The phthisical are attractive in personal appearance on account of
their rich skin and hair colouring and their frequent brightness
and vivacity, and their obvious delicacy also elicits a feeling
of pity and wish to protect them. In consequence of this they
easily marry, and they are as a rule very fertile. Galton[16] says:
“There is fair doubt whether a group of young persons destined
to die of consumption contribute considerably less to the future
population than an equally large group who are destined to die of
other diseases.” Now this phthisical type is very common with us
indeed, and it appears to be an innate variation to which our race
is liable. It is evident, therefore, that those people with the
tuberculous variation who, even under the present circumstances,
manage to contribute their quota to the population, would, were the
bacillus tuberculosus altogether exterminated, contribute more than
their share, and the type would become more common. And let it be
remembered that this type, apart from the action of the bacillus,
is a delicate and fragile one and liable to other affections, and
the effect of giving the type any advantage in the struggle for
life would surely imperil the well-being of the future of the race.
When, some years ago, it was thought that a cure for phthisis had at
last been obtained, great tribute was naturally and rightly paid to
its discoverer; but had this cure proved as efficient as the more
sanguine were led to expect, it would be terrible to contemplate
the eventual suffering that would have resulted from the constantly
increasing numbers of the phthisical type that would have been
born with each generation.
_If we stamp out Infectious Diseases we perpetuate Poor Types._
It is a hard saying, but none the less a true one, that the bacillus
tuberculosus is a friend of the race, for it attacks no healthy man
or woman, but only the feeble. It is like the bacillus of leprosy
in this respect, but in this respect only, for leprosy attacks
anyone living under certain unhygienic conditions. Remove these
conditions--as we have done long ago--and the bacillus of leprosy
disappears; its duties are over, like those of the extinct plants
and fishes in the rocks.
The tubercle bacillus on the other hand attacks a type to be found
not only in the poor, ill-fed, and ill-conditioned, but also those
who live well. It is a disease of all classes, and those who
live in well-ventilated rooms, and who conform to every sanitary
regulation, may still belong to the type who fall a prey to it. It
is certain, therefore, that, improve the external conditions of
life how you will, this type will remain. It is also as certain
that in giving the type a better chance than it has already, by
preventing infection or by delaying the disease, the type will be
more and more prevalent as each generation comes to life.
Public-domain text, read in full here on John Shaqi.
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