A SUMMARY OF THE VITAL STATISTICS OF THE NEW ENGLAND STATES FOR THE YEAR 1892. BEING A CONCISE STATEMENT OF THE MARRIAGES, DIVORCES, BIRTHS, * DEATHS IN THE SIX NEW ENGLAND STATES. COMPILED UNDER THE DIRECTION OF THE SECRETARIES OF THE STATE BOARDS OF HEALTH OF MAINE, NEW HAMPSHIRE, VERMONT, MASSACHUSETTS, RHODE ISLAND AND-eONNSCWOU-T Damrell & (the Old Corner Book Store). BOSTON: Lf>N©0-N-r- P. S. King & Son, 12 King St., Westminster. Compliments Df GARDNER T. SWARTS Secretary of the State Board of Health. State Registrar of Vital Statistics, Commissioner of Public Health. 48 Weybosset Street, PROVIDENCE, R. I THE NEW ENGLAND STATES. The small circles show the location of the sixty-seven cities and towns having populations of more than 10,000 in each by the U. S. Census of 1890. The figures within the circles refer to the first column in the table of cities and towns near the close of the book. Vicinity OF BOSTON A SUMMARY OF THE VITAL STATISTICS OF THE NEW ENGLAND STATES FOR THE YEAR 1892. BEING A CONCISE STATEMENT OF THE MARRIAGES, DIVORCES, BIRTHS, * DEATHS IN TUB SIX NEW ENGLAND STATES. COMPILED UNDER THE DIRECTION OF THE SECRETARIES OF THE STATE BOARDS OF HEALTH OF MAINE, NEW HAMPSHIRE, VERMONT, MASSACHUSETTS, RHODE ISLAND AND CONNECTICUT. BOSTON J Damrell & Upham, (the Old jCorner Book Store). London}: P. S. King & Son, 12 King St., Westminster™" Entered according to Act of Congress, in the year 1895, by Samubl W. Abbott, in the office of the Librarian of Congress, at Washington. INTRODUCTORY. The object intended in publishing this summary, is to present in a condensed form, the Vital Statistics of the New England States as a whole. At any time previous to 1894 the publication of such a summary would have been impossible, in consequence of the fact that no compilation of the Vital Statistics of Maine was made until 1894, when the First Registration Report of that state for the year 1892 was issued. At a meeting of the Secretaries of the Boards of Health of the six New England States, held in Montreal, in September, 1894, during the session of the American Public Health Association, it was decided to publish a summary of the Vital Statistics of these states. The objects to be secured by such a publication may be stated briefly as follows : — 1. The securing of better and more uniform methods of the presentation of material collected in the Registration Returns. 2. The stimulation of attention to this important branch of public work in other states, where registration has hitherto been neglected. In New England the importance of registration of Vital Statistics has been acknowledged from the earliest periods of the existence of the colonies, a law having been enacted in 1639, in the Massachu- setts Colony, providing for the keeping of a record “ of every marriage, birth, and death of every person within the jurisdiction”. This was followed soon afterward (1644) by similar legislation in Connecticut. It was not until 1842 that any published report embracing these facts was made. 6 The six New England States have now published such reports for the stated periods as follows : — Maine, ..... beginning with 1892 New Hampshire, ... “ “ 1880 Vermont, .... “ “ 1857 Massachusetts, ... “ “ 1842 Rhode Island, ... “ “ 1853 Connecticut, ... “ 1848 The importance of the subject of Vital Statistics as the basis or ground work of Public Hygiene is universally acknowledged, and- the intimate connection of the one with the other is shown by the action of nearly every state government in uniting the Department of Registration of Vital Statistics with that of Public Health. An unusual stimulus has been given to the progress of such work by the organization of general societies for the study and publica- tion of statistics, of which the Royal Statistical Society of Great Britain, the International Statistical Institute, and the American Statistical Society are among the flourishing examples. It is proposed to issue this summary at intervals of about five years, the second issue to embrace the statistics for 1895, since, in a portion of New England (two states embracing half the population) an intermediate census is taken, once in five years. No account is taken in this summary, of the county as a division of the population, since this grouping or division has but little significance in New England, aside from its importance in connec- tion with the administration of the courts of justice, the inquest laws, the control of highways and a few minor matters. The admin- istration of the municipal affairs of the town or city, considered as a unit is a matter of far greater sanitary importance than that of the county. That the thorough and careful administration of such affairs, in such important matters as the introduction of pure water sup- plies, and efficient sewerage systems, the management and control of 7 infectious diseases, the supervision of public institutions, the inspec- tion of food, etc., has a perceptible effect upon the vital statistics of municipalities has been fully demonstrated, both in Europe and America, and we may add, in the distant cities of British India. For this reason the vital statistics of the principal towns are presented as fully as the limits of a summary of this character will admit. A. G. YOUNG, Secy. State Board of Health and Registrar Vital Statistics, Maine. I. A. WATSON, Secy. State Board of Health and Registrar of Vital Statis- tics, N. II. J. H. HAMILTON, Secy. State Board of Health, Vt. SAML. W. ABBOTT, Seeret'y State Board of Health of Massachusetts. G. T. SWARTS, Secy. State Board of Health and Registrar oj Vital Statis- tics, R. I. C. A. LINDSLEY, Secy. State Board of Health and Superintendent of Registra- tion of Vital Statistics, Conn. A SUMMARY OF THE VITAL STATISTICS OF THE NEW ENGLAND STATES. POPULATION. “ Population is the basis of Vital Statistics, and hence demands preliminary consideration in any work bearing upon this subject.” (Dr. Farr.) The statements of population in this summary are those of the United States Census of 1880 and 1890, together with esti- mates made for the intercensal years, and for the years 1891 and 1892. The method of estimating is that which is employed in the annual reports of the Registrar General of England (the geometric rate of increase). Since short census intervals are preferable to long ones, the five year period is adopted for estimating, in those states where a quinquennial census is made. (Massachusetts and Rhode Island.) In populations having a rapid growth, the results obtained by the arithmetric and geometric methods of estimating differ considerably, but in small communities, and especially among those of slow growth the difference is only slight, and scarcely affects the ratios representing the marriage, birth, and death rates to an appreciable degree. Hence, in estimating popula- tions the geometric rate in this summary is only applied to the States, and in the table of cities and towns, to those cities which have a population larger than 20,000. The population of the six states is shown in table I, by which it appears that the total population of the district in 1870 was 3,487,924 (U. S. Census), and this had increased to 4,010,529 in 1880, and 4,700,745 in 1890. 10 Maine. New Hampshire. Vermont. Massachu- setts. Khode Island. Connecticut Neav England. 1870 626,015 318,300 330,Sol 1,457,351 217,353 537,454 3,487,024 1880 648,036 346,001 332,286 1,783,085 276,531 622,700 4,010,520 1881 1882 1883 1884 1885 650,141 651,348 652,557 653,768 654,981 349,836 352,706 355,600 358,517 361,458 332,299 332,312 332,326 332,340 332,354 1,813,818 1,845,081 1,876,883 1,909,233 1,042,141 281,862 287,296 292,834 298,529 304,284 634,075 645,658 657.452 669.452 681,681 4,062,031 4,114,401 4,167,652 4,221,839 4,276,899 1886 1887 1888 1889 1800 656,197 657,416 658,637 659,860 661,086 364,423 367,413 370,427 373,466 376,530 332,367 332,380 332,394 332,408 332,422 1,998,174 2,055,823 2,115,136 2,176,159 2,238,043 312,114 320,145 328,388 336,843 345,506 694,133 706,813 719.724 732’871 746,258 4,357,408 4,439,990 4,524,706 4,611,607 4,700,745 1891 1892 662,314 663,544 379,618 382,932 332,436 332,450 2,303,536 2,369,993 354,396 363,515 759,890 773,971 4,792,190 4,886,405 Figures in full-face type are official census enumerations, all others are estimates. Population of the New England States, 1880 —1892. TABLE I. 11 The sum of the estimated populations for 1892 was 4,886,405. The percentages which the population of each state bore to the total population of New England at each of the census enumerations of 1870, 1880 and 1890 were as follows: PERCENTAGES OF TOTAL POPULATION. STATES. 1870. 1880. 1890. Maine, 17.97 16.18 14.06 New Hampshire, 9.13 8.65 8.01 Vermont, 9.48 8.28 7.07 Massachusetts, 41.78 44 46 47.63 Rhode Island, 6.23 6.90 7.35 Connecticut, 15.41 15.53 15 88 New England, 100.00 100.00 100.00 The annual rate of growth of each state (geometric) and that of the total population for the period 1880-1890 are expressed by the following figures: Maine, .0018+ New Hampshire, .0082+ Vermont, .00004 Massachusetts, .0230+ Rhode Island, .0225+ Connecticut, .0183— New England, .0160+ The rates of growth of Massachusetts and Rhode Island for the short intercensal period 1885-1890 were respectively .0288+ and .0257+. Sex. The ratios of the sexes in the different states at the two census enumerations (1880 and 1890) are shown in table 2, wherein it appears that the number of females was greater than that of the males in the whole district at each census, the excep- tions being Vermont in each census and Maine in 1890. The most uniform distribution was in Maine in 1880 (1000 males to 1008 females), and the greatest excess of females was found in Rhode Island in 1880 (1000 males to 1079 females). In England and Wales the ratio of males to females at the last census (1891) was as 1000 to 1063. 12 Distribution of the Population by Sexes. Census of 1880 and 1890, with ratio of Females to 1,000 males, in each State. 1880. 1890. Males. Females. Females to 1,000 Males. Total. Males. Females. Females to 1,000 Males. Total. Maine 324,058 324,878 1,003 648,936 332,590 328,496 987 661,086 New Hampshire.. 170,526 176,465 1,035 346,991 186,566 189,964 1,018 376,530 Vermont 166,887 165,399 991 332,286 169,327 163,095 963 332,422 Massachusetts 858,440 924,645 1,077 1,783,085 1,087,709 1,151,234 1,058 2,238,943 Rhode Island 133,030 143,501 1,079 276,531 168,025 177,481 1,056 345,506 Connecticut 305,782 316,91 1 j6 622,700 369,538 376,720 1,020 746,258 New England 1,958,723 2,051,806 1,048 4,010,529 2,313,755 2,386,990 1,032 4,700,745 TABLE II. 13 Density of the Population. Density of the population usually bears quite a definite relation to the condition of the people, and especially manifests its influence in the death rate. The population of New England exhibits extreme variations of density, from the sparsely settled Aroostook region of Maine to the densely populated wards of the large cities. In table III. is presented the density of New England as a whole, and separately by states. The extremes of density were 21.7 persons per square mile in Maine, and 254.9 per square mile in Rhode Island in 1880, and 22.1 per square mile in Maine and 318.4 in Rhode Island in 1890. The mean density of the whole district (New England) had increased from 64.7 per square mile in 1880 to 75.8 in 1890. In the foregoing estimates, water surfaces amounting to 4460 square miles or 6.7 per cent, of the total area are excluded, leaving a land area of 62,005 square miles. TABLE III. Density of the Population. Census of 1880 and 1800. Area in Square miles. Population in 1880. Persons to Square mile 1880. Population in 1890. Persons to Square mile 1890. Maine 29,895 648,936 21.7 661,086 22.1 New Hampshire.. 9,005 346,991 38.5 376,530 41.8 Vermont 9,135 332,286 36.4 332.422 36.4 Massachusetts — 8,040 1,783,085 221.8 2,238,943 278.5 Rhode Island 1,085 276,531 254.9 345,506 318.4 Connecticut 4,845 622,700 128.5 746,258 154.0 New England... 62,005 4,010,529 64.7 4,700,745 75.8 Total area 66,465 miles, of which 4,460 or 6.7 per cent is water. 14 INTERNATIONAL VITAL STATISTICS. The value of statistics is greatly enhanced by comparison, not only of the statistics of one state with those of neighboring states, but also with those of large populations embracing entire countries. The usefulness of the well-arranged tables published in the preliminary portion of the Registrar General’s Reports of Eng- land is everywhere acknowledged. In table IV the marriage, birth and death rates of the New England States are presented for a period of twenty years, and for the years 1891 and 1892. By this table it appears that the marriage rate of New England, as a whole, for the year 1892 (18.5 per 1000) was greater than that of any of the Transatlantic countries quoted in the table, the highest of any of these countries being that of Hungary (18.4) and the lowest, that of Ireland (9.3).* The birth rate of New England in 1892 (24.9 per 1000 of the population) was less than those of any of the other countries except France and Ireland. Hungary had a birth rate of 40.3 and France 22 1. The death rate of New England in 1892 (19.9) was less than those of Italy, Hungary, Austria, Germany, France, Holland and Belgium, and greater than those of the British Islands, Den- mark, Norway, Sweden and Switzerland. * Note.—In the previous year (1891) Hungary had a marriage rate of 17.2. 15 Summary of the Vital Statistics of the Principal Countries of Europe for Twenty Years, ancl for 1891 and 1892, together with those of the New England Stcdes. Twenty Years — 1871- 1890. 1891. 1894. States and Countries. Marriage Rate. Birth Rate. Death Rate. Excess of Birth Rate over Death Rate. Marriage Rate Birth Rate Death Rate Excess of Birth Rate over Death Rate. Marriage Rate. Birth Rate. Death Rate. Excess of Birth Rate over Death Rate. New England 18.5|| 25.2|| 19.0|| 5.3|| 18.5 24.9 19.9 5.0 Maine 17.3 20.7 18.4 2.3 New Hampshire... 18.6* 18.0* 18.9* 20.6 19.2* 18.7 21.3 , 19.1 20.1 Y ermont 15.6 20.2 15.1 5.1 16.9 20.0 16.2 3.8 17.5 19.7 17.9 1.8 Massachusetts .... 18.1 25.7 19.7 6.0 1S.3 27.4 19.6 7.8 19.0 27.8 20.6 7.2 Rhode Island 18.7 23.7 18.0 5.7 18.7 25.8 18.7 7.1 19.3 24.5 20.4 4.2 Connecticut 16.0 23.6 17.1 6.5 17.1 23.5 18.9 3.3 17.0 24.5 19.6 4.9 England and Wales 15.6 34.0 20.3 13.7 15.6 31.4 20.2 11.2 15.4 30.5 19.0 11.5 Scotland 13.9 33.6 20.4 13.2 13.9 31.2 20.7 10.5 14.1 30.7 18.5 12.2 Ireland 9.0 24.9 18.0 6.9 9.2 23.1 18.4 4.7 9.3 22.4 19.4 3.0 Italy 15.6 37.3 28.6 8.7 15.0 37.3 26.2 11.1 15.0 36.3 26.2 10.1 Denmark 15.2 31.7 19.0 12.7 13.6 31.0 2C.0 11.0 13.6 29.5 19.4 10.1 Norway 13.7 30.7 16.9 13.8 13.2 30.9 17.5 13.4 12.6 29.6 17.7 11.9 Sweden 13.1 29.8 17.6 12.2 11.6 28.3 16.8 11.5 11.4 27.0 17.9 9.1 Austria 16.3 38.6 30.6 8.0 15.4 38.1 27.9 10.2 15.6 36.2 28.8 7.4 Hungary! 19.1 44.0 33.7 10.3 17.2 42.3 33.1 9.2 18.4 40.3 35.0 5.3 Switzerland 14.7 29.4 22.1 7.3 14.3 28.2 20.7 7.5 14.7 28.0 19.3 8.7 German Empire! • • 16.4 38.1 26.0 12.1 16.1 37.0 23.4 13.6 15.9 35.7 24.1 11.6 Holland 15.1 35.2 22.6 12.6 14.2 33.7 20.7 13.0 14.4 32.0 21.0 11.0 Belgium 14.2 31.0 21.4 9.6 14.8 29.6 21.0 8.6 15.4 28.9 21.8 7.1 France 15.4 24.6 22.8 1.8 15.0 22.6 22.6 0.0 15.2 22.1 22.6 —0.5§ * Seven years. Registration of births said to be defective. t Fifteen years. t Nineteen years. § Excess of death rate. In the figures for New England for 1891 Maine is not included. TABLE IV. 16 MARRIAGES. The total number of marriages registered in New England in 1892 was 45,310, which, in an estimated population of 4,886,405, gives a marriage rate of 9.27, or, according to the more common method of reckoning, in which the ratio of persons married is employed, instead of the number of marriages, the rate was 18.54 per 1,000 of the population. The highest marriage rate was in New Hampshire where it was 21.28 per 1,000, and the lowest, 17.04 was in Connecticut. The following table presents the marriages and marriage rates for 1892 : — TABLE V. MARRIAGES AND MARRIAGE RATES OF THE NEW ENGLAND STATES — 1892. Marriages 1892. M arriage rate per 1,000 [population, 1892. Marriage rates (per- sons mar- ried). Marriage rate, 1891. Maine, 5,726 8.63 17 26 New Hampshire, 4,074 10.64 21.28 20 56 Vermont, 2,905 8.74 17.48 16.94 Massachusetts, 22,507 9.50 19.00 18.82 Rhode Island, 3,502 9.63 19.26 18.74 Connecticut, 6,596 8.52 17.04 17.07 New England, 45,310 9.27 18.54 18 50 The foregoing marriage rates are generally higher than those of other countries having registration, as shown in table IV., p. 15. Marriages by Months. In table VI are presented the statistics of marriages by months in four of the states, Maine, New Hampshire, Massachusetts, and Rhode Island, by which it appears that the greatest number of marriages in any month in these states was celebrated in 17 s C c g c3 3 £ 3 2 O o O > o s o CP P 13 +5 O H Maine 321 334 322 456 390 542 444 437 567 569 698 608 38 5,726 66. G 74.1 66.8 97.8 80.9 116.3 92 1 90.7 121.6 118.1 149.7 126.2 New Hampshire. 2S5 303 237 313 300 409 268 278 396 441 445 360 39 4,074 83.4 94 8 69.4 94.6 87.8 123.6 78.4 81.3 ,120.0 129.0 131.6 105.3 Massachusetts .. 1,633 85.6 1,719 96.4 1,037 54.4 1,791 97.1 1,657 86.9 2,690 145 8 1,493 78.3 1,597 83.7 2,179 118.1 2,455 128.8 2,716 147.2 00' 5 22,507 Rhode Island ... 275 2S9 180 268 259 429 218 246 320 408 382 228 — 3,502 92.7 104.2 60.7 93.4 87.4 149 5 73.5 83.0 111 6 137.6 133.1 76.9 Four States.. 2,514 2,645 1,776 2,828 2,606 4,070 2,423 2,558 3,462 3,873 4,241 2,731 82 35,809 83.1 93.4 58.7 96.6 86.1 139.0 80.0 84.4 118.2 128.0 144.8 90.3 The first line of figures for each State and for the four States represents the number of marriages in each month, and the second line of smaller figures shows the intensity of the marriage rate in each month, as compared with a monthly mean of 100. The effect of the unequal length of the months is eliminated. Marriages by Months—1892. (Four States.) TABLE VI. 18 the month of November, as well as for each one of these states, except Rhode Island, in which the greatest number occurred in June. The months having the next greatest number were December in Maine, October in New Hampshire and Rhode Island, and June in Massachusetts. For these four states the month having the least number was March, and for the separate states, January in Maine, and March in each of the remaining states. For the sake of comparison, these figures are reproduced according to the method employed in the Registrar General’s Report of England (1892) by quarters of the year. Quarter Ending. England 55 years, 1838-1892. England, 1892. New England, 1892. March, 13.2 117 14.7 June, 16.4 16.4 20.2 September, 15.6 15.1 17 9 December, 19.1 17.8 23.0 Mean of whole period, 16.1 15.4 18.5* PERSONS MARRIED TO EACH 1,000 LIVING. * This average refers to all New England: — for the four states embraced in this monthly table the average was 18.9. In summing up this subject, in a recent work, Dr. Leffingwell says: “ Religious and social customs intervene in most civilized countries, and create prejudices for or against the celebration of marriage during particular seasons of the year. In France and Italy the majority of nuptials are in February. In Ireland, particularly in the west and south, more than half the Catholic marriages are celebrated between Christmas and Shrovetide. In Scotland there is a strong prejudice against marrying in May. Agricultural populations object to the season of harvest and defer such ceremonies till October and November. In Russia more than three-fourths of all marriages occur in autumn and winter.” “ Influence of seasons on Conduct.”—Leffingwvili,. 19 Under 20. 20-30. i 30-40. 40-50. 50-G0. 60-70. 70 80. Over 80. Age not stated Totals. M. F. M F. M. F. M. F. M. F. M. F. M. F. M. F. M. F. Maine | 194 1,621 3,724 3,118 1,066 580 378 216 180 96 93 27 33 3 3 1 55 64 | 5,726 New Hampshire | 184 1,109 2,652 2,241 743 450 253 154 133 70 72 27 24 3 31 20 | 4,074 Massachusetts .. j 427 3,607 15,577 15,306 4,472 2,625 1,239 700 513 193 214 66 58 9 5 2 1 } 22,507 Rhode Island... | 81 587 2,431 2,309 1,065 456 214 109 66 29 37 7 7 1 5 \ 3,502 Connecticut .... j 119 1,015 4,594 4,517 1,270 761 356 206 159 47 73 45 24 4 1 i | 6,596 Five States 1,005 7,939 28,978 27,491 8,616 4,872 2,440 1,385 1,051 435 489 172 146 19 9 1 71 91 42,405 Marriages by Ages —1892. (.Five States.') TABLE VII. 20 Marriages by Ages — Table VII. Of the whole number of men married in New England in 1892, whose ages were known, 97 per cent, were between the ages of 20 and 60 years. Of the whole number of women, whose ages were known, 80.8 per cent, were between the ages of 20 and 60 years. Sixty-eight and four tenths per cent, of the men and 64.9 per cent of the women were between the ages of 20 and 30 years Early Marriages. Two and four tenths per cent, of the men who were married, whose ages were known, and 18.8 per cent, of the women were under 20 years of age. The highest per cent, of men married (4.5), who were under 20, was in New Hampshire, and the lowest (1.8) was in Con- necticut. The highest per cent, of females married under 20 (27.6) was in Maine, that of New Hampshire for the same class being nearly the same (27.3); and the lowest per cent of females married (of the same class, 15.4) was in Connecticut. One and five tenths per cent, of the men marrried, whose ages were known, and less than five tenths of one per cent, of the women married were over 60 years of age. The highest percentage of men married, who were more than 60 years of age, was 2.36 and was in New Hampshire; and the lowest percentage of the same class was in Massachusetts (1.23). The highest ratio of females of this class who were married was seven tenths of one per cent, and this percentage prevailed both in New Hampshire and in Connecticut, and the lowest (two tenths of one per cent.) was in Rhode Island. late Marriages. Marriages by Nativity— Table VIII Considerable importance, possibly an undue amount, has been attached to the term “ nativity ” as employed in American 21 State. Bride and Groom Native. Bride and Groom Foreign. Groom Bride Unknown Total. Percentages of Persons Married. Native. | Foreign. Maine New Hampshire Vermont Massachusetts Rhode Island Connecticut. 3565 2437 * 10,032 1672 3529 43S 856 7647 1100 1958 272 318 *. 2558 343 532 330 278 * 2269 387 576 1121 185 12 1 1 5726 4074 2905* 22,507 3502 6596 84.0 16.0 70.3 29.7 85.9 14.1 55.3 44.7 58.2 41.8 67.6 > 32.4 New England (Persons Married.) Native i Foreign 55,303 32,677 2640 90,620 62.9 37.1 * The statistics of Vermont upon this point are specified only with regard to the number of persons married of each class without refer- ence to the number of marriages. There were 4970 persons married of native birth and 810 of foreign birth, and 24 in which the nativitv was unknown. The unknown are excluded in estimating the percentages in the last two columns. Marriages by Nativity—1892. TABLE VIII. 22 StatisticalfDocuments. It should be borne in mind, however, that nearly the entire population of New England is derived from races foreign to the soil. Those whose ancestry in this country dates back to the early history of the colonies count but nine or ten generations at the longest. The term “ nativity ”, therefore, conveys but little meaning, when applied to percentages comprising portions of the popula- tion, since it has reference to the persons of a single generation, without regard to their parentage or ancestry, immediate or remote. The term “parent-nativity” embraces only one more generation, while there are no statistics which include generations earlier than the parents. In the statistics of marriages on page 21 the term “ nativity ” is employed with reference only to the persons married and has no relation to their parentage. The statistics embraced in this table show that the total number of marriages in New England in 1892 was 45,810, or 90,620 persons. Of this number, the nativity of 2640 was un- specified ; 55,308 were natives, or 62.9 per cent, of those whose nativity was specified; and 32,677, or 37.1 were of foreign birth. The percentages in the last two columns of table VIII. show that the highest ratio of persons of native birth married in 1892 was in Vermont, and the least in Massachusetts. DIVORCES. This portion of the summary will necessarily be less complete in detail than those portions which relate to vital statistics, prop- erly so-called, in consequence of a greater want of uniformity in the methods of collection of the returns of divorces in the different states. Divorce statistics were not introduced into the Registration Reports of any of the States until a comparatively recent period, but they now form a part of these reports in each one of the New England States. The whole number of divorces granted in New England in 23 1892 was 2,653, and these were distributed as follows. The numbers for 1891 are also presented, except those of Maine : 1892. 1891. Maine .... 552 * New Hampshire . 347 412 Vermont . . . 167 165 1892. 1891. Massachusetts 790 799 Rhode Island. 296 275 Connecticut . 501 . 475 Totals. . . 2,653 2,126 Relative Distribution. In the following table Column 1 presents the number of divorces granted in each 10,000 of the population in 1892. Column 2 presents the number granted as compared with each 100 marriages in 1892; and the same ratios for 1891 are given in Column 3: Divorces in New England — Relative Distribution. States. 1 Number in each 10,000 of population. 2 Number in 100 marriages. 3 Number in 100 marriages. 1802. 1892. 1891. Maine 8.3 9.6 • • • New Hampshire . 9.0+ 8.5 10.5 Vermont 5.0 5.7 5.9 Massachusetts . . . 3.3 3.5 3.7 Rhode Island .... 8.1 8.4 8.3 Connecticut .... 6.5 7.6 7.3 New England . . . 5.4 5.8 5.6 By this table it appears that the highest number granted in 1892 as compared with the population was in New Hampshire (9.05 per 10,000), and the lowest was in Massachusetts (3.8.) As compared with the number of marriages the highest per- centage in 1892 was in Maine (9.(5), and the lowest percentage was in Massachusetts (3 5.) 24 Sex of Libellants in Cases where Divorces were Granted. This is presented in four states only, — Maine, New Hamp- shire, Vermont and Massachusetts. The figures are as follows : — States. Men. Women. Total. Ratio of men to 100 women. Maine ...... 142 410 552 35 New Hampshire . . . 103 244 347 42 Vermont 53 114 167 46 Massachusetts . . . 246 544 790 45 Total 544 1,312 1,856 41 The mean ratio of male to female libellants was 11 to 100. The greatest difference in the numbers of the sexes of libellants was in Maine (35 men to 100 women), and the least difference was in Vermont (46 men to 100 women.) Legal Causes of Divorce, The following table presents the statutory causes for which divorces mav be granted in the New England states. Some of these causes are very rarely presented for the purpose of obtain- ing divorce: — Causes for which Divorces may he granted in the New England States. The following are the principal causes for which divorces may be granted in the New England States : — Maine.—Adultery ; extreme cruelty ; impotence ; utter deser- tion for three years next prior to filing of libel; gross and con- firmed habits of intoxication ; cruel and abusive treatment; gross or wanton neglect or refusal to provide maintenance for wife; nullity of marriage. New Hampshire. — Divorce may be granted to either party for adultery ; impotence ; extreme cruelty ; conviction of crime punishable by imprisonment for more than one year and actual 25 imprisonment; treatment injurious to health, treatment to en- danger reason ; absence for three years together and not heard from ; habitual drunkenness for three years ; joining a religious sect which professes to believe the relation of husband and wife unlawful; refusal to cohabit; abandonment for three years ; nul- lity of marriage ; also to the wife if husband has been willingly absent fdr three years without making provision for support of wife ; to the husband, if wife has willingly absented herself for three years; if wife has gone out of state and remained away for three years; to the wife, if wife of an alien has lived in New Hampshire for three years, and husband has left the United States to become a citizen of some foreign country and has not returned. Vermont. To either party for adultery ; imprisonment for life, intolerable severity; wilful desertion for three years, or for seven years, and not heard from. To wife, if husband, being able, grossly or wantonly and cruelly neglects to maintain her. Massachusetts. To either party for adultery ; impotence ; ex- treme cruelty; utter desertion for three consecutive years next prior to filing of the libel; gross and confirmed habits of intoxi- cation ; cruel and abusive treatment. To the wife, when the husband, being sufficiently able, grossly or wantonly refuses or neglects to provide suitable maintenance for her. Also, when either party has separated from the other without his or her consent, and has united with a religious sect or soci- ety that professes to believe the relation of husband and wife void or unlawful, and has so continued for three years, and meantime refuses to cohabit. Or when either party has been sentenced to imprisonment at hard labor for life, or for five years or more. Gross and con- firmed drunkenness from opium and other drugs. Rhode Island. To either party for adultery ; impotence ; ex- treme cruelty ; wilful desertion for five years ; or for a shorter time in the discretion of the court; continued drunkenness; 26 when either party is deemed to be (on account of punishment for crime), civilly’dead, or is presumed to be naturally dead, for other gross misbehevior, or wickedness of either party. To the wife, for neglect or refusal, on the part of husband, being able, to provide for her. Connecticut Adultery ; fraudulent contract; wilful desertion for three years with total neglect of duty ; seven years’ absence ; during which period the absent party has not been heard from ; habitual intemperance ; intolerable cruelty ; sentence to impris- onment for life; any infamous crime involving a violation of conjugal duty. In the following table are presented the statistics of divorces granted in New England by causes for the year 1892, for the states of Maine, New Hampshire, Vermont, Massachusetts and Connecticut. 1 Per- Causes. Maine. N. H. vt. Mass. Conn. Total. ce’t’ce. Adultery 70 75 27 166 82 420 17.8 Desertion 181 143* 78* 376 219 997 42.5 Intoxication or habit- • ual drunkenness . . 82 22 — 104 105 313 13.3 Cruel and abusive treatment . ,. . . 115 — — 86 — 201 8.5 Extreme cruelty . . — 89 42 18 69 218 9.2 Neglect to provide for wife . . ... 17 — 11 29 — . 57 2.4 Imprisonment . . . — 2 1 4 — 7 .3 Nullity of marriage 4 2 — 6 — 12 .5 All other causes* . . 83 14 8 1 26 132* 5.5 522 347 167 790 501 2,357 100.0 CAUSES OF DIVORCE, 1892. Note. New Hampshire.— These 143 cases included in the title “ Desertion ” include 14 classed as granted “ for three years’ absence.” Vermont.—Seventy- eight divorces for “desertion and wilful desertion 42 divorces for “ intoler- able severity. The title, “ All other causes,” embraces several divorces in which a combination of causes was alleged in the application. 27 Marriages of the Divorced. The following additional information is contained in the re- ports of New Hampshire, Rhode Island and Connecticut: — MARRIAGES OF TEIE DIVORCED, 1892. Men. Women. Total. New Hampshire 86 90 176 Rhode Island .... 59 78 137 Connecticut .... 151 159 ' 310 296 327 623 BIRTHS. In accordance with common practice, the term births in this summary means living births. Still-births are, therefore, con- sidered in a separate category, since they form no addition to the living population. Likewise, as deaths they subtract noth- ing from the living population ; hence they are not included in the death-rate. The term birth-rate also means the ratio of children born alive to the living population for the same reason. The number of births registered in New England in 1892 was 121,353, and the birth-rate was 24.8.* The highest birth-rate was in Massachusetts (27.8) and the lowest (19.1) was that of New Hampshire.* *Note—It is probable that in the two states, Maine and New Hampshire, in which Registration has been operative for a shorter time than it lias in the four other states, the registration of births is considerably defective. For example, the registered births in the thriving manufacturing cities of Manchester, Dover, Portsmouth, Portland and Auburn, having a population of over 114,000 in 1800, were only 2,445 in 1892, while the deaths in the same year were 2,543. Making due allowance for growth of population these indicated a birth-rate of about 20.5 and a death-rate of about 21.5. A population of this character should have had a birth-rate of not less than 27 per 1000, and there was probably a deficiency in registration of not less than 800 births in these cities. Making due allowance for increase of population there was probably a deficiency of about 3,300 births in Maine and 2,000 births in New Hampshire. The addition of these numbers would raise the birth-rate of Maine to 23.4 and that of New Hampshire to 25.1 and the combined birth-rate of New England to 25.9. States. LIVING BIRTHS. Still Births. Whole Number. Sex. Parentage. Plural Births. ILLEGITIMATE. Male. Female. a Both Native. Both Foreign. Native Mother. Native Father. Not stated. Total. Male. Female. Un- known. Total. Male. Female. Un- known. Total. Male. Female. P 1 13 758 7 038 6,634 86 8 680 2,590 883 945 921 276 131 139 6 270 146 96 28 7 327 3 688 3,576 63 3 646 2,727 564 541 268 fl79 100 78 1 419 217 164 j ' *• 38 Vermont 6,558 3,365 3,187 6 * * * * * 124 70 54 71 17 54 237 122 99 16 Massachusetts .. 65,824 33,758 31,951 115 21,800 29,895 6,767 6,919 443 tll68 579 589 990 507 472 11 2,293 1,370 845 78 8 800 4,548 4,351 2 056 4,102 876 875 168 92 76 95 42 53 371 217 154 Connecticut 18,987 9,653 9,220 114 7,890 7,609 1,679 1,441 377 t401 205 195 1 196 in 85 763 456 298 9- 121 353 62,050 58,010 384 1 2,316 1,177 1,131 8 4,353 2,528 1,656 169- •The figures for Vermont are given without reference to “ mixed” parentagage, and are stated as follows : American, 5,090: Foreign, 1,423: Unknown. 45. t Includes one case of triplets in New Hampshire, eight cases in Massachusetts, and one case in Connecticut, the remainder being twins. TABLE IX. Births — 1892. 29 The following table presents the births and birth-rates in New England in 1892: BIRTHS AND BIRTH-RATES IN NEW ENGLAND IN 1892. States. Maine . Registered living births, 1892. 13 758 Birth-rates, 1892. 20 7 Birth-rates, 1891. New Hampshire 7,327 19.1 19.2 Vermont 6,558 19 7 20.0 Massachusetts . . . 65,824 ' 27.8 27.4 Rhode Island . . . 8,899 24.5— 25.8 Connecticut .... 18,987 24.5+ 23.5 121,353 24.8 252 Births by Sexes—Table IX. Of the whole number ofliving births, in which the sex was known, 62,050 were boys and 58,919 were girls, being in the ratio of 1,053 males to 1,000 females. The ratios in the dif- ferent states were as follows, to 1,000 females in each: Maine, 1,061; New Hampshire, 1,031; Vermont, 1,056 ; Massachusetts, 1,057 ; Rhode Island, 1,045 and Connecticut, 1,047. In England, for the period of 54 years, 1838-’91, the ratio was 1,043 males to 1,000 females, but the difference has diminished with considerable uniformity from 1,052 in the five- year period (1841-’45) to 1,036 in the period (1886-’90). The proportion of male to female births in other foreign countries was as follows for the ten-year period, 1870-’79: (Newsholme.) Males born to every 1000 females born: Italy, 1,071 Austria, 1,068 France, 1,064 Switzerland, 1,063 German Empire, 1,062 Holland, 1,061 Belgium, 1,059 Scotland, 1,057 Ireland, 1,056. Births—Parent Nativity.—Out of 113,484 registered births in the states of Maine, New Hampshire, Massachusetts, Rhode 30 Island and Connecticut, 44,981 or 89.7 per cent, were of native parentage, 47,013 or 41.4 per cent, were of foreign parentage, and 21,490 were of mixed parentage (foreign father and native mother, or native father and foreign mother.) [The returns of Rhode Island and Connecticut are not strictly comparable in this particular, with those of the other states, but the discrepancy (which cannot readily be eliminated) would only affect the result to a very slight degree.] In the returns of Vermont, not included in the foregoing figures, no account is taken of births of mixed parentage, and the figures are as follows for births, the parentage of which was known: American, 5,090 or 78.2 per cent; foreign, 1,423 or 21.8 per cent. The proportion of children born of native and of foreign parentage differed considerably in the different states, the figures being as follows :— Parentage of Children Born Alive. — Percentages, Of Native Parentage. Of Foreign Parentage. Mixed Parentage. Maine . . . . 66.3 19.8 13.9 New Hampshire . 48.8 36.5 14.7 Massachusetts . 33.4 45.7 20.9 Rhode Island . . 33.2 47.2 19.6 Connecticut . . 42.4 40.9 16.7 New England . 39.7 41.4 18.9 No true estimate of the relative fecundity of the native and foreign-born population can be made from these figures since, as Dr. Newsholme shows, the two classes are not strictly com- parable. Still births—Table IX.—The total number of still-births regis- tered in New England in 1892 was 4,853, being in the ratio of 35.9 per 1,000 of living births, that of 1891 being 34.8 for all of the states except Maine. In the different states these ratios were as follows:— Still Births, Ratio per 1000 Living Births. 1892 1891 Maine, 19.6 New Hampshire, 54.1 29.2 Vermont, 36.1 37.3 1S92 1891 Massachusetts, 34.8 35.3 Rhode Island, 41.7 29.7 Connecticut, 40.2 37.0 New England ...... 35.9 34.8 Of the whole number 2,528 were males and 1,656 were females, while the sex of 169 was not stated. The ratio of males to females was as 153 of the former to 100 of the latter. The least variation in sex was in Vermont, which had a ratio of 123 still-born males to 100 still-born females, and the greatest in Massachusetts, where the ratio was 162 to 100. Similar variations are known to prevail elsewhere. Those of France, Italy, Belgium, Sweden and Russia being respec- tively, 144, 140, 135, 133 and 129 males to 100 females for the period 1865-1875. Plural Births— Table IX.— The number of registered plural births in New England in 1892 was 1,153 and the product of such births was 2,316 children, of which number 2,286 were twins, and 30 were triplets. This was equivalent to one twin birth in 106 cases. Of the whole number, 1,177 were boys, 1,131 were girls, and the sex of eight was unknown. The ratio of males to females differed but little from those of all births, being in the propor- tion of 1,041 males to 1,000 females. Of the cases of triplets — one occurred in New Hampshire, one in Connecticut, and eight in Massachusetts. Illegitimacy.— Table IX. The facts in relation to illegitimate births are presented in the registration returns of four states—Vermont, Massachusetts, Rhode Island and Connecticut. In these states returns were made of 1,848 illegitimate births, which was in the ratio of 13.4 per 1,000 living births in these states. 32 The ratio in the different states was as follows In Vermont, 10.2 per 1,000 births. In Massachusetts, 15.0 per 1,000 births. In Rhode Island, 10.7 per 1,000 births. In Connecticut, 10.3 per 1,000 births. Of the whole number, 660 were males and 610 were females. Illegitimate Birth-Rates in Other Countries. Countries. Illegitimate births per 1,000 births. Countries. Illegitimate births per 1,000 births. Ireland . 25 Norway . . . 82 Russia .... 28 Scotland . . . 84 Holland .... 30 German Empire 89 Switzerland . 47 Denmark . . . 101 England and Wales 48 Sweden . . . 101 Italy 73 Saxony . . . 127 France .... 74 Bavaria . . . 132 Belgium .... 77 Austria . . . 143 (From Bertillon.) Births hy months.— In table X are presented the number of registered births by months in each of five states to- gether with the aggregates for New England. By this table it appears that the greatest number of births occurred in July (10,220) and the next greatest number was in December; the least number occurred in February and the next lowest number was in June. In order to estimate the actual intensity of the birth-rate at different seasons of the year, the effect of the inequalities in the length of the months has here been eliminated by comparing the births in each month with a daily mean for the whole year and reducing this to a standard mean of 100. For example, the lower line should read as follows:— For each 100 births which occurred in New England in 1892, in a mean monthly period of uniform length, there were 95.1 births in January, 98.3 in February, etc., in a similar period. 33 January. February. March. April. May. June. July. August. September. October. November. December. Unknown. Total. Maine 984 84.8 1,098 101.2 1,317 113.5 1,250 111.3 1,297 111.8 1,156 102.9 1,197 103.1 1,168 100.7 1,132 100.8 1,031 88.9 981 87.4 1,086 93.6 61 13,758 New Hampshire. 591 95.5 591 102.1 622 100.5 616 102.8 689 111.3 620 103.5 626 101.1 600 96.9 579 96.7 586 94.7 594 99.2 594 96.0 19 7,327 Massachusetts... 5,426 97.3 5,043 96.6 5,43S 97.5 5,220 96.8 5,342 95.8 5,129 95.1 5,895 105.7 5,833 104.7 5,590 103.6 5,330 95.6 5,576 103.4 5,990 107.4 12 65,824 Bhode Island ... 771 98.2 6S0 92.6 782 99.6 691 90.9 770 98.1 718 94.5 840 107.0 816 103.9 766 100.8 775 98.7 761 100.2 900 114.6 9,270 Connecticut 1,503 93.5 1,561 103.8 1,668 103.7 1,542 99.1 1,596 99.3 1,471 94.5 1,662 103.4 1,700 105.7 1,550 99.6 1,502 93.4 1,587 102.0 1,640 102.0 5 18,987 Five States... 9,275 95.1 8,973 98.3 9,827 100.7 9,319 98.7 9,694 99.4 9,094 96.3 10,220 104.8 10,117 103.7 9,617 101.9 9,224 94.6 9,499 100.6 10,210 104.7 97 115,166 Note.—The same plan is adopted for expressing the seasonal intensity of the birth-rate, figures for each state and for New England is compared with a monthly mean of 100. as in table VI., p. 17. The second line of Births by Months —1892. (jFive States.') Still-births excluded (except in Bhode Island). TABLE X. 34 The total number of deaths registered in New England in 1892 was 97,134 and the estimated death-rate per 1,000 of the living population was 19.93. The highest death-rate (20.6) was that of Massachusetts and the lowest (18.3) was that of Maine. DEATHS. DEATHS AND DEATH-RATES IN THE NEW ENGLAND STATES, 1892. States. Deaths, 1802. Death-rates per 1,000 inhabitants, 1802. 1801. Maine 12,147 18.3 ■ New Hampshire . . 7,699 20.1 18.7 Vermont 6,960 18.6 16.2 Massachusetts . . . 48,762 20.6 19.6 Rhode Island . . . 7,396 20.3 18.7 Connecticut .... 15,170 19.6 18.9 New England . . 97,134 19.9 19.0 Sex— The deaths of males in New England were 48,922, those of females were 48,140 and the sex of 72 was unknown or not stated. Estimating the sexes in the living population to have main- tained the same ratio as in the census year 1890, namely, males 49.22 per cent, and females 50.78 per cent., or about 1,082 females to 1,000 males, the death-rate of males was 20.8 per 1,000 of living males and those of females was 19.4 per 1,000 of living females, and those of the states were as follows:— Males. Females. Maine 17.8 18.7 New Hampshire . . . 20.1 20.1 Vermont 17.4 18.4 Massachusetts . . . 21.4 19.8 Rhode Island .... 21.1 19.7 Connecticut .... 20.5 18.7 New England . . . 20.4 194 35 Total. Male. Female. Unknown. Nativity. Native. Foreign. Unknown. Maine 12,147 5939 6175 33 10,194 1267 686 New Hampshire 7699 3811 3880 8 6155 934 899 Vermont 5960 2945 2994 21 - - - Massachusetts 48,762 24,643 24,119 - 35,097 13,044 621 Rhode Island 7396 3725 3671 - [3216] [4180] - Connecticut 15,170 7859 7301 10 11,225 3654 291 iri > ft 97,134 48,922 48,140 72 62,671 18,899 2497 The figures for Rhode Island in the nativity columns are not included in the totals, since they refer to parent nativity and not to the nativity of the deceased persons. TABLE XI. Deaths in 1892 — By Sex and Nativity. Exclusive of Still-births. 36 Deaths by Nativity. — The comments made upon the subject of Nativity under the head of Marriages and Births, apply also to the subject of Deaths. From the registered deaths in Maine, New Hampshire, Massa- chusetts and Connecticut (table XI) it appears that 62,071 deaths, or 74.5 per cent., were those of persons of native birth, and, 18,899, or 22.5 per cent., were of persons of foreign birth, and the nativity of 2,497 was unknown. The highest ratio of deaths of persons of native birth in these four states was in Maine, (83.5) and the lowest (71.8) was in Massachusetts. Deaths by Ages. — Of the whole number of deaths registered in New England in 1892 (97,345), there were 96,838 whose ages were known, and are stated in Table XII. Of this number, 19,089 were under 1 year of age, or 19.71 per cent. There were also 8,025 deaths or 8.29 per cent, in the next class or period of life, 1-4 years. The remaining percentages may be found in the table. It is quite manifest, however, that these figures have but very little value, so long as complete census returns of the living population of this district, classified by ages, were not obtainable at the time when this summary was compiled. The fact, for example, that the deaths in Vermont of in- fants under 1 year constituted but 16 per cent, of the deaths in that state, while those in Rhode Island constituted 22 per cent., or that the deaths of persons between 80 and 90 years in Vermont were relatively more than double those of Rhode Island for the same period of life, has no significance so long as we are ignorant of the number of persons living at those ages in each state. Hence, the only accurate conclusion as to the comparative value of the statistics in this table is that which can be made from the figures in the first column (infants under 1), by com- parison with the births in the same state, and since the returns of births in Maine and New Hampshire are manifestly defective, 37 States. Under 1. 1 5-10. 10-20. 20-30. | 30-40. £ I + 60-70. 70-80. 8 8 00 90-100. 100+ Total. Maine 1,706 14.18 672 5.58 262 2.18 592 4.92 973 8.08 751 6.24 777 6.46 1,004 8.34 1,498 12.45 2,033 16.89 1,50(5 12.50 255 2.12 7 .06 111 12,147 New Hampshire. 1,225 16.23 602 6.65 165 2.18 332 4.40 506 6.70 501 6.63 499 6.61 (561 8.76 975 12.91 1,185 15.70 864 11.44 129 1.71 (5 .08 149 7,699 Vermont 981 16.05 325 5.31 168 2.74 271 4.42 407 6.65 377 6 15 376 6.14 457 7.46 780 12.74 1,070 17.47 77(5 12.67 135 2.20 42 6,165 Massachusetts... 10,649 21.90 4,576 9.41 1,425 2.93 2,140 4.40 4,391 9.03 3,915 8.05 3,704 7.62 4,148 8.53 4,957 10.19 5,116 10.52 3,098 6.37 496 1.02 13 .03 134 48,762 Rhode Island.... 1,627 22.04 663 8.98 186 2.52 344 4.66 615 8.33 (505 8.19 596 8.07 666 9.02 810 10.97 735 9.96 463 6.27 73 .99 19 7,402 Connecticut 2,901 1.92 1,287 8.5 534 3.53 663 4.88 1,236 8.19 1,210 8.00 1,109 7.35 1,339 8.85 1,703 12.50 1,776 11.74 1,129 7.45 222 1.47 9 52 15,170 New England. 19,089 19 71 8,025 8.29 2,740 2.83 4,342 4.49 8,128 8.39 7,359 7.60 7,061 7.29 8,275 8.55 10,723 11.07 11,915 12.30 7,8:36 8 09 1,310 1.35 35 .04 507 97,345 The percentages are of the total mortality of those whose ages are known. Death by Ages — 1892. TABLE XII. 38 J anuary. February. March. 1 April. May. June. 13 •“5 August. September. October. November. December. Unknown. Total. Maine 1,577 153.9 1,292 134.8 1,095 106.8 1,048 105.7 1,045 102.0 833 84.1 866 84.5 938 91.5 976 98.4 844 82.4 790 79.7 793 77 4 50 12,147 New Hampshire. 1,345 206.7 694 114.0 648 99.6 607 96.4 569 87.4 469 74.5 625 96.1 660 101.4 558 88.6 511 78.5 515 81.8 482 74.1 17 7,699 Massachusetts... 6,309 152.7 3,896 100.8 4,161 100.7 3,990 99.8 3,786 91.6 3,197 80.0 4,565 110.5 4,717 114.1 3,664 91.6 3,484 84.4 3,357 84.0 3,636 88.0 48,762 Rhode Island ... 926 147.8 595 101.5 582 92.9 559 92.2 561 89.6 504 83.1 812 129.6 739 118.0 609 100.5 490 78 2 491 81.0 528 84.3 7,396 Connecticut..... 1,986 154.6 1,316 109.5 1,318 102.2 1,159 93.2 1,175 91.4 929 74.7 1,506 117.2 1,440 112.1 1,102 88.6 1,141 88.8 1,037 83.4 1,062 82.7 4 15,170 Five States.... 12,143 157.3 7,793 107.9 7,799 101.0 7,363 98.5 7,136 92.5 5,932 79 4 8,374 108.5 8,494 110.0 6,909 92.5 6,470 83.8 6,190 82 9 6,501 84.2 71 91,174 Note.—For explanation of figures in small type see tables VI. and X Deaths by Months —1892. (Five States.') TABLE XIII. 39 State. Persons married to 1000 living. Quarter ending Births to 1000 living. Quarter ending Deaths to 1000 living. Quarter ending March June Sept. Dec. March June Sept. Dec. March June Sept. Dec. Maine 11.78 16.73 17.46 22.61 20.49 22.32 21.08 18.67 23.90 17.64 16.76 14.63 New Hampshire 17.24 21.35 19.68 26.03 18.85 20.11 18.85 18.53 28.07 17.18 19.25 15.75 Massachusetts 14.81 20.72 17.79 22.64 26.85 26.49 29.23 28.52 24.25 18.53 21.85 17.68 Rhode Island 16.37 21.04 17.25 22.40 24.57 23.98 26.65 26.80 23.14 17.87 23.77 16.60 Connecticut - - - - 24.46 23.82 25.39 24.44 23.85 16.86 20.92 16.75 Four states Five states 14.68 20.11 17.86 22.95 24.66 24.69 26.30 25.41 24.36 17.94 20.88 16.83 TABLE XIV. 40 the comparison can only be correctly made in the remaining states. In these states the ratio of the deaths of infants under 1 to the births was as follows: — In Vermont, 149.6 per 1,000 births. In Massachusetts, 161.8 per 1,000 births. In Rhode Island, 175.5 per 1,000 births. In Connecticut, 152.8 per 1,000 births. Seasonal Mortality. — In Table XIII. are presented the statis- tics of deaths by months in each of the five states for the year 1892. By this table it appears that in each state, as well as in the whole group, the greatest mortality occurred in January (the month in which influenza prevailed to its greatest extent.) The percentage of the yearly mortality in this month was 17.5 in New Hampshire, or nearly double that of any other month of the year. The lowest mortality, 6.5 per cent, of the yearly deaths, was in June. This month also had the lowest mortality in New Hampshire, Massachusetts, and Connecticut, while the lowest mortality in Maine was in November and December, and in Rhode Island in October and November. In Table XIV. are presented the birth and death-rates for each quarter and each state except Vermont, and the quarterly mar- riage rate for each state except Vermont and Connecticut, and for these states collectively. Causes of Death. It will be impossible in this summary to state with any degree of accuracy the number of deaths in New England, from unknown, unspecified and ill-defined causes, for the reason that in the different states the deaths embraced in these terms, are variously classified. In some states, for example, the deaths registered as due to heart failure are embraced in this term, in another the deaths from sunstroke, in some the deaths from tumor, hemorrhage, etc., so that it is impossible to state the 41 number which should be embraced in these terms. It is also true that indefinite terms like “ cephalitis ” should be dropped and replaced by some intelligible names. From this cause one person is said to have died in Vermont in 1892 and 1,436 in Massachusetts. No just comparison could, therefore, be made of statistics relating to diseases of such uncertain and indefinite nomenclature. On the other hand, the deaths from specified causes, and especially those from infectious diseases, are undoubtedly quite trustworthy and those of one state are comparable with those of another as well as with those of other countries. For this reason no attempt is here made to present a complete tabular list of all diseases, since, in one state, one classification prevails, and in another state another and more recent classification is in use. That of Dr. Farr is still in use, where it was first adopted, while states in which registration is of more recent date, have made commendable changes. It is quite plain that the rapid progress of medical science demands a change in the nosology in use in some of the states. The plan adopted in this summary is simply that of compar- ing separately the statistics of the causes of death from certain diseases which are recognized as preventable, destructive, and dangerous to the public health, together with certain other causes which are of public interest and importance, or possibly have a local, or temporary, character. Most of the infectious diseases are embraced in the table. The statistics of well-de- fined diseases of this character may be considered as reasonably accurate. In table XV., the figures presented are the number of deaths in each state in 1892 from each of certain causes, together with the ratio per 10,000 of the living population of each state. The totals and means for New England are also given. Small pox.— There were only 10 registered deaths from small- pox in New England in 1892. Two of these occurred in Massa- chusetts, 4 in Rhode Island, and 4 in Connecticut. The death- rate per 10,000 of the estimated living population of New England from this cause was .02. 42 Diseases or Causes of Death. Maine. New Hamp- shire. Vermont. Mass. R I. Connecticut. New England. Deaths. Per 10,000 Living. D’ths Per 10,000 Living. D’ths Per 10,000 Living. Deaths. Per 10,000 Living. D’ths Per 10,000 Living. Deaths. Per 10,000 Living. Deaths. Per 10,000 Living. Small-pox — — — — — — 2 .01 4 .1 4 .05 10 .02 Measles 29 .4 24 .6 8 .2 88 .4 28 .8 49 .6 226 .5 Scarlet Fever 36 .5 27 .7 43 1.3 669 2.8 67 1.8 280 3.6 1,122 2.3 Diphtheria and Croup 212 3.2 179 4.7 187 5.6 1,455 6.1 178 4.9 542 7.0 2,750 5.6 Typhoid Fever 286 4.3 108 2.8 121 3.6 827 3.5 139 3.8 331 4.3 1,812 3.7 Cholera Infantum 546 8.2 366 9.5 211 6.3 2,898 12.2 632 17.4 968 12.5 5,621 11.5 Phthisis 1,352 20.4 736 19.2 645 19.4 5,739 24.2 809 22.3 1,386 18.3 10,667 21.8 Pneumonia 1,431 21.6 890 23.2 848 25.4 5,020 21.5 655 18.1 1,493 19.3 10,337 21.2 Bronchitis 287 4.3 217 5.7 45 1.3 1,886 7.9 308 8.5 546 7.1 3,287 6.7 Causes of Death. — 1892. Number of Deaths in each State from each of Certain Specified Causes, together with the ratio per 10,000 of the Estimated Population. TABLE XV. 43 Influenza 755 11.4 331 8.6 384 11.5 967 4.1 1 336 9.2 564 7.3 3,337 6.8 Whooping Cough 54 .8 37 1.0 16 .5 248 1.0 25 .7 64 .8 444 .9 Cerebro Spinal Meningitis. 38 .6 19 .5 55 1.6 86 .4 18 .5 46 .6 262 .5 Malarial Fever 13 .2 3 •i 4 .1 81 .3 36 1.0 99 1.3 236 .5 Erysipelas 31 .5 39 1.0 21 .6 234 1.0 25 .7 62 .8 412 .8 Puerperal Fever 42 .6 25 .6 3 .1 81 .3 30 .8 78 1.0 259 .6 Dysentery 48 .7 42 1.3 29 .9 193 .8 71 2.0 105 1.4 488 1.0 Diarrhoea and Cholera Morbus 68 1.0 70 1.8 30 .9 637 2.7 161 4.4 170 2.2 1,136 2.3 Cancer 404 6.1 235 6.1 204 6.1 1,402 5.9 181 5.0 370 4.8 2,796 5.7 Apoplexy and Paralysis... 793 12.0 517 13.5 398 12.0 2,880 12.1 362 9.9 704 9.1 5,654 11.6 Insanity 85 1.3 33 .9 11 .3 253 1.1 27 .7 60 .8 469 1.0 All Other Diseases of Nervous System 692 10.4 431 11.2 192 5.8 3,054 12.9 354 9.7 1,100 14.2 5,823 11.9 Diseases of the Circulatory Organs 895 13.5 611 15.9 614 18.5 4,150 17.5 509 14.0 1,125 14.5 7,900 16.2 Diseases of the Kidneys... 265 4.0 222 5.8 149 4.5 1,569 6.6 258 7.1 482 6.2 2,945 6.0 Accident 376 5.7 229 6.0 150 4.5 1,819 7.6 309 8.5 587 7.6 3,620 7.4 Suicide 59 .9 51 1.3 24 .7 274 L2 19 .5 93 1.2 520 1.1 Old Age 780 11.8 441 11.5 399 12.0 1,895 8.0 256 7.0 643 8.3 4,414 9.0 44 Measles. — The deaths from measles were 226, or .46 per 10,000 of the living population of New England. The highest death-rate from this cause (.77) was in Rhode Island, and the lowest (.24) in Vermont. Scarlet Fever.— The deaths from scarlet fever in New Eng- land were 1,122 and the death-rate 2.3 per 10,000. The highest death-rate from this cause (3.6) occurred in Connecticut, and the lowest (.54) in Maine. Diphtheria and Croup.— In accordance with common modern usage, diphtheria and fatal croup are grouped together. From these causes there were 2,750 deaths in New England and the death-rate was 5.6. The highest rate (7.0) was in Connecti- cut, and the lowest (3.2) was in Maine. Typhoid Fever.— From this cause there were 1,812 deaths in New England in 1892, and the death-rate was 3.7. The highest death-rate from this cause was in Maine (4.3) and the lowest (2.8) was in New Hampshire. Whooping-cough.— The deaths from this cause in New Eng- land were 444 and the death-rate was .91. The highest death- rate from this cause (1.05) was in Massachusetts, and the lowest (.48) was in Vermont. Qerebro-Spinal Meningitis.— The deaths from this cause in New England were 262, and the death-rate .53. The highest death-rate from the same cause was 1.65 in Vermont, and the lowest (.36) in Massachusetts. Erysipelas.—The deaths from erysipelas in New England were 412, and the death-rate was .84. The highest death-rate from the same cause (1.02) was in New Hampshire, and the lowest (.47) was in Maine. Puerperal Fever.— From this cause 259 deaths were regis- tered in 1892 in New England, and the death-rate from the same cause was .59. The highest death-rate (1.01) was in Connecticut, and the lowest (.09) was in Vermont. Influenza.— The whole number of registered deaths from in- fluenza in New England in 1892 was 3337, and the death-rate was 6.8 per 10,000 of the living population. The highest death- 45 rate from this cause (11.5) was in Vermont, and the lowest (4.08) was in Massachusetts. The number of deaths from this cause in January and February was 2469, or more than 74 per cent, of the whole number. The measure of the incidence of this disease upon the population is not alone found in the deaths registered under this term “influenza,” but also to a considerable extent in the increase of deaths from pneumonia, bronchitis, consumption, heart disease, old age, and a few other causes. Consumption.—The total number of deaths from this most destructive disease was 10,667, and the death-rate 21.8. The highest death-rate from this cause (24.2) was in Massachusetts, and the lowest (18.3) was in Connecticut. In those states which have had registration for several years, the mortality from this cause is found to be steadily diminishing. Pneumonia.— The total number of deaths from pneumonia in New England in 1892 was 10,337, and the death-rate from the same cause was 21.2. The highest death-rate (25.4) was in Vermont, and the lowest (18.1) was in Rhode Island In the sea-coast districts the pneumonia death-rate is generally lower than that of the inland or elevated regions. The death- rate of Franklin and Caledonia counties in Vermont from this cause was 23.2 in 1892, and that of Bennington county in the same state was only 17.0. In Massachusetts, lor the 20-year period 1871-1890, the pneumonia death-rate of the four western or inland counties was as follows: Berkshire, 16.6 Franklin, 16.4 Hampshire, 15.9 Hampden, 16.3 and those of the southeastern counties were as follows: Nantucket, 9.7 Dukes, 10.8 Plymouth, 11.6 Barnstable, 11.6 Bronchitis.— The total deaths from bronchitis were 3287, and the death-rate was 6.7. The highest death-rate from this cause was in Rhode Island (8 5), and the lowest was in Vermont (1.3). 46 A better measure of the mortality from acute lung disease may be had by taking the sum of these three causes—pneumo- nia, bronchitis and influenza — by which it appears that the combined death-rate from these three causes was more uniform throughout the six states than that of either cause considered by itself. The total deaths from these causes were 10,961, and the death-rate was 34.7. That of the states was as follows: Maine, 37.3 New Hampshire, 37.5 Vermont, 38.3 Massachusetts, 33 5 Rhode Island, 35.8 Connecticut, 33.7 Dysentery. — The deaths from dysentery in New England in 1892 were 488 and the death-rate 1 per 10,000 of the popula- tion. The highest mortality for this cause (1.9), was in Rhode Island and the lowest was in Maine (.7). Diarrhoea and Cholera Morbus.— The deaths from these causes were 1,136 and the death-rate 2.32. The highest death- rate was 4.4 in Rhode Island and the lowest .9 in Vermont. Cholera Infantum.— Under this term are included the deaths registered from cholera infantum and from infantile diarrhoea, — 5,621 in number. The death-rate from this cause in New England was 11.5. The highest was 17.4 in Rhode Island and the lowest (6.3), was in Vermont. The total deaths from the foregoing diarrhoeal diseases in New England in 1892 were 7,245, and the combined death-rate, 14.82. Those of the six states from these combined causes were as follows : Maine, 10.0 New Hampshire, 12.6 Vermont, 8.1 Massachusetts, 15.7 Rhode Island, 23.7 Connecticut, 16.1 Malarial Fever *—The total deaths from malarial fever in New England were 236, and the death-rate from this cause was .48. The highest death-rate was 1.28 in Connecticut, and the lowest (.03), was in New Hampshire. Malarial fever can scarcely be said to exist in the three northern states of New England. Note.—An eminent New England physician has very aptly described malarial fever in New England as a “ tender exotic,” which requires peculiar climatic conditions for its continuance. In nearly every instance where the disease has prevailed in New England, it has disappeared in a few years after its first appearance. 47 Diseases of the Nervous System. Apoplexy and Paralysis. — The number of deaths registered under these two headings in New England in 1892 was 5,654, and the death-rate per 10,000 of the population was 11.57. The highest death-rate from the same causes was 13.5 in New Hampshire, and the lowest (9.1) was in Connecticut. Insanity. — The number of deaths charged to insanity in New England was 496, and the death-rate was .96. The highest death-rate from this cause (1.28) was in Maine, and the lowest (.33) was in Vermont. All Other Diseases of the Nervous System.—From all other diseases of the nervous system there were 5,823 deaths, or 11.92 per 10,000 of the population. The highest death-rate from these causes was 14.2 in Connecticut and the lowest (5.8) was in Vermont, From the three foregoing causes combined there were 11,946 deaths, and the combined death-rate was 24.45. Cancer. — The number of deaths attributed to Cancer in New England in 1892 was 2,796, and the death-rate was 5.7 per 10,000 of the population. The highest death-rate from this cause was in Vermont (6.14), and the lowest was in Con- necticut (4.77). These differences are probably due to the existence of a greater ratio of persons above 50 years of age in the three northern states of the district as compared with the three southern states (Massachusetts, Rhode Island and Con- necticut). Diseases of the Circulatory System. — The total number of deaths attributed to diseases of the circulatory organs was 7,900, and the death-rate per 10,000 was 16.17. The highest (18.5) was in Vermont, and the lowest was in Maine (13.5). Kidney Diseases. — The whole number of deaths ascribed to kidney diseases in New England was 2,945, and the death-rate was 6.02 per 10,000 of the population. The highest death-rate from this cause (7.09) was in Rhode Island, and the lowest (4.00) was in Maine. 48 Accident. — The deaths from accident in New England were 3,620, and the death-rate was 7.4. The highest death-rate from this cause, or group of causes, was 8 5 in Rhode Island, and the lowest was 4.5 in Vermont. Suicide. — There were 520 registered deaths from suicide, and the death-rate from this cause was 1.06. The death-rates ranged from a maximum of 1.33 in New Hampshire to a minimum of .52 in Rhode Island. Old Age. — The fact that there were 4,414 deaths recorded under the title of old age has but little significance, and the greater death-rate of the three northern states under this term, as was stated under the title “ Cancer,” simply means that the number of old persons was relatively greater in these states. The following infectious diseases have characteristics of peculiar interest to the sanitarian, and yet their incidence upon the New England population in 1892 was comparatively insignificant. Hydrophobia was unusually prevalent in 1888, 1889 and 1890, but in 1892 only two deaths from this cause, were regis- tered one in Massachusetts and one in Connecticut. There were no reported deaths from glanders, trichinosis or Asiatic cholera in 1892. Anthrax or malignant pustule finds an occasional victim in towns in which foreign hides and other animal products are treated. There were six deaths from this cause reported in 1892, five of which were in Massachusetts and one in Rhode Island. Vital Statistics of Cities. The rapid increase of the urban population in New England gives to the vital statistics of the cities a special interest. In the following table (table, XVI.), in which are presented the vital statistics of all cities and towns having more than 10,000 inhabitants in each, the figures may be regarded as reasonably correct, with the exception of the registered births in some of 49 the cities of Maine and New Hampshire, which are probably deficient in number. The items presented are the population of each city by the census of 1890, the number of registered marriages, births and deaths in each in 1892, the general death-rate per 1,000 for the same year, using for this purpose the estimated population for 1892, and the number of deaths and death-rates per 10,000 from eight selected causes of death, which are of special interest to the sanitarian. The estimates of population for all places having over 20,000 inhabitants are made by the geometric rate of increase during the last census interval, and those of all of the smaller cities by the arithmetric rate. From this table it appears that the total number of marriages in these towns registered in 1892 was 25,223, and the marriage- rate was 10.33 (persons married 20.66). The total number of births registered was 72,456 and the birth-rate was 29.68. The total number of deaths was 51,375, and the death-rate was 21.01. The following are the maximum and minimum death-rates in the foregoing list:— Deaths per 1,000 of the Living Population. Biddeford . . . 27.6 Lowell . . . 26.6 Lawrence . . . 26.4 Chicopee . . . 26.2 Dover . . . 25.4 Fall River . . . 24.0 Concord . . .23.5 Holyoke . . . 23.4 Boston . . . 23.3 Hartford, . . . 22.9 Auburn . . . 15.7 Waltham . . .15.7 Lewiston . . . 15.2 Quincy . . . 15.1 Hyde Park . . . 15.0 Peabody . . .15.0 Newton . . . 14.8 Brookline . . . 14.8 Clinton . . . 14.5 Brockton . . . 18.7 From certain special causes the maximum and minimum death-rates were as follows : — TABLE XVI. Vital Statistics of New England Cities and Towns having Arranged according to number of 3 2 City and State. Population, 1890. Marriages. Births. Deaths. Death Rate, 1892, per 1,000 Popula- tion. Deaths and Death Deaths from Scarlet Fe- ver. Death Rate from Scarlet Fever. Deaths from Diphtheria and Croup. Death Rate from Diph- theria and Croup. i Boston, Mass., 448,477 5,315 15,406 11,221 23.3 261 5.5 485 10.2 2 Providence, Ii. I 132,146 1,592 3,953 2,964 21.4 38 2.7 72 5.2 3 Worcester, Mass 84,655 878 2,853 1,817 19.6 15 1.6 69 7.5 4 New Haven, Conn.,. 81,298 918 2,581 1,779 19.5 44 4.8 84 9.2 5 Lowell, Mass., 77,690 948 2,731 9 990 26.6 13 1.5 28 3.3 G Fall River, Mass , .. 74,398 872 2,590 1,986 24.0 27 3.3 59 7.1 7 Cambridge, Mass.,.. 70,028 7.33 2,338 1,523 20.4 16 2.1 53 7.1 8 Lynn, Mass., 55,727 657 1,653 1,080 18.0 3 .5 30 5.0 9 Hartford, Conn.,.... 53,230 633 1,401 1,277 22.9 31 5.5 103 18.5 10 Bridgeport, Conn.,.. 48,866 570 1,099 955 17 4 18 3.3 22 4.0 11 Lawrence, Mass.,... 44,654 538 1,311 1,246 26.4 44 9.3 28 5.9 12 Springfield, Mass.,.. 44,179 469 1,395 995 21.2 14 3.0 48 10.2 13 Manchester, N. H.,. 44,126 739 1 029 1,038 22.2 2 .4 11 2.3 14 New Bedford, Mass., 40,733 515 1,059 991 22.5 4 .9 10 2.3 15 Somerville, Mass.,.. 40,152 426 1,282 718 15.9 13 2.9 8 1.8 10 Portland, Me., 36,425 207 808 782 21.2 3 .8 12 3.2 17 Holyoke, Mass , 35,637 413 1,646 992 23.4 13 3.3 71 18.1 18 Salem, Mass., 30,801 293 890 717 22.5 3 .9 11 3.4 19 Waterbury, Conn. .. 28,046 291 1,210 710 19.4 7 1.9 20 5.5 20 Chelsea. Mass., 27,909 342 918 650 22.5 13 4.5 18 6.2 21 Pawtucket, R. I .... 27,633 331 726 642 21.6 5 1.7 9 3.0 22 Haverhill, Mass.,... 27,412 314 781 495 16.5 5 1.7 2 .7 23 Brockton, Mass., 27,294 279 711 416 13.7 2 .7 15 4.9 24 Taunton, Mass., 25,448 232 714 595 22.7 8 3.0 12 4.6 25 Gloucester, Mass.,. 24,651 223 652 431 16.6 4 1.5 2 .8 26 Newton, Mass., 24,379 247 639 393 14.8 - - 8 3.0 43 Norwich, Conn., 23,048 222 584 455 19.4 9 3.8 6 2.6 27 Malden, Mass , 23,031 244 787 452 17.1 7 2.6 13 4.9 28 Fitchburg, Mass.,... 22,037 293 909 445 17.5 2 .8 6 2.4 29 Lewiston, Me., 21,701 250 535 340 15.2 _ _ 9 4.0 30 Meriden, Conn., 21,652 244 834 455 17.0 1 .4 13 4.8 31 Woonsocket, R. I.,.. 20,830 220 713 445 19.3 0 2.6 8 3.5 32 Lincoln, R. 1 20,355 170 701 450 20.7 2 .9 4 1.8 33 Newport, R. I , 19,457 151 488 404 20.8 4 2.0 27 13.9 34 Nashua, N H., 19,311 266 698 402 19.6 _ 3 1.5 35 Bangor, Me., 19,103 211 365 364 18.3 _ _ _ _ 30 Waltham, Mass., ... 18,767 219 575 319 15.7 10 4.9 - 37 Warwick, R. I., 17,701 171 480 381 19.1 2 1.0 8 4.0 38 Norwalk, Conn., 17,747 155 431 336 18.3 2 1.1 15 8.1 39 Pittsfield, Mass., 17,281 128 502 322 17.5 10 5.4 12 6.5 40 Concord, N. H., 17,004 176 416 415 23.5 3 1.7 3 1.7 41 Quincy, Mass., 16,723 148 013 288 15.1 2 1.1 10 5.4 42 New Britain, Conn., 10,519 218 644 353 17.6 3 1.5 17 8.5 44 North Adams, Mass., 16,074 154 602 345 19.7 8 4.6 34 19.5 45 Stamford, Conn.,— 15,700 94 495 378 22.8 29 17.5 28 16.8 40 Northampton, Mass., 14,990 128 366 267 16.8 6 3.8 9 5.7 47 Burlington, Vt., 14,590 150 396 338 22.2 4 2.6 3 2.0 48 Biddeford, Me., 14,443 151 509 408 27.6 _ _ 20 13.5 49 Chicopee, Mass., 14,050 232 567 395 26.2 7 4.6 5 3.3 50 Newburyport, Mass., 13,947 113 338 310 22.2 4 2.8 23 16.4 51 Marlboro, Mass , 13,805 116 444 241 16.1 3 2.0 3 2.0 52 New London, Conn., 13,757 154 369 287 19.9 6 4.2 2 1.4 53 Woburn, Mass., 13,499 95 419 270 19.0 4 2.8 8 5.6 54 Dover, N. H. 12,790 105 296 331 25.4 2 1.5 10 55 Brookline, Mass.,... 12,103 143 364 196 14.8 - _ 4 3.0 50 Rutland, Yt., 11,700 104 264 209 16.6 _ _ 19 15.1 57 Auburn, Me 11.250 103 151 182 15.7 3 2.6 5 4.3 58 Medford, Mass., 11,079 85 330 207 17.4 3 2.5 3 2.5 59 Everett, Mass., 11,068 123 511 255 19.4 3 2.3 10 7.6 (iO Weymouth, M ass.,.. 10,866 80 234 200 18.3 2 1.8 4 3.7 01 Beverly, Mass., 10,821 78 248 206 18.0 _ - 1 .9 02 Augusta, Me., 10,527 151 206 222 20.4 _ 1.0 7 6.4 03 Clinton, Mass., 10,424 122 342 160 14.5 2 .8 2 1.8 64 Ansonia, Conn 10,342 89 374 185 16.8 1 .9 4 3.6 65 Hyde Park, Mass.,.. 10,193 81 280 164 15.0 _ _ 3 2.8 66 Peabody, Mass., 10,158 56 219 156 15.0 1 1.0 07 Greenwich, Conn.,.. 10,131 55 214 177 16.7 1 .9 1 .9 All the Cities, 25,223 72,456 51,293 21.0 758 3.1 1.552 6.3 over 10,000 Inhabitants in each, for the Year 1892 Population by Census of 1890. cjcnS-idOxSS: i ci>f^>&.csoaeE:Sio;S5oc5C:5£S!oi2§--ic;CSi^-lc2^it2-i Deaths from Typhoid Fe- ver. 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