The Sanitary Evolution of LondonJephson, Henry (Henry Lorenzo)
History
The Sanitary Evolution of London
Jephson, Henry (Henry Lorenzo)
Public health -- England -- London
The explanation of this general inaction was the simple and obvious one
that on those bodies there were many whose interests ran counter to
the adoption of the Act, and what its adoption entailed; the sanitary
obligations, the annual lime-washings, &c., would entail expense;
they were not going to inflict the cost upon themselves or upon their
friends if they could avoid doing so. And as they could avoid it, the
great bulk of the local authorities deliberately ignored the remedy
devised by Parliament, and with most reprehensible callousness let the
evils go on and increase. But while they remained inactive, death and
disease did not.
Progress in sanitation was retarded also somewhat by other
circumstances.
The Medical Officers of Health were under no obligation to reside in
their district, and were at liberty to take private practice, and so
the whole of their time was not given to their public duty.[156]
But furthermore, they were in a state of dependence on their employers,
which naturally would often prevent their reporting fully upon sanitary
matters, though, happily, there appear to have been few who were
influenced by this consideration. And some of the Vestries and District
Boards did not hesitate to put pressure upon their Medical Officers
to prevent energy on their part. It was stated in evidence before the
Select Committee in 1882 that a Medical Officer would very soon "bring
a hornet's nest round his ears if he attempted to do his duty strictly
and independently."
Lord Shaftesbury declared, in 1884,[157] that he was quite certain
that--
"They would never have the laws of health properly given effect to,
until they asserted the independence of the Health Officers."
Nor were the Sanitary Inspectors as efficient as they might have been,
though there had been a great improvement in the class of man appointed.
The Chief Sanitary Inspector for Clerkenwell[158] reported:--
"The two men (in Clerkenwell) are not very active. It is the greatest
trouble I have to get the men to do their duty."
"The Sanitary Inspectors have not always shown as much zeal and
interest as they might have done, but lately they have improved.... It
is openly talked about in a good many districts in London that a system
of bribing goes on."[159]
But those who were energetic were also discouraged by the same pressure
which damped some of the energies of the Medical Officers of Health.
The Medical Officer of Health for Fulham wrote, in 1884:--
"So many are the vested interests that Sanitary Officers are obliged
in the performance of their duty to interfere with, that they must
be prepared to meet with injustice and opposition in almost all
directions. It is not at all surprising that the dwellings of the
poor in London should be in an insanitary condition seeing the great
obstacles public sanitary officers have in the performance of their
duties."
Public-domain text, read in full here on John Shaqi.
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