March is the highest tuberculosis and pneumonia month, and August the highest diarrhoeal 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 rep

Diagram Showing the Principal Causes of Death During the Year 1903. in the Order of Their Importance.

Organic Heart Disease

Accidents

Infantile Diarrhoea

Cerebral Congestion & Hemorrhage

Diseases of Infants

Cancer

Brights Disease

Typhoid Fever

Paralysis

Stomach Diseases

Other Circulatory Diseases.
Liver Diseases
Bronchitis

Other Digestive Diseases.
Other Forms Tuberculosis
Broncho-Pneumonia
Diphtheria & Croup.

Other Genitourinary Diseases
Diarrhoea Enteritis
Simple Meningitis.
Influenza

Cerebro spinal Meningitis
Convulsions of Infants.
Peritonitis.

Other Respiratory Diseases.
Suicide

Rheumatism
Dysentery
Diabetes
Smallpox

Scarlet Fever

Iliac Abscess

Malformations
Whooping Cough
Malaria

Skin Diseases

Diseases Female Genital Organs
Measles

Homicide

CHART No. 1.

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.

1900. Rate. 1901. Rate. 1902. Rate. 1903. Rate.

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.

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.

May

Chart No. 3 shows how typhoid affects ages.

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

December, 1903.

100

The deaths numbered 429, rate 17 per 100,000, an increase over the preceding year, 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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