Congestion charging and the walking classes
BMJ 2003; 326 doi: https://doi.org/10.1136/bmj.326.7385.345 (Published 15 February 2003) Cite this as: BMJ 2003;326:345New charge tackles road danger at its source
- Ian Roberts (Ian.Roberts@lshtm.ac.uk), professor of epidemiology and public health
- Public Health Intervention Research Unit, London School of Hygiene and Tropical Medicine, London WC1B 3DP
Two hundred years ago London was a cesspit. Its streets were awash with sewage and infectious disease was a deadly scourge of the urban poor. The man credited for cleaning up the mess was a tenacious London politician called Edwin Chadwick.1 His 1842 report Survey into the Sanitary Conditions of the Labouring Classes was a landmark in public health with its graphic descriptions of how filthy living conditions were a key factor in the spread of infectious disease.2 Chadwick battled hard for sanitary reform, waging political war against those opposed to central government intervention in public health matters. His opponents argued that people were clever enough to manage their own affairs, claiming there was “insanity in sanity.”1 But Chadwick won through and is now acclaimed as the instigator of the most important public health reform of the 19th century.
The sewage has long gone, but now the streets of London are in gridlock and traffic …
Log in
Log in using your username and password
Log in through your institution
Subscribe from £173 *
Subscribe and get access to all BMJ articles, and much more.
* For online subscription
Access this article for 1 day for:
£38 / $45 / €42 (excludes VAT)
You can download a PDF version for your personal record.