Part 19

§ 137. In Paris some cases have of late occurred, which have created much public uneasiness by the evidence they afforded of the defective organization of the service of the officers of health, and occasioned it recently to undergo an examination with the view to the adoption of better securities. It appears that, from a very early period, to satisfy the public solicitude, the law required the fact of the reality of a death to be verified by the personal visit and inspection of the Maire of the district of the city where the death had taken place. Subsequently, the Maires were allowed to delegate this duty to officers of their own nomination, persons qualified for the duties by a medical education, and who were called _Officiers de Santé_. But the appointments thus made by the Maires did not give public satisfaction; and in the year 1806 it was required that the persons appointed as “officiers de santé” by the Maires, should be chosen by them from amongst the doctors in medicine and surgery who were attached to the public hospitals. They appear, however, to have been mostly chosen without reference to public qualifications, from their own medical friends in private practice. This arrangement of appointing persons in private practice appears to have prevailed in other countries, and to have frustrated much of the benefits otherwise derivable from the institution. Thirty-five of these private practitioners are now appointed to perform the duty. Reports have gained ground that from negligent discharge of the duty, persons had even been buried alive, and that the verification had been given in cases of murder. On a recent commission of inquiry, the celebrated surgeon, M. Orfila, thus speaks of the necessity of the verification of the fact of the decease.

“It is possible to be interred alive! Interments may take place after murder, committed with the knife or by means of poison, without a suspicion being created that the death has been occasioned by violence. Ignorance or malevolence may attribute to crime deaths that have occurred from natural causes!”

After referring to ancient cases in which evidence was recorded of parties having been buried alive, he adduces the following recent instances of parties having been interred without due verification of the cause of death by the _Officier de Santé_:—

“We all know the case of the death of the grocer in the Rue de la Paix, who died of poison by arsenic. The interment took place after the verification of the death. In about a month afterwards I was called upon to examine the body as to the poison. Although the putrefaction of the corpse of the person who was of a very full habit had been much advanced, I was enabled to discover the presence of the arsenic by which the crime had been perpetrated.

“The widow Danzelle, of the Rue Beauregard, was found dead in her bed on the 1st of January, 1826. The certificate of the decease was given in due form to the relations to authorise the interment. In that certificate, given to M. le Commissaire de Police, the medical practitioner declared, ‘the death has taken place, and it appears that it has been occasioned by a commotion of the brain with hæmorrhage.’ ‘The deceased’ added he, ‘lived alone; she was found dead in her chamber, where she appeared to have fallen down.’ The municipal authorities caused the interment to be adjourned, and required a new examination of the body in the presence of the Commissioner of Police, assisted by two doctors in medicine. The result of the examination was, ‘that Madame the widow Danzelle had fallen under the blows of an assassin; the corpse bore five recent wounds in the neck, made with a cutting instrument, and the carotid artery had been divided.’

“In the month of July, a child of Dame Revel, Rue de Seine Saint Germain, died very suddenly. The authorities being informed that the child had been the subject of much ill-treatment on the part of the parents, ordered an inquiry and _une expertise medico-legale_. The examination of the body showed that the rumours as to the barbarous conduct of Dame Revel, the mother, were but too well-founded. Dr. Olivier testified to the fact, that the body bore twenty-seven recent contusions on the body and members, and a fracture of nearly five inches in extent, which almost entirely broke through one of the bones of the cranium.

“The death of this poor child, which was three years and three months old, awakened suspicions which had arisen on the death of its eldest brother, of eight years of age, which had been interred on the 28th of February preceding. The body was disinterred, and Dr. Olivier, to whom this second examination was confided, notwithstanding the length of time that had occurred since the death, found traces of numerous contusions on the body and members, and a wound above the right ear, with a fracture and disjunction of the bones of the cranium.”

And notwithstanding in this, as in the other case, the interment was effected without observations.[28]

After giving instances where the innocent were justified or suspicions were allayed by post mortem examinations, which proved that deaths suspected to have been from murder had occurred from natural causes, M. Orfila concludes by stating:—

“I do not believe that it often happens that persons are interred alive in Paris, though I must admit that such events may take place; but I am convinced that the earth has covered and continues to cover crimes without any suspicion being raised in respect to them.”

§ 138. Another report imputes the neglects of the “officiers de santé,” to the forgetfulness of duties, the force of habit or routine, the results of age and infirmities; and the chief remedy recommended, and now apparently in course of adoption in Paris, is the erection on the unsubstantial foundation of service by a number of private practitioners, of two additional stages as securities, namely, of three paid medical officers, who are to devote their time to the superintendence of the performance of the public duties by the private practitioners, and, secondly, a certain number of high honorary officers, who are to superintend both classes of paid officers. This is an example of one of those superficial alterations, in which, from want of firmness on the part of the legislature to compensate fairly and amply the interests which it is obviously necessary to disturb, and from not duly regarding and estimating the immense amount of pain and public evil which requires measures of alleviation of corresponding extent and efficiency; consequently from allowing that amount of pain and mortality to weigh as dust against local patronage and latent sinister interests,—that evil is only masked, and more widely and deeply spread by the intended remedy. Of a certainty the attention of every private practitioner, as he gains practice, whilst acting as a public officer, must every hour of the day be _from_ his public duties, and _with_ the means of adding to his emoluments. That the least possible time may be taken from them, the public duties are slurred over, conclusions are snapped from the readiest superficial incidents; extensive and removable, but latent causes of evil, the development of which would require sustained and laborious examination, are perpetuated, by being stamped authoritatively as “accidental” or arbitrarily classed under some general term assigning the evils as the results of some inscrutable cause. The three superior paid inspectors will not long be able to stimulate the thirty-five private practitioners to a close attention to their public duties against their paramount and ever-pressing interests, or will soon tire of doing so. The service will become one of mere routine and of short and easy acquiescence in all except the most extraordinary cases which present an appearance of danger to the officer himself if he overlook them. Under such arrangements, the functions of the office degenerates into a highly prejudicial form, protracting the evil, by creating an impression from the fact of the existence of the office, that all has been done in the way of prevention or remedy that can be done by such an officer. The admixture of private practice with important public duties in such cases, is attended with further evil in depriving the public of much volunteer service from the whole class of private practitioners, for many who would give information to advance science, or to aid the public service, can scarcely be expected to give cordial aid that may add to the credit and promote the interests of a rival. To the people themselves such services, from a locally connected private practitioner, are generally less acceptable than those of an independent and responsible public officer. The official service must, in time, fail to inspire confidence, for it must fail to elicit evidence to justify public confidence. The additional expense of the three additional officers will only have created an additional interest, in slurring over cases that may have been overlooked by the other class of officers, involving blame for remissness to the superior officers. When exposures do take place, these two classes of officers will only add to the means of perplexing public attention, and of dividing and weakening responsibility. If less than half the number of officers, devoting their whole time to the service, would be sufficient (as will be shown they would), for the efficient discharge of these highly important duties in London, less than one-third of the number would suffice in Paris.

§ 139. Except in the regulation of the expenses of the funerals, there appears to be nothing in the practice of interments in Paris, that deserves to be considered with a view to imitation. Indeed, the whole arrangements there are now under revision, and exertions are being made for their improvement. The little account that appears to have been at any time made of the feelings of the labouring classes, and the burial after dissection, of the poor dying in hospitals, without funereal rites, the almost total omission of any marks of sympathy or respect towards their remains,—cannot but have a most demoralizing effect on the survivors. The mode in which the evil of the retention of the corpse amidst the living is provided for by the law, which requires that interments shall take place within twenty-four hours after notice, must frequently oppress the feelings of the dying and of survivors, and harass them with alarms which the medical inspection provided, as we have seen, § 137, is not of a character to allay. The intermediate stage of removal provided at Franckfort and other German towns; the retention of the corpse in a separate room warmed and ventilated, and watched at all hours, and lighted during the night; the regular medical attendance and inspection, and other cares bestowed until there are unequivocal signs of dissolution, and the minds of all classes are satisfied, appears to be a superior arrangement, salutary in its effect and principle.[29] Beyond these benevolent arrangements may be commended the acts of real good will and charity by which the feelings of the labouring classes are consulted and satisfied by community of sepulture, and the benevolent care and spirit of good will in which it appears to be maintained.

_Experience in respect to the sites of Places of Burial, and sanitary precautions necessary in respect to them._

There appear to be very important questions connected with the consideration of the site of the place of burial to populous districts.

§ 140. The question of the distance of places of burial (irrespective of convenience of conveyance) appears to be dependent on the numbers buried,—on the composition and preparation of the ground,—on the elevation or depression of the place of burial,—and its exposure to the atmosphere and the direction of the prevalent winds for the avoidance of habitations.

§ 141. The extent of burial ground requisite for any district will be determined by the rate of decomposition.

§ 142. At Franckfort and Munich, and in the other new cemeteries on the continent, where qualified persons have paid attention to the subject, the general rule is not to allow more than one body in a grave. The grounds for this rule are,—that, when only one body is deposited in a grave, the decomposition proceeds regularly,—the emanations are more diluted and less noxious than when the mass of remains is greater; and also that the inconvenience of opening the graves, of allowing escapes of miasma, and the indecency of disturbing the remains for new interments, is thereby avoided; and in the case of exhumations, the confusion and danger of mistaking the particular body is prevented.

§ 143. The progress of the decay of the body is various, according to the nature of the soil and the surrounding agencies. Clayey soils are antiseptic; they retain the gases, as explained by Mr. Leigh; they exclude the external atmosphere, and are also liable to the inconvenience of becoming deeply fissured in hot weather and then allowing the escape of the emanations which have been retained in a highly concentrated state. Loamy, ferruginous, and aluminous soils, moor earth, and bog, are unfavourable to decomposition; sandy, marly, and calcareous soils are favourable to it. Water, at a low temperature, has the tendency, as already explained, to promote only a languid decomposition, which sometimes produces adipocire in bodies: a high and dry temperature tends to produce the consistency and permanency of mummies. A temperature of from 65 degrees Fahrenheit and upwards, and a moist atmosphere, is the most favourable to decomposition. The remains of the young decompose more rapidly than those of the old, females than males, the fat than the lean. The remains of children decompose very rapidly. On opening the graves of children at a period of six or seven years, the bodies have been found decomposed, not even the bones remaining, whilst the bodies of the adults were but little affected. The process of decomposition is also affected by the disease by which the death was occasioned. The process is delayed by the make of some sorts of coffins. The extreme variations of the process under such circumstances as those above recited is from a few months to 30 years or half a century. Bones often last for centuries.

§ 144. The regulation of the depth of the graves has been found to be a subject requiring great attention, to avoid occasioning too rapid an evolution of miasma from the remains, and at the same time to avoid its retention and corruption, to avoid the pollution of distant springs, and also to avoid rendering increased space for burial requisite by the delay of decomposition usually produced by deep burial, for the ground usually becomes hard in proportion to the depth, and delays the decomposition. Attention to these circumstances by qualified persons in Germany has led to different regulations of the depth of graves at different ages. At Stuttgart the different depths are as follows: for bodies of persons—

ft. in. Under 8 years 3 9 8 to 10 years 4 7 10 to 14 years 5 7 Adults 6 7

At the Glasshutte, in the Erzgebirge, the depths are as follows:

ft. in. Under 8 years 3 8 8 to 14 years 4 7 Adults 5 0

At Franckfort the average depth prescribed for graves is 5 ft. 7 in.; at Munich 6 ft. 7 in.; in France 4 ft. 10 in. to 6 ft.; in Austria 6 ft. 2 in., if lime be used.

§ 145. Space between graves is also a matter requiring attention to avoid the uncovering of the coffin in one grave in opening another, and to avoid the accidents arising from the falling in of the sides of the graves: this space must vary according to the consistency of the ground and the depth of the graves. At Munich and Stuttgart the space prescribed, is in round numbers, rather more than 32 square feet to each adult. To avoid treading on the graves, and to allow the access of friends, spaces must be allowed also for walks.

These circumstances considered, the space requisite for the interments in a town may be determined by the multiplication of the average square superficies of a grave, by the average yearly mortality, and the period of years which the grave is to remain closed. “As an example,” says Dr. Reicke, “of the mode of calculating the necessary space for the burial ground of a populous district, I will take a town of 35,000 inhabitants. Accordingly of this number it may be reckoned there will yearly die 1000. Of the number 500 will be adults, 50 children, from 7 to 14, and 450 children from 0 to 7 years. For the adults, allowing more than the most economical space, I calculate graves of 48 square feet Wirtemburg (_i. e._ 54·72 square feet English); for the children between 7 and 14 years, 24 square feet (27·36 English feet); and for those under 7, 20 square feet (22·80 English). For the adults I take a period of 10 years, for the youth 8 years, for the infants 7 years, as the time during which periods the grave must not be opened.” According to this calculation the space required for the interment of the several classes would be—

English Numbers English Square Dead. Years. Square Feet. Feet. 1. Adults. 54·72 × 500 × 10 = 273,600 2. Youth. 27·36 × 50 × 8 = 10,944 3. Infants. 22·80 × 450 × 7 = 71,820 ——————— Total 356,364

“According to the usual calculation the requisite space would be:—

39·90 × 1,000 × 10 = 399,000.

So that, by the above calculation and classification, there is a saving of 42,636 square feet.

“I must, however, beg to be understood that this calculation is only meant to serve as an example, and that the factors on which it is grounded must undergo the necessary variations, according as the soil is more or less favourable to decomposition, and therefore requiring a longer or shorter period of rest; and according to the greater or less consistency of the soil, and therefore requiring the space between the graves to be greater or less; and, lastly, according as the average mortality varies, and especially the rate of mortality of the three classes of ages.”

These factors would give different results for different populations, according to their different proportions of death. As an example of a town population, in Whitechapel the proportion of deaths for every 35,000 of the population will be 1125 deaths yearly. As an example of a rural population, for every 35,000 of the population in Hereford, there will only be 562 deaths annually, and the space required for interments for the two populations will be as follows, at the actual rate of deaths per 35,000 amongst the population in the Whitechapel Union in 1839:

English Total Average Square Number of Age of Area in Square Feet. Deaths. Grave. Square Feet. Feet. 1. Adults. 54·72 × 568 × 10 = 310,810 2. Youths. 27·36 × 31 × 8 = 6,785 3. Children. 22·80 × 524 × 7 = 83,639 ————— ——————— 1,123 401,234 39·07 ————— ——————— —————

Rate of deaths per 35,000 in the Herefordshire Unions in 1839:

English Total Average Square Number of Age of Area in Square Feet. Deaths. Grave. Square Feet. Feet. 1. Adults. 54·72 × 382 × 10 = 209,030 2. Youths. 27·36 × 16 × 8 = 3,502 3. Children. 22·80 × 164 × 7 = 26,174 ——— ——————— 562 238,706 44·62 ——— ——————— —————

This gives for a rural population 976 graves per acre. For a town population 1,117 graves per acre.

But in consequence of the smaller proportion of children dying in the rural district, a larger space is requisite than would appear from a comparative number of the interments if the graves were of the same size. The average size of the different graves may be taken as an epitome of the strength of the same numbers of the two populations: that of the town grave being in round numbers 39 feet, while the rural grave is 44 feet.

Nevertheless, the extent of land requisite for cemetery, on a decennial period of renewal, for a population of 20,000 in a rural district would be only 4–4/10 acres, whilst for 20,000 of such a town population as that of Whitechapel, it would be 7–4/10 acres.

§ 146. In 1838 the deaths in the metropolis were nearly 52,000; and for round numbers the average maybe taken as 50,000 annually. Such an amount of mortality would require on the scale proposed by Dr. Riecke, for the several classes of graves, about 48 acres, or a space of nearly the size of St. James’s Park within the rails, annually. On the same scale, supposing the interments generally renewable in decennial periods, the space required for national cemeteries in the metropolis would be 444 acres, or a space coextensive with Hyde Park, which has 350 acres, and the Green Park and St. James’s Park put together; or rather more than one-fourth more than the Regent’s Park, which has 350 acres; or one-fourth less space than the Hyde Park and Kensington Gardens taken together. But besides the spaces for the cemeteries, spaces would be requisite as belts of land surrounding them, and to be kept clear of houses.

§ 147. The proper distance of places of interment from houses, is calculable according to the number of interments. On this subject there have been some, though not complete observations. There is a church-yard at Stuttgart, in which 500 bodies are interred yearly, at depths varying with the age, according to the scale of regulations stated, with no more than one corpse in each grave, yet a north-west wind renders the emanations from the ground perceptible in houses distant from 250 to 300 paces. The stench of the carrion pits at Montfaucon is almost insupportable to a person not used to it, at a distance of 6500 feet, and with certain winds at double that distance, and under some circumstances even to the distance of five miles. Besides the surface emanations, the pollution of the subsoil drainage and springs have to be regarded. Captain Vetch states, that on some plains in Mexico, where animals have been slaughtered and buried in pits in permeable ground, the effects on vegetation were to be seen along the edges of a brook for a distance of three-quarters of a mile. In some parts they actually slaughtered and buried animals for the purpose of influencing the surrounding vegetation. By the best regulations in Germany, as already stated, wells are forbidden to be sunk near grave-yards, except at certain distances, such as 300 feet. _Ante_, §§ 13, 14.