
Environmental Encyclopedia 3
Plague
people, half in Asia and Africa and half in Europe (a quarter
of the population). Its entry into Europe was through Kaffa,
a small Italian trading colony on the shore of the Black Sea
in Crimea. Kaffa was besieged by an army and during the
siege, plague broke out among the soldiers. According to
some sources, the soldiers threw the corpses of those who
died over the town walls to spread plague among the men
defending the town. Whether that caused plague to break
out in the town is unknown, but the defenders were afflicted.
They managed to get to their boats and flee to Italy, unknow-
ingly carrying the disease with them.
By late 1347, plague was widespread in the Mediterra-
nean region, and in 1348 it spread throughout Italy, France,
and England. The Middle East and the Far East were also
severely affected. Medieval physicians were at a loss to ex-
plain the disease. Some claimed it was due to person-to-
person infection, while others said it arose from a poisonous
atmosphere
. Other explanations put forth by panicked citi-
zens blamed astrological influences, divine punishment, and
the Jewish community. Tens of thousands of Jewish citizens
were burned in Spain, Germany, Switzerland, and France
despite protests by Pope Clement VI, Emperor Charles IV,
and medical experts who said that they were innocent. How-
ever, the authorities were powerless to stop the spread of
plague, and they were not believed. Quarantines of plague
victims were ordered, but they were largely ineffective.
The Black Death was the beginning of a number of
plague outbreaks that ravaged Europe and Africa in subse-
quent centuries. In England alone, there were plague out-
breaks in 1361, 1369, 1390, 1413, 1434, 1439, and 1464.
Additional outbreaks occurred in Scotland in 1401–1403,
1430–1432, and 1455. The epidemics cut England’s popula-
tion of about seven million in half from 1300 to 1380. The
last major outbreaks of the Black Death pandemic occurred
in London in 1665–1666 and in Marseilles in 1720–1722.
Each of these outbreaks resulted in approximately 100,000
deaths.
In a controversial 2001 book, “Biology of Plagues,”
authors and epidemiologists Susan Scott and Christopher
Duncan write they believe the plague of 1347–1351 was not
caused by the bubonic plague, but rather by a still unknown
disease. They say the quick spread of the disease and the
fact that bubonic plague is not transmitted person to person,
as the Black Death was, points to another cause. Another
possibility, however, is that the ship trade of that time would
have allowed for disease-infested rats to move from location
to location rapidly and thus, spread the disease quickly
through various populations.
The world’s third plague pandemic began in 1894 in
China and Hong Kong. Called the Modern Pandemic, it
quickly spread throughout the world, carried by rats aboard
steamships. From 1894 through 1903, plague-infested ships
1096
had brought the disease to 77 ports in Asia, Africa, Europe,
North America,
Australia
, and South America. In India
alone, plague killed about 13 million people. In the year
the pandemic started, scientists discovered the cause of the
disease, and established that rats and their fleas were the
carriers.
According to most sources, the Modern Pandemic
continues to the present time. Epidemics linked to the Mod-
ern pandemic were reported in San Francisco, New Orleans,
and other coastal cities throughout the world and millions
died. The Modern pandemic also established in areas that
previously had been plague free, including North America,
South America, and southern Africa. With the advent of
antibiotics and the understanding of how plague spreads,
the Modern pandemic has been contained and the plague
no longer claims millions of victims. However, health au-
thorities remain vigilant because the plague has not been
eradicated.
At the turn of the twentieth century, plague outbreaks
twice hit San Francisco. The first outbreak was from 1900
to 1904, and the second from 1907 to 1909. Several hundred
infections were confirmed but health officials believe hun-
dreds of cases went unreported. More recently, an outbreak
of bubonic plague occurred in the African nation of Malawi
in early 2002, infecting at least 10 people
The decrease in the incidence of plague today is due
primarily to improved living standards and health services
in many underdeveloped nations. In India, plague epidemics
have stopped altogether. The reasons for this are not clear,
according to WHO scientists. The Government of India,
however, has taken a number of stringent measures to pre-
vent spread of the disease. These include mandatory screen-
ing at airports of every airline passenger intending to travel
abroad for signs and symptoms of plague,
fumigation
of
aircraft, including both the passenger cabin and the cargo
hold. Additionally, all aircraft are inspected for the presence
of rats. At all major sea ports, all out-going vessels are being
inspected for the presence of rats and insects. Ships are
required to have a certificate, issued by the port health officer,
showing that they have been deratted, before they can leave
port. All these measures are in accordance with the WHO
International Health Regulations.
Plague is often mentioned as a potential biological
weapon of terrorists. When released into the air, the bacte-
rium can survive for up to an hour. Of the three types of
plague (pneumonic, bubonic, and septicemic), pneumonic
is they one most likely to be used by terrorists since large
stockpiles were developed by the United States and Soviet
Union in the 1950s and 1960s. Much of the Soviet supply
is now in the hands of several of its former republics, now
independent nations. The U.S. government believes several
so-called “rogue” nations, such as Iran, Iraq, and North