These operations caused epidemic plague outbreaks. Epidemics swept through California Indian Country, such as the 1833 malaria epidemic. These declines were also due to disease, including a devastating cholera epidemic in 1849. Meharqanda died during the 1918 influenza epidemic. Those affected by the plague epidemic were treated here in 1506. The malaria problem seems to be compounded by the AIDS epidemic. Bevins writes that Adeline died in the 1833 cholera epidemic. Fairbanks fell ill during the 1936 flu epidemic. In 1997 the WHO formally recognized obesity as a global epidemic. Suzanne Voilquin writes of assisting during the cholera epidemic of 1834. A major smallpox epidemic began there in 1873. There may be a link between the obesity epidemic and endocrine disruption and metabolic interference. The surgical procedure took place in the midst of a great flu epidemic. Others were arrested in 1899 for avoiding vaccination during a smallpox epidemic in Georgia. The epidemic occurred as part of the wider Ebola virus epidemic in West Africa.