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Andrea Kaston Tange, Professor of English, Macalester College

Infectious diseases killed Victorian children at alarming rates — their novels highlight the fragility of public health today

Thomas Worth's 1872 illustration for the Household Edition of _The Old Curiosity Shop_ highlights her grandfather's grief at losing Little Nell. Thomas Worth via George P. Landow/Victorian Web

Modern medicine has enabled citizens of wealthy, industrialized nations to forget that children once routinely died in shocking numbers. Teaching 19th-century English literature, I regularly encounter gutting depictions of losing a child, and I am reminded that not knowing the emotional cost of widespread child mortality is a luxury.

In the first half of the 19th century, between 40% and 50% of children in the U.S. didn’t live past the age of 5. While overall child mortality was somewhat lower in the U.K., the rate remained near 50% through the early 20th century for children living in the poorest slums.

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