iillijillliiliiiiPiii Biome Appendix 115 550096 ANTI-TOBACCO. By ABIEL abbot LIVERMORE, THE SUBSTANCE OF AN ADDRESS BEFORE THE MEADVILLE TEMPERANCE UNION^ January 29, 1882. ANTI-TOBACCO. 3j-," v. 45, quoted in" The Tobacco Question," p. 6. 48 A LECTURE ON TOBACCO. by unwashed negroes — without pocket handkerchiefs. But those who do not object to poison cannot be expected to mind dirt.^ " Strong drink " used to be thought essential to bodily strength. Masters insisted on their servants drinking it, lest they should be inefficiently served. Even scientists shared the delusion, till working-men put the matter to the proof, and taught their teachers that more work, in the long run, could be done without it. Tobacco, being a modem innovation, has not got this prescriptive praise. Few, whose opinion is worth anything, will maintain that it is essential to health or active duty ; on the contrary, those who are training for various manly exercises declare it to be detrimental. It is said, however, to " minister to a mind diseased," to soothe the troubled nerves, and to en- able a man to do a larger amount of intellectual work. Many literary men smoke, it is true, and the smoke-loving Germans have been famous for their industry as scholars ; but it does not follow that they might not have been stronger in mind without it. We have been told by some, who profess scarcely to smoke at all, that when they are exhausted by study or composition, a few whiffs will quite revive them, and enable them to pursue their work. Moderate drinkers tell us the same about wine. But we 1 A writer in the " New York Tribune " states that five eighths of the cigars sold in New York as imported articles are made in squalid abodes in that city. The tobacco is wetted down and is spread on the floor over night in the rooms where the families eat and sleep ; and they tread on it in their domestic operations. In the morning, while it is yet damp and soiled, it is stripped from the stems by the children. This is not pleasant information for the smokers, hut our pity is due to the children who have to live and work in the poisoned atmosphere. A LECTURE OJV TOBACCO. 49 fear our foes when they bring us gifts ; one is suspicious of the benefits said to be conferred by alcohoHc or nar- cotic poisons. They silence the warnings of exhausted nature. E\^en if the person under their influence seems to be highly exalted or delightfully composed, we want to know what the reaction will be. Those who rely on smoke find in time that they cannot do without smoke ; and they may perhaps experience the truth of what was said by the famous Abernethy, that it stupefies all the "senses and all the faculties, by slow but enduring intoxication, into dull obliviousness." Its bad effects are most obvious in the young. In 1855, 102 of the pupils in the Polytechnic School in Paris smoked, and 58 did not; yet of the 20 who stood highest in the examinations, there were only six smokers and four- teen non-smokers. Similar experiences led the Minister of Public Instruction, in i860, to issue " a circular addressed to the directors of the colleges and schools throughout the empire, forbidding the use of tobacco and cigars to stu- dents ; giving as a reason that ' the physical as well as the intellectual development of many youths has been checked by the immoderate use of tobacco.' " ^ It has been lately reported ^ that " the experiment of permitting the naval cadets to smoke at the Naval Educational Establishment of the United States, at Annapolis, having been fairly tried for three years, has been found injurious to their health, discipline, and power of study. The medical officers of the Academy and the Academic Board therefore urge, in the strongest terms, that this permission be re- voked." These are important testimonies ; but ?fien who 1 " May Young England Smoke ? " p. 19. 2 « Monthly Letters," p. 265. 4 50 A LECTURE ON TOBACCO. indulge in the weed must not expect boys to abstain from it. Let us now inquire whether the 7vealth of the country is increased by the use of tobacco ; because we do not regard health as everything. In this town, as in most others, there are occupations which shorten Hfe, but which seem to be necessary. Men must get a Hving — though it is sad if they get a dyi?ig instead. In these cases we advise deHcate persons to take to other emjDloy- ments, even at lower wages ; and we urge manufacturers to adopt plans to make the work more healthful, but we do not wish it stopped. Now is the ?iation the richer for tobacco? The government seems to be — it gets more than eight millions a year by it; but the gain to the exchequer may be a far greater loss to the people. Its income from beer, wine, and spirits is more than three times as much ; but no one now doubts that the nation would be far richer if it spent its money more wisely. Government is to secure good order, and it cannot really benefit by that which promotes disorder or idleness ; though as long as these practices continue, it is fair that they should be restrained by taxation. As to the growth of tobacco, since it is not permitted at home,^ whatever profit comes from it goes to the foreigner. The tobacco consumed in the United Kingdom in 1880 was 49,323,- 769 lbs. or I lb. 6}^ oz. a head'-^ — men, women, and chil- dren, smokers and non-smokers. The duty on a pound 1 It is prohibited by statutes. Quantities not exceeding half a pole in extent may, however, be grown in gardens, for scientific use. — " Monthly Letters," p. 204 2 See the " Twenty-fourth Report of the Commissioners of Her Majesty's Inland Revenue, for the year ending 31st March, 1881," Appendix, p. xxv. In 1841 the consumption was 23,096,281 lbs.. A LECTURE ON TOBACCO. 5 I of common tobacco is 3s. 6d. The original cost when imported is about 6d., making four shiUings, — but this is the retail' price of the common sort, apparently leaving no profit to the manufacturers and venders ; but the weight is greatly increased in the process of manufacture.-^ Taking this into account, and also the great quantity smuggled, it is supposed that 75,000,000 lbs. are sold, making 2 lbs. 2 oz. on an average ; and reckoning the cost of cigars and the more expensive tobaccos, pipes, meerchaums, &c., los. a head will be under the mark. This would make for Bridport about ;,{^3,400 a year. Even if we said ;^i,ooo, it would be a very large sum for a town which is complaining of its poverty, and where there is such a difficulty in raising ^300 a year for educa- tion. Smoking is by no means so expensive a habit as drinking, but it wastes a great deal of money as well as or 1334^ oz. per head. The maximum was in 1877, before the in- crease of the duty, viz., 50,775,032 lbs., or I lb. 8 oz. per head. From the Customs' Returns in 1880-81 it appears that there were imported 47,968,448 lbs. of unmanufactured tobacco at 3s. 6d. a pound duty ; manufactured tobacco (including " home " in bond), at 4s. 4d. to 4s. lod. duty, 156,951 lbs ; cigars, at 5s. 6d., 1,122,325 lbs.; snuff, at 4s. id. to 4s. lod., 310 lbs.; free for agricultural purposes, 75,154 lbs. ; total, 49,323,188 lbs. 426,856 lbs. were ad- mitted free for manufacture in bond ; while yjS'1^7 ^^^- o^ snuff and 103, 785 lbs. of manufactured tobacco were exported on drawback. 1 The "Journal of the Statistical Society" (September, 1872) reckoned the increase at 58 per cent. ("Narcotism," No. 36.) If 2,^ per cent, is reckoned for moistening, 25 per cent, is added for adulteration (" Narcotism," No. 26). The Inland Revenue Report (Appendix, p. xxiv.) states that in 1879, out of 276 samples exam- ined, 136 were adulterated ; in 1880, out of 148 examined, only 53 were adulterated ; these were mostly smuggled. In only one manufactory was there any evidence of adulteration. The leaf is twopence or threepence below its normal price. 52 A LECTURE ON TOBACCO. of time. Those who smoke tenpenny or even sixpenny cigars, would soon dispose of los. 6d. a week, or ^27 6s. a year ; but the few pence weekly spent by very mode- rate smokers among working-men, is often more than they can afford. As for that, many spend on food more than they know how to afford ; but food brings them a return. A well-fed man can do more work than an ill-fed one ; while a smoking man does not do more work than a non-smoker. On the contrary, the smoker is apt to lose time ; the narcotic makes him take things too easily ; and the tendency of smoking is, more or less, to paralyze his faculties, and to shorten his working life. It may be said that the money is not lost ; the seven- teen miUions are not flung into the sea. About half goes to the government ; the rest is divided among the growers, the importers, the adulteraters, and the venders. As to the workmen, the employment is unwholesome, and a much larger share would go to them if the money was spent on other manufactured articles. If the sale ceased, the tobacco-buyers would either buy something else, or pay their debts, or save for bad times ; so that the coun- try would be as prosperous — more so ; as much money would circulate, and more would be produced ; because nothing comes of tobacco but smoke and ashes and nox- ious gases. Tobacco not only hinders a great deal of productive labor, but it is indirectly destructive of property. It is impossible to compute the fires caused by smoking — fires in bedrooms, workshops, warehouses, stables, barns, ricks, churches, ships, and mines — from the hot ashes of the pipe or cigar, or from the matches used for lighting them. Dr. Ritchie, after stating that in i860 53 fires A LECTURE ON TOBACCO. $3 occurred in London alone from smoking, adds : " I have more than once seen a carpenter, under a London station, stop his work, light his pipe, and cast the half-burnt match among the shavings/' In 1869 pipes and lucifers were taken from the pockets of 58 workmen in one day, as they were entering powder- works at Hounslow. Many explosions of gunpowder have this cause. Last July the government powder-magazine at Mazatlan, Mex- ico, was blown up, with many houses round it, and over seventy lives were lost through the cai-elessness of a sol- dier who dropped his lighted cigar/ Cases have fre- quently been brought before the magistrates, of miners who have incurred fines or imprisonment through taking their pipes and matches with them into dangerous coalpits. At the Blantyre explosion (July, 1879), which resulted in the death of 28 persons, the Inspector of Mines reported that, near the bodies, pipes had been found, with tobacco partly smoked, and lucifer matches.'^ This is but one instance among many. Those who work in constant peril are too apt to become reckless ; but the indolent careless- ness, which is considered one of the charms of smoking, greatly enhances the danger. Offenders have sometimes pleaded that they were not even aware that they were smoking, so unconscious were they of what is habitual. We shall next consider whether the use of tobacco pro- motes or hinders freedom. Freedom is very dear to Britons, who not only boast that they "never will be slaves," but also that — " Slaves cannot breathe in England ; if their lungs Receive our air, that moment they are free.*' But this free air is something different from smoke. For 1 " Monthly Letters," p. 272. 2 "Monthly Letters," pp. 162, 193. 54 ^ LECTURE ON TOBACCO. every man to do as he likes is not freedom, — nor anything else, for it is an impossibility.* Lawlessness and anarchy are not freedom ; and for the strong to oppress the weak is tyranny. Freedom co-exists with the observance of laws, written or unwritten, which do WTong to none, and which promote " the greatest good of the greatest num- ber." If any one compels another to do that which he is not lawfully bound to do, he so far robs him of his free- dom. When, in the old drinking days, a host would lock the door, and tell his guests that no one should leave the room till all his wine was drunk, that was a tyrannical as well as a disgusting usage. When bullying workmen have forced their comrades to drink, that was tyrannical. Is it a less tyranny when we are compelled to smoke ? The Temperance movement has secured liberty for those who have moral courage to assert it, when they do not choose to drink intoxicants. If an abstainer is in a room with drinkers, he may disapprove of what they are doing, and if they drink to excess, he may be in danger from them ; but what is in their cups does not go down his throat. If he is in the company of tobacco-chewers, their spitting habits may disgust him, and perhaps imperil his clothes ; but he is not forced to chew. But if he is among smok- ers, he is compelled to be smoked, if not to smoke ; and even when pipes and cigars have gone out of sight, they may not be out of smell. The nuisance which smokers cause does not pass away with them. Railway carriages, in which they had no right, retain the stale smell which they have left. If an ill-mannered passenger puts his dirty feet on a cushion, the dirt may rub off when it is dry ; but who can brush out the ill odor of tobacco? It clings to cloth, as those know who employ a smoking tailor, or whose clothes are narcotized by smoking companions. A LECTURE ON TOBACCO. 55 Now if the qualities of tobacco were innocent, it might be questioned how far the dishke of those who think it disagreeable ought to be regarded. We must not forbid the doctors to prescribe assafaetida because of its nauseous smell ; gourmands would not hke to be deprived of their high game and mouldy cheese ; nor would the lovers of onions consent that their ill odor should condemn them. It is not wise to be too squeamish. If a Httle sickness or faintness was an insuperable evil, we should never cross the sea or get seamen for our ships ; nor would medical students pass the dissecting-room. But if you have gone with me thus far, you will agree that those who object to get accustomed to tobacco-fumes have the right on their side ; since smoking is not such a beneficial custom that those who dislike it are bound to become parties to it. When a well-bred gentleman smokes, he aims to do it where it will not cause annoyance (though this will not be always as easy as he hopes), and is careful not to sacrifice the health and comfort of others to his own pleasure. No doubt there are gentlemen of high breeding who are not thus particular. It is said that good breeding considers what is due to others, — high breeding, what is due to one's self. Each has its uses ; both should be combined ; for high breeding, when it is not good, is apt — like high game — to be offensive ; and the high- bred nobleman, who is the slave of tobacco, is, in that respect, not above the smoker who blacks his boots. Tvly opinion of the tobacco- tyranny is confirmed by a leading article in "The Times " of Sept. 13, 1879 : — "There is a reason against pubhc smoking — perhaps, in effect, against all smoking — which has scarcely received sufficient recognition. It is the absolute indifference to 56 A LECTURE ON TOBACCO. the comfort and convenience of society at large that it is certain to produce. In this country there is still a majority who do not like smoking or its atmospheric products. They do not like the smell of tobacco, espe- cially if it be bad, which it generally is. They do not like having to breathe the smoke ejected from the mouth of the smoker who has walked past them, or perhaps is standing by. They do not like to enter a room and find that habitual smokers have been there. . . . Smokers monopolize far more than their share of our railway accommodation. Their exigency knows no limits. A smoker must have a compartment in which he enjoys the free exercise of his privilege, even if he have it all to himself, and a dozen people are rushing about the plat- form looking in vain for room, the guard's whistle already sounding. What is worse, he often ignores the carriage provided for his accommodation, and looks aggrieved if, after asking whether you object to smoking, you answer — however mildly — that you do. Tobacco is a powerful drug, administered through the respiratory organs — that is, through the atmosphere ; and as we breathe one another's atmosphere, as it were, in common stock, the smoker administers his drug to all about him, whether they wish it or not. Indifference or apathy with re- gard to the comfort of others is one of the most remarkable effects of tobacco. No other drug will produce anything like it. Neither opium nor intoxicating drink produces such an insensibility. They make a man insensible to his own true interest and his own dignity ; they make hjm foolish or violent ; but they do not put him into such actual antagonism to the human race generally as to make him do constantly, openly, and with A LECTURE ON TOBACCO. 57 pleasure, what they very much dishke and beheve to be hurtful. The opium-eater does not compel you to eat opium with liim ; the drunkard does not compel you to drink. The smoker compels you to smoke — nay, more — to breathe the smoke he has just discharged from his own mouth. It is true there is no malice in it. The tobacco-smoker does not wish you harm when he blows a cloud of nicotine into your face. . . . He does not care whether you are happy or miserable." So far "The Times." The smoker may bear "no mal- ice " if he has his own way ; but if you remind him that he is in a carriage where smoking is prohibited, he is too apt to show his rough side, as the records of police-courts prove, when those who have been insulted by him ha\-e had the pubhc spirit to bring him before the magistrate. You may remember the old story of a traveller in a stage- coach, who brought home to his fellow-passenger the annoyance he was causing. The smoker was asked to refrain, but he answered that he had a right to do as he chose. At the next inn the Quaker (for the Friends are generally the heroes in such transactions) provided him- self with two tallow- candles ; one of these he took with him lighted into the coach ; then he ht the other, and blew out the first. After it had cooled, he reHt No. i, and blew out No. 2, — and so on, till the coach was pretty well filled with their fumes. At last the smoker could bear it no longer, and asked the Friend what he meant by it. He was coolly met with his own reply, " I have a right to do as I choose ! " (After all, candle-smoke is not so poisonous as tobacco-smoke, and it had not passed through the Friend's mouth !) He had the good sense to take the hint and put out his pipe, and they travelled 58 A LECTURE OAT TOBACCO. happily ever after, as the story-book would say. Some who recognize that smoking inside a coach or omnibus is a nuisance, suppose that it cannot be so regarded in the open air outside. The Manchester Corporation are not of this opinion, for they fine a cabman if he smokes while conveying a passenger.^ The movement of the air often blows the smoke and ashes on those who feel any- thing but grateful for them, and the .pleasure of travel- ling through beautiful scenery is completely destroyed, in the case of those who are made to suffer distressing nausea. The smoke-nuisance is worse on the Continent. A few years ago the Statistical Society of Paris reckoned the annual consumption of tobacco in different countries, for every hundred inhabitants, as follows: England, 136^ lbs. (the present amount is 142^ lbs.); France, 178)^ lbs.; Germany, 330 lbs. ; Holland, 441 lbs.; Belgium, 55ii»ic T N this age it becomes more and more the aim of the ^ sanitarian to search out the avoidable causes of sick- ness, and to admonish the people to order their lives in accordance with Nature's laws, and thus avoid many evils that otherwise they must endure. The medical profession has had much to do in relieving the suffering in the world that has been due to accident or indiscretion ; but it has not hitherto taken that interest in discovering and endeav- oring to remove the causes of ill-health which will be the foundation of a large part of the medical science of the immediate future. It is not difficult to see that there are at present many vast and wholly unexplored fields in the province of pre- ventive medicine. PubHc hygiene is yet in its infancy. Certain forces are at work producing illness, and a huge amount of drugs is used to counteract the evil tendencies thus engendered ; while no sufficient attention is given to the causes that have occasioned the sickness, the removal of which would restore health, with little or no medicine. We study fully the symptoms and effects of disease, but we have not as yet investigated its sources with anything like 74 TOBACCO AND ITS EFFECTS. the same thoroughness. The communicable diseases, as scarlet-fever, measles, diphtheria, yellow-fever, &c., we know by their manifestations ; but no one has yet made us fully acquainted with the methods by which they invade the human system. Some may have undertaken to ex- plain their mysteries, but nothing more has been accom- plished than to show how the body may at times be prepared for the invasions of disease, as the ground is pre- pared by ploughing and harrowing for the reception of the seed. We do not yet know whether a given disease is developed from germs, from invisible and indefinable miasma, or through tendencies inherent in the individual, or whether it is partly or wholly due to long- continued habits of abuse. . Impressed with the ideas that a very large proportion of the'suffering in the world has been brought about by igno- rance, not only among the wholly uneducated, but also among those possessing — or at any rate claiming the possession of -a higher degree of cultivation, a larger amount of knowledge, and that many diseases, the origin of which is regarded as obscure and mysterious, are really often due to the bad habits of the individual, we propose in the following pages to discuss the effects of one habit which we consider a bad one, i.e, the use of tobacco and its influence on health. It is well known that tobacco is used in every conceiv- able dose, from the most heroic to the infinitesimal; m every nation and in all ranks of society its sway is estab- lished ; the gray-haired patriarch is not too old, nor is the boy of ten too young to be its willing subject ; alike m the filthiest slums and byways, and in the promenades and avenues where the highest fashion and the most polite TOBACCO AND ITS EFFECTS. 75 society are found, it is present. It sits in our legislative halls, both State and National ; it travels by every convey- ance, on land and water. The offices of the lawyer and physician and the sanctum of the clergyman are alike under its cloud. The coarse and blustering, and the ele- gant, refined, and scholarly are equally its victims. To- bacco's insidious spell has fallen upon the world, and the pipe, the cigar, and the snuff-box are a common solace among all ranks and conditions of men. " One of the most remarkable circumstances connected with the history of tobacco is the rapidity with which its growth has spread and its consumption increased." The enormous extent to which its use has attained in Great Britain and other countries is briefly shown in the follow- ing figures : — In Great Britain the total consumption has been : — " 1857 32,856,913 lbs. " 1867 40,720,767 " " 1875 49.951,830 " " 1880 50,000,000 " " France the amount entered for consumption in 1880 was 45,000,000 " " Austria, during the same year . . . . ' . 81,000,000 " " Russia, " " « " 25,000,000 " The extent to which its use has increased in our own country may be judged with tolerable accuracy by a com- parison of the census-returns, given herewith, which show the tobacco-production of the States and Territories for the census years 1870 and 1880, the increase being 210,372,232 lbs. during the decade, or rather more than eighty per cent. These figures become more significant when it is known that the crop of 1880 was only a medium 16 TOBACCO AND ITS EFFECTS. crop, and not at all in excess of the present requirements for home-consumption and exportation. "Fifteen States produce now, as in 1870, more than ninety per cent of the tobacco of the United States ; of these fifteen, only Missouri, Illinois, Indiana and Massa- chusetts produce less than in 1870. Kentucky occupies the first position, producing thirty-six per cent of the total amount ; Virginia holds the second place, raising 80,099,838 lbs. against 60,000 lbs. in 1862; Pennsyl- vania has advanced from the twelfth place to the third, Wisconsin from the fifteenth to the tenth, and North Caro- lina, Connecticut, and New York have each gained one point, making North CaroHna sixth, Connecticut eighth, and New York twelfth in the rank of tobacco States. The changes of the decade may appear more clearly in . the following statement : — A Comparative Statement, showing the Tobacco Product OF THE States and Territories for the census-years 1880 and 1870, with the Acreage of 1880. States and Territories. 1880. 1870. Acreage. Pounds. Pounds- Total Alabama . . .. . , . . Arizona Arkansas California Colorado 637,659 473.107.573 262,735,341 2,198 I 2,064 84 452,556 600 970,220 152,742 100 594,886 63,809 890 8,328,798 250 157.405 Connecticut Dakota Delaware District of Columbia , . Florida 8,666 7 5 102 14,044,652 2,107 1.353 1,400 22,197 TOBACCO AND ITS EFFECTS. 77 C0MPAR.A.TIVE Statement, Continued. States and Territories. Georgia Idaho Illinois Indiana Iowa Kansas Kentucky .... Louisiana .... Maine Maryland .... Massachusetts . . Michigan .... Minnesota .... Mississippi . . . Missouri .... Montana .... Nebraska .... Nevada New Hampshire . . New Jersey . . . New Mexico . . . New York .... North Carolina . . Ohio Oregon Pennsylvania . . . Rhode Island . . . South Carolina , . Tennessee .... Texas Utah Vermont .... Virginia .... Washington Territory West Virginia . . Wisconsin .... Wyoming .... 1880. Acreage. 1,057 5.625 11,955 694 334 226,127 264 „ 3 38,174 3,35^ 167 1,475 106 2 88 154 10 4,938 57,215 34,679 46 27,567 41,532 702 83 139,423 9 4,071 8,811 Pounds. 231,198 400 3,936,700 8,872,842 420,722 191,749 I7i,i2[,i34 56,564 . o 350 26,082,147 5,369,436 70,389 415,248 11,994,077 58,589 1,500 170843 171,405 1,249 6,553-351 26,986,448 34,725,405 17,860 36,957,772 46,144 29,365,052 222,398 131,422 80,099,838 7,072 2,296,146 10,878,463 1870. Pounds. 288,596 5,249,274 9^325,392 71,792 33.241 105,305,869 15,541 „ 15 15,785,339 7,312,885 5,385 8,247 61,012 12,320,483 600 5,988 25 155,334 40,871 8,587 2,349798 11,150,087 18,741,973 3,847 3,467,539 796 34,805 21,465,452 59,706 72,671 37,086,364 1,682 2,046,452 960,813 TOBACCO AND ITS EFFECTS. 78 Thus it will be seen that the amount of money expended and changing hands for tobacco, in this country alone, is enormous ; allowing ten cents per pound for the raw ma- terial in 1880, it reached the sum of ^47,3io,757-30. ^nd this only on the first change from the producer's mto the manufacturer's hands, to say nothing of the added value given to it in the factory, and the added cost due to the revenue tax. What more effectual argument can be made by the economist than the simple presentation of these ficrures? The official returns show that in Germany, Spam, Holland Great Britain and the United States tobacco costs more than bread. " A single firm in New York paid to the government in ofie month in 1880, a revenue tax ot ^120 000 ! The average monthly tax paid by this house for Internal Revenue is over ^100,000. The shipment of of snuff by this concern to one city in North Carolina amounts to one hundred pounds per month." We learn from the Internal Revenue Reports that more than nmety- five miUion pounds of manufactured tobacco, and one bilion, three hundred miUions of cigars are used m the United States every year, at an expense of two hundred and fifty millions of dollars, while the revenue tax amounts to one hundred and fifty millions of dollars. In the city of New York alone, about seventy-five millions of cigars are annually consumed at a cost of more than nine miUions of dollars. Now we do not assume that this outlay is wrong because it is so enormous. There is said to be no better use for money, as a general thing, than to "spend it as one goes alon- " This, however, is a question of spendmg money to the best advantage ; there ought to be no doubt m re- gard to the character of any personal indulgence which TOBACCO AA^D ITS EFFECTS. 79 draws so largely upon the resources, usually moderate in American homes, on which the whole family depends, from which must come whatever its members have of edu- cation, recreation, &c., — in short all that gives form and tone to character ; and more than this, " No man is so rich that he has a right to spend money to his own or hris fellow's undoing." If, moreover, it shall become apparent on analysis that there is an actual food-value to tobacco, or if it prove a health-producing agency, or even a valuable luxury, the enormous tax above referred to will not appear so ap- palling. And this suggests a reference to the chemical constitution of tobacco. The constituents which chiefly give tobacco its peculiar characteristics are : an alkaloid called Nicotina ; a substance called Nicotianin or Tobacco-camphor, of which little is known (but concerning which it has been noted that upon the greater or less proportion of it depends the estimation in which a given sample of tobacco is held, the choicest tobaccos containing the largest percentage) ; and an emp}Teumatic oil of complex constitution. The alkaloid, nicotina, has the odor of tobacco, and possesses very poisonous quahties ; in this respect it is equal to prussic acid, a single drop being sufficient to kill a dog. "Its vapor is so irritating that it is difficult to breathe in a room where a single drop has been vaporized." Nicotina taken internally in very minute quantity produces great muscular depression, occasionally convulsions, and at last paralysis and death. The proportion of this substance contained in the dry leaf of tobacco varies from two to seven per cent. Besides these tvvo volatile substances existing in the leaf, ready formed, there is another of an 8o TOBACCO AND ITS EFFECTS. oily nature, produced when the tobacco is distilled alone in a retort, and to a certain extent also when it is burned in a pipe ; it is acrid and disagreeable in taste, and has narcotic and poisonous properties. One drop applied to the tongue of a cat caused convulsions, followed by death in ten minutes. There are various adulterations of tobacco, especially in countries where high duties hold out a temptation to fraud. The leaves of other plants, dried and flavored with tobacco-extract, are frequently found in manufactured tobacco; paper and hay are sometimes used, but the more common adulterants are said to be the leaves of rhubarb, dock, burdock, cabbage, &c. "It is not sur- prising, therefore, to meet with manufactured tobaccos possessing a thousand different flavors, for which the chemistry of the leaf can in no way account." " Extensively as tobacco is used, it is remarkable how very few persons can state distinctly the effects which it produces upon them, — why they began and for what reason they continue the indulgence. If the reader be a user of tobacco, let him ask himself these questions, and he will probably be surprised to note how unsatisfactory the answers he receives will be. Indeed, few have cared to analyze their sensations while under its influence,— or, if they have analyzed them, have cared to tell truly what kind of enjoyment it is which they seek in its use." Turning to another branch of the subject, and examin- ing more fully the physiological effects of tobacco, we find that physiologists are not agreed in regard to the peculiar mode of its action. The nerves are considered by some as being probably the principal medium, but the cases on record where death has been produced by the TOBACCO AND ITS EFFECTS. application of small quantities to wounds, would indicate that the process is more complex. The whole subject of the physiological action of tobacco is so complicated that but little is really known concerning it ; there is, it is said, a remarkable difference between the action of the alkaloid and the essential oil, the one of which possesses the power of paralyzing the heart's action, while the other has no such property. Given to a person in ordinarily good health but unaccustomed to its use, tobacco, either chewed or smoked, causes distressing sickness at the stomach, fulness at the head, and frequently ringing in the ears and giddiness, relaxation of the bowels, partial paralysis of the sphincter muscles, especially those of the large intestine, and other equally serious effects. These conditions are not all met with in each case, but a suf- ficient number is always present to startle any one who sees them for the first time. Persons of a nervous temperament have found it im- possible, for a long time after beginning the use of tobacco, to indulge in it without experiencing decidedly unpleasant sensations. Dr. Pereira says that " in small doses tobacco causes a sensation of heat in the throat, and sometimes a feeling of warmth in the stomach. These effects are less obvious when the agent is taken in liquid form and largely diluted. By repetition it usually acts as a diuretic, and less frequently as a laxative. Accompanying these effects are often nausea, and a peculiar feeling usually described as giddiness, — scarcely according, however, with the ordinary acceptation of that term. In larger doses it produces nausea, vomiting, and purging; though it seldom gives rise to abdominal pain, it produces a most distressing sensation of uneasiness at the pit of the stomach. It 6 82 TOBACCO AND ITS EFFECTS. occasionally acts as an anodyne, or more rarely promotes sleep. But its most remarkable effects are languor, ful- ness, relaxation of the muscles, trembling of the limbs, great anxiety, and tendency to faint. Vision is frequently obscured ; the ideas are confused, and the pulse is small and weak ; respiration is somewhat laborious ; the surface is cold and clammy, or covered with a cold sweat, and in extreme cases, convulsive movements are observed. In excessive doses the effects are of the same kind, but more violent in degree. The more prominent symptoms, in addition to those already noted, are extreme weakness and relaxation, depression of the vascular system (manifested by feeble pulse, pallor, cold sweat, and tendency to faint), convulsive movements followed by paralysis, and a kind of torpor, sometimes terminating in death." One would suppose that a substance producing such effects as those just described at the beginning of its use would be very soon abandoned. '' Nothing, however, with mankind appears so attractive as a habit surrounded by all the attributes which lift it into the dignity of a fashion." The enormous consumption of tobacco in our country, heretofore mentioned, has been ascertained from the yearly returns of the revenue officers ; but the physical, mental, and moral deterioration resulting therefrom admit of no such tangible analysis. These, although sure, are slow and imperceptible in their development, and it is therefore impossible to estimate the amount of the injury which tobacco thus inflicts upon the public welfare. We cannot do better in this connection than quote the remarks of Dr. B. W. Richardson, an eminent prac- titioner, whose researches are taken by Chambers as the TOBACCO AND ITS EFFECTS. 83 basis of his treatise on tobacco. Richardson declares " that in the confirmed smoker there is a constant func- tional disturbance which extends to the blood, the stomach, the heart, the lungs, the brain, and the nerves." That does not leave much of the man except his hair and his bones. He says further that *^the use of tobacco gives a doubtful pleasure for a certain penalty, — that so long as the practice is continued the smoker is out of health ; his stomach only partially digests ; his heart labors unnaturally ; his blood is not fully oxygenized." Dr. Hassall says : " Tobacco owes its chief properties to the presence of two principles, both of which produce the worst possible effects upon the human system, when taken pure." Both of these active principles have been shown by Zeise and Milsens to be present in the smoke of tobacco ; they are therefore not destroyed by the com- bustion of tobacco, whether in the form of cigars or when used in a pipe. They are inhaled in the act of smoking, and thus are taken into the lungs and stomach ; especially is this the case when the saliva, impregnated with smoke, is swallowed. That these active constituents are actually absorbed, and make their way into the system, is further proved by the sickness, giddiness and death-like faintness experienced by those unaccustomed to smoking; the difference in the effects in the case of habitual smokers being caused by the fact that the system becomes inured to the use of tobacco, and therefore grows less susceptible to its influence. Dr. Prout says : " Tobacco disorders the assimilative functions in general, but particularly, as I beHeve, the assimilation of the saccharine principles. I have never been able, indeed, to trace the development of oxalic 84 TOBACCO AND ITS EFFECTS. acid to the use of tobacco ; but that some analogous and equally poisonous principle is generated in certain indi- viduals by its abuse, is evident from their cachectic looks, and from the dark, and often greenish-yellow tint of the blood. That severe and peculiar dyspeptic symptoms are sometimes produced by inveterate snuff-taking is known, and I have more than once seen such cases terminate fatally with malignant disease of the stomach and liver. Great smokers, also, especially those who use short pipes and cigars, are said to be liable to cancerous affections of the lips. But it happens with tobacco, as with deleterious articles of diet, — the strong and healthy suffer compar- atively little, while the weak and predisposed to disease fall victims to its poisonous operation. Surely, if the dictates of reason were allowed to prevail, an article so injurious to health, and so offensive in all its forms and modes of employment, must speedily be banished from common use." Sir Benjamin Brodie, in his " Physiological Researches," published in 1854, says : " We may conclude that the em- pyreumatic oil of tobacco occasions death by destroying the functions of the brain, without directly acting on the circulation. In other words, its effects are similar to those of alcohol, the juice of aconite, and the essential oil of almonds." This testimony might be greatly increased, were it necessary or desirable to add to it. On the other hand, the advocates and friends of tobacco consider it a harmless luxury, and hold that " it soothes irritated nerves, clears and sharpens the exhausted intel- lect, fills an indefinable vacancy, produces a satisfied and calm condition of the mind, dispels loneliness, relieves weariness, and induces repose." They assert that its bad TOBACCO AND ITS EFFECTS. 85 effects are only transient, that no organic lesions are ever to be obsen-ed which can be certainly traced to its use. In answer to all of which Dr. T. F. Rumbold says : '' It is seen that the system must be in a more or less vigorous condition to allow of the use of tobacco, plainly proving that it is a depressor of the nervous system ; it as plainly follows that it is while the depression process is going on, that the pleasurable feehng is experienced." It does not soothe the nerves, until by its primary effects it has first irritated them ; it would of course be absurd to say that it soothes un-irritated nerves. It cannot clear and sharpen the exhausted intellect until it has first beclouded and dulled the intellect. It cannot fill an indefinable va- cancy, until it has caused this vacancy. It cannot induce a calm and satisfied condition of the mind, except it has first induced a restless and unsatisfied condition, nor can it induce repose until it has caused sleeplessness. Will the lad who has just smoked his first pipe or cigar say that it has soothed his ner\-es, cleared and sharpened his intellect, satisfied and calmed his mind, or induced repose ? Even though his nerves were irritated, his intellect dull and exhausted, his mind restless, and his eyes sleepless, has his cigar given him the least rehef ? What evidence have we, beyond the assertions of the users of tobacco whose nen-es are already perv^erted, that the exhilaration of which they tell us causes any greater enjoyment of life than would have been experienced had tobacco never been known? Is the consumer of a narcotic, who is fully under its influence, in a fit condition to judge whether or not he enjoys Kfe better in consequence of his indulgence? If his sensibilities are perverted, is not his judgment also perverted with respect to those sensibilities ? 86 TOBACCO AND ITS EFFECTS. There seems to be little room for doubt that tobacco perpetrates a most successful deception upon its users, by inducing them to believe that its effects are exhilarating, when the so-called exhilaration is in fact only the sensation ofreHef from its primary effects, and a hallucination brought on by the narcotic and perverting action of tobacco on the sympathetic nerves. Had I not used tobacco my- self to excess during fifteen years, I should not be able to speak so definitely with regard to its effects. The dangers and the injuries already discussed, as re- sulting from the use of tobacco, are manifest ; but there is an effect not yet mentioned, which threatens ultimately to produce a great national calamity — nothing less than a tendency to gradual enfeeblement of mind, progres- sive loss of intellectual power and vigor. That this is no chimera, known and well-proven facts will testify. In 1862 Napoleon III. of France had his attention called to the facts that there were more than five times as many paralytics and lunatics in the hospitals of France as there were in proportion to the population thirty years before, and that the government revenue from the tobacco monopoly had increased during that time in about an equal ratio. He appointed a commission of scientific men, to examine whether this were a case of cause and effect or only a coincidence. This commission devoted much time and attention to the young men in the govern- ment training-schools, dividing the students into two classes — the smokers and the non-smokers. The latter were found so much superior physically, mentally, and morally, that the Emperor at once prohibited the use of tobacco by students in all the schools under govern- mental supervision throughout the country. TOBACCO AND ITS EFFECTS. 8/ But we are not compelled to consult the statistics of Europe in order to present examples of this kind. Probably as conclusive evidence as the most exacting can demand, in regard to the effects of smoking upon the constitution of the young, and even the most vigorous among the young, is to be found in the testimony given by the action of the authorities of the United States Naval School at Annapolis, and those of the Military Academy at West Point. It is well known that only lads who are close approximations to physical perfection can pass the rigor- ous examination to which all candidates for admission are subjected at these institutions ; if such boys as are there to be seen cannot endure the strain which tobacco puts upon them, it is fair to ask, who can? Yet, after a full trial of the experiment, extending over the period of three years, we find Dr. Gihon, Medical Director of the United States Na\y, using the following language in regard to the use of tobacco at the Naval School : — " I have urged upon the superintendent, as my last official utter- ance before leaving this institution, the fact — of the truth of which five years' experience as health-officer of this station has satisfied me — that, beyond all other things, the future health and usefulness of the lads educated at this school require the actual interdiction of tobacco. In this opinion I have been sustained, not only by all my colleagues, but by all other sanitarians, in military and civil life, whose views I have been able to learn, while I know it to be the belief of the officer who is to succeed me in the charge of this de- partment, and who was one of the board of medical officers which in 1875 reported ' that the regulations against the use of tobacco in any form cannot be made too stringent.' Since three successive annual boards of visitors have indorsed the prohibition of tobacco as a 'wise sanitary provision,' and the last of these boards, on being informed that the regulation against its use was not then in opera- tion (June 10, 1879), emphatically recommended that 'its strict 88 TOBACCO AND ITS EFFECTS. enforcement be at once restored.' . . . An agent . . . that is act- ually capable of such potent evil, . . . which determines func- tional disease of the heart, which impairs vision, blunts the memory, and interferes with mental effort and application, ought, in my opinion as a sanitary officer, at whatever cost of vigilance, to be rigorously interdicted. . . . The difficulty of restraining smoking should be no more valid excuse for its tolerance, in the face of sanitary objections of such magnitude, than for the tolera- tion of ' frenching or gouging or hazing.' The use of stimulating liquors is forbidden, but that the regulation prohibiting it is evaded is shown by the empty whiskey bottles which are picked up outside the cadets' quarters ; but it is not proposed to allow drinking on this account, although, as a sanitary fact, a half-pint of table claret or of beer would be a wiser indulgence than a cigar, or the in- numerable cigarettes, — which latter, there is good reason to be- lieve, cause injury to the health from other agents than the mere tobacco which they may contain. " I have dwelt at such length on this topic, feeling assured that I shall have done no act of greater good to this school, in the suc- cess of which I have so profound an interest, than if I can succeed in saving its pupils from the impairment of health which is sure to result from the unrestrained premature use of tobacco." We doubt not that many a parent in this broad land thanked Dr. Gihon, from his inmost heart, for the exhibit of the evils following on the use of tobacco by growing boys, however robust, made in the paper from which the above extracts are quoted. And Rear-Admiral Rodgers deserved their gratitude no less when he issued the follow- ing order, which explains itself : — " U. S. Naval Academy, Annapolis, Md., Jicne 14, 1881. " Order No. i. " The experiment of permitting the Naval Cadets to smoke at the Naval Academy, having been fairly tried for nearly three years, has been found injurious to their health, discipline, and powers of study. " The Medical Officers of the Academy, and the Academic Board, TOBACCO AND ITS EFFECTS. 89 urge in the strongest terms that this permission to smoke be revoked. " Therefore, with the consent of the Honorable, the Secretary of the Navy, I have to forbid the further use of tobacco by the Naval Cadets, and to declare that the prohibition in relation to tobacco, contained in paragraph 169 of the Naval Academy Regula- tions, will be strictly enforced. (Signed) " C. R. P. Rodgers, Rear-Admiral, Sup't:" And not only at the Naval School has this salutary ac- tion been taken. " The recommendation of the Academic Board that paragraph 129, Regulations of the United States Military Academy of 1877, be expunged, and that the following be substituted for it : The use of tobacco in any fo?'?7i by Cadets is prohibited ; has been approved by the Secretary of War. General Order No. 6. June 11, 1881, Headquarters U. S. Military Academy." If youth be the flower of a nation, and if it be in the flower that we are to look for the promise of the future fruit, surely no wiser steps could have been taken than those indicated in the two orders just quoted — orders which, being enforced, \vill certainly increase the vigor even of the elect of our youth who constitute the membership" of these two great national schools, and can hardly fail at the same time to confer on them the graces of an added refinement. Another point connected with the use of tobacco, the consideration of which no physician can, and no parent ought to overlook, is that of heredity — the question of the transmission of various traits, not only to the imme- diate descendants, but to those more remote. This question is so extensive, and involves such important considerations of family entailments and social and race deterioration or elevation, that we trust we shall be par- 90 TOBACCO AND ITS EFFECTS. doned for dwelling upon it a little, the more especially as the records of our insane asylums point clearly to some cause for the rapid increase of brain and neurotic troubles. Should this cause prove to be the abuse, to say nothing of the use of tobacco, we may yet find that the germs of premature decay, thus widely spread over the land, are more dangerous than those other germs of whose deadly powers we have of late years heard not a little. It is a fact within the experience of every one, that a scar upon the body remains practically indelible through life ; that it can neither be washed out nor worn out ; that in spite of all the changes incident to growth and waste and repair, notwithstanding the continual flux of particles, it is constantly and accurately reproduced. A child is born, and meets, it may be in years of infancy, with some accidental injury which causes destruction of tissue and a consequent scar; that scar remains to mark the site of the injury through the whole existence of the individual, goes with him into his coffin, and remains to prove his physical identity until the body decays. But not one single particle, of all the many particles that went to make up the body of the child at the time the injury was received, was buried with the body of the man when at last he died. Something reproduced that scar, however, as the body grew, and as the system threw off particle after particle, day by day and hour by hour, until the renewal was completed, then only to be recommenced ; and that something which constituted the identity of the man was injured by the accident which produced the scar- ring. Here is a mysterious fact, but none the less incontrovertible, right before every one of us each day ; and what is true of the comparatively coarse outer TOBACCO AND ITS EFFECTS. 9 1 integuments of skin and muscle, is also true of the mar- vellously delicate tissues that go to make up brain and nervous system. Our great psychologists seem tending toward the conclusion, which some at least among them have fully adopted, that the characteristics, mental and physical, which distinguish whole families, in some cases whole tribes and nations, are attributable to alterations of tissue, which partake very much of the nature of the altera- tion produced by an injury which we call a scar, and which, when affecting the deHcate nervous and cerebral tissues, may be transmitted from one generation to another. "The fathers have eaten sour grapes and the children's teeth are set on edge." Men cannot live without acquiring habits; and these habits, which react on bodily conformation to a greater or less extent, do the same thing, it is highly probable, on the mind. Who can doubt, that has ever hstened to an old man telling for the hundredth time some story of his younger days, that the habit of telling has induced some permanent effect on his brain-tissue — that the mind is moving, as it were, in a groove ? And who can doubt that habit, whether good or bad, acts upon every one much in the same way, producing grooves which are made deep and yet deeper by every repetition of the habitual action ; which, in its turn, is thus rendered more and more easy, until it at last becomes automatic, instinctive, practically a part of the organization of the individual, ready to be transmitted to his offspring, and through them, it may be in an intensified form, to distant generations ? Thus when the appetite for tobacco is fully established — as it has been, in instances almost innumerable, when an individual has come so fully under its influence that to 92 TOBACCO AND ITS EFFECTS. forego its indulgence is an impossibility — there can be little room for doubt that some change has been brought about in his organization, that may be, and very possibly often is, transmitted to his children. It would, perhaps, be too much to say that a child of the second generation will come into the world with an appetite for tobacco fully formed ; but it seems exceedingly probable that, with this or any similar habit firmly fixed in the father, a modifica- tion of the system has been brought about, which may be transmitted in a less decided degree to the child, for whom the formation of the habit or the acquisition of the appe- tite is thus rendered easier — in whom perhaps its devel- opment, at a comparatively early age, may be looked for with great confidence ; and it is evident that but a few repetitions of this process, in successive generations, are needed to produce a family or a tribe, or even a whole race, in whom the habit shall be innate, and shall appear among the earhest manifestations of liking or disliking. That this is not a mere theory — that, so far from such being the case, it is an estabhshed fact — is proven by the testimony of travellers in East India, and among those races of Central and South America, with whose ancestors the use of tobacco probably first originated ; and where we are told that children, yet unable to walk, are to be seen carried at the mother's back, papoose-fashion, or astride of her hip, puffing at a cigarette, identical in kind with that which the mother herself is enjoying, and seem- ingly finding it more of a necessity than many things which our own children reckon among the essentials of existence ! Do we desire to see any such state of things in our own country? It is not enough to say that such instances are to be met with only among barbarians ; we TOBACCO AND ITS EFFECTS. 93 have only to keep our eyes open, as we walk the streets of any of our cities, to see that the tendency is toward that consummation ; if further evidence than that thus obtain- able is w^anted, we have only to consult the records of the United States Navy, to learn that "the most prominent cause of rejection of candidates for apprenticeship is irritable heart, caused in most cases primarily by tobacco." Do such things look as though there were absolutely no danger? Do they not rather point to the conclusion that the tobacco-habit is making seriously rapid headway amiong us by means of heredity as at least one of, it may be, many causes. \Yq are well aware that other views are taken than those that we have thus far expressed. We know that medical journals have lately claimed that the use of tobacco is upon the whole rather beneficial than otherwise ; that it is pleaded, in extenuation of the many heavy indictments drawn against it, that it produces no organic lesions which the scalpel of the post fnortem examiner can detect ; that the damage produced is rather functional than structural ; that it works badly with only a minority of the many who use it ; and that, if it be once given up, all bad effects dis- appear, — if not immediately, certainly very soon after its discontinuance. We know, moreover, all that is claimed for it on the score of its wide-spread use, and on the ground of the testimony in its favor by the many who employ it ; but we note that all physiologists — with, so far as we know not a single exception — condemn its use by those who have not yet attained their growth. The late Professor Parke — himself, if we mistake not, a smoker — says : " I think we must decidedly admit injury from excess ; from moderate use I can see no harm, 94 TOBACCO AND ITS EFFECTS. except it may be in youth." And this is the most favor- able utterance we have found; for even in the periodical from which we take the above extract, we find, in close connection with Dr. Parke's utterance, the following : " If we are willing to accept the opinions which sanitarians in other nations have formed, we have a very decided one ready to our hand in Switzerland. That intelligent repub- lic enacted a law last year (1880) prohibiting the sale of tobacco to minors under fifteen years of age, and making it an offence against the law for such to smoke. Hence a boy of twelve or fourteen, who parades the streets of Geneva or Berne with a cigar in his mouth, is liable to be arrested and committed to the police-station ; and, as they have a disagreeable habit in that republic of enforcing the laws they enact, such would pretty certainly be the juve- nile smoker's fate. We recommend to our fellow-country- men their manner of dealing with the habit, which, whether harmless or not to most adults, is unquestionably of great injury to young boysJ" And another periodical, of equal prominence in medical science, says : "" It is the duty of our public-school instructors to make the facts in regard to tobacco known and impressively felt by their scholars, and we hope that this field of sanitary mission- work will be actively occupied. Sewer-gas is bad enough, but a boy had better learn his Latin over a trap than get the habit of smoking cigarettes ; for we may lay it down as certain that tobacco is a bane to youth, though it may be the proper indulgence of manhood and a solace to old age." To both of which we think it may be added, that if the habit be not acquired in youth, there is no very great probability that it will be taken up by many in later life. If no tobacco is used except such as may prove " a TOBACCO AND ITS EFFECTS. 95 proper indulgence to manhood and a solace to old age," the present enormous consumption will very soon be diminished greatly, and will in all probability never again be reached. As illustrating the effect of tobacco, everi upon an individual habituated to its use, the following experiment, which may easily be repeated by any physician at almost any time, has interest. A young man aged twenty-four, of full habit and accustomed to smoking, was selected and kept perfectly quiet in a sitting position until his pulse was entirely regular at 75.5 per minute, a rate which it maintained steadily, thus indicating the freedom of the subject from all excitement. When this condition was reached he was given a pipe to smoke, all else remaining as before ; during the first five minutes of smoking, the only perceptible effect was an increased fulness and firmness of the pulse, the rate remaining as above ; in the course of the succeeding sixteen minutes the rate increased, being when noted, 87, 89, 95, 98, 103, 104, 105, 105, 107, 108, III ; an increase of temperature was also noted, ending in perceptible perspiration. Smoking was now stopped, the individual still remaining quiescent ; ' the pulse continued to increase in frequency slightly for one minute longer, rising to 112, when it began to dechne ; at the end of thirty minutes it was 89, and had not reached its normal rate of 75.5 at the end of two hours. It is hoped that others will repeat this simple experiment and record the results obtained ; it may be varied, moreover, in ways that will readily suggest them- selves to any intelligent observer ; and, being thus repeated and varied, an amount of information now wholly lacking can hardly fail to be obtamed and rendered available for future use. g6 TOBACCO AND ITS EFFECTS. An important point in connection with the tobacco- habit yet remains to be discussed, important as having a bearing upon immense pecuniary interests, i. e., its effect upon Hfe-assurance. Every one who has ever made application for a pohcy of this kind must have observed that considerable stress is laid upon the physical condition and general health of parents and other relations. The reason for this is obvious : the applicant may not at the time of insurance have exhibited any failure of power ; but the examiner by his survey of the family- history, espe- cially that of the immediate progenitors, obtains the means of judging with tolerable accuracy his power of resisting strains, of combating with success any morbid influences to which he may be subjected. By means of auscultation, and other methods of examination, many points of the physical health can be determined with absolute certainty, but there are as yet no special tests by which the condition of the brain and nervous system can be ascertained; hence the inquiries into parental conditions have an im- portance in this direction also. If now there be any truth in the ideas put forth in a previous portion of this paper, in regard to the possible inheritance of the tobacco- habit, the importance of the whole matter in relation to assurance will be readily apparent. Space does not admit of any further discussion on this subject ; it must sufhce us if we have called the attention of insurers and insured to a point which we beheve may yet assume vast im- portance in the consideration of their relations to each other. In conclusion, I have to call attention to the informa- tion contained in the pages which follow these — informa- tion worthy of the closest attention, whatever may be the TOBACCO AND ITS EFFECTS. 97 opinion formed of my o^vn work and views. The series of questions given was sent to nearly all the prominent medical men of Wisconsin, a very large majority of whom responded at considerable length ; some who did not, being prevented, not by any lack of interest in the sub- ject, or by any failure to recognize its great importance, but by the want of time to answer as fully as seemed desirable. To all I offer sincere and hearty thanks, as now I bring my own personal work to a close. Mr. Sally, of St. Thomas Hospital, uses the following language : " It is my business to point out all the various and insidious causes of general paralysis, and smoking is one of them ; I know of no single vice which does so much harm as smoking ; it is a snare and a delusion. I believe that cases of general paralysis are more frequent in England than they used to be, and I suspect that smoking tobacco is one of the causes of that increase ; of this being the case in America, there is no doubt." Dr. Williams Henderson, in his " Plain Law for Im- proved Health," speaking of insanity from the use of tobacco, refers to a gentleman who, from having been one of the most fearless and healthy of men, became one of the most timid. He became unable even to present a petition ; much less could he say a word concerning it, although he was a practised lawyer. He was afraid to be left alone at night. Though perfectly temperate in other respects he had used tobacco to excess. In the " Lancet " (January, 1857) Mr. Fenn thus describes the result of his investigations : " On account of its softening and relaxing effect upon the mucous membrane of the bowels, tobacco is greatly resorted to in habitual constipation, but the susceptibility of the nervous system 7 98 TOBACCO AND ITS EFFECTS. is greatly depressed, and the vital force diminished by its use." In the preparation of this paper and its appendix, I have made use of material from the writings of Pereira, Prout, Bright, Radcliff, Orfield, Trousseau, Johnson, Brodie, Sizars, Jackson, Wells, Smith, Taylor, Budget, Rumbold, Richardson, Landon, Parker, — and it may be of others whose names are not given, though such omission is wholly unintentional. I have also to make acknowledgment of my indebted- ness to the following gentlemen for personal communica- tions and other effective assistance in various ways : Drs. W. Kempster, B. M. Gill, A. W. Bickford, H. H. Parrott, H. B. Cole, G. R. Taylor, L. G. Armstrong, E. L. Bev- erly, B. C. Brett, O. N. Murdock, E. ElHs, I. W. DeVoe, J. D. W. Heath, C. A. Rood, L. J. Smith, H. P. Wenzel, G. W. Jenkins, G. Seller, L. Wade, R. Broughton, D. B. Wylie, G. W. Jones, J. T. Reeve, Clark, Day, Fenn, Goodwin, Jones, Vincent,. Whitman, Prof. T. W. Chitten- den, and many others. CORRESPONDENCE ON TOBACCO AND ITS EFFECTS. In order to obtain the freshest and most direct testi- mony with reference to the effects of tobacco, the questions which follow were addressed to about one hundred and fifty correspondents, the most of whom are prominent physicians of our own State. My space admits of the presentation of a condensation only of the information received in answer, and this condensation is TOBACCO AND ITS EFFECTS. 99 compressed into the smallest possible limits. Were it possible, however, to print at full length all the communi- cations received, I doubt that any additional strength would be given to the case I have presented ; although the matter is full of interest and would be read with profit by very many, the general drift of the testimony given is all in one direction. Taking each question in its order, I have classified the answers received, giving at full length only such as have special interest, whether they are in accordance with the majority or not. From the nature of the case a simple yes or no in answer to many of the inquiries was not practicable or desirable. One reply often contained several distinct points, each having an importance of its own. Question i. "What good effects from the continued use of tobacco have come under your observation? " Answered substantially as follows : Eighty-five per cent reply that no good results have been obser\'ed from such use. One correspondent has observed a few cases of pyrosis which had been relieved by the use of tobacco, and has also seen the rehef of constipation. One con- siders that it has given relief in certain dyspeptic troubles, producing, however, other disabilities equally bad. One says that tobacco has appeared to produce free expectora- tion in some instances. One knew of no good effects from the use of tobacco, except what he had heard others speak of. One claims to have been cured of chronic laryngitis by the use of tobacco. One has heard of a gentlemen who thought that smoking had relieved asthma. ^uestioft 2. "^Vhat, if any, adulterations of tobacco lOO TOBACCO AND ITS EFFECTS. have come under your observation, and what have been the effects of such adulterations ? " Answered substantially as follows : Ninety-four per cent answer that they have not met with any adulteration. One has met with tobacco adulterated with copperas, to which attention was called by the effect produced on the mucous membrane of the mouth, and ulcers which it caused upon the tongue. ^uestioJi 3. "In your opinion, is the use of intoxicat- ing liquors in any way fostered or affected by the habitual use of tobacco? If so, please state how and why." Seventy-six per cent answer this question by an unqual- ified affirmative. Six per cent say no. Five per cent do not know, and the remainder give no answer. One correspondent makes answer that it depends upon the individual. Another says : " I have seen many cases where the use of tobacco in youth has led to the use of intoxicating liquors also." A third says : " In my opinion the use of tobacco fosters that of intoxicating drinks by reducing the powers of the nervous system ; liquor is then used as a restorative, and is about as active a one as I have found." A fourth replies : " I have considered the use of liquor as a necessary result of the use of tobacco, and have found no boys who use the first who did not begin with the second." " Experience demonstrates that those nations which are most addicted to the use of tobacco are also the most prone to drunkenness. This follows first, physiologically, by the fact that tobacco produces an atonic condition from which nature seeks relief; and second, psychologi- cally, because tobacco vitiates the mind and begets drunkenness, as one vice begets another." TOBACCO AND ITS EFFECTS. lOI " My observation strengthens my belief that the con- stant use of tobacco creates and fosters a perverted taste for intoxicating liquors ; the social ties of a chronic tobacco-consumer exert a peculiar influence over him, so as more easily to dispose him to the use of intoxicants." ''The narcotic properties of tobacco undermine the nervous system, and create what are called tobacco diseases ; and the almost universal testimony is that all topers, both young and old, first used tobacco freely." " The effect of tobacco in many cases is to produce a depression of the heart's action, to overcome which a strong desire for stimulants is established. This can hardly be otherwise from the very nature of the case ; since the nicotine of tobacco has a direct tendency to the heart, affecting its action at once, and more or less in proportion to the extent to which tobacco is used." " I will not make the charge, sometimes made, that tobacco is a common stepping-stone to drinking, but all our inebriate asylums consider it useless to try to reform a patient so long as he is allowed to continue the use of tobacco." Question 4. " In the treatment of any particular class of disease, or of wounds and injuries, have you met with any serious difficulty due to the habitual use of tobacco by the patient? If so, give details." The answers to this question may be classified as follows : Seventy per cent answer yes. Twenty-five per cent say no, and the remainder make no reply. *' Inasmuch as the excessive use of tobacco interferes with nutrition and absorption, should we not expect a depressing effect upon the growth and repair of tissues ? And since tobacco is universally acknowledged as a debil- 102 TOBACCO AND ITS EFFECTS. itating agent, we should not be likely to look for a rapid building up of injured tissues under its use. I have never had good results, and never expect to have them, in cases where tobacco has been applied directly to wounds, as is the foolish practice with many working- men ; in not a few cases in which extensive injuries have been done up with tobacco, and kept in that condition for a length of time, the process of repair has been much retarded." " In one instance I had a case in which a person had bitten his tongue while smoking a cigar; the wound seemed to be poisoned, and extensive inflammation and ulceration followed, with serious results." " I have seen instances where death has followed severe injuries, the patients having been habitual users of tobacco* in which I could attribute the fatal result to no other cause than the depression of the vital powers resulting from long use of the weed." " It is scarcely possible to comprehend the amount of harm the use of tobacco produces in some cases of venereal disease. I think it may safely be said that severe syphilitic or gonorrhoeal cases more frequently pass uncured than cured, if the patient continues the excessive use of tobacco." Question 5. " Have you observed any local effects of tobacco upon the mucous membrane of the nose, the throat, or the ear, which leads you to suspect that it acts as a predisposing cause of catarrh or other disease ? If so, give details." Sixty-eight per cent of the replies to this question are in the affirmative, thirty per cent in the negative. One '' has cured several cases of catarrh by withdrawing the TOBACCO AND ITS EFFECTS. IO3 use of tobacco." Another regards " the constant use of tobacco as the source of a chronic inflammation of the throat and fauces, that can never be misunderstood by an experienced eye." " I have seen ulceration of the hps in those addicted to constant use of tobacco, which was traceable directly thereto ; in not a few cases catarrh was present, mani- fested by a nasal sound in talking, due to the thickening of the lining membrane of the nose and its appendages." " I have met- with many cases of congestion of the pharyngeal mucous membrane, sometimes extending to the ear and sometimes to the larynx, producing hoarseness. It would seem that the pungent oil of the tobacco, volatil- ized by the heat, constitutes the exciting cause — at least I have always found such diseased condition difficult to reach except by requiring the unconditional surrender of its use ; usually thereafter treatment has been easy and successful." " I have observed that in some cases smoking has pro- duced eczema of the nasal mucous membrane, and chronic conjunctivitis. I have also seen irritable cough, and, in a few instances, violent heart-disturbance and gastric irrita- tion, all of which have disappeared upon stopping the use of tobacco." Question 6. " Have any cases of the following diseases come under your observation, which you beUeve to have been caused by the use of tobacco : {a) Ulceration of the lips ; ij?) epithelical cancer of the lips or mouth ; {c) any local disease of the tongue, gums, tonsils, pharynx, &c. ? If so, give particulars." The replies to this question may be arranged as follows : {a) eighty-one per cent answer yes; {b) fifty-nine per I04 TOBACCO AND ITS EFFECTS. cent answer yes, twenty-five per cent say no, sixteen per cent give no answer ; (^) ninety-five per cent say yes. " I liave seen two cases of epithelical cancer of the lips, one case of ulceration of the lips, one of ulceration of the tongue, and two cases of glossitis from the use of to- bacco. I know that it was the direct cause, for when its use was discontinued, all the cases improved rapidly." " In one case, that of a lady who smoked a short pipe for a long time, the tongue became swollen to an alarming extent ; it was found that the pipe was the cause. I have also seen cancer of the lower lip in one long accustomed to the use of a pipe, the tumor requiring excision." " Mr. smoked freely from the age of twelve. At the age of sixty-five he was obliged to have a cancer re- moved from the lower lip, due, in my judgment, to the use of tobacco." " I have had a fair opportunity to notice these diseases as they have from time to time appeared in one form or another. I have treated several epithelical cancers which I have no doubt were the direct results of the long con- tinued use of tobacco, combined with the irritating effects of the pipe or cigar." " I have had two cases of epithelical cancer, supposed to have been the result of smoking, but I cannot give details." " I have had two cases of cancer of the lip, one caused by using a pipe which had been used for many years, and was saturated with the empyreumatic oil." " I have seen one case of epithelioma of lijD, from the use of an old pipe ; also a case of cancer of posterior por- tion of tongue in an incessant chewer ; it proved fatal." " I have seen several cases of ulceration of the lips, and TOBACCO AND ITS EFFECTS. I05 two of cancer of the lip, undoubtedly caused by use of the pipe." " I have operated upon three cases of cancer of the lips, directly traceable to the use of a pipe." " A young man aged thirty had smoked almost inces- santly for ten years ; at the expiration of the first year of this practice an ulcer developed upon the tongue near the center, which greatly annoyed him, but not suspecting that tobacco had anything to do with it, he continued to smoke to excess. At last he was compelled to stop be- cause he could not put a pipe- in his mouth w^ithout ex- quisite pain, and then he began to improve. I have no doubt that tobacco was the original cause of the whole difficulty; .since abandoning it he has grown better steadily." Question 7. "Do your observation and experience en- able you to enumerate any constitutional derangements resulting from the use of tobacco — e. g. dyspepsia, disease of the stomach, heart, &:c. ? " Ninety per cent of those questioned say yes ; t^vo per cent say no ; and the rest make no reply. " I frequently meet with and treat cases of dyspepsia, nervous irritation, palpitation of the heart, ner\^ous de- pression, and the like, which are traceable directly to the excessive use of tobacco. In all such cases, if the trouble be not too far advanced, recovery is quite probable on the entire discontinuance of the habit." " I am fully persuaded that many cases of dyspepsia are produced by the use of tobacco. I hav^e prescribed for such cases frequently, and find improvement only when the tobacco is discontinued." " I have treated a multitude of cases of disease of the I06 TOBACCO AND ITS EFFECTS. heart and stomach, where I had the best of reason to sup- pose that tobacco was the main cause of the trouble, all bad effects disajDpearing when its use was discontinued. Dyspepsia in young men is caused, in many instances, and greatly aggravated in many more, simply by smoking to excess." " I feel certain that abuse of tobacco, however employed, may be classed among the causes of chronic disease — e. g. severe forms of irritable dyspepsia, disturbed action of the heart, and the like. Young gentlemen who are in the habit of putting this enemy into their mouths do not be- come aware of the danger sometimes until too late." ^uestioti 8. " What is your opinion, founded on your own experience, as to the effects of tobacco in producing diseases of the brain and nervous system — e. g. conges- tion, apoplexy, epilepsy, paralysis, nervousness, impo- tence, &c. ? " Of the replies to this question, ninety per cent say that the writers believe tobacco to be the cause of such dis- eases in many instances. Six per cent give no answer. One thinks that he has met a few cases where such diseases could be traced to the effects of tobacco. " During thirty-six years of medical practice I have had unusual opportunity of seeing various forms of brain di- sease ; have treated epilepsy, paralysis, congestion, apo- plexy, nervousness and impotence, which I knew were traceable to the use of tobacco, from the fact that when the habit was given up the patients recovered. I have frequently met with persons suffering under one or another of these forms of disease, whom I knew to be smokers and chewers, and in whom I beHeved the result to be due to the tobacco-habit." TOBACCO AND ITS EFFECTS. 10/ '' I have treated two epileptic cases, and numerous cases of nervousness directly due to tobacco." " Under certain circumstances tobacco will help to pro- duce all the troubles enumerated, and will help to make them worse when they arise from other causes." " I have no doubt that the use of tobacco is worthy of the special attention of practitioners of medicine, as a very frequent but unconsidered cause of disease. I am very certain that if the doctor directs his attention to the sub- ject, he will find in the tobacco-habit an explanation of many obstinate and difficult cases. I do not doubt that the excessive use of tobacco aggravates phthisis ; I have seen cases of amaurosis that were unquestionably due to its use." " Amaurosis is a very common result of smoking to ex- cess, but I have never seen it produced by snuffing or chewing. So far as I have been successful in treating it at all, it has been by securing unconditional surrender of the use of tobacco." '' Loss of memory takes place in an extraordinary degree in smokers." Question 9. "What is your opinion as to the possi- bihty of a diseased condition of any kind being caused by tobacco and being transmitted by inheritance ? " The answers to this question were very diverse. Fif- teen per cent of our correspondents, however, think that a weakened and ner\^ous state of the system caused by the excessive use of tobacco is frequently transmitted and manifested in the offspring. Twenty-five per cent reply that diseased conditions from the use of tobacco may be and doubtless often are transmitted from parents to chil- dren. Ten per cent admit the possibility of such trans- I08 TOBACCO AND ITS EFFECTS. mission, but deny that it is probable. Twenty per cent think that nothing of the sort is possible, while the re- mainder either answer very indefinitely or not at all. " I am acquainted with two brothers, both of whom have been inordinate lovers of tobacco from childhood, doubtless owing to transmission of the habit from both grandparents." " As the child is, as a rule, the reflex of the parents, both mentally and physically, he will partake more or less of the defects of their constitutions ; in other words, his constitution will contain the seeds, which in time will surely develop, of faults mental and physical." '' I am firmly of opinion that tobacco, as well as alco- hohc stimulants, creates diseased conditions, which will manifest themselves in the second generation." " I have noticed what I thought a transmitted tendency in the children of a few families, some of whom were lovers of tobacco from a very early age. These children, in one instance, were born after the father became an habitual user of tobacco, while their brothers and sisters, born before that time, had a perfect loathing for it. Such a fact seems to me very significant." ^lestion lo. " Have you observed whether or not the rapidly extending use of tobacco during recent years has been efficient in producing disease of any specific kind, especially in the nervous, respiratory, or digestive systems?" Forty-five per cent of the replies to this question were in the affirmative, twenty-five per cent in the negative, and the remainder, thirty per cent, of the eorresiDondents made no response. " Tobacco is undoubtedly one chief cause of the rapid TOBACCO AND ITS EFFECTS. IO9 increase of dyspepsia, nervous debility, and all the long train of symptoms of nervous trouble so common among our business and professional men, and those who lead sedentary lives." " I do not think that there is an articl-e in use in this country whose legitimate effect upon the nervous system tends to induce deterioration more decidedly than does the effect of tobacco." " As our studies of the causes of disease acquire the definiteness of science, and convictions of the laws and requirements of bodily health are forcing themselves upon us, the evils to the physical life of society, that result from whiskey and tobacco, become more and more apparent. I have little hesitation in attributing a very large propor- tion of some of the most painful maladies that come under my notice to the ordinary' and daily use of tobacco in the quantity usually deemed moderate." " While there are differences in the medical estimate of tobacco, and differences, to some extent, in opinions as to the toleration of its use which can be established or endured by individuals, there is yet great uniformity of the opinion as to unadvisabihty of its use under any pretext whatever. No person or community need make the effort to use tobacco extensively in any form, without the expectation and assurance that the result will be continued injury to the individual, and enfeeblement to the race. I do not mean to say by this that one cigar or one pipe of tobacco will leave the partaker pennanently impaired, any more than I would assert that the loss of one night's sleep is a permanent injury to a person in fair average health ; but it should be understood that the general Une of direction is toward the impairment of no TOBACCO AND ITS EFFECTS. vital force, and hence toward prostration and serious nervous disease." " I think the majority of my office-patients are those whose systems have been shattered by the excessive use of tobacco ; the effects of this drug and its entaihiients are not sufficiently taught by the medical profession." *• Experience and observation alike show that the use of tobacco is producing a rapid increase in the amount of nervous and pulmonary diseases. Hence comes also a demand for whiskey to counteract the depression caused by tobacco, and from both we have broken-down constitu- tions and premature exhaustion in the offspring of their consumers." " I answer your questions generally, by saying that I believe that the use of tobacco tends to promote intem- perance, by causing profuse expectoration, and consequent exhaustion, which calls for stimulating liquors. During thirty years in which I used tobacco I laid the foundation for dyspepsia, diseased throat, catarrh, and general de- rangement of the nervous system, which now, after twenty years' abstinence, still maintain a hold upon my bodily, mental, and moral powers ; and though the effect is far less injurious than it would have been had I not reformed, I must regard the formation of the evil habit as one of the gravest sins of my life." " We are told that Nature never forgives sins committed against her by individuals ; that the record of offences against her is never effaced ; that the penalty is always exacted to the uttermost ; and I have never been more firmly convinced of these facts than when attempting to treat the long train of nervous and digestive troubles — traceable, directly or indirectly, to the use of tobacco in TOBACCO AND ITS EFFECTS. HI one form or another — that are continually coming before the physician for his attention. I do not suppose that a practising physician can be found who will not admit that if no tobacco in any form were used during ten years within the sphere of his observation and practice, a most noticeable change would take place in the character of the diseases presenting themselves for treatment." Question ii. "What effects have you observed result- ing from the constant use of tobacco among professionrJ men and students generally?" Of those answering this question, twenty-five per cent said that they had noticed none ; fifty-five per cent made a great diversity of replies, some of which are given below, the tendency of all being in the same direction ; and from the rest no answer was received. " I beheve that the habit of using tobacco, in various forms, is not only laying the foundation for many diseases of serious character, and not easily removed, but that it is damaging the moral fibre of many of our students." "It is a rigorous rule of athletic regimen that the oarsman must put away his cigar and the pugilist his plug when they go into training. This is the smoker's frank confession that tobacco robs him of strength, that he is in better condition without it ; he cannot smoke when he would be at his best, when he would have every nerve and muscle at its steadiest. But is there ever a time when it is not worth while for a man to be at his best ? Success in the supreme endeavor of life would seem to be worth as much as success in a prize-ring or regatta, and by the same system of analogy it is evident that if the student would be at his best he must put away his cigar." " All our professional men should know that the ill 112 TOBACCO AND ITS EFFECTS, effects of tobacco upon the system are less easily observed and more insidious than is usually supposed. I am sure that the habit is incompatible with great and long con- tinued intellectual activity ; and since we physicians as a class know its harm physiologically, it appears to me that it is our duty to discourage a habit that is not conducive to health, and that we are criminal if we give countenance to a habit which is known to engender nervous troubles of a very serious kind. Professional men and students should be made more fully aware than they sometimes are of the tendency of the habit and its results." " During the last ten or fifteen years the consumption of tobacco has so increased, especially among young people, that we can hardly hope to comprehend its influ- ence. It is my belief that its use among the young cannot be too strongly condemned ; very few students who make a free use of tobacco stand at the head of their classes." " It is not often that one great catastrophe overthrows the mental health of the student ; it is the constant recurrence of unfavorable circumstances or acts, the gradual accumulation of adverse surroundings, the steady disregard of healthful conditions, which heap misfortune upon the individual ; the often repeated disregard of the common laws of hygiene, deviations from estabhshed principles, the thousand and one little things which tend to depress vitality and produce disease, — all these are the operating causes ; and prominent among them stands the increasing use of tobacco among the younger students at the present time." " Nervous prostration, and a strong tendency to the use of stimulants and narcotics, as alcohol and opium, are TOBACCO AND ITS EFFECTS. II3 among the evils likely to overtake the student of tobacco- using habits." " An unsound mind is ever the outcome of an unsound body, caused by a violation of law committed through ignorance, which was not accepted, however, as a reason for exemption from the penalty. What seems needful for the medical profession to teach at the present time is how best to maintain the mental faculties in a state of health. The insidious effects of the tobacco-habit should be pointed out and kept in mind if we would look to the welfare of the professional man and student, and to the wel- fare of society at large. The youth of our land should be taught that the use of tobacco arrests the growth and development of the body, producing low, dwarfish stature, paUid and sallow hue of the surface, insufficient and Unhealthy supply of blood, and diminution of both bodily and mental power. Children should under no circum- stances be allowed to use tobacco in any form." Here I close my extracts from the abundant testimony given by our numerous correspondents. The following conclusions appear to be established as the judgment of the representative, thinking portion of the medical men of Wisconsin, a class including by far the larger part of the profession : I St. That smoking, even in what is usually considered moderation, is, to say the least, injurious indirectly, most especially to the young ; inasmuch as it is notorious that the habits of drinking and smoking are very intimately associated, and that the practice of the latter may easily lead to the former — that the use of tobacco may become an inducement to the excessive use of intoxicating liquors, with all its accompanying evil results. 114 TOBACCO AND ITS EFFECTS. 2d. That beginning the use of tobacco in early Hfe cannot be too strongly condemned, as producing most pernicious effects upon the constitution of the young, and as impairing greatly, if not wholly destroying, the chances of success as students and scholars. 3d. That whatever may be said in favor of the use of tobacco in moderation, its employment in excess, es- pecially if long persisted in, is injurious to any one, physically, mentally, and morally. APPENDIX. TOBACCO IN THE PUBLIC SCHOOLS. THE " Boston Journal " of November i8, 1882, stated that seventy-five per cent of the school boys, over 12 or 13 years of age, were habitual smokers of cigarettes. This called out replies and provoked investigation, which resulted in de- veloping the following : Mr. Billings, of Cambridgeport, placed the age at from 8 to 15. He had induced more than 300 out of 350 in his school, to sign a simple pledge to abstain during 1882. About fifty per cent had proved faithful. In the upper classes of the Latin School, one-half the pupils use tobacco. In the Eng- lish High School there is comparatively little smoking. East Boston placed the per cent of tobacco users at from 10 to 30. Roxbury had been fighting the evil since 1866, but the num- ber of smokers had doubled. All these schools "prohibit " the use of tobacco, but indifference, and bad example on the part of the parents, render it impossible to control the boys. In New York and Brooklyn the evil has become so great that petitions are being circulated, asking for a law by the State to prohibit the sale of tobacco to minors. Such a law ought to exist and be enforced in every State. Il6 APPENDIX. II. TOBACCO VS. RELIGION. Mr. Samuel Smiles estimates that the sum expended every twelve months in the United Kingdom on cigars and tobacco exceeds eleven millions of pomids sterling. This sum is more than ten times as much as all the Missionary and Bible socie- ties raise in the same period. III. testimonies of physicians, scientists, and others. Dr. Boerhaave, of Germany, says that since the use of tobacco has been so general in Europe, the number of hypo- chondriacal and consumptive complaints has increased by its use. Liebig, the celebrated German chemist, says that ** smok- ing cigars is prejudicial to health, as much gaseous carbon is injuriously inhaled, that robs the system of its oxygen." Dr. Rush, of Philadelphia, says of tobacco, " It impairs appetite, produces dyspepsia, tremors, vertigo, headache, and epilepsy. It injures the voice, destroys the teeth, and imparts to the complexion a disagreeable dusky brown." Dr. Darwin, of England, says of tobacco, that "it produces diseases of the salivary glands and the pancreas, and injures the power of digestion by occasioning the person to spit off the sahva, which he ought to swallow." Dr. Franklin said that he never used tobacco, and that he never met with a man who did use it, that advised him to follow his example. John Ouincy Adams, former President of the United States, after using tobacco in early life, and giving up the habit, re- marked: " I have often wished that every individual of the APPENDIX, 117 human race, affected with this artificial passion, would prevail upon himself to try, but for three months, the experiment which I have made, and am sure it would turn every acre of tobacco land into a wheat-field, and add five years to the average of human life." Dr. Woodward, former superintendent of the State Lunatic Asylum at Worcester, says : " Tobacco is a powerful narcotic agent, and its use is very deleterious to the nervous system, producing tremors, vertigo, faintness, palpitation of the heart, and other serious diseases. That tobacco certainly produces insanity, I am not able positively to observe; but that it produces a predisposition to it, I am fully confident." Dr. Amos Twitchell, of Keene, says, in a lecture on the habitual use of tobacco, that it produces its most pernicious effects by paralyzing the action of the nerves of involuntary motion, — those whose function it is to carry on the action of the lungs, heart, and stomach. The habitual use of to- bacco is a most fruitful source of disease. Among the diseases caused by tobacco the doctor enumerated palsy, — which he thought was produced by tobacco more frequently than by all other causes, — inveterate nervous headache, pal- pitation of the heart, disease of the liver, indigestion, ulcera- tion of the stomach, piles, and many others. Cmversity Press : Jolin Wilson & Son, Cambridge. MESSES. EOBEETS BEOTHEES' PUBLIOATIONS. JFamous SUomen ^tms. GEORGE ELIOT. By MATHILDE BLIND. One vol. i6mo. Cloth. Price, $i.oo. " Messrs.- Roberts Brothers begin a series of Biographies of Famous Women with a life of George Elio^, by Mathilde Blind. The idea of the series is an excellent one, and the reputation of its publishers is a guarantee for its adequate execution. This book contains about three hundred pages in open tj-pe, and not only collects and condenses the main facts that are known in regard to the history of George Eliot, but supplies otlier material from personal research. It is agreeably written, and %vith a good idea of propor- tion in a memoir of its size. The critical study of its subject's works, which is made in the order of their appearance, is particularly well done- In fact, good taste and good judgment pervade the memoir throughout." — Saturday Eve?iing Gazette. " Miss Blind's little book is written with admirable good taste and judg- ment, and with notable self-restraint. It does not weary the reader with critical discursiveness, nor with attempts to search out high-flov%'n meanings and recondite oracles in the plain 'yea' and ' nay ' of life. It is a graceful and unpretentious little biography, and tells all that need be told concerning one of the greatest writers of the time. It is a deeply interesting if not fascinating woman whom Miss Blind presents," says the New York Trib^ine. " Miss Blind's little biographical study of George Eliot is wTitten with s>Tnpathy and good taste, and is very welcome. It gives us a graphic if not elaborate sketch of the personality and development of the great novelist, is particularly full and authentic concerning her earlier years, tells enough of the leading motives in her work to give the general reader a lucid idea of the trae drift and purpose of her art, and analyzes carefully her various writings, with no attempt at profound criticism or fine writing, but with appreciation, insight, and a clear grasp of those underlpng psychological principles which are so closely interwoven in every production that came from her pen." — Traveller. " The hves of few great writers have attracted more curiosity and specula- tion than that of George Eliot. Had she only lived earlier in the century she might easily have become the centre of a mythos. As it is, many of the anecdotes commonly repeated about her are made up largely of fable. It is, therefore, well, before it is too late, to reduce the true story of her career to the lowest terms, and this service has beeu well done by the author of the present volume." — Philadelphia Press. Sold by all book.sellers, or mailed, post-paid, on receipt of price, by the publishers, ROBERTS BROTHERS, Boston. Messrs, Roberts Brothers' Publications. FAMOUS WOMEN SEEIES. EMILY BRONTE. By a. MARY F. ROBINSON. One vol. 16mo. Cloth. Price, $1.00. " Miss Robinson has written a fascinating biography. . . . Emily Bronte is interesting, not because she wrote ' Wuthering Heights,' but because of her brave, baffled, human life, so lonely, so full of pain, but with a great hope shining beyond all the darkness, and a passionate defiance in bearing more than the burdens that were laid upon her. The story of the three sisters is infinitely sad, but it is the ennobling sadness that belongs to large natures cramped and striving for freedom to heroic, almost desperate, work, with little or no result. The author of this intensely interesting, sympathetic, and eloquent biography, is a young lady and a poet, to whom a place is given in a recent anthology of living English poets, which is supposed to contain only the best poems of the best writers." — Boston Daily A dvertiser. "Miss Robinson had many excellent qualifications for the task she has per- formed in this little volume, among which may be named, an enthusiastic interest in her subject and a real sympathy with Emily Bronte's sad and heroic life. 'To rej^resent her as she was,' says Miss Robinson, ' would be her noblest and most fitting monument.' . . . Emily Bronte here becomes well known to us and, in one sense, this should be praise enough for any biography." — Neiv York Times. " The biographer who finds such material before him as the lives and characters of the Bronte family need have no anxiety as to the interest of his work. Char- acters not only strong but so uniquely strong, genius so supreme, misfortunes so overwhelming, set in its scenery so forlornly picturesque, could not fail to attract all readers, if told even in the most prosaic language. When we add to this, that Miss Robinson has told their story not in prosaic language, but with a literary style exhibiting all the qualities essential to good biography, our readers will understand that this life of Emily Bronte is not only as interesting as a novel, but a great deal more interesting than most novels. As it presents most vividly a general picture of the family, there seems hardly a reason for giving it Emily's name alone, except perhaps for the masterly chapters on ' Wuthering Heights,' which the reader will find a grateful condensation of the best in that powerful but some- what forbidding story. We know of no point in. the Bronte history — their genius, their surroundings, their faults, their happiness, their misery, their love and friend- ships, their peculiarities, their power, their gentleness, their patience, their pride, — which Miss Robinson has not touched upon with conscientiousness and sym- pathy." — The Critic. " ' Emily Bronte ' is the second of the ' Famous Women Series,' which Roberts Brothers, Boston, propose to publish, and of which ' George Eliot ' was the initial volume. Not the least remarkable of a very remarkable family, the personage whose life is here written, possesses a peculiar interest to all who are at all familiar with the sad and singular history of herself and her sister Charlotte. That the author. Miss A. Mary F. Robinson, has done her work with minute fidelity to facts as well as affectionate devotion to the subject of her sketch, is plainly to be seen all through the book." — IVashifigton Post. Sold by all Booksellers, or mailed, post-paid, on receipt of price, by the Publishers, T) r^-m7'r>'x — — . , BITS OF TALK ABOUT HOME MATTERS. By H. H. Author of " Verses^^ and '■^ Bits of Travel^ i^quart iSmo, Clothy red edges. Price $i.oo. "A Nzw GosPKL FOR Mothers. — We wish that every mother in tlse land would read 'Bits of Talk about Home Matters,' by H. H., and that they would read it thoughtfully. The latter suggestion is, however, wholly unnfcessary: the book seizes one's thoughts and sympathies, as only startling truths presented with direct earnestness can do. . . . The adoption of her sentiments would wholly change the atmosphere in muny ft house to what it ought to be, and bring almost constant sunshine and bliss where now too often are storm and misery." — Lawrence {Kansat) Journal " In the li:tle book entitled ' Bits of Talk,' by H. H , Messrs. Roberta Brothers have given to the world an uncommonly useful collection o( essays, — useful certainly to all parents, and likely to do good to all chil. dren. Other people have doubtless held as correct views on the subjects treated here, though few have ever advanced them ; and none that we are iware have made them so attractive as they are made by H. H.'s crisp and sparkling style No one opening the book, even though without rea- son for special interest in its topics, could, after a glimpse at its pages, lay it down unread ; and its bright and witty scintillations will fix many a precept and establish many a fact. ' Bits of Talk ' is a book that ought to have a place of honor in every household ; for it teaches, not only the true dignity of parentage, but of childhood. As we read it, we laugh and cry with the author, and acknowledge that, since the child is father of ths man, in being the champion of childhood, she is the chsn>pion of the whole coming race. Great is the rod, but H. H. ie not its prophet I" — Mrs. Harriet Prescott Spofford, in Neivburypori Herald. Sold everywhere. Mailed^ postpaid^ by the Pub- fishers, ROBERTS BROTHERS, Boston. Messrs* Roberts Brothers* PubL^attons, Our New Crusade. A TEMPERANCE STORY. By E. E. Hale. Square i8mo. Price $i.oo. Front the Southern Churchman* ** It has all the characteristics of its brilliant author, — unflagging entertam< tnent, helpfulness, suggestive, practical hints, and a contagious vitality that sets erne's blood tingling. Whoever has read 'Ten Times One is Ten' will knew just what we mean. The fact that thirty thousand copies of this last-named volume have l>een sold gives one some idea of its hold on the popular mind. We predia thai the new volume, as being a more charming story, will have quite as great a parish of readers. The gist of the book is to show how possible it is for the best spirits of a community, through wise organization, to form themselves into a lever by means of which the whole tone of the social status may be elevated, and tin good and highest happiness of the helpless many be attained through the sei» denying exertions of the powerful few." From the Louisville Daily Ledger. *• Mr. Hale thinks, rightly, that this movement of the women of the land ts put down an undeniable evil was not a wisely directed one. He is willing enough to have a Crusade, but let it be more in the line of women's work, and let it ap- peal to all the best instincts of our nature, — not the resistant ones. Men are not going to be brow-beaten into being good, especially by the sex that has hitherto been styled the ' gentler ; ' and we don't much wonder at it. To come and for- cibly take possession of a man's place of business, and insist upon prajnng and "inging him out of it, may have, at bottom, a very commendable motive to insti- gate it ; but there is a right and a wrong way of doing every thing. This is the (vrong way. Now, in his ' New Crusade,' Mr. Hale gives us the clew to a mucli better, more reasonable, and altogether more popular way of exalting the aodai Status in any given community." Sold everytuhere by all Booksellers, Mailed^ postpaid^ op ihs Publishers^ ROBERTS BROTHERS, Boston. Messrs, Roberts Brothers* Publtcaftom. IN HIS NAME. A Slory of the Waldenses, Seven Hundred Years Apo. By E. E. hale. Square i8mo. Price $i.oo. From the Liberal Christian. "One of the most helpful, pure, and thoroughly Christian books of which ^po have any knowledge. It has the mark of no sect, creed, or denomination upon it, but the spirit pervading it is the Christly spirit . . . We might well speak of the aumors great success in giving an air of quaintness to the style, befitting a story or life 'seven hundred years ago.' We do not know exactly what lends to it this flavor of antiquity, but the atmosphere is full of some subtle quality which removes the tale from our nineteenth century commonplace. In this respect, and in its dramatic vividness of action, * In His Name,' perhaps, takes as high a rank as any d Mr. Hale's literary work." From the N. Y. Commercial Advertiser, "A touching, almost a thrilling, tale is this by E. E. Hale, in its pathetic sim- plicity and its deep meaning. It is a story of the Waldenses in the days when Richard Coeur de Lion and his splendid following wended their way to the Cni- tades, and when the name of Christ inspired men who dwelt in palaces, and men •ho sheltered themselves in the forests of France. 'In his Name' wa.s the Open Sesame ' tc the hearts of such as these, and it is to illustrate the power of this almost magical phrase that the story is written. That it is charmingly writ- «n, follows from its authorship. There is in fact no little book that we have seen of late that offers so much of so pleasant reading in such little space, and coo- Tcys so apt and pertinent a lesson of pure religion." **TIic very loveliest Christmas Story ever written. It has the ring ol an old Troabadour in it." Sold everywhere by all Booksellers, Mailed^ postpaid^ Py the Publishers f ROBERTS BROTHERS, Boston. & UNIVERSITY OF CALIFORNIA LIBI Los Angeles This book is DUE on the last date stamped «0«ED JUN2 9t9B1 BiOMED LID JUL 1 7 REC'D Form L9-40m-5,'67(H2161s8)4939 3 1158 00177 2341 I