Objective
This study tests the argument that industrialisation was accompanied
by a dramatic worsening of urban health in England.
Materials
Family reconstitutions derived from baptism, marriage and burial
records for the period before 1837, and from civil registration of deaths
and census populations between 1837 and 1900.
Methods
Age-specific mortality rates are used as indicators of population
health.
Results
The available evidence indicates a decline in urban mortality in the
period c.1750-1820, especially amongst infants and (probably) rural-urban
migrants. Mortality at ages 1-4 years demonstrated a more complex pattern,
falling between 1750 and 1830 before rising abruptly in the mid-nineteenth
century.
Conclusions
These patterns are better explained by changes in breastfeeding
practices and the prevalence or virulence of particular pathogens than by
changes in sanitary conditions or poverty. Mortality patterns amongst young
adult migrants were affected by a shift from acute to chronic infectious
diseases over the period.
Significance
Pathogen evolution, infant care and migration exerted major
influences on mortality trends and should be given greater attention in
studies of the health impacts of British industrialisation.
Limitations
Evidence of urban mortality rates is very limited before 1837 and may
not be fully representative of industrialising populations. Mortality also
provides only a partial picture of the health of urban populations and may
be distorted by migration patterns.
Further research
There is enormous scope for collaboration between archaeologists and
historians to investigate the health of industrial populations, through the
triangulation and contextualisation of diverse sources of evidence.