Friday, December 12, 2008

American Notes by Charles Dickens

Excerpt from Chapter 18
There is but one other head on which I wish to offer a remark; and that has reference to the public health. In so vast a country, where there are thousands of millions of acres of land yet unsettled and uncleared, and on every rood of which, vegetable decomposition is annually taking place; where there are so many great rivers, and such opposite varieties of climate; there cannot fail to be a great amount of sickness at certain seasons. But I may venture to say, after conversing with many members of the medical profession in America, that I am not singular in the opinion that much of the disease which does prevail, might be avoided, if a few common precautions were observed. Greater means of personal cleanliness, are indispensable to this end; the custom of hastily swallowing large quantities of animal food, three times a-day, and rushing back to sedentary pursuits after each meal, must be changed; the gentler sex must go more wisely clad, and take more healthful exercise; and in the latter clause, the males must be included also. Above all, in public institutions, and throughout the whole of every town and city, the system of ventilation, and drainage, and removal of impurities requires to be thoroughly revised. There is no local Legislature in America which may not study Mr. Chadwick’s excellent Report upon the Sanitary Condition of our Labouring Classes, with immense advantage.

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