Chapter 8 No.8

Miss Nightingale thus felt assured that when the Indian Report came out she would have a sympathetic chief at the War Office, and she turned with the greater zest to the next stage in her labours; namely, the preparation of the Report by the Commissioners. The manuscript of the first page or two (explaining the delay in issuing the Report and the procedure of the Commission) is in Lord Stanley's handwriting (preserved among Miss Nightingale's papers). He entrusted the preparation of the first draft of the rest of the Report, for statistics to Dr.

Farr, and for the rest to Miss Nightingale and Dr. Sutherland. She had written a first draft of the greater part of her sections of the Report as early as April 1862. By August it was in type and corrected by Lord Stanley, who "pledged himself to carry it through the Commission next month."[17] But Dr. Farr's section was not so far advanced, and there were other delays at which Miss Nightingale chafed not a little. In May 1863 the last stage was reached. "I have done and shall do all in my power," Lord Stanley wrote to her (July 10), "to make it public that to Dr. Sutherland and you we mainly owe it that the Report has assumed its present shape." Among her papers is a collection of proofs of the Report in various stages; some corrected by Dr. Farr and Dr. Sutherland, others corrected and re-corrected by her. The descriptive portion of the Report is in substance a repetition of her "Observations," in the colder language which is held to add weight and dignity to such documents; though here and there Miss Nightingale's touch may be felt. The magnitude of the evils which needed to be remedied is put in an arresting way. "Besides deaths from natural causes [9 per 1000], 60 head per 1000 of our troops perish annually in India. It is at that expense that we have held dominion there for a century; a company out of every regiment has been sacrificed every twenty months. These companies fade away in the prime of life; leave few children; and have to be replaced, at great cost, by successive shiploads of recruits." The cost of preventable sickness in the Indian army was calculated at ￡388,000 a year. The list of Recommendations with which the Report concludes may be described as a Sanitary Charter for the Army in India-a Charter which during many successive years was gradually put into force.

Last of all came what Miss Nightingale considered the most vital point of all-namely, the suggestion of practical machinery by which, if the Government adopted it, the recommendations of the Commission might be carried out. At this crucial point, she had a very stiff fight. The machinery, as she had devised it, was to be twofold. First, there were to be Sanitary Commissions appointed for each Presidency in India. On this point, all the Commissioners seem to have been agreed; but it was different with Miss Nightingale's second point. The reports which she had read and marked from the Indian stations filled her with a fear that if the whole of the initiative were left to India the work would in some cases be negligently or unintelligently done. There had not yet been in that country the same education of public opinion amongst the governing class in the science of sanitation that had been in progress in England. She deemed it essential that the machinery recommended by the Commission should in one way or another include provision to secure for India the experience already obtained in dealing with all kinds of sanitary questions in England. She had formulated her own plans to this end at an early stage of the Commission. What she first suggested was a Sanitary Department at the India Office, and this, as we shall hear in a later chapter (p. 153), was ultimately established. It had been well if the suggestion had been accepted from the beginning, for the compromise which was substituted led to some confused friction between the War Office and the India Office. As the second-best plan, Miss Nightingale wanted the standing Sanitary Committee at the War Office,[18] reinforced by one or two representatives of India, to be invested with authority over Indian sanitation, and she wanted, secondly, a Sanitary Code to be issued for India by the Home Government. She had named the two Indian officials, and had urged the addition of Mr. Rawlinson, at that time the leading sanitary engineer in England.[19] But on all this there was some difference of opinion. She was kept informed from day to day of the currents of thought among the Commissioners, and of the course of the discussions. The letters, minutes, memoranda in which she urged her views are many. She had first to persuade Lord Stanley, and this in personal interviews she succeeded in doing. She begged him to open the subject to Sir Charles Wood, the Secretary for India, who did not take the suggestion amiss. There were still, however, some contrary opinions, but ultimately her policy prevailed. "I cannot help telling you, in the joy of my heart," she wrote to Harriet Martineau (May 19), "that the final meeting of the Indian Sanitary Commission was held to-day-that the Report was signed-and that after a very tough battle, lasting three days, to convince these people that a Report was not self-executive, our Working Commission was carried, not quite in the original form proposed, but in what may prove a better working form because grafted on what exists. This is the dawn of a new day for India in sanitary things, not only as regards our Army, but as regards the native population." But Miss Nightingale was never content to let the light steal in gradually; she wanted to secure for the Report of the Commission the fullest possible glare of publicity.

Her first concern was to get early notices of the Report in the newspapers. The daring, the celerity, the energy of her moves might excite the admiration even of the greatest experts in this sort of our own day. The gist of the Report, so far as its statement of the facts was concerned, was contained in her own "Observations"; and, as explained above, she had already circulated these both in India and at home. Having thus, as it were, salted the ground, she prepared for the official publication. As one of the principal authors of the Report, she was obviously entitled to some copies. She obtained a note from Lord Stanley, the Chairman, to that effect. The Queen's printer, Mr. Spottiswoode, was her very good friend, having been associated with her in more than one philanthropic enterprise, and, after seeing Lord Stanley's note, he promised to use every expedition and to let Miss Nightingale have some of the very earliest copies. She sent them off immediately; to various influential friends (Sir John Lawrence among the number), but principally to writers for the press; and with regard to these latter, there was no reason why she should tell each recipient of the special early copy that he was not the only individual so favoured. A Blue-book of 2028 pages is not mastered in a minute, and people wondered how so many of the newspapers and magazines were able to notice the Report so fully on the instant. "Mr. Baker [the Clerk to the Commission] has regained his equanimity," wrote the printer (July 23); "but for three days he could not recover the shock of your rapid action." Miss Nightingale's celerity may well have seemed indecent to the leisurely official mind; for six months were allowed to pass before the Government of India was officially provided with copies of the Report! This delay may seem incredible to those not well versed in such affairs, but it is recorded in a Government Dispatch,[20] and an investigation made by Miss Nightingale into another delay of a like kind may perhaps afford an explanation.[21] Meanwhile, in July 1863, she had, for some days previous to the issue of the Report, been arranging for reviews in newspapers and magazines, in Edinburgh and Dublin as well as in London. Mr. W. R. Greg was especially helpful; he contributed notices to three important periodicals-the Economist, the National Review, and the Spectator. Miss Nightingale was diligent also in coaching Harriet Martineau, writing at great length to explain the points on which public opinion might most usefully declare itself. Miss Martineau wrote on the Report in the Daily News, Macmillan's Magazine, and Once a Week; and on her own part she had a contribution to make to the cause. She was an old friend of Lord and Lady Elgin. Should she write to them? The indefatigable Miss Nightingale at once sent her the heads of a letter on the subject which should go immediately to the Viceroy.

Though Miss Nightingale attached importance to notices in the press, she was equally eager that the Report itself should attract the attention of influential individuals in and out of Parliament. And here at the outset she met with a severe check which, however, by her energy and resource was turned to the greater advantage of the cause. The Blue-books were of enormous bulk, and a smaller edition had been prepared, apparently by the Clerk. Owing to what was officially described as "a mistake," it was this smaller edition that was "presented to both Houses of Parliament by command." It alone was placed on sale to the public; the 1000 copies of the complete work (of which the printer had been ordered to break up the type) were reserved for the press and for official purposes. They could be obtained (on application) by members of Parliament, but were not accessible to the public. The smaller edition, which the officials designed for public use, did not contain Miss Nightingale's "Observations" (though these were referred to in the Report) and did not contain the evidence from the Indian Stations. It gave instead a "précis of evidence" made by the Clerk. This, as Miss Nightingale thought, was badly done, and, moreover, referred in the margin to passages which again were not accessible to the public. Miss Nightingale was naturally and justly indignant at a proceeding which thus left the recommendations of the Commission unsupported, so far as the public were concerned, by the essential facts. She set herself with characteristic energy to rectify the official "mistake," or, as she suspected, to circumvent the design. If indeed there were any intention to withhold from the public eye the full extent of the terrible state of things in India, the authors of the design had counted without the formidable Lady-in-Chief. As for the partial suppression of her own "Observations," that was easily rectified. Dr. Sutherland and Dr. Farr, incensed at the treatment which she had received, promptly made arrangements with a publisher for the separate issue of her "Observations."[22] This little "red book" had a large sale, and was widely reviewed in the press. Thereby the subject received a second series of notices. "It is not a book," said one of the reviewers, "but a great action." But Miss Nightingale herself was more concerned with the wide circulation of the Blue-books themselves. First, she wrote round to every member of Parliament whom she knew, informing them of the facts and begging them to apply for the unmutilated edition. One of the answers she received was from Lord Shaftesbury (Aug. 22): "I will immediately apply for the copy of evidence you mention, but ought we not to insist when Parliament meets that it be fully circulated like any other document? Sir C. Wood may have made a 'mistake,' but a far greater mistake would be to bury this important matter in the 'tomb of all the Capulets.' ... You have achieved very grand things; and you must thank God that He has called you to such a work, and has so blessed it. I have much to talk to you about."[23] Secondly, she extracted a promise that inquirers at Hansard's office should be informed that copies of the unmutilated edition could be obtained by the public on application at the Burial Board Office.[24] She took very good care that they should not be buried there. She prompted all sorts and conditions of persons among her acquaintances to apply, and there was a run on the book. Next, and chiefly, she was anxious that the essential parts of the Report should come under the notice of every officer and every official in India who was in any degree responsible for the health of the army and who might be brought by a knowledge of the facts to further the cause of sanitary reform. The way in which she achieved her purpose was characteristic. Miss Nightingale had a personal grievance in this matter; and she used it, as on a previous occasion she had used her personal prestige, to gain a public end. To an intimate friend in the War Office, she was downright: "Done in some way or other, I am determined it shall be." But to the great men above him, she was suave-insidiously and dangerously suave. She entirely agreed that it would be expensive to reprint, and absurd to circulate widely, two enormous Blue-books of 2028 pages. Nobody would read them. But on the other hand was it not a little unfair to her to circulate an abridged edition, from which was excluded all the material upon which, at the request of the Commission, she had spent years of labour? But what was to be done? She knew how busy all Government officials were; but she would willingly undertake the task of putting together an amended edition of the smaller issue. Would the Treasury object to the cost? If so, she would bear it. In one way and another, she said, she had spent ￡700 in connection with the former Report on the British Army; the cost of similar work in connection with India would be less, and she would gladly defray it. Lord de Grey authorized her to proceed on August 26, and for the next three months she was busy in preparing the Report in the form in which it was to be circulated among military and medical officers.[25] But she was not quite satisfied yet. She had provided means for bringing her horses to water, but who was to make them drink? Her amended report was to be circulated amongst the Army in India, but would it be read? She was afraid not, unless the Secretary of State specially commended it to the attention of his subordinates. Did the War Office shrink from taking initiative in a matter which also concerned the India Office? "But surely Sir Charles Wood will be very grateful to you for remedying his mistake." The Minister assented, and a preface was added to Miss Nightingale's edition of the Report, in which the Secretary for War explained that it was circulated "with a view of affording information on the subject to Commanding, Engineering, and Medical Officers." Of course there were official delays, and this edition of the Report was not issued till August 1864, but it gave Miss Nightingale opportunity of organizing yet another press crusade. Through Sidney Herbert's friend, Count Strzelechi, who was also a friend of Delane, she was able to secure a series of articles in the Times on the sanitary needs of India.[26] The Count was very proud of what he had been able to do for her. None of Miss Nightingale's official works obtained a wider circulation than the "Observations"; nor, I suppose, did any Blue-book on such a subject ever attain a greater amount of publicity.