Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
[Report of the Medical Officer of Health for Lambeth]
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During the early part of April, the house was thoroughly
cleansed, re-papered, and painted, and let unfurnished, (the stair
carpet being the only thing allowed to remain) to a second family,
in which there were three children, and within a fortnight of
their taking up their residence thereat, all the children were swept
off by malignant Scarlet Fever. Satisfied that there was some
local cause producing so malignant form of the disease, [directed
the drainage to bo thoroughly explored, and in addition to finding
the drains all untrapped, I discovered that two large cesspools
were at the rear of the house which had been left for surface
drainage G years previously, when the premises were drained into
tho main sewer.
One of the surface-drains waa close to the back door, and the
other was in a tool-house in a corner of tho garden, a place
which would be sure to excite the curiosity of children coming
to a new home. Both cesspits were half full of black decomposing
filth. The differenco in the severity of the two
outbreaks is striking, as being suggestive of the fact that the
infection coming from the first cases was probably intensified
by being further subjected to tho influence of Sewer Gas.
The cesspools were filled in with lime, and the drains leading to
them obliterated, while tho drain-pipes in connection with the
main sewer were re-laid and properly trapped. No case of Fever
has been reported since.
(Case No. 2.)
In a house in the Vauxhall district, there were 9 cases of Fever,
and 7 deaths, (in three families) reported in 1875—6. On visiting
the premises, I found that tho w.c. was on the underground floor
and in a very foul and neglected condition, although there was
ample water-supply; and as the inmates described the house as