Healthy and Beauty in the Community | Principles of Organization

HEALTH AND BEAUTY


Health and Beauty in the Community.—Rural government formerly limited its range of activity to political and economic concerns. The individualism of Americans resented the interference of government in other matters. If property was made secure and taxed judiciously for the maintenance of public institutions, the duty of government was accomplished. The individual man was prepared to assume all further responsibility for himself and family. Such matters as the health of a rural community and its æsthetic appearance were left to individual initiative and generally were neglected. On many occasions the housewife showed her sympathy and kindliness by nursing a sick neighbor, but the members of the community had little appreciation of the seriousness of contagion and infection, no knowledge of germs, and small thought of preventive measures. The appearance of their buildings and grounds was nobody's business but their own. They had no conception of the social obligation of each for all and of all for each. The result was an unnecessary amount of illness, especially of tuberculosis and typhoid fever, because of insanitary buildings and grounds, and a general air of shabbiness and neglect that pervaded many communities. It was not that the people lacked the æsthetic sense, but it had not been trained, and in the struggle for the subjugation of a new continent all such minor considerations must give way to the satisfaction of elemental wants.

Slowly it is becoming understood that health and beauty are matters that demand public attention and regulation. Good fortune and happiness are not purely economic and political concerns. Well-kept roads, clean and well-planned public buildings, sanitary farm structures, properly drained farm lands, and pure drinking water may not add to the number of bushels an acre, but they prolong life and add to its comfort and satisfaction.

When it seems no longer strange to bother about health conditions, it will be relatively easy to give attention to rural æsthetics. If a schoolhouse or a meeting-house is to be erected, it will give greater satisfaction to the community if the principles of good architecture are observed and the building is set in the midst of trees and shrubbery and well-kept lawn. With such an object-lesson, the people of the community will presently contrast their own property with that of the public, the imitative impulse will begin to work, and individuals will begin to make improvements as leisure permits. There are villages that are ugly scars on a landscape which nature intended should be beautiful. With misdirected energy, farmers have destroyed the wild beauty of the fence corners and roadsides, mowing down the weeds and clearing out the brush and vines in an effort to make practical improvements, while with curious oversight they have permitted the weeds to grow in the paths and the grass to lengthen in the yard. Many a farm in rural communities has untidy refuse heaps, tottering outbuildings, rusting machinery, and general litter that reveal the absence of all sense of beauty or even neatness, yet the farmer and his wife may be thrifty, hard-working people, and scrupulously particular indoors. Their minds have not been sensitized to outdoor beauty and hideousness. They forget that nature is æsthetic; they live in the midst of her beauty, but their eyes are dim and their ears are dull, and it is difficult to instruct them. Happily, recent years have brought with them a new sense of the possibilities of rural beauty. Children are learning to appreciate it in the surroundings of the schoolhouse and the tasteful decorations of its interior; their elders are buying lawn-mowers and painting their fences, and America may yet rival in attractiveness the fair countryside of old England.

Is the Town Healthier than the Country?—It has been commonly believed that country people are healthier than townspeople. Their life in the open, with plenty of exercise and hard work, toughens fibre and strengthens the body to resist disease. It has also been supposed that the city, with its crowded quarters, vitiated air, and communicable diseases, has a much larger death-rate. It is true that city life is more dangerous to health than a country existence if no health precautions are taken, but city ordinances commonly regulate community health, while in the country there is greater license. Exposure gives birth to colds and coughs in the country; these are treated with inadequate home remedies, because physicians are inconveniently distant or expensive, and chronic diseases fasten themselves upon the individual. Ignorance of hygienic principles, absence of bathrooms, poor ventilation, unscreened doors and windows, and impure water and milk are among the causes of disease.

There is as much need of pure air, pure water, and pure food in the country as in the city, and the danger from disease is no less menacing. The farmer loses vitality through long hours of labor, and is susceptible to disease scarcely less than is the working man in town. And he is more at fault if he suffers, for there is room to build the home in a healthful location, where drainage is easy and pure air and sunshine are abundant; there is water without price for cleansing purposes, and sanitation is possible without excessive cost. In most cases it is lack of information that prevents a realization of perils that lurk, and every rural community should have instruction in hygiene from school-teacher, physician, or resident nurse.

Rural Health Preservers.—Three health preservers are needed in every rural community. These are the health official, the physician, and the nurse. There is need first of one whose business it shall be to inspect the sanitary conditions of public and private buildings, and to watch the health of the people, old and young. It matters little whether the official is under State or local authority, if he efficiently and fearlessly performs his duty. Constant vigilance alone can give security, and it is a small price to pay if the community is compelled to bear even the whole expense of such a health official. Community health is often intrusted to the town fathers or a district board with little interest in the matter; on the other hand, the agent of a State board is not always a local resident, and is liable to overlook local conditions. It is desirable that the health official be an individual of good training, familiar with the locality, and with ample authority, for in this way only can safety be reasonably secure.

It is by no means impracticable to give a local physician the necessary official authority. He is equipped with information and skilled by experience to know bad conditions when he sees them and to appreciate their seriousness. Whether or not a physician is the official health protector of the community, a physician there should be who can be reached readily by those who need him, and who should be required to produce a certificate of thorough training in both medicine and surgery. If such a medical practitioner does not establish himself in the district voluntarily, the community might well afford to employ such a physician on a salary and make him responsible for the health of all. As civilization advances it will become increasingly the custom in the country as well as in the city to employ a physician to keep one's general health good, as now one employs a dentist to examine and preserve the teeth. Medical practice must continually become more preventive and less remedial. It may seem as if it were an unwarranted expansion of the social functions of a community that it should care for the health of individuals, but as the interdependence of individuals becomes increasingly understood, the community may be expected to extend its care for its own welfare.

The Village Nurse.—Alongside the physician belongs the village or rural nurse. Already there are many communities that are becoming accustomed to such a functionary, who visits the schools, examines the children, prescribes for their small ailments or recommends a visit to the physician, and who stands ready to perform the duties of a trained nurse at the bedside of any sufferer. The support of such a nurse is usually maintained by voluntary subscription, but there seems to be no good reason why she should not be appointed and paid by the organized community as a local official. She is as much needed as a road-surveyor, surely as valuable as hog-reeve or pound-keeper. It is a valid social principle, though rural observation does not always justify it, that human life is not only intrinsically more valuable to the individual or family than the life of an animal of the herd, but it is actually worth more to the community.


The Village Improvement Society.—To secure good health conditions, interested persons in the community may organize a health club. Its feasibility is well proved by the history of the village improvement society. There are two hundred such societies in Massachusetts alone, and the whole movement is organized nationally in the American Civic Federation. Their object is the toning up of the community by various methods that have proved practicable. They owe their organization to a few public-spirited individuals, to a woman's club, or sometimes to a church. Their membership is entirely voluntary, but local government may properly co-operate to accomplish a desired end. Expenses are met by voluntary contribution or by means of public entertainments, and its efforts are limited, of course, by the fatness of its purse. Examples of the useful public service that they perform are the demolition of unsightly buildings and the cleaning up of unkempt premises, the beautification of public structures and the building of better roads, the erection of drinking troughs or fountains, and the improvement of cemeteries. Besides such outdoor interests village improvement societies create public spirit, educate the community by means of high-class entertainments, art and nature exhibits, and public discussion of current questions of local interest. They stand back of community enterprises for recreation, fire protection, and other forms of social service, including such economic interests as co-operative buying and marketing and the extension of telephone or transportation service.

The initial impulse that sets in motion various forms of village improvement frequently comes from the summer visitor or from a teacher or minister who brings new ideas and a will to carry them into action. In certain sections of country, like the mountain region of northern New England, summer people are very numerous, through the weeks from June to October, and not a few of them revisit their favorite rural haunts for a briefer time in the winter. It is not to be expected that they are always a force for good. Sometimes they make country residents envious and dissatisfied. But it is not unusual that they give an intellectual stimulus to the young people and the women, compel the men to observe the proprieties of social intercourse, and encourage downcast leaders of church and neighborhood to renewed industry and hope. They demand multiplied comforts and conveniences, and expect attractive and healthful accommodations. Where they purchase and improve lands and buildings of their own they provide useful models to their less particular neighbors, and thus the leaven of a better type of living does its work in the neighborhood.

Principles of Organization.—The principles that lie at the basis of every organization for improvement are simple and practicable everywhere. They have been enumerated as a democratic spirit and organization, a wide interest in community affairs, and a perennial care for the well-being of all the people. Public spirit is the reason for its existence, and the same public spirit is the only force that can keep the organization alive. Every community in this democratic country has its fortunes in its own hands. If it is so permeated with individualism or inertia that it cannot awake to its duties and its privileges, it will perish in accordance with the law of the survival of the fittest; if, on the contrary, it adopts as its controlling principles those just mentioned, it will find increasing strength and profit for itself, because it keeps alive the spirit of co-operation and mutual help.


READING REFERENCES

Hart: Educational Resources of Village and Rural Communities, pages 66-82, 106-130.

Gillette: Rural Sociology, pages 147-167.

Harris: Health on the Farm.

Farwell: Village Improvement, pages 47-53, Appendix.

Waters: Village Nursing in the United States.