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ing more than a sign of checked development, which does not fail to bear fruit in later years. Distortions of the legs, knees bent inwards and feet bent outwards, deformities of the spinal column and other malformations, appear the more readily in constitutions thus weakened, in consequence of the almost universally constrained position during work; and they are so frequent that in Yorkshire and Lancashire, as in Northumberland and Durham, the assertion is made by many witnesses, not only by physicians, that a miner may be recognised by his shape among a hundred other persons. The women seem to suffer especially from this work, and are seldom, if ever, as straight as other women. There is testimony here, too, to the fact that deformities of the pelvis and consequent difficult, even fatal, childbearing arise from the work of women in the mines. But apart from these local deformities, the coal miners suffer from a number of special affections easily explained by the nature of the work. Diseases of the digestive organs are first in order; want of appetite, pains in the stomach, nausea, and vomiting, are most frequent, with violent thirst, which can be quenched only with the dirty, lukewarm water of the mine; the digestion is checked and all the other affections are thus invited. Diseases of the heart, especially hypertrophy, inflammation of the heart and pericardium, contraction of the _auriculo-ventricular_ communications and the entrance of the _aorta_ are also mentioned repeatedly as diseases of the miners, and are readily explained by overwork; and the same is true of the almost universal rupture which is a direct consequence of protracted over-exertion. In part from the same cause and in part from the bad, dust-filled atmosphere mixed with carbonic acid and hydrocarbon gas, which might so readily be avoided, there arise numerous painful and dangerous affections of the lungs, especially asthma, which in some districts appears in the fortieth, in others in the thirtieth year in most of the miners, and makes them unfit for work in a short time. Among those employed in wet workings the oppression in the chest naturally appears much earlier; in some districts of Scotland between the twentieth and thirtieth years, during which time the affected lungs are especially susceptible to inflammations and diseases of a feverish nature. The peculiar disease of workers of this sort is "black spittle," which arises from the satu
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