Death and survival in the city: approaches to the history of disease

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Abstract
Now that the debate about the standard of living during the first half of the nineteenth century appears to have entered a relatively quiescent phase, historians have begun to turn their attention towards the more elusive concept of the quality of life. The incidence of fatal and non-fatal disease is clearly central to research of this type and so, too, is a delineation of the physical context in which infections have flourished and in which those who have been afflicted by them have lived. Although there has been a tendency to underestimate the ferocity of epidemics in rural areas in the period after about 1750, historians working on disease in the modern period are inevitably most usually concerned with processes which are specifically urban in character. And urban historians, especially those interested in such topics as the development of utilities, the growth of administrative bureau-cracies or the spatial segregation and different life experiences of the classes, can undoubtedly benefit from a knowledge of patterns of infection in the past.

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