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:

411 365 348 341 335 311 276 254 220 211 197 195 16+ 163 152

148

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

in the Order of Their Importance.

Pneumnonie
Orsenic Heart Disease
Accidents
Infantile Diarrhoea
Cerebral Consestion & Hemorrhage
Diseases of Infants

Canoer
Brights Disease
Typhoid fever
Paralysis
Stomach Diseases
Other Circulatory Diseases.
Liver Diseases
Bronchitis
Other Disestive Diseases
Other Forms Tuberculosis
Broncho- Pneumonia
Diphtheria 4 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
Malformations
Whoopins 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, diarrheal diiseases 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.

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.

Chart No. 3 shows how typhoid affects ages.

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

December, 1903. 200

200

150

100

50

10 -15

15-20

20 - 23 25 - 30

30 - 35
35-40

1-45

45-50

50-539
53-60

60-639
65-70

70-799
75-80
10-90

90+

CHART No. 3.

DIPHTHERLA.

The deaths numbered +29, 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 4:26 leaths, 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