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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Names and Districts.I.II.III.
Mr. HADLOW, Surgeon to the Aldgate District of the East London Union.Having been elected in July, 1849, is unable to give any table of comparison.A marked change for the better has been effected in the physical condition of infected neighbourhoods ; viz. improved drainage, better supply of water, partial but beneficial attention to lime-washing and cleansing of dwelling-houses.Seven-step alley : fatal to all children; house-cleansing requires to be enforced; overcrowding to be abated; dust bins to be erected.Harrow alley: filthy, overcrowded, unfit for human habitation. Offal from slaughterhouses, and filth from cattle-sheds, together with want of cleanliness of its inhabitants, render it an absolute focus for contagious diseases.Gun yard: dung-heaps and condition of houses.Princes street: fearfully overcrowded and foul; defective supply of water.
Mr. LLOYD, Surgeon to the Cripplegate District of the East London Union.Considerably under the average, both as regards the numbers attacked, and the proportion of deaths.Principally to the sanitary improvements effected in and around the dwellings of the poor; to the better supply of water; to the increased employment of the labourers ; to food being cheaper ; and to the in- creased facilities offered by the recent regulations of the New Fever Hospital, for the admission of cases not only of confirmed fever, but of doubtful ones.Fountain-and-Still court:— two small houses so badly constructed for light and ventilation, that they should be shut up altogether.
Dr. LOBB, Surgeon to the Aldersgate District of the East London Union, and to the Male Workhouse.A manifest improvement.There has been a considerable diminution in those diseases likely to be benefitted by the adoption of efficient sani-tary measures, which have been adopted in my district. I fear, however, that as the alarm from the late fearful epidemic subsides, so will the dirty inhabitants of still dirtier localities relapse into their former habits ; thus I would strongly urge a periodical survey being made, and a report forwarded to the proper authorities.Bridgewater place : insufficiently drained,Saddler's buildings : privies in immediate conjunction with the dwelling-rooms, and from want of a sufficient supply of water, they become choked, and are consequently most disgusting and injurious.
Mr. BULLIN, Surgeon to the Workhouse of the West London Union.Has no district under his charge; but is aware of improved health in the neighbourhood of his residence (Farring-don street).Sanitary works improving the physical condition of the poorer classes.All the neighbouring courts and alleys demand alteration and improvement.
Mr. HUTCHINSON, Surgeon to the North District of the West London Union.Cases below average and not unusually fatal. Health of the people generally better than usual.Independently of atmospheric influence, in some measure to the greater cleanliness enforced in the courts and alleys; to improved and extended sewerage, to the better supply of water, to a less crowded state of the poor population, and to the greater facility of obtaining food, in consequence of the cheapness of provisions.Three-diamond court; Fox-and-knot court; John's court; Black-bear alley; extreme defects of every sort in light, air, and water; excessive overcrowding, filth, and (in the first case) disordered drainage.