The following extract from _Mr. Hodgkins_, the medical officer of

Bilston, in the Wolverhampton Union, describes the condition of the

population of a colliery district:—

“Bilston, like Wolverhampton, has not been visited by fever to any

extent since the cholera in 1832. The awful destruction which then

occurred swept off many of those subjects who might afterwards have

been victims of fever; in fact Bilston was, after the cessation of

cholera, nearly free from disease of any kind for several months.

Influenza has occasionally visited us and swept off a few. Small-pox a

few years ago was prevalent, but not very fatal, although many

children from negligence on the part of the parents are not

vaccinated. Scarlet fever has appeared sometimes, but only in

straggling cases. The occupations of the poorer classes are chiefly

colliers, labourers, &c., great members of the latter being Irish. The

houses of those applying for parochial medical relief which I have

visited have been dirty and crowded, the habits of the working classes

here being generally improvident and dirty, many parties forming heaps

of filth close to their doors; and here, as in Wolverhampton, I am

afraid it would require the interference of the law to effect any

permanent good. Some years ago a large culvert was carried down the

principal street which has made a great improvement in that part, but

much yet remains undrained. I would mention a place in High-street

especially, near to a court, crowded with Irish, there is a pool of

green stagnant water or mud continually; another place called the

Berry, behind the King’s Arms Inn, and a third in a court in

Temple-street, where there appears to be a drain which has been choked

up, the stench from which is intolerable.”

_Dr. Edward Knight_ gives the following description of the sanitary

condition of the town of Stafford:—

“During the year ending September 29th, 1839, there have been in the

fever-wards connected with the Stafford County General Infirmary 76

cases of fever, of which number 10 have died, and the remaining 66

were discharged cured. The far greater part of these cases commenced

in the town of Stafford, some being brought to the infirmary in a

dying state, which gives a greater rate of mortality. Although the

fever-wards are well arranged, and every comfort and attention

provided for the patients, there is a general dislike on the part of

the poor to be removed to them from their own houses, except in cases

of actual necessity.

“Owing to this, and the filthy state of those parts of the town

occupied exclusively by the lower classes, as the ‘Broad-eye,’

‘Back-walls,’ &c., we have generally more or less of infectious

diseases during the autumn and winter months in each year, and

although such diseases do not extend their ravages to the more

respectable inhabitants, the above form but a very small portion of

the cases which occur.

“These parts of the town are without drainage, the houses, which are

private property, are built without any regard to situation or

ventilation, and constructed in a manner to ensure the greatest return

at the least possible outlay. The accommodation in them does not

extend beyond two rooms; these are small, and, for the most part, the

families work in the day-time in the same room in which they sleep, to

save fuel.

“There is not any provision made for refuse dirt, which, as the least

trouble, is thrown down in front of the houses, and there left to

putrefy. The back entrances to the houses in the principal streets are

generally into these, the stabling and cow-houses, &c., belonging to

them, forming one side of the street, and the manure, refuse vegetable

matter, &c., carried into the street, and placed opposite to the

poorer houses; so that they are continually subjected to the malaria

arising from that, in addition to their own dirt.

“The sedentary occupation of the working classes (shoemaking being the

staple trade of the town), their own want of cleanliness and general

intemperance, form, also, a fruitful source of disease. One-half of

the week is usually spent in the public-houses, and the other half

they work night and day to procure the necessary subsistence for their

families. There is a great want of improvement in the moral character

of the poor; they can obtain sufficient wages to support their

families respectably, but they are improvident and never make any

provision against illness. A local Act for the improvement of the town

empowers the commissioners to remove nuisances; but no notice is ever

taken. The situation of Stafford also offers every facility for an

efficient drainage; it is nearly surrounded by a large ditch, in which

there might be a running stream of water, well calculated to remove

all impurities; but it is always choked up, and in a stagnant state.

The river ‘Sow’ is also close to the town. There are not any sewers

even in the principal streets, the water being carried off by open

channels. In the Lunatic Asylum, which closely adjoins the town, and

averages 250 patients, great attention is paid to cleanliness, and we

never have any infectious diseases.”

In the month of December, 1839, an application was made to the Board for

advice and aid to meet the emergencies created by an epidemic which had

broken out in the parish of Breadsall in the Shardlow union

(Derbyshire). Mr. Senior, the Assistant Commissioner for the district,

accompanied Dr. Kennedy to the spot where the fever was prevalent, and

that report[2] may be submitted to attention, as containing a picture of

the habits of a large proportion of the population of that part of the

country, and an exemplification in a group of individual cases of the

common causes and effects of such calamities on the labouring

population.

The report from Dr. Baker, of Derby, and Mr. Senior’s report, comprising

the returns from the medical officers of Nottingham, Lincoln, and other

rural and town unions within his district, pourtray the sanitary

condition of a large proportion of the population included in them.

Proceeding northward, a report from _Mr. Bland_, the medical officer of

the Macclesfield union, gives the following description of the state of

the residences occupied by many of the labourers of that town:—

“In a part of the town called the Orchard, Watercoates, there are 34

houses without back doors, or other complete means of ventilation; the

houses are chiefly small, damp, and dark; they are rendered worse with

respect to dampness perhaps than they would be from the habit of the

people closing their windows to keep them warm. To these houses are

three privies uncovered; here little pools of water, with all kinds of

offal, dead animal and vegetable matter are heaped together, a most

foul and putrid mass, disgusting to the sight, and offensive to the

smell; the fumes of contagion spreads periodically itself in the

neighbourhood, and produces different types of fever and disorder of

the stomach and bowels. The people inhabiting these abodes are pale

and unhealthy, and in one house in particular are pale, bloated, and

rickety.”

_Mr. William Rayner_, the medical officer of the Heaton Norris district

of the Stockport union describes the condition of a part of the

population of that place:—

“The localities in which fever mostly prevails in my district, are

Shepherd’s Buildings and Back Water Street, both in the township of

Heaton Norris. Shepherd’s Buildings consist of two rows of houses with

a street seven yards wide between them; each row consists of what are

styled back and front houses—that is two houses placed back to back.

There are no yards or out-conveniences; the privies are in the centre

of each row, about a yard wide; over them there is part of a

sleeping-room; there is no ventilation in the bed-rooms; each house

contains two rooms, viz., a house place and sleeping room above; each

room is about three yards wide and four long. In one of these houses

there are nine persons belonging to one family, and the mother on the

eve of her confinement. There are 44 houses in the two rows, and 22

cellars, all of the same size. The cellars are let off as separate

dwellings; these are dark, damp, and very low, not more than six feet

between the ceiling and floor. The street between the two rows is

seven yards wide, in the centre of which is the common gutter, or more

properly sink, into which all sorts of refuse is thrown; it is a foot

in depth. Thus there is always a quantity of putrefying matter

contaminating the air. At the end of the rows is a pool of water very

shallow and stagnant, and a few yards further, a part of the town’s

gas works. In many of these dwellings there are four persons in one

bed.

“Backwater-street, the other locality of fever, is proverbially the

most filthy street in the town, contains a number of lodging-houses

and Irish, who mostly live in dark damp cellars, in which the light

can scarcely penetrate.

“It is not to be wondered at that such places should be the constant

foci of fevers; there is scarcely a house in Shepherd’s-buildings that

has not been affected with fever, and in some instances repeatedly:

new residents are most liable to be affected, the force of habit, or

some other protecting influence seems to render those who have lived

there some time less liable to be attacked. The same circumstance has

been noticed by others, and M. Louis, who is known throughout Europe,

having made this subject one of particular observation, states that it

is generally within the first year that new comers take fever, whilst

the old inhabitants who are equally exposed to the same exciting

causes escape.”

The report of Dr. Baron Howard, on the condition of the population of

Manchester, and that of Dr. Duncan, on the condition of the population

of Liverpool, will make up a progressive view of the condition of the

labouring population in those parts of the country. The Report of one of

the medical officers of the West Derby union, with relation to the

condition of the labouring population connected with Liverpool, will

serve to show that the evils in question are not confined to the

labouring population of the town properly so called.

“The locality of the residences of the labouring classes are in

respect to the surrounding atmosphere favourably situated, but their

internal structure and economy the very reverse of favourable. The

cottages are in general built more with a view to the per centage of

the landlord than to the accommodation of the poor. The joiner’s work

is ill performed; admitting by the doors, windows, and even floors,

air in abundance, which, however, in many cases, is not

disadvantageous to the inmates. The houses generally consist of three

apartments, viz., the day-room, into which the street-door opens, and

two bed-rooms, one above the other. There is likewise beneath the

day-room a cellar, let off either by the landlord or tenant of the

house, to a more improvident class of labourers; which cellar, in

almost all cases, is small and damp, and often crowded with

inhabitants to excess. These cellars are, in my opinion, the source of

many diseases, particularly catarrh, rheumatic affections, and tedious

cases of typhus mitior, which, owing to the overcrowded state of the

apartment, occasionally pass into typhus gravior. I need scarcely add

that the furniture and bedding are in keeping with the miserable

inmates. The rooms above the day-room are often let separately by the

tenant to lodgers, varying in number from one or two, to six or eight

individuals in each, their slovenly habits, indolence, and consequent

accumulation of filth go far to promote the prevalence of contagious

and infectious diseases.

“The houses already alluded to front the street, but there are houses

in back courts still more unfavourably placed, which also have their

cellars, and their tenants of a description worse, if possible. There

is commonly only one receptacle for refuse in a court of eight, ten,

or twelve densely crowded houses. In the year 1836–7, I attended a

family of 13, twelve of whom had typhus fever, without a bed in the

_cellar_, without straw or timber shavings—frequent substitutes. They

lay on the floor, and so crowded, that I could scarcely pass between

them. In another house I attended 14 patients; there were only two

beds in the house. All the patients, as lodgers, lay on the boards,

and during their illness, never had their clothes off. I met with many

cases in similar conditions, yet amidst the greatest destitution and

want of domestic comfort, I have never heard during the course of

twelve years’ practice, a complaint of inconvenient accommodation.”

The following extract from the report of _Mr. Pearson_, medical officer

of the Wigan union, is descriptive of the condition of large classes of

tenements in the manufacturing towns of Lancashire:—

“From the few observations which I have been enabled to make

respecting the causes of fever during the two months which I have held

the situation of house surgeon to the Dispensary, I am inclined to

consider the filthy condition of the town as being the most prominent

source. Many of the streets are unpaved and almost covered with

stagnant water, which lodges in numerous large holes which exist upon

their surface, and into which the inhabitants throw all kinds of

rejected animal and vegetable matters, which then undergo decay and

emit the most poisonous exhalations. These matters are often allowed,

from the filthy habits of the inhabitants of these districts, many of

whom, especially the poor Irish, are utterly regardless both of

personal and domestic cleanliness, to accumulate to an immense extent,

and thus become prolific sources of malaria, rendering the atmosphere

an active poison. The streets which particularly exhibit this

condition are Ashton-street, Hanover-street, Stuart-street,

John-street, Lord-street, Duke-street, Princess-street, and the short

streets leading from Queen-street, into Faggy-lane and

Princess-street. It may be also mentioned, that in many of these

streets there are no privies, or, if there are, they are in so filthy

a condition as to be absolutely useless; the absence of these must,

necessarily, increase the quantity of filth, and thus materially add

to the extent of the nuisance.

“In addition to the streets above mentioned, there are, besides, two

other localities, which must be considered as peculiarly fitted for

the generation of malaria—I mean the waste land in front of Bradshaw

Gate, and also that situated between Greenough’s-row and

Kerfoot’s-row; the latter is one complete pool of stagnant water,

mixed with various descriptions of putrifying animal and vegetable

matters. Many of the yards and courts in various parts of the town are

so built up as to prevent the movements of the atmosphere, and are in

a horribly filthy state, in consequence of dunghills which are

situated therein being allowed to grow to an immense size, and the

water which drains therefrom being permitted to flow over the

surface.”

Proceeding northwards, little difference is observable in the condition

of the working classes in the ancient towns, where the habitations were

crowded for the sake of fortification, and in the manufacturing towns,

where the habitations are crowded for the sake of vicinity to the places

of work, or from ignorance and inattention, or from the high price of

land. We cite the following instances of the condition of the

habitations and population in Durham, Barnard Castle, and Carlisle:—

_Mr. Nicholas Oliver_, Durham, states that—

“The city of Durham, like all ancient cities and towns, is built very

irregularly, and surrounded on all sides by the river Wear, which is

frequently overflown, and much wooded. These in summer and autumn, by

the combined influences of heat, moisture, and decaying vegetable

substances, become abundant sources of malaria. The streets are very

narrow, and the houses are built so much behind each other that the

entrance to a great many of the dwellings is by a passage, lane, or

alley, either a steep ascent or descent, where, from a proper want of

receptacles and sewers, filth is allowed to accumulate, and there

necessarily is a constant emanation of fœtid effluvia. The majority of

the houses are very old and in a dilapidated state, several not being

weather proof. The great bulk of the working classes inhabit these

tenements, and they seldom occupy more than two rooms, many only one,

where all that is requisite in conducing to cleanliness and comfort

has to be performed.

“The spirit of improvement, which is making such rapid strides in

other parts of the country, is here quite dormant. Nothing calls

louder for the attention of the constituted authorities than the

improvements which might be effected in the habitations of the

industrious classes, thereby increasing their health, comfort, and

happiness.”

_Mr. George Brown_, of Barnard Castle, in the Teesdale union, states

that—

“The residences of the labouring population within the Teesdale Union,

especially in Barnard Castle and the more populous villages, is mostly

in large houses let into tenements. At least four-fifths of the

weavers in Barnard Castle live in such residences, and about one half

of all the other labouring poor in the Union. The tenements which form

the residences of the weavers and other labourers in Barnard Castle

are principally situate in Thorngage, Bridgegate, and the lower parts

of the town, and in confined yards and alleys. The houses are many of

them very large. I am told somewhere there are as many as 50 or more

individuals under one roof. There is generally, perhaps, one privy to

a whole yard (or onset as they term it), embracing five or six houses.

From the crowded state of these dwelling-houses, and the filthiness of

many of their inmates, disease would undoubtedly arise more commonly

than it actually does, but the river Tees flows at the foot of each

yard, running alongside of all the houses in Bridgegate. The

impurities are thus speedily carried away, and the evils which might

otherwise be expected from the effluvia of vegetable and other bodies

in a state of decomposition are prevented; besides which, the houses

in general being large and the poorer class in the upper stories, they

are more protected against cold and damp.”

_Mr. Brown_, in regard to Barnard Castle, further states, that—

“A surgeon here of great intelligence and practice states that in the

town of Barnard Castle he has always found the most obstinate cases of

typhus and other epidemics, and also rheumatism, to prevail amongst

the houses on the west side of the principal street. These houses

slope towards the moat of the old castle, which is not sufficiently

drained; and the thick and high walls of the ruins of the castle

retain the damp, and prevent the accession of the western winds to the

moat and many of the houses. In the interior of the castle, now used

as a garden, there is a stagnant pond which ought to be drained off:

this pond is nearly opposite the yards, which are full of the

residences of the poorer classes, and called the Swamp. Disease is

often found to exist in these yards, and the surgeon I have referred

to attributes to it the dampness of the moat (upon or on the margin of

which the houses are built) and to the pond before mentioned. All the

houses on the west side of the street have one step, and some more,

down from the street. I am also told by the same surgeon that very

many of the cases of fever and rheumatism which he attends may be

fairly traced to the dampness of houses or want of sufficient drainage

of the ground previously to building, and their being built below the

level of the adjoining ground, by which the moisture is thrown into

them.”

_Mr. Rowland_, of Carlisle, states—

“Though Carlisle abounds with beautiful walks, it generally has them

accompanied with filthy putrid gutters, and there seems no mode of

compelling any one to clean them out. The city is surrounded with such

nuisances; on the south side at the foot of Botchergate, there is a

gutter, perhaps a mile long, which conducts the filth of that quarter

through the fields into the river Petteril. The stench in summer is

very great. The filth seems to accumulate from want of descent, and

probably the whole descent is in the first field next Botchergate. If

this gutter was paved and the descent made regular, I have no doubt it

would keep itself clean.”

The following is a brief notice of the condition of the residences of

the population amidst which the cholera first made its appearance in

this country.

_Mr. Robert Atkinson_, Gateshead, states, that—

“It is impossible to give a proper representation of the wretched

state of many of the inhabitants of the indigent class, situated in

the confined streets called Pipewellgate and Killgate, which are kept

in a most filthy state, and to a stranger would appear inimical to the

existence of human beings, where each small, ill ventilated apartment

of the house contained a family with lodgers in number from seven to

nine, and seldom more than two beds for the whole. The want of

convenient offices in the neighbourhood is attended with many very

unpleasant circumstances, as it induces the lazy inmates to make use

of chamber utensils, which are suffered to remain in the most

offensive state for several days, and are then emptied out of the

windows. The writer had occasion a short time ago to visit a person

ill of the cholera; his lodgings were in a room of a miserable house

situated in the very filthiest part of Pipewellgate, divided into six

apartments, and occupied by different families to the number of 26

persons in all. The room contained three wretched beds with two

persons sleeping in each: it measured about 12 feet in length and 7 in

breadth, and its greatest height would not admit of a person’s

standing erect; it received light from a small window, the sash of

which was fixed. Two of the number lay ill of the cholera, and the

rest appeared afraid of the admission of pure air, having carefully

closed up the broken panes with plugs of old linen.”

The _Rev. Dr. Gilly_, the vicar of Norham and canon of Durham, in an

appeal in behalf of the border peasantry, describes their dwellings as

“built of rubble or unhewn stone, loosely cemented; and from age, or

from badness of the materials, the walls look as if they would scarcely

hold together.” The chinks gape in so many places as admit blasts of

wind:—

“The chimneys have lost half their original height, and lean on the

roof with fearful gravitation. The rafters are evidently rotten and

displaced; and the thatch, yawning to admit the wind and wet in some

parts, and in all parts utterly unfit for its original purpose of

giving protection from the weather, looks more like the top of a

dunghill than of a cottage.

Report to Her Majesty's Principal Secretary of State For the Home Department, from the Poor Law Commissioners, on an Inquiry Into the Sanitary Condition of the Labouring Population of Great Britain; With Appendices · 第 5 / 65 段