By Stuart B. Jennings
From the start of the sixteenth century there begins to appear in the records reports of fevers that were affecting armies moving across Europe or undertaking sieges. How it arrived in Europe is unclear, but it may have possibly been brought into the continent from Asia by Ottoman armies advancing into Europe. The main symptoms of this fever were fever, stupor, headaches, and red pustules over all the body. To contemporaries the disease was given various names but most of these labels reflected either armies, sieges, or geographical regions of conflict. Names given to the fever when it appeared included camp fever, siege fever, Hungarian disease, famine fever Swedish disease. Today, medical authorities tend to identify these various labels as referring to the disease typhus.

Just as perplexing to contemporary commentators was the fact that the fever wasn’t just confined to armies it could also appear amongst civilians living in the towns or cities that were being besieged. Once it appeared, it could, and often did, go on to kill by the thousands.
What is typhus and how is it caught?
Typhus is a bacterial disease that causes fever, headaches, rash, chills, body aches, coughs, digestive issues and growing confusion in the patient as the infection develops. Symptoms usually develop over a period of one to two weeks. Typhus was generally seen in populations living in unsanitary crowded conditions often associated with war and natural disasters. Mortality rates in this period, prior to the development of antibiotics, ranged from ten to forty percent depending on other factors such as famine, population density and the presence of an epidemic of human body lice. Typhus infections were rarely fatal to children less than 10 years of age but in individuals over the age of 50, mortality rates can be as high as 60 per cent. The reason why children were more resilient to typhus is still unclear to modern physicians.
Modern medicine has identified several forms of typhus. These include murine typhus, epidemic typus, scrub typhus and cat flea typhus, but the evidence from this period overwhelmingly suggests that the fever experienced in armies and cities was epidemic typus.
Epidemic typhus is caused by the organism Rickettsia Prowazekii that tend to be found in human body lice. Not all lice contained this bacterium, which led to the apparent random appearance of the fever at some sieges but not in others. The organism was unknown in the Americas and was first encountered by American troops in World War II. Infected lice spread the bacteria as they feed on the blood of their host and the lice usually die within ten to twelve days of them acquiring the bacteria. The bacteria is not transmitted to their eggs but is able to survive for months in the dust of their faeces, which is why the fever can persist if people are unable to change and wash their clothes. Both the lice and the organism thrive in temperatures of 29 Celsius, which they find conveniently in the seams and folds of clothing that are rarely changed. Ironically many of the outbreaks of typus in Europe occurred in the late summer but in England they were most common in the colder months of late autumn and early spring. Why this was the case is explored below
Typhus and the English Civil War
During the period of intense fighting and large field armies (1642-46) it has been estimated that typhus may have been one of the major cause of death for soldiers. From the end of 1645 through to the end of 1647, plague became a more insidious killer of both civilians and returning soldiers.
In 1643 the symptoms and pattern of deaths that had a significant impact on the Earl of Essex’s army at Reading strongly suggests an outbreak of typhus amongst the troops. A year later Sir William Waller’s successful siege of royalist Chichester was followed by another outbreak of typhus. Again, at the end of 1643 during the siege of Arundel Castle another episode of typhus coupled with a lack of supplies caused the royalist to surrender the castle. According to the royalist governor Joseph Bampfield ‘sickness and causalities’ had reduced his garrison from 800 men to less than ‘200 effectives’. In autumn 1644, an outbreak of typhus occurred in the town of Tiverton, Devon, which up to that date had been untouched by the civil war. It claimed 443 lives, a significant portion of the town’s population. Many other cities and towns probably also experienced outbreaks of typhus but parish registers are often fragmentary for the period of the civil war making identification extremely difficult.
One town that experienced three siege and three outbreaks of typus is Newark on Trent in the county of Nottinghamshire. The survival of a complete set of Corporation minutes, parish registers and churchwardens accounts enables us to see how typhus could affect civilian populations during a time of siege.
Typhus in Newark on Trent
Newark was a major royalist for the period of the first civil war and over the conflict it was to experience three sieges (1643, 1644 and 1645-46). Situated as it was at the junction of the Great North Road and the Fosse Way by the last bridge over the River Trent before the Humber Estuary, Newark was always going to be a town that saw considerable military action.
Typhus tends to thrive in situations of unsanitary overcrowding, malnutrition and exceptionally cold weather. Newark was to encounter these conditions over the course of the war. A market town of an estimated population of between 2,000 to 2,400 in 1640, the establishment of a Royalist garrison of around 2,000 men in the town was to double its population almost overnight. On several occasions, such as the arrival of Queen Henrietta Maria, Prince Rupert and King Charles I, on separate occasions, it was to see its population treble and even quadruple. Just as catastrophic for the town was the creation of extensive siege defences around the medieval town, with buildings lying beyond these being demolished and their residents having to move into the town. The castle itself, having been transformed into a more comfortable residence, could only accommodate around 120 soldiers and most of the stone cellars and stores were used for the storage of arms and perishable food rather than billeting. The rest of the garrison were therefore ‘quartered’ in the homes of the town’s citizens, thus adding to the towns’s overcrowding.
The winters in the mid 1640s were some of the harshest in the seventeenth century with 1644 and 1645 witnessing large chunks of ice flowing down the River Trent past the town. Each of Newark’s sieges started in the winter months, when the extreme cold and limited access to firewood meant that many had to wear whatever. clothes they had just to stay warm. This coupled with poor quality provisions and overcrowding made Newark an ideal candidate for typhus.
The town’s parish registers wee meticulously kept over the civil war, though burials of soldiers were only recorded if they were of s high status or local men. Thus only 28 officers and four local soldiers are entered over the five-year period. This is a ridiculously low figure for a town that witnessed considerable military action. Where most of the military casualties were buried still remains unknown. The table below therefore can only be applied to the civil population. Yet as most soldiers lived within the town it is inconceivable that they were not caught up in the three outbreaks of typhus and in the final outbreak of plague between 1645-1646. The winter months were usually a time of high infant mortality but apart from 1646 when plague was in the town (which affects both young and old without distinction), infant deaths remain considerably lower than adults.

By the time that the town surrendered in May 1646, on the King’s direct order, it appears that approximately 15 percent of the population had succumbed to typhus. There is no reason why we should assume that the garrison soldiers, though not recorded in the registers, faired any better. This figure was only matched with the outbreak of plague in the town between the end of 1645 through to the autumn of 1646. The observation of Lady Fanshawe living in Oxford over the same period could equally apply to Newark and probably many other besieged towns:
At the windows the sad spectacle of war, sometimes plague, sometimes sickness of other kinds, by reason of so many people packed together.
Soldiers, either in field armies or at garrisons, as well as civilians alike could easily fall victim to typhus, as the example of Newark clearly shows. Only with the availability of antibiotics from the middle of the twentieth century, was the scourge of typhus finally diminished.
Further Reading
Stuart B. Jennings, ‘These Uncertain Tymes’: Newark and the Civilian Experience of the Civil wars, 1640-1660 (Nottingham: Nottinghamshire County Council, 2009).
Stuart B. Jennings, Royalist Newark, Newark 1642-1646: Sieges and Siege Works (Warwick: Helion & Company, 2024).






































