During the early 19th century the River Thames was an open sewer, with disastrous consequences for public health in London, including cholera epidemics.
Although the contamination of the water supply was correctly diagnosed by Dr John Snow in 1849 as the method of communication, up to the outbreak of 1866 it was believed that miasma, or bad air, was responsible.
He and his colleagues, including William Haywood, designed an extensive underground sewerage system that diverted waste to the Thames Estuary, downstream of the main centre of population.
During the 20th century, major improvements were made to the sewerage system and to the sewage treatment provision to substantially reduce pollution of the Thames Estuary and the North Sea.
The sewage works, from west to east, discharging into the tidal Thames in 1950-53 were:[7] The original system was designed to cope with 6.5 mm (1/4") per hour of rainfall within the catchment area, and supported a smaller population than today's.
In the Royal Docks, approximately 16 miles (25 km) of foul and surface water drains were built, plus pumping stations at Tidal Basin (designed by Richard Rogers Partnership) and North Woolwich (architect: Nicholas Grimshaw).
[8] The Isle of Dogs drainage network is served by a stormwater pumping station situated in Stewart Street, designed by John Outram Associates.