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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necessary; and where the slightest indisposition has been shown, I
believe it has generally been from the knowledge on the part of the
owner or occupier, that something wrong was existing on the
premises; and the objection certainly has not been made on any
constitutional grounds.
Although the increased mortality of the District has been
already pointed out to you, and the causes treated on under their
respective heads, still there are a few other important matters that
are to be taken under consideration.
On referring to Table No. 5, it will be seen that the increase of
deaths has not been equally distributed throughout the separate
divisions of the District. Thus, in Greenwich East there has been
a considerable increase; in Greenwich Hospital the deaths have
increased from 217 to 236; and in the Union Workhouse from
188 to 202, out of which 20 deaths have arisen from Typhus Fever,
a proportion apparently large for that establishment, when it is
seen that only 90 deaths have occurred from Fever throughout the
whole District, including the Royal Hospital and Schools, and the
Dreadnought Hospital Ship. In Greenwich West the rate of
mortality has been magnified to a much greater extent. In 1857
only 326 deaths were registered in that part of the parish, exclusive of the Dreadnought Hospital; whereas, during the past year
462 have been registered in that division of the parish, making the
rate of mortality to have increased from 17 and a fraction to 24 per
1000 persons. The causes of such death-rate I have endeavoured
to illustrate in the earlier part of this Report.
In the Parish of St. Paul, Deptford, the deaths have been
reduced from 670 to 658. This reduction does not appear to be
sufficiently large so as to warrant the assumption that the parish
has borne a more healthy aspect during the past two years, as, in
comparing those two years with that of 1856, there will be an
increase of 50 in the one and 62 in the other, and it is but natural
to attribute the non-improvement in health of the Parish to the
causes alluded to.
On referring to the Parish of St. Nicholas, the Board have much
cause to be satisfied, that, although there has been no extension of
sewerage, and no sanitary works of importance beyond the