Although diseases were widespread in North America, colonists were less susceptible than in Europe because

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The American population was younger and more dispersed, which reduced the likelihood of disease transmission. In contrast, crowded European cities with older populations were more vulnerable to outbreaks. While exposure to European diseases may have contributed to building immunity in some individuals, it was not the primary reason colonists were less susceptible. There is no evidence to suggest that the colonies had better doctors than England or that American cities were cleaner than European counterparts. The virulence of diseases varied, but overall, the lack of dense populations and high concentrations of people in North America helped to limit the spread of diseases.

Although Diseases Were Widespread in North America, Colonists Were Less