Environmental factors in Tiny Tim's near fatal illness

Le Bonheur Professor Russell Chesney, M.D. believes he knows what was ailing Tiny Tim, the iconic character from Charles Dickens' "A Christmas Carol." Based on detailed descriptions of both the symptoms and living conditions of 18th century London, Dr. Chesney hypothesizes that Tiny Tim suffered from a combination of rickets and tuberculosis (TB). His findings were published in the March 5 edition of Archives of Pediatrics and Adolescent Medicine.

Dr. Chesney noted during the time the novel was written, 60 percent of children in London had rickets and nearly 50 percent displayed signs of TB. He says this is due to crowded living conditions, poor diets, filth and low exposure to sunlight. The coal-burning city of London in addition to particles from a Indonesian volcanic eruption contributed to blackened skies for many years.

Both rickets and TB can be improved and indeed cured through increased exposure to Vitamin D, which can be obtained through exposure to sunlight and a .

As the Ghost of Christmas Present showed Ebenezer Scrooge, Tiny Tim's condition would be fatal without a different course for the boy. According to Dr. Chesney's research, Scrooge could have ensured an improved diet, sunshine exposure and (a common supplement of the day high in Vitamin D) through improved generosity to Bob Cratchit and his family.

Journal reference:

Provided by Le Bonheur Children's Hospital

not rated yet
add to favorites email to friend print save as pdf

Related Stories

Could cod liver oil help combat tuberculosis?

Dec 20, 2011

A review of a historical study from 1848 reveals that cod liver oil was an effective treatment for tuberculosis, says Professor Sir Malcolm Green in the Christmas issue published on in the British Medical Journal today.

Recommended for you

Initiative to emphasize concussions are treatable

1 hour ago

At a time when the national concussion conversation instills fear and uncertainty among parents and athletes at all levels, the UPMC Sports Medicine Concussion Program is working to change the current discussion where two ...

England's NHS appeals for more government funds

1 hour ago

Leaders of England's state-funded National Health Service (NHS) warned on Thursday that billions of pounds in extra funds were needed to maintain patient care, laying down the gauntlet to politicians ahead of May's general ...

Lose the weight, not the potatoes

2 hours ago

A new study demonstrates that people can eat potatoes and still lose weight." Potatoes, Glycemic Index, and Weight Loss in Free-Living Individuals: Practical Implications" is now available through free access from the Journal of ...

Team-based approach can improve hypertension control

3 hours ago

(HealthDay)—A team-based approach using evidence-based principles can be incorporated into practice workflow to improve hypertension control, according to a practice story published by the American Medical ...

User comments