Hero or villain?BMJ 2008; 337 doi: https://doi.org/10.1136/bmj.a1747 (Published 24 September 2008) Cite this as: BMJ 2008;337:a1747
- Theodore Dalrymple, writer and retired doctor
Dr James Phillips Kay—or Dr James Phillips Kay-Shuttleworth, as he became after his marriage to an heiress—was one of the founding fathers of the British public health movement. He is mainly remembered nowadays, if he is remembered at all, for his pamphlet The Moral and Physical Condition of the Working Classes Employed in the Cotton Manufacture in Manchester, which was cited by Engels in his much more famous book on the condition of the English working class 12 years later, in 1844.
He qualified in Edinburgh in 1827, at the age of 23, and had the opportunity to put his skills into practice the next year when he was present …