the commercial crisis, subsiding somewhat each time after having raged about three years. In Edinburgh about 6,000 persons were attacked by the fever during the epidemic of 1817, and about 10,000 in that of 1837, and not only the number of persons attacked but the violence of the disease increased with each repetition. [{100a}]
But the fury of the epidemic in all former periods seems to have been child’s play in comparison with its ravages after the crisis of 1842. One-sixth of the whole indigent population of Scotland was seized by the fever, and the infection was carried by wandering beggars with fearful rapidity from one locality to another. It did not reach the middle and upper classes of the population, yet in two months there were more fever cases than in twelve years before. In Glasgow, twelve per cent. of the population were seized in the year 1843; 32,000 persons, of whom thirty-two per cent. perished, while this mortality in Manchester and Liverpool does not ordinarily exceed eight per cent. The illness reached a crisis on the seventh and fifteenth days; on the latter, the patient usually became yellow, which our authority [{100b}] regards as an indication that the cause of the malady was to be sought in mental excitement and anxiety. In Ireland, too, these fever epidemics have become domesticated. During twenty-one months of the years 1817-1818, 39,000 fever patients passed through the Dublin hospital; and in a more recent year, according to Sheriff Alison, [{100c}] 60,000. In Cork the fever hospital received one-seventh of the population in 1817-1818, in Limerick in the same time one-fourth, and in the bad quarter of Waterford, nineteen-twentieths of the whole population were ill of the fever at one time.
When one remembers under what conditions the working-people live, when one thinks how crowded their dwellings are, how every nook and corner swarms with human beings, how sick and well sleep in the same room, in the same bed, the only wonder is that a contagious disease like this fever does not spread
yet farther. And when one reflects how little medical assistance the sick have at command, how many are without any medical advice whatsoever, and ignorant of the most ordinary precautionary measures, the mortality seems actually small. Dr. Alison, who has made a careful study of this disease, attributes it directly to the want and the wretched condition of the poor, as in the report already quoted. He asserts that privations and the insufficient satisfaction of vital needs are what prepare the frame for contagion and make the epidemic widespread and terrible. He proves that a period of privation, a commercial crisis or a bad harvest, has each time produced the typhus epidemic in Ireland as in Scotland, and that the fury of the plague has fallen almost exclusively on the working-class. It is a noteworthy fact, that according to his testimony, the majority of persons who perish by typhus are fathers of families, precisely the persons who can least be spared by those dependent upon them; and several Irish physicians whom he quotes bear the same testimony.
Another category of diseases arises directly from the food rather than the dwellings of the workers. The food of the labourer, indigestible enough in itself, is utterly unfit for young children, and he has neither means nor time to get his children more suitable food. Moreover, the custom of giving children spirits, and even opium, is very general; and these two influences, with the rest of the conditions of life prejudicial to bodily development, give rise to the most diverse affections of the digestive organs, leaving life-long traces behind them. Nearly all workers have stomachs more or less weak, and are yet forced to adhere to the diet which is the root of the evil. How should they know what is to blame for it? And if they knew, how could they obtain a more suitable regimen so long as they cannot adopt a different way of living and are not better educated? But new disease arises during childhood from impaired digestion. Scrofula is almost universal among the working-class, and scrofulous parents have scrofulous children, especially when the original influences continue in full force to operate upon the inherited tendency of the children. A second consequence of this insufficient bodily
nourishment, during the years of growth and development, is rachitis, which is extremely common among the children of the working-class. The hardening of the bones is delayed, the development of the skeleton in general is restricted, and deformities of the legs and spinal column are frequent, in addition to the usual rachitic affections. How greatly all these evils are increased by the changes to which the workers are subject in consequence of fluctuations in trade, want of work, and the scanty wages in time of crisis, it is not necessary to dwell upon. Temporary want of sufficient food, to which almost every working-man is exposed at least once in the course of his life, only contributes to intensify the effects of his usual sufficient but bad diet. Children who are half-starved, just when they most need ample and nutritious food—and how many such there are during every crisis and even when trade is at its best—must inevitably become weak, scrofulous and rachitic in a high degree. And that they do become so, their appearance amply shows. The neglect to which the great mass of working-men’s children are condemned leaves ineradicable traces and brings the enfeeblement of the whole race of workers with it. Add to this, the unsuitable clothing of this class, the impossibility of precautions against colds, the necessity of toiling so long as health permits, want made more dire when sickness appears, and the only too common lack of all medical assistance; and we have a rough idea of the sanitary condition of the English working-class. The injurious effects peculiar to single employments as now conducted, I shall not deal with here.
Besides these, there are other influences which enfeeble the health of a great number of workers, intemperance most of all. All possible temptations, all allurements combine to bring the workers to drunkenness. Liquor is almost their only source of pleasure, and all things conspire to make it accessible to them. The working-man comes from his work tired, exhausted, finds his home comfortless, damp, dirty, repulsive; he has urgent need of recreation, he must have something to make work worth his trouble, to make the prospect of the next day endurable. His unnerved, uncomfortable, hypochondriac state of mind and body
arising from his unhealthy condition, and especially from indigestion, is aggravated beyond endurance by the general conditions of his life, the uncertainty of his existence, his dependence upon all possible accidents and chances, and his inability to do anything towards gaining an assured position. His enfeebled frame, weakened by bad air and bad food, violently demands some external stimulus; his social need can be gratified only in the public-house, he has absolutely no other place where he can meet his friends. How can he be expected to resist the temptation? It is morally and physically inevitable that, under such circumstances, a very large number of working-men should fall into intemperance. And apart from the chiefly physical influences which drive the working-man into drunkenness, there is the example of the great mass, the neglected education, the impossibility of protecting the young from temptation, in many cases the direct influence of intemperate parents, who give their own children liquor, the certainty of forgetting for an hour or two the wretchedness and burden of life, and a hundred other circumstances so mighty that the workers can, in truth, hardly be blamed for yielding to such overwhelming pressure. Drunkenness has here ceased to be a vice, for which the vicious can be held responsible; it becomes a phenomenon, the necessary, inevitable effect of certain conditions upon an object possessed of no volition in relation to those conditions. They who have degraded the working-man to a mere object have the responsibility to bear. But as inevitably as a great number of working-men fall a prey to drink, just so inevitably does it manifest its ruinous influence upon the body and mind of its victims. All the tendencies to disease arising from the conditions of life of the workers are promoted by it, it stimulates in the highest degree the development of lung and digestive troubles, the rise and spread of typhus epidemics.
Another source of physical mischief to the working-class lies in the impossibility of employing skilled physicians in cases of illness. It is true that a number of charitable institutions strive to supply this want, that the infirmary in Manchester, for instance, receives or gives advice and medicine to 2,200 patients annually. But
what is that in a city in which, according to Gaskell’s calculation, [{104}] three-fourths of the population need medical aid every year? English doctors charge high fees, and working-men are not in a position to pay them. They can therefore do nothing, or are compelled to call in cheap charlatans, and use quack remedies, which do more harm than good. An immense number of such quacks thrive in every English town, securing their clientèle among the poor by means of advertisements, posters, and other such devices. Besides these, vast quantities of patent medicines are sold, for all conceivable ailments: Morrison’s Pills, Parr’s Life Pills, Dr. Mainwaring’s Pills, and a thousand other pills, essences, and balsams, all of which have the property of curing all the ills that flesh is heir to. These medicines rarely contain actually injurious substances, but, when taken freely and often, they affect the system prejudicially; and as the unwary purchasers are always recommended to take as much as possible, it is not to be wondered at that they swallow them wholesale whether wanted or not.