Part 44 (1/2)

THE IMPORTANCE OF PURE AIR

Pure air is essential to good health. It is not always easy to get in the crowded living and working conditions of cities. There it is necessary to regulate these conditions by law, and factories and tenements are inspected to see that they are properly ventilated and not overcrowded. In rural communities there is less excuse for bad air, and the responsibility for it rests more directly upon the individual, as ill.u.s.trated on page 112, Chapter X.

BAD AIR AND THE SPREAD OF DISEASE

It might seem that it is n.o.body's business but our own how we live in our homes or at our work. But bad air lessens vitality and nurtures disease. This reduces productive power. Moreover, colds, influenza, and tuberculosis (of which more than a million people are constantly sick in the United States), all of which are nourished in bad air, may be spread by contact, or by food handled by those who are sick. People who live in bad air at home mingle with others at church, in moving picture theaters, at school, in the courtroom, and in other public meeting places, which are themselves often poorly ventilated. It is strange that court rooms, where justice is administered, schools where children are prepared for life, and churches where people wors.h.i.+p, are so often badly ventilated.

Report on the following:

Is your schoolroom well ventilated? How do you know? What effect does poor ventilation have upon your feelings and your work?

If the law requires school attendance, why should it also require good ventilation of the school?

If the ventilation of your school is not good, what may you do about it? Who is responsible for it?

Observe and report upon the ventilation of the court rooms, moving picture theaters, churches, and other meeting places in your community.

PURE WATER AND HEALTH

Cities go to great expense to get an abundant pure-water supply.

It is of the greatest importance in community sanitation Impure water is one of the chief sources of typhoid fever and other diseases of the intestines. About 400,000 persons have typhoid fever every year in the United States, and 30,000 are killed by it; and it is unnecessary. We have from three to five times as much typhoid as many European countries have, and for no other reason than that we are negligent.

PURE FOOD AND HEALTH

Pure, clean, wholesome food is equally essential. We need not dwell upon the importance of the right kinds of food and well- cooked food. Much illness is caused by ”spoiled” foods. Disease germs may be carried by food as well as by water. Tuberculosis may be carried by milk, either from diseased cattle, or from victims of the disease who handle the milk at some point in its progress from the dairy farm to the home. The death rate among babies is appalling, especially in cities, because of the use of milk containing germs of intestinal diseases. Typhoid fever may be contracted from milk, green vegetables, and oysters from beds contaminated with sewage.

The food supply of cities pa.s.ses through many hands before it reaches the consumer. At almost every point it is protected by regulations and inspection. Most of it, however, comes originally from the farm which is beyond the control of the city authorities.

The producers and handlers of food products in rural districts therefore owe it not only to themselves but also to their city neighbors to exercise every possible precaution against the spread of disease. Such precautions consist in cleanliness in handling and storing milk, b.u.t.ter, and meats; in the cleansing of milk receptacles with pure water; in the proper location and construction of wells; in protecting springs from surface drainage; in sanitary disposal of sewage and other wastes from the household; in protection of food against flies.

SANITATION IN CITIES

In cities a great deal of attention is given to sanitation. Sewage is carried off by public sewers. Householders are required to place garbage in sanitary cans, whence it is collected and disposed of in such a way as not to pollute the soil. Ashes and refuse are carried away from homes and shops, and the streets are cleaned daily. In rural communities such matters are left almost entirely to the householder.

FLIES AS DISEASE CARRIERS

Exposed garbage, improperly built outdoor toilets, and stable manure are breeding places of flies; and flies are notorious carriers of disease. Yet, out of more than 3000 homes in one county in Indiana only 31 made provision to prevent stable manure from breeding flies, and the same was true of only 1 out of more than 2000 homes in a county in North Carolina, and only 86 out of nearly 5000 homes in an Alabama county.

DANGER FROM MOSQUITOES

Malaria is widespread in the United States and imposes a heavy toll upon the nation's health. It is carried from one victim to another by a certain kind of mosquito, of which it is comparatively easy to get rid by proper drainage of breeding places, by treating the surface of pools with kerosene, by screening, and by seeing to it that rain barrels are covered and that tin cans and other receptacles of water are not left lying around. But flies and mosquitoes do not stop with fences, nor do they recognize city or county boundaries. Hence, individual effort without community cooperation is likely to be useless.

POLLUTED SOIL AND HOOKWORM DISEASE

The terrible hookworm disease so prevalent in our southern states is caused by a minute worm that infests soil polluted with sewage.

It penetrates the soles of the feet of those who go barefoot and the palms of the hands of those who work in the soils, finds its way through the blood to the intestines, and thence to the soil again. An investigation in 770 counties in 11 states where hookworm disease is prevalent showed that out of 287,606 farm homes only six tenths of one per cent disposed of their sewage in such a way as to prevent soil pollution.

Out of 305 homes in a little community in Mississippi, only 4 properly disposed of sewage. When the first investigations were made, there were 407 cases of hookworm disease out of 1002 residents. Besides, there had been recently 12 cases of tuberculosis, 47 of typhoid fever, 184 of malaria, and 384 of dysentery.

Safe methods of disposing of sewage were introduced, houses were screened, an artesian well was bored for a public water supply, and the community cleaned up generally. After these improvements the various diseases almost entirely disappeared. Similar results were obtained in 99 other communities in the southern states.

[Footnote: Report of the Rockefeller Foundation, 1917, pp. 136- 138.]