Public Health Flashcards

1
Q

What is public health?

A

The health and well-being of ordinary men, women and children.

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2
Q

What was public heslth like in the early 1800s?

A

It was in a pretty poor state

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3
Q

What was the national average age of death for a working British man?

A

30
In some places like Liverpool it was 15.

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4
Q

How did Menchester’s population grow?

A

It grew from 45,000 in 1751 to about 450,000 by 1851

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5
Q

What was the connection between towns growing and living conditions?

A

The faster the towns grew the worse the living conditions became.

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6
Q

What were the living conditions like?

A

New housing was built very quickly, very badly and wherever there was space.
Lots of families shared these houses.
They lacked basic facilities such as toilets and running water.
There was no one to clean these towns and no sewers to take away the waste so rubbish and sewage piled up in the streets and floated in rivers.

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7
Q

What was disease like?

A

It spread very quickly because of the filthy, overwroded conditions.

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8
Q

What were some diseases?

A

Smallpox, typhoid and tuberculosis but the most feared was cholera.

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9
Q

When did cholera arrive in Britain and how many people did it kill within a year?

A

In 1831 and killed 50,000 people within a year

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10
Q

What would happen to people who suffered cholera?

A

They were violently sick and suffered from painful diarrhoea. Their skin and nails turned black just before the victim fell into a coma and died.

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11
Q

What was set up to investigate the disease?

A

Special groups called ‘Boards of Health’ in some towns to investigate how it was spread and how it might be prevented.

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12
Q

What was something that people believed which is why little progress had been made in public health? 1.

A

People belived that the government shouldn’t interfere with the everyday lives of people rich or poor . They believed that the people had no right to tell factory owners and buisnessmen to build good houses with clean water supplies. What the people drink, where they wash and what they do with their rubbish is their own business.

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13
Q

What was something that people believed which is why little progress had been made in public health? 2.

A

Spending money on drains, rubbish collections and street cleaners would cost money which would force up taxes. Rich people were not keen to pay more tax money to help the poor people living in areas the rich people don’t even visit.

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14
Q

What was something that people believed which is why little progress had been made in public health? 3.

A

Some people made a fortune from renting out houses that they own. Some people sold water from door-to-door. They don’t want anything to change and don’t want fresh water to be pumped into cities.

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15
Q

What were 9 things that Chadwick said in his report?

A

Disease is caused by bad air
A medical officer should be appointed to take charge in each district
People can’t develop clean habits until they have clean water
The poor conditions produce a population that doesn’t live long, is always short of money and is brutal and rough.
We must improve drainage, remove rubbish from houses, streets and roads and improve water supply
We must improve sewers and drains so rubbish is flushed clean away, rather than left to rot
The poor cost too much, the rich pay to feed and clothe orphans, money would be saved if fewer parents died of disease. A healthier workforce would work harder too.
More people are killed by filth and bad ventilation each year than are killed by wars.
The bad air is caused by rotting vegetables and animals, by damp and filth and by stuffy overcrowded houses. When these things are improved the death rate will go down.

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16
Q

When did the government finally decide to act?

A

After more outbreaks of cholera in 1837 and 1838

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17
Q

How did the government act?

A

They set up an enquiry to find out what living conditions were really like all over Britain

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18
Q

Who was in charge of the governments plan?

A

A government official by the name of Edwin Chadwick.

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19
Q

What did Chadwick do?

A

Over a two year period, he sent out doctors to most of the major towns and cities who interviewed hundreds of people.

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20
Q

How did Britain feel about Chadwick’s report?

A

Shocked

21
Q

How many copies were made of the report and who were they given to?

A

Over 10,000 free copies were handed out to politicians, journalists, writers and anyone who miht be able to change public opinion. 20,000 more were sold to the public.

22
Q

When did the Government finally decide to act after Chadwick’s report?

A

When news of another cholera epidemic sweeping across Europe reached Briatian.

23
Q

When was the first Public Health Act passed?

A

In 1848

24
Q

What did the Act do?

A

It gave local town councils the power to spend money on cleaning up their towns if they wanted to.

25
Q

How did town use the Act?

A

Some towns like Liverpool and Birmingham made huge improvements but others didn’t bother to do anything.

26
Q

How many towns had set up their own Boards of Health by 1853?

A

103 towns

27
Q

How many peopledied in the 1848 and 1854 outbreaks of cholera?

A

1848 - 60,000
1854 - 20,000

28
Q

What happened during the 1854 epidemic?

A

A doctor called John Snow decided to work out what on earth was causing cholera

29
Q

Where did Snow choose to investigate?

A

An area of London called Soho where over 700 people had caught and died of cholera within a few weeks.

30
Q

Give a summary of Snows investigation?

A

Dr Snow found that all victims got their water from the Broad Street water pump and anyone who didn’t die seemed to be getting their water from elsewhere. He asked for permission to remove the handle from the pump so people were forced to use another and during this time there were no deaths. He then found out that a street toilet only one metre from the pump had a cracked lining and this allowed filthy water to trickle into the drinking water.

31
Q

What had Snow proven?

A

That cholera was not carried through the air like a poisonous mist but instead it was caught through ‘contagion’, by coming into personal contact with a sufferer of cholera or in this case, by drinking some water contaminated by a victim’s diarrhoea.

32
Q

What did the government do with their new-found knowledge of the cause of cholera?

A

Not a great deal

33
Q

What did the government do though?

A

They asked an engineer named Joseph Bazalgette to draw up plans for a new sewer system to take away sewage from the streets of London but put the plans on hold after finding out how much it would cost.

34
Q

What was ‘The Great Stink’?

A

In 1858 a particularly hot summer caused the River Thames to smell worse than ever.

35
Q

What happened after several weeks of ‘The Great Stink’?

A

Bazalgette was given £3 million (about £1 billion in today’s terms) and was told to begin work on his new sewer system straight away.

36
Q

Hwo big were the sewers?

A

They used 318 million bricks to build 83 miles of sewers which could remove 420 million gallons of sewage a day.

37
Q

When were the sewers finished?

A

In 1866

38
Q

What was the outcome of the sewers?

A

Cholera never returned to London.

39
Q

What were some acts to making towns healthier?

A

1866 Sanitary Act - Towns must install a proper water supply
1875 Artisans’ and Labourers’ Dwellings Improvement Act - Councils have the power to pull down bad house and replace them with better ones
1875 Public Health Act - Towns must be kept cleaned and free from rubbish and sewage

40
Q

What did town councils do?

A

The didn,t just try to improve the general health of their townspeople but also their quality of life.

41
Q

What did they build?

A

Swimming baths
Town parks
Bandstands
Boating lakes
Art galleries
Concert halls
Libraries
Magnificent town halls

42
Q

What was the life expectancy of a British male pushed back to?

A

From 30 in 1800 to nearly 50 in 1900

43
Q

How was nursing improved?

A

Nurses were better trained, cleaner and more professional which meant hospitals were improved

44
Q

How did medical progress help improve public health?

A

Surgeons developed anaesthetics that put their patients to sleep for operations meaning the operations could take longer without rushing and the patients wouldn’t die of shock or pain.
Antiseptics were also developed meaning surgical wounds wouldn’t become infected giving people a better chance of survival.

45
Q

What happened with smallpox?

A

In 1853, the government insisted that doctors should vaccinate every baby against smallpox so the number of smallpox desths begsn to fall.

46
Q

How did the quality of food improve?

A

The railways brought fresh fish and milk into the cities and steamboats brought fruit and vegetables from abroad.

47
Q

How did factories help?

A

The cheap cotton made into cotton shirts, trousers, dresses and underwear was easier to wash than traditional wool which meant less germs in clothing so less disease.

48
Q

How did iron pipes help?

A

Top quality iron pipes made in some of the world’s best iron factories, meant that town councils could lay water and sewage pipes quickly and cheaply.

49
Q

What is miasma?

A

It was the belief that bad air was the cause of many diseases.