“In this district great attention is paid to the cultivation of land, under drainage being much attended to, on which account partly we are not exposed to malaria, neither does ague prevail to any extent. A few cases have occurred, and when they have it has been for the most part in individuals whose systems have been impaired by irregular habits, and consequently the more readily affected by external impressions, as atmospheric vicissitudes.” _Mr. D. R. M’Nab_, the medical officer of the Epping union, states that— “The health of the inhabitants of these two parishes is on the whole highly satisfactory, as will appear by this return, but I would observe that the sanitary condition of two localities would be greatly improved by a little attention on the part of the public surveyors and others to the drains and ditches immediately abutting on the dwellings of the poor inhabitants. I refer more especially to that part of Epping which is denominated the Back-street, and the greater part of which is in the parish of Coopersall. In very wet weather the drains and ditches are flooded; in very dry, on the contrary, they are by the evaporation of the fluids rendered very offensive, and thus almost all our cases of malignant fever are situated amongst those dwellings; if the neighbourhood had been crowded with inhabitants the mischief would have been much greater; and even as it now is, it has been the cause of much fatality among the able-bodied men and women. The same observations are applicable to Duck-lane in the parish of Weald, and also at the Gullett, but in the latter case it is principally owing to the carelessness and filth of one or two families, who have thrown all sorts of excrementitious substances around their dwellings, and in the course of putrefaction it has occasionally become pestiferous. “I may also venture to add the following observation, after twenty-six years’ practice in this neighbourhood, that I have scarcely ever had a case of typhus fever in a malignant form without discovering some stagnant drain or overcharged cesspool, or some other manifest cause of malaria in the immediate residence of the patient.”