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Biological warfare at the 1346 Siege of Caffa. (Historical Review).


On the basis of a 14th-century account by the Genoese Gabriele de' Mussi, the Black Death is widely believed to have reached Europe from the Crimea as the result of a biological warfare biological warfare, employment in war of microorganisms to injure or destroy people, animals, or crops; also called germ or bacteriological warfare. Limited attempts have been made in the past to spread disease among the enemy; e.g.  attack. This is not only of great historical interest but also relevant to current efforts to evaluate the threat of military or terrorist use of biological weapons. Based on published translations of the de' Mussi manuscript, other 14th-century accounts of the Black Death, and secondary scholarly literature, I conclude that the claim that biological warfare was used at Caffa is plausible and provides the best explanation of the entry of plague into the city. This theory is consistent with the technology of the times and with contemporary notions of disease causation; however, the entry of plague into Europe from the Crimea likely occurred independent of this event.

**********

The Black Death, which swept through Europe, the Near East, and North Africa in the mid-14th century, was probably the greatest public health disaster in recorded history Recorded history can be defined as history that has been written down or recorded by the use of language, whereas history is a more general term referring simply to information about the past.[1] It starts in the 4th millennium BC, with the invention of writing.  and one of the most dramatic examples ever of emerging or reemerging disease reemerging disease Global medicine Any disorder, usually an infection–eg, cholera, malaria, TB, which was on the decline in the global population, reached a nadir and has now increased due to changes in the health status of a susceptible population. . Europe lost an estimated one quarter to one third of its population, and the mortality in North Africa and the Near East was comparable. China, India, and the rest of the Far East are commonly believed to have also been severely affected, but little evidence supports that belief (1).

A principal source on the origin of the Black Death is a memoir by the Italian Gabriele de' Mussi. This memoir has been published several times in its original Latin (2,3) and has recently been translated into English (4) (although brief passages have been previously published in translation, see reference [5]). This narrative contains some startling star·tle  
v. star·tled, star·tling, star·tles

v.tr.
1. To cause to make a quick involuntary movement or start.

2. To alarm, frighten, or surprise suddenly. See Synonyms at frighten.
 assertions: that the Mongol army hurled plague-infected cadavers into the besieged be·siege  
tr.v. be·sieged, be·sieg·ing, be·sieg·es
1. To surround with hostile forces.

2. To crowd around; hem in.

3.
 Crimean city of Caffa, thereby transmitting the disease to the inhabitants
:This article is about the video game. For Inhabitants of housing, see Residency
Inhabitants is an independently developed commercial puzzle game created by S+F Software. Details
The game is based loosely on the concepts from SameGame.
; and that fleeing survivors of the siege spread plague from Caffa to the Mediterranean Basin. If this account is correct, Caffa should be recognized as the site of the most spectacular incident of biological warfare ever, with the Black Death as its disastrous consequence. After analyzing these claims, I have concluded that it is plausible that the biological attack took place as described and was responsible for infecting the inhabitants of Caffa; however, the event was unimportant in the spread of the plague pandemic pandemic /pan·dem·ic/ (pan-dem´ik)
1. a widespread epidemic of a disease.

2. widely epidemic.


pan·dem·ic
adj.
Epidemic over a wide geographic area.

n.
.

Origin of the 14th-Century Pandemic

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 Yersinia pes·tis
n.
A bacterium that causes plague and is transmitted from rats to humans by the rat flea Xenopsylla cheopis. Also called Pasteurella 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 firsthand. 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.

[FIGURE 1 OMITTED]

Historical Background to the Siege of Caffa

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 thence  
adv.
1. From that place; from there: flew to Helsinki and thence to Moscow.

2. From that circumstance or source; therefrom.

3. Archaic From that time; thenceforth.
 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, Ozbeg, 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 fortified (fôrt´fīd),
adj containing additives more potent than the principal ingredient.
 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 Ozbeg 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 dev·as·tate  
tr.v. dev·as·tat·ed, dev·as·tat·ing, dev·as·tates
1. To lay waste; destroy.

2. To overwhelm; confound; stun: was devastated by the rude remark.
 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

Gabriele de' Mussi, born circa 1280, practiced as a notary notary
 or notary public

Public officer who certifies and attests to the authenticity of writings (e.g., deeds) and takes affidavits, depositions, and protests of negotiable instruments.
 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 ..."

The Narrative of Gabriele De' Mussi

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."

[FIGURE 2 OMITTED]

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 Tartars: see Tatars.

Tartars

13th-century rapacious hordes of Genghis Khan. [Medieval Hist.: Brewer Dictionary, 1064]

See : Savagery
 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 ter·ri·fy  
tr.v. ter·ri·fied, ter·ri·fy·ing, ter·ri·fies
1. To fill with terror; make deeply afraid. See Synonyms at frighten.

2. To menace or threaten; intimidate.
 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 o·ver·ran  
v.
Past tense of overrun.
 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 arm·pit
n.
The hollow under the upper part of the arm below the shoulder joint, bounded by the pectoralis major, the latissimus dorsi, the anterior serratus muscles, and the humerus, and containing the axillary artery and vein, the infraclavicular part
 or groin caused by coagulating humours, followed by a putrid fever.

"The dying Tartars, stunned and stupefied stu·pe·fy  
tr.v. stu·pe·fied, stu·pe·fy·ing, stu·pe·fies
1. To dull the senses or faculties of. See Synonyms at daze.

2. To amaze; astonish.
 by the immensity im·men·si·ty  
n. pl. im·men·si·ties
1. The quality or state of being immense.

2. Something immense: "the empty immensity of earth, sky, and water" 
 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 pes·ti·len·tial
adj.
Of, relating to, or tending to produce a pestilence.
 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 pestilence /pes·ti·lence/ (pes´ti-lins) a virulent contagious epidemic or infectious epidemic disease.pestilen´tial

pes·ti·lence
n.
1.
, 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 de·pop·u·late  
tr.v. de·pop·u·lat·ed, de·pop·u·lat·ing, de·pop·u·lates
To reduce sharply the population of, as by disease, war, or forcible relocation.
 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 re·prise  
n.
1. Music
a. A repetition of a phrase or verse.

b. A return to an original theme.

2. A recurrence or resumption of an action.

tr.v.
 of the apocalyptic vision with which it begins.

Commentary

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.

Biological Warfare at Caffa

de' Mussi's account is probably secondhand and is uncorroborated; however, he seems, in general, to be a reliable source, and as a Piacenzian he would have had access to eye-witnesses of the siege. Several considerations incline me to trust his account: this was probably not the only, nor the first, instance of apparent attempts to transmit disease by hurling biological material into besieged cities; it was within the technical capabilities of besieging armies of the time; and it is consistent with medieval notions of disease causality (22).

Tentatively accepting that the attack took place as described, we can consider two principal hypotheses for the entry of plague into the city: it might, as de' Mussi asserts, have been transmitted by the hurling of plague cadavers; or it might have entered by rodent-to-rodent transmission from the Mongol encampments into the city.

Diseased cadavers hurled into the city could easily have transmitted plague, as defenders handled the cadavers during disposal. Contact with infected material is a known mechanism of transmission (8-11); for instance, among 284 cases of plague in the United States in 1970-1995 for which a mechanism of transmission could be reasonably inferred, 20% were thought to be by direct contact (24). Such transmission would have been especially likely at Caffa, where cadavers would have been badly mangled by being hurled, and many of the defenders probably had cut or abraded hands from coping with the bombardment. Very large numbers of cadavers were possibly involved, greatly increasing the opportunity for disease transmission. Since disposal of the bodies of victims in a major outbreak of lethal disease is always a problem, the Mongol forces may have used their hurling machines as a solution to their mortuary problem, in which case many thousands of cadavers could have been involved, de' Mussi's description of "mountains of dead" might have been quite literally true.

Thus it seems plausible that the events recounted by de' Mussi could have been an effective means of transmission of plague into the city. The alternative, rodent-to-rodent transmission from the Mongol encampments into the city, is less likely. Besieging forces must have camped at least a kilometer away from the city walls. This distance is necessary to have a healthy margin of safety from arrows and artillery and to provide space for logistical support and other military activities between the encampments and the front lines. Front-line location must have been approximately 250-300 m from the walls; trebuchets are known from modem reconstruction to be capable of hurling 100 kg more than 200 m (25), and historical sources claim 300 m as the working range of large machines (26). Thus, the bulk of rodent nests associated with the besieging armies would have been located a kilometer or more away from the cities, and none would have likely been closer than 250 m. Rats are quite sedentary and rarely venture more than a few tens of meters from their nest (27,28). It is thus unlikely that there was any contact between the rat populations within and outside the walls.

Given the many uncertainties, any conclusion must remain tentative. However, the considerations above suggest that the hurling of plague cadavers might well have occurred as de' Mussi claimed, and if so, that this biological attack was probably responsible for the transmission of the disease from the besiegers to the besieged. Thus, this early act of biological warfare, if such it were, appears to have been spectacularly successful in producing casualties, although of no strategic importance the (city remained in Italian hands, and the Mongols abandoned the siege).

Crimea as the Source of European and Near Eastern Plague

There has never been any doubt that plague entered the Mediterranean from the Crimea, following established maritime trade routes. Rat infestations in the holds of cargo ships would have been highly susceptible to the rapid spread of plague, and even if most rats died during the voyage, they would have left abundant hungry fleas that would infect humans unpacking the holds. Shore rats foraging on board recently arrived ships would also become infected, transmitting plague to city rat populations.

Plague appears to have been spread in a stepwise stepwise

incremental; additional information is added at each step.


stepwise multiple regression
used when a large number of possible explanatory variables are available and there is difficulty interpreting the partial regression
 fashion, on many ships rather than on a few (Figure 1), taking over a year to reach Europe from the Crimea. This conclusion seems fairly firm, as the dates for the arrival of plague in Constantinople and more westerly cities are reasonably certain. Thus de' Mussi was probably mistaken in attributing the Black Death to fleeing survivors of Caffa, who should not have needed more than a few months to return to Italy (16).

Furthermore, a number of other Crimean ports were under Mongol control, making it unlikely that Caffa was the only source of infected ships heading west. And the overland caravan routes to the Middle East from Serai and Astrakhan Astrakhan, city, Russia
Astrakhan (ăs`trəkăn, Rus. ä`strəkhənyə), city (1990 pop. 521,000), capital of Astrakhan region, SE European Russia.
 insured that plague was also spreading south (Figure 1), whence it would have entered Europe in any case. The siege of Caffa, and its gruesome finale, thus are unlikely to have been seriously implicated im·pli·cate  
tr.v. im·pli·cat·ed, im·pli·cat·ing, im·pli·cates
1. To involve or connect intimately or incriminatingly: evidence that implicates others in the plot.

2.
 in the transmission of plague from the Black Sea to Europe.

Conclusion

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 ter·ri·fy  
tr.v. ter·ri·fied, ter·ri·fy·ing, ter·ri·fies
1. To fill with terror; make deeply afraid. See Synonyms at frighten.

2. To menace or threaten; intimidate.
 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).

Acknowledgments

Thanks to Christina Frei for translation from German (Henschel) and to Remo Morelli for translation from Italian (Tononi).

This research was supported by a grant from the University of California The University of California has a combined student body of more than 191,000 students, over 1,340,000 living alumni, and a combined systemwide and campus endowment of just over $7.3 billion (8th largest in the United States).  Institute on Global Conflict and Cooperation.

(1) Technically trebuchets, not catapults. Catapults hurl objects by the release of tension on twisted cordage cordage (kôr`dĭj), collective name for rope and other flexible lines. It is used for such purposes as wrapping, hauling, lifting, and power transmission. Early man used strips of hide, animal hair, and plant materials. ; they are not capable of hurling loads over a few dozen kilograms. Trebuchets are counter-weight-driven hurling machines, very effective for throwing ammunition weighing a hundred kilos or more (22).

(2) Medieval society lacked a coherent theory of disease causation. Three notions coexisted in a somewhat contradictory mixture: 1) disease was a divine punishment for individual or collective transgression; 2) disease was the result of "miasma miasma

noxious exhalations from putrescent organic matter; the basis for an early concept of the origin of epidemics.
," or the stench of decay; and 3) disease was the result of person-to-person contagion Contagion

The likelihood of significant economic changes in one country spreading to other countries. This can refer to either economic booms or economic crises.

Notes:
An infamous example is the "Asian Contagion" that occurred in 1997 and started in Thailand.
 (23).

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mediaeval
Adjective

same as medieval

Adj. 1.
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1. A long, thin, usually wooden pole with a blade at one end, used to row or steer a boat.

2. A person who rows a boat, especially in a race.

v. oared, oar·ing, oars

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n.
1. A biological agent, such as a virus or a condition that constitutes a threat to humans, especially in biological research or experimentation.

2.
: The chilling true story of the largest covert biological weapons program in the world--told from the inside by the man who ran it. New York: Random House; 1999.

(31.) Inglesby TV, Dennis DT, Henderson DA, Bartlett JG, Ascher MS, Eitzen E, et al. Plague as a biological weapon: medical and public health management. JAMA 2000;283:2281-90.

Address for correspondence: Mark Wheelis, Division of Biological Sciences, Section of Microbiology, University of California, Davis The University of California, Davis, commonly known as UC Davis, is one of the ten campuses of the University of California, and was established as the University Farm in 1905. , One Shields Avenue, Davis, CA 95616-8665 USA; fax: 530-752-363; e-mail: mlwheelis@ucdavis.edu

Dr. Wheelis is Senior Lecturer in Microbiology at the University of California, Davis. He was trained as a bacterial physiologist and geneticist ge·net·i·cist
n.
A specialist in genetics.



geneticist

a specialist in genetics.

geneticist 
, but for more than 10 years, his research has focused on the history and control of biological weapons.

Mark Wheelis, University of California, Davis, California USA
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Author:Wheelis, Mark
Publication:Emerging Infectious Diseases
Geographic Code:4E
Date:Sep 1, 2002
Words:3939
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