The state of Windsor affords an example that the highest neighbourhoods in power and wealth do not at present possess securities for the prevention of nuisances dangerous to the public health. Mr. Parker, in his report on the condition of his district, states—

“With regard to the drainage of the towns in the counties of Buckingham, Oxford, and Berks, it may be observed that there is no town in which great improvements might not be effected. In Reading there are commissioners appointed under a local Act to make provision for cleansing the town and removing nuisances; but their duties do not appear to be performed with due regard to the importance of the trust, for the Board of Guardians of the Reading union, by resolutions entered in their minutes, frequently point out nuisances, and remind the commissioners of the filthy condition of many of the courts and back streets. But extensive as the improvements in the state of the drainage of almost every town in these counties might be, there is no town amongst them in which there is so wide a field for improvement as Windsor, which, from the contiguity of the palace, the wealth of the inhabitants, and the situation, might have been expected to be superior in this respect to any other provincial town. Such, however, is not the case; for of all the towns visited by me, Windsor is the worst beyond all comparison. From the gas-works at the end of George-street a double line of open, deep, black, and stagnant ditches extends to Clewer-lane. From these ditches an intolerable stench is perpetually rising, and produces fever of a severe character. I visited a cottage in Clewer-lane in which typhus fever had existed for some time, and learnt from a woman who had recently lost a child the complaint was attributable to the state of these ditches. Mr. Bailey, the relieving officer, informs me that cases of typhus fever are frequent in the neighbourhood; and observes that there are now seven or eight persons attacked by typhus in Charles-street and South-place. He considers the neighbourhood of Garden-court in almost the same condition. ‘There is a drain,’ he says, ‘running from the barracks into the Thames across the Long Walk. That drain is almost as offensive as the black ditches extending to Clewer-lane. The openings to the sewers in Windsor are exceedingly offensive in hot weather. The town is not well supplied with water, and the drainage is very defective.’ The ditches of which I have spoken are sometimes emptied by carts; and on the last occasion their contents were purchased for the sum of 15l.. by the occupier of land in the parish of Clewer, whose meadows suffered from the extraordinary strength of the manure, which was used without previous preparation.”

Mr. Harding, medical officer of the Epping union, states,—

“The state of some of the dwellings of the poor is most deplorable as it regards their health, and also in a moral point of view. As it relates to the former, many of their cottages are neither wind nor water tight. It has often fallen to my lot to be called on to attend a labour where the wet has been running down the walls, and light to be distinguished through the roof, and this in the winter season, with no fire-place in the room. As it relates to the latter, in my opinion a great want of accommodation for bed-rooms often occurs, so that you may frequently find the father, mother, and children all sleeping in the same apartment, and in some instances the children having attained the age of 16 or 17 years, and of both sexes; and if a death occurs in the house, let the person die of the most contagious disease, they must either sleep in the same room, or take their repose in the room they live in, which most frequently is a stone or brick floor, which must be detrimental to health.”

Mr. J. D. Browne, medical officer of the West Ham union states that,—

“The cases of typhus (21 cases in the parish of Walthamstow) have occurred periodically in certain localities, arising partly from want of personal cleanliness, and also from being situated near ditches into which putrefactive matter was deposited, such as the privies and pigsties emptying themselves. The medical officer called the attention of the Board of Guardians, vicar, and parochial officers to the subject; and though it was unanimously admitted that the evil was great, and an anxious desire was expressed in vestry to remove the existing evil, yet the case fell to the ground, there being no funds to meet the exigency. The medical officer feels persuaded that a power should be invested in the Board of Guardians or parochial officers to meet such cases.”

Mr. Thomas H. Smith, the medical officer of the Bromley union, states,—

“My attention was first directed to the sources of malaria in this district and neighbourhood when cholera became epidemic. I then partially inspected the dwellings of the poor, and have recently completed the survey. It is almost incredible that so many sources of malaria should exist in a rural district. A total absence of all provision for effectual drainage around cottages is the most prominent source of malaria; throughout the whole district there is scarcely an attempt at it. The refuse, vegetable and animal matters, are also thrown by the cottagers in heaps near their dwellings to decompose; are sometimes not removed, except at very long intervals; and are always permitted to remain sufficiently long to accumulate in some quantity. Pigsties are generally near the dwellings, and are always surrounded by decomposing matters. These constitute some of the many sources of malaria, and peculiarly deserve attention as being easily remedied, and yet, as it were, cherished. The effects of malaria are strikingly exemplified in parts of this district. There are localities from which fever is seldom long absent; and I find spots where the spasmodic cholera located itself are also the chosen resorts of continued fever.”

Passing the metropolis and the adjacent districts, I proceed to the evidence as to the condition of the dwellings of the poorest classes in the midland counties.

The report from Mr. Hodgson and the physicians of the town of Birmingham will be considered a valuable public document, as exhibiting the effect of drainage produced by a peculiarly fortunate situation. The houses, of which I requested drawings, are on the whole built upon an improved plan. This town, it will be seen, is distinguished apparently by an immunity from fever, and the general health of the population is high, although the occupations are such as are elsewhere deemed prejudicial to health.