---
title: "Meaning & Key Takeaway of: British Medical Journal asked its readers…"
description: "\"“British Medical Journal asked its readers to vote on the most important medical milestone that had occurred since 1840, when the BMJ was first publish..."
image: "https://sms4smile.com/quotes/i/bee/chip-heath-4065_books_british-medical-journal-asked-its-reader_2084365.jpg"
---

#  British Medical Journal asked its readers to vote on the…

![“British Medical Journal asked its readers to vote on the most important medical milestone that had occurred since 1840, when the BMJ was first published. Third place went to anesthesia, second place to antibiotics. The winner was one you might not have expected: the “sanitary revolution,”…” quote by Chip Heath](https://sms4smile.com/quotes/i/bee/chip-heath-4065_books_british-medical-journal-asked-its-reader_2084365.jpg)   [Download](https://sms4smile.com/quotes/i/bee/chip-heath-4065_books_british-medical-journal-asked-its-reader_2084365.jpg) [Open image](https://sms4smile.com/quotes/i/bee/chip-heath-4065_books_british-medical-journal-asked-its-reader_2084365.jpg)

> ““British Medical Journal asked its readers to vote on the most important medical milestone that had occurred since 1840, when the BMJ was first published. Third place went to anesthesia, second place to antibiotics. The winner was one you might not have expected: the “sanitary revolution,” encompassing sewage disposal and methods for securing clean water. Much of the world, though, is still waiting for that revolution to come.””

[Chip Heath](https://sms4smile.com/quotes/author/chip-heath/)

## About This Quote

This interpretation was drafted with AI assistance. It is one reading of the quote, not the author's own explanation.

The quote highlights that clean water and sewage systems—often overlooked—are the most vital health advances, surpassing anesthesia and antibiotics.

**In simple terms:** Clean water and sanitation are the greatest health breakthroughs.

Key Takeaway

Prioritize sanitation for health.

Themes

public health infrastructure history

Mood

informative urgent inspirational

Type

educational historical

When to use this quote

- policy making
- urban planning
- education
- NGO work

Key Concepts

epidemiology social determinants technology adoption

Questions to Reflect On

- What steps can societies take to improve sanitation?
- How can we raise awareness of sanitation’s impact?

A Different Perspective

Implementation can be hindered by political and economic barriers.

★ ★ ★ ★ ★   No ratings yet

[Books](https://sms4smile.com/quotes/about/books/) [Clean water](https://sms4smile.com/quotes/about/clean-water/) [Second place](https://sms4smile.com/quotes/about/second-place/) [Third place](https://sms4smile.com/quotes/about/third-place/)

## Related quotes

> [Look back to 1948 when the British Medical Association denounced Aneurin Bevan as 'a would-be Führer' for wanting them to join a National Health…](https://sms4smile.com/quotes/andrew-lansley/look-back-to-1948-when-the-british-medical-association-denounced/)

[Andrew Lansley](https://sms4smile.com/quotes/author/andrew-lansley/)

> [First, it must be a pleasure to study the human body the most miraculous masterpiece of nature and to learn about the smallest vessel…](https://sms4smile.com/quotes/rudolf-virchow/first-it-must-be-a-pleasure-to-study-the-human-body-the-most/)

[Rudolf Virchow](https://sms4smile.com/quotes/author/rudolf-virchow/)

> [It seems an easy choice - sacrifice the tree for a human life - until one learns that three trees must be destroyed for…](https://sms4smile.com/quotes/al-gore/it-seems-an-easy-choice-sacrifice-the-tree-for-a-human-life-until-one/)

[Al Gore](https://sms4smile.com/quotes/author/al-gore/)

> [If Arsenal don't finish third, they might not finish in third place.](https://sms4smile.com/quotes/alvin-martin/if-arsenal-don-t-finish-third-they-might-not-finish-in-third-place/)

[Alvin Martin](https://sms4smile.com/quotes/author/alvin-martin/)

> [If we go back to the moon, we're guaranteed second, maybe third place because while we are spending all that money, Russia has its…](https://sms4smile.com/quotes/buzz-aldrin/if-we-go-back-to-the-moon-we-re-guaranteed-second-maybe-third-place/)

[Buzz Aldrin](https://sms4smile.com/quotes/author/buzz-aldrin/)

> [“A mood of constructive criticism being upon me, I propose forthwith that the method of choosing legislators now prevailing in the United States be…](https://sms4smile.com/quotes/h-l-mencken-2/a-mood-of-constructive-criticism-being-upon-me-i-propose-forthwith-2/)

[H.L. Mencken](https://sms4smile.com/quotes/author/h-l-mencken-2/)

> [“If we are to make the ordinary man aware of the spiritual uity out of which asll the separate activities of our civilization have…](https://sms4smile.com/quotes/christopher-henry-dawson/if-we-are-to-make-the-ordinary-man-aware-of-the-spiritual-uity-out-of/)

[Christopher Henry Dawson](https://sms4smile.com/quotes/author/christopher-henry-dawson/)

> [“Alex the waiter was on my Spank Naughty list in third place, right after Henry Calvill the actor, then Henry Calvill as Superman. He…](https://sms4smile.com/quotes/penny-reid/alex-the-waiter-was-on-my-spank-naughty-list-in-third-place-right/)

[Penny Reid](https://sms4smile.com/quotes/author/penny-reid/)

> [I think we should have more coffeehouses, more cafes, more "third places." More places where people can get together that's not work, not home,…](https://sms4smile.com/quotes/eric-weiner/i-think-we-should-have-more-coffeehouses-more-cafes-more-third-places/)

[Eric Weiner](https://sms4smile.com/quotes/author/eric-weiner/)

> [Of all the strange 'crimes' that human beings have legislated out of nothing, 'blasphemy' is the most amazing -- with 'obscenity' and 'indecent exposure'…](https://sms4smile.com/quotes/robert-a-heinlein/of-all-the-strange-crimes-that-human-beings-have-legislated-out-of/)

[Robert A. Heinlein](https://sms4smile.com/quotes/author/robert-a-heinlein/)

> [“Your cooking reminds me of a Special Olympics race. Reminds me of the time I came in third place. I should have worn a…](https://sms4smile.com/quotes/jarod-kintz/your-cooking-reminds-me-of-a-special-olympics-race-reminds-me-of-the/)

[Jarod Kintz](https://sms4smile.com/quotes/author/jarod-kintz/)

> [I used to think that prayer should have the first place and teaching the second. I now feel it would be truer to give…](https://sms4smile.com/quotes/james-o-fraser/i-used-to-think-that-prayer-should-have-the-first-place-and-teaching/)

[James O. Fraser](https://sms4smile.com/quotes/author/james-o-fraser/)

> [Customers don't always know what they want. The decline in coffee-drinking was due to the fact that most of the coffee people bought was…](https://sms4smile.com/quotes/howard-schultz/customers-don-t-always-know-what-they-want-the-decline-in-coffee/)

[Howard Schultz](https://sms4smile.com/quotes/author/howard-schultz/)

> [Sublimation of instinct is an especially conspicuous feature of cultural development; it is what makes it possible for higher psychical activities, scientific, artistic or…](https://sms4smile.com/quotes/sigmund-freud/sublimation-of-instinct-is-an-especially-conspicuous-feature-of/)

[Sigmund Freud](https://sms4smile.com/quotes/author/sigmund-freud/)

> [Neither should men study war with a view to the enslavement of those who do not deserve to be enslaved; but first of all…](https://sms4smile.com/quotes/aristotle/neither-should-men-study-war-with-a-view-to-the-enslavement-of-those/)

[Aristotle](https://sms4smile.com/quotes/author/aristotle/)

## More by Chip Heath

> [“It seems some CEOs who pay extremely large acquisition premiums … come to believe their own press.”](https://sms4smile.com/quotes/chip-heath/it-seems-some-ceos-who-pay-extremely-large-acquisition-premiums-come/)

[Chip Heath](https://sms4smile.com/quotes/author/chip-heath/)

> [“Regrets of the Dying.” She shared the five most common regrets of the people she had come to know: 1. I wish I’d had the…](https://sms4smile.com/quotes/chip-heath/regrets-of-the-dying-she-shared-the-five-most-common-regrets-of-the/)

[Chip Heath](https://sms4smile.com/quotes/author/chip-heath/)

> [“We are fighting a war on load times.”](https://sms4smile.com/quotes/chip-heath/we-are-fighting-a-war-on-load-times/)

[Chip Heath](https://sms4smile.com/quotes/author/chip-heath/)

> [“Peter Bregman, a productivity guru and blogger for the Harvard Business Review, recommends a simple trick for dodging this fate. He advises us to…](https://sms4smile.com/quotes/chip-heath/peter-bregman-a-productivity-guru-and-blogger-for-the-harvard/)

[Chip Heath](https://sms4smile.com/quotes/author/chip-heath/)

> [“Compromise is like the old joke, “A camel is a horse made by a committee.”](https://sms4smile.com/quotes/chip-heath/compromise-is-like-the-old-joke-a-camel-is-a-horse-made-by-a-committee/)

[Chip Heath](https://sms4smile.com/quotes/author/chip-heath/)

> [When people know the desired destination, they’re free to improvise, as needed, in arriving there.](https://sms4smile.com/quotes/chip-heath/when-people-know-the-desired-destination-they-re-free-to-improvise-as/)

[Chip Heath](https://sms4smile.com/quotes/author/chip-heath/)

> [“Research tells us that brainstorming becomes more productive when it’s focused. As jazz great Charles Mingus famously said, “You can’t improvise on nothing, man;…](https://sms4smile.com/quotes/chip-heath/research-tells-us-that-brainstorming-becomes-more-productive-when-it/)

[Chip Heath](https://sms4smile.com/quotes/author/chip-heath/)

> [What’s working, and how can we do more of it?](https://sms4smile.com/quotes/chip-heath/what-s-working-and-how-can-we-do-more-of-it/)

[Chip Heath](https://sms4smile.com/quotes/author/chip-heath/)

> [“To make good decisions, CEOs need the courage to seek out disagreement. Alfred Sloan, the longtime CEO and chairman of General Motors, once interrupted…](https://sms4smile.com/quotes/chip-heath/to-make-good-decisions-ceos-need-the-courage-to-seek-out-disagreement/)

[Chip Heath](https://sms4smile.com/quotes/author/chip-heath/)

> [“One rule of thumb is to keep searching for options until you fall in love at least twice. If you’ve only identified one good…](https://sms4smile.com/quotes/chip-heath/one-rule-of-thumb-is-to-keep-searching-for-options-until-you-fall-in/)

[Chip Heath](https://sms4smile.com/quotes/author/chip-heath/)

> [“Seeking a compelling example of the company’s poor purchasing habits, Stegner assigned a summer student intern to investigate a single item—work gloves, which workers…](https://sms4smile.com/quotes/chip-heath/seeking-a-compelling-example-of-the-company-s-poor-purchasing-habits/)

[Chip Heath](https://sms4smile.com/quotes/author/chip-heath/)

> [“Unexpected ideas are more likely to stick because surprise makes us pay attention and think.”](https://sms4smile.com/quotes/chip-heath/unexpected-ideas-are-more-likely-to-stick-because-surprise-makes-us/)

[Chip Heath](https://sms4smile.com/quotes/author/chip-heath/)

> [“As recounted in his book It’s Your Ship, one of Captain Abrashoff’s first moves was to interview every one of the 310 crew members…](https://sms4smile.com/quotes/chip-heath/as-recounted-in-his-book-it-s-your-ship-one-of-captain-abrashoff-s/)

[Chip Heath](https://sms4smile.com/quotes/author/chip-heath/)

> [“Journalists obsess about their leads. Don Wycliff, a winner of prizes for editorial writing, says, “I’ve always been a believer that if I’ve got…](https://sms4smile.com/quotes/chip-heath/journalists-obsess-about-their-leads-don-wycliff-a-winner-of-prizes/)

[Chip Heath](https://sms4smile.com/quotes/author/chip-heath/)

> [“What you don’t need to do is anticipate every turn in the road between today and the destination. It’s not that plotting the whole…](https://sms4smile.com/quotes/chip-heath/what-you-don-t-need-to-do-is-anticipate-every-turn-in-the-road/)

[Chip Heath](https://sms4smile.com/quotes/author/chip-heath/)

[Explore all 114 Chip Heath quotes ](https://sms4smile.com/quotes/author/chip-heath/)

## More Books quotes

> [I think a new world will arise out of the religious mists when we approach our Bible with the idea that it is not…](https://sms4smile.com/quotes/aiden-wilson-tozer/i-think-a-new-world-will-arise-out-of-the-religious-mists-when-we/)

[Aiden Wilson Tozer](https://sms4smile.com/quotes/author/aiden-wilson-tozer/)

> [If I had a dollar for every time I couldn’t sleep, I could buy a billion locks and finally read a book in peace.](https://sms4smile.com/quotes/aesop-rock/if-i-had-a-dollar-for-every-time-i-couldn-t-sleep-i-could-buy-a/)

[Aesop Rock](https://sms4smile.com/quotes/author/aesop-rock/)

> [If what I write is literature, I guess you'd better emphasize the 'litter.'](https://sms4smile.com/quotes/lydia-lunch/if-what-i-write-is-literature-i-guess-you-d-better-emphasize-the/)

[Lydia Lunch](https://sms4smile.com/quotes/author/lydia-lunch/)

> [My sentences got sharper and my stories more efficient, and I gradually learned to imagine the reader more clearly and to empathize with that…](https://sms4smile.com/quotes/karen-thompson-walker/my-sentences-got-sharper-and-my-stories-more-efficient-and-i/)

[Karen Thompson Walker](https://sms4smile.com/quotes/author/karen-thompson-walker/)

> [Young men, especially in America, write to me and ask me to recommend “a course of reading.” Distrust a course of reading! People who…](https://sms4smile.com/quotes/andrew-lang/young-men-especially-in-america-write-to-me-and-ask-me-to-recommend-a/)

[Andrew Lang](https://sms4smile.com/quotes/author/andrew-lang/)

> [“Within the pages of books, I've journeyed to Mandalay, the Milky Way and Santa Fe, without once having to leave my armchair.”](https://sms4smile.com/quotes/kevin-ansbro/within-the-pages-of-books-i-ve-journeyed-to-mandalay-the-milky-way/)

[Kevin Ansbro](https://sms4smile.com/quotes/author/kevin-ansbro/)

> [The Rosary is the book of the blind.](https://sms4smile.com/quotes/fulton-j-sheen/the-rosary-is-the-book-of-the-blind/)

[Fulton J. Sheen](https://sms4smile.com/quotes/author/fulton-j-sheen/)

> [“Tacitus did not write a most dangerous book. His readers made it so.”](https://sms4smile.com/quotes/christopher-k-krebs/tacitus-did-not-write-a-most-dangerous-book-his-readers-made-it-so/)

Christopher K. Krebs

> [“Take some books and read; that’s an immense help; and books are always good company if you have the right sort.”](https://sms4smile.com/quotes/louisa-may-alcott/take-some-books-and-read-that-s-an-immense-help-and-books-are-always/)

[Louisa May Alcott](https://sms4smile.com/quotes/author/louisa-may-alcott/)

> [Reader, if you are gifted with nerves like mine, aspire to any character but that of a wit.](https://sms4smile.com/quotes/charles-lamb/reader-if-you-are-gifted-with-nerves-like-mine-aspire-to-any/)

[Charles Lamb](https://sms4smile.com/quotes/author/charles-lamb/)

> [I have many who keep me going, I am very fortunate in this sense. There is nothing like a child who knows more about…](https://sms4smile.com/quotes/floyd-cooper/i-have-many-who-keep-me-going-i-am-very-fortunate-in-this-sense-there/)

[Floyd Cooper](https://sms4smile.com/quotes/author/floyd-cooper/)

> [I think books in which people are really happy and things are going well are probably the most challenging novels there are to write,…](https://sms4smile.com/quotes/anna-quindlen/i-think-books-in-which-people-are-really-happy-and-things-are-going/)

[Anna Quindlen](https://sms4smile.com/quotes/author/anna-quindlen/)

> [It's like the query letter problem that I just mentioned, magnified a hundredfold. You might be good at telling a story, but that doesn't…](https://sms4smile.com/quotes/patrick-rothfuss/it-s-like-the-query-letter-problem-that-i-just-mentioned-magnified-a/)

[Patrick Rothfuss](https://sms4smile.com/quotes/author/patrick-rothfuss/)

> [“Be careful about reading health books. Some fine day you'll die of a misprint.”](https://sms4smile.com/quotes/markus-herz/be-careful-about-reading-health-books-some-fine-day-you-ll-die-of-a/)

Markus Herz

> [But editors are still the world's readers. And thus the eyes of the world.](https://sms4smile.com/quotes/betsy-lerner/but-editors-are-still-the-world-s-readers-and-thus-the-eyes-of-the/)

[Betsy Lerner](https://sms4smile.com/quotes/author/betsy-lerner/)

[Browse all 59,485 Books quotes ](https://sms4smile.com/quotes/about/books/)

```json
{
    "@context": "https://schema.org",
    "@graph": [
        {
            "@type": "Quotation",
            "text": "“British Medical Journal asked its readers to vote on the most important medical milestone that had occurred since 1840, when the BMJ was first published. Third place went to anesthesia, second place to antibiotics. The winner was one you might not have expected: the “sanitary revolution,” encompassing sewage disposal and methods for securing clean water. Much of the world, though, is still waiting for that revolution to come.”",
            "creator": {
                "@type": "Person",
                "name": "Chip Heath"
            },
            "isPartOf": {
                "@id": "https://sms4smile.com/quotes/#website"
            },
            "url": "https://sms4smile.com/quotes/chip-heath/british-medical-journal-asked-its-readers-to-vote-on-the-most/",
            "about": {
                "@type": "Thing",
                "name": "Books"
            },
            "@id": "https://sms4smile.com/quotes/chip-heath/british-medical-journal-asked-its-readers-to-vote-on-the-most/#quotation",
            "image": {
                "@type": "ImageObject",
                "@id": "https://sms4smile.com/quotes/i/bee/chip-heath-4065_books_british-medical-journal-asked-its-reader_2084365.jpg",
                "contentUrl": "https://sms4smile.com/quotes/i/bee/chip-heath-4065_books_british-medical-journal-asked-its-reader_2084365.jpg",
                "url": "https://sms4smile.com/quotes/i/bee/chip-heath-4065_books_british-medical-journal-asked-its-reader_2084365.jpg",
                "width": 1080,
                "height": 1080,
                "caption": "“British Medical Journal asked its readers to vote on the most important medical milestone that had occurred…” — Chip Heath",
                "creditText": "SMS4Smile Quotes",
                "creator": {
                    "@id": "https://sms4smile.com/quotes/#organization"
                }
            }
        },
        {
            "@type": "BreadcrumbList",
            "itemListElement": [
                {
                    "@type": "ListItem",
                    "position": 1,
                    "name": "Home",
                    "item": "https://sms4smile.com/"
                },
                {
                    "@type": "ListItem",
                    "position": 2,
                    "name": "Quotes",
                    "item": "https://sms4smile.com/quotes/"
                },
                {
                    "@type": "ListItem",
                    "position": 3,
                    "name": "Chip Heath",
                    "item": "https://sms4smile.com/quotes/author/chip-heath/"
                },
                {
                    "@type": "ListItem",
                    "position": 4,
                    "name": "“British Medical Journal asked its readers...",
                    "item": "https://sms4smile.com/quotes/chip-heath/british-medical-journal-asked-its-readers-to-vote-on-the-most/"
                }
            ],
            "@id": "https://sms4smile.com/quotes/chip-heath/british-medical-journal-asked-its-readers-to-vote-on-the-most/#breadcrumb"
        },
        {
            "@type": "WebSite",
            "@id": "https://sms4smile.com/quotes/#website",
            "name": "SMS4Smile Quotes",
            "url": "https://sms4smile.com/quotes/",
            "publisher": {
                "@id": "https://sms4smile.com/quotes/#organization"
            }
        },
        {
            "@type": "Organization",
            "@id": "https://sms4smile.com/quotes/#organization",
            "name": "SMS4Smile Quotes",
            "url": "https://sms4smile.com/quotes/",
            "logo": {
                "@type": "ImageObject",
                "url": "https://sms4smile.com/quotes/wp-content/themes/sq/assets/icons/icon-512.png",
                "width": 512,
                "height": 512
            }
        }
    ]
}
```
