The Express.
London, England, 1849-09-14 00:00:00

ordinary esoaditions of spideatio dioene—olther poverty, un-
healthy neighbourhoods, or tate:apnoea is drink or diet.
Bat we are happy to believe that the disease has mita abated,
mad that the slunk retailing early in the week ha is NORM
degree sabsidod.
AXIIMITan —Bn,—Ohaerving In the ntarn of deaths
from °hairs tad diarrhea,. inserted is your paper of the
Ilth last. • ease of death front diarrheas, repwtod as bating
warred fa this tows, I ben have to state that so wish ro-
tors has boon made to the Board of Health from hearre,
there having bees an fatal ear of
prams% didera or diarrheaduring is
Ai:Waster either darks. the * or
that a/ Ism By iseertiag this otatasuleaspawntioa you MU
Delegge.-1 am. 1 &a, C•ititto Lima, 1.P., scanty d
•
orest.-11ept. 12.849.

CITY OF LONDON BOARD OF HEALTH.
THE CHOLERA.
The effinthlttee cm health ageoftbled, npOn the
summons of the Right Hewes* Lord Mayor, stale Maasion-
house, Mr. DARKEST to the chair.
The followiag letter from the Spud of Health weaned by
the Clark:
The General Board et Health, Gwyelyr-how,
Whitehall, Sept. 12. 1849.
My Lard,—The General Beard of Health haviag received
a unisaueloation from the solicitor and of of health of
the eorporation of the City of London, 'availing se to the
sufficiency of the mesas for the prevetttien of cholera in the
thine city union', have directed me to state, for your lot&
ship's intensities', that the armigness** made is these
unions have all along been most inadequate and unsatistaer
tort' and move especially in the parishes of the City of Loa-
d= Union. In no ORO atheist perishes does it appear, eve.
at the present moment, that the sauna which the widest
experience his shows to be essential for stayiag the
of the disease have been carried into effect, and the=Trays reseal to believe that the consequence of Ws
neglect have bees severe sabring end loss of life. Theguar-
diens of the C.ty of London union have not earned oft the
orders of the board for instituting a system of been to home
visitation, and they have slat a communication respecting
them of each a asters es to compel the board to iastitfte
legal proceedings for their enforcement. But as the=
medlar involve all the evils of delay, it is the
opinion of the board that if prompt measures were adopted
by the corporation of the City of London, for carrying into
effect • system of regular house to house visitation the most
Important services would be rendered to the population, and
more especially to tee poorer chases within the
city jietion. and loin of life be prevented.
The board have directed their medical inspector, Me.
Grainger, to attend the gusting of the health committee of
the council to morrow, aid to give fall information as to the
present state of the arrangements within the City ; and they
trust that the existing deficiencies will be supplied by the
voluntary and humane exertions of the City corporation.—
I have the honour to be, my lord, your lordship's most obe-
dient servant, ALNX. BAIN, Assistant Secretary.
His LORDSHIP was sure the committee would ooesider
that he was bound, after having read such a commacioatios,
to call them together as dily as possible to decide as to
the beet mode of ng for the purpose of preserving
the public health. He was convinced that on such an cou-
sin the Court of Common Council would not take into con-
sideration the question of expense, and he felt no hesitation
in taking upon himself the responsibility, with the sanction
of the committee u that court was not siting, of appointing
medical assistants to perform the visitation recommended by
the board. (Heir.)
Mr. GRAINGER, upon being asked by the committee
whether he had any communication to make, said he had
been instructed by the General Board of Health to submit
to the committee the measures which appeared to him to
be met desirable under the existing emergency. He then
read a paper, in which the appointment of medical venters,
for the purpose of carrying out a system of house to home
visitation, was strongly recommended m the most efficient
plan for checking the spread of cholera. In proof of this, it
was stated that—
Doctor Gavin, superintendent of the Bethnal-green dis-
trict reports that the visitor', four in number, in the week
In which they have been engaged in the servo», have dis-
covered no fewer than 1,671 cases of diarrhea, 67 cute of
rice-water purging—that is, cases closely approaching te
cholera—and 89 cases of oboists. Out of the tits' number
of diarrhea cases there have been only 2 deaths, and out
of the cases approschieg to cholera there has been only I
death. In the districts under visitation, in the three weeks
preceding the adoption of this system, the deaths from cholera
were successively 98, 128, 129; in the week during which this
system has been in operation, the deaths from cholera have
been 65. The whole of the cases disoovered by the visite-
boa, the diarrhccal cases, the cases approaching to cholera,
and the cases even of developed cholera, had, up to the period
of the visitation, been without any medical assistance.
The paper also contained reports from the superintendents
of leveret °thee districts, in which statements of a similar
character were made. The paper then proceeded as follow.:
NUMBER fiF VIBITORB.—In the present Moto of the et
demi., I should recommend that 18 extra medical visitors
appointed for one month, and to be thus distributed:
West London Union . 8
City of London
East London
I have the utisfaction of stating that the board of nae-
dins of the East London Union, in aftordanes with a
recommendation I made yesterday stoat promptly appointed
four extra medical visitors at their meeting hold an hour sub-
'equinely. The experience of a few days will show whether
the number of visitors above recommended be suffieient, and
whether they are proper.y distributed. The average weekly
of deaths 'carding to the return, of the registrar-general
during the last three weeks is as follows:
West London Union 4O
City of London Union 2B
But London Union 26
DaroTti OR DlMMNOnalitii.—lt will be essential to ascer-
tain without delay whether the existing provision for the
supply of medicines without charge or hindrance to the poor
at all hours, day and night, he sufficient ; if net an addition
must be made in this respect.
Mr. GRAINGER then proceeded to recommend the esta-
blishment of hospitals ler cholera patients, and pieces of
refuge for the families of persons dying el the malady in
overcrowded houses in low neighbourhoods; but the le
Mayor and the members of the committee wens of opinion
that after the prone Dogs of the Court of Common Conn :a,
at their last mating, the committee were not entitled to
entertain those questions.
After some conversation, •
Mr. WIRE proposed a roolation, directing the officers
of health to appoint a proper staff of medical officers to con-
duct the house to house visitation theceighout the city . The
motion wail seconded by Mr. Yong, and was unanimously
aoopted.
Mr. Wrath proposed and Mr. Marratzwe seconded a rem-
lotion recommending the issue of a friendly address to the
iuhabitante, similar to that which had been circulated with
so much effect in 1832.
The reselutlon was carried, and it was referred to the
chairman and the mover and seconder to carry it into
execution.
Mr. GRAINGER felt it to be hie duty to athletes the
chief magistrate of the City, end the committee of the como-
ration of the first city in the world, for perhaps the last time
he might have occasion to see them. He had laid before
them with a degree of earnestness and boldness, which
nothing but the pecullarity.of his situation could justify, •
candid statement of his opinion as to the measures Mika
were required to meet the present emergency. Be was
sorry to say that the exertions of the board had had to en-
counter opposition of the mat formidable character. He
appealed to the corporation to exert its great powers at this
importaht crisis. It seas his duty as • man, and as
a Christian, to point out the paramount importance
of using great exertion to stay the ravages of a disease
which in its malignant and fatal character had had no
ftrallel since the great plague, aid having does this, he
must leave the can in the heeds of his lordship and the
members of the court.
• The Lord Mayor and memben of ells oceramittes gave him
their menace that his recommendations should receive
their best attention.
Mr. Simon then received his instructions from the com-
mittee, and intimated his determination to pot them into
immediate execution.—Adjourned.

PORTAL lIIPEOVIUMENTB.—There is rearon to be-
lieve that one of lb, improvements which have been lately
effected is not sufficiently
them understood. We allude to thpere
permission to write on the gin of a stamped newspa
which is to b• despatehed by post, on eondition of &fitting oa
the paper a penny postage stamp. It must :taco hays
occurred to persons sending peps" to their friends, that they
have bad a desire to mark for notice some particular pen.
graph; but until lately any guelt mark rendered the paper
liable to a serious charge fur poe-sge. Often we have re-
ceived papers hem a donates which seemed to hove besot
specially sent, tbough we bare not been able to discover the
rifferrnst coialliuown,efrs.omltrwotash, iin
probably,vitlae
ato 'oad
taarriagethrogit
deathhe
to which attention was desired, but the despatch fail- d of
its effect for want of a mark, which mark would have bees
illegal. Now, however, a person may eirentarcrihe a
paragraph, or express his slain fully on the margin ;
nay, if he have not a sheet of paper at hand tot a general
letter, he may use a newspaper, and write as such as he
pleases on the margin—a transaction which will be sane-
timed by it. ponoffios authorial* if a peony range stamp
be affixed on the paper keel-, not on the cover; and here
-it way be well to advise generally that those who send
papas to their friends by poet should write the direeion oar
the paper itself, end tie it erg with a small string or thread.
Covers frequently eoete oft in the post office, and thong!'
pains are tak la to re-attach them to the right papers, it a
not always possible to be accurate in 60 doing, and
hones paps" are niannt—sometimes lost. We came{
ourselves act on the advice here given, because
there is not time to write the directions bee.ween the
stowent at printing end the closing_ of the post. The
" treats," a. trey were formerly celled, must be ready
for prompt dogwatch. Toe other facility we had the
of airay; recently will, we hope, be app., dated.
pleasurettiw
lately, it $ letter failed in reaching its destination,
win to if accurate affection, or the addresiod party having
irentoved " not known woithsr," it wee forwarded, after some
delay, to Loudon, where, averenothnlelay, it was opened
mod retuned to the writer, it his 'Meese were demi ruble
leads. Now, if the writer Inuits, his address ou the back
'girths letter, or if it appear on his nal, he will have hi, :otter
saturned to him dines frog. the town it Nee sent if its
destination cannot be found. This is a velnable boon. We
are gratified in noticing these things, and also several in-
proirenten-s in the money-order departs tent, and in the
branch offices; but W 6 mast repeat, that war cannot be satis-
fied with the
twenty
management, until thi re are two
depanbas every Vile hours between towns connected
by maim.) .—Livegpool paper.

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