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Why was public health terrible during the 1800s?

User Sree KS
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Answer:

Cities were generally overcrowded and dirty with no sewage systems. Diseases were rife and often fatal. The average life expectancy was about 40 years. A visit to the doctor was expensive and there was very little effective medicine available beyond alcohol, opium and blood-letting with leeches.

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User Denis Itskovich
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