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

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St Giles (Camden) 1866

[Report of the Medical Officer of Health for St. Giles District]

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5
in the present year was largely brought about through the opera >n of
the measures which they were charged to carry into effect. For they
have evidence—
1.—That the excessive mortality from Diarrhoea, which existed up to
the time of their appointment, disappeared immediately that their work
began.* 2.—That the Cholera affected most those localities which from
their previous condition were the least amenable to precautionary measures,
particularly the neighbourhood of New Compton Street, (whose
sewerage the Board had not succeeded in completing before they found
that Cholera was in London—they knew that typhoid fever had been
particularly rife in that quarter)—suffered more from Cholera than even
worse looking streets.t 8.—With the precautions that the Committee
enforced, scarcely any instance occurred of a second family being
attacked in the same house, and 110 instance of persons suffering in two
contiguous houses. 4.—Attacks of Cholera were in the great majority of
cases confined to single individuals, and did not spread even to others of
the family; and the exceptional cases where whole families were attacked,
occurred almost exclusively among those who would not or did not
adopt the course prescribed by the Committee.
Sanitary and Remedial Measur.es.—Upon the occurrence of
any case of Cholera, the action of the Committee was, lstly, to procure
the removal of the. patient whenever possible to the Shelton
Hospital. 2ndly.—To remove his family, if they were not properly
lodged, into another and detached portion of the Hospital; here they
were kept under observation and in wholesome conditions until their
own room could be made safe for their return. ((). of C. II. 11.)
8rdly.—To disinfect and limewash the room thoroughly, to disinfect
the privy and drains, aud to clean out the waterbutt of the house.
(O. of C. II. 7-12.) 4thly.—To destroy or in some cases disinfect

* The following are the numbers of Registered Deaths from Diarrhoea before and after house visitation began ; it commenced iu Si. Giles North on July 30th.

BE FOUR HOUSE VISITATION.AFrKK HOUSE VISITATION.
Iu sub- District, Week ending.July 7.July 14.July 21.July 28Aug. 4.Aug. 11.Aug. ;a.Aug. 25.
..23412....
St. Giles South1S43342••
2234••11..
Whole District391011473••

† In the Report of Saint Giles Cholera Committee for 18.H, a list is given of
18 houses which were affected by Cholera, both in that year and in 1849. It is curious
that not one of these houses was affected in 1866.