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
§ 138. Another report imputes the neglects of the “officiers de santé,”
to the forgetfulness of duties, the force of habit or routine, the
results of age and infirmities; and the chief remedy recommended, and
now apparently in course of adoption in Paris, is the erection on the
unsubstantial foundation of service by a number of private
practitioners, of two additional stages as securities, namely, of three
paid medical officers, who are to devote their time to the
superintendence of the performance of the public duties by the private
practitioners, and, secondly, a certain number of high honorary
officers, who are to superintend both classes of paid officers. This is
an example of one of those superficial alterations, in which, from want
of firmness on the part of the legislature to compensate fairly and
amply the interests which it is obviously necessary to disturb, and from
not duly regarding and estimating the immense amount of pain and public
evil which requires measures of alleviation of corresponding extent and
efficiency; consequently from allowing that amount of pain and mortality
to weigh as dust against local patronage and latent sinister
interests,—that evil is only masked, and more widely and deeply spread
by the intended remedy. Of a certainty the attention of every private
practitioner, as he gains practice, whilst acting as a public officer,
must every hour of the day be _from_ his public duties, and _with_ the
means of adding to his emoluments. That the least possible time may be
taken from them, the public duties are slurred over, conclusions are
snapped from the readiest superficial incidents; extensive and
removable, but latent causes of evil, the development of which would
require sustained and laborious examination, are perpetuated, by being
stamped authoritatively as “accidental” or arbitrarily classed under
some general term assigning the evils as the results of some inscrutable
cause. The three superior paid inspectors will not long be able to
stimulate the thirty-five private practitioners to a close attention to
their public duties against their paramount and ever-pressing interests,
or will soon tire of doing so. The service will become one of mere
routine and of short and easy acquiescence in all except the most
extraordinary cases which present an appearance of danger to the officer
himself if he overlook them. Under such arrangements, the functions of
the office degenerates into a highly prejudicial form, protracting the
evil, by creating an impression from the fact of the existence of the
office, that all has been done in the way of prevention or remedy that
can be done by such an officer. The admixture of private practice with
important public duties in such cases, is attended with further evil in
depriving the public of much volunteer service from the whole class of
private practitioners, for many who would give information to advance
science, or to aid the public service, can scarcely be expected to give
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