Exploring change and continuity - OCR BLiving conditions

Since c.1250, Britain has experienced significant changes in public health. Living conditions, responses to epidemics, and the role of the authorities in public health have all changed. Reasons for change or continuity can be explored.

Part ofHistoryThe people’s health, c.1250 to the present day

Living conditions

Towns have always suffered worse living conditions than rural areas, on the whole. This case study compares the main problems faced by people living in towns in early modern Britain and industrial Britain.

Early modern Britain, c.1500-c.1750

By 1750, towns had grown in size as many people moved to find work. Some areas of towns became overcrowded, although this was minor compared to later changes between 1750 and 1900. Only around 20 per cent of people lived in towns.

Middle of the period

Vintage engraving showing dishevelled looking people huddled in a dimly lit 19th century street
Figure caption,
These are court dwellings, typical of the type of housing found in many industrial towns and cities

Food

  • Wealthy people’s diet was enriched with new products from abroad.
  • Hunger was common for labourers in times of a bad harvest, when the price of bread increased.
  • Hot chocolate, tea and coffee became popular. These were all sweetened with sugar.
  • Coffee houses became popular in towns. By 1750 there were over 500 coffee houses in London.
  • High consumption of sugar and an unbalanced diet led to rotting teeth, obesityand gout among the wealthy.
  • Cheap gin became a big problem in towns. Crime went up, families fell into poverty and there was an increase in the death rate.

Streets and housing

  • Streets were made of earth or gravel and got dusty and muddy. They were often covered with animal dung.
  • Houses were often three storeys tall with overhanging ‘jetties’, leading to a lack of natural light and dark streets.
  • More people began to burn coal on their fires.
  • The dust, soot and smoke caused respiratory diseases.

Waste and water

  • Water was obtained from conduits or water-sellers.
  • Most houses used privies built over a cesspit, which could leak into cellars.
  • Scavengers cleared wealthy people’s cesspits every year or two, carrying barrels of excrement through the house. Poorer people emptied their own cesspits, building dunghills in yards or alleys.
  • Scavengers collected household waste, such as food and paper, once or twice a week.
  • Rats were common, making outbreaks of plague much worse in the towns.

Question

What had changed by the end of the period?

Industrial Britain, c.1750-c.1900

Towns and cities experienced unprecedented growth in this period. The fast pace of growth also meant that town infrastructures simply could not cope with the pressure of the expanding population.

Middle of the period

Food

  • Unskilled workers struggled to buy enough food to feed their whole family. They relied on basics such a bread, potatoes and weak tea. This was an unbalanced diet and caused malnutrition.
  • Food adulteration was widespread. For example, milk was sold mixed with chalk and water to make it go further. This caused diarrhoea and food poisoning.

Streets and housing

  • Workers’ housing was built back to back, often around an enclosed yard. These houses were difficult to ventilate and were often very damp. Diseases such as tuberculosis thrived in these conditions.
  • Lodging houses were large houses that had been divided up into smaller rooms. They were dirty and overcrowded, so fleas and body lice were common, causing typhus to spread.
  • Cellar dwellings had no sunlight. They sometimes flooded with rain or even sewage from the street.

Waste and water

  • Back-to-back houses shared a privy, sometimes between ten houses or more.
  • Privies were connected to cesspits. Night-soil men emptied the cesspits. However, if they weren’t paid by landlords, cesspits overflowed into the streets and yards.
  • Water companies supplied water to be shared between a court or a street, accessed by a water pump. Water was sometimes only available for a few hours per day.
  • Water pumps might be placed near cesspits. These often leaked or overflowed, causing outbreaks of cholera and typhoid.
  • Water companies sourced water from the rivers, which were contaminated by human waste and pollution from industry. Even rainwater might be unsafe as it had fallen through the smoke from factories.

Question

What had changed by the end of the period?

Comparing living condition between c.1500 and c.1900

Question

How far do you agree that living conditions were the same in early modern Britain and industrial Britain?

  1. Identify two continuities in living conditions, ie conditions that were the same in both periods.
  2. Identify two changes in living conditions. These could be conditions that got worse or conditions that improved.

Extent of continuity

On the whole, there was more change than continuity. This is because, by the mid-1800s, although there were still similar problems - such as with waste - they had got much worse because of the rapid pace of industrialisation. Additionally, much had actually improved by 1900 due to government intervention in public health.