Advice to the people in general, with regard to their health

by S. A. D. Tissot

he Decrease of the Number of Inhabitants, in most of the States of Europe, is a Fact, which impresses every reflecting Person, and is become such a general Complaint, as is but too well established on plain Calculations. This Decrease is most remarkable in Country Places. It is owing to many Causes; and I shall think myself happy, if I can contribute to remove one of the greatest of them, which is the pernicious Manner of treating sick People in Country Places. This is my sole Object, tho' I may be excused perhaps for pointing out the other concurring Causes, which may be all included within these two general Affirmations; That greater Numbers than usual emigrate from the Country; and that the People increase less every where.

There are many Sorts of Emigration. Some leave their Country to enlist in the Service of different States by Sea and Land; or to be differently employ'd abroad, some as Traders, others as Domestics, &c.

Military Service, by Land or Sea, prevents Population in various Respects. In the first Place, the Numbers going abroad are always less, often much less, than those who return. General Battles, with all the Hazards and Fatigues of War; detached Encounters, bad Provisions, Excess in drinking and eating, Diseases that are the Consequences of Debauches, the Disorders that are peculiar to the Country; epidemical, pestilential or contagious Distempers, caused by the unwholsome Air of Flanders, Holland, Italy and Hungary; long Cruises, Voyages to the East or West Indies, to Guinea, &c. destroy a great Number of Men. The Article of Desertion also, the Consequences of which they dread on returning home, disposes many to abandon their Country for ever. Others, on quitting the Service, take up with such Establishments, as it has occasionally thrown in their Way; and which necessarily prevent their Return. But in the second Place, supposing they were all to come back, their Country suffers equally from their Absence; as this very generally happens during that Period of Life, when they are best adapted for Propagation; since that Qualification on their Return is impaired by Age, by Infirmities and Debauches: and even when they do marry, the Children often perish as Victims to the Excesses and Irregularities of their Fathers: they are weak, languishing, distempered, and either die young, or live incapable of being useful to Society. Besides, that the prevailing Habit of Libertinage, which many have contracted, prevents several of them from marrying at all. But notwithstanding all these inconvenient Consequences are real and notorious; yet as the Number of those, who leave their Country on these Accounts, is limited, and indeed rather inconsiderable, if compared with the Number of Inhabitants which must remain at home: as it may be affirmed too, that this relinquishing of their Country, may have been even necessary at some Times, and may become so again, if the Causes of Depopulation should cease, this kind of Emigration is doubtless the least grievous of any, and the last which may require a strict Consideration.

But that abandoning of their Country, or Expatriation, as it may be termed, the Object of which is a Change of the Emigrants Condition, is more to be considered, being more numerous. It is attended with many and peculiar Inconveniencies, and is unhappily become an epidemical Evil, the Ravages of which are still increasing; and that from one simple ridiculous Source, which is this; that the Success of one Individual determines a hundred to run the same Risque, ninety and nine of whom may probably be disappointed. They are struck with the apparent Success of one, and are ignorant of the Miscarriage of others. Suppose a hundred Persons might have set out ten Years ago, to seek their Fortune, as the saying is, at the End of six Months they are all forgotten, except by their Relations; but if one should return the same Year, with more Money than his own Fortune, more than he set out with; or if one of them has got a moderate Place with little Work, the whole Country rings with it, as a Subject of general Entertainment. A Croud of young People are seduced by this and sally forth, because not one reflects, that of the ninety nine, who set out with the hundredth Person, one half has perished, many are miserable, and the Remainder come back, without having gained any thing, but an Incapacity to employ themselves usefully at home, and in their former Occupations: and having deprived their Country of a great many Cultivaters, who, from the Produce of the Lands, would have attracted considerable Sums of Money, and many comfortable Advantages to it. In short, the very small Proportion who succeed, are continually talked of; the Croud that sink are perpetually forgot. This is a very great and real Evil, and how shall it be prevented? It would be sufficient perhaps to publish the extraordinary Risque, which may be easily demonstrated: It would require nothing more than to keep an exact yearly Register of all these Adventurers, and, at the Expiration of six, eight, or ten Years, to publish the List, with the Fate, of every Emigrant. I am greatly deceived, or at the End of a certain Number of Years, we should not see such Multitudes forsake their native Soil, in which they might live comfortably by working, to go in Search of Establishments in others; the Uncertainty of which, such Lists would demonstrate to them; and also prove, how preferable their Condition in their own Country would have been, to that they have been reduced to. People would no longer set out, but on almost certain Advantages: fewer would undoubtedly emigrate, more of whom, from that very Circumstance, must succeed. Meeting with fewer of their Country-men abroad, these fortunate few would oftner return. By this Means more Inhabitants would remain in the Country, more would return again, and bring with them more Money to it. The State would be more populous, more rich and happy; as the Happiness of a People, who live on a fruitful Soil, depends essentially on a great Number of Inhabitants, with a moderate Quantity of pecuniary Riches.

But the Population of the Country is not only necessarily lessened, in Consequence of the Numbers that leave it; but even those who remain increase less, than an equal Number formerly did. Or, which amounts to the same Thing, among the same Number of Persons, there are fewer Marriages than formerly; and the same Number of Marriages produce fewer Christenings. I do not enter upon a Detail of the Proofs, since merely looking about us must furnish a sufficient Conviction of the Truth of them. What then are the Causes of this? There are two capital ones, Luxury and Debauchery, which are Enemies to Population on many Accounts.

Luxury compells the wealthy Man, who would make a Figure; and the Man of a moderate Income, but who is his equal in every other Respect, and who will imitate him, to be afraid of a numerous Family; the Education of which must greatly contract that Expence he had devoted to Parade and Ostentation: And besides, if he must divide his Estate among a great many Children, each of them would have but a little, and be unable to keep up the State and the Train of the Father's. Since Merit is unjustly estimated by exterior Shew and Expence, one must of Course endeavour to attain for himself, and to leave his Children in, a Situation capable of supporting that Expence. Hence the fewer Marriages of People who are not opulent, and the fewer Children among People who marry.

Luxury is further prejudicial to the Increase of the People, in another Respect. The irregular Manner of Life which it introduces, depresses Health; it ruins the Constitutions, and thus sensibly affects Procreation. The preceding Generation counted some Families with more than twenty Children: the living one less than twenty Cousins. Very unfortunately this Way of thinking and acting, so preventive of Increase, has extended itself even into Villages: and they are no longer convinced there, that the Number of Children makes the Riches of the Countryman. Perhaps the next Generation will scarcely be acquainted with the Relation of Brotherhood.

A third Inconvenience of Luxury is, that the Rich retreat from the Country to live in Cities; and by multiplying their Domestics there, they drain the former. This augmented Train is prejudicial to the Country, by depriving it of Cultivaters, and by diminishing Population. These Domestics, being seldom sufficiently employed, contract the Habit of Laziness; and they prove incapable of returning to that Country Labour, for which Nature intended them. Being deprived of this Resource they scarcely ever marry, either from apprehending the Charge of Children, or from their becoming Libertines; and sometimes, because many Masters will not employ married Servants. Or should any of them marry, it is often in the Decline of Life, whence the State must have the fewer Citizens.

Idleness of itself weakens them, and disposes them to those Debauches, which enfeeble them still more. They never have more than a few Children, and these sickly; such as have not Strength to cultivate the Ground; or who, being brought up in Cities, have an Aversion to the Country.