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Several societal changes contributed to the spread of the plague, particularly the rise of urbanization in the late medieval period, which led to overcrowded and unsanitary living conditions. Increased trade and movement of people facilitated the transmission of the disease across regions. Additionally, the decline of feudalism and the growth of commerce created a more interconnected society, allowing the plague to spread rapidly along trade routes. These factors combined to create an environment where the disease could thrive and propagate.

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