Commencing with the reports on the sanitary condition of the population in Cornwall and Devon, Mr. Gilbert, when acting as Assistant Commissioner for those counties, reports, that he found the open drains and sewers the most prominent cause of malaria. He gives the following as an instance of the common condition of the dwellings of the labouring classes in Devon, where it will be observed that the registered deaths from the four classes of disease amounted in one year to 5893 cases.
“In Tiverton there is a large district, from which I find numerous applications were made for relief to the Board of Guardians, in consequence of illness from fever. The expense in procuring the necessary attention and care, and the diet and comforts recommended by the medical officer, were in each case very high, and particularly attracted my attention.
“I requested the medical officer to accompany me through the district, and with him, and afterwards by myself, I visited the district, and examined the cottages and families living there. The land is nearly on a level with the water, the ground is marshy, and the sewers all open. Before reaching the district, I was assailed by a most disagreeable smell; and it was clear to the sense that the air was full of most injurious malaria. The inhabitants, easily distinguishable from the inhabitants of the other parts of the town, had all a sickly, miserable appearance. The open drains in some cases ran immediately before the doors of the houses, and some of the houses were surrounded by wide open drains, full of all the animal and vegetable refuse not only of the houses in that part, but of those in other parts of Tiverton. In many of the houses, persons were confined with fever and different diseases, and all I talked to either were ill or had been so: and the whole community presented a melancholy spectacle of disease and misery.
“Attempts have been made on various occasions by the local authorities to correct this state of things by compelling the occupants of the houses to remove nuisances, and to have the drains covered; but they find that in the present state of the law their powers are not sufficient, and the evil continues and is likely so to do, unless the legislature affords some redress in the nature of sanitary powers. Independently of this nuisance, Tiverton would be considered a fine healthy town, situate as it is on the slope of a hill, with a swift river running at its foot.
“It is not these unfortunate creatures only who choose this centre of disease for their living-place who are affected; but the whole town is more or less deteriorated by its vicinity to this pestilential mass, where the generation of those elements of disease and death is constantly going on.
“Another cause of disease is to be found in the state of the cottages. Many are built on the ground without flooring, or against a damp hill. Some have neither windows nor doors sufficient to keep out the weather, or to let in the rays of the sun, or supply the means of ventilation; and in others the roof is so constructed or so worn as not to be weather tight. The thatch roof frequently is saturated with wet, rotten, and in a state of decay, giving out malaria, as other decaying vegetable matter.”
The report of Dr. Barham, on the sanitary condition of the town of Truro, gives instances of the condition of the town population in that part of the country. He states—
“The perfect immunity from deaths by febrile and acute diseases, enjoyed by Lemon-street during the long period of three years and a half, is a strong testimony to the value of the breadth of its roadway, the openness of its site, and the judicious construction of the houses; for it has to contend with a great deficiency of sewerage. Fairmantle and Daniell-streets are modern, and are occupied by small traders, and by decent artisans and labourers; the former lies rather low, the latter is on a considerable elevation; both are fairly drained, and are healthy. Charles, Calenick, and Kenwyn-streets present some of the worst specimens of defective arrangement, rendered worse still by the recklessness of the very poor, which can be met with in Truro. The amount of pauper sickness is considerable, the deaths not few. The two latter streets are, in the greater part of their length, but little raised above high-water mark. Passing into St. Mary’s parish, the proportion of sickness and even of deaths in Castle-street and Castle-hill is, to their extent and population, as great, perhaps, as that of any part of Truro; yet their situation is elevated and favourable. There is, however, no mystery in the causation. Ill-constructed houses, many of them old, with decomposing refuse close upon their doors and windows, open drains bringing the oozings of pigsties and other filth to stagnate at the foot of a wall, between which and the entrances to a row of small dwellings there is only a very narrow passage; such are a few of the sources of disease which the breeze of the hill cannot always dissipate. Similar causes have produced like effects in the courts adjacent to Pyder-street, to the High Cross, and to St. Clement’s-streets, and in Bodmin-street and Good-wives’-lane, the situations being all more or less confined. The benefits, on the other hand, derived from open rows, and cottages of a better construction are evidenced in Boscawen and Paul’s-row, and St. Clements’-terrace, which are well ventilated, and consequently suffer less from the scanty provision of drains and other conveniences.
“A detailed account of the public sewers is given in the Appendix, and is believed to be nearly, if not quite, complete. Many of these are of recent date, and owe their existence to the alarm excited when the cholera was near at hand. Some of them are made to discharge themselves into the rivers; and such of these as are swept by a stream of water are unobjectionable in themselves. Several others stop short of this desirable termination, and, after collecting filth from various localities, deposit a portion in catch-pits here and there, and finally open on the surface, frequently in some street or lane, where a neglected deposit of a mixed animal and vegetable nature is allowed to become a probable source of annoyance or mischief. Much of this incompleteness may be removed (as regards the main lines of sewerage) at no great expense; and it is said to be the intention of the commissioners of improvement to remedy the deficiency, when they are free from the debt with which they are now encumbered. Many of the smaller sewers are, however, much too narrow to be effective, and some of them are no better than covered drains. But the greatest evils in this department are unquestionably those which spring from the ignorance, cupidity, or negligence of landlords. It is useless to have a good sewer carried through the centre of a street, if the houses at the sides, and still more those situated in courts and lanes adjoining, have no communicating drains; and it is worse than useless to furnish these backlets with the mere semblance of drains—gutters forming pits here and there—then as they approach the street, perhaps slightly covered so as to produce obstruction more frequently than protection, a concentrated solution of all sorts of decomposing refuse being allowed to soak through and thoroughly impregnate the walls and ground adjoining. One or more of these mischievous conditions is to be found in connexion with a large proportion of the older houses in Truro, excepting the better class; and in many of the courts and backlets all these evils are in full operation. I have repeatedly noticed in the country that the occurrence of fever has been connected with near proximity to even a small amount of decomposing organic matter; and it is certain that all measures for effecting improvement in the sewerage of streets, the supply of water, and ventilation, may be rendered nearly inoperative for the obviating of the causes of disease, if a little nidus of morbific effluvia be permitted to remain in almost every corner of the confined court; where the poor man opens his narrow habitation in the hope of refreshing it with the breeze of summer, but gets instead a mixture of gases from reeking dunghills, or, what is worse, because more insidious, from a soil which has become impregnated with organic matters imbibed long before; and now, though, perhaps, to all appearance dry and clean, emitting the poisonous vapour in its most pernicious state. Nothing short of the placing in proper hands a peremptory authority for the removal of what is hurtful, and the supply of what is defective, making the exercise of that authority a duty, can remedy the existing evils.
“The houses occupied by the lower orders do not often exceed two stories in height, and it is rare to find families occupying less than two rooms. The more recent additions to the town—I speak of residences of the humbler class—have mainly consisted of rows of moderate cottages, having, the majority of them, gardens in front, and usually containing four rooms, commonly occupied by a single family. Some instances have, however, occurred of the building of a very inferior class of dwellings, which will be hereafter pointed out.