3.1 Flashcards

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1
Q

What was the impact of Industrialisation on the death rate?

A

Death rate fell due to:

  • Medical industry producing vaccine that prevented smallpox.
  • Agricultural industry producing better quality & quantity of food.
  • Chemical industry producing cheap & accessible soap.
  • Textile industry producing cheap cotton cloth.
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2
Q

What was the impact of Industrialisation on the birth rate?

A

Birth rate rose due to:

- Fewer people dying when they were young so more people survived to become parents.

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3
Q

What was the impact of Industrialisation on the marriage rate?

A

Marriage rate rose due to:

  • Farmers employed fewer live-in servants in rural areas making it easier for labourers to start making lives together instead.
  • Industrial workers could marry as soon as they got a job as unskilled workers began replacing the skilled who had apprenticeships.
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4
Q

What was the impact of Industrialisation on housing?

A
  • Resulted in widespread, dense overcrowding.
  • Urban communities responded to the demand of housing by using and adapting ‘vacant’ living spaces and building more.
  • Cellars and attics became filled with working people and their families.
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5
Q

What was the impact of Industrialisation on sanitation?

A
  • Lack of services to a house rather than the house itself that caused issues.
  • Most houses in the first half of the 19th century lacked drainage, sewerage & regular water supply.
  • Communal privies were usually outside in courtyards and alleys, and empties into cesspits.
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6
Q

What were the issues surrounding water in regards to sanitary living conditions?

A
  • Water was expensive and in short supply.
  • Water was controlled by vested interests in the form of private water companies.
  • Middle class often had water piped to their houses and due to uncertainty of supply stored it in tanks.
  • Poorer areas had to make do with standpipes and people had to buy what they could afford once the water supply was turned on.
  • People who were too poor or didn’t have enough often Tok their water from local wells and streams.
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7
Q

Why was life expectancy low for the working class?

A
  • People living in overcrowded, unsanitary conditions and without easy access to a supply of clean water had body lice, which spread typhus fever.
  • Influenza, scarlet fever and tuberculosis (the white plague) and measels were endemic and often killers.
  • Typhoid and diarrhoea were common.
  • Cholera hit Britain in 4 massive epidemics.
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8
Q

When were the Typhoid outbreaks and how many people died in 1847?

A
  • In 1847 10,000 people in the north-west England were killed.
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9
Q

When were the Cholera epidemics and how many people died?

A
  • 1831-1832. (31,000 killed)
  • 1848-1849. (62,000 killed)
  • 1866.
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10
Q

What was the Miasma theory of disease?

A
  • Developed in the Middle Ages.
  • It was believed that diseases were caused by the presence of miasma in the air.
  • A miasma was a kind of poisonous gas, characterised by a foul smell.
  • If one was to breathe in miasma they would become ill as miasma carried disease.
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11
Q

How did Industrialisation impact the Miasma theory?

A
  • Rapid growth of towns ad created many filthy, foul-smelling areas in most cities.
  • It was in these areas where disease was rampant, epidemics were common and death rates high.
  • Resolution was to clean up towns, improve housing and sanitation and therefore public health should automatically improve.
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12
Q

What was the Germ theory of disease?

A
  • Scientists became interested in decaying matter and the maggots and flies that lived on and in it.
  • Development of microscopes (1830) enabled them to observe micro-organisms in rotting material that were much smaller than flies and maggots.
  • Scientists proposed 2 ideas regarding the origin of micro-organisms:
    1) Decaying material created micro-organisms.
    2) Micro-organisms in the air were attracted to decaying material.
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13
Q

Which theory of disease was correct?

A
  • 1860, Louis Pasteur conducted a series of experiments proving that micro-organisms existed in the air.
  • Came to the conclusion that if a certain micro-organism could cause disease in a silkworm then the same must apply to humans.
  • Pasteur wasn’t believed and many influential people were slow to let go of Miasma theory.
  • Robert Koch and his team during the 1880s&1890s identified the germs that caused most of the killer diseases of the 19th century.
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14
Q

During the 1832 Cholera Epidemic what percentage of those who contracted the disease died?

A
  • 40-60%.
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15
Q

Where were the Cholera-phobia riots?

A
  • 30 recorded Cholera-phobia riots in towns and cities throughout England.
  • Principally affected were:
    Birmingham, Bristol, Exeter, Edinburgh, Glasgow, Leeds, London, Manchester, Liverpool and Sheffield.
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16
Q

What was the basis for the Cholera-phobia riots in Liverpool?

A
  • Generally held belief that cholera victims were being taken to the local hospital where they were murdered by doctors in order to provided bodies for dissection.
  • In 1826, 33 bodies had been found on the Liverpool docks ready to be shipped to Scotland for dissection.
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17
Q

What was the basis for the Cholera-phobia riots in Exeter?

A
  • Authorities instituted regulations for the disposal of cholera-infected corpses as well as their clothing & bedding.
  • People rioted and even attacked gravediggers, because they objected to the burial of cholera victims in local graveyards.
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18
Q

What was clear about the basis of the Cholera-phobia riots?

A
  • Weren’t directed at the authorities for failing to contain the epidemic.
  • Arose because of specific fears that medical students were stealing bodies for dissection.
  • Doctors were murdering victims.
  • Victims buried in unconsecrated ground.
  • Victims buried hastily, often before they were dead and without religious ceremony.
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19
Q

How did the government react to the Cholera outbreak?

A
  • The government had to take action against cholera, which they hadn’t done about previous ‘dirty’ diseases.
  • Set up a temporary Board of Health.
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20
Q

What did the British government do in reaction to the Cholera outbreak in 1831?

A
  • Sent 2 medical commissioners to Russia, where there had previously been an outbreak, in order to asses the situation.
  • Their report coupled with general alarm led to the a temporary Board of Health being set up.
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21
Q

What did the temporary Board of Health do during the Cholera outbreak?

A
  • Advised local government areas to set up their own boards of health which could deal with problems at a grass-root level.
  • Suggested that these local boards of health should include one or more magistrates, a clergyman, some ‘substantial householders’ and one or more medical men.
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22
Q

Who was apart of the temporary Board of Health?

A
  • President and 4 fellows of the Royal College of Physicians.
  • Superintendent general of quarantine.
  • Director-general of the Army medical department.
  • Medical commissioner of the Victualling Office.
  • Two civil servants.
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23
Q

What did the local boards of health do during the Cholera outbreak?

A
  • Appointed district inspectors to report on the food, clothing and bedding of the poor, ventilation of their dwellings, number of people per room, the ways in which they kept clean and their behaviour.
  • The Boards of health were a trifle hazy about what advice to issue in the occasion someone did catch cholera.
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24
Q

What advice did the local boards of health issue during the Cholera outbreak?

A
  • Houses were to be whitewashed and limed and all infected furniture and clothing was to be fumigated.
  • People with cholera were to be put in strict quarantine.
  • Food and flannel clothing were to be distributed to the poor.
  • Temporary fever hospitals were to be set up.
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25
Q

What remedies did the Board of Health suggest to those who caught Cholera?

A
  • Rubs of castor oil & laudanum.
  • Plasters of mustard.
  • Peppermint and hot turpentine.
  • Bleeding by leeches.
  • Warm baths.
  • This advice suggests that the central government was, for the first time, officially recognising that cleanliness, adequate clothing and food are necessary factors in public health.
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26
Q

Was the temporary Board of Health’s advice useful during the cholera outbreak?

A
  • Not all cities conformed to the advice.
  • The reports that did end up being submitted tended to be more informative as opposed to disease prevention or potential cures.
  • Some areas set up cholera hospitals and others tried to institute a quarantine regime.
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27
Q

What problems did the Boards of Health encounter surrounding legality during the Cholera epidemic?

A
  • What legal right did the boards have to enforce measures such as having houses limed and separating children from parents to send them to fever hospitals.
  • In 1832, temporary ‘Cholera Acts’ were passed allowing local authorities to enforce some measures and to finance them from the poor rates.
28
Q

What were the limitations to the Local Boards of Health?

A
  • Local action taken was often haphazard.

- Once the epidemic died down they were disbanded.

29
Q

What was the ‘Contagionist Theory” surrounding Cholera?

A
  • Suggested that cholera was spread by contact with cholera victims.
  • Despite theory being sensible it was still met with opposition.
  • If this theory was true it meant that houses, streets or even whole cities had to be quarantined.
  • Opponents pointed to the potential loss of trade & consequent increase in poverty & unemployment.
  • Opponents also argued that not everyone in the same household got Cholera and therefore the theory couldn’t be true.
30
Q

What was the ‘Miasmic Theory’ surrounding Cholera?

A
  • Suggested that Cholera was spread by a ‘miasma of filth’ that was breathed in from infected air.
  • This theory led to action: the removal of heaps of excrement was a step in the right direction however the connecting of sewers to rivers and other water courses.
31
Q

What was significance of the 1831 journal ‘The Lancet’?

A
  • A journal written by doctors for doctors.
  • Reported a community of Jews in Wiesnez had kept themselves free from cholera by rubbing themselves with a homemade ointment.
32
Q

Why was Prayer a recommended cure for Cholera?

A
  • Many believed cholera was a punishment for lax and immoral behaviour.
  • Many of those who prayed for themselves survived as well as those who were being prayed for.
  • Prayer was proven to be efficacious.
33
Q

What was the Report on ‘The moral and physical condition of the working classes of Manchester’?
When was it published?

Who investigated?

How did it create an impetus for reform?

A

1) - 1832.
2) - Investigated by Dr James Kay.
3) - Kay was one of the first people to demonstrate connection between dirt and disease.
- Kay argued that ‘dirty living’ led to ‘dirty habits’.
- Proved to be a powerful motivation for other reformers.

34
Q

What was the ‘Report on the sanitary condition of the Labouring Population of Great Britain’?

When was it published?

Who investigated?

How did it create an impetus for reform?

A

1) 1842.
2) Edwin Chadwick.
3) - Chadwick attacked the inadequacy of existing water supplies, drainage systems and sewerage systems.
- Linked public health and the Poor Law.
- Pointed a finger at those with vested interests.
- Proved there was a connection between disease and the environment.
- Set up the Royal Commission on the Health of Towns to investigate his recommendations.

35
Q

What was the ‘Report of the Royal Commission into the sanitary condition of Large Towns and Populous Districts’?

When was it published?

Who investigated?

How did it create an impetus for reform?

A

1) 1844.
2) -
3) - Supported Chadwick’s findings.
- Found that of the 50, 40 had poor drainage.
- Recommended that government have the powers to inspect sanitary work.

36
Q

What was the ‘Report on the Bradford Woolcombers Sanitary Committee’?

When was it published?

Who investigated?

How did it create an impetus for reform?

A

1) - 1845
2) -
3) - Found extreme destitution and poor living conditions in Bradford.
- Average age of death for a woolcomber was 14 years, 2 months.
- Put pressure on the government to act.

37
Q

When was the invention of the ‘S-Trap’?

What was it?

Who made it?

Who enhanced it and what did the enhancement entail?

A

1) - 1775.
2) - Sealed toilet bowl, preventing foul air coming up from the sewer.
3) - Alexander Cummings.
4) - Joseph Bramah
5) Combined Cummings invention with a float valve system for a cistern to build the first flush toilet.

38
Q

Who was George Jennings?

What was the significance of South-Western Pottery?

What happened in 1852?

What was required by the end of the 1850s?

A

1) - Water Closet business manufacturer.
2) - Opened outside Bournemouth in 1856.
- By 1861, was employing 97 men and 18 boys (shows popularity but only amongst middle class)
3) - Jennings was granted a patent for his invention of a new Water Closet and he improved the construction of the drains and drain traps.
4) Building codes required all new-build homes (predominately for the middle-class) to be equipped with a water closet.

39
Q

Who was Thomas William Twyford?

What happened in 1888?

A

1) - Developed and sold the first ‘wash out’ trap water closed in 1875.
2) Twyford applied for, and was granted a patent whereby the toilet pan was refilled with a small quantity of clean water.
- This remained the standard throughout the late 19th & early 20th centuries.

40
Q

Who was John Roe?

What happened in the 1870s and 1880s?

What was the problem of where the sewers were to be flushed?

What was the breakthrough in 1912?

A

1) - Invented a system of flushing gates to control the flow of liquids through sewers in 1842.
- Cast iron gates were fixed in the sewers and only opened when there was a sufficient accumulation of water-borne sewage behind them.
2) These gates were combined with hydraulic pumps to ensure constant flow of water though the sewers to make them virtually self-flushing.
3) - Discharging untreated sewage into natural the water system became a problem as more was understood about the transmission of disease.
- Chadwick’s idea of using it as a fertiliser waist well received.
- Some cities attempted to treat sewage before discharge by adding sedimentation systems to their sewers.
4) - Scientists at Manchester University developed the sewerage treatment system of activated sludge. Sewage was biologically treated to make it safe.

41
Q

Who controlled the Water-Supply for the majority of the 19th century?

Which companies invested in modernising?

What did more companies do as the century progressed?

What was the problem with water companies in London?

Why did change have to wait?

A

1) - Private companies.
2) - In 1802, the Lambeth Waterworks expanded its operations and replaced its wooden pipes with cast iron ones.
- In 1829, the Chelsea Waterworks Company became the first in the country to install a sand filtration system to purify water.
- In 1838, the Grand Junction Waterworks Company built a pumping station to house three steam pumps.
3) - More companies built;t reservoirs to enable a reliable supply of water to be pumped to houses.
4) - Extracted drinking water from rivers that were polluted by industrial and faecal waste.
5) - Change had to wait until knowledge that disease could be water-borne was combined with the science of removing impurities.

42
Q

How did authors contribute towards a change in attitudes towards public health?

A
  • Elizabeth Gaskall and Charles Dickens could paint vivid pen-pictures of working-class conditions in mid-Victorian Britain.
  • Dickens had first hand experience of poverty, his books were largely successful and reached a large audience, his works were serialised and made accessible.
  • Despite not being poor herself Gaskell witnessed desperate poverty.
  • Living conditions described by authors resonated with Mayhew’s findings.
43
Q

How did national and local newspapers contribute towards a change in attitudes towards public health?

A
  • Reported on public health matters & commented on them (not always favourably).
  • Occasionally connections were made between poor living conditions and disease.
  • National Newspapers had the greatest impact on changing attitudes of those who had the means to make a difference.
  • ‘The Times’ headed a campaign for effective sewerage of London as a result of The 1858 Great Stink.
  • In 1827, journalist John Wright exposed The Grand Junction Waterworks company for selling the aristocratic contaminated water filled with diluted human waste.
44
Q

How did artists contribute towards a change in attitudes towards public health?

A
  • Created paintings and engravings of the rural, urban poor.
  • Usually hung in the homes of the middle/upper class.
  • Rural poor were presented as romantic idylls.
  • Urban poor were far more disturbing.
45
Q

How did statistics and written reports contributed towards changing attitudes towards public health?

A
  • Doctors, parishes and county councils improved their record keeping facilities.
  • Enabled the production of statistical evidence.
46
Q

How did an increasing public awareness of science contribute to a changing of attitudes towards public health?

A
  • Increasing knowledge of water-borne diseases.
  • Led to an increased public awareness of need for clean water, sewerage and drainage.
  • Encourages the emergence of the Health and Sanitation Committees to persuade government and councils to take action.
47
Q

2 reasons why there was an economic desire to change public health?

A
  • Cost of maintaining workhouses was escalating.

- A reduction in Poor Rate would result in good drains and clean water being provided.

48
Q

What were the economic benefits of the local authority taking control?

A
  • No transportation costs.

- Local authorities were native to the area so knew how to best utilise money.

49
Q

How was the role of the government seen in the 1700s-1800s?

A
  • In 1780 government involvement was minimal.
  • There was a generally held belief that social policy (including public health) was the business of the Parishes.
  • This view was also supported by the prevailing laissez-faire policy.
  • The1830 election of the Whig government began a movement away from Laissez Faire.
50
Q

What was the 1832 Representation of the People Act?

A
  • Made some important adjustments to the franchise and distribution of seats in parliament.
  • Allowed greater representation from growing industrial towns of the Midlands and the North.
  • Middle-class representation with a desire to keep rates low meant that sanitary reform was low on MP’s agendas.
  • Still a general feeling that public health reforms were the business of local authorities, not parliament.
51
Q

What was the 1835 Municipal Corporations Act?

A
  • Ended the system of ‘closed’ corporations (same councillors reappointed themselves year on year).
  • Borough councils were to be elected by male rate payers for a 3 year term of office.
  • Councillors elected a mayor and chose aldermen. - The Act stated that councils could assume control of paving, sewerage, street cleaning and drainage in their area. (This required a private Act of parliament to enable them to do so and wasn’t cheap.)
  • Important to recognise that central government showed little interest in public health.
52
Q

What minor legislation followed the 1844 Report of the Royal Commission into the Sanitary Condition of Large Towns and Populous Districts?

A
  • 1846 saw a series of Nuisance Removal Acts designed got enable justices in petty session courts ti prosecute those responsible for ‘nuisances’.
  • 1846 Baths and Washhouses Act enabled local authorities to provide baths and washhouses out of public money.
  • 1847 Towns Improvement Clauses Act defined the rights of towns to lay water supples and drainage schemes to control nuisances. Legalised the discharge of sewers into rivers and the sea and allowed its sale for agricultural purposes.
  • These acts only applied if the authorities wanted them to.
53
Q

What did the Public Health Act of 1848 do?

A
  • A General Board of Health was set up which reported to parliament.
  • Based in London.
  • Local authorities were empowered to set up local boards of health. These could be set up where: 10% of ratepayers asked for one. The death rate was greater than 23 per 1000.
  • Local boards of health were permitted to appoint a medical officer of health and pay his wages out of the rates.
  • Local boards of health could finance projects by levying local rates and buying land.
54
Q

Who was apart of the General Board of Health?

A
  • Lord Morpeth.
  • Lord Shaftesbury.
  • Edwin Chadwick.
55
Q

What were the strengths of the 1848 Public Health Act?

A
  • It applied where local people wanted it.
  • Little or no opposition to it so implementation could be smooth.
  • Piecemeal implementation meant that those who were suspicious or wary could see for themselves how the Act worked to improve public health.
  • Demonstrates that the government was prepared to do something.
  • Government was prepared to intervene on behalf of the most vulnerable to nudge their local authorities into providing care.
  • This Act generated both pressure form the public for further reform and confidence in the legislators that they could deliver it.
56
Q

What were the limitations fo the 1848 Public Health Act?

A
  • Permissive Act.
  • Lack of universality (didnt apply to London which had a separate Act in 1848, nor the City of London, not Scotland.)
  • Act was only enforced where the death rate in a district was more than 23 per 1000 living.
  • Local boards of health weren’t required to take on wider public health considerations such as parks and baths.
57
Q

Why was there continued opposition to public health provision in the 1850s and 1860s?

A
  • Improvement schemes of any kind cost money. (Property owners spent money to have the amenities they would have to pay tax for to provide to their neighbours. Argued it didn’t benefit them.)
  • Many felt that government was enriching on their individual liberties by requiring certain things (whitewashing a slaughter house).
  • Vested interest (directors of local water companies, who were usually represented in local government, were unlikely to vote for measures which would reduce profit)
  • Chadwick himself. Irritated, annoyed and angered many because of his bullying tactics.
58
Q

What changes did The Local Government Act and The Public Health Act of 1858 bring about?

A
  • The General Board of Health was abolished.
  • The powers of the General Board of Health were given to a new Local Government Act office.
  • A medical department of the Privy Council was set up.
  • Local boards of health were given powers to take preventative action and appoint officials.
59
Q

What were The Local Government Act and The Public Health Act of 1858 needed so soon after the 1848 Public Health Act?

A
  • The 10 years in between had shown a gradual acceptance of the need for more powerful public health bodies.
  • There was considerable hostility towards the General Board of Health and Edwin Chadwick.
  • Powers were split between the Local Government Act Office and the Privy Council Medical Department.
  • The permission of the Local Government Act Office was needed for all loans that local authorities wanted to raise to carry out public works.
  • Shows that Central Gov was involved in the administration of public health in the localities for the first time.
60
Q

What was the significance of the 1866 Sanitary Act?

A
  • Compulsion was a significant element of an Act of Parliament dealing with Public Health.
  • The state no longer directed and advised local authorities but rather compelled them to act.
  • From this point on, the state were directing public health reform.
61
Q

Why were there pressures fr further change after 1866?

A
  • 1867: Parliamentary Reform Act gave the vote to working men in towns. Politicians had to pay attention to their problems which included public health issues.
  • Third cholera epidemic in 1865-1866 in which 20,000 died.
  • 1865: Louis Pasteur proved conclusively that germs caused disease and were not caused by it.
  • 1869: a Royal Commission on public health was set up, revealed conditions in towns were better when Chadwick was masterminding investigations 30 years prior.
  • 1871: Local Government Board was set up.
62
Q

What did the Local Government Boards do?

A

Consolidated the functions of:

  • The Local Government Act Office.
  • The Registrar-General’s Office.
  • The Medical Department of the Privy Council.
  • The Poor Law Board.
  • President was usually a member of the Cabinet.
63
Q

What was The Public Health Act of 1875?

A
  • Remained the foundation of all public health work until 1936.
  • Every part of the country had to have a public health authority.
  • Every public health authority had to have at least one medical officer and one sanitary inspector to ensure the laws on food adulteration, housing, water supplies and cleansing were enforced.
  • Local authorities were given wide powers to lay sewers and drains, build reservoirs, parks, public baths and public conveniences.
64
Q

What was the significance of the 1875 Public Health Act?

A
  • Government was completely committed to the provision of public health for the people.
  • Act was a turning point in the regulation of house building.
65
Q

What was the 1936 Public Health Act?

A
  • Consolidated a range of previous legislation.
  • Local authorities continued with their essential work of ensuring an adequate water supply and efficient sewerage and sanitation.
  • The years 1919-1939 saw the virtual completion of the process. Local authorities took over control of water supplies.
  • By 1935, 80% of the population were supplied with water by the authorities.
  • Water was generally safe although typhoid epidemics in Bournemouth, Poole. Christchurch and Dorset in 1936 and Croydon in 1937 caused by sewage contamination suggested that there was still work to be done.