Settlement workers know the truth about this matter. Here are the words of one of them:
"Not one child in ten comes to us from the river-bottom section without a blood or skin disease, usually of long standing. Not one out of ten comes to us physically up to the normal for his or her age. Worse than that, few of them are up to the mental standard, and an increasing percentage are imbecile."
What can a Bureau of Health do to
(By permission of the Pittsburgh Bureau of Health).
WHERE HUMAN LIFE IS CHEAP.
alleviate such a status? Nothing: the problem is too big for official solution. Either a sense of responsibility on the part of the mill owner toward his employes who must live near the mills will start a housing movement that will do away with the present outrageous rentals for disgraceful accommodations, or an aroused public conscience will, by one means or another, make a clean sweep of these pest holes. Or, a third, and ugly alternative. London's East End is open for the inspection of travelling Pittsburghers. There they may see in its fullness the crop of pauperism, dependence, and degeneracy which is bred in the third and fourth generations, of conditions no worse than their own average, and not so bad as their own worst.
As an escape from the slum there is the school. Here again Pittsburgh is in the dark ages of hygiene. Every public school is a law unto itself. The principal, always a layman, and not unusually an ignorant one in health matters, decides when a pupil shall be isolated for a contagious or suspicious ailment. Is it surprising that a short time ago a certain skin disease infected an entire institution, or that eye and scalp ailments are often widely diffused among the scholars? From an inspection of buildings and pupils Dr. Goler draws these conclusions:
The school buildings are in many cases crowded, dark, dirty, often of three stories, and bad fire risks. The condition of the children in these schools good and bad, rich and poor, may be shown by the large proportion having defective teeth, reduced hearing, imperfect vision. An excessively large number of them are mouth breathers, partially so because they are unable to breathe through their noses in the smoky air of Pittsburgh, and a very considerable number are below stature for weight of that determined for the average child. In a large percentage, the defects of teeth, nose and throat, bring them below the physical normal. These are the children that wear out in childhood.