Unit 20 Health and Social Care Public Health

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Melissa Thorne Unit 20 / Task 1 P1/P2 Public health problems in the nineteenth and twentieth centuries had major concerns. Growing towns in Britain within the nineteenth century were characterised by overcrowding, poor housing, disease and unhealthy drinking water. For example, Edwin Chadwick, in 1842, argued that disease was one of the main causes of poverty, if not the main cause altogether. Six years later, the government were shoved into a corner after a cholera epidemic hit the country, causing them to do something about the prevention of disease – through public and individual health measures. Through public measures, the government tried to introduce public sanitation measures, like the Romans had when miasmas were thought to create illness and disease. A Miasma is merely a bad smell, however, the main focus was purely on public cleansing, which helped a great deal in reducing those who fell ill. In more depth, Florence nightingale was one of the people who publicised the miasma theory of disease, and campaigned for cleaner hospitals. This meant that hygiene in hospitals was greatly improved, and the possibility of contracting a disease was reduced. The benefits of these measures and many more were clear, as to the end of the nineteenth century; councils in England were competing with each other to provide the best public health care. This was done by introducing free meals for poor children in schools, school medical examinations were implemented, old age pensions were introduced and National Insurance was put into effect, meaning that any worker who fell ill would receive free health care. However, the country was still infested with disease carrying rodents, illnesses that were carried in the water and even the airways due to thick smog, especially over London. These issues were dealt with in the turn of the 20th century. In the 20th

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