Essay

Big Epidemiology: Disease at Civilization Scale

A framework essay for thinking about disease across deep time, infrastructure, migration, ecology, empire, and the systems civilizations build.

Indexed essay April 11, 2026 By Devin Teichrow scienceHistorybig HistoryBig Epidemiologyhistory of medicine

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big epidemiology

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By Devin Teichrow. Published April 11, 2026.

Overview

A framework essay for thinking about disease across deep time, infrastructure, migration, ecology, empire, and the systems civilizations build.

At a 2011 TED conference, historian David Christian asked a deceptively simple question: when did history begin?

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