How did the disease spread to humans?

Study the flow chart above on how the Black Plague infected humans: 

1 - Rat infestations

In urban areas where rodents tend to live in large numbers, the plague bacteria passes between rats and their fleas.

2 - Bacterial growth

The plague bacteria multiply in the flea’s stomach and cause a blockage.

3 - Bad blood

After 10–14 days the infected rat colony dies, and the fleas turn on humans in search of fresh food

4 - Flea bite

The hungry flea bites a human and regurgitates the bacteria in its stomach during feeding

5 - Infected

The plague enters the human’s bloodstream, and symptoms manifest within three to seven days.