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The Plague at Constantinople

Written
c. 550 (events of 542; Books 1–7 made public in 551 at the earliest)
Place
Constantinople (Byzantium)
Language
Ancient Greek (literary Attic)
Kind of source
history
Reading time
14 minutes
Difficulty
Moderate
Intensity
High: detailed symptoms and deaths, including pregnant women and newborns; bodies piled in towers and dumped at sea

Plague of Justinian (from 541)Plague (Yersinia pestis)Doctors and medical ideasRulers and courtsDeath and burial

Once in a Lifetime themes: Unknowns, Fear, Exhaustion, Tensions, Aftermath

Versions

The edited translation, in simplified modern English. Bracketed words were added for clarity; [...] marks a cut. Tap a note number to read the note. Point at or tap a phrase to see the original behind it. Phrase links checked in a separate review.

22.1Around this time a plague broke out that came close to wiping out the whole human race. Now, for every disaster sent from heaven, bold men may perhaps offer some account of its cause. People who are clever at such things love to dream up causes that no human being could ever grasp, and to invent far-fetched theories about nature. They know perfectly well that nothing they say is sound. But they think it is enough if they can fool a few of the people they meet and win them over with their arguments.

2For this calamity, though, there is no way at all to put a cause into words, or even to work one out in the mind, except by tracing it back to God.1

3It did not strike only one part of the earth or only certain people, and it did not keep to one season of the year. If it had, someone might at least come up with a clever explanation of its cause. Instead, it wrapped itself around the whole earth and ruined the lives of every kind of people, however different those lives were from one another. It spared no one, whatever their nature or their age.

4People differ from one another in where they live, in their way of life, in temperament, in their occupations, and in every other way that one person can differ from another. But in this disease alone, none of those differences did anyone any good.

5It attacked some people in summer, some in winter, and others in the other seasons. So let every sophist and every student of the heavens give his own opinion on these matters.2 I will go on to tell where this disease began and how it destroyed people.

6It began among the Egyptians who live in Pelusium.3 From there it split in two. One branch moved toward Alexandria and the other parts of Egypt, while the other came to the Palestinians, Egypt's neighbors. From there it took hold of the whole earth, always moving forward along its road and traveling at its appointed times.

7It seemed to travel by fixed agreement and to stay for a set length of time in each land. It went easy on no people at all. Instead, it spread in both directions, out to the farthest ends of the inhabited world, as if afraid that some hidden corner of the earth might slip past it.

8It passed over no island, no cave, and no mountaintop where people lived. If it ever did pass by some land, either not touching the people there or touching them only lightly, it came back to that place later. This time it left the neighbors alone, though it had struck them most bitterly before. But it did not leave that land until it had paid out, fairly and in full, its measure of the dead: just as many as had died among the neighbors the first time.

9The disease always started on the coast and moved from there up into the inland country. It reached Byzantium in the second year, in the middle of spring,4 10and I happened to be living there at the time.

This is how it came. Many people saw apparitions of demons in every kind of human shape.5 Those who met them believed that the man they had run into struck them, on whatever part of the body it happened to be. The moment they saw this apparition, they caught the disease.

11At first, the people who met these figures tried to turn them away. They spoke the holiest names aloud and used other holy rites to drive them off, each as best he could. But it did no good at all, since most of them died even in the holy places where they had fled for safety.6

12Later, they would not even answer when their friends called. They locked themselves in their rooms and pretended not to hear, even while their doors were being pounded, plainly afraid that whoever was calling might be one of the demons.

13For some, though, the plague did not come this way. Instead, they had a dream in which they seemed to suffer this same thing from a figure standing over them. Or in the dream they seemed to hear a voice telling them ahead of time that their names had been written down among those who were going to die.

14But most people had no warning of what was coming, either in a waking vision or in a dream, before they caught the disease.

15This is how it took them. They suddenly came down with a fever, some just after waking from sleep, some while out walking, and some in the middle of whatever else they were doing.

16The body did not change from its usual color. It was not hot, as you would expect when a fever strikes, and there was no inflammation either. From the start until evening the fever was so mild that it gave no hint of danger, either to the sick themselves or to a doctor who touched them.

17In fact, it did not seem that any of those who caught it would die of it. But then a bubo swelled up, on the same day for some, on the next day for others, and a few days later for the rest.7 It appeared in the groin, the part of the body below the belly that is itself called the boubōn. But it also appeared in the armpit, and for some people beside the ears or anywhere on the thighs.

18Until this point, nearly the same things happened to everyone who caught the disease. From here on, I cannot say whether the differences in what happened came from differences in their bodies, or from whatever pleased the one who brought the disease upon them.

19Some fell into a deep coma, and others into a violent delirium, and each group suffered the symptoms that go with its form of the disease. Those in a coma forgot everything once familiar to them, and they seemed to sleep without end.

20If someone took care of them, they would eat even while in this state, but some who were neglected died at once for lack of food.

21Those seized by delirium could not sleep and saw many wild visions. Suspecting that people were coming to kill them, they would panic, scream terribly, and rush off to escape.

22The people who nursed them were worn out by endless toil and went on suffering things beyond all remedy.

23So everyone pitied the nurses as much as the sick. It was not that the nurses caught the plague by coming near the sick. (No doctor or anyone else caught this disease by touching the sick or the dead.8 Many people who kept burying or nursing even strangers held out in that work against all expectation. Meanwhile, many others fell sick for no visible reason and died at once.) People pitied the nurses because of the great hardship they endured.

24When the sick fell out of bed and rolled around on the floor, the nurses put them back again. When the sick tried to hurl themselves out of their houses, the nurses had to push and drag them back by force.

25If the sick came upon water, they wanted to plunge into it, not so much from thirst (most of them ran for the sea) as because of the sickness in their minds.

26Eating was a great struggle for them as well, since they would not easily take food. Many died because they had no one to care for them, either worn down by hunger 27or by throwing themselves from a height.

Those who fell into neither a coma nor delirium saw the bubo turn gangrenous, and they died when they could no longer bear the pain.

28One could reasonably conclude that the same thing happened to all the others too. But since they were completely out of their senses, they could not feel the pain at all, because the sickness in their minds had taken away all feeling.

29Some of the doctors were baffled, because they did not understand what was happening. Thinking that the heart of the disease lay in the buboes, they decided to examine the bodies of the dead.9 When they cut open some of the buboes, they found a dreadful carbuncle growing inside.10

30Some died at once, others many days later. In some, the body broke out in black blisters the size of lentils. These people did not live even one more day, but died, every one of them, at once.

31Many others were carried off at once by a vomiting of blood that came on for no apparent reason.

32This much, however, I can say for certain. The most respected doctors foretold the death of many people who, soon afterward and against all expectation, were completely free of their troubles. And they promised that many would recover who were in fact about to die almost at once.

33So this disease had no cause that human reason could grasp. For everyone, as a rule, things turned out in ways no one could account for. Baths, for instance, helped some patients and harmed others just as much.

34Many who were left untended died, while many others survived against all reason. Treatment, too, worked both ways for those who tried it. In short, no one found any way to save himself, either by taking precautions so as not to fall sick or by overcoming the disaster once it struck. Falling sick came without any visible cause, and recovery came of its own accord.

35For pregnant women who caught the disease, death was a certainty. Some miscarried and died, and others died in childbirth together with their newborn babies.

36They do say, though, that three women survived childbirth even though their babies died, and that one mother died as she gave birth, yet her baby was born and lived.

37Those whose bubo grew larger and filled with pus came through and were rid of the disease, plainly because the full force of the carbuncle had eased in them at that point. In most cases this was a sign of returning health. But those whose bubo stayed as it had first appeared met the troubles I have just described.

38Some of them were left with a withered thigh, when the bubo had risen there without filling with pus.

39Others survived with their tongues damaged. For the rest of their lives they either stammered or spoke only with great effort, in sounds that were hard to make out.

23.1In Byzantium the disease lasted four months, and it was at its height for about three.

2At first only a few more people died than usual. Then the disaster grew worse, and the number of dead reached five thousand a day, and after that ten thousand and even more.11

3At first each person took charge of burying the dead of his own household. Some even threw their dead into other families' tombs, either secretly or by force. But after that, everything everywhere fell into chaos.

4Slaves were left without masters. Men who had once been very rich lost the service of their household servants, who had fallen sick or died. Many houses were left completely empty of people.

5Because of this, some prominent people lay unburied for many days, since there was no one to bury them. The task of dealing with the problem fell to the emperor,12 6as was only natural. He assigned soldiers from the palace and money, and he ordered Theodore to take charge of the work. Theodore was in charge of the emperor's replies: he always brought the requests of petitioners to the emperor and then told them in turn what the emperor wished. The Romans call this office by a Latin name, referendarius.13

7Those whose households had not yet been completely emptied buried their own relatives themselves.

8Theodore, handing out the emperor's money and spending his own as well, buried the dead whom no one had cared for.

9When all the existing tombs were full, people dug up every spot around the city, one after another, laid the dead there as best they could, and went away. Later, though, the men digging these trenches could no longer keep pace with all the dying. So they climbed up into the towers of the wall at Sycae.14 10They tore off the roofs and threw the bodies inside in no order at all. They piled them up any which way and filled nearly every tower with corpses, 11and then they put the roofs back on.

From there a foul smell drifted into the city and made its people even more miserable, especially whenever the wind blew from that direction.

12All the usual burial rites were ignored at that time. The dead were not escorted in a procession, as custom required, or sung over with the usual psalms.15 It was enough if someone carried a dead person on his shoulders to the part of the city by the sea and threw the body down there. From there the bodies were tossed into boats in heaps, to be carried off wherever chance might take them.

13At that time, too, the people who had been members of the factions put aside their hatred for one another.16 Together they saw to the rites owed to the dead, and with their own hands they carried and buried bodies that were nothing to them.

14More than that, people who had once given themselves to shameful and wicked deeds, and enjoyed them, shook off the lawlessness of their old way of life and practiced their religion strictly. It was not that they had learned self-control, or had suddenly fallen in love with goodness.

15For whatever is fixed in people by nature, or by long training, cannot be changed so easily, unless some divine goodness breathes upon them. But at that time nearly everyone was stunned by what was happening and expected to die at any moment. So, naturally enough, sheer necessity taught them decent behavior for the time being.

16That is why, as soon as they had recovered from the disease and survived, they quickly changed their minds again, this time for the worse. By then they believed they were safe, since the calamity had moved on to other people. Now they show how outrageous their ways are even more than before, outdoing themselves in wickedness and every other kind of lawlessness. Indeed, one could say firmly, and not be lying, that this disease, whether by some chance or by providence, picked out the very wickedest people with great care and let them go. But all this has come to light only since then.

17At that time it was not easy to see anyone shopping in the market, at least in Byzantium. Everyone who happened to be in good health stayed at home, either caring for the sick or mourning their dead.

18If you did manage to meet someone out in the street, he was carrying a dead body. All work stopped. Craftsmen gave up all their crafts, and everyone dropped whatever other work they had in hand.

19And so, in a city overflowing with every good thing, a real famine ran wild. Having enough bread, or anything else, seemed hard and something worth talking about. So it seemed that some of the sick died before their time for lack of the bare necessities.

20In short, you could not see a single person in Byzantium wearing the official's cloak, especially once the emperor fell sick (for a bubo rose on him too).17 Instead, in a city that held the imperial power over the whole Roman Empire, everyone dressed like a private citizen and lived quietly.

21That, roughly, is how things went with the plague in the rest of the Roman land and in Byzantium. But it also struck the Persians' land, and all the other barbarians.18

Notes

  1. Many people believed that God or the gods sent disease to punish wrongdoing or to test the faithful. Procopius says only that the cause lies with God, beyond human reasoning. back
  2. Many ancient scholars blamed epidemics on the positions of the stars and planets. This sentence echoes Thucydides's account of the plague at Athens (History 2.48), which Procopius took as his model. back
  3. Pelusium was a port at the eastern mouth of the Nile, near modern Port Said in Egypt. back
  4. Byzantium is the old Greek name for Constantinople (modern Istanbul), the capital of the Roman Empire in Procopius's day. The second year is 542; the plague had reached Egypt in 541. back
  5. Many Christians of Procopius's time believed that demons, evil spirits, could cause illness and could appear in human form. back
  6. The holiest names were probably the names of God and Christ, spoken aloud to drive off evil spirits. The holy places were churches, where people sought protection. back
  7. The Greek word boubōn meant the groin and also a swelling there. From it comes "bubo," the swollen gland that gives bubonic plague its name. back
  8. Contagion is the idea that disease passed from person to person by touch, breath, or objects, long before anyone knew about germs. Procopius saw no sign of it here. back
  9. Opening human bodies was very rare in ancient and Byzantine medicine, so the doctors' step was an unusual one. back
  10. A carbuncle (Greek anthrax, "coal") was a hard, dark, inflamed lump. The same Greek word later gave its name to a different disease, anthrax. back
  11. No reliable counts survive, and historians treat these daily figures with caution. back
  12. The emperor was Justinian, who ruled from 527 to 565. back
  13. The referendarius carried petitions to the emperor and brought back his replies. Procopius and his people called themselves Romans, and their government kept many Latin titles, though most of them spoke Greek. back
  14. Sycae, across the Golden Horn from the city (today's Galata district of Istanbul), had its own wall and towers. back
  15. A Christian funeral included a procession to the grave and the singing of psalms. back
  16. The factions, the Blues and the Greens, were rival clubs of chariot-racing fans. Their riot in 532 had nearly driven Justinian from his throne. back
  17. The official's cloak was the chlamys, a long cloak pinned at the right shoulder and worn by imperial officials. Justinian recovered. back
  18. The Persian Empire, ruled by the Sasanian kings, was Rome's great rival to the east. "Barbarians" was Procopius's word for peoples outside the Roman world. back