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

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Whitechapel 1866

[Report of the Medical Officer of Health for Whitechapel]

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5
As the District for cleansing purposes has been divided into four parts,
and as there are now four Inspectors of Nuisances, I have assigned an
Inspector to each of them, who will be removed from one Division to
another as often as it may be deemed necessary.
Each Inspector will be required to visit the courts and houses in the
worst localities, of his division to inspect each room of every house, and
make a return to me daily, according to a printed form, of the size of each
room, the number of occupants, specifying whether children or adults, the
general sanitary condition of the rooms and premises, the supply of water
as regards the quantity, the condition of the receptacles for storing water,
and other matters in relation to the public health. These returns will be
preserved in a book prepared for that purpose, which will be indexed so
that it may be of easy reference.
During the quarter a few cases of overcrowding have been abated.
Several animals which were so kept as to be a nuisance have been removed.
Numerous notices have been sent to the police of dangerous structures, also
of rooms sub-let. All the bakehouses, 79 in number, have been inspected,
and 51 notices have been served for cleansing the same. The cow-houses
and slaughter-houses have likewise been inspected.
Three additional water waste preventers have been erected in the
District since my last report. There are now 22 of these machines in use,
two of which are supplied with water by the New River Company, and the
others by the East London. Of these 22 machines, 20 are of one kind,
and 2 of another. This mode of constant water supply is economical, and
very satisfactory to the inhabitants.
The number of births registered in this District during the year 1866
has been 2561, and the number of deaths 3492. The deaths are greatly in
excess of any year since 1848. The total deaths in this District for the
year 1849, when the severe epidemic of Cholera occurred, was only 2778 in
a population of 71,879, whereas, in 1866, in an estimated population of
about 78,000, the mortality has been greater by 714. In both of these
years the deaths in the London Hospital are included. In 1866 the death
rate has been 4.45 per cent., while in 1849 it was 3.86 per cent.
The deaths in the "Workhouse have been 413 against 362 for the
previous year, and in the London Hospital 703 against 416.
The total deaths from Epidemic diseases have been 1476, viz., 44
from Small-pox, 139 from Measles, 72 from Scarlet Fever, 4 from Diphtheria,
94 from Hooping Cough, 119 from Diarrhcea, 100 from Fever, and
904 from Cholera.