[benbreen]

Agreed, Diamond's most salient points are 1) the latitudinal axis of Eurasia compared to the longitudinal one of the Americas and 2) the role of domesticated animals as disease vectors. The stuff about pre-Columbians not paying attention to quarantine is quite frankly rubbish (both because Europeans had no modern notions of quarantine either, and because it's impossible to make a blanket statement about how two continents-worth of civilizations conceptualized disease), as is the stuff about lack of urbanization (at least in the context of present-day Mexico and Peru, which indeed did have urbanization on a scale to rival Europe).

A personal pet peeve of mine is that Alfred Crosby wrote about this stuff in the 1970s (The Columbian Exchange) and the 1980s (Ecological Imperialism) but Diamond gets all the credit for it because he successfully repackaged it for more popular audiences, without adding much.