Reports Relating to the Sanitary Condition of the City of LondonSimon, John
History
Reports Relating to the Sanitary Condition of the City of London
Simon, John
Cemeteries -- England -- London; Mortality -- Statistics; Sanitation -- England -- London
3. Finally, gentlemen--in the probable anticipation that next year
Cholera will prevail in London with at least its former severity, it may
be claimed of my office, that I should say something with respect to
personal precautions for avoidance of the disease. While most willing to
place at your disposal any useful results of my practical experience in
the matter, I cannot but feel the great difficulty of making general
suggestions in a form really capable of particular application.
From the eminently local prevalence of the poison, it may be inferred
that, for all whose circumstances allow an option in the matter, the
first and most important precaution would consist in avoiding those
localities where the epidemic is active. Our knowledge of the subject
enables us confidently to say that, if in one spot the chance of being
attacked by Cholera is as 1 to 100, in another it becomes 1 to 50, in a
third 1 to 5, in a fourth almost an equal chance whether to be attacked
or not. Nothing is gained towards security by the mere act of leaving
our metropolitan area, if one resorts to some other place where the
system of drainage is equally vicious, or where--as at our nearest
bathing-place, the beach is made almost as offensive by sewage as here
the river-banks.[86] From earlier statements in my Report, it will be
obvious to you that the eligible sites of residence are those which
stand high and dry, with clean effectual drainage of their soils and
houses, conveying all organic refuse beyond range of the local
atmosphere.
[86] Unless the sanitary improvement of Brighton be soon set about in
earnest, the reputation for healthiness, which established its
prosperity, will undergo a very sensible reverse. The natural
advantages of the place are now almost neutralised by the evil
adverted to in the text, and by other filthinesses of the kind.--J.
S., 1854.
I will not pass this part of the subject without admitting that the
course here suggested might involve a considerable desertion of
particular localities, and a transient injury to their commerce. This
unavoidable result of proclaiming the laws of the disease, I must regret
in regard of its personal bearings. But the facts of the case are
all-important for the public; and sanitary improvement will perhaps
move more quickly in the country, when it is known that the pecuniary
prosperity of places may suffer from their reputation for endemic
disease.
In case of Cholera prevailing with severity in spots containing a dense
poor population, great assistance would be given to medical and sanitary
measures, if a number of empty unlet houses, healthily situated, were at
the disposal of the authorities; into which, under proper regulations,
they might induce certain of the poorest families to migrate for a time,
as to places of refuge, till the disease should have subsided about
their original dwellings.
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