The Task of Social Hygiene

Chapter 14

Chapter 144,020 wordsPublic domain

It may be proper at this stage to point out that while, in the foregoing statement, a high birth-rate and a high marriage-rate have been regarded as practically the same thing, we need to make a distinction. The true relation of the two rates may be realized when it is stated that, the more primitive a community is, the more closely the two rates vary together. As a community becomes more civilized and more complex, the two rates tend to diverge; the restraints on child-production are deeper and more complex than those on marriage, so that the removal of the restraint on marriage by no means removes the restraint on fertility. They tend to diverge in opposite directions. Farr considered the marriage-rate among civilized peoples as a barometer of national prosperity. In former years, when corn was a great national product, the marriage-rate in England rose regularly as the price of wheat fell. Of recent years it has become very difficult to estimate exactly what economic factors affect the marriage-rate. It is believed by some that the marriage-rate rises or falls with the value of exports.[132] Udny Yule, however, in an expertly statistical study of the matter,[133] finds (in agreement with Hooker) that neither exports nor imports tally with the marriage-rate. He concludes that the movement of prices is a predominant--though by no means the sole--factor in the change of marriage-rates, a fall in prices producing a fall in the marriage-rates and also in the birth-rates, though he also thinks that pressure on the labour market has forced both rates lower than the course of prices would lead one to expect. In so far as these causes are concerned, Udny Yule states, the fall is quite normal and pessimistic views are misplaced. Udny Yule, however, appears to be by no means confident that his explanation covers a large part of the causation, and he admits that he cannot understand the rationale of the connection between marriage-rates and prices. The curves of the marriage-rates in many countries indicate a maximum about or shortly before, 1875, when the birth-rate also tended to reach a maximum, and another rise towards 1900, thus making the intermediate curve concave. There was, however, a large rise in money wages between 1860 and 1875, and the rise in the consuming power of the population has been continuous since 1850. Thus the factors favourable to a high marriage-rate must have risen from 1850 to a maximum about 1870-1875, and since then have fallen continuously. This statement, which Mr. Udny Yule emphasizes, certainly seems highly significant from our present point of view. It falls into line with the view here accepted, that the first result of a sudden access of prosperity is to produce a general orgy, a reckless and improvident haste to take advantage of the new prosperity, but that, as the effects of the orgy wear off, it necessarily gives place to new ideals, and to higher standards of life which lead to caution and prudence. Mr. N.A. Hooker seems to have perceived this, and in the discussion which followed the reading of Udny Yule's paper he set forth what (though it was not accepted by Udny Yule) may perhaps fairly be regarded as the sound view of the matter. "During the great expansion of trade prior to 1870," he remarked, "the means of satisfying the desired standard of comfort were increasing much more rapidly than the rise in the standard; hence a decreasing age of marriage and a marriage-rate above the normal. After about 1873, however, the means of satisfying the standard of comfort no longer increased with the same rapidity, and then a new factor, he thought, became important, viz. the increased intelligence of the people."[134] This seems to be precisely the same view of the matter as I have here sought to set forth; prosperity is not civilization, its first tendency is to produce a reckless abandonment to the satisfaction of the crudest impulses. But as prosperity develops it begins to engender more complex ideals and higher standards; the inevitable result is a greater forethought and restraint.[135]

If we consider, not the marriage-rate, but the average age at marriage, and especially the age of the woman, which varies less than that of the man, the results, though harmonious, would not be quite the same. The general tendency as regards the age of girls at marriage is summed up by Ploss and Bartels, in their monumental work on Woman, in the statement: "It may be said in general that the age of girls at marriage is lower, the lower the stage of civilization is in the community to which they belong."[136] We thus see one reason why it is that, in an advanced stage of civilization, a high marriage-rate is not necessarily associated with a high birth-rate. A large number of women who marry late may have fewer children than a smaller number who marry early.

We may see the real character of the restraints on fertility very well illustrated by the varying birth-rate of the upper and lower social classes belonging to the same community. If a high birth-rate were a mark of prosperity or of advanced civilization, we should expect to find it among the better social class of a community. But the reverse is the case; it is everywhere the least prosperous and the least cultured classes of a community which show the highest birth-rate. As we go from the very poor to the very rich quarters of a great city--whether Paris, Berlin, or Vienna--the average number of children to the family diminishes regularly. The difference is found in the country as well as in the towns. In Holland, for instance, whether in town or country, there are 5.19 children per marriage among the poor, and only 4.50 among the rich. In London it is notorious that the same difference appears; thus Charles Booth, the greatest authority on the social conditions of London, in the concluding volume of his vast survey, sums up the condition of things in the statement that "the lower the class the earlier the period of marriage and the greater the number of children born to each marriage." The same phenomenon is everywhere found, and it is one of great significance.

The significance becomes clearer when we realize that an urban population must always be regarded as more "civilized" than a rural population, and that, in accordance with that fact, an urban population tends to be less prolific than a rural population. The town birth-rate is nearly always lower than the country birth-rate. In Germany this is very marked, and the rapidly growing urbanization of Germany is accompanied by a great fall of the birth-rate in the large cities, but not in the rural districts. In England the fall is more widespread, and though the birth-rate is much higher in the country than in the towns the decline in the rural birth-rate is now proceeding more rapidly than that in the urban birth-rate. England, which once contained a largely rural population, now possesses a mainly urban population. Every year it becomes more urban; while the town population grows, the rural population remains stationary; so that, at the present time, for every inhabitant of the country in England, there are more than three town-dwellers. As the country-dweller is more prolific than the town-dweller, this means that the rural population is constantly being poured into the towns. The larger our great cities grow, the more irresistible becomes the attraction which they exert on the children of the country, who are fascinated by them, as the birds are fascinated by the lighthouse or the moths by the candle. And the results are not altogether unlike those which this analogy suggests. At the present time, one-third of the population of London is made up of immigrants from the country. Yet, notwithstanding this immense and constant stream of new and vigorous blood, it never suffices to raise the urban population to the same level of physical and nervous stability which the rural population possesses. More alert, more vivacious, more intelligent, even more urbane in the finer sense, as the urban population becomes,--not perhaps at first, but in the end,--it inevitably loses its stamina, its reserves of vital energy. Dr. Cantlie very properly defines a Londoner as a person whose grandparents all belonged to London--and he could not find any. Dr. Harry Campbell has found a few who could claim London grandparents; they were poor specimens of humanity.[137] Even on the intellectual side there are no great Londoners. It is well known that a number of eminent men have been born in London; but, in the course of a somewhat elaborate study of the origins of British men of genius, I have not been able to find that any were genuinely Londoners by descent.[138] An urban life saps that calm and stolid strength which is necessary for all great effort and stress, physical or intellectual. The finest body of men in London, as a class, are the London police, and Charles Booth states that only 17 per cent of the London police are born in London, a smaller proportion than any other class of the London population except the army and navy. As Mr. N.C. Macnamara has pointed out, it is found that London men do not possess the necessary nervous stability and self-possession for police work; they are too excitable and nervous, lacking the equanimity, courage, and self-reliance of the rural men. Just in the same way, in Spain, the bull-fighters, a body of men admirable for their graceful strength, their modesty, courage, and skill, nearly always come from country districts, although it is in the towns that the enthusiasm for bull-fighting is centred. Therefore, it would appear that until urban conditions of life are greatly improved, the more largely urban a population becomes, the more is its standard of vital and physical efficiency likely to be lowered. This became clearly visible during the South African War; it was found at Manchester (as stated by Dr. T.P. Smith and confirmed by Dr. Clayton) that among 11,000 young men who volunteered for enlistment, scarcely more than 10 per cent could pass the surgeon's examination, although the standard of physique demanded was extremely low, while Major-General Sir F. Maurice has stated[139] that, even when all these rejections have been made, of those who actually are enlisted, at the end of two years only two effective soldiers are found for every five who enlist. It is not difficult to see a bearing of these facts on the birth-rate. The civilized world is becoming a world of towns, and, while the diminished birth-rate of towns is certainly not mainly the result of impaired vitality, these phenomena are correlative facts of the first importance for every country which is using up its rural population and becoming a land of cities.

From our present point of view it is thus a very significant fact that the equipoise between country-dwellers and town-dwellers has been lost, that the towns are gaining at the expense of the country whose surplus population they absorb and destroy. The town population is not only disinclined to propagate; it is probably in some measure unfit to propagate.

At the same time, we must not too strongly emphasize this aspect of the matter; such over-emphasis of a single aspect of highly complex phenomena constantly distorts our vision of great social processes. We have already seen that it is inaccurate to assert any connection between a high birth-rate and a high degree of national prosperity, except in so far as at special periods in the history of a country a sudden wave of prosperity may temporarily remove the restraints on natural fertility. Prosperity is only one of the causes that tend to remove the restraint on the birth-rate; and it is a cause that is never permanently effective.

III

To get to the bottom of the matter, we thus find it is necessary to look into it more closely than is usually attempted. When we ask ourselves why prosperity fails permanently to remove the restraints on fertility the answer is, that it speedily creates new restraints. Prosperity and civilization are far from being synonymous terms. The savage who is able to glut himself with the whale that has just been stranded on his coast, is more prosperous than he was the day before, but he is not more civilized, perhaps a trifle less so. The working community that is suddenly glutted by an afflux of work and wages is in exactly the same position as the savage who is suddenly enabled to fill himself with a rich mass of decaying blubber. It is prosperity; it is not civilization.[140] But, while prosperity leads at first to the reckless and unrestrained gratification of the simplest animal instincts of nutrition and reproduction, it tends, when it is prolonged, to evolve more complex instincts. Aspirations become less crude, the needs and appetites engendered by prosperity take on a more social character, and are sharpened by social rivalries. In place of the earlier easy and reckless gratification of animal impulses, a peaceful and organized struggle is established for securing in ever fuller degree the gratification of increasingly insistent and increasingly complex desires. Such a struggle involves a deliberate calculation and forethought, which, sooner or later, cannot fail to be applied to the question of offspring. Thus it is that affluence, in the long run, itself imposes a check on reproduction. Prosperity, under the stress of the urban conditions with which it tends to be associated, has been transformed into that calculated forethought, that deliberate self-restraint for the attainment of ever more manifold ends, which in its outcome we term "civilization."

It is frequently assumed, as we have seen, that the process by which civilization is thus evolved is a selfish and immoral process. To procreate large families, it is said, is unselfish and moral, as well as a patriotic, even a religious duty. This assumption, we now find, is a little too hasty and is even the reverse of the truth; it is necessary to take into consideration the totality of the social phenomena accompanying a high birth-rate, more especially under the conditions of town life. A community in which children are born rapidly is necessarily in an unstable position; it is growing so quickly that there is insufficient time for the conditions of life to be equalized. The state of ill-adjustment is chronic; the pressure is lifted from off the natural impulse of procreation, but is increased on all the conditions under which the impulse is exerted. There is increased overcrowding, increased filth, increased disease, increased death. It can never happen, in modern times, that the readjustment of the conditions of life can be made to keep pace with a high birth-rate. It is sufficient if we consider the case of English towns, of London in particular, during the period when British prosperity was most rapidly increasing, and the birth-rate nearing its maximum, in the middle of the great Victorian epoch, of which Englishmen are, for many reasons, so proud. It was certainly not an age lacking in either energy or philanthropy; yet, when we read the memorable report which Chadwick wrote in 1842, on the _Sanitary Condition of the Labouring Population of Great Britain_, or the minute study of Bethnal Green which Gavin published in 1848 as a type of the conditions prevailing in English towns, we realize that the magnificence of this epoch was built up over circles of Hell to which the imagination of Dante never attained.

As reproductive activity dies down, social conditions become more stable, a comparatively balanced state of adjustment tends to be established, insanitary surroundings can be bettered, disease diminished, and the death-rate lowered. How much may thus be accomplished we realize when we compare the admirably precise and balanced pages in which Charles Booth, in the concluding volumes of his great work, has summarized his survey of London, with the picture presented by Chadwick and Gavin half a century earlier. Ugly and painful as are many of the features of this modern London, the vision which is, on the whole, evoked is that of a community which has attained self-consciousness, which is growing into some faint degree of harmony with its environment, and is seeking to gain the full amount of the satisfaction which an organized urban life can yield. Booth, who appears to have realized the significance of a decreased fertility in the attainment of this progress, hopes for a still greater fall in the birth-rate; and those who seek to restore the birth-rate of half a century ago are engaged on a task which would be criminal if it were not based on ignorance, and which is, in any case, fatuous.

The whole course of zoological evolution reveals a constantly diminishing reproductive activity and a constantly increasing expenditure of care on the offspring thus diminished in number.[141] Fish spawn their ova by the million, and it is a happy chance if they become fertilized, a highly unlikely chance that more than a very small proportion will ever attain maturity. Among the mammals, however, the female may produce but half a dozen or fewer offspring at a time, but she lavishes so much care upon them that they have a very fair chance of all reaching maturity. In man, in so far as he refrains from returning to the beast and is true to the impulse which in him becomes a conscious process of civilization, the same movement is carried forward. He even seeks to decrease still further the number of his offspring by voluntary effort, and at the same time to increase their quality and magnify their importance.[142]

When in human families, especially under civilized conditions, we see large families we are in the presence of a reversion to the tendencies that prevail among lower organisms. Such large families may probably be regarded, as Näcke suggests, as constituting a symptom of degeneration. It is noteworthy that they usually occur in the pathological and abnormal classes, among the insane, the feeble-minded, the criminal, the consumptive, the alcoholic, etc.[143]

This tendency of the birth-rate to fall with the growth of social stability is thus a tendency which is of the very essence of civilization. It represents an impulse which, however deliberate it may be in the individual, may, in the community, be looked upon as an instinctive effort to gain more complete control of the conditions of life, and to grapple more efficiently with the problems of misery and disease and death. It is not only, as is sometimes supposed, during the past century that the phenomena may be studied. We have a remarkable example some centuries earlier, an example which very clearly illustrates the real nature of the phenomena. The city of Geneva, perhaps first of European cities, began to register its births, deaths, and marriages from the middle of the sixteenth century. This alone indicates a high degree of civilization; and at that time, and for some succeeding centuries, Geneva was undoubtedly a very highly civilized city. Its inhabitants really were the "elect," morally and intellectually, of French Protestantism. In many respects it was a model city, as Gray noted when he reached it in the course of his travels in the middle of the eighteenth century. These registers of Geneva show, in a most illuminating manner, how extreme fertility at the outset, gradually gave place, as civilization progressed, to a very low fertility, with fewer and later marriages, a very low death-rate, and a state of general well-being in which the births barely replaced the deaths.

After Protestant Geneva had lost her pioneering place in civilization, it was in France, the land which above all others may in modern times claim to represent the social aspects of civilization, that the same tendency most conspicuously appeared. But all Europe, as well as all the English-speaking lands outside Europe, is now following the lead of France. In a paper read before the Paris Society of Anthropology a few years ago, Emile Macquart showed clearly, by a series of ingenious diagrams, that whereas, fifty years ago, the condition of the birth-rate in France diverged widely from that prevailing in the other chief countries of Europe, the other countries are now rapidly following in the same road along which France has for a century been proceeding slowly, and are constantly coming closer to her, England closest of all. In the past, proposals have from time to time been made in France to interfere with the progress of this downward movement of the birth-rate--proposals that were sufficiently foolish, for neither in France nor elsewhere will the individual allow the statistician to interfere officiously in a matter which he regards as purely intimate and private. But the real character of this tendency of the birth-rate, as an essential phenomenon of civilization, with which neither moralist nor politician can successfully hope to interfere, is beginning to be realized in France. Azoulay, in summing up the discussion after Macquart's paper[144] had been read at the Society of Anthropology, pointed out that "nations must inevitably follow the same course as social classes, and the more the mass of these social classes becomes civilized, the more the nation's birth-rate falls; therefore there is nothing to be done legally and administratively." And another member added: "Except to applaud."

It is probably too much to hope that so sagacious a view will at once be universally adopted. The United States and the great English colonies, for instance, find it difficult to realize that they are not really new countries, but branches of old countries, and already nearing maturity when they began their separate lives. They are not at the beginning of two thousand years of slow development, such as we have passed through, but at the end of it, with us, and sometimes even a little ahead of us. It is therefore natural and inevitable that, in a matter in which we are moving rapidly, Massachusetts and Ontario and New South Wales and New Zealand should have moved still more rapidly, so rapidly indeed, that they have themselves failed to perceive that their real natural increase and the manner in which it is attained place them in this matter at the van of civilization. These things are, however, only learnt slowly. We may be sure that the fundamental and complex character of the phenomena will never be obvious to our fussy little politicians, so apt to advocate panaceas which have effects quite opposite to those they desire. But, whatever politicians may wish to do or to leave undone, it is well to remember that, of the various ideals the world holds, there are some that lie on the path of our social progress, and others that do not there lie. We may properly exercise such wisdom as we possess by utilizing the ideals which are before us, serenely neglecting many others which however precious they may once have seemed, no longer form part of the stage of civilization we are now moving towards.

IV

What are the ideals of the stage of civilization we of the Western world are now moving towards? We have here pushed as far as need be the analysis of that declining birth-rate which has caused so much anxiety to those amongst us who can only see narrowly and see superficially. We have found that, properly understood, there is nothing in it to evoke our pessimism. On the contrary, we have seen that, in the opinion of the most distinguished authorities, the energy with which we move in our present direction, through the exercise of an ever finer economy in life, may be regarded as a "measure of civilization" in the important sphere of vital statistics. As we now leave the question, some may ask themselves whether this concomitant decline in birth-rates and death-rates may not possibly have a still wider and more fundamental meaning as a measure of civilization.