The upshot was three waves of famine and disease (1876–79, 1889–91, 1896–1900) that killed between 30 and 60 million people in China, Brazil, and India. In India alone, 15 million people died of famine, equal to half the population of England at the time. Not since the fourteenth-century Black Death or the sixteenth-century disease destruction of New World natives had there been such annihilation. Had such mass death occurred in Europe—the equivalent of thirty Irish famines—it would be regarded as a central episode of world history.