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

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St James's 1858

[Report of the Medical Officer of Health for St James's, Westminster]

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17
a want of ventilation must be constantly acting as
a cause of consumption.
It is probable that a large number of those who
thus suffer leave their situations in the parish and
die away from London. The amount of this mortality
is not in any way indicated by the Registrar's Return.
I would especially call attention to one great source
of contamination of the atmosphere in the dwelling
houses and shops of this parish, and that is the
extensive employment of gas. One gas-light, as
ordinarily burned, consumes as much air as six
persons, and where gas is burned more than
ordinary care should be taken to secure the proper
ventilation of rooms in which it is consumed. From
some experiments made in conjunction with Dr.
Letheby, we found that the quantity of carbonic acid
gas in a room over a shop in this parish, that it
contained three times as much carbonic acid as
Dr. Letheby had found in the most densely populated
court in the City of London. Such a fact as this,
shews that by the use of gas without sufficient
ventilation, the houses of the most opulent may be
reduced by neglect to the condition of the most
thickly populated courts of the metropolis. It is
very certain that where gas is extensively burned,
unless every precaution is taken to get rid of the
products of combustion, the health of those exposed
to its influence must suffer, and there is every reason
to believe that the most constant and fatal form
which this suffering assumes is that of consumption.
b

The following Table will enable you to compare the deaths from this disease in the three last years:—

1858.Deaths from Phthisis.
St. James's Sq. Division.Golden Square Division.Workhouse.Berwick Street Division.Total.Total 1857.Total 1856.
1st Quarter,441110291829
2nd Quarter,51510212623
3rd Quarter,3963212132
4th Quarter,4798282226
162131319987110

The following Table shews the mortality for the last three years for each quarter and each division of the parish:—

1856.
Quarters.St. James's Sq. Div.Golden Sq. Division.WorkhouseBerwick St. Division.Total.
1st Quarter,717529
2nd Quarter,391123
3rd Quarter,4171132
4th Quarter,513826
Total,195635110
1857.
1st Quarter,356418
2nd Quarter,767626
3rd Quarter,666321
4th Quarter,388322
Total,1925271687
1858.
1st Quarter,44111029
2nd Quarter,5151021
3rd Quarter,396321
4th Quarter,479828
Total,1621313199