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to deal with them,
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and they require physicians who are specially trained
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in post-graduate institutes.
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For that reason,
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tropical medicine emerged outside of established medical schools,
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because it presupposed that physicians needed a special curriculum
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and training to deal with diseases that were conceptually different.
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For example, in 1898,
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in association with Joseph Chamberlain,
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the secretary of state for the colonies--
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and you can see the role of the state
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in the promotion of this new discipline,