Evening times-Republican. [volume] (Marshalltown, Iowa) 1890-1923, 1915-04-20

5sf5 XIV only Su4t01 IA sW111CSA SAAO ~Ae'sSss
rates from pneumonia In all IT. forms
exceeded the average Tor the entire
registration area are the six New Eng
land states and New York. New Jersey.
Pennsylvania and Maryland. The rates
in these ten states-whtch constitute
q continuous area, small in geographic
extent but containing large propor-
ton Of the total population Of the
country-ranged in 1913 from 14O per
100000 in Vermont to 171.4 per 100000
In New York. The lowest rate for any
state In the registration area was that
OF Washington, 80 per 100000.
Pneumonia, according to the Stats
tics, 10 much more prevalent In urban
than In rural communities. The death
rate from this causce for all registration
cities Of 10000 or over, taken together,
was 1884 per 100000. while for smaller
places 1t was only 10l.e
8riat<'s Dissaso and Nsphritis.
The only remaining death rate high
or than 100 per 100000 in 1913 was that
for Bright's disease and acute nephrt-
It's" 1929. The total number Of deaths
due to these causes In 1918 was 65,iGS.
about nine-tenths OF which were caused
by Brights disease, the remainder be-
ing charged to acute nephritis. re-
lated kidney disorder. The mortality
from these causes Increased from 80
per 100000 in 1900 to 1884 In 1905. since
which year It has fiuctuated somewhat.
hanging between 1877 In 1908 and 103 In
1912.
Cancer.
Next in order OF deadliness comes
cancer. which filled nearly $4,000 graves
in 1913 The exact number OF deaths
due to this dreaded malady was 49,
92S, of which about 40 per cent re-
suited from cancers Of the stomach and
liver. The mortality rate rose from %
per 100, 900 in 1900 to 1873 in 1913. 1t is
probable. however, that at least part
Of this increase was apparent rather
than real, being due to more accurate
diagnoses and greater care on the part
Of physicians in making reports to the
registration officials.
ut is worthy Of note that the colored
population, for which the death rates
from most causes are much higher
than for the whites, shows a decidedly
low rate for cancer-513 per 100000
for the entire registration area in 1913.
as compared with 80 for the whites.
Apoplsxy.
"Apoplexy was the cause OF 1920
deaths. or 74.6 per 100, 900, in the regis
tration area in 1918. This rate in
creased gradually. with occasional
slight declines, from 67.5 per 100000 In
1900 to 75.7 in 1912, but dropped slight
ly in 1913.
Diphthsria and Group.
mo epidemic disease produced
mortality rate as high as 20 per 100,-
900 In 1918. The fatal cases Of diph-
iberia and Group numbered 1920, or
1873 per 100000. in that year. the rate
having fallen from 1873 in 1900. This
decline Of nearly 81 per cent Is rela-
lively far greater than that shown by
any other important cause of death.
The mortality of the white population
from diphther1a and Group - about Is
per cent greater. proportionately, than
that Of the colored The death rate
from these causes in cities of 10000
and over IL about 50 per cent greater
than in smaller places.
Typhoid Fever.
Deaths from typhoid fever also
showed q very gratifying decline be-
tween 1900 and 1918. decreasing from
$50 per 100000 in the earlier year to
17.9 in tho later, or by almost exactly
so per cent. This decline was relative
ly greater than that for any other prin-
ctpAl cause OF death except dipntheria
and Group. The total number Of deaths
due to typhoid fever In 1913 was II, 323.
The mortality rate from this disease
among the colored population IL more
than twice as great as for the whites.
although the death rates for most
causes are higher In urban than in
rural communities. the typhoid rate in
1913 was about 20 per cent higher In
places of less than 10000 than in cities
Of 10000 and over, which fact may
reasonably be construed as further
indictment against the open well. es-
pecially when equipped with the poetic
but insanitary Undiscovered bucket
"The great progress which has been
made in the handling Of typhoid cases
Is evidenced by the marked decrease In
the mortality from this disease. And
Of equal potency perhaps has been the
Improvement In preventive methods
the betterment Of water-supply and
sewerage systems the campaign
against the fly. and other sanitary pre-
cautions. At any rate, Americans can
congratulate themselves that in thir-
teen years the death rate from this
disease has been cut in two"