Epidemics in Motion. Exploring the Interaction between Childhood Diseases in a Norwegian City, 1863–1928
DOI:
https://doi.org/10.51964/hlcs23101Keywords:
Ecological interference, Measles, Whooping cough, Case fatality rates, Historical populationsAbstract
This article explores interactions between measles and whooping cough in Christiania (now Oslo) during the period 1863–1928, using annual morbidity, mortality, and fertility data. Drawing on the ecological interference model proposed by Rohani et al. (2003), we examine whether epidemic patterns shifted from so-called out-of-phase to in-phase dynamics as fertility declined and the pool of susceptibles decreased. Dividing the analysis into two periods based on crude birth rates, we find that during the high-fertility era, disease cycles were typically out of phase. Surprisingly, this dynamic persists even in a period with comparatively lower birth rates, contradicting theoretical expectations. We discuss potential explanations, including population size thresholds for transmission and limitations in the available data. Modest in scope but exploratory in spirit, the study contributes to ongoing efforts - such as those initiated by Angélique Janssens — to use historical health data to understand long-term epidemic dynamics and inter-disease relationships.
Downloads
References
Hubbard, W. H. (2002). Death and disease in urban Norway: The mortality transition in Kristiania, Bergen, and Trondheim in the second half of the nineteenth century. In W. H. Hubbard, K. Pitkänen, J. Schlumbohm, S. Sogner, G. Thorvaldsen, & F. van Poppel (Eds.), Historical studies in mortality decline (pp. 23–42). Novus Forlag.
Janssens, A. (2016). Sekse, gender en de dood [Sex, gender and death] [Inaugural lecture]. Maastricht University. https://doi.org/10.26481/spe.20160122aj
Mercer, A. (1990). Disease mortality and population in transition: Epidemiological-demographic change in England since the eighteenth century as part of a global phenomenon. Leicester University Press.
Mina, M. J., Metcalf, C. J., de Swart, R. L., Osterhaus, A. D., & Grenfell, B. T. (2015). Long-term measles-induced immunomodulation increases overall childhood infectious disease mortality. Science, 348(6235), 694–699. https://doi.org/10.1126/science.aaa3662
Rohani, P., Green, C. J., Mantilla-Beniers, N. B., & Grenfell, B. T. (2003). Ecological interference between fatal diseases. Nature, 422(6934), 885–888. https://doi.org/10.1038/nature01542
Sommerseth, H. L. (2023). What was killing babies in Trondheim? An investigation of infant mortality using individual level cause of death data, 1830–1907. Historical Life Course Studies, 13, 61–88. https://doi.org/10.51964/hlcs12290

Downloads
Published
Issue
Section
License
Copyright (c) 2025 Hilde Sommerseth, Evelien Walhout

This work is licensed under a Creative Commons Attribution 4.0 International License.