wiiue i,HousiInG AND HEALTH BY LAWRENCE VEILLER NATIONAL HOUSING ASSOCIATION PUBLICATIONS No. 9 Price Hive Cen? s SECOND EDITION FEBRUARY, I913 105 Bast 22p STREET, NEW YorRK CITYHOUSING AND HEALTH By LAWRENCE VEILLER, Secretary, National Housing Association, New York, Dirt and disease have gone hand in hand too long. As modern surgery owes its rapid strides to the discovery of asepsis and the banishment of dirt from the operating room, so modern medicine is about to come into its own through the banishment of dirt from our communal life. The slum, the mother of disease, is now doomed. Its end is in sight. From ocean to ocean, throughout the land, there is a newly awakened consciousness of our past folly and a slowly dawning perception of our inherent right to decent conditions of living. We have paid dear for our slums, and have given hostages to fortune, leaving a heavy debt for posterity to liquidate. No one has even attempted to estimate the cost to the nation of our bad housing conditions, because it is an impossible task. Who can say of the vast army of the unemployed, how large a portion of the industrially inefficient are so because of lowered physical vitality caused by disadvantageous living conditions? To what extent is the forbidding atmosphere of so many homes an ele- ment in the problem of inebriety? Of the burdens which the State is called upon to bear in the support of almshouses for the dependent, hospitals for the sick, asylums for the insane, prisons and reformatories for the criminal, what portion :can fairly be attributed to adverse early environment? : Despite our vaunted civilization, our material prosperity, our increasing love and appreciation of things artistic, our greatly improved architecture, our musical development, our mastery of the mechanical world, our readiness of invention, our diffusion of education, our higher standards of liberty, in a word, our greatly increased culture, we are still in some respects “barbarous America.” From the past no word comes to us of the slums of ancient Tyre or Sardis or of noble Athens—only a faint breath from decadent Rome, to tell us that the worst they had did not approach the evils of present-day America.In the great majority of our cities we are still in that rudi- mentary state of sanitary knowledge where we know no better than to surround ourselves with the vilest elements of human waste, which we allow to remain near the homes of the poor for long periods of time, ‘turning living places which should be gardens of delight and centers of sweet repose into nothing more nor less than disease factories, whose daily output is literally disease and death. We still suffer to remain in large numbers even in the crowded quarters of our cities, where the poor are huddled close together, and where disease spreads quickly, thousands of vile privies, vaults, sinks, cesspools, outdoor closets, “sanitary conveniences,” so-called. No one knows how many thousands of these there are, but the city where they are not present in large numbers is exceptional. Even New York, with its four and three-quarter millions of people, had 7000 of them up to a few years ago. Baltimore still has 70,000 earth closets, and through all her existence has had no system of public sewers, but only now is installing one. St. Louis can still show 12,000 privy vaults, Philadelphia and Chicago have literally hun- dreds of thousands of outdoor closets, and many privies and cesspools. Indianapolis, Milwaukee, Pittsburgh, Cleveland, Cincin- nati, Nashville, Birmingham—all have to admit the presence Of these ancient evils by the thousands. The list might be added on indennitely. ‘cardly a city in Ametica is free from this blight. That such conditions could prevail among the cultured, well- to-do, progressive people of America to such degree is unthink- able. That «péoples of intelligence and wealth would continue to live in such‘sirrdtindings is not to be believed. And, of course, they do not. ‘These conditions are to be found only among the homes of the poor—in our slums, in those foreign colonies which we have allowed to spring up in the various sections of our cities, “empires within an empire,’ segregated from American institu- tions, isolated communities feeling but slightly the touch of democracy—"social Saharas,” as they have been aptly called. Just because these evils have been removed from our immediate sight we have foolishly fancied ourselves secure, and have believed that they do not touch us. But the “mighty miasmatic breath blown from the slums” penetrates all parts of the town. No home is 4 FP a RNC re eeexempt, no person secure. Disease, no respecter of persons, visits all alike. The sordidness of it all, the degrading baseness of it, un- fortunately is withheld from the eyes of most of us. What it means to the people who have to live in the midst of it we can but faintly conceive. Let us frankly admit that these conditions result in imposing upon the great mass of our working people habits of life that are more compatible with the life of animals than with that of human beings. What it must mean in its effect on the standards of decency, of modesty, of morality even, of young girls growing into womanhood, I leave to the reader’s imagination. The effect upon health is direct and intimate. To the de- bilitating influence of the noisome odors in the hot summer weather may be traced much of the illness of the poor; to such influences are largely traceable their lowered vitality and inability to readily resist disease. The connection is even more direct: myriads of flies swarm throughout the hot months, feed on the contents of the vaults, and then proceed to infect the food supply of the people in the neighboring stores, in the kitchens where food is preparing—and with their dangerous burden crawl upon the faces and bodies of the sleeping infants in the homes of the poor. Nor do they stop there—even the homes of the rich are not exempt from the dangers of the typhoid fly. That conditions such as these should grow up in a young community like America, without our becoming conscious of them, is not strange, but the time is rapidly passing when we can longer plead ignorance and extreme youth as excuses for our failure to act. Few cities have as yet dealt effectively with this situation, but, fortunately, the number which have awakened to the sig- nificance of these conditions is constantly increasing. We are rapidly passing out of the stage where the repre- sentative men of a community with whispers discuss these evils and in subdued tones deprecate their ventilation on the ground that it is “bad for bitsimess and will luni the citys fain tage | Far-seeing men realize that any such ostrich-like policy but post- pones the ewil day, that the continued tolerance of the conditions in the long run injures the city and that a low death rate and a 5well-earried reputation as “a city of homes” is one of the best assets a city can have. Such men realize that frank, open- minded discussion of health needs is a prerequisite to their cure. Diagnosis must precede treatment. In many cities groups of business men, chambers of commerce, etc., are themselves actively taking hold of these problems. They are abandoning the policy of concealment and working that there may be noth- ing to conceal. Strangely enough, democracy itself seems to be an obstacle to sanitary progress. It is a disconcerting and startling dis- covery to make, but the evidence is unmistakable. In those cities where the “workingman owns his own home,” where there are miles and miles of small one-story and two-story houses, the sanitary authorities will tell you that they have the greatest difficulty in meeting health needs, in securing adequate appro- priations, in enforcing higher standards. A low tax rate becomes in such communities a fetich of sinister effect: Where the com- munity is made up to a predominant degree of working people, many of whom “own” their own homes by the payment of but $25 or $50, as is frequently the case, the tax rate becomes directly felt to a degree that cannot be appreciated in other communities where the burden of high taxes is more widely distributed and is frequently disguised in the form of rent and increased prices of commodities. In such cities every public expenditure is viewed with the closest scrutiny—public officials, who owe their office to popular vote, are loath to pursue any course of action that will impose upon the electorate at large additional expense. Bond issues for needed public improvements, for installing a system of public sewers, for example, or for alley improvement, are often voted only with great difficulty. The small property owner, with limited resources, stagger- ing frequently under burdens which he should never have placed on his own shoulders, lured by “land hunger,” and sometimes by the hunger to be a landlord, is the greatest obstacle to progress. Burdened as he is, limited in his intelligence, his own standard of living low, his knowledge of sanitary science practically sz, it is not strange that he should not place the welfare of the com- munity above that of self-interest, and should not divorce in his 6 LNT Ye ET ONconsideration of public questions, their effect on his own pocket from their value to his neighbors and to posterity. The low standards of living of such a man are further ob- stacles to sanitary advance. Living himself under sordid sur- roundings, content with the conditions that he has known from early childhood, he can see no reason for the new “fads and fancies” which the health authorities would compel him to pro- vide for his tenants. If vaults are good enough for him, they are quite good enough for his tenants, whom he considers as social and industrial inferiors. The false cry for “economy” which now is so popular, and which is usually a cry for false economy, threatens to wreck our institutions. Its appeal to the taxpayer is immediate and satis- factory. His materialistic sense is gratified, and he cares little if it means a serious setback to the sanitary and social progress of the community. It will take the country years to recover from its present hysterical outbreak in this direction. lt will be a long time, I fear, before we return to a sane realization that with our advancing standards of civilization, the increased burdens imposed by unrestricted immigration, and our constantly enlarging conceptions of governmental functions, ex- penses of government must necessarily increase from year to year. New sources of revenue must be developed, due economy should be practiced, waste eliminated so far as practicable, but retrenchment in public expenditures should never be made at the expense of the health of the community. It is due largely to the conditions just described that we have as yet in no city dealt effectively with our alley problem. The alley is both a blessing and a curse. As a means of letting light and air into the interior of city blocks that would otherwise be without it, it is a distinct gain. And the few cities that have no alleys feel their misfortune in this regard most keenly. The small, pocketed back yards, shut away from the free current of air, are unknown in the city with alleys. The alley is generally, however, an evil. As a minor street, hidden away at the rear of everything, it becomes the dumping ground for all the cast-off material of humanity. Here will be found collected, in all stages of picturesque disorder and sordid squalor, all of the unpleasant things of our material existence. > D ) »°o ) ° ,o 15ee ee a Sh SR ALAR ER ALTRI NATIONAL HOUSING ASSOCIATION PULL et Tos THE AWAKENING OF .A STATE—INDIANA By ALBION FELLOWS BACON Three cents by the hundred. WHAT BAD HOUSING MEANS TO THE COMMUNITY—2np Enrtton By AsBion FELLows .BACON Three cents by the hundred. TEACHING THE TENANT By JOHANNA VON WAGNER Four cents in quantities of one hundred or more. ONE MILLION PEOPLE IN SMALL HOUSES—2np Epnrrion By HeLen L. PARRISH Four cents in quantities of one hundred or more. HOUSING AND HEALTH—2np Epirion By LAWRENCE VEILLER Four cents by the hundred. THE SURVEY AND THE SMALLER CITY By GrorcE THOMAS PALMER Three cents in quantities of one hundred or more. THE HOME AS A: FACTOR IN PUBLIC’ HEALTH By JoHN IHLDER Three cents by the hundred. SUN-LIGHTED TENEMENTS—Thirty-five years experience as an Owner By ALFrep T. WHITE Ten cents each; nine cents by the hundred. THE WORK OF A HOUSING COMMITTEE By JoHN IHLDER Two cents apiece for twenty-five or more; one cent by the hundred. HOW SOCIAL WORKERS CAN AID HOUSING REFORM By Mary E. RICHMOND Three cents by the hundred. WHAT KIND OF HOMES ?—How at So of Commerce is Helping to Solve the Housing Problem By Howakp STRONG Three cents by the sated A HOUSING PROGRAMME, By LAWRENCE VEILLER Three cents by the hundred. MODEL TOWNS IN AMERICA By GRoSVENOR ATTERBURY j Ten cents each; nine cents by the hundred. ; Single copies of the above pamphlets may be obtained from the National Housing Association, 105 East 22d Street, New York City, for five cents, except Sun-Lighted Tenements and Model Towns in America, ten cents. Other Pamphlets in Preparation. HOUSING PROBLEMS IN AMERICA Proceedings of the First National Conference on Housing in America. Cloth bound. $2.00 postpaid. Proceedings of the Second National Conference on Housing now in press.a . ’ 5 4 “ 2 s ’ : - ‘ eres.