A forgotten plague

Abstract

Dysentery, or rödsot, as the disease was previously known in Sweden, continues to be a major scourge in developing countries. However, the disease has almost disappeared in the West. Very different circumstances prevailed before infectious diseases declined as some of the major causes of death during the 19th century. In that era, 10,000 people could die of dysentery in a single year in Sweden. The demographic consequences of dysentery in Sweden and the causes of the disease and its disappearance are discussed in this article. It is shown here that despite the devastating effects of dysentery epidemics, most government actions were targeted at cholera. Considerable regional and local differences are revealed as the disease is mapped over Sweden. Clusters of high mortality formed, and even in hard-hit Jönköping County some parishes were almost never affected. It becomes apparent that the outbreaks have been the result of complex interactions between different variables and have led to widespread disease of uneven and often epidemic proportions.For the statistical analyses the digitized source material of the Demographic Data Base (DDB) at Umeå University has been used, containing statistical demographic data gathered from parishes from all over Sweden. Other sources drawn upon include published statistical data, reports from district medical officers, newspapers, parish registers, and maps.