The article draws attention to the relevant and poorly studied topic of ecological and sanitary condition of Akmolinsk city in 1958. Analysis of the documents shows that the city began to change in the environmental and sanitary condition under the influence of socio-economic modernization processes. The authors drew attention to the sanitary condition of the city as a set of criteria characterizing the practices of water supply and waste disposal, pollution of urban industrial enterprises, educational organizations and utilities. The authors concluded that Akmolinsk was characterized by problems of contamination of the urban territory and state enterprises, which had a significant impact on the environmental and sanitary culture of the city. The authors note the efforts of city authorities and health services to educate the population about the environment and to address issues related to creating a clean urban environment.