The real driver of white lab coats was the hygienist movement. The mid-19th century witnessed dramatic strides in public sanitation. Rivers of free-flowing feces and effluent gave way to managed sewage disposal systems. Public bathhouses opened, such as the 1842 warm fresh-water baths on Frederick Street in Liverpool, England, serving the “vast numbers of workmen” of the 500,000 that populated the borough. The introduction of hand-washing in obstetrics in 1847 began to save patients, with doctors in other fields following suit. Motorized washing machines were invented in 1851. The domestic use of soap in England nearly tripled between 1801 and 1861, and then almost doubled again by 1891, and suddenly, both being and looking clean became possible.1
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