mortality rate, especially from cholera and tuberculosis, the graveyard ran out of space. During the eighteenth and nineteenth centuries, many were buried in the cemeteries surrounding St Pancras. From the 1830s to the 1870s plans were developed to demolish the slum as part of London wide clearances for improved transport routes, sanitation and the expansion of the railways. New Oxford Street was driven through the slum to join the areas of Oxford Street and Holborn. This had the effect of pushing the slum further south, into the Seven Dials, which fell into further decline. The unchanging character of the area, failing investment schemes and inability to sell new properties ensured that plans for wholesale clearance were stymied until the end of the century. Local governance The area appears to have been a part of the parish of Holborn when St Giles hospital was established in the early 1100s. The date when the Ancient Parish of St Giles was formed is not clear. Some sources indicate that the parish was in place before 1222 while others suggest 1547. From 1597 onwards, English parishes were obliged to take on a civil as well as ecclesiastical role, starting with the relief of the poor. The parish formed part of the Ossulstone hundred of Middlesex. The parish of St George Bloomsbury was split off in 1731, but the parishes were combined for civil purposes in 1774 and used for the administration of the Poor Law after the Poor Law Amendment Act 1834. George Buchanan was appointed Health Officer for the parish around 1856. Upon the creation of the Metropolitan Board of Works in 1855 the combined parishes became the St Giles District and were transferred to the County of London in 1889. The St Giles parish was an elongated "L" shape, stretching from Torrington Place in the north to Shelton Street in the south and then east to include Lincoln's Inn Fields. For registration, and therefore census reporting, the civil parish was divided in North and South districts, with Monmouth Street broadly forming the division. The length of St Giles High Street is identical to the width of the parish at that point. The parish of St George Bloomsbury was located to the northeast. In 1881 the population of St Giles North was 13,837 and St Giles South was 14,864. The local government of London was reorganised in 1900 and St Giles became part