Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
[Report of the Medical Officer of Health for Greenwich District]
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water sufficiently powerful to carry everything before it, and
thoroughly clearing out the pan, and leaving the apparatus watertight, there is, for the most part, only a small driblet of water,
which finds its way into the sewer without removing the soil
upon which it was intended to operate. I would advise that the
Surveyor should be instructed, that in all applications for drainage,
and when the plans are submitted to him for approval, he should
provide for a much larger supply of water, and a supply-pipe to
the closet of at least one inch and a quarter in diameter. It also
has been frequently urged that a child, for the sake of mischief,
may turn on the water to the closet, and the whole contents of
the cistern be thereby wasted. Even if such should be the case,
you will have the satisfaction of knowing that by such a rush of
water as would be obtained by adopting the above recommendation,
the closet would be thoroughly flushed out at least once in every
day, and thereby the objections hitherto made respecting the uncertain working of the closets would be obviated.
Having now laid before you a statement of the sanitary condition
of the District; the principal diseases that have given rise to the
past increased mortality; and the various causes that would appear
to have chiefly operated in the production of such diseases; it will
naturally follow that some other suggestions should be offered
towards the removal of such harbingers of death.
These remedies can be summed up in a few words.
It is indispensable that the sewerage of the District should be
proceeded with as fast as circumstances will admit of. That the
ccsspools should be generally suppressed. That the method of ventilating the sewers should at once undergo an alteration. That
accumulations of all refuse and decomposable matter should not
only be removed from the inhabited parts of the District, but that
a repetition of such deposits should be prevented. That the water
supplied to the District by the water company should, if possible,
be still further purified. That a considerable number of streets
should, particularly during the summer months, be constantly and
thoroughly flushed and scoured down with water : and that the
dwellings of the poorer classes should receive a regular and
systematic examination by the Inspectors of Nuisances and by