A History of Epidemics in Britain, Volume 1 (of 2) by Charles Creighton

14 " 26 21 " 13 Stow’s summary of this epidemic in his _Annales_ is as follows: “In the same whole year, i.e. from the 1st January, 1562 [old style] till the last of December, 1563, there died in the city and liberties thereof, containing 108 parishes, of all diseases 20,372, and of the plague, being part of the number aforesaid, 17,404; and in out parishes adjoining to the same city, being 11 parishes, died of all diseases in the whole year 3288, and of them of the plague 2732.” The weekly totals from June 12 to December 31 which are for the City and liberties, and exclusive of the out parishes, add up to very nearly Stow’s total for the whole year, or to 16,802 as against 17,404. Where the discrepancy arises does not appear; it is hardly likely that some 600 plague-deaths would have occurred previous to the second week in June, at which time the weekly mortality had reached only 17. We are able to check one of the weekly totals from an independent source. In an extant letter of the time the following figures for the week from 23rd to 30th July are given, having been taken evidently from the published or posted weekly bill: “Died and were buried in London and suburbs, 399, most young people and youths, of which number of the common plague 320 persons. Number of children born and christened in the same week, 52[591].” “London and suburbs” would mean the 108 parishes of the City and liberties together with the 11 out parishes, so that the difference between Stow’s 289 and the above 320 would give the number of plague-deaths in the out parishes for the particular week. The state of matters in the City is thus referred to in Bullein’s _Dialogue_ published in 1564:-- _Civis._--“Good wife, the daily jangling and ringing of the bells, the coming in of the minister to every house in ministering the communion, the reading of the homily of death, the digging up of graves, the sparring of windows, and the blazing forth of the blue crosses do make my heart tremble and quake.” A beggar, in the same _Dialogue_, who had arrived from the country, says: “I met with wagones, cartes and horses full loden with yong barnes, for fear of the blacke Pestilence, with them boxes of medicens and sweete perfumes. O God! how fast did they run by hundredes, and were afraied of eche other for feare of smityng.” We get one or two glimpses of this great plague from the medical point of view in Dr John Jones’s _Dyall of Agues_[592]. The worst locality, he says, was “S. Poulkar’s parish [St Sepulchre’s] by reason of many fruiterers, poor people, and stinking lanes, as Turnagain-lane [so called because it led down the slope to Fleet Ditch and ended there], Seacoal-lane, and such other places, there died most in London, and were soonest infected, and longest continued, as twice since I have known London I have marked to be true.” Jones believed in contagion: “I myself was infected by reason that unawares I lodged with one that had it running from him.” His other observation is interesting as proving the possibility of repeated attacks of the buboes in the same person, an observation abundantly confirmed, as we shall see, in the London plagues of 1603 and 1665: “Here now, gentel readers, I think good to admonish all such as have had the plague, that they flie the trust of ignoraunt persons, who use to saye that he who hath once had the plague shal not nede to feare the havinge of it anye more: the whych by this example whyche foloweth (that chaunced to a certayne Bakers wife without Tempel barre in London, Anno Do. 1563) you shall find to be worthelye to be repeated: this sayde wyfe had the plage at Midsommer and at Bartholomewtide, and at Michaelmas, and the first time it brake, the seconde time it brake, but ran littell, the thirde time it appeared and brake not: but she died, notwythstanding she was twyce afore healed.” Two London physicians of some note died of the plague in 1563. One was Dr Geynes, who had brought trouble upon himself by impugning the authority of Galen, perhaps without sufficient reason. Having been cited before the College of Physicians, to whose discipline he was subject, he preferred to recant his heresy rather than undergo imprisonment. He died of plague on 23 July, 1563. Another was Dr John Fryer who had suffered twice for religious heresy, having been imprisoned by queen Mary as a Lutheran, and by queen Elizabeth as a papist. He regained his liberty in August, 1563, but only to die of plague on 21 October, his wife and several of his children having been also victims of the epidemic[593]. Stow ascribes the infection of the city of London by plague in the summer of 1563 to the return of the English troops from Havre, which town queen Elizabeth had boldly attempted to hold, and did actually hold for ten months, from September, 1562, as an English fortress in French territory. Havre was not surrendered until the last days of July, 1563, and no returning troops could have reached London until August, by which time the plague had been raging there for two months. There was no doubt frequent communication between Havre and English ports while the siege lasted; but the sickness in each place can have been no more than coincident. Thus, while there were 17 plague-deaths in London in the week from the 5th to the 12th of June, the 7th of June is the first date on which report was made of sickness in Havre, although there had been cases of illness before. On that date the Earl of Warwick wrote to the Privy Council[594]: “For the want of money the works are hindered and the men discouraged. A strange disease has come amongst them, whereof nine died this morning (and many before) very suddenly.” On the same day (7th June, 1563), one writes from Havre to Cecil: “Many of our men have been hurt in these skirmishes, but more by drinking of their wine, which hath cast down a great number, of hot burning diseases and impostumations, not unlike the plague.” By the 9th June the deaths were from 20 to 30 a day. On the 12th June, 442 were sick out of a total force (including labourers and seamen) of 7143. On June 16, Warwick points out to the Privy Council that the sickness was aggravated by the want of fresh meat and the soldiers’ usual beverages: “therefore their continual drinking of wine, contrary to their custom, has bred these disorders and diseases.” On the 28th June the daily mortality was 77; from that date it increased somewhat, and was so serious as to hasten the surrender of the place to the French besieging force in the end of July. On July 27 there was plague in the castle of Jersey, and on August 6 it was very sore in Jersey, especially in the Castle[595]. It would have seemed the more probable to the people of London that the plague of 1563 had been imported across the Channel by reason of the unusually long immunity of the English capital in respect of that infection. A clear interval of a dozen years without an epidemic, or a severe epidemic, was enough to make men forget the long tradition of plague domesticated upon English soil; while there was no scientific doctrine of epidemics then worked out, from which they might have known that the seeds of a disease may lie dormant for years, and that their periodic effectiveness depends upon a concurrence of favouring things, most of all upon extremes of dryness or wetness of the seasons as affecting a soil full of corrupting animal matters. The plague of 1563 in the capital was accompanied or followed by several provincial outbreaks, of which few details are known. It is mentioned at Derby[596] in 1563, at Leicester[597] in 1563 and 1564 (a shut-up house in 1563, the first plague-burial in St Martin’s parish on May 11, 1564), at Stratford-on-Avon, at Lichfield[598] and Canterbury[599] in 1564. But it is little more than mentioned at all those places. In the parish register of Hensley, in the North Riding of Yorkshire, a later incumbent, basing upon “an old writing of 1569,” says that the explanation of the year 1563 being a blank in the register was “because in that year the visitation of plague was most hot and fearful, so that many died and fled, and the town of Hensley, by reason of the sickness, was unfrequented for a long season[600].” Preventive Practice in Plague-time under the Tudors. Having now traced the history of plague in London and in the provinces down to the beginning of the reign of Elizabeth, and having found it steady from year to year for many years in London, with an occasional terrific outburst, we are naturally led to ask whether the causes of it, or its favouring things, were understood, and whether any steps were taken to deal with it. This will be in effect a review of the earliest preventive practice. That which was most clearly perceived by all was that the plague began to reign in certain years as the summer heats drew on, that the air of London or Westminster became “intemperate,” or unwholesome, or infectious, and that it was desirable to get out of such air. Accordingly the one great rule, admitted by all and acted upon by as many as could, was to escape from the tainted locality, or as Wolsey expressed it to the earl of Shrewsbury in 1516, to get them “into clean air.” There was no other sovereign prescription but that, and it remained the one great prescription until the last of plague in 1665-6. Difficult points of casuistry arose out of that steady perception of an indisputable rule. Could flight from a plague-stricken place be reconciled with duty to one’s neighbour? How ought a Christian man to demean himself in the plague? The Christian conscience may or may not have been tender on that ground in the medieval period; there is little to show one way or the other, except the occasional hints that we get, as in the Danish bishop’s treatise, of an unwillingness to go near the victims of plague. But about the Reformation time those points of casuistry were debated; and one elaborate handling of them, in the form of a sermon by a German ecclesiastic, Osiander, was translated into English in 1537 by Miles Coverdale[601]. It followed, accordingly, that period of plague in London which has occupied the first part of this chapter. The translator remarks that they had been negligent of charity one to another, and he prints this discourse “to the intent that the ignorant may be taught, the weake strengthened, and everyone counselled after his callynge to serve his neighbor.” Osiander’s perplexed Christian is in much the same case as Launcelot Gobbo in the play: “‘Budge,’ says the fiend; ‘Budge not,’ says my conscience. ‘Conscience,’ say I, ‘you counsel well;’ ‘Fiend,’ say I, ‘you counsel well.’” The situation was a naturally complex one, and this is how the good preacher comes out of it: “It is not my meaning to forbid or inhibit any man to fly, or to use physick, or to avoid dangerous and sick places in these fearful airs--so far as a man doth not therein against the belief, nor God’s commandment, nor against his calling, nor against the love of his neighbour.” And yet, shortly after: “Out of such fond childish fear it cometh that not only some sick folk be suffered to die away without all keeping, help, and comfort; but the women also, great with child, be forsaken in their need, or else cometh there utterly no man unto them. Yet a man may hear also that the children forsake their fathers and mothers, and one household body keepeth himself away from another, and sheweth no love unto him. Which nevertheless he would be glad to see shewed unto himself if he lay in like necessity.” He then exhorts the Christian man to remain at the post of duty, by the examples of the clergy and of “the higher powers of the world, who also abide in jeopardy”--certainly not the English experience. “Let him not axe his own reason, how he shall do, but believe, and follow the word of God, which teacheth him not to fly evil air and infect places (which he may well do: nevertheless he remaineth yet uncertain whether it helpeth or no).” The Christian man’s perplexities can hardly have been resolved when all was said; and the following sentence puts the case for quitting the infected place as strongly as it can be put: “For if it were in meat or drink, it might be eschewed; if it were an evil taste, it might be expelled with a sweet savour; if it were an evil wind, the chamber might with diligence be made close therefore; if it were a cloud or mist, it might be seen and avoided; if it were a rain, a man might cover himself for it. But now it is a secret misfortune that creepeth in privily, so that it can neither be seen nor heard, neither smelled nor tasted, till it have done the harm.” In practice the rule was ‘Save who can;’ so that whenever the infection promised to become “hot,” as the phrase was, there was an adjournment of Parliament and of the Law Courts, a flight of all who could afford it to the country, and an interruption of business, diplomatic and other, which sometimes lasted for months. It was only occasionally, however, that the infection became really hot; in ordinary years a certain risk was run. Thus, in 1426, the plague had been severe enough to cut off the Scots hostages; but it was not until after their death that the king’s council left the city. Again, in 1467, Parliament did not adjourn (on 1st July) until several members of the House of Commons had died of the plague. Although flight was the sovereign preventive in a great plague-season, it was impracticable in ordinary years when the infection was at its steadier or more endemic level. The endemic level was tolerated up to a certain point. In a long despatch to his government, the Venetian ambassador in London wrote of the plague as follows in 1554[602]: “They have some little plague in England well nigh every year, for which they are not accustomed to make sanitary provisions, as it does not usually make great progress; the cases for the most part occur amongst the lower classes, as if their dissolute mode of life impaired their constitutions.” Whenever the plague showed signs of overstepping these limits, strenuous efforts were made to keep it in check. It may be questioned whether all that was done in that way made any difference; the great outbursts came at intervals, rose to their height, subsided in a few months, and left the city more or less free of plague until some concurrence of things, or the lapse of time, brought about another epidemic of the first degree. None the less, certain measures were taken to restrain the infection, and these were put in force with mechanical regularity whenever the Privy Council informed the Lord Mayor that the occasion required it. A brief account of them, of their beginnings and their development, will now be given. The first that we hear of attempts at isolation and notification is in