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

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Marylebone 1900

[Report of the Medical Officer of Health for St. Marylebone, Metropolitan Borough]

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9
so forth are more impure than in the summer, it follows that
shellfish are more likely to be contaminated during those seasons,
and the increase may point to typhoid from shellfish rather
than to water direct.
Seventy-five cases of typhoid were notified; of these 13
were fatal, giving a case mortality of 17 per cent., or
about 92, per million living. This rate in itself is not high. The
last annual return of the Registrar-General's Return (1898) gives
rates for all England varying in 25 years from 137 to 231.
PROSECUTIONS UNDER THE PUBLIC HEALTH
(LONDON) ACT.
A recurring nuisance in the summer months is the nonremoval
of stable manure. The Borough, owing to the extension
of the suburban districts, is continually being, as it were,
removed farther and farther from the country districts, where
the manure is required. The railway rates for such an article
as stable manure are prohibitory, and at certain seasons it is
only possible to get manure removed by paying a relatively high
price. It may, however, be stated generally that the stable
manure was better and more regularly removed in 1900 than
in any previous year. In two instances it was necessary to
summon offenders for breaches of the byelaws. The occupiers
of John's Yard and the occupiers of Boston Mews were brought
before the magistrate in respect to offences connected with
manure, and orders for abatement obtained.
The owners of certain houses in Linhope Street, Melina
Place, Harrow Street, Lisson Grove, Shouldham Street, Burne
Street, Boston Place, Abbey Gardens, and Upper Dorset Street
were summoned for disobedience of the notices of the Local
Authority to reconstruct drains or to abate serious nuisances.
Magistrate's orders were obtained; in a few cases the defendants
were fined.
THE SHELTER.
The St. Marylebone Shelter, established for the purpose
of receiving for short periods families temporarily turned out
of their homes during the operation of disinfection, has been
used 10 times, and has afforded accommodation for 17 adults