 Instead, Lisztomania had much more of a medical emphasis because the term "mania" was a much stronger term in the 1840s, whereas in the 20th century "mania" could refer to something as mild as a new fashion craze.Lisztomania was considered by some a genuine contagious medical condition and critics recommended measures to immunize the public.Some critics of the day thought that Lisztomania, or "Liszt fever" as it was sometimes called, was mainly a reflection of the attitudes of Berliners and Northern Germans and that Southern German cities would not have such episodes of Lisztomania because of the difference in constitutions of the populace.