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This article concerns the worldwide Pandemic starting in the mid-14th century, with a focus on material available from European records and accounts. For detailed information on the most commonly accepted cause of the disease, see Bubonic Plague Bible ( 1411 ).]] The Black Death was a devastating and killing Pandemic that first struck Europe in the mid-14th century ( 1347 – 51 ), killing up to a third of Europe's Population , an estimated 34 million people. A series of similar Epidemic s occurred across large portions of Asia and the Middle East during the same period, indicating that the European outbreak was actually part of a multi-regional pandemic. The same disease is thought to have returned to Europe every generation with varying degrees of intensity and fatality until the 1700s. Notable late outbreaks include the Italian Plague Of 1629-1631 , the Great Plague Of London (1665–66), and the Great Plague Of Vienna (1679). The Great Plague Of Marseille in 1720-1722, however, had the Middle East as its direct source of infection, so that outbreak was probably not a continuation of the Black Death. In addition to its drastic effect on Europe's population, the Black Death irrevocably changed Europe's social structure, was a serious blow to Europe's predominant religious institution (the Christian Church ), resulted in widespread persecution of minorities such as Jew s and Lepers , and created a general mood of Morbidity that influenced people who were uncertain of their daily survival to live for the moment. The initial fourteenth-century European event was called the "Great Mortality" by contemporary writers and, with later outbreaks, became known as the "Black Death" because of a striking symptom of the disease, called Acral Necrosis , in which sufferers' skin would blacken due to subdermal haemorrhages. Historical records have convinced most scientists that the Black Death was an outbreak of Bubonic Plague , caused by the Bacterium '' Yersinia Pestis '' and spread by Flea s with the help of animals like the Black Rat (''Rattus rattus''), but there are some scientists who question this. 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 Steppe s 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 trading ports in Sicily . Whether or not this theory 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 devastating 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 , Oat s, 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 Immunity . 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, devastating places like Flanders and Burgundy as much as the Black Death was to devastate 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 and putting 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. Asian outbreak The central Asian scenario agrees with the first reports of outbreaks in noted that voluminous Chinese records on disease and social disruption survive from this period, but no one has studied these sources in depth. The Mongols and merchant caravans probably brought the plague from central Asia to the Middle East and Europe inadvertently. The plague was reported in the trading cities of Constantinople and Trebizond in 1347 . In that same year, the Genoese possession of Caffa , a cathedral city and seaport on the Crimea n peninsula in modern day Ukraine , came under siege by an army of Crimean Tatar warriors under the command of Janibeg , backed by Venetian forces. Their objective was disruption of a trading empire Genoa had established in Caffa. In 1347, a terrible sickness began to strike the besieging army. According to accounts, so many died that the survivors had little time to bury them and bodies were stacked like cords of firewood against the city walls. Although the Tatar/Venetian alliance broke off the siege, the disease had already spread to the city. European outbreak 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 Great Britain by June 1348 , then turned and spread east through Germany and Scandinavia from 1348 to 1350 , and finally to north-western Russia in 1351 . It even spread to parts of Norway . However, the plague largely spared some parts of Europe, including the Kingdom Of Poland and parts of Belgium and The Netherlands . 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. The people of Mecca blamed the disease on non-believers entering the city, but it is more likely to have arrived with Muslim pilgrims from surrounding infected areas. 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. 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 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. CAUSES Bubonic plague theory '' 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 into the 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 nicely reviewed and summarized by Michel Drancourt in a model of sporadic, limited and large plague outbreaks 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 [http://www.pnas.org/cgi/reprint/0510090103v1 . 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. 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 forms a first attack on the lungs. The classic sign of bubonic plague was the appearance of buboes in the groin 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, called acral necrosis, led to the disease being called the "black" plague. 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 ), Headache s, 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 ). 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 ''Yersinia pestis'', and the researchers suspect that the Montpellier study was flawed. In 1984, '' and '' P. 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 Gene s 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.'' In a similar vein, historian , 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 0060014342'' Counter-arguments Still, the majority of historians support the theory that the bubonic plague caused the black death, so counterarguments have been developed. The uncharacteristically rapid spread of the plague could be due to respiratory droplet transmission, and low levels of immunity in that period's European population. Historical examples of pandemics of other diseases in populations without previous exposure, such as Smallpox and Tuberculosis transmitted by aerosol amongst American Indians , show that the low levels of inherited adaptation to the disease cause the first epidemic to spread faster and to be far more virulent than later epidemics among the descendants of survivors. Also, the plague returned again and again and was regarded as the same disease through succeeding centuries into modern times when the ''Yersinia'' bacterium was identified. CONSEQUENCES Depopulation ''See also: Medieval Demography .'' Information about the Death Toll varies widely by area and from source to source. Approximately twenty five million deaths occurred in Europe alone, with many others occurring in northern Africa , the Middle East and Asia . Estimates of the demographic impact of plague in Asia are based on both population figures during this time and estimates of the disease's toll on population centres. The initial outbreak of plague in the Chinese Province of Hubei in 1334 claimed up to ninety percent of the population, an estimated five million people. During 1353–54, outbreaks in eight distinct areas throughout the Mongol/Chinese Empires may have caused the death of two-thirds of China's population, often yielding an estimate of twenty five million deaths. It is estimated that between one-third and one-half of the European population died from the outbreak between 1348 and 1350. As many as 25% of all villages were depopulated, mostly the smaller communities, as the few survivors fled to larger towns and cities. The Black Death hit the Culture of towns and cities disproportionately hard. Some rural areas, for example, Eastern Poland and Lithuania , had such low populations and were so isolated that the plague made little progress. Larger cities were the worst off, as population densities and close living quarters made disease transmission easier. Cities were also strikingly filthy, infested with lice, fleas and rats, and subject to diseases related to malnutrition and poor hygiene. According to historian John Kelly, "(w)oefully inadequate sanitation made medieval urban Europe so disease-ridden, no city of any size could maintain its population without a constant influx of immigrants from the countryside." (p. 68) The influx of new citizens facilitated the movement of the plague between communities, and contributed to the longevity of the plague within larger communities. The precise demographic impact of the disease in the Middle East is impossible to calculate. Mortality was particularly high in rural areas, including significant areas of Palestine and Syria . Many surviving rural people fled, leaving their fields and crops, and entire rural provinces are recorded as being totally depopulated. Surviving records in some cities reveal a devastating number of deaths. The 1348 outbreak in Gaza left an estimated 10,000 people dead, while Aleppo recorded a death rate of 500 a day during the same year. In Damascus , at the disease's peak in September and October 1348, a thousand deaths were recorded every day, with overall mortality estimated at between twenty five and thirty eight percent. Syria lost a total of 400,000 people by the time the epidemic subsided in March 1349. In contrast to some higher mortality estimates in Asia and Europe, scholars believe the mortality rate in the Middle East was less than one-third of the total population, with higher rates in selected areas. Socio-economic effects The or Looters to be sold on the black market. Meanwhile, many of the largest countries, most notably England and Scotland , had been at war, using up much of their Treasury and exacerbating Inflation . In 1337 , on the eve of the first wave of the Black Death, England and France went to war in what would become known as the Hundred Years' War , further depleting their treasuries, population, and Infrastructure . Malnutrition, poverty, disease and hunger, coupled with war, growing inflation and other economic concerns made Europe in the mid-fourteenth century ripe for tragedy. The plague did more than just devastate the medieval population; it caused a substantial change in economy and society in all areas of the world. Economic historians like Fernand Braudel have concluded that Black Death exacerbated a Recession in the European economy that had been under way since the beginning of the century. As a consequence, social and economic change greatly accelerated during the fourteenth and fifteenth centuries. The church's power was weakened, and in some cases, the social roles it had played were replaced by secular ones. Also the plague led to Peasant Uprisings in many parts of Europe, such as France (the Jacquerie Rebellion ), Italy (the Ciompi Rebellion , which swept the city of Florence ), and in England (the English Peasant Revolt ). Europe had been overpopulated before the plague, and a reduction of 30% to 50% of the population could have resulted in higher wages and more available land and food for peasants because of less competition for resources. However, for reasons that are still debated, population levels in fact continued to decline until around 1420 and did not begin to rise again until 1470, so the initial Black Death event on its own does not entirely provide a satisfactory explanation to this extended period of decline in prosperity. See Medieval Demography for a more complete treatment of this issue and current theories on why improvements in living standards took longer to evolve. The great population loss brought economic changes based on increased social mobility, as depopulation further eroded the peasants' already weakened obligations to remain on their traditional holdings. In Western Europe, the sudden scarcity of cheap labour provided an incentive for landlords to compete for peasants with wages and freedoms, an innovation that, some argue, represents the roots of Capitalism , and the resulting social upheaval ''caused'' the Renaissance and even Reformation . In many ways the Black Death improved the situation of surviving peasants. In Western Europe, because of the shortage of labour they were in more demand and had more power, and because of the reduced population, there was more fertile land available; however, the benefits would not be fully realized until 1470, nearly 120 years later, when overall population levels finally began to rise again. In Eastern Europe , by contrast, renewed stringency of laws tied the remaining peasant population more tightly to the land than ever before through Serfdom . Sparsely populated Eastern Europe was less affected by the Black Death and so peasant revolts were less common in the fourteenth and fifteenth centuries, not occurring in the east until the sixteenth through nineteenth centuries. Since it is believed to have in part caused the social upheavals of fourteenth- and fifteenth-century Western Europe, some see the Black Death as a factor in the Renaissance and even the Reformation in Western Europe. Therefore, historians have cited the smaller impact of the plague as a contributing factor in Eastern Europe's ''failure'' to experience either of these movements on a similar scale. Extrapolating from this, the Black Death may be seen as partly responsible for Eastern Europe's considerable lag in scientific and philosophical advances as well as in the move to liberalise government by restricting the power of the monarch and aristocracy. A common example is that England is seen to have effectively ended Serfdom by 1550 while moving towards more Representative Government ; meanwhile, Russia did not abolish serfdom until an autocratic Tsar decreed so in 1861. On top of all this, the plague's great population reduction brought cheaper land prices, more food for the average peasant, and a relatively large increase in per capita income among the peasantry, if not immediately, in the coming century. However, the upper class often attempted to stop these changes, initially in Western Europe, and more forcefully and successfully in Eastern Europe, by instituting laws which barred the peasantry from certain actions or material goods. A good example of this is the Sumptuary Law s which were passed throughout Europe which regulated what people (particularly of the peasant class) could wear, so that nobles could ensure that peasants did not begin to dress and act as a higher class member with their increased wealth. Another tactic was to fix prices and wages so that peasants could not demand more with increasing value. This was met with varying success depending on the amount of rebellion it inspired; such a law was one of the causes of England 's 1381 Peasants' Revolt . Persecutions As with other natural and man-made social disasters, renewed religious fervour and fanaticism bloomed in the wake of Black Death. In many parts of Europe, Jews were suspected of causing the plague by deliberately poisoning wells. Typically, comparatively fewer Jews died from the Black Death, in part due to Rabbinical Laws that called for a lifestyle that was, in general, cleaner than that of a typical medieval villager, and because of isolation in Jewish ghettos; this difference in mortality rate raised the suspicion of people who at that time had no concept of personal hygiene or bacterial transmission. Fierce Pogrom s frequently resulted in the death or banishment of most of the Jews in a town or city. By 1351, sixty major and 150 smaller Jewish communities had been exterminated, and more than 350 separate massacres had occurred. This persecution was often not merely out of religious hatred, but also as a way of attacking the kings or Church who protected the Jews (Jews were often called the King's property) as a way of lashing out at the institutions that had failed them. An important legacy of the Black Death was to cause the eastward movement of what was left of north European Jewry to Poland and Russia, where it remained until the twentieth century. Lepers were also singled out and persecuted, indeed exterminated throughout Europe. Anyone with a skin disease such as Acne or Psoriasis was thought to be a leper, and leprosy was believed to be an outward sign of an inner defect of the soul. Both Jews and lepers were persecuted because they became Scapegoat s for the disasters of society. R.I. Moore, ''The Formation of a Persecuting Society'', Oxford, 1987 ISBN 0631171452David Nirenberg, ''Communities of Violence'', 1998, ISBN 069105889X Religion The Black Death led to cynicism toward religious officials who could not keep their promises of curing plague victims and banishing the disease. No one, the Church included, was able to cure or even explain the plague. In fact, most thought it spread somehow through air, calling it '' Miasma ''. This increased doubting of the Clergy . Extreme alienation with the church culminated in either support for different religious groups such as the Flagellant s, which grew tremendously during the opening years of the Black Death, or to an increase in interest for more secular alternatives to problems facing European society and an increase of secular politicians. The Black Death hit the monasteries very hard because of their close quarters and their kindness in helping the sick, so that there was a severe shortage of clergy after the epidemic cycle. This resulted in a mass influx of new clergy members, most of whom did not share the life-long convictions and experiences of the veterans they replaced. This resulted in abuses by the clergy in years afterwards and a further deterioration of the position of the Church in the eyes of the people. Other effects '' is an allegory on the universality of death and a common painting motive in late-medieval periods.]] After 1350, European Culture in general turned very morbid. The general mood was one of pessimism, and the art turned dark with representations of death. The '' Dies Irae '' was created in this period as was the popular poem '' La Danse Macabre '' and the instructive and popular '' Ars Moriendi '' ("the art of dying"). See also '' The Decameron ''. The practice of Alchemy as Medicine , previously considered the norm for most doctors, slowly began to wane as the citizenry began to realize that it seldom affected the progress of the epidemic and that some of the potions and "cures" used by many alchemists only helped to worsen the condition of the sick. Liquor (distilled alcohol), originally made by alchemists, was commonly applied as a remedy for the Black Death, and, as a result, the consumption of liquor in Europe rose dramatically after the plague. In 2006 a scientific study by Dr Thomas van Hoof ( Utrecht University ) suggests the Black Death contributed to the Little Ice Age . Pollen and leaf data, collected from lake-bed sediments in the southeast Netherlands, supports the idea that millions of trees sprang up on abandoned farmland soaking up carbon dioxide from the atmosphere and thus cooling the planet. The line of research is new and there are questions and further research is needed, but it does pose an interesting theory that man-caused climate change is older than current theories suggest. {Link without Title} BLACK DEATH IN LITERATURE Contemporary The spectre of the Black Death dominated art and literature throughout the generation that experienced it. Much of the most useful manifestations of the Black Death in literature, to historians, comes from the accounts of its chroniclers, often the only real way to get a sense of the horror of living through a disaster on such a scale. A few were famous writers, philosophers and rulers (like Boccaccio and Petrarch ), but most were quite ordinary people who happened to work in a job requiring literacy, a rare talent. For example, Agnolo di Tura, of Siena , records his experience: Father abandoned child, wife husband, one brother another; for this illness seemed to strike through the breath and sight. And so they died. And none could be found to bury the dead for money or friendship. Members of a household brought their dead to a ditch as best they could, without priest, without divine offices ... great pits were dug and piled deep with the multitude of dead. And they died by the hundreds both day and night... And as soon as those ditches were filled more were dug ... And I, Agnolo di Tura, called the Fat, buried my five children with my own hands. And there were also those who were so sparsely covered with earth that the dogs dragged them forth and devoured many bodies throughout the city. There was no one who wept for any death, for all awaited death. And so many died that all believed it was the end of the world. This situation continued May until September. The scene Di Tura describes is repeated over and over again all across Europe. In Sicily , Gabriele De'Mussi , a Notary , tells of the early spread from Crimea : Alas! our ships enter the port, but of a thousand sailors hardly ten are spared. We reach our homes; our kindred…come from all parts to visit us. Woe to us for we cast at them the darts of death! …Going back to their homes, they in turn soon infected their whole families, who in three days succumbed, and were buried in one common grave. Priests and doctors visiting…from their duties ill, and soon were…dead. O death! cruel, bitter, impious death! …Lamenting our misery, we feared to fly, yet we dared not remain. Henry Knighton tells of the plague’s coming to England: Then the grievous plague came to the sea coasts from Southampton, and came to Bristol, and it was as if all the strength of the town had died, as if they had been hit with sudden death, for there were few who stayed in their beds more than three days, or two days, or even one half a day. In addition to these personal accounts, many presentations of the Black Death have entered the general consciousness as great Literature . For example, the major works of Boccaccio (''The Decameron''), Petrarch, Geoffrey Chaucer ('' The Canterbury Tales ''), and William Langland ('' Piers Plowman ''), which all discuss the Black Death, are generally recognized as some of the best works of their era. ''La Death leading a row of dancing figures from all walks of life to the Grave — typically with an Emperor , King , Pope , Monk , youngster, beautiful girl, all in Skeleton -state. They were produced under the impact of the Black Death, reminding people of how fragile their lives were and how vain the glories of Earthly Life . The earliest artistic example is from the Fresco ed cemetery of the Church Of The Holy Innocents in Paris (1424). There are also works by Konrad Witz in Basel (1440), Bernt Notke in Lübeck (1463) and woodcuts by Hans Holbein The Younger (1538). Israil Bercovici claims that the ''Danse Macabre'' originated among Sephardic Jew s in fourteenth century Spain (Bercovici, 1992, p. 27). Additionally see Aleksander Pushkin's verse play, "Feast in the Time of the Plague." The poem "The Rattle Bag" by the Welsh poet Dafydd ap Gwilym (1315-1350 or 1340-1370) has many elements that suggest that it was written as a reflection of the hardships he endured during the Black Death. It also reflects his personal belief that the Black Death was the end of humanity, the Apocalypse, as suggested by his multiple biblical references, particularly the events described in Revelations. Modern The Black Death has been used as a subject or as a Setting in modern literature and media. This may be due to the era's resounding impact on ancient and modern history, and its Symbolism and connotations. Edgar Allen Poe 's short story The Masque Of The Red Death ( 1842 ) is set in an unnamed country during a fictional plague that bears strong resemblance to the Black Death. Connie Willis 's Hugo Award -winning science fiction Novel '' Doomsday Book '' ( 1993 , ISBN 0553351672) imagines a future in which historians do field work by travelling into the past as observers. The protagonist, a historian, is sent to the wrong year, arriving in England just as the Black Death is starting. Likewise, Kim Stanley Robinson 's Alternate History novel The Years Of Rice And Salt ( 2002 , ISBN 0553580078) presents a future dramatically changed by the Black Death, in which Christian Europe was almost completely destroyed and played no major role in future history. Also in Michael Crichton 's book '' Timeline '', a character is transported through time to a city that is apparently affected by the Black Death. It has been alleged (since 1961 ) that the Black Death inspired one of the most enduring Nursery Rhyme s in the English language, '' Ring Around A Rosie , a pocket full of posies, / Ashes, ashes, we all fall down.'' However, this explanation is a literary interpretation {Link without Title} without historical supporting evidence. The relatively new medium of film has given writers and film producers an opportunity to portray the plague with more visual realism. One of the best known and most expansive depictions of the black plague as art is the movie classic '''' portrayed a group of 14th-century English Village rs who dig a tunnel to 20th-century New Zealand , with the aid of a boy's vision, to escape the Black Death. SELECTED SOURCES AND FURTHER READING References Primary sources
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