Page images
PDF
EPUB

year on the epidemics which prevail in the departments convinces one that "la contagion de la fièvre typhoïde est un fait acquis désormais à la science."'

That enteric fever may be treated with safety to other patients in the general wards of a hospital is true, but this does not in the least show that it is not contagious, but only that in certain circumstances it is not so. In particular, where the ventilation is good, the cubic space abundant, and the general sanitary precautions complete, it does not spread any great distance; but that under such circumstances it does not spread far is no evidence that it does not spread at all. By due attention to the conditions just mentioned, typhus, enteric, and scarlet fevers might be treated together with impunity; and when one thinks that the infective matter of the enteric fever parient is for the most part contained in his stools; that these are passed into vessels which are immediately removed from the ward and emptied into the drains, there remains nothing to infect the non-enteric patients in a general ward, and consequently there is nothing surprising in the fact that such patients do not contract enteric fever. It is quite otherwise with the nurses. These are in close contact with the patients, have to remove their excreta, empty and clean the bed-pans, collect and remove their soiled linen, feed them, clean them, and move them about in bed. Their position, therefore, in relation to the patients is entirely different from that of the other patients in a general ward, and the difference is shown by the fact that they do frequently take the fever; how they do so may not be quite so clear. It should, moreover, be remembered that enteric fever is a disease of childhood and youth, and that as a consequence a large number of nurses are protected by a previous attack.

MESSRS. ROBERT BOYLE & SON's Patent Self-acting Air Pump Ventilators have just been applied by the Admiralty to the whole of the drainage system at Sheerness Dockyard. Messrs. Boyle have also recently applied their system of ventilation to the General Post Office, Liverpool; General Post Office, Leeds; Grand Hôtel de Grasse, Alpes Maritimes; Albert Memorial Museum, Exeter; Brixton Town Hall; Rochdale Free Library, Rochdale; New Public Baths, Forest Hill; and the Convent of the Good Shepherd, Hammersmith.

EARLY SANITARIANS.-In the course of the discussion which followed Dr. Corfield's paper on 'The Spread of Infectious Diseases,' read at the International Health Exhibition on June 14, Dr. Walford remarked that 'There was nothing new in sanitation; the earliest medical officer of health, and perhaps the best, was Moses. The principles laid down by him were of the very best, though, unfortunately, they were better fitted for dwellers in tents than for residents in large towns. (This aspect of the saritary question was fully dealt with by Mr. Ernest Hart an his lecture on Mosaic Sanitation, delivered some years

to the Jewish Working-men's Club.) Dr. Walford also pointed out that Cyrus fully understood the value of Fure water, only drinking the produce of one particular river, and that boiled.'

A RECENT Parliamentary paper gives the number of human corpses found in the river Lea in the years 1882 and 1883. In all, eighty-five bodies were found in this river during these two years, and the result of the coroners' inquests held upon them was a verdict in thirty-five cases of accidental death, in one of wilful murder, and in eight of suicide; while in forty-one cases no opinion was expressed by the jury as to the cause of death.

DRAIN-TESTING.

By HENRY MASTERS.

SOME few years since a letter appeared in a contemporary drawing attention to the importance of house-draining being free from leakage, and advising every one who had a drain in their house, to procure a certain quantity of ether and pour it down a sink or closet, and then, if any defect existed, the ether would escape and the defect be discovered. This amateur system of drain-testing took immensely with the public, and, I dare say, there was a run upon the ether market for a time, and even now I meet with people who have just tested with ether. The letter did good, for it taught the public that it was important that their house-drains should be sound and free from leakage. There are in England and Wales about 4,000,000 houses, and I should not be astonished that, if these were tested, at least 3,000,000 would be found defective.

Drain-testing by strong scents is not a new thing, for in my early days (nigh fifty years ago) I have a vivid recollection that if water in which cabbage had been boiled was discharged into the kitchen sink, its odour invariably escaped into the cellar, up the staircase, and, I dare say, the air of the reception rooms and bedrooms did not escape being highly charged with this vegetable test; but then in those days everybody considered it the right thing, if able, to have drains under their houses. As a matter of course, such drains must emit a bad odour, or how should a stranger be able to discover the locality of that useful appendage to a house-the watercloset. Follow your nose,' was the order of the day, and your nose seldom played you false. In these latter days we are more alive to defects in drains, and drain-testing has become quite a business, and consequently we have all our fads in this direction; one is strong for chemicals, another for smoke, another for filling with water, and another trusts to the sense of smell to detect the natural drain odour, and the latter class of testers are legion, and they are generally of opinion strong,' for, say they, if you cannot detect any drain odour the drains must be perfect. As I have for many years practised in each and every of these testings, I will give my experience, and in doing so I trust that I shall throw some light upon the question of drain-testing, for I find that some of those who ought to know are not all so wellinformed as they should be.

6

I take rather a broad view of this drain-testing, for I do not believe that either of the systems enumerated above are applicable in all cases. Take, for instance, the case of an old house; you want to know if the drains are free from leakage, and your client will not hear of breaking ground, as he feels sure all is right, for he has constantly had traps put in. Now these traps are the rub. There is a trap at the closet and at the foot of the soil-pipe; another at the end of the passage, another under the cellar, another just out of the house, and another close to the common sewer, or cesspool. So here we have the drain divided into six sections, or pockets, and it is found that water passes freely from the watercloset to the cesspool, for you can hear it enter that receptacle by applying your ear to the bung-hole of the man-hole stone, or cesspool ventilator. To apply a smoke test in a case like this would be absurd, for the most you could do would be to try one or two sections through a sink or bung-hole, but if you put

carefully a strong peppermint oil, ether, aniseed oil, or nitro-benzole, and plenty of hot water to follow, the chances are you may fairly test the drain from end to end, and may find if this test has been effective by applying your nose to the bung-hole or ventilating pipe, and so discover if the test has gone from end to end. The advantage of the chemical test in such a case as I have described is that no trap in the line of the drain will interfere with its free action, for wherever the drainage flows the test will also flow, leaving particles upon the sides of the drain; so you have a long line of scent from closet to cesspool, and, if proper precautions are taken, you will be able to discover about the locality of the fault, if any.

If we have laid down new drains, and know where the traps are, there is no better test than smoke by the fan, and the machine made by Messrs. John

Watts & Co., engineers, of Bristol (who also supply test-paper), I believe to be the best in the market; at any rate I find it handy and effective, and, if packed in a box, is not a heavy package to travel with.

Water-testing has its limits, for seldom will a system of drains stand water pressure. Take a case; a small house has a 6" drain from back to front, is trapped at the sewer, has a scullery and a yard sink. The trap and sinks are plugged securely, and you let on the first-floor water-closet service pipe, until the basin is nearly full; all at once the water sinks, for something has given way; probably an underground pipe burst. You inquire into this, and find that the drains have been submitted to a pressure of about 12 lbs. per square inch. This upon the 6-inch pipe is more than 200 lbs. per inch run. To my mind this is a pressure that no drain should be submitted to, for drains are not made to carry high pressure water. It may be said that should a stoppage take place in the underground drain, everything should be strong enough to resist the water rising in the soil-pipe; but this can seldom, if ever, take place, for an escape at the scullery or yard-sink would at once draw attention to the stoppage. Water-testing is very well for a ware drain that has 3 or 4 feet rise, but nothing above that height should be filled with water, except the drain is of iron. There is this advantage in a water test-you fill the pipes and watch the effect; if it falls but slightly it shows that there is a leak somewhere; if they are tested before being covered up you can detect the spot; but if the drain is covered the whole must be opened and examined, for the leaking water will travel under the pipes for many yards and possibly be absorbed by the soil. Water-testing should only be tried upon new open drains, and after the cement-jointing is

well set. Some consider that a soil-pipe is best tested by water-if the pipes are strong, well and good; but I have a lively recollection of a lead soil-pipe being so tested, and the lower end of the pipe gradually assuming a leeklike shape. In draintesting by water it is well to be provided with turned plugs of several sizes, about three inches long, covered with India-rubber. Some prefer leather cups, with plugs of cork inside them. Upon applying the smoke test it is necessary to take some precautions. All outlets (such as airopenings) should be plugged, and also the outlet of the drain should be cut off; for I have known cases when a strong current set in the direction of the main sewer, in which circumstances the smoke would be found to pass from the house instead of to it. You must also regulate the quantity of smoky material according to the capacity of the drains and pipes to be tested, for a mansion will require more smoke than a cottage; and if you can cut a small hole into the drain at several places, and cork all but one up, an examination of cork after cork will assure you that smoke is present at certain points, and disclose if the drain-pipes have been laid without pockets or accidental cesspools, caused by the pipe layer allowing the pipe here and there to sink. In some cases you will find a difficulty in getting at the pipe to make a hole into it. In such cases attack a gully or trap outside the house, or even the kitchen sink, extract all the water from the trap with a sponge, and insert the smoke-pipe, bound round with a duster or house-cloth, or a flexible tube may be passed through the trap water, and the water in the tube expelled by your breath. The great advantage of smoke-testing is that you can see, as well as smell, the exact locality of the leak, or at any rate you can follow the smoke to the defective parts, for it is of a strong flavour, flavouring the earth round a defect. In some cases I have known it leave a sort of tint upon the earth. With the smoke test you do not require to be so careful of handling the apparatus as in chemicals, for touching a peppermint cork will scent your fingers or dress, and will occasionally give a false scent; therefore too much care cannot be taken in chemical testing.

The sketch herewith shows a suitable bag for carrying your chemical apparatus; it is in two parts, the upper a Gladstone or other approved leather receptacle, and should contain a set of tools, viz., a square-faced and pointed backed geological hammer, useful for cutting a small hole in a ware pipe, and also as a centre punch; an

[graphic]
[graphic][subsumed][subsumed][merged small]

pipe by opening the under tap first and the upper afterwards, and the chemical will pass down by

gravitation; but it may be advisable occasionally to screw a funnel on the upper end, so as to run some water through from a jug. This test is better

applied out of doors, if possible, for it is next to impossible not to allow a small escape. Some lead or gutta-percha plugs, to screw into the pipe holes after you have finished; a screw-driver; a light hard chisel; a taper-piercer, to make holes in lead pipes; some nails, string and wax tapers; some slips of brown paper, which have been soaked in vinegar and saltpetre, for simple smoke-testing, such as waste-pipes, &c. There should also be some tin divisions, to contain two stoppered bottles, having a tablespoonful of diluted sulphuric acid in each, and about six torpedoes,' each charged with two ounces of oil of peppermint.

The lower part of the bag is a box, having a cover well secured and jointed with rubber, so that no scent can escape. This box should not be taken inside the house, and it should be fitted inside with tin divisions, to receive, say, two stoppered bottles, each to contain lb. of ether; two bottles, each to contain 2 ozs. Hotchkiss's oil of peppermint; two bottles, each to contain lb. of oil of murbane (artificial almonds); a duster or two, and practice will perhaps suggest other tools, apparatus, and tests. With such a bag, fitted, you can commence operations; and first I should advise you to make an inspection of the whole premises, and take a rough sketch of the basement floor, noting by a X every sink, by a every soil or waste pipe, by O every rain-water pipe, and by dotted lines the supposed position of drains, underground tanks, bench marks, cesspools, &c., and the more notes you take the better. Examine all upstairs apartments, making separate sketch of closets, bath-rooms, and lavatories, with notes of fittings, water supply pipes, overflows, &c. You will be now in a position to commence testing, as you will have a fair knowledge of the scheme of drainage. At the same time, if you can get a local mason and plumber who have had something to do with the drains, they can give you much outof-sight information which you will find valuable. I

Having studied the various directions of the drains and pipes, endeavour to inject into each section a test of different odour; but, before commencing, all doors and windows must be closed, air-pipes and main drains stopped. Give your assistant full instructions, and keep him outside the house. He should be provided with the chemical box, several buckets of hot water, and a jug. Your position is inside the house, having previously provided yourself with what you require. Your assistant will drill the outside soil-pipe, or see that an outside sink is clear, and inject a test, which he washes down with hot water. If the test should be put in an outside soilpipe, you can assist its development by pouring some hot water into the inside closet. Your next duty will be to enter each apartment, commencing near to where the test is applied, carefully closing each door after you; and if any test is discovered escaping, endeavour to find its exact point of escape, and make a note. You may find it necessary to try inside soil-pipes, because there may be traps top and bottom, and this may be done by putting down the closet a 'torpedo,' suspended by about a yard of string.

To describe the mode of testing in every case would far exceed the limit of this paper, but, like everything else, to be successful requires experience and a large amount of ingenuity, for the difficulties are many, and not least is having inaccurate smelling powers; and it is astonishing how defective the sense of smell is with some people. I have met with individuals who have failed to detect any scent even from oil of peppermint dropped into a glass of hot water, and again others who have scented out one's test-bag as it was taken through the house. A successful tester must, therefore, cultivate this important sense, so as to be able to distinguish the difference between one scent or another, and it is well to procure the use of any inmate's nose also, as it confirms your own opinion, and is evidence. A perfumer can tell to a nicety the kind of scent contained in a bottle or cake of soap, and their proportions, and I see no reason why drain-testers should not be able to distinguish the scent escaping into the house that his assistant has injected into the drain outside.

Another important matter in drain - testing is temperature. If the house to be tested be occupied and plenty of fires going, and the outside air at freezing point, the probability is that your testing will be very successful; on the other hand, should your test be applied to an empty house, and the outside temperature warm, very leaky drains may not be detected; in the latter case it is better to put off your testing till a more suitable day.

For chemical testing, Hotchkiss's oil of peppermint stands first on the list-dose, from one to two ounces-and it can be detected in the drain for twenty-four hours after it has been applied; next, sulphurated ether-dose, four to six ounces-this passes off in about four hours, and care should be taken not to allow a light to come near the ether, or for it to accumulate in pockets.

I tested the drain of one house with ether, and a fortnight afterwards a workman opened a cesspool into which the test had found its way, and upon striking a light to examine the cesspool, he was blown about three feet into the air, and had some slight burns; and a lady client once informed me that she had tested her own drains at night, by pouring into an outside sink a bottle of ether; the

result was that she was thrown some distance from the seat of operation, and her servant, who had the candle, ran for her life, and some light woodwork near took fire.

Nitro-benzole is a powerful test and retains its smell about as long as peppermint; it has a strong almond scent-dose, six ounces. Oil of aniseed is

THE HOUSING OF THE POOR IN BIRMINGHAM AND THE

BLACK COUNTRY.

(FROM OUR OWN CORRESPONDENT.)
[Sixth Article.]

THE newly incorporated municipal borough of

about the same character as murbane, but it cannot be successfully used in cold weather. There are other tests, such as oil of thyme and eucalyptus; | West Bromwich is one of the most pleasantly and but I find the above are sufficient for my practice.

In chemical testing great care must be taken not to be deceived by a false scent. If your assistant passes through the house after opening a testbottle he may leave a trail behind him, which may be mistaken for an escape from the drain. A lady amateur informed me that she had tested her drains, and found them in a dreadful state. She poured a bottle of peppermint into an inside water-closet, and she traced the scent up her staircase and into every room of the house. The test of course passed through the closet door into the warmer atmosphere of the house, and so deceived her. A test properly applied in this case discovered no defect whatever.

In the upper bag I have suggested bottles with a little sulphuric acid in them. These are for taking samples of water from the pump, tap, or underground rain-water tank; and although I do not advise the readers of this paper to turn amateur chemists, I think they should have sufficient knowledge to be able to tell the difference between good and bad water, or to test in a simple manner the water they may find in use in a house they are called upon to inspect. If you get a sample of fairly good water, and put it into a test-tube with a drop of permanganate of potash, it will colour it a very light pink, and it should remain this colour for a day at least; but if you treat a sample of foul water in a similar manner it will immediately assume a yellowish colour, showing that it is not pure; and if such water as this be found in a house, the sooner an analytical chemist's opinion upon it is taken the better.

DISINFECTION OF RAGS. -The Treasury Department of the United States has given the following directions for disinfecting rags imported into the United States from Egypt. They have been pr pared after consultation with the Boards of Health of New York, Boston, and New Haven. 1. Boiling in water for two hours under a pressure of fifty pounds per square inch. 2. Boiling in water for four hours without pressure. 3. Subjection to the action of confined sulphurous-acid gas for six hours, burning one and-a-half to two pounds of roll brimstone in each 1,000 cubic feet of space, with rags well scattered upon racks.

DOMESTIC POISONS.-In a lecture recently delivered at the Health Exhibition, Mr. Henry Carr dealt with the dangers arising from the presence of arsenic in wall papers and domestic fabrics, to prevent which a Bill had been drafted, the provisions of which were not more stringent than those already in force in Germany, Sweden, and other countries. Owing to the investigations which had been made there had been already a great diminution in the use of arsenic colours, but the public needed to be reminded of the fact that green was not the only colour in which arsenic was to be feared. Several specimens of paper-hangings were exhibited in pairs representing arsenical and non-arsenical colours of very nearly the same shade. The two principal methods of testing for arsenic were next described in detail, and Reinsch's recommended for general use as being more easily carried out and suffi ciently accurate for all practical purposes.

healthily situated towns in the Black Country district. In some respects it has advantages which are not possessed by any other of the numerous parishes between Birmingham and Wolverhampton. Its altitude is high, it being in occupation of some of the highest table land in England. And although on the west and north it is subject to noisome fumes from chemical works and the black sulphurous clouds which belch from the throats of numberless forge and foundry chimneys, together with the choice atmosphere wafted from a couple of extensive gasworks, on the cast the eye wanders over many a mile of pasture and woodland only limited in one direction by hills which bound the horizon, and in the other extending on the one hand to the metropolis of the Midlands, and on the other to the borough of Walsall. Over this wide expanse the population is very sparse; factories, foundries, and forges are unknown, and the atmosphere is as clear and pure as the landscape is full of natural beauty. Nothing more astonishes a stranger to the locality than to emerge from the lower parts of the town and behold stretched before him so extensive and beautiful a vision. Upon the slope of the town overlooking this scene lies a park of fifty-six acres, given to the inhabitants by the Earl of Dartmouth, the Lord of Sandwell, of which estate it previously formed a part. In respect to the advantages we have herein mentioned, the inhabitants of West Bromwich are in a position to be envied by the many thousands of their less fortunately situated neighbours. West Bromwich is also fortunate in its High Streetone of the finest in England-and in its public buildings, all of which are ornaments to the town. and however well its claims to be a prosperous and It is not so fortunate in its sanitary administration, progressive town may be maintained in its commercial and general municipal relations, the claim to distinction fails when submitted to the test of sanitary science and sanitary advancement. Like most of the other towns in the district, it has been aroused to a sense of its shortcomings in matters appertaining to sewage disposal and purification through fear of the Rivers Pollution Prevention Act of 1876, with the penal enactments of which it has been threatened by its big neighbour Birmingham, on account of its pollution of the river Tame. Like most of the other towns in the district, also, it has turned its attention to the remedying of this evil, and has in hand a drainage and sewage purification scheme, which may, or may not, be in operation at the end of six or seven years. Like the other towns in the district, it has suffered from epidemic incursions of infectious diseases, and at the present time is under the sway of an outbreak of smallpox, which has maintained a more or less strong hold upon the place for more than a year and a half. All the neighbouring towns-Tipton, Darlaston, and Wednesbury especially-have been subjected to this dread scourge, and West Bromwich was about the last town in the district which succumbed. For some months it was

very virulent, and taxed the utmost resources of the place. When it first broke out here there were no means of isolation, and it was only after some months' delay, and by dint of strong pressure from without, that the sanitary department of the Corporation nade such efforts to grapple with the disease as were likely to prove effectual. They hired a temporary building to serve the purpose of an isolated hospital, and took measures for carrying out long-delayed plans for the erection of a permanent hospital. After a while the disease began to flag, but it has never been thoroughly stamped out, and during the last few weeks has broken out again almost as badly as ever. It would not be wise, it might not even be correct, to say this was the result of any shortcoming on the part of the sanitary department. But there seems to be a generally felt and a frequently expressed conviction in the minds of the inhabitants that the work of that department is not so vigorously and effectually carried on as it might be, and that there is too apparent an inclination to underestimate the danger and neglect or dally with precautions.

West Bromwich is a municipal borough, with a population of about 60,000, situate between four and five miles from Birmingham, and between seven and eight from Wolverhampton. It covers an area of 5,710 acres, and its population is lodged in about 10,850 houses, giving a proportion of about five and a half persons to each house. In too many cases, however, especially in the small insanitary dwellings which are huddled together in the poorer and more thickly populated part of the town, it is no uncommon thing to find nine or ten persons in occupation of a three-roomed cottage. In respect to overcrowding, however, the town is in a much better position than its neighbours. The industries of the place include coal mines, iron foundries, hollow ware, and spring balance manufactories, nut and bolt works, &c. The water supply is derived from wells, and the mains of the South Staffordshire Waterworks Company. The latter is reliable; the former is generally otherwise. There is no system of drainage for sewage. The storm water and swill water from the houses runs along the street channels--where there are any-and is carried with the detritus from the roads into the watercourses and the canal. The open midden system-one of the most filthy and unwholesome systems of dealing with animal excreta in existence-prevails in all but the newest and better class houses, where the middens are covered and fitted with a ventilating shaft. There is probably no part of the district where more glaring instances of sanitary neglect and filthiness can be found, combined with inadequate closet accommodation and an absence of the requirements of decency and cleanliness. The regulation allowance of closets in all the more thickly-populated parts of the borough is one to three houses; in some places there is but one to four or even five. They are generally placed side by side, sometimes within a few feet of and facing the house, door, occasionally a hundred yards or more away. Many of them have no doors, or had not until very recently, when an independent inspection of the borough with publication of the results directed particular attention to what in some cases was no less than a public scandal. The middens and ashpits, generally combined, were found so full in dozens of cases that the liquid sewage was forced up through the bricks or flooring of closets, and lay in shallow pools on the surface or

trickled away down the yards, while the ashes and house refuse, overflowing from the inadequate or ruinous receptacle, formed a festering stinking heap in the open yard. It is no uncommon thing in some parts of the borough to see an open midden or cesspool standing in an exposed position in a yard, in some instances contiguous to a street, protected only by a few inches of brick wall. In one yard especially there is a green, stagnant pool, some feet in width, actually below the surface of the ground, unfenced and unprotected in any way from the children of all ages playing in the immediate vicinity. When a heavy shower of rain stirs up these fetid pools, especially after the contents have been accumulating for some length of time, the stench is something to be avoided. The removal of all this filth is carried on by nightmen, and every particle of it has in many cases to be taken through the house. A few instances, taken from actual observation, will show the statements above made are not in any way overdrawn. The borough is divided into six wards. Greets Green Ward, which is on the lowest level, is one of the most insanitary. In one court opening into the main road are fourteen houses, containing between sixty and seventy persons, for the use of whom there are four small privies, with one open midden. In another court close by, the houses are arranged in the shape of the letter T. The privies allotted to these houses were some of them without doors, and the middens were in a very imperfect condition. In one street twenty-one houses open into one unpaved yard, in which are six closets. At the time of the inspection above referred to, the middens and ashpits were so full that the liquid oozed up through the brick floors of the closets, and a great heap of ashes and house refuse had formed in the yard, where it had been accumulating for some weeks. In another street are two courts, the occupants of which were entirely without water for dietetic purposes, and had to rely upon rain water, which, even when properly filtered, is most unpleasant in flavour, owing to the smoke and fumes | through which it has to pass. At the junction of two thoroughfares in this neighbourhood, the inhabitants of a row of twelve houses deposited their ashes and other house refuse, forming a heap neither agreeable to sight or smell. In another place, forming a thoroughfare between two main roads, much of the fæcal matter seemed to be deposited on the surface of the ground, while a couple of cartloads of house refuse occupied a conspicuous position, and appeared to form a kind of playground for the

children.

Abutting on the Greets Green Road-a main thoroughfare-were three cottages in process of demolition, the remnants of a row. Two of them were tenanted. More miserable tenements could scarcely be imagined, and yet a man and his daughter, employed at neighbouring brickworks, had lived in one or other of the row for forty years, paying half-a-crown a week rent. About fifty yards away were the remains of a closet, utterly unusable, and the functions of nature had to be discharged in the open. There were no back doors, nor any watersupply. One would think even the most supine of sanitary authorities would have had no difficulty in declaring such hovels unfit for habitation. A row of seven houses facing to the Greets Green Road, and opposite large ironworks, also have no backways. Their sanitary offices comprise two closets at one end of the row, reached direct from the public footpath,

« EelmineJätka »