In July 1842 Edwin Chadwick, with Dr. Thomas Southwood Smith, published his ‘The Sanitary Conditions of the Labouring Population,’ at his own expense. The report detailed the sanitary conditions of the poor and advocated reform, tracing public health problems directly to the awful state of urban housing the poor endured. Chadwick’s report launched the mid-century sanitary movement, though it had a slow start because change was expensive. Image: Photograph of Sir Edwin Chadwick. This image is in the public domain in the United States because its copyright has expired.

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