A New Conscience and an Ancient Evil

by Jane Addams

INCREASED SOCIAL CONTROL

When certain groups in a community, to whom a social wrong has become intolerable, prepare for definite action against it, they almost invariably discover unexpected help from contemporaneous social movements with which they later find themselves allied. The most immediate help in this new campaign against the social evil will probably come thus indirectly from those streams of humanitarian effort which are ever widening and which will in time slowly engulf into their rising tide of enthusiasm for human betterment, even the victims of the white slave traffic.

Foremost among them is the world-wide movement to preserve and prolong the term of human life, coupled with the determination on the part of the medical profession to eliminate all forms of germ diseases. The same physicians and sanitarians who have practically rid the modern city of small-pox and cholera and are eliminating tuberculosis, well know that the social evil is directly responsible for germ diseases more prevalent than any of the others, and also communicable. Over and over again in the history of large cities, Vienna, Paris, St. Louis, the medical profession has been urged to control the diseases resulting from the commercialized vice which the municipal authorities themselves permitted. But the experiments in segregation, in licensed systems, and certification have not been considered successful. The medical profession, hitherto divided in opinion as to the feasibility of such undertakings, is virtually united in the conclusion that so long as commercialized vice exists, physicians cannot guarantee a city against the spread of the contagious poison generated by it, which is fatal alike to the individual and to his offspring. The medical profession agrees that, as the victims of the social evil inevitably become the purveyors of germ diseases of a very persistent and incurable type, safety in this regard lies only in the extinction of commercialized vice. They point out the indirect ways in which this contagion can spread exactly as any other can, but insist that its control is enormously complicated by the fact that the victims of these diseases are most unwilling to be designated and quarantined. The medical profession is at last taking the position that the community wishing to protect itself against this contagion will in the end be driven to the extermination of the very source itself. A well-known authority states the one breeding-place of these disease germs, without exception, is the social institution designated as prostitution, but, once bred and cultivated there, they then spread through the community, attacking alike both the innocent and the guilty.

We can imagine, after a dozen years of vigorous and able propaganda of this opinion on the part of public-spirited physicians and sanitarians, that a city might well appeal to the medical profession to exterminate prostitution on the very ground that it is a source of constant danger to the health and future of the community. Such a city might readily give to the board of health ordered to undertake this extermination more absolute authority than is now accorded to it in a small-pox epidemic. Of course, no city could reach such a view unless the education of the public proceeded much more rapidly than at present, although the newly-established custom of careful medical examination of school-children and of employees in factories and commercial establishments must result in the discovery of many such cases, and in the end adequate provision must be made for their isolation. A child was recently discovered in a Chicago school with an open sore upon her lip, which made her a most dangerous source of infection. She was just fourteen years of age, too old to be admitted into that most pathetic and most unlovely of all children’s wards, where children must suffer for “the sins of their fathers,” and too young and innocent to be put into the women’s ward in which the public takes care of those wrecks of dissolute living who are no longer valuable to the commerce which once secured them, and have become merely worthless stock which pays no dividend. The disease of the little girl was in too virulent a stage to admit her to that convalescent home lately established in Chicago for those infected children who are dismissed from the county hospital, but whom it is impossible to return to their old surroundings. A philanthropic association was finally obliged to pay her board for weeks to a woman who carefully followed instructions as to her treatment. This is but one example of a child who was discovered and provided for, but it is evident that the public cannot long remain indifferent to the care of such cases when it has already established the means for detecting them. In twenty-seven months over six hundred children passed through this most piteous children’s ward in Chicago’s public hospital. All but twenty-nine of these children were under ten years of age, and doubtless a number of them had been victims of that wretched tradition that a man afflicted with this incurable disease might cure himself at the expense of innocence.

Crusades against other infectious diseases, such as small-pox and cholera, imply well-considered sanitary precautions, dependent upon widespread education and an aroused public opinion. To establish such education and to arouse the public in regard to this present menace apparently presents insuperable difficulties. Many newspapers, so ready to deal with all other forms of vice and misery, never allow these evils to be mentioned in their columns except in the advertisements of quack remedies; the clergy, unlike the founder of the Christian religion and the early apostles, seldom preach against the sin of which these contagions are an inevitable consequence: the physicians, bound by a rigorous medical etiquette, tell nothing of the prevalence of these maladies, use a confusing nomenclature in the hospitals, and write only contributory causes upon the very death certificates of the victims.

Yet it is easy to predict that a society committed to the abolition of infectious germs, to a higher degree of public health, and to a better standard of sanitation will not forever permit these highly communicable diseases to spread unchecked in its midst, and that a public, convinced that sanitary science, properly supported, might rid our cities of this type of disease, will at length insist upon its accomplishment. When we consider the many things undertaken in the name of health and sanitation it becomes easy to make the prediction, for public health is a magic word which ever grows more potent, as society realizes that the very existence of the modern city would be an impossibility had it not been discovered that the health of the individual is largely controlled by the hygienic condition of his surroundings. Since the first commission to inquire into the conditions of great cities was appointed in Manchester in 1844, sanitary science, both in knowledge and municipal authority, has progressed until advocates of the most advanced measures in city hygiene and preventive sanitary science boldly state that neglected childhood and neglected disease are the most potent causes of social insufficiency.

Certainly a plea could be made for the women and children who are often the innocent victims of these diseases. Quite recently in Chicago there was brought to my attention the incredibly pathetic plight of a widow with four children who was in such constant fear of spreading the infection for which her husband had been responsible, that she touchingly offered to leave her children forevermore, if there was no other way to save them from the horrible suffering she herself was enduring. In spite of thousands of such cases Utah is the pioneer and only state with a law which requires that this infection shall be reported and controlled, as are other contagious maladies, and which also authorizes boards of health to take adequate measures in order to secure protection.

Another humanitarian movement from which assistance will doubtless come to the crusade against the social evil, is the great movement against alcoholism with its recent revival in every civilized country of the world. A careful scientist has called alcohol the indispensable vehicle of the business transacted by the white slave traders, and has asserted that without its use this trade could not long continue. Whoever has tried to help a girl making an effort to leave the irregular life she has been leading, must have been discouraged by the victim’s attempts to overcome the habit of using alcohol and drugs. Such a girl has commonly been drawn into the life in the first place when under the influence of liquor and has continued to drink that she might be able to live through each day. Furthermore, the drinking habit grows upon her because she is constantly required to sell liquor and to be “treated.”

It is estimated that the liquor sold by such girls nets a profit to the trade of two hundred and fifty per cent. over and above the girl’s own commission. Chicago made at least one honest effort to divorce the sale of liquor from prostitution, when the superintendent of police last year ruled that no liquor should be sold in any disreputable house. The difficulty of enforcing such an order is greatly increased because such houses, as well as the questionable dance halls, commonly obtain a special permit to sell liquor under a federal license, which is not only cheaper than the saloon license obtained from the city, but has the added advantage to the holder that he can sell after one o’clock in the morning, at which time the city closes all saloons.

The aggregate annual profit of the two hundred and thirty-six disorderly saloons recently investigated in Chicago by the Vice Commission was $4,307,000. This profit on the sale of liquor can be traced all along the line in connection with the white slave traffic and is no less disastrous from the point of view of young men than of the girls. Even a slight exhilaration from alcohol relaxes the moral sense and throws a sentimental or adventurous glamor over an aspect of life from which a decent young man would ordinarily recoil, and its continued use stimulates the senses at the very moment when the intellectual and moral inhibitions are lessened. May we not conclude that both chastity and self-restraint are more firmly established in the modern city than we realize, when the white slave traders find it necessary both forcibly to detain their victims and to ply young men with alcohol that they may profit thereby? General Bingham, who as Police Commissioner of New York certainly knew whereof he spoke, says: “There is not enough depravity in human nature to keep alive this very large business. The immorality of women and the brutishness of men have to be persuaded, coaxed and constantly stimulated in order to keep the social evil in its present state of business prosperity.”