The Black Death, or Black Plague, was a devastating pandemic that began in south-western Asia and spread to Europe by the late 1340s, where it got the name Black Death. It killed between a third and two-thirds of Europe's population and, including Middle Eastern lands, India and China, killed at least 75 million people. The same disease is thought to have returned to Europe every generation with varying degrees of intensity and fatality until the 1700s. Notable later outbreaks include the Italian Plague of 1629-1631, the Great Plague of London (1665–1666), the Great Plague of Vienna (1679), the Great Plague of Marseille in 1720–1722 and the 1771 plague in Moscow. There is some controversy over the identity of the disease, but in its virulent form seems to have disappeared from Europe in the 18th century.
The Black Death had a drastic effect on Europe's population, irrevocably changing Europe's social structure. It was a serious blow to the Roman Catholic Church, Europe's predominant religious institution at the time, and resulted in widespread persecution of minorities such as Jews, Muslims, foreigners, beggars and lepers. The uncertainty of daily survival created a general mood of morbidity influencing people to live for the moment, as illustrated by Giovanni Boccaccio in The Decameron (1353).
The initial fourteenth-century European event was called the "Great Mortality" by contemporary writers and, with later outbreaks, became known as the 'Black Death'. It has been popularly thought that the name came from a striking symptom of the disease, called acral necrosis, in which sufferers' skin would blacken due to subdermal haemorrhages. However, the term refers in fact to the figurative sense of "black" (glum, lugubrious or dreadful).[1]
Because the Black Death was, according to historical accounts, characterised by buboes (swellings in the groin), like the late 19th century Asian Bubonic plague, scientists and historians assumed at the beginning of the twentieth century that the Black Death was an outbreak of the same disease, caused by the bacterium Yersinia pestis and spread by fleas with the help of animals like the black rat (Rattus rattus). However, buboes are a feature of other diseases as well and this view is now widely questioned.[2][3]
Pattern of the pandemic
The plague disease, caused by Yersinia pestis, is endemic in populations of ground rodents in central Asia, but it is not entirely clear where the fourteenth-century pandemic started. The most popular theory places the first cases in the steppes of Central Asia, though some speculate that it originated around northern India. From there, supposedly, it was carried east and west by traders and Mongol armies along the Silk Road, and was first exposed to Europe at the trading city of Caffa in the Crimea from which it spread to Sicily and on to the rest of Europe.
Whether or not this hypothesis is accurate, it is clear that several pre-existing conditions such as war, famine, and weather contributed to the severity of the Black Death. A devastating civil war in China between the established Chinese population and the Mongol hordes raged between 1205 and 1353. This war disrupted farming and trading patterns, and led to episodes of widespread famine. A so-called "Little Ice Age" had begun at the end of the thirteenth century. The disastrous weather reached a peak in the first half of the fourteenth century with severe results worldwide.
In the years 1315 to 1322 a catastrophic famine, known as the Great Famine, struck all of Northern Europe. Food shortages and sky-rocketing prices were a fact of life for as much as a century before the plague. Wheat, oats, hay and consequently livestock were all in short supply - and their scarcity resulted in hunger and malnutrition. The result was a mounting human vulnerability to disease due to weakened immune systems. The European economy entered a vicious circle in which hunger and chronic, low-level debilitating disease reduced the productivity of labourers, and so the grain output suffered, causing the grain prices to increase. The famine was self-perpetuating, impacting life in places like Flanders and Burgundy as much as the Black Death was later to impact all of Europe.
A typhoid epidemic was to be a predictor of the coming disaster. Many thousands died in populated urban centres, most significantly Ypres. In 1318 a pestilence of unknown origin, sometimes identified as anthrax, hit the animals of Europe. The disease targeted sheep and cattle, further reducing the food supply and income of the peasantry. This put another strain on the economy. The increasingly international nature of the European economies meant that the depression was felt across Europe. Due to pestilence, the failure of England's wool exports led to the destruction of the Flemish weaving industry. Unemployment bred crime and poverty.
[edit] Asian outbreak
The Central Asian scenario agrees with the first reports of outbreaks in China in the early 1330s. The plague struck the Chinese province of Hubei in 1334. During 1353–1354, more widespread disaster occurred. Chinese accounts of this wave of the disease record a spread to eight distinct areas: Hubei, Jiangxi, Shanxi, Hunan, Guangdong, Guangxi, Henan and Suiyuan (a historical Chinese province that now forms part of Hebei and Inner Mongolia), throughout the Mongol and Chinese empires. Historian William McNeill noted that voluminous Chinese records on disease and social disruption survive from this period, but no one has studied these sources in depth.
It is probable that the Mongols and merchant caravans inadvertently brought the plague from central Asia to the Middle East and Europe. The plague was reported in the trading cities of Constantinople and Trebizond in 1347. In that same year, the Genoese possession of Caffa, a great trade emporium on the Crimean peninsula, came under siege by an army of Mongol warriors under the command of Janibeg, backed by Venetian forces. After a protracted siege during which the Mongol army was reportedly withering from the disease, they might have decided to use the infected corpses as a biological weapon. The corpses were catapulted over the city walls, infecting the inhabitants.[4] The Genoese traders fled, transferring the plague via their ships into the south of Europe, whence it rapidly spread. According to accounts, so many died in Caffa that the survivors had little time to bury them and bodies were stacked like cords of firewood against the city walls.
[edit] European outbreak
The Black Death rapidly spread along the major European sea and land trade routes.In October 1347, a fleet of Genovese trading ships fleeing Caffa reached the port of Messina. By the time the fleet reached Messina, all the crew members were either infected or dead. It is presumed that the ships also carried infected rats and/or fleas. Some ships were found grounded on shorelines, with no one aboard remaining alive. Looting of these lost ships also helped spread the disease. From there, the plague spread to Genoa and Venice by the turn of 1347–1348.
From Italy the disease spread northwest across Europe, striking France, Spain, Portugal and England by June 1348, then turned and spread east through Germany and Scandinavia from 1348 to 1350, and finally to north-western Russia in 1351; however, the plague largely spared some parts of Europe, including the Kingdom of Poland and parts of Belgium and the Netherlands.
[edit] Middle Eastern outbreak
The plague struck various countries in the Middle East during the pandemic, leading to serious depopulation and permanent change in both economic and social structures. The disease first entered the region from southern Russia. By autumn 1347, the plague reached Alexandria in Egypt, probably through the port's trade with Constantinople and ports on the Black Sea. During 1348, the disease travelled eastward to Gaza, and north along the eastern coast to cities in Lebanon, Syria and Palestine, including Asqalan, Acre, Jerusalem, Sidon, Damascus, Homs, and Aleppo. In 1348–49, the disease reached Antioch. The city's residents fled to the north, most of them dying during the journey, but the infection had been spread to the people of Asia minor.
Mecca became infected in 1349. During the same year, records show the city of Mawsil (Mosul) suffered a massive epidemic, and the city of Baghdad experienced a second round of the disease. In 1351, Yemen experienced an outbreak of the plague. This coincided with the return of King Mujahid of Yemen from imprisonment in Cairo. His party may have brought the disease with them from Egypt.
[edit] Recurrence
The plague repeatedly returned to haunt Europe and the Mediterranean throughout the fourteenth to seventeenth centuries, and although the bubonic plague still exists with isolated cases today, the Great Plague of London in 1665–1666 is generally recognized as one of the last major outbreaks. The Great Fire of London in 1666 may have killed off any remaining plague bearing rats and fleas, which led to a decline in the plague. The destruction of black rats in the Great Fire may also have contributed to the ascendancy of brown rats in England. According to the bubonic plague theory, one possible explanation for the disappearance of plague from Europe may be that the black rat (Rattus rattus) infection reservoir and its disease vector was subsequently displaced and succeeded by the bigger Norwegian, or brown, rat (Rattus norvegicus), which is not as prone to transmit the germ-bearing fleas to humans in large rat die-offs (see Appleby and Slack references below).
Late outbreaks in central Europe include the Italian Plague of 1629-1631, which is associated with troop movements during the Thirty Years' War, and the Great Plague of Vienna in 1679, which may have been due to a reintroduction of the plague from eastern trading ports.
[edit] Causes
[edit] Bubonic plague theory
Yersinia pestis seen at 2000x magnification. This bacterium, carried and spread by fleas, is generally thought to have been the cause of millions of deaths.Bubonic and septicaemic plague are transmitted by direct contact with fleas. The bacteria multiply inside a flea, blocking its stomach and causing it to become very hungry. The flea then voraciously bites a host and continues to feed because it is unable to satisfy its hunger. During the feeding process, infected blood carrying the plague bacteria flows from the fleas' stomachs into the open wound. The plague bacteria then has a new host, and the flea eventually dies from starvation.
The human pneumonic plague has a different form of transmission. It is transmitted through bacteria in droplets of saliva coughed up by persons with bloodstream infection (sepsis) or pneumonia, which may have started as the bubonic form of disease. The airborne bacteria may be inhaled by a nearby susceptible person, and a new infection starts directly in the lungs or throat of the other, bypassing the bubonic form of disease.
The ecology of Yersinia pestis in soil, rodent and (possibly & importantly) human ectoparasites are reviewed and summarized by Michel Drancourt in a model of sporadic, limited and large plague outbreaks.[5] Modelling of epizootic plague observed in prairie dogs suggests that occasional reservoirs of infection such as an infectious carcass, rather than 'blocked fleas' are a better explanation for the observed epizootic behaviour of the disease in nature.[6]
An interesting hypothesis about the appearance, spread and especially disappearance of plague from Europe is that the flea-bearing rodent reservoir of disease was eventually succeeded by another species. The black rat (Rattus rattus) was originally introduced from Asia to Europe by trade, but was subsequently displaced and succeeded throughout Europe by the bigger Norwegian or brown rat (Rattus norvegicus). The brown rat was not as prone to transmit the germ-bearing fleas to humans in large die-offs due to a different rat ecology (see Appleby and Slack, secondary references below). The dynamic complexities of rat ecology, herd immunity in that reservoir, interaction with human ecology, secondary transmission routes between humans with or without fleas, human herd immunity and changes in each might explain the eruption, dissemination, and re-eruptions of plague that continued for centuries until its (even more) unexplained disappearance.
[edit] Signs and symptoms
The three forms of plague brought an array of signs and symptoms to those infected. Bubonic plague refers to the painful lymph node swellings called buboes. The septicaemic plague is a form of blood poisoning, and pneumonic plague is an airborne plague that attacks the lungs before the rest of the body. The classic sign of bubonic plague was the appearance of buboes in the groin, the neck and armpits, which ooze pus and blood. Victims underwent damage to the skin and underlying tissue until they were covered in dark blotches. This symptom is called acral necrosis. Most victims died within four to seven days after infection. When the plague reached Europe, it first struck port cities and then followed the trade routes, both by sea and land.
The bubonic plague was the most commonly seen form during the Black Death, with a mortality rate of thirty to seventy-five percent and symptoms including fever of 38 - 41 °C (101-105 °F), headaches, aching joints, nausea and vomiting, and a general feeling of malaise. The pneumonic plague was the second most commonly seen form during the Black Death, with a mortality rate of ninety to ninety-five percent. Symptoms included slimy sputum tinted with blood. As the disease progressed, sputum became free flowing and bright red. Septicaemic plague was the most rare of the three forms, with mortality close to one hundred percent. Symptoms were high fevers and skin turning deep shades of purple due to DIC (Disseminated intravascular coagulation).
[edit] Alternative explanations
Recent scientific and historical investigations have led some researchers to doubt the long-held belief that the Black Death was an epidemic of bubonic plague. For example, in 2000, Gunnar Karlsson (Iceland's 1100 Years: The History of a Marginal Society) pointed out that the Black Death killed between half and two-thirds of the population of Iceland, although there were no rats in Iceland at this time. Rats were accidentally introduced in the nineteenth century, and have never spread beyond a small number of urban areas attached to seaports. In the fourteenth century there were no urban settlements in Iceland. Iceland was unaffected by the later plagues which are known to have been spread by rats.
In addition, it was previously argued that tooth pulp tissue from a fourteenth-century plague cemetery in Montpellier tested positive for molecules associated with Y. pestis. However, such a finding was never confirmed in any other cemetery, nor were any DNA samples recovered. In September 2003, a team of researchers from Oxford University tested 121 teeth from sixty-six skeletons found in fourteenth-century mass graves. The remains showed no genetic trace of Y. pestis, and the researchers suspect that the Montpellier study was flawed.
In 1984, Graham Twigg published The Black Death: A Biological Reappraisal, where he argued that the climate and ecology of Europe and particularly England made it nearly impossible for rats and fleas to have transmitted bubonic plague. Combining information on the biology of Rattus rattus, Rattus norvegicus, and the common fleas Xenopsylla cheopis and Pulex irritans with modern studies of plague epidemiology, particularly in India, where the R. rattus is a native species and conditions are nearly ideal for plague to be spread, Twigg concludes that it would have been nearly impossible for Y. pestis to have been the causative agent of the beginning of the plague, let alone its explosive spread across all of Europe. Twigg also shows that the common theory of entirely pneumonic spread does not hold up. He proposes, based on a re-examination of the evidence and symptoms, that the Black Death may actually have been an epidemic of pulmonary anthrax caused by Bacillus anthracis.
In 2001, epidemiologists Susan Scott and Christopher Duncan from Liverpool University proposed the theory that the Black Death might have been caused by an Ebola-like virus, not a bacterium. Their rationale was that this plague spread much faster and the incubation period was much longer than other confirmed Yersinia pestis plagues. A longer period of incubation will allow carriers of the infection to travel farther and infect more people than a shorter one. When the primary vector is humans, as opposed to birds, this is of great importance. Studies of English church records indicate an unusually long incubation period in excess of thirty days, which could account for the rapid spread, topping at 5 km/day. The plague also appeared in areas of Europe where rats were uncommon like Iceland. Epidemiological studies suggest the disease was transferred between humans (which happens rarely with Yersinia pestis and very rarely for Bacillus anthracis), and some genes that determine immunity to Ebola-like viruses are much more widespread in Europe than in other parts of the world. Their research and findings are thoroughly documented in Return of the Black Death: The World's Greatest Serial Killer. More recently the researchers have published computer modeling (Journal of Medical Genetics: March 2005) demonstrating how the Black Death has made around 10% of Europeans resistant to HIV.
In a similar vein, historian Norman F. Cantor, in his 2001 book In the Wake of the Plague, suggests the Black Death might have been a combination of pandemics including a form of anthrax, a cattle murrain. He cites many forms of evidence including: reported disease symptoms not in keeping with the known effects of either bubonic or pneumonic plague, the discovery of anthrax spores in a plague pit in Scotland, and the fact that meat from infected cattle was known to have been sold in many rural English areas prior to the onset of the plague. It is notable that the means of infection varied widely, from human-to-human contact as in Iceland (rare for plague and cutaneous Bacillus anthracis) to infection in the absence of living or recently-dead humans, as in Sicily (which speaks against most viruses). Also, diseases with similar symptoms were generally not distinguished between in that period (see murrain above), at least not in the Christian world; Chinese and Muslim medical records can be expected to yield better information which however only pertains to the specific disease(s) which affected these areas. See ISBN 0-06-001434-2
[edit] Counter-arguments
The majority of historians support the theory that the bubonic plague caused the Black Death. Nevertheless, counterarguments have developed.
The uncharacteristically rapid spread of the plague could be due to respiratory droplet transmission, and low levels of immunity in the European population at that period. Historical examples of pandemics of other diseases in populations without previous exposure, such as smallpox and tuberculosis transmitted by aerosol amongst Native Americans, show that natural selection of characteristics that are protective against the disease cause the first epidemic to spread faster and to be far more virulent than later epidemics among the descendants of survivors.
2007-01-30 13:36:28
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answer #8
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answered by ♥!BabyDoLL!♥ 5
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