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Middelburg (South Africa) was established as Nasareth, (root from dry land), in 1864 by the Voortrekkers on the banks of the Klein Olifants River. The name was changed in 1872 to Middelburg to mark its location between the Transvaal capital Pretoria, and the gold mining town of Lydenburg. A Dutch Reformed Church was built in 1890 and became a focal point in the area. The British built a large concentration camp in Middelburg during the Second Boer War. The Memorial Museum was built at the site next to the 1,381 graves of women and children that died in the concentration camp
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