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The spread of the infection among rodents in the locality of human dwellings creates conditions favourable for outbreaks of a human plague. When an outbreak reduces the rodent population, fleas from the dead animals fail to find another rodent host and thus begin to infest man. Plague is transmitted to human beings by bites from infected fleas or rats or by close contact with an infected person. The typical Bubonic Plague of the Black Death is mainly carried by rats, and rats are attracted by filth. George Sternberg, in his “History and Geographic distribution of Bubonic Plague” confirms this: All authorities agree that filth, famine and overcrowding of dwellings are potent factors in the propagation of the plague, and it is for this reason that it is to a large extent a disease of the poor, and that epidemics are especially liable to occur during times of distress from insufficient harvests or the ravages of war...
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