Abstract and Introduction

On the basis of a 14th-century account by the Genoese Gabriele de' Mussi, the Black Death is widely believed to have reached Europe from the Crimea as the result of a biological warfare attack. This is not only of great historical interest but also relevant to current efforts to evaluate the threat of military or terrorist use of biological weapons. Based on published translations of the de' Mussi manuscript, other 14th-century accounts of the Black Death, and secondary scholarly literature, I conclude that the claim that biological warfare was used at Caffa is plausible and provides the best explanation of the entry of plague into the city. This theory is consistent with the technology of the times and with contemporary notions of disease causation; however, the entry of plague into Europe from the Crimea likely occurred independent of this event.

The Black Death, which swept through Europe, the Near East, and North Africa in the mid-14th century, was probably the greatest public health disaster in recorded history and one of the most dramatic examples ever of emerging or reemerging disease. Europe lost an estimated one quarter to one third of its population, and the mortality in North Africa and the Near East was comparable. China, India, and the rest of the Far East are commonly believed to have also been severely affected, but little evidence supports that belief.[1]

A principal source on the origin of the Black Death is a memoir by the Italian Gabriele de' Mussi. This memoir has been published several times in its original Latin[2,3] and has recently been translated into English[4] (although brief passages have been previously published in translation, see reference[5]). This narrative contains some startling assertions: that the Mongol army hurled plague-infected cadavers into the besieged Crimean city of Caffa, thereby transmitting the disease to the inhabitants; and that fleeing survivors of the siege spread plague from Caffa to the Mediterranean Basin. If this account is correct, Caffa should be recognized as the site of the most spectacular incident of biological warfare ever, with the Black Death as its disastrous consequence. After analyzing these claims, I have concluded that it is plausible that the biological attack took place as described and was responsible for infecting the inhabitants of Caffa; however, the event was unimportant in the spread of the plague pandemic.