Life depends on the action of the organic organs. The action of the organic organs depends on certain physical agents. As each organic organ is duly supplied with the physical agent by which it carries on its respective process, and as it duly appropriates what it receives, the perfection of the physical condition is attained; and, according to the perfection or imperfection of the physical condition, supposing no accident interrupt its regular course, is the length or the brevity of life. It is conceivable that the physical condition might be brought to a high degree of perfection, the mind remaining in a state but little fitted for enjoyment; because it is necessary to enjoyment that there be a certain development, occupation, and direction of the mental powers and affections: That state of the system in which the physical condition is sound is in itself conducive to enjoyment; while a permanent state of enjoyment is in its turn conducive to the soundness of the physical condition. It is impossible to maintain the physical processes in a natural and vigorous condition if the mind be in a state of suffering. The bills of mortality contain no column exhibiting the number of persons who perish annually from bodily disease, produced by mental suffering; but every one must occasionally have seen appalling examples of the fact. Every one must have observed the altered appearance of persons who have sustained calamity. A misfortune, that struck to the heart, happened to a person a year ago; observe him some time afterwards; he is wasted, worn, the miserable shadow of himself; inquire about him at the distance of a few months, he is no more. It is stated by M. VillermÉ, that the ordinary In regard to the whole population of a country, indigence may be assumed to be a fair measure of unhappiness, and wealth of happiness. If the rate of mortality in the indigent class be compared with that of the wealthy, according to M. VillermÉ, it will be found in some cases to be just double. Thus it is affirmed that, in some cases in France, taking equal numbers, where there are one hundred deaths in a poor arrondissement, there are only fifty in a rich; and that taking together the whole of the French population, human life is protracted twelve years and a half among the wealthy beyond its duration among the poor: consequently, in the one class, a child, newly born, has a probability of living forty-two and a half years; in the other only thirty years. In the great life-insurance establishments in England, a vast proportion of the persons who By a certain amount and intensity of misery life may be suddenly destroyed; by a smaller amount and intensity, it may be slowly worn out and exhausted. The state of the mind affects the physical condition; but the continuance of life is wholly dependent on the physical condition: it follows that in the degree in which the state of the mind is capable of affecting the physical condition, it is capable of influencing the duration of life. Were the physical condition always perfect, and the mental state always that of enjoyment, the duration of life would always be extended to the utmost limit compatible with that of the organization of the body. But as this fortunate concurrence seldom or never happens, human life seldom or never numbers the full measure of its days. Uniform experience shows, however, that, provided no accident occur to interrupt the usual course, in proportion as body and mind approximate to this state, life is long; and as they recede from it, it is short. Improvement of the physical condition affords a foundation for the improvement of the mental state; improvement of the mental state improves up to a certain point the physical condition; and in the ratio in which this twofold improvement is effected, the duration of life increases. Longevity then is a good, in the first place, because If there may be happiness without longevity, the converse is not possible: there cannot be longevity without happiness. Unless the state of the body be that of tolerable health, and the state of the mind that of tolerable enjoyment, long life is unattainable: these physical and mental conditions no longer existing, nor capable of existing, the desire of life and the power of retaining it cease together. An advanced term of life and decrepitude are commonly conceived to be synonymous: the extension of life is vulgarly supposed to be the protraction of the period of infirmity and suffering, that period which is characterized by a progressive diminution of the power of sensation, and a consequent and proportionate loss of the power of enjoyment, the "sans teeth, sans eyes, sans taste, sans every thing." But this is so far from being true, that it is not within the compass of human power to protract in any sensible degree the period of old age properly so called, that is, the stage of decrepitude. The division of human life into periods or epochs is not an arbitrary distinction, but is founded on constitutional differences in the system, dependent on different physiological conditions. The periods of infancy, childhood, boyhood, adolescence, manhood, and old age, are distinguished from each other by external characters, which are but the outward signs of internal states. In physiological condition, the infant differs from the child, the child from the boy, the boy from the man, and the adult from the old man, as much in physical strength as in mental power. There is an appointed order in which these several states succeed each other; there is a fixed time at which one passes into another. That order cannot be inverted: no considerable anticipation or postponement of that fixed time can be effected. In all places and under all circumstances, at a given time, though not precisely at the same time in all If this be so, what follows? One of the most interesting consequences that can be presented to the human mind. The duration of the periods of infancy, childhood, boyhood, and adolescence, is fixed by a determinate number of years. Nothing can stay, nothing retard, the succession of each. Alike incapable of any material protraction is the period of old age. It follows that every year by which the term of human existence is extended is really added to the period of mature age; the period when the organs of the body have attained their full growth and put forth their full strength; when the physical organization has acquired its utmost perfection; when the senses, the feelings, the emotions, the passions, the affections, are in the highest degree acute, intense, and varied; when the intellectual faculties, completely unfolded and developed, carry on their operations with the greatest vigour, soundness, and continuity; in a word, when the individual is capable of receiving and of communicating the largest amount of the highest kind of enjoyment. A consideration more full of encouragement, more animating, there cannot be. The extension of human life, in whatever mode and degree it may be possible to extend it, is the protraction of that portion of it, and only of that portion of it, in which the human being is capable of RECEIVING AND OF COMMUNICATING THE LARGEST MEASURE OF THE NOBLEST KIND OF ENJOYMENT. Considerations, purely physiological, establish this indubitably; but it is curious that a class of facts, totally different from those of a physiological nature, equally prove it; namely, the results obtained from the observation of the actual numbers that die at different ages, and the knowledge consequently acquired of the progressive decrement of life. Mortality is subject to a law, the operation of which is as regular as that of gravitation. The labours of my valued friend Mr. Finlaison, the actuary of the National Debt, have not only determined what that law is in relation to different nations at different periods of their history, but this celebrated calculator has also invented a striking mode of expressing and representing the fact. He constructed a chart on which 100 perpendicular lines, answering to the respective ages of human life, are laid down and numbered in succession. These are crossed at right angles by 500 horizontal lines; so that, in the manner of musical notation, a point may be laid down either on the horizontal line, or on the space between any two of them: and thus, 1000 points may be laid down on each of the perpendicular lines. The horizontal lines are in like manner numbered from 1 to 1000, ascending from the base. Taking any observation which shows the number of living persons that commence, and in like manner the number that die in each particular year of human life, the calculator reduced by the rule of three every such Now, it is a highly interesting fact, that the curves on this chart drawn upon it before the physiological phenomena were known to the operator, placed there because such he found to be the actual path along which death marshals his course, exactly correspond to the epochs which physiology teaches to be determinate stages of human existence. The infant, the child, the boy, the adolescent, the man, the old man, are not exposed to the same danger. The liability of each to death is not merely different; it is widely different; the liability of each class is uniformly the same, the circumstances influencing life remaining the same; and under no known change of circumstances does the relative liability of the class vary; under no change does the liability of the adolescent become In Mr. Finlaison's report, printed by the House of Commons on the 30th of March, 1829, there are six original observations on the mortality of as many separate sets of annuitants of the male sex. From an examination and comparison of these observations, it appears—1st. That the rate of mortality falls to a minimum at the close of the period of childhood. 2d. That from this point the mortality rises until the termination of adolescence or the commencement of adult age. 3d. That from the commencement of adult age the mortality again declines, and continues to decline
The observation, No. 15, is founded on the large mass of 9,347 lives and 4,870 deaths. From this observation, it appears that, at the age of thirteen, the mortality out of a million is 5,742, being 174,750 less than in the first year of infancy During the first year of infancy, as has been shown, the mortality out of a million is 180,492. At the extreme age of eighty-four, it is 178,130, very nearly the same as in the first year of infancy. Greatly as the mortality of all the other epochs of life is affected by country, by station, by a multitude of influences arising out of these and similar circumstances; yet the concurrent evidence of all observation shows that at this and the like advanced ages the mean term of existence is nearly From these statements, then, it is obvious, that from the termination of infancy at three years of age, a decade of years brings childhood to a close, during which the mortality, steadily decreasing, comes to its minimum. Another decade terminates the period of adolescence, during which the mortality as steadily advances. A third decade changes the young adult into a perfect man, and during this period, the golden decade of human life, the mortality again diminishes; while, during another decade and a half, the mortality slowly rises, and returns at the close of the period to the precise point at which it stood at adult age. Thus the interval between the period of birth and that of adult age includes a term of twenty-three years. The interval between the period of adult age and that when life just begins to decline from its meridian, Were it necessary to adduce further evidence of this most interesting fact, it would be found equally in the statistics of disease as in those of mortality. Indeed, the evidence derived from both these sources must be analogous, because mortality is invariably proportionate to the causes of mortality, of which causes, sickness, in all its forms, may be taken as the general or collective expression. We do not possess the same means of illustrating the prevalence of disease through all the epochs Such are the results derived from the experience of disease considered in the aggregate, all its varied forms taken together. I am enabled further to present an exact and most instructive proof, that one particular disease which, in this point of view, may be considered as more important than any other, because it is the grand agent of death, namely fever, carries on its ravages in a ratio which steadily and uniformly increases as the age of its victim advances. Having submitted the experience of the London Fever Hospital for the ten years preceding January 1834, an observation including nearly 6,000 patients affected with this malady, to Mr. Finlaison, it was subjected by him to calculation. Among other curious and instructive results to be stated hereafter, it was found that the mortality of fever resolves itself into the following remarkable progression. Thus suppose 100,000 patients to be attacked with this disease between the ages of 5 and 16, of these there would die - 8,266 and of an equal number
Thus the risk of life from this malady is twice as great at the age of thirty-one as it is at eleven. It is also nearly twice as great at forty-one as it is at twenty-one. It is five times as great at sixty-one as it is at eleven, and nearly four times as great above sixty-five as it is at twenty-one. From the whole of the foregoing statements, it is manifest that life is a fluctuating quantity. In order to compare this fluctuating quantity under different circumstances, writers on this branch of statistics use several terms, the exact meaning of which it is desirable to explain. It is, for example, very important to have a clear understanding of what is meant by such expressions as the following: the expectation, the probability, the value, the decrement of life, and the law of mortality. 1. The Expectation of Life. It is important to bear in mind that several expressions in common use have a signification perfectly synonymous with this: namely, share of existence; mean duration of life; la vie moyenne. By these terms is expressed the total number of years, including also the fractional parts of a year, ordinarily attained by human beings from and after any given age. Suppose, for example, that one thousand persons enter on the eighty-sixth year of their age: suppose the number of years and days which each one of them lives afterwards be observed and recorded; suppose the number ultimately attained by each be formed into a sum 2. Probability of Life; or the probable duration of life, la vie probable. These are synonymous terms, in use chiefly among continental writers as an expression of the comparative duration of life. The tabular methods of setting forth the duration of life consist, for the most part, in assuming that 10,000 infants are born; and that at the age of one, two, three, and each successive year of life, there are so many still remaining in existence. Fix on any age; observe what number remain alive to commence that age; note at what age this number decreases to one-half; the age at which they so come to one-half is called the probable term of life; because, say the continental writers, it is an equal wager whether a person shall or shall not be alive at that period. Thus, suppose one thousand males commence together the age of 3. Value of Life. This term, when used accurately, expresses the duration of life as measured by one or other of the methods already expounded. But it is sometimes popularly used in a loose and singularly inaccurate sense. Thus it is very commonly said—"Such a man's life is not worth ten years' purchase," which is the same thing as to say, that an annuity, suppose a hundred pounds a year, payable during the life of the person in question, is not worth ten times its magnitude, that is one thousand pounds. If a thousand pounds be put into a bank at some rate of interest to be agreed upon, and if a hundred pounds be drawn every year from the stock, the expression under consideration affirms that the person in question will be dead before the principal and interest are exhausted. For instance, at four per cent., the value of an annuity of one hundred pounds to a man of the age of twenty-five is 1694l., which is 16-9/10 years' purchase; whereas, his expectation of life at that age is 35-9/10 years. 4. Law of Mortality. By this term is expressed the proportion out of any determinate number of human beings who enter on a given year of age, that will die in that year. Every observation on the duration of life presents certain numbers, which, by recorded facts, are found to pass through each year of age, and also shows how many have died or failed to pass through every year of age. Those numbers, by the rule of three, are converted into the proportions who would die at each age out of one million of persons, if such a number had commenced it. Suppose, then, a million of persons to be in existence at the first year of age; suppose a million to be in existence at the second year of age; suppose a million to be in existence at the third year of age; and in this manner suppose an equal number to be in existence at the commencement of each and every year to the extreme term of human life. Now, the proportions that by actual observation are found to die at each and every year out of the million that were alive at the commencement of it, form separately the law of mortality for each year, and collectively for the whole of life. 5. Decrement of Life. Assuming, as before, that a million of male children are born alive (for the still-born must be excluded from the calculation) if it be found that 180,492 would die in the first year, it follows that the difference, namely, 819,508, will enter upon the age of one year. We have said that life is a fluctuating quantity. It fluctuates in different countries at the same period; in the same country at different periods; in the same country, at the same period, in different places; in the same country, at the same period, in the same place, among different classes; in the same country, at the same period, in the same place, among the same class, at the different determinate stages of life. Some few of these fluctuations, and more especially the last, depend on the primary constitution of the organization in which life itself has its seat, over which man has little or no control. The greater part of them depend on external and adventitious agencies over which man has complete control. Human ignorance, apathy, and indolence, may render the duration of life, in regard to large classes and entire countries, short; human knowledge, energy and perseverance, Of the duration of life in the earlier periods of the history of the human race we know nothing with exactness, though there are incidental statements which afford the means of deducing with some probability the rate of mortality in particular situations. There has come down to us one document through Domitius Ulpianus, a judge, who flourished in the reign of Alexander Severus, which enables us to form a probable conjecture at least of the opinion of the Roman people of the value of life among the citizens of Rome in that age. It happened at Rome as in other countries, that when an estate came into the possession of an individual it was burthened with a provision for another person during the life of the latter, a younger brother, for example. This provision was called by the Romans an aliment. No estate, burthened with such a provision, could be sold by the heir in possession, unless the purchaser retained in his hands so much of the price as was deemed adequate to secure the regular and continuous payment of the aliment. This imposed upon the Romans the necessity of considering what the term of life would probably be from and after any given age. What they did conceive that term to be is stated in a
But between 40 and 50, as many years were to be allowed as the age of the party fell short of 60, deducting one year. No clue has hitherto been obtained to the discovery of the real meaning of this document. It is, however, highly probable that the Romans had fallen on one of the two methods of measuring the value of life already explained; namely, that termed the Probability of Life. Of the two modes of determining the value of life, the probability was more likely to occur to a Roman judge than the expectation. He had no tables, no registers to guide him. What course, then, would he be likely to take? Probably he would form a list of his own school-fellows and others within his own knowledge, of the age, say, of twenty. By prevailing on persons of his own age, on whose correctness he could rely, to draw out similar lists, he might accumulate some thousand names. In this list it is probable that the male sex alone would be included, on account of the greater ease of ascertaining both their exact age and the exact date of their death. For the same reason, it is probable that the list There is reason to believe that the mortality at present throughout Europe, taking all countries together, including towns and villages, and combining all classes into one aggregate, is one in thirty-six. SÜssmilch, a celebrated German writer, At the age of 17, the excess in round
But it is not improbable that the Romans made some deduction from what they knew to be the real value of life among the citizens of Rome, on account of the use of the money appropriated to
It should be borne in mind that the females of the mass exceed in duration the lives of the males at every age by two or three years. The earliest statistical document bearing on the rate of mortality, in any European nation, emerging from the state of barbarism, appears to be a manuscript of the fourteenth century, relating to the mortality of Paris, from which M. VillermÉ has calculated that the mortality of Paris at that period was one in sixteen. How the individual facts contained in this manuscript were collected, from which M. VillermÉ's calculation is made, does not appear; and it makes the mortality so excessive as to be altogether incredible. Yet a statement scarcely less extraordinary is made with regard to Stockholm, in the middle of the last century. From a table given by Dr. Price, vol. ii., p. 411, it appears that, for all Sweden, between the years 1756 and 1763, the expectation of life Of males at birth, was Females, while at the same time it was at Stockholm, For males at birth,Females, Whereas, for the twenty years preceding 1800, it MalesFemales, Hitherto, in all places which man has made his abode, noxious agents have been present which act injuriously upon his body, tending to disturb the The change that has taken place in the condition of lying-in women during the last century in all the nations of Europe cannot be contemplated without astonishment. The mortality of lying-in women in France, at the HÔtel Dieu of Paris, in Equally striking is the proof of the diminished violence of the prevalent causes of disease and death derived from the diminished mortality of children, the vital power of resistance being always comparatively weak in the human infant, and consequently, the agents that prove destructive to life exerting their main force on the new born, and on those of tender age. From mortuary tables, preserved with considerable accuracy at Geneva since the year 1566, it appears that at the time of the Reformation one-half of the children born died within the sixth year; in the seventeenth century, not till within the twelfth year; in the eighteenth century, not until the twenty-seventh year; consequently, in the space of about three centuries, the No less remarkable is the progressive diminution of mortality among the sick of all ages. Hippocrates has left a statement, which has come down to our times, of the history and fate of forty-two cases of acute disease. Out of this number, thirty-seven were cases of continued fever; of these thirty-seven febrile cases twenty-one died, above half of the whole. The remaining five were cases of local inflammation, and of these four were fatal; thus, of the whole number of the sick (forty-two), twenty-five were lost. Now, even in the Fever Hospital of London, to which, for the most part, only the worst cases that occur in the metropolis are sent, and even of these many not until so late a period of the disease that all hope of recovery is extinct, the mortality ranges in different years from one in six to one in twelve; and for a period of ten consecutive years, it is no more than one in seven; while, in the Dublin Fever Hospital, where most of the cases are sent very early, the average mortality from 1804 to 1812 was one in twelve. At the Imperial Hospital at Petersburg, the average mortality for fourteen years, ending in 1817, was one in four and a half. In the CharitÉ of Berlin, on an average of twenty years, from 1796 to 1817, If the accuracy of these statements could be relied on, they would not only afford striking illustrations of the well-known fact that extraordinary differences prevail in the rate of mortality in different places, at different periods, and under different circumstances; but they would further prove that, during the last century, a steady and progressive diminution of mortality has taken place in all the countries of Europe. But of the truth of this there is much more certain evidence than can be derived from calculations, the trustworthiness of the data of which is not established, and the correctness of the calculators not known. Both the
Let us trace from this table the differences that have taken place, in different countries at different periods, in the duration of life at a given age. Let us take the age given in the first column, namely, fifty. Assuming, then, the highest degree of longevity hitherto attained at the age of fifty to be twenty-three years, it appears that, between the years 1700 and 1725, the mass of the people in Breslau, in Silesia, fell short of reaching this period by 275 weeks; the inhabitants of the town of Ostend in Flanders, between 1805 and 1832, by 276 weeks; the nominees of the tontine of England, between the years 1693 and 1775, by 269 weeks; the inhabitants of the town of Northampton in England, between 1735 and 1780, by 209 weeks; the mass of the people in Sweden, between 1775 and 1795, by 207 weeks; the public annuitants of Holland, between 1615 and 1740, by 186 weeks; the inhabitants of all Belgium, between 1725 and 1832, by 183 weeks; the persons assured at the Equitable Office, between 1760 and 1834, by 119 weeks; the inhabitants of all England and Wales, between 1811 and 1831, by 100 weeks; the English government annuitants, between 1775 and 1832, only by 35 weeks. From these statements, it appears that, towards the close of the seventeenth century, the duration of life in England was considerably less than in France: less even than in Holland nearly a century earlier. Thus, the nominees of the tontine of Since that period, surprising changes have taken place in all the nations of Europe; but in none has the change been so great as in England. From that period, when its mortality exceeded that of any great and prosperous European country, its mortality has been steadily diminishing, and at the present time the value of life is greater in England than in any other country in the world. Not only has the value of life been regularly increasing until it has advanced beyond that of any country of which there is any record; but the remarkable fact is established, that the whole mass of its people now live considerably longer than its higher classes did in the seventeenth and eighteenth centuries. Thus, by inspecting the preceding table, it will be seen that between the years 1693 and 1715, the nominees of the tontine of England, at There cannot be a more interesting and instructive thing than to connect these facts with their causes. This will be attempted in a subsequent part of this work; but the reader will be incomparably better prepared for the investigation when the processes of life have been explained, and the influence of physical and moral agents upon them traced. And with this exposition we now proceed. |