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Medicine Through Time  
the Industrial Revolution
Public Health
 

Did life expectancy improve in Britain between 1800 and 1900?

Smoke abatement - two views from the
same point in 1895 and 1960

Street scene showing living conditions
in the 19th century

In the 19th century the size of many British cities increased rapidly as a result of the Industrial Revolution. Over the century public health gradually improved but it took a long time to change the lives of people in the slums.

Factory towns became more and more crowded as they got bigger and houses were built as closely together as possible. they were damp and overcrowded and dirty; people had to cook, eat and sleep in filthy conditions. there were no sewers and there were piles of waste everywhere. Disease was a major problem. In 1865 there was an epidemic of cholera that killed 14,000 people in England and Wales. Conditions were so bad that many people's lives were cut short.

In 1842 a government report into the living conditions of the poor was published. It recommended organising drainage and refuse collection, providing a pure water supply and appointing health officers in towns.

For 30 years town councils and the government argued about who should improve conditions, although some of the larger cities like Liverpool and Manchester did start to build sewers and to supply water themselves. Eventually in 1875 the government passed the Public Health Act to force towns to build effective sewers and appoint medical officers. By 1900 the government accepted some responsibility for public health as well, and each city and town had a proper water supply and sewage system.

Think about this:

  • How slum living conditions encourages diseases
  • How governments massively improve public health
  • How scientific discoveries have helped convince successive governments that they can improve public health.