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Mortality rates for cancer (all forms), industrial department, Metropolitan Life Insurance

Co., 1911-1922.

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i Little trend is shown in the crude death ratos; the average for the first half of the perio1 (70) is greater than that for the last half (69.8). Age, sex, and race distribution are such important factors in cancer mortality, however, that crude death rates of groups of different composition are of little value for comparative purposes.-Ed.

Crude death rates for cancer and other malignant tumors in the death registration area

of the United States (exclusive of Hawaii) during the period 1911-1920.

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It is pointed out that while a slight increase in the death rate for cancer has been recorded in this group during the period 1911-1922, this fact can not be accepted as evidence that the disease has actually increased as a cause of death. It is concluded that when such factors as precision in death certificates, the increase in the number of certifications on autopsy findings, or from data obtained at time of operation or in the microscopic examinatoin of tissues, and a diminished degree of reluctance on the part of families to have deaths certified from cancer, the recorded changes in the cancer death rate in this group will give no indication that the disease is exacting a heavier toll now than formerly.

EDUCATIONAL CAMPAIGN AGAINST CANCER.

The American Society for the Control of Cancer Announces a Series of Local

Campaigns for 1923-24. The American Society for the Control of Cancer announces that the plan of educational campaign which it so successfully conducted as “cancer weeks” in 1921 and 1922 has been modified this year as a foundation on which to build permanent and consistent educational

work. The "National cancer week” held from October 30 to November 5, 1921, was the first attempt on the part of the society to carry out a uniform campaign at one time throughout the country. This year, instead of attempting to cover the whole country in a single week of intensive publicity, the United States and Canada have been divided into six districts, in each of which a period of three weeks will be devoted to preparation and a final week to the carrying out of the activities. The first campaign will begin in the Northwest and extend from October 15 to November 14, 1923. The last will end May 14, 1924, in the New England States. The schedule for these campaigns is given below.

The chief object of the campaign is, by means of authoritative information, to acquaint the public with the early symptoms of cancer and the necessity for competent and prompt treatment of the disease. People will be told that accurate knowledge and prompt action will prevent deaths from cancer, and that one of the most treacherous things connected with the disease is the fact that it is painless in the beginning. A little knowledge in this instance is not a dangerous thing, but of the utmost value.

Through lectures, lantern slides, motion pictures, circulars, posters, and other publicity the society will present only those phases of the cancer problem which have been well established and are based on sound opinion. It is its hope that the people will become so informed and so alert that they will act as promptly when cancer is suspected as they now do on discovering symptoms of appendicitis.

The work of the society bespeaks the cooperation of all National, State, and local health agencies that are vitally concerned with the public health. All persons interested in these local campaigns should get in touch with the headquarters office. The society will be glad to answer questions or provide information upon written request. The address is 370 Seventh Avenue, New York City.

Following is the schedule for the campaign of 1923-24:

District.

States and Provinces included in district.

Date of campaigns.

Northwestern..... Washington, Idaho, Oregon, Montana, Wroning. North Oct. 15 to Nov. 14.

Dakota, South Dakota, Minnesota, Nebraska, Iowa,

British Columbia, Alberta, Sas'catchewan, Manitoba. Southwestern...... California, Nevada, Utah, Arizona, ('olorado, New Mexico, Nov. 15 to Dec, 15.

Teras, Kansas, Missouri, Oklahoma, Arkansas. Southeastern.... Louisiana, Mississippi, Tennessee, Alabama, Georgia, Flor- Jan. 15 to Feb. 14.

ida, North Carolina, South Carolina, Virginia. Lake............ Wisconsin, Michigan, Illinois, Ohio, Indiana, West Virginia, Feb. 15 to Mar. 14.

Kentucky. Eastern.......... Pennsylvania, Maryland, Delaware, District of Columbia, Mar. 15 to Apr. 14.

| New Jersey, ('onnecticut, New York, Ontario. New England... Rhode Island, Massachusetts, Vermont, Maine, New Hamp- Apr. 15 to May 14,

shire, Nova Scotia, New Brunswick, Prince Edward
Island, Newfoundland, and Quebec.

DEATHS DURING WEEK ENDED SEPTEMBER 22, 1923. Summary of information received by telegraph from industrial insurance companies for

week ended September 22, 1923, and corresponding week of 1922. (From the Weekly Health Index, September 25, 1923, issued by the Bureau of the Census, Department of Commerce.)

Week ended Corresponding

Sept. 22, 1923. week, 1922. Policies in force........

...., 54, 997, 408 50, 614, 343 Number of death claims.....

9, 265

7, 908 Death claims per 1,000 policies in force, annual rate..... - 8.8

8.1

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

September 22, 1923, infant mortality, annual death rate, and comparison with corresponding week of 1922. (From the Weekly Health Inder, September 25, 1923, issued by the Bureau of the Census, Department of Commerce.)

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Total....

6,245 11.3 10.2 910

831 Akron, Ohio...

11.3

7.8 Albany, N. Y...

10.2 13.0 Atlanta, Ga...

15.7 10.0 Baltimore, Md...

13.1 12.0 Birmingham, Ala.

66 17.6 12.0 Boston, Mass...

175 11.8 13.4 Bridgeport, Conn.

8.7 7.6 Buffalo, N. Y..

112 10.9 12.1 Cambridge, Mass.

1.S Camden, N. J.3..

23 9.7

6.0 Chicago, 111.3...

630 11.4

9.9 Cleveland, Ohio.

10.2 Columbus, Ohio.

74 14.8 13.0 Dallas, Tex....

9.4

8.5 Dayton, Ohio..

9.5 11.6 Denver, Colo...

14.0 14.2 Des Moines, Iowa.

34 12.6 Detroit, Mich.

215 11.3

9.8 Duluth, Minn....

10.8 Erie, Pa.....

10.2 13.3 Fall River, Mass...

12.1 Flint, Mich..

21 9.3 Fort Worth, Tex..

7.3 Grand Rapids, Mich

27 9.6 6.5 Houston, Tex...

9.8 Indianapolis, Ind..

16,1 11.2 Jacksonville, Fla....

21.9 17.1 Jersey City, NJ...

6.7

8.5 Kansas City, Kans..

8.6 7.3 Kansas City, Mo...

12.0 12.3 Los Angeles, Calif...

15,5 12.6 Louisville, Ky...

14.6

8.3 Lowell, Mass....

13,1 11.8 Lynn, Mass....

5.6 Memphis, Tenn.

18.4 15.8 Milwaukee, Wis...

9.3 7.4 Minneapolis, Minn..

9.0 Nashville, Tenn....

20.7 13.0 New Bedford, Mass..

11.2 12.7 New Haven, Conn...

13.6 10.1 New Orleans, La...

128 16.5 15.8 New York, N. Y.....

1,096 9.6

8.6 Bronx borough....

113 Brooklyn borough..

335 Manhattan borough.

12.1 10.2 Queens borough....

8.5 Richmond borough....

16.8 9.6 1 Annual rate per 1.000 population.

: Deaths undir 1 year per 1,000 births-an annual rate hased on deaths under 1 year for the week and estimated births for 1922. Citi's lit lank are not in the registration area for births.

3 Deaths for weck ended Frilay. Sopt. 21, 1923.

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

September 22, 1923, infant mortality, annual death rate, and comparison with corresponding week of 1922. (From the Weekly Health Index, September 25, 1923, issued by the Bureau of the Census, Department of Commerce.)–Continued.

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PREVALENCE OF DISEASE.

No health department, State or local, can effectively prevent or control disease without

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

UNITED STATES.

CURRENT STATE SUMMARIES. These reports are preliminary, and the Egures are subject to change when later returns are received by tho State health officers.

Reports for Week Ended September 29, 1923.

11

........

ALABAMA.

ARKANSAS continued.
Cases,

Cases. Cerebrospinal meningitis......

Pellagra............ Chicken pox.........

Poliomyelitis.......... Dengue.

Scarlet sever.... “Devil's grip"...

Smallpox.. Diphtheria...

Trechoma...... Dysentery...

Tuberculosis...... Influenza....

Typhoid fever....... Malaria....

Whooping cough............................ Measles.......................

CALIFORNIA. Pellagra.....

Diphtheria......... Pneumonia...

Influenza................. .................... Poliomyelitis..........

Lothargic encephalitis-Los Angeles........... Scarlet lerer...........

Measles.... Smallpox......

Poliomyelitis: Tuberculosis.....

Los Angeles........ Typhoid fever.

Los Angeles County...
Whooping cough.............

San Joaquin County....
ARIZONA.

South Pasadena..........
Diphtheria...

Rabies in man-Los Angeles.. Measles......

Scarlet fever...... Mumps...

Smallpox....... Pneumonia...

Typhoid fever..
Rabies........................................

COLORADO.
Scarlet fever..
Trachoma......

(Exclusive of Denver.) Tuberculosis....

23 Chicken pox...... Typhoid fever...

Diphtheria.

| Measles............................... ARKANS.AS.

Mumps....... Chicken por............

Pneumonia...... Diphtheria.................................... 10 Scarlet lever................................... Influenza...................................... 4 Tuberculosis.....

Tu Malaria.....

174 Typhoid fever.................................. Measles....

11 | Whooping cough...............

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