Part 25

Considering all these causes, and the needless waste of life occasioned by them, I can have little doubt that as much might be done by individuals, under the influence of improved education, to lessen the mortality from chronic disease, as by sanitary legislation to stay the sources of epidemic death. And regarding both classes of disease together--those, on the one hand, which are of endemic origin (arising in imperfect drainage, in defective water-supply, in ill-devised arrangement of buildings, in offensive and injurious trades, in the putrefaction of burial-grounds, and the like) and those classes, on the other, which arise in the circumstances of individual life, I can have no hesitation in estimating their joint operation at a moiety of our total death-rate, or in renewing an assertion of my last years’ Report, ‘if the deliberate promises of Science be not an empty delusion, it is practicable to reduce human mortality within your jurisdiction to the half of its present average prevalence.’

To revert, however, to your more special branch of the subject,--I have thought the present a convenient time for indicating to you the pressure of preventable death, arising in acute disease, because of the great addition which you have recently gained to your powers for enforcing prevention.

That an average death-rate of nearly 25 per thousand per annum prevails in the City; that three-eighths of your mortality consists in a premature extinction of infant life; that fatal disease, in more than two-fifths of its visitations, is of a kind which operates endemically and preventably;--these are the facts to which I have appealed, as my evidence of the need for sanitary activity and perseverance.

On other occasions I have endeavoured to set before you what are those agencies hostile to life, which affect the masses of an urban population; and during the last three years your Hon. Court has shown its recognition of these causes, and has devoted attention to the means of counteracting them by appropriate sanitary measures.

In too many instances, the powers first given you by the Legislature were inadequate to this great purpose. But now, armed with the further authority of your new Act of Parliament, you enjoy such means for sanitary improvement as have never yet been possessed by any Corporation in the country; such means as, judiciously wielded, cannot but produce the greatest advantage to persons living under your jurisdiction.

As you are only now entering on the exercise of these powers, it may be convenient that I should submit to you a brief account of them, and I gladly turn from contemplating the spectacle of preventable death, to analyse the means of prevention now vested in you by the Legislature.

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1. In regard of public drainage or sewerage, the first and most elementary condition of endemic health, I need hardly tell you that within the City, your powers are absolute. You have entire and sole responsibility for the construction and maintenance of sewers, for their cleaning or flushing, and for the prevention of noxious effluvia from their innumerable gully-holes.

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2. In the all-important particular of house-drainage, your authority is sufficient for every purpose. You can order the complete abolition of cesspools; the construction of drainage in any premises within fifty feet of a sewer; its repair, cleansing, or renewal, whenever it may be disordered: and not only can you order these works to be done, but--failing the owner’s compliance with your notice, you can devolve the performance of his duty on your own workmen, and can recover your expenses from the recusant.

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3. In regard of water-supply to houses your powers are equally cogent, though the unsatisfactory condition of the water-trade continues a serious obstacle to their effective employment. You have authority here, as with house-drainage, to order the construction of all necessary apparatus, and to enforce the fulfilment of your order.

Under both these heads, you possess a power hitherto but imperfectly used, the complete and constant exercise of which I would strongly recommend to your Hon. Court. In all those clauses of your Acts of Parliament, which relate to private works of house-drainage and water-supply, there occurs a very important phrase:--such works shall be constructed ‘to the satisfaction of the Commissioners.’ Now, of private works effected under the authority of your Act, during the last three years, a certain, not inconsiderable, share proves inoperative and bad. The mere overflowing of a water-butt (and in numberless instances this is the arrangement evasively adopted under your orders) can never suffice for the effectual cleansing of house-drains. I need scarcely inform you that an obstructed drain and choked privy, wherever they occur, are equivalent to a cesspool; shedding abroad the same effluvia, and producing the same deadly results. No gain is gotten to the wholesomeness of a house, by substituting for its former cesspool an equally offensive and inoperative drain. To my knowledge, much of the drainage done during the last three years is liable to this risk; and it appears to me indispensable that you should exert direct supervision against so serious an evil.

I would recommend to your Hon. Court that, in issuing orders for the construction of drainage and water-supply, you should require a full specification to be delivered you of the works about to be undertaken, and should distinctly decide as to their sufficiency; or by a still simpler process, that you should fix and determine a certain standard of combined works; a model plan, in short, for house-drainage, privies, and water-supply, and should direct your Inspectors to certify to you the sufficiency of only such works as may accurately correspond to this design.

I cannot but regard it as a grave calamity, that the general supply of water to the City remains beyond your control, in the hands of irresponsible traders; for its imperfect adaptation to the requirements of the public constitutes the largest sanitary evil of the day.

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4. You have entire control over the pavement of every public way within the City, for its construction, maintenance, and cleansing; and in this respect you exercise a power of great sanitary value. The preservation of cleanliness along the whole extended surface of the City, including its many hundred courts and alleys, is indeed a branch of your functions which can hardly be over-estimated for its importance; and the fines which you have the power of levying from your contractors, whenever the scavenging is neglected, are useful securities for the general performance of their duties.

It lies within your power to order, wherever you may think fit, the employment of the hose and jet for the purpose of surface-cleansing in courts and alleys: and, I may add, that the advantages of this most effective sanitary process have been highly appreciated where you have directed its application.

In some of the poorer localities, complaints have arisen in a matter relating to the pavements, where you are not able to afford the complainants effectual relief: viz., with respect to certain inhabitants throwing refuse and offensive matters from the houses into the public way, so that nuisance is created. I have already suggested to your Hon. Court, and I beg leave here to repeat, that in the 41st clause of the City Police Act, provision is made for the prevention of this particular offence, and that your four Inspectors are manifestly unable to relieve the Police Force of their legal responsibility in the matter.

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5. Your powers for enforcing the wholesome cleanliness of private premises are equally considerable. You can order the removal of offensive matter, the purification and whitewashing of premises, and the abatement of any nuisance arising in conditions of filth. In case of need, as shown by a medical certificate, you can summon the offender before your Court; and (under your new Act) you can punish with a heavy fine any repetition of the nuisance against which your order has once been issued.

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6. So long as slaughter-houses are tolerated within the City (and it is to be hoped this may not be long) you have power to regulate their use, according to your discretion, with a view to their cleanliness and better management; and in case of disobedience to your orders, you have power to enforce the temporary suspension of slaughtering. Your new Act renders illegal any slaughtering in cellars, or any keeping of cattle there: and it prohibits that offensive exposure of putrescent hides, which has so often been complained of in the vicinity of Leadenhall Market.

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7. In close connection with the regulation of slaughter-houses, your new Act gives you authority in a matter hitherto quite foreign to your jurisdiction, but where your vigilance may no doubt be exercised with great advantage to the public health. You are authorised to appoint Inspectors of slaughter-houses and of meat; and these officers are required to inspect shops, markets, and slaughter-houses, and to seize and destroy any meat which may appear to them unsound or unwholesome. A further clause of very extensive application enables you to deal generally with all cases, where unwholesome provisions are exposed for sale; and this clause is so constructed as to include and render penal all those fraudulent adulterations of food which render it detrimental to health.

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8. You are invested with important authority against such trades and occupations as are offensive or injurious to their neighbourhood. Under your former Act, you can subject to penalties any person who shall ‘roast or burn, boil, distil, or otherwise decompose any root, drug, or other article or thing, in any house or building, and thereby cause offensive or injurious smells or vapours to be emitted therefrom, so as to become a common nuisance;’ and the same Act also gave you a very inoperative clause against such nuisance-causing manufactories as might begin to work in the City after the commencement of that Act.

Your new law enacts that everything practicable shall be done for the suppression of all nuisances arising in manufactures and the like:--that, after the first of January next, every furnace used in the City shall be such as to consume its own smoke; and that whatever trade or business may occasion noxious or offensive effluvia, or otherwise annoy the inhabitants of its neighbourhood, shall be required to employ, to your satisfaction, the best known means for preventing or counteracting such annoyance.