Part 51 (1/2)
(339) For the charge of poisoning water and producing pestilence among the Greeks, see Grote, History of Greece, vol. vi, p. 213. For a similar charge against the Jews in the Middle Ages, see various histories already cited; and for the great popular prejudice against water-carriers at Paris in recent times, see the larger recent French histories.
The recent history of hygiene in all countries shows a long series of victories, and these may well be studied in Great Britain and the United States. In the former, though there had been many warnings from eminent physicians, and above all in the seventeenth and eighteenth centuries, from men like Caius, Mead, and Pringle, the result was far short of what might have been gained; and it was only in the year 1838 that a systematic sanitary effort was begun in England by the public authorities. The state of things at that time, though by comparison with the Middle Ages happy, was, by comparison with what has since been gained, fearful: the death rate among all cla.s.ses was high, but among the poor it was ghastly. Out of seventy-seven thousand paupers in London during the years 1837 and 1838, fourteen thousand were suffering from fever, and of these nearly six thousand from typhus. In many other parts of the British Islands the sanitary condition was no better. A n.o.ble body of men grappled with the problem, and in a few years one of these rose above his fellows--the late Edwin Chadwick. The opposition to his work was bitter, and, though many churchmen aided him, the support given by theologians and ecclesiastics as a whole was very far short of what it should have been. Too many of them were occupied in that most costly and most worthless of all processes, ”the saving of souls” by the inculcation of dogma. Yet some of the higher ecclesiastics and many of the lesser clergy did much, sometimes risking their lives, and one of them, Sidney G.o.dolphin Osborne, deserves lasting memory for his struggle to make known the sanitary wants of the peasantry.
Chadwick began to be widely known in 1848 as a member of the Board of Health, and was driven out for a time for overzeal; but from one point or another, during forty years, he fought the opposition, developed the new work, and one of the best exhibits of its results is shown in his address before the Sanitary Conference at Brighton in 1888. From this and other perfectly trustworthy sources some idea may be gained of the triumph of the scientific over the theological method of dealing with disease, whether epidemic or sporadic.
In the latter half of the seventeenth century the annual mortality of London is estimated at not less than eighty in a thousand; about the middle of this century it stood at twenty-four in a thousand; in 1889 it stood at less than eighteen in a thousand; and in many parts the most recent statistics show that it has been brought down to fourteen or fifteen in a thousand. A quarter of a century ago the death rate from disease in the Royal Guards at London was twenty in a thousand; in 1888 it had been reduced to six in a thousand. In the army generally it had been seventeen in a thousand, but it has been reduced until it now stands at eight. In the old Indian army it had been sixty-nine in a thousand, but of late it has been brought down first to twenty, and finally to fourteen. Mr. Chadwick in his speech proved that much more might be done, for he called attention to the German army, where the death rate from disease has been reduced to between five and six in a thousand. The Public Health Act having been pa.s.sed in 1875, the death rate in England among men fell, between 1871 and 1880, more than four in a thousand, and among women more than six in a thousand. In the decade between 1851 and 1860 there died of diseases attributable to defective drainage and impure water over four thousand persons in every million throughout England: these numbers have declined until in 1888 there died less than two thousand in every million. The most striking diminution of the deaths from such causes was found in 1891, in the case of typhoid fever, that diminution being fifty per cent. As to the scourge which, next to plagues like the Black Death, was formerly the most dreaded--smallpox--there died of it in London during the year 1890 just one person. Drainage in Bristol reduced the death rate by consumption from 4.4 to 2.3; at Cardiff, from 3.47 to 2.31; and in all England and Wales, from 2.68 in 1851 to 1.55 in 1888.
What can be accomplished by better sanitation is also seen to-day by a comparison between the death rate among the children outside and inside the charity schools. The death rate among those outside in 1881 was twelve in a thousand; while inside, where the children were under sanitary regulations maintained by competent authorities, it has been brought down first to eight, then to four, and finally to less than three in a thousand.
In view of statistics like these, it becomes clear that Edwin Chadwick and his compeers among the sanitary authorities have in half a century done far more to reduce the rate of disease and death than has been done in fifteen hundred years by all the fetiches which theological reasoning could devise or ecclesiastical power enforce.
Not less striking has been the history of hygiene in France: thanks to the decline of theological control over the universities, to the abolition of monasteries, and to such labours in hygienic research and improvement as those of Tardieu, Levy, and Bouchardat, a wondrous change has been wrought in public health. Statistics carefully kept show that the mean length of human life has been remarkably increased. In the eighteenth century it was but twenty-three years; from 1825 to 1830 it was thirty-two years and eight months; and since 1864, thirty-seven years and six months.
IV. THE RELATION OF SANITARY SCIENCE TO RELIGION.
The question may now arise whether this progress in sanitary science has been purchased at any real sacrifice of religion in its highest sense.
One piece of recent history indicates an answer to this question.
The Second Empire in France had its head in Napoleon III, a noted Voltairean. At the climax of his power he determined to erect an Academy of Music which should be the n.o.blest building of its kind. It was projected on a scale never before known, at least in modern times, and carried on for years, millions being lavished upon it. At the same time the emperor determined to rebuild the Hotel-Dieu, the great Paris hospital; this, too, was projected on a greater scale than anything of the kind ever before known, and also required millions. But in the erection of these two buildings the emperor's determination was distinctly made known, that with the highest provision for aesthetic enjoyment there should be a similar provision, moving on parallel lines, for the relief of human suffering. This plan was carried out to the letter: the Palace of the Opera and the Hotel-Dieu went on with equal steps, and the former was not allowed to be finished before the latter.
Among all the ”most Christian kings” of the house of Bourbon who had preceded him for five hundred years, history shows no such obedience to the religious and moral sense of the nation. Catharine de' Medici and her sons, plunging the nation into the great wars of religion, never showed any such feeling; Louis XIV, revoking the Edict of Nantes for the glory of G.o.d, and bringing the nation to sorrow during many generations, never dreamed of making the construction of his palaces and public buildings wait upon the demands of charity. Louis XV, so subservient to the Church in all things, never betrayed the slightest consciousness that, while making enormous expenditures to gratify his own and the national vanity, he ought to carry on works, pari pa.s.su, for charity.
Nor did the French nation, at those periods when it was most largely under the control of theological considerations, seem to have any inkling of the idea that nation or monarch should make provision for relief from human suffering, to justify provision for the sumptuous enjoyment of art: it was reserved for the second half of the nineteenth century to develop this feeling so strongly, though quietly, that Napoleon III, notoriously an unbeliever in all orthodoxy, was obliged to recognise it and to set this great example.
Nor has the recent history of the United States been less fruitful in lessons. Yellow fever, which formerly swept not only Southern cities but even New York and Philadelphia, has now been almost entirely warded off.
Such epidemics as that in Memphis a few years since, and the immunity of the city from such visitations since its sanitary condition was changed by Mr. Waring, are a most striking object lesson to the whole country.
Cholera, which again and again swept the country, has ceased to be feared by the public at large. Typhus fever, once so deadly, is now rarely heard of. Curious is it to find that some of the diseases which in the olden time swept off myriads on myriads in every country, now cause fewer deaths than some diseases thought of little account, and for the cure of which people therefore rely, to their cost, on quackery instead of medical science.
This development of sanitary science and hygiene in the United States has also been coincident with a marked change in the att.i.tude of the American pulpit as regards the theory of disease. In this country, as in others, down to a period within living memory, deaths due to want of sanitary precautions were constantly dwelt upon in funeral sermons as ”results of national sin,” or as ”inscrutable Providences.” That view has mainly pa.s.sed away among the clergy of the more enlightened parts of the country, and we now find them, as a rule, active in spreading useful ideas as to the prevention of disease. The religious press has been especially faithful in this respect, carrying to every household more just ideas of sanitary precautions and hygienic living.
The att.i.tude even of many among the most orthodox rulers in church and state has been changed by facts like these. Lord Palmerston refusing the request of the Scotch clergy that a fast day be appointed to ward off cholera, and advising them to go home and clean their streets,--the devout Emperor William II forbidding prayer-meetings in a similar emergency, on the ground that they led to neglect of practical human means of help,--all this is in striking contrast to the older methods.
Well worthy of note is the ground taken in 1893, at Philadelphia, by an eminent divine of the Protestant Episcopal Church. The Bishop of Pennsylvania having issued a special call to prayer in order to ward off the cholera, this clergyman refused to respond to the call, declaring that to do so, in the filthy condition of the streets then prevailing in Philadelphia, would be blasphemous.
In summing up the whole subject, we see that in this field, as in so many others, the triumph of scientific thought has gradually done much to evolve in the world not only a theology but also a religious spirit more and more worthy of the goodness of G.o.d and of the destiny of man.(340)
(340) On the improvement in sanitation in London and elsewhere in the north of Europe, see the editorial and Report of the Conference on Sanitation at Brighton, given in the London Times of August 27, 1888.
For the best authorities on the general subject in England, see Sir John Simon on English Sanitary Inst.i.tutions, 1890; also his published Health Reports for 1887, cited in the Edinburgh Review for January, 1891. See also Parkes's Hygiene, pa.s.sim. For the great increase in the mean length of life in France under better hygienic conditions, see Rambaud, La Civilisation contemporaine en France, p. 682. For the approach to depopulation at Memphis, under the cesspool system in 1878, see Parkes, Hygiene, American appendix, p. 397. For the facts brought out in the investigation of the department of the city of New York by the Committee of the State Senate, of which the present writer was a member, see New York Senate Doc.u.ments for 1865. For decrease of death rate in New York city under the new Board of Health, beginning in 1866, and especially among children, see Buck, Hygiene and Popular Health, New York, 1879, vol. ii, p. 573; and for wise remarks on religious duties during pestilence, see ibid., vol. ii, p. 579. For a contrast between the old and new ideas regarding pestilences, see Charles Kingsley in Fraser's Magazine, vol. lviii, p. 134; also the sermon of Dr. Burns, in 1875, at the Cathedral of Glasgow before the Social Science Congress. For a particularly bright and valuable statement of the triumphs of modern sanitation, see Mrs. Plunkett's article in The Popular Science Monthly for June, 1891. For the reply of Lord Palmerston to the Scotch clergy, see the well-known pa.s.sage in Buckle. For the order of the Emperor William, see various newspapers for September, 1892, and especially Public Opinion for September 24th.
CHAPTER XV. FROM ”DEMONIACAL POSSESSION” TO INSANITY.
I. THEOLOGICAL IDEAS OF LUNACY AND ITS TREATMENT.