30+ C « t CO t CC « iCC H SK »< KO t CC « THE PHYSICAL SUFFERINGS OF THE POOR VIEWED FROM A SANITARY AND SOCIOLOGICAL STANDPOINT BY Vd) J. T. REID, M.D. WITH INTRODUCTORY NOTES BY D. H. MacVICAR, D.D., LL.D. Principal Presbyterian College, Montreal. AND PROF. SCRIMGER, M.A., D.D. WILLIAM DKYSDALE &- CO., MONTREAL. P304- •** THK PHYSICAL SUFFERINGS OF THE POOR VIIWEU PROM A Sanitary and Sociological Standpoint BV J. r. KEIIJ, IVI. ID. WITH INTRODUCTORV NOTliS BY D. H. MACVlCAR, D D., LI^.D. PrtKcipiil FreshyteruiH Ci>Uei;e, Mo HI re III. ANU F*ROF. SCRIXIGKR, M.A., 13.13. ■•' •• ' •. •«• ' .. . . ..... . • * . WILLIAM DRYSDALE ^ CO., MONTREAL. > • • • • » • • • • « • • * • IXTROULCTIUN. These articles by Dr. Reid deal with questions of vital im- portance, and he does well to issue them in a more pernuinent form than that in which they first appeared. They contain much valuable information, lucidly presented, and should be widely read with the appreciation and deference due to the utterances of a well-qualified medical practitioner, of considerable experience. Social questions are now deservedly attracting nuich at- tention, and it is a cause for thankfulness that physicians are becoming public teachers on sanitary subjects as well as on the general laws of health. This is both a legitimate and humane use of their pro- fessional knowledge. It is well to fight disease by specific re- medies, but It is still better to prevent it by inducing people to pursue rational courses of conduct, and to establish in their houses and surroundings, hygienic conditions which are in a great measure safeguards against its ravages. Even in the most advanced sections of society, there is yet much to be done in order to secure this beneficent end. The concerted action of all true social reformers is needed, and, therefore, the silence of those most competent to speak, whe- ther Christian ministers, physicians, or civic officers, is much to be regretted. My hope is that Dr. Reid's articles may stimulate inquiry and discussion, and lead to practical action, in the cities, towns and villages of our Dominion, where it is so manifestly needed. D. H. Mac\'icar. iMoxTREAL, December, 1898. Dr. Reid's papers on Sanitary Science are well written and show an enthusiasm for the material welfare of the masses that might well stimulate the authorities in our great cities to some practical action. Of course something more is needed for the salvation of the poor than sanitary measures, but there can be no complete salvation without them. John Scrlmger, D.D. PREFACE. A Christian Ministtr who is the pastor of one of the lead- ing churches of Loivlon, En^c^., says:— "The Chtirch in her neglect to inculcate in the hearts of her nienihers that funda- mental principle of Christianity — man's duty to his neigh- bor — is in a measure untrue to the terms of Ikt high com- mission, and is there])y giving proof to the world that she is declining in usefulness. Should this course be continued, the future history of our present Church will be no exception to the general rule that, by a process of natural law. all tilings that have outlived their usefulness are permitted to atrophy, and ultimately to be sui)crseded by higher forms." Although this view may I)e extreme, yet one camiot but see that the poor continue to hunger for that sympathy which they do not receive from us in an adeciuate degree, as well as for the bread which they are too often unable to earn. We are not doing all that Christ would have ] lis followers do towards the mitigation of the untt)ld sufferings of our brethren in the slums — sutferings largel\ due to jjoverty. forced upon honest and industrious men and women by social and economic conditions beyond their control. These articles, first jnibbshed in The /'irshytcriaii Rrriczc, appear in the present form, with the h«ipe that they mav in some slight degree emphasize the truth, that loyalty to Christ should manifest itself not only in love to Him, but also in love to our neighbor. MoxTRFAT.. December. 1898. J. T. R. 1\]R( )1JL■C1■(>K^■. 111 ruplyin,!:^ t(» a ikputatii mi irinii tlu- I'.(liiil>;ir^li l^'csby- lcr\ . which mi 1S54 rcc|ucstc(l Lijivl ['ahncrsioii. as Prime -Minister, to proi-hiiiii a fa>i. in onliT that the ravages (.-f cholera, then e|)i(leniic. iiiiinht he sia\e(K that appareiitlv ir- reverent hut practical and scientilic siatesnian (.'xpre-^ed the ('.piniDii that nature had ])r()vided certain hiws for the pro- tection of the health of the people, and that no (liirati(tn of a fast could expiate the hreach of those laws. Many al)le seriiioiis and niaii\- elaborate volumes have heeu written by wortlu' men to reconcile science ami leliL^ii m. I'.ut betwieii true science and true theoloi;)- there has always been perfect harmony. True science is the true CMUcv'ptioii of nature and of natural law. which were in the bei;innin_£j created by (idd; true theology is the triU' conception of the laws of ( iod in the spiritual world. There can be w > ci>n- llict either between two spheres of life' <>y between twn sys- tems of law of which the saiiu- uncb.aiisjx'able ( li id i> the Cre- ator. The contlicts of the past have been waited between scientists, who have too often been unscientitlc, and theolo- gians, whose interi^retatioiis of (lod's Word have at times been narrower than tho-,r of theologians of the ])re--ent day. The seeminu' contradictions l)etween science and religion have existed only within the narrower limits of the human mind. Theologians have at times iminii^ned the truth of ]-rinciples of natural science which can l)e comprehended onlv by scientists; and scientists have too often denied the exist- ence of that spiritual life which can be discerned only b\' the spiritual. If Lord ralmer>toii did not l)elievi' in ;i (Iod who was the (lesii.;ner of natural law. he could not see that the laws of na- ture were the laws of Cod; and the members of the Edin- burgh rVesbvterv could not comi)rehend his reference to nature's protection of human life — b\ natural law — because tliey were not familiar with the laws of Sanitarv Science. The human body being- the handiwork of (ukI. all in- lluences which tend towards the developnient f>f physical ir.aii are in harmonv with Tfis will; and anv human customs or en- vironments whose influence retards that development are in opposition to His will. A series of articles on "' Public nealth " should not therefore seem out of place in a religious I 60665 journal. Jesus not only " Preached the doctrine of the King- dom." hut went ahout " healing;- all manner of sickness and all manner of disease ani(»ni4' the people" While these articles will refer to puhhc health in ;^'eneral, they will deal more especially with that of the poor, amoni^st whom the coinparati\e death rates arc so extremely hitj^h that tliey are a cause of i-ouw anxiety to all philanthropists. Sanitary l^cience is as old as the days of Moses, llyjj^ienic measures, as exemilitied in the Mo:«aic {.-iuW, account for the extraordinary imnumity of the Jews from the recurring epidemics of the Middle Ages, for the comparatively !ow death-rates amongst that people in our dwn day. for their greater cotnparati\'e longevity, and for their continued ex- istence as a ])e(iple, after so many centuries of ban and per- secution. Tn the code of Lycurgus, sanitary measures were prominent, yet the < ireeks knew nothing of Sanitary Science. They acce])ted plague and ])estilence as manifestations of offended deities. Their care and cultivation of their b<:)dies. however, made them the civilizers of their own age and the exemplars of ours. The sanitary measures of the Romans, as seen amongst the ruins of the C'am])agna. their Cloaca Maxima, and the ac|ue- (lucl liy which the_\' supplied their city with the pure s])ring water of the hills. 30 miles distant, have rarely heen equalled, never surpassed in modern times; and yet th(jse who have studied the causes of the decline and ultimate fall of that Em- ]>ire. attribute that fall in no small degree to the epidemics which repeatedly decimated the population in the early cen- turies. When one reads of the insanitary condition of the houses of the Europe of the Middle Ages, he is not surprised in reading of epidemics such as the "black death'' of the 14th century, which overran all Europe, bringing death to 25,oo recent researches Prof. Kanisay has discovered that the violet and the ultra-violet rays of lii^ht. acting- uiion ort^anic matter, ])roduce pert)xide oi hydrogen, one of the most effective g'ermicides. There are some thin,L;s in c<»nnection \\ith tlie aciion of smiliji'lit which scientists do not }"et clearly understand. I'u- ture scientific investi.qation concerning' the action ' >f sun- li,Q"ht u])i»n ari^nju and kryi)t<>n. the elements of tlie atn.os- [diere recently discovered 1)y Ramsay, will probably reveal more clearly the beneficent ])rovisi()ns of nature for the \' ell-beinij of man. Pii]>pocrates said: — "In order to enjoy o-,;od health man nnist lead a natural life. The farther he removes himself from nature, the worse v>ill be his i highly cnhin-ed cities usin^- water such as the citizens of our cities nmst use. lie might dniibt whether nuich advance had l)een made in civilization during;' tlu' iuterveninL;" cen- tiu-ies. We are cimtidentl} inld by the officers of health dep;u"t- nients of the settlinj.;' l)asins throuj^li which the supply of water passes on its way to the reservoirs, and where it is said, the im])tuMties are se|)arated by serlimentation. The comparatively small ])ercentat^e of the impurities which may b'C sejiaraied b\ sedimentation remains in the settlin,^' basins and c()mes into contact with subsecpient suii])Hes of water, so that it is (juestionable whether tlie water in the reservoirs is purer or nmre im])m"e than it was before its alleg'ecl purifica- lion l)y sedi!ueniatiun. I'.ut tlie more serious ])hase of this cjuestion is the fact that in every lary-e city every year tliere are nuich sufteriniLr and serious death-rates from typlioid fever, .and tliat a large majority of tlie cases are caused by the imiiurities of the w.'Uer which is tised !)>■ the people. \\ ith the (ie\'elo])ment of a higher public intelligence and a more liighlv educated jiublic conscience' the real worth of human life will be more full\- and more clearly appreciated. \\'hen that time shall have come more humane laws for tlie greater ])rotection of human life will be framed and enforced. I'.ven thoroug"hly efiuiiijUMl s\ stems for the ])urification of streams for filtration and for sewage farms would not coun- teract the unnaim-al concentration of hmnan life in large and densel\- |)Ojndated centres; but during the i)resent age it would be impossible for our legislators to rec(^gniz" the ])CO- ]^le's inliereut right to the soil; therefore the best t, . can be done is to strive for the attainable, leaving" ])rcsent inu^ossi- Inlities to be accomplished bv some futm"e and more i)hilan- thronic generation of men who will be able to devise means for the relief of povertx' bv some meth(^d which will elevate the masses of the i^oor rather than patiperize them. Ciladstone once said of ( )'ronuell that his chief character- 13 istic was his passion of philanthropy. Witli the liii^herdcve- lepnicnt of man there will arise a greater number of men whose hearts throb with that passion of philanthropy which will transform our present nnmicipal and political systems into tile nobler and purer systems where intellii;ence will rule and \v]iere the self-seeker nuist ,<;ive place to the philanthropist. THE HOUSES OF THE POOR AXD THEH^ LOCATIONS. Even in the best modern houses, in the most sanitary dis- tricts of a city, we cannot protect human life from the patho- l(\u^ical effects of the gToss defects of our present system of (hainai^e. The only partition between the atmosphere of our h.ouses and the poisiMious j^^ases i^-enerated in our im])erfectly \ cntilated sewers is a small ([uantity of water contained in the siphon-pipe which we call the tra]). This is too often a death- trap. ( )ther oases are absorbed by and pass throui^h water. cUid it has never been i)roved that sewer ,c:as also does no: do So. In winter when our sewer ventilators are covered with snow our sewers are not ventilated at all. while our hou-e- drains are not ventilated either in sunmier or in winter. IJoth house-drains and sewers should be thorougidy ventilated 1)\ uicans of drain ventilating pipes running up through the roof, and sewer ventilating ])ipes rising above the level of the sn-ow. The houses of the poor are very imperfectly ventilated. Built as thev arc. over dimly lighted and ]-)oorly ventilated cel- lars, or what is worse, no cellars at all. with n<:) ventilatimi of tiiC space beneath the floor; with small rooms, especially the bed-rooms, which ought to be the largest rooms: with low ceilings; with no mechanical means of ventilati«">n ; and with a general lack of intelligence amongst the poor regardiug the deleterious effects of imperfect ventilation, one may expect, often to find a state of impaired general health, due to the . effects of impure air. When one remembers that in addi- tion to the insanitary condition of the houses of the poor, there is often scant v clothing, improper and insufficient food, together with debilitating anxieties and worries which are the concomitants of povertv, he is not surprised to find that the general health of the living is much impaired, and that the death-rate is much higher tlian that of those in more fortun- ate circumstances. A dilapidated house upon an elevated spot on a farm or upon a choice villa site, with a permeable subsoil sloping to- Avards the south, is a more sanitarv residence than a brown 14 stone-front would be on the flat, low-lying, undrained soil, with inipermeable subsoil upon which parts of most cities are built. For ob/ious reasons these are the parts usually in- habited by th( poor. A still more insanitary site is that found in almost all cities — the made lands — the lands which have been elevated from the beds of fcrmer streams and from swamps and marshes by the dumping of the detritus of the city during the days of less stringer.t sanitary laws. Such soil being super-satur- ated with moisture, contains no ground air, hence this organic m'ltter continues to supply to successive generations the noxi- ous etlluvia of disease. In these undrained districts there is, of course, in the superimposed atmosphere an excess of hu- midity which greatly interferes with the action of sunlight; tlie electric tension of the atmosphere and also that of the human body is decreased; and the function of the skin as an excretory organ is impaired; hence the tone ot general health ler cent, higher. This cruel. 1)ecause ])reventable, tax on human life falls with immense over-])ro])ortion ui)on the poor and more especially upon the chihlren oi the poor. A certain disease of child- it n, due to lack of proper and sufficient nourishment in an insanitary environment, is so common in England that on the Continent it is called "the English disease." The children of the poor do not receive proper care. In London, in 1897. the death-rate of children under one year of age was 159 out of every 1.000 born. In the same year that rate in the industrial centres of England was i88. In giving these figures The British Medical Jounml says:— ''lentil the children of women aaIio must work in fac- tories arc svmpathetically cared for and projierly fed. this appalling infant mortality must remain a blot upon the sys- 18 tcni of Icnialc factor} labor." The editor might justly have added that female factory labor is a blot upon oui civilization. When Lobden hrst urged .Mr. Uright to come to his help in the struggle f(jr the repeal of the Corn-Laws his argument was that "IhousanJs of women and children in England are starving because of dear bread." In the very heart oi our vaunted civilizatio-i of the present day, bread, although so cheap is yet too dtar for very many who are too i)oor to buy, and so, thousand;-, of overworked mothers sigh and weep while their half-starved and half-naked children sicken, and moan, and die. In the days of chivalry the highest ideal of manhood was the gallant knight who held it to be his highest duty to do battle in the cause of helpless women and defenceless children. Jt is ditticult to witness the struggle for existence on the part of the masses of the poor in European centres and also in our large American and Canadian cities and still continue to be optimistic. But in the past mankind has been gra- dually tending towards a higher civilization. Xot many years have elapsed since in English cc^Uieries women were employed to do the work of beasts of l)urden. The majesty of English law is now more humane, so that such inhumanity is no longer permitted. And in the future as in the past the tendenc)- will be upward, and with mc^-e ra])id strides, until liumanity shall have reached that plain where the i)rime ob- ject of law will be, not chiefly the fostering- of conunercial enterprise and the protection of property but the mitigation of human suffering and the protection of human life which is of such real worth that for its sustenance all material re- sources were created. Although high death-rates are appalling, yet they are mere- ly indications of the pitiable load of physical sufifcring which is continuously borne by the heavily-laden poor. Even death brings with it its consolations. Rut for the iihysical suffering of those who survive the attacks of disease there is in the slum life of cities no brighter prospect than probable future sufifering with little consolation, with limited mcav.s of pre- vention, and with no means of redress. In his Edinburgh address Lord Lister said: — 'T regard all w(^rldly distinctions as nothing in comparison with the hope that T may have been the means of reducing in seme degree the sum of human misery." When all physicians, clcrgvmcn. and lep-islators shall have risen to that unselfish and Christ- like ideal of life what extensive and largelv neelcctcd fields thev will find in the slums of all large cities ! The reward of their labors will be greater than all worldlv distinctions. 19 V Pu\ liRTV UNJ-: OF THI- CHIEF CAUSES OF 1. INSAxNUTV. t. The increase of insanity during the past few years gives a ' new f(3rcc to the old maxim : — "Mens saiia in corporc sano." ' The popular impression amongst the laity is that that increase » is due to the increased use of alcoholic iKverages; l)ut al- , . though in mmierous cases of insanity alcohol has been the cause, vet it is only a secondary cause. In the past, physi- cians have usually considered heredity, alcohol, specific dis- ease, undue mental exertion, and the worries of business Hfe as the causes of this increase of insanity. P.ut the chief in- crease has been amongst the poor, with whom heredity has no greater force than amongst other classes. Their life does not call for greater mental exertion, neither do they exiiend more mental energv in the worries of l)usiness life, while it would be difficult to prove that they indulge in greater ex- cesses in baccho cf vcncre. But the standard of physical health amongst the poor is very much lower than that of oVwcv classes, with greater mental depression, and with more hm- ited opportunities for that mental recreation which is so es- "isential to mental health. That the effect of poverty is the chief cause for the m- crease of insanitv will, to many readers, appear so extremel\ incredible that other and higher authority must be cited. Horatio Wood says:— 'Tnsanity bears a close relation to physical disease. The latter impairs and exhausts the nutri- tion of the brain centres. This exhaustion and imi^airment, together with lack of proper and sufficient nourishment, is capable of causing mental disease." Eskridge savs:— "Anv cause which interferes with the pro- per nutridon of the boc'lv and consequently of the brain pre- disposes to nervous break-down and therefore to pronounced mental disease." , ... ,., Osier says:— "The chief cause of insanity is that life so common iii large cities— so well expressed by the phrase:— •burning the candle at both ends.' " Mickle savs:— "Phvsical disease, hardships, starvation or any other cause which tends to lower the nutrition of the higher nerve centres in the brain may produce weakness of " the will, and when a man's will is too weak to control his emotional nature he is to that degree insane." Some of these conditions exist, it is true, amongst aU class- es, but all of them, and to a much greater degree, amongst the poor. 20 111 his address oii I'sycholoj,^}-, read at the July, i8y8, nicci iiii; eases in the Roya! College ol I'-diiibiirgli, says: — ".\)illa iiicits iiisniia nisi in corporc insano, expresses Liu I'Tinciple w hich i^ ret^ulatiny;' (jur concei)tioii and our practic* II: re.speet ot all Jie oondiiions coini)rised under the i^enerK Icnn ni.^anil}." A large percentage of men and women are so weakly en (lowed mentally as to be wholl\ unlit for any but the most ] primitive lt)rm of citizenship. With quiet natural environ- nieiit the\- couLl pass life in full possession of their normal mental powers, but subjected as they are to our complex mo- dern ci\ilixation, which requires greater mental energy anci activity to gain a liveliluxjd, they weaken and falter in tin struggle, sink into the pauper ranks, which are the recruiting camps from which we draw our ever increasing army of the insane. In 1859 the number of lunatics in I'Jigland and Wales was 36,700, one to every 536 of the population, in i8(j6 that num- ber had been increased to 96,400, one to every 319 of the population, an increase of 162 per cent., while the jiopula- ti*jn during that time increased only 56 per cent. During that period tlie pauper class of lunatics increased 178 per cent., while the [)rivate class — the well-to-do — increased only 76 per cent. In London in i8(j6 the number of pauper lunatics was 19,- 254. In 1897 that number was increasetl to 19,954 — an in- crease in one year of 700, or nearly four i)er cent., while dur- ing that year the i)opulati(jn increased only three-tifths of one l)er cent. In that \ear there was no increase in the number Ol private lunatics. In Canada and the United States statistics show a still greater increase of lunatics in proportion to the increase of population, but owing to the fact that until quite recently we had no regulated system for the com])ilation of statistics no fair comparison can be made, liut we have figures suf^cient- ly reliable t(i s]u)w that the increase of insanity in Canada is such as to be a cause of some anxiety to those who are in- terested in the future well-being of the State. The British Mcdicul Journal oi July 6, 1898, .says: — "Lunatics are increasing at an alarming and an astonishing rate. This is becoming so griev(^us a burden that the ]:»opular mind is ripe to consider seriously and practically whether there must rot be something wrong in a system which gives such appall- ing results." 21 Henry (ioDrgc says: — "Alnihouscs and prisons are ju^t; as surely llit- marks of what \vc- call nialcrial projjjrt'ss as arc ricii \varch(»uscs and palatial rcsidciu-o." With alnihouso and prisons Henry (jeori^e luijL^ht have iiieluded lunaiie a>y- Uinis. In hji^land the value tt) the Slate of every life is estimated to be ii5ij. In Canada that estimate is Si.ooo. In IjiL^land the expense to the State for the sup])ort of each ])au|)er luna- tic is f»)ur shillini;s per week. In ("ar.ada that expense is hijj^her. From these fissures calcidate ihe loss to the State of all these hiunan lives, then calculate the expense to the State for the sui)port of these ])auper cases for the remainder of their blank existence, then estimate the amount of uninld sufferinq-s which every case of mental aberration entails, and then weijii'h the enormity of the cause to which sucli ile])lor- ad)le results are lar_s4"ely (\uv. a cause which is iver\' \ ear producing- more baneful effects and which musi cimtiniu' to do so imtil we shall attain to a liis;lier civilization than is :)ms- sible under otu' preseiU competitive economic system, whose teiidencx' is to develo]^ still further the selfish nature of man anrl thus to iH'tard tlu- development and the advent i>f that more (hrist-like man wlio will li\-e not so much for self as for others. ALCOIIoT. AXn TTF.AT/rn. Like many other e\ils, the injurious effects of intemjierance are i^reater amongst the ])oor. The Rei;"istrar-( leneral s re- turns show that in Scotland, in 181)7, the number of inebriates in the small towns, xillaij-es and rural districts was one in every 3.200 (U' the ]iopulation. while in the lar^^e towns and cities the number was one in every t.ooo. Anioni^st the \vealthy and cultured classes in the larije t to contract the red cells of the blood, which are the oxy-^en carriers. The contraction of these means a (.lecrease in the size of the burdens which they are capable of carrying, hence a decreased sui)ply of oxygen to the system, hence retarded combustion and therefore a more limited heat-supply. Arctic ex])l()rers invariably find that men exposed to extremely low temperatures endure the intense cold more easily and more safel} without alcohol. I'.ut this hmited sup])ly of oxygen has still more baneful rv. suits. During the ])rocess of metabolism in the body there arr ijrodnced in the blood waste ])roducts. which, if retained in tlu- system. invarial)l}' cause disease. Xow the chemical ', diiference between urea and uric acid is (julv an atom of ox- .. ygen. In a >ystem having a full supply of oxygen tliis atom C('ml)ines with the insoluble uric acid to form the soluble urea wnicli is readily carried out of ilie l)lood l)v the excretor\' or- grn--. but in a system with a limited sup])ly of oxygen the uric acid is not thus transformed, and. being insohd)le. it can- not be excreted, hence it must remain in the system, where it produces a class of correlated diseases whose victims are every year increasing in numbers. Another ettect of this interference v.ith metal )olism is an increase of flesh — that is of fatty tissue, which increases the body weight, thereby de- .stroying ilie normal e(|uilil)rium !)ct\veeu the weight of the body and its muscular power. This increase of flesh de- notes u(,t health but disease. Tlu' general efTect of alcohol niton tlie human bo(l\ is to lower the vital toni' of the system. Tliis nieans a lower re- sisting ])ower against the onset of disease, as well as a weaker resistance against the jtrogress of disease after its onset. .\n examination rif the case reports of our hosjiitals verv soon dispels all donbts w c ma\' foruierlv have had concerning the higher comparaii\e death rates amongst tluisc addicted tc» the moderate or excessive use t)f str(^ng drink. Rverv ex- perienced phvsician has more hope for the recovcr\- of seri- ous cases of acute disease where there is no history (^f the use of alcohol. During- the past few vcars the officers ,)f life insurance conipanies have discovered the fact that f. which had no ap]»recial)le ef- fects until he reached the age of forty-ti\-e or fifty \ear^. wlien. all at once, in two or three \ears. his (_-ye became l)lear\. Iiis hand shak\-. his morals less upright, his memory dim. iiml Ins mind graduallv became a blank." Dr. rUMiian.iin \\'ard Richardson says: — "The modcate (h-inker is more likely to curse his children with an inheritance o; epilepsy, idiocy or insanit\ than the man who i'ldnlges only in periodical debauchcv"' A man. whii in his own minil or body ])ays the ])eiialt\ of former misdeeds, is ])itiable. l)tit he whose sins are visited m)on his oiTs])ring — U])on innocent and irresponsible little cliildren — not only fails to rise to the grander possibilities which existed in his own life, but hands down to future gener- ations a devastating inheritance to dwarf ami destrox- the nu'Utal. moral and physical lives of others. The latest re- C'lrded statistics of the asylums of Iowa show that of ini- I'ccile children. 00 i^er cent, of the cases are due to hereditv. and that of this 00 ]")er cent. 7^^ per cent, are descendants of inebriate ancestors. '■ Tltey onsl;i\H' tlieir (.-liildri'ir^ cliililrcn Wlin make (■(-iiiiprDini-^o with i of the mind, it follows that its victims are entirely irrespoii sible for acts which our laws call crimes. The incongruir of our present system of law is that it legalizes the supply w, tlie alcohol which ]iroduces the disease, and then punishes :i- crimes the manifestations of the disease — and this in order liiat the majesty of law may be maintained inviolate. Every succeeding year, larger sums of money are beiuL; expended in tlie protection of human life against accident, \i()lence and disease — an increasing ex])enditure which de- notes that the value of human life is being more fully recog- nized as we rise to a higher civilization. On the other hand, we continue to legalize a traffic which ])roduces ])hysical dis- ease, moral ilelin(|uenc\' and mental imbecility — and this fur the sake of a few millions of revemte, while we expend man\ millions in tlie building, equipment and maintenance of hos ])ilals, ])risons and asylums for the convenient disposal oi the victims of the traffic which we legalize. Twenty years ago, Justin ]^lcCarthy^ in his "History ot ( >ur ( )wn Times" made the prediction that: — "We are ai that stage in the development of responsible government where we shall very soon see the begiimings oi legislation to interfere with individual, riglu." lUit at the present time, in Canada, where the battle of responsible government was, sixty years ago, fought and won, we still grant that in- dividual right stiould be ])aramount, that avariciinis men sliould have tlie right to supi)ly that which prcjduces moral (Irgcneration. mental aberration and physical disease, atid that weak and ignorant men shotild have the right to ruin themselves, and to wreck the homes of weak women and heli)less childriMi. If by a harsh economic s\'stem we must make it necessary for the ])Oor to live in the slums where the saloons otttnumber the churches, the least we can do is to inijirove their moral environment, so that it will be less im- possil>le for boys and girls to grown up to be temperate men and women. Alen of broader views and larger symjiathies see that our own individtial right ends at that point where that of our neighbor begins, and are hoping, praying and striving for the advent of that more righteous day when man will be faithful to liis divine commission as the keeper of his weaker brother, and when this present self-seeking order of men will give place to that new order — the brotherliood of man. 27 1>| " For mankind are one in spirit. )!l And an instinct bears alon^ jp Round the earth's electric circle ■ w The swift tlash of rijjfht or wrong. V Wiiether conscious or luiconscious, ''l' Vet humanity's vast frame. IT Through its ocean-sundered fibres- Feels the gush of jo\- or shame. In the gain or loss of one race '> All the rest have cfiual claim." L-' LIFE IX CVV\ SLl'MS. ', The province of Sanitary vScience i.s strictly limited to tlie physical, btit as there often exists between insanatory condi- tions and immoral tendencies the relationship oi cause and effect, it may be ]jermissible in this j)a])er to overstej) the ■ bounds of sanitary science proper and to refer to the immoral - intluences of a bad j/hysical envircjnment upon men and wo- men and more especially upon the nmre susce])ti]jle children. -\ leading' historian says : — "Crime is merely a symptom of a ' condition oi things in the jjolitical framework of society which ' calls for remedx rather than repression." His statement aj)- pears incredible, and yet it ma\' be that there is more truth in it than we are capable of seeing, kecent statistics show- that of the 6.O00 criminals of a single year in New York. ^\ per cent, came from homes whose houses were reported "in bad condition." wliilo onh <) ])crcent. came from homes whose houses were "in good condition." Similar figures might be tabulated in all other large cities. Such figures show, not so much the baneful influences of tlie dilapidated houses the-n- selves as the degenerating influences of the slum envin^n- ment in which tliese houses stand. The great importance of the (|uestion of the housing of the poor cannt)t be full}- realized until 'vve weigh the innnoral ef- fects of pernicious physical causes. Prof. Rogers says: — "The houses of the ])eo])le are one of the chief factors in the determination of our i)resent and ftnure civilization. '. )ur present economic sxstem results in supjilying. every year, an increasing ntimber of the victims of shun life as imnates for our hospitals. almh«)uses. asylums and prisons." Dr. Reiss says: — "The recent increase of crime in Amer- ican cities is no more a cause for surprise than is the exces- sive mortalitx- in the houses of the poor. Tlie dilai)idated condition of the houses t)f the shuns and the barbaritv of slum environment acccnint for both. From the masses of humanity huddled together in the sltuiis of our large cities there comes forth every year an army of jihysical degenerates and moral (lelin(|uents to pre\- upon society." 28 Huxley says that if Milton and Shakespeare had been b«i!. and reared amongst savages tlie\- also would have grown u; to be savages. He idds that in his study of the social condi tion of nianv races o\ men, including lUishmen and i'atagdii p lans, he had found no ]je':)ple in a more deplorable social cin si dilion than the denizens of the slums of East London. ti in his "Tales of the Selkirks," speaking of the slums '■ i" Etlinburgii. Ralph Connor says: — "C'owgate, redolent of iln '' glories of the si)len(lid past and of the ])oisonous odors of tht * evil-smelling ])resent ! Is this the l)eamiful, the cultiu'ed. the ;| heaven-exalted city of lMlin1nn-gh? Will she not for this i)e 1 cast down into hell, if she repent not of her dens of physical , :nid moral defilement? ( ) the inter weariness, the dazed hope- | lessness of those ghastly faces ! Do not the church-going folk | oi the crescents and gardens see them in their dreams, or art. their dreams too heavenly for such ghastly faces to appear?" Who are res])onsible for the continued existence of tin slums? It is certainly not the innocent and irresponsible littk children who are com])elled by dire circiunstances to Hve in them, and yet the children with all the higlier ])ossil)ilities nj tlieir natm-es are the greatest sufferers from the debasing?! influences (»f slum life. The placing of that responsibility and- tlie reme(l\-. constitute jiresent sociological ])rol)lems. which are in lun^ope and America, beginning" to demand solutiv)n (^leneral iJooth has suggested and attempted what seems {of be the logical soliUion — the de])opulation of the slums. j Has Christianity any solution for these i)roblems ? Ifncv,, (?hristianit\ would be mie(|ual to Inunan needs. Theoretical Christianity does m^t know n\ the existence of these pro-r. 1)lems. Ajjplied Christianitv offers the only solution. j^ " Said Christ nur Lord. ' I will .yo and see I TIow inon. my hre'thrni, IjcHcvc in nic." » Great or,uan< sur,!.;c'd. ilirMuyli arches dim, | Their juliil.ant llnnds in praise of Tlim, ;^ .And in church .and palace and judgment hall. He saw Mis ima^e hiyh over all. Rut in church and jialace and judgment liall. TTe marked .yreat fissures that rent the wall, | Which DDencd wider and yet more wide j .As thi> living foundations lieaved and si.yhed. | Then TTe ^ousht out an arti/an, .\ low-hrowed- stunted, ha.u.yard man. And a motherless tzirl, whose fin.uers thin Pushed from her f.aintly want and sin. These TTe set in the midst of theni. And as thev drew hack their garment liem For fear of defilement, ' I.^o lierc.' said He. 'The imaK<-"^ y-' have made of Ale!' " 2y PHYSICAL DETER I ( )kATK.)X. A hall-ceuiury ago, Aialiliu.s .suygesicd a suluiiuii of the problem of the gross and cruel sacnrice of human life in city slums. He said: — -"The tendency of the increase of pupnla- tion is to hring int«j the world human beings for whom nature refuses to |)ro\ide. and who ha\e therefore no right to any share in the necessaries of life, whom >!ie tells as nUerlopcrs to be-gone; and >he eiu'orces obedience to her commands, employing as her agents, hunger, war and life-destroying pestilences." During the inter\ening lifty years, lunnanit\ has been mak- ing progress towards the ideal life, and yet e\en in this more enlightened generation we sometimes hud men, who. while professing to belong to a higher order of manhood, are. ni princi])le and in life, Malthusians. -, Now the st)lution offered b}' Alalthus means that .Nature brought these beings into life, and subsequently discovered that in so doing she luul made a mistake, and therefore refused to provide for them. JJut Xature makes n(j mistakes. Mal- thus was not capable of seing that Xature was consistetn, but that unjust laws, made !)\- fallible men. in the darker days, wiien might was held to br ihe only right, had fixed an im- passable gulf between Xature and the majority of her oti- spring so that she could not provide for them. Xeither could Alalthus sec that the 1ife-destrf)ying agents, htmger. war. and pestilence, had been connnissioned not by Xature but b}- man. Alalthus still has his disciples. There is a school of so- called evohttionists \\ho teach that our ])resent competitive economic system, which is merely a strife between man and his neighbor for economic superioritv. is a means for die mental and ph\>ical development of man. \)y ;i i)rocess which they call the sur\ival of those whom the\- erroneou>l\' call the fittest. Darwin taught the e\i>lution of higher from lower forms of liie by tlu' process of natmal selection — the weaker, if ni»t de- stroyed b\ the stronger, being left to extinction, having no O])liortunity of pro])agating their kind, or not being adai)ted to their environmem. Xow amongst bears and tigers stich a svsteni is natural. TIu'v strn.'Vgie for the self-lifiv Tf man had none of the higher hojies that make us men. that s\ stem might be justifiable even amongst men. The liigher man stru<2-p-les for the lives of (Others. P)esides. bv Darwin's pro- cess then' h'ls been a continuous developmeiU. TirantiuG- that h\ n)t\ans of this ^vstem man '- bein<:- developed ment;ilh- and 30 physically, it has ncjt been proved that he is at the same tin. ] developing morally and spiritually. Statistics which show tLJiis recent increase of that class of crimes wdiose motive is ll, Fu acquisition ui monc}-, would seem to indicate that man ; \vh not only not dci'doping morally and spiritually, but that he i-rns retrograding. L'nsymmetrical development is not true dt th< velopment. do It would be difficult to prove that under our present ccouf •- mic system there has been even mental and physical develo[i- ment. Physically, we do not conii)are favorably with our j Viking ancestors, not even with the Maoris and other savage --* peoples of our own times. Dr. Farr's tabulated figures show that the economic condition of a large percentage of the peo- ^^ ])le who live in cities and towns accounts for this decline. si< These figures show that, in Glasgow^ and Edinburgh, thr is average stature is two inches lower than that of the Scottisli *-€ ]>easantry. the average chest measurement three inches les~. w and the' average weight twenty pounds less. In Belgium. ^*| Ciermany and France there are corresponding figures. An\ oi one visiting the industrial centres of England would need i^" no figures at all. Dr. Farr's figures show also that during tlu n^ last half-century the mean expectation of life has been dipiin- cf ished. At 30 years of age, the mean expectation of life m la 1S41 was 33.1 years. In 1891 that had declined to 32.5. Ai the age or40 Vears, in 1841 it was 26.5. In 1891 that had ^ declined to 25.4. At the age of 50 years, in 1841 it was 20. tl in 1891 that had declined to 18.8. ^ These figures are emphasized by the fact that, during thai <^ half-centurv, Sanitary Science made her most rapid stride- P in the greater protection of human life. Had all other thing- a been equal, the expectation of life in 1891 would have been s greater rather tlian less than that of 1841. ^ Those who claim a recent physical development of man « are unscientific, inasmuch as they merely make arbitrar\ <: statements without proof figures. Amongst the poor. v.h.> « are an ever increasing majority, such proof figures do not < exist. Neither do they exist amongst the wealthy. As a < flirect result of luxurious living there is physical decline amongst that class also. The British Medical Journal savs:— ^ "It is a question whether our ancestors were not physic.all\ better fitted for survival than their posterity. There is notli- ' ing irrational in the proposition that our devotion to comfort and aestheticism, the direct result of our present civilization, may tend to loss of vitality and vigor and, ultimately, to a gradual physical decline." 31 Dt. In liis "i'rimcr uf Evolution," Edward Clodd says; — ■'The IJiistory of mankind, with its dej^cnL-rativc races, i'ushnKMi. i.Fuci^ians and others, with its rchcs of an ancient civiHzation, i- whose arts we can only feebly imitate, and whose tNi>es oi i«nianhoo(l we cannot hope to excel, furnishes its monitions of -the letharg}- and love of ease which invariably precede the downfall ot peoples and nations." ij- P- THE VEOVLE AXD THEIR REEATiuX TU THE J'- .SOIL. r^^ _ V. Hie object of this series oi pa]>ers has been to endeavcn" ,- lo show tiiat the chief cause of the greater prevalence of ph\ - L sical tlisease and of the hijji'her deatli-rates amongst the poor ( is that they are se]>arated from nature by being' largely con- Ii centrated m congested centres of population where povert\ .. with all its insanatory concomitants prevails, and where in- 1. sanitation is as prevalent as povert\. That this unnatural lite \ or an ever-increasing majority is the direct result of our eco- { nomic system, more especially of our s\stem of land tenure, i not many who have studied the question will deny. The - effects of this system are of course more pal[)able in the older , lands acioss the sea. ■ In 1O85 in (jreaL Britain, according to hgtires given 1)}' 1 Macaulay, 15 per cent, (jf the people lived on land of which they themselves weri' the owners. At the present time in. Great Uritain S^ ])er cent, of the land is owned by 1-2400 of one per cent, of the population, while 07 per cent, of the people are crowded into the unhealthy life of city and town, and 30 per cent, of those are over-crowded in the poverty- stricken and pestilential slums, i.ooo of the wealthiest land- owners of ("ireat Britain own 30,000,000 acres while one in every twelve of the population is a pauper, while 25 per cent. of the })eo])le live in dila])idated houses, and while 70 ])er cent, of the i^eople are scjjarated by so narrow a margin from destitution that a few weeks' sickness or hjss of wages brings ihem face to face with absolute want. The soil was created for the support of the people and yet the majority of the people must struggle in order to gain a very limited su]i])ly of the bread which the soil wouki pio- (lucc if the people's inherent right to the soil were acknowl- edged. Thousands of hel])less little children are suffering and tens of thousands of them dying every year, because of the lack of an adetjuate suj)ply of that nutriment which the soil was designed to supply, because of the lack of the disin- 32 vlii icclni}^' lUviXMiicnls oi tlic boil winch wuukl tlchlri)} the piUl;>|^g| s:ciiic ^cnns \vhich cause itifcclious disease, and hecause of il i;ick ot tile health-s^nving- fresh air and smishine which is in: avoii.lal)ly nionu[)(iUzed by those who nujnopohze the land. liefore 1 )r. i'aton became a fijreign missionary he was tii minister of a parish whose people were a sturdy Scottish pea> I antry livini; in happ\ homes where, on their small but w > ive cultivated farms, ihe\ were making- a comfurtable livelihonn ' tor themselves and their children. Upon his return from tli J foreign mission field he found the parish depopulated — cvei''i^' home having- been razed to the ground to make room fnder (leer and grouse, lie foimd many of his parishioners suffvi''^!' ing and dying amidst the poverty and pestilence of the closi. '"8 and wynds of Edinburgh and Glasgow. pr^ From a sui)erficial view it would appear that the prevaiiin.^vit ]ioverty of the slums is due to the prevailing inteniperanci,^^^^ Is intemperance the cause or is it a result? Before the;4ui were driven into contact with the moral and physical con-_ tamination of the slums, Dr. Paton's parishioners were :^^ Thrifty and sober people. L'nintluenced by the degeneratiii.^u< environment of slum-life their children alscj would have grow i^^^ V]) to be thrifty and sober men and women. i'3-3 During his life in the .South Sea Islands, while studying tli' •!" sitcial condition of the savages. Dr. Paton had found that oiui^" ni their fmidameinal economic ))rinciples was that they wou!'^^* not soli the land upon which tlie\' lived because they woul'!„, not sell the inherent right of their children to the land upon which they were born. i In America our system of land lemn-e has not yet resultei; Ml such baneful effects as are to be seen in Clreat P)ritain, bin similar causes in America will ultimately produce sinular effects. While the land in Canada and the United States is more gen- erally ow'ned b\- the ])eople, the distribution of wealth is equally unequal, and, many would say, inequitable. While, in New sa ^'ork. there are t.io^ millionaires, upwards of i.ckio.ooo peo bi ide live in the slums enduring the moral atroj^hy and i)1iysic;i! th deterioration which slum life entails. While there are in Xcw d( \'ork men with an income of a million a uK^nth, there are alsi pi poor widows whose only means for the support of themsclve- lii and their children is the making of shirts at twenty-five cent- ci a dozen, supplying- their own thread. \\'hile a young w'oman li' on Fifth Avenue spends $io,ooo in laces and diamonds t" p wear at a $50,000 banquet and ball, a homeless girl in the p Bowery, defeated in her battle against want, and against sin 33 vhicli ill licr case was tin- result of want, nislios tn solf- ' lestruction h "• " ^[a(l from litVs history. gl;i(l to rU'.-itli's niyptory. Svvilt tu l)e ImrU'd aiiywhc-rt — aiiyuinri' out of tlio world."' h '^ , In iSij7 in the saiiu' city 3.1^ i<) persons wlu) had hved the , ives i)f paupers and (hed the death of the pau])er were Juried ,n the I'otter's Fehh ] Tlie siiL(ns of our limes point, (hstantly perhaps, luii not lindistinctly, to the advent of a more humane civihzation. nn- ider the ]:)rotectic)n of wliich the ( hurch can sa\ to the meni- jbers of trusts and combines and lo all others, whose increas- i^.ing riches cause increasing;' poverty, that, as -eh'-seekiu^ jiro- l)rietors. their l)usiness ])rinciples are no lon|L;er in harmon\- [Avith the altruistic principles of a L'hristian aj^e. and by tlie ^ authority of which, the State can say that henceforth indivi- -dlial ri^ht must j^ive jdace to the di\im' rii^'ht of \hc ]k'oi)1c. ,'. \\ itii the onward and upward march of the ai^es i\\v world ds beiniLr more fully prepared for sucli legislation. I'Ai'ry succeeding' year brings nearer the time when law. while -.till 1 retaining its majesty, will Ijecomc more liumane. The iirst rays of the dawn of thai, dax have already begun to pcnetr.itc , and dispel the benightment (d' human selfishness. .\t the (full dawn of that day every rood o\ ground will maintain its , man . "His host conijirmiiins. innooi'iice and lieaUli." i,The full noontide of that da\' will '■Rinj? out the feud of rich ;ind poor." . because it will " RiuR in the nobler modes of life. I With .sweeter manners, purer laws." r LEGISLATIOX. In the last paper of the series on .Sanitary Science it was : said that the greater amount of physical suffering and the higher death-rates amongst the poor of the citv slums were ' the direct results of our present s\stem of land tenure which denies the iidierent right of the peoj)le to the soil which wcudd produce an ample sui)])ly of liread for all whose supply is now limited, the cultivation of which would provide healthful oc- cupation for many who now cannot find employment, and the life unon whicli would give slum children an mdimited sup- ply of fresh air and simshine, for the lack (»f whicli they now pine and sicken and die. It was said in the same ])ai)er that 34 vviili till' advent of a hij^-Iier civilization, llicrc wonld be t-iiacu a moR' hcnij^n Icj^islatitin which would acknowledge this n Tl iKiiiii rij^lil of the people to the soil. ie, .Many m argued by these that the only proper means of .in iecting political reform is by the regeneration of the he.iii b^ of individurd men. oi Due weight nuist be given to this view. There cannot 1 tli too miu-Ji done for the enlighteniuent of individual men. I'.i; c( when this is accoiui)lished on a large scale — when the nation, fe life is really affected thereby — it will manifest itself by ih ni enactment <»f wholesome and righteous laws. And these kni in as the outcome of the intelligence and conviction of the :ii;i tl: jority of the peo])le will become potent educative agencie- pi ( )ne of the chief differences between civilization and inir c< barism is that under the former there are laws upon the >t;i sc lute ]jiiok> wliich interfere with individual right. ,\11 tli tl' great reforms which ha\e transformed the crude civilizatic c( of the -Ancient Uriton into our higher .\nglo-Sa.\on civili/:; rc tion have been initiated l)y legislati(jn.. 'i'he Oreat Charter > la T\,nglish li1>ert\ was secured b} the agitation of the luigli- llarons of tlu 13th century. That Charter is merely the k i;islation which the)se barons compelled King John to enar: The majority of good and wise men in the days of Charti-i h'oked upon that agitation as extremely unwise, and yet a. the great i)rinci])les for which Chartists contended are nov embodied in luiglish law. The reforms enacted by thosi laws would not so soon have come but for that agitatini ^vhich exposed existing evils and taught the people how thost evils might be remedied. In the days of American slavery the slaveholders believii - that slavery was just. The majority of their religious teache:- in the Southern .States taught them that it was in harmuii -with the teaching of divine revelation. Had Lincoln aiii other abolitionists waited for the higher moral developmei' of the individual, the slave might yet be in l)ondage. 11'; ill the Xorthern States a few men. with a firm convictin that the love of neighbor and the brotherhood of man wer fundamental princii^les of Christianity, began an agitatio; A\hich culminated in that legislation which abolished slaver\ That agitation was the education which moulded public senti ment and aroused the public conscience to such an exten that a half-million of men were willing to give their lives i' order that the slave might be set free. 35 V LctJfi^lati<)n per sc is a means of educating public sentiment. II The more humane system of land laws of the Mosaic code was legislation, 'ihe Decalogue was legislation. (, Did the divine inspiration of holy men end with the wonls •I of the Seer on i'atm...s: Whence the holy tire that glowed . m the liearts and upon the lips of Bright and L'obden, when, 11 by words of burning eloquence, they aroused the conscience of the J'Jiglish (.oinmnners to ^ee the wrongs inflicted upon 1: thousands' of women and children, who were starving on ac- ;i: count of the high price of bread? And in our day, in pro- i; fessorial chair, in pulpit and in legislative hall, are there not h men worthv of being called up itn() the Holy Mount, to stand \' in the presence of Jehovah, and to receive on the tables of 1,1 their hearts an impress of the Divine will? And will not these - prophets be faithful to their divine connnission in communi- ir eating to the i)eople this revelation, with its true interpretation. ;i so that the laws of nun may l)ccome more in harmony witli l! the will of God. and so that 'the present system of unchristian '; commercial strife between man and his neighbor may make :: room for the coming f)f that Kingdom whose fundamental ' laws are love and peace? t " Peace, beKiiining to be ., Deep as the nIccp of the sea. When stars their faces glass ', In its blue tran(|uility ; '■ Hearts of men upon earth. )v That have rested not from tlieir l)irth. s, Shall rest as the wiUl waters rest With the colors of Heaven on their Ijreast. " Love, which is sunlipht of peace, ^' Age liy age shall increase Til! anger aiicl hate are dead, ■( ' And sorrow and death shall cease." 1' 1 • * ' • • . ' I , • • ' < • ( • * • ••t III «l > *