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

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St James's 1864

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

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40
depression of temperature. It is not alone amongst
the artisans and the lower classes as these who
affect a better position in society call them, that
these effects are seen. It is especially amongst our
small tradesmen, our large tradesmen, our professional
men, and the more studious of the upper
classes, that this effect of overwork and under sleep
is seen. The excessive death of our Parish has
not been confined to these classes who are in a
great measure dependent for their physical welfare
upon the intelligence and sympathy of the wealthier
classes, but the "grim tyrant" has remorselessly
hewn down with the poor and the helpless, the
wealthy and the powerful, wherever they have
through ignorance or ambition, neglected the laws
of Him who is as absolute in the government of the
physical as the spiritual world.
GENERAL WORK OF THE YEAR 1864.
I now turn from the consideration of the causes
of the high rate of death in 1864, to these
questions of general interest in my department
to which I have had occasion to refer in my reports
to the Vestry from time to time.
PAROCHIAL DEAD HOUSES.
At the beginning of the year I drew the attention
of the Vestry to the necessity of having a public