Norwich bulletin., 1915-04-23

DAH APhIL rs, 1919
exceeded the average for the eyre
registration area are the six New
England states and New York, New
Jersey, Pennsylvania. and Maryland.
The rates in these 10 states-which
constitute continuous area, small in
geographic extent, but containing a
large proportion of the total popula
ton Of this country-ranged in 1913
from 40 per 100000 in Vermont to
171-4 per 100000 in New York. The
lowest rate for any state in the regis
tration area was that of Washington,
80 per 100000.
Pneumonia, according to. the statis-
tics. is much more prevalent in urban
than in rural communities. The death
rate from this cause for all registra-
gether, was 1884 per 100000. while
for smaller places it was only 1915
Brisht's Disease and Nephritis.
The only remaining death rate high
er than 100 per 100000 in 1913 was
that for Bright's disease and acute
nephritis,' 1929. The total number of
deaths due to these causes in 1913
was 65,106, about nine-tenths of which
were caused by Bright's disease, the
remainder being charged TO acute
nephritis.-a related kidney disorder.
The mortality from these causes in
creased from SO per 100000 in 1900 to
1924 in 1905, since which year it has
fiuctuated somewhat ranging between
93.7 in 1908 and 103 in 1912.
Diarrhoea and Enteritis.
Diarrhoea and enteritis caused ST.
registration area in 1913. OF these
deaths, more than four-ffths were Of
infants under 2 years of age, and over
two-thirds were of infants under I
year.
The mortality from these causes
f1uctuated greatly between 1900 and
1913, but on the whole shoks a ma
teriai decline, having dropped from
1892 per 100000 in the earlier year
to 500 in the later.
Cancer.
Next in order of deadliness comes
cancer, which filled nearly $4,000
graves in 1913 The exact number
was 4e,92s. of which about 40 per
cent. resulted from cancers Of the
stomach and liver, The mortality
rate rose from SO per 100000 in 1900
to 1879 in 1913. 1t is probable, how
ever, that at least a part of this in
crease was apparent rather than real,
being duo to more accurate diagnoses
and great care on the part of ply
sieians in making reports to the reg
istration officials.
II Is OF I1Ol0 LIdC llIS IOl-
ored population, for which the death
rates from most causes are much
higher than from the whites, shows
a decidedly low rate for cancer-57.3
per 100000 for the entire registration
area in 1913, as compared with 80 for
the whites.
ApopIexy.
Apopleyy was the cause of 1920
deaths, OF 74.6 per 100000. in the reg
istration area in 1913. This rate in
creased gradually with occasional
slight declines, from 81 per 100000
in 1900 to 1871 in 1912, but dropped
slightly in 1913.
Diphtheria and Group.
No epidemic disease produced a
mortality rate as high as 20 per lO0,-
600 in 1913. The fatal cases of diph-
iberia and Group numbered 11,920, or
1873 per 100000, in that year, the rate
having fallen from 43.3 in 1900. This
decline Of nearly 81 per cent. is rela-
lively far greater than that shown by
The mortality OF the white population
from diphtheria. and Group is about Is
per cent. greater, proportionately,
than that of the colored. The death
rate frC1n these causes in cities of
10000 and over is about so per cent.
greater than in smaller places.
Typhoid Fever.
Deaths from typnOlo FEVER also
showed a very gratifying decline be-
tween 1900 and 1918, decreasing from
35.9 per 100000 in the earlied year to
17.a in the later or by almost exact
y so per cent. This decline was rel
atively greater than that for any
other principal cause of death except
diphtheria and Group. The total
number of deaths due to typhoid fever
in 1913 was 1923. The mortality
rate from this disease among the COL
ored population is more than twice as
great as for the whites.
Although the death rate for most
causes are higher in urban than in
rural communities, the typhoid rate
in 1913 was about 20 per cent. high
err in places of less than 10000 than
in cities Of 10000 and over, which fact
hay reasonably be construed as fur
Their indictment against the open wei,
especially when equipped with the po-
etc but insanitary Undiscovered
bucket"
TSe 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 preventative
methods - the betterment of water
supply and sewerage systems, the
campaign against the fly, and other
sanitary precautions. Tt any rate,
Americans can congratulate them
selves that in IS years the death rate
from this disease has been cut in two.