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Chapter 4
The chapter looks at the main factors that led to the concern off international health. It explores the main backgrounds of modern international health from the time of the Eurasian plague for three hundred years. It examines events like the rise of the slave trade and imperialism and the health consequences that came with these events. It then turns and examines the Industrial Revolution in the 19th century and the upsurge of the sanitary reform movement. These events led to the presence and development of new international health institutions. Plague outbreaks led to the beginnings of the earliest health regulations. The increase of rival leaders fighting for power and increase of travel and trade led to the outbreaks of widespread diseases. The Middle Ages were characterized by two great plague outbreaks. The Plague of Justinian affected populations moving from Asia to Ireland. The second great plague was the great Black Death in the 14th century. The plague is said to be the most critical epidemic in mankind’s history. The plague shook the whole political, economic, social and ecclesiastical structure of Europe and it led to a death of 25 million people throughout India, China and Mediterranean. The plague was suspected to have been caused by the numerous human contacts. This led to the earliest efforts of international disease control. In the faith that the plague was introduced by the movement of trade ships, Venice adopted a detention of 40 days. This detention abolished vessels entering from Genoa, Marseille and other main parts that the disease was believed to come from. Quarantine was the first international health control to be used. The Black Death plague led to the introduction and implementation of sanitary efforts to control the plague. The Rise of the European Imperialism was another event

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