It is one thing to have a virulent disease wipe out an ignorant people with limited communication and scientific ability to cope. It is wholly another what is done purposefully by governments to their own and others. Japan, China, and Russia, all have been guilty of incredible death tolls because of treatment of their own people and those they conquered. If anything that make the Nazi's look like amateurs but for the most part they get a pass for their past transgressions
But the Black Death itself was special in that it was such a condensed and intense disaster. If you have the chance to read the eyewitness accounts, as collected by Rosemary Horrox it is quite impressive.
http://www.amazon.com/Black-Death-Manchester-Medieval-Source...
[1] - https://en.m.wikipedia.org/wiki/Great_Oxygenation_Event