In his chapter on “The Order and Police that ought to be held in a City during the Plague-time,” he advises the removal of the shambles from within the walls to some remote and convenient place near the river of Thames, to the end that the blood and garbage of beasts that are killed may be washed away with the tide. Lodge lived just on the other side of Newgate Street from the shambles, and could speak feelingly about them, as many more had done since Edward III.’s time. The nobles of Aries, he says, had acted so on the advice of Valenolaes, having built their slaughter-houses to the westward of the city upon the river of Rhone. The chief interest of the book is in the sections on preventing the spread of infection. He quotes an instance from Alexander Benedetti of Venice, of a feather-bed, slept on by one in the plague, having been laid aside for seven years, “and the first that slept upon the same at the end of the same term was suddenly surprised with the plague.” His directions for the cleansing of houses, bedding, clothes, &c. are minute and thorough (Chapter XVII.)[928]. Modern readers will find his views on isolation and compulsory removal to hospital worth noting. The Pest House, which had been lately built in the fields towards Finsbury, was then the only special hospital to which patients in the plague could be removed, and its accommodation was not great; the burials at it in the nine weeks from July 21 to September 22, 1603, were respectively 18, 18, 12, 21, 12, 6, 5, 10 and 10. The Bridewell near Fleet Street appears also to have admitted a small number of plague-cases, the burials from it in the five weeks from August 18 to September 22, having been respectively 8, 5, 17, 7 and 19. There was also a pest-house in Tothill fields, for the Westminster end of the town. Servants appear to have been mostly sent to these refuges. Lodge saw that the principle of compulsory removal of the sick had no chance without more hospital accommodation (as Defoe also insisted in reviewing the plague of 1665), and he proposes a plan for a pest-house with “twenty-eight to thirty separate chambers on the upper floor, and as many beneath.” He is humanely alive to the hardships of compulsory isolation:
“For in truth it is a great amazement, and no less horror, to separate the child from the father and mother, the husband from his wife, the wife from her husband, and the confederate and friend from his adherent and friend; and to speak my conscience in this matter, this course ought not to be kept before that, by the judgment of a learned physician, the sickness be resolved on. And when it shall be found it is infectious, yet it is very needful to use humanity towards such as are seized. And if their parents or friends have the means to succour them, and that freely, and with a good heart they are willing to do the same, those that have the charge to carry them to the pest-house ought to suffer them to use that office of charity towards their sick, yet with this condition that they keep them apart and suffer them not to frequent and converse with such as are in health. For, to speak the truth, one of the chiefest occasions of the death of such sick folks (besides the danger of their disease) is the fright and fear they conceive when they see themselves devoid of all succour, and, as it were, ravished out of the hands of their parents and friends, and committed to the trust of strangers.... And therefore in this cause men ought to proceed very discreetly and modestly.”
Another London essay of the same year, by “S. H. Studious in Phisicke” is a much slighter production. The author writes in a superior strain and offers advice “unto such Chirurgeons as shall be called or shall adventure themselves to the care of this so dangerous sickness,” one piece of advice being not to let blood except at the beginning of the seizure, and to take then five ounces of blood in the morning, and three ounces more at three in the afternoon, repeating the depletion next day at discretion. He states also the theory of the plague-bubo: it was a way made by nature to expel the venomous and corrupt matter which is noisome unto it. He advises the practice of incising the bubo and of helping it to suppurate, which was the treatment in the Black Death of 1348-49: if nature be “weak and not able to expel the venom fast enough, by insensible transpiration the venom returneth back to the heart and so presently destroyeth nature[929].”
It is significant of the state of medical practice and literature in England at the end of the Elizabethan period that the only other treatise which the plague of 1603 is known to have called forth was a mystification[930] under the name of one Thomas Thayre, chirurgian, “for the benefite of his countrie, but chiefly for the honorable city of London,” elaborately dedicated to the Lord Mayor of the year (by name), the Sheriffs and the Aldermen, to whom “Thomas Thayre wisheth all spirituall and temporal blessings.” It proves on examination to be a very close reproduction, with some omissions at the end and a few additions, of the old Treatise of the Pestilence by Thomas Phayre or Phaer, first published in 1547, and was probably the venture of some bookseller or literary hack. The original treatise of Phayre had been reprinted last in 1596, “latelye corrected and enlarged by Thomas Phayre,” although that writer must have been dead many years. A reprint of some of “Dr Phaer’s” remedies and preservatives, without date, is conjecturally assigned to the year 1601. The original work of Henry VIII.’s time was also a literary compilation, in some parts copied verbatim from the 14th century book by the Danish bishop of Arusia, and bears not a trace of first-hand observation. Yet it had the fortune to be reprinted once more, in 1722, by a physician W. T., who remarked that, as the writers on plague in his own time “usually transcribe from others,” he wished to set before them a specimen “of such as have written on a disease of which they were eye-witnesses.”
Two printed addresses on the plague by London ministers are extant: one by Henoch Clapham, “to his ordinary hearers,” which is merely a sermon, in the form of an epistle, to improve the occasion[931]; and the other by James Bamford, rector of St Olave’s, Southwark, in the form of a dialogue, and full of practical and sensible advice[932]. Bamford’s tract is especially directed against “that bloody error which denieth the pestilence to be contagious; maintained not only by the rude multitude but by too many of the better sort;” and its chief medical interest lies in the reasons with which he confutes that deadly heresy:—
“Do not the botches, blains and spots (called God’s tokens) accompanied with raving and death, argue a stranger [sic] infection than that of the leprosy, to be judged by botches and spots? [the infectiousness of leprosy being proved by revelation, Lev. xiii.]. Doth not the ordinary experience of laying live pigeons to plague-sores and taking them presently dead away, and that one after another, demonstrate mortal infection? In that the plague rageth and reigneth especially amongst the younger sort, and such as do not greatly regard clean and sweet keeping, and where many are pestered together in alleys and houses—is not this an argument of infection? Thousands can directly tell where, when, and of whom they took the infection.... Persons of a tender constitution or corrupt humours sooner take the plague than those of a strong constitution and sound bodies. The infirmities of many women in travail, and other diseases, turn into the plague. We see few auncient people die in comparison of children and the younger sort.
“Lastly, of those that keep a good diet, have clean and sweet keeping, live in a good air, use reasonable and seasonable preservatives, and be not pestered many in one house, or have convenient house-room for their household—we see few infected in comparison of those that fail in all these means of preservation and yet will thrust themselves into danger.”
The plague of London in 1603 called forth also a poem by John Davies, a schoolmaster of Hereford. It is called “The Triumph of Death; or the Picture of the Plague, according to the Life, as it was in A.D. 1603[933].” The description is by no means so concrete as the title would have us believe, and might, indeed, have been taken, most of it, at second-hand from Dekker:—
“Cast out your dead, the carcass-carrier cries,
Which he by heaps in groundless graves inters ...
The London lanes, themselves thereby to save,
Did vomit out their undigested dead,
Who by cart-loads are carried to the grave,
For all those lanes with folk were overfed.”
He mentions that the prisoners in the gaols were comparatively exempt from plague[934]. One line suggests the great size that the plague-buboes sometimes reached: