A supplementary report on the results of a special inquiry into the practice of interment in towns.Chadwick, Edwin
History
A supplementary report on the results of a special inquiry into the practice of interment in towns.
Chadwick, Edwin
Burial; Cemeteries -- Great Britain; Mortality -- Statistics; Public health -- Great Britain; Working class -- Great Britain
§ 77. Two individual cases which were narrated by the physician who
attended them, will serve to convey a conception of a large proportion
of the common cases denoted by the units of the statistical evidence
derived from towns, and will illustrate more clearly the economy of the
prevention of sickness and death, as a superior economy of the incidents
of sickness as well as of funerals.
One case was that of an intelligent industrious man who had been foreman
to a tradesman, and having married and established himself as a master
tradesman, had a family of children. To diminish the expense of his
family he took a house which he let off to lodgers, retaining to himself
only the garrets and the underground or kitchen floor. He had five
children who became unhealthy and were attacked with cachectic diseases
and scald head; and the expense of an apothecary to the family during
one year was 59_l._: but still more serious disease afterwards
appearing, a physician was called in, who perceiving the impure air of
the apartments, pointed out the causes of the varied illness which had
prevailed, and the remedy—removal from the house.
In another case the foreman of a brewery married a healthy wife, who
gave birth to seven children, of whom six died at various ages, while
young, from diseases evidently springing from impure air. The source of
this impure air was an ill-constructed cesspool in the lower part of the
house, the stench of which was pointed out by the physician, who
happened to have a perception of such causes, and advised the immediate
removal of the family. Since that time they have had two other children,
who with the third which escaped, are now living in their better lodging
in the enjoyment of good health; the last of the children who died, when
“ailing,” was sent to the purer atmosphere of a rural district, and
returned in robust health, but soon after his exposure to the impure
atmosphere was attacked with fever, of which he died within a fortnight.
It was in the power of neither of these persons to obtain an amendment
of the general system of drainage, which occasioned the atmospheric
impurity under which they suffered; but the actual expenses of
structural measures of prevention would not, as an entire outlay, have
amounted to half the apothecary’s bill for drugs in the first case, or
of the expenses of the funerals (superadded to the expenses of drugs) in
the second case; but if the expenses of those structural arrangements
were defrayed by an annual payment of instalments of principal and
interest, spread over a period of 30 years, or a period coincident with
the benefit, the expense of the extended or combined measure of
prevention would not be more than 1_l._ 5_s._ 10_d._ per tenement, or
perhaps a small proportion of that sum, to the individual family.[18]
Public-domain text, read in full here on John Shaqi.
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