692 
The following table gives the number of deaths from gastro-intes- 
tinal diseases per thousand deaths in infants of less than 1 year of 
age in certain parts of the Departement du Xord: 
Table 4. — Deaths from gastro-intestinal disease per 1,000 infant deaths, Departe- 
ment du Nord, France. 
District of Dunkerque _ 
445.08 1 
District of Lille — Continued. 
Canton Bergues 
410. 61 
3 cantons of Tourcoign 
457. 77 
Canton Bourbourg. 
485. 38 
8 cantons of Lille 
427. 83 i 
Canton Wormboudt 
602. 86 
District of Hasebrouck 
395. 20 i 
Canton Crave! ines 
404. 40 
Canton AForvillo 
363. 60 j 
2 cantons of Dunkerque___ 
465. 00 
Canton Steenvoorde 
394. 44 
District of Tallo 
401. 26 
Canton Casso! 
454. 66 i 
Canton Armentieres 
416. 66 
3 cantons of Bailleul 
431. 11 
Canton Quesnoy-sur-Lille 
420. 28 
District of Valenciennes 
313. 92 
Canton Sorlin 
383. 37 
Canton Dona in 
342. 10 
Canton T.annav 
398. 87 
Canton Conrie 
337. 07 
Canton Rontaix 
464. 33 
Canton Boucbain 
392. 40 
In Germany, which has the second highest infantile mortality rate 
in Europe, being surpassed in this bad eminence ” only by Kussia 
(which in some districts has an infantile mortalit}^ 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 hirths in Germany, 
1901-1905. 
1901 207 1904 196 
1902 183 1905 205 
1903 204 
In 1901 the average rate for 323 German cities and towns having 
a population of 15,000 or over was 202 ; in 1905 it was 201. 
In the latter year the aA’erage rate of 12 German cities each with 
a population exceeding 100,000 was 202, and for the twelve months ‘ 
ending 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 gastro- 
intestinal disorders. 
I have taken the liberty of combining two of the tables in Harring- 
ton’s® admirable article into the following, which shows the birth 
rate, the diarrheal death rate, and, finally, the percentage the diar- 
rheal death rate constitutes of the total infantile mortality in the 42 
German cities listed in the table for the twelve months ending June 
30, 1906 : 
Harrington, Am. Jour. Med. Sci., Vol. CXXXII, pp. 811-35. 
