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" Smallpox was the captain of the men of death in that war, typhus fever the first lieutenant, and measles the second lieutenant. More terrible than the conquistadores on horseback, more deadly than sword and gunpowder..." (Asburn 1947)

Infectious disease probably had the most impact on the world following the initiation of contact by Columbus and his men. Certainly disease was the most effective weapon that Europeans brought to America. The devastating effect of disease on Native peoples was mostly due to the biological isolation and the limited intrusion of infectious diseases in America before A.D. 1492. The weapon of disease was not well recognized by Europeans, nor intentionally used in the early colonial contacts. In later times, especially the 19th century, disease was sometimes allowed to do its damage or was purposefully introduced into populations. However, African, and European populations were also dramatically affected by both epidemic and endemic diseases. Native Americans suffered 80-90% population losses in most of America with influenza, typhoid, measles and smallpox taking the greatest toll in devastating epidemics that were compounded by the significant loss of leadership. More incipient diseases such as tuberculosis, syphilis, and pneumonia would be compounded by nutritional, sanitation, and labor conditions in colonial America.