An excerpt from Nathaniel Hodge’s Loimolgia: or, An Historical Account of the Plague in London in 1665: with precautionary Directions against the like Contagion. John Quincy, M.D., Trans. 1720.  In The Historical Sources of Defoe's Journal of the Plague Year, Illustrated by Extracts from the Original Documents in the Burney Collection and Manuscript Room in the British Museum (Boston: Stratford, 1920; reprinted Port Washington, N.Y.: Kennikat Press, 1966).  Transcribed by Alexandra Hill.

…But what greatly contributed to the loss of people thus shut up, was the wicked practices of the nurses (for they are not to be mentioned but in the most bitter terms): these wretches, out of greediness to plunder the dead, would strangle their patients, and charge it to the distemper in their throats; others would secretly convey the pestilential taint from the sores of the infected to those who were well; and nothing indeed deterred these abandoned miscreants from prosecuting their avaricious purposes by all the methods their wickedness could invent; who, although they were without witness to accuse them, yet it is not doubted but divine vengeance will overtake such wicked barbarities with due punishment: nay, some were remarkably struck from heaven in the perpetration of their crimes, and one particularly amongst many, as she was leaving the house of a family, all dead, loaded with her robberies, fell down dead under her burden in the streets: and the case of a worthy citizen was very remarkable, who being suspected dying by his nurse, was beforehand stripped by her; but recovering again, he came a second time into the world naked. And so many were the artifices of these barbarous wretches, that it is to be hoped posterity will take warning how they trust them again in like cases; and that their past impunities will not be a means of bringing on us again the like Judgment.
         Moreover, this shutting up infected houses, made the neighbours fly from theirs, who otherwise might have been a help to them on many accounts; and I verily believe that many who were lost might have not been alive, had not the tragical mark upon their door drove proper assistance from them.
 And this is confirmed by the examples of other pestilential contagions, which have been observed not to cease until the doors of the sick were set open, and they had the privilege of going abroad; of the same authority is the custom of other nations who have due regard to that liberty that is necessary for the comforts of both body and mind.
         It now remains noticed that we take notice of all that is of any weight on the other side; as therefore it is not at all deemed cruel to take off a mortified limb to save the whole, by a parity of reason is the conduct of a community justifiable, who, out of regard to the public good, put hardships upon particular persons; in a pestilential contagion therefore, what can be of more immediate service than securing those that are well from the infection? And the more especially in a disease that reaches not only for the body, but taints the very breath; for in this case the infected breathe poisons upon the healthful, and even at the point of death endeavors them. From this delirious pleasure arises those tricks of transplanting the corruption of a pestilential tumour to another; not to say anything of that woman, who with her importunities drew her unhappy husband into her embraces, which ended his life with hers.
         Again, to take away all the doubtings in this case, I am not ignorant of what moment it is to shut up the houses of all those who are infected, according to custom; for by this means a contagion may at first be stifled, which otherwise would go beyond any remedy; and with equal advantage might gunpowder be fired, if too much time is not wasted in deliberation, before these things are put into practice.
         But if hereafter again the plague should break out (which God forbid), with submission to superiors, I should think it not improper to appoint proper accommodations out of the city, for such as are yet untouched in infected families; and who should continue there for a certain time; the sick in the meantime to be removed to convenient apartments provided on purpose for them. For by this means, that practice so abhorrent to religion and humanity, even in the opinion of a Mahometan, of shutting up the sick and well together, would be avoided.
         But to return: the infection had long doubtfully reigned, and continued through May and June, with more or less severity; sometimes raging in one part, and then in another, as in running sort of flight; as often as the number of funerals decreased, great hopes were conceived of its disappearance; then in a sudden again their increase threw all in dejection, as if the whole city was soon to be unpeopled ---- which uncertainty gave advantage to the distemper; because persons were more remiss in their provisions against it, during such fluctuation.
         It must not however be omitted, with what precipitation the trembling inhabitants left the city, and how they flocked in such crowds out of town, as if London had quite gone out of itself, like the hurry of a sudden conflagration, all doors and passages are thronged for escape: yet after the chief of the people were fled, and thereby the nourishment of this cruel enemy had been in a great measure taken away, yet it raged still; and although it seemed once to slay as Parthians in their flight, it soon returned with redoubled fury, and killed not by slow paces, but almost immediately upon seizure; not unlike what is often seen in battle, when after some skirmishes of wings, and separate parties, the main bodies come to engage; so did this contagion at first only scatter about its arrows, but at last covered the whole city with dead.
         Thus therefore in the space of one week were eighty persons cut off, and when things came to extremity, all helps were called in; though it began now to be solely the magistrates’ business, how to put a stop to this cruel devastation, and save some part of the city at last from the grave; first then therefore were appointed a monthly fast for public prayers, to deprecate the anger of heaven; nor proved it on vain, or were their supplications altogether fruitless; for if we have any regard to the temperature of the season, the whole summer was refreshed with moderate breezes, sufficient to prevent the sir’s stagnation and corruption, and to carry off the pestilential streams; the heat was likewise too mild to encourage such corruption and fermentation as helps to taint the animal fluids, and prevent them from their natural state.
         The Government, however, to the duty of the public prayers, neglected not to add what assistance might be had from medicines; to which purpose His Majesty, with the Divine helps, called in also all that was human, and by his Royal authority commanded the College of Physicians of London jointly to write somewhat in English that might be a general directory in this calamitous exigence. Nor was it satisfactory to that honoured Society to discharge their regards for the public with that only, but some were chose out of their number, and appointed particularly to attend the infected on all occasions; two also out of the court of Aldermen were required to see this hazardous task executed; so that encouraged with all proper means, this province was cheerfully undertaken, and all possible caution was used fully to answer the intention; but this task was too much for four persons, and wanted rather the concurrence of the whole Faculty; we were however ashamed to give it up, and used our utmost application therein; but all our care and pains were eluded, for the disease, like the hydra’s heads, was no sooner extinguished in one family, but it broke out in many more with aggravations, so that in a little time we found our task too great, and despaired of putting an entire stop to the infection.
         Nor was there at this time wanting the help of very great and worthy persons who voluntarily contributed their assistances in this dangerous work; amongst the number of which the learned Dr. Glisson, Regius Professor at Cambridge, Dr. Nath. Paget, Dr. Wharton, Dr. Nerwick, Dr. Brookes, and many other who are yet alive, deserve very honourable mention; but eight or nine fell in this work, who were too much loaded with the spoils of the enemy; and amongst these was Dr. Conyers whose goodness and humanity claim an honourable remembrance with all who survive him.
         After then all endeavors to restrain the contagion proved of no effect, we applied ourselves to the care of the diseased; and in the prosecution of which, it may be affirmed without boasting, no hazards to ourselves were avoided. But it is incredible to think how the plague raged amongst the common people, insomuch that it came by some to be called “the poor’s plague.” Yet, although the more opulent had left the town, and that it was almost left uninhabited, the commonality that were left felt little of want; for their necessities were relieved with a profusion of good things from the wealthy, and their poverty was supported with plenty. Amore manifest cause therefore for such a devastation amongst then I shall assign for another place.
         In the months of August and September, the contagion changed its former slow and languid pace, and having as it were got master of all, made a most terrible slaughter, so that three, four, or five thousand died in a week, and once eight thousand. Who can express the calamities of such times? The whole British nation wept for the miseries of her metropolis. In some houses carcasses lay waiting for burial, and in others persons in their last agonies; in one room might be heard dying groans, in another the raving of delirium, and not so far off relations and friends bewailing both their loss and the dismal prospect of their own sudden departure. Death was the sure midwife to all children, and infants passed immediately from the womb to the grave. Who would not burst with grief to see the stock for a future generation hanging upon the breast of a dead mother? Or the marriage-bed changed the first might into a sepulchre, and the unhappy pair meet with death in their first embraces? Some of the infected ran into the streets; while others lie half-dead and comatose, but never to be waked but by the last trumpet; some lie vomiting as if they had drunk poison; and others fell dead in the market, while they were buying necessaries for the support of life. Not much unlike was it in the following conflagration, where altars themselves became so many victims, and the finest churches in the whole world carried up to the heaven supplications in flames, while their marble pillars wet with tears melted like wax; nor were monuments secure from the inexorable flames, where many of their venerable remains passed a second martyrdom; the most august palaces were soon laid to waste, and the flames seemed to be fatal engagement to destroy the great ornament to commerce; and the burning of all the commodities of the world together seemed a proper epitome of this conflagration; neither confederate crowns nor the drawn swords of kings could restrain its phanatic and rebellious rage; large halls, stately houses, and the sheds of the poor were together reduced to ashes; the sun blushed to see himself set, and envied those flames the government of the night, which had rivaled him so many days. As the city, I say, was afterwards burnt without any distinction, in like manner did this plague spare no order, age or sex. The divine was taken in the very exercise of his priestly office to be enrolled amongst the saints above; and some physicians, as before imitated, could not find assistance in their own antidotes, but died in the administration of them to others; and although the soldiery retreated from the filed of death, and encamped out of the city, the contagion followed and vanquished them. Many in their old age, others in their prime, sunk under its cruelties. Of the female sex most died; and hardly any children escaped; and it was not uncommon to see an inheritance pass successively to three or four heirs in as many days. The number of sextons was not sufficient to bury the dead; the bells seemed hoarse with the continual tolling, until at last they quite ceased; the burying places would not hold the dead, but they were thrown into large pits dug in waste grounds, in heaps, thirty of forty together; and it often happened that those who tended the funerals of their friends one evening were carried the next to their long home….
 

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