In the earlier stages of the reform of the housing of London such buildings had been acclaimed as great improvements, as indeed they were. The later opinions of Medical Officers of Health were not so laudatory. Thus, in 1891, the Medical Officer of Health for Whitechapel, after stating that there were in his district 27 buildings having 3,127 apartments containing 12,279 persons, added that he was "not enlisted amongst the enthusiasts of this method of providing for the housing of the working classes." In 1896 he wrote: "All model dwellings are not equally models of good sanitary houses." And in 1897:-- "The increased population are housed in huge barrack buildings which sometimes are constructed so as to allow light and air to permeate the rooms and sometimes not. The effect of this modern invention is to increase the density of population to a damaging degree.... "That the direct influence of these barrack buildings upon the health of their occupants--more especially the children--is adverse, I have not the slightest doubt." The Vestry of Shoreditch reported in 1892-3:-- "'Model Artizans' Dwellings' do not appear to have been quite what their title implied. At Norfolk Buildings, Shoreditch, on the Medical Officer of Health causing them to be examined for a certificate for exemption from the inhabited house duty, the whole system of drainage was found to be in a most defective and dangerous state. A number of cases of typhoid, diphtheria, and other infectious illness had occurred on the premises." And a couple of years later the Chief Sanitary Inspector submitted to his Vestry a report on some so-called "model dwellings": "These blocks of buildings, 50 feet high, are packed together so as to exclude light and air, and four rooms occupy the site of two: evil conditions which the architect and owner were not only privileged to create, but also, and very practically, in so doing were they privileged to condemn unborn generations of people, whose necessities condemn them to live in these tenements, to endure the evils of their creation." The Medical Officer of Health for St. James' wrote:-- "Block dwellings in such an area as St. James' do not provide the conditions in which healthy children can be reared, nor in which there can be a family life comparable with that possible in the open suburbs of London." The Medical Officer of Health for St. Olave gave a description of Barnham Buildings:-- "Many of the rooms, &c., on the ground and first floor are generally very dark, and the buildings have not been maintained in a sanitary condition, notwithstanding the hundreds of notices that have been served the past five years. The average death-rate of the past five years of the unhealthy tenements was at least 49·6 per 1,000 and of the remainder at least 29·1." The Medical Officer of Health for St. Marylebone gave an interesting explanation of the condition of this class of houses:--