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
erysipelas and puerperal fever 9 _per cent._ fewer. Small-pox, it is
true, is doubled; but the prevention of this disease rests, out of your
jurisdiction, in the exercise of individual discretion. Under the item
of infantile diarrhœa (included in the tenth column) there is likewise
an increase of nearly a third;[36] an exception probably dependent on
the fact that, during last year, many deaths which might have swelled
this column were (on account of the then prevalent influence) catalogued
under the head of epidemic diarrhœa or cholera.
[35] _Appendix_, No. IX.
[36] In the column referred to, this is concealed by the marked
diminution, during the present year, of other disorders classed with
infantile diarrhœa. Their reduction maintains the total of that column
(notwithstanding the difference of diarrhœa) considerably less for
this year than for last.
I should be misleading your Hon. Court, and practising a deception which
next year’s registry would expose, if I pretended that the striking
difference between the two years’ several totals of preventable deaths
(a difference which, leaving cholera out of the question, probably
amounts to a diminution of 30 _per cent._ on the sum of last year) had
resulted wholly, or even chiefly, from sanitary improvement, and could
be interpreted as the evidence of permanent physical changes around the
dwellings of our poorer population. I guard you against this impression
now, because, however satisfactory it might be as a momentary belief, it
would lead to subsequent disappointment; and any future rise in the
proportion of these deaths would induce the erroneous, but
disheartening, supposition that your later sanitary steps had been less
successful than the first. In all these matters, and especially in
analysing the details of a death-registry, it is requisite (as I have
already stated) to deal with cycles of many years. Periods of
pestilence are habitually followed by periods of diminished mortality:
partly because population is diminished, and especially that share of
the population which suffers most from obviable causes of disease;
partly because the great alarm of death has induced vigilance and
precaution, public and private, against the occasions and beginnings of
illness. And, beyond both these circumstances, there are others which we
cannot analyse or explain, though we have scientific certainty of their
operation; circumstances which seem to ensure a comparative quiescence
of the ordinary causes of zymotic disease during those periods which
next succeed the prevalence of certain fatal epidemics.[37]
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Elsewhere in the archive
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account