Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
[Report of the Medical Officer of Health for St James's, Westminster]
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42
August I made the following report to the Vestry:
"I have, now, to record two decided cases
"of Asiatic Cholera, one which has proved fatal at
"50, Brewer Street, and another which is recovering
"at 30, Broad Street. I have enquired into the
"history of these cases, and have not been able to
"discover where the disease was contracted. The
"case in Brewer Street was that of a jobbing
"coachman, who had been ill for some days with
"Diarrhœa before the attack came on. He lived in
"a back room of the yard, 50, Brewer Street,
"abutting on Smith's Court. The whole house is
"overcrowded, the yard, dust bin, cistern, cellars,
"kitchens, were filthy in the extreme. The drain"age
bad; the water closet defective, and the
"house overcrowded, the rooms of a small eight"roomed
house, containing permanently living in
"them 37 individuals.
"The man at 30, Broad Street, who is recovering,
"is a tailor, a teetotaller, and living on the first
"floor back. The house, like many others, is
"overcrowded, the cistern was filthy, the dust bin
"was full, and the drainage was bad.
"These two cases shew that were sanitary ar"rangements
are most neglected, there the disease is
"most likely to occur. These, however, are dropping
"cases, what we have to dread is an outbreak —a
"spread of the disease by poisoned water, such as is
"now occurringin the East of London. I think this