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milar results from his investigations in other parts of the kingdom, and says:-- "It may, therefore, be safely asserted as regards England generally, that:-- "The diseases which have been made the subject of the present inquiry, have been steadily decreasing, both in frequency and severity, for several years, _and this decrease is attributed, in nearly every case, mainly to one cause,--improved land drainage;_" again: "The change of local circumstances, unanimously declared to be the most immediate in influencing the prevalence of malarious diseases, is land drainage;" and again: "Except in a few cases in which medical men believed that these affections began to decline previously to the improved drainage of the places mentioned, the decrease in all of the districts where extensive drainage has been carried out, was stated to have commenced about the same time, and was unhesitatingly attributed to that cause." A select Committee of the House of Commons, appointed to investigate the condition and sanitary influence of the Thames marshes, reported their minutes of evidence, and their deductions therefrom, in 1854, The following is extracted from their report: "It appears from the evidence of highly intelligent and eminent gentlemen of the medical profession, residing in the neighborhood of the marshes on both sides of the Thames below London Bridge, that the diseases prevalent in these districts are highly indicative of malarious influences, fever-and-ague being very prevalent; and that the sickness and mortality are greatest in those localities which adjoin imperfectly drained lands, and far exceed the usual average; and that ague and allied disorders frequently extend to the high grounds in the vicinity. In those districts where a partial drainage has been effected, a corresponding improvement in the health of the inhabitants is perceptible." In the evidence given before the committee, Dr. P. Bossey testified that the malaria from salt marshes varied in intensity, being most active in the morning and in the Summer season. The marshes are sometimes covered by a little fog, usually not more than three feet thick, which is of a very offensive odor, and detrimental to health. Away from the marshes, there is a greater tendency to disease on the side toward which the prevailing winds blow. Dr. James Stewart testified that the effect of malaria was greatest when very hot weather succeeds heavy rain or floods.
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