3. In other cases, the immediate impediment to ventilation apparently

consists in the operation of the window-tax. Your Hon. Court, at various

times, has heard how unfortunate for the health of cities is this

ill-chosen method of taxation, assessing the amount of rate for houses

in proportion to their means of ventilation. You can easily conceive how

much it would impede your endeavours to promote health and cleanliness

within the City, if an additional direct tax were levied on houses by

reason of their _drainage_; or if the assessor regulated his rate

according to the _consumption of water_ for household purposes. The

working of the window-tax is on this principle; and although it may be

very true that health is the greatest of treasures, and that, on this

ground, its means and appliances are eligible for taxation, I cannot but

regret that a struggling population should be tempted by the hope of

some small saving, to make a sensible diminution in their chances of

life, by retrenching within the narrowest measures their inlets of

ventilation and light.

* * * * *

In reference to the more important constructional errors which I have

described to you, as affecting the courts and alleys of the City, it

will be obvious, from the remedies which I have suggested, that no hope

of alteration can be expected from landlords. To throw together the

adjoining houses of two different courts, or to remove one house for the

advantage of certain others, or to destroy a whole block of houses for

the sake of its neighbourhood, could evidently be undertaken, as a

matter of private enterprise, only where property of very considerable

extent, and close juxtaposition, happened to be in the hands of a single

individual; and, as regards the City of London, this is rarely or never

the case. The only manner, then, it occurs to me, in which the requisite

remedies could be applied, would be through the wealth and benevolence

of the Corporation. If there were vested in your Hon. Court (or in any

other authority of the Corporation) the power to make compulsory

purchases of house-property, on the ground of its unfitness for human

habitation, it would be easy to correct the extreme errors which exist;

and, under a single large landlordship of this nature, it might not

improbably be found that measures such as I have described would give to

the localities in which they might be effected as much improvement in

value as in health. After the necessary alterations, such houses would

no longer need to continue under tenure of the Corporation, and the

proceeds of their sale might again be applied to the reclamation of

similar property in other parts of the City.

In throwing out this suggestion to your Hon. Court, I, of course, do not

pretend to offer you any details for its realisation. These can more

fitly be supplied by others; nor should I have introduced even this

general mention of a plan, but for the vividness with which its

practicability and usefulness have struck me. During my period of

office, I have seen distinctly that what seems incurable in the dark

intricacies of our worst courts and alleys often depends for its

difficulty on the _number_ of landlords, and on their mutual

independence. The conviction had thus been forced on me, which I have

endeavoured briefly to express to you; that the only available cure for

such evils would consist in the Corporation assuming to itself (if only

for a time, and in gradual succession) the proprietage of such wretched

tenements, and fulfilling towards them those large and liberal duties

of landlordship, which now remain unperformed through the multiplicity

and neediness of petty owners. And, as a precedent for one species of

such improvement, I may mention to your Hon. Court, that in such

property as I have described to you, situated in other parts of the

metropolis, private societies have already effected purchases which have

enabled them to convert bad and unwholesome residences into the form of

model lodgings for the working classes.

Before leaving the consideration of evils, in which over-density of

building and defective ventilation form such important parts, I would

avail myself of the opportunity to observe, that it is of incalculable

importance to preserve, for the health of the City, every open space

which at present exists. The density of buildings within the City of

London Union is very great, and in the East and West London Unions, is

very considerably greater than in any other part of the metropolis; and

not merely are the houses closely packed together, but (as I have

already described them) very thickly inhabited. Within the City of

London Union, each human being, on an average, has less than an eighth

part of the space he would have if residing in the district of

Islington; and, small as is this pittance, it is more than double what

he would enjoy if he were living in the district of the East and West

London Unions. With such density of population, it would, of course, be

advantageous if any space now occupied by buildings should hereafter

become vacant, so as to increase the breathing-room of the

neighbourhood; and your Hon. Court will see the imperative necessity of

discountenancing, so far as may be, the erection of additional houses on

the few unoccupied spaces which remain. In order to do this effectually,

it would be desirable to procure the enactment of a clause, giving you

absolute prohibiting power in this respect, whenever, for sanitary

reasons, you might think it right to interfere.

With respect to those evils which I have set before you, as arising from

the unrestricted accumulation of persons of both sexes, and of all ages,

within a single sleeping-room--dreadful as they are, I do not consider

them irremediable. In the first place, I would beg you to observe, that

the very restricted definition of a ‘lodging-house’ given in your Act of

Parliament, has hitherto rendered it impossible, in any degree, to

regulate dwellings of the description referred to. An amendment of that

definition might bring them within your control, and might enable you,

not only in these instances, but in many others, to restrict the numbers

of inmates, to compel the removal of persons with infectious disease,

and to enforce provisions of decency, cleanliness, and ventilation.

Not, however, alone to restrictive and compulsory measures do I look for

the social improvement of numbers, now so destitute and miserable. That

our entire industrial population within the City might, in such

respects, gain great advantage from an enlightened supervision and

guidance, I formerly endeavoured to show. I sought (from other

experience) to illustrate the benefits they would derive, not only from

your exercising habitual inspection, and possessing a more extensive

control, in many matters relative to their dwellings and mode of life;

but likewise, from the establishment, under the auspices of the

Corporation, of institutions which, raising before them a higher

standard of civilisation, would improve their social habits by an

indirect educational influence, and would elevate the general tone and

character of their class.

On the subject of Model Dwellings for the labouring classes, and of

Public Baths and Wash-houses, as illustrating this view, I dwelt at some

length in my former Report; and, deeply convinced of the boon which

their establishment would confer on the poor, I explained, to the best

of my ability, the nature and the extent of their usefulness.

I now recur to the subject, only that I may repeat my profound

conviction of its importance; and that in doing so, I may congratulate

your Hon. Court, and may utter my deep thankfulness for the labouring

and suffering poor of this great community, that, in compliance with the

Standing Orders of Parliament, formal notice has been given on the part

of the Corporation of the City of London, of their intention, in the

approaching session of the Legislature, to apply for authority which may

enable them to achieve, for their dependent fellow-citizens, this almost

incalculable good.[60]

[60] The intention of the Corporation, here spoken of, has not

hitherto been carried into effect.--J. S., 1854.

I cannot too strongly express the importance I attach to this implied

intention of the Corporation, to establish model dwellings for the

industrial population of the City. But the first and immediate operation

of such an Act will, from the nature of things, hardly reach to those

very destitute and degraded classes of which I have spoken. Model

lodgings of the ordinary character will become the residence of men, who

now pay from two to five shillings a week for such space as they occupy,

and who have the habit of sleeping in beds. To them the gain will be

very great; and the example of improved domestic habits will be

beneficial to their entire class. But among the lowest order which I

have described to you, as it subsists in thronged and pestilent heaps

within your worst quarters, there is little knowledge of beds. The first

hirer of the room may possibly have a pile of rags on which he lies,

with his wife and children, in one corner of the tenement; but the

majority of his sub-tenants (paying for their family-lodging from

sixpence to ten-pence a week) lie on straw, or on the bare boards. It

will be obvious to you, that no _Model_ Lodging-house could be reduced

to the level of their means. By those restrictions to which I have

adverted, something may be done, no doubt, for improving the arrangement

of houses so tenanted--something to prevent the more glaring outrages of

decency which at present prevail--something to maintain comparative

cleanliness, and to check the spread of disease. I fear that no further

remedy than this would prove effectual, unless it were universal for the

metropolis. Unquestionably, it would be possible, with persons even of

the lowest sort above pauperism, to proceed on the same principle as in

the establishment of model-lodgings for the working orders; to provide

for them, namely, under respectable control and supervision, the best

accommodation which their price could purchase, of the kind to which

they have been habituated; to give them the means of lying down, free

from damp or cold, partitioned from one another, and with isolation of

sexes, in a building constructed or arranged for the purpose, where the

ventilation and the facilities for cleanliness might be complete. There

seems little room to doubt that this might be done, on a very large

scale, at a rate considerably less than the poorest now pay for the

right of lairage amid vermin, filth, obscenity, and fever; and with such

dormitories, obviously, there might be connected other arrangements for

giving comfort and cleanliness to the very poor and destitute, at the

lowest possible price. Of gratuitous reception I do not speak, because

that is already provided, under certain regulations, in all the

work-houses of the metropolis. But while I conceive that such a measure,

if generally adopted throughout London, would defray its own cost, and

would remove evils and miseries horrid to contemplate, I cannot but feel

that it would be inadmissible (in its cheapest form) as a local measure.

For if the price of reception--for instance, here, were so low as to

allure the wretched population in question from their places of present

resort within the City, it cannot be doubted that its influence would

extend beyond your jurisdiction, and would throng your dormitories with

the destitute of other districts. As the evil is metropolitan, so ought

the remedy to be; and if there were thus instituted within each Union of

the metropolis, a _Ragged Dormitory_ of the nature described, I am

persuaded, from my knowledge of the poorest classes, that its

establishment would be of infinite advantage in improving the habits,

and diminishing the mortality of those who would become its inmates.

III. SUGGESTED ALTERATIONS IN THE ACT OF PARLIAMENT.

Finally, gentlemen, considering that you are about to procure a renewal

of your Act of Parliament, and that you contemplate strengthening it

with such additional clauses as may render it effective for the

eradication of all preventable disease within the City of London, I

would ask permission, in this point of view, to submit to you in a

connected series, such modifications as in my judgment would contribute

to that purpose. Most of these I have already had the advantage of

suggesting to your Committee on Health; and to many of them I have

adverted by anticipation, in previous passages of my Report. I would beg

to enumerate the _desiderata_ under the following heads, _viz._

1. A clause, which would give you control over the supply and

distribution of water, would enable you in your corporate capacity to

contract with any person or any company for the total service of the

City; and would authorise you to defray the expenses of such contract by

certain specified rates.

2. A clause empowering you to require, that every trade or manufacture

practised within the City shall be carried on with such precautions, and

with such available improvements, from time to time, as shall reduce to

the lowest practicable amount whatever nuisance or inconvenience to the

neighbourhood is apt to arise therefrom.

3. Such change in the definition affixed to your 91st clause as would

render this operative for the regulation and improvement of a larger

number of houses; and such addition to the clause as would enable you,

on the joint certificate of your Officer of Health and Surveyor, to

enforce the making of additional windows, where requisite for the proper

ventilation of houses.

4. A clause permitting and empowering you, on sufficient medical

testimony, to remove, or to call upon the Board of Guardians to remove,

from any lodging-house, within the new definition of your Act, any

person diseased with fever or other infectious malady, whose continuance

there would endanger the lives of other inmates.

5. A clause prohibiting the occupation of under-ground cellars for the

purposes of dwelling.

6. A clause prohibiting the keeping of cattle in or under

dwelling-houses.

7. A clause vesting in the Commission a right to purchase houses by jury

valuation, in any case where they shall determine that such houses are

permanently unwholesome and unfit for human habitation, or that their

alteration or removal is necessary for the public health.

8. A clause enabling the Commission to control all further encroachments

on spaces which are now open within the City; so that on ground now

unoccupied by buildings, no future erection shall be made, except with

the sanction of the Commission.

9. A clause to protect the purity and wholesomeness of human food, as

sold within the City, by affixing penalties to its exposure for sale in

any adulterated, decayed, or corrupted condition, which may impair its

fitness for consumption.

These are the heads under which it has appeared to me that the most

useful additions might be made to your Act of Parliament, in matters

within the scope of my official observation. There are some other minor

modifications, which I have submitted to your Committee of Health, and

which, as they relate merely to detail, it is unnecessary for me to

bring before you. All the recommendations which I have made on this

subject result from a careful scrutiny of the operation of your present

Act, during the two years that I have had the honour of serving you.

Each separate paragraph of my enumeration founds itself upon a distinct

recollection of occasions, sometimes numerous, wherein, for want of such

enactments, nuisances which you were anxious to suppress have eluded

your authority, or advantages which you were desirous to realise have

stood beyond your attainment.

It was in the nature of things that this should be so; for the period

has been one of experiment. When the City Sewers Act became law for a

period of two years, every one interested in its success must have felt

the advantage of that limited duration, and have rejoiced in the

opportunity, thus afforded, of rendering it eventually the most perfect

embodiment of sanitary law.

Parts of the Act have abundantly fulfilled your intention. In the

all-important particular of house-drainage--in the enforcement of

water-supply, so far as circumstances rendered possible--in the

effective preservation of exterior cleanliness--in the abatement of

innumerable nuisances--in the provision and maintenance of sewerage and

paving and lighting throughout the City--the public has seen your Hon.

Court exercising very large powers with very unusual success. And this,

let me add, during a time of no ordinary difficulty: a time when, day by

day, the vast importance of sanitary improvement has been gaining ground

among the educated classes of the country, as a deep and settled

conviction; a time when the feelings of all classes have been powerfully

excited, and when the metropolis especially has been convulsed with

alarm, in the anticipation and in the aspect of a pestilence.

In some other respects the Act has been less operative, and for an

obvious reason. To legislate for health was new to you. It was only

through the gradual investigation of officers, appointed under the Act,

that you could become adequately informed of those sanitary requirements

on which your ultimate legislation for the City must found itself. Only

by their slow experience, only by failure as well as by success, was it

possible that correct knowledge could be obtained of the powers really

needful for fulfilling your sanitary intentions.

In carefully watching the fluctuations of health amid your population;

in investigating the causes which determine them; and in testing, on

every occasion, how far these causes are amenable to the control of your

Act of Parliament, I have arrived at the conclusions submitted to you in

the present and in my previous Report.

* * * * *

To excuse the length at which I have addressed you, I have but another

word to say. My apology consists in the assurance, which again I lay

before you, that in spite of all your exertions, untimely and

preventable death still prevails most largely in the population under

your charge. If the deliberate promises of Science be not an empty

delusion, it is practicable to reduce human mortality within your

jurisdiction to nearly the half of its present prevalence.

It is the sad prerogative of my Profession to have such knowledge of

death as cannot lie within your experience. Knowing all that is implied

in each one separate instance of its visitation--how much pain and

sorrow, often how much bereavement and destitution, we, perhaps better

than others, learn to appreciate that vast amount of social misery which

has its symbol in the high death-rate of a population. It is from this

practical point of view that I have ever estimated the importance of

your functions, and have fixed the obligations of my own humbler office.

Notwithstanding all that Medicine can achieve, to succour the body as it

struggles against actual disease--notwithstanding those resources of

drugs and handicraft, by which the physician or surgeon opposes death or

mitigates pain in the detailed exercise of his art, all past experience,

and every transaction of our daily practice, confirm the popular adage

that _prevention is better than cure_. If this be true in any particular

case, much more is it true in the largest application. While _Curative

Medicine_--ministering step by step to the individual units of a

population, can produce only minute and molecular changes in the health

of society; Sanitary Law, embodying the principles of _Preventive

Medicine_, may ensure to the aggregate masses of the community

prolongation of life and diminution of suffering: in the working of some

single enactment, it may affect the lives of generations of men, and may

moderate in respect of millions the sources of orphanage and poverty.

Surely, it is no common epoch in the history of the metropolis when you

are appealing to the Legislature, on behalf of the Corporation, for the

grant of additional powers towards the accomplishment of so great a

beneficence. To me it has always been an act of the deepest and most

anxious responsibility to address you; and it would ill have become me

now, in the attempt to discharge so grave a duty, if I had spared any

pains or withholden any conviction.

While endeavouring in this, and in my previous Report, faithfully and in

detail to depict for you the actual condition of human life within the

City, and while seeking to deduce for you, from reason and experience,

those sanitary principles which are applicable for its improvement, I

have had no trivial or easy task; and you will pardon me, I hope, both

if I have incompletely surmounted the difficulties of so large a

subject, and if, by the length of my Report, I have made too great

claims on your indulgence.

I have the honour to remain,

&c., &c.

Note to Column I.

Speaking generally, this column may be taken to express the number of

houses in each Ward. Exception must be made, however, in respect of

the four wards marked with asterisks; for in them the real number of

houses somewhat exceeds the number of assessments. This discrepancy

depends on the fact that, in the specified wards, a court containing

several houses is often assessed by composition as a single property.

Mr. Daw informs me that in order to correct on this score the numbers

which stand opposite the Wards in question, addition should be made as

follows:--to Bishopsgate Without, 80--raising its number to 1100; to

Cripplegate Without, 150--raising its number to 1112; to Farringdon

Without, 100--raising its number to 3633; to Portsoken, 150--raising

its number to 1408. This would raise the total number to 16,384, which

is about the estimated number of houses in the City. From the results

of the last census it appeared that the population of the City was

distributed as follows:--within the district of the City of London

Union on an average of 7·1 persons to each house; within the district

of the East and West London Unions on an average of 8·8 persons to

each house.

_Comparative prevalence, in the several Wards of the City, of such

Deaths as particularly depend on local circumstances._

+-------+--------------------+--------+---------+---------+---------+

| I. | II. | III. | IV. | V. | VI. |

| | | | | | |

|Number | WARDS |Total |Separate |Cholera, |Fever, |

|of | |for the |Totals of|Dysen- |_&c._ |

|Assess-| |biennial|the two |tery, |Year |

|ments. | |period, |years |Epidemic |ending |

| | |from |ending |Diarrhœa.|Sept. |

|_vide_ | |Oct. 1, |respec- |Year | |

|Note. | |1848, to|tively |ending | |

| | |Sept. |Sept. 29.|Sept. | |

| | |28, | | | |

| | |1850. | | | |

| | | | | | |

| | | | | | |

| | | |1849|1850|1849|1850|1849|1850|

+-------+--------------------+--------+----+----+----+----+----+----+

| 184|Aldersgate Within | 30 | 15| 15| 1| ...| 1| 1|

| 572|Aldersgate Without | 179 | 122| 57| 32| 4| 15| 5|

| 809|Aldgate | 102 | 66| 36| 3| 1| 7| 7|

| 133|Bassishaw | 7 | 5| 2| 3| ...| ...| 1|

| 314|Billingsgate | 33 | 28| 5| 15| ...| 2| ...|

| 334|Bishopsgate Within | 60 | 43| 17| 20| ...| 1| 3|

| *1020|Bishopsgate Without | 329 | 231| 98| 88| 7| 18| 13|

| 251|Bread Street | 22 | 16| 6| 2| ...| 3| ...|

| 205|Bridge | 18 | 12| 6| 4| ...| ...| ...|

| 536|Broad Street | 42 | 29| 13| 7| ...| 4| 1|

| 194|Candlewick | 13 | 12| 1| 7| ...| ...| ...|

| 499|Castlebaynard | 103 | 75| 28| 28| ...| 5| 5|

| 341|Cheap | 32 | 22| 10| 4| 1| 3| ...|

| 626|Coleman Street | 66 | 42| 24| 1| 3| 8| 3|

| 294|Cordwainer | 5 | 5| ...| 2| ...| ...| ...|

| 158|Cornhill | 4 | 2| 2| ...| ...| ...| ...|

| 471|Cripplegate Within | 80 | 50| 30| 8| ...| 4| 1|

| *962|Cripplegate Without | 299 | 207| 92| 86| 11| 15| 6|

| 232|Dowgate | 25 | 20| 5| 12| ...| ...| ...|

| 961|Farringdon Within | 153 | 117| 36| 67| ...| 9| 4|

| *3533|Farringdon Without | 845 | 613| 232| 370| 19| 48| 40|

| 409|Langbourn | 29 | 12| 17| 3| 1| 1| 2|

| 166|Lime Street | 8 | 4| 4| 1| ...| ...| ...|

| *1258|Portsoken | 143 | 82| 61| 29| 5| 7| 14|

| 343|Queenhithe | 59 | 36| 23| 14| 1| 2| 4|

| 611|Tower | 46 | 22| 24| 9| ...| 4| 3|

| 253|Vintry | 14 | 11| 3| 5| ...| 2| 1|

| 235|Walbrook | 24 | 15| 9| 3| 1| ...| 2|

| |City of London Union| 25 | 18| 7| 1| ...| 7| 2|

+-------+--------------------+--------+----+----+----+----+----+----+

| 15904|The Deaths from all}| | | | | | | |

| 480|causes within same }| 2795 |1932| 863| 825| 54| 166| 118|

|-------|period were 6551 }| | | | | | | |

| 16384| | | 2795 | 879 | 284 |

+-------+--------------------+--------+---------+---------+---------+

Reports Relating to the Sanitary Condition of the City of London · 第 13 / 26 段