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that is, it's ingested by food and water contaminated by feces.
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And it requires, therefore--it clearly is among the diseases,
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certainly that we've examined so far,
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cholera is clearly different from plague
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and smallpox in that it's much more a social disease;
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that is to say, a disease that has a clear predilection
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for poverty and for pathologies of social and economic life.
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Cholera thrived on chaotic, rapid, unplanned urbanization,
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with its overcrowding and teeming slums,
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with inadequate and insecure water.
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This continues to be true with cholera in our own day.
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It thrives on substandard housing,