London (Ancient and Modern) from the Sanitary and Medical Point of View — John Shaqi
London (Ancient and Modern) from the Sanitary and Medical Point of ViewPoore, George Vivian
History
London (Ancient and Modern) from the Sanitary and Medical Point of View
Poore, George Vivian
Medicine -- England -- London -- History -- 19th century; Sanitation -- England -- London -- History -- 19th century
I need hardly say that the crowding of houses means loss of liberty,
and increases competition--that competition is the cause of “sweating”
and other miseries. Having wilfully produced these evils, I for
one do not believe that they are to be removed even by the best
intentioned efforts of city missionaries, nor by young men’s Christian
associations, nor even by music halls, though tea be the beverage and
hymn tunes the melodies.
We have to bear in mind the fact that all writers on sanitary matters
are agreed that of all dangers to health, overcrowding is the
greatest, and that the death-rate rises in proportion to the density
of population. When, therefore, we allow building to go practically
unchecked, and move the poor out of two-storeyed dwellings into
six-storeyed barracks, we must remember the possible drawbacks of such
a system.
The death-rate of Paris is higher than that of London (it was nearly
26 per 1,000 in 1881), but the density of population in Paris is
twice that of London, being 117 to the acre, as against 50 in London.
Some parts of Paris are very much more crowded than any parts of
London, and no parts of it have a density of population so slight
as Fulham, Hampstead, Wandsworth, Woolwich, or Lewisham. The effect
of overcrowding on death-rate is seen very markedly in the city of
New York, which has a population of 1,337,000, which has an almost
unlimited water-supply, and the sewage of which is discharged direct
into the sea. According to the writer in the “Encyclopædia Britannica,”
there is an excessive crowding of the inhabitants into tenement houses,
and the houses are to a great extent without back entrances. As a
consequence, the death-rate was 26·47 in 1880, 31·08 in 1881, and 29·64
in 1882.
In overcrowded places the danger is great when contagious disease makes
its appearance. The spread of such diseases as typhus, measles, and
whooping-cough is very much favoured by overcrowding.
I have prepared a table, taken from the Registrar-General’s decennial
abstract, which shows this fact very clearly with regard to London. I
have arranged the various registration districts of London according
to the density of population, and in another column I have given the
death-rate per 100,000 from whooping-cough and measles, two diseases
which are rarely treated in hospitals, and which are very prone to
follow each other in epidemics, so that when we have not measles with
us we have whooping-cough, and _vice versâ_.
ANNUAL DEATH-RATE PER 100,000 LIVING OF CHILDREN UNDER 5 YEARS OF
AGE FROM WHOOPING-COUGH AND MEASLES DURING THE 10 YEARS 1871-80.
Public-domain text, read in full here on John Shaqi.
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