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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5. That no vault be allowed to project beyond the outside line
of kerb where the footway is ten feet or more in width, and
in no case shall the outside of the brickwork be carried
nearer than three feet six inches to the centre line of the
carriageway.
SANITARY.
It will be seen on reference to the report of the Medical
Officer of Health, commencing on page 211, and the appendices
thereto, that continuous attention has been paid to
the abatement and removal of nuisances. It is impossible,
however, to convey any accurate idea of the extent or value
of sanitary work by the mere tabulation of figures. The
most satisfactory proof of the value of this department of
the Vestry's work is afforded by the reduction in the rate of
mortality in the Parish since the creation of a sanitary
department some thirty-six years since.
Without here entering further into details, it may be
remarked that the Medical Officer of Health reports that
the death-rate of the parish was 19.73 per 1,000 for the
year 1891, as compared with a rate of 21.1 for the whole
Metropolis. The cases of fever were again unusually
numerous during the year, but were chiefly infantile in
character, and marked by a very low rate of mortality
Thus, 66 cases of scarlet fever, 18 of enteric or typhoid
fever, 16 of diphtheria, 14 of erysipelas, and 3 of membranous
croup, came under the knowledge of the sanitary
officers, but only 7 deaths were attributable to these
diseases.
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.