“London (Ancient and Modern) from the Sanitary and Medical Point of View” by Dr. G. V. Poore is a comprehensive examination of London’s public health and medical history, spanning from Roman times to the late 19th century. The book delves into how the city’s geography, urban development, and medical practices have influenced its sanitary conditions. Dr. Poore emphasizes that London’s ancient layout, with its marshy terrain and proximity to the Thames, contributed to health challenges, particularly the prevalence of diseases like malaria and ague. He discusses how the accumulation of waste and inadequate drainage systems exacerbated these issues, leading to frequent epidemics and high mortality rates.

In exploring the evolution of medical practices, Dr. Poore highlights the transition from medieval superstition to scientific medicine. He critiques the medical understanding of earlier times, noting that physicians often relied on outdated theories and lacked empirical knowledge. The book details the establishment of institutions like St. Bartholomew’s Hospital and the Royal College of Physicians, which played pivotal roles in advancing medical education and practice. Dr. Poore also examines the impact of public health measures, such as quarantine and isolation of the sick, in controlling the spread of infectious diseases.

The latter part of the book addresses the improvements in sanitation and public health during the 19th century. Dr. Poore acknowledges the progress made through the development of sewer systems, clean water supply, and better housing conditions. However, he also warns of emerging challenges, including overcrowding and pollution, which threaten to undo the gains achieved. He advocates for continued vigilance and reform in urban planning and public health policies to ensure the well-being of London’s inhabitants.

Dr. Poore’s work provides a detailed historical account of London’s sanitary and medical evolution, offering insights into the interplay between urban development, public health, and medical advancements. His analysis serves as a reminder of the importance of thoughtful urban planning and the need for ongoing efforts to maintain and improve public health standards.