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Health Reforms in Industrial Cities

Apr 10, 2025

GCSE Revision: Industrial People's Health

Overview

  • Focus on living conditions in urban industrial cities like Manchester and Leeds.
  • Discussion on epidemics with focus on cholera.
  • Examination of public health changes and reforms.

Key Themes

  1. Impact of Living Conditions
    • Housing, food, clean water, and waste.
    • Movement from countryside to urban areas.
  2. Response to Epidemics
    • Cholera outbreaks and changing beliefs.
  3. Improving Public Health
    • Public Health Acts of 1848 and 1875.

Timeline

  • Industrial Era: 1750 to 1900.
  • Population increase from 6 million (1750) to 37 million (1900).
  • Political changes and urbanization.

Urban Living Conditions

  • Poor Working Conditions
    • Overcrowded slum housing, spread of disease due to dirty water.
    • Back-to-back housing with poor construction and no ventilation.
  • Reasons for Poor Conditions
    • Rapid urban growth, weak town governments, laissez-faire attitudes.
    • Lack of sewage and clean water systems.
  • Diseases
    • Tuberculosis, typhoid, cholera, and other waterborne diseases.

Cholera Epidemics

  • Spread and Symptoms
    • Brought by sailors in 1831, symptoms include vomiting and diarrhea.
  • Response to Cholera
    • Initial beliefs in miasma and divine punishment.
    • Change in understanding with Jon Snow linking disease to contaminated water.
  • Public Health Reforms
    • Edwin Chadwick's sanitary report, leading to Public Health Act of 1848.

Key Public Health Reforms

  1. Edwin Chadwick's Sanitary Report
    • Linked poor health to living conditions.
    • Led to the 1848 Public Health Act.
  2. Jon Snow and the Broad Street Pump
    • First demonstration of waterborne disease spread.
    • Ideas initially dismissed due to strong belief in miasma.
  3. Joseph Bazalgette's Sewage System
    • Addressed the Great Stink of 1858 in London.
    • Advanced sewage systems reduced waterborne diseases.

Public Health Acts

  • Public Health Act of 1848
    • Established the General Board of Health, but limited impact.
  • Public Health Act of 1875
    • Forced councils to improve sanitation; marked significant government intervention.

Local Initiatives and Reforms

  • Sanitary Act of 1866
    • Made councils responsible for water supply and sanitation.
  • Sale of Food and Drugs Act of 1875
    • Improved food quality control.
  • Women's Cooperative Guild
    • Campaigned for better health services and reforms.
  • Local Housing Projects
    • Slum clearance and building of better housing in cities like Manchester.

Conclusion

  • By 1900, significant progress in public health, though many challenges remained.
  • Life expectancy still low, and infant mortality high.
  • Ongoing need for housing reforms and better living conditions.