As usual, Rawcliffe is lucid and persuasive. This monograph, a holistic history of public health, both fills a lacuna in the growing field of premodern public health, and makes an effective plaidoyer for more such studies. Rawcliffe examines how technology, law, and charity, as well as medical care in a narrower sense, contributed to the health of medieval communities, and were seen as vital to the maintenance of that health, moral and spiritual as well as physical. Desiderata might be a closer consideration of how, when, and why urban communities, or groups within them, undertook projects with the explicit goal of improving health; and a more detailed look at how such projects might be associated with group or even individual identity, rather than or in addition to civic pride. This is still, however, a work of impressive scope, drawing on edited sources from, and studies of, urban communities all over England, in addition to Rawcliffe's own archival research.