Why should this be? Every one will agree that good ventilation is necessary in a hospital, because people cannot get well without fresh air. Do they not see that by the same reasoning good ventilation is necessary everywhere, because people cannot remain well without fresh air? Let me entreat those who employ women in work-rooms, if they have no time to read through such books as Dr. Andrew Combes Physiology applied to Health and Education, and Madame de Wahls Practical Hints on the Moral, Mental, and Physical Training of Girls, to procure certain tracts published by Messrs. Jarrold, Paternoster Row, for the Ladies Sanitary Association; especially one which bears on this subject, The Black-Hole in our own Bedrooms; Dr. Lankesters School Manual of Health; or a manual on ventilation, published by the Metropolitan Working Classes Association for the Improvement of Public Health.
I look forwardI say it openlyto some period of higher civilisation, when the Acts of Parliament for the ventilation of factories and workshops shall be largely extended, and made far more stringent; when officers of public health shall be empowered to enforce the ventilation of every room in which persons are employed for hire; and empowered also to demand a proper system of ventilation for every new house, whether in country or in town. To that, I believe, we must come: but I had sooner far see these improvements carried out, as befits the citizens of a free country, in the spirit of the Gospel rather than in that of the Law; carried out, not compulsorily and from fear of fines, but voluntarily, from a sense of duty, honour, and humanity. I appeal, therefore, to the good feeling of all whom it may concern, whether the health of those whom they employ, and therefore the supply of fresh air which they absolutely need, are not matters for which they are not, more or less, responsible to their country and their God.
And if any excellent person of the old school should answer meWhy make all this fuss about ventilation? Our forefathers got on very well without itI must answer that, begging their pardons, our ancestors did nothing of the kind. Our ancestors got on usually very ill in these matters: and when they got on well, it was because they had good ventilation in spite of themselves.
First. They got on very ill. To quote a few remarkable instances of longevity, or to tell me that men were larger and stronger on the average in old times, is to yield to the old fallacy of fancying that savages were peculiarly healthy, because those who were seen were active and strong. The simple answer is, that the strong alone survived, while the majority died from the severity of the training. Savages do not increase in number; and our ancestors increased but very slowly for many centuries. I am not going to disgust my audience with statistics of disease: but knowing something, as I happen to do, of the social state and of the health of the Middle and Elizabethan Ages, I have no hesitation in saying that the average of disease and death was far greater then than it is now. Epidemics of many kinds, typhus, ague, plagueall diseases which were caused more or less by bad airdevastated this land and Europe in those days with a horrible intensity, to which even the choleras of our times are mild. The back streets, the hospitals, the gaols, the barracks, the campsevery place in which any large number of persons congregated, were so many nests of pestilence, engendered by uncleanliness, which denied alike the water which was drunk and the air which was breathed; and as a single fact, of which the tables of insurance companies assure us, the average of human life in England has increased twenty-five per cent. since the reign of George I., owing simply to our more rational and cleanly habits of life.
But secondly, I said that when our ancestors got on well, they did so because they got ventilation in spite of themselves. Luckily for them, their houses were ill-built; their doors and windows would not shut. They had lattice-windowed houses, too; to live in one of which, as I can testify from long experience, is as thoroughly ventilating as living in a lantern with the horn broken out. It was because their houses were full of draughts, and still more, in the early middle age, because they had no glass, and stopped out the air only by a shutter at night, that they sought for shelter rather than for fresh air, of which they sometimes had too much; and, to escape the wind, built their houses in holes, such as that in which the old city of Winchester stands. Shelter, I believe, as much as the desire to be near fish in Lent, and to occupy the rich alluvium of the valleys, made the monks of Old England choose the river-banks for the sites of their abbeys. They made a mistake therein, which, like most mistakes, did not go unpunished. These low situations, especially while the forests were yet thick on the hills around, were the perennial haunts of fever and ague, produced by subtle vegetable poisons, carried in the carbonic acid given off by rotting vegetation. So there, again, they fell in with mans old enemybad air.
Still, as long as the doors and windows did not shut, some free circulation of air remained. But now, our doors and windows shut only too tight. We have plate-glass instead of lattices; and we have replaced the draughty and smoky, but really wholesome open chimney, with its wide corners and settles, by narrow registers, and even by stoves. We have done all we can, in fact, to seal ourselves up hermetically from the outer air, and to breathe our own breaths over and over again; and we pay the penalty of it in a thousand ways unknown to our ancestors, through whose rooms all the winds of heaven whistled, and who were glad enough to shelter themselves from draughts in the sitting-room by the high screen round the fire, and in the sleeping-room by the thick curtains of the four-post bedstead, which is now rapidly disappearing before a higher civilisation. We therefore absolutely require to make for ourselves the very ventilation from which our ancestors tried to escape.
But, ladies, there is an old and true proverb, that you may bring a horse to the water, but you cannot make him drink. And in like wise it is too true, that you may bring people to the fresh air, but you cannot make them breathe it. Their own folly, or the folly of their parents and educators, prevents their lungs being duly filled and duly emptied. Therefore, the blood is not duly oxygenated, and the whole system goes wrong.
Paleness, weakness, consumption, scrofula, and too many other ailments, are the consequences of ill-filled lungs. For without well-filled lungs, robust health is impossible.
And if any one shall answerWe do not want robust health so much as intellectual attainment. The mortal body, being the lower organ, must take its chance, and be even sacrificed, if need be, to the higher organthe immortal mind:To such I reply, You cannot do it. The laws of nature, which are the express will of God, laugh such attempts to scorn. Every organ of the body is formed out of the blood; and if the blood be vitiated, every organ suffers in proportion to its delicacy; and the brain, being the most delicate and highly specialised of all organs, suffers most of all and soonest of all, as every one knows who has tried to work his brain when his digestion was the least out of order. Nay, the very morals will suffer. From ill-filled lungs, which signify ill-repaired blood, arise year by year an amount not merely of disease, but of folly, temper, laziness, intemperance, madness, and, let me tell you fairly, crimethe sum of which will never be known till that great day when men shall be called to account for all deeds done in the body, whether they be good or evil.
I must refer you on this subject again to Andrew Combes Physiology, especially chapters iv. and vii.; and also to chapter x. of Madame de Wahls excellent book. I will only say this shortly, that the three most common causes of ill-filled lungs, in children and in young ladies, are stillness, silence, and stays.
First, stillness; a sedentary life, and want of exercise. A girl is kept for hours sitting on a form writing or reading, to do which she must lean forward; and if her schoolmistress cruelly attempts to make her sit upright, and thereby keep the spine in an attitude for which Nature did not intend it, she is thereby doing her best to bring on that disease, so fearfully common in girls schools, lateral curvature of the spine. But practically the girl will stoop forward. And what happens? The lower ribs are pressed into the body, thereby displacing more or less something inside. The diaphragm in the meantime, which is the very bellows of the lungs, remains loose; the lungs are never properly filled or emptied; and an excess of carbonic acid accumulates at the bottom of them. What follows? Frequent sighing to get rid of it; heaviness of head; depression of the whole nervous system under the influence of the poison of the lungs; and when the poor child gets up from her weary work, what is the first thing she probably does? She lifts up her chest, stretches, yawns, and breathes deeplyNatures voice, Natures instinctive cure, which is probably regarded as ungraceful, as what is called lolling is. As if sitting upright was not an attitude in itself essentially ungraceful, and such as no artist would care to draw. As if lolling, which means putting the body in the attitude of the most perfect ease compatible with a fully expanded chest, was not in itself essentially graceful, and to be seen in every reposing figure in Greek bas-reliefs and vases; graceful, and like all graceful actions, healthful at the same time. The only tolerably wholesome attitude of repose, which I see allowed in average school-rooms, is lying on the back on the floor, or on a sloping board, in which case the lungs must be fully expanded. But even so, a pillow, or some equivalent, ought to be placed under the small of the back: or the spine will be strained at its very weakest point.
I now go on to the second mistakeenforced silence. Moderate reading aloud is good: but where there is any tendency to irritability of throat or lungs, too much moderation cannot be used. You may as well try to cure a diseased lung by working it, as to cure a lame horse by galloping him. But where the breathing organs are of average health, let it be said once and for all, that children and young people cannot make too much noise. The parents who cannot bear the noise of their children have no right to have brought them into the world. The schoolmistress who enforces silence on her pupils is committingunintentionally no doubt, but still committingan offence against reason, worthy only of a convent. Every shout, every burst of laughter, every songnay, in the case of infants, as physiologists well know, every moderate fit of cryingconduces to health, by rapidly filling and emptying the lung, and changing the blood more rapidly from black to red, that is, from death to life. Andrew Combe tells a story of a large charity school, in which the young girls were, for the sake of their health, shut up in the hall and school-room during play hours, from November till March, and no romping or noise allowed. The natural consequences were, the great majority of them fell ill; and I am afraid that a great deal of illness has been from time to time contracted in certain school-rooms, simply through this one cause of enforced silence. Some cause or other there must be for the amount of ill-health and weakliness which prevails especially among girls of the middle classes in towns, who have not, poor things, the opportunities which richer girls have, of keeping themselves in strong health by riding, skating, archerythat last quite an admirable exercise for the chest and lungs, and far preferable to croquet, which involves too much unwholesome stooping.Even playing at ball, if milliners and shop-girls had room to indulge in one after their sedentary work, might bring fresh spirits to many a heart, and fresh colour to many a cheek. I spoke just now of the Greeks. I suppose you will all allow that the Greeks were, as far as we know, the most beautiful race which the world ever saw. Every educated man knows that they were also the cleverest of all races; and, next to his Bible, thanks God for Greek literature.
Now, these people had made physical as well as intellectual education a science as well as a study. Their women practised graceful, and in some cases even athletic, exercises. They developed, by a free and healthy life, those figures which remain everlasting and unapproachable models of human beauty: butto come to my third pointthey wore no stays. The first mention of stays that I have ever found is in the letters of dear old Synesius, Bishop of Cyrene, on the Greek coast of Africa, about four hundred years after the Christian era. He tells us how, when he was shipwrecked on a remote part of the coast, and he and the rest of the passengers were starving on cockles and limpets, there was among them a slave girl out of the far East, who had a pinched wasp-waist, such as you may see on the old Hindoo sculptures, and such as you may see in any street in a British town. And when the Greek ladies of the neighbourhood found her out, they sent for her from house to house, to behold, with astonishment and laughter, this new and prodigious waist, with which it seemed to them it was impossible for a human being to breathe or live; and they petted the poor girl, and fed her, as they might a dwarf or a giantess, till she got quite fat and comfortable, while her owners had not enough to eat. So strange and ridiculous seemed our present fashion to the descendants of those who, centuries before, had imagined, because they had seen living and moving, those glorious statues which we pretend to admire, but refuse to imitate.
It seems to me that a few centuries hence, when mankind has learnt to fear God more, and therefore to obey more strictly those laws of nature and of science which are the will of Godit seems to me, I say, that in those days the present fashion of tight lacing will be looked back upon as a contemptible and barbarous superstition, denoting a very low level of civilisation in the peoples which have practised it. That for generations past women should have been in the habitnot to please men, who do not care about the matter as a point of beautybut simply to vie with each other in obedience to something called fashionthat they should, I say, have been in the habit of deliberately crushing that part of the body which should be specially left free, contracting and displacing their lungs, their heart, and all the most vital and important organs, and entailing thereby disease, not only on themselves but on their children after them; that for forty years past physicians should have been telling them of the folly of what they have been doing: and that they should as yet, in the great majority of cases, not only turn a deaf ear to all warnings, but actually deny the offence, of which one glance of the physician or the sculptor, who know what shape the human body ought to be, brings them in guilty: this, I say, is an instance ofwhat shall I call it?which deserves at once the lash, not merely of the satirist, but of any theologian who really believes that God made the physical universe. Let me, I pray you, appeal to your common sense for a moment. When any one chooses a horse or a dog, whether for strength, for speed, or for any other useful purpose, the first thing almost to be looked at is the girth round the ribs; the room for heart and lungs. Exactly in proportion to that will be the animals general healthiness, power of endurance, and value in many other ways. If you will look at eminent lawyers and famous orators, who have attained a healthy old age, you will see that in every case they are men, like the late Lord Palmerston, and others whom I could mention, of remarkable size, not merely in the upper, but in the lower part of the chest; men who had, therefore, a peculiar power of using the diaphragm to fill and to clear the lungs, and therefore to oxygenate the blood of the whole body. Now, it is just these lower ribs, across which the diaphragm is stretched like the head of a drum, which stays contract to a minimum. If you advised owners of horses and hounds to put their horses or their hounds into stays, and lace them up tight, in order to increase their beauty, you would receive, I doubt not, a very courteous, but certainly a very decided, refusal to do that which would spoil not merely the animals themselves, but the whole stud or the whole kennel for years to come. And if you advised an orator to put himself into tight stays, he, no doubt, again would give a courteous answer; but he would replyif he was a really educated manthat to comply with your request would involve his giving up public work, under the probable penalty of being dead within the twelvemonth.