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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,
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with virgin soil epidemics, like smallpox and measles,
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and the impact of what was called constructive imperialism.
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Railroads, roads, trade, the transportation revolution,
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all enabled a pandemic of bubonic plague, from the 1890s to 1920,
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and epidemic influenza, in 1918 and '19,
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to occur in the tropical world as well.
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Colonial wars, the involvement of the colonies in the two world wars,
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had major disease impacts.