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-The Project Gutenberg eBook, The Cholera, by Thomas Beggs
-
-
-This eBook is for the use of anyone anywhere in the United States and most
-other parts of the world at no cost and with almost no restrictions
-whatsoever. You may copy it, give it away or re-use it under the terms of
-the Project Gutenberg License included with this eBook or online at
-www.gutenberg.org. If you are not located in the United States, you'll have
-to check the laws of the country where you are located before using this ebook.
-
-
-
-
-Title: The Cholera
- the claims of the poor upon the rich
-
-
-Author: Thomas Beggs
-
-
-
-Release Date: December 30, 2021 [eBook #67045]
-
-Language: English
-
-Character set encoding: UTF-8
-
-
-***START OF THE PROJECT GUTENBERG EBOOK THE CHOLERA***
-
-
-Transcribed from the [1850?] Charles Gilpin edition by David Price. Many
-thanks to the British Library for making their copy available.
-
- _Price One Penny_, _and for Distribution_ 5_s._ _per_ 100.
-
- * * * * *
-
-
-
-
-
- THE CHOLERA:
-
-
- THE CLAIMS OF THE POOR UPON THE RICH.
-
- BY THOMAS BEGGS,
-
- LATE SECRETARY OF THE HEALTH OF TOWNS ASSOCIATION.
-
-_Author of_ “_Enquiry into the Extent and Causes of Juvenile Depravity_,”
- _&c._, _&c._
-
- * * * * *
-
- LONDON: CHARLES GILPIN, 5, BISHOPSGATE WITHOUT.
-
- * * * * *
-
- * * * * *
-
-IN 1831 the Asiatic Cholera first made its appearance in this country.
-It spread consternation wherever it went. This pestilence, however, had
-its mission. It had previously swept over the fairest portions of the
-earth, and had destroyed no less than fifty millions of human beings.
-Its birth-place was among the swamps and jungles of India. True to its
-origin, it principally revelled in the crowded and neglected districts of
-our large towns, and gathered its victims from the homes of the poor and
-indigent. It sought out the abodes of filth and fever—it flew from one
-reeking nest of disease to another. The public authorities were startled
-into exertion; whitewash and soap were in requisition—a visitation of the
-alleys and lanes commenced—and, in many instances, the accumulated filth
-and rubbish of years were removed. A great many temporary expedients,
-all excellent in their way, were adopted. One unquestionable good was
-the result of these extraordinary measures—the higher classes obtained a
-glimpse of the condition of their poorer brethren.
-
-The cholera at length passed away, and our exertions died with it. The
-stern teacher went to other lands, and we relapsed into our wonted
-carelessness, our usual indifference—we became easy and comfortable
-again. It is true we have had several official inquiries, and through
-their means much information has been elicited and diffused. Some
-improvements have been effected, and others are in progress, but nothing
-has been done commensurate to the requirements of the case. Our towns
-exhibit the same grievous defects. There is, as yet, no complete system
-of drainage and sewerage—our dwellings are in the same condition as to
-air and light, and other conveniences—and a supply of water is still a
-desideratum. The old fever-nests remain. We have a vast number of
-abominations in every direction inviting pestilence, and scattering
-abroad the seeds of disease, misery, and demoralisation. It is true we
-have obtained a Health Bill, but it is quite clear that the establishment
-of a central authority can do little, without the sympathy and
-co-operation of the public at large.
-
-In this state of things, we have another visitation of the Asiatic
-cholera. We are again admonished as to our duties as men and Christians.
-Once more we are awakened to a full knowledge of the fact, that thousands
-of our fellow creatures are perishing annually, _victims to public
-neglect_. The great bulk of our working classes are placed in a
-condition unfavourable to health—a condition that forbids the
-preservation of the ordinary decencies and moralities of life. _There is
-a responsibility rests upon all who have influence or power_—_a
-responsibility which cannot be shaken off_. The work of reform is not
-accomplished because we have got a legislative enactment and a Board of
-Health. Every town-council and all parish authorities must see to it
-that the present warning is not neglected, and that it is not permitted
-to pass away unimproved. It is a question involving many others of great
-moment; and experience has shown that they cannot be neglected without
-serious loss, nor without entailing upon us great physical and moral
-evils.
-
-The history of the present visitation will be familiar to all readers.
-The general statements are absolutely appalling. In Albion Terrace,
-Wandsworth Road, seventeen persons died within a fortnight, in ten
-houses, of cholera. In one house no less than six persons died. This
-house was occupied by the Rev. Mr. Harrison, a dissenting minister: he
-had two relatives staying with him,—Mrs. Roscoe and Mrs. Edwards. Mrs.
-Roscoe was first attacked, and died; Mrs. Edwards, who attended upon her,
-was next seized; and on Mr. Harrison returning from the funeral of Mrs.
-Roscoe, he found his wife attacked by the same disease, and that lady
-expired the next morning. Mr. Harrison, overwhelmed by this terrible
-calamity, fled to Hampstead. On the morning of his departure Mrs.
-Edwards died, and the cook was attacked and died the same evening. On
-the following day the three bodies were interred at Kensall Green; and on
-the return of the mourners they found the nurse who had attended Mrs.
-Edwards dead, and a note informed them that Mr. Harrison had been
-attacked at Hampstead, and had died the same day. It is important to
-look at some of the facts brought out before the coroner’s jury. Mr.
-Harrison had stated before his death that he believed the attack had
-arisen from _bad drainage and from bad water_. Dr. Milroy stated, in his
-report, that in the house in which the epidemic had first broken out in
-that neighbourhood,—“The cellars were swarming with filth and maggots,
-amounting altogether to some cart-loads.” The verdict of the jury
-declared that the disease had first broken out “in a house where the
-drainage was very defective, and the water bad.”
-
-In other places we find the same causes actively at work, producing
-cholera. The seizures have been mainly in the districts notorious for
-bad sanitary arrangements. In every case we find that the track of
-cholera has been identical with that of fever. In a report just
-published by the Board of Health ample evidence is supplied that the
-seats of fever are also the seats of cholera.
-
-The first decided case in London occurred in a court that had been
-specially pointed out to the Sanitary Commissioners. In the town of
-Uxbridge four cases occurred last October, marked by the unequivocal
-characteristics of Asiatic cholera. One of the persons lived in a house
-notoriously insalubrious, and in which some cases of malignant fever had
-proved fatal. In relation to it the medical man had said, that if ever
-cholera visited Uxbridge, he believed the first case would be in that
-house. The conditions upon which cholera extends are everywhere the
-same. They establish most clearly the connection between a low sanitary
-condition and disease,—between filth and fever; and show that the two
-diseases, although rarely, if ever, found in the same district together,
-are twins from the same parent stock. They have, no doubt, a common
-origin.
-
-One word on the attacks of typhus. How is it that we are stirred into
-activity by an invasion of cholera? that we feel so much alarm? It is
-proved that the mortality from attacks of cholera, during its visitation
-in 1831–2, was not greater altogether than the average annual mortality
-occasioned by typhus. The effects of the latter disease are still more
-serious than those of cholera. And yet we sit down with the latter, and
-become reconciled to its existence, _because it is common and always with
-us_. If the sanitary evils which have been proved to exist almost
-universally were removed, cholera and typhus would scarcely be known
-amongst us; and yet “the annual slaughter in England and Wales, _from
-preventable causes of typhus_, which attacks persons in the vigour of
-life, appears to be double the amount of what was suffered by the allied
-armies in the battle of Waterloo.” Every day, disease and death arise
-from the presence of filth, from bad water, or overcrowding. They are
-put down in the bills of mortality as deaths by typhus, scarlatina,
-consumption, &c.—the true report would be, _poisoned by bad air_, _killed
-by public neglect_. It would not be too much to say that they are
-sacrificed to the indolence, incapacity, or waywardness of the public
-authorities.
-
-To justify this view of the case, I may quote, from the report just
-referred to, a passage in relation to Dumfries. This town had suffered
-most severely in 1832. I believe at that time the cholera attacked
-one-eleventh of the entire population, and destroyed one-seventeenth.
-
-“Knowing,” say the Commissioners, “that little sanitary improvement had
-been effected in the interval, and consequently that the inhabitants must
-be in as great danger as before, we called the attention of the
-authorities to the special regulations of the Board. To our
-recommendations the parochial board paid no regard. The disease,
-meantime, went on committing its former ravages. Thus, within the first
-twenty-nine days after its outbreak, there occurred 269 deaths out of a
-population of 10,000. No efforts being made on the part of the local
-authorities to check this great mortality, it appeared to us that this
-was a case requiring a stringent enforcement of the regulations of the
-Board, and we sent one of our medical inspectors (Dr. Sutherland) to
-organise a plan of house-to-house visitation, to open dispensaries for
-affording medical assistance by night as well as by day, and to provide
-houses of refuge for the temporary reception of persons living in filthy
-and overcrowded rooms, where the disease was prevailing, and who, though
-not yet attacked, were likely to be the next victims. The result of the
-adoption of these measures was, that, on the second day after they were
-brought into operation, the attacks fell from 27, 38, and 23 daily, to
-11; on the fifth day they diminished to eight; on the ninth day no new
-case occurred, and _in another week the disease nearly disappeared_.”
-
-Surely, there was great want of knowledge or culpable neglect, on the
-part of the local authorities, in this case. In other cases similar
-conduct has been displayed. It appears we have yet to learn that the
-care of the public health is a branch of social economics; that it
-involves more than mere pecuniary considerations. We have not summed up
-the evils of this immense pressure of disease when we have estimated the
-number of those attacked, or the number of those who die. The money
-cost, though heavy, is a mere trifle to the various afflictions that
-follow in the dark train. Neither does the bodily suffering—the physical
-pain—complete the amount of evil. The more we look at it, the more
-intense does the feeling of awe and sorrow become. We find, as we look
-abroad on the face of society, a fearful retribution for sins of neglect,
-and for opportunities unemployed. We find ample proof that the
-ordinations of Divine Providence cannot be violated with impunity:—if we
-sever the links of duty and of kindness which unite us to our fellow-men,
-we cannot separate ourselves from the guilt, the suffering, and the loss,
-such alienation may induce.
-
-I must present some of these evils in detail. I begin with the
-lowest—the pecuniary loss. We have to estimate the unnecessary deaths,
-the unnecessary sickness, the number of funerals, the burthens upon every
-charity, and that upon the poor-rate. _The fever-tax is the heaviest of
-all taxes_. And yet a much larger sum is annually spent in sustaining a
-number of palliative expedients, than would suffice to support a
-machinery of prevention. It is laid upon us, sometimes by the neglect,
-sometimes by the false economy of local authorities. They have only one
-object—to keep down the rates. However obvious the improvement, it is
-met by the question—“How much will it cost?” Short-sighted economy! The
-question ought to be—“How much suffering and sickness will it prevent?”
-The largest sum that could by possibility be required to carry out all
-the needful schemes of sanitary improvement, are far exceeded by the sums
-now expended in various ways, and which are entailed upon us by the
-presence of disease, and the poverty it produces.
-
-The moral evils far exceed any pecuniary loss, and outweigh any amount of
-physical suffering. The various epidemic diseases generally attack
-persons in the vigour of life. This is, especially, the case with
-typhus, which is, as Dr. Guy terms it, our “pet epidemic,” and which we
-nurse “with as much care as if we loved it.” How many widows and orphans
-are thus thrown destitute upon the world? How many thousands of poor
-children are cast, homeless and friendless, upon the streets, furnishing
-supplies for that great fund of juvenile depravity of which we have
-lately heard so much? These wretched children crowd our thoroughfares,
-miserable and abject. They soon acquire the irregular habits of the
-class among whom they are thrown. Let the candid mind calculate the
-cost. How much in poor-rates? how much in alms? how much to public
-institutions? And then let us ask how many of them become depredators
-and thieves—punishing society for its neglect—punishing, by preying upon
-its property—punishing, by spreading abroad the contagion of disease and
-of vice—and punishing, by the cost of prisons, police, bridewells,
-penitentiaries, and all the other appliances to repress crime? The
-reports from some places are of the most painful description, as respects
-the great number of orphans made by the present visitation of cholera.
-If this applies to an occasional visit of cholera, it applies with
-ten-fold force to typhus. I know, at this moment, three different
-families suffering under this affliction. In two of the cases, the
-mother is left to struggle with a large family; in the other case, both
-parents were taken off by fever within a fortnight of each other. The
-children are in the workhouse.
-
-Look at it in another light, as depriving the poor man of the ability to
-toil. Health is the working man’s all—his capital—his stock-in-trade.
-Deprived of it, his means of subsistence are gone—his independence is
-destroyed. His sole possessions are his skill and industry. It is
-considered unjust to deprive him of free markets and fair play. Is it
-not cruel to surround him by such circumstances as greatly increase the
-chances of sickness? Have we never known a sober, industrious man
-stricken down by an attack of fever, and rising from his bed of sickness
-to look upon a prospect of poverty and want? His means have become
-exhausted—he has run into debt, and that debt clogs his future energies.
-Perhaps the fever leaves him in broken health and infirmity. He
-struggles awhile with all these adverse circumstances; seeks parish
-relief, and declines into pauper habits. The workman has a right, by
-every law divine and human, to eat his daily bread by his daily toil. Is
-it not a mockery to allow him this, if the conditions of health are
-withheld? Is it not worse? Is it not injustice to leave him in a
-condition inferior to the criminal? The man who has offended the laws
-can enjoy all the luxuries of good air, good water, and live in a palace,
-as compared with the wretched hovels in which thousands of our working
-men, with their wives and families, are placed. Are we always to go on
-discussing plans of prison discipline, and the efficacy of various kinds
-of treatment for paupers? Are we never to learn that _the true
-philosophy is to inquire by what means we can prevent those who are not
-yet paupers or criminals from becoming so_? Sanitary reform is only one
-means, but it is one of primary importance. How can we expect to
-cultivate habits of temperance and industry—how can we hope to diffuse
-the blessings of education, so indispensable to the elevation of the
-people in morals and happiness, so long as they are left physically
-degraded and wretched? The soil is unfavourable to the reception of
-religious counsel and consolation. This lesson must be learnt before we
-can hope to legislate wisely. All practical remedies must begin by a due
-care for the material wants of the population.
-
-It is not possible, in the compass of a tract, to enter into detail on
-all the evils of our present condition. They are too general to have
-escaped the attention of any careful observer. With regard to drainage
-and sewerage, every town in the kingdom is defective. Nearly all are
-equally so with regard to supplies of water; and the overcrowding in
-wretchedly constructed dwellings has become matter of universal
-complaint. The people have no control over the construction of their
-dwellings, little or none over the selection, as they must be near their
-place of work. They have to pay a high price for the most wretched
-accommodation. The state of living is utterly at variance with
-cleanliness, order, or the cultivation of decent habits. Labouring under
-these disadvantages, they have a right to demand of the higher classes a
-complete system of drainage and sewerage, an efficient water supply, and
-a thorough cleansing of streets—no penny wise and pound foolish policy
-ought to stand in the way. They have a right to demand such reforms as
-will make their homes the abode of comfort to their families. It is
-injustice, it is cruelty to withhold them. How is it that, in the active
-discussion of public and private rights, at present going on, there are
-so few to vindicate the poor man’s claims to pure air and good water?
-
-I would remind those who are in affluence and comfort of the duties of
-their station. Many of them can go away from the crowded streets, and
-spend the greater part of their time in a suburban residence; not so the
-poor man. The rich man can command many comforts beyond the reach of the
-poor man. He has to work, perhaps, in a heated, crowded workshop, and to
-retire to a room wretchedly small, and unwholesome. Need we wonder that
-he should sometimes prefer the gin-shop, or the beer-house, to his own
-dim, close, and dirty apartment? I make no apology for his excesses. I
-do not wish to excuse his faults. But I ask whether many of the errors,
-so conspicuous in the character of the poorer population, may not have
-arisen from the neglect of those who had the power to stimulate them to
-higher and better things? Before we reproach them with the neglect of
-their duties, let us see that our own are faithfully discharged. If we
-want to raise them up, we must begin by doing them justice. Remove the
-acknowledged evils that press so heavily upon their condition, and the
-assurance awaits us that the Almighty, who rewards all cheerful and
-honest labour, will bless the effort to the good of those who give and to
-those who may receive.
-
-All delay is dangerous, and not only so, it is criminal. The evils of
-which we complain have been allowed to remain from a general ignorance of
-the laws of health. Up to a recent period, there was a want of knowledge
-amongst even the educated classes on these vital subjects. We cannot
-offer that plea now, to excuse our indifference or neglect. The evils
-have been fully explored, and most clearly exposed. The connexion
-between filth and disease—the suffering and vice flowing from them, have
-been exhibited in so striking a manner as to leave no room for mistake or
-misapprehension. _The knowledge creates a solemn responsibility_, _and
-makes us really chargeable with the consequences_. The knowledge gives
-us the power to arrest the progress of a class of diseases which strike
-down so many of our fellow-creatures in the years of their strength and
-usefulness. Every day of supineness is so much opportunity wasted.
-Every delay carries death to thousands. The admonition now read to us
-must not be suffered to pass with our usual heedlessness, or we may
-perchance be aroused by still more fearful means.
-
-The poor man is now sufficiently instructed to feel that many of the
-evils of which he complains admit of removal, and that the wealthier
-classes have the power to effect a change that would surround his
-condition with many comforts. Is there no danger in leaving such a
-feeling to grow and develop itself among the working classes? The
-security of the State depends upon the feelings of the people at large.
-What hold can there be upon their sympathies or affections, if they are
-left to themselves; to all the misery of their present lot, and with the
-knowledge, too, that those who have the power to help, though witnesses
-of their suffering and sorrow, like the priest and the Levite, turn away,
-and pass on the other side. We can expect no other fruit than alienation
-and disaffection. We shall see it manifested in contempt of the laws; in
-bitterness of feeling to the property classes; in an increasing disregard
-to the invitations of religion; in still greater recklessness of conduct,
-and still more irregular habits. Have the revolutions of 1848 been read
-to us in vain? What was there behind these mighty convulsions? Simply
-this:—The people had been little regarded; their appeals had met with no
-attention; their wants were neglected; their wrongs were left
-unredressed; government did not seem to secure or care for their
-prosperity and happiness. Tumult and disorder were the inevitable
-results. It is a law of God that men shall reap as they have sown. In
-this land we have, under Providence, secured some of the blessings of
-good government, and in consequence a hardy and industrious race has
-sprung up. It is in the power of the richer classes to gather round the
-institutions of the country the affections of the people at large. They
-may do much to banish the grim forms of disease and want which now
-threaten the poor man’s home. They can carry light to his darkened
-abode, and dispense comfort and joy upon his gloomy hearth. By timely
-effort they may raise up a young generation, who will cherish the home
-attachments, pay ready obedience to the laws, and, by habits of sobriety
-and cheerful industry, give strength and stability to the State. They
-may, by a proper discharge of the duties of their stewardship, in a few
-years, cover the land with smiling homes and a contented population. And
-then, again, there is the converse of this. They may, by neglect and
-indifference, by leaving the people in their present condition, prepare
-the way for a state of things that every generous mind would tremble to
-contemplate. Who is there so blind as not to see in one course security
-and happiness; in the other, wretchedness and peril? I hope there is no
-need to urge the propriety, the necessity of the former course. I trust
-that all classes will unite to secure the true glory of England—that of
-raising up a healthy and happy population. Science can have no higher
-aim; government no loftier purpose; philanthropy no holier pursuit. It
-is not less our interest than a duty enjoined upon us by the principles
-of our holy religion, to administer to the necessities of the lowly and
-distressed. Let us, while it is yet day, “break off our sins by
-righteousness, and our iniquities by showing mercy to the poor, if it may
-be a lengthening of our tranquillity.”
-
- * * * * *
-
-NOTE.—The following extract is from the Report of Mr. Phillips, Surveyor
-Metropolitan Sewers Commission:—“At the last census, in 1841, there were
-270,859 houses in the metropolis. It is known that there is scarcely a
-house without a cesspool under it, and that a large number have two,
-three, four, and more under them, so that the number of such receptacles
-in the metropolis may be taken at 300,000. The exposed surface of each
-cesspool measures, on an average, 9 feet, and the mean depth of the whole
-is about 6½ feet; so that each contains 58½ cubic feet of fermenting
-filth, of the most poisonous, noisome, and disgusting nature. The
-exhaling surface of all the cesspools (300,000 × 9) = 2,700,000 feet, or
-equal to 62 acres nearly: and the total quantity of foul matter contained
-within them (300,000 × 58½) = 17,550,000 cubic feet, or equal to one
-enormous elongated stagnant cesspool, 50 feet in width, 6 feet 6 in. in
-depth, and extending through London, from the Broadway at Hammersmith to
-Bow-bridge, a length of ten miles.”
-
-“This,” say the Metropolitan Sanitary Commissioners, “there is reason to
-believe, is an under estimate. The cesspool, however, in general, forms
-but one-fourth of the evaporating surface—the house-drain forms half or
-two-fourths, and the sewer one; but, connected as the sewers and house
-drains mutually are, and acted upon by the winds and barometric
-conditions, the miasma from the house-drains and sewers of one district
-may be carried up to another.”
-
-
-
-
-***END OF THE PROJECT GUTENBERG EBOOK THE CHOLERA***
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