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Many urban Americans in the early 1900s faced significant challenges related to overcrowding, poor housing conditions, and inadequate sanitation. Rapid industrialization led to a surge in population as people migrated to cities for work, resulting in cramped tenements with limited access to clean water and waste disposal. This environment contributed to public health crises, including outbreaks of diseases like tuberculosis and cholera. Additionally, the lack of social services and support systems exacerbated issues of poverty and unemployment among urban dwellers.

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