Tag: state intervention

  • The Fitzroy Report, 1904: How the poor physical condition of Boer War army recruits prompted social change

    The Fitzroy Report, 1904: How the poor physical condition of Boer War army recruits prompted social change

    Following the end of the second Boer War in 1902, the government appointed an Inter-Departmental Committee to investigate why so many would-be recruits had been in poor physical condition. The Committee, chaired by civil servant Almeric FitzRoy, has become known as the Fitzroy Report.  Second-year UoP history student Ben Hessey discusses the report, what it tells us about contemporary ideas about parenting, gender, eugenics and social provision, and its longer-term significance.  This piece was originally written for the second-year Danger! module, which investigates issues of censorship and state control between 1850 and 2000 and is taught by Dr Rob James and Dr Mike Esbester.

    During the early twentieth century the British government feared mediocrity in the inefficiency of its empire, reflected by the poor health of its subjects, that threatened Britain’s prosperous reputation compared to Britain’s more modernised European rivals, who had greater literacy, numeracy development and more efficient social reforms. [1]. The disastrous conditions of volunteer recruits during the Boer War left a daunting legacy and ensured a strong turn towards a more active state intervention into safeguarding the public health through domestic education.[2]

    medical examination at Capetown, 1900
    Medical examination at Capetown, 1900, Wellcome Collection no. 23699i
    Photograph of Sir Almeric FitzRoy (1850-1935), National Portrait Gallery NPG x67977
    Sir Almeric FitzRoy (1850-1935), National Portrait Gallery NPG x67977

    While Balfour’s government did not want to raise anxieties on the new looming eugenic concepts on racial degeneracy when “appointing a relatively low-ranking committee” of loyal civil servants in 1903 to investigate the physical deterioration, historians such as Gilbert and Berridge reveal the Interdepartmental Committee on Physical Deterioration still remained brutally truthful in expressing the vulnerabilities of the working class health and the lack of government intervention regarding welfare.[3] The 1904 Interdepartmental Committee report under FitzRoy recognised a variety of the causes: urban overcrowding, pollution, parental neglect, and incompetence of mothers to explain such a deterioration while simultaneously claiming there was a lack of evidence of any race degeneracy being the cause.

    Despite this there remained much debate on causation throughout the period with Fay and Pearson’s eugenics survey research hoping to hold weight as a public health authority with the committee.[4] FitzRoy offered simple solutions for the socially-engineered health dangers and advocated government food provision and provision and domestic education to reform the uneducated care practices of young women, to improve the quality of life of future generations.[5] Extracts from this report show how the government adapted to become a stronger welfare state and show the different debates in historiography on the responsibility and agency of the state and women when amending physical deterioration.

     

    While this report was manufactured for the sake of positive change in the period, both in internationally competitive social reforms and in a move towards liberalisation after government neglect of its citizens, a lot of the language of this report remains traditionally sexist and time-locked regarding the expectations of women’s traditional caregiving roles in society. This report especially showed therefore that the contemporary gender norms about the women of the period were still understandable and reflected on by the middle classes. [6] Though Fitzroy blames both parents at first, stating, “the fact of ignorance and neglect on the part of parents is undisputed”, and shows the openness and honesty of the report in the shared condemnation, it is clear later from the majority of later extracts that “younger women of the present day” met the brunt of the blame, with the authors characterising  them having a “carelessness and deficient sense of responsibility” for society’s future.[7] Fitzroy therefore seems to assume the role of responsibility really falls on that of the individual and not the state. This was problematic for the state as it became enthralled with an “obsession with National Efficiency”, a focus towards combating the incompetence of the British imperial race.[8] It should be argued therefore the report primarily considered the poor public health because of imperial motivations in state progression.

    While the report does recognise “traditions of helplessness and despair” in society, historians such as Searle, Berridge and Boyer further argue a case of a detached state responsibility in welfare, that can be seen within the report’s outlook and recommendations on citizens.[9] Searle suggests  the government “fostered a view of men and women as resources”, viewing them just as failing assets that needed not practical aid but advisory aid to heal Britain like the report encouraged.[10] Berridge reiterates this point when she states the report encouraged the “instruction for motherhood”  rather than the provision of material aid” that was needed.[11] Searle explains it is easy to be cynical on the lack of state responsibility as it seemed likely they were cutting corners with the report’s ideas, as “doing something fundamental about the disadvantages suffered by working-class mothers would have been very expensive” but “good advice came cheap”, which shows the government lacked responsibility when duty proved costly.[12] The language of the report even represents an understatement on poverty stating that it is the “wants of the young” but not the needs of the young that are a concern thereby inferring a “maternal mismanagement” in care and expenditure from women.[13] Boyer reveals the report failed to deal “with the relationship between low household income and health” thereby showing the irresponsible reluctant agency of government solutions.[14] This shows some criticism can be made of the report as it held a misguided attitude that no English housewife could be so “deplorably destitute of the necessary equipment”, when poverty was in truth a deeper complication, as emphasised by reformers like Rowntree.[15]

     

     

     

    Photographs of two school groups
    Photographs of school groups contained in the Fitzroy report

     

    However other historians understand the value of the report, since its purpose symbolised a progression in government action. FitzRoy primarily served to inform the public, but Zweiniger-Bargielowska and Pope show more significantly that the report inspired progressive reforms that grew from the report’s ideas, like supporting the provision of meals for children and standing against “evils”, in the 1906 Education Act.[16] Lowe also confirms that the focus on female domestic education was less controversial to headmistresses in the Edwardian era in contrast to the nineteenth century, though again mentioning the factors of eugenics and superior race in 1911 still as underlying influences.[17] This shows the report may have failed to quell fears of racial degeneracy, but that government responsibility did grow and popularise from the report’s segregated gender education recommendations.

     

    As an army officer reads out the oath, four young men hold Bibles and confirm their allegiance at a recruitment office. Probably taken in 1917, Imperial War Museum, Q 30071
    As an army officer reads out the oath, four young men hold Bibles and confirm their allegiance at a recruitment office. Probably taken in 1917, Imperial War Museum, Q 30071

     

    To conclude, FitzRoy’s report managed to emphasize an easy conclusion regarding what needed to change concerning the physical deterioration. Though his argument tends to blame the individual more than the state quite harshly in his writing it is, as historians point out, an easier, low-costing solution he provides. He uses language which intensely plays on received gender role traditions; under such attitudes, social policy led to an intensified domestic learning and passing of responsibility onto women from government.  These attitudes were, nevertheless, surprisingly uncontroversial for headmistresses of the decade. The report also successfully managed to inspire positive social reforms enacted by the subsequent Liberal government of 1906-14, and the closer development of a welfare state, motivating decisive government action. Overall, in defining the domestic problems on physical health, this report shows a limited sense of governmental responsibility in welfare but provides progressive considerations that improved the agency of government in social reform.

    Graphs of children's heights from the Fitzroy report.
    Graphs of children’s heights from the Fitzroy report.

    [1] John O’Farrell,  An Utterly Impartial History of Britain, Or, 2000 Years of Upper-class Idiots in Charge.(London,  Transworld Publishers, 2007), 419; Geoffrey R. Searle, A New England? : Peace and War 1886-1918. (Oxford University Press, 2004), 372.

    [2] O’Farrell,  Impartial History, 419.

    [3] Bentley Gilbert,  “Health and Politics: The British Physical Deterioration Report of 1904,” Bulletin of the History of Medicine 39, No. 2 (March- April 1965): 113-114; Virginia Berridge, et al, Public Health in History. (New York City, McGraw-Hill Education, 2011), 164.

    [4] George Boyer, The Winding Road to the Welfare State: Economic Insecurity and Social Welfare Policy in Britain. (Princeton University Press, 2018), 179; Theodore Porter,  Genetics in the Madhouse the Unknown History of Human Heredity. (Princeton University Press, 2018), 234.

    [5] Almeric FitzRoy, Report of the Interdepartmental Committee on Physical Deterioration (Parliamentary Papers, 1904).

    [6] FitzRoy, Report; Searle, New England?, 372; Ina Zweiniger-Bargielowska, Women in Twentieth-Century Britain : Social, Cultural and Political Change (Taylor & Francis Group, 2001), 37.

    [7] FitzRoy, Report.

    [8] Searle, New England?, 305; Berridge, Public Health, 164-165.

    [9] FitzRoy, Report.

    [10] Searle, New England?, 305.

    [11] Berridge, Public Health, 165.

    [12] Searle, New England?, 379.

    [13] FitzRoy, Report; Searle, New England?, 379.

    [14] Boyer, Winding Road, 179.

    [15] FitzRoy, Report; Boyer, Winding Road, 179.

    [16] FitzRoy, Report; Rex Pope,  et al. Social Welfare in Britain 1885-1985. (Taylor & Francis Group, 1986), 90-91; Zweiniger-Bargielowska, Women in Twentieth-Century Britain, 337.

    [17] Roy Lowe,  “Education, 1900- 1939,” in A Companion to Early Twentieth-Century Britain, ed. Chris Wrigley. (Wiley-Blackwell; 1st edition, New Jersey, 2008), 431.

     

     

  • The morality of state intervention in sexually-transmitted disease

    The morality of state intervention in sexually-transmitted disease

    Is it appropriate for governments to restrict personal liberty in an effort to control disease? This issue has come very much to the fore in the wake of the current worldwide Coronavirus epidemic.  In this post, Darcy Mckinlay, a second year history student, writes about nineteenth-century arguments against forcible methods of controlling venereal diseases.

    Punch Cartoon, 1857

    During the nineteenth century there was an increase in state intervention, marking a transformation from a previous ‘non-interference’ government approach.[1]  In 1864, the first of three Contagious Diseases Acts was passed, permitting the compulsory medical inspection and detention of prostitutes with venereal diseases.[2]  This law was specifically aimed at working-women in military-based towns because the government feared that the spread of sexually transmitted diseases was weakening the armed forces.[3] But the Contagious Diseases Acts were controversial, forming part of a wider debate surrounding state intervention.  Historians Jim Jose and Kcasey McLoughlin argue that contemporaries opposed the Acts because they violated freedom.[4]  Lisa Shapiro

    Saunders, on the other hand, suggests that there was support for the extension, regarding increasing public safety.[5] This piece considers the 1870 report self-published by John Simon, the first Medical Officer of Health for London, arguing against the extension of the Contagious Diseases Act to the general public.  Simon’s duty in public health did not alter his view that compulsory sexual examinations were immoral.[6]  Ultimately, the repeal of the Contagious Diseases Acts in 1886 showed that this forcible method was unsuccessful.

    A fashionably-dressed German prostitute, 1880.
    A German prostitute, 1880.
    Sir John Simon, 1881, Wellcome Library V0027166
    Sir John Simon, 1881, Wellcome Library V0027166

    Simon introduces the aim of the report, writing that it intends to determine “whether it is expedient to have … a systematic sanitary superintendence of prostitutes” in Britain.[7]  The word “superintendence” is significant, suggesting that prostitutes will have no agency under state management. The Contagious Diseases Acts allowed police officers to bring prostitutes before a magistrate who could order a medical examination.[8]  If the woman was found to be carrying a venereal disease, she was detained in hospital until clear and if she refused, the Acts permitted her imprisonment.[9]  Maria Luddy states that the Contagious Diseases Acts introduced a wider debate surrounding the role of the state in attempting to “control the behaviour and morality” of society.[10]  Jose and McLoughlin agree that this intervention was controversial among contemporaries.  The philosopher John Stuart Mill, for example, publicly opposed the Acts, arguing that they took away “the security of personal liberty”.[11]  In his report Simon acknowledges that this surveillance system was originally put in place to protect the army and navy.  Judith Walkowitz argues that the initial support for the Acts was based on their status as “national defence legislation”.[12]  However, regarding the proposal for “the extension … to the civil population”, Simon questions whether the state’s previous laissez-faire approach should be “abandoned”.[13]  As Saunders highlights, some contemporaries supported this public extension; for example, Dr Elizabeth Garrett Anderson believed that further state intrusion would protect family members of those infected with venereal diseases.[14]  This suggests that contemporaries approved of state intervention as a new and growing concept.  However, Margaret Hamilton argues that there was sufficient opposition to this, for example, Josephine Butler believed that the Acts were “unconstitutional because they violated the basic liberties of English women”.[15]  This highlights that a complex debate surrounding public health state intervention existed in the latter half of the nineteenth century.

    The pioneering female doctor Elizabeth Garrett Anderson contributed to the debate over state intervention in sexually-transmitted disease. Wellcome Library 12778i,

    Simon explains that the state referred to prostitutes as “dangerous members of society”, who should be “prevented from communicating [disease] to others”.[16]  Luddy argues that this perspective helped to facilitate a “double standard of sexual morality”.[17]  Pamela Cox agrees that class and gender impacted the treatment of venereal diseases, as women were subject to more coercive sexual governance than men.[18] Fundamentally, the report explains that the extension of the Contagious Diseases Act to the general population would result in common prostitutes across Britain being subject “to a compulsory medical examination, and to compulsory detention”.[19]  The repetition of “compulsory” again emphasises the lack of freedom prostitutes had under this forcible legislation.  Simon argues that the network of examination and treatment is “not likely to be met by voluntary contributions”.[20]  However Catherine Lee provides evidence from Kent to demonstrate that compliance to the Contagious Diseases Acts was in fact high, for example, in Canterbury in 1871, only two prostitutes were prosecuted for non-compliance.[21]  Lee suggests that poor women complied with the Contagious Diseases Acts to access free medical care.[22]  Some prostitutes used medical inspections to capitalise profit, through advertising “disease-free status”.[23]  However, Simon argued that tax payers would find it “immoral” to pay for the medical expenses of a prostitute so that she is “clean for hire”.[24]  This demonstrates a wider debate about the funding of state intervention.  Overall, the debate surrounding the extension of the Acts was based on both moral and economic factors.

    Social reformer Josephine Butler also took part in the debate.

    Simon held the view that “venereal diseases are … infections which a man contracts at his own option”.[25]  It was not the responsibility of the state to intervene and treat them, “the true policy of government is to regard the prevention of venereal disease as a matter of exclusively private concern”.[26]  Walkowitz argues that despite the Acts, “many officials continued to believe that sexual promiscuity among civilians rightly constituted a private medical risk for the parties concerned”.[27]  Additionally, the phrase caveat emptor [let the buyer beware], used by Simon in his report, suggests that customers of a prostitute should check the quality of ‘goods’ before purchase.[28]  Saunders highlights the economic difference between men and women, as buyers and sellers in this sexual exchange.[29]  Simon acknowledges that innocent wives can be infected with venereal diseases which cheating “husbands … have earned”, but remains clear on his view that the state should not intervene to protect dependents.[30]  Saunders highlights how Dr Garrett Anderson disagreed, instead promoting the compulsory treatment of prostitutes to “end the suffering of innocents”.[31]  However, this report was published in 1870, before the repeal of the Contagious Diseases Acts in 1886, and it does not explain the exact reasons for the repeal or whether compulsory state intervention had worked.  Nonetheless, Walkowitz states that Simon’s report “ended any immediate prospects for the extension of the Acts to civilian areas in Britain”.[32]  Simon’s respectability as a health officer contributed to the argument opposing the extension of the Contagious Diseases Acts.

    Group portrait of medical staff at St Thomas's hospital, London, with Sir John Simon on the right, Wellcome Library no. 569770i
    Medical staff at St Thomas’s hospital, London, with Sir John Simon on the left, Wellcome Library no. 569770i

    In conclusion, Simon argued against the extension of the 1866 Contagious Diseases Act to the general population.  Government intervention reflected a sexual double standard, with women being subject to immoral control.[33]  Yet there was support for the extension from contemporaries who wanted further protection from venereal diseases.[34] These arguments formed as part of a wider, more complex debate on state intervention.  Overall, the delay of this extension and the repeal of the Acts shows that forced sexual governance in Britain during the nineteenth century was unsuccessful.

    References:

    [1] Peter W. Bartrip, “State Intervention in Mid-Nineteenth Century Britain: Fact or Fiction?”, Journal of British Studies Vol 23, No. 1 (1983): 63.

    [2] Maria Luddy, “Women and the Contagious Diseases Acts 1864-1886”, History Ireland Vol. 1, No. 1 (1993): 32.

    [3] Ibid.

    [4] Jim Jose and Kcasey McLoughlin, “John Stuart Mill and the Contagious Diseases Acts: Whose Law? Whose Liberty? Whose Greater Good?”, Law and History Review Vol. 34, No. 2 (2016): 250-251.

    [5] Lisa Shapiro Saunders, “‘Equal Laws Based upon an Equal Standard’: the Garrett Sisters, the Contagious Diseases Acts and the Sexual Politics of Victorian and Edwardian Feminism Revisited”, Women’s History Review Vol. 24, Issue. 3 (2015): 397.

    [6] A. N, “The Life Work of Sir John Simon”, The Journal of Hygiene Vol. 5, No. 1 (1905): 1-6.

    [7] John Simon, ‘Report on the Contagious Diseases Act (showing the expense, impolicy and general inutility of its proposed extension) to the civil population’ (1870).

    [8] Margaret Hamilton, “Opposition to the Contagious Diseases Acts, 1864-1886”, Albion Vol. 10, No. 1 (1978): 14.

    [9] Ibid.

    [10] Luddy, “Women and the Contagious Diseases Acts 1864-1886”: 34.

    [11] Jose and McLoughlin, “John Stuart Mill and the Contagious Diseases Acts: Whose Law? Whose Liberty? Whose Greater Good?”: 250-251.

    [12] Judith Walkowitz, Prostitution and Victorian Society: Women, Class and the State (Cambridge: Cambridge University Press, 1980), 73.

    [13] Simon, ‘Report’

    [14] Saunders, “‘Equal Laws”: 396.

    [15] Hamilton, “Opposition to the Contagious Diseases Acts”: 16.

    [16] Simon, ‘Report’.

    [17] Luddy, “Women and the Contagious Diseases Acts 1864-1886”: 32.

    [18] Pamela Cox, “Compulsion, Voluntarism and Venereal Disease: Governing Sexual Health in England after the Contagious Diseases Acts”, Journal of British Studies Vol. 46, Issue 1 (2007): 111-113.

    [19] Simon, ‘Report’.

    [20] Ibid.

    [21] Catherine Lee, “Prostitution and Victorian Society Revisited: the Contagious Diseases Acts in Kent”, Women’s History Review Vol. 21, Issue. 2 (2012): 301-309.

    [22] Ibid: 312.

    [23] Lee, “Prostitution”: 312.

    [24] Simon, ‘Report’.

    [25] Simon, ‘Report’.

    [26] Ibid.

    [27] Walkowitz, Prostitution, 72.

    [28] Simon, ‘Report’.

    [29] Saunders, “‘Equal Laws”: 398.

    [30] Simon, ‘Report’.

    [31] Saunders, “‘Equal Laws”: 396.

    [32] Walkowitz, Prostitution, 86.

    [33] Luddy, “Women and the Contagious Diseases Acts 1864-1886”: 32.

    [34] Saunders, “‘Equal Laws”: 397.