I don't know how the game works so this may not even be part of it, but it's incredible if such a high density population was able to keep growing for 50,000 years without being constantly devastated by disease and epidemics, despite not having any hospitals.
Flush toilets, mosquito control, not coughing on people and washing your hands after pooping are much more important for preventing epidemics.
All a hospital will do is cure a small number of people in a small scale epidemic. But lets face it, if Mangasanti is your goal, you are probably willing to let 20 people die of preventable diseases at home.
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I don't know how the game works so this may not even be part of it, but it's incredible if such a high density population was able to keep growing for 50,000 years without being constantly devastated by disease and epidemics, despite not having any hospitals.
Flush toilets, mosquito control, not coughing on people and washing your hands after pooping are much more important for preventing epidemics.
All a hospital will do is cure a small number of people in a small scale epidemic. But lets face it, if Mangasanti is your goal, you are probably willing to let 20 people die of preventable diseases at home.