A History of Epidemics in Britain, Volume 1 (of 2) by Charles Creighton
1665. Its two great predecessors (not reckoning the smaller plague of
3187 words | Chapter 84
1636) had happened each at the beginning of a new reign--in 1603 on the
accession of James I., and in 1625 on the accession of Charles I. The
Restoration of 1660 was the time for the next great outburst; but that was
delayed for five years. Those five years were occupied with a good deal of
fever and other infective disease in London, and the fever in the
beginning of 1665 was, according to Sydenham, of a marked pestilential
type. It may be said to have led up to the plague; but the bubonic disease
itself needed something in addition to the determining causes of spotted
fever. It is generally admitted that London was unusually crowded with the
poorer classes whose work is required by the luxury of the rich (Defoe
says that an enumeration for the Lord Mayor had made out 100,000
ribbon-weavers in the eastern suburbs, although the number is incredible).
There was also a general relaxation of morals, which may have predisposed
many constitutions to receive the seeds of infection. Another element in
the case was the weather.
The summer before had been remarkable for the immense number of
house-flies, and of other insects and frogs. From November to the end of
March the earth was held in almost continual black frost. Boghurst says
the wind was westerly for seven months. No rain fell all the time except a
slight sprinkling in the end of April. The dry cold continued after the
frost broke, and produced, says Sydenham, an unusual number of cases of
pleurisy, pneumonia and angina. Richard Baxter says of the seasons
preceding the great plague, that they were “the driest winter, spring and
summer that ever man alive knew, or our forefathers ever heard of; so that
the grounds were burnt like the highways, the meadow ground where I lived
[Acton] having but four loads of hay which before bare forty[1203].” The
hay crop was “pitiful,” says Boghurst, in consequence of the long cold and
drought. But the summer was made pleasant by refreshing breezes, and
there was abundance of all kinds of grain, vegetables and fruit.
It was not until the beginning of June that the deaths from plague in all
London, according to the bills of mortality, reached the sum of 43 in the
week. But the mortality had been excessive from the beginning of the year,
and it was suspected, as in the like circumstances in 1625, that the
searchers had been concealing the existence of plague, or calling cases of
it by other names, so as to save the infected houses from being shut up.
The motive for bribery and concealment doubtless existed; it had been kept
in view by the authorities from the first institution of searchers, who
were solemnly sworn before the Dean of the Arches to make a true return of
the cause of death. In all the great plagues, less so in 1563 and 1603
than in other years, there was reason to suppose that a large proportion
of deaths put down to other causes than plague were really cases of
plague. However there is no doubt that, in the early months of 1665, just
as in the beginning of 1625, there was a great deal of spotted fever in
London, not to mention smallpox and dysentery. The season was a sickly
one, such a sickly season as often occurred in the latter part of the
seventeenth century and throughout the whole of the eighteenth, when there
could be no longer any question of plague. The weekly bills contain
numerous deaths in the several parishes from “fever” and from “spotted
fever” for months before they contain more than an occasional
plague-death. There was no reason why these and other maladies should not
have swelled the bills to three or four hundred in a week; in the year
1739, when London was probably not a third larger than in 1665, Strother
says that fever brought the weekly bill up to near a thousand. It is
remarkable, however, that Boghurst claims to have been treating cases of
plague from the month of November, 1664; Hodges also says that he was
called in the middle of the Christmas holidays to a young man in a fever
who acquired, two days after, a plague-botch in each groin as large as a
nutmeg, and recovered. Boghurst admits that “tokens,” by which he means
the marks of plague other than the botch or bubo, “appeared not much till
about the middle of June, and carbuncles not till the latter end of July.”
He suspects that the bills of mortality did not tell the whole truth;
and, as an instance of evasion, he says that there had been plague in St
Giles’s, St Martin’s, St Clement’s, and St Paul’s, Covent Garden, for
three or four years before (the bills of mortality give only 12, 9, and 5
deaths respectively for all London in the years 1662, 1663 and 1664), “as
I have been certainly informed by the people themselves that had it in
their houses in those parishes.”
But, in claiming an earlier beginning for the plague than the bills
recognize, and in setting aside the diagnosis of fever as insufficient,
Boghurst takes what is known, in the controversies upon the nature and
affinities of plague, as the “ontological” view: that is to say, he sees
in plague a fixed and uniform entity, and he sees the same in fever. The
other view is the developmental, which recognizes transitions from the one
type of pestilential disease into the other. The great writers of the
time, Willis, Sydenham, and Morton, were none of them “ontologists.” They
all taught the scale of malignity, which had simple continued fever at one
end, then a severer fever with spots and “parotids,” then a fever with
buboes, and at the farthest end of the scale the true plague, with its
buboes, carbuncles, and tokens. Nor is it denied by competent observers,
such as Boghurst himself, that an epidemic of plague declined as a whole
in malignity towards the end, so that the buboes suppurated, and three out
of four, or three out of five, patients recovered. If that were the case
in the descent of the curve, why should there not have been something
corresponding in the ascent? If certain cases of the prevailing fever in
the beginning of the year developed buboes which suppurated (as in the
case treated by Hodges at Christmas, 1664), should they be called plague
or fever? Willis would have answered in favour of fever, until such time,
at least, as the “epidemic constitution” of the season changed definitely
to plague[1204]; he does in effect answer so in the particular instance
of the Oxford fever of 1643, which in some cases was bubonic, whereas, in
1645, he makes no doubt that the disease prevailing in Oxford and
Wallingford was true plague.
The more general discussion of this theme will be found in the concluding
section of the chapter on the Black Death, where illustrations are given
of typhus fever turning to bubonic fever and to plague, from recent and
anomalous outbreaks of plague in Arab villages or encampments, in some
Indian villages, and elsewhere. The conclusion there come to was that the
type of plague, or the bubonic type, prevailed when the infection of the
filthy habitations began with change of season to rise from the soil,
whereas the form of sickness was typhus fever so long as the infection was
primarily in the atmosphere of the dwellings.
We may admit, then, that there was some ambiguity in the naming and
classifying of pestilential cases in the early months of 1665. If we
follow the bills--and there is nothing else to follow--the plague-deaths
in all the parishes of London for the seven weeks from April 18 to June 6
were respectively no more than 2, 0, 9, 3, 14, 17 and 43, the deaths from
“fever” and “spotted fever” being much more numerous.
Having thus far determined the date of beginning, we come next to the line
of advance of the plague of 1665. It was from the western and northern
suburbs towards the City, the eastern suburbs, and Southwark. Boghurst,
who practised in St Giles’s-in-the-Fields, says:
“The plague fell first upon the highest ground, for our parish is the
highest ground about London, and the best air, and was first infected.
Highgate, Hampstead and Acton also all shared in it.” From the west
end of the town, Boghurst continues, “it gradually insinuated and
crept down Holborn and the Strand, and then into the City, and at last
to the east end of the suburbs, so that it was half a year at the west
end of the city [in his experience] before the east end and Stepney
was infected, which was about the middle of July. Southwark, being the
south suburb, was infected almost as soon as the west end.” But the
same writer farther explains that “it fell upon several places of the
city and suburbs like rain--at the first at St Giles’, St Martin’s,
Chancery-lane, Southwark, Houndsditch, and some places within the
City, as at Proctor’s-houses.”
The slow progress from west to east has been made much of by Defoe, who
used the bills of mortality to ascertain the rise of the infection in the
several districts. His conclusion is the same in the main as Boghurst’s
contemporary observation; only that he makes the infection of Southwark
later, and with reason so far as the bills show:--
“It was now mid-July, and the plague which had chiefly raged at the
other end of the town, and as I said before, in the parishes of St
Giles’s, St Andrew’s, Holbourn, and towards Westminster, began now to
come eastward towards the part where I lived. It was to be observed,
indeed, that it did not come straight on toward us; for the City, that
is to say within the walls, was indifferent healthy still; nor was it
got then very much over the water into Southwark; for though there
died that week 1268 of all distempers, whereof it might be supposed
above 900 died of the plague [only 725 in the bill], yet there was but
28 in the whole City within the walls, and but 19 in Southwark,
Lambeth included; whereas in the parishes of St Giles’ and St Martin’s
in the Fields alone, there died 421.... We perceived, I say, the
distemper to draw our way; viz. by the parishes of Clerkenwell,
Cripplegate, Shoreditch, and Bishopsgate; which last two parishes
joining to Aldgate, Whitechapel and Stepney, the infection came at
length to spread its utmost rage and violence in those parts, even
when it abated at the western parishes where it began. It was very
strange to observe that in this particular week, from the 4th to the
13th July, when, as I have observed, there died near 400 of the plague
in the two parishes of St Martin’s and St Giles’ in the Fields only,
there died in the parish of Aldgate but four, in the parish of
Whitechapel three, and in the parish of Stepney but one.” In the
following week of July, with a total of 1761 deaths, whereof of the
plague 1089, only 16 occurred on the Southwark side. Soon, however,
Cripplegate had the infection at its hottest, and at the same time
Clerkenwell, St Sepulchre’s parish, St Bride’s and Aldersgate. “While
it was in all these parishes, the City and the parishes of the
Southwark side of the water, and all Stepney, Whitechapel, Aldgate,
Wapping and Ratcliff were very little touched; so that people went
about their business unconcerned, carried on their trades, kept open
their shops, and conversed freely with one another in all the City,
the east and north-east suburbs, and in Southwark, almost as if the
plague had not been among us.”
In another passage Defoe brings out the moral of its gradual advance. He
had shown
“how it began at one end of the town, and proceeded gradually and
slowly from one part to another; and like a dark cloud that passes
over our heads, which as it thickens and overcasts the air at one
end, clears up at the other end: so while the plague went on raging
from west to east, as it went forwards east it abated in the west, by
which means those parts of the town which were not seized, or who were
left, and where it had spent its fury were, as it were, spared to help
and assist the other; whereas had the distemper spread itself all over
the City and suburbs at once, raging in all places alike, as it has
done since in some places abroad, the whole body of the people must
have been overwhelmed” etc.
That is how Defoe constructs a concrete picture from the dry statistics of
the weekly bills. He has defined the stages, and pointed the moral, with a
firmer hand than the reality would most likely have warranted. But no
scientific writer could have apprehended more correctly the general fact
of a gradual invasion from the west end of the town.
These striking facts of the gradual advance of the Great Plague of London
from west to east will be found to suit that theory of the plague-virus
which has been illustrated in various parts of this volume. The virus of
plague is a soil-poison, or the ground is its habitat; its quiescence or
activity depends upon whether or not the state of the soil favours the
fermentation of the special organic matters therein, which special organic
matters we here take to be the products of cadaveric decomposition. The
conclusion that the poison of plague lay in the soil, and that it rose
into the air in emanations or effluvia, was forced upon all those who
thought much about the matter from the medieval period onwards. Thus, the
apothecary Boghurst, says in his first chapter: “And therefore my opinion
falls in wholly with those who make the earth the seminary and seed-plot
of these venomous vapours and pestiferous effluvia, which vitiate and
corrupt the air, and consequently induce the pestilence.” And again: “The
plague is a most subtle, insinuating, venomous, deleterious exhalation,
arising from the maturation of the ferment of the forces (?) of the earth,
extracted into the air by the heat of the sun.” It is true that Boghurst,
like the sixteenth-century writers abroad, such as Ambroise Parè, locates
the venom in mysterious cavities and bowels of the earth, and dwells upon
the agency of earthquakes in setting it free. But he comes to more
ordinary causes in his enumeration of favouring things--“dunghills,
excrements, dead bodies lying unburied, putrefying churchyards too full,”
and again “breaking up tombs and graves where dead bodies have been long
buried.” As telling against the last, however, he adds: “When the
charnel-house at St Paul’s was demolished, there was a thousand cart-loads
of dead men’s bones carried away to Finsbury, yet no plague followed it.”
The activity of this soil-poison depends upon processes in the soil which
go on so slowly that the link of cause and effect is easily overlooked. In
the last resort, they are dependent on the rise and fall of the
ground-water. It was observed beyond all doubt as the law in Lower Egypt,
that the plague came forth annually after the Nile had begun to fall, and
that it reached its height in the months of March, April and May, when the
soil was driest, or the pores of the ground occupied solely by air after
having been full of water. It was observed, also, that the plague-area and
the inundation-area were co-extensive. Lower Egypt is, of course, somewhat
peculiar (Lower Bengal coming near to it) in these regular alternations of
air alone and water alone in the pores of the ground. But other countries
have the same sharp contrast occasionally, and London had the contrast
very decidedly in the years 1664 and 1665. The months from November 1664
to June 1665, some of which ought to have brought snow or rain to raise
the wells and springs to their highest periodic water-mark early in the
year, were quite remarkable for drought: Richard Baxter says that no one
remembered the like. The ground-water, instead of rising all through the
winter, must have fallen lower and lower as the spring and summer
advanced. The pores of the ground had been occupied with air to an unusual
depth of the subsoil, and the presence of air in these circumstances had
given occasion to that ferment-activity in the special organic matters of
an old-inhabited soil which produced the virus of plague. The stratum of
subsoil would become dry first in the more elevated parts; and as the
ground-water continued to fall, the air would reach in due course an
unwonted stratum in the lower situations. Defoe says that they came to
water at eighteen feet in digging the Whitechapel plague-pits. The same
seasonal march of a soil-infection from the higher ground to the lower
has been observed in modern times in other cities, and in other diseases
than plague. The drought for seven months from November to June would not,
of itself, have caused a great plague. But it was an essential member of
the co-operating group of things; and it probably determined of itself the
season when the great plague was once more to come and take away the
enormous increase of poor people.
Mortality and Incidents of the Great Plague.
The plague of 1665 was justly called the Great Plague, and is sometimes
spoken of as “the plague of London,” as if it were unique. But it was not
much more severe than those of 1603 and 1625 had been for the London of
their generation; and there had been many plagues when London was a small
capital, such as those of 1407, 1479, 1500, 1513 and 1563, which had cut
off as large a proportion (one-fifth to one-sixth) of the population. The
inhabitants in 1665 were not far short of half a million, nearly twice as
many as in 1603, and about a third more than in 1625. The increased
mortality in 1665 was somewhat more than proportionate to the increase of
inhabitants, as the following table shows:--
Highest
Year Estimated Total Plague mortality Worst
population deaths deaths in a week week
1603 250,000 42,940 33,347 3385 25 Aug.-1 Sept.
1625 320,000 63,001 41,313 5205 11-18 Aug.
1665 460,000 97,306 68,596 8297 12-19 Sept.
Reckoned from the christenings and burials in the bills of Parish Clerks’
Hall, the population in 1605 would have been 224,275, and in 1622,
272,207. But in those years (and until after 1636) certain of the newer
parishes (known as the Seven Parishes), including Stepney and Westminster,
kept separate bills, of which some figures for 1603 and 1625 are given at
p. 477 and p. 511. The population of the Seven Parishes appears to have
been about one-ninth of the whole metropolis in 1603, and about
one-seventh in 1625, while Graunt, a contemporary, makes it one-fifth in
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