The infantile death-rate is higher among the lower classes than it is
among the upper. Within the limits of those making up what are termed
“the lower classes,” the infantile death-rate is higher in proportion
as the social conditions are unfavourable. The figure attained by the
infantile death-rate depends above all upon the social circumstances
and the earning capacity of the parents. Inasmuch as an infant does
not possess the faculty of spontaneous change of place or of other
spontaneous activity, since it is unable even to express its needs
in an intelligible manner, its fate depends upon the soil in which
it grows--its very life depends upon its environment. Such, from the
social standpoint, is the essential characteristic of the age of
infancy. The infant born of well-to-do parents has better chances of
life than the infant born of poor parents, for the former lives in
more favourable circumstances, and receives in every respect a better
upbringing. It is a demonstrable fact that most children that die
succumb, not from inherited weakness, but owing to the errors and
defects of their upbringing.
The materials available in proof of this proposition are ample
and incontrovertible. Whatever the place, the time, and the other
conditions submitted to investigation, and whether the investigated
materials be large or small, we are led invariably to the same
conclusions. In the bourgeois (middle and upper) classes, only 8 per
cent. of the children die during the first year of life, but among
the proletariat the infantile death-rate is 30 per cent. Even more
significant, if possible, are the following facts. The infantile
death-rate is higher among illiterate wage-earners than it is among
literate wage-earners; it is higher among casual labourers than it
is amongst wage-earners permanently occupied. In the strata of the
population above the manual workers, we find that the infantile
death-rate is lower as we pass from strata in which social conditions
are comparatively bad to strata in which they are comparatively
good. The infantile death-rate and the income of the parents vary in
inverse ratio. The differences in the infantile death-rate as we pass
from the poorer quarters of our towns to the richer quarters tell
always the same tale.
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