The Stench of Disease: Public Health and the Environment in Late-Medieval English towns and cities

Abstract

This article explores the urban environmental concerns of late-medieval English towns and cities and argues that these urban areas had a form of public health. During this period, regulations that focused on maintaining the good health of town and city inhabitants were created and enforced. Among other things, these regulations focused on reducing unsanitary trade practices, protecting water sources, eliminating foul smells from the air, and preventing the consumption of bad food and water. They also represented a practical application of medieval theories and perceptions of disease—namely that disease was linked to bad smells. Rather than lacking any form of public health due to medieval theories of disease, they actively pursued it due to the ancient and medieval link between environmental health and physical health.

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