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

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St James's 1886

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

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59
death rate of the Parish was 15.07 per 1,000 for the year
1886, as compared with a rate of 21.6 for the whole
Metropolis. Only 14 cases of smallpox, diptheria,
and various kinds of fever, are known to have occurred in the
Parish, and but 2 deaths are attributable to this class of
disease.
Two officers have been constantly engaged in the work of
inspection with a view to detecting and removing nuisances,
but the Vestry are still more anxious to prevent unsanitary
conditions which give rise to nuisances.
With this object they once more appeal to the parishioners
for intelligent co-operation, especially to such as by their
avocations are brought into contact with residents in the
poorer and more crowded districts. The Vestry will be glad
at all times to receive early information of any nuisance or
supposed nuisance. It is not absolutely necessary that the
name and address of the informant should be given in all
cases, although it is very desirable that this should be done
where possible, in order to save loss of time in fruitless
inquiry.
Another and most valuable mode of assisting in maintaining
a high degree of public health is for each householder to
insist upon scrupulous cleanliness being observed in the
premises under his control. Where cisterns are in use they
should be kept covered and flushed out at sufficiently frequent
intervals; if they are used as receptacles for drinking water,
they should be disconnected from water closets and drains;
care should be taken to keep the drains clean and properly
trapped; attention should be paid to the ventilation of
dwelling rooms; and no foul accumulation should be permitted
to remain in the dust bin. Information and advice on
all these subjects, and on any other points relating to the
public health or sanitary precautions, may be freely obtained