How did Columbus's voyage to the Americas extinguish the Tainos??? Please help I’ll give brainliest

When Christopher Columbus arrived on the Bahamian Island of Guanahani (San Salvador) in 1492, he encountered the Taíno people, whom he described in letters as "naked as the day they were born." The Taíno had complex hierarchical religious, political, and social systems. Skilled farmers and navigators, they wrote music and poetry and created powerfully expressive objects. At the time of Columbus’s exploration, the Taíno were the most numerous indigenous people of the Caribbean and inhabited what are now Cuba, Jamaica, Haiti, the Dominican Republic, Puerto Rico, and the Virgin Islands. By 1550, the Taíno were close to extinction, many having succumbed to diseases brought by the Spaniards. Taíno influences survived, however, and today appear in the beliefs, religions, language, and music of Caribbean cultures.

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the biopsychosocial approach was developed at rochester decades ago by drs. the biopsychosocial approach systematically considers biological, psychological, and social factors and their complex interactions in understanding health, illness, and health care delivery.

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is this an essay or multiple choice