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

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City of London 1899

Report on the sanitary condition of the City of London for the year 1899

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inference to be drawn from this fact is, as before
stated, that the outbreak was due to some central
cause not yet determined.
After the fullest enquiry with the means at
my disposal, there does not appear any tangible
evidence to show that the local epidemic was
connected in any way with the water, or milk,
supply.
The investigation is, however, not complete,
and cannot be so until the whole system of
drainage has been thoroughly explored, a process
which, owing to structural difficulties, has not
yet been accomplished.
At the commencement of the attack the
basement and so much of the general drainage
as could be reached was surveyed by two Sanitary
Inspectors, accompanied by the builder employed
by the owners. Men from the Engineer's
Department were also sent up the main sewer,
who reported no less than eighteen connections
with the main drain running beneath the premises.