painstakingly comprehensive research throws fresh light on the nature of the disease, its origin, its spread, on an almost day-to-day basis, across Europe, Asia Minor, the Middle East and North Africa, its mortality rate and its impact on history. These latter two aspects are of central importance here, for it is demonstrated that the plague's death rates have consistently been under-estimated and that they were in fact much higher, making the disease's long-term effects on history even more profound.

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