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THE LADY WITH THE LAMP – December 1997/January 1998 British Heritage Feature

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Nightingale’s common-sense approach to health is a main theme throughout the museum’s exhibits. “We’re interested in exploring what of her writing is still relevant today,” Attewell says.

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Because of her work on army medical reform, she was asked to contribute to a study of the problems of health in India. British troops on the subcontinent had the highest mortality rates of all–in 1859 the death rate was 69 per thousand, as opposed to 17 per thousand in England. Through statistics and endless study, (compiled, amazingly, without ever visiting India) she discovered what no one else had noticed: that the English way of life could simply not be transferred to a hot climate.

Her 23-page treatise on conditions in India (as compared with the government’s 2,028 pages of small print) was printed at her own expense and sent to anyone with influence, including Queen Victoria. Once again, Nightingale revealed what no one even wanted to consider: that terrible living and working conditions were killing British troops as they had in the Crimea.

Yet again she emphasized that improving the health of British troops would require improving sanitary standards as a whole. For four years Nightingale worked daily on the meticulous paperwork and statistics required to reform life in India. Her influence went beyond paperwork. Newly assigned viceroys to India visited her home for briefings before setting out for their new post.

In 1896, Nightingale “retired to her bed”, but, far from slowing down, she continued working on home health visiting, as the English call public health. “Her writing is extraordinarily relevant to today’s health visiting,” Attewell says.

In an attempt to find out just how pertinent her writing is to the health profession today, the museum sent out questionnaires to 700 public health supervisors around the country. More than half came back almost immediately. “Usually you’d think a 10 per cent response would be good,” Attewell says. “I think the interest we’ve got in the questionnaire shows there’s still extraordinary interest in her writing.” Yet more evidence of the timeless value in the work and wisdom of this remarkable woman.

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