Worst Diseases in Shakespeare's London

From a disease standpoint, Shakespeare was living in arguably the worst place and time in history. Shakespeare’s overcrowded, rat infested, sexually promiscuous London, with raw sewage flowing in the Thames, was the hub for the nastiest diseases known to mankind. Plague is a good example of these diseases:

It is little surprise that the plague was the most dreaded disease of Shakespeare’s time. Carried by fleas living on the fur of rats, the plague swept through London in 1563, 1578-9, 1582, 1592-3, and 1603. The outbreaks in 1563 and 1603 were the most ferocious, each wiping out over one quarter of London’s population. Lucky Elizabethans would contract the basic bubonic plague with their odds of survival around fifty percent. Symptoms would include red, grossly inflamed and swollen lymph nodes, called buboes (hence the name bubonic), high fever, delirium, and convulsions. However, if the bacterial infection spread to the lungs (pneumonic plague) or to the bloodstream (septicemic plague) the unfortunate victim would certainly die, usually within hours with symptoms too horrific to recount. The Elizabethan pamphleteer Thomas Dekker wrote a chilling account of the chaos and despair brought by the plague:

"Imagine then that all this while, Death (like a Spanish Leagar, or rather like stalking Tamberlaine) hath pitched his tents, (being nothing but a heape of winding sheets tacked together) in the sinfully-polluted Suburbes: the Plague is Muster-maister and Marshall of the field: Burning Feauers, Boyles, Blaines, and Carbuncles, the Leaders, Lieutenants, Serieants, and Corporalls: the maine Army consisting (like Dunkirke) of a mingle-mangle, viz. dumpish Mourners, merry Sextons, hungry Coffin-sellers, scrubbing Bearers, and nastie Graue-makers: but indeed they are the Pioners of the Campe, that are imployed onely (like Moles) in casting up of earth and digging of trenches; Feare and Trembling (the two catch-polles of Death) arrest every one: No parley will be graunted, no composition stood vpon, But the Allarum is strucke up, the Toxin ringes out for life, and no voice heard but Tue, Tue, Kill, Kill. (The Wonderful Yeare, 1603)"

During the outbreak of 1592-93, the Crown ordered the complete closure of all theatres in London. Shakespeare, then working with Lord Strange’s Men at the Rose theatre, would have been in the midst of a run of his Henry VI history plays (Bradbrook, 65), and likely financially devastated by the edict.

Shakespeare mentions plague in several plays, including The Tempest (1.2.426), Timon of Athens (4.3.120), and King Lear:

But yet thou art my flesh,

my blood, my daughter;

Or rather a disease that's in my flesh,

Which I must needs call mine: thou art a boil,

A plague-sore, an embossed carbuncle,

In my corrupted blood.

(2.4.242), Lear, describing his daughter, Goneril

Shakespeare also describes the act of searching out plague victims and quarantining them in Romeo and Juliet (5.2.7). Incidentally, plague is the indirect cause of the deaths of the star-cross’d lovers.