158 



ATlLAUGHLIN AND ANDREWS. 



This table includes all the cases discussed in the preceding investiga- 

 tions under the headings meningitis, enteritis, convulsions, bronchitis and 

 beriberi, excepting a few cases of meningitis over 1 year of age, which 

 were excluded. The total was increased by including some necropsies 

 made during March and April, after the other investigations were con- 

 cluded. 



The table indicates that "beriberi" (?) is the largest factor in the 

 infant mortality of Manila, and the existence of this factor accounts in 

 great measure for Manila's excess in infant mortality over that of other 

 countries, as shown by Table III. Cholera appears because the investiga- 

 tions were begun during a mild epidemic of that disease in Manila. 

 Tubercular meningitis was found twice and tuberculosis of the lungs 

 once. This does not indicate the measure of the prevalence of tuberculosis 

 among Filipino infants, as deaths from this disease were not investigated. 



GENERAL CONSIDERATIONS. 



The infant mortality of Manila presents a striking contrast to that of 

 other eities. The deaths of breast-fed children constitute 73.74 per cent 

 of the total infant mortality; furthermore, 87 per cent of infants dying 

 of beriberi and convulsions in Manila are breast fed. The following 

 table shows the figures as compiled in the Bureau of Health for the year 

 ending February 25, 1910. 



Table XII. — Showing per cent of deaths among breast-fed infants under 1 year, 



by disease. , 



Diseases. 



Number 

 of certif- 

 icates 

 stating 

 how fed. 



Number 

 breast- 

 fed. 



Per cent of 

 breast fed 

 to total re- 

 ported on. 





473 

 872 

 615 

 381 

 134 

 201 

 722 



417 

 763 

 469 

 218 

 75 

 70 

 494 



88.1 + 

 87.5 



76.2 -- 

 57.2 + 

 56 — 

 34.8 + 

 68.4 + 















Total . 



3,398 



2, 506 



73. 74+ 





In Munich, of 4,000 dead infants during 1903, 83 per cent were artificially 

 fed; in Berlin, in a period of five years, only 9 per cent of the infant mortality 

 occurred in breast-fed babies. 10 



"Wile. Pediatrics (1909), 21, 203. 



10 Graham. Journ. Am. Med. Assoc, (1908), 51, 1045. 



