Sanitary Statistics of Native Colonial Schools and HospitalsNightingale, Florence
History
Sanitary Statistics of Native Colonial Schools and Hospitals
Nightingale, Florence
Hospital buildings -- Sanitation -- Statistics
The method of conducting colonial schools appears to be based on our
home system, without reference to physical training or other local
conditions affecting health. This fact, together with the high rate of
mortality, is the most prominent result of our inquiry. And although
there is not sufficient evidence to show to what extent the school
education increases the mortality, there is strong reason to believe
that it is a cause. By far the greater part of the mortality is the
direct result of mitigable or preventible diseases.
In all the schools within or near the tropics the miasmatic class of
diseases occasions most of the mortality at the earlier periods of
life. A considerable proportion arises from small-pox, showing bad
management of children, and that vaccination is either neglected or
imperfectly performed. The other fatal diseases are mainly those which
in this country are connected with bad drainage, deficient and bad
water supply, overcrowding, and want of sufficient house accommodation
and cleanliness. In the Canadian schools consumption and scrofula
appear to occupy the place of miasmatic diseases. But there is nothing
in the school education, as described in the returns, sufficient to
account for their special prevalence in these schools. The causes must
probably be looked for in the close foul atmosphere of the native
dwellings in a climate where warmth is more likely to be sought by
closing every opening capable of admitting fresh air than would be the
case in warmer latitudes, together with exposure and other conditions
depressing to the general health.
Although these returns show the necessity of making systematic physical
training and bodily labour at useful occupations an element absolutely
essential and never to be neglected in the training of uncivilized and
half civilized children in civilized habits and trains of thought,
there is nothing to show that education properly conducted tends to the
destruction and disappearance of native tribes.
The general result may be summed up in the following words: “Educate
by all means, but look carefully at the problem with which you have
to deal, and above all things never forget that education everywhere,
but more {9} especially with uncivilized tribes, must always include
physical training and useful work.”
* * * * *
Colonial hospital returns.
Besides this statistical inquiry into the condition of schools, I had
forms prepared for colonial hospitals into which natives are received
for treatment, in order to compare the school diseases with those
prevailing among the adult population. They were sent to the colonies,
also by the great kindness of the Duke of Newcastle. And returns have
been received from the following hospitals:―Free Town, Sierra Leone,
Cape Coast, Natal, Mauritius, Colombo and Malabar, King William’s Town,
Kaffraria, and from two native hospitals in Canada.
[Sidenote: pp. 40 to 53.]
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