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snack bars, and brothels. People from all classes of society used them. “It was common, when meeting a man, to ask where he bathed,” writes Katherine Ashenburg in her sparkling history of cleanliness, The Dirt on Clean. Some Roman baths were built on a truly palatial scale. The great baths of Caracalla could take sixteen hundred bathers at a time; those of Diocletian held three thousand.

A bathing Roman sloshed and gasped his way through a series of variously heated pools—from the frigidarium at the cold end of the scale to the calidarium at the other. En route he or she would stop in the unctorium (or unctuarium) to be fragrantly oiled and then forwarded to the laconium, or steam room, where, after the bather worked up a good sweat, the oils were scraped off with an instrument called a strigil to remove dirt and other impurities. All this was done in a ritualistic order, though historians are not entirely agreed on what that order was, possibly because the specifics varied from place to place and time to time. There is quite a lot we don’t know about Romans and their bathing habits—whether slaves bathed with free citizens, how often or lengthily people bathed, or with what degree of enthusiasm. Romans themselves sometimes expressed disquiet about the state of the water and what they found floating in it, which doesn’t suggest that they were all necessarily as keen for a plunge as we generally suppose them to be.

It seems, however, that for much of the Roman era the baths were marked by a certain rigid decorum, which assured a healthy rectitude, but that as time went on life in the baths—as with life in Rome generally—grew increasingly frisky, and it became common for men and women to bathe together and, possibly but by no means certainly, for females to bathe with male slaves. No one really knows quite what the Romans got up to in there, but whatever it was it didn’t sit well with the early Christians. They viewed Roman baths as licentious and depraved—morally unclean if not hygienically so.

Christianity was always curiously ill at ease with cleanliness anyway, and early on developed an odd tradition of equating holiness with dirtiness. When Thomas à Becket, archbishop of Canterbury, died in 1170, those who laid him out noted approvingly that his undergarments were “seething with lice.” Throughout the medieval period, an almost surefire way to earn lasting honor was to take a vow not to wash. Many people walked from England to the Holy Land, but when a monk named Godric did it without getting wet even once, he became, all but inevitably, St. Godric.

Then in the Middle Ages the spread of plague made people consider more closely their attitude to hygiene and what they might do to modify their own susceptibility to outbreaks. Unfortunately, people everywhere came to exactly the wrong conclusion. All the best minds agreed that bathing opened the epidermal pores and encouraged deathly vapors to invade the body. The best policy was to plug the pores with dirt. For the next six hundred years most people didn’t wash, or even get wet, if they could help it—and in consequence they paid an uncomfortable price. Infections became part of everyday life. Boils grew commonplace. Rashes and blotches were routine. Nearly everyone itched nearly all the time. Discomfort was constant, and serious illness was accepted with resignation.

Devastating diseases arose, killed millions and then, often, mysteriously vanished. The most notorious was plague (which was really two diseases: bubonic plague, named for the swollen buboes that victims got in the neck, groin, or armpit, and the even more lethal and infectious pneumonic plague, which overwhelmed the respiratory system), but there were many others. The English sweating sickness, a disease about which we still know almost nothing, had epidemics in 1485, 1508, 1517, and 1528, killing thousands as it went, before disappearing, never to return (or at least not yet). It was followed in the 1550s by another strange fever—“the new sickness”—which “raged horribly throughout the realm and killed an

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