Even harsher measures of control were tried in other cities. In Milan, when cases of the plague were first discovered, all the occupants of the three houses concerned, dead or alive, sick or well, were walled up inside and left to perish.{96} It is hard to believe that this drastic device in fact served any useful purpose but for this or some other reason the outbreak seems to have been postponed by several weeks and Milan was the least afflicted of the large Italian cities. The technique of entombment was sometimes employed by the householder as well as by the authorities. In Salé, Ibn al Khatīb records, Ibn Abu Madyan walled up himself, his household and a plentiful supply of food and drink and refused to leave the house until the plague had passed. His measures were entirely successfuclass="underline" a fact disturbing to those who believed that the atmosphere had been corrupted and that bricks and mortar could consequently be no impediment to the disease.
Boccaccio, in fact, did less than justice to the efforts of the city fathers to control the plague in Florence. A committee of eight was set up from among the wisest and most respected citizens and was given something close to dictatorial powers. But when it came to the point there was not much which even the wisest of committees could achieve. Their regulations were largely concerned with the removal of decaying matter from the markets and the dead and dying from the streets – sensible enough objects but, by themselves, not likely to save the city. Nor, when the plague was at its worst, did the personnel exist to ensure that even so modest a policy was carried out.
Pistoia, where the civil ordinances published during the Black Death have been preserved, provides an unusually clear picture both of the efforts which the authorities made to preserve the citizens and the limitations imposed by their ignorance and the weakness of the machinery of government.{97} On 2 May 1348, when the first cases of the Black Death were beginning to appear in the vicinity, the Council enacted nine pages of regulations intended to guard the town against infection. No one was to visit the Pisan or Luccan states where the plague was already rampant. If such a visit were made then, even though the citizen had started his journey before the date of the ordinances, his return to Pistoia was forbidden. No linen, woollen goods, or, not surprisingly, corpses, whatever their source, were to be imported into the town. Food markets were put under strict supervision. Attendance at funerals was to be limited to members of family and standards were laid down for the place and depth of burials. To avoid disturbing the sick and also, no doubt, so as not to undermine the morale of the healthy, there was to be no tolling of bells at funerals and no announcements by criers or trumpeters. The second set of ordinances, of 23 May, relaxed the ban on travel; no doubt because the plague had now taken so firm a grip that any such precautions would have been futile. Rules for the supervision of markets, however, were further tightened up. On 4 June changes were made to the rules for funerals. Sixteen men from each part of the town were to be selected as grave diggers and nobody else was to be allowed to do such work. Because of the shortage of wax, candles were no longer to be burned for the dead. Finally, on 13 June, the regulations governing the defence of the city were re-cast. So as to spare the cavalry, who were traditionally drawn from the richer section of society, ‘the fatigue of mind and body which had been proved to induce pestilence’, it was decreed that each cavalry man could provide a substitute to perform his duties.
This last proviso is of interest as being one of the very few instances of legislation or any other kind of official pronouncement which discriminated in favour of the rich and noble. Obviously the rich were better equipped than the poor to protect themselves against the plague but the temptation to Church and State to load the dice still further in their favour was generally resisted. Indeed, on the whole, civic authorities and national governments alike seem to have accepted their responsibilities towards the poorer sections of their populations and to have done their inadequate best to shield them from disaster.
A contrast to the responsible attitude of the Pistoians is to be found in the apparent apathy of the government of Orvieto. In her profound and brilliant study of Orvieto at the time of the Black Death,{98} Dr Elizabeth Carpentier has analysed the impact of the disease and the reactions of its victims in terms which, mutatis mutandis, must be valid for every medium-sized town of Italy.
Orvieto in the mid-fourteenth century was a small but prosperous town of about 12,000 inhabitants. It had lost even more than its neighbours in the perpetual warfare between Guelph and Ghibelline and its rich vineyards and wheat fields had repeatedly been ravaged by marauding visitors or discontented citizens. The insecurity from which the whole region suffered had done serious harm to its role as a commercial centre and had reduced to almost nothing the profit which it gained from transit trade. The famine of 1346 and 1347 hit Orvieto badly though the hardships endured by its citizens were small compared with those in other, less well provided regions. By the autumn of 1347 the worst seemed to be over. There had been a good harvest and what promised to be a reasonably stable peace had been patched up. But the situation was still precarious and the powers of resistance of the average Orvietan had been gravely sapped.
Then, in the spring of 1348, came the Black Death. For months previously the members of the Council must have known that disaster was on the way but no official discussion took place and no preventive measures were adopted. When the Council met on 12 March 1348, the plague had reached Florence, some eighty miles away. But still the official silence was maintained. Perhaps the Councillors believed, not without reason, that it did not lie in their power to avert disaster and that, therefore, the less said the better. But there was also something of the spirit of the child who sees moving up on him the thundercloud that will ruin his play but says nothing in the hope that, if he pretends not to notice it, it will miraculously move away.
The Council, in fact, had good reason to think that there was little or nothing for them to do. Orvieto had one doctor and one surgeon paid by the city to tend the poor and teach students. There were seven private doctors listed as owning land and perhaps two or three more besides. This was not a bad tally for a town of medium size. But the hospitals were less impressive. Only one was reasonably well financed; the others had little space and less facilities. And the state of public hygiene was deplorable. Constantly reiterated laws against rearing pigs and goats in the street, tanning skins in mid-city and throwing refuse out of windows show that the Council was concerned about the situation but also that it was powerless to improve it. Dirt and malnutrition were the two great allies of the plague, in Orvieto as in so many other cities.
The Black Death was probably brought to Orvieto in the train of the Ambassador who arrived from Perugia towards the end of April 1348. It raged for four months at something near to full strength and reached its peak in July. It seems that the septicaemic form of the disease was common since there are many references to people dying within twenty-four hours of the first symptoms appearing. According to a contemporary chronicler more than five hundred victims died a day at the worst of the mortality and the final death roll included more than ninety per cent of the population. Both figures are unacceptably high; the first particularly so since even a week of such intensity would have eliminated more than a quarter of the total population. Dr Carpentier, working from admittedly scanty material, is inclined to put the mortality rate at about fifty per cent.