In these days of specialists among physicians and of specialists among students of social science it seems rather presumptuous for a teacher to attempt any formal discussion of causes and remedies for the high death rate among Negroes in the cities of the South. A few suggestions, however, may serve to draw more attention to this vital subject.
The sections of the cities inhabited by Negroes are generally the most unsanitary. The house in which the average Negro family lives is poorly built and too small. Frequently old houses are set aside as too far gone for any except Negro tenants. In many instances these dilapidated houses contain germs of disease which it is practically impossible for the young and the feeble to withstand. The food, fuel, clothing and general comforts of a family thus housed are insufficient. Food plays too large a part in the havoc made by death among Negroes. In many instances, there is great intemperance in both eating and drinking. With another large class there is actual scarcity of food and that, too, often of poor quality. Add to this, irregularity of meals and poor cooking and one can not wonder at the low state of health nor even at the excessive mortality.
One of the most serious phases of ignorance is criminal carelessness in regard to nutrition. Cooking is that part of household work which almost every woman undertakes and very few understand, and herein lies the foundation of disease.
The long death-roll among Negroes contains an excessive number of infants. Careful investigation shows that this slaughter of innocents is due in large measure to improper feeding. Some mothers must be away from their babies earning bread and shelter. Others leave their little ones for less worthy and less honorable purposes. Others neglect their offspring because they have a fancied or cultivated dislike of children. It is a sad day for a people when happy motherhood declines. Man has devised successful substitutes for natural food for babies, but these should be used only when the best good of all concerned can be subserved thereby. Nature's ways are wisest and best, and parents must try to walk in those ways if they would have their children have life and have it abundantly.
Far be it from us here to attempt a technical discussion of tuberculosis, but in plain simple language, let us cite a few facts in regard to lung diseases among Negroes.
The oft repeated statement that the Negro slave did not have consumption, cannot be verified, for lack of authentic records on the subject. The Negro free, however, is dying of consumption and kindred diseases in appallingly large numbers.
Many theories in regard to consumption have been exploded, but it is acknowledged by all, to be an infectious disease. As such, ignorant people do not understand how to escape it; indeed, until anti-spitting laws are more universal and more rigidly enforced, every one may be exposed to these deadly germs. They respect neither race lines nor intellectual grades. The Negro, however, seems to be peculiarly susceptible to this class of ailments. 1. Because of comparatively small lung capacity. 2. Because of general low nutrition. 3. Because of lack of bath rooms and their proper use. 4. Immorality. 5. General indifference to the incipient stages of the disease. Colds and coughs are passed by as matters of course with little or nothing done to prevent or cure them.
The physical life and death of man has a much more intimate connection with his moral life than is at first thought apparent. Too many children are robbed by Sin of a child's first right, viz.: the right to be well born. If parents have lived lives of shame and thereby weakened their bodies, the effects of this will be a sad legacy of weakness in the persons of their children. Men and women given to social impurity will hardly escape the notice of those about them. Their characters are imitated and shame and weakness, physical as well as moral, multiplied. "Sin conceived and brought forth Death."
Among people of low intellectual development and low moral standards, family love is below normal. With this defective class, there is much indifference to the life and death of their dependent relatives. The young and the aged are shamefully neglected. It is sufficient to be bereaved—better, the relieved, to say: "The Lord's Will be done." Remedies for these sad and unfortunate conditions are much more easily suggested than applied.
Better environment, greater comfort in the homes, come only as a return for money. Money will come as a return for labor. Money will come to those who earnestly desire it, because they will work for it. They will do whatsoever their hands find to do, accepting the pay such labor brings, but fitting and aspiring for something better. There is usually plenty of work for all honest, industrious Negroes in Southern cities.