1. The Black Death

2. What causes the Plague?
Black Death plague caused by a bacterium called Yersinia pestis.
Fleas become infected
Infected fleas transmit yersinia pestis using rats as hosts, feeding on the rodents' blood .
Many rats die during a plague outbreak.
Fleas then jump to other animals and humans, carrying the infection with them.
Electron micrograph image

3. Background to the Black Death
Europe was in a mini ice age by the early 1300’s.
Unusual weather - heavy rains and 1319
Grain crops across Europe were devastated.
Widespread starvation occurred across Europe many died or suffered from famine

4. Origins in China The Bubonic plague was first noted in China c. 1331.
Within 15 years it had spread across Asia to the Black Sea.

5. The Black Death in Europe

6. Three Types of Plague There are Three types of plague:
bubonic, pneumonic and septicemic.
Signs and symptoms of plague vary.
Possible to develop more than one type of plague.

7. Bubonic Plague
Bubonic plague is most common type of plague in humans,.
Caused by a bite from an infected flea
Characterized by an enlarged, infected lymph node called a bubo.

8. Bubonic plague cont’d
Signs and symptoms generally appear within two to six days after being bitten by a plague-infected flea. Bacteria travel through the lymphatic system, infecting the first lymph node they reach. The resulting bubo is usually 1 to 10 centimeters in diameter, swollen, painful and warm to the touch. Very painful and often people cannot move the affected part of the body. Bubo usually develops in the groin, but may also appear in armpit or neck, depending on where the flea bites. More than one bubo can develop, but usually buboes affect only one area of the body.

9. Pneumonic Plague Pneumonic plague is the least common form of plague.
Most rapidly fatal.
From inhaling infectious droplets coughed into the air by infected a person or animal.
Early signs and symptoms, which generally occur within one day to four days of inhaling contaminated droplets, include:
Sudden onset of fever and chills
Headache
Extreme fatigue
Signs of pneumonia, including chest pain, difficulty breathing and a cough with bloody sputum

10. Pneumonic Plague
Pneumonic plague progresses rapidly and may cause respiratory failure and shock within two days of infection.
Also a complication of bubonic or septicemic plague, if the bacteria spreads to lungs.

11. Septicemic Plague
Septicemic plague occurs when plague bacteria multiply in your bloodstream.
Contracting this form of plague by bacteria entering directly into bloodstream.
Also transmitted by a fleabite.
Can be a complication of bubonic or pneumonic plague.

12. Septicemic Plague Signs and symptoms of septicemic plague include:
Fever and chills
Extreme exhaustion
Abdominal pain, diarrhea and vomiting
Bleeding from mouth, nose or rectum, or under the skin and into other organs
Shock
Blackening and death of tissue (gangrene) in extremities, most commonly fingers, toes and nose
The gangrene associated with septicemic plague inspired the nickname Black Death for the 14th-century pandemic.
Without treatment, death can occur within one to three days.

13. Blackening and death of tissue

14. Effects of Black Death 20 million to 30 million deaths in Europe.
Roughly 1/3 of the population died.
In England, 1.5 million people died out of 4 million)
The Black Death caused such a shortage of labour that over the next 100 years many peasants found that they could earn more and their living standards improved.
With credits to: Jim Nash