ABSTRACT
The diseases of all large cities must have a certain correspondence witheach other, notwithstanding the varieties of circumstance under which they may beplaced as to climate, soil, and situation. A reader of the standard literature, secondary and primary, of the early publichealth movement, will find few references to Ireland or Scotland. In both, there was substantial recognition of how a city’s fabric affected its health, but the social and economic causes of disease seemed more pressing than the infrastructural. In Ireland, socio-medical analyses of health had arisen following adoption of direct Westminster rule in 1801. Amongst the lower orders the deviations fromhealth, arising out of the circumstances, must be more numerous, and thesedeviations must more resemble each other; amongst them also seem to exist the truecradle and depôt of general disease, the causes mentioned, and others infinitely more powerful being superadded.
