"Oh, yes," said Tessie. "Everyone did. Last winter when it was so cold, she slept on the daybed in our kitchen. It was the only warm place in the house."

"And she coughed a lot?" said the doctor.

Tessie nodded. "All the time. She was really sick."

"That's why you have to go away," said the doctor. "The TB bacteria is carried in the air through coughing and sneezing."

Tessie got up. "I guess I'll have to be brave," she said smiling.

The doctor took her hand. "You're going to be all right," he said.

Introduction

Throughout most of the 20th century, many Newfoundlanders like Tessie became infected with tuberculosis. Newfoundland had the highest rate of TB in the western world. From 1901 to 1975, 31,824 Newfoundlanders died of the disease. In 1906 alone, there were 933 deaths. Just how common the disease was is made clear by Edgar House:

We are appalled when we read that, during the Great War of 1914-1918, 1295 young men of the Newfoundland Regiment gave their lives in defence of freedom. In the same five year period, 3498 Newfoundlanders of all ages were killed by TB, the "Constant Invader," and thousands of others carried the scars for the rest of their days.1

The average age of people who died from TB was 33. More women became infected with the disease, but more men died from it. In 1935, for every 10,000 people, 18.9 males and 21.2 females became infected.2 The males who died were usually between 15 and 45 years old. Because so many parents died, many children were brought up by others. The effect on small communities was very serious. TB remained the leading cause of death in Newfoundland until 1947.


1 Edgar House. Light at Last: Triumph over Tuberculosis in Newfoundland and Labrador 1900-1975. Jesperson Press, 1981. p. 6.
2 T.O. Garland and P. D'Arcy Hart. Tuberculosis in Newfoundland. Trade Printers and Publishers, 1945. p. 21.