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

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St James's 1871

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

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54
supervision by the aid of a clause in the Amended
Metropolitan Act of 1862. The Slaughter Houses
were also put under surveillance through the same
Act, and the Magistrates refused to license houses
for slaughtering under ground.
In 1864, the Sanitary Inspector was chiefly employed
in carrying out a house to house visitation,
for the purpose of discovering persons who were
unvaccinated. Upwards of one thousand families
were visited, and upwards of one hundred and forty
children were found unvaccinated. During this year
the largest mortality occurred of any year during the
sixteen of which I have been Medical Officer of
Health. I undertook to invesigate the causes, and
showed in my Report that the death was due to the
extreme cold of that year. I also brought before
you this year the necessity of a more accurate registration
of deaths, and a petition was presented to
the Home Secretary on the subject.
In 1865, the very evident increase of Diarrhoea
and the existence of Cholera on the Continent of
Europe, led to the adoption of immediate steps for
meeting any outbreak of this disease in the Metropolis.
A thorough inspection of the parish was
made, and the various surface wells were closed.
It was in this year also that I made extensive
enquiries into the condition of persons in the
various work-rooms where tailors and milliners were
employed. This led to a large improvement in the
condition of these work-rooms, as everywhere the