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

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Mile End 1868

The twelfth annual report of the Vestry of the Hamlet Mile End Old Town in the county of Middlesex

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money loss, which is of course, incalculable, and the loss
of health and life ensuing from the spread of these
diseases throughout all classes of the community from
their original source among the poorest.
It is sufficiently evident from this brief exposition that
we have here one of the principal charges upon the poors'
rate, and it is unnecessary to supplement such facts with
any remarks as to the better economy of preventing, at
a nominal cost, that which entails such a large outlay to
combat and remedy.
It is my deliberate opinion that if all the provisions
of sanitary legislation, since the passing of the Local
Management Act, had been earnestly applied from the
commencement, there would not have been any necessity
for the costly Institutions now in course of
projection for the reception and treatment of epidemic
diseases in the metropolis.
Tlio Sanitary Committee framed and recommended for
adoption by the Yestry, certain regulations under clause
35 of the Public Health Act of 1866, for the more
effectual prevention of epidemic diseases, but the Vestry
refused to adopt them, considering the general powers
of the Act sufficient in this Hamlet to effect the objects
in view.
Exhalations from human excreta and refuse are the
chief causes of these diseases.
Defective and deficient drainage and absence of any
effectual system of sewer ventilation are, therefore, in
the highest degree inimical to the public health, and,
until a successful principle of sewer ventilation is discovered
and applied, the main drainage of the