As in England, the ignorance or neglect upon this matter is not confined to the labouring population of the capital. Dr. Scott Alison, in his report on the condition of Tranent and the adjacent districts, observes that—
“There is nothing like an efficient system of drainage in Tranent and the other villages in the district. There is a piece of drain here and there, but it is very inefficient. There is not even a sufficient water-course in the main streets of Tranent; and it frequently happens, during and after a heavy fall of rain, that the carriage-road is covered with water, and that some of the lower class of houses are inundated. In a few parts of the town the water-course is covered with stones or flags. These occasionally fall in, and openings are made. These openings are generally left unrepaired, and are not filled up. People frequently get hurt by stepping into them when it is dark. I have myself met with an accident; and serious mischief would very frequently occur did people not pay particular attention to avoid them.”
Dr. Sym, in his report on the sanitary condition of the town of Ayr, states that—
“A good covered sewer traverses the principal streets of the new part of Ayr; but the old part of the burgh, and both Newton and Wallacetown have merely shallow open gutters along the sides of the causeway. These gutters receive all the liquid refuse from the closes and alleys which communicate with the street, and which are generally causewayed in such a way that one side is considerably higher than the other, so as to permit water to find its way to the opposite edge. This sort of drainage might suffice for all useful purposes in our dry sandy soil if we had an adequate establishment of scavengers; but the gutters in many of the streets, and in all the closes inhabited by the poor are so much neglected, that they are never free from the stinking residuum of foul water. In Newton and Wallacetown, the drainage is exceedingly imperfect; indeed, in most streets of the latter it may be said scarcely to exist, and as the surface is very flat, almost the whole of the liquid putrescence and filth which are thrown out from the houses is allowed to filter through the sand, or evaporate in the sun, leaving a most offensive paste at the sides of the streets, and in the passages through the houses. This is the more to be regretted, that the beautiful state of cleanliness of the new part of Ayr, shows with how little labour it might be obviated with the aid of our absorbent soil and free atmosphere. There are some streets, the main street of Newton in particular, which have such inequalities in the causewayed footpaths, and such want of escape by the gutters, that it is impossible to find one’s way through them in a dark night, without many a plunge into the filth. There is everywhere sufficient slope toward the river to render drainage perfectly effectual, if properly executed.”
Mr. Forrest, the surgeon, in his account of Stirling, states that—
“The drains or sewers, called in Stirling ‘sivers,’ are all open and sloping. On the public streets they are, in general, well constructed, but in the closes their construction is so very bad that scarcely any of them run well. The only supply of water, so far as I know, which they receive, is from the heavens. The inhabitants of Stirling, during many months of the year, do not obtain water sufficient for their domestic wants, and they cannot, therefore, have any to spare for their sewers. There is a regularly appointed service of scavengers, but it is inefficient. A few old men sweep the public streets from time to time, and the sweepings thus collected are removed in a cart, without any apparent attention to time or order. Sometimes the sweepings remain on the streets for many days. To show how matters of medical police are neglected, I shall state a few facts which are known to every person in Stirling. 1st. The filth of the gaol, containing on an average 65 prisoners, is floated down the public streets every second or third day, and emits, during the whole of its progress down Broad-street, Bow, Baker-street, and King-street, the principal streets in the town, the most offensive and disgusting odour. 2nd. The slaughter-house is situated near the top of the town, and the blood from it is allowed to flow down the public streets. 3rd. The lower part of a dwelling-house, not more than three or four yards from the town-house and gaol, is used as a ‘midding,’ and pigsty, the filth being thrown into it by the window and door. 4th. There are no public necessaries; and the common stairs and closes, and even the public streets, are used habitually as such, by certain classes of the community. 5th. Two drains from the castle, convey the whole filth of it into an open field, where it spreads itself over the surface, and pollutes the atmosphere to a very great extent. 6th. A dwelling-house in the Castle-hill, the greater part of which is inhabited, is used by a butcher as a slaughter-house; and some of the butchers kill sheep and lambs in their back shops, situated under dwelling-houses. 7th. The closes where the poor dwell, and where accumulations of filth most abound, are, I may safely say, utterly neglected by the scavengers. In some situations, the ventilation around the residences is good, but in many others, and especially in the closes, it is very bad, and in my opinion, quite irremediable.”
Before quitting this class of instances, it may here be necessary to guard against the conclusion that neglect of drainage is confined to towns, or to numerous and crowded habitations. Similar instances may be presented, even of single and isolated houses, and of small groups of rural cottages, in almost every district. Of this last class of cases I give only one instance, supplied by the evidence of Mr. J. Thomson, of Clitheroe:—
“Have you not had amongst your own people an instance of pestilence occasioned by the neglect of removable causes of disease?—In the summer of 1839 some remarkable cases of fever occurred in my immediate neighbourhood amongst the inhabitants in my employment, of a small cluster of houses called Littlemoor. The situation of this little spot has always been considered, and justly, as remarkably healthy and agreeable, the soil around it being dry, and not marshy, as the name would seem to imply. It is situated on gently sloping ground, about a mile from the town of Clitheroe, and freely exposed on all sides to the wind. It contained six houses and 21 inhabitants at the time of the fever. The houses are built in three distinct groups, round an irregular area of from 50 to 60 feet square. A single, inadequate, and half-choked-up drain, originally constructed more than 40 years ago, for the only cottager, then existing on the spot, was the only underground outlet for the filth, and sink, and surplus water of these habitations; the rest was carried off by a deep and open ditch filled with grass and weeds; this ditch spread out, about 100 yards to the north, into a shallow stagnant pool, in summer green and fœtid; from which was conveyed all the water that could flow during that season past and amongst the cottages at Littlemoor. Into the centre of the open area or yard was poured all the filth of the houses in open channels, and thence, by the above-mentioned underground drain, conveyed away. This state of things was bad enough, but was rendered still worse by the erection recently of a pigsty, the litter and filth of which not only obstructed the drain, but occasioned a pool of abomination of the most perilous and disgusting nature. At the time I saw it—the commencement of the fever—it was overflowing into the foundation of the principal habitation, and had infected the whole house with its stench, and was making its way by innumerable black and fœtid streams through a small shrubbery, the area of which it wholly covered, into the deep and open ditch. Believing this to be the source of the pestilence, I had the sty instantly pulled down, the filth removed, and a large drain brought up to the centre of the yard, terminating in small covered troughs to each habitation. This was in the middle of August, and from the hour of the removal of the filth no fresh case of fever occurred. The first case was on the 12th of May, and was followed by another in the same house on the 27th. In June there were three cases; and in July six; in August four; in all, 15; of which nine were the resident inhabitants, in a population of 21; and the remaining six, nurses and attendants on the sick, obtained from the immediate neighbourhood. No fever prevailed at the time in Clitheroe. One case was fatal, and the health of a most valuable member of that small community was so seriously affected by the fever as to cause his death in a short time. A visitor and attendant on the funeral of the person deceased at Littlemoor, and who took the fever, died also. This spot has remained, and I doubt not will continue, healthy ever since.
“The medical gentleman, Mr. Garstang, of Clitheroe, who attended the preceding case, has communicated to me the equally striking and instructive statement I subjoin:—At Chatburn, a village to the north of Clitheroe, he was called to attend a patient in fever, in the month of May of the same year 1839. The first object that struck his eye on approaching the house was a long pole, with a bunch at the end, black and filthy from its recent use in forcing a choked-up and inaccessible drain, which passed between and under the gable-ends of two closely contiguous houses, only a few inches apart, one of which contained his patient. From this single case and house Mr. G. ascertained that 11 cases arose, by which means the fever was spread through the country, where it prevailed with great severity, and terminated, in many instances, fatally. There was no fever but what could be traced to this, and no other discoverable source.”