The Task of Social Hygiene. Ellis Havelock

were at least two forms of medieval romantic love. The first arose in Provence and northern Italy during the twelfth century, and spread to Germany as Minnedienst. In this form the young knights directed their respectful and adoring devotion to a high-born married woman who chose one of them as her own cavalier, to do her service and reverence, the two vowing devotion to each other until death. It was a part of this amorous code that there could not be love between husband and wife, and it was counted a mark of low breeding for a husband to challenge his wife's right to her young knight's services, though sometimes we are told the husband risked this reproach, occasionally with tragic results. This mode of love, after being eloquently sung and practised by the troubadours—usually, it appears, younger sons of noble houses—died out in the place of its origin, but it had been introduced into Spain, and the Spaniards reintroduced it into Italy when they acquired the kingdom of Naples; in Italy it was conventionalized into the firmly rooted institution of the cavaliere servente. From the standpoint of a strict morality, the institution was obviously open to question. But we can scarcely fail to see that at its origin it possessed, even if unconsciously, a quasi-religious warrant in the worship of the Holy Mother, and we have to recognize that, notwithstanding its questionable shape, it was really an effort to attain a purer and more ideal relationship than was possible in a rough and warlike age which placed the wife in subordination to her husband. A tender devotion that inspired poetry, an unalloyed respect that approached reverence, vows that were based on equal freedom and independence on both sides—these were possibilities which the men and women of that age felt to be incompatible with marriage as they knew it.

      1

      Muralt, Lettres sur les Anglais. Lettre V.

      2

      In the reign of Richard II (1388) an Act was passed for "the punishment of those which cause corruption near a city or great town to corrupt the air." A century later (in Henry VII's time) an Act was passed to prevent butchers killing beasts in walled towns, the preamble to this Act declaring that no noble town in Christendom should contain slaughter-houses lest sickness be thus engendered. In Charles II's time, after the great fire of Lo

1

Muralt, Lettres sur les Anglais. Lettre V.

2

In the reign of Richard II (1388) an Act was passed for "the punishment of those which cause corruption near a city or great town to corrupt the air." A century later (in Henry VII's time) an Act was passed to prevent butchers killing beasts in walled towns, the preamble to this Act declaring that no noble town in Christendom should contain slaughter-houses lest sickness be thus engendered. In Charles II's time, after the great fire of London, the law provided for the better paving and cleansing of the streets and sewers. It was, however, in Italy, as Weyl points out (Geschichte der Sozialen Hygiene im Mittelalter, at a meeting of the Gesellschaft für Soziale Medizin, May 25, 1905), that the modern movement of organized sanitation began. In the thirteenth century the great Italian cities (like Florence and Pistoja) possessed Codici Sanitarii; but they were not carried out, and when the Black Death reached Florence in 1348, it found the city altogether unprepared. It was Venice which, in the same year, first initiated vigorous State sanitation. Disinfection was first ordained by Gian Visconti, in Milan, in 1399. The first quarantine station of which we hear was established in Venice in 1403.

3

The rate of infant mortality in England and Wales has decreased from 149 per 1000 births in 1871-80 to 127 per 1000 births in 1910. In reference to this remarkable fall which has taken place pari passu with the fall in the birth-rate, Newsholme, the medical officer to the Local Government Board, writes: "There can be no reasonable doubt that much of the reduction has been caused by that 'concentration' on the mother and the child which has been a striking feature of the last few years. Had the experience of 1896-1900 held good there would have been 45,120 more deaths of infants in 1910 than actually occurred." In some parts of the country, however, where the women go out to work in factories (as in Lancashire and parts of Staffordshire) the infantile mortality remains very high.

4

Mrs. Bertrand Russell, "The Ghent School for Mothers," Nineteenth Century, December, 1906.

5

It is scarcely necessary to say that other classifications of social reform on its more hygienic side may be put forward. Thus W.H. Allen, looking more narrowly at the sanitary side of the matter, but without confining his consideration to the nineteenth century, finds that there are always seven stages: (1) that of racial tutelage, when sanitation becomes conscious and receives the sanction of law; (2) the introduction of sanitary comfort, well-paved streets, public sewers, extensive waterworks; (3) the period of commercial sanitation, when the mercantile classes insist upon such measures as quarantine and street-cleaning to check the immense ravages of epidemics; (4) the introduction of legislation against nuisances and the tendency to extend the definition of nuisance, which for Bracton, in the fourteenth century, meant an obstruction, and for Blackstone, in the eighteenth, included things otherwise obnoxious, such as offensive trades and foul watercourses; (5) the stage of precaution against the dangers incidental to the slums that are fostered by modern conditions of industry; (6) the stage of philanthropy, erecting hospitals, model tenements, schools, etc.; (7) the stage of socialistic sanitation, when the community as a whole actively seeks its own sanitary welfare, and devotes public funds to this end.

(W.H. Allen, "Sanitation and Social Progress," American Journal of Sociology, March, 1903.)

6

Dr. F. Bushee has pointed out ("Science and Social Progress," Popular Science Monthly, September, 1911) that there is a kind of related progression between science and practice in this matter: "The natural sciences developed first, because man was first interested in the conquest of nature, and the simpler physical laws could be grasped at an early period. This period brought an increase of wealth, but it was wasteful of human life. The desire to save life led the way to the study of biology. Knowledge of the physical environment and of life, however, did not prevent social disease from flourishing, and did not greatly improve the social condition of a large part of society. To overcome these defects the social sciences within recent years have been cultivated with great seriousness. Interest in the social sciences has had to wait for the enlarged sympathies and the sense of solidarity which has appeared with the growing interdependence of dense populations, and these conditions have been dependent upon the advance of the other sciences. With the cultivation of the social sciences, the chain of knowledge will be complete, at least so far as the needs which have already appeared are concerned. For each group of sciences will solve one or more of the great problems which man has encountered in the process of development. The physical sciences will solve the problems of environment, the biological sciences the problems of life, and the social sciences the problems of society."

7

This exclusive pre-occupation with the improvement of the environment has been termed Euthenics by Mrs. Ellen H. Richards, who has written a book with this title, advocating euthenics in opposition to eugenics.

8

Not one of the four stages of social reform already