re: #120 LeftyRambles2413 (HappyWarrior)

I’m no disease expert but I think you’re on to something about the air quality being a factor. TB I know had high mortality rates in the industrial cities.

The reason TB has higher spread rates in cities was because people live closer together, but the results are mixed.

Generally, in First World countries, the death rate is actually lower, because of better medical infrastructure than in rural areas. The converse is true in less-developed nations.

ncbi.nlm.nih.gov

In the past, before there was effective treatments for TB, the wealthy went to sanitariums in the country where they were treated well, got exercise, fed well, &c, while the poor were left to die in the city (and spread the disease further).