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
§ 211. On the advantages which inquiries for the registration of death
would give, the concurrent opinions of several eminent medical men may
be expressed in the terms used by Dr. Calvert Holland, of Sheffield, who
observes that, “From an inquiry on the spot concerning the train of
symptoms preceding death, the general examination of the body, or from
conversation with the medical attendant, the cause of death, with few
exceptions, would probably be assigned with as much accuracy as by any
plan that can possibly be devised. We should hail such an appointment as
one of great value. Even in those instances in which it is difficult,
from the obscurity or undefined character of the symptoms, to say
precisely what is the cause of death, the inquiry would tend to
dissipate the doubts or obscurity in which it might be involved. The
duties of the officer, if he possessed first-rate professional
abilities, would give to him a power of analyzing symptoms, of tracing
cause and effect, which few practitioners possess or can acquire in a
long life of professional exertions. Were the causes of death analyzed
and recorded by one having no other duties, and fitted by his
accomplishments to undertake the task, the medical and statistical
inquirer would possess a body of information on the influence of general
local circumstances as well as on particular agents in connexion with
manufactures, the just value of which it is not possible to appreciate.”
§ 212. For the promotion of the new science of prevention, and the
knowledge of causes necessary to it, a primary requisite is to bring
large classes of cases as may be duly observed, under the eye of one
observer. It would be a practicable arrangement, on the receipt of the
notices of deaths, to direct the visits of one officer chiefly to cases
of the same class, for the purpose of collecting information as to the
common causes or antecedents. The amount of remuneration included in the
estimate hereafter given might be made the means of obtaining additional
time and services for carrying the inspections of the officers of health
still further into the circumstances of the living; as in cases of
consumption or fever, where numbers came from the same place of work or
occupation, to visit and ascertain whether there was any overcrowding or
any latent cause of disease.
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