The English Prison SystemRuggles-Brise, Evelyn, Sir
History
The English Prison System
Ruggles-Brise, Evelyn, Sir
Prisons -- Great Britain
Deaths from phthisis average from ten to twenty a year. It is very
rare indeed for the disease to manifest itself for the first time
during imprisonment, but is already existing on reception, and more
often than not in a far advanced condition. It had been observed that
for the ten years ending 1901, there had been an average death-rate
of 16·7 from this cause, and in that year, special instructions
were issued for the segregation and special treatment of tubercular
disease. Cases were to be treated in the most airy cells, with southern
aspect, and special precautions taken with regard to the provision of
spittoons, disinfection of clothing, utensils, fumigation of cells,
&c. To carry out the spirit of these instructions necessarily entails
much circumspection and good-will on the part of all concerned, both
officers and patients. The effect of these regulations is not easy to
discern in Local, or short-sentence, prisons, owing to the fugitive
character of the population, but in convict, or long-sentence, prisons,
where the conditions incident to imprisonment are operative over a
sufficiently long period, evidence may be found as to the measure of
the effect of prison life on this particular disease. An inquiry made
in 1906-7 shows that the death-rate from phthisis among males (cases
very rarely occur among females) sentenced to penal servitude (_i.e._
not less than three years) was 1·38 per 1,000 of the daily average
population. Previously to the regulations of 1901, the mortality was
nearly double, amounting to 2·00 per 1,000. Since 1901, also, another
cause has been operating towards a decline in the amount of tubercular
disease, _i.e._, the more generous prison dietary of that year, with an
increase in the proportion of fatty elements.
Inquiries made at the time of the appointment of the Royal Commission
to inquire into the prevalence of Venereal disease in 1913 showed
that of the receptions into prison during the six months between
November and April 1914, 64,023 males and 17,161 females were received
into prison. Of the males 1·58 per cent., and of the females, 1·98
were found to be suffering from some form of venereal disease. Full
advantage is taken of the modern methods of treatment, and practically
at all the larger prisons there is a clinic. Where facilities do not
exist in the smaller prisons, prisoners are treated at an outside
clinic, or transferred to a prison where there is one.
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