"A spirit of benevolence"

This thesis argues that the British Public Health movement did not begin in 1842 with Edwin Chadwick's publication, Report on the Sanitary Conditions of the Labouring Population of Great Britain (1842), or in 1848, with the subsequent passage of the Public Health Act. The beginning of the public health movement was instead the product of local initiatives such as the Manchester Board of Health, administered not by central government, but by members of the local community supported by predominantly philanthropic funding. The Manchester movement predated Chadwick's efforts by at least half a century and bore a greater resemblance to the modern idea of an organized public health system than that advanced by Chadwick and his contemporaries. This is because the Manchester movement emphasized not only those sanitary ideas ascribed to Chadwick but also included a broader spectrum of public health measures, including but not limited to ; preventative medicine, occupational health, and the reduction of contagious diseases.