Public Health and the State constitutes both a fine piece of social history and an ideal model for evaluating our current definition of public health. In this thought-provoking account, Ms. Rosenkrantz perceptively traces the development of the Massachusetts State Board of Health--established in 1869 as the first state institution in the United States responsible for preventing unnecessary mortality and promoting all aspects of public health.

This study describes the areas in which state responsibility for deterring disease assumed increased authority after the Civil War. It...