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INTRODUCTION The growth of cities has always been accompanied by the growth of slums. Economic hardship and social strife have led the common masses to migrate to cities and thereon to create slums, which created new conditions of ill health due to overcrowding, poor housing and unsanitary environment, coupled with privation While public health crises were not unknown in earlier times, the institutions of family and church were primarily responsible for care and relief. Urbanization broke down those traditional families and community structures and the working class, in particular, were pushed to the brink of destitution in a crisis such as an epidemic or a natural calamity

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