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How Did Tuberculosis Start?

Published in Disease History 2 mins read

Tuberculosis (TB) has a long and complex history. While the Mycobacterium tuberculosis bacteria causing the disease we know today originated relatively recently, evidence suggests a much older ancestral presence.

The Ancient Origins of TB

A growing body of evidence points to the origin of M. tuberculosis in East Africa approximately 3 million years ago. However, the current strains of the bacteria share a common ancestor that emerged much later, between 20,000 and 15,000 years ago. This suggests that while the disease has ancient roots, the specific bacteria causing most modern cases evolved more recently. Its spread likely accelerated with the development of agriculture and increasing human population density. The disease also spread to domesticated animals in Africa, such as goats and cows, furthering its transmission.

The Discovery of the TB Bacterium

The discovery of the Mycobacterium tuberculosis bacterium itself is relatively recent. On March 24, 1882, Dr. Robert Koch announced his discovery, a pivotal moment in understanding and combating the disease. Before this, the infectious nature of TB was demonstrated in 1865 by Jean-Antoine Villemin, a French military surgeon. His work established a crucial link between infection and the disease's spread.

TB's Spread Throughout History

TB spread through human populations along trade routes, facilitating its global distribution. Its spread was influenced by factors such as population density, living conditions, and overall sanitation.

In summary, the origins of M. tuberculosis are ancient, tracing back millions of years in East Africa. However, the strains responsible for modern-day TB infections arose more recently, around 15,000-20,000 years ago. The identification of the bacteria itself, however, was a landmark achievement in the 19th century.

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