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March is the highest tuberculosis and pneumonia month, and August the highest diarrheal month. These preventable diseases, therefore, account for the increase of deaths in the months named.

PRINCIPAL CAUSES OF DEATH. The following table gives the principal causes of death in their numerical order, and Chart No. 1, following, gives a graphic representation:

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1. Pulmonary tuberculosis.......... 3,915 2. Pneumonia. .......

2,631 3. Organic heart Jisease ............. 2,108 4. Accidents .......

1,601 5. Infantile diarrhoea...... ........

1,449 6. Cerebral congestion and hemor

rhage .......... 7. Diseases of infants .......

1,318 8. Cancer.. ... ...

...... 1.217 9. Bright's disease.............

1,164 10. Typhoid fever..............

1,' 13 11. Paralysis.........................

762 12. Stomach diseases .... ...........

613 13. Other circulatory diseases. ... ... 14. Liver di-enses....................

527 15. Bronchitis......................

523 16. Other digestive diseases.......... 17. Other forms of tuberculosis.....

477 18. Broncho pneumonia ......

466 19. Diphtheria and croup 20. Other genito-urinary diseases ....

21. Diarrhoea and enteritis............ 22. Simple meningitis .................. 23. Influenza. ........................ 24. Cerebro-spinal meningitis ....... 25. Convulsions of infants .......... 26. Peritonitis, ................ 27. Other respiratory diseases .... 28. Suicide 29. Rheumatisin ......... 30. Dysentery ........... 31. Diabetes .......................... 32. Sinullpox ........................ 33. Scarlet fever. ...................... 31. Iliac abscess. .... 35. M») formations. .............. 36. Whooping cough. ................ 37. Malaria .................. 38. Skin diseases 39. Disease of female genital organs

40. Measles ........ | 41. llomicide ..........

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Diagram Showing the Principal ('auses of Death During the Year 1903,

in the Omer of Their Importance.

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Organic Heart Disease
Accidents
I Infantile Diarrhoea
Cerebral Consestion & Hemorrhage
Diseases of Infants
, аnder
Brishts Disease
Typhoid Fever
Paralysis
Stomach Diseases
Other Circulatory Diseases.
Liver Diseases
Bronchitis
Other Digestive Diseases
Other Forms Tuberculosis
Broncho-Pneumonia
Diphtheria & Croup.
Other Genito-urinary Diseases
Diarrhoea y Enteritis
Simple Meningitis

Influenza
Cerebro-spinal Meningitis
Convulsions of Infants.
Peritonitis.
Other Respiratory Diseases.
Suicide
Rheumatism
Dysentery
Diabetes
Smallpox
Scarlet Fever
Iliac Abscess
111 alformations

Whooping Cough
- Malaria
:) Skin Diseases

Diseases Female Genital Orgins I Measles i Homicide

CHART No. 1.

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DIMINISHING RATES.

To determine whether or not certain diseases are increasing or diminishing, the following table is constructed. A review of the same shows that the general death rate was lower in 1903 than in any year since accurate statistics have been secured. A lower death rate also appears in tuberculosis, typhoid fever, diarrhoeal diseases and puerperal fever. For diphtheria a slightly higher rate appears as compared with 1902, but decidedly lower as compared with 1900 and 1901. This is also true in regard to influenza.

Table Showing Number of Deaths from Certain Diseases, with Rates

per 100,000 for Four Years.

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The death rate from typhoid was lower in 1903 than in any year since 1899. The deaths numbered 1,013, rate 40.2 per 100,000. , The highest number of deaths occurred in September and the lowest in May. Two typhoid fever charts are here given. Chart No. 2 shows the typhoid deaths by months for 1903 and also the average for years.

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- Average deaths per month for four years, 1900-1903. ..... Deaths per month for the year 1903. Seven months show less than average. Five months show an increase over average.

Chart No. 3 shows how typhoid affects ages.

Diagram Showing Deaths from Typhoid fever, by Ages, Year Ending

December, 1903.

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The deathis numbered 429, rate 17 per 100,000, an increase over the preceding vear, when 385 deaths were reported, a rate of 15.2. However, no increase appears in comparison with the average of the four last years, which was 426 deaths, rate 17. October to March includes the diphtheria period of the year, as 83 per cent. of the deaths and a corresponding proportion of the cases occur in that period. Five to 10 is the most fatal age period; 139 of the

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