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was the impact of colonialism itself
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on the inhabitants of the tropical world;
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that is, there was no attention to the way in which colonialism itself
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contributed to environmental degradation;
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or promoted labor mobility in unsanitary conditions;
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the way in which it promoted unplanned urbanization,
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low educational attainment and poverty.
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In fact, this period,
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the first period of tropical medicine,
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from 1890 to just after the First World War,
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was a time, one of the times,
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of the greatest epidemiological disasters in the tropical world,