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2
My tenure of office as Medical Officer for Bow and Bromley combined
terminated on the 31st March, 1893. Since then a large increase
in the staff of the whole district has been made, and the working of the
new arrangements has justified with results the departure then made.
While the demands under the old system upon the time and
energy of the staff were always met and grappled with, and everything
possible done to render the large area sanitarily in excellent condition,
it can be understood that the division of such area has
enabled the staff" to give yet more detailed attention to the houses,
more of which, in proportion, have been put in a state of efficiency.
This will be clearly apparent from the reports of the Inspectors appended
hereto, but the result of the appointment of the additional
Sanitary Inspector will be more appreciable at the end of next year,
he only having been at work a short time during the period reviewed
by this report.
It is a source of pleasure to be placed under the obligation of
repeating what I reported last year, that:—
"The work of the Sanitary Department has, during the year, been
carried on with vigour and efficiency. New duties and increasing
obligations have been laid upon Sanitary Officers generally by
recent legislation, to place which in force a laudable attempt has
been made, the spirit as well as the letter of the law having been
observed. This has naturally created additional demands upon
the time and the energies of the officers, demands which I am glad
to say in Bow and Bromley have always been recognised, and met
with a cheerful performance of duty. Epidemics of infectious
disease have likewise led to an important increase in the ordinary
work of the Department, which has loyally grappled with an
emergency so seriously affecting the well-being of the inhabitants
of the districts."
Public attention has been particularly directed during the year to
the prevalence of and to the abnormal increase of diphtheria and