[Sanitary and epidemiological conditions in the Lodz region during the period of the second Polish Republic in the XIX and XX centuries].

Throughout history of European agglomerations in the nineteenth and twentieth century the relation between expanding industry and worsening sanitary and epidemiological conditions was seen. These changes, having great impact on public health, were investigated in the present study. Problems related to sanitary and epidemiological conditions in Lodz first emerged during the Russian occupation of Poland in the XIX century. The Russian Governing Council was not overseeing sanitary conditions of the city, and transferred this responsibility to the industrial bourgeoisie of Lodz. In this situation, uncontrolled development of the industry led to serious deterioration in natural environment and increase of risk for acute and chronic infectious diseases. Improvement of the sanitary situation in Lodz commenced in the period of the Second Polish Republic (1918-1939). Sanitary Divisions were created at the Lodz Department of Public Health. Activities in this Department involved, among others, detailed epidemiological examination of potable water, the investigation of manufacturing processes, retail and wholesale groceries, hygienic conditions of public housing. The activity and interventions of Sanitary Divisions contributed substantially to a decrease of incidence of various diseases and improvement of living conditions of the Lodz populations. The improvement of sanitary and epidemiological conditions in Lodz after 1918 was mainly related to the construction of water supply and sewage systems. This led to an approximation of the urban standards of this 500,000 population agglomeration to European standards.