for improving public health and factory conditions would accomplish
the desired end to relieve suffering.
One significant area of concern was epidemic disease, a curse that
ran rampant in Great Britain between 1830 and the early 1840s. In
1831 Asiatic cholera first appeared in the nation and claimed more
than 50,000 lives. Influenza followed, and in parts of 1833 the number
of burials doubled and then quadrupled in London. From 1838 to
1842, the number of typhus cases averaged 16,000 a year. Scarlet Fever
killed 20,000 in 1840 alone, and Whooping Cough snuffed out 50,000
lives in the years 1838 to 1840. Timing was crucial. In 1837 and 1838
cholera and typhoid epidemics decimated London’s poor population.
In response Chadwick successfully lobbied for the creation of a sani-
tary commission in 1839 to address the health crisis created by the
outbreak of these diseases.
Chadwick had been intrigued by reading a report on the condi-
tions of industrial towns and decided to conduct his own research.
Between 1838 and 1842 he interviewed and gathered reports from
more than 2,000 local officials, factory owners, and physicians. In
1842 at his own expense he privately published his most significant
work, The Sanitary Conditions of the Labouring Population. The report
stated that disease was directly related to living conditions and that
public health reform was sorely needed. As part of the report, Chad-
wick provided statistics comparing the life expectancy of professional
classes, tradesmen, and the laboring classes in a number of cities. For
example, the age of death for these three groups was as follows for the
indicated British cities: Bolton: 34, 23, 18; Manchester: 38, 20, 17;
Leeds: 44, 27, 19; Derby: 49, 38, 21; and Liverpool: 35, 22, 15. In addi-
tion to these alarming statistics, Chadwick discovered that on the aver-
age for every one person who died of old age or violence in 1839 eight
perished due to disease. Finally, he calculated that one child in three
born in England in the 1820s and 1830s did not live to reach the age
of five.
In many respects, the report confirmed the suspicions of many
politicians, medical officials, and even the public at large regarding the
relationship between conditions in which people lived and the out-
break of disease. It was apparent that working class neighborhoods
had stagnant piles of filth and garbage and overflowing drains in the
streets, polluted water, cellars filled with human and animal excre-
ment, overcrowded dwellings with little or no ventilation, and noxious
odors fouling the air. Indeed, Chadwick’s emphasis on the conditions
of residences was so pointed that he generally downplayed any role
that factories and mills contributed to the problem. Thus, his report
stands in stark contrast to other contemporary critics of British
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Biographies