634 
Table 4. — Deaths from gastro-intestim 
partement du 
District of Dunkerque. 445.08 
Canton Bergues 410. 61 ' 
Canton Bourbourg 485. 38 
Canton Worfnlioudt 602. 86 
Canton Gravelines 404. 40 
2 cantons of Dunkerque 465. 00 
District of Lille 401. 26 
Canton Armentieres 416. 66 
Canton Quesnoy-sur-Lille _ 420. 28 
Canton Seclin 383. 37 
Canton Launay 398. 87 
Canton Bontaix 464. 33 
/ disease per 1,000 infant deaths, De- 
ls! or d, France. 
3 cantons of Tourcoign 457. 77 
8 cantons of Lille 427. 83 
District of Hasebrouck 395. 20 
Canton Merville 363. 60 
Canton Steenvoorde 394. 44 
Canton Cassel 454. 66 
3 cantons of Bailleul 431. 11 
District of Valenciennes 313. 92 
Canton Denain 342. 10 
Canton Conde 337. 07 
Canton Bouchain 392. 40 
In Germany, which has the second highest infantile mortality rate 
in Europe, being surpassed “ in this bad eminence ” only by Russia 
(which in some districts has an infantile mortality rate surpassing 
500, and for the whole country one of 270), we find that the infantile 
mortality rate for the quinquennium of 1901-1905 is as follows: 
Table 5. — Average infant mortality under 1 year per 1,000 births in Germany, 
1901-1905. 
1901 216 
1902 184 
1903 l 202 
1904 I 204 
1905 204 
In 1904 the average rate for 323 German cities and towns having 
a population of 15,000 or over was 202 ; in 1905 it was 204. 
In the latter year the average rate of 42 German cities each with 
a population exceeding 100,000 was 202, and for the fiscal year end- 
ing June 30, 1906, was 198. The returns of that year from these 42 
German cities show further that of 67,637 infant deaths no less than 
28,423, or 44.03 per cent, were due to diarrheal disease. 
The excellence of the German system of registration of vital sta- 
tistics permits us to examine the local incidence of deaths from gas- 
trointestinal disorders. 
The following table, compiled from Harrington’s admirable arti- 
cle a , shows the birth rate, the diarrheal death rate, and, finally, the 
percentage the diarrheal death rate constitutes of the total infantile 
mortality in these 42 German cities for the twelve months ending 
June 30, 1906: 
a Harringtqn, Am. Jour. Med. Scl, CXXXII, pp. 811-835. 
