XVI. HOME LIFE AN IMPORTANT SPHERE FOR SANITARY SCIENCE
The urgent call for a more intimate acquaintance with these tenets of domestic sanitary science calls for no further examples, though at the risk of wearying the reader one or two more may be selected to illustrate their claims upon every member of a household.
It behoves the householder, in the first place, to choose his dwelling with care; and, in the second, to maintain the health of its inmates by his own conduct and by compliance with the requirements of public health enactments. He must be generally acquainted, therefore, with the essentials of a healthy home and with the obligations he must fulfil or the demands he may legitimately make upon local authorities and neighbours; otherwise he cannot insure that his own care is not frustrated by derelictions of duty on the part of others. The selection and purchase of the family’s food will probably devolve upon his wife, but it rests with him to insist that this food is produced, transported or distributed, with due observance of cleanliness, and that reliable protection from sophistication or adulteration is maintained. If conformity to necessary standards as well as the good quality of their products is to be safeguarded, the premises of dairy, bakehouse, slaughter-house, laundry, market, and local purveyor of goods should come under his intelligent inspection. The surroundings as well as the conveniences of a house also call for careful consideration, especially when some of its inmates are of tender years; and the reminder that to the provision for light and air in its rooms must be assigned a greater prominence than the mere prettiness of external elevation is still necessary. It is the householder who for some time to come must from his wider knowledge of economics personally safeguard his women-folk 285 from unnecessary exertion and chronic fatigue, by the provision of efficient fittings and equipment, by a judicious expenditure upon labour-saving devices, and by insistence upon adequate rest, recreation, and remuneration. To the graduate in the school of personal experience the duty of public service will next arise, in order that the advantages enjoyed in his own home may be extended to those for whom cheap housing must be provided. Civic claims must in the near future appear much more prominently than hitherto in the balance-sheet of duty.
The necessity for a study of child life and its requirements ought to be realised by both parents before the bitter results of inexperience have permanently shadowed their home. This should be pursued by the man as well as the woman before marriage is consummated, if their offspring is to be “well born” and well nurtured.
Maternal care is of course the more conspicuous during the first ten years of a child’s life; but during the next fifteen, more especially in the case of his sons, it is the father’s example, sympathy, and companionship which will steer them healthily through the stormy seas of adolescence, which will safeguard them from pernicious habits and will extend a helping hand in moments of temptation.
To enumerate the opportunities for hygienic practice by the prime organiser of domestic methods—the mother—is almost superfluous at this point. It is the foundation upon which 286 depends the welfare of each member of a household; for it is the housekeeper who plans the food and is responsible for its character and suitability to age, season, health, and occupation. It is she who superintends, if she does not carry out, the details of cleanliness, so arduous and discouraging in our great cities. It is she who selects the clothing of her family; who directs the order of their lives:—their work and play, their rest and exercise, their sleep and their habits. It is her place to shake faith in popular patent preparations, by good reasons and demonstrations of their exaggerated claims on purse and person.[125] It is her example which sets the tone in recreation, pursuit of hobby, or choice of literature. It is her infinite, understanding patience which cements breaches in family love; it is her skilful treatment which heals wounds, spiritual as well as physical. It is her privilege to devise better methods for daily doings and to appreciate the principles of sound economics. It falls on her to discourage futile expenditure of health, time, or temper; to be alive to possibilities of progress; to show by her deeds how profound is her faith in the dignity of a home-maker and her recognition of the extraordinary demands made by her profession on intelligence, moral capacity, and mental attainments.
It has been slowly dawning upon some minds for half a century at least that kitchen methods in many of their details fail to meet the requirements 287 of sanitary science. The ordinary cook does not even suspect what cleanliness means from the laboratory point of view; neither, alas! does her mistress, in the case of 90 per cent. of middle-class housekeepers. Both alike cheerfully ignore the relative value as cleansing agents of boiling as compared with “scalding” water; and refer to the broad shoulders of the weather or, quite frankly, to bad luck, the waste of food directly attributable to ignorant and uncleanly methods in market, purveyor’s cart, or scullery. Yet no valid excuse can now be offered for ignorance of the real causes of the souring of milk, the tainting of meat, or the decay of vegetables; neither is it permissible to entrust to the untrained the care of larder and refrigerator, except under intelligent supervision. It is of course a sign of progress that the modern housewife prides herself upon the delivery of the daily milk supply in bottles. But a quite superficial acquaintance with bacteriology would show the imperfect character of such a protection. The milk may still be poured by the cook from the unwashed mouth of a bottle, grasped, even if but momentarily, by the hand of a milkman, which shortly before was caressing his horse or serving him as a substitute for a pocket-handkerchief! When the numerous uses of paper in the kitchen are considered, the advantage of a scientific acquaintance with its constituents and absorbent properties should hardly need emphasis. But the laissez-faire attitude, common in many households, permits 288 newspaper or brown-paper bags of questionable antecedents to be used indiscriminately for the lining of cake tins or the draining of fried foods. Should this be tolerated any longer?
A sounder knowledge of the risks to health associated with unwholesome food would surely check the growing disposition to purchase provisions over the telephone, instead of by personal inspection and careful selection; for the risks associated with stale vegetables or with “woolly” fish would be recognised, in the light of this fuller knowledge, as too serious to be encountered by any one responsible for the health of a household. Again, cold storage is so justly credited with the numerous and unquestionable benefits which it confers upon the housewife, that she is apt to forget the coincident dangers; only through tardily acquired experience does she become aware that foods which are thawed after freezing possess a singular faculty for rapid deterioration, and undergo subtle and detrimental changes when so preserved over a long period. No excuse for continued ignorance as to the changes responsible for such deterioration is now permissible; neither can it be condoned in connection with the “flora” of the refrigerator, now known to be accountable for the unpleasant and all-pervading flavours of the food stored in such a receptacle, and itself the product of defective cleanliness. The idiosyncrasies of different groceries, as regards temperature and receptacles, have hitherto received no attention, though the art of preserving fruits, 289 fresh as well as dried, is better appreciated than was formerly the case.
It would be easy to show, too, did space permit, what ample scope there is for the application of sanitary science in the storeroom, as well as the true hygienic inwardness of frequent coats of limewash in larder and scullery, not to mention the worth of impervious coverings to their wall surfaces and shelves. This suggests the inquiry: How many women to-day are versed in the external tests, simple as some of them are, which can be applied to tins containing foodstuffs, with the object of gauging the quality of their contents; or who among our ordinary housewives understands the reasons for the employment of reliable, domestic methods of preserving the contents of the larder, such as sterilisation by the use of heat, or why fat, sugar, salt, or vinegar are preferable to the seductive yet questionable chemicals, so attractive to the producer and purveyor of provisions?
A better understanding of the relation of sanitary science to daily life would also facilitate some of the painful steps which must inevitably be taken, in order to bridge the gulf set between the feudal methods of the past and the modern problems of domestic service. That the isolation from her kind of a “general” servant predisposes to anæmia is stated as a fact on good authority, but it is certainly not generally known. That absence of opportunity for recreation or social intercourse has led and may lead again to deception, if not 290 to worse, is recognised unwillingly, if at all. That human nature is physiologically similar, however diverse its external appearance and standards, is very hard to realise or to act upon; so the fact that suitable provision for bathing and wholesome sleep by dependents is not always made, is apt to be ignored on economic grounds; and the resultant complications are assigned to any but their real cause.
The solution of another of the acute problems of the day depends upon the women also of this country. I refer to the character of the influence, an influence of the most intimate, to which young children are subjected during infancy. In addition to vulgarities of conduct or enunciation, actual moral harm may be suffered from want of care in the choice of a child’s attendant. Bad habits, impossible to eradicate, are to be traced to this source only. Their hygienic import calls for no further stress. Their prevention rests entirely with the child’s parents.
Another illustration of the need for a better acquaintance with hygiene is found in the general custom of entrusting the preparation and care of the daily diet to empirically prepared, ill-informed, young women. Ascertained facts in connection with, for instance, “typhoid carriers”[126] should have surely created almost a panic in the households of England; but it is rare to learn that even one mistress has inquired into the personal 291 habits of her cook, or that she has concerned herself personally in the cultivation of most careful attention to necessary hand-washing by her household. A mere tyro in sanitary science would take warning and be on her guard against this and other disgusting and preventable sources of domestic infection.
Finally, the protective function of the home must not be allowed to obscure the educational and social. It is the right of all children to be trained in habits of social, as well as of family, sanitary service. Very early the love of ceaseless doing, by which these little people are distinguished, can be taken hold of as an agent in this department of education. Habits of neatness and order, of kindness and ready help, of self-sacrifice and self-control, become lifelong in their persistence and develop a physical as well as moral conscience which makes for public health. But, without appropriate stimulus this interest in others, this sense of civic obligation, remains in abeyance. Therefore girls should be encouraged in the educational practice of the domestic arts about the age of thirteen or fourteen; though instruction in the care of children may be postponed for a year or two. Always it should precede marriage and be adapted to the prospective social sphere of the pupils. It would be advantageous to foster the interest of boys in social sanitation by the introduction of some equivalent training into their curriculum.
Enough has been said to show that knowledge 292 of household administration must soon become an indispensable qualification for any woman who undertakes the charge of human lives, whether it be as wife or guardian, as official or philanthropist, as physician or educator, as head of an institution (such as orphanage, asylum, hospital or prison), or as almoner of public funds. To be practical and influential this comprehensive subject must be systematically acquired and securely based; it must be accorded the support of men, and it must receive the recognition due to its imperial importance. Thus sustained and fortified, acquaintance with all that is comprehended in the domestic administration for good of human lives will lead our women to redeem their many shortcomings in the past, and will stimulate them to assume with courageous confidence their weighty responsibilities in the present and future.
Whether prepared or not for their discharge, these responsibilities cannot be evaded. Upon their capable fulfilment depend human health and happiness. “Health and good estate of body are above all gold,” said Ecclesiasticus, “and a strong body above infinite wealth.” Seen in its true light this great, beautiful, responsible work becomes the highest form of consecrated service to the Source of all Life and to the Giver of all those good things which humanity is intended richly to enjoy.