Development of Health Care Services

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Development of Health Care Services Part One: Identify and give reasons for the developments in public health and health care provision in England during the 1800s to present day. Identify the changing demographic trends and social attitudes to the health during this period. Analyse the effect of these changes on the provision of public health amenities and health care. 1800's - Edwin Chadwick and his report into Sanitary Conditions In the early 19th Century due to the industrial revolution there was a large strain on all towns and cities. Urbanisation occurred due to better agricultural machinery, producing more food in rural areas, this accounted for a thriving population, however employment opportunities outnumbered population forcing people to migrate from rural areas to urban cities seeking employment from industrial factories (Jenkins 2002). Between 1811 and 1861 population in England and Wales doubled from over 10 million to 20 million people, (see table below). Population of the United Kingdom England & Wales 1811 10,164,256 1821 12,000,236 1831 13,896,797 1841 15,914,148 1851 17,927,609 1861 20,066,224 1871 22,712,266 1881 25,974,439 1891 29,002,525 1901 32,527,843 1911 36,070,492 Taken from Wood, A (1995) Nineteenth Century Britain 1815 - 1914. Longman Press Lack of public transport meant factory workers were accommodated near work. Dwellings that housed workers were subdivided to accommodate many people which meant families were forced to share one room, poorly built tenements housed the poorest, these had no sewers, running water or sanitation and were damp and dirty. Due to the cramped living conditions diseases were easily spread, typhoid fever, tuberculosis, smallpox and cholera were the most dangerous. In 1832 an outbreak of Cholera reportedly killed 6536 people in London alone (Halliday (1999) pg 124). The government at

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