Urban history and historical epidemiology: the case of London, 1860–1920

Abstract

Advocating a closer relationship between urban and epidemiological history, the paper concentrates, firstly, on a critical overview of the McKeown thesis. It next identifies components from the work of John Landers as a means of constructing a structural model of mortality experienced during the period under review. The paper goes on to examine the manner in which this model might be applied to London during an era in which the classic killing infections of the mid-nineteenth century were gradually replaced by non-infectious causes of death. Returning, by way of conclusion, to the theme of an integration of urban and epidemiological methodologies, attention is drawn to the explanatory potential of a fully historical economy of health and disease.