“In the month of July, a child of Dame Revel, Rue de Seine Saint Germain, died very suddenly. The authorities being informed that the child had been the subject of much ill-treatment on the part of the parents, ordered an inquiry and une expertise medico-legale. The examination of the body showed that the rumours as to the barbarous conduct of Dame Revel, the mother, were but too well-founded. Dr. Olivier testified to the fact, that the body bore twenty-seven recent contusions on the body and members, and a fracture of nearly five inches in extent, which almost entirely broke through one of the bones of the cranium.
“The death of this poor child, which was three years and three months old, awakened suspicions which had arisen on the death of its eldest brother, of eight years of age, which had been interred on the 28th of February preceding. The body was disinterred, and Dr. Olivier, to whom this second examination was confided, notwithstanding the length of time that had occurred since the death, found traces of numerous contusions on the body and members, and a wound above the right ear, with a fracture and disjunction of the bones of the cranium.”
And notwithstanding in this, as in the other case, the interment was effected without observations.[[28]]
After giving instances where the innocent were justified or suspicions were allayed by post mortem examinations, which proved that deaths suspected to have been from murder had occurred from natural causes, M. Orfila concludes by stating:—
“I do not believe that it often happens that persons are interred alive in Paris, though I must admit that such events may take place; but I am convinced that the earth has covered and continues to cover crimes without any suspicion being raised in respect to them.”
§ 138. Another report imputes the neglects of the “officiers de santé,” to the forgetfulness of duties, the force of habit or routine, the results of age and infirmities; and the chief remedy recommended, and now apparently in course of adoption in Paris, is the erection on the unsubstantial foundation of service by a number of private practitioners, of two additional stages as securities, namely, of three paid medical officers, who are to devote their time to the superintendence of the performance of the public duties by the private practitioners, and, secondly, a certain number of high honorary officers, who are to superintend both classes of paid officers. This is an example of one of those superficial alterations, in which, from want of firmness on the part of the legislature to compensate fairly and amply the interests which it is obviously necessary to disturb, and from not duly regarding and estimating the immense amount of pain and public evil which requires measures of alleviation of corresponding extent and efficiency; consequently from allowing that amount of pain and mortality to weigh as dust against local patronage and latent sinister interests,—that evil is only masked, and more widely and deeply spread by the intended remedy. Of a certainty the attention of every private practitioner, as he gains practice, whilst acting as a public officer, must every hour of the day be from his public duties, and with the means of adding to his emoluments. That the least possible time may be taken from them, the public duties are slurred over, conclusions are snapped from the readiest superficial incidents; extensive and removable, but latent causes of evil, the development of which would require sustained and laborious examination, are perpetuated, by being stamped authoritatively as “accidental” or arbitrarily classed under some general term assigning the evils as the results of some inscrutable cause. The three superior paid inspectors will not long be able to stimulate the thirty-five private practitioners to a close attention to their public duties against their paramount and ever-pressing interests, or will soon tire of doing so. The service will become one of mere routine and of short and easy acquiescence in all except the most extraordinary cases which present an appearance of danger to the officer himself if he overlook them. Under such arrangements, the functions of the office degenerates into a highly prejudicial form, protracting the evil, by creating an impression from the fact of the existence of the office, that all has been done in the way of prevention or remedy that can be done by such an officer. The admixture of private practice with important public duties in such cases, is attended with further evil in depriving the public of much volunteer service from the whole class of private practitioners, for many who would give information to advance science, or to aid the public service, can scarcely be expected to give cordial aid that may add to the credit and promote the interests of a rival. To the people themselves such services, from a locally connected private practitioner, are generally less acceptable than those of an independent and responsible public officer. The official service must, in time, fail to inspire confidence, for it must fail to elicit evidence to justify public confidence. The additional expense of the three additional officers will only have created an additional interest, in slurring over cases that may have been overlooked by the other class of officers, involving blame for remissness to the superior officers. When exposures do take place, these two classes of officers will only add to the means of perplexing public attention, and of dividing and weakening responsibility. If less than half the number of officers, devoting their whole time to the service, would be sufficient (as will be shown they would), for the efficient discharge of these highly important duties in London, less than one-third of the number would suffice in Paris.
§ 139. Except in the regulation of the expenses of the funerals, there appears to be nothing in the practice of interments in Paris, that deserves to be considered with a view to imitation. Indeed, the whole arrangements there are now under revision, and exertions are being made for their improvement. The little account that appears to have been at any time made of the feelings of the labouring classes, and the burial after dissection, of the poor dying in hospitals, without funereal rites, the almost total omission of any marks of sympathy or respect towards their remains,—cannot but have a most demoralizing effect on the survivors. The mode in which the evil of the retention of the corpse amidst the living is provided for by the law, which requires that interments shall take place within twenty-four hours after notice, must frequently oppress the feelings of the dying and of survivors, and harass them with alarms which the medical inspection provided, as we have seen, § 137, is not of a character to allay. The intermediate stage of removal provided at Franckfort and other German towns; the retention of the corpse in a separate room warmed and ventilated, and watched at all hours, and lighted during the night; the regular medical attendance and inspection, and other cares bestowed until there are unequivocal signs of dissolution, and the minds of all classes are satisfied, appears to be a superior arrangement, salutary in its effect and principle.[[29]] Beyond these benevolent arrangements may be commended the acts of real good will and charity by which the feelings of the labouring classes are consulted and satisfied by community of sepulture, and the benevolent care and spirit of good will in which it appears to be maintained.
Experience in respect to the sites of Places of Burial, and sanitary precautions necessary in respect to them.
There appear to be very important questions connected with the consideration of the site of the place of burial to populous districts.
§ 140. The question of the distance of places of burial (irrespective of convenience of conveyance) appears to be dependent on the numbers buried,—on the composition and preparation of the ground,—on the elevation or depression of the place of burial,—and its exposure to the atmosphere and the direction of the prevalent winds for the avoidance of habitations.