Tuberculosis became epidemic in Europe with the rise of large, crowded cities. Unsanitary practices and poverty are always cited as causes, but we wonder if the disease didn’t become epidemic simply because large numbers of people began spending large amounts of time together indoors. Air exhausted from a TB ward reliably pro- duces infection in guinea pigs but no longer causes infection if it is briefly exposed to ultraviolet light. A single sneeze can produce a mil- lion droplets, which settle to the ground at a rate of only about one centimeter per minute in still air. In the open air they would be dis- persed or killed by sunlight, but indoors they might last for weeks, as they no doubt did in 1651, when tuberculosis caused 20 percent of all deaths in London.
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