Governing Disease: Discourse, Crisis, and the Formation of Public Health in Nineteenth‐Century Britain

ABSTRACT This article examines how cholera discourse in The Times (UK, 1832–1947) reflected and reshaped the ideological foundations of public health in 19th century Britain. As religious explanations for epidemic disease receded, new rationalities emerged to perform similar stabilizing functions. Drawing on close textual analysis of 166 articles identified through corpus‐based sampling, the study traces how moral and religious vocabularies were rearticulated into Malthusian and statist narratives that naturalized mortality, individualized responsibility and legitimated administrative intervention. In this process, The Times operated as a medium through which emerging forms of state power were rendered intelligible. Epidemic suffering was translated into questions of governance and efficiency, whereas imperial hierarchies shaped which lives were made visible. Rather than marking a straightforward triumph of scientific rationality over religious doctrine, the period reveals a reorganization of moral authority under capitalism—one in which public health became a language of legitimation linking humanitarian concern to the logics of accumulation and rule.

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Publication Details

Journal
Sociology Lens
Published
2026-05-01
DOI
https://doi.org/10.1111/johs.70054
Primary Topic
Historical Psychiatry and Medical Practices
Type
article
Field-Weighted Citation Impact
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article

Governing Disease: Discourse, Crisis, and the Formation of Public Health in Nineteenth‐Century Britain

Conor Andre Kelly
Sociology Lens
Historical Psychiatry and Medical Practices
article

Governing Disease: Discourse, Crisis, and the Formation of Public Health in Nineteenth‐Century Britain

Conor Andre Kelly
article en

Abstract

ABSTRACT This article examines how cholera discourse in The Times (UK, 1832–1947) reflected and reshaped the ideological foundations of public health in 19th century Britain. As religious explanations for epidemic disease receded, new rationalities emerged to perform similar stabilizing functions. Drawing on close textual analysis of 166 articles identified through corpus‐based sampling, the study traces how moral and religious vocabularies were rearticulated into Malthusian and statist narratives that naturalized mortality, individualized responsibility and legitimated administrative intervention. In this process, The Times operated as a medium through which emerging forms of state power were rendered intelligible. Epidemic suffering was translated into questions of governance and efficiency, whereas imperial hierarchies shaped which lives were made visible. Rather than marking a straightforward triumph of scientific rationality over religious doctrine, the period reveals a reorganization of moral authority under capitalism—one in which public health became a language of legitimation linking humanitarian concern to the logics of accumulation and rule.

Sociology Lens
Norwegian University of Science and Technology (NO)
Good health and well-being
Openalex Percentile: Top 6%
Historical Psychiatry and Medical Practices
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