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

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Clerkenwell 1878

[Report of the Medical Officer of Health for Clerkenwell, St. James and St. John]

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19
11 of the cases occurred in January; 6 in February; 13 in March;
26 in April; 14 in May; 8 in June; 6 in July; 1 in September;
1 in October; and 3 in November.
I have remarked that about one-ninth of these cases occurred in
Model Buildings in the parish. As the occupants of these buildings
by no means form one-tenth of the occupants of the houses in the
parish, the proportion is large. In the erection of new Model
Buildings, I hope the most important point will receive attention,
viz.:—that the rooms should not communicate with each other,
except through a passage Otherwise, a family may occupy several
rooms, but as they all communicate, the occupation is really that of
one room only, so that no isolation is at all possible in case of
any infectious disease occurring.
In regard to the other (should be) preventible or zymotic diseases,
the table shows:—That the number of deaths from Measles was
considerably less than in the preceding year; that from Scarlet
Fever also less; that from Hooping Cough was larger; from
Typhus, the same ; and from Diarrhoea, considerably increased.
7 of the cases included under the head of Scarlet Fever, were
returned as arising from Diphtheria.
The deaths included under the head of Typhus, comprised 2 from
Typhus proper, 20 from Typhoid or Enteric Fever, and 3 from
simple continued Fever.
Slaughter-houses.—The Slaughter-houses were inspected in
August. They were 19; 9 in the upper Wards, and 10 in the
lower. They were mostly in very good order. In 9 of them,
however, some sanitary improvements were required.
Cow-houses.—These were also inspected, at the same time as
the Slaughter-houses. They were 24, mostly in good order, but in
10 instances, sanitary improvements were required. The cows were
in excellent condition.
An important decision in regard to the cubic air-space required
for each cow, was made by the Magistrates at the (December)