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Years ago is spread via flease.
They speard due to the fact that we wore natutral clothes (wool) and it was great for flease. We also were not clean.
Today it just cannot spread as there are no real ways to spread it.
Also many people were killed becase of fear and as such we killed each other.
I do not think that you can use Antibiotics, though there is an ijection that should cure it.
Its never gone away and can be found in parts of the world, but it simply does not spread.
From time to time people on exotic trips pick it up, but often its spotted and cured.
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