The county was formed on March 25, 1853, from a large portion of Contra Costa County and a smaller portion of Santa Clara County. Much of what is now considered an intensively urban region, with major cities, was developed as a trolley car suburb of San Francisco in the late 19th and early 20th centuries. The historical progression from Native American tribal lands to Spanish, then Mexican ranches, then to farms, ranches, and orchards, then multiple city centers and suburbs, is shared with the adjacent and closely associated Contra Costa County. This detailed narrative gives an in-depth view of the county's history.

Hella Town reveals the profound impact of transportation improvements, systemic racism, and regional competition on Oakland’s built environment. Often overshadowed by San Francisco, its larger and more glamorous twin, Oakland has a fascinating history of its own. From serving as a major transportation hub to forging a dynamic manufacturing sector, by the mid-twentieth century Oakland had become the urban center of the East Bay. Hella Town focuses on how political deals, economic schemes, and technological innovations fueled this emergence but also seeded the city’s postwar struggles. Toward the turn of the millennium, as immigration from Latin America and East Asia increased, Oakland became one of the most diverse cities in the country. The city still grapples with the consequences of uneven class- and race-based development-amid-disruption. How do past decisions about where to locate highways or public transit, urban renewal districts or civic venues, parks or shopping centers, influence how Oaklanders live today? A history of Oakland’s buildings and landscapes, its booms and its busts, provides insight into its current conditions: an influx of new residents and businesses, skyrocketing housing costs, and a lingering chasm between the haves and have-nots.

"A classic ... required reading for every student in medicine and public health."* "This monograph, which describes in detail the methodology and the findings of a major longitudinal population health study, represents a significant contribution to the social epidemiology of health and illness. The authors document the impact of health habits and social relationships on health outcomes, issues at the forefront of public health in the United States." --*Leon Eisenberg, Harvard Medical School