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Some Foreign Relations of Medici Pope Leo X

In 1513, Pope Leo X canonically erected the first diocese on the American continental mainland. This is part of the Church's "fundamental and constructive role in shaping Panama's identity, forming part of this Country's spiritual patrimony and cultural heritage". (Pope Benedict XVI, 30 October 2009)

In 1518, Pope Leo X consecrated the first native bishop of Black Africa. (Pope St. John Paul II, Ecclesia In Africa, § 32)

In 1520, Pope Leo X created the title of "Patriarch of the West Indies" for the senior bishop in Spain. (Charles Coulombe, Vicars of Christ [ISBN 0-8065-2370-0], p. 340)

Pope Leo X praised Croatia as a great ally of the Church, the "scutum saldissimum et antemurale Christianitatis". (Pope Benedict XVI, 11 April 2011)