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"1.—By the exposure of diseased person or
"persons who have been in contact with them in
"the public streets and ways. 2.—By the practice
"of conveying such persons in cabs or other public
"conveyances, by which the vehicle itself is ren"dered
a source of poison; and, 3.—The effluvia
"emitted from the common sewers into the streets.
"With regard to the first source of the disease,
"nothing more can be done than to instruct
"people on the danger and guilt of such exposure.
"It is a common practice for persons in whose
"families contagious diseases arc prevailing to
"attend places of worship or amusement, and send
"their children to school. To the latter source I
"traced the cases of scarlet fever in Marl"borough
Mews. The second cause is one that
"demands the interference of Government. In all
"large towns conveyances ought to be kept es"pecially
for persons affected with contagious
"diseases, and heavy penalties ought to be in"flicted
on those who convey or cause to be
"conveyed such persons in ordinary conveyances
"plying for hire. With regard to the third cause
"it lies entirely in the hands of the Metropolitan
"Board of Works. I have many times called your
"attention to the necessity of ventilating the com"mon
sewers. Till this is done a great part of our
"sanitary activity is paralysed. It is useless to get
"rid of poisons from the population in our houses,
"if we throw it into our streets. The child wend-