London's Pulse: Medical Officer of Health reports 1848-1972

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City of London 1849

[Report of the Medical Officer of Health for London, City of ]

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Names and Districts.I.II.III.

Mr. DIGBY, Surgeon to the South District of the West London Union.Slight diminution in number of cases as compared with last year; its excess having been attributable to the epidemic then prevailing.Nuisances, perhaps, rather abated in the present year.Apollo court; Mac's place ; Plough court, Holborn ; Plough place; Black-horse alley; Temple lane ; Union court; Church passage; Plum tree court; Plough court, Fetter lane; Robinhood court.
Mr. CORN. SMITH, Surgeon to the South-East District of the City of London Union.Diminished.No apparent alteration has taken place in the physical condition of the district.Nuisance connected with shell-fish boiling-house in Love lane ought to be removed.
Mr. ROBERTS, Surgeon to the North-East district of the City of London Union.Less in number and less fatal.Improved drainage in many localities within the last 18 months, and the substitution of trapped water-closets for offensive open privies; better supply of water.Overcrowding. Nos. 8 and 9 Little Swan alley unfit for human habitation, and with very aggravated nuisances.
Mr. BLENKARNE, Surgeon to the South-West District of the City of London Union.Diminished in frequency and in fatality.Increased supply of water and greatly extended drainage.To make this district as healthy as others, greater ventilation, more cleanliness, and less crowded dwellings are wanting.
Dr. SPARKE, Surgeon to the Central District of the City of London Union.The first quarter of the period in question was strongly marked by the severer forms of the sequelae of cholera, such as consecutive low fever, of protracted duration and interrupted convalescence, by persistent dyspepsia and gastric fe-bricula, together with arthritic or muscular affections accompanying constitutional debility. During the subsequent three quarters (from September 1849) there was remarkable absence of the diseases in question; a few sporadic and for the most part mild cases of scarlatina, hooping-cough, and ordinary febrile affections, being the only exceptions.To the recent prevalence of an epidemic which by its fatality swept away a considerable proportion of the intemperate, the aged, and enfeebled inhabitants of courts and alleys, and crowded localities; as well as to the tendency of that severe scourge to produce a more careful attention to the means and maintenance of health among the surviving in those close and unwholesome neighbourhoods.There is a considerable number of places in my district needing this interference; more particularly the following : Philip lane, London Wall; the houses numbered 26, 27, and 28, Monkwell street; and the following places bordering upon Upper Thames street; viz., Sugar-loaf court and Church place, Garlick hill; Bromley's buildings, and Pennyfather's rents, Huggin lane; Green-arbour court, and Crane court, Lambeth hill; and Brook's yard, Old Fish-street hill.