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HLTB21H3 (177)
Chapter 13

Chapter 13 - Tuberculosis

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University of Toronto Scarborough
Health Studies
Caroline Barakat

Chapter 13 The Peoples Plague: Tuberculosis Used to be called consumption; characterized by nostalgia, depression, and excessive sexual indulgence; stimulates artistic talent and mental activity lawl TB was still is thought to produce spells of euphoria, increased appetite, exacerbated sexual desire Having TB was imagined to be an aphrodisiac, and to confer extraordinary powers of seduction. Susan Sontag, Illness as a Metaphor 1800s, epidemic peak in Europe; persons afflicted considered beautiful and exotic; extreme thinness, long neckhands, shining eyes, pale skin, red cheeks; painful death by drowning in ones own blood; chronic infectious disease Romanticized in operas, movies, and literature La Traviata, La Boheme, The Woman of the Camellias, Camille Believed to be due to hereditary predisposition or living habits (debauched bohemian lifestyle, pverty, sexual promiscuity History Found in bony remains that predate human writing Potts disease described in Egyptian mummies dating from 3700-1000 BC o Mummy of priest from 100 BC discovered near Thebes; destruction of spinal bones o No evidence of PTB in mommies of this period o High priest of Ramses II; small child found with PTB in lungs (1000-400 BC) Incan mummy of boy with Potts disease (700 AD); M. bovis in 17 thousand years old bison in Wyoming; presence of TB in prehistoric America PTB is a more recent form of TB than the one that infects the bones Hypothesis: M. tuberculosis evolved from M. bovis after the domestication of cattle (between 8000-4000 BC) o Epidemic form of TB didnt occur before this time Spread to Middle East, Greece, and India via nomadic tribes (Indo-Europeans) who were mild-drinking herdsmen; migrated from forests of centraleastern Europe ~1500 BC Clay tablet in Assyrian King Ashurbanipal (668-626 BC)s library described the disease; coughs frequently, sputum is thick and sometimes contains blood, breathing is like a flute, skin is cold Hippocrates; called disease phthisis meaning to waste; individual was emaciated and debilitated with red cheeks, great suffering leading to death; disease due to evil air; not contagious Aristotles; contagious due to bad and heavy breath. Galen; theory of contagion of phthisis came to be accepted in the Roman Empire; contagious agent not found Middle ages o Feudal system www.notesolution.com
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