When the ill-fated ships from Kaffa arrived at Genoa, they were chased away as soon as the Genoese realized they carried plague. As with the episode at Messina, this measure failed to prevent the disease from coming ashore, and the repelled ships spread the illness to Marseilles, France, and along the coast of Spain to Barcelona and Valencia.
In mere months, the plague spread throughout all Italy, through half of Spain and France, down the coast of Dalmatia on the Adriatic, and north into Germany. Africa was also infected at Tunis via the Messina ships, and the Middle East was dealing with an eastward spread from Alexandria.
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