Addams called on women, especially middle class women with leisure time and energy as well as rich philanthropists, to exercise their civic duty to become involved in municipal affairs as a matter of "civic housekeeping." Addams thereby enlarged the concept of civic duty to include roles for women beyond motherhood (which involved child rearing). Women's lives revolved around "responsibility, care, and obligation," which represented the source of women's power. This notion provided the foundation for the municipal or civil housekeeping role that Addams defined, and gave added weight to the women's suffrage movement that Addams supported. Addams argued that women, as opposed to men, were trained in the delicate matters of human welfare and needed to build upon their traditional roles of housekeeping to be civic housekeepers. Enlarged housekeeping duties involved reform efforts regarding poisonous sewage, impure milk (which often carried tuberculosis), smoke-laden air, and unsafe factory conditions. Addams led the "garbage wars"; in 1894 she became the first woman appointed as sanitary inspector of Chicago's 19th Ward. With the help of the Hull-House Women's Club, within a year over 1000 health department violations were reported to city counsel and garbage collection reduced death and disease.