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that were conceptually different from other diseases,
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that could not be treated by physicians
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who had graduated from European medical schools
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unless they had undergone special postgraduate training.
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And the implication too was a different form of hygiene.
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And there was a work that was a foundational text
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for this new medical specialty,
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one of the most influential medical works
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of the whole of the nineteenth century,
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and one that had enormous influence
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on the relations of the metropolitan powers
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to their colonial dependencies.