In the early eighteenth century the traveller from the west entered central London through one of two gates in the Roman-medieval walls: Ludgate or Newgate. In either case he passed under an archway which served also as a prison. The latter, last rebuilt after the Great Fire of London, confined felons and debtors from the City of London and the county of Middlesex, and smugglers and debtors to the Crown. Crowded together as many as thirty to a room, the inmates of Newgate Prison lived in abominable conditions amid filth and vermin. A constant threat was the jail distemper, a form of typhus which frequently proved fatal. The disease spread to the courtroom of the adjoining sessions house in April 1750. Sixty men died, including the Lord Mayor, two judges, an alderman, and several barristers and jurymen. A committee was immediately formed to inquire into the tragedy, and in its report of 11 December 1750 it directed George Dance the Elder, Clerk of the City Works, to make a plan for improving the prison. Nothing, however, came of this, and the only steps actually taken to prevent a recurrence of the epidemic were the installation of ventilators in the prison - in the process seven of the eleven workmen contracted the fever and one died - and the placing of herbs in the justice hall during subsequent sessions.