The rules for Dysentery must be assuming modern anti-diarrhetic, analgesics, Intravenous rehydration, and modern nursing for the low transmission rates, rate of recovery, and low mortality.
Dysentery was a primary killer of troops during the American Civil War. The deaths from dysentery were dehydration causing renal failure.
Wipe out that 20th century knowledge and limit supplies and whole villages or refugee camps can be depopulated in weeks.
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