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First teaching 2024

First exams 2026

The Black Death: Case Study (Edexcel GCSE History): Revision Note

Exam code: 1HI0

Zoe Wade

Written by: Zoe Wade

Reviewed by: Bridgette Barrett

Updated on

The Black Death - Timeline & Summary

A timeline detailing the spread of the Black Death from 1345 to 1350, including astrological events, its spread to Italy and Britain, and the population impact in England.
  • The Black Death was an epidemic that spread to Britain in 1348

    • It likely arrived through trade routes from Asia

  • Historians estimate that half of the population of Europe died of plague by 1351

  • Medieval priests and physicians did not understand what caused the Black Death

    • Today, we understand that fleas on rats spread the plague

    • At the time, people relied on:

  • Public attitudes changed slowly

    • The Church’s power weakened slightly

    • Future governments took more action, especially by the time of the Great Plague in 1665

What was the Black Death?

  • The Black Death was a new plague that originated in the Far East

    • It came to Europe via Sicily in 1347

  • The name bubonic plague comes from the main symptom of buboes 

    • Buboes were pus-filled swellings which developed in the hot areas of the body, such as the armpits

  • At the peak of the epidemic, roughly 200 people in London were buried every day

Ideas about causes of the Black Death

Supernatural causes

  • Many believed the plague was God’s punishment for sin

    • It was seen as a sign of Judgement Day, when God would punish sinners

  • In 1345, there was an unusual positioning of Mars, Jupiter and Saturn

    • People believed it was a sign of bad things to come

  • In Europe, many people believed that Jewish people caused the Black Death

    • In England, the Jewish population had been exiled in the 13th century

    • The Jewish population could not be blamed for the Black Death in England

Natural causes

  • People believed that miasma caused the plague

  • They believed the air had been corrupted by:

    • Volcanoes

    • Earthquakes

    • Rotting matter in the streets

What were the symptoms of the Black Death?

A diagram showing symptoms of Black Death: boils and black buboes in the groin and armpits, sneezing and coughing up blood, chest pains, breathing troubles, and fever.
An illustration showing the symptoms of the Black Death
  • Usually, it took three to five days for victims of the Black Death to die

    • The Black Death affected a patient's lungs

      • Some patients suffocated on their blood

  • Treatments from apothecaries or physicians could also result in death

Examiner Tips and Tricks

Only focus on the bubonic plague in exam answers.

You may have heard about pneumonic plague. Both plagues were likely in circulation in 1348. However, the examiners are clear that they only want to hear about symptoms of the bubonic plague.

Worked Example

Describe one feature of the symptoms of the Black Death

2 marks

Answer:

Victims developed buboes (1); these were sore, pus-filled growth in the armpits (1)

Examiner Tips and Tricks

When answering ‘Describe one feature of…’ questions, two marks are given to you for:

  • Identify - write a relevant point based on the question topic (1)

  • Describe - add some specific own knowledge about the point you have made (1)

This question previously asked students to describe two features of a given event. This question was worth four marks. However, as of 2025, Edexcel will split this question into two subsections, asking you to describe a feature of two different events. Each subsection is worth two marks.

Treatments of the Black Death

Supernatural treatments

  • The Church advised people to:

    • Confess their sins

    • Pray for forgiveness

  • Ordinary people did not treat their symptoms

    • They believed it was God’s judgement about whether they lived or died

    • They were too scared to challenge this by seeking treatment

Natural treatments

  • Bleeding and purging were common, but they were often deadly

  • People attempted to 'clean' bad air by:

    • Using strong-smelling herbs like aloe

    • Burning a fire

    • Boiling vinegar

  • As theriaca worked on multiple illnesses, it was often prescribed for the Black Death

  • Lancing buboes removed the infection and encouraged healing

    • Only some physicians used this method

  • Apothecaries sold herbal remedies, but most did not work

Preventing the Black Death

Supernatural prevention

  • Priests encouraged:

    • Prayer

    • Fasting

    • Pilgrimage

    • Self-flagellation (whipping yourself) to show God how sorry you were

      • People who did this are called flagellants

Examiner Tips and Tricks

Do not treat the Church and flagellants as the same group.

Flagellants gathered groups of 200-300 people when they travelled through towns and villages. The Church feared flagellants, leading to their excommunication in 1349. 

Natural prevention

  • People attempted to avoid miasma by:

    • Moving to cleaner air in the countryside

    • Carrying flowers or herbs

    • Avoiding bathing

      • It was believed that water could open the pores, allowing the bad air into the body

    • Joyful things like listening to cheerful music

Government action

  • Some towns introduced quarantine laws

    • People new to an area had to stay away from other people for 40 days

    • Gloucester attempted to close itself off, but people ignored this

  • Local governments stopped cleaning the streets

    • They believed that the bad smell would drive away miasma

  • The government tried to stop religious gatherings

    • The Church blocked this, showing its power

    • The rich and the clergy continued as normal

  • King Edward III took no strong action to protect the population

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Zoe Wade

Author: Zoe Wade

Expertise: History Content Creator

Zoe has worked in education for 10 years as a teaching assistant and a teacher. This has given her an in-depth perspective on how to support all learners to achieve to the best of their ability. She has been the Lead of Key Stage 4 History, showing her expertise in the Edexcel GCSE syllabus and how best to revise. Ever since she was a child, Zoe has been passionate about history. She believes now, more than ever, the study of history is vital to explaining the ever-changing world around us. Zoe’s focus is to create accessible content that breaks down key historical concepts and themes to achieve GCSE success.

Bridgette Barrett

Reviewer: Bridgette Barrett

Expertise: Geography, History, Religious Studies & Environmental Studies Subject Lead

After graduating with a degree in Geography, Bridgette completed a PGCE over 30 years ago. She later gained an MA Learning, Technology and Education from the University of Nottingham focussing on online learning. At a time when the study of geography has never been more important, Bridgette is passionate about creating content which supports students in achieving their potential in geography and builds their confidence.