Skip to main content Accessibility help
×
Hostname: page-component-84b7d79bbc-g7rbq Total loading time: 0 Render date: 2024-07-26T12:17:37.097Z Has data issue: false hasContentIssue false

66 - Tuberculosis infections

Published online by Cambridge University Press:  13 April 2023

Mary Shaw
Affiliation:
University of Bristol
Bethan Thomas
Affiliation:
University of Sheffield
George Davey Smith
Affiliation:
University of Bristol
Daniel Dorling
Affiliation:
University of Sheffield
Get access

Summary

This category includes various forms of tuberculosis, and is a sub-category of All deaths due to infections (see Map 6).

Tuberculosis (TB) is transmitted by infectious droplets when an infected person coughs or sneezes and occasionally by unpasteurised milk from infected cows. It is linked with poverty and living in overcrowded conditions. Many cases of TB in England and Wales are also linked with recent immigrant communities; this is less the case in Scotland. The map shows very high SMRs in Glasgow, London, Birmingham and the Greater Manchester area.

TB is an infection caused by mycobacteria. It most commonly attacks the lungs (known as respiratory or pulmonary tuberculosis) but can also affect other organs such as the central nervous system, the lymphatic system, the circulatory system, the bones, joints and even the skin. Symptoms include chest pain, a prolonged cough and coughing up blood.

Children who catch TB are often not ill with it and become resistant to it. Adults with HIV are at much greater risk of catching TB and much harder to treat.

TB is now usually curable with antibiotics which must be taken for at least six months. Before TB could be treated in this way, in the early twentieth century, people who had the infection were commonly sent to sanatoria for many months and sometimes years, where they were treated with a regime of fresh air and rest. Some strains resistant to all antibiotics are now occurring.

TB is a disease that has a particular association with literature and the Romantic period, with poet John Keats (1795–1821) being the most notorious literary victim of TB and the epitome of the young, beautiful, doomed poet.

Type
Chapter
Information
The Grim Reaper's Road Map
An Atlas of Mortality in Britain
, pp. 134 - 135
Publisher: Bristol University Press
Print publication year: 2008

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Save book to Kindle

To save this book to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×