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Health and the People in Britain, c1000 to the Present Day

Improvements in public health

  • 3 things to know
  • Paper 2 section A

Overview

Living conditions in the industrial towns, cholera and how it spreads, John Snow and the Broad Street pump, Chadwick's report of 1842 and the resistance to it, the Public Health Acts of 1848 and 1875, the Great Stink and Bazalgette's sewers, and why attitudes changed.

What you need to know

Answer each one before you reveal it.

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Numbers

How did John Snow show that cholera was carried in water?

Key term

What were living conditions like in the fast-growing industrial towns?

Key term

What is cholera and how does it spread?

Questions from this subtopic

Each one with the model answer underneath.

  1. 1

    What were living conditions like in the fast-growing industrial towns?

    Model answer

    Families were packed into back-to-back houses round shared courtyards, dozens shared a single privy over a cesspit, and water came from a standpipe or a fouled river.

  2. 2

    What is cholera and how does it spread?

    Model answer

    A disease causing violent diarrhoea and rapid death from loss of fluid, spread by drinking water contaminated with the waste of those already infected.

  3. 3

    When did cholera strike Britain?

    Model answer

    In major epidemics from 1831, and again in 1848, 1854 and 1866, killing tens of thousands of people each time.

  4. 4

    How did John Snow show that cholera was carried in water?

    Model answer

    He mapped the deaths in Soho in 1854, found they clustered round one pump in Broad Street, had its handle taken off, and the outbreak stopped.

  5. 5

    What was found to have contaminated the Broad Street pump?

    Model answer

    A cracked cesspool beside the well, into which the nappies of an infected baby had been emptied.

  6. 6

    What did Chadwick report in 1842?

    Model answer

    That disease and early death were far worse among labouring families, that filth and bad drainage were to blame, and that water and sewers paid for from the rates would cost less than supporting the sick.

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