How did cleaning of the city helped Americans?

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By the last quarter of the nineteenth century, [the walking city, so named for the necessity of walking to work] disappeared. Where once substantial houses, businesses, and small artisan dwellings had stood side by side, central business districts emerged...Few people lived downtown, although many worked or shopped there. Surrounding the business center were areas of light manufacturing and wholesale activity with housing for workers. Beyond these working- class neighborhoods stretched middle class residential areas. Then came the suburbs...Scattered throughout the city [was] industrial activity surrounded by crowded working-class housing...Better transportation increasingly allowed middle-and upper-class residents to live away from their work and from the grimy industrial districts...” 1. How did cleaning of the city helped Americans?
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