I feel like the straws I'm grasping at are becoming thinner. I understand the difference between immunity and resistance now (thanks, Kalan). But I think I might be confusing the percentage of infected people who die with the percentage of the population which dies of the disease. What are the proper terms for these two factors?
It is theorized that the plague was transmitted from the Mongols to Genoese traders on Crimea, who then sailed back to Genoa, infecting Sicily along the way, and introduced the disease to mainland Europe when they arrived home. I suppose the plague would have reached Europe eventually anyway, but this event (if true) would have accelerated the spread of the disease. Suppose that the mutation occurred in the population of plague bacteria on one of the Genoese ships while it's en route back home, perhaps somewhere in the Ionian Sea. I'm guessing that the plague bacteria introduced to southern Europe were the ancestors of the ones which eventually swept up through northern Europe and into western Russia. If this route is feasible, wouldn't the Middle East be hit by the original strain first? If so, and if the deadlier plague returns to the Middle (and Far) East from Europe, couldn't the survivors there have gained immunity from the original form?
If the deadlier form differs enough from the original form (e.g., by increasing the prevalence of pneumonic plague), then is the Middle and Far Easterners' immunity useless? Or is it only partly useless? Could one survivor of the plague have acquired immunity to a wider range of potential variants than a neighbor who also survived the plague? (This is a question about the mechanism of acquiring immunity.) If the difference between the original and deadlier forms is slight enough, would the Middle and Far Easterners suffer only moderate additional deaths, if any at all? Does the degree of immunity in survivors vary depending upon how different the new strain is from the original one?
In OTL, the Black Death spread from China to Europe, but did not come back (at least not in the same wave). Does that mean that the plague bacteria did not mutate enough from the 1330s to the early 1350s to make those immune to the original strain vulnerable again? How did the naive new generation which grew up in this time avoid death by returning plague? Or did the subsequent outbreaks over the next few centuries represent the return of the same plague that caused the Black Death? Wouldn't the plague have evolved enough over time to cause another big outbreak like the Black Death? Or would the people have evolved enough resistance (or medicine improved enough) by then? Forgive me if I'm dense -- my bio background is mainly in macrobiology and systematics.
I see what you mean, Nugax -- the pneumonic plague's shorter incubation period could kill people too fast for them to spread the disease far. What of the septicemic? AFAIK, it was the rarest of the three forms, and it occurred when the bacteria spread from the lymphatic system into the blood. The septicemic killed a higher % of those infected than the bubonic and pneumonic (I think), but I don't know how communicable it was compared to the other two. So, a mutation which changes the natural prevalence of the forms of the plague might be too drastic a change to permit original survivors immunity to the mutated strain. But could a mutation which simply makes the bubonic form more virulent be less severe a change and so offer better immunity to original survivors? Perhaps by damaging the host's body enough, this could increase the chance that the bacteria spread to the blood and go septic. I may be way off on this though.
If I understand correctly, even if the deadlier form of the Black Death plague is isolated to Europe, it would remain in the European rodent population. This reservoir will infect any colonists of Europe from other areas with the same potent brew. Since Eurasia is one big epidemiological unit, would there be anything stopping the spread of the deadlier form to the rest of the Eurasian rodent population? If not, I'd expect more rapid evolution of resistance to the plague among the various Eurasian peoples than that evolved by Europeans in OTL. What if the deadlier form of the plague attacked rats as well as humans, but killed the rats more slowly? Unfortunately, I suspect it would likely take more than one mutation in the bacterial genome to make rats susceptible, and that such a change would make other animals susceptible too.
So, a hundred extra years for urbanization isn't nearly enough for the native Americans to develop enough disease resistance. I don't think a Columbus-type contact between the Old World and New could be delayed for too much longer, and it wouldn't do the native Americans much good anyway. Hmm.... This idea seems kind of dumb to me, but suppose there was a brief period of contact (maybe Zheng He made it to Mexico) in which both Old World technology and diseases were introduced to the New World, followed by a period of virtually no contact (maybe the Chinese emperor banned exploration, as in OTL). The diseases would do their damage, but the native Americans would have perhaps a century to recover and would have at least some resistance to later forms of the diseases when contact is reestablished. In the meantime, they could develop the Old World technology (specifically metalworking and firearms) and stand a better chance of fending off the Muslim or Chinese conquistadors. Does this seem plausible?
If not, I still want to try to find a way for the Mexicans and Inkas to at least survive to the present as independent civilizations. I hope to have a Meiji-style restoration occur in Mexico to make them roughly as dangerous to the Chinese as the Japanese were to the Americans in OTL WWII.
Regarding the Black Death's spread, I believe the reason it didn't spread very fast directly from central Asia to western Russia is that there was some sort of rule that the Christian Russians weren't supposed to stray into the territory of the Muslim Mongols. Please correct me if I'm wrong (which I probably am). Also, I've never seen anything about whether the Black Death spread throughout sub-Saharan Africa or Australasia. I know it went down the Nile, but I don't know how much further it went. Does anyone know about this?