By Georgia. Wildlife Resources Division
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This line of thought parallels a central theme in The Sanitary City by Martin V. Melosi and in several other recent books on urban and technological history. 12 Chapter 1 Finally, in his landmark book, The Modern Rise of Population, Thomas McKeown has shown that large reductions in human mortality occurred before the introduction of antibiotics, widespread immunizations, and effective clinical treatments of most diseases. Because these mortality reductions preceded effective medical therapies, McKeown argues that they must have been driven by environmental changes, particularly improved nutrition brought about partly by economic growth and the associated increases in food supplies, and to a lesser extent by improved public-health infrastructures such as public water and sewer lines.
Introduction 9 disparities in disease rates reﬂected inequities in the provision of such services. 11 The data that underlie this and other comparisons of black and white mortality are ultimately derived from the same sources as the data presented in this book. So if the data used here are ﬂawed, the data that have allowed previous historians to routinely attribute interracial differences in disease rates to inequities in public services are also ﬂawed. Setting aside genuine scientiﬁc concerns about data quality, this line of thought makes it impossible to say anything at all about the sources of interracial disparities in health.
At its early stages, typhoid’s symptoms often resemble those of respiratory diseases, and pneumonia is often present. In nearly all cases, typhoid victims experience severe fever. Body temperatures can reach as high as 105 F. A week or so after incubation, rose-colored spots sometimes appear on the patient’s abdomen. 8 Three weeks after incubation, the disease is at its worst. The patient is delirious, emaciated, and often has blood-tinged stools. One in ﬁve typhoid victims experiences a gastrointestinal hemorrhage.
Alligator fact sheet by Georgia. Wildlife Resources Division