( n ) 
near Halifax, in the paiislics of Therfield and Guilden Morden, 
Hertfurdsbire ; the Koyal Marine Ikirracks, East Stoneliouse ; Terling 
in Essex, and other pkxces ; and in most instances was attributed tc 
foulness of the water or other nuisance. 
BniTHs and Deaths in 1867 in England. 
Bii-tbs 
in 1807. 
Annual Birlh- 
nile to 1000 
persons living 
(1867). 
Average Birth- 
rate 10 1000 
persons living 
(1857-66). 
First Quarter: Jan., Feb., March 
Second Quarter : April. INIay, June 
Third Quarter: July, Aug., Sept. 
Fourth Quarter; Oct., Nov., Dec. 
195.455 
199,649 
190,255 
182,638 
37-13 
37-42 
35-18 
3 - ■ 68 
36-63 
36-19 
33-50 
33-40 
767.997 
35-84 
34-93 
Deaths 
in 1367. 
Annual Death- 
rate to 1000 
persons living 
(1867). 
Average Death- 
rate to 1000 
pei-sons living 
(1857-66). 
First Quarter : Jan., Feb., March 
Second Quarter; April, May, June 
Third Quarter : July, Aug., Sept. 
Fourth Quarter : Oct., Nov., Dee. 
^34,254 
112,523 
108,462 
115,863 
25-51 
21 -09 
20- o6 
21- 37 
25-51 
22-18 
20-31 
22-24 
471, 102 
21-98 
22-55 
A summary review of the national registers for the last quarter of 
1867 furnishes proof of a favourable state of the public health 
viewed in comparison with that of fonner seasons ; but there are 
exceptional facts that cannot be regarded with like complacency ; 
for it is impossible that the elements of nature, however happily 
blended to constitute a fine autumn, can successfully contend with 
human ignorance and neglect, can suddenly counteract poisonous 
emanations from drains and from marsh lands covered with hovels, 
or sweeten well-water that has been contaminated with sewage. It 
is found that in different situations there were outbreaks of fever 
which the local officers attribute to overcrowding, bad drainage, or 
otherwise defective sanitary condition ; they were not confined 
to towns, but occurred equally in the purer atmosphere of the 
country. Such outbreaks are at all times numerous enough, and 
if they were all reported would probably be found more numerous 
still. They occur in the secluded hamlets of thinl3'-peopled districts, 
where inspectors of nuisances are unknown ; where the doctor, 
when summoned, is too busy with his patients to explore their 
surrounding conditions ; and where, as fevers may be prevalent 
without being fatal, it is obvious that even an intelligent registrar 
