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The effect of nutritional status on historical infectious disease morbidity: evidence from the London Foundling Hospital, 1892-1919

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  • Schneider, Eric B.
Abstract
There is a complex inter-relationship between nutrition and morbidity in human health. Many diseases reduce nutritional status, but on the other hand, having low nutritional status is also known to make individuals more susceptible to certain diseases and to more serious illness. Modern evidence on these relationships, determined after the introduction of antibiotics and vaccines, may not be applicable to historical settings before these medical technologies were available. This paper uses a historical cohort study based on records from the London Foundling Hospital to determine the causal effect of nutritional status of children, proxied by weight- and height-for-age Z-scores, on the odds of contracting five infectious diseases of childhood (measles, mumps, rubella, chicken pox and whooping cough) and on sickness duration from these diseases. I identify a causal effect by exploiting the randomisation of environmental conditions as foundling children were removed from their original homes, then fostered with families in counties nearby London and later returned to the Foundling Hospital’s main site in London. I find no effect of nutritional status on the odds of contracting the five diseases, but I do find a historically important and statistically significant effect of nutritional status on sickness duration for measles and mumps. These findings have three implications. First, historical incidence of these diseases was unrelated to nutritional status, meaning that poor nutritional status during famines or during the Colombian Exchange did not affect the spread of epidemics. However, undernutrition in these events may have exacerbated measles severity. Second, improving nutritional status in the past 150 years would have reduced the severity of measles and mumps infections but not affect the decline in whooping cough mortality. Finally, selective culling effects from measles would be larger than those from whooping cough since whooping cough severity was not correlated with underlying nutritional status.

Suggested Citation

  • Schneider, Eric B., 2021. "The effect of nutritional status on historical infectious disease morbidity: evidence from the London Foundling Hospital, 1892-1919," Economic History Working Papers 111030, London School of Economics and Political Science, Department of Economic History.
    • Handle: RePEc:ehl:wpaper:111030
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    References listed on IDEAS

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    1. Fogel, Robert W. & Grotte, Nathaniel, 2011. "Major Findings from The Changing Body: Health, Nutrition, and Human Development in the Western World since 1700," The Journal of Economic Asymmetries, Elsevier, vol. 8(2), pages 1-9.
    2. Ian Gazeley & Andrew Newell & Kevin Reynolds & Hector Rufrancos, 2022. "How hungry were the poor in late 1930s Britain?," Economic History Review, Economic History Society, vol. 75(1), pages 80-110, February.
    3. Kota Ogasawara & Ian Gazeley & Eric B. Schneider, 2020. "Nutrition, Crowding, And Disease Among Low‐Income Households In Tokyo In 1930," Australian Economic History Review, Economic History Society of Australia and New Zealand, vol. 60(1), pages 73-104, March.
    4. Floud,Roderick & Fogel,Robert W. & Harris,Bernard & Hong,Sok Chul, 2011. "The Changing Body," Cambridge Books, Cambridge University Press, number 9780521705615, September.
      • Floud,Roderick & Fogel,Robert W. & Harris,Bernard & Hong,Sok Chul, 2011. "The Changing Body," Cambridge Books, Cambridge University Press, number 9780521879750, September.
    5. Roderick Floud & Robert W. Fogel & Bernard Harris & Sok Chul Hong, 2011. "The Changing Body: Health, Nutrition, and Human Development in the Western World since 1700," NBER Books, National Bureau of Economic Research, Inc, number foge10-1.
    6. Ian Gazeley & Andrew Newell, 2015. "Urban working-class food consumption and nutrition in Britain in 1904," Economic History Review, Economic History Society, vol. 68(1), pages 101-122, February.
    7. Carlos Bozzoli & Angus Deaton & Climent Quintana-Domeque, 2009. "Adult height and childhood disease," Demography, Springer;Population Association of America (PAA), vol. 46(4), pages 647-669, November.
    8. Ian Gazeley & Sara Horrell, 2013. "Nutrition in the English agricultural labourer's household over the course of the long nineteenth century," Economic History Review, Economic History Society, vol. 66(3), pages 757-784, August.
    9. Timothy J. Hatton, 2014. "How have Europeans grown so tall?," Oxford Economic Papers, Oxford University Press, vol. 66(2), pages 349-372.
    10. Quaranta, Luciana, 2014. "Early life effects across the life course: The impact of individually defined exogenous measures of disease exposure on mortality by sex in 19th- and 20th-century Southern Sweden," Social Science & Medicine, Elsevier, vol. 119(C), pages 266-273.
    11. Schneider, Eric B. & Ogasawara, Kota, 2018. "Disease and child growth in industrialising Japan: Critical windows and the growth pattern, 1917–39," Explorations in Economic History, Elsevier, vol. 69(C), pages 64-80.
    12. Arthi, Vellore & Schneider, Eric B., 2021. "Infant feeding and post-weaning health: Evidence from turn-of-the-century London," Economics & Human Biology, Elsevier, vol. 43(C).
    13. Schneider, Eric B., 2017. "Fetal health stagnation: Have health conditions in utero improved in the United States and Western and Northern Europe over the past 150 years?," Social Science & Medicine, Elsevier, vol. 179(C), pages 18-26.
    14. Schneider, Eric B., 2020. "Collider bias in economic history research," Explorations in Economic History, Elsevier, vol. 78(C).
    15. Jona Schellekens & Frans van Poppel, 2016. "Early-life conditions and adult mortality decline in Dutch cohorts born 1812–1921," Population Studies, Taylor & Francis Journals, vol. 70(3), pages 327-343, September.
    16. Eric B. Schneider, 2013. "Inescapable hunger? Energy cost accounting and the costs of digestion, pregnancy, and lactation," European Review of Economic History, European Historical Economics Society, vol. 17(3), pages 340-363, August.
    17. Bernard Harris & Martin Gorsky & Aravinda Meera Guntupalli & Andrew Hinde, 2012. "Long‐term changes in sickness and health: further evidence from the Hampshire Friendly Society," Economic History Review, Economic History Society, vol. 65(2), pages 719-745, May.
    18. Walker Hanlon, 2018. "London fog: A century of pollution and mortality, 1866-1965," Working Papers 18019, Economic History Society.
    19. Robert W. Fogel & Nathaniel Grotte, 2011. "An Overview of The Changing Body: Health, Nutrition, and Human Development in the Western World Since 1700," NBER Working Papers 16938, National Bureau of Economic Research, Inc.
    20. Kelly, Morgan & Ó Gráda, Cormac, 2013. "Numerare Est Errare: Agricultural Output and Food Supply in England Before and During the Industrial Revolution," The Journal of Economic History, Cambridge University Press, vol. 73(4), pages 1132-1163, December.
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    1. Björn Quanjer, 2024. "Height and the disease environment of children: The association between mortality and height in the Netherlands 1850–1940," Economic History Review, Economic History Society, vol. 77(2), pages 391-415, May.

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    More about this item

    Keywords

    morbidity; nutritional status; infectious diseases; health transition;
    All these keywords.

    JEL classification:

    • N01 - Economic History - - General - - - Development of the Discipline: Historiographical; Sources and Methods
    • N30 - Economic History - - Labor and Consumers, Demography, Education, Health, Welfare, Income, Wealth, Religion, and Philanthropy - - - General, International, or Comparative

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