In 1842 the average life expectancy for a laborer in Liverpool was just  15 years. The condition of public health in Britain during the  nineteenth century from poor sanitation, housing and nutrition resulted  in repeated outbreaks of typhus and cholera and prompted the government  to usher in an era of welfare and state intervention to improve the  health of the nation. The establishment of the National Training School  of Cookery in London in 1873 was part of this wave of reform. The school  trained cookery teachers to be instructors in schools, hospitals and  the armed services, replacing the nineteenth-century laissez-faire  attitude to nutrition and forcing health and diet to become public  issues. Here Yuriko Akiyama reveals for the first time how cookery came  to be seen as an important part of medical care and diet,  revolutionizing the nation’s health. She assesses the practical impact  of nutrition in hospitals, schools and the military and explores the  many challenges and struggles faced by those who undertook work to  educate the nation in the complex areas of sanitation, medicine, food  supply and general habits.
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