How is it possible, under such conditions, for the lower class to be healthy and long lived? What else can be expected than an excessive mortality, an unbroken series of epidemics, a progressive deterioration in the physique of the working population? Let us see how the facts stand.
That the dwellings of the workers in the worst portions of the cities, together with the other conditions of life of this class, engender numerous diseases, is attested on all sides. The article already quoted from the Artisan asserts with perfect truth, that lung diseases must be the inevitable consequence of such conditions, and that, indeed, cases of this kind are disproportionately frequent in this class. That the bad air of London, and especially of the working-people’s districts, is in the highest degree favourable to the development of consumption, the hectic appearance of great numbers of persons sufficiently indicates. If one roams the streets a little in the early morning, when the multitudes are on their way to their work, one is amazed at the number of persons who look wholly or half-consumptive. Even in Manchester the people have not the same appearance; these pale, lank, narrow-chested, hollow-eyed ghosts, whom one passes at every step, these languid, flabby faces, incapable of the slightest energetic expression, I have seen in such startling numbers only in London, though consumption carries off a horde of victims annually in the factory towns of the North. In competition with consumption stands typhus, to say nothing of scarlet fever, a disease which brings most frightful devastation into the ranks of the working-class. Typhus, that universally diffused affliction, is attributed by the official report on the sanitary condition of the working-class, directly to the bad state of the dwellings in the matters of ventilation, drainage, and cleanliness. This report, compiled, it must not be forgotten, by the leading physicians of England from the testimony of other physicians, asserts that a single ill-ventilated court, a single blind alley without drainage, is enough to engender fever, and usually does engender it, especially if the inhabitants are greatly crowded. This fever has the same character almost everywhere, and develops in nearly every case into specific typhus. It is to be found in the working-people’s quarters of all great towns and cities, and in single ill-built, ill-kept streets of smaller places, though it naturally seeks out single victims in better districts also. In London it has now prevailed for a considerable time; its extraordinary violence in the year gave rise to the report already referred to. According to the annual report of Dr. Southwood Smith on the London Fever Hospital, the number of patients in was 1,462, or 418 more than in any previous year. In the damp, dirty regions of the north, south, and east districts of London, this disease raged with extraordinary violence. Many of the patients were working-people from the country, who had endured the severest privation while migrating, and, after their arrival, had slept hungry and half-naked in the streets, and so fallen victims to the fever. These people were brought into the hospital in such a state of weakness, that unusual quantities of wine, cognac, and preparations of ammonia and other stimulants were required for their treatment; 16½ percent of all patients died. This malignant fever is to be found in Manchester; in the worst quarters of the Old Town, Ancoats, Little Ireland, etc., it is rarely extinct; though here, as in the English towns generally, it prevails to a less extent than might be expected. In Scotland and Ireland, on the other hand, it rages with a violence that surpasses all conception. In Edinburgh and Glasgow it broke out in , after the famine, and in and with especial violence, after the commercial crisis, subsiding somewhat each time after having raged about three years. In Edinburgh about 6,000 persons were attacked by the fever during the epidemic of , and about 10,000 in that of , and not only the number of persons attacked but the violence of the disease increased with each repetition.22
But the fury of the epidemic in all former periods seems to have been child’s play in comparison with its ravages after the crisis of . One-sixth of the whole indigent population of Scotland was seized by the fever, and the infection was carried by wandering beggars with fearful rapidity from one locality to another. It did not reach the middle and upper classes of the population, yet in two months there were more fever cases than in twelve years before. In Glasgow, twelve percent of the population were seized in the year ; 32,000 persons, of whom thirty-two percent perished, while this mortality in Manchester and Liverpool does not ordinarily exceed eight percent. The illness reached a crisis on the seventh and fifteenth days; on the latter, the patient usually became yellow, which our authority23 regards as an indication that the cause of the malady was to be sought in mental excitement and anxiety. In Ireland, too, these fever epidemics have become domesticated. During twenty-one months of the years –, 39,000 fever patients passed through the Dublin hospital; and in a more recent year, according to Sheriff Alison,24 60,000. In Cork the fever hospital received one-seventh of the population in –, in Limerick in the same time one-fourth, and in the bad quarter of Waterford, nineteen-twentieths of the whole population were ill of the fever at one time.
When one remembers under what conditions the working-people live, when one thinks how crowded their dwellings are, how every nook and corner swarms with human beings, how sick and well sleep in the same room, in the same
