William W. Sanger

BELGIUM.

Hospitals and Charitable Institutions.—Foundlings.—Estimate of the Marriage Ceremony.—Regulations as to Prostitution.—Brothels.—Sanitary Ordinances.

Belgium takes a more prominent position in Europe than its mere extent would warrant. This influence is derived from the vigorous and effective stand made in behalf of rational freedom, and from the manner in which free institutions have been originated and maintained.

The hospitals and other eleemosynary institutions of Belgium are of a magnificent character, supported at an annual expenditure of nearly two hundred thousand dollars. Almost every town, and many of the larger villages, have hospitals for the sick, sometimes maintained at corporation expense, sometimes by private endowments. In 318 hospitals, during the four years from 1831 to 1834 (inclusive), no less than 22,180 persons were treated.[262]

Foundling hospitals are a marked feature of these charitable establishments. The turning table, which was formerly in use in all such institutions, has lately been abandoned in most of them, but still remains in use at those of Brussels and Antwerp. The total number of children annually abandoned in Belgium is estimated to exceed eight thousand out of one hundred and forty-four thousand births, a ratio of about one in eighteen. The average expense attendant upon the maintenance of each infant is about seventy-two francs.

Marriage in Belgium is, by law, simply a civil contract, requiring fifteen days’ notice posted in front of the HÔtel de Ville. Notwithstanding the simplicity of this ceremonial, it is affirmed that an enormous extent of immorality and illegitimacy is to be met with, and that a virtuous servant-girl is altogether exceptional, there being scarcely one of them who has not an illegitimate child, while they maintain with the most unyielding confidence that, so long as the father is a bon ami (sweetheart), there is no moral turpitude in the case.Belgium is remarkable for its regulations with respect to prostitution and the spread of venereal disease. The perfections of the latter arrangements are shown in the fact that, out of an army of thirty thousand men, there were less than two hundred cases of syphilis in the year 1855.

The brothels of Brussels are of two kinds: les maisons de debauchÉ and les maisons de passe; these are visited by les filles Éparses, who keep their appointments there. The two classes of houses are distinguished by different-colored lanterns hung over the doors.

All classes of prostitutes are required to be examined twice a week; those who live in brothels of the first and second class are visited by the physicians, while the very poor women of the third class, and all those who do not reside in brothels, are obliged to attend at the Dispensary. If they are punctual in their visits for four weeks in succession they are exempt from all tax; but if, on the contrary, their attendance is irregular, they can be imprisoned from one to five days. Any woman who does not live in a brothel can be examined at her own residence, provided that she pays at the Dispensary a sum amounting to about eighty-five cents. For this she receives four visits, and the physicians will continue to call upon her as long as the payments are made in advance. Thus the denizens of the aristocratic brothels are saved the inconvenience of attending at the Dispensary, as also that portion living in private lodgings who can afford to pay the fee to release themselves from going to the office as common prostitutes, while the half-starved, ill-dressed pauper of the third class must wait at the Dispensary until examined, and then return to her squalid home, where none but her companions and the police-officers are ever seen.

The medical staff of the Dispensary is composed of a superintending inspector, whose duty is to be present in the Dispensary when examinations are being made, and to visit the houses once a fortnight at least; of two medical inspectors, who, during alternate months, examine, one the women in the brothels, the other those who attend at the Dispensary. The date and result of every examination are marked on a card belonging to each woman, in the registers kept at the brothels, and in the records of the Dispensary. If a woman be found affected with syphilis or any other infectious disease, the owner of the brothel must send her immediately, in a car, to the hospital, and as soon as her cure is complete her card is handed to her, and she is at liberty to resume her calling.