
contemporary statement: the rates for threshing the harvest of 1349 were
those of panic and compulsion, being unparalleled, whether before or
after, in the Eastern, Midland and Southern counties; the immediate effect
of the scarcity of hands was to nearly double the wages of labour for the
time being. Many villeins or bondsmen took the opportunity of escaping to
the towns or to distant manors, where they could make their own terms. Of
the last kind of incident, probably a very common one, we have an instance
recorded[279]: At an inquest, some years after the Black Death, upon
sundry manors near Oxford belonging to Christ Church, it was ascertained
that, “in the time of the mortality or pestilence, which was in the year
1349, there remained hardly two tenants in the said manor [Ensham], and
these had wished to leave, had not brother Nicholas de Upton, then abbot
of the said manor, compounded anew with them, as well as with other
tenants who came in.”

So far as regards the immediate effects of the great mortality. Its
after-effects, felt within a year or two, upon the economics and morals of
the country, upon the power of the old governing class, upon the
dispersion of industries and the new life of towns, upon the system of
farming, upon the development of the legal profession in London, and upon
various other things, are a much more intricate and disputable subject,
some part of which will be dealt with in the next chapter in connexion
with the subsequent history of plague or its domestication upon the soil
of England. Many things in England were noted as having happened “sithen
the Pestilence,” to quote the stock phrase of the ‘Vision of Piers the
Ploughman,’ and not the least of them was the frequent recurrence of
plague, or a prevalence of sickness so steady that the poet compares it to
the rain coming in through a leaky roof.

Some historians have doubted whether after all the Black Death made so
very much difference to the course of affairs[280]. It is perhaps
inevitable that scholars, accustomed to deal only with obvious human
causation, should look with some distrust upon the large claims made, in
the way of moral and social consequences, for a phenomenon which has been
apt to be classed with comets and earthquakes. The sudden thinning of the
population may indeed become a subject for economists without any regard
to the causation, and irrespectively of the means by which the numbers
were reduced; and that has been the only historic interest of the great
mortality hitherto. But the operation of pestilence is peculiar; the
thinning of the population is not effected as if in the due course of
nature; the analogy is closer with a decimating or exterminating war. The
invasion of the Black Death was part of the great human drama, just as if
a swarming people or a barbarous conqueror had been visibly present in it.
If things were moving in the fourteenth century towards a particular
issue, as historians find in their retrospect that they were, then the
coming of a great plague was part of that movement, organically bound up
with the other forces of it, and no more arbitrary than they. Thus it
becomes of interest to trace the antecedents of the Black Death before we
attempt to follow out its consequences; and it is not the less of interest
to do so, that the train of events leads us as far eastwards as the soil
of China, and to the incidents that attended the collapse of the greatest
government of the Middle Ages, the empire of the Great Khan.


The Antecedents of the Black Death.

When the Black Death in its progress westwards came to Constantinople in
1347, the emperor-historian, John Cantacuzenes, was present in his capital
to witness the arrival of the pestilence; in his history he wrote that it
came among them from the country of the hyperborean Scythians, that is to
say, the Tartars of the Crimea. The other contemporary Byzantine
historian, Nicephorus Gregoras, says that the pestilence began among the
Scythians in the Crimea and at the mouths of the Don. The Russian annals,
which are an independent source, and likely enough to have a correct
tradition, also say that the plague was God’s punishment on the people of
the Don territory and of several other localities with obsolete names,
including the famous city of Sarai on the Volga[281]. The Chersonese, and
the country from the Don to the Volga, or from the Euxine to the Caspian,
are the regions thus clearly indicated as the scene of the first outburst
of the Black Death; but there was no clue to its unaccountable appearance
there, or to the connexion between its outburst on the confines of Europe
and the distant home in the East which the rumour of the day vaguely
assigned to it. The more definite association of the Black Death with
China dates from 1757, when the abbé Des Guignes, in his _Histoire des
Huns_[282], took up the old tradition of the Arab historian, Aboel
Mahasin, that the plague began in Tartary, that the smell of corpses
spread on every side, that the infection passed from Cathay or Tartary to
the Tartars of the Kaptchac (Crimea), and from them to Constantinople and
Europe on the one hand, and to Asia Minor, Syria, Egypt and North Africa
on the other. He pointed out also that the overland caravan trade was a
ready means of transport for the infection. That which specially attracted
his attention as the historian of the Mongol power was the other statement
of the Arab historian in the same context, that China had been visited by
floods so disastrous that men, beasts, and even birds perished, and that
the country was almost depopulated. Upon that hint Des Guignes collected
from the Chinese annals of the first half of the fourteenth century a
considerable list[283] of calamities, which had actually happened--floods
causing the loss of millions of lives, earthquakes, and the like,
appending the catalogue without comment as a note to the text where he has
occasion to mention the Black Death. Des Guignes’ note was reproduced
verbatim by Hecker in his essay on the Black Death in 1832, and the
unwonted series of phenomena in China was made the basis of certain
mystical speculations as to the effect of earthquakes in causing a
“progressive infection of the zones,” a perturbation of “the earth’s
organism,” a “baneful commotion of the atmosphere,” or the like. In that
nebulous and unsatisfactory state the old tradition of the Black Death
originating in China has remained to the present hour; the intuition of
the Peking Jesuit had merely been appropriated and set forth in his own
way by the German “Naturphilosoph[284].”

Meanwhile, in 1842 a clue to Des Guignes’ conjecture of a connexion
between the importation of the Black Death and the China land-route was
found (but not followed up) in the discovery by Henschel of a Latin
manuscript in the Rhediger Library at Breslau[285]. This was a narrative
compiled by one Gabriel de Mussis, a jurist of Piacenza, who had been
practising as a notary or advocate among the Genoese and Venetians trading
around the shores of the Euxine and Caspian, and had been an eyewitness of
the outbreak of the plague in that region. De Mussis has no theory of the
origin of the plague; he merely narrates the events as they unfolded
themselves before his own eyes; so much was he in the midst of them that
he was a passenger on board the very ship which brought the first seeds of
the Black Death direct from the Crimea to Genoa as early as the spring of
1347.

    The substance of this story is that the Italian merchants, who were
    then settled in considerable numbers at the various termini or
    entrepôts of the overland trade from China and Central Asia by the
    more northern route, were harassed by the Tartar hordes; that they had
    stood a siege in Tana, on the Don, but had been driven out of it, and
    had sought refuge for themselves and their merchandise within the
    walls of Caffa, a small fortified post on the Crimean Straits (of
    Kertch), built by Genoese not long before; that Caffa was besieged in
    due course by the Tartar barbarians; that the investment lasted nearly
    three years; that the merchants and others, crowded into the narrow
    space within the walls, were put to great straits and could hardly
    breathe, being only partially relieved by the arrival of a ship with
    supplies; that the plague broke out among the besieging Tartar host
    and daily destroyed thousands; that the Tartars threw the pestilent
    dead bodies inside the walls by their engines of siege, so that the
    infection took hold of those within the fort; that the Tartars
    dispersed in panic and spread the infection all over the shores of the
    Euxine, Caspian and Levant; that such of the Italian traders as were
    able, De Mussis himself with them, escaped from Caffa in a ship; and
    that the infection appeared in Genoa in its most deadly form a day or
    two after the arrival of the ship, although none of those on board
    were suffering from the plague.

These are all the circumstances related by De Mussis of the beginning of
the outbreak as known to himself at first hand: the rest of his narrative
is occupied with various incidents of the plague in Europe, with pious
reflections, and accounts of portents. His single reference to China is as
follows: “In the Orient, about Cathay, where is the head of the world and
the beginning of the earth, horrible and fearful signs appeared; for
serpents and frogs, descending in dense rains, entered the dwellings and
consumed countless numbers, wounding them by their venom and corroding
them with their teeth. In the meridian parts, about the Indies, regions
were overturned by earthquakes, and cities wasted in ruin, tongues of
flame being shot forth. Fiery vapours burnt up many, and in places there
were copious rains of blood and murderous showers of stones.” De Mussis
has certainly no scientific intention; nor can it be said that any
scientific use has been made of his manuscript since its discovery. For
Häser, its editor, merely reproduces in his history the passage from
Hecker on the three overland routes between Europe and the East, without
remarking on the fact that De Mussis definitely places the outbreak of the
plague at the European terminus of one of them: its remote origin is
involved in “impenetrable obscurity;” all we can say is that it came from
the East, “the cradle of the human race[286].”

But the entirely credible narrative by De Mussis of the outbreak of plague
at the siege of Caffa is just the clue that was wanting to unravel the
meaning of the widespread rumour of the time, that the plague came from
China. Let us first examine somewhat closely the source of that rumour. It
finds its most definite expression in an Arabic account of the Black Death
at Granada, by the famous Moorish statesman of that city,
Ibn-ul-Khatib[287]. Besides giving the local circumstances for Granada, he
makes various remarks on the nature of the plague, and on its mode of
spreading, which are not exceeded in shrewdness and insight by the more
scientific doctrines of later times. Its origin in China he repeats on the
authority of several trustworthy and far-travelled men, more particularly
of his celebrated countryman Ibn-Batuta, or “the Traveller,” whose story
was that the plague arose in China from the corruption of many corpses
after a war, a famine, and a conflagration.

The mention of Ibn-Batuta, as the authority more particularly, has a
special interest. That traveller was actually in China from 1342 to 1346.
In his book of travels[288] he tells us how on his way back (he took the
East-Indian sea-route to the Persian Gulf) he came at length to Damascus,
Aleppo and Cairo in the summer of 1348, and was a witness of the Black
Death at each of those places, and of the mixed religious processions at
Damascus of Jews with their Hebrew Scriptures and Christians with their
Gospels. But he says not one word anywhere as to the origin of the plague
in China, whence he was journeying homewards. He continued his journey to
Tangier, his birthplace, and crossed thence to Spain about the beginning
of 1350. At Granada he spent some days among his countrymen, of whom he
mentions in his journal four by name; but the most famous of them,
Ibn-ul-Khatib, he does not mention. However, here was Ibn-Batuta at
Granada, a year or two after the Black Death, discoursing on all manner of
topics with the most eminent Moors of the place; and here is one of them,
Ibn-ul-Khatib, in an account of the Black Death at Granada, quoting the
report of Ibn-Batuta that the pestilence arose in China from the
corruption of unburied corpses. None of the other statements of an Eastern
origin can compare with this in precision or in credibility; they all
indeed confuse the backward extension of the plague from the Euxine
eastwards to Khiva, Bokhara and the like, with its original progress
towards Europe from a source still farther east. The authority of
Ibn-Batuta himself is not, of course, that of historian or observer;
although he was in China during part, at least, of the national calamities
which the Chinese Annals record, he says nothing of them, and probably
witnessed nothing of them. But the traveller was a likely person to have
heard correctly the gossip of the East and to have judged of its
credibility; so that there is a satisfaction in tracing it through him.

The siege of Caffa, and the general circumstances of it, we may take as
historical on the authority of the Italian notary who was there; but it
may be doubted whether the plague began, as he says, among the nomade
hordes outside the fort. In sieges it has been not unusual for both sides
to suffer from infective disease; and although it is not always easy to
say where the disease may have begun, the presumption is that it arose
among those who were most crowded, most pressed by want, and most
desponding in spirit. It is, of course, not altogether inconceivable that
the Tartar besiegers of Caffa had bred a pestilential disease in their
camp; the nomades of the Cyrenaic plateau have bred bubo-plague itself
more than once in recent years in their wretched summer tents, and plague
has appeared from time to time in isolated or remote Bedouin villages on
the basaltic plateaus of Arabia. There is nothing in the nomade manner of
life adverse to pestilential products, least of all in the life of nomades
encamped for a season. But such outbreaks of bubo-plague or of typhus
fever have been local, sporadic, or non-diffusive. On the other hand the
plague which arose at the siege of Caffa was the Black Death, one of the
two greatest pestilences in the history of the world. Let us then see
whether there is any greater likelihood of finding inside the walls of
Caffa the lurking germs of so great a pestilence. Within the walls of the
Genoese trading fort were the Italian merchants driven in from all around
that region, with their merchandise--as De Mussis says, _fugientes pro
suarum tutione personarum et rerum_. Previous to their three years’ siege
in Caffa they, or some of them, had stood a siege in Tana, and had
retreated to the next post on the homeward route. Tana was at the
eastward bend of the Don, whence the road across the steppe is shortest to
the westward bend of the Volga; a little above the bend of the Volga was
the great city of Sarai--whence the caravans started on their overland
journey along northern parallels, across mountain ranges and the desert of
Gobi, to enter China at its north-western angle, just within the end of
the Great Wall[289]. The merchandise of Sarai and Tana was the return
merchandise of China--the bales of silks and fine cloths, spices and
drugs, which had become the articles of a great commerce between China and
Europe since Marco Polo first showed the way, and which continued to reach
Europe by the caravan routes until about 1360: then the route was closed
owing to the final overthrow of the authority of the Great Khan, which had
once secured a peaceful transit from the Yellow Sea to the Black Sea--so
completely closed that men forgot, two hundred years after, that it had
ever existed.

Did these bales of Chinese stuffs, carried into Caffa for protection,
contain the seeds of the Black Death? There is, at least, nothing
improbable in the seeds of plague lurking in bales of goods; that mode of
transmission was afterwards recognized as highly characteristic of the
plague during its Levantine days. Nor is there anything improbable in the
seeds of an infection being carried thousands of miles across the deserts
of Central Asia; cholera came in that way from India in 1827-8 by the
caravan-route to Cabul, Balkh, Bokhara, Khiva and the Kirghiz Steppe to
Orenburg, and again in 1847 to Astrakhan; and the slow land-borne viruses
of those two great epidemics exceeded in virulence the later importations
of cholera by the sea route from the East. Still farther, there is nothing
improbable in the germs of plague lying latent for a long time, or in the
disease existing as a potency although not manifested in a succession of
cases. The next stage of its progress, from Caffa to Genoa, illustrates
that very point; for we know that there were no cases of plague on board
ship, although the very atmosphere or smell of the new arrival seemed
sufficient to taint the whole air of Genoa, and to carry death to every
part of the city within a couple of days. And lastly the long imprisonment
of a virus in bales of goods, the crowding of merchants and merchandise
into the narrow space of a walled seaport, amidst the almost inevitable
squalor and fœtor of a three years’ siege, were the very circumstances
needed to raise the potency of the assumed virus to an unusual height, to
give it a degree of virulence that would make it effective, and a power of
diffusion that would spread and continue the liberated infection after the
manner of the greatest of pestilences.

Thus, if we have to choose between the origin of the plague-virus among
the Tartar hordes besieging the China merchants within the walls of Caffa,
and the pre-existence of that virus, for a long time latent, among the
goods or effects of the besieged, the latter hypothesis must be accorded
the advantage in probability. Accepting it, we follow the virus back to
Tana on the Don, from Tana to Sarai on the Volga, from Sarai by a
well-trodden route which need not be particularized[290], for many weeks’
journey until we come to the soil of China. According to a dominant school
of epidemiologists it is always enough to have traced a virus to a remote
source, to the “roof of the world” or to the back of the east wind, and
there to leave it, in the full assurance that there must have been
circumstances to account for its engendering there, perhaps in an equally
remote past, if only we knew them. If, however, we follow the trail back
definitely to China, it is our duty to connect it there with an actual
history or tradition, immemorial if need be, of Chinese plague. But there
is no such history or tradition to be found. We know something of the
China of Kublai Khan, fifty years before, from the book of Marco Polo; and
the only possible reference to plague there is an ambiguous statement
about “carbuncles” in a remote province, which was probably Yun-nan. Not
only so, but if we scrutinize the Chinese Annals closely, we shall find
that the thirty years preceding the Black Death were indeed marked by many
great calamities and loss of life on a vast scale, by floods, droughts,
earthquakes, famines and famine-fevers, but not by pestilence unconnected
with these; on the other hand, the thirty or forty years after the Black
Death had overrun Europe, beginning with the year 1352, are marked in the
Chinese Annals (as summarized in the _Imperial Encyclopædia_ of Peking,
1726) by a succession of “great plagues” in various provinces of the
Empire, which are not associated with calamitous seasons, but stand alone
as disease-calamities pure and simple[291]. If the Black Death connects at
all with events in China, these events were natural calamities and their
attendant loss of life, and not outbreaks of plague itself; for the
latter, assuming them to have been bubo-plague, were subsequent in China
to the devastation of Europe by the plague.

We are left, then, to make what we can of the antecedent calamities of
China; and we may now revert to the curious rumour of the time that the
relevant thing in China was the corruption of many corpses left unburied
after inundation, war and conflagration. So far as war and conflagration
are concerned they are quite subordinate; there was no war except an
occasional ineffective revolt in some remote western province, and the
conflagrations were minor affairs, noticed, indeed, in the Annals, but
lost among the greater calamities. The floods, droughts and famines were
events of almost annual recurrence for many years before, so that no
period in the Annals of China presents such a continuous picture of
national calamity, full as Chinese history has at all times been of
disasters of the same kind. It was the decadence of the great Mongol
empire, founded by Genghiz and carried by Kublai to that marvellous height
of splendour and prosperity which we read of in the book of Marco Polo.
The warlike virtues of the earlier Mongol rulers had degenerated in their
successors into sensual vices during the times of peace; and the history
of the country, priest-ridden, tax-burdened, and ruled by women and
eunuchs, neglected in its thousand water-ways and in all the safeguards
against floods and famine which wiser rulers had set up, became from year
to year an illustration of the ancient Chinese maxim, that misgovernment
in the palace is visited by the anger of the sky.

    The following epitome of the calamities in China is taken from De
    Mailla’s _Histoire générale de la Chine_. Paris, 1777, 9 vols. 4to., a
    translation of the abridged official annals.

    The year 1308 marks the beginning of the series of bad seasons.
    Droughts in some places, floods in others, locusts and failure of the
    crops, brought famine and pestilence. The people in Kiang-Hoaï were
    reduced to live on wild roots and the bark of trees. In Ho-nan and
    Chan-tong the fathers ate the flesh of the children. The imperial
    granaries were still able to supply grain, but not nearly enough for
    the people’s wants. The provinces of Kiang-si and Che-kiang were
    depopulated by the plague or malignant fever which followed the
    famine. The ministers sent in their resignations, which were not
    accepted.

    In 1313 the same events recur, including the resignations of
    ministers. An epidemic carried off many in the capital, and the whole
    empire was desolated by drought. At a council of ministers to devise
    remedies and avert further calamities it was proposed by some to copy
    the institutions of ancient empires celebrated for their virtue, and
    by others to abolish the Bhuddist priesthood of Foh as the cause of
    all misfortunes. The throne is now occupied by Gin-tsong, an emperor
    of a serious and ascetic disposition. In 1314 he revived the old
    Chinese system of competitive examinations and the distinctive dress
    among the grades of mandarins, which the earlier Mongol rulers had
    been able to dispense with. Next year there is a public distribution
    of grain, and a check to the exactions of tax-gatherers in the
    distressed districts. In 1317, it appears that the provincial
    mandarins, in defiance of express orders, had neglected the laws of
    Kublai with reference to the distribution of grain, although it was
    dangerous to defer such public aid longer; they had failed also to
    relax their rigour in collecting the taxes. One day the emperor found
    at Peking a soldier in rags from a distant garrison, and discovered
    that a system of embezzlement in the army clothing department had been
    going on for five years. Gin-tsong is reported to have said to his
    ministers, “My august predecessors have left wise laws, which I have
    always had at heart to follow closely; but I see with pain that they
    are neglected, and that my people are unhappy.”

    In 1318 we read of a great flood in one province, of multitudes
    drowned, and of a public distribution of grain. In 1320, forty of the
    Censors of the Empire remonstrated against the cruel exactions of
    “public leeches,” and against a practice of calumniating honest men so
    as to get them out of the way. The emperor Gin-tsong died in that
    year, aged thirty-three, and with his death the last serious attempt
    to check the flood of corruption came to an end. In 1321 there is
    drought in Ho-nan, followed by famine. In 1324 we read of droughts,
    locusts, inundations and earthquakes. The emperor demanded advice of
    the nobles, ministers and wise men, and received the following answer:
    “While the palace of the prince is full of eunuchs, astrologers,
    physicians, women, and other idle people, whose maintenance costs the
    State an enormous sum, the people are plunged in extreme misery. The
    empire is a family, and the emperor its father: let him listen to the
    cries of the miserable.” In 1325 famine follows the disasters of the
    year before; and we learn that the people were supplied from the full
    granaries of the rich, who were paid, not out of the State treasury,
    but by places in the mandarinate! In 1326 the tyranny and
    licentiousness of the Bhuddist lamas reaches a climax, and an edict is
    issued against them. The year 1327 is marked by a series of calamities
    and portents--drought, locusts, ruined crops, earthquakes,
    inundations. In 1330, again floods and the harvest destroyed, a cruel
    famine in Hou-Kouang, millions of acres of land ruined, and 400,000
    families reduced to beggary. In 1331 the harvest is worse than in the
    year before--in Che-kiang there were more than 800,000 families who
    did not gather a single grain of corn or rice,--and all the while
    enormous taxes were ground out of universal poverty.

    In 1333 begins the long and calamitous reign of Shun-ti, who came to
    the throne a weak youth of thirteen. Next year the misfortunes of
    China touch their highest point. Inundations ruined the crops in
    Chan-tong; a drought in Che-kiang brought famine and pestilence; in
    the southern provinces generally, famine and floods caused the deaths
    of 2,270,000 families, or of 13,000,000 individuals. In 1336
    inundations in Chan-tong ruined the harvest; in Kiang-nan and
    Che-kiang the first harvest was a failure from drought, multitudes
    perished of hunger, and a plague broke out. The emperor, insensible to
    the misfortunes of his people, abandons himself to his pleasures. Next
    year sees the first of those provincial revolts, led by obscure
    Chinese peasants, which eventually overthrew the dynasty in 1368.
    Floods occurred in more than one river basin, by which multitudes of
    men and beasts were drowned; in the valley of the Kiang (a tributary
    of the Hoang-ho) four millions perished. For several years we read of
    numerous and repeated shocks of earthquakes, in 1341 of a great
    famine, in 1342 of a famine so severe that human flesh was eaten, in
    1343 of seven towns submerged, in 1344 of a great tract of country
    inundated by the sea in consequence of an earthquake, in 1345 of
    earthquakes in Pe-chili, in 1346 of earthquakes for seven days in
    Chan-tong, and of a great famine in Chan-si. In 1347 earthquakes in
    various provinces, and drought in Ho-tong, followed by many deaths.
    The record of disasters in De Mailla’s abridged annals, and in Des
    Guignes, who had clearly access to fuller narrations, comes to an end
    for a time at the year 1347.

It will be observed that in these records there is comparatively little
said of epidemic sickness. The references to pestilence would in no case
suggest more than the typhus fever which has been the usual attendant upon
Chinese famines, and has never shown the independent vitality and
diffusive properties of plague. But the minor place occupied by actual
pestilence in China, in the years before the Black Death in Europe, is
brought out even more clearly on comparing that period with the section of
the Chinese annals for the generation following. In the chronology of
Chinese epidemics drawn up by Gordon (London, 1884) from the Peking
_Encyclopædia_ of 1726, there are, from 1308-1347, just the same entries
of pestilence as are given above from De Mailla’s and Des Guignes’ French
adaptation of the Annals. (Gordon makes the obvious mistake of attributing
to pestilence the enormous loss of life which the Annals clearly assigned
to floods and famines, with their attendant sickness.) But with the year
1352 we enter upon a great pestilential period, as clearly marked in the
history of China by the annual recurrence of vast epidemics as the decades
before it were marked by the unusual frequency of floods, famines and
earthquakes. Every year from 1352 to 1363, except 1355, has an entry of
“great pestilence” or “great plague” (yi-li), in one province or another,
although the old tale of floods and famines has come to an end in the
Annals. The last of the nearly continuous series of great pestilences is
in 1369, when there was a great pest in Fukien, and “the dead lay in heaps
on the ground.” There is then a break until 1380, and after that a longer
break until 1403. It would thus appear as if the great pestilential period
of China in the fourteenth century had not coincided with the succession
of disastrous seasons, but had followed the latter at a distinct interval.
Conversely the years of plague from 1352 to 1369 do not appear to have
been years of inundations and bad harvests; they stand out in the
chronology, by comparison, as years of plague-sickness pure and simple;
and although nothing is said to indicate the type of bubo-plague, yet the
disease can hardly be assumed to have been the old famine fevers or other
sickness directly due to floods and scarcity, so long as not a word is
said of floods and famines in that context or in the Annals generally. The
suggestion is that the soil of China may not have felt the full effects of
the plague virus, originally engendered thereon, until some few years
after the same had been carried to Europe, having produced there within a
short space of time the stupendous phenomenon of the Black Death. If
there be something of a paradox in that view, it is the facts themselves
that refuse to fall into what might be thought the natural sequence.

The historian Gaubil thinks that the national Annals make the most of
these recurring calamities, having been written by the official scribes of
the next dynasty, who sought to discredit the Mongol rule as much as
possible[292]; but it is not suggested that the compilers had invented the
series of disasters,--now in one province or river basin, now in another,
at one time with thirteen millions of lives lost, at another with four
hundred thousand families reduced to beggary, this time a drought, and
next time a flood, and in another series of years a succession of
destructive earthquakes.

We are here concerned with discovering any possible relation that these
disasters, coming one upon another almost without time for recovery, can
have had to the engendering of the plague-virus. According to the rumours
of the time, it was the corruption of unburied corpses in China which
caused the Black Death; and certainly the unburied corpses were there, a
_vera causa_, if that were all. Recent experiences in China make it easy
for us to construct in imagination the state of the shores of rivers after
those fatal inundations of the fourteenth century, or of the roadsides
after the recurring famines. Thus, of the famine of 1878 it is said[293]:
“Coffins are not to be got for the corpses, nor can graves be prepared for
them. Their blood is a dispersed mass on the ground, their bones lie all
about.... Pestilence [it is otherwise known to have been typhus fever]
comes with the famine, and who can think of medicine for the plague or
coffins for the multitude of the dead?” Or, again, according to a memorial
in the official Peking Gazette of 16 January, 1878, “the roads are lined
with corpses in such numbers as to distance all efforts for their
interment[294].”

There is much of sameness in the history of China from century to century;
what happened in 1878, and again on a lesser scale two or three years
ago, must have happened on an unparalleled scale year after year during
the ill-starred period which ended about 1342; there must have been no
ordinary break-down in the decencies and sanitary safeguards of interment
in such years as 1334, when thirteen millions (two million, two hundred
and seventy thousand families) were swept away by the floods of the
Yang-tsi, or destroyed by hunger and disease. But we are not left
altogether to the exercise of the imagination. A strangely vivid picture
remains to us of a scene in China in those years, which a returning
missionary saw as in a vision. The friar Odoric, of Pordenone, had spent
six years in Northern China previous to 1327 or 1328, when he returned to
Italy by one of the overland routes. The story of his travels[295] was
afterwards taken down from his lips, and it is made to end with one
gruesome scene, which is brought in without naming the time or the place.
It is a vision of a valley of death, invested with the same air of
generality as in Bunyan’s allegory of the common lot.

    “Another great and terrible thing I saw. For, as I went through a
    certain valley which lieth by the River of Delights (_flumen
    deliciarum_) I saw therein many dead corpses lying. And I heard also
    therein sundry kinds of music, but chiefly nakers, which were
    marvellously played upon. And so great was the noise thereof that very
    great fear came upon me. Now, this valley is seven or eight miles
    long; and if any unbeliever enter therein, he quitteth it never again,
    but perisheth incontinently. Yet I hesitated not to go in that I might
    see once for all what the matter was. And when I had gone in I saw
    there, as I have said, such numbers of corpses as no one without
    seeing it could deem credible. And at one side of the valley, in the
    very rock, I beheld as it were the face of a man very great and
    terrible, so very terrible indeed that for my exceeding great fear my
    spirit seemed to die in me. Wherefore I made the sign of the Cross,
    and began continually to repeat _Verbum caro factum_, but I dared not
    at all come nigh that face, but kept at seven or eight paces from it.
    And so I came at length to the other end of the valley, and there I
    ascended a hill of sand and looked around me.”

Narrated as it is of no specified place and of no one year of his journey,
it may stand, and perhaps it was meant to stand, for a common experience
of China in the period of Mongol decadence. Whether he left the country by
the gorges of the Yang-tsi and the Yun-nan route, or along the upper
basin of the Hoang-ho by the more usual northern route to the desert of
Gobi, his vision of a Valley of Corpses is equally significant.


The Theory of the Plague-Virus.

The question that remains is the connexion, in pathological theory,
between the bubo-plague and the corruption of the unburied dead or of the
imperfectly buried dead. Some such connexion was the rumour of the time,
before any scientific theory can well have existed. Also the factor in
question was undoubtedly there among the antecedents, if it were not even
the most conspicuous of the antecedents. But we might still be following a
wandering light if we were to trust the theory of the Black Death to those
empirical suggestions, striking and plausible though they be. It is not
for the Black Death only, but for the great plagues of the Mohammedan
conquests, which preceded the Black Death by many centuries and also
followed that great intercurrent wave until long after in their own strict
succession, for the circumscribed spots of plague in various parts of Asia
and Africa in our own day, and above all for the great plague of
Justinian’s reign,--it is for them all that a theory of bubo-plague is
needed. A survey of the circumstances of all these plagues will either
weaken or strengthen, destroy or establish, the theory that the virus of
the Black Death had arisen on the soil of China from the cadaveric poison
present in some peculiar potency, and had been carried to Europe in the
course of that overland trade at whose terminus we first hear of its
virulence being manifested.

The theory of the origin of the plague-virus from the corruption of the
dead was a common one in the sixteenth century. It was held by Ambroise
Paré among others, and it was elaborately worked out for the Egypt of his
day by Prosper Alpinus, physician to the Venetian Consulate at Cairo
towards the end of the same century. But the most brilliant exposition of
it, one of the finest exercises of diction and of reasoning that has ever
issued from the profession of medicine, was that given for the origin in
Egypt of the great plague of Justinian’s reign by Etienne Pariset,
secretary to the Académie de Médecine and commissioner from France to
study the plague in Syria and Egypt in 1829[296].

In the plague-stricken Egypt of that time, overburdened with population
and still awaiting the beneficent rule of Mehemet Ali, Dr Pariset had his
attention forcibly directed to the same contrast between the modern and
ancient manner of disposing of the dead, and to the insuitability of the
former to the Delta, which had been remarked by Prosper Alpinus in 1591,
and by De Maillet, French consul at Cairo, in 1735, and had been specially
dwelt upon by _philosophes_ of the eighteenth century, such as
Montesquieu, Volney and De Pauw. On the one hand he saw under his eyes
various revolting things in the Delta,--brick tombs invaded by water, an
occasional corpse floating at large, canals choked with the putrefying
bodies of bullocks dead of a murrain, the courtyards of Coptic and Jewish
houses, and the floors of mosques, churches and monasteries filled with
generations of the dead in their flooded vaults and catacombs. On the
other hand he saw, on the slopes of the Libyan range and on the edge of
the desert beyond the reach of the inundation, the occasional openings of
a vast and uncounted series of rock-grottoes in which the Egyptians of the
pre-Christian era had carefully put away every dead body, whether of bird,
or of beast, or of human kind. He was persuaded of the truth of Volney’s
remark, “In a crowded population, under a hot sun, and in a soil filled
deep with water during several months of every year, the _rapid_
putrefaction of bodies becomes a leaven of plague and of other
disease[297].” The remark of De Pauw, although it is not adduced, was
equally to the point: “Neither men nor beasts are any longer embalmed in
Egypt; but the ancient Egyptians seem to have done well in following that
mode, and in keeping the mummies in the deepest recesses of excavated
rocks.... Were we to note here all that those two nations [Arabs and
Turks] have left undone, and everything that they ought not to have done,
it would be easy to understand how a country formerly not altogether
unhealthy, is now become a hotbed of the plague[298].” These
eighteenth-century reflections, casual and discursive after the manner of
the time, were amplified by Pariset to scientific fulness and order, and
set in permanent classical form. Like De Pauw and Volney, he extolled the
ancient sanitary wisdom of Egypt, and excused the priestly mask of
superstition for the implicit obedience that it secured. De Pauw had
pointed out that the towns most remarkable for the worship of
crocodiles,--Coptos, Arsinöe (Crocodilopolis), and Athribis,--were all
situated on canals at some distance from the Nile; the crocodiles could
never have got to them unless the canals were kept clear; according to
Aelian and Eusebius the crocodile was the symbol of water fit to drink; so
that the superstitious worship of the animal was in effect the motive for
keeping the canals of the Nile in repair. The priests of Egypt, says
Pariset, with their apparatus of fictions and emblems, sought to veil from
the profane eyes of the vulgar and of strangers the secrets of a sublime
philosophy[299]. They made things sacred so as to make them binding, so as
to constrain by the force of religion, as Moses did, their disciple. They
had to reckon with the annual overflow of the Nile, with a hot sun, and a
crowded population. Suppose that all the dead animal matter, human or
other, were to be incorporated with the soil under these rapid changes of
saturation and drying, of diffusion and emanation, what a mass of poison,
what danger to the living! What foresight they showed in avoiding it, what
labour and effort, but what results! Can anyone pretend that a system so
vast, so beautiful, so coherent in all its parts, had been engendered and
conserved merely by an ignorant fanaticism, or that a people who had so
much of wisdom in their actions had none in their thoughts? Looking around
him at the Egypt of the Christian and Mohammedan eras, he asks, What has
become of that hygiene, attentive, scrupulous and enlightened, of that
marvellous police of sepulture, of that prodigious care to preserve the
soil from all admixture of putrescible matters? The ancient learning of
Egypt, the wisdom taught by hard experience in remote ages and perfected
in prosperous times, had gradually been overthrown, first by the Persian
and Greek conquests which weakened the national spirit, then by the Roman
conquest which broke it, then by the prevalence of the Christian
doctrines, and lastly by the Mohammedan domination, more hostile than all
the others to sanitary precaution.

Pariset’s remaining argument was that ancient Egypt, by its systematic
care in providing for a slow mouldering of human and animal bodies beyond
the reach of the inundation, had been saved from the plague; in the
historic period there had been epidemics, but these had been of typhus or
other sickness of prisons, slavery, and famines. According to Herodotus,
Egypt and Libya were the two healthiest countries under the sun. But when
St Paul’s vehement argument as to the natural and the spiritual body began
to make way, when men began to ask the question, “How are the dead raised
up, and with what body do they come?” the ancient practice of Egypt was
judged to be out of harmony with Christian doctrine. Embalming was
denounced as sinful by St Anthony, the founder of Egyptian monachism, in
the third century; and by the time that the church of North Africa had
reached its point of highest influence under St Augustine, bishop of
Hippo, the ancient religious rites of Egypt had everywhere given place to
Christian burial[300]. Bubo-plague had already been prevalent in at least
one disastrous epidemic in Lower Egypt at the time of the great massacres
of Christians in the episcopate of Cyprian; and in the year 542 it broke
out at Pelusium, one of the uncleannest spots in the Delta, spread thence
on the one hand along the North African coast, and on the other hand by
the corn ships to Byzantium, and grew into the disastrous world-wide
pestilence which has ever since been associated with the reign of
Justinian.

After the Mohammedan conquest things went from bad to worse; and from the
tenth century until the year 1846, plague had been domesticated on the
soil of Egypt.

The theory of Pariset was communicated by him to the Académie de Médecine
on 12 July, 1831, and finally published in a carefully designed and highly
finished essay in 1837. It was received with much disfavour; according to
his colleague Daremberg, the learned librarian of the Academy, nothing but
its brilliant style could have saved it from being forgotten in a week. It
was vigorously opposed by Clot Bey, on behalf of Egyptian officialdom,
because it fixed upon Egypt the stigma of holding in the soil an inherent
and abiding cause of the plague[301]. Besides the general objection that
it was the theorizing of a _philosophe_, exception was taken to particular
parts of the argument. Thus Labat demonstrated by arithmetic that the
mummied carcases of all the generations of men and animals in Egypt for
three thousand years would have required a space as large as the whole of
Egypt, which should thus have become one vast ossuary. And as to the fact,
he added, embalming was the privilege of the rich, and of some sacred
species of animals. Clot Bey asserted that the whole class of slaves were
not thought worthy of embalming. He found also, in the language used by
Herodotus, evidence that the people of Egypt felt themselves to be under
“the continual menace” of some great epidemic scourge and took precautions
accordingly--the very ground on which Pariset based his theory. The
objection which weighed most with Daremberg was the fact that, just about
the time when Pariset had asserted the immunity of Egypt from plague in
her prosperous days, evidence had been found, in the newly-discovered
collections of Oribasius, that a bubonic disease was recorded for Egypt
and Libya by a Greek physician two centuries before the Christian era, and
by another Greek medical writer about the beginning of our era.

It does not appear to have occurred to the opponents of Pariset’s theory
that the two chief objections, first that embalming was far from general,
and second that cases of plague did occur in ancient Egypt, answered each
other. But, as matter of fact, it can be shown that there were cheaper
forms of embalming practised for the great mass of the people. Again, it
was found by De Maillet that bodies not embalmed at all, but laid in
coarse cloths upon beds of charcoal under six or eight feet of sand at an
elevation on the edge of the great plain of mummies at Memphis, and beyond
the reach of the water, were as perfectly preserved from putrid decay as
if they had been embalmed, the dry air and the nitrous soil contributing
to their slow and inoffensive decomposition[302]. These facts tended to
support the notion that it was not ceremony which really determined the
national practice, but utility, into which neither art nor religion
necessarily entered. The existence also of bubonic disease in the period
of the Ptolemies proved that the risk assumed in Pariset’s theory was a
real risk, the precautions having been not always sufficient to meet it.

The plague which overran the known world in Justinian’s reign (542) was,
according to this theory, the effect on a grand scale of an equally grand
cause, namely, the final overthrow of a most ancient religion and national
life, which had not been built up for nothing and had a true principle
concealed beneath its superstitions. The parallelism between China and
ancient Egypt has been a favourite subject. In China whatever of religion
there is runs upon the Egyptian lines--reverence for the dead or worship
of ancestors. The Chinese do not indeed embalm their dead, but they
practise an equivalent art of preservation which may be read in almost
identical terms in the book of Marco Polo and in modern works on the
social life of China[303]. To prevent the products of cadaveric decay from
passing into the soil may be said to be the object of their practices. The
pains taken to secure dry burial-places are especially obvious in those
parts of the country, such as the “reed lands” of the Yang-tsi, which are
subject to inundations, annual or occasional[304]. Much of the national
art of Feng-shui is concerned, under the mask of divination, with these
common-sense aims.

Both Egypt and China are liable to have their river-basins flooded at one
time and parched to dust at another. These extreme fluctuations of the
ground water are now known to scientific research to be the cause of
peculiar and unwholesome products of putrefaction in the soil: given a
soil charged with animal matters, the risk to those living upon it is in
proportion to the range of fluctuation of the ground water. If it happen
as an annual thing that the pores of the ground are now full of water, now
full of air, or if these extreme alternations be a common liability, then
a soil with the products of animal decomposition dispersed through it will
be always unwholesome, and unwholesome on a national scale. It is often
held that even vegetables rotting on the ground are pestiferous; Ambroise
Paré believed that the rotting carcase of a stranded whale caused an
outbreak of bubo-plague at Genoa; but human decomposition is something
special--at least for the living of the same species[305]. Most special of
all is it when its gross and crude matters pass rapidly into the ground,
getting carried hither and thither by the movements of the ground water,
and giving off those half-products of oxidation which the extreme
alternations from air to water, or from water to air, in the pores of the
ground are known to favour. There may be nothing offensive to the sense,
but the emanations from such a soil will in all probability be poisonous
or pestilent. In particular circumstances of locality the permeation or
leavening of the soil with the products of organic decomposition produces
Asiatic cholera; in still more special circumstances the result is yellow
fever; in circumstances familiar enough to ourselves the result is typhoid
fever, and probably also summer diarrhœa or British cholera. These are all
soil poisons. Bubo-plague also is a soil poison; and it is claimed as
specially related to the products of _cadaveric_ decomposition, diffused
at large in such a soil as soil-poisons are ordinarily engendered in.

It is possible to subject that theory of the plague to the test of facts
still further. Thus bubo-plague dogged the steps of Mohammedan conquest
from the first century after the Hegira, now in Syria when Damascus was
the capital, now in Irak when Bagdad was the centre of Mohammedan rule,
now in Egypt when the seat of empire shifted to Grand Cairo; and, over a
great part of the period, simultaneously in all the regions of Islam. That
long series of plague-epidemics has been recorded in Arabic annals, and
has lately been published in an abstract accessible to all, with a summary
of conclusions[306].

What are the conclusions of the learned commentator on the Arabic annals,
as to the general causes of the thousand years of Mohammedan
plague?--“War, with the wasting of whole nations, in disregard of all
established rights, with plundering of towns and concentration of great
masses of men ill provided for and unregulated, who developed the seeds of
communicable and malignant diseases. Add to these things the negligent or
wholly neglected burial of those who had fallen in battle, the straits and
privations of the wounded, and the effects of a hot climate, especially in
flooded and swampy tracts of country.... The kind of burial, in very
shallow and often badly covered graves, which used to be practised in most
Eastern towns, and in part is still practised, may also have had
disastrous consequences not unfrequently.”


The Theory tested by Modern Instances.

With that general statement for the long succession of plague-epidemics in
Islam during nine centuries from the Hegira, beginning with a Syrian
epidemic in A.D. 628 and ending with a close succession of twelve
epidemics in Egypt from 1410 to 1492, we may pass to the more detailed
accounts of the conditions under which bubo-plague has been found in
various localities, often circumscribed spots far apart and out of the
way, during recent years. These spots are so varied, have so little
apparently in common, and are so capriciously chosen in the midst of
their several regions of the globe, that they do not readily fall into
any order or classification. What are we to make of a few spots of plague
among nomade Arabs of the Cyrenaic plateau; of plague in some stricken
villages high up in the highlands of Kurdistan, or in low-lying towns such
as Resht, near the shore of the Caspian, or amidst the black ooze of
amphibious habitations in the lower valley of Tigris and Euphrates; of
true bubonic disease in some few Bedouin villages or small towns on the
summits of the basaltic plateaus that rise like gigantic warts from the
Arabian desert; of bubo-plague in Yun-nan, at or near the capital Talifoo,
where the Mohammedan and Chinese influences have been struggling for
mastery, as well as among the cabins in the rocky valleys of the Salwen;
of some forty or fifty Himalayan hamlets picked out as plague-spots among
the six thousand villages of Kumaon; and of the now extinct but
comparatively recent centres of the same disease in the walled towns and
walled villages of Kutch, Kattiwar, and Marwar? And lastly what are we to
make of those cases of typhus fever with buboes which have been observed
in villages of the Yusufzai valley, near Peshawur, in 1852; in the Chinese
town of Pakhoi, on the gulf of Tonking, in 1886; occasionally among the
fever-cases in Burdwan since the health of that province underwent so
disastrous a change about the year 1870; and, on credible report, among
the troops in the Russo-Turkish war of 1879? It is surely unnecessary, at
least, to refute the sterile dogmatism that these are all the effects of
one pre-existing virus, carried, we know not how, from point to point of
the globe in an unbroken succession. It is a far cry even on a small-scale
map from Kumaon to Kutch, from Yun-nan to the Gulf of Tonking, from Resht
to the Armenian highlands, from the centre of Arabia to Tripoli, and from
Mesopotamia to North Yemen. And what is the use of assuming that there has
always been bubo-plague in the “cradle of the human race,” and concluding
that the Black Death was one of its excursions westwards, so long as the
plagues of Islam were going on from decade to decade, all through the
Middle Ages, at no great distance from Byzantium and from Western Europe?
Are not Damascus, Bagdad and Grand Cairo of more account as plague-foci
than a few villages in the Himalaya or in Kattiwar, even granting that the
plague may have been in the latter at an earlier date than we know? It is
not communication that connects the several seats of plague, scattered
widely in time and place; but it is community of conditions, or of the
causes and associated circumstances which breed the plague in each
separately. Let us take them in some sort of order.

Among the most remarkable habitats of modern bubo-plague are the villages
on the basalt plateaus of the Arabian desert. We have information of these
plague-spots from Doughty[307], who did not indeed visit Assir, the most
notorious of them, but several others more to the north and east. He
describes the ruined villages of Mogug, Gofar, Hâyil and others, where the
people had died of plague some years before. A year of dearth preceded the
plague in some, if not in all of them. The author is struck by the
carelessness of burial, or the difficulties of it in the baked soil,
although he does not directly connect that with the epidemics. Thus, in
passing the graveyard of Hâyil, one of the plague-towns, he remarks:
“Aheyd was a man of much might and glory in his day; he lies a yard under
the squalid gravel in his shirt.” Of Kheybar, with vague traditions of
plague, he says: “We passed through a burial-ground of black volcanic
mould and salt-warp; the squalid grave heaps are marked with headstones of
wild basalt. That funeral earth is chapped and ghastly, bulging over her
enwombed corses, like a garden soil in spring-time which is pushed by the
new spring plants. All is horror at Kheybar!” He is led to the following
general remarks: “The care of sepulture was beyond measure in the
religions of antiquity, which were without humility. Under the new
religion [of Arabia] the deceased is wound in a shirt-cloth of calico, and
his corse is laid in the shallow pit of droughty earth.” Again, of Bedouin
burials in general: “The deceased is buried the same day or on the morrow.
They scrape out painfully with a stick and their hands in the hard-burned
soil a shallow grave. I have seen their graves in the desert ruined by
foul hyenas, and their winding-sheets lay half above ground.”

Of the best known of these Arabian plague-spots the plateau of Assir, to
the south-east of Mecca, we have the following information relating to the
years 1874-79[308]; the chief plague-locality is Namasse, the principal
town of Beny Sheir, with five other villages.

    The site is on a mountain ridge too high for camels, the climate is
    cold and moist, the soil fruitful, springs abundant, and no standing
    water. The houses are built of stone, and stand close together. The
    ground-floor of each house is used as the stable; and as the winter in
    these mountains is very severe, so that water freezes, the inhabitants
    live with their cattle in a horrible state of filth. According to
    information from the district superintendent, there had been plague in
    a few villages every two or three years for the previous thirty-five
    or forty years. It has seldom extended further than five or six
    leagues. The region is a mountain canton, with no trade; it is cut off
    from the rest of the world. The disease is mostly attended with buboes
    in the groins, armpits, and neck, but not always; sometimes petechial
    spots were spoken of; in the sheikh Faïk’s own household the disease
    began with rigors, and developed buboes, petechiæ, headache and
    burning thirst. Dr Nury counted up in six villages, with a population
    of eight hundred, cases of plague to the number of 184 (68 men, 45
    women, 50 boys and 21 girls), with 155 deaths and 29 recoveries.

Let us now place beside this the accounts of the plague in the mountains
village of Kumaon[309].

Of the plague-villages of Danpore and Munsharee, near the snow, we read:

    “Their houses are generally built of stone, one storey high. On the
    ground-floor herd the cattle; in this compartment the dung is allowed
    to accumulate till such time as there is no room left for the cattle
    to stand erect; it is then removed and carefully packed close around
    all sides, so that the house literally stands in the centre of a
    hot-bed.... In many instances we have seen it accumulated above the
    level of the floor of the upper story in which the family lives.” In
    that compartment, four feet high, with no window and a door of some
    three feet by eighteen inches, ten or fifteen people live, lying
    huddled together with the door shut. Their food is as poor as their
    lodging. When plague breaks out, the family ties are rudely loosened:
    those who can, flee to the jungle, leaving the stricken to their fate.



    The following is by Renny: “Fourteen died at a place in the forest
    half a mile or more from Duddoli, respecting which I had the best
    description yet given to me of the career of the sickness. Here were
    only two houses, or long low huts, occupied by two separate families,
    the heads being two brothers, sixteen souls in all. These two huts had
    to contain also thirty head of cattle, large and small, at the worst
    season of the year. In these two huts the Mahamurree [bubo-plague]
    commenced about ten or eleven months ago, corresponding to the time it
    appeared in Duddoli. At this place the sixteen residents kept together
    till fourteen died, and one adult only, a man of about thirty years of
    age, with his female child of six years old, survived. There was no
    particular disorder among the cattle, but the outbreak of the plague
    was preceded and accompanied by a great mortality among the rats in
    their houses.”

Let us now take the accounts, twenty-five years later, of the plague in
the same district in 1876-77[310].

    Confirming the earlier statements as to the extraordinary filth of the
    houses--the cattle under the same roof and the baskets of damp and
    unripe grain--he directs attention specially to the disposal of the
    dead. The custom of the country is to burn the body beside the most
    convenient mountain stream terminating in the Ganges. But from that
    good practice the people have deviated in regard to bodies dead of any
    pestilence (smallpox, cholera, plague), which are buried. Of all
    countries the Himalaya is least suited to the burial of the dead. For,
    by reason of the rocky subsoil, it is seldom possible to dig a grave
    more than two feet deep; and, as a rule, the pestilent dead are laid
    in shallow trenches in the surface soil of the field nearest to the
    place of death, or of the terrace facing the house, or even of the
    floor of the house itself. This bad practice is begotten of fear to
    handle the body, and has been long established. Such mismanagement of
    the dead is sufficient to account for the continuous existence of the
    active principle of plague-disease, sometimes dormant for want of
    opportunity, but ever ready to affect persons suitably prepared by any
    cause producing a low or bad state of health. In the houses of
    families about to suffer from an outbreak of plague, rats are
    sometimes found dead on the floor. Planck had seen them himself; all
    that he had seen appeared to have died suddenly, as by suffocation,
    their bodies being in good condition, a piece of rag sometimes
    clenched in the teeth. He mentions nine villages, all of them endemic
    seats of plague, in which the premonitory death of rats in the
    infected houses was testified. The affected villages were not one in a
    hundred of all the villages of Kumaon, and were widely scattered
    throughout the northern half of the province. Even in each of those
    few villages, the plague is confined to one house, or one terrace, or
    one portion of the village.

Let us turn next to the small spots of bubo-plague in the remote province
of Yun-nan. Our information comes from members of the British and French
Consular services[311].

    The plague occurs in towns and villages and is the cause of much
    mortality. After ravaging villages scattered about the plains, it
    frequently ascends the mountains, and takes off many of the aborigines
    inhabiting the high lands. What, in M. Rocher’s opinion, aggravates
    the evil is the practice of not burying the bodies of those who die of
    this disease. Instead of being buried, the body is placed on a bier
    and exposed to the sun. As a consequence of this practice the
    traveller passing the outskirts of a village where the plague is
    raging is nearly choked with the nauseous smell emanating from the
    exposed and rotting corpses. Burial is the usual mode of disposal,
    although many of the villages are on rocky mountain sides, as in
    Kumaon. The rats are first affected; as soon as they sicken, they
    leave their holes in troops, and after staggering about and falling
    over each other, drop down dead. Mr Baber had the same information
    from a French missionary in the upper valley of the Salwen, a long,
    low valley about two miles broad, walled in by immense precipices, so
    hot in summer that the inhabitants go up the hill sides to live. The
    approach of bubo-plague (the buboes may be as large as a hen’s or
    goose’s egg) may often be known from the extraordinary behaviour of
    the rats, who leave their holes and crevices and issue on to the
    floors without a trace of their accustomed timidity, springing
    continually upwards from their hind legs as if they were trying to
    jump out of something. The rats fall dead, and then comes the turn of
    the poultry, pigs, goats, etc. The good father had a theory of his own
    that the plague is really a pestilential emanation slowly rising in an
    equable stratum from the ground, the smallest creatures being first
    engulfed. The larger plague-centre at or near the capital, Talifoo,
    appears to be related to Mohammedan warfare, and possibly to the
    neglect to bury the dead, which is an admitted fact, although not
    connected by the narrator with the prevalence of plague.

The other Chinese plague-spot is hundreds of miles away, on the shores of
the Gulf of Tonking. The best known centre of plague is the port of
Pakhoi, the native quarter of which is described as peculiarly filthy. The
houses are little cleaner than the streets, the floors being saturated
with excrement, and the drains being either close to the surface or open
altogether. An outbreak of plague there in 1882 is minutely described by
Dr Lowry[312].

    It occurred in the hot weather of June (85° Fahr. day, 76° Fahr.
    night); for fear of thieves the houses are carefully shut up even on
    the hottest night. The epidemic caused about 400 to 500 deaths in a
    population of 25,000. The disease does not spread. In nearly every
    house where the disease broke out, the rats had been coming out of
    their holes and dying on the floors: Dr Lowry dissected several of
    them, and found the lungs congested. In the human subject, except for
    the buboes, the disease resembled typhus: “anyone going to the bedside
    of a patient would certainly at first think it was that disease he had
    to deal with.” The same disease occurred at Lien-chow, a city twelve
    miles off. Another English physician in the service of the China
    Maritime Customs heard of a malady with the symptoms of plague in
    certain districts of Southern Kiangsi in the autumn of 1886; but no
    particulars were to be had. Typhus was prevalent, and very fatal,
    every year in the towns, villages and hamlets of Northern Kiangsi.

    One curious piece of evidence as to the death of rats, not associated
    with plague in men, comes from a more northern province of China. In
    the autumn of 1881, on the opposite side of the Yang-tsi from Nanking
    and in the western suburbs of the ancient capital, the rats emerged
    from holes in dwellings, jumped up, turned round, and fell dead.
    Baskets and boxes filled with their bodies were cast into the canal.
    “Here,” says Dr Macgowan, “was evidently a subsoil poison which
    affected the animals precisely in the same way as the malaria of the
    Yun-nan pest. Happily the subterranean miasm at Nanking did not affect
    animals that live above ground[313].”

The evidence from Kutch, Kattiwar, and Marwar relates to the years
1815-20, and 1838. In circumstances peculiar in some respects, namely, of
walled towns and stockaded villages, but the same as those already given
in the matter of filth from cattle crowded into the human dwellings, we
find bubo-plague breaking out so long as the unwholesome state of things
lasted under Mahratta rule and until British rule had been fairly at work.
The causes of the bubo-plague, says Whyte, were the same as of
typhus--walled and crowded towns, cattle housed with human beings, slow
wasting diseases among the cattle, which were not killed for food but
kept for milk and ghee. He questions whether, in shutting out their
enemies, they had not shut in one far more powerful[314]. Here also we
have various independent witnesses[315] testifying to the premonitory
death of the rats; they lay dead in all places and directions--in the
streets, houses, and hiding-places of the walls. This happened in every
town that was affected in Marwar, so that the inhabitants of any house
instantly quitted it on seeing a dead rat.


Relation of Typhus to Bubo-plague.

The smallest and the most easily surveyed of all the recent foci of
bubo-plague, is that among the Bedouin of the Cyrenaic plateau in North
Africa (port of Benghazi), a desert region corresponding to one of the
most famous corn-lands of antiquity.

    There was no difference of opinion that the small outbreak of plague
    in 1874 began simultaneously in the tents of Orphas and the tents of
    Ferig-el-Hanan, containing together about a hundred souls[316]. These
    Arabs keep cows, sheep and goats; some of them also cultivate small
    patches of corn. They are subject to periodic famines, and there had
    been much want among them in 1869, 1870, 1871, 1872 and 1873, attended
    by epidemics of typhus, cholera and smallpox. In the winter they found
    employment among the traders of Merdjé, and at the end of March, 1873,
    had quitted that village to place their animals in the neighbouring
    hill-pastures. The ground had been saturated, after long drought, by
    the rains of the winter. Their tents are pitched in hollows which may
    be filled by water in a few minutes. The encampments, like those of
    the Bedouin in Arabia, are excessively filthy and are often the scene
    of typhus fever. In April, 1874, the plague began, the first case
    being in a child; the buboes were in the groin, armpit or neck. The
    other symptoms were bilious vomiting, black vomit, haematemesis,
    petechiae, anthraceous boils, pains in the head, collapse, and
    delirium. A few cases were mild, but the majority grave and fatal; in
    several cases there was a relapse with new buboes. The disease was
    brought from the tents to the village of Merdjé, in which 270 were
    attacked in a population of 310, with 100 deaths. The total known
    attacks from 5 April to 24 July were 533 in a population of 734, with
    208 deaths and 325 recoveries, 201 resisting the infection. The
    sanitary state of the village was as bad as that of the tents: the
    houses, entered by a low door, had windows not to the sun, but to the
    courtyard, which is a stable choked with filth; the floors of the
    houses are covered with filth. The graveyard is in the centre of the
    village, beside a pool of standing water: the graves are shallow, and
    the corpses are sometimes unearthed by jackals. Both in the village
    and in the encampments a fall of rain was followed by a new series of
    attacks. The advice of the sanitary commisioner was to make graves at
    least six feet deep, and to cover them with lime.

These events in 1874 were an exact repetition of those of 1858. In both
years heavy rains followed long drought, giving promise of an abundant
harvest after a period of famine. The dry years, in both instances, were
attended with sickness, typhus and other; the first wet season turned the
sickness to plague, that is to say, it added the complication of buboes
and haemorrhagic symptoms to the characters of typhus. The meaning of that
seems to be that the saturation of the ground generated a soil-poison
where there had previously been the milder aerial poison of typhus. This
view of plague, as a typhus of the soil, or a disease made so much more
malignant than typhus just because of underground fermentation of the
putrescible animal matters, is borne out by the facts already given for
China and for India. The latter country furnishes other illustrations of
typhus fever becoming complicated with buboes, and so becoming something
like plague. Perhaps the best instance is the fever observed in the
Yusufzai valley, near Peshawur, in 1852[317].

    It arose mostly in the filthy Mohammedan houses, shared by cattle and
    human beings; but it invaded some of the cleaner Hindoo houses also.
    The disease began in low, marshy situations, which were covered with
    water after rain and heavy night dews. It was of the type of typhus,
    or relapsing fever, with yellowness of the skin, bleeding from the
    gums, and from the bowels, and often from the nose. One of the
    observers says: “The only other concomitant affection worthy of note
    is swelling of the lymphatic glands over various parts of the body;
    this, however, is only met with in a very few instances.” The other
    authority says: “Inflammation and suppuration of the glands in the
    groin, axilla, and neck occurred in some that survived the first or
    second relapse.” To this outbreak, which is removed only in degree
    from the Benghazi plague, the Pakhoi plague, and the Pali plague
    (Gujerat), may be added some others, about which the information is
    more general. Thus, the fevers which have become notorious in Burdwan
    since the health of that province changed so disastrously owing to the
    damming of the ground-water, are said to have been attended now and
    then with buboes. The typhus fever at Saugor in 1859 was occasionally
    complicated with suppuration of the lymphatic glands: “In the Doab, as
    in the subsequent gaol attack, the glands in the groin were very
    rarely affected; those in the neck were more frequently affected, but
    this was not a prominent feature in the disease[318].” Again, General
    Loris Melikoff told the correspondent of the _Golos_ that twenty men
    died in a day in the Russo-Turkish war in the winter of 1878, with
    glandular swellings; everywhere there was Schmutz, Schmutz! And
    lastly, in the epidemic of 1878 at Vetlianka, on the Volga, which is
    reckoned among the historic occurrences of bubo-plague in Europe, the
    first ten cases in November, 1878, had suppurating glands in the
    axilla, did not take to bed, and recovered; there had been ordinary
    typhus in the filthy fisher cottages in 1877, and there was typhus
    concurrent with the disease which at length became, and was at length
    recognized as, true bubo-plague in the winter of 1878-79[319].

One thing which distinguishes these recent outbreaks of plague from the
great plague of Justinian’s reign, in part from the series of Mohammedan
plagues, and from the Black Death, is that they have for the most part
shown no independent vitality and no diffusive power. As in typhus fever
itself (except on great occasions), they have been almost confined to
those who lived in the filthy houses, and to those who came within the
influence of the pestilential emanations. The great plagues of the 6th and
14th centuries had, on the other hand, a diffusive power which carried
them over the whole known world. The buboes of Egypt and of China became
familiar as far as Norway and Greenland.

But, apart from diffusiveness, the conditions of recent local plagues are
not unlike those of the great historical epidemics. The very same
observation of the rats leaving their holes, which is so abundantly
confirmed from the recent plague-spots of Southern China, of Yun-nan, of
Kumaon, and of Gujerat, was familiar in the plague-books of London and of
Edinburgh in the Elizabethan period. Of the great outbreak in 1603, Thomas
Lodge writes: “And when as rats, moules, and other creatures (accustomed
to live underground) forsake their holes and habitations, it is a token of
corruption in the same, by reason that such sorts of creatures forsake
their wonted places of aboade[320].” That is only one of many proofs that
the virus of plague has its habitat in the soil, although it may be
carried long distances clinging to other things. In its most diffusive
potency it is a soil-poison generated, we may now say with some
confidence, out of the products of cadaveric decay[321]; in its less
diffusive but hardly less malignant potency, it is a soil-poison generated
out of the filth of cattle housed with human beings, or out of domestic
filth generally, and in nearly all the known instances of such generation,
associated with, but perhaps not absolutely dependent upon, carelessness
in the disposal of the dead after famine or fever; in the least malignant
form, when plague is only a small part of an epidemic of typhus and with
the buboes inclined to suppurate, it appears to be still a soil-poison,
and to differ from typhus itself, just because the pestilential product of
decomposing filth has been engendered in the pores of the ground, rather
than in the atmosphere of living-rooms.

       *       *       *       *       *

The Black Death, which here concerns us immediately, is one of the two
great instances of a plague-virus with vast diffusive power, enormous
momentum, and centuries of endurance. So great effects may be said to
postulate adequate causes; and one must assume that the virus had been
bred from cadaveric decomposition in circumstances of peculiar
aggravation and on some vast or national scale. The sequence of events
carries us to China; and the annals of China do furnish evidence that the
assumed cause was there on a vast scale through a long period of national
disaster, while the national customs of China for the disposal of the
dead, like those of ancient Egypt, point to the existence of a real risk
from allowing the soil to be permeated at large by the crude or hasty
products of cadaveric decomposition.

It is our duty to construct the best hypothesis we can, sparing no labour.
No one really dispenses with theory, whatever his protestations to the
contrary; those who are the loudest professors of suspended judgment are
the most likely to fall victims to some empty verbalism which hangs loose
at both ends, some ill-considered piece of argument which ignores the
historical antecedents and stops short of the concrete conclusions. It has
been so in the case of infective diseases, and of bubo-plague in
particular. The virus of the plague, we are told, is specific; it has
existed from an unknown antiquity, and has come down in an unbroken
succession; we can no more discover how it arose, than we can tell how the
first man arose, or the first mollusc, or the first moss or lichen; its
species is, indeed, of the nature of the lowest vegetable organisms.

The objection to that hypothesis of plague is that it involves a total
disregard of facts. It is a mere formula, which saves all trouble,
dispenses with all historical inquiry, and appears to be adapted equally
to popular apprehension and to academic ease. The bubo-plagues of history
have not, in fact, been all of the same descent; notably the Black Death
was a wave of pestilence which Mohammedan countries, accustomed as they
had been to native bubo-plagues for centuries before, recognized as an
invasion from a foreign source, as an interruption of the sequence of
their own plagues. Again, the attempt to link in one series the various
scattered and circumscribed spots of plague now or lately existing must
fail disastrously the moment it is seriously attempted. The hypothesis of
one single source of the plague, of a species of disease arising we know
not how, beginning we know not when or where, but at all events reproduced
by ordinary generation in an unbroken series of cases, _ab aevo, ab ovo_,
is the merest verbalism, wanting in reality or concreteness, and dictated
by the curious illusion that a species of disease, because it reproduces
itself after its kind, must resemble in other respects a species of living
things.

The diffusive power of the virus of the Black Death, which has been
equalled only by that of the plague in Justinian’s reign, may seem to have
depended upon the favouring conditions that it met with. But although
favouring conditions count for much, they are not all. The Black Death
raged as furiously as anywhere among the nomade Tartars who were its first
victims; the virus, as soon as it was let loose, put forth a degree of
virulence which must have been native to it, or brought with it from its
place of engendering. None the less the incidence of the Black Death in
Europe had depended in part upon the preparedness of the soil. It came to
Europe in the age of feudalism and of walled towns, with a cramped and
unwholesome manner of life, and inhabited spots of ground choked with the
waste matters of generations. But even amidst these generally fostering
conditions, there would have been more special things that determined its
election. It is a principle exemplified in all importations of disease
from remote sources, in smallpox among the aerial contagions and in
Asiatic cholera among the soil-poisons, that the conditions which favour
diffusion abroad are approximately the same amidst which the infection had
been originally engendered. A soil-poison of foreign origin makes straight
for the most likely spots in the line of its travels; it may not, and
often does not confine itself to these, but it gives them a preference.
Thus, if we conclude on the evidence that the bubo-plague is a soil-poison
having a special affinity to the products of cadaveric decomposition, we
shall understand why the Black Death, when it came to England, found so
congenial a soil in the monasteries, and in the homes of the clergy.
Within the monastery walls, under the floor of the chapel or cloisters,
were buried not only generations of monks, but often the bodies of
princes, of notables of the surrounding country, and of great
ecclesiastics. In every parish the house of the priest would have stood
close to the church and the churchyard. One has to figure the virus of the
Black Death not so much as carried by individuals from place to place in
their persons, or in their clothes and effects, but rather as a leaven
which had passed into the ground, spreading hither and thither therein as
if by polarizing the adjacent particles of the soil, and that not
instantaneously like a physical force, but so gradually as to occupy a
whole twelvemonth between Dorset and Yorkshire. Sooner or later it reached
to every corner of the land, manifesting its presence wherever there were
people resident. Such universality in the soil of England, we have reason
to think, it had. But it appears to have put forth its greatest power in
the walled town, in the monastery, and in the neighbourhood of the village
churchyard.




CHAPTER IV.

ENGLAND AFTER THE BLACK DEATH, WITH THE EPIDEMICS TO THE TUDOR PERIOD.


The great mortality came to an end everywhere in England by Michaelmas,
1349. The pestilence had lasted some fourteen months, from its first
appearance on the Dorset coast at the beginning of August, 1348, until its
subsidence in the northern counties in the autumn of 1349. It came to an
end, as all devastating epidemics do, through having spent its force,
exhausted its pabulum, run through all the susceptible subjects. A
letter-writer of Charles I.’s reign has put into colloquial language the
corresponding reason for a pause in the ravages of the plague towards the
end of its stay in London: “And I think the only reason why the plague is
somewhat slackened is because the place is dead already, and no bodie left
in it worth the killing[322].” The exhausted state of the country, and of
all Europe, is not easy for us to realize. Petrarch, a witness of the
Black Death in Italy, foresaw the incredulity of after ages, or their
inability to image the state of things--the empty houses, the abandoned
towns, the squalid country, the fields crowded with the dead, the vast and
dreadful solitude over the whole world. If you inquire of historians, he
continues, they are silent; if you consult the physicians, they are at
their wits’ end; if you question the philosophers, they shrug their
shoulders, wrinkle their brows, and lay the finger on the lip. Is it
possible that posterity can believe these things? For we who have seen
them can hardly believe them[323].

The blow fell upon every country of Europe within a period of two or three
years; and it must have paralysed all trade and industry, war and
politics, for the time being. Edward III.’s wars in France, which had
resulted in the victory of Crecy in 1346 and the conquest of Calais in
1347, had been suspended by a truce, which was renewed from time to time.
Thus, in the very midst of the pestilence, on the 2nd of May, 1349, the
envoys of the English and French kings, “in their tents between Calais and
Guines,” agreed upon a form of treaty continuing the truce until
Pentecost, 1350[324]. In the last days of 1349, Edward III. in person,
with a small force, was able to repel an attack upon his new possession of
Calais[325]. It was in the year after the Black Death (1350) according to
both Stow and Selden, that Edward III. held a great feast at Windsor, to
which his heralds invited knights from abroad, to celebrate the
institution of the Order of the Garter, the statutes of the Order having
been drawn up the year before. What is styled “the necessary defence of
the realm,” was a chief subject of concern throughout the year 1350. On
the 12th February an order was made to the sheriffs of counties for a
supply of so many arrows from each[326]. On the 20th March the mayors and
bailiffs of 110 towns are ordered to provide their respective quotas of
men-at-arms--London 100, Norwich 60, Bristol 20, and so on--and to send
them to Sandwich “for the necessary defence of our realm[327].” On the 1st
of May a commission was issued to engage mariners for certain ships, and
on the 20th May, an order for ships, pinnaces and barges.

On the 22nd July and 10th August there are proclamations relating to the
piratical fleet of Spanish ships, intercepting the English traders to
Gascony, and threatening an invasion of England[328]; the Spaniards were
routed, their ships taken, and the Channel cleared, in a famous
engagement off Winchelsea, on 29th August, 1350, which the king directed
in person[329]. On 15th June, three days before the first of the
ordinances against the Labourers, the king issued two orders to counties,
to raise men “for our passage against the parts over sea”--one to the
Welsh lords, and the other to the sheriffs of English counties, the
demands being in all for 4170 bowmen from England, and for 1350 men from
Wales[330]. Whatever these edicts may have resulted in, it was not until
four years after that the king really resumed his wars with France. On the
8th September, 1355, the Black Prince sailed from Plymouth with a fleet of
some three hundred ships carrying an army of knights, men-at-arms, English
bowmen and Welshmen, to the Garonne, for his famous raid across the south
of France[331]. Later in the autumn the king collected at Portsmouth[332]
and Sandwich, and at Calais, a force of three thousand men-at-arms, two
thousand mounted bowmen, and an immense number of bowmen on foot, with
which he took the field on the 2nd November[333]. The same summer, a fleet
of forty great ships was fitted out at Rotherhithe, for a force of foot
under Henry, duke of Lancaster, to aid the king of Navarre; it sailed on
the 10th of July, but was unable to clear the Channel, and for various
reasons did not proceed[334]; next year, however, the duke of Lancaster
crossed from Southampton to Normandy with a force in forty-eight
ships[335].

Thus was the war with France resumed six years after the great mortality.
The means for equipping these expeditions had been provided by loans
raised on the security of the enormous subsidy which the Parliament of
1353-54 was induced to vote, in the form of an export duty of fifty
shillings on every sack of wool shipped to foreign countries during the
next six years. According to Avesbury’s calculation, Edward had a revenue,
from that source, of a thousand marks a day; it was the common opinion, he
says, that more than 100,000 sacks of wool were exported in a year[336].
But another and perhaps better authority gives the annual export of wool
in the middle of the fourteenth century at nearly 32,000 sacks[337].


Direct effects of the Black Death.

Meanwhile internal affairs were demanding the king’s attention, although
they occupy less space in the extant State papers than the warlike
preparations. On the 23rd August, while the mortality was raging in the
north, a proclamation was issued to the sheriff of Northumberland against
the migration of people to Scotland, with arms, victuals, goods and
merchandise, the pestilence not being mentioned[338]. The first State
paper which relates to the recent great mortality is the king’s
proclamation of 1st December, 1349, to the mayor and bailiffs of Sandwich,
and of forty-eight other English ports, including London[339]. The
proclamation begins:

    “Forasmuch as no mean part of the people of our realm of England is
    dead in the present pestilence, and the treasure of the said realm is
    mostly exhausted, and (as we have learned) numbers of this our kingdom
    are daily passing, or proposing to pass, to parts over sea with money
    which they were able to have kept within the realm, Now we, taking
    heed that if passage after this manner be tolerated, the kingdom will
    in a short time be stripped both of men and of treasure, and so
    therefrom grave danger may easily arise to us and to the said realm,
    unless a fitting remedy be speedily appointed--do command the mayor
    and bailiffs of Sandwich (and of forty-eight other ports) to stop the
    passage beyond sea of them that have no mandate, especially if they be
    Englishmen, excepting merchants, notaries, or the king’s envoys.”

The edict was probably directed more against the drain of treasure than
against the emigration of people; but this not uninteresting question
really belongs to other historians, who do not appear to have dealt with
it[340].

On the 18th of June, 1350, the first summer after the mortality, there was
issued the first proclamation, to the sheriffs of counties, on the demands
of the labourers and artificers for higher wages, entitled “De magna parte
populi in ultima pestilentia defuncta, et de servientium salariis proinde
moderandis[341].” The preamble or motive is one that cannot but seem
strange to modern ideas, although it must have been correct and
conventional according to feudal notions: “Forasmuch as some, having
regard to the necessities of lords and to the scarcity of servants, are
unwilling to serve unless they receive excessive wages, while others
prefer to beg in idleness, rather than to seek their living by labour--be
it therefore enacted that any man or woman, bond or free, under the age of
sixty, and not living by a trade or handicraft, nor possessing private
means, nor having land to cultivate, shall be obliged, when required, to
serve any master who is willing to hire him or her at such wages as were
usually paid in the locality in the year 1346, or on the average of five
or six years preceding; provided that the lords of villeins or tenants
shall have the preference of their labour, so that they retain no more
than shall be necessary for them.” It was strictly forbidden either to
offer or to demand wages above the old rate. Another clause forbids the
giving of alms to beggars. Handicraftsmen of various kinds are also
ordered to be paid at the old rate. Lastly, victuallers and other traders
are directed to sell their wares at reasonable prices[342]. The same
ordinance, with some added paragraphs, was reissued on the 18th November,
1350, to the county of Suffolk and to the district of Lindsey
(Lincolnshire), the latter being one of the chief sheep-grazing parts of
England; in those two localities, it is stated in so many words, the
labourers had set at nought the ordinance of 18th June[343]. When
Parliament met--for the first time since the mortality--on the 9th of
February, 1351, it was acknowledged that the commissions to sheriffs
issued by the king and his council had been ineffective, and that wages
had been at twice or thrice the old rate[344]. The Parliament, having
legislated for a number of technical matters in connexion with the
enormous number of wills and successions, proceeded next to the labour
question, and passed the famous Statute of Labourers, by which the
generalities of the ordinance of 18th June, 1350, are replaced by an
elaborate schedule of wages for harvest-time and other times[345]. One
clause of the Act is specially directed against the migration of labourers
to other counties. It was the ancient manorial system that was threatened
most of all by the depopulation. The surviving labourers sought work where
they could command the best wages, and at the same time could escape from
the few degrading bonds of servitude which still clung to the _nativi_ or
serfs of a manor. But the Manor Court was still the unit of government,
and the Act would have been inoperative except on that basis. That
fundamental intention of the statute of the 9th February, 1351, comes out,
not only in the explicit clause against migrations, but also by contrast,
in the special permission given to the labourers of the counties of
Stafford, Derby and Lancaster, to the people of Craven, and to the
dwellers in the Marches of Wales and Scotland, to go about in search of
work in harvest “as they were wont to do before this time[346].”

The immediate effect of the depopulation had been to mobilise, as it were,
the labouring class. Many of them must have taken the road at once; for,
in the first ordinance of 18th June, 1350, before the harvest of that year
had begun, it is stated that certain of the labourers preferred to live by
begging instead of by labour, and it is therefore forbidden to give alms
to beggars. According to Knighton, the effect of the ordinance itself was
to swell the ranks of the wandering poor; when some were arrested,
imprisoned, or fined in terms of the commission to the sheriffs, others
fled to the woods and wastes (_ad silvas et boscos_)[347]. These escapes
continued for years after; the rolls of the Manor Court of Winslow have
entries of many such cases long after the pestilence[348]. Many of these
fugitive villeins formed the class of “wasters,” often referred to in the
_Vision of Piers the Ploughman_: “waster would not work, but wander
about,” or he would work only in harvest, squander his earnings, and for
the rest of the year feel the pinch of hunger “until both his eyen
watered.” But it is clear that others went to distant manors, and settled
down again to steady employment, freed from their bonds as _nativi_; and
it cannot be doubted that some went to the towns[349].

In order to realize the causes and circumstances of the labour difficulty
after the enormous thinning of the population, it may be well to recall
the composition of the village communities. In each manor the arable land
was in two portions--on the one hand the immense open fields (two or
perhaps three) in which the villagers had each so many half-acre strips,
and on the other hand the lord’s demesne, or home-farm. Part of the latter
would often be let to free tenants, or even to villeins, who would count
for the occasion as free tenants. For the cultivation of his demesne the
lord was dependent on his tenants in villenage, who owed him, in form, so
many days’ work in the year, but in reality were often able to commute
their personal services for a money payment and are said to have done so
very generally[350]. Thus the lord of the manor was no longer able to call
upon his serfs to plough or to sow or to reap; he had to hire them for his
occasions. The free tenants would also be dependent to some extent upon
hired labour; and as some even of the villeins cultivated up to forty
acres or more, in the open fields of the manor, these would also have to
hire unless their families were old enough to help. All that labour for
hire would naturally be supplied by the poorer villagers, the cottars and
bordars, who would seldom cultivate more than a few half-acres, and in
some cases perhaps none[351]. The lower order of tenants in villenage
formed accordingly the class of labourers; and it was their demands which
gave occasion for the ordinances of 1350 and the statute of 1351. In each
manor the lord would have been affected more than all the rest by the
scarcity of labour, in respect of the extensive demesne or home-farm
managed by his bailiff. It is conjectured that he tried, in some cases, to
go back to his rights of customary service from his villeins, which had
gradually become commutable for rents paid in money, and that the attempts
to do so led to insubordination[352]. He had to pay wages, notwithstanding
all his rights of lordship. The wages paid in the harvest of 1349 were,
says Rogers, those of panic. In the form of petition which brought the
labour-question before Parliament in February 1351, it is stated that the
wages demanded were at double or treble the old rate; of the year
preceding (1350) it is recorded that the wages paid to labourers for
gathering the harvest on the manor of Ham, belonging to the lord Berkeley,
amounted to 1144 days’ work, on the old scale of commutation[353].

The labourers, although the lowest order on the manors, were accordingly
masters of the situation. Personal service to the lord, measurable merely
by days, and having no reference to fluctuations in the rate of wages, had
become obsolete; nor do the ordinance of 1350 and the statute of 1351 give
any hint of trying to revive it. If the men refused to be hired at the old
rate, they were to be arrested and imprisoned.

There were, of course, many things besides the statute, tending to keep
the majority of peasants on the manors where they had been born; so that
the formal abolition of villenage remained to be carried by rebellion in
1381, while many traces of it in practice remained for long after. Those
who stayed on their old manors, or removed to another county or hundred to
become tenants under new lords, were able to get permanently better wages;
the price of labour remained about forty per cent. higher than it had been
before the mortality; so that the statute was on the whole ineffective.
But another large proportion of the labouring class appears to have been
driven to a wandering life. It is not easy to explain on economical
principles why the class of “wasters,” of whom we hear so much, should
have been called into existence. Hands were scarce, and wages were high;
the conditions look on the surface to be entirely adverse to the creation
of a class of sturdy beggars and idle tramps. But the economic conditions
were really complex; and when all has been said on the head of economics,
there will remain something to be explained on the side of ethics.

Not only the labourers but also the employers of labour were cut off in
the mortality. A great part of the capital of the country passed suddenly
into new hands. Before the Parliament of 1351 legislated upon wages, it
was occupied with a number of technical difficulties about wills. Of the
proving of wills and the granting of letters of administration on a great
scale we have had an instance from an archdeaconry in Lancashire. In
Colchester, a town with some four hundred burgesses, one hundred and
eleven wills were proved[354]. In the Husting Court of London, three
hundred and sixty wills were enrolled and proved from 13th January, 1349,
to 13th January, 1350. An immense number of persons came into money who
could not all have had the inclination, even if they had the skill and
aptitude, for employing it as capital. If there were wasters among the
labourers, there were wasters also among the moneyed class. The mortality
produced, indeed, that demoralisation of the whole national life which has
been usually observed to follow in the like circumstances. “Almost all
great epochs of moral degradation are connected with great epidemics,”
says Niebuhr, generalizing the evidence which Thucydides gives specially
for the plague of Athens[355]. The fourteenth century was by no means a
period of high morality before the Black Death; but it was undoubtedly
worse after it. Langland’s poem of the vision of Piers the Ploughman is
one long diatribe against the vices of the age, and some of the worst of
them he expressly dates “sith the pestilence time.” It will be convenient
to take these ethical illustrations, before we proceed with the effects of
the mortality upon material prosperity and population, and with the
domestication of plague on the soil.

So far from the labouring class being the chief sinners, it is in the
humbler ranks that the root of goodness remains. Langland’s hero, the
Ploughman, is obviously chosen to represent “that ingenuous simplicity
and native candour and integrity,” which, as Burke says, “formerly
characterized the English nation,” and, one may add, have been at all
times its saving grace. It was in that class that the reforming movement,
led by Wyclif twenty years after, had its strength. Lollardy and the
Peasants’ Rebellion were closely allied. The grievance of the latter was
that the gulf between the gentleman and the workman had become wider than
in nature it should be. An ultimate and very indirect effect of the great
mortality was to strengthen the middle class by recruits from beneath; it
created the circumstances which produced the English yeoman of the
fifteenth century. But we are here engaged with the immediate effect; and
that was to broaden the contrast between the rich and the poor.

Luxury had already touched so high a point as to call for a statute
against extravagant living, the curious sumptuary law of 1336 which
prohibited many courses at table. Nothing could be more significant of its
later developments in London than the sarcastic description, which fills
an unusual space in one of the chroniclers, of the fantastic excesses of
dress and ornament among the male sex about the year 1362[356]. Some of
the names of the men’s ornaments occur also in Langland’s verses:

  “Sir John and Sir Goffray hath a gerdel of silver,
   A basellarde or a ballok-knyf with botones overgilt.”

These effeminate fashions actually led to a Statute of Dress in 1363, in
which also the lower class are forbidden to ape their betters. It is
perhaps to these hangers-on of wealth that Langland refers in his bitter
lines:

    “Right so! ye rich, ye robeth that be rich | and helpeth them that
    helpeth you, and giveth where no need is. | As who so filled a tun of
    a fresh river | and went forth with that water to woke with Thames. |
    Right so! ye rich, ye robe and feed | them that have as ye have, them
    ye make at ease.”

But, as for the poor, Avarice considers them fair game:

    “I have as moche pite of pore men as pedlere hath of cattes, | that
    wolde kill them if he cacche hem myghte, for covetise of their
    skynnes.”

In London the preaching clergy are accused of pandering to the avarice of
the rich:

    “And were mercy in mean men no more than in rich | mendicants meatless
    might go to bed. | God is much in the gorge of these great masters, |
    but among mean men his mercy and his works. | Friars and faitours have
    found such questions, | to plese with proud men sithen the pestilence
    tyme, | and prechers at Saint Poules, for pure envye of clerkis, |
    that folke is nought firmed in the feith ne fill of their goodes. |
    ... Ne be plentyous to the pore as pure charitye wolde, | but in
    gayness and in glotonye forglotten her goode hem selve, | and breken
    noughte to the beggar as the Boke techeth.”

The friars had lost altogether the enthusiasm of their early days:

    “And how that friars followed folk that was rich, | and folk that was
    poor at little price they set; | and no corpse in their kirk-yard nor
    in their kirk was buried, | but quick he bequeath them aughte or
    should help quit their debts.”

As for the monks, the same might have been said of them before; but now
more land had been thrown into their possession by the mortality:

  “Ac now is Religion a ryder, a rowmer bi streetes,
   A leader of love-days, and a lond-buyer,
   A pricker on a palfrey fro manere to manere,
   An heap of houndes at his ers, as he a lord were.
   And but if his knave kneel, that shall his cup bringe,
   He lowreth on hym, and axeth hym who taught hym curtesye.”

According to Langland’s poem, the country clergy left their livings and
came up to London:--

    “Parsons and parish priests plained them to the bishop | that their
    parishes were poor sith the pestilence time; | to have licence and
    leave at London to dwell | and syngen there for simony, for silver is
    sweet. | Bishops and bachelors, both masters and doctours, | that have
    cures under Christ and crowning in token and sign, | that they should
    shrive their parishours, preach and pray for them and the poor feed, |
    live in London in Lent and  all”--

some of them serving the king in the offices of Exchequer and Chancery,
and some acting as the stewards of lords.

It is undoubted that the business of the courts in London received a great
impetus after the mortality, as one can readily understand from the
number of inheritances, successions, and feudal claims that had to be
settled. Several of the Inns of Chancery date from about that time.
Gascoigne, who was “cancellarius” at Oxford about 1430, and had access to
the rolls of former “cancellarii,” was struck by the increase of legists
after the commotion of 1349: “Before the great pestilence there were few
disputes among the people, and few pleas; and, accordingly, there were few
legists in the realm of England, and few legists in Oxford, at a time when
there were thirty thousand scholars in Oxford, as I have seen in the
rolls,” etc.[357]

The country clergy, such of them as remained in their cures were a
notoriously illiterate class; according to Knighton, they could read the
Latin services without understanding what they read. Langland makes a
parson confess his poor qualifications to be the spiritual guide of his
flock; on the other hand he was not without skill in the sports of the
field: “But I can fynde in a felde or in a furlonge an hare.” At one of
the manor courts in Wiltshire in 1361, a gang of the district clergy were
convicted of night poaching[358].

Such being the state of matters among the upper and middle classes, it is
not surprising to find a lax morality among the lower orders. The
ploughman is as severe a satirist of his own class as he is of the rich.
In London we have a picture of the interior of a tavern crowded with
loafers of all sorts “early in the morning.” In the country also the
contrast is drawn between the industrious and the idle class:

    “And whoso helpeth me to erie [plough] or sowen here ere I wende |
    shall have leve, bi oure Lorde to lese here in harvest, | and make him
    merry there-mydde, maugre whoso begruccheth it: | save Jakke the
    jogeloure and Jonet of the stewes, | and Danget the dys-playere, and
    Denot the bawd, | and Frere the faytoure and folk of his order, | and
    Robyn the rybaudoure for his rusty wordes.”

To live out of wedlock was nothing unusual:

    “Many of you ne wedde nought the wimmen that ye with delen, | but as
    wilde bestis with wehe worthen up and worchen, | and bryngeth forth
    barnes that bastardes men calleth.”

Ill-assorted marriages also appear to have been common:

    “It is an oncomely couple, bi Cryst, as me-thinketh, | to gyven a
    yonge wenche to an olde feble, | or wedden any widwe for welth of hir
    goodis, | that never shall bairne bere but if it be in armes. | Many a
    paire sithen the pestilence have plight hem togiders: | the fruit that
    thei brynge forth aren foule wordes: | in jalousye joyeles and
    jangling in bedde | have thei no children but cheste and choppyng hem
    betweene.”

Chapmen did not chastise their children. Old traditions of weather-lore,
and of reckoning the yield of harvest, were forgotten.

As a set-off to the uniformly bad picture of the times given by Langland,
we may turn to the gay and good-humoured scenes of the ‘Canterbury Tales.’
But Chaucer was emphatically the poet of the cultured class, and it is
proper to his muse to keep within the limits of a well-bred cynicism.
Again, Langland’s strictures on the avarice and other vices of the rich
may seem to be a mere echo of a very old cry, which finds equally strong
expression in Roger of Wendover, about the year 1235, and in Robert of
Brunne’s ‘Handlyng Synne’ in the year 1303. But the Vision of the
Ploughman is too consistent, and too concrete, to be considered as a mere
homily on the wickedness of the times, such as might have been written of
almost any age or of any country in which the Seven Mortal Sins were still
called by their plain names. The words “sithen the pestilence” recur so
often, that this contemporary author must be held as sharing the belief
that the Black Death made a marked difference to the morals of the nation
throughout all classes.


More lasting effects on Farming, Industries, and Population.

Turning from things moral to things material, we shall find that the Great
Mortality left its mark on the cultivated area of the country, on rents of
land, on the kind of tenure and the system of farming, on industry, trade
and municipal government, on the population, and, on what chiefly
concerns us, the subsequent health of the country.

Corn-growing would appear to have met with at least a temporary check.
Three water-mills near Shrewsbury fell in annual value by one half, owing
to the scarcity of corn to grind[359]. Richmond, one of the chief
corn-markets in Yorkshire, is said, on rather uncertain evidence, to have
been permanently reduced for the same reason; besides losing an enormous
number by the plague itself (vaguely stated at 2000), the town lost its
corn-trade through the land around falling out of cultivation, so that
some of the burgesses, being unable to pay rent, had to wander abroad as
mendicants[360].

The general statements of Knighton, Le Baker and others for England (not
to mention numerous rhetorical passages of foreign writers), to the effect
that whole villages were left desolate, are borne out by the petitions
recurring in the Rolls of Parliament for many years after. There are also
some references to the continuing desolateness of particular places, which
are probably fair samples of a larger number.

Thus a rich clergyman in Hertfordshire had given, just before the Black
Death, all his lands and tenements in Braghinge, Herts, to the prior and
convent of Anglesey, Cambridgeshire, in consideration that they should
find at their proper expense a chantry of two priests for ever in the
church of Anglesey, to say masses for the souls of the benefactor and his
family. But on the 10th of May, 1351, he remitted the charge and support
of one of the two said priests, on the ground that, “on account of the
vast mortality, lands lie uncultivated in many and innumerable places, not
a few tenements daily and suddenly decay and are pulled down, rents and
services cannot be levied, but a much smaller profit is obliged to be
taken than usual[361].” An instance of a long-abiding effect is that of
the manor of Hockham belonging to the earl of Arundel, which was not
tenanted for thirty years[362].

The history of rents is peculiar. The immediate effect, as we learn from
Knighton, as well as from the rolls of particular manor courts, was a
remission of them by the lords, lest their tenants in villenage should
quit the lands. There was, indeed, a competition among landlords for
tenants to occupy their manors, so that the cultivators could make their
own terms. Of that we have had an instance from the manor of Ensham,
belonging to Christ Church, Oxford[363]. But, after a few years, rents
appear to have come back to near their old level. The following figures
have been compiled from the Tower records of assizes made for the purpose
of taxation[364]:

  1268    9_d._
  1348-9  --
  1417    6_d._
  1446    8_d._
  1271   12_d._
  1359    9¼_d._
  1422    4_d._
  1336   11½_d._
  1368   10½_d._
  1429    4_d._
  1338   11½_d._
  1381    9¾_d._
  1432    6_d._

The great fall, it will be seen, was in the next century.

Perhaps the most striking effect upon agriculture of the upheaval produced
by the great mortality was, as Thorold Rogers has shown, in changing the
system of farming and in creating the type of the English yeoman. The
system of farming the lord’s demesne or home-farm by a bailiff, never very
profitable, became, says that historian, quite unproductive, owing
especially to the permanent rise in wages. The small men who took the
lord’s land to farm--they had been doing so to some extent
before[365]--had not sufficient of their own for stock and seed; but they
got advances from the lord, which were repaid in due course. It was a kind
of _métairie_ farming. It prevailed for about fifty years, by which time
the ordinary system of farming on lease was becoming general. Finally, and
especially in the Civil Wars of the fifteenth century, much of the land
which had belonged in fee to the feudal lords, passed away by purchase to
the tenant farmers[366]. Thus arose the famous breed of English
yeomen--the “good yeomen whose limbs were made in England.”

The effect of the mortality upon trade and industry was, momentarily, to
paralyse them. Of the great wool-trade, Rogers, the historian of English
prices, says: “Nothing, I think, in the whole history of these prices is
more significant of the terror and prostration induced by the plague than
the sudden fall in the price of wool at this time. It is a long time
before a recovery takes place[367].” But from 1364 to 1380, the price of
wool was uniformly above the average; and, if there be any accuracy in
Avesbury’s figures already given for the years following 1355, the export
of bales of wool to the Continent (100,000 sacks in a year, he says, each
sack being a bale of the present colonial size, or weighing about three
hundredweights) meant a very considerable amount of labour, tonnage and
exchange. Among other articles of export, we hear specially of iron, in a
petition to Parliament of 28 Ed. III. (1354); the price of iron had risen
to four times what it was before the plague, and it was desired to stop
the export of it and to fix the price[368].

The effect of the mortality upon the industries of the country was shown
most in Norwich. That city was the centre of the Flemish cloth-weaving,
which had been flourishing in Norfolk for some twenty years, under the
direct encouragement of Edward III., and of a protective statute against
foreign-made cloth. Before the pestilence, Norwich was the second city in
the kingdom. In the king’s warrant for men-at-arms, which was indeed
issued in 1350, but may be taken as drawn up on the old lines and
irrespective of the pestilence, the quota of Norwich is rated at 60,
London’s being 100, Bristol’s and Lynn’s 20 each, that of Coventry,
Gloucester, Hereford, Shrewsbury, Winchester, Sarum, Oxford, Canterbury
and Bury St Edmund’s 10 each, and of other towns from 8 to 1 each, York
not being mentioned. But in the Subsidy Roll of 1377, which shows how many
persons, above the age of fourteen, paid the poll-tax of a groat in each
county and in each principal town, Norwich comes sixth in the list instead
of second, being far surpassed in numbers by York and Bristol, and
surpassed considerably by Coventry and Plymouth. So far from being in a
proportion to London of 60 to 100, it is now in a proportion of 3952 to
23,314, its whole population, as estimated, being 7410 against 44,770 in
the capital which at one time it bade fair to rival. It had lost heavily
in the Black Death, and so had the populous district around it, where the
Flemish industries and trade were planted in numerous villages. By 1368,
ten of the sixty very small parishes of Norwich had disappeared, and
fourteen more disappeared by degrees, the ruins of twenty of them being
still visible[369].

There is no mistaking the significance of these figures and facts for the
second city of the kingdom. At least one generation passed before Norwich
recovered something of its old prosperity. In the fifteenth century it was
still the chief seat of the woollen manufactures; the county of Norfolk
kept its old pre-eminence, although rival centres of industry had grown
up. There were, however, causes at work which at length reduced the
capital of East Anglia to a comparatively poor state. One of the
intermediate glimpses that we get of it--they are not many, even in
Blomefield’s history--is the statute of 1455, to put down the enormous
number of “pettifogging attorneys” in the city and county[370]. Its real
decline was in the early Tudor reigns. When Henry VII. visited Norwich in
1497, the mayor in presenting the Queen’s usual gold cup with a hundred
pieces in it, took occasion to tell the monarch “howbeit that they are
more poor, and not of such wealth as they have been afore these
days[371].” When the town suffered much from fires about the year 1505,
the city of London raised large sums in aid of its rebuilding. To the same
period belongs a municipal order that no one should dig holes in the
market-place to get sand, without the mayor’s licence. In 1525, there was
a general decay of work, the clothiers and farmers being unable to employ
the artisans and labourers, who began to rise in revolt against the heavy
taxes. An Act of 33 Hen. VIII. recites that the making and weaving of
worsteds is wholly decayed and taken away from the city of Norwich and
county of Norfolk--by the deceit and crafty practices of the great
multitude of regrators and buyers of the said yarn. These evidences of
decline in prosperity are in part long after the Black Death; but they
seem to have been continuous from that event.

So far as concerns the other large towns of England, they did not all fare
alike. The capital was more luxurious, and probably not less populous,
after the mortality than before it. The chancery and exchequer business
alone would have served to draw numbers to it; and we may be sure, from
all subsequent experience, that the gaps left by the plague were filled up
by influx from the provinces and from abroad in the course of two or three
years. Nor does it appear from the poll-tax that York had suffered to
anything like the same extent as Norwich; while Bristol and Coventry
became towns of much greater consequence than before the plague. On the
other hand, Lincoln is described, in a petition for relief in 1399 (1 Hen.
IV.) as being “in the greater part empty and uninhabited.” In the same
year, Yarmouth has its houses “vacant and void,” although, in 1369, it is
said to have “gained so much upon Norwich” that it was made a seat of the
wool-staple. Other towns which figure in petitions to Parliament as
“impoverished and desolate of people,” are Ilchester (1407) and Truro
(1410). Camden instances the ancient borough of Wallingford, on the
Thames, as having been permanently reduced by the Black Death, although
the inhabitants, he says, traced the decay of the town to the diversion of
traffic over the new bridges at Abingdon and Dorchester[372]. Some parts
of Cambridge would appear to have borne the traces of the pestilence for a
number of years after. A charter of the bishop of Ely, dated 12 September,
1365, mentions that the parishioners of All Saints (on the north-east
side) are for the most part dead by pestilence, and those that are alive
are gone to the parishes of other churches; that the parishioners of St
Giles’s (the adjoining parish, near the Castle) have died; and that the
nave of All Saints is ruinous and the bones of dead bodies are exposed to
beasts; therefore the bishop unites All Saints and St Giles’s[373]. At
that time the churches of those parishes would have been small, perhaps
not much larger than the little church of St Peter still standing on the
high ground opposite to the great modern church of St Giles.

These instances of the chequered history of English towns subsequent to
the great mortality are not altogether favourable to the generality which
has been put forward by an able historian[374], that the great social
revolution produced by that event was to detach the people from the soil,
to drive them into the towns, to increase the urban population
disproportionately to the rural, to plant the germs of commerce and
industry, and to determine that expansion of England which became manifest
in the end of the Elizabethan period and under the Stuarts, the British
nation being “doomed by its economic conditions to take the course which
it has taken.” Many things happened between the Black Death and the
expansion of England. The fifteenth century intervened, which was in its
middle period, at least, distinguished as much by the rise of the yeoman
class as by the growth of trade guilds in the town. But that which mars
the generality most of all was the decline of industries and the decay of
towns (London and Bristol always excepted) in the reigns of Henry VII. and
Henry VIII.; the country had to recover from that before the Elizabethan
expansion,--before the nation began “to increase rapidly in population
until at length it should overflow the limits of its island home.”

At the same time, one effect of the great mortality was to mobilise the
class of agricultural labourers, and to drive a certain number of them
into the towns. Proof of that migration comes from the statutes and the
Rolls of Parliament.

    An Act of 34 Edward III. (1360) imposes a fine of ten pounds to the
    king on the mayor and bailiffs of any town refusing “to deliver up a
    labourer, servant, or artificer” who had absented himself from his
    master’s service, with a farther fine of five pounds to the lord. In
    1376 the “Good Parliament” makes complaint that servants and labourers
    quitted service on the slightest cause, and then led an idle life in
    towns, or wandered in parties about the country, “many becoming
    beggars, others staff-strikers, but the greater number taking to
    robbing.” More direct evidence of industries diverting hands from farm
    labour is found in the various statutes about apprentices. In the Act
    of 12 Ric. II. (1388) it is provided that “he or she which use to
    labour at the plough and cart or other labour or service of husbandry
    till they be of the age of twelve years, shall abide at that labour
    without being put to any mystery or handicraft; and if any covenant or
    bond of apprentice be from henceforth made to the contrary, the same
    shall be holden for none.” A more definite provision of the same kind
    was made in 7 Hen. IV. (1405-6): “Notwithstanding the good statutes
    aforemade, infants whose fathers and mothers have no land, nor rent,
    nor other living, but only their service or mystery, be put to serve
    and bound apprentices to divers crafts within cities and boroughs,
    sometimes at the age of twelve years, sometimes within the said age,
    and that for the pride of clothing and other evil customs which
    servants do use in the same” etc.--the result being that farm
    labourers were scarce; therefore no one, not having land or rent of
    twenty-shillings a year, to bind his son or daughter of whatsoever age
    to serve as apprentice within any city or borough. In the 8th of Henry
    VI. (1429) this statute was repealed so far as respected London, on
    account of the hindrance which the said statute might occasion to the
    inhabitants of that city[375].

It may be doubted if, after the Black Death, the towns underwent any
marked industrial development, except in such cases as Coventry and
Bristol. On the other hand, the cloth-weaving of East Anglia was dispersed
over the country, more particularly to the western and south-western
counties, so that the west of England gained an industrial character which
it retained until the comparatively modern rise of the cloth-industries of
Yorkshire and Lancashire. But it was in great part a development of
village industries upon the old manorial basis, as well as a migration of
labour to the towns.

We have an authentic instance, and probably a typical instance, in the
manor and barony of Castle Combe, of which the social history has been
pieced together from the rolls of its manor court by one of the earliest
students of that class of documents. Before the middle of the fifteenth
century this village situated among the Wiltshire hills, difficult of
access and almost secluded from the highways, had grown into a thriving
community of weavers, fullers, dyers, glovers, and the like, with their
attendant tradings and marketings, all upon its old manorial basis, and
with its old agriculture going hand in hand with its new industries. There
were free or copyhold tenants occupying their farms, while several
clothiers and occupiers of fulling-mills held farms also, “driving a
double and evidently a very thriving trade, accumulating considerable
wealth and giving employment to a large number of artizans who had been
attracted to the place for this purpose. Yet, strange to say, some of the
wealthiest and most prosperous of these tradesmen were still subject to
the odious bonds of serfship, adscript the soil[376].” It is clear,
however, that the jury of the manor court took care that the lord should
not have the best of it. The morals of this industrial village were, as
might have been expected, somewhat lax[377]. At the same time the removal
of nuisances was insisted upon by this self-governing community as
effectively, perhaps, as if it had been under the Local Government
Acts[378].

Another kind of effect than the industrial, upon the state of the towns,
is exemplified in the case of Shrewsbury. The dislocation of the old
social order had somehow touched the privileges and monopolies of
municipal corporations and guilds, and given power to a hitherto
unenfranchised class. The general question, besides being a somewhat new
one, is foreign to this subject; but the reference to Shrewsbury is given,
as the “late pestilence” is expressly connected with the municipal
changes. A patent of the 35th of Edward III. (1361), relating to the town
of Shrewsbury, recites the grievous debates and dissensions which had
arisen therein, “through the strangers who had newly come to reside in the
said town after the late pestilence, and were plotting to draw to
themselves the government of the said town[379].”

It has been conjectured that population in the country at large speedily
righted itself, according to the principle that population always tends to
come close to the limit of subsistence. But there is reason to think that
the means of subsistence were themselves reduced. We read of corn-land
running to waste, although most of the references to desolation are
perhaps to be taken as true for only one or two harvests following the
plague. Again, it is undoubted that sheep-farming and the pasturing of
cattle at length took the place of much of the old agriculture. It is not
easy to make out when the change begins; but there are instances of rural
depopulation as early as 1414[380], and the same had become a burning
grievance in the time of cardinal Morton and the early years of sir Thomas
More. It has been assumed, also, that the “positive checks” to population
had been taken off, when they ought in theory so to have been: that is to
say, after the inhabitants had been enormously thinned. The statement of
Hecker, that there was increased fecundity after the pestilence, appears
to be an instance of that author’s _a priori_ habit of mind[381]. What we
read in an English chronicle of the time is just the opposite, namely,
that “the women who survived remained for the most part barren during
several years[382].” The authority is not conclusive, but the statement is
in keeping with what we may gather from Langland’s poem as to ill-assorted
and sterile marriages, and as to illicit unions, which, as Malthus
teaches, are comparatively unfruitful. The alleged sterility is also in
keeping with, although not strictly parallel to, the experience of crowded
Indian provinces, such as Orissa, where a thinning of the population by
famine and disease has been statistically proved to be followed by a
marked decrease of fecundity. More direct evidence of a permanent loss of
people occurs a generation after the Black Death, at a time when the
circumstances of health were such as would explain it.

The poll-tax of 1377 was a means of estimating the population. The tax was
levied on every person, male or female, above the age of fourteen. In
estimating the population from the poll-tax returns, it is usual to add
one-fifth for taxable subjects who had evaded it, and to reckon the
taxable subjects above fourteen years as two-thirds of the whole
population. On that basis of reckoning, the population of the whole of
England, except Cheshire and Durham, in the year 1377 would have been
2,580,828 (or 1,376,442 who actually paid their groat each). The
population of the principal towns is calculated, in the second column of
the Table, from the numbers in the first column who actually paid the
poll-tax, according to the Subsidy Roll of 51 Edward III.

  Laity assessed for the Poll-tax of 1377 in each of the following Towns,
  being persons of either sex above the age of fourteen years.

  --------------------------------------
                    |  Taxed |Estimated
                    |        |Population
  ------------------|--------|----------
  London            | 23,314 | 44,770
  York              |   7248 | 13,590
  Bristol           |   6345 | 11,904
  Plymouth          |   4837 |   9069
  Coventry          |   4817 |   9032
  Norwich           |   3952 |   7410
  Lincoln           |   3412 |   6399
  Sarum             |   3226 |   6048
  Lynn              |   3127 |   5863
  Colchester        |   2955 |   5540
  Beverley          |   2663 |   4993
  Newcastle-on-Tyne |   2647 |   4963
  Canterbury        |   2574 |   4826
  Bury St Edmunds   |   2442 |   4580
  Oxford            |   2357 |   4420
  Gloucester        |   2239 |   4198
  Leicester         |   2101 |   3939
  Shrewsbury        |   2082 |   3904
  Yarmouth          |   1941 |   3640
  Hereford          |   1903 |   3568
  Cambridge         |   1722 |   3230
  Ely               |   1722 |   3230
  Exeter            |   1560 |   2925
  Hull              |   1557 |   2920
  Worcester         |   1557 |   2920
  Ipswich           |   1507 |   2825
  Nottingham        |   1447 |   2713
  Northampton       |   1447 |   2713
  Winchester        |   1440 |   2700
  Stamford          |   1218 |   2284
  Newark            |   1178 |   2209
  Wells             |   1172 |   2198
  Ludlow            |   1172 |   2198
  Southampton       |   1152 |   2160
  Derby             |   1046 |   1961
  Lichfield         |   1024 |   1920
  Chichester        |    869 |   1630
  Boston            |    814 |   1526
  Carlisle          |    678 |   1271
  Bath              |    570 |   1070
  Rochester         |    570 |   1070
  Dartmouth         |     506|    949
  --------------------------------------

That this indirect census was taken on a declining population may be
inferred from the language of contemporaries. In the year of the poll-tax
(1377), Richard II. addressed certain questions to Wyclif concerning the
papal exactions of tribute; the reformer’s reply gives as the second
objection to the tribute “that the people decreases by reason of
(_praetextu_) the withdrawal of this treasure, which should be spent in
England[383].”

In the political poems of the time there are numerous references to the
pestilences and famines. One of these doggerel productions, “On the
Council of London,” 1382, contains a clear reference to a decrease of the
people:

  “In nos pestilentia saeva jam crescit,
   Quod virorum fortium jam populus decrescit[384].”

These general expressions in writings of the time will appear the more
credible after we have carried the history of plague and other forms of
epidemic sickness down through a whole generation from 1349.


The Epidemics following the Black Death.

Not the least of the effects of the Black Death upon England was the
domestication of the foreign pestilence on the soil. For more than three
centuries bubo-plague was never long absent from one part of Britain or
another. The whole country was never again swamped by a vast wave of
plague as in the fourteen months of 1348-49. Nor does it appear that the
succeeding plagues of the fourteenth century, the _pestis secunda_,
_tertia_, _quarta_ and _quinta_ were all of the same type as the first, or
otherwise comparable to it. Disastrous as many subsequent English
epidemics of bubo-plague were, they appear to have been localised in the
North, perhaps, or in Norfolk, or confined to the young; and, above all,
the bubo-plague became, in its later period, peculiarly a disease of the
poor in the towns, although it did not cease altogether in the villages
and country houses until it ceased absolutely in 1666. For three hundred
years plague was the grand “zymotic” disease of England--the same type of
plague that came from the East in 1347-49, continuously reproduced in a
succession of epidemics at one place or another, which, by diligent
search, can be made to fill the annals with few gaps, and, if the records
were better, could probably be made to fill most years. Britain was not
peculiar among the countries of Europe in that respect, although the
chronology of plagues abroad has not been worked out minutely, except for
an occasional province in which some zealous archaeologist had happened to
take up the subject[385].

From 1349 to 1361 there is no record of pestilence in England. There was
scarcity or famine in 1353, owing to an unfavourable harvest, but nothing
is said of an unusual amount of sickness. In 1361 came the _pestis
secunda_, which would hardly have been so called had it not presented the
same type as the great bubo-plague. There is little said of it in the
chroniclers; but two of them mention that it was called the _pestis
puerorum_, or plague of the juveniles; and a third gives the names of
several great personages who died of it, including three bishops and
Henry, duke of Lancaster, at his castle of Leicester, in Lent, 1362. This
recrudescence, then, of the seeds of plague in English soil, may be taken
as having cut off the nobles and the young: that is to say, the members of
a class who had, by all accounts, escaped the first plague, and the rising
generation who had either escaped the first plague as infants or had been
born subsequent to it. The same selection of victims was observed,
according to Guy de Chauliac, in the very same year at Avignon; in
contrast to the Black Death, the second plague there cut off the upper and
well-to-do classes, and an innumerable number of children[386]; among the
former, it is said, were five cardinals and a hundred bishops. From
Poland, also, it is reported that the return of the plague, which happened
in 1360, affected mostly, although not exclusively, the upper classes and
children. It is clear from the Continental evidence that the second
pestilence was marked by the same buboes, carbuncles, and other signs as
the first. In some places, at least, it must have been as destructive as
the Black Death itself; thus, in Florence, says Petrarch (with obvious
exaggeration) hardly ten in the thousand remained alive in the city after
the epidemic of 1359, while Boccaccio estimates the mortality of the year
at the equally incredible figure of a hundred thousand. In London many
more wills than usual were enrolled in 1361, but not more than a third of
the number enrolled in 1349: viz. 4 in February, 2 in March, 8 in April, 8
in May, 12 in June, 39 in July, 28 in October, 15 in November, 11 in
December.

The _pestis secunda_ is only one of a series of pestilences in the reigns
of Edward III. and Richard II., which the chroniclers number in succession
to the _pestis quinta_ in 1391. The entries in the annals are for the most
part so meagre and colourless that they give us no help in realizing the
share that a continuous infection in the soil, from the Black Death
onwards, may have had in bringing about the disastrous state of the
country in the latter half of the fourteenth century. Edward III. was
ruined in reputation by his French wars, and ended his long reign in
dishonour. His grandson Richard II. found the task of government too much
for him, and was deposed. The history of this period is not complete
without some account of the health of the country; a single line or
sentence in a chronicle, to mark the date of a _pestis tertia_ or _quarta_
or _quinta_, hardly does justice to the place of national sickness among
the events with which historians fill their pages. The graphic picture of
the times is ‘The Vision of Piers the Ploughman,’ some passages of which
may help us to realize what the bare enumeration of second, third, fourth
and fifth pestilences meant. Some Latin poems of the time may be cited in
support; and for more particular evidence of the type of pestilence which
remained in England after the Black Death, we shall have to refer to
certain extant manuscript treatises, from the latter part of the
fourteenth century, which had been written in English to meet the wants of
the people.

The Latin poems of the time of Edward III. and Richard II. need only be
referred to so as to bring out by contrast the immense superiority of the
‘Vision of Piers the Ploughman.’ The poems of John of Bridlington, which
are the most considerable of the Latin series of verses, contain numerous
references to the epidemics of the time, both at home and abroad.
Curiously, he dwells more upon the effects of famine--flux and fever--than
upon the plague proper, which he nowhere distinguishes. Thus, of France
about the time of the Black Death:

  “Destructis granis, deerit mox copia panis;
   Poena fames panis, venter fluxu fit inanis.”

Or again, with specific reference to the _pestis secunda_ of 1361, which
we know to have been bubo-plague:

        “... fluxus nocet, undique febris
  Extirpat fluxus pollutos crimine luxus.”

Another reference, in the form of a prophecy, which from the context is
clearly to the pestilence of 1368-69, again dwells exclusively upon
famine:

  “In mensis justi pandetur copia crusti:
   Fundis falsorum premet arcta fames famulorum.”

followed by a note in Latin: “from which it appears that the poor in those
days were ill off for want of food[387].” One Latin poem of the end of the
fourteenth century is expressly “On the Pestilence,” in the following
manner:

  “Ecce dolet Anglia luctibus imbuta,
   Gens tremit tristitia sordibus polluta,
   Necat pestilentia viros atque bruta.
   Cur? Quia flagitia regnant resoluta[388].”

Turning to the far more real or observant work of the same date by
Langland, we find among his general references to sickness a most
significant one in which he compares it to the continual dropping of rain
through a leaky roof: “The rain that raineth where we rest should, be
sicknesses and sorrows that we suffer oft.” Again, in the allegory of
Conscience and Nature, the former makes appeal to Nature to come forth as
the scourge of evil-living:

    “Nature Conscience heard, and came out of the planets, and sent forth
    his fore-goers, fevers and fluxes, coughs and cardiacles, cramps and
    toothaches, rheums and radegoundes and roynous scalls, boils and
    botches and burning agues, frenzies and foul evils--foragers of Nature
    had ypricked and preyed polls of people that largely a legion lose
    their life soon. Eld the hoary, he was in the vanguard, and bare the
    banner before Death, by right he it claimed. Nature came after, with
    many keen sores, as pokkes and pestilences, and much people shent. So
    Nature through corruptions killed many. Death came driving after, and
    all to dust dashed kings and knights, kaisers and popes, learned and
    lewd, he let no man stand that he hit even, that ever stirred after.
    Many a lovely lady, and lemans of knights, swooned and swelted for
    sorrow of Death’s dints.”

    But “Conscience of his courtesy to Nature he besought, to cease and
    suffer and see whether they would leave pride privily and be perfect
    Christens. And Nature ceased then, to see the people amend. Fortune
    gan flatter those few that were alive, and promised them long life;
    and Lechery he sent among all manner men, wedded and unwedded, and
    gathered a great host all against Conscience[389].”

Next came Avarice, Envy and other of the deadly sins, so that the respite
which Nature had given was of no real avail.

A clear reference to pestilence continuing in the country comes in where
the pope’s exactions are mentioned. The pope did nothing in return for his
English tribute:

  “Had I a clerk that could write, I would cast him a bill
   That he send me under his seal a salve for the pestilence,
   And that his blessing and his bulls botches might destroy.
   For, sith he hath the power that Peter himself had,
   He hath the pot with the salve, soothly as me thinketh.”

Among the other consequences “sithen the pestilence,” was this: “So is
pride waxen, in religion and in all the realm among rich and poor, that
prayers have no power the pestilence to let; ... ne for dread of the death
withdraw not their pride.”

The _pestis secunda_ of 1361, or _pestis puerorum_, may perhaps be pointed
to in the passage where chapmen are blamed for indulging their children,
“ne for no pouste of pestilence correct them overmuch.” The ill-assorted
marriages had doubtless followed the great mortality itself; but the
second pestilence, of 1361, which affected the upper classes especially,
and is said by one chronicler to have cut off more men than women[390],
may have been more specially pointed to in Langland’s reference. Of that
pestilence a chronicle of the next century has preserved a curious
reminiscence: among its victims were men, doubtless of the upper class,
“whose wives, as women out of gouvernance, took as well strangers to their
husbands and other lewd and simple people, the which, forgetting their
awe, worship and birth, coupled and married them with them that were of
low degree and low reputation[391].”

Although Langland, when he speaks of changes “sith the pestilence time,”
means the great mortality of 1349, he means in other places, the second,
third, and perhaps also fourth pestilences[392]. The years of the
pestilences down to the fifth are not the same in all the chronicles;
there are indeed some nine outbreaks that might have been enumerated after
the Black Death to the end of the century. Some of these are clearly
associated with scarcity, and may have been of the old type of
famine-sickness; dysentery is, indeed, mentioned in connexion with the
sickness of 1391[393]. Again, an epidemic in London in 1382 is said by a
chronicler to have affected children (boys and girls), while the same
chronicler is explicit that the sickness in Norfolk the year after was
confined to the young of both sexes under a certain age. Lastly, the
epidemic of 1391 was so severe in the North as to recall the great
mortality itself; but under the same year is the reference to sickness of
the type of dysentery due to rotten fruit; and under the year before,
1390, two chroniclers agree that the epidemic was “mostly among children,”
or that it cut off “more young than old.” It would be unsafe, therefore,
to conclude that all the outbreaks of _pestis_ in England subsequent to
the Black Death, were of bubo-plague itself. The list of sicknesses in
Langland’s poem gives, indeed, as much space to fevers and fluxes, burning
agues and frenzies, as to boils and botches, foul evils, pokkes and
pestilences--by which latter group of synonyms the bubo-plague is meant.
_Pestis_, it is well known, was a generic name in the medieval period,
just as pest and pestilence are generic now. So generic was it that some
may doubt whether bubo-plague, of the type of 1349, was included at all
among the _pestes_ of the generations following. Positive evidence of the
continued existence of bubo-plague in England is, at least, not
superfluous, and this will be the best place to bring it in.


Medical Evidence of the Continuance of Plague.

The plague was called “the botch” down to the Elizabethan and Stuart
periods; and the “botches” in Langland’s poem, or, as he writes it,
“boches,” were the familiar risings, under the arms and elsewhere, which
had given the disease its popular name when it began to recur time after
time. Apart from this verbal or philological evidence, there is a clear
proof of the prevalence of true bubo-plague during the latter part of the
fourteenth century, in the manuscript ordinances or rules of prevention
and treatment which were in circulation. Most of the extant copies bear
the name of one John of Burgoyne, or John of Bordeaux[394]. A fragment in
comparatively late handwriting purports to be the ordinance of “a great
Clark, Mr John Cordewe, at the prayer of King Richard and other the Lords,
for pestilence[395]”; from which it may be concluded that this, the
commonly used ordinance, dates from the time of Richard II. The names used
in the text are “pestilence” and “pestilential sores,” and the handling of
the subject is the conventional one for the plague. The ordinance contains
exceedingly little that is of practical interest, and it is difficult to
believe that it can have been of real use to anyone. We are introduced to
the subject with a few empty common-places; but whenever we come to
business, we are plainly told to go and consult those who know--and this,
be it observed, in a disease which was remarkably uniform in its type and
circumstances:

    “Wherefore they that have not dronken of that swete drynke of
    Astronomye may putte to these pestilentiall sores no fit remedies;
    for, because that they know not the cause and the quality of the
    sickness, they may not hele it, as sayeth the prince of physic
    Avicenna: ‘How shouldest thou hele a sore and yknowe not the cause?’
    He that knoweth not the cause, it is impossible that he hele the
    sickness.”

If there were any doubt about the date of John of Burgoyne, or John of
Bordeaux[396], it ought to be set at rest by the discovery that he
corresponds in the closest way with the physician in the Prologue of the
_Canterbury Tales_. Chaucer’s doctor of physic stands for the
well-grounded practitioner of the time--“grounded in astronomie,” it is
true, but at all events academically grounded, in contrast to the
charlatans and pretenders who had not been to Paris or Bologna, probably
knew no Latin, to say nothing of “astronomy,” and therefore knew not how
to let a patient die (or recover) _secundum artem_. The doctor of physic
uses his astrological knowledge so much in the manner of John of Bordeaux,
that one suspects Chaucer to have seen the passage quoted above, and to
have condensed it into the two following lines:

  “The cause yknowne, and of his harm the rote,
   Anon he gave to the sick man his bote.”

It was in the pestilence that this practitioner had made the money which
he kept so tightly. Richly clad he was;

  “And yet he was but easy of dispense;
   He kept that he wan in the pestilence.
   For gold in physic is a cordial:
   Therefore he loved gold in special.”

This is John of Burgoyne all over; it would have been an anachronism in
England by more than two hundred years to have represented a physician as
caring for any but paying patients, or as regarding an epidemic sickness
from any other point of view than as a source of income.

Besides the “ordinance” of John of Burgoyne, which may be assigned to the
reign of Richard II., there was another essay on the plague circulating in
England in an English translation, of which the copy among the Sloane
manuscripts is assigned to the fourteenth century[397]. The importance
attached to this manuscript work is shown in the fact that it was chosen
among the very first to be printed at an English press, probably in the
year 1480[398]. It was reprinted in 1536, and the substance of it was
copied into nearly all the English books on plague (from one to another)
as late as the seventeenth century, much of its original matter passing
under the name of one Phaer, or Phayre or Thayre, who was a compiler about
the middle of the sixteenth century. Writers on early English printing
have made much of the printed book of 1480; but they do not appear to have
known of the manuscript which was used as the printer’s “copy[399].” If
one happens to use the latter first, and comes later to the printed book,
he will observe the identity not merely in the words and spelling but even
in the very form in which the type had been cut. The authorship of a
manuscript which is thus invested with a various interest may deserve a
few lines of inquiry.

The author of it describes himself in the (translated) introduction as “I
the bisshop of Arusiens, Doctour of phisike,” that is to say, bishop of
Aarhus, in Denmark. In the text, he claims to have practised physic at
Montpellier:

    “In the Mount of Pessulane I might not eschewe the company of people,
    for I went from house to house, because of my poverty, to cure sick
    folk. Therefore bread or a sponge sopped in vinegar I took with me,
    holding it to my mouth and nose, because all aigre things stoppen the
    ways of humours and suffereth no venomous thing to enter into a man’s
    body; and so I escaped the pestilence, my fellows supposing that I
    should not live. These foresaid things I have proved by myself[400].”

The fact that this medieval treatise, whatever its exact date, was turned
into English and circulated in manuscript, and that it was chosen for
printing almost as soon as English printing began, in the reign of Edward
IV., is sufficient evidence, if more were needed, that the English had to
reckon with bubo-plague as one of their standing diseases throughout the
latter part of the medieval period. Before we come to the chronology of
English plagues in that period, from the Black Death to the accession of
the Tudor dynasty in 1485, it will be convenient to consider here, with
the help of the above treatise, how the endemic plague was viewed in those
days,--what it was ascribed to in its origin, in its incidence upon houses
and persons, and in its propagation, what was advised for its avoidance or
prevention, and what was prescribed for its treatment. As the bishop’s
essay was the source of most that was taught on these matters in England
for the next two or three hundred years, it will be an economy to give a
brief account of it here once for all.

The remote causes, or warnings of the approach of pestilence, are given
under seven heads, including the kind of weather, swarms of flies,
shooting stars, comets, thunder and lightning out of the south, and winds
out of the south; this list was reproduced, with little or no change, by
the Elizabethan writers of popular health-manuals. The second section of
the essay is on the “causes of pestilence.” There are three causes:--

    “Sometime it cometh from the root beneath; other while from the root
    above, so that we may feel sensibly howwith change of the air
    appeareth unto us; and sometime it cometh of both together, as well
    from the root above as from the root beneath, as we see a siege or
    privy next to a chamber, or of any other particular thing which
    corrupteth the air in his substance and quality, which is a thing may
    happen every day. And thereof cometh the ague of pestilence (and about
    the same many physicians be deceived, not supposing this ague to be a
    pestilence). Sometimes it cometh of dead carrion, or corruption of
    standing waters in ditches or sloughs and other corrupt places. These
    things sometime be universal, sometime particular.” Then follow
    sentences on the “root above” which are somewhat transcendental. When
    both “roots” work together, when, by “th’ ynp‘ffyons[401]” above, the
    air is corrupt and by the putrefaction or rotten carrion of the vile
    places beneath,--an infirmity is caused in man. “And such infirmity
    sometimes is an ague, sometimes a posthume or a swelling, and that is
    in many things. Also the air inspired sometimes is venomous and
    corrupt, hurting the heart, that nature many ways is grieved, so that
    he perceiveth not his harm....

    “These things written before are the causes of pestilence. But about
    these things, two questions be mooted. The first is, wherefore one
    dieth and another dieth not, in a town where men be dead in one house
    and in another house there dieth none. The second question is, whether
    pestilence sores be contagious.

    “To the first question, I say it may hap to be of two causes: that is
    to say, of that thing that doth, and of that thing that suffereth. An
    ensample of that thing that doth: The influence of the bodies above
    beholdeth that place or that place, more than this place or this
    place. And one patient is more disposed to die than another. Therefore
    it is to be noted that bodies be more hot disposed, of open pores,
    than bodies infect having the pores stopped with many humours. Where
    bodies be of resolution or opening, as men which abusen them selfe
    with wymmen, or usen often times bathis; or men that be hot with
    labour or great anger--they have their bodies more disposed to this
    great sickness.

    “To the second question I say, that pestilence sores be contagious by
    cause of infect humoures bodies, and the reek or smoke of such sores
    is venomous and corrupteth the air. And therefore it is to flee from
    such persons as be infect. In pestilence time nobody should stand in
    great press of people, because some man of them may be infect.
    Therefore wise physicians, in visiting sick folk, stand far from the
    patient, holding their face toward the door or window. And so should
    the servants of sick folk stand. Also it is good to a patient every
    day for to change his chamber, and often times to have the windows
    open against the North and East, and to spar the windows against the
    South. For the south wind hath two causes of putrefaction. The first
    is, it maketh a man, being whole or sick, feeble in their bodies. The
    second cause is, as it is written in the Third of Aphorisms, the south
    wind grieveth the hearing and hurteth the heart, because it openeth
    the pores of man and entereth into the heart. Wherefore it is good to
    an whole man in time of pestilence, when the wind is in the South, to
    keep within the house all the day. And if it shall need a man to go
    out, yet let him abide in his house till the sun be up in the East
    passing southward.”

These explanations of the incidence of plague are in part repeated in the
section of the essay where the author gives directions for avoiding it.
After enjoining penance, he proceeds:

    “It is a good remedy to void and change the infect place. But some may
    not profitably change their places. Therefore as much as to them is
    possible, it is to be eschewed every cause of putrefaction and
    stinking, and namely every fleshly lust with women is to be eschewed.
    Also the southern wind, which wind is naturally infective: therefore
    spar the windows, etc. Of the same cause, every foul stink is to be
    eschewed--of stable, stinking fields, ways, or streets, and namely of
    stinking dead carrion; and most of stinking waters, where in many
    places water is kept two days or two nights, or else there be gutters
    of water casten under the earth which caused great stink and
    corruption. And of this cause some die in that house where such things
    happen, and in another house die none, as it is said afore. Likewise
    in that place where the worts and coles putrefied, it maketh noifull
    savour and stinking. For in like wise as by the sweet odour of bawme
    the heart and spirits have recreation, so of evil savours they be made
    feeble. Therefore keep your house that an infect air enter not in. For
    an infect air most causeth putrefaction in places and houses where
    folk sleep. Therefore let your house be clean, and make clear fire of
    wood flaming: let your house be made with fumigation of herbs, that is
    to say, with leaves of bay-tree, juniper, yberiorgam--it is in the
    apothecary shops--wormwood etc.... For a little crust corrupteth all
    the body.

    “Also in the time of the pestilence it is better to abide within the
    house; for it is not wholesome to go into the city or town. Also let
    your house be sprinkled, specially in summer, with vinegar and roses,
    and with the leaves of vine tree. Also it is good to wash your hands
    ofttimes in the day with water and vinegar, and wipe your face with
    your hands, and smell to them. Also it is good always to savour aigre
    things.”

Then follows his own Montpellier experience, already quoted.

The diagnostics come in casually along with the treatment:

    “But some would understand how may a man feel when he is infect. I say
    that a man which is infect, that day eateth not much meat for he is
    replenished with evil humours; and forthwith after dinner he hath lust
    to sleep, and feeleth great heat under cold. Also he hath great pain
    in the forehead.... He shall feel a swelling under the arm, or about
    the share, or about the ears.... When a man feeleth himself infect, as
    soon as he may, let him be let blood plenteously till he swoon: then
    stop the vein. For a little letting of blood moveth or stirreth
    venom.”

Then follow directions for bleeding, according to the position of the
bubo--in the armpit, groin or neck, the direction “if on the back”
probably having reference to the carbuncle[402]. The section on treatment,
which is the last, ends with a prescription for a medicine “that the
sooner a swelling be made ripe.”

These are sufficiently clear indications of the bubonic nature of the
disease called pestilence. At the same time the writer includes an ague as
also pestilential, due to similar causes and arising on similar occasions.
This is a use of the name ague which should not be mistaken for its common
application to intermittent fever. Ague was simply (febris) acuta; and
pestilential ague was a name for typhus fever in the sixteenth century (as
in Jones’ _Dyall of Agues_), as well as in Ireland until a much later
period. This early association of acute pestilential fever with true
bubo-plague means the same relationship of typhus to plague which was
systematically taught by Sydenham, Willis, and Morton in the seventeenth
century; typhus in their time was the frequent attendant of plague,--a
_pestis mitior_; and it would appear to have been its attendant and
congener in the fourteenth century also.


The Fourteenth Century Chronology continued.

Two epidemics contend in the chronicles for being the _pestis
tertia_--that of 1368-69, and that of 1375. The former is described as a
“great pestilence of men and the larger animals[403],” and it appears to
have been associated with unfavourable seasons and with the beginning of
that scarcity which Langland’s poem refers to the month of April, 1370:

  Atte Londoun, I leve, liketh wel my wafres
  And louren whan thei lakken hem.--It is nought longe passed,
  There was a careful comune whan no cart cam to towne
  With bred fro Strethforth, tho gan beggeres wepe
  And werkmen were agast a lite. This wole be thought longe
  In the date of our Drighte in a drye Aprille,
  A thousand and thre hondreth tweis thretty and ten
  My wafres there were gesen whan Chichestre was Maire[404].

The _pestis_ of 1368 and 1369 may have been primarily a famine-sickness;
but it does not follow that there was no bubo-plague mixed therewith. On
the contrary, seasons of scarcity were often in after experience found to
be the seasons of plague, the lowered vitality probably offering the
opportunity to the plague-virus. Previous to the harvests of 1376 and
1377, which were abundant, there had been an unbroken period of high
prices for many years, of which 1371 was remembered as “the grete dere
yere[405].” But the _pestis tertia_ appears to have been most severe in
the summer of 1368; for, on 23 July of that year, Simon, archbishop of
Canterbury, ordered public prayers for the cessation of the
pestilence[406], and it is under the same year that the wills of deceased
London citizens are enrolled in unusual numbers, although not in such
numbers as in the _pestis secunda_ of 1361[407]. Public prayers for the
cessation of pestilence (without reference to famine) and an unusual
mortality of the richer citizens, point to the plague proper, which may or
may not have been the type of sickness in the country districts in 1369,
the second year of the epidemic[408].

There is, furthermore, some indirect evidence that pestilential disease,
and probably bubo-plague, occurred in London subsequent to the scarcity of
the dry April, 1370, to which Langland’s verses relate. This evidence lies
in the comparison of the wording of two ordinances of Edward III., one of
1369 and the other of 1371, both relating to nuisances in the city[409].
In an order of the king in Council (43 Edward III.) for stopping the
carrying of slaughter-house offal from the shambles in St Nicholas parish,
within Newgate, through the streets, lanes, and other places to the banks
of the water of Thames near to Baynard’s Castle, where there was a jetty
for throwing the refuse from into the river, the motive assigned is that
divers prelates, nobles, and other persons having houses in the line of
traffic, had complained grievously of these offences to the sight and
smell. But, in an amended order of 28th October, 1371, against the same
nuisance and with a definite (but futile) relegation of all slaughtering
to Stratford on the one side and Knightsbridge on the other, the motive is
differently stated: “Whereas of late, from the putrefied blood of
slaughtered beasts running in the streets, and the entrails thereof thrown
into the water of Thames, the air in the same city has been greatly
corrupted and infected, and whereby the worst of abominations and
stenches have been generated, and sicknesses and many other maladies have
befallen persons dwelling in the same city and resorting thereto:--We,
desiring to take precautions against such perils, and to provide for the
decency of the said city, and the safety of the same our people” etc.

Up to this date, the Rolls of Parliament contain frequent references to
the wasting and impoverishment of the country by pestilence. A petition of
1362 begs the king “to consider the divers mischiefs that have come to his
commons by divers pestilences of wind and water, and mortality of men and
beasts”--the destructive wind being the tornado-like storm, on the 16th
January, 1362, “on Saturday at even,” which was long remembered, and is
commemorated, along with the Black Death itself, in an inscription in the
church of Ashwell, Herts. Next year, another petition states that
“pestilences and great winds have done divers mischiefs”--manors and
tenements held direct from the king having become desolate and ruinous. In
1369 a petition states that “the king’s ferms [rents] in every county of
England are greatly abated by the great mortalities.” The parliament of
1376, the “good Parliament” so-called, is able to point the moral of its
petitions by frequent references to the pestilences “that have been in the
kingdom one after another,” the pestilences “of people and servants,” the
murrains of cattle, and “the failure of their corn and other fruits of the
earth.” The same language recurs in the second parliament of Richard II.
in 1378 (the year after the poll-tax), and from that time until the end of
his reign, it becomes stereotyped in the petitions deprecating heavy
subsidies or excusing the smallness of the sums voted.

The pestilence of 1375 would appear to have been considered as one of the
greater sort. The author of the _Eulogium_ reckons it the _pestis tertia_
(passing over that of 1368-69). The season was one of great heat, there
was “grandis pestilentia” both in England and other countries, an infinity
of both sexes died, the mortality being so swift that the pope, “at the
instance of the cardinal of England” granted plenary remission to all
dying contrite and confessing their sins[410]. That looks like an
epidemic of true bubo-plague,--probably the _pestis quarta_ correctly
so-called[411].

In 1379 there was a great plague in the Northern parts, which were
stripped of their best men; the Scots made a raid, with the following
prayer on their lips: “God and Sen Mungo, Sen Ninian and Seynt Andrew
scheld us this day and ilka day fro Goddis grace, and the foule deth that
Ynglessh men dyene upon”--foul death being the name given to plague also
in 1349[412]. The northern counties send a petition to the parliament of
1379-80, that the king would “consider the very great hurt and damage
which they have suffered, and are still suffering, both by pestilence and
by the continual devastations of the Scots enemy[413].”

In the parliament of 1381-82 there is a petition from the convent of
Salisbury as to want of money to repair the losses caused by the
pestilence, of which the tenants are nearly all dead, and by the murrain
of cattle. This is more than thirty years from the Black Death, and can
hardly refer, as some earlier petitions may have done, to the enduring
effects of that calamity. The sixth parliament of Richard II. (1382), has
two of the stereotyped petitions deprecating a heavy subsidy on the ground
of “the great poverty and disease” of the commons, through pestilence of
people, murrain of cattle, failure of crops, great floods, etc.[414] This
was the year after the Peasant Revolt, which had coincided with troubles
of various kinds. A Norwich chronicle, perhaps of contemporary authority,
enters, under the year 1382, a very pestilential fever in many places of
the country, and very extraordinary inundations of the fens[415]. In
London the epidemic of 1382 is said to have been “chiefly among boys and
girls[416].” A primitive English poem of the time has for its subject the
earthquake of 1382, and with that portent it associates not only the
Peasant’s Rebellion but also “the pestilens[417].”

The year 1383 was a bad one for the fruit, which was spoiled by “foetid
fogs, exhalations and various corruptions of the air”: from eating of the
spoiled fruits many died, or incurred serious illness and
infirmities[418]. By another account, a great pestilence in Kent and other
parts of England destroyed many, sparing no age or sex. In Norfolk the
sickness that year is said to have been confined to young persons[419].
This was only one of the occasions which might have been referred to in
‘Piers Ploughman,’ when the poor people thought to “poison Hunger” by bad
food.

The next pestilence, that of 1390 and 1391, was so prolonged and so
serious as to be compared with the Great Mortality itself. It is called
the _pestis quinta_ by two annalists[420], and is described not without
some detail by several. It is clear that the seeds of disease were ready
to burst forth at various parts of the country; for we read that in 1389,
the king was in the south of England, and seeing some of his men
prostrated by sudden death, he returned to Windsor[421]. Another outburst
came the year after. Intense heat began in June and lasted until
September; great mortality ensued, the epidemic continuing in diverse
parts of England, but not everywhere, until Michaelmas; it cut off more
young than old, as well as several famous soldiers[422]. The St Albans
entry confirms this: “A great plague, especially of youths and children,
who died everywhere in towns and villages, in incredible and excessive
numbers[423].” After the epidemic there was scarcity, of which we have
special accounts from Norfolk[424]. But the heaviest mortality fell in the
year 1391. There was first of all scarcity, now in its second year, and
aggravated by six weeks of continual gloom in July and August. At the time
of the nuts, apples and other fruits of the kind, many poor people died of
dysentery, and the sickness would have been worse but for the laudable
care of the mayor of London who caused corn to be brought from over sea.
In Norfolk and many other counties the sickness was compared even to the
Great Mortality, and was probably a mixture of famine-pestilence with
bubo-plague. At York “eleven thousand” were said to have been buried[425].
Another account says that the North suffered severely, and also the West,
and that the sickness lasted all summer[426]. Under the year 1393 one
annalist states that many died in Essex in September and October, “on the
pestilence setting in[427].” The next evidence comes from the Rolls of
Parliament; in the first parliament of Henry IV. (1399) a petition is
presented “that the king would graciously consider the great pestilence
which is in the northern parts,” and send sufficient men to defend the
Scots marches.

The first great outburst of plague in the fifteenth century falls
somewhere between 1405 and 1407. “So great pestilence,” says the St Albans
annalist, under the year 1407, “had not been seen for many years.” In
London “thirty thousand men and women” are reported to have died in a
short space; and “in country villages the sickness fell so heavily upon
the wretched peasants that many homes that had before been gladdened by a
numerous family were left almost empty[428].” But it is under the 7th of
Henry IV. (1405) that Hall’s chronicle narrates how the king, to avoid the
city on account of the plague, sailed from Queenborough to a port in
Essex, and so to Plashey, “there to pass his time till the plague were
ceased” (p. 36). Another chronicle says that the plague of 1407 was mostly
in the West country. In that year, the 9th of Henry IV., there is a
petition from Ilchester in Somerset for a remission of dues “because the
town is so impoverished and desolate of people that the burgesses are
unable to pay the said ferme,” and for the cancelling of all arrears due
since the 43rd year of Edward III. (1369). In the 11th of Henry IV.
(1410-11), the burgesses of Truro represent “that the said town is
impoverished by pestilence and the death of men, and by invasions and loss
by the enemy by sea, and by the surcharge of twelve lives, and by default
of inhabitants in the said town”--a petition apparently similar in terms
to one that had been submitted in the previous reign. In the 1st of Henry
IV. (1399), petitions of the same kind had been presented from Lincoln and
Yarmouth; the former was “in great part empty and uninhabited,” while the
latter had “its houses vacant and void, owing to pestilence and other
things.”

For the year 1413 there is a brief entry that “numbers of Englishmen were
struck by plague and ceased to live[429].” A single chronicler mentions a
pestilence in Norfolk in 1420[430]; but the Rolls of Parliament bear
undoubted witness to a very severe prevalence of plague in the North about
the same time: a petition from the Marches in 1421 speaks of “great
numbers of persons dead by the great mortalities and pestilences which
have raged for three years past and still reign; where a hundred men used
to be there are not ten, and these of small account; where people of
position kept twenty men at arms they now keep only themselves”; the enemy
were making raids and food was scarce[431]. Another petition the same year
(9 Henry V.) states that “both by pestilence within the realm and wars
without there are not sufficient men of estate to hold the office of
sheriff[432].” That was shortly after Agincourt and the conquest of
France, when the fortunes of Henry V. were at their highest point. The
horrors of the siege of Rouen (1419) were a favourite subject with poets
of the time[433], but they were of a kind foreign to English experience in
that age, and, indeed, in all periods of our history, save that of the
Danish invasions. The Cromwellian Civil Wars, as we shall see, do indeed
furnish many instances of plague, and some of typhus fever, in besieged or
occupied towns; but, for the middle part of the fifteenth century,
including the period of the wars of York and Lancaster, there is no good
reason to suppose that fevers or other _morbi miseriae_, were rife among
the common people, least of all among the peasantry.


The Public Health in the Fifteenth Century.

Our safest indications are got from the prices of commodities and the
rates of wages, and these, according to the most competent authority,
Thorold Rogers, were more favourable to the working class in the fifteenth
century than at other periods: “As the agriculturist throve in the
fifteenth century, so the mechanic and the artisan was also prosperous.
This was the age in which the property of the guilds was generally
acquired.” On famines in particular, I shall quote one other passage,
which entirely confirms the view that I had independently stated in the
first chapter when speaking of Ergotism:

    “Famine, in the strict sense of the word, has rarely occurred in
    England, owing to the practice which the inhabitants of this island
    have persistently maintained of living mainly on the dearest kind of
    corn.... The people lived abundantly, and, except when extraordinary
    scarcity occurred, regularly on the best provision which could be
    procured[434].”

One such period of extraordinary scarcity all over England fell in the
years 1438-39. The chronicle of Croyland says that there were three wet
harvests in succession, that famine had been almost constant for two
years, and that the people were reduced to eating dried herbs and
roots[435]. That would have been a famine of the old kind, like those of
1258 and 1315, wheat having touched 20_s._ But it should not lead us to
suppose that the disastrous period of the end of Edward III.’s reign and
of the reign of Richard II. was continued throughout the fifteenth
century. It is true that the records of that century are scantier than for
earlier periods; the monastic chronicles have all ceased, except those of
St Albans and Croyland, and the citizens’ diaries, which took their place,
have hardly begun. It is possible that a fuller record would have shown a
greater prevalence of distress throughout the country. It is probably
owing to the scantiness of the history that the views of the fifteenth
century range from the extreme of optimism to the extreme of pessimism.
Where little is known, much may be imagined. Thus, a recent writer on
_England in the Fifteenth Century_[436], says that “all attempts to
specify the years of scarcity would only mislead”; and again: “There is
hardly any period of five years during that time [15th century] without
these ghastly records.” Another recent writer[437] remarks upon the
fifteenth century being called a time of rude plenty, and sets against
that “the famines, the plagues, the skin-diseases, the miserable quality
of the food, the insecurity of life and property, the hovels in which the
people lived, and the tyranny and oppression of a time of unsettled
government.” It is needless to controvert the merely subjective impression
in an author’s mind. But, in order to clear our ideas, let us take these
things one by one. What were firstly the famines? There is no great one
but that of 1438-39, which was due to a succession of wet harvests, and
was equally severe in Scotland and in France, having in them caused
famine-sickness as well as plague. Of the plagues, which were certainly no
worse than in the Elizabethan and Stuart times, I shall speak in detail
almost at once. Of the skin-diseases, there is nowhere a word said:
another writer[438] specifies leprosy as afflicting England “all over the
country” in the fifteenth century, whereas it can be shown that the
prevalence of that disease, such as it had ever been in England, had
almost ceased, and its sentimental vogue passed, in the reign of Edward
III. The miserable quality of the food and the wretched hovels have
certainly no special relevancy to the period[439]; on the contrary, the
picture that we get of the manor of Castle Combe in the fifteenth century
is that of a prosperous community, although not a highly moral one. As to
insecurity of life and property, and oppression of government, there seems
to be some illusion because the time was that of the wars of York and
Lancaster. But we have the significant observation of Philip de Comines, a
contemporary French statesman who kept his eye on the state of other
countries; writing of the effects of civil war, he says:--

    “England has this peculiar grace that neither the country, nor the
    people, nor the houses are wasted or demolished; but the calamities
    and misfortunes of the war fall only upon the soldiers and especially
    the nobility, of whom they are more than ordinarily jealous: for
    nothing is perfect in this world.”

The truth seems to be that the middle part of the fifteenth century was
really the time “ere England’s woes began, when every rood of ground
maintained its man,” and that the Golden Age came to an end as soon as the
dynastic and aristocratic quarrel was ended, and the nobles left free to
turn their attention to their lapsing feudal rights. It is then that we
begin to hear of enclosures, of adding house to house and field to field,
of huge sheep-farms with no labourers on the soil, and of deserted
villages. Goldsmith meant it of his own time; but Auburn flourishing
belonged to the fifteenth century, and Auburn deserted was a common
English experience in the time of Henry VIII. It is just because the
fifteenth century is bounded on either side by periods of known distress
among the commons, and is itself without a history, that one thinks of it
as happy; and that view of it is borne out by the economic history which
has been laboriously constructed for it.

So much being premised of the country’s well-being at large, we may now
return to the particular records of epidemics of plague.


Chronology of Plagues in the Fifteenth Century.

With the exception of an undoubted reference to influenza epidemic all
over England in 1427 (a year of its prevalence in France also), which I
shall postpone to a future chapter, the history down to the arrival of the
sweating sickness in 1485, is concerned almost exclusively with notices of
plague, and of plague mostly in the towns. It cannot be maintained that
rural districts were exempt, or that some great epidemics of plague did
not fall on town and country alike. Thus, the St Albans annalist, under
the year 1431, has an entry of “pestilence at Codycote and divers places
of this domain in this year.” Again, in 1439, the Rolls of Parliament
contain a petition to the king “how that a sickness called the Pestilence
universally through this your realm more commonly reigneth than hath been
usual before this time, the which is an infirmity most infective, and the
presence of such so infect must be eschewed, as by noble Fisisseanes and
wise Philosofors before this time plainly it hath been determined, and as
experience daily showeth”--therefore to omit the ceremony of kissing the
king in doing knightly service, “and the homage to be as though they
kissed you.” That may have been a plague both of town and country during
famine, comparable to the epidemic of 1407, which, as “Walsingham”
expressly says, was severely felt in the homes of the peasantry as well as
in London. But plague henceforth is seldom universal; it becomes more and
more a disease of the towns, and when it does occur in the country, it is
for the most part at some few limited spots. A Paston letter of the years
between 1461 and 1466 gives us a glimpse of the sort of the incidence of
plague in country places, and of the avoidance of such infected spots,
which we shall find often mentioned in the documents of the sixteenth and
seventeenth centuries[440]. There is, of course, no means of estimating
the frequency of plague in these almost sporadic circumstances. The
disease must have had its seats of election in the country, but we may
safely conclude that these, after the Black Death and the recurrences
thereof down, say, to 1407, were much fewer than in the towns. One
significant piece of evidence comes from the great monastery of
Canterbury. Among its records is an obituary, on twenty sheets, of all the
monks from 1286 to 1517. Out of a hundred cases taken without selection
from the record, there died, of pestilence, 33; of phthisis, 10; of
chronic diseases, 29. “Pestilence” appears to mean specifically
bubo-plague; for we find besides, among the sample hundred, two deaths
from flux, one of these corpses having been buried immediately _propter
infexionem_. The inference, under correction from further inquiry, would
be that one-third of the deaths in the monastery of Canterbury during the
first half of the reign of plague in England were from that disease. And
that was in a monastery which, in the Black Death itself, is reported, in
the same record, to have lost “only four” out of a membership of about
eighty[441].

It remains to enumerate briefly the known instances of plague in London or
other towns, from the last date given (1420) down to the beginning of the
Tudor period (1485). Its prevalence “in England,” but more probably in
London only, in 1426, comes out in a letter from the Senate of Venice
cautioning the captain of the Flanders galleys and the vice-captain of the
London galleys[442]. We hear also of that plague in London owing to the
fact that certain Scotsmen of rank, hostages for the ransom of the king of
Scots, died of the plague in London. An envoy who proceeded to Scotland on
12th March, 1427, was instructed to ask that the dead hostages be replaced
by others of equal rank; and if the king of Scots objected on the ground
that they had died because they had been kept in places where the late
pestilence raged, notwithstanding their request to be removed, the envoy
was to say that the hostages had been kept in London, where the dukes of
Bedford and Gloucester and all other lords of the Council remained during
the time; and that the hostages were “neither pinned nor barred up” in any
house, but went at large in the city, and might have taken any measures
they pleased for their own preservation. It appears, however, that the
council removed from the city, and that the courts were adjourned, at a
stage of the epidemic subsequent to the deaths of the Scots. The last plea
of the envoy was that, supposing the pestilence had prevailed throughout
England, the king was not therefore bound to send the hostages out of
England; from which hypothetical construction, we may conclude that the
epidemic was special to London--one of a long series requiring the king’s
Court, the Parliament, and the Law Courts to be adjourned[443].

In 1433, the Parliament which met at Westminster on the 8th July, was
prorogued on the 15th August, on account of the _gravis pestilentia_ which
began to arise in London and the suburbs[444]. A London chronicler enters,
under the 12th of Henry VI. (1433) “a grete pestilence and a grete frost,”
a conjunction that would be interesting if the hard winter had
preceded[445]. The plague revived in London in the following autumn; for,
on the 27th October, 1434, the Privy Council ordered all pleas then
pending to be continued from the morrow of All Souls to the octaves of St
Hilary on account of the epidemic[446]. After three years, in 1437, the
Chief Justice of the Common Pleas paid a visit to St Albans Abbey and
remained there some time, “on account of the epidemic plague which was
then reigning in the city of London[447].” Two years after, 1439, comes
the entry in the Rolls of Parliament, already quoted, with reference to
omitting the ceremony of kissing the king, because “a sickness called the
Pestilence universally through this your realm more commonly reigneth than
hath been usual before this time, the which is an infirmity most
infective[448].” Thus we have in the decade from 1430 to 1440 no fewer
than four distinct outbreaks of plague, three of them confined to the city
of London, and one of them, that of 1439, general throughout the realm.
The last was “a sickness called the pestilence,” which should mean the
bubo-plague. The year was one of great distress abroad, many thousands
having died in Paris. It was a year of famine in Scotland, where the
disease was undoubtedly dysentery in part; but the information from
Scotland (given in the sequel) points to the true plague supervening on
the other. There was famine in England at the time when it was in France
and in Scotland, so that the type of sickness may have been, in England
also, fever and dysentery first and plague afterwards.

In 1444, on the 5th of June, the Rolls contain the entry that grave
pestilence began to arise. A severe pestilence is reported at Oxford in
1448[449]. On the 30th May, 1449, Parliament is adjourned to Winchester
to avoid “the corrupt and infected airs” of Westminster. On the 6th
November of the same year it adjourns to Ludgate, in the city of London,
owing to the infection of the air in Westminster. The infected state of
Westminster and other places around is again the subject of an entry on
the 4th December, with this addition: “it has been sufficiently decreed as
to avoiding and extinguishing the said corrupt and infectious air.” About
three months later, on 30th March, 1450, Parliament adjourns to Leicester
on account of the insalubrity of the air at Westminster. In 1452 it
adjourns on 20th November to Reading for the same reason, but is soon
after adjourned to the 11th February, owing to plague in Reading
itself:--“de magna mortalitate in dicta villa de Redyng jam regnante.”
These years must have been a really severe plague-period, for we find in
1454, a reference in the Paston Letters to the alarm caused by the plague
in London. Wm. Paston writes to John Paston, 6 September: “Sergeant-at-law
Billing came to London this week. He sent for me and asked me how I fared.
I told him, here is pestilence, and said I fared the better he was in good
hele, for it was noised that he was dead.... Here is great pestilence. I
purpose to flee into the country[450].”

From 1454 (and the year following in Scotland) there is a clear interval
of ten years without mention of plague in the not very complete records of
the time. With the year 1464 there began a series of outbreaks of plague
which appear to have lasted in one part of the country or another with few
intermissions until 1478. This plague-period is said to have been foretold
in a remarkable prophecy. In the year 1462 a boy at Cambridge, while
walking in a lane between King’s College and the adjoining buildings of
Clare and Trinity Halls, met an old man with a long beard, who addressed
him thus: “Go now and tell to anyone that within these two years there
will be such pestilence, and famine, and slaughter of men, as no one
living has seen.” Having said this he disappeared. Doubts however, were
at once thrown on the reality of these words; for the boy, on being
questioned by Master Myleton, doctor of theology, and others, said that he
neither saw the old man walking on the ground nor heard him speak[451].

The authentic intelligence of plague in England in 1464 is contained in a
letter to the Seignory of Venice from Bruges, dated 5th October, 1464, to
the effect that some Venetian merchants have arrived from London, which
they had quitted on the 26th September. They say the plague is at work
there at the rate of two hundred [deaths] per diem, “and thus writes
[also] Carlo Ziglio.” In April next year, 1465, we hear of it still in
London, through a casual reference in a letter written by one of the
Paston family[452]; and as prevailing all over England, through a formal
entry in the chronicle of Croyland, the last of the monastic records which
continued to be kept. There was an infection of the air, we read, in the
whole of England, so that many thousands of people of every age came to
their death suddenly, like sheep slaughtered[453].

The very next year, 1466, Parliament is adjourned from Westminster on
account of the infection in London, to meet at Reading. Next summer, 1st
July, 1467, there is another adjournment to Reading (6 November), because
of the heat and because the plague was beginning to reign, by which
certain members of the House of Commons had been cut off. After an
interval of four years we hear of plague, in a Paston letter, and by a
Southwell record. On 2 August, 1471, the residentiary canons of Southwell
Minster vote themselves leave of absence for a month “quia regnat morbus
pestiferus in villa Southwell, et furit excessivé morbus pestiferus[454].”
On 13 September, 1471, Sir John Paston writes from near Winchester: “I
cannot hear by pilgrims that pass the country, nor none other man that
rideth or goeth any country, that any borough town in England is free from
that sickness. God cease it when it please him!” Apart from London the
English town which has the most disastrous record for this period is
Hull[455]. The plague was so severe there, in three epidemics close
together, as almost to ruin the place. It broke out in 1472, and had swept
off a great number of the inhabitants before the end of the year,
including the mayor. In 1476 it broke out afresh, causing a great
mortality. In 1478 it was more violent than ever, the number of its
victims being given as 1580, including the mayor and all his family; the
people fled the town, the church was shut up, and the streets deserted and
grass-grown. The epidemic appears to have been, as usual, an autumnal one,
ceasing at the approach of winter. Meanwhile, in 1474, there is mention of
a serious prevalence of plague in the Royal household, as well as
elsewhere in London. The weather of the previous autumn, 1473, had been
remarkable. Labourers are said to have died in the harvest-field from the
excessive heat, and “fervues, axes, and the bloody flyx” (fevers, agues,
and dysentery) to have been universal in divers parts of England; but
there was no dearth. The unusual character of that season, or of the
season preceding, was indicated by the bursting forth of underground
reservoirs of water[456].

The great plague of this period in London should most probably be placed
under the years 1478-9. Merely to show the difficulties of the chronology
it may be worth while citing the various accounts. The Greyfriars’
Chronicle says, under the year 17 Edward IV., that the term was “deferred
from Ester to Michaelmas because of the grete pestylens[457].” The 17th of
Edward IV. was 1477. But Fabyan, who was now a citizen of London
(afterwards sheriff and alderman), enters it under the civic year 1478-79,
or the year which begins for him with the new lord mayor taking office on
30 October. His words are: “This year was great mortality and death in
London and many other parts of this realm, the which began in the latter
end of Senii [September] in the preceding year and continued in this year
till the beginning of November, in the which passed time died innumerable
people in the said city and many places elsewhere[458].” Grafton says,
under the year 1478, that the chief mortality fell in four months of great
heat, during which the pestilence was so fierce and quick that fifteen
years’ war had not consumed a third as many people[459]. To reconcile
these dates we should have to take the year of the Greyfriars’ Chronicle
as 1478, so that the adjournment of the term from Easter to Michaelmas,
might suit the four months in Grafton. At the same time, Fabyan’s
statement that the plague “continued in this year till November,” is
correct for 1479. Sir John Paston writes home from London, 29 Oct. 1479,
of his danger from the sickness; he died there on 15th November; and his
brother, who came up from Norfolk to bury him, writes to his mother, who
wished him “to haste out of the air that he was in,” that the sickness is
“well ceased” in December.

The year 1478, the first of two plague-seasons in London, was also a year
of plague at Hull, and at Newcastle and Southwell. The account for
Newcastle, in its annals under 1478, is merely that great numbers died of
the plague[460]. At Southwell, on 5 July, 1478, the canons residentiary
again take leave of absence for the summer, “because it may be probably
estimated that the dire pestilential affliction in the town of Southwell
will continue, and because the venerable men, with their domestics, have a
just fear of incurring the infection of the said pestiferous
affliction[461].” Next year, 1479, an “incredible number” died of plague
at Norwich[462], and at villages like Swainsthorp, where “they have died
and been sick nigh in every house[463].”

Thus in two years, 1478-79, we hear of an epidemic of plague of the first
rank in London, an epidemic most severe for the size of the place, at
Hull, and epidemics at Southwell, Newcastle and Norwich. This is not
unlike the plague-years that we often find in the centuries following.
Whether it be that we are merely coming to a time of better records, or
that the disease itself was getting worse in English towns, these later
years of Edward IV. are comparable to plague-periods under the Tudors and
the Stuarts.

The period from the Black Death of 1349 to the reign of Edward IV.
witnesses a considerable change in the habits, so to speak, of plague in
England. In the earlier part of that period, the epidemics of
“pestilence”--although they were not all of plague or wholly of
plague--are general throughout England, like the great mortality itself
but on a smaller scale. As late as 1407, or perhaps 1439, we still hear of
“the disease called the pestilence” being universal and in the homes of
the peasantry. The extent of the sickness in 1465, or even the type of it,
is not sufficiently known. From that time onwards town and country are
contrasted in the matter of plague; it becomes usual to flee to the
country so as to escape the pestilential air in town in the summer heats,
and the unwholesomeness of the London air becomes on numerous occasions a
real reason, or a pretext, for the adjournment of Parliament. All the
while, the plague was the lineal descendant of the Black Death,--a virus
so potent on its first entry into English soil as to overrun every parish
of the land.


Plague and other pestilences in Scotland and Ireland, 1349-1475.

The materials for the history of plague in Scotland, including the Black
Death and subsequent outbreaks down to the end of the medieval period, are
much fewer than for England. From the English chroniclers (Knighton and Le
Baker) we learn that the Black Death in the autumn of 1349 extended from
the northern counties to the Scots army in the Forest of Selkirk.
According to Fordoun, plague would have been general in Scotland in 1350;
but as he includes in his reference “several years before and after” and
“divers parts of the world,” his statement that nearly a third part of the
human race paid the debt of nature is perhaps a mere echo of the general
estimate and without reference specially to Scotland[464]. His next
general reference to pestilence is under the year 1362, when the same
kind of disease and the same extent of mortality as in 1350 occurred
throughout all Scotland[465]. But as he says elsewhere that the visit of
David, king of Scots, to Aberdeenshire in 1361, when he took Kildrummy
Castle from the earl of Mar, was determined in the first instance by the
prevalence of plague in the southern part of his kingdom[466], it may be
inferred that the epidemic had begun late in that year in the south,
coincident with the _pestis secunda_ of England, and had been interrupted
by the coming on of winter, as in the first epidemic of 1349 and 1350. The
next mortality recorded by Fordoun he names the fourth (_quarta
mortalitas_) and assigns to 1401[467]. The question arises as to the
third; and it appears that there were indeed two plague-years in Scotland
between 1362 and 1401--namely, 1380 and 1392, both of them corresponding
nearly to great plagues in the north of England. In the former year sir
John Lyon, lord of Glamis, was unable to hold his court as auditor of the
exchequer in certain places owing to the plague[468]. In 1392, also, the
custumars of Haddington, Peebles, and Dumbarton did not attend the
“chamberlain ayres” on account of the pestilence[469]. In 1402 (not in
1401, as Fordoun has it), the custumars of Stirling were absent from the
audit by reason of the plague[470]; and in the same financial year (10
July, 1402, to 18 July, 1403), only one bailie from Dundee attended the
audit at Perth, the others being dead in the pestilence[471].

For a whole generation there is no documentary evidence of plague in
Scotland. But Fordoun has two entries of a disease which he calls
_pestilentia volatilis_--it can hardly have been plague and may have been
influenza--the one in 1430, having begun at Edinburgh in February, and the
other in 1432 at Haddington[472].

Under the year 1439, an old chronicle, _Ane Addicioun of Scottis
Cornicklis and Deidis_ records one of those seasons of famine and
dysentery or lientery, with some more sudden sickness, which have been
described for England in a former chapter. “The samen time there was in
Scotland a great dearth, for the boll of wheat was at 40_s._, and the boll
of ait meal 30_s._; and verily the dearth was sae great that there died a
passing [number of] people for hunger. And als the land-ill, the wame-ill,
was so violent, that there died mae that year than ever there died, owther
in pestilence, or yet in ony other sickness in Scotland. And that samen
year the pestilence came in Scotland, and began at Dumfries, and it was
callit the _Pestilence but Mercy_, for there took it nane that ever
recoverit, but they died within twenty-four hours[473].” Here the
“land-ill” or “wame-ill” (dysentery or lientery) is contrasted within “the
pestilence,” which latter is said to have supervened the same year,
beginning at Dumfries and proving peculiarly deadly. This was a year of
plague, said to be “universal,” in England (where famine also was severe),
and of an enormous mortality in France.

The continuator of Fordoun records under the year 1455 (James II.) a great
pestilential mortality of men through the whole kingdom, an epidemic which
would be again a year behind the corresponding plague in England[474]. We
hear of it next definitely in the year 1475, which falls within the series
of plague-years at Hull, and elsewhere in the southern part of the island.
On account of an outbreak of pestilence the king of Scots adjourned the
meeting of the estates from September 1475 to the Epiphany following[475],
when the Parliament actually met. The same year there was a
plague-hospital on Inchkeith, in the Firth of Forth, and not for the first
time; ten marts from the Orkneys were landed there for the quarantined
patients[476].

The references to plague in Scotland begin again about the year 1498; but
these, according to the division of our subject, will come into another
chapter.

The references to plagues in Ireland after the invasion of 1349 are
extremely meagre; but they make it probable that outbursts of bubo-plague
recurred at intervals, as well as occasional epidemics of flux and other
diseases brought on by scarcity or bad corn. The continuators of Clyn’s
Kilkenny annals enumerate various _pestes_--_secunda_, _tertia_, _quarta_
and _quinta_--just as the English annalists do. The _secunda_ falls in
1362, its season in Scotland also[477]. The _tertia_ is given under 1373;
but also under 1370[478]. The _quarta_ is in 1382 (or 1385), and the
_quinta_ in 1391. But there is little or no independent evidence that this
chronology, originally made for England, is really good for Ireland also.
The only other entry, until the Tudor period, is “fames magna in Hibernia”
in 1410[479].




CHAPTER V.

THE SWEATING SICKNESS.


The strange disease which came to be known all over Europe as _sudor
Anglicus_, or the English Sweat, was a new type or species of infection
first seen in the autumn of 1485. Polydore Virgil, an Italian scholar and
man of affairs, who arrived in England in 1501, became, in effect, the
court historian of Henry VII.’s reign, and of the events which led up to
the overthrow of Richard III. at Bosworth Field on the 22nd of August
1485; his account of the movements of Henry Tudor, from his landing at
Milford Haven on Saturday the 6th of August until his triumphal entry into
London on Saturday the 27th of the same month, is so minute that he must
be assumed to have had access to journals written at the time. Polydore’s
account of the sweat begins with the statement that it showed itself on
the first descent of Henry upon the island--_sub primum descensum in
insulam_[480]. The last continuator of the ancient chronicle of Croyland
abbey, who was still making his entries when Bosworth Field was fought,
not far from Croyland, and who closed his annals the year after, records
an incident which seems to show that the sweat had been prevalent before
the battle. Thomas, lord Stanley, lay at Atherstone, not far from
Bosworth, with five thousand men nominally in the service of Richard, and
was summoned by the king to bring up his force before the battle. He
excused himself, says the Croyland annalist, on the ground that he was
suffering from the sweating sickness[481]. I shall examine that evidence,
and the general statement of Polydore Virgil, in a later part of this
chapter. Meanwhile we may take it that the outbreak of the sweat was
somehow associated in popular rumour with the victorious expedition of
Henry Tudor. Writers on the English sweat hitherto have had to depend on
the somewhat meagre and not always consistent statements of annalists for
their knowledge of its first authentic occurrence. I am now able to adduce
the testimony of a manuscript treatise on the new epidemic, written by a
physician while it was still prevalent in London, and elaborately
dedicated to Henry VII., if not composed by his order[482]. The author is
Thomas Forrestier, styled in the title a Doctor of Medicine and a native
of Normandy, tarrying in London. Whatever his relation with the Tudor
court may have been, his name does not occur in the patents as one of the
king’s physicians. It appears, indeed, that he had got into trouble in
London some two years after this date; for, on the 28th of January, 1488,
the king granted to him a general pardon, “with pardon for all escapes and
evasions out of the Tower of London or elsewhere, and remissions of
forfeiture of all lands and goods[483].” Probably he went back after this
to his native Normandy: at all events, he is next heard of in practice at
Rouen, where he published, in 1490, a Latin treatise on the plague, one of
the first productions of the printing-press of that city.

It is in the opening sentences of his printed book on the plague[484], and
not in his manuscript on the sweat, that he fixes the date when the latter
began. The sweating sickness, he says, first unfurled its banners in
England in the city of London, on the 19th of September, 1485; and then
follow in the text certain astrological signs, representing the positions
or conjunctions of heavenly bodies on that date. The London chronicles of
the time assign dates for the beginning of the epidemic which differ
somewhat from Dr Forrestier’s. One of them, a manuscript of the Cotton
collection, by an anonymous citizen of London, records the entry of Henry
VII. into the capital on the 27th of August, and proceeds: “And the XXVII
day of September began the sweating syknes in London, whereof died Thomas
Hyll that yer mayor, for whom was chosen sir William Stokker, knyght,
which died within V days after of the same disease. Then for him was
chosen John Warde.... And this yere died of that sickness, besides ii
mayors above rehersed, John Stokker, Thomas Breten, Richard Pawson, Thomas
Norland, aldermen, and many worshipful commoners[485].” In the better
known but not always equally full chronicle of Fabyan, who was then a
citizen, and afterwards sheriff and alderman, the date of Henry’s
reception by the mayor and citizens at Hornsey Park is given as the 28th
of August, the reference to the sweat being as follows: “And upon the XI
day of Octobre next following, than beynge the swetynge sykeness of newe
begun, dyed the same Thomas Hylle, mayor, and for him was chosen sir
William Stokker, knyght and draper, which dyed also of the sayd sickness
shortly after.” The only other particular date extant for the sweat of
1485 comes from the country: Lambert Fossedike, abbot of Croyland, died
there of the sweating sickness, after an illness of eighteen hours, on the
14th of October[486].

Apart from the hitherto unknown manuscript of Forrestier, these are the
only contemporary references. Stow, who must have had access to some
journal of the time, says that the king entered London on the 27th August
and that “the sweating began the 21st September, and continued till the
end of October, of the which a wonderful number died,” including the two
mayors and four other aldermen, as above. Hall’s chronicle, which has been
the principal source used by Hecker and others, reproduces the account of
the sweat by Polydore Virgil almost word for word; and Polydore’s account
was certainly not begun until after 1504 and was not published until 1531.
Bernard André, historiographer and poet laureate of Henry VII., was
present at the entry into London on the 27th August; but he gives no
particulars of the sweat of that autumn, in his ‘Life of Henry VII.,’
although it is probable that his ‘Annals of Henry VII.’ would have
furnished some information had they not been lost for the year 1485, as it
is to his extant annals for the year 1508 that we owe almost all that is
known of the second epidemic of the sweat in that year. The state papers
of the time do not contain a single reference to the epidemic, although it
was so active in the city of London as to carry off two mayors and four
aldermen within a few days, and was besides, as Polydore Virgil says, “a
new kind of disease, from which no former age had suffered, as all agree.”
London was full of people, including some who had stood by Henry Tudor in
France, others who had joined his standard in Wales, and still others who
came to do homage to the new dynasty; and there is evidence remaining of
hundreds of suitors, great and small, attending the court to receive the
reward of their services in patents and grants, as well as evidence in the
wardrobe accounts of the bustle of preparing for the Coronation on the
30th of October. But in all the extant state records of those busy weeks,
there is not a scrap of writing to show that such a thing as a pestilence
was raging within the narrow bounds of the city and under the walls of the
royal palace in the Tower. It remains, therefore, to make what we can out
of the medical essay which Dr Forrestier wrote for the occasion.

In his later reference of 1490, he says that more than fifteen thousand
were cut off in sudden death, as if by the visitation of God, many dying
while walking in the streets, without warning and without being confessed.
That number of the dead need not be taken as at all exact: nor does it
appear whether it is meant for London or for the whole country. But the
dramatic suddenness of the attack is illustrated by particular cases in
his original treatise of 1485, although deaths so sudden are unheard of in
any infection:--

    “We saw two prestys standing togeder and speaking togeder, and we saw
    both of them dye sodenly. Also in die--proximi we se the wyf of a
    taylour taken and sodenly dyed. Another yonge man walking by the
    street fell down sodenly. Also another gentylman ryding out of the
    cyte [date given] dyed. Also many others the which were long to
    rehearse we have known that have dyed sodenly.” Gentlemen and
    gentlewomen, priests, righteous men, merchants, rich and poor, were
    among the victims of this sudden death. Of the symptoms he says: “And
    this sickness cometh with a grete swetyng and stynkyng, with rednesse
    of the face and of all the body, and a contynual thurst, with a grete
    hete and hedache because of the fumes and venoms.” He mentions also
    “pricking the brains,” and that “some appear red and yellow, as we
    have seen many, and in two grete ladies that we saw, the which were
    sick in all their bodies and they felt grete pricking in their bodies.
    And some had black spots, as it appeared in our frere (?) Alban, a
    noble leech on whose soul God have mercy!”

Both in his pathology and in his copious appendix of formulae he directs
attention to the heart, as the organ that was suddenly overpowered by the
pestilential venoms. Many died, he would have us believe, because they
listened to the false leeches, who professed to know the disease and to
have treated it before. A considerable part of his space is occupied with
the denunciation of these irregular practitioners, their greed and their
ignorance,--a theme which is a common one in the prefaces of Elizabethan
medical works also. It appears that the false leeches wrote and put
letters upon gates and church doors, or upon poles, promising to help the
people in their sickness. They were also injudicious in the choice of
their remedies--some ordaining powders and medicines that are hot until
the thirtieth degree and over, others ale or wine, or hot spices, “and
many other medicines they have, the which, the best of them, is nothing
worth.” These false leeches knew not the causes,--their complexions, their
ages, the regions, the times of the year, the climate,--evidently the
astrological lore which gave Chaucer’s physician, a century earlier, his
academical standing or his superiority to the vulgar quacks of his day.
Those who fell into the hands of quacks, Forrestier implies, had an
indifferent chance. Many died for want of help and good guiding; whereas
many a one was healed that had received a medicine in due order, “and if
he purge himself before.” The clearly written and fully detailed formulae
at the end of his essay are so far evidence that Forrestier did not
traffic in secret remedies. The first part of the essay is occupied with
the doctrine of causes--the nigh causes and the far. The far causes were
astrological; but the nigh causes, although they are altogether inadequate
to account for sweating sickness as a special type, and are indeed little
else than the stock list of nuisances quoted in earlier treatises upon the
plague, are suggestive enough of the condition of London streets and
houses at the time, and will be referred to in a later part of the
chapter.

The account of the treatment given by Polydore Virgil, and from him copied
into Hall’s chronicle, is probably the experience of later epidemics of
the sweat, although it comes into the history under the year 1485. The
evil effects of throwing off the bed-clothes, and of drinking great
draughts of cold water, and, on the other hand, the benefits of lying
still with the hands and feet well covered, are among the topics discussed
in letters during the epidemic of 1517, one of those which came within the
historian’s own experience in England. But it is clear from Forrestier’s
essay of 1485 that there were great differences in the regimen of patients
in the sweat during its very first season, some adopting the hot and
cordial treatment, others, perhaps, the cooling, just as in the smallpox
long after. Bernard André implies that there was a correct and an
incorrect regimen also in the second epidemic of 1508, and there is
evidence of conflicting advice in the letters on the sweats of 1517 and
1528. If there were any better regimen in the later epidemics than in the
earlier, as Polydore Virgil says there was, it was merely the wisdom of
avoiding extremes. Hence the misleading character of his remark that,
after an immense loss of life, “a remedy was found, ready to hand for
everyone.” Bacon in his ‘Reign of Henry VII.’ took from Polydore almost
word for word all that he says of the “remedy” of the sweat; and the
unreal word-spinning thus begun was carried to its full development by
bishop Sprat, the historian of the Royal Society (1667), who mistakes the
“remedy” for some _arcanum_ or potent drug, gives my lord Verulam the
credit of preserving the prescription for the use of posterity, and
adduces it as an encouragement to the Royal Society to seek among the
secrets of nature for an equally efficacious “antidote” to the plague.

The language of historians is that the sweat of 1485 spread over the whole
kingdom. We hear of it definitely at Oxford[487] where it “lasted but a
month or six weeks” and is said to have cut off many of the scholars
before they could disperse. It is heard of also with equal definiteness at
Croyland abbey. There is also mention of it in a contemporary calendar of
the mayor of Bristol, but without any special reference to that city[488].
Beyond these notices, there appears to be nothing to show that the sweat
went all through England in the late autumn or early winter of 1485. But
we may take the following passage by Forrestier, in the dedication of his
tract to the king, as expressing the state of matters, with perhaps some
exaggeration:

    “When that thy highness and thy great power is vexed and troubled with
    divers sickness, and thy lordships and almost the middle part of thy
    realm with the venomous fever of pestilence, and, by the reason of
    that, young and old and of all manner of ages, with divers wailings
    and sadness they are stricken: therefore, excellent and noble prince,
    we are moved with every love and duty, and not for no lucre neither
    covetyse, to ordain a short governing against this foresaid
    fever[489].”


The Second Sweat in 1508.

After the first outburst of the sweat in 1485 had subsided, probably
before winter was well begun, nothing more is heard of it for twenty-three
years. It reappeared in 1508, a third time in 1517, a fourth time in 1528,
and for the last time in 1551. With each successive outbreak, our
information becomes less meagre, while the epidemic of 1551 actually
called forth an English printed book by Dr Caius, the epidemic of 1528
having called forth a whole crop of foreign writings on its spreading to
the continent (for the first and only time) in the year following (1529).
As the nature, causes, and favouring circumstances of the sweat cannot
profitably be dealt with except on a review of its whole history, it will
be necessary to take up at once and together the four subsequent epidemics
of it in this country, leaving the intercurrent and probably much more
disastrous epidemics of bubo-plague, during the same period, as well as
the great invasion of syphilis in 1494-6, to be chronicled apart.

Our knowledge of the second outbreak of the sweat, in 1508[490], comes
almost exclusively from Bernard André, whose _Annals of Henry VII._[491]
are fortunately preserved for that year (as they are also for 1504-5).
Under the date of July, 1508, he says that some of the household of the
Lord Treasurer were seized with the sweat, and died of it, “and everywhere
in this city there die not a few.” In August public prayers were made at
St Paul’s on account of the plague of sweat. In the same month the king’s
movements from place to place in the country round London are described as
determined by the prevalence of the sweat. From Hatfield, whither he had
gone to visit his mother on the 9th August, he went to Wanstead, where
certain of his household “sweated;” on that account the king moved to
Barking, and thence to other places about the 14th. He avoided Greenwich
and Eltham, in both which places the chief personages of the royal palaces
“had sweated,” so much did the sickness then rage in all places (_per
omnia loca_). Some of the king’s personal attendants appear to have caught
the infection; nor did it avail, says André, to run away or to follow the
chase, _quoniam mors omnia vincit_. Other visits were paid down to the
17th August, and a strict edict was issued that no one from London was to
come near the court, nor anyone to repair to the city, under penalties
specified. The only one near the king’s person who died of it was lord
Graystock, a young Cumberland noble. The Lord Privy Seal and the Lord
Chamberlain were both attacked but recovered; doctor Symeon, the dean of
the Chapel Royal, died of it. There appears to have been a good deal of
the sickness in various places, but many recovered, says André, with good
tending. The king occupied himself with hunting the stag in the forests at
Stratford, Eltham and other places round London.

From the provinces there is one item of information relating to
Chester[492]: in the summer of 1507, it is said, the sweating sickness
destroyed 91 in three days, of whom only four were women. At Oxford in
1508, or the year before Henry VII.’s death, there was a sore pestilence
which caused the dispersion of divers students; but it is not called the
sweat[493].


The Third Sweat in 1517.

Except for a single reference to the sweat in 1511, nothing is heard of it
between the autumn of 1508 and the summer of 1517. The reference in 1511
occurs in a letter of Erasmus, from Queens’ College, Cambridge, dated 25th
August, in which he says that his health is still indifferent _a sudore
illo_. This may possibly refer to the lingering effects of an attack in
1508, or to the influenza of 1510; and as all the other references in 1511
are to plague, and to alarms of plague, it may be doubted if the sweating
sickness had really been prevalent in England in that year, or at any time
between 1508 and 1517. We begin to hear of it definitely in the summer of
the latter year. We have now reached a period from which numerous letters,
despatches and other state papers have come down[494]. Among the most
useful of these for our purpose are the despatches of the Venetian
ambassador and the apostolic nuncio from London, the letters of Pace to
Wolsey when Henry VIII. was in the country and the cardinal not with him,
the letters of Erasmus, sir Thomas More and others.

The first that we hear of sickness in London in 1517 is from a letter of
the 24th June, written by a cardinal of Arragon to Wolsey, from Calais;
the cardinal, who was travelling like a noble, with a train of forty
horses, had intended to visit London, but was waiting on the other side
owing to a rumour that the sickness was prevalent in London. It is
probable that this rumour had referred to the standing infection of
English towns in summer and autumn, the bubo-plague; for it is not until
five weeks later that we hear of the sweating sickness under its proper
name.

On the 1st of August the nuncio writes from London to the marquis of
Mantua that a disease is broken out here causing sudden death within six
hours; it is called the sweating sickness; an immense number die of it. On
the 6th of August he occupies the greater part of a letter of three pages
with an account of it. To some it proved fatal in twelve hours, to others
in six, and to others in four; it is an easy death. Most patients are
seized when lying down, but some when on foot, and even a very few when
riding out. The attack lasts about twenty-four hours, more or less. It is
fatal to take, during the fit, any cold drink, or to allow a draught of
air to reach the drenching skin; the covering should be rather more ample
than usual, but there was danger in heaping too many bed-clothes on the
patient. A moderate fire should be kept up in the sick chamber; the arms
should be crossed on the patient’s breast, and great care should be taken
that no cold air reached the armpits[495]. The disease was on the
increase, and was already spreading over England; it was reported that
more than four hundred students had died of it at Oxford, which was a
small place but for the university there. Burials were occurring on every
side; there had been many deaths in the king’s household and in that of
cardinal Wolsey, who was in the country “sweating.” Such is the universal
dread of the disease that there are very few who do not fear for their
lives, while some are so terrified that they suffer more from fear than
others do from the sweat itself.

On the same day (6th August), the Venetian ambassador, Sebastian
Giustinian, who was on friendly terms with the nuncio and often indebted
to him for information, writes to the Doge giving much the same account of
“the new malady.” He remarks upon the sudden onset, the rapidity of the
issue when it was to be fatal, and the cessation of the sweat within
twenty-four hours. His secretary had taken it, as well as many of his
domestics. Few strangers are dead, but an immense number of Englishmen. On
going to visit Wolsey, he found that he had the sweat; many of the
cardinal’s household had died of it, including some of his chief
attendants; the bishop of Winchester also had taken it. On the 12th of
August, the Venetian envoy writes that he himself and his son have had the
sweat; Wolsey has had it three times in a few days, many of his people
being dead of it, especially his gentlemen[496]. In London “omnes silent.”

Wolsey’s attack and relapses are confirmed by his own letter to the king;
about the end of August he went on a pilgrimage to Walsingham, and
remained there most of September, but even after his return he was “vexed
with fever.” The relapses of the sweat, which are mentioned by Forrestier
in 1485, by André in 1508, and now again in 1517, may have been the origin
of the saying in the form of a proverb, which occurs in an essay of the
time by sir Thomas More,--that the relapse is worse than the original
disease[497].

The death of a well-known personage, Ammonio, the Latin secretary of the
king, is the subject of several letters, including one of the 19th August
from More to Erasmus; he died at nine on the morning of the 17th August,
after an illness of twenty hours: he had been congratulating himself on
being safe by reason of his temperate life. More confirms the statement as
to deaths in the university of Oxford, and he adds also at Cambridge. In
London the sweat attacks whole families: “I assure you there is less
danger in the ranks of war than in this city.” His own family (? in
Bucklersbury) are safe so far, and he has composed his mind for any
eventuality. He hears that the sweat is now at Calais. On the 27th August,
the Venetian envoy writes again that the disease is now making great
progress; the king keeps out of the way at Windsor, with only three
favourite gentlemen and Dionysius Memo, who is described as his physician,
but in other letters as “the Reverend,” and as a musician from Venice. On
the 21st September the envoy has gone to the country to avoid “the plague
_and_ the sweating sickness.” A few days later (26th Sept.) he writes that
“the plague” is making some progress, and that the prolonged absence of
the king, the cardinal and other lords from London owing to the sweat, had
encouraged the citizens to a turbulent mood against the foreign traders
and residents; the state of matters was so threatening that three thousand
citizens were under arms to preserve the peace. The references after
September, 1517, are mostly to the “common infection” or plague, which was
an almost annual autumnal event in London. There was probably some
confusion, at the time, between that infection and the sweat, not, of
course as regards symptoms, but in common report; thus it is not clear
whether the fresh alarm in the king’s court at or near Windsor on the 15th
October, owing to the deaths of young lord Grey de Wilton and a German
attendant of the king, refers to the sweat or to the plague. As late as
the 2nd November, a letter from the University of Oxford to Wolsey
excuses delay in answering his two letters on the ground of the sweating
sickness.

The prevalence of “sudor tabificus” at Oxford in 1517 is known from other
sources as well: it is said to have caused “the dispersion and sweeping
away of most, if not all, of the students[498];” and the nuncio, writing
from London on the 6th of August, mentions the current but improbable
statement that more than four hundred students had died in less than a
week.

Besides these from Oxford, there are hardly any notices of the 1517 sweat
in the country remote from London. A record at Chester mentions an
outbreak of “plague,” which is taken to mean sweating sickness; it is said
also to have been “probably more serious than in 1507;” many died, others
fled; and the grass grew a foot high at the Cross[499]. But these are the
marks of true plague, which we know to have broken out in London, and in
country districts as well, in the autumn and winter of 1517, or almost as
soon as the short and sharp outburst of the sweat was past.

Among the references to prevailing diseases on the continent in 1517,
besides sir Thomas More’s rumour of the sweat in Calais, there is none
which would lead us to suppose that the distinctive English malady had
invaded Europe in that year. But there is a significant statement by
Erasmus, hitherto overlooked, which almost certainly points to an epidemic
of influenza on the other side of the North Sea the year after the sweat
was prevalent in England. It is known that there was a suddenly fatal form
of throat disease prevalent in the Netherlands that spring, which has been
taken to be diphtheria; but the malady to which Erasmus refers can hardly
have been the same as that. Writing from Louvain to Barbieri on the 1st
June, 1518, he says that a new plague is raging in Germany, affecting
people with a cough, and pain in the head and stomach, he himself having
suffered from it. The significance of that epidemic, assuming it to have
been influenza, will be dealt with in the sequel.

By means of the foregoing contemporary notices of the sweat in 1517 we
are able to judge of the general accuracy of the summary of it in Hall’s
chronicle, which has been hitherto almost the only source of information.
The sweat killed, he says, in three hours or two hours, which is something
of an exaggeration of the shortest duration mentioned by the nuncio and
the Venetian envoy in their letters of the 1st and 6th August. Another
general statement may be suspected of even greater exaggeration: “For in
some one town half the people died, and in some other town the third part,
the sweat was so fervent and the infection so great.” The sweat lasted, he
says, to the middle of December. Stow, in his _Annals_, more correctly
states that the plague came in the end of the year, after the sweat. The
plague was much the more deadly infection of the two; but even plague and
sweat together, and at their worst, would hardly have destroyed one-half
or one-third of the inhabitants of a town.


The Fourth Sweat in 1528.

As the despatches of the nuncio and the Venetian envoy in London give the
best accounts of the sweat of 1517, it is in the despatches of the French
ambassador, Du Bellay, that we find the most serviceable particulars of
the sweat in 1528. Du Bellay, bishop of Bayonne, and a witty diplomatist,
was in London through the whole of it, and during that time sent letters
to Paris, in three of which the sweat is a principal topic. From many
other state letters of the time various particulars may be gathered, and
in one letter by Brian Tuke, one of the king’s ministers, we find some
theorizings about the disease. The outbreak befell at the time when Henry
VIII.’s passion for Mistress Anne Boleyn, sister to one of the ladies of
the Court, was waxing strong; it had the effect of parting the lovers for
several weeks, the distance between them having been bridged over by an
interchange of tender notes, of which those of the king remain open to the
prying eyes of posterity.

The sweat is heard of as early as the 5th of June, 1528, when Brian Tuke
writes to Tunstall, bishop of London, that he had fled to Stepney “for
fear of the infection,” a servant being ill at his house. The sickness
must have made little talk for some ten days longer. On the 18th June, Du
Bellay writes that it had made its appearance “within these four
days[500].” On the 16th, the king at Greenwich was alarmed by the
intelligence that a maid of Anne Boleyn’s had been attacked by it[501]. He
left in great haste for Waltham, and sent the young lady to her father’s
in Kent. “As yet,” writes Du Bellay, “the love has not abated. I know not,
if absence and the difficulties of Rome may effect anything.” The king
wrote to her at once: “There came to me in the night the most afflicting
news possible.... I fear to suffer yet longer that absence which has
already given me so much pain.” He sends his second physician (Dr Butts)
to her. The alarm about her health seems to have been uncalled for just
then, although both she and her father caught the disease within a few
days. By the 18th June, according to the French envoy, some 2000 had
caught the sickness in London. It is, he says, a most perilous disease:
“one has a little pain in the head and heart; suddenly a sweat begins; and
a physician is useless, for whether you wrap yourself up much or little,
in four hours, sometimes in two or three, you are despatched without
languishing as in those troublesome fevers.” The day before, on going to
swear the truce, he saw the people “as thick as flies rushing from the
streets or shops into their houses to take the sweat whenever they felt
ill.... In London, I assure you, the priests have a better time than the
doctors, except that the latter do not help to bury. If this thing goes
on, corn will soon be cheap. [The season was one of scarcity.] It is
twelve [eleven] years since there was such a visitation, when there died
10,000 persons in ten or twelve days; but it was not so bad as this has
been.” Writing again, twelve days after, on the 30th June, he says that
some 40,000 had been attacked in London, only 2000 of whom had died; “but
if a man only put his hand out of bed during the twenty-four hours, it
becomes as stiff as a pane of glass”--that is to say, by keeping
themselves carefully covered, as we learn also from Polydore Virgil’s
history and letters on the sweat of 1517, they greatly increased the
chance of recovery. In his third despatch, 21st July, he says the danger
begins to diminish hereabout and to increase elsewhere; in Kent it is very
great. Anne Boleyn and her father have sweated, but have got over it. The
notaries have had a fine time of it, nearly everyone having made his will,
as those who took the disease in its fatal form “became quite foolish the
moment they fell ill.” His estimate of 100,000 wills is, of course, a
humorous exaggeration. The sweat had been at its height in London,
according to its wont, for only a few weeks, mostly in July. On the 21st
of August one writes from London that “the plague at this day is well
assuaged, and little or nothing heard thereof.” From other parts of
England there are few particulars of the sweat of 1528. We hear of it at
Woburn on the 26th June, in a nunnery at Wilton on the 18th July, at
Beverley on the 22nd July--it is reported as very serious in Yorkshire
generally,--at Cambridge on the 27th July, and at several places in Kent
about the same date. The “infection” at Dover as late as the 27th
September may not have been the sweat, but the ordinary bubo-plague. But
it is probably to the sweat that the deaths of four priests and two
lay-brothers at Axholme, in Lincolnshire, are to be referred, as well as
the heavy mortality in the Charterhouse, London[502].

As in the previous sweat of 1517, the letters of the time give us many
glimpses of the invasion of great households in and around London,
including the king’s.

When the French ambassador was walking with Wolsey in his garden at York
Place (Whitehall) on a day in June, word was brought to the cardinal that
five or six of his household had taken the sweat, and the diplomatic
interview was brought to an abrupt end. Du Bellay writes again in July
that only four men in Wolsey’s great house remained well. Among those in
his household who died of it were a brother of lord Derby and a nephew of
the duke of Norfolk. The cardinal, who had suffered from the sweat and its
relapses in 1517, fled from it to Hampton Court on the 30th June, and shut
himself up there with only a few attendants, having previously adjourned
the law courts and stopped the assizes. On the 21st of July, Du Bellay
writes that it was almost impossible to get access to Wolsey, and suggests
that he might have to speak with him at Hampton Court through a trumpet.
In the same letter the French ambassador refers to the circumstances of
his own attack when he was visiting the archbishop of Canterbury (Warham),
probably at Lambeth: “The day I sweated at my lord of Canterbury’s, there
died eighteen persons in four hours, and hardly anyone escaped but myself,
who am not yet quite strong again.” The bishop of London, Tunstall, writes
to Wolsey from Fulham on the 10th July, that thirteen of his servants were
sick of the sweat at once on St Thomas’s day; he had caused the public
processions and prayers to be made, which the king had wished for on the
5th July. The governor of Calais writes on the 10th July: “The sweat has
arrived and has attacked many.” Only two were dead, a Lancashire gentleman
and a fisherman; but in a second letter of the same night, four more are
dead, of whom two “were in good health yestereven when they went to their
beds.” Various other letters about the same date make mention of personal
experiences of the sweat, or of domestics attacked, at country houses in
the home counties. The most minute accounts are those for the king’s
household.

On the 16th June the king had left Greenwich hurriedly for Waltham. In a
letter to Anne Boleyn, he writes that, when he was at Waltham, two ushers,
two valets-de-chambre, George Boleyn and Mr Treasurer (Fitzwilliam) fell
ill of the sweat, and are now quite well. “The doubt I had of your health
troubled me extremely, and I should scarcely have had any quiet without
knowing the certainty; but since you have felt nothing, I hope it is with
you as with us.” He had removed to Hunsdon (on 20th or 21st June) “where
we are very well, without one sick person. I think if you would retire
from Surrey, as we did, you would avoid all danger. Another thing may
comfort you: few women have this illness, and moreover none of our court,
and few elsewhere, have died of it.” When Brian Tuke went to Hunsdon on
the 21st June, the king spoke to him “of the advantages of this house, and
its wholesomeness at this time of sickness.” Two days after, Tuke having
business with the king, found him “in secret communication with his
physician, Mr Chambre, in a tower where he sometimes sups apart.” The king
conversed with his minister about the latter’s ill-health (seemingly
stone), and showed him remedies, “as any most cunning physician in England
could do.” As to the infection, the king spoke of how folk were taken, how
little danger there was if good order be observed, how few were dead, how
Mistress Anne and my lord Rochford (her father) both have had it, what
jeopardy they have been in by the turning in of the sweat before the time,
of the endeavours of Mr Butts who had been with them, and finally of their
perfect recovery. The king sends advice to Wolsey to use “the pills of
Rhazes” once a week, and, if it come to it, to sweat moderately and to the
full time, without suffering it to run in. But the king’s optimist views
of the malady were quickly disturbed. William Cary, married to Anne
Boleyn’s sister, died of the sweat suddenly at Hunsdon, having just
arrived from Plashey, and two others of the Chamber, Poyntz and Compton,
died about the same time either there or at Hertford, whither the king
removed. On the evening of the 26th June there fell sick at Hertford, the
marquis and marchioness of Dorset, sir Thomas Cheyney, Croke, Norris and
Wallop. The king hastily left for Hatfield, on the 28th June, where still
others appear to have taken the sickness. Du Bellay, writing on the 30th,
says all but one of the Chamber have been attacked. From Hatfield the king
went at once to Tittenhanger, a country house which belonged to Wolsey as
abbot of St Albans, and there he elected to take his chance of the sweat,
keeping up immense fires to destroy the infection. On the 7th July, Dr
Bell writes from Tittenhanger to Wolsey that “none have had the sweat here
these three days except Mr Butts.” Two days later, however, the
marchioness of Exeter “sweated,” and the king ordered all who were of the
marquis’s company to depart, he himself removing as far as Ampthill,
whence he thought of removing on the 22nd July to Grafton, but was
prevented by the prevalence of the infection there. Shortly after Anne
Boleyn returned to the court. It is clearly to the period of her return
that an undated letter of hers to Wolsey belongs; after writing a few
formal lines to make interest with the cardinal, she took her letter to
the king for him to add a postscript, which was as follows: “Both of us
desire to see you, and are glad to hear you have escaped the plague so
well, trusting the fury of it is abated, especially with those that keep
good diet as I trust you do.”

Although the attacks mentioned in the correspondence of the time are many,
the deaths are few. A letter of Brian Tuke’s to Wolsey’s secretary, on the
14th July, takes a somewhat sceptical line about the whole matter. His
wife has “passed the sweat,” but is very weak, and is broken out at the
mouth and other places. He himself “puts away the sweat” from himself
nightly (directly against the king’s advice to him), though other people
think they would kill themselves thereby. He had done that during the last
sweat and this, feeling sure that, as long as he is not first sick, the
sweat is rather provoked by disposition of the time, and by keeping men
close, than by any infection, although the infection was a reality.
Thousands have it from fear, who need not else sweat, especially if they
observe good diet. He believes that it proceeds much of men’s opinion. It
has been brought from London to other parts by report; for when a whole
man comes from London and talks of the sweat, the same night all the town
is full of it, and thus it spreads as the fame runs. Children, again,
lacking this opinion, have it not, unless their mothers kill them by
keeping them too hot if they sweat a little. It does not go to Gravelines
when it is at Calais, although people go from the one place to the other.


The English Sweat on the Continent in 1529[503].

Whether the sweat went at length to Gravelines or other places in that
direction does not appear; but there is abundant evidence that it showed
itself in the course of the following year (1529) in many parts of the
Continent, excepting France, and that its outbreak was often attended with
a heavy mortality. It was observed in Calais, as we have seen, on the 10th
of July, 1528. But it is not until the year after, on the 25th of July,
1529, that we hear of it again,--at Hamburg, where a thousand persons are
said to have died of it within four or five weeks, most of them within
nine days. On the 31st July it was at Lübeck, and about the same time at
Bremen and the neighbouring ancient town of Verden; on 14th August in
Mecklenburg; at Stettin on the 27th August, and at Wismar, Demmin,
Rostock, Stralsund, and Greifswald about the same date; in Danzig on the
1st September; Königsberg, on the 8th; and so eastwards to Livonia in
1530, and to Lithuania, Poland and Russia, the information for which
countries is vague. Copenhagen also suffered from it, and towns in the
interior of East Prussia, such as Thorn and Kulm. Meanwhile the sweat had
proceeded by way of Hanover and Göttingen, about the middle of August
afflicting also Brunswick, Lüneburg, Waldeck, Hadeln, Einbeck, Westphalia,
the valley of the Weser, and East Friesland. It reached Frankfurt on the
11th September, Worms shortly after, and Marburg at the end of the month,
breaking up the conference there between Luther and Zwingli, and their
respective adherents, on the doctrine of the Eucharist. Jülich, Liege and
Cologne were reached about the middle of September, and Speyer about the
24th, Augsburg (where there was a most severe and protracted epidemic) on
the 6th, Strasburg on the 24th. Freiburg in Breisgau, Mühlhausen and
Gebweiler in Alsace, in October. In November, the sickness overran
Wurtemberg, Baden, the Upper Rhine, the Palatinate, and the shores of the
Lake of Constance. Among the other German provinces visited in due order
were Franconia, Thuringia, Saxony, the Saxon Metal Mountains, Meissen,
Mannsfeld, Halberstadt, Magdeburg, Wittenberg, Lusatia, the Mark of
Brandenburg, and Silesia. In Vienna the sweat prevailed during the siege
by Sultan Soliman from the 22nd September to the 14th October. At Berne it
is heard of in December, and at Basle in January 1530. The Low Countries
had not been affected so soon as their nearness to England might have led
one to expect: the sickness is said to have approached them from the Rhine
in the latter half of September. They suffered severely, one of the
heaviest mortalities being reported for the town of Zierikzee, where three
thousand are said to have died subsequent to the 3rd of October, 1529.

In this remarkable progress over the mainland of Europe, France was
conspicuously avoided. The sweat does not appear to have entered Spain,
nor to have crossed the Alps. But all the rest of the Continent, from the
Rhine to the Oder (if not farther east) and from the Baltic to the Alps,
was reached by the English sweat in much the same way as if it had been an
influenza reversing the order of its usual direction. There need be no
hesitation as to the correctness of the diagnosis; the disease was
described by several foreign writers from their own observation, and their
descriptions agree entirely with those of Forrestier, in 1485, of Polydore
Virgil, perhaps for the epidemics of 1508 and 1517, and of the
letter-writers who were describing the epidemic of the year before (1528),
as they saw it in and around London. The striking thing in the accounts
from the continent is the enormous range of its fatality; in some towns
the proportion of deaths to cases was hardly more than in influenza, while
in others it was the death-rate of a peculiarly pestilential or malignant
typhus; and those differences cannot have depended wholly upon the method
of treatment.

These full accounts of the English sweat on the continent of Europe in
1529 are in striking contrast to the meagre records of it at home. They
were compiled first in 1805 from the numerous contemporary chronicles, and
printed pamphlets or fly-sheets on the sweat, by Gruner, professor at
Jena, in his _Itinerary of the English Sweat_, and his _Extant writers on
the English Sweat_, published in Latin[504]. In 1834 Hecker went over the
ground again in his well-known essay, improving somewhat upon the positive
erudition of Gruner, but at the same time hazarding a number of doubtful
interpretative statements, especially as to the sweat in England, for
which the meagreness of the English records then available may be his
excuse. The erudition of Gruner, Hecker and Häser deserves every
acknowledgement; but it is of value more especially for the extension of
the sweat to the continent of Europe in 1529, where it had abundant
materials at its service, in chronicles, printed essays, and “regiments.”
There are extant no fewer than twenty-one printed essays or sheets of
directions on the English sweat, which were issued from the German,
Netherlands, or Swiss presses between the month of October 1529 and the
month of June 1531, two or three of them being in Latin and most of them
brief summaries in the native tongue for popular use. The corresponding
epidemic in England did not call forth a single piece by any medical man,
so far as is known. Nor does the English treatment appear to have lost
anything thereby; for it was based upon the profitable experience of
previous epidemics as embodied in oral tradition. Down to the fifth
epidemic in 1551, the only English writing on the sweat so far as is known
was the manuscript of 1485, by Forrestier. Almost all that we know of the
epidemics in England in 1508, 1517 and 1528 comes from Bernard André’s
annals and Polydore Virgil’s history, and from the despatches of the
apostolic nuncio, the Venetian ambassador and the French ambassador. The
fifth and last outbreak, in 1551, called forth two native writings, one
for popular use in English in 1552, and another in Latin in 1555, both by
Dr Caius, physician to Henry VIII. and Edward VI.; these are indeed better
than nothing at all, but they are too much occupied with pedantry and
lugubrious rhetoric to be of much service for historical purposes[505].
The information about the epidemic of 1551 is so scanty as to suggest that
the sickness in that year can hardly have been so severe as in 1528; the
state papers contain hardly anything relating to it, and we owe nearly all
our knowledge of it to the diary of Machyn, a citizen of London, to Edward
VI.’s diary, and to Dr Caius. Bills of mortality had been kept in London
for two or three weeks when the epidemic was at its height, from which
some totals of deaths are extant.


The Fifth Sweat in 1551.

It was not in London that the sweat of 1551 began, but at Shrewsbury--on
the 22nd of March, according to the manuscript chronicle of that
town[506], or on the 15th of April, according to Caius[507]. No record
remains of its prevalence at Shrewsbury; the statement of Caius, that some
900 deaths had occurred in a single city corresponds to the facts for
London, and has no more reference to Shrewsbury (where Caius never
resided) than it has to Norwich (as in Blomefield’s county history). The
strange influence in the air or soil advanced from Salop, as we learn from
Caius, by way of Ludlow, Presteign, Westchester, Coventry and Oxford, in
only one of which places is anything known of it except Caius’s remark
that it proceeded “with great mortality.” The best record of its
prevalence on the way from Shrewsbury to London occurs in the parish
register of Loughborough, in Leicestershire. Under the date of June, 1551,
the register has an entry that “the swat called New Acquaintance, alias
Stoupe! Knave and know thy Master, began on the 24th of this month.” Then
follow the names of 12 persons who were buried in four days, and, on the
next page, under the heading of “The Sweat or New Acquaintance,” the names
of 7 more, all buried in three days--making a total of 19 in six days,
presumably all dead of the sweat and presumably also the whole mortality
from it in Loughborough, which had far heavier mortalities from the common
plague in after years[508].

The date of its arrival at Oxford, on the way to London, is not known; but
a physician then resident there, Dr Ethredge, has left it on record that
it attacked sixty in Oxford in one night, and next day more than a hundred
in the villages around; very few died of it at Oxford, which showed that
the air of that university was more salubrious than at Cambridge, where
the two sons of the duchess of Suffolk died[509].

The sweat appeared suddenly in London about the beginning of July, and had
a short but active career of some three weeks. Deaths from it began to be
mentioned on the 7th, and are entered in the king’s (Edward VI.’s) diary
as having amounted on the 10th to the number of 120, in the London
district, including “one of my nobles and one of my chamberlains,” so that
“I repaired to Hampton Court with only a small company.” The royal diarist
says that the victims fell into a delirium and died in that state[510]. On
the 18th July, the king, in Council at Hampton Court, issued an order to
the bishops, that they should “exhort the people to a diligent attendance
at common prayer, and so avert the displeasure of Almighty God, having
visited the realm with the extreme plague of sudden death[511].”

The diary of a London citizen says that “there died in London many
merchants and great rich men and women, and young men and old, of the new
sweat[512].” On the 12th died Sir Thomas Speke, one of the king’s
council, at his house in Chancery Lane; next day died Sir John Wallop “an
old knight and gentle[513],” the same who had survived an attack of the
sweat in 1528 when at Hertford with Henry VIII. It is not clear whether
some other deaths of notables in the same few days were due to the sweat.
Three independent statements are extant of the mortality in London which
had all been taken, doubtless, from the bills regularly compiled. One
gives the deaths “from all diseases” in London from the 8th to the 19th
July as 872, “no more in all, and so the Chancellor is certified[514];”
another gives the deaths “by the sweating sickness” from the 7th to the
20th July as 938[515]; and Caius gives the deaths from the 9th to the 16th
July as 761, “besides those that died on the 7th and 8th days, of whom no
register was kept[516];” by the 30th of July, 142, more had died, by which
time it had practically ceased in London[517]. Caius adds that it next
prevailed in the eastern and northern parts of England until the end of
August, and ceased everywhere before the end of September. The king, in a
letter of the 22nd August, written during his progress, says that the most
part of England at that time was clear of any dangerous or infectious
sickness[518]. Records at York make mention of a great plague in 1551, but
without describing it as the sweat[519]. The event which excited most
attention was the death by the sweat of the two sons of the widowed
duchess of Suffolk, the young duke Henry and his brother lord Charles
Brandon on the 16th of July. They had been taken from Cambridge, for fear
of the sweat, to the bishop of Lincoln’s palace at Bugden, in
Huntingdonshire, their mother accompanying them; they fell ill
immediately upon their arrival, the elder dying after an illness of five
hours and his brother half an hour after him[520].

Besides the cases of the two noble youths and others at Cambridge[521],
there are no particulars of its prevalence in “the eastern and northern
parts of England” (Caius). But we hear of it in the register of a country
parish in Devonshire, under the same name of “Stup-gallant” as in the
Loughborough register; and it is probable that those two casual notices
indicate its diffusion all over England in the manner of influenza. That
conclusion may find some support in the statement of one Hancocke,
minister of Poole, Dorset, that “God had plagued this realm most justly
with three notable plagues: (1) The Posting Sweat, that posted from town
to town thorow England and was named ‘Stop-gallant,’ for it spared none.
For there were some dancing in the Court at nine o’clock that were dead at
eleven[522].” Its occurrence in Devonshire is proved by entries in the
parish register of Uffculme: the whole burials in the year 1551 are 38;
and of these no fewer than 27 occur in the first eleven days of August,
and 16 of them in three days, the disease of which those persons died
being named, in the register, “the hote sickness or stup-gallant[523].”

Comparing these records of the sweat of 1551 with those of the years 1517
and 1528, we may conclude that the latest of those three outbreaks was not
more severe than the earlier, and that, in the Court circle, it was
probably milder. The gloomy rhetoric of Caius had led Hecker to construct
a picture of its disastrous progress along the valley of the Severn, in
which there is not a single authentic detail. Caius says that he was a
witness of it, but that must have been in London; and the figures for
London, although they indicate a very sharp epidemic while it lasted, do
not suggest a mortality greater at least than that of 1528. The Venetian
ambassador in writing a general memoir on England four years after, says
that all business was suspended in London, the shops closed and nothing
attended to but the preservation of life; but as he makes a gross
exaggeration in stating the deaths in London at 5000 “during the three
first days of its appearance,” we may take it that his impressions were
vague or his recollections grown dim[524].

Were it not for the isolated notices of the sweat in Leicestershire and
Devonshire, we should hardly have been able to realize that country towns
and villages had been visited by an epidemic which was appalling both by
its suddenness and by its fatality while it lasted. The name of
“Stop-gallant,” by which it is called in these parish registers, shows the
sort of impression which it made; but so far as the mortality is
concerned, that was often equalled, if not exceeded, in after years by
forms of epidemic fever which had nothing of the sweating type, although
they might also have been called “stop-gallant,” and indeed were so-called
in France (_trousse-galante_).

Apart from the notices in parish registers, we have the generalities of Dr
Caius, which amount to no more than a funereal essay, in the scholastic
manner, upon the theme of sudden death. It may be doubted whether Caius
really knew the facts about the disease in the country. The 27 deaths
within a few days in a small Devonshire village and the 19 in six days in
a small Leicestershire town, are hardly to be reconciled with the
statement in his Latin treatise of 1555, that “women and serving folk, the
plebeian and humble classes, even the middle class,” did not feel it, but
the “proceres” or upper classes did: they fled from it, he says, to
Belgium, France, Ireland and Scotland. It was for these that he was
chiefly concerned; and when he approaches his rhetorical task with the
remark that “nothing is more difficult than to find suitable words for a
great grief,” we may take it that he was thinking rather of such moving
cases as that of the widowed duchess of Suffolk, who had lost her two sons
in one day, than of wide-spread sickness and death throughout the homes of
the people.

Nothing more is heard of the sweat in England after the autumn of 1551, at
least not under that name. Francis Keene, an “astronomer,” prophesied in
his almanack for 1575, that the sweat would return, “wherein he erred not
much,” says Cogan[525], “as there were many strange fevers and nervous
sickness.” Some years before that, in 1558 (a year after influenza
abroad), there prevailed in summer “divers strange and new sicknesses,”
among which was a “sweating sickness,” so described by Dr John Jones, who
had it at Southampton. We are, indeed, approaching the period of frequent
and widespread epidemics of fever and of influenza, in both which types of
disease sweating was occasionally a notable symptom, as in the influenza
of 1580 abroad, in the fatal typhus of 1644 at Tiverton, in the widespread
English fevers of 1658, and in the London typhus as late as 1750. How
those other types of fever, due as if to a “corruption of the air,” are
related generically to the English sweat is a question upon which
something remains to be said before this chapter is concluded. But the
history of the English sweat comes to a definite end with the epidemic of
1551. Sweating sickness of the original sort was never again the _signum
pathognomicum_ of a whole epidemic of fever. The English Sweat became an
extinct species, after a comparatively brief existence on the earth of
sixty-six years. Its successors among the forms of pestilential disease
may have occasionally put forth the sweating character, as if in a sport
of nature; but the most of the travelling, or posting, or universal
fevers, and universal colds, are easily distinguished from the
sweat--_nova febrium terris incubuit cohors_[526].


Antecedents of the English Sweat.

The history of the English sweat presents to the student of epidemics much
that is paradoxical although not without parallel, and much that his
research can never rescue from uncertainty. Where did this hitherto
unheard of disease come from? Where was it in the intervals from 1485 to
1508, from 1508 to 1517, from 1517 to 1528, and from 1528 to 1551? What
became of it after 1551? Why did it fall mostly on the great houses,--on
the king’s court, on the luxurious establishments of prelates and nobles,
on the richer citizens, on the lusty and well fed, for the most part
sparing the poor? Why did it avoid France when it overran the Continent in
1529? No theory of the sweat can be held sufficient which does not afford
some kind of answer to each of those questions, and some harmonizing of
them all.

The history of Polydore Virgil is so well informed on all that relates to
the arrival in England of Henry VII. that we may accept as the common
belief of the time his two statements about the sweat, the first
associating it in some vague way with the descent of Henry upon Wales, and
the second pronouncing it a disease hitherto unheard of in England. Caius,
who wrote in 1552 and 1555, and can have had no other knowledge of the
events of 1485 than is open to a historical student of to-day, said that
the sweat “arose, so far as can be known, in the army of Henry VII., part
of which he had lately brought together in France, and part of which had
joined him in Wales.” Hecker, the modern reconstructer of the history
(1834), has passed from the tradition of Polydore Virgil and of Caius,
clean into the region of conjecture in assuming that the sweat had arisen
among the French mercenaries on the voyage and on the march to Bosworth.
On the other hand, the one contemporary medical writer in 1485,
Forrestier, is explicit enough in his statement that the sweat “first
unfurled its banners in England in the city of London, on the 19th of
September,” or some three weeks after Henry’s entry into the city. There
is nowhere a hint that it was prevalent among the troops, whether French,
Welsh or English, who won the battle of Bosworth on the 22nd of August,
the only pretext for asserting that it was prevalent in the neighbourhood
before the battle being the gossip of the Croyland chronicle concerning
lord Stanley’s excuse to Richard III. for not bringing up his men, which
gossip probably arose soon after when the sweat became notorious. Croyland
was not very far from the camp of the Stanleys; and yet we know for
certain (with the help of the state papers) that the death of the abbot
Lambert Fossedike from the sweat happened there after an illness of
eighteen hours on the 14th October, some seven or eight weeks from the
date of Bosworth Field, and some three or four weeks after the outbreak of
the disease in London. The probabilities of the case are all in favour of
Forrestier’s view that the first of the sweat in 1485 was its appearance
in London; and we shall accordingly take that as our point of departure.

Henry covered the distance between Leicester and London in four days,
having left the former, after a rest of two nights, on the Wednesday,
slept at St Albans on the Friday, and entered London, very tired by his
journey (says Bernard André), on Saturday evening, 27th August, three
weeks to a day from his landing at Milford Haven. Whether his whole force
travelled from Leicester at the same pace, and entered the city with him,
does not appear; but it can hardly be doubted that Henry’s following,
French, Welsh and English, had found their way to London without loss of
time, to make personal suit for the grants and patents that began to be
issued under the royal seal in immense numbers after the first or second
week in September. London must have been unusually full of people in the
weeks before the Coronation on the 30th October. But the pestilence that
broke out was not the “common infection” or plague, which might
intelligibly have been fanned into a flame by a great concourse of people.
It was the sweat,--a new disease, a stranger not only to England but to
all the world. We shall understand the mysteriousness of the visitation
and the inadequacy of all ordinary explanations, by taking Forrestier’s
account of the causes of it, drawn up in the year of its first occurrence.

Although this earliest writer on the sweat recognized its distinctive type
quite clearly, making no confusion between it and the plague, yet he
referred both diseases to the same set of causes; and in his section on
the causes of the sweat he merely reproduces the conventional list of
nuisances which occurs in nearly all treatises on the plague before and
after his time. There was little variation from that list, as it is given
in the last chapter from a plague-book of the 14th century, down even to
the reign of Elizabeth; thus it is reproduced almost word for word in
Bullein’s _Dialogue on the Fever Pestilence_ written in 1564 (the year
after a great plague), and it is so uniform in Elyot’s _Castle of Health_,
in Phaer’s, and in all the other hygienic manuals of the time, that it
might almost have been stereotyped. This was the causation which
Forrestier transferred bodily to the sweat in his manuscript of 1485;
almost the same causation had been given in the old essay of the bishop of
Aarhus on the plague, actually printed in London in 1480.

    “The causes of this sickness,” he says, “be far and nigh. The far
    causes--they be the signs or the planets, whose operation is not known
    of leeches and of phisitions; but of astronomers they be known.... The
    nigh causes be the stynkynge of the erthe as it is in many places....
    For these be great causes of putrefaction: and this corrupteth the
    air, and so our bodies are infect of that corrupt air.... And it
    happeneth also, that specially where the air is changed into great
    heat and moistness, they induceth putrefaction of humours, and namely
    in the humours of the heart; and so cometh this pestilence, whose
    coming is unknown, as to them that die sodenley, &c.”

Among the causes of the corruption he specially mentions the following,
which probably had a real existence in the London of that time, although
he is merely reproducing a stock paragraph of foreign origin:

    “And of stinking carrion cast into the water nigh to cities or
    towns,--as the bellies of beasts and of fishes, and the corruption of
    privies--of this the water is corrupt. And when as meat is boiled, and
    drink made of the water, many sickness is gendered in man’s body; and
    [so] also of the casting of stinking waters and many other foul things
    in the streets, the air is corrupt; and of keeping of stinking matters
    in houses or in latrines long time; and then, in the night, of those
    things vapour is lift up into the air, the which doth infect the
    substance of the air, by the which substance the air corrupts and
    infects men to die suddenly, going by the streets or by the way. Of
    the which thing let any man that loveth God and his neighbour amend.”

He then mentions a more distant source of corrupt air, apt to be carried
on the wind--the corruption of unburied bodies after a battle, which
enters into all the plague-writings of the time.

These things were, of course, insufficient to account for the special type
of the sweat, or for its sudden outbreak, for the first time in history,
in September, 1485. There may have been such favouring conditions in
London at the time; something of the kind is indeed implied in Henry
VII.’s order against the nuisance of the shambles a few years after; but
we require a special factor, without which the unsavoury state of the
streets, lanes, yards, and ditches, or the crowded state of the houses,
would never have come to an issue in so remarkable an infection as the
sweating sickness. Common nuisances were the less relevant to the sweat,
for the reason that it touched the well-to-do classes most, the classes
who suffered least from the “common infection,” or “the poor’s plague,”
and were presumably best housed, or located amidst cleanest surroundings.
Even within the narrow limits of Old London there were preferences of
locality. If the special incidence of the sweat upon the great households
of prelates and nobles, and on the families of wealthy citizens, had
rested only on the testimony of Dr Caius, who has a theory and a moral to
work out, there might have been some reason for the scepticism of
Heberden, who questions whether Caius was not probably in error in saying
that the sweat spared the poor and the wretched, because he knows of no
parallel instance among infective diseases[527]. But the fact is
abundantly illustrated in the details, already given, for each of the five
English epidemics; and it is confirmed for the continental invasion of
1529, e.g. by Kock, a parish priest of Lübeck, who says that “the poor
people, and those living in cellars or garrets were free from the
sickness,” and by Renner, of Bremen, who says that it “went most among the
rich people[528].” It was, indeed, owing to its being an affliction
chiefly of the upper classes that the sweat has been so much heard of. So
far as mere numbers went, all the five London epidemics together could not
have caused so great a mortality as the plague caused in a single year of
Henry VII., namely the year 1500, or in a single year of Henry VIII., such
as the year 1513. But these great mortalities from plague, amounting to
perhaps a fifth part of the whole London population in a single season,
fell mainly, although not of course exclusively, upon the poorer class.
The bubo-plague, domesticated on English soil from 1348 to 1666, was
emphatically the “poor’s plague,” and, as such, it illustrated the usual
law of infective disease, namely that it specially befell those who were
the worst housed, the worst fed, the hardest pressed in the struggle, and
the least able to find the means of escaping to the country when the
infection in the city gave warning of an outbreak on the approach of warm
weather.

But _morbus pauperum_ is not the only principle of infective disease.
There are pestilent infections which do not come readily under the law of
poor, uncleanly and negligent living, in any ordinary sense of the words;
and there are some communicable diseases which directly contradict the
principle that infection falls upon those who engender it by their mode of
life. Unwholesome conditions of living may be trusted to engender disease,
but it does not follow that the infection so engendered will fall upon
those who lead the unwholesome lives; sometimes it falls upon the class
who are farthest removed from them in social circumstances or domestic
habits, or who are widely separated from them in racial characters. This
principle I believe to be not only a necessary complement to the more
obvious rule, but to be itself one of wide application. It has been an
original theme of my own in former writings, to which I take leave to
refer in a note[529]; and, I have now to try here whether it may not suit
the rather paradoxical and certainly mysterious circumstances of the
sweating sickness on its first outbreak in the autumn of 1485.

If the insanitary state of London were insufficient to explain the
engendering of the disease, the next thing is to look for a foreign
source. Suspicion falls at once upon the foreign mercenaries who landed
with Henry Tudor at Milford Haven on the 6th of August. Who were these
mercenaries? Did they suffer from any contagious disease? Were they likely
to have engendered the sweat? Can the infection be traced, in matter of
fact, to them? In seeking an answer, it will be necessary to enter
somewhat fully into the history of the expedition.

The earl of Richmond’s successful expedition in 1485 was his second
attempt on the English crown. The first had been made in 1483, when the
duke of Gloucester was hardly seated on the throne and the duke of
Buckingham was in the field against him. Richmond’s army on that occasion
had been furnished by the duke of Brittany, and is roughly estimated at
5000 men in 15 ships[530]; the expedition sailed from St Malo in October,
encountered a storm in the Channel which scattered the fleet, and drove
some of the ships back to the harbours of Brittany and Normandy, so that
Richmond, having reached the Dorset coast with only one or two ships, was
unable to land in force. He returned to a Norman port, and nothing more is
heard of his army of Bretons; during the next two years he appears to have
been left with no other following than two or three English nobles, among
them the earl of Oxford, who afterwards led a division of his army at
Bosworth. After repeated solicitation, he obtained in 1485 a small
body-guard (_leve praesidium_) from the regents of Charles VIII. at Paris,
a few pieces of artillery, and money to help pay for the transport of 3000
or 4000 men. With these resources he betook himself to Rouen in the summer
of 1485 and began to fit out his expedition. It would appear that he found
some difficulty in making up his force to the intended full complement,
and that he was urged by the impatience of his followers and the chance of
a fair wind to leave the Seine with what force he had on the 31st of July.
His force of Frenchmen, under his kinsman de Shandé (afterwards earl of
Bath), consisted of only 2000 men, crowded on board a few ships. It is a
fair inference that the men had been recruited in and around Rouen; we
are told, indeed, by Mezeray that Normandy was at that time infested by
bands of _francs-archers_ who had been licensed by Louis XI., and that the
ministers of Charles VIII. gave them to Henry Tudor, to the number of
3000, regarding the proposed expedition of the latter as a good
opportunity of ridding the province of Normandy of a lawless and
disreputable soldiery[531].

These, then, were the mercenaries who landed at Milford Haven on the 6th
of August, were at once marched through Wales to Shrewsbury and Lichfield,
and took a principal part in the battle of Bosworth on the 22nd of August.
They were Normans, who had become so great a pest to their own province
that Charles VIII.’s ministers were induced to take up Henry Tudor’s cause
partly with the intention of ridding French territory of them. Their
quality is plainly indicated in the speech just before the battle by
Richard III., which had been composed for Hall’s chronicle; only they were
not Bretons, as the speech makes out; they were Normans, recruited for the
expedition in Rouen and the surrounding country.

I have given so much emphasis to the nationality of these mercenaries
because the theory of the English sweat turns upon it[532]. More than two
centuries after Bosworth Field, about the year 1717, when the English
sweat had been long forgotten, an almost identical type of disease began
to show itself among the villages and towns of that very region of France,
the lower basin of the Seine, where the mercenaries of 1485 had been
recruited.


A form of Sweat afterwards endemic in Normandy.

The Picardy sweat, which was first noticed as a disease of the soil about
the year 1717, and has continued off and on down to recent years, was
indigenous to the departments in the basin of the Seine, from the Pas de
Calais to Calvados, with Rouen as a centre. Why that strange form of
sickness should have sprung up there and continued, now in one town or
village now in another, with few blank years for a century and a half, no
one can venture to say. It was not the English sweat in all its
circumstances; on the contrary it was only rarely epidemic over a large
population or a large tract of country at once. It was ordinarily limited
to one or two spots at a time, and in the individuals affected it ran a
longer course than the English sweat had done. But whenever it did become
widely prevalent it also became a short and sharp infection like the
English sweat, causing in some years a very considerable number of deaths.
Distinctively the Picardy sweat was a somewhat mild sickness of a week or
more, seldom fatal, distinctively also of a single town or village, or
small group of villages. It was not unknown in some other parts of France,
such as the Vosges and Languedoc, in Bavaria and in Northern Italy; but in
these other localities it has been much more occasional or even rare. Its
distinctive habitat for a century and a half has been the lower basin of
the Seine; and there it has been so steady at one point or another from
year to year throughout the whole of that period that it may be said to be
a disease of the soil, indigenous or domesticated, and depending for its
periodic manifestations mostly upon vicissitudes of the seasons, as
affecting probably the rise and fall of the ground-water. It has been more
a disease of the well-to-do bourgeois class than of the very poor, and it
has often shown a preference for the cleaner villages. It has been the
subject of a very large number of French writings from the year 1717 down
almost to the present date. Strange as this form of disease is, neither
its circumstances nor its nosological characters are left in any doubt; it
is at once mysterious and perfectly familiar[533].


Theory of the English Sweat.

I have been at some pains to show that Henry Tudor’s mercenaries were
enlisted in and around Rouen, or, in other words, they came from that very
district of France in which the sweat, in a somewhat modified form, began
to make its appearance as an endemic malady two hundred and thirty years
after. If the sweat had not become an endemic or standing disease there,
as if native to the soil, or if it had become equally a disease of all
other parts of Europe, as typhoid fever has, the coincidence would have
been less striking, and might have been made to appear altogether
irrelevant by the long interval of more than two centuries between the one
event and the other. If it were a mere coincidence, we should conclude
that the same causes which established in Normandy in the 18th century a
steady prevalence of a sweating sickness, not unlike the more familiar
prevalence of typhoid, had been at work on English soil more than two
centuries earlier, not indeed to establish a form of sweating sickness
steadily prevalent from year to year in one place or another, like the
plague, but to induce five sharp epidemic outbursts, within a period of
sixty-six years, four of which outbursts began in London and extended
probably over the whole country, while one began in Shrewsbury, travelled
by stages to London, and spread all over England. And, as we are ignorant
of the things which determine the type of the endemic sweat of Normandy or
Picardy down to the present day, we can neither deny nor affirm that there
may have been corresponding factors of disease at work in the England of
Henry VII. By such a line of reasoning we are brought to a view of the
English sweat which precludes all farther inquiry and makes a permanent
blank or maze in our knowledge. Let us try, however, whether the facts of
the case do not better fall in with the view that the English sweat had a
real relation to the seats of the Norman and Picardy sweat, even at a time
when that sweat had not come into existence as a definite form of disease,
and although the French provinces appear to have been spared the invasion
of the epidemic when it overran the rest of Northern Europe in 1529.

The means of communication in 1485 was not wanting, namely the Norman
soldiery of Henry VII. The tradition of their quality is preserved in the
speech composed in Hall’s chronicle for Richard III. before the battle of
Bosworth, and versified somewhat closely by Shakespeare:

  “A sort of vagabonds, rascals, and run-aways,
   A scum of Bretagnes, and base lackey peasants:
   ... Let’s whip these stragglers o’er the seas again;
   Lash hence these over-weening rags of France,
   These famished beggars, weary of their lives.”

There is nothing incredible in the supposition that these men had brought
a disease into London although they had not themselves presented the
symptoms of that disease. Such importations are not unknown; the mystery
hanging over them does not make them the less real. A well-known instance
is the St Kilda boat-cold, “the wonderful story,” as Boswell says, “that
upon the approach of a stranger all the inhabitants catch cold,” a story
which Mr Macaulay, the author of the _History of St Kilda_, had been
advised to leave out of his book. “Sir,” said Dr Johnson, “to leave things
out of a book merely because people tell you they will not be believed, is
meanness: Macaulay acted with more magnanimity.” The St Kilda influenza
has been amply corroborated since then by parallel instances from the more
remote islands of the Pacific, and by striking instances in veterinary
pathology. Among the latter may be quoted the instance which has been
heard of in Shropshire, of “sheep which have been imported from vessels,
although themselves in a healthy condition, if placed in the same fold
with others, frequently producing sickness in the flock[534].” But there
is an instance on a vast scale from the United States, the instance of
Texas cattle-fever, which has recurred so often, and has been so closely
watched on account of the disastrous loss which it causes, that there is
no room left to doubt the reality of that mysterious form of contagion. I
shall have to speak very shortly of the malignant fevers of the assizes,
which spread from prisoners who were not known to be ill of fever; these
incidents are historical from the year 1522, when an epidemic of the kind
arose among the court and grand jury at the gaol delivery in the Castle of
Cambridge. Lastly the history of yellow fever, as expounded in part in
this volume, is an instance of a long-enduring infection arising from the
circumstances of the African slave-trade, the negroes themselves having
been racially exempt from the fever although they had been the source of
the virus.

In all such cases the sickness which ensued among the healthy from contact
with strangers had a more or less definite type; and that type in each
case must have been determined mainly by the antecedents of the strangers,
their racial characters being reckoned among the antecedents as well as
their special hardships and their personal habits. In the case of the
singular visitation of England in 1485, the strangers were a swarm of
disreputable free-booters from Normandy, natives of a soil which developed
the sweat as an indigenous malady in the long course of generations. If
they themselves had shown the symptoms of the sweat in 1485, one might
have said that the circumstances of their passage in crowded ships, of
their exhausting march from Wales to Leicestershire, and thence to London,
had brought to the definite issue of a specific disease that which was
otherwise no more than a habit of body, a constitutional tendency, a
disease in the making. But there is no reason to suppose that they
themselves incurred the symptoms of the disease at all; it was contact
with them in England, particularly in London, that determined the peculiar
type of disease in others. Those others were of a different national
stock, and for the most part of another manner of life; in their very
differences lay their liability, according to well-known analogies. Of
course there must have been something material, something more than
abstract contact, to cause the sweat in certain Englishmen; and although
we cannot image the form of the virulent matter, we are safe to pronounce,
in this hypothesis, that it must have come from the persons of the foreign
soldiery.


The Habitat of the Virus.

We may go even farther in the way of specific probability, and bring the
virus definitely to a habitat in the soil. The English sweat, like the
Picardy sweat itself, had certain characters of a soil poison, like the
poison of cholera, yellow fever and typhoid fever; only it was not endemic
like the two last, but periodic, as well as somewhat volatile in its
manner of travelling, like dengue, influenza, and others of the “posting”
fevers of former times. This brings us to the singular history of the
epidemics of sweat in England,--to the clear intervals of many years and
the sudden bursting forth anew. What became of the specific virus from
1485 to 1508, to 1517 to 1528, to 1551, and after?

A fresh importation in each of the epidemic years after 1485 is
improbable; certainly the circumstances of Henry VII.’s expedition never
occurred again, and the traffic between England and her two French
possessions of Calais and Guines had nothing in it at all analogous.
Equally improbable is the continuance of the sweat in isolated or sporadic
cases from year to year throughout the intervals between the epidemics;
the only facts that give any countenance to such a continuous succession
are the occasionally mentioned “hot agues,” as in 1518, and, on a more
extensive scale, in 1539. The seeds or germs of the infection which arose
first in London in September, 1485, must have lain dormant in the city
until some favouring conditions came round to call them into life. It is
impossible to figure such dormancy of the virus except on the hypothesis
that it was a soil-poison, having its habitat in the pores of the ground.
The periodic activity of all such poisons depends, as we can now say with
a good deal of certainty, upon the movements of the ground-water, which in
turn depend on the wetness or dryness of seasons. The kind of weather
preceding each of the epidemics of the English sweat has been remarked on
by writers, but somewhat loosely or erroneously. The peculiarity of the
year of the second sweat, 1508, (not 1506 as in Hecker, nor 1507 as in
other writers) was a “marvellous” forwardness of vegetation in the month
of January, unusual heat from the end of May to the 13th of June, much
prized rain on that date, on the 16th, and on the 3rd of July[535], the
sweat being heard of first in the Lord Treasurer’s household in July. The
third year of the sweat, 1517, began with a great frost from the 12th
January, so that no boat could go from London to Westminster all the term
time[536], while men crossed with horse and cart from Westminster to
Lambeth[537]. This great frost would appear to have been without snow, the
whole season from September, 1516, to May, 1517, being chronicled as one
of unusual drought, “for there fell no rain to be accounted,” so that “in
some places men were fain to drive their cattle three or four miles to
water.” The kind of weather following the break-up of the drought is not
mentioned, but there is implied of course a certain amount of rain. It was
about the end of July or first of August, 1517, that the sweat began in
London and the suburbs. The fourth, and perhaps the most severe sweat,
that of 1528, followed upon two wet seasons, with one spoiled harvest in
1527 and bad prospects for that of 1528. The winter of 1526-27 had been
unusually wet from November until the end of January; then dry weather set
in until April; after which the rain began again and continued for eight
weeks[538]. The harvest before that seems to have been a partial failure,
for early in 1527 corn began to run short in London, and for a week or
more there was acute general famine, so that the bread carts coming in
from Stratford had to be guarded by the sheriffs and their men all the way
from Mile End to their proper market. The high price of corn continued
into the summer of 1528. The weather of that summer is not specially
recorded for England; but we learn from a diplomatic letter dated, Paris,
the 4th of July, that much rain had fallen and destroyed the corn and
vines, so that there were fears of universal decay and dearth through all
France[539]. On the 5th July, Henry VIII. requests Wolsey to have general
processions made through the realm “for good weather and for the plague,”
the sweat having already been raging for more than a month. The fifth and
last sweat, in 1551, also coincided with an unusually high price of corn,
or, in other words, followed one or more bad harvests. In 1550 wheat was
at 20 shillings the quarter; at Easter in 1551 the price in London was
26_sh._ 8_d._; ten or twelve ship loads of rye and wheat from Holland and
Brittany were sold under the mayor’s direction at a stated but very high
price. Meanwhile the sweat was advancing from Shrewsbury to London, where
it broke out on the 7th July. The statements of Dr Caius about stinking
mists carried from town to town are, like most of his statements, so
obviously the product of his uncritical rhetoric that it becomes almost
impossible to trust his narrative for matters of fact. But we may go so
far as to assume that the first half of 1551 was a season of an unusually
moist atmosphere. At all events the fifth season of the sweat, and also
the fourth (1528), stand out in the annals as years of scarcity following
bad harvests, which had probably failed owing to continuous wet weather.

There is not, on the surface, much uniformity in the weather preceding the
epidemics of the sweat in 1508, 1517, 1528 and 1551. In the first of these
the winter was mild and the early summer excessively hot and dry; in the
second the winter and spring were remarkable for drought, with several
weeks of intense black frost in the middle period; in the remaining two
the antecedent appears to have been an excessive rainfall. But in all the
four we shall find that the law of the sub-soil water, as formulated by
the recent Munich school with reference to epidemic outbursts, was
exemplified. According to that law, the dangerous products of fermentation
arise from the soil when the pores of the ground are either getting filled
with water after having been long filled with air, or are getting filled
with air after having been long filled with water. It is the range of
fluctuation in the ground-water, either downwards or upwards, that
determines the risk to health; and in two of the years of the sweat, 1508
and 1517, we find that there had been a rise from a very low level of the
wells, while in the other two, 1528 and 1551, the wells had begun to fall
after standing for a length of time at an unusually high level. If this
reading of the somewhat imperfect data can be trusted, it is at one and
the same time an explanation of the outbreak of the sweat in the
respective seasons, and a confirmation of the hypothesis that the virus of
the sweat had its habitat in the ground. That hypothesis is, indeed,
supported by so great a convergence of probabilities, both for the English
sweat and for the endemic sweat of France[540], that it may be used to
explain the seasonal incidence without laying the argument open to the
charge of running in a vicious circle.

Whatever had been the kind of weather determining the successive outbreaks
of the sweat, it is clear that the favouring circumstances were in general
not the same as those of the bubo-plague. The greater outbursts of plague,
as we shall see, were in 1500, 1509, 1513, 1531, 1535, 1543, 1547, and
other years not sweat-years. It is only in the autumn of 1517 that the
plague overlaps somewhat on the sweat, and even then it becomes noticeable
mostly in the winter following the decline of the sweat. The two poisons
had existed in English soil side by side, but had not come out at the same
seasons; also the sweat had been mostly a disease of the greater houses,
and the plague mostly of the poorer.


The Extinction of the Sweat in England.

The disappearance of the sweat from England after 1551, or its failure to
come out again with the appropriate weather, is one of those phenomena of
epidemic disease which might be made to appear less of a mystery by
finding several more in the like case. A history of all the extinct types
of infective disease would probably bring to light some reason why they
had each and all died out. But an epidemic disease leaves no bones behind
it in the strata; nor has the astonishing progress of science succeeded as
yet in detecting palæozoic bacteria, although that discovery cannot be
delayed much longer. Meanwhile we have to make what we can of the ordinary
records. In our own time, so to speak, the sweat became extinct in 1551,
and the plague in 1666; perhaps someone before long may be able to say
that typhus died out (for a time) in Britain in such and such a year, and
smallpox (for good) in such and such another. The surprising thing is that
an infection which came forth time after time should have one day been
missed as if it were dead. If the sweat had five seasons in England, why
not fifty? Perhaps its career was short because the circumstances of its
origin were transient and, as it were, accidental. But it may have been
also subject to the only law of extinct disease-species which our scanty
knowledge points to--the law of the succession, or superseding, or
supplanting of one epidemic type by another.

Other forms of epidemic fever, in the same pestilential class as the
sweat, were coming to the front in England as well as in other parts of
Europe. Thus, in 1539, a summer of great heat and drought, “divers and
many honest persons died of the hot agues, and of a great laske through
the realm.” The hot agues were febrile influenzas, and the great laske was
dysentery. Again, in the autumn of 1557, there died “many of the
wealthiest men all England through by a strange fever,” according to one
writer[541], or, according to another[542], there prevailed “divers
strange and new sicknesses, taking men and women in their heads, as
strange agues and fevers, whereof many died.” Jones in his _Dyall of
Agues_, describes his own attack near Southampton, in 1558, and calls it
the sweating sickness.

That epidemic corresponded to a great prevalence of “influenza” on the
continent, which was probably as Protean or composite as the fevers in
England. It would not be correct to say that these new fevers or
influenzas, with more or less of a sweating type, were the sweat somewhat
modified. But they seem to have come in succession to the sweat, if not to
have taken its place, or supplanted it. The prevalent types of disease
somehow reflect the social condition of the population; they change with
the social state of the country or of a group of countries; they depend
upon a great number of associated circumstances which it would be hard to
enumerate exhaustively. As early as 1522 we have the gaol fever at
Cambridge, at a time when Henry VIII.’s attempts to repress crime were
come to the strange pass described in More’s _Utopia_. These things remain
for more systematic handling in another chapter; but in concluding the
career of the sweat in England we may pass from it with the remark that it
did not cease until other forms of pestilential fever were ready to take
its place. The same explanation remains to be given of the total
disappearance of plague from England after 1666: it was superseded by
pestilential contagious fever, a disease which was its congener, and had
been establishing itself more and more steadily from year to year as the
conditions of living in the towns were passing more and more from the
medieval type to the modern. Meanwhile we have to take up the thread of
the plague-history where we left it in the reign of Edward IV.




CHAPTER VI.

PLAGUE IN THE TUDOR PERIOD.


When the town council of York met on the 16th of August, 1485, to take
measures on account of Henry Tudor’s landing in Wales, their first
resolution was to despatch the sergeant to the mace to Richard III. at
Nottingham, with an offer of men (they promised 400 for his army at
Bosworth), and their second resolution was to send at once for all such
aldermen and others of the council as were sojourning without the city on
account of “the plague that reigneth[543].” These leading citizens of York
had gone into the country to avoid the infectious exhalations within the
walls in the summer heats; the plague that reigned in York was the old
bubo-plague, which would show itself in a house here or there in any
ordinary season, and on special occasions would rise to the height of an
epidemic, driving away all who could afford to remove from the pestilent
air of the town to the comparatively wholesome country, and taking its
victims mostly among the poorer class who could not afford a “change of
air.” In the three centuries following the Black Death, change of air
meant a good deal more than it means now. The infection of the air, or the
“intemperies” of the air, at Westminster occasioned (along with other
reasons) the prorogation or adjournment to country towns of many
parliaments; the infection of the air in and around Fleet Street caused
the breaking up of many law terms; and the infection of the air in Oxford
colleges was so constant an interruption to the studies of the place in
the 15th century that Anthony Wood traces to that cause more than to any
other the total decline of learning, the rudeness of manners and the
prevalence of “several sorts of vice, which in time appeared so notorious
that it was consulted by great personages of annulling the University or
else translating it to another place[544].” From the old college
registers, chiefly that of his own college of Merton, he has counted some
thirty pestilences at Oxford, great and small, during the fifteenth
century. The reason why the Oxford annals of plague are so complete is
that each outbreak, even if only one or two deaths had occurred[545],
meant a dispersion of the scholars and tutors of one or more halls and
colleges, their removal in a body to some country house, alteration of the
dates of terms, and postponement of the public Acts for degrees in the
schools. Experience had taught the necessity of such prompt measures. Thus
the first sweat, that of 1485, came so suddenly that it killed many of the
scholars before they could disperse, “albeit it lasted but a month or six
weeks.” Hardly had the halls and colleges begun to fill again after the
dispersion by the sweat of 1485, when “another pestilential disease,” that
is to say, the bubo-plague itself, broke forth at the end of August, 1486,
in Magdalen parish, and daily increased so much that the scholars were
obliged to flee again. In 1491 there was another dispersion; and in 1493
so severe an outbreak of plague from April to Midsummer that many were
swept away, both cleric and laic: Magdalen College removed to Brackley in
Northamptonshire, Oriel to St Bartholomew’s hospital near Oxford, and
Merton to Islip, “instead of Cuxham their usual place of retirement.” The
disastrous fifteenth century closes with a specially severe plague in
1499-1500, in which perished “divers of this university accounted worthy
in these times;” an accompanying scarcity of grain and consequent failure
of scholarships or exhibitions led many students to betake themselves to
mechanical occupations. In August, 1503, the plague broke out again in St
Alban’s Hall; the principal with all but a few of the students went to
Islip, where the pestilence overtook them (three weeks having been spent
first in mirth and jollity), so that several died and were buried, some at
Islip, others at Ellesfield and one at Noke; in October it broke out in
Merton College and drove some of the fellows and bachelors to the lodge in
Stow Wood, others to Wotton near Cumner, where they remained until the
17th December. These interruptions had been so frequent that of fifty-five
halls, only thirty-three were now inhabited, and they “but slenderly, as
may be seen in our registers.” The town of Oxford shared in the decline;
streets and lanes formerly populous were now desolate and forsaken. An
epidemic in 1508, which may have been the second sweat, caused another
dispersion; then the old bubo-plague again in 1510, 1511, 1512 and 1513,
filling up the interval until the summer of 1517, when a “sudor
tabificus,” the third sweat, “dispersed and swept away most, if not all,
of the students.” The bubo-plague followed in the winter and spring,
especially in St Mary Hall and Canterbury College. Meanwhile cardinal
Wolsey had founded Cardinal College (afterwards Christ Church), bringing
to it an infusion of new learning from Cambridge and elsewhere; but in
1525, “while this selected society was busy in preaching, reading,
disputing and performing their scholastic Acts, a vehement plague brake
forth, which dispersed most of them, so that they returned not all the
year following or two years after,” and Cardinal College “thus settled,
was soon after left as ’twere desolate.” The same outbreak affected
specially the halls or colleges of St Alban, Jesus, St Edmund and
Queen’s[546].

Oxford was not altogether singular in this experience of plague from year
to year or at intervals of three or four years. What Sir Thomas More says
of the cities of Utopia was true of the towns of England or of any
medieval country in Christendom: “As for their cities, whoso knoweth one
of them, knoweth them all; they be all so like one to another, as far
forth as the nature of the place permitteth.” The limitation as to the
nature of the place is not without importance for the frequency and
severity of plague; the quantity of standing water around Oxford would
certainly appear to have made the epidemics there a more regular product
of the soil[547]. But we hear of plague also on the soil of Cambridge,
particularly in 1511, when Erasmus was there: on the 28th November he
writes from Queens’ College to Ammonio in London: “Here is great solitude;
most are away for fear of the pestilence,” adding rather unkindly,
“although there is also solitude when everyone is in residence.” It is
from such chance references in letters of the time that we can infer the
existence of plague throughout England. These references become much more
numerous as the sixteenth century runs on, not perhaps because plague was
more frequent, but because all kinds of documents are better preserved.
The remarkable difference between the reigns of Henry VII. and Henry VIII.
in regard to the quantity of extant materials for the construction of
history is as keenly felt by the student of epidemics as by the student of
high politics. The local records of towns, London included, are still
almost valueless for our purpose: even the skilled antiquaries employed by
the Historical Manuscripts Commission have hitherto extracted nothing
concerning pre-Elizabethan epidemics from the archives of civic
council-chambers, and only a little from muniment-rooms such as that of
Canterbury Abbey.

The few details that we possess, such as those for the plague at Hull from
1472 to 1478, had been extracted from local records by the authors of town
and county histories. Before the end of the sixteenth century the evidence
of plague epidemic all over England, as well in provincial towns and in
the country as in London, becomes abundant. There may have been really a
great increase, but it is much more probable that the increase is for the
most part only apparent. It is of some consequence to determine the
probability as exactly as possible; and I shall therefore examine with
more minuteness than would otherwise have been necessary the evidence as
to the existence and amount of plague in London and elsewhere year after
year from the accession of the Tudor dynasty in 1485, using chiefly the
Calendars of State Papers for my purpose. As in the case of the sweat, we
happen to hear of plague in London and elsewhere because the Court was
kept away by it; the king’s secretaries are informed week after week of
the state of health in London, and foreign ambassadors, especially the
Venetian envoys, have frequently occasion to mention the hindrance to
public business caused by the plague. But for these State papers the
historian of epidemics would have little beyond an occasional parish
register to build upon. The medical profession in England were not
concerned to write or print anything thereon; while there are numerous
foreign printed books on the plague (e.g. Forrestier’s at Rouen in 1490)
there is not one original English treatise until that of Skene of
Edinburgh in 1568. That the physicians were well employed by those who
could engage their services, and that they did sustain the credit of their
profession by the liberal scale of their fees, we have every reason to
believe; thus the Venetian envoy writes on 3rd June, 1535, that he had
been ill, and that he had expended seven hundred ducats during his
illness, “and for so many physicians,” so that he had only one ducat
remaining. But these thriving practitioners did not write books like their
brethren abroad. One of their number, Linacre, who was also a prebendary
of Westminster, busied himself with editions of certain writings of Galen.
Erasmus mentions him in a letter as one of the Oxford scholars in whose
society he found pleasure; but there is in the _Praise of Folly_ a
reference to a certain grammatical pedant whom Hecker identifies with
Linacre. The other physicians and surgeons of the period whose names are
known, Butts, Chambre, Borde and the rest of the group in Holbein’s
picture of Henry VIII. handing the surgeons their charter, have left
nothing in print which illustrates the epidemic diseases of the time, and
little of any kind of writing except some formulæ of medicines: Borde, who
was patronised by Cromwell, is known only as a humorist or satirist. Thus
the inquiry must proceed without any of those aids from the faculty which
make the history of epidemics on the Continent comparatively easy.

After the disastrous prevalence of plague in England in the reign of
Edward IV., culminating in the great epidemic of 1479 in London and
elsewhere, we do not hear of the disease again in London until 1487, two
years after the first sweat; in that year, on the 14th April, a king’s
writ from Norwich postponed the business of the Common Pleas and King’s
Bench until Trinity term, on account of the pestilence in London,
Westminster and neighbouring places[548]. The next reference is to the
great epidemic of 1499-1500, in London and apparently also in the country.
Fabyan, who was then an alderman and likely to know, puts the deaths in
London at twenty thousand[549]; Polydore Virgil says thirty thousand[550];
and others say thirty thousand deaths from plague and other diseases
together[551]. The smaller total is the more likely to be nearest the
mark. There is reason to think that the population of London a generation
later was little over 60,000; and it will appear in the sequel that a
fourth or a fifth part of the inhabitants was as much as the severest
plagues cut off, although it is entirely credible that the Black Death
itself had cut off one half.

The enormous mortality in 1499-1500 has left few traces in the records of
the City or of the State. Five great prelates died during the plague-year,
some of them certainly from it: Morton of Canterbury (a very old man),
Langton of Winchester (before he could be transferred to Canterbury),
Rotheram of York, Alcock of Ely and Jane of Norwich[552]. Like some of the
later plagues in London it lasted through the winter. It was at Oxford in
the same years, and casual references in two of the Plumpton letters lead
one to infer that it may have been in remote parts of the country
also[553].

The infection was still active as late as October, 1501, at Gravesend, and
it made some difference to the reception of the young princess Catharine
of Arragon, who had come over for her marriage with Prince Arthur, and
became famous in history as the wife of his brother Henry VIII. The
following are Henry VII.’s instructions, dated October, 1501:--

    “My lord Steward shall shew or cause to be shewed to the said
    Princess, that the King’s Grace, tenderly considering her great and
    long pain and travel upon the sea, would full gladly that she landed
    and lodged for the night at Gravesend; but forasmuch as the plague was
    there of late, and that is not yet clean purged thereof, the King
    would not that she should be put in any such adventure or danger, and
    therefore his Grace hath commanded the bark to be prepared and arrayed
    for her lodging[554].”

In 1503 there was plague at Oxford, as we have seen, and at Exeter, where
two mayors died of it in quick succession, and two bailiffs[555]. The
infection was certainly in London in 1504 or 1505 (perhaps in both, and
possibly at its low endemic level in the other years from 1501): for
Bernard André mentions casually that he had been absent from the City on
account of it[556].

In 1509, the first year of Henry VIII., there was a severe outbreak of
plague in the garrison of Calais, as well as “great plague” in divers
parts of England[557]. In 1511, Erasmus writes from Cambridge on 17th
August, 5th October and 16th October, making reference to the plague in
London; and on the 27th October, 8th November, and 28th November, Ammonio
answers him that the plague has not entirely disappeared, and again that
it is abated, but a famine is feared, and lastly that the plague is
entirely gone. On the 26th of July the Venetian ambassador had written
that the queen-widow (mother of Edward V.) had died of plague and that the
king, Henry VIII., was anxious.

On the 1st November, 1512, Erasmus, on a visit to London, was so afraid of
the plague that he did not enter his own lodging, and missed a meeting
with Colet. The next year, 1513, was a severe plague-year according to
many testimonies. In the diary of the Venetian envoy from August to 3rd
September it is stated that deaths from plague are occurring constantly;
two of his servants sickened on the 22nd August, but did not recognize the
disease; on the 25th they rose from bed, went to a tavern to drink a
certain beverage called “ale,” and died the same day: their bed, sheets
and other effects were thrown into the sea (? Thames). On the 17th
September he writes to Venice that it is perilous to remain in London; the
deaths were said to be 200 in a day, there was no business doing, all the
Venetian merchants in London had taken houses in the country; the plague
is also in the English fleet. In October the deaths are reported by the
envoy at 300 to 400 a day; he has gone into the country. On the 6th
November and 6th December he writes that plague was still doing much
damage. On the 3rd December the rumour of a great prevalence of plague in
England had reached Rome. On the 28th November Erasmus writes from
Cambridge that he does not intend to come to London before Christmas on
account of plague and robbers; and on the 21st December he writes again:
“I am shut up in the midst of pestilence and hemmed in with robbers.”

One year is very like another, but it will be desirable to continue the
narrative a little longer so as to remove any suspicion of constructing
history beyond the facts. In February, 1514, Erasmus writes that he had
been disgusted with London, deeming it unsafe to stay there owing to
plague. In going in procession to St Paul’s on the 21st May the king
preferred to be on horseback, for one reason “to avoid contact with the
crowd by reason of the plague;” he had lately recovered from some vaguely
reported “fever” at Richmond. On the 1st July Convocation was adjourned on
account of the epidemic and the heat.

Next year, 1515, Erasmus writes from London on the 20th April that he is
in much trouble; the plague had broken out and it looked as if it would
rage everywhere. On the 23rd April Wolsey sends advice to the earl of
Shrewsbury in the country (? Wingfield) to “get him into clean air and
divide his household,” owing to contagious plague among his servants; on
the 28th the earl received from London one pound of manus Christi,--the
same remedy that Henry VIII. sent to Wolsey for the sweat--with coral,
and half-a-pound of powder preservative. On the same date “they begin to
die in London in divers places suddenly of fearful sickness.” One of the
incidents of the plague of 1515 which has fixed the attention of
chroniclers was the death of twenty-seven of the nuns in a convent at the
Minories outside Aldgate[558]. Next year, on 14th May (1516), the sickness
was so extreme in Lord Shrewsbury’s house at Wingfield that he has put
away all his horse-keepers and turned his horses out to grass. In London,
on the 21st May, the Venetian ambassador removed to Putney owing to a case
of plague in his house, and he would not be allowed to see Wolsey until
the 30th June, when forty days would have passed since the plague in his
house.

The next summer, 1517, was the season of the third sweat. It was hardly
over when plague began in London in September. On the 21st the Venetian
envoy speaks of having had to avoid “the plague _and_ the sweating
sickness;” on the 26th he writes that the plague is making some progress
and he has left London to avoid it. On the 15th October the king was at
Windsor “in fear of the great plague.” One writes on 25 Oct., “As far as I
can hear, there is no parish in London free[559].” On the 16th November
the envoy begs the seignory of Venice to send someone to replace him as he
thinks it high time to escape from “sedition, sweat and plague.” On the
3rd December the king and the cardinal were still absent from London on
account of the plague; on the 22nd their absence was causing general
discontent, the plague being somewhat abated. It was not until March,
1518, that the court approached London; on the 15th the Venetian envoy
rode out to Richmond to see the king, and found him in some trouble, as
three of his pages had died “of the plague.” The court withdrew again to
Berkshire, and on the 6th April it was decided by the king’s privy council
at Abingdon that London was still infected and must be avoided, the queen
(Catharine of Arragon) having declared the day before that she had perfect
knowledge of the sickness being in London, and that she feared for the
king, although she was no prophet. On the 7th April the report of four or
five deaths at Nottingham (“as appears by a bill enclosed”) was made the
ground of postponing a projected visit of the king to the north. The
spring was unusually warm, which made the risk of sickness to be judged
greater. It is clear that public business was suffering by the prolonged
absence of the court from London, and that the existence of infection was
being denied. On the 28th April Master More certified from Oxford to the
king at Woodstock that three children were dead of the sickness, but none
others; he had accordingly charged the mayor and the commissary in the
king’s name “that the inhabitants of those houses that be and shall be
infected, shall keep in, put out wispes and bear white rods, according as
your grace devised for Londoners;” this was approved by the king’s
council, and the question was discussed whether the fair in the Austin
Friars of Oxford a fortnight later should not be prohibited, as the resort
of people “may make Oxford as dangerous as London, next term” (the law
courts sat at Oxford in Trinity term). However, the interests of traders
had to be kept in view also. On 28th June, 1518, Pace writes from the
court at Woodstock to Wolsey that “all are free from sickness here, but
many die of it within four or five miles, as Mr Controller is informed.”
On the 11th July he writes again from Woodstock that two persons are dead
of the sickness, and more infected, one of them a servant to a yeoman of
the king’s guard; to-morrow the king and queen lodge at Ewelme, and stop
not by the way, as the place appointed for their lodging is infected. On
the 14th July he writes to Wolsey from Wallingford that the king moves
to-morrow to Bisham “as it is time: for they do die in these parts in
every place, not only of the small pokkes and mezils, but also of the
great sickness.” The uncertainty as to what these diseases may have been
will appear from the next letter, on the 18th July, from Sir Thomas More:
“We have daily advertisements here, other of some sweating or the great
sickness from places very near unto us; and as for surfeits and
drunkenness we have enough at home.” The king had also heard that one of
my lady Princess’s servants was sick of “a hot ague” at Enfield. On the
22nd July, the Venetian ambassador writes from Lambeth asking to be
recalled: two of his servants had died of the plague, and he himself had
the sweating sickness twice in one week. The pope’s legate, Campeggio,
made a state entry into London about the first of August, but the king and
Wolsey were not there to receive him, ostensibly for fear of infection.
The king was now at Greenwich, and we hear no more of the fear of
infection for a time. In the end of March, 1519, deaths from plague
occurred on board one of the Venetian galleys at Southampton. On the 4th
August, 1520, the king (at Windsor) has heard that the great sickness is
still prevalent at Abingdon and other villages towards Woodstock, and has
changed his route (“gystes”) accordingly; on 8th August, sickness is
reported at Woodstock. The same year some kind of sickness was very
disastrous in Ireland.

In the winter of 1521 (2nd November), the sickness continues in London:
“it is not much feared, though it is universal in every parish.” According
to a vague entry in Hall’s chronicle the year 1522 was in like manner,
“not without pestilence nor death,” which may refer to the gaol fever at
Cambridge.

Thus from 1511 to 1521 there is not a single year without some reference
to the prevalence of plague, the autumn and winter of 1513 having been
probably the time of greatest mortality in London. After 1521 or 1522
there comes a break of four or five years in the plague-references, except
for a vague mention of plague followed by famine at Shrewsbury in
1525[560]. They begin again in 1526 (from Guildford) and go on until 1532
every year much as in the former period, the year 1528 being mostly
occupied with the fourth epidemic of the sweating sickness. On the 4th
June, 1529, the legate Campeggio writes from London: “Here we are still
wearing our winter clothing, and use fires as if it were January: never
did I witness more inconstant weather. The plague begins to rage
vigorously, and there is some fear of the sweating sickness.” On the 31st
August the Venetian ambassador has a person sick of the plague in his
house; on the 9th September he has gone to a village near London on
account of the plague. On the 18th September the French ambassador in
London (Bishop Du Bellay) has plague in his household, and in spite of
repeated changes of lodging his principal servants are dead; he has been
unable to refuse leave to the others to go home, and is now quite alone,
but the danger from the plague is much diminished.

In 1530 the plague is heard of as early as March 23, previous to which
date two of the Venetian ambassador’s servants had died of it; three more
of them died afterwards, and the envoy was forbidden the Court for forty
days. Parliament was prorogued on April 26 to June 22, on account of the
plague in London and the suburbs, and farther, for the same reason, until
October 1. The king was at Greenwich, but even there was not beyond the
infection; in the Privy Purse book, there is an entry of £18. 8_s._ paid
“to Rede, the marshall of the king’s hall for to dispose of the king’s
charge to such poor folk as were expelled the town of the Greenwiche in
the tyme of the plague.” Similar payments are entered on January 13, 1531,
April 10, April 26 and November 8[561].

On November 23, 1531, the king was obliged to leave Greenwich on account
of the plague, removing to Hampton Court (now a royal palace since
Wolsey’s fall). In London it had somewhat abated, but, according to a
letter of the Venetian ambassador, had been up to 300 or 400 deaths in a
week. In mid-winter, the 15th of January, 1532, Parliament was prorogued
on account of the insalubrity of the air in London and Westminster. The
infection may be assumed to have gone on, according to the analogy of
known years, all through the spring and summer, rising to a greater height
in the autumn. We next hear of it on the 18th September, 1532, when the
Venetian envoy writes from London that the king’s journey to Gravesend and
Dover would be by water, “as there is much plague in those parts, and
there is no lack of it in London. Yesterday at the king’s court the master
of the kitchen died of it, having waited on his majesty the day before.”
On the 24th September, “the plague increases daily in London and well nigh
throughout the country.”

On the 14th October, “the plague increases daily, and makes everybody
uneasy.” On the same date the Privy Council write to the king, who had
crossed to Calais accompanied by Mr Secretary Cromwell, for a meeting with
the French king, that there is a rumour of the plague increasing,
especially at the Inns of Court. On the 18th October Hales, one of the
justices, writes to Cromwell that “the plague of sickness is so sore here
that I never saw so thin a Michaelmas term.” On the 20th, Audeley the Lord
Chancellor writes that many die of the plague, the sergeants in Fleet
Street have left in consequence, the Inner Temple has broken commons, the
lawyers being in great fear. “_The Council have commanded the mayor to
certify how many have died of the plague._” That is the first known
reference to the London bills of mortality, and was probably the very
first occasion of them[562]. By that time the plague had been active in
London for more than a month, and had clearly begun to alarm the
residents. The result of the Privy Council’s order to the mayor of London
was a bill on or before the 21st October, showing that 99 persons had died
of the plague in the city, and 27 from other causes, the number of deaths
from other causes suggesting that this was the bill for a week. On the
23rd the Secretary of State is informed that the sickness is fervent and
many die; those who are not citizens are much afeard. On the 25th Sir John
Aleyn has assurances for Cromwell (at Calais) from all parts of the
country that the whole realm is quiet, but the plague has been more severe
than in London. Cromwell’s French gardener was alive and well on Saturday
afternoon, the 12th, and he was dead of the plague and buried on Monday
morning the 14th. On the 27th the death “is quite abated” in London and
Westminster, according to one; but according to the Lord Chancellor, on
the 28th, the plague increases, especially about Fleet Street. On the 31st
October one writes, “I have not seen London so destitute of people as it
was when I came there.” On 2nd November the death is assuaged and there is
good rule kept, for Sir Hugh Vaughan takes pains in his office like an
honest gentleman. On the 9th November the plague is abated. There the
correspondence ends, the Court having returned from France. But we may
here bring in a certain weekly bill of mortality which has come down among
the waifs of paper from that period[563]. It is for the week from the 16th
to the 23rd of November, the year not being stated; the experts of the
national collection of manuscripts were at one time inclined to assign it
to “circa 1512;” but the first that we hear of the mayor being called upon
to furnish a bill of plague-deaths is the order by the lords of the
Council on or about the 20th October 1532, the first bill having shown 99
deaths in the city from plague and 27 deaths (in the week) from other
causes. The extant bill for the week 16th to 23rd November is clearly one
of a series; there are no good grounds for assigning it to an earlier date
than the year 1532, while there are reasons for not placing it later.
There are two other plague-bills extant, for August, 1535, written out in
a more clerkly fashion, and bearing the marks of greater experience. The
bill for the week in November is more primitive in appearance; and we may
fairly take it as one of the series first ordered by the Council in 1532:
for that was the most considerable year of the plague immediately
preceding the outburst of 1535, to which the more finished bills certainly
belong. The week in November, for which it gives the deaths from plague
and other causes in the city parishes is later than the dates of the 2nd
and 9th, when the plague was “suaged” and “abated;” the bill therefore
stands for plague on the decline, or near extinction for the season, its
total of plague deaths being 33, and of other deaths 32, as against 99 and
27 respectively in the corresponding week of October. As this, the
earliest of a great historical series of London bills of mortality, has a
peculiar interest, I transcribe it in full, retaining the original
spelling.

    Syns the XVIth day of November unto the XXIII day of the same moneth
    ys dead within the cite and freedom yong and old these many folowyng
    of the plage and other dyseases.

        Inprimys benetts gracechurch i of the plage
        S Buttolls in front of Bysshops gate i corse
        S Nycholas flesshammls i of the plage
        S Peturs in Cornhill i of the plage
        Mary Woolnerth i corse
        All Halowes Barkyng ii corses
        Kateryn Colman i of the plage
        Mary Aldermanbury i corse
        Michaels in Cornhill iii one of the plage
        All halows the Moor ii i of the plage
        S Gyliz iiii corses iii of the plage
        S Dunstons in the West iiii of the plage
        Stevens in Colman Strete i corse
        All halowys Lumbert Strete i corse
        Martins Owut Whiche i corse
        Margett Moyses i of the plage
        Kateryn Creechurch ii of the plage
        Martyns in the Vintre ii corses
        Buttolls in front Algate iiii corses
        S Olavs in Hart Strete ii corses
        S Andros in Holborn ii of the plage
        S Peters at Powls Wharff ii of the plage
        S Fayths i corse of the plage
        S Alphes i corse of the plage
        S Mathows in Fryday Strete i of the plage
        Aldermary ii corses
        S Pulcres iii corses i of the plage
        S Thomas Appostells ii of the plage
        S Leonerds Foster Lane i of the plage
        Michaels in the Ryall ii corses
        S Albornes i corse of the plage
        Swytthyns ii corses of the plage
        Mary Somersette i corse
        S Bryde v corses i of the plage
        S Benetts Powls Wharff i of the plage
        All halows in the Wall i of the plage
        Mary Hyll i corse.

        Sum of the plage xxxiiii persons
        Sum of other seknes xxxii persons

                    The holl sum xx/iii & vi.

    And there is this weke clere xxx/iii and iii paryshes as by this bille
    doth appere.

        The exec{n} of corses buryed of the plage within the cite of
        London syns &c.

There does not appear to have been any occasion for a continuance of
plague-bills beyond the date of the one just given until nearly three
years after: we hear, indeed, of a severe epidemic of plague at Oxford in
1533, but nothing of it in London until 1535[564]. It so happens that a
pair of London bills of mortality is extant from the month of August in
that year. Thus, by a singular coincidence, the only original bills of
mortality that have come down (so far as is known) from the sixteenth
century, are one from the end of the series in the first year of their
execution (1532), and another the very first of the series in the second
year of their execution (1535), or in the series ordered on account of the
epidemic of plague next following. Of that epidemic also it may be
permitted to give somewhat full details, for it is only rarely that we
have the chance of realizing the facts in so concrete a way.

In the summer and autumn of 1535 Henry VIII., with the queen (Anne
Boleyn), was mostly at his manor of Thornbury in Gloucestershire, Cromwell
the principal Secretary of State being either with the king or in his
immediate neighbourhood. The absence of the Court occasions numerous
letters to be sent from and to London, in which we hear of the plague
among other things. Cromwell had four houses in or near London at this
time,--at the Rolls in Chancery Lane, at Austin Friars in the City, at the
fashionable suburb of Stepney, and at Highbury: besides these he had a
fine villa building at Hackney. From his steward or other servants at one
or more of these he was in receipt of letters constantly during his
absence. A letter from the Rolls on the 30th July informs him that twelve
heron-shaws had been sent to him from Kent, and had been received at the
Rolls “as the city of London is sorely infected with the plague.” Next day
another writes that the City is infected but Fleet Street is clean. On the
5th August “the common sickness waxeth very busy in London.” On the 7th
Lord Chancellor Audeley writes from “my house at Christchurch”
(Creechurch, near Aldgate) that he had been expecting Cromwell in London,
but hears that he will not return for nine or ten days; will therefore go
to his house at Colchester meanwhile, as they are dying of the plague in
divers parishes in London. Cromwell was naturally desirous to know
accurately the state of health in the city, so as to regulate his own
movements and perhaps the king’s also; he accordingly makes inquiries of
his various correspondents. Another letter from London on the 7th August
informs him that there is no death at Court, but only in certain places in
the city: “I fear these great humidities will engender pestilence at the
end of the year, rather after Bartholomew tide than before. If you be near
London you must avoid conference of people.” On receipt of this Cromwell
would appear to have written to the mayor of London, for on the 13th
August his clerk at the Rolls replies to him that he had delivered the
letter to the lord mayor. On the 16th another of the household at the
Rolls writes that the plague rages in every parish in London, but not so
bad as in many places abroad: “I will send the number of the dead. The
mayor keeps his chamber. Some say he is sick of an ague; others that he
was cut about the brows for the megrims, which vexeth him sore. Few men
come at him, but women.” The bill of mortality which Cromwell had asked
for previous to 13th August is extant[565]. It is in two parts: one
showing 31 deaths from plague and 31 deaths from other causes in
thirty-seven out of one hundred parishes from the 5th to the 12th August,
with a list of parishes clear; and the other, headed “14th August” and
probably meant to include the former, showing a much heavier mortality and
a much shorter list of parishes clear, the whole being endorsed by the
mayor, Sir John Champneys, as follows: “So appeareth there be dead within
the city of London of the plague and otherwise from the 6th day of this
month of August to the 14th day, which be eight days complete, the full
number of 152 persons [105 of them from plague]. And this day se’night
your mastership [Mr Secretary Cromwell] shall be certified of the number
that shall chance to depart in the meantime. Yours as I am bound, John
Champeneys.” This double bill for certain days in August, 1535, is rather
more elaborate than, but otherwise not unlike, the above bill, for a week
in November, most likely of the year 1532. It will be noticed that the
deaths in all the city parishes from other causes than plague are 47 in
the bill for eight (or nine) days; 31 in the bill, partly the same, for
seven days, and 32 in the earlier bill for seven days, while they are
known to have been 27 in another bill of October, 1532, probably also for
seven days. These figures, the best to be had, are important for
calculating the population of London at the time; they represent quite an
ordinary weekly mortality, the deaths from plague being found to be always
extra deaths, where we can compare the mortality year after year, as in
the London bills of later times.

The weekly bills of mortality called for in the plague of 1535 were sent
regularly to the Secretary of State until the end of September--on the
22nd and 30th August, and on the 4th, (and 5th), 11th and 27th September.
The one sent on Monday the 30th August showed 157 deaths during the
preceding week, of which 140 were put down to plague, leaving only 17
deaths in the week from ordinary causes,--a small number owing perhaps to
so many residents having gone to the country. No figures remain from the
other bills, but we know from letters that the plague increased
considerably in September (e.g. 11th Sept. “By the Lord Mayor’s
certificate which I send you will see that the plague increases”) both in
London and in the country, justifying the prediction that it would be
worse after Bartholomew-tide; it is not until the 28th October that we
hear of the deaths being “well stopped” in London. Some few particulars of
this epidemic, and of its revival in 1536, remain to be added before we
come to speak of the London bills of mortality in general, of the extent
of the City and liberties at this period, of its sanitary condition, and
of the public health from year to year.

On the 18th August, 1535, one writes to Cromwell from the Temple that the
plague “has visited my house near Stepney where my wife lives.” On the
20th August a resident in Lincoln’s Inn was seized with plague and
conveyed thence by night to a poor man’s house right against the chamber
of one of Cromwell’s household at the Rolls, where he died. “Such as
lodge in your gate seldom go out, and will have less occasion if, before
great time pass, you will appoint from Endevill, or elsewhere within your
rule, some venison for the household, that men may be the better contented
with their fare.” On the same date Cromwell is informed by his steward at
Austin Friars that “the Frenchman next your house that was in St Peter’s
parish [Cornhill] has buried two, but no more.” The plague looked
threatening enough to raise the question whether Bartholomew fair should
be held at Smithfield this year. Meanwhile the king and court were at
Thornbury in Gloucestershire, having arrived there on the 18th August. The
town of Bristol was avoided “because the plague of pestilence then reigned
within the said town;” but a deputation of three persons was sent to the
king to present him with ten fat oxen and forty sheep, and to present the
queen, Anne Boleyn, with a gold cup full of gold pieces, an offering known
as “queen gold[566].” On the 25th of August the French ambassador
proceeded to Gloucestershire to inform Henry VIII. “of the interview of
the two queens,” but he stopped six miles short of the court, owing to a
“French merchant” who followed him having died of plague on the road. On
the 4th September the plague in London is aggravated by a scarcity of
bread; “what was sold for ½_d._ when you were here is now 1_d._,” and it
is so musty that it is rather poisonous than nourishing. On the 6th the
season has been unfavourable and there is great probability of famine. On
the 13th the Lord Chancellor will stay at his house at Old Ford beside
Stratford, on account of the plague in London increasing; he will have to
go to Westminster on the 3rd November, with the Speaker and others, to
prorogue Parliament, and advises the prorogation to be until the 4th of
February, and of the law courts until the eve of All Souls, by which time,
by coldness of the weather, the plague should cease. Wheat and rye were at
a mark and 16/- the quarter. A letter from Exeter on the 17th September
shows the danger of famine to have been great there also[567]. On the 23rd
September one of the masons working at Cromwell’s house in Austen Friars
is sick of the plague: three corses were buried at Hackney [of men
employed at the new house?] last St Matthew’s day. In October the king is
on his way back from Gloucestershire, but changes his route owing to a
death at Shalford and four deaths at Farnham. On the 24th October the
bishop of Winchester, on his way to Paris, lost his servant at Calais by
the great sickness “wherewith he was infected at his late being in London
longer than I would he should:” travelling is cumbrous in the “strange
watery weather” in France. In November the pope has heard that England is
troubled with famine and pestilence. The curate of Much Malvern writes in
November (but perhaps of 1536): “I have buried four persons of pestilence
since Saturday, and I have one more to bury to-day. Yesterday I was in a
house where the plague is very sore.”

The sickness appears to have shown itself again in London as early as
April, 1536. On the 2nd of May two gentlemen of the Inner Temple had died
of the sickness; on the 15th the abbot of York writes to be excused from
attending Parliament “because of the plague which has visited my house
near Powles [St Paul’s].” In the same summer the election of knights to
serve in Parliament for Shropshire could not be held at Shrewsbury because
the plague was in the town. In September one of the king’s visitors of the
abbeys, previous to their suppression, found hardly any place clear of the
plague in Somerset, and was much impeded in his work. On the 27th
September one of the numerous coronations of new queens in Henry VIII.’s
reign (this time Jane Seymour in succession to Anne Boleyn, beheaded in
May) was like to be postponed “seeing how the plague reigned in
Westminster, even in the Abbey.” On the 9th October plague was at Dieppe,
thought to have been brought over from Rye. In Yorkshire also, the duke of
Norfolk, sent to put down the rebellion in November, 1536, came into close
contact with plague; many were dying of it at Doncaster: “Where I and my
son lay, at a friar’s, ten or twelve houses were infected within a butt’s
length. On Friday night the mayor’s wife and two daughters and a servant
all died in one house.” Nine soldiers also were dead. At Oxford the
plague was active, and the scholars had gone into the country. In London
on the 27th November it was dangerous to tarry at Lincoln’s Inn “for they
die daily in the City.” In September, 1536, the small essay on plague by
the 14th century bishop of Aarhus, which had circulated in manuscript in
the medieval period and was first printed in 1480, was reprinted at
London, the regimen, as the title declares, having been “of late practised
and proved in mani places within the City of London, and by the same many
folke have been recovered and cured[568].” In 1537 there appear to have
been a few cases of plague at Shrewsbury, on account of which the town
council paid certain moneys[569].

Beyond the year 1538 the domestic records of State are not as yet
calendared in such fulness as to bring to light any references to plague
in them. It may be, therefore, that the clear interval from 1537 to 1542
is in appearance only. From such sources as are available we can continue
the history of plague down to the great London plague of 1563; but it is a
history meagre and disappointing after the numerous concrete glimpses and
details of the earlier period.

The summer of 1540 was a sickly one throughout England[570]; it introduces
us to a different and perhaps new type of disease, “hot agues,” with
“laskes” or dysenteries, of which a good deal remains to be said in
another chapter.

It was in 1539 that Parish Registers of the births, marriages and deaths
began to be kept--very irregularly for the most part but in some few
parishes continuously from that year. By their means we can henceforth
trace the existence of epidemic disease in the country, which might not
have been suspected or thought probable. Thus, at Watford from July to
September, 1540, there were 47 burials, of which 40 were from “plague.”
Next year, in the month of October, the burials were 14, a number greatly
in excess of the average[571]. In 1543 there was “a great death” in
London, which lasted so far into the winter that the Michaelmas law term
had to be kept at St Albans[572]. Another civic chronicle adds that there
had been a great death the summer before; and from an ordinance of the
Privy Council it appears that the plague was in London as early as May 21,
1543[573]. The next definite proof of plague in the capital is under 1547
and 1548. On the 15th November in the former year blue crosses were
ordered to be affixed to the door-posts of houses visited by the plague.
In 1548, says Stow, there was “great pestilence” in London, and a
commission was issued to curates that there should be no burials between
the hours of six in the evening and six in the morning, and that the bell
should be tolled for three-quarters of an hour[574]. A letter of July 19
says that they had been visited by plague in the Temple, and that it still
continued[575]. On August 28, the Common Council adjourned for a fortnight
by reason of the violence of the plague[576].

These are the London informations for 1547 and 1548, but it would be
unsafe to conclude that the other years from 1543 were free from plague.
In 1544 it was raging at Newcastle[577], at Canterbury[578] and at
Oxford[579], at which last it continued most of the next year, and was
considered to be “the dregs of that which happened _anno_ 1542.” It had
been prevalent in Edinburgh previous to June 24, 1545[580]. In April,
1546, there was a severe mortality on board a Venetian ship at Portsmouth,
which may have been the plague, as in a similar case at Southampton[581].
In the autumn or early winter of the same year the plague was raging so
fervently in Devonshire that the Commissioners for the Musters were
obliged to put off their work till it ceased[582]. Within the town of
Haddington, which was held by an English garrison against a large
besieging force of French and others, plague broke out in 1547[583]. In
1549 the disease is reported from Lincoln[584]. A letter of November 23,
1550, states that the Princess Mary was driven from Wanstead by one dying
of the plague there[585].

The reigns of Edward VI. and Mary, full of trouble as they were in other
ways, furnish hardly a single record of plague. The sweating sickness of
1551 we hear of sufficiently; and the pestilent fevers, or influenzas, in
1557-58 are not altogether without record; but of plague down to the 5th
year of Elizabeth (1563) there is very little said, and that little not
free from ambiguity. Sometime in that interval, or still earlier, must
have fallen the pestilence at Northampton, severe enough to require the
new cemetery which cardinal Pole, in a deed of March 9, 1557, ordered to
be henceforth kept enclosed[586]. Only two of the many centres of sickness
in England in 1558 are said to have had the infection of the type, not of
fever, but of plague,--Loughborough and Chester. In the Leicestershire
town the burials were numerous enough for true plague, and the cause of
mortality is so named[587]. In Chester also the sickness is called the
plague, and it is added that many fled the town, although the deaths were
few[588]. A State paper of February 25, 1559, speaks of the county of
Cheshire as “weakened by the prevalence of plague[589].”


The London Plague of 1563.

The activity of the plague in London in 1563 made up for its dormancy in
the years preceding. The epidemic of that summer and autumn was one of the
most severe in the history of the city, the mortality in proportion to the
population having been tremendous. This is the first London plague for
which we have the authentic weekly deaths. How they were obtained is not
stated, but it was probably by the same means that furnished the
plague-bills of 1532 and 1535. John Stow must have had before him a
complete set of weekly bills from the beginning of June, 1563, to the 26th
of July, 1566, of which series not one is known to be extant; but the
totals of the weekly deaths from plague for the whole of that period are
among Stow’s manuscript memoranda in the Lambeth Library[590]. After the
week ending the 31st December, 1563, the weekly deaths are few, many of
the weeks of 1564, 1565 and 1566 having only one death from plague, and
some of them none. The following are the weekly mortalities during the
severe period of the epidemic:

  Week ending      Plague-deaths
  1563. 12 June          17
        19   "           25
        26   "           23
         3 July          44
        10   "           64
        17   "          131
        23   "          174
        30   "          289
         6 August       299
        13   "          542
        20   "          608
        27   "          976
         3 September    963
        10    "        1454
        17    "        1626
        24    "        1372
         1 October     1828
         8    "        1262
        15    "         829
        22    "        1000
        29    "         905
         5 November     380
        12    "         283
        19    "         506
        26    "         281
         3 December     178
        10    "         249
        17    "         239
        24    "         134
        31    "         121
  1564.  7 January       45
        14    "          26
        21    "          13

Stow’s summary of this epidemic in his _Annales_ is as follows: “In the
same whole year, i.e. from the 1st January, 1562 [old style] till the last
of December, 1563, there died in the city and liberties thereof,
containing 108 parishes, of all diseases 20,372, and of the plague, being
part of the number aforesaid, 17,404; and in out parishes adjoining to
the same city, being 11 parishes, died of all diseases in the whole year
3288, and of them of the plague 2732.” The weekly totals from June 12 to
December 31 which are for the City and liberties, and exclusive of the out
parishes, add up to very nearly Stow’s total for the whole year, or to
16,802 as against 17,404. Where the discrepancy arises does not appear; it
is hardly likely that some 600 plague-deaths would have occurred previous
to the second week in June, at which time the weekly mortality had reached
only 17. We are able to check one of the weekly totals from an independent
source. In an extant letter of the time the following figures for the week
from 23rd to 30th July are given, having been taken evidently from the
published or posted weekly bill: “Died and were buried in London and
suburbs, 399, most young people and youths, of which number of the common
plague 320 persons. Number of children born and christened in the same
week, 52[591].” “London and suburbs” would mean the 108 parishes of the
City and liberties together with the 11 out parishes, so that the
difference between Stow’s 289 and the above 320 would give the number of
plague-deaths in the out parishes for the particular week.

The state of matters in the City is thus referred to in Bullein’s
_Dialogue_ published in 1564:--

    _Civis._--“Good wife, the daily jangling and ringing of the bells, the
    coming in of the minister to every house in ministering the communion,
    the reading of the homily of death, the digging up of graves, the
    sparring of windows, and the blazing forth of the blue crosses do make
    my heart tremble and quake.” A beggar, in the same _Dialogue_, who had
    arrived from the country, says:

    “I met with wagones, cartes and horses full loden with yong barnes,
    for fear of the blacke Pestilence, with them boxes of medicens and
    sweete perfumes. O God! how fast did they run by hundredes, and were
    afraied of eche other for feare of smityng.”

We get one or two glimpses of this great plague from the medical point of
view in Dr John Jones’s _Dyall of Agues_[592]. The worst locality, he
says, was “S. Poulkar’s parish [St Sepulchre’s] by reason of many
fruiterers, poor people, and stinking lanes, as Turnagain-lane [so called
because it led down the slope to Fleet Ditch and ended there],
Seacoal-lane, and such other places, there died most in London, and were
soonest infected, and longest continued, as twice since I have known
London I have marked to be true.” Jones believed in contagion: “I myself
was infected by reason that unawares I lodged with one that had it running
from him.” His other observation is interesting as proving the possibility
of repeated attacks of the buboes in the same person, an observation
abundantly confirmed, as we shall see, in the London plagues of 1603 and
1665:

    “Here now, gentel readers, I think good to admonish all such as have
    had the plague, that they flie the trust of ignoraunt persons, who use
    to saye that he who hath once had the plague shal not nede to feare
    the havinge of it anye more: the whych by this example whyche foloweth
    (that chaunced to a certayne Bakers wife without Tempel barre in
    London, Anno Do. 1563) you shall find to be worthelye to be repeated:
    this sayde wyfe had the plage at Midsommer and at Bartholomewtide, and
    at Michaelmas, and the first time it brake, the seconde time it brake,
    but ran littell, the thirde time it appeared and brake not: but she
    died, notwythstanding she was twyce afore healed.”

Two London physicians of some note died of the plague in 1563. One was Dr
Geynes, who had brought trouble upon himself by impugning the authority of
Galen, perhaps without sufficient reason. Having been cited before the
College of Physicians, to whose discipline he was subject, he preferred to
recant his heresy rather than undergo imprisonment. He died of plague on
23 July, 1563. Another was Dr John Fryer who had suffered twice for
religious heresy, having been imprisoned by queen Mary as a Lutheran, and
by queen Elizabeth as a papist. He regained his liberty in August, 1563,
but only to die of plague on 21 October, his wife and several of his
children having been also victims of the epidemic[593].

Stow ascribes the infection of the city of London by plague in the summer
of 1563 to the return of the English troops from Havre, which town queen
Elizabeth had boldly attempted to hold, and did actually hold for ten
months, from September, 1562, as an English fortress in French territory.
Havre was not surrendered until the last days of July, 1563, and no
returning troops could have reached London until August, by which time the
plague had been raging there for two months. There was no doubt frequent
communication between Havre and English ports while the siege lasted; but
the sickness in each place can have been no more than coincident. Thus,
while there were 17 plague-deaths in London in the week from the 5th to
the 12th of June, the 7th of June is the first date on which report was
made of sickness in Havre, although there had been cases of illness
before. On that date the Earl of Warwick wrote to the Privy Council[594]:
“For the want of money the works are hindered and the men discouraged. A
strange disease has come amongst them, whereof nine died this morning (and
many before) very suddenly.” On the same day (7th June, 1563), one writes
from Havre to Cecil: “Many of our men have been hurt in these skirmishes,
but more by drinking of their wine, which hath cast down a great number,
of hot burning diseases and impostumations, not unlike the plague.” By the
9th June the deaths were from 20 to 30 a day. On the 12th June, 442 were
sick out of a total force (including labourers and seamen) of 7143. On
June 16, Warwick points out to the Privy Council that the sickness was
aggravated by the want of fresh meat and the soldiers’ usual beverages:
“therefore their continual drinking of wine, contrary to their custom, has
bred these disorders and diseases.” On the 28th June the daily mortality
was 77; from that date it increased somewhat, and was so serious as to
hasten the surrender of the place to the French besieging force in the end
of July. On July 27 there was plague in the castle of Jersey, and on
August 6 it was very sore in Jersey, especially in the Castle[595].

It would have seemed the more probable to the people of London that the
plague of 1563 had been imported across the Channel by reason of the
unusually long immunity of the English capital in respect of that
infection. A clear interval of a dozen years without an epidemic, or a
severe epidemic, was enough to make men forget the long tradition of
plague domesticated upon English soil; while there was no scientific
doctrine of epidemics then worked out, from which they might have known
that the seeds of a disease may lie dormant for years, and that their
periodic effectiveness depends upon a concurrence of favouring things,
most of all upon extremes of dryness or wetness of the seasons as
affecting a soil full of corrupting animal matters.

The plague of 1563 in the capital was accompanied or followed by several
provincial outbreaks, of which few details are known. It is mentioned at
Derby[596] in 1563, at Leicester[597] in 1563 and 1564 (a shut-up house in
1563, the first plague-burial in St Martin’s parish on May 11, 1564), at
Stratford-on-Avon, at Lichfield[598] and Canterbury[599] in 1564. But it
is little more than mentioned at all those places. In the parish register
of Hensley, in the North Riding of Yorkshire, a later incumbent, basing
upon “an old writing of 1569,” says that the explanation of the year 1563
being a blank in the register was “because in that year the visitation of
plague was most hot and fearful, so that many died and fled, and the town
of Hensley, by reason of the sickness, was unfrequented for a long
season[600].”


Preventive Practice in Plague-time under the Tudors.

Having now traced the history of plague in London and in the provinces
down to the beginning of the reign of Elizabeth, and having found it
steady from year to year for many years in London, with an occasional
terrific outburst, we are naturally led to ask whether the causes of it,
or its favouring things, were understood, and whether any steps were taken
to deal with it. This will be in effect a review of the earliest
preventive practice.

That which was most clearly perceived by all was that the plague began to
reign in certain years as the summer heats drew on, that the air of London
or Westminster became “intemperate,” or unwholesome, or infectious, and
that it was desirable to get out of such air. Accordingly the one great
rule, admitted by all and acted upon by as many as could, was to escape
from the tainted locality, or as Wolsey expressed it to the earl of
Shrewsbury in 1516, to get them “into clean air.” There was no other
sovereign prescription but that, and it remained the one great
prescription until the last of plague in 1665-6.

Difficult points of casuistry arose out of that steady perception of an
indisputable rule. Could flight from a plague-stricken place be reconciled
with duty to one’s neighbour? How ought a Christian man to demean himself
in the plague? The Christian conscience may or may not have been tender on
that ground in the medieval period; there is little to show one way or the
other, except the occasional hints that we get, as in the Danish bishop’s
treatise, of an unwillingness to go near the victims of plague. But about
the Reformation time those points of casuistry were debated; and one
elaborate handling of them, in the form of a sermon by a German
ecclesiastic, Osiander, was translated into English in 1537 by Miles
Coverdale[601]. It followed, accordingly, that period of plague in London
which has occupied the first part of this chapter. The translator remarks
that they had been negligent of charity one to another, and he prints this
discourse “to the intent that the ignorant may be taught, the weake
strengthened, and everyone counselled after his callynge to serve his
neighbor.”

Osiander’s perplexed Christian is in much the same case as Launcelot Gobbo
in the play: “‘Budge,’ says the fiend; ‘Budge not,’ says my conscience.
‘Conscience,’ say I, ‘you counsel well;’ ‘Fiend,’ say I, ‘you counsel
well.’” The situation was a naturally complex one, and this is how the
good preacher comes out of it:

    “It is not my meaning to forbid or inhibit any man to fly, or to use
    physick, or to avoid dangerous and sick places in these fearful
    airs--so far as a man doth not therein against the belief, nor God’s
    commandment, nor against his calling, nor against the love of his
    neighbour.” And yet, shortly after: “Out of such fond childish fear it
    cometh that not only some sick folk be suffered to die away without
    all keeping, help, and comfort; but the women also, great with child,
    be forsaken in their need, or else cometh there utterly no man unto
    them. Yet a man may hear also that the children forsake their fathers
    and mothers, and one household body keepeth himself away from another,
    and sheweth no love unto him. Which nevertheless he would be glad to
    see shewed unto himself if he lay in like necessity.” He then exhorts
    the Christian man to remain at the post of duty, by the examples of
    the clergy and of “the higher powers of the world, who also abide in
    jeopardy”--certainly not the English experience. “Let him not axe his
    own reason, how he shall do, but believe, and follow the word of God,
    which teacheth him not to fly evil air and infect places (which he may
    well do: nevertheless he remaineth yet uncertain whether it helpeth or
    no).” The Christian man’s perplexities can hardly have been resolved
    when all was said; and the following sentence puts the case for
    quitting the infected place as strongly as it can be put: “For if it
    were in meat or drink, it might be eschewed; if it were an evil taste,
    it might be expelled with a sweet savour; if it were an evil wind, the
    chamber might with diligence be made close therefore; if it were a
    cloud or mist, it might be seen and avoided; if it were a rain, a man
    might cover himself for it. But now it is a secret misfortune that
    creepeth in privily, so that it can neither be seen nor heard, neither
    smelled nor tasted, till it have done the harm.”

In practice the rule was ‘Save who can;’ so that whenever the infection
promised to become “hot,” as the phrase was, there was an adjournment of
Parliament and of the Law Courts, a flight of all who could afford it to
the country, and an interruption of business, diplomatic and other, which
sometimes lasted for months. It was only occasionally, however, that the
infection became really hot; in ordinary years a certain risk was run.
Thus, in 1426, the plague had been severe enough to cut off the Scots
hostages; but it was not until after their death that the king’s council
left the city. Again, in 1467, Parliament did not adjourn (on 1st July)
until several members of the House of Commons had died of the plague.

Although flight was the sovereign preventive in a great plague-season, it
was impracticable in ordinary years when the infection was at its steadier
or more endemic level. The endemic level was tolerated up to a certain
point. In a long despatch to his government, the Venetian ambassador in
London wrote of the plague as follows in 1554[602]:

    “They have some little plague in England well nigh every year, for
    which they are not accustomed to make sanitary provisions, as it does
    not usually make great progress; the cases for the most part occur
    amongst the lower classes, as if their dissolute mode of life impaired
    their constitutions.”

Whenever the plague showed signs of overstepping these limits, strenuous
efforts were made to keep it in check. It may be questioned whether all
that was done in that way made any difference; the great outbursts came at
intervals, rose to their height, subsided in a few months, and left the
city more or less free of plague until some concurrence of things, or the
lapse of time, brought about another epidemic of the first degree. None
the less, certain measures were taken to restrain the infection, and these
were put in force with mechanical regularity whenever the Privy Council
informed the Lord Mayor that the occasion required it. A brief account of
them, of their beginnings and their development, will now be given.

The first that we hear of attempts at isolation and notification is in
1518. In April of that year, the Court being in Berkshire or Oxfordshire,
Sir Thomas More charged the mayor of Oxford, and the commissary, in the
king’s name “that the inhabitants of those houses that be, and shall be
infected, shall keep in, put out wispes, and bear white rods, as your
Grace devised for Londoners[603].” By his Grace is to be understood the
king himself; and these measures devised by him--the keeping in, the
putting out of wisps on the houses, and the carrying of white rods,--might
have been tried as early as the epidemic of 1513, which was a severe one.
When two of the Venetian ambassador’s servants died of the plague in 1513,
their bed, sheets and other effects were thrown into the river. On the
21st of May, 1516, the ambassador removed to Putney owing to a case of
plague in his house, and he was not allowed to see cardinal Wolsey until
the 30th of June, i.e. until forty days had elapsed. This is perhaps the
first mention of the quarantine which the Court rigorously put in
practice against those who had business with it. On the 22nd July, 1518,
the same ambassador wrote to Venice from Lambeth that two of his servants
had lately died of the plague; and, on the 11th August, again from
Lambeth, that the king and Wolsey would not see him because of the plague;
“but on the expiration of forty days, which had nearly come to an end, he
would not fail to do his duty as heretofore.”

On the 25th August, 1535, Chapuys, in a letter to Charles V., gives an
amusing account of an attempt made by the French ambassador to see Henry
VIII. and Cromwell on diplomatic business. The Court was residing in
Gloucestershire owing to plague in and near London (it was at Bristol
also), and the ambassador journeyed thither to carry his business through.
However he went no nearer than six miles, because a “French merchant” who
followed him died upon the road of the plague, as it was feared. The king
asked him to put his charge in writing, but the ambassador replied that he
had orders to tell it in person, and that he could wait. At length he lay
in wait for Secretary Cromwell in the fields where he went to hunt with
the dukes of Norfolk and Suffolk, and delivered his charge despite the
manifest unwillingness of Cromwell, who came away from the improvised
diplomatic interview in no good humour.

The first plague-order of which the full text is extant was issued in the
35th of Henry VIII. (1543). As it contains the germs of all subsequent
preventive practice, I transcribe it in full[604].

    “35 Hen. VIII. A precept issued to the aldermen:--That they should
    cause their beadles to set the sign of the cross on every house which
    should be afflicted with the plague, and there continue for forty
    days:

    “That no person who was able to live by himself, and should be
    afflicted with the plague, should go abroad or into any company for
    one month after his sickness, and that all others who could not live
    without their daily labour should as much as in them lay refrain from
    going abroad, and should for forty days after [illegible] and
    continually carry a white rod in their hand, two foot long:

    “That every person whose house had been infected should, after a
    visitation, carry all the straw and [illegible] in the night privately
    into the fields and burn; they should also carry clothes of the
    infected in the fields to be cured:

    “That no housekeeper should put any person diseased out of his house
    into the street or other place unless they provided housing for them
    in some other house:

    “That all persons having any dogs in their houses other than hounds,
    spaniels or mastiffs, necessary for the custody or safe keeping of
    their houses, should forthwith convey them out of the city, or cause
    them to be killed and carried out of the city and buried at the common
    laystall:

    “That such as kept hounds, spaniels, or mastiffs should not suffer
    them to go abroad, but closely confine them:

    “That the churchwardens of every parish should employ somebody to keep
    out all common beggars out of churches on holy days, and to cause them
    to remain without doors:

    “That all the streets, lanes, etc. within the wards should be
    cleansed:

    “That the aldermen should cause this precept to be read in the
    churches.”

Here we see a development of the measures which had been devised for
London by Henry VIII. or his minister previous to 1518, and probably in
the plague of 1513. The wisps put out on the infected houses are replaced
by crosses, which, in the order of 1543, are simply called “the sign of
the cross.” They are next heard of during the plague of 1547, in a
Guildhall record of 15 November[605]:

    “Item, for as moche as my Lord Mayer reported that my Lorde Chauncelar
    declared unto hym that my Lorde Protectour’s Grace’s pleasure ys, and
    other of the Lordes of the Counseyll, that certain open tokens and
    sygnes shulde be made and sett furth in all such places of the Cytie
    as haue of late been vysyted with the plage”--be it therefore ordained
    that a certain cross of St Anthony devised for that purpose be affixed
    to the uttermost post of the street door, there to remain forty days
    after the setting up thereof.

The cross of St Anthony was a headless cross, and the crutch is supposed
to have been painted (in blue) on canvas or board and fixed to the post of
the street door. The legend under or over the cross was, “Lord have mercy
upon us.” Before the plague of 1603, the colour had been changed to red.

The white rods, which had been devised along with the wisps previous to
1518, are mentioned in the order of 1543 as two foot long; they were to
be carried for forty days by those who must needs go abroad from
plague-stricken houses. We hear of them again, both in France and in
England in 1580 and 1581. On the 20th November, 1580, the Venetian
ambassador to France writes from the neighbourhood of Paris: “This city, I
hear, is in a very fair sanitary condition, notwithstanding that as I
entered a city gate, which is close to where I reside, I met a man and a
woman bearing the white plague wands in their hands and asking alms; but
some believe that this was merely an artifice on their part to gain
money[606].” In the regulations for plague added in 1581 by the mayor of
London to the earlier code, the third is: “That no persons dwelling in a
house infected be suffered to go abroad unless they carry with them a
white wand of a yard long; any so offending to be committed to the Cage.”
In the seventeenth-century plagues of London and provincial towns, the
white wand was retained as the peculiar badge of the searchers of infected
houses and of the bearers of the dead. The white rod or wand carried by
inmates of infected houses, had become a red rod in the plague of 1603,
just as the blue cross had been changed to red.

The other directions in the order of 1543 are heard of from time to time
in the subsequent history of plague--such as the burning of straw, and the
cleansing of the streets. The Guildhall record of 15 November, 1547, after
directing the blue crosses to be affixed to houses, proceeds:

    “And also to cause all the welles and pumpes within their seid wardes
    to be drawen iii times euerye weke, that is to say, Monday, Wednesday,
    and Friday. And to cast down into the canelles at euerye such drawyng
    xii bucketts full of water at the least, to clense the stretes
    wythall.”

Under Elizabeth, the orders as to scavenging become much more stringent,
as we shall see. In the plague of 1563, on 29 September, the Common
Council appointed “two poor men to burn and bury such straw, clothes, and
bedding as they shall find in the fields near the city or within the city,
whereon any person in the plague hath lyen or dyed[607].”

The curious order as to dogs was based upon the belief that they carried
the infection in their hair, just as cats are now believed by some to
carry infection in their fur. Brasbridge, in his _Poor Man’s Jewel_
(1578), gives a case of a glover at Oxford, into whose house a disastrous
plague-infection was supposed to have been brought by means of a dog’s
skin bought in London[608]. The plague-regulations contained the clause
against dogs to the last; in the great plagues of 1603, 1625, and 1665,
thousands of them were killed, many of them having been doubtless left
behind in the exodus of the well-to-do classes. In the corporation records
of Winchester[609], there is a minute, undated, but probably belonging to
the end of the 16th century, that dogs shall be kept indoors “if any house
within the city shall happen to be infected with the plague.” A
proclamation during the London plague of 1563 is directed against cats as
well as dogs, “for the avoidance of the plague:” officers were appointed
to kill and bury all such as they found at large[610].

The great London plague of 1563 had revived the old practices and given
rise to some new ones. Curates and churchwardens were directed to warn the
inmates of houses where plague had occurred not to come to church for a
certain space thereafter[611]. The blue crosses were again in great
request, being ordered by hundreds at a time in readiness to affix to
infected houses[612]. Also it was ordered by the Mayor and Council that
the “filthie dunghill lying in the highway near unto Fynnesburye Courte be
removed and carried away; and not to suffer any such donge or fylthe from
hensforthe there to be leyde[613].” On the 9th of July, 1563, plague
having been already at work for several weeks, a commission was issued by
the queen in Council, that every householder in London should, at seven
in the evening, lay out wood and make bonfires in the streets and lanes,
to the intent that they should thereby consume the corrupt airs, the fires
to be made on three days of the week[614]. On 30th September, 1563, it was
ordered that all such houses as were infected should have their doors and
windows shut up, and the inmates not to stir out nor suffer any to come to
them for forty days. At the same time, a collection was ordered to be made
in the churches for the relief of the poor afflicted with the plague, and
thus shut up. Another order was that new mould should be laid on the
graves of such as die of the plague. Still another, the first of a long
series, was to prohibit all interludes and plays during the
infection[615]. On the 2nd December, when the deaths had fallen to 178 in
the week, an order was issued by the Common Council that houses in which
the plague had been were not to be let. On the 20th January, 1564, there
was an order for a general airing and cleansing of houses, bedding and the
like. By that time the deaths had fallen to 13 in the week.

The most rigorous measures in this plague were those which queen Elizabeth
took for her own safety at Windsor in September. Stow says that “a gallows
was set up in the market-place of Windsor to hang all such as should come
there from London. No wares to be brought to, or through, or by Windsor;
nor any one on the river by Windsor to carry wood or other stuff to or
from London, upon pain of hanging without any judgment; and such people as
received any wares out of London into Windsor were turned out of their
houses, and their houses shut up[616].”

In 1568 a more complete set of instructions to the aldermen of the several
wards was drawn up by the Lord Mayor, and a corresponding order for the
city of Westminster by Sir William Cecil, Secretary of State, and by the
Chancellor of the Duchy. In 1581 some additional orders were issued by the
Lord Mayor. The whole of these are here given from a state paper in a
later handwriting, probably of the time of James I. or Charles I[617].

    A collection of such papers as are found in the office of his
    Majesties papers and records for business of state for the preventing
    and decreasing of the plague in and about London.


    A. (City of London, 1568.)

    1. First a ’tre from the Mayor of London to every alderman of each
    warde to charge their Deputys counstables and officers to make search
    of all houses infected within each parish.

    2. To cause all infected houses to bee shutt up and noe person to come
    forth in twenty dayes after the infection.

    3. That some honest discreete person be appoynted to attend each such
    infected house to provide them of all necessaries at the cost of the
    M{r} of the house if he be able.

    4. For the poorer houses infected that the Alderman or his deputy doe
    cause to make collection for the supply of all necessaries to be
    charged upon the wealthyer sorte of the same warde or parish.

    5. That such as shall refuse to pay what they are assest shall be
    committed to warde untill they pay it.

    6. That all bedding and cloathes and other thinges apt to take
    infection which were about infected persons bee burnt or such order
    taken that infection may not be increased by them.

    7. Lastly that a bill with ‘Lord have mercy upon us’ in greate ’tres
    bee sett over the dore of euery infected house and that the
    counstables and Beadles have a care to see that the same be not taken
    downe.

    These orders were sett downe by the Mayior of London in the yeere
    1568, whereupon queene Elizabeth writeth a letter to S{r} William
    Cycill then secretary and S{r} Ambrous Cave, chauncellor of the Duchy
    to take the like order or any other that they should thinke fitt in
    the citie of Westminster.


    B. (City of Westminster, 1568.)

    Orders sett down by S{r} William Cycill, Secretary, as High Steward of
    Westminster and S{r} Ambrous Cave, chauncellor of the Dutchy to the
    Bayleiffes, Hedburroughs, Counstables and other officers of the sayde
    Citty.

    1. That they should follow the good example of the orders devised and
    observed by the Mayior and Aldermen of London, and further that all
    that haue any houses shops or loggings that hath had any infection in
    them by the space of twenty dayes before the making of these orders
    shall shutt up all their doares and windoares towards the streetes and
    common passages for forty dayes next and not suffer after the tyme of
    the sicknes any person to goe forth nor any uninfected to come in upon
    payne that euery offender shall sitt seven dayes in the stocks and
    after that be committed to the common Goale there to remayne forty
    dayes from the first day of his being in the stocks.

    2. That the officers aforesayde with the curate of euery parish and
    churchwardens doe make such collection of the rest of the parishioners
    as shall be necessary for the sustenance of such as bee poore infected
    and shutt up.

    3. To discharge all inmates out of all houses that there be noe more
    persons in one house then be of one family except they be lodgers for
    a small time.

    4. To cause the streetes lanes and passages and all the shewers sinkes
    (?) and gutters thereof dayly to be made sweete and cleane.


    C. (London, 1581.)

    There were added by the Mayior of London to the former articles these
    following in the year 1581.

    1. That speciall noatis be taken of such houses infected as sell
    cloth, silke and other wares and make garments and aparrell for men
    and women.

    2. That euery counstable within his precinct haue at all tymes in
    readines two honest and discreete women to attend any house infected.

    3. That noe person dwelling in a house infected bee suffered to goe
    abroade unless they carry with them a white wand of a yarde long. Any
    soe offending to bee committed to the Cage there to remayne untill
    order shallbe taken by the Mayior or his bretheren.

    4. That they suffer not any deade corps dying of the plague to be
    buryed in tyme of divine service or sermon.

    5. To appoynt two honest and discreete matrons within euery parish who
    shall bee sworne truely to search the body of euery such person as
    shall happen to dye within the same parish, to the ende that they make
    true reporte to the clerke of the parish church of all such as shall
    dye of the plague, that the same clerke may make the like reporte and
    certificate to the wardens of the parish clerkes thereof according to
    the order in that behalfe heretofore provided.

    If the viewers through favour or corruption shall giue wrong
    certificate, or shall refuse to serue being thereto appointed, then to
    punish them by imprisonment in such sorte as may serue for the terror
    of others.

    6. That order be taken for killing of dogs that run from house to
    house dispersing the plague, and that noe swine be suffered or kept
    within the citty[618].

Several of these plague-regulations had been in force, as we have seen,
from near the beginning of the century. Others, not hitherto mentioned,
were also of earlier date. Thus the collections for the poor are
mentioned in the diary of a London citizen in 1538 and 1539, but not
specially in connexion with plague. They are heard of often after the
plague of 1563, along with other provisions for the poor which mark the
reign of Elizabeth. If we may trust Bullein’s _Dialogue_ of 1564, a
systematic provision became necessary because private charity was no
longer to be depended on. In many country towns and parishes, as we shall
see, the contributions or compensations to the inmates of shut-up houses
in the Elizabethan plagues were paid out of the municipal funds, either
those of the affected place or of some “unvisited” neighbouring town. The
Act of Parliament which most directly provided for “the charitable relief
of persons infected with the plague” was the 1st James I. (1603-4), cap.
31.

A most essential part of the means for controlling plague was the
institution of searchers[619]. In the orders of 1543, the aldermen of the
wards are directed to send their beadles to affix the sign of the cross to
affected houses. But in due course these duties of inspection,
notification, isolation and registration passed in London into the hands
of the Company of Parish Clerks. The original business of the Parish
Clerks was with church music. In the thirteenth century they received a
charter of incorporation as the Clerks of St Nicholas, and became
associated with that love of choral singing which has always distinguished
the English people. Legacies and endowments fell to them for the
performance of specific services, or for their encouragement in general.
From time to time the Company would appear in a particular parish church
to sing a mass. It was the singular history of a Company which gained its
greatest name as the Registrars of Births and Deaths in London down to the
Registration Act of 1837, to have been not only the first Choral Society
but also the first company of stage players. In 1391, says Stow, a play
was given by the parish clerks of London at the Skinners’ Well beside
Smithfield, which continued three days together, the king, queen and
nobles of the realm being present. Another play, in the year 1409, lasted
eight days, “and was of matter from the creation of the world, whereat
was present most of the nobility and gentry of England[620].”

In the time of Sir Thomas More, a parish clerk meant one who sang in the
church choir. When More was lord chancellor, the duke of Norfolk came one
day to dine with him at his house at Chelsea, and not finding him at home,
went in search of him. He found him, where posterity will long delight to
picture him,--in the church “singing in the choir with a surplice on his
back.” As they walked home arm in arm the duke said to Sir Thomas More: “A
parish clerk! a parish clerk! God body, my lord chancellor, you dishonour
the king and his office;” whereon the chancellor answered as if he did not
take the duke altogether seriously.

The whole strength of the Company of Parish Clerks in those times would
attend the funeral of some rich person, as we may read in the
sixteenth-century diary of Machyn the undertaker (sometimes the Company
chosen to follow the body to the grave was that of the Tallow Chandlers,
as in the case of John Stow’s mother). It was no great step from their old
duties to their new. There were, as we have seen, bills of mortality
compiled weekly for all the parishes in the city and liberties as early as
1532 and 1535. It is not said that the Parish Clerks were the collectors
of the information, but they were as likely to have been so as any other
persons whom the mayor would employ. Bills were also drawn up for a few
weeks during the sweating sickness of 1551, and again for an unbroken
series of some two hundred weeks from the beginning of the plague of 1563.
The figures are preserved from a single weekly bill, 22-28 October, 1574,
which must have been one of a series[621]. The next bills known are a
series for five years, 1578-83, a plague-period of which more will have to
be said in its proper place in the chronology.

The orders of 1581, already given, make mention of the two discreet
matrons within every parish who shall be sworn truly to search the body of
every such person as shall happen to die within the same parish, of their
reporting to the clerk of the parish, and of the clerk making report and
certificate to the wardens of the Parish Clerks, who would send the weekly
certificate for all the parishes to the mayor, and he to the minister of
State. That was said to be “according to the order in that behalf
heretofore provided.” It is probable, therefore, that the searchers became
an institution as early as the plague of 1563, or, at all events, at the
beginning of the plague-period of 1578-83.

The clerk of the Company in 1665 describes how the discreet matrons were
chosen as searchers or viewers of the dead in each parish, and how they
were sworn to discharge their duties faithfully[622]. The swearing in took
place before the Dean of the Arches, that is to say, in St Mary le Bow
church (“St Mary of the Arch”) in Cheapside. The motive to bribe them for
a wrong report on the cause of death was to avoid the shutting up and all
other troubles of a household pronounced infected by the plague. In later
times their diagnostic duties became, as we shall see, much more complex;
but down to 1604, when they first brought to the Parish Clerks’ Hall “an
account of the diseases and casualties” (which classification and
nomenclature did not begin to be printed until 1629), they had merely to
say whether a death had been from plague or from other cause.


Sanitation in Plantagenet and Tudor times.

Along with all those means, having the object of stopping the spread of
infection, the Elizabethan policy did not neglect what we should now
consider the more radical means of sanitation. It is usual to bring a
sweeping charge of neglect of public hygiene against all old times; there
was so much plague in those times, and so high an average death-rate, that
it is commonly assumed that our ancestors must have been wanting in the
rudimentary instincts of cleanliness. But, in the first place, one might
expect to find that all old periods were not alike; and more generally it
is worth inquiring how far nuisances injurious to the public health were
tolerated. This inquiry will have to be as brief as possible; but it will
take us back to the period of plague covered by a former chapter.

Nuisances certainly existed in medieval London, but it is equally certain
that they were not tolerated without limit. I have collected in a note the
instances reported in a visitation of 17 Edward III. (1343), and in a
perambulation of the ground outside the walls in 26 Edward III. (1352).
The former related only to the alleys leading down to the river, which
were likely enough places for nuisance, then as now[623].

There are several orders of Edward III. relating to the removal of
laystalls and to keeping the town ditch clean, which show, of course, that
there was neglect, but at the same time the disposition to correct it. It
is farther obvious that the connexion between nuisances and the public
health was clearly apprehended. The sanitary doctrines of modern times
were undreamt of; nor did the circumstances altogether call for them. The
sewers of those days were banked-up water courses, or “shores” as the word
was pronounced, which ran uncovered down the various declivities of the
city, to the town ditch and to the Thames. They would have sufficed to
carry off the refuse of a population of some forty or sixty thousand; they
were, at all events, freely open to the greatest of all purifying agents,
the oxygen of the air; and they poisoned neither the water of the town
ditch (which abounded in excellent fish within John Stow’s memory) nor the
waters of Thames. In course of time all the brooks of London were covered
in, even the Fleet dyke itself, which used to float barges as far as
Holborn bridge; but who shall say that they were more wholesome
thereafter, although they were underground? Perhaps the poet of the
_Earthly Paradise_ has as true an intuition as any when, in reference to
the city in Chaucer’s time, he bids us

  “Dream of London, small, and white, and clean;
   The clear Thames bordered by its gardens green.”

The nuisance that gave most trouble in the medieval and Tudor periods was
the blood and offal of the shambles. Several ordinances of Edward III. are
directed against it, in one of which (1371) the connexion between
putrefying blood soaked into the ground and infectious disease is clearly
stated. It is also the principal subject of the first sanitary Act that
appears in the Statutes of the Realm, made by the Parliament of Cambridge
in the 17th of Richard II. (1388), of which I give the preamble and
provisions:

    “Item, For that so much Dung and Filth of the Garbage and Intrails as
    well of Beasts killed as of other Corruptions be cast and put in
    Ditches, Rivers and other Waters, and also within many other Places
    within about and nigh unto divers Cities, Boroughs and Towns of the
    Realm, and the Suburbs of them, that the Air there is greatly corrupt
    and infect, and many Maladies and other intolerable Diseases do daily
    happen,” both to the residents and to visitors:--therefore
    proclamation is to be made in the City of London, as in other cities,
    boroughs and towns “that all they which do cast and lay all such
    Annoyances, Dung, Garbages, Intrails and other Ordure in Ditches,
    Rivers, Waters and other places shall cause them to be removed,
    avoided and carried away betwixt this and the feast of St Michael next
    following,” under a penalty of twenty pounds, mayors and bailiffs to
    compel obedience. Such offences were not to be repeated, and if any
    did offend he was liable to be called by writ before the Chancellor
    “at his suit that will complain[624].”

Despite this statute, the shambles in the parish of St Nicholas within
Newgate (adjoining the ground now occupied by Christ’s Hospital, and
formerly by the Grey Friars) became an established institution of the
city. They were a subject of petition to Parliament in 1488-9, and they
were still there to give occasion in 1603 to severe remarks by Thomas
Lodge, poet and physician, who practised in Warwick Lane, in their
immediate neighbourhood. The Act of 1388, it will be observed, was to be
set in motion “at his suit that will complain;” so that there was little
more in it than the immemorial remedy from a nuisance at common law.

The reign of Henry V. appears to have been marked by care for the public
health, perhaps not greater than in Edward III.’s time, but exceptional,
in the records at least, under the later Plantagenets and until the
accession of the Tudor dynasty. Among other evidences (some of which may
be gathered from Stow’s _Survey_) is the ordinance of 1415 (3 Hen. V.)
against a nuisance in the Moor, beyond the wall and the ditch on the
Finsbury side. The Moor was, in Fitzstephen’s words, “a great fen, which
watereth the walls on the north side.” In 1415 there was a “common
latrine” in it, and “sicknesses arose from the horrible, corrupt, and
infected atmosphere,” issuing therefrom[625]. Its removal was ordered, and
in the same year (1415) chaussées were built across the fen, one to Hoxton
and another to Islington. The ditch all the way round from the Tower to
Blackfriars had been cleansed the year before (1414).

Another statute, 3 Henry VII. (1488-9) cap. 3, may be quoted to show that
the slaughter-houses were the chief nuisance, that their effects on health
were perceived (as in Edward III.’s time), and that it was necessary to
appeal to the king’s personal interest in the matter as a motive for
redress.

    Petition to the King from the parishioners of St Faiths and St
    Gregories in London, near St Pauls.

    “That it was soo that grete concourse of peple, as well of his Roial
    persone as of other grete Lordes and astates wyth other hys true
    subgettes often tymes was had unto the said Cathedrall Chirche, and
    for the moost part through oute the parisshe aforesaide, the whiche
    often tymes ben gretly ennoyed and invenemed by corrupt eires,
    engendered in the said parisshes by occasion of bloode and other
    fowler thynges, by occasion of the slaughter of bestes and scaldyng of
    swyne had and doon in the bocherie of Seynt Nicholas Flesshamls, whos
    corrupcion by violence of unclene and putrified waters is borne down
    thrugh the said parishes and compasseth two partes of the Palays where
    the Kynges most Roiall persone is wonte to abide when he cometh to the
    Cathedrall Chirche for ony acte there to be doon, to the Jubardouse
    [jeopardous] abydyng of his most noble persone and to ouer grete
    ennoysaunce of the parisshens there, and of other the Kyngis subgettes
    and straungers that passe by the same;

    Compleynte whereof at dyverse and many seasons almost by the space of
    xvi yeres contynuelly, as well by the Chanons and petty Chanons of the
    said Cathedrall Chirche, londlordes there ... made to Mayor and
    aldermen of the city; and noo remedie had ne founden.

    ... Considering that in few noble cities or towns or none within
    Christendom, where as travellyng men have labored, that the comen
    slaughter hous of bestys sholde be kept in ony speciall parte within
    the walle of the same lest it myght engender Siknesse to the
    destruccion of the peple.”

    The King etc. “ordeyned and stablished that no Bocher shall sley
    within the said house called the Scaldinghouse or within the walls of
    London.”

    And the same “in eny citte, Burghe and Towne walled within the Realm
    of Englonde and in the Towne of Cambridge, the Townes of Berwyk and
    Carlile only except and forprised.”

The popular knowledge of and belief in a high doctrine of contagion are
curiously shown by the terms of the Act touching Upholsterers in 1495 (II
Hen. VII. cap. 19).

    The Act was intended to prevent beds, feather-beds, bolsters and
    pillows from being sold in market outside London, “beyond control of
    the Craft of Upholders.” Outside the craft an inferior article was apt
    to be offered, which was at once a lowering of a good and worthy
    standard and a danger to health. There were two kinds of corrupt
    bed-stuffs “contagious for mannys body to lye on,” firstly, scalded
    feathers and dry pulled feathers together; and secondly, flocks and
    feathers together. Besides these, quilts, mattresses and cushions
    stuffed with horse hair, fen down, neat’s hair, deer’s hair and goat’s
    hair, “which is wrought in lyme fattes,” give out by the heat of man’s
    body, a savour and taste so abominable and contagious that many of the
    King’s subjects thereby have been destroyed. These corrupt and
    unlawful stuffs and wares might indeed be made by any person or
    persons for their own proper use in their houses, so they be not
    offered for sale in fairs or markets.

The reign of Henry VIII. is not marked by any ordinances or Acts for the
restraint of plague or the like sickness by other than quarantine
measures. The common ditch between Aldgate and the postern of the Tower
was cleansed in 1519 at the charges of the city; in 1540 the Moor ditch
was cleansed: and, not long before, the ditch from the Tower to Aldgate.
In 1549 the ditch was again cleansed at the charges of the City
Companies[626]. In April, 1552, John Shakespeare, the poet’s father, a
citizen of Stratford-on-Avon in good circumstances and afterwards mayor of
the town, was fined twelve pence (eight to ten shillings present value)
for not removing the heap of household dirt and refuse that had
accumulated in front of his own door[627]. In the records of the borough
of Ipswich[628], scavengers are mentioned in the 32nd of Henry VIII.
(1540): they were elected in every parish, and the gatherings of refuse
ordered to be carried and laid at four places, namely: Warwick Pitts,
College Yard, behind the Ditches next John Herne, and the Dikes in the
Marsh. When queen Elizabeth visited Ipswich (in 1561, 1565 and 1577), she
rated not only the clergy on the laxity of their behaviour, but also the
civic authorities upon the filthy condition of the streets. “A marked
improvement,” says the borough historian, “certainly took place in Ipswich
at this period, as is incontestably shown by the constant exhortations and
promulgations of laws for the preservation of cleanliness.”

In the _Description and Account of the City of Exeter_, written by John
Vowell, or Hoker, chamberlain of the city and member of Parliament for it
in the reign of Elizabeth[629], we find the following about the offices
and duties of scavengers “as of old.”

    They are “necessary officers who cannot be wanting in any
    well-governed city or town, because by them and their service all
    things noisome to the health of man, and hurtful to the state of the
    body of the commonwealth, are advertised unto the magistrate, and so
    they be the means of the redress thereof. And therefore they be called
    Scavengers, as who saith Shewers or Advertisers, for so the word
    soundeth.” Among other duties they had the oversight of pavements,
    that they were swept weekly, of slaughter-houses, dunghills and the
    like, of dangerous buildings and of encroachments upon the streets,
    of chimneys, and of precautions against fires (tubs of water to be in
    readiness at the doors to quench fires and cleanse the streets); and
    on Sundays they had to attend the mayor of Exeter to the church of St
    Peter’s.

These officers of the municipality discharged their duties, says the
Elizabethan writer, “as of old;” from which we may conclude that some such
regulation had existed from quite early times. The scavengers are
mentioned by Stow at the end of his account of each City ward along with
other officers. We have already seen, from the court rolls of the manor of
Castle Combe under the year 1427, that villagers were fined or admonished
for creating nuisances. A sudden revival of zeal in that way at Castle
Combe in the year 1590 may have been due to the vigorous sanitary policy
of Elizabeth’s government:

    “And that the inhabitants of the West Strete doe remove the donge or
    fylth at John Davis house ende before the feaste of Seynct Andrew
    th’apostell next, and that they lay no more there within x foote of
    the wey, sub poena iii s iiii d.

    “And that none shall lay any duste or any other fylth in the wey or
    pitte belowe Cristopher Besas house, sub poena pro quolibet tempore
    xii d.

    “And that none shall soyle in the church yerde nor in any of our
    stretes, for every defaulte to lose xii d.

    “And that the glover shall not washe any skynes, nor cast any other
    fylth or soyle in the water runnynge by his house, sub poena x
    s[630].”

There is an interval of a century and a half between the two instances of
sanitary vigour adduced from the Castle Combe manor court; but there is no
reason to believe that the tradition of common cleanliness ever lapsed
altogether, in that or in any other village or town of the country.

Some part of the rather unfair opinion as to the foulness of English life
in former times may be traced to a well-known letter by Erasmus to the
physician of cardinal Wolsey. There are grounds for believing that Erasmus
must have judged from somewhat unfavourable instances.

“We read of a city,” says Erasmus, “which was freed from continual
pestilence by changes made in its buildings on the advice of a
philosopher. Unless I am mistaken, England may be freed in like manner.”
He then proceeds to go over the defects of English houses, and to suggest
improvements. The houses were built with too little regard to the aspect
of their doors and windows towards the sun. Again, they have a great part
of their walls filled with panes of glass, admitting light in such wise as
to keep out the wind, and yet letting in at chinks of the windows the air
as if strained or percolated, and so much the more pestilential by being
long stagnant. These defects he would remedy by having two or three sides
of a house exposed to the sky, and all glazed windows so made that they
should open wholly or shut wholly, and so shut that there might be no
access of noxious winds through gaping seams; for if it be sometimes
wholesome to admit the air, it is sometimes wholesome to keep it out.
Inside the houses Erasmus professes to have seen a shocking state of
things--the floors covered with rushes piled, the new upon the old, for
twenty years without a clearance, befouled with all manner of filth, with
spillings of beer and the remains of fish, with expectoration and vomit,
with excrement and urine[631]. Here we have clearly to do with the
intelligent foreigner. On the other hand, as far back as the reign of
Richard I., Englishmen would appear to have contrasted their own personal
habits with those of other nations, much as the summer tourist does now.
English youths, it has been said, go through Europe with one phrase on
their lips: “Foreigners don’t wash.” Richard of Devizes implies somewhat
the same. A Frankish youth is being advised where to settle in England,
Winchester being chosen by excluding the other towns one by one. Bristol,
for example, was wholly given over to soap-boilers: everyone in Bristol
was either a soap-boiler or a retired soap-boiler; “and the Franks love
soap as much as they love scavengers[632].” We may cry quits, then, with
Erasmus over the rush-strewn floors. It is clear, also, that the glazed
fronts of English houses, which he took exception to, are the very feature
of them that Sir Thomas More prided himself upon; in that as in other
external things the London of his day seemed to him to leave little to be
desired as the capital of Utopia, his chief subjects of remark being the
shambles and the want of hospitals for the sick[633].

Thus, when we attempt to clear the sense of our rather mixed notions on
the unwholesome life of former times, we must feel constrained to withdraw
a great part of the accusation as to nuisances tolerated or scavenging
neglected. Most of all was the government of Elizabeth marked by vigour in
its attempts to restrain plague, not only by quarantine measures, but also
by radical sanitation.

Queen Elizabeth and her Council were baffled by the persistence of plague
in London in 1581-82-83; the infection pursued its own course despite all
efforts to “stamp it out,” so that the letters from the lords of the
Council to the mayor begin to assume a somewhat querulous and impatient
tone[634]. To a letter of remonstrance, 21st September, 1581, the mayor
replied next day that every precaution had been taken. On the 22nd March,
1582, the mayor retorted upon the Court that an artificer in leather,
dwelling near Fleet Bridge, had the plague in his house, that his house
had been shut up, and he restrained from going out; nevertheless he had
access to the Court in the things of his art, both for the queen and her
household. On the 1st September, 1582, the plague having greatly increased
as appeared by certificate of the number of the dead during the last week,
the Privy Council informed the mayor that this was in part “by negligence
in not keeping the streets and other places about the city clean, and
partly through not shutting up of the houses where the sickness had been
found, and setting marks upon the doors; but principally through not
observing orders for prevention of the infection heretofore sent to them
by the Council.” The mayor sent answer the same day that every care had
been taken: the streets had been cleansed every other day; the parish
clerks had been appointed to see to the shutting up of infected houses,
and putting papers upon the doors; he had also appointed some of his own
officers to go up and down the city to view and inform him whether these
things had been done.

So much did the Council believe, or affect to believe, that the mayor
could control the plague if he carried out their orders, that they used
the adjournment of the law courts as a threat to the city. On the 15th
October, the Term was announced to be held at Hertford, and all persons
from infected London houses were forbidden to repair thither with
merchandise, victual, &c.[635]. Then follow in January, 1583, letters
touching an impracticable attempt of the Privy Council to have a list
printed of all inns and taverns that had been infected within the last two
months. The mayor made a catalogue which was pronounced too long. On 21st
April, 1583, the infection had much increased, and the lords of the
Council again urged upon the mayor to have infected houses shut up, and
provision made for feeding and maintaining the inmates thereof. They
desired to express her majesty’s surprise that no house or hospital had
been built without the city, in some remote place, to which the infected
people might be removed, although other cities of less antiquity, fame,
wealth, and reputation had provided themselves with such places, whereby
the lives of the inhabitants had been in all times of infection chiefly
preserved. The mayor, on 3rd May, wrote that the Court of Aldermen had
published orders for the stay of the plague; but that they were
comparatively powerless so long as crowds of the worst sort of people
resorted to see plays, bear-baiting, fencers, and profane spectacles at
the theatre, and Curtain, and other the like places.

The plague pursued its own course, wholly unaffected, so far as one can
see, by everything that was tried. One thing that was not touched by the
sanitary policy, was probably more relevant than all else to the
continuance of plague--the disposal of the dead. The theoretical
importance attached to that as an original cause of plague has been avowed
in the chapter on the Black Death. We have here to see how the theory of
it as a favouring thing for the continuance of the infection squares with
the facts in such a city as London under the Plantagenets and Tudors.


The Disposal of the Dead.

Intramural interment was one of the most cherished practices of
Christendom so long as the word “intramural” had a literal meaning. Hence
the correctness of the imagery used of the Spiritual City:

  “To work and watch, until we lie
   At rest within thy wall.”

Probably each of the one hundred and twenty small parish churches of
London in the medieval period stood in its small churchyard. In an
exceptional time like the Black Death, these proved insufficient for the
daily burials: three new cemeteries were enclosed and consecrated outside
the walls--two of them in Smithfield and the other at Aldgate. These all
soon passed into the hands of friars, and became the grounds of
monasteries. The churches or churchyards of monasteries were in great
request for burial, but not for common burials, or for burials in a time
of epidemic. The ‘Vision of Piers the Ploughman’ is clear enough that the
friars took no large view of their duties; they affected the care of the
dead, but only if they were well paid:

    “For I said I nold | be buried at their house but at my parish church.
    | For I heard once how conscience it told | that where a man was
    christened by kynde [nature] he should be buried, | or where he were
    parishen, right there he should be graven. | And for I said this to
    friar, a fool they me held | and loved me the less for my lele speech
    | ... I have much marveil of you and so hath many another | why your
    convent coveteth to confess and to bury | rather than to baptise
    bairns that ben catechumens.”

The reason why the friars paid so much attention to burials was that these
rites were the most profitable:

    “And how that freris [friars] folowed folke that was riche | and folke
    that was pore at litel price they sette, | and no corps in their
    kirk-yerde ne in their kyrke was buried | but quick he bequeath them
    aught or should help quit their debts.”

The friars in the towns would appear, then, to have been as much in
request for the disposal of the dead within their precincts as the monks
were in the country, both alike taking a certain part of that duty out of
the hands of the regular parish clergy. Hence we may assign a good many
burials, perhaps mostly of the richer class, as in Stow’s long lists of
conventual burials, to the various precincts of Whitefriars, Blackfriars,
Greyfriars (within Newgate) or Friars Minor (Minories), Carthusians, or
other settlements of the religious orders in the city and liberties of
London. It is not unlikely that the narrow spaces for burial in and around
the old churches in the streets and lanes of the city were already getting
crowded, and that the friars naturally acquired a large share of the
business of burial because their consecrated houses and enclosed grounds
were situated where there was most room, namely in the skirt of the
Liberties, or in waste spaces within the walls.

The parish churchyards within the walls became insufficient, not merely
because of the generations of the dead, but because they were encroached
upon. In 1465 the churchyard of St Mary le Bow in Cheapside was so
encroached upon by building of houses that John Rotham or Rodham, citizen
and tailor, by his will gave to the parson and churchwardens a certain
garden in Hosier-lane to be a churchyard; which, says Stow, so continued
near a hundred years, but now is built on and is a private man’s
house[636]. In like manner there was a colony of Brabant weavers settled
in the churchyard of St Mary Somerset, and the great house of the earl of
Oxford stood in St Swithin’s churchyard, near London Stone. John Stow’s
grandfather directed that his body should be buried “in the little green
churchyard of the parish church of St Michael in Cornhill, between the
cross and the church wall, as nigh the wall as may be.” For some years
previous to 1582, as many as 23 of the city parishes were using St Paul’s
churchyard for their dead, having parted with their own burial grounds.
But in that year (letter of 3 April, 1582[637]) the number of parishes
privileged to use St Paul’s churchyard was reduced to 13, the ten
restrained parishes being provided for in the cemetery gifted to the city
in 1569 by Sir Thomas Roe, outside Bishopsgate, “for the ease of such
parishes in London as wanted ground convenient within the parishes.” The
state of St Paul’s churchyard may be imagined from the words of a
remonstrance made two years after, in 1584: “The burials are so many, and
by reason of former burials so shallow, that scarcely any grave could be
made without corpses being laid open[638].” Twenty years before, in 1564,
or the year after the last great plague which we have dealt with, Medicus,
one of the speakers in Bullein’s _Dialogue of the Fever Pestilence_ brings
in “the multitude of graves in every churchyard, and great heaps of rotten
bones, whom we know not of what degree they were, rich or poor, in their
lives.”

St Paul’s churchyard would appear to have received the dead of various
parishes from an early date. There was a large charnel house for the bones
of the dead on the north side, with a chapel over it, dedicated to the
Virgin and endowed in 1282. Stow says that the chapel was pulled down in
1549, and that “the bones of the dead, couched up in a charnel under the
chapel, were conveyed from thence into Finsbury field, by report of him
who paid for the carriage, amounting to more than one thousand cart-loads,
and there laid on a moorish ground, in short space after raised, by
soilage of the city upon them, to bear three windmills. The chapel and
charnel were converted into dwelling-houses, warehouses, and sheds before
them, for stationers, in place of the tombs.” Elsewhere he names Reyne
Wolfe, stationer, as the person who paid for the carriage of the bones and
“who told me of some thousands of carry-loads, and more to be conveyed.”
From this we may infer that the graves were systematically emptied as each
new corpse came to be buried, according to the principle of a “short
tenancy of the soil” which is being re-advocated at the end of the 19th
century by the Church of England Burial Reform Association.

The spaces reserved for burial around the newer parish churches in the
liberties, such as St Sepulchre’s and St Giles’s, Cripplegate, were
gradually pared down and let out for buildings by the parish. Stow, in his
_Survey_ of 1598, says that St Sepulchre’s church stands “in a fair
churchyard, although not so large as of old time, for the same is letten
out for buildings and a garden plot.” The records of St Giles’s,
Cripplegate, show that rents were received by the parish for detached
portions of the churchyard in 1648[639].

To take an instance of new city graveyards still remaining: The old
fifteenth-century parishes of St Ewin and St Nicholas in the Flesh
Shambles became united in the parish of Christ Church within Newgate,
which, under that name, buried many, as we may read in Stow’s _Survey_. At
length its burial ground was full, and it acquired a not very large plot
next to the churchyard of St Botolph’s outside Aldersgate. Its neighbour
parish within the walls, St Leonard’s in Foster Lane, acquired the next
conterminous plot for its new burial-ground. All three graveyards are now
thrown into one strip of public garden by the removal of the two cross
walls which originally kept the ground of each parish separate.

While the graveyards were thus curtailed, and dwelling-houses built close
up to them, the mode of burial was none of the safest. To take the
instance of the great Cripplegate parish again: some few, like John
Milton, would be buried within the church in leaden coffins; others would
be laid in the ground of the churchyard in the same way, full burial dues
being paid; but many more, for whom the dues were remitted, would be
buried in a sheet, with no coffin at all, in the part of the churchyard
reserved for the poor[640]. For the parish of St Saviour’s, Southwark, the
scale of burial dues was as follows: “In any churchyard next the church,
with a coffin, 2_s._ 8_d._; without a coffin, 20_d._; for a child with a
coffin, 8_d._; without a coffin, 4_d._ The colledge churchyard, with a
coffin, 12_d._; without a coffin, 8_d._” One of their broadsheets, dated
1580, has a picture of a body ready for burial in a cerecloth, a close
fitting covering tied at the head and feet, and neatly finished[641].

It is not to be supposed that no voices were raised against the
overcrowding of the old city churchyards. Intramural burial is one of the
many practical topics in Latimer’s sermons: in 1552 he denounced the state
of St Paul’s churchyard as an occasion of “much sickness and disease,”
appealing to its notorious smells; the citizens of Nain, he said, “had a
good and laudable custom to bury their corses without the city, which
ensample we may follow[642].” Preaching at Paul’s Cross on the 8th of
August, 1563, when the plague was already destroying at the rate of five
hundred in a week, Turner, commonly called Turner of Boulogne, made two
solemn petitions to my lord mayor of London: the one was that the dead of
the city should be buried out of the city in the field; the other was that
no bell should be tolled for them when they lay at the mercy of God
departing out of this present life, “for that the tolling of the bell did
the party departing no good, neither afore their death nor after[643].” In
the writings on plague, putrefying animal matters, such as carrion or
offal, are always mentioned among the causes; but it is only rarely that
the ordinary burial of the dead is referred to. In the seventeenth
century, the filling of the soil with products of cadaveric decomposition
played a greater part in the theory of plague, especially in the writings
of Prosper Alpinus, physician to the Venetian consulate at Cairo. Among
English books, the treatise on Plague by Dr Gilbert Skene, of Edinburgh
(1568), is the only one that is at all clear upon the point. In his fourth
chapter, on the places which be most pestilential, he includes the
localities “where many dead are buried,” the ground there becoming “fat
and vaporative;” and in his first chapter, on causes in general, he
instances “dead carrions unburied, in special of mankind, which, by
similitude of nature, is most nocent to man, as every brutal is most
infectant and pestilential to their own kind.” But even if these truths
had been generally apprehended, religious prescription and usage would
have been too strong to allow of radical measures being adopted. The grand
provocative of plague was no obvious nuisance above ground, but the
loading of the soil, generation after generation, with an immense
quantity of cadaveric matters, which were diffused in the pores of the
ground under the feet of the living, to rise in emanations, more deadly in
one season than in another, according as the level of the ground-water and
the heat of the earth determined the degree of oxidation, or the formation
of the more dangerous half-way products of decomposition.

So little is known of the great plagues of London in 1406-7, 1464, 1479,
1500, and 1513, that we can only conjecture how the dead, to the number
perhaps of one hundred in a day at the height of the epidemic, were
disposed of--probably in trenches in the fields of Whitechapel, Smithfield
and Finsbury, or in such parishes as St Sepulchre’s. The skirts of the
city were used also to deposit the soil upon. Thus it happened that the
ground outside the walls, which came in time to be the densely populated
liberties and out-parishes, and the chief seat of all later plagues, had
for generations before received the refuse of the city and a large
proportion of the bodies of the dead. An instance mentioned by Stow, in
1598, may be taken as standing for many more: “On the right hand, beyond
Shoreditch Church toward Hackney, are some late-built houses upon the
common soil; for it was a lay-stall.”

What remains to be said of localities and circumstances of plague in
London will come in with the history of successive epidemics, which we may
now resume and carry to the end of the Tudor period.


Chronology of Plague, 1564-1592.

The amount of plague in London for the two or three years next following
the great epidemic in the autumn of 1563 is accurately known from Stow’s
abstracts of the weekly bills of mortality. It was exceedingly little, the
deaths being but one or two or three in a week, and often none. The
figures come to an end with July, 1566, and it is probable that the bills
may not have been made for a time after that. The proposal made by Sir
Roger Martyn in a letter of 20th October, 1568, to the earl of
Northumberland, that all strangers arriving from over sea should be
quarantined at Gravesend, would have been instigated by the known
prevalence of plague and other malignant types of sickness in Scotland
and at various parts of the continent of Europe. It was just in those
years, before and after the founding of the Royal Exchange in 1566, that
the concourse of merchants to London, especially from the war-troubled Low
Countries and France, was greatest.

The revival of plague in London, after the great epidemic of 1563, was
probably in 1568. In the city records there are orders relating to
searchers, shutting up of houses, and collections for infected households,
dated 12 October, 1568 (10 Elizabeth), 27 March and 19 October, 1569. But
in 1568 the regulations, like the proposal for quarantine of shipping, may
have been made more against the importation of cases from outside than on
account of cases actually in London. It is in 1569 that we definitely hear
of plague in the capital:--

“The plague of pestilence somewhat raging in the city of London,
Michaelmas Term was first adjourned unto the 3rd of November, and after
unto Hillary Term next following[644].” This outbreak of the autumn and
winter of 1569 must have been considerable: for we find the earl of Essex
writing from York on the 30th October to Cecil to say that he would have
come to London before “had not the plague stayed him[645];” and Thomas
Bishop, giving account of his movements to the Council, says that he
remained in London until the 10th October, “when the plague increasing, I
departed[646].”

The year 1570 was one of the more disastrous plague-years on the
Continent, that now recur somewhat frequently down to the end of the
century. “There was general disease of pestilence,” says Stow, “throughout
all Europe, in such sort that many died of God’s tokens, chiefly amongst
the Venetians, of whom there died of that cruel sickness about threescore
thousand.” In London, on 2nd August, a death in the Tower was put down to
plague; but there is no other evidence of its prevalence in the
capital[647]. In the beginning of next winter, 1571, there was plague at
Cambridge (letter of 18th November)[648]; and at Oxford in the same year
it left such misery, says Anthony Wood, that divers scholars were forced
to beg[649]. In 1573 it reappeared in London, at its usual season, the end
of the year: it raged so violently “that the Queen ordered the new Lord
Mayor not to keep the usual feast upon his inauguration[650].” The
register of St Andrew’s parish, at Hertford, bears witness to the flight
of Londoners to that favourite refuge; there were numerous burials of the
plague in 1573, and in subsequent years, many of them being of London
citizens[651]. It was in London again in 1574: a letter of 15 November, to
the sheriff and justices of Surrey, orders that they should not allow the
people to resort to plays and shows [in Southwark] “at that time of
contagion[652],” while the figures from a weekly bill of mortality, which
have been preserved, show that the outbreak had been one of the more
considerable degree--for the week 22-28 October, in the city and liberties
(108 parishes), buried of all diseases, 166, whereof of the plague,
65[653].

The known provincial centres in 1574 were Stamford, Peterborough and
Chester. The Stamford visitation was one of a good many that the town
suffered from first to last, and must have been a severe one; in one
month, from 8 August to 7 September, 40 had been buried of the plague,
“and the town is so rudely governed, they have so mixed themselves, that
there is none that is in any hope of being clear. It is in seventeen
houses, and the town is in great poverty; but that the good people of the
country send in victuals, there would many die of famine. St Martin’s
parish is clear[654].” The corporation records also bear witness to the
confusion caused, the new bailiffs having been sworn in before the
Recorder in a field outside, instead of in the usual place[655].
Peterborough, which was not far off, is known to have had a visitation,
from an entry in the parish register, “1574, January. Here began the
plague[656].” At Chester, “plague began, but was stayed with the death of
some few in the crofts[657].”

The year 1575 is somewhat singular for an epidemic of plague in
Westminster, but none in the city of London: the deaths for one week in
the former are known[658]; and, as regards the immunity of London, Cecil
had removed previous to 16 September, from Westminster to Sir Thomas
Gresham’s house in the City to avoid the infection[659]. It had been at
Cambridge in the winter of 1574-5, and was “sore” in Oxford down to
November, 1575.

The same year, 1575, was a season of severe plague in Bristol and other
places of the west of England. Some 2000 are said (in the Mayor’s
Calendar) to have died in Bristol between St James’s tide (July 25) when
the infection “began to be very hot,” and Paul’s tide (January 25)[660].
As early as the 11th July, the corporation of Wells had ordered measures
against the plague in Bristol; but Wells also appears to have had a
visitation, if the 200 persons buried, according to tradition, in the
“plague-pit” near the north-eastern end of the Cathedral (besides many
more buried in the fields) had been victims of the disease in 1575[661].
At Shrewsbury in that year the fairs were removed on account of
plague[662]. From a claim of damages which came before the Court of
Requests in 1592, it appears that plague had been in Cheshire in 1576; at
Northwich the house of one Phil. Antrobus was infected and most of the
family died; on which some linens in the house, worth not more than
13_sh._ 4_d._ were put in the river lest they should be used; the son, who
was a tailor, claimed compensation, through the earl of Derby, sixteen
years after[663].

At Hull, in 1576, there was an outbreak, small compared with some other
visitations there, in the Blackfriars Gate, the deaths being about one
hundred[664]. It is somewhat remarkable to find the borough of
Kirkcudbright making regulations in the month of January, 1577, a most
unlikely season, to prevent the introduction of the plague then raging on
the Borders[665]. In September, 1577, there were issued orders to be put
in execution throughout the realm in towns and villages infected with the
plague. More definitely it is heard of on 21 October at Rye and Dover, and
on 3 November, 1577, in London.

We now come to a series of years, 1578 to 1583, for which we have full
particulars of the burials in London, from plague and other causes, and of
the christenings. These valuable statistics, the earliest known, are
preserved among the papers of Lord Burghley, who procured them from the
lord mayor of London[666], and are here given in full, having been copied
from the MS. in the library of Hatfield House[667].

_Abstracts of Burials and Baptisms in London, 1578-1583_

  1578

   Week               Of     Of other
  ending     Dead   plague   diseases  Christened

  Jan.   2    62      7        55         66
         9    90     12        78         52
        16    63     14        49         59
        23    95     33        62         59
        30    82     25        57         65
  Feb.   6    88     24        64         51
        13   102     25        77         59
        20   100     26        74         77
        27    84     12        72         84
  Mar.   6    79     10        69         58
        13    66      9        57         53
        20    75      5        70         57
        27    63     12        51         60
  Apr.   3    96     19        77         64
        10    89     25        64         67
        17   102     31        71         66
        24    91     37        54         62
  May    1   109     25        84         44
         8   116     33        83         37
        15   141     43        98         48
        22   109     36        73         66
        29   119     34        85         43
  June   5    99     38        61         51
        12    91     35        56         41
        19    76     34        42         54
        26    75     18        57         48
  July   3    92     34        58         52
        10    99     35        64         48
        17    98     39        59         52
        24   129     63        66         49
        31   100     41        59         59
  Aug.   7   132     73        59         76
        14   152     78        74         72
        21   232    134        98         63
        28   205    113        92         58
  Sept.  4   257    162        95         84
        11   297    183       114         64
        18   308    189       119         68
        25   330    189       141         72
  Oct.   2   370    230       140         76
         9   388    234       154         62
        16   361    234       127         73
        23   281    175       106         58
        30   258    130       128         68
  Nov.   6   278    127       151         60
        13   230    116       114         64
        20   172     77        95         66
        27   155     84        71         68
  Dec.   4   160     77        83         60
        11   161     65        96         69
        18   129     44        85         62
        25    94     20        74         68
            ----   ----      ----       ----
            7830   3568      4262       3150

1579

   Week               Of     Of other
  ending     Dead   plague   diseases  Christened

  Jan.   1   100     27        73         54
         8    67     13        54         68
        15    75     16        59         74
        22    63      9        54         81
        29    79     19        60         75
  Feb.   5    84     23        61         46
        12    81     16        65         63
        19    69     15        54         61
        26    70     10        60         77
  Mar.   5    51      6        45         71
        12    61     16        45         72
        19    66     10        56         65
        26    75     13        62         68
  Apr.   2    81     19        62         53
         9    82     27        55         79
        16    77     22        55         53
        23    58     10        48         44
        30    71     10        61         57
  May    7    64     12        52         51
        14    68     14        54         42
        21    75     12        63         54
        28    78     13        65         47
  June   4    66      7        59         56
        11    49      7        42         46
        18    74     14        60         60
        25    65     13        52         45
  July   2    57     11        46         50
         9    62      9        53         66
        16    73     19        54         52
        23    72     12        60         63
        30    72     13        59         67
  Aug.   6    66     12        54         61
        13    70     18        52         67
        20    68     12        56         61
        27    63     10        53         58
  Sept.  3    66     14        52         65
        10    85     25        60         55
        17    66     11        55         80
        24    44      8        36         63
  Oct.   1    60      9        51         42
         8    56      8        48         75
        15    68     14        54         70
        22    49      6        43         71
        29    52     10        42         76
  Nov.   5    47      8        39         66
        12    37      2        35         69
        19    60      2        58         84
        26    44      6        38         69
  Dec.   3    43      3        40         78
        10    55      4        51         80
        17    49      4        45         70
        24    51      3        48         78
        31    42      3        39         72
            ----   ----      ----       ----
            3406    629      2777       3370

1580

   Week              Of     Of other
  ending     Dead  plague   diseases  Baptised

  Jan.   7    49      1        48        78
        14    58      4        54        58
        21    50      5        45        63
        28    28      2        26        74
  Feb.   4    54      5        49        81
        11    49      2        47        91
        18    47      3        44        81
        25    48      3        45        68
  Mar.   3    52      0        52        77
        10    48      2        46        74
        17    48      1        47        75
        24    52      3        49        68
        31    48      2        46        59
  Apr.   7    48      1        47        77
        14    53      1        52        78
        21    40      1        39        74
        28    43      1        42        75
  May    5    58      1        57        72
        12    54      0        54        69
        19    40      2        38        75
        26    44      0        44        72
  June   2    36      1        35        59
         9    41      0        41        54
        16    46      2        44        60
        23    55      2        53        59
        30    47      4        43        57
  July   7    77      4        73        65
        14   133      4       129        66
        21   146      3       143        61
        28    96      5        91        64
  Aug.   4    78      5        73        71
        11    51      4        47        53
        18    49      1        48        72
        25    63      3        60        62
  Sept.  1    48      0        48        71
         8    35      2        33        69
        13    52      1        51        69
        22    52      1        51        95
        29    65      2        63        55
  Oct.   6    35      1        34        63
        13    44      2        42        56
        20    45      2        43        56
        27    40      3        37        80
  Nov.   3    60      7        53        75
        10    59      5        54        67
        17    57      3        54        75
        24    45      2        43        70
  Dec.   1    54      3        51        83
         8    58      1        57        56
        15    53      8        45        59
        22    53      4        49        61
        29    89      3        86        66
            ----   ----      ----      ----
            2873    128      2745      3568

1581

   Week              Of     Of other
  ending     Dead  plague   diseases  Baptised

  Jan.   5    42      5        37        63
        12    53      4        49        65
        19    50      1        49        65
        26    46      1        45        59
  Feb.   2    49      2        47        56
         9    38      0        38        63
        16    48      0        48        87
        23    56      5        51        52
  Mar.   2    56      0        56        62
         9    60      2        58        74
        16    52      2        50        80
        23    41      1        40        89
        30    44      3        41        74
  Apr.   6    42      2        40        39
        13    47      1        46        53
        20    37      1        36        41
        27    37      2        35        60
  May    4    47      0        47        52
        11    40      1        39        50
        18    46      1        45        59
        25    64     13        51        62
  June   1    48      4        44        60
         8    57      2        55        56
        15    65      7        58        62
        22    57      6        51        73
        29    56      7        49        52
  July   6    72      9        63        62
        13    69      9        60        64
        20    94     19        75        70
        27    95     24        71        89
  Aug.   3    87     23        64        58
        10   130     30       100        75
        17   148     47       101        72
        24   143     43       100        55
        31   169     74        95        72
  Sept.  7   186     85       101        54
        14   180     76       114        59
        21   203     86       117        55
        28   218     60       158        88
  Oct.   5   205    107        98        74
        12   193     74       119        83
        19   128     42        86        77
        26   125     35        90        88
  Nov.   2   115     45        70        85
         9    93     26        67        61
        16
        23
        30    [The figures in part
  Dec.   7    wanting, and in part
        14    defaced.]
        21
        28
            ----   ----      ----      ----
            3931    987      2954      2949
                     (45 weeks)

1582

(74 Parishes clear, week ending Jan. 4.)

   Week              Of     Of other
  ending     Dead  plague   diseases  Baptised

  Jan.   4    63     11        52        57
        11    75     13        62        76
        18    79     13        66        73
        25    58     13        45        90
  Feb.   1    73      5        68        66
         8    71     12        59        77
        15    76     16        60        88
        22    82     10        72        74
  Mar.   1    69     11        58        81
         8    85     13        72        81
        15    77     11        66        71
        22    62     11        51        65
        29    73     16        57        85
  Apr.   5    90     13        77        74
        12    78     19        59        63
        19    88     22        66        56
        26    82     20        62        69
  May    3    95     23        72        55
        10    68     12        56        62
        17    62     11        51        59
        24    61     10        51        61
        31    57     15        42        65
  June   7    67     15        52        49
        14    48     11        37        52
        21    72     11        61        63
        28    57      9        48        62
  July   5    60     20        40        54
        12    88     25        63        66
        19    80     30        50        61
        26    99     31        68        65
  Aug.   2   101     45        56        68
         9   116     42        74        77
        16   142     70        72        64
        23   148     85        63        67
        30   205    111        94        70
  Sept.  6   229    139        90        74
        13   277    189        88        79
        20   246    151        95        76
        27   267    145       122        63
  Oct.   4   318    213       105        87
        11   238    139        99        63
        18   289    164       125        74
        25   340    216       124        54
  Nov.   1   290    131       159        66
         8   248    149        99        77
        15   202     98       104        70
        22   227    119       108        74
        29   263    124       139        63
  Dec.   6   144     58        86        59
        13   155     68        87        --
        20    --     --        --        --
        27   142     68        74        91
            ----   ----      ----      ----
            6762   2976      3786      3433
                   (51 weeks)

1583

   Week               Of     Of other
  ending     Dead   plague   diseases  Baptised

  Jan.   3   137     50        87         69
        10   140     57        83         53
        17   160     72        88         67
        24   162     59       103         59
        31   144     40       104         73

These tables were compiled from weekly bills furnished to the Court, and
doubtless drawn up like the bills of 1532 and 1535 to show the deaths from
plague and from other causes in each of the several parishes in the City,
Liberties and suburbs. It is clear that the results were known from week
to week, for a letter of January 29, 1578, says that the plague is
increased from 7 to 37 (? 33) deaths in three weeks. But that was not the
beginning of the epidemic in London; it was rather a lull in a
plague-mortality which is known to have been severe in the end of 1577,
and had led to the prohibition of stage-plays in November[668].

In that series of five plague-years in London, only two, 1578 and 1582,
had a large total of plague-deaths. The year 1580 was almost clear (128
deaths from plague), and may be taken as showing the ordinary proportion
of deaths to births in London when plague did not arise to disturb it. The
baptisms, it will be observed, are considerably in excess of the burials;
and as every child was christened in church under Elizabeth, we may take
it that we have the births fully recorded (with the doubtful exception of
still-births and “chrisoms”). But while the one favourable year shows an
excess of some 24 per cent. of baptisms over burials, the whole period of
five years shows a shortcoming in the baptisms of 33 per cent. Thus we may
see how seriously a succession of plague-years, at the endemic level of
the disease, kept down the population; and, at the same time, how the
numbers in the capital would increase rapidly from within, in the absence
of plague. There is reason to think that plague was almost or altogether
absent from London for the next nine years (1583 to 1592); and it is not
surprising to find that the population, as estimated from the births, had
increased from some 120,000 to 150,000. The increase of London population
under Elizabeth was proceeding so fast, plague or no plague, that measures
were taken in 1580 to check it. The increase of London has never depended
solely upon its own excess of births over deaths; indeed, until the
present century, there were probably few periods when such excess occurred
over a series of years. Influx from the country and from abroad always
kept London up to its old level of inhabitants, whatever the death-rate;
and from the early part of the Tudor period caused it to grow rapidly. I
shall review briefly in another chapter the stages in the growth of
London, as it may be reckoned from bills of mortality and of baptisms. But
as the proclamation of 1580, against new buildings, the first of a long
series down to the Commonwealth, has special reference to the plague in
the Liberties, and to the unwholesome condition of those poor skirts of
the walled city, this is the proper place for it:

    “The Queen’s Majesty perceiving the state of the city of London and
    the suburbs and confines thereof to encrease daily by access of people
    to inhabit in the same, in such ample sort as thereby many
    inconveniences are seen already, but many greater of necessity like to
    follow ... and [having regard] to the preservation of her people in
    health, which may seem impossible to continue, though presently by
    God’s goodness the same is perceived to be in better estate
    universally than hath been in man’s memory: yet there are such great
    multitudes of people brought to inhabit in small rooms, whereof a
    great part are seen very poor; yea, such must live of begging, or of
    worse means; and they heaped up together, and in a sort smothered with
    many families of children and servants in one house or small tenement;
    it must needs follow, if any plague or popular sickness should by
    God’s permission enter among those multitudes, that the same should
    not only spread itself and invade the whole city and confines, as
    great mortality should ensue the same, where her Majesty’s personal
    presence is many times required; besides the great confluence of
    people from all places of the realm by reason of the ordinary Terms
    for justice there holden; but would be also dispersed through all
    other parts of the realm to the manifest danger of the whole body
    thereof, out of which neither her Majesty’s own person can be (but by
    God’s special ordinance) exempted, nor any other, whatsoever they be.

    For remedy whereof, as time may now serve until by some further good
    order, to be had in Parliament or otherwise, the same may be remedied,
    Her Majesty by good and deliberate advice of her Council, and being
    thereto much moved by the considerate opinions of the Mayor, Aldermen
    and other the grave, wise men in and about the city, doth charge and
    straitly command all persons of what quality soever they be to desist
    and forbear from any new buildings of any new house or tenement within
    three miles of any of the gates of the said city, to serve for
    habitation or lodging for any person, where no former house hath been
    known to have been in memory of such as are now living. And also to
    forbear from letting or setting, or suffering any more families than
    one only to be placed or to inhabit from henceforth in any house that
    heretofore hath been inhabited, etc.... Given at Nonesuch, the 7th of
    July, 1580[669].”

Among the more special suggestions of the mayor, on the causes and
prevention of plague, previous to this proclamation were[670]:

    1. The avoiding of inmates in places pretending exemption.

    2. The restraining of the building of small tenements and turning
    great houses into small habitations by foreigners.

    3. The increase of buildings in places exempt.

    4. The increase of buildings about the Charterhouse, Mile End Fields;
    also at St Katherine’s along the water side.

    5. The pestering of exempt places with strangers and foreign
    artificers.

    6. The number of strangers in and about London of no church.

    7. The haunting of plays out of the Liberties.

    8. The killing of cattle within or near the city.

The best glimpses that we get of the plague in London in 1578 are in
letters to Lord Burghley[671]. On October 22, the Recorder of London, Sir
W. Fleetwood, writes to him that he “has been in Bucks since Michaelmas,
because he was troubled every day with such as came to him having plague
sores about them; and being sent by the Lords to search for lewd persons
in sundry places, he found dead corses under the table, which surely did
greatly annoy him.” It will be seen by the statistics that the deaths from
all causes had risen to more than three hundred in a week before
Michaelmas--a small mortality compared with that of 1563, or of any other
London epidemic of the first degree. From other letters, relating to
plague at St Albans, Ware and other places near London, it may be
concluded that the citizens had escaped from London to their usual country
resorts in plague-time. On August 30 there were said to be sixty cases of
plague at St Albans, and on October 13 Ware is said to have been “of late”
infected. Plague-deaths are entered also in the Hertford parish registers
in 1577 and 1578[672]. On 14 September the infection was in the “Bull” at
Hoddesdon (Herts), but the landlord refused to close his house against
travellers on their way to the Court. On Oct. 13, 1578, two deaths are
reported from Queens’ College, Cambridge, “the infection being taken by
the company of a Londoner in Stourbridge Fair;” these two deaths had
“moved many to depart” from the University[673]. In the same month it was
at Bury St Edmunds. Earlier in the year, a letter from Truro (11 April)
says that the plague was prevalent in Cornwall.

The epidemic of 1578 at Norwich was relatively a far more serious one than
that of the capital, and was traced to the visit of the queen: “the trains
of her Majesty’s carriage, being many of them infected, left the plague
behind, which afterwards increased so and continued as it raged above one
and three-quarter years after.” From August 20, 1578, to February 19,
1579, the deaths were 4817, of which 2335 were of English and 2482 of
“alyan strangers,” ten aldermen being among the victims[674]. At Yarmouth,
in 1579, two thousand are said to have died of the plague between May-day
and Michaelmas[675]. Colchester had plague from December, 1578 to August,
1579[676]. It was at Ipswich and at Plymouth in 1579; the epidemic at the
latter must have been severe, if the estimate of 600 deaths, given in the
annals of the town, is to be trusted[677]. It was again at Stamford in
1580, as appears from an order of the corporation, September 7,
prohibiting people from leaving the town[678]. Other centres of plague in
1580 were at Rye, which was cut off from intercourse with London[679], at
Leicester, where an assessment for the visited was appointed by the common
hall of the citizens[680], at Gloucester, from Easter to Michaelmas, and
at Hereford and Wellington, the musters in October having been hindered by
“the great infection of the plague[681].”

On February 4, 1582, six houses were shut up at Dover, and on September 12
there was plague in Windsor and Eton[682]. In the parish register of
Cranbrooke (Kent), 18 burials are specially marked (as from plague) in
1581, 41 in 1582, and 22 in 1583[683]. It was much dispersed in the Isle
of Sheppey, the year after (1584) from Michaelmas into the winter.

Although the years from the spring of 1583 to the autumn of 1592 appear to
have been unmarked by plague in London, they witnessed a good many
epidemics along the east coast, and in a few places elsewhere, of which
the particulars are for the most part meagre.

A casual mention is made of plague at Yarmouth in 1584[684]. The town of
Boston appears to have had plague continuously for four years from 1585 to
1588. In 1585 houses were shut up[685]; in 1586 a case at Southwell was
supposed to have been imported from Boston[686]; in the parish register
the burials from plague and other causes in 1587 reach the high figure of
372, and in 1588 they are 200, the average for eight years before being
122, and for twelve years after, only 84. In 1588 one Williams, of Holm,
in Huntingdonshire, was sent for to cleanse infected houses in St John’s
Row, which had been used as pest-houses[687]. Within ten miles round
Boston the plague prevailed; at Leake there were 104 burials from
November, 1587, to November, 1588, the annual average being 24; at
Frampton there were 130 burials in 1586-87, the average being 30; at
Kirton there were 57 burials in 1589, and 102 in 1590[688].

Another centre on the east coast was Wisbech. In 1585 it appeared in the
hamlet of Guyhirne. In 1586 it entered Wisbech itself, caused the usual
shutting up of houses, and so increased in 1587 that there were 42 burials
in September and 62 in October[689], being three or four times more than
average. It is mentioned also at Ipswich in 1585, and at Norwich in
1588[690]. At Derby, in 1586, there was plague in St Peter’s parish[691].
At Chesterfield in November, 1586, there were plague-deaths, and again in
May 1587[692]. At Leominster, in 1587, there was an excessive mortality
(209 burials)[693].

The other great centre on the east coast in those years was in Durham and
Northumberland[694]. In 1587 the infection began to show at Hartlepool,
and in the parishes of Stranton and Hart; at the latter village 89 were
buried of the plague, one of them an unknown young woman who died in the
street. In 1589 the plague entered Newcastle and raged severely; of 340
deaths in the whole year in St John’s parish, 103 occurred in September;
the total mortality of the epidemic to the 1st January, 1590, was 1727.
Durham also had a visitation in 1589, plague-huts having been erected on
Elvet Moor. Those were years of scarcity, the year 1586 having been one of
famine-prices.

The great event of the time was the defeat of the Spanish Armada off the
French coast from Calais to Gravelines in the last days of July, 1588. A
southerly gale sprang up, which drove the magnificent Spanish fleet past
the Thames as far as the Orkneys. It was perhaps well for England that the
winds parted the two fleets. The English ships, which had come to anchor
in Margate Roads to guard the mouth of the Thames, were in two or three
weeks utterly crippled by sickness. The disease must have been a very
rapid and deadly infection. Lord Admiral Howard writes to the queen:
“those that come in fresh are soonest infected; they sicken one day and
die the next.” In a previous letter to Burghley he writes: “It is a most
pitiful sight to see the men die in the streets of Margate. The Elizabeth
Jonas has lost half her crew. Of all the men brought out by Sir Richard
Townsend, he has but one left alive.” The ships were so weak that they
could not venture to come through the Downs from Margate to Dover[695]. It
is doubtful whether any part of this sickness and mortality was due to
plague, which was not active anywhere in the south of England in that
year. Want of food and want of clothes, and in the last resort the
hardness and parsimony of Elizabeth, appear to have been the causes. Lord
Howard begs for £1000 worth of new clothing, as the men were in great
want, and Lord H. Seymour writes that “the men fell sick with cold.”
Dysentery and typhus were doubtless the infections which had been bred,
and became communicable to the fresh drafts of men. But in the Spanish
ships, beating about on the high seas and unable to land their men or even
to help each other, the sickness grew into true plague, so that the broken
remnants of the Armada which reached Corunna were like so many floating
pest-houses.

In 1590 and 1591, at a clear interval from the Armada year, there was
much plague in Devonshire. The evidence of its having been in Plymouth
comes solely from the corporation accounts; at various times in 1590 and
1591 there were paid, “ten shillings to one that all his stuff was burned
for avoiding the sickness,” a sum of £5. 19_s._ for houses shut, and a
like sum to persons kept in, and sixteen shillings to four men “to watch
the townes end for to stay the people of the infected places[696].” The
chief epidemics, however, appear to have been at Totness in 1590 and at
Tiverton in 1591. The parish register of Totness enters the “first of the
plague, Margary, the daughter of Mr Wyche of Dartmouth, June 22, 1590,”
from which it may be inferred that plague was first at Dartmouth, nine
miles down the river, and had ascended to Totness. The following monthly
mortalities will show how severe the infection became at Totness in the
summer and autumn immediately following[697]:

  July 42 (36 of plague, 6 not),
  August 81 (80 of plague, 1 not),
  September 39 (all of plague),
  October 37 (all of plague),
  November 25 (24 of plague, 1 not),
  December 19 (all of plague),
  January, 1591, 10 of plague,
  February 1 of plague.

This heavy mortality from plague (246 deaths) was hardly over, when the
infection began in March, 1591, at Tiverton. It is said to have been
introduced by one William Waulker “a waulking man or traveller.” From 1st
March, 1591, to 1st March, 1592, the deaths from plague and other causes
were 551, or about one in nine of the population[698].


The London Plague of 1592-1593.

The epidemic of plague, which reached its height in the year 1593, began
to be felt in London in the autumn of 1592[699], and is said to have
caused 2000 deaths before the end of the year. On the 7th September,
soldiers from the north on their way to Southampton to embark for foreign
parts had to pass round London “to avoid the infection which is much
spread abroad” in the city. On the 16th September, the spoil of a great
Spanish carrack at Dartmouth could be brought no farther than Greenwich,
on account of the contagion in London; no one to go from London to
Dartmouth to buy the goods. It was an ominous sign that the infection
lasted through the winter; even in mid winter people were leaving London:
“the plague is so sore that none of worth stay about these places[700].”
On the 6th April, 1593, one William Cecil who had been kept in the Fleet
prison by the queen’s command, writes that “the place where he lies is a
congregation of the unwholesome smells of the town, and the season
contagious, so many have died of the plague[701].” From a memorial of
1595, it appears that the neighbourhood of Fleet Ditch had been the most
infected part of the whole city and liberties in 1593; “in the last great
plague more died about there than in three parishes besides[702].” The
epidemic does not appear to have reached its height until summer; on 12th
June, a letter states that “the plague is very hot in London and other
places of the realm, so that a great mortality is expected this summer.”
On 3 July the Court “is in out places, and a great part of the household
cut off [? dispensed with].” The infection is mentioned in letters down to
November, after which date its public interest, at least, appears to have
ceased.

Of that London epidemic a weekly record was kept by the Company of Parish
Clerks, and published by them, beginning with the weekly bill of 21st
December, 1592. The clerk of the Company of Parish Clerks, writing in
1665, had the annual bill for 1593 before him, with the plague-deaths and
other deaths in each of 109 parishes in alphabetical order, and the
christenings as well[703]. For the next two years, 1594 and 1595, he
appears to have had before him not only the annual bills but also a
complete set of the weekly bills of burials and christenings according to
parishes. The same documents were used by Graunt in 1662, and had
doubtless been used by John Stow at the time when they were published. The
originals are all lost, and only a few totals extracted from them remain
on record. To begin with Stow’s. The mortality of 17,844 from all causes
in 1593 is given as for the City and Liberties only. But there was already
a considerable population in the parishes immediately beyond the Bars of
the Liberties, which were known as the nine out-parishes, namely those of
St Clement Danes, St Giles in the Fields, St James, Clerkenwell, St
Katharine at the Tower, St Leonard, Shoreditch, St Martin in the Fields,
St Mary, Whitechapel, St Magdalen, Bermondsey, and the Savoy. Besides
these there were important parishes still farther out--the Westminster
parishes, Lambeth, Newington, Stepney, Hackney and Islington. Of these,
Whitechapel, Stepney, Shoreditch, Clerkenwell and some of the western
parishes contributed largely to the plague-bills of the epidemics next
following, in 1603 and 1625, and it is known from the parish registers of
some of them that they contributed to the mortality of 1593. It is
probably to these parishes that we should ascribe the difference between
the above total of 17,844 (for City and Liberties) and the much larger
total of deaths “in and about London,” given on the margin of a broadside
of 1603: “And in the last visitation from the 20th of December, 1592 to
the 23rd of the same month in the year 1593, died in all 25,886--of the
plague in and about London 15,003.” The addition for the parishes beyond
the Bars would thus be 8,042 deaths from all causes, and from plague
alone 4,541--numbers which will seem not inadmissible if they be compared
with the figures for the corresponding parishes ten years after, in 1603,
Stepney alone having had 2,257 deaths in that plague-year[704].

For the two years next following 1593, Graunt’s book of 1662 has preserved
the totals of deaths from all causes and from plague in the 97 old
parishes within the walls and in 16 parishes of the Liberties and suburbs;
he has omitted the christenings, although he had the figures before him.
Taking these along with the figures already given for 1593, we get the
following table for three consecutive years:

  ----------------------------------------------
       | Plague | Other  | Total  |
  Year | deaths | deaths | deaths | Christenings
  -----|--------|--------|--------|-------------
  1593 | 10,662 |  7,182 | 17,844 |   4,021
  1594 |    421 |  3,508 |  3,929 |     --
  1595 |     29 |  3,478 |  3,507 |     --
  ----------------------------------------------

The proportion of mortality in 1593 that fell to the old area within the
walls is known, from Stow’s abstract of the figures, to have been about
the same as in the space of the Liberties (8598 in the one, 9295 in the
other), the deaths from other causes than plague having been rather more
in the latter than within the walls. Probably the population in the
Liberties was about equal to that in the City proper, the acreage being
rather less in the former, but the crowding, doubtless, greater.

The London plague of 1592-93 called forth two known publications, an
anonymous ‘Good Councell against the Plague, showing sundry preservatives
... to avoyde the infection lately begun in some places of this Cittie’
(London, 1592), and the ‘Defensative’ of Simon Kellwaye (April, 1593). The
dates of these two books show that the alarm had really begun in the end
of 1592 and early months of 1593. Kellwaye’s book is mostly an echo of
foreign writings, the only part of it with direct interest for English
practice being the 11th chapter, which “teacheth what orders magistrates
and rulers of Citties and townes shoulde cause to be observed.” As that
chapter sums up the various Elizabethan and other orders, and constitutes
a short epitome of sanitary practice, I append it in full:

    “Teacheth what orders magistrates and rulers of Citties and townes
    shoulde cause to be observed.

    1. First to command that no stinking doonghills be suffered neere the
    Cittie.

    2. Every evening and morning in the hot weather to cause colde water
    to be cast in the streetes, especially where the infection is, and
    every day to cause the streets to be kept cleane and sweete, and
    clensed from all filthie thinges which lye in the same.

    3. And whereas the infection is entred, there to cause fires to be
    made in the streetes every morning and evening, and if some
    frankincense, pitch or some other sweet thing be burnt therein it will
    be much the better.

    4. Suffer not any dogs, cattes, or pigs to run about the streets, for
    they are very dangerous, and apt to carry the infection from place to
    place.

    5. Command that the excrements and filthy things which are voided from
    the infected places be not cast into the streets, or rivers which are
    daily in use to make drink or dress meat.

    6. That no Chirurgions, or barbers, which use to let blood, do cast
    the same into the streets or rivers.

    7. That no vautes or previes be then emptied, for it is a most
    dangerous thing.

    8. That all Inholders do every day make clean their stables, and cause
    the doong and filth therein to be carryed away out of the Cittie; for,
    by suffering it in their houses, as some do use to do, a whole week or
    fortnight, it doth so putrifie that when it is removed, there is such
    a stinking savour and unwholesome smell, as is able to infect the
    whole street where it is.

    9. To command that no hemp or flax be kept in water neere the Cittie
    or towne, for that will cause a very dangerous and infectious savour.

    10. To have a speciall care that good and wholesome victuals and corne
    be solde in the markets, and so to provide that no want thereof be in
    the Cittie, and for such as have not wherewithall to buy necessary
    food, that there to extend their charitable and goodly devotion; for
    there is nothing that will more encrease the plague than want and
    scarcity of necessary food.

    11. To command that all those which do visit and attend the sick, as
    also all those which have the sickness on them, and do walk abroad:
    that they do carry something in their hands, thereby to be known from
    other people.

    Lastly, if the infection be in but few places, there to keep all the
    people in their houses, all necessaries being brought to them. When
    the plague is staid, then to cause all the clothes, bedding, and other
    such things as were used about the sick to be burned, although at the
    charge of the rest of the inhabitants you buy them all new.”

The letters of the time give us a glimpse of this plague in London. On
November 3, 1593, Richard Stapes writes to Dr Cæsar, judge of the
Admiralty Court, residing at St Albans (doubtless to escape the
infection): “My next door neighbour and tenant on Sunday last buried his
servant of the plague, and since, on the other side of me, my son-in-law
has buried his servant; but I cannot say his was the sickness because the
visitors reported that the tokens did not appear on him as on the
other[705].”

The epidemic of 1592-93 continued in London at a low level into the year
1594, when 421 persons died of the plague in the City and Liberties. Next
year the plague-deaths had fallen to 29. Watford and Hertford, two of the
most usual resorts of Londoners in a sickly season, were infected by
plague from 1592 to 1594, many of the deaths being of refugees from the
capital. At Watford there were 124 burials in the first eight months of
1594, a number much above the average, and many of them marked in the
register as plague-deaths[706]. At Hertford plague-deaths appear in the
registers of All Saints and St Andrew’s parishes in 1592 and 1594. But the
greatest mortality at Hertford was in 1596; in St Andrew’s parish there
were 13 burials in March, the average being one or two in the month; the
mortality declined until July, in which month there were buried, among
others, between the 12th and 26th, five children of one of the chief
burgesses (mayor in 1603)[707]. These may or may not have been
plague-deaths, the year 1596 having been unhealthy, as we shall see, with
other types of sickness.

Meanwhile, in several provincial towns at a greater distance from the
capital than the summer resorts in Hertfordshire, there was plague in the
end of 1592, at the same time as in London, and in the following years. At
Derby, “the great plague and mortality” began in All Saints parish and in
St Alkmund’s, at Martinmas, 1592, and ended at Martinmas, 1593, stopping
suddenly, “past all expectation of man, what time it was dispersed in
every corner of this whole parish, not two houses together being free from
it[708].” At Lichfield in 1593 and 1594 upwards of 1100 are said to have
died of the plague[709]. At Leicester, on the 21st September, 1593, a
contribution was levied for the plague-stricken[710]. At Shrewsbury in
1592-3 there was either plague itself or alarms of it[711]; in the parish
of Bishop’s Castle there was the enormous mortality of 135 in July and
August, 1593, and 182 burials for the year, the average being 25[712]. In
the same years the infection was in Canterbury, as appears from entries of
payments “to Goodman Ledes watchying at Anthony Howes dore ... when his
house was first infected with the plague,” and, the year after, “to those
ii pore folkes which were appointed to carry such to burial as died of the
plague; and also to the woman that was appointed to sock them[713].” There
are also various references to houses visited and to poor persons
relieved. Nottingham and Lincoln are also mentioned as having been
notoriously afflicted with plague in 1593[714].

A solitary record of plague comes from Cornwall in 1595. On 3rd May a
letter from the justices at Tregony to the Privy Council states that the
inhabitants, having been charged by the justices at the General Sessions
to restrain divers infected houses within the borough, were molested in
executing these commands, and had made complaint thereof[715].

All that remains to be said of plague in England until the end of the
Tudor period (1603) relates exclusively to the provinces; unless the
records are defective, London was clear of plague for nine years following
1592-94, just as it was clear for nine years preceding. The year 1597 was
one of great scarcity in more than one region of England. At Bristol wheat
is quoted at the incredible figure of twenty shillings the bushel; a civic
ordinance was made that every person of ability should keep in his house
as many poor persons as his income would allow[716]. But it is from the
North of England in 1597 that we have more particular accounts of famine
and of plague in its train. Writing in January, 1597, the dean of Durham
says[717]:

    “Want and waste have crept into Northumberland, Westmoreland and
    Cumberland; many have come 60 miles from Carlisle to Durham to buy
    bread, and sometimes for 20 miles there will be no inhabitant. In the
    bishopric of Durham, 500 ploughs have decayed in a few years, and corn
    has to be fetched from Newcastle, whereby the plague is spread in the
    northern counties: tenants cannot pay their rents; then whole families
    are turned out, and poor boroughs are pestered with four or five
    families under one roof.”

On the 16th of January, 1597, he wrote again: “In Northumberland great
villages are depeopled, and there is no way to stop the enemy’s attempt;
the people are driven to the poor port towns.” On the 26th of May, the
dean again complains that there is great dearth in Durham; some days 500
horses are at Newcastle for foreign corn, although that town and Gateshead
are dangerously infected. On the 17th September, Lord Burghley, minister
of State, is informed that the plague increases at Newcastle, so that the
Commissioners cannot yet come thither (the Assizes were not held at all on
account of plague about Newcastle and Durham): foreign traders were
selling corn at a high price, until some members of the town council
produced a stock of corn for sale at a shilling a bushel less[718]. There
are no figures extant of the plague-mortality at Newcastle in 1597; but at
Darlington the deaths up to October 17 were 340; and in Durham, up to
October 27, more than 400 in Elvet, 100 in St Nicholas, 200 in St
Margaret’s, 60 in St Giles’s, 60 in St Mary’s, North Bailey, and 24 in the
gaol. The whole mortality in St Nicholas parish from July 11 to November
27 was 215. Many of the burials were on the moor. The infection broke out
again at Darlington and Durham in September, 1598[719].

Coincident with this severe plague on the eastern side, there was an
equally disastrous plague in the North Riding of Yorkshire and in
Cumberland and Westmoreland. The plague began at Richmond in the autumn of
1597. In August there were 23 deaths, and in September 42 deaths. The
epidemic appears to have reached its height in the summer of 1598, the
deaths in May having been 93, in June 99, in July 182 and in August 194.
These figures indicate a grievous calamity in so small a place as
Richmond. The outbreak which began on the 17th August, 1597, was over in
December, 1598. The stress of the epidemic is shown by the fact that the
churchyard was insufficient for the burials, many of the dead having been
buried in the Castle Yard and in Clarke’s Green[720]. Of this severe
plague in Cumberland and Westmoreland there are few exact particulars.
According to an inscription at Penrith Church, “on the north outside of
the vestry, in the wall, in rude characters[721],” the deaths in 1598
were:--

  At Penrith 2260,
  "  Kendal 2500,
  "  Richmond 2200,
  "  Carlisle 1196.

We are able to measure the accuracy of these round totals by the monthly
burials for Richmond given above; the months of July and August, 1598,
with 182 and 194 deaths respectively, were the most deadly season; and it
is hardly conceivable that there had been as many as 1800 deaths at
Richmond in the months when the epidemic was rising to a height and
declining therefrom according to its usual curve of intensity.

Again, the parish register of Penrith gives only 583 deaths from the
infection, the inscription on the church wall making them 2260. Perhaps
the discrepancy is to be explained by including the mortality in the
various parishes of which Richmond, Penrith, Kendal and Carlisle were
respectively the centres and market-towns. Thus at Kirkoswald there were
buried, according to the parish register, 42 of the pestilence in 1597,
and no fewer than 583 in 1598[722],--a number which, if correct, means a
death-rate comparable to that of the Black Death itself. Again, in the
small parish of Edenhall, 42 were buried of the pestilence in 1598[723].
Appleby, also, is known to have had a severe visitation[724], and so had
probably many other parishes.

The Tudor period of plague closes with a severe epidemic at Stamford,
which began in the end of 1602. On December 2 the corporation resolved to
build a cabin for the plague-stricken, and in January following they
levied a fourth part of a fifteenth for the relief and maintenance of
people visited with the plague. This epidemic is said to have carried off
nearly 600; the parish registers of St George’s and St Michael’s contain
entries of persons “buried at the cabbin of the White Fryers[725].”


Plague in Scotland, 1495-1603.

The history of plague in Scotland subsequent to the medieval period is of
interest chiefly as affording early illustrations of the practice of
quarantine. We last saw the disease prevailing in or near Edinburgh in
1475, the island of Inchkeith, in the Firth of Forth, being used as a
quarantine station. It was doubtless the possession of convenient islands
near the capital--Inch Colm and Inch Garvie were both used for the same
purpose afterwards--that led the Scots government to follow the example of
Venice and other foreign cities at no long interval of time. When we next
hear of plague in Scotland it is again in connexion with infected persons
on the island of Inchkeith and in the town of Leith, some time between
13th August, 1495, and 4th July, 1496[726].

But these quarantine practices were not confined to the Firth of Forth. On
the 17th May, 1498, the town of Aberdeen was warned by proclamation of the
bell of certain measures to be taken so as to preserve the town from the
pestilence “and strange sickness abefore,” the principal precaution being
a guard of citizens at each of the four gates during the day, and that the
gates be “lockit with lokis and keis” at night. The “strange sickness
abefore” is doubtless the other invasion (of syphilis) which the aldermen
tried to check by an order of April, 1497; but “the pestilence” in the
order of May 1498 must have been the plague itself[727]. Nothing more is
heard of it at Aberdeen or elsewhere in Scotland in that year. It appears
to have been somewhat general in Scotland in 1499 and 1500. The audit of
burgh accounts, mostly held in June, 1499, was postponed to January 1500
in some cases, the bailie of North Berwick explaining that he was
prevented by the plague from coming to the Exchequer[728]. An extra
allowance is made to the comptroller, Sir Patrick Hume, in March 1500,
“for his great labour in collecting fermes in different parts of the
kingdom in time of the infection of the plague.” At Peebles, hides and
woolfells were destroyed during the plague of 1499. There was a renewal of
it in 1500, the audit being again delayed until November. The custumar of
Aberdeen brings his account of the great customs of that burgh down only
to the 3rd July, 1500, “because after that date the accountant, from dread
of the plague, did not enter the burgh of Aberdeen[729].”

It is from the same northern city that our information on plague in
Scotland comes exclusively for the next forty-five years, not, of course,
because its experience was singular, but because its borough records are
known[730].

On the 24th April, 1514, various orders were made at Aberdeen against a
disease that seems to have been the plague: “for keeping of the town from
strange sickness, and specially this contagious pestilence ringand in all
parts about this burgh;” and, again, watching the gates (as in 1498)
against persons “coming forth of suspect places where this violent and
contagious pestilence reigns.” Lodges were erected on the Links and
Gallow-hill, where the infected or suspected were to remain for forty
days. In the following year (1515), sixteen persons were banished from the
town for a year and a day for disobeying the orders “anent the plague.” On
the 27th July, 1530, these orders are renewed “for evading this contagious
pestilence reigning in the country.” On September 15, 1539 (the year after
a plague in the North of England), the plague is called in the municipal
orders by a distinctive name: the orders are for avoiding the “contagius
infeckand pest callit the boiche, quilk ryngis in diverse partis of the
same [realm] now instantly”--the botch being a name given to plague in
England also as late as the Elizabethan and Stuart periods.

The years 1545 and 1546 were also plague-years in Scotland. At a council
held at Stirling on the 14th June, 1545, the session of the law courts was
transferred to Linlithgow “because of the fear of the pest that is lately
reigning in the town of Edinburgh[731].” On 10th September, of the same
year, the town council of Aberdeen issued orders for evading the pest. On
September 18 the plague was in the English army at Warkeshaugh, and it is
reported from Newcastle, on 5 October, to be raging on the borders[732].
On March 21, 1546, a house in Aberdeen was shut up for the pest; and there
are evidences of its continuance in August, October and December both in
that town and “in certain parts of the realm:” on the 11th October the St
Nicholas “braid silver” was given for the sustentation of the sick folk of
the pest; on the 17th December an Aberdonian named David Spilzelaucht was
ordered to be “brint on the left hand with ane het irne” for not showing
the bailies “the seiknes of his barne, quilk was seik in the pest[733].”
In November, 1548, the plague is at St Johnstone (Perth), and the
Rhinegrave, with troops there, sick of it and like to die[734].

In 1564 the Scots Privy Council ordered quarantine for arrivals from
Denmark, in the manner that was practised on merchandise for nearly three
centuries after. As these early practices in the Forth are curiously like
those that used to be practised in the Medway in the eighteenth century, I
shall quote a part of the order of the Scots Privy Council, dated,
Edinburgh, September 23, 1564[735]:

    “That is to say, becaus maist danger apperis to be amangis the lynt,
    that the samyn be loissit, and houssit in Sanct Colm’s Inche,
    oppynout, handillet and castin forth to the wynd every uther fair day,
    quhill the feist of Martimes nixt to cum, be sic visitouris and
    clengearis as sal be appointit and deput thairto be the Provest,
    Baillies and Counsall of the burgh of Edinburgh upoun the expensis of
    the marchantis, ownaris of the saidis gudis. And as concerning the
    uther gudis, pik, tar, irine, tymmer, that the samyn be clengeit be
    owir flowing of the sey, at one or twa tydis, the barrellis of asse to
    be singit with huddir set on fyre, and that the schippis be borit and
    the sey wattir to haif interes into thame, to the owir loft, and all
    the partis within to be weschin and clengeit; and siclike that the
    marinaris and utheris that sall loase and handill the gudis above
    written, be clengeit and kepit apart be thameselffis for ane tyme, at
    the discretioun of the saidis visitouris, and licenses to be requirit
    had and obtenit of the saidis Provest, Baillies and Counsall before
    they presume to resort opinlie or quietlie amangis oure Soverane
    Ladeis fre liegis.”

The same autumn another foul ship from the Baltic arrived and entered the
port of Leith in evasion of quarantine; the master and others are to be
apprehended and kept in prison until justice be done upon them for the
offence[736].

A severe outbreak of plague in Scotland in the year 1568 gave occasion to
the first native treatise upon the disease in the English tongue, the
essay by Dr Gilbert Skene, at one time lecturer on medicine at King’s
College, Aberdeen, but probably removed before 1568 to Edinburgh, where he
became physician to James VI.[737] The author says that the plague has
“lately entered” the country, and he is led to write upon it in the
vulgar tongue for the benefit of those who could not afford to pay for
skilled advice, or could not get it on any terms: “Medecineirs are mair
studious of their awine helthe nor of the common weilthe.” The panic
caused by the plague must have been considerable: “Specialie at this time
whan ane abhorris ane other in sic maneir as gif nothing of humanitie was
restand but all consumit, euery ane abydand diffaent of ane other.”

Although Skene’s treatise bears numerous traces of the influence of
foreign writers on plague, the same being freely acknowledged in the
section of prescriptions and regimen, yet the book is much better than a
mere compilation. Thus, under the causes of plague, he gives the stock
recital of blazing stars, south-winds, corrupt standing waters, and the
like; but in mentioning, as others do, dead carrion unburied, he adds that
the corrupting human body is most dangerous of all “by similitude of
nature.”

    A season favourable to plague is marked by continual wet in the last
    part of Spring or beginning of Summer, without wind, and with great
    heat and turbid musty air.

    Anticipating a remark by Thomas Lodge in 1603, and a common experience
    as regards rats in the recent plagues of various parts of India and
    China, he points out that the mole (moudewart) and serpent leave the
    earth, being molested by the vapour contained within the bowels of the
    same. “If the domesticall fowlis become pestilential, it is ane sign
    of maist dangerous pest to follow.” Among the spots that are most
    pestilential are those near standing water, or where many dead are
    buried, the ground being fat and vaporative. Of the duration of
    infection: “na pest continuallie induris mair than three yeris,”
    according to the principle of “rosten ance can not be made raw
    againe.”

    The diagnosis, prognosis, and treatment are given fully and in
    systematic scholarly order. I give the following long extract on the
    signs and symptoms of plague, as being the first native account of the
    disease in this country:

    _Quhairby corrupt be pest may be knawin._

    Thair is mony notis quhilkis schawis ane man infectit be pest. First
    gif the exteriour partis of the bodie be caulde, and the interiour
    partis of the bodie vehement hait. As gif the hoill bodie be heavie
    with oft scharpe punctiounis, stinkand sweiting, tyritnes of bodie,
    ganting of mowthe, detestable brathe with greit difficultie, at
    sumtyme vehement fever rather on nycht nor day. Greit doloure of heid
    with heavynes, solicitude and sadnes of mynd: greit displesour with
    sowning, quhairefter followis haistelie deth. As greit appetit and
    propensnes to sleip albeit on day, raving and walking occupeis the
    last. Cruell inspectioun of the ene, quhilkis apperis of sindre
    colouris maist variant, dolour of the stomak, inlak of appetite,
    vehement doloure of heart, with greit attractioun of Air; intolerable
    thirst, frequent vomitting of divers colouris or greit appetit by
    daylie accustum to vomit without effecte: Bitternes of mowth and toung
    with blaiknit colour thairof and greit drouth: frequent puls small and
    profund, quhais urine for the maist part is turbide thik and stinkand,
    or first waterie, colourit thairefter of bilious colour, last confusit
    and turbide, or at the beginning is zallow inclyning to greine (callit
    citrine collour) and confusit, thairefter becummis reid without
    contentis. Albeit sum of thir properteis may be sene in haile mennis
    water, quhairby mony are deceavit abydand Helth of the patient, quhan
    sic water is maist manifest sing of deth, because the haill venome and
    cause conjunit thar with, leavand the naturall partis occupeis the
    hart and nobillest interioure partis of the body. Last of all and
    maiste certane, gif with constant fever, by the earis, under the
    oxstaris, or by the secrete membres maist frequentlie apperis
    apostumis callit Bubones, without ony other manifest cause, or gif the
    charbunkil apperis hastelie in ony other part, quhilk gif it dois, in
    the begining, testifies strenthe of nature helth, and the laitter sic
    thingis appeir, and apperand, it is the mair deidlie. At sumtym in ane
    criticall day mony accidentis apperis--principalie vomiteing, spitting
    of blude, with sweit, flux of womb, bylis, scabe, with dyvers others
    symptomis maist heavie and detestable.”

    The signs of death in pestilential persons are as follow:

    “Sowning, cold sweats, vomiting; excrements corrupt, teuch; urine
    black, or colour of lead. Cramp, convulsion of limbs, imperfection of
    speech and stinking breath, colic, swelling of the body as in dropsy,
    visage of divers colours, red spots quickly discovering and covering
    themselves.”

The great plague which was the occasion of Skene’s writing, probably the
most severe that Edinburgh experienced, entered that city on the 8th
September, 1568, having been brought, it was said, by “ane called James
Dalgliesh, merchant[738].” A letter of 21st September, from the bishop of
Orkney, then in Edinburgh, to his brother-in-law Sir Archibald Napier of
Merchiston, whose house was near the plague-huts erected on the Muir,
refers to the infection as then active:

    “By the number of sick folk that gaes out of the town, the muir is
    liable to be overspread; and it cannot be but, through the nearness of
    your place and the indigence of them that are put out, they sall
    continually repair about your room, and through their conversation
    infect some of your servants.” He advises him to withdraw to a house
    on the north side. “And close up your houses, your granges, your barns
    and all, and suffer nae man come therein while it please God to put
    ane stay to this great plague[739].”

The following account of Edinburgh practices in plague-times is given by
Chambers[740]:

    “According to custom in Edinburgh the families which proved to be
    infected were compelled to remove, with all their goods and furniture,
    out to the Burgh-moor, where they lodged in wretched huts hastily
    erected for their accommodation. They were allowed to be visited by
    their friends, in company with an officer, after eleven in the
    forenoon; anyone going earlier was liable to be punished with
    death--as were those who concealed the pest in their houses. Their
    clothes were meanwhile purified by boiling in a large caldron erected
    in the open air, and their houses were clensed by the proper officers.
    All these regulations were under the care of two citizens selected for
    the purpose, and called _Bailies of the Muir_; for each of whom, as
    for the cleansers and bearers of the dead, a gown of gray was made,
    with a white St Andrew’s Cross before and behind. Another arrangement
    of the day was ‘that there be made twa close biers, with four feet,
    coloured over with black, and [ane] white cross with ane bell, to be
    hung upon the side of the said bere, which sall mak warning to the
    people.’”

The same writer says that the plague lasted in Edinburgh until February,
1569, and that it was reported to have carried off 2500 of the
inhabitants. The plague-stricken in the Canongate were sent to huts “on
the hill” and money was collected for their support[741].

The plague of 1574 was again chiefly along the shores of the Firth of
Forth. It came to Leith on October 14th, it was said by a passenger from
England, and several died in that town before its existence was known at
large. On October 24th it entered Edinburgh, “brought in by ane dochter of
Malvis Curll out of Kirkcaldy[742].” On the 29th October the town council
of Glasgow ordered that no one should be allowed to enter from Leith,
Kirkcaldy, Dysart, Burntisland and Edinburgh (in respect of Bellis Wynd
only), and that no one in Glasgow was to repair to Edinburgh without a
pass[743]. Two days after (October 31st) the Scots Privy Council, at
Dalkeith, issued an order to check the spreading of the plague landwards
“through the departure of sick folk and foul persons:” no one to conceal
the existence of plague, and the infected “to cloise thame selffis
in[744].” On November 14th the sittings of the Court of Session were
suspended owing to pest within some parts of Edinburgh, in Leith, and some
towns and parts of the north coast of Fife[745]. In December the Kirk
session of Edinburgh appointed an eight days’ fast for the plague
threatening the whole realm.

In January, 1577, plague is reported to be raging on the English border,
causing alarm in Kirkcudbright[746]. On the 19th October, 1579, the king
and council are credibly informed that “the infectioun and plague of the
pistolence” is not only in divers towns and parts of the coast of England
frequented by Scots shipping but also in Berwick and sundry other bounds
of the East and Middle Marches of England; the markets at Duns and Kelso
are therefore forbidden, and traders not to repair to infected places or
to break bulk of their wares[747]. Next year, 1580, on September 10th, a
ship laden with lint and hemp from “Danske,” with forty persons on board,
including seven Edinburgh merchants, arrived in the Forth, and was
quarantined for many weeks at Inchcolm; the master and several others died
of plague, and the survivors were transferred in November, some to
Inchkeith and some to Inchgarvie, the ship being still at Inchcolm in a
leaky state. On November 22 a vessel which had come down the Tay with
plague-stricken inhabitants of Perth, some of whom were dead, and with
their goods and gear, was ordered to the Isle of May[748].

One of the most serious epidemics of plague in Scotland was from 1584 to
1588. It was said to have been brought to Wester Wemyss, in Fife, by a
certain “creare;” but it was in some other places at the same time, and
was probably a revival of old seeds of the disease. On July 28th the Privy
Council issued orders that beggars and tramps should be kept from
wandering about[749]. On the 24th September, 27th October, 4th November,
and the 11th December, the Privy Council issued order after order to stop
all traffic, unless by licence, from Fife, Perth, and other places north
of the Forth; sails were to be taken out of the ferry-boats at all ferries
except Burntisland and Aberdour, and eventually at these also, Leith and
Pettycur being left free[750]. For Perth we have some particulars of this
great outbreak. From the 24th September, 1584, to August, 1585, there died
1437 persons, young and old[751]. It was also in Dysart and other parts of
Fife through the winter of 1584-85[752].

The infection appeared at Edinburgh about the 1st of May, 1585, in the
Flesh Mercat Close by the infection of a woman who had been in St
Johnstone (Perth) where the plague was[753]. On the 18th May orders were
issued to Edinburgh to remove all filth, filthy beasts and carrion forth
of the highways, and the same to be cleansed and kept clean. On the 23rd
June the coining-house was removed to Dundee, and the Court of Session
transferred to Stirling[754]. The plague next broke out in Dundee, whence
the mint was removed to Perth. At St Andrews it appeared in August, 1585,
and became a severe epidemic, causing the dispersion of the students, and
continuing so long that the miserable state and poverty of the town are in
part ascribed, in a petition of March 24, 1593, to the plague[755].
Upwards of four hundred are said to have died of it there[756]. The state
of sickness was much aggravated by wet harvest weather. In Edinburgh it
continued through the winter until January, 1586, sometimes carrying off
twenty-four in a single night: “the haill people, whilk was able to flee,
fled out of the town; nevertheless there died of people which were not
able to flee, fourteen hundred and some odd” (Birell). James Melville,
riding in November from Berwick to Linlithgow, entered Edinburgh by the
Water-Gate of the Abbey at eleven o’clock in the forenoon and rode up
“through the Canongate, and in at the Nether Bow through the great street
of Edinburgh to the West Port, in all whilk way we saw not three persons,
sae that I miskenned Edinburgh, and almost forgot that I had ever seen sic
a town[757].” The same year it was unusually severe at Duns[758]. In the
winter of 1586-7, “the pest abated and began to be strangely and
remarkably withdrawn by the merciful hand of God, so that Edinburgh was
frequented again that winter, and at the entry of the spring all the
towns, almost desolate before, repeopled, and St Andrews among the
rest[759].”

In the harvest of 1587 “the pest brake up in Leith, by opening up of some
old kists,” and in Edinburgh about the 4th November. It continued in those
two towns till Candlemas, 1588[760]. On April 26, 1588, the infection is
reported anew from Edinburgh, threatening the law session[761]. In
October, 1588, it was at Paisley, causing alarm in Glasgow[762].

On the 8th August, 1593, a ship from an English port, with persons and
goods suspected of the plague, was quarantined at Inchcolm[763]. Four
years after, on the 6th August, 1597, “the pest began in Leith[764].”
Twelve days after, August 18, the Privy Council declared that divers
inhabitants of sundry towns near Edinburgh were infected, and that the
disease was suspected to be in the capital itself[765]. Many fled from
Edinburgh, but the epidemic was over by the end of harvest[766].

In the winter of 1598, the plague which was in Cumberland extended to
Dumfries, and caused great decay of trade, and even scarcity of food[767].
On the 12th October, 1600, a petition from Dundee declares that the
plague of the pest had “entered and broken up within the town of
Findorne[768].” Findhorn had been only one of several places infected in
that locality; for in December, the Kirk session of Aberdeen ordered a
fast “in respect of the fearful infection of the plague spread abroad in
divers parts of Moray[769].”

On the 24th November, 1601, the parishes of Eglishawe, Eastwood, and
Pollok, in Renfrewshire, and the town of Crail in Fife are declared
infected, and ordered to be shut up. On the 28th of the same month it was
in the barony of Calderwood, and on the 21st December, in Glasgow. It
increased daily in Crail in January, 1602, and suspects were put out on
the muir, so that they wandered to sundry parts of Fife. It still
continued in Glasgow, and had appeared at Edinburgh before the 4th of
February: the town council built shielings and lodgings for the sick of
the plague in the lands of Schenis (Sciennes) belonging to Napier, of
Merchiston, without his leave, having ploughed up the old plague-muir, and
let it for their profit: against the plague-shelters Napier protested on
the 11th March. By the 1st of May it had ceased in Edinburgh, and a solemn
thanksgiving was held on the 20th (Birell). A ship owned in Crail arrived
in the Forth on 30th July, 1602, from “Danske,” with three or four dead of
the plague, and was quarantined at Inchkeith. In April, 1603, James VI.
left for England, to assume the English[770] crown, with which event we
resume in another chapter the eventful history of Plague under the
Stuarts.

Meanwhile, in the foregoing records of plague in Scotland, the absolute
immunity of Aberdeen in the latter half of the sixteenth century is
remarkable. It does not depend on any imperfection of the records; for,
under the year 1603, the borough register contains this entry[771]: “It
has pleasit the guidness of God of his infinite mercy to withhauld the
said plague frae this burgh this fifty-five years bygane”--that is to say,
since the winter of 1546-47, when David Spilzelaucht was burned on the
left hand with a hot iron for concealing a case of plague in one of his
children. The northern city may have owed its immunity to various causes;
but there can be no question of the Draconian rigour of its decrees
against the plague. Following the example of queen Elizabeth at Windsor in
1563, the magistrates in May, 1585, when Perth, Edinburgh and many other
places in Scotland were suffering severely from plague, erected three
gibbets, “ane at the mercat cross, ane other at the brig of Dee, and the
third at the haven mouth, that in case ony infectit person arrive or
repair by sea or land to this burgh, or in case ony indweller of this
burgh receive, house, or harbour, or give meat or drink to the infectit
person or persons, the man be hangit and the woman drownit.”


Plague in Ireland in the Tudor period.

The accounts of plague in Ireland in the Tudor period are not many, but
some of them are of interest. The province of Munster is said to have had
a pestilence raging in it in 1504, evidently not a famine-fever, for the
dearth, and mortality therefrom, came in 1505[772]. There is no doubt as
to the reality of the next plague in Ireland, in 1520.

The earl of Surrey writes from Dublin to Wolsey, on the 3rd August, 1520:
“There is a marvellous death in all this country, which is so sore that
all the people be fled out of their houses into the fields and woods,
where they in likewise die wonderfully; so that their bodies be dead like
swine unburied.” On the 23rd July he had already written that there was
sickness in the English pale; and on the 6th September he wrote again that
the death continued in the English pale[773]. It is perhaps the same
epidemic, or an extension of it, that is referred to as the plague raging
in Munster in 1522[774]. On the same authority, “a most violent plague” is
said to have been in the city of Cork in 1535, and “a great plague” in the
same in 1547. The earlier of those dates corresponds probably to a season
of ill-health in Ireland generally: “1536. This year was a sickly,
unhealthy year, in which numerous diseases, viz. a general plague, and
smallpox [i.e. a disease with an Irish name supposed to be smallpox], and
a flux plague, and the bed-distemper prevailed exceedingly[775].” In a
State letter from Ireland September 10, 1535, the prevalence of “plague”
is mentioned[776].

In the winter of 1566-7, a remarkable outbreak of plague occurred among
the English troops quartered around the old monastery of the Derry, at the
head of Loch Foyle, where Londonderry was afterwards built. The men were
landed there in October, and by November “the flux was reigning among them
wonderfully.” On December 18 and January 13, many of the soldiers are
dead, the rest are discontented, and provisions are short. On February 16,
the sickness continues, “in this miserable place,” and on March 26, the
death at the Derry is said to be by cold and infection: the survivors to
be removed to Strangford Haven[777]. Only 300 men were fit for service out
of 1100, and several officers of rank were dead. The men’s quarters had
been built over the graveyard of the ancient abbey, and the infection of
plague was ascribed at the time to the emanations from the soil[778]. The
scarcity was general in Ireland that winter, and was attended by great
mortality. Sir Philip Sydney, the lord deputy, writes to the queen on
April 20, 1567: “Yea the view of the bones and skulls of your dead
subjects who, partly by murder, partly by famine, have died in the fields
is such that hardly any Christian with dry eye could behold[779].”

In 1575 there was a severe and wide-spread outbreak of plague, the
localities specially named being Wexford, Dublin, Naas, Athy, Carlow, and
Leighlin. The city of Dublin was as if deserted of people, so that grass
grew in the streets and at the doors of churches; no term was held after
Trinity, and prayers were appointed by the archbishop throughout the whole
province[780]. The extremity of the plague in Ireland was such that the
English troops sent by way of Chester and Holyhead had difficulty in
finding a safe place to land[781]. Whether that outbreak had been
connected with the military operations (as afterwards in Cromwell’s time),
the information does not enable us to judge; but Chester and other places
near, in direct communication with Ireland, had been visited with plague
the year before (1574).




CHAPTER VII.

GAOL FEVERS, INFLUENZAS, AND OTHER FEVERS IN THE TUDOR PERIOD.


The Common Gaols of England date from the Council of Clarendon, in 1164,
by the articles of which the limits of civil and ecclesiastical
jurisdiction were fixed, and the quarrel between archbishop Becket and
Henry II. reduced to terms. In obedience to Article VII. of the Council,
gaols were built, the chief among them having been at Canterbury,
Rochester, Huntingdon, Cambridge, Malmesbury, Sarum, Aylesbury, and
Bedford[782]. Little is heard of the unwholesomeness of prison life until
the medieval period is nearly over--not indeed because the prisons were
better managed than they were later. “In the year 1385,” says Stow,
“William Walworth gave somewhat to relieve the prisoners in Newgate; so
have many others since.” One benefactor brought a supply of water into
Newgate; another, the famous Whittington, left money actually to rebuild
the gaol, which was done in 1422. For several years before that, Newgate
had been notorious. An ordinance of 7 Henry V. (1419) for the
re-establishment of the debtor’s prison at Ludgate, so that debtors need
not have to go to Newgate gaol, was made in compliance with a petition
which said that, in “the hateful gaol of Newgate, by reason of the fetid
and corrupt atmosphere, many persons committed to the said gaol are now
dead[783].” The greatest mortality must have been, according to Stow, in
1414, when the gaolers of Newgate and Ludgate died, and sixty-four
prisoners in Newgate[784].

More than a century after, in 1522, there occurred the first of a series
of gaol-fever tragedies, which were well calculated to produce the effect
ascribed by Aristotle to scenic tragedy, provided only the workings of
cause and effect had been more apparent. The first of these historical
Black Assizes occurred on the occasion of the gaol delivery at the Castle
of Cambridge in Lent, 1522. The facts, which appear to be given nowhere
but in Hall’s _Chronicle_ (of almost contemporary authority), are less
fully related than for some of the later instances of the same strange
visitation; but there is no mistaking the air of reality and the generic
likeness.


Cambridge Black Assizes.

In the 13th year of Henry VIII. at the Assize held in the Castle of
Cambridge in Lent, “the justices and all the gentlemen, bailiffs and
other, resorting thither, took such an infection, whether it were of the
savour of the prisoners, or of the filth of the house, that many
gentlemen, as Sir John Cut, Sir Giles Arlington, Knights, and many other
honest yeomen, thereof died, and almost all which were present were sore
sick, and narrowly escaped with their lives[785].”

It is to be observed that nothing is said of the prisoners being infected:
they were brought from the dungeons to stand their trial in due course,
and the gentlemen and yeomen attending the court officially or as jurors,
or otherwise, were poisoned by their presence. This early chronicle
indicates as the cause, “the savour of the prisoners, or the filth of the
house;” and Bacon, in touching upon that class of incidents nearly a
century later, indicates “the smell of the gaol,” but says nothing of
cases of fever among the prisoners, having no warrant in the evidence for
doing so.

Before we come to consider the condition of England in the Tudor period,
with the policy of Henry VIII. for the repression of beggary and crime,
and the appearance of “new fevers” or “strange fevers” and “laskes” in the
chronicles and other records of the time, it will be desirable to make out
as accurately as possible the clinical type of the Assizes fever, and its
circumstances. For that purpose we must turn to the next recorded outbreak
on the occasion of the Assizes at Oxford in 1577, which happens to have
been somewhat fully described as a memorable event in the register of
Merton College. The entry in the Merton register appears to have been made
within a few weeks of the event[786].


Oxford Black Assizes.

The Assizes met on the 5th and 6th July, 1577, in the Castle and Guild
Hall. Those only fell ill, whether in Oxford itself or after leaving, who
had been present at the Assizes. The two judges (Robert Bell, Chief Baron
of the Exchequer and John Barrham, sergeant-at-law), the sheriff of the
county, two knights, eight squires and justices of the peace, several
gentlemen and not a few of their servants, the whole of the grand jury
with one or two exceptions--these all had not long left Oxford when they
were seized with illness and died (_statim post fere relictam Oxoniam
mortui sunt_). In Oxford itself, on the 15th, 16th and 17th July, some ten
or twelve days after the Assizes, about three hundred fell ill; and in the
next twelve days there died (“_ne quid errem_”) one hundred scholars,
besides townsmen not a few. Five died in Merton College, including one
fellow, the names of four being given who died on the 24th, 27th, 28th and
29th July. Every college, hall, or house had its dead. Women were not
attacked, nor indeed the poor; nor did the infection spread to those who
waited on the sick or came to prescribe for them. Only those who had been
present at the Assizes caught the fever. The symptoms are described as
follows:

    The patients laboured under pain both of the head and of the stomach;
    they were troubled with phrensy, deprived of understanding, memory,
    sight, hearing and their other senses. As their malady increased, they
    took no food, could not sleep, and would not suffer attendants or
    watchers to be near them; their strength was remarkable, even in the
    approach of death; but if they recovered they fell into the extreme of
    weakness. No complexion or constitution was spared; but those of a
    choleric habit were most obnoxious to the disease. The affected
    persons suddenly became delirious and furious, overcoming those who
    tried to hold them; some ran about in courts and in the streets after
    the manner of insane persons; others leapt headlong into the water.
    The spirits of all the people were crushed; the physicians fled, and
    the wretched sufferers were deserted. Masters, doctors, and heads of
    houses left almost to a man. The Master of Merton remained, _longe
    omnium vigilantissimus_, ministering sedulously to the sick. The
    pharmacies were soon emptied of their conserves, oils, sweet waters,
    pixides and every kind of confection.

This sudden epidemic, which began on the 15th--17th July, did not last
long; within the space of one month the city was restored to its former
health, so that one wonders, says the registrary of Merton, to see already
so many scholars and so many townsmen abroad in the streets and walks.

The infection was suspected by many, says the same eyewitness, to have
arisen either from the fetid and pestilent air of thieves brought forth
from prison, of whom two or three died in chains a few days before
(_quorum duo vel tres sunt ante paucos dies in vinculis mortui_), or from
the devilishly contrived and obviously papistical spirits called forth “e
Lovaniensi barathro,” and let loose upon the court secretly and most
wickedly.

The latter explanation arose out of the heated feelings of the time
against papist plotters, and has no farther interest. But the statement
that two or three of the prisoners had died in chains a few days before
has a great interest, as showing the kind of treatment to which they had
been subjected while awaiting the gaol delivery. A strange confirmation of
the truth of the statement came to light many years after. When John
Howard visited the Oxford gaol in 1779, in the course of his humane
labours on behalf of the prisoners, he was told by the gaoler that, some
years before, wanting to build a little hovel and digging up stones for
the purpose from the ruins of the court, which was formerly in the Castle,
he found under them a complete skeleton with light chains on the legs, the
links very small. “These,” says Howard, “were probably the bones of a
malefactor who died in court of the distemper at the Black Assize[787].”

Next to the Merton register’s account, we may take that of Thomas Cogan, a
graduate in medicine of Oxford, sometime fellow of Oriel, but probably
removed to Manchester previous to 1577. Wherever Cogan got his
information, he acknowledges no source of the following in his _Haven of
Health_, 1589:

    “What kind of disease this should be which was first at Cambridge [in
    1522] and after at Oxford, it is very hard to define, neither hath any
    man (that I know) written of that matter. Yet my judgment is, be it
    spoken without offence of the learned physicians, that the disease was
    _Febris ardens_, a burning fever. For as much as the signes of a
    burning ague did manifestly appear in this disease, which after
    Hollerius be these: Extreame heate of the body, vehement thirst,
    loathing of meate, tossing to and fro, and unquietnesse, dryness of
    the tongue rough and blacke, griping of the belly, cholerick laske,
    cruell ake of the head, no sound sleepe, or no sleepe at all, raving
    and phrensie, the end whereof, to life or death, is bleeding at the
    nose, great vomitting, sweate or laske. And this kind of sicknesse is
    one of those rods, and the most common rod, wherewith it pleaseth God
    to brake his people for sin.... And this disease indeed, as it is
    God’s messenger, and sometimes God’s poaste, because it commeth poaste
    haste, and calleth us quickly away, so it is commonly the Pursuivant
    of the pestilence and goeth before it.... And certainly after that
    sodaine bane at Oxford, the same yeare, and a yeare or two following,
    the same kind of ague raged in a manner over all England, and tooke
    away very many of the strongest sort, and in their lustiest age, and
    for the most part, men and not women nor children, culling them out
    here and there, even as you should chuse the best sheepe out of a
    flocke. And certaine remedy was none to be found.... And they that
    took a moderate sweate at the beginning of their sickness and did rid
    their stomachs well by vomit sped much better. Yet thanks be to God
    hitherto no great plague hath ensued upon it.”

Besides these medical particulars, he gives certain dates and numbers. It
began, he says, on the 6th of July, from which date to the 12th of August
next ensuing there died of the same sickness five hundred and ten
persons, all men and no women: the chiefest of which were the two judges,
Sir Robert Ball, lord chief baron, and maister Sergeant Baram, maister
Doile the high sheriff, five of the justices, four councillors at law and
an attorney. The rest were jurors and such as repaired thither.

An account not unlike Cogan’s is given by Stow in his _Annales_ (p. 681);

    “The 4, 5 and 6 dayes of July were the assizes holden at Oxford, where
    was arraigned and condemned one Rowland Jenkes for his seditious
    toung, at which time there arose amidst the people such a dampe, that
    almost all were smothered, very few escaped that were not taken at
    that instant: the Jurors died presently. Shortly after died Sir Robert
    Bell, lord chief baron, Sir Robert de Olie, Sir William Babington,
    maister Weneman, maister de Olie, high sheriff, maister Davers,
    maister Harcurt, maister Kirle, maister Phereplace, maister Greenwood,
    maister Foster, maister Nash, sergeaunt Baram, maister Stevens, and
    there died in Oxford 300 persons, and sickned there but died in other
    places 200 and odde, from the 6th of July to the 12th of August, after
    which died not one of that sicknesse, for one of them infected not
    another, nor any one woman or child died thereof.”

Stow’s account differs from that of the Merton College register in several
important particulars. The latter is explicit that the sickness appeared
among the scholars and townsmen of Oxford on the 15th, 16th and 17th of
July, or after an interval of ten days or more, and that the deaths
amongst those who had come to Oxford on Assize business did not occur in
Oxford but on their return home. On the other hand, Stow makes out the
Oxford people to have been smothered by the damp which arose in the court
itself: “very few escaped that were not taken ill at that instant;” next
come the deaths of the jurors, and “shortly after” those of the judges and
other high officials, whose names are given by Stow more fully than by
anyone. His total of deaths, the same as Cogan’s, is 300 in Oxford and 200
and odd of persons who had left Oxford, and his dates, “from the 6th of
July to the 12th of August,” are also the same as Cogan’s.

Wood’s account is for the most part taken from the Merton register and in
part from the very different version in Stow’s _Annals_; but he has the
following new matter: “Above 600 sickened in one night, as a physician
that now lived in Oxford attesteth, and the day after, the infectious air
being carried into the next villages, sickened there an hundred
more[788].” That, of course, is very unlike the Merton College account,
which is explicit that no one caught the fever who had not been in the
court. The Oxford physician whose authority is given for the six hundred
cases in Oxford in one night, and the extension next day to villages
around, is Dr George Ethredge, or Ethryg, a physician and learned Greek
scholar living in Oxford at the time and keeping a boarding-house, called
George Hall, for the sons of Catholic gentlemen. In 1588 he published a
small volume of comments upon some books of Paulus Aegineta, which is the
authority given by Wood[789]. On discovering the passage, one finds that
it was not 600 in one night, but “sexaginta” or 60, and that the occasion
on which more than sixty were taken ill at once in a single night at
Oxford, and nearly a hundred next day in the adjacent villages, “whither
the infected air had by chance been borne,” was not that of the gaol-fever
in 1577 but of the sweating sickness in 1551. An extension in the
atmosphere to the villages around is just what would have happened in the
sweating sickness, a disease in that as in other respects closely
analogous to influenza. Ethredge says that, on the particular occasion,
“hardly any of the Oxford people died”--a statement which should of itself
have prevented Wood’s mistake, even if the reference to the same disease
having “at the same time” cut off the two sons of the duke of Suffolk “at
Cambridge” (therefore a less healthy place than Oxford where hardly any
died) had not quite clearly pointed to the sudor Britannicus, which is
actually named in the context (“sic enim vocant”)[790].

Although, in the passage quoted, it is the sweating sickness at Oxford in
1551 that Ethredge refers to, he does also refer to the gaol fever of 1577
in another passage which has hitherto escaped notice.

    In the section of his book next following, entitled “De Curatione
    morborum populariter grassantium, et de Peste,” he says that he had
    used a certain prescription of aloes, ammoniacum and myrrh rubbed
    together in wine, for himself as well as for others in a serious
    contagion, “quae fuit in martiali sede cum ibi essem,” and also, with
    happy effect, upon many “in the most cruel pest at Oxford which
    carried off Judge Bell and ever so many more; one gentleman, I could
    not persuade to try this medicine, whom therefore I commended to God,
    and four days after he was dead. Concerning that pestilential fever,
    many colloquies took place between me and two most learned physicians;
    and, as to the kind of this contagion, we all agreed (_manibus et
    pedibus in hanc sententiam itum est_) in a sentence which I quoted
    from Valescus, who sayeth thus: Those sicknesses are dangerous in such
    wise that the physicians may be for the most part deceived; for we see
    a good hypostasis in the urine, and some other good signs, yet the
    sick person dies”--a remark which often recurs in the early writings
    on plague.

It has taken longer than usual to determine the matter of fact as to the
fever of the Oxford Black Assizes, because an erroneous version passes
current on respectable authority; but enough has perhaps been said to
enable us to pass from the matter of fact to the matter of theory[791].

The theory of the gaol fever at Oxford, in 1577, was not attempted by any
writer at the time, nor indeed has it been so in later times; but the
significance of the outbreak has been recognized and admitted. An Oxford
scholar, Dr Plot, writing just a century after (1677) mentions the
statement that a “poisonous steam” broke forth from the earth, having
probably in his mind Stow’s imaginative explanation, that a damp arose
amongst the people and smothered them, very few escaping that were not
taken at that instant. Plot then proceeds:--

    “But let it not be ascribed to ill fumes and exhalations ascending
    from the earth and poysoning the Air, for such would have equally
    affected the prisoners as judges, but we find not that they dyed
    otherwise than by the halter, which easily perswades me to be of the
    mind of my lord Verulam (_Nat. Hist._ cent. X. num. 914) who
    attributes it wholly to the smell of the Gaol where the prisoners had
    been long, close, and nastily kept.”

We know, indeed, from the register of Merton that “two or three of the
prisoners died in chains a few days before,” which is a sufficient
indication of the state they were kept in, but is no warrant for Anthony
Wood’s free rendering of the words: “of whom two or three, _being overcome
with it_ [i.e. with the “nasty and pestilential smell of the prisoners”]
died a few days before the Assizes began.” Two or three prisoners died in
their chains with symptoms undescribed; and although typhus among the
inmates of gaols has often occurred, it has also been wanting in many
cases where the filth and misery might have bred it in the prisoners
themselves[792].

Bacon’s judgment on the case, referred to above, was based upon a strict
scrutiny of the evidence, and does not transcend the evidence. He
attributes the infection that arose in the court to “the smell of the
gaol;” and so as not to assume a smell which does not appear to have
attracted any particular notice at the time, he is careful to explain in
what sense he means the smell of the gaol:

    “The most pernicious infection,” he says, “next the plague, is the
    smell of the jail, when prisoners have been long and close and nastily
    kept; whereof we have had in our time experience twice or thrice; when
    both the judges that sat upon the jail, and numbers of those that
    attended the business or were present, sickened upon it and died.
    Therefore it were good wisdom, that in such cases the jail were aired
    before they be brought forth....

    “Leaving out of question such foul smells as be made by art and by the
    hand, they consist chiefly of man’s flesh or sweat putrefied; for they
    are not those stinks which the nostrils straight abhor and expel, that
    are most pernicious; but such airs as have some similitude with man’s
    body, and so insinuate themselves and betray the spirits[793].”


Exeter Black Assizes.

The next Black Assizes occurred at Exeter in 1586, nine years after the
Oxford tragedy. The Exeter incident has had the fortune to be chronicled
by a person as competent as was the writer in the Merton College register
in the former case, namely by John Hoker _alias_ Vowell, chamberlain of
the city, and its representative in Parliament, a lawyer of good
education, who must have been conversant with all the circumstances, and
wrote his account within six months. He is known as the chief contributor
to the second edition of Holinshed’s _Chronicle_, in which the history is
brought down to 1586, his name appearing on the title-page. It is in that
work that he inserted his account of the Exeter Black Assizes, written in
October, 1586. The margin bears the words:

    “The note of John Hooker _alias_ Vowell;” and the text of the note is
    as follows[794] (III. pp. 1547-8):--“At the assizes kept at the citie
    of Excester, the fourteenth daie of March, in the eight and twentieth
    yeare of hir majesties reigne, before Sir Edmund Anderson, Knight,
    lord chief justice of the common pleas, and sargeant Floredaie, one of
    the barons of the excheker, justices of the assises in the Countie of
    Devon and Exon, there happened a verie sudden and a strange
    sickenesse, first amongst the prisoners of the Gaole and Castell of
    Exon, and then dispersed (upon their triall) amongst sundrie other
    persons; which was not much unlike to the sickenesse that of late
    yeares happened at an assise holden at Oxford, before Sir Robert Bell,
    Knight, lord chiefe baron of the excheker, and justice then of that
    assise....

    The origin and cause thereof diverse men are of diverse judgment. Some
    did impute it, and were of the mind that it proceeded from the
    contagion of the gaole, which by reason of the close aire and filthie
    stinke, the prisoners newlie come out of a fresh aire into the same
    are in short time for the most part infected therewith; and this is
    commonlie called the gaole sickenesse, and manie die thereof. Some did
    impute it to certain Portingals, then prisoners in the said gaole. For
    not long before, one Barnard Drake, esquire (afterwards dubbed Knight)
    had beene at the seas, and meeting with certeine Portingals, come from
    New-found-land and laden with fish, he tooke them as a good prize, and
    brought them into Dartmouth haven in England, and from thense they
    were sent, being in number about eight and thirtie persons, unto the
    gaole of the castell of Exon, and there were cast into the deepe pit
    and stinking dungeon[795].

    These men had beene before a long time at the seas, and had no change
    of apparell, nor laine in bed, and now lieing upon the ground without
    succor or reliefe, were soone infected; and all for the most part were
    sicke, and some of them died, and some one of them was distracted; and
    this sickenesse verie soone after dispersed itselfe among all the
    residue of the prisoners in the gaole; of which disease manie of them
    died, but all brought into great extremities and were hardly escaped.
    These men, when they were to be brought before the foresaid justices
    for their triall, manie of them were so weak and sicke that they were
    not able to goe nor stand; but were caried from the gaole to the place
    of judgement, some upon handbarrowes, and some betweene men leading
    them, and so brought to the place of justice.

    The sight of these men’s miserable and pitifull cases, being thought
    (and more like) to be hunger-starved than with sickenesse diseased,
    moved manie a man’s heart to behold and look upon them; but none
    pitied them more than the lords justices themselves, and especially
    the lord chief justice himselfe; who upon this occasion tooke a better
    order for keeping all prisoners thenseforth in the gaole, and for the
    more often trials; which was now appointed to be quarterlie kept at
    every quarter sessions and not to be posted anie more over, as in
    times past, untill the assises.

    These prisoners thus brought from out of the gaole to the judgment
    place, after that they had been staied, and paused awhile in the open
    aire, and somewhat refreshed therewith, they were brought into the
    house, in the one end of the hall near to the judges seat, and which
    is the ordinarie and accountable place where they do stand to their
    triales and arraignments. And howsoever the matter fell out, and by
    what occasion it happened, an infection followed upon manie and a
    great number of such as were there in the court, and especially upon
    such as were nearest to them were soonest infected. And albeit the
    infection was not then perceived, because every man departed, (as he
    thought), in as good health as he came thither; yet the same by little
    and little so crept into such as upon whom the infection was seizoned,
    that after a few daies, and at their home coming to their owne houses,
    they felt the violence of this pestilent sicknesse; wherein more died,
    that were infected, than escaped. And besides the prisoners, manie
    there were of good account, and of all other degrees, which died
    thereof; as by name sargeant Floredaie who then was the judge of those
    trials upon the prisoners, Sir John Chichester, Sir Arthur Basset, Sir
    Barnard Drake, Knight[796]; Thomas Carew of Haccombe, Robert Carie of
    Clovelleigh, John Fortescue of Wood, John Waldron of Bradfeeld and
    Thomas Risdone, esquires and justices of the peace.

    ... Of the plebeian and common people died verie manie, and
    especiallie constables, reeves, and tithing men, and such as were
    jurors, and namelie one jurie of twelve, of which there died eleven.

    This sicknesse was dispersed throughout all the whole shire, and at
    the writing hereof in the time of October, 1586, it is not altogether
    extinguished. It resteth for the most part about fourteene daies and
    upwards by a secret infection, before it breake out into his force and
    violence.”

Here we have the same incubation-period as in the Oxford fever, about
fourteen days. But in the Exeter case, we have it clearly stated that an
infection arose in the prison from the poor Portuguese sailors or
fishermen who had been thrown into “deep pit and stinking dungeon” after
their capture on the high seas by Sir Bernard Drake, that the infection
attacked the other prisoners, that many of the prisoners died and all were
brought to extremities, and that those who stood their trial were then in
a most feeble state, although they seemed to the pitying spectators to be
more starved than diseased.

So far as concerned the infection in the Assize Court, among the lawyers,
county gentry, and officials, jurors and others, it was of the same tragic
kind as at Oxford in 1577 and at Cambridge in 1522, and, as we shall see,
on several occasions in the eighteenth century. But the Exeter case has
some features special to itself. Within the gaol were both English felons
and thirty-eight Portugals, who had become subject to capture on their way
home from the banks of Newfoundland with boatloads of stock-fish, and to
treatment as felons, because Spain and England were at war. Within the
gaol there seems to have been also a gradation of misery, a deep pit and
stinking dungeon, “in the lowest deep a lower deep,” to which were
consigned the men of foreign breed, the Portugals. It was among them that
deaths first occurred, in what special form we know not. From them an
infection is clearly stated by Hoker to have spread through the gaol at
large, and to have made many of the prisoners so weak that they had to be
carried into court. This is quite unlike what we read of in the Cambridge
and Oxford cases, in neither of which was illness noted in the prisoners
or asserted of them, although at Oxford two or three had died in chains a
few days before. In the Exeter case there were three circles of the damned
instead of two only: nay there were four. Farthest in were the Portugals,
next to them were the native English felons, then came those present on
business or pleasure at the Assizes, and lastly there were the country
people all over Devonshire for many months after. We must take all those
peculiarities of the Exeter gaol-fever together, and explain them one by
another. It was a somewhat elaborated poison. It had passed from the
foreign prisoners to the English, and in the transmission had, as it were,
consolidated its power; hence, when the prisoners did give it to those who
breathed their atmosphere in court, the infection did not limit itself to
them, as it certainly did at Oxford and, so far as anything is said, at
Cambridge also, and as it usually does in typhus-fever; but it became a
volatile poison, it developed wings and acquired staying power, so that
its effects were felt over the county of Devon for at least six months
longer.


Poverty and Vagrancy in Tudor England.

The Black Assizes of Cambridge (1522), of Oxford (1577), and of Exeter
(1586) cast, in each case, a momentary and vivid light upon the state of
England in the Tudor period as late as the middle of the reign of
Elizabeth. It has been pointed out in a former chapter that prices and
wages were favourable to the cultivators of the soil in the fifteenth
century, that the English yeomanry sprang up in that period, that village
communities and trading towns prospered although their morals were none of
the best, and that the civil wars of York and Lancaster were so far from
injuring the domestic peace of England that they even secured it. It was
the observation of Philip de Comines, more than once quoted before, that
England had the “peculiar grace” of being untroubled at large by the
calamities of her civil wars, because kings and nobles were left to settle
their quarrels among themselves. “Nothing is perfect in this world,” says
the French statesman, who did not like independence of spirit among the
lower orders. But he recognizes the fact as peculiar to England in the
fifteenth century; and there can be little doubt about it.

The civil wars were hardly over when the troubles of the common people
began. Here, if anywhere, is the turning-point brought into Goldsmith’s
poem of “The Deserted Village:”

  A time there was, ere England’s griefs began,
  When every rood of ground maintained its man.

Deserted villages became a reality in the last quarter of the fifteenth
century, and throughout the century following. We hear of this
depopulation first in the Isle of Wight, where it affected the national
defence and therefore engaged the attention of the State. Two Acts were
passed in 1488-9, cap. 16 and cap. 19 of 4 Henry VII. The first declares
that “it is for the security of the king and realm that the Isle of Wight
should be well inhabited, for defence against our ancient enemies of
France; the which isle is late decayed of people, by reason that many
towns and villages have been let down, and the fields dyked and made
pastures for beasts and cattle.” The second relates that

    “Great inconveniences daily doth increase by desolation and pulling
    down and wilful waste of houses and towns, and laying to pasture lands
    which customably have been used in tilth, whereby idleness, ground and
    beginning of all mischiefs, daily do increase; for where in some towns
    two hundred persons were occupied and lived by their lawful labours,
    now be there occupied two or three herdsmen, and the residue fall into
    idleness.” The remedy enacted is that no one shall take a farm in the
    Isle of Wight which shall exceed ten marks, and that owners shall
    maintain, upon their estates, houses and buildings necessary for
    tillage.

An instance of the same depopulation is given by Dugdale in Warwickshire:
seven hundred acres of arable land turned to pasture, and eighty persons
thrown out of employment causing the destruction of sixteen messuages and
seven cottages. An instance of the same kind has already been quoted from
the neighbourhood of Cambridge as early as 1414; but it is not until the
settlement of the dynastic quarrels and jealousies, partly on the
victories of Edward IV. at Barnet and Tewkesbury in 1471, and completely
after the victory of Henry Tudor at Bosworth in 1485, that agrarian
troubles became general. Then began the famous _enclosures_--enclosures
both of the “wastes” of the manors, and of the open cultivated fields of
the manors in which all the orders of villagers had their share of
tenancy.

A few years after, in 1495, the number of vagabonds and beggars had so
increased, of course in consequence of the enclosures, that a new Act was
required, cap. 2 of the 11th of Henry VII. “Considering the great charges
that should grow for bringing vagabonds to the gaols according to the
statute of 7 Richard II., cap. 5, and the long abiding of them therein,
whereby it is likely many of them would lose their lives:” therefore to
put them in the stocks for three days and three nights upon bread and
water, and after that to set them at large and command them to avoid the
town, and if a vagabond be taken again in the same town or township, then
the stocks for _four_ days, with like diet. The deserving poor, however,
were to be dealt with otherwise, but in an equally futile manner. In
1503-4, by the 19th of Henry VII. cap. 12, the period in the stocks was
reduced to one day and one night (bread and water as before), probably in
order that all vagabonds might have their turn.

The most correct picture of the state of England under Henry VII. and
Henry VIII. is given by Sir Thomas More. The passages in his _Utopia_,
relating to the state of England may be taken as veracious history. A
discussion is supposed to arise at the table of Morton, archbishop of
Canterbury, who was More’s early patron, and who died in 1500. “I durst
boldly speak my mind before the Cardinal,” says the foreign observer of
our manners and custom, Raphael Hythloday; and then follows an account of
the state of England which lacks nothing in plainness of speech.

    “But let us consider those things that chance daily before our eyes.
    First there is a great number of gentlemen, which cannot be content to
    live idle themselves, like drones, of that which other have laboured
    for: their tenants I mean, whom they poll and shave to the quick by
    raising their rents (for this only point of frugality do they use, men
    else through their lavish and prodigal spending able to bring
    themselves to very beggary)--these gentlemen, I say, do not only live
    in idleness themselves, but also carry about with them at their tails
    a great flock or train of idle and loitering serving-men, which never
    learned any craft whereby to get their living. These men, as soon as
    their master is dead, or be sick themselves, be incontinent thrust out
    of doors.... And husbandmen dare not set them a work, knowing well
    enough that he is nothing meet to do true and faithful service to a
    poor man with a spade and a mattock for small wages and hard fare,
    which being daintily and tenderly pampered up in idleness and
    pleasure, was wont with a sword and a buckler by his side to strut
    through the street with a bragging look, and to think himself too good
    to be any man’s mate.

    Nay, by Saint Mary, Sir, (quoth the lawyer), not so. For this kind of
    men must we make most of. For in them, as men of stouter stomachs,
    bolder spirits, and manlier courages than handicraftsmen and ploughmen
    be, doth consist the whole power, strength and puissance of our army,
    when we must fight in battle.”

    So much for the serving-men of the rich, apt to be discarded to swell
    the ranks of poverty and crime. But further:--

    “There is another cause, which, as I suppose, is proper and peculiar
    to you Englishmen alone.--What is that? quoth the Cardinal.--Forsooth,
    my lord, quoth I, your sheep that were wont to be so meek and tame,
    and so small eaters, now, as I hear say, be become so great devourers
    and so wild that they eat up and swallow down the very men themselves.
    They consume, destroy and devour whole fields, houses and cities. For
    look in what parts of the realm doth grow the finest and therefore
    dearest wool, these noblemen and gentlemen, yea and certain abbots,
    (holy men, no doubt), not contenting themselves with the yearly
    revenues and profits that were wont to grow to their forefathers and
    predecessors of their lands, nor being content that they live in rest
    and pleasure, nothing profiting yea much annoying the weal public
    leave no ground for tillage; they inclose all into pastures; they
    throw down houses; they pluck down towns and leave nothing standing,
    but only the church to be made a sheep-house. And as though you lost
    no small quantity of ground by forests, chases, lawns, and parks,
    these holy men turn all dwelling-places and all glebe-land into
    desolation and wilderness. Therefore the one covetous and insatiable
    cormorant and very plague of his native country may compass about and
    inclose many thousand acres of ground together within one pale or
    hedge; the husbandmen be thrust out of their own, or else either by
    cunning and fraud, or by violent oppression they be put besides it, or
    by wrongs and injuries they be so wearied that they be compelled to
    sell all. By one means, therefore, or by other, either by hook or
    crook, they must needs depart away, poor silly wretched souls, men,
    women, husbands, wives, fatherless children, widows, woeful mothers
    with their young babes, and their whole household small in substance
    and much in number as husbandry requireth many hands. Away they
    trudge, I say, out of their known and accustomed houses, finding no
    place to rest in. All their household stuff, which is very little
    worth, though it might well abide the sale, yet being suddenly thrust
    out, they be constrained to sell it for a thing of nought. And when
    they have wandered abroad till that be spent, what can they then else
    do but steal, and then justly, pardy! be hanged, or else go about a
    begging. And yet, then also they be cast in prison as vagabonds,
    because they go about and work not; whom no man will set a work,
    though they never so willingly profer themselves thereto.”

Thus were the gaols filled. The policy of Henry VIII. was to hang for
petty theft--“twenty together upon one gallows.” And yet the lawyer, the
defender of the king’s firm rule, “could not choose but greatly wonder and
marvel, how and by what evil luck it should come to pass that thieves
nevertheless were in every place so rife and rank.”

These descriptions of the state of England were written about 1517, and
the recitals in various Acts of Henry VIII. bear them out. Thus, in 1514
and 1515 (6 Hen. VIII. cap. 5, and 7 Hen. VIII. cap. 1), the towns,
villages and hamlets, and other habitations decayed in the Isle of Wight
are to be re-edified and re-peopled. In 1533-4 (25 Hen. VIII. cap. 13),
there is a more comprehensive Act against the aggrandisements of
pasture-farmers, “by reason whereof a marvellous multitude of the people
of this realm be not able to provide meat, drink and clothes necessary
for themselves, their wives, and children, but be so discouraged with
misery and poverty that they fall daily to theft, robbery, and other
inconvenience, or pitifully die for hunger and cold.” Some greedy and
covetous persons have as many as 24,000 sheep: no one to keep above 2,000
sheep under the penalty of 3_s._ 4_d._ for every sheep kept by him above
that number. Ten years after comes the well-known Act relating to the
decay of towns[797] (35 Hen. VIII. cap. 4).

Besides these recitals in Acts of Parliament, we have other glimpses of
the causes of agrarian distress. Thus, in a letter of June 24, 1528, from
Sir Edward Guildford to Wolsey: Romney Marsh is fallen into decay; there
are many great farms and holdings in the hands of persons who neither
reside on them, nor till, nor breed cattle, but use them for grazing,
trusting to the Welsh store cattle[798].

In Becon’s _Jewel of Joy_, written in the reign of Edward VI. the same
condition of things is described:

    “How do the rich men, and specially such as be sheepmongers, oppress
    the king’s liege-people by devouring their common pastures with their
    sheep, so that the poor people are not able to keep a cow for the
    comfort of them and of their poor family, and are like to starve and
    perish for hunger, if there be not provision made shortly.... Rich men
    were never so much estranged from all pity and compassion toward the
    poor people as they be at this present time.... They not only link
    house to house, but when they have gotten many houses and tenements
    into their hands, yea whole townships, they suffer the houses to fall
    into utter ruin and decay, so that by this means whole towns are
    become desolate and like unto a wilderness, no man dwelling there
    except it be the shepherd and his dog.” The interlocutor in the
    dialogue answers: “Truth it is. For I myself know many towns and
    villages sore decayed; for whereas in times past there were in some
    town an hundred households, there remain not now thirty; in some
    fifty, there are not now ten; yea (which is more to be lamented) I
    know towns so wholly decayed that there is neither stick nor stone, as
    they say.... And the cause of all this wretchedness and beggary in the
    common weal is the greed of gentlemen which are sheepmongers and
    graziers[799].”

Again, in Bullein’s _Dialogue of the Fever Pestilence_ (1664), the groom
Roger who accompanies the citizen and his wife to the country, in the
direction of Barnet, points out an estate on which the rents had been
raised; the fields had been turned into large pastures, and all the houses
pulled down save the manor house: “for the carles have forfeited their
leases and are gone a-begging like villaines, and many of them are dead
for hunger.”

Vagabonds, beggars, valiant beggars, sturdy beggars, and ruffelers
continue to occupy the pages of the Statute Book for many years. In
1530-31 (a long and elaborate Act), and in 1535-6, they are to be
repressed by the stocks, by whipping, and ear-cropping; “and if any
ruffeler, sturdy vagabond, or valiant beggar, having the upper part of the
right ear cut off as aforesaid, be apprehended wandering in idleness, and
it be duly proved that he hath not applied to such labours as have been
assigned to him, or be not in service with any master, that then he be
committed to gaol until the next quarter sessions, and be there indicted
and tried, and, if found guilty, he shall be adjudged to suffer death as a
felon.” A still more distracted Act was made by the Lord Protector in 1547
(1 Ed. VI. cap. 3): if the vagabond continue idle and refuse to labour, or
run away from work set him to perform, he is to be branded with the letter
V, and be adjudged a slave for two years to any person who shall demand
him, to be fed on bread and water and refuse-meat, and caused to work in
such labour, “how vile soever it be, as he shall be put unto, by beating,
chaining, or otherwise.” If he run away within the two years, he is to be
branded in the cheek with the letter S, and adjudged a slave for life; and
if he run away again he is to suffer death as a felon. Similar provisions
are made for “slave-children;” while the usual exceptions are brought in
for the impotent poor. The above statute remained in force for only two
years, having been from the first a monstrous insult to the intelligence
of the nation, and never applied. It was succeeded by two meek-spirited
Acts, 3 and 4 Ed. VI. cap. 16, and 5 and 6 Ed. VI. cap. 2, in which the
impotent poor are provided for:--collectors in church to “gently ask and
demand alms for the poor.” By the 1st of Mary, cap. 13, the collections
for the poor were made weekly. When Elizabeth came to the throne, greater
pressure was put upon the well-to-do to support the poor: by the Act of 5
Eliz. cap. 3 (1562-3) those who obstinately refused voluntary alms might
be assessed. A more important Act of Elizabeth was that of her 14th year
(1572-3) cap. 5, “For the Punishment of Vagabonds and for Relief of the
Poor and Impotent.” A vagabond, as before, is to be whipped, and burnt on
the ear; for a second offence to suffer death as a felon “unless some
honest person will take him into his service for two whole years;” and for
a third offence to suffer death and loss of lands and goods, as a felon,
without allowance of benefit of clergy or sanctuary. Aged and infirm poor,
by the same Act, are to be cared for by “overseers of the poor” in every
parish, and to have abiding places fixed for them. In 1575-6 (18th Eliz.
cap. 3), the Act of 1572-3 was amended and explained: “collectors and
governors of the poor” are to provide a stock of wool, hemp, iron etc. for
the poor to work upon, and “houses of correction,” or Bridewells, are to
be built-one, two or more in every county for valiant beggars or such
other poor persons as refuse to work under the overseers or embezzle their
work. The last and greatest poor-laws of Elizabeth’s reign were those of
her 39th year (1597-8) caps. 3 and 4 and her 43rd year (1601) cap. 2.
These remained the basis of the English poor-law down to a recent period.
Overseers of the poor are appointed in every parish--the churchwardens _ex
officio_ and four others appointed by the justices in Easter week: the
overseers to meet once a month in the parish church after divine service
on the Sunday: contributions to be levied by the inhabitants of any parish
among themselves, or the parish or hundred to be taxed by the justices,
failing the contributions, or, if the hundred be unable, then the county
to be rated “in aid of” the parishes.

These being the developments of the poor-law and the law against vagabonds
to the end of the Tudor period, we may now return to our particular
illustrations, and more especially to the illustrations from popular
sickness.

Under the year 1537, one of the citizen chroniclers of London has an
entry, “Began a collection for the poor, and a great number cured of many
grievous diseases through the charity thereof.” Under 1540, he records
that “the collection for the poor people ceased[800].” Preaching before
Edward VI. on the fourth Sunday in Lent, 1550, Thomas Lever, Master of St
John’s College, Cambridge, said: “O merciful Lord! what a number of poor,
feeble, halt, blind, lame, sickly--yea with idle vagabonds and dissembling
caitiffs mixed among them, lie and creep, begging in the miry streets of
London and Westminster[801].” In May, 1552, Ridley wrote to Cecil that the
citizens were willing to provide for the poor “both meat, drink, clothing
and firing;” but they lacked lodging, and he wanted the king to give up
Bridewell “to lodge Christ in,” or in other words, the poor “then lying
abroad in the streets of London.”

Coming to the middle of Elizabeth’s reign, in the year 1579 we find, in an
essay dedicated to the queen by Dr John Jones upon general topics of
health and morals, an account of poverty and crime which reads little
better than Sir Thomas More’s for 1517. In his 31st chapter on “The great
cost that the commonwealth is at daily in relieving the poore: Of the
number of them that are yeerly executed,” he speaks of the new poor-rate
as “a greater tax than some subsidies,” and as a “larger collection than
would maintain yeerly a good army;” and, of the felons as “a mightier
company of miserable captives than would defend a large country, as in the
records of the Clerks of the Peace and of the Assize may easily be seen.”

Even from the outset, the poor-rate does not appear to have met the
difficulty:

    “And yet housekeepers be but little less discharged, if ye note the
    continual resort of the needy, especially in the country and towns
    that be incorporate, the poor (as they say) not much the more aided,
    as by the moan they make to travellers may be easily gathered, nor
    theft and wickedness the less practised. For what misery it is to see
    condemned at one assize in a little shire thirty-nine, notwithstanding
    the clemency of the Judges, and three hundred and odd in one Diocese
    to do penance or fine for their loose living in a year. But these be
    the meanest sort only, for the others scape as though it were in them
    no offence. And in one gaol of prisoners three hundred and upwards at
    one time, whereof a great part perhaps may be through negligence of
    justice or cruelty, that otherwise might be punished answerably to the
    offences lawfully.”

He then refers to the Bridewells “so charitably and politicly appointed by
the late Act of Parliament, although not yet in every shire erected.” The
Act of Parliament was that of 1572 and the Bridewells were the houses of
correction for vagrants, the first type of workhouses, and so named after
the Bridewell in Fleet Street, which was given by Edward VI. from being a
royal residence to be a refuge of the poor. So far as fever was concerned,
it mattered little whether the Bridewell were a poor-house or a prison,
for in later times gaol fever and workhouse fever were both synonyms for
typhus.

It would not have been surprising to find this enormous extent of
pauperism, vagrancy and crime attended by the distinctive _morbus
pauperum_, typhus-fever. But we are here concerned only with the evidence,
and not with antecedent probabilities. The records are, of course, very
imperfect. The gaol-fevers of Cambridge, Oxford and Exeter attracted much
notice because they touched the governing class. There may have been much
more gaol-fever unrecorded. Hoker, in his account of the Exeter fever,
does indeed say: “and this is commonly called the gaol sickness, and many
die thereof;” and, in a petition to the Crown, March, 1579, the Queen’s
Bench prison in Southwark is said to contain twice its complement, there
is in it a disease called “sickness of the house,” and near a hundred had
died of that sickness in the prison during the previous six years[802]. We
shall not be able to give colour to our epidemiological history by other
such instances from the Tudor period[803]; even for plague itself, the
records of particular outbreaks are meagre and almost certainly only a
part of the whole. The epidemics which shall occupy us for the rest of
this chapter are those that had a general prevalence over the country on
two or three occasions, the same general prevalence of fever that recurs
at shorter intervals in the Stuart period and in the eighteenth century.

Hitherto we have attempted to work out the history of epidemics in Britain
without reference to the epidemics in other countries, except in the case
of the Black Death, which had remarkable antecedents in the remote East,
and in the case of the English Sweat of 1528, which overran a great part
of the Continent in 1529 and 1530. To have attempted a parallel record of
epidemics abroad would have served inevitably to confuse the vision; for
the annals of pestilence in all Europe would have been from year to year
an unrelieved record of sickness and death, an unnatural continuance or
sequence, from which the mind turns away. The several countries of Europe,
and the several cities, had each their turn of plague; but they had each,
also, their free intervals, sometimes very long intervals, as we have seen
in the case of Aberdeen with no plague for nearly two generations in the
sixteenth century. The epidemiography of each country should therefore be
kept apart; and within a given country care should be taken to prevent
the illusion of universal sickness, which is apt to be created in the
bringing of scattered centres of disease (such as plague) together in the
same page.

But there are instances of what are called pandemics, or universal
epidemics, of sickness. The Black Death was one such, covering a period of
perhaps four years in Europe, from 1347 to 1350, the curve of the disease
in each locality lasting about six months. With the beginning of the
modern period we come to more frequent pandemics, not of plague, but of
minor or milder forms of pestilential infection. On the continent of
Europe these were in part related to the state of war, which may be taken
as beginning with the invasion of Italy by Charles VIII. of France in
1494. Typhus-fever, or war-fever with famine-fever, now begins to be a
familiar form of sickness--in 1498, 1505, 1510, 1528, and so on. Other
forms are putrid sore throat, dysentery, and varieties of fever included
under influenza. The various forms were apt to occur together or in
succession, so that epidemiography has a “Protean” character. This
epidemic Proteus is at once a great difficulty and a most instructive
fact. It opens up the very old doctrine of “epidemic constitutions” of the
air, which to many moderns savours of unscientific vagueness; and it
brings us face to face with degrees or kinds of infectiveness which are,
in matter of fact, more wonderful or more incomprehensible than the
deadlier infections, such as the plague or Asiatic cholera. The most
familiar instance of the kind is influenza.


Influenza.

Influenza enters undoubtedly into the Protean infections of the sixteenth
century, and is itself no small part of the Proteus. But what is
influenza? The name is comparatively modern--Italian of the 18th
century--and appears to mean defluxion or catarrh, not in the familiar
sense only, but as derived from the comprehensive pathological doctrine of
humours: thus the Venetian envoy in London called the sweat of 1551 an
“influsso.” It is open to us to include much or little under influenza;
but the name itself, having its root in an obsolete doctrine of humours,
can never be made exact or scientific. Usage has applied it to all
universal colds and coughs; and it has been applied capriciously to some
universal fevers, but not to others. There are two tolerably clear
references to its prevalence in England before the peculiarly unwholesome
state of Europe began with the modern age. Under the year 1173, the
chronicle of Melrose enters “a certain evil and unheard-of cough” (_tussis
quaedam mala et inaudita_), which affected everyone far and near, and cut
off many.

One of the St Albans chroniclers, an unknown writer who kept a record from
1423 to 1431 (reign of Henry VI.), has the following entry under the year
1427: “In the beginning of October, a certain rheumy infirmity (_quaedam
infirmitas reumigata_) which is called ‘_mure_’ invaded the whole people,
and so infected the aged along with the younger that it conducted a great
number to the grave[804].” A good deal is said in this brief passage, and
all that is said points to influenza--the rheumy nature of the malady, the
universality of incidence, presumably the suddenness and brief duration,
the deaths among the aged and the more juvenile. It is known also that a
similarly general malady was prevalent the same year in Paris, where it
bore the name of _ladendo_; the particulars given in the French record of
it leave no doubt that it was influenza.

The singular name of _pestilentia volatilis_ given by Fordoun to two
epidemics in Scotland in his own lifetime, one which began at Edinburgh in
February, 1430 (1431 new style), and the other at Haddington in 1432,
suggests that they may have been influenzas, but there is nothing more
than the name to indicate their nature. Those years are not known to have
been years of influenza in any other country of Europe: the record of the
malady passes direct from 1427 to 1510. There was certainly a great wave
of influenza over Europe in 1510, under the names of _cocqueluche_ and
_coccolucio_. It is said to have come up from the Mediterranean coasts and
to have extended to the shores of the Baltic and North Seas; its
prevalence in Britain is likely enough, and is indeed asserted in one
foreign account, but there is no known native notice of it. Abroad, it had
the usual character of suddenness, simultaneity and universality, and the
symptoms of heaviness, prostration, headache, restlessness, sleeplessness,
and for some time after a violent paroxysmal cough, like whooping-cough.
None died except some children; in some it went off with a looseness, in
others by sweating[805]. The mention of sweating in the influenza epidemic
of 1510 is not without importance. It may serve to explain a remark by
Erasmus, in a letter of 25th August, 1511, from Queens’ College,
Cambridge, that his health was still rather doubtful “from that sweat” (_a
sudore illo_[806]); the sweat can hardly have been the sweating sickness
of 1508, three years before, but the still unsettled health of Erasmus in
1511 may perhaps have been the dregs of the influenza of 1510.

The next great European epidemic of influenza was in 1557, for which I
shall produce medical evidence of England sharing in it, probably during
that year and certainly in the one following. But the intervening years
afford some notices of sickness in England, which was neither so severe as
plague at one end of the pestilential scale nor altogether mild at the
other, being forms of illness which contemporaries pronounced to be “new”
and “strange,” and appear to have been of the nature of pestilent fever
and dysentery.

Neither typhus nor dysentery was really new to England in the sixteenth
century; on the contrary, they were (with putrid sore throat and lientery)
the common types of disease in the great English famines which came at
long intervals, as described in the first chapter. But on the continent of
Europe typhus and dysentery and putrid sore throat (_angina maligna_)
began with the modern age to appear as if capriciously, and independently
of such obvious antecedents as want, although some of the epidemics of
typhus and dysentery were clearly related to the hardships of
warfare[807]. Typhus, indeed, was a disastrous malady on the Continent in
those years, notably in 1528 in Spain, where it was known as “las bubas,”
and in France, where it was called “les poches”--both names relating to
the spots on the skin, and both more strictly applicable to the eruptions
of the lues venerea, which was then also rampant.

Apart from the gaol fever at Cambridge in 1522, the first mention of those
new epidemics in England since the end of the medieval period is under the
year 1540: “This said xxx and two year [of Henry VIII.] divers and many
honest persons died of the hot agues and of a great lask throughout the
realm[808].” The “lask” was dysentery, (Stow, in chronicling the epidemic
in his much later _Annales_ calls it “the bloody flux”), and the “hot
agues,” according to later references under that name, appear to have been
influenza in the sense of a highly volatile typhus[809]. All that we know
of the circumstances of this epidemic is that the summer was one of
excessive drought, that wells and brooks were dried up, and that the
Thames ran so low as to make the tide at London Bridge not merely brackish
but salt.

The spring and summer of 1551 were the seasons of the last outbreak of the
sweat in England, which curiously coincided with another epidemic of
influenza (_cocqueluche_) in France. The years from 1555 to 1558 were a
sickly period for all Europe, the diseases being of the types of
dysentery, typhus, and influenza. The most authentic particulars are given
under the years 1557 and 1558; and those for England, which specially
concern us, are now to be given. Wriothesley, a contemporary, enters under
the year 1557: “This summer reigned in England divers strange and new
sicknesses, taking men and women in their heads; as strange agues and
fevers, whereof many died[810].” Under the year 1558, the continuator of
Fabyan’s chronicle says: “In the beginning of this mayor’s year died many
of the wealthiest men all England through, of a strange fever[811].”

Some light is thrown upon the sickness, general throughout England in
1557-8, also by Stow in his _Annales_. Before the harvest of 1557 corn was
at famine prices, but after the harvest wheat fell to an eighth part of
the price (5_s._ the quarter), the penny wheaten loaf being increased from
11 oz. to 56 oz.! In the harvest of 1558, he goes on, the “quartan agues
continued in like manner, or more vehemently than they had done the last
year passed, where-through died many old people and specially priests, so
that a great number of parishes were unserved and no curates to be gotten,
and much corn was lost in the fields for lack of workmen and
labourers[812].” Harrison, canon of Windsor, says that a third part of the
people of the land did taste the general sickness, which points to
influenza[813].

The year 1557 was certainly remarkable on the continent of Europe as a
year of widely prevalent “pestiferous and contagious sickness,” which was
described by numerous medical writers. That universal epidemic, or
pandemic, is usually counted as one of the great historical waves of
influenza; and in the annals of that wonderful disease it stands the first
which was well recorded by competent foreign observers, including
Ingrassias, Gesner, Rondelet, Riverius, Dodonaeus, and Foreest. The
corresponding sickness in England in 1557 (still more severe in 1558),
which carried off many of the wealthiest men, and made so great an
impression that it is noticed by Stow and Speed, has missed being noticed
by English physicians, with a single exception, and that a casual one. If
the continental physicians had not been copious in writing on several
occasions when our English physicians were silent, such as the epidemic of
syphilis in 1494-6, the English sweat of 1529, and the influenza of
1557-8, it might appear ungracious to remark upon the scanty literary
productiveness of the profession in the Tudor period. Whoever attempts
medical history for England will soon feel our deficiency in materials,
and become disposed to envy the easier task of the foreign historian. The
academical physicians of the time hardly ever wrote. The men who wrote on
medicine were laymen like Sir Thomas Elyot, who justified his interest
therein by the example of men of his own rank like Juba, king of
Mauritania, and Mithridates, king of Pontus; or they were irregular
practitioners desirous to advertise themselves; or booksellers’ hacks like
Paynel; or such as Cogan, a schoolmaster and a physician in one. The
modern reader will be surprised at the common burden of the prefaces of
medical (and perhaps other) books in the Tudor period,--the intolerable
nuisance of “pick-faults,” “depravers,” and cavillers, who sat in their
chairs and criticised; and if the modern reader happen to be in quest of
authentic facts, he can hardly fail to sympathise with Phaer, when he
addresses the academical dog-in-the-manger with the Horatian challenge:
“Si quid novisti rectius istis, candidus imperti; si non, his utere
mecum.”

It is possible, however, to collect a few particulars of the prevalent
sickness of 1558 in England from casual notices of it. Thus, it comes
into a letter to the queen, of September 6, by Lord St John, governor of
the Isle of Wight, from his house at Letley, near Southampton: sickness
affected more than half the people in Southampton, the Isle of Wight and
Portsmouth (those places being filled with troops under St John’s
command), and the captain of the fort at Sandown was dead[814]. Curiously
enough we get an intimate glimpse of this epidemic from a book published
some years after, the _Dyall of Agues_ by Dr John Jones. In his chapter
“Of the Sweating Fevers” (chapter xiv), after illustrating from Galen the
proposition that a sweat may not be critical and wholesome, but τυφώδης or
typhus-like, attending the seizure from its outset and “the same said
sweat little or nothing profiting,” he proceeds to point his remarks by
his own experience:

    “I had too good experience of myself in Queen Mary’s reign, living at
    Lettlé in my good lord’s house, the right honourable Lord St John,
    beside Southampton, the which, notwithstanding the great sweat, it was
    long after before I recovered of my health, so that the said sweat did
    nothing profit.”

He then proceeds to compare the sweat, almost certainly the epidemic
mentioned in St John’s despatch of 6th September, 1558, with the sweating
sickness of 1551:

    “So in our days, even in King Edward VI.’s reign, it brought many to
    their long home, as some of the most worthy, the two noble princes of
    Suffolk, imps of honour most towardly, with others of all degrees
    infinite many; and the more perished no doubt for lack of physical
    counsel speedily[815].”

The next that we hear of this epidemic of the autumn of 1558, is in a
despatch from Dover, 11 p.m. 6th October: the writer has “learnt from the
mayor of Dover that there is no plague there, but the people that daily
die are those that come out of the ships, and such poor people as come out
of Calais, of the new sickness[816].” A despatch of 17th October, 1558,
from one of the commissioners for the surrender of Calais, Sir Thomas
Gresham, at Dunkirk, to the Privy Council, says that he “returned hither
to write his letter to the queen, and found Sir William Pickering very
sore sick of this new burning ague. He has had four sore fits, and is
brought very low, and in danger of his life if they continue as they have
done[817].”

Here we have the same term “new sickness” and “new burning ague” as in the
two English chronicles under the year before--the “strange and new
sicknesses” which “took men and women in their heads,” and the “strange
agues and fevers.” The very general prevalence in Southampton, Portsmouth
and the Isle of Wight suggests influenza; the symptom of sweating
described by Jones for his own case during that prevalence is in keeping
with what we hear of the influenzas of the time from foreign writers, and
so is the long and slow convalescence; the fact of one person having had
four sore fits of “this new burning ague” is more like influenza than
typhus.

The severe mortalities in the autumn of 1558 at Loughborough and Chester
are put down to “plague,” and they may, of course, have been circumscribed
outbursts of the old bubo-plague. If, however, they were part of the
general prevalence of hot or burning agues, which we may take to have been
influenza or a very volatile kind of typhus, they would indicate a degree
of fatality in the latter somewhat greater than more recent influenzas
have had. A high death-rate is, indeed, demonstrable for the year 1558,
from parish registers, by comparing the deaths in that year with the
deaths in years near it, and by comparing the deaths with the births in
1558 itself.

The registers of christenings and burials, which had been ordered first in
1538, were kept in a number of parishes from that date; and from 1558,
when the order for keeping them was renewed by queen Elizabeth, they were
generally kept. Dr Thomas Short, a man of great industry, about the middle
of last century obtained access to a large number of parish registers, and
worked an infinite number of arithmetical exercises upon their
figures[818]. His abstract results or conclusions are colourless and
unimpressive, as statistical results are apt to be for the average
concrete mind; nor can they be made to illustrate the epidemic history of
Britain with the help of his companion volumes, ‘A General Chronological
History of the Air, Weather, Seasons, Meteors etc[819].’, for these
extraordinary annals are for the most part loosely compiled from foreign
sources, bringing into one focus the most scattered references to disease
in any part of Europe, and that too without criticism of authorities but
often with surprising credulity and inaccuracy. That so much statistical
or arithmetical zeal and exhaustiveness (in the work of 1750) should go
with so total a deficiency of the critical and historical sense, (in the
work of 1749) is noteworthy, and perhaps not unparalleled in modern times.
Short’s history is mostly foreign, but his statistics, which are English,
may be used to illustrate and confirm what can be learned of sicknesses in
England in the ordinary way of historical research.

Thus, the period from 1557 to 1560 stands out in Short’s table as one of
exceptional unhealthiness both in country parishes and in market towns,
the unhealthiness being estimated by the excess of burials over
christenings.

_Country Parishes._

           Registers    Unhealthy    Baptised    Buried
  Year     examined      Parishes    in same    in same

  1557        16            7           62         181
  1558        26           11          171         340
  1559        34           12          145         252
  1560        38            6          100         162
  1561        41            1           19          32

_Market Towns._

           Registers    Unhealthy    Baptised    Buried
  Year     examined       Towns      in same    in same

  1557         4            2          262         381
  1558         4            2          104         159
  1559         5            3          102         149
  1560         8            3          134         201
  1561         8            3          276         399
  1562         8            1           58          71

Short’s collection of parish registers appears to have represented many
English counties, although there is no clue to their identity in the
tables from which these figures are taken. The heavy mortalities in the
registers correspond exactly to the epidemic years as otherwise known, and
may be said to bear witness to the extent or generality of the epidemic
infection.

The next that we hear of malignant fevers in England is the outbreak at
Oxford in 1577, following the Assizes. Anthony Wood says of it: “Some
thought that this Oxford mortality was the same that Leonard Fuchsius
styles sudor Anglicus.” Cogan, a contemporary, says:

    “And certainly after that sudden bane at Oxford, the same year and a
    year or two following, the same kind of agues raged in a manner all
    over England, and took away very many of the strongest sort in their
    lustiest age, and for the most part men and not women nor children,
    culling them out here and there, even as you should choose the best
    sheep out of a flock. And certain remedy was none to be found.... And
    they that took a moderate sweat at the beginning of their sickness,
    and did rid their stomachs well by vomit, sped much better.”

This is partly confirmed by Short’s abstracts of the parish registers.
Thus in 1580, of sixty registers examined, ten showed unhealthiness, the
births being to the deaths as 248 to 284. In 1582, seven country parishes
were markedly unhealthy, the births being to the deaths as 140 to 244. In
market towns the incidence is not so striking: in 1580, four towns out of
sixteen examined showed an unhealthy birth-rate, 237 births to 276 deaths.
It is in 1583 that the disparity becomes greatest in these towns: three
out of the sixteen in the list were notably unhealthy, the deaths being
1062 and the births 467. But it is the obvious defect of Short’s method
that we have no means of knowing whether that mortality may not have been
largely from plague, and not from fever or other form of epidemic
sickness.

The only year between 1558 and 1580 in Short’s tables, which stands out as
decidedly unhealthy both in country parishes and market towns is 1570,
while the years from 1573 to 1575 are less healthy than the average. Those
were years of war, and of war-typhus, on the Continent, as the foreign
writings show, but there are no records of the kind of sickness in
England.

One glimpse of the prevalence of those fevers of 1580-82 is got from a
letter of the earl of Arundell to Lord Burghley, October 19, 1582. The
earl had left his house in London because it was so “beset and
encompassed” by plague; while, as to his country house: “The air of my
house in Sussex is so corrupt even at this time of the year as, when I
came away, I left xxiv sick of hot agues.” He therefore begs the loan of
the bishop of Chichester’s house till such time as the vacancy in the see
should be filled up[820].

The widespread volatile sicknesses of 1557-8 and 1580-2, which are grouped
under the generic name of influenza, were related in time to great
epidemics of the far more deadly bubo-plague. These plague outbursts were
less noticeable in England than abroad. Thus in 1557 there were most
disastrous epidemics of true bubo-plague in several towns of the Low
Countries, and in 1580 there was at Cairo one of the worst epidemics in
the whole history of plague from its beginning. The years preceding 1580
were also plague-years in many parts of Europe (Padua, Mantua, Venice,
Messina, Palermo, Lisbon, Brussels). Those years were also the occasion of
the first great and disastrous epidemics of diphtheria (_garottillo_) in
Spain. Then come the epidemics of typhus; and at the far end of the
pestilential scale the flying waves of influenza. A relation of influenza
to other prevalent infections has been one of the theories of its nature,
especially the relation to epidemics of Asiatic cholera.

In that view influenza looks as if it were a volatile product, a swifter
and more superficial wave on the top of some slower and more deadly
earth-borne virus. As the old writers said, it was a _levis corruptio
aeris_, a diluted virus as it were, mild in proportion to its volatility
and swiftness, but in universality equalling in its own milder way the
universality of the plague of Justinian’s reign or of the Black Death.

Now, the same century and the same state of society which witnessed the
most remarkable of those flying ripples of infection over the whole
surface of Europe witnessed also some waves of infection which did not
travel so far, nor were mere influenzas. The English sweat travelled over
England in that way; it was called the posting sweat, because it posted
from town to town: thus in 1551 it suddenly appeared one day in Oxford,
and next day it was in the villages around, as if carried in the air; in
like manner it posted to Devonshire, to Leicestershire, to Cheshire, and
doubtless all over England, like the influenzas of recent memory. And
while the English sweat was thus flying about in England, influenza was
flying about the same year (1551) in France, a country which never
suffered from any of the five sweating sicknesses of 1485-1551. Again, the
influenza in England in 1558 had the symptom of sweating so marked that it
was compared to the true sweat of 1551 by Dr Jones, who himself suffered
from it. Also the influenza of 1580 all over Europe had so much of a
sweating character that in some places they said the English sweat had
come back. Lastly, the gaol-fever of Oxford in 1577 was thought by some to
present the symptoms described by Leonard Fuchs for _sudor Anglicus_; and
Cogan, an English medical writer then living, specially mentions the
phenomenon of sweating (as well as the intestinal profluvium called a
“lask”), both at Oxford and in the more widely prevalent diseases of that
year and the years following. The gaol-fever of Exeter in 1586 illustrates
still another side of the question; it diffused itself--probably by other
means than contact with the sick--all over the county of Devon, and had
not ceased six months after it began in the month of March at Exeter. The
Devonshire diffusion was like the spreading circles in a still pool. The
spread of influenza was like the flying ripples on a broad surface of
water. The spread of plague, on the occasions when it was universal, was
like the massive rollers of the depths, the onward march of cholera from
the East having, in our own times, illustrated afresh the same momentum.

In using hitherto the name of influenza for the universal fevers in
England in 1557-58 and in 1580-82, I have done so because those years are
usually reckoned in the annals of influenza. But the name is at best a
generic one, and need not commit us to any nosological definition. I shall
have to deal at more length with this question in the tenth chapter, when
speaking of the fevers of 1657-59 described by Willis and Whitmore, two
competent medical observers; in those years the vernal fever was a
catarrhal fever, or influenza proper, while the fever of the hot and dry
season, autumnal or harvest-fever, was a pestilential fever, a spotted
fever, a burning ague, a contagious malignant fever. There were also
differences in their epidemological as well as in their clinical
characters, the influenza wave being soonest past. But so far as regarded
universality of diffusion and generality of incidence, both types were
much alike.

Molineux, writing in 1694, a generation after Willis, “On the late general
coughs and colds,” brought into comparison with them another epidemic
which he had observed in Dublin in the month of July, 1688: “The transient
fever of 1688 ... I look upon to have been the most universal fever, as
this [1693] the most universal cold, that has ever appeared[821].”

When we come to the 18th century, to great epidemics not only in connexion
with famine in Ireland, but also in England, we shall find the same
diffusiveness associated with the clear type of disease which we now call
typhus. Influenza is the only sickness familiar to ourselves which shows
the volatile character, and we are apt to conclude that no other type of
fever ever had that character. But, without going farther back than the
18th century we shall find epidemics of spotted typhus resting like an
atmosphere of infection over whole tracts of Britain and Ireland, town and
country alike; and even if we give the name of influenza to the epidemical
“hot agues” with which we are here immediately concerned, in the years
1540, 1557-8, and 1580-82, we may also regard them as in a manner
corresponding to, if not as embracing, the types of fever that prevailed
from time to time over wide districts of country in the centuries
following.

The term “ague,” often used at the time, is no more decisive for the
nosological character than the term “influenza.” Ague originally meant a
sharp fever (_febris acuta_, ὄξυς), and in Ireland, from the time of
Giraldus Cambrensis down to the 18th century, it meant the acute fever of
the country, which has not been malarial ague, in historical times at
least, but typhus. “Irish ague” was in later times a well-understood term
for contagious pestilential fever or typhus. In the _Dyall of Agues_ by Dr
John Jones (1564 ?), just as in the writings of Sydenham a century later,
intermittents were mixed up with continued fevers which had nothing
malarial in their cause or circumstances. Thus, Jones has a chapter on
“Hot Rotten Agues,” which he identifies with the synochus or continued
fever of the Greeks; in another chapter on “The Continual Rotten Ague,” he
locates the continued fevers within the vessels and the “interpolate”
without their walls, and proceeds:

    “It happeneth where all the vessels, but most chiefly in the greatest
    which are annexed about the flaps of the lungs and spiritual members,
    all equally putrefying, which often happeneth, as Fuchsius witnesseth,
    of vehement binding and retaining the filth in the cavity or
    hollowness of the vessels, inducing a burning heat. Wherefore, this
    kind of fever chanceth not to lean persons, nor to such as be of a
    thin constitution and cold temperament, nor an old age (that ever I
    saw), but often in them which abound with blood and of sanguine
    complexion, replenished with humour, fat and corpulent, solemners of
    Bacchus’ feasts,--gorge upon gorge, quaff upon quaff--not altogether
    with meat or drink of good nourishment but of omnium gatherum, as well
    to the destruction of themselves as uncurable to the physician, as by
    my prediction came to pass (besides others) upon a gentleman of
    Suffolk, a little from Ipswich, who by the causes aforesaid got his
    sickness, and thereof died the ninth day, according to my prediction,
    as his wife and friend knoweth.”

Again, in his eighth chapter, “Of the Pestilential Fever, or Plague, or
Boche [Botch],” he remarks upon the varying types of pestilential
diseases, mentioning among other national types the English sweat:

    “As we, not out of mind past, with a sweat called stoupe galante, as
    that worthy Doctor Caius hath written at large in his book _De
    Ephemera Britannica_,” adding the remark that here concerns us:--“and
    sethence [since then], with many pestilential agues, and, lastly of
    all, with the pestilential boche [botch or plague rightly termed].”
    These continued fevers, pestilential agues, or hot rotten agues, Jones
    distinguishes from quotidians, tertians and quartans. Of the last he
    says: “and when quartans reign everywhere, as they did of no long
    years past; of the which then I tasted part, besides my experience had
    of others,”--probably the fevers of 1558, elsewhere called by him the
    sweating sickness, and by Stow called “quartan agues.” He mentions
    also quintains, which he had never seen in England, “but yet in
    Ireland, at a place called Carlow, I was informed by Mr Brian Jones,
    then there captain, of a kerne or gentleman there that had the
    quintain long.”

Not only the term “ague,” but also the terms “intermittent,” “tertian,”
and more especially “quartan,” can hardly be taken in their modern sense
as restricted to malarial or climatic fevers. An intermittent or
paroxysmal character of fevers was made out on various grounds, to suit
the traditional Galenic or Greek teaching; but the paroxysms and
intermissions were not associated specially with rise and fall of the
body-temperature. The curious history of agues, and of the specialist
ague-curers, properly belongs to the time of the Restoration, when
Peruvian bark came into vogue, and will be fully dealt with in the first
chapter of another volume.

The last years in the Tudor period that stand out conspicuously in the
parish registers for a high mortality, not due to plague, are 1597-8. The
year 1597 was a season of influenza in Italy, and perhaps elsewhere in
Europe; so that the epidemic in England that year may have been the same,
but more probably was famine-fever. In the parish register of Cranbrooke
the deaths for the year are 222, against 56 births; and 181 of the deaths
are marked with the mark which is supposed to mean plague proper. The
register of Tiverton has 277 deaths, against 66 births, but it is almost
certain that the cause of the excess was not plague, of which the nearest
epidemic in that town was in 1591. In a country parish of Hampshire, with
a population of some 2700, the deaths in 1597 were 117, against 48 births,
the mortality being about twice as great as in any year from the
commencement of the register in 1569, and after until 1612[822]. In the
north of England the type of disease in 1597-8 was plague proper.

The parish register of Finchley has a remarkable entry under the year 1596
which introduces us to other considerations: “Hoc anno moriebantur de
dysenteria xix,” the whole number of burials for the year having been 28.
Next year, 1597, there are 23 deaths from dysentery, the burials in all
having been 48--an enormous mortality compared with the average of the
parish. The year 1597, if not also 1596, was a year of great scarcity,
apparently all over England; in Northumberland, Durham, and Cumberland,
the scarcity was attended by plague proper; but in other parts of England,
it would seem, by other types of sickness, of which dysentery was one.

One of the 16th century English names used for flux was the obsolete word
lask, which occurs often enough in writings of the period to suggest that
the malady was common; it is sometimes called a choleric lask (cholera
morbus), or a vehement lask, as in Elyot’s _Castel of Health_ and in
Cogan’s _Haven of Health_. Lasks, or lienteries, or dysenteries have not
been dealt with in a chapter by themselves because the records of them are
too few and meagre, so far as we have gone in the history; but it may be
convenient to bring together here the better known instances. In the
period of famine-sicknesses, dysentery and lientery must have been common
types, the latter being specially mentioned by Rishanger of St Albans for
the year 1294. Trokelowe, another St Albans chronicler, writing of the
famine-sickness of 1315-16, uses the singular phrase “morbus enim
dysentericus ex corruptis cibis fere omnes maculavit” and says it was
followed by “acuta febris vel pestis gutturuosa.” Dysentery from corrupt
food is again specially named for the year 1391. The “wame-ill” was the
prevalent type of sickness in the great Scots famine of 1439, a year of
famine in England and France. When we next hear of it in English history
it is among the troops of the marquis of Dorset in Gascony and Biscay in
1512, some 1800 of them having died of “the flix.” Then comes the “great
lask throughout the realm” in 1540, associated with “strange fevers.” The
sickly years 1557-58 and 1580-82 had probably some dysentery, or lientery,
either as primary maladies or as complications of the fevers: Cogan’s
generalities imply as much for 1580-82, and we know that the corresponding
sickly period a century after (1657-59) was so characterised in the
description by Willis. The fatal infection in the fleet after the defeat
of the Spanish Armada, in August, 1588, was probably dysentery and
ship-fever. Many other instances of the kind remain to be given in the
chapter on the sicknesses of voyages and colonial settlements.

Dysentery begins to be heard of more frequently in the Stuart period, as a
malady of London. It is a prominent item, along with summer diarrhoea, in
the London bills of mortality from the year 1658, under the name “griping
of the guts,” and is occasionally mentioned in letters from London about
the same years. The dysentery of London in 1669 was the subject of
Sydenham’s observations, who says that it had been rarely seen in the
preceding ten years[823]. On the other hand he speaks of “the endemic
dysentery of Ireland,” although he is not sure as to its type or
species[824]. Statements as to the Irish “country disease,” are as old as
Giraldus Cambrensis[825]; but as the whole question of dysentery is
intimately bound up with that of typhus-fever, I shall reserve
consideration of its prevalence in Ireland on the great scale, as well as
of the annual mortality from it in the London bills of the 17th century,
until that section of the work in which fevers and the maladies akin to
them come into the first rank as if in lieu of the plague.

       *       *       *       *       *

NOTE. A sweating character in the “hot agues” or fevers of the Elizabethan
period, in those of 1580-82 as well as in those of 1557-58, is asserted in
several passages in the text. It is noteworthy that in _Measure for
Measure_, one of Shakespeare’s early comedies, the bawd says: “Thus, what
with the war, what with the sweat, what with the gallows, and what with
poverty, I am custom-shrunk” (Act I. Scene 2).




CHAPTER VIII.

THE FRENCH POX.


One great epidemic disease of the first Tudor reigns, which brought
consternation and distress to multitudes, makes hardly any appearance in
the English records of the time, and no appearance at all in the writings
of the English profession. Long after, in 1576, William Clowes, surgeon to
St Bartholomew’s Hospital, first broke the professional silence about
_lues venerea_ in England, and in his larger work of 1579 he gave a number
of startling facts and figures of its then prevalence in London. But the
great epidemic outburst of that disease in Europe began in the last years
of the 15th century; its ravages on the epidemic scale are supposed to
have lasted for twenty or thirty years from 1494; and its subsequent
prevalence is assumed, not without reason, to have been of a milder type
and within narrower limits. We hear of it, in England, from the political
side, at the time when popular arguments were wanted against the Romish
mass-priests and against the monasteries and the orders of friars. In the
practical reasoning of Englishmen the scandalous lives of priests, monks
and friars made the strongest argument for the policy which the king had
adopted towards Rome; and it so happened in those very years that a
scandalous life was betrayed, and made odious in more than sentiment, by
bearing an outward and visible sign. The epidemic of _morbus Gallicus_
arose at an unfortunate time for the pretensions of Rome, or, perhaps, it
was itself part of the march of events. In Simon Fish’s _Supplication of
Beggars_, which was compiled in 1524 and was read to Henry VIII. shortly
after, the weightiest plea is the charge of scandalous conduct resting
upon the priests. In the inquisitions which preceded the suppression of
the monasteries, the same plea is, justly or unjustly, brought to the
front in the case of one abbey after another. So close did the association
of a scandalous vice and its attendant disease become with the priesthood
that James I., writing long after concerning the sentiments of his mother,
Mary the queen of Scots, represents her as forbidding the archbishop “to
use the spittle” in his own baptism, for the reason that she would not
have “a pokie priest to spet in her child’s mouth[826].” These, says king
James, were “her owne very words;” at all events, “a pocky priest” may be
accepted as a phrase of the time. The fact that the epidemic of syphilis
in England was used to discredit Romish priests is one of the few
indications that we have of its existence in this country. Wide and deep
as the commotion must have been which it caused, it found hardly any more
permanent expression than the private talk of the men of those days. It
was otherwise on the Continent. There, indeed, a copious literature sprang
up, of which some thirty works remain, from the essay of Conrad Schellig
of Heidelberg, printed without date or place, but ascribed to the year
1494 or 1495, down to the elaborate survey of the disease by Nicolas Massa
of Venice in 1532. The single work extant in England from that, the
earliest and greatest, period of the disease, is a poor piece of
manuscript in the Sloane collection, translated from some foreign author,
and entitled, “The tretese of the pokkis: and the cure by the nobull
counsell of parris[827].” One of its cases is that of a man, aged forty,
with two broad and deep, corroding and painful sores on his leg; another
is of a bishop of Toledo, who had “pustules” and nocturnal pains “as if
the bones would part from the flesh.” The vague meaning of the term pox is
shown in one phrase, “paynes, viz. aches and pokkis.”

It was nothing unusual abroad to give cases, and to authenticate them with
the names of the sufferers. Thus Peter Pinctor, physician to the pope
Alexander Borgia, in a notorious but exceedingly scarce work published in
1500, enters fully into the truly piteous case of the cardinal bishop of
Segovia, major-domo of the Vatican, “qui hunc morbum patiebatur cum
terribilibus et fortissimis doloribus, qui die ac nocte, praecipue in
lecto, quiescere nec dormire poterat,” as well as into the case of Peter
Borgia, the pope’s nephew, “in quo virulentia materiae pustularum capitis
corrosionem in pellicaneo [pericranio] et in craneo capitis sui manifeste
fecit[828].”

Contrasted with the copious writing and recording of cases abroad, the
English silence is remarkable. The origin of our first printed book on the
subject is characteristic. A literary hack of the time, one Paynel, a
canon of Merton Abbey, had translated, among other things, the _Regimen
Salernitanum_, a popular guide to health several hundred years old. Going
one day into the city to see the printer about a new edition, he was asked
by the latter to translate the essay on the cure of the French pox by
means of guaiacum (or the West-Indian wood) “written by that great clerke
of Almayne, Ulrich Hütten, knyght.” For, said the printer, “almost into
every part of this realme this most foul and peynfull disease is crept,
and many soore infected therewith.” Ulrich von Hütten’s personal
experience of the guaiacum cure was accordingly translated from the Latin,
in 1533, and proved a good venture for the printer, several editions
having been called for[829]. The translation has no notes, and throws no
light on English experience. It is not until 1579, when Clowes published
his essay on the morbus Gallicus, that we obtain any light from the
faculty upon the prevalence of the malady in England. Meanwhile it remains
for us to collect what scraps of evidence may exist, in one place or
another, of this country’s share in the original epidemic invasion during
the last years of the 15th century.


Earliest Notices of the French Pox in Scotland and England.

The first authentic news of it comes from the Council Register of the
borough of Aberdeen under the date 21st April, 1497[830]:--

    “The said day, it was statut and ordanit be the alderman and consale
    for the eschevin of the infirmitey cumm out of Franche and strang
    partis, that all licht weman be chargit and ordaint to decist fra thar
    vicis and syne of venerie, and all thair buthis and houssis skalit,
    and thai to pas and wirk for thar sustentacioun, under the payne of
    ane key of het yrne one thar chekis, and banysene of the towne.”

The next news of it is also from Scotland, from the minutes of the town
council of Edinburgh, wherein is entered a proclamation of James IV.,
dated 22 September, 1497[831]:--

    “It is our Soverane Lords Will and the Command of the Lordis of his
    Counsale send to the Provest and Baillies within this bur{t} that this
    Proclamation followand be put till execution for the eschewing of the
    greit appearand danger of the Infection of his Leiges fra this
    contagious sickness callit the _Grandgor_ and the greit uther Skayth
    that may occur to his Leiges and Inhabitans within this bur{t}; that
    is to say, we charge straitly and commands be the Authority above
    writtin, that all manner of personis being within the freedom of this
    bur{t} quilks are infectit, or hes been infectit, uncurit, with this
    said contagious plage callit the _Grandgor_, devoyd, red and pass
    fur{t} of this Town, and compeir upon the sandis of Leith at ten hours
    before none, and their sall thai have and fynd Botis reddie in the
    havin ordanit to them be the Officeris of this bur{t}, reddely
    furneist with victuals, to have thame to the _Inche_ [the island of
    Inch Keith in the Firth of Forth], and thair to remane quhill God
    proviyd for thair Health: And that all uther personis the quilks taks
    upon thame to hale the said contagious infirmitie and taks the cure
    thairof, that they devoyd and pass with thame, sua that nane of thair
    personis quhilks taks sic cure upon thame use the samyn cure within
    this bur{t} in pns nor peirt any manner of way. And wha sa be is
    foundin infectit and not passand to the _Inche_, as said is, be
    _Mononday_ at the Sone ganging to, and in lykways the said personis
    that takis the sd Cure of sanitie upon thame gif they will use the
    samyn, thai and ilk ane of thame salle be brynt on the cheik with the
    marking Irne that thai may be kennit in tym to cum, and thairafter gif
    any of tham remains, that thai sall be banist but favors[832].”

Sir James Simpson, with his indefatigable research over antiquarian
points[833], has brought together evidence of payments from the king’s
purse to persons infected with the “Grantgore” at Dalry, Ayrshire, in
September, 1497, at Linlithgow on 2nd October, 1497, at Stirling on the
21st February, 1498 (“at the tounne end of Strivelin to the seke folk in
the grantgore”), at Glasgow (also “at the tounn end”) on 22nd February,
1498, and again at Linlithgow, 11th April, 1498. He quotes also from a
poem of William Dunbar, written soon after 1500, on the conduct of the
Queen’s men on Fastern’s e’en, the terms “pockis” and “Spanyie pockis.”
From Sir David Lyndsay’s poems, of much later date, and from other
references, he makes out that “grandgore” or “glengore” was the usual name
in Scotland down to the 17th century. Grandgore means _à la grande gorre_,
which is the same as _à la grande mode_. This name was given for a time in
France to the great disease of the day, but it was soon superseded by
_vérole_. Scotland is the only country where “grandgore” became
established as the common name of the pox.

Before leaving the Scots evidence, two other ordinances may be quoted
from the town council records of Aberdeen. In a long list of regulations
under date the 8th October, 1507, there occur these two[834]:--

    “Item, that diligent inquisitioun be takin of all infect personis with
    this strange seiknes of Nappillis, for the sauetie of the town; and
    the personis beand infectit therwith be chargit to keip thame in ther
    howssis and uther places, fra the haile folkis.”

    “Item, that nayne infectit folkis with the seiknes of Napillis be
    haldin at the common fleschouss, or with the fleschouris, baxteris,
    brousteris, ladinaris, for sauete of the toun, and the personis
    infectit sall keip thame quyat in thar housis, zhardis, or uther comat
    placis, quhill thai be haill for the infectioun of the nichtbouris.”

“Sickness of Naples” is a reference to the well-known diffusion of the
disease all over Europe by the mercenaries of Charles VIII. of France,
dispersing after the Italian war and the occupation of Naples.

For England the first known mention of the pox is several years later than
the Scots references, although that proves nothing as to its actual
beginning in epidemic form. In the book of the Privy Purse Expenses of
Elizabeth of York, queen of Henry VII., there is an entry under the date
of March 15, 1503, of a sum of forty shillings paid on behalf of John
Pertriche “oon of the sonnes of mad Beale;” which sum appears to have been
what the youth cost her majesty for board, clothes, education, and
incidental expenses, during the year past. The various items making up the
sum of forty shillings are: his diets “for a year ending Christmas last
past,” a cloth gown, a fustian coat, shirts, shoes and hose, “item, for
his learning, 20_d._ item for a prymer and saulter 20_d._ And payed to a
surgeon which heled him of the Frenche pox 20_s._ Sm̅{a.} 40_s._” It will
be observed that the surgeon’s bill was as much as all his other expenses
for the year together[835].

The London chronicler of the time is alderman Robert Fabyan; but although
Fabyan, writing in the first years of the 16th century, uses the word
“pockys” to designate an illness of Edward IV. during a military
excursion to the Scots Marches in 1463, or long before the epidemic
invasion from the south of Europe, he says nothing of that great event
itself. There is a record, however, of one significant measure taken in
the year 1506, the suppression of the stews on the Bankside in Southwark.
These resorts were of ancient date, and for long paid toll to the bishop
of Winchester. In 1506 there were eighteen of them in a row along the
Surrey side of the river, a little above London Bridge; they were wooden
erections, each with a stair down to the water, and each with its river
front painted with a sign like a tavern, such as the Boar’s Head, the
Cross Keys, the Gun, the Castle, the Crane, the Cardinal’s Hat, the Bell,
the Swan, etc. These houses, says Stow, were inhibited in the year 1506,
and the doors closed up; but it was not long ere they were set open again,
the number being at the same time restricted to twelve[836]. They had been
suppressed once before, at the earnest demand of the citizens, in the
reign of Henry IV., and it appears from a sermon of Latimer’s that they
were again suppressed about the year 1546. Thus Shakespeare had several
precedents in London for the situation which he creates in a foreign city,
in _Measure for Measure_.

The next reference that I find to it is an oblique one, by Bernard André
in his _Annals of Henry VII._ On the occasion of mentioning the sweating
sickness of 1508, he says the latter disease occurred first in England
about four-and-twenty years before, and that it was “followed by a far
more detestable malady, to be abhorred as much as leprosy, a wasting pox
which still vexes many eminent men” (“multos adhuc vexat egregios alioquin
viros tabifica lues[837]”). Bernard André’s association of the pox with
the sweating sickness, as of one new disease following another, is in the
same manner as the reference to it by Erasmus. In a letter from Basle, in
August, 1525, to Schiedlowitz, chancellor of Poland, he discourses upon
the sickliness of seasons and the mutations of diseases[838]: Until
thirty years ago England was unacquainted with the sweat, nor did that
malady go beyond the bounds of the island. In their own experience they
had seen mutations:--“nunc pestilentiae, nunc anginae, nunc tusses; sed
morbum morbus, velut ansam ansa trahit; nec facilé cedunt ubi semel
incubuere.” He then proceeds:

    “But if one were to seek among the diseases of the body for that which
    ought to be awarded the first place, it seems to my judgment that it
    is due to that evil, of uncertain origin, which has now been for so
    many years raging with impunity in all countries of the world, but has
    not yet found a definite name. Most persons call it the French pox
    (_Poscas Galleas_), some the Spanish. What sickness has ever traversed
    every part of Europe, Africa and Asia with equal speed? What clings
    more tenaciously, what repels more vigorously the art and care of
    physicians? What passes more easily by contagion to another? What
    brings more cruel tortures? Vitiligo and lichens are deformities of
    the skin, but they are curable. This lues, however, is a foul, cruel,
    contagious disease, dangerous to life, apt to remain in the system and
    to break out anew not otherwise than the gout.”

Whether it was from some mistaken theory of contagiousness or for other
reasons, a fellow of Merton was ordered to leave in 1511 because he had
the French pox[839]. In the English history nothing appears above the
surface until the beginning of the movement against the papal supremacy
and in favour of Reformation. That was a time of public accusations of all
kinds, and among the rest of opprobrious references to the pox. In Simon
Fish’s _Supplication of Beggars_[840], which was written in 1524, certain
priests are thus hyperbolically spoken of:

    “These be they that have made an hundred thousande ydel hores in your
    realme, which wold have gotten theyr lyvinge honestly in the swete of
    their faces had not there superfluous riches illected them to uncleane
    lust and ydelnesse. These be they that corrupte the hole generation of
    mankynd in your realme, that catch the pockes of one woman and beare
    it to another, ye some one of them will boste amonge his felowes that
    he hath medled with an hundreth wymen.”

In the year 1529, there is a more painful and most undignified charge. In
the Articles of Arraignment of Wolsey in the House of Peers, the sixth
charge is:

    “The same Lord Cardinall, knowing himself to have the foul and
    contagious disease of the great pox, broken out upon him in divers
    places of his body, came daily to your Grace [the King], rowning in
    your ear, and blowing upon your most noble Grace with his perilous and
    infective breath, to the marvellous danger of your Highness, if God of
    his infinite goodness had not better provided for your Highness. And
    when he was once healed of them, he made your Grace believe that his
    disease was an impostume in his head, and of none other thing[841].”

Among the glimpses of contemporary manners in Bullein’s _Dialogue of the
Fever Pestilence_ (1564), there is one referring to the pox; Roger, the
groom, soliloquizes thus: “her first husband was prentice with James
Elles, and of him learned to play at the short-knife and the horn thimble.
But these dog-tricks will bring one to the poxe, the gallows, or to the
devil[842].” Bullein, in his more systematic handbook to health, promises
to treat of the pox fully, but omits to do so. In one place he refers to
the wounds of a young man who fell into a deep coal-pit at Newcastle as
having been healed “by an auncient practisour called Mighel, a Frencheman,
whiche also is cunnynge to helpe his owne countrey disease that now is to
commonly knowen here in England, the more to be lamented: But yet dayly
increased, whereof I entinde to speake in the place of the Poxe.” But the
only other reference is (in the section on the “Use of Sicke Men and
Medicine,”) to certain drugs “which have vertue to cleanse scabbes, iche,
pox. I saie the pox, as by experience we se there is no better remedy than
sweatyng and the drinkyng of guaiacum,” etc[843].

A good instance of the oblique mode of reference to the malady occurs in
another dialogue by a surgeon, Thomas Gale[844]. The pupil who is being
instructed tables the subject of “the morbus,” which he farther speaks of
as “a great scabbe;” whereupon Gale pointedly takes him to task for the
affectation of “the morbus;” any disease, he says, is the morbus; what you
mean is the morbus Gallicus.

About the same date, 1563, a casual reference is made to the wide
prevalence of the pox by John Jones in his _Dyall of Agues_. In
illustration of the fact that various countries originate different forms
of pestilence, as the Egyptians the leprosy, the Attics the joint-ache,
the Arabians swellings of the throat and flanks, and the English the
sweating sickness, he instances farther, “the Neapolitans, or rather the
besiegers of Naples, with the pockes, spread hence to far abroad through
all the parts of Europe, no kingdom that I have been in free--the more
pity[845].”


English Writings on the Pox in the 16th Century.

The first original English writer on the pox was William Clowes. In his
treatise[846] of 1579, dedicated to the Society of the Barbers and
Chirurgions, he says that he had been bold “three years since to offer
unto you a very small and imperfect treatise of mine touching the cure of
the disease called in Latine _Morbus Gallicus_, the which, forasmuch as it
was at that time rather wrested from me by the importunitye of some of my
frendes, upon certain occasions then moving, than willingly of my selfe
published, it passed out of my handes so sodeinly and with so small
overlooking or correction,” that he now in 1579 reissues it in a revised
and corrected form.

    “The Morbus Gallicus or Morbus Neapolitanus, but more properly Lues
    Venera, that is the pestilent infection of filthy lust, and termed for
    the most part in English the French Pocks, a sicknes very lothsome,
    odious, troublesome and daungerous, which spreadeth itself throughout
    all England and overfloweth as I thinke the whole world.” He then
    characterises the vice “that is the original cause of this infection,
    that breedeth it, that nurseth it, that disperseth it.” In the cure
    of the malady he has had some reasonable experience, and no small
    practice for many years. According to the following passage, St
    Bartholomew’s Hospital, to which Clowes was surgeon, was three parts
    occupied by patients suffering from this malady:--

    “It is wonderfull to consider how huge multitudes there be of such as
    be infected with it, and that dayly increase, to the great daunger of
    the common wealth, and the stayne of the whole nation: the cause
    whereof I see none so great as the licentious and beastly disorder of
    a great number of rogues and vagabondes: The filthye lyfe of many lewd
    and idell persons, both men and women, about the citye of London, and
    the great number of lewd alehouses, which are the very nests and
    harbourers of such filthy creatures; By meanes of which disordered
    persons some other of better disposition are many tymes infected, and
    many more lyke to be, except there be some speedy remedy provided for
    the same. I may speake boldely, because I speake truely: and yet I
    speake it with very griefe of hart. In the Hospitall of Saint
    Bartholomew in London, there hath bene cured of this disease by me,
    and three (3) others, within this fyve yeares, to the number of one
    thousand and more. I speake nothing of Saint Thomas Hospital and other
    howses about this Citye, wherein an infinite multitude are dayly in
    cure.... For it hapneth in the house of Saint Bartholomew very seldome
    but that among every twentye diseased persons that are taken in,
    fiftene of them have the pocks.” Like the earlier writers on the
    Continent he recognizes that the disease is communicated in more ways
    than one; he speaks of “good poor people that be infected by unwary
    eating or drinking or keeping company with those lewd beasts, and
    which either for shame will not bewray it, or for lack of good
    chirurgions know not how to remedy it, or for lack of ability are not
    able otherwise to provide for the cure of it.”

In so far as Clowes follows his own experience, he is under no illusion as
to the nature and circumstances of the French pox. But he goes on to
append a pathology of the disease, which is taken from foreign writers and
reflects the bewilderment of the faculty over the constitutional effects
of the malady. As Erasmus said, in the letter quoted, it went all through
the body, “not otherwise than the gout.” When it was first observed, it
appeared to be constitutional from the outset. More particularly it
covered the skin with “pustules” or “whelks” as if it had been a primary
eruption like variola, to which it was compared; hence the names “great
pox” and “small pox.” It was not until long after that our present
pathology of primary, secondary and tertiary effects was worked out; in
the earliest writings the constitutional effects were referred to an
“inward cause,” as Clowes says, to some idiopathic corruption of the
humours having the liver for their place of elaboration, or _minera
morbi_. Thus the learned explanation of the malady, which Clowes adopts
from foreign writers more skilled than himself in such disquisitions, has
no organic unity with his own common-sense observations. In his _Proved
Practice_ he defers still farther to the academical view, as given in the
treatise of John Almenar, a Spanish physician[847].

Although Clowes, in 1579, testifies to the very wide prevalence of the
disease, to so great an extent, indeed, that it occupied the hospitals
more than all other diseases put together, yet there is reason to think
that it had by that time lost the terrible severity of its original
epidemic type. The usual statement is that the disease abated both in
extent and in intensity within twenty or thirty years of the Italian
outbreak among the soldiery in 1494-96. A contemporary and ally of Clowes,
John Read, of Gloucester, published in 1588 a volume of translations, from
the Latin manuscript of the English surgeon of the 14th century, John
Ardern, on the cure of fistulas, and from the treatise on wounds, etc. by
the Spanish surgeon Arcaeus (Antwerp, 1574)[848]. In the latter he finds
the following passage, which seems to describe the _morbus Gallicus_ on
its first appearance:--

    “The French disease did bring with it a kind of universal skabbe,
    oftentimes with ring wormes, with the foulness of all the body called
    vitiligo and alopecia, running sores in the head called acores, and
    werts of both sortes, and many times with flegmatic or melancholic
    swellings or ulcers corrosive, filthie and cancrouse, and also running
    over the body, together with putrifying of the bone, and many times
    also accompanied with all kind of grief, with fevers, consumptions,
    and with many other differences of diseases.”

Read’s own remarks draw an explicit contrast between the disease on its
first appearance and in his own later experience. Everyone knows now, he
says, how to treat the French pox, “the disease daylie dying and wearing
away by the exquisite cure thereof”--which may be taken to mean, at least,
a notable mitigation of the constitutional effects[849]. The treatment,
however, must have been much less effective then than now. Clowes speaks
of a class who “either for shame will not bewray it, or for lack of good
chirurgions know not how to remedy it, or for lack of ability are not able
otherwise to provide for the cure of it.” The expense of a cure would have
been considerable, to judge by the case given above from an account-book
of the year 1503. Unable to employ “good chirurgions,” the poorer class
would resort to quacks, of whose practice, in that and other diseases, we
have some glimpses both from Clowes in London and from Read in Gloucester
and Bristol. Of one irregular practitioner Clowes says, “He did compound
for fifteen pound to rid him within three fits of his ague, and to make
him as whole as a fish of all diseases.” There was still a lower order of
empirics, whom Clowes disdained to contend with:

    “Yet I do not mean to speak of the old woman at Newington, beyond St
    George’s Fields, unto whom the people do resort as unto an oracle;
    neither will I speak of the woman on the Bankside, who is as cunning
    as the horse at the Cross Keys; nor yet of the cunning woman in
    Seacole Lane, who hath more skill in her cole-basket than judgment in
    urine, or knowledge in physic or surgery”--nor of many others who are
    compared to “moths in clothes,” to “canker,” and to “rust in iron.”

Read gives an account of a travelling mountebank, which is too graphic to
be omitted:

    “In this year, 1587, there came a Fleming into the city of Glocester
    named Woolfgange Frolicke, and there hanging forth his pictures, his
    flags, his instruments, and his letters of mart with long lybells,
    great tossells, broad scales closed in boxes, with such counterfeit
    shows and knacks of knavery, cozening the people of their money,
    without either learning or knowledge. And yet for money got him a
    licence to practise at Bristow. But when he came to Gloceter, and
    being called before some being in authority by myself and others, he
    was not able to answer to any one point in chirurgerie; which being
    perceived, and the man known, the matter was excused by way of
    charity, to be good to straungers.”

One of the most systematic and detailed surgical treatises of the time,
John Banister’s book on the “general and particular curation of ulcers”
(1575), is significant for the indirect way in which it refers to the lues
venerea.

    Thus at folio 25, “the malignant ulcer called cacoethes” is described
    without anything said of a venereal origin, but the specific guaiacum
    is given among the remedies. The same is the ease on the 31st and 32nd
    leaves, which treat of “filthie and putrefied ulcers,” guaiacum being
    again prescribed. At folio 51, on ulcers of the mouth, it is said, “If
    it proceed a morbo venereo, then first begin with due purgation, and
    prescribe the party a thin diet with the decoction of guaiacum, and
    use ointments requisite for that disease, strengthening the inner
    parts. Use twice a day a sublimated water, as is afore written, to
    touch the ulcer with lint rolled therein:

        Rec. Aqua Rosar.} an. two
              & Plantag.} ounces,
             Sublimati i dragme.

    Boil them in a glass bottel till the sublimate be dissolved.”

    On fol. 57, he describes “ulcers of the privie parts,” among which are
    corroding ulcers, but without reference to the lues. It is in the
    section headed, “To prepare the humours” (fol. 61) that the most
    explicit reference occurs: “When the ulcers proceed through the French
    pockes, a thinne diet must be used, with the decoction of guaiacum or
    use universall unctions ex Hydrargyro[850].”

In 1596 there appeared Peter Lowe’s essay on _The Spanish Sickness_[851],
which is purely a product of experience abroad, his own or of others, and
is mainly doctrinal or theoretical. The other properly English works on
the subject are all subsequent to the Restoration, and do not come into
the period of this volume, nor, from an epidemiological point of view,
into this work at all.

The evidence as to the wide prevalence of the pox in high and low becomes
abundant in the writings and memorials of the reign of James I. The
effects of the disease, as they would have been commonly remarked at this
period, are summed up in a well-known passage in _Timon of Athens_. It
would serve no purpose to collect the numerous references from Puritan
sermons, moral and descriptive essays, plays, and letters of the time. An
anonymous work of the year 1652 actually couples “the plague and the pox,”
and shows “how to cure those which are infected with either of them[852].”
One more piece of evidence may be given for London in the year 1662, or
the beginning of the Restoration period,--a date which brings us down a
century and a half from the epidemic invasion with which we are more
immediately concerned; but the information for 1662 will serve to show how
the existence of the disease was still viewed _sub rosa_, and it may help
one to realize what its prevalence and its serious effects on the public
health must have been continuously in the generations before, and most of
all in the generation which experienced the full force of it as an
epidemic[853].

The London bills of mortality, setting forth the several causes of death,
were first printed in 1629. The entry of the French pox is in them from
the beginning, and the annual total of deaths set down to it is
considerable, approaching a hundred in the year. But according to Graunt,
who made the bills of mortality the subject of a critical study in
1662[854], they were defective or incorrect in their returns of deaths due
to the pox:--

    “By the ordinary discourse of the world, it seems a great part of men
    have, at one time or other, had some species of this disease ...
    whereof many complained so fiercely, etc.” He then explains, with
    reference to the deaths entered as due to it in the bills of
    mortality: “All mentioned to die of the French pox were returned by
    the clerks of St Giles’ and St Martin’s in the Fields only, in which
    place I understand that most of the vilest and most miserable houses
    of uncleanness were; from whence I concluded that only _hated_
    persons, and such whose very noses were eaten off were reported by the
    searchers to have died of this too frequent malady”--the rest having
    been included under the head of consumption.


Origin of the Epidemic of 1494.

The French pox, as it was called in England (also the great pox and simply
the pox), or the Spanish pox, as it was called in France, or the sickness
of Naples, or the grandgore, is one of the epidemic diseases concerning
which it seems fitting to say something of the antecedents, in addition to
what has been said of its arrival as an epidemic in this country, and of
its prevalence therein. But this will have to be said very briefly, and
without entering upon the pathology or ultimate nature of the disease.

The numerous foreign writings upon it during the first years of its spread
over Europe are all singularly at a loss to account for its origin. One of
the earlier guesses was that it arose out of leprosy, as if a graft or
modification of that medieval disease, replacing it among the maladies of
the people. The occasion of that hypothesis seems to have been the lax
diagnosis of leprosy itself, a laxity which goes as far back as Bernard
Gordonio and Gilbert, if not farther back. Many things were called _lepra_
which were not elephantiasis Graecorum, and among those things the lues
venerea in the Middle Ages was undoubtedly included. At a time when true
leprosy was disappearing or had already disappeared from Europe, a new
form of disease, which came suddenly into universal notice although by no
means then first into existence, seemed to be the successor of leprosy,
evoked out of it, and even caught from the leprous by contagion. That is
the view of Manardus, in a passage quoted in the sequel,--that syphilis
began in certain most particular circumstances at Valencia, in Spain, the
source of all the subsequent contamination of Europe having been a certain
soldier of fortune who was _elephantiosus_ or leprous. In the infancy of a
science it is natural to assign to some such single and definite source a
new phenomenon which was really called forth by a concurrence of
causes[855].

Another guess of the same kind was the famous theory, which found a truly
learned defender in Astruc last century and has had supporters more
recently, that the lues venerea came from the New World with the returning
ships of Columbus. There never was any considerable body of facts,
consistent as regards times and places, in support of that theory; and, on
antecedent grounds, the objection to it was that it is as difficult, to
say the least, to conceive of the origin of such a disease among the
savages of Hispaniola as among the natives of Europe. “Here or nowhere is
America” is the proper retort to all such visionary theories put upon the
distant and the unknown. The American theory is now hopelessly dead; the
more that the New World became known, the less did syphilis appear to be
indigenous to it: indeed the disease followed the track of Europeans, and
those parts of the American continent, north and south of the Isthmus,
which were longest in being reached by the civilisation of the Old World,
were also longest in being reached by the lues venerea[856].

The name “sickness of Naples,” which occurs in the Aberdeen records as
early as 1507, indicates the common opinion of the laity as to the origin
and means of diffusion of the strange malady. In the passage above quoted
from Jones’s _Dyall of Agues_, it will be seen that he refers it to “the
besiegers of Naples.” The besiegers of Naples were the mercenaries of
Charles VIII. occupying it in the beginning of the year 1495, although
there was no real siege. The new disease was at the time, rightly or
wrongly, traced to them while they occupied Italy, and its diffusion over
Europe was justly traced to their dispersion to their several countries at
the end of the campaign. There is medical testimony that the malady
appeared in 1495 among the Venetian and Milanese troops which were banded
against Charles VIII. at the siege of Novara. Marcellus Cumanus, of
Venice, who was surgeon to the forces, thus speaks of the event, in
certain _Observationes de Lue Venerea_ which he wrote on the margin of
Argelata’s work on Surgery[857]:

    “In Italy, in the year 1495, owing to celestial influences, I have
    myself seen, and do testify that, while I was in the camp at Novara
    with the troops of the Lords of Venice and of the Lords of Milan, many
    knights and foot-soldiers suffered from an ebullition of the humours,
    producing many pustules in the face and through the whole body; which
    pustules commonly began under the prepuce or without the prepuce, like
    a grain of millet-seed, or upon the glans, attended by considerable
    itching. Sometimes a single pustule began like a small vesicle without
    pain, but with itching. Being broken by rubbing, they ulcerated like a
    corrosive _formica_, and a few days after, troubles began from pains
    in the arms, legs and feet, with great pustules. All the skilled
    physicians had difficulty in curing them.... Without medicines, the
    pustules upon the body lasted a year or more, like a leprous variola.”
    He then gives many other details of symptoms and treatment.

For the year after, 1496, two German writers, who were not surgeons but
occupied with affairs of state, Sebastian Brant (author of the _Ship of
Fools_) and Joseph Grünbeck, have described the disease, apparently in
connexion with the troops serving in Italy under Maximilian I. against the
invading army of Charles VIII. Thus, there is sufficient evidence that the
malady in its first two or three years of epidemic prevalence, was
associated with a state of war on Italian soil, in the persons of French
troops (and mercenaries of all nations), of Venetian and Milanese troops,
and of the German troops of the Emperor.

But the German writers are clear that the disease did not originate on
Italian soil, at the siege of Naples or elsewhere. Thus Brant in his poem
of 1496 assigns to it an origin in France, and a dispersion within a year
or two over all Europe[858]:

  “Pestiferum in Lygures transvexit Francia morbum,
   Quem _mala de Franzos_ Romula lingua vocat.
   Hic Latium atque Italos invasit, ab Alpibus extra
   Serpens, Germanos Istricolasque premit;
   Grassatur mediis jam Thracibus atque Bohemis
   Et morbi genus id Sarmata quisque timet.
   Nec satis extremo tutantur in orbe Britanni
   Quos refluum cingit succiduumque fretum.
   Quin etiam fama est, Aphros penetrasse Getasque
   Vigue sua utrumque depopulare polum.”

Grünbeck, who wrote briefly on the disease in 1496, returned to the
subject at much greater length in 1503, when he was secretary to the
Emperor Maximilian, his later treatise, _De Mentulagra, alias Morbo
Gallico_, being, indeed, among the best that the epidemic called forth.
Hensler doubts whether Grünbeck was himself in Italy, so as to observe the
ravages of the disease among the troops of the Emperor (including
Venetians and Milanese) at the sieges of Pisa and Leghorn in the summer of
1496, and among the opposing troops of Charles VIII. Be that as it may,
the following is from Grünbeck’s description[859]:

    “O! quid unquam terribilius et abominabilius humanis sensibus
    occurrit! Difficile est dictu, creditu fere impossibile, quanta
    foeditatis, putredinis et sordium colluvione, quantisque dolorum
    anxietatibus nonnullorum militum corpora involuerit. Aliqui etiam a
    vertice ad usque genua quodam horrido, squalido, continuo, foedo et
    nigro _scabiei_ genere, nulla parte faciei, (solis oculis exemtis),
    nec colli, cervicis, pectoris vel pubis immuni relicta, percussi, ita
    sordidi abominabilesque effecti sunt, qui ab omnibus commilitonibus
    derelicti, ac etiam in plano et nudo campo sub dio emarescentes, nihil
    magis quam _mortem_ expetiverunt.... At his omnibus nihil vel parum
    proficientibus, et morbo ipso non contento hoc hominum numero, ut eos
    solos tantis passionum cruciatibus afficeret, venenum contagiosum in
    multos spectantes Italos, Teutones, Helveticos, Vindelicos, Rhaetos,
    Noricos, Batavos, Morinos, Anglicos, Hispanos, et alios quos belli
    occasio in copias conscripserat, transfudit.... Interea temporis, per
    clandestinam Gallorum abitionem, exercitus fuerunt
    dissoluti,”--Grünbeck himself proceeding with some merchants to
    Hungary and thence to Poland[860].

How came this terrible infection to be among the troops of all nations on
Italian soil in the years 1494, 1495 and 1496? Sebastian Brant clearly
states that the French brought it with them, and that it spread first over
Liguria. Grünbeck says that it was seen _primo super Insubriam_, or the
Milanese, on which it rested like a dense cloud, until it was scattered by
the winds over the whole of Liguria, and so found its way into the armies
in Italy. Beniveni, of Florence, who wrote in 1498, says that it came to
Italy from Spain, and from Italy was carried to France. Thus we have a
theory of a Spanish origin, of a French origin, and perhaps also of a
native Italian origin--all agreeing that Italy during the state of war
from 1494 to 1496 was the theatre of its first ravages on the great scale,
and the source from which the disease was brought to all the countries of
Europe by the returning soldiery.

The solution of the difficulty is to be looked for in the inquiries after
still earlier notices of the _lues venerea_. It is beyond the purpose of
this book to enter upon that large subject, farther than has already been
done with the object of proving the generic use of the medieval term
_lepra_. It is now accepted by competent students of medical history that
the same disease, with all varieties or modes of primary, secondary or
tertiary, existed in antiquity and in the Middle Ages, although
secondaries and tertiaries may not have been ascribed to their primary
source. But what specially concerns us here is the question whether the
malady was anywhere beginning to be more noticeable in the years
immediately preceding the great military explosion on Italian soil. On
that point there is some evidence from more than one source, that the
malady was sufficiently prevalent in the south of France to be a subject
of remark previous to the French expedition to Italy, that it had found
its way to the ports of Spain (Barcelona and Valencia), and that the
troops of Charles VIII., if not also that youthful monarch himself,
carried it across the Alps into Liguria, and so gave it that start on
Italian soil which the state of war for the next two years raised to the
power of a virulent and diffusive epidemic[861].

The best piece of evidence of its prevalence in Languedoc and its
spreading thence to the adjoining coast of Spain is found in a letter of
the 18th April, 1494 (four months before Charles VIII. entered Italy),
written by Nicolas Scyllatius just after arriving at Barcelona[862]. The
province of Narbonne, he says, a part of France adjoining Spain, now sent
forth another vice. Women felt it most; it infected neighbours by contact;
it has lately invaded Spain, hitherto untouched by it. “I was horrified,”
he continues, “on first landing at Barcelona; for I met with many of the
inhabitants who were seized by that contagion. On my inquiring of the
physicians (for with these I held converse during nearly all that
journey), they assured me that the new _lues_ had been derived from
truculent France.” In keeping with this entirely credible testimony is the
statement of Torella, a native of Valencia, who wrote one of the earlier
essays on the new disease (“De Pudendagra”) in November, 1497. The disease
first broke out, he says, in Auvergne in 1493 (incepit, ut aiunt, haec
maligna aegritudo anno 1493 in Alervnia), and so came in the way of
contagion to Spain and the Islands [to Sardinia, where he was bishop, and
to Corsica], and to Italy, creeping in the end over all Europe, and, if
one may so speak, over the whole globe[863].

Torella thus confirms the Barcelona traveller so far as regards
importations from the south of France to the neighbouring ports, the
former writer naming Auvergne as the endemic seat of the malady, whereas
the latter gives Narbonne. Another piece of evidence, that the pox was in
Valencia, as well as in Barcelona, before the expedition of Charles VIII.,
is found in a story told by Manardus of Ferrara (1500), a story which is
wholly improbable so far as concerns the origin of syphilis, at a stated
time and place, out of a case of leprosy, but is entirely credible so far
as regards the grossness of its circumstances:

    “Coepisse hunc morbum per id tempus, dicunt, quo Carolus, Francorum
    rex, expeditionem Italicam parabat: coepisse, autem, in Valentia,
    Hispaniae Taraconensis insigni civitate, a nobili quodam scorto, cujus
    noctem elephantiosus quidam, ex equestri ordine miles, quinquaginta
    aureis emit; et cum ad mulieris concubitum frequens juventus
    accurreret, intra paucos dies supra quadringentos infectos; e quorum
    numero nonnulli, Carolum Italiam petentem sequuti, praeter alia quae
    adhuc vigent importata mala et hoc addiderunt[864].”

The evidence that follows is not so explicit, but it has strong
probability. The progress of Charles VIII. from France to Italy in the
autumn of 1494 has been told by Philip de Comines in his _Cronique du Roy
Charles VIII._, first printed at Paris in 1528, nineteen years after the
author’s death. De Comines accompanied his master, the French king, as far
as Asti; he was then sent on a mission to Venice, and rejoined the king at
Florence. But De Comines, who was no gossip, omits one interesting fact
near the beginning of the journey to Italy, which has been preserved for
us in a contemporary work (1503) called _La Cronique Martiniane_, or
chronicle of all the popes down to Alexander Borgia lately deceased[865].
This chronicle relates as follows concerning Charles VIII.’s journey:--“Il
se arresta premierement aucuns jours a Lyon, doubteux s’il passeroit les
mons, car il y estoit detenu pour les delices et plaisances de la cité et
pour les folles amours de aucunes gorrieres lyonnoises. Mais quant l’air
devint pestilent, il s’en tyra à Vienne, citè de Daulphinè.” His great
army had already passed the Alps and arrived in the country of Asti: it is
said to have consisted, in round numbers, of 3600 men-at-arms, 6000
bowmen, 8000 pikemen, and 8000 with arquebuses, halberds, two-handed
swords, or other arms, together with a heavy artillery train of 8000
horses. A large part of this force were Swiss; another part were
Gascons[866].

Charles VIII. left Vienne on the 23rd of August, and crossed Mont Genèvre
on the 2nd September, whence he proceeded direct by Susa and Turin,
joining his army at Asti on September 9. At Asti, says De Comines, he had
an illness, which caused that minister to delay setting out on his mission
to Venice for a few days. The original printed text of De Comines’
_Chronique_ (Paris, 1528), says that the author remained at Asti a few
days longer “because the king was ill of the smallpox (_de la petite
verolle_) and in peril of death, for that the fever was mixed therewith;
but it lasted only six or seven days, and I set out upon my way.” The next
edition has no change but “in great peril of death” (_en grant peril de
mort_), instead of merely “in peril.” Now, where did this diagnosis of
_petite verolle_ come from? Nothing is said of smallpox being prevalent at
the time among the troops or along their route. The name _petite verolle_
itself did not exist in 1494; it came into existence with _grosse
verolle_, having being made necessary by the latter; and the first that we
hear of _grosse verolle_ is when the Italian campaign was over and the pox
was raging in Paris, the Parlement of Paris, on the 6th of March, 1497,
having made an ordinance against a certain contagious malady “nommée la
_grosse verole_,” which had been in the kingdom and in the city of Paris
since two years. Probably Comines deliberately wrote “_petite verolle_” in
his manuscript, having composed the latter subsequent to 1498, or at a
time when the terms _verolle_, or _grosse verolle_, and _petite verolle_,
were passing current and were known in their respective senses. The causes
or circumstances of the king’s malady at Asti are not enlarged upon by De
Comines, farther than that he makes a somewhat disjointed remark, that all
the Italian wines of that year were sour and that the season was hot,
which would have had as little to do with the one kind of pox as with the
other. Nor is anything said of smallpox spreading among those near the
king[867].

The whole sequence of events, from the “folles amours” of Lyons to the
sharp sickness at Asti, has suggested to historians, who have no medical
theory to advocate, that it was not really _petite vérole_ that the king
suffered from, but _grosse vérole_. Martin says that Charles VIII.
recommenced at Asti his Lyons follies and that he became violently sick,
“of the smallpox, says one, or, perhaps, of a new malady which began to
show itself in Europe,” meaning syphilis. To show that such infection was
already possible, he quotes an ordinance of the provost of Paris April 15,
1488, enjoining “the leprous” to leave the capital. This is very like
Edward III.’s order to the London “lepers” a century and a half earlier,
in which the reasons given (the frequenting of stews, the pollution of
their breath, &c.) point somewhat clearly to the nature of their
“leprosy.” An order for the banishment of “lepers” from Paris in 1488 must
have been occasioned by some unusual risk of contamination, just as the
London order of 1346 would have been. It is in that sense that the French
historian regards it; the ordinance, he says, “concernait probablement
déjà les syphilitiques confondus avec les lépreux[868].”

De Comines, who is the authority for the diagnosis of smallpox, had
inserted the word _petite_ before _verolle_ for reasons best known to
himself. I shall show in the next chapter, upon smallpox and measles in
England, that the ambiguous teaching of the faculty as to the nature and
affinities of the pox proper within the first years of its epidemic
appearance gave a ready opportunity of calling the _grosse vérole_ by the
name of _petite vérole_ in circumstances where it was polite, or prudent,
or convenient so to do. The only importance of a correct diagnosis of the
king’s malady is that the case of one would have been the case of many.

The indications all point to a somewhat unusual prevalence of _lues
venerea_ previous to the autumn of 1494, in the luxurious provinces of
southern France as well as in the capital. Beyond doubt, the malady had
already spread by contagion to the great Spanish ports nearest the Gulf of
Lyons. The expedition of Charles VIII. passed through that region on its
route over the Alps. According to Sebastian Brant, it was the French who
brought the disease into Liguria, and, according to Grünbeck, it issued,
_Gallico tractu, ab occidentali sinu_, gathered like a dense cloud _super
Insubriam_ (the Milanese), and was thence dispersed, as if by the winds,
over the whole province of Liguria.

But for the circumstances of the military expedition of 1494, and the
state of war in Italy for two years after, it is conceivable that the
unusual prevalence in France of a very ancient malady would have had
little interest for Europe at large, although the cities on the nearest
coast of Spain appear to have already shared the infection. That unusual
prevalence in the south of France has in it nothing of mystery; the period
was the end of the Middle Ages, distinguished by a revival of learning, of
trade and commerce,--a revival of most things except morals. But, assuming
that there was such unusual prevalence above the ancient and medieval
level, it may still seem unaccountable that a great European epidemic, of
a most disastrous and fatal type, should have been engendered therefrom.

There are, however, many parallel cases, on a minor scale from modern
times, of a peculiar severity of type, of inveteracy, and of
communicability by unusual ways, having been cultivated from commonplace
beginnings, among unsophisticated communities about the Baltic and
Adriatic, the people being without resident doctors and unfamiliar with
such a disease and its risks. These have been collected and analyzed by
Hirsch, whose conclusion is that “the mode of origin, and the character of
these endemics of syphilis, appear to me to furnish the key to an
understanding of the remarkable episode of the disease in the 15th
century,--an episode which entirely resembles them as regards its type,
and differs from them only as regards extent[869].”

Referring the reader for farther particulars to the work quoted, I shall
leave the antecedents of the epidemic of pox in the end of the 15th
century to be judged of according to the probabilities thus far stated.




CHAPTER IX.

SMALLPOX AND MEASLES.


With our modern habit of seeking out the matter of fact, of going back to
the reality and of reconstructing the theory, it is not easy for us to
understand how completely the medieval world of medicine was enslaved to
authority and tradition even in matters that were directly under their
eyes. It was thought a great thing that Linacre, of Oxford, in the first
years of the 16th century, and Caius, of Cambridge, some fifty years
later, should have gone back to Galen for their authority, passing over
the Arabians who had been the interpreters of classical medicine all
through the Middle Ages. Their editions of forgotten medical works of the
Graeco-Roman school were a step forward in scholarship, and they opened
the way to the first-hand observations of disease which really began some
hundred years after with the writings of Willis, Sydenham and Morton. But
smallpox and measles were not Galenist themes, they were peculiarly
Arabian; and the very moderate share that England took in the medical
Revival of Learning made no difference to the paragraphs or chapters on
those diseases that were circulating in the medieval compends. While the
Arabian or Arabistic writers of Spain, of Salerno, and of Montpellier were
the depositaries and interpreters of the Galenic teaching, they were also
the first-hand authorities upon some matters of specially Arabian
experience, of which smallpox and measles were the chief. Whatever was
said of those two epidemic maladies abroad, in the systematic works of
Gordonio and Gilbert, and in the later compilation of Gaddesden in
England, was not only of Arabian origin, but it was all that was known of
them. Rhazes, the original Arabic writer on smallpox and measles about the
beginning of the 11th century, supplied both the doctrine and the
experience. His observations and reasonings, altered or added to by his
later countrymen, passed bodily into the medical text-books of all Europe.
The interest in the treatise of Rhazes was so great that it was printed in
1766 by Channing, of Oxford, in Arabic with a Latin translation, and in an
English translation from the original by Greenhill, of Oxford, in 1847.

In the literature we took over smallpox from the Arabians; but had we no
native experiences of the disease itself, and, if so, when did it first
appear in this country? One can hardly attempt an answer to these
questions even now without stirring up prejudice and embittered memories.
It has been the fate of smallpox, as an epidemological subject, to be
invested with bigotry and intolerance. Whoever has maintained that it is
not as old as creation has been suspected in his motives; anyone who shows
himself inclined to put limits to its historical duration and its former
extent in Britain is clearly seeking to belittle the advantages that have
been derived during the present century from vaccination.

The wish to establish the antiquity of the smallpox in Europe has been as
strong as the wish to overthrow the antiquity of the great pox. While
undoubted traces of the latter in early times have been covered over with
the generic name of leprosy, the vaguest reference to “pustules” or spots
on the skin have been turned by verbalist ingenuity to mean devastating
epidemics of smallpox. I am here concerned only with Britain, and must
pass over the much-debated reference by Gregory of Tours to epidemics in
the 6th century, the period of the Justinian plague. But in England the
epidemic which stands nearest in our annals to the great plague of the 6th
century, the widespread infection described by Beda as having begun in 664
and as having continued in monasteries and elsewhere for years after, has
been claimed by Willan as an epidemic of smallpox[870]. Willan, with all
his erudition, was a dermatologist, and acted on the maxim that there is
nothing like leather. His contention in favour of smallpox has been
referred to in the first chapter, dealing with the plague described by
Beda, and need not farther concern us. It is not in England that we find
evidence of smallpox in those remote times but in Arabia.


Smallpox in the Arabic Annals.

For our purpose the evidence on the antiquity of smallpox in China and
India may be accepted, and for the rest left out of account. The Arabian
influence is nearer to us, and is the only one that practically concerns
us. Coming, then, to the history of smallpox in its prevalence nearest to
Europe, we find a definite statement of the disease appearing first among
the Abyssinian army of Abraha at the siege of Mecca in what was known as
the Elephant War of A.D. 569 or 571. The best of the Arabic historians,
Tabari[871], writes: “It has been told to us by Ibn Humaid, after Salima,
after Ibn Ischâg, to whom Ja‘gûb b. Otha b. Mughira b. Achnas related that
one had said to him, that in that year the smallpox appeared for the first
time in Arabia, and also the bitter herbs,--rue, colocynth [and another].”
The tradition is by word of mouth through several, after the Semitic
manner, but it need not on that account be set aside as worthless. So far
as concerns the bitter herbs, it is said to be against probability; but as
regards the new form of epidemic sickness, there is no such objection to
it.

The Arabic legend, as given by Tabari is as follows: “Thereupon came the
birds from the sea in flocks, every one with three stones, in the claws
two and in the beak one, and threw the stones upon them. Wherever one of
these stones struck, there arose an evil wound, and pustules all over. At
that time the smallpox first appeared, and the bitter trees. The stones
undid them wholly. Thereafter God sent a torrent which carried them away
and swept them into the sea. But Abraha and the remnant of his men fled:
he himself lost one member after another.” In a former passage, the
calamity of Abraha is thus given: “But Abraha was smitten with a heavy
stroke; as they brought him along in the retreat, his limbs fell off piece
by piece, and as often as a piece fell off, matter and blood came forth.”
To illustrate this account by Tabari, his recent editor, Nöldeke, cites
the following from an anti-Mohammedan poem: “Sixty thousand returned not
to their homes, nor did their sick continue in life after their return.”
One of the elephants which dared to enter the sacred region is said to
have been also wounded and afflicted by the smallpox.

In this narrative of Abraha’s disaster, says Nöldeke, there is a mixture
of natural causation and of purely fabulous miracle; a real and sufficient
account of the cause of the Abyssinian leader’s discomfiture, namely, an
outbreak of smallpox, had been blended with legendary tales. That the
disease was smallpox is made probable by the continuity of the Arabic
name; under the same name Rhazes, the earliest systematic writer,
describes the symptoms, pathology and treatment of what was unquestionably
the smallpox afterwards familiar in Western Europe. Why it should have
originated on Arabian soil in an invading army from Africa, is a question
that would require much knowledge, now beyond our reach, to answer
conclusively.


Theory of the nature of Smallpox.

The nature of the disease should, however, be borne in mind always in the
front of every speculation as to the origin of its contagious and epidemic
properties. It involves no speculative considerations to pronounce
smallpox a skin-disease, of the nature of lichen turned pustular. It is a
skin-disease first, and a contagious or epidemic malady afterwards; its
place among diseases of the skin is indeed fully acknowledged by
dermatologists. Apart from its contagiousness it conforms to the
characters of other cutaneous eruptions: its outbreak is preceded by
disturbed health, including fever; when the eruption comes out the fever
is so far relieved; and as in some other eruptions which are not
contagious the constitutional disturbance is in proportion to the area of
the skin involved. Even the peculiar scars or pits which it leaves behind
in skins of a certain texture or in the more vascular regions, such as the
face, are not unknown in non-contagious skin-diseases; nor does its other
peculiarity, the offensive odour of many pustules, seem unaccountable in a
skin-disease native to tropical countries.

Eruptions on the skin are in many cases the outcome of constitutional
ill-health; for example, the eczema of gout. Also where the whole body is
infected, as in syphilis, there are skin-eruptions, which may be pimples
(lichenous) or scales, or rashes, or, as in the first great outburst of
syphilis, “pustules” so general over the body that those who were casting
about for the nosological affinities of the new malady, saw no better
place for it than Avicenna’s group of _alhumata_, which included smallpox
and measles. That a skin-eruption of the nature of smallpox should have
come out as a constitutional manifestation, and that a number of persons
should have exhibited it together for the same internal reason, are both
credible suppositions, although necessarily unsupported by historic
evidence. Let us suppose that the Abyssinian army before Mecca endured
some ordinary discomfort of campaigning, that, in the uniformity of their
life, numbers together had fallen into the same constitutional ill-health
just as numbers together have often fallen into scurvy, and that an
eruption of the skin, proper to the tropics, was part of it. What we have
farther to suppose is that the constitutional eruption became catching
from the skin outwards, so to speak,--that it could be detached from its
antecedents in the body, and could exist as an autonomous thing, so that
it would break out upon those who had none of its underlying
constitutional conditions, but had been merely in contact with such as had
developed it constitutionally or from within. Such detachment of a
constitutional eruption from its primary conditions is little more than
constantly happens when a skin-disease like eczema, or acne, persists long
after its provocation, or the disordered health which called it forth, is
removed. The inveteracy or chronicity of some skin-diseases is itself a
form of autonomy, but a form of it which does not transcend the
individual, just as, among infections themselves, cancer does not
transcend the individual or propagate itself by contagion[872]. But there
exists a closer probable analogy for a secondary eruption becoming a
self-existent or independent infective disease. The instance in view is no
more than probable, and may easily be disputed by those who have
sufficient prepossessions the other way; but there is no theory that suits
so well the negro disease of yaws as that it is a somewhat peculiar
secondary of syphilis, which is now able to be communicated as an exanthem
detached from the primary lesions on which it had depended originally for
its existence.

All the evidence, historical and geographical, points to the several
varieties of the black skin (or yellow skin) as the native tissues of
smallpox. It is not without significance that a disease of the negroes
which was observed by English doctors not long ago in the mining districts
of South Africa led to a sharp controversy whether it was smallpox or not:
according to some, it was a constitutional eruption; according to others
it was a contagious infection. Such phenomena are not likely to be seen in
our latitudes; but the original smallpox itself was not a disease of the
temperate zone[873].

I shall not carry farther this line of remark as to the probable
circumstances in which a pustular eruption, among the Abyssinians before
Mecca, or among other Africans or other dark-skinned races in other places
and at other times, had become epidemically contagious in the familiar
way of smallpox. One has to learn by experience that there is at present
no hearing for such inquiries, because a certain dominant fashion in
medicine prefers to relegate all those origins to the remotest parts of
the earth and to the earliest ages (practically _ab aeterno_), and there
to leave them with a complacent sense that they have been so disposed of.
That is not the way in which the study of origins is carried out for all
other matters of human interest. Yet diseases are recent as compared with
the species of living things; some of them are recent even as compared
with civilized societies. Epidemical and constitutional maladies touch at
many points, and depend upon, the circumstances of time and locality, and
upon racial or national characters. Perhaps their origins will one day be
made a branch of historical or archaeological research.


European Smallpox in the Middle Ages.

The present extensive prevalence of smallpox among the Arabs may or may
not date from the Elephant War of A.D. 569. Its prevalence also in
Abyssinia, so widely in modern times that almost everyone bears the marks
of it, may have no continuous history from the return of Abraha’s
expedition. But the history of smallpox in the West comes to us through
the Saracens, and there can be no question that the disease is at the
present day peculiarly at home in all African countries, and most of all
in the upper basin of the Nile, where, as Pruner says, “it appears as the
one great sickness[874].” It is a remark of Freind, whose erudition and
judgment should carry weight, that “the Saracens first brought in this
distemper, and wherever their arms prevailed, this spread itself with the
same fury in Africa, in Europe, and through the greatest part of Asia, the
eastern part especially[875].” Our inquiry here does not extend beyond
England, so that the extremely disputable question of the amount and
frequency of smallpox in the European countries conquered or invaded by
the Saracens in the Middle Ages need not be raised[876].

So far as concerns England, smallpox was first brought to it, not by the
Saracen arms, but by Saracen pens. The earliest English treatise on
medicine, the _Rosa Anglica_ of Gaddesden, has the same chapter “De
Variolis [et Morbillis]” as all the other medieval compends--in substance
the same as in the earlier work of Gilbert, and in all the other Arabistic
writings earlier or later. The _Rosa Anglica_ was a success in its day,
partly, no doubt, by reason of its style being more boisterous than that
of Gilbert’s or Gordonio’s treatises, partly, also, on account of its
blunt indecency in certain passages. Guy de Chauliac, of Avignon, one of
the few original observers of the time, had heard of the _Rosa Anglica_,
and was curious to see it; but he found in it “only the fables of
Hispanus, of Gilbert, and of Theodoric,” and he rather unkindly fixed upon
it the epithet of “fatuous.” What de Chauliac had probably heard of was
Gaddesden’s occasional claims to originality; and these we shall now
examine so far as they concern smallpox.

One of Gaddesden’s variations from the stock remarks on smallpox is his
explanation of why the disease was called variola: it is called variola,
says he, because it occurs _in diverse parts of the skin_ (_quia in cute
diversas partes occupant_). This is an ingenious improvement upon Gilbert,
who says that it is called variola from the variety of colours (_et
dicitur variola a varietate coloris_)--sometimes red, sometimes white, or
yellow, or green, or violet, or black. Another remark attributed (by Häser
at least) to Gaddesden as original, is that a person may have smallpox
twice; but Gaddesden, in a later paragraph, shows where he got that from:
“And thus says Avicenna (_quarto_ Canonis), that sometimes a man has
smallpox twice--once properly, and a second time improperly.” The most
famous of Gaddesden’s originalities is his treatment by wrapping the
patient in red cloth; for that also Häser ascribes to him. But Peter the
Spaniard, the Hispanus of de Chauliac’s reference given above, is before
him with the red-cloth treatment also, while he is candid enough to quote
Gilbert: “Any cloth dyed in purple,” says Hispanus, “has the property of
attracting the matter to the outside.”

Gilbert’s reference is as follows: “Old women in the country give burnt
purple in the drink, for it has an occult property of curing smallpox. Let
a cloth be taken, dyed _de grano_.” Bernard Gordonio, also, says:
“Thereafter let the whole body be wrapped in red cloth.” There was
probably Arabic authority for that widely diffused prescription, as for
all the rest of the teaching about smallpox. But Gaddesden does improve
upon his predecessors in boldly appealing to his own favourable experience
of red cloth:--“Then let a red cloth be taken, and the variolous patient
be wrapped in it completely, as I did with the son of the most noble king
of England when he suffered those diseases (_istos morbos_); I made
everything about his bed red, and it is a good cure, and I cured him in
the end without marks of smallpox.”

With reference to this cure, it has to be said, in the first place, that
the object of the red cloth was to draw the matter to the surface[877],
and that it had nothing to do with the prevention of pitting. The means
to prevent pitting was usually to open the pustules with a golden needle;
that is the Arabian advice, and all the Arabists copy it. Gaddesden among
the rest copies it, but he does not say that he practised it on the king’s
son. If he had said so, we might have believed that the disease was
actually one bearing pustules which could be opened by a needle. What he
says, in the earliest printed text (Pavia, 1492) is that, while the king’s
son was “suffering from those diseases,” he caused him to be wrapped in
red cloth, and the bed to be hung with the same, and that he cured him
without the marks of smallpox. Gaddesden was not altogether an honest
practitioner; on the contrary he was an early specimen of the quack _in
excelsis_. According to the learned and judicious Dr Freind, “his
practice, I doubt, was not formed upon any extraordinary knowledge of his
faculty;” and again, “He was, as it appears from his own writings,
sagacious enough to see through the foibles of human nature; he could form
a good judgment how far mankind could be imposed upon; and never failed to
make his advantage of their credulity[878].” The opportunity of diagnosing
variola in the king’s son, and of curing it by red cloth, so as to leave
no pits, was one that such a person was not likely to let slip. “It is a
good cure,” he says; and we may go so far with him as to admit that it
must have been impressive to the royal household to have heard some sharp
sickness of the nursery called by the formidable name of variola, and to
have seen it cured “_sine vestigiis_.”


Measles in Medieval Writings.

In the writings of the Arabians and of their imitators, the so-called
Arabists, measles and smallpox are always taken together. The usual
distinction made between them is that _morbilli_, or measles, come from
the bile, whereas _variolae_, or smallpox, come from the blood, that the
former are small, and that they are less apt to attack the eyes. The
reference in Gaddesden is of the usual kind, but it is complicated by the
introduction of a third term, _punctilli_, which Gruner, however, takes to
be merely a synonym for _morbilli_. As Gaddesden’s passage is of some
importance for the history of the familiar name of the disease in England,
I shall translate it at length, so far as it can be made into sense:--

    “Variolae are so called, as if variously choosing the skin itself,
    because in the skin they occupy divers parts, by apostematising and
    infecting; they are caused by corruption of blood, and therein they
    differ from morbilli and punctilli.

    Morbilli are small apostemata in the skin generated of bile; and they
    are a diminutive of apostematous diseases because they occupy less
    space by reason of the sharpness of choleric matter. They are in fact
    variolae of choleric matter, and the smallest of pustules. But
    punctilli are infections commonly sanguineous, as if they had arisen
    from a fleabite, only they remain continually. And punctilli are of
    two kinds, large and small. Of the small I have already spoken [under
    the name of morbilli?]. But the large are broad, red and opaque
    infections in the legs of poor and wasting persons, (_pauperum et
    consumptuorum_), who sit as if continually at the fire without boots;
    and they are called in English _mesles_[879].”

The rest of Gaddesden’s chapter on smallpox and measles contains nothing
that is not to be found in Avicenna or in any medieval compend on
medicine. But the passage quoted is of interest as using the old word
“mesles” to mean one of the two forms of _morbilli_ or _punctilli_. We are
here enabled to see a little way into the confusion of mind which attended
the medievalists in their verbalist dealing with disease. The syntax of
Gaddesden’s sentence implies that the broad, red and opaque infections on
the legs of poor and wasted persons were called in English _mesles_. In
other writers, both before and after his date, the name of mesles or
mesels or meseals was given, not to a form of disease, but to a class of
sufferers from disease. It is the name applied to the inmates of
leper-houses by Matthew Paris (circa 1250)--_miselli_ and _misellae_,
being diminutives of _miser_[880]. It is the word used for the same class
in the Norman-French entries in the Rolls of Parliament in the reign of
Edward I. fixing the taxation of leper-houses: if the head of the house
was himself a _meseal_, the hospital was to pay nothing, but if the head
were a whole man, the hospital had to pay[881]. The same use of mesles, as
meaning the leprous, in the generic sense, occurs several times in the
14th century poem, ‘The Vision of Piers the Ploughman[882].’ Thus, Christ
in His ministrations,

            “Sought out the sick and sinful both,
  And salved sick and sinful, both blind and crooked;
  And comune women converted, and to good turned.
  Both meseles and mute, and in the menysoun bloody,
  Oft he heled such. He ne held it for no mystery,
  Save tho he leched Lazar that had ylain into grave.”

Or again:

  “Ac old men and hore that helpless ben of strength,
   And women with child that worche ne mowe,
   Blind and bedred and broken their members,
   That taketh their mischief mekely, as meseles and other.”

It is this old English word “mesles,” meaning the leprous in the generic
sense, that Gaddesden brings into his Latin text in connexion with
_morbilli_ (or _punctilli_). It is useless to look for precision in such a
writer; but if his introduction of “mesles” in the particular context mean
anything at all, it means that the English word represented a variety of
_morbilli_,--the large, broad and opaque variety. That it should have
occurred to him to bring these blotches or spots on the legs of poor
people even remotely into relation with the _morbilli_ of the Arabians,
probably means that Gaddesden had a merely verbal acquaintance with the
latter, or that he knew them only in books. It is certainly improbable
that anyone, even in the Middle Ages, who had ever seen a case of measles
should bracket that transitory and insubstantial mottling of the skin,
with the large, broad and “obscure” spots (or nodules, or what else) on
the legs of poor and wasted persons, which were called, in the vernacular,
mesles. But Gaddesden, though a verbalist and a plagiary, was a great name
in medicine, a name usually joined (as in Chaucer) with more solid
reputations than his own. If he identified “mesles” with a variety of
_morbilli_ (which variety no one but himself seems to have heard of), it
was an easy transition for the name in English usage to become what it now
is, measles meaning _morbilli_, in the correct and only real sense of the
latter[883].


History of the name “Pocks” in English.

Gaddesden’s case of _variola_ which he cured without pitting by means of
red cloth stands alone in English records until the 16th century; probably
he was as little able to diagnose variola as _morbilli_, and it is more
than probable that he would not have scrupled to call some infantile
malady by the book-name _variola_, on the principle of “omne ignotum pro
terribili,” when there was anything to be gained by so doing. There is no
independent evidence that smallpox or measles existed in England in the
14th and 15th centuries. There are extant various medieval
prescription-books, in which remedies are given for all the usual
diseases. If the name of _variola_, or any English form of it, occur
therein, we should draw the same inference as from the prescriptions for
maladies of children such as “the kernels,” and “the kink” (or
whooping-cough)[884]. In the Anglo-Saxon “leechdoms,” which have been
collected in three volumes, the word _poc_ occurs once in the singular in
the phrase “a poc of the eye” (probably a hordeum or sty of the eyelid),
and once in the plural (_poccan_) without reference to any part of the
body and with no indication that a general eruption was meant. Willan,
indeed, has found in a manuscript of uncertain date a Latin incantation
against disease, in which the words _lues_, _pestis_, _pestilentia_, and
_variola_ occur; at the end of it is written in Anglo-Saxon an invocation
of certain saints to “shield me from the _lathan poccas_ and from all
evil[885].” This looks as if _poccas_ had been the Anglo-Saxon translation
of _variola_. But it remains to be seen in what sense the word “pokkes”
was used in the earliest English writings.

In the ‘Vision of Piers the Ploughman’ (passus XX) the retribution of
Nature or “Kynde” upon the wickedness of the times is thus mentioned:

  “Kynde came after with many keen sores,
   As pokkes and pestilences, and much people shent;
   So kynde through corruptions killed full many.”

In the lines immediately preceding there occur some other names, equally
generic:

  “Byles and boches and brennyng agues
   Frensyes and foul evils, foragers of kynde.”

“Boche” is botch,--the name given to the plague as late as the Stuart
period, from its chief external sign, the bubo; and “byles” is merely the
Latin _bilis_ = _ulcus_. “Pokkes” may be the Anglo-Saxon word; but it is
known that many of Langland’s colloquialisms are of Norman or French
origin, and in that language there is a term _poche_, which is not far
from the English “boche.” Whether “poche” be the same as “boche” or not,
“pokkes and pestilences” may be taken to be synonyms for “byles and
boches.” The generic or elastic use of such terms received a striking
illustration in 1528, when spotted fever (typhus), perhaps mixed with
plague, became exceedingly common among French and Spanish troops. Among
the French the disease was called _les poches_ and among the Spaniards
_las bubas_[886], although both names had been assigned to syphilis at the
time of its epidemic outburst in the end of the 15th century. In those
times diseases were called by their external marks; so that diseases
essentially most unlike, but having certain spots, or blemishes, or
botches, or pustules of the skin in common, were called by a common name.
The plague itself was known by certain spots on the breast or back called
tokens: hence the figure of John Stow and others that “many died of God’s
tokens.”

There was certainly laxity of naming to that extent in the case of modern
languages. As to Willan’s inference from the medieval incantation, it is
by no means clear that _variola_ in medieval Latin may not have been used
generically also; although, in the school of Salerno it appears to have
had its meaning fixed, in the Arabic sense of smallpox, from the time of
Constantinus Africanus, who introduced the teaching of Bagdad into that
school about the year 1060.

The next use of “pokkes” that I have found is in a manuscript chronicle of
England down to the year 1419[887], one of the series known as the
chronicle of the Brute (from its commencing with the mythical landing of
Brutus in England after the siege of Troy); this manuscript, known as the
“Fruit of Times,” was afterwards printed at the St Albans press about
1484[888], the history being carried down to Edward IV., and the passage
in question reproduced exactly as it stands in the handwriting. Under the
40th year of Edward III. (1366) there is the following entry:

    “Ther fell also such a pestalence that never none such was seen in no
    man’s tyme or lyf, for many men as they were gone to bede hole and in
    gude poynte sodanly thei diede. Also that tyme fell a seknes that men
    call ye pokkes, slogh both men and women thorgh ther enfectyne.”

It is clearly the same passage that occurs condensed in the chronicle of
William Gregory, mayor of London, which was written probably in
1451-52[889]. Under the 40th of Edward III., after referring to a “grete
batille of sparows” just as the earlier chronicle does, he proceeds: “Also
the same yere men and bestys were grettely infectyd with pockys, wherfore
they dyde, bothe men and bestys.” The variation of “men and beasts,”
instead of men and women, is curious, and suggests that there may have
been a common source for the story. The chronicle contemporary with 1366,
which is of best authority, was that kept at St Albans Abbey; but it gives
nothing under that year. Shortly after 1361, however, and probably about
1362 or 1363 it has a singular entry, which may have been the source of
these references to “pockys.” The Latin may be translated thus: “Numbers
died of the disease of lethargy prophesying troubles to many; many women
also died of the flux; and there was a general murrain of cattle[890].”
Here we have men, women, and cattle; also lethargy, flux, and murrain; and
it is conceivable that later compilers of English chronicles may each have
used this contemporary Latin entry of composite events to put their own
gloss upon it, or to amplify the history into what each conceived to be
the probable meaning. But the most singular enlargement was that made by
Holinshed in his chronicle of 1577. Having copied word for word, sparrows
and all, the entry under the year 1366 in the “Fruit of Times” (as printed
at St Albans about 1484), he takes leave to amend the sense in the part
that chiefly concerns us--he changes “pockys” into “smallpocks,” and “men
and women” into “men, women, and children[891].” Holinshed was dealing
with an event two hundred years before his own time, and had no more
first-hand knowledge of it than we have; but his authority has been
accepted for the fatal prevalence of smallpox in 1366 by modern writers on
the history of that disease, such as James Moore[892], who have not sought
for the contemporary authority nor exercised a critical judgment upon the
lax ways of verbalist compilers. Thus is history made--but not so easily
unmade.

One other reference to “pockys” has to be noticed before we leave the
philological part of the subject and come to the unambiguous history of
the realities. Fabyan, in his _Chronicle_ written not long before his
death in 1512, says that Edward IV. during an expedition to the Scots
Marches “was then vysyted with the syknesse of pockys[893].” It is futile
to conjecture what the king’s illness may really have been. The word in
Fabyan’s time had already acquired a technical sense, which it has ever
since retained; but that well-understood meaning was some twenty years
later than the year 1474 (although the disease itself doubtless existed
all through the Middle Ages); while, in its earlier generic sense, as in
the ‘Vision of Piers the Ploughman,’ it seems to have meant botches or
other tokens of pestilential disease. In a Latin glossary of English
words, published a hundred years after[894], “a pocke” is still defined as
_phagedaena_, and “the French pocke” as _morbus Gallicus_, while
“smallpox” is not given at all.


Smallpox in England in the 16th Century.

The earliest references to smallpox in England, apart from the probably
incorrect one by Gaddesden early in the 14th century, occur in letters of
the years 1514 and 1518. Another letter of 1514 will serve to bring out
the ambiguity of the names given to diseases at the time. On June 30,
1514, Gerard de Pleine writes from London to Margaret of Savoy that he had
been asked by the bishop of Lincoln why the marriage between the princess
Mary and Louis XII. had been broken off (it took place shortly after), and
by another great peer whether Louis XII. “avoit eu les pocques,” which
last sentence has a marginal note in the printed collection of letters:
“c’est la petite verole[895].” But _les pocques_ in a letter written from
London in 1514 did not mean the smallpox. In a letter of March 3, 1514,
Peter Martyr writing in Latin from Valladolid to Ludovico Mendoza, says
that the King of England has had a fever, and that the physicians were
afraid it would turn to the pustules called _variolae_, but he is now well
again and rises from his bed[896]. This illness of Henry VIII. happened at
Richmond previous to 7th February. Although in the letter quoted there was
only a fear that the illness might have turned to the pustules called
smallpox, yet in the instructions of Henry VIII. to Spinelly, English
ambassador in the Low Countries, sent in February, the twelfth item
instructs him to say that the English king has lately been visited by a
malady “nommée la petitte verolle[897].”

Four years after, on July 14, 1518, Pace writes to Wolsey from
Wallingford, where the court then was, that the king was to leave next day
for Bisham “as it is time; for they do die in these parts in every place,
not only of the small pokkes and mezils, but also of the great
sickness[898].”

These are the earliest known instances of the use of the words _pocques_,
_variola_, _petite verolle_, “small pokkes and mezils,” as applied to
particular cases of sickness, in correspondence from or relating to
England. The remarks to be made upon the early usage are: first, that the
word _pocques_, as used by one writing in French from London in 1514, did
not mean smallpox, but pox; second, that the first authentic mention of
smallpox happens to have been in the French form--“une maladie nommée la
petitte verolle;” third, that, in the political gossip of the time the
opinion of the physicians regarding the illness of the young king is given
as of a fever which they feared might have turned to the pustules called
“_variolae_;” and fourthly, that in the very first mention of the disease
_variola_ by an English name “small pokkes,” the name is modelled on the
French, being coupled with the old English name “mezils.” It is impossible
to infer from these references anything as to the amount of smallpox in
England at the time, or even to be sure of the correctness of the
diagnosis. The lax usage as between “pox” and “smallpox” is shown in a
book of the year 1530 called ‘Prognosticacions out of Ipocras and Avicen,’
in which a brief reference to _variola_ in the Latin original is
translated “to prognosticate of the pockes.”

In Sir Thomas Elyot’s _Castel of Health_, published in 1541, children
after their first infancy are said to suffer from a number of maladies,
and in “England commonly purpyls, meazels and smallpockes.” That is
perhaps the first use of the terms in a systematic work on medicine, not
indeed by one of the faculty, but by a layman. About the same time we hear
of smallpocks in an infant of noble family: a letter of May 26, 1537, from
Charles duke of Suffolk to Cromwell, written from Hoxun in Suffolk,
excuses his not repairing to Lincolnshire, as the king had ordered, on the
ground that “his son fell sick of the smallpox and his wife of the
ague[899].” “His son” was Henry Brandon, born September 18, 1535, so that
he was then an infant of some twenty months; he is the same that died,
with his younger brother, of the sweating sickness in July 1551.

The reference to smallpocks and meazels by Elyot in his _Castel of
Health_ is repeated in the almost contemporary _Book of Children_ by
Thomas Phaer. Whether Phaer translated that also “out of the French
tongue” as he did the _Regiment of Life_, with which it is bound up in the
edition of 1553, we have nowhere any information. In a list of forty
infirmities of children, the 32nd in order is “small pockes and measels.”
A later passage in the _Book of Children_ shows how much, or how little,
intelligent meaning Phaer attached to these terms: “Of smallpockes and
measels. This disease is common and familiar, called of the Greeks by the
general name of exanthemata, and of Plinie papulae et pituitae eruptiones.
It is of two kinds:--varioli, ye measils; morbilli, called of us ye smal
pocks. They be but of one nature and proceed of one cause. The signs of
both are so manifest to sight that they need no farther declaration;”--but
he does add some signs, such as “itch and fretting of the skin as if it
had been rubbed with nettles, pain in the head and back etc.: sometimes as
it were a dry scab or lepry spreading over all the members, other whiles
in pushes, pimples and whayls running with much corruption and matter, and
with great pains of the face and throat, dryness of the tongue, hoarseness
of voice, and, in some, quiverings of the heart with sownings.” He then
gives the four causes, three of them being intrinsic states of the
humours, and the fourth “when the disease commenceth by the way of
contagion, when a sick person infecteth another, and in that case it hath
great affinity with the pestilence.” The treatment is directed towards
bringing out the eruption; all occasions of chill are to be carefully
avoided. More special directions are given for cases in which “the wheales
be outrageous and great;” also, “to take away the spots and scarres of the
small pockes and measils,” a prescription of some authors is given, to use
the blood of a bull or of a hare.

The whole of Phaer’s section on smallpox and measles bears evidence of a
foreign source, namely the same stock chapter from which Kellwaye drew
most of his section upon the same two diseases appended to his book on the
plague in 1593. Not only does Phaer speak of smallpox and measles
conjointly as leaving spots and scars, but he actually renders _variolae_
by measles, and _morbilli_ by smallpox. Phaer was more of a literary
compiler than a physician with original knowlege of diseases and their
pathology. But he is not singular among the Tudor writers in taking
measles to be the equivalent of _variolae_. William Clowes, of St
Bartholomew’s Hospital, one of the most experienced practitioners of his
time, does the same. His _Proved Practice for all Young Chirurgeons_ has
an appendix of Latin aphorisms “taken out of an old written coppy,” to
each of which aphorisms Clowes has added an English translation: in the
aphorism on _variolae_, that term is translated “measles,” the name of
“smallpox” nowhere occurring in the book. Clowes’s translation is exactly
in accordance with the English-Latin glossary of the time by Levins
(1570). Levins was an Oxford fellow who had graduated in medicine and
afterwards become a schoolmaster, just as Cogan, of _The Haven of Health_,
had done. He wrote the _Pathway of Health_, and also compiled the
_Manipulus Vocabulorum_. His definitions in the latter may be taken,
therefore, to stand for the medical usage of the time. In this glossary,
“ye maysilles” is rendered by _variole_, while the name of “smallpox” is
omitted altogether, “a pocke” having its Latin equivalent in _phagedaena_,
and “ye French pocke” in _morbus Gallicus_. In the Elizabethan dictionary
by Baret, “the maisils” is defined as “a disease with many reddish spottes
or speckles in the face and bodie, much like freckles in colour;” and that
was the disease which the English profession then understood to be the
same as the _variolae_ of medieval writers.

I leave readers to draw their own conclusions, whether there was much or
little smallpox or measles in England in the Tudor period. They may be
reminded that Pace, dean of St Paul’s, in a letter from Berkshire in 1518,
asserts the fatal prevalence of “smallpox and mezils,” and that the duke
of Suffolk called the illness of his infant son by the name of smallpox in
1538. They may be farther helped to a conclusion by the following curious
instance which has been recorded by John Stow.

Among the miscellaneous collections of that antiquary preserved in the
Lambeth Library[900], there is a narrative of the troubled conscience of
Master Richard Allington, esquire, a gentleman who appears to have lent
money at high interest. Believing himself to be dying on November 22,
1561, he summoned to his bedside at eight in the evening the Master of the
Rolls (“Sir John of the Rolls”), two doctors of the law and two other
lawyers.

    He began: “Maisters, seinge that I muste nedes die, which I assure you
    I nevar thought wolde have cum to passe by this dessease, consyderinge
    it is but the small pockes, I woulde therefore moste hertely desyre
    you in the reuerence of God and for Christes passions sake to suffer
    me to speake untyll I be dede, that I may dyscharge my conscens” etc.
    He then explains that “no man had so especial tokens of God’s singular
    grace, and so litele regarded them as I have done,” and goes on to
    mention particular acts of usury and to offer restitution to the
    amount of some hundred pounds or more. It had occurred to him to do so
    the second night after he fell sick, being in perfect memory lying in
    his bed broad awake, but with puppets dancing around him. After
    entrusting the lawyers at his bed side with these restitutions, he
    asked the Master of the Rolls to read to him certain of the
    penitential Psalms which the sick man had selected as appropriate.
    “And then he thought he should have died, but then broth being given
    unto him, he revived again and fell to prayer and gave himself wholly
    to quietness;” and there the narrative ends.

It appears from a reference in Stow’s _Survey of London_ that he did die
in 1561, and that his widow was left well off: for she afterwards built
one of the finest of the new houses that were now beginning to line the
highway of Holborn almost as far out as St Giles’s in the Fields.

This is the first recorded case of smallpox in English. According to the
patient’s own view, smallpox was not usually a formidable disease, nor
does it appear that the Master of the Rolls and four other eminent lawyers
(Dr Caldwell, Dr Good, Mr Garth, and Mr Jones) had been apprehensive of
catching it. One finds no other evidence of the existence of smallpox in
London or elsewhere in England until it is mentioned in a letter of 1591
and in the essay of Kellwaye, 1593, which asserts the occurrence of
“smallpox and measles” in almost the same language as Phaer’s earlier
_Book of Children_ and for the most part under the same foreign
inspiration. From Scotland we have a single reference in Dr Gilbert
Skene’s essay on the plague, published in 1568, from the terms of which
one may suppose that he is giving his own experience. The season, he
says, will sometimes foretell the plague, as well as other diseases:

    “Siclyk quhen pokis or sic pustulis are frequent, not onlie amangis
    barnis, but also amangis those quha be of constant or declynand
    aige--greit frequent south and south-vest vyndis.” In a similar
    passage on the previous page he couples “pokis, mesillis and siclike
    diseisis of bodie[901].”

In a letter of August 26, 1591, written to a member of queen Elizabeth’s
court, it is said: “Hir Higness wold you should remove from that place
where the smalle pocks were, to take the fresh and clere ayre, the better
to purge ye from the infection[902].”

In 1593 we come to the first systematic English essay on the disease,
appended to the treatise on the plague by Simon Kellwaye[903]. The author
is otherwise unknown as a medical writer, but he is commended in a preface
by George Baker, a court surgeon, for his “good and zealous intent and
sufficiencie in his profession.” In appending an essay on smallpox to a
treatise on the plague he follows the example of the Salernian treatise of
Alphanus, which also affords him most of his systematic materials in both
diseases, filtered through Ambroise Paré and other writers. Kellwaye
claims, however, to have incorporated native experience: “which work I
have collected and drawn from sundry both auncient and later writers, the
which being shadowed under the calm shroud of auncient consent and
strengthened with the abundant sap of late experience (as well mine own as
others) I here present the same.” In the treatise on the plague (fol. 2)
he mentions smallpox as among the forerunners or prognostics of that
disease:

    “When the smalle poxe doth generally abound both in young and old
    people.” In the separate essay on the smallpox (fol. 38), its interest
    is again that of a forerunner or sequel of the plague, according to
    the foreign teaching of the time:

    “For that oftentimes those that are infected with the plague are in
    the end of the disease sometimes troubled with the smallpockes or
    measels, as also by good observation it hath been seen that they are
    forerunners or warnings of the plague to come, as Salius and divers
    other writers do testify, I have thought good and as a matter
    pertinent to my former treatise” etc.

    He proceeds: “I need not greatly to stand upon the description of this
    disease because it is a thing well known unto most people.” It begins
    with a fever; then shortly after there arise small red pustules upon
    the skin throughout all the body, which come forth more or less
    intermittently; “In some there arise many little pustules with
    elevation of the skin, which in one day do increase and grow bigger,
    and after have a thick matter growing in them, which the Greeks call
    exanthemata or ecthymata; and after the Latins variola, in our English
    tongue the smallpockes; and here some writers do make a difference
    betwixt variola and exanthemata: for, say they, that is called variola
    when many of those pustules do suddenly run into a clear bladder, as
    if it had been scalled, but the other doth not so; yet are they both
    one in the cure.” He recognizes the contagious property of the
    disease, calling it “hereditable:” “For we see when one is infected
    therewith, that so many as come near him (especially those which are
    allied in the same blood) do assuredly for the most part receive the
    infection also.” His _Practica_ are taken almost entirely from the
    Arabian writers, as filtered through Gaddesden, one of them being the
    prevention of pitting by opening the pocks with a gold pin or needle.
    He had heard, however, “of some which, having not used anything at
    all, but suffering them to dry up and fall of themselves without
    picking or scratching, have done very well, and not any pits remained
    after it.” He then refers to complications, such as ulcerations of the
    skin, soreness and ulcerations of the mouth (_aphthae_), soreness of
    the tonsils, and glueing together of the eyelids, all of which are
    stock paragraphs in the foreign writers of the time and are probably
    transferred from the latter. Also he goes a considerable way towards
    the separation of measles from smallpox, which was not fully effected
    in England until the century following: “What the measels or males
    are:--many little pimples which are not to be seen but only by feeling
    with the hand are to be perceived; they do not maturate as the pocks
    doth do, nor assault the eyes” etc.

About ten years after Kellwaye’s essay, there began, in 1604, the
classification of the deaths in London by the Company of Parish Clerks:
but it was not until 1629 that their weekly and annual bills were
regularly printed. In the first printed bills, “Flox, smallpox and
measles” appear as one entry. The meaning of “flox” seems to be explained
by Kellwaye’s remark: “And here some writers do make a difference betwixt
variola and exanthemata; for, say they, that is called variola when many
of those pustules do suddenly run into a clear bladder as if it had been
scalled, but the other doth not so.” That is the distinction between
confluent smallpox and discrete; and the most probable explanation of
“flox” is that it stands for the confluent kind, or for the pustules that
run together into a clear bladder.


Smallpox in the 17th Century.

The gradual rise of smallpox to prominence in England about the end of the
Elizabethan period and in the first years of the Stuarts cannot fail to
strike anyone who is occupied with the English records of disease as a
whole. Smallpox and measles may have been, and almost certainly were,
observed in England in the earlier part of the 16th century; but they make
no such figure in the records, domestic and other, as they do from the
beginning of the 17th century onwards. Perhaps the first mention of
smallpox, in English literature proper, occurs in a collection of lyrical
poems published in 1602[904]. In some verses “Upon his Ladies sicknesse of
the Small Pocks,” the poet, Th. Spilman, apostrophises the “cruel and
impartial sickness” and asks,--

  Are not these thy steps I trace
  In the pure snow of her face?

  Th’ heavenly honey thou dost suck
  From her rose cheeks, might suffice;
  Why then didst thou mar and pluck
  Those dear flowers of rarest price?

In two letters of Dr Donne, dean of St Paul’s, written probably a few
years before his death in 1631, reference is made to the smallpox in
London. In the one he says:

    “At my return from Kent to my gate, I found Peg had the pox: so I
    withdrew to Prickham and spent a fortnight there. And without coming
    home, when I could with some justice hope that it would spread no
    farther amongst them (as I humbly thank God it hath not, nor much
    disfigured her that had it), I went into Bedfordshire” etc.

This dread of smallpox infection is quite unlike anything that we meet
with in the earlier 16th-century domestic memorials; in them it is only
the infection of the plague that comes in. Donne’s other reference is to
the sickness of my lord Harrington: “a few days since they were doubtful
of him; but he is so well recovered that now they know all his disease to
be the pox and measles mingled[905].”

Cases of smallpox among the upper classes are occasionally mentioned in
the letters written by Chamberlain to Carleton in the reigns of James I.
and Charles I.[906]. On December 17, 1612, “The Lord Lisle hath lost his
eldest son, Sir William Sidney, by the smallpox, which were well come
out.” On December 31, the same year, Carleton, writing from abroad,
mentions that the duke of Mantua had died of the smallpox about three
weeks since, of which he buried his only son not three weeks before. Also
on December 31, Chamberlain writes to him, that the Lady Webbe was sick of
the smallpox, of which, he says in another letter, she died: “She was
grown a very proper woman, but loved the town too well, which in a short
time would have drawn her and her husband dry as well in purse as in
reputation.” It is the year 1614 that is given (by Horst) as the worst
season of smallpox all over Europe and the East; England is mentioned by
the foreign writer as among the countries affected, but there is no trace
of an epidemic in our own records. On April 20, 1616, Chamberlain mentions
the case of the duke of Buckingham, the favourite; “he hath been crazy of
late, not without suspicion of the smallpox, which, if it had fallen out,
_actum est de amicitia_. But it proves otherwise.” Buckingham’s illness,
for which he took much physic, produced an imposthume on his head (an
effect which followed in the more notorious illness of Wolsey), and he is
elsewhere said to be suffering from the _morbus comitialis_. The
suggestion of smallpox appears to be the same euphemism which was resorted
to in the cases of other exalted personages.

On August 21, 1624, having written of the great mortality from fevers,
Chamberlain adds: “Lady Winwood, hearing that her only daughter was fallen
sick of the smallpox at Ditton and that they came not out currently,” had
gone to her. On December 18, 1624, “the Lady Purbeck is sick of the
smallpox, and her husband is so kind that he stirs not from her bed’s
feet.” In the first week of June, 1625, the famous composer Orlando
Gibbons died at Canterbury, not without suspicion of the plague[907], but
according to another opinion of the smallpox[908].

With the year 1629, the causes of death in London began to be published by
Parish Clerks’ Hall in a rough classification, smallpox being a regular
item from year to year. For the first eight years the deaths from “flox,
smallpox, and measles” were as follows:

  1629        72
  1630        40
  1631        58
  1632       531
  1633        72
  1634      1354
  1635       293
  1636       127

The greatest epidemic, it will be seen, was in 1634[909]. For the years
1637-1646, the figures are lost (owing to Graunt’s omitting them in his
Table of 1662, for want of room). But it is known from letters that the
autumn of 1641 was a season of severe smallpox as well as plague. Thus on
August 26, “both Houses grow very thin by reason of the smallpox and
plague that is in the town, 133 dying here this week of the plague, and
118 of the smallpox, 610 in the whole of all diseases.” On September 9, a
letter from Charing Cross says: “Died this week of the plague 185, and of
the smallpox 101.” The plague mortality continues to be mentioned in
subsequent letters, but the references to smallpox cease[910]. On July 16,
1642, one excuses his attendance on some State business because he is sick
of the smallpox[911].

About the Restoration the references to smallpox become more
numerous[912]. A letter of January 4, 1658 (1659), speaks of “much
sickness in the town [London], especially fevers, agues and smallpox.” On
February 7, 1660, the earl of Anglesey is dead of the smallpox. In
September, 1660, Lord Oxford had a severe attack and recovered; at the
same time the duke of Gloucester, on the 8th September, was diagnosed by
the doctors to have “a disease between the smallpox and the measles; he is
now past danger of death for this bout, as the doctors say.” However he
died on 14th September, in the tenth day of the disease, with remarkable
evidences (post mortem) of internal haemorrhage, having bled freely at the
nose a few hours before his death. The eruption had “come out full and
kindly” at the beginning, so that it was not the ordinary haemorrhagic
type. On the 20th December, 1660, the princess Henrietta goes to St
James’s for fear of the smallpox. On the 16th January, 1660 (? 1661), “the
princess is recovered of the measles.” Letters from a lady at Hambleton to
her husband in London, May 26, 1661, speaks of smallpox raging in the
place, and in the house of her nearest neighbour, her own children having
the whooping-cough. In the bills of mortality of those years the deaths in
London from smallpox and measles were as follows:

  1647      139
  1648      401
  1649     1190
  1650      184
  1651      525
  1652     1279
  1653      139
  1654      832
  1655     1294
  1656      823
  1657      835
  1658      409
  1659     1523
  1660      354
  1661     1246
  1662      768
  1663      411
  1664     1233
  1665      655
  1666       38

These figures bring us down to the period of Sydenham, who was the first
accurate observer of smallpox in London. With his writings, and with those
of Willis and Morton, we begin a new era in the history of epidemics in
England. We find, for the first time in the history, an adequate
discussion of the epidemiological and clinical facts by the ablest men in
the profession. But, as the new era is at one and the same time marked by
the cessation of plague and by the enormous increase of various fevers, as
well as of smallpox, it falls without the limits of this volume, making,
indeed, the appropriate beginning of the new kind of epidemic history
which is characteristic of England from the Restoration and the Revolution
down to the end of the 18th century. It is clear, from the instances
above given, that smallpox was already at the beginning of the 17th
century becoming a pest among the upper classes. But to anyone who studies
the history over continuous periods it is equally clear that its
prominence was then something new and that the horror and alarm which it
caused became greater as the 17th century approached its close. And so as
not to leave the history of smallpox at this point with a wrong impression
of its general virulence, it may be added that Dr Plot, writing of
Oxfordshire in 1677, says: “Generally here they are so favorable and kind,
that be the nurse but tolerably good, the patient seldom miscarries[913].”


Smallpox in Continental Writings of the 16th century.

It would be beside the purpose of this work to follow the history of
smallpox and measles on the continent of Europe. But it will be necessary
to say a few words on the contemporary foreign writings upon these
diseases, as it is chiefly teaching from a foreign source that we detect
in the English authors of the 16th century.

It might be inferred from the classical work of Fracastori[914], published
in 1546, that smallpox and measles were frequent and familiar diseases in
the author’s experience at Verona. At the same time it is clear that even
he, original observer as he was, is in places merely repeating the old
statements of the Arabian writers. Thus his statement that everyone has
smallpox or measles sooner or later, is the old Arabian tradition or
experience, usually joined to the explanation that the cause of that
universality was the nourishment of the foetus by the retained and impure
menstrual blood, so that all children had to free their constitutions of a
congenital impurity sooner or later. So far as Fracastori’s originality
comes in, it is clear that he does not regard smallpox and measles as
serious troubles. In his second chapter he says:

    “First we must treat of those contagious maladies which, although
    contagious, are not called pestilential, because, for the most part,
    they are salubrious. Of such are variolae and morbilli. By variolae
    are understood those which are called also varollae by the common
    people, from their likeness, I suppose, to the pustules called vari.
    By morbilli are understood those which the common people style fersae,
    so-called perhaps from _fervor_. But of these the Greeks do not appear
    to have treated under any other name than exanthemata. They happen
    principally in children, rarely in men, most rarely in old people. But
    they seem to befall all men once in life, or to be apt to befall them
    unless a premature death removes the individual. In boys the malady is
    more benign than in adults. For the more part, as already said, they
    are salubrious, since this ebullition of the blood is something of a
    purification of the same. It afflicts more or less according to the
    density of the blood and as the vice is apt or not to be separated
    from it. If the blood be more pituitous, the pustules are variform,
    white, round and full of a kind of mucus; but if it be more bilious
    the pustules break forth more of a dry sort. Where the disease has
    happened once it is not apt to recur; but there are cases where it has
    happened more than once.”

In the brief account by Fracastori, all the points are stated for measles
and smallpox together; and the opinion is twice put forward that an attack
was salubrious as purifying the blood or as freeing it from some vice--an
opinion which is still popularly held.

It is not until the latter half of the 16th century that we come to real
epidemiological records of smallpox on the Continent,--the works by
Donatus on smallpox and measles at Mantua in 1567, and by Betera upon
epidemics at Brescia in 1570, 1577 and 1588, in which the more malignant
types of smallpox were seen[915]. The treatise most used was that of
Alphanus, published at Naples in 1577[916]; it was on plague and
pestilential fever, with an appendix on smallpox. Either it or Ambroise
Paré’s chapters seem to have furnished the greater part of the English
essay by Kellwaye on the plague and smallpox.

In Ambroise Paré’s references to smallpox there occurs one singular line
of remark which will serve to bring us back to etymology and to the great
pox[917]. The _petite vérole_, he says, has a resemblance to the _grosse
vérole_ as sometimes attacking the bones. He had seen that in smallpox
cases not only in 1568 but on other occasions: and he gives the details of
two cases of smallpox, apparently with periostitis and necrosis, which he
compares to cases of the great pox. To express in one word the meaning of
such cases, he says, the smallpox and _rougeolle_, not having been well
purged, give rise to various troublesome accidents, as the great pox does.
One cannot read Paré’s chapters on the _grosse vérole_ and the _petite
vérole_ without detecting an inclination to compare them or class them
together in nosological characters. The comparison or classification is by
no means explicit; but it seems to be in his thoughts, and he would seem,
accordingly, to have held until a late period of the 16th century a view
of the two diseases which was not unusual at the beginning of that century
(as in the treatise of Pinctor and in the accounts of the dreadful
mortality of Indians in Hispaniola and Mexico[918]), and was expressed in
the popular names given to each disease in France and in England.




CHAPTER X.

PLAGUE, FEVER AND INFLUENZA FROM THE ACCESSION OF THE STUART DYNASTY TO
THE RESTORATION.


The last period of plague in England, from 1603 to its extinction in 1666,
was as fatal as any that the capital, and the provincial towns, had known
since the 14th century. The mortalities in London in 1603, 1625, and 1665
are the greatest in the whole history of the City’s epidemics, not,
perhaps, relatively to the population, but in absolute numbers. The
capital was growing rapidly, having now become the greatest trading
community in Europe. The dangers which were foreseen in the proclamation
of 1580, of an extension of the City’s borders beyond civic control, had
been realized. The old walled city, like Vienna down to a quite recent
date, remained both the residential quarter and the centre of trade and
commerce: the original suburbs, which were in the Liberties or Freedom of
the City, were the slums--the fringe of poverty covered by the poorest
class of tenements, unpaved and without regular streets, but penetrated by
alleys twisting and turning in an endless maze. The City was not, indeed,
without a good deal of building of the same class, especially in the
parish of St Stephen, Coleman Street, the most populous parish within the
walls. But what was an occasional thing in the City where gardens and
other open spaces had been built upon, was the rule in the parishes beyond
the walls. It was in the Liberties and outparishes that the plague of 1603
began; its origin in 1625 is less certain; but there can be no question
as to the gradual progress of the Great Plague of 1665 from the west end
of the town down Holborn and the Strand to the City, to the great parishes
on the north-east and east, and across the water to Southwark. From one
point of view we may represent the later plagues as incidents in the
transition from the medieval to the modern state of the capital--a
transition which proceeded slowly and is still unfinished so far as
concerns the forms of municipal government. The history of the public
health of London is, for nearly two centuries, the history of irregular
and uncontrolled expansion, of the failure of old municipal institutions
to overtake new duties. Perhaps if Wren’s grand conception of a New London
after the fire of 1666 had been taken up and given effect to by Charles
II., the Liberties and suburbs might have been joined more organically to
the centre and have benefited by the municipal traditions of the latter.
The history of the public health in London during the latter part of the
17th century and the whole of the 18th might in that case have been a less
melancholy record. That history falls within our next volume; but as it
began with the expansion of London under Elizabeth and the Stuarts, this
is the place to review the growth of the City from the time when it broke
through its medieval limits.


The Growth of London in the Tudor and Stuart Periods[919].

The accession of James I. to the English crown in 1603 corresponds in time
with the pretensions of London to be the first city in Europe. “London,”
says Dekker, in _The Wonderfull Yeare_, “was never in the highway to
preferment till now. For she saw herself in better state than Jerusalem,
she went more gallant than ever did Antwerp, was more courted by amorous
and lustie suitors than Venice (the minion of Italy); more lofty towers
stood about her temples than ever did about the beautiful forehead of
Rome; Tyre and Sydon to her were like two thatcht houses to Theobals, the
grand Cairo but a hogsty.” That is, of course, in Dekker’s manner; but it
can be shown by figures that London took a great start in the end of
Elizabeth’s reign and grew still faster under James.

From Richard I. to Henry VII., London was the medieval walled city, as
Drayton says, “built on a rising bank within a vale to stand,” with a
population between 40,000 and 50,000. Without the walls lay a few city
parishes or parts of parishes, including the three dedicated to St Botolph
outside Aldgate, Bishopsgate and Aldersgate, respectively, and St Giles’s
without Cripplegate, all of these being at the gates or close to the
walls. On the western side, however, lay an extensive but sparsely
populated suburb, which was erected in 1393 into the Ward of Farringdon
Without; it extended westward from the city wall as far as Temple Bar,
Holborn Bars and West Smithfield, and was divided into the four great
parishes of St Sepulchre’s without Newgate; St Andrew’s, on the other side
of Holborn valley, St Dunstan’s in the West (about Chancery Lane and
Fetter Lane), and St Bride’s, Fleet Street.

The earliest known bills of mortality, in 1532 and 1535, from which a
population of some 62,400 might be deduced, show that the St Botolph
parishes, St Giles’s without Cripplegate and the four great parishes in
the western Liberties (or, more correctly, in the ward of Farringdon
Without) had one-third of the whole deaths, and presumably about one-third
of the whole population. In the few memoranda left of the plague-bills of
1563, we find evidence that the population had increased to some 93,276,
of which about a sixth or seventh part, or some 12,000 to 15,000 was in
the “out-parishes,” or in the parishes not only beyond the walls, but
beyond the Bars of the Freedom. The most valuable series of statistics for
Elizabethan London are those which give the christenings and burials for
five years from 1578 to 1582; from those of the year 1580, which was
almost free from the disturbing element of plague, a population of some
123,034 may be deduced by taking the birth-rate at 29 per 1000 living and
the death-rate at 23 per 1000, or in each case at a favourable rate
corresponding to the large excess of births over deaths.

There is not enough left of the introduction to these old manuscript
abstracts of weekly births and deaths to show how many parishes they
relate to, or what is the proportion for each division of the capital.
But, as the earlier series of bills of mortality from 1563 to 1566
included the City, the Liberties and the out-parishes, it is probable that
the series from 1578 to 1582 had done the same. The crowding of the
Liberties with a poor class of tenements, and the extension of the
out-parishes, are otherwise known from the preamble to the proclamation of
1580, which prohibited all building on new sites within three miles of the
City wall. The next figures are for the years 1593, 1594, and 1595, which
show a population increased to about 152,000.

From the figures of the plague-year, 1593, it appears that the mortality
within the walls, both from plague and from ordinary causes, had now
become the smaller half, or somewhat less than that “without the walls and
in the Liberties,”--a phrase which is used loosely, even in some official
bills, for both Liberties and suburbs. In 1604 we have the exact
proportions of deaths in the City, in the Liberties and in the
out-parishes respectively:

                |96 parishes |16 parishes |8 parishes out| Total
                |within walls|in Liberties|of the Freedom|
  --------------|------------|------------|--------------|------
  All deaths    |   1798     |    2465    |    956       |  5219
  Plague deaths |    280     |     368    |    248       |   896
  Christenings  |     --     |      --    |     --       |  5458

The sixteen parishes of the Liberties are now decidedly ahead of the
ninety-six old City parishes, while the eight out-parishes have some 18
per cent. of the whole mortality. The population is best reckoned from the
6504 baptisms of the year after, 1605, by which time the disturbance of
the enormous mortality in 1603 had ceased to be felt; at a birth-rate of
29 per 1000, the population would be some 224,275. The proportions in
1605, from the bills of mortality for the year, are 33·8 per cent. in the
City, 50 per cent. in the Liberties, and 16·2 per cent. in the
out-parishes; so that the City would have contained in that year about
76,000, the Liberties about 114,000, and the out-parishes about 37,000. To
those numbers we should have to add some 20,000 or 30,000 for
Westminster, Stepney, Lambeth, Newington, etc.

According to Graunt’s contemporary estimate for 1662, the population had
grown to 460,000, or to rather more than double that of 1605; and whereas
the proportion in 1605 was two-sixths in the City, three-sixths in the
Liberties and one-sixth in the out-parishes, he makes it in 1662 to have
been one-fifth in the City, three-fifths in the Liberties (including
Southwark) and the out-parishes nearest to the Bars, and one-fifth in the
out-parishes of Stepney, Redriff, Newington, Lambeth, Islington and
Hackney, with the city of Westminster. Thus, whereas in 1535 the City had
two-thirds of the whole estimated population, in 1662 it had one-fifth;
but with its one-fifth in 1662 it was twice as crowded as with its
two-thirds in 1535, the comparatively open appearance given to it by
gardens in various localities, as on Tower Hill, having entirely gone.

As early as the plague of 1563, the Liberties were observed to be first
infected, and to retain the infection longest; that is alleged of St
Sepulchre’s parish by Dr John Jones, from personal knowledge. The history
of the plague of 1593 is imperfectly known; but it is clear from Stow’s
summation of the deaths during the year, that more died of plague in the
Liberties and suburbs than in the City. Of the next plague, that of 1603,
we know that it did begin in the Liberties and was prevalent in those
skirts of the City for some time before it entered the gates. “Death,”
says _The Wonderfull Yeare_, “had pitcht his tents in the sinfully
polluted suburbs ... the skirts of London were pitifully pared off by
little and little; which they within the gates perceiving,” etc. Then the
plague, represented as an invading force, “entered within the walls and
marched through Cheapside,” the wealthier inhabitants having escaped
meanwhile.


The London Plague of 1603.

The most useful document for the London plague of 1603 is a printed Bill
of Mortality which is in the Guildhall Library. The bill, which is in the
form of a broadside, is for the week 13-20 October, and purports to be a
true copy, according to the report made to the king by the Company of
Parish Clerks, and printed by John Winder, printer to the honourable City
of London[920]. It is necessary to be thus particular, because the clerk
of the Company of Parish Clerks in the end of 1665 (between the Plague and
the Fire) published an account of all the statistics of former plagues
preserved in his office, and emphatically denied that the Parish Clerks
gave in an accompt for the year 1603; they did not resume their series
after 1595, he says, until 29th December, 1603. But the clerk was
mistaken, as even the most prim of officials will sometimes be. The
printed bill which has come down to us gives the usual weekly return of
deaths from all causes in one column and those from plague in another, for
each of the 96 parishes within their walls, each of the 16 parishes in the
Liberties and each of 8 out-parishes. On the right hand margin it gives
also a summary statement of the deaths in “the first great plague in our
memory” that of 1563, which is the same as in Stow’s _Annales_, and of the
deaths in the next great plague, that of 1593, which differs considerably
from Stow’s. It then goes on to give the sum of the figures of the year
1603 from 17th December, 1602, and carries the deaths per week from 21st
July down to date, the 20th of October, adding some information for the
parishes which kept separate bills, namely, Westminster, the Savoy,
Stepney, Newington Butts, Islington, Lambeth and Hackney. This extant
weekly bill was probably one of a series; for Graunt, in his book of 1662,
cites various figures of weekly baptisms throughout the year 1603 which
would appear to have been taken from the bills for the respective weeks.
But the returns had not been made regularly from all the parishes within
the Bills from the beginning of the year 1603. The reason why the weekly
figures are not recapitulated farther back than the week ending July 21,
is that the outparishes had not sent in their returns until that week.
From another source, we know the figures for the City and Liberties from
March 10 to July 14, and from the same source we obtain the totals for all
parishes within the Bills from October 19 to the end of the year. By
putting these figures into one table, we may represent the mortality of
1603, not indeed completely, as follows:

_Weekly Mortalities in London during the plague of 1603._

  ----------------------------------------------------------
            |    City and   |
            |   Liberties.  | Out parishes. |    Totals.
     Week   |---------------|---------------|---------------
    ending  |  All  |       |  All  |       |  All  |
            |causes.|Plague.|causes.|Plague.|causes.|Plague.
  ----------|-------|-------|-------|-------|-------|-------
  March 17  |  108  |    3  |       |       |       |
        24  |   60  |    2  |       |       |       |
        31  |   78  |    6  |       |       |       |
  April  7  |   66  |    4  |       |       |       |
        14  |   79  |    4  |       |       |       |
        21  |   98  |    8  |       |       |       |
        28  |  109  |   10  |       |       |       |
  May    5  |   90  |   11  |       |       |       |
        12  |  112  |   18  |       |       |       |
        19  |  122  |   22  |       |       |       |
        26  |  112  |   30  |       |       |       |
  June   2  |  114  |   30  |       |       |       |
         9  |  134  |   43  |       |       |       |
        15  |  144  |   59  |       |       |       |
        23  |  182  |   72  |       |       |       |
        30  |  267  |  158  |       |       |       |
  July   7  |  445  |  263  |       |       |       |
        14  |  612  |  424  |       |       |       |
        21  |  867  |  646  |  319  |  271  | 1186  |  917
        28  | 1312  | 1025  |  398  |  354  | 1710  | 1379
  Aug.   4  | 1700  | 1439  |  537  |  464  | 2237  | 1901
        11  | 1655  | 1372  |  410  |  361  | 2065  | 1733
        18  | 2486  | 2199  |  568  |  514  | 3054  | 2713
        25  | 2343  | 2091  |  510  |  448  | 2853  | 2539
  Sept.  1  | 2798  | 2495  |  587  |  542  | 3385  | 3037
         8  | 2583  | 2283  |  495  |  441  | 3078  | 2724
        15  | 2676  | 2411  |  433  |  407  | 3109  | 2818
        22  | 2080  | 1851  |  376  |  344  | 2456  | 2195
        29  | 1666  | 1478  |  295  |  254  | 1961  | 1732
  Oct.   6  | 1528  | 1367  |  306  |  274  | 1834  | 1641
        13  | 1109  |  962  |  203  |  184  | 1312  | 1146
        20  |  647  |  546  |  119  |   96  |  766  |  642
        27  |       |       |       |       |  625  |  508
  Nov.   3  |       |       |       |       |  737  |  594
        10  |       |       |       |       |  545  |  442
        17  |       |       |       |       |  384  |  257
        24  |       |       |       |       |  198  |  105
  Dec.   1  |       |       |       |       |  223  |  102
         8  |       |       |       |       |  163  |   55
        15  |       |       |       |       |  200  |   96
        22  |       |       |       |       |  168  |   74
  ----------------------------------------------------------

These figures may be accepted as real, so far as they go; and they give a
total (37,192 from all causes, whereof of the plague, 30,519) which is
nearly the same as that usually taken, e.g. by Graunt, for the mortality
of the whole year in all London (37,294 from all causes, whereof of the
plague, 30,561). But it is clear that important additions have to be made.
In the first place, no deaths are included for the weeks previous to March
10. In the second place, no deaths are included from the out-parishes
(within the Bills), previous to July 14. In the third place, no deaths at
all are included from Westminster, Stepney, Newington, Lambeth, etc. These
omissions have to be kept in mind when the plague of 1603 is compared with
those of 1625 and 1665, for which the figures are fully ascertained; and
we possess various data from which to supply them approximately. One great
addition, with nothing conjectural in it, is for the seven parishes
outside the general bill of mortality, Stepney being the largest: they
kept their own bills, and the figures from them, for the principal part of
the year, are given on the margin of the broadside, as quoted below[921].
Another unconjectural addition is the mortality from all causes in the
City and Liberties from December 17, 1602, to March 10, 1603, which was
1375, having been mostly non-plague deaths. All these deaths, actually
known, bring the total for the year up to 42,945 whereof of the plague
about 33,347. The farther additions, which can only be guessed, are the
mortality from all causes in the eight out-parishes (within the Bills)
previous to July 14, and the mortality in the seven other suburban
localities (Westminster, Stepney, etc.) before and after the dates stated
in the note for each. Only the former of these additions would have been a
considerable figure, the plague being already at 271 deaths a week when
the reckoning begins. Thus the totals, 42,945 burials from all causes, and
from plague alone, 33,347, are well within the reality.

Some details are extant of the incidence of the disease in particular
parishes at certain dates. Thus, in the great parish of Stepney, which
extended from Shoreditch to Blackwall, 650 plague-deaths, and 24 from
other causes, took place in the single month of September; so that, if the
plague began in Stepney about the 25th of March, it had not come to a head
until autumn. In St Giles’s Cripplegate, the burials entered in the parish
register for the whole year are 2879, the highest mortality having been in
the beginning of September, when the burials on three successive days were
36, 26 and 26[922]. In the week 13 to 20 October, for which the printed
bill is extant, the proportions of the City, Liberties and 8 out-parishes
respectively were, for the week, 351, 296, and 119. Of the parishes
without the walls, the most infected were, in their order at that date, St
Sepulchre’s, St Saviour’s, Southwark, St Andrew’s, Holborn, St Giles’s,
Cripplegate, St Clement’s Danes, St Giles’s in the Fields, St Olave’s,
Southwark, St Martin’s in the Fields, St Mary’s, Whitechapel and St
Leonard’s, Shoreditch. For St Olave’s, Southwark, we have some particulars
of the plague from the minister of the parish.

In a dialogue conveying various instructions on the plague[923], to his
parishioners of St Olave’s, James Bamford states that 2640 had died in
that parish from May 7 to the date of writing (October 13), and that the
burials had fallen from 305 in a week to 51, and from 57 in a day to 4. St
Olave’s was a typical parish of the new London. It extended eastwards
along the Surrey bank of the river from London Bridge, and had been
almost all built within the half-century since the purchase of the Borough
of Southwark by the City from the Crown in 1550. In Stow’s _Survey_ of
1598 the parish is thus described: “Then from the bridge along by the
Thames eastward is St Olave’s Street, having continual building on both
the sides, with lanes and alleys, up to Battle Bridge, to Horsedown and
towards Rotherhithe some good half mile in length from London Bridge”--the
Bermondsey High Street running south from the Horsleydown end of it. St
Olave’s Church, he continues, stood on the bank of the river, “a fair and
meet large church, but a far larger parish, especially of aliens or
strangers, and poor people.” A mansion of former times, St Leger House,
was now “divided into sundry tenements.” Over against the church, the
great house that was once the residence of the prior of Lewes, was now the
Walnut Tree inn, a common hostelry.

London was now so extensive in area that it becomes of interest to know in
what part of it the plague broke out, and in what course the infection
proceeded. These things are known for the plague of 1665; but for that of
1603 they cannot be ascertained precisely. Dekker is emphatic that it
began in the suburbs. The earliest reference to it in the State papers is
under the date of April 18, when the Lord Mayor wrote to the Lord
Treasurer to inform him of the steps taken to prevent the spread of the
plague in the counties of Middlesex and Surrey. “The parishes in Middlesex
and Surrey” was an expression which afterwards came to mean a group of
twelve out-parishes beyond the Bars of the Freedom, including St Giles’s
in the Fields, Lambeth, Newington and Bermondsey, Stepney, Whitechapel,
Shoreditch and Clerkenwell, Islington, Hackney and two others. The phrase
used by the mayor may not have had so definite a meaning in 1603, but he
can hardly have intended it to apply to the City and Liberties of London,
although those were the only divisions of the capital directly under his
own jurisdiction. The parish which is associated with the earliest date,
in the summary of the epidemic in the broadside of 1603, is Stepney, where
the record of deaths from plague and other causes begins from 25th March.
It would perhaps be safe to conclude that the plague of 1603 began at the
extreme east in Stepney, as that of 1665 certainly did at the extreme west
in St Giles’s in the Fields.

An examination of the Table shows that the eight out-parishes had reached
a higher plague mortality relative to their population on July 21, than
the parishes within the bars of the Freedom: but the maximum of deaths
falls in both divisions about the same week. We may take it that the
plague broke out in one of the suburbs; and as Dekker speaks of the flight
having been westwards, the evidence points on the whole to an eastern
suburb, perhaps Whitechapel or Stepney. March is clearly indicated by
various things as a time when plague-deaths began to attract notice; and
that date of commencement is corroborated by the following passage from
the essay of Graunt, based, it would seem, upon a series of weekly
bills:--

“We observe as followeth, viz. First, that (when from December 1602 to
March following there was little or no plague) then the christenings at a
medium were between 110 and 130 per week, few weeks being above the one or
below the other; but when the plague increased from thence to July, that
then the christenings decreased to under 90.... (3) Moreover we observe
that from the 21st July to the 12th October, the plague increasing reduced
the christenings to 70 at a medium. Now the cause of this must be flying,
and death of teeming women” &c.--the total christenings of the year 1603
having been only 4789, as against some 6000 in the year before the plague,
and 5458 in the year after it.

This prevalence of plague in the suburbs and liberties of the City in the
spring of 1603 coincides with great political events. Queen Elizabeth died
at Richmond on the 24th of March, and was buried at Westminster on the
28th of April; according to Dekker, “never did the English nation behold
so much black worn as there was at her funeral.” The approach of king
James from Scotland appears to have caused an outburst of gaiety, his
accession to the crown, according to the same writer, having led to a
marked revival of trade: “Trades that lay dead and rotten started out of
their trance.... There was mirth in everyone’s face, the streets were
filled with gallants, tabacconists filled up whole taverns, vintners hung
out spick and span new ivy-bushes (because they wanted good wine), and
their old rain-beaten lattices marched under other colours, having lost
both company and colour before.” James made a slow progress from Scotland,
paying visits on the way. He arrived at Theobalds, near Cheshunt, on the
3rd of May, and was at Greenwich before the end of the month. On May 29, a
proclamation was issued commanding gentlemen to depart the court and city
on account of the plague. On June 23, the remainder of Trinity law term
was adjourned. On July 10, a letter (one of the series between J.
Chamberlain and Dudley Carleton) says: “Paul’s grows very thin [the church
aisles where people were wont to meet to exchange news], for every man
shrinks away. Our pageants are pretty forward, but most of them are such
small-timbered gentlemen that they cannot last long, and I doubt, if the
plague cease not sooner, they will riot and sink where they stand.” The
Coronation was shorn of its full splendour. On July 18, it was announced
that, as the king could not pass through the City--the traditional route
being from the Tower to Westminster--all the customary services by the way
are to be performed between Westminster Bridge and the Abbey. The
ceremony, thus shortened, took place on July 25. On August 8, it was
ordered that all fairs within fifty miles of London should be suspended,
the more important being Bartholomew fair at Smithfield, and Stourbridge
fair near Cambridge. The new Spanish ambassador was unable to approach the
king, who moved from place to place,--Hampton Court, Woodstock and
Southampton.

These are the traces left by this great epidemic in the state papers of
the time. As in the case of the sweating sickness of 1485, which was in
London while the preparations were going on for Henry VII.’s coronation,
we should hardly have known from public documents that the City was in a
state of panic. But in 1603 we are come to a period when other sources of
information are available. It remains to put together what descriptions
have come down to us of the City of the Plague.

The most graphic touches are those left by Thomas Dekker, the dramatist,
of whom it has been said that “he knew London as well as Dickens[924].”
To describe first the condition of the “sinfully polluted suburbs,” he
takes a walk through the still and melancholy streets in the dead hours of
the night. He hears from every house the loud groans of raving sick men,
the struggling pangs of souls departing, grief striking an alarum,
servants crying out for masters, wives for husbands, parents for children,
children for their mothers. Here, he meets some frantically running to
knock up sextons; there, others fearfully sweating with coffins, to steal
forth dead bodies lest the fatal handwriting of death should seal up their
houses. This would have been an evasion of the order, dating from 1547,
that no bodies were to be buried between six in the evening and six in the
morning--an order which was exactly reversed in the plague of 1665.

When morning comes, a hundred hungry graves stand gaping, and everyone of
them, as at a breakfast, hath swallowed down ten or eleven lifeless
carcases; before dinner, in the same gulf are twice so many more devoured,
and before the sun takes his rest these numbers are doubled,--threescore
bodies lying slovenly tumbled together in a muck-pit[925]! One gruesome
story he tells of a poor wretch in the Southwark parish of St Mary Overy,
who was thrown for dead upon a heap of bodies in the morning, and in the
afternoon was found gasping and gaping for life. Others were thrust out of
doors by cruel masters, to die in the fields and ditches, or in the common
cages or under stalls. A boy sick of the plague was put on the water in a
wherry to come ashore wherever he could, but landing was denied him by an
army of brown-bill men that kept the shore, so that he had to be taken
whence he came to die in a cellar. The sextons made their fortunes,
especially those of St Giles’s, Cripplegate, of St Sepulchre’s, outside
Newgate, of St Olave’s in Southwark, of St Clement’s at Temple Bar, and
of Stepney. Herb-wives and gardeners also prospered; the price of flowers,
herbs, and garlands rose wonderfully, insomuch that rosemary, which had
wont to be sold for twelve pence an armful, went now for six shillings a
handful.

While plague was thus raging in the poor skirts of the City, “paring them
off by little and little,” the well-to-do within the walls took alarm and
fled, “some riding, some on foot, some without boots, some in slippers, by
water, by land, swarm they westwards. Hackneys, watermen and waggons were
not so terribly employed many a year; so that within a short time there
was not a good horse in Smithfield, nor a coach to be set eyes on.” But
they might just as well have remained as trust themselves to the
“unmerciful hands of the country hard-hearted hobbinolls.” The sight of a
Londoner’s flat-cap was dreadful to a lob: a treble ruff threw a whole
village into a sweat. A crow that had been seen on a sunshiny day standing
on the top of Powles would have been better than a beacon on fire, to have
raised all the towns within ten miles of London for the keeping her out.
One Londoner set out for Bristol, thinking not to see his home again this
side Christmas. But forty miles from town the plague came upon him, and he
sought entrance to an inn. When his case was known, the doors of the inn
“had their wooden ribs crushed to pieces by being beaten together; the
casements were shut more close than an usurer’s greasy velvet pouch; the
drawing windows were hanged, drawn, and quartered; not a crevice but was
stopt, not a mouse-hole left open.” The host and hostess tumbled over each
other in their flight, the maids ran out into the orchard, the tapster
into the cellar. The unhappy Londoner was helped by a fellow-citizen who
appeared on the scene, and was carried to die on a truss of straw in the
corner of a field; but the parson and the clerk refused him burial, and he
was laid in a hole where he had died. According to Stow, Bamford, and
Davies of Hereford, such experiences of fugitive Londoners were repeated
everywhere in the country, and Dekker gives several other tales of the
same sort “to shorten long winter nights.”

Meanwhile, Dekker goes on, the plague had entered the gates of the City
and marched through Cheapside; men, women, and children dropped down
before him, houses were rifled, streets ransacked, rich men’s coffers
broken open and shared amongst prodigal heirs and unworthy servants. Every
house looked like St Bartholomew’s Hospital and every street like
Bucklersbury: (“the whole street called Bucklersbury,” says Stow, “on both
sides throughout is possessed of grocers, and apothecaries towards the
west end thereof”), for poor Mithridaticum and Dragon-water were bought in
every corner, and yet were both drunk every hour at other men’s cost. “I
could make your cheeks look pale and your hearts shake with telling how
some have had eighteen sores at one time running upon them, others ten or
twelve, many four and five; and how those that have been four times
wounded by this year’s infection have died of the last wound, while
others, hurt as often, are now going about whole.” Funerals followed so
close that three thousand mourners went as if trooping together, with rue
and wormwood stuffed into their ears and nostrils, looking like so many
boars’ heads stuck with branches of rosemary. A dying man was visited by a
friendly neighbour, who promised to order the coffin; but he died himself
an hour before his infected friend. A churchwarden in Thames Street, on
being asked for space in the churchyard, answered mockingly that he wanted
it for himself, and he did occupy it in three days.

One more extract from Dekker will bring us back to the strictly medical
history:

    “Never let any man ask me what became of our Phisitions in this
    massacre. They hid their synodical heads as well as the proudest, and
    I cannot blame them, for their phlebotomies, losinges and electuaries,
    with their diacatholicons, diacodions, amulets and antidotes, had not
    so much strength to hold life and soul together as a pot of Pinder’s
    ale and a nutmeg. Their drugs turned to durt, their simples were
    simple things. Galen could do no more good than Sir Giles Goosecap.
    Hippocrate, Avicen, Paracelsus, Rasis, Fernelius, with all their
    succeeding rabble of doctors and water-casters, were at their wits’
    end; for not one of them durst peep abroad.”

Only a band of desperadoes, he goes on, some few empirical madcaps--for
they could never be worth velvet caps--clapped their bills upon every
door. But besides the empirical desperadoes, who dared the infection for
the sake of the golden harvest, some few physicians and surgeons remained
at their post, or at least put out essays with prescriptions and rules of
regimen. Three such books on the plague were published in London in 1603,
of which the most notable was one by Dr Thomas Lodge[926], a poet like
Dekker himself, but of the academical school to which Dekker did not
belong. The passage quoted about the impotence of the faculty is perhaps
aimed at these books, which all abound with the sayings and maxims of
Hippocrates, Galen, Avicenna, and the like, Lodge also quoting the more
obscure name of Fernelius, which Dekker has not failed to seize upon.

Lodge confirms the statement about the empirical desperadoes clapping
their bills upon every post. One of them, “who underwrit not his bills,”
posted them close to Lodge’s house in Warwick Lane, so that the physician
was taken by the populace to be himself the advertiser. He was besieged
with applicants for his cordial waters, and wrote his book to make his own
position clear, being “aggrieved because of that loathsome imposition
which was laid upon me to make myself vendible (which is unworthy a
liberal and gentle mind, much more ill-beseeming a physician and
philosopher), who ought not to prostitute so sacred a profession so
abjectly.” Farther confirming Dekker about the greed of the quacks as well
as about the strictly business-like attitude of the regular profession, he
speaks of “my poor countrymen left without guide or counsel how to succour
themselves in extremity; for where the infection most rageth, there
poverty reigneth among the commons, which, having no supplies to satisfy
the greedy desires of those that should attend them, are for the most part
left desolate to die without relief.” The reader must wonder, he says,
“why, amongst so many excellent and learned physicians of this city, I
alone have undertaken to answer the expectation of the multitude, and to
bear the heavy burthen of contentious critiques and depravers.” The
explanation was that the regular faculty had for the most part gone out of
town, along with magistrates, ministers and rich men. Bamford, the
minister of St Olave’s, Southwark, who remained at his post, has no excuse
to offer for magistrates or for his clerical brethren, but he is extremely
fair to the doctors: “As for physicians, I only propound this question:
Whether they be bound in conscience to be resident, in regard of their
profession and ability to do good, or they may use their liberty for
themselves and (as they think) for their lives, in regard they are no
public persons and live (not by a common stipend but) by what they can
get.”

Dr Lodge, who dated his book from Warwick Lane on August 19, or when the
epidemic would have been at its height, had already won laurels in the
field of poetry and romance. He was an Oxonian (Trinity College, 1573) and
one of a set with Marlowe and Greene. “At length his mind growing
serious,” says Anthony Wood, “he studied physic,” travelling abroad for
the purpose and graduating M.D. at Avignon. He had great success in
practice, especially among Catholics, to whom he was suspected of
belonging. He died of the plague, during the next great epidemic of 1625,
at Low Leyton in Essex. His book on the plague would be entitled to a
place in medical literature if only that its style is above the average of
medical compositions. I cannot forbear quoting the following collect for
its structure and euphony:

    “But before I prosecute this my intended purpose, let us invocate and
    call upon that divine bounty, from whose fountain head of mercy every
    good and gracious benefit is derived, that it will please him to
    assist this my labor and charitable intent, and so to order the scope
    of my indevour, that it may redound to his eternal glory, our
    neighbours’ comfort, and the special benefit of our whole country;
    which, being now under the fatherly correction of Almighty God, and
    punished for our misdeeds by his heavy hand, may through the admirable
    effects and fruits of the sacred art of physic, receive prevention of
    their danger, and comfort in this desperate time of visitation. To him
    therefore, King of kings, invisible and only wise, be all honor,
    majesty and dominion, now and for ever. Amen.”

It is only in dealing with the more public aspects of the plague that
Lodge shows any individuality. So far as concerns causes,
prognostications, symptoms, remedies, preventives, and precautions, there
is little in his essay which is not to be found in the older plague-books,
such as the 14th century one of the bishop of Aarhus, his anatomical
directions for blood-letting being word for word the same as the bishop’s.
Some of his points are the same as in Skene’s Edinburgh essay of 1568,
such as the indication of plague about to begin which is got from rats,
moles and other underground creatures forsaking their holes. To keep off
the infection he advises the wearing of small cakes of arsenic in the
armpits, where the buboes usually came. That Paracelsist practice is known
to have been tried at Zurich in 1564; it was one of the matters of dispute
between the Galenists and the chemical physicians. During the plague of
1603, Dr Peter Turner published a curious tract in defence of it[927].

From a Venetian gentleman Lodge obtained also the formula of a
preservative from infection, which contained, among other things,
tormentilla root, white dittany, bole Armeniac and oriental pearl: “The
gentleman that gave me this assured me that he had given it to many in the
time of the great plague in Venice, who, though continually conversant in
the houses of those that were infected, received no infection or prejudice
by them.”

In his chapter on “The Order and Police that ought to be held in a City
during the Plague-time,” he advises the removal of the shambles from
within the walls to some remote and convenient place near the river of
Thames, to the end that the blood and garbage of beasts that are killed
may be washed away with the tide. Lodge lived just on the other side of
Newgate Street from the shambles, and could speak feelingly about them, as
many more had done since Edward III.’s time. The nobles of Aries, he says,
had acted so on the advice of Valenolaes, having built their
slaughter-houses to the westward of the city upon the river of Rhone. The
chief interest of the book is in the sections on preventing the spread of
infection. He quotes an instance from Alexander Benedetti of Venice, of a
feather-bed, slept on by one in the plague, having been laid aside for
seven years, “and the first that slept upon the same at the end of the
same term was suddenly surprised with the plague.” His directions for the
cleansing of houses, bedding, clothes, &c. are minute and thorough
(Chapter XVII.)[928]. Modern readers will find his views on isolation and
compulsory removal to hospital worth noting. The Pest House, which had
been lately built in the fields towards Finsbury, was then the only
special hospital to which patients in the plague could be removed, and its
accommodation was not great; the burials at it in the nine weeks from July
21 to September 22, 1603, were respectively 18, 18, 12, 21, 12, 6, 5, 10
and 10. The Bridewell near Fleet Street appears also to have admitted a
small number of plague-cases, the burials from it in the five weeks from
August 18 to September 22, having been respectively 8, 5, 17, 7 and 19.
There was also a pest-house in Tothill fields, for the Westminster end of
the town. Servants appear to have been mostly sent to these refuges. Lodge
saw that the principle of compulsory removal of the sick had no chance
without more hospital accommodation (as Defoe also insisted in reviewing
the plague of 1665), and he proposes a plan for a pest-house with
“twenty-eight to thirty separate chambers on the upper floor, and as many
beneath.” He is humanely alive to the hardships of compulsory isolation:

    “For in truth it is a great amazement, and no less horror, to separate
    the child from the father and mother, the husband from his wife, the
    wife from her husband, and the confederate and friend from his
    adherent and friend; and to speak my conscience in this matter, this
    course ought not to be kept before that, by the judgment of a learned
    physician, the sickness be resolved on. And when it shall be found it
    is infectious, yet it is very needful to use humanity towards such as
    are seized. And if their parents or friends have the means to succour
    them, and that freely, and with a good heart they are willing to do
    the same, those that have the charge to carry them to the pest-house
    ought to suffer them to use that office of charity towards their sick,
    yet with this condition that they keep them apart and suffer them not
    to frequent and converse with such as are in health. For, to speak the
    truth, one of the chiefest occasions of the death of such sick folks
    (besides the danger of their disease) is the fright and fear they
    conceive when they see themselves devoid of all succour, and, as it
    were, ravished out of the hands of their parents and friends, and
    committed to the trust of strangers.... And therefore in this cause
    men ought to proceed very discreetly and modestly.”

Another London essay of the same year, by “S. H. Studious in Phisicke” is
a much slighter production. The author writes in a superior strain and
offers advice “unto such Chirurgeons as shall be called or shall adventure
themselves to the care of this so dangerous sickness,” one piece of advice
being not to let blood except at the beginning of the seizure, and to take
then five ounces of blood in the morning, and three ounces more at three
in the afternoon, repeating the depletion next day at discretion. He
states also the theory of the plague-bubo: it was a way made by nature to
expel the venomous and corrupt matter which is noisome unto it. He advises
the practice of incising the bubo and of helping it to suppurate, which
was the treatment in the Black Death of 1348-49: if nature be “weak and
not able to expel the venom fast enough, by insensible transpiration the
venom returneth back to the heart and so presently destroyeth
nature[929].”

It is significant of the state of medical practice and literature in
England at the end of the Elizabethan period that the only other treatise
which the plague of 1603 is known to have called forth was a
mystification[930] under the name of one Thomas Thayre, chirurgian, “for
the benefite of his countrie, but chiefly for the honorable city of
London,” elaborately dedicated to the Lord Mayor of the year (by name),
the Sheriffs and the Aldermen, to whom “Thomas Thayre wisheth all
spirituall and temporal blessings.” It proves on examination to be a very
close reproduction, with some omissions at the end and a few additions,
of the old Treatise of the Pestilence by Thomas Phayre or Phaer, first
published in 1547, and was probably the venture of some bookseller or
literary hack. The original treatise of Phayre had been reprinted last in
1596, “latelye corrected and enlarged by Thomas Phayre,” although that
writer must have been dead many years. A reprint of some of “Dr Phaer’s”
remedies and preservatives, without date, is conjecturally assigned to the
year 1601. The original work of Henry VIII.’s time was also a literary
compilation, in some parts copied verbatim from the 14th century book by
the Danish bishop of Arusia, and bears not a trace of first-hand
observation. Yet it had the fortune to be reprinted once more, in 1722, by
a physician W. T., who remarked that, as the writers on plague in his own
time “usually transcribe from others,” he wished to set before them a
specimen “of such as have written on a disease of which they were
eye-witnesses.”

Two printed addresses on the plague by London ministers are extant: one by
Henoch Clapham, “to his ordinary hearers,” which is merely a sermon, in
the form of an epistle, to improve the occasion[931]; and the other by
James Bamford, rector of St Olave’s, Southwark, in the form of a dialogue,
and full of practical and sensible advice[932]. Bamford’s tract is
especially directed against “that bloody error which denieth the
pestilence to be contagious; maintained not only by the rude multitude but
by too many of the better sort;” and its chief medical interest lies in
the reasons with which he confutes that deadly heresy:--

    “Do not the botches, blains and spots (called God’s tokens)
    accompanied with raving and death, argue a stranger [sic] infection
    than that of the leprosy, to be judged by botches and spots? [the
    infectiousness of leprosy being proved by revelation, Lev. xiii.].
    Doth not the ordinary experience of laying live pigeons to
    plague-sores and taking them presently dead away, and that one after
    another, demonstrate mortal infection? In that the plague rageth and
    reigneth especially amongst the younger sort, and such as do not
    greatly regard clean and sweet keeping, and where many are pestered
    together in alleys and houses--is not this an argument of infection?
    Thousands can directly tell where, when, and of whom they took the
    infection.... Persons of a tender constitution or corrupt humours
    sooner take the plague than those of a strong constitution and sound
    bodies. The infirmities of many women in travail, and other diseases,
    turn into the plague. We see few auncient people die in comparison of
    children and the younger sort.

    “Lastly, of those that keep a good diet, have clean and sweet keeping,
    live in a good air, use reasonable and seasonable preservatives, and
    be not pestered many in one house, or have convenient house-room for
    their household--we see few infected in comparison of those that fail
    in all these means of preservation and yet will thrust themselves into
    danger.”

The plague of London in 1603 called forth also a poem by John Davies, a
schoolmaster of Hereford. It is called “The Triumph of Death; or the
Picture of the Plague, according to the Life, as it was in A.D.
1603[933].” The description is by no means so concrete as the title would
have us believe, and might, indeed, have been taken, most of it, at
second-hand from Dekker:--

  “Cast out your dead, the carcass-carrier cries,
   Which he by heaps in groundless graves inters ...
   The London lanes, themselves thereby to save,
   Did vomit out their undigested dead,
   Who by cart-loads are carried to the grave,
   For all those lanes with folk were overfed.”

He mentions that the prisoners in the gaols were comparatively exempt from
plague[934]. One line suggests the great size that the plague-buboes
sometimes reached:

  “Here swells a botch as high as hide can hold.”

Perhaps his particulars of the plague in the provinces, in 1603 and
following years, are from his own knowledge. Both the Universities, he
says, were forsaken.

  “Each village free now stands upon her guard ...
   The haycocks in the meads were oft opprest
   With plaguy bodies, both alive and dead,
   Which being used confounded man and beast.”

One incident he vouches for (in a marginal note) as having occurred at
Leominster: A person with the plague was drowned to prevent infection, by
the order of Sir Herbert Croft, one of the Council of the Marches of
Wales.


The Plague of 1603 in the country near London.

Most of the country parishes nearest to London had plague-burials in 1603,
doubtless from the escape of infected Londoners to them and from the
spreading of the infection. In several of these parish registers[935] the
plague-deaths in 1603 are more than in the time of the Great Plague of
1665: there is a note in the Croydon register that “many died in the
highways near the city.” The following table shows the mortalities, great
and small.

                              Burials
               Burials from    from
               all causes.    plague.

  Barking             381       --
  Battersea            23       --
  Beckenham            24       --
  Bromley              26       --
  Cheam                13        9
  Chigwell             28       --
  Chiselhurst          62       --
  Clapham              20  mostly plague
  Croydon              --      158
  Deptford            235       --
  Ealing              136       --
  Edmonton            145       85
  Eltham               52       17
  Enfield             253      129
  Finchley             51       38
  Hackney             321      269
  Hampstead             7       --
  Isleworth            75       --
  Islington           322       --
  Kensington           32       --
  Lambeth             566       --
  Lewisham            117       --
  Romford             122       --
  Stratford           130       89
  Streatham            36       --
  Tottenham            79       44
  Twickenham           --       67
  Wandsworth           --      100
  Wimbledon            21       --

A comparison of these figures with those of 1665 will show that the
northern parishes, Islington and Hackney, as well as parishes farther out
in the country, such as Enfield, had more plague-deaths in 1603 than in
the time of the Great Plague. Also Barking, Stratford and Romford on the
one side, and Lewisham, Eltham and Croydon on the other, had heavier
mortalities in the earlier year. It would appear, indeed, that the
infection in the country near London had been attracting notice before the
plague in the capital caused any alarm. On April 18, 1603, the lord mayor
wrote to the Privy Council concerning the steps that had been taken “to
prevent the spread of the plague in the counties of Middlesex and Surrey.”
On July 20, 1603, the king issued a warrant to the constables and others
of the hundred of Twyford in Kent, to levy a special rate on certain
parishes to relieve the sufferers by a grievous plague in the villages of
West Malling, East Malling, Offham, and seven others[936]. Such rates were
usually levied when an epidemic was nearly over; so that the outbreak in
Kent must have been at least as early as that in London.

The towns and villages of Hertfordshire, which were favourite resorts of
Londoners in plague-time, had their share of the visitation in 1603. At
Great Amwell, there were 41 burials in the year, of which 19 were of the
plague between August 19 and November 28, 6 of them in one day. Doubtless
the registers of other parishes in the home counties would show a similar
history if they were searched[937].


Annual Plague in London after 1603.

Before following the plague of 1603 into the provinces, it will be
convenient to give the history of the infection in London for the next few
years. There was little plague in 1604 and not much in 1605; but in 1606
the infection again became active, and continued at its endemic level for
some five or six years. The following table, from the weekly bills of
mortality, shows how regularly the infection came to a height in the
autumn year after year, as if it had been a product of the soil[938]:

_Table, from the Weekly Bills of Mortality (London), showing the increase
of Plague in Autumn, for five successive years._

                      1606   1607   1608   1609   1610

  Total deaths from}
    plague in the  }  2124   2352   2262   4240   1803
        year       }

  Weekly deaths in

                   {    25     27     16     60     38
                   {    33     33     26     57     45
       July        {    50     37     24     58     45
                   {    46     51     50     91     40
                   {    66     43

                   {    67     77     45    100     47
                   {    75     69     70    126     50
       August      {    85     76     79    101     73
                   {    85     71     73    150     60
                   {                        177     99

                   {   116    105    123    141     96
                   {   105    121    136    158     89
       Sept.       {    92    114    107    210     86
                   {    87    177    143    144     72
                   {                 147

                   {   141    150    103    154     63
                   {   106    113    131    177     79
       Oct.        {   117    110    124    131     59
                   {   109     82    102     55     49
                   {   101     68

                   {    68     66    109     84     58
                   {    41     55     72     69     40
       Nov.        {    78     46     69     67     22
                   {    72     21     70     59     42
                   {                         51     39

In Dekker’s _Seven Deadly Sins of London_, published in 1606, he returns
to the subject of the plague. He says that it still slays hundreds in a
week, a statement which will be seen to be an exaggeration by reference to
the Table. But, on another point, Dekker would have been correctly
informed. The playhouses, he says, stand empty, with the doors locked and
the flag taken down. The policy of forbidding plays during plague-time, or
when the infection threatened to be active, was advocated by the Puritan
clergy as early as 1577, and had been in force in the plague of 1563.
“Plaies are banished for a time out of London,” says Harrison in 1572,
“lest the resort unto them should ingender a plague, or rather disperse it
being already begonne[939].” In a sermon preached at Paul’s Cross on
Sunday, November 3, 1577, in the time of the plague, by T. W., on the text
“Woe to that abominable, filthy and cruel city,” the preacher exclaims,
“Behold the sumptuous theatre-houses, a continual monument of London’s
prodigal folly! But I understand they are now forbidden because of the
plague[940].” By the year 1581 the lord mayor had become a zealous
supporter of the Puritan demands for the stopping of plays in the City and
in the Liberties[941]. In July (?), 1603, James I. granted a licence to
players for performances in the Curtain and Boar’s Head theatres, “as soon
as the plague decreases to 30 deaths per week in London[942].” In the
beginning of winter, 1607, on the subsidence of plague, the theatres were
permitted to be opened, so that the “poor players,” might make a living;
but as the plague revived in 1608, and became still more serious in 1609,
it is tolerably certain that the theatres were shut during the whole
summer and autumn of those years.

Those years, from 1606 to 1610, when the actor’s and dramatist’s
profession was seriously hindered by the fear of plague, correspond to a
blank period in the personal history of Shakespeare. It has been
conjectured that he retired from London for a time, before his final
retirement to Stratford-on-Avon. At all events his occupation, if not
gone, was greatly interfered with in every one of the years from 1603 to
1610, excepting perhaps the years 1604 and 1605, which would hardly have
come within the limit of 30 plague-deaths in a week. In 1604 his name is
joined in a patent with that of Laurence Fletcher for the Globe theatre.
Plays continued to be acted in the plague-years, before the court or in
the houses of the nobility; but the applause of the pit and gallery would
have been wanting. _Macbeth_, which is supposed, from its subject, to have
been written to celebrate the accession of the king of Scots to the
English crown was not put on the stage until 1610 or 1611. _King Lear_
was given before the court at Christmas 1606. One of the quartos of
_Troilus and Cressida_, published in 1609, with the author’s name, has a
note to say that “this new piece had never been staled with the stage,
never clapper-clawed by the palms of the vulgar;” but another edition of
the same year (1609) omitting the preface, bears on the title that the
piece had been played at the Globe theatre by the king’s servants, from
which it is inferred that it had been acted in the interval between the
two editions of 1609. After 1610, and continuously so until 1625, there
was no plague in London to interfere with the business of actors and
play-writers, just as the period from 1594 to 1603 was a clear interval.
The earlier time of freedom was the great period of the drama in London.
The disastrous plague of 1603 and the successive unhealthy summers and
autumns until 1610 seriously interfered with it, and seriously interfered,
also, with Shakespeare’s active share in the production of plays on the
stage. Whatever writing he did after that would have been with a less
certain prospect of representation, or, one may say, was not done under
the same direct influence of playhouse atmosphere which inspired his
earlier comedies and historical plays.


Plague in the Provinces in 1603 and following years.

Returning now to 1603, to follow the infection into towns and villages in
the provinces, we find first that the plague had been active in some
provincial parts of England for several months before it broke out
severely in London in 1603. At Chester the great epidemic, referred to in
the sequel, began in September, 1602. At Stamford, an epidemic which
eventually carried off nearly 600 is heard of first on December 2, 1602,
when the corporation resolved to build a “cabbin” for the plague-stricken,
and again in January, 1603, when a fourth part of a fifteenth was levied
for their relief and maintenance[943].

At Oxford, which was one of the towns earliest and most severely smitten,
after London, the disease was first seen in July, 1603, and was supposed
to have been spread abroad by the “lewd and dissolute behaviour of some
base and unruly inhabitants.” In September the colleges broke up, having
made a collection for the relief of the plague-stricken town’s people
before leaving. The Michaelmas term was prorogued until December 5, but
very few came to the congregation, the plague not ceasing until February.
Anthony Wood says:

    “The truth is, the times were very sad, and nothing but lamentation
    and bemoanings heard in the streets. Those that had wealth retired
    into the country, but those that were needy were, if not taken away by
    death, almost starved, and so consequently ready to mutiny against
    their superiors for relief.” All the gates of colleges and halls were
    constantly kept shut day and night, a few persons being left in them
    to keep possession. The shops of the town were closed, none but the
    attendants on the sick or the collectors for them were to be seen
    stirring abroad, the churches were seldom or never open for divine
    service.

The plague having ceased in February most of the scholars came back, and
in April the infection broke out again, but was prevented from spreading.
The court was at Oxford in 1604, and plague broke out after it left, the
infected being sent, as before, to the house in Portmead and to the
cabins. Among the deaths was that of the Principal of Hart Hall,
apparently in August. It broke out once more in March, 1605, but did not
spread, whether owing to the measures that were taken or to natural causes
may remain doubtful[944]. From that date Oxford had a twenty years’
immunity, until 1625. The Cambridge annals are less full, partly, perhaps,
because none of the colleges kept a register on the plan of that of Merton
College; but it appears from a letter assigned to 1608 that the Visitor of
King’s College had been unable to come to the college to exercise his
much-needed authority, “in regard of the infection[945].”

The severity of plague in 1603 among the provincial towns and country
parishes is known accurately for only a few of them. From a considerable
number more there is evidence of outbreaks of one degree or another. Thus
at Canterbury, the accounts of the corporation contain entries of sums
paid for watching shut-up houses, for carrying out the dead, and the like,
during twenty-four weeks in 1603-4[946]. At Exeter, a pest-house had to be
provided, and the fairs were not kept[947]. Similar indications of plague
come from Winchester[948], Colchester[949], Ipswich[950], Norwich[951],
Boston[952], and Newcastle[953]. The register of a parish in Derbyshire
(Brimington) contains plague-deaths in the end of 1602[954].

For Chester there are full particulars of a great plague. It began in
September, 1602, in a glover’s house in St John’s Lane, where 7 died, and
kept increasing until the weekly deaths reached 60. In 1603 there died of
the plague 650, and of other diseases 61. In 1604 the plague-deaths were
986, of which 55 were in one week. From October 14, 1604, to March 20,
1605, 812 died, and about 100 more until the 9th January, 1606, when the
infection ceased for a time. Cabins outside the city were erected for the
plague-stricken. In some houses, especially of sailors, five or six of the
same family died in the course of two or three weeks[955].

It appears to have been in Nantwich and Northwych in one or more of the
years 1603-1605, a rate for relief of the poor in them having been ordered
on June 22, 1605. Plague-deaths occur in the registers of Macclesfield and
Congleton in 1603. At Stockport 51 were buried of plague from October 9,
1605, to August 14, 1606, most of them in the latter year[956]. Straggling
epidemics are also reported from Northamptonshire--31 burials from plague
at Merston Trussell in 1604, and 16 at Eydon in 1605[957].

One of the severest epidemics of the period occurred at York in 1604. The
markets were closed, the courts adjourned to Ripon and Durham, and the
Minster and Minster-yard closely shut up. The infected were housed in
booths on Hobmoor and Horsefair. The number of those who died is put down
at 3512[958]. Durham also had a visitation in St Giles’s parish, but a
minor one[959].

At Shrewsbury, however, the plague of 1604 was on the same disastrous
scale as at Chester and York, the deaths in the five parishes from June 2,
1604, to April 6, 1605, having been 667. On October 11, 1604, a
proclamation was issued against buying or receiving apparel, bedding,
etc., as it was suspected that plague spread greatly in the town by such
means[960]. A weekly tax was levied upon the inhabitants of Manchester,
sometime previous to 1606, for the relief of the poor infected, or
suspected of being infected, with the plague[961]. It was in Nottingham in
1604, and in at least one of the parishes in the county (Holme
Pierrepont)[962].

There are few parts of England from which evidence of plague does not come
in the years immediately following the great plague in London in 1603. To
those already mentioned we have to add Cranborne, in Dorset, where 71 died
of plague (in a total of 91) from June to December, 1604, six deaths
having occurred in the family first infected and eight in another[963].
The parish register of Monkleigh in North Devon has the words “cessat
pestis” opposite the entry of a burial on March 30, 1605[964]. In 1606
Peterborough was visited, the infection lasting “until the September
following[965].” In 1606 Eton also was “visited,” as appears from payments
made[966].

       *       *       *       *       *

In the years 1606-1610, as we have seen, the plague in London occurred as
a regular product of the summer and autumn seasons. The outbreak in 1608
has left several traces in the state letters[967]. On September 12, Lord
Chancellor Ellesmere writes from Ashridge (Berkhamstead) to the Secretary
of State that he will remain away until he is fully sure of his London
house being clear of the infection. On September 20 the City ditch was
being cleaned out, and Parliament was put off until February. On November
26 a letter from the court at Newmarket states that the king is angry that
my Lord Chamberlain has not sent him the bill of sickness. In 1609 there
were 13 plague-deaths in Enfield parish, and in 1610 some suspicious cases
near Theobalds.

In the provinces there is no record of plague again until 1608: at
Chester, in that year, 14 died of it “at the Talbot[968].” In 1609 the
infection was at work in a number of provincial centres. On June 1 a
letter from Rochester reports it prevalent in Kent, impeding the work of
the Commissioners for the Aid. On June 15 the Commissioners at Hereford
request farther time on account of the plague. On August 22 the king’s
tenants of Long Bennington, near Grantham, are brought to great poverty by
the plague[969]. These accounts relate to the counties of Hereford,
Lincoln and Kent, and with the last may be taken the brief reference to
plague at Sandwich[970]. Other counties affected in 1609, perhaps only at
a few spots, are Derbyshire, Norfolk, Northumberland, and Leicestershire.
In the first, there died at Chesterfield a few persons of the plague from
March 18 until May; at Belper, 51 between May 1 and September 30; and at
Holmesfield, the curate on March 12[971]. At Norwich the outbreak of 1609
was slight compared with other experiences of that city[972]. Its
existence at Newcastle the same year is known only from the register of St
Nicholas parish[973].

The plague in Loughborough was one of the severer kind. The first case of
it appears to have been on the 24th August, 1609, in a woman who had given
birth to a child on the 19th. The last plague entry in the parish register
is on February 19, 1611; so that the epidemic went on for about eighteen
months. During that time the whole mortality was 452, of which by far the
most were plague-burials. Within a mile of Loughborough is a spot of
ground, long after known as the Cabbin Lees, whereon many of the
inhabitants “prudently built themselves huts and encamped to avoid the
infection[974].”

In Leicester there was a slight amount of plague in 1607, and it
reappeared in 1608 (payments on account of it in the former year, and an
item of “30 hurdells used at the visited houses” in the accounts of 1608).
A more severe outbreak occurred in 1610 and 1611, during and after the
great plague at Loughborough. The streets lying towards the Castle were
exempt; a pest-house was built in Belgrave Gate; the burials for 1610 were
82 in St Martin’s parish alone (more than half being from plague), and in
1611 the same parish had 128 burials[975].

In 1610 the infection was at work in one or more villages of the county of
Durham; 78 deaths “of the pestilence” occur in the register of Lamesley
parish, and the same year was probably one of the numerous plague seasons
down to 1647 in Whickham parish, where it is said that the people, perhaps
the plague-stricken, lived in huts upon Whickham Fell[976]. At Chester in
1610 “many died of the plague[977]”; and at Evesham there was a visitation
which caused the wealthier inhabitants to leave the town and the
authorities to effect a much-needed improvement in the cleanliness of the
streets (swine found at large to be impounded, stones, timber, dunghills
and carrion to be removed from the streets, and the paving in front of
each house to be repaired and cleansed once a week)[978].

Between 1610 and 1625, which was an almost absolutely clear interval for
London, there are few accounts of plague from the provinces. In 1611,
moneys were levied for “the visited” at Sherborne[979], and there was a
local rate for the same class at Canterbury in 1614-15[980]. Accounts of
the same kind for Coventry probably belong to the year 1613[981]. Then, as
we come near the next great plague-period, which began with the new reign
in 1625, we find an entry of 26 plague-deaths at Banbury in 1623,
“recorded in a part of the original register which has not been
transcribed into the parchment copy[982]:” if the date be correct, Banbury
was the first town to break the somewhat prolonged truce with the plague,
which became broken all over the country in 1625. There appears also to
have been distress in Grantham from sickness of some kind in 1623; in
September of that year the corporation of Stamford made a collection “in
this dangerous time of visitation,” and sent £10 of it to Grantham, the
rest to go “to London or some other town as occasion offered.” But the
years 1623 and 1624 were so much afflicted with fevers that the “dangerous
time of visitation” may not have meant plague.


Ireland.

The accounts for Ireland are so casual that one suspects there may have
been more plague in that country than the records show. Thus, on January
25, 1604, there is a municipal order at Kilkenny, for men to stand at
every gate to keep out all strangers or suspected persons that might come
from any infected place within the kingdom; and on October 24 there is
another order, from which it appears that the plague was then in the town,
that it was needful to have the sick persons removed to remote places,
that no dung should be in the open streets before the doors, and that no
hogs should go or lie in the streets[983]. Towards the end of 1607 and
beginning of 1608 there was a “most dreadful pestilence” in the city of
Cork, which “by degrees ceased of itself[984].”


Plague in Scotland, 1603-24.

The history of the plague in Scotland, which we left in a former chapter
at the year 1603, begins again in that year and goes on at one place or
another continuously until 1609. From June, 1603, until February, 1604, it
continued in the south of Scotland. At Edinburgh, in April, 1604, the
house of Mr John Hall was “clengit,” because a servant woman’s death was
suspected of the plague: which infection certainly spread in May and
became so severe in July that people fled the city[985]. A letter of July
18 from Codrus Cottage, relating to gold-mining, and making mention of
Closeburn, says that the plague is amongst the men[986].

In 1605, towards the end of July, the infection reappeared at Edinburgh,
Leith, and St Andrews[987]. On October 7, the chancellor of Scotland, Lord
Dunfermline, wrote to the earl of Salisbury that the plague was rife in
the small towns about Edinburgh, probably its old favourite seats along
the Firth and on the Fife coast[988]. The chancellor himself, as we know
from another source, had had a sad experience of it in his own house; his
son and niece had died of the plague, and his daughter “had the boils” but
recovered[989]. The next year, 1606, was the worst of this plague-period
in Scotland: “It raged so extremely in all the corners of the kingdoms
that neither burgh nor land in any part was free. The burghs of Ayr and
Stirling were almost desolate, and all the judicatures of the land were
deserted[990].” It is to this epidemic that a curious transaction,
discovered by Chambers, seems to belong. Two houses, on the line of the
great road from the south towards Aberdeen, situated on opposite sides of
the Dee, the one being the house of a proprietor and the other of a
minister, were suspected of having received the infection. The gentlemen
of the county met and resolved to send to Dundee for two professional
“clengers” or disinfectors, giving a bond to the borough of Dundee for 500
merks for the services of its “clengers[991].”

In April of the year following, 1607, we hear of the plague in Dundee
itself, despite the experts, as well as in Perth and other places[992]. In
July, 1608, many houses in Dundee were infected, and so many magistrates
dead that new appointments were made by the Privy Council[993]. It broke
out again at Perth on August 29, and continued till May, 1609, “wherein
deit young and auld 500 persons[994].”

Until 1624 there is no other Scottish reference to plague except an entry,
November 7, 1609, touching the arrival at Leith of a vessel from the
Thames, with some of her crew dead of the plague, and the quarantining of
her at Inchkeith[995]. Edinburgh had a small outbreak the year before the
next great English plague that we come to. On November 23, 1624, the
infection was discovered to be in several houses, and the session of the
law courts was adjourned to January 8[996]; but Scotland appears to have
had no part in the great infection of English soil which immediately
followed.


Malignant Fever preceding the Plague of 1625.

The period of immunity from plague both in London and in the provinces,
which began about 1611, was at length broken in 1625. The health of
London, and of country districts as well, had not been good for two years
before, but plague was not the reigning type of disease. Thus, in London,
the burials rose from 8959 in 1622, to 11,102 in 1623 and to 12,210 in
1624. The letters of the time enable us to see what it was that disturbed
the public health. On August 21, 1624, Chamberlain writes from London to
Dudley Carleton[997]:

    “We had 328 died this week, a greater number than hath been these
    fifteen or sixteen years, and yet no mention of plague. God keep it
    from among us, for we are in danger. But this spotted fever is
    cousin-german to it at least, and makes as quick riddance almost. The
    Lady Hatton hath two or three of her children sick of it at her
    brother Fanshaw’s, in Essex, and hath lost her younger daughter, that
    was buried at Westminster on Wednesday night by her father; a pretty
    gentlewoman, much lamented.” Again, on September 4: “We have here but
    a sickly season, which is easily seen by the weekly mounting of our
    bill, which is come this last week to 407, and yet we will acknowledge
    no infection [i.e., of plague]. Indeed, by the particulars we find
    about 250 of them to be children, most of the rest carried away by
    this spotted fever, which reigns almost everywhere, in the country as
    ill as here.... The mortality is spread far and near, and takes hold
    of whole households in many places.” On October 9: “The town continues
    sickly still, for this week there died 347.” On October 23 we hear of
    the Lord Keeper being “troubled with the fluent disease of the
    time”--the flux, or flix. On December 18 (as well as previously on
    August 21) a cure of smallpox is mentioned in a person of quality.

These, then, were the prevalent types of epidemic sickness, in the houses
of the great as well as among the poor--spotted fever or typhus, dysentery
or flux, and smallpox. Two of these continued into the plague-year, 1625,
as Taylor, the Water-poet, says of that occasion:

  “Thou see’st the fearful plague, the flix and fever,
   Which many a soul doth from the body sever.”

An eminent victim of the “pestilent fever” was the marquis of Hamilton,
who died of it while at Moor Park, Rickmansworth, on Ash-Wednesday,
1625[998]. His residence in London was the house called Fisher’s Folly
(mentioned by Stow) outside Bishopsgate in a parish which was now
“pestered” with tenements of the poor.

The fever was not always called the spotted fever. It may have been the
same disease that is often spoken of under the name of ague--“the ague
with a hundred names,” as Abraham Holland says (1625). Thus, Mead, of
Christ’s College, Cambridge, writes on September 4, 1625: “Agues grow
wonderfully rife both here and everywhere; so that one told me yesterday
that about Royston and Barkway they wanted help to gather their harvest
out of the fields”--perhaps the same sort of “burning fever” which we
shall have to trace a few pages later, both in town and country, in time
of peace as well as in the Civil Wars, the type of sickness which became
the common one in England when the plague had ceased, reaching its highest
point in the 18th century. But here again we meet the old difficulty of
“influenza.”

These historical glimpses of spotted fevers, or pestilent fevers, in the
houses of the great, as well as among the common people, are in
accordance not only with the London bills of mortality for the respective
years, but also with the registers of country parishes and market towns as
abstracted by the laborious Dr Short. Repeating the form of table used in
a former chapter, which dealt with the epidemic years 1557-8 and 1580-82,
we find the years 1623-25 distinguished as follows:

_Country Parishes._

  Year.      No. of      No. of      Baptised    Buried
             registers   unhealthy   in same     in same
             examined    parishes

  1622          85          11        177          223
  1623          84          30        601          836
  1624          87          19        362          511
  1625          88          13        246          327


_Market Towns._

  Year.      No. of      No. of      Baptised   Buried
             registers   unhealthy   in same    in same
             examined    towns

  1622          25           4        345         442
  1623          25          16        439        2254
  1624          25           9        714         978
  1625          25           9        563         666

The incidence upon the year 1623 is the more noteworthy as there appears
to be no record of plague in England that year in its more usual seats,
except an entry in a parish register at Banbury. Fever, we may take it,
was the prevalent epidemic types both in London and provincial places,
urban and rural. In his other treatise Short calls it “malignant spotted
fever,” and refers specially to the parish registers of Keswick, Penrith,
and Wigton for its prevalence in 1623[999].

Chamberlain, in the letter of August 21, 1624, says the spotted fever was
cousin-german at least to the plague; and therein he expressed as a layman
an opinion which was afterwards formally expounded by Willis Sydenham and
Morton. Along with the flux and the smallpox it stood for the
unhealthiness of London in 1623 and 1624 and the first months of 1625,
just as the trio were the chief causes of epidemic mortality in the
capital in the latter part of the seventeenth century and throughout the
whole of the eighteenth. But in 1625 London was not yet done with plague.
As the year passed from spring into summer, the spotted fever did not,
indeed, cease (as we may infer from casual references and from the known
facts of the analogous plague-years, 1636 and 1665); but it was soon
overtaken, surpassed, and eclipsed by the greater infection, the old
“common infection” of the sixteenth century, the bubo-plague itself. To
explain the existence of typhus in the Liberties and out-parishes of
London in 1623 and 1624, we find ready to hand the evidence of
overcrowding while the plague was quiet from 1611; the births in 1624 were
about half as many again as immediately before the last great plague of
1603, and the deaths were twice as many. The fringe of poverty had grown
once more, despite the epidemic checks of flux, fever and smallpox: the
harvest was ready for the sickle, and the reaping took place in the summer
and autumn of 1625. The infection of plague was lurking in London, as it
had been for nearly three centuries; but it depended for its activity upon
the times and seasons, and the season of 1625 was a favourable one.


The London Plague of 1625.

The previous summer of 1624 had been unusually hot and dry. The weather in
October was exceptionally fine, and the fruit crop was abundant. In
January the weather was warm and mild. On February 25 there occurred one
of those very high tides that come perhaps once in a generation. Thames
Street was wrecked, Westminster Hall was “full three feet in water all
over. But the greater loss we hear of in the drowning of marshes, and
overthrowing the walls in Kent, Essex, Lincolnshire, Yorkshire, and other
places near the sea[1000].” For the first three months of 1625 the deaths
from plague were two or three in a week, some weeks being clear. In the
last week of March they were 11, and in the week after, 10. In the last
week of May they were 69, reported from twenty parishes. The spring is
described by the Water-poet as “wholesome;” but the early summer was
unusually cold. On June 12 Chamberlain writes: “We have had for a month
together the extremest cold weather ever I knew in this season.” The whole
month of June was a time of “ceaseless rain in London[1001].” In the
country, the hay-harvest was spoilt, and the corn-harvest was only a half
crop[1002]. Another says (in verse), that the summer sun wore sallow hair
and a languishing complexion; the air was full of black mists and damp,
with no dewdrops at night, but a vaporous smoke[1003]. The following table
of the weekly burials (with christenings) in London will show how the
plague increased after the rains of June. The mortality of May and June
had been a good deal higher for the season than in the moderate endemic
years of plague, such as the last series from 1606 to 1611; but it was not
until July that a plague of the first degree declared itself.

_A Table of the Christenings and Mortality in London for the year
1625._[1004]

                                               Of        Parishes
  Week ending    Christened     Buried       Plague      Infected

  Dec.  23           165           183           0           0
        30           176           211           0           0
  Jan.   6           199           220           1           1
        13           194           196           1           1
        20           160           240           0           0
        27           178           226           0           0
  Feb.   3           178           174           3           1
        10           161           204           5           2
        17           181           211           3           1
        24           190           252           1           1
  Mar.   3           185           207           0           0
        10           196           210           0           0
        17           175           262           4           3
        24           187           226           8           2
        31           133           243          11           4
  Apr.   7           184           239          10           4
        14           154           256          24          10
        21           160           230          25          11
        28           134           305          26           9
  May    5           158           292          30          10
        12           140           332          45          13
        19           182           379          71          17
        26           145           401          78          16
  June   2           123           395          69          20
         9           125           434          91          25
        16           110           510         165          31
        23           110           640         239          32
        30           125           942         390          50
  July   7           114          1222         593          57
        14           115          1741        1004          82
        21           137          2850        1819          96
        28           155          3583        2471         103
  Aug.   4           128          4517        3659         114
        11           125          4855        4115         112
        18           134          5205        4463         114
        25           135          4841        4218         114
  Sept.  1           117          3897        3344         117
         8           112          3157        2550         116
        15           100          2148        1674         107
        22            75          1994        1551         111
        29            78          1236         852         103
  Oct.   6            77           838         538          99
        13            85           815         511          91
        20            91           651         331          76
        27            77           375         134          47
  Nov.   3            82           357          89          41
        10            85           319          92          35
        17            88           274          48          22
        24            88           231          27          16
  Dec.   1            93           190          15          12
         8            90           181          15           7
        15            94           168           6           5
                    ----         -----       -----
                    6983         54265       35417

The deaths from all causes in May and June were so many more than the
reported plague-deaths could account for that those who watched the bills
of mortality (Mead at Cambridge, Salvetti in London) suspected that plague
was being concealed. “It is a strange reckoning,” says Mead of the bill
for the week ending June 30: “Are there some other diseases as bad and
spreading as the plague, or is there untrue dealing in the account[1005]?”
Probably there were both; at the end of the year the deaths from all
causes were some 20,000 more than the plague accounted for; and at least
half of that excess was extra to the ordinary mortality. The spotted fever
and the flux doubtless continued side by side with the plague, having
been its forerunners. The parishes most affected were, as in 1603, St
Giles’s, Cripplegate, St Olave’s, Southwark, St Sepulchre’s, without
Newgate, and St Mary’s, Whitechapel, corresponding to the mazes of lanes
and twisting passages, “pestered” with the tenements of the poorer class,
of which only a few examples now remain from 18th century London. The
following are the parishes with greatest mortality, in their order (Bell):

                                   Total       Plague
                                   deaths      deaths

  St Giles’s, Cripplegate           3988        2338
  St Olave’s, Southwark             3689        2609
  St Sepulchre’s, Newgate           3425        2420
  St Mary’s, Whitechapel            3305        2272
  St Saviour’s, Southwark           2746        1671
  St Botolph’s, Aldgate             2573        1653
  St Botolph’s, Bishopsgate         2334         714
  St Andrew’s, Holborn              2190        1636
  St Leonard’s, Shoreditch          1995        1407
  St George’s, Southwark            1608         912
  St Bride’s, Fleet St.             1481        1031
  St Martin’s in the Fields         1470         973
  St Giles’s in the Fields          1333         947
  St Clement’s Danes                1284         755
  St James’s, Clerkenwell           1191         903
  St Magdalen’s, Bermondsey         1127         889
  St Katharine’s, Tower              998         744
  St Dunstan’s in the West           860         642
  97 parishes within the walls     14342        9197

The original printed bill of the Parish Clerks is extant for the worst
week but one, August 4th to 11th[1006]. Its mortalities for the week in
each of the 122 parishes are almost exactly in the order of the final
summation for the year, so that the details throw no light upon the
question, in what direction the infection spread, or what parishes felt
its incidence most as the season advanced. The total mortalities for the
week within the walls, in the Liberties, and in the nine out-parishes
(within the Bills) are respectively 1144, 2717 and 994. The infection is
said[1007] to have begun in Whitechapel, as we conclude that it did also
in 1603; but the City had its due share at length, the parishes of St
Stephen, Coleman Street (full of tortuous passages), of Allhallows the
Great, and of Christ Church having the largest mortalities.

In the 97 parishes of the City, the 16 parishes of the Liberties, and 9
out-parishes, the deaths at the end of the year were 54,265 from all
causes, whereof of the plague 35,417. But that was by no means the whole
mortality. A separate account was kept for the parishes of Stepney,
Newington, Lambeth, Islington, and Hackney, and for the Westminster
parishes, in all of which the deaths from December 30, 1624, to December
22, 1625, were from all causes 8,736, whereof of the plague 5,896[1008].
The grand total of deaths in 1625 was, accordingly, 63,001, whereof of the
plague 41,313.

The large parish of Stepney, extending from Shoreditch to Blackwall, was
one of the worst plague-districts in London. It is mentioned as such by
Dekker in 1603; and in the plague of 1665 it headed the list, with 8,598
deaths, whereof of the plague 6,583. We have some particulars of it for
1625: in the week July 18 to 24, there died in it 184, whereof of the
plague, 144; and from July 25 to 31, 259, of which 241 were
plague-deaths[1009]; and those figures would have been nearly doubled in
the weeks of August. Stepney alone would have had about half the deaths in
the additional bill for the year; the parish register of Lambeth gives 623
burials, of Islington 213, and of Hackney 170[1010], while Westminster
with St Mary Newington (or Newington Butts, between Lambeth and Southwark)
and Rotherhithe would account for most of the remainder. The parishes
farthest out, and on higher ground, such as Hackney, Islington and Stoke
Newington had fewer burials than in 1603.

The plague of 1625 was a great national event, although historians, as
usual, do no more than mention it. Coinciding exactly with the accession
of Charles I., it stopped all trade in the City for a season and left
great confusion and impoverishment behind it; in many provincial towns and
in whole counties the plague of that or the following years made the
people unable, supposing that they had been willing, to take up the
forced loan, and to furnish ships or the money for them. The history might
have proceeded just the same without the plague; but historians would
doubtless admit that all causes, moral and physical, should be taken into
the account; and it will not be thought beyond the scope of this history
to enter as fully as possible into these events of sickness. First as to
the sources, other than statistical. Four or more poems were written on
the plague of 1625--an interminable one by George Wither (with other
topics brought in) in eight cantos and about thirty thousand lines[1011],
a piece by John Taylor, the water-poet and Queen’s bargeman, not wanting
in graphic touches[1012], a short piece by Abraham Holland[1013], the son
of Philemon Holland, doctor of physic, and another short poem by one
Brewer[1014]. Besides the poems, there were sermons, mostly when the
epidemic was over, and various other moral pieces to improve the occasion.
A broadside called _The Red Crosse_ gives a few details of former plagues.
The letters of Chamberlain to Carleton, those of Mead, at Christ’s
College, Cambridge (whose relation Dr Meddus, rector of St Gabriel’s,
Fenchurch Street, was in the City during the epidemic), and the diary of
Salvetti, the envoy of the Grand Duke of Tuscany[1015], supply many
particulars; while the _Calendar of State Papers_ brings together other
information both for London and the provinces. I know of no account of the
plague of 1625 from the medical side[1016].

James I., prematurely worn out at fifty-seven, died at Theobalds on March
27, from the effects of a tertian ague, for which he preferred to be
treated by the plasters and possets of an obscure ague-curer from Dunmow,
setting aside his physicians, who would have succeeded no better. A great
funeral, for which 14,000 “blacks” were given out, followed on May 7.
Meanwhile the marriage of Charles I. to the princess Henrietta of France
was being arranged. The king met his bride at Dover on June 13, and
entered London with her on the 18th, passing up the river in a state barge
to Denmark House, amidst an immense concourse of people on the houses and
shipping, and in wherries on the water, with salvoes of artillery and
demonstrations of welcome to the Catholic princess. On the 13th the Lord
Keeper had written to Conway, Secretary of State, that cases of plague had
occurred in Westminster, and that he could have wished that his majesty
had determined to come no nearer than Greenwich. The nobility were kept in
town to await the coming of the new queen, and some of them by the summons
to Parliament. The Houses met on June 18, and were advised in the king’s
speech to expedite their business on account of the plague. However, those
who were disposed to refuse supplies until grievances were redressed could
make use of the plague as well as the king, and it was proposed by Mallory
and Wentworth to adjourn on that plea until Michaelmas. The Houses sat for
three weeks, until July 11, when they were adjourned to meet at Oxford on
August 1. On a day in June Francis, Lord Russell (afterwards earl of
Bedford), “being to go to Parliament, had his shoemaker to pull on his
boots, who fell down dead of the plague in his presence,” so that his
lordship avoided the House. In the first week of July, the court removed
to Hampton Court, and thence to Woodstock and to Beaulieu in the New
Forest. The Coronation was put off until October, for reasons connected
with the queen’s religion as well as for the infection, and eventually
until February 2, 1626.

Before Parliament rose, it obtained the king’s sanction to a solemn fast.
“This,” says the Tuscan, Salvetti, “is a ceremony which is performed in
all the parishes, and consists in staying in church all day singing
psalms, hearing sermons, the one shortly after the other, and making I
know not how many prayers, imploring God for stoppage of the plague, and
of the ceaseless rain which for a month past has fallen to the detriment
of all kinds of crops.” At that date, July 1, he says that plague is now
spread through all the streets and has reached other parts of the kingdom.
A general exodus took place to the country, of all who had the means to
remove. As in 1603, the magistrates, the ministers, the doctors, and the
rich men seem to have left the city to take care of itself. On August 9,
Salvetti, who had himself escaped to Richmond, writes: “The magistrates in
desperation have abandoned every care; everyone does what he pleases, and
the houses of merchants who have left London are broken into and robbed.”
On September 1, Dr Meddus, rector of St Gabriel’s, Fenchurch Street,
wrote: “The want and misery is the greatest here that ever any man living
knew; no trading at all; the rich all gone; housekeepers and apprentices
of manual trades begging in the streets, and that in such a lamentable
manner as will make the strongest heart to yearn.” The city an hour after
noon was the same as at three in the morning in the month of June, no more
people stirring, no more shops open[1017]. This is re-echoed in verse by
Abraham Holland:

  “A noon in Fleet Street now can hardly show
   That press which midnight could, not long ago.
   Walk through the woeful streets (whoever dare
   Still venture on the sad infected air)
   So many marked houses you shall meet
   As if the city were one Red-Cross Street.”

And by the Water-poet:

  “In some whole street, perhaps, a shop or twain
   Stands open for small takings and less gain.
   And every closed window, door and stall
   Makes every day seem a solemn festival.
   All trades are dead, or almost out of breath,
   But such as live by sickness and by death.”

The circumstances are so exactly the same as in 1603 that it is needless
to repeat much: the sextons, coffin-makers, bearers, searchers,
apothecaries and quacks are all profitably employed;

  “And last to dog-killers great gain abounds,
   For braining brawling curs and foisting hounds.”

The clocks striking the hours are not heard for the constant tolling of
bells. “Strange,” says Holland,

  “Strange that the hours should fail to tell the day
   When Time to thousands ran so fast away.”

Of the sick, Taylor says there were

  “Some franticke raving, some with anguish crying.”

--delirious ravings and cries of pain (from the buboes) which we know from
the accounts for 1665 to have been no rhetorical exaggeration. There were
the same crowded common graves as in 1603, probably in the same
graveyards:

  “My multitude of graves that gaping wide
   Are hourly fed with carcases of men.
   Those hardly swallowed, they be fed again.”

Or as Taylor says,

  “Dead coarses carried and recarried still
   Whilst fifty corpses scarce one grave doth fill.”

The treatment seems to have been mostly in the hands of quacks. Taylor
says:

  “On many a post I see Quacksalvers’ bills
   Like fencers’ challenges to show their skill.”

The Water-poet, being Queen’s bargeman, appears to have had a proper
feeling for all constituted authorities. After denouncing the quacks, as
men who “pick their living out of others’ dying,” he proceeds to eulogise
the regular practitioners, forgetting to add that they were now
conspicuous by their absence:

  “This sharp invective no way seems to touch
   The learned physicians whom I honour much.
   The Paracelsists and the Galenists,
   The philosophical grave Herbalists,--
   These I admire and reverence, for in those
   God doth dame nature’s secrets fast inclose,
   Which they distribute as occasions serve.”

--the prevalence of plague not being one of the occasions for revealing
the secrets entrusted to them.

The medical faculty is hardly at all in evidence the whole time. Thayre’s
surgical treatise of 1603 was reprinted; while a semi-empiric, one Stephen
Bradwell, the grandson of Banister, a well-known Elizabethan practitioner,
published a poor essay on plague, patched up from the usual stale sources
and plagiarised even from the lay dialogue of the rector of St Olave’s in
1603[1018]. Bradwell addressed the reader, on July 15 “from my study in
Mugwell-street, ready to my power to do thee any pleasure.”

    “I have two powders. I have also an excellent electuary. I have
    likewise lozenges, and rich pomanders to smell of. These are all of my
    grandfather’s invention, and have been proved to be admirably
    effectual both by his and my father’s experience. I confess they are
    costly; but slight means and cheap medicines (however they promise)
    prove as dear as death. The first powder is 12 pence a dram. The
    second is 3 pence a grain (the quantity is 10 or 12 grains). The
    electuary is 2 shillings and 6 pence an ounce, the quantity is one or
    two drams. There is a fellow in Distaff-lane that disperseth his bills
    abroad, bragging of a medicine that was my grandfather Bannister’s. My
    grandfather was very scrupulous of giving any special receipts to
    others. But if any man can say he hath any receipt of his, I am sure,
    if it were of any value, I have the copy of it. Because many men know
    that I have a whole volume of excellent receipts left me both by my
    grandfather and my father, and lest they should conceive me as too
    strict and covetous in keeping all secret to myself, I have thought
    fit for the common good to divulge this excellent antidote
    following:”--the ingredients occupying a whole page.

This enterprising tradesman had been at Oxford, where he failed to take a
degree in medicine, but he was a licentiate of the College of Physicians.
He is the single literary representative of the faculty, so far as
appears, in 1625; and there is nothing in his essay that concerns us,
except the following corroboration of a well-known character of the
epidemic:

    “Poor people, by reason of their great want, living sluttishly,
    feeding nastily on offals, or the worst and unwholesomest meats, and
    many times, too, lacking food altogether, have both their bodies much
    corrupted, and their spirits exceedingly weakened; whereby they
    become (of all others) most subject to this sickness. And therefore we
    see the plague sweeps up such people in greatest heaps.”

It is impossible to know whether any considerable proportion recovered. It
appears that, as in 1603, the buboes and boils might come out in the same
person more than once, and that the best chance was from their
suppuration:

  “Some with their carbuncles and sores new burst
   Are fed with hope they have escaped the worst.”

But the best hope was in flight, as Bradwell was candid enough to say,
although he remained behind with his shilling powders and half-crown
electuaries. _Cito cede, longé recede, tardé redi_--is the proverbial
advice which he quotes.

However, the people in their flight, unless they were nobles or squires
with country houses, fared but ill in the provinces. The story of their
reception in country towns and villages is so like that of 1603 that one
might suppose in this, as in other things, that the writers of 1625 were
copying from Dekker. One of the versifiers, Brewer, has a section
specially devoted to a “Relation of the many miseries that many of those
that fly the City do fall into in the country.” They are driven back by
men with bills and halberds, passing through village after village in
disgrace until they end their journey; they sleep in stables, barns and
outhouses, or even by the roadside in ditches and in the open fields. And
that was the lot of comparatively wealthy men. Taylor says that when he
was with the queen’s barge at Hampton Court and up the river almost to
Oxford, he had much grief and remorse to see and hear of the miserable and
cold entertainment of many Londoners:

  “The name of London now both far and near
   Strikes all the towns and villages with fear.
   And to be thought a Londoner is worse
   Than one that breaks a house, or takes a purse ...
   Whilst hay-cock lodging with hard slender fare,
   Welcome, like dogs into a church, they are.
   For why the hob-nailed boors, inhuman blocks,
   Uncharitable hounds, hearts hard as rocks,
   Did suffer people in the field to sink
   Rather than give or sell a draught of drink.
   Milkmaids and farmers’ wives are grown so nice
   They think a Citizen a cockatrice,
   And country dames are waxed so coy and brisk
   They shun him as they shun a basilisk.”

Taylor gives various instances in prose:

    “A man sick of an ague lying on the ground at Maidenhead in Berkshire,
    with his fit violently on him, had stones cast at him by two men of
    the towne (whom I could name), and when they could not cause him to
    rise, one of them tooke a hitcher, or long boat-hook, and hitched in
    the sick man’s breeches, drawing him backward with his face grovelling
    on the ground, drawing him so under the bridge in a dry place, where
    he lay till his fit was gone, and having lost a new hat, went his
    way.”

One at Richmond was drawn naked in the night by his own wife and boy, and
cast into the Thames, where the next day the corpse was found. The village
of Hendon distinguished itself by relieving the sick, burying the dead,
and collecting eight pounds, at the least (being but a small village) for
the poor of St Andrew’s, Holborn, besides allowing good weekly wages to
two men to attend and bury such as died. The village of Tottenham appears
to have been equally hospitable; but as it was on the road to Theobalds,
and some of his majesty’s servants dwelt there, the Privy Council on July
19, wrote to the justices of Middlesex to order the inhabitants of
Tottenham, who had received into their houses “multitudes of inmates,” to
remove the new-comers and not to receive any in future[1019]. Although the
king was not at Richmond, yet as there was a royal residence there, the
inhabitants sought to drive away citizens on the ground of the warrant
forbidding them to approach any of his majesty’s houses[1020]. At
Woodstock, where the Court was in August, no one was allowed to go from
thence to London, nor any to come thither, and for contraveners a gibbet
was set up at the Court gate[1021]. It was hardly possible to get a letter
smuggled into London[1022]; in the provinces “no one comes into a town
without a ticket, yet there are few free places.” At Southampton on August
27, a stranger died in the fields: “He came from London. He had good store
of money about him, which was taken before he was cold[1023].” Dr Donne,
the dean of St Paul’s, confirms these experiences in a letter of November
25, from Chelsea[1024]:

    “The citizens fled away as out of a house on fire, and stuffed their
    pockets with their best ware, and threw themselves into the highways,
    and were not received so much as into barns, and perished so: some of
    them with more money about them than would have bought the village
    where they died. A justice of the peace told me of one that died so
    with £1400 about him.”

Meddus, rector of St Gabriel’s, heard of one sad case of a citizen in
Leadenhall-street who removed to the country with his seven children, “but
having buried all there is come again hither,” in July[1025]. In October,
the people began to come back, although the infection was by no means
over; Salvetti, who was himself near Huntingdon, says that many of the
returning artisans caught the infection in the city, which is probable
enough, as it happened also in 1665. On October 15, a correspondent of
Mead’s wrote that in his passing through London he found the streets full
of people, and the highways full of passengers, horse and foot. On October
24, we hear of great distress among tradesmen, artificers and farmers
round London, and of discontent at the forced loan[1026]; although the
Court itself was in as great extremity during the plague for want of money
as any private house could have been. On November 22, the lord mayor and
aldermen wrote to the Privy Council that the great mortality, although it
had taken many poor people away, yet had made more poverty by decay of
tradesmen, the want and misery being still very great[1027]. Still, the
effect of this great plague on London, cutting off some fifty thousand in
a year, or more than a fifth part of the population, must have been, like
that of all other great plagues in London, to cut off the fringe of
poverty and broken fortunes, and to raise the general average of
well-being of those that remained. Trade would come back; but the
submerged tenth, or sixth, or fourth, or whatever fraction they made, were
drowned for good.

London soon filled up the gaps made by the plague, doubtless by fresh
blood from the country. In 1627, the christenings were again at 8,408,
having been at a maximum of 8,299 the year before the plague. In 1629 they
actually exceeded the burials by more than a thousand (9,901 to 8,771),
and continued to be slightly in excess until the next plague of 1636.


The Plague of 1625 near London.

In the immediate neighbourhood of the capital the parishes on the Kentish
chalk below London, such as Deptford, Greenwich, Lewisham, Eltham and
Bromley had more plague in 1625 than in 1603. Kensington, for some unknown
reason, has 80 deaths from all causes in the register, as against 32 in
1603 and 62 (of plague 25) in 1665. The group of parishes in Middlesex,
such as Enfield, Edmonton and Finchley, had each a large number of deaths,
but somewhat less than in 1603 and 1665, and the same holds for Hackney
and Stoke Newington, Islington and Hampstead. Places up the Thames all the
way from Battersea to Windsor were infected, including Wandsworth, Putney,
Isleworth, Richmond, Kingston and Hampton Court. Eton was “visited;” even
the sequestered village of Stoke Pogis had houses shut up “by reason of
the contagion” and a collection made for their impoverished inmates. Among
the Hertfordshire towns to which Londoners resorted in plague-times,
Watford is known to have had plague-deaths in 1625. In Essex,--Stratford,
Tottenham, Romford and Barking had each a large number of plague-deaths,
and, in Surrey, Croydon and Streatham. At Carshalton, oddly enough, the
heavy mortality was the year after (1626) “not from plague, but from a
disease somewhat akin to it[1028].”


Plague in the Provinces in 1625 and following years.

It is stated by Salvetti and other gossips of the time that the infection
of plague in 1625 was carried all over the country from London by the
fleeing citizens, and that few places remained free from it, just as it
was said afterwards for the plague of 1665. So far as records show, one
would not be warranted in inferring a great provincial prevalence of
plague either in 1625 or in 1665. There was plague at Plymouth, and in the
south-western counties, under very special circumstances, as we shall see.
There was plague also at Norwich, said to have been brought from Yarmouth,
and at Colchester the year after. Newcastle, also, which hardly ever
escaped the infection when it was afoot, had one of its minor visitations.
But, on the whole, it is impossible to show by local evidences that the
plague of 1625 was diffused universally over England, either in that or in
the following year, or that it grew to a great epidemic in but a few
provincial centres[1029]. Probably all the plague-deaths in the provinces
together, in 1625 and 1626, would not have made a fifth part of the
mortality in London.

The interest centres in the plague at Plymouth, with which the outbreaks
at Ashburton, Exeter, Dartmouth, Bridport, and perhaps Portsmouth, Rye and
other places, may be connected, if not causally, yet in neighbourhood. The
first that we hear of sickness at Plymouth is under date July 26, 1625;
some of the ships arrived there had been visited with sickness, and the
sick had been landed and lodged under sails[1030]. It is not called “the
sickness,” and it is not clear that it was bubo-plague. There may, indeed,
have been real plague on board ships of war: Stow says that it was in the
fleet in 1603, and there is evidence of its existence now and again in the
Venetian galleys of an earlier day. But we are now come to the period of
the beginnings of ship-fever, as we shall see in the next chapter; and,
for the present, we must not assume that the sickness on board ship in
1625 was all plague, or chiefly plague.

The ships at Plymouth in July were doubtless a part of the squadron of
ninety sail, which sailed thence in autumn, carrying ten thousand men to
make war on Spain, in accordance with the anti-Catholic policy which had
been forced upon James I. in the last years of his reign, and was now
being carried out by Charles I. and Buckingham. This was not the first
fruit of that policy. The immediate result of it was Mansfeld’s English
troops for the recovery of the Palatinate to Protestant rule. That
expedition failing to effect a landing was speedily broken with disease,
and before it had been many days on shore in Holland was burying 40 or 50
men a day. The fleet eight months later had a similar experience. The
ships were victualled with rotten food, and the men were supplied with
worthless clothing. As the facts were never investigated, the king having
interfered to shield the duke of Buckingham from the attack on him by Sir
John Eliot, peculation and jobbery were never proved, although it was
known to everyone that honesty was the last quality to be looked for in
those about the king and the favourite. The fleet reached the Bay of Cadiz
and made a futile demonstration there. It is in the month of November that
we begin to hear of sickness. On the 9th Viscount Wimbledon writes from on
board the ‘Anne Royal’ to Secretary Conway that there are not men enough
to keep the watches owing to sickness. On December 22, the Commissioners
at Plymouth write to the Council that about thirty sail had arrived there
with 4,000 soldiers “in such miserable condition as for the most part to
be incapable of such comforts as the country would afford them.” Captain
Bolles, who died since their coming in, declared the occasion of his
sickness to be scarcity and corruption of the provisions. Great numbers of
the soldiers are continually thrown overboard. Yesterday seven fell down
in the streets. The rest are weak, and want clothes, for the supply of
which some thousands of pounds were needed. The despatch of December 29,
says, “They stink as they go, and the poor rags they have are rotten and
ready to fall off if they be touched”[1031].

So far there is no word of plague; on the other hand there is a strong
probability that the sickness was ship-fever, or typhus. It is not until
the spring of 1626 that the plague is mentioned at Plymouth. On March 18,
sickness increases at Plymouth and the plague is wondrous rife. On March
28, the plague is dispersed about the town. On April 5, the sickness
increases very much. On the 11th, 40 died last week and twenty houses are
shut up; some of the sick died and were buried in less than twenty-four
hours. On 8th June, the plague is very bad in Plymouth, and the town is
destitute of its best inhabitants. The town-council records bear witness
to a rate having been levied for the relief of the plague-stricken, and to
attempts as late as 1628 to collect their share of it from those who had
fled the town in 1626. The deaths at Plymouth are stated in a manuscript
book of the municipal annals to have been 2,000[1032].

Meanwhile plague appeared in other parts of Devonshire. In Exeter it had
been prevalent sooner than in Plymouth itself; a letter of November 17,
1625, speaks of the afflicted state of the city, and of the weekly
contributions for the plague-stricken. Some particulars of the state of
Exeter at this time are given in a memorial to the Privy Council by the
mayor and bailiffs of the city, dated October 15, 1627. During the great
sickness which fell on their city, and was not cleared in sixteen months,
all trading was stopped and the inhabitants generally left the town. To
appease a mutiny of the more disordered people, who threatened to burn the
city, a rate was assessed generally on the city, but most of the
inhabitants being absent, the corporation took up the amount at interest
on their own credit. The persons whose names are inclosed, being
inhabitants who have returned to the city, now refuse to pay the rate
assessed in their absence; and the Council is petitioned to summon them
before it[1033].

On May 17, 1626, the plague is reported to be rife “in Devonshire,” and
specifically, on July 28, at Okehampton and Ashburton. The epidemic at
Ashburton was on the same severe scale as at Plymouth. It began in the end
of 1625, but was most fatal in April and May, 1626. The deaths in a
twelvemonth were 365, “probably a fourth of the inhabitants[1034].” (In
1627 there were only 27 deaths, doubtless from the empty state of the
town.) The same summer it is heard of in Dorsetshire. On September 2, the
deputy lieutenants and justices of the county petition the Privy Council
that the 1000 soldiers who were to be removed from Devon and Cornwall,
should not be quartered in Dorset, but in Somerset, as the former was
visited with the plague[1035]. Perhaps Bridport was the centre of plague
referred to. Sometime later in the year, perhaps in November, the bailiffs
and burgesses of that town explain to the Council that, although they had
subscribed to the loan, yet they were unable to pay the amount subscribed
as the town was destitute by reason of a twenty weeks’ visitation of
plague[1036].

The last of this series of outbreaks in the south-west appears to have
been at Dartmouth in the summer of 1627. On June 29, it was reported that
the plague was so hot there that the inhabitants had left. The mayor wrote
on July 19 to the Privy Council that it was true the inhabitants were
still away, but the plague had ceased; only 15 houses had been infected,
the inhabitants of which had all been removed to the pest-houses remote
from the town[1037].

Farther east on the Channel coast, Portsmouth had a visitation of plague
previous to September 28, 1625, perhaps in connexion with the Cadiz fleet;
the mayor and bailiffs, being at the end of their year’s office, had
refused to take steps to sever the infected[1038]. At Southampton, only
one house was infected on August 27. The infection is reported also from
Rye in 1625, and from Canterbury, where the famous composer, Orlando
Gibbons, died in the beginning of June, 1625, “not without suspicion of
the sickness,” says Chamberlain, but, according to Anthony Wood, of the
smallpox. The king and queen lodged at Canterbury on June 14; but on July
23 the place had to be avoided “for the great infection.”

From Oxford, where the Parliament met on August 1, the vice-chancellor
wrote on July 27, that Sir John Hussey came thither infected from London,
and died, that Dr Chaloner, being in the same house, was since dead, that
the infection was in other parts of Oxford, and that All Souls College was
shut up. There was a slight revival of it in January, 1626, which caused
the exercises and the sermons at St Mary’s to be put off[1039]. Anthony
Wood gives much the same account as for 1603, and blames the great
increase of “cottages” erected by townsmen, to which scholars were
enticed.

Cambridge kept free in 1625; but on October 3, three deaths are reported
at Trumpington--one Peck, his wife, and maid. On the same date three
houses were shut up at Royston, and the infected “translated into the
fields[1040].”

The outbreak at Norwich was one of the severer degree[1041]. It was said
to have been brought in the end of June, 1625, from Yarmouth, where
nothing is recorded of it. A king’s order to the mayor imposed extensive
cleansings, &c., but the plague increased from 26 deaths in a week in
July, to 40 in September, reaching a maximum of 73 from plague in a week,
besides 18 from other causes. On August 27, Mead, the Cambridge don,
writes that he had met the Norwich carrier, who told him that the number
of burials there the last week was 77, whereof of the plague 67, and but
14 the week before. The infection lingered on until December of the year
after (1626), the total deaths from plague having been 1431. The plague at
Norwich was made the excuse, by the mayor and aldermen writing to the
Privy Council on January 30, 1627, for not contributing towards shipping
for the king’s service; the city was distressed from inundations and the
plague, “many hundreds of houses” standing empty. There appears to have
been some plague at Lynn in the end of 1625, a Privy Council order of
January, 1626, authorising the fair to be held there, the disease having
ceased.

In April, 1627, the bailiffs and aldermen of Colchester offer the same
excuse as Norwich; they are unable to set forth any ships as directed on
account of the heavy visitation of their town by the plague, the decay of
their trade in the new draperies and baize, and the loss of their ships at
sea.

Leicestershire, also, would appear to have had another visitation in 1626.
On July 28, the muster in that county was respited on account of the shire
town and nine or ten other towns being visited with the plague. Of that
there is no trace in the excellent county history by Nichols. Leicester,
like Bristol and other places, is known to have imposed quarantine against
Londoners in the summer of 1625. It is probable that plague was also in
Warwickshire in 1626[1042].

Among other outbreaks in 1625 was one at Newcastle, but it does not
compare in extent with some earlier and later plagues there. On September
10, Lord Clifford writes from Appleby Castle to Secretary Conway that
Newcastle is so infected with plague, so ill fortified, and ill
neighboured, that 500 men would disarm it. In his own county of Cumberland
there was plague in Lord William Howard’s house. Sir Francis Howard’s lady
took the infection from a new gown she had from London, so as she died the
same day she took it; they are all dispersed most miserably, with the
greatest terror in the world. Cheshire also had the infection in
1625[1043].

After a clear interval of two or three years, the history of plague begins
again in London, and in the provinces. The London plague of 1630 was a
small affair (1317 deaths), the city being otherwise so healthy that the
christenings exceeded the total burials (9315 to 9237). In 1630, at the
same time as the small London outbreak, Cambridge had what appears to have
been its most considerable plague, but a very small one at the worst. It
began about February 28, caused the colleges to break up and the midsummer
assizes to be transferred to Royston, and from first to last produced 214
deaths, known or suspected from plague[1044].

Along with it there were a good many cases at Wymondham (Windham), and
some straggling cases at Norwich and Colchester, continuing into 1631,
some 20 or 30 dying at Norwich of plague in the latter year[1045]. The
other centre in 1630 was in the north-west. Shrewsbury, an old-world town
which seldom escaped, had a localised epidemic in St Chad’s parish. It
began on May 24 in Frankwell, but was confined to that street by cutting
off the residents therein from the rest of the town, and by removing the
infected to pest-houses in Kingsland[1046]. It continued at Shrewsbury
into 1631, and is heard of also at Preston, Wrexham, and Manchester,
collections having been made in neighbouring places for the
infected[1047]. But the one great outbreak of those years fell upon the
town of Louth, in Lincolnshire, of which the sole particulars are that the
plague from April to the end of November, 1631, swept away 754 persons of
whom nearly 500 in July and August[1048].

After four years clear in London and in all parts of England (years
occupied with the growing quarrel between the king and the Parliament),
plague broke out again not far from Louth, where we saw it last, namely at
Hull. A century and a half had passed since Hull’s last great devastation
by plague year after year from 1472 to 1478. It was then a medieval town,
with a chain drawn across the mouth of its creek of the Humber, surrounded
by great abbeys, and owing its importance to its trade in stock fish from
Iceland and the North Sea. In the Tudor times it had experienced one small
epidemic about the Blackfriars Gate in 1576, causing about a hundred
deaths. The date of the outbreak in 1635 is not given exactly; but, as in
the 15th century, it was the peculiarity of Hull among provincial towns
that it kept the infection for several years,--down to June, 1638.
Business was paralysed, schools shut up, and the town deserted by the
wealthier classes. The deaths from plague from first to last are counted
at 2730, besides those which occurred in flight to other places. Upwards
of 2,500 persons, once in easy circumstances, are said to have been
reduced to seek relief, to which the county of York contributed[1049]. In
1643 Hull stood a siege, but there is no farther mention of plague; nor
did the town suffer in 1665.

The year 1635, which saw the beginning of the Hull plague, at a time when
the infection was absolutely quiet in the capital, saw also the beginning
of an outbreak at Sandwich, with accompanying cases at Canterbury, and a
beginning at Yarmouth, Lynn and Norwich[1050], in all which places the
infections lingered at a low endemic level for a year or more. The dates
are important only as showing that these provincial infections were
looking up some months before the sharp outburst in London in the late
autumn of 1636 made any sign. In Sandwich, on the 12th of March, 1637,
there were 78 houses “visited,” and 188 persons infected; on June 30, 24
houses shut up, with 103 persons, some of them lodged in tents; from July
6 to October 5, there were buried of the plague about ten every week in St
Clement’s parish. Considerable expenses were incurred (more than £40 a
week), to which the county of Kent and the other Cinque Ports
contributed[1051].

Besides these lingering endemics in Kent and Norfolk, the great plague
epidemics of 1636 were in Newcastle and London. The Newcastle epidemic
was both earlier and relatively far more severe than that of the capital.
For a town of some 20,000 inhabitants, the following weekly figures[1052]
indicate a plague of the first degree, comparable to the London
death-rates of 1625 and 1665:

Died of plague at Newcastle, within the liberties, from May 7 to December
31, 1636:

           Week       Plague
          ending      deaths

           May 14       59
               21       55
               28       99
          June  4      122
               11       99
               18      162
               25      133
          July  2      172
                9      184
               16      212
               23      270
               30      366
          Aug.  7      337
               14      422
               21      346
               28      246
         Sept.  4      520
               11      325
   To end of Dec.      908
                      ----
  Total to 31st Dec.  5027

Besides in Garthside, from May 30 to October 17, 515, making a total of
5542.

This tremendous visitation of Tyneside is said to have begun in October,
1635, at North Shields, where the infection rested during the winter cold,
to begin again at Newcastle in spring. During the height of the epidemic
in summer and autumn all trade was suspended, no one being about in the
streets or in the neighbouring highways. The means tried to check the
infection were fumigations with pitch, rosin, and frankincense. Newcastle
had one other visit from the plague, as we shall see, in 1644 and 1645,
during and after the siege by the Scots Presbyterian army; but in 1665 it
is said to have escaped, although Defoe says that the infection was
introduced by colliers returning from the Thames.


The London Plague of 1636.

The London plague of 1636 was one of the second degree, for the capital,
and was otherwise peculiar as being rather later in the autumnal season
than usual. The following table of the weekly mortalities shows how it
increased, reached a height, and declined.

              Christened   Buried      Buried of
                           in all      plague

  Dec.  24        231        170          0
        31        195        174          0

  1636

  Jan.   7        217        189          0
        14        242        174          0
        21        220        190          0
        28        214        171          0
  Feb.   4        227        183          0
        11        234        160          0
        18        207        203          0
        25        198        238          0
  Mar.   3        221        198          0
        10        231        194          0
        17        244        187          0
        24        215        177          0
        31        193        196          0
  Apr.   7        202        199          2
        14        221        205          4
        21        202        205          7
        28        271        210          4
  May    5        197        206          4
        12        199        254         41
        19        171        244         22
        26        160        263         38
  June   2        189        276         51
         9        153        275         64
        16        145        325         86
        23        149        257         65
        30        141        273         82
  July   7        152        265         64
        14        142        298         86
        21        146        350        108
        28        183        365        136
  Aug.   4        152        394        181
        11        166        465        244
        18        167        546        284
        25        161        690        380
  Sept.  1        163        835        536
         8        153        921        567
        15        166       1106        728
        22        172       1018        645
        29        168       1211        796
  Oct.   6        170       1195        790
        13        164       1117        682
        20        174        855        476
        27        133        779        404
  Nov.   3        153       1156        755
        10        164        966        635
        17        143        827        512
        24        162        747        408
  Dec.   1        168        550        290
         8        175        335        143
        15        134        324         79
                -----     ------     ------
                9,522     23,359     10,400

The parishes chiefly affected were the same as in 1625 and 1603. Stepney
is still wanting from the general bill; but after 1636 it was included
therein, along with Newington, Lambeth, Westminster, Islington and
Hackney. These omitted parishes doubtless contributed largely, Stepney in
particular, so that the total of plague-deaths would have to be increased
by perhaps two thousand. The following parishes had the severest
mortalities:

                               Total     Plague-deaths
                               deaths

  St Giles’s, Cripplegate       2374         870
  St Mary’s, Whitechapel        1766        1060
  St Olave’s, Southwark         1537         847
  St Botolph’s, Aldgate         1506         735
  St Sepulchre’s, Newgate       1327         566
  St Saviour’s, Southwark       1269         742
  St Botolph’s, Bishopsgate     1239         515
  St George’s, Southwark        1044         514
  St Andrew’s, Holborn           922         419
  St Giles’s in the Fields       863         428

Like the greater plagues of 1603 and 1625, that of 1636 appears to have
begun in the suburbs[1053]. Taylor, the Water-poet, in reprinting his poem
on the plague of 1625, with some notes for 1636, says that of 1076
plague-deaths from April 7 to July 28 (the summation in the annual bill
comes to 864), only 40 had occurred within the walls, so that the general
infection of the City must have followed that of the Liberties and
out-parishes. As early in the epidemic as 31 May, according to a record of
the Middlesex Sessions, “the plague increases most at Stepney,” wherefore
the Greengoose Fair at Stratford was prohibited, (the parish of Stepney
extending as far as Shoreditch)[1054]. From Taylor we learn that Gravesend
and Faversham had calamitous visitations, and that the infection was in
many other towns and villages.

The epidemic of 1636 was like the plague of 1625 in having been preceded
by much typhus fever in London, and accompanied by the same, as many as
2360 deaths being put down to fever in the plague-year in the classified
causes of death now issued regularly (since 1629) in their printed bills
by the Parish Clerks’ Hall. The letters and state papers of the time bear
witness to the usual exodus from the City, the movements of the Court, and
personal incidents, which have no farther interest after the samples given
for 1625. One incident relating to the worst week of the plague in London
in 1636 is preserved: eleven persons were committed to Newgate on 5
October for going with one Samuel Underhill, a trumpeter, who died of the
plague, to his grave with trumpets and swords drawn in the night time in
Shoreditch[1055]. The profession still makes no appearance in the way of
epidemiological writing; but some “necessary directions” were drawn up by
the College of Physicians, in substance the same as certain statutes
issued on the alarm of plague in 1630[1056].

Next year, 1637, the plague continued in London, causing 3082 deaths out
of a total of 11,763 in the bills. In 1638 there were only 363
plague-deaths, but the total mortality was 13,624, or nearly 2000 more
than in the previous year, when plague alone had claimed its 3000. What
were the epidemic types of disease that caused the high mortality in 1638?


Fever in London.

There ought to have been no difficulty in answering the question. The
causes of death in the metropolis had been assigned in the books kept at
Parish Clerks’ Hall since 1604, and had been printed since 1629. The
printed series was in the hands of Graunt, from 1629 down to the date of
his writing, January 1662; and he did abstract the deaths under each head
of disease and casualty from 1629 to 1636 inclusive, and again from 1647
to 1661; but the ten years from 1637 to 1646 inclusive, he omitted as
presenting nothing of importance and as being “inconsistent with the
capacity” of his sheet of paper[1057]. All the original documents prior to
1658 appear to have been lost in the fire of 1666, so that Graunt’s
omission cannot now be made good. One could wish that the worthy citizen
had made no difficulty about the size of his paper. The omitted years are
not only those of great political revolution, which may have had an effect
upon the public health, but they are of special interest for the beginning
of that great period of fever and smallpox in London which continued all
through the 18th century.

The following section of London mortality, down to the end of our present
period, will show, by reference to the total deaths, how important the
omitted years are for the epidemiological history.

  Year     Plague     Fever     Smallpox     Total
                                deaths

  1629       0          956        72         8771
  1630    1317         1091        40        10554
    31     274         1115        58         8562
    32       8         1108       531         9535
    33       0          953        72         8393
    34       1         1279      1354        10400
    35       0         1622       293        10651
    36   10400         2360       127        23359
    37    3082          --         --        11763
    38     363          --         --        13624
    39     314          --         --         9862
  1640    1450          --         --        12771
    41    1375          --         --        13142
    42    1274          --         --        13273
    43     996          --         --        13212
    44    1492          --         --        10933
    45    1871          --         --        11479
    46    2365          --         --        12780
    47    3597        1260        139        14059
    48     611         884        401         9894
    49      67         751       1190        10566
  1650      15         970        184         8754
    51      23        1038        525        10827
    52      16        1212       1279        12569
    53       6         282        139        10087
    54      16        1371        832        13247
    55       9         689       1294        11357
    56       6         875        823        13921
    57       4         999        835        12434
    58      14        1800        409        14993
    59      36        2303       1523        14756
  1660      13        2148        354        12681
    61      20        3490       1246        16665
    62      12        2601        768        13664
    63       9        2107        411        12741
    64       5        2258       1233        15453
    65   68596        5257        655        97306
  1666    1998         741         38        12738

The year 1638, and the four successive years 1640-43, have exceptional
mortalities, which plague alone can by no means account for. In one of
those years, 1641, we know that smallpox was rife, along with plague, in
the autumn; in the third week of August there were 118 deaths from
smallpox (133 from plague), and in the second week of September 101 from
smallpox (185 from plague), the plague continuing at even higher figures
all through September and October, while smallpox ceases to be mentioned
in the letters of the time[1058]. According to earlier and later
experience, the epidemic of smallpox would have been followed by a quiet
interval of that disease; so that the high mortality, beyond what plague
could account for, would have been due to some other epidemic type. There
is little doubt that that type was fever, less heard of in letters of the
society people because it was, in its steady prevalence from year to year,
an infection of the crowded quarters of the poor.

We begin about this period to find fever, or typhus fever, taking that
place in the medical history of England which it continued to hold down to
the generation before our own. What remains of the history of plague until
its extinction in 1665-66, is so closely interwoven with the history of
malignant fever, that it will be more convenient to carry the latter on
side by side with it instead of in a separate chapter.

The first medical essay upon the malignant fever which got the name of
typhus at the beginning of the 19th century, was that of a physician, Sir
Edward Greaves, published at Oxford in 1643 in connexion with the sickness
in that city while the king and the Royalist army lay there, and with the
sickness in the Parliamentary army of the earl of Essex which lay at
Reading. Greaves describes the unmistakable characters of spotted fever or
typhus, and calls it, in his title “_Morbus Epidemicus Anni 1643_, or the
New Disease.” In his text he speaks of “this so frequently termed the New
Disease.” The name of “New Disease” was used also for influenza; but there
can be no doubt that typhus did become common in England during the Civil
Wars, between the Royalists and the Parliamentarians, which were the first
and also the only sieges and campaigns on English soil that really touched
the life of the nation.

The continent of Europe had been familiar with the same type of fever ever
since the beginning of the 16th century, now in Italy, now in Spain,
another time in the Low Countries, or in Hungary, or in Germany in the
Thirty Years’ War. Greaves, our first writer on epidemic typhus, had been
preceded a whole century by Fracastori, whose description of the fever at
Verona in 1505 is perhaps the first account of epidemic sickness free from
subservience to ancient or medieval authority, and based upon direct
observations made in modern Europe. At the same time typhus or spotted
fever was not new to England in 1643. There is always the difficulty
whether some epidemics of fever should be called influenza or typhus; but
the fever of the Black Assizes, as well as the standing “sickness of the
house,” was certainly typhus, and so probably was the “new disease” in
1612.

The history of fever in England has been partly traced in the chapter on
gaol-fevers in the Tudor period and on the Protean “hot agues,” “new
sickness,” “strange fevers” or influenzas of 1540, 1557-8 and 1580. At a
much earlier period, fevers of the same type (with dysenteries,
lienteries, and pestilent sore throats) have been described, with whatever
details there are, in connexion with the periodic famines, especially
since the Conquest. But we are now come to a time in the history when
typhus fevers appeared in the country unconnected with gaols or with
famines. We are come, indeed, to the new era of epidemics, which is
revealed more clearly after the plague was extinguished for good, but was
really concurrent with the last half-century of plague, preparing, as it
were, to succeed the long reign of that infection. The Civil Wars may be
admitted to have given the new types of sickness an impulse, but the wars
did not originate them, nor did they serve in any way to establish them as
the predominant forms of epidemic sickness for nearly two centuries.
Whatever it was in the condition of England that favoured the prevalence
of fevers, fluxes, and smallpox, that factor was beginning to make itself
felt shortly after the Tudor period ended: it continued in operation
through all political changes of Restoration, Revolution, and Georgian
rule; and if the conditions at length changed, largely for the better so
far as the adult population is concerned, and for the better even as
regards infancy, there has followed the “_nova cohors febrium_” of our own
time, appropriate to its own state of society, as was the old troop
before it. This theme is really the subject with which a new volume should
open; but as the plague-period overlaps its successor the fever-period by
half a century, and as one must pay heed to the chronology, it remains to
insert some facts about fevers in this place.


Review of Fever in England to 1643.

Of the prevalence of malignant fevers in England in the earlier years of
the 17th century we have only occasional glimpses. Thus, in London in
November, 1612, there were several deaths of prominent personages. Prince
Henry, eldest son of James I., died of a fever in the course of that
month, the illness being thus referred to by Chamberlain in one of his
letters to Carleton, written on November 12 from London:

    “It is verily thought that the disease was no other than the ordinary
    ague that hath reigned and raged almost all over England since the
    latter end of summer, which, by observation, is found must have its
    ordinary course, and the less physic the better, but only sweating and
    an orderly course of keeping and government. The extremity of the
    disease seemed to lie in his head [a sure sign of typhus], for remedy
    whereof they shaved him and applied warm cocks and pigeons newly
    killed, but with no success.”

Sir Theodore Mayerne, the king’s physician (who had been driven from Paris
by the intolerance of the Galenists towards those who used antimony and
other Paracelsist remedies), was a good deal blamed because he had purged
the patient instead of bleeding him.

Writing again on the 19th November, Chamberlain says: “On Friday Sir Harry
Row, our alderman died, and, same morning, Sir George Carey, master of the
wards, of this new disease.” Chamberlain’s statement that an epidemic
fever, which he calls “the ordinary ague,” had raged all over England from
the end of summer, 1612, is supported by Short’s abstracts of the parish
registers for that year, while the following year, 1613, stands out as
still more unhealthy. The next unwholesome year in Short’s tables is 1616;
and of that sickly time we have one great personal illustration.
Shakespeare died on April 23 at Stratford-on-Avon, after three days’
illness of a fever (but possibly of a chill) having just completed his
52nd year. So far as is known, he was not in failing health. It is a
singular coincidence that he made his will on March 25 preceding, the
first day of the year, old style; but the customary phrase, “in perfect
health and memory (God be praised!),” would have been perhaps varied a
little if illness had been creeping upon him. Now the year 1616 is the
most unhealthy in Short’s tables from the beginning of the century; the
parish registers do not bear witness again to so much sickness until 1623,
which, as we have seen, was a year of typhus. The winter of 1615-16 was
altogether exceptional: warm and tempestuous south-westerly and westerly
winds prevailed from November until February; on the 8th February, there
were East Indiamen lying in the Downs, which had been at anchor there for
ten weeks waiting for a change of wind to take them down the Channel. The
warm winds brought “perpetual weeping weather, foul ways and great
floods,” and brought also an early spring. In the last week of January the
archbishop found a nest of young blackbirds in his garden at Lambeth, and
had “another sent to him from Croydon about four days after.” That was
proverbially the kind of Christmas to make a fat churchyard; but it is
impossible to say whether one type of sickness, such as fever,
predominated, as in the preceding sickly years, 1612-13, and in the next
following 1616, namely 1623-24. The following figures from Short’s tables
will prove, at least, that there was excessive mortality.

In the year 1616, twenty-one parish registers out of eighty-eight
examined, showed excessive mortality, the burials being 601 and the
baptisms 417, the year 1617 showing a somewhat improved state of health.
In the market towns for the same two years, the excessive proportion of
burials to christenings is equally striking: of sixteen town registers
examined, ten showed a bad state of health in 1616 (714 burials to 568
baptisms), and in 1617, nine towns had 786 burials to 652 baptisms. But
neither in town nor country do the years 1616-17 stand out so unhealthy as
the years 1623-24. Those two biennial periods are the only very
conspicuous ones in Short’s list for the first quarter of the 17th
century, the year 1613 coming next in unhealthiness.

Let us now seek for any causes such as unwholesome conditions of living
upon which these epidemic fevers might have depended. One of the most
notorious forms of typhus in the 18th century was the ship-fever. The
problem how to destroy its infection in the hulls of transports and ships
of war occupied the attention of the men of science, Stephen Hales among
the rest. Parliament, eager for any cure of so disastrous a pest, voted
some thousands of pounds to a projector whose method, when tried, resulted
in nothing but the burning of three ships to the water’s edge. This
ship-fever became notorious early in the 17th century, having occurred
before in 1588. If the Elizabethan naval annals in Hakluyt’s collection
were less engrossed than they are with adventures and doughty deeds, we
should probably have had more glimpses of an unwholesome state of things
in the ’tween-decks. At all events there is no doubt that fever infested
the shipping of England as well as of France about the year 1625. The
conditions on board ship are, of course, special; there might have been
ship-fever, when there was no gaol-fever, workhouse-fever, or domestic
typhus in general. But what happened on board ship was no bad index of
what was happening on shore. The nation, both on sea and on land, was
expanding far beyond its old medieval limits, with very crude notions of
the elbow-room that it needed. The ideas of cubic space, ventilation, and
the like, with which we are now so familiar, had then no existence. A few
facts about the shipping, gaols and houses will serve to illustrate this
statement.

The fleet which sailed from Plymouth to make war on Spain in the autumn of
1625 consisted of 90 sail, and carried 10,000 men. Whether there was
overcrowding would depend, of course, on the size of the ships; and it may
be safely said that the largest ship of the fleet was not a fourth part
the size of a transport that would be allowed to carry five hundred men
today. The expedition came back in a few weeks broken by sickness and
mutiny, just as the expedition of Mansfeld for the relief of the
Palatinate had fared. The wretched state of the thirty ships which arrived
at Plymouth in November, 1625, has been mentioned already. At the same
date we read of French ships of war also throwing overboard two or three
dead men every day. There are some more precise figures for French ships
in 1627, to be given in the next chapter, which will enable us to measure
the provocation to ship-fever afforded by the conditions of a transport
service in those years.

Besides ship-fever, in the great typhus period of the 18th century, there
used to be named gaol-fever, and workhouse-fever. Of the gaol-fever one
hears little in these years. It was severe in the Queen’s Bench prison in
Southwark in March, 1579; a petition of that date complains that the
prison held double the usual number, that “the sickness of the house” was
rife, and that near a hundred had died of it there during the previous six
years, many more having been sick[1059]. “The sickness of the house” is a
name suggestive of what was usual. These events of prison life made little
stir unless they involved the health of classes far removed from the
prison-class, as in the three memorable instances of the Black Assizes at
Cambridge, Oxford and Exeter. But it is not certain that even such cases
have been all recorded, or that instances of gaol-fever spreading to those
outside may not have been more frequent than appears. Whitmore in his book
of 1659 on fevers in London and the country, quotes Bacon’s remarks upon
the Black Assizes of the Tudor period and adds: “and within this eight or
nine years there happened the like at Southwark, as I am credibly
informed.” That would have been in the King’s Bench prison some time about
1650, which is not far from the date we have brought the history down
to[1060].

The overcrowding of the ships and of the gaols had its counterpart in the
dwelling-houses of London and other towns such as Portsmouth. The
proclamations against the erection of houses on new sites within three
miles of the city gates continued to be issued to the time of Cromwell.
The effect of them was merely to call into existence a class of poor
tenements in odd corners or to overcrowd the existing houses. Thus, on
June 27, 1602: “The council have spied an inconvenient increase of housing
in and about London by building in odd corners, in gardens and over
stables. They have begun to pull down one here and there, lighting in
almost every parish on the unluckiest, which is far from removing the
mischief[1061].” Again, on February 24, 1623, certain inhabitants of
Chancery Lane were indicted at the Middlesex Sessions for subletting, “to
the great danger of infectious disease with plague and other
diseases[1062].” Again, in May, 1637, there were found in one house eleven
married couples and fifteen single persons; in another the householder had
taken in eighteen lodgers[1063]. The monstrous window-tax, which did more
than anything else to breed typhus and perpetuate smallpox, was not
imposed until after the Revolution; but there was enough in the London of
the Stuarts to explain the great increase of those diseases.

We have already had evidence of the wide prevalence of spotted fever in
1624, even in the houses of the rich. In the harvest of 1625, Mead, of
Cambridge, heard of much sickness which he calls “ague,” about Royston and
Barkway, localities by no means malarious; so many were ill that the
people wanted help to gather the harvest out of the fields. The nature of
these “agues” is a question of great difficulty. The intermissions or
remissions of the country fevers are clearly enough asserted by Willis and
others, whatever they were; at the same time the general characters of the
disease, or diseases, are not those of intermittent malarial fever; and
“influenza” does not help us. Chamberlain calls the fever of 1624 “the
spotted fever,” and Sir Theodore Mayerne, physician to James I., in a long
opinion upon the king’s state of health and the treatment, dated Aug. 20,
1624, introduces a paragraph “Ad Febrem Purpuream,” which, he says, was
prevalent that year, “not so much contagious as common through a universal
disposing cause,” seizing upon many in the same house, and destroying
numbers, being most full of malignity etc. These various accounts for town
and country point to a form of typhus; and we find that diagnosis
confirmed for the country fevers which were again widely prevalent a few
years later, about 1638.

Among other statistics in Graunt’s essay of 1662 we find the figures from
the register of “a parish in Hampshire” from 1569 to 1658. There were
several years of excessive mortality in that period just as in Short’s
tables, but the worst were 1638 and 1639--the years of high mortality (not
plague) in London also. Of that mortality in the Hampshire parish Graunt
has given a brief account, which he seems to have based on first-hand
information. The parish contained about 2700 inhabitants, and enjoyed
average good health during the period of 90 years covered by the figures,
the births exceeding the deaths by twelve on an average in the year. In
the year 1638 the deaths were 156 and the births 66 (about the average);
in 1639 the deaths were 114 and the births 55. The cause of this great
excess of mortality in a country parish was, says Graunt, not plague, “but
a malignant fever raging so fiercely about harvest that there appeared
scarce hands enough to take in the corn; which argues, considering there
were 2700 parishioners, that 7 might be sick for one that died; whereas of
the plague more die than recover. They lay longer sick than is usual in
plague,” and there were no plague-tokens.

This considerable epidemic of fever, which must have affected some
hundreds of people, occurred in a Hampshire parish. In the very same
season (autumn and winter of 1638) we hear of what is obviously the same
sickness being epidemic all over the county of Monmouth. On April 23,
1639, the sheriff of Monmouthshire thus explained his delay in executing
the king’s writ for an assessment: “In January last I sent forth my
warrants for the gathering and levying thereof, but there has been such a
general sickness over all this country, called ‘the new disease,’ that
they could not possibly be expedited.... Besides, the plague was very hot
in divers parts of the county, as Caerleon, Abergavenny, Bedwelty, and
many other places[1064].” Here the sheriff uses the same name as Greaves
put on his title-page five years after, and he distinguishes clearly
between the fever and the plague. The mayor and others of Northampton, in
a memorial to the Recorder, dated May 1, 1638, touching the exclusion of
Northampton tradesmen from fairs in the vicinity owing to suspicions of
the plague in their town, had been informed by the physicians that some
cases were of the plague, and some of “the spotted fever[1065].” The same
distinction had been made at Norwich, in 1636: in October there was a
suspicion of the plague, “but the physicians say it is some other
contagious disease which die with the spots[1066].” At Northampton, the
coexistence of plague and some other sickness is asserted also by the
sheriff (Sept. 18, 1638), who had to excuse himself, like so many other
sheriffs, for his failure to remit the ship-money: he himself and his
servants had had sickness, and the plague was so great and so long in
Northampton that the county still allowed £148 a week for relief of the
sick. The deaths in that epidemic from March to September were 533[1067].
The sheriff of Montgomery, making a like excuse on October 25, 1638,
speaks of the plague only: “It pleased God to visit a great part of the
county with the plague, and three of the greatest towns, Machynlleth,
Llanidloes and Newton[1068].” The sheriff of Radnorshire, in his excuse to
the Privy Council, on November 14, says he could not collect the
ship-money at Presteign “by reason of the plague, which continued there
for two years together, and did not cease until the latter end of April
last[1069].” We may take it, then, that there was a great deal of plague
in Wales about 1637 and 1638, that there was also “the new disease,” or
spotted fever, all over Monmouth and probably other Welsh counties, that
the same two forms coexisted at Norwich and Northampton, just as they
coexisted in London, and that Graunt’s parish in Hampshire in 1638 had
probably the fever only.

Short’s statistical tables again bear out the concrete history. In 1638,
nineteen country parishes, out of ninety-four examined, had 699 burials to
542 baptisms, and in 1639, eighteen parishes had 585 burials to 386
baptisms. In the market towns the unhealthy period (which may have been
due to plague in great part) is a year earlier. In 1637, ten towns out of
twenty-four whose registers were added up, show 1474 burials to 1008
baptisms, the proportion in 1638 for the same number of unhealthy towns
being 1438 to 1025.

It would have been one of the country epidemics of those years that
Boghurst brings into his account of the plague of London in 1665: “I was
told by an ancient woman that in Somersetshire the spotted fever was very
epidemical, so that whole families died; but being told that plantan
[plantain] was very good, all of them almost took it, which wrought an
admirable change, for very few died that took it, whereas before they died
very fast.” He thinks plantain was as likely to have effected a cure as
“higher priced medicines.” We shall find a corresponding prevalence of
fever described by a competent physician, Whitmore, for rural parts of
Cheshire and Shropshire in 1651 and 1658. Thus we have a remarkable
epidemiological phenomenon, somewhat new to England unless, indeed, we
bring all those spotted fevers and the like under the generic name of
influenza. It was in country districts in 1612-13 and from 1623 to 1625,
it was extensively prevalent in 1638 in places as far apart as Hampshire,
Monmouth and Northampton, it appeared in Berkshire and Oxfordshire in 1643
in connexion with the military movements of the Royalist and Parliamentary
armies, it caused a disastrous loss of life in Tiverton within a few weeks
of Essex’s army passing through the town in 1644; it is heard of again in
Shropshire and Cumberland in 1651-52, and in the same parts in 1658, as
well as in Somerset, and in London steadily from year to year.

It was in its steadiness from year to year in the poor quarters of towns,
as well as in its more frequent recurrences as a country epidemic, that
the spotted fever deserved the name of “new disease” in the reign of
Charles I. But more than one epidemic fever had been called a “new
disease” in England before; and no fewer than five epidemics were so
called from 1643 to 1685, of which only one or two can be classed among
the influenzas.

If it had been possible to keep in mind the history of sicknesses from
century to century or even from generation to generation, the “new
disease” might have been recognised as not unlike the type that overran
England in 1087, that was described by William of Newburgh in 1196, by
Matthew Paris in 1258, and by Trokelowe in 1315-16. The conditions
producing it or favouring it were not, indeed, the same in all particulars
in the medieval period, in the Tudor period, and in the Stuart period. In
the medieval period, the extreme want and misery which brought epidemic
sickness were due to occasional sharp famines at long intervals, from
failure of the crops. In the Tudor period epidemics were still so
occasional (so far as is known) that something more special will have to
be blamed for them than the swarms of vagrants and criminals all over
England, which made the reign of Henry VIII. notorious, and were still a
source of trouble until late in the reign of Elizabeth; the four chief
periods were in 1540, 1557-8, 1580-82, and 1596-97 so that some special
cause would have to be assumed in those years to account for their
peculiar “epidemic constitution.” Almost from the beginning of the Stuart
period, the seasons of fever (to say nothing of flux and smallpox), seem
to come in quicker succession; they are heard of in 1612-13, 1623-25,
1638, 1643-44, 1651, 1658-9, and 1661-65, and heard of in those years over
wide tracts of rural England as well as in London and other towns. It was
from such experiences that the doctrine arose, so unintelligible to us
now, of an “epidemic constitution of the air,” which may be traced,
indeed, to much earlier writings than those of the 17th century, but finds
its most frequent applications in the latter. The fevers were in part
contagious and not contagious; contagion could not explain them all, and
yet there was an undoubted infective element in them. The universality or
generality of their incidence was accounted for by assuming, on the one
hand, something common in the state of the air and, on the other hand,
some common predisposition in the bodies of men, which might itself have
had seasonal causes. We have now only one name for such common infection
of the air, namely influenza; and it is significant that the catarrhal
influenzas of 1658 and 1659 were regarded by some at the time as only the
appropriate vernal form of the fever which in the hot weather of 1657 and
1658 had prevailed almost in the same general way as influenza, but with
the symptoms of typhus. One thing which should not be overlooked, is that
plague was still in the country, not always at the same time as the fever,
and perhaps not usually coincident with it. Another thing, which will come
out in its due order at a later part of the history, is that after the
extinction of plague, fever became far more steady in the towns from year
to year, and in certain years was not less prevalent in influenza-like
epidemics all over the country. One might offer some suggestions as to the
meaning of these epidemiological phenomena; but it will perhaps be more
convenient that critics who have a speculative turn or a craving for
generalities should exercise the one or gratify the other at their own
risk.

Along with the prevalence of plague in 1637-38 in many towns of Wales, we
may associate the outbreak of 1638 in Gloucester on the one side and in
the small Salopian town of Clun on the other. From a letter of the Privy
Council to the justices of Gloucestershire, it appears that a rate in aid
of the plague-stricken in the city had been imposed upon the county in
December, 1637, and that the infection still continued in Gloucester in
September, 1638. Contributions made in Bridgenorth for the relief of the
visited in Clun appear to belong to the same year. At Reading a tax for
the “visited” had been collected once or oftener between 1638 and 1641. In
1641 the town of Leicester was put to some expense (£46. 8_s._ 7_d._) in
watching to keep out the sickness which prevailed in Thurmaston, Birstal,
Whetstone and Oakham. The very severe plague in Stamford the same year
would have been the most intense part of the epidemic in that corner of
England; “Camden,” quoting from bishop Sanderson’s manuscript, says that
it began at St James’s tide, 1641, and ended in March following, whereof
are said to have died between 500 and 600 persons[1070].

Another centre of plague in 1641 was Congleton, in Cheshire, if we may
trust the accuracy of the date given in a manuscript written some time
after and seemingly based upon tradition[1071]. The infection was traced
to a box of clothes which had belonged to one dead of the plague in London
and were sent to the dead man’s relations at North Rede Hall. The family
who received the box “caught the infection and died.” It spread “all over
the country,” and came to Congleton, where it made dreadful ravages. The
traditions which the anonymous narrator has put on record are, indeed,
those of a plague of the greater degree--stories of corpses that no one
would bury, of the sick left to their fate, of money dropped into water
before it changed hands. This somewhat doubtful narrative ends with the
statement that “the greatest part of the inhabitants died.”

The period from 1643 to 1650 contains all the outbreaks of plague that
remain, whether in London or the provinces, until we come to the final
explosion of 1665. In London the plague continued at a low endemic level
from the outburst of 1636 until 1648, the deaths in 1647 reaching the
considerable figure of 3597. This series of plague-years has no other
interest than as showing how regularly every season the infection
increased from a few cases in May or June to a maximum in September or
October. One incident, out of many, may find a place. In August, 1647, Sir
Philip Stapleton, one of the Eleven Members, leaders of the Presbyterian
party, who were accused of treason by the Army, went over to Calais with
five more of the accused, and died of the plague almost as soon as he
landed. The people of the house where he died made the rest of the party
pay them £80 before they would let them come forth, for bringing the
sickness into their house[1072].

The plagues in provincial towns were in those years much more serious
relatively than those in London. All of them occurred in towns that were
besieged, or had been besieged, or had been occupied by bodies of troops
or by garrisons. At the same time most of them were towns which had
suffered plagues before. But the first effects of the war in the way of
epidemic sickness were not of the type of plague.


War-typhus in Oxfordshire and Berkshire.

It was in the spring and summer of 1643 that England had a first
experience of the war-typhus which had been familiar to the continent of
Europe for a century and a half, having reached perhaps its greatest
prevalence in the Thirty Years’ War. It is only in the sense of war-typhus
that Shakespeare’s boast, put into the mouth of John of Gaunt, holds good:

  “This fortress, built by nature for herself,
   Against infection and the hand of war.”

The medieval civil wars in England do not seem to have bred infection
among the people, unless, perhaps, during the anarchy of Stephen’s reign:
there is reason to think that the faction-fights of York and Lancaster had
no such result. But the wars of the Parliament against the Royalists
produced war-sickness in its most characteristic form, and that too, at
the very beginning of the struggle.

The existence of sickness in 1643 among the troops of the Parliament in
Berkshire and Oxfordshire, under the earl of Essex, is briefly stated by
Rushworth. But, for the first time in the history, we find a medical
account of the type of sickness, of its circumstances, and of the extent
of its prevalence, which is not without interest even for the military
history. It happened that the afterwards celebrated Dr Thomas Willis,
chemist, anatomist, physiologist and physician, was at Christ Church,
Oxford, in 1643, being then aged twenty-one, and intending to enter the
Church. In 1659 he published at the Hague his first medical essays, one on
Fermentation and the other on Fevers[1073]; and in the latter he recalls
many particulars of what he had seen in his earlier years in and around
Oxford. The sickness of 1643 was also the subject of a tract published
that year in Oxford, by his majesty’s command, by Sir Edward Greaves,
physician to the king, which appears to have been in sufficient request in
the town to be reprinted within the year[1074].

The preceding events may be briefly summarized[1075]. In November, 1642,
the king moved from Oxford with his army towards London and seized
Brentford. The forces of the Parliament, under Essex, concentrated round
the capital, where they were joined by the trainbands of the City, so that
the king recrossed the Thames at Kingston and retired upon Reading and
Oxford. All through the months from January to April 1643, tedious
negociations went on for a treaty, the details largely relating to the
places to be occupied by the Parliamentary troops on the one hand (around
Windsor) and by the Royalist troops on the other (in Oxfordshire and
Bucks). In April the negociations fell through, and Essex came before
Reading on the 15th, with an army of 15,000 foot and 3000 horse. The king
and prince Rupert attempted to raise the siege by a march from Oxford, but
were stopped at Caversham bridge, and on the 26th April, Reading was
surrendered to the Lord General, the garrison marching out the day after.

The siege had lasted only eleven days; the Royalist commandant was
sentenced to death at Oxford for betraying the town, but was pardoned.
When Essex entered Reading he found the place “infected,” and a great
mortality ensued among his men, who were discontented at the want of
plunder and of pay. In June he moved his troops across the chalk downs to
Thame, on the borders of Bucks; but the weather being wet and unseasonable
in the early summer, and afterwards hot, the sickness so increased among
them that “he judged the design upon Oxford impracticable” (Rushworth),
and on July 9, wrote to the Parliament advising a peace. In his letter,
Essex explained that it was impossible to keep the counties from being
plundered, “so that they must suffer much wrong, and the cries of the
people are infinite.” Eventually he brought what remained of his army to
the neighbourhood of London, and having received 2000 recruits from the
City, he held a muster on Hounslow Heath, when his whole force amounted to
10,000 men. With his recruited army he marched to the relief of
Gloucester[1076], raised the siege, and on September 20 won the (first)
battle of Newbury.

The realities of that inactive summer at Reading and Thame may be
conceived from what Willis tells us of the state of things within the
Royalist lines in Oxfordshire. These things, he says, “fell under our own
observation,” he being then at Christ Church and not yet entered on the
physic line.

In the spring of 1643, Reading being held for the king,

    “In both armies there began a disease to arise very epidemical;
    however they persisting in that work till the besieged were forced to
    a surrender, this disease grew so grievous that in a short time after,
    either side left off and from that time for many months fought not
    with the enemy, but with the disease; as if there had not been leisure
    to turn aside to another kind of death....

    Essex’s camp moving to Thame, pitched in the places adjacent, where he
    shortly lost a great part of his men.

    But the king returned to Oxford, where at first the soldiers, being
    disposed in the open fields, then afterwards among the towns and
    villages, suffered not much less. For his foot (which it chiefly
    invaded) being pact together in close houses, when they had filled all
    things with filthiness and unwholesome nastiness and stinking odours
    (that the very air seemed to be infected) they fell sick by troops,
    and as it were by squadrons. At length the fever, now more than a camp
    fever, invaded the unarmed and peaceable troops, to wit, the
    entertainers of the soldiers, and, generally, all others: yet at first
    (the disease being but yet lightly inflicted) though beset with a
    heavy and long languishment, however, many escaped. About the summer
    solstice this fever began also to increase with worse provision of
    symptoms, and to lay hold on the husbandmen and others inhabiting the
    country, then afterwards spread through our city and all the country
    round for at least ten miles about. In the mean time they who dwelt
    far from us in other counties remained free from hurt, being as it
    were without the sphere of the contagion. But here this disease became
    so epidemical that a great part of the people was killed by it; and
    as soon as it had entered a house it ran through the same, that there
    was scarce one left well to administer to the sick. Strangers, or such
    as were sent to help the sick, were presently taken with the disease;
    that at length for fear of the contagion, those who were sick of this
    fever were avoided by those who were well, almost as much as if they
    had been sick of the plague.

    Nor indeed did there a less mortality or slaughter of men accompany
    this disease; because cachectic and phthisical old men, or other ways
    unhealthful, were killed by it; also not a few children, young men,
    and those of a more mature and robust age. I remember in some villages
    that almost all the old men died this year, that there were scarce any
    left who were able to defend the manners and privileges of the parish
    by the more anciently received traditions[1077].”

Willis recalls how this epidemic disease changed its type as the season
wore on. At first it was a “putrid synochus,” which seemed to be helped by
a sweat or a looseness; a relapse or renewal followed the crisis. Later,
it became a continual fever of six or seven days, with no crisis; when the
fever ceased the sick kept their beds, sometimes raging, more often in a
stupor, great weakness continuing, and sometimes convulsions ensuing.
About midsummer “the disease betrayed its malignancy by the eruption of
whelks and spots.” It would often begin with an insidious languishing, the
strength being totally withdrawn. At length buboes appeared in many, as in
the plague. At this time, during the dog-days, the disease began to be
handled, not as a fever, but as a lesser plague--by vomits, purges, and
sudorifics. The autumn coming on, the disease by degrees remitted its
wonted fierceness, so that fewer grew sick of it, and of them many grew
well. At the approach of winter the fever almost wholly vanished, and
health was fully restored to Oxford and the country round about. Among the
victims are mentioned “some belonging to the king’s and queen’s Court,
with a few scholars[1078].”

Of the causes, Willis says that, so far as concerned the army, the evident
causes were “errors in the six non-naturals.” The spring was very moist
and “flabbery,” with almost continual showers, to which a hot summer
succeeded. The tract upon the Oxford fever by Greaves, a short piece of
some 25 pages, which was written for use in the city during the epidemic,
bears out the account by Willis, without developing the doctrine of
increasing malignancy. He is concerned to prove that it was not the plague
“as the relations and hopes of your enemies, and the fears of others, have
suggested.” One of his proofs is the insidious mode of invasion, which
Willis ascribes to the sickness in its later type--great weakness without
any manifest cause appearing, such as sweating or looseness, so that even
strong men were prostrated, with a quick, weak and creeping pulse,
sometimes intermittent, with pains in the head, vertigo &c. The most
distinctive thing was the spots; “But what need we any farther signs than
the spots, which appear upon half the number, at least, of those that fall
sick?” Greaves seems to claim that Oxford had some immunity for a time:
“God hath been most merciful to this city in sparing us heretofore, when
our neighbours round about us were visited.”

Among the causes, he mentions putrid exhalations from stinking matters,
dung, carcasses of dead horses and other carrion; “and were there care
taken for the removing of these noisome inconveniences, and keeping the
streets sweet and clean, it would doubtless tend much to the abatement of
the disease.” The diet, also, may have had something to do with it; more
particularly the brewers should dry their malt better, boil their beer
longer, and put in a sufficiency of hops. But the great cause was the
presence of the army.

    “We need not look far for a cause where there is an army residing,
    which the Athenians called to mind in their calamity, or as Homer
    speaks of his Greeks:

        εἰ δὴ ὁμοῦ πόλεμός τε δαμᾷ καὶ λοιμὸς ’Αχαιούς.

    --it being seldom or never known that an army, where there is much
    filth and nastiness in diet, worse lodging, unshifted apparel, etc.,
    should continue long without contagious disease.” Whole families were
    infected, “and seldom in any house where sick soldiers of either side
    are quartered, but the inhabitants likewise fall sick of the same
    disease.”

There appears to have been the almost inevitable doubt in some minds,
whether the disease were contagious: “But if anyone be yet obstinate, and
will not believe it contagious, let him go near and try.” Among the
remedies, he mentions a favourite one of the empiric sort, “Lady Kent’s
powder,” which Willis also refers to; but Greaves, as became an academical
physician, would not admit that it had any advantage over medicines of
known ingredients.

This widespread epidemic of typhus, perhaps not without some relapsing
fever, and, according to what Willis says in one of his general chapters,
complicated, in its diffusive form in the villages around, “with squinancy
[sore throat], dysentery, or deadly sweat,” is the only one medically
recorded of the Civil Wars. But there was certainly a renewal of it, in
the same circumstances, next year at Tiverton; and it seems probable, from
the heavy mortality which the parish registers witness to in that year
(1644) that some kind of epidemic sickness had spread far and near. Thus,
in Short’s abstracts of the burials and christenings in country parishes
and market towns, the years 1643 and 1644, and especially the latter,
stand out as the most unhealthy for a long time before and after, the next
sickly period, as we shall see, being the years 1657-1659. In the year
1643, out of eighty-eight country registers examined, twenty-nine showed a
sickly death-rate, although the disproportion of births to deaths does not
appear great (821 to 847). That was the year of the epidemic fever in
Berkshire, Oxfordshire and Bucks. Next year, which was the year of the
Tiverton epidemic, there are again twenty-nine country registers
indicating unusual sickness (715 baptisms to 938 burials). In nineteen out
of twenty-four market towns, the same two years come out still more
unhealthy (844 births to 1193 deaths in 1643 and 1008 births to 1647
deaths in 1644). The registers examined by Short were mostly from Northern
and Midland parishes; but they included two or three from Devonshire, and
among his market towns was Tiverton. We shall now see what these bald
figures mean in that concrete instance.


War-typhus at Tiverton in 1644.

Tiverton was then a town of some 8000 inhabitants, mostly occupied in the
weaving industry. On July 5, 1644, Essex arrived with his army on his way
to Cornwall to subdue prince Maurice, and lay there till the 18th. The
diary of one farmer Roberts has an entry that Mr Thomas Lawrence, who came
from Tiverton, reported to him that the earl had 350 and odd carriages,
and of horse belonging thereto for draught 2000[1079]. This would have
been his large artillery train, baggage and ammunition waggons, etc. His
infantry would be some 6000, and his cavalry perhaps 1000. The king’s
force meanwhile advanced after Essex, and on July 25 lay in the great
meadow at Crediton. They had advanced by Yeovil and may or may not have
passed through Tiverton. The two armies came to blows in Cornwall, a
prolonged series of encounters in the country around Lostwithiel in wet
August weather ending in the escape of Essex to the coast, the retreat of
his cavalry through the Royalist lines, and the surrender of the infantry
on 1st September. The disarmed foot-soldiers were convoyed back to Poole
and Wareham, and did not trouble Tiverton again. The retreating cavalry
passed that way, but did not enter the town, which was now held by the
Royalists. But the king’s army came back by the way of Tiverton, which
they reached on Saturday, the 21st September. They had got no farther than
Chard on the 30th, and may have halted in Tiverton some days. A Royalist
garrison of 200 men was left in it, and held the place until October 1645,
when it was taken by Fairfax after a short siege[1080].

Tiverton was thus occupied by both armies in the summer and autumn of
1644, that of Essex having been quartered in and around the town for a
fortnight in July. A serious epidemic followed, especially in the suburb
on the western side of the Exe. The particulars of it are in the parish
register, from which it would appear that the sickness began in August and
lasted until November. The greatest mortality was in October, when 105
were buried, the whole mortality of the year having been 443. The ordinary
monthly burials would hardly have exceeded a dozen or fifteen; and as the
105 burials in October would have meant some eight or ten times as many
sick, it is not surprising to read that the town was desolate, and that
grass grew in the streets[1081]. Of this epidemic there are no medical
particulars; but it appears from the parish register that it was known as
“the sweating sickness.” It would hardly have been so called if sweating
had not been a prominent symptom. Besides the English sweat proper, with
its five epidemics from 1485 to 1551, we have had occasion to notice a
sweating type in several epidemics of fever. That symptom was so marked in
the epidemic of 1558 at Southampton, Portsmouth, and Isle of Wight when
they were full of troops, that Dr John Jones, who had personal experience
of it, compares it to the sweat proper. It was a sufficiently prominent
symptom in the Oxford gaol-fever of 1577 for the _sudor Anglicus_ to be
called to mind. In the English fevers and influenzas of 1580-82, a sweat
or a lask is mentioned by Cogan as a least occasional; but the fevers of
the same years on the Continent had so often the sweating character that
it was sometimes said the English sweat had come back. Lastly for the
war-fevers of 1643 around Reading and Oxford, Willis asserts in more than
one place the occurrence of sweats, critical or giving relief for a time
in the milder form, “deadly sweats” in fevers of an aggravated type. To
anticipate somewhat, it may be mentioned also that a sweating character is
recorded of some cases of the perennial London typhus at its worst period
in the middle of the 18th century.

Admitting all these facts, we must still hold to the opinion expressed in
the chapter on the Sweating Sickness, that sweating was never again the
_signum pathognomicum_ of a whole epidemic, as it had been of the sudor
Anglicus in its five outbursts. But if there be gradations of type, or
approximations of typhus to sweating sickness (as well as to influenza),
then we may perhaps take the Tiverton epidemic as coming nearer than any
other to the sweating sickness, on the strength of the name given to it in
the parish register.

Nothing is known of sickness in the army of Essex, which lay at Tiverton
from 5th to 18th July, 1644. It suffered much in the fighting in Cornwall,
and the Parliament on 7 September sent to Portsmouth arms for 6000 foot
and 6000 suits of clothes and shirts for the infantry who had surrendered
and been convoyed back along the coast. The king’s troops which occupied
Tiverton on 21 September on their way back, had doubtless suffered also,
from the campaigning in wet fields and miry ways, and are known to have
been discontented for want of pay. Probably the epidemic at Tiverton was
due to aggravation of the usual circumstances of war. It must be classed
as a form of typhus; while its distinctive character of sweating might
find an explanation, on the analogy of the sweat of 1485 in London after
the arrival of Henry VII. from Bosworth Field, if we had sufficient reason
to suppose that the soldiers who successively occupied Tiverton were not
themselves suffering from fever. Contact alone, especially the contact _en
masse_ of men reduced by hardships and disorderly in their habits, will
sometimes serve to breed contagion among a population unlike them in these
respects. The converse of that principle, namely that contagion need not
follow from the introduction of developed sickness _en masse_, finds an
illustration in the case of Tiverton itself within little more than a year
after the epidemic of 1644. In November, 1645, Fairfax lay at Ottery St
Mary with his army, pending the investment of Exeter. On account of much
sickness and heavy mortality among his infantry (not medically described)
he removed them on December 2, to Crediton and ultimately to Tiverton,
which was supposed to be a healthier situation and became his
head-quarters until January 8, 1646[1082]. But no outbreak in the town is
mentioned, and almost certainly none occurred; the health of the place
continued to be good every year of the time that it was under the rule of
the Parliament, as the parish register proves. On the other hand Totness,
which was occupied by the same convalescent force after it left Tiverton,
had a severe epidemic of plague in the end of the year, 1646.


Plague in the Provinces during the Civil Wars.

The type of sickness, after the first two years of the war, does not
appear to have been typhus-fever, but always the old bubo-plague of the
towns. So far as the history is known, the experience of war-sicknesses
upon English soil began in 1643 and ended in 1644, except in the instance
of Fairfax’s troops at Ottery St Mary in November, 1645.

Perhaps the “new model” of the Parliamentary forces, after the pattern of
Cromwell’s Ironsides, may have had something to do with the immunity of
England from war-typhus in all the marchings and counter-marchings,
battles, occupations and sieges, from 1645 to the end of the Civil Wars.
Cromwell pointed out to Hampden that the army of Essex was composed of “a
set of poor tapsters and town-apprentices,” and gave it as his opinion
that these were not the men to win with. When the original commanders,
Essex, Manchester, Sir W. Waller, and others, had retired in 1645, terms
of the self-denying ordinance, the army of the Parliament acquired a new
character under Fairfax and Cromwell: it contained a large proportion of
“men of religion,” especially among the officers; and there is sufficient
evidence that the war was in future carried on so as to produce as few as
possible of those effects of campaigning among the people at large which
had marked the Thirty Years’ War in Germany and had attended the
operations of Essex and the Royalists in 1643 and 1644.

What remains to be said of the epidemics of the Civil Wars relates almost
exclusively to plague, with an occasional reference to the spotted fever
which was widely prevalent in the autumn of 1644. These epidemics of
plague in the English provinces, during the political troubles, more
numerous than usual from 1644 to 1650, are the last on English soil until
we come to the final grand explosion of 1665-66.

In 1644 there were two principal centres of plague (besides London),
namely Banbury, and the valley of the Tyne. Banbury was near enough to the
Royalist head-quarters to have shared in the fever-epidemic of 1643; in
that year the burials of 58 soldiers are entered in the parish register,
besides a large excess of burials among the civil population (total of 225
deaths in the year as against an annual mortality in former years ranging
from 30 to 98). The siege by the Parliamentary forces did not begin until
July 19, 1644, and ended in the surrender of the castle in October. The
epidemic of plague may have begun as early as January, a soldier having
“died in the street” on the 16th; but it is not until March 1644, that
plague-deaths appear in the register. In that month there were 10 deaths
from plague, in April 34, and so until November, when there were 2, the
total mortality from plague having been 161. After the plague ceased, the
town remained otherwise unhealthy until 1647[1083].

The information as to Newcastle and Tyneside comes from the observant
Scotsman, William Lithgow, who was with the Presbyterian army when
Newcastle was stormed on October 20, 1644[1084]. The town had suffered
heavily from plague, as we have seen, in 1636, and there had been a
slighter outbreak in 1642. Although the state of things during the siege
in 1644 was wretched in the extreme, there does not appear to have been
plague until after the surrender. The infection was already at work,
however, in places near. Thus Tynemouth Castle was surrendered by the
Royalist commander, Sir Thomas Riddell on October 27: “The pestilence
having been five weeks amongst them, with a great mortality, they were
glad to yield, and to scatter themselves abroad; but to the great undoing
and infecting of the country about, as it hath contagiously begun”
(Lithgow). Among the places infected were Gateshead, Sandgate, Sunderland,
and many country villages, the plague being reported in Newcastle itself
in 1645 as well as in Darlington[1085].

The year 1645 was one of severe plague in several towns at the same time,
some of them in a state of siege and all of them occupied by troops. The
largest mortality was at Bristol, being proportionate to its size. The
town was taken by prince Rupert on July 22, 1643, and was held by a strong
garrison for two years and some weeks. It was towards the end of the
Royalist occupation that the plague broke out, probably in the spring of
1645[1086]. On the 16th May, Sir John Culpepper wrote to Lord Digby: “The
sickness increases fearfully in this city. There died this week according
to the proportion of 1500 in London[1087].” When it had been stormed by
Fairfax and Cromwell in September 1645, it was found that prince Rupert’s
garrison consisted of 2500 foot, and about 1000 horse. The auxiliaries and
the trained bands of the town were reduced in June to about 800, and of
the 2500 families then remaining in the town, 1500 were in a state of
indigence and want[1088]. In Cromwell’s despatch of September 14 to Mr
Speaker Lenthall he says: “I hear but of one man that hath died of the
plague in all our army, although we have quartered amongst and in the
midst of infected persons and places[1089].” The deaths from plague in the
whole epidemic approached 3000, according to the MS. calendars[1090].

While this was going on within the walls of Bristol, an epidemic of plague
more severe for the size of the town was progressing at Leeds. The town
had been taken by Fairfax on January 23, 1643, and had remained in the
quiet possession of the Parliament, under a military governor. In August,
1644, there were buried 131 persons, “before the plague was perceived,”
says the parish register; which means that the excessive mortality was not
from plague, but probably from the spotted fever which reigned that autumn
in other places in the North. The plague proper began with a death in
Vicar-lane on March 11, 1645. The weekly bills of mortality which were
ordered by the military governor showed a total mortality, from March 11
to December 25, of 1325. It raged most in Vicar-lane and the close yards
adjoining; it was also very prevalent in March-lane, the Calls, Call-lane,
Lower Briggate, and Mill-hill. The largest number of burials in a week
(126) was from July 24 to 31; the mortality kept high all through August
and September (60 to 80 weekly), and declined gradually to 3 in the week
ending Christmas-day. Whitaker estimates that probably the fifth part of
the population died, and he cannot discover any person of name among the
victims. The air was so warm and infectious that dogs, cats, mice and rats
are said to have died (of rats and mice it can well be believed), and that
several birds dropped down dead in their flight over the town[1091]. This
appears to have been the only visitation of plague in Leeds, at least
since the medieval period.

The plague of Lichfield in 1645-46, like that of Bristol, went on during a
constant state of military turmoil. On April 21, 1643, the Close was taken
by prince Rupert and was held as a Royalist stronghold until July 26,
1646, the king having repaired thither after his defeat at Naseby in June,
1645, and again in September. The plague is said to have been active both
in 1645 and 1646; in twelve streets there occurred 821 deaths, the largest
share (121) falling to Green Hill[1092]. In what way the state of siege
may have contributed to the plague is uncertain. The fosse was drained dry
at one stage, and was choked with rubbish at another. Many of the
inhabitants of the town would appear, from the 4th article of the
capitulation, to have taken refuge with their effects within the fortified
Cathedral Close, which was almost enclosed by water. This was one of
several outbreaks of plague that Lichfield had suffered since early Tudor
times.

Minor plague outbreaks of 1645 were at Derby and Oxford. Of the latter we
have a glimpse from Willis of Christ Church.

    “Sometime past in this city [Oxford] _viz._, 1645, the plague (tho’
    not great) had spread. Doctor Henry Sayer, a very learned physician,
    and happy in his practice, many others refusing this province, boldly
    visited all the sick, poor as well as rich, daily administered to them
    physic, and handled with his own hands their buboes and virulent
    ulcers, and so cured very many sick by his sedulous though dangerous
    labour. That he might fortifie himself against the contagion, before
    he went into the infected houses, he was wont only to drink a large
    draught of sack, and then his perambulation about the borders of death
    and the very jaws of the grave being finished, to repeat the same
    antidote.

    After he had in this city, as if inviolable as to the plague, a long
    while taken care of the affairs of the sick without any hurt, he was
    sent for to Wallingford Castle, where this disease cruelly raged, as
    another Æsculapius, by the governor of the place. But there, being so
    bold as to lie in the same bed with a certain captain (his intimate
    companion), who was taken with the plague, he quickly received the
    contagion of the same disease; nor were the arts then profitable to
    the master which had been helpful to so many others, but there with
    great sorrow of the inhabitants, nor without great loss to the
    medical science, he died of that disease.” He treated the sick, in the
    pre-bubonic stages, by a vomit of Crocus Metallorum, and then by
    diaphoretics[1093].

None of the other localized epidemics of plague in those years would
appear to have been of the first magnitude. Thus, the 22 deaths from
plague at Loughborough from 1645 to May 14, 1646, and the renewed
prevalence, after a year’s interval, (83 plague-deaths from July 20, 1647
to March 25, 1648)[1094], are samples of local mortalities from plague
that other parish registers might bear witness to if they had been
examined by antiquaries as closely as Nichols examined those of
Leicestershire.

Newark was one of the towns which suffered much during the Civil War.
Besieged time after time, it was at length surrendered to the Parliament
on May 6, 1646. A letter written shortly after the surrender says[1095]:

    “Truly it is become a miserable, stinking, infected town. I pray God
    they do not infect the counties and towns adjacent.... By reason of
    the sickness in divers places, the officers dare not yet venture to
    fetch out the arms.... Tradesmen are preparing to furnish their shops
    ... but the market cannot be expected to be much whilst the sickness
    is in the town.”

The parish register of Newark bears no witness to deaths from plague; but
that of the adjacent parish of Stoke, in which stood the Castle and the
suburb of Newark surrounding it, has numerous entries of plague-deaths,
beginning with one some three weeks after the surrender, on May 28, 1646,
and continuing through July, August, and September. Several of the same
household are buried in one day, one is “buried in the field,” another “in
his croft.” The vicar sums up the mortality thus: “There dyed in the towne
of Stoke, 1646, eight score and one, whereof of the plage seven score and
nineteen.” The whole deaths in Stoke parish the year before had been nine,
and the year after they were six[1096]. If the plague had been at all
proportionate in Newark town itself, the deaths would have far exceeded
159; but, as the parish register does not record plague-deaths at all, it
may be inferred that the infection lay mostly around the Castle.

Whitmore speaks of having practised in the plague in Staffordshire in
1647-8, and there is some other evidence, without particulars, of an
epidemic in the town of Stafford.

One more epidemic of plague is reported from the theatre of Civil War in
the south-west, the outbreak at Totness in 1646-7. In the parish register
there is a burial entered on July 30, 1646, “suspected she died of the
plague.” A leaf of the register has the following: “From December 6, 1646,
till the 19th October, 1647, there died in Totness of the plague 262
persons”--a number greater than the register shows in detail. The
stereotyped remark is added, that the town was deserted and that grass
grew in the streets[1097]. For months before the first suspected case of
plague in 1646, Totness had been occupied by one body of troops after
another. In November or December, 1645, Goring’s Royalist cavalry, to the
number of nearly 5000, were quartered at Totness and two or three other
places near. On January 11, 1646, Fairfax came with his army to Totness
for the siege of Dartmouth, which was carried by storm on the 20th. The
Lord General then withdrew to resume the investment of Exeter. Before
doing so he issued warrants to four Hundreds to assemble their men at
Totness on the 24th January. The men came in to the number of about 3000,
and a regiment was formed from them[1098]. What connexion with the plague
in the end of the year all this military stir at Totness may have had, it
would not be easy to determine. There had been a great deal of sickness in
the army of Fairfax while it lay at Ottery St Mary in the latter half of
November, 1645. “By reason of the season,” says Rushworth, “and want of
accommodation, abundance of his army, especially the foot, were sick, and
many died, seldom less than seven, eight or nine in a day in the town of
Autree, and amongst the rest Colonel Pickering died and some other
officers. The Royal party had notice of this consumption of Fairfax’s
army,” and took heart to make a new effort. The type of sickness is
unknown; but it was such as to cause the removal of the head-quarters on
December 2 to Tiverton, for better air. The army lay there until January
8, and came to Totness, for the siege of Dartmouth, on the 11th. Thus
Totness had not only been occupied by an army some months before the
plague, but by an army which had lately had a fatal form of sickness in
it. The troops march away, and the historical interest goes with them;
what they may have left behind them concerns only the domestic history.
Fifty-six years had passed since Totness had the plague before; and on
that occasion the epidemic was equally disastrous.

Two other centres of plague in 1646-7 are casually mentioned, one at
Reading[1099], which affected “a great number of poor people,” and the
other at Carlisle[1100]. Of the latter there are no particulars; but the
circumstances of the town for several years were such as to make an
outbreak of plague in 1646 credible.

Carlisle suffered much from the war for a series of years. In July, 1644,
it was seized for the Royalists, and was besieged by Lesley in October,
the siege lasting many months. It had a garrison of about 700, including
some of the townsfolk armed. About the end of February, 1645, all the corn
in the town was seized to be served out on short allowance; on June 5,
“hempseed, dogs and rats were eaten.” The surrender was on June 25, and
the place was held by a Scots garrison until December, 1646. It was again
seized for the Royalists in April, 1648, was recaptured by Cromwell in
October, and held by a strong garrison of 800 foot and a regiment of
horse, besides dragoons to keep the borders. All Cumberland was in such a
state of destitution that the Parliament ordered a collection for its
relief; numbers of the poor are said to have died in the highways, and
30,000 families were in want of bread[1101].


Plague in Scotland during the Civil Wars.

Connecting with plagues in the north of England, there was a great
prevalence of the infection in Scotland. After the storming of Newcastle
by the Scots Covenanters in October, 1644, the plague appeared in
Edinburgh, Kelso, Borrowstownness, Perth and other places. On April 1,
1645, Kelso was burned down, the fire having originated in a house that
was being “clengit” or disinfected after plague in it. At Edinburgh the
plague-stricken were housed in huts in the King’s park below Salisbury
Crags. Collections were made for the relief of people in Leith
impoverished by the plague. The epidemic in and around Perth is said to
have given rise to the story of Bessie Bell and Mary Gray, who fled from
the plague-tainted ground and built themselves a bower by a burn
side[1102]. At Glasgow the infection was severe in the end of 1646, and
did not cease entirely until the autumn of 1648. There are numerous
references to it in the letters of principal Baillie of Glasgow
University, of which the following are the most important[1103].

On September 5, 1645, he writes that the pest has laid Leith and Edinburgh
desolate, and rages in many more places: never such a pest seen in
Scotland (in his time, perhaps). About January, 1646, he writes of “the
crushing of our nation by pestilence and Montrose’s victories.” At the end
of that year, the plague was in Glasgow: on January 26, 1647, during
winter cold, “all that may are fled out of it.” On June 2, the plague had
scattered the St Andrews’ students, the principal of St Leonard’s College
was dead of it, and it was killing many in the north. The same summer,
principal Baillie was shut up in the town of Kilwinning, cut off, with all
the inhabitants, from communication with the outer world owing to a
suspicion of plague in the place. Edinburgh and Leith, which had suffered
earliest, were almost free in the autumn of 1647, but “Aberdeen, Brechin
and other parts of the north are miserably wasted; the schools and
colleges now in all Scotland, but Edinburgh, are scattered.” Glasgow had
its worst experience of plague in the summer and autumn of 1648, which
were wet seasons: on August 23, “our condition for the time is sad; the
plague is also in Edinburgh and Aberdeen.... At this time I grieved for
the state of Glasgow.... My brother’s son’s house was infected; my
brother’s house enclosed many in danger; one night near a dozen died of
the sickness.... The long great rains for many weeks did prognosticate
famine; but these three days past there is also a great change of weather;
the Lord continue it.” The infection which began at Glasgow in January,
1647, reached Aberdeen in April, having been carried, it was said, by a
woman from Brechin. It was still raging at Aberdeen in September, and
there were straggling cases as late as November of the following year
(1648). The deaths from plague are put down at 1600, besides 140 in the
adjacent fishing villages of Futtie and Torrie on either side of the Dee
mouth. This enormous mortality ensued despite the usual rigorous
measures--the removal of the infected to huts on the Links and
Woolmanhill, a cordon of soldiers to shut them in, a gibbet for the
disobedient, and “clengers” for the infected houses[1104]. This disastrous
epidemic of 1647-1648 is the last that is heard of plague in Scotland.


Plague in Chester &c. and in Ireland, 1647-1650.

The two remaining English plagues of those years were both in cities that
had suffered much from plague before, and were in a constant state of
turmoil during the war, namely Chester and Shrewsbury. Chester was held
for the king, and surrendered to the Parliament on February 3, 1646, after
a siege of twenty weeks, during the latter part of which there was famine
within the walls. It was not until 1647 that plague broke out. From June
22 until April 20, 1648, the numbers that died of plague are stated in the
MS. of Dr Cowper to have been 2099; all business was suspended, and cabins
for the plague-stricken were built outside the town[1105].

The Shrewsbury plague of 1650, like that of Chester, is described as
having been dreadful in its effects upon the town. It broke out during the
occupation by the Parliament’s troops, on June 12, 1650, in a house in
Frankwell, and continued until January, 1651. Only one parish, St Chad’s,
appears to have kept account of the plague-deaths: in that register from
June 12 to January 16, there are entered 277 burials, whereof of the
plague 250, the highest monthly mortality (76) being in August, 1650. Of
these 250 deaths, 123 took place in the pest-houses. A letter of August 21
says that 153 died in two months, and that there were near 3000 people in
the town dependent upon common charity[1106]. On November 21, there were
still 200 cases in the pest-houses, most of them being in the way to
recover, as usually happened towards the end of an epidemic through the
greater readiness of the buboes to suppurate.

From the small number of burials due to ordinary causes in the St Chad’s
register, it would appear that many citizens had fled. The severity of
incidence upon certain houses appears from the fact that five servants in
Mr Rowley’s house died of it; and that 15 out of 21 burials in St Julian’s
parish came from four families[1107]. These are incidents like those of
the great plague of London in 1665, which is the next in time in the
English annals after Shrewsbury’s visitation in 1650.

The plague in Ireland in 1649-50 was connected, directly and indirectly,
with the military operations under Ireton and Cromwell. The previous year,
1648, had been one of famine: at the attack on Kildare by the rebels in
the spring, both the English garrison in the town and the attacking Irish
were half-starved, and there was a great mortality on both sides, as well
as a murrain of cattle. On May 4, corn in all the rebel quarters is said
to be at the incredible price of £8 the quarter, both men and cattle dying
in large numbers[1108]. In 1649 the plague broke out in Kilkenny, obliging
the supreme council of Confederate Catholics to remove to Ennis. Ireton,
“thinking he ought not to meddle with what the Lord had so visibly taken
into his hands, has declined taking Kilkenny into his own.” But Cromwell
besieged it on March 23, 1650, by which time the garrison of 200 horse and
1,000 foot had been reduced to 300 men through the ravages of the plague,
the inhabitants having also suffered heavily[1109].

The Royalist letters from the Hague speak of the plague in the summer of
1650 as disastrous in Ireland, particularly in Dublin[1110]. On August
5/15: “Lady Inchiquin came hither last night; those with her report that
the plague will devour what the sword has not in Ireland.” On September
2/12: “All I hear out of Ireland is that the plague has made a horrid
devastation there; 1100 in a week died in Dublin”--an improbable
estimate[1111]. The ranks of the rebels were so thinned by the sword and
pestilence that “not above 200 suffered by the hands of the executioner,”
after trial at the high court of justice held in County Cork in
1651[1112]. The epidemic appears to have ceased in the autumn of 1650,
when the Council of State, in a despatch to the Lord Deputy, take notice
of the goodness of God in stopping the plague[1113].


Fever in England, 1651-2.

Between those plagues of the years 1644-1650 and the final re-appearance
of the infection on English soil from 1665 to 1666, the interval is
occupied with a good deal of fever both in town and country. The
sicknesses of those years are of interest as having been described by two
competent physicians, Willis and Whitmore.

There were two principal periods of the epidemics, the years 1651-2 and
1657-9. In the former period the sickness appears to have been mostly in
the north-west. Whitmore, who had seen practice in the Civil War, in
Staffordshire and Shropshire, appears to have been in Chester in 1651, and
was settled in London in 1657. It is from him that our information mostly
comes[1114].

    “It is well known,” he says, “that this disease in the year 1651 [the
    same fever that he describes more fully for the years 1658 and 1659]
    first broke out by the seaside in Cheshire, Lancashire, and North
    Wales.... In Cheshire in the year 1651 this disease seized most upon
    the country people who were laborious, the seeds being sooner
    dispersed in them through the agitation of the humours and spirits in
    their harvest labours, than on those who lead a more sedentary life;
    and that might be one reason why we were so free in the city of
    Chester, when within three or four miles of us round about, whole
    towns were infected with it, there being 80 and 100 sick at a time in
    small villages, as at Stanney, Dunham-on-the-hill, Norton and all
    there abouts by the water side it extremely raged.”

Whitmore refers to something that he had written, “for my private use,” on
the subject of this fever as far back as 1642; he remarks also that it
raged every autumn in some place or other of the kingdom, and mentions his
own experience in Staffordshire and Shropshire during the late war. But it
is the epidemic in Cheshire, Lancashire and North Wales, in 1651 that he
specially describes, side by side with those of 1658 and 1659; and it is
of interest to note his suggestion as to the origin of the fever on both
shores of the Mersey. It was well known that the fever in 1651 first broke
out by the seaside in Cheshire, Lancashire and North Wales:

    “And if it were observed in Holland that on a misty day, that
    infectious disease the Sudor Anglicus came into Amsterdam in an
    afternoon, five hundred or more dying that night of it, as Lemnius
    reports, I know not why we may not as well suppose their opposite
    neighbour, Dublin, then visited for two years with the plague, should
    not have communicated the same to them though in a more remiss
    degree.”

Here the suggestion is that the prevalence of plague on the opposite coast
of Ireland had given rise to a minor and “more remiss” contagion along the
coasts of North Wales, Cheshire and Lancashire. But the plague had been
most severe in Chester itself before it broke out in Ireland, and had been
severe in Shrewsbury at the same time as in Ireland. Whatever the theory,
it is significant that the corner of England which was the worst and
perhaps only seat of plague in 1648 and 1650, was the seat of a malignant
fever in 1651, the former having been in the towns, and the latter in the
country villages.

We get a glimpse of a heavy mortality among the country people the year
after at Bootle, in Cumberland, just across the border from
Lancashire[1115]. On July 8, 1652, Thomas Wharton writes from Kirkdale to
Edward Moore:

    “There was a boy at widow Robinson’s died upon Saturday in Whitsun
    week, and upon the Wednesday before he was sawying at the steward
    Worsley’s house with his wrights. The boy and the steward’s man slept
    together in Worsley’s barn; towards night the boy was not well, and
    could work no longer. All this John Wiggan of Kirkdale did see. Next,
    John Birch died, and four of his children--all are dead but his wife.
    At John Robinson’s, one child and his wife died last week, and upon
    Wednesday last two children more died; and it was thought by the
    constable of Bootle that he would be dead before this day at night.
    Upon Wednesday at night last, at James Pye’s, there died two, his son
    and daughter; and a servant of Thomas Doubie’s is dead; and it is this
    day broken forth in Bridge’s, as we hear.”

On what evidence this country epidemic is called “the plague” by the
antiquary who prints the document does not appear. The fatality of the
disease would suggest plague, rather than fever; but the fever itself
would seem to have been more malignant at one place than another, and at
one time than another, and there may have been at Bootle cases unmentioned
which recovered. If it had been true bubo-plague, it is a solitary
instance, so far as records go, in the fifteen years between the
extinction of plague at Shrewsbury in 1650, and its revival in London and
elsewhere in 1665. The epidemic disease that we ordinarily hear of in that
interval is fever; and of the fever our best accounts, after Whitmore’s
reference to 1651, are of the epidemics in 1657, 1658 and 1659.


Fever and Influenza, 1657-9.

The account by Willis of three consecutive epidemics in the autumn of
1657, the spring of 1658, and the autumn of 1658, is of peculiar interest
for the reason that it is the first systematic piece of epidemiology
written in England, and that the middle epidemic of the three was one of
influenza[1116]. On reading the narrative of events by Willis, we can
understand how it was that the physicians of that period were so impressed
by the doctrine of an epidemic constitution of the season, and by its
counterpart doctrine of a seasonal predisposition in the human
constitution. That teaching was afterwards expounded in successive essays
by Sydenham; but it was held generally in those times, and Willis found
apt illustrations of it in the three epidemics one after the other in
1657-58. Let us follow his narrative, and add to it some particulars from
Whitmore.

The spring and summer of 1657 were extremely dry and hot; but especially
after the summer solstice the heats were so intense for many weeks
following that, day and night, there was none that did not complain of the
heat of the air, and were almost in a continual sweat and were not able to
breathe freely. About the calends of July, the fever which was at first
sporadic and particular, began to break forth in some places, perhaps two
or three cases in the same city or village. The fever fits at this period
occurred every other day, but there was no cold fit or rigor preceding, as
in an ordinary ague, the heat being intense from the outset. Vomiting and
bilious stools occurred plentifully to most, with sweat succeeding, not
however an easy, uninterrupted and critical sweat. The remission of the
fever fit was rarely complete in the intermediate day, weakness, languor,
thirst and restlessness always remaining. In some the type improved after
three or four of these quasi-tertian paroxysms; the later fits were
ushered in with a rigor and a cold stage, so that the fever became an
exact tertian intermittent. But in most the type became worse, which may
have been due to errors of regimen and physicking. The fever became,
indeed, a continued one, and might end in nervous symptoms--lethargy,
delirium, cramps or convulsions.

In August it was spreading far and near, so that in every region or
village round Oxford, many were sick of it; but it was much more frequent
in the country cottages and in the smaller villages than in cities or
towns. It was called “the new disease,” as the war-typhus of 1643 had been
called, and other epidemics both earlier and later.

Willis continues: It crept from house to house, infecting most of the same
family, and especially those in familiar converse with the sick. “Yea old
men, and men of ripe age, it ordinarily took away.” It lasted many days in
an individual, nay even months, attended with much evacuation and almost
daily vomits and sweats. “Scarce one in a thousand died of it, which I
never knew in an epidemical synochus.” This singular malady, which
differed from ague not only in its want of clear intervals between the
fits of fever, but also in being propagated by contagion, raged throughout
all England in the autumn of 1657. Only in some few limited localities,
and in these only in some cases, was it accompanied by true dysentery.
Willis is not satisfied with the facile explanation of an infection of the
air, “the little bodies of which infections, being admitted within, did
ferment with the blood and humours.” There must have been something
equally general in the human body, a predisposition to be so acted upon;
and of that proneness to fever he finds the cause in the intemperance of
the year, namely the great heat of the summer and autumn.

But the most remarkable illustration of these doctrines was the epidemic
of the following spring, which was a pure and unmistakeable epidemic of
influenza-cold. After the very hot summer and autumn, there was a long
winter of intense frost. From the ides of December to the vernal equinox
the earth was covered with snow, the wind blowing steadily from the north.
The state of health through the winter was fairly good. The north wind
continued until June. “About the middle of April, suddenly a distemper
arose as if sent by some blast of the stars, which laid hold of very many
together; and in some towns in the space of a week above a thousand fell
sick together.” They had a troublesome cough, great spitting, and catarrh
“falling down on the palate, throat, and nostrils.” The illness approached
with fever, thirst, want of appetite, weariness, grievous pains in the
head, back, loins and limbs, and heat in the praecordia. Some were very
ill in bed, with hoarseness and almost continual coughing; others had
bleeding at the nose, bloody spittle or bloody flux. Not a few old and
infirm died, but the more strong, and almost all the healthy constitutions
recovered. Those that died “wasted leisurely,” like persons sick of a
hectic fever. About the third part of mankind was distempered in a month.
Willis’s explanation of it is that the constant north wind checked the
natural action of the blood in spring. The spring blood is more lively,
like the juices of vegetables. The catarrhal fever was a disorder of the
spring blood, like new wine close shut up in bottles.

This outbreak about the middle of April is evidently described for Oxford
and the country around. Willis then describes his third epidemic, that of
the summer and autumn of 1658, which was the same type of fever as in the
summer and autumn of 1657. The vernal fever of 1658 did not last longer
than six weeks. The wind continued still north, until the summer solstice;
a little before the beginning of July there was a most fierce heat for a
few days, and when the dog-days were begun, the air grew most cruelly hot,
so that one could scarce endure it in the open. The new fever arose mostly
about the end of August, and began to spread through whole regions about
us (at Oxford), and chiefly, like that of 1657, in country houses and
villages; but in the meantime few of the inhabitants of the greater towns
and cities fell sick. The symptoms were much the same as in the previous
autumn. The fever was continual in some; in others it was of an
intermitting type at first; but very many were ill “in their brain and
nervous stock,” with cruel headache, noises in the ears, dullness of
hearing, stupor, vertigo, waking, and delirium. In some, on the first or
second day, “little broad and red spots like to the measles have leisurely
broken forth in the whole body, which being shortly vanished, the fever
and headache became worse.” The patients lay for a few days as if dying,
without speaking or knowing their friends, after which came lethargy and
delirium. The young men mostly recovered, the old men died. In the fits of
old men, the heat was not very sharp, but there were restlessness, tossing
about, idle and random talking, with dryness of the mouth, surfiness of
the tongue, and viscous sordes. Usually the pulse was strong and equal; a
weak, unequal and intermittent pulse, with contractures of the tendons and
convulsive motions in the wrists, was an omen of death. Those who died
passed away in a stupor, without consciousness to dispose of their goods;
the recovery of others was long and doubtful. One notable thing in this
fever was the exanthem, which reminds one more of the rash of sweating
sickness or dengue (breakbone fever), than of the spots of typhus.

Willis ends his book on fevers with that account of the autumnal epidemic
of 1658, “taken the 13th of September,” his work having been published at
the Hague in 1659. Whitmore, whose short essay is dated from London,
November, 1659, begins with the autumnal epidemic of 1658, which is the
last of Willis’s three; and, strangely enough, he also has a vernal
epidemic of influenza to describe--an epidemic clearly belonging to the
spring of 1659. Unless there be some error in Whitmore’s dates, it is
impossible to avoid the conclusion that the second autumnal fever, that of
1658, was followed by a spring influenza, just as the first, of 1657, had
been.

Whitmore’s account of the autumnal fever of 1658 agrees in the main with
that given by Willis. He defines it as “a putrid continued and malignant
fever containing in it the seeds of contagion.” It raged in the last
autumn through all England, “and now begins again,” (his preface being
dated November, 1659), seizing on all sorts of people of different nature,
which shows that it is epidemic. The part affected is chiefly the heart,
and therefore some call it _cordis morbus_.

    “In this, as in the plague at the first catching of it, some seem to
    be very pleasant, so far are they from perceiving themselves to be
    amiss, when indeed death itself hath set his foot within the threshold
    of their earthly houses.” There were pains in the head, inclination to
    vomit, sudden fainting of spirits, and weakness without any manifest
    cause, the pulse feeble and sometimes intermittent, so as very lusty
    and strong men in Cheshire (in the year 1651 where this disease then
    raged) in a very short space so lost their strength that they were not
    able to stand or turn themselves in their beds. Some also are taken
    with bleeding, purging, and sweating, and many have the spots. But for
    the most part it appears in the livery of some other kind of ague. It
    begins to show its malignity after the 5th, 7th, or 9th day, with loss
    of appetite, thirst, and a dry black tongue.

Letters of 1658 from London bear out the prevalence of autumnal sickness.
On August 3, one writes that the weather is hot and dry, the town
extremely empty, and the flux beginning. On January 4, 1659, there is much
sickness, especially fevers, agues and the smallpox.

A good deal of the interest of Whitmore’s essay lies in his arguments
against blood letting in this fever; but that is part of a history which
will have to be dealt with as a whole at a later stage.

Whitmore then proceeds to the vernal epidemic of 1659, just as Willis had
done to that of 1658. His words are (4 Nov. 1659):

    “Having given an account of the nature and cure of this disease which
    now rageth throughout England, I shall briefly describe that which
    this spring universally infested London; and show how it agreed and
    how it differed from that disease which last fall invaded the whole
    nation.” He then describes the typical influenza, just as Willis had
    done under a date a year earlier--pains in the limbs of some, coughs,
    and aguish distempers in others; “so that in a week or a fortnight’s
    time, when it had fermented and caused a putrefaction of humours, it
    quickly tended to a height, and struck many thousands in London down,
    scarce leaving a family where any store were, without some being ill
    of this distemper, suddenly sweeping very many away, being the same,
    in the judgment of no mean physician, with that in autumn last, though
    in a new skin.” Whitmore then gives a reason “why this should hold
    them all with coughs, which it did not in the fall.”

Assuming an affinity to the autumnal epidemic of 1658, he proceeds to
state the circumstance of a reappearance in the spring of 1659: “Upon this
hush it lay all the winter, until the Easter week, and then in two or
three warm days broke loose, having had no warm weather all before, but a
rainy and black week, the sun not appearing for five or six days together
just before the holiday; when on a sudden that warm weather breaking
forth, the citizens in their summer pomp, being thinner clothed many of
them than before (like bees on a glorious day) swarmed abroad, and the
pores etc.”

Both Willis and Whitmore incline to the view that the catarrhal fever of
the spring was akin to the strange fever of the autumn, the differentia of
each being appropriate to the season. Willis, however, keeps the two types
more apart than Whitmore. The latter speaks of both fevers as “this
Protean-like distemper,” whose various shapes “render it such a hocus
pocus to the amazed and perplexed people, they being held after most
strange and diverse ways with it.” It is “so prodigious in its alterations
that it seems to outvie even Proteus himself.” Thus the strangest part of
these narratives is not the catarrhal influenza, which has so often
reappeared as to be familiar, but the prevalence of anomalous fevers, in
some respects like intermittents without the clear interval between the
fits, but in respect of contagion, spots, pains and other symptoms, like
typhus--a volatile typhus of the country and of the towns. Although this
epidemiological phenomenon be a strange one, there is no reason to
question the correctness of Willis’s observations, corroborated as they
are by those of Whitmore. But there are, indeed, many more experiences of
the like kind in the years to follow, which fall without the limits of the
present volume. One only of these later observers need be mentioned here.
The third of the famous trio with Sydenham and Willis was Morton. He had a
long experience in London of fever and smallpox, which he made the subject
of a book in 1692-4[1117]. His history goes as far back as
1658--“_historia febris_ συνεχὴς _ab anno 1658 ad annum 1691_.” Of the
year 1658 he says the fever was everywhere through England and refers to
Willis; the only facts of his own being that Oliver Cromwell and his
(Morton’s) father were carried off by it in September of that year, that
he had it himself (aged 20) and was three months in recovering, and that
the whole household (in Suffolk) were infected. Cromwell’s attack came
upon him at Hampton Court on August 21; but it was not the first sickness
of the kind that he had suffered. He was only fifty-nine, but worn out
with many cares, and at that time distressed by the death of his favourite
daughter, Lady Claypole, under his roof on August 6, from some painful
internal female trouble. The Lord Protector’s fever was called a “bastard
tertian,” which might have been a name for the fever described by Willis.
He was removed on the 24th August to Whitehall, where the air was thought
to be more wholesome; and died between three and four in the afternoon of
September 3, the anniversary at once of “Dunbar field and Worcester’s
laureat wreath.”

This prevalence of fevers, Protean in their varying types, all over
England in 1657-59 corresponds to the fever period of 1623-24. In each
case the fever was a minor plague, and in each case it was followed by a
revival of the plague proper, which had been dormant all over the country
for a dozen or fifteen years. The principal difference is that the
fever-period of 1623-24 was followed by the plague in 1625, whereas the
fever-period of 1657-59 was followed by several years not free from fever
and then by the plague in 1665. It is clear that the fevers of 1657-59
made a great impression all over England, and were afterwards popularly
spoken of as a warning of the Great Plague itself. In the parish register
of Aldenham, Hertfordshire, there is inserted a poem on the Great Plague
of 1665, which has the following verses[1118]:

  “Seven years since a little plague God sent,
   He shook his rod to move us to repent.
   Not long before that time a dearth of corn
   Was sent to us to see if we would turn.”

In Short’s abstracts of parish registers, the years preceding 1665 stand
out as sickly in country districts, according to the following figures:

         No. of      No. with    Baptisms    Burials
         registers   sickness    in same     in same
         examined

  1657       98         36          991        1305
  1658       96         33          704        1159
  1659      101         29          553         825
  1660      107         17          342         489
  1661      182(?)      25          448         685
  1662      105         20          376         504
  1663      119         15          325         443
  1664      118         12          328         364
  1665      117         14          229         446

Periods as unhealthy as 1657-59 do not occur again until 1667-71, and
1679-84.

Willis says, of the autumnal epidemic of 1658: “But in the meantime few of
the inhabitants of the greater towns and cities fell sick.” That is
confirmed for London, in a letter of October 26, 1658: “A world of
sickness in all countries round about London. London is now held the
wholesomest place;” but on January 4, 1659: “There is much sickness in the
town, especially feavers, agues, and smallpox[1119].” In Short’s tables,
the registers of market towns bear the same traces of much sickness in
1657 and 1658 as those of country parishes.

A high mortality from fever and spotted fever continued in London every
year from 1658 to the year of the great plague. The largest number of
deaths from fever was in the year of the plague itself, when the bills of
mortality returned them as 5257 (without much certainty, however, owing to
the confusion of the plague). The next highest figures had been in 1661,
when the fever deaths were 3490. We get a glimpse of that epidemic from
Pepys; on August 16, 1661, he writes: “But it is such a sickly time both
in the city and country everywhere (of a sort of fever) that never was
heard of almost, unless it was in plague-time. Among others, the famous
Tom Fuller is dead of it, and Dr Nicholls [Nicholas], dean of St Paul’s,
and my Lord General Monk is very dangerously ill.” On August 31 he enters
in his diary: “The season very sickly everywhere of strange and fatal
fevers.” The same diarist, on October 20, 1663, has an entry that the
queen is ill of a spotted fever and that “she is as full of spots as a
leopard;” on the 24th the queen was in a good way to recovery.

It is at this period that Sydenham’s famous observations of the seasons
and the public health in London begin. The autumnal intermittents, he
says, which had been prevalent some years before, came back in 1661 with
new strength, about the beginning of July, being mostly tertians of a bad
type: they increased so much in August as to sweep away families almost
entirely, but declined with the winter cold coming on. He then draws the
distinction between them and ordinary tertians. In the same years,
1661-2-3-4, a continued fever is described at great length, and then he
comes to the “pestilential fever” and the plague itself of 1665 and
1666[1120]. Taking from Sydenham the single fact, for the present, that
an unusual amount of pestilential fever led up to the plague of 1665
(which he did not stay in London to witness), we shall proceed in the next
chapter but one to that crowning epidemic of the present section of our
history. Something more remains to be said of the fevers of 1661
(specially described by Willis as a fever of the brain and nervous stock,
but called “the new disease” in its turn); but as it is the first of
Sydenham’s “epidemic constitutions,” and as these are recorded
continuously to 1685, when there was another “new fever,” it will be
convenient to end the detailed history of fevers for the present with the
remarkable epidemics of 1657-59.




CHAPTER XI.

SICKNESSES OF VOYAGES AND COLONIES.


(Sea Scurvy, Flux, Fever, and Yellow Fever.)

The sicknesses of the first voyages and foreign settlements come into the
history of national maladies, both as concerning Britain on the sea and
beyond sea, and as showing forth the disease-producing conditions of those
early times. In the latter respect there is more to be learned from
voyages and colonial experience than the records of domestic life at home
are likely to inform us of otherwise than vaguely. The Englishman of the
time carried his habits with him to sea and to foreign parts, where the
circumstances were more trying and the consequences more obvious.

This history divides itself at once into several branches. There are the
disease-incidents of ocean voyages, irregular at first but becoming
somewhat uniform after the East India Company’s start in 1601, chief among
them being scurvy. There are next the early discouragements from sickness,
both on the voyage and after landing, in the planting of colonies in
Virginia, New England and the West Indies, among which the troubles of
Jamaica were on a sufficiently great scale to deserve minute study.
Lastly, among the larger sections of this chapter, we have to notice the
beginnings and circumstances of the terrible and long-enduring scourge of
West Indian colonies--yellow fever. While we are mainly, in this record of
the sicknesses of voyages and of new colonies, concerned with British
enterprise, we shall have occasion to glance at the similar experiences of
other nations.


The first accounts of Sea Scurvy.

The malady that figures most in the narratives of the long ocean voyages
which began with the modern period is scurvy. In the very first of the
great voyages, that of Vasco de Gama to the Indies by the Cape of Good
Hope in 1498, scurvy appeared when the ships were on the West African
coast, fifty-five deaths occurring within a short period. Of all the known
subsequent occurrences of the kind, there are accounts more or less full
in the collections of Hakluyt and Purchas, from which the facts in the
sequel have been taken.

In the voyage of Ferdinand Magellan to the Pacific, scurvy is mentioned
first at a late stage; in the year 1520 the ships had passed the straits
called by his name and had been three months and twelve days sailing
westwards from the last land; their provisions had run short, and, “by
reason of this famine and unclean feeding, some of their gums grew so over
their teeth that they died miserably for hunger.” Nineteen men, as well as
a giant from Patagonia and an Indian from Brazil, were dead, and some
twenty-five or thirty others were sick, “so that there was in a manner
none without some disease[1121].”

There were no voyages of the same length by English ships until many years
after: and then we find the same troubles in them from scurvy and other
sickness. While the Portuguese and Spaniards were navigating in tropical
waters, the English and French were sending most of their expeditions to
the North. The French attempted to found a colony on the shores of the
Gulf of St Lawrence, while the English sought to establish a trade with
Muscovy by way of the White Sea, and to open a nearer route to the far
East by way of the polar regions. The voyages in all these enterprises
were short, the ships for the most part returning after an absence of four
or five months, and without any notable experience of sickness: it was
only when the French wintered in Canada that scurvy broke out. Thus the
English voyages for the Muscovy Company have little or no interest for our
subject; while the three voyages of Frobisher in search of the North-West
passage in 1576, 1577, and 1578, and the three of Davis in 1585, 1586, and
1587 (in which last he got to 73° N.) are as nearly as possible free from
records of sickness.

Jacques Cartier’s second expedition to the St Lawrence in 1535 had a
disastrous experience of scurvy. In his first voyage in 1534, with two
ships of sixty tons each and each carrying sixty-one men, he appears to
have had no sickness, having left St Malo on April 20, traded with the
Indians on the Gulf of St Lawrence, and returned on September 5 of the
same year. The expedition of the following year, with three ships,
wintered on the coast, amidst heavy ice, and about mid-winter began to
suffer from scurvy[1122]. The crews appear to have had no lack of stores,
both meat and drink, and the outbreak of scurvy, described as an unknown
disease, was so surprising that it was traced to infection from the
Indians, who are said to have admitted the deaths of some fifty of their
number from “pestilence.”

    “The said unknown sickness began to spread itself amongst us after the
    strangest sort that ever was either heard of or seen, insomuch as some
    did lose all their strength, and could not stand on their feet; then
    did their legs swell, their sinewes shrink as black as any coal.
    Others also had their skins spotted with spots of blood of a purple
    colour; then did it ascend to their ankles, knees, thighs, shoulders,
    arms, and neck; their mouth became stinking, their gums so rotten that
    all the flesh did fall off even to the roots of the teeth, which did
    also almost all fall out. With such infection did this sickness spread
    itself in our three ships that about the middle of February, of a
    hundred and ten persons that we were, there were not ten whole; so
    that one could not help the other.... There were already 8 dead and
    more than 50 sick, and, as we thought, past all recovery.” The body of
    one dead, aged 22, was opened to see what the disease was; he was
    found to have his heart white, but rotten, and more than a quart of
    red water about it[1123]; his liver was indifferent fair; but his
    lungs black and mortified ... his milt toward the back was somewhat
    perished, rough as if it had been rubbed against a stone.

    “From the midst of November to the midst of March there died 25 of our
    best and chiefest men, and all the rest sick except three or four;
    then it pleased God to cast his pitiful eye upon us, and sent us the
    knowledge of remedie of our healths, and recovery.... The Captain,
    walking upon the ice, asken of Domagaia [an Indian] how he had done to
    heal himself; he answered that he had taken the juice and sap of the
    leaves of a certain tree, and therewith had healed himself! for it was
    a singular remedy against that disease.” The Indian’s advice was “to
    take the bark and leaves and boil them together and to drink of the
    said decoction every other day, and to put the dregs of it upon the
    legs that is sick.”...

    “It is thought to be the sassafras tree. After this medicine was found
    and proved to be true there was such strife about it, who should be
    first to take of it, that they were ready to kill one another, so that
    a tree as big as any oak in France was spoiled and lopped bare, and
    occupied all in five or six days, and it wrought so well that if all
    the physicians of Montpelier and Lovaine had been there with all the
    drugs of Alexandria, they would not have done so much in one year as
    that tree did in six days, for it did so prevail that as many as used
    of it, by the grace of God recovered their health.”

In 1542, while Cartier was still trading on his own account to the St
Lawrence from Brittany, a more ambitious project, under a Crown patent,
issued from La Rochelle[1124]. With De la Roche, count of Roberval, as
governor, a number of adventurous nobles and gentry, with men, women and
children to the number of two hundred in all, sailed in three ships, and
established themselves in Lower Canada with all the formalities of
occupation. Two of the three ships were sent home in September, the
colonists proper being left to taste the rigours of a Canadian winter: “In
the end many of our people fell sick of a certain disease in their legges,
reynes and stomacke, so that they seemed to bee deprived of all their
lymmes: and there died about fiftie.”

The first English records of scurvy at sea are in connexion with the early
voyages to Guinea for gold-dust[1125]. Mr John Lok sailed on the second
voyage to Guinea, on October 11, 1554, his ships being the ‘Trinitie,’ 140
tons, the ‘Bartholomew,’ 90 tons, and the ‘John Evangelist,’ 140 tons.
After trading some months on the African coast the ships sailed for home:
“There died of our men at this last voyage about twenty and four, whereof
many died at their return into the clime of the cold regions, as between
the islands of Azores and England.” The disease is not named; but it is
probable from what follows that it was scurvy.

The next voyage to Guinea was Towrson’s first, in October 1555, from
Newport, Isle of Wight, in the ‘Hart’ and the ‘Hind;’ the death of only
one man is mentioned; he died “in his sleep” on March 29; by the 7th May,
the provisions were so reduced that the ships put in on the coast of
Ireland to purchase milk and two sheep from the wild kernes, paying in
gold-dust.

In Towrson’s second voyage there is no word of sickness; but in his third
voyage in 1577, it is a prominent topic of the narrative. The vessels
‘Minion,’ ‘Christopher’ and ‘Tiger’ left Plymouth on January 30, 1577. On
the 8th of May, “all our cloth in the ‘Minion’ being sold, I called the
company together to know whether they would tarry the sale of the cloth
taken in the prize at this place or no: they answered that in respect of
the death of some of their men, and the present sickness of 20 more, they
would not tarry, but repair to the other ships, of whom they had heard
nothing since April 27.” Having at length bartered for gold until the
natives would barter no longer, the three ships bore up for home. On July
24 the master of the ‘Tiger’ came aboard the ‘Minion’ and reported that
“his men were so weak and the ship so leak that he was not able to keep
her above the water.” A muster held of all the three crews the same day
showed that there were not above 30 sound men in them. On September 3,
there being only six men in the ‘Tiger’ who could work, the gold and
stores were taken out of her, and she was abandoned. On October 6, when
off the coast of Portugal, the ‘Christopher’ reported herself so weak that
she was not able to keep the sea. The ‘Minion’ promised to attend her into
Vigo; but a fair wind springing up, she signalled that she was off for
home, whereupon the ‘Christopher’ followed. On October 16, a great
south-westerly storm arose; the men in the ‘Minion’ were not able, from
weakness, to handle the sails, which were blown away: however, they made
shift to reach the Isle of Wight on October 20, nothing more being said of
the ‘Christopher.’

The English voyages to Guinea for gold-dust were shortly followed by the
three expeditions of John Hawkins in 1562, 1564 and 1567 to the West coast
of Africa for negro slaves to be sold to the Spaniards in Hispaniola and
Cuba and on the Spanish Main[1126]. Only a brief summary remains of the
first voyage, in which nothing is said of sickness; in the second, the
negroes, at least, appear to have suffered on the somewhat long passage
across the tropical belt, especially from want of water; and the third was
so calamitous in various ways that Hawkins himself wrote of it: “If all
the miseries and troublesome affairs of this sorrowful voyage should be
perfectly and thoroughly written, there should need a painful man with his
pen, and as great a time as he had that wrote the lives and deaths of the
martyrs.” Little or nothing is said of one class of martyrs in the
business--the negroes, of whom the ships carried four to five hundred.
English lives were lost in the kidnapping raids, from poisoned arrows, it
was thought, the wounded dying “in strange sort with their mouths shut
some ten days before they died, and after their wounds were whole.” It was
on the return from the Gulf of Mexico, more than a year out from England,
that the sickness on board was worst. They cleared the Bahamas channel on
November 16, 1568, after which, “growing near to the cold country, our men
being oppressed with famine, died continually, and they that were left
grew into such weakness that we were scarcely able to manage our ship”
(the ‘Jesus’ of Lubeck, 700 tons). They put in at Ponte Vedra, near Vigo,
on December 31, but the fresh provisions that they got turned to their
hurt: “our men with excess of fresh meat grew into miserable diseases and
died a great part of them.” Twelve fresh hands shipped at Vigo enabled the
vessels to reach the nearest English haven at Mount’s Bay in Cornwall.

Meanwhile we obtain some glimpses of seafaring among the Portuguese, who
had now in the middle of the 16th century a regular trade to the Indies,
established by Vasco de Gama’s route round the Cape of Good Hope. Perhaps
the most famous of these records is that of the voyage of St Francis
Xavier from Lisbon to Goa in the spring of 1540. The expedition with which
he took passage carried, it is said, a regiment of a thousand men to
reinforce the garrison of Goa; during the voyage the Jesuit apostle
“rendered to the diseased services too revolting to be described, and
lived among the dying and the profligate, the unwearied minister of
consolation and of peace[1127].” After five months the ships arrived at
Mozambique, by which time Xavier and many more were suffering from fever.
Goa was not reached until thirteen months out from the Tagus. A more
familiar narrative of the same voyage of the Portuguese ships a generation
later is given by an English youth, Thomas Stevens, in a letter written
home to his father, a citizen of London, shortly after arriving at Goa.
Both in its generalities and in its particulars this excellent letter will
serve to measure the prevalence of scurvy, flux, and fever in the earlier
period of the East Indian trade by the Cape[1128].

    The five ships left Lisbon on April 5, 1579, the solemnity being
    marked by the firing of ordnance and the braying of trumpets. In the
    ships, “besides shipmen and soldiers, there were a great number of
    children, which in the seas bear out better than men; and no marvel,
    when that many women also pass very well.” After a passage along the
    Guinea coast, made tedious by calms and head winds, they rounded the
    Cape of Good Hope on July 29. From that point in the voyage the
    Portugal ships were wont to follow one or other of two routes
    according to the lateness of the season--either the route by the
    Mozambique Channel, in which case they were able to get fruits and
    fresh provisions, or the route along more southern parallels for a
    time, and passing to the east of Madagascar[1129]. In the latter case,
    “by reason of the long navigation and want of food and water, they
    fall into sundry diseases, their gums wax great and swell, and they
    are fain to cut them away, their legs swell, and all the body
    becometh sore and so benumbed that they cannot stir hand nor foot, and
    so they die for weakness. Others fall into fluxes and agues, and so
    die thereby.

    “And this way it was our chance to make; and though we had more than
    one hundred and fifty sick, there died not past seven-and-twenty,
    which loss they esteemed not much in respect of other times.”

    The ships went greatly out of their course, having sighted the island
    of Socotra at the entrance to the Gulf of Aden, and did not arrive at
    Goa until October 24, 202 days from Lisbon without calling anywhere.

The first of the long English voyages beyond the Line was Sir Francis
Drake’s famous circumnavigation from November 15, 1577, to September 26,
1580[1130]. Drake must have lost many of his men in those three years, but
there is nothing in the narrative to show that they perished of disease.
The expedition was by way of the Straits of Magellan, and was mainly given
up to plundering the Spaniards on the coasts of Chili and Peru. Drake set
out for home loaded with treasure by way of the Philippines and the Cape
of Good Hope. It is not until the narrative brings us to a small island
between Ternate and Celebes that we hear of sickness; they graved the ship
there and remained twenty-six days, during which the “sickly, weak and
decayed” recovered their strength, a large species of crayfish found on
the island being “very good and restoring meat, whereof we had
experience.” But even Drake, with all his systematic care and resource,
was destined in after years to have a share of the common sickly
experience at sea, and to find disease a more potent enemy than the
Spaniard.


Remarkable Epidemic in Drake’s Fleet 1585-6.

Drake’s next great expedition after his circumnavigation was in 1585, with
six Queen’s ships and some nineteen others, carrying 2,300 men. A large
number of private adventurers had a money interest in the enterprise,
which had for its object to plunder Spanish towns in the West Indies and
the Spanish Main and to capture the treasure at the isthmus of Panama on
its way to Spain. The fleet experienced one of the most remarkable
epidemics in the whole history of sickness[1131].

    Having left Plymouth on September 14, 1585, they arrived at the island
    of St Jago, in the Cape de Verde group, on November 16. More than a
    thousand men were landed, and were marched up the steep and broken
    ground to a hill overlooking the capital, which stood in a narrow
    valley, with high cliffs on the east and west and the Atlantic open
    before it at some distance on the south. The place was surrounded by a
    wall, and defended by fifty pieces of brass ordnance; but no
    resistance was offered, and the English marched in to find the
    inhabitants fled farther inland. On the 17th November, the town was
    quartered out for the lodging of the whole army, which remained there
    for ten days or a fortnight (there are inconsistent dates), taking
    such spoils as the place yielded (wine, oil, meal and “trash” of the
    Portuguese trade to the Indies). After a week, when no one had come to
    ransom the town, Drake set out with 600 men to the village or town of
    St Domingo, twelve miles inland, with the hope of finding the governor
    and the bishop; but, finding no one, he marched his men back again the
    same evening. On November 26 the whole force was re-embarked, all the
    houses in the capital as well as in the country round were set fire
    to, the port of Playa, a few miles to the westward, was also burned,
    and on the same night the ships weighed anchor from the latter, and
    stood away to the south-west. They had filled their water-casks from a
    pool, near the seashore, formed by the small stream which runs through
    the capital and descends the southern declivity. Nothing is said of
    sickness during the occupation of St Jago; there seems to have been
    some lax discipline, (owing to the mixed character of the expedition),
    which Drake quickly remedied.

The ships were only eighteen days in crossing the Atlantic to Dominica, a
distance of some forty meridians. In the midst of that quick sailing along
the edge of the tropical belt of ocean, with the steady north-east trade
wind behind them, the season the beginning of December and the climate the
most delightful and most refreshing on the globe, the ships were visited
suddenly with the fury of a deadly pestilential fever, of which the
following is the account by a captain of the land-forces on board:

    “We were not many days at sea but there began among our people such
    mortality as in a few days there were dead two or three hundred men.
    And until some seven or eight days after our coming from St Jago
    there had not died any one man of sickness in all the fleet. The
    sickness showed not his infection wherewith so many were stroken until
    we were departed thence; and then seized our people with extreme hot
    burning and continual agues whereof very few escaped with life, and
    yet those for the most part not without great alteration and decay of
    their wits and strength for a long time after. In some that died were
    plainly showed the small spots which are often found upon those that
    be infected with the plague.”

From Dominica the ships sailed to St Christopher, on which island Drake
disembarked his whole force, and cleaned and aired his ships, according to
an excellent practice which he had followed also in his great
circumnavigation. Some days of Christmas having been thus spent ashore,
“to refresh our sick people,” the voyage was resumed to Hispaniola. Deaths
continued to occur, from the same disease as at first, both among officers
and men, and so continued for many weeks. However, they were able to land
some 1000 or 1200 men on Hispaniola, and to carry the city of San Domingo
by assault. The fleet then sailed southwards along the coast of the
mainland to Cartagena, which was captured in turn, and in like manner held
to ransom.

It is at this part of the narrative that we next hear of the infection in
the fleet:

    “We stayed here six weeks [from middle of January to end of February,
    1586], and the sickness with mortality, before spoken of, still
    continued among us, though not with the same fury as at the first. And
    such as were touched with the said sickness, escaping death, very few
    or almost none could recover their strength; yea, many of them were
    much decayed in their memory, insomuch that it was grown an ordinary
    judgment, when one was heard to speak foolishly, to say he had been
    sick of the _calentura_, which is the Spanish name of that burning
    ague; for, as I told you before, it is a very burning and pestilent
    ague.”

Then follows the Spanish theory of the _calentura_, which may or may not
be rightly applied to the deadly epidemic that broke out suddenly in the
English ships in mid ocean:

    “The original cause thereof is imputed to the evening or first night
    air, which they term _la serena_, wherein they say, and hold very firm
    opinion, that whoso is then abroad in the open air shall certainly be
    infected to the death, not being of the Indian or natural race of
    those country people. By holding their watch our men were thus
    subjected to the infectious air, which at St Jago was most dangerous
    and deadly of all other places. With the inconvenience of continual
    mortality, we were forced to give over our intended enterprize, etc.”

The land-captains having been consulted by Drake, on February 27, 1586,
advised that the expedition should go home from Cartagena, instead of
attempting to capture the treasure at Panama. In their memorandum they
wrote: “And being further advised of the slenderness of our strength,
whereunto we be now reduced, as well in respect of the small number of
able bodies, as also not a little in regard of the slack disposition of
the greater part of those which remain, very many of the better minds and
men being either consumed by death, or weakened by sickness and hurts,
etc.” The voyage to England was accordingly begun; St Augustine in Florida
was captured by the way, and the struggling colony in Virginia, the first
sent out by Raleigh, was taken up and brought back, and Portsmouth reached
on July 28. “We lost some 750 men in the voyage, above three parts of them
only by sickness.” The names are given of eight captains, four
lieutenants, and seven masters, who had died; and there were some other
officers dead unnamed. When the ransoms of San Domingo and Cartagena came
to be divided, the venture must have been found as unprofitable to the
shareholders as it had been disastrous to officers and men.

The Spanish name _calentura_, by which the fever in the fleet is
described, was probably used generically for various kinds of fever in the
tropics. But of this fever in particular, we have some details not without
diagnostic value. It was doubtless contracted at St Jago in the Cape de
Verde islands; it broke out suddenly in mid ocean after some seven or
eight days sailing before the wind, in a delightful climate, which points
to the regular incubation of an infective virus, received by hundreds of
men when they were last ashore; the mortality was enormous; the symptoms
were those of a burning fever; and in some cases there were small spots or
petechiae like those often seen in the plague. It was clearly a febrile
form of pestilential infection, and, as few recovered, it must be
considered to have had a death-rate such as typhus has rarely had, and
such as yellow fever has commonly had. Nothing is said of the black
vomit, the haemorrhages, and the saffron colour of skin and eyes, which
are distinctive of yellow fever[1132]. On the other hand there is a
remarkable after-effect mentioned in both the passages quoted, the loss of
memory, impairment of wits, and appearance of foolishness, which made “the
calenture” a bye-word in the fleet. I shall not venture to say what the
infection was; but it seems tolerably certain that it was contracted by
the English during their occupation of the capital town of St Jago. More
recent visitors to the Cape de Verde islands have remarked upon their
towns and villages as fever-traps, and have pointed to the source of the
fever; it is not malaria, or the mere climatic influence, but a
pestilential emanation from spots of soil long inhabited by mankind, both
black and white, and so situated in cups of the hills as to retain and
multiply the filth-ferment in them. According to all analogy, the
emanations from such a soil would be felt most by strangers not inured to
them, and most of all by men of another stock and from other
latitudes[1133].


Sicknesses of Voyages, continued: Management of Scurvy.

The expedition to Virginia which returned in 1586 with Drake’s ships
homeward bound from the Spanish Main, was the first sent out by Raleigh
with the intention of settling, an earlier voyage in 1584 having been made
to explore the country. It is in connexion with Raleigh’s second colony
(and fourth expedition) in 1587 that we hear of disastrous sickness[1134].
Having left 118 people to inhabit the country, the two larger ships sailed
for home on August 27 of the same year. On board the “fly-boat,” the
provisions fell short, the water turned stinking, officers and men died,
and the vessel was navigated with difficulty to the west coast of Ireland.
When they reached Portsmouth, they found the admiral arrived there three
weeks before them, but with an equally disastrous experience: “Ferdinando
the master, with all his company were not only come home without any
purchase, but also in such weakness by sickness of their chiefest men that
they were scarce able to bring their ship into harbour, but were forced to
let fall anchor without.”

The following year, 1588, was made memorable in the English annals of the
sea by the defeat of the Spanish Armada. There was much sickness in both
fleets. As regards the English ships, a writer who has had special access
to original documents says[1135]:

    “We little think, when we peruse the melancholy tale of disease,
    starvation and shame, so needlessly undergone by the heroic champions
    of England’s liberty against the invading might of Spain, from what
    obscure and insignificant causes the difficulties and hardships of the
    Island seamen may have chiefly arisen”--namely the peculation of
    officials, the mouldering rations, empty magazines, and the like. In
    the ships of the Spanish fleet the infection was like that of the
    plague itself; the main body of the expedition, fifty sail, reached
    Corunna, Santander and St Sebastian with such infection among the ten
    thousand men on board, that the inhabitants shut their houses against
    them.

Two of the heroes of that fight, Drake and Hawkins, met their death by
sickness off the Spanish Main in 1595-6. The expedition, consisting of
2500 men in six Queen’s ships and twenty-one others, left Plymouth on
August 28, 1595[1136]. Only the deaths of officers are mentioned in the
narrative, but of these there seem to have been a good many, when the
ships were in the Caribbean Sea. Hawkins died off Porto Rico on November
12. On December 7, Mr Yorke, captain of the ‘Hope,’ died of sickness, on
January 15, captain Plat died of sickness, and then Sir Francis Drake
began to keep his cabin and to complain of a scouring or flux: he died on
January 28, off Porto Bello. On the 27th died captain Jonas of the
‘Delight,’ captain Egerton, and James Wood, chief surgeon of the fleet,
out of the ‘Garland.’ On the 28th died Abraham Kendall out of the ‘Saker.’
Several of the ships were sunk so that their men might go to the Queen’s
ships, which were short of hands. A muster on February 6 showed in the
whole fleet “two thousand sick and whole,” or five hundred fewer than had
sailed. There was some loss of life in encounters with the enemy, but much
more from disease.

Of the filibustering cruises or expeditions to the East by the South
American route, there remain to be mentioned two by Thomas Cavendish, and
one at some length by Richard Hawkins, before we come to the establishment
of regular English trade to the East Indies by the Portuguese route round
the Cape of Good Hope. Cavendish’s first voyage[1137] by the Straits of
Magellan was from Plymouth, 25 July, 1586, with three ships (240 tons in
all) carrying 125 men.

    Touching on the west coast of Africa, they went ashore and took lemons
    from the trees. Off the coast of Brazil in November and December two
    men died “of the disease called scorbuto, which is an infection of the
    blood and the liver.” Arrived at the Straits of Magellan they found
    twenty-three Spaniards living on shell-fish, “which were all that
    remained of four hundred which were left there [to found a colony] in
    these Straits of Magellan, three years before, all the rest being dead
    with famine.” They were only too glad to hasten from this place, Port
    Famine, “for the noysome stench and vile savour wherewith it was
    infected through the contagon of the Spaniards’ pined and dead
    carkeises.” In one of Cavendish’s own ships, on February 21, 1588,
    when among the East Indian islands, Captain Havers died of “a most
    severe and pestilent ague, which held him furiously some seven or
    eight days. Moreover presently after his death, myself [Pretty, the
    narrator] with divers others in the ship fell marvellously sick, and
    so continued in very great pain for the space of three weeks or a
    month, by reason of the extreme heat and intemperature of the
    climate.”

One might guess that these were cases of ship-fever (or calenture); but in
Cavendish’s last voyage we meet with a strange sickness which will perhaps
baffle all nosological conjecture. This voyage, like the first, was
intended for the East Indies by way of the Straits of Magellan[1138]. The
three tall ships and two barks, having sailed from Plymouth on August 26,
1591, never got through the Straits; they were still within their recesses
in April, 1592, many men having “died with cursed famine and miserable
cold,” and sick men having been put ashore into the woods in the snow. The
narrative (by John Lane), then follows the fortunes of one of the ships,
the ‘Desire.’ Landing at Port Desire, in Patagonia, they found
scurvy-grass growing, which they ate with oil: “This herb did so purge the
blood that it took away all kind of swellings, of which many [had] died,
and restored us to perfect health of body, so that we were in as good
case as when we came first out of England.” There also they took on board
14,000 penguins, which they had dried on the rocks, mostly without salt;
and sailed northwards on December 22. With only 27 men surviving out of
76, they left the coast of Brazil at Cape Frio (near Rio de Janeiro), and
then began their more singular experience of disease.

    “After we came near unto the sun, our dried penguins began to corrupt,
    and there bred in them a most loathsome and ugly worm of an inch long.
    This worm did mightily increase, and devour our victuals;” it devoured
    everything except iron,--clothes, boots, shirts, even the ship’s
    timbers! “In this woeful case, after we had passed the equinoctial
    toward the North, our men began to fall sick of such a monstrous
    disease as I think the like was never heard of: for in their ankles it
    began to swell, from thence in two days it would be in their breasts,
    so that they could not draw their breath, and then fell into their
    cods, and their cods and yardes did swell most grievously and most
    dreadfully to behold, so that they could neither stand, lie, nor goe.
    Whereupon our men grew mad with grief. Our captain [John Davis] with
    extreme anguish of his soul was in such woeful case that he desired
    only a speedy end, and though he were scarce able to speak for sorrow,
    yet he persuaded them to patience.... For all this, divers grew raging
    mad, and some died in most loathsome and furious pain. It were
    incredible to write our misery as it was; there was no man in perfect
    health but the captain, and one boy.... To be short, all our men died
    except sixteen [i.e., eleven died of the survivors after Cape Frio] of
    which there were but five able to move.” Those five worked the ship
    into Berehaven (Bantry Bay) on June 11, 1593, and there ran her
    ashore.

The remarkable epidemic on board the ‘Desire,’ among men living upon dried
penguin infested with worms, was probably not scurvy, or at least not all
scurvy: the dropsy and dyspnœa suggest one of the two forms of beri-beri,
of a peculiarly severe type. The co-existence of worms in the dried food
may lead one to think of a parasitic malady such as that caused by
Anchylostoma duodenale, which has also an anasarcous or œdematous
character. But the diagnosis of beri-beri appears to be far more likely.
That epidemic, however we interpret it, must rank among the curiosities of
the history. But, in the next that we come to, the sickness on board the
‘Daintie,’ Richard Hawkins master, on a voyage in 1593 through the Straits
of Magellan, the disease is typical scurvy; and the observations on
sea-scurvy by Hawkins himself are among the best that we have for the
period, and, indeed, until long after the Elizabethan period[1139].

The ‘Daintie,’ a nearly new ship of 300 to 400 tons, weighed anchor from
Blackwall on April 8, 1593. She was deeply laden with merchandise for
trade and accompanied by a victualler, of 100 tons, the ‘Hawk.’ It was not
until June 12, that they got away from Plymouth. They put in at the Cape
de Verde islands, about whose climate and health Hawkins makes some
observations already quoted. Sailing thence they had come within three or
four degrees of the Line, when scurvy broke out:

    “My company within a few days began to fall sick of a disease which
    seamen are wont to call the scurvie; and seemeth to be a kind of
    dropsie, and raigneth most in this climate of any that I have heard or
    read of in the world, though [it is found] in all seas. It possesseth
    all those of which it takes hold with a loathsome sloathfulnesse,
    _that even to eate_ they would be content to change _with sleepe and
    rest_, which is the most pernicious enemie in this sickness that is
    known. It bringeth with it a great desire to drink, and causeth a
    general swelling of all parts of the body, especially of the legs, and
    gums; and many times the teeth fall out of the jaws without pain. The
    signs to know this disease in the beginning are divers,--by the
    swelling of the gums, by denting of the flesh of the legs with a man’s
    finger, the pit remaining without filling up in a good space; others
    show it with their laziness; others complain of the crick of the back,
    etc., all which are for the most part certain tokens of the infection.
    The cause is thought to be the stomack’s feebleness by change of air
    in intemperate climates, of diet in salt meats, boiled also in salt
    water, and corrupted sometimes; the want of exercise, also, either in
    persons or elements, as in calms.”

Hawkins then recalls the experience of the Queen’s fleet in 1590, at the
Azores, the ships being in calm weather for six months: “in which voyage,
towards the end thereof, many of every ship (saving the ‘Nonpereli’ which
was under my charge and had only one man sick in all the voyage) fell sick
of this disease and began to die apace.”

Hawkins wrote out the account of his 1593 voyage some time after, and did
not print it until 1622; but it may be supposed that the views about
scurvy therein expressed were the same that he held and acted upon in his
earlier life[1140]. Thus his remarks upon the prevention and cure of
scurvy, about to be given, may be taken to stand for the practical wisdom
or sagacity of the Elizabethan period. The ship should be kept clean,
vinegar should be sprinkled and tar burned. In hot latitudes salt meats
should be shunned, and especially salt fish. Salt water should not be used
to dress the meat, nor to wash shirts in; nor should the men sleep in
their wet clothes. The crews should be set to various exercises, and
encouraged to various pastimes. At this point he seems to feel that he is
a layman giving medical advice, and interpolates:

    “And I wish that some learned men would write of it, for it is the
    plague of the sea and the spoil of mariners. Doubtless it would be a
    work worthy of a worthy man, and most beneficial for our country, for
    in twenty years (since I have used the sea) I dare take upon me to
    give account of ten thousand men consumed with this disease.”

The learned man was forthcoming in due course, in the person of John
Woodall, surgeon-general to the East India Company; and we shall see what
he made of it. Meanwhile, in default of professional guidance, we may hear
Hawkins himself:

    “That which I have seen most fruitful for this sickness is sour
    oranges and lemons, and a water called Dr Stevens his water, of which
    I carried but little, and it took end quickly, but gave health to
    those that used it. The oyle of vitry [vitriol] is beneficial--two
    drops in a draught of water with a little sugar. But the principal of
    all is the air of the land; for the sea is natural for fishes, and the
    land for men. And the oftener a man can have his people to land, not
    hindering his voyage, the better it is and the profitablest course he
    can take to refresh them.”

Hawkins, as well as his contemporaries, as we shall see, knew what
lime-juice could do for scurvy, and knew also the limit of its powers; it
was useful, as he had himself found; but much else was needed to ward off
scurvy. After experience showed clearly enough that some commanders with
the same stores as others could carry their crews through a long voyage
without scurvy; Hawkins himself, in the ‘Nonpareil’ in 1590, had only one
man sick of it, while it was general in the fleet. In the voyage of 1593,
for all his knowledge and resource, he appears to have found circumstances
too hard for him. His crew showed their bad habits while the ship lay at
Plymouth; as in Lancaster’s experience two years before, the evil habits
of sailors told upon their constitutions, so that they became an easy prey
to monotonous living at sea. Scurvy broke out when they were within three
or four degrees of the Line: “The sickness was fervent, every day there
died more or less.” The ship’s course was accordingly turned westward,
although they were too far south to benefit by the north-east trade wind;
and in the end of October they came to the coast of Brazil at Santos, four
months and a half out from Plymouth. At Santos they obtained 200 or 300
oranges and lemons, and a few hens; there were so many men sick that there
were not above three or four oranges or lemons to a share: “Coming aboard
of our ships there was great joy amongst my company, and many with the
sight of the oranges and lemons seemed to recover heart.” It is the great
and unknown virtue of that fruit, he says, to be a certain remedy for this
infirmity. The rest of the voyage possesses no special interest for us.
The scurvy had “wasted more than half of my people;” so that Hawkins took
the crew and provisions out of the ‘Hawk,’ and burned her. He left the
Brazilian coast on December 18, passed the Straits of Magellan, and after
some filibustering on the Chilian and Peruvian coasts, was captured by a
Spanish ship, and sent home to Spain to be ransomed.

Hawkins, it will have been remarked, was no bigoted “lime-juicer;”
although he knew the virtues of anti-scorbutic acids, he had a correct
apprehension of the need of cleanliness, dry clothing, exercise,
amusements and discipline, and if he had understood the need of wind-sails
for the ventilation of ’tween-decks, he would have had as scientific a
grasp of the whole question as Blane had two centuries after. But in the
end of the Tudor period, and in the Stuart period, with abounding
enterprise and national expansion, there was little sense of the personal
need of breathing space, whether in ships or in houses. The number of
souls on board, in proportion to a ship’s tonnage, was twice or thrice as
great as the Board of Trade now allows. It was not only in long voyages,
or in the monotony of tropical calms, that scurvy was apt to invade a
crew. The following experience, on our own shores, is credible enough: In
1611 Purchas was shown a letter from Newfoundland, giving an account of a
winter spent there, the writer taking credit to himself for the small
amount of scurvy among the men under him: in a company of 39 persons, only
four were wanting in the spring; but, by way of contrast, he recalls what
happened at home in the year 1600[1141]:

    “One Richard Fletcher, that is master pilot here, and a director of
    the fishing, reported unto me that he was one of the company,
    consisting of forty persons, that went in a drumbler of Ipswich called
    the ‘Amitie,’ to the north of Ireland about eleven years ago from
    London in the late Queen’s service under the charge of one Captain
    Fleming, and continued there the space of two years. In which time two
    and thirty died of the scurvie, and that only eight of them returned
    home, whereof the said Richard Fletcher was one ... notwithstanding
    that there were to be had fresh victuals and many other helps, which
    their country [Newfoundland] as yet hath not, but in good time may
    have.”

We have not yet come to any deliverance of the faculty on the subject of
scurvy; Hawkins appears to be giving merely his own experience and
reflections. Beside these we may here place the contemporary observations
and practice of the French laymen, which are expressly at variance on some
points with medical teaching. Some time previous to 1609, Marc Lescarbot
wrote an account of ‘the voyage of M. de Monts into New France;’ the
expedition sailed from Havre in March, 1604. Their first winter in Canada
is thus related[1142]:

    In the meanwhile the cold and snows came upon them.... Many idle,
    sluggish companions drank snow-water, not willing to take the pains to
    cross the river. “Briefly, the unknown sicknesses like to those
    described unto us by James Quartier in his relation, assailed us. For
    remedies there was none to be found. In the meanwhile the poor sick
    creatures did languish, pining away by little and little for want of
    sweet meats, as milk or spoon meat for to sustain their stomachs,
    which could not receive the hard meats, by reason of let, proceeding
    from a rotten flesh which grew and overabounded within their mouths;
    and when one thought to root it out, it did grow again in one night’s
    space more abundantly than before.... There died of this sickness
    thirty-six; and thirty-six or forty more that were stricken with it
    recovered themselves by the help of the Spring, as soon as the
    comfortable season appeared. But the deadly season for that sickness
    is the end of January, the months of February and March, wherein most
    commonly the sick do die, every one at his turn, according to the time
    when they have begun to be sick; in such sort that he which began to
    be ill in February and March may escape, but he that shall overhaste
    himself, and betake him to his bed in December and January, he is in
    danger to die in February and March, or the beginning of April.... M.
    de Poutrincourt made a negro to be opened that died of that sickness
    in our voyage, who was found to have the inward parts very sound
    except the stomacke, that had wrinkles as though they were ulcerated.”

Then follow Lescarbot’s views of the treatment and prevention of scurvy.
After advising to avoid “cold” meats without juices, gross and corrupted,
salted, “smoaky,” musty, raw and of an evil scent, including dried fishes,
he proceeds:

    “I would not, for all that, be so scrupulous as the physicians, which
    do put in the number of gross and melancholy meats, beeve’s flesh,
    bear’s, wild boar’s and hog’s flesh (they might as well add unto them
    beaver’s flesh, which notwithstanding we have found very good), as
    they do amongst fishes the tons [tunnies], dolphins, and all those
    that carry lard; among the birds the hernes, ducks and all other
    water-birds; for, in being an over-curious observator of these things,
    one might fall into the danger of starving. They place yet among the
    meats that are to be shunned, bisket[1143], beans and pulse, the often
    using of milk, cheese, the gross and harsh wine and that which is too
    small, white wine, and the use of vinegar”

--just like our own great masters in prohibitory dietetics.

Lescarbot’s advice agrees on the whole with that of Sir R. Hawkins: the
men should be well shod and clothed, merriment should be encouraged, and
again:

    “Good wine taken according to the necessity of nature, it is a
    soveraigne preservative for all sickness, and particularly for this.
    The young buds of herbs in the Spring time be also very soveraigne....
    We have had some sick that have been (as it were) raised up from death
    to life, for having eaten twice or thrice of a coolice made of a
    cock.”

In the voyage of Sir Thomas Smith to Baffin’s Bay in 1616, the treatment
of scurvy by vegetable juices is mentioned: “Next day, going ashore on a
little island we found great abundance of scurvie grass, which we boiled
in beer, and so drank thereof, using it also in sallet, with sorrel and
orpen, which here groweth in abundance; by means whereof, and the blessing
of God, all our men within eight or nine days shall gain perfect health,
and so continue till our arrival in England[1144].”

On the other hand, those who appear to have had the most correct intuition
of the teaching of the schools were the Red Indians. Lescarbot says that,
in the treatment of scurvy, “they use sweating often.” Perhaps they had
some dim notion of the doctrine of peccant humours: at all events they
clung to the alterative practice until long after that date, with a
tenacity second only to that of the European faculty itself.


Scurvy in the East India Company’s Ships: Professional Treatment.

Until the end of the Tudor period, scurvy had been only an occasional
incident of English voyages. But as soon as the regular trade to the East
begins, we find it a common experience.

The English voyages to the East Indies by the Cape route really began in
1591, when Captain James Lancaster sailed first in command of ships
belonging to the Company of Merchant Adventurers; but it was not until
1601 that he sailed again to the East Indies in command of the first ships
of the East India Company, which had been formed the year before.

    The three ships in 1591, the ‘Penelope,’ ‘Marchant Royal,’ and ‘Edward
    Bonaventure,’ cleared from Plymouth on April 10[1145]. They crossed
    the Line on June 6, by which time two men were dead and divers sick.
    In the tropics so much rain fell that “we could not keep our men dry
    three hours together, which was an occasion of the infection among
    them, and their eating of salt victuals, with the lack of clothes to
    shift them.” On this first voyage, Lancaster began the practice which
    was generally followed when the East India trade in English ships
    became established; before attempting to double the Cape of Good Hope,
    he refreshed his crews, who were weak and sick in all three ships, by
    a sojourn ashore at the Bay of Saldanha, a few leagues to the north of
    Table Bay. The voyage had already lasted more than three months from
    Plymouth, and about six weeks from the Line[1146].

    At a muster on August 1, in the Bay of Saldanha, Lancaster found that
    he had 198 men sound and whole, of whom he assigned 101 to the
    ‘Penelope,’ and 97 to the ‘Edward Bonaventure,’ sending home 50 more
    or less unfit men in the ‘Royal Merchant.’ Scurvy, he says, was the
    disease:

“Our soldiers, which have not been used to the sea, have best held out,
but our mariners dropt away, which in my judgment, proceedeth of their
evil diet at home.” The voyage was continued to the East Indies, the next
that we hear of the state of health being at Penang in the beginning of
June 1592, or some fourteen months out. The men were then very sick and
many fallen; the sick were landed, and twenty-six died there, but not of
scurvy, we may surmise. They had now left but thirty-three men and one
boy, “of which not past twenty-two were found for labour and help.”

    The two ships sailed for home from Point de Galle on December 8, 1592,
    and reached St Helena on April 3, 1593; one man was sick of the
    scurvy, and another had been suffering from the flux for nine months,
    but on the island both shortly recovered their perfect health. Instead
    of reaching England, the ships were carried to the West Indies, where,
    after an attempt to navigate them northwards, they were wrecked, and
    the small remnants of their crews dispersed.

Lancaster’s first voyage for the East India Company in 1601[1147] was
“with foure tall shippes, to wit, the Dragon, the Hector, the Ascension,
and Susan, and a victualler called the Guest.” The Company, founded in
1600, began with a capital of £72,000, which was laid out in the purchase
and outfit of the ships, and in loading them with merchandise. The crews
were as follow:

  Dragon,      600 tons,      202 men.
  Hector,      300   "        108  "
  Ascension,   260   "         82  "
  Susan,       ---   "         88  "
                              ---
                              480
  Guest,       130 tons.

Further, “in every of the said ships, three merchants to succeed one the
other, if any of them should be taken away by death”--a sufficient
indication of the risks of foreign trade.

    The ships, having loaded in the Thames, sailed from Dartmouth on April
    18, 1601, and got clear of Tor Bay on the 22nd. On July 24, two months
    from the Channel, they crossed the southern tropic. But they had been
    so long under the Line that “many of our men fell sick.” On August 1,
    in 30° S., they met the south-west wind, “to the great comfort of all
    our people. For, by this time very many of our men were fallen sick of
    the scurvy in all our ships, and, unless it were in the general’s ship
    only, the others were so weak of men that they could hardly handle the
    sails.” Headwinds again hindered their course, and “now the few whole
    men we had began also to fall sick, so that our weakness of men was so
    great that in some of the ships the merchants took their turn at the
    helm and went into the top to take in the top sails, as the common
    mariners did.” Lancaster at length made Saldanha Bay, where he had
    landed to refresh his crews on his first voyage round the Cape ten
    years before. The state of three of the ships “was such that they was
    hardly able to let fall an anchor to save themselves withall;” but
    “the general went aboard of them and carried good store of men, and
    hoysed out their boats for them.... And the reason why the general’s
    men stood better in health than the men of other ships was this: he
    brought to sea with him certain bottles of the juice of lemons, which
    he gave to each one as long as it would last, three spoonfuls every
    morning fasting, not suffering them to eat anything after it till
    noon. This juice worketh much the better if the partie keepe short
    diet, and wholly refrain salt meat, which salt meat, and long being at
    the sea, is the only cause of the breeding of this disease. By this
    means the general cured many of his men and preserved the rest, so
    that in this ship (having the double of men that was in the rest of
    the ships) he had not so many sick, nor lost so many men as they did,
    which was the mercie of God to us all.”

At Saldanha Bay they bartered with the natives for an abundant supply of
fresh meat and other provisions, and in due time doubled the Cape of Good
Hope. On Christmas day, eight months out from England, they put in to
Antongil Bay, on the east side of Madagascar. On landing they found a
writing on the rocks that five Dutch ships had sailed thence two months
before, having “lost between 150 and 200 men while they roade in that
place.” The English had a similar experience in store for them: on board
Lancaster’s ship, the master’s mate, the preacher, the surgeon and some
ten others, died; and, in the vice-admiral’s ship, the master with other
two. It was mostly the flux that they died of, brought on by the
drinking-water, or by the excessive wetness of the season, or by “going
open and cold in the stomacke, which our men would often do when they were
hot” (Hawkins gives the latter reason for flux at the Cape de Verde
islands).

The references to scurvy before reaching the Cape, and to dysentery in
Madagascar, are all that is said of sickness in this first venture of the
East India Company. But in the accounts of the voyages which regularly
followed we hear a great deal of the loss of men at the factories, or in
the country trade, or on the voyage home, as well as on the outward
voyage[1148]. The Directors in London were naturally well aware how
greatly their ventures were imperilled and their profits reduced by the
enormous loss of men. Under their own eyes ships would arrive in the mouth
of the Channel with crews so weakened that they had to be met at Scilly
with help to navigate them through the narrow seas to the Thames. By their
correspondence from abroad, they were frequently hearing of artificers
dying in their factories, of ships arriving out with so many men dead, and
of other ships cast away, partly by stress of weather no doubt, but
sometimes from inability of the crews to man them. Accordingly we find
that they were alive to the best means of preventing “flux, scurvy, and
fever.” Lancaster, as we have seen, carried lime-juice on his first voyage
for the Company in 1601. In the Court minutes of August 13, 1607, the
following were ordered to be provided with expedition: “Lemon water,
‘alligant’ from Alicante, a wine very fit for beverage and good against
the flux, and old corn, etc.” At the Court of Directors on December 10,
1614, there was considered an “offer of Dr Burgis to present the Company
with an antidote against poison, scurvy, and other diseases to which
people are subject these long voyages: Sir Thomas Roe and Captain Keeling
to confer with him and report their opinions.” Trial was also to be made
of baking fresh bread at sea, with the grinding of corn, “an exercise fit
to preserve men in health.” The offer of Dr Burgis was accepted; and on
January 26, 1615, the minutes of the Court mention “instructions in
writing, and boxes of such things as are to be used, for prevention of the
flux, scurvy, and fever, prepared by Dr Burgis, to be delivered to each
ship; the cost, about £23, to be paid.” In the minutes of the Court,
November 22, 1619, there is reference to another preventive of scurvy:
“The fleet to be supplied with 15 tons of white wine, to be drunk at the
Line, and the Cape, which is used by the Dutch to preserve men from
scurvy, and will refresh the men and scour their maws, and open and cool
as well as lemon water”--the latter having been in all probability
disliked or refused by the men. In 1624, “the death of mariners” is a
topic at the Court of Directors; again, on October 15, 1626, the Court
considers of the great mortality from scurvy in the ‘Charles’ and ‘Hart,’
homeward bound, and how to prevent it. Some were of opinion that lemon
water was very good, but Mr Styles related that tamarind was the
excellentest thing. However, there had been plenty of tamarinds aboard the
ships; and on Lieutenant Hill being called in, he testified that the crews
had all got tamarind, but they were all debauched people.

John Woodall, surgeon to St Bartholomew’s Hospital, was at this time
surgeon-general to the East India Company, having medical charge of their
dockyard at Blackwall; his name appears in the Court minutes as early as
1614. In 1617 he published his ‘Surgion’s Mate,’ “chiefly for the benefit
of young sea-surgions imployed in the East India companies affairs,” and
dedicated it to Sir Thomas Smith, himself a navigator, and then chairman
of the Court of Directors. This practical manual is largely occupied with
the management of fractures, dislocations, amputations, and the like, a
part of his subject wherein Woodall was thoroughly competent; but there
appears also in the title, “the cure of the scurvie, the fluxes of the
belly, of the collica and iliaca passio, tenasmus and exitus ani, the
callenture.” The section on scurvy, twenty-six pages long, is the one that
here concerns us. This was what Sir Richard Hawkins had desired: “And I
wish that some learned men would write of it, for it is the plague of the
sea and the spoil of mariners.” Woodall begins by disclaiming learning: “A
learned treatise befits not my pen.” But, at all events, his was the voice
of the faculty, and he plunges boldly into pathology in the very first
lines: “Scurvy is a disease of the spleen, whereby it is sometimes wholly
stopped” etc. Being a man of much good sense, Woodall quickly leaves that
line of remark, for a time at least. He repeats all the familiar
experience of Hawkins, Lancaster, and the numerous captains of East
Indiamen, with whom he must have conversed many times (it does not appear
that he had himself sailed). He mentions the great benefit to the crews
from landing at the Cape, with the fresh air and food, scurvy being
thereby cured “without much other help.” He enforces the need of changes
of clothing, and other things in the regimen on board, just as Hawkins and
others were wont to do in practice. He is as clear on the virtues of
lime-juice as Lancaster, and copies somewhat closely the practice of the
latter in 1601: “each morning two or three spoonfuls, and fast after it
two hours”; his originality appearing in the rider, grateful to seamen:
“and if you add one spoonful of aqua vitae thereto, to a cold stomach it
is the better.” He mentions that a “good quantity of juice of lemons is
sent in each ship out of England, by the great care of the merchants, and
intended only for the relief of every poor man in his need.” The ship’s
surgeon is advised to lay in a store of fresh lemons and oranges where
they were to be had on the voyage, and of tamarinds at Bantam.

So far, Woodall merely sets down what every shipmaster knew as to the
things that bring on scurvy, the best regimen to keep it off, and the
extraordinarily rapid curative effect of lime-juice and of change to land
air and fresh food. But there was a certain professional doctrine of
scurvy, and a treatment of it _secundum artem_, namely the wisdom of
learned men which Hawkins had called for; and we have now to see what
that was, according to Woodall. His pathology is that of “obstructions,”
a curious fancy of the learned[1149].

The spleen, said Woodall in his opening lines, is the chief seat of
obstruction; but on resuming the pathology, he proceeds to obstructions
also of the liver and brain:

    “But it is plain that this grief is a lazy foul disease with
    obstructions of the liver, or spleen, or both; as also it appeareth
    that the head is much diseased, and that there is great obstructions
    in the brain, for that the eyes not only look evil coloured, but also
    the gums putrefy, and the teeth grow loose, and all the sinewy parts
    of the body bear their part in the disease, for the shrinking and
    withering of the sinews, with the great pains the party hath,
    declareth no less” (p. 180).

This theoretical pathology Woodall supports by an appeal to morbid
anatomy:

    “Also it is manifest that divers of those which have been opened after
    death have had their livers utterly rotted”-others having their livers
    much swollen, and the spleen swollen, others full of water, others
    their lungs putrefied and stunk while they have lived, (which last may
    have been an incorrect inference from the foul state of the mouth).

Such being the pathology of the disease, he comes next to the indications
of cure; and these he takes from “a famous writer, Johannes Echthius.”
They are:

    1. The opening of obstructions.

    2. The evacuating of offending humours.

    3. The altering the property of the humours.

    4. The comforting and corroborating the parts late diseased.

The order of treatment, _lege artis_, is accordingly as follows: the
administration of a clyster or clysters; the opening of a vein, if strong
(“but beware of taking too much blood away at once”); next day after the
bleeding, “if he can bear it,” give him pills of euphorbium or gamboge;
and lastly, “if you see cause,” certain days after you have given of any
of your former laxatives, you may give a sweat to the patient in his bed.
Thus the indications from the pathology would be fulfilled--opening of
obstructions, evacuating of ill humours, and altering the property of the
humours. It should be said for Woodall that his practice was better than
his theory. Thus, he cautions the young dogmatists who sailed as surgeons
in East Indiamen, not to carry their principles too far; he has heard that
they are somewhat fond of the lancet, and he cautions them not to take too
much blood at sea, as excessive depletion “makes the disease worse;” he
cautions them also as to the use of gamboge.

We may now proceed with a few more illustrations of what the Company’s
ships were actually experiencing during the period that those questions
were before the Court of Directors[1150].

    In the sixth voyage for the Company, under the command of Sir H.
    Middleton, the captain of the ‘Darling’ and three of his merchants
    died at Tecoa, and most of the men were ill. In the eighth voyage,
    when homeward bound between the Cape and St Helena in the month of
    June, many of the men fell ill with scurvy, and the ship had to come
    in to Waterford instead of the Thames. A similar experience befell
    Captain Thomas Best in the ‘Dragon’ and ‘Hosiander,’ carrying together
    380 persons. Having left Gravesend on February 1, 1612, he completed
    his trading in the Indies, and arrived in the Thames on June 15, 1614,
    six months from Bantam. The scurvy in this voyage comes in towards the
    end. On March 4, 1614, “I did set sail in the roade of Saldanha; yet
    notwithstanding our short passage, having been from Santa Helena but
    two monethes and nine days, the one half or more of our company are
    laid up [on June 4] of the scurvie and two dead of it. Yet we had
    plentie of victuals, as beef, bread, wine, rice, oil, vinegar, sugar;
    and all these without allowance. Note that all our men that are sick
    have taken their sickness since we fell with Flores and Corvo. For
    since that time we have had it very cold, especially in two great
    storms.... From the Cape of Good Hope to the islands of Flores and
    Corvo I had not one man sick.” While in the Malay Archipelago they had
    buried twenty-five men at one place.

    On November 3, 1618, the Directors have letters from two of their
    captains at the Cape, of July 6 and 7, with news of their arrival
    there on June 26, and the loss or sickness of many men, partly through
    the stinking beer, the tainted beef, the lack of fresh provisions at
    the Cape, and the want of warm clothes. A letter of February 25, 1619,
    announces the arrival of the ‘Peppercorn’ in Bantam roads: A great
    many men had died in the ten-months’ voyage between England and
    Bantam; putrefied beef and pork, “not man’s meat,” the chief cause of
    sickness. When they arrived at Bantam, not six men able to work; the
    whole fleet in the like distress. Twenty-five men in all dead or
    drowned. A letter from Batavia, January 11, 1622, says the master of
    the ‘Anne’ and 14 men of the fleet were dead: “so many men are
    deceased that they have not enough to man all the ships now in the
    roads.” The ‘Diamond’ sailed from England on October 8, 1621, and
    after a “long and tedious voyage” arrived at Jacatra previous to
    November 24, 1622: enclosed are the accounts of those men who have
    died, and nine wills. Another letter from Batavia, sometime in 1623,
    covers an “abstract of the men deceased in the ships.”

    On March 28, 1624, the ‘Royal James,’ with five others, sailed from
    the Downs; she called at Saldanha Bay, and arrived on or before
    November 15, at Swally bar, Batavia; the bread had been very bad, the
    water too little, the beef not fit for men; have enclosed the names of
    those deceased. The ‘Jonas,’ also arrived out at Batavia on November
    15, appears to have been one of the five others; she called at
    Saldanha Bay on July 19; “the wholesomeness of the air and the herb
    baths caused the most part of their sick men to recover in ten days
    from the scurbeck.” In June, 1625, the ‘Anne’ had been at Mocha for
    eight months in great distress, with most part of her men dead and the
    ship ready to founder.

    Writing on October 13, 1625, from Batavia to the East India Company in
    London, Governor Hawley says that the ‘London’ had arrived out on
    August 23, with loss of 36 men, and 80 sick. She reported the
    ‘Discovery’ to have left the Cape for St Helena, having lost 21 men;
    two other ships, the ‘Moon’ and ‘Ruby’ had their crews “in remarkable
    health.” On September 14, the ‘Swallow’ arrived out, having lost only
    3 men. Of 46 men shipped in the ‘Abigail’ out of England, all were
    dead but 5, in her coasting voyages upon Sumatra. Most of the workmen
    and soldiers sent in the ‘London’ had arrived; “but since, by
    disorders, are dead, as are those in the ‘Swallow.’ The smiths are all
    dead; of the armourers, only John Speed and a boy alive. Most other
    workmen dead or incapable. This is not remissness of government, but
    the newcomers, dreaming of nothing but sack and sugar-plums in India,
    are with much difficulty brought to obedience.” A Dutch ship, the
    ‘Leyden’ arrived out in 1626, with loss of 22 men, having been twelve
    months on the passage.

    In the end of October, 1628, the ‘Morris’ reached the mouth of the
    Channel from Bantam, “which was most happily met with near Scilly by
    Captain Bickly, who was sent out to relieve any ship from the Indies,
    she being in a very weak state by reason of an infectious disease.”
    She reached the Downs safely with two other East Indiamen; but having
    been driven from her anchors in a great storm, was wrecked on the
    coast of Holland previous to November 19. Next year, about October 28,
    1629, the ‘Mary’ of the East India Company was reported to have put
    into Scilly having lost most of her men by sickness. Therefore, Sir H.
    Mervyn, of H.M.S. ‘Lyon,’ in the Downs, having got early word of the
    ‘Mary’s’ distress, writes to E. Nicholas, to say that if the Company
    desire a convoy for the ‘Mary’ from their lordships of the Admiralty,
    “she being rich,” he (Mervyn) hopes that Nicholas will remember him.

But, although it was not unusual for ships to come home with crews
weakened by scurvy, it was not invariable. The ‘William’ returned to
England in 1628, as rich a ship as the Company ever had from the East
Indies, with not a sick man in her, nor any dead on the way; her lading
was computed to be worth £170,000[1151].

In a despatch of February 6, 1626, Hawley gives an account of a truly
disastrous sickness in the factory and among the Company’s ships at
Batavia during the previous year, which illustrates another risk than that
of scurvy or flux, and an experience in the East Indies not altogether
exceptional[1152].

    “On March 12, I dispeeded the ‘Diamond’ for Japan to fetch boards,
    planks, etc. [to repair the ‘Bull’ with]; but hardly had fourteen days
    passed when the ‘Bull’s’ men fell sick and died daily; then the
    ‘Reformation’s’ men died by five, six or more in a day; in a short
    time the ‘Bull’s’ men all died but the master and one more, who were
    dangerously sick, and in the ‘Reformation’ the master and all the men
    lay at God’s mercy. We were forced to relieve them by blacks, and hale
    the ships to the open bay [they would seem to have been careened]
    where they rode like wrecks without other help than some few to
    comfort their sick, for more from the other ships might not be spared.
    The contagion was so pestilent that their blood, being licked by dog
    or cat, caused them to swell, burst and die. It was more moderate on
    shore, and was least on the ships in the open bay, though they also
    were daily visited.... The ‘Diamond’ returned on April 11, with planks
    etc.; also slaves and 44 Chinamen, which were with no small charge
    procured, and who all fell sick, and 10 or 12 died.... Thinking the
    mortality was occasioned, not by pestiferous air or soil, nor by any
    noxious tree, but by surfeit and the wet monsoon, I enacted orders for
    government building, and cleansing the trees to get more air. Wanted
    no provisions of fresh victual; could at pleasure command neighbours
    to fish and fetch anything needed, and the island itself furnished
    deer. On April 12, took general view of all people, as follows:

                               English    English    Portuguese
                              in health    sick        sick

               On shore          40         58           5
        In the ‘Charles’         32         10
          "    ‘Roebuck’         16          2
          "    ‘Bull’             2          8
          "    ‘Reformation’     23         14          12
          "    ‘Abigail’          8          3
          "    ‘Rose’             7          2           5
                               -----      -----       -----
                                128         97          22

    --leaving, of course, an immense proportion dead.

These are instances from the records of the East India Company during the
first thirty years of its existence. It would be tedious, even if it were
practicable, to follow the history continuously. But meanwhile to show
that its experiences, good and bad, remained much the same until long
after, let us take two voyages in the year 1682. Governor William Hedges,
passenger on board one of the Company’s ships, enters in his diary the
25th of May, 1682, being then off the Cape of Good Hope: “Not lost a man
(except Mr Richards) either by sickness or any other accident, since we
left England, which wants but three days of four months, and is just two
months since we passed the Equinoctial Line,” nothing being said of
sickness in the rest of the voyage. But another of the Company’s ships the
same year fared worse: “December 9, 1682, ship ‘Society’ arrived at
Balasore. She left the Downs on May 30, and, not touching at any place by
the way, lost seventeen men of the scurvy[1153].”


Sickness in the Colonizing of Virginia and New England.

Leaving now the long voyages of the English beyond the Line, and their
factories in the East, let us see how they fared as regards health when
they merely crossed the Atlantic in their own latitudes. The earliest
series of voyages to Virginia, at Raleigh’s instigation, from 1585 to
1590, have been already referred to. The continuous history of Atlantic
voyages, and of the North American colonies, begins with the expedition
of 1609 under Sir Thomas Gates and Sir George Somers[1154].

Seven of the ships fitted out in the Thames, and sailed from Woolwich on
May 15, 1609. Having been joined at Plymouth by two more, the fleet sailed
thence on June 2, and from Falmouth on June 8. The expedition included
“many unruly gallants, packed thither by their friends to escape ill
destinies,” with the proportion of women and children usual among
emigrants, as well as horses, and probably other live stock. The
navigation, to reach Western land in 37° N., appears to have been somewhat
erratic:

    “We ran a southerly course from the tropic of Cancer, where, having
    the sun within six or seven degrees right over our head in July, we
    bore away West; so that by the fervent heat and loomes breezes, many
    of our men fell sick of the calenture”--Noah Webster takes that to
    mean a spotted pestilential fever--“and out of two ships was thrown
    overboard thirty-two persons. The vice-admiral [the ‘Diamond’] was
    said to have the plague in her; but in the ‘Blessing’ we had not any
    sick, albeit we had twenty women and children.”

A storm came on, in which the ships were scattered, the admiral’s ship
being driven to the Bermudas and there wrecked[1155]. In the storm “some
lost their masts, some had their sails blown from their yards; the seas
over-raking our ships, much of our provision was spoiled, our fleet
separated, and our men sick, and many died; and in this miserable state we
arrived at Virginia.” The ‘Blessing,’ on board which was Gabriel Archer,
the principal narrator of events, seems to have fared better than the
rest: “The ‘Unity’ was sore distressed when she came up with us; for, of
seventy landmen [emigrants], she had not ten found, and all her seamen
were down, but only the master and his boy, with one poor sailor; but we
relieved them, and we four consorting, fell into the King’s River [James
River] haply the 11th of August.” They found the colony “all in health
(for the most part).” There were fourscore living 20 miles from the Fort,
who fed upon nothing but oysters eight weeks’ space. “After our four ships
had been in harbour a few days, came in the vice-admiral, having cut her
mainmast overboard, and had many of her men very sick and weak.” This was
the ship that was said to have the plague in her. The admiral and his
ship’s company, wrecked on the Bermudas, fared in health best of all; the
whole number of 150 persons reached Jamestown in due course, to find only
60 remaining alive of the 350 who had formed the complement of the other
ships. Part of the mortality had happened on board ship, but probably the
most of it after landing; Jamestown “is in a marish ground, low, flat to
the river, and hath no fresh water springs serving the town, but what we
drew from a well six or seven fathom deep, fed by the brackish river
oozing into it, from whence I verily believe the chief causes have
proceeded of many diseases and sicknesses which have happened to our
people, who are indeed strangely afflicted with fluxes and agues.” Lord De
La Warre, one of the early governors, had a succession of illnesses--hot
and violent ague, followed by a relapse still more violent and lasting a
month, “then the flux surprised me and kept me many days,” then the cramp,
with strong pains, afterwards the gout, and finally the scurvy--which
last, however, might have been the eczema of gout, although it was said to
have been cured by the oranges and lemons of the Western Islands, and by
the voyage thither[1156].

Much in these early ventures was put down to climate, which was really due
to other causes. There are, of course, unhealthy climates; but a great
deal of the talk in the 17th and 18th centuries about the “tainted air” of
“foreign climes” was mere confusion of ideas. A more correct view of
events was that of the Governor and Council of Virginia, in a letter of
January 30, 1624, to the Virginia Company in London:

    “The mortality, which is imputed to the country alone, is chiefly
    caused by the pestilent ships, which reach Virginia victualled with
    musty bread and stinking beer, heretofore so earnestly complained
    of.... Robert Benet in his lifetime boasted that the sale of four
    butts of wine would clear a voyage. Rotten wines destroy their bodies
    and empty their purses[1157].”

The letter then goes on to relate how sickness had brought down great
numbers “since their last.” According to Purchas, the emigration to
Virginia in three years immediately preceding this, the years 1619, 1620
and 1621, had amounted to 3570 persons in 42 ships. Overcrowding, we may
be sure, was the rule. We shall find particular evidence of it in speaking
of West Indian colonization in the sequel; and for the present, it may
suffice to quote a document of April 24, 1638, a list of 110 passengers
for New England per ‘Confidence’ of 200 tons.

If Virginia was settled by a crew of broken gallants and their humbler
followers, the New England colony was officered by strict Puritans, who
were accompanied by men and women sharing, as nearly as might be, the same
beliefs and principles of conduct. The records of the Massachusetts Bay
settlements might be expected, therefore, to show less of sickness and
failure than the Virginian; and so, indeed, they do, although they are by
no means clear of it. The first voyage of the ‘Mayflower’ in 1620,
carrying the small sect of Brownists who had tried Holland for a time as a
place of refuge, presents nothing for our purpose. Like the settlers along
the shores of Chesapeake Bay before them, these first New Englanders had
to encounter famine and sickness. Famine appears to have been the cause
also of the disastrous epidemics among the Indians along the whole coast
from Cape Cod to Cape Charles, on two occasions, the one previous to 1614
and the other in 1619[1158]. The emigration to New England really began in
1630, and of one of the expeditions of that year we have authentic
particulars by the leader of it, John Winthrop[1159]. On board the
‘Arbella,’ under date April 17, 1630, he enters in his journal:

    “This day our captain told me that our landmen were very nasty and
    slovenly, and that the gun-deck, where they lodged, was so beastly and
    noisome with their victuals and beastliness as would much endanger the
    health of the ship. Hereupon, after prayer, we took order, and
    appointed four men to see to it, and to keep that room clean for three
    days, and then four others should succeed them, and so forth on.”

Nothing more is said of the health on board the ‘Arbella.’ The ‘Mayflower’
and ‘Whale’ had their passengers all in health, but most of their cattle
and horses dead. The ‘Success’ lost -- goats, and many of her passengers
were near starved. The ‘Talbot’ lost fourteen passengers. The colony had
various experiences of sickness in due course. In 1633, smallpox proved
fatal to whole settlements of Indians: “the English came daily and
ministered to them; and yet few, only two families, took any infection by
it[1160].” In 1646 an epidemic of influenza went among the Indians,
English, French and Dutch, “not a family, nor but few persons, escaping
it;” few died, not above 40 or 50 in Massachusetts, and near as many at
Connecticut[1161]. In the spring of 1654, a general fast was appointed by
the government of Connecticut, one reason among others being “the
mortality which had been among the people of Massachusetts.” In 1655 there
was another influenza, in 1658 “great sickness and mortality throughout
New England,” in 1659 “cynanche trachealis,” croup perhaps, and in 1662
again general sickness, which, along with drought, called for a day of
thanksgiving on their cessation in October[1162]. It is beside the purpose
to follow the epidemics in America minutely; but before quitting the
subject, the following, from a Philadelphia letter of August 24, 1699,
will suffice to keep in mind the conditions of emigration which prevailed
long after the first voyages: “Arrived the ‘Britannia’ from Liverpool,
which had been 13 weeks on her passage; she had 200 passengers on
board,--had lost 50 by death, and others were sickly[1163].”


West Indian Colonization: Yellow Fever and the Slave Trade.

The other field of English colonial enterprise that concerns us is the
West Indies. The West Indian colonies of Britain play a great part in the
commercial history, in the naval history, and in the legislative history
in connexion with the negro slave-trade and the institution of negro
slavery. From the very first they play a great part, also, in the history
of epidemic sickness; they and the Spanish, French and other colonies
there were the peculiar home of yellow fever for two centuries, having
shared that unenviable distinction, after a generation or two, with
certain ports of the North American continent. The larger part of the
history of yellow-fever epidemics falls outside the period to which I here
limit myself. But the beginnings fall within it; and as the beginnings
raise the whole question of causation, this part of the subject resolves
itself into a somewhat comprehensive discussion of the circumstances of
yellow fever as illustrated by the first English colonizations in the
Caribbean Sea, and the tradings connected therewith.

By far the most important disease-producing conditions in the West Indies
arose out of the Guinea slave-trade. But, so that we may set down to that
no more than it deserves, we shall have to review also the earlier
experiences of English and French emigrants, both on the voyage and in
their settlements in Barbados and St Christopher, and, at greatest length,
the disastrous first occupation of Jamaica in 1655 by the army of the
Commonwealth. It will be convenient to begin the history, in which there
is so much to disentangle, with a few facts about the negro labour-traffic
to the New World previous to the time when the demands of the
sugar-plantations caused it to be established on a great scale.

African negroes were brought first to the West Indies by the Spaniards to
work in the mines of Hispaniola. They are heard of as early as 1501, and
are much in evidence after that date. The Christian conscience appears to
have been at first tender. It was the high purpose of Isabella of Spain to
convert the Indies to the Christian faith; and the cruelties of the negro
importation and of the forced labour in the mines were obviously
inconsistent with the humanitarian teaching of the Gospels. The
remonstrances of missionaries were listened to at the Spanish Court, and
licences to trade in negroes were either granted under strict conditions
or withheld altogether. However, there were rapacious pro-consuls to deal
with as well as monarchs at home, and cargoes of slaves found their way
to Cuba, to Hispaniola (St Domingo), and at length to the Spanish Main.
Each importation as late as 1518 was still regulated by special licence;
but soon after that date a powerful minister sold the privilege to the
Genoese, so that it passed somewhat beyond control of the Spanish
Court[1164]. Connected with these importations in the first quarter of the
16th century, were the disastrous epidemics of two diseases with somewhat
similar names and inextricably confused in the records--the great pox and
the small pox; it is not easy to say which did the most harm among the
native population of the islands and mainland occupied by Spain; but it is
said that by disease of one kind or another Mexicans and Caribs on the
main, in Hispaniola, and in Cuba, came near to being exterminated[1165].

The first English share in the negro traffic over sea fell to John Hawkins
and partners, who had not even the excuse of an open market for their
wares in the Spanish colonies, and had sometimes to dispose of their
negroes by stealth. It would appear that it was still in part for the
mines that African negroes were in request. In Richard Hawkins’ account of
his voyage to the Pacific in 1593, he mentions that he captured a
Portuguese ship of 100 tons shortly after leaving the coast of Brazil;
she was bound for Angola to load negroes to be carried to and sold in the
River Plate: “It is a trade of great profit and much used. The negroes are
carried to work in the mines of Potosi.”

It is not until a generation after that we hear of the English as
slave-owners. On February 16, 1624, there were 22 negroes on the English
settlements in Virginia, the whites numbering 1253[1166]. In somewhat
greater numbers, negroes are next heard of in English possession in the
Bahamas; but, from the correspondence between the Company of Providence
Island in London and their agents in the colonies, it would appear that
the policy of using forced labour was by no means admitted by all, or free
from difficulties. Thus in 1635 the Company condemned as indiscreet and
injurious Mr Rushworth’s behaviour concerning the negroes who ran away,
“arising, as it seems, from a groundless opinion [of Rushworth] that
Christians may not lawfully keep such persons in a state of servitude
during their strangeness from Christianity[1167].”

Whatever negroes the English colonists possessed at this time they got
either by capture or purchase from Dutch and other foreign traders. Thus,
in the instructions to a shipmaster sailing from London, dated March 19,
1636, captured negroes were to be conveyed to the Somers Islands, those
who can dive for pearls to be employed at Providence. Again, the
instructions to the captain of the ‘Mary Hope,’ bound for the West Indies,
January 20, 1637, refer to the distribution of negroes “if a prize be
taken.” And, on June 7, 1643, the earl of Warwick instructs the captain of
the ‘Elias,’ 400 tons, that captured negroes are “to be left at my island
of Trinidad[1168].” The negro carrying-trade was in those years mostly in
the hands of the Dutch, who not only stocked their own colony of Surinam
on the mainland but used their small island of Curaçoa as a slave-depot
for the supply of colonies belonging to other nations. Thus the governor
of Antigua, which had then no negroes, says in a despatch of about the
year 1670: “At Curaçoa they [the Dutch] send a vast quantity of negroes to
the Spaniard, and of late four ships from Jamaica for ready
pieces-of-eight carried thence great store. They intend to settle a mart
for negroes at Tortola to engross the trade of Porto Rico.”

The direct share of England in the negro carrying-trade arose out of the
monopoly of the Guinea Company. The history of English interests in Guinea
and “Binney” need not detain us. When the first patent for sole trade was
granted in 1624, it was felt to be a grievance, as “many had been there
almost for fifty years since.” The charter was renewed on November 22,
1631; but in course of time, some who had been ousted from their original
share in the monopoly traded on their own account, the rivalries at home
being aggravated by conflicts with Swedes (in 1653) and Dutch at the
factories on the coast. The trade was ostensibly for gold dust and ivory,
but live freight soon found a place in English bottoms as well as in
Dutch, Swedish, Danish, French, Portuguese, Spanish and others. We may now
return to our proper subject--the state of health in the first English and
French plantations in the West Indies.

The English and French arrived in the West Indies almost at the same
moment. Their experiences were probably not very different, but it happens
that it is of the French emigrants that we have particulars, which it is
important to introduce here.

In the year 1625, a Norman adventurer of good family, D’Enambuc, sailed
from Dieppe in a brigantine armed with four pieces and manned with 35 or
40 men, on a roving cruise to the West Indies[1169]. Having been battered
by a Spanish galleon at the Kaymans, D’Enambuc made the island of St
Christopher. He found it occupied by the native Caribs and a few stranded
Frenchmen, who were on good terms with the natives. Shortly after, an
English captain (“Waërnard”) appears upon the scene, who joined D’Enambuc
in the alleged murdering and poisoning of the natives and the plundering
of the island. Loaded with his Carib spoils and a quantity of tobacco,
D’Enambuc set sail for France, and having sold his tobacco and other
things in Normandy, entered Paris with a fine equipage, thus giving
evidence to all men of the fortunes that awaited them in the Indies. In a
short time he had an audience of Richelieu, and on the 31st October 1626
the charter was signed of the Compagnie des Isles, granting a monopoly of
trade with “les isles situées à l’entreé du Perou”--namely St Christopher
and Barbados. The Company raised 45,000 livres, of which capital Richelieu
held 10,000 livres in his own name. The money was spent in fitting out and
furnishing with stores three ships--the ‘Catholique’ at Havre, a craft of
250 tons, and the ‘Cardinal’ and ‘Victoire’ at St Malo, two much smaller
vessels. Numerous poor peasants and artisans from Brittany and Normandy
were induced to go out as colonists, the ‘Catholique’ (250 tons) carrying
322 souls, the ‘Cardinal’ 70, and the ‘Victoire’ 140. The two last sailed
from St Malo on February 24, 1627 under the command of Du Rossey. The
passage was long, the provisions both bad and insufficient, and the
mortality terrible. When the ‘Cardinal’ arrived at the Pointe de Sable of
St Christopher on May 8, only 16 of her 70 souls remained alive, and these
were sick. In the other ships, also, “most of the people died on the
passage out.”

The English experience can hardly have been so bad as that. When the
French colonists landed, they found four hundred Englishmen settled near
the chief anchorage, hale and strong and well stocked with provisions,
having lately come out under Lord Carlisle’s patent. Cordial to each other
at first, the two nationalities soon fell out. The French had rather the
worst of it, having lost many of their number by sickness, while the
English kept their health. Help came to the former from home, and a
victory over the English is claimed for them. But they had also a Spanish
fleet to reckon with, and eventually the French colony fell into disorder
and escaped to Antigua, while its leader, Du Rossey, went home to France
and was thrown into the Bastille by Richelieu, one of the largest
shareholders. The refugees to Antigua soon returned to St Christopher,
again suffered from famine, and had the mortification of seeing all the
profits of their monopoly swallowed up by unlicensed Dutch traders. In
1635 they obtained a new charter; at the same time a fortunate capture of
a ship-load of negroes from the Spaniards gave them a supply of labour so
that “the island began to change its face.” English usurpation was kept
within limits, and the French colony grew daily, by addition of European
settlers and of “Moorish slaves whom the French and Dutch ships go to buy
in Guinea, or capture from the Spaniards along the coasts of Brazil.” The
French on St Christopher were now strong enough to send branch colonies to
Guadeloupe and Martinique (1635). It was then the turn of the English to
have disastrous sickness among their immigrants. Sir Thomas Warner, who
had planted the English colonies in Barbados and St Christopher, and was
now governor of the latter, went to England in 1636 to bring over new
settlers. On his arrival out on 10 September, he wrote home that one of
his two ships, the ‘Plough,’ was given up for lost, and that in his own
ship there had been “great sickness and mortality, not 20 out of 200
having escaped and 40 having died, some near to him in blood and many of
especial quality and use.”

Meanwhile Barbados had been the chief scene of English enterprise, from a
date (1624-26) almost the same as that of the joint occupation of St
Christopher by French and English. Its earliest annals contain little else
than the accounts of rivalries under Lord Carlisle’s patent and other
patents. So far as regards sickness, the annals were probably uneventful.
In 1643 the island had plantations stocked with no fewer than 6400 negro
slaves, and its prosperity advanced so steadily, that by the year 1666,
the slaves in the island numbered some 50,000: “The buildings in 1643 were
mean; but in 1666 [when Bridgetown was burned], plate, jewels and
household stuff were estimated at £500,000[1170].” It is a date
intermediate between those two that directly concerns us--the year 1647.
In that year, Ligon, the historian of the colony, arrived out from England
about the beginning of September[1171]. The ship in which he came to
Barbados was consigned thence to Cutchew, on the African coast, to trade
for negroes. On their arrival they found twenty-two good ships at anchor
in Carlisle Bay (Bridgetown), a brisk trade going on, and plantations
visible all along the shore. A plantation of 500 acres had 96 negroes and
28 Christians; some plantations contained 10,000 acres. The population was
difficult to estimate, so many ships were arriving with passengers daily;
and Ligon’s estimate of 50,000, “besides negroes,” is doubtless too much.
About one hundred sail visit the island every year; they bring “servants”
and negro slaves, both men and women. The servants are bound for five
years, and are worse treated than the negroes. The negroes are more than
double the number of the Christians; they come from different parts of
Africa--Bonny, Cutchew, Angola and Gambia--and do not understand each
other’s language. They are bought out of the ship naked, being chosen as
horses are in a market, the strongest, youthfullest and most beautiful
yielding the highest price (man £30, woman £25 to £27, children at easier
rates).

We have to note, also, Ligon’s account of the colony’s chief
harbour--Bridgetown. The whole of Carlisle Bay is environed by high
ground. Bridgetown is so-called “for that a long bridge was made at first
over a little nook of the sea, which was rather a bog than sea.” The
stream which discharges there into the bay is like a lake for want of
outfall. The spring tides fill it, but during the neap tides the salt
water is kept stagnant behind the sea-banks, making a small lagoon. The
spring tides seldom rise above four or five feet, but high enough to flow
over the low ground in front of the houses, making the flat a kind of bog,
which vents out a loathsome savour.

Ligon landed at Bridgetown about the beginning of September, 1647, in time
to witness the ravages of a deadly epidemic:

    “Yet, notwithstanding all this appearance of trade, the inhabitants of
    the island, and shipping too, were so grievously visited with the
    plague (or as killing a disease) that before a month was expired after
    our arrival, the living were hardly able to bury the dead. Whether it
    was brought thither by shipping, (for in long voyages diseases grow at
    sea and take away many passengers, and these diseases prove
    contagious), or by the distemper of the people of the island”--he
    leaves uncertain. For one woman that died, there were ten men. The
    ships at anchor in Carlisle Bay were, for the most part, infected with
    this disease.

What was the disease? How came it there? What sort of origin did its
characters, symptoms, or type suggest? On these questions we have some
light thrown by other writings besides Ligon’s, relating to the same
epidemic.

John Winthrop, the Governor of Massachusetts, writes in his journal, under
the year 1647[1172]:

    “It pleased the Lord to open to us a trade with Barbados and other
    islands in the West Indies, which as it proved gainful, so the
    commodities we had in exchange there for our cattle and provisions, as
    sugar, cotton, tobacco and indigo, were a good help to discharge our
    engagements in England. And this summer there was so great a drouth as
    their potatoes and corn, etc. were burnt up; and divers London ships
    which rode there were so short of provisions as, if our vessels had
    not supplied them, they could not have returned home.... After the
    great dearth of victuals in these islands followed presently a great
    mortality (whether it were the plague, or pestilent fever, it killed
    in three days), that in Barbados there died six thousand, and in
    Christophers, of English and French, near as many, and in other
    islands proportionable.”

The mention of the French on St Christopher brings us to the third source
of information, the Jesuit father Dutertre, who was an eye-witness[1173]:

    “During this same year, 1648, the plague (la peste), hitherto unknown
    in the islands since they were inhabited by the French, was brought
    thither by certain ships. It began in St Christopher, and in the
    eighteen months that it lasted, it carried off nearly one-third of the
    inhabitants.” This plague, or peste, was marked by violent pain in the
    head, general debility of all the muscles, and continual vomiting. It
    was contagious. A ship, the ‘Bœuf’ of Rochelle, carried it to
    Guadeloupe, the sailors and passengers dying on board of her. A priest
    went on board to administer the sacraments, and caught the infection;
    he recovered, but [had a relapse and] died on August 4. It was
    contagious at Guadeloupe also, and lasted twenty months.

This testimony of Dutertre is important for several things. He had arrived
at Guadeloupe in 1640 in a small vessel of 100 to 120 tons, crowded with
stores and carrying besides, 200 souls of both sexes and all ages. Much
distress and sickness followed their arrival; he mentions nearly 100 sick
in the quarters of M. de la Vernade, with only the ground to sleep on;
more than three-fourths of the help for the struggling colony that arrived
from St Christopher died, perhaps by infectious disease bred by the
others. Now, with that personal experience in his mind, and with personal
experience also of the epidemic of 1647-8, he describes the latter as a
pestilence “hitherto unknown in the islands since they were inhabited by
the French.” Like Ligon and Winthrop, he is led to think of plague itself
by the rapidity and fatality of the infection; but he mentions no signs of
plague proper, and at the same time mentions continual vomiting. The
disease was, in short, the Yellow Fever; and the epidemic in the end of
1647 at Bridgetown, and shortly after at St Christopher and Guadeloupe,
was the first of it, so far as is known, in the West Indies.

But what then were the earlier epidemics spoken of by Dutertre? The branch
colony to Guadeloupe from St Christopher in 1635 had been only two months
in their new home, when, in September, their experiences of famine began.
The famine or scarcity, says Dutertre, continued for five years, and was
followed by “a mortality almost general.” It was part of that mortality
which Dutertre himself saw on his arrival at Guadeloupe in 1640. He calls
the fever _coup de barre_--a name which in the sequel was sometimes given
to yellow fever; and he mentions symptoms which agree, in part at least,
with those of yellow fever--violent pains in the head, throbbing of the
temporal arteries, great distress of breathing, lassitude, pains in the
calf of the legs, as if they had been struck by a _coup de barre_. But in
speaking of the sickness which he found prevalent on landing in 1640, he
does not mention the irrepressible vomiting, which he puts in the first
place when he describes the other fever of 1647-8; and, to repeat, he says
that the latter was a pestilence hitherto unknown since the occupation of
the French Antilles, and as fatal as the plague. It is tolerably certain,
therefore, that the sickness on Guadeloupe sometime between 1635 and 1640,
was of the usual kind incidental to the settlement of a new colony. We
have had to notice it in Virginia (“from pestilent ships,” the governor
thought), in St Christopher, and in other new settlements. In a petition
of the Governor and Company of the Somers Islands, July 28, 1639, it is
said that about one hundred and thirty of their colonists had transplanted
themselves last year to St Lucia, where they suffered so much from
sickness that not one was in health[1174]. Any one of those epidemics
among new settlers might be diagnosed yellow fever with as much warrant as
another; but the deadly infection of 1647-8 was something special,
different from all that had preceded, and to be accounted the first
appearance of yellow fever whether in the West Indies or anywhere
else[1175].

Yellow fever received much elucidation in after years, both as regards its
symptoms and pathology, and as regards its circumstances and causation. To
get a familiar view of what the disease was like, let us take the
following graphic case recorded by Moseley at Jamaica more than a century
after the date with which we are still engaged[1176]:

    “The last patient I saw, in the last stage of the yellow fever, was
    Captain Mawhood of the 85th regt. at Port Royal, in Jamaica on the
    24th Sept., 1780. It was on the fourth day of his illness. He had been
    in the island seven weeks.

    I arrived at the lodgings of this much esteemed young man about four
    hours before his death. When I entered the room, he was vomiting a
    black, muddy cruor; and was bleeding at the nose. A bloody ichor was
    oozing from the corners of his eyes, and from his mouth and gums. His
    face was besmeared with blood; and with the dulness of his eyes, it
    presented a most distressing contrast to his natural visage. His
    abdomen was swelled, and inflated prodigiously. His body was all over
    of a deep yellow, interspersed with livid spots. His hands and feet
    were of a livid hue. Every part of him was cold excepting about his
    heart. He had a deep, strong hiccup, but neither delirium nor coma;
    and was at my first seeing him, as I thought, in his perfect senses.
    He looked at the changed appearance of his skin, and expressed, though
    he could not speak, by his sad countenance, that he knew life was soon
    to yield up her citadel, now abandoning the rest of his body.
    Exhausted with vomiting, he at last was suffocated with the blood he
    was endeavouring to bring up, and expired.”

One of the best summaries of its symptoms is that given by the Rev.
Griffith Hughes, rector of one of the Barbados parishes[1177]:

    “The attack begins with a feeling of chill lasting an hour or two.
    Then violent fever comes on, with excessive pain in the head, back,
    and limbs, loss of strength, great dejection of spirits, insatiable
    thirst, restlessness, sometimes vomiting, redness of the eyes, and
    that redness in a few days turning to yellow. If the patient turn
    yellow soon, he has scarce a chance for life, and, the sooner he does,
    the worse. After some days the pain in the head abates, as well as the
    fever. A sweat breaks out, and the patient appears to be better; but
    on a narrow view a yellowness appears in his eyes and skin, and he
    becomes visibly worse. About this time he sometimes spits blood, and
    that by mouthfuls; as this continues, he grows cold and his pulse
    abates till at last it is quite gone, and the patient becomes almost
    as cold as a stone, and continues in that state with a composed sedate
    mind. In this condition he may perhaps live twelve hours, without any
    sensible pulse or heat, and then expire. Such were the symptoms and
    progress of this fever in the year 1715.” He adds that the hæmorrhage
    was sometimes from the nose or rectum. “A loose tooth being drawn from
    a person who had the fever very severely, there issued out from the
    hole a great quantity of black stinking blood, which still kept oozing
    till the third day, on which the patient died in great agonies and
    convulsions.” The symptoms were not uniform in all, nor in every
    visitation. It was most commonly rife and fatal in May, June, July and
    August, and then mostly among strangers, though a great many of the
    inhabitants died of it in 1696 and a great many at different periods
    since. (The next Barbados epidemic after 1647 was in 1671.)

Now, of that remarkable disease, a pestilent fever with hæmorrhages,
having a final stage of collapse not unlike the algid termination of
cholera, and a mortality equalled only by that of plague itself, or, in
after times, by that of cholera, it will be difficult to find instances in
any part of the world previous to the Barbados, St Christopher, and
Guadeloupe epidemics of 1647-48. Not only so, but these and other West
Indian harbours were the distinctive seats of it for long after. From
first to last yellow fever has been an infection of certain harbours--of
the shipping anchored, moored, or careened in them, and of the houses
nearest to the shore. In the Barbados epidemic of 1647, Ligon says, the
ships at anchor in Carlisle Bay were for the most part infected; Dutertre
says that the crew and passengers died of it on board the ship which
brought it to Guadeloupe; he says, also, that it had come to St
Christopher with certain ships; and Ligon clearly suspects that it may
have had an origin on board ship: “for in long voyages diseases grow at
sea and take away many passengers, and these diseases prove contagious.”
We have had many instances of the sicknesses of voyages, not only scurvy
but also fevers. But these ship-fevers were not yellow fever; we know more
of them in later periods of the history, when they were recognized as
ship-typhus. For yellow fever we must seek something more distinctive, and
that distinctive thing we shall probably find in a kind of voyage which we
have not hitherto considered from the point of view of its sicknesses--the
Middle Passage, or the voyage with negroes from the African coast across
the tropical belt to one part or another of the New World. Let us then
take that particular kind of voyage, as we have already taken the voyages
of the East India Company’s ships, the voyages of emigrant ships from
England to the North-American Colonies, and those from France and England
to the West Indies.

Dutertre, our authority for the first yellow fever in St Christopher, is
also a witness to the sicknesses and mortality of the Middle Passage. Of
the negroes, he says, more die on the passage than land. He has known
captains who have taken on board up to 700 in one ship and landed only
200; they died of misery and hunger, and the stifling monotony of tropical
calms. Some of the slaves are of high degree; there was one negress, in
particular, whom all the rest looked up to as a princess.

The African slave-trade was not altogether so reputable as to have had the
incidents of the voyages recorded with anything approaching to scientific
fulness. But within the period that now occupies us, there are four
notices of arrivals of slavers in the West Indies from Guinea, in which
the health of the voyage had called for remark[1178]. In a letter from
Barbados, March 20, 1664, it is said that the ‘Speedwell’ has arrived with
282 negroes, who have greatly lost in value owing to smallpox breaking out
amongst them; the ‘Success’ brought 193 blacks; the ‘Susan’ 230, which
were not allowed to be landed until the officers of the ship had proved
that they had not collected them within the Royal African Company’s
limits. Another Barbados letter of March 31, 1664, says that “there has
been a great mortality amongst the negroes [? on St Christopher and Nevis]
which the African Company’s physician at Barbados, De La Rouse, assures
them is through a malignant distemper contracted, they think, through so
many sick and decaying negroes being thronged together, and perhaps
furthered by the smallpox in Captain Carteret’s ships. Most men refused to
receive any of them, and Philip Fusseires, a surgeon, to whom they sold
twenty at a low rate, lost every one.” This is a confused letter, but the
reference to “sick and decaying negroes thronged together,” appears to
mean, not a sharp sickness soon over, but a general sickly state and loss
of condition, which had come upon them during the voyage[1179]. The third
letter is from Barbados, June 25, 1667: from Guinea are arrived four
ships, two of the African Company’s, and two private; in which had
happened a great mortality of negroes and of the ships’ companies. Once
more, to bring out the long imprisonment of negroes under decks while the
slaver was filling up on the coast, T. Barrett writing from Port Royal on
October 17, 1672, to James Littleton, “has heard that Capt. James Tallers
bought the negroes for Littleton from another ship in Guinea which had
them three months aboard, and that they were almost all starved and
surfeycatted [surfeit had come to mean dysentery], he having fed them with
little else but musty corn. There must have been something extraordinary
that so many of them died.”

In one of the letters we hear of sickness and mortality not only of slaves
on the passage but also of the ships’ companies. Long after, Clarkson
showed from the muster-rolls of Liverpool slave-ships that the
slave-trade, instead of being a “nursery” of British sailors, was their
grave[1180]. There are, however, few medical particulars; doubtless many
of the deaths among the crews occurred on the coast, from fever, dysentery
and the like brought on by debauchery and during trading excursions up the
rivers in the long-boat; but from the third of the letters quoted it
appears that there had been also deaths on the voyage. Of the sicknesses
among the negroes, more is said of smallpox than of any other malady in
the foregoing records. But smallpox was not in ordinary circumstances a
very fatal or very severe disease among negroes, although it was very
common. An early medical writer on the diseases of the Guinea Coast, both
of white men and negroes, Dr Aubrey, “who resided many years on the coast
of Guinea,” may pass as a credible witness in the matter, the more so as
his book shows him to have been competent in his profession[1181].

“Measles and smallpox,” he says, “are no ways dangerous, nor so
troublesome as in cold climates, neither are they so very sick e’er they
come out, nor remains there any great sign of them after they recover.
Abundance of these poor creatures are lost on board ships, to the great
prejudice of the owners and scandal of the surgeon, merely through the
surgeon’s ignorance; because he knows not what they are afflicted with,
but supposing it to be a fever, bleeds and purges or vomits them into an
incurable diarrhœa, and in a very few days they become a feast for some
hungry shark. When they are in the woods sick of these diseases, they take
nothing but cold water, and suck oranges, and yet recover, as I myself
have been an eyewitness many a time; and the grandy-men’s children are
treated no otherwise in their sickness, and are very well of the smallpox
in less than half a moon,” etc. It is conceivable, however, that smallpox
left to itself would not have run so favourable a course in the hold of a
slaver as in the native huts of the negroes. On board ship the subjects of
smallpox died from a complication of diarrhœa; and, according to the same
writer, diarrhœa or dysentery was the grand cause of mortality on the
voyage, the most inveterate form of it, (according to his fixed belief),
occurring in those who had been constitutionally affected by yaws: “This
(the yawey flux) is the mortal disease that cuts off three parts in four
of the negroes that are commonly lost on board ships.” But the same writer
reveals enough to let us understand the prevalence of flux as a primary
malady. The food of the slaves on board ship, to say nothing of the
regimen, was distasteful to them. They missed their palm oil and other
accustomed articles of diet. They were fed, morning and evening, on pease,
beans, and the like, mixed with “rotten salt herrings,” with an occasional
meal of salt beef or salt pork, and a stinted allowance of water.

    “These are foods that very few of them will eat. Very often they are
    abused by sailors, who beat and kick them to that degree that
    sometimes they never recover; and then the surgeon is blamed for
    letting the slaves die, when they are murthered, partly by strokes and
    partly famished; for if they do not eat such salt things as are enough
    to destroy them, they must fast till supper; and then they lose their
    appetites, and perhaps fall sick, partly through fasting and partly
    with grief to see themselves so treated; and if once they take
    anything to heart, all the surgeon’s art will never keep them alive;
    for they never eat anything by fair means or foul, because they choose
    rather to die than be ill-treated.... When they are costive and griped
    [by the salt food], they stay betwixt decks and will eat nothing; but
    cry _yarry, yarry_, and perhaps creep under one of the platforms and
    hide themselves, and die there, and the surgeon can’t think what is
    the meaning on’t..., I am very sensible that it is impossible to
    maintain the slaves on board, after one quits the Coast, without salt
    provisions; but then care might be taken to water the beef and pork
    ere it be boiled, and also to bring a cruce of palm-oil round the deck
    from mess to mess, and also pepper, and let everyone take as he
    pleaseth.... Another principal cause of their destruction is forcing
    them into a tub of cold water every day, and pouring the water on
    their heads by buckets-full”--doubtless for the sake of cleanliness,
    although they were too ill to stand such washings.

Whatever else the negroes died of on the voyage from Guinea, they did not
die of yellow fever: there is hardly another generality of pathology so
well based as that Africans of pure blood have been found immune from that
infection in all circumstances ashore or afloat--protected not by
acclimatisation but by some strange privilege of their race. And yet we
have to think of yellow fever as somehow related to the over-sea traffic
in negroes. Two instances from the later history will serve to bring the
problem concretely before us. In 1815, a British transport, the ‘Regalia,’
was employed in carrying recruits from the West Coast of Africa to the
black regiments in the West Indies. The health of the ship when on the
African coast had been good; but on the voyage across with the
newly-enlisted negroes, much sickness, chiefly dysenteric, occurred among
the latter, whereupon yellow fever broke out with great malignancy,
attacking all on board except the black soldiers, who were from first to
last untouched by it. From such experiences as that, Sir Gilbert Blane
formulated a somewhat vague doctrine that the causes which produced
dysentery in the negro produced yellow fever in the white race. But it is
more probable that the dysenteric matters of the negroes had themselves in
turn bred an infection of yellow fever for the whites. To take another
case: In 1795, after the capture of Martinique from the French, one of the
frigates ‘La Pique,’ was manned by a British crew and sent to Barbados. On
the voyage they rescued two hundred negroes from a ship which was about
foundering. The negroes were confined in the hold of ‘La Pique;’ and in a
short time yellow fever broke out among her English crew, killing one
hundred and fifty of them, although it was not prevalent among the blacks
at all. “Such a mixture of men,” says Gillespie, “strangers to each other,
has been often found to occasion sickness in ships; and, together with
other causes, fatally operated here before the arrival of the ship at
Barbados.... This is a melancholy instance of the generation of a fatal
epidemic on board ship at a time when the inhabitants of Barbados and the
crews of the other ships in company remained free from any such
disease[1182].”

But such instances are comparatively rare, while epidemics of yellow fever
on shore, or among the shipping in an anchorage, have been common. It is
possible that the yellow fever experiences of the ‘Regalia’ and ‘La Pique’
had happened often to the white crews of slavers; we shall never know.
What we do know is that the ports of debarkation of the slave-trade
became the endemic seats of yellow fever. The theory is that the matters
productive of yellow fever were brought to the West Indian harbours,
deposited there, left to ferment and accumulate, and so to taint the soil,
the mud and the water as to become an enduring source of poisonous
miasmata. The facts in support of that view are not far to seek.

Let us come back to the circumstances of Bridgetown, Barbados, when the
yellow fever broke out first in 1647. A good many slavers had landed their
cargoes at Bridgetown in the years preceding (in 1643 the island had at
least 6400 negroes), and each of them had left behind a material quantity
of the filth of the voyage, having probably been careened for the purpose
of cleaning out and overhauling. There are traditions still extant that
the cleaning of a slave-ship after a voyage from Africa was an exceptional
task, to which Kroomen used to be set. Be that as it may, it needs only a
little reflection to see that a crowd of some hundreds of negroes under
gratings in the hold or ’tween decks of a brig or schooner, suffering at
first from sickness of the sea and, as the voyage across the tropic belt
progressed, from the more distressing flux, must have set all rules of
cleanliness at defiance. The ship’s bilges and ballast would be foul
beyond measure: and it was just the contents of her bilges, with or
without the ballast itself, that would be pumped out or thrown out when
the ship was moored in the harbour or careened on the mud. At Bridgetown
there were no plunging tides, such as we watch on our own shores, to carry
the filth out to sea. The spring tides, says Ligon, rose only four or five
feet; the flood tide carried the water over the banks into the lagoon, and
the ebb carried it off; but at neap tides a quantity of water remained
stagnant behind the sea-banks, according to the familiar experience in
such circumstances. The flat shore, says Ligon, became “a kind of bog,
which vents out so loathsome a savour as cannot but breed ill blood, and
is (no doubt) the occasion of much sickness to those that live there.” A
brackish estuary, with an impeded outfall, will often smell badly, from
rotting sea-wrack or other decomposing matters; but we have yet to learn
that any so commonplace conditions can breed a deadly pestilence such as
arose at Bridgetown for the first time in the autumn of 1647. Carlisle
Bay was doubtless a leeward harbour, with high land all round it and a
sluggish ebb and flow of the tide, subject to calms and a scorching sun;
but besides all that, the careenage at the head of the bay was the regular
receptacle of the ordure of slave-ships year after year. Travellers and
imaginative writers have sometimes pictured the bays and creeks of the
islands and main of the Caribbean Sea as if the mere decay of tropical
vegetation had made them pestilential[1183]. Risk, of course, there is in
such situations, but chiefly when men are exposed by turns to the noonday
heat and the nocturnal chill. The ill repute of West Indian harbours, with
their sweltering mud, mangrove swamps, and lazy tides, is a composite and
confused idea. It is not so much Nature that has made them unwholesome, as
man. Yellow fever, in particular, is not a miasm of remote and primeval
bays or lagoons into which a boat’s crew may come once and again; it is
not a fever of any and every part of the coast of a tropical island; it is
a fever of only a few inhabited spots on the wide shores of the globe; and
those seats of it, so far as it has been steady or periodic in its
prevalence, are all of them harbours distinguished at one time or another
as the resort of slave-ships, and distinguished from many other ports of
either Hemisphere in no other way. Everything in the subsequent history of
yellow fever pointed to its being a poison lurking in the mud or even in
the water of slave-ports, and in the soil of their fore-shores, wharves
and houses along the beach. Miasmata rose from the ground in the latter
situations, to taint the air of the town at certain seasons; the poison
also entered the bilges of ships moored or careened in the harbour, and
rose from the holds as a noxious vapour to infect the crews. The miasmata
were deadly for the most part to new comers, especially to those from the
colder latitudes, although acclimatised residents were not exempt in a
time of epidemic; but there is very general agreement that they carried no
risk for negroes of pure blood.

What was there special in the circumstances of 1647 to give rise to the
first epidemic explosion of yellow fever? There was, in the first place,
the accretion of the peculiar fermenting filth in the mud and soil, which
had been going on for several years. Secondly, there was the brisk trade,
as indicated by the large number of ships in the harbour, a great
concourse of new arrivals having been often remarked in the later history
as one of the conditions of an outbreak. But more particularly there were
the peculiarities of the season: it was one of those seasons in which the
regular rains of June and following months had failed. What we know on
that head comes exclusively from Winthrop’s ‘Journal,’ already quoted.
There was so great a drouth, he says, that their potatoes, corn, &c., were
burnt up; and after the “great dearth of victuals in these islands
followed presently a great mortality.” But the mortality was certainly not
from famine, nor from the effects of famine. It was the parching drought
that the epidemic really followed, and not merely the scarcity, which was,
indeed, relieved by the ships from New England, and was so little felt
that Ligon does not mention it. The rainy season missed, or all but
missed, in a tropical country means a great fall of the ground water; it
means the pores of the ground filled with air to an unusual extent; and
that is a state of any soil, if it be already full of fermenting organic
matters, which breeds the most dangerous half-products of decomposition,
or, in other words, the most poisonous miasmata. There needs always some
such special determining thing to explain the epidemic outbursts of yellow
fever; in the later history we shall see that the first great epidemic of
it at Jamaica followed immediately upon the earthquake that destroyed Port
Royal.

Illustrations of the ordinary principle that seasonal and periodic
infection is dependent on the state of the ground water, are given at
greater length in the chapters upon the later epidemics of plague in
London. What applies in that respect to one soil-poison applies to
another; and it will be shown in the proper place to apply with least
ambiguity of all to Asiatic cholera, as well as to typhoid fever. Yellow
fever is, in clinical characters, allied more to typhus than to typhoid;
but it is a typhus of the soil, whereas the common and much less fatal
typhus of ordinary domestic life in colder latitudes is an infection
above ground--of the air, walls, floors and furnishings of rooms. There is
the same relation between yellow fever and ordinary typhus in that
respect, as between plague and ordinary typhus. When ordinary typhus has
passed into a soil-poison, by aggravation of conditions, as in the
experience of Arab encampments in North Africa, it has become at the same
time bubonic fever, or, approximately plague proper. Yellow fever had its
habitat essentially in the soil, from the peculiar circumstances
(importation of the crude materials of it by ships engaged in the
slave-trade); and plague in ordinary, or in European experience, had also
its habitat in the soil, from circumstances which have been elsewhere
given as its probable conditions.

It is perhaps because they are soil-poisons that those two diseases rank
so high in their fatality and quickness of execution, in which respects
they resemble Asiatic cholera, and differ from most other infections.
Winthrop says that the first yellow fever killed in three days, and was
therefore comparable to the plague. Ligon says that it was as killing a
disease as the plague (of which both he and Winthrop would have had old
experience at home), and he uses the stock phrase, that the living were
hardly able to bury the dead. Winthrop says that 6000 died in Barbados:
and one of his correspondents in the island, Vines, writes that “in our
parish there were buried twenty in a week, and many weeks together fifteen
or sixteen.” Dutertre says that nearly a third of the colonists of St
Christopher died of it, and that it lingered there for eighteen months,
and for twenty months in Guadeloupe, whither it was believed to have been
brought in the ship ‘Le Bœuf.’

Barbados, St Christopher and Guadeloupe (with minor settlements on
Martinique, Nevis, &c.) were the earliest English and French colonies in
the Caribbean Sea. The Spaniards had occupied the Greater Antilles
(Hispaniola or San Domingo, Cuba, Porto Rico and Jamaica) long before.
Nothing particular is known of the health of these colonies except for the
earlier years of the 16th century, when the native populations were
ravaged by the great pox and the smallpox. But when Jamaica was seized
from the Spaniards by the army of the Commonwealth in 1655 we begin to
have authentic information, the state of health being perhaps the most
prominent thing (although little noticed by historians) in the despatches.
That incident in the expansion of England, relating as it does to the
planting of what was for long our greatest island colony, and illustrating
the risks of those early enterprises more fully than any other of the
kind, may fitly come into this chapter and conclude it.


The Great Mortality in the occupying of Jamaica.

The Lord Protector’s design in the year 1654, to acquire one or more of
the Spanish Antilles for an English colony, was more methodically
conceived and more strenuously supported by the resources of the State
than any previous attempt at colonization. It was attended with disasters
on a proportionate scale, and at first with ignominy and failure which
must have added seriously to the burden of Cromwell’s later years. The
original design, in the admiral’s sealed orders, was to seize upon the old
Spanish colony of Hispaniola or San Domingo[1184]. A fleet had been fitted
out at Portsmouth, which sailed on 19th-21st December, 1654, carrying a
land force of three thousand men. After a favourable voyage, the fleet of
thirty sail, half of them victuallers, arrived at Barbados on February 1,
where they lay until March 31, engaging settlers for the proposed new
colony as well as campaigners, including a troop of cavalry, from the not
very choice class of English subjects in that island. Some twenty Dutch
ships were seized and made victuallers or transports. The expedition
received a draft also from Nevis, and calling at St Christopher they took
up 1300 more, making in all an addition of over 5000 colonial men, besides
women and children, to their original force. On April 13 the fleet arrived
off the harbour of St Domingo. It came out afterwards that the sight of so
many English frigates and other ships had driven the townspeople to
instantaneous flight, so that the capital would have fallen to the
English without a blow. But no landing was attempted in the harbour,
owing to difficulties about piloting, ignorance of the depth of water, and
the like. It was decided to disembark the force in a bay at the mouth of a
river some six or ten miles (two leagues) to the eastward, where Drake had
landed in 1586. Most of the ships, however, were carried past the
appointed place, and came to anchor in another bay thirty miles (ten
leagues) eastwards from St Domingo; there a multitude of some 7000
soldiers and colonials, with their women and children, were landed on the
beach with three days’ rations. Several of the ships landed their men at
the original rendezvous two leagues from St Domingo, to the number of
about 2000 in three regiments. The larger and farther-off force began to
advance on St Domingo through dense woods; their presence in the country
was soon known in all the plantations, whence the people fled to the
capital for safety, so that the San Domingans were able to extemporise a
considerable force for defence. The advance of the English was hindered by
the stifling heat; distressed by thirst, they ate immoderately of oranges
and other fruits, and in one way or another brought on dysentery. General
Venables, in a despatch to Cromwell, says that by these causes they “were
troubled with violent fluxes, hundreds of our men having dropped down by
the way, some sick, others dead.” Meanwhile the nearer and smaller force
of some 2000 had advanced on St Domingo; they got over one of the two
leagues between them and the capital, but an old fort, manned for the
occasion, barred the way, and the regiments fell back upon the river
whence they had started, and rested there five days, the main body having
meanwhile come up with them. One attempt after another was made to pass
the half-way fort, but the Spaniards held their ground, and actually
inflicted defeat in the open and a disgraceful rout upon the English, some
of whose gallant officers threw their lives away in a vain attempt to lead
their men. All the while this broken and demoralised mob was without
proper supplies from the fleet, the officers of which were either unable
to communicate with the land force or indifferent as to their duty. The
state of health on the 25th of April, some ten or twelve days after
landing, is thus described in a letter: “And the rains nightly pouring,
with fogs and dews along the river, so soaked our bodies with flux, and
none escaping that violence, that our freshment [by retreat to the river]
proved a weakening instead of support.” Another letter of two days’ later
date (April 27) says: “The rains increasing, our men weakening, all even
to death fluxing, the seamen aboard neglecting,--that forced us to eat all
our troop horses.” An attempt was made to restore discipline; an officer
of high rank was cashiered for a coward, his sword having been broken over
his head; a soldier was shot for desertion; some loose women in men’s
clothes from Barbados were chastised, and a sharp look-out kept for other
camp-followers of the kind. At length it was decided by Venables and his
council that the attempt on San Domingo must be abandoned; probably it was
seen that the Barbadian and St Christopher following was a fatal
encumbrance at that stage, the more so as the rainy season was in
progress. By the third of May the whole expedition was re-embarked, the
Spaniards making no attempt to harass the operation. The number reshipped
is said to have been seventeen hundred short of that which landed three
weeks before: a good many had fallen fighting, others were slain by the
Spaniards or negroes in the woods, and some appear to have died of the
flux. The attempt on St Domingo having failed it was decided to make a
descent on Jamaica, the least important of the Spanish Antilles. On the
passage thither, Winslow, one of the three lay commissioners or
“politicals” with the expedition, died “very suddenly of a fever.”

On May 10 the ships entered the bay of Caguya. Admiral Penn, being
resolved not to repeat the mistake they had made at St Domingo, kept sail
on the ‘Martin’ galley until she was beached under the small fort of the
Passage, at the head of the bay, so as to cover the debarkation with his
guns. However, the few Spaniards living at the shore fled, and the whole
force, to the number of some 7000, was landed by midnight. Venables then
returned to his ship for his usual repose, leaving the men under arms all
night. Not until nine next day, by which hour the cool of the morning was
lost, did the march begin to the capital, St Jago de la Vega (“St James of
the Plain”), situated on an elevation by the river Cobre, in the midst of
an alluvial plain with an amphitheatre of hills behind it, some six miles
from the place of landing. About two in the afternoon they came before the
town, and marched in that night: they found it empty, “nothing but bare
walls, bedsteads, chairs and cowhides.” The town is said to have had some
1700 houses (too many for its population), two churches, two chapels, and
an abbey; there all the Spaniards dwelt in ease and indolence, “having
their slaves at their several small plantations, who constantly brought
them store of provisions and fruits.” In this great island there were but
about 3000 inhabitants, half of them, if not more, being slaves. There
were no manufactures or native commodities, except a very little sugar and
cocoa. The four ships that came thither in a year traded generally for
hides and tallow only.

The Spanish colony had removed as much of their property as they could in
their first flight, and shortly sent their head men with their governor,
“an old decrepid seignior full of the French disease” carried by two
bearers in a hammock, to treat for their re-entry into the town. Venables
was afterwards much blamed for returning the politeness of the Spaniards;
he received their presents of fresh provisions and fruit, accepted their
promises of a steady supply for his men, and gave them the free run of
their own houses for a week or so, by which time they are said to have
carried off all their personal belongings of value. They objected to leave
the island, saying that Jamaica was their home, and that they had no
friends either in New Spain or in Old Spain. At length they left their old
settlement, with the avowed purpose of embarking for Cuba from a bay on
the same side to the west. There were divided counsels among the English
as to the treatment of the Spaniards, and Colonel Bullard was sent towards
the bay with a large force to intercept them in their flight. They had,
however, given a false direction, and had in reality crossed the mountains
northwards to the other side of the island, clearing the country as they
went of cattle and produce of every kind. Some of them, including eight
families of the upper class, at length found their way to Cuba, but the
larger number remained on the north of the island, where they were
overtaken by famine and pestilence before a few months, and nearly
exterminated. Their negroes took to the mountains, and became the
maroons, famous in the later history of Jamaica.

In pursuing the Spaniards, the English troops went roaming over the
country, destroying the hogs and cattle in mere wantonness, and leaving
their carcases to putrefy. In a short time the multitude of English at St
Jago de la Vega (Spanish Town) were on short rations, and before long
“dogs and cats the best part of their diet.” The stores from the ships had
been left on the beach exposed to the weather, and soon turned mouldy, the
men refusing to carry them, in the absence of waggons, over the six miles
between the shore and the head-quarters. Two or three victuallers besides
had arrived from England within a week or two of the first landing, but,
for all that, the expedition was starving. Many of the men were suffering
from the flux which they had contracted in St Domingo. Venables, in a
private letter of May 25, or a fortnight after landing, gives the number
of the sick at near 3000; in a despatch to Cromwell, of June 4, he says:

    “The want we have been in hitherto of bread (we not being able to be
    suddenly supplied therewith out of the fleet, or our stores, through
    want of waggons and other conveniences for the transportation
    thereof), joined with the drinking of water, hath already cast both
    officers and soldiers into such violent fluxes that they look more
    like dead men crept out of their graves than persons living; and this
    so generally that we have not above two colonels in health, three
    majors, some seven field officers in all; besides many have been
    already swept away with this disease. We lost Mr Winslow very
    suddenly, in our sailing towards this island, of a fever.”

On June 9 there was a general muster of the land forces, “whose number was
found to be much diminished of late, not so much by any pestilential or
violent disease, as for mere want of natural sustenance; which, in common
reason, may seem strange that of all men soldiers should starve in a
cook’s shop, as the saying is[1185].”

In a despatch of June 13, Venables says that “about 2000 are sick. Our men
die daily, eating roots and fresh fish (when any food is got), without
bread or very little.” He was himself ill, having had the flux for five
weeks. Admiral Penn (father of the founder of Pennsylvania) had resolved
to go home with two-thirds of the ships, thinking that his services were
no longer needed, and having been advised that he could be of more service
to Cromwell in England. He sailed on June 21, leaving the frigates and the
Dutch prizes, under Goodson; and Venables followed in four days, with the
surviving “political,” leaving the settlement in charge of Fortescue, who
wrote home, “I am left to act without book.”

Meanwhile Cromwell had got ready reinforcements, sparing no trouble or
expense at home. The expedition in aid left Plymouth on July 11, 1655,
under the command of Sedgwick, and arrived at Barbados on August 26-31,
after a fine passage; they left again on September 7, having trimmed their
casks and taken in water with other refreshments. This force was in the
best of health until after leaving Barbados. Sedgwick writes:

    “I think never so many ships sailed together with less trouble, grief
    or danger than we did; only God did in a little visit us between this
    [Jamaica] and Barbados with some sickness, I apprehend caused by some
    distemper taken there [? yellow fever]; in which visitation, I think,
    in the whole fleet we lost between 20 and 30 seamen and soldiers.”

Finding the Spanish flag flying at San Domingo, they came on to Jamaica on
October 1, and there found a calamitous state of things.

    “For the army, I found them in as sad and deplorable and distracted
    condition as can be thought of: commanders, some left them, some dead,
    some sick, and some in indifferent health; the soldiery many dead,
    their carcases lying unburied in the highways and among bushes, to and
    again; many of them that were alive walked like ghosts or dead men,
    who, as I went through the town, lay groaning and crying out, Bread,
    for God’s sake!”

Sedgwick brought with him in four victuallers a thousand tons of
provisions, which he secured in a store built for the occasion on the
beach. Among his troops was Colonel Humphry’s regiment of 831 “lusty,
healthful, gallant men, who encouraged the whole army.” But now we begin
to see that the sickness at St Jago de la Vega had become infective or
pestilential. The new-comers, healthy and well found as they were, began
at once to sicken and to die. Of Humphry’s regiment, on November 5:

    “There are at this day 50 of them dead, whereof two captains, a
    lieutenant, and two ensigns, the colonel himself very weak, the
    lieutenant-colonel at death’s door. Soldiers die daily, I believe 140
    every week, and so have done ever since I came hither. It is strange
    to see lusty men, in appearance well, and in three or four days in the
    grave, snatched away in a moment with fevers, agues, fluxes and
    dropsies, a confluence of many diseases. We furnished the army now
    with 60 butts of Madeira wine, and to every regiment a butt of brandy,
    and a hogshead or two of sweet oil. Our soldiers have destroyed all
    sorts of fruits, and provisions and cattle. Nothing but ruin attends
    them wherever they go.” On January 24, 1656, Sedgwick again writes to
    Thurloe: “Did you but see the faces of this poor small army with us,
    how like skeletons they look, it would move pity; and when I consider
    the thousands laid in the dust in such a way as God hath visited, my
    heart mourns. Here hath come down to us from many of the Windward
    Islands divers people with intentions of sitting down with us, but at
    their coming hither, either fall sick and die, or are so affrighted
    and dismayed as that, although to their much impoverishing, yet will
    not be persuaded to stay with us.”

The men in the fleet were in better health; but among them also “some die
and some are sick, in so much that we need a good recruit fully to man our
ships as men-of-war.” On the same date (January 24, 1656) Admiral Goodson,
writing to Thurloe, estimates the surviving officers and men at 2600,
besides women and children; and in another despatch of that date from
Sedgwick and Goodson jointly to Cromwell it is stated:

    “The numbers of the army are much lessened since our last letters
    [November 5]; the whole not extending to 3000, many of them sick and
    weak, the best and soundest much abated of their strength and vigor,
    and God goes on every day to shorten our number. We die daily, not
    less than fifty every week, which is much considering our small
    numbers.”

As the season advanced the health of the troops on shore improved. A
letter of March 12 says that the condition of the army is much mended; the
soldiers are far more healthful, but much dejected and averse to the
place. The fleet was in good spirits, and impatient for action; however,
there was sickness also on board the ships; they had lost some fourscore
men since the last despatch; and on April 30 the report is: “our seamen
are indifferently well in health; yet some few are sick, and God is daily
shortening them, so that our fleet will want a recruit of men.” Several of
the frigates were wormeaten, and careened for repairs. Sickness is
reported in the ships as late as October 10, 1656.

The sickness among all ranks had been so general and severe that it was
hardly possible to find senior officers to undertake the government.
Fortescue died in October, 1655, and was succeeded temporarily by D’Oyley
and others, the sole government being at length given by Cromwell to
Sedgwick, who died a few days after receiving his unwelcome commission.
Brayne, transferred from Lochaber to Jamaica, also died, and it fell at
length to D’Oyley, an effective person in whom all on the spot had
confidence, to carry the colony through its troubles. Cromwell spared no
effort at home. Immense quantities of provisions were shipped; planters,
with their families, ‘servants’ and slaves, to the number of some 1700,
were removed to Jamaica from Nevis, under Stokes, the governor of that
island; the New Englanders were also encouraged to resort to the new
colony; and a thousand or so of young men and marriageable young women
were furnished from Ireland, together with pioneers, described as of a
rougher kind, from Scotland. “And so at length,” says Carlyle, “a
West-Indian interest did take root; and bears spices and poisons, and
other produce, to this day.”

The sickness and mortality among the first English colonists of Jamaica
gave the island a bad name, and must have added not a little to the
confusion of ideas already existing as to the pestilent character of
tropical climates[1186]. The older sugar-colonies, such as Barbados, which
saw in Jamaica a formidable competitor, would appear to have encouraged
the notion that climates varied much, that of Jamaica being bad. Soon
after the Restoration, Charles II. was urged to give back Jamaica to
Spain, and is said to have seriously entertained that purpose. Among the
state papers is a document, supposed to have been written in November,
1660, which sets forth the natural advantages of Jamaica, together with
two sets of reasons why England should retain it[1187]:

    “The air here is more temperate than in any of the Caribee Islands,
    being more northerly and as sufferable hot as in many places.... The
    winds here constantly all day blow easterly, so coolly that it renders
    any labour sufferable at midday.... We find here is not such antipathy
    between the constitution of the English and the climate that sickness
    is not inevitable and contingent; for we have experimentally found
    that persons observing a good diet and using moderate exercise, enjoy
    a somewhat (?) measure of health. The said causes of the mortality of
    the Army at their first arrival were want of provisions, unwillingness
    to labour or exercise, and inexcusable discontent to be constrained to
    stay here. The diseases that strangers are most incident to are
    dropsies (occasioned often by evil diet and slothfulness), calentures
    (so frequently produced of surfeit), and fevers and agues, which,
    although very troublesome, are never mortal.... Cagway [Port Royal] is
    the place where all the merchants reside, being the most healthy place
    in the island; whither resort all the men that frequent the Indies,
    which makes houses so dear that an ordinary house in this town is
    worth £40 or £60 per annum. There are about 200 houses there, all
    built by the English. About 50 houses have been built by the English
    at the fort of the Passage [at the head of the harbour and the nearest
    point to Spanish Town]; of the houses in the old capital, St Jago de
    la Vega, about 800 are ruinous. As to the number of English in the
    island, the relics of the six regiments do muster 2200, and it is
    probable that the planters, merchants, sailors and others may be as
    many.”

The above statements about the healthiness of Jamaica in 1660 were
repeated by Dr Trapham, in his work on the climate and diseases of the
colony in 1678[1188]. This earliest medical writer is, indeed, more
optimist than those who followed him, as to contagious or infective
sickness; there was no smallpox, or very rarely, saving sometimes brought
from Guinea by negroes; and “no depopulating plague that ere I have heard
of,” saving a pestilential fever brought in by the victorious fleet
returned from the signal Panama expedition in 1670. The experiences of
yellow fever at Port Royal and Kingston were mostly, if not entirely,
subsequent to these dates. But, as there had been yellow fever at
Barbados, St Christopher, and Guadeloupe as early as 1647-48, it has been
thought probable that the enormous mortality in Jamaica in 1655-56 was
from the same endemic cause[1189] Undoubtedly the epidemic at Spanish Town
became at length more than the dysentery which had been brought by some of
the troops from San Domingo, or had been induced among others of them by
bad food and water; it became a virulent specific infection, attacking the
healthy and well-found reinforcements from England and the new arrivals
from the Windward Islands, and destroying them quickly, “in three or four
days.” Fevers are specially named, as well as fluxes and dropsies; and the
question arises whether the pestilential fever was not yellow fever.

There is certainly nothing said of the striking and ghastly symptoms of
the _vomito negro_. Moreover the sickness was nearly all at the town of St
Jago de la Vega, six miles from the bay, situated on a rising of the plain
with a declivity to the Cobre river, a place which was only exceptionally
the seat of yellow fever in after-experience. Thus Judge Long, the able
historian of Jamaica, says[1190]:

    “After a series of hot, dry, and calm weather, eight days of continued
    rain succeeded in May, 1761. Spanish Town grew more sickly than ever I
    knew it, either before or since. From that period to August there were
    buried 29 white inhabitants, of whom 15 were soldiers. Their disorder
    had all the appearance of being the true yellow fever, and was
    supposed to have been communicated from some ship in Kingston
    harbour:”

--Kingston and Port Royal, or the ships moored near to them, being the
common habitat of the disease, as in the corresponding circumstances at
other West Indian islands.

But if the infective fever at Spanish Town in 1655-56 was almost certainly
not yellow fever, it was probably allied to it in type. Dysentery had
been almost universal; there was no care of the sick, and, so far as one
hears, no medical attendance, no hospitals, no scavenging, no security
taken to keep the water-supply pure--nothing, in short, of what is now
called sanitation. Sedgwick, arriving on October 1, 1655, found even the
dead unburied by the highways and among the bushes. The correlation
between dysentery and pestilential fever is no new hypothesis: flux first
and fever afterwards has been an experience both in sieges and in ordinary
domestic famines on many occasions. The origin of the yellow fever at
Barbados and elsewhere in 1647-8, which has been outlined in this chapter,
is but a special application of the same principle, the dysenteric matters
which represent the crude source of the infection having been brought in
the bilges and ballast of slave-ships, thrown into the mud of almost
tideless harbours, left to ferment amidst the heat and moisture of the
shore, and so made into a soil-poison which, in due season, would give off
emanations, fatal especially to new-comers. Port Royal and Kingston had
full experience of that endemic influence in after-years, for the first
time in 1692, after the earthquake and disturbance of soil which destroyed
the former town and occasioned the building of the latter on the other
side of the bay. By that time there had been slavers enough in the bay to
bring all the ordure that the hypothesis requires. But, down to 1655, the
Spaniards had traded only with hides and tallow in some four ships every
year, and had the headquarters of their cultivation and stock-raising at
the town in the plain some six miles from the shore. Four or five years
after their expulsion we find the whole aspect of the port changed,
according to the description already given. It does not appear that
Cromwell looked forward to negro labour in his colony, although the Nevis
planters brought their blacks with them. Charles II. had not been many
months on the throne when James, earl of Marlborough, petitioned him to
offer inducements to the Royal African Company to make Jamaica the staple
for the sale of blacks, and to contract with that company for one hundred
negroes to be delivered at the island[1191]. Negroes did begin from that
time to arrive in Jamaica, although Port Royal was at first rather a
general centre of commerce and piracy than a slave-port like Bridgetown,
perhaps because the Windward Islands were strong enough to keep their
privileges undivided. As late as 1670 the negro slaves in Jamaica were
reckoned at no more than 2500, not counting the old Spanish maroons[1192].
On September 20 of that year, Sir Thomas Modyford, governor of Jamaica,
sent to Secretary Arlington certain proposals for the improvement of the
colony, of which the following bears upon our subject[1193]:

    “That they may have licence gratis or at moderate rates to trade for
    negroes in Africa. Did those honourable persons, which make that Royal
    [African] Company so glorious, but fall into considerations how much
    more it is his Majesty’s interest to increase the number of his
    subjects than bullion of gold or silver (which by law all nations may
    import), they would not only freely consent to this proposal for us
    but for the whole nation and foreigners also. Mankind is the
    principal, gold the accessory: increase the first considerably, and
    the other must follow. Barbados had never risen to its late perfection
    had it not been lawful for Dutch, Hamburghers, and our whole nation,
    and any other, to bring and sell their blacks or any other servants in
    the colony’s infancy.”

The harbours of Port Royal and Kingston did, in the event, become the
chief resort of slave-ships in the British West Indies, slaves having been
landed there up to ten thousand in a year throughout the 18th century.
They came also to be among the chief seats of yellow fever, and continued
so until a recent date. The subsequent progress of yellow fever there, and
in other West Indian harbours as well as in the ports of some of the North
American colonies, is not the least important of the subjects that fall to
the second period of this history.




CHAPTER XII.

THE GREAT PLAGUE OF LONDON, AND THE LAST OF PLAGUE IN ENGLAND.


Literature of the Great Plague.

The writings called forth directly by the London Plague of 1665 were
hardly more numerous or of better quality than those of 1603 and 1625. At
its beginning in June, or in August, there appeared a number of tracts by
enterprising practitioners, containing a few commonplace remarks on causes
and the like, and advertisements of nostrums--by G. Harvey, Kemp,
Garrencieres (“Plague is one of the easiest diseases in the world to cure,
if” etc.), and Gadbury, an astrologer. The directions drawn up by the
College of Physicians in 1636, for the preservation of the sound and
recovery of the sick were re-issued, and an excellent set of “cautionary
rules” by H. Brooke was published by order of the mayor. The writings
which contain accounts of the Great Plague fall under two periods--the
years immediately following 1665, and the years 1720 to 1723 when there
was a sudden revival of interest in the subject in London owing to the
great plague of Marseilles in 1720. To the latter period belongs the most
famous work on the plague of 1665, Defoe’s _Journal of the Plague Year_,
which embodied in a picturesque form the substance of various writings
that preceded it, together with traditions known to Defoe. A brief account
of those writings that preceded Defoe’s in both periods will serve at the
same time to show the sources of a great part of his information.

The weekly bills of mortality issued by Parish Clerks’ Hall, which showed
the number of deaths week by week in each of the one hundred and forty
parishes of London, with a rough classification of the causes of death,
were reprinted at the end of the year 1665 in a volume with the title
_London’s Dreadful Visitation_[1194]. The bills thus collected in
convenient form were made great use of by Defoe, and became, indeed, the
backbone of his work. Next to them in importance, although it is not
certain that Defoe used it, is a treatise on the medical aspects of the
Great Plague, which has never had the fortune to be published. The author
of it was William Boghurst, a young apothecary practising at the White
Hart in St Giles’s-in-the-Fields, who advertised in the _Intelligencer_ on
July 31, 1665, at the height of the plague in his parish, that he had
treated forty, fifty or sixty patients in a day, that he was prepared to
undertake the treatment of cases in the City, the suburbs, or the country,
and that he had a water, a lozenge, and an electuary, as well as an
antidote at eightpence an ounce[1195].

After the epidemic was over he employed his spare half-hours in writing a
book upon his experiences, “considering that none hath printed anything
either since this plague, or that forty years since--which I something
wonder at.” He professes to have taken nothing from hearsay, or from
books, or from the testimonies of others; he writes in English “for
general readers and sale,” and he had omitted many things “so as not to
make the book too tedious and too dear to bie.” The manuscript was
completed for the press, with a title-page, at the foot of which is what
appears to be a publisher’s name (the surname now torn off); but it was
never published, although the author lived until 1685. It is conceivable
that the printed sheets, or the composed type, may have been destroyed in
the fire of September, 1666, and the enterprise abandoned. The manuscript
came into the possession of Sir Hans Sloane, and is now in the British
Museum[1196]. It gives much fuller clinical details of the plague than any
other English work, although in somewhat aphoristic form; and it may be
allowed the character of originality which the author claims for it,
except in some of the more systematic chapters showing the influence of
Diemerbroek.

Another medical essay following the plague was that of Dr Hodges, of
Watling Street, first written in English in 1666 (May 8) under the title
_A Letter to a Person of Quality_[1197], and expanded in 1671 into a Latin
treatise[1198]. Besides a few pages at the beginning, giving some general
facts of the London outbreak (which Defoe used), it is mostly a systematic
disquisition, although a few cases are interspersed. One other medical
piece of 1666 (June 16) is known, by Dr George Thomson, of Duke’s Place
near Aldgate, a Paracelsist or chemical physician; it contains the account
of a dissection of a plague-body, but is mostly occupied with a polemic
against the Galenists, which the author carried on for a number of years
in numerous other writings[1199].

Descriptive pieces, in prose or verse, such as the plagues of 1603 and
1625 elicited, are entirely wanting for that of 1665. But there was the
usual crop of religious and moral exercises to improve the occasion. These
appear to have come mostly, if not exclusively, from Dissenters. “Many
useful and pious treatises,” says a Dissenter in 1721, “were published
upon the occasion of the last visitation, as by Mr Zach. Crofton, Mr Shaw,
Mr Doolittle, and others.” But the only one that attained popularity,
having gone through five editions at once, and been often reprinted, even
as late as 1851, was _God’s Terrible Voice in the City_[1200], by the Rev.
Thomas Vincent, of Christ Church, Oxford, who had been ejected from his
living of St Mary Magdalen, Milk Street, and was then a leader of Dissent.
Vincent preached in several parish churches (deserted by their parsons)
all through the plague, and ministered constantly among the sick. His
book, which moralizes also upon the great fire of 1666, will be drawn upon
in the sequel.

We come next to the revival of interest in the Great Plague of London,
which was occasioned by the Marseilles epidemic in the summer of 1720, an
event that alarmed Western Europe as if the old recurrences of plague were
about to begin afresh after a long interval. In London, in 1721, several
books were published upon the Marseilles plague itself; and the years from
1720 to 1722 saw a whole crop of writings,--new essays and reprints of old
ones,--upon the last London plague of 1665. Among the books reprinted were
Hodges’ _Loimologia_, in an English translation by Quincy, his _Letter to
a Person of Quality_, the _Necessary Directions_ of the College of
Physicians, the _Orders drawn up by the Lord Mayor and Aldermen of the
City_ (these three in 1721 in a _Collection of very Valuable and Scarce
Pieces relating to the last Plague in 1665_), and Vincent’s _God’s
Terrible Voice in the City_. The new medical books on the Great Plague
were by Scarborough, Hancock and Browne.

When Defoe in 1722 wrote his _Journal of the Plague Year_, he had these
recent reprints and original books convenient to his hand. He had to go
back to 1665 for the collection of the weekly bills of mortality in the
plague-year (in a volume called _London’s Dreadful Visitation_), and he
may have consulted Boghurst’s manuscript, which was probably then in the
possession of Sir Hans Sloane. But it is impossible to trace all his
copious narrative of the Great Plague to these sources, even if we make
due allowance for his legitimate construction of incidents out of the
generalities of contemporary writers. It is possible that he may have had
some unknown manuscript, less technical than Boghurst’s, to draw from. At
all events, he was a likely person to have had many stories of the plague
in his memory. He was a child of four when the plague was in London, the
son of a butcher named Foe in St Giles’s, Cripplegate, which was one of
the most severely visited parishes. The most graphic parts of his
_Journal_ are those which contain such tales as he might have been told in
boyhood concerning the plague in Cripplegate, the scene of them being
carried round to Aldgate, opposite to the Butchers’ Row (still there) in
Whitechapel High Street. He must have had some testimony from which to
construct the visit to Blackwall, the view of the shipping moored all up
and down the Thames, and the other particulars of the river-side
population in the plague-time. The rough experiences of the three Stepney
men in the country near London are in the manner of _Robinson Crusoe_, and
needed only a few hints from Dekker’s stories, or from the writers of
1625. His account of the burials by the cart-load in plague-pits is also
suggestive of Dekker. The somewhat meagre references by Hodges might have
sufficed him for his frequent theme of the hardships and horrors of
shut-up houses, even if he had not seen two other tracts, of 1665, on the
same. The accounts of the Marseilles plague, one of the worst in history,
would have kept him right in picturing that of London.

Whatever materials Defoe took from Hodges, Vincent, or the writers on
other plagues, he enlarged them by his power of circumstantial
construction into a narrative which must be accounted on the whole
veracious. He based upon figures, whenever he could get them; he seems
even to have sought among the archives of the City for accounts of monies
distributed to the poor. He prints in full the orders of the Mayor and
Aldermen, and professes to give the text of a formal resolution which they
passed to remain at their posts throughout the crisis. His table of the
number of plague-deaths in each of twenty-six towns or villages near
London does not, indeed, agree with the figures in the parish registers,
as the table on a later page will show; but it can hardly have been drawn
up at a guess.

The best instance of Defoe’s skilful use of authentic documents is his
description of how the infection invaded one part of London after another
from the western suburbs to the eastern, so that its intensity was nearly
over in one place before it had begun in another. That is the most
interesting epidemiological fact in the whole outbreak; and Defoe has done
ample justice to it. Boghurst had stated it with equal clearness and
emphasis in his manuscript of 1666, which Defoe may or may not have
seen[1201]; however the latter deduced it afresh, and illustrated it by
numerous tables from the bills of mortality, which showed the incidence of
plague upon each of the one hundred and forty parishes from week to week.


Antecedents, Beginnings and Progress of the Plague of 1665.

When the London plague of 1665 had given indications that it would grow to
be one of the great outbreaks of that infection, much was made, in the
retrospect, of a single death from plague which had occurred towards the
end of December, 1664, in a house in or near Long Acre. Connected with
that case was one of those trivial chains of evidence which are so often
produced as the easy solution of a difficult problem. A bale of silks had
come to the house from Holland, and that bale of silks could be traced to
the Levant; therefore the seeds of the great plague of London were
imported Levantine seeds. This was pretty well for a city which had a
continuous record of plague-infection in its soil ever since the Black
Death of 1348. But credulity could ignore facts more recent than the
history for three centuries. The death in Long Acre in December was a
solitary one, and was of no more import for what followed than any of the
five other sporadic plague-deaths in 1664[1202]. Only one more death from
plague occurred in the bills (in the middle of February), until the last
week of April, 1665; even then the progress of the infection was slower
for the next two months than it had been in many former seasons of
moderate plague, such as the five years 1606-1610 and the eight years
1640-1647, or than it had been in the great plague-years of 1603, 1625 and
1636. An importation from abroad had been alleged as early as the great
plague of 1563, namely from Havre, which was then held by an English
garrison. But on that occasion the epidemic in London was gaining ground
before the sickness at Havre had declared itself plague, and was of the
bubonic type while the latter was still a malignant fever. The return of
the whole English garrison from Havre, with the seeds of sickness among
them, might well have introduced infection; but that return was not until
the end of July, by which time the mortality in London had been
progressing for two months. There is equally little reason for Stow’s
statement that the plague of 1603 was brought to London from Ostend, or
for the corresponding theory of origin for the plague of 1625. A foreign
source was not thought of unless the plague became one of the greater
degree. Year after year in London there were a few cases of plague, and
sometimes for a succession of years the plague-deaths kept steadily at a
level of from one thousand to three thousand. There are, indeed, few years
from 1348 to 1666 in which the infection did not declare its presence in
London. Whether the few threatening cases in the spring were to rise to a
plague of the greater degree depended upon a concurrence of
circumstances--upon the interval since the last great plague, upon the
number of strangers crowding to the capital, and upon the kind of weather
preceding. In 1665 the various determining things did chance to come
together, and a plague of the first degree ensued. The one singular thing
in the history is that such a concurrence never happened again, or that
the conditions had so far changed (certainly not for the better), that
the type of epidemic disease was no longer the bubo-plague.

According to precedent, a great plague was somewhat overdue in the year
1665. Its two great predecessors (not reckoning the smaller plague of
1636) had happened each at the beginning of a new reign--in 1603 on the
accession of James I., and in 1625 on the accession of Charles I. The
Restoration of 1660 was the time for the next great outburst; but that was
delayed for five years. Those five years were occupied with a good deal of
fever and other infective disease in London, and the fever in the
beginning of 1665 was, according to Sydenham, of a marked pestilential
type. It may be said to have led up to the plague; but the bubonic disease
itself needed something in addition to the determining causes of spotted
fever. It is generally admitted that London was unusually crowded with the
poorer classes whose work is required by the luxury of the rich (Defoe
says that an enumeration for the Lord Mayor had made out 100,000
ribbon-weavers in the eastern suburbs, although the number is incredible).
There was also a general relaxation of morals, which may have predisposed
many constitutions to receive the seeds of infection. Another element in
the case was the weather.

The summer before had been remarkable for the immense number of
house-flies, and of other insects and frogs. From November to the end of
March the earth was held in almost continual black frost. Boghurst says
the wind was westerly for seven months. No rain fell all the time except a
slight sprinkling in the end of April. The dry cold continued after the
frost broke, and produced, says Sydenham, an unusual number of cases of
pleurisy, pneumonia and angina. Richard Baxter says of the seasons
preceding the great plague, that they were “the driest winter, spring and
summer that ever man alive knew, or our forefathers ever heard of; so that
the grounds were burnt like the highways, the meadow ground where I lived
[Acton] having but four loads of hay which before bare forty[1203].” The
hay crop was “pitiful,” says Boghurst, in consequence of the long cold and
drought. But the summer was made pleasant by refreshing breezes, and
there was abundance of all kinds of grain, vegetables and fruit.

It was not until the beginning of June that the deaths from plague in all
London, according to the bills of mortality, reached the sum of 43 in the
week. But the mortality had been excessive from the beginning of the year,
and it was suspected, as in the like circumstances in 1625, that the
searchers had been concealing the existence of plague, or calling cases of
it by other names, so as to save the infected houses from being shut up.
The motive for bribery and concealment doubtless existed; it had been kept
in view by the authorities from the first institution of searchers, who
were solemnly sworn before the Dean of the Arches to make a true return of
the cause of death. In all the great plagues, less so in 1563 and 1603
than in other years, there was reason to suppose that a large proportion
of deaths put down to other causes than plague were really cases of
plague. However there is no doubt that, in the early months of 1665, just
as in the beginning of 1625, there was a great deal of spotted fever in
London, not to mention smallpox and dysentery. The season was a sickly
one, such a sickly season as often occurred in the latter part of the
seventeenth century and throughout the whole of the eighteenth, when there
could be no longer any question of plague. The weekly bills contain
numerous deaths in the several parishes from “fever” and from “spotted
fever” for months before they contain more than an occasional
plague-death. There was no reason why these and other maladies should not
have swelled the bills to three or four hundred in a week; in the year
1739, when London was probably not a third larger than in 1665, Strother
says that fever brought the weekly bill up to near a thousand. It is
remarkable, however, that Boghurst claims to have been treating cases of
plague from the month of November, 1664; Hodges also says that he was
called in the middle of the Christmas holidays to a young man in a fever
who acquired, two days after, a plague-botch in each groin as large as a
nutmeg, and recovered. Boghurst admits that “tokens,” by which he means
the marks of plague other than the botch or bubo, “appeared not much till
about the middle of June, and carbuncles not till the latter end of July.”
He suspects that the bills of mortality did not tell the whole truth;
and, as an instance of evasion, he says that there had been plague in St
Giles’s, St Martin’s, St Clement’s, and St Paul’s, Covent Garden, for
three or four years before (the bills of mortality give only 12, 9, and 5
deaths respectively for all London in the years 1662, 1663 and 1664), “as
I have been certainly informed by the people themselves that had it in
their houses in those parishes.”

But, in claiming an earlier beginning for the plague than the bills
recognize, and in setting aside the diagnosis of fever as insufficient,
Boghurst takes what is known, in the controversies upon the nature and
affinities of plague, as the “ontological” view: that is to say, he sees
in plague a fixed and uniform entity, and he sees the same in fever. The
other view is the developmental, which recognizes transitions from the one
type of pestilential disease into the other. The great writers of the
time, Willis, Sydenham, and Morton, were none of them “ontologists.” They
all taught the scale of malignity, which had simple continued fever at one
end, then a severer fever with spots and “parotids,” then a fever with
buboes, and at the farthest end of the scale the true plague, with its
buboes, carbuncles, and tokens. Nor is it denied by competent observers,
such as Boghurst himself, that an epidemic of plague declined as a whole
in malignity towards the end, so that the buboes suppurated, and three out
of four, or three out of five, patients recovered. If that were the case
in the descent of the curve, why should there not have been something
corresponding in the ascent? If certain cases of the prevailing fever in
the beginning of the year developed buboes which suppurated (as in the
case treated by Hodges at Christmas, 1664), should they be called plague
or fever? Willis would have answered in favour of fever, until such time,
at least, as the “epidemic constitution” of the season changed definitely
to plague[1204]; he does in effect answer so in the particular instance
of the Oxford fever of 1643, which in some cases was bubonic, whereas, in
1645, he makes no doubt that the disease prevailing in Oxford and
Wallingford was true plague.

The more general discussion of this theme will be found in the concluding
section of the chapter on the Black Death, where illustrations are given
of typhus fever turning to bubonic fever and to plague, from recent and
anomalous outbreaks of plague in Arab villages or encampments, in some
Indian villages, and elsewhere. The conclusion there come to was that the
type of plague, or the bubonic type, prevailed when the infection of the
filthy habitations began with change of season to rise from the soil,
whereas the form of sickness was typhus fever so long as the infection was
primarily in the atmosphere of the dwellings.

We may admit, then, that there was some ambiguity in the naming and
classifying of pestilential cases in the early months of 1665. If we
follow the bills--and there is nothing else to follow--the plague-deaths
in all the parishes of London for the seven weeks from April 18 to June 6
were respectively no more than 2, 0, 9, 3, 14, 17 and 43, the deaths from
“fever” and “spotted fever” being much more numerous.

Having thus far determined the date of beginning, we come next to the line
of advance of the plague of 1665. It was from the western and northern
suburbs towards the City, the eastern suburbs, and Southwark. Boghurst,
who practised in St Giles’s-in-the-Fields, says:

    “The plague fell first upon the highest ground, for our parish is the
    highest ground about London, and the best air, and was first infected.
    Highgate, Hampstead and Acton also all shared in it.” From the west
    end of the town, Boghurst continues, “it gradually insinuated and
    crept down Holborn and the Strand, and then into the City, and at last
    to the east end of the suburbs, so that it was half a year at the west
    end of the city [in his experience] before the east end and Stepney
    was infected, which was about the middle of July. Southwark, being the
    south suburb, was infected almost as soon as the west end.” But the
    same writer farther explains that “it fell upon several places of the
    city and suburbs like rain--at the first at St Giles’, St Martin’s,
    Chancery-lane, Southwark, Houndsditch, and some places within the
    City, as at Proctor’s-houses.”

The slow progress from west to east has been made much of by Defoe, who
used the bills of mortality to ascertain the rise of the infection in the
several districts. His conclusion is the same in the main as Boghurst’s
contemporary observation; only that he makes the infection of Southwark
later, and with reason so far as the bills show:--

    “It was now mid-July, and the plague which had chiefly raged at the
    other end of the town, and as I said before, in the parishes of St
    Giles’s, St Andrew’s, Holbourn, and towards Westminster, began now to
    come eastward towards the part where I lived. It was to be observed,
    indeed, that it did not come straight on toward us; for the City, that
    is to say within the walls, was indifferent healthy still; nor was it
    got then very much over the water into Southwark; for though there
    died that week 1268 of all distempers, whereof it might be supposed
    above 900 died of the plague [only 725 in the bill], yet there was but
    28 in the whole City within the walls, and but 19 in Southwark,
    Lambeth included; whereas in the parishes of St Giles’ and St Martin’s
    in the Fields alone, there died 421.... We perceived, I say, the
    distemper to draw our way; viz. by the parishes of Clerkenwell,
    Cripplegate, Shoreditch, and Bishopsgate; which last two parishes
    joining to Aldgate, Whitechapel and Stepney, the infection came at
    length to spread its utmost rage and violence in those parts, even
    when it abated at the western parishes where it began. It was very
    strange to observe that in this particular week, from the 4th to the
    13th July, when, as I have observed, there died near 400 of the plague
    in the two parishes of St Martin’s and St Giles’ in the Fields only,
    there died in the parish of Aldgate but four, in the parish of
    Whitechapel three, and in the parish of Stepney but one.” In the
    following week of July, with a total of 1761 deaths, whereof of the
    plague 1089, only 16 occurred on the Southwark side. Soon, however,
    Cripplegate had the infection at its hottest, and at the same time
    Clerkenwell, St Sepulchre’s parish, St Bride’s and Aldersgate. “While
    it was in all these parishes, the City and the parishes of the
    Southwark side of the water, and all Stepney, Whitechapel, Aldgate,
    Wapping and Ratcliff were very little touched; so that people went
    about their business unconcerned, carried on their trades, kept open
    their shops, and conversed freely with one another in all the City,
    the east and north-east suburbs, and in Southwark, almost as if the
    plague had not been among us.”

In another passage Defoe brings out the moral of its gradual advance. He
had shown

    “how it began at one end of the town, and proceeded gradually and
    slowly from one part to another; and like a dark cloud that passes
    over our heads, which as it thickens and overcasts the air at one
    end, clears up at the other end: so while the plague went on raging
    from west to east, as it went forwards east it abated in the west, by
    which means those parts of the town which were not seized, or who were
    left, and where it had spent its fury were, as it were, spared to help
    and assist the other; whereas had the distemper spread itself all over
    the City and suburbs at once, raging in all places alike, as it has
    done since in some places abroad, the whole body of the people must
    have been overwhelmed” etc.

That is how Defoe constructs a concrete picture from the dry statistics of
the weekly bills. He has defined the stages, and pointed the moral, with a
firmer hand than the reality would most likely have warranted. But no
scientific writer could have apprehended more correctly the general fact
of a gradual invasion from the west end of the town.

These striking facts of the gradual advance of the Great Plague of London
from west to east will be found to suit that theory of the plague-virus
which has been illustrated in various parts of this volume. The virus of
plague is a soil-poison, or the ground is its habitat; its quiescence or
activity depends upon whether or not the state of the soil favours the
fermentation of the special organic matters therein, which special organic
matters we here take to be the products of cadaveric decomposition. The
conclusion that the poison of plague lay in the soil, and that it rose
into the air in emanations or effluvia, was forced upon all those who
thought much about the matter from the medieval period onwards. Thus, the
apothecary Boghurst, says in his first chapter: “And therefore my opinion
falls in wholly with those who make the earth the seminary and seed-plot
of these venomous vapours and pestiferous effluvia, which vitiate and
corrupt the air, and consequently induce the pestilence.” And again: “The
plague is a most subtle, insinuating, venomous, deleterious exhalation,
arising from the maturation of the ferment of the forces (?) of the earth,
extracted into the air by the heat of the sun.” It is true that Boghurst,
like the sixteenth-century writers abroad, such as Ambroise Parè, locates
the venom in mysterious cavities and bowels of the earth, and dwells upon
the agency of earthquakes in setting it free. But he comes to more
ordinary causes in his enumeration of favouring things--“dunghills,
excrements, dead bodies lying unburied, putrefying churchyards too full,”
and again “breaking up tombs and graves where dead bodies have been long
buried.” As telling against the last, however, he adds: “When the
charnel-house at St Paul’s was demolished, there was a thousand cart-loads
of dead men’s bones carried away to Finsbury, yet no plague followed it.”

The activity of this soil-poison depends upon processes in the soil which
go on so slowly that the link of cause and effect is easily overlooked. In
the last resort, they are dependent on the rise and fall of the
ground-water. It was observed beyond all doubt as the law in Lower Egypt,
that the plague came forth annually after the Nile had begun to fall, and
that it reached its height in the months of March, April and May, when the
soil was driest, or the pores of the ground occupied solely by air after
having been full of water. It was observed, also, that the plague-area and
the inundation-area were co-extensive. Lower Egypt is, of course, somewhat
peculiar (Lower Bengal coming near to it) in these regular alternations of
air alone and water alone in the pores of the ground. But other countries
have the same sharp contrast occasionally, and London had the contrast
very decidedly in the years 1664 and 1665. The months from November 1664
to June 1665, some of which ought to have brought snow or rain to raise
the wells and springs to their highest periodic water-mark early in the
year, were quite remarkable for drought: Richard Baxter says that no one
remembered the like. The ground-water, instead of rising all through the
winter, must have fallen lower and lower as the spring and summer
advanced. The pores of the ground had been occupied with air to an unusual
depth of the subsoil, and the presence of air in these circumstances had
given occasion to that ferment-activity in the special organic matters of
an old-inhabited soil which produced the virus of plague. The stratum of
subsoil would become dry first in the more elevated parts; and as the
ground-water continued to fall, the air would reach in due course an
unwonted stratum in the lower situations. Defoe says that they came to
water at eighteen feet in digging the Whitechapel plague-pits. The same
seasonal march of a soil-infection from the higher ground to the lower
has been observed in modern times in other cities, and in other diseases
than plague. The drought for seven months from November to June would not,
of itself, have caused a great plague. But it was an essential member of
the co-operating group of things; and it probably determined of itself the
season when the great plague was once more to come and take away the
enormous increase of poor people.


Mortality and Incidents of the Great Plague.

The plague of 1665 was justly called the Great Plague, and is sometimes
spoken of as “the plague of London,” as if it were unique. But it was not
much more severe than those of 1603 and 1625 had been for the London of
their generation; and there had been many plagues when London was a small
capital, such as those of 1407, 1479, 1500, 1513 and 1563, which had cut
off as large a proportion (one-fifth to one-sixth) of the population. The
inhabitants in 1665 were not far short of half a million, nearly twice as
many as in 1603, and about a third more than in 1625. The increased
mortality in 1665 was somewhat more than proportionate to the increase of
inhabitants, as the following table shows:--

                                              Highest
  Year    Estimated     Total     Plague     mortality      Worst
          population    deaths    deaths     in a week      week

  1603     250,000      42,940    33,347       3385       25 Aug.-1 Sept.
  1625     320,000      63,001    41,313       5205       11-18 Aug.
  1665     460,000      97,306    68,596       8297       12-19 Sept.

Reckoned from the christenings and burials in the bills of Parish Clerks’
Hall, the population in 1605 would have been 224,275, and in 1622,
272,207. But in those years (and until after 1636) certain of the newer
parishes (known as the Seven Parishes), including Stepney and Westminster,
kept separate bills, of which some figures for 1603 and 1625 are given at
p. 477 and p. 511. The population of the Seven Parishes appears to have
been about one-ninth of the whole metropolis in 1603, and about
one-seventh in 1625, while Graunt, a contemporary, makes it one-fifth in
1662. These fractions have been added in the table, so as to make 1603
and 1625 comparable with 1665. In 1603 and 1625, the highest mortality in
a week does not show the deaths in those parishes (Westminster, Stepney
&c.) which did not send their returns to the general bill until 1636, but
their figures have been included in the totals for those years. It will be
seen that the plague of 1665 fully kept pace with the increase of
population. The old City within the walls had 15,207 deaths in the year
from all causes. It had become crowded since the beginning of Elizabeth’s
reign by its gardens and churchyards being built upon, and its mansions
turned into tenement-houses for a poorer class; and yet in 1563 the
mortality from plague and other causes in the City and its Liberties, with
a population hardly exceeding that of the City alone in 1665, was 20,372.
The enormous total of 1665 was largely made up from the populous suburbs
of Cripplegate, Whitechapel, Stepney, St Martin’s in the Fields, St
Giles’s in the Fields, Southwark and Westminster, which would have
contributed but little to the total down to the middle third of the
sixteenth century.

The following tables will show the progress of the epidemic from week to
week, the weekly deaths from all causes and from plague, and the incidence
upon the several parts of London. The so-called ordinary deaths are much
in excess of the average, and must have included many that were really
cases of plague. Part of the excess, however, was due to the great
prevalence of fever and spotted fever, which made a heavy mortality in the
early months before the plague began. Bowel complaint also is credited
with a good many deaths. The other more important items in the bills are
consumption and infantile troubles. Boghurst, however, says: “Almost all
other diseases turned into the plague. For five or six months together
there was hardly any other disease seen but the plague and a few
casualties, whatever the Bills say; and Thucydides says the same of the
plague at Athens.” As to the total of deaths in the year from all causes
(97,306), Hodges thinks that it does not show the whole mortality. The
largest number of burials in one week is 8297; but he thinks that 12,000
were buried in that week, and that 4000 were buried in one day and night.
But there seems to be no reason to set aside the tally of the sextons to
that extent; the returns were made weekly from one hundred and forty
parishes, and might easily have been exact to within a few in each.

_Bill of Mortality of the Plague-year 1665 in London._

   Week
  ending    Christened   Buried     Plague

  Dec. 27      229        291         1
  Jan.  3      239        349         0
       10      235        394         0
       17      223        415         0
       24      237        474         0
       31      216        409         0
  Feb.  7      221        393         0
       14      224        462         1
       21      232        393         0
       28      233        396         0
  Mar.  7      236        441         0
       14      236        433         0
       21      221        363         0
       28      238        353         0
  Apr.  4      242        344         0
       11      245        382         0
       18      287        344         0
       25      229        398         2
  May   2      237        388         0
        9      211        347         9
       16      227        353         3
       23      231        385        14
       30      229        400        17
  June  6      234        405        43
       13      206        558       112
       20      204        615       168
       27      199        684       267
  July  4      207       1006       470
       11      197       1268       725
       18      194       1761      1089
       25      193       2785      1843
  Aug.  1      215       3014      2010
        8      178       4030      2817
       15      166       5319      3880
       22      171       5568      4237
       29      169       7496      6102
  Sept. 5      167       8252      6988
       12      168       7690      6544
       19      176       8297      7165
       26      146       6460      5533
  Oct.  3      142       5720      4929
       10      141       5068      4327
       17      147       3219      2665
       24      104       1806      1421
       31      104       1388      1031
  Nov.  7       95       1787      1414
       14      113       1359      1050
       21      108        905       652
       28      112        544       333
  Dec.  5      123        428       210
       12      133        442       243
       19      147        525       281
             -----     ------    ------
             9,967     97,306    68,596

_Incidence on Parishes of the Plague in 1665._

_Ninety-seven Parishes within the Walls._

                     All deaths     Plague deaths
  97 City parishes     15,207          9,877

(The parishes with heaviest mortalities were St Anne’s, Blackfriars;
Christ Church, Newgate; St Stephen’s, Coleman St; St Martin’s, Vintry;
Allhallows Barking, the Great, and in-the-Wall; St Andrew’s, Wardrobe).

_Sixteen Parishes without the Walls and in the Liberties._

  St Giles’s, Cripplegate      8069    4838
  St Botolph’s, Aldgate        4926    4051
  St Olave’s, Southwark        4793    2785
  St Sepulchre’s               4509    2746
  St Saviour’s, Southwark      4235    3446
  St Andrew’s, Holborn         3958    3103
  St Botolph’s, Bishopsgate    3464    2500
  St Bride’s, Fleet Street     2111    1427
  St George’s, Southwark       1613    1260
  St Botolph’s, Aldersgate      997     755
  St Dunstan’s in the West      958     665
  St Bartholomew the Great      493     344
  St Thomas’s, Southwark        475     371
  Bridewell Precinct            230     179
  St Bartholomew the Less       193     139
  Trinity, Minories             168     123

  Pesthouse          159

_Twelve Out-parishes in Middlesex and Surrey._

  Stepney                    8598   6583
  Whitechapel                4766   3855
  St Giles’s in the Fields   4457   3216
  St Leonard’s, Shoreditch   2669    949
  St Magdalen’s, Bermondsey  1943   1362
  St James’s, Clerkenwell    1863   1377
  St Mary’s, Newington       1272   1004
  St Katharine’s, Tower       956    601
  Lambeth                     798    537
  Islington                   696    593
  Rotherhithe                 304    210
  Hackney                     232    132

_Five Parishes in the City and Liberties of Westminster._

  St Martin’s in the Fields   4804  2883
  St Margaret’s               4710  3742
  St Clement’s Danes          1969  1319
  St Paul’s, Covent Garden     408   281
  St Mary’s, Savoy             303   198

  Pesthouse         156

The Great Plague brought back all the familiar incidents of 1603 and 1625,
and revealed no new feature. As before, all that could afford to do so
made their escape at the outset. Sydenham, who fled with the rest, says
that two-thirds of the population left; which may be true of the City
proper, but certainly not of the populous Liberties and suburbs on both
sides of the water, as Defoe points out. The poorer classes were left
stranded, and bore the brunt of the calamity, as they had always done.
Flight was, doubtless, the best step to take, the motive being to get
“into clean air,” as cardinal Wolsey expressed it in 1515. Those that were
left behind knew that they were in bad air, and knew that it mattered
little whether they came into contact with the sick or not[1205]. Their
employments and wages mostly ceased as the plague extended from suburb to
suburb and to the City, so that with starvation on the one side and plague
on the other, they held their lives cheaply and bore themselves with an
unconcern which was strange to the rich. Their desperate case explains, as
Defoe correctly saw, the ease with which the mayor could always get men to
undertake for pay the disagreeable and risky work of day and night
watchmen to the multitude of shut-up houses, of bearers of the dead, of
buriers, of nurses, and distributors of the public charity. As soon as any
fell in these humble ranks, others were willing to take their place; so
that at no period of the epidemic was there any break-down in the work of
expeditious burial or any failure in good order and decency. To carry the
poor through the great crisis much money was needed; Defoe says that it
was forthcoming from all parts of England and he estimates the
distribution of relief at thousands of pounds weekly, although he failed
to find the exact accounts, which, he thinks, had been destroyed in the
fire of 1666. A thousand pounds a week, he says, was given from the king’s
purse. The whole of this great system of relief was under the direction of
the Lord Mayor, Sir John Lawrence, who proved himself worthy of the best
traditions of his office. In the out-parishes there were Justices of the
Peace who discharged the like duties.

The regular clergy for the most part left the town, but two are honourably
mentioned as having stayed with the plague-stricken people, Dr Anthony
Walker, of St Mary Aldermanbury, and Mr Meriton[1206].

Sometime in August Lord Arlington wrote to the bishop of London that the
king was informed of many ministers and lecturers being absent from their
posts during this time of contagion, and that nonconformists had thrust
themselves into their pulpits to preach seditions and doctrines contrary
to the Church. His majesty wishes the bishop to prevent such mischiefs to
Church and State[1207]. The bishop replied, from Fulham, 19 August, that
the sober clergy remain, that he had refused some that offered to supply
vacancies, suspecting them to be of the factious party, though they
promised to conform, that most of his officers had deserted him and gone
into the country, but he could not learn that any nonconformists had
invaded the pulpit[1208]. The bishop, however, was not likely to hear much
within his garden walls at Fulham of what was passing at Aldgate. There
can be no question that Church pulpits were occupied during the plague by
ministers who had been ejected in 1662. Chief among them was Thomas
Vincent, formerly minister of St Magdalen’s, Milk Street, who preached in
St Botolph’s, Aldgate, Great St Helen’s, and Allhallows Staining[1209].
Vincent says that it was the opportunity of irregular practitioners both
in the Church and in medicine, and he is disposed to say a good word for
the latter from a fellow feeling with them. Besides Vincent, says Richard
Baxter[1210], there were “some strangers that came thither since they were
silenced, as Mr Chester, Mr Janeway, Mr Turner, Mr Grimes, Mr Franklin,
and some others.” These all became prominent in London Nonconformity; and
Baxter clearly traces their subsequent power to the opportunity that the
plague gave them:

    “But one great benefit the plague brought to the city, that is, it
    occasioned the silenced ministers more openly and laboriously to
    preach the Gospel to the exceeding comfort and profit of the people;
    in so much that to this day [1670] the freedom of preaching which this
    occasioned, cannot, by the daily guards of soldiers, nor by the
    imprisonments of multitudes be restrained. The ministers that were
    silenced for Nonconformity had ever since 1662 done their work
    privately.”

Baxter knew of none among the Nonconformist ministers remaining in London
who fell victims to the plague, except “Mr Grunman, a German, a very
humble, holy, able minister, but being a silenced Nonconformist, was so
poor that he was not able to remove his family.” Two others of the sect,
who fled, lost their lives--“Mr Cross, flying from the plague into the
country died with his wife and some children as soon as he came thither,
in the house of that learned worthy man, Mr Shaw, another silenced
minister,” and Mr Roberts, “a godly Welsh minister, who also flying from
the plague, fell sick as far off as between Shrewsbury and Oswestry and
died in a little straw, but none durst entertain him.” Baxter himself
found refuge in the house of the Hampdens, in Bucks[1211], leaving his
family, as he says, in the midst of plague at Acton. Defoe draws from the
incident of the Nonconformists in Church pulpits a somewhat sentimental
moral; he sees nothing aggressive in it, but merely the levelling of
differences by affliction, and a short-lived prospect of reconciliation.

The irregular practitioners of physic would appear to have been in great
force, just as in former plagues, when their bills were on every post.
Defoe professes to give specimens of their advertisements, which he might
have adapted from actual advertisements in the news-sheets, the
‘Intelligencer’ and the ‘Newes.’ The empirics were of both sexes, and of
foreign extraction as well as native.

Among the regular physicians who practised for a time, at least, in the
plague were the famous Professor Glisson, Dr Nathan Paget (an intimate
friend of Milton and cousin of Elizabeth Minshull whom the poet, in 1664,
had married for his third wife), Dr Wharton, of St Thomas’s Hospital, a
distinguished anatomist, Dr Berwick or Barwick, Dr Brooke, Dr Hodges, and
Dr Conyers. The last was one of two of his order who died of the plague.
Two Paracelsist or chemical physicians, Dr Dey and Dr Starkey, died of it:
and Dr George Thomson says that he survived three several attacks of the
buboes, the first sore lasting for four months. A considerable number of
chirurgeons and apothecaries are said (by Defoe) to have fallen victims.
Pepys says that at the first meeting of Gresham College (the Royal
Society) since the plague, held on January 22, 1666, Dr Goddard “did fill
us with talk in defence of his and his fellow physicians’ going out of
town in the plague-time,” his plea being that their particular patients
were out of town, and they left at liberty. But that excuse ignores the
fact that the time was a great emergency, and puts the defence upon the
wrong ground.

Goddard had attended Cromwell in the Irish and Scottish campaigns as
physician to the army. For a short time he had been a member of the
Council of State, and for several years was master of a College at Oxford.
He was Gresham professor of physic, and one of the original council of the
Royal Society. This eminent man of science was the inventor and proprietor
of “Goddard’s drop,” the secret of which he sold to Charles II. for a
large sum, said to have been £6000. Dr Martin Lister says that the king
showed him the receipt, and that the drops were nothing more than the
volatile spirit of raw silk rectified with oil of cinnamon, and no better
than ordinary spirit of hartshorn. Another writer says that the drops
contained also skull of a person hanged and dried viper. According to
Sydenham, Goddard’s drops were preferable to other volatile spirits for
the particular purpose, namely, the recovery of people from faintings of
various kinds. Even if Dr Goddard had remained in town, he would have been
a trafficker in nostrums as much as the empirics; nor is it probable, from
all that we know, that he could have brought epidemiological principles to
bear upon the management of the epidemic among the poor. The best teaching
of the time counselled that which he himself practised, namely, flight.

Defoe says that the Lord Mayor (Sir John Lawrence), the Sheriffs (Sir
George Waterman and Sir Charles Doe), the Court of Aldermen and certain of
the Common Council, or their deputies, came to a resolution and published
it, viz.:

    “That they would not quit the City themselves, but that they would be
    always at hand for the preserving of good order in every place, and
    for the doing justice on all occasions; as also for the distributing
    the public charity to the poor; and, in a word, for the doing the duty
    and discharging the trust reposed in them by the citizens to the
    utmost of their power.”

The minutes are extant of numerous meetings of the Mayor and Council,
with the orders made (on May 11, June 17, 19, and 27, July 12, and at
short intervals thereafter)[1212]. Two of the Aldermen died of plague.

It appears to be admitted by all, that good order was kept, the dead
buried expeditiously, day and night watchmen provided for an immense
number of infected houses (until, as Vincent says, the infected houses
became so many that there was no use shutting them up), bearers of the
dead and grave-diggers engaged to fill the places of those who died, and
applications heard for relief. One of the things that justly excited the
admiration of Defoe was the abundant supply of all the markets, and the
almost unvarying weight of the penny wheaten loaf, which is given every
week at the foot of the bill of mortality. The Parish Clerks brought out
their bill regularly, although Hodges says that the sextons failed at
length to keep an accurate account of the number of corpses. All the dead
were buried at first in coffins and with full ceremony; but when the
infection became hottest in August and September, especially in the
crowded East-end and in Southwark, the bodies are said to have been
brought to the pits in cartloads and thrown in, sometimes without even a
covering[1213]. That is alleged by the writers on the plagues of 1603 and
1625, and the same must have happened to some extent in 1665, but whether
to the extent that Defoe’s graphic account implies may be doubted.

The burials took place over night until, as Vincent says, “now the nights
are too short to bury the dead.” This was a reversal of the order, first
issued in 1547 and probably carried out in the plague of 1603, that no
burial was to take place between six in the evening and six in the
morning. Even at the worst time, coffins would seem to have been got for
most. Vincent says, “Now we could hardly go forth but we should meet many
coffins,” and he mentions one woman whom he met with a little coffin under
her arm. Evelyn enters in his diary on September 7, the worst week of the
epidemic: “I went all along the City and suburbs from Kent Street to St
James’s, a dismal passage and dangerous, to see so many coffins exposed in
the streets now thin of people.” Defoe’s weird description of the Aldgate
plague-pit at midnight, with seven or eight lanterns set on the heaps of
earth round the edge, and of the constant journeys to and fro of the
dead-carts, has probably made the most of the realities of the case.

A letter of Pepys to Lady Carteret, written from Woolwich on September 4,
gives us a glimpse of the state of the City:

    “I having stayed in the city till about 7400 died in one week, and of
    them above 6000 of the plague, and little noise heard day nor night
    but tolling of bells; till I could walk Lumber-Street and not meet
    twenty persons from one end to the other, and not fifty upon the
    Exchange; till whole families, 10 and 12 together, have been swept
    away; till my very physician, Dr Burnet, who undertook to secure me
    against any infection, having survived the month of his own being shut
    up, died himself of the plague; till the nights, though much
    lengthened, are grown too short to conceal the burials of those that
    died the day before, people being thereby constrained to borrow
    daylight for that service.” The butcheries are everywhere visited, his
    brewer is shut up, and his baker dead with his whole family.

On September 20, he writes in his diary:

    “But Lord! what a sad time it is to all: no boats upon the river, and
    grass grows all up and down Whitehall Court, and nobody but poor
    wretches in the streets.”

Some three weeks later (October 11) Evelyn writes in his diary: “Went
through the whole city, having occasion to alight out of the coach in
several places about business of money, when I was environed with
multitudes of poor pestiferous creatures begging alms. The shops
universally shut up.” Vincent says that he would meet “many with sores and
limping in the streets,” (from the suppurating buboes in the groins).
Again:

    “It would be endless to speak what we have seen and heard of:--some in
    their frenzy rising out of their beds and leaping about their rooms;
    others crying and roaring at their windows; some coming forth almost
    naked into the streets”

--the delirium being sometimes of the gentle or foolish kind, and
sometimes violent. These incidents are much enlarged upon by Defoe, who
makes out the cries and groans (mentioned by Dekker and others for the
earlier plagues) to have been from the pain of the hard and tense buboes.
Boghurst says that the treatment by actual cautery and other escharotics
caused more pain than the buboes.

As a set-off to the more horrible picture given by Defoe of the inmates of
a house all dying together, their bodies being found by the watchmen and
taken away in the dead-cart, we may turn to Vincent’s plain account of
what happened in the house where he lodged, probably in the neighbourhood
of Aldgate or Bishopsgate, when he came up from Islington to minister to
the sick.

    “We were eight in the family--three men, three youths, an old woman
    and a maid; all which came to me, hearing of my stay in town, some to
    accompany me, others to help me [he was a celebrity in the religious
    world with a large following]. It was the latter end of September
    before any of us were touched.... But at last we were visited.... At
    first our maid was smitten; it began with a shivering and trembling in
    her flesh, and quickly seized on her spirits.... I came home and the
    maid was on her death-bed; and another crying out for help, being left
    alone in a sweating fainting-fit. It was on Monday when the maid was
    smitten; on Thursday she died full of tokens. On Friday one of the
    youths had a swelling in his groin, and on the Lord’s day died with
    the marks of the distemper upon him. On the same day another youth did
    sicken, and on the Wednesday following he died. On the Thursday night
    his master fell sick of the disease, and within a day or two was full
    of spots, but strangely recovered.... The rest were preserved.”

The two boys appear to have been conscious to the end, and to have died in
the placid mood that often came on in the last hours of plague, as in
other prostrating infections such as yellow fever and cholera. In those
two weeks at the end of September and beginning of October the burials in
all London were 6460 (of plague 5533) and 5720 (of plague 4929).

The chief preventive measure which the mayor had to give effect to was the
shutting-up of infected houses. Defoe says that he carried out that odious
policy considerately. The policy was a traditional one, and may or may
not have had its origin in medical prescription. It was practised, as we
have seen in a former chapter, early in the reign of Henry VIII., if not
even before that. The doctrine underlying it was the contagiousness of
plague, which was much more a doctrine of the faculty than of the people,
and was most of all a doctrine of the Court. Originally the dogma of
contagiousness, in all its rigour, had been made for the persons of the
Tudor monarchs, and as late as 1665 it was in the atmosphere of the Court
that the contagion of plague was invested with the most powerful
properties. The common people of London gave no heed to it, because they
saw every hour that it was a matter of indifference; the middle classes
held it in a qualified way, knowing that there was less to fear from
plague-bodies than from plague-infected ground; but kings took the
comprehensive view of it, allowing no exceptions or scientific
reservations, and the Court doctors, such as Mead in the 18th century, at
length succeeded in making the high doctrine of plague-contagion to pass
current. Two instances are known from extant petitions, of its rigorous
application upon Court servants in 1665: one in the case of a trumpeter of
the king, and the other in the case of the barber to the household. In the
latter case, apparently when the Court was at Salisbury in the autumn, a
stranger supposed to be visited with the sickness ran into the barber’s
tent in his absence; whereon the tent and all his goods and instruments of
livelihood were burnt, he himself confined, and his servants sent away,
according to the orders for the preservation of the Court, “so that he
lost his trade and was utterly ruined[1214].”

The more discriminating of the profession knew and taught that the seeds
of plague could lurk in a bundle of clothes, or of bedding, or in other
effects, or in bales of goods, and that they became the more virulent
through the fermentation that goes on in these circumstances. The
contagion was understood to be _per fomitem_ and _per distans_; on the
other hand, experience was rather against a contagion from the exhalations
of the sick: the immunity of nurses was as striking as it has been in many
other contagions. The people were instinctively right in their belief
that they mostly caught the plague because the infection was in the air of
the place; so long as they were living on a plague-stricken spot, they
were exposed to the risk; and if there were any difference in safety
between dwelling-houses, and the streets, markets or shops, the preference
seemed to lie with the former. The traditional or official doctrine,
however, was that the plague-stricken were the sources of contagion, that
all who had come near them were suspect, and that the safety of the well
depended upon the rigorous shutting-up of the sick and the suspected
together. The experience of epidemic after epidemic might have shown that
this theoretical reasoning, so attractive to the “thorough” order of mind,
was worthless in practice. A great plague pursued its course until the
infected houses became too many for shutting up; if many plague-years did
not develop epidemics of the first degree, that was in accordance with
some epidemiological law, and not because the preventive measures were one
year effective and another year ineffective. However, a traditional
doctrine will always survive a good deal of adverse experience; and the
shutting-up of houses, which had signally failed in 1563, 1593, 1603, 1625
and 1636, was resorted to once more in 1665, and perhaps with more rigour
than ever so as to give it a fair chance. Defoe has stated with great
fairness the hardships of it, and he follows Hodges and Boghurst in
pronouncing it a mistake and a failure. Most of the horrible incidents of
the plague came from the shutting-up of houses; those which Defoe
introduces in that connexion do not exceed probability. It is hard to say
whether the condemnation of shutting-up, which found wide currency during
and immediately after the plague of 1665, would have at length made any
difference to the traditional doctrine and practice. The occasion did not
arise again in London except for a few months in 1666, when the old
practice seems to have been enforced. The corresponding doctrine and
practice that arose in its place, was quarantine against foreign
importation; that rested firstly upon the sophistical assertion of the
all-powerful Mead, that plague had been an exotic to England, and secondly
upon the doctrine of plague-contagion in its most comprehensive and least
discriminating form. But the quarantine law dates really from the Queen
Anne period, and the curious history of its rise, progress, and overthrow
belongs to another part of this work.

The other general preventive measure besides the shutting-up of “visited”
houses was the burning of fires in the streets, which was also a tradition
from Tudor times. The mayor loyally carried out that also; until in the
beginning of autumn a concurrence of things made an end of the practice.
These adverse influences were first, the heavy showers of rain, which put
the fires out; secondly, the differences in medical opinion whether
coal-fires or wood-fires were the better, and whether fires were to be
recommended at all; and thirdly the popular perception that the fires made
no difference to the progress of the epidemic.

In the way of individual protection and treatment, the College of
Physicians issued a tract full of directions and prescriptions, which
Boghurst says were all old, being taken from De Vigo († 1520). It is not
necessarily against methods of practice that they are old; but one cannot
fail to observe how closely the medieval teaching about plague, cause and
cure together, was followed to the last in England: for two centuries the
writers on plague reproduced the chapters and paragraphs almost without
change that we find in the treatise of the bishop of Aarhus, which
circulated in manuscript in England in the 15th century and was first
printed about 1480. The most popular preventive was something “to smell
to,” not sweet but _aigre_. Hence the use of civet-boxes, pouncet-boxes,
and pomanders, which were made to suit all purses. There were also
plague-waters, one of which, “the plague-water of Matthias,” figures among
the prescriptions of the College of Physicians both in a cheap and in an
expensive form. The College’s prescription “to break the tumour” is as
follows:

    “Take a great onion, hollow it, put into it a fig, rue cut small, and
    a dram of Venice treacle; put it close stopt in a wet paper, and roast
    it in the embers; apply it hot unto the tumour; lay three or four, one
    after another; let one lie three hours.”

The Paracelsist or chemical physician, Thomson, gives a prescription which
brings out the mystical tendencies of that otherwise meritorious sect. It
relates to a method of curing plague by means of a toad.

    “The great difficulty to bring this animal to a true Zenexton lies in
    an exquisite preparation of it, the manner whereof that great
    investigator of verity, Van Helmont, hath thus delivered, as he
    received instructions from Butler, an Irishman who (to Helmont’s
    knowledge) had cured some thousands of the pest in London. He gave
    directions that a large Bufo, taken in the afternoon in the month of
    June, should be hung up by the legs, nigh the fire, over a vessel of
    yellow wax” etc.

Tobacco, smoked or chewed, came into great vogue in 1665 as a preservative
from the plague. Hearne, the antiquary, says:

    “I have been told that in the last great plague at London [1665] none
    that kept tobacconists shops had the plague. It is certain that
    smoaking it was looked upon as a most excellent preservative; in so
    much that even children were obliged to smoak. And I remember that I
    heard formerly Tom Rogers, who was yeoman beadle, say that when he was
    that year, when the plague raged, a schoolboy at Eaton, all the boys
    of that school were obliged to smoak in the school every morning, and
    that he was never whipped so much in his life as he was one morning
    for not smoaking[1215].”

The best medical details of the Great Plague come from Boghurst, who
claims that the observations were all his own.

    With regard to its incidence he says: “About the beginning most men
    got it with fuddling, surfeiting, over heating themselves, and
    disorderly living.” Again: “Those that married in the heat of the
    disease (if they had not had the disease before) almost all fell into
    it in a week or a fortnight after it, both in the city and in the
    country, of which most died, especially the men.” One of Dekker’s
    stories of the year 1603 is an illustration of the same thing. “It
    usually went through a whole kindred, though living in several places;
    which was the cause it swept away many whole families.... In some
    houses ten out of twelve died, and sixteen out of twenty.” Melancholy
    for the loss of friends predisposed to it, while cheerfulness and
    courage fortified some against it. Old people that had many sores upon
    them, especially carbuncles, almost all died. The natural
    constitution, disposition, or complexion “did much to make or mar the
    disease.” People with hollow eyes commonly died. Those who drank
    brandy and strong waters grew mad, looked about them wildly, and died
    quickly in two days. “All that I saw that were let blood, if they had
    been sick two, three, four or five days or more, died the same day.”
    Teeming women fared miserably; they were not more subject than others:
    but scarce one in forty lived (this is enlarged upon by Defoe). Many
    people had the spotted fever and the plague both together, and many
    the French pox and the plague both together, and yet both sorts
    commonly lived (someone says that men caught the French pox of
    purpose[1216]). All sorts died, but more of the good than the bad,
    more men than women, more of dull complexion than fair. “Of all the
    common hackney prostitutes of Luteners-lane, Dog-yard, Cross-lane,
    Baldwin-gardens, Hatton-garden and other places, the common criers of
    oranges, oysters, fruits etc., all the impudent drunken drabbing
    bayles and fellows, and many others of the _rouge route_, there is but
    few missing--verifying the testimony of Diemerbroeck that the plague
    left the rotten bodies and took the sound[1217].” It fell not very
    thick upon old people till about the middle or slake of the disease,
    and most in the decrease and declining of the disease. Cats, dogs,
    cattle, poultry, etc., were free from infection.

    Some died in twelve or twenty days, but most in five or six. In summer
    about one-half that were sick, died; but towards winter, three of four
    lived. None died suddenly as stricken by lightning: “I saw none die
    under twenty or twenty-four hours.” After one rising, or bubo, was
    broke and run, commonly another and another would rise in several
    parts of the body, so that many had the disease upon them half a year;
    some risings would not break under half a year, being so deep in the
    flesh.

This explains Dekker’s statement in 1603 that some had buboes repeatedly,
and that one person had eighteen sores. Dr Thomson himself had buboes
thrice. Hodges, also, knew of many cases fatal at the third seizure, the
later attacks being not relapses but new infections; some even fell at the
fifth or sixth time, being before well recovered. In one of the earlier
London plagues, that of 1563, Jones saw a case of a woman near Temple Bar
that ended fatally at the third attack, the buboes having suppurated
twice, but not at the third time. Boghurst goes on:

    Of evil omen was “a white, soft, sudden, puffed up tumour on the neck
    behind the ears, in the armpit, or in the flank;” also a “large
    extended hard tumour under the chin, swelling downwards upon the
    throat and fetching a great compass” (the brawny swelling of the
    submaxillary salivary glands and surrounding tissues). Tokens came out
    after a violent sweat, which was often induced of purpose by nurses,
    who said, ‘Cochineal is a fine thing to bring out the tokens.’ Nurses
    often killed their patients by giving them cold drinks. Many also were
    killed by the shutting-up of houses, by wickedness (of nurses ?), by
    confident and ignorant mountebanks, by over-hasty cutting and burning
    of buboes. Servants and poor people removed to the pest-house or to
    other houses in their sickness, took harm therefrom. People using
    corrosives, actual cauteries and many intolerable applications put
    their patients to more pain than the disease did.

    The botches, or buboes (swollen lymph-glands in the neck, armpits or
    groins), were the most distinctive sign of the plague, having given to
    it the old name of “the botch.” Besides these, there were the “tokens”
    (specially limited in meaning to livid spots on the skin), carbuncles
    and blains. Carbuncles, says Boghurst, commonly rose upon the most
    substantial, gross, firm flesh, as the thighs, legs, backside,
    buttock; they never occurred, that he saw, on the head among the hair,
    or on the belly. They were not seen until the end of July, were most
    rife in September and October, commonly in old people, never in
    children.

Hodges saw one carbuncle on the thigh, the size of two handbreadths, with
a large blister on it, “which being opened by the chirurgeon and
scarification made where the mortification did begin, the patient expired
under the operation.” But most commonly carbuncles did not exceed the
breadth of three or four fingers. Boghurst continues:

    “Blains are a kind of diminutive carbuncle, but are not so hard,
    black, and fiery; sometimes there is a little core in them. Generally
    they are no bigger than a two penny piece, or a groat at the biggest,
    with a bladder full of liquor on the top of them, which, if you open
    but a little, will come out whitish or of a lemon or straw colour.”
    “Besides a blain there is a thing you may call a blister, puffing up
    the skin, long like one’s finger in figure, like a blister raised with
    cantharides; and such usually die.” The following experience is
    remarkable, but it is doubtful whether Boghurst has not taken it from
    Diemerbroek: “Towards the latter end of a plague, many people that
    stayed, and others that returned, have little angry pustules and
    blains rising upon them, especially upon the hands, without being sick
    at all. But such never die, nor infect others; and I remember
    Diemerbroeck saith, etc.” Can this be the meaning of “smallpox”
    following the plague, as in the 16th century books by Alphanus,
    Kellwaye and others?

The tokens proper, according to Hodges, were spots on the skin “proceeding
from extravasated blood.” The body of the youth dissected by Thomson was
“beset with spots, black and blue,” some of which when opened “contained
a coagulated matter.” The tokens, as the name implies, were made the most
distinctive sign of the plague; but they were far from being so constant
as the botches or buboes. Boghurst says that “tokens appeared not much
until about the middle of June;” and, according to a letter of September
14, they must have been very variable even at the height of the plague:
“The practitioners in physic stand amazed to meet with so many various
symptoms which they find among their patients; one week the general
distempers are blotches and boils, the next week as clear-skinned as may
be, but death spares neither; one week full of spots and tokens, and
perhaps the succeeding bill none at all[1218].”

The account of the dissection by Thomson, of a youth dead of the plague,
is perhaps all the morbid anatomy that has come down to us. He found what
appear to have been infarcts in the lungs; the surface was “stigmatised
with several large ill-favoured marks, much tumified and distended,” from
which, on section, there issued “sanious, dreggy corruption and a pale
ichor destitute of any blood.” The stomach contained a black, tenacious
matter, like ink. The spleen gave out on section an ichorish matter. The
liver was pallid and the kidneys exsanguine. There were “obscure large
marks” on the inner surface of the intestines and stomach. The peritoneal
cavity contained a “virulent ichor or thin liquor, yellowish, or
greenish.” There was a decoloured clot in the right ventricle, but “not
one spoonful of that ruddy liquor properly called blood could be obtained
in this pestilential body.” In all other cadavers that he ever dissected
he had found that the right ventricle had blackish blood condensed, but
this one had a pale clot “like a lamb-stone cut in twain,” which puzzled
him greatly; perhaps it came, he conjectures, from a sumption of mere
crude milk which an indiscreet nurse had given the boy not long before he
died.

Among the symptoms of a fatal issue, Boghurst mentions the following:
Hiccough, continual vomiting, sudden looseness, or two or three stools in
succession, shortness of breath, stopping of urine, great inward burning
and outward cold, continual great thirst, faltering in the voice, speaking
in the throat and occasionally sighing, with a slight pulling-in one side
of the mouth when they speak, sleeping with the eyes half-open, trembling
of the lips and hands and shaking of the head, staggering in going about
rooms, unwillingness to speak, hoarseness preventing speech, cramp in the
legs, stiffness of one side of the neck, contraction of the jaws, the
vomit running out from the side of the mouth, prolonged bleeding at the
nose, the sores decreasing and turning black on a sudden.

It is to be remarked that Boghurst says very little of the gentle or the
violent delirium, on which Defoe enlarges picturesquely; nor does he
emphasize the extreme pain of the hard and tense buboes, which is another
of Defoe’s themes. Hodges, however, says that “some of the infected run
about staggering like drunken men, and fall and expire in the streets;
while others lie half-dead and comatous.... Some lie vomiting as if they
had drunk poison.”

The progress of the epidemic would seem to have been little influenced by
the weather or by what was done, unless the shutting-up of houses had
helped to intensify the virus. Boghurst says: “If very hot weather
followed a shower of rain, the disease increased much;” and again: “If, in
the heat of the disease the wind blew very sharp and cold, people died
very quickly, many lying sick but one day.” We are told, however, by
Hodges that “the whole summer was refreshed with moderate breezes,” and
that “the heat was too mild to encourage corruption and fermentation.” The
air itself, he says, “remained uninfected.” Rain fell from time to time in
the end of summer, copious enough to put out the fires in the streets.
There was at least one very hot day, near the beginning of the epidemic,
the 5th of June, which Pepys says was “the hottest day that I ever felt in
my life.” On September 20, however, he says that the increase of the
plague could not have been expected “from the coldness of the late
season.”

The plague lingered in London throughout the year 1666, causing 1998
deaths in all. In January 1666 it was still at as high a figure as 158
deaths in a week, and in the week ending September 18 it rose again to the
exceptional height of 104 deaths. In the first three weeks of December,
the deaths were 2, 4, and 3; and from that low level the plague never rose
again in London. A few annual deaths continued to appear in the bills down
to 1679, when they finally disappeared.


Plague near London in 1665.

Meanwhile various parts of England were affected with plague during and
after the great epidemic, and in one or two instances a little before it.
In the immediate neighbourhood of the capital all the towns and villages
usually implicated by the exodus from the City had cases of plague, as the
following table shows. It has been compiled from the parish registers, as
extracted in Lysons’ _Environs of London_, Defoe’s widely discrepant
figures being given for comparison in the third column.

                     All              Defoe’s
                    causes    Plague   list.
  Barking            230                200
  Barnes              27
  Barnet and Hadley                      43
  Battersea          113
  Beckenham           18
  Brentford          103                432
  Brentwood                              70
  Bromley             27         7
  Camberwell         133
  Charlton             7         3
  Chertsey                               18
  Chiselhurst         21
  Clapham             28
  Croydon            141        61
  Deptford           548       374      623
  Ealing             286       244
  Edmonton                               19
  Eltham              44        32       85
  Enfield            176                 32
  Epping                                 26
  Finchley            38
  Greenwich          416                231
  Hampstead          214
  Heston              48        13
  Hodsdon                                30
  Hertford                               90
  Hornsey             53        43       85
  Islewort           195       149
  Kensington          62        25
  Kingston                              122
  Lewisham            56
  Mortlake           197       170
  Newington, Stoke                       17
  Norwood             12         2
  Putney                        74
  Romford             90                109
  St Albans                             121
  Stratford-Bow      139
  Staines                                82
  Tottenham       no entries             42
  Twickenham                    21
  Uxbridge                              117
  Waltham Abbey                          23
  Walthamstow         68
  Wandsworth                   245
  Ware                                  160
  Watford                                45
  Windsor                               103
  Woodford            33

The most striking fact that comes out is that most of the parishes around
London had actually fewer deaths from plague in 1665 than in 1603. The
exceptions to this rule in 1665 are the villages on or near the Thames
above London-Battersea, Wandsworth, Putney, Mortlake, Brentford,
Isleworth, and Ealing, which had all a very high mortality, Barnes being
almost exempt. On the lower reaches of the Thames, Barking on the Essex
shore, and Deptford, Greenwich and Lewisham on the other side, had the
infection in them very severely; but these three places in Kent had a
still more severe visitation in 1666, along with other towns in that
county.

On September 9, Evelyn wrote from his Deptford house, Sayes Court, that
“near thirty houses are visited in this miserable village.” The infection
got also among the ships of the navy; on August 29, on board the ‘Loyal
Subject’ at Deal, Captain Fortescue and six men died suddenly, it was
feared of the plague.


Plague in the Provinces in 1665-6.

The earliest accounts of plague in the provinces come from Yarmouth in
November, 1664. On the 18th it is said to have been brought in a vessel
from Rotterdam; three died in one house, of whom one had the plague. On
November 30, the plague was spreading, if the searchers (drunken women,
however) were to be credited. On February 8, 1665, there was another death
from plague, and as the summer wore on the mortality increased rapidly. On
June 16, thirty had died in the week, the inhabitants had fled, the town
was like a country village, and the poor left behind were lamenting at
once the lack of work and of charity. On August 21, the king wrote from
Salisbury to the bailiffs of Yarmouth concerning the plague. In the weeks
ending August 30 and September 6, there were 117 deaths (96 from plague)
and 110 deaths (100 from plague), and as late as November 6, there had
been 22 plague-deaths in the week. In March, 1666, the epidemic came to an
end[1219]. Smaller outbreaks occurred in the autumn of 1665 and spring of
1666 at Lynn, Norwich, Ipswich and Harwich. The great epidemic at
Colchester began in summer, 1665, but fell mostly in 1666, at a time when
there was little plague elsewhere, so that it practically closes the
history of plague in England, and will come naturally at the end of the
chapter.

Most of the provincial outbreaks in 1665 were of small extent, and were
probably due to introduction of the virus from London. The valley of the
Tyne, which had often experienced severe plagues, had a slight epidemic,
said to have originated from the colliers returned from the Thames. On
July 18, there were seven houses shut up at Sunderland, one at Wearmouth
and one at Durham[1220]. A paragraph in the ‘Newes,’ from Durham, October
13, says that the sickness in the north is now much assuaged. Newcastle
remained almost free (although Defoe says different), two houses being
shut up on January 30, 1666, and two at Gateshead. The whole north-west
and west of England, which had suffered most during the last
plague-period, in the Civil Wars, appears to have escaped altogether.

In the south, there was a good deal of the infection at Southampton in the
summer and autumn of 1665; on July 6, “the poor will not suffer the rich
to quit the town and leave them to starve[1221].” It is heard of, also, at
Poole and Sherborne in Dorset (in November), at Salisbury, where the Court
lay for some weeks, and at Battle[1222] in Sussex; but in none of these
places to any great extent. Various places in Kent had cases in
1665--Rochester, Chatham, Sandwich, Eastry, Westwell, Deal, Dover and
Canterbury[1223]; but it was only the naval stations that had more than a
few cases in 1665; while all of them had it far worse in 1666. Other
centres in 1665 were in Northamptonshire and Cambridgeshire.

At Peterborough, Oundle and Newport Pagnell, there was a visitation of the
severer kind, with flight of the richer inhabitants, and the usual arrest
of work and trade. The parish register of Yardley, Hastings, records that
60 persons died of plague in that town from June 5, 1665, to January 3,
1666. There was also a sharp epidemic in Cambridge and in the country
around, of which we get a glimpse in a letter of October 19, 1665, written
from Clare Hall to one of the fellows of Clare[1224]:

    “Alderman Mynell the brewer and one of his children died of the plague
    this last Monday; he hath had four children in all dead of it.
    Clayton, the barber in Petty Cury, and one of his children, died last
    Saturday of the sickness. It is newly broken out sadly by Christ’s
    (though they have all fled from the Colledge upon Mr Bunchly, their
    manciple, dying of the plague)--where Nicholson the smith, his wife
    and two children are dead within three days, his other children being
    deadly sick in the house. But it most rageth in St Clement’s parish,
    where seldom a day passeth without one dead of the sickness.... Poor
    Mr Brown, the old man that is one of the University musicians, and Mr
    Saunders that sings the deep bass, are shut up in Mr Saunders’ house
    in Green Street, whose child died last week suspected. Two houses at
    Barton are infected by two of Alderman Mynell’s children, that are
    dead there. Ditton is broke out just by the butcher, from whom we had
    our meat, which made us hastily remove to Grantchester. H. Glenton,
    the carrier, fled from this town to Shelford, where he died within two
    or three days, suspected.... Royston is sadly in two or three places,
    the last of which is just in the middle of the town. The infection,
    they say, was brought thither by a Cambridge man, whom they caught,
    and shut him up; but he hath since made his escape.”


The Epidemic of Plague at Eyam, 1665-6.

Another of the English towns visited by plague in 1665 was Derby; whether
the cases were many or few, they caused great alarm, the town being
forsaken, the streets grass-grown, and the market set up on a new stance,
to which the farmers and traders came primed with a plug of tobacco in
their mouths as a preservative. But the epidemic in Derby itself was
totally eclipsed in interest by an extraordinary outbreak of plague in the
small village of Eyam, at the opposite end of the county, in the North
Peak, some twelve miles to the west of Sheffield. The plague of Eyam is,
indeed, the most famous of all English plagues; the story of it has been
told many times in prose and verse, its traditional incidents being well
suited to minor poets and moral writers, and the whole action of the
drama conveniently centered within a circuit of half a mile in a cup of
the heathy hills[1225].

Eyam was a village of some three hundred and fifty inhabitants, standing
among meadows around which the hills towered. It had no resident doctor,
but it had two ministers. The one was the rector, the Rev. William
Mompesson, a young man of twenty-seven, with a wife and two children, who
had been settled in Eyam only a year and did not like it; the other was
the former rector, the Rev. Thomas Stanley, who had been ejected for
nonconformity in 1662, and had remained to carry on his ministrations as a
Dissenter among such of his old flock as adhered to him. The wealthier
householders resided at the western and higher end of the village, on the
other side of a brook which crossed under the road; as we shall see, they
escaped the infection almost if not altogether. The annual village wake
had been held in August, 1665, with more than the usual concourse of
people from villages near. On the 2nd or 3rd September a box arrived from
London to the village tailor, who lived in a small house at the western
end of the churchyard; it contained old clothes which someone in London is
supposed to have bought for him cheap, and some tailors’ patterns of
cloth. This box is assumed to have been opened by one George Vicars, a
servant, who was certainly the first victim of plague. He found the
contents to be damp and hung them up at the fire to dry. He was quickly
seized with violent sickness, became delirious, developed buboes in his
neck and groin, a plague-token on his breast the third day, and died in a
wretched state on September 6. His body, which is said to have become soon
putrid, was buried in the churchyard on the 7th. Nearly a fortnight passed
before another case occurred, that of a youth supposed to have been the
tailor’s son, who was buried on the 22nd September. Before the 30th four
more had died, and in the course of October twenty-two more were buried
of the plague. The deaths in November declined to seven, and in December
they were nine. There was now snow on the ground, with hard frost, and at
the beginning of January, 1666, the plague was confined to two houses.
Four died in January, eight in February, six in March, nine in April, and
only three in May. On June 2, another burial occurred, and then there was
another pause. But in a week or more the epidemic broke out with renewed
power, three having been buried on the 12th of June, three on the 15th,
one on the 16th, three on the 17th, and so on until the total for June
reached nineteen. The wealthier villagers at the west end had taken the
alarm before and had mostly fled in the spring; those who stayed kept
within their houses or at least did not cross the stream. Now that the
infection was revived in the hot weather of June, the rector’s wife also
proposed flight, but on her husband’s refusal, she resolved to remain with
him, and to send her two children to a relative in Yorkshire. At the same
time the villagers in general were instinctively moved to escape from the
tainted spot; but Mompesson used his authority to prevent them, and a
boundary line was drawn round the village, about half a mile in circuit
and marked by various familiar objects, beyond which no one was to go.
Mompesson’s motive appears to have been to prevent the spread of the
infection to the country around, and his parishioners submitted passively.
After the end of June the villagers would have found it difficult to
escape, owing to the terror which the very name of their village caused in
all the country round. Some of them quitted their cottages and took up
their abode in shelters built along the side of a rocky glen within the
cordon. The earl of Devonshire, then at Chatsworth, promised Mompesson
that the village should not be left without supplies; and people from the
villages near brought their market produce to certain stated points on the
boundary, where the Eyam people came to fetch it, the money paid being
dropped into water. Thus shut up in their narrow valley, the villagers
perished helplessly like a stricken flock of sheep. By the end of June
ceremonial burials came to an end, the church and the churchyard were
closed, the dead were carried out wrapped in sheets by one of the
villagers noted for his herculean strength, and laid in shallow graves in
the meadows or on the hill-sides. In July the deaths mounted up to five or
six on some days, and the total for the month to fifty-seven. In August
the dead numbered seventy-eight, among them the rector’s wife on the 25th,
after a walk with her husband through the meadows, during which she is
said to have made the ominous remark that the air smelled sweet[1226].
September added twenty-four to the total, and there were now only about
forty-five left alive in the place. Of these, fifteen died to the 11th
October, when the mortality ceased. Some of the survivors had passed
through an attack of the plague, among them the rector’s man, whose buboes
suppurated. Mompesson himself, who had an issue open in his leg all the
time, escaped the infection, as well as his maid-servant. A young woman of
Eyam, married in the village of Corbor, two miles off, came one day to see
her mother, whom she found sick of the plague; on her return home she took
the sickness and died, but no one else in Corbor had it. A man was also at
large in the neighbourhood suspected of plague, to whom the earl of
Devonshire sent a doctor. The doctor and patient met by appointment on the
opposite banks of a stream, and the diagnosis made across the water
acquitted the man of plague; even in these unconventional circumstances
the consultation did not end without a prescription (still extant) for a
bottle of “stuff.” Seventy-six households in Eyam were infected, and out
of these two hundred and fifty-nine persons were buried of the plague.
During the time that the infection lasted eight more died from other
causes. When the sickness had ceased Mompesson set about burning the
infected articles in the empty cottages. Three years after, in 1669, he
was presented to the better living of Eakring, in Notts; but on arriving
to enter on his duties he was refused admission by the villagers, and had
to take up his residence in a temporary hut in Rufford Park, until such
time as the prejudices of his new parishioners had been overcome. He
married another wife, and for thirty-nine years held the living of
Eakring, where he died on March 7, 1708. Stanley, his Dissenting colleague
at Eyam, died there a few years after the plague.

Several things combined to magnify the disaster at Eyam. The story of the
box of clothes from London is entirely credible, and can be matched by
many other instances in the history of plague and of cholera[1227].
Nothing intensifies the virus of such diseases so much as fermentation
without air in the textures of clothes or linen; a whiff from the opened
box or bundle suffices soon to prostrate the person who breathes it. The
poison at Eyam was a powerful one from the first, and it is credible that
the body of the earliest victim did become quickly putrid. The heavy
mortality, with few recoveries, which followed after a fortnight’s
interval, and continued all through the winter, also shows a virus raised
to no ordinary potency. But, for the revival of the infection in June,
1666, we must seek other causes. Eyam was one of those basins which, on a
large scale or on a small, have often been observed to keep infection in
their soil. The virus must have passed into the pores of the ground after
the first sixty or more burials in the churchyard down to the lull of the
epidemic in winter; with the rise of the ground-water in spring, it would
be comparatively inactive; but in June, when the water was again sinking
in the soil and the great heat was raising emanations from the dry ground,
it broke forth with an intensity which poisoned the whole air of the
valley. The burials, after the end of June, without coffins and in shallow
graves in the meadows or on the hill-side, were so much ferment added to a
soil already permeated by it. Flight from such a place was the only
safety, and the rector, with the best motives, counselled the people to
remain. Mompesson’s conduct has always been held up as a pattern of
heroism, as if the circumstances had been desperate like those of the
Trojans when the Greeks were in their streets and houses:

  Una salus victis nullam sperare salutem.

No word of detraction should be spoken of anyone who does manfully what he
conceives to be his duty to his neighbours; but the villagers of Eyam were
sacrificed, all the same, to an idea, and to an idea which we may now say
was not scientifically sound. When the impulse came upon them to flee,
they might have left their tainted soil without much risk to the country
around so long as they did not collect in one spot or carry with them
bedding or the like susceptible articles: those who did flee from the
houses at the upper end of the village are not known to have carried the
infection to other places, and the young woman who brought it to Corbor
gave it to no one else. But the wisdom of flight may be regarded by some
as still disputable; while it will be admitted by all that Mompesson acted
for the best according to his lights.

The plague in 1666 raged severely in a number of towns, while it lingered
on in London. The information from Winchester is vague; it is said that
the dead were carried out in carts and buried on the downs to the
eastward[1228]; the epidemic was over by the 1st of December, so that the
College resumed[1229]. Pepys enters in his Diary (April 4, 1667): “One at
the table [the duke of Albemarle’s] told an odd passage in the late
plague, that at Petersfield (I think he said), one side of the street had
every house almost infected through the town, and the other not one shut
up.” There may have been other such centres of plague, and equally
interesting observations made on them; but it appears to be the merest
chance whether anything is recorded of them at all, or whether one has the
luck to come across the record.

The great centres of plague in 1666 had some connexion with the fleet, and
were mostly in Kent and Essex. Deptford and Greenwich had more plague that
year than the year before, the total deaths at the former having been 715
(of plague 522) and at the latter 423. Eltham and Lewisham were also
visited in proportion. The other intense centre of infection in Kent was
Deal. On the 26th August, seven died of the plague, and twenty in the
whole week. At that date there were said to be only 16 houses which had
not had plague in them. On December 9, all the houses were clear, although
the crews of ships still avoided the town. Next to Deal, Sandwich, Dover,
Canterbury and Maidstone had considerable outbreaks in the autumn. At
Portsmouth also there was a sharp outbreak in the summer of 1666,
twenty-one having died of plague in a week at the beginning of July.

In the Eastern Counties, plague revived to a considerable extent in 1666
at Norwich, Ipswich, Harwich and Woodbridge, the Yarmouth outbreak, which
had been the great one in that quarter the year before, having come to an
end in the spring. But it was at Colchester that the epidemic engrossed
attention in 1666. Colchester had, indeed, two successive seasons of
plague, or rather a continuous prevalence of it from the summer of 1665 to
December, 1666. The plague at Colchester in 1665-66 was the greatest of
all provincial plagues since the Black Death, unless, indeed, we credit
the numbers (11,000 or 12,000) given for a plague at York in 1390. It
reproduced the mortality of the Great Plague of London on a scale more
than proportionate to its size, and it doubtless called forth the same
class of incidents--flight of the wealthier classes, and almost total
extermination of the poor. No documents remain, however, of this plague
except the oaths administered to searchers and bearers of the dead
(printed below) and the weekly totals of deaths from plague and from other
causes[1230]. The weekly bills are, indeed, as eloquent a testimony as
any detailed description could have been; and as they are the most
complete of the kind for a provincial town, I have transcribed them from
the manuscript record in full. The small number of deaths from ordinary
causes points to the emptiness of the better quarters of the town; the
total deaths in seventeen months, 5345, including 4817 plague-deaths and
528 from other causes, must have meant an enormous clearance of the poorer
classes. Colchester was then a place of considerable wealth, with a
thriving Dutch trade and a considerable Dutch colony. Perhaps the
connexion with Holland, where plague had been rife in the years just
before, may explain the origin of the outbreak; but local conditions of
soil, overcrowding, and the like must be looked to for the cause of its
extraordinary persistence and fatality.

_Weekly mortalities in Colchester, August 14, 1665, to December 14, 1666,
from plague and other diseases._

1665

   Week          Plague     Other
  ending

  Aug. 21          26         2
       28          62         2
  Sept. 8         122         4
       15         153        22
       22         159        25
       29         100        25
  Oct.  6         161        27
       13         122        23
       20         106        15
       27          60        41
  Nov.  3         104        13
       10          88        22
       17          88        18
       24          62         8
  Dec.  1          38        10
        8          39         6
       15          67         4
       22          53         7
       29          21         3

1666

  Jan.  5          23         6
       12          46         8
       19          36        13
       26          26        10
  Feb.  2          34         9
        9          25         3
       16          23         7
       23          33         6
  Mar.  2          53         2
        9          26        11
       16          37         5
       23          48         4
       30          66         1
  Apr.  6          73         2
       13          90         2
       20          68         4
       27          90         4
  May   4         169         8
       11         167         7
       18         150        11
       25          98        12
  June  1          89        10
        8         110        10
       15         139         3
       22         195         6
       29         176         4
  July  6         167         8
       13         160         9
       20         175         3
       27         109         4
  Aug.  3         109         2
       10          85         4
       17          70         1
       24          51         1
       31          53         4
  Sept. 7          31         6
       14          22         2
       21          16         2
       28          10         2
  Oct.  5           7         2
       12           7         0
       19           7         2
       26           4         2
  Nov.  2           4         2
        9           4         2
       16           2         6
       23           1         4
       30           1         8
  Dec.  7           1         7
       14           0         0
                 ----       ---
                 4817       528

To relieve the poverty caused by this great disaster a tax was levied on
various other parts of the county of Essex, and contributions were made by
private individuals, the London churches collecting £1311. 10_s._ in the
breathing-time between the plague and the fire. Colchester had so far
recovered in the end of 1666 as to be able to contribute in turn about a
hundred pounds for the relief of London after the fire[1231].


The Last of Plague in England.

The history of plague in England must be made to end with a solitary
epidemic at Nottingham in 1667, but not without some misgivings as to the
correctness of the date. Dr Deering, the historian of the town in 1751,
paid little heed to epidemics, although medicine was his business; but he
mentions one of smallpox in 1736, which had probably come within his own
experience, and proceeds:

    “I question much whether there has been the like since the plague
    which visited the town in 1667, and made a cruel desolation in the
    higher part of Nottingham, for very few died in the lower; especially
    in a street called Narrow Marsh, it was observed that the infection
    had no power, and that during the whole time the plague raged, not one
    who lived in that street died of it, which induced many of the richer
    sort of people to crowd thither and hire lodgings at any price; the
    preservation of the people was attributed to the effluvia of the
    tanners’ ouze (for there were then 47 tanners’ yards in that place),
    besides which they caused a smoak to be made by burning moist tanners’
    knobs[1232].”

If there had been any reference to the parish registers or to the
corporation minutes, we should have had no reason to doubt that this
epidemic had been correctly assigned to 1667. The last Winchester epidemic
had been given under the year 1668, first by one local historian, and then
by another who copied him; but when a third went to the manuscript
records, he found that the year was 1666, as indeed an incidental
reference to the re-opening of Winchester School on 1st December, 1666,
“the sickness being in all appearance extinguished,” might have warranted
one in concluding. It is a singular experience to have brought the history
of plague down through several centuries, not without particulars of times
and numbers, and to be obliged to end it in the latter half of the 17th
century with an unauthenticated date. The Nottingham epidemic may have
been an exception to the generality that all England was finally delivered
from the plague in 1666; it is due, at least, to the local historian, in
the absence of evidence against, to record his date of 1667. The
difficulty of confirming so simple a fact at so late a period may dispose
the readers of this work to be tolerant of any lack of certainty and
precision that they may discover in its history of more remote times.




INDEX.


  Aarhus, bishop of, his book on plague, 209,
    his identity, 210 _note_

  Abbotsley, scene in church, 39

  Aberdeen, leper-spital, 99,
    plague at, 361, 362,
    long free from plague, 370,
    plague at, in 1647, 564,
    syphilis arrives at, 417, 419, 361

  Aelred, his story of queen Matilda and the lepers, 82-3

  =Agriculture=, state of in Domesday, 22,
    neglect of under heavy taxation by Wm, Rufus, 30,
    effects of Black Death on, 191-2,
    thriving in the 15th cent., 222,
    gives place to sheep-farming in Tudor period, 387-392

  =Agues=, original meaning of 409;
    pestilential ague, 214,
    “hot ague”, 291, 400, 401, 404, 406,
    Irish ague, 410;
    Jones on, 410,
    specialists for, 411, 426,
    ambiguous meaning of, 505, 536, 540

  Allington, Richard, case of smallpox, 459

  Amwell, Great, plague, 493

  André, Bernard, on sweat of 1508, 244,
    on French pox, 420

  =Anglo-Saxon Leechdoms=, 24, 452

  Annan, story of a plague at, 11

  Appleby, plague, 360

  Arabia, burials in, 165,
    plague, 166,
    origin of smallpox in 441

  =Armada, Spanish=, sickness in, 350, 591

  =Arsenic=, plague-cakes, 487

  Ashburton, plague, 524

  Ashwell, inscription at, 139, 217

  Assir, plague, 166

  =Assizes, Black=, at Cambridge, 375,
    at Oxford, 376,
    at Exeter, 383

  Astruc, on origin of syphilis, 430

  Aubrey, Dr, on sickness in slave-ships, 627-8

  Avignon, Black Death at, 133,
    _pestis secunda_, 203

  Axholme, the sweat at, 252

  Ayr, plague, 503


  Baber, Consul, plague in Yun-nan, 168

  Bacon, Francis, “remedy” of the sweat, 242,
    gaol-fever, 382,
    sweet odours in plague, 685 _note_

  Bamford, James, plague of 1603 in St Olave’s parish, 478,
    on contagion of plague, 490

  Banbury, plague, 303 _note_, 501,
    war-fever and plague, 556-7

  Banister, John, on syphilis, 427,
    his plague-medicines, 516

  =Bankside stews=, 420

  Barbados, occupied by English, 619,
    yellow fever in, 620, 630-633

  Barcelona, syphilis at, 434

  Barking, plague in monastery, 6,
    plague, 492, 520, 680

  =Bartholomew fair=, in plague-time, 300, 481

  =Bartholomew’s, St, Hospital=, filled with cases of pox, 424

  Basingstoke, hospital at, 95

  Batavia, epidemic in 1625, 608

  Baxter, Richard, on the weather before the Great Plague, 653,
    on Dissenters in the plague-time, 655

  Becon, on rural depopulation, 391

  Beda, on pestilence in, 664-685, 5-7

  =Beggars=, pretending leprosy, 103,
    beadle of, 104,
    after Black Death, 183,
    statutes for, 392

  Bellay, Du, letters on the sweat, 250-252

  Belper, plague, 500

  Benghazi, plague and typhus in Arab tents, 170

  =Beri-beri=, supposed in 1593, 593

  Beverley, the sweat at, 252

  Birch, Dr T., errors of, on Oxford Black Assizes, 381 _note_,
    collects letters of the Stuart period, 504 _note_

  =Black Death, the=, chroniclers of in England, 114,
    arrival and progress, 116-118,
    in Ireland, 119,
    in Scotland, 119, 233,
    symptoms of, 120,
    mortality from, 123-139,
    direct effects of, 139, 180,
    antecedents of, 142-156, 173-4,
    favouring conditions for diffusion of, 175.
    Its effects on Edward III.’s wars, 178,
      on removal of men and treasure, 180,
      on price of labour, 181,
      on capitalists, 186,
      on morals, 186-190,
      on area of cultivation, 191,
      on system of farming, 192,
      on trade and industry, 193,
      on town industries, 197,
      on village manufactures, 198,
      on governing class in towns, 199,
      on population, 199.
    Infection of, remains in England, 204, 233

  Bodmin, Black Death at, 116, 125

  Boghurst, W., spotted fever in Somerset, 543,
    his MS. on the Great Plague, 647 _et seq._

  Boleyn, Anne, in the sweat of 1528, 251, 252, 255

  Borde, Andrew, 286

  Borgia, Alexander, pope, 416 _note_

  Boston, plague at, 349

  Bosworth, battle of, 265

  =Botch=, =boche= or =boiche=, early name of plague, 206, 208, 362

  Bradwardine, archbp, dies of Black Death, 129

  Bradwell, Stephen, his plague-book, 516

  Brant, Sebastian, on origin of French pox, 431

  Brasbridge, on plague in dog’s skin, 316

  Brewer, T., his poem on plague of 1625, 512, 517

  Bridewell made a hospital, 394, 395

  Bridgetown, yellow fever at in 1647, 620, 630-33

  Bridport, Black Death at, 116,
    plague at in 1626, 524

  Brimington, plague, 498

  Bristol, leper-house, 98,
    Black Death, 116, 121, 123,
    effects of ditto on trade at, 182 _note_,
    plague in 1535, 300,
    in 1575, 340,
    in 1645, 557

  Bucklersbury, drug-shops in, 484

  Bugden, deaths from sweat at, 261

  Bullein, on plague of 1563, 306,
    on London graveyards, 334,
    on the French pox, 422

  Burdwan, number of lepers in, 107

  =Burial=, interdict of, 11;
    neglect of, 12, 13 _note_,
    in Chinese famines, 154,
    in Islam, 163.
    Christian burial in Egypt, 159.
    Chinese mode of, 161.
    In Arabia, 165,
    in Kumaon 167,
    neglect of in Yun-nan, 168,
    at Merdje, 171;
    by the friars, 332,
    in St Paul’s churchyard, 334,
    without coffins, 335,
    Latimer on intramural, 336,
    relation to plague, 336,
    in the great London plagues, 126, 337, 482, 515, 668-9,
    hours of in plague-time 303, 482

  Burton Lazars, 89

  Bury St Edmunds, burials at in 1257, 44,
    hospitals, 92, 96,
    plague in 1578, 347

  Butts, Dr, in the sweat of 1528, 254


  Caffa, Black Death at siege of, 144, 147

  Caius, Dr, on the sweat of 1551, 259, 261, 263,
    edits Galen, 439

  Calais, sweat at 248, 253, 255,
    plague in 1509, 288,
    “new sickness” in 1558, 403,
    plague brought to, 546

  =Calendar=, the English and the Continental, 256 _note_

  =Calenture=, 387, 610

  Cambridge, epidemic of “frenzy” at, 62,
    effects of Black Death, 196,
    prophecy of pestilence, 229,
    sweat of 1517, 248,
    of 1528, 252,
    of 1551, 262,
    plague, 285, 289, 338, 340, 347, 497, 527, 682,
    gaol fever, 375,
    agues, 505

  Canterbury, death of monks in 870, 9,
    leper-hospitals, 87, 91,
    style of living in 14th cent., 50,
    Black Death at, 132,
    causes of death of monks, 226,
    plague in 1544, 303,
      in 1564, 309,
      in 1593, 357,
      in 1603-4, 498,
      in 1614-15, 501,
      in 1625, 524,
      in 1636, 528,
      in 1665, 681,
      in 1666, 688

  Cape de Verde islands (St Jago), infection taken from, 586, 589

  Carlisle, plague, 359, 562

  Carshalton, mortality in 1626, 520

  Cartier, Jacques, scurvy in his expedition, 581

  Castle Combe, records of its manor court, 135, 136, 139,
    priests poaching, 189,
    village industries, 198,
    nuisances removed, 198 _note_, 328

  Catharine of Arragon, arrives in England in plague-time, 288,
    anxious for Henry VIII. on account of plague in 1518, 290

  =Cats= in plague-time, 316

  Cavendish, Thomas, sickness in his voyages, 592-3

  =Cemeteries=, see BURIAL

  Champneys, Sir John, mayor, procures plague-bill in 1535, 298

  =Chancery=, inquisition on a leper, 105,
    business of after Black Death, 188

  Charles VIII., his invasion of Italy, 430, 433, 435,
    his sickness at Asti, 436-7

  =Charnel-house= of St Paul’s, 334, 659

  Charterhouse, inscription of burials in Black Death, 127,
    death of monks in 1528, 252

  Chatham, leper-hospital, 95,
    plague in 1665, 681

  Chauliac, Guy de, symptoms of _pestis secunda_, 203,
    on Gaddesden’s _Rosa Anglica_, 446

  Chester, the sweat, 245, 249,
    plague, 304, 339, 498, 500, 501, 564,
    smallpox, 465 _note_,
    fever in villages near, 567

  Chesterfield, plague, 349, 500

  Chesterton depopulated, 199 _note_

  China, Black Death said to have come from, 143, 145-147,
    overland trade to Europe, 148-9,
    no record of Black Death in, 149;
    great series of floods, famines, &c., 150-152,
      followed by a period of plagues, 153;
    unburied dead after famines and floods, 154,
      Odoric’s valley of corpses, 155,
      careful mode of burial in, 161.
    Plague in modern times, 168-9

  =Churchyards=, see BURIAL

  Clapham, Henoch, 490

  =Clarendon, Council of=, 374

  Clot, Dr, Bey, on plague in Egypt, 160

  Clowes, William, on the pox in London, 423-5,
    on quacks, 426,
    his translation of _variola_, 459

  Clun, plague, 545

  Clyn, Friar, the Black Death in Ireland, 115, 119,
    symptoms of ditto, 121

  Cogan, Th., on prophesied return of the sweat, 264,
    on fever at Oxford Assizes, 378,
    on lasks, 412

  Colchester, wills proved after Black Death, 186,
    plague, 348, 498, 525,
    plague in 1665-6, 688,
    directions to bearers and watchers at, 688 _note_

  Comines, Philip de, commons of England untouched by Wars of Roses, 38,
        224, 387,
    on Charles VIII.’s sickness, 435

  Congleton, plague, 498, 545

  Constantinus Africanus applies “variola” to smallpox, 453

  Cork, leper-hospitals, 100,
    alleged sweating sickness, 252,
    plague, 371, 502

  Cornard Parva, Black Death in, 137

  Coventry, leper-hospital at, 92,
    growth of after the Black Death, 194, 195,
    plague, 501, 526 _note_

  Crail, plague, 370

  Cranborne, plague, 499

  Cranbrooke, plague, 348

  Crimea, outbreak of Black Death in, 142, 144

  Cromwell, O., his death from fever, 574,
    colonizes Jamaica, 634, 639

  Cromwell, T., orders bill of mortality, 297-8

  =Cross, the blue=, or =red=, 306, 313, 314, 514

  Croxton, abbey, Black Death in, 131,
    ditto in the manor, 138

  Croydon, plague, 492, 520, 679

  Croyland abbey, sudden mortality in, 9,
    the sweat in, 239, 266

  Cumanus, Marcellus, the French pox at siege of Novara, 431

  Cumberland, plague in 1420, 221,
    state of in the Civil Wars, 562


  Dalry, “grantgore” at, 418

  =Danes=, camp sickness among, 13

  Darlington, plague, 359, 557

  Dartmouth, plague, 351, 524

  Davison, F., ‘Poetical Rapsodie’, 463

  Deal, plague in 1666, 688

  Defoe, sources of his _Journal of the Plague-Year_, 649,
    illustrations of the Great Plague from, 657 _et seq._

  Dekker, T., on London at accession of James I., 471, 480,
    on plague of 1603, 481-4,
    theatres closed in plague-time, 494

  Deptford, plague in 1666, 680, 687

  Derby, plague at, 309, 349, 357, 559,
    plague in 1665, 682

  Derry, the, plague at in 1566-7, 372

  =Dogs= in plague-time, 314, 316, 515;
    alleged death of in the Leeds plague, 558,
    at Batavia from licking pestilent blood, 608

  =Domesday Survey=, size of towns in, 23,
    state of agriculture inferred from, 22

  Doncaster, plague in 1536, 301

  Donne, Rev. Dr, his dread of smallpox, 463,
    on flight of citizens in 1625, 519

  Doughty, C., on burials in Arabia, 165

  Drake, Sir Bernard, at the Exeter Black Assizes, 384, 385

  Drake, Sir Francis, sickness in his voyage round the world, 585,
    great epidemic in his fleet in 1585-6, 585-589,
    his death from flux, 591

  Drogheda, monastery of, Black Death in, 119, 132

  Dublin, leper-hospitals, 100,
    Black Death in, 119, 131, 132,
    plague in 1520, 371,
    in 1575, 372,
    in 1650, 566

  Dumfries, plague, 235, 369

  Dunbar, W., “spanyie pockis”, 418

  Dundee, plague, 234, 368, 503

  Duns, plague, 369

  Durham, a medieval siege of, 28,
    leper-hospital near, 94, 113,
    plague, 350, 359, 499, 501, 681,
    famine, 358

  Dysart, plague, 366, 368

  =Dysentery=, or flux, summary of epidemics, 411-13,
    in 1624, 505,
    in voyages, 589, 591, 600, 602, 603,
    in Virginia, 611,
    in slave-ships, 628,
    among black troops, 629,
    in St Domingo and Jamaica, 635-640


  East Indies, Portuguese voyages to, 584,
    English voyages to, 599-609

  =East India Company=, provides against scurvy, 602-3

  Edenhall, plague, 360

  Edinburgh, leper-hospital, 99,
    _pestilentia volatilis_, 234,
    plague, 235, 303, 362, 365-6, 367, 368, 369, 370, 502, 503, 504, 563,
    French pox, 417,
    mortality of children in 1600, 370 _note_

  Edward the Confessor and the leper, 81

  Edward III., his activity after the Black Death, 178-9

  Edward IV., his illness from “pockys” in 1463, 455

  Edward VI., on the sweat of 1551, 260

  Egypt, theory of plague in, 156, 659,
    sanitary wisdom of ancient, 158,
    embalming in, 159, 160-1,
    compared with China, 161-2

  Elizabeth, Queen, at Windsor in the plague of 1563, 317,
    rebukes the uncleanly state of Ipswich, 327,
    attempts to stamp out plague in London, 330-331,
    her proclamation in 1580 on growth of London, 346,
    her trains at Norwich in 1578 carry plague, 348,
    her hardness to the sick seamen in the Armada-year, 350,
    her precaution against smallpox in 1591, 461

  Elizabeth of York, in 1502, pays for cure of John Pertriche, 419

  Elphege, St, stops pestilence in 1011, 13

  Ely, bishop of, alienates Stourbridge leper-hospital, 93

  Ely monastery, Black Death in, 132

  Elyot, Sir Thomas, lay writer on medicine, 402,
    mentions smallpox, 457

  =Emigrants=, mortality of English to Virginia, 610,
    to New England &c., 612-13,
    to Barbados, 619,
    of French to St Christopher, 618,
    to Guadeloupe, 621

  Ensham, manor of, after Black Death, 139, 141

  Erasmus, still ill from “sweat” in 1511, 245, 399,
    ref. to influenza (?) in 1518, 249,
    ref. to plague in letters, 288-9,
    on English houses, 328,
    on the French pox, 420-21

  =Ergotism=, causes and signs of, 53-55,
    two forms, 55,
    cases of in England, 57,
    possible instances of, 59-63,
    reasons of English immunity from, 64, 68

  Essex, Lord General, typhus in his army, 548-9,
    occupies Tiverton, 552-3

  Ethredge, Dr G., the sweat of 1551 at Oxford, 260, 380,
    the gaol-fever at Oxford, 381

  Eton, plague, 348, 520,
    boys compelled to smoke in plague-time, 674

  Evesham, monastery, fugitives at after wasting of Yorkshire, 27 _note_,
    drives out its leprous prior, 101

  Evesham, town, plague and bad scavenging, 501

  Exeter, the scavengers of, 327,
    plague, 288,
    famine and plague, 300,
    plague, 498, 523,
    Black Assizes, 383-6

  Eyam, plague at in 1665-6, 682-7

  Eydon, plague, 498


  Fabyan, on the first sweat, 239,
    on plague in London, 1478-9, 234,
    and 1500, 287,
    uses the name “pockys”, 420

  =Famines=, chronology of, to 1322, 15,
    in 1370, 215,
    about 1383, 219,
    in 1391, 220,
    in 1438-9, 223, 228, 235,
    in 1528, 251, 277,
    in 1535, 300,
    in 1551, 278,
    in 1557, 401,
    in 1596-7, 358

  =Fever=, epidemics of from famine, 15-17 (table),
    in 1086-7, 29,
    in 1196, 36,
    in 1258, 44-45,
    in 1315, 48,
    in 1438-9, 223, 228, 234-5,
    in 1596-7 358, 411;
    epidemics of in war, 547, 552;
    spotted, 504, 540, 542, 543, 551;
    “strange,” see INFLUENZA,
    Yellow, see YELLOW FEVER,
    in gaols, see GAOL-FEVER;
    in ships, 350, 538

  Finchley, dysentery at, 1596-7, 411

  Findhorn, plague, 370

  Finsbury, laystalls at, 334

  Fish, Simon, ‘Supplication of Beggars’, 421

  =Fleet Ditch=, unwholesome, 352

  Forrestier, Dr Thomas, his MS. on the sweat of 1485, 238,
    fixes time and place of first outbreak, 238,
    his account of the symptoms and treatment, 241,
    on extent of first sweat, 243,
    on causes of ditto, 266-7

  =Foul Death=, name used by Scots for plague in 1349, 78,
    and in 1379, 218

  Fracastori, on smallpox, 467,
    on typhus, 585

  Francis, St, of Assisi, and the lepers, 85

  Freind, Dr J., on a strange chorea, 61,
    on diffusion of smallpox, 445,
    on Gaddesden, 448

  =Friars=, their original mission, 41,
    their care of lepers, 85, 107,
    side with the rich after the Black Death, 188,
    bury rather than christen, 332

  Froude, Mr, on plague at the Derry, 372 _note_,
    on “yellow fever” in Drake’s fleet, 589 _note_

  “FRUIT OF TIMES,” records “pokkes” for 1366, 453

  Fryer, Dr John, 307


  Gaddesden, John of, fails to describe fever of, 1315 51,
    on leprosy, 76,
    on smallpox, 446-8,
    on morbilli and “mesles”, 449-51

  Gale, Thomas, on “the morbus”, 422

  Galway, “sweating sickness” at, 400 _note_

  =Gaols=, first built, 374

  =Gaol Fever=, in Newgate, 374, 395 _note_,
    at Cambridge, 375,
    at Oxford, 376-382,
    at Exeter, 383-386,
    referred to in Act, 388,
    in the Queen’s Bench, Southwark, 395, 539,
    Bacon on, 332

  =Garter, Order of the=, 178

  Gascoigne T., cases of syphilis, 74,
    Henry IV.’s “leprosy”, 77 _note_,
    “legists” after Black Death, 189

  Gaubil, abbé, on the Chinese annals, 154

  Geynes, Dr, 307

  Gibbon, on the Justinian plague, 2,
    on a remark by Procopius, 675 _note_

  Gibbons, Orlando, 465, 524

  Gilbertus Anglicus, on leprosy, 70-72,
    morphaea, 76,
    diet to keep off leprosy, 113,
    on smallpox, 446, 447

  Glasgow, leper-house, 99,
    keeps out plague, 366, 369,
    plague, 370, 563,
    syphilis, 418

  Gloucester, Black Death, 116, 117,
    plague in 1580, 348,
    in 1638, 545,
    a quack at, 426,
    relief of siege, 549

  Goddard, Dr, his excuse for leaving London in the plague, 667

  Gordonio, Bernard, on leprosy, 70,
    case at Montpellier, 72,
    on morphaea, 76,
    on smallpox, 447

  =Grandgore=, in Scotland, 417-18,
    derivation of, 418

  Grantham, plague near, 500,
    sickness at, 502

  Graunt, John, syphilis in London, 428,
    London mortality, 532

  Gravesend, plague, 287, 293, 531

  Greaves, Sir E., fever at Oxford, 547, 551

  Greenwich, sweat at, 244, 251,
    plague at, 293,
    plague in 1666, 687

  Gregory, W. ref. to “pokkes,” 454

  Gruner, on the sweat, 258,
    collections on medieval smallpox, 446 _note_

  Grünbeck, Jos. on syphilis, 432

  Guignes, Des, on origin of Black Death, 143, 152

  Guinea, voyages to in 16th cent., 581-3,
    slave trade from, 583, 625-9

  Guy, Dr W., on “parish infection”, 396 _note_


  Hackney, leper-hospital, 97, 98 _note_,
    plague in 1535, 301,
    in 1603, 492,
    in 1625, 511

  Haddington, _pestilentia volatilis_, 234,
    plague during siege, 303

  Hall, his Chronicle on the sweat of 1517, 250,
    on the mercenaries of Henry VII., 274,
    on the Cambridge Black Assizes, 375

  Hampshire, parish in, statistics of, 411, 541

  Harrison, W. English houses, 330 _note_,
    fever of 1557-8, 401

  Hartlepool, plague, 349

  Harwich, plague at in 1665-6

  Havre de Grace (or “Newhaven”), plague during siege, 307

  Hawkins, Sir John, in the slave trade, 583

  Hawkins, Sir Richard, on health of Cape de Verde islands, 589 _note_,
    scurvy in his voyage of 1593, 594-6

  Hecker, antecedents of Black Death, 143-4,
    on fecundity after Black Death, 200,
    sweating sickness, 240, 244 _note_, 258, 263, 265, 271 _note_, 277
        _note_

  Hendon, sends help in 1625 plague, 518

  Henry I., taxation under, 31

  Henry II., charities of, 33-34

  Henry III., famine under, 43

  Henry IV., “leprosy” of, 77

  Henry V., vigorous sanitation under, 325

  Henry VII., his expedition of 1485, 237, 240, 265, 270, 275,
    in the sweat of 1508, 244,
    reception of Catharine of Arragon, 288,
    sanitation under, 325-6

  Henry VIII., in the sweat of 1517, 247-8,
    in plague of 1517-18, 290,
    in sweat of 1528, 250-53,
    in plague of 1535, 297, 300,
    measures to check plague, 291, 312, 313-14,
    repression of vagrancy &c., 390,
    his illness in 1514, 456

  Henry of Huntingdon, poem by, 18

  Hensler, his history of syphilis, 416 _note_

  Hensley, plague, 309

  Hereford, plague, 348

  Hereford, bishop of, case of morphaea, 76

  Herefordshire, plague, 500

  Hertford, sweat at, 254,
    law courts at, 331,
    plague, 339, 347, 356

  Hertfordshire, after the Black Death, 191,
    plague in, 493

  Hirsch, Dr August, on endemics of syphilis, 438

  Hispaniola, great pox and smallpox, 430, 469,
    flux among English troops, 635-6

  Hoddesdon, plague, 347

  Hodges, Dr, his _Loimologia_, 648, 654, 675

  Holinshed, erroneous entry of “small pocks”, 454

  Holland, Abraham, poem on plague of 1625, 512

  Holme Pierrepont, plague, 499

  Höniger, effects of Black Death, 141 _note_

  Howard, John, Oxford gaol, 377,
    gaol-fever, 382 _note_

  Hugh, St, bp. of Lincoln, his care for burials, 13 _note_,
    for lepers, 84

  Hull, plague at, in 1472-8, 231,
    in 1576, 340,
    in 1635-38, 527

  Hunstanton, Black Death, 137

  Hütten, Ulrich von, cure of syphilis, 416


  Ibn Batuta, his report that Black Death came from China, 146

  Ibn-ul-Khatib, origin of Black Death, 146

  Ilchester, decayed, 195, 221

  Ilford, leper-hospital, 95

  Inchcolm, quarantine island, 363, 369

  Inchkeith, quarantine for plague, 235, 360,
    for syphilis, 417

  =Influenza=, meaning of, 397,
    early epidemics, 398,
    in 1510, 399,
    in 1540, 400,
    in 1557-8, 401-5,
    in 1580, 406,
    in 1657-9, 568-574,
    many other epidemics might be so called, 408-9, 411, 536, 541, 543-4,
        567, 577

  =Interdict of burial= &c., 11

  Ipswich, scavengers of, 327,
    plague at, in 1603, 498,
      in 1665-6, 688

  Ireland, plague in A.D. 664, 4-5,
    condition in 12th cent., 21,
    flux among troops, 33,
    leper-houses, 100,
    Black Death, 115, 118-19, 132,
    succeeding plagues, 236,
    alleged sweating sickness, 252 _note_, 400 _note_,
    influenza, 398 _note_,
    plague in Tudor period, 371-3,
    in Cromwellian war, 365

  Isle of Wight, depopulation of, 387,
    influenza or sweat in 1558, 403


  Jamaica, English occupation of, 636-642

  James I., authority for “a pockie priest”, 415,
    his accession followed by a great plague, 480,
    his fatal illness, 512

  Jarrow, plague in monastery of, 7

  Jersey, plague in, 308

  Jessopp, Augustus, on mortalities in the Black Death, 132, 134, 137,
    on lawlessness after do., 140,
    on panic from do., 181 _note_

  John of Bridlington, 14th cent. pestilences, 204, 207

  John of Burgoyne, 14th cent. writer on plague, 208

  Jones, Dr John, on plague in London in 1563, 306,
    on effects of the poor-rate, 394,
    on influenza of 1558, 403,
    his use of “ague”, 410

  =Justinian, plague in reign of=, 2,
    theory of it, 156, 159, 161


  Kattiwar, plague in, 165, 169

  Kellwaye, Simon, on the plague of 1593, 355,
    on smallpox and measles, 461

  Kendal, plague in 1598, 359

  Kensington, plague in 1603, 492,
    in 1625, 520

  Kheybar, burials in, 165

  Kilkenny, Black Death, 115, 119, 121, 132,
    plague in 1649, 565

  Kirkcaldy, plague in 1574, 366

  Kirkoswald, plague in 1598, 360

  Kremer, A. von, Mohammedan plagues, 163

  Kumaon, plague in, 166

  Kutch, plague in, 169


  =Labourers, Statute of=, 66, 181-2

  Lamesley, plague in 1610, 501

  Lancashire, ergotism? in 1702, 59,
    wills after Black Death, 138,
    fever in 1651, 567

  Lancaster, Sir James, scurvy in his ships, 599,
    treats scurvy by lime juice, 601

  Langland, see ‘Piers the Ploughman’

  =Lask=, old name of flux, 400, 412

  Latimer, on intramural burial, 336,
    on stews closed, 420

  =Law=, business of increased after Black Death, 188-9

  =Lazar=, derivation of, 79 _note_

  Lazarus, St, 79, 94

  =Lazarus, St, Knights of the Order of=, 89

  Leake, plague in 1587-8, 349

  Leeds, fever in 1644, 558,
    plague in 1645, 558

  Leicester, Black Death, 124
    _pestis secunda_, 203,
    plague in 1563-4, 309,
      in 1593, 357,
      in 1607-11, 125, 501,
      in 1626, 526

  Leicestershire, strange epidemic in 1340, 59,
    plague, 526

  Leith, plague, 235 _note_, 361, 363, 366, 369, 503

  Leominster, plague or fever in 1578, 349,
      in 1597, 358 _note_

  =Leper-houses=, in England, 86-99,
    their mixed inmates, 93,
    vogue soon past, 91-95,
    the later non-monastic, 97,
    in Scotland, 99,
    in Ireland, 100

  =Leprosy=, generic meaning of in medieval books, 70-79,
    Biblical associations of, 79-81,
    religious view of, 81-86,
    prejudice against, 100-105,
    laws against, 103-6,
    estimated amount of, 107,
    a disease akin to pellagra, 108, 110,
    Gilbert White on causes of, 110,
    dietetic cause of in, Hutchinson on cause of, 111 _note_,
    constitutional, 112,
    diet for in Scotland, 113

  Lescarbot, on scurvy, 597-8

  =Leviticus=, use of “leprosy” in, 80

  Lichfield, plague, 309, 357, 559

  Lieu-chow, bubonic disease, 169

  Linacre, 286, 439

  Lincoln, leper-hospital at, 92,
    decay of, 195,
    plague at, 357

  Lindsey, statute of labourers ineffective in, 182

  Linlithgow, lepers at, 99,
    French pox at, 418

  Lithgow, W., on plague in Tyneside, 557

  =Lock, the, hospital=, 97, 98 _note_

  Lodge, Dr T., on rats and moles in plague-time, 173,
    on plague in 1603, 485,
    on compulsory removal of the sick, 488

  London:
    fever in 962, 26,
      in 1258, 44-45,
      according to the bills, 504, 532, 576
    Fitzstephen’s account of, 34
    French pox in, 424, 428, 432 _note_
    lepers expelled, 103,
      stopped at the Gates, 104
    leper-hospitals of 88, 97-8
    nuisances in, 323-6
    overcrowding of, in 1580, 346,
      in 1602 et seq., 539-540
    Parish Clerks of, 320-322
    plagues in:
      the Black Death, 117,
      mortality of ditto, 126-9,
      the plague of 1361, 203,
      of 1368-9, 215-16,
      of 1407, 220,
      of 1426, 227,
      of 1434, 227-8,
      of 1437, 228,
      of 1454, 229,
      of 1466, 230,
      of 1474, 231,
      of 1478-9, 231-2,
      of 1487, 287,
      of 1499-1500, 287,
      of 1504, 288,
      of 1511-12, 288,
      of 1513, 288-9,
      of 1514-16, 289-90,
      of 1517-18, 290, 292,
      of 1521, 292,
      of 1529-31, 292-3,
      of 1532, 293-6,
      of 1535, 297-300,
      of 1536, 301-2,
      of 1543, 302,
      of 1547-8, 303,
      of 1563, 304-7,
      of 1568-9, 338,
      of 1573-4, 339,
      of 1577-83, 341-5, 347,
      of 1592-93, 351-4, 356,
      of 1594, 356,
      of 1603, 474-92,
      of 1604-1610, 493-4,
      of 1625, 507-520,
      of 1630, 527
      of 1636 529-32,
      of 1637-48, 532, 546 (table 533),
      of 1665, 644-679
    plague-orders, 312-322, 355, 481, 488
    population,
      end of 12th cent., 34,
      in 1258, 44,
      in 1349, 128-9,
      in 1377, 201,
      in 1535, 299,
      in 1580, 345,
      in 1593, 354,
      in 1603 and before and after, 471-4,
      in 1665, 660
    Richard of Devizes, on wickedness of, 34
    sanitary ordinances in 1369 and 1371, 216, 324,
      in 1388, 324,
      in 1415, 325,
      in 1488-9, 325,
      in 1543, 314, 315,
      in 1568, 319,
      in 1582, 330
    theatres closed in plague-time, 494-6

  Loughborough, sweating sickness at, 259,
    plague at, 304, 404, 500, 560

  Louth, plague in 1587, 349 (_Notitiae Ludae_),
    in 1631, 527

  Lowe, Peter, on “Spanish Sickness”, 427

  Lowry, Dr J. H., on Pakhoi plague, 169

  Lyndsay, Sir D., “grandgore”, 418

  Lynn, a physician of, 51,
    leper-houses at, 93, 98,
    plague at, in 1635-6, 528,
      in 1665, 681


  Macclesfield, plague, 498

  Macgowan, Dr D. J., on rats poisoned by the soil, 169

  Magellan, scurvy in his ship, 579

  Mahé, on cadaveric theory of plague, 173 _note_

  Maidenhead, scene at, 578

  Maillet, De, on preservation of corpses in Egypt, 161

  Malpas, plague in 1625, 526 _note_

  Manardus, origin of syphilis, 434

  Manchester, plague in 1608, 499,
    in 1631, 527

  Mansfeld, his English troops, 522

  Margate, sick sailors at after Armada, 350

  Marshall, John, on “parish infection”, 396 _note_

  Martin, on the illness of Charles VIII., 437

  Matilda, Queen, and the lepers 82;
    her hospital, 88

  Mayerne, Sir Th., on the fevers of 1624, 540

  =Measles=, Gaddesden on, 448,
    derivation of name, 451,
    joined with smallpox, 458-9, 462, 465-6

  _Measure for Measure_, reference to “the sweat”, 413 _note_,
    the stews suppressed, 420,
    doctrine of “obstruction” in, 605 _note_

  Meaux, abbey of, Black Death in, 118, 131

  Meddus, Rev. Dr, in London during plague of 1625, 514

  =Medicine, profession of=, little in evidence, 51, 258, 402

  Melcombe, Black Death lands at, 116

  Merdjé, modern plague at, 170

  Merston Trussell, plague, 498

  Milton, John, at Chalfont, in 1665, 665 _note_

  =Moles= in plague-time, 173, 364

  Molineux on universal fevers and universal colds, 409

  =Monasteries=, pestilence in, 5-7, 9-10,
    Stubbs on, 50,
    found hospitals, 95,
    Black Death in, 131

  Monkleigh, plague, 499

  Monmouthshire, fever and plague in 1638, 541

  Montgomeryshire, plague in 1638, 542

  Montpellier, case of _lepra_ at, 72,
    practice in the plague at, 210

  Moorfields, common latrine in, 325

  More, Sir Thomas, on relapses, 248,
    his plague-orders at Oxford, 291,
    as “a parish clerk”, 321,
    describes London as the capital of Utopia, 329,
    on pauperism and vagrancy, 389

  =Morphaea=, a case of, 76

  Morton, Richard, on the fever of 1658, 574

  “=Mure=,” old name of influenza, 389.
    (“Tussis et le Murra.” Canterbury MS. in _Hist. MSS. Com._ IX., pt.
        I. p. 127).

  =Murrains=, 46 _note_

  Mussis, De, on origin of Black Death at Caffa, 144


  Namasse, modern plague, 166

  Nanking, death of rats at, 169

  Nantwich, plague, 498

  =Naples sickness of= 419, 430

  “=New Acquaintance=”, 260

  “=New Disease=”, 401, 403, 404, 534, 536, 541, 543-4, 570, 577

  Newark, plague after siege, 560

  Newcastle, plague in 1420, 222 _note_,
    in 1478, 232,
    in 1544, 303,
    in 1589, 350,
    in 1597, 358,
    in 1603, 498,
    in 1609, 500,
    in 1625, 526,
    in 1636, 529,
    in 1642 and 1645, 557,
    in 1666, 681

  New England, voyages to, 612,
    epidemics in, 613

  Niebuhr, on demoralisation after pestilence, 186

  Nöldeke, Th., on legend of smallpox, 442

  Normandy, Henry VII.’s troops raised in, 271, 275,
    endemic sweat of, 271, 273

  Northampton, old hospital at, 90,
    plague, 304,
    fever and plague in 1638, 542

  Northwych, plague, 340, 498

  Norwich, hospitals at, 93, 95,
    leper-houses at the gates, 98,
    the Black Death in, 129,
    decline of after ditto, 193-5,
    fever in 1382, 218,
    plague in 1465, 230 _note_,
      in 1479, 232,
      in 1578, 348,
      in 1603, 498,
      in 1609, 500,
      in 1625, 525,
      in 1630-31, 527,
      in 1636 fever or plague, 542,
    plague in 1665-6, 681, 688

  Nottingham, deaths at in 1518, 291,
    plague at in 1593, 357,
      in 1604, 499,
      in 1667, 691

  =Nuisances=, at Castle Combe, 198, 328,
    in London, 216, 323-6,
    at Stratford-on-Avon, 327,
    at Ipswich, 327,
    alleged by Erasmus, 329,
    in London suburbs, 337,
    at Evesham, 501,
    at Kilkenny, 502


  Odoric, friar, his vision of unburied dead in China, 155

  Okehampton, plague at, in 1626, 524

  Osiander, on Christian duty in the plague, 310

  Ottery St Mary, camp sickness at in 1645, 555, 561

  Oundle, plague in 1665, 681

  Oxford, leper-hospital, 93,
    Black Death at, 125,
    law students at after ditto, 189,
    sweat of 1485, 243,
    sweat (?) of 1508, 245,
    sweat of 1517, 247, 248,
    sweat of 1551, 260,
    plague in the 15th cent., 282-3,
      in the 16th cent., 283-4,
    houses shut up at in 1518, 291,
    plague in 1571, 338,
      in 1575, 340,
      in 1603-5, 496-7,
      in 1625, 525,
      in 1645, 559,
    gaol-fever in 1577, 376-382,
    war-typhus in 1643, 549-51,
    fellow expelled for French pox, 421,
    unwholesomeness of in 15th cent., 285 _note_,
    proposal to remove the university from, 283


  Pakhoi, modern plague, 168

  Paré, Ambroise, holds cadaveric theory of plague, 156, 162, 658,
    on likeness of smallpox to great pox, 468

  Paris, “lepers” banished from in 1488, 104, 437

  Pariset, Etienne, his theory of plague, 156-161

  =Parish Clerks=, company of, 320-322

  “=Parish infection=,” a myth, 396 _note_

  =Pauperism=, 39, 41, 387-395

  Pauw, De, Cornelius, on plague in Egypt, 157,
    on sanitary practice in ditto, 158

  Paynel, translates book on French pox, 416

  Peebles, plague at in 1499, 361

  =Pellagra=, akin to leprosy, 108, 110,
    causes of, 109

  Penrith, plague at in 1598, 359-60

  Perth, plague at in 1548, 363,
    in 1580, 367,
    in 1584-5, 368,
    in 1608-9, 503-4,
    in 1645, 563

  _Pestilentia volatilis_ in Scotland, 398

  Peterborough, burials at in 1175, 35,
    plague in 1574, 339,
      in 1606, 449,
      in 1665, 681

  Petrarch, on effects of Black Death, 177

  Phaer, Th., or Phayre, or Thayre, writer on plague, 210, 489,
    on smallpox and measles, 458

  =Picardy Sweat=, 271-3

  ‘Piers the Ploughman,’ quoted on surfeit and want, 65-67,
    on moral effects of Black Death, 187-190,
    on continuance of pestilence, 205-207,
    on London famine of 1371, 215,
    on burials by friars, 332,
    use of “meseles”, 450,
      of “pokkes”, 452-3

  Pinctor, Peter, relates cases of French pox in the Vatican, 416

  =Plague=, symptoms or characters of, in the Black Death, 120-122,
      in medieval manuscripts, 208, 212-214,
      in Skene’s treatise, 364-5,
      in the plague of 1665 (Boghurst), 674;
    cadaveric theory of, 156 _et seq._,
    relation of to typhus, 170.
    General epidemics of:
      Black Death, 116-141,
      _pestis secunda_ (1361), 203,
      _tertia_ (1368-9), 215,
      _quarta_ (1375), 217,
      _quinta_ (1382), 218,
      of 1390-91, 219,
      of 1407, 220,
      of 1438-9, 225, 228,
      of 1465, 230,
      of 1471, 230.
    Epidemics of in the Northern Marches, in 1379, 218,
      in 1399, 220,
      in 1421, 221.
    See also under London and other places

  Planck, Dr, on causes of plague in Kumaon, 167

  Plot, Dr, on Oxford Black Assizes, 382,
    on mildness of smallpox, 467

  Plymouth, plague in 1579, 348,
      in 1590-91, 351,
    sickness in the fleet in 1625, 521-2,
    plague in 1626, 523

  =Poll-tax= of 1377, population reckoned from, 200

  =Poor-laws=, origin of, 362-3,
    Jones on, 394

  =Population= of towns in Domesday, 23-24,
    kept small by death of infants, 25,
    after the Black Death, 200-204.
    See also “London,” “Norwich.”

  Portsmouth, plague in Venetian galley 1546, 303,
    plague 1625, 524,
      1666, 688

  =Posting sweat=, 260,
    posting fever, 378

  =Pox, the French=, in Scotland, 417,
    in England, 419,
    Erasmus on, 421,
    meagre writings on, 415, 422,
    Clowes on, 423,
    Read on, 425,
    Banister on, 427,
    Graunt on, 428,
    origin of epidemic, 429-438

  Presteign, the sweat of 1551, 259,
    plague in 1638, 542

  Preston, wills proved after Black Death, 138 _note_,
    plague at in 1631, 527

  Procopius, on a plague-immunity, 675 _note_


  =Quarantine=, (forty days) for the Court in 1516, 290, 312,
    in 1518, 313,
    of persons in 1543, 313,
    houses in 1563, 317,
    in 1568, 318,
    proposed for shipping at Gravesend in 1568, 337,
    at Inchkeith in 1475, 235, 360,
    details of at Inchcolm in 1564, 363,
    case of at ditto, 367,
    18th cent. law of, 672


  Radnorshire, plague in 1638, 542

  =Rats=, death of in plague-time, in Kumaon, 167,
    in Yun-nan, 168,
    in China, 169,
    in Gujerat, 170,
    ref. to by Lodge (1603), 173

  Read, John, of Gloucester, on pox grown milder, 425,
    describes mountebank, 426

  Renfrewshire, plague in in 1601, 370

  Renny, on plague in Garhwal, 167

  Rhazes, “the pills of”, 254,
    source of medieval teaching on smallpox, 440

  _Richard II._, “infection and the hand of war”, 547

  Richard of Devizes, on London in 12th cent., 34,
    on dislike of the Franks to soapboilers and scavengers, 329

  Richmond, Yorks, reduced by Black Death, 191,
    plague in 1597-8, 359

  Ripon, corn at in famine, 40,
    leper-hospital at, 93

  Robert of Brunne, describes effects of famine, 48

  Rocher, M., on plague in Yun-nan, 168

  Rochester, late leper foundation at, 97,
    plague at in 1665, 681

  Roger of Wendover, stories of avarice, 39, 40,
    on the friars, 41

  Rogers, Thorold, on prices of corn 13th century, 37, 43,
    on rye in England, 64,
    on villenage, 184 _note_,
    wages after the Black Death, 185,
    on new system of farming after ditto, 192,
    paralysis of wool-trade after ditto, 193,
    on good diet of the English in 15th cent., 222,
    introduction of inferior bread, 224 _note_

  Rome, medieval epidemics at, 3, 10

  Rouen, siege of, 222

  Royston, fevers in 1625, 505,
    plague in 1625, 525,
      in 1665, 682

  =Rye-corn=, spurred, 53,
    little grown in England, 64


  St Albans, school of annalists, 37,
    burials at in 1247, 42,
    famine in 1315, 48,
    leper-hospitals at, 90,
    admission to ditto, 102,
    Black Death in the abbey, 131,
    pestilence in 1431, 225,
    plague in 1578, 347

  St Andrews, plague at in 1585, 368,
      in 1605, 503,
      in 1647, 563

  St Christopher, the French in, 618,
    yellow fever in 1648, 621, 633

  St Domingo, English attempt on, 634-6

  St Giles’s, Cripplegate,
    churchyard, 334,
    modes of burial, 335,
    populous parish, 472,
    the Great Plague in, 649

  St Giles’s-in-the-Fields, leper-hospital of, 83, 88,
    Great Plague begins at, 656

  St Johnstone, see Perth

  St Kilda, boat-cold, 274

  St Olave’s parish, plague of 1603, 478,
    description of, 479

  St Paul’s, churchyard, state of in 1582, 333,
    the charnel-house of, 334

  St Sepulchre’s parish, plague of 1563 in, 306,
    churchyard of, 334

  Salvetti, on the plague of 1625, 512, 519,
    describes a fast, 513

  Sandwich, plague in 1609, 500,
      in 1635-37, 528,
      in 1665, 681, 688

  =Sanitary Act=, the first, 324

  Sayer, Dr H., treats plague at Oxford in 1645, 559

  =Scavengers=, at Ipswich, 327,
    duties of at Exeter, 327,
    in London, 328

  =Scurvy=, in voyages, 579, 581-5, 594-6, 599-609,
    among the French in Canada, 580, 597,
    in a coaster, 597,
    lime-juice for, 595, 601, 602-3,
    pericarditis in, 580 _note_

  Scyllatius, Nicolas, on French pox at Barcelona in 1494, 434

  =Searchers=, at Shrewsbury in 1539, 320 _note_,
    in London, 319, 321,
    oath taken by in St Mary-le-Bow, 322,
    at Colchester, 689 _note_

  Seebohm, F., on mortality of Black Death among clergy, 134,
    ditto in manor of Winslow, 136,
    on remote effects of Black Death, 196

  Shakespeare, John, fined, 327

  Shakespeare, Wm., his business interfered with by plague, 495,
    dies in a sickly year, 536.
    See also titles of plays.

  =Shambles=, a nuisance in London, 216, 324, 325, 330, 487

  Sheppey, plague, 348

  Sherborne, plague in 1611, 501,
      in 1665, 681

  Sherburn, leper-hospital at, 94

  Short, Dr Thomas, his epidemiological works, 57 _note_, 404

  Shrewsbury, privilege of lepers at, 99,
    new civic class after Black Death, 199,
    sweat of 1551, 259,
    plague at in 1525, 292,
      in 1536-7, 301, 302,
      in 1575, 340,
      in 1592-3, 357,
      in 1604, 499,
      in 1630, 527,
      in 1650, 564

  Simpson, Sir James, on leprosy in Scotland, 106 _note_,
    on syphilis in Scotland, 418

  Skeat, Dr, on the derivation of “measles”, 451 _note_

  Skene, Dr Gilbert, on moles in plague-time, 173 _note_,
    on cadaveric cause of plague, 336,
    his book on plague (1568), 363-5

  “=Slaedan=,” Irish name supposed of influenza, 398 _note_

  =Slave-ships=, ordure of, 630

  =Slave-trade=, early history of, 614-17,
    mortality of, 625-28

  =Smallpox=, originally an Arabic subject, 439,
    in the Elephant War, 441,
    nature and affinities of, 442-4,
    in medieval compends, 446 and _note_,
    Gaddesden’s alleged case, 447-8,
    erroneously chronicled in 1366, 455,
    in England 16th cent., 456-62,
    case of in 1561, 459,
    in 17th cent., 463,
    Fracastori on, 467,
    among American Indians (immunity of English), 613,
    in Hispaniola, 615,
    type of in Africans, 627,
    in slave-ships 625, 627,
    confused with great pox, 436-7, 456, 464, 468

  Somersetshire, Black Death in, 117,
    spotted fever in, 543

  Southampton, plague in Venetian galley in 1519, 292,
    plague in 1625, 524,
      in 1665, 681

  Southwell Abbey, plague in 1471, 230,
      in 1478, 232

  Spanish Main, sickness of English ships off, 588, 591

  Spanish Town, mortality at in 1655, 638-642

  Sprat, Bishop, on “remedy” of the sweat, 243

  Stamford, plague in 1574, 339,
    in 1580, 348,
    in 1602-3, 360, 496,
    in 1641, 545

  Stapleton, Sir Ph., dies of plague at Calais, 546

  Stepney, plague begins at in 1603, 477, 480,
    plague of 1625 in, 511

  =Stews= suppressed, 420

  Stirling, grandgore at in 1498, 418,
    plague at in 1606, 503

  Stockport, plague, 498

  Stoke (Newark), plague after siege, 560

  Stoke Pogis, plague at in 1625, 520

  “=Stop-gallant=,” “=Stop-knave=,” names of the sweat, 260, 262, 263

  Stourbridge, leper-hospital, 93

  Stratford, bread-carts, 215 _note_

  Stratford-on-Avon, plague at, 309,
    nuisance at, 327

  Swainsthorpe, plague in 1479, 232

  =Sweat, the English=, 1st epidemic, 235-243,
    2nd epidemic, 243-5,
    3rd epidemic, 245-250,
    4th epidemic, 250-255,
    5th epidemic, 259-263,
    the epidemic of 1529 on the Continent, 256-259,
    supposed sweats in England after 1551, 264, 280, 403, 413 _note_,
    at Tiverton, 554,
    supposed sweat in Flanders in 1551, 264 _note_,
    supposed sweat in Ireland, 252 _note_, 400 _note_,
    antecedents of in 1485, 265, 270, 273,
    causes of (supposed) in London, 267,
    a disease of the well-to-do, 263, 268,
    extinction of, 279,
    favouring conditions of the outbreaks, 276-9,
    mortality from, 250, 251, 260-262,
    abroad, 257,
    symptoms of, 241, 246, 251,
    theory of, 273,
    treatment of, 242

  =Sweat of Picardy=, 271

  =Sweating= in influenza, 403, 554,
    in war-typhus, 554

  =Syphilis=, probably included under _lepra_, 72-75, 434, 437.
    See also POX, THE FRENCH


  Talifoo, modern plague, 168

  Tana, 144, 147

  Taylor, John, “water-poet”, 512

  =Texas fever=, 274

  Thame, war-fever at, 548-9

  Thayre, Th., see Phaer

  Thomson, Dr G., dissection of plague-body, 677

  _Timon of Athens_, the pox described (Act IV. sc. 3), 428

  Tittenhanger, Henry VIII. at, 254

  Tiverton, plague at in 1591, 351,
    sickness in 1597, 411,
    war-typhus (“sweating sickness”) at in 1644, 552-5

  =Tobacco= in plague-time, 674, 682

  Torella, on origin of French pox, 434

  Totness, plague at in 1590, 351,
    in 1647, 561

  Tottenham, in plague of 1625, 518, 520

  Tregony, plague at in 1595, 357

  Tripe, Andrew, his poem on the pox, 432 _note_

  Trumpington, plague in 1625, 525

  Truro, decayed, 221,
    plague in 1578, 347

  Tuke, Brian, on the sweat of 1528, 255

  Turner, Mrs Anne, 487 _note_

  Turner, Dr P., arsenic in plague, 487

  Turner, of Boulogne, preaches against burials in the city, 336

  Twyford, plague in 1603, 493

  Tynemouth, plague during siege, 557


  Uffculme, sweat at in 1551, 262


  Valencia, cases of French pox at, 434-5

  Vasco da Gama, scurvy in his ships, 579

  Vatican, the French pox in the, 416

  Vetlianka, modern plague at, 172

  Vincent, Rev. Thomas, his experiences of the Great Plague, 648, 664, 670

  Virgil, Polydore, on the sweat, 237, 240,
    on treatment of ditto, 242

  Virginia, voyages to, 590, 609-612


  Wales, pestilence in the marches of in 1234, 12,
    Giraldus on, 21,
    famine in 1189, 35,
    leper-law of, 106,
    Black Death in, 118,
    plague and fever in 1638, 541

  Wallingford, after Black Death, 195,
    small pox, measles and plague, 291,
    plague at, 559

  “=Wame-ill=,” Scots famine-sickness in 1438-9, 235

  =Wands= carried in plague time, 314-5

  Wells, Black Death in diocese of, 117,
    plague at in 1575, 340

  West Indies, colonization of, 617 _et seq._

  Whickham, plague, 501

  White, Gilbert, on causes of leprosy, 110

  Whitmore, H., on fever in 1651, 566,
    on fever and influenza in 1658-9, 572-4

  =Whooping-cough=, or the kink, 459

  Willan, Dr, 4, 440

  William of Newburgh, story of plague at Annan, 11,
    famine-fever of 1196, 35,
    Durham leper-hospital, 94

  Willis, Dr T., on the war typhus of 1643, 547, 549,
    on plague at Oxford &c., 559,
    on the fevers and (or) influenzas of 1657-8, 568-572

  =Wills=, in Black Death, in London, 117-18, 186,
    in Lancashire, 138 _note_,
    in Colchester, 186;
    in London in 1361, 203,
      in 1368, 216

  Wilton, sweat at 252

  Winchester, plague at in 1603, 489,
    in 1625, 521 _note_,
    in 1666, 687, 691

  Winslow, manor of, 136

  Wisbech, plague at in 1586, 349

  Wither, George, on plague of 1625, 512

  Woburn, sweat at, 252

  Wolsey, the sweat in his household, 247, 252, 253,
    letter from Anne Boleyn to, 255,
    charged with the great pox, 422

  Woodall, John, describes the plague-bubo, 122,
    on scurvy, 603-6

  Woodstock, sickness near, 291,
    plague, 292

  Wool trade after Black Death, 179, 193

  Wyclif, on decrease of population, 201


  Yarmouth, Black Death in, 130,
    decline of, 195, 221;
    plague in 1579, 348,
      in 1625, 525,
      in 1635-6, 528,
      in 1664-5, 680

  =Yellow Fever=, epidemic of at Bridgetown in 1647, 620,
    in St Christopher, 621,
    case of described, 623,
    characters of, 624,
    in “Regalia” and “La Pique”, 629,
    theory of in slave-ports, 630-31,
    as a soil-poison, 632-3,
    question of, in Drake’s fleet, 518-9

  York, wasting of, 27,
    hospital at, 87,
    Black Death at, 118, 131,
    ditto in diocese of, 134,
    size of after ditto, 201,
    plague in 1391, 220,
      in 1485, 282,
    plague or sweat in 1551, 261,
    plague in 1604, 489

  Yun-nan, modern plague, 168

  Yusufzai, bubonic typhus in, 171


CAMBRIDGE: PRINTED BY C. J. CLAY, M.A. AND SONS, AT THE UNIVERSITY PRESS.




FOOTNOTES:

[1] The references to the Justinian plague by contemporary and later
historians have been collected, together with partly irrelevant matter
about portents and earthquakes, by Val. Seibel, _Die grosse Pest zur Zeit
Justinian’s I._ Dillingen, 1857. The author, a layman, throws no light
upon its origin.

[2] Beda, _Hist. Eccles._ Eng. Hist. Society’s ed. p. 243: “qui ubi Romam
pervenit, cujus sedi apostolicae tempore illo Vitalianus praeerat,
postquam itineris sui causam praefato papae apostolico patefecit, non
multo post et ipse et omnes pene, qui cum eo advenerant, socii,
pestilentia superveniente, deleti sunt.”

[3] _Flores Histor._ by Roger of Wendover. Eng. Hist. Society’s ed. I.
180.

[4] _Ibid._ I. 228.

[5] _Miscellaneous Works of the late Robert Willan, M.D., F.R.S., F.A.S._
Edited by Ashby Smith, M.D. London, 1831. ‘An Enquiry into the Antiquity
of the Smallpox etc.’ p. 108.

[6] _Annals of the Four Masters_, ed. O’Donovan, Dublin, 1851, I. 183.
“A.D. 543. There was an extraordinary universal plague through the world,
which swept away the noblest third part of the human race.”

p. 187. “A.D. 548. Of the mortality which was called Cron Chonaill--and
that was the first Buide Chonaill [_flava ictericia_],--these saints
died,” several names following. The entries of that plague are under
different years in the various original Annals.

[7] “Eodem anno dominicae incarnationis sexcentesimo sexagesimo quarto,
facta erat eclipsis solis die tertio mensis Maii, hora circiter decima
diei; quo etiam anno subita pestilentiae lues, depopulatis prius
australibus Brittaniae plagis, Nordanhymbrorum quoque provinciam
corripiens, atque acerba clade diutius longe lateque desaeviens, magnam
hominum multitudinem stravit. Qua plaga praefatus Domini sacerdos Tuda
raptus est de mundo, et in monasterio, quod dicitur Paegnalaech,
honorifice sepultus. Haec autem plaga Hiberniam quoque insulam pari clade
premebat. Erant ibidem eo tempore multi nobilium simul et mediocrium de
gente Anglorum, qui tempore Finani et Colmani episcoporum, relicta insula
patria, vel divinae lectionis, vel continentioris vitae gratia, illo
secesserant.... Erant inter hos duo juvenes magnae indolis, de nobilibus
Anglorum, Aedilhun et Ecgberct,” etc. Beda’s _Hist. Eccles._ ed.
Stevenson. Engl. Hist. Soc. I. p. 231.

[8] _Ibid._ p. 240.

[9] _Annals of the Four Masters_, I. 275.

[10] Thorpe, in his edition of Florence of Worcester, for the Eng. Hist.
Society, I. 25.

[11] The first of Beda’s incidents of the Barking monastery relates to a
miraculous sign in the heavens showing where the cemetery was to be. It
begins: “Cum tempestas saepe dictae cladis, late cuncta depopulans, etiam
partem monasterii hujus illam qua viri tenebantur, invasisset, et passim
quotidie raperentur ad Dominum.”

[12] “Erat in eodem monasterio [Barking] puer trium circiter, non amplius
annorum, Æsica nomine, qui propter infantilem adhuc aetatem in virginum
Deo dedicatarum solebat cella nutriri, ibique medicari. Hic praefata
pestilentia tactus ubi ad extrema pervenit clamavit tertio unam de
consecratis Christo virginibus, proprio eam nomine quasi praesentem
alloquens ‘Eadgyd, Eadgyd, Eadgyd’; et sic terminans temporalem vitam
intravit aeternam. At virgo illa, quam moriens vocabat, ipso quo vocata
est die de hac luce subtracta, et ilium qui se vocavit ad regnum coeleste
secuta est.” Beda, p. 265. Then follows the story of a nun dying of the
pestilence in the same monastery.

[13] Beda, Lib. IV. cap. 14. In addition to the instances in the text,
which I have collected from Beda’s _Ecclesiastical History_, I find two
mentioned by Willan in his “Inquiry into the Antiquity of the Smallpox,”
(_Miscell. Works_, London, 1821, pp. 109, 110): “About the year 672, St
Cedda, Bishop of the East Saxons, being on a visitation to the monastery
of Lestingham, was infected with a contagious distemper, and died on the
seventh day. Thirty monks, who came to visit the tomb of their bishop,
were likewise infected, and most of them died” (_Vita S. Ceddae_, VII.
Jan. p. 375. Cf. Beda, IV. 3). Again: “In the course of the year 685, the
disease re-appeared at Lindisfarne, (Holy Island), St Cuthbert’s abbacy,
and in 686 spread through the adjoining district, where it particularly
affected children” (_Vita S. Cuthberti_, cap. 33). Willan’s erudition has
been used in support of a most improbable hypothesis, that the pestilence
of those years, in monasteries and elsewhere, was smallpox.

[14] _Historia Abbatum Gyrvensium, auctore anonymo_, §§ 13 and 14. (App.
to vol. II. of Beda’s works. Eng. Hist. Society’s edition, p. 323.)

§ 13. Qui dum transmarinis moraretur in locis [Benedict] ecce subita
pestilentiae procella Brittaniam corripiens lata nece vastavit, in qua
plurimi de utroque ejus monasterio, et ipse venerabilis ac Deo dilectus
abbas Eosterwini raptus est ad Dominum, quarto ex quo abbas esse coeperat
anno.

§ 14. Porro in monasterio cui Ceolfridus praeerat omnes qui legere, vel
praedicare, vel antiphonas ac responsoria dicere possent ablati sunt
excepto ipso abbate et uno puerulo, qui ab ipso nutritus et eruditus.

In the Article “Baeda,” _Dict. Nat. Biog._, the Rev. W. Hunt points out
that the boy referred to in the above passage would have been Beda
himself.

[15] The history of the name _pestis flava ictericia_ is given by
O’Donovan in a note to the passage in the _Annals of the Four Masters_, I.
275: “Icteritia vel aurigo, id est abundantia flavae bilis, per corpus
effusae, hominemque pallidum reddentis,” is the explanation of P. O’S.
Beare. The earliest mention of “yellow plague” appears to have been in an
ancient life of St Gerald of Mayo, in Colgan’s _Acta Sanctorum_, at the
calendar date of 13th March.

[16] _Polychronicon_, Rolls edition, V. 250.

[17] _The Story of England_, Rolls series, ed. Furnivall, II. 569.

[18] Rolls series, ed. Thorpe, I. 136, 137 (Transl. II. 60). Also in
Gervase of Canterbury, Rolls series, ed. Stubbs, II. 348.

[19] _Chronicon Abbatiae Ramesiensis_, Rolls ed. 1886, p. 397.

[20] According to an inquisition of 2 Edward III., the abbey of Croyland
contained in 1328, forty-one monks, besides fifteen “corrodiarii” and
thirty-six servitors. _Chronicle of Croyland_ in Gale, I. 482.

[21] _Epistolae Cantuarienses_, Rolls series, No. 38, ed. Stubbs, Epist.
CCLXXII. p. 254, and Introduction, p. lxvii.

[22] William of Newburgh, Rolls ed. p. 481.

[23] Ralph of Coggeshall, Rolls series, No. 66, p. 112.

[24] Roger of Wendover, III. 72.

[25] In the Life of St Hugh of Lincoln, who died in 1200, or eight years
before the Papal Interdict, there is a clear reference to difficulties
thrown by the priests in the way of burial, especially for the poor, and
perhaps in a time of epidemic sickness such as the years 1194-6. See _Vita
S. Hugonis Lincolnensis_, Rolls series, No. 37, pp. 228-233.

[26] Eadmer, _l. c._

[27] _Polychronicon_, Rolls ed. VII. 90.

[28] _Gesta Pontificum_, Rolls ed. p. 171. Another narrator of the story
of St Elphege and the Danes is Henry of Huntingdon (Rolls ed. p. 179); he
says nothing of the pestilence, but describes the sack of Canterbury.
Eadmer also (_Historia Novorum in Anglia_, Rolls ser. 81, p. 4) omits the
pestilence.

[29] Quoted by Higden, _Polychronicon_, Rolls ed. II. 18. This may have
been one of Henry of Huntingdon’s poems which were extant in Leland’s
time, but are now lost.

[30] _Polychronicon_, II. 166.

[31] Marchand, _Étude sur quelques épidémies et endémies du moyen âge_
(Thèse), Paris, 1873, p. 49, with a reference to Fuchs, “Das heilige Feuer
im Mittelalter” in Hecker’s _Annalen_, vol. 28, p. 1, which journal I have
been unable to consult.

[32] Giraldus Cambrensis, _Topographia Hiberniae_, in Rolls edition of his
works, No. 21, vol. V.

[33] “Itinerarium Walliae” and “Descriptio Kambriae,” _Opera_, vol. VI.

[34] _Polychronicon_, I. 410.

[35] William of Newburgh, _sub anno_ 1157, I. 107.

[36] _Europe during the Middle Ages_, chap. IX.

[37] I have used for this purpose Merewether and Stephens’ _History of
Boroughs_, 3 vols. 1835.

[38] _Leechdoms, Wort-cunning and Starcraft of Early England._ Edited by
Cockayne for the Rolls Series, 3 vols. 1864-66.

[39] It is illustrative of the confusion which arises from careless
copying by later compilers of history that Roger of Wendover, in his
_Flores Historiarum_ (Eng. Hist. Society’s edition I. 159), takes Beda’s
Sussex reference to famine and makes it do duty, under the year 665, for
the great general plague of 664, having apparently overlooked Beda’s
entirely distinct account of the latter.

[40] _Hist. Eccles._ § 290:--“Siquidem tribus annis ante adventum ejus in
provinciam, nulla illis in locis pluvia ceciderat, unde et fames
acerbissima plebem invadens inopia nece prostravit. Denique ferunt quia
saepe quadraginta simul aut quinquaginta homines inedia macerati
procederent ad praecipitium aliquod sive ripam maris, et junctis misere
manibus pariter omnes aut ruina perituri, aut fluctibus absorbendi
deciderent. Verum ipso die, quo baptisma fidei gens suscepit illa,
descendit pluvia serena sed copiosa, refloruit terra, rediit viridantibus
arvis annus laetus et frugifer.”

[41] Green _Short History of the English People_, p. 39: “The very fields
lay waste, and the land was scourged by famine and plague.” I have missed
this reference to plague in the original authorities. A passage in
Higden’s _Polychronicon_ (V. 258) may relate to that period, although it
is referred to the mythical time of Vortigern.

[42] Stow, in enumerating the instances of public charity in his _Survey
of London_, ascribes the melting of the church plate to Ethelwald, bishop
of Winchester in the reign of King Edgar, about the year 963.

[43] The murrain was a flux, _anglicé_ “scitha” (Roger of Howden) or
“schitta” (Bromton).

[44] Simeon of Durham, in Rolls series, II. 188. As to fugitives, see Chr.
Evesham, p. 91.

[45] _Gesta Pontif. Angl._ p. 208.

[46] Simeon of Durham, “On the Miracles of St Cuthbert,” _Works_, II.
338-40.

[47] Anglo-Saxon Chronicle. Malmesbury adds “a mortality of men.”

[48] William of Malmesbury, _Gest. Reg._ Eng. Hist. Soc. II. 452.

[49] Malmesbury’s construction is repeated by Henry of Huntingdon, Rolls
ed. p. 209. Florence of Worcester merely says: “primo febribus, deinde
fame.”

[50] Henry of Huntingdon, p. 232.

[51] Annals of Winchester, _sub anno_ 1096.

[52] “Septimo anno propter tributa quae rex in Normannia positus edixerat,
agricultura defecit; qua fatiscente fames e vestigio; ea quoque
invalescente mortalitas hominum subsecuta, adeo crebra ut deesset
morituris cura, mortuis sepultura.” _Gest. Reg._ II. 506. Copied in the
Annals of Margan, Rolls ed. II. 506.

[53] _Râs Mâlâ_, by A. Kinloch Forbes, 2nd ed. p. 543.

[54] _Ibid._

[55] Thomas Whyte, “Report on the disease which prevailed in Kattywar in
1819-20.” _Trans. Med. Phys. Soc. Bombay_, I. (1838), p. 169. See also
Gilder, _ibid._ p. 192; Frederick Forbes _ibid._ II. 1, and Thesis on
Plague, Edin. 1840.

[56] In 1110 the tax was for the dower of the king’s daughter on her
marriage. That also was parallel with a feudal right in Gujerat: “When a
chief has to portion a daughter, or to incur other similar necessary
expense, he has the right of imposing a levy upon the cultivators to meet
it.” A. Kinloch Forbes, _Râs Mâlâ_, 2nd ed. p. 546. Refusal to plough,
_temp._ Henry I. is stated by Pearson, I. 442.

[57] Malmesbury, _Gest. Pont._ p. 442; H. of Huntingdon; Annals of Margan;
Roger of Howden.

[58] Also in the Annals of Osney: “Mortalitas maxima hominum in Anglia.”

[59] “Attenuata est Anglia, ut ex regno florentissimo infelicissimum
videretur.” William of Newburgh, Rolls ed. p. 39.

[60] Henry of Huntingdon, _sub anno_ 1138.

[61] _Gesta Stephani_, Rolls series, No. 82, vol. III. p. 99. The author
is conjectured to have been a foreigner in the service of the bishop of
Winchester, brother of the king.

[62]

  “Affluit ergo fames; consumpta carne gementes
     Exhalant animas ossa cutisque vagas.
   Quis tantos sepelire queat coetus morientium?
     Ecce Stigis facies, consimilisque lues.”

[63] William of Newburgh, _sub anno_ 1149.

[64] Stow’s _Survey of London_, Popular ed. (1890) p. 116.

[65] “Recentium esus carnium et haustus aquae, tam insolitus quam
incognitus, plures de regis exercitu panis inedia laborantes, fluxu
ventris afflixit in Hybernia.” Radulphus de Diceto, _Imagines Historiar._
I. 350.

[66] Benedict of Peterborough, I. 104, and, in identical terms, in Roger
of Howden.

[67] The speaker is represented as a Jew in France. It is significant that
the massacre of the Jews at Lynn in 1190 is stated by William of Newburgh
to have been instigated by the _foreign_ traders.

[68] Ricardus Divisiensis. Eng. Hist. Society’s ed. p. 60.

[69] Description of London, prefixed to Fitzstephen’s Life of Becket.
Reproduced in Stow’s _Survey of London_.

[70] _Petri Blesensis omnia opera_, ed. Giles, Epist. CLI. The number of
churches may seem large for the population; but it should be kept in mind
that these city parish churches were mere chapels or oratories, like the
side-chapels of a great church. Indeed, at Yarmouth, they were actually
built along the sides of the single great parish church; whereas, at
Norwich, there were sixty of them standing each in its own small parish
area, the Cathedral, as well as the other conventual churches, being the
greater places of worship. Lincoln is said to have had 49 of these small
churches, and York 40. An example of them remains in St Peter’s at
Cambridge.

[71] William of Newburgh, p. 431.

[72] _Ibid._

[73] “His quoque nostris diebus, ingruente famis inedia, et maxima
pauperum turba quotidie ad januam jacente, de communi patrum consilio, ad
caritatis explendae sufficientiam, propter bladum in Angliam navis
Bristollum missa est.” _Itiner. Walliae_, Rolls ed. VI. 68. The itinerary
of Bishop Baldwin, which the author follows, was in 1188; but the “his
quoque nostris diebus” clearly refers to a later date, which may have been
the year after, or may have been the more severe famine of 1195-7 or of
1203.

[74] _Histor. Rer. Angl._, Rolls series, No. 82, vol. I. pp. 460, 484.

[75] Ralph of Coggeshall, _sub anno_.

[76] “Variis infirmitatibus homines per Angliam vexantur et quamplures
moriuntur,” Annals of Margan, Rolls series, No. 36.

[77] Roger of Wendover, _Fl. Hist._ Rolls ed.

[78] Matthew Paris, _Chronica Majora_, Rolls series, No. 57, ed. Luard,
vol. V.

[79] Rishanger in _Chron. Monast. S. Albani_, Rolls series, No. 28.

[80] John Trokelowe, _ibid._

[81] Wendover, II. 162, 171, 190, 205.

[82] Wendover, III. 95, 98.

[83] “Qui ex avaritia inopiam semper habent suspectam.”

[84] Alboldslea, or Abbotsley, was the parish of which the famous
Grosseteste, bishop of Lincoln, was rector (perhaps non-resident) down to
1231, or to within three years of the date of the above anecdote. The
existing church is of great age, and may well have been the actual edifice
in which the scene was enacted.

[85] Wendover, III. 96.

[86] _Ibid._ III. 19, 27.

[87] Wendover, III. 381.

[88] William of Newburgh, _sub anno_ 1196.

[89] On the other hand John Stow seems to have acquired, from some
unstated source, an extraordinary prejudice against him.

[90] Matthew Paris, _Chron. Maj._ ed. Luard, V. 663, 675.

[91] Annals of Tewkesbury in _Annales Monastici_, Rolls series, No. 36.

[92] _Chronica Majora_, IV. 647; Stow, _Survey of London_.

[93] _Chron. Maj._ IV. 654.

[94] _Chr. Maj._ V. 660. Other details occur here and there to the end of
the chronicle.

[95] This is the number given by Matthew Paris. It suggests a larger
population in the capital than we might have been disposed to credit. The
same writer says that London was so full of people when the parliament was
sitting the year before (1257) that the city could hardly hold them all in
her ample bosom. The Annals of Tewkesbury put the whole mortality from
famine and fever in London in 1258 at 20,000. But the whole population did
not probably exceed 40,000.

[96] The year 1274 was the beginning of so exceptional a murrain of sheep
that it deserves mention here, although murrains do not come within the
scope of the work. It is recorded by more than one contemporary. Rishanger
(p. 84) says: “In that year a disastrous plague of sheep seized upon
England, so that the sheep-folds were everywhere emptied through the
spreading of it. It lasted for twenty-eight years following, so that no
farm of the whole kingdom was without the infliction of that misery. Many
attributed the cause of this disease, which the inhabitants had not been
acquainted with before, to a certain rich man of the Frankish nation, who
settled in Northumberland, having brought with him a certain sheep of
Spanish breed, the size of a small two year old ox, which was ailing and
contaminated all the flocks of England by handing on its disease to them.”
Under the year following, 1275, he enters it again, using the term
“scabies.” Thorold Rogers (_Hist. of Agric. and Prices_, I. 31) has found
“scab” of sheep often mentioned in the bailiffs’ accounts from about 1288;
it is assumed to have become permanent from the item of tar occurring
regularly in the accounts; but tar was used ordinarily for marking. It may
have been sheep-pox, which Fitzherbert, in his _Book of Husbandry_
(edition of 1598), describes under the name of “the Poxe,” giving a clear
account of the way to deal with it by isolation. For murrains in general,
the reader may consult Fleming’s _Animal Plagues_, 2 vols. 1871--1884, a
work which is mostly compiled (with meagre acknowledgment for
“bibliography” only) from the truly learned work of Heusinger, _Recherches
de Pathologie Comparée_, Cassel, 1844. Fleming has used only the “pièces
justificatives,” and has not carried the history beyond the point where
Heusinger left it.

[97] Continuation of Wm. of Newburgh, Rolls series No. 82, vol. II. p.
560: “Facta est magna fames per universam Angliam et maxime partibus
occidentalibus. In Hibernia vero tres pestes invaluerunt, sc. mortalitas,
fames, et gladius: per guerram mortalem praevalentibus Hybernicis et
Anglicis succumbentibus. Qui vero gladium et famem evadere potuerunt,
peste mortalitatis praeventi sunt, ita ut vivi mortuis sepeliendis vix
sufficere valerent.”

[98] See also the continuation of the chronicle of Florence of Worcester,
Bohn’s series, p. 405.

[99] Rishanger’s annals, 1259-1305, and Trokelowe’s, 1307-1323, are
printed in the volumes of _Chronica Monast. S. Albani_, No. 28 of the
Rolls series.

[100] Furnivall’s ed. Rolls series, No. 87, vol. II. 569, 573.

[101] Chronicle of William Gregory, Camden Society, ed. Gairdner, 1876.

[102] _Annales Londonienses_, Rolls series, No. 76, ed. Stubbs.
Introduction, p. lxxvi.

[103] _Ibid._ (_Annales Paulini_), p. 238.

[104] _Ibid._ p. 304.

[105] _Epistolae Cantuarienses_, Rolls series, No. 38, II. Introduction by
Stubbs, p. xxxii.

[106] _Epistolae Cantuarienses_, Rolls series, No. 38, II. Introduction by
Stubbs, p. cxix.

[107] Ralph of Coggeshall, Rolls series, No. 66, p. 156.

[108] He might have been, and probably was, the prototype of the physician
Nathan Ben Israel, in the 35th Chapter of _Ivanhoe_.

[109] Adam de Marisco to Grosseteste, _Mon. Francisc._ ed. Brewer, I. 113.

[110] I have not succeeded in finding this in the author’s writings, and
quote it at second hand.

[111] Quoted, without date, by Marchand, _Étude historique et
nosographique sur quelques épidémies et endémies du moyen âge_. Paris,
1873.

[112] I give this account of the obvious characters of spurred rye from a
recent observation of a growing crop of it.

[113] One of the greatest epidemics was in Westphalia and the Cologne
district in 1596 and 1597. It fell to be described by two learned writers,
Sennert and Horst, of whose accounts a summary is given by Short, _Air,
weather, seasons, etc._ I. 275-285.

[114] Translated into the _Philosophical Transactions_, No. 130, vol. XII.
p. 758 (14 Dec. 1676) from the _Journal des Sçavans_.

[115] _Studien über den Ergotismus_, Marburg, 1856.

[116] Simeon of Durham and Roger of Howden have the following, under the
year 1048: “Mortalitas hominum et animalium multas occupavit Angliae
provincias, et ignis aereus, vulgo dictus sylvaticus, in Deorbensi
provincia et quibusdam aliis provinciis, villas et segetes multas
ustulavit.”

[117] “Je crois qu’ils ont voulu indiquer l’ignis sacer ou de St Antoine,
qui dans ces années et surtout 1044 sévit en France.” _Recherches de
Pathologie Comparée_, vol. II. p. cxlviii.

[118] On the other hand, Short, in his _General Chronological History of
the Air, Weather, Seasons, Meteors etc._ (2 vols. London, 1749) says that
the epidemic of 1110 consisted of “especially an epidemic erysipelas,
whereof many died, the parts being black and shrivelled up;” and that in
1128, “St Anthony’s fire was fatal to many in England.” He gives no
authority in either case. But the one error is run to earth in a French
entry of 1109, “membris instar carbonum nigrescentibus” (Sig. Gembl.
auctar. p. 274, Migne); the other, most likely, in the _ignis_ around
Chartres, 1128 (Stephen of Caen, Bouquet, xii. 780).

Perhaps this is the best place to express a general opinion on the work by
Short, which is the only book of the kind in English previous to my own.
It is everywhere uncritical and credulous, and often grossly inaccurate in
dates, sometimes repeating the same epidemic under different years. It
appears to have been compiled, for the earlier part, at least, from
foreign sources, such as a Chronicle of Magdeburg, and to a large extent
from a work by Colle de Belluno (fl. 1631). Many of the facts about
English epidemics are given almost as in the original chronicles, but
without reference to them. English experience of sickness is lost in the
general chronology of epidemics for all Europe, and is dealt with in a
purely verbalist manner. So far as this volume extends (1667) I have found
Short’s book of no use, except now and then in calling my attention to
something that I had overlooked. His other work, _New Observations on
City, Town and County Bills of Mortality_ (London, 1750) shows the author
to much greater advantage, and I have used his statistical tables for the
sixteenth and seventeenth centuries.

[119] The facts were communicated to the Royal Society by Charlton
Wollaston, M.D., F.R.S., then resident in Suffolk, and by the Rev. James
Bones. They were referred by Dr G. Baker to Tissot of Lausanne, who
replied that they corresponded to typical gangrenous ergotism. See _Phil.
Trans._ vol. LII. pt. 2 (1762) p. 523, p. 526, p. 529; and vol. LX. (1768)
p. 106.

[120] An erroneous statement as to an epidemic of gangrenous ergotism, or
of Kriebelkrankheit, in England in 1676, has somehow come to be current in
German books. It has a place in the latest chronological table of ergotism
epidemics, that of Hirsch in his _Handbuch der historisch-geographischen
Pathologie_, vol. II. 1883 (Engl. Transl. II. p. 206), the reference being
to Birch, _Philos. Transact._ This reference to ergotism in England in
1676 is given also in Th. O. Heusinger’s table (1856), where it appears in
the form of “Schnurrer, nach Birch.” On turning to Schnurrer’s _Chronik
der Seuchen_ (II. 210), the reference is found to be, “Birch, _Phil.
Trans._ vols. XI. and XII.”; and coming at length to the _Philosophical
Transactions_, it appears that vols. X., XI. and XII. are bound up
together, that vol. XII. (1676) p. 758, contains an extract from the
_Journal des Sçavans_ about ergot of rye in certain parts of France, and
that there is nothing about ergotism in England in either vol. XI. or vol.
XII. So far as concerns Dr Birch, he was secretary to the Royal Society in
the next century.

[121] Knighton, _De Eventibus Angliae_ in Twysden, col. 2580: “In aestate
scilicet anno Gratiae 1340 accidit quaedam execrabilis et enormis
infirmitas in Anglia quasi communis, et praecipue in comitatu Leicestriae
adeo quod durante passione homines emiserunt vocem latrabilem ac si esset
latratus canum; et fuit quasi intolerabilis poena durante passione: ex
inde fuit magna pestilentia hominum.”

[122] _Phil. Trans._ XXIII. p. 1174 (June 26, 1702).

[123] _Op. cit._ I. pt. 2, p. 366.

[124] _Phil. Trans._ XXII. (1700-1701), p. 799, a Letter in Latin from
Joh. Freind dated Christ Church, Oxford, 31 March.

[125] The earliest religious hysterias of Sweden fall in the years 1668 to
1673, which do not correspond to years of ergotism in that country,
although there was ergotism in France in 1670 and in Westphalia in 1672.
The later Swedish psychopathies have been in 1841-2, 1854, 1858, and
1866-68, some of which years do correspond closely to periods of ergotism
in Sweden.

[126] “Moriebantur etiam plures morbo litargiae, multis infortunia
prophetantes; mulieres insuper decessere multae per fluxum, et erat
communis pestis bestiarum.” Walsingham, _Hist. Angl._, _sub anno_; and in
identical terms in the _Chronicon Angliae_ a Monacho Sancti Albani.

[127] “Magna et formidabilis pestilentia extemplo subsecuta est
Cantabrigiae, qua homines subito, prout dicebatur, sospites, invasi mentis
phrenesi moriebantur, sine viatico sive sensu.” Walsingham, _Hist. Angl._
II. 186. Under the same year, 1389, the continuator of Higden’s
_Polychronicon_ (IX. 216) says that the king being in the south and
“seeing some of his prostrated by sudden death, hastened to Windsor.”

[128] For example in the Sloane MS. 2420 (the treatise by Constantinus
Africanus of Salerno), there are chapters “De Litargia,” “De Stupore
Mentis,” and “De Phrenesi.”

[129] Th. O. Heusinger, _Studien über den Ergotismus_, Marburg, 1856, p.
35: “Es werden freilich in den Beschreibungen einiger früheren Epidemieen
öfter typhöse Erscheinungen erwähnt; die Beschreiber behaupten aber auch
dann meist die Contagiosität der Krankheit, und es liegt die Vermuthung
nahe, dass die Krankheit dann eigentlich ein Typhus war, bei dem die
Erscheinungen des Ergotismus ebenso constant vorkommen, wie sie sonst in
vereinzelteren Fällen dem Typhus sich beigesellen” (cf. ‘Dorf Gossfelden,’
in Appendix).

[130] _History of Agriculture and Prices_, I. 27.

[131] “Sed in fructibus arborum suspicio multa fuit, eo quod per nebulas
foetentes, exhalationes, aerisque varias corruptiones, ipsi fructus, puta
poma, pyra, et hujusmodi sunt infecta; quorum esu multi mortales hoc anno
[1383] vel pestem letalem vel graves morbos et infirmitates incurrerunt.”
Walsingham, _Hist. Angl._ II. 109. The continuator of Higden records under
the same year, in one place a “great pestilence in Kent which destroyed
many, and spared no age or sex” (IX. 27), and on another page (IX. 21) a
great epidemic in Norfolk, which attacked only the youth of either sex
between the ages of seven and twenty-two!

[132] Walsingham, II. 203; Stow’s _Survey of London_, p. 133.

[133] The spelling, and a few whole words, have been altered from Skeat’s
text, so as to make the meaning clear.

[134] Simpson, _Edin. Med. and Surg. Journ._ 1842, vol. LVII. p. 136.

[135] Ralph of Coggeshall (Rolls ed. p. 156) describes the death of Hubert
on 13 July, 1205, but does not mention the name of his physician.

[136] Gilberti Anglici _Compendium Medicinae_, ed. Michael de Capella.
Lugduni, 1512, Lib. VII. cap. “De Lepra,” pp. 337-345.

[137] Bernardi Gordonii _Lilium Medicinae_. Lugd. 1551, p. 88.

[138] _Compend. Med._ _Ed. cit._ p. 344.

[139] _Lilium Medicinae._ Lugd. 1551, p. 89.

[140] _Ibid._ p. 89.

[141] For fuller reference, see p. 103.

[142] _Philos. Trans. of Royal Society_, XXXI. 58: “Now in a true leprosy
we never meet with the mention of any disorder in those parts, which, if
there be not, must absolutely secure the person from having that disease
communicated to him by coition with leprous women; but it proves there was
a disease among them which was not the leprosy, although it went by that
name; and that this could be no other than venereal because it was
infectious.”

He then quotes from Trevisa’s translation of Bartholomew Glanvile, _De
proprietatibus rerum_, passages which he thinks relate to syphilis,
although they are obviously the distinctive signs of lepra taken almost
verbatim from Gilbertus Anglicus. He implies that the later so-called
leper-houses of London were really founded for syphilis when it became
epidemic. In the will of Ralph Holland, merchant taylor, mention is made
of three leper-houses, the Loke, Hackenay and St Giles beyond Holborn
Bars, as if these were all that existed in the year 1452. But in the reign
of Henry VIII. there were six of them besides St Giles’s,--Knightsbridge,
Hammersmith, Highgate, Kingsland, the Lock, and Mile End; and these, says
Beckett, were used for the treatment of the French pox, which became
exceedingly common after 1494-6.

[143] Martin, _Histoire de France_, VII. 283.

[144] One of Gascoigne’s references was copied by Beckett (_Phil. Trans._
XXXI. 47), beginning: “Novi enim ego, Magister Thomas Gascoigne, licet
indignus, sacrae theologiae doctor, qui haec scripsi et collegi, diversos
viros, qui mortui fuerunt ex putrefactione membrorum suorum et corporis
sui, quae corruptio et putrefactio causata fuit, ut ipsi dixerunt, per
exercitium copulae carnalis cum mulieribus. Magnus enim dux in Anglia,
scil. J. de Gaunt, mortuus est ex tali putrefactione membrorum genitalium
et corporis sui, causata per frequentationem mulierum. Magnus enim
fornicator fuit, ut in toto regno Angliae divulgabatur,” etc. In the _Loci
e Libro Veritatum_, printed by Thorold Rogers (Oxford, 1881), the
following consequences are mentioned: “Plures viri per actum libidinosum
luxuriae habuerunt membra sua corrupta et penitus destructa, non solum
virgam sed genitalia: et alii habuerunt membra sua per luxuriam corrupta
ita quod cogebantur, propter poenam, caput virgae abscindere. Item homo
Oxoniae scholaris, Morland nomine, mortuus fuit Oxoniae ex corruptione
causata per actum luxuriae.” p. 136.

[145] _A most excellent and compendious method of curing woundes in the
head and in other partes of the body; translated into English by John
Read, Chirurgeon; with the exact cure of the Caruncle, treatise of the
Fistulae in the fundament, out of Joh. Ardern, etc._ London, 1588.

[146] MS. Harl. 2378:--No. 86 is: “Take lynsed or lynyn clothe and brēne
it & do ye pouder in a clout, and bynd it to ye sore pintel.” Also, “Take
linsed and stamp it and a lytel oyle of olyf and a lytl milk of a cow of a
color, and fry them togeder in a panne, and ley it about ye pyntel in a
clout.” No. 87 is “for bolnyng of pyntel.” No. 88 is “For ye kank’ on a
mānys pyntel.” On p. 103 is another “For ye bolnyng of a mānys yerde....
Bind it alle abouten ye yerde, and it salle suage.” On folio 19: “For ye
nebbe yt semeth leprous ... iii dayes it shall be hole.” “For ye kanker”
might have meant cancer or chancre. The prescriptions in Moulton’s _This
is the Myrour or Glasse of Helth_ (? 1540) correspond closely with these
in the above Harleian MS. The printed book gives one (cap. 63), “For a man
that is Lepre, and it lake in his legges and go upwarde.” There is also a
prescription for “morphewe.”

[147] Nicolas Massa, in Luisini.

[148] Freeman, _The Reign of William Rufus_. App. vol. II. p. 499.

[149] _L. c._ V. 679, “Episcopus Herefordensis polipo
percutitur.--Episcopus Herefordensis turpissimo morbo videlicet morphea,
Deo percutiente, merito deformatur, qui totum regnum Angliae proditiose
dampnificavit;” and again V. 622.

[150] _Compend. Med._ _Ed. cit._ p. 170.

[151] _Lilium Med._ _Ed. cit._ p. 108.

[152] Brassac, Art. “Elephantiasis” (p. 465) in _Dict. Encycl. des
Sciences Médicales_.

[153] _Rosa Anglica._ Papiae, 1492.

[154] That Baldwin IV.’s disease excited interest in him is clear from the
reference of William of Newburgh, who calls him (p. 242) “princeps
Christianus lepram corporis animi virtute exornans.”

[155] Chronicon de Lanercost (Bannatyne Club, p. 259): “Dominus autem
Robertus de Brus, quia factus fuerat leprosus, illa vice [anno 1327] cum
eis Angliam non intravit.” The rubric on folio 228 of the MS. has
“leprosus moritur.”

[156] The original account is by Gascoigne, _Loci etc._ ed. Rogers, Oxon.
p. 228.

[157] “Item matrimonium inter dominum regem et quandam nobilem mulierem
nequiter impedivit, dum clanculo significavit eidem mulieri et suo generi,
quod rex strabo et fatuus nequamque fuerat, et speciem leprae habere,
fallaxque fuerat et perjurus, imbellis plusquam mulier, in suos tantum
sacvientem, et prorsus inutilem complexibus alicujus ingenuae mulieris
asserendo.” Matthew Paris, _Chron. Maj._, Rolls ed., III. 618-19.

[158] _Chronicon Angliae_ in Twysden, col. 2600.

[159] _Chronicle of Geoffrey le Baker_, edited by E. Maunde Thompson.
Oxford, 1889, p. 100.

[160] Professor Robertson Smith has kindly written for me the following
note: “The later Jews were given to shorten proper names; and in the
Talmud we find the shortening _La‘zar_ (with a guttural, which the Greeks
could not pronounce, between the _a_ and the _z_), for Eliezer or Eleazar.
Λάζαρος is simply _La‘zar_ with a Greek ending, and occurs, as a man’s
name, not only in the New Testament but in Josephus (_B. Jud._ V. 13, 7).
This was quite understood by early readers of the Gospels; the Syriac New
Testament, translated from the Greek, restores the lost guttural, and uses
the Syriac form, as employed in _1 Macc._ viii. 17 to render the Greek
’Ελάζαρος. Moreover the Latin and Greek _onomastica_ explain Lazarus as
meaning ‘adjutus,’ which shows that they took it from (Hebrew) ‘to
help’--the second element in the compound Eliezer. The etymology ‘adjutus’
(or the like) ‘helped by God,’ would no doubt powerfully assist in the
choice of the designation lazars (for lepers). Suicer, in his _Thesaurus_,
quotes a sermon of Theophanes, where it is suggested that every poor man
who needs help from those who have means might be called a Lazarus.”

Hirsch (_Geog. and Hist. Path._ II. 3) says that the Arabic word for the
falling sickness comes from the same root (meaning “thrown to the ground”)
as the Hebrew word “sâraat,” which is the term translated “leprosy” in
Leviticus xiii. and xiv. In Isaiah liii. 4, the Vulgate has “et nos
putavimus eum quasi leprosum,” where the English Bible has “yet we did
esteem him stricken.”

[161] Roger of Howden. Edited by Stubbs. Rolls series, No. 51, vol. I. p.
110. Aelred, the chief collector of the miraculous cures by Edward the
Confessor, appears to have omitted this one.

[162] Ailredi Abbatis Rievallensis _Genealogia Regum Anglorum_. In
Twysden’s _Decem Scriptores_, col. 368. “Cum, inquit [David], adolescens
in curia regia [Anglica] servirem, nocte quadam in hospicio meo cum sociis
meis nescio quid agens, ad thalamum reginae ab ipsa vocatus accessi. Et
ecce domus plena leprosis, et regina in medio stans, deposito pallio,
lintheo se precinxit, et posita in pelvi aqua, coepit lavare pedes eorum,
et extergere, extersosque utrisque constringere manibus et devotissime
osculari. Cui ego: ‘Quid agis,’ inquam, ‘O domina mea? Certe si rex sciret
ista, nunquam dignaretur os tuum, leprosorum pedum tabe pollutum, suis
labiis osculari.’ Et illa surridens ait: ‘Pedes,’ inquit, ‘Regis aeterni
quis nescit labiis regis morituri esse praeferendos? Ecce, ego idcirco
vocavi te, frater carissime, ut exemplo mei talia discas operari. Sumpta
proinde pelvi, fac quod me facere intueris.’ Ad hanc vocem vehementer
expavi, et nullo modo id me pati posse respondi. Necdum enim sciebam
Dominum, nec revelatus fuerat mihi Spiritus ejus. Illa igitur coeptis
insistente, ego--mea culpa--ridens ad socios remeavi.”

[163] _Vita S. Hugonis Lincolnensis._ Rolls series, 39, p. 163-4.

[164] The bishop left by his will 100 marks to be distributed “per domos
leprosorum” in his diocese and a like sum “per domos hospitales,” and
three marks each to the leper-houses at Selwood and outside Bath and
Ilchester. _Hist. MSS. Commiss._ X. pt. 3, p. 186.

[165] _Monumenta Franciscana._ Rolls series, No. 4. Introd. by Brewer, p.
xxiv.

[166] William of Malmesbury, _Gesta pontificum_, Rolls ed., p. 72.

[167] In 1574 it was found providing indoor relief for fifteen brethren
and fifteen sisters, and outdoor relief for as many more.

[168] Roger of Wendover. Rolls ed. II. 265.

[169] In the MS. of Matthew Paris’s _Chronica Majora_ in the library of
Corpus Christi College, Cambridge, No. 26 in the Parker Collection, p.
220. The late Rev. S. S. Lewis, fellow and librarian of the College, who
most liberally had a fac-simile of the drawing made for me, would date it
a little before 1250. (Rolls edition, by Luard, II. 144.)

[170] _Rotuli Chartarum_, 1199-1216. Charter of confirmation, 1204 (5
Joh.) p. 117 b.

[171] In the _Valor Ecclesiasticus_ of Henry VIII. its revenue is put at
£100.

[172] The commanderies of the Knights of St Lazarus were numerous in every
province of France. For an enumeration of them see _Les Lepreux et les
Chevaliers de Saint Lazare de Jerusalem et de Notre Dame et de Mont
Carmel_. Par Eugene Vignat, Orleans, 1884, pp. 315-364.

[173] _Joannis Sarisburiensis Opera omnia_, ed. Giles 1, 141 (letter to
Josselin, bishop of Salisbury).

[174] “Vix seu raro inveniuntur tot leprosi volentes vitam ducere
observantiis obligatam ad dictum hospitale concurrentes.” Walsingham,
_Gesta Abbatum_, Rolls ed. II. 484.

[175] Matthew Paris, _Chron. Maj._ V. 452.

[176] Walsingham, _Gesta Abbatum_, II. 401.

[177] “The sisters of St James’s were bound by no vows, and at this period
[1344] were not all, or even any of them, lepers; and in consequence a
place in the hospital was much sought after by needy dependents of the
Court.” Report on MSS. of the Dean and Chapter of Canterbury, in _Hist.
MSS. Commission Reports_, IX. p. 87.

[178] Dugdale’s _History of Warwickshire_, p. 197.

[179] On Nov. 24, 1200, king John signed at Lincoln letters of simple
protection to the _leprosi_ of St Bartholomew’s, Oxford (_Rot. Chart.
1199-1216_, p. 99).

[180] _Rotuli Hundredorum_, II. 359-60. The famous Stourbridge Fair
originally grew out of a right of market-toll granted in aid of the
leper-hospital.

[181] The decrees of the Third Lateran Council are given by several
historians of the time, among others by William of Newburgh, pp. 206-223.

[182] Roger of Howden, Rolls edition, II. 265.

[183] William of Newburgh, Rolls edition, p. 437.

[184] See the various charters and memorials in Surtees’ _History of
Durham_.

[185] Two of the larger houses for lepers not mentioned in the text were
St Nicholas’s at Carlisle and the hospital at Bolton in Northumberland,
each with thirteen beds.

[186] By collecting every reference to lepers or lazar-houses in Tanner’s
_Notitia Monastica_ or in Dugdale’s _Monasticon_ Sir J. Y. Simpson has
made out a table of some hundred leper-houses in Britain (_Edin. Med. and
Surg. Journ._ 1841 and 1842). Simpson’s table has been added to by Miss
Lambert in the _Nineteenth Century_, Aug.-Sept. 1884, by the Rev. H. P.
Wright (_Leprosy_ etc. 1885), who says at the end of his long list: “There
were hundreds more,” and by Mr R. C. Hope (_The Leper in England_,
Scarborough, 1891), whose list runs to 172.

Perhaps the most remarkable development of that verbalist handling of the
matter has been reserved for a recent medical writer, who has constructed,
from the conventional list of leper-hospitals, a map of the _geographical
distribution of leprosy_ in medieval Britain. (_British Medical Journal_,
March 1, 1890, p. 466.)

[187] The Lock was doubtless the house of the “Leprosi apud Bermondsey”
who are designated in the Royal Charter of 1 Hen. IV. (1399) as
recipients, along with the _leprosi_ of Westminster (St James’s), of “five
or six thousand pounds.” (_Rotuli Chartarum_, 1 Hen. IV.)

[188] Beckett, _Phil. Trans._, vol. 31, p. 60.

[189] Stow, _Survey of London_, ed. of 1890, p. 437.

[190] Beckett, _l. c._ The Knightsbridge house was earlier. See next note.

[191] _Survey of London_, pop. ed. p. 436. Bequests to lepers occur in
various wills of London citizens, in Dr Sharpe’s _Calendar of Wills_, vol.
II. Lond. 1890. In a will dated 21 April, 1349, the bequest is to “the
poor lazars without Southwerkebarre and at Hakeney” (p. 3). On 1 July,
1371, another bequeaths money to “the three colleges of lepers near
London, viz. at _le loke_, at St Giles de Holbourne, and at Hakeney” (p.
147). On 7 April, 1396, bequests are made to “the lepers at le loke near
Seynt Georges barre, of St Giles without Holbournebarre, and le meselcotes
de Haconey” (p. 341). The “lazar house at Knyghtbrigge” appears, for the
first time, in a will dated 21 Feb. 1485, along with “the sick people in
the lazercotes next about London” (p. 589).

[192] _Accounts of the Lord High-Treasurer of Scotland._ Rolls series I.
1473-1498, pp. 337, 356, 361, 378, 386.

[193] These are all the so-called “medieval leper-hospitals” collected by
Belcher (_Dubl. Quart. Journ. of Med. Sc._ 1868, August, p. 36) chiefly
from Archdall’s _Monasticon Hibernicum_. He points out that the very early
references to leprosy in the _Annals of the Four Masters_ included various
kinds of cutaneous maladies.

[194] _Chronicon Abbatiae Rameseiensis._ Rolls series, 1886, p. 157. The
chronicler has nothing farther to say as to the cause of the leprosy, than
the opinion of “a certain philosopher,” that whatever turns us from health
to the vices of disease acts by the weight of too much blood, by
superfluous heat, by humours exuding in excess, or by the spirits flowing
with unwonted laxity through silent passages.

[195] Eadmer, _Vita S. Anselmi_, Rolls edit., p. 355.

[196] Walsingham, _Gesta Abbatum_, Rolls edit. II. Appendix C. p. 503.

[197] Brassac, Art. “Éléphantiasis,” in _Dict. Encycl. des Sc. Méd._ p.
475, says: “Il y avait aussi des vagabonds et des paresseux qui, sans
nulle crainte de la contagion, et désireux de vivre sans rien faire,
simulaient la lèpre pour être admis aux léproseries. On y trouvait encore
des personnes qui s’imposaient une réclusion perpétuelle pour vivre avec
les lépreux et faire leur salut par une vie de soumission aux règles de
l’Église.”

[198] The ordinance is translated in full from the City archives by H. T.
Riley, _London in the Thirteenth, Fourteenth and Fifteenth Centuries_, pp.
230-231. The following is the preamble of it:--

“Edward, by the grace of God, etc. Forasmuch as we have been given to
understand that many persons, as well of the city aforesaid as others
coming to the said city, being smitten with the blemish of leprosy, do
publicly dwell among the other citizens and sound persons, and there
continually abide and do not hesitate to communicate with them, as well in
public places as in private; and that some of them, endeavouring to
contaminate others with that abominable blemish (that so, to their own
wretched solace, they may have the more fellows in suffering,) as well in
the way of mutual communications, and by the contagion of their polluted
breath, as by carnal intercourse with women in stews and other secret
places, detestably frequenting the same, do so taint persons who are
sound, both male and female, to the great injury of the people dwelling in
the city aforesaid, and the manifest peril of other persons to the same
city resorting:--We” etc.

[199] Riley, p. 384.

[200] _Dialogue of the Fever Pestilence._ Early Eng. Text Soc.

[201] Riley, p. 365.

[202] Rymer’s _Foedera_, v. pt. 2, p. 166.

[203] Wharton’s _Anglia Sacra_, 11. Praef. p. 32.

[204] The expression “leprosa Sodomorum” occurs in a Latin poem from a
medieval MS. found in Switzerland. The verses are printed in full by
Hensler, _Geschichte der Lustseuche_, p. 307.

[205] These and other particulars relating to lepers in Scotland are given
in Simpson’s _Antiquarian Notices of Leprosy in Scotland and England_
(_Edin. Med. and Surg. Journ._ Oct. 1841, Jan. and April 1842), a series
of excellent papers which have been for many years the source of most that
has been written of medieval leprosy in this country.

[206] Letter to Barrington, 8 January, 1778.

[207] These numbers seem to stand for the contents of the larders in all
the various manors of De Spenser.

[208] Mr Jonathan Hutchinson has been adding, year after year, to the
evidence that semi-putrid fish, eaten in that state by preference or of
necessity, is the chief cause of modern leprosy, and he has successfully
met many of the apparent exceptions. Norway has had leprosy in some
provinces for centuries; and it is significant that William of Malmesbury,
referring to those who went on the first Crusade, says: “Scotus
familiaritatem pulicum reliquit, Noricus cruditatem piscium.” (_Gesta
Regum_, Eng. Hist. Soc. II. 533.)

[209] In his section _De preservatione a lepra_ (p. 345) Gilbert advises
to avoid, among other things, all salted fish and meat, and dried bacon.

[210] Acts of Robert III. in the _Regiam Majestatem_, p. 414 (quoted by
Simpson, _Ed. Med. and Surg. Journ._ vol. 57, p. 416).

[211] Dr Gilbert Skene, of Aberdeen, and afterwards of Edinburgh, in his
book on the plague (1568), has an incidental remark about “evil and
corrupt meats” which may be taken in a literal sense: “As we see dailie
the pure man subject to sic calamitie nor the potent, quha are constrynit
be povertie to eit evill and corrupte meittis, and diseis is contractit,
heir of us callit pandemiall.” (Bannatyne Club edition, p. 6.)

[212] Higden’s _Polychronicon_. Edited for the Rolls series by Babington
and Lumby, vol. VIII.

[213] _The Annals of Ireland._ By Friar John Clyn, of the Convent of
Friars Minor, Kilkenny, and Thady Dowling, Chancellor of Leighlin. Edited
from the MSS. etc. by R. Butler, Dean of Clonmacnois. Dublin, 1849 (Irish
Archæological Society). The last entry by Clyn himself appears to be the
words “magna karistia” etc., under 1349. There is added “Videtur quod
author hic obiit;” and then two entries of pestilence made in 1375 in
another hand.

[214] Henricus de Knighton, _Chronicon Angliae_, in Twysden’s _Decem
Script. Angl._ col. 2598 _et seq._ An edition of Knighton’s _Chronicle_,
by Lumby, is in progress for the Rolls series.

[215] _Chronicle of Geoffrey le Baker._ Edited by E. Maunde Thompson,
Oxford, 1889.

[216] Robertus de Avesbury, _Historia de Mirabilibus Gestis Regis Ed.
III._, Oxon. 1720. Also in the Rolls series. Edited by E. Maunde Thompson.

[217] _Eulogium Historiarum._ Rolls series, No. 9. Edited by Haydon, III.
213.

[218] _Itineraria Symonis Simeonis et Willelmi de Worcestre._ Edited by
Nasmith from the MSS. in the library of Corpus Christi College, Cambridge.
Cantab. 1778, p. 113: “parum ante nativitatem Domini intravit villam
Bodminiae, ubi mortui fuerunt circa mille quingentos per estimacionem.”

[219] Histor. MSS. Commission, vi. 475.

[220] Wilkins, _Concilia_ II. 745: “Contagium pestilentiae moderni
temporis undique se dilatans etc.”

[221] Rymer’s _Foedera_, V. 655:--“Quia tamen subita plaga Pestilentiae
Mortalis in loco praedicto et aliis partibus circumvicinis adeo indies
invalescit, quod de securo accessu Hominum ad locum illum formidatur
admodum hiis diebus.”

[222] _Ibid._--“Et quia dicta Pestilentia Mortalis in dicto loco
Westmonasteriensi ac in civitate Londoniae, ac alis locis circumvicinis,
gravius solito invalescit (quod dolenter referimus) per quod accessus
Magnatum et aliorum nostrorum Fidelium ad dictum locum nimis periculosus
foret,” &c. This second prorogation was _sine die_.

[223] _Calendar of Wills_ (Husting Court, London), ed. Sharpe, Lond. 1889,
I. 506-624.

[224] Clyn. But his account for Kilkenny, where he lived, makes the
epidemic either earlier or later there than at Dublin: “Ista pestilencia
apud Kilkenniam in XL{a} invaluit; nam VIto die Marcii viii fratres
predicatores infra diem Natalem obierunt,” the Lent referred to being
either that of 1349 or of 1350. The difficulty about assigning the landing
of the infection near Dublin in the beginning of August to the year 1348
is that the English importation had only then taken place. But of course
Ireland may have got it direct from abroad.

[225] _Op. cit._ p. 98: “Torserunt illos apostemata e diversis partibus
corporis subito irrumpencia, tam dura et sicca quod ab illis decisis vix
liquor emanavit; a quibus multi per incisionem aut per longam pacienciam
evaserunt. Alii habuerunt pustulos parvos nigros per totam corporis cutem
conspersos, a quibus paucissimi, immo vix aliquis, vitæ et sanitati
resilierunt.”

[226] “Nam multi ex anthrace et ex apostematibus, et pustulis quae
creverunt in tibiis et sub asellis, alii ex passione capitis, et quasi in
frenesim versi, alii spuendo sanguinem, moriebantur,” p. 36.

[227] _A Treatise faithfully and plainely declaring the way of preventing,
preserving from and curing that most fearfull I and contagious disease
called the Plague. With the Pestilential Feaver and other the fearful
symptomes and accidents incident thereto._ By John Woodall, surgeon to St
Bartholomew’s Hospital, &c. London, 1639.

[228] Robertus de Avesbury, Rolls ed., p. 177.

[229] _Eulogium Historiarum._ Rolls ser. No. 9, III. 213.

[230] Rymer’s _Foedera_, V. 668.

[231] “Pro quorum defectu [referring to the fugitive villeins] mulieres et
parvuli invise missi sunt ad carucas et ad plaustra fuganda.” _Eulogium._
Rolls ed. III. 214.

[232] Nichols, _History Of Leicestershire_, I. 534.

[233] Nichols, _l. c._

[234] For a series of years the burials in the St Martin’s register are as
follow:

  1610    82
  1611   128
  1612    39
  1613    25
  1614    34
  1615    60
  1616    41
  1617    31
  1618    37
  1619    28
  1620    25
  1621    43
  1622    27
  1623    37
  1624    24.

[235] _History and Antiquities of the University of Oxford._ Ed. Gutch I.
449. He says also: “The school doors were shut, colleges and halls
relinquished, and none scarce left to keep possession or make up a
competent number to bury the dead.” The rest of his account of the Black
Death is copied from Le Baker’s Chronicle of Osney.

[236] _Itinerarium_, _l. c._

[237] Stow’s _Survey_. “Portsoken Ward.”

[238] “Lying without the walls on the north part of the city between the
land of the abbot of Westminster and the prior of St John of Jerusalem.”
French Chronicle of London (p. 56), as quoted by Stubbs, in preface (p.
lxxxi) to _Annales Londonienses_, Rolls series, No. 76.

[239] Robertus de Avesbury, _Historia Edwardi III._ Rolls ed. p. 407.
“Quotidie multos vita privavit, et in tantum excrevit quod a festo
Purificationis usque post Pascha, in novo tunc facto cimiterio juxta
Smithfeld plus quam cc corpora defunctorum, praeter corpora quae in aliis
cimiteriis civitatis ejusdem sepeliebantur, quasi diebus singulis sepulta
fuerunt.... In festo Pentecostes cessavit Londoniis.”

[240] Stow’s _Memoranda_. Camden Soc., 1880.

[241] Camden’s _Britannia_, ed. Gough, II. 9.

[242] Rickman, _Abstract of the Population Returns of 1831_. London, 1832.
Introduction, p. 11.

[243] Stow’s _Survey_, p. 392.

[244] The population of London is stated on good authority, that of its
archdeacon, in a letter to Pope Innocent III. (_Petri Blessensis Opera
omnia_, ed. Giles, vol. II. p. 85), to have been 40,000 about the years
1190-1200, a period of great expansion or activity. By the usual reckoning
of the poll-tax in 1377 the population would have been 44,770; and in the
year 1349 it was probably not far from those numbers. This matter comes up
again in the next chapter.

[245] _Memorials of London in the 13th, 14th and 15th centuries_, edited
from the Archives of the City, A.D. 1246-1419, by H. T. Riley. Lond. 1868,
p. 219.

[246] _Ibid._, pp. 239-40.

[247] Blomefield, _History of Norfolk_, III. 93.

[248] Peter of Blois, who as archdeacon of London was in a position to
know, gives in his letter to the pope the number of parish churches in the
City at 120.

[249] Popham, “Subsidy Roll of 51 Edward III.,” in _Archæologia_, VII.
(1785) p. 337.

[250] _Itineraria, et cet._ ed. Nasmith, Cantab. 1778, p. 344. See also
Weever, _Funeral Monuments_, p. 862, according to whom the record of the
great mortality was on a chronological table hanging up in the church.

[251] Walsingham, _Gesta Abbatum_. Rolls ed. II. 370. Abbot Michael, he
says, “tactus est communi incommodo inter primos de suis monachis qui illo
letali morbo percussi sunt.”

[252] Th. Stubbs’ _Chronicle of York_ in Twysden, col. 1732.

[253] _Chronicon Monasterii de Melsa_, Rolls ed. III. 36.

[254] Rymer’s _Foedera_.

[255] Lowth, _Life of William of Wykeham_, p. 93, with a ref. to Regist.
Edyngdon, pt. 1. fol. 49.

[256] Bentham, _Hist. of Ely_.

[257] Clyn.

[258] Jessopp, “The Black Death in East Anglia” in _Nineteenth Century_,
April 1885, p. 602. The sources of these interesting particulars are not
given.

[259] Peck’s _Antiquarian Annals of Stamford_, Bk. XI. p. 47.

[260] _Hist. MSS. Commission’s Reports_, IX. p. 127: “Hi quatuor tantum
moriebantur de pestilencia.” The reporter on the MSS. of the Dean and
Chapter conjectures that the monastery may have owed its comparative
immunity to the fact that it was supplied with water brought by closed
pipes from the hills on the north-east of the city.

[261] Walsingham, _Gesta Abbatum_.

[262] Knighton.

[263] _History of Norfolk_, III. 94.

[264] Owen and Blakeway, _History of Shrewsbury_, I. 166:--“The average
number of institutions to benefices on vacancies by death in the
archdeaconry of Salop, for ten years before 1349, and ten years after, is
one and a half per annum, or fifteen in the whole; in that year alone the
number of institutions on vacancies by death is twenty-nine, besides other
institutions the cause of whose vacancies is not specified and therefore
may also have been the same.”

[265] F. Seebohm, “The Black Death and its Place in English History,”
_Fortnightly Review_, Sept. 1 and 15, 1865:--“In the library of the Dean
and Chapter, at York Minster, are voluminous MSS., known by the name of
_Torr’s MSS._, which contain the clergy list of every parish in the
diocese of York, and which, in by far the greater number of instances,
state not only the date of each vacancy, but whether it was caused by
death, resignation or otherwise of the incumbent.” _L. c._ p. 150.

[266] Jessopp, “The Black Death in East Anglia,” _Nineteenth Century_,
April 1885, pp. 600-602. This author remarks that the evidence from manor
court rolls and from the Institution Books of the clergy “has hardly
received any attention hitherto, its very existence being entirely
overlooked, nay, not even suspected.”

[267] G. Poulett Scrope, M.P., F.R.S., _The Manor and Barony of Castle
Combe_. London, 1852, p. 168.

[268] The court rolls of the Manor of Snitterton, Norfolk, in the British
Museum. Professor Maitland has lately edited some of the earliest rolls of
manor courts for the Selden Society.

[269] G. Poulett Scrope, _op. cit._ pp. 151-2.

[270] F. Seebohm, _The English Village Community_, London, 1882. The Manor
Court Rolls of Winslow, upon which Mr Seebohm bases his work, are in the
library of the University of Cambridge.

[271] Rev. Augustus Jessopp, D.D. “The Black Death in East Anglia,”
_Nineteenth Century_, Dec. 1884.

[272] Under the heading “The Black Death in Lancashire,” Mr A. G. Little
has printed, with remarks, in the _English Historical Review_, July, 1890,
p. 524, the data submitted to a jury of eighteen who had been empannelled
to settle a dispute between the archdeacon of Richmond and Adam de
Kirkham, dean of Amounderness, touching the account rendered by the dean,
as proctor for the archdeacon, of fees received for instituting to vacant
livings, for probates of wills, and for administration of the goods of
intestates. The dean’s account to the archdeacon is said to run “from the
Feast of the Nativity of our Lady [8 September] in the year of our Lord
1349 unto the eleventh day of January next following;” but it may not
imply, and almost certainly does not, that the vacancies in benefices, the
probates and the letters of administration, or the corresponding deaths of
individuals, fell between those dates. The archdeacon alleges what fees
Adam de Kirkham had received, but had not accounted for, and the jury find
what Adam did actually receive. Nine benefices of one kind or another are
mentioned as vacant, three of them twice. The numbers said to have died in
the several parishes, with the number of wills and of intestate estates, I
have extracted from the data and tabulated as follows:

  +--------------------------------------------------------------+
  |   Parish   | Men & Women |   With wills    |   Intestate     |
  |            |    dead     | (above 100 sh.) | (above 100 sh.) |
  |------------|-------------|-----------------|-----------------|
  | Preston    |    3000     |       300       |       200       |
  | Kirkham    |    3000     |        --       |       100       |
  | Pulton     |     800     |        --       |        40       |
  | Lancaster  |    3000     |       400       |        80       |
  | Garestang  |    2000     |       400       |       140       |
  | Cokram     |    1000     |       300       |        60       |
  | Ribchestre | [illegible] |        70       |        40       |
  | Lytham     |     140     |        80       |        80       |
  | St Michel  |      80     |        50       |        40       |
  | Pulton     |      60     |        40       |        20       |
  +--------------------------------------------------------------+

Of the alleged 300 who died in Preston parish, leaving wills, five married
couples are named, the probate fees being respectively ½ marc, 6 sh., 40
d., 4 sh., and 40 d. The archdeacon’s whole claim for the 300 was 20
marcs, which the jury reduced to 10 pounds. Of the alleged 200 intestates
in the same parish, two married couples, one woman, and “Jakke o þe hil”
are named. In the parish of Garstang, the executors of 6 deceased are
named, whose probate fees in all amounted to 16 sh. 10 d., the whole claim
of the archdeacon for 400 deceased leaving wills being £10, and the award
of the jury 40 sh. In the parish of Kirkham, on a claim of 20 marcs for
probate fees not accounted for, “the jury say that he received £4;” on a
claim of £10 for quittance, the jury say 20 sh. This was a parish in which
3000 are said to have died, the number of wills being not stated. The
numbers had obviously been put in for a forensic purpose, and are, of
course, not even approximately correct for the actual mortality, or the
actual number of wills proved, or of letters of administration granted.
The awards of the jury amounted in all to £48. 10_s._ See also _Eng. Hist.
Review_, Jan. 1891.

[273] Thorold Rogers, _History of Agriculture and Prices_, I. 296-7.

[274] Cussan’s _Hertfordshire_, vol. I. Hundred of Odsey, p. 37.

[275] _Sat. Rev._ 16 Jan. 1886, p. 82.

[276] Jessopp, _l. c._ April 1885, p. 611-12.

[277] The priory of Christ Church, Canterbury, lost the following live
stock in the murrain of 1349: oxen, 757, cows and calves, 511, sheep,
4585. (_Hist. MSS. Commission_, V. 444.)

[278] The author of the _Eulogium_, who wrote not later than 1367, and is
for his own period an authority like Knighton, gives the following prices:
wheat, 12 pence a quarter, barley 9 pence, beans 8 pence; a good horse 16
shillings (used to be 40 sh.), a large ox 40 pence, a good cow 2 sh. or 18
pence. Of the scarcity of servants he says: “Pro quorum defectu mulieres
et parvuli invise missi sunt ad carucas et ad plaustra fuganda.”

[279] “The English Manor;” two articles in the _Saturday Review_, 9th and
16th Jan. 1886, p. 82 [by Professor Sir Frederick Pollock], the sources of
information being as yet unpublished. He says: “The prospect of better
terms brought in new tenants.”

[280] Stubbs, _Constitutional History of England_, 1875, II. 434. Höniger,
dealing with the German evidence of the Black Death, concludes that the
great mortality was almost without significance for the political course
of affairs; that the great loss of life was unable to check the revival of
trade and industry which had already begun or to retard the splendid
development of the German free towns; that the low state of morals
belonged to the period and was no worse after the epidemic than before;
that no new impulse was given or point of view brought out, unless,
perhaps, the idea of sanitary regulation; and that the scarcity of labour
was merely an incident to be taken advantage of in the struggle against
the existing order which was already going on. (_Der schwarze Tod in
Deutschland._ Berlin, 1882, p. 133.)

[281] Richter, _Geschichte der Medicin in Russland_, I. 215.

[282] _Histoire des Huns_, V. 223-4.

[283] _Ib._ p. 226, note.

[284] _Der schwarze Tod im vierzehnten Jahrhundert_, Berlin, 1832. Engl.
Transl. by Babington, Lond. 1833. This well-known work presents the more
picturesque aspects of the Black Death in various countries, without
thoroughness for any. England has a large space in the book; but the
author has not gone for his information farther than the chapter on the
Black Death in Barnes’s _Life of Edward III._

[285] Printed in Häser’s _Archiv für die gesammte Medicin_, 1842, II. pp.
26-59; and reprinted in his _Geschichte der Med. u. epid. Krankheiten_,
III. 157, 3d ed., Jena, 1882.

[286] _Geschichte der Medicin_, Bd. III. “Epidemische Krankheiten.” Jena,
1882, p. 139. He gives point to this phrase by an account of the local
plagues of recent times in Gujerat and Kumaon.

[287] His essay is one of the Escurial MSS., and has been printed, with a
German translation, by M. H. Müller, in the _Sitzungsberichte der
Münchener Akad. der Wissensch_. 1863.

[288] _Voyages d’Ibn Batoutah_ in 4 vols., for the Société Asiatique,
Paris, 1853, I. 227-9, and IV. 309.

[289] See Sir Henry Yule’s _Cathay and the Way Thither_ (2 vols. Hakluyt
Society) and his edition of _The Book of Marco Polo_, for numerous
particulars of the overland trade to China by the northern parallels, in
the 14th century.

[290] The stages, distances, expenses, &c. from Tana to Peking are given
in Pegolotti’s mercantile handbook (written about 1340), in Yule’s _Cathay
and the Way Thither_, vol. II.

[291] C. A. Gordon, M.D. in _Reports of Med. Officers to the Imperial
Maritime Customs of China_, London, 1884.

[292] Gaubil, _Histoire de Gentchiscan_, Paris, 1739.

[293] _The Famine in China_, London, 1878--a translation of a Chinese
appeal for charity, with illustrations.

[294] Parliamentary Papers, 1878, China, No. 4.

[295] In Yule’s _Cathay and the Way Thither_ (Hakluyt Society), I. 156.

[296] Etienne Pariset, _Causes de la Peste_. Paris, 1837.

[297] Volney, _Voyages en Syrie et en Egypte_. Paris, 1792.

[298] Cornelius de Pauw, _Philosophical Reflections on the Egyptians and
Chinese_, Engl. Transl. Lond. 1795, 2 vols.

[299] It is noteworthy that Herodotus represents the question of disposal
of the dead as having been raised by the Egyptians: they decided in favour
of embalming and rock entombment, as against cremation or burial, the
reason given for the preference being that fire was “a savage beast,” in
the one case, while in the other case, the devouring beast was the worm.
Bk. III. § 16.

[300] Curiously enough it was among the Christians of Egypt that the
controversy as to the _corruptibles_ and the _incorruptibles_ raged most
furiously. See Gibbon.

[301] Clot Bey, _Peste en Egypte_. Paris, 1840.

[302] Benoit de Maillet, _Description de l’Egypte_. Paris, 1735, p. 281.
See also Wilkinson, _Ancient Egyptians_, III. 456, 465.

[303] Justus Doolittle, _Social Life of the Chinese_, 2 vols. New York,
1867, I. 33, 198, 213.

[304] T. T. Cooper, _Travels of a Pioneer of Commerce_, Lond. 1871, p. 23,
33.

[305] This is one of the remarks in Dr Gilbert Skene’s treatise on the
Plague, Edinburgh, 1568 (reprinted for the Bannatyne Club, 1840):--Among
the causes are “deid cariounis unbureit, in speciale of mankynd, quhilkis
be similitude of nature is maist nocent to man, as everie brutall is maist
infectand and pestilentiall to thair awin kynd,” p. 6.

[306] A. von Kremer, “Ueber die grossen Seuchen des Orients nach
arabischen Quellen.” _Sitzungsber. der Wien. Akad._, Philos.-histor.
Classe, Bd. 96 (1880), p. 69.

[307] Ch. M. Doughty, _Travels in Arabia Deserta_, 2 vols. Cambridge,
1888.

[308] Communicated to Herr von Kremer (_l. c._) by Nury Effendi, who
visited Assir, and wrote a report preserved in MS. in the Archives at
Constantinople.

[309] “Report regarding Mahamurree in Kumaon and Garhwal in 1851-52.” By
F. Pearson and Mookerjee. Agra, 1852 (Extracts in _Ind. Annals of Med.
Sc._, I. 358). Also extracts (_Ib._) from Renny’s Report, 1851.

[310] Planck, _Ninth Report of the Sanitary Commissioner, N. W. Prov._
Allahabad, 1877, pp. 40-95. (Extracts, p. 39, of _Papers relating to the
Plague, Parl. Papers_, 1879.)

[311] Baber, in _Parliamentary Papers_, 1878, “China.” No. 6. Rocher
(_Province Chinoise de Yun-nan_) quoted, without the reference, in _Med.
Reports of Chinese Imperial Maritime Customs_, No. 15, 1878, Shanghai, p.
25.

[312] J. H. Lowry, _Med. Rep. Chinese Mar. Customs_, No. 24, 1882, p. 27.

[313] D. J. Macgowan, _Ib._ 1882. Report for Wenchow.

[314] Thomas Whyte, “Report on the Disease which prevailed in Kattywar,
etc. in 1819-20.” _Trans. Med. Phys. Soc. Bombay_, I. 155. Bombay, 1838.

[315] I have curtailed the evidence from Gujerat; it will be found at
large in the following writers: Gilder, _Bombay Med. Trans._ I. 193;
McAdam, _ib._ 183; F. Forbes, _ib._ II. |I, and Thesis on Plague, Edin.
1840; Glen, _Quart. Journ. Cal. Med. Soc._ I. 433; Ranken, _Report on Pali
Plague_, Calcutta, 1838; and Whyte, as above.

[316] L. Arnaud, _Peste de Benghazi_, Constantinople, 1875; _Essai sur la
Peste_, Paris, 1888; _Une Mission pour la Peste_, Paris, 1888.

[317] T. Farquhar, M.D., “Typhus Fever in the Eusofzai,” _Ind. Annals of
Med. Sc._ II. 504; R. Lyell, M.D., “Fever of the Yusufzai Valley,” _Ib._
II. p. 16.

[318] Surgeon-General J. Murray, M.D., at Epidemiological Society, 11 May,
1878. _Med. Times and Gaz._ I. 1878, p. 597.

[319] Alex. Rittmann, _Chronik der Pest._ Brünn, 1879.

[320] Thomas Lodge, _Treatise of the Plague_, Lond. 1603, chap. III.
Skene, in his Edinburgh essay on plague in 1568, gives as a sign of
impending plague the moles and “serpents” leaving their holes: “As when
the moudewart and serpent leavis the eird, beand molestit be the vapore
contenit within the bowells of the samin.” He adds what agrees still
farther with modern experience in Yun-nan: “If the domesticall fowls
become pestilential, it is ane signe of maist dangerous pest to follow.”
(Bannatyne Club ed. p. 9).

[321] The writer of the article “Peste” in the _Dict. Encycl. des Sc.
Med._, Dr Mahé, inclines on the whole to the view that the poison of
plague is somehow related to cadaveric products: “Parmi ces accusations
d’insalubrité publique, il en est une qui repose sur un objectif plus
positif en apparance” viz. the “miasme des cadavres.”

[322] Sir Tobie Matthews’ _Letters_. Lond. 1660, p. 110.

[323] _Epist. de rebus familiar._ Lib. viii. epist. 7. The citation of
these contemporary illustrations of the Black Death was begun in the last
century by Sprengel (_Beiträge_, &c., p. 37).

[324] _Foedera_, III. 184; it was renewed on 30th June for a year longer.

[325] Avesbury.

[326] _Foedera_, III. 192.

[327] _Ib._ 193.

[328] _Ib._ 200, 201.

[329] Le Baker’s _Chronicle of Osney_. Avesbury.

[330] _Foedera_, III. 221.

[331] Avesbury, Rolls ed. 425.

[332] Blomefield (_Hist. of Norfolk_, III.) says that the writ to Norwich
in 1355 was for 120 men-at-arms to be sent to Portsmouth by Sunday in
mid-Lent.

[333] Avesbury, pp. 427-8.

[334] _Ib._ p. 425.

[335] _Ib._ p. 461.

[336] Avesbury, p. 431.

[337] Thorold Rogers, _Hist. of Agric. and Prices_, I. 367, “according to
an account quoted by Misselden in his _Circle of Commerce_.” The sack of
wool contained 52 cloves of 7 lbs. each, or 364 lbs. It appears from a
statute of 5 Ric. II. that 240 wool-fells were equivalent, for duty, to
one sack of wool. In Rogers’ tables, the wool-fell is usually priced at
about the value of 1½ lbs. of wool, which was at the same time about the
average clip of a sheep. The present average clip would be at least four
times as much. The colonial bale of wool is of the same weight as the
medieval sack, but would represent 40 to 60 fleeces, instead of about 240.
At the smallest of the estimates in the text, the wool of 7,680,000 sheep
would have been exported in a year. Avesbury’s estimate would mean an
annual export to foreign countries of the clip of about 24,000,000 sheep.
The average price of a sack of wool just before the Black Death was about
£4 in money of the time; the period immediately following the plague was
one of low prices; but from 1364 to 1380, the price was uniformly high.

[338] _Foedera_, III. 186.

[339] _Ib._ III. 191.

[340] Jessopp (_l. c._) giving a general reference to the _Foedera_, and
probably having the Sandwich letter in view, says there was “mad,
unreasoning, insensate panic among well-to-do classes--the trader and the
moneyed man, the _bourgeoisie_ of the towns,” and “a stampede,”
(presumably to foreign parts). But the mortality was all over by 1st
December, 1349; and the exodus, whatever motive it may have had, was
almost certainly deliberate.

[341] _Foedera_, III. 198.

[342] The last clause of the ordinance implies that not only the labourers
but also the employers of labour were taking the natural advantage of the
situation. There appears to be some particular evidence of this for
Bristol (Rev. W. Hunt, _Bristol_, p. 77): the masters in various crafts
and trades were so reduced in numbers that the survivors could charge what
they pleased. Thus, the attempt to coerce labourers and skilled workmen
was a one-sided affair; although, in practice, it related mostly to
farm-labour, where the one-sidedness did not appear.

[343] _Foedera_, III. 210.

[344] _Rot. Parl._ II. 225.

[345] This was the first parliamentary Statute of Labourers (25 Ed. III.
cap 2). The king’s ordinance of 18th June, 1350 (re-issued for Suffolk and
Lindsey on 18th Nov.), is usually reckoned the first Statute of Labourers,
and is invariably assigned to the 23rd year of Edward III., being so
entered in the _Statutes of the Realm_. It is clear, however, from the
text of the ordinance in the _Foedera_ that it belongs to the 24th of
Edward III., its exact date being 18th June, 1350. Longman, in his
_History of the Life and Times of Edward III._, correctly states in one
place (I. 309) that the ordinance of 18th June, 1350, was “the first
step,” but on the very next page, after stating that the ordinance failed,
he proceeds, according to the usual chronology of 23 Ed. III. and 25 Ed.
III., to say that “therefore, two years afterwards,” the statute of 25 Ed.
III. was made in Parliament. The interval was only some eight months.

[346] _Rot. Parl._ II. 234.

[347] Knighton, in Twysden’s _Decem Scriptores_, _l. c._

[348] Seebohm, _The English Village Community_. Chapter I.

[349] The Statute of Labourers was re-enacted with increased stringency
six years after (31 Ed. III.), and again in 1360 and 1368. All the labour
statutes were confirmed in the 12th year of Richard II. (cap. 34).
Legislative attempts of the same kind continued to be made as late as the
5th of Elizabeth (1562-3), with particular reference to sturdy beggars.
See copious extracts from the Statutes in Sir George Nicholls’s _History
of the English Poor Law_, vol. I. Lond. 1854. “An Act for regulating
Journeymen Tailors” was made in 7 Geo. I. (cap. 13).

[350] “There is no trace of the villenage described in Glanville and
Bracton, among the tenants of a manor 500 years ago. All customary
services were commutable for money payments; all villein tenants were
secure in the possession of their lands; and the only distinction between
socage and villein occupation lay in the liberation of the former from
certain degrading incidents which affected the latter.” Thorold Rogers,
“Effects of the Black Death, &c.” _Fort. Rev._ III. (1865) p. 196.

[351] Seebohm, _The English Village Community_. Lond. 1882. Chapter I.

[352] Seebohm, p. 31. Such attempts by landowners, to go back to personal
service from their villein tenants, appear to have become more systematic
in the generation following, and to have been a cause of the Peasants’
Rebellion in 1381. See v. Oschenkowski, _England’s wirthschaftliche
Entwickelung_, Jena, 1879, confirming the opinion of Thorold Rogers.

[353] Smith, _Lives of the Berkeleys_, p. 128: “in 24 Edward III.” (Cited
by Denton, _England in the 15th Century_.)

[354] Morant, _Hist. of Essex_.

[355] Niebuhr, _Lectures on Ancient History_. Engl. transl. London, 1852,
II., p. 53.

[356] _Eulogium Historiarum._ Rolls ed. III. 230.

[357] _Loci e Libro Veritatum_, ed. Rogers. Oxon. 1880, p. 202; and, from
Gascoigne’s MS., in Anthony Wood, _Hist. and Antiq. Univ. Oxford_, Ed.
Gutch, I. 451: “What I shall farther observe is that before it began there
were but few complaints among the people, and few pleas; as also few
Legists in England, and very few at Oxford.”

[358] _Manor and Barony of Castle Combe_, sub anno 1361.

[359] Owen and Blakeway, _op. cit._ I. 165.

[360] Clarkson’s _History of Richmond_. Richmond, 1821 (authority not
quoted).

[361] Hailstone, _History of Bottisham and the Priory of Anglesey_. Camb.
1873. (Transact. Camb. Antiq. Soc. 8vo. series, vol. XIV.)

[362] Cited by Jessopp, _l. c._

[363] See p. 141.

[364] Clutterbuck, _History of Hertfordshire_.

[365] Seebohm, for the Manor of Winslow, _op. cit._, p. 34.

[366] Thorold Rogers, _Fort. Rev._ III. (1865), p. 196. In his _History of
Agriculture and Prices_, IV., the same learned and sagacious student of
English developments thus sums up the agrarian consequences of the Black
Death:--“The indirect effects of this great event were even more
remarkable. The great landowner ceases to carry on agriculture with his
own capital, and farmers’ rents of a fixed and almost invariable amount
take the place of the lord’s cultivation by bailiffs. Attempts were made
for varying periods of time to continue the old system, especially by
corporations. It is possible that the system of stock and land leasing,
which became very general after the change commenced, may have been
suggested by the hope that the old state of things might be restored....
In the end all the great landowners conformed to the inevitable change,
and let their land on short leases, and as a rule at low and almost fixed
rents, to capitalist farmers.”

[367] Thorold Rogers, _op. cit._, I. 376.

[368] _Rot. Parl._, II. 260. a.

[369] Seebohm, _l. c._ _Fort. Rev._, II. (1865), p. 157.

[370] Blomefield, III. _sub anno_.

[371] Blomefield, III. _sub anno_.

[372] Camden’s _Britannia_. Gough’s ed. II. 9.

[373] _Hist. MSS. Commission_, VI. 299. Register of Ely Priory, in Lord
Leconfield’s MSS.

[374] Seebohm, “The Black Death and its Place in English History.” _Fort.
Rev._ II. (1865), p. 278.

[375] These and other labour-statutes are collected in _A History of the
English Poor Law_, by Sir George Nicholls, 2 vols. London, 1854, I. 37-77.

[376] G. Poulett Scrope, _op. cit._

[377] From 1416 to 1424, three different persons were fined at the manor
court for keeping a common brothel in their houses. Forestalling of
butter, cheese and eggs, on the way to market, came before the court in
1418.

[378] At the manor court in 1417, Thomas Selwin, a butcher, was convicted
of throwing offal and other offensive matters into the common street and
of making his dung-heap there, to the common hurt; also the said Thomas
Selwin “tarde et de novo erexit unam latrinam foetidam in shopa sua ad
commune nocumentum. Ideo ipse in misericordia.” The next entry of
nuisances, so far as extracts are given, is as late as 1590--various
offences in the street and churchyard, and the glover washing his skins in
the stream or otherwise befouling the water running by his house.

[379] Cited in Owen and Blakeway’s _History of Shrewsbury_, II. 524: “per
advenas qui in dicta villa post ultimam pestilenciam de novo sunt
inhabitati ... at regimen dictae ville ad se attrahere ... machinantes.”
By the “ultima pestilencia” could hardly have been meant the pestis
secunda of 1361, the year of the patent, as the learned antiquaries
suppose.

[380] _Rotul. Parl._ IV. 60. 7. The petition of Chesterton, near
Cambridge: “And also they seiden that there was made gret waste in the
same Manor of Chesterton of Housing, that is to say of Halles and of
Chambers, and of other houses of office, that were necessary in the same
Manor, and none housinge left standing therein, but gif it were a Shepcote
or a Berne or a Swynsty and a few houses byside to putte in bestes.”

[381] “After the cessation of the Black Plague a greater fecundity in
women was everywhere remarkable--a grand phenomenon which, from its
occurrence after every destructive pestilence, proves to conviction, if
any occurrence can do so, the prevalence of a higher power in the
direction of general organic life. Marriages were almost without exception
prolific,” etc.

[382] _Eulogium Historiarum_, III. 213.

[383] _Fasciculi Zizan._ Rolls series, No. 5, ed. Shirley, p. 263:
“Dimitto alias rationes palpabiles: quod exhinc regnum nostrum
sensibiliter depauperetur pecunia; quod, praetextu subtractionis hujus
thesauri, qui expenderetur in Anglia, decrescit populus;” etc.

[384] _Political Songs and Poems, Ed. II.-Ric. II._ Rolls series, No. 14,
ed. T. Wright, I. 2. 53.

[385] The only monograph that I know is Peinlich’s _Pest in Steiermark_, 2
Bde. Graz, 1877-78. From 1349 to 1716, seventy years are marked in the
annals of Styria as plague-years. Corradi gives the plague-years in Italy
in his _Annali_.

[386] Guy de Chauliac for Avignon, in Häser, III. 176. Other foreign
references in the same work.

[387] _Political Songs and Poems. Ed. II.-Ric. II._ Rolls series, No. 14,
ed. T. Wright, I. 173, 190, &c.

[388] _Ibid._ I. 229, from a MS. in the library of Cambridge University.

[389] The spelling has been modernized, a few old words changed, and the
division into verses omitted.

[390] _Chronicon Angliae_, by a monk of St Albans. Rolls ed.

[391] Harleian MS. No. 1568, “Chronicle of England to A.D. 1419.” (Printed
with additions at the St Albans press about 1484.)

[392] Skeat, whose great edition of ‘The Vision of Piers the Ploughman,’
has been brought out by the Early English Text Society, thinks that the
ironical reference (Passus XIII. 248) to the pope sending a salve for the
pestilence applies particularly to the “Fourth Pestilence” of 1375 and
1376, which was the _pestis tertia_ of some chronicles.

[393] Flux and fever from famine are alone mentioned in the poems of John
of Bridlington, which cover the period from the Black Death to the reign
of Richard II.

[394] Egerton MS. No. 2572, Sloane MS. 443 (“xiv. cent.”), as well as
several copies of the 15th century.

[395] Lansdowne MS. 285, fol. 220.

[396] Mr Warner identifies him with the person who invented “Sir John
Mandeville” and the travels of Sir John. See an article in the _Quarterly
Review_, April, 1891.

[397] Sloane MS. (British Museum) No. 2276, fol. 191-199.

[398] ‘A passing gode lityll boke necessarye and behouefull azenst the
Pestilence.’ British Museum, case 31, e. 13, 4to, twelve leaves. The MS.
begins as follows: “Here begynneth a lytell boke necessary and behouefull
azens the pestylence.”

[399] Dibdin (_Antiq. Typogr._ II. 19) assigns the printing to Machlinia,
and reproduces a page as a sample of his common type. Bliss (_Reliquiae
Hearnianae_, II. 117) says that this sample page does not correspond with
that of the British Museum copy. He adds that there is a fragment of the
printed book in the library of St Peter’s College, Cambridge, “pasted
within the wooden covers of the binding of an edition (1499) of _Discipuli
Sermones_.”

[400] In the earliest printed Latin texts of this work (Antwerp, 1485?
Leipzig, 1495? and versified in Albertus Magnus, ‘De Virtute Herbarum,’
1500?) he is named Kamitus, bishop of Arusia, a city in the realm of
Denmark. In the copy of the English version in the British Museum, someone
has called him Ramicius, having written on a leaf, “Ramicius Episcopus
Arusiensis civitatis Daciae Regimen contra pestem,” with the date 1698.
The name of Kamitus, being judged improbable on the face of it, has been
changed in the catalogue of the British Museum library into Canutus. But
there was no Canutus among the bishops of Aarhus, nor a Kamitus, nor a
Ramicius. The two bishops that appear to suit best are Olaus, or Olaf, who
was bishop from 1371 to 1388, and Ulricus or Udalricus, or Olric Stycka,
who succeeded in 1425 and held the see until 1449. Curiously enough, the
latter, when he went to Rome in 1425 to represent Eric, king of Pomerania
in a suit with the dukes of Sleswig, figures throughout the records of the
suit as “Olaus, episcopus Arosiensis,” although Olaus, bishop of Arusia,
belonged to a former generation. It is, of course, the merest guessing;
but I am inclined to think that the author of the essay on plague was
either bishop Olaus, of 1371-1388, or bishop Udalricus, of 1425-1449, a
man of character and ability, who also went by the name of Olaus; and that
in any case the manuscript version of the essay in the English tongue is
more likely to have been of the early part of the fifteenth century than
of the fourteenth. The above facts are collected from various parts of
Langbeck’s _Script. Rer. Dan._: the “Series Episcoporum Arhusiorum” is in
vol. VII. p. 212. Nothing is there said of any bishop of Aarhus having
written a book, or having been a physician at Montpellier.

[401] These words (“the impressions”) are contracted in the printed book,
exactly as in the manuscript. I have modernised the spelling for the most
part.

[402] “When a man feeleth himself infect, as soon as he may, let him be
let blood plenteously till he swoon: then stop the vein. For a little
letting of blood moveth or stirreth venom.... Let him blood on the side of
the body where the swelling appeareth. Therefore if a swelling appear
under the right arm, let blood in the middle of the same arm, in the vein
called _mediana_. If it appear under the left arm, let him blood in midst
of the same, or in the vein of the liver which is about the little finger.
And if it be about the share, let him blood about the heel upon the same
side. If the swelling be in the neck, let him blood in the vein called
_cephalica_, about the thumb in the hand of the same side; or in the vein
the which is called _mediana_ of the same arm, or in the hand of the same
side about the little finger. And, overmore, if the swelling appear about
the ear, let him blood in the vein called _cephalica_ of the same side, or
in the vein which is between the long finger and the thumb, lest many
venomous things go into the brain.” If the swelling is in the shoulders,
bleed from the _mediana_: if on the back from _pedica magna_, and so on.

[403] Walsingham, _Hist. Angl._ I. 309. Adam of Murimuth, Engl. Hist. Soc.

[404] The Stratford bread-carts are explained in Stow’s _Survey of London_
(“Lime Street Ward”). In the famines of 1512 and 1527, they were besieged
on the way by hungry citizens and had to be guarded. The same phrase of
bread being “gesen” or scarce, occurs in a letter of 4 September, 1535,
from Thomas Broke to Cromwell, secretary of State: “never knew good bread
so geason in London at this time of the year; it is so musty, and of so
evil wheat, that it is rather poisonous than nourishing; what was sold for
a halfpenny, when you were here, is now a penny.” (_Cal. State Papers_,
Henry VIII. vol. IX. § 274.)

[405] Thorold Rogers. _A Short English Chronicle_, Camden Soc. 1880:--“45
Edward III. This yere was called the grete dere yere, and that same yere
was a quarter of whete at iiii nobles.”

[406] Wilkins, _Concilia_, III. 74: “De orando pro cessatione
pestilentiae,” dated Slyndon, 10 Cal. Aug. A.D. MCCCLXVIII.

[407] Sharpe, _Cal. of Wills_, vol. II.

[408] Otterbourne (ed. Hearne, p. 133) says that the _pestis tertia_ was
in 1368, and that it lasted two years. Nicolas (_Chronol. of History_, p.
389) gives from a Lansdowne MS. (no. 863, fol. 107) of the time of Charles
I., the duration of the _pestis tertia_ as 2 July--29 Sept., 1369, which
should probably read “2 July, 1368--29 Sept. 1369.”

[409] _Memorials of London_, etc. from the Council Records. Edited by H.
T. Riley. Lond. 1867, p. 339 and p. 356.

[410] Walsingham, _Hist. Angl._ I. 319; Adam of Murimuth.

[411] The chroniclers are not agreed as to the chronology of the various
14th century plagues from the first (the Black Death) to the fifth. Some
of the enumerations are clearly erroneous. Thus in _A Short English
Chronicle_ from the Lambeth MS. (ed. Gairdner for the Camden Society,
1880), the plague of 1361 is erroneously called “the threde pestilence,”
while the fourth is assigned to 1369 and the fifth to 1377 (for 1375).
Otterbourne places the _quarta_ in 1374 (for 1375), and the _quinta_ (as
others do) in 1391; but in the _Life of Richard II._, by a monk of
Evesham, the pestilence of 1382 is more correctly reckoned the fifth from
the Black Death.

[412] Walsingham, _Hist. Angl._ I. 409. _Chronicon Angliae_, p. 239.

[413] _Rot. Parl._ IV. 806.

[414] _Ibid._ III. pp. 139 a, 147 a.

[415] Blomefield’s _History of Norfolk_, III. p. 111.

[416] Continuator of Higden, IX. 14.

[417] _Political Songs and Poems._ Rolls series, No. 14, I. p. 252:--

  “The rysyng of the comuynes in londe,
   The pestilens, and the eorthe-quake--
   Theose three thinges I understonde.”

[418] Walsingham, _Hist. Angl._ II. 109.

[419] Continuator of Higden, IX. 21, 27.

[420] _Eulogium Historiarum_, III. 369. Otterbourne, ed. Hearne: “From the
nativity of St John Baptist to the feast of St Luke,” 1391.

[421] Continuator of Higden, IX. 216.

[422] _Ibid._ 237.

[423] Walsingham, _Hist. Angl._ II. 186.

[424] Blomefield’s _History of Norfolk_, III. 113:--“1390. A great
mortality increased in Norfolk and in many other counties in England, and
it seemed not unlike the season of the great pestilence: it was occasioned
by a great want of victuals, that forced many people to eat unwholesome
food, and so brought distempers upon them. This dearth began under the
sickle, and lasted to the following harvest [1391], but was not so much
for want of corn, as money to purchase it, occasioned by the law made in
relation to wool, by which wool became dog-cheap; for a stone of chosen
and picked wool of the best sort was sold for 3 sh. and some for 22 pence
or 2 sh., so that in these times the woollen manufacture was the great
support of the nation.” According to Thorold Rogers, these high prices of
wool obtained from 1364 to 1380.

[425] Walsingham, II. 203. The Continuator of Higden (IX. 259) says
12,000. These estimates are, of course, the merest guesses, and extreme
exaggerations. The whole population of York would have been under 15,000.

[426] Higden, _ibid._

[427] Walsingham, II. 213; St Albans Annals of Ric. II. and Hen. IV.

[428] Walsingham, II. 276. The Chronicle of William Gregory (Camden
Society, ed. Gairdner) enters under the year 1407, a great frost, for
twenty-five weeks. It would be of real scientific interest to know the
chronology exactly, whether the plague followed or preceded the long cold
drought; but the year of the plague is disputable, if any heed be paid to
the date of 1406, given by later compilers.

[429] Walsingham, II. 297. Otterbourne, under 1411, says plague in
Gascony.

[430] Annals of Bermondsey, in _Annales Monast._ Rolls ed. III. 485.

[431] _Rot. Parl._ IV. 143 a. It is probably under 1420 that the “great
plague” at Newcastle, given in so many words in Brand’s _History_ under
1410, should be placed.

[432] _Ibid._ 148 b.

[433] _Histor. Collec. of a Citizen of London, 15th cent._ Camden Soc. ed.
Gairdner, 1876:

  “They dyde faster every day
   Thenn men myght them in erthe lay.”

[434] _History of Agriculture and Prices in England_, IV. 105.

[435] Chronicle of Croyland, in Gale, I. 518; Rogers, IV. 233.

[436] Denton. London, 1886, p. 92.

[437] Mackay, _The English Poor_. London, 1890, p. 40.

[438] W. Cunningham, _Growth of English Industry and Commerce_. 2nd ed.
Camb. 1890, p. 105. He reproduces Denton’s statement that “there was
chronic typhoid in the towns.” Denton professes to have found this in
Hecker, who had certainly no knowledge of English towns in the 15th
century, and is, in general, more entertaining as a _philosophe_ than
trustworthy for erudition.

[439] In 1741, during a prevalence of fever all over England, we hear of
bread made of horse-beans, pease, and coarse unsound barley as the chief
food of the poor. (_Gent. Magaz._ letters of 27 Nov. 1741 and 11 Jan.
1742). Thorold Rogers (_Agric. and Prices_, v. Preface) thinks that the
staple food of the English labourer, wheaten bread, had first been
changed, especially in the North, to rye, barley and oat bread, in the
17th century during the Civil Wars.

[440] _Paston Letters._ Ed. Gairdner, 1872, II. 254: John Wymondham of
Fellbrigg to John Paston, 10th Nov. “And forasmuch as there was a child
dead at Asteleys, and one other like to be dead in the same place, what
time I rode out about my little livelihood, my lady and I both thought
pity on my mistress your wife to see her abide there, and desired her to
come to my poor house, unto such time as you should be otherwise avised.”

[441] _Histor. MSS. Commission_, IX. 127 b.

[442] _Calendar of State Papers._ Venetian, vol. I. § 236.

[443] _Proceedings and Ordinances of the Privy Council._ Ed. Nicolas, III.
p. xlv.

[444] _Rot. Parl._ IV. 420 b.

[445] _Arnold’s Chronicle_, p. xxxii.

[446] _Proc. and Ord. Privy Council_, IV. p. lxxx. Sir Harris Nicolas, in
this connexion, remarks that Fabyan and all other chroniclers (he had
overlooked Arnold) omit to mention pestilence, while they mention much
less important things; but he is hardly warranted in his inference that
plagues were so common-place as to be left unrecorded. A low level of
plague would not be noticed, but a great epidemic certainly would.

[447] Johannes Amundesham (of St Albans), _Annales_. Rolls ed. II. 127.

[448] _Rot. Parl._ V. 31 b.

[449] This is the only plague in the first half of the fifteenth century
that Anthony Wood records; but he says, under the year 1500, that “no less
than about thirty pests, both great and small, happened in this last
century”--i.e. in the University of Oxford. I shall speak of their general
effects in another chapter.

[450] _Paston Letters._ Ed. Gairdner, 1872, I. 302-3.

[451] _Three Fifteenth Century Chronicles._ Ed. Gairdner, for the Camden
Society, 1880, from the Lambeth MSS., p. 163.

[452] Sir J. Paston to John Paston, 30 April, 1465. Another letter, of
18th August, has: “For the pestilence is so fervent in Norwych, that they
dare no longer abyde there, so God help!” (_Paston Letters_, ed. Gairdner,
II. 226), which probably refers to 1465 also. It is not mentioned by
Blomefield.

[453] _Chronicle of Croyland_, in Gale, I. 541.

[454] Communicated to me by the Rev. W. Hunt, from a new volume of the
Camden Society, edited by A. F. Leach, _Visitations and Memorials of
Southwell Minster_, p. 11.

[455] Tickell, _History of Kingston upon Hull_, 1798.

[456] _Warkworth’s Chronicle._ Camden Society, p. 23 (under the year 13
Ed. IV.).

[457] _Chronicle of the Greyfriars._ Camden Society, No. 53, 1852, p. 22.

[458] Robert Fabyan’s _Chronicle of England_, (editions in 1516 and 1533,
and by Ellis, 1808), _sub anno_.

[459] _Grafton’s Chronicle_, p. 742.

[460] Brand’s _History of Newcastle_.

[461] _Visitations and Memorials_, p. 41.

[462] Blomefield.

[463] Paston, 6 Nov. 1479.

[464] Fordoun, _Scotichronicon_, ed. Hearne, Oxon. 1722, p. 1039.

[465] _Scotichronicon_, p. 1056: “eadem ... sicut prius jubileo ... in
toto regno Scotiae mirabiliter saeviebat.”

[466] _Exchequer Rolls of Scotland._ Introduction to vol. II. p. xlviii.

[467] _Scotichronicon_, p. 1141.

[468] _Exchequer Rolls of Scotland_, III. 650.

[469] _Ibid._ III. 310.

[470] _Ibid._ III. 553.

[471] _Ibid._ III. 579.

[472] _Scotichronicon_, p. 1287 and p. 1298.

[473] Cited by R. Chambers (_Domestic Annals of Scotland_, I. 57) from the
Chronicle as printed by Thomas Thomson.

[474] _Scotichronicon_, p. 1565. Hearne’s edition.

[475] Ferrerius, f. 393, cited in _Excheq. Rolls of Scot._ VIII. p. lx.

[476] _Excheq. Rolls of Scot._ VIII. 364. Accounts of William, bishop of
Orkney, from 5 Aug. 1475 to 3 Aug. 1476: “et decem martis liberatis, de
tempore pestis, egrotantibus in Incheskeith.” Another item (£30. 13_s._
4_d._) is for forty-six marts destroyed “propter longam moram” in the
lairs at Leith, “anno pestis, videlicet anno ultimo.”

[477] But MS. annals are cited for the date 1361, in _The ancient and
present State of the County and City of Cork_. By Charles Smith, M.D. 2
vols. Dublin, 1774. 2nd ed. II. p. 23.

[478] Thady Dowling [Elizabethan] “1370. Pestilentia magna in Hibernia,
adeo quod propter immensitatem mortalitatis vocabatur ab antiquis tertia,”
p. 24.

[479] Dowling, p. 27.

[480] _Angl. Hist._ Basil. 1555, p. 567.

[481] In Gale, _Script. Angl._ I. 573.

[482] British Museum Addit. MS., No. 27,582.

[483] _Materials illustrative of the Reign of Henry VII._ Rolls series,
No. 60, s. d.

[484] _Tractatus contra pestilentiam thenasmonem et dissinteriam_ [Rouen,
1490]:--“Causae pestilentiae ut alias scripsimus: in quodam opusculo quod
composuimus de quadam rabiosa febre pestilentiali, quae in duodecim horis
patientes cum calore et sudore continuo interficiebat. Cujus febris
adventus incepit sua vexilla extendere in Anglia in civitate Londoniarum
decima nova die mensis Septembris 1485, in qua die [planetary signs]
posuerunt. Ex qua febre pestilentiali plus quam quindecim millia hominum
ab hoc seculo morte repentina, tanquam ex pugnitione divina, recesserunt,
multique sine mora per vicos deambulantes absque confessione obierunt.”

[485] MSS. Cotton. Vitellius A. XVI. _A Chronicle of England from 1st
Henry III. to 1st Hen. VIII._

[486] The Croyland Chronicle (in Gale’s _Script. Angl._ I. 570 and 576)
gives the 14th November in one place and the 14th October in another. But
it is clear that the latter is the correct date, the letter from the prior
of Croyland to Henry VII., announcing the death of the abbot and praying
for a _congé d’élire_, being dated the 14th of October. (_Materials
illustrative of the Reign of Henry VII._ vol. I. s.d. 21 Oct. 1485, Rolls
series, No. 60.)

[487] Anthony Wood, I. 462.

[488] _The Maire of Bristowe is Kalendar_ (by Robert Ricart, town-clerk of
Bristol, 18 Ed. IV.). Camden Society, 1872, p. 46.

[489] The Bristol calendar says: “This yere Hary, Erle of Richmond landed
at Milford Haven.... And sone after there was a sodeyn sikenes in all
places of Englond called the sweting syknes, whereof moche people dyed.”

[490] The date of 1506 in Hecker is erroneous, having been taken from the
very loose entry in Hall’s chronicle (copied by Grafton), which might
equally well belong to the year 1507. Bernard André’s date of 1508 is
unmistakeable; his annals go on continuously until the death of Henry VII.
in April following.

[491] Bernard André’s _Works_. Rolls series, No. 10, pp. 126-8.

[492] Hemingway’s _History of Chester_, I. 142.

[493] Anthony Wood’s _History and Antiquities of the Univ. of Oxford_. I.
665.

[494] Calendared for the Rolls series by Brewer for the greater part of
the reign of Henry VIII. (1509-1530), and after him by Gairdner, at
present as far as 1538. The facts given in the next few pages may be taken
as coming from the Calendar of State Papers, under their respective dates,
unless it is otherwise stated in the notes.

[495] This appears to have been a common direction. In a letter of 12
August, 1517, dated from the Fleet Prison by Thomas Leeke to his brother
sir John Leeke (_Hist. MSS. Commission Reports_, X. pt. 4, p. 447), the
writer says he has been sore vexed with the sweat and in danger of life:
“If any of you have it, pray you to keep well and close about your breasts
and your heart for twenty-four hours and then with God’s grace there is no
danger in it: there has been a marvellous great death for so short a
time.”

[496] In the letter of 12 August from the Fleet Prison, already quoted
(_Hist. MSS. Reports_, _l. c._), it is stated that fifteen are dead in the
Cardinal’s house, including Mr Cowper, the steward, Talboys, lord of Kyme,
young Wastness, and one Grenell. In my lord of Durham’s house, Dr Port and
Dr Fysche are dead, with divers others. Of the Court, my lord Clinton, Mr
Morgan, steward to the Queen, and one Mat. Jones, of the King’s wardrobe,
were buried at Richmond on Friday last, and divers more of the Court are
dead.

[497] _The Pitiful Life of King Edward the Fifth_: “Considering there is,
as physicians say, and as we also find, double the peril in the relapse
that was in the first sickness,” p. 230. Camelot edition.

[498] Anthony Wood, _Hist. and Antiq._, _sub anno_ 1517.

[499] Hemingway’s _History of Chester_, I. 142.

[500] The letter bears the date of 8 June, which would make the first of
the sweat the same as in Tuke’s letter; but Brewer says the date should be
the 18th June.

[501] Brewer (_Cal. State Papers_) reads the letter, “On Tuesday one of
the ladies of the chamber, Mlle de Boulan, was infected with the sweat.”
But P. Friedmann (_Anne Boleyn_, Lond. 1884, I. 72) says the correct
reading is a fille-de-chambre of Mlle de Boulan; and it is known that Anne
Boleyn did not take the sweat until some days after.

[502] In the _History of Cork_ by C. Smith, M.D. (2nd ed., 1774) there is
an entry under 1528: “a malignant disorder called the sweating sickness in
Cork,” with a reference to “MS. annals.” It has been generally supposed
that the sweat did not enter Ireland or Scotland in any of its five
outbreaks.

[503] The German writers have assumed that the sweat was prevalent abroad
really in the same summer or autumn as in England, explaining the
discrepant dates by the difference in the English calendar. But it was
only the months of January and February, and March to the 24th, that were
counted in the old year in England; the months of June, July, August, etc.
in which the sweat occurred, are the same in the English and foreign
calendar-years. In the English chronology of the sweat, those months
belong quite clearly to the year 1528; and, in the German, Swiss, and
Netherlands chronology of the sweat, just as clearly to the year 1529. The
sweat on the Continent was a year later than in England.

[504] Gruner’s _Scriptores de sudore Anglico superstites_ was reprinted by
Häser, with additional citations and notes, in 1847. Hecker (_Der
Englische Schweiss_, 1834) refers to the work by Gruner, _Itinerarium
sudoris Anglici ex actis designatum_, Jena, 1805, which I have been unable
to see. The account of the German invasion in the text is accordingly at
second-hand.

[505] _A boke or counseill against the Sweate_, London, 1552. _De Ephemera
Britannica_, London, 1555.

[506] “This yere the swetinge sycknes raignyd in England, and began first
in this towne of Shrowsbery the xxii of Marche, and ran through the
realme, and began in London the ixth of July.” Quoted from MS. Chronicle,
in Owen and Blakeway’s _History of Shrewsbury_, p. 345.

[507] _Op. cit._ 1552, fol. 10. In the Latin work the date at “Salopia” is
“17 Kal. May.”

[508] Nichols, _Leicestershire_, III. 891.

[509] Edrichus, _In libros aliquot Pauli Æginetae_, &c. London, 1588 (not
paged).

[510] “Diary of Edward VI.” in Burnet’s _Hist. of Reformation_. Stow
(_Annales_) says it began on the 9th July and was most vehement on the
12th.

[511] _Calendar of State Papers._ Domestic (under the date).

[512] _Machyn’s Diary._ Camden Society, No. 42, edited by J. Gough
Nichols, p. 7. Machyn was an undertaker, and records deaths and funerals.

[513] Machyn.

[514] _Ibid._ p. 8.

[515] Letter from London, in Harl. MS. No. 353, f. 107, cited by Nichols
in notes to Machyn.

[516] Caius, _Boke or Counseill_, 1552, ff. 10-11.

[517] The Venetian ambassador (_Cal. S. P._ Venetian, v. 541) says that
the sweat was at an end in London in twenty days. He says, also, that
children under ten years were not subject “questo influsso.” The
excitement caused by the London epidemic is shown in an entry of money in
the corporation records of Canterbury: “1551. To one of the King’s
servants that brought word how many were dede in the swett.” (_Hist. MSS.
Commiss._ IX. 154 b.)

[518] Edward VI. to Fitzpatrick.

[519] Drake’s _Eboracum_, p. 128.

[520] Nichols, notes to Machyn, giving a reference to _Gent. Magaz._ 1825,
II. 206.

[521] Fuller (ed. Nichols, p. 183) says, under 1551: “Many in Cambridge
died of this sweating sickness, patients mending or ending in twenty-four
hours.” The death of the two young noblemen was made an occasion for
copies of verses by members of the University.

[522] Strype, _Memorials_, III. chap. 7 (cited in notes to Machyn).

[523] Lysons, _Magna Britannia_, VI. 539.

[524] _Calendar of State Papers._ Venetian, V. 541, under the date of 18
Aug. 1554.

[525] Thomas Cogan, ‘The Haven of Health: chiefly made for the comfort of
students, and consequently for all those that have a care of their health,
amplified uppon fiue wordes of Hippocrates, written Epid. 6. Labour,
Meate, Drinke, Sleepe, Venus.... Hereunto is added a Preseruation from the
Pestilence: with a short Censure of the late sicknesse at Oxford.’ London,
1589. New ed. 1596, p. 272.

[526] There is a single reference to a sweat on the Continent in 1551,
which may really have been one of those epidemics of typhus (or
influenza), with a sweating character, that were observed in 1557-8 and
1580. Brassavolus, writing _de morbo Gallico_, and illustrating the fact
that epidemics were sometimes generated by drought (though mostly by
humidity), says that the sweat in England, in former years, came with
drought, and that at the time of his writing, the 15th September, 1551,
that disease was vexing Flanders,--the season being extremely dry,--and
had attacked many thousands. This was first noticed by Häser, _Op. cit._
III. (1882), p. 332. The reference to Brassavolus is Luisini’s _Script. de
lue venerea_. Lugd. Bat. 1728, f. p. 671.

[527] _Increase and Decrease of Diseases._ London, 1801, p. 70.

[528] See the references in Gruner, pp. 444, 448.

[529] “The Autonomous Life of the Specific Infections,” in _Brit. Med.
Journ._, 4 August, 1883; “The Origin of Yellow Fever,” in _North American
Review_, Sept. 1884; _Illustrations of Unconscious Memory in Disease_,
London, 1885, Chapter XIII. “Vicarious Infection.”

[530] Polydore Virgil, p. 553. Philip de Comines says “three large ships
and a considerable body of land forces.” (Chroniques du Roy Louis XI. Eng.
transl. II. 674.)

[531] Mezeray, II. 762. He adds: “the Bretons boast of having also lent
aid to this prince.” His first expedition was purely with Bretons, but the
second was composed mostly if not altogether of Normans.

[532] This point, which is essential to the theory, was originally stated
in an article on “Epidemics” in the _Quarterly Review_, Jan. 1887, and
there claimed as original. The writer on “Sweating Sickness” in the
_Encycl. Brit._ has adopted it as a common-place; it is obvious enough
when pointed out, but Hecker had not done so.

[533] The above account is summarised from the chapter in Hirsch, _Geog.
and Histor. Path._ Eng. transl. I. 88.

[534] Darwin, _Naturalist’s Voyage round the World_, pp. 435-6.

[535] Bernard André’s _Annales Henrici VII._ Rolls series, No. 10, p. 120.
Under a date in January, 1508, he writes: “Quo quidem die nuncius ab urbe
incredibilia dictu, hoc est de primis verni fructibus temporis floridoque
frumento visis, referebat.” Both Fabyan and the anonymous author of MS.
Cotton, Vitellius, A. XVI. (_Chronicle of England from 1 Hen. III. to 1
Hen. VIII._) give the winter of 1506-7 as “a wonderful [easy] and soft
winter without storms or frost,” but fail to remark on the weather of
1507-8.

[536] Wriothesley’s Chronicle.

[537] Fabyan, Stow.

[538] Stow’s Annals. Hecker, in error, makes out this exceptional season
to have been the one immediately preceding the sweat in the summer of
1528.

[539] _Cal. State Papers_, under the date.

[540] Summary in Hirsch, _l. c._

[541] Continuator of Fabyan.

[542] Wriothesley, II. 139.

[543] Drake’s _Eboracum_, (from the town council records).

[544] _Hist. and Antiq. Univ. Oxford_, I. 651.

[545] At Cambridge, in October, 1578, two deaths from plague in Queens’
College “moved many to depart.” _Cal. Cecil MSS._ II. under date 13
October.

[546] Anthony Wood, under the respective years.

[547] With reference to a pestilence at Oxford in 1448, Wood says:
“occasioned, as ’twas thought, by the overflowing of waters, and the want
of a quick passage for them from the ground. Also by the lying of many
scholars in one room or dormitory in almost every Hall, which occasioned
nasty air and smells, and consequently diseases.” _Op. cit._ I. 596.

[548] _Materials Illustrative of the Reign of Henry VII._ Rolls ser. 60,
II. p. 136.

[549] _Chronicle of England_, sub anno.

[550] _Hist. Angl._, p. 609 (Basil, 1546).

[551] Stow, _Annales_.

[552] In Rymer’s _Foedera_ all these vacancies of bishoprics are entered
under the year 1501, beginning with the see of Canterbury (Morton’s) on
9th January, 1501.

[553] _Plumpton Correspondence_, Camden Soc. No. 4, p. 138: Letter of ?
1499, R. Leventhorpe, of Leventhorpe Hall, Yorkshire, to Sir R. Plumpton:
“And sithe I hard say that a servant of yours was decesed of the sicknes,
which hath bene to your disease, I am right sorry therefore;” he advises
fasting, and trusts “ye sal be no more vexed with that sicknes.” In the
next letter (cviii) to Sir R. Plumpton from his son:--“Also, sir, I am
very sorry that the death seaseth not at Plompton.”

[554] _Hardwicke Papers_, London, 1778, I. 2 (from Harl. MSS.).

[555] Freeman, _Exeter_, in “English Towns” series, p. 99.

[556] _Annales Henrici VII._ Rolls series, p. 88.

[557] The information in the next few pages comes from the _Calendar of
State Papers, Henry VIII._, _Domestic_, unless otherwise referred to in
the notes.

[558] _Chronicle of the Grey Friars_, Camden Society, No. liii. 1852, p.
29. Stow puts the mortality under the year 1513.

[559] Letter from the Fleet prison, assigned to 1517. _Hist. MSS. Com._ X.
pt. 4. p. 447.

[560] Phillips, _History of Shrewsbury_, p. 17.

[561] _Privy Purse of Henry VIII._, p. 79.

[562] The reference on p. 290 (note 2) to “no parish in London free,”
under the date of 25 October, 1517, may imply that bills of mortality had
been kept in that epidemic, which was certainly an occasion when Henry
VIII. interposed in other ways to check the progress of plague.

[563] Lately purchased for the Egerton Collection. No. 2603, fol. 4.

[564] There was, however, an English translation of a small foreign essay
on the plague, of unacknowledged authorship, published at London in 1534
by Thomas Paynel, canon of Merton, a literary hack of the time.

[565] In the Record Office. State Papers, Henry VIII., No. 4633. It has
been erroneously calendared by Brewer as a bill of mortality of the
sweating sickness in 1528.

[566] _The Maire of Bristowe, his Kalendar._ Camden Society, 1872, p. 53.

[567] The plague is said to have been in Exeter in 1535 (Freeman,
_Exeter_, in English Towns Series).

[568] There is a copy in the Lambeth Library, No. 432.

[569] Owen and Blakeway, I. 311.

[570] Continuator of Fabyan.

[571] Cussan’s _History of Hertfordshire_.

[572] _A London Chronicle of Hen. VII. and Hen. VIII._ Camden Miscellany,
1859.

[573] _Acts of the Privy Council._ New series, 1542-1547, p. 136.

[574] Stow’s _Annales_.

[575] _Cal. Cecil MSS._, I. 15.

[576] Guildhall Records (Extracts by Furnivall in Appendix to Vicary’s
_Anatomy_. Early English Text Society).

[577] Brand’s _History of Newcastle_.

[578] Hasted’s _History of Canterbury_, p. 130 (from parish registers).

[579] Anthony Wood, _op. cit._ II. 74. At Banbury probably about the same
year. Beesley’s _History of Banbury_ (from Brasbridge).

[580] _Register of the Privy Council of Scotland_, I. 5.

[581] _Acts of the Privy Council._ New series, 1542-1547, 28 April, 1546,
p. 397.

[582] _Ibid._, Nov. 13, 1546, p. 552.

[583] Camden’s _Britannia_, ed. Gough, I. 262.

[584] _Ibid._ II. 265.

[585] _Calendar of State Papers._ Domestic series, Vol. X.

[586] _Notes and Queries_, 6th series, III. 477.

[587] Nichols, _Leicestershire_, III. 891 (295 deaths from plague &c.
1555-59.)

[588] Ormerod’s _Cheshire_, I. under 1558, with a reference to “Harl.
MSS.” The Harleian MSS. relating to Chester fill many pages of the
catalogue.

[589] _Calendar of State Papers_, Eliz. I. p. 122.

[590] _Three Fifteenth Century Chronicles._ Camden Society, ed. Gairdner,
1880, pp. 123, 144.

[591] Letter from London to the Earl of Shrewsbury, _Hist. MSS. Com._ VI.
455, a.

[592] Without date, but probably 1564. Watt conjectures 1556, but the book
contains references to the fever-epidemic of 1558, and, as above, to the
plague of 1563.

[593] Munk, _Roll of the College of Physicians_, I. pp. 32, 63.

[594] This and other information immediately following are from _Cal.
State Papers_. Foreign series.

[595] _Calendar of Cecil MSS._, under the dates.

[596] Glover’s _Hist. of Derbyshire_ (21 plague deaths in St Michael’s
register, May-Aug. 1563).

[597] Nichols; Kelly, in _Trans. Hist. Soc._ VI. 395.

[598] Harwood’s _Hist. of Lichfield_, p. 304.

[599] Hasted’s _Hist. of Canterbury_, p. 130 (parish registers).

[600] _Notes and Queries_, 2nd series, XI. 69.

[601] ‘How and whether a Christen man ought to flye the horrible plage of
the Pestilence. A sermon out of the Psalme “Qui habitat in adjutorio
altissimi,” by Andrewe Osiander. Translated out of Hye Almayn into
Englishe, 1537.’ Copy in the British Museum. The initials M.C. are taken
to be those of Miles Coverdale.

[602] Soranzo to the Senate of Venice. _Calendar of State Papers_,
Venetian, V. 541 (18 Aug. 1554).

[603] _Cal. State Papers_, Henry VIII. Domestic.

[604] From _Abstract of several orders relating to the Plague_. MS. Addit.
(Brit. Museum), No. 4376. Probably the originals of these abstracts are
among the Guildhall records. I quote from the most accessible source.

[605] Extracts from the Guildhall Records, by Furnivall, in Appendix to
Vicary’s _Anatomy of the Body of Man_. Early English Text Society.

[606] _Cal. State Papers_, Venetian, VII. 649.

[607] _Abstract_, &c. in Brit. Mus. MSS., as above.

[608] The following is the case by which he supports the recommendation to
kill dogs in plague-time: “Not many years since, I knew a glover in Oxford
who with his family, to the number of ten or eleven persons, died of the
plague, which was said to be brought into the house by a dogge skinne that
his wife bought when the disease was in the Citie” (_Poor Man’s Jewel_,
Chapter VIII. London, 1578).

[609] _Transcripts from the MS. Archives_, ed. Bayley, 1856.

[610] News-letter to the Earl of Shrewsbury, _Hist. MSS. Commis._ VI. 455.

[611] _Machyn’s Diary_, ed. J. Gough Nichols. Camden Soc., No. 42, p. 310.

[612] _Ibid._ p. 396 (note by Nichols); and Guildhall Records, in
Furnivall, _l. c._

[613] _Abstract_, &c. as above.

[614] Stow’s _Memoranda_ (Lambeth MS.), Camden Soc., 1880, p. 123.

[615] _Abstract_, &c. as above.

[616] Stow, _ibid._

[617] Record Office. _State Papers_, Elizabeth, vol. XLVIII., No. 70.

[618] Endorsed “An abstract of such orders as have been heretofore for the
preventing and decreasing of the plague in and about London.”

[619] The searchers are mentioned at Shrewsbury as early as 1539
(Phillips).

[620] _Survey of London_, _ed. cit._ p. 119.

[621] Holinshed, III. p. 1260.

[622] John Bell, _London’s Remembrancer_. Lond. 1665.

[623] _Liber Albus Londinensis._ Rolls series, ed. Riley. The following
instances occur in the report of the commissioners of 1343: P. 446: A
water-gate “obturatur ratione unius gutturi exeuntis de una latrina,” etc.
P. 449: the Ebbegate obstructed by certain persons named, “qui fecerunt in
eadem venella latrinas supra dentes, quarum putredo cadit supra capita
hominum transeuntium.” Same page: Wendegoslane “obturatur per fimos et
garderobas.” Same page: Rethersgate obstructed “per fimos et alia
hujusmodi foetida.” Same page: Dowgate. Two householders named “in eisdem
aedificiis diversas latrinas fecerunt, pendentes ultra vicum ejusdem
venellae; quarum putredines cadunt supra homines per eandem venellam
transeuntes.” P. 450: at Queenhithe a “communis latrina.” P. 451: at
Saltwharf the way to the river obstructed “pulvere et aliis putredinibus
in eadem projiciendis.” P. 452: Lekynggeslane has two latrinae and is
impassable owing to want of paving. Same page: Another venel obstructed by
the Earl Marshall; three latrinae in it. In a perambulation of the ground
outside the walls, 26 Ed. III. (1552), the following encroachments are
noted among others: Outside Ludgate, one has erected a shed (_camera_) 16
ft. × 12¾ ft., and made there “unum profundum puteum et quadratum pro
latrina”--a deep well and a latrine-pit together. Also outside Ludgate,
William of Wircestre has a house there and two shelters for beasts, and a
latrine, and part of the said house is 14 ft. × 7½ ft.

[624] _Statutes of the Realm_, 17 Ric. II.

[625] Riley, _op. cit._, p. 614.

[626] Stow’s _Survey_.

[627] Art. “Shakespeare,” _Encycl. Britan._

[628] Wodderspoon’s _Memorials of Ipswich_, p. 285, p. 259.

[629] “Now first printed.” Exeter, 1765, p. 181.

[630] Poulett Scrope, _op. cit._ p. 333.

[631] _D. Erasmi Epistolar. lib. XXX._ London, 1642, Lib. xxii. Epist. 12
(without date).

[632] Richard of Devizes. Eng. Hist. Soc. p. 60: “Apud Bristolliam nemo
est qui non sit vel fuerit saponarius; et omnis Francus saponarios amat ut
stercorarios.”

[633] William Harrison’s _Description of England_ (in Holinshed) gives
proof enough that the filthy floors described by Erasmus had no existence
two generations later, even among the poorer classes.

[634] The correspondence is in _Remembrancia_, under the head of “Plague.”

[635] From a memorandum of Lord Burghley’s, dated Hertford Castle, 21 Nov.
1582, it appears that a survey had shown 577 beds available for strangers
in one parish of Hertford, and 451 in another, “so that there are lying
two a bed above 2000 people.” _Cal. State Papers._ Domestic series,
Elizabeth 1581-90, p. 75.

[636] Stow’s _Survey_.

[637] _Remembrancia_, p. 332.

[638] _Remembrancia._

[639] Baddeley, _Parish of St Giles, Cripplegate_. Lond. 1888.

[640] _Ibid._, under date August, 1672, p. 193.

[641] Broadsheets in the collection of the Society of Antiquaries. Cited
by W. Rendle, F.R.C.S., _Old Southwark and its People_. London, 1878, p.
198. Mr Rendle, in one place, seems to imply disapproval of this mode of
coffinless burial; but in another (p. 225, note) he says it was “a sort of
forecast of Mr Seymour Haden’s wise proposals.” His first thoughts appear
to have been the best.

[642] Sermon on Third Sunday in Advent, 1552.

[643] Stow’s _Memoranda_. Camden Society, N. S. XXVIII., 1880, p. 125.

[644] Stow, _Annales_, p. 662.

[645] _Cal. State Papers._

[646] _Cat. Cecil MSS._

[647] On July 15, 1570, the Duke of Norfolk craved his release from the
Tower, on account of the great risk to his bodily health and the infection
of the pestilence in that part of the city. (_Calendar of Cecil MSS._)

[648] _Report Hist. MSS. Commis._

[649] Anthony Wood, _op. cit._

[650] _Remembrancia_, p. 38.

[651] Turnor’s _History of Hertford_, pp. 236, 268.

[652] _The Loseley Manuscripts_, ed. Kempe. London, 1836, p. 280.

[653] Holinshed, III. p. 1240.

[654] Letter to Cecil, _Cal. Cecil MSS._, II. 106 (under the year 1575).

[655] Corporation records, in _Notes and Queries_, 6th series, II. 524.

[656] _Notes and Queries_, 6th series, II. 390.

[657] Ormerod’s _Hist. of Cheshire_, I. Harl. MS. 2177 (a death from
plague, 3 Nov. 1574).

[658] _Cal. Cecil MSS._, II. 107:--For the week ending 9 September, 1575,
in St Margaret’s, 25 deaths (of plague 13), St Martin’s 3 of plague,
Savoy, none, St Clement’s 3 (2 of plague).

[659] Cecil to Earl of Lincoln. _Ibid._ 10 September, 1575.

[660] _The Maire of Bristowe, is Kalendar._ Camden Soc. 1872, p. 59.

[661] Wells corporation MSS., _Hist. MSS. Com._, I. 107.

[662] Owen and Blakeway.

[663] _Calendar of State Papers_, Domestic, 1591-94, p. 269.

[664] Tickell’s _Hist. of Kingston upon Hull_, 1798.

[665] Records of the Burgh of Kirkcudbright. _Hist. MSS. Commiss._, IV.
539.

[666] _Remembrancia_, p. 333 (27 Nov. and 6 Dec. 1582).

[667] By permission of the Marquis of Salisbury. The contents of this
small volume have not been included in the published Calendar of the Cecil
MSS.

[668] ‘A sermon preached at Powles Crosse on Sunday, the third of
November, 1577, in the time of the Plague’ by T. W. London, 1578 (February
20).

[669] Strype’s ed. of Stow’s _Survey_, Bk. IV. p. 34. Nonsuch was near
Epsom.

[670] _Remembrancia of the City of London_, p. 331.

[671] _Calendar of Cecil MSS._, Part II. under the dates.

[672] Turnor’s _Hist. of Hertford_, p. 236.

[673] _Cal. Cecil MSS._

[674] Blomefield, vol. III. (“Norwich,” under the date).

[675] _Ibid._ “Yarmouth.”

[676] Morant’s _Hist, of Essex_, I. 50.

[677] _Hist. MSS. Commission_, IX. 277 b.

[678] _Notes and Queries_, 6th series, II. 524.

[679] _Cal. State Papers._

[680] Nichols, _Hist. of Leicestershire_.

[681] _Cal. S. P._

[682] _Cal. State Papers._ Eliz. 1581-90 (Lemon), pp. 45, 70.

[683] Graunt’s _Reflections on Bills of Mortality_. 3rd ed., Lond. 1665,
p. 135.

[684] _Hist. MSS. Com._

[685] Saunders, _Hist. of Boston_, p. 228.

[686] Duke of Rutland’s MSS. _Hist. MSS. Com._, May 24, 1586.

[687] Saunders, _l. c._

[688] _Notes and Queries_, 2nd series, XI. 497.

[689] Blomefield’s _Norfolk_.

[690] _Ibid._ and Gawdy MSS. _Hist. MSS. Com._

[691] Glover’s _Hist. of Derby_, p. 613.

[692] _Archaeologia_, VI. 80.

[693] Townsend’s _Hist. of Leominster_, p. 59.

[694] Sykes, _Local Records of Northumberland and Durham_, p. 80.

[695] _Cal. S. P._, Domestic, Eliz. ed. Lemon.

[696] Corporation MSS. of Plymouth. _Hist. MSS. Com._ X. pt. 4, p. 539.

[697] _Notes and Queries_, 6th series, III. 477.

[698] Dunsford’s _Historical Memoirs of Tiverton_, p. 38.

[699] _Bill of Mortality for the week ending October 20, 1603._ Broadside
in Guildhall Library, with summary, on margin, of the mortalities in 1563
and 1592-93.

[700] _Cal. State Papers_, 1591-94, p. 312.

[701] _Ibid._ p. 340.

[702] _Ibid._ 1595-97, p. 45, May 26, 1595:

“Arguments in proof of the advantages to be derived by the City of London
from stopping up the town ditch:--It is the origin of infection, and the
only noisome place in the city. In the last great plague, more died about
there than in three parishes besides; these fields are the chiefest walks
for recreation of the cityzens, and though the ditch were cast every
second year, yet the water coming from the kennel and slaughter-houses
will be very contagious. It is no material defence for the city, and half
the ditch has been stopped these many years.”

[703] _London’s Remembrancer_, by John Bell, Clerk of the Company of
Parish Clerks. London, 1665. He says: “I shall begin with the year 1593,
being the first year in which any account of the christenings and burials
was kept. I cannot find any record of more antiquity than that of this
year in the Company of Parish Clerks Hall.” However we can now point to
original weekly bills of mortality of 1532 and 1535, to abstracts of
weekly plague-burials in 1563-66, to the figures from one weekly bill of a
series in 1574, and to abstracts of 1578-83.

[704] The total of 25,886 was copied, probably from the broadside of 1603,
into an anonymous essay of 1665, called _Reflections on the Bills of
Mortality_, the total of plague alone being given as 11,503, evidently by
a misprint for 15,003. At the same time a table was given, professing to
be of the weekly deaths from all causes, in one column, and from plague in
another, from March 13 to December 18, 1593. The column of plague-deaths
sums up to 11,110, but the total of 11,503 (which originated in a
misprint) is printed at the foot of the column as if that were the
summation. The column of deaths from all causes is made to sum up to
25,886, the actual sum being 25,817. But the weekly mortalities in it for
those weeks that had little plague are an absurdity for 1593. Whatever the
source of this table, it is not genuine for 1593, and was disclaimed by
Bell, the clerk of Parish Clerks’ Hall, whose essay was written in 1665 to
correct that and other errors about former plagues in London.

[705] _Cal. State Papers._ Addenda. Elizabeth.

[706] Cussan’s _Hist. of Hertfordshire_.

[707] Turner’s _Hist. of Hertford_, p. 268.

[708] Glover’s _Hist. of Derby_, p. 613.

[709] Harwood’s _Hist. of Lichfield_, p. 304.

[710] Nichols, _Leicestershire_ (Town records of Leicester); Kelly, in
_Trans. Roy. Hist. Soc._ VI. (1877), p. 391 (at least 20 houses shut up).

[711] Owen and Blakeway.

[712] Parish registers in Townsend’s _Leominster_, p. 59.

[713] Corporation MSS. Canterbury, in 9th Report of _Hist. MSS.
Commission_, pp. 159 a, 160 a, b. “This plague continued from the end of
September to the month of January.”

[714] Parish Register of Penrith: “A sore plage was in London,
Nottinghome, Derbie and Lincolne in the year 1593” (Jefferson’s
_Cumberland_, I. 19).

[715] _Cal. Stale Papers._ Addenda. Elizabeth.

[716] Syer’s _Memorials of Bristol_. The excessive mortality at Leominster
(41 burials in September, 1597) may have been an effect of the famine.
(Townsend’s _History_, p. 59.)

[717] _Cal. State Papers_, Domestic, 1597, § 10, p. 347.

[718] _Cal. State Papers_, Domestic, 1597, p. 501.

[719] Sykes, _Local Records_, p. 82.

[720] Clarkson’s _Hist. of Richmond_.

[721] Camden’s _Britannia_, p. 175.

[722] Jefferson’s _Cumberland_, I. 273. But these are the same figures as
for Penrith.

[723] _Ibid._ I. 391.

[724] Parish register of Penrith, in Jefferson, _l. c._

[725] _Notes and Queries._ 6th series, II. 524.

[726] _Exchequer Rolls of Scotland_, X. 594. Edin. 1887.

[727] _Burgh Records of Aberdeen_ (Spalding Club), I. 66.

[728] _Exchequer Rolls Scot._, XI. p. lxviii.

[729] _Ibid._

[730] _Burgh Records_, pp. 88, 90, 130, 165.

[731] _Register of the Privy Council, Scotland_, I. 5.

[732] _Cal. S. P._ Scot. (Thorpe).

[733] _Burgh Records_, pp. 222, 231, 244, 246.

[734] _Cal. S. P._ Scot. 18 Nov. 1548. The Rhinegrave recovered, and came
to Edinburgh on the 26th.

[735] _Reg. P. C. Scot._ I. 279-81.

[736] _Ibid._ I. 281-2.

[737] _Ane Breve Description of the Pest_, Edin. 1568. Reprinted, for the
Bannatyne Club, by James Skene of Rubislaw. Edin. 1840.

[738] _Diurnall of Occurrences_, in Chambers.

[739] Cited by R. Chambers (_Domestic Annals of Scotland_, I.) from M.
Napier’s notes to the Spottiswoode Club edition of Spottiswoode’s History.

[740] _Op. cit._ I. 53.

[741] _Burgh Records of Canongate._ Maitland Club, Miscellany, II. 313 (in
Chambers).

[742] Chambers, I. 94.

[743] _Burgh Records of Glasgow, 1573-1581._ Maitland Club, p. 27.

[744] _Reg. P. C. Scot._, II. 415.

[745] _Ibid._ p. 419.

[746] _Hist. MSS. Com._, IV. 539.

[747] _Reg. Scots P. C._, III. 229.

[748] _Ibid._

[749] _Ibid._ III. 679.

[750] _Reg. Scots P. C._ s. d.

[751] _Chronicle of Perth_, Bannatyne Club, p. 4, and Chambers, I. 154.

[752] _Reg. Scots P. C._, III. 727.

[753] Calderwood’s _Hist. of Kirk of Scotland_, IV. 366: “It was first
known to be in Simon Mercerbank’s house.” Birell’s _Diary_ (1532-1605) in
Chambers, I. 157.

[754] _Scots P. C._, III. 746.

[755] _Ibid._ V. 56.

[756] Moysie, in Chambers, I. 157.

[757] _The Diary of Mr James Melville, 1556-1601._ Bannatyne Club. Edin.
1829, p. 153.

[758] Marioreybank’s _Annals_, in Chambers.

[759] Melville’s _Diary_, p. 162.

[760] Melville, p. 173; Calderwood, cited by Chambers; _Cal. Cecil
Papers_, III. 298, 310.

[761] _Cal. Cecil Papers_, III. 321.

[762] _Memorabilia of Glasgow_, in Chambers.

[763] _Scots Privy Council._

[764] Birell, in Chambers.

[765] _Scots P. C._

[766] Calderwood, V. 655.

[767] Two men sent to buy nolt in Galloway for the needs of the borough of
Dumfries were stopped, with 38 head of cattle, by the provost and others
of Wigton, at the Water of Crie, the cattle being impounded at Wigton for
eight days so that they became lean. A hundred merks compensation was
demanded. _Scots Privy Council_, V.

[768] _Scots P. C._, VI. 164.

[769] _Aberdeen Kirk Session Records_, Spalding Club, 1846, Calderwood
(cited by Chambers, I. 319) says that the year 1600 was one of famine, and
that there was also a great death of young children, six or seven being
buried in Edinburgh in a day.

[770] _Scots Privy Council_, VI. under the respective dates.

[771] _Burgh Records._

[772] Smith’s _Cork_, II. 34.

[773] _Cal. State Papers._ Domestic.

[774] Smith’s _Cork_, on the authority of MS. annals.

[775] _Annals of Loch Cé._ Rolls ed., II. 289.

[776] Brabazon to T. Cromwell. _Cal. State Papers._ Irish.

[777] _Cal. State Papers._ Irish, 1566-7.

[778] _State Papers_ (Record Office), Irish, 1567, No. 54. Letter from
Lord Treasurer Winchester and Ed. Baeshe, to the Lord Deputy. Mr Froude’s
summary of it is that “the clammy vapour had stolen into their lungs and
poisoned them,” and again, “the reeking vapour of the charnel house.” I
have had difficulty in deciphering the letter, but I can make out “being a
graveyard where all their buriall,” etc.

[779] _Cal. State Papers._ Irish.

[780] Thady Dowling, p. 41.

[781] _Cal. State Papers._ Domestic. Sept. 1, 1575.

[782] Stubbs, in his edition of Roger of Howden (Rolls series, No. 51, II.
249), on the evidence of the Pipe Roll of 1166.

[783] _Memorials of London in the 13th, 14th and 15th centuries_, ed.
Riley.

[784] Stow’s _Survey of London_, pop. ed. (1890), p. 66.

[785] Hall’s _Chronicle_, ed. of 1809, p. 632.

[786] This account of the Black Assizes at Oxford in 1577 was brought to
light, like so many other things from the register of Merton, first by
Anthony Wood in his _Hist. and Antiq. of the Univ. of Oxford_ (ed. Gutch,
II. 189). It was copied in full, from the original Latin text, in 1758, by
John Ward, LL.D., and sent to the Royal Society, in whose _Phil. Trans._
(vol. L. p. 699) it is printed, with remarks, by Tho. Birch, D.D., Sec. R.
S.

[787] Howard, _The State of the Prisons in England and Wales_. 3rd ed.,
Warrington, 1784, p. 342.

[788] _Hist, and Antiq. Univ. Oxford_, ed. Gutch, II. 188-192.

[789] Georgius Edrichus, ‘In Libros aliquot pauli Aeginetae Hypomnemata
quaedam.’ Londini apud Tomam East 1588 (without pagination).

[790] The passage which Anthony Wood thought to relate to the gaol fever
at Oxford in 1577 is the following, under the heading “De morbis publicé
grassantibus:” “Publice grassari morbos vidimus Oxonii, et una nocte simul
plus sexaginta agrotasse (_sic_) novimus, et in vicinis postridie pagis,
eo forte aëre delato, fere centum. Quod etiam eodem tempore, regnante tum
Edwardo sexto, Cantabrigiae evenit, cum duo simul liberi ducis inclyti
Suffolchiae ibi morerentur. Nec tamen Oxonienses ulli fere interierunt,
quod coeli constitutio apud nos quam ibi salubrior sit. Sed iis ita
succurrendum morbis putamus, ut Brittanico sudore (sic enim vocant)
opitulari solemus.”

[791] Anthony Wood, as we have seen in the text, put together his version
of the fever of 1577 from the Merton College register, from Stow’s
_Annals_, and from Ethredge’s reference to the sweat of 1551. In 1758,
John Ward, LL.D., copied the passage in the Merton register and sent it to
the Royal Society; whose secretary, the Rev. Dr Thomas Birch, appended to
it in the _Philosophical Transactions_ some annotations--“copying,” as
Carlyle said of him with reference to some Cromwell matter, “from Wood’s
_Athenae_; and has committed--as who does not?--several errors,” his
annotations being “sedulous but ineffectual”--to the extent of fixing on
the original correct narrative an accretion of mistakes (600 for 60,
sweating sickness for gaol fever, &c.). Trusting to the respectable Birch,
Bancroft in his _Essay on the Yellow Fever, with observations concerning
febrile contagion &c._ (Lond., 1811) has based a theory that the Oxford
epidemic was not typhus at all. Murchison (_Continued Fevers of Great
Britain_, 2nd ed. 1873, p. 103) has also been misled, and has found
himself therefore at a disadvantage in answering Bancroft’s empty
verbalisms about the invariable reproduction of typhus from some previous
case. F. C. Webb, in a paper “An Historical Account of the Gaol Fever,”
_Trans. Epidem. Soc._ for 1857, p. 63, has not used the Oxford case for
any argumentative purpose, but he has, like the others, given the facts
erroneously. He gives no particulars of the Exeter Black Assize.

[792] Howard, _On Lazarettos in Europe_, &c. Warrington, 1789, p. 231:
“But as I have found, in some prisons abroad, cells and dungeons as
offensive and dirty as any I have observed in this country, where however
the distemper was unknown, I am obliged to look out for some additional
cause of its production. I am of opinion that the sudden change of _diet_
and lodging so affects the _spirits_ of _new_ convicts that the general
causes of putrid fever exert an immediate effect upon them. Hence it is
common to see them sicken and die in a short time with very little
apparent illness.” The last words are important.

[793] _Sylva Sylvarum, or A Natural History._ In ten centuries. Cent. 10,
§§ 914-15. Spedding’s ed. II. 646.

[794] Holinshed’s _Chronicle_. New edition by Hoker, London, 1587, pp.
1547-8.

[795] These statements by Hoker, chamberlain of Exeter, are sufficiently
circumstantial; but they do not quite suit the theory of a writer in the
_Dict. Nat. Biog._, under “Drake, Sir Bernard” that the ship was “a great
Portugal ship,” called the Lion of Viana, with an English master, taken by
Bernard Drake in Brittany. No doubt such a capture is stated in the _Cal.
State Papers_, 1585, p. 295 (the reference given), Sir W. Raleigh’s ship
the “Jobe” being included in the same petition; but nothing is said of
Dartmouth as the port to which the two vessels were brought, or of Exeter
as the place where their captains were imprisoned. It is of importance for
the theory of the Exeter gaol fever to know whether Drake’s prisoners were
Portuguese fishermen or not, and Hoker may be supposed to have known.

[796] The author of the misadventure. He succeeded in getting home to
Crediton, where he died on the 12th April, four weeks after the Assizes
began.

[797] Sir George Nicholls, in his _History of the English Poor Law_, 1854,
I. 113, threw out the suggestion that the decay was in the old walled
towns, and that it was compensated by the rise of populations on less
hampered sites. This theory has been adopted by some later writers.

[798] _Calendar of State Papers._ Domestic, Hen. VIII.

[799] Becon’s _Works_, 3 vols. II. fol. 15-16.

[800] Continuation of Fabyan’s _Chronicle_.

[801] Greyfriars _Chronicle_, Camden Soc. LIII., 1852. Preface by J. G.
Nichols, xxiv.

[802] Strype’s ed. of Stow’s _Survey of London_.

[803] In the Rolls of the Middlesex Sessions (Middlesex Record Society),
there occur numerous entries of inquests on deaths in the gaol of Newgate
from the 25th year of Elizabeth: a few of these are from plague; but by
far the larger number are from “the pining sickness,” a malady which
sometimes cut off several prisoners in the same few days and after a brief
illness. In one of these epidemics (Dec. 1586-Feb. 1587), a single case is
called “pestilent fever,” the other seven being “pining sickness.” Next
year, June 19, there is a case of bloody flux, and, on June 24, a case of
“pining sickness.” The other periods when the disease so named was
epidemic in Newgate were Feb.-May, 1595, June and July, 1597, March, 1598,
and March-April, 1602. The pining sickness was probably a generic term,
and may have included chronic disease; there is a solitary case entered as
ailing for as long a period as eight months, the usual duration of the
sickness being one, two, or three days up to three or four weeks.

This place will serve to notice the strange teaching about “parish
infection” which has received currency among the writers of good repute as
authorities. Guy (_Public Health_, Lectures, 1870, I. 23) says the gaol
distemper was an old offender known as the _sickness of the house_: “I
think I recognize it in the London Bills from 1606 to 1665 as the _Parish
Infection_.” The column of figures in the London Bills which has been
taken to show the weekly prevalence of a disease, otherwise unheard of,
“parish infection,” really shows the number of “parishes infected.” The
earlier bills showed, in the corresponding column, the number of parishes
clear (“parish.clere” or “paroch.clere”). By adding up the number of
parishes infected in each of the 52 weeks of a bad plague-year, a total of
some thousands is got, and that total has been taken to be the annual
mortality from “parish infection”--a pure myth. The original author of
this singular mistake appears to have been Marshall, in his _Mortality of
the Metropolis_, London, 1832, p. 67. Of the “parish infection,” he says:
“The disease below is specified by Mr Bell in his _Remembrancer_ [1665];
it is probably the same as exhibited under the name of spotted fever.”
What Bell “specifies” is not another disease, but the number of parishes
in the City and suburbs infected with the plague in each week of the year.

[804] _Annales Monastici_, Rolls series, No. 19. Chronicle by an unknown
author (St Albans) temp. Hen. VI., 1422-31:--“Quaedam infirmitas reumigata
invasit totum populum, quae _mure_ dicitur: et sic senes cum junioribus
inficiebat quod magnum numerum ad funus letale deducebat.”

In the Report of the Irish Local Government Board, Medical Department,
1890, influenza is identified under the name “slaedan,” or prostration,
which was epidemic in Ireland in 1326 or 1328, the same epidemic being
called “murre” in the _Annals of Clonmacnoise_. The use of the word “mure”
in the St Albans Chronicle is just a century later. Murrain (or _morena_
in Latin chronicles) is probably the modern survival of “mure” or “murre.”

[805] I take this summary from Short (_Chronology_, etc. I. 204), who
omits his authority, probably the foreign writers to whom he is usually
indebted in the earlier period. The first part of Theophilus Thompson’s
_Annals of Influenza_ (Sydenham Society) is little else than extracts from
Short, and therefore of foreign origin.

[806] _Cal. State Papers._ Domestic, _sub dato_.

[807] Thus in the continuation of Fabyan’s Chronicle under the year 1512,
the Marquis of Dorset, sent into Spain with 10,000 men, is said to have
“returned in winter by reason of the flix (dysentery).” And in Hall’s
_Chronicle_ (ed. of 1807, p. 523), we have particulars of the very serious
sickness in his army in Biscay; owing to their diet being largely of
garlic and fruits, and their drink being hot wines in hot weather, “there
fell sick 3000 of the flix, and thereof died 1800 men.”

[808] Continuator of Fabyan’s _Chronicle_, sub anno. There is an almost
identical entry in _A London Chronicle of Henry VII. and Henry VIII._
(Camden Miscellany, vol. V. 1859), but under the year 1539, in a hot and
dry summer. The most discrepant date and designation of the epidemic of
those years are those given in Hardiman’s _History of Galway_ (p. 40):
“This charitable institution [St Bridget’s Hospital] was fortunately
completed in the year 1543, when the sweating sickness broke out, and
raged with great violence, destroying multitudes of the natives, and
particularly the tradesmen of the town.”

[809] The term “hot ague” occurs as early as 1518, in a letter of 18 July
(_Cal. State Papers_).

[810] Wriothesley, _A Chronicle of England during the reigns of the
Tudors_ (1457-1559). Camden Society, II. 139.

Anthony Wood also enters for Oxford, under 1557, “A pestilential disease
to the settling of some and the driving away of many; the causes of which
proceeding from the eating of green fruit, the Commissary commanded that
none should be sold in the market or elsewhere in Oxford.”

[811] Fabyan’s _Chronicle_, p. 711.

[812] Stow’s _Annales_, ed. Howse, p. 631. Speed also has a paragraph,
unusual with him, on the state of health in the year of Queen Mary’s death
(1658), in which the mortality among the clergy is specially mentioned.

[813] Extracts from Harrison’s MS. _Chronologie_ by Furnivall, in Appendix
to _Elizabethan England_. Camelot series, 1890, p. 267. His famine prices,
and the enormous fall of them after harvest, are the same as given by
Stow.

[814] _State Papers_, Record Office.

[815] John Jones, M.D. _The Dyall of Ague_, London, 1564?

[816] _Calendar of State Papers._ Foreign, II. 1558, p. 398.

[817] _Calendar of State Papers._ Foreign, II. 1558, p. 400.

[818] _New Observations, Natural, Moral, Civil, Political and Medical, on
City, Town and Country Bills of Mortality._ By Thomas Short, M.D., London,
1750.

[819] 2 vols. London, 1749.

[820] _Calendar of Cecil MSS._, II. 525.

[821] _Phil. Trans._ XVIII. 105

[822] Graunt, _Reflections on the Bills of Mortality_, 3rd ed. 1665.

[823] _Opera_, ed. Greenhill, p. 160.

[824] _Ibid._ p. 169.

[825] Giraldus Cambrensis, Rolls series, No. 21, vol. V. _Topogr.
Hiberniae_, p. 67:--“Advenarum, tamen, una his fere est passio et unica
vexatio. Ob humida namque nutrimenta, immoderatum ventris fluxum vix in
primis ullus evadit.” Flux among the English troops in Ireland in 1172 is
mentioned by Radulphus de Diceto, _Imag. Histor._ I. 348.

[826] _Works of James I._, p. 301.

[827] _Sloane MS._ (Brit. Mus.) No. 389, folios 147-153. It bears no date,
but is marked in the catalogue “xv and xvi cent.,” as if belonging either
to the end of the fifteenth century or the beginning of the sixteenth.

[828] Hensler, who reproduced in 1783 (_Geschichte der Lustseuche_, App.
p. 53) these and other particulars from one of the two remaining copies of
Pinctor’s work (in the possession of Professor Cotunni of Naples),
collated with the other copy in the Garelli library at Vienna, finds in
the concluding dedication of the book to Alexander Borgia a sinister
meaning, as if the supreme pontiff had been himself a victim of the
_grande maladie à la mode_; it is easier, he says, to extricate the sense
than the syntax of the passage.

[829] There was another edition in 1539, and several more following.
Paynel also added a short section, “A Remedy for the Frenche pockes,” to
his book entitled, _A Moche Profitable Treatise against the Pestilence_.
Translated into English by Thomas Paynel, chanon of Martin [Merton] Abbey,
London, 1534.

[830] _Extracts from the Council Register of the Burgh of Aberdeen,
1398-1570._ Edited for the Spalding Club [by Dr John Stuart], vol. I.
1844, p. 425.

[831] _Phil. Trans._, vol. 42 (1743), p. 420: “Part of a Letter from Mr
Macky, professor of History, to Mr Mac Laurin, professor of Mathematics in
the University of Edinburgh, and by him communicated to the President of
the Royal Society; being an Extract from the Books of the Town Council of
Edinburgh, relating to a Disease there, supposed to be Venereal, in the
year 1497.”

[832] Simpson (_l. c._) quotes the Proclamation from the original
minute-book, almost in the above spelling; it is in Vol. I. of the _Town
Council Records_, fol. 33-34, and is entitled in the rubric “Ane Grangore
Act.”

[833] “On Syphilis in Scotland in the Fifteenth Century,” _Trans. Epidem.
Soc._ N. S. 1. (1862), p. 149. Two of the entries are published in the
_Criminal Trials of Scotland_, 1. 117; the others were collected for
Simpson by Mr Joseph Robertson from the High-Treasurer’s Accounts in the
Register House, Edinburgh. These accounts have since been published in the
Rolls series (vol. I. 356, 361, 378 (_bis_), 386).

[834] _Op. cit._ I. 437.

[835] _Privy Purse Expenses of Elizabeth of York._ Edited by Nicolas,
London, 1830, p. 104.

[836] Stow’s _Survey of London_, “Bridge Ward Without.” He ascribes these
informations to “Robert Fabian,” both in the text and in the margin. The
statement is certainly not made in Fabyan’s _Chronicle of England_ under
the year 1506, or other year of the decade, nor is it indexed as occurring
in some earlier connexion.

[837] Bernard André’s Works. Rolls series, No. 10.

[838] _Erasmi Epistolae_, folio. London, 1642, p. 1789 e.

[839] Anthony Wood, _Hist. Univ. Oxford_, ed. Gutch, I. 514. Freind
(_Hist. of Physic_, Pt. II. p. 345) says that the French pox is mentioned
in the will of Colet, dean of St Paul’s, 1518.

[840] _The Supplication of Beggers_ compyled by Symon Fyshe. Anno
MCCCCCXXIIII. Lond. 1546.

[841] _Parliamentary History_, I. 494.

[842] Bullein’s _Dialogue of the Fever Pestilence, 1564_. Early English
Text Society, Extra series, 1888, p. 122.

[843] Bullein’s _Bulwarke of Defence against all Sicknes, Sornes, and
Woundes_, etc., 1562, foll. 2, 68.

[844] _Certain Works of Chirurgerie newly compiled and published by T.
Gale._ London, 1563.

[845] _Dyall of Agues_, cap. VIII. “Of the Pestilential fever, or plage,
or boche.”

[846] William Clowes, _A short and profitable Treatise touching the cure
of the disease called (Morbus Gallicus) by unctions_, London, 1579.

[847] ‘A Prooved Practice for all young Chirurgeons, concerning burning
with gunpowder, and woundes made with Gunshot, Sword, Halbard, Pike,
Launce or such other. Hereto is adjoyned a Treatise of the French or
Spanish Pocks, written by John Almenar, a Spanish Phisician. Also a
commodious collection of Aphorismes, both English and Latine, taken out of
an old written coppy. Published for the benefit of his country by William
Clowes, Maister in Chirurgery.’ New ed., 1591.

[848] _A most excellent and compendious Method_, etc. London, 1588.

[849] Read uses, among other terms, one that has played a great part in
the modern pathology of syphilis. Among the points to be noticed are,--“if
recent or old, if the ulcers or whelks be many, whether pustulous matter
or _gummie_ substance appear.”

[850] John Banister, ‘A needefull new and necessarie treatise of
Chyrurgerie, briefly comprehending the generall and particular curation of
ulcers ... drawen forth of sundrie worthy writers.... Hereunto is annexed
certaine experimentes of mine owne invention.’ London, 1575.

[851] Peter Lowe, _An easie, certaine and perfect method to cure and
prevent the Spanish sicknes_, Lond. 1596. For an account of the book see
_The Life and Works of Maister Peter Lowe_. By James Finlayson, M.D.
Glasgow, 1889.

[852] _A Treatise concerning the plague and the pox, discovering as well
the means how to preserve from the danger of these infectious contagions,
or how to cure those which are infected with either of them._ London,
1652.

[853] Burnet (_History of his own Time_, I. 395-6, Oxford, 1823) retails a
good deal of unsavoury gossip concerning the disease in noble and princely
personages after the Restoration.

[854] _Natural and Political Observations upon the Bills of Mortality._ By
Captain John Graunt, F.R.S. Preface dated from Birchin Lane, January,
1662.

[855] The origin of syphilis from leprosy has been maintained in a modern
work by Friedr. Alex. Simon, _Kritische Geschichte des Ursprungs, der
Pathologie und Behandlung der Syphilis, Tochter und widerum Mutter des
Aussatzes_. Hamburg, 1857-8.

[856] Hirsch, _Geographical and Historical Pathology_ (Translated), II.
67, 68, 81.

[857] In Hensler, p. 14, and Appendix, p. 11.

[858] _Ibid._, App. p. 15.

[859] In Hensler, Appendix, p. 66.

[860] The rise of the pox in the Italian wars, with its dispersion over
all Europe, comes into “The Smallpox, a Poem” by “Andrew Tripe, M.D.,”
London, 1748:

  “Whip! thro’ both camps, halloo! it ran,
   Nor uninfected left a man ...
   Hence soon thro’ Italy it flew
   Veiled for a while from mortal view,
   When suddenly in various modes,
   It shone display’d in shankers, nodes,
   Swell’d groins, and pricking shins, and headaches
   And a long long long string of dread aches ...
   From thence with every sail unfurl’d
   It traversed almost all the world ...
   Until at length this Stygian fury
   Worked its foul way to our blest Drury,
   Where still Lord Paramount it reigns,
   Pregnant with sharp nocturnal pains,” etc.

[861] I do not include among the good evidence the often quoted letter of
Peter Martyr to a professor of Greek at Salamanca, under the date of
“nonis Aprilis, 1488,” in which “morbus Gallicus” is used as well as the
Spanish name “las bubas.” It seems to me certain that the date should be
1498, or something else than 1488, the correspondence having gone on until
1525. The same kind of misdating occurs among the printed letters of
Erasmus.

[862] This letter is printed in his _Opuscula_, Papiae, 1496. Attention
was first called to it by Thiene, in his essay confuting the doctrine of
the West-Indian origin of syphilis.

[863] In Hensler, App. p. 108.

[864] Manardus, _Epist. Med._ lib. VII. epist. 2. Basil, 1549, p. 137 (as
cited by Hirsch). The first letter of Manardus “de erroribus Sym. Pistoris
de Lypczk circa morbum Gallicum,” was printed in 1500 (Hensler, p. 47).

[865] I quote it from Hensler, _Geschichte der Lustseuche die zu ende des
xv Jahr hunderts in Europa ausbrach_. Altona, 1783, Appendix, p. 109.

[866] Mezeray, _Histoire de France_, II. 777.

[867] The diagnosis in De Comines’ text appears to have struck the editors
of the chief edition of his work, that of 1747; for they have appended a
footnote to the passage, which is a superfluity unless it be meant to
express surprise: “Charles VIII. malade de la petite vérole à l’age de
vingt-deux ans.”

[868] Martin, _Histoire de France_, VII. 257, 283.

[869] _Handbook of Geographical and Historical Pathology._ Translated by
C. Creighton, 3 vols. London, 1883-86, II. 92-98.

[870] _Miscellaneous Works of the late Robert Willan, M.D., F.R.S.,
containing an Inquiry into the Antiquity of the Smallpox, Measles, and
Scarlet Fever, etc._ Edited by Ashby Smith, M.D., London, 1821.

[871] Th. Nöldeke, _Geschichte der Araber und Perser, nach Tabari_.
Leyden, 1879, pp. 218, 219.

[872] The term “autonomy” in the foregoing is used according to the
exposition which I originally gave of it in an address to the British
Medical Association (1883) on “The Autonomous Life of the Specific
Infections” (_Brit. Med. Journ._, Aug. 4, 1883). The semi-independence of
constitutional states has been dealt with in my book, _Illustrations of
Unconscious Memory in Disease_. London, 1885.

[873] The South-African controversy, which became acute, was carried on in
journals of the colony (the _South African Medical Journal_ about 1883 and
1884 is a likely source of information), but some echoes of it were heard
in letters to the _British Medical Journal_, 1884. A few years ago a
similar diagnostic difficulty arose, not in an African race, but among the
inmates of a Paris hospital. In the smallpox wards of the Hôpital St
Antoine, a number of cases occurred, one of them in a nurse, another in an
assistant physician, of a particular skin-disease, which was either
discrete or confluent, lasted about ten days, and was attended by fever up
to 40° C. or 41° C. Yet these cases were discriminated from smallpox; they
were diagnosed, and have been recorded, as an epidemic of ecthyma. (Du
Castel, _Gazette des Hôpitaux_, 1881, No. 122, quoted in the
_Jahresbericht_.)

[874] _Krankheiten des Orients._ Erlangen, 1847, p. 127.

[875] _History of Physic_, II. 190.

[876] Gruner, a learned professor of Jena, who made collections of works
or passages relating to syphilis and to the English sweat, published also
in 1790 a collection of medieval chapters or sentences on smallpox, “De
Variolis et Morbillis fragmenta medicorum Arabistarum,” including the
whole of Gaddesden’s chapter but omitting the earlier and more important
chapter from Gilbert. Gruner correctly says at the end of his extracts:
“while the Arabists write thus, they seem to have followed their Arabic
guides, and to have repeated what they received from the latter.” This is
obvious from the text of the chapters themselves: some quote more often
than others from Avicenna, Rhazes and Isaac; but it is clear that they all
base upon the Arabians. The substance is the same in them all; it is a
merely verbal handling of Arabic observation and theory. There are no
concrete experiences or original additions, from which one might infer
that they were familiar at first hand with smallpox and measles. Häser,
however, seems to take these chapters in the medieval compends as evidence
of the general prevalence of smallpox in Europe in the Middle Ages. As he
finds little writing about smallpox when modern medical literature began,
he is driven into the paradox that epidemics of smallpox had actually
become rarer again in the sixteenth century (III. p. 69). But the
sixteenth-century references to smallpox, although they are indeed scanty,
are at the same time the earliest authentic accounts of it in Western
Europe.

[877] This intention is most clearly expressed by Valescus de Tharanta:
“Then let him be wrapped in a woollen cloth of Persian, or at least of
red, so that by the sight of the red cloth the blood may be led to the
exterior and so be kept at no excessive heat, according to the tenour of
the sixth canon [of Avicenna].” _Apud_ Gruner, p. 46.

[878] _History of Physic_, Pt. II. p. 280.

[879] _Rosa Anglica._ Papiae, 1492.

[880] _Chronica Majora._ Rolls ed. V. 452.

[881] _Rolls of Parliament._

[882] Early English Text Society’s edition by Skeat. Passus xvi. (108),
and Passus vii.

[883] Trench, in his _Select Glossary_, has adopted the derivation of
measles from _misellus_, without apparently knowing that John of Gaddesden
had actually used “mesles” for a form of _morbilli_. The derivation of
measles from _misellus_ has been summarily rejected by Skeat, who thinks
that “the spelling with the simple vowel _e_, instead of _ae_ or _ea_,
makes all the difference. The confusion between the words is probably
quite modern.” Perhaps I ought not to contradict a philologist on his own
ground; but there is no help for it. I know of four instances in which the
simple vowel _e_ is used in spelling the name of the disease that is
associated with smallpox, the English equivalent of _morbilli_. In a
letter of July 14, 1518, from Pace, dean of St Paul’s to Wolsey (_Cal.
State Papers_, Henry VIII. II. pt. 1), it is said, “They do die in these
parts [Wallingford] in every place, not only of the small pokkes and
mezils, but also of the great sickness.” In the _Description of the Pest_
by Dr Gilbert Skene, of Edinburgh (Edin. 1568, reprinted for the Bannatyne
Club, 1840, p. 9), he mentions certain states of weather “quhilkis also
signifeis the Pokis, Mesillis and siclik diseisis of bodie to follow.” And
if a Scotsman’s usage be not admitted, an Oxonian, Cogan, says, “when the
small pockes and mesels are rife,” and another Oxonian, Thomas Lodge, in
his _Treatise of the Plague_ (London, 1603, Cap. iii.) says: “When as
Fevers are accompanied with Small Poxe, Mesels, with spots,” etc. On the
other hand, Elyot, in the _Castel of Health_ (1541), Phaer in the _Book of
Children_, (1553), Clowes in his _Proved Practice_, and Kellwaye (1593)
write the word with _ea_. There is, indeed, no uniformity, just as one
might have expected in the sixteenth century. Again, Shakespeare
(_Coriolanus_, Act III., scene I) spells the word with _ea_ where it is
clearly the same word that is used in _The Vision of Piers the Ploughman_
in a generic sense and in the spelling of “meseles:”--“Those meazels which
we disdain should tetter us.” Lastly, there are not two words in the
Elizabethan dictionaries, one with _e_ signifying lepers, and another with
_ea_ signifying the disease of _morbilli_. In Levins’ _Manipulus
Vocabulorum_, we find “ye Maysilles” = _variolae_, but there is no word
“mesles” = _leprosi_. There was only one word, with the usual varieties of
spelling; and in course of time it came to be restricted in meaning to
_morbilli_, Gaddesden’s early use of “mesles” in that sense having
doubtless helped to determine the usage.

[884] _Harl. MS._, No. 2378. So far as I have observed, there is no
prescription for “mesles,” or for smallpox under its Latin name or under
any English name that might correspond thereto. Moulton’s _This is The
Myrror or Glasse of Helth_ (? 1540), which reproduces these medieval
prescriptions with their headings, is equally silent about smallpox and
measles.

[885] Willan’s _Miscellaneous Works_. “An Inquiry into the Antiquity of
the Smallpox, Measles, and Scarlet Fever.” London, 1821, p. 98. The MS. is
Harleian, No. 585.

[886] Sandoval, cited by Hecker, _Der Englische Schweiss_. Berlin, 1834,
p. 80.

[887] MS. Harl., 1568.

[888] There is a fine copy of the earliest printed version in the British
Museum, with “Sanctus Albanus” for colophon. The same text was reprinted
often in the years following by London printers--in 1498, 1502, 1510, 1515
(twice), and 1528.

[889] Camden Society, ed. Gairdner, 1876, p. 87.

[890] Walsingham, _Hist. Angliae_, I. 299. Also _Chronicon Angliae a
quodam Monacho_, _sub anno_ 1362.

[891] “Also manie died of the smallpocks, both men, women and children.”

[892] _History of the Smallpox_, 1817. Blomefield, also, in his _History
of Norfolk_, quotes the passage about “pockys” correctly from the “Fruit
of Times,” applies it to Norwich, to which city it had no special
relation, and then says that this is the first mention of “small pocks.”

[893] Fabyan’s _Chronicle_. Ed. Ellis, p. 653.

[894] Levins, _Manipulus Vocabulorum_, 1570. Camden Society’s edition,
column 158.

[895] _Lettres du Roy Louis XII._ Brusselle, 1712, IV. 335.

[896] _Cal. State Papers._

[897] “Item, que à son grand desplaisir il ait esté naguaires mal disposé
d’une maladie nommée la petitte verolle, dont à present, graces à Dieu, il
est recouvert et passé tout dangier.” _Lettres du Roy Louis XII._, IV.
260. Brusselle, 1712.

[898] _Cal. State Papers._

[899] _Cal. State Papers._

[900] Edited by Gairdner for the Camden Society, 1880.

[901] Bannatyne Club’s reprint, 1840, pp. 9-10.

[902] _The Loseley Manuscripts._ Edited by Kempe. London, 1836, p. 315.

[903] _A Defensative against the Plague ... whereunto is annexed a short
treatise of the small Poxe, how to govern and help those that are infected
therewith._ London, 1593.

[904] Francis Davison’s _Poetical Rapsodie_. The poem of Spilman occurs at
p. 189 of the edition of 1611. In the piratical edition of 1621, after
Davison’s death, “small” is left out before “Pocks,” and Spilman’s name
omitted at the foot of the verses. The printer’s error has had the
singular effect of leading Dr Farmer, the writer on Shakespeare, to
conclude that the word “pox” in the Elizabethan period meant smallpox even
in imprecations such as “a pox on it.”

[905] Sir Tobie Matthews’ _Letters (1577-1655)_, London, 1660. (1) Donne
to Mrs Cockaine, p. 342; (2) Donne to Sir R. D----, both without date.

[906] _Court and Times of James I._

[907] _Court and Times of Charles I._ (Chamberlain to Carleton), I. 28.

[908] Anthony Wood.

[909] For Chester also, in the parish register of Trinity Church (Harl.
MS. 2177) there is a note opposite 1636: “for this two or three years
divers children died of smallpox in Chester.”

[910] _Cal. State Papers._

[911] _Ibid._

[912] _Hist. MSS. Commission_, V. 146, 151, 156, 168, 174, 201. See also
the Diaries of Pepys and Evelyn.

[913] _Natural History of Oxfordshire._ Oxford, 1677, p. 23.

[914] _De contagione et contagiosis morbis_, etc. Venet. 1546.

[915] Titles in Häser, III. 383.

[916] _Opus de peste ... necnon de variolis_, Neap. 1577.

[917] _Les œuvres de M. Ambroise Paré._ 5th ed., Paris, 1598, Books XIX.
and XX. The chapters on Plague, Smallpox, etc., were originally published,
according to Häser, in 1568.

[918] See Purchas, _Pilgrimes_, III. 996, where syphilis and smallpox are
included together as “infectious or pestilentiall pocks,” Ramusio being
given as the authority for the smallpox and Oviedo for the great pox.

[919] For details of the increase of London population, with the sources
of evidence, I beg to refer to my essay, “The Population of Old London,”
_Blackwood’s Magazine_, April, 1891.

[920] Broadside in the Guildhall Library, bound up in a volume labelled
_Political Tracts_, 1680.

[921] “The time when it began in the City of Westminster and these places
following:

“Buried in Westminster from 14 July to 20 October, in the whole number
832, whereof of the plague 723. Buried in the Savoy from the 1st of June
to the 20th of October, in the whole number 182, whereof of the plague,
171. Buried in the parish of Stepney from the 25th of March to the 20th of
October, in all 1978, whereof of the plague, 1871. Buried at
Newington-buts from the 14th of June to the 20th of October, in all 626,
whereof of the plague, 562. Buried at Islington 201 in all, 170 of plague;
at Lambeth 373 in all, 362 of plague; at Hackney 192 in all, 169 of
plague. Buried in all within the 7 several places last aforenamed 4378,
whereof of the plague, 3997. The whole number that hath been buried in all
[to 20th October], both within London and the Liberties, and the 7 other
severall places last before mentioned is 39,380, whereof of the number of
the plague, 32,609.”

From the parish registers the burials for the whole year are known:
Stepney, 2257; Lambeth, 566; Islington, 322; Hackney, 321 (of plague 269).

In Stow’s _Annales_, the mortality of 1603 is given as follows:--“There
died in London and the liberties thereof from the xxiii day of December
1602 unto the xxii day of December 1603, of all diseases 38,244, whereof
of the plague 30,578.”

[922] Baddeley, _l. c._

[923] _A short Dialogue concerning the Plague Infection._ Published to
preserue Bloud through the blessing of God. London, 1603.

[924] _The Wonderfull Yeare 1603, wherein is shewed the picture of London
lying sicke of the Plague._ London, 1603.

[925] In his _Seven Deadly Sins of London_ (1606) he returns to the mode
of burial in the plague: “All ceremonial due to them was taken away, they
were launched ten in one heap, twenty in another, the gallant and the
beggar together, the husband saw his wife and his deadly enemy whom he
hated within a pair of sheets.” As an after effect of this mode of
interment, “What rotten stenches and contagious damps would strike up into
thy nostrils!”

[926] _A Treatise of the Plague._ By Thomas Lodge, Doctor in Phisicke.
London, 1603. It has been reprinted, among Lodge’s other works, by the
Hunterian Club of Glasgow, 1880.

[927] _The opinion of Peter Turner, Doctor in Physicke, concerning Amulets
or Plague-Cakes, whereof perhaps some hold too much and some too little._
London, 1603, p. 10. Turner held high offices at the College of
Physicians, and died in 1614. There was another physician of the name,
also a dignitary of the College, Dr George Turner, whose widow was the
notorious Mrs Anne Turner, executed for having been an instrument in the
poisoning of Sir T. Overbury. Scott has drawn from her the character of
Mrs Suddlechop, in _The Fortunes of Nigel_, a work invaluable for
realizing the London of King James. The reference in the Earl of
Northumberland’s accounts, under date Feb. 6, 1607, to a Dr Turner, who
was paid ten shillings for a “pomander” against the plague, would suit
either Dr Peter or Dr George (_Hist. MSS. Commis._ VI. 2, 29).

[928] A letter from Hampstead, August 27, 1603, speaks of “the imprudent
exposure of infected beds in the streets.” (_Cal. State Papers._)

[929] _A New Treatise of the Pestilence, etc. the like not before this
time published, and therefore necessarie for all manner of persons in this
time of contagion._ By S. H. Studious in Phisicke. London, 1603.

[930] This mystification was pointed out in a note to “Thayre” (the 1625
edition) in the printed Catalogue of the Library of the Royal Medical and
Chirurgical Society.

[931] _An Epistle discoursing upon the present Pestilence, teaching what
it is and how the people of God should carrie themselves towards God and
their neighbours therein._ Reprinted, with some Additions, by Henoch
Clapham. London, 1603.

[932] _A Short Dialogue, etc._, _ut supra_.

[933] In a volume with other pieces. London, 1605.

[934] But several warders in the Tower died of it. (_Cal. State Papers_,
Sept. 16, 1603.)

[935] In Lysons, _Environs of London_.

[936] _Hist. MSS. Com._ X. pt. 4, p. 5.

[937] E.g. plague at Datchet (_Notes and Queries_, 3rd ser. VI. 217).

[938] John Bell, _London’s Remembrancer_. London, 1665 [1666].

[939] Extracts from _Harrison’s MS. Chronologie_ by Furnivall in Appendix
(p. 268) to _Elizabethan England_. Camelot Series, 1890.

[940] _A Sermon preached at Powles Crosse_, etc. London, 1578.

[941] _Remembrancia_ (numerous extracts from the City records, under
“Plays”).

[942] _Cal. State Papers_, Addenda, James I. p. 534.

[943] _Notes and Queries_, 6th series, II. 524. The mortality is stated on
the authority of the parish registers of St George’s and St Michael’s, the
dead having been “buried at the cabbin of Whitefryers.”

[944] There is _An Account of the Plague at Oxford, 1603_, in the Sloane
MS. No. 4376 (14), extracted from the register of Merton College, which
had also been the source of Anthony Wood’s account, as summarised in the
text.

[945] _Cal. State Papers._ Addenda, 1580-1625.

[946] _Hist. MSS. Commis._ IX. 160.

[947] Izacke’s ‘Memorials of Exeter’ (in _N. and Q._, 3rd ser. VI. 217).

[948] Bailey, _Transcripts from the MS. Archives of Winchester, 1856_, p.
109.

[949] Cromwell.

[950] _Hist. MSS. Commis._ IX.

[951] _Ibid._ X. pt. I, p. 89.

[952] Thompson’s _Boston_.

[953] _Hist. MSS. Com._ IX.

[954] _Archæologia_, VI. 80.

[955] Rogers’ MS. in Hemingway’s _Hist. of Chester_. Harl. MS. 2177.

[956] Earwaker, _East Cheshire_, II. 471; I. 406.

[957] Bridges and Whalley, II. 53; I. 124.

[958] Drake’s _Eboracum_. Lond. 1736, p. 121.

[959] Sykes, _Local Records of Northumberland and Durham_.

[960] Phillips, Owen and Blakeway.

[961] _Cal. State Papers._ Addenda, 1580-1625.

[962] Parish Register (in a local history).

[963] _Notes and Queries_, 6th ser. II. 390.

[964] _Ib._

[965] _Ib._

[966] _Ib._

[967] _Cal. State Papers_, 1608-9.

[968] Hemingway.

[969] _Cal. S. P._

[970] _Hist. MSS. Com._ V. 570.

[971] _Archæologia_, VI. 80.

[972] Blomefield.

[973] Sykes.

[974] Nichols, III. 892-3.

[975] Nichols (parish registers); Kelly, _Trans. Roy. Hist. Soc._, 1877,
VI. 395.

[976] Sykes.

[977] Hemingway.

[978] May, _Hist. of Evesham_, 1845; p. 371.

[979] Add. MS. 29,975. f. 25.

[980] _Hist. MSS. Com._ IX. 162.

[981] _Ib._ I. 101.

[982] Beesley, _Hist. of Banbury_.

[983] Dean Butler’s notes to Clyn’s and Dowling’s _Annals_.

[984] Smith’s _Cork_, from MS. Annals.

[985] Chambers, _Domestic Annals_.

[986] _Cal. State Papers._

[987] Chambers.

[988] _Cal. State Papers._

[989] Balfour’s _Annals of Scotland_ (in Chambers, I. 399).

[990] _Ibid._

[991] Chambers.

[992] _Aberdeen Burgh Records._

[993] Chambers.

[994] _Chron. of Perth._

[995] Chambers.

[996] _Ibid._

[997] The invaluable letters of Chamberlain, as well as those of Mead (of
Cambridge) and others, were collected by Dr Thomas Birch in the last
century, and printed in 1848 under the titles _The Court and Times of
James I._, and _C. and T. Charles I._, without an index but with some
useful notes.

[998] Chamberlain to Carleton, _C. and T. James I._, II. 504.

[999] _Chronological History of the Air, Weather, Seasons, Meteors, etc._
2 vols. Lond. 1749, I. 306:--“This fever began, and raged terribly in
England in 1623; was little, if at all, short of the plague.”

[1000] Chamberlain to Carleton, in _Court and Times of Charles I._, I. 28.

[1001] Salvetti’s Diary, in _Hist. MSS. Com._ XI. pt. I, p. 26.

[1002] _Cal. S. P._ 15 Sept.

[1003] Holland.

[1004] Bell, _London’s Remembrancer_.

[1005] _C. and T. Charles I._, letter of 2 July, 1625.

[1006] In a volume of Topographical Papers in the British Museum, 1298, m
(18).

[1007] W. Heberden, Junr., _Increase and Decrease of Diseases_. Lond.
1801, p. 66. He gives no authority; “1626” is clearly a misprint.

[1008] _Calendar of State Papers_, 1625-26, p. 184.

[1009] _The Red Crosse_ (broadside). London, 1625.

[1010] Parish Histories, and in Lysons’ _Environs of London_.

[1011] _Britain’s Remembrancer, containing a Narrative of the Plague
lately past._ London, 1628.

[1012] _The Fearfull Summer, or London’s Calamitie._ Printed at Oxford,
1625 (reprinted with additions, Lond. 1636).

[1013] Holland’s _Posthuma_. Cantab. 1626.

[1014] _The Weeping Lady, or London like Ninivie in Sackcloth._ By T. B.
London, 1625.

[1015] _Hist. MSS. Commission_, XI. pt. I, p. 6.

[1016] Bradwell’s book, to be mentioned in the sequel, was written for
practice during the plague. There is a reference to something of Sir
Theodore Mayerne’s on the plague of 1625, which I have not succeeded in
finding. His _Opera Medica_ contain ordinary cases treated by him in
London in December, 1625, but there is no mention of plague-cases.
Woodall’s essay on plague, published in 1639, thus refers to his
experience in the epidemic of 1625: “In anno 1625 we had many signes
contrarie to the plagues in other times; yea, and many did dye dayly
without any signes or markes on their bodies at all.”

[1017] _C. and T. Charles I._ I. 48.

[1018] _A Watchman for the Pest, teaching the true Rules of Preservation
from the Pestilent Contagion, at this time fearfully overflowing this
famous Cittie of London. Collected out of the best authors, mixed with
auncient experience, and moulded into a new and most plaine method._ By
Steven Bradwell, of London, Physition. 1625.

[1019] _Cal. State Papers._

[1020] _Ib._

[1021] Th. Locke to Carleton, _Cal. S. P._, 14 Aug.

[1022] Salvetti.

[1023] Locke to Carleton, 27 Aug.

[1024] _Cal. S. P._

[1025] Mead, letter in _C. and T. Ch. I._ I. 43.

[1026] _Cal. S. P._

[1027] _Ibid._

[1028] Mostly from parish registers in Lysons’ _Environs of London_.

[1029] Winchester was probably a fair sample. In the city archives under
the year 1625 there is this entry: “Item, it is also agreed that the
decayed cottage where Lenord Andrews did dwell, he lately dying of the
plague, shall be burned to the grounde for fear of the daunger of
infection that might ensue if it should stande.” (Bailey, _Transcripts_,
etc. Winchester, 1856, p. 110.) In a petition relating to Farnham, Jan.
1628, the town is described as being “impoverished through the plague and
many charges,” which may mean that plague had been diffused in Surrey and
Hampshire.

[1030] _Cal. State Papers._

[1031] _Cal. State Papers._

[1032] MSS. of the Corporation of Plymouth. _Hist. MSS. Commis._ IX. 278.
Accounts are given (p. 280) of the monies collected for the relief of the
poor and sick people of Plymouth “in the time of the infection of the
pestilence from Sept. 29, 1625, to that day A.D. 1627.” But that does not
imply that the infection lasted all that time. The civic year began with
September 29, and the accounts are those that fall within two complete
financial years.

[1033] _Cal. State Papers._

[1034] _Notes and Queries_, 6 ser. III. 477.

[1035] _Cal. S. P._

[1036] _Ib._

[1037] _Cal. S. P._

[1038] _Ib._

[1039] _Cal. S. P._

[1040] Letter from Mead in _C. and T. Charles I._ I. 51.

[1041] Blomefield.

[1042] At Coventry in 1626, £20 was paid to the poor in lieu of a feast at
Lammas, by reason of the infection. (Dugdale, _Warwickshire_.)

[1043] The following curious extract was sent by J. A. Picton to _Notes
and Queries_, 6th ser. I. 314 from the parish register of Malpas,
Cheshire, 1625:

“Richard Dawson (brother of the above-named Thomas Dawson of Bradley)
being sick of the plague and perceiving he must die, at that time arose
out of his bed and made his grave, and caused his nephew John Dawson to
cast straw into the grave, which was not far from the house, and went and
laid him down in the said grave and caused clothes to be laid upon, and so
departed out of this world. This he did because he was a strong man and
heavier than his said nephew and another wench were able to bury. He died
about the 24th of August. Thus much was I credibly tould. He died 1625.

“John Dawson, son of the above-mentioned Thomas, came unto his father when
his father sent for him being sick, and having laid him down in a ditch
died in it the 29th day of August, 1625, in the night.

“Rose Smyth, servant of the above-named Thomas Dawson, and last of that
household, died of the plague and was buried by Wm. Cooke the 5th day of
September, 1625, near unto the said house.”

[1044] Memoranda of Rev. Thomas Archer, of Houghton Conquest. MSS. Addit.
Brit. Museum.

[1045] Blomefield.

[1046] Phillips’ _Hist. of Shrewsbury_. _Hist. MSS. Com._ X. pt. 4. p.
498.

[1047] _Hist. MSS. Com._ II. 258.

[1048] _Hist. of County of Lincoln_, II. 187. _Notitiae Ludae_, p. 41.

[1049] Tickell’s _Hist. of Kingston-upon-Hull_. Hull, 1798.

[1050] Gawdy MSS. (_Hist. MSS. Com._ X. pt. 2), various letters from Sept.
14, 1636, to Nov. 26, 1638, relating chiefly to Norwich.

[1051] Boys, _Hist. of Sandwich_, pp. 707-8.

[1052] R. Jenison, D.D., _Newcastle’s Call to her Neighbor and Sister
Towns_. London, 1637.

[1053] Heberden says that it began in Whitechapel, but does not say where
he got the information.

[1054] _Middlesex County Records_, III. 62.

[1055] _Ibid._

[1056] The College of Physicians reported also in May, 1637, on the causes
of plague--overcrowding, nuisances, &c.; among the causes assigned the
following is noteworthy: Those who died of the plague were buried within
the City, and some of the graveyards were so full that partially
decomposed bodies were taken up to make room for fresh interments. (Cited
by S. R. Gardiner, _History, &c._, VIII. 237-9, from the State Papers.)

[1057] _Natural and Political Reflections on the Bills of Mortality._
London, 1662.

[1058] _Cal. State Papers._

[1059] Strype’s ed. of Stow’s _Survey of London_.

[1060] Rendle (_Old Southwark_, 1878, p. 96) quotes the following from a
letter written in 1618 by Geoffrey Mynshall from the King’s Bench prison:
“As to health, it hath more diseases predominant in it than the pest-house
in the plague time ... stinks more than the Lord Mayor’s dog-house or
Paris Garden in August ... three men in one bed.”

[1061] _Cal. S. P._ 1601-3, p. 209.

[1062] _Middlesex County Records_, II.

[1063] Cited by Gardiner, _History_, VIII. 289.

[1064] _Calendar of State Papers._

[1065] _Cal. S. P._

[1066] _Ibid._

[1067] _Ibid._ The coexistence of malignant fever with plague at
Northampton in 1638 is decisively shown by particulars of cases published
by Woodall, _Op. cit._ 1639. See also Freeman, _Hist. of Northampton_, p.
75 (but under the year 1637).

[1068] _Ibid._

[1069] _Ibid._

[1070] Camden’s _Britannia_, ed. Gough, II. 244.

[1071] _Notes and Queries_, 6th series, IV. 199.

[1072] _Hist. MSS. Com._ V. 173.

[1073] _Diatribae duae de Fermentatione et de Febribus._ Hagae, 1659.

[1074] _Morbus Epidemicus anni 1643; or the New Disease._ Published by
command of his Majesty. Oxford, 1643.

[1075] From Rushworth.

[1076] “The City, with much emotion, ranks its trained bands under Essex:
making up an Army for him, despatches him to relieve Gloucester. He
marches on the 26th [August]; steadily along, in spite of rainy weather
and Prince Rupert; westward, westward; on the night of the tenth day,
September 5th, the Gloucester people see his signal-fire flame up, amid
the dark rain, ‘on the top of Presbury Hill;’--and understand that they
shall live and not die. The King ‘fired his huts,’ and marched off without
delay. He never again had any real chance of prevailing in this war....
The steady march to Gloucester and back again, by Essex, was the chief
feat he did during the war; a considerable feat, and very characteristic
of him, the slow-going inarticulate, indignant, somewhat elephantine man.”
Carlyle, _Letters and Speeches of Cromwell_.

[1077] From the translation by S. Pordage. London, 1681.

[1078] Anthony Wood, II. pt I. p. 469.

[1079] Dunsford’s _Histor. Mem. of Tiverton_, p. 184.

[1080] The military events from Rushworth.

[1081] Dunsford, _Histor. Memoirs of Tiverton_. Harding, _Hist. of
Tiverton_.

[1082] Rushworth. Moore, _Hist. of Devonshire_, I. 149.

[1083] Beesley’s _Hist. of Banbury_, p. 387.

[1084] In Somers’s _Tracts_. Scott’s ed. V. 294.

[1085] Sykes.

[1086] Clarendon, referring to a proposed Royal visit to Bristol in April
says: “The plague began to break out there very much for the time of the
year.”

[1087] _Cal. State Papers._

[1088] Rushworth.

[1089] _Letters and Speeches_, I.

[1090] Seyer’s _Memorials of Bristol_, II. 466.

[1091] Whitaker, _History of Leeds_, p. 75.

[1092] Harwood, _Hist. of Lichfield_, p. 306.

[1093] Pordage’s translation of Willis’s _Remaining Works_, p. 131.

[1094] Nichols, III. 893.

[1095] Cornelius Brown, _Annals of Newark_. London, 1879, p. 164.

[1096] _Ibid._

[1097] _Notes and Queries_, 6th ser., III. 477.

[1098] Rushworth.

[1099] _Histor. MSS. Com._ XI. 7, p. 190.

[1100] _Ibid._ IX. 1, p. 201.

[1101] _Hist. of Carlisle_, 1838.

[1102] Chambers, _Domestic Annals of Scotland_.

[1103] Baillie’s _Letters_. 3 vols. Edited by D. Laing for the Bannatyne
Club.

[1104] Kennedy, _Annals of Aberdeen_, I. 270 (expenses of the epidemic
from the Council Register, vol. LIII. p. 130).

[1105] Hemingway, Ormerod. _The Report of the Hist. MSS. Commission_ (V.
339) notes that Dr Cowper’s MS. contains details of 2,099 deaths, but
reproduces none of them.

[1106] _Hist. MSS. Commiss._ V. 342.

[1107] Owen and Blakeway.

[1108] Rushworth, Pt. 4, vol. II., pp. 1100, 1109.

[1109] _Annals of Ireland_ by Clyn and Dowling, Dean Butler’s notes pp.
64, 65 (ref. to Carte’s _Life of the Duke of Ormonde_).

[1110] _Cal. State Papers._

[1111] The weekly bills of mortality for Dublin, July 20--Aug. 2, 1662,
showed only 14 baptisms and 20 burials in ten parishes; but these can
hardly have been all the births and deaths in the city.

[1112] Smith’s _Cork_, vol. II. from Cox MSS.

[1113] _Cal. S. P._ Sept. 21, 1650.

[1114] H. Whitmore, M.D. _Febris Anomala; or the New Disease that now
rageth throughout England, with a brief description of the Disease which
this Spring most infested London._ London, 1659 (4 November).

[1115] _Hist. MSS. Commission_, X. pt. 4, p. 106.

[1116] Willis, _Diatribae duae_. Hagae, 1659.

[1117] _Pyretologia._ 2 vols. London, 1692-4. Appendix to 1st volume, p.
415.

[1118] Sent to _Notes and Queries_, 1st ser. XII. 281, by Mr H. Hucks
Gibbs.

[1119] _Hist. MSS. Commiss._ V. 146 (Sutherland letters).

[1120] Greenhill’s edition (Sydenham Society, 1844), pp. 37, 93, 95-98.

[1121] Purchas, _His Pilgrimes_. 4 vols., folio. London, 1625, vol. I.
Book II. p. 36.

[1122] Hakluyt, _The Principal Navigations_, &c. 3 vols. London, 1599,
III. 225-6.

[1123] Pericarditis scorbutica--a condition which has been observed mostly
in Russia in recent times. The whiteness of the heart would have been due
to the fibrinous layer of lymph on its surface, from the pericarditis.

[1124] Hakluyt, III. 241.

[1125] Hakluyt, II. Part II., pp. 22, 36, 48.

[1126] Hakluyt, III. 501.

[1127] Sir James Stephen’s _Essays in Ecclesiastical Biography_, pop. ed.
p. 125.

[1128] Hakluyt, II. pt. 2, p. 99.

[1129] The famous figure in _Paradise Lost_ (IV. 159) is taken from the
route to India passing within Madagascar--a poetic colouring of dreary and
painful realities:--

                  As when to them who sail
  Beyond the Cape of Hope, and now are past
  Mozambik, off at sea north-east winds blow
  Sabean odours from the spicy shore
  Of Araby the blest; with such delay
  Well pleas’d they slack their course, and many a league
  Cheer’d with the grateful smell old Ocean smiles:

[1130] _The World Encompassed_ &c., Hakluyt Society, ed. Vaux, p. 149, and
Hakluyt, III. 740.

[1131] _A summarie and true discourse of Sir Francis Drake’s West Indian
voyage begun in the year 1585._ Published by M. Thomas Cates. Shortened in
Hakluyt, III. 542. The earlier part of the narrative is by Captain Bigges,
and, after his death in the West Indies, by his lieutenant, Croftes.

[1132] Mr Froude (_History_, XII. 150) must be pronounced somewhat happy
in his bold guess of “yellow fever.” At the same time the enthymeme by
which he had reached his conclusion is altogether wrong: first, in
assuming that the infection “broke out” after the capture of Cartagena,
ignoring the fact of its disastrous prevalence in mid-ocean two or three
months before, shortly after leaving the Cape de Verde islands; and
secondly in assuming that the yellow fever for which Cartagena and other
harbours of the Spanish Main became notorious in later times had existed
as an infection there in the 16th century.

[1133] Sir Richard Hawkins, who commanded the galliot ‘Duck’ in Drake’s
expedition of 1585, thus refers to the Cape de Verde islands, on the
occasion of touching there in his own expedition to the Pacific in 1593
(Purchas, IV. 1368):

These islands are “one of the most unhealthiest climates in the world. In
two times that I have been in them, either cost us the one half of our
people, with fevers and fluxes of sundry kinds, some shaking, some
burning, some partaking of both; some possesst with frensie, others with
slouth; and in one of them it cost me six months’ sickness, with no small
hazard of life.” He then gives a reason for the great risk to health: the
north-east breeze about four in the afternoon seldom faileth, “coming cold
and fresh, and finding the pores of the body open and for the most part
naked, penetrateth the very bones, and so causeth sudden distemperature,
and sundry manners of sickness, as the subjects are divers whereupon they
work. Departing out of the calmes of the Islands, and coming into the
fresh breeze, it causeth the like; and I have seen within two days after
that we have partaked of the fresh air, of two thousand men above an
hundred and fifty have been crazed in their health.” This seems to refer
to the epidemic in Drake’s fleet, as given in the text; but it is clearly
an imperfect account of the facts, and in theory altogether improbable, as
a trade wind within the tropic cannot be credited with such effects, even
if the forms of sickness were conceivably due at all to chill.

Darwin (_Naturalist’s Voyage in the Beagle_, p. 366) says: “The island of
St Jago, at the Cape de Verde, offers another strongly-marked instance of
a country, which anyone would have expected to find most healthy, being
very much the contrary. I have described the bare and open plains as
supporting, during a few weeks after the rainy season, a thin vegetation,
which directly withers away and dries up; at this period the air appears
to become quite poisonous; both natives and foreigners often being
affected with violent fevers. On the other hand, the Galapagos
Archipelago, in the Pacific, with a similar soil, and periodically subject
to the same process of vegetation, is perfectly healthy.” But the
Galapagos have been uninhabited, except in recent times by two or three
hundred people banished from Ecuador. On the other hand the Cape de Verde
islands are believed to have been at one time well wooded and not
unfertile; and the Portuguese settlements in them, to say nothing of the
native negro villages, had a fair population. It is not easy to understand
the pernicious character of their fevers without assuming that spots of
soil had become pestilential by human occupancy; but it is at the same
time clear that a degree of befouling of the soil which would be innocuous
in ordinary, would there engender deadly miasmata owing to the remarkable
alternations of drought and wetness under a tropical sun.

[1134] Hakluyt, III. 286.

[1135] Mr Hubert Hall, of the Record Office, in _Society in the
Elizabethan Age_. London, 1886, p. 120.

[1136] Hakluyt, III. 583.

[1137] Hakluyt, III. 804, 820; and other details in the 1st ed. (1589) pp.
809, 810.

[1138] Hakluyt, III. 842-52.

[1139] Purchas, IV. Bk. 7, Chap. 5, (reprinted from Hawkins’s own
narrative of the voyage, published a few months after the author’s death
in 1622).

[1140] Mr J. K. Laughton (_Dict. of National Biography._ Art. “Hawkins,
Sir Richard”) points out that Hawkins’s narrative of the ‘Daintie’s’
voyage had not always been authenticated by reference to notes or
documents. It seems probable also, from his remarks on the epidemic in
Drake’s fleet after leaving the Cape de Verde islands in 1585, that he
trusted his memory too much. But that objection of writing from memory has
no force as against his general observations and reflections on scurvy.

[1141] Purchas, part IV. p. 1877.

[1142] _Ibid._ p. 1623.

[1143] Woodall defends the use of biscuit in his _Surgeon’s Mate_,
published in 1617.

[1144] Purchas, III. 847.

[1145] _The Voyages of Sir James Lancaster, Knight, to the East Indies._
Hakluyt Society, ed. Clements Markham, 1878; and in Hakluyt’s _Principal
Navigations_, II. pt. 2, p. 102.

[1146] The slowness of the passage round the Cape of Good Hope in old
times was due less to the build or rig of the ships than to the course
shaped: instead of steering southwest from Madeira across the Atlantic
almost to the coast of Brazil at Cape San Roque, so as to get the
north-east trade wind, and thence on another tack in a wide sweep round to
the Cape with the south-east trade wind, the earlier navigators sailed
past the Cape de Verde islands and along the Guinea coast, keeping within
meridians 20 degrees to the eastward of the modern track, and so falling
into the tropical calms at one part, and at another part of the voyage
into the baffling south-east trades, varying in force according to the
season.

[1147] Purchas, I. 147.

[1148] _Calendar of State Papers._ East Indies (under the respective
dates).

[1149] It seems to have passed into common usage, as “to lie in cold
obstruction and to rot” (_Meas. for Meas._ III. 1), and to have been kept
up therein after the faculty had dropped it--if indeed Byron’s line,
“Where cold Obstruction’s apathy” be a survival of medical terminology.
There is an instance of the same kind of survival in the use of
“scorbutic;” at one time land-scurvy was detected (under the influence of
theory) in many forms, and we find in the _Pickwick Papers_ a late
reminiscence of that singular dogma in the “young gentleman with the
scorbutic countenance.”

[1150] The three earlier instances from Purchas, I. 248, 466, the later
from the _Cal. State Papers_, East Indies.

[1151] _Cal. S. P._ Colonial. East Indies. Dec. 24, 1628.

[1152] _Ibid._ Feb. 6, 1626, p. 146.

[1153] _William Hedges’ Diary._ Hakluyt Society, 1887, I. 24, 54.

[1154] _A Letter of M. Gabriel Archar_, in Purchas, pt. IV. p. 1733;
Smith’s _Virginia_, in Pinkerton, XIII. 99; W. Strachey, in Purchas, pt.
IV. p. 1753.

[1155] Theobald makes this the storm and shipwreck which Shakespeare
brings into the _Tempest_.

[1156] Purchas, IV. p. 1762.

[1157] _Cal. S. P._ America and West Indies.

[1158] Dermer, in Purchas, IV. p. 1778: Belknap’s _American Biography_
(“Life of Gorges”), I. 355.

[1159] John Winthrop’s _Journal_, p. 11.

[1160] Winthrop, I. pp. 119, 123.

[1161] _Ibid._ II. 310.

[1162] Refs. in Noah Webster’s _Hist. of Epid. and Pestil. Diseases_.
Hartford, 1799, I. 189, 191, 193.

[1163] Letter of Norris, in _Hist. of S. Carolina_, I. 142.

[1164] Saco, _History of African Slavery in the New World_ (Spanish).
Barcelona, 1879.

[1165] Oviedo, in Purchas, III. 996:--“Extract of Gonzalo Ferdinando de
Oviedo:--‘I had acquaintance with divers which went in the first and
second voyages of Columbus; of which was Peter Margarite, commendator in
the second voyage, of most respect with the king and queen, who complained
of those paines. [Syphilis was prevalent in Barcelona and Valencia
previous to 1494. See Chapter VIII.] Soon after, in the year 1496, began
the disease to arrest some courtiers; but in those beginnings it was only
amongst baser persons of small authority; and it was thought that they got
it by having to do with common women. But afterwards it extended to
principal persons, and the physicians could not tell what to think of it,
so that many died.’... But indeed it came from Hispaniola, where it is
ordinary, and the remedy also [guaiacum]. _Our author_ (_l. c._ civ.), and
Ramusio in his preface to his third Tome, say that the souldiers of
Pamfilo de Nuney, having the small pocks, infected the Indians which never
before heard of that disease; in so much that of 1,600,000 soules in that
island there are so few left, as by and by you shall hear.... The
covetousnesse of the mine-workers, neglect of diet, change of gouvernours
growing worse and worse, caused them to poison, kill and hang themselves,
besides those which were consumed by infectious or pestilentiall pocks
(those before mentioned out of Ramusio) and other diseases.”

[1166] _Calendar of State Papers._ Amer. & W. I., I. 57.

[1167] _Ibid._

[1168] _Cal. S. P._ Amer. & W. I., under the respective dates.

[1169] The account that follows is taken from Father Dutertre’s _Histoire
generale des Antilles habitées par les François_, 4 vols., Paris,
1667-1671, which superseded his earlier work of 1654.

[1170] _Cal. S. P._ Amer. & W. I., II. 529.

[1171] Ligon, _Hist. of Barbadoes_. London, 1657.

[1172] Winthrop’s _Journal_, II. 312.

[1173] Dutertre, _Hist. gen. des Antilles habitées par les François_. 4
vols. Paris, 1667-1671.

[1174] _Cal. State Papers_, Amer. and W. I., I. 301.

[1175] The chronology of yellow-fever epidemics in Hirsch (I. 318) is made
to begin with Guadeloupe, 1635 and 1640, on the authority of Dutertre (as
above), the epidemic of 1647 at Bridgetown being the third in order.

[1176] Benjamin Moseley, M.D., _Treatise on Tropical Diseases, and on the
Climate of the West Indies_, 3rd ed. (1803), p. 476.

[1177] Hughes, _The Natural History of Barbados_. London, 1750, p. 37.

[1178] _Cal. S. P._ Amer. and W. I., under the dates.

[1179] In Sir John Hawkins’ second voyage as a slaver (1565), he was
allowed to trade on the Spanish Main only for his “lean negroes,” which
were within the purchasing means of the poorer Spaniards. The voyage had
been tedious, and the supply of water short “for so great a company of
negroes.... Many never thought to have reached to the Indies without great
death of negroes and of themselves; but the Almighty God, who never
suffereth His Elect to perish,” etc. Hakluyt, III. 501.

[1180] Clarkson, _History of the Abolition of the African Slave Trade_.
New ed., Lond. 1839, pp. 307, 352. He showed his prepared document to
Pitt:--

“Mr Pitt turned over leaf after leaf, in which the copies of the
muster-rolls were contained, with great patience; and when he had looked
over about a hundred pages accurately, and found the name of every seaman
inserted, his former abode or service, the time of his entry, and what had
become of him, either by death, discharge, or desertion, he expressed his
surprise at the great pains which had been taken in this branch of the
inquiry; and confessed, with some emotion, that his doubts were wholly
removed with respect to the destructive nature of this employ.” (p. 273.)

[1181] T. Aubrey, M.D., _The Sea-Surgeon, or the Guinea Man’s Vade Mecum_.
London, 1729, p. 107.

[1182] Gillespie, _Obs. on the Diseases in H. M.’s Squadron on the Leeward
Island Station in 1794-6_. Lond. 1800.

[1183] For example, Mr R. L. Stevenson in a striking passage of _Treasure
Island_.

[1184] Thurloe’s _State Papers_, III. IV. and V.; _Harl. Miscell._ III.
513; Long’s _History of Jamaica_, 3 vols. London, 1774; _Cal. S. P._,
Amer. and W. I.

[1185] _Harl. Miscel._ _l. c._

[1186] Sir Anthony Shirley touched at Jamaica in 1596, and reported, “we
have not found in the Indies a more pleasant and wholesome place.”
Hakluyt, III. 601. Long (_History of Jamaica_, 1774, II. 221) states the
case very fairly with reference to the unfortunate expedition of Venables
in 1655: “The climate of the island has unjustly been accused by many
writers on the subject, the one copying from the other, and represented as
almost pestilential, without an examination into the real sources of this
mortality, which being fairly stated, it will appear that the same men
carrying the like thoughtless conduct and vices into any other uninhabited
quarter of the globe, must infallibly have involved themselves in the like
calamitous situation.”

[1187] _MS. State Papers_, _Colonial_ (Record Office), Vol. XIV. No. 57
(1660).

[1188] Thomas Trapham, M.D., _Discourse of the State of Health in
Jamaica_. Lond. 1679.

[1189] Moseley, _op. cit._ p. 421, without reasons given; followed by
Hirsch. _Geog. and Hist. Pathol._ (English transl.), I. 318.

[1190] _Hist. of Jamaica_, III. 615.

[1191] _Cal. S. P._ Amer. and W. I.

[1192] _Cal. S. P._ Amer. and W. I. 1669-74, § 144.

[1193] _Ibid._ § 264, III.

[1194] With a preface by the Printer to the Reader, beginning “The
reprinting of these sad sheets.” Printed and are to be sold by E. Cotes,
living in Aldersgate Street, printer to the said Company.

[1195] The advertisement is cited in Brayley’s edition of Defoe’s _Journal
of the Plague Year_.

[1196] Sloane MS. no. 349. Λοιμογραφια, _or, An experimental Relation of
the Plague, of what happened remarkable in the last Plague in the City of
London_, etc. By William Boghurst, Apothecary in St Giles’ in the Fields.
London, 1666.

[1197] Reprinted in _A Collection of very Valuable and Scarce Pieces
relating to the last Plague in the year 1665_. London, 1721.

[1198] Λοιμολογια. London, 1671. Translation by Quincy, 1720.

[1199] Λοιμοτομια, _or, the Pest Anatomized_. By George Thomson, M.D.
London, 1666.

[1200] London, 1667.

[1201] Among the crop of books brought up by the Plague of Marseilles, in
1720 (the immediate cause of Defoe’s book also) was one by Richard
Bradley, F.R.S., a writer upon botany, on _The Plague of Marseilles. Also
Observations taken from an original Manuscript of a graduate physician,
who resided in London during the whole time of the late plague, anno
1665._ London 1721 (and two more editions the same year). The title-page
of this astute gentleman is of the catch-penny order. All that is said of
the original manuscript occupies about the same number of lines in the
text as in the title, and might have been extracted in the course of five
minutes’ research; it consists merely of a list of a few things supposed
to be distinctive signs of plague--extraordinary inward heat, difficulty
of breathing, pain and heaviness in the head, inclination to sleep,
frequent vomiting, immoderate thirst, dryness of the tongue and palate,
and then the risings, swellings, or buboes. Boghurst’s third chapter is
occupied with twenty-one such signs, and his fourth chapter with a hundred
more signs and circumstances, in numbered paragraphs. It is possible that
his was the manuscript out of which the botanist made capital in his
title-page; but his meagre list of signs might have been got from almost
any work on almost any febrile disorder, and is not sufficient to identify
Boghurst by, although a word or phrase here and there is the same.
However, Defoe would have seen Bradley’s title-page, and might have
inquired after the Sloane MS.

[1202] Of the six plague-deaths in 1664, three were in Whitechapel parish,
and one each in Aldgate, Cripplegate and St Giles’s-in-the-Fields.

[1203] _Reliquiae Baxterianae._ London, 1696, I. 448. This entry in his
journal is dated September 28, 1665, at Hampden, Bucks.

[1204] _Ed. cit._ Chap. XIV. p. 131:--“Diseases which seem to be nearest
like its (plague’s) nature; which chiefly are fevers, called pestilent and
malignant; for ’tis commonly noted that fevers sometimes reign popularly,
which for the vehemency of symptoms, the great slaughter of the sick, and
the great force of contagion, scarce give place to the pestilence; which,
however, because they imitate the type of putrid fevers, and do not so
certainly kill the sick as the plague, or so certainly infect others, they
deserve the name, not of the plague, but by a more minute appellation of a
pestilential fever.”

[1205] In a letter from London, 9 May, 1637 (Gawdy MSS. at Norwich, _Hist.
MSS. Commis._ X. pt. 2. p. 163) it is said: “There is a strange opinion
here amongst the poorer sort of people, who hold it a matter of conscience
to visit their neighbours in any sickness, yea though they know it to be
the infection.”

[1206] Evans, in preface to 1721 edition of Vincent’s book.

[1207] _Cal. State Papers._

[1208] _Ibid._

[1209] Evans, _l. c._

[1210] _Reliquiae Baxterianae._ London, 1696, II. 1. 2.

[1211] Milton, with his wife and daughters, spent the summer and autumn in
the same quiet neighbourhood, at Chalfont St Giles, in a cottage which
Ellwood had secured for him, still remaining with its low ceilings and
diamond window-panes. He there showed Ellwood the manuscript of _Paradise
Lost_, which was published in 1667. The poem contains no reference to the
plague, unless, indeed, the flight to the country had given point to the
lines in the 9th book:

  “As one who long in populous city pent,
   Where houses thick and sewers annoy the air,
   Forth issuing on a summer’s morn, to breathe
   Among the pleasant villages and farms,”--

An opportunity arises in the 12th book, where the Plagues of Egypt come
into the prophetic vision of events after the Fall; but the movement is
too rapid to allow of delay, and we have no more than--

  “Botches and blains must all his flesh emboss,
   And all his people.”

Gibbon thought that the comet of 1664 (which was generally remarked upon
as a portent of the plague that followed) might have suggested the lines,
II. 708-11

                  “and like a comet burn’d,
  That fires the length of Ophiuchus huge
  In the arctic sky, and from his horrid hair
  Shakes pestilence and war.”

Gibbon seems to make a slip in taking these as “the famous lines which
startled the licenser;” those are usually taken to have been I. 598-9, the
figure of the sun’s eclipse, which

                “with fear of change
  Perplexes monarchs.”

[1212] _Brit. Mus. Addit. MS._ 4376 (8). “Abstract of several orders
relating to the Plague,” from 35 Hen. VIII. to 1665.

[1213] In excavating the foundations of the Broad Street terminus of the
North London Railway, the workmen came upon a stratum four feet below the
surface and descending eight or ten feet lower, which was full of
uncoffined skeletons. Some hundreds of them were collected and
re-interred. (_Notes and Queries_, 3rd Ser. IV. 85.) The ground was part
of the old enclosure of Bethlem Hospital (St Mary’s Spital outside
Bishopsgate), and was acquired for a cemetery, to the extent of an acre,
by Sir Thomas Roe, in 1569. Probably there were plague-pits dug in it
during more than one of the great epidemics, from 1593 to 1665.

[1214] _Cal. State Papers_, Domestic, 1665, p. 579.

[1215] _Reliquiae Hearnianae._ Ed. Bliss, 1869, II. 117 (under the date of
Jan. 21, 1721).

[1216] _The City Remembrancer._ London, 1769 (professing to be Gideon
Harvey’s notes).

[1217] Procopius (_De Bello Persico_, II. cap. 23, Latin Translation) says
the same of the great Justinian plague in A.D. 543 at Byzantium: “ut vere
quis possit dicere, pestem illam, seu casu aliquo seu providentia, quasi
delectu diligenter habito, sceleratissimos quosque reliquisse. Sed haec
postea clarius patuerunt.” On this Gibbon remarks: “Philosophy must
disdain the observation of Procopius, that the lives of such men were
guarded by the peculiar favour of fortune or Providence;” and most men
will agree with Gibbon. But, if we could be sure of the fact of immunity
(and Boghurst’s testimony is a little weakened by his deference to
Diemerbroek, who knew the classical traditions of plague), it might be
possible to explain it on merely pathological grounds.

[1218] John Tillison to Dr Sancroft, September 14, 1665. Harl. MSS. cited
by Heberden, _Increase and Decrease of Diseases_. London, 1801. Woodall,
writing in 1639, and basing on his experience of London plague in 1603,
1625, and 1636, is in like manner emphatic that the symptoms varied much
in individuals and in seasons.

[1219] _Cal. State Papers._ _Hist. MSS. Com._ IX. 321.

[1220] _Cal. State Papers._ _Cal. Le Fleming MSS._ p. 37 (also for
Cockermouth).

[1221] _Ibid._

[1222] Mead seems to have known that there were plague-cases at Battle in
1665.

[1223] _Cal. S. P._

[1224] _Hist. MSS. Com._ II. 115.

[1225] _The History and Antiquities of Eyam, with a full and particular
account of the Great Plague which desolated that village A.D. 1666._ By
William Wood, London, 1842. This small volume, which owes its interest
solely to the plague-incident, has gone through at least five editions.
Among those who have written, in prose or verse, upon the same theme, Wood
mentions Dr Mead, Miss Seward, Allan Cunningham, E. Rhodes, S. T. Hall,
William and Mary Howitt, S. Roberts, and J. Holland. The story is also in
the _Book of Golden Deeds_.

[1226] Bacon (_Sylva Sylvarum_, Cent. X. § 912. Spedding II. 643) says:
“The plague is many times taken without a manifest sense, as hath been
said. And they report that, where it is found, it hath a scent of the
smell of a mellow apple; and (as some say) of May-flowers; and it is also
received that smells of flowers that are mellow and luscious are ill for
the plague: as white lilies, cowslips and hyacinths.”

[1227] Sir Thomas Elyot, in _The Castle of Health_ (1541), says that
“infected stuff lying in a coffer fast shut for two years, then opened,
has infected those that stood nigh it, who soon after died.” (Cited by
Brasbridge, _Poor Man’s Jewel_, 1578, Chapter VIII.)

[1228] Milner’s _Hist. of Winchester_.

[1229] _The City Remembrancer_, Lond. 1769, vol. I.--an account of the
plague, fire, storm of 1703, etc., said to have been “collected from
curious and authentic papers originally compiled by the late learned Dr
[Gideon] Harvey.” But the section on the plague is almost purely Defoe and
Vincent, with a few things from Mead.

[1230] These figures, with the two oaths, had been copied by the antiquary
Morant for his _History of Essex_, and are preserved in No. 87. ff. 55 and
56, of the Stowe MSS. in the British Museum, where Mr J. A. Herbert, of
the Manuscript Department, pointed them out to me. In his printed
_History_ Morant has summarized the plague-deaths in monthly periods.

The Bearers’ Oath, fol. 57:--

“Ye shall swear, that ye shall bear to the ground and bury the bodys of
all such persons as, during these infectious times, shall dye of the
pestilence within this Towne or the Liberties thereof, or so many of them
as ye shall have notice of, and may be permitted to bury, carrying them to
burials always in the night time, unless it be otherwise ordered by the
Mayor of this Towne; And ye shall be always in readiness for that purpose
at your abode, where you shall be appointed, keeping apart from your
families together with the searchers, and not to be absent from thence
more than your office of Bearers requires. Ye shall always in your walk,
as much as may be, avoid the society of people, keeping as far distant
from them as may bee, and carrying openly in your hands a white wand, by
which people may know you, and shun and avoid you. And shall do all other
things belonging to the office of Bearers, and therein shall demean
yourselves honestly and faithfully, discharging a good conscience; So etc.

    _August 1665._

    JAMES BARTON and JOHN COOKE:--sworn, who are to have for their pains
    10 sh. a week a piece; and 2d for every one to be buried, taking the
    2d out of the estate of the deceased. If there be not wherewithal, the
    parish to bear it.

Oath 6. p. 44.

The Oath for the Searchers of the Plague, 1665.

“Yee and either of You shall sweare, that ye shall diligently view and
search the corps of all such persons, as during these infectious times,
shall dye within this Towne or the Liberties thereof, or so many of them
as you shall or may have access unto, or have notice of; And shall
according to the best of your skill, determine of what disease every such
dead corps came to its death. And shall immediately give your judgment
thereof to the Constables of the parish where such corps shall be found,
and to the Bearers appointed for the burial of such infected corps. You
shall not make report of the cause of any one’s death better or worse than
the nature of the disease shall deserve. Yee shall live together where you
shall be appointed, and not walk abroad more than necessity requires, and
that only in the execution of your office of Searchers. Ye shall decline
and absent yourselves from your families, and always avoid the society of
people. And in your walk shall keep as far distant from men as may be,
always carrying in your hands a white wand, by which the people may know
you, and shun and avoid you. And ye shall well and truly do all other
things belonging to the office of Searchers, according to the best of your
skill, wisdom, knowledge, and power, in all things dealing faithfully,
honestly, unfeignedly and impartially. So help” etc.

[1231] Morant, _Hist. of Essex_, I. 74.

[1232] Deering, _Nottingham_, vetus et nova, 1751, pp. 82-83. Copied in
Thoresby’s edition of Thoroton’s _History of Nottingham_, II. 60.




Transcriber’s Notes:

Passages in italics are indicated by _italics_.

Passages in bold are indicated by =bold=.

Superscripted characters are indicated by {superscript}.