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Also a Cholera breeding ground. Which is why for centuries more people died in cities than were born, despite having no access to contraception.
That’s where the science and technology comes in.
Also, isn’t plumbing a technology? Or does it have to be in the Civ VI Technology tree to be recognised as one? I know Agriculture and Animal Husbandry is
Depends on population level. Don’t need plumbing until towns get to the size that outhouses don’t work. Just need soap to wash our hands.
