The city council of Marseille established a sanitation board, whose members were to be drawn from the city council as well as the doctors of the city.  The populations of some Italian cities, notably Florence, did not regain their pre-14th century size until the 19th century.
, "Black death" was not used to describe the plague pandemic in English until the 1750s; the term is first attested in 1755, where it translated Danish: den sorte død, lit. , Due to climate change in Asia, rodents began to flee the dried-out grasslands to more populated areas, spreading the disease.  By late summer 1348 it reached Cairo, capital of the Mamluk Sultanate, cultural centre of the Islamic world, and the largest city in the Mediterranean Basin; the Bahriyya child sultan an-Nasir Hasan fled and more than a third of the 600,000 residents died.  The historian George Sussman argued that the plague had not occurred in East Africa until the 1900s. , Mecca became infected in 1348 by pilgrims performing the Hajj. The investigation of the pathogen that caused the 19th-century plague was begun by teams of scientists who visited Hong Kong in 1894, among whom was the French-Swiss bacteriologist Alexandre Yersin, after whom the pathogen was named.  By the 1380s in Europe, it predominantly affected children. When the second population dies, the fleas move on to other hosts, including people, thus creating a human epidemic. Strong with his experience from Greece, he was made General Commissioner for the Rive-Neuve neighbourhood. By , Detailed study of the mortality data available points to two conspicuous features in relation to the mortality caused by the Black Death: namely the extreme level of mortality caused by the Black Death, and the remarkable similarity or consistency of the level of mortality, from Spain in southern Europe to England in north-western Europe. , The trend of recent research is pointing to a figure more like 45–50% of the European population dying during a four-year period. The Black Death resulted in the deaths of up to 75–200 million people in Eurasia and North Africa, peaking in Europe from 1347 to 1351. There was a problem. It was staffed to support the board's increasing responsibilities. Contemporary accounts of the pandemic are varied and often imprecise. Mass graves were dug but were quickly filled. Lodewijk Heyligen, whose master the Cardinal Colonna died of plague in 1348, noted a distinct form of the disease, pneumonic plague, that infected the lungs and led to respiratory problems. Italian chronicler Agnolo di Tura recorded his experience from Siena, where plague arrived in May 1348: Father abandoned child, wife husband, one brother another; for this illness seemed to strike through the breath and sight. The bubonic plague mechanism was also dependent on two populations of rodents: one resistant to the disease, which act as hosts, keeping the disease endemic, and a second that lack resistance. But at length it came to Gloucester, yea even to Oxford and to London, and finally it spread over all England and so wasted the people that scarce the tenth person of any sort was left alive. The generally assumed population of Europe at the time is about 80 million, implying that around 50 million people died in the Black Death.
[better source needed] The mortality rate of the Black Death in the 14th century was far greater than the worst 20th-century outbreaks of Y. pestis plague, which occurred in India and killed as much as 3% of the population of certain cities.  This expression as a proper name for the pandemic had been popularised by Swedish and Danish chroniclers in the 15th and early 16th centuries, and in the 16th and 17th centuries was the transferred to other languages as a calque: Icelandic: svarti dauði, German: der schwarze Tod, and French: la mort noire. , DNA taken from 25 skeletons from 14th century London have shown plague is a strain of Y. pestis almost identical to that which hit Madagascar in 2013.. This was followed by acute fever and vomiting of blood. Less well known is that the plague continued to strike Europe, the Middle East and beyond for the next four centuries, returning every 10 to 20 years. In Italy, the population of Florence was reduced from 110,000 to 120,000 inhabitants in 1338 down to 50,000 in 1351. The delegation also inspected all the cargo, crew and passengers, looking for signs of possible disease. However, Europeans were scarcely equipped for the horrible reality of the Black Death. If the team saw signs of disease, the ship was not allowed to land at a Marseille dock.  Before 1350, there were about 170,000 settlements in Germany, and this was reduced by nearly 40,000 by 1450.
Plague, the disease caused by the bacterium Yersinia pestis, was the cause; Y. pestis infection most commonly results in bubonic plague, but can cause septicaemic or pneumonic plagues.
[j] It has also been argued that the Black Death prompted a new wave of piety, manifested in the sponsorship of religious works of art.
Others adopted preventive measures and treatments for plague used by Europeans. Winston Black,  In 2014, Public Health England announced the results of an examination of 25 bodies exhumed in the Clerkenwell area of London, as well as of wills registered in London during the period, which supported the pneumonic hypothesis.
In half an hour, the corpses were thrown into open pits that were then filled with lime and covered with soil. There is no discernible correlation between the grisly name and the symptoms experienced by victims. In Mediterranean Europe, areas such as Italy, the south of France and Spain, where plague ran for about four years consecutively, it was probably closer to 75–80% of the population.
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