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Then nomads will show up every once in while, maybe every 6-7 years or so.
Hospital is not really needed until you first get a village with sickness, which will probably be linked to when you first decide to take on nomads.
Hosptitals are a thing. They are useless waste of space - until a disease strikes and then they are invaluable. If you get a disease and you don't have hospitals you will not be able to build a them fast enough..... /draws finger across throat
Hospitals treat up to 20 at a time. It takes a fair time for a hospital to treat one patient. Patients actually in hospitals don't infect new pops though but those queueing outside will. Kids are the absolute worst during a disease outbreak - they don't work in one place so they just run around everwhere infecting pops right left and centre if they catch the disease. The second worst thing during disease outbreak is pops walking across the map to get to a distant hospital and infecting everyone they pass on the way.
What this means is you can't get away with just one hospital in a large colony 'cos pretty muich everyone will get infected as pops walk across the map (and taking ages to do it) and then standing in queues infecting everbody and the hospital won't even nearly cure them fast enough. Again ...../draws finger across throat
So a rule of thumb is you are safe with one hospital per market at every market since that naturally gives you enough capacity and good coverage spread out over the entire colony. May not be optimal, but it's safe. You don't need to assign doctors to the hospitals until a disease actually breaks out (although once your settlement is big enough you might as well).
If you have hospitals at every market centre, and especially if they are ready staffed with doctor waiting, a disease outbreak will often be killed off pretty much immediately with only a handfull infected and all cured with no loss of pops at all and minimal disruption.
So bascially build a hospital at each market as soon as you can is a reasonable plan.
I can't argue with that logic and stand corrected. Good idea.
So what happens if the villager catches a diesase and he/she is in the middle of the population?
He/she will walk to the nearest hospital for treatement and will have an RNG chance (unknown but significantly high) to infect any other pop they walk close to (distance unknown, probably one tile) on the way. They will not attempt to avoid or evade other pops to minimise infections.
Gnerally when nomads come into town if they happen to be carrying a disease it happens after they have been accepted. By that time they have begun to spread all over the town.
Rather give the sick person the ability to get to a hospital as soon as they can and not walk all the way to the outer edge.