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In the history of the United States, a clean living movement is a period of time when a surge of health-reform crusades erupts into the popular consciousness. This results in individual, or group reformers such as the anti-tobacco or alcohol coalitions of the late twentieth century, to campaign to eliminate the health problem or to "clean up" society. The term "Clean Living Movement" was coined by Ruth C. Engs, a professor of Applied Health Sciences at Indiana University in 1990.