In the evening of Saturday, 10 May 1851 the members and friends of the Metropolitan Sanitary Association held their first public fund-raising dinner at Gore House, Kensington. The Earl of Carlisle occupied the chair. Charles Dickens was invited as a guest speaker, along with his close friend, the illustrator George Cruikshank. After proposing a toast to ‘The Board of Health‘, Dickens made the following speech:

THERE are very few words for me to say upon the needfulness of sanitary reform, or the consequent usefulness of the Board of Health. That no man can estimate the amount of mischief grown in dirt, that no man can say the evil stops here or stops there, either in its moral or physical effects, or can deny that it begins in the cradle and is not at rest in the miserable grave, is as certain as it is that the air from Gin Lane will be carried by an easterly wind into Mayfair, or that the furious pestilence raging in St. Giles`s no mortal list of lady patronesses can keep out of Almack`s. Fifteen years ago some of the valuable reports of Mr. Chadwick and Dr. Southwood Smith, strengthening and much enlarging my knowledge, made me earnest in this cause in my own sphere; and I can honestly declare that the use I have since that time made of my eyes and nose have only strengthened the conviction that certain sanitary reforms must precede all other social remedies, and that neither education nor religion can do anything useful until the way has been paved for their ministrations by cleanliness and decency.

I do not want authority for this opinion: you have heard the speech of the right reverend prelate this evening a speech which no sanitary reformer can have heard without emotion. Of what avail is it to send missionaries to the miserable man condemned to work in a foetid court, with every sense bestowed upon him for his health and happiness turned into a torment, with every month of his life adding to the heap of evils under which he is condemned to exist? What human sympathy within him is that instructor to address? What natural old chord within him is he to touch? Is it the remembrance of his children? A memory of destitution, of sickness, of fever, and of scrofula? Is it his hopes, his latent hopes of immortality? He is so surrounded by and embedded in material filth, that his soul cannot rise to the contemplation of the great truths of religion. Or if the case is that of a miserable child bred and nurtured in some noisome, loathsome place, and tempted, in these better days, into the ragged school, what can a few hours’ teaching effect against the ever-renewed lesson of a whole existence? But give them a glimpse of heaven through a little of its light and air; give them water; help them to be clean; lighten that heavy atmosphere in which their spirits flag and in which they become the callous things they are; take the body of the dead relative from the close room in which the living live with it, and where death, being familiar, loses its awe; and then they will be brought willingly to hear of Him whose thoughts were so much with the poor, and who had compassion for all human suffering.

The toast which I have to propose, The Board of Health, is entitled to all the honour which can be conferred upon it. We have very near us, in Kensington, a transparent illustration that no very great thing can ever be accomplished without an immense amount of abuse being heaped upon it. In connexion with the Board of Health we are always hearing a very large word which is always pronounced with a very great relish the word centralization. Now I submit that in the time of the cholera we had a pretty good opportunity of judging between this so called centralization and what I may, I think, call “vestrylisation.” I dare say the company present have read the reports of the Cholera Board of Health, and I daresay they have also read reports of certain vestries. I have the honour of belonging to a constituency which elected that amazing body, the Marylebone vestry, and I think that if the company present will look to what was done by the Board of Health at Glasgow, and then contrast those proceedings with the wonderful cleverness with which affairs were managed at the same period by my vestry, there will be very little difficulty in judging between them. My vestry even took upon itself to deny the existence of cholera as a weak invention of the enemy, and that denial had little or no effect in staying the progress of the disease. We can now contrast what centralization is as represented by a few noisy and interested gentlemen, and what centralization is when worked out by a body combining business habits, sound medical and social knowledge, and an earnest sympathy with the sufferings of the working classes.

Another objection to the Board of Health is conveyed in a word not so large as the other, “Delay.” I would suggest, in respect to this, that it would be very unreasonable to complain that a firstrate chronometer didn’t go when its master had not wound it up. The Board of Health may be excellently adapted for going and very willing and anxious to go, and yet may not be permitted to go by reason of its lawful master having fallen into a gentle slumber and forgotten to set it a going. One of the speakers this evening has referred to Lord Castlereagh`s caution “not to halloo until they were out of the wood.” As regards the Board of Trade I would suggest that they ought not to halloo until they are out of the Woods and Forests. In that leafy region the Board of Health suffers all sorts of delays, and this should always be borne in mind. With the toast of the Board of Health I will couple the name of a noble lord (Ashley), of whose earnestness in works of benevolence, no man can doubt, and who has the courage on all occasions to face the cant which is the worst and commonest of all the cant about the cant of philanthropy.