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This chapter delineates a crisis of public health that occurred throughout the Revolutionary and Napoleonic Wars. It shows how it was in response to this crisis that the modern system of universal quarantine took shape. The chapter investigates the series of plague and yellow fever epidemics that breached the defenses of a string of Mediterranean islands and considers the response of European governments. The frequency with which armies and navies crossed the Mediterranean created a massive augmentation of quarantine traffic just as new epidemic threats emerged. Authorities recommitted to a robust approach to quarantine in light of these challenges. Despite wartime debacles that suggested the system might break down, Chapter 1 shows that it emerged stronger than ever. In this way, we see how a brutal series of wars and epidemics counterintuitively fostered transnational sanitary cooperation.
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