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The connection betweenpoor living conditions and poor health is a traditional tropein public health (Waitzkin H. The Second Sickness: Contradictionsof Capitalist Health Care. 2nd edition. Lanham, MD: Rowan &Littlefield Publishers; 2000:55–73). In a book originallypublished in 1844, Friedrich Engels referred to the effectsof the dismal living conditions of the English workers he closelystudied thus: "That a class living under the conditions alreadysketched and is so ill-provided with the most necessary meansof subsistence, cannot be healthy and can reach no advancedage, is self-evident" (Engels F. The Condition of the WorkingClass . . . [Full Text]