Growing awareness of the need for effective public health administration in the second half of the nineteenth century led to a number of commissions and reports. The Royal Sanitary Commission was set up in 1869 to look at the management of public health in England. Its remit was broad and aimed at overseeing how effectively national laws on public health and sanitation were being implemented.
The commission interviewed officials involved in town planning and administration, such as registrars and town clerks, and produced its report in 1871. This recommended that local government power should be strengthened. One of its consequences was the Public Health Act of 1872.
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