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susceptible adults who could fall ill of the disease.
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It was also true that European cities in the early modern era
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were so unhealthy
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that they sustained or expanded their population,
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not by growth from within,
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but by a constant influx of people from without.
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Peasants driven off the land,
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perhaps by hunger or warfare,
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or the search for work, failed harvests.
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And these newcomers, in large numbers,
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to use contemporary medical jargon,
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were immunologically naive.