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The next diagram shows the relation between the death rate of each county calculated upon a basis of seventeen per thousand of the estimated living population and the reported death rate. A death rate of seventeen per thousand as the older registration States show outside of large cities, and is probably higher than the actual death rate in Maryland. A glance along the row of columns will show how far short each county has fallen of correct returns.
Showing the proportion of deaths reported in each County on an assumed death rate of 17 per thousand of population living. Black columns show the death rate as derived from the actual returns of death. The Counties of Maryland arranged in order of population are: Baltimore, Frederick, Washington, Allegany, Dorchester, Carroll, Anne Arundel, Harford, Cecil, Montgomery, Prince George, Kent, St. Mary's, Talbot, Wicomico, Queen Anne, Somerset, Worcester, Howard, Charles, Caroline, Garrett, Calvert.
The next diagram shows how the twenty-three counties would be ranged according to the actual number of deaths reported.
The counties of Maryland follow each other in order of population as follows: Baltimore, Frederick, Washington, Dorchester, Allegany, Carroll, Anne Arundel, Harford, Cecil, Montgomery, Prince George's, Kent, St. Mary's, Talbot, Wicomico, Queen Anne's, Somerset, Worcester, Howard, Charles, Caroline, Garrett, Calvert.
Comparing this list with the diagram, Allegany is found ahead of Washington. This is due to the burial permit ordinances of Frostburg and Lonaconing. Cecil is found in the place which belongs to Dorchester, Dorchester being ten numbers behind its proper rank. Harford is in the place which belongs to Carroll, this change of place not being due to good administration in
Harford. Anne Arundel has its proper rank, and since Annapolis has now a burial permit ordinance, the county will next year probably appear well ahead of its rank by population. Queen Anne's, through good administration, appears where Montgomery should be. Prince George's is two numbers and Talbot three numbers ahead. Kent and Wicomico are in their places. Garrett, Caroline, Calvert and Worcester are each ahead, while Somerset, St. Mary's and Charles are behind their proper positions. Howard has the rank which belongs to the larger county, St. Mary's.
The diagram showing deaths by months is inserted here chiefly for the interest it will have for comparison with future observations, which it is hoped will follow the seasonal tide of disease and death. The growth of the observance of the law may be fairly traced by this diagram, July represents the very first attempt to assemble one month's returns of deaths in Maryland. No July ever marked the low tide of death. July, August and September are the months when babies die. Our returns, however, were increasing chiefly because information concerning the law was spreading. Typhoid fever was busy in September, October, November and December, but the drop which occurred in October is probably due to the political campaign which diverted the attention of the newspapers from the campaign of death. The towering height of January, 1899, owes something to La Grippe and pneumonia, but more to the dearth of news in county towns, and perhaps still more to a tour among the undertakers made by Mr. Inspector Chas. N. Mitten.
The decline from January, 1899, to June, 1899, is normal in direction, and from February on about normal in degree.