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The contribution of infrastructure investment to Britain's urban mortality decline, 1861–1900

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  • Jonathan Chapman

Abstract

It is well‐recognized that both improved nutrition and sanitation infrastructure are important contributors to mortality decline. However, the relative importance of the two factors is difficult to quantify since most studies are limited to testing the effects of specific sanitary improvements. This article uses new historical data regarding total investment in urban infrastructure, measured using the outstanding loan stock, to estimate the extent to which the mortality decline in England and Wales between 1861 and 1900 can be attributed to government expenditure. Fixed effects regressions indicate that infrastructure investment explains approximately 30 per cent of the decline in mortality between 1861 and 1900. Since these specifications may not fully account for the endogeneity between investment and mortality, additional specifications are estimated using lagged investment as an instrument for current investment. These estimates suggest that government investment was the major contributor to mortality decline, explaining up to 60 per cent of the reduction in total urban mortality between 1861 and 1900. Additional results indicate that investment in urban infrastructure led to declines in mortality from both waterborne and airborne diseases.

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  • Jonathan Chapman, 2019. "The contribution of infrastructure investment to Britain's urban mortality decline, 1861–1900," Economic History Review, Economic History Society, vol. 72(1), pages 233-259, February.
    • Handle: RePEc:bla:ehsrev:v:72:y:2019:i:1:p:233-259
    DOI: 10.1111/ehr.12699
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    4. Daniel Gallardo‐Albarrán, 2020. "Sanitary infrastructures and the decline of mortality in Germany, 1877–1913," Economic History Review, Economic History Society, vol. 73(3), pages 730-757, August.
    5. Mark Koyama, 2023. "Epidemic disease and the state: Is there a tradeoff between public health and liberty?," Public Choice, Springer, vol. 195(1), pages 145-167, April.
    6. Michail Raftakis, 2023. "Urban mortality in Greece: Hermoupolis (1859–1940)," Economic History Review, Economic History Society, vol. 76(3), pages 728-758, August.
    7. Troesken, Werner & Tynan, Nicola & Yang, Yuanxiaoyue Artemis, 2021. "What are the health benefits of a constant water supply? Evidence from London, 1860–1910," Explorations in Economic History, Elsevier, vol. 81(C).
    8. Hanlon, W. Walker & Hansen, Casper Worm & Kantor, Jake, 2021. "Temperature, Disease, and Death in London: Analyzing Weekly Data for the Century from 1866 to 1965," The Journal of Economic History, Cambridge University Press, vol. 81(1), pages 40-80, March.
    9. Daniel Gallardo-Albarrán, 2024. "The Global Sanitary Revolution in Historical Perspective," Working Papers 0247, European Historical Economics Society (EHES).
    10. Krieger, Tommy, 2020. "Elite structure and the provision of health-promoting public goods," ZEW Discussion Papers 20-064, ZEW - Leibniz Centre for European Economic Research.
    11. Jonathan Chapman, 2021. "Interest Rates, Sanitation Infrastructure, and Mortality Decline in Nineteenth-Century England and Wales," Working Papers 0218, European Historical Economics Society (EHES).
    12. Toke S. Aidt & Romola J. Davenport & Felix Gray, 2023. "New perspectives on the contribution of sanitary investments to mortality decline in English cities, 1845–1909," Economic History Review, Economic History Society, vol. 76(2), pages 624-660, May.
    13. Touré, Nouhoum, 2021. "Culture, institutions and the industrialization process," Journal of Economic Behavior & Organization, Elsevier, vol. 186(C), pages 481-503.
    14. Claire Lepault, 2023. "Is urban wastewater treatment effective in India? Evidence from water quality and infant mortality," CIRED Working Papers hal-04232407, HAL.

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