Children of J.D. Tillman - victims of hookworm: Leon County, Florida (1931)
L-R: LeRoy Tillman (age 8, 41 lbs), George (age 12, 61 lbs), Joseph (age 15, 67 lbs), Mildred (age 16, 72 lbs).
Hookworm and Poverty
Victims of hookworm were most often poor, and the effects of hookworm on poor children and adolescents were considered by reformers to be one of the contributing factors in the inability of poor citizens to achieve success and pursue education.
State officials viewed hookworm as clearly associated with poor sanitation and community and household hygiene, areas of increasing concern in the last decade of the 19th century in the South.
Disease and sanitation in dense urban areas and impoverished regions of the rural South were viewed by Progressive Era reformers as a cause of endemic poverty.