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

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St James's 1866

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

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excellent fall and require but little care, but
those that run from West to East or East to
West not having the same advantages require
a great deal of attention, and find constant Work
for two men at least; although the result of their
labour does not appear, the want of it would soon
be felt in a most serious form, and the maintenance
of the intended efficiency of these Sewers involves
a great amount of time and attention.
This work is managed with as much economy
as is consistent with a beneficial result, considering
the offensive nature of the labour and
the confined space in which the Work has to be
performed. Due attention has been given to
offensive Gullies and Sewer Ventilation, but the
latter subject being under the consideration of the
Metropolitan Board of Works, nothing beyond
that dictated by actual necessity has been
During the past year an improvement in the
supply of Water for Street Watering purposes
was effected, at a comparatively small outlay,
which removed some of the previous difficulties
by giving a permanent supply of Water instead
of one limited to a few hours only; as this

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