CHAPTER IV.

Relation between the physical condition and happiness, and

between happiness and longevity—Longevity a good, and

why—Epochs of life—The age of maturity the only one that

admits of extension—Proof of this from physiology—Proof

from statistics—Explanation of terms—Life a fluctuating

quantity—Amount of it possessed in ancient Rome: in modern

Europe: at present in England among the mass of the people

and among the higher classes.

Life depends on the action of the organic organs. The action of the

organic organs depends on certain physical agents. As each organic

organ is duly supplied with the physical agent by which it carries on

its respective process, and as it duly appropriates what it receives,

the perfection of the physical condition is attained; and, according to

the perfection or imperfection of the physical condition, supposing no

accident interrupt its regular course, is the length or the brevity of

life.

It is conceivable that the physical condition might be brought to a

high degree of perfection, the mind remaining in a state but little

fitted for enjoyment; because it is necessary to enjoyment that there

be a certain development, occupation, and direction of the mental

powers and affections: and the mental state may be neglected, while

attention is paid to the physical processes. But the converse is not

possible. The mental energies cannot be fully called forth while the

physical condition is neglected. Happiness presupposes a certain degree

of excellence in the physical condition; and unless the physical

condition be brought to a high degree of excellence, there can be no

such development, occupation, and direction of the mental powers and

affections as is requisite to a high degree of enjoyment.

That state of the system in which the physical condition is sound is

in itself conducive to enjoyment; while a permanent state of enjoyment

is in its turn conducive to the soundness of the physical condition.

It is impossible to maintain the physical processes in a natural and

vigorous condition if the mind be in a state of suffering. The bills

of mortality contain no column exhibiting the number of persons who

perish annually from bodily disease, produced by mental suffering;

but every one must occasionally have seen appalling examples of the

fact. Every one must have observed the altered appearance of persons

who have sustained calamity. A misfortune, that struck to the heart,

happened to a person a year ago; observe him some time afterwards; he

is wasted, worn, the miserable shadow of himself; inquire about him at

the distance of a few months, he is no more.

It is stated by M. Villermé, that the ordinary rate of mortality in

the prisons of France, taking all together, is one in twenty-three—a

rate which corresponds to the age of sixty-five in the common course

of life. But in the vast majority of cases the unfortunate victims

of the law are no older than from twenty-five to forty-five years of

age. Taking them at the mean age of thirty-five, it follows that the

suffering from imprisonment, and from the causes that lead to it, is

equivalent to thirty years wear and tear of life. But this is not all;

for it is found that, during imprisonment, the ordinary chances of

death are exactly quadrupled.

In regard to the whole population of a country, indigence may be

assumed to be a fair measure of unhappiness, and wealth of happiness.

If the rate of mortality in the indigent class be compared with that

of the wealthy, according to M. Villermé, it will be found in some

cases to be just double. Thus it is affirmed that, in some cases in

France, taking equal numbers, where there are one hundred deaths in a

poor arrondissement, there are only fifty in a rich; and that taking

together the whole of the French population, human life is protracted

twelve years and a half among the wealthy beyond its duration among

the poor: consequently, in the one class, a child, newly born, has a

probability of living forty-two and a half years; in the other only

thirty years.

In the great life-insurance establishments in England, a vast

proportion of the persons who insure their lives are persons compelled

to do so by their creditors; while three-fourths of those who

voluntarily insure their lives are professional men, living in great

towns, and experiencing the anxieties and fatigues, the hopes and

disappointments of professional life. In one of these establishments in

London, out of 330 deaths that happened in twenty-six years preceding

the year 1831, it was found that eleven died by suicide, being one

in thirty, implying the existence of an appalling amount of mental

suffering. The number of persons belonging to an insurance office who

perish by suicide is sure to be accurately known, death by suicide

rendering the policy void. It would be most erroneous to suppose that

these persons put an end to their existence under the mere influence of

the mental states of disappointment and despondency. The mind reacted

upon the body: produced physical disease, probably inflammation of the

brain, and under the excitement of this physical disease, the acts of

suicide were committed. More than one case has come to my knowledge

in which inflammation of the brain having been excited by mental

suffering, suicide was committed by cutting the throat. During the flow

of blood, which was gradual, the brain was relieved; the mind became

perfectly rational; and the patient might have been saved had a surgeon

been upon the spot, or had the persons about the patient known where

and how to apply the pressure of the finger to staunch the flow of

blood, until surgical aid could be procured.

By a certain amount and intensity of misery life may be suddenly

destroyed; by a smaller amount and intensity, it may be slowly worn out

and exhausted. The state of the mind affects the physical condition;

but the continuance of life is wholly dependent on the physical

condition: it follows that in the degree in which the state of the

mind is capable of affecting the physical condition, it is capable of

influencing the duration of life.

Were the physical condition always perfect, and the mental state always

that of enjoyment, the duration of life would always be extended to

the utmost limit compatible with that of the organization of the

body. But as this fortunate concurrence seldom or never happens,

human life seldom or never numbers the full measure of its days.

Uniform experience shows, however, that, provided no accident occur to

interrupt the usual course, in proportion as body and mind approximate

to this state, life is long; and as they recede from it, it is short.

Improvement of the physical condition affords a foundation for the

improvement of the mental state; improvement of the mental state

improves up to a certain point the physical condition; and in the ratio

in which this twofold improvement is effected, the duration of life

increases.

Longevity then is a good, in the first place, because it is a sign

and a consequence of the possession of a certain amount of enjoyment;

and in the second place, because this being the case, of course in

proportion as the term of life is extended, the sum of enjoyment must

be augmented. And this view of longevity assigns the cause, and shows

the reasonableness of that desire for long life which is so universal

and constant as to be commonly considered instinctive. Longevity and

happiness, if not invariably, are generally, co-incident.

If there may be happiness without longevity, the converse is not

possible: there cannot be longevity without happiness. Unless the state

of the body be that of tolerable health, and the state of the mind

that of tolerable enjoyment, long life is unattainable: these physical

and mental conditions no longer existing, nor capable of existing, the

desire of life and the power of retaining it cease together.

An advanced term of life and decrepitude are commonly conceived to

be synonymous: the extension of life is vulgarly supposed to be the

protraction of the period of infirmity and suffering, that period which

is characterized by a progressive diminution of the power of sensation,

and a consequent and proportionate loss of the power of enjoyment, the

"sans teeth, sans eyes, sans taste, sans every thing." But this is so

far from being true, that it is not within the compass of human power

to protract in any sensible degree the period of old age properly so

called, that is, the stage of decrepitude. In this stage of existence,

the physical changes that successively take place clog, day by day, the

vital machinery, until it can no longer play. In a space of time, fixed

within narrow limits, the flame of life must then inevitably expire,

for the processes that feed it fail. But though, when fully come, the

term of old age cannot be extended, the coming of the term may be

postponed. To the preceding stage, an indefinite number of years may be

added. And this is a fact of the deepest interest to human nature.

The division of human life into periods or epochs is not an arbitrary

distinction, but is founded on constitutional differences in the

system, dependent on different physiological conditions. The periods

of infancy, childhood, boyhood, adolescence, manhood, and old age, are

distinguished from each other by external characters, which are but

the outward signs of internal states. In physiological condition, the

infant differs from the child, the child from the boy, the boy from the

man, and the adult from the old man, as much in physical strength as in

mental power. There is an appointed order in which these several states

succeed each other; there is a fixed time at which one passes into

another. That order cannot be inverted: no considerable anticipation

or postponement of that fixed time can be effected. In all places and

under all circumstances, at a given time, though not precisely at the

same time in all climates and under all modes of life, infancy passes

into childhood, childhood into boyhood, boyhood into adolescence, and

adolescence into manhood. In the space of two years from its birth,

every infant has ceased to be an infant, and has become a child; in the

space of six years from this period, every male child will have become

a boy; add eight years to this time, and every boy will have become a

young man; in eight years more, every young man will have become an

adult man; and in the subsequent ten years, every adult man will have

acquired his highest state of physical perfection. But at what period

will this state of physical perfection decline? What is the maximum

time during which it can retain its full vigour? Is that maximum fixed?

Is there a certain number of years in which, by an inevitable law,

every adult man necessarily becomes an old man? Is precisely the same

number of years appointed for this transition to every human being?

Can no care add to that number? Can no imprudence take from it? Does

the physiological condition or the constitutional age of any two

individuals ever advance to precisely the same point in precisely the

same number of years? Physically and mentally, are not some persons

older at fifty than others are at seventy? And do not instances

occasionally occur in which an old man, who reaches even his hundredth

year, retains as great a degree of juvenility as the majority of those

who attain to eighty?

If this be so, what follows? One of the most interesting consequences

that can be presented to the human mind. The duration of the periods of

infancy, childhood, boyhood, and adolescence, is fixed by a determinate

number of years. Nothing can stay, nothing retard, the succession of

each. Alike incapable of any material protraction is the period of old

age. It follows that every year by which the term of human existence is

extended is really added to the period of mature age; the period when

the organs of the body have attained their full growth and put forth

their full strength; when the physical organization has acquired its

utmost perfection; when the senses, the feelings, the emotions, the

passions, the affections, are in the highest degree acute, intense,

and varied; when the intellectual faculties, completely unfolded

and developed, carry on their operations with the greatest vigour,

soundness, and continuity; in a word, when the individual is capable of

receiving and of communicating the largest amount of the highest kind

of enjoyment.

A consideration more full of encouragement, more animating, there

cannot be. The extension of human life, in whatever mode and degree it

may be possible to extend it, is the protraction of that portion of it,

and only of that portion of it, in which the human being is capable of

RECEIVING AND OF COMMUNICATING THE LARGEST MEASURE OF THE NOBLEST KIND

OF ENJOYMENT.

Considerations, purely physiological, establish this indubitably; but

it is curious that a class of facts, totally different from those of a

physiological nature, equally prove it; namely, the results obtained

from the observation of the actual numbers that die at different ages,

and the knowledge consequently acquired of the progressive decrement

of life. Mortality is subject to a law, the operation of which is as

regular as that of gravitation. The labours of my valued friend Mr.

Finlaison, the actuary of the National Debt, have not only determined

what that law is in relation to different nations at different periods

of their history, but this celebrated calculator has also invented a

striking mode of expressing and representing the fact. He constructed

a chart on which 100 perpendicular lines, answering to the respective

ages of human life, are laid down and numbered in succession. These

are crossed at right angles by 500 horizontal lines; so that, in the

manner of musical notation, a point may be laid down either on the

horizontal line, or on the space between any two of them: and thus,

1000 points may be laid down on each of the perpendicular lines. The

horizontal lines are in like manner numbered from 1 to 1000, ascending

from the base. Taking any observation which shows the number of living

persons that commence, and in like manner the number that die in each

particular year of human life, the calculator reduced by the rule of

three every such actual number of living persons for every separate

year to 10,000: he next showed the corresponding proportion of deaths

out of such 10,000. These proportions he represented on the chart by

a point inserted on the horizontal line or space for the number of

deaths, and on the perpendicular line for the particular age. He then

connected all the points so laid down, and the result is a curve,

representing the track of death through an equal number of human beings

existing at each age of life. As the curve rises on the perpendicular

line, at any given age, it indicates by so much an increase of the

mortality at that age; and as the curve falls, the reverse is denoted.

Now, it is a highly interesting fact, that the curves on this chart

drawn upon it before the physiological phenomena were known to the

operator, placed there because such he found to be the actual path

along which death marshals his course, exactly correspond to the epochs

which physiology teaches to be determinate stages of human existence.

The infant, the child, the boy, the adolescent, the man, the old man,

are not exposed to the same danger. The liability of each to death

is not merely different; it is widely different; the liability of

each class is uniformly the same, the circumstances influencing life

remaining the same; and under no known change of circumstances does

the relative liability of the class vary; under no change does the

liability of the adolescent become that of the infant, or the liability

of the adult that of the aged. Take from any statistical document any

number of persons; observe out of this number the proportion that

dies at the different stages just enumerated; and the period of human

life which admits of extension will be strikingly manifest. Take with

this view the Prussian statistical tables, the general correctness of

which is admitted. From these tables it appears, and the correctness

of the result is confirmed by a multitude of other tables, that out

of a million living male births, there will die in the first year of

life 180,492 infants, and out of the like number of living female

births, there will die 154,705 infants. Let us follow up the decrement

of life through the different epochs of human existence, confining

our observations to the male sex, in which the development is more

emphatically marked.

In Mr. Finlaison's report, printed by the House of Commons on the 30th

of March, 1829, there are six original observations on the mortality of

as many separate sets of annuitants of the male sex.

From an examination and comparison of these observations, it

appears—1st. That the rate of mortality falls to a minimum at

the close of the period of childhood. 2d. That from this point

the mortality rises until the termination of adolescence or the

commencement of adult age. 3d. That from the commencement of adult age

the mortality again declines, and continues to decline to the period of

perfect maturity. And 4th. That from the period of perfect maturity,

the mortality rises, and uniformly, without a single exception,

returns, at the age of forty-eight, to the point at which it stood at

the termination of adolescence. These results clearly indicate that

certain fixed periods are marked by nature as epochs of human life;

and that at the date of the recorded facts which furnish the data

for these observations, and as far as regards the class of persons

to which they relate, the age of forty-eight was the exact point at

which the meridian of life was just passed, and a new epoch began. The

following table exhibits at one view the exact results of each of the

observations. For example,

According to The mortality From whence From this And from this

the is at a it rises point it age it again

observation, minimum at the until declines rises, but is not

No. age of the age of to the equal to the

age of mortality in

the 2d column

until the age of

15 — 13 — 23 — 34 — 48

16 — 13 — 23 — 35 — 48

17 — 14 — 22 — 33 — 48

18 — 13 — 23 — 33 — 48

19 — 13 — 24 — 34 — 48

20 — 13 — 24 — 34 — 48

The observation, No. 15, is founded on the large mass of 9,347 lives

and 4,870 deaths. From this observation, it appears that, at the age of

thirteen, the mortality out of a million is 5,742, being 174,750 less

than in the first year of infancy At the age of twenty-three, it is

15,074, being 9,332 more than at the close of childhood. At the age of

thirty-four, the period of complete manhood, it falls to 11,707, being

3,367 less than at the close of adolescence. At the age of forty-eight,

the mortality returns to 14,870, all but identically the same as at

twenty-three, the adult age. From the age of forty-eight, when, as

has been stated, life just begins to decline from its meridian, the

mortality advances slowly, but in a steady and regular progression.

Thus, at the age of fifty-eight it is 29,185, being 14,315 more than

at the preceding decade, or almost exactly double. At the age of

sixty-eight, it is 61,741, being 32,556 more than at the preceding

decade, or more than double. At the age of seventy-eight, it is

114,255, being 52,514 more than at the preceding decade. At the age of

eighty-eight, it is 246,803, being 132,548 more than at the preceding

decade.

During the first year of infancy, as has been shown, the mortality

out of a million is 180,492. At the extreme age of eighty-four, it

is 178,130, very nearly the same as in the first year of infancy.

Greatly as the mortality of all the other epochs of life is affected

by country, by station, by a multitude of influences arising out of

these and similar circumstances; yet the concurrent evidence of all

observation shows that at this and the like advanced ages the mean term

of existence is nearly the same in all countries, at all periods, and

among all classes of society. Thus, among the nobility and gentry of

England, the expectation of life at eighty-four is four years; among

the poor fishermen of Ostend, it is precisely the same. M. De Parcieux,

who wrote just ninety years ago, establishes the expectation of life

at that time in France, at the same age, to have been three and a half

years; and Halley, who wrote 120 years ago, and whose observations are

derived from documents which go back to the end of the seventeenth

century, states the expectation of life at eighty-four to be two years

and nine months.

From these statements, then, it is obvious, that from the termination

of infancy at three years of age, a decade of years brings childhood to

a close, during which the mortality, steadily decreasing, comes to its

minimum. Another decade terminates the period of adolescence, during

which the mortality as steadily advances. A third decade changes the

young adult into a perfect man, and during this period, the golden

decade of human life, the mortality again diminishes; while, during

another decade and a half, the mortality slowly rises, and returns

at the close of the period to the precise point at which it stood at

adult age. Thus the interval between the period of birth and that of

adult age includes a term of twenty-three years. The interval between

the period of adult age and that when life just begins to decline from

its meridian, includes a term of twenty-four years: consequently, a

period more than equal to all the other epochs of life from birth

to adult age is enjoyed, during which mortality makes no advance

whatever. Now the term of years included in the several epochs that

intervene between birth and adult age is rigidly fixed. Thus the

period of infancy includes precisely three years, that of childhood

ten years, and that of adolescence ten years. Within the space of time

comprehended in these intervals, physiological changes take place,

on which depend every thing that is peculiar to the epochs. These

changes cannot be anticipated, cannot be retarded, except in a very

slight degree. In all countries, among all classes, they take place in

the same order and nearly in the same space of time. In like manner,

in extreme old age, or the age of decrepitude, which may be safely

assumed to commence at the period when the mortality equals that of the

first year of infancy, namely, the age of eighty-four, physiological

changes take place, which, within a given space of time, inevitably

bring life to a close. That space of time, in all countries, in all

ranks, in all ages, or rather as far back as any records enable us to

trace the facts, appears to be the same. As within a given time the

boy must ripen into manhood, so within a given time the man of extreme

old age must be the victim of death. Consequently, it is the interval

between the adult age and the age of decrepitude, and only this, that

is capable of extension. During the interval between adult age and the

perfect meridian of life, comprehending at present, as we have seen,

a period of twenty-four years, the constitution remains stationary,

mortality making no sensible inroad upon it. But there is no known

reason why this stationary or mature period of life should, like

the determinate epochs, be limited to a fixed term of years. On the

contrary, we do in fact know that it is not fixed; for we know that the

physiological changes on which age depends are, in some cases, greatly

anticipated, and in others, proportionately postponed; so that some

persons are younger at sixty, and even at seventy, than others are at

fifty; whereas, an analogous anticipation or postponement of the other

epochs of life is never witnessed. So complete is the proof, that the

extension of human life can consist in the protraction neither of the

period of juvenility, nor in that of senility, but only in that of

maturity.

Were it necessary to adduce further evidence of this most interesting

fact, it would be found equally in the statistics of disease as

in those of mortality. Indeed, the evidence derived from both

these sources must be analogous, because mortality is invariably

proportionate to the causes of mortality, of which causes, sickness, in

all its forms, may be taken as the general or collective expression.

We do not possess the same means of illustrating the prevalence

of disease through all the epochs of life as we do of showing the

intensity of mortality; yet the report of Mr. Finlaison, already

referred to, enables us to show its comparative prevalence at several

of those stages. Thus, from this document, it appears, that among

the industrious poor of London, members of benefit societies, out

of a million of males, the proportion constantly sick at the age of

twenty-three, is 19,410; at the age of twenty-eight, it is 19,670; at

the age of thirty-three, it is 19,400; at the age of thirty-eight,

it is 23,870; at the age of forty-three, it is 26,260; at the age of

forty-eight, it is 26,140; at the age of fifty-three, it is 27,060;

at the age of fifty-eight, it is 36,980; at the age of sixty-three,

it is 57,000; at the age of sixty-eight, it is 108,040; at the age of

seventy-three and upwards, it is 317,230. The prevalence of sickness

is not an exact and invariable measure of the intensity of mortality;

but there is a close connexion between them, as is manifest from

the progressively increasing amount of sickness, as age advances.

Thus, in the first ten years from the age of twenty-three to that of

thirty-three, there is no increase of sickness, its prevalence is

all but identically the same; in the next ten years from the age of

thirty-three to that of forty-three, the increase of sickness, as

compared with that of the preceding decade, is 6,860; in the next ten

years from the age of forty-three to that of fifty-three, the increase

is only 800; in the next ten years from the age of fifty-three to

that of sixty-three, the increase is 29,940, while from the age of

sixty-three to seventy-three, it is 260,230.

Such are the results derived from the experience of disease considered

in the aggregate, all its varied forms taken together. I am enabled

further to present an exact and most instructive proof, that one

particular disease which, in this point of view, may be considered

as more important than any other, because it is the grand agent of

death, namely fever, carries on its ravages in a ratio which steadily

and uniformly increases as the age of its victim advances. Having

submitted the experience of the London Fever Hospital for the ten

years preceding January 1834, an observation including nearly 6,000

patients affected with this malady, to Mr. Finlaison, it was subjected

by him to calculation. Among other curious and instructive results to

be stated hereafter, it was found that the mortality of fever resolves

itself into the following remarkable progression. Thus suppose 100,000

patients to be attacked with this disease between the ages of 5 and

16, of these there would die - 8,266 and of an equal number

between 15 and 26 there would die 11,494

25 and 36 " " " 17,071

35 and 46 " " " 21,960

45 and 56 " " " 30,493

55 and 66 " " " 40,708

65 and upwards " " " 44,643

Thus the risk of life from this malady is twice as great at the age

of thirty-one as it is at eleven. It is also nearly twice as great

at forty-one as it is at twenty-one. It is five times as great at

sixty-one as it is at eleven, and nearly four times as great above

sixty-five as it is at twenty-one.

From the whole of the foregoing statements, it is manifest that life is

a fluctuating quantity. In order to compare this fluctuating quantity

under different circumstances, writers on this branch of statistics use

several terms, the exact meaning of which it is desirable to explain.

It is, for example, very important to have a clear understanding of

what is meant by such expressions as the following: the expectation,

the probability, the value, the decrement of life, and the law of

mortality.

1. THE EXPECTATION OF LIFE. It is important to bear in mind that

several expressions in common use have a signification perfectly

synonymous with this: namely, _share of existence_; _mean duration of

life_; _la vie moyenne_.

By these terms is expressed the total number of years, including also

the fractional parts of a year, ordinarily attained by human beings

from and after any given age. Suppose, for example, that one thousand

persons enter on the eighty-sixth year of their age: suppose the

number of years and days which each one of them lives afterwards be

observed and recorded; suppose the number ultimately attained by each

be formed into a sum total; suppose this total be divided equally among

the thousand, the quotient of this division is said to be each one's

share of existence, or his mean duration of life, or his expectation

of life. Thus, of the thousand persons in the present case supposed

to commence the age of eighty-five, suppose the number of years they

collectively attain amount to 3,500 years: the one-thousandth part of

3,500 is three and a half: three years and a half then is said to be

the expectation of life at the age of eighty-five, because, of all the

persons originally starting, this is the equal share of existence that

falls to the lot of each.

2. PROBABILITY OF LIFE; or _the probable duration of life_, _la vie

probable_. These are synonymous terms, in use chiefly among continental

writers as an expression of the comparative duration of life. The

tabular methods of setting forth the duration of life consist, for the

most part, in assuming that 10,000 infants are born; and that at the

age of one, two, three, and each successive year of life, there are

so many still remaining in existence. Fix on any age; observe what

number remain alive to commence that age; note at what age this number

decreases to one-half; the age at which they so come to one-half is

called the probable term of life; because, say the continental writers,

it is an equal wager whether a person shall or shall not be alive at

that period. Thus, suppose one thousand males commence together the age

of eighty-four; suppose the table indicate that there will be alive

at the age of eighty-five, 817; at the age of eighty-six, 648; at the

age of eighty-seven, 493; at the age of eighty-eight, 357, and so on.

In the present case, the probable duration of life at eighty-four is

said to be very nearly three years, because, at the age of eighty-seven

there are left alive 493, very nearly one-half of the thousand that

originally started together.

3. VALUE OF LIFE. This term, when used accurately, expresses the

duration of life as measured by one or other of the methods already

expounded. But it is sometimes popularly used in a loose and singularly

inaccurate sense. Thus it is very commonly said—"Such a man's life

is not worth ten years' purchase," which is the same thing as to say,

that an annuity, suppose a hundred pounds a year, payable during the

life of the person in question, is not worth ten times its magnitude,

that is one thousand pounds. If a thousand pounds be put into a bank

at some rate of interest to be agreed upon, and if a hundred pounds be

drawn every year from the stock, the expression under consideration

affirms that the person in question will be dead before the principal

and interest are exhausted. For instance, at four per cent., the value

of an annuity of one hundred pounds to a man of the age of twenty-five

is 1694_l._, which is 16-9/10 years' purchase; whereas, his expectation

of life at that age is 35-9/10 years.

4. LAW OF MORTALITY. By this term is expressed the proportion out of

any determinate number of human beings who enter on a given year of

age, that will die in that year. Every observation on the duration of

life presents certain numbers, which, by recorded facts, are found to

pass through each year of age, and also shows how many have died or

failed to pass through every year of age. Those numbers, by the rule

of three, are converted into the proportions who would die at each

age out of one million of persons, if such a number had commenced it.

Suppose, then, a million of persons to be in existence at the first

year of age; suppose a million to be in existence at the second year

of age; suppose a million to be in existence at the third year of

age; and in this manner suppose an equal number to be in existence at

the commencement of each and every year to the extreme term of human

life. Now, the proportions that by actual observation are found to

die at each and every year out of the million that were alive at the

commencement of it, form separately the law of mortality for each year,

and collectively for the whole of life.

5. DECREMENT OF LIFE. Assuming, as before, that a million of male

children are born alive (for the still-born must be excluded from

the calculation) if it be found that 180,492 would die in the first

year, it follows that the difference, namely, 819,508, will enter upon

the age of one year. Suppose the law of mortality indicate that the

proportion that will die, out of a million, between the age of one

and two, is 30,000; it is plain that the number who would die out of

819,508 will by the rule of three be 27,863, and consequently that the

residue, namely, 791,615, will remain alive, and so enter on the age

of two years. This method being pursued through each and every age to

the extreme term of life, when none of the original million survive,

the result is a table of mortality in the form in which it is commonly

presented in the works of writers on this branch of science. In the

table thus constructed there is a column containing the number of

living persons who, out of the original million, lived to enter upon

each and every year. Of this rank of numbers the difference between

each term and its next succeeding one, is the number who die in that

particular interval: that number is the measure of what is technically

called the decrement of life for that particular year, and the whole

of the decrements for each and every year taken collectively is termed

the decrement of life. The decrement of life, then, is not only not

the same as the law of mortality, but is carefully to be distinguished

from it. The law of mortality is derived from observing the number

who die out of one and the same number which is always supposed to

enter on each and every year. The decrement of life constitutes a

rank of numbers arising out of the successive deaths; that is, out of

the original million in the first year; out of the survivors of that

million in the second year; out of the survivors of those survivors in

the third year, and so on. In the first case the number of the living

is always the same; the number that die is the variable quantity: in

the second case the number of the living is the variable quantity,

while the number that die may remain pretty much the same for a

succession of years; and on casting the eye on the tables constructed

in the ordinary mode, it will be seen that the number often does remain

the same for a considerable series of years.

We have said that life is a fluctuating quantity. It fluctuates

in different countries at the same period; in the same country at

different periods; in the same country, at the same period, in

different places; in the same country, at the same period, in the

same place, among different classes; in the same country, at the same

period, in the same place, among the same class, at the different

determinate stages of life. Some few of these fluctuations, and

more especially the last, depend on the primary constitution of the

organization in which life itself has its seat, over which man has

little or no control. The greater part of them depend on external

and adventitious agencies over which man has complete control. Human

ignorance, apathy, and indolence, may render the duration of life, in

regard to large classes and entire countries, short; human knowledge,

energy and perseverance, may extend the duration of life far beyond

what is commonly imagined. It will be interesting and instructive to

select a few of the more striking examples of this from the records we

possess, few and imperfect as they are, in relation to this subject.

Of the duration of life in the earlier periods of the history of the

human race we know nothing with exactness, though there are incidental

statements which afford the means of deducing with some probability

the rate of mortality in particular situations. There has come down to

us one document through Domitius Ulpianus, a judge, who flourished in

the reign of Alexander Severus, which enables us to form a probable

conjecture at least of the opinion of the Roman people of the value

of life among the citizens of Rome in that age. It happened at Rome

as in other countries, that when an estate came into the possession

of an individual it was burthened with a provision for another person

during the life of the latter, a younger brother, for example. This

provision was called by the Romans an aliment. No estate, burthened

with such a provision, could be sold by the heir in possession, unless

the purchaser retained in his hands so much of the price as was deemed

adequate to secure the regular and continuous payment of the aliment.

This imposed upon the Romans the necessity of considering what the term

of life would probably be from and after any given age. What they did

conceive that term to be is stated in a document of Ulpianus, recorded

by Justinian, and given in the note below.[1] This document imports

that from infancy up to the age of

20 there should be allowed 30 years

From 20 to 25 " " " " 28 "

25 to 30 " " " " 25 "

30 to 35 " " " " 22 "

35 to 40 " " " " 20 "

————

From 50 to 55 " " " " 9 "

55 to 60 " " " " 7 "

And at all ages above 60 " " " " 5 "

But between 40 and 50, as many years were to be allowed as the age of

the party fell short of 60, deducting one year.

No clue has hitherto been obtained to the discovery of the real

meaning of this document. It is, however, highly probable that the

Romans had fallen on one of the two methods of measuring the value of

life already explained; namely, that termed the Probability of Life.

Of the two modes of determining the value of life, the probability was

more likely to occur to a Roman judge than the expectation. He had

no tables, no registers to guide him. What course, then, would he be

likely to take? Probably he would form a list of his own school-fellows

and others within his own knowledge, of the age, say, of twenty. By

prevailing on persons of his own age, on whose correctness he could

rely, to draw out similar lists, he might accumulate some thousand

names. In this list it is probable that the male sex alone would be

included, on account of the greater ease of ascertaining both their

exact age and the exact date of their death. For the same reason,

it is probable that the list would consist only of the nobility and

the inhabitants of towns. Having thus completed his list, the next

step would be to frame another list of all who died at the age of

twenty-one; and next, another list of all who died at the age of

twenty-two, and so on through each and every year of life. Now by

subtracting the number in the list, No. 1, that is, those who died

between twenty and twenty-one, from the number who originally started

at twenty, which, in other words, would be to find the decrement of

life, in the mode already explained, he would see how many lived to

commence the age of twenty-one, and so on, through each year of life.

But this would be to construct a table, showing the probable duration

of life; that is, a table from which he could observe at what advanced

age the number originally starting at twenty, and so on, came to

diminish to one-half, when it would naturally occur to him that it

is an equal wager whether such younger life would or would not be in

existence at the advanced age so ascertained. If we suppose this to

have been the method actually adopted by the Roman judge, and apply

it to the table of Ulpianus, the result obtained is consistent in an

extraordinary degree, and is highly interesting.

There is reason to believe that the mortality at present throughout

Europe, taking all countries together, including towns and villages,

and combining all classes into one aggregate, is one in thirty-six.

Süssmilch, a celebrated German writer, who flourished about the middle

of the last century, estimated it at this average at that period. The

result of all Mr. Finlaison's investigations is a conviction that the

average for the whole of Europe does not materially differ at the

present time. He has ascertained by an actual observation, that in the

year 1832 it was precisely this in the town of Ostend. Taking this

town, then, as the subject of comparison, it is found that the probable

duration of life among the male sex at Ostend exceeds the Roman

allowance by the following number of years; namely,

At the age of 17, the excess in round

numbers is 5 years.

22 " " 5

27 " " 5

32 " " 5

37 " " 3

42 " " 3

47 " " 5

52 " " 5

57 " " 4

62 " " 4

67 " " 2

72 " " 1

77 " " 0

But it is not improbable that the Romans made some deduction from

what they knew to be the real value of life among the citizens of

Rome, on account of the use of the money appropriated to the aliment,

which the purchaser of the estate retained in his own hands. It has

been shown that the average mortality at present at Ostend is one

in thirty-six; which is the same thing as to assert that a new-born

child at Ostend has an expectation of thirty-five and a half years

of life. The Roman allowance from birth, _à primâ ætate_, was thirty

years. If we suppose the Romans deducted from the real value of life

five and a half years for the interest of money, it would bring the

Roman allowance and the duration of life at Ostend to the same. The

like deduction at the age of seventeen would likewise bring the

probability of life in both cases to the same. It is not likely that

the Romans, without any record of the individual facts, and acting

only on a general principle of utility, the best they could find,

would make any variation for the intermediate years of childhood and

youth: consequently the presumption is, that the duration of life at

Rome, 1300 years ago, was very much the same as it is throughout Europe

at the present day. This estimate, however, for the reasons already

assigned, includes only the resident citizens of Rome, the male sex,

and the higher classes. What the mortality was at Rome among the lower

class, including the slaves—what it was in the Roman provinces, and in

the less civilized countries of that age—we have no means of forming

even a conjecture. What it was in Europe during the succeeding ages

of barbarism we do not know. In civilized Rome, the value of life

had probably reached a very high point; in barbarian Europe we may

be sure it fell to an exceedingly low point. From that low point, in

civilized Europe, it has been slowly but gradually rising, until, in

modern times, the whole mass of the European population has, to say

the very least, reached the highest point attained by the select class

in ancient Rome. But in some favoured spots in Europe, the whole mass

has advanced considerably beyond the select class in ancient Rome. In

England, for example, the expectation of life, at the present day, for

the mass of the people, as compared with that of the mass at Ostend,

which, as has been shown, is the same as that of the whole of Europe,

is as follows:—

At birth 41½ years.

At 12 46¾

17 41½

22 38⅜

27 35¼

32 32

37 28¾

42 25½

47 22¼

52 19

57 16

62 13

67 10½

72 8

77 6

It should be borne in mind that the females of the mass exceed in

duration the lives of the males at every age by two or three years.

The earliest statistical document bearing on the rate of mortality, in

any European nation, emerging from the state of barbarism, appears to

be a manuscript of the fourteenth century, relating to the mortality

of Paris, from which M. Villermé has calculated that the mortality

of Paris at that period was one in sixteen. How the individual facts

contained in this manuscript were collected, from which M. Villermé's

calculation is made, does not appear; and it makes the mortality so

excessive as to be altogether incredible. Yet a statement scarcely

less extraordinary is made with regard to Stockholm, in the middle of

the last century. From a table given by Dr. Price, vol. ii., p. 411,

it appears that, for all Sweden, between the years 1756 and 1763, the

expectation of life

Of males at birth, was Females,

33¼ years. 35¾ years.

while at the same time it was at Stockholm,

For males at birth, Females,

14¼ years. 18 years.

Whereas, for the twenty years preceding 1800, it was, for all Sweden,

at birth,

Males, Females,

34¾. 37½.

Hitherto, in all places which man has made his abode, noxious agents

have been present which act injuriously upon his body, tending to

disturb the actions of its economy, and ultimately to extinguish life.

All these noxious agents, of whatever name or quality, may be included

under the term Causes of Mortality. Inherent in the constitution of the

body are conservative powers, the tendency of which is to resist the

influence of these causes of mortality. The actual mortality at all

times will of course be according to the relative strength of these

destructive agents, and the relative weakness of these conservative

powers. There are states of the system tending to enfeeble these

conservative powers. Such states become tests, often exceedingly

delicate, of the presence and power of the destructive agents to which

the body is exposed; and such, more especially, are, the states of

parturition, infancy, and sickness. During the prevalence of these

states, in which the conservative powers of the body are weak, life

is destroyed by causes which do not prove mortal in other conditions

of the system. Accordingly, in every age and country, the rate of

mortality among its lying-in women, its infants and its sick, may

be taken as a measure of the degree in which the state of the whole

population is favourable or unfavourable to life.

The change that has taken place in the condition of lying-in women

during the last century in all the nations of Europe cannot be

contemplated without astonishment. The mortality of lying-in women in

France, at the Hôtel Dieu of Paris, in 1780, is stated to have been

one in 15. In 1817, for the whole kingdom of Prussia, including all

ranks, it was one in 112. In England, in the year 1750, at the British

Lying-in Hospital of London, it was one in 42; in 1780, it diminished

to one in 60; in the years between 1789 and 1798, it further decreased

to one in 288; in 1822, at the Lying-in Hospital of Dublin, it was no

more than one in 223; while during the last fifteen years at Lewes, a

healthy provincial town, out of 2410 cases there have been only two

deaths, that is, one in 1205. There is no reason to suppose that the

mortality in the state of parturition is less at Lewes than in any

other equally healthy country-town in England.

Equally striking is the proof of the diminished violence of the

prevalent causes of disease and death derived from the diminished

mortality of children, the vital power of resistance being always

comparatively weak in the human infant, and consequently, the agents

that prove destructive to life exerting their main force on the new

born, and on those of tender age. From mortuary tables, preserved with

considerable accuracy at Geneva since the year 1566, it appears that at

the time of the Reformation one-half of the children born died within

the sixth year; in the seventeenth century, not till within the twelfth

year; in the eighteenth century, not until the twenty-seventh year;

consequently, in the space of about three centuries, the probability

that a child born in Geneva would arrive at maturity has increased

fivefold. In the present day, at Ostend, only half of the new-born

children attain the age of thirty; whereas, in England, they attain the

age of forty-five.

No less remarkable is the progressive diminution of mortality among

the sick of all ages. Hippocrates has left a statement, which has come

down to our times, of the history and fate of forty-two cases of acute

disease. Out of this number, thirty-seven were cases of continued

fever; of these thirty-seven febrile cases twenty-one died, above half

of the whole. The remaining five were cases of local inflammation,

and of these four were fatal; thus, of the whole number of the sick

(forty-two), twenty-five were lost. Now, even in the Fever Hospital of

London, to which, for the most part, only the worst cases that occur

in the metropolis are sent, and even of these many not until so late

a period of the disease that all hope of recovery is extinct, the

mortality ranges in different years from one in six to one in twelve;

and for a period of ten consecutive years, it is no more than one in

seven; while, in the Dublin Fever Hospital, where most of the cases are

sent very early, the average mortality from 1804 to 1812 was one in

twelve. At the Imperial Hospital at Petersburg, the average mortality

for fourteen years, ending in 1817, was one in four and a half. In the

Charité of Berlin, on an average of twenty years, from 1796 to 1817,

it was one in six. At Dresden, it was one in seven; at Munich, it was

one in nine, the lowest of any hospital of equal size in Germany. In

the year 1685, the average mortality at St. Bartholomew's and St.

Thomas's Hospitals was from one in seven to one in ten. During the ten

years from 1773 to 1783, it decreased to one in fourteen. From 1803 to

1813, it was one in sixteen. The average for fifty years from 1764 to

1813, was one in fifteen. In the smaller towns, the mortality is still

less. It is less in Edinburgh and Dublin than in London; while in the

hospital at Bath during 1827, even among the physician's patients, the

mortality was only one in twenty. In the German provincial towns, the

diminution is still more remarkable. In the hospital at Gottingen, for

example, it is only one in twenty-one.

If the accuracy of these statements could be relied on, they

would not only afford striking illustrations of the well-known fact

that extraordinary differences prevail in the rate of mortality

in different places, at different periods, and under different

circumstances; but they would further prove that, during the last

century, a steady and progressive diminution of mortality has taken

place in all the countries of Europe. But of the truth of this there

is much more certain evidence than can be derived from calculations,

the trustworthiness of the data of which is not established, and

the correctness of the calculators not known. Both the fluctuations

of mortality and the increase in the value of life in the different

countries of Europe, from the earliest period when statistical facts

began to be collected and compared, are exhibited in a striking

point of view in the following table, drawn up by Mr. Finlaison. The

facts relating to selected lives and to the mass of the people are

distinguished from each other, in order that they may be contrasted.

The data are derived from the most authentic sources, and the

calculations are made by men of the highest authority.

Let it be conceived, that at each 50 55 60 65 70 75 80 85

of the following ages, viz. Yrs.Yrs.Yrs.Yrs.Yrs.Yrs.Yrs.Yrs.

The average duration of Human

Life of both sexes collectively

may thenceforward be assumed at

a maximum of[2] 23 19 16 13 11 8 6 3

By how many weeks does the

average duration which results

from the most authentic Tables

at present known fall short of

the maximum Term thus assumed?

Among the higher classes of people exclusively.

Answer. Name of the

Observer. Wks. Wks. Wks. Wks. Wks. Wks. Wks. Wks.

In England—

Among the Government

Annuitants, between

1775 and 1822

John Finlaison. 35 1 7 10 47 11 14 53

Among the Lives assured

at the Equitable Office,

between 1760 and 1834

Arthur Morgan. 119 83 87 81 96 33 10 27

Among the Nominees of

the Tontine of 1693--

between that year

and 1775

John Finlaison. 269 195 170 141 157 110 90 89

In France--

Among the Nominees of

the Tontine of 1693--

between that year and

1745 M. de Parcieux. 133 88 87 86 118 70 55 65

In Holland--

Among the Public

Annuitants, between

1615 and 1740

M. Kersseboom. 186 118 104 75 96 61 48 84

In regard to the mass of the people.

In Breslau in Silesia,

between 1700 and 1725,

Dr. Halley. 275 211 181 150 166 100 36 137

In Sweden,

between 1775

and 1795, M. Nicander,

and Mr. Milne. 207 161 164 146 156 94 60 60

In Northampton,

in England, between

1735 and 1780,

Dr. Price. 209 178 145 110 125 76 65 85

In Carlisle,

in England, between

1779 and 1787, Dr. Heysham,

and Mr. Milne. 98 74 86 63 94 52 26 46

In all England and

Wales, between

1811 and 1831,

John Finlaison. 100 59 65 58 87 48 37 49

In the town of Ostend,

in Flanders, between

1805 and 1832,

John Finlaison. 276 210 184 146 143 76 50 75

In all Belgium, between

1725 and 1832,

M. Quetelet. 183 133 133 117 112 84 50 61

Let us trace from this table the differences that have taken place, in

different countries at different periods, in the duration of life at

a given age. Let us take the age given in the first column, namely,

fifty. Assuming, then, the highest degree of longevity hitherto

attained at the age of fifty to be twenty-three years, it appears that,

between the years 1700 and 1725, the mass of the people in Breslau,

in Silesia, fell short of reaching this period by 275 weeks; the

inhabitants of the town of Ostend in Flanders, between 1805 and 1832,

by 276 weeks; the nominees of the tontine of England, between the years

1693 and 1775, by 269 weeks; the inhabitants of the town of Northampton

in England, between 1735 and 1780, by 209 weeks; the mass of the people

in Sweden, between 1775 and 1795, by 207 weeks; the public annuitants

of Holland, between 1615 and 1740, by 186 weeks; the inhabitants of

all Belgium, between 1725 and 1832, by 183 weeks; the persons assured

at the Equitable Office, between 1760 and 1834, by 119 weeks; the

inhabitants of all England and Wales, between 1811 and 1831, by 100

weeks; the English government annuitants, between 1775 and 1832, only

by 35 weeks.

From these statements, it appears that, towards the close of the

seventeenth century, the duration of life in England was considerably

less than in France: less even than in Holland nearly a century

earlier. Thus, the nominees of the tontine of France, between the years

1693 and 1745, at the age of fifty, according to M. De Parcieux, fell

short of the maximum longevity by 133 weeks; the public annuitants of

Holland, seventy-eight years before, namely, between the years 1615 and

1740, according to M. Kersseboom, fell short of the maximum longevity

by 186 weeks; whereas, the nominees of the tontine of England, between

the years 1693 and 1775, according to Mr. Finlaison, fell short of it

by 269 weeks; a difference nearly double that of Holland, and quite

double that of France in persons of the corresponding rank in society.

Since that period, surprising changes have taken place in all the

nations of Europe; but in none has the change been so great as in

England. From that period, when its mortality exceeded that of any

great and prosperous European country, its mortality has been steadily

diminishing, and at the present time the value of life is greater in

England than in any other country in the world. Not only has the value

of life been regularly increasing until it has advanced beyond that of

any country of which there is any record; but the remarkable fact is

established, that the whole mass of its people now live considerably

longer than its higher classes did in the seventeenth and eighteenth

centuries. Thus, by inspecting the preceding table, it will be seen

that between the years 1693 and 1715, the nominees of the tontine of

England, at the age of fifty, fell short of the maximum longevity

by 269 weeks; whereas, the mass of the people in all England and

Wales, between the years 1811 and 1831, fell short of it only by 100

weeks; the entire mass having not only reached the select class, but

absolutely advanced beyond it by 169 weeks.

There cannot be a more interesting and instructive thing than to

connect these facts with their causes. This will be attempted in a

subsequent part of this work; but the reader will be incomparably

better prepared for the investigation when the processes of life have

been explained, and the influence of physical and moral agents upon

them traced. And with this exposition we now proceed.

The Philosophy of Health; Volume 1 (of 2) or, an exposition of the physical and mental constitution of man · 第 4 / 8 章