Little attention has been given until quite recent times to the effects of industrial work on the health and physique of adolescent girls. Child labour has been the subject of much discussion, and medical investigations have shown the detrimental influence exerted by wage-earning employment on the plastic organism of the growing child. It is recognised that with children bodily work often produces a greater degree of fatigue both mental and physical than does mental work of equal duration. The various legal restrictions limiting the hours and controlling the conditions of the labour of children, although inadequate in extent and sometimes only permissive in character, are evidence of a realisation that the well-being of the child is of more importance than its immediate commercial utility. This recognition of the necessity of guarding against overstrain during the critical early years does not, however, extend to the period of adolescence. The restrictions of the hours of work and the conditions of employment of young persons of both sexes differ but slightly from those applying to adult women. This failure to appreciate the special problems of adolescence is the more remarkable in that medical evidence has shown In the evidence before the Physical Deterioration Committee in 1904, Dr. Eichholz This sketch of the conditions and circumstances of the girl in industry was undertaken as a contribution to the study of the effects of industrial employment As it was impossible in a private inquiry, such as this, to cover a wide range, certain industries which seemed to offer the best scope for the investigation were selected and subjected to as detailed an examination as was possible. The entrance of large numbers of girls and young women into the industries connected with the manufacture of munitions suggested Birmingham and Coventry as fruitful fields of inquiry, and the increase in welfare supervision with appointment of matrons and nurses in charge of surgeries and rest-rooms seemed to indicate that the required information would be easily obtained, while the abnormal conditions prevailing in these industries offered a favourable ground for investigation in that they afforded unusual opportunities of studying the effects of excessive hours of work, night work, and other variations in hours and But it is from the textile trades that the great mass of the evidence is derived. The cotton industry of Lancashire and the wool and worsted industries of the West Riding of Yorkshire, built up as they are on the labour of children and young persons, offered a much wider field than the non-textile trades, and here, where the girls join their Trade Union directly they are working full time, there is much more class consciousness and reflection upon industrial conditions. Consequently evidence as to In addition to the engineering and textile trades I have collected evidence from a few miscellaneous industries in the various towns I have visited, generally from "good" employers, who have made some study of industrial fatigue or whose interest in the welfare of their employees had directed their attention to some of the problems under discussion. The evidence from the clothing trade was collected at Hebden Bridge and from various other towns where wholesale tailoring is merely a subsidiary industry. The conditions in Hebden Bridge due to the ever-present shortage of female labour make these clothing operatives the aristocrats of their trade, so that the general results of industrial work General ConclusionsHours.—The evidence to be considered under this heading is concerned with various factors: the total number of hours worked each week, the length of the spells, and the number and length of the pauses for rest and meals, as well as the time of employment, i.e. day or night work. At the time when the inquiry was initiated (October 1916), practically all the munition factories in Birmingham were working a 60-hour week, and only in a very few cases had three 8-hour shifts been tried. This was due mainly to the difficulty of securing sufficient male labour for setting tools, etc., and also to the fact that there was already some difficulty in getting enough female workers. Similarly in Coventry the total weekly hours ranged between 55 and 60, though at one factory visited girls under 18 worked only 47 hours, and those over 18 worked 53 hours. The evidence of Welfare supervisors and nurses in charge of rest-rooms went to show that these long hours had not exerted the bad effect that had been expected. Various witnesses stated that "no signs of undue fatigue had been observed," "no increased sickness since the hours had been lengthened," "the strain of the long hours is considerable, but actual breakdowns are rare." Another witness is "quite astounded" at the good standard of health after a long period of 55-hour weeks. One witness, a medical woman Nearly all the witnesses quoted above insisted that the high standard of health that prevailed was due mainly to better living and increased care, which did much to mitigate the possible evil effects of the long hours. One matron pointed out that girls who are earning good wages and who are therefore financially independent, get far better care and attention at home than if they are not earning, and this prevents breakdowns. There is, however, another side to this optimistic picture, and this is presented by some of the doctors interviewed and by Girls' Club secretaries and Care Committee workers. One woman doctor stated that there is much increased sickness—anaemia, gastric disturbances, etc., among girls working long hours. The secretaries of Clubs and Care Committees were unanimous in their condemnation of the present system of long hours. They say the girls they come across are thoroughly worn out, "languid and lacking in vitality," "pale and nervous," and "incapable of taking an interest in anything." The fatigue seemed to affect them mentally more than physically; thus the worker at one Club said that the girls working long hours, i.e. about 60 per week, were quite incapable of brainwork, so all classes, even needlework, had to be stopped, but they could stand the most strenuous drill and gymnastic work for two evenings a week and did not want to stop when the Club closed: the constrained nature of their work, generally tending automatic machines, seemed to increase their restlessness, and they are glad to work it off in any occupation involving movement. In case this point, which others corroborated, seems to contradict the view that the long hours made the girls lethargic and apathetic, it must be mentioned that this same witness said that when any girls were working 1½ hours over their 10 hours, they were fagged physically as well as mentally and would not have the energy to drill, etc., but would just sit and watch the others. As a general rule the girls do not complain of the long hours, and very The evidence from a few miscellaneous industries, drawn as it is from the experience of a few "good" employers, is of a very different nature. Here the hours worked seldom, if ever, exceed 9 per day, and in some instances experiments had been tried with an 8-hour day with satisfactory results to both health and output. It must be remembered that most of the work done by girls in these miscellaneous factories is of an intensely monotonous nature—packing and sorting finished goods, "taking off" on printing machines, making cardboard boxes or tin canisters, but, at the same time, the work is very light and easy and is learnt in a day or so, although some weeks may elapse before the maximum speed is attained. The only danger in these light automatic processes is the temptation, often encouraged by the employer, of excessive speeding up, but to this I will refer later. As a general rule, the evidence from this group goes to show that the standard of health among girls working 8 or 9 hours a day is quite satisfactory, and the sickness rates are very low. How far these good results are due to the shortness of the working-day compared with that of the munition and textile industries, and how far to the various "welfare" provisions, such as special attention to delicate girls, supply of hot drinks in the middle of the morning and afternoon spells, gymnastic classes during work hours and so Turning now to the textile industry, particularly the cotton trade of Lancashire with its 55½-hour week and its 6 A.M. start, we find opinion somewhat divided. A certain number of employers and their representatives declared that the hours worked exert no detrimental effect on young girls, and that the time lost through sickness is very slight. But these statements are outweighed by the evidence of most of the inside managers and some of the employers interviewed. One of the latter firmly believed that the present working hours are too long for young girls, and had often noticed how they fell off in health. Another states that young workers find the long hours very tiring and that a shorter working-day, which would be an advantage for all, is almost a necessity for young girls, although he has no exact evidence that the hours worked are actually detrimental. But the heaviest indictment against the 10-hour day comes from the Trade Union representatives. Many of these declare that the girls are utterly worn out at the end of the day and are generally incapable of any serious work, which accounts for the small As a proof of the evil effects of the long working-day my attention was frequently drawn to the physical differences between the girls attending the secondary schools and those who work in the mills. The comparison between the different effects of weaving and winding is instructive. The latter process is of itself more tiring and monotonous, and the strain is continuous; yet winders are said to be in better health and to be much more cheerful and energetic out of work hours. This apparent inconsistency is explained by the fact that the winders seldom work a full week; they frequently start after breakfast, and generally "play" on Saturday and one other morning every week. One witness emphasised her conviction that the long hours were mainly responsible for the very prevalent ill-health of girls and of older women by declaring that no reform of factory conditions can be effective until the hours are shortened. The medical witnesses were also unanimous in their belief that the long hours of confinement in the close atmosphere of the mill is the cause of much of the ill-health that is prevalent among girls about 16 and 17. The fatigue resulting from the hours of labour weakens their resistance to disease, and they are liable to fall victims to any epidemics, while anaemia, gastric and menstrual disturbances are very frequent about this age. The worsted industry told the same tale. Many of the employers interviewed were in favour of a shorter working-day, as the younger operatives get The majority of the employers in the clothing trade had never given any consideration to the effects of the hours on the health of their operatives. Consequently they were vehement in declaring that a 52-hour week exerted no injurious influences. On the other hand, the Sick Visitors of the local branches of the United Garment Workers' Union were confident that the 9½-hour day in the confined atmosphere of the factory was particularly harmful for young girls, and they pointed out that the sickness returns were always lower during slack time and during strikes, while other witnesses, although unable to make any definite statement on the effects of the hours worked, said that very few girls at the clothing factories have much energy for Continuation and Workers' Educational Classes after their full day's work. In non-textile factories 5-hour spells are very common. All the doctors interviewed spoke very strongly against this practice. It is noteworthy that far more accidents are reported as occurring in the 5-hour spells than in shorter periods, and the general opinion is that the spell is too long for health and efficiency. In many munition factories short breaks for ten or fifteen minutes have been instituted in the 5-hour spells, and trolleys from the canteens are sent round with cheap refreshments. The The continuous 4½-hour spell allowed by the Factory Acts for the textile industry is seldom adopted in either the cotton or worsted trades, the most usual hours being 6 A.M. to 8 A.M., 8.30 A.M. to 12.30 P.M., and 1.30 P.M. to 5.30 P.M. Very little attention has been paid to the effects of the 4-hour spells as such, and though many observers say that girls are thoroughly fatigued by 3.30 or 4.30 P.M., this seems to be due mainly to the total number of hours already worked rather than to the fatiguing influence of the individual spell. With regard to the early morning start characteristic of these industries, opinion was sharply divided. Some employers and Trade Union representatives declared that no ill-effects resulted, while others were most insistent that the work before breakfast was the cause of much illness and discomfort. Whilst it is impossible to dogmatise in the face of these conflicting statements, especially in view of the fact that neither side can produce scientific evidence in its defence, so that the statements are probably the result of social and domestic considerations, it may Night work for juvenile workers is now almost universally condemned. The effects of such work are more marked than with adult workers, the nervous strain is considerable, and lassitude and weariness invariably accompany the night shift. This results in spite of the fact that girls are reported to sleep well during the day, unlike the older women, whose domestic concerns frequently prevent sleep in the daytime. Some witnesses from Birmingham and Coventry report that night-work was still (November 1916) common for juvenile workers. Where Welfare Workers are in charge, however, they endeavour to restrict it to girls over 16, though even with these the fatigue is considerable, as sleep is frequently broken by the mother waking the girl to partake of the family mid-day meal. Evidence as to the relative merits of long and short periods of night-work are so conflicting that it is impossible to draw any conclusions, and as the question is receiving considerable attention from the Health of Munition Workers' Committee, it was not made the subject of special investigation. Some explanation of the conflict of evidence recorded under this section of the inquiry may be found in the outlook of the witnesses interviewed. Where increased output and commercial profit were the chief concern, so long as few actual breakdowns occurred the witness would report no unfavourable results from long hours of labour, while those whose main interest lay with the well-being of the worker Protracted Standing and Opportunity for Rest.—Evidence as to the provision of seats in munition factories is, on the whole, very encouraging. Most workshops have stools or seats for use during the short pauses which occur whilst waiting for materials or for the setting of tools, and where possible younger girls are put on work that can be done sitting down, whilst Welfare supervisors are generally ready to recommend that delicate girls be transferred from work which involves protracted standing to processes which allow occasional or even continued sitting-down, and foremen are nearly always willing to fall in with the Welfare Workers' suggestions. Only in a few cases have there been difficulties in securing seats: where men have been formerly employed the foremen are sometimes prejudiced against allowing girls to sit down, but they are soon convinced of the wisdom of making this concession. With certain processes prolonged standing is inevitable, but evidence as to resulting injury was not forthcoming in Birmingham or Coventry. None of the doctors interviewed was able to make any Evidence as to the effects of standing on the menstrual function will be discussed later. From the evidence received it seems probable that only a small proportion, and these perhaps the more delicate, are troubled by prolonged standing, but attention may be drawn to the evidence of one large factory where 50 per cent of all new workers leave before the end of six months, and of these 30 per cent declare that they find the standing so fatiguing that they cannot remain at the work. In most of the processes of the cotton and worsted industries chances of resting are exceedingly rare. Girls carrying laps Reference may be made here to the necessity for attention to the type of seat provided, particularly in entirely sedentary occupations, as in the clothing trade and in many of the processes of such industries as biscuit-making, soap-manufacturing, etc. Witnesses from the clothing trade laid great stress on the fact that sitting all day on a small hard stool was extremely fatiguing for growing girls, as it gave no support to their backs, and the Welfare Worker of a large soap-works, after trying one of the stools in her own office, is having them all replaced by chairs with suitable backs in those departments where the work is mainly sedentary. Weight-carrying and Heavy Work.—As far as one can gather from the rather scanty evidence available under this heading, girls under 16 in munition works are seldom engaged on work involving heavy lifting and carrying. The majority of young girls are feeding automatic machines and working power presses, and all materials are brought and taken away by special labourers. Many girls over 16 have been substituted for men workers, but it is exceedingly difficult to gauge the effect which such work is exerting on their health. Overlookers and Welfare supervisors declare that tall strong girls are chosen for heavy processes and that very few injuries result, while a girl can be transferred to lighter work if the heavy work is too fatiguing. One doctor related how she had just concluded the In one large works the girls who are transferred to men's work of lifting and carrying goods are selected by the gymnasium mistress and wear gymnastic costumes to facilitate their movements, and the works doctor reports that there have been no ill effects beyond a few cases of sprained ankles and wrists. By an agreement between the Master Cotton Spinners and the Card and Blowing Room Amalgamation, which was signed in February 1917, women and girls are allowed to break off laps from openers and scutchers provided they do not exceed 45 lbs. in weight, and also to fetch these from the blowing-room on lap-trams and put them on the cards. In Leigh, Wigan, and other districts where Trade Unionism is weak, girls have been employed at this work for a long time prior to the agreement, and the laps are seldom moved on lap-trams but are carried on the girl's shoulder. Some overlookers Can-tenting on the cards is an easy or fatiguing occupation according as the cans are made of fibre or of tin. When the latter are in use girls get very tired, as they are continually dragging the cans, three or four at a time, from the cards to the drawing-frames, which are often some distance away. The secretary of one branch of the Card Room Amalgamation expressed the opinion that the use of fibre-cans ought to be compulsory, as the improvement in physical condition when these are introduced is quite remarkable. But in view of the fact that whenever cans are being renewed fibre ones invariably replace the old-fashioned tin cans, legislation seems unnecessary, and in many places where tin cans are still in use trams are used to convey them to the drawing-frames. At the present time girls are frequently seen dragging skips of cops and bobbins from one room to another or on to the hoist. In well-managed mills the skips are moved on lines, or else are furnished with wheels, but sometimes cases are reported of girls getting ruptured through pulling skips without wheels up sloping floors. In most weaving sheds—cotton and worsted—the weavers' work is to fetch the tins of weft, keep the shuttles full, repair broken threads, and carry the finished pieces or cuts to the warehouse. The actual process of weaving does not involve any heavy work, and fetching the cops of weft is only fatiguing when heavy tins have to be brought from the cellars, which is not usual. But the dangerous element in the work is the occasional necessity of altering the weights, which are placed by the overlooker on levers at the back of the loom, to maintain the required tension of the warp. Many witnesses, Trade Union officials, doctors, overlookers, employers, and technical schoolmasters bore testimony to the risk of internal strain and hernia which attends the manipulation of these weighted levers. A broad loom for the manufacture of cotton sheetings or worsted cloths may have two or three 56-lb. weights on both levers, while for lighter fabrics two 32-lb. weights on each side are quite common. In most sheds the space between the looms is so restricted that the weavers have to move the weights in the position of maximum disadvantage. As a matter of fact the actual number of cases of rupture and other injuries is very small. Many witnesses said it was a cause of perennial amazement to them that this should be so, but some Sick Visitors and Trade Union secretaries said that not all the cases came to their official notice, as girls are often too reticent to claim compensation for internal injuries. Other witnesses recorded their conviction that the effect of the risk was seen better in the gradual strain and the deterioration in health than in the Carrying finished pieces to the warehouse is an advantage to the weavers in so far as it breaks the monotony of the work, but where the cloth is heavy it is very tiring, particularly for short weavers, as lifting the bundle over the loom-end in the narrow alley is exceedingly fatiguing. In the worsted industry most pieces weigh 100 lbs., and two girls are said to carry one piece to the warehouse. Cotton goods seldom reach this weight, but in many districts the trade is becoming heavier, and 60 lbs. is not unusual, and girls will carry such a piece without any help. Most witnesses insisted that cut carriers Peculiar Movements.—The points to be considered under this heading were included in the investigation as it was felt that movements involving continued use of one foot, while the full weight rested on the other, as in working a treadle, or frequent stretching might exert a harmful effect during adolescence, whilst they might be quite innocuous for adults. The evidence, however, is too scanty to warrant any conclusion, as work of this character is much less general than formerly. On some of the machines used in engineering girls have either to work a foot lever continuously or to start and stop the motion, but where Welfare Workers and nurses are in charge they frequently arrange that girls be transferred to other work after a time, so they have nothing to report as to the effects of the work. The doctor at one large factory considers that such work causes trouble with womb and bowels and may lead to prolapse, and that it is likely to weaken the abdominal muscles, but she had no definite evidence from girls under her supervision as she had insisted some time previously that girls should only do pedal work on alternate days, so that now they are engaged on another process in the same room every other day. She was, however, able to report that, previous to the enforcement of this arrangement, many girls working treadle machines In some of the card-room processes, particularly on the intermediate frames, also in the ring spinning-room, and at worsted spinning, short girls have much stretching to reach the top rows of bobbins, but though this is tiring no special injurious effects are recorded. The difficulties of stretching movements are further intensified in the case of preparation work on drawing-boxes in the worsted industry, as girls have to lift large bobbins weighing about 28 to 30 lbs. into creels above their heads; but though some witnesses declared that this was very tiring, no evidence as to actual effects could be secured. A Trade Union delegate mentioned that some girls on this work have broken down completely, and have been forbidden by their doctors to return to the work—the effect showing itself in a rapid deterioration in general health rather than in actual injury. Further inquiry, however, brought out the fact that the majority of workers on this process are over 20 years of age, and are therefore outside the scope of this investigation. Sanitary Conditions.—Reports as to sanitary accommodation in factories are generally satisfactory, thanks to the untiring efforts of the Women Factory Inspectors. In Birmingham, with its multiplicity of small workshops, however, conditions, to put it mildly, are not always ideal. As one doctor remarked, "Things are not so bad as to allow closing down of workrooms, but the sanitary arrangements often fall short of a reasonable standard of decency, though the competition with large firms is having a The sanitary arrangements in textile mills are not always adequate, though few are reported as actually unsatisfactory. Pail closets are, however, still present in a fair proportion of the older mills. The chief complaint, particularly in reference to the needs of adolescent girls, concerns the position of the closets; in most mills the male and female conveniences are next to each other, and witnesses report that young girls are frequently too shy to make use of them, especially in weaving-sheds where the doors of the closets are in view of all. Much unnecessary suffering therefore results, and Lighting and ventilation of closets is frequently faulty, and stress must be laid on the necessity for washing facilities, generally entirely lacking in textile factories. Meals.—Attention has been drawn in the section devoted to hours to the value of good feeding in mitigating the injurious effects of long hours of labour. It must be remembered that the evidence from the engineering industry was collected towards the end of 1916, so that the reports refer to the period before the increase in food prices had balanced the rise in wages. It seems to be fairly established that where good wages are earned adequate food is eaten, though one or two observers reported that girls are still eating unsuitable food, with the result that gastric troubles are common. As a general rule, however, particularly where canteens have been set up, good meat dinners are eaten, and the girls appear to be well nourished. Welfare Workers report on the improvement in health which follows the opening of canteens, and they note especially how anaemia is reduced. Inquiries by club secretaries and the experience of district nurses who visit One witness pointed out that when work starts at 8 A.M. many girls get no breakfast, and when dinner-time comes at 12 or 12.30 they do not feel able to eat ordinary food and take only bread and tea, or something "tasty," but not nourishing. This point should be borne in mind when the arrangement of hours is under discussion, especially in view of the suggestion of one doctor who thought that the ideal working-day when long hours are necessary for output, would be from 7 A.M. to 12 and 1 P.M. to 6 P.M., with ten minutes break for tea, etc., in the middle of each spell. His reason for opposing an earlier start with a breakfast interval at 8 o'clock depended on the fact that the earlier spell (6 A.M.–8 A.M.) would probably be worked fasting, which he considered to be very injurious. How much more harmful then must be a whole morning's work with only a very light refreshment at the interval. The Sick Visitor of the United Garment In the textile industries such amenities as dining-rooms are practically unknown. A benevolent employer here and there, or a Co-operative Wholesale Society, may provide a canteen, but such examples are exceedingly rare. In south-east Lancashire most operatives who work at a distance from their homes arrange with a family in the neighbourhood of the mill to provide them with hot water for tea, and possibly to cook some food for them, for breakfast and dinner. Those who do not do this take their meals in the mill, and as seats are non-existent they have to sit on skips or on the floor. When one realises the atmospheric conditions of most mills, the heat, the damp resulting from steaming, to say nothing of the smell from oil and size, one cannot imagine a worse arrangement. In north Lancashire conditions are somewhat better in that most mills provide hot water for tea at a charge of 1d. or 2d. per week, and a certain few provide ovens for heating food, but here again the meals have to be taken in the vitiated atmosphere of the mill. Practically all operatives remain at the mill for their breakfast, but the majority go home to dinner. The standard of living is high, but too much carbo-hydrate and too little protein food is general; bread and tea, chips and fish (mostly batter), and cakes and pasties, and potato pie with very little meat, form the staple diet. Doctors especially remark on this, and they In addition to the influence of these special considerations on the health of girls in factory employment, certain ailments and forms of physical disability which may not of themselves be immediately incapacitating may be induced by the general unfavourable environment of industrial life Amongst such disorders may be classed:
Growing girls are particularly liable to these disorders, so that their extent was made the subject of special inquiry. Anaemia.—The absence of an absolute standard and complete lack of statistical information render the evidence under this heading vague and inconclusive. Most of the Welfare Workers in the various munition factories visited stated that very few girls suffer from anaemia; two or three stated that many girls were anaemic when they started their The textile industry presents a more uniform picture, and there is much evidence to show that a large proportion of the girls employed in the cotton and the worsted trades suffer excessively from this disorder. Some observers state that many girls are anaemic about the age of 12 when they start work, and then again between 18 and 22; others declare that most girls suffer from anaemia at some time between the ages of 13 and 18. As far as the actual sickness returns of the Trade Union Insurance Doctors are inclined to attribute the excessive anaemia to the fatigue of long hours of labour in a close atmosphere, continued standing, insufficient sleep due to the early morning start, and faulty feeding. The sedentary nature of the clothing industry renders the girls very liable to anaemia, and though the employers frequently deny this, the evidence from the Trade Union Secretaries and the Sick Visitors with their actual record of cases outweighs the observations of the employers. Witnesses from girls' clubs and evening classes often state that the clothing trade is responsible for a higher proportion of anaemic girls than any other industry. Gastric Disorders.—Most witnesses report that indigestion and other gastric disorders are general among girls, though it is often noted that men and older women suffer more frequently from these complaints. Seldom is the actual work held to be responsible. Girls working with powder in munition factories or where the smell of oil is disagreeable appear to be more liable than others, and weavers who are taller than the average—only a small proportion—find the constant bending over the loom aggravates a tendency to indigestion, but beyond these few cases faulty and irregular feeding seems to be the main cause for the prevalent gastric Where work starts at 7.30, as in the clothing trade at Hebden Bridge, many girls take only a cup of tea or a piece of bread before commencing work, and then have to wait until 12.30 before they can get a proper meal. Doctors point out how the long hours of labour in the close atmosphere of mills and factories engender a poor appetite, so that nourishing food becomes distasteful, and tea and confectionery frequently form the staple diet, with disastrous results to the digestive functions. Headaches.—Headaches appear to be extremely common amongst girls in all the industries reviewed, the reasons advanced to account for this being variously the noise of machinery, the smell of oil and size, inadequate ventilation, and eye-strain consequent on close attention to the work. Ventilation is notoriously bad in those factories where previously only men were employed, but new Nervous Disorders.—The evidence here is extremely scanty. One doctor drew attention to the danger of automatism. When very monotonous and restricted movements are employed, a whole room of girls may become nervous and hysterical. He has known this to occur in the making of nails, where the difference between the various processes is so slight that the monotony cannot be obviated by periodically transferring the girls to different kinds of work. Two other witnesses drew attention to the effect of piece-work at high pressure in causing a tendency to hysteria and other nerve disorders, and doffing in the worsted spinning rooms is said to be responsible for the noisy excitability which Menstrual Disorders.—As far as can be ascertained from an inquiry based on the general experiences of persons in touch with girls either inside or outside the factory, the extent of menstrual disorders appears to be much slighter than is generally supposed. In most of the non-textile industries reviewed, opportunities for sitting down were fairly general, and here painful or excessive menstruation was exceedingly rare. Nurses in charge of rest-rooms and surgeries report that only a small proportion of girls are troubled in any way, and those who make use of the rest-rooms during their periods are always the same ones each month, so it may be presumed that these are constitutionally delicate, and that the work is not responsible for their disorder. Doctors declare that if the general health is good, industrial work for a reasonable number of hours has no ill-effects, but, on the contrary, the active movements involved are a positive advantage. When, however, the hours worked are so long as to cause extreme fatigue, excessive and painful menstruation frequently results. Nurses and Welfare Workers notice that many girls of 14 have not commenced their menstrual periods when they start Some witnesses report that girls who have no opportunity of sitting down suffer much pain during menstruation and get very fatigued, but the evidence on this point was not unanimous. Evidence from the textile industry is not so satisfactory. As was pointed out when the provision of seats was under discussion, cotton and worsted factories are lamentably behind other industries in this respect, and as hours are uniformly 10 per day and the pressure of work generally very considerable, it is not surprising that menstrual disorders are reported more frequently than in non-textile trades. It must also be remembered that the large majority of textile operatives start work at 12 or 13 years of age, just at the onset of puberty, while in other industries 14 is the general school-leaving age. Many girls find the long hours of continued standing very tiring during menstruation, and as these factors conduce to anaemia, failure of the menses and dysmenorrhoea are more common than in other industries. Most witnesses laid stress on the need for seats and rest-rooms in textile factories as a means of preventing painful menstruation; in many mills girls are not even allowed to snatch a few minutes' rest by sitting on the waste-boxes or on straps slung between their looms, and they frequently experience difficulty in getting permission to go home when feeling unwell unless they can get a substitute. But the doctors interviewed are unable to attribute any permanent menstrual disorders or resultant injuries to these causes, and they are inclined to believe that the active life of the mill is a help rather than a hindrance to the menstrual function. Realisation of the Needs of AdolescentsAny realisation of the particular problems and needs of adolescents by attempts to fit work to their physical capacity is so rare that the few cases where such provisions are made stand out in marked contrast. In munition and other factories where Welfare Workers are in charge, efforts are generally made to limit overtime and night work to those over 18, but at the time the inquiry was made in Birmingham and Coventry girls over 16 were in most cases expected to take their turn at night work with the older workers, while in some factories, after the first few weeks' probationary period is over, old and young alike have to work on the alternate night and day shifts, although it is now generally acknowledged that night work is more detrimental for young than for adult workers. At one of the larger factories visited, girls under 16 always stop work at 6 P.M. after a 9¾-hour day, while those over 16 work another hour, and when overtime is being worked, another two hours. At another factory In the cotton industry the position is even worse. Girls entering the mill at 12 as half-timers or at 13 for full time are expected to conform in every way to factory life. Voluntary reduction of hours by employers for younger workers is completely unknown, and instead of suiting the work to the capacity of young workers, the girls have to adapt themselves to the requirements of their work. As soon as a girl has her own looms—at the present time weavers are on two looms at 13, and frequently on four at 14 or 15—the manager expects her to produce the average output every week, and the strain to do this is responsible for much deterioration in health. The competition between weavers is encouraged by overlookers and managers, and no effort is ever made to teach girls to conserve their energies. In the worsted industry the majority of the younger workers are employed in the spinning rooms, first as doffers and then as spinners, which one witness describes as the hardest process in the In the clothing trade of Hebden Bridge the Trade Union officials report that the younger workers are not subjected to heavy pressure of work, and are able to take their ease at the workshops if they so desire, the peculiar circumstances of the trade here preventing any attempt to speed them up by threat of dismissal. In one or two factories learners and young operatives work in a separate room in charge of women overlookers, and in most cases these supervisors are careful about the health of their charges and prevent them working at an excessive pace. The Transition from School to Factory LifeIn reviewing the effects of the transition from school to factory life it must be remembered that the evidence from the non-textile industries refers to girls who are over 14 years of age, while in the textile towns the large majority of the children start work either as half-timers at 12 or as full timers at 13. The general trend of the evidence shows that the taking up of non-textile employment is attended by a considerable falling-off in health. Most girls become thinner and lose their colour and vitality during their first six months at the factory, and those working long hours become "like machines, able to keep on without breakdown, but lose all Some witnesses had noticed that the usual manifestations of lessened vitality and anaemia were not so general as in pre-war days, and this is naturally attributed to the better feeding and consideration obtainable at the present time. My attention was drawn several times to the desirability of increased care during the critical years of early adolescence through an extension of the medical service under the National Insurance Act to all industrially employed persons. Some Welfare Workers found that constant attention was needed to prevent a widespread deterioration in health during the first period of employment, and their efforts were frequently hampered by lack of facilities for medical attention. Some witnesses, notably those from the Hebden Bridge clothing trade, as well as from some of the miscellaneous trades investigated, state that girls are put to easier and lighter work when they first leave school and that they take their ease at it, so that no falling-off in health accompanies the transition stage, but a deterioration in physique with increased sickness shows itself at 16 or 17, when they begin to work at a high pressure. The special problem of half-time labour in the cotton and worsted industries, dealing as it does with the employment of children as distinct from adolescents, does not concern us here, so that we will review only the taking up of full-time employment at 13. Where girls come straight from 6 hours' work at school to the full working-day of Many witnesses were of the opinion that the certifying factory surgeons are not careful enough Special ProblemsGirls in the Mule Rooms.—The shortage of boy labour in the spinning branch of the cotton industry has led during recent years to a revival of the old custom of employing women and girls in the mule rooms. In strongly organised districts this means that girls are being engaged as piecers in increasing numbers, while where Trade Union organisation is weak, outside the great spinning areas, as in Wigan, they are frequently acting as mule minders. As might be expected, the influence of war conditions has been to intensify this shortage of boy labour and to increase the number of female piecers, so that the Bolton Operative Cotton Spinners' Association finds that no fewer than 1163 additional girl piecers have been brought into the mule rooms in their district since the outbreak of war, making a total of 3315. The increase will be proportional in Oldham and district. In this inquiry the evidence as to the effects of such work was drawn entirely from non-medical sources, as it was impossible to get definite medical experience of the problem. Consequently the conclusions are more general than exact. Many employers and overlookers and some Trade Union A small meeting of mule-room women workers, joint minders, and piecers whom I interviewed were very resentful that their work should be considered harmful, probably from fear of losing their employment, so it was difficult to get any definite evidence. The only reform for which they pressed dealt with the provision of cloak-rooms where men and women work together. As mentioned above, the heat is so intense that very little clothing is worn—men wear a pair of linen drawers and a shirt, the women and girls frequently only a skirt and blouse; and they dress and undress in sight of one another. The moral effects of mule-room work are outside the scope of this investigation, but attention must be drawn in passing to the undesirable position occasioned by the heat, the scanty clothing, the attitudes necessary for the work, and the subordination of women and girls to the male minders in an unhealthy atmosphere. In Wigan, where women minders or joiner-minders are the rule, these moral objections seldom occur. Witnesses from mills that do not employ girls in mule-room work were very insistent on the objectionable moral and physical effects of such work, agreeing with Mr. James Haslam that it makes girls "sallow and tired, crooked in limbs, bloodless and dyspeptic." Speeding up.—We have already referred to the driving effect of piece-work on simple automatic processes, but it is difficult to deduce any definite conclusions from the evidence of the non-textile industries. Thus some Welfare Workers and employers say that Speeding up of the machinery in the cotton industry has been very marked during recent years. In each department unremitting attention is necessary if even a moderate wage is desired. The standard Weavers and winders suffer from increased speed as much as the card- and spinning-room workers. Attention has been drawn to the spirit of competition which managers and overlookers encourage between weaver and weaver. Boys and girls, men and women, are indirectly set to emulate each other. Some witnesses believe that women and girls work at higher pressure than men and boys, and since the former invariably have domestic work when the factory day is over, the strain is considerably increased. At the present time girls are given responsible work before they are equal for it. Teachers frequently find half-time scholars, who have not been at the mill more than a couple of months,
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