. ESD's may provide services directly or may contract with an agency or agencies for services Additionally ESD's may overlap one another to ensure both fire and EMS services are provided, The Texas Medical Center in Houston holds the world's largest concentration of research and healthcare institutions with 47 member institutions. Texas Medical Center performs the most heart transplants in the world the University of Texas M D Anderson Cancer Center in Houston is a highly regarded academic institution that centers around cancer patient care research education and prevention, Culture Impact Cimarron Native 0.2% 0.4% 0.6% 0.7% Energy and oil (19 companies). ; . Other famous and notable East Texans Plain unadorned granite structure with minimal features Only an entrance is visible In July 2015 BP reached an $18.7bn settlement with the US government the states of Alabama Florida Louisiana Mississippi and Texas as well as 400 local authorities to date BP's cost for the clean-up environmental and economic damages and penalties has reached $54bn. . .
. . . When Francisco Coronado and the Spaniards first explored the Rio Grande Valley in 1540 in modern New Mexico some of the chieftains complained of new diseases that affected their tribes Cabeza de Vaca reported that in 1528 when the Spanish landed in Texas "half the natives died from a disease of the bowels and blamed us." When the Spanish conquistadors arrived in the Incan empire a large portion of the population had already died in a smallpox epidemic the first epidemic was recorded in 1529 and killed the emperor Huayna Capac the father of Atahualpa Further epidemics of smallpox broke out in 1533 1535 1558 and 1565 as well as typhus in 1546 influenza in 1558 diphtheria in 1614 and measles in 1618.:133.
Jackson Memorial Hospital