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A Report on the Practice of Interment in Towns

by Edwin Chadwick

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No. 8 Effects Observed of Dark, Ill-ventilated, and Ill-drained Localities on the Moral and Physical Condition of the Population of Paris

Dr. la Chaise, in his Medical Topography of Paris, which is an early attempt to investigate the influence of localities on the moral and physical condition of a population, gives the following description of the physical condition of the short-lived population bred up in the narrow and dark streets, and ill-cleansed and badly ventilated houses of Paris, which description may serve for comparison with those given of the native population in the crowded and badly cleansed districts of London.

“The Parisian,” he says, “in stature is often below what is commonly termed middle-size. His fair skin, soft to the touch, forms a striking contrast to that of the inhabitant of small towns, and, above all, to the countryman, who is more exposed to the various changes of the weather, and to the action of the sun and light. The hair of the Parisian is generally fair or light brown, and his eyes blue. His muscular frame is little developed, so that the form has on the whole a feminine appearance. In the labouring class the muscles of the lower limbs are sometimes developed, but irregularly and incompletely, which is explained by the exercise given exclusively to certain muscles by their employment or handicraft; these irregularities of development are much less frequent in the rural districts where the movements, and consequently muscular actions, are much more equally divided. The temperament, that is to say the physical constitution peculiar to the Parisian, differs, as is perceived, from each of the distinct and determined forms admitted by physiologists. He seems to partake of the union of many,—to be intermediate between those which are recognized under the names nervous, bilious, and lymphatic-sanguine; the first seems, however, to predominate.

“It is not, however, rare to meet in Paris with physical constitutions entirely in the extremes and contrasted with each other; that is to say, there are here, as in other large towns, large numbers of weakly and debilitated, vulgarly called sickly, and others with hollow chest and tall slim figure.

“The women of Paris are rather pretty than handsome; without regular features, they owe to the development of the cellular tissue, and to the fairness and fineness of the skin, a certain softness of form which is very graceful; and a quick and spiritual eye makes one forget the paleness of their cheeks.

“Considered morally, the portrait of the Parisian presents colours which are not impossible to seize, notwithstanding their great variety. He may be said generally to be lively, spiritual, industrious, and deserving the name of frivolous. Much less perhaps is given him. He is inquisitive, and carries into his work a taste, an ardent imagination, and inventive mind, which he is willing to believe should compensate for sustained activity. There necessarily results from this a great nervous susceptibility, an encéphalique predominance, which it is important to the physician never to overlook.

“If a sound and firm organization allows a few to resist the effects of this premature exercise of the organ of thought, a rapid increase in its functions always shows itself in the injury done to the other organs, and generally to the muscular system, which bear the marks of feebleness and often of deplorable languor. In this life, too active morally and too indolent physically, the nervous system acquires not what is vulgarly called a feebleness or delicacy, but a susceptibility, or rather a predominance, which is affected by the least shock. Hence that fickleness, and that vivacity of desires, that changeableness in the tastes, in a word that coquetry, that unequal and whimsical moody character, those caprices and vapours. The character is not alone affected by this excess of susceptibility; all the organs, the whole of the economy of the body feels it in turn; the nervous system acts particularly on the uterus, developes it prematurely; thus the women generally arrive at puberty much earlier at Paris than in the provinces, and especially than in the country. It is not unfrequent to find young girls of 12 or 13 fully formed and capable of becoming mothers, whilst in the country, even in the south, they do not attain that period till the age of 15 or 16.”

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