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One of the most difficult, and under-rated, jobs undertaken by the historian is that of the synthesis. Text books covering long periods of historical time demand the exclusion of vast quantities of material.

The history of public health has been a flourishing field in the last three decades. Yet despite a spate of excellent monographs about various epidemic diseases and many good collections about health and disease in Africa, Asia, The Middle East, Latin America, as well as Europe and North America, the most recent textbook on the history of public health is four decades old.