The City That Was

"The City That Was" by Stephen Smith is a historical account written in the early 20th century. The book documents the dire sanitary conditions of New York City in the mid-19th century, focusing on the contributions of Smith and others to a major public health transformation. It provides a detailed examination of the health crises caused by overcrowded tenements, rampant disease, and a lack of effective sanitation measures, and it critiques the neglect of city management towards these issues. The opening of the book presents a shocking portrayal of New York during the mid-19th century as a "blind metropolis" plagued by preventable diseases due to horrendous living conditions, particularly among the poorer immigrant population. Stephen Smith, who had been directly involved in investigating these conditions, describes a city with inadequate drainage, filthy streets, and overcrowded tenements, resulting in high death rates from diseases like typhus, cholera, and tuberculosis. This part of the narrative sets a grim backdrop for the implications of urban neglect and the urgent need for health reforms that would later be instigated by the findings of his inspections and advocacy efforts.