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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22
In examining the weekly returns of death forwarded
now through the Registrar-General, I have
been struck with the large number of cases in
which persons are found dead, or die without a
medical attendant, and as I find on inquiry, this is
the case in other parishes, I think it is a matter
worthy of inquiry as to whether such cases undergo
that examination which is necessary to determine
whether any further investigation should take place.
It appears to me that, in order to secure the ends of
justice, that in such cases an inquiry ought to be
instituted by a competent medical authority, which
is not the case under the present system.
II.—THE SANITARY WORK OF 1858.
For a detail of the work done under the Sanitary
Inspector, I must refer you to his Report, which
is subjoined in the Appendix. By that Report
you will see that nearly 1000 nuisances injurious
to health have been detected, whilst upwards of
1600 nuisances previously existing, or detected
during the year, have been either mitigated or removed.
I would especially call your attention to
the list of houses drained, or in which the drains
have been repaired. A large number of these have
occurred in the larger and better streets, and I
would especially call the attention of the more
opulent in the parish to the defective condition of
the drains in their houses. It is not till the smell