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<em><u>Lack of sanitation,</u></em><em> </em><em><u>ineffective treatments</u></em>, and <em><u>increase of rats and fleas</u></em> are the contributors. The other three are the effects.
Answer:
When he said that, he was referring to the victims of the world war all across Europe that initiated by nazi Germany. Many soldeirs and innocent civilians'lives were taken because of the military invasions conducted by the Axis Power.
That statement was ironic because Paul Tibbets was the pilot who dropped the Atomic Bomb to Hiroshima in 1945. Killing around 146,000 civilians with a single bomb.
B let trying I think is correct