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scarlet fever, 34 from whooping cough, 13 from diphtheria, and 9 from the diarrheas of childhood. Compared with the returns for the previous week, deaths from measles are 25 more, from whooping cough 14 more, from diphtheria 7 more, from scarlet fever 2 more, and from enteric fever i more, while those from the diarrhæas of childhood are 5 fewer.

"Deaths from influenza numbered 379. They are 227 more than in the previous week.

"Deaths from respiratory diseases numbered 681. They are 310 more than in the previous week.

“Deaths of children of less than one year old numbered 344, and those of persons of sixty-five and upward 497. The former are 133 more than in the previous week, and 203 more than in the corresponding week of last year. The latter are 152 more than in the previous week, and 271 more than in the corresponding week of last year.'

DEATH RATES IN A GROUP OF INSURED PERSONS.

COMPARISON OF DEATH RATES FOR PRINCIPAL CAUSES, 1911-1921, AND NOVEMBER

AND DECEMBER, 1921.

The following statements and tables are taken from the Statistical Bulletin of the Metropolitan Life Insurance Co. for January, 1922:

The death rate for 1921 among nearly 14,000,000 industrial policyholders of the company in the United States and Canada was 853.8 per 100,000, the lowest rate recorded in the history of the company. It is 13.7 per cent lower than the rate for 1920, namely, 989.4 per 100,000, which was the lowest recorded up to that time. The 1921 death rate is 31.9 per cent lower than that for 1911. Using absolute figures representing deaths instead of rates, the low mortality record for 1921 means that 18,661 fewer deaths occurred among the policyholders during 1921 than would have occurred had the rate for 1920 prevailed, and 54,942 fewer deaths than would have occurred if the 1911 rate had obtained.

The annual death rate in this selected group, from 1911 to 1920, has varied between 74 and 87 per cent of the rate in the registration area of the United States.

Marked declines in the mortality from tuberculosis, pneumonia, and influenza were, as in 1920, a large factor in the improvement noted in the total mortality. In a period of 11 years the death rate for tuberculosis has been almost cut in half. There were also declines in mortality from Bright's disease and organic heart disease.

Death rates per 100,000 lives exposed, for principal causes, 1911 to 1921.

[Industrial department, Metropolitan Life Insurance Co.)

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6.0

All causes of death. 853.8 989.4 1,063.01, 559. 2 1, 161. 11, 168. 1 1, 130. 9'1, 152.8 1, 199.4 1, 201. 21, 253.0 Typhoid fever... 6.6 6.7 7.3 11.5 12.1 13.0

12.9 16.1 18.4 19. 1 22.8 Communicable diseases of childhood.. 37.2 43. 1 31.51 41.6 46. Si 10.8 36. 4

48. 2

58.11 46.2 58.9 Messles..

3.1
8,5 3.5 8.6 11.1

9.9

5.7 6.9 12.3 7.6 11.4 Scarlet fever.. 6.9 6.0 3. 91 3.6

4.1 4.6 9.8 12.71 9.0 13.1 W booping cough

3.9 6.6 3.2
10.1 5.1 5.81 4.7

5.8 5. 9! 5.1 7.1 Diphtheria.. 23.3 22.1 20.9 19.3 24.6 21.0 21.4 25.7 27. 2)

24.50

27.3 Infuenza and pneumonia 75. 1 159.5 214.1 542.2 135. 41 138. 11 119.5 111.61 118. 4 116.2 131.2 Infrenza.. 8.6 53.5 96.91 272. 4 14. 4 23.8 13.0 11.3

12.31 12.3 15.9 Porimonia..

66.5 106.1 117.2 269.8 121.0 114.3 106.5 100.31 106.1 103.9 115.3 Mening coccus meninaitis

.9 1.0 1.3 2. 8 3.5 1.5 1.3 1.5 1.71 3.0 (?) Tuberculosis (all forms). 115. 1 137.9 156.5 189.0 188.9 190.2 197.8 201.5 206.7 212.9 224.6 Tuberculosis of re

spiratory system... 103.6 124. O 141.6 171.21 172,3 172.& 180.0 185. 2 186.61 191.5 203.0 Capoti all forms).

70.4 69.8 67.00 67. 2 70.9 70.3 70.9 69.8 70.51 70.3 68. 0 Diabetes mellitus.

15.2 14.1 13.4

14.0 15.31 15.9 15.11 14.2 13.9 13. 7 13.3 Cerebral hemorrhage, apquerr..

60.9 61.3 59.8 61.0 66.8 68.71 68.50 69.2 67.2 70.31 64.2 Diseases of heart.

115.0 117.0 113.9 141.7 142.0 110. 2 136.7 138. 1 140.6 143.81 141.8 Diarrhes and enteritis. 13.9 15.8 16.9 23. 4 25. 51 26. 2 24.4 24.7

27.7
27.6

28.0 1 to 2 years.. 5.9 7.0 7.5 11.6 11.91 12.5 11.31 11.9

13. 2

12.8 13.0 2 years and over. 8.0 &.8 9.5 11.8! 13.6

13.7 13.1 12. 8

14.5

14.8 15.0 Christie nephritis

(Bright's disease). 66.7 70.8 73.5 86.8 95. 7 99.0 95.7 95. 4 96.0 99. 4 95.0 Poerperal state (total) 19.51 23.0 20.0 27.4 18. 2 17.61 18.0 19.8 20.0 18.4 19.8 Pue peralsepticemia 8.31 8.6 6.7 7.31 7.5 7.2

7.2 8.4 9.11 8.0 8.8 Puerperalalbumipuria and conruisions.

4.8

4. 81 4.9 5.11 5. O 4.8 5.1! 5. 31 4. 8! 4.7 Amdents of preg. L.3.C....

1.6 3.1 3.0 6.91 1.6 1.4 1.8 1.7 1.7 1.5 1.7 Total sunal causes. 70.5 91.2 128. 91 106.7 99.5 88.2

89. 21 98. 3 92.9 97.9 Saites, 7.5 6.11 6.8 7.6 9.31 9. S 12. 2

12.3 13.5

12. 4

13.3 Humides 6.6 5.8 6.9 6.2

7.4 6.9 6.91 7.0 7.2 6.7 7.2 Awwients (total). 56.2 59.61 63.8 75.51 76.5 73.21 67.3 69.9 77.61 73.8 77.4

Arridental burns 6.5 8.1 &1 9.0 8.9 88 8.61 8.4 9.0 9. 1 8.8
decidental
drowning....
&0 6.7 8.6 9.4 8.7

9.71

11.9 10.0 12.1 10.2 Accidental

10.2 traumatism, by fall....

7.0 7.3 8.0 10.4 11.9 13.1 11.9 12.6 13.7 12.7 13.2 Accidental

traumatism,
by machines.. 1.0 1.7 1.61 2.4

2.0!

1.7 1.4 1.5 2.0 1.7 1.8 Rsilmad accidents...

3.8 5. 2 5.7 7. 8 8.5 7.9 7.4 7.5 9.0 9.2 9,5 Adim bileaccidents 11.9 11.1 10.7 10.3 9.7 7.4 5.4 4. SI 4.1 3.0 2.3

All 'ther acri-
dants...
18.0 19.5 21.2 26. 1 26.8

24. 6 20.7 25. 1 27.7 27.9 31.6 Warten.

.5 16.6 39.7 13.5 9.6 1.8 Oths de ses and condi187.0 197. 41 193.5 218.7 233. 2 247.1 3. 2 245.5 250.5 261.9

267. 4 287.5 Rotim, for 1921 were classified in accordance with the requirements of the third decennial revision of tel*1'n.al Lit of Causes of Sikness and Death. Nineteen hundred and twenty-one death rates baxt" vimal estimate of lives exposed to risk. * Not ass.lable,

*5.0

72.0

The death rate for December, 1921, shows a slight increase over that for November, the increase being due to higher mortality from respiratory conditions and important organic diseases. The rate was lower, however, for December, 1921, than for the same month of

1920.

Death rates (annual basis) for principal causes per 100,000 lives exposed, Voremler and

December, 1921, and December and year, 1920.

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DEATHS DURING WEEK ENDED FEB. 4, 1922.

Summary of information received by telegraph from industrial insurance companies jor

week ended Feb. 4, 1922, and corresponding week, 19.21. (From the Weekly Health Index, Feb. 7, 1922, issued by the Bureau of the Census, Department of Commerce.)

Week ended Corresponding
Feb. 4, 1922.

week, 1921. Policies in force.....

48, 750, 583

45, 178, 701 Number of death claims...

9, 346 Death claims per 1,000 policies in force, annual rate..

10.0

8.621

9.8

Deaths from all causes in certain large cities of the United States during the week ended

Feb. 4, 1922, infant mortality, annual death rate, and comparison with corresponding
week of 1921. (From the Weekly Health Index, Feb. 7, 1922, issued by the Bureau
of the Census, Department of Commerce.)

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Total....
Akron, Ohio..
Albany, N. Y.
Atlanta, Ga...
Baltimore, Md.
Birmingham, Ala.
Boston, Mass
Bridgeport, Conn.
Bufalo, N. Y.
Cambridge, Mass
Camden, N.J..
Chicago, Ill.
Cincinnati, Ohio
Cleveland, Ohio.
Columbus, Ohio.
Dallas, Tex..
Dayton, Ohio.
Denver, Colo.
Detroit, Mich
Pall River, Mass.
Fort Worth, Tex.
Grand Rapids, Mich.
Houston, Tex
Indianapolis, Ind.
Jersey City, N.J.....
Kansas City, Kans..
Kansas City, Mo...
Los Angeles, Calif.
Louisville, Ky..
Lowell, Mass.
Memphis, Tenn.
Milwaukee, Wis.
Minneapolis, Minn..
Nashville, Tenn.
New Bedford, M388.
New Haven, Conn.
New Orleans, La
New York, N. Y
Newark, X.J..
Nacfolk, Vs.
Oakland, Calif.
Omaha, Nebr.
Paterson, N.J.
Philadelphia, Pa.
Pittsburgh, Pa.
Portland, Oreg
Providence, R.I.
Richmond, Vs.
Rachester, N. Y
Bt. Logis, Mo...
St. Paul, Minn.
Salt Lake City, Utah.
San Francisco, Calif.
Seattle, Wash
Spokane, Wash..
Springfield, Mass
Syracuse, N. Y
Toledo, Obio..
Trentou, N. J.
Washington, D.C.
Wilmington, Del..
Worcester, Mass.
Tankers, X. Y
Youngstown, Ohio..

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68 85 60 132

SS 184 97 97 130 146 92

! Annual rate per 1,000 population.

Dersler andet 1 year per 1,000 births, based on deaths under 1 year for the week and estimated births for Citir lett blank

are not in the registration area for births. "Enamerated population Jan. 1, 1920.

PREVALENCE OF DISEASE.

No health department, State or local, can effectively prevent or control disease uitho!

knowledge of when, where, and under what conditions cases are occurring.

UNITED STATES.

CURRENT STATE SUMMARIES.

Telegraphic Reports for Week Ended Feb. 11, 1922. These reports are preliminary, and the figures are subject to change when later returns are received by the State health officers.

Caer,

16

ALABAMA,
Chicken pox.
Diphtheria.
Hookworm disease.
Influenza..
Malaria..
Pellagra..
Pneumonia..
Scarlet fever.
Smallpox:

Butler......
Dallas..

Scattering.
Tuberculosis.
Typhoid fever.

2 13 21 6

6

ARKAXSAS.

34

9

Cases.

CALIFORNIA continued. 51 Smallpox: 18

Kern County.
40

San Jose..
95 Santa Clara County
38 Scattering..
1

Typhoid fever.
29
11

COLORADO.

(Exclusive of Denver.) 29

Cerebrospinal meningitis... 11

Chicken pox.. 16

Diphtheria.
18 Influenza.
17

Measles..
Mumps...

Pneumonia..
1

Scarlet fever.. 18 | Smallpox... 10

Tuberculosis.. 232

Typhoid fever. 25

Whooping cough..
5

CONNECTICUT.
4
8 Cerebrospinal meningitis..
5

Chicken pox...
14 Diphtheria:

Bridgeport...
9 Hartford..

New Haven.
Waterbury

Scattering
1 German measles.
1 Influenza......

Lethargic encephalitis.
161 Measles:
$45 Hartford...
1

New Haven.
18

West Hartford. 133 Scattering.

Cerebrospinal meningitis.
Chicken pox..
Diphtheria..
Influenza.....
Malaria..
Measles..
Pellazra.
Pneumonia..
Scarlet sever.
Smallpor..
Tuberculosis.
Typhoid fever..

2

1 100

8

12 17

9

CALIFORNIA.

$ 34

7 319

$

(erebrospinal meningitis:

Kem (County..
Lindsay....

San Francisco.
Diphtheria.
Influenza
Lethargic encephalitis--Los Angeles.
Measles
Scarlet fever..

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