Due to some reason (i do not know exacly what happen) the fluorescent coating act as getter, when is not there, the atmosphere degrades and cause reduction in radiation output. I think, this would be the primary mechanism, why germicidal lamps degrade to unusable state long before electrodes fail. F15T8 is not as large, i've seen lot of F36T8 (in older hospitals, in fixed installation), they were for sure made of quartz (the tubular part, i'm not sure about filament sterns) and suffer the same aging problem.
It is known that many linear germidical lamps drop in uv output with usage. In fact you replace the lamp long before the electrodes fail. That is not characteristic with quartz. I find difficult to believe something as large as a f15t8 would be entirely made of quartz.