Figure 1

Figure 1. Tentative chronology of the initial spread of plague in the mid-14th century (12–14).

The disease that caused this catastrophic pandemic has, since Hecker (6), generally been considered to have been plague, a zoonotic disease caused by the gram-negative bacterium Yersinia pestis, the principal reservoir for which is wild rodents (7–11). The ultimate origin of the Black Death is uncertain—China, Mongolia, India, central Asia, and southern Russia have all been suggested (see Norris [1] for a discussion of the various theories). Known 14th-century sources are of little help; they refer repeatedly to an eastern origin, but none of the reports is first-hand. Historians generally agree that the outbreak moved west out of the steppes north of the Black and Caspian Seas, and its spread through Europe and the Middle East is fairly well documented (Figure 1). However, despite more than a century of speculation about an ultimate origin further east, the requisite scholarship using Chinese and central Asian sources has yet to be done. In any event, the Crimea clearly played a pivotal role as the proximal source from which the Mediterranean Basin was infected.

Caffa (now Feodosija, Ukraine) was established by Genoa in 1266 by agreement with the Kahn of the Golden Horde (15). It was the main port for the great Genoese merchant ships (16–20), which connected there to a coastal shipping industry to Tana (now Azov, Russia) on the Don River. Trade along the Don connected Tana to Central Russia, and overland caravan routes linked it to Sarai and thence to the Far East (12,19,20).

Relations between Italian traders and their Mongol hosts were uneasy, and in 1307 Toqtai, Kahn of the Golden Horde, arrested the Italian residents of Sarai, and besieged Caffa. The cause was apparently Toqtai’s displeasure at the Italian trade in Turkic slaves (sold for soldiers to the Mameluke Sultanate). The Genoese resisted for a year, but in 1308 set fire to their city and abandoned it. Relations between the Italians and the Golden Horde remained tense until Toqtai’s death in 1312 (19).

Toqtai’s successor, Özbeg, welcomed the Genoese back, and also ceded land at Tana to the Italians for the expansion of their trading enterprise. By the 1340s, Caffa was again a thriving city, heavily fortified within two concentric walls. The inner wall enclosed 6,000 houses, the outer 11,000. The city’s population was highly cosmopolitan, including Genoese, Venetian, Greeks, Armenians, Jews, Mongols, and Turkic peoples (21).

In 1343 the Mongols under Janibeg (who succeeded Özbeg in 1340) besieged Caffa and the Italian enclave at Tana (12), following a brawl between Italians and Muslims in Tana. The Italian merchants in Tana fled to Caffa (which, by virtue of its location directly on the coast, maintained maritime access despite the siege). The siege of Caffa lasted until February 1344, when it was lifted after an Italian relief force killed 15,000 Mongol troops and destroyed their siege machines (21). Janibeg renewed the siege in 1345 but was again forced to lift it after a year, this time by an epidemic of plague that devastated his forces. The Italians blockaded Mongol ports, forcing Janibeg to negotiate, and in 1347 the Italians were allowed to reestablish their colony in Tana (19).

Gabriele de’ Mussi, born circa 1280, practiced as a notary in the town of Piacenza, over the mountains just north of Genoa. Tononi summarizes the little we know of him (3). His practice was active in the years 1300–1349. He is thought to have died in approximately 1356.

Although Henschel (2) thought de’ Mussi was present at the siege of Caffa, Tononi asserts that the Piacenza archives contain deeds signed by de’ Mussi spanning the period 1344 through the first half of 1346. While this does not rule out travel to Caffa in late 1346, textual evidence suggests that he did not. He does not claim to have witnessed any of the Asian events he describes and often uses a passive voice for descriptions. After describing the siege of Caffa, de’Mussi goes on to say, “Now it is time that we passed from east to west to discuss all the things which we ourselves have seen…”

Figure 2

Figure 2. The first page of the narrative of Gabriele de’ Mussi. At the top of the page are the last few lines of the preceding narrative; de’ Mussi’s begins in the middle...

The de’ Mussi account is presumed to have been written in 1348 or early 1349 because of its immediacy and the narrow time period described. The original is lost, but a copy is included in a compilation of historical and geographic accounts by various authors, dating from approximately 1367 (Figure 2). The account begins with an introductory comment by the scribe who copied the documents: “In the name of God, Amen. Here begins an account of the disease or mortality which occurred in 1348, put together by Gabrielem de Mussis of Piacenza.”

The narrative begins with an apocalyptic speech by God, lamenting the depravity into which humanity has fallen and describing the retribution intended. It goes on:

“…In 1346, in the countries of the East, countless numbers of Tartars and Saracens were struck down by a mysterious illness which brought sudden death. Within these countries broad regions, far-spreading provinces, magnificent kingdoms, cities, towns and settlements, ground down by illness and devoured by dreadful death, were soon stripped of their inhabitants. An eastern settlement under the rule of the Tartars called Tana, which lay to the north of Constantinople and was much frequented by Italian merchants, was totally abandoned after an incident there which led to its being besieged and attacked by hordes of Tartars who gathered in a short space of time. The Christian merchants, who had been driven out by force, were so terrified of the power of the Tartars that, to save themselves and their belongings, they fled in an armed ship to Caffa, a settlement in the same part of the world which had been founded long ago by the Genoese.

“Oh God! See how the heathen Tartar races, pouring together from all sides, suddenly invested the city of Caffa and besieged the trapped Christians there for almost three years. There, hemmed in by an immense army, they could hardly draw breath, although food could be shipped in, which offered them some hope. But behold, the whole army was affected by a disease which overran the Tartars and killed thousands upon thousands every day. It was as though arrows were raining down from heaven to strike and crush the Tartars’ arrogance. All medical advice and attention was useless; the Tartars died as soon as the signs of disease appeared on their bodies: swellings in the armpit or groin caused by coagulating humours, followed by a putrid fever.

“The dying Tartars, stunned and stupefied by the immensity of the disaster brought about by the disease, and realizing that they had no hope of escape, lost interest in the siege. But they ordered corpses to be placed in catapults1 and lobbed into the city in the hope that the intolerable stench would kill everyone inside.2 What seemed like mountains of dead were thrown into the city, and the Christians could not hide or flee or escape from them, although they dumped as many of the bodies as they could in the sea. And soon the rotting corpses tainted the air and poisoned the water supply, and the stench was so overwhelming that hardly one in several thousand was in a position to flee the remains of the Tartar army. Moreover one infected man could carry the poison to others, and infect people and places with the disease by look alone. No one knew, or could discover, a means of defense.

“Thus almost everyone who had been in the East, or in the regions to the south and north, fell victim to sudden death after contracting this pestilential disease, as if struck by a lethal arrow which raised a tumor on their bodies. The scale of the mortality and the form which it took persuaded those who lived, weeping and lamenting, through the bitter events of 1346 to 1348—the Chinese, Indians, Persians, Medes, Kurds, Armenians, Cilicians, Georgians, Mesopotamians, Nubians, Ethiopians, Turks, Egyptians, Arabs, Saracens and Greeks (for almost all the East has been affected)—that the last judgement had come.

“…As it happened, among those who escaped from Caffa by boat were a few sailors who had been infected with the poisonous disease. Some boats were bound for Genoa, others went to Venice and to other Christian areas. When the sailors reached these places and mixed with the people there, it was as if they had brought evil spirits with them: every city, every settlement, every place was poisoned by the contagious pestilence, and their inhabitants, both men and women, died suddenly. And when one person had contracted the illness, he poisoned his whole family even as he fell and died, so that those preparing to bury his body were seized by death in the same way. Thus death entered through the windows, and as cities and towns were depopulated their inhabitants mourned their dead neighbours.” (Reproduced with permission from Horrox, pp. 16–20 [4])

The account closes with an extended description of the plague in Piacenza, and a reprise of the apocalyptic vision with which it begins.

In this narrative, de’ Mussi makes two important claims about the siege of Caffa and the Black Death: that plague was transmitted to Europeans by the hurling of diseased cadavers into the besieged city of Caffa and that Italians fleeing from Caffa brought it to the Mediterranean ports.

Gabriele de’ Mussi’s account of the origin and spread of plague appears to be consistent with most known facts, although mistaken in its claim that plague arrived in Italy directly from the Crimea. His account of biological attack is plausible, consistent with the technology of the time, and it provides the best explanation of disease transmission into besieged Caffa. This thus appears to be one of the first biological attacks recorded (22) and among the most successful of all time.

However, it is unlikely that the attack had a decisive role in the spread of plague to Europe. Much maritime commerce probably continued throughout this period, from other Crimean ports. Overland caravan routes to the Middle East were also unaffected. Thus, refugees from Caffa would most likely have constituted only one of several streams of infected ships and caravans leaving the region. The siege of Caffa, for all of its dramatic appeal, probably had no more than anecdotal importance in the spread of plague, a macabre incident in terrifying times.

Despite its historical unimportance, the siege of Caffa is a powerful reminder of the horrific consequences when disease is successfully used as a weapon. The Japanese use of plague as a weapon in World War II (29) and the huge Soviet stockpiles of Y. pestis prepared for use in an all-out war (30) further remind us that plague remains a very real problem for modern arms control, six and a half centuries later (31).