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The second plague pandemic was a major series of epidemics of plague that started with the
Black Death The Black Death was a bubonic plague pandemic that occurred in Europe from 1346 to 1353. It was one of the list of epidemics, most fatal pandemics in human history; as many as people perished, perhaps 50% of Europe's 14th century population. ...
, which reached
medieval Europe In the history of Europe, the Middle Ages or medieval period lasted approximately from the 5th to the late 15th centuries, similarly to the post-classical period of World history (field), global history. It began with the fall of the West ...
in 1346 and killed up to half of the population of
Eurasia Eurasia ( , ) is a continental area on Earth, comprising all of Europe and Asia. According to some geographers, Physical geography, physiographically, Eurasia is a single supercontinent. The concept of Europe and Asia as distinct continents d ...
in the next four years. It followed the
first plague pandemic The first plague pandemic was the first historically recorded Old World pandemic of plague, the contagious disease caused by the bacterium '' Yersinia pestis''. Also called the early medieval pandemic, it began with the Plague of Justinian in 5 ...
that began in the 6th century with the
Plague of Justinian The plague of Justinian or Justinianic plague (AD 541–549) was an epidemic of Plague (disease), plague that afflicted the entire Mediterranean basin, Mediterranean Basin, Europe, and the Near East, especially the Sasanian Empire and the Byza ...
, which ended in the 8th century. Although the plague died out in most places after 1353, it became
endemic Endemism is the state of a species being found only in a single defined geographic location, such as an island, state, nation, country or other defined zone; organisms that are indigenous to a place are not endemic to it if they are also foun ...
and recurred regularly. A series of major epidemics occurred in the late 17th century, and the disease recurred in some places until the late 18th century or the early 19th century. After this, a new strain of the bacterium gave rise to the
third plague pandemic The third plague pandemic was a major bubonic plague pandemic that began in Yunnan, China, in 1855. This episode of bubonic plague spread to all inhabited continents, and ultimately led to more than 12 million deaths in India and China (and perh ...
, which started in Asia around the mid-19th century. Plague is caused by the bacterium ''
Yersinia pestis ''Yersinia pestis'' (''Y. pestis''; formerly ''Pasteurella pestis'') is a Gram-negative bacteria, gram-negative, non-motile bacteria, non-motile, coccobacillus Bacteria, bacterium without Endospore, spores. It is related to pathogens ''Yer ...
'', which exists in parasitic fleas of several species in the wild and of rats in human society. In an outbreak, it may kill all of its immediate hosts and thus die out, but it can remain active in other hosts that it does not kill, thereby causing a new outbreak years or decades later.


Overview

There have been three major outbreaks of plague. The
Plague of Justinian The plague of Justinian or Justinianic plague (AD 541–549) was an epidemic of Plague (disease), plague that afflicted the entire Mediterranean basin, Mediterranean Basin, Europe, and the Near East, especially the Sasanian Empire and the Byza ...
in the 6th and 7th centuries is the first known attack on record, and marks the first firmly recorded pattern of plague. From historical descriptions, as much as 40% of the population of
Constantinople Constantinople (#Names of Constantinople, see other names) was a historical city located on the Bosporus that served as the capital of the Roman Empire, Roman, Byzantine Empire, Byzantine, Latin Empire, Latin, and Ottoman Empire, Ottoman empire ...
died from the plague. Modern estimates suggest that half of Europe's population died as a result of this
first plague pandemic The first plague pandemic was the first historically recorded Old World pandemic of plague, the contagious disease caused by the bacterium '' Yersinia pestis''. Also called the early medieval pandemic, it began with the Plague of Justinian in 5 ...
before it disappeared in the 700s. After 750, plague did not appear again in Europe until the Black Death of the 14th century. The second pandemic's origins are disputed; it originated either in
Central Asia Central Asia is a region of Asia consisting of Kazakhstan, Kyrgyzstan, Tajikistan, Turkmenistan, and Uzbekistan. The countries as a group are also colloquially referred to as the "-stans" as all have names ending with the Persian language, Pers ...
or Crimea, and appeared in
Crimea Crimea ( ) is a peninsula in Eastern Europe, on the northern coast of the Black Sea, almost entirely surrounded by the Black Sea and the smaller Sea of Azov. The Isthmus of Perekop connects the peninsula to Kherson Oblast in mainland Ukrain ...
by 1347. It may have reduced the world population from an estimated 450 million to 350–375 million by the year 1400. Evidence for ''Yersinia pestis'' was found in the teeth of early plague victims in the Tian Shan Mountains, now northern
Kyrgyzstan Kyrgyzstan, officially the Kyrgyz Republic, is a landlocked country in Central Asia lying in the Tian Shan and Pamir Mountains, Pamir mountain ranges. Bishkek is the Capital city, capital and List of cities in Kyrgyzstan, largest city. Kyrgyz ...
, indicating a likely origin of that iteration of the plague. The plague returned at intervals with varying
virulence Virulence is a pathogen's or microorganism's ability to cause damage to a host. In most cases, especially in animal systems, virulence refers to the degree of damage caused by a microbe to its host. The pathogenicity of an organism—its abili ...
and mortality until the early 19th century. In England, for example, the plague returned between 1360 and 1363, killing 20% of Londoners, and then again in 1369, killing 10–15%. In the 16th century, the Plague hit San Cristóbal de La Laguna in the
Canary Islands The Canary Islands (; ) or Canaries are an archipelago in the Atlantic Ocean and the southernmost Autonomous communities of Spain, Autonomous Community of Spain. They are located in the northwest of Africa, with the closest point to the cont ...
between 1582 and 1583. In the 17th century, there were a series of European "great plague" outbreaks: the Great Plague of Seville between 1647 and 1652, the
Great Plague of London The Great Plague of London, lasting from 1665 to 1666, was the most recent major epidemic of the bubonic plague to occur in England. It happened within the centuries-long Second plague pandemic, Second Pandemic, a period of intermittent buboni ...
between 1665 and 1666, and the Great Plague of Vienna in 1679. The
Great Plague in the late Ming dynasty The Great Plague in the late Ming dynasty (), also known as the North China Plague in the late Ming dynasty (), or the Great Plague of Jingshi (), was a major epidemic between 1633 and 1644, the last phase of the Ming dynasty in China, during th ...
arose in Shanxi in 1633 and arrived at Beijing in 1641, contributing to the downfall of the Ming Dynasty in 1644. In the 18th century, there was the Great Plague of Marseille, which took place between 1720 and 1722; the Great Plague of 1738, which occurred in Eastern Europe between 1738 and 1740; and the Russian plague of 1770–1772, which took place in
Central Russia Central Russia is, broadly, the various areas in European Russia. Historically, the area of Central Russia varied based on the purpose for which it is being used. It may, for example, refer to European Russia (except the North Caucasus and ...
and particularly affected Moscow. However, the plague in its virulent form seemed to gradually disappear from Europe, though lingering in Egypt and the Middle East. By the early 19th century, the threat of plague had diminished, though it was quickly replaced by the spread of another deadly infectious disease in the first cholera pandemic, beginning in 1817, the first of several
cholera Cholera () is an infection of the small intestine by some Strain (biology), strains of the Bacteria, bacterium ''Vibrio cholerae''. Symptoms may range from none, to mild, to severe. The classic symptom is large amounts of watery diarrhea last ...
pandemics to sweep through Asia and Europe during the 19th and 20th centuries. The
third plague pandemic The third plague pandemic was a major bubonic plague pandemic that began in Yunnan, China, in 1855. This episode of bubonic plague spread to all inhabited continents, and ultimately led to more than 12 million deaths in India and China (and perh ...
hit China in the 1890s and devastated India. While it was largely contained in the East, it became endemic in the western United States, where sporadic outbreaks of plague continue to occur.


Black Death

Arab historians Ibn al-Wardi and
Al-Maqrizi Al-Maqrīzī (, full name Taqī al-Dīn Abū al-'Abbās Aḥmad ibn 'Alī ibn 'Abd al-Qādir ibn Muḥammad al-Maqrīzī, ; 1364–1442) was a medieval Egyptian historian and biographer during the Mamluk era, known for his interest in the Fat ...
believed the Black Death originated in
Mongolia Mongolia is a landlocked country in East Asia, bordered by Russia to the north and China to the south and southeast. It covers an area of , with a population of 3.5 million, making it the world's List of countries and dependencies by po ...
, and Chinese records show a huge outbreak in Mongolia in the early 1330s. In recent years, more research has emerged that shows the Black Death most likely originated on the northwestern shores of the
Caspian Sea The Caspian Sea is the world's largest inland body of water, described as the List of lakes by area, world's largest lake and usually referred to as a full-fledged sea. An endorheic basin, it lies between Europe and Asia: east of the Caucasus, ...
, and may not even have reached India and China, as research on the
Delhi Sultanate The Delhi Sultanate or the Sultanate of Delhi was a Medieval India, late medieval empire primarily based in Delhi that stretched over large parts of the Indian subcontinent for more than three centuries.
and the
Yuan Dynasty The Yuan dynasty ( ; zh, c=元朝, p=Yuáncháo), officially the Great Yuan (; Mongolian language, Mongolian: , , literally 'Great Yuan State'), was a Mongol-led imperial dynasty of China and a successor state to the Mongol Empire after Div ...
showed no evidence of any serious epidemic in 14th-century India and no specific evidence of plague in 14th-century China. There were large epidemics in China in 1331 and between 1351 and 1354 in the provinces of
Hebei Hebei is a Provinces of China, province in North China. It is China's List of Chinese administrative divisions by population, sixth-most populous province, with a population of over 75 million people. Shijiazhuang is the capital city. It bor ...
,
Shanxi Shanxi; Chinese postal romanization, formerly romanised as Shansi is a Provinces of China, province in North China. Its capital and largest city of the province is Taiyuan, while its next most populated prefecture-level cities are Changzhi a ...
, and others, which are considered to have killed between 50% and 90% of the local populations, with numbers running into the tens of millions. However, there is no proof that these were caused by plague, though there are indications for the second set of epidemics. Plague was reportedly introduced to Europe via Genoese traders from their port city of Kaffa in
Crimea Crimea ( ) is a peninsula in Eastern Europe, on the northern coast of the Black Sea, almost entirely surrounded by the Black Sea and the smaller Sea of Azov. The Isthmus of Perekop connects the peninsula to Kherson Oblast in mainland Ukrain ...
in 1347. During the protracted
Siege of Caffa The siege of Caffa was a 14th-century military encounter when Jani Beg of the Golden Horde besieged the city of Caffa (modern-day Feodosia), between two periods in the 1340s. The city of Caffa, a Genoese colony, was a vital trading hub located ...
, between 1345 and 1346, the Mongol
Golden Horde The Golden Horde, self-designated as ''Ulug Ulus'' ( in Turkic) was originally a Mongols, Mongol and later Turkicized khanate established in the 13th century and originating as the northwestern sector of the Mongol Empire. With the division of ...
army of
Jani Beg Jani Beg ( Persian: جانی بیگ, Turki/ Kypchak: جانی بک; died 1357), also known as Janibek Khan, was Khan of the Golden Horde from 1342 until his death in 1357. He succeeded his father Öz Beg Khan. Reign With the support of his mo ...
, whose mainly Tatar troops were suffering from the disease, catapulted infected corpses over the city walls of Kaffa to infect the inhabitants, though it is more likely that infected rats travelling across the siege lines spread the epidemic to the inhabitants. As the disease took hold, Genoese traders fled across the
Black Sea The Black Sea is a marginal sea, marginal Mediterranean sea (oceanography), mediterranean sea lying between Europe and Asia, east of the Balkans, south of the East European Plain, west of the Caucasus, and north of Anatolia. It is bound ...
to
Constantinople Constantinople (#Names of Constantinople, see other names) was a historical city located on the Bosporus that served as the capital of the Roman Empire, Roman, Byzantine Empire, Byzantine, Latin Empire, Latin, and Ottoman Empire, Ottoman empire ...
, where the disease first arrived in Europe in summer 1347. The epidemic there killed the 13-year-old son of the
Byzantine emperor The foundation of Constantinople in 330 AD marks the conventional start of the Eastern Roman Empire, which Fall of Constantinople, fell to the Ottoman Empire in 1453 AD. Only the emperors who were recognized as legitimate rulers and exercised s ...
,
John VI Kantakouzenos John VI Kantakouzenos or Cantacuzene (; ;  – 15 June 1383) was a Byzantine Greek nobleman, statesman, and general. He served as grand domestic under Andronikos III Palaiologos and regent for John V Palaiologos before reigning as Byza ...
, who wrote a description of the disease modelled on
Thucydides Thucydides ( ; ; BC) was an Classical Athens, Athenian historian and general. His ''History of the Peloponnesian War'' recounts Peloponnesian War, the fifth-century BC war between Sparta and Athens until the year 411 BC. Thucydides has been d ...
' account of the 5th-century BCE
Plague of Athens The Plague of Athens (, ) was an epidemic that devastated the city-state of Athens in ancient Greece during the second year (430 BC) of the Peloponnesian War when an Athenian victory still seemed within reach. The plague killed an estimated 75, ...
, noting the spread of the Black Death by ship between maritime cities.
Nicephorus Gregoras Nicephorus Gregoras (; Greek: , ''Nikēphoros Grēgoras''; c. 1295 – 1360) was a Byzantine Greek astronomer, historian, and theologian. His 37-volume ''Roman History'', a work of erudition, constitutes a primary documentary source for th ...
also described in writing to Demetrios Kydones the rising death toll, the futility of medicine against it, and the panic of the citizens. It arrived at
Genoa Genoa ( ; ; ) is a city in and the capital of the Italian region of Liguria, and the sixth-largest city in Italy. As of 2025, 563,947 people live within the city's administrative limits. While its metropolitan city has 818,651 inhabitan ...
and
Venice Venice ( ; ; , formerly ) is a city in northeastern Italy and the capital of the Veneto Regions of Italy, region. It is built on a group of 118 islands that are separated by expanses of open water and by canals; portions of the city are li ...
in January 1348, while simultaneously spreading through
Asia Minor Anatolia (), also known as Asia Minor, is a peninsula in West Asia that makes up the majority of the land area of Turkey. It is the westernmost protrusion of Asia and is geographically bounded by the Mediterranean Sea to the south, the Aegean ...
and into Egypt. The bubonic form was described graphically in
Florence Florence ( ; ) is the capital city of the Italy, Italian region of Tuscany. It is also the most populated city in Tuscany, with 362,353 inhabitants, and 989,460 in Metropolitan City of Florence, its metropolitan province as of 2025. Florence ...
in ''
The Decameron ''The Decameron'' (; or ''Decamerone'' ), subtitled ''Prince Galehaut'' (Old ) and sometimes nicknamed ''l'Umana commedia'' ("the Human Comedy (drama), comedy", as it was Boccaccio that dubbed Dante Alighieri's ''Divine Comedy, Comedy'' "''D ...
'' and Guy de Chauliac also described the pneumonic form at
Avignon Avignon (, , ; or , ; ) is the Prefectures in France, prefecture of the Vaucluse department in the Provence-Alpes-Côte d'Azur region of southeastern France. Located on the left bank of the river Rhône, the Communes of France, commune had a ...
. It rapidly spread to France and
Spain Spain, or the Kingdom of Spain, is a country in Southern Europe, Southern and Western Europe with territories in North Africa. Featuring the Punta de Tarifa, southernmost point of continental Europe, it is the largest country in Southern Eur ...
and, by 1349, was in
England England is a Countries of the United Kingdom, country that is part of the United Kingdom. It is located on the island of Great Britain, of which it covers about 62%, and List of islands of England, more than 100 smaller adjacent islands. It ...
. By 1350–1351, it was afflicting Eastern Europe and had reached Russia in 1352–1353. The 14th-century eruption of the Black Death had a drastic effect on Europe's population, irrevocably changing its social structures, and resulted in the widespread persecution of minorities such as Jews, foreigners, beggars, and
lepers Leprosy, also known as Hansen's disease (HD), is a Chronic condition, long-term infection by the bacteria ''Mycobacterium leprae'' or ''Mycobacterium lepromatosis''. Infection can lead to damage of the Peripheral nervous system, nerves, respir ...
. The uncertainty of daily survival has been seen as creating a general mood of morbidity, influencing people to "live for the moment", as illustrated by
Giovanni Boccaccio Giovanni Boccaccio ( , ; ; 16 June 1313 – 21 December 1375) was an Italian people, Italian writer, poet, correspondent of Petrarch, and an important Renaissance humanism, Renaissance humanist. Born in the town of Certaldo, he became so ...
in ''The Decameron'' (1353).
Petrarch Francis Petrarch (; 20 July 1304 – 19 July 1374; ; modern ), born Francesco di Petracco, was a scholar from Arezzo and poet of the early Italian Renaissance, as well as one of the earliest Renaissance humanism, humanists. Petrarch's redis ...
, noting the unparalleled and unbelievable extremity of the disease's effects, wrote that "happy posterity, who will not experience such abysmal woe ... will look upon our testimony as a fable".


Recurrences

The second pandemic spread throughout Eurasia and the Mediterranean Basin. The plague repeatedly returned to haunt Europe and the Mediterranean Basin throughout the 16th to 17th centuries. The plague ravaged much of the
Islamic world The terms Islamic world and Muslim world commonly refer to the Islamic community, which is also known as the Ummah. This consists of all those who adhere to the religious beliefs, politics, and laws of Islam or to societies in which Islam is ...
. Plague was present in at least one location in the Islamic world virtually every year between 1500 and 1850. According to Jean-Noel Biraben, plague was present somewhere in Europe in every year between 1346 and 1671. According to Ellen Schiferl, between 1400 and 1600, there was a plague epidemic recorded in at least one part of Europe for every year except 1445.


Byzantine Empire and Ottoman Empire

In the
Byzantine Empire The Byzantine Empire, also known as the Eastern Roman Empire, was the continuation of the Roman Empire centred on Constantinople during late antiquity and the Middle Ages. Having survived History of the Roman Empire, the events that caused the ...
, the 1347 Black Death outbreak in Constantinople lasted a year. The plague recurred ten times before 1400. Plague was repeatedly reintroduced to the city because of its strategic location between the
Mediterranean Sea The Mediterranean Sea ( ) is a sea connected to the Atlantic Ocean, surrounded by the Mediterranean basin and almost completely enclosed by land: on the east by the Levant in West Asia, on the north by Anatolia in West Asia and Southern Eur ...
and the
Black Sea The Black Sea is a marginal sea, marginal Mediterranean sea (oceanography), mediterranean sea lying between Europe and Asia, east of the Balkans, south of the East European Plain, west of the Caucasus, and north of Anatolia. It is bound ...
, and between Europe and Asia, as well as its position as the imperial capital. Constantinople retained its imperial status at the centre of the
Ottoman Empire The Ottoman Empire (), also called the Turkish Empire, was an empire, imperial realm that controlled much of Southeast Europe, West Asia, and North Africa from the 14th to early 20th centuries; it also controlled parts of southeastern Centr ...
after the
Fall of Constantinople The Fall of Constantinople, also known as the Conquest of Constantinople, was the capture of Constantinople, the capital of the Byzantine Empire by the Ottoman Empire. The city was captured on 29 May 1453 as part of the culmination of a 55-da ...
to
Mehmed the Conqueror Mehmed II (; , ; 30 March 14323 May 1481), commonly known as Mehmed the Conqueror (; ), was twice the sultan of the Ottoman Empire from August 1444 to September 1446 and then later from February 1451 to May 1481. In Mehmed II's first reign, ...
in 1453. Approximately 1–2% of the city's population died annually of plague. Especially severe episodes were recorded by the Ottoman historians Mustafa Âlî and Hora Saadettin between 1491 and 1503, with 1491 through 1493 being the most afflicted years. Plague returned in 1511 until 1514 and, after 1520, was
endemic Endemism is the state of a species being found only in a single defined geographic location, such as an island, state, nation, country or other defined zone; organisms that are indigenous to a place are not endemic to it if they are also foun ...
in the city until 1529. Plague was endemic in Constantinople again between 1533 and 1549, 1552 and 1567, and for most of the remaining 16th-century. In the 17th century, plague epidemics within Constantinople were noted in the following years: 1603, 1611 to 1613, 1647 to 1649, 1653 to 1656, 1659 to 1688, 1671 to 1680, 1685 to 1695, and 1697 to 1701. In the 18th century, there were 64 years in which plague broke out in the capital, and a further 30 plague years which occurred in the first half of the 19th century. Of these later 94 plague epidemics in Constantinople between 1700 and 1850, six of them—occurring in 1705, 1726, 1751, 1778, 1812, and 1836—are estimated to have killed more than 5% of the population, whereas 83 of the epidemics killed 1% or fewer. Plague repeatedly struck the cities of North Africa. Between 1620 and 1621,
Algiers Algiers is the capital city of Algeria as well as the capital of the Algiers Province; it extends over many Communes of Algeria, communes without having its own separate governing body. With 2,988,145 residents in 2008Census 14 April 2008: Offi ...
lost 30,000–50,000 people to it, with outbreaks returning in 1654 to 1657, 1665, 1691, and 1740 to 1742. Plague remained a major event in Ottoman society until the second quarter of the 19th century. Between 1701 and 1750, 37 large-scale and smaller epidemics were recorded in Constantinople, with a further 31 occurring between 1751 and 1800. The Great Plague of 1738 affected Ottoman territory in the
Balkans The Balkans ( , ), corresponding partially with the Balkan Peninsula, is a geographical area in southeastern Europe with various geographical and historical definitions. The region takes its name from the Balkan Mountains that stretch throug ...
, lasting until 1740.
Baghdad Baghdad ( or ; , ) is the capital and List of largest cities of Iraq, largest city of Iraq, located along the Tigris in the central part of the country. With a population exceeding 7 million, it ranks among the List of largest cities in the A ...
suffered severely from visitations of the plague, with outbreaks reducing the population to one-third of its size by 1781. One of the last epidemics to strike the Balkans during the second plague pandemic was Caragea's plague, between 1813 and 1814. Swiss explorer
Johann Ludwig Burckhardt Johann Ludwig (also known as John Lewis, Jean Louis) Burckhardt (24 November 1784 – 15 October 1817) was a Swiss traveller, geographer and Orientalist. Burckhardt assumed the alias ''Sheikh Ibrahim Ibn Abdallah'' during his travels in Arabia ...
witnessed the plague epidemics that ravaged
Hejaz Hejaz is a Historical region, historical region of the Arabian Peninsula that includes the majority of the western region of Saudi Arabia, covering the cities of Mecca, Medina, Jeddah, Tabuk, Saudi Arabia, Tabuk, Yanbu, Taif and Al Bahah, Al-B ...
and
Egypt Egypt ( , ), officially the Arab Republic of Egypt, is a country spanning the Northeast Africa, northeast corner of Africa and Western Asia, southwest corner of Asia via the Sinai Peninsula. It is bordered by the Mediterranean Sea to northe ...
between 1812 and 1816. He wrote: "In five or six days after my arrival n Yanbu">Yanbu.html" ;"title="n Yanbu">n Yanbuthe mortality increased; forty or fifty persons died in a day, which, in a population of five or six thousand, was a terrible mortality."


Holy Roman Empire

Although regular outbreaks of disease were common for decades prior to 1618, the Thirty Years' War (1618–48) greatly accelerated their spread. Based on local records, military action accounted for less than 3% of civilian deaths; the major causes were starvation (12%) and bubonic plague (64%). The modern consensus is that the population of the
Holy Roman Empire The Holy Roman Empire, also known as the Holy Roman Empire of the German Nation after 1512, was a polity in Central and Western Europe, usually headed by the Holy Roman Emperor. It developed in the Early Middle Ages, and lasted for a millennium ...
declined from 18 to 20 million in 1600 to 11–13 million in 1650, and did not regain pre-war levels until 1750. The Great Plague of Vienna struck Vienna, the dynastic seat of the Holy Roman Empire, in 1679, killing an estimated 76,000 people. Emperor Leopold I fled the city upon the outbreak. He vowed to erect a
Marian Column Marian may refer to: People * Marian (given name), a list of people with the given name * Marian (surname), a list of people so named Places * Marian, Iran (disambiguation) * Marian, Queensland, a town in Australia * Marian, a village in toe c ...
in thanksgiving if the plague would end. Vienna's Plague Column, located on the
Graben In geology, a graben () is a depression (geology), depressed block of the Crust (geology), crust of a planet or moon, bordered by parallel normal faults. Etymology ''Graben'' is a loan word from German language, German, meaning 'ditch' or 't ...
, was commissioned in 1683 and inaugurated in 1694.


Italian Peninsula

By 1357, the plague had returned to Venice, and from 1361 to 1363, the rest of Italy experienced the first recurrence of the pandemic.
Pisa Pisa ( ; ) is a city and ''comune'' (municipality) in Tuscany, Central Italy, straddling the Arno just before it empties into the Ligurian Sea. It is the capital city of the Province of Pisa. Although Pisa is known worldwide for the Leaning Tow ...
,
Pistoia Pistoia (; ) is a city and ''comune'' in the Italian region of Tuscany, the capital of a province of the same name, located about north-west of Florence and is crossed by the Ombrone Pistoiese, a tributary of the River Arno. It is a typic ...
and
Florence Florence ( ; ) is the capital city of the Italy, Italian region of Tuscany. It is also the most populated city in Tuscany, with 362,353 inhabitants, and 989,460 in Metropolitan City of Florence, its metropolitan province as of 2025. Florence ...
in
Tuscany Tuscany ( ; ) is a Regions of Italy, region in central Italy with an area of about and a population of 3,660,834 inhabitants as of 2025. The capital city is Florence. Tuscany is known for its landscapes, history, artistic legacy, and its in ...
were especially badly affected; there killed a fifth of the population. In the of 1369 to 1371, 10–15% died. Survivors were aware that the Black Death of 1347–51 was not a unique event and that life was now "far more frightening and precarious than before". The Italian peninsula was struck with an outbreak of plague in 68% of the years between 1348 and 1600. There were 22 outbreaks of plague in
Venice Venice ( ; ; , formerly ) is a city in northeastern Italy and the capital of the Veneto Regions of Italy, region. It is built on a group of 118 islands that are separated by expanses of open water and by canals; portions of the city are li ...
between 1361 and 1528.
Petrarch Francis Petrarch (; 20 July 1304 – 19 July 1374; ; modern ), born Francesco di Petracco, was a scholar from Arezzo and poet of the early Italian Renaissance, as well as one of the earliest Renaissance humanism, humanists. Petrarch's redis ...
, writing to
Giovanni Boccaccio Giovanni Boccaccio ( , ; ; 16 June 1313 – 21 December 1375) was an Italian people, Italian writer, poet, correspondent of Petrarch, and an important Renaissance humanism, Renaissance humanist. Born in the town of Certaldo, he became so ...
in September 1363, lamented that while the Black Death's arrival in Italy in 1348 had been mourned as an unprecedented disaster, "Now we realize that it is only the beginning of our mourning, for since then this evil force, unequalled and unheard of in human annals through the centuries, has never ceased, striking everywhere on all sides, on the left and right, like a skilled warrior." In the Jubilee Year of 1400, announced by
Pope Boniface IX Pope Boniface IX (; ; c. 1350 – 1 October 1404, born Pietro Tomacelli) was head of the Catholic Church from 2 November 1389 to his death, in October 1404. He was the second Roman pope during the Western Schism.Richard P. McBrien, ''Lives of t ...
, one of the most severe occurrences of plague was exacerbated by the many pilgrims making their way to and from Rome; in the city itself 600–800 died daily. As recorded by the undertakers' records in Florence, at least 10,406 people died; the total death toll was estimated at twice that figure by 15th-century chronicler Giovanni Morelli. Half of the population of Pistoia and its hinterland were killed that year. Another outbreak occurred in
Padua Padua ( ) is a city and ''comune'' (municipality) in Veneto, northern Italy, and the capital of the province of Padua. The city lies on the banks of the river Bacchiglione, west of Venice and southeast of Vicenza, and has a population of 20 ...
in 1405 and claimed 18,000 lives. In the plague epidemic of 1449–52, 30,000
Milan Milan ( , , ; ) is a city in northern Italy, regional capital of Lombardy, the largest city in Italy by urban area and the List of cities in Italy, second-most-populous city proper in Italy after Rome. The city proper has a population of nea ...
ese died in 1451 alone. A particularly deadly plague struck Italy between 1478 and 1482. The territories of the
Republic of Venice The Republic of Venice, officially the Most Serene Republic of Venice and traditionally known as La Serenissima, was a sovereign state and Maritime republics, maritime republic with its capital in Venice. Founded, according to tradition, in 697 ...
saw 300,000 dead in the epidemic's eight-year course. Luca Landucci wrote in 1478 that the citizens of Florence "were in a sorry plight. They lived in dread, and no one had any heart to work. The poor creatures could not procure silk or wool ... so that all classes suffered." In addition to plague, Florence was suffering both from
excommunication Excommunication is an institutional act of religious censure used to deprive, suspend, or limit membership in a religious community or to restrict certain rights within it, in particular those of being in Koinonia, communion with other members o ...
leading to war with the
Papal States The Papal States ( ; ; ), officially the State of the Church, were a conglomeration of territories on the Italian peninsula under the direct sovereign rule of the pope from 756 to 1870. They were among the major states of Italy from the 8th c ...
and from the political strife following the Pazzi conspiracy. In 1479, the plague broke out in Rome; Bartolomeo Platina, the head of the
Vatican Library The Vatican Apostolic Library (, ), more commonly known as the Vatican Library or informally as the Vat, is the library of the Holy See, located in Vatican City, and is the city-state's national library. It was formally established in 1475, alth ...
was killed, and
Pope Sixtus IV Pope Sixtus IV (or Xystus IV, ; born Francesco della Rovere; (21 July 1414 – 12 August 1484) was head of the Catholic Church and ruler of the Papal States from 9 August 1471 until his death in 1484. His accomplishments as pope included ...
fled the city and was absent for more than a year.
Federico da Montefeltro Federico da Montefeltro, also known as Federico III da Montefeltro Order of the Garter, KG (7 June 1422 – 10 September 1482), was one of the most successful mercenary captains (''condottiero, condottieri'') of the Italian Renaissance, and Duk ...
,
Duke of Urbino The Duchy of Urbino () was an independent duchy in early modern central Italy, corresponding to the northern half of the modern region of Marche. It was directly annexed by the Papal States in 1631. It was bordered by the Adriatic Sea in the ea ...
, also died. Following the Sack of Rome in 1527 by
Charles V, Holy Roman Emperor Charles V (24 February 1500 – 21 September 1558) was Holy Roman Emperor and Archduke of Austria from 1519 to 1556, King of Spain (as Charles I) from 1516 to 1556, and Lord of the Netherlands as titular Duke of Burgundy (as Charles II) ...
, plague broke out in both Rome and Florence. The plague emerged in Rome and killed 30,000 Florentines—a quarter of the city's inhabitants. The ''Description of the Plague at Florence in the Year 1527'', by Lorenzo di Filippo Strozzi, records this plague in detail; it was copied out by
Niccolò Machiavelli Niccolò di Bernardo dei Machiavelli (3 May 1469 – 21 June 1527) was a Florentine diplomat, author, philosopher, and historian who lived during the Italian Renaissance. He is best known for his political treatise '' The Prince'' (), writte ...
with annotations by Strozzi. He wrote: Further plague epidemics accompanied the Siege of Florence in 1529; there, religious buildings became hospitals and 600 temporary structures were built to house the infected outside the city walls. After 1530, political strife calmed and warfare in Italy became less frequent. Subsequently, plague outbreaks became more rare, affecting only individual cities or regions, but were particularly severe. In the 43 years between 1533 and 1575, there were 18 epidemics of plague. The especially damaging Italian plague of 1575–78 travelled both north and southwards through the peninsula from either end; the death toll was particularly high. By official reckoning, Milan lost 17,329 to plague in 1576, while
Brescia Brescia (, ; ; or ; ) is a city and (municipality) in the region of Lombardy, in Italy. It is situated at the foot of the Alps, a few kilometers from the lakes Lake Garda, Garda and Lake Iseo, Iseo. With a population of 199,949, it is the se ...
recorded 17,396 killed in a town that did not exceed 46,000 total inhabitants. Venice, meanwhile, saw between a quarter and a third of its population die of plague in the epidemic of 1576–77 with 50,000 deaths. In the first half of the 17th century, a plague claimed some 1.7 million victims in Italy, or about 14% of the population. The Great Plague of Milan (1629–31) was possibly the most disastrous of the century: the city of Milan lost half its population of about 100,000, while Venice was as afflicted as in its severe 1553–56 outbreak. The Italian Plague of 1656–57 was the last major catastrophic plague in Italy, with the
Naples Plague The Naples Plague was an epidemic of plague in the Kingdom of Naples, lasting from 1656 to 1658. The epidemic affected mostly Central Italy and Southern Italy, killing up to 1,250,000 people throughout the Kingdom of Naples according to some es ...
the most severe. In 1656, the plague killed about half of
Naples Naples ( ; ; ) is the Regions of Italy, regional capital of Campania and the third-largest city of Italy, after Rome and Milan, with a population of 908,082 within the city's administrative limits as of 2025, while its Metropolitan City of N ...
's 300,000 inhabitants.
Messina Messina ( , ; ; ; ) is a harbour city and the capital city, capital of the Italian Metropolitan City of Messina. It is the third largest city on the island of Sicily, and the 13th largest city in Italy, with a population of 216,918 inhabitants ...
saw the last epidemic in Italy, in 1742–44. The final recorded incidence of plague in Italy was in 1815–16, when plague broke out in Noja, a town near
Bari Bari ( ; ; ; ) is the capital city of the Metropolitan City of Bari and of the Apulia Regions of Italy, region, on the Adriatic Sea in southern Italy. It is the first most important economic centre of mainland Southern Italy. It is a port and ...
.


Northern Europe

Over 60% of Norway's population died from 1348 to 1350. The last plague outbreak ravaged
Oslo Oslo ( or ; ) is the capital and most populous city of Norway. It constitutes both a county and a municipality. The municipality of Oslo had a population of in 2022, while the city's greater urban area had a population of 1,064,235 in 2022 ...
in 1654. In 1709–13, a plague epidemic followed the start of the
Great Northern War In the Great Northern War (1700–1721) a coalition led by the Tsardom of Russia successfully contested the supremacy of the Swedish Empire in Northern Europe, Northern, Central Europe, Central and Eastern Europe. The initial leaders of the ant ...
(1700–1721), between
Sweden Sweden, formally the Kingdom of Sweden, is a Nordic countries, Nordic country located on the Scandinavian Peninsula in Northern Europe. It borders Norway to the west and north, and Finland to the east. At , Sweden is the largest Nordic count ...
and
Russia Russia, or the Russian Federation, is a country spanning Eastern Europe and North Asia. It is the list of countries and dependencies by area, largest country in the world, and extends across Time in Russia, eleven time zones, sharing Borders ...
and its allies, killing about 100,000 in Sweden and 300,000 in
Prussia Prussia (; ; Old Prussian: ''Prūsija'') was a Germans, German state centred on the North European Plain that originated from the 1525 secularization of the Prussia (region), Prussian part of the State of the Teutonic Order. For centuries, ...
. The plague killed two-thirds of the inhabitants of
Helsinki Helsinki () is the Capital city, capital and most populous List of cities and towns in Finland, city in Finland. It is on the shore of the Gulf of Finland and is the seat of southern Finland's Uusimaa region. About people live in the municipali ...
, and claimed a third of
Stockholm Stockholm (; ) is the Capital city, capital and List of urban areas in Sweden by population, most populous city of Sweden, as well as the List of urban areas in the Nordic countries, largest urban area in the Nordic countries. Approximately ...
's population. This was the last plague in Scandinavia, but the Russian plague of 1770–1772 killed up to 100,000 people in
Moscow Moscow is the Capital city, capital and List of cities and towns in Russia by population, largest city of Russia, standing on the Moskva (river), Moskva River in Central Russia. It has a population estimated at over 13 million residents with ...
.


Eastern Europe

In Russia, the disease hit somewhere once every five or six years from 1350 to 1490. In 1654, the Russian plague killed about 700,000 inhabitants.Collins S. (1671)
The Present State of Russia
''. Edited by Marshall T. Poe, 2008
Медовиков П. Е. (1854)
Историческое значение царствования Алексея Михайловича
''
In the 1560s, a European wave of the plague first hit
Lithuania Lithuania, officially the Republic of Lithuania, is a country in the Baltic region of Europe. It is one of three Baltic states and lies on the eastern shore of the Baltic Sea, bordered by Latvia to the north, Belarus to the east and south, P ...
and Russian
Pskov Pskov ( rus, Псков, a=Ru-Псков.oga, p=psˈkof; see also Names of Pskov in different languages, names in other languages) is a types of inhabited localities in Russia, city in northwestern Russia and the administrative center of Pskov O ...
in 1564–1565, but did not progress further east until 1566, when it ravaged in
Russian Russian(s) may refer to: *Russians (), an ethnic group of the East Slavic peoples, primarily living in Russia and neighboring countries *A citizen of Russia *Russian language, the most widely spoken of the Slavic languages *''The Russians'', a b ...
lands already suffering from the
Livonian War The Livonian War (1558–1583) concerned control of Terra Mariana, Old Livonia (in the territory of present-day Estonia and Latvia). The Tsardom of Russia faced a varying coalition of the Denmark–Norway, Dano-Norwegian Realm, the Kingdom ...
and the ''
oprichnina The oprichnina (, ; ) was a state policy implemented by Tsar Ivan the Terrible in Russia between 1565 and 1572. The policy included mass repression of the boyars (Russian aristocrats), including public executions and confiscation of their land ...
''. It made a pause until hitting even harder in two waves in 1569–1570 and 1571–1572, which, combined with concurrent famine, may have killed between a third and a quarter of the Russian population. The Great Plague of 1738 was a pandemic of plague lasting 1738–1740 and affecting areas in the modern nations of
Romania Romania is a country located at the crossroads of Central Europe, Central, Eastern Europe, Eastern and Southeast Europe. It borders Ukraine to the north and east, Hungary to the west, Serbia to the southwest, Bulgaria to the south, Moldova to ...
,
Hungary Hungary is a landlocked country in Central Europe. Spanning much of the Pannonian Basin, Carpathian Basin, it is bordered by Slovakia to the north, Ukraine to the northeast, Romania to the east and southeast, Serbia to the south, Croatia and ...
,
Ukraine Ukraine is a country in Eastern Europe. It is the List of European countries by area, second-largest country in Europe after Russia, which Russia–Ukraine border, borders it to the east and northeast. Ukraine also borders Belarus to the nor ...
,
Serbia , image_flag = Flag of Serbia.svg , national_motto = , image_coat = Coat of arms of Serbia.svg , national_anthem = () , image_map = , map_caption = Location of Serbia (gree ...
,
Croatia Croatia, officially the Republic of Croatia, is a country in Central Europe, Central and Southeast Europe, on the coast of the Adriatic Sea. It borders Slovenia to the northwest, Hungary to the northeast, Serbia to the east, Bosnia and Herze ...
, and
Austria Austria, formally the Republic of Austria, is a landlocked country in Central Europe, lying in the Eastern Alps. It is a federation of nine Federal states of Austria, states, of which the capital Vienna is the List of largest cities in Aust ...
. The Russian plague epidemic of 1770–1772 killed as many as 100,000 people in
Moscow Moscow is the Capital city, capital and List of cities and towns in Russia by population, largest city of Russia, standing on the Moskva (river), Moskva River in Central Russia. It has a population estimated at over 13 million residents with ...
alone, with thousands more dying in the surrounding countryside.


France

In 1466, perhaps 40,000 people died of plague in Paris. During the 16th and 17th centuries, plague visited Paris nearly once every three years on average. According to historian Geoffrey Parker, "
France France, officially the French Republic, is a country located primarily in Western Europe. Overseas France, Its overseas regions and territories include French Guiana in South America, Saint Pierre and Miquelon in the Atlantic Ocean#North Atlan ...
alone lost almost a million people to plague in the epidemic of 1628–31." Western Europe's last major epidemic occurred in 1720 in Marseilles.


Britain

Plague epidemics ravaged London in the 1563 London plague, in 1593, 1603, 1625, 1636, and 1665, reducing its population by 10 to 30% during those years. The 1665–66
Great Plague of London The Great Plague of London, lasting from 1665 to 1666, was the most recent major epidemic of the bubonic plague to occur in England. It happened within the centuries-long Second plague pandemic, Second Pandemic, a period of intermittent buboni ...
was the final major epidemic of the pandemic, with the last death of plague in the walled
City of London The City of London, also known as ''the City'', is a Ceremonial counties of England, ceremonial county and Districts of England, local government district with City status in the United Kingdom, city status in England. It is the Old town, his ...
recorded fourteen years later in 1679.


Low Countries

Over 10% of
Amsterdam Amsterdam ( , ; ; ) is the capital of the Netherlands, capital and Municipalities of the Netherlands, largest city of the Kingdom of the Netherlands. It has a population of 933,680 in June 2024 within the city proper, 1,457,018 in the City Re ...
's population died in 1623–25, and again in 1635–36, 1655, and 1664.


Iberia

More than 1.25 million deaths resulted from the extreme incidence of plague in 17th-century
Spain Spain, or the Kingdom of Spain, is a country in Southern Europe, Southern and Western Europe with territories in North Africa. Featuring the Punta de Tarifa, southernmost point of continental Europe, it is the largest country in Southern Eur ...
. The plague of 1649 probably reduced the population of
Seville Seville ( ; , ) is the capital and largest city of the Spain, Spanish autonomous communities of Spain, autonomous community of Andalusia and the province of Seville. It is situated on the lower reaches of the Guadalquivir, River Guadalquivir, ...
by half.


Malta

Malta suffered from a number of plague outbreaks during the second pandemic between the mid-14th and early 19th centuries. The most severe outbreak was the epidemic of 1675–1676, which killed around 11,300 people, followed by the epidemic of 1813–1814 and that of 1592–1593, which killed around 4,500 and 3,000 people respectively.


Tenerife

The 1582 Tenerife plague epidemic (also 1582
San Cristóbal de La Laguna San Cristóbal de La Laguna (commonly known as La Laguna, ) is a city and municipality in the northern part of the island of Tenerife in the Province of Santa Cruz de Tenerife, on the Canary Islands, Spain. The former capital of the Canary Islan ...
plague epidemic) was an outbreak of bubonic plague that occurred between 1582 and 1583 on the island of
Tenerife Tenerife ( ; ; formerly spelled ''Teneriffe'') is the largest and most populous island of the Canary Islands, an Autonomous communities of Spain, autonomous community of Spain. With a land area of and a population of 965,575 inhabitants as of A ...
, Spain. It is currently believed to have caused between 5,000 and 9,000 deaths on an island with fewer than 20,000 inhabitants at that time (approximately 25-45% of the island's population).


Impact in Africa

Historians have only recently begun to study the impact of the bubonic plague in Africa. The disease severely disrupted trade networks in West Africa, depopulating major sites such as Kirikongo in
Burkina Faso Burkina Faso is a landlocked country in West Africa, bordered by Mali to the northwest, Niger to the northeast, Benin to the southeast, Togo and Ghana to the south, and Ivory Coast to the southwest. It covers an area of 274,223 km2 (105,87 ...
and Akrokrowa in
Ghana Ghana, officially the Republic of Ghana, is a country in West Africa. It is situated along the Gulf of Guinea and the Atlantic Ocean to the south, and shares borders with Côte d’Ivoire to the west, Burkina Faso to the north, and Togo to t ...
.


Major outbreaks


Disappearance

The 18th- and 19th-century outbreaks, though severe, marked the retreat of the pandemic from most of Europe (18th century), northern Africa, and the Near East (19th century). The pandemic died out progressively across Europe. One documented case was in 17th-century London, where the first proper demographer,
John Graunt John Graunt (24 April 1620 – 18 April 1674) has been regarded as the founder of demography. Graunt was one of the first demographers, and perhaps the first epidemiologist, though by profession he was a haberdasher. He was bankrupted later in ...
, failed by just five years to see the last recorded death from plague, which happened in 1679, 14 years after the
Great Plague of London The Great Plague of London, lasting from 1665 to 1666, was the most recent major epidemic of the bubonic plague to occur in England. It happened within the centuries-long Second plague pandemic, Second Pandemic, a period of intermittent buboni ...
. The reasons it died out totally are not well understood. It is tempting to think that the
Great Fire of London The Great Fire of London was a major conflagration that swept through central London from Sunday 2 September to Wednesday 5 September 1666, gutting the medieval City of London inside the old London Wall, Roman city wall, while also extendi ...
the next year destroyed the hiding places of the rats in the roofs. There was not a single recorded plague death "within the walls" after 1666. However, by this time, the city had spread well beyond the walls, which contained most of the fire, and most plague cases happened beyond the limits of the fire. Likely more significant was the fact that all buildings after the fire were constructed of brick rather than wood and other flammable materials. This pattern was broadly followed after major epidemics in northern Italy (1631), southern and eastern Spain (1652), southern Italy and Genoa (1657), and Paris (1668). Appleby considers six possible explanations: # People developed immunity. # Improvements in nutrition made people more resistant. # Improvements in housing, urban
sanitation Sanitation refers to public health conditions related to clean drinking water and treatment and disposal of human excreta and sewage. Preventing human contact with feces is part of sanitation, as is hand washing with soap. Sanitation systems ...
and personal cleanliness reduced the number of rats and rat fleas. # The dominant rat species changed. (The brown rat did not arrive in London until 1727.) # Quarantine methods improved in the 17th century. # Some rats developed immunity, so fleas never left them in droves to humans; non-resistant rats were eliminated and this broke the cycle. Synder suggests that the replacement of the
Black rat The black rat (''Rattus rattus''), also known as the roof rat, ship rat, or house rat, is a common long-tailed rodent of the stereotypical rat genus ''Rattus'', in the subfamily Murinae. It likely originated in the Indian subcontinent, but is n ...
(''Rattus rattus''), which thrived among people and was frequently kept as a pet, by the more aggressive and prolific Norway or brown rat (''Rattus norvegicus'') was a major factor. The Brown rat, which arrived as an invasive species from the East, is skittish and avoids human contact, and its aggressive and asocial behaviour made it less attractive to humans. As the Brown rat violently drove out the Black rat in country after country, becoming the dominant species in that ecological niche, rat-to-human contact declined, as did the opportunities for plague to pass from rat fleas to humans. One of the major demarcations for hot spots in the
third plague pandemic The third plague pandemic was a major bubonic plague pandemic that began in Yunnan, China, in 1855. This episode of bubonic plague spread to all inhabited continents, and ultimately led to more than 12 million deaths in India and China (and perh ...
was the places where the Black rat had yet to be replaced, such as
Bombay Mumbai ( ; ), also known as Bombay ( ; its official name until 1995), is the capital city of the Indian States and union territories of India, state of Maharashtra. Mumbai is the financial centre, financial capital and the list of cities i ...
(now Mumbai) in India. It has also been suggested that evolutionary processes may have favoured less virulent strains of the pathogen ''Yersinia pestis''. In all probability, almost all of these factors had some effect in bringing about the end of the pandemic, though the main cause may never be conclusively determined. The disappearance happened rather later in the Nordic and eastern European countries, but there was a similar halt after major epidemics.


See also

*
Timeline of plague Bubonic plague is one of three types of plague caused by the bacterium ''Yersinia pestis''. One to seven days after exposure to the bacteria, flu-like symptoms develop. These symptoms include fever, headaches, and vomiting, as well as swo ...
*
First plague pandemic The first plague pandemic was the first historically recorded Old World pandemic of plague, the contagious disease caused by the bacterium '' Yersinia pestis''. Also called the early medieval pandemic, it began with the Plague of Justinian in 5 ...
(541–767) *
Black Death The Black Death was a bubonic plague pandemic that occurred in Europe from 1346 to 1353. It was one of the list of epidemics, most fatal pandemics in human history; as many as people perished, perhaps 50% of Europe's 14th century population. ...


References

Notes Bibliography * * * * * * * * * * * * * * * * * * * * * *


External links

* {{Epidemics 2nd 1348 in Europe 14th-century health disasters 15th-century epidemics 16th-century epidemics 17th-century epidemics 18th-century epidemics 19th-century epidemics Health disasters in Africa Health disasters in Asia Health disasters in Europe Medieval health disasters 2st