Essays in medical sociology, Volume 2 (of 2)Blackwell, Elizabeth
Science
Essays in medical sociology, Volume 2 (of 2)
Blackwell, Elizabeth
Prostitution; Sexual ethics; Social medicine
Our social experience joins its testimony with these statistics of
town and country, to show how widespread is this destruction of
health. Every housekeeper knows the extreme difficulty of obtaining a
healthy servant; nine-tenths of those who apply for a situation are
suffering from some chronic form of disease, which, if they belonged
to a different class of society, would place them in the list of
permanent invalids. There is no more frequent cause of the ill-health
of domestic servants than the damp and sunless rooms in which they pass
so much of their time, owing to the injurious practice of building
dwelling-houses, both in town and country, without a cellar under the
whole house, drained, and ventilated from side to side. No room is fit
for human habitation which has not a six-foot cellar, dry, with ample
through ventilation underneath it. It seems surprising that, in a damp
climate like ours, with rheumatism and scrofula prevailing everywhere,
this necessity has not been perceived.
It is often thought that sanitary knowledge means chiefly ventilation,
food, and drainage; that it applies only to the lower classes, and
that we must await the action of Government to build better houses
and otherwise deal with the gigantic question of pauperism. This is a
profound mistake. Health depends upon the observance of all the laws
of our complex nature; it applies to the mind as well as the body.
A deteriorating influence which proceeds from within is more to be
dreaded than one that comes from without. The nervous system (from
mental or physical causes) may be completely shattered, leaving the
individual a wreck. The senses (from mental or physical causes) may
be rendered so craving and irritable that the noble proportion of the
nature is lost. An hysterical, feeble person is an unhealthy one;
equally unhealthy is a coarse, brutal one. In either case, health, in
the true meaning of the word, is thoroughly impaired. Those classes of
society who are able to command every physical appliance that wealth
will purchase are often, from their kind of suffering, more dangerously
diseased than the labouring classes. I need only mention the spread of
luxury, the delay of marriage, the frail progeny of unsuitable unions,
to show how inextricably the mind and body are blended in all that
concerns health.
The highest authority on this subject thus condenses the lessons of his
great work on health: ‘Hygiene is based upon the physical and moral
perfectibility of man, of which it furnishes the proof.’ ‘Health may be
described in two words--morality, competence.’
The general deterioration of health prevailing in all classes and
both sexes is most strikingly seen amongst women. It is proved by the
increase of nervous and special diseases, the prevalence of scrofula
by general fragility of constitution, and inability to bear the
unavoidable burdens of life.
Public-domain text, read in full here on John Shaqi.
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