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St Bridget of Sweden was among the visitors, arriving early in 1349 when the Black Death was still a lively menace. She had clear views about the proper method of tackling the epidemic: ‘abolish earthly vanity in the shape of extravagant clothes, give free alms to the needy and order all parish priests to celebrate Mass once a month in honour of the Holy Trinity.’{102} These rather humdrum measures do not appear greatly to have impressed the Romans but she still scored a considerable personal success. One male Orsini, it is recorded, had caught the plague and was despaired of by the doctors. ‘If only the Lady Bridget were here!’ sighed his mother. ‘Her touch would cure my son.’ At that moment in walked the saint. She prayed by the invalid’s bedside, laid her hand on his forehead and left him, a few hours later, fully restored to health.

St Bridget’s attentions were not much needed. In spite of the Pope’s ill-judged decision, Holy Year brought little in the way of fresh outbreaks. But the damage was already bad enough. Italy had been depopulated. But when one tries to describe this dramatic concept in slightly more mathematical terms, the difficulties begin. On the basis of our present knowledge it is quite impossible to put forward even the most approximate figure and state with authority that such a proportion of Italy’s peoples must have died. Even in England, with its wealth of ecclesiastical and civil records and its army of diligent scholars, only a more-or-less informed guess is feasible. A fortiori in Italy, where many regions have been the subject of little or no research if indeed the materials for such research exists, an overall estimate has little value. Sometimes it is possible to fix a movement of population over a longer period. It is, for instance, reasonably well established that the population around Pistoia in 1404 was only some 30 per cent of what it had been in 1244.{103} But the data does not exist which would enable one to pinpoint the proportion of this decline to be attributed to the year 1348.

But the fact that any estimate for the whole of Italy must be highly speculative does not preclude a guess. Doren, in his Economic History,{104} has estimated that between 40 per cent and 60 per cent of town dwellers died and that, in the countryside, the proportion must have been much lower. Figures like these cover a multitude of qualifications. In Tuscany, for example, where the plague was exceptionally severe, more peasants died than in certain cities which escaped lightly, such as Milan or Parma. For some areas, where no statistics whatsoever can be garnered, the only remedy is to apply the proportion established for roughly similar parts of the country and hope for the best. A shot in the dark, or at least the twilight, however tentative, is still better than nothing. If one assumes that a third or slightly more of Italy’s total population perished, it is unlikely that one would be very badly wrong and certain that nobody could prove one so.

4. FRANCE: THE STATE OF MEDICAL KNOWLEDGE

THE Black Death seems to have arrived in France only a month or two after its first outbreak on the mainland of Italy; according to an anonymous Flemish cleric in one of those same ill-fated galleys which had been expelled from Italy towards the end of January 1348.{105} The galley called first at Marseilles, from where it was chased, rapidly but still not rapidly enough, by the horrified authorities. Thence it continued its destructive course, spreading the plague to Spain and leaving a trail of infection along the coast of Languedoc.

France was certainly one of the most populous and should also have been the most prosperous country of Europe. Professor Lot has put its population in 1328 – the population, that is to say, of the France of its present frontiers, including part of Flanders, Burgundy, Brittany and Guienne – at between twenty-three and twenty-four million.{106} Professor Renouard estimates the total twenty years later at somewhere near twenty million.{107} The density of population in the countryside was more or less what it is today:{108} a burden which the land was hard put to it to support since production per acre was barely a third of the present figure. On the whole the latest studies tend to indicate a total population somewhat lower{109} than earlier estimates but no one would deny that the rural population was dense by medieval standards, comparable with that of Tuscany, and that the pressure of population on resources was fast becoming intolerable.

Left to itself the French countryside was probably more capable of supporting such a crowd than any other region in Europe. But where Italy had to endure its Guelphs and Ghibellines, France had the English. King Edward III had no intention of leaving France to itself or, to look at the matter in a more chauvinistic light, was justifiably outraged by French interference with his Duchy of Guienne and their support for David Bruce in Scotland. John of Bridlington, indeed, ascribed the plague in France mainly to the contumacious policy of its king.{110} He pointed out that the French had been guilty of avarice, luxury, envy, gluttony, anger, sloth and conspicuous lack of devotion to the saints but that the chief crime which had called down divine vengeance was undoubtedly the failure of Philip VI to allow Edward III free and peaceful enjoyment of his inheritance. He did not go on to explain the curious circumstance that God had subsequently extended the scope of his wrath to embrace the virtuous and ill-used English.

Whether or not the policy of Philip VI provoked the plague, it certainly led to the Hundred Years War between France and England; in the long run to the detriment of both countries, in the short with disastrous consequences for his own. From 1337, when Philip VI announced that the English throne had forfeited Guienne and Edward III retorted by claiming the throne of France, the French peasant, in great areas of his country, no longer knew the meaning of the word security. A brief truce after the naval battle of Sluys quickly ended in renewed warfare. In 1346 Edward III landed in Normandy with some 15,000 men. On 25 August he won a crushing victory at Crécy. The subsequent siege of Calais lasted a year. Military casualties in the campaign, by modern standards or when viewed against the size of the French population, were insignificant but the damage to civilian morale and to the agricultural richness of the country was immeasurable. To the luckless villagers, whose few possessions had alternately been looted by French or English soldiery, the apparition of the plague seemed merely the culminating phase in a process designed by God to end in their total destruction.

* * *

Within a month, wrote one authority, fifty-six thousand people in Marseilles met their end.{111} The figure seems improbably high but, as in many sea-ports where bubonic and pulmonary plague raged side by side, mortality was greater than in the inland regions. From the Mediterranean the epidemic advanced along two main lines. To the west it quickly reached Montpellier and Narbonne. It afflicted Carcassonne between February and May; moved on to Toulouse and Montauban and finally reached Bordeaux in August. To the north, Avignon was attacked in March, April and May; Lyons in the early summer, Paris in June and Burgundy in July and August. Flanders was exempt until 1349.

In Perpignan the plague took much the same course as in Avignon though, as was usually the case, it passed more quickly in the smaller city. The disruption of everyday commercial life is shown strikingly by statistics of loans made by the Jews of Perpignan to their Christian co-citizens. In January 1348 there were sixteen such loans, in February, twenty-five, March, thirty-two, eight in the first eleven days of April, three in the rest of the month and then no more till 12 August. Of 125 scribes and legists known to have been active shortly before the Black Death only forty-five appear to have survived – even with a reduction for natural mortality a death rate of between fifty and sixty per cent seems likely. Physicians fared even worse – only one out of eight surviving – while sixteen out of eighteen barbers and surgeons perished or, at least,{112} disappeared.