The Great Plague was an illness and it killed millions of people in Europe in the seventeenth century. One of the signs of the illness was a circle of red marks. They looked like roses, and that explains the first line of the song. In the second line, "posies" are small bunches of flowers. People carried flowers because of the smell of the Plague. "A tishoo" is the sound of a sneeze. That was another sign of the Plague. Then after a few days people "fell down" or died.
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