Essays in medical sociology, Volume 2 (of 2) — John Shaqi
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
Thus Sir Charles Cameron, of Dublin, showed the beneficial change
wrought by ten years’ sanitary effort in the Dublin slums through
rebuilding, draining, cleaning, and free disinfecting. Those wretched
quarters were a breeding-ground of human misery in 1871, where
small-pox, typhoid fever, and all contagious diseases seemed to be
endemic. The annual mortality was reduced in ten years by sanitary
measures from 34·11 to 28·80 in the most crowded portions of this
wretched quarter; in its less crowded part the mortality had fallen to
a much lower figure, notwithstanding the intemperance and destitution
which still continued to afflict the inhabitants. In this example
it should be especially noted that the goodwill of the people was
enlisted, for the municipality laid aside the idea of pecuniary gain on
the sum expended in rebuilding, etc., and offered a better lodging at
a rent that could be paid, and provided all sanitary appliances free,
thus losing, in the sense of money profit, to gain in the far higher
value--health.
Another remarkable illustration from very large experience was that
given by Professor Smith, of Aldershot, who is at the head of the
cavalry department of our army. He showed, by most interesting tables,
that diseases formally rife amongst horses--glanders, farcy, canker
of the foot, etc.--were now practically unknown in the army. This
triumphant result was entirely due to careful hygiene, the utmost
attention being paid to food, ventilation, drainage of stables, the
care of the feet and shoeing, of saddles and harness, and reduction of
the burden which the horses were required to carry, to fifteen stone as
a fair average. As was justly remarked, there is a limit to the weight
that a horse can carry or draw, beyond which is cruelty and injury.
Drs. Schrevens and Gibert, from France; Dr. Abbott, of Mass.; Dr.
Pagett, of Salford; in discussing diphtheria and typhoid diseases from
defective drainage, laid stress upon purity of air and cleanliness of
the soil as the chief points for consideration. The same indispensable
principle of sanitation was shown in respect to meat and milk used for
food. In France 5 per 1,000 of animals used as food are tuberculous,
such disease resulting from wrong methods of breeding, feeding, and
managing these useful animals.
Professor Ralli showed how parasites could be conveyed from animals to
men, and dwelt on clean bedding, coverings, suitable food, water, free
exercise, as the necessary prophylaxis.
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