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Public health responsibilities in the City of London were undertaken by the Court of Commissioners of Sewers from 1667. The Commissioners of Sewers undertook the construction of sewers and drains and the paving, cleansing and lighting of the City streets following the Great Fire. In 1897 the responsibilities of the Commissioners of Sewers were transferred to the new Public Health Department and Committee under the City of London Sewers Act. Through the Medical Officer of Health the Department considered social and environmental influences affecting City health and learned of medical advances which could be applied to the benefit of the community. Until 1946 the Department administered and financed a Maternity and Child Welfare Clinic and Tuberculosis Clinic at St Bartholomew's Hospital, and until 1948 ran a drop-in clinic for the treatment of venereal disease. The Department acted as the Burial Board for the City of London including management of the cemetery and crematorium at Ilford.
The Public Health Department also included Slaughterhouse and Meat Inspectors who ensured the quality of meat for sale. Similar officers also tested the quality of milk, ice cream, tinned foods, fruit, margarine and shellfish. Dealers and manufacturers of foodstuffs were registered with the Department. Investigations into outbreaks of food poisoning and the inspection of bakeries, restaurants and pub kitchens were also undertaken by the Department. Further environmental hygiene activities included sanitation, ventilation, drainage, overcrowding, offensive trades, nuisances, smoke abatement and inspection of shops, factories, lodging houses and Corporation owned housing. Measures to prevent atmospheric pollution were also considered by the Department and monitoring of pollution in the City was begun. The staff also included a Rodent Officer who inspected premises and investigated complaints of rodent infestation, and a Coroner whose duties included fire inquests.
The Public Health Department is now called the Environmental Services Department and is responsible for many of the same duties, including the cemetery and crematorium, surveying, food inspection, pest control, pollution control, highways management, waste disposal, Port of London Health and the Heathrow Animal Reception Centre.