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It is an attempt to state in a plain way the chief facts concerning a question which is not without national importance. … It will be understood that the book is of an elementary character only, and it is hoped that it may serve as an introduction to the intricate problem with which it is concerned (Newman, 1906: v-vi). These modest sentences appear in the preface to Infant Mortality: a Social Question. They summarise Newman’s reasons for writing his book and they also give some flavour of his personality, hard work and dedication to improving public health.

Sneddon uses data from the essentially rural and agricultural areas of the Fens in the mid-nineteenth century to show that a ‘fenland penalty’ existed with rural levels of infant mortality that were more comparable with towns such as Leeds, Liverpool or Manchester. Chapter 6, by James, uses some especially revealing sources to unravel the effects of parental employment and residential location on infant mortality during the mid-nineteenth century. She demonstrates that while there was, in general, an urban penalty and a rural advantage in terms of early-age mortality, employment in certain occupations could have a deleterious effect on the health of one’s children even in the countryside.

Newman’s MOH reports chart his developing interest in infant mortality and by the time that the 1905 report was published, early in 1906, Newman must have working on his book. The main arguments that run through Infant 10 Another six dealt with diarrhoea and were mainly concerned with infants (1902: 7379). 4 per cent of the report discussed infants, although 24 per cent of deaths in Finsbury were infants (558 out of 2,283). 11 This quote had appeared verbatim in Newman’s previous report (1901: 18).

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