Most people died of diseases rather than literal starvation. A lot of people died of typhus, what was known at the time as fever. You didn't have to be hungry to die of typhus. Typhus was a caused by lice and by dirt. Once the famine struck, once hunger became a problem, people start to move around. And you get people migrating,. People wash less, people change their clothes less...you get the spread of a typhus.

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