The Philosophy of Health; Volume 1 (of 2): or, an exposition of the physical and mental constitution of manSmith, Southwood
Philosophy
The Philosophy of Health; Volume 1 (of 2): or, an exposition of the physical and mental constitution of man
Smith, Southwood
Hygiene; Physiology
It is stated by M. Villermé, that the ordinary rate of mortality in
the prisons of France, taking all together, is one in twenty-three—a
rate which corresponds to the age of sixty-five in the common course
of life. But in the vast majority of cases the unfortunate victims
of the law are no older than from twenty-five to forty-five years of
age. Taking them at the mean age of thirty-five, it follows that the
suffering from imprisonment, and from the causes that lead to it, is
equivalent to thirty years wear and tear of life. But this is not all;
for it is found that, during imprisonment, the ordinary chances of
death are exactly quadrupled.
In regard to the whole population of a country, indigence may be
assumed to be a fair measure of unhappiness, and wealth of happiness.
If the rate of mortality in the indigent class be compared with that
of the wealthy, according to M. Villermé, it will be found in some
cases to be just double. Thus it is affirmed that, in some cases in
France, taking equal numbers, where there are one hundred deaths in a
poor arrondissement, there are only fifty in a rich; and that taking
together the whole of the French population, human life is protracted
twelve years and a half among the wealthy beyond its duration among
the poor: consequently, in the one class, a child, newly born, has a
probability of living forty-two and a half years; in the other only
thirty years.
In the great life-insurance establishments in England, a vast
proportion of the persons who insure their lives are persons compelled
to do so by their creditors; while three-fourths of those who
voluntarily insure their lives are professional men, living in great
towns, and experiencing the anxieties and fatigues, the hopes and
disappointments of professional life. In one of these establishments in
London, out of 330 deaths that happened in twenty-six years preceding
the year 1831, it was found that eleven died by suicide, being one
in thirty, implying the existence of an appalling amount of mental
suffering. The number of persons belonging to an insurance office who
perish by suicide is sure to be accurately known, death by suicide
rendering the policy void. It would be most erroneous to suppose that
these persons put an end to their existence under the mere influence of
the mental states of disappointment and despondency. The mind reacted
upon the body: produced physical disease, probably inflammation of the
brain, and under the excitement of this physical disease, the acts of
suicide were committed. More than one case has come to my knowledge
in which inflammation of the brain having been excited by mental
suffering, suicide was committed by cutting the throat. During the flow
of blood, which was gradual, the brain was relieved; the mind became
perfectly rational; and the patient might have been saved had a surgeon
been upon the spot, or had the persons about the patient known where
and how to apply the pressure of the finger to staunch the flow of
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