There is, however, some reason to believe that the diminution of disease and the prolongation of average human life are not necessarily or even generally accompanied by a corresponding improvement in general health. 'Acute diseases,' says an excellent judge, 'which are eminently fatal, prevail, on the contrary, in a population where the standard of health is high. … Thus a high rate of mortality may often be observed in a community where the number of persons affected with disease is small, and on the other hand general physical depression may concur with the prevalence of chronic maladies and yet be unattended with a great proportion of deaths.'[4] An anæmic population, free from severe illness, but living habitually at a low level of health and with the depressed spirits and feeble capacity of enjoyment which such a condition produces, is far from an ideal state, and there is much reason to fear that this type is an increasing one. Many things in modern life, among which ill-judged philanthropy and ill-judged legislation have no small part, contribute to produce it, but two causes probably dominate over all others. The one is to be found in sanitary science itself, which enables great numbers of constitutionally weak children who in other days would have died in infancy to grow up and marry and propagate a feeble offspring. The other is the steady movement of population from the country to the towns, which is one of the most conspicuous features of modern civilisation. These two influences inevitably and powerfully tend to depress the vitality of a nation, and by doing so to lower the level of animal spirits which is one of the most essential elements of happiness. Whether our improved standards of living and our much greater knowledge of sanitary conditions altogether counteract them is very doubtful.
In this as in most questions affecting life there are opposite dangers to be avoided, and wisdom lies mainly in a just sense of proportion and degree. That sanitary reform, promoted by governments, has on the whole been a great blessing seems to me scarcely open to reasonable question, but many of the best judges are of opinion that it may easily be pushed to dangerous extremes. Few things are more curious than to observe how rapidly during the past generation the love of individual liberty has declined; how contentedly the English race are submitting great departments of their lives to a web of regulations restricting and encircling them. Each individual case must be considered on its merits, and few persons will now deny that the right of adult men and women to regulate the conditions of their own work and to determine the risks that they will assume may be wisely infringed in more cases than the Manchester School would have admitted. At the same time the marked tendency of this generation to extend the stringency and area of coercive legislation in the fields of industry and sanitary reform is one that should be carefully watched. Its exaggerations may in more ways than one greatly injure the very classes it is intended to benefit.
A somewhat corresponding statement may be made about individual sanitary education. It is, as I have said, a matter of the most vital importance that we should acquire in youth the knowledge and the habits that lead to a healthy life. The main articles of the sanitary creed are few and simple. Moderation and self-restraint in all things—an abundance of exercise, of fresh air, and of cold water—a sufficiency of steady work not carried to excess—occasional change of habits and abstinence from a few things which are manifestly injurious to health, are the cardinal rules to be observed. In the great lottery of life, men who have observed them all may be doomed to illness, weak vitality, and early death, but they at least add enormously to the chances of a strong and full life. The parent will need further knowledge for the care of his children, but for self-guidance little more is required, and with early habits an observance of the rules of health becomes almost instinctive and unconscious. But while no kind of education is more transcendently important than this, it is not unfrequently carried to an extreme which defeats its own purpose. The habit that so often grows upon men with slight chronic maladies, or feeble temperament, or idle lives, of making their own health and their own ailments the constant subject of their thoughts soon becomes a disease very fatal to happiness and positively injurious to health. It is well known how in an epidemic the panic-stricken are most liable to the contagion, and the life of the habitual valetudinarian tends promptly to depress the nerve energy which provides the true stamina of health. In the words of an eminent physician, 'It is not by being anxious in an inordinate or unduly fussy fashion that men can hope to live long and well. The best way to live well is to work well. Good work is the daily test and safeguard of personal health. … The practical aim should be to live an orderly and natural life. We were not intended to pick our way through the world trembling at every step. … It is worse than vain, for it encourages and increases the evil it attempts to relieve. … I firmly believe one half of the confirmed invalids of the day could be cured of their maladies if they were compelled to live busy and active lives and had no time to fret over their miseries. … One of the most seductive and mischievous of errors in self-management is the practice of giving way to inertia, weakness and depression. … Those who desire to live should settle this well in their minds, that nerve power is the force of life and that the will has a wondrously strong and direct influence over the body through the brain and the nervous system.'[5]
FOOTNOTES:
[2] Active and Moral Powers, ii. 312.
[3] Much curious information on this subject will be found in Cabanis' Rapports du physique et du moral de l'homme.
[4] Kay's Moral and Physical Condition of the Working Classes, p. 75.
[5] Mortimer Granville's How to Make the Best of Life.
CHAPTER III
Before entering into a more particular account of the chief elements of a happy life it may be useful to devote a few pages to some general considerations on the subject.
One of the first and most clearly recognised rules to be observed is that happiness is most likely to be attained when it is not the direct object of pursuit. In early youth we are accustomed to divide life broadly into work and play, regarding the first as duty or necessity and the second as pleasure. One of the great differences between childhood and manhood is that we come to like our work more than our play. It becomes to us, if not the chief pleasure, at least the chief interest of our lives, and even when it is not this, an essential condition of our happiness. Few lives produce so little happiness as those that are aimless and unoccupied. Apart from all considerations of right and wrong, one of the first conditions of a happy life is that it should be a full and busy one, directed to the attainment of aims outside ourselves. Anxiety and Ennui are the Scylla and Charybdis on which the bark of human happiness is most commonly wrecked. If a life of luxurious idleness and selfish ease in some measure saves men from the first danger, it seldom fails to bring with it the second. No change of scene, no multiplicity of selfish pleasures will in the long run enable them to escape it. As Carlyle says, 'The restless, gnawing ennui which, like a dark, dim, ocean flood, communicating with the Phlegethons and Stygian deeps, begirdles every human life so guided—is it not the painful cry