180 
that the average annual death-rate during the first five 
years 1859-63 was 21*5 per 1000 persons living, and during 
the last five years 1864-68 it had risen to 22’5. It appeared, 
therefore, that so far as ten years’ experience extended, our 
present sanitary system had failed quite as signally in 
Scotland as in England to produce any improvement in 
the state of the public health. 
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