1800s Public Health Flashcards

1
Q

Describe the living conditions in the early 1800s

A

Now laws on waste disposal, sewers or clean water so disease spread easily in these squalid conditions.
Low quality slum housing.
Houses were built as close together as possible as more people crowded into factory towns to work.
The conditions were so bad that many people’s health may have even become worse than ever before.
During the late 1700s and the first half of the C19th, conditions in British towns became worse than ever.

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2
Q

What was believed to cause illness for most of the 1800s

A

Miasmas and God
Therefore many people did not try and improve public health and conditions as they did not believe there was a correlation.
This was until the germ theory was discovered and many people started to try and improve it.

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3
Q

What was the laissez-faire attitude?

A
  • Many thought the government shouldn’t interfere in cleaning up towns of the country - called the laissez-faire attitude.
  • They believed the government should allow each local area to control its own affairs.
  • This meant that local ratepayers made all the decisions. Local ratepayers didn’t want the government to force them to pay for improvements to their towns.
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4
Q

What did Edwin Chadwick do try and improve public health?

A

Was asked by the government to report living conditions
He concluded that ill health was caused by poor living conditions
He gave his idea to the government to save money by cutting taxes so that they could spend the money on helping the poor, by building sewers and cleaning streets, which would increase life expectancy

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5
Q

What did Edwin Chadwick include in his “Report on the Sanitary Conditions of the Labouring Population” about what industrial towns should do?

A
  • Organise drainage and refuse collection.
  • Provide a pure water supply.
  • Appoint a Medical Officer of Health.
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6
Q

What happened after Edwin Chadwick’s report?

A

-For over 30 years an argument went on about the need for town councils or the government to take action. Towns such as Liverpool and Manchester did start to build sewage and water - supply systems.

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7
Q

What were the limitations of Edwin Chadwick’s proposal

A

Rich taxpayers objected to help pay for facilities that they would not use.
The Government were still not fully interested in helping improve public health and believed it was someones own responsibiltiy, and even the people believed they should not interfere

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8
Q

What was the impact of William Farr

A

Registed births, deaths and marriages to prove the link between high death rates and living conditions
This put pressure on the government

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9
Q

What factors improved public health in the 1800s

A

S & T The germ theory provided a link between germs and illness so encouraged cleanliness and increased the standard of public health
IG Farr, Chadwick and Snow put pressure on the government to improve public health
Government, they had the money to improve public health and introduced the Public Health Act

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10
Q

What was the Public Health Act

A

Local Councils had powers to improve their own water supplies and sewers
The government improved public health so that they could get votes from the public
Councils appointed a medical officer of health

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11
Q

What were the limitations of the Public Health Act

A

It was not compulsory and just gave suggested improvements to local councils.
After the threat of cholera reduced it became abolished

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12
Q

What did John Snow do?

A

Proved the link between Cholera and one pump on Board Street
Removed the handle on the pump saving many lives as there were no more deaths and it later came to light that a cesspool near to the pump had a cracked lining which allowed the contents to contaminate the drinking water.
Put pressure on water companies to clean up their water supply and the government to improve public health

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13
Q

What were the limitations to John Snow

A

Many refused to believe the link because they could not understand why. They still believed in miasmas and spontaneous generation

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14
Q

What was the impact of the first Public Health Act of 1848?

A
  • Although it wasn’t compulsory, the government set up a Board of Health to encourage, but not to force, local authorities to improve conditions.
  • Gave local authorities money to make improvements to their areas of they wanted to and had the support of local ratepayers.
  • Only a few local authorities took any new measures.
  • By 1872 only 50 Medical Officers had been appointed.
  • The Board of Health was abandoned in 1854.
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15
Q

What and when was the Great Stink?

A
  • For years human waste went from latrines in London into the River Thames.
  • In 1858 the hot weather caused a ‘great stink’. The putrid smell was right under Parliament’s nose.
  • Parliament considered moving and had to coat their curtains with a deodorant to get rid of the small.
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16
Q

What effects did the Great Stink of 1858 have on the government?

A

-The Great Stink prompted Parliament to sort out London’s sewage and drainage system and to clean up the River Thames.

17
Q

What had Sir Joseph Bazalgette done within a year of the Great Stink?

A

-Within a year of the Great Stink, Sir Joseph Bazalgette had begun to build an extensive system of sewers and drains that are still in operation today.

18
Q

When was the Second Reform Act and what effect did it have?

A
  • Working class men were given the right to vote.
  • For the first time, it wasn’t just the ratepayers who got a say in improving public health.
  • MPs were forced to improve the living conditions of the poor.
19
Q

When was the second Public Health Act?

A

-1875.

20
Q

What was different about the 1875 Public Health Act compared to the 1848 Public Health Act?

A

-The 1875 Public Health Act was compulsory/forced, whereas the 1848 Public Health Act was not.

21
Q

What impacts did the 1875 Public Health have?

A
  • Provision of clean water.
  • Proper drainage and sewage.
  • The appointment of a Medical Officer of Health.
22
Q

Why was the 1875 Public Health Act introduced?

A
  • Scientific Developments - In 1861, Louis Pasteur published his germ theory which proved the link between dirt and disease. With scientific proof, people were more willing to cover the costs of public health reforms.
  • New Voters - Working-class men were given the vote in 1867. MPs were more likely to take notice of the victims of the poor public health.
  • Statistics - The government published statistics of where death rates were highest and what people died of. The statistics shamed some unhealthy towns into action.
  • Cholera Outbreaks - When cholera returned in 1865 and the link between disease/dirty water had been proven by John Snow, ratepayers were finally prepared to take action.
  • Weakening of Laissez-Faire - The government saw it could no longer leave public health measures to individuals or councils, and realised that they had to take action.
23
Q

What results did the 1875 Public Health Act have?

A
  • Improved the standards of housing.
  • Stopped the pollution of rivers from which people got water.
  • Shortened working hours in factories for women and children.
  • Made it illegal to add ingredients that made food unhealthy.
  • Made education compulsory.
24
Q

What is a summary of how public health has changed over the course of the 1800s?

A
  • Limited - 1830s - A few towns introduced sewers, refuse disposal and clean water.
  • Optional - 1848 - 1848 Public Health Act, towns could set up Boards of Health if 10% voted for it.
  • Compulsory - 1875 - 1876 Public Health Act, councils forced to provide basic sanitation and medical officers.
  • Comprehensive - 1948 - from cradle to grave, Pensions,National Insurance, Welfare State and the NHS.