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Early Commissioners of Sewers were solely concerned with land drainage and the prevention of flooding, not with the removal of sewage in the modern sense. In 1531 an Act of Sewers was passed which set out in great detail the duties and powers of Commissioners and governed their work until the 19th century, amended by various local acts. Gradually a permanent pattern emerged in the London area of seven commissions, five north and two south of the Thames, with, after the Great Fire, a separate commission for the City of London. The Commissioners had responsibility to undertake the construction of sewers and drains as well as the paving, cleaning and lighting of the City streets. Its powers were greatly extended by subsequent Acts of Parliament.
Under the City of London Sewers Act 1897, the Commission was dissolved with effect from January 1898 and its duties and responsibilities transferred to the Common Council of the Corporation of London and subsequently exercised by a separate Public Health Department until 1947 when the department was merged in the Town Clerk's Office.