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Towns were more affected by the plague in 1348 due to their high population density, which facilitated the rapid spread of the disease among people living in close quarters. Poor sanitation and limited medical knowledge exacerbated the situation, making it easier for the plague to thrive. Additionally, trade routes and movement of goods increased contact between different regions, allowing the disease to spread quickly from one urban area to another. This combination of factors made towns particularly vulnerable to the devastating impacts of the Black Death.

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