This paper traces Romania’s participation in the International Sanitary Conferences of the late nineteenth and early twentieth centuries. Romania’s interest in international sanitary diplomacy was directly linked to the country’s geographical location and the role of the Danube in the spread of epidemics. The cholera outbreak that reached the Lower Danube in 1865 demonstrated that the river, which connected the Levant to Central Europe via steamship companies, was one of the main gateways through which epidemics spread to the continent. With their busy commercial links to other Black Sea ports, Sulina, Galați and Brăila were equally vulnerable to the importation of diseases that reached Ottoman or imperial Russian ports by land, i.e., via Persia or Central Asia. Such serious health concerns became even more important to the Romanian government after the Danube Delta and Dobrudja became part of independent Romania in 1878. The text follows the various interests that Romania had during these decades, defended by diplomats and doctors who worked together to protect public health from various epidemic, political or economic threats.
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