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

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City of London 1849

[Report of the Medical Officer of Health for London, City of ]

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APPENDIX.No. I.—Questions addressed to the Union-Surgeons of the City of London, with respect to the Health of their several Districts during the past Year, and their Replies thereunto.

I.II.III.
Names of Surgeons and their Districts.During the past year (dating from Michaelmas, 1849, to Michaelmas, 1850) have epidemic, endemic, and infectious diseases prevailed in your parochial practice, with more or with less than their average severity: namely, 1st, as regards the numbers attacked by such diseases ; 2dly, as regards the proportion of fatal cases ?If you have observed any such difference from the average, are you able to refer it causa-tively to any change for better or worse effected in the physical condition of your neighbourhood, either within this period, or immediately before it ? and if so, will you specify those changes ?Are there in your district any spots, to which you would especially wish and advise that sanitary improvement should be given ? and will you specify, in regard of any spots you may enumerate, what are the improvements which seem to you more particularly called for?
Mr. PORTER, Surgeon to theBishops-gate District of the East London Union.The number of orders issued for district attendance in the Bishopsgate District have very considerably lessened in number, being 513 below an average of the five preceding years, and 116 below an average of the ten preceding years. Epidemic, endemic, and infectious diseases have been of a less severe grade, and the number of fatal cases have been fewer.I am disposed to consider that the improvement in the physical condition of the neighbourhood from better drainage cleansing, supply of water, and other sanatory measures, has had much influence, as well in lessening the amount of disease, as in improving its aspect, and thereby reducing the extent of its mortality.South side of Sweet-apple court, in respect of drainage and water-supply.