Part 16
Baptisms. Burials. Population in 1801. 1796 to 1805 1,627 1,535 4,710 1806 to 1815 1,654 1,313 5,209 1816 to 1825 2,165 1,390 6,515
“In the first of the three periods the mortality was 1 in 31; in the second, 1 in 40; in the third, 1 in 47; the latter being less than the exact mean mortality of the kingdom for the last two years. (_See Registrar-general’s Second Report, p. 4, folio edition._) These figures clearly show that the mortality has wonderfully diminished in the last half century, and who can doubt but that the increased salubrity of the fens produced by drainage is a chief cause of the improvement.”
_Mr. R. Turner_, medical officer of the Newhaven union, states,—
“The district which has been under my care comprises five parishes, three of which, viz., Kingston, Iford, and Rodmell, are (more especially the two latter) situate in close proximity to marshes, which were formerly for a considerable portion of the year inundated; of late very extensive improvements have taken place in the drainage of these levels, and in consequence of that change, the diseases constantly engendered by marsh miasmata, viz., typhus and intermittent fevers, are not more common than in other districts which present to the eye a fairer prospect of health.”
_Mr. G. R. Rowe_, medical officer of the Ongar union, observes,—
“It is worthy of remark, that in the districts surrounding Chigwell no malignant, infectious, or contagious disease has appeared during my experience of thirty years’ occasional residence, and even during the prevalence of cholera not one case occurred. The land is well drained, the situation elevated, and the cleanly habits of the poor, with the benevolence of its residents, have tended much to the prevention of disease, and its amelioration when occurring.”
_Mr. W. Sanders_, medical officer of the Gravesend and Milton union, states,—
“I beg leave to suggest how extreme are the beneficial effects of a proper drainage, which shall prevent stagnant water, and its deleterious consequences, accumulating in crowded neighbourhoods. This is exemplified in this town, and also in Tilbury Fort opposite, which is built on a marsh, and where, during the cholera period, then under my care, not a single case occurred.”
_Mr. Emerson_, one of the medical officers of the Eastry union, states,—
“There is, I believe, no locality which has been for some years so exempt from fevers of a malignant and contagious character as the eastern coast of Kent. Accordingly, idiopathic fever, under the form of synochus and typhus, very rarely occurs, and when it does appear, is generally of an isolated kind. Intermittents, also, which fifteen or twenty years since were so generally prevalent in this district, have become comparatively of rare occurrence, and indeed have almost disappeared from the catalogue of our local endemics. This exemption from ague and other febrile epidemics of an infectious nature may be justly imputed to the total absence of malaria, and of all those causes which usually generate an unwholesome and contaminating atmosphere, viz., from the whole district being secured from inundations by the most complete and effectual system of drainage and sewerage. Also, from the exposed state of the country favouring a free and rapid evaporation from the surface of the soil.”
_Mr. George Elgar_, another of the medical officers of the Eastry union, observes that,—
“The parishes forming the fifth district of the Eastry union, are, with one or two exceptions, close to marshes separating the Isle of Thanet from this portion of East Kent, and consequently, during the spring and autumn, the inhabitants are exposed to the malaria therefrom; but for these last few years, owing to the excellent plan of draining, very few diseases have occurred (in my opinion) that can be said to be produced by malaria. There is very little ague, scarcely any continued fevers; and a case of typhus, I believe, has not been known along the borders of the marshes for these last three or four years. Some years back, a great portion of the parishes adjoining these marshes was under water from the end of autumn to the early part of the following spring; then, agues and fevers of all characters prevailed to a very great extent. Although the malaria does not produce diseases of any _decided character_, yet, during a wet spring or autumn, there are always cases of inflammation of the lungs or bowels, and rheumatism, both in acute and chronic forms. The houses in general are good, well drained and well ventilated, having one or two sitting-rooms, as many bed-rooms, sometimes more, scullery, &c., and convenient receptacles for refuse and fuel. The cottages generally are _extremely cleanly_; of course there must be some exceptions, where the occupiers would not be clean and careful under any circumstances.”
_Mr. Spurgin_, the medical officer of the Dunmow union, states—
“In this district great attention is paid to the cultivation of land, under drainage being much attended to, on which account partly we are not exposed to malaria, neither does ague prevail to any extent. A few cases have occurred, and when they have it has been for the most part in individuals whose systems have been impaired by irregular habits, and consequently the more readily affected by external impressions, as atmospheric vicissitudes.”
_Mr. D. R. M’Nab_, the medical officer of the Epping union, states that—
“The health of the inhabitants of these two parishes is on the whole highly satisfactory, as will appear by this return, but I would observe that the sanitary condition of two localities would be greatly improved by a little attention on the part of the public surveyors and others to the drains and ditches immediately abutting on the dwellings of the poor inhabitants. I refer more especially to that part of Epping which is denominated the Back-street, and the greater part of which is in the parish of Coopersall. In very wet weather the drains and ditches are flooded; in very dry, on the contrary, they are by the evaporation of the fluids rendered very offensive, and thus almost all our cases of malignant fever are situated amongst those dwellings; if the neighbourhood had been crowded with inhabitants the mischief would have been much greater; and even as it now is, it has been the cause of much fatality among the able-bodied men and women. The same observations are applicable to Duck-lane in the parish of Weald, and also at the Gullett, but in the latter case it is principally owing to the carelessness and filth of one or two families, who have thrown all sorts of excrementitious substances around their dwellings, and in the course of putrefaction it has occasionally become pestiferous.
“I may also venture to add the following observation, after twenty-six years’ practice in this neighbourhood, that I have scarcely ever had a case of typhus fever in a malignant form without discovering some stagnant drain or overcharged cesspool, or some other manifest cause of malaria in the immediate residence of the patient.”
In the reports given from the parish ministers in the statistical accounts of Scotland, the effects of drainage upon the general health of the population are strongly marked in almost every county, expressed in notes made from an examination of the returns. Sutherland—parish of _Rogart_, “healthy, and a good deal of draining.” _Farr_, “subject to no particular disease; a deal of draining.” Ross and Cromarty—_Alness_, dry and healthy, “climate improved by drainage.” It is to be understood that drainage appears to form the essential part of agricultural improvement, which is connected with the improvement of health. Thus the notes from another parish in the same county, _Kilmuir_, _Wester_ and _Suddy_, states it as “healthy; great improvement; scarcely an acre in its original state.” _Rosemarkie_, “healthy; agriculture much improved.” Elgin—_New Spynie_, “healthy, much waste reclaimed, much draining.” _Alves_, “dry and healthy, well cultivated, wood sometimes used for drains.” Banff—_Deckford_, “healthy, and people long lived, much draining.” Kincardine—_Fordoun_, “so much draining that now no swamps: formerly, agues common, now quite unknown.” Angus—_Carmylie_, “health improved from draining.” Kinross—_Kinross_, “agues prevalent sixty years ago in consequence of marshes, now never met with.” _Oswell_, “ague prevailed formerly, but not since the land was drained.” Perth—_Methven_, “the north much improved by draining.” _Redgorton_, “healthy; no prevailing disease; ague was frequent formerly, but not since the land has been drained and planted.” _Moneydie_, “healthy; an immense improvement by draining.” _Abernyte_, “since the land was drained, scrofula rare and ague unknown.” _Monzie_, “healthy; a good deal of land reclaimed.” _Auchterarder_, “much draining, and waste land reclaimed—climate good.” _Muckhart_, “great improvement in agriculture; ague formerly prevalent—not so now.” _Muthill_, “healthy, much draining and cultivation extended.” And similar statements are made from the rural districts in all parts of the country.
In the course of inquiries as to what have been the effects of land drainage upon health, one frequent piece of information received has been that the rural population had not observed the effects on their own health, but they had marked the effects of drainage on the health and improvement of the stock. Thus the less frequent losses of stock from epidemics are beginning to be perceived as accompanying the benefits of drainage in addition to those of increased vegetable production.
_Dr. Edward Harrison_, in a paper in which he points out the connexion between the rot in sheep and other animals, and some important disorders in the human constitution, observes:—
“The connexion between humidity and the rot is universally admitted by experienced graziers; and it is a matter of observation, that since the brooks and rivulets in the county of Lincoln have been better managed, and the system of laying ground dry, by open ditches and under-draining, has been more judiciously practised, the rot is become far less prevalent. Sir John Pringle informs us, that persons have maintained themselves in good health, during sickly seasons, by inhabiting the upper stories of their houses; and I have reason to believe that, merely by confining sheep on high grounds through the night, they have escaped the rot.”
_Dr. Harrison_ makes some observations on the effects of imperfect drainage in aggravating the evils intended to be remedied, of which frequent instances are presented in the course of this inquiry:—
“A grazier of my acquaintance has, for many years, occupied a large portion of an unenclosed fen, in which was a shallow piece of water that covered about an acre and a half of land. To recover it for pasturage, he cut in it several open ditches to let off the water, and obtained an imperfect drainage. His sheep immediately afterwards became liable to the rot, and in most years he lost some of them. In 1792 the drains failed so entirely, from the wetness of the season, that he got another pond of living water, and sustained, in that season, no loss of his flock. For a few succeeding years, he was generally visited with the rot; but having satisfied himself by experience, that whenever the pit was, from the weather, either completely dry or completely under water, his flock was free from the disorder, he attempted a more perfect drainage, and succeeded in making the land dry at all times. Since that period he has lost no sheep from the rot, though, till within the last two years, he continued to occupy the fen. * * *
“Mr. Harrison, of Fisherton, near Lincoln, has by judicious management laid the greatest part of his farm completely dry, and is now little troubled with the rot, unless when he wishes to give it to some particular animals. His neighbours, who have been less provident, are still severe sufferers by it, nor are their misfortunes confined to sheep alone. Pigs, cows, asses, horses, poultry, hares, and rabbits, become rotten in this lordship, and have flukes in their livers. * * * *
“The late Mr. Bakewell was of opinion, that after May-Day, he could communicate the rot at pleasure, by flooding, and afterwards stocking his closes, while they were drenched and saturated with moisture. In summer, rivers and brooks are often suddenly swollen by thunder-storms, so as to pass over their banks, and cover the adjacent low lands. In this state, no injury is sustained during the inundation; but when the water returns to its former channel, copious exhalations are produced from the swamps and low lands, which are exceedingly dangerous to the human constitution, and to several other animals, as well as sheep. * *
“A medical gentleman of great experience at Boston, in Lincolnshire, and who is considerably advanced in life, has frequently observed to me, that intermittents are so much diminished in his circuit, that an ounce of the cinchona goes further at this time in the treatment of agues than a pound of it did within his own recollection. During his father’s practice at Boston, they were still more obstinate and severe. For my own part, I have declared, for several years, in various companies, that marsh miasmata are the cause of both agues and the rot. And as miasmata are admitted, by the concurring testimonies of medical practitioners in every part of the globe, to be produced by the action of the sun upon low, swampy grounds, I hope this interesting subject will be fully investigated, and effectual plans carried into execution, for the preservation of man, and of the animals which are so useful to him.”
I may here mention a circumstance which occurred at the Poor Law Commission Office, and which with succeeding information tended to direct our attention to the subject of sanitary measures of prevention for the protection of the rates. A medical officer of one of the Unions who came to town for the transaction of some business before the Board, begged to be favoured by the immediate despatch of his business, inasmuch as, from a change of weather which had taken place since his departure, he was certain that he should have a number of cases waiting for him. On being asked to explain the circumstances from which he inferred the occurrence of disease with so much certainty, he stated that within his district there was a reservoir to feed a canal: that they had let out the water as they were accustomed to do in spring time for the purpose of cleansing it; and that whenever such weather occurred as then prevailed during the process, he was sure to have a great number of fever cases amongst the labourers in the village which immediately adjoined the reservoir. It appeared to be, in fact, a case in which the rot was propagated amongst the labourers in the village under circumstances similar to those before cited in which it was propagated amongst the sheep.
The following portions of evidence afford instances of the condition in which a larger proportion of the country remains, from the neglect of general land drainage, than would be conceived from any _à priori_ estimate of the amount of prevalent intelligence and enterprize.
_Mr. R. W. Martyr_, one of the medical officers of the Langport union, thus describes the condition of a large proportion of his district:—
“The parishes of Kingsbury and Long Sutton being the district No. 1 B of the Langford union, the population of which amounts to above 3,000; Kingsbury, containing 2,000; and Long Sutton 1,000, or thereabouts. Both these parishes are partly surrounded by low meadow land, and are liable to frequent inundations, often covering many thousand acres, and sometimes to a great depth; the level of much of this land being below the bed of the main river or drains, makes it very difficult (when once inundated) in very wet seasons to drain or carry off the immense body of water they often contain.
“These inundations are caused by the banks of the main rivers not being sufficiently strong or elevated, and from the bridges not being capacious enough to carry the immense body of water brought down from the neighbouring hills and country higher up, which, in heavy rains, sometimes takes place so rapidly as to completely overflow the banks in twenty-four hours; but besides the casual or accidental giving way of the banks of the rivers, it is sometimes done by interested persons for the purpose of warding off the mischief from themselves by throwing it on their neighbours.
“When these floods occur in the winter season, and there is but little herbage, or early in the spring, and are followed by dry weather, the surface of the ground becomes dry and healthy, and they are then highly beneficial to the land, and but little prejudicial to the health of the surrounding inhabitants; but when, as is sometimes the case, these floods take place late in April, May and June, and cover hundreds of acres of hay, some cut and some uncut, and which must of course rot on the ground, the effluvia and stench is then often unbearable, and highly prejudicial to the health of the neighbouring villages, and it is sometimes years before the land recovers its healthy state, producing nothing but rank herbage, and causing agues, fevers, dysentery, and numerous other diseases. Many of these evils may, I think, be remedied if the owners of large estates in this neighbourhood would interest themselves in the matter: I am persuaded the increased value of their property would amply repay the outlay necessary for the purpose. When the land is in this unhealthy state, it appears to be equally prejudicial to the animal as the human subject, producing numerous diseases among cattle, particularly among sheep, many farmers losing the whole of their flocks.
“Although much remains to be done to remedy the mischief complained of, yet a considerable improvement has taken place within the last twenty years by enclosing many of the large commons, and by that means partially draining them; and also by enlarging the back drains which carry the water to a lower level into the main river, by which means it is carried off much sooner, and less mischief is done, than if it remained longer on the surface of the land.
“It is stated in a very old history of Somerset, that about 300 years ago, nearly the whole of the inhabitants of Kingsbury, Muchelney, and Long Load, were carried off by a pestilence (without doubt meaning a malignant fever); and that for many years afterwards it was considered so unhealthy that it was inhabited solely by outlaws, and persons of the worst character, a clear proof the country is in a much healthier state now than it was in former times.
“In addition to the more general causes of disease arising from the flat state of the country, and its liability to inundations, are many others of a more local character, and much easier of removal, in the village of Kingsbury; and in many others there are numerous pits or ponds in the winter season filled with muddy water, and, in summer, mud alone: these are often situated in the front or at the back of the cottages, and are receptacles for all manner of filth, and in certain seasons are productive of very serious diseases, and at all times highly injurious to health. Besides the mud pits above mentioned, there is scarcely a cottage that is not surrounded with all manner of filth, oftentimes close to the doors of the inhabitants, very few of the cottages being provided with privies, or if there be any, they only add to the general nuisance from being open and without drains.”
_Mr. Oldham_, the medical officer of the Chesterfield union, gives the following account of his district:—
“Wessington is situated upon an elevation, but the houses are arranged around a green or unenclosed common, upon the surface of which are a great number of small pools, which, for the most part, are stagnant. In the winter season they overflow, and at this season the neighbourhood appears less infected with fever. In the summer months, and greater part of the spring and autumn, they are stagnant, and undoubtedly a fruitful source of malaria; indeed the neighbourhood of Wessington is scarcely ever free from fever at these seasons of the year.
“It perhaps may not be amiss to mention, I have attended a number of persons in the neighbourhood of this common who have been attacked with fever, who were at the same time well fed, and lived in comfortable and tolerably well-ventilated houses.”
He then adduces instances, and proceeds—
“From the facts before mentioned, I am led to conclude that the decomposition constantly going on in these small pools is the source of the malaria, and that the malaria so engendered propagates fever. 1st. Because there are cases of fever in this locality nearly all the year. 2d. Because paupers, and persons who are better fed, and live in more comfortable and better ventilated houses in the neighbourhood of this green or common, are attacked with the disease, and, I may say, almost indiscriminately. 3d. Because during the years I have attended the paupers of the district, there has scarcely been a case of fever in the winter season when the pools are overflowed, and the atmosphere is colder, and consequently unfavourable to fermentation and decomposition. In my opinion the only method to remedy this evil would be to drain the common, which is small, and its situation being elevated, would greatly facilitate its drainage. The condition of a few of the smaller and more confined of the tenements might be greatly improved.”
_Mr. L. Reynolds_, one of the medical officers of the Dore union, thus describes in his report the district where some fever cases occurred:—
“Of those cases the six first have occurred on Colston Common, a small marshy spot, never drained, and containing several pools extremely unhealthy, from decaying vegetables that never are removed. This year the same families have been again attacked, and shall be so every year till that nuisance be removed. In a medical point of view, such commons are injurious, and they are extremely expensive to the unions, for they cause fever, asthma, and rheumatism, from their incipient moisture, thus injuring the labouring classes, and heavily taxing the parish.
“The four next have occurred at a place called Toad Ditch: it well deserves the name; it is a collection of badly-built houses, rendered unhealthy from the large ditch, into which every kind of refuse is poured; the removal of that nuisance is imperatively called for. All these houses have one privy in common, but the ditch is the place generally used.
“This district would be much served by enclosing and draining Colston Commons, by keeping the sewers at Kingston clean, and by draining the ditch at Toad Ditch. These are the only removable nuisances of which I have any knowledge.”
_Mr. Blick_, medical officer of the Bicester union, describes the prevalence of typhus:—
“This disease has been very prevalent in this district during the past year, indeed we are never free from it. I think its origin may be traced, in most instances, to a constant exposure to an atmosphere loaded with malaria, and propagated, in the second place, by contagion, so little attention being paid to prevent its diffusion.