People from that time had all kinds of maladies. Life was tough with periods of starvation. What was the life expectancy? 40 years?
Infant mortality rate was probably pretty high too.
Folks: quality of life improved a little over 100 year ago with gradual improvements in medicine and food production.
100 years vs the rest of humanity wrought with starvation, diseases, ....
How quickly this can all change, too.