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
_Failure of English as well as Foreign Sanitation._--This high French
authority declares that notwithstanding the efforts for sanitary
improvement in which England has set an example for fifty years, the
relative mortality of England has not diminished. It is stated: ‘The
subject of the mortality of England, although not touched upon in
the Congress, was the subject of most private conversation. The real
figures of English mortality show a singular coincidence with the
mortality of other European countries. It is shown that in none of
these countries has the mortality diminished during the last fourteen
or fifteen years, except when the birth-rate has diminished, and only
in an exact proportion to this birth-rate.’ England has no better
record to show in this respect than her Continental neighbours,
notwithstanding the increasing demands of her specialists for extended
legislative powers. Our French critics remark that ‘English hygienists
of to-day are demanding great administrative centralization; their
sanitary laws are rigorous to a degree that other countries would
consider excessive; local self-government as well as individual
liberty is less and less respected, and, from the statements of
specialists interested in the subject, there is reason to believe that
at no distant date every branch of public hygiene will be entirely
administered by the Central Government.’
‘It is to be hoped’ (they remark) ‘that English good sense will
learn how to avoid the abuse of centralization, for it is just as
illogical to wait for the intervention of the Central Government in
the sanitation of a parish or the prevention of a local epidemic as to
refuse such intervention when public danger arises from negligence or
stupidity.’
These observations of hygienists, coming from France, a country which
we are accustomed to consider (and which in some respects really is)
much more over-ridden by officialism than England, are extremely
valuable. They serve to warn us of the grave danger of depending upon
centralized legislation or arbitrary authority withdrawn from popular
influence, and from that growth of individual enlightenment which
arises through the sense of responsibility.
Our friendly foreign critics justly ask: How is it that England, first
in the field of sanitary science, with a rigorous system of compulsory
legislation, with administration, laws, regulations, agents, and
also a gradual development of private hygiene, has still to deplore
the unhealthiness of such a large number of towns, quarters, and
habitations, and sees no diminution in her annual rate of mortality?
They advance towards the root of the matter when they observe in
this same report that laws are one thing, their application quite
another thing! ‘So true it is that public hygiene depends upon general
education as well as on the education of specialists, that no laws or
regulations will suffice when the habits of the people generally do not
promote their application.’
Public-domain text, read in full here on John Shaqi.
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