A free market for fish was established in Westminster to supplement the free fish market in London to prevent forestalling and monopolizing of the fish industry and to increase the number of fishermen. Duties for its maintenance were paid by the fishermen. Certain men were given the right to incorporate fisheries of white herring for twenty one years to improve the fisheries and give employment to the poor. They were authorized to sell subscriptions and to build ships provided the fishery employ 100,000 in such fishery. There were restrictions on taking fish from rivers during their breeding season. Herring fishermen were allowed to land and dry their nets and erect tents and pickle, cure, and reload fish on uncultivated land up to 100 yards beyond the high water mark all any shore, forelands, harbors, and ports, without paying the landholder. Later, a bounty of 30s. per ton was authorized to be given for vessels that were fitted out and used for white herring fishery.
Anyone wishing to be admitted to the Levant (Turkey) trading company was to be made free of such on paying 20 pounds, so that this trade may be increased.
In the 1760s the first cooking school was established by Mrs.
Elizabeth Raffald, a servant.
As for health, there were many occupational hazards. These included paralysis by mercury of refiners of silver and gold, paralysis by mercurial fumes of molten lead by plumbers, palsy of glaziers working with melted lead and of watch gilders, lead poisoning of painters, blinding by sawdust of sawyers, and the affects of fumes on pewterers and letter founders. Particles of copper were breathed in by copper workers, whose hair and beards then turned green. Braziers became deaf. Hairdressers, bakers, masons, bricklayers' laborers, coal heavers, chimney sweeps, flax and feather dressers, and workers in leather warehouses suffered pulmonary diseases. Chimney sweeps also had warty skin cancer from their bodies being habitually covered with soot and the lethal cancer of the scrotum. Working with charcoal fires affected confectioners, chocolate makers, and sail-cloth makers. Tanners, catgut makers, and tallow-candle makers became nauseous. Heavy work weakened many bodies and caused hernias. Bending over work for long hours caused stooped posture and hump backs.
The association between dirt and disease was just beginning to be made. The principles of infection and hygiene were not well understood. Bathing every couple of months was not unusual. There was some theological feeling that cleanliness betokened pride and filthiness humility. Most houses had a bathtub that could be placed beside the fire in a bedroom. About 80% of the population had been getting smallpox, which blinded, maimed or disfigured many. Deaths from smallpox were only occasional in the country, but constant in London, where about 13% of every generation died from it. Making death commonplace, especially in the winter months when thick, dirty clothes were worn day and night, were typhus, which was carried by lice; typhoid, which was spread by flies from horse dung; tuberculosis; and influenza. Dysentery and diarrhea made death commonplace especially in the summer when flies transmitted bacteria from filth to food and the water was its most foul. There was great meaning in the prayer "Now I lay me down to sleep; I pray the Lord my soul to keep; if I should die before I wake, I pray the Lord my soul to take." Thyphus spread easily in hospitals and gaols where vermin could live in the beds made of wood. Colds and toothache were also common. Venereal disease was not uncommon among the well-to-do in London. Condoms were used to deter disease, but were still crude, coarse, uncomfortable, and unreliable. London had almost double the mortality rate of the nation. The number of baptisms in London were about 80% of its burials. About 40% of the deaths in London were among children under two, due to infantile diseases fostered by malnutrition, maternal ignorance such as giving babies adult food, ill-health, bad water, dirty food, poor hygiene, and overcrowding. Many children died from diptheria, measles, scarlet fever, and smallpox. Ten or twelve children with three or four surviving was a common family pattern. Many well-to-do in London kept their children in the country for their better health. No matter what the ailment, physicians regularly bled patients and often gave them enemas with wooden funnels. Sometimes a blister or irritant was applied to the skin to draw out the evil humors. Cupping was used to provide suction to remove pressure from various parts of the body. Also used were poultices, ointments, and herbal treatments, notably quinine. Opium was given to deaden pain. There were about 70 drugs in use. Charms, spells, astrology, and folk remedies still played a major role in medicine. A physician attended surgeries to give advice. Physicians could visit apothecary shops once a year and throw away any drugs falling below an arbitrary standard of excellence. In 1703 the House of Lords decided a jurisdictional contest between the College of Physicians and the Society of Apothecaries. It permitted the apothecaries to direct the remedies as well as to prepare them, although they could only charge for the drugs they provided. The poor sought advice from apothecaries.
There was progress in health. Scurvy virtually disappeared as a cause of death due to the eating of more vegetables. And people were cleaner when wearing cotton, which had to be washed. In 1721, free inoculations for smallpox began in England, pioneered by Lady Mary Wortley Montague, also a poet and letter writer. She led the way by having herself and her son inoculated. Theologicians denounced this practice as a diabolical interference with disease sent by Providence for the punishment of sin. In 1727 surgeon William Cheselden, whose master was specially licensed to perform the operation of removing stones in the hospital, reduced the death rate for removing stones due to hemorrhage, shock, and infection down to 17% by his invention of a lateral operation. He also published an anatomy book and treated certain kinds of blindness by forming an opening in the eye to serve as an artificial pupil. Sarah Wallen Mapp was a famous bone-setter. Nutritional deficiency diseases were beginning to be understood. In 1753, James Lind, a surgeon in the navy who noted that more men died of scurvy than in battle, published his work on his controlled experiment on seamen showing that oranges, lemons, limes, green food, and onions cured scurvy. He published his methods of prevention and cure of malarial fevers and his method of disinfecting ships with the smoke of wood and gunpowder. In 1761, he discovered that steam from salt water was fresh, and proposed a method of distillation to supply ships with fresh water. In 1761 Giovanni Morgagni from Italy opined that disease resulted from a breakdown of organs and tissues that was viewable on autopsy. He wrote an extensive book showing the anatomy of diseases, e.g. affections of pericardium and aorta, (e.g. aneurysm), valve diseases, ulceration, rupture, dilation, and hypertrophy. He associated clinical observation with anatomy of disease, e.g. attacks on upper part of chest on left side and difficulty breathing and numbness of left arm all ceasing with exertion with dilation of aorta and hardening of arteries, causing delay of blood in the aorta, in the heart, and in the lung vessels. Bernoulli showed that the living human body constantly changes so that all its particles are renewed in a certain number of years. Frenchman Dr. Pierre Fauchard, the father of dentistry, recommended rubbing one's teeth and gums with a piece of sponge. His book of 1728 described methods and instruments.
Since three out of four babies died shortly after birth, beds in hospitals for pregnant women were established starting in 1739. The next year physicians began to replace midwives. A hospital was established for abandoned foundling children in 1739 so they wouldn't die, as they usually did, in the care of parishes or workhouses or be exposed in the streets or left on door steps of the wealthy. It was besieged by women with babies in their arms. In 1762 a statute made the principles of the foundling hospital obligatory for all London parish children under six; they were to be sent to nurses outside London who were to be paid at least 2s. a week by the parish. In 1766, this was extended to all parishes, and nurses who cared for a child well for a year was given a reward of at least 10s. Also, parish children were not allowed to be apprenticed for more than seven years or until age 21 and an apprentice fee of at least 4 pounds, 2s. was to be paid to the master or mistress by the parish.
After 1740, there was a steady growth of population due to improved midwifery. William Smellie taught scientific midwifery in London from 1741 and wrote a "Treatise on Midwifery" in 1752, which had a clear explanation of the mechanism of labor. At this time there were several maternity hospitals. Forceps existed for difficult deliveries. In 1750, Dr. Cadogan wrote his book: "An Essay on the Nursing and Management of Children, which made a great improvement in the care of young children. For instance, it recommended loose clothing, no tight swaddling clothes, and a simple diet. Swaddling clothes were used to retain a baby's evacuations but produced discomfort and serious skin conditions. A hospital was founded for venereal diseases in 1746, another as an asylum for the penitent and orphaned girls who might otherwise be inclined to prostitution, and yet another for prostitutes in 1758. Coitus interruptus was widely used for birth control. There were also clandestine abortions and intentional neglect of newborns.