The Great Pestilence (A.D. 1348-9)

The alarming mortality quickly caused a panic. "For such terror," writes an author of the lives of the Popes at Avignon, "took possession of nearly everyone, that as soon as the ulcer or boil appeared on anyone he was deserted by all, no matter how nearly they might be related to him. For the father left his son, the son his father, on his sick bed. In any house when a person became sick with the infirmity and died it generally happened that all others there were attacked and quickly followed him to the grave; yea, even the animals in the place, such as dogs, cats, cocks, and hens also died. Hence those who had strength fled for fear of what had taken place, and, as a consequence, many who might otherwise have recovered perished through want of care. Many, too, who were seized with the sickness, being considered certain to die and without any hope of recovery, were carried off at once to the pit and buried. And in this way many were buried alive."

The same writer notices the charity of the Pope at this terrible time, in causing doctors to visit and assist the sick poor. "And since the ordinary cemeteries did not suffice to hold the bodies of the dead, the Pope purchased a large field and caused it to be consecrated as a cemetery where anyone might be buried. And here an infinite number of people were then interred."58

The most important and particular account of the pestilence at Avignon, however, is that of a certain Canon of the Low Countries, who wrote at the time from the city to his friends in Bruges. He was in the train of a Cardinal on a visit to the Roman Curia when the plague broke out. "The disease," he writes, "is threefold in its infection; that is to say, firstly, men suffer in their lungs and breathing, and whoever have these corrupted, or even slightly attacked, cannot by any means escape nor live beyond two days. Examinations have been made by doctors in many cities of Italy, and also in Avignon, by order of the Pope, in order to discover the origin of this disease. Many dead bodies have been thus opened and dissected, and it is found that all who have died thus suddenly have had their lungs infected and have spat blood. The contagious nature of the disease is indeed the most terrible of all the terrors (of the time), for when anyone who is infected by it dies, all who see him in his sickness, or visit him, or do any business with him, or even carry him to the grave, quickly follow him thither, and there is no known means of protection.

"There is another form of the sickness, however, at present running its course concurrently with the first; that is, certain aposthumes appear under both arms, and by these also people quickly die. A third form of the disease – like the two former, running its course at this same time with them – is that from which people of both sexes suffer from aposthumes in the groin. This, likewise, is quickly fatal. The sickness has already grown to such proportions that, from fear of contagion, no doctor will visit a sick man, even if the invalid would gladly give him everything he possessed; neither does a father visit his son, nor a mother her daughter, nor a brother his brother, nor a son his father, nor a friend his friend, nor an acquaintance his acquaintance, nor, in fact, does anyone go to another, no matter how closely he may be allied to him by blood, unless he is prepared to die with him or quickly to follow after him. Still, a large number of persons have died merely through their affection for others; for they might have escaped had they not, moved by piety and Christian charity, visited the sick at the time.

"To put the matter shortly, one-half, or more than a half, of the people at Avignon are already dead. Within the walls of the city there are now more than 7,000 houses shut up; in these no one is living, and all who have inhabited them are departed; the suburbs hardly contain any people at all. A field near 'Our Lady of Miracles' has been bought by the Pope and consecrated as a cemetery. In this, from the 13th of March,59 11,000 corpses have been buried. This number does not include those interred in the cemetery of the hospital of St. Anthony, in cemeteries belonging to the religious bodies, and in the many others which exist in Avignon. Nor must I be silent about the neighbouring parts, for at Marseilles all the gates of the city, with the exception of two small ones, are now closed, for there four-fifths of the inhabitants are dead.

"The like account I can give of all the cities and towns of Provence. Already the sickness has crossed the Rhone, and ravaged many cities and villages as far as Toulouse, and it ever increases in violence as it proceeds. On account of this great mortality there is such a fear of death that people do not dare even to speak with anyone whose relative has died, because it is frequently remarked that in a family where one dies nearly all the relations follow him, and this is commonly believed among the people. Neither are the sick now served by their kindred, except as dogs would be; food is put near the bed for them to eat and drink, and then those still in health fly and leave the house. When a man dies some rough countrymen, called gavoti, come to the house, and, after receiving a sufficiently large reward, carry the corpse to the grave. Neither relatives nor friends go to the sick, nor do priests even hear their confessions nor give them the Sacraments; but everyone whilst still in health looks after himself. It daily happens that some rich man dying is borne to the grave by these ruffians without lights, and without a soul to follow him, except these hired mourners. When a corpse is carried by all fly through the streets and get into their houses. Nor do these said wretched gavoti, strong as they are, escape; but most of them after a time become infected by this contagion and die. All the poor who were wont to receive bread from the rich are dead; that is to say, briefly, where daily in ordinary times there were distributed sixty-four measures of wheat for bread, fifty loaves being made from each measure, now only one measure is given away, and sometimes even a half is found to be sufficient.

"And it is said that altogether in three months – that is from January 25th to the present day (April 27th) – 62,000 bodies have been buried in Avignon. The Pope, however, about the middle of March last past, after mature deliberation, gave plenary absolution till Easter, as far as the keys of the Church extended, to all those who, having confessed and being contrite, should happen to die of the sickness. He ordered likewise devout processions, singing the Litanies, to be made on certain days each week, and to these, it is said, people sometimes come from the neighbouring districts to the number of 2,000; amongst them many of both sexes are barefooted, some are in sackcloth, some with ashes, walking with tears and tearing their hair, and beating themselves with scourges even to the drawing of blood. The Pope was personally present at some of these processions, but they were then within the precincts of his palace. What will be the end, or whence all this has had its beginning, God alone knows..

"Some wretched men have been caught with certain dust, and, whether justly or unjustly God only knows, they are accused of having poisoned the water, and men in fear do not drink the water from wells; for this many have been burnt and daily are burnt.

"Fish, even sea fish, is commonly not eaten, as people say they have been infected by the bad air. Moreover, people do not eat, nor even touch spices, which have not been kept a year, since they fear they may have lately arrived in the aforesaid ships. And, indeed, it has many times been observed that those who have eaten these new spices and even some kinds of sea fish have suddenly been taken ill.

"I write this to you, my friends, that you may know the dangers in which we live. And if you desire to preserve yourselves, the best advice is to eat and drink temperately, to avoid cold, not to commit excess of any kind, and, above all, to converse little with others, at this time especially, except with the few whose breath is sweet. But it is best to remain at home until this epidemic has passed..

"Know, also, that the Pope has lately left Avignon, as is reported, and has gone to the castle called Stella, near Valence on the Rhone, two leagues off, to remain there till times change. The Curia, however, preferred to remain at Avignon, (but) vacations have been proclaimed till the feast of St. Michael. All the auditors, advocates, and procurators have either left, intend to leave immediately, or are dead. I am in the hands of God, to whom I commend myself. My master will follow the Pope, so they say, and I with him, for there are some castles near the airy mountains where the mortality has not yet appeared, and it is thought that the best chance is there. To choose and to do what is best may the Omnipotent and merciful God grant us all. Amen."60

From another source some corroboration of the mortality, described by the writer of this letter, can be obtained. The 11,000, stated by the anonymous canon to have been buried in the Pope's new cemetery from March 13th to April 27th may appear excessive; still more, the 62,000 reported to have died in the three months between the first outbreak, on January 25th, and the date when the letter was written. The statements of the writer are, however, so circumstantial and given with such detail, that, allowing for the tendency in all such catastrophes to exaggerate rather than minimise the number of the victims, it is probable that his estimate of the terrible destruction of life at Avignon and in the neighbourhood is substantially accurate. Writing, as he does, on the Sunday after Easter, 1348, he evidently points to the time of Lent as the period during which the epidemic was at its height. This is borne out by a statement in a German chronicle, which says: "In Venice, in the whole of Italy and Provence, especially in cities on the sea-coast, there died countless numbers. And at Avignon, where the Roman Curia then was, in the first three days after mid-Lent Sunday, 1,400 people were computed to have been buried."61 Mid-Lent Sunday, in 1348, fell upon March 30th, and, consequently, according to this authority, on the last day of March and the first two days of April the death-rate was over 450 a day.

No account of the plague at Avignon would be complete without some notice of Gui de Chauliac, and some quotations from the work he has left to posterity upon this particular outbreak. De Chauliac was the medical attendant of Pope Clement VI. He devoted himself to the service of the sick during the time of the epidemic, and, although he himself caught the infection, his life was happily spared to the service of others, and to enable him to write an account of the sickness. The mortality, he says, commenced in the month of January, 1348, and lasted for the space of seven months. "It was of two kinds; the first lasted two months, with constant fever and blood-spitting, and of this people died in three days.

"The second lasted for the rest of the time. In this, together with constant fever, there were external carbuncles, or buboes, under the arm or in the groin, and the disease ran its course in five days. The contagion was so great (especially when there was blood-spitting) that not only by remaining (with the sick) but even by looking (at them) people seemed to take it; so much so, that many died without any to serve them, and were buried without priests to pray over their graves.

"A father did not visit his son, nor the son his father. Charity was dead. The mortality was so great that it left hardly a fourth part of the population. Even the doctors did not dare to visit the sick from fear of infection, and when they did visit them they attempted nothing to heal them, and thus almost all those who were taken ill died, except towards the end of the epidemic, when some few recovered."

"As for me, to avoid infamy, I did not dare to absent myself, but still I was in continual fear." Towards the end of the sickness de Chauliac took the infection, and was in great danger for six weeks, but in the end recovered.62

It was according to the advice of this same Gui de Chauliac that Pope Clement VI. isolated himself and kept large fires always alight in his apartments, just as Pope Nicholas IV. had done in a previous epidemic. In the whole district of Provence the mortality appears to have been very great. In the Lent of 1348 no fewer than 358 Dominicans are said to have died.63 Even by the close of the November of this year the terror of the time had not passed away from Avignon and the Papal Court. Writing to King Louis of Hungary, on the 23rd of that month, the Pope excused himself for not having sent before, "as the deadly plague, which has devastated these and other parts of the world by an unknown and terrible mortality, has not only, by God's will, carried off some of our brethren, but caused others to fly from the Roman Curia to avoid death."64

In the early summer of the same year, 1348, just as the plague was lessening its ravages at Avignon, the Pope addressed a letter to the General Chapter of the Friars Minor then being held at Verona. He laments the misery into which the world has been plunged, chiefly "by the mortal sickness which is carrying off from us old and young, rich and poor, in one common, sudden and unforeseen death." He urges them to unite in prayer that the plague may cease, and grants special indulgences "to such among you as, during this Chapter, or whilst returning to your homes, may chance to die."65 Of these Franciscans it is said that, in Italy alone, 30,000 died in this sickness.

From its first entry into France in the early days of 1348, the plague was ever spreading far and wide. The letter from Avignon, already given, speaks of the ravages of the mortality in the whole of Provence, and of its having, before the end of April, reached Toulouse on its journey westward. In the August of this year (1348) Bordeaux was apparently suffering from it, since in that month the Princess Joan, daughter of Edward III., who was on her way to be married to Pedro, son of the King of Castille, died suddenly in that city.

In a northerly direction the epidemic spread with equal virulence. At Lyons evidence of the pestilence is afforded by an inscription preserved in the town museum. It relates to the construction of a chapel in 1352 by a citizen, "Michael Pancsus," in which Mass should be said for the souls of several members of his family "who died in the time of the mortality, 1348."66 The anonymous cleric of Bruges, who preserved the Avignon letter, writing probably at the time, gives the following account of its progress: "In the year of our Lord 1348, that plague, epidemic, and mortality, which we have mentioned before, by the will of God has not ceased; but from day to day grows and descends upon other parts. For in Burgundy, Normandy, and elsewhere it has consumed, and is consuming, many thousands of men, animals, and sheep."67

It arrived in Normandy probably about the feast of St. James (July 25th), 1348. A contemporary note in a manuscript, which certainly came from the Abbey of Foucarmont, gives the following account: "In the year of grace 1348, about the feast of St. James, the great mortality entered into Normandy. And it came into Gascony, and Poitou, and Brittany, and then passed into Picardy. And it was so horrible that in the towns it attacked more than two-thirds of the population died. And a father did not dare to go and visit his son, nor a brother his sister, and people could not be found to nurse one another, because, when the person breathed the breath of another he could not escape. It came to such a pass that no one could be found even to carry the corpses (to the tomb). People said that the end of the world had come."68 In another manuscript, M. Delisle has found a further note, or portion of a note, referring to the terrible nature of the malady in Normandy. It never entered a city or town without carrying off the greater part of the inhabitants. "And in that time the mortality was so great among the people of Normandy that those in Picardy mocked them."69

Paris was, of course, visited by the disease. Apparently, it was some time in the early summer of 1348 when it first manifested itself. In the chronicle of St. Denis it is recorded that "in the year of grace 1348 the said mortality commenced in the Kingdom of France and lasted about a year and a half, more or less. In this way there died in Paris, one day with another, 800 persons… In the space of the said year and a half, as some declare, the number of the dead in Paris rose to more than 50,000, and in the town of St. Denis the number was as high as 16,000."70 The chronicle of the Carmelites at Rheims places the total of deaths in Paris at the larger number of 80,000,71 amongst whom were two Queens, Joan of Navarre, daughter of Louis X., and Joan of Burgundy, wife of King Philip of Valois.

The most circumstantial account of the plague in France at the time when the capital was attacked is given in the continuation of the chronicle of William of Nangis, which was written probably before 1368. "In the same year" (1348), it says, "both in Paris in the kingdom of France, and not less, as is reported, in different parts of the world, and also in the following year, there was so great a mortality of people of both sexes, and of the young rather than the old, that they could hardly be buried. Further they were ill scarcely more than two or three days, and some often died suddenly, so that a man to-day in good health, to-morrow was carried a corpse to the grave. Lumps suddenly appeared under the arm-pits or in the groin, and the appearance of these was an infallible sign of death. This sickness, or pestilence, was called by the doctors the epidemic. And the multitude of people who died in the years 1348 and 1349, was so large that nothing like it was ever heard, read of, or witnessed in past ages. And the said death and sickness often sprung from the imagination, or from the society and (consequent) contagion of another, for a healthy man visiting one sick hardly ever escaped death. So that in many towns, small and great, priests retired through fear, leaving the administration of the Sacraments to religious, who were more bold. Briefly, in many places, there did not remain two alive out of every twenty.

"So great was the mortality in the Hotel-Dieu of Paris that for a long time more than fifty corpses were carried away from it each day in carts to be buried.72 And the devout sisters of the Hotel-Dieu, not fearing death, worked piously and humbly, not out of regard for any worldly honour. A great number of these said sisters were very frequently summoned to their reward by death, and rest in peace with Christ, as is piously believed."

After saying that the plague had passed through Gascony and Spain, the chronicler speaks of it as going "from town to town, village to village, from house to house, and even from person to person; and coming into the country of France, passed into Germany, where, however, it was less severe than amongst us."

"It lasted in France," the writer says, "the greater part of 1348 and 1349, and afterwards there were to be seen many towns, country places, and houses in good cities remaining empty and without inhabitants."

The writer concludes by declaring that nature soon began to make up for losses. "But, alas! the world by this renovation is not changed for the better. For people were afterwards more avaricious and grasping, even when they possessed more of the goods of this world, than before. They were more covetous, vexing themselves by contentious quarrels, strifes, and law suits." Moreover, all things were much dearer; furniture, food, merchandise, of all sorts doubled in price, and servants would work only for higher wages. "Charity, too, from that time began to grow cold, and wickedness with its attendant, ignorance, was rampant, and few were found who could or would teach children the rudiments of grammar in houses, cities, or villages."73

Whilst the plague was at its height King Philip VI. requested the medical faculty of Paris to consult together and to report upon the best methods by which the deadly nature of the disease could be combated. The result of their consultation was published, probably in June, 1348.74 Unfortunately, adhering closely to the text of the question addressed to them, their reply does not furnish any historical details. They broadly state their views as to the probable origin of the epidemic, and confine themselves to suggestions as to its treatment, and to the means by which contagion is to be avoided. They are clear as to the infectious nature of the disease, and earnest in their recommendations that all who were able should have nothing to do with the sick. "It is chiefly the people of one house, and above all those of the same family, who are close together," they say, "who die, for they are always near to those who are sick. We advise them to depart, for it is in this way that a great number have been infected by the plague."75

Meanwhile the epidemic was spreading northward. At Amiens, where 17,000 are said to have been carried off by the sickness, it seems probable that the malady was not at its height before the summer of the following year, 1349. The wave of pestilence from Paris seems to have divided. One stream swept on through Normandy towards the coast, which it probably reached, in the regions round Calais, about July or August of the year 1348. The other stream, checked probably by the autumn and winter, made its way more slowly towards Belgium and Holland.

In the June of 1349 the King granted a petition from the Mayor of Amiens for a new cemetery. In the document the plague in the city is described as having been then so terrible that the cemeteries are full, and no more corpses could safely be buried in them. "The mortality in the said town," says the King's letter, "is so marvellously great that people are dying there suddenly, as quickly, as from one evening to the following morning, and often even quicker than that."76 This was in June, 1349, and already by September of the same year the authorities were called upon to deal with a combination of workmen at a tannery to secure for themselves excessive wages "to the great hurt of the people at large." The promptness of the action of the Mayor, and the tone of the proclamation establishing a rate of wages, is a sufficient proof that the crisis was regarded as serious.77 This trouble at Amiens is an indication of difficulties which will be seen to have existed elsewhere in France, in Germany, and in England, which had their origin in the dearth of labourers after the scourge had passed.

The account of the ravages of this great pestilence in France, as well as its course in the city of Tournay, where it commenced in August, 1349, is well given in the chronicle of Gilles Li Muisis, Abbot of St. Martin's, Tournay, who was a contemporary of the events he describes. "It is impossible," he says, "to credit the mortality throughout the whole country. Travellers, merchants, pilgrims, and others who have passed through it declare that they have found cattle wandering without herdsmen in fields, towns, and waste lands; that they have seen barns and wine-cellars standing wide open, houses empty, and few people to be found anywhere. So much so that in many towns, cities and villages, where there had been before 20,000 people, scarcely 2,000 are left; and in many cities and country places, where there had been 1,500 people, hardly 100 remain. And in many different lands (multis climatibus), both lands and fields are lying uncultivated. I have heard these things from a certain knight well skilled in the law, who was one of the members of the Paris Parliament. He was sent, together with a certain Bishop, by Philip, the most illustrious King of France, to the King of Aragon, and on his return journey passed through Avignon. Both there and in Paris, as he told me, he was informed of the foresaid things by many people worthy of credit."

After speaking of the evidence given by a pilgrim to Santiago, Li Muisis proceeds to relate his own experiences in Tournay in the summer of 1349. This he does in verse and prose. The poem, after speaking of the manifestation of God's anger, describes the plague beginning in the East and passing through France into Flanders. Like other writers, Li Muisis declares that he hesitates to say what he has seen and heard, because posterity will hardly credit what he would relate.78 The reports of all travellers and merchants as to the terrible state of the country generally give one and the same sad story of universal death and distress. The particulars as to the plague in Tournay, the writer's own city, may best be given from his prose account.