Living in the Shadow of Death: Tuberculosis and the Social Experience of Illness in American History

Tuberculosis-once the cause of as many as one in five deaths in the U. S. -crossed all boundaries of class and gender, but the methods of treatment for men and women differed radically. While men were encouraged to go out to sea or to the open country, women were expected to stay at home, surrounded by family, to anticipate a lingering death. Several women, however, chose rather to head for the drier climates of the West and build new lives on their own. But with the discovery of the tubercle bacillus in 1882 and the establishment of sanatoriums, both men and women were relegated to lives of seclusion, sacrificing autonomy for the prospect of a cure. In Living in the Shadow of Death Sheila Rothman presents the story of tuberculosis from the perspective of those who suffered, and in doing so helps us to understand the human side of the disease-and to cope with its resurgence. The letters, diaries, and journals piece together what it was like to experience tuberculosis, and eloquently reveal the tenacity and resolve with which people faced it. "A fascinating and powerful book. . . compelling reading. Tuberculosis was a disease, now reemerging, that killed more Americans, young or old, rich or poor, than any other disease, until well into the twentieth century. It shaped our culture, determined careers, blighted lives. Rothman writes beautifully and with great sensitivity about the human condition. The book will, I believe, become a classic in the field". -David E. Rodgers, Cornell Medical College