Another source of physical mischief to the working-class lies in the impossibility of employing skilled physicians in cases of illness. It is true that a number of charitable institutions strive to supply this want, that the infirmary in Manchester, for instance, receives or gives advice and medicine to 2,200 patients annually. But what is that in a city in which, according to Gaskell’s calculation,25 three-fourths of the population need medical aid every year? English doctors charge high fees, and workingmen are not in a position to pay them. They can therefore do nothing, or are compelled to call in cheap charlatans, and use quack remedies, which do more harm than good. An immense number of such quacks thrive in every English town, securing their clientele among the poor by means of advertisements, posters, and other such devices. Besides these, vast quantities of patent medicines are sold, for all conceivable ailments: Morrison’s Pills, Parr’s Life Pills, Dr. Mainwaring’s Pills, and a thousand other pills, essences, and balsams, all of which have the property of curing all the ills that flesh is heir to. These medicines rarely contain actually injurious substances, but, when taken freely and often, they affect the system prejudicially; and as the unwary purchasers are always recommended to take as much as possible, it is not to be wondered at that they swallow them wholesale whether wanted or not.
It is by no means unusual for the manufacturer of Parr’s Life Pills to sell twenty to twenty-five thousand boxes of these salutary pills in a week, and they are taken for constipation by this one, for diarrhoea by that one, for fever, weakness, and all possible ailments. As our German peasants are cupped or bled at certain seasons, so do the English working-people now consume patent medicines to their own injury and the great profit of the manufacturer. One of the most injurious of these patent medicines is a drink prepared with opiates, chiefly laudanum, under the name Godfrey’s Cordial. Women who work at home, and have their own and other people’s children to take care of, give them this drink to keep them quiet, and, as many believe, to strengthen them. They often begin to give this medicine to newly-born children, and continue, without knowing the effects of this “heartsease,” until the children die. The less susceptible the child’s system to the action of the opium, the greater the quantities administered. When the cordial ceases to act, laudanum alone is given, often to the extent of fifteen to twenty drops at a dose. The Coroner of Nottingham testified before a Parliamentary Commission26 that one apothecary had, according to his own statement, used thirteen hundredweight of laudanum in one year in the preparation of Godfrey’s Cordial. The effects upon the children so treated may be readily imagined. They are pale, feeble, wilted, and usually die before completing the second year. The use of this cordial is very extensive in all great towns and industrial districts in the kingdom.
The result of all these influences is a general enfeeblement of the frame in the working-class. There are few vigorous, well-built, healthy persons among the workers, i.e., among the factory operatives, who are employed in confined rooms, and we are here discussing these only. They are almost all weakly, of angular but not powerful build, lean, pale, and of relaxed fibre, with the exception of the muscles especially exercised in their work. Nearly all suffer from indigestion, and consequently from a more or less hypochondriac, melancholy, irritable, nervous condition. Their enfeebled constitutions are unable to resist disease, and are therefore seized by it on every occasion. Hence they age prematurely, and die early. On this point the mortality statistics supply unquestionable testimony.
According to the Report of Registrar-General Graham, the annual death-rate of all England and Wales is something less than 2¼ percent. That is to say, out of forty-five persons, one dies every year.27 This was the average for the year –. In – the mortality diminished somewhat, and the death-rate was but one in forty-six. But in the great cities the proportion is wholly different. I have before me official tables of mortality (Manchester Guardian, ), according to which the death-rate of several large towns is as follows:—In Manchester, including Chorlton and Salford, one in 32.72; and excluding Chorlton and Salford, one in 30.75. In Liverpool, including West Derby (suburb), 31.90, and excluding West Derby, 29.90; while the average of all the districts of Cheshire, Lancashire, and Yorkshire cited, including a number of wholly or partially rural districts and many small towns, with a total population of 2,172,506 for the whole, is one death in 39.80 persons. How unfavourably the workers are placed in the great cities, the mortality for Prescott in Lancashire shows: a district inhabited by miners, and showing a lower sanitary condition than that of the agricultural districts, mining being by no means a healthful occupation. But these miners live in the country, and the death-rate among them is but one in 47.54, or nearly two-and-a-half percent better than that for all England. All these statements are based upon the mortality tables for . Still higher is the death-rate in the Scotch cities; in Edinburgh, in –, one in 29; in , in the Old Town alone, one in 22. In Glasgow, according to Dr. Cowen,28 the average has been, since , one in 30; and in single years, one in
