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

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Lewisham 1866

[Report of the Medical Officer of Health for Lewisham]

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16
preventing cattle, horses, and yards from being filthily kept,
and affording any ingress for disease.''
In this district the plague fell heavily upon cattle kept in
foul yards and dirty, ill-ventillated cowhouses.
Papers were printed and circulated by me during the
height of the plague, containing directions for the treatment,
preventive and curative of the epidemic, and where those
remedies were systematically tried, were in many cases very
successful.
These papers were also circulated at my own private expense
in all parts of the country, and according to letters I have
received, were the means of preventing and relieving the
disease in many places.
In the neighbourhood of Carlisle, this preventive treatment
appears to have been very successful.
But great and strict attention must be paid to those hygienic
measures which we know from experience to be beneficial
in preventing the spread of disease and diminishing tho intensity
and area of attack; and from analogy, we may draw
conclusion that some effect may be produced in this way on
the rapidity of the spread or on the virulence of tho disease.
Destroy decomposition by disinfectants,
Prevent overcrowding,
Secure ventilation,
Use strict and constant cleanliness,
Give pure nutritious food,
Give pure water to drink,
and you put animals in such a position as may best secure for
them immunity from disease.
Every person should look to the housing of cattle as he
would look to the housing of his family if cholera or other
formidable disease existed in his neighbourhood.
The disinfectants recommended have been numerous, and
the methods advised by the Commissioners are these, which it
may be useful to recapitulate.
1. When the animals attacked with the plague have
become convalescent, they ought to be kept apart from sound
beasts for three weeks, and even then not be permitted to