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The problems would be amplified due to the primitive state of the medical art ( the Circulation of the Blood was not discovered until l628 by Dr. William Harvey)- surely it must have been expected- get to the heart of the matter. Poor to non-existent communications ( Phones were not invented until l876 and did not become really common until after l900) and transportation facilities- here, literally horse and buggy would puts things at risk if complications developed. The hazards were real and risky even at the higher echelons of society. Queen Isabella I ( patron of Columbus) died in childbirth in l504, so this was a mundane hazard in a sense akin to automobile accidents today- but not vehicular oriented.

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