Breathnach C S, Moynihan J B
School of Medicine and Medical Science, NUI University College Dublin Belfield, Dublin 4.
Ulster Med J. 2011 Jan;80(1):42-8.
Absence of documentary or bony evidence before the seventeenth century in Ireland is not conclusive evidence of freedom from tuberculosis. Clear records begin with Bills of Mortality kept in Dublin, the city at the centre of English administration of Ireland, and they show that the basis for an epidemic was firmly established therein before 1700. In the middle of the nineteenth century the cataclysmic Famine opened the floodgates of poverty and urban overcrowding that resulted in an alarming death rate that continued to increase until the early years of the twentieth century. It is to William Wilde (1815-1876) we owe the nuanced investigation of the earliest numerical records of consumption and related disorders in Ireland.
17世纪之前爱尔兰缺乏文献或骨骼证据,并不能确凿证明当时没有结核病。确切的记录始于都柏林保存的死亡率账单,都柏林是英国统治爱尔兰的中心城市,这些记录表明,1700年之前,流行病的基础在那里已牢固确立。19世纪中叶,灾难性的饥荒打开了贫困和城市过度拥挤的闸门,导致惊人的死亡率,这种情况一直持续上升,直到20世纪初。我们要归功于威廉·王尔德(1815 - 1876)对爱尔兰最早的肺结核及相关疾病数字记录进行了细致入微的调查。