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Social History of Medicine Advance Access originally published online on October 12, 2007
Social History of Medicine 2007 20(3):595-606; doi:10.1093/shm/hkm071
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© The Author 2007. Published by Oxford University Press on behalf of the Society for the Social History of Medicine. All rights reserved

Response

Infectious Diseases and Epidemiologic Transition in Victorian Britain? Definitely

Graham Mooney*

* Institute of the History of Medicine, Johns Hopkins University, Baltimore, MD 21205, USA. E-mail: gmooney3{at}jhmi.edu


  Abstract

Flurin Condrau and Michael Worboys recently denied that infectious diseases were part of the common experience of life and death in Victorian Britain and that epidemiological transition in this period was a ‘chimera’. This response argues that their ‘demolition’ of these shibboleths is itself an apparition. A substantial body of literature on Victorian mortality demonstrates that Condrau and Worboys's call for analyses of causes of death disaggregated by place, age and sex is outdated. Disputing Condrau and Worboys's narrow definition of infection, evidence presented here indicates that infectious diseases probably represented about 40 per cent of all deaths in England and Wales in the 1850s. This proportion easily exceeded 50 per cent in towns and cities, places where the majority of the population lived. Attention is drawn to published works on health gap measures and health expectancies which show that the decline of infectious diseases made a substantial contribution to improved life chances over the Victorian era. This shift in mortality patterns is interpreted as an integral component of the epidemiological transition.

Keywords: infectious diseases; epidemiological transition; Abdel R. Omran; health transition; health gap measures; life expectancy; life table decomposition; Victorian Britain; England and Wales


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