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and cities, corpses were simply left in the streets as there was no one left to bury them.


In England, the outbreak began in London, in the poor, overcrowded parish of St. Giles-in-the-Field. It started slowly, but by May 1665, 43 had died. In June, 6,137 people died, in July 17,036, and at its peak, in August, 31,159 people died. In total, 15% of the population perished during that terrible summer.


Incubation took just four to six days and when the plague appeared in a household, the house was sealed, condemning the whole family to death! These houses were distinguished by a painted red cross on the door and the words, ‘Lord have mercy on us’. At night the corpses were brought out in answer to the cry, ‘Bring out your dead’, put in a cart and taken away to the plague pits.


King Charles II and his Court left London and fled to Oxford. The rich sent their families away from London, but the poor had no such means of es- cape. Samuel Pepys gives a vivid account in his Diary of the empty streets in London, those who could afford to having left in an attempt to flee the pestilence.


B In pairs, discuss the meaning of the highlighted words and phrases. Think again about:


• the general context – the other words around the highlighted word or phrase. • the part of speech – if the highlighted word or phrase is a noun, verb, adjective, etc. • parts of the highlighted word or phrase that you already know. • if you know another (probably more basic) meaning of the word or phrase.


Writing


A Below is a version of the student’s report from the Writing Module of the Course Book. There are full stops in the report, but no commas.


1. Put eight commas into the correct place in the report. 2. Check your answers against the report in the Course Book on page 110.


The diagram shows the stages in the process of medical tourism arranged by a private company. It shows what happens from when an initial request for information is received to when the patient enjoys a post-care holiday.


First of all when there is a request, information about specific services is sent back. When a specific request is received it is sent to the hospital that the company thinks appropriate. At this point the patient‘s medical records are checked at the hospital and a recommendation of what treatment is appropriate is provided. This is sent to the patient together with an estimate of the duration of their stay and what the treatment will cost. A suitable package is arranged and the bill paid.


The patient travels to Thailand where he or she is met by a company representative. The patient can tour the hospital and meet the medical team that will provide the treatment or perform the operation.


If the patient chooses a pre-care holiday he or she can now enjoy that before the treatment. If not the patient undergoes the medical treatment directly. Finally the patient can enjoy a post-care holiday before returning home.


Pathway to IELTS 6.0 173


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