Syllabus Edition
First teaching 2024
First exams 2026
The Black Death: Case Study (Edexcel GCSE History): Revision Note
Exam code: 1HI0
The Black Death - Timeline & Summary

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:
Religion
Astrology
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?

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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