A supplementary report on the results of a special inquiry into the practice of interment in towns.Chadwick, Edwin
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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
“There are, indeed, various cases, of frequent occurrence, in which the
study of the remote causes of disease is as practically important as
anything that can be learnt as to their history, or the effects of
remedies upon them. This is particularly true of epidemic diseases, and
of diseases to which a tendency is given by irremediable constitutional
infirmities.”
Having had the honour to be associated with the late Dr. Cowan of
Glasgow, Dr. Alison, and some other gentlemen, in a committee to
consider of the means of obtaining a system of mortuary registration for
Scotland, and having conversed with many qualified persons who have also
paid much attention to the subject, I may state confidently that the
exposition above given of the advantages derivable to the public service
from the improvement of vital statistics would meet with extensive
concurrence, independently of the very high sanction conferred by any
expression of an opinion on such a subject from Dr. Alison. The towns
where the greatest mortality prevails present precisely the
opportunities so highly appreciated, of observations on large and
organized bodies of men, § 213, often as similar in the chief
circumstances which govern their condition, as the classes presented to
the observation of medical officers in the army or in the navy.
Lord Bacon observes, in his suggestions for an inquiry into the causes
of death—“And this inquiry, we hope, might redound to a general good, if
physicians would but exert themselves and raise their minds above the
sordid considerations of cure; not deriving their honour from the
necessities of mankind, but becoming ministers to the Divine power and
goodness both in prolonging and restoring the life of man; especially as
this may be effected by safe, commodious, and not illiberal means,
though hitherto unattempted. And certainly it would be an earnest of
Divine favour if, whilst we are journeying to the land of promise, our
garments, those frail bodies of ours, were not greatly to wear out in
the wilderness of this world.” It would accord with his great views that
adequate public provision and arrangement should be made to enable
physicians to render the services desired. From the earliest time to the
present, when the subject of sanitary evil and desecration of
grave-yards was brought before the public by the long-continued
exertions of Mr. Walker, members of the medical profession have made the
most strenuous exertions and sacrifices for the attainment of such
objects.
It is submitted that, in whatsoever place a proper system of the
verification and registration of the fact and cause of death has not
been introduced, as in Ireland and Scotland, and in all populous and
increasing districts, that the appointment of an officer of health,
having charge and regulations of all interments, would be the most
economical as well as the most efficient mode of introducing it: in
every place it must be a measure of paramount importance.
Public-domain text, read in full here on John Shaqi.
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