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4
munications, by the experience of the medical charities
whose labours extend within the district, and by my own
observations and those of the Inspectors, immediate
attention is directed to the disease-producing localities,
and fitting steps to remove the causes of insalubrity are
ordered. By this course some abatement of evil has
undoubtedly been effected. As an instance, I may
mention that a court known as Pound's Buildings, had
been noted as the constant habitation of Fever and
sickness. Since sanitary alterations have been made—
in this case chiefly consisting in the providing for
adequate ventilation,—I have received no reports of
zymotic sickness from the place. I trust in future
reports to have a constantly increasing list of similar
expurgations to record. A careful register is kept of
the result of all domiciliary inspections, and of the
sanitary alterations ordered; so that the date of these
latter may be compared with that of the improvement
in salubrity. It is however to be borne in mind
that there is a constant tendency in localities occupied
by the poorer classes, to relapse into unhealthiness.
They require continuous observation, and the periodical
application of measures of cleanliness.
In perusing the Table of causes of deaths and that
which records the mortality at different ages, and the
gross mortality in the several sub-districts, it is necessary
to bear in mind that the Hoxton New Town sub-district
includes the Workhouse of St. Luke's; and that the
Haggerstone West sub-district includes the Shoreditch
Workhouse. In order to arrive at greater statistical
accuracy, it will be necessary to distribute the deaths