Licence: Public Domain Mark
Credit: Epidemiology of tuberculosis / by Robert Koch. Source: Wellcome Collection.
Provider: This material has been provided by the Augustus C. Long Health Sciences Library at Columbia University and Columbia University Libraries/Information Services, through the Medical Heritage Library. The original may be consulted at the the Augustus C. Long Health Sciences Library at Columbia University and Columbia University.
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![Table 1.—Mortality fro?n pulmonary consumption. [After Sundbarg. Calculated for every 10,000 persons.] In Swe- den. In Stock- holm. 1751-1760 21.5 20.6 20.8 23.1 24.0 25.1 26.9 27.7 (a) 30.6 32.4 30.0 27.0 73 2 1761-1770 69 8 1771-1780 74 4 1781-1790 87 7 1791-1800 85 0 1801-1810 83.7 1811-1820 87.2 1821-1830 93.1 1831-1860 (a) 1861-1870 43 3 1871-1880 40 6 1881-1890 34 6 1891-1900 29.2 « No data given. Considerably higher figures prevail in the chief city of the country, and this corresponds to the usually accepted opinion that the cities, on account of the crowded buildings and the bad dwelling conditions connected therewith and also because of the less resisting power of their inhabitants, are more unfavorably situated as regards tubercu- losis than is the open country. Stockholm had in 1750 a mortality of 73.2, which in 1830 had advanced to 93.1; that is to say, nearly 100 per 10,000, or 1 per cent. The increase of mortality from phthisis in Stockholm is said by the Swedish physicians to be caused by the misuse of alcohol. The rate of 100 per 10,000 is only met with where the most unfavorable sani- tary conditions are encountered, for example, in jails, at least in former times; and also among the perishing races of North American Indians where alcohol is also the principal cause of decay. Accord- ing to the concurrent testimony of various travelers, the inhabitants of Greenland, compelled by the northern climate to live crowded to- gether in their huts, thus gTeatly increasing the possibility of infec- tion, suffer in an extraordinary degree from tuberculosis, reaching, it appears, even a higher figure than 100 per 10,000. A death rate of 50 per 10,000 occurs rather frequently in the last quarter of the nineteenth century, especially in cities. I will cite as examples among the German cities: Dllsseldorf, 55; Elberfeld, 59; Osnabriick, 52; Cologne, 50^; Munich, 50. Especially high figures occur in Austria-Hungary where there is 50 for Buda-Pesth; 58 for Presburg; 66 for Fiume; 72 for Vienna. From these figures we have a gradual descent until we reach a total absence of mortality. In certain regions, as in central Africa, tuber-](https://iiif.wellcomecollection.org/image/b21216150_0007.jp2/full/800%2C/0/default.jpg)
