population growth in eighteenth century England

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Unfortunately the medicine of the time was hugely unreliable and, other than the smallpox vaccine, is unlikely to have been a much of a factor in the fall in mortality. It has been suggested that improvements in personal and public hygiene could have been a factor in the fall in mortality rates but with the majority of people living in overcrowded accommodation with their houses almost on top of each other and being subjected to soot and smoke from industrial works daily it can hardly be said that they lived in an atmosphere conducive to healthy living...
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Unfortunately for these same people there was no public health act until 1848, and this, when it came about, mainly dealt with the seriously inadequate sewer and drainage systems that most areas had at this time. Personal cleanliness has never historically been a huge consideration for the common people and while soap and lighter clothing that was easier to wash became widely available it was often costly and out of the economic means of the lower classes to whom a rise in living standards would do the most good...
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