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know that a foul privy, a dirty house, an untrapped sink or
drain, or a stench from a pig sty, is fraught with danger to
all in their neighbourhood, to say nothing of noxious vapours
from certain manufacturing processes, and some other more
palpable sources of infection. It is mistaken lenity to shut
our eyes to our neighbour's misdoings in sanitary matters
till Typhus or Cholera knock at our gates.
The paving, lighting, and draining of this Hamlet have
been carried out in a most excellent manner, and will soon,
doubtless, leave but little to be desired. Cesspools, however,
yet remain in abundance, in streets, even, where new and
convenient drainage has been constructed. I humbly submit
that the time has arrived for the absolute abolition of cesspool
drainage, and for the carrying out so essential a portion
of sanitary discipline in perfect integrity.
No mastership of science is necessary to accomplish all
necessary sanitary reforms, the leading principles of which
are now universally known and appreciated among the
governing classes. Good food, water, clothing, and shelter,
are the first requirements of man ; but civilisation has some
penalties to pay in exchange for its advantages ; and to preserve
health and life under the several conditions attending
congregation, other necessities arise, and, probably, will
continue to arise, involving some perplexity in detail. The
principles of sanitary science, however, remain unchanged,
and their adoption cannot fail to be rewarded by improved
public health and a prolongation of human life.
I have the honour to be, Gentlemen,
Your most obedient servant,
J, H. PRE EM A N,
Medical Officer of Health for Mile End Old Town.
Vestry Hall, June 23, 1863.