The enormous difference between town and country dwellers as regards duration of life and the prevalence of zymotic diseases has been known statistically since the era of registration, and a body of Health Officers have been set up to report upon the worst cases. The local authorities have power to compel the owners of unhealthy dwellings to put them into a sanitary condition, or even order them to be entirely rebuilt. But as many of the members of Corporations and other Local Boards are often themselves owners of such property, or have intimate friends who are so, very little has been done to remedy the evil. Again and again, in all parts of the country, the Health Officers have duly reported, but their reports have been ignored. In some cases where the Health Officer has been too persistent, he has been asked to resign or has been discharged. A few general facts may be here given.

By the last complete Census returns (1901), there are in England and Wales 7,036,868 tenements, and of these 3,286,526, or nearly half, have from one to four rooms only. In London, out of a total of 1,019,646 tenements, 672,030, or considerably more than half, have from one to four rooms; while there are about 150,000 tenements of only one room, in which are living 313,298 persons, or about two and a quarter persons in each room on the average. There are, however, about 20,000 persons living five in a room, and 20,000 more who have six, seven, or eight in a room. As most of these one-roomed tenements are either the cellars or attics of houses in the most crowded parts of large towns, where there is impure air, little light, and scanty water supply, the condition of those who dwell in them may be imagined—or rather cannot be imagined, except by those who have explored them.

Equally inhuman, immoral, and even criminal, is the neglect of all adequate measures to check the loss of infant life through the overwork, poverty, or starvation of the mother, together with overcrowded and insanitary dwellings. In the mad race for wealth by capitalists and employers most of our towns and cities have been allowed to develop into veritable death-traps for the poor. This has been known for the greater part of a century, yet nothing really effective has been done, notwithstanding abundant health legislation—again made useless by the dread of diminishing the excessive profits of manufacturers and slum-owners. One of the Labour newspapers calls our attention to the following facts for 1911 as to Infant mortality per 1,000 born:

Such facts exist all over the kingdom. They have been talked about and deplored for the last half-century at least. Who has murdered the 100,000 children who die annually before they are one year old? Who has robbed the millions that just survive of all that makes childhood happy—pure food, fresh air, play, rest, sleep, and proper nurture and teaching? Again we must answer, our Parliament, which occupies itself with anything rather than the immediate saving of human life and abolishing widespread human misery, the whole of which is remediable. And all for fear of offending the rich and powerful by some diminution of their ever-increasing accumulations of wealth. No thinking man or woman can believe that this state of things is absolutely irremediable; and the persistent acquiescence in it while loudly boasting of our civilisation, of our science, of our national prosperity, and of our Christianity, is the proof of a hypocritical lack of national morality that has never been surpassed in any former age.

A new set of evils has grown up in the various so-called "unhealthy trades"—the lead glaze in the china manufacture, the steel dust in cutlery work, and the endless variety of poisonous liquids and vapours in the numerous chemical works or processes, by which so many fortunes have been made. These, together, are the cause of a large direct loss of life, and a much larger amount of permanent injury, together with a terrible reduction in the duration of life of all the workers in such trades. Yet in one case only—that of phosphorus matches—has any such injurious process of manufacture been put an end to. Wealth has been deliberately preferred to human life and happiness.[51:A]

One of the most deadly of trades seems to have remained unnoticed till it has been brought to light by the new Labour paper, The Daily Citizen, in a series of articles by Mr. Keighley Snowden, entitled The Broken Women. Never was a title better deserved, since large numbers of girls and young women are employed at Lye and Cradley Heath, in what is commonly named the "Hollow Ware" works. This is the tinning, or galvanising, as it is usually termed, of buckets and other domestic utensils, in which lead is used; and it produces one of the most virulent forms of lead-poisoning. The symptoms are, among other more painful ones, the loss of hair and the loosening and ultimate loss of teeth, culminating either in chronic illness or death, sometimes in a few months or years. Five years ago there was a Home Office inquiry, which, after full examination, reported that the process used was dangerous to life, that no precautions could render it harmless, and that it should be totally discontinued.

An order was then issued by the Home Office that after a time-limit (two years) the process should be no longer used; but that order has not been obeyed (except by a few employers) to this day. The deadly nature of this work was accompanied by miserably low wages, as shown by the fact that the women workers have at length struck to obtain a minimum of 10s. a week! Helped by some humane friends, they have at length succeeded in obtaining this miserable wage, and for the present are in a state of comparative happiness! How long it will be before the Government abolishes this deadly process we cannot tell. The following is a brief statement of what these poor women have to suffer, extracted from The Daily Citizen of November 20th, 1912:—

Those who want to know what horrors can exist to-day in England should read Mr. Snowden's series of articles on the subject. They are restrained in language, and state the bare facts from careful personal observation. That such things should still exist in a country claiming to be civilised would be incredible, were there not so many others of a like nature and almost as bad.

In an almost exhaustive volume on Diseases of Occupation by Sir Thomas Oliver, M.D. (1908), there is only a short reference to the hollowware trade of the "black country" near Birmingham. But the tin plate industry of South Wales is more fully described, with the same pitiable condition of the women workers and the same terrible results to health and life. Yet nothing whatever seems to be done by the manufacturers; and though two Home Office Inspectors have fully reported on its horrors from 1888 onwards, no notice appears to have been taken of them, nor has there been any Government interference with conditions of labour which are a disgrace to civilisation.