“The locality of the residences of the labouring classes are in respect to the surrounding atmosphere favourably situated, but their internal structure and economy the very reverse of favourable. The cottages are in general built more with a view to the per centage of the landlord than to the accommodation of the poor. The joiner’s work is ill performed; admitting by the doors, windows, and even floors, air in abundance, which, however, in many cases, is not disadvantageous to the inmates. The houses generally consist of three apartments, viz., the day-room, into which the street-door opens, and two bed-rooms, one above the other. There is likewise beneath the day-room a cellar, let off either by the landlord or tenant of the house, to a more improvident class of labourers; which cellar, in almost all cases, is small and damp, and often crowded with inhabitants to excess. These cellars are, in my opinion, the source of many diseases, particularly catarrh, rheumatic affections, and tedious cases of typhus mitior, which, owing to the overcrowded state of the apartment, occasionally pass into typhus gravior. I need scarcely add that the furniture and bedding are in keeping with the miserable inmates. The rooms above the day-room are often let separately by the tenant to lodgers, varying in number from one or two, to six or eight individuals in each, their slovenly habits, indolence, and consequent accumulation of filth go far to promote the prevalence of contagious and infectious diseases. “The houses already alluded to front the street, but there are houses in back courts still more unfavourably placed, which also have their cellars, and their tenants of a description worse, if possible. There is commonly only one receptacle for refuse in a court of eight, ten, or twelve densely crowded houses. In the year 1836–7, I attended a family of 13, twelve of whom had typhus fever, without a bed in the _cellar_, without straw or timber shavings—frequent substitutes. They lay on the floor, and so crowded, that I could scarcely pass between them. In another house I attended 14 patients; there were only two beds in the house. All the patients, as lodgers, lay on the boards, and during their illness, never had their clothes off. I met with many cases in similar conditions, yet amidst the greatest destitution and want of domestic comfort, I have never heard during the course of twelve years’ practice, a complaint of inconvenient accommodation.” The following extract from the report of _Mr. Pearson_, medical officer of the Wigan union, is descriptive of the condition of large classes of tenements in the manufacturing towns of Lancashire:—