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

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Lewisham 1879

[Report of the Medical Officer of Health for Lewisham]

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6
of trouble has been taken to get these dangers remedied in
the construction of new houses in this district, but still
constant supervision is requisite in old as well as new
dwelling houses.
No soil pipe should be constructed within a house, and
no house should in any way communicate with a sewer, but
should have its connection broken between the house and
drain traps, so that any foul gases can only get vent into the
open air.
Cow Houses and Dairies.
As milk often constitutes the sole diet of infants and invalids,
it becomes of the most serious importance that this
nutritious food should be of a pure quality.
The surroundings of cow houses and dairies should bo
kept scrupulously clean, and in the event of any case of sickness
amongst the cows, the animal should be kept separate
from others, and the milk from the diseased animal thrown
away.
The attendance upon cows by those who have recently
been the subject of epidemic disease, should be forbidden.
The water used for the washing of cans must also be of
a pure description, and not drawn from a dirty cistern or
well.
The requirements for cow-houses are, that—There must
be a cubic space of 800 feet for each cow; the sides and floornig
of the cow house must be of some solid and impervious
material; there must be proper light and ventilation; proper
paving and drainage of the cow house and adjoining yard; a
good water supply; a properly constructed dung-pit; and a
clean, covered, impervious receptacle for grains. The cow
houses must be cleansed, and the manure removed therefrom,
twice daily; and all refuse removed from the premises at least
three times a week before 7 a.m.
The Board's Hospital.
The Hospital for the reception of patients suffering from
epidemic disease is now the freehold property of the Board of