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The Task of Social Hygiene

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It we look at the matter from a wider standpoint we can have no difficulty in realizing that a community which is reproducing itself rapidly must always be in an unstable state of disorganization highly unfavourable to the welfare of its members, and especially of the new-comers; a community which is reproducing itself slowly is in a stable and organized condition which permits it to undertake adequately the guardianship of its new members. The high infantile mortality of the community with a high birth-rate merely means that that community is unconsciously making a violent and murderous effort to attain to the more stable and organized level of the country with a low birth-rate.

The English Registrar-General in 1907 estimated the natural increase by excess of births over deaths as exceptionally high (higher than that of England) in several Australian Colonies, in the Balkan States, in Russia, the Netherlands, the German Empire, Denmark, and Norway, though in the majority of these lands the birth-rate is very low. On the other hand, the natural increase by excess of births over deaths is below the English rate in Austria, in Hungary, in Japan, in Italy, in Sweden, Switzerland, Spain, Belgium, and Ontario, though in the majority of these lands the birth-rate is high, and in some very high. 102 In most cases it is the high death-rate in infancy and childhood which exercises the counterbalancing influence against a high birth-rate; the death-rate in adult life may be quite moderate. And with few exceptions we find that a high infantile mortality accompanies a high birth-rate, while a low infantile mortality accompanies a low birth-rate. It is evident, however, that even an extremely high infantile mortality is no impediment to a large natural increase provided the birth-rate is extremely high to a more than corresponding extent. But a natural increase thus achieved seems to be accompanied by far more disastrous social conditions than when an equally large increase is achieved by a low infantile death-rate working in association with a low birth-rate. Thus in Norway on one side of the world and in Australasia on the opposite side we see a large natural increase effected not by a profuse expenditure of mostly wasted births but by an economy in deaths, and the increase thus effected is accompanied by highly favourable social conditions, and great national vigour. Norway appears to have the lowest infantile death-rate in Europe. 103

Rubin has suggested that the fairest measure of a country's well-being, as regards its actual vitality—without direct regard, of course, to the country's economic prosperity—is the square of the death-rate divided by the birth-rate. 104 Sir J.A. Baines, who accepts this test, states that Argentina with its high birth-rate and low death-rate stands even above Norway, and Australia still higher, while the climax for the world is attained by New Zealand, which has attained "the nearest approach to immortality yet on record." 105 The order of descending well-being in Europe is thus represented (at the year 1900) by Norway, Sweden, Denmark, Holland, England, Scotland, Finland, Belgium, Switzerland, Germany, Ireland, Portugal, Italy, Austria, France, and Spain.

On the other hand, in all the countries, probably without exception, in which a large natural increase is effected by the efforts of an immense birth-rate to overcome an enormous death-rate the end is only effected with much friction and misery, and the process is accompanied by a general retardation of civilization. "The greater the number of children," as Hamburger puts it, "the greater the cost of each survivor to the family and to the State."

Russia presents not only the most typical but the most stupendous and appalling example of this process. Thirty years ago the mortality of infants under one year was three times that of Norway, nearly double that of England. More recently (1896-1900) the infantile mortality in Russia has fallen from 313 to 261, but as that of the other countries has also fallen it still preserves nearly the same relative position, remaining the highest in Europe, while if we compare it with countries outside Europe we find it is considerably more than four times greater than that of South Australia. In one town in the government of Perm, some years ago if not still, the mortality of infants under one year regularly reached 45 per cent, and the deaths of children under five years constituted half the total mortality. This is abnormally high even for Russia, but for all Russia it was found that of the boys born in a single year during the second half of the last century only 50 per cent reached their twenty-first year, and even of these only 37.6 per cent were fit for military service. It is estimated that there die in Russia 15 per thousand more individuals than among the same number in England; this excess mortality represents a loss of 1,650,000 lives to the State every year. 106

Thus Russia has the highest birth-rate and at the same time the highest death-rate. The large countries which, after Russia, have the highest infantile mortality are Austria, Hungary, Prussia, Spain, Italy, and Japan; all these, as we should expect, have a somewhat high birth-rate.

The case of Japan is interesting as that of a vigorous young Eastern nation, which has assimilated Western ways and is encountering the evils which come of those ways. Japan is certainly worthy of all our admiration for the skill and vigour with which it has affirmed its young nationality along Western lines. But when the vital statistics of Japan are vaguely referred to either as a model for our imitation or as a threatening peril to us, we may do well to look into the matter a little more closely. The infantile mortality of Japan (1908) is 157, a very high figure, 50 per cent higher than that of England, much more than double that of New Zealand, or South Australia. Moreover, it has rapidly risen during the last ten years. The birth-rate of Japan in 1901-2 was high (36), though it has since fallen to the level of ten years ago. But the death-rate has risen concomitantly (to over 24 per 1000), and has continued to rise notwithstanding the slight decline in the birth-rate. We see here a tendency to the sinister combination of a falling birth-rate with a rising death-rate. 107 It is obvious that such a tendency, if continued, will furnish a serious problem to Japanese social reformers, and at the same time make it impossible for Western alarmists to regard the rise of Japan as a menace to the world.

 

It is behind China that these alarmists, when driven from every other position, finally entrench themselves. "The ultimate future of these islands may be to the Chinese," incautiously exclaims Mr. Sidney Webb, who on many subjects, unconnected with China, speaks with authority. The knowledge of the vital statistics of China possessed by our alarmists is vague to the most extreme degree, but as the knowledge of all of us is scarcely less vague, they assume that their position is fairly safe. That, however, is an altogether questionable assumption. It seems to be quite true—though in the absence of exact statistics it may not be certain—that the birth-rate in China is very high. But it is quite certain that the infantile death-rate is extremely high. "Out of ten children born among us, three, normally the weakest three, will fail to grow up: out of ten children born in China these weakest three will die, and probably five more besides," writes Professor Ross, who is intimately acquainted with Chinese conditions, and has closely questioned thirty-three physicians practising in various parts of China. 108 Matignon, a French physician familiar with China, states that it is the custom for a woman to suckle her child for at least three years; should pregnancy occur during this period, it is usual, and quite legal, to procure abortion. Infants brought up by hand are fed on rice-flour and water, and consequently they nearly all die. 109

Putting aside altogether the question of infanticide, such a state of things is far from incredible when we remember the extremely insanitary state of China, the superstitions that flourish unchecked, and the famines, floods, and pestilences that devastate the country. It would appear probable that when vital statistics are introduced into China they will reveal a condition of things very similar to that we find in Russia, but in a more marked degree. No doubt it is a state of things which will be remedied. It is a not unreasonable assumption, supported by many indications, that China will follow Japan in the adoption of Western methods of civilization. 110 These methods, as we know, involve in the end a low birth-rate with a general tendency to a lower death-rate. Neither in the near nor in the remote future, under present conditions or under probable future conditions, is there any reason for imagining that the Chinese are likely to replace the Europeans in Europe. 111

This preliminary survey of the ground may enable us to realize that not only must we be cautious in attaching importance to the crude birth-rate until it is corrected, but that even as usually corrected the birth-rate can give us no clue at all to natural increase because there is a marked tendency for the birth-rate and the infantile death-rate to rise or sink together. Moreover, it is evident that we have also to realize that from the point of view of society and civilization there is a vast difference between the natural increase which is achieved by the effort of an enormously high birth-rate to overcome an almost correspondingly high death-rate and the natural increase which is attained by the dominance of a low birth-rate over a still lower death-rate.

Having thus cleared the ground, we may proceed to attempt the interpretation of the declining birth-rate which marks civilization, and to discuss its significance.

II

It must be admitted that it is not usual to consider the question of the declining birth-rate from a broad or scientific standpoint. As we have seen, no attempt is usually made to correct the crude birth-rate; still more rarely is it pointed out that we cannot consider the significance of a falling birth-rate apart from the question of the death-rate, and that the net increase or decrease in a nation can only be judged by taking both these factors into account. It is scarcely necessary to add, in view of so superficial a way of looking at the problem, that we hardly ever find any attempt to deal with the more fundamental question of the meaning of a low birth-rate, and the problematical character of the advantages of rapid multiplication. The whole question is usually left to the ignorant preachers of the gospel of brute force, would-be patriots who desire their own country to increase at the cost of all other countries, not merely in ignorance of the fact that the crude birth-rate is not the index of increase, but reckless of the effect their desire, if fulfilled, would have upon all the higher and finer ends of living.

When the question is thus narrowly and ignorantly considered, it is usual to account for the decreased birth-rate, the smaller average families, and the tendency to postpone the age of marriage, as due mainly to a love of luxury and vice, combined with a newly acquired acquaintance with Neo-Malthusian methods, 112 which must be combated, and may successfully be combated, by inculcating, as a moral and patriotic duty, the necessity of marrying early and procreating large families. 113 In France, the campaign against the religious Orders in their educational capacity, while doubtless largely directed against educational inefficiency, was also supported by the feeling that such education is not on the side of family life; and Arsène Dumont, one of the most vigorous champions of a strenuously active policy for increasing the birth-rate, openly protested against allowing any place as teachers to priests, monks, and nuns, whose direct and indirect influence must degrade the conception of sex and its duties while exalting the place of celibacy. In the United States, also, Engelmann, who, as a gynæcologist, was able to see this process from behind the scenes, urged his fellow-countrymen "to stay the dangerous and criminal practices which are the main determining factors of decreasing fecundity, and which deprive women of health, the family of its highest blessings, and the nation of its staunchest support." 114

We must, however, look at these phenomena a little more broadly, and bring them into relation with other series of phenomena. It is almost beyond dispute that a voluntary restriction of the number of offspring by Neo-Malthusian practices is at least one of the chief methods by which the birth-rate has been lowered. It may not indeed be—and probably, as we shall see, is not—the only method. It has even been denied that the prevalence of Neo-Malthusian practices counts at all. 115 Thus while Coghlan, the Government Statistician of New South Wales, concludes that the decline in the birth-rate in the Australian Commonwealth was due to "the art of applying artificial checks to conception," McLean, the Government Statistician of Victoria, concludes that it was "due mainly to natural causes." 116 He points out that when the birth-rate in Australia, half a century ago, was nearly 43 per 1000, the population consisted chiefly of men and women at the reproductive period of life, and that since then the proportion of persons at these ages has declined, leading necessarily to a decline in the crude birth-rate. If we compare the birth-rate of communities among women of the same age-periods, McLean argues, we may obtain results quite different from the crude birth-rate. Thus the crude birth-rate of Buda-Pesth is much higher than that of New South Wales, but if we ascertain the birth-rate of married women at different age-periods (15 to 20, 20 to 25, etc.) the New South Wales birth-rate is higher for every age-period than that of Buda-Pesth. McLean considers that in young communities with many vigorous immigrants the population is normally more prolific than in older and more settled communities, and that hardships and financial depression still more depress the birth-rate. He further emphasizes the important relationship, which we must never lose sight of in this connection, between a high birth-rate and a high death-rate, especially a high infantile death-rate, and he believes, indeed, that "the solution of the problem of the general decline in the birth-rate throughout all civilized communities lies in the preservation of human life." The mechanism of the connection would be, he maintains, that prolonged suckling in the case of living children increases the intervals between childbearing. As we have seen, there is a tendency, though not a rigid and invariable necessity, 117 for a high birth-rate to be associated with a high infantile death-rate, and a low birth-rate with a low infantile death-rate. Thus in Victoria, we have the striking fact that while the birth-rate has declined 24 per cent the infantile death-rate has declined approximately to the still greater extent of 27 per cent.

 

No doubt the chief cause of the reduction of the birth-rate has been its voluntary restriction by preventive methods due to the growth of intelligence, knowledge, and foresight. In all the countries where a marked decline in the birth-rate has occurred there is good reason to believe that Neo-Malthusian methods are generally known and practised. So far as England is concerned this is certainly the case. A few years ago Mr. Sidney Webb made inquiries among middle-class people in all parts of the country, and found that in 316 marriages 242 were thus limited and only 74 unlimited, while for the ten years 1890-9 out of 120 marriages 107 were limited and only 13 unlimited, but as five of these 13 were childless there were only 8 unlimited fertile marriages out of 120. As to the causes assigned for limiting the number of children, in 73 out of 128 cases in which particulars were given under this head the poverty of the parents in relation to their standard of comfort was a factor; sexual ill-health—that is, generally, the disturbing effect of child-bearing—in 24; and other forms of ill-health of the parents in 38 cases; in 24 cases the disinclination of the wife was a factor, and the death of a parent had in 8 cases terminated the marriage. 118 In the skilled artisan class there is also good reason to believe that the voluntary limitation of families is constantly becoming more usual, and the statistics of benefit societies show a marked decline in the fertility of superior working-class people during recent years; thus it is stated by Sidney Webb that the Hearts of Oak Friendly Society paid benefits on child-birth to 2472 per 10,000 members in 1880; by 1904 the proportion had fallen to 1165 per 10,000, a much greater fall than occurred in England generally.

The voluntary adoption of preventive precautions may not be, however, the only method by which the birth-rate has declined; we may have also to recognize a concomitant physiological sterility, induced by delayed marriage and its various consequences; we have also to recognize pathological sterility due to the impaired vitality and greater liability to venereal disease of an increasingly urban life; and we may have to recognize that stocks differ from one another in fertility.

The delay in marriage, as studied in England, is so far apparently slight; the mean age of marriage for all husbands in England has increased from 28.43 in 1896 to 28.88 in 1909, and the mean age of all wives from 26.21 in 1896 to 26.69 in 1909. This seems a very trifling rate of progression. If, however, we look at the matter in another way we find that there has been an extremely serious reduction in the number of marriages between 15 to 20, normally the most fecund of all age-periods. Between 1876 and 1880 (according to the Registrar-General's Report for 1909) the proportion of minors in 1000 marriages in England and Wales was 77.8 husbands and 217.0 wives. In 1909 it had fallen to only 39.8 husbands and 137.7 wives. It has been held that this has not greatly affected the decline in the birth-rate. Its tendency, however, must be in that direction. It is true that Engelmann argued that delayed marriages had no effect at all on the birth-rate. But it has been clearly shown that as the age of marriage increases fecundity distinctly diminishes. 119 This is illustrated by the specially elaborate statistics of Scotland for 1855; 120 the number of women having children, that is, the fecundity, was higher in the years 15 to 19, than at any subsequent age-period, except 20 to 24, and the fact that the earliest age-group is not absolutely highest is due to the presence of a number of immature women. In New South Wales, Coghlan has shown that if the average number of children is 3.6, then a woman marrying at 20 may expect to have five children, a woman marrying at 28 three children, at 32 two children, and at 37 one child. Newsholme and Stevenson, again, conclude that the general law of decline of fertility with advancing age of the mother is shown in various countries, and that in nearly all countries the mothers aged 15 to 20 have the largest number of children; the chief exception is in the case of some northern countries like Norway and Finland, where women develop late, and there it is the mothers of 20 to 25 who have the largest number of children. 121 The postponement in the age of marriage during recent years is, however, so slight that it can only account for a small part of the decline in the birth-rate; Coghlan calculates that of unborn possible children in New South Wales the loss of only about one-sixth is to be attributed to this cause. In London, however, Heron considers that the recognized connection between a low birth-rate and a high social standing might have been entirely accounted for sixty years ago by postponement of marriage, and that such postponement may still account for 50 per cent of it. 122

It is not enough, however, to consider the mechanism by which the birth-rate declines; to realize the significance of the decline we must consider the causes which set the mechanism in action.

We begin to obtain a truer insight into the meaning of the curve of a country's birth-rate when we realize that it is in relation with the industrial and commercial activity of the country. 123 It is sometimes stated that a high birth-rate goes with a high degree of national prosperity. That, however, is scarcely the case; we have to look into the matter a little more closely. And, when we do so, we find that, not only is the statement of a supposed connection between a high birth-rate and a high degree of prosperity an imperfect statement; it is altogether misleading.

If, in the first place, we attempt to consider the state of things among savages, we find, indeed, great variations, and the birth-rate is not infrequently low. But, on the whole, it would appear, the marriage-rate, the birth-rate, and, it may be added, the death-rate are all alike high. Karl Ranke has investigated the question with considerable care among the Trumai and Nahuqua Indians of Central Brazil. 124 These tribes are yet totally uncontaminated by contact with European influences; consumption and syphilis are alike unknown. In the two villages he investigated in detail, Ranke found that every man over twenty-five years of age was married, and that the only unmarried woman he discovered was feeble-minded. The average size of the families of those women who were over forty years of age was between five and six children, while, on the other hand, the mortality among children was great, and a relatively small proportion of the population reached old age. We see therefore that, among these fairly typical savages, living under simple natural conditions, the fertility of the women is as high as it is among all but the most prolific of European peoples; while, in striking contrast with European peoples, among whom a large percentage of the population never marry, and of those who do, many have no children, practically every man and woman both marries and produces children.

If we leave savages out of the question and return to Europe, it is still instructive to find that among those peoples who live under the most primitive conditions much the same state of things may be found as among savages. This is notably the case as regards Russia. In no other great European country do the bulk of the women marry at so early an age, and in no other is the average size of the family so large. And, concomitantly with a very high marriage-rate and a very high birth-rate, we find in Russia, in an equally high degree, the prevalence among the masses of infantile and general mortality, disease (epidemical and other), starvation, misery. 125

So far we scarcely see any marked connection between high fertility and prosperity. It is more nearly indicated in the high birth-rate of Hungary—only second to that of Russia, and also accompanied by a high mortality—which is associated with the rapid and notable development of a young nationality. The case of Hungary is, indeed, typical. In so far as high fertility is associated with prosperity, it is with the prosperity of a young and unstable community, which has experienced a sudden increase of wealth and a sudden expansion. The case of Western Australia illustrates the same point. Thirty years ago the marriage-rate and the birth-rate of this colony were on the same level as those of the other Australian colonies; but a sudden industrial expansion occurred, both rates rose, and in 1899 the fertility of Western Australia was higher than that of any other English-speaking community. 126

If now we put together the facts observed in savage life and the facts observed in civilized life, we shall begin to see the real nature of the factors that operate to raise or lower the fertility of a community. It is far, indeed, from being prosperity which produces a high fertility, for the most wretched communities are the most prolific, but, on the other hand, it is by no means the mere absence of prosperity which produces fertility, for we constantly observe that the on-coming of a wave of prosperity elevates the birth-rate. In both cases alike it is the absence of social-economic restraints which conduces to high fertility. In the simple, primitive community of savages, serfs, or slaves, there is no restraint on either nutritive or reproductive enjoyments; there is no adequate motive for restraint; there are no claims of future wants to inhibit the gratification of present wants; there are no high standards, no ideals. Supposing, again, that such restraints have been established by a certain amount of forethought as regards the future, or a certain calculation as to social advantages to be gained by limiting the number of children, a check on natural fertility is established. But a sudden accession of prosperity—a sudden excess of work and wages and food—sweeps away this check by apparently rendering it unnecessary; the natural reproductive impulse is liberated by this rising wave, and we here see whatever truth there is in the statement that prosperity means a high birth-rate. In reality, however, prosperity in such a case merely increases fertility because its sudden affluence reduces a community to the same careless indifference in regard to the future, the same hasty snatching at the pleasures of the moment, as we find among the most hopeless and least prosperous communities. It is a significant fact, as shown by Beveridge, that the years when the people of Great Britain marry most are the years when they drink most. It is in the absence of social-economic restraints—the absence of the perception of such restraints, or the absence of the ability to act in accordance with such perception—that the birth-rate is high.

Arsène Dumont seems to have been one of the first who observed this significance of the oscillation of the birth-rate, though he expressed it in a somewhat peculiar way, as the social capillarity theory. It is the natural and universal tendency of mankind to ascend, he declared; a high birth-rate and a strong ascensional impulse are mutually contradictory. Large families are only possible when there is no progress, and no expectation of it can be cherished; small families become possible when the way has been opened to progress. "One might say," Dumont puts it, "that invisible valves, like those which direct the circulation of the blood, have been placed by Nature to direct the current of human aspiration in the upward path it has prescribed." As the proletariat is enabled to enjoy the prospect of rising it comes under the action of this law of social capillarity, and the birth-rate falls. It is the effort towards an indefinite perfection, Dumont declares, which justifies Nature and Man, consoles us for our griefs, and constitutes our sovereign safeguard against the philosophy of despair. 127

When we thus interpret the crude facts of the falling birth-rate, viewing them widely and calmly in connection with the other social facts with which they are intimately related, we are able to see how foolish has been the outcry against a falling birth-rate, and how false the supposition that it is due to a new selfishness replacing an ancient altruism. 128 On the contrary, the excessive birth-rate of the early industrial period was directly stimulated by selfishness. There were no laws against child-labour; children were produced that they might be sent out, when little more than babies, to the factories and the mines to increase their parents' income. The fundamental instincts of men and women do not change, but their direction can be changed. In this field the change is towards a higher transformation, introducing a finer economy into life, diminishing death, disease, and misery, making possible the finer ends of living, and at the same time indirectly and even directly improving the quality of the future race. 129 This is now becoming recognized by nearly all calm and sagacious inquirers. 130 The wild outcry of many unbalanced persons to-day, that a falling birth-rate means degeneration and disaster, is so altogether removed from the sphere of reason that we ought perhaps to regard it as comparable to those manias which, in former centuries, have assumed other forms more attractive to the neurotic temperament of those days; fortunately, it is a mania which, in the nature of things, is powerless to realize itself, and we need not anticipate that the outcry against small families will have the same results as the ancient outcry against witches. 131

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

102Looked at in another way, it may be said that if a natural increase, as ascertained by subtracting the death-rate from the birth-rate, of 10 to 15 per cent be regarded as normal, then, taking so far as possible the figures for 1909, the natural increase of England and Scotland, of Germany, of Italy, of Austria and Hungary, of Belgium, is normal; the natural increase of New South Wales, of Victoria, of South Australia, of New Zealand, is abnormally high (though in new countries such increase may not be undesirable) while the natural increase of France, of Spain, and of Ireland is abnormally low. Such a method of estimation, of course, entirely leaves out of account the question of the social desirability of the process by which the normal increase is secured.
103Johannsen, Janus, 1905.
104Rubin, "A Measure of Civilization," Journal of the Royal Statistical Society, March, 1897. "The lowest stage of civilization," he points out, "is to go forward blindly, which in this connection means to bring into the world a great number of children which must, in great proportion, sink into the grave. The next stage of civilization is to see the danger and to keep clear of it. The highest stage of civilization is to see the danger and overcome it." Europe in the past and various countries in the present illustrate the first stage; France illustrates the second stage; the third stage is that towards which we are striving to move to-day.
105Baines, "The Recent Growth of Population in Western Europe," Journal of the Royal Statistical Society, December, 1909.
106Various facts and references are given by Havelock Ellis, The Nationalization of Health, chap. XIV.
107These are the figures given by the chief Japanese authority, Professor Takano, Journal of the Royal Statistical Society, July, 1910, p. 738.
108E.A. Ross, "The Race Fibre of the Chinese," Popular Science Monthly, October, 1911. According to another competent and fairly concordant estimate, the infantile death-rate of China is 90 per cent. Of the female infants, probably about 1 in 10 is intentionally destroyed.
109J.J. Matignon, "La Mère et l'Enfant en Chine," Archives d'Anthropologie Criminelle, October to November, 1909.
110Arsène Dumont, for instance, points out (Dépopulation et Civilization, p. 116) that the very early marriages and the reckless fertility of the Chinese cannot fail to cease as soon as the people adopt European ways.
111The confident estimates of the future population of the world which are from time to time put forward on the basis of the present birth-rate are quite worthless. A brilliantly insubstantial fabric of this kind, by B.L. Putnam Weale (The Conflict of Colour, 1911), has been justly criticized by Professor Weatherley (Popular Science Monthly, November, 1911).
112It is sometimes convenient to use the term "Neo-Malthusianism" to indicate the voluntary limitation of the family, but it must always be remembered that Malthus would not have approved of Neo-Malthusianism, and that Neo-Malthusian practices have nothing to do with the theory of Malthus. They would not be affected could that theory be conclusively proved or conclusively disproved.
113We even find the demand that bachelors and spinsters shall be taxed. This proposal has been actually accepted (1911) by the Landtag of the little Principality of Reuss, which proposes to tax bachelors and spinsters over thirty years of age. Putting aside the arguable questions as to whether a State is entitled to place such pressure on its citizens, it must be pointed out that it is not marriage but the child which concerns the State. It is possible to have children without marriage, and marriage does not ensure the procreation of children. Therefore it would be more to the point to tax the childless. In that case, it would be necessary to remit the tax in the case of unmarried people with children, and to levy it in the case of married people without children. But it has further to be remembered that not all persons are fitted to have sound children, and as unsound children are a burden and not a benefit to the State, the State ought to reward rather than to fine those conscientious persons who refrain from procreation when they are too poor, or with too defective a heredity, to be likely to produce, or to bring up, sound children. Moreover, some persons are sterile, and thorough medical investigation would be required before they could fairly be taxed. As soon as we begin to analyse such a proposal we cannot fail to see that, even granting that the aim of such legislation is legitimate and desirable, the method of attaining it is thoroughly mischievous and unjustifiable.
114J.G. Engelmann, "Decreasing Fecundity," Philadelphia Medical Journal, January 18, 1902.
115It has, further, been frequently denied that Neo-Malthusian practices can affect Roman Catholic countries, since the Church is precluded from approving of them. That is true. But it is also true that, as Lagneau long since pointed out, the Protestants of Europe have increased at more than double the annual rate of the Catholics, though this relationship has now ceased to be exact. Dumont states (Dépopulation et Civilisation, chap. XVIII) that there is not the slightest reason to suppose that (apart from the question of poverty) the faithful have more children than the irreligious; moreover, in dealing with its more educated members, it is not the policy of the Church to make indiscreet inquiries (see Havelock Ellis, Studies in the Psychology of Sex, Vol. VI, "Sex in Relation to Society," p. 590). A Catholic bishop is reported to have warned his clergy against referring in their Lent sermons to the voluntary restriction of conception, remarking that an excess of rigour in this matter would cause the Church to lose half her flock. The fall in the birth-rate is as marked in Catholic as in Protestant countries; the Catholic communities in which this is not the case are few, and placed in exceptional circumstances. It must be remembered, moreover, that the Church enjoins celibacy on its clergy, and that celibacy is practically a Malthusian method. It is not easy while preaching practical Malthusianism to the clergy to spend much fervour in preaching against practical Neo-Malthusianism to the laity.
116McLean, "The Declining Birth-rate in Australia," International Medical Journal of Australasia, 1904.
117Thus in France the low birth-rate is associated with a high infantile death-rate, which has not yet been appreciably influenced by the movement of puericulture in France. In England also, at the end of the last century, the declining birth-rate was accompanied by a rising infantile death-rate, which is now, however, declining under the influence of greater care of child-life.
118Sidney Webb, Times, October 11 and 16, 1906; also Popular Science Monthly, 1906, p. 526.
119It is important to remember the distinction between "fecundity" and "fertility." A woman who has one child has proved that she is fecund, but has not proved that she is fertile. A woman with six children has proved that she is not only fecund but fertile.
120They have been worked out by C.J. Lewis and J. Norman Lewis, Natality and Fecundity, 1905.
121Newsholme and Stevenson, op. cit.; Rubin and Westergaard, Statistik der Ehen, 1890, p. 95.
122D. Heron, "On the Relation of Fertility in Man to Social Status," Drapers' Company Research Memoirs, No. 1, 1906.
123The recognition of this relationship must not be regarded as an attempt unduly to narrow down the causation of changes in the birth-rate. The great complexity of the causes influencing the birth-rate is now fairly well recognized, and has, for instance, been pointed out by Goldscheid, Höherentwicklung und Menschenökonomie, Vol. I, 1911.
124In a paper read at the Brunswick Meeting of the German Anthropological Society (Correspondenzblatt of the Society, November, 1898); a great many facts concerning the fecundity of women among savages in various parts of the world are brought together by Ploss and Bartels, Das Weib, Vol I, chap. XXIV.
125The proportion of doctors to the population is very small, and the people still have great confidence in their quacks and witch-doctors. The elementary rules of sanitation are generally neglected, water supplies are polluted, filth is piled up in the streets and the courtyards, as it was in England and Western Europe generally until a century ago, and the framing of regulations or the incursions of the police have little effect on the habits of the people. Neglect of the ordinary precautions of cleanliness is responsible for the wide extension of syphilis by the use of drinking vessels, towels, etc., in common. Not only is typhoid prevalent in nearly every province of Russia, but typhus, which is peculiarly the disease of filth, overcrowding, and starvation, and has long been practically extinct in England, still flourishes and causes an immense mortality. The workers often have no homes and sleep in the factories amidst the machinery, men and women together; their food is insufficient, and the hours of labour may vary from twelve to fourteen. When famine occurs these conditions are exaggerated, and various epidemics ravage the population.
126It must, however, be remembered that in small and unstable communities a considerable margin for error must be allowed, as the crude birth-rate is unduly raised by an afflux of immigrants at the reproductive age.
127Arsène Dumont, Dépopulation et Civilisation, 1890, chap. VI. The nature of the restraint on fertility has been well set forth by Dr. Bushee ("The Declining Birth-rate and its Causes," Popular Science Monthly, August, 1903), mainly in the terms of Dumont's "social capillarity" theory.
128Even Dr. Newsholme, usually so cautious and reliable an investigator in this field, has been betrayed into a reference in this connection (The Declining Birth-rate, 1911, p. 41) to the "increasing rarity of altruism," though in almost the next paragraph he points out that the large families of the past were connected with the fact that the child was a profitable asset, and could be sent to work when little more than an infant. The "altruism" which results in crushing the minds and bodies of others in order to increase one's own earnings is not an "altruism" which we need desire to perpetuate. The beneficial effect of legislation against child-labour in reducing an unduly high birth-rate has often been pointed out.
129It may suffice to take a single point. Large families involve the birth of children at very short intervals. It has been clearly shown by Dr. R.J. Ewart ("The Influence of Parental Age on Offspring," Eugenics Review, October, 1911) that children born at an interval of less than two years after the birth of the previous child, remain, even when they have reached their sixth year, three inches shorter and three pounds lighter than first-born children.
130For instance, Goldscheid, in Höherentwicklung und Menschenökonomie; it is also, on the whole, the conclusion of Newsholme, though expressed in an exceedingly temperate manner, in his Declining Birth-rate.
131If, however, our birth-rate fanatics should hear of the results obtained at the experimental farm at Roseville, California, by Professor Silas Wentworth, who has found that by placing ewes in a field under the power wires of an electric wire company, the average production of lambs is more than doubled, we may anticipate trouble in many hitherto small families. Their predecessors insisted, in the cause of religion and morals, on burning witches; we must not be surprised if our modern fanatics, in the same holy cause, clamour for a law compelling all childless women to live under electric wires.
132J. Holt Schooling, "The English Marriage Rate," Fortnightly Review, June, 1901.
133G. Udny Yule, "Changes in the Marriage-and Birth-rate in England," Journal of the Royal Statistical Society, March, 1906.
134At an earlier period Hooker had investigated the same subject without coming to any very decisive conclusions ("Correlation of the Marriage-rate with Trade," Journ. Statistical Soc., September, 1901). Minor fluctuations in marriage and in trade per head, he found, tend to be in close correspondence, but on the whole trade has risen and the marriage-rate has fallen, probably, Hooker believed, as the result of the gradual deferment of marriage.
135The higher standard need not be, among the mass of the population, of a very exalted character, although it marks a real progress. Newsholme and Stevenson (op. cit.) term it a higher "standard of comfort." The decline of the birth-rate, they say, "is associated with a general raising of the standard of comfort, and is an expression of the determination of the people to secure this greater comfort."