49138
Various effects , both immediate and protracted , include the spread of virulent diseases , unequal social relations , detribalization , exploitation , enslavement , medical advances , the creation of new institutions , abolitionism , improved infrastructure , and technological progress .
 diseases
Please list all entity words in the text that fit the category. Output format is "word1, word2". 
Option: media, plant, vehicle, astronomical object, time, disease, animal, location, person, organization, mythical figure, food, biology, geographical phenomenon, instrument, event 
Text: {0} 
Answer:
 diseases