Chapter III: Preface (3)

The inhabitants of open streets can hardly conceive the complicated turnings, the narrow inlets, the close parallels of houses, and the high barriers of light and air, which are the common characteristics of our courts and alleys, and which give an additional noxiousness even to their cesspools and their filth. There are very few who, without personal verification, would credit an account that might be given of the worst of such dwelling-places. Let any one, however, who would do full justice to this frightful subject, visit the courts about Bishopsgate, Aldgate, and the upper portion of Cripplegate, which present some of the worst, though by no means the only instances of pestilential residence. A man of ordinary dimensions almost hesitates, lest he should immovably wedge himself, with whomsoever he may meet, in the low and narrow crevice which is called the entrance to some such court or alley; and, having passed that ordeal, he finds himself as in a well, with little light, with less ventilation, amid a dense population of human beings, with an atmosphere hardly respirable from its closeness and pollution. The stranger, during his visit, feels his breathing constrained, as though he were in a diving-bell; and experiences afterwards a sensible and immediate relief as he emerges again into the comparatively open street.

Now, I am prepared to show that there are many, very many, courts within the City, to which the above description accurately applies; courts and alleys hemmed in on all sides by higher houses; having no possibility of any current of air; and (worst of all) sometimes so constructed back to back, as to forbid the advantage of double windows or back doors, and thus to render the house as perfectly a _cul-de-sac_ out of the court, as the court is a _cul-de-sac_ out of the next thoroughfare.

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It is surely superfluous to observe, that these local conditions are utterly incompatible with health. Among their dense population, it is rare to see any other appearance than that of squalid sickness and misery; and the children, who are reproduced with the fertility of a rabbit-warren, perish in early infancy. In the worst localities probably not more than half the children born survive their fifth year, and of the 3763 deaths registered last year in the City of London generally, 1410 were at or under seven years of age.

The diseases of these localities are well marked. Scrofula more or less completely blights all that are born: often extinguishing life prematurely; in childhood, by hydrocephalus; in youth, by pulmonary and renal affections, which you read of as consumption and dropsy; often scarring and maiming where it does not kill, and rendering life miserable by blindness, decrepitude, or deformity; often prolonging itself as a hereditary curse in the misbegotten offspring of those who, under such unnatural conditions, attain to maturity and procreation.

Typhus prevails there too, not as an occasional visitor, but as an habitual pestilence.

It is impossible for me, by numbers, to give you an exact knowledge of the fatality of such spots; because, in the greater part of the City, hospitals, dispensaries, and private practice, divide with the parochial officers the treatment of the sick, and diminish the returns of sickness which those officers would otherwise have to show. But this I may tell you, as an illustration of what I mean;--that in the few houses of Seven-Step-alley and its two offsets, (Amelia-place and Turner-square,) there occurred last year 163 parochial cases of fever; in Prince’s-place and Prince’s-square, 176 cases--think, Gentlemen, if this had occurred in Southampton-place and Russell-square! that behind the east side of Bishopsgate, in the very small distance from Widegate-street to New-street, there were 126 cases; that behind the west side, from Primrose-street to Half-moon-street, there were 245 cases; that the parish of Cripplegate had 354 cases over and above the number (probably a very large one) treated by private practitioners, by hospitals, and especially by dispensaries. Similarly, though with less perfect information, I am enabled to trace fever to a terrible extent in very many other localities of the City, even on the verge of its better residences, and close behind its wealthiest thoroughfares; in Plumtree-court, in Plough-court and place, in Poppin’s-court, Neville’s-court, Blackhorse-alley, Union-court, Plough-court in Holborn, Field-lane; in the courts right and left of King-street, Smithfield, in Hanging-sword-alley and its vicinity, in Peahen-court, in Bell-alley and its neighbourhood, in Priest’s-alley, in Beer-lane, in Friar’s-alley, in Bromley’s-buildings, and in the whole large space which stretches from Ludgate-hill to beside the river.

And in most of these localities, in addition to other sanitary errors, there predominates that particular one to which I am now inviting your attention--the absence, namely, of sufficient ventilation.

It was in districts such as these, that in the year 1665, the Great Plague of London found the readiest facilities for its reception; and it was by the destruction of such districts that the Great Fire of the following year rendered the utmost conceivable service to the sanitary progress of the people, and completed their emancipation from the horrors of an unparalleled pestilence. Long intervening years have sufficed to reconstruct these miserable habitations almost after their first type, and to re-exemplify all the evils which belong to them; so completely indeed, that if the infection of that same plague should light again amongst us, I scarcely know why it might not traverse the City and decimate its population as quickly and as virulently as before. Meanwhile, however, typhus with its kindred disorders, and the occasional epidemics of influenza and cholera, maintain their attachment to the soil, and require no further re-inforcement from the pestilence of other climates. From these fatal diseases we no longer hope to be rescued by the recurrence of the former casualty. The almost two centuries which have elapsed since the period referred to, have taught men better methods than a general conflagration for remedying such evils; and it is a satisfaction to believe that the wisdom and humanity of the Corporation of the City of London will apply those methods with effect.

As a palliative measure, applicable in many of the least aggravated instances, I may suggest the removal of unnecessary walls which intercept the current of air from place to place; the formation of counter-openings in various blind courts; and, not least, in regard of many houses thus situated, the admission of light and air by additional windows. I cannot pass this portion of the subject without recording my opinion that the operation of the window-tax is in direct opposition to the sanitary interests of the people; and I must venture to express my hope that some different method of assessment may presently be adopted, in place of one which presses on the occupier in proportion to the healthiness of his tenement.[25] I think it very desirable, indeed almost indispensable, that your Hon. Court should have the power, under certain circumstances, to order and enforce the opening of additional windows in houses occupied by large numbers of persons, when your Officer of Health may report their ventilation defective; and if it should seem expedient to you to seek this authority from the Legislature, it might with the greatest advantage be accompanied by some concession from her Majesty’s Government, to the effect that the formation of additional windows, occurring thus under your orders for the immediate necessities of health and life, should not occasion any further assessment on the occupiers of the house.

[25] I ought not to pass this page without a grateful mention of Lord
Duncan’s name in connexion with the removal of the Window Tax, at
length happily effected. It remains, however, greatly to be desired,
in respect of certain specifiable houses inhabited by the poorer
classes, that Local Boards of Health should have power to enforce
improvements of ventilation.--J. S., 1854.

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But, Gentlemen, within the City of London there exist, to a very large extent, architectural evils for which no such palliative treatment is possible; evils against which I would venture to say (borrowing a metaphor from my profession) that no safety can be found except in amputation.

To dwell in hovels like pits, low-sunken between high houses, hemmed in by barriers which exclude every breath of direct ventilation--this can never be otherwise than a cause of sickness and mortality to those whose necessities allot them such residence; and, if it be an incontrovertible fact that subsistence in closed courts is an unhealthy and short-lived subsistence in comparison with that of the dwellers in open streets, then, I apprehend, it cannot be doubted that such a manner of life ought to be dealt with as a great evil, and ought as much as possible to be interrupted.

A surveyor’s inspection of the City would reveal to you many places answering to the description I have given; places to which no ventilation could arrive except by removal of whole streets of houses which wall them in.

To remove the well-constructed houses of the City, in order that its wretched courts and alleys should participate in the blessings of light and air, might seem one method of conquering the difficulty which is before you; but I apprehend the opposite alternative, of proceeding to a gradual suppression of all residence in the former class of dwellings, may more naturally have your approbation.

To the latter aim, sooner or later, the sanitary efforts of the Corporation must be directed.

There are many parts of the City where great and immediate advantage would arise from an expenditure of money applied solely to the purpose of destruction; parts, where the purchase of an entire court, or series of courts, for the sole object of pulling down houses, and leaving open spaces in their stead, would be the cheapest as well as the most effective manner of dealing with their sanitary difficulties. And I have earnestly to suggest for your consideration, that proceedings of this nature will require to be pursued to a very great extent, and at a large annual expense, within the City, before the cleanliness and habitability of its poorer localities will stand in their legitimate proportion to the modern stateliness of thoroughfare and grandeur of public buildings which attest the magnificence of the Corporation.

I would, therefore, beg to recommend that a survey be made of the worst districts which I have specified, with a view to the immediate purchase and destruction of some considerable portion of the court-property lying in them; and, still more, I would urge that this is an exertion, which for some years must proceed systematically, in order to thin the density of a population which now breeds pestilence and augments mortality by its overcrowding and excess.

I am aware that considerable difficulties lie in the way of accomplishing an object of this sort with immediate rapidity. It is my great hope, however, that the principle may be distinctly recognised; and that the City will not tolerate within its municipal jurisdiction the continuance of houses absolutely incompatible with healthy habitation. This principle being once established, and a certain annual expenditure devoted to enforce it, I feel assured that within a few years opportunities will have arisen for that outlay to have been made in the most judicious manner, and for its results amply to have demonstrated the advantages of the system which I recommend.

SOCIAL CONDITION OF THE POOR.

VI. Last, and not least, among the influences prejudicial to health in the City of London, as elsewhere, must be reckoned the social condition of the lower classes; and I refer to this the more especially, because often, in discussion of sanitary subjects before your Hon. Court, the filthy, or slovenly, or improvident, or destructive, or intemperate, or dishonest habits of these classes, are cited as an explanation of the inefficiency of measures designed for their advantage. It is constantly urged, that to bring improved domestic arrangements within the reach of such persons is a waste and a folly; that if you give them a coal-scuttle, a washing-basin, and a watercloset, these several utensils will be applied indifferently to the purposes of each other, or one to the purposes of all; and that meanwhile the objects of your charitable solicitude will remain in the same unredeemed lowness and misery as before. Now it is unquestionable, and I admit it,--that in houses containing all the sanitary evils which I have enumerated--undrained, and waterless, and unventilated--there do dwell whole hordes of persons, who struggle so little in self-defence against that which surrounds them, that they may be considered almost indifferent to its existence, or almost acclimated to endure its continuance. It is too true that, among these classes, there are swarms of men and women, who have yet to learn that human beings should dwell differently from cattle; swarms, to whom personal cleanliness is utterly unknown; swarms, by whom delicacy and decency in their social relations are quite unconceived. Men and women, boys and girls, in scores of each, using jointly one single common privy; grown persons of both sexes sleeping in common with their married parents; a woman suffering travail in the midst of the males and females of three several families of fellow-lodgers in a single room; an adult son sharing his mother’s bed during her confinement;--such are instances recently within my knowledge (and I might easily adduce others) of the degree and of the manner in which a people may relapse into the habits of savage life, when their domestic condition is neglected, and when they are suffered to habituate themselves to the uttermost depths of physical obscenity and degradation.

Here again, as in an earlier part of my Report, I think it requisite to remark, that I do not mean in any degree to suggest that the evils adverted to present themselves within the City to a greater extent than in sundry other parts of the metropolis. My sphere of duty lies within the City boundary, and it would be an impertinence in me to comment, either favourably or unfavourably, on districts which lie within another jurisdiction than that of the Commission which I have the honour to address. Simply to guard myself against the possibility of being misunderstood, I again draw attention to the fact that I studiously refrain from instituting comparisons with other metropolitan localities. Let me likewise observe that I am far from insinuating, or suspecting, that the majority of the poorer population of the city has fallen to that extreme debasement which I have just illustrated as affecting some portion (perhaps not an inconsiderable portion) of the poorest; but I dare not suppress my knowledge that such instances exist, nor can I refrain from stating my belief, that ignorance and poverty will soon contribute to increase them, if sanitary and social improvement do not co-operate against their continuance.

Contemplating such cases, I feel the deepest conviction that no sanitary system can be adequate to the requirements of the time, or can cure those radical evils which infest the under-framework of society, unless the importance be distinctly recognised, and the duty manfully undertaken, of improving the social condition of the poor.

Those who suffer under the calamitous sanitary conditions which I have disclosed, have been led, perhaps, to consider them as inseparable from poverty; and after their long habituation to such influences, who can wonder if personal and moral degradation conform them more and more to the physical debasement of their abode? In the midst of inevitable domestic filth, who can wonder that personal cleanliness should be neglected? In an atmosphere which forbids the breath to be drawn freely, which maintains habitual ill health, which depresses all the natural spring and buoyancy of life, who can wonder that frequent recourse should be had to stimulants, which, however pernicious in themselves, still for a moment dispel the malarious languor of the place, give temporary vigour to the brain, and cheer the flagging pulses of a poisoned circulation? Who can wonder that habits of improvidence and recklessness should arise in a population, which not only has much ignorance and prejudice amongst it, but is likewise often unaccustomed to consideration and kindness? Who can wonder that the laws of society should at times be forgotten by those whom the eye of society habitually overlooks, and whom the heart of society often appears to discard?

I believe that now there is a very growing feeling abroad, that the poor of a Christian country can no longer, in their own ignorance and helplessness, be suffered to encounter all the chances which accompany destitution, and which link it often indissolubly to recklessness, profligacy, and perdition. The task of interfering in behalf of these classes, however insensible they may be of their own danger and frequent degradation, begins at length to be recognised as an obligation of society; and as such an interference may be fraught with the utmost advantage to sanitary progress, I shall now proceed to point out the manner in which, with this view only, it may most usefully and most humanely be made.

First of all I would point out to you, that within your Act of Parliament there are contained some enactments on this subject which might be of great value, were it not for their very limited application:--‘Whereas the owners and keepers of lodging-houses of an inferior description, for the accommodation of mendicants, strangers, and other persons for the night, or other short periods, allow the same to be crowded, by receiving more lodgers than such lodging-houses are adapted to contain with a due regard to health,’ therefore, and for some other reasons enumerated in the 91st clause, it is enacted that you may require the registration, and may order the periodical inspection of such houses; that you may from time to time fix and determine the number of lodgers who may be accommodated in each lodging-house; that you may issue ‘rules or instructions regarding health, cleanliness, and ventilation;’ that you may ‘order that a ticket, containing the number of lodgers for which the house is registered,’ together with your rules and regulations, ‘shall be hung up, or placed in a conspicuous part of each room into which lodgers are received;’ and finally, ‘that if any keeper of such lodging-house shall offend against any of these provisions, he shall be liable for each such offence to a penalty not exceeding 5_l._, and the like penalty for every day after the first upon which any such offence shall be continued.’ The spirit of these enactments is excellent; but unhappily the definition given at the end of the clause excludes from the operation of the law those very cases which most need to fall within it. ‘Common lodging-house’ (it runs) ‘shall, for the purposes of this act, mean any public lodging-house, not being a licensed victualling-house, in which persons are harboured or lodged for hire, for a single night, or for less than a week at one time, or in which any room is let for hire to be occupied by more than one family at one time.’ Lodging-houses, according to this definition, are (I am informed) hardly to be found within the City of London; and the clause has remained, and seems in its present form likely to remain, quite inoperative. If, in any future renewal or amendment of your Act, the definition could be modified in such a manner, that the powers given in respect of lodging-houses should be extended to all the poorer tenements of the City, where the several floors are let separately at a weekly rent, the clause in question would be rendered one of the most serviceable in the Act, and one of the most general application. In its present form, the clause barely enables you to deal with the temporary bed-accommodation of trampers and vagrants,--a class happily not very numerous in the City; while, modified in the manner I suggest, it would put under your sanitary regulation the whole household economy of the permanent industrial population of the City; and, if effectively worked, would conduce beyond all estimation to the physical, social, and moral improvement of that class.

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Secondly, and as a matter of even higher importance, I would beg you to consider the incalculable good which may be conferred on the poorer classes of society, by the direct educational influence of those in better and more enlightened circumstances than their own. When I say that all the social errors to which I now more particularly refer, would gradually but swiftly vanish under the influence of education, I do not mean that the cure would lie in learning to read and to write and to sum:--though these attainments, of course, would largely increase the power, usefulness, and market value of their possessor. The education to which I refer, as an all-important influence for sanitary progress, is that which would consist in exhibiting to the lowest classes of society frequent practical evidences of the attainability and the advantages of higher civilization; an education which, by model and examples, would lead them to know cleanliness from dirt, decency from grossness, human propriety from brutish self-abandonment; an education which, by sensible experience, would teach them to feel the comfort and the profit of sanitary observances, and would apply their instinct of self-preservation to the deliberate avoidance of disease.

It is in this point of view, gentlemen, that I would solicit your attention to the useful and philanthropic exertions of three societies which have been established during the last few years, with the object of improving the condition of the labouring classes; and I would venture to suggest that the course which those societies have adopted in various parts of the metropolis, is one that might with the utmost advantage be pursued within the City of London.

The establishment of _Model Dwelling_ and _Lodging-houses_, and of _Public Baths_ and _Laundries_, for the use of the labouring population, is now no longer a matter of recent speculation. Under the beneficent auspices of the Societies to which I have referred, the following experiments have been tried:--

The Committee for promoting the establishment of Baths and Wash-houses, having at first Mr. W. Cotton, and then Sir H. Dukinfield, for its Chairman, and including in its number, with other influential persons, several members of this Corporation, founded, at great pains and expense, a model institution at Goulston-square, Whitechapel. In spite of many circumstances conspiring to render this first and experimental establishment particularly expensive, it has more than supported itself by the small payments of the poor; and its arrangements are sufficiently extensive for it to have given in one day as many as 932 baths. This fact, having occurred in the first year of its establishment, shows how much the poor must have appreciated the additional comfort placed within their reach; and I may add that, from the first opening of the building, the annual receipts have been progressively on the increase. Somewhat earlier, and under the influence of the same parent-committee, though specially directed by a branch-committee, a similar establishment was founded in George-street, Euston-square. During the year 1848 the number of payments made here for bathing was 111,788; the number of payments for washing in the laundries, 246,760. This establishment has not only proved self-supporting, but has been enabled to accumulate a large surplus, which is now being applied to enlarge and improve the building. At Glasshouse-yard, near the entrance to the London Docks, there has been founded, on the same model, a small establishment of free baths and washhouses for the destitute poor. It was opened in May, 1845. In the first year the baths given amounted to 27,662; the usings of the laundry to 35,840; and its total working expenses were covered by £378.

No language, however eloquent--no comment, however instructive, could equal the significance of the figures which I have cited as illustrating the great utility of these institutions; and, as regards their pecuniary success, it is impossible to furnish you with better testimony than is comprised in the fact, that the Guardians of the Poor in a great metropolitan parish[26] have recently, out of the poor-rates, founded an institution of this nature. They have become witnesses to the financial economy of that sanitary and social boon. In their establishment, which is not only self-supporting, but amply remunerative, the poor are enabled to have baths at an expense of a penny for a cold bath, and twopence for a warm bath; and the women are enabled to do their washing, ironing, and drying, with an unlimited water-supply, and with other arrangements of most admirable completeness, at an expense of only twopence for the first two hours, during which they occupy the separate chambers allotted to them. A very considerable proportion of the expense is covered by the receipts for baths given at the higher price of sixpence, and with some additional luxuries, to persons of a higher grade in society than those who use the ordinary baths; the former, though used by a different class of persons, being sought with almost as much avidity as the latter.

[26] St. Martin’s in the Fields.

In the sanitary point of view, I probably need not insist much on the advantages which these establishments have conferred. You will hardly doubt how good and wholesome a thing it has been for so many thousands to have had the means of cleanliness; who, in the absence of such facilities, must often have carried about their persons accumulations that one sickens to think of; and whose narrow, crowded chambers must constantly have steamed with wash-tubs, and been hung round with reeking clothes.

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Next, very briefly, let me allude to what has been done in respect of the habitations of the poor; first, by the Society for the Improvement of the Condition of the Labouring Classes, under the patronage of their Majesties the Queen and the Queen Dowager, with the Prince Albert for its President, and Lord Ashley for its Chairman; secondly, by the Metropolitan Association for Improving the Dwellings of the Industrious Classes, under the Chairmanship of Sir Ralph Howard, and with a committee which, like that of the former society, includes many of the best and wisest, as well as the highest persons of the country. Under the influence of these societies the following experiments have been made:--

In the Old Pancras-road a very large building has been erected, to accommodate 110 families separately and distinctly, in sets of two and three rooms each. Each set of rooms has its own boiler, range, oven, and coalbox; its separate scullery, in which are sink, cistern, and dust-shaft; its own watercloset, its own ample supply of water, and many other conveniences. The rents vary from 3_s._ 6_d._ to 5_s._ per week for a set of two rooms; and from 4_s._ 9_d._ to 6_s._ 3_d._ for a set of three rooms. The founders of this establishment have recently purchased land at the end of Spicer-street, Spitalfields, on which to erect a lodging-house for 300 single men, and also houses for families.

In the Lower-road, Pentonville, houses of three different classes have been built, on the same general principle of furnishing every convenience and sanitary requisite. They accommodate, on the whole, 23 families and 30 single women--widows, or of advanced age. The entire houses for families, with all the above-mentioned conveniences, are at a rent of 6_s._, having a good-sized living room, two bedrooms, with additional enclosed recesses for children’s beds, a yard at the back of the house, and the joint use of a wash-house and drying yard. A floor of two rooms is rented at 3_s._ 6_d._, and a single room by a single person at 1_s._ 6_d._

In George-street, St. Giles’s, a model lodging-house has been established, affording accommodation to 104 single men, and combining everything essential to such an establishment. The ventilation and drainage have been carefully attended to; an ample supply of water is provided, gas extends through the house, the dormitories are arranged so as to keep their inmates private from each other; there are washing-closets fitted up with every requisite for cleanliness; there is a bath-room supplied with hot and cold water; there are a kitchen and wash-house furnished with all appropriate utensils, a pantry-hatch, with separate, ventilated, and secure compartments for the food of each inmate; in the pay-office is a small well-selected library, for the service of the lodgers, and the use of a spacious coffee-room is likewise for their common convenience. Their pay is 4_d._ per night, or 2_s._ a week--an amount little above the ordinary rent paid for the most miserable accommodation in a trampers’ lodging-house.

At 76, Hatton-garden, a lodging-house for 57 single women has recently been opened, consisting of three floors of dormitories, divided into separate compartments, and a basement fitted up with kitchen, washhouse, bath, pantry, safes, &c.

In Charles-street, Drury-lane, three tenements, originally separate, have been converted into a single lodging-house for 82 single men, on the same general plan and at the same rent as that in George-street, St. Giles’s.

All the lodging-houses are furnished; and the inmates are supplied with utensils for their food and other purposes, which must be returned, or made good, at their leaving.

In all these lodging-houses rules exist for the purpose of insuring cleanliness, sobriety, carefulness, and general propriety of conduct; any infraction of which subjects the offender to immediate expulsion. For the sake of those who choose to avail themselves of the opportunity, Scripture readings are appointed to take place in the common room every evening at 9 o’clock; and copies of the Scriptures, with other well-chosen books, are left in charge of the superintendent for distribution among the lodgers, in the hope that they may thus be induced to occupy their leisure to advantage.

In the construction of all these establishments, equally, the greatest pains have been taken to bring sanitary science to bear on the comfort, and convenience, and health of the inmates. Ventilation, drainage, facilities for decency and for cleanliness, have in every instance been made the leading considerations of the architect.[27]

[27] The advantages of these admirable institutions may now be spoken
of from longer experience. In a very remarkable pamphlet just
published by Dr. Southwood Smith, _On the Results of Sanitary
Improvement_, it is recorded that there has been no case of typhus
fever in any one of the model-dwellings since they were first opened,
and that their exemption from cholera has been as complete as from
typhus. In the Metropolitan Buildings, during three years, the average
annual mortality has been only 1·36 per cent. For a lower class of
population, very similar advantages have been procured by the
regulations of the Common Lodging-House Act. Dr. Smith mentions that
in 1308 regulated metropolitan lodging-houses (numbering at least
25,000 lodgers) there had not occurred a single case of fever during
the quarter ending the 23rd of October; yet, before they were under
regulation, twenty cases of fever have been received into the London
Fever Hospital from some one single house in the course of a few
weeks.--J. S., 1854.

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In regard of these model houses and model lodgings, it would, I think, be a great error to estimate their benefit as merely relative to the number of persons at any one time inmates of them. No doubt it is a great advantage that they furnish, at the ordinary prices of the day, or at a still lower price, so excellent accommodation to several hundreds of persons; and it is a still greater good (particularly in regard of those established for single men and single women) that they drill their inmates into decent and orderly habits, and accustom them to a high standard of household-accommodation, which will probably influence their subsequent married lives in the same desirable direction. But, indirectly, their utility has a far wider scope. They stand in bright contrast to the dark features of filth and unwholesomeness which environ them; they familiarise the poorest classes generally with all the practical advantages of cleanliness; they show that dirt is not inevitable; they therefore create and foster among the humblest members of society, a laudable discontent with defective sanitary arrangements; and they establish a strong public opinion, grounded on experience, in favour of those conditions of cleanliness and comfort, which determine the maintenance of health.

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That all the great results of sanitary science can be applied in their utmost perfectness to the dwellings of the poor, for the payment of a rent often below, and never above, the average given for some miserable doghole, that poisons its inhabitants, is a truth of immense importance, deserving the widest dissemination, and pregnant with the most hopeful promise. Such advantages spring from and illustrate the economical application of the associative principle; they cannot be obtained otherwise than by the application of capital, in such an amount as lies only within the compass of wealthy corporations, or is reached by the voluntary combination of several private purses. While the labouring classes are abundantly able to maintain these institutions when established, and to render them amply remunerative to those whose capital has first founded them, it is obvious that no power of association lying within their means can suffice to originate such work.

The task of initiation rests with others. And therefore it is, gentlemen, that on this occasion I have been induced to bring under your notice, as a most important part of my subject, the outline of what has been done in the matter of Model Dwellings and Public Baths and Washhouses. Feeling assured that establishments of this nature are of infinite utility in the several respects I have enumerated; feeling assured that, beyond their immediate operation on the health of inmates and users, they also tend, by their indirect educational influence, to improve the social habits, to promote the civilization, to elevate the general tone and character of the labouring classes, I earnestly recommend them to your attention; hoping that you may either yourselves confer on the poor population of the City the advantage of your patronage and succour in this respect, or else may transfer the matter to the jurisdiction of the Common Council, with all the influence and authority in its favour which your recommendation would insure.

SUGGESTIONS FOR SANITARY ORGANISATION IN THE CITY.

Having now enumerated the sanitary evils of the City, and the remedies which appear to my mind most appropriate for their removal, it becomes desirable that, in concluding, I should point out to you the organisation which seems necessary to be adopted during the gradual transition of the City from its present to a healthier state;--an organisation which may render this transitional period as short as possible, and may most effectually contribute to mitigate, for the time, the pressure of such evils as cannot immediately be removed.

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The object of this organisation lies in a word; Inspection--gentlemen, inspection of the most constant, most searching, most intelligent, and most trustworthy kind, is that in which the provisional management of our sanitary affairs must essentially consist.

I presume I may take for granted that, in some form or other, a _Committee of Health_ will exist, either as a Committee of the Court of Common Council, or as one of this Hon. Court. I may, perhaps, further assume that such a Committee will have authority to entertain all subjects relative to the sanitary improvement of the City, and to make thereon such recommendations as shall seem fit to them; and, further, that they will make it their business to receive periodical intelligence, as complete as possible, on all variations in the public health, and on all circumstances likely to affect it.

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In order that any Committee, acting for sanitary purposes within the City, shall have a reasonable chance of success in its endeavours for the public good, the following means of information will be necessary for its use:--

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1. That an account should be kept, corrected year by year, of every house within the City; as to the area of building, the number of floors, rooms, and windows; as to its ventilation; as to its drainage, water-supply, and other facilities for cleanliness; as to its method of occupation, and number of inhabitants:

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2. That from this account there should be made out, at least twice yearly, a list of houses and streets remaining in an objectionable sanitary state; and a list, also, of such as may have been remedied to the satisfaction of the Committee since the formation of their last preceding list:

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3. That, while trades injurious to health or offensive to their neighbourhood are suffered to continue within the City, there should be given periodical reports on the condition of such establishments, to the end that they may be so maintained as to be least detrimental to the public health:

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4. That a record of every death registered as occurring in the population of the City should lie before the Committee; and

* * * * *

5. I consider it quite indispensable, that they should likewise receive the largest and most accurate returns which can be procured of all sickness occurring among the poorer classes; and (particularly in respect of all epidemic, endemic, and infectious disorders) that the medical practitioner who communicates the fact of illness, should likewise report the existence of any local causes, or other influences of general operation, which have tended to produce, or are tending to continue, such illness.

* * * * *

On the subject of returns of the nature last referred to, I have already, on various occasions, submitted my opinion to the judgment of your Hon. Court. A year ago, in the first Report which I had the honour to make here, and in various discussions which during some months followed the reception of that Report, I stated how necessary I deemed such returns, for the purpose of guiding and justifying the various recommendations which it would become my duty to lay before you. The period which has since elapsed, including its three months of pestilence, has furnished me with the strongest confirmation of those views. As I formerly stated by anticipation, so now I repeat from experience, that nothing deserving the name of sanitary administration can exist in the City, without accurate periodical intelligence of all such sickness (at least) as comes under parochial treatment; or without such reports on the local sanitary conditions, and on other causes of disease, as were desired to accompany that intelligence.

When the matter was previously under your consideration, it was argued that the reception of such intelligence formed no part of your functions as a Commission for draining, lighting, paving, and cleansing the City of London; that all sanitary matters, beyond these and the like, were foreign to your proper sphere of operation; and that your funds, raised by rates from the citizens of London, could not with propriety be applied to meet the expenses of such an arrangement. On this question of jurisdiction and finance I shall, of course, hazard no opinion. I would simply beg to repeat, with regard to so much of the matter as lies within my own professional province, that the intelligence in question is absolutely necessary for the present progress of sanitary measures within the City; that no Health-Committee can exist for a month without it; nor can any officer, having proper respect for his character, consent to be considered responsible for the health of a population, whose illnesses he learns only from their posthumous record in the death-register.

During the recent prevalence of cholera, the Health-Committee of the Common Council complied for the time with my recommendation, and established a system of daily reports, rendered still more serviceable by free personal intercourse between myself and the several gentlemen having medical charge of the three City unions. What needed to be daily during a period of pestilence, might fitly become a weekly communication at all other times. I have already reported to the Health-Committee, and I beg to reiterate here, that the advantages derived from that system of communication were such as could have been attained in no other way.

I may remind you that each of the gentlemen referred to, serving under the Poor Law, works within a certain small and definite district; that he is therefore peculiarly competent to speak on the state of the population in that district, on their habits and necessities, on their customary condition of health, and on their liability to epidemic disease; and that the total staff of these officers, taken collectively, representing the medical practice of the whole city, can supply exactly that kind of detailed and precise information which is most serviceable to your Officer of Health, in guiding him to those more general and comprehensive conclusions which it is his business to lay before you. These gentlemen are the habitual medical attendants of the poorer classes; day by day, in the unobtrusive beneficence of their calling, they pass from house to house, and from court to court--the constant recipients of complaint, or the constant observers of ground of complaint--amid all that destitute population on whose condition you require to be informed. They are in the constant presence of the pestilences which reign in our worst localities; they are the chief treaters of endemic disease within the City--of that disease which, by its proportion, measures the success of sanitary changes, or indicates their failure; and it has been the professional education of these gentlemen, as it is their business, to trace such effects to their causes. Their reports would be the authenticated statements of experienced medical practitioners, familiarly conversant with their several respective localities.

If it were your wish and object, with utter indifference to expense, to organise the best scheme for procuring to yourselves from time to time a succession of accurate and trustworthy reports on the state of health, and condition of dwellings, in the several districts of the City;--if you were willing to engage a large number of non-medical persons who should give their whole time to the duty of exploring and reporting on that state, I am persuaded that this expensive and cumbrous proceeding would have a smaller measure of success than that which I submit to you, and which consists essentially in availing yourselves of the local knowledge and daily observations of a staff of officers, already organised and in active occupation for the very purposes in question.

That such intelligence, embracing weekly returns from the eleven parochial surgeons of the City of London, and including their comments on the local causes of prevailing disease, would involve an annual expenditure of money,[28]--and that this expenditure, sooner or later, and in some form or other, would be derived from the rate-paying portion of the community, are facts which cannot be doubted. But that the expenditure would be a judicious one; that it is indispensable to the effective working of any Health-Committee, or any Health-Officer within the City; that it would be the first step to the mitigation of the disorders reported on; that it would disclose evils which else must escape recognition and remedy; that in a few years it would render our general mortality of 3 per cent. on the entire population of the City a matter of history and a warning, instead of its being, as now, a present and awful reality; that in lessening sickness and death, it would stay a large source of pauperism, would diminish the number of occasional and habitual claimants of Union relief, and would become a measure of real and considerable economy;--these are points on which, with the utmost sense of official responsibility, I beg to record my deliberate conviction.

[28] When the matter was last under consideration of the
Commissioners, it appeared that the expense of such an arrangement
would be about £250 annually.--J. S., 1854.

Accordingly, I have to recommend that any Committee, which may undertake the administration of sanitary affairs for the City, shall be furnished as completely as possible with information of the nature I have specified.

* * * * *

Another element to which I think it necessary to advert, in connexion with a future sanitary organisation for the City, is this,--that some permanent arrangement should be made, by which the maintenance of exterior and interior cleanliness, the enforcement of scavengers’ duties, the suppression of nuisances, and the like, should be brought under habitual and systematic surveillance; one, by which all breaches of your present or future sanitary regulations may be quickly detected, and may be visited with their appropriate penalties as speedily and as certainly as possible. I am induced the rather to bring this subject before you, as complaints of scavengers’ duties being neglected have reached me at every turn. I am informed that it is usual for them to refuse to remove dirt and rubbish from houses, according to the terms of their contract, except on the tenants’ payment of an additional gratuity; and it must be obvious to your Hon. Court that the arrangements which you have made by contract for this purpose are virtually defeated, as regards the poorer population, when the removal of refuse-matter is made contingent on the gift of beer-money by those whose means are so restricted.

It is in respect of matters of this sort, and of such only, that I think the services of the Police-Force might usefully be employed. Their want of special education, and their employment in other duties, are circumstances which appear to me quite conclusive for objecting to their utilisation as sanitary reporters. But while I entertain the opinion that their employment in the latter direction would be both fruitless and inconvenient, I would submit that their numbers and their diffusion through the City qualify them well to act against all causers of nuisance, as they act against other offenders, both detectively and preventively; and I would venture to repeat a suggestion, which I made in January last, ‘that the police should consider it part of their duty, to report on every nuisance within their knowledge, and on every infraction of such sanitary rules as this Court may establish.’

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Here, Gentlemen, terminates the list of subjects which, on this occasion, I have thought it my duty to bring before you. Long as the enumeration may have appeared, I can assure you that my present Report bears a small proportion, in point of dimensions, to the very large and very various mass of materials on which it is founded. In compressing it within the narrowest limits consistent with intelligibility, and in excluding from it nearly all details on the matters treated of, I have consulted the convenience of your Hon. Court, notwithstanding the greater labour and difficulty of execution which belong to the plan I have adopted. At any time, in Court or in Committee, when you may wish to pursue the subject, I shall be ready to enter at far greater length, and with more elaborate minuteness, on any of those subjects which, at the present opportunity, I have only sketched for your general information.

* * * * *

In the matters which I have enumerated, some lie distinctly within your province, as assigned by the Act of Parliament; while others may be thought to lie, just as distinctly, without that province. In affairs strictly under your jurisdiction, and within the present scope of the law, there remains very much to achieve. The complete enforcement of house-drainage, till every house washes itself into the sewer; the more general distribution of water, till every individual within the City has an abundant supply within his immediate reach; the effective preservation of public cleanliness; the construction and maintenance of sewerage, paving, lighting, for all the streets, courts and passages of this great City;--these constitute an immense amount of responsibility and labour. Those other objects to which I have referred, are partly such as cannot be accomplished without the further interference of the Legislature. It is a point solely for the discretion of your Hon. Court to determine, how far you may be willing to enlarge the sphere of your sanitary operations, and to undertake the difficulties of a new campaign.

* * * * *

To your Officer of Health the Act of Parliament allows no such option. ‘Whereas the health of the population, especially of the poorer classes, is frequently injured by the prevalence of epidemical and other disorders,’ therefore it is appointed for his duty that he shall report on whatsoever ‘injuriously affects the health of the inhabitants of the City,’ and that he shall ‘point out the most efficacious mode of checking or preventing the spread of contagious or other epidemic disease.’ Actuated by obligation of the duty thus expressed in your Act of Parliament, after full reflection on all that those expressions imply, and with the deepest sense of the responsibility belonging to one who is honoured with the task of advising the first Corporation of the country in respect of its sanitary proceedings, I have been compelled, in the course of my present Report, to trench upon many subjects which do not customarily fall under your consideration, and which (as I have stated) may by some be considered as utterly foreign to your jurisdiction and province.

It rests with your Hon. Court to determine what course you will adopt in respect of such departments of the great sanitary scheme;--whether you will retain them under your consideration, and will assume the responsibility of dealing with them in proportion to their magnitude and importance, or will transfer them to the Court of Common Council for the less restricted deliberation of that body.

Let me once more declare my profound conviction of their importance to the health and welfare of the City.

To provide an inoffensive outfall for the sewerage of our vast population; to render the river a source of unqualified advantage; to give wide extension and sounder principles to the system of water-supply; to suppress all trades and occupations which taint the atmosphere with materials of organic decomposition; to abate the nuisance of smoke; to provide the facilities for extramural interment, and to procure the prohibition of all further burial amidst our living; to improve the domestic arrangements of the poor, and to insure for them an adequate supervision; to establish public baths and laundries, which may offer the utmost facilities and inducement for the maintenance of personal cleanliness; to hinder the occupation of houses which breed pestilence; to destroy such as are irremediably hostile to health, and to disperse the stifled population of courts and alleys; to substitute for such slums as we hope to depopulate and destroy, but in open streets and with perfect ventilation, houses and lodgings, which not only shall offer to the labouring classes every convenience essential to health and decency and comfort, but shall likewise serve as models of household economy for the whole district in which they stand;--these, Gentlemen, are the aims, briefly recapitulated, for the sake of which I have been obliged, as it were casually in my Report, to touch on many subjects perhaps foreign to your jurisdiction, but lying at least on the confines of your province, and remaining with you now either to retain or to transfer.[29]

[29] Perhaps, to make these passages intelligible, the reader should
be apprised that the business of the Corporation is considered in a
great variety of Committees, which thus have their several and
particular provinces. Of the many matters adverted to, as foreign to
the ordinary functions of the Commission of Sewers, some might belong
to the _City-Lands_ Committee, some to the _Improvement_, some to the
_Finance_, some to the _Navigation_, some to the _Markets_ Committee,
and so on. Obviously it would have been out of my place to touch on
these details of jurisdiction; and I therefore urged only the
essentially _municipal_ character of the several improvements I
advocated.--J. S., 1854.

* * * * *

That the subject of sanitary improvement in its widest scope, and with all that even incidentally relates to it, is one which, according to the ancient constitution of the City, rightfully belongs to the authorities of the Corporation, in some one or other of their municipal relations--that it belongs to them equally as their privilege and their duty, cannot for a moment be questioned. And if your Hon. Court should determine on a negative opinion as regards yourselves, and should decide on transferring these matters to the Common Council, I venture to hope that your influence may accompany them in their course, and may procure for them the consideration they deserve.

* * * * *

Gentlemen, the history of the City of London is full of great examples of public service. It records many a generous struggle for the Country and for the Constitution; it records a noble patronage of arts and letters; it records imperial magnificence and Christian liberality; but never, within the scope of its annals, has the Corporation had so grand an opportunity as now for the achievement of an unlimited good. Because of the City’s illustrious history, and because of the vast wealth and power which have enabled it so often to undertake the largest measures of public utility and patriotism,--therefore it is, that the expectations of the country may well be fixed on the City of London in regard of this, the distinguishing movement of modern times--the movement to improve the social condition, and to prolong the lives of the poor.