Many workers lived in slum conditions close to where they worked, leading to periodic outbreaks of contagious diseases and severe poverty. It had become apparent that local government in the parish of West Ham was not adequate to meet the needs of the area which was divided between the parish vestry, highway board and the Havering and Dagenham Commissioners of Sewers. Problems centred on provision of adequate paving, water supply, fire fighting and control of development. In 1853 a group of ratepayers initiated moves to improve local administration. This led to a public enquiry by Charles Dickens' brother Alfred, a medical officer, who published a report in 1855 severely critical of conditions in the slum areas.