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After the Public Heath Acts of 1872 and 1875, British local authorities bore statutory obligations to carry out sanitary improvements. Richardson explores public health strategy and central-local government relations during the mid-nineteenth-century, using the experience of Uppingham, England, as a micro-historical case study. Uppingham is a small (and unusually well-documented) market town which contains a boarding school. Despite legal changes enforcing sanitary reform, the town was hit three times by typhoid in 1875-1876.