All of the following individuals were involved in improving public health in the 19th century EXCEPT

All of the following individuals were involved in improving public health in the 19th century EXCEPT
Marshall Field's Building, ca. 1898.

Between 1880 and 1900, cities in the United States grew at a dramatic rate. Owing most of their population growth to the expansion of industry, U.S. cities grew by about 15 million people in the two decades before 1900. Many of those who helped account for the population growth of cities were immigrants arriving from around the world. A steady stream of people from rural America also migrated to the cities during this period. Between 1880 and 1890, almost 40 percent of the townships in the United States lost population because of migration.

Industrial expansion and population growth radically changed the face of the nation's cities. Noise, traffic jams, slums, air pollution, and sanitation and health problems became commonplace. Mass transit, in the form of trolleys, cable cars, and subways, was built, and skyscrapers began to dominate city skylines. New communities, known as suburbs, began to be built just beyond the city. Commuters, those who lived in the suburbs and traveled in and out of the city for work, began to increase in number.

Many of those who resided in the city lived in rental apartments or tenement housing. Neighborhoods, especially for immigrant populations, were often the center of community life. In the enclave neighborhoods, many immigrant groups attempted to hold onto and practice precious customs and traditions. Even today, many neighborhoods or sections of some of the great cities in the United States reflect those ethnic heritages.

During the final years of the 1800s, industrial cities, with all the problems brought on by rapid population growth and lack of infrastructure to support the growth, occupied a special place in U.S. history. For all the problems, and there were many, the cities promoted a special bond between people and laid the foundation for the multiethnic, multicultural society that we cherish today.

To find additional sources in Loc.gov on this general topic, use such keywords as city, neighborhood, immigration, industry, urbanization, transportation, suburbs, slums, tenements, and skyscrapers.

Documents

  • Ben Dickstein
  • The Ginsbergs
  • Harry Reece (Daca) . . . His Story
  • Mr. Paul's Story
  • Suburban Living
    • Horse-drawn street car
    • Up the hill by trolley, Cincinnati, Ohio
    • Glenn Ellynn [i.e. Glen Ellyn], Ill., a suburban residence
    • Greenwood, a suburban residence, Savannah, Ga.
  • Vertical Growth of the American City
    • The Park Row Building, New York
    • The Tallest buildings in the world, New York City
    • A Group of skyscrapers, Pittsburgh, Pa.
    • New York Life Building, Chicago
    • State Street, Chicago, Ill.
  • Industrial Cities
    • Solvay Process Co.'s works, Syracuse [i.e. Solvary]
    • Globe Iron Works ship yard, Cleveland
    • Illinois Steel Works & harbor entrance, Calumet Riv., So. Chicago
    • Illinois Steel Works, Joliet

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All of the following individuals were involved in improving public health in the 19th century EXCEPT
All of the following individuals were involved in improving public health in the 19th century EXCEPT

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During the 20th century, the health and life expectancy of persons residing in the United States improved dramatically. Since 1900, the average lifespan of persons in the United States has lengthened by greater than 30 years; 25 years of this gain are attributable to advances in public health (1). To highlight these advances, MMWR will profile 10 public health achievements (see box) in a series of reports published through December 1999.

Many notable public health achievements have occurred during the 1900s, and other accomplishments could have been selected for the list. The choices for topics for this list were based on the opportunity for prevention and the impact on death, illness, and disability in the United States and are not ranked by order of importance.

The first report in this series focuses on vaccination, which has resulted in the eradication of smallpox; elimination of poliomyelitis in the Americas; and control of measles, rubella, tetanus, diphtheria, Haemophilus influenzae type b, and other infectious diseases in the United States and other parts of the world.

Ten Great Public Health Achievements -- United States, 1900-1999

  • Vaccination

  • Motor-vehicle safety

  • Safer workplaces

  • Control of infectious diseases

  • Decline in deaths from coronary heart disease and stroke

  • Safer and healthier foods

  • Healthier mothers and babies

  • Family planning

  • Fluoridation of drinking water

  • Recognition of tobacco use as a health hazard

Future reports that will appear in MMWR throughout the remainder of 1999 will focus on nine other achievements:

  • Improvements in motor-vehicle safety have resulted from engineering efforts to make both vehicles and highways safer and from successful efforts to change personal behavior (e.g., increased use of safety belts, child safety seats, and motorcycle helmets and decreased drinking and driving). These efforts have contributed to large reductions in motor-vehicle-related deaths (2).

  • Work-related health problems, such as coal workers' pneumoconiosis (black lung), and silicosis -- common at the beginning of the century -- have come under better control. Severe injuries and deaths related to mining, manufacturing, construction, and transportation also have decreased; since 1980, safer workplaces have resulted in a reduction of approximately 40% in the rate of fatal occupational injuries (3).

  • Control of infectious diseases has resulted from clean water and improved sanitation. Infections such as typhoid and cholera transmitted by contaminated water, a major cause of illness and death early in the 20th century, have been reduced dramatically by improved sanitation. In addition, the discovery of antimicrobial therapy has been critical to successful public health efforts to control infections such as tuberculosis and sexually transmitted diseases (STDs).

  • Decline in deaths from coronary heart disease and stroke have resulted from risk-factor modification, such as smoking cessation and blood pressure control coupled with improved access to early detection and better treatment. Since 1972, death rates for coronary heart disease have decreased 51% (4).

  • Since 1900, safer and healthier foods have resulted from decreases in microbial contamination and increases in nutritional content. Identifying essential micronutrients and establishing food-fortification programs have almost eliminated major nutritional deficiency diseases such as rickets, goiter, and pellagra in the United States.

  • Healthier mothers and babies have resulted from better hygiene and nutrition, availability of antibiotics, greater access to health care, and technologic advances in maternal and neonatal medicine. Since 1900, infant mortality has decreased 90%, and maternal mortality has decreased 99%.

  • Access to family planning and contraceptive services has altered social and economic roles of women. Family planning has provided health benefits such as smaller family size and longer interval between the birth of children; increased opportunities for preconceptional counseling and screening; fewer infant, child, and maternal deaths; and the use of barrier contraceptives to prevent pregnancy and transmission of human immunodeficiency virus and other STDs.

  • Fluoridation of drinking water began in 1945 and in 1999 reaches an estimated 144 million persons in the United States. Fluoridation safely and inexpensively benefits both children and adults by effectively preventing tooth decay, regardless of socioeconomic status or access to care. Fluoridation has played an important role in the reductions in tooth decay (40%-70% in children) and of tooth loss in adults (40%-60%) (5).

  • Recognition of tobacco use as a health hazard and subsequent public health anti-smoking campaigns have resulted in changes in social norms to prevent initiation of tobacco use, promote cessation of use, and reduce exposure to environmental tobacco smoke. Since the 1964 Surgeon General's report on the health risks of smoking, the prevalence of smoking among adults has decreased, and millions of smoking-related deaths have been prevented (6).

The list of achievements was developed to highlight the contributions of public health and to describe the impact of these contributions on the health and well being of persons in the United States. A final report in this series will review the national public health system, including local and state health departments and academic institutions whose activities on research, epidemiology, health education, and program implementation have made these achievements possible.

Reported by: CDC.

References

  1. Bunker JP, Frazier HS, Mosteller F. Improving health: measuring effects of medical care. Milbank Quarterly 1994;72:225-58.

  2. Bolen JR, Sleet DA, Chorba T, et al. Overview of efforts to prevent motor vehicle-related injury. In: Prevention of motor vehicle-related injuries: a compendium of articles from the Morbidity and Mortality Weekly Report, 1985-1996. Atlanta, Georgia: US Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Injury Prevention and Control, 1997.

  3. CDC. Fatal occupational injuries -- United States, 1980-1994. MMWR 1998;47:297-302.

  4. Anonymous. The sixth report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. Arch Intern Med 1997;157:2413-46.

  5. Burt BA, Eklund SA. Dentistry, dental practice, and the community. Philadelphia, Pennsylvania: WB Saunders Company, 1999:204-20.

  6. Public Health Service. For a healthy nation: returns on investment in public health. Atlanta, Georgia: US Department of Health and Human Services, Public Health Service, Office of Disease Prevention and Health Promotion and CDC, 1994.


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All of the following individuals were involved in improving public health in the 19th century EXCEPT

Which of the following individuals pioneered the use of chemicals to reduce the incidence of infections during surgery antisepsis )?

Joseph Lister, 1827–1912. Joseph Lister found a way to prevent infection in wounds during and after surgery. He was the first to apply the science of Germ Theory to surgery. Lister's Antisepsis System is the basis of modern infection control.

What did the work of Lister and Ehrlich have in common?

What did the work of Lister and Ehrlich have in common? They both explored the use of chemicals in the prevention and treatment of infectious disease.

Which of the following scientist provided evidence in favor of the concept of spontaneous generation?

Louis Pasteur's 1859 experiment is widely seen as having settled the question of spontaneous generation. He boiled a meat broth in a swan neck flask; the bend in the neck of the flask prevented falling particles from reaching the broth, while still allowing the free flow of air.

Which health care practitioner improved our understanding of the importance of hand washing?

Ignaz Semmelweis in Vienna in 1861, who advocated hand washing to prevent the transmission of infectious disease.