Annual report upon the births, marriages, divorces, and deaths in the state of Maine for the year ending Dec. 31, 1892, Part 9

Author: Maine. Dept. of Vital Statistics. cn; Maine. Division of Vital Statistics. cn; Maine. Bureau of Health. cn
Publication date: 1892
Publisher: Augusta : [Dept. of Vital Statistics]
Number of Pages: 252


USA > Maine > Annual report upon the births, marriages, divorces, and deaths in the state of Maine for the year ending Dec. 31, 1892 > Part 9


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ZYMOTIC DEATH-RATES.


Diseases.


Maine, 1892.


New Hampshire,


Massachusetts,


Connecticut,


1883-92.


England, 1887-91.


Italy,


1887-91.


Prussia,


1887-91.


Austria, 1887-91.


Sinall pox


-


-


10


3


324


11,540


93


10,505.


Measles


29


26


88


69


13,314


18,495


9,472


12,718


Scarlet fever


36


29


669


174


6,574


8,953


7,268


13,230


Typhoid fever


286


153


827


273


5,415


22,454


6,696


12,872


Whooping cough


54


26


248


85


12,626


10,624


14,636


23,196


Diphtheria and croup


212


217


1,455


562


8,289


21,122


41,917


31,326


Diarrheal diseases


662


459


3,728


1,023


21,624


100,189


32,102


32,933.


Totals


1,279


910


7,017


2,189


68,166


193,377


112,184


136,780


Zymotic death rate per 10,000


19.34


24.56


31.34


30.33


23.96


64.52


37.92


57.63


1884-91.


1892.


NOTES ON DEATHS AND THE CAUSES OF DEATH.


191


SEVEN ZYMOTIC DISEASES BY COUNTIES.


Counties.


Population in 1890.


Aggregate deaths


from zymotic


diseases.


Zymotic death rate per 10,000.


Androscoggin.


48,968


148


30.22


Aroostook.


49,589


142


28.63


Cumberland


90,949


174


19.13.


Franklin


17,053


25


14.66


Hancock


37,312


38


10.18


Kennebec


57,012


145


25.43


Knox


31,473


55


17.47


Lincoln


21,996


16


7.27


Oxford


30,586


35


11.44


Penobscot.


72,865


105


14.41


Piscataquis


16,134


25


15.48


Sagadahoc


19,452


28


14.38


Somerset


32,627


41


12.56


Waldo


27,759


29


10.44


Washington


44,482


83


18.65


York


62,829


190


30.24


The State.


661,086


1,279


19.34


The foregoing shows that the zymotic death-rates of the several counties differ much more widely than their general death-rates, as exhibited in Table No. 2; and the following table, giving the zymotic death-rates of our cities, shows still more widely diverg- ing death-rates from the same class of diseases. If the zymotic death-rate of the State as a whole is flattering, that of some of our manufacturing cities is far from being so.


192


REGISTRATION REPORT.


·


ZYMOTIC DISEASES BY CITIES.


Cities.


Population in 1890.


Aggregate deaths


from seven zymotic


diseases.


Zymotic death rate per 10,000.


Auburn


11,250


29


25.77


Augusta .


10,527


44


41.79


Bangor


19,103


41


21.46


Bath


8,723


16


18.34


Belfast


5,294


9


17.00


Biddeford


14,443


108


74.77


Brewer


4,193


4


9.53


Calais


7,290


30


41.15


Deering


5,353


8


14.94


Eastport


4,908


14


28.52


Ellsworth


4,804


2


4.16


Gardiner


5,491


10


18.21


Hallowell


3,181


11


34.57


Lewiston.


21,701


95


43.77


Old Town


5,312


17


32.00


Portland


36,425


66


18.11


Rockland.


8,174


22


26.91


Saco


6,075


10


16.46


Waterville


7,107


31


43.61


Westbrook


6,632


29


43.62


195,985


596


30.41


193


NOTES ON DEATHS AND THE CAUSES OF DEATH.


Infectious Diseases .- Of the diseases placed in this group, none had an unusual prevalence with the exception of influenza.


Small-Pox .- No death occurred as the result of this disease.


Measles .- This disease caused the death of 29 persons of whom 14 were males and 15 females. All but three of the decedents were children under ten years of age.


Ages : Under 1, 10; 1-5, 8; 5-10, 7; 40-50, 1; 60-70, 1; not stated, 1.


In the first quarter of the year, there were 14 deaths; in the second, 10; in the third, 4; in the last, 1. Ten of the deaths were in cities. The largest number of deaths in any county was 5 each in Androscoggin and Kennebec. The largest number in any one place was 5, in Auburn.


Per 10,000 of population, the death-rate for the State was 0.43. In some countries the mortality from measles is large ; For the five years, 1887-91, Italy, 6.17; France (cities) 5.18 ; England, 4.68 ; Prussia, 3.20. In Massachusetts (1886-90) it was 1 10 ..


Scarlet-Fever .- The total mortality from this disease was 36,- 11 males and 25 females. All but five of the decedents were under ten years of age ; twenty-two were between the first and the fifth years of age.


Ages: Under 1, 1; 1-5, 22; 5-10, 8; 10-20, 3; 20-30, 2.


The largest number was in January, 8. There were 16 deaths in the first quarter, 11 in the second, 2 in the third. and 7 in the last three months. Washington county had 7 deaths, the largest county number. Of the 36 deaths from this disease, 14 were in the cities.


The scarlatinal death-rate per 10,000 for the State was 0.54; for the cities, 0.71; in Massachusetts and Connecticut for the same year it was, respectively, 2 98 and 3.75 ; for New Hampshire (1884- 91), 0.79. For the years 1887-91, it was, in England, 2.31 ; France (cities), 3.10 ; Prussia, 3.20 ; Belgium, 1.62; the Netherlands, 0.38; Italy, 2.99.


Influenza .- The new law relating to the registration of deaths, went into effect in the midst of the recurring epidemic of the win- ter of 1891-92. During the calendar year for which this report is made, 755 deaths from influenza (la grippe) were registered. Of the total number, 34.7 per cent. were in January, 28.4 per cent. in February, 13.5 per cent. in March, 9 per cent. in April, 5.9 per


13


194


REGISTRATION REPORT.


cent. in May, and the remaining 8 5 per cent. were distributed through the other seven months.


No age appears to have been wholly exempt, but the period from 5-10 years had the nearest approach to immunity. The following: gives the age incidence :


Under 1 year, 71 1-5 years, 26 5-10 6 . 9


50-60 years, 44 60-70 115


70-80 215


10-20


18


Over 80


184


20-30


24


Unknown, 2


30-40


20 40-50 66 27 Total, 755


The severe incidence of th's disease on the aged is made apparent. in the foregoing : 68 per cent. of the deaths were of persons sixty years of age or older.


The influenza death-rate for the whole State was 11.43 for each 10,000 of living population. For the cities it was 7.8 and for the remaining towns 12.9 per 10,000. In Massachusetts the influenza death-rate for the same year was 4.27; in Connecticut, 7.31; in New Hampshire, 8.65 ; in Vermont, 11.49. Thus compared, the- influenza death-rate of Maine was more serious than that of any of these other New England States, with the exception of Vermont.


The distribution of influenza by counties and months is shown in the following :


195


NOTES ON DEATHS AND THE CAUSES OF DEATH.


Counties.


January.


February.


March.


April.


May.


June.


July.


August.


September.


October.


November.


December.


Totals.


Death-rate per 10,000.


Androscoggin


10


2


4


1


-


-


-


-


1


28


5.71


Aroostook


5


8


4


11


5


8


4


6


3


2


1


5


62


12.50


Cumberland


47


20


13


6


6


1


2


1


1


97


10.66


Franklin


1


8


5


2


3


-


1


1


- 20


11.72


Hancock


20


11


8


2


3


-


1


1 46


12.32


Kennebec


17


26


8


6


3


1


2


1


-


1 65


11.40


Knox


15


S


5


1


1


30


9.53


Lincoln


17


10


5


35


15.91


Oxford


19


23


6


2


2


-


-


1 53


17.32


Penobscot


18


23


8


5


?


1


1


1


1


1


60


8.23


Piscataquis


5


5


5


1


16


9.91


Sagadahoc


2


7


2


1


-


1


12


6.16


Somerset


14


12


2


3


3


1


1


-


36


9.82


Waldo.


17


9


4


4


-


1


35


12.60


Washington


12


9


11


10


9


5


1


1


1


38


13.03


York ..


46


25


15


10


4


2


1


-


-


-


-


-


103


16.39


State


263


214


101


69


45


18


14


10


8


3


2


9


756


11.43


Whooping-Cough .- The number of deaths attributed to whooping-cough was 54, of which 24 were males and 30 females. In the adjacent counties, Cumberland and York, 32 of these deaths occurred, 16 in each. The number of deaths in the cities was 30 ; there were 15 in Biddeford and 7 in Portland.


Whooping-cough caused more deaths than scarlet fever did in the year 1892. It is a disease of more serious import than the general public feels. The younger children should be guarded sedulously against the contagion of whooping-cough, for the follow- ing figures will confirm the general observation that this disease is particularly dangerous in the early months and the first year of infancy.


Ages : Under 1 year, 36; 1-2 years, 8; 2-5 years, 7; over 5 years, 3.


None of the children were six years of age; 44 of them were less than two years old.


The death-rate of the State from whooping-cough was 0.81 per 10,000 ; that of the cities, 1.53 ; of New Hampshire for the eight


5


-


-


1


1


-


-


-


-


-


1


-


-


-


1


8 Or OC


1


196


REGISTRATION REPORT.


years, 1884-91, 0.70 ; of Massachusetts for the ten years, 1881-90, 1.28 ; of Connecticut, for the ten years, 1883-92, 1.18; and for the five years 1887-91, in England, 4.44; in Belgium, 6.06; in Austria, 9.77.


Diphtheria .- It would be a satisfaction to be able to compare the present death-rate from diptheria in this State, with that of ten or a dozen years ago. It is believed that the mortality from this disease has diminished. For this statistical year there were 106 deaths. Of the decedents, 50 were males and 56 females. All but five of them were under twenty years of age ; 76 of them were less than ten years old.


Ages : Under 1, 7; 1-5, 38: 5-10, 31; 10-20, 25; 20-30, 2; 30-40, 2; 50-60, 1.


Of the 106 deaths, 44 were in the cities, and 62 in other places. The diphtheria death-rate for the State was 1.60, and for the cities, 2.24. The average diphtheria death-rate per 10,000 for New Hampshire (1884-91) was 3 90 ; for Massachusetts (1881-90) , 6 10 ; for Connecticut (1883-92), 5 56. See Croup for combined death- rate.


The following table exhibits the deaths from diphtheria arranged by counties and months and gives the death-rate in each county :


197


NOTES ON DEATHS AND THE CAUSES OF DEATII.


Counties.


January.


February.


March.


April.


May.


June.


July.


August.


September.


October.


November.


December.


Totals.


Death-rate per 10,000.


Androscoggin


-


-


-


-


-


1


2


1


-


2


9


1.83


Aroostook ...


1


-


-


1


3


-


-


-


-


-


2


7


1.40


Cumberland


1


-


-


?


2


1


6


4


1


19


2.08


Franklin


I


-


-


-


-


-


Hancock


1


1


1


-


-


4


1.07


Kennebec


1


1


1


1


-


-


-


6


10


1.75


Knox


1


3


1


2


1


3


11


3.49


Lincoln.


1


1


2


0.80


Oxford


-


-


-


1


1


-


-


-


-


-


-


-


1


1


-


1


0.13


Piscataquis


1


1


-


-


-


1


2


1.23


Sagadahoc


1


1


1


I


1


-


-


4


2.05


Somerset


1


1


2


0.60


Waldo


-


-


-


-


-


-


1


0.36


Washington


6


1


2


2


1


-


-


-


1


15


3.37


York


4


1


1


1


1


1


2


1


3


10


19


3.02


State.


12


5


4


4


10


7


7


13


14


7


16


106


1.60


Croup .- As a curious coincidence, the number of deaths from croup was the same as that for diphtheria. Ordinarily, the number of deaths from croup is much smaller than that from diphtheria. Of the mortality from the two diseases, in Massachusetts (1876-90), the deaths from croup formed 26 per cent., and that from diphtheria, 74 ; in New Hampshire (1884-91) from croup 33 per cent , and from diphtheria, 67 per cent. But in New Hampshire, in 1885, croup caused 49 and diphtheria 51 per cent. of the combined mortality.


Of the 106 decedents, 51 were males and 55 females. As with the deaths from diphtheria, so with croup, all but five were of per- sons under twenty years of age : 98 were less than ten years old.


Ages: Under 1, 24; 1-5, 60; 5-10, 14; 10-20, 3; 20-30, 2; 30-40, 2; 60-70, 1.


The death-rate from croup was, for the State, 1.60 ; for the cities, 2.55 ; for New Hampshire (1884-91), 1.94; for Massachusetts (1881-90), 2.53 ; Connecticut (1883-92), 2.23.


-


-


I


-


-


-


-


-


2


-


-


-


-


Penobscot


1


1


-


-


1


1


1


1


198


REGISTRATION REPORT.


.The distribution of croup by counties and months is shown in the following :


Counties.


January.


February.


March.


April.


May.


June.


July.


August.


September.


October.


November.


December.


Totals.


Death rate per 10,000.


Androscoggin


-


-


-


-


-


-


-


-


5


1


9


1.83


Aroostook.


1


4


1


1


-


2


1


1


10


-


15


3.02


Cumberland


1


1


2


1


2


1


1


?


11


1.20


Franklin


Hancock


1


-


-


-


-


-


-


-


-


-


2


0.53


Kennebec


1


1


3


1


1


1


-


-


-


1


1.22


Knox


1


-


1


1


2


5


1.58


Lincoln.


-


-


-


-


Oxford.


2


1


1


-


-


-


-


-


1


5


1.63


Penobscot.


1


1


1


3


1


1


10


1.37


Piscataquis


1


2


1


4


2.47


Sagadahoc


1 0.51


Somerset


1 0.30


Waldo


1


-


-


-


-


-


-


-


1


3


1.08


Washington


1


-


4


1


1


-


1


S


1.79


York


3


1


2


2


8


4


2


-


-


1


1


1


25


3.97


State.


8


8


9


10


14


10


6


3


6


11


11


10


106


1.60


1


1


-


-


1


-


1


-


1


1


-


-


1


1


In statistical reports the figures for croup and diphtheria are often combined, for it is now generally conceded that the two diseases are etiologically the same. The combined death-rate for the two diseases is, for Maine, 3.20 per 10,000 of living popula- tion ; of our cities, 4.79; for New Hampshire (1884 90), 5.84; Massachusetts (1881-90), 8.63; Connecticut (1883-92), 7.79; Prussia, 14 17; Austria, 13.20; France (cities), 6 66 ; Belgium, 5.77; Switzerland, 3.53 ; England, 2 91 ; Holland, 1.45.


Cerebro-Spinal Meningitis .- The number of decedents was 38, 20 males and 18 females. Twelve of the deathis were in York county ; 11 were in the cities. Cases occurred in every month ; distributed by quarters, they were 14, 11, 9, 4. The disease caused a death-rate of 0.57.


Ages: Under 1, 11; 1-5, 5: 5-10, 4: 10-20, 5: 20-30, 5: 30-40, 5: 40-50, 2; 50-60, 1.


1


1


1


-


1


1


-


-


-


-


-


1


-


2


-


1


1


199


NOTES ON DEATHS AND THE CAUSES OF DEATH.


Tetanus -It caused 7 deaths, 5 males and 2 females. All these deaths occurred from April to October,-the months of bare ground. No county had more than one case, save Kennebec, with two.


Ages : 5-10, 2; 10-20, 2; 20-30, 30-40, and 40-50, each, 1.


Typhoid Fever .- Including 31 deaths from "fever," "gastric fever," "bilious fever," and "infantile fever," there were 286 deaths from typhoid fever. Of these deaths 166 were of males and 120 of females. The age distribution of the decedents shows that the loss from disease is principally from those active and produc- tive age periods when human lives are of the greatest value to the State ; 77 per cent. died between 10 and 50 years of age.


Ages: Under 1, 11; 1-5, 7: 5-10, 15; 10-20, 86; 20-30, 91; 30-40, 27; 40-50, 17; 50-60, 12; 60-70, 8; 70-80, 8; over 80, 2; not stated, 2.


The largest number of deaths, 50, occurred in October, and the smallest number, 10, in April. By quarters, 42 were in the first, 47 in the second, 85 in the third, and 112 in the last quarter of the year.


The typhoid death-rate of 5.71 in the cities is considerably greater than that of the villages and rural towns which is 3 74. The rate for the State is 4.32. The typhoid death-rate in some other places is : New Hampshire, 4.13; Massachusetts, 4.40; Connecticut, 3.79 ; England, 1.90; Ireland, 2.33 ; Prussia, 2.26 ; Sweden, 2.22; France (cities). 5.32 ; Italy, 5.32.


The following table exhibits the number of deaths from typhoid fever in each county by months, with death-rate in each county :


200


REGISTRATION REPORT.


TYPHOID FEVER.


Counties.


January.


February.


March.


April.


May.


June.


July.


August.


September.


October.


November.


December.


Totals.


Death-rate per 10,000.


Androscoggin


1


-


-


1


3


S


5


5


9


5


6


6


49


10.00


Aroostook.


3


1


4


3


1


I


4


3


4


6


7


?


30


3.29


Franklin


1


1


1


1


4


1


1


9


5.27


Hancock.


1


1


-


1


?


2


3


14


3.74


Kennebec


10


1


2


-


-


-


3


3


5


5


21


3.85


Knox


1


1


6


1.90


Lincoln


-


-


1


1


1


-


-


-


-


3


1.36


Oxford.


-


1


1


2


3


4


13


4.25


Penobscot.


3


4


1


1


-


5


3


8


-1


41


5.62


Piscataquis


1


1


-


1


1


1


-


1


-


-


-


I


1


4


2.05


Somerset.


1


1


1


1


3


-


-I


2.14


Waldo


-


-


-


3


2


1


1


2


2


1


12


4.32


Washington


1


1


-


1


-


0.44


York


3


3


5


1


1


5


1


3


11


5


1


41


6.52


State.


17


11


14


10


17


20


15


48


50


41


21


286


4.32


-


6


Cumberland


3


1


1


1


1


1


1


1


1


1


-


1


7


4.33


Sagadahoc


1


2


-


Malarial Diseases .- Maine has hitherto flattered herself that her soil and atmosphere are entirely exempt from "malaria," yet to this cause thirteen deaths are ascribed. The returns of three of these deaths distinctly state that the disease was contracted outside the State. In whatever country malaria is indigenous, it finds a large number of victims among children. For instance, in Italy in 1891, out of a total of 18,229 deaths from malarial diseases, 11,369 were of persons under twenty years of age. Yet, of the thirteen deaths in question, only one was a child. In malarial districts, also, the number of males destroyed by these diseases is not much larger than the number of females. In Italy for the year cited, the pro- portion was 9,824 males to 8,405 females. In our returns, only one was a female, this child of eight years. Save this one, none of the decedents were under thirty-eight years of age. The ages of the majority suggest military service in the South.


Ages: 5-10, 1; 30-40, 1; 40-50, 2; 50-60, 5; 60-70, 3; 70-80, 1.


27


5.44


-


.


-


1


201


NOTES ON DEATHS AND THE CAUSES OF DEATH.


It may safely be said that malarial diseases very rarely originate in Maine, if they ever do.


Tuberculosis .- The terrible mortality from this cause which, year after year, goes on in civilized countries, and the fact, well established, that it is an infectious disease, and therefore clearly a preventable disease, should deeply impress every person with the necessity of adopting every practicable measure which promises to check the spread of the disease. Tue statement is often made that tuberculosis, in one form or another, causes the death of one-sixth of the human race. In Massachusetts (1881-90) one death out of every 5.3 was caused by tuberculosis. Our returns indicate one death in eight as from that cause. The total number of deaths from tuberculosis was 1,513, which is equivalent to a death-rate of 22.88 per 10,000, as compared with that of 35.38 for Massachu- setts (1881-90), and that of 23.28 for Connecticut (1883 92).


Cerebral Tuberculosis (Tubercular Meningitis) .- The number of deaths was 53; 27 were of males and 26 of females. The number in cities was 33. The death rate for the State was 0 80 ; for the cities, 1 68.


Ages: Under 1, 16; 1-5, 24; 5-10, 7; 10-20, 5; 30-40, 1.


Pulmonary Tuberculosis (Consumption) .- The full signi- ficance of the fearful tribute exacted by this disease is intensified when we learn that, of the 1.352 deaths from this cause in 1892, 149 between 10 and 20 years of age, were approaching or just enter- ing the period of early manhood and womanhood when life is of the greatest value to the State; 383, between the ages of 20 and 30 had just begun their life's work, many having established homes and business relations ; 231 at the ages between 30 and 40 years, were relentlessly but slowly dragged down from careers of useful- ness, and many of them from those whose only shield from want and suffering was the bond of mutual helpfulness ; 165 between 40 and 50 years of age and 126 between 50 and 60 were torn away, many of them from children who had not yet reached the self- supporting age, and many more from those who sorely needed a guiding and a helping hand a few years longer .- these 1,054 of our people were lost to their homes, to their communities, and to the State at the most useful time of life. The following shows the age periods of the decedents :


Ages: Under 1, 27; 1-5, 24; 5-10, 11; 10-20, 149; 20-30, 383; 30-40, 231; 40-50, 165; 50-60, 126; 60-70, 114; 70-80, 86; over 80, 26; not stated, 10.


202


REGISTRATION REPORT.


.Thus it is shown that the fewest deaths occurred at the age period 5 to 10 years, and that of the decedents whose ages are given, 80 per cent die at those periods when their deaths entail the greatest loss to the Commonwealth.


As to sex, 559 of the decedents, or 41.3 per cent were males, and 793, or 58.7 per cent. were females.


The State's death-rate from consumption was 20.45 in each 10,000 of population ; that of the cities, 22 29. Outside of our State, the death-rate from consumption is 20.95 in New Hampshire (1884-91) ; 28.34 in Massachusetts (1881-90) ; 20.07 in Connecticut (1883-92) ; and, from 1887-92, 16.09 in England ; 21.15 in Ireland; 37.20 in Austria ; 13.61 in Italy ; 33 in the cities of France, and 31.29 in the cities of the German Empire


The following table shows the number of deaths in each county by months, with the death-rate from consumption in each county :


CONSUMPTION.


Counties.


January.


February.


March.


April.


May.


June.


July.


August.


September.


October.


November.


December.


Totals.


Death-rate per 10,000.


Androscoggin


2


5


6


4


9


5


10


6


9


5


9


15.72


Aroostook


4


5


-1


9


5


4


1


5


4


8


4


5


61


12.30


Cumberland


20


18


9


16


15


16


13!


13


11


18


15


171


18.80


Franklin


4


3


3


4


4


5


3


1


3


-


5 40


23.45


Hancock


7


3


6


4


7


10


3


6


7


6


5


3


67


17.95


Kennebec


14


19


6


14


11


15


14


11


11


5


4 132


23.15


Knox


10


4


9


11


6


5


10


4


S


6


5 86


27.32


Lincoln.


6


5


5


4


1


6


5


1


3


1


3


47 21.36


Oxford.


11


3


4


4


4


4


4


6


4


3


5


54


17.60


Penobscot


20


19


17


15


2.2


3


12


13


11


15


13


167


22.91


Piscataquis


3


3


1


3


2


3


3


4


1 40


24.79


Sagadahoc


6


3


4


9


6


6


-1


3


3


5


1 52


26.73


Somerset


4


5


7


3


6


3


3


5


4


4 59


18.08


Waldo :


9


6


6


9


L


-


4


5


4


3


68


24.48


Washington


9


7


11


9


4


9


9


4


4 94


21.13


York.


1.5


10


17


10


12


11


11


10


1371


21.80


Stato.


144


107


129


128


135


114


102


105


99


119


90 1352


20.45


203


NOTES ON DEATHS AND THE CAUSES OF DEATH.


Tuberculosis Mesenteric .- There were 39 deaths from this cause, -19 males and 20 females.


Ages : Under 1, 2; 1-5, 4; 5-10, 1; 10-20, 7; 20-40, 9; 40-60, 8; over 60, 7; not stated, 1.


Tuberculosis, Other Forms .- Of these deaths, 69 in all, the cause assigned in 42 was, tuberculosis, general tuberculosis, or acute tuberculosis ; in 13, scrofula ; in 4 scrofulous or tubercular abscess ; in 5, diseases of joints or bones ; in 3, psoas abscess ; in 1, lupus ; and in 1, tuberculosis of kidney.


Diarrhoeal Diseases. - The total number of deaths caused by the diseases under this group was 662 which gives a diarrhoeal death-rate for the State of 10 per 10,000. That of both Massa- chusetts and Connecticut for the same year was 16.65. Our returns indicate a lower rate of mortality from these diseases than in Italy with 33.43 ; or in the German cities with 26.86 ; or in thé cities of France with 21.47, or in Prussia with 10.85. On the other hand much lower rates prevail in Sweden (3.77), in Ireland (4.40), and in England (7.61).


Infantile Diarrhoea .- This as synonymous with cholera infan- tum, or including it, was the cause of 546 deaths. By referring to the following table, it will be seen that in no month until June were there more than one or two or three deaths, and that in June there were only eight; but that in July there was a jump to 107 deaths, followed by 197 in August and 154 in September. In this third quarter of the year, more than 83 per cent. of the deaths from this disease occurred.


Of the children dying from this cause, 55 per cent. were less than six months old, and another 30 per cent. were less than one year old, making 85 per cent. of deaths within the first year of age


Ages : Under 6 months, 302; 6-12 months, 166; 1-2 years, 52; over 2 years, 25; unknown, 1


Of the 546 deaths from infantile diarrhoea, 298 were returned from the cities. This represents an urban death-rate from this dis- ease of 15.20 which is strongly in contrast with 5.33, the rate for the villages and rural districts.


Thus the returns present very clearly three truths, not new, but the statistical presentation of which in this State is of interest : That it is essentially a hot-weather disease ; that it finds by far its greatest number of victims among infants in their earliest months ; that it is much more prevalent in crowded places, as in cities.


204


REGISTRATION REPORT.


The death-rate of Maine from this affection is 8.25, that of Massachusetts and Connecticut in the same year, 12.90 and 13.41 respectively.


INFANTILE DIARRAOEA BY COUNTIES AND MONTHS.


Counties.


January.


February.


March.


April.


May.


June.


July.


August.


September.


October.


November.


December.


Totals.


Death-rate per 10,000.


Androscoggin


1


1


-


-


1


3


24


13


11


6


4


-


64


13.06


Aroostook.


1


1


-


-


6


27


39


3


2


79


15.93


Cumberland


1


1


-


1


16!


34


18


4


-


1 76


8.35


Franklin


1


2


6


1


1


11


6.45


Hancock.


1


-


-


-


-


3


1


8


2.14


Kennebec


1


1


5


25


28


18


2


1


83


14.55


Knox


1


1


-


8


6


5


3


23


7.30


Lincoln


1


-


1


3


1.36


Oxford


3


2


3


-


-


2.61


Penobscot


19


7


18


8


1


38


5.21


Piscataquis


1


1


I


1


3


1


-


-


-


-


-


-


1


10


3


-


-


-


-


1


9


7


-


19


5.82


Waldo


1


-


-


-


1


1


1


1


6


2.16


Washington


1


1


2


19


12


3


37


8.31


York


1


1


21


30


16


1


1


1


78


12.41


State.


3


3


2


2


1


18


107


197


154


39


15


5


546


8.25


Septic Diseases .- Of deaths from the diseases in this group, there were 31 from erysipelas, 61 from pyæmia and septicemia, and 42 from puereral fever, giving a special death-rate of 2.02. The largest number of deaths from erysipelas at any age period, was 10 between 70 and 80 years of age, the next largest, 6, for the two extremes, under 1 year and over 80. The following shows the dis- tribution of puerperal fever by months and counties :


January.


2


Androscoggin


4


February .


5 Aroostook 7


March


7 Cumberland 4


April


2 Franklin 2


-


1


-


-


-


-


1


-


-


7 4.33


Sagadahoc .


6


3.08


Somerset


1


I


-


-


-


1


1


1


-


-


1


-


1


205


NOTES ON DEATHS AND THE CAUSES OF DEATH.


May 3


Hancock


2


June


3


Kennebec 4


July


1


Knox


1


August 3


Lincoln


2


September


1


Oxford 0


October


5


Penobscot 5


November


3


Piscataquis. 2


December


7


Sagadahoc 0


Somerset.


0


Total


42


Waldo


1


Washington


1


York


7


Total 42


Dietetic Diseases .- Only 17 deaths are returned under this class of causes ; 7 of malnutrition of infants, 1 of rickets, and 9 from alcoholism The special death-rate from alcoholism is 0.13. For the same year it was 0.82 in Massachusetts, and 0.93 in Con- necticut. Abroad for the years 1887-92, it was 0.15 in Italy ; 0.25 in Prussia ; 0.54 in Belgium ; 0.60 in England. Statistics under this head are, however, not very trustworthy on account of the difficulty of obtaining correct reports of the cause of death when it is due to alcoholism.


Constitutional Diseases .- With tuberculosis transferred to the class of zymotic diseases, there were 563 deaths from constitu- tional diseases, or a death-rate of 8.51 per 10,000 for the State.


Rheumatism .- The returns give 68 deaths from this cause ; 28 males, 39 females, and the sex of one not stated. Nineteen of these deaths were in the cities. The special death-rate for this disease was, therefore, 1.02 while that of the cities was somewhat lower, 0.96. In Massachusetts for the same year it was 1.12, and in Connecticut, 1.60.




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