RESULTS OF SANITARY REFORMS.
The errors and losses which have been adverted to are not all constant nor universal: not every army is hungry or has bad cookery; not every one encamps in malarious spots, or sleeps in crowded tents, or is cold, wet, or overworked: but, so far as the internal history of military life has been revealed, they have been and are sufficiently frequent to produce a greater depression of force, more sickness, and a higher rate of mortality among the soldiery than are found to exist among civilians. Every failure to meet the natural necessities or wants of the animal body, in respect to food, air, cleanliness, and protection, has, in its own way, and in its due proportion, diminished the power that might otherwise have been created; and every misapplication has again reduced that vital capital which was already at a discount. These first bind the strong man, and then, exposing him to morbific influences, rob him of his health. Perhaps in none of the common affairs of the world do men allow so large a part of the power they raise and the means they gather for any purpose to be lost, before they reach their object and strike their final and effective blow, as the rulers of nations allow to be lost in the gathering and application of human force to the purposes of war. And this is mainly because those rulers do not study and regard the nature and conditions of the living machines with which they operate, and the vital forces that move them, as faithfully as men in civil life study and regard the conditions of the dead machines they use, and the powers of water and steam that propel them, and form their plans accordingly.
But it is satisfactory to know that great improvements have been made in this respect. From a careful and extended inquiry into the diseases of the army and their causes, it is manifest that they do not necessarily belong to the profession of war. Although sickness has been more prevalent, and death in consequence more frequent, in camps and military stations than in the dwellings of peace, this excess is not unavoidable, but may be mostly, if not entirely, prevented. Men are not more sick because they are soldiers and live apart from their homes, but because they are exposed to conditions or indulge in habits that would produce the same results in civil as in military life. Wherever civilians have fallen into these conditions and habits, they have suffered in the same way; and wherever the army has been redeemed from these, sickness and mortality have diminished, and the health and efficiency of the men have improved.
Great Britain has made and is still making great and successful efforts to reform the sanitary condition of her army. The improvement in the health of the troops in the Crimea in 1856 and 1857 has already been described. The reduction of the annual rate of mortality caused by disease, from 1,142 to 13 in a thousand, in thirteen months, opened the eyes of the Government to the real state of matters in the army, and to their own connection with it. They saw that the excess of sickness and death among the troops had its origin in circumstances and conditions which they could control, and then they began to feel the responsibility resting upon them for the health and life of their soldiers. On further investigation, they discovered that soldiers in active service everywhere suffered more by sickness and death than civilians at home, and then they very naturally concluded that a similar application of sanitary measures and enforcement of the sanitary laws would be as advantageous to the health and life of the men at all other places as in the Crimea. A thorough reform was determined upon, and carried out with signal success in all the military stations at home and abroad. "The late Lord Herbert, first in a royal commission, then in a commission for carrying out its recommendations, and lastly as Secretary of State for War in Lord Palmerston's administration, neglecting the enjoyments which high rank and a splendid fortune placed at his command, devoted himself to the sanitary reform of the army."[75] He saw that the health of the soldiers was perilled more "by bad sanitary arrangements than by climate," and that these could be amended. "He had some courageous colleagues, among whom I must name as the foremost Florence Nightingale, who shares without diminishing his glory."[76] Both of these great sanitary reformers sacrificed themselves for the good of the suffering and perishing soldier. "Lord Herbert died at the age of fifty-one, broken down by work so entirely that his medical attendants hardly knew to what to attribute his death."[77] Although he probed the evil to the very bottom, and boldly laid bare the time-honored abuses, neglects, and ignorance of the natural laws, whence so much sickness had sprung to waste the army, yet he "did not think it enough to point out evils in a report; he got commissions of practical men to put an end to them."[78] A new and improved code of medical regulations, and a new and rational system of sanitary administration, suited to the wants and liabilities of the human body, were devised and adopted for the British army, and their conditions are established and carried out with the most happy results.
These new systems connect with every corps of the army the means of protecting the health of the men, as well as of healing their diseases.
"The Medical Department of the British army includes,—
"1. Director-General, who is the sole responsible administrative head of the medical service.
"2. Three Heads of Departments, to aid the Director-General with their advice, and to work the routine-details.
"A Medical Head, to give advice and assistance on all subjects connected with the medical service and hospitals of the army.
"A Sanitary Head, to give advice and assistance on all subjects connected with the hygiene of the army.