The distemper had by this time increased to such a frightful extent, that the pest-houses being found wholly inadequate to contain the number of sick persons sent to them, it was resolved by the civic authorities, who had obtained the sanction of the Dean and Chapter of Saint Paul's for that purpose, to convert the cathedral into a receptacle for the infected. Accordingly, a meeting was held in the Convocation House to make final arrangements. It was attended by Sir John Lawrence, the Lord Mayor; by Sir George Waterman, and Sir Charles Doe, sheriffs; by Doctor Sheldon, Archbishop of Canterbury; by the Duke of Albemarle, the Earl of Craven, and, a few other zealous and humane persons. Several members of the College of Physicians were likewise present, and, amongst others, Doctor Hodges; and the expediency of the measure being fully agreed upon, it was determined to carry it into immediate execution.

The cloisters surrounding the Convocation House were crowded with sick persons, drawn thither by the rumour of what was going forward; and when the meeting adjourned to the cathedral, these unfortunate beings followed them, and were with some difficulty kept aloof from the uninfected by the attendants. A very earnest and touching address was next pronounced by the archbishop. Calling upon his hearers to look upon themselves as already dead to the world, -- to regard the present visitation as a just punishment of their sins, and to rejoice that their sufferings would be so soon terminated, when, if they sincerely and heartily repented, they would at once be transported from the depths of wretchedness and misery to regions of unfading bliss; he concluded by stating that he, and all those around him, were prepared to devote themselves, without regard to their own safety, to the preservation of their fellow-citizens, and that they would leave nothing undone to stop the ravages of the devouring scourge.

It chanced that Leonard Holt was present on this occasion, and as he listened to the eloquent discourse of the archbishop, and gazed at the group around him, all equally zealous in the good cause, and equally regardless of themselves, he could not but indulge a hope that their exertions might be crowned with success. It was indeed a touching sight to see the melancholy congregation to whom his address was delivered -- many, nay most of whom were on the verge of dissolution; -- and Leonard Holt was so moved by the almost apostolic fervour of the prelate, that, but for the thought of Amabel, he might have followed the example of several of the auditors, and devoted himself altogether to the service of the sick.

His discourse concluded, the archbishop and most of his companionsquitted the cathedral. Hodges, however, and three of the physicians, remained behind to superintend the necessary preparations. Shortly after, a large number of pallets were brought in, and ranged along the nave and aisles at short distances from each other; and, before night, the interior of the structure presented the complete appearance of an hospital. Acting under the directions of Doctor Hodges, Leonard Holt lent his assistance in arranging the pallets, in covering them with bedding and blankets, and in executing any other service required of him. A sufficient number of chirurgeons and nurses were then sent for, and such was the expedition used, that on that very night most of the pallets were occupied. Thus the cathedral underwent another afflicting change. A blight had come over it, mildewing its holy walls, and tainting and polluting its altars. Its aisles, once trodden by grave and reverend ecclesiastics, and subsequently haunted by rufflers, bullies, and other worthless characters, were now filled with miserable wretches, stricken with a loathsome and fatal distemper. Its chapels and shrines formerly adorned with rich sculptures and costly ornaments, but stripped of them at times when they were looked upon as idolatrous and profane, were now occupied by nurses, chirurgeons, and their attendants; while every niche and corner was filled with surgical implements, phials, drugs, poultices, foul rags, and linen.

In less than a week after it had been converted into a pest-house, the cathedral was crowded to overflowing. Upwards of three hundred pallets were set up in the nave, in the aisles, in the transepts, and in the choir, and even in the chapels. But these proving insufficient, many poor wretches who were brought thither were placed on the cold flags, and protected only by a single blanket. At night the scene was really terrific. The imperfect light borne by the attendants fell on the couches, and revealed the livid countenances of their occupants; while the vaulted roof rang with shrieks and groans so horrible and heart-piercing as to be scarcely endured, except by those whose nerves were firmly strung, or had become blunted by their constant recurrence. At such times, too, some unhappy creature, frenzied by agony, would burst from his couch, and rend the air with his cries, until overtaken and overpowered by his attendants. On one occasion, it happened that a poor wretch, who had been thus caught, broke loose a second time, and darting through a door leading to the stone staircase in the northern transept gained the ambulatory, and being closely followed, to escape his pursuers, sprang through one of the arched openings, and falling from a height of near sixty feet, was dashed in pieces on the flagged floor beneath.

A walk through this mighty lazar-house would have furnished a wholesome lesson to the most reckless observer. It seemed to contain all the sick of the city. And yet it was not so. Hundreds were expiring in their own dwellings, and the other pest-houses continued crowded as before. Still, as a far greater number of the infected were here congregated, and could be seen at one view, the picture was incomparably more impressive. Every part of the cathedral was occupied. Those who could not find room inside it crouched beneath the columns of the portico on rugs or blankets, and implored the chirurgeons as they passed to attend them. Want of room also drove others into Saint Faith's, and here the scene was, if possible, more hideous. In this dismal region it was found impossible to obtain a free circulation of air, and consequently the pestilential effluvia, unable to escape, acquired such malignancy, that it was almost certain destruction to inhale it. After a time, few of the nurses and attendants would venture thither; and to take a patient to Saint Faith's was considered tantamount to consigning him to the grave.