Report to Her Majesty's Principal Secretary of State For the Home Department, from the Poor Law Commissioners, on an Inquiry Into the Sanitary Condition of the Labouring Population of Great Britain; With AppendicesChadwick, Edwin
History
Report to Her Majesty's Principal Secretary of State For the Home Department, from the Poor Law Commissioners, on an Inquiry Into the Sanitary Condition of the Labouring Population of Great Britain; With Appendices
Chadwick, Edwin
Housing -- Great Britain; Public health -- Great Britain
“The earliest statement which we possess of the mortality of our
hospitals is in Sir William Petty’s work on Political Arithmetic, from
which it appears, that in the year 1685 the proportion of the deaths
to the cures in St. Bartholomew’s and St. Thomas’s hospitals was about
1 to 7. The annual printed report of St. Thomas’s hospital for 1689 is
still preserved: the mortality was then about 1 in 10. During the ten
years from 1773 to 1783, the mortality at St Thomas’s became still
smaller, it was 1 in 14. About the year 1783, some improvements were
made with respect to cleanliness and ventilation, and during the ten
subsequent years the annual deaths were accordingly still fewer than
before, less than 1 in 15. During the ten years intervening between
1803 and 1813 the improvement continued, and the proportion fell to
only 1 in 16. The average during the 50 years from 1764 to 1813 was
remarkably small, only 1 in 15.”
_Parent Du Chátelet_ notices in the following terms the diminution in
the mortality of the Hôtel Dieu from better ventilation:—
“The mortality has diminished in the Hôtel Dieu in remarkable
proportions. Without saying anything of the enlargement of the
windows, of the warm clothing, of a better system of heating the
apartments, are we to count for nothing the destruction of all the
high houses which surrounded the Hôtel Dieu on every side? In our
opinion the pure and dry air which circulates now in every part, the
sun which penetrates there, the stoves which have been erected, have
as much contributed to its healthiness as the suppression of the
amphitheatres of anatomy which were in its neighbourhood.”
The reports of other hospitals present similar and generally
corroborative experience. In the space of four years, ending in 1784, in
a badly-ventilated house, the Lying-in Hospital in Dublin, there died
2,944 children out of 7,650; but after freer ventilation, the deaths in
the same period of time, and in a like number of children, amounted only
to 279.
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