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Medicine and the Industrial Revolution - AQAThe Great Stink and public health reforms

Urban populations increased rapidly in the 19th century. Diseases such as cholera, typhus and typhoid spread due to poor public health conditions. The work of Edwin Chadwick, John Snow and Charles Booth led to significant improvements.

Part of HistoryBritain: health and the people, c.1000 to the present day

The Great Stink and public health reforms

The summer of 1858 was warm and dry. As a result, the water level of the River Thames dropped. This meant the sewage and waste that were being dumped in the river were no longer being quickly washed away.

The resulting smell was awful and became such a problem that the were closed. theory was still widely believed. As a result, people cleaned the walls of their homes with to take away the smell.

The event became known as the Great Stink.

Joseph Bazalgette

As a result of the Great Stink, the government invested in the construction of a new sewerage system for London. This was designed by Joseph Bazalgette. The new system was designed in 1858 and completed in 1875.

The system was built in response to the Great Stink. However, it also resulted in the end of significant outbreaks in London.

A photograph of the construction of the Northern Outfall Sewer. Showing three large tube structures that are under construction and surrounded by building materials and men overseeing the construction
Image caption,
Joseph Bazalgette (top right) overseeing the building of a sewerage system in London

1875 Public Health Act and other reforms

Following John Snow鈥檚 work on cholera and Louis Pasteur鈥檚 publication of germ theory, there was conclusive proof that cleaning up towns and cities would improve the health of the people who lived in them. There was now clear evidence that if public health systems were improved, lives would be saved. This marked a move away from a attitude.

In 1875, Prime Minister Benjamin Disraeli鈥檚 government passed a second Public Health Act. This went further than the act of 1848. It said that local authorities had to provide clean water supplies, build sewerage systems and appoint a medical officer.

Disraeli introduced further reforms in 1875-1876:

  • The 1875 Artisans鈥 and Labourers鈥 Dwellings Improvement Act brought in new standards for housing quality.
  • The 1875 Sale of Food and Drugs Act tightened laws around food labelling.
  • The 1876 Rivers Pollution Prevention Act aimed to clean up rivers and the water supply.

Charles Booth

In 1889, the social reformer Charles Booth decided to investigate the levels of poverty in London. He produced a colour-coded map that showed the divide between wealthier and poorer areas of the city.

Booth found that 35 per cent of people lived in extreme poverty, even though many of them had full-time jobs. This number was much higher than people had previously believed. It showed that despite the reforms of public health in 1875-1876, more still needed to be done.

Public health milestones of the Industrial Revolution

Timeline showing key developments in public health in Britain throughout the Industrial Revolution