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U. S. DEPARTMENT OF LABOR B U R E A U O F L A B O R S T A T IS T IC S ROYAL M EEKER, Comm issioner BULLETIN OF THE UNITED STATES ) BUREAU OF LABOR STATISTICS ] INDUSTRIAL ACCIDENTS AND • • • • HYGIENE X\f\ 'JCl LJ I SERIES PREVENTABLE DEATH IN COTTON MANUFACTURING INDUSTRY By A R TH U R REED PERRY, M. D. O C T O B E R , 1919 W A SH IN G T O N G O VE R N M EN T P R IN T IN G OFFICE 1919 CONTENTS. Page. Introduction........................................................................................................ 9-15 Object of this study...................................................................................... 9 Relation to earlier study.............................................................................. 9,10 Relation to other industrial studies.............................................................. 10,11 Method of study used............................................. .................................... 11-13 Paramount importance of-age at death........................................................ 13 General failure to study noncasualty industrial deaths............................... 13,14 Practical limitations upon use of death-rate method................................... 14,15 Chapter I.—Scope and method of investigation................................................. 16-42 Place and years covered............................................................................... 16-18 18 Age period covered....................................................................... ............... Methods of obtaining material..................................................................... 18-31 Material concerning the living.. . ........................................................ 18-21 Material concerning the decedents........................................................21-31 Items tabulated............................................................................................ 32 Age-adjusted death rates.............................................................................. 32-35 Comparative study of selected groups and classes....................................... 36 Size of units considered................................................................................ 37 Definition of terms........................................................................................37-40 Summary of totals for this and the earlier study......................................... 40-42 Chapter II.—Mortality in age group 15 to 44................................................... 43-101 Reasons for selection of group..................................................................... 43-48 Summary of component 5-year age groups.................................................. 48-66 Mortality in age group 15 to 19.............................................................. 52-54 Mortality in age group 20 to 24.............................................................. 54-56 Mortality in age group 25 to 29.............................................................. 56-58 Mortality in age group 30 to 34.............................................................. 58-60 Mortality in age group 35 to 39.............................................................. 60-62 Mortality in age group 40 to 44.............................................................. 63-65 Recapitulation....................................................................................... 65, 66 Mortality by sex...................................................................................... — 66-70 Mortality by nativity................................................................................... 70, 71 Mortality by race, nationality, or people..................................................... 72-76 Typical character of Irish data............................................................ 74, 75 Racial death hazards in the general population................................ 75, 76 Mortality by conjugal condition................................................................... 76-78 Mortality by industry................................................................................. 78-85 Hazard of operatives as compared with nonoperatives.......................... 79, 80 Constancy and degree of operative excess............................................. 81 Relative hazard by cause of death........................................................ 81, 82 Race as affecting excess of operative hazard............................. .......... 83 Summary................................................................................................ 83-85 Operative mortality by workroom............................................................. 85-101 Death rates, by age and sex, of each workroom group......................... 87-101 The card room................................................................................. 88-91 The spinning room.......................................................................... 91-94 The weave room.......................... ................................................... 95-98 The spooler room and miscellaneous............................................... 98, 99 Summary.......................................................................................99-101 3 4 CO N TE N TS. Page. Chapter III.—Mortality from specified causes, as officially certified............102-144 Classification of causes of death............................................................... 102,103 Mortality from tuberculosis..................................................................... 103-120 Tuberculous mortality by age........................................................... 106-110 Tuberculous mortality by sex........................................................... 110, 111 Tuberculous mortality by nativity.................................................... I ll Tuberculous mortality by race........................................................... Ill, 112 Tuberculous mortality by industry.................................................... 112,113 Tuberculous mortality of operatives by workrooms........................... 113,114 Tuberculous mortality by conjugal condition.................................... 115-117 Summary............................................................................................ 117-120 Mortality from parturition......................................................................... 121-134 Preventable character of parturition deaths, and reasons for their prevalence....................................................................................... 121-123 Deaths from parturition complicated with other causes.................... 123,124 Leading causes of parturition deaths................................................ 124-129 Prevalence, by industry, age, and race............................................. 129-131 Case histories...................................................................................... 131-134 Mortality from accident or violence.......................................................... 135-137 Mortality from nephritis, apoplexy, and diseases of the heart................. 137-140 Mortality from typhoid fever..................................................................... 140,141 Mortality from cancer................................................................................ 141-143 Mortality from nontuberculous respiratory diseases.................................. 143,144 Chapter IY.—Causes contributory to early death........................................... 145-176 Alcoholic addiction.................................................................................. 145-154 Reliability of data secured................................................................. 145,146 Prevalence of alcoholic addiction as a contributory cause of death.. 147-149 Importance of alcoholic addiction as a contributory cause of death.. 150-153 Rapid increase in prevalence with age.............................................. 153,154 Tuberculous kindred................................................................................. 154-160 Unhygienic condition of decedents’ dwellings......................................... 160-168 Conditions among female wage earners.............................................. 160-162 Conditions among total decedents...................................................... 162-164 Specific undesirable conditions.......................................................... 164-167 Summary of unhygienic conditions................................................... 168 Low income............................................................................................... 168-172 Years of cotton-mill employment.............................................................. 172,173 Work additional to wage-earning day.......................................................173,174 Prolificacy................................................................................................ 174-176 Average number of offspring and number of them dead................. 174,175 Short intervals between pregnancies............................................... 175,176 176 Poor heredity............................................................................................ Chapter Y.—General...................................................................................... 177-201 Amount of insurance and cost of funeral.................................................... 177 Population, deaths, and death rates......................................................... 177-201 General tables.......................................................................................... 203-529 Table 1.—Number and per cent of operatives of all races employed in specified workrooms and occupations, by age group and sex................ 204, 205 Table 2.—Deaths from tuberculous, nontuberculous, and all causes, of operatives of all races employed in specified Workrooms and occupa tions, by age group and sex, 1908 to 1912............................................. 206-209 Table 3.—Number of operatives of each race employed in specified work rooms and occupations, by age group and sex...................................... 210-215 C O N TE N TS. 5 General tables—Continued. Page. Table 4.—Deaths from tuberculous, nontuberculous, and all causes, of operatives of each race employed in specified workrooms and occu pations, by age group and sex, 1908 to 1912......................................... 216-233 Table 5.—Number of operatives of specified conjugal condition, sex, and age group, by workrooms and race........................................................ 234-236 Table 6.—Deaths and death rates per 1,000 from tuberculous, nontuber culous, and all causes, of operatives of specified conjugal condition, and age group, by sex and race, 1908 to 1912 ....................................... 237,238 Table 7.—Deaths and death rates per 1,000 from tuberculous, nontuber culous, and all causes, of operatives of specified conjugal condition, and age group, by sex and workroom group, 1908 to 1912.................... 239-241 Table 8.—Population, deaths, and death rates per 1,000 from tubercu lous, nontuberculous, and all causes, for operatives and nonoperatives in each 5-year age group, by sex, 1908 to 1912...................................... 242,243 Table 9.—Age percentage distribution of operative and of nonoperative males and females, for population and for deaths from tuberculous, 244 nontuberculous, and all causes, 1908 to 1912........................................ Table 10.—Sex percentage distribution of operatives and of nonoper atives in each 5-year age group, for population and for deaths from tuberculous, nontuberculous, and all causes, 1908 to 1912...................... 245 Table 11.—Per cent of operatives and nonoperatives among males and among females in each 5-year age group, for population and for deaths 246 from tuberculous, nontuberculous, and all causes, 1908 to 1912........... Table 12.—Per cent of operative and nonoperative males and females in total for each 5-year age group, for population and for deaths from tuberculous, nontuberculous, and all causes, 1908 to 1912................... 247 Tabl^l3.—Per cent of males and females in each 5-year age group of total operatives and of total nonoperatives, for population and for deaths from tuberculous, nontuberculous, and all causes, 1908 to 1912.. 248 Table 14.—Per cent of operatives and nonoperatives in each 5-year age group of total males and of total females, for population and for deaths from tuberculous, nontuberculous, and all causes, 1908 to 1912.. 249 Table 15.—Per cent of operatives and nonoperatives of each sex and age group, for population and for deaths from tuberculous, nontuberculous, and all causes, 1908 to 1912................................................................... 250 Table 16.—Per cent of deaths from tuberculous and nontuberculous causes among operative and nonoperative males and females, for each 5-year age group, 1908 to 1912............................................................... 251 Table 17.—Population, deaths, and death rates per 1,000 from tuber culous, nontuberculous, and all causes for operatives and nonoper- 252-259 atives of specified races, by age group and sex, 1908 to 1912.................... Table 18.—Population and deaths from tuberculous and nontubercu lous causes, and deaths and death rates per 1,000 from all causes, for operatives and nonoperatives of specified races, by age group, sex, and nativity, 1908 to 1912....................... .................................................... 260-267 Table 19.—Population, deaths, and death rates per 1,000 from tuber culous, nontuberculous, and all causes, for operatives and nonoper atives in each specified age group, by sex, conjugal condition, and nativity, 1908 to 1912....................................................................... .... 268-279 Table 20.—Population, deaths, and death rates per 1,000 from tubercu lous, nontuberculous, and all causes, for operatives of specified races, by age group, sex, conjugal condition, and nativity, 1908 to 1912........... 280-288 6 CO N TE N TS. General tables—Continued. Pago. Table 21.—Comparison of death rates per 1,000 of native and foreign born from tuberculous, nontuberculous, and all causes, by age and occu 289 pational groups, race, conjugal condition, and sex, 1908 to 1912............ Table 22.—Comparison of death rates per 1,000 of males and females from tuberculous, nontuberculous, and all causes, by age, occupational and workroom groups, race, conjugal condition, and nativity, 1908 to 1912.. 290, 291 Table 23.—Comparison of death rates per 1,000 of single and married from tuberculous, nontuberculous, and all causes, age group 15 to 44, by occupational and workroom groups, race, sex, and nativity, 1908 to 1912....................................................................................................... 292 Table 24.—Comparison of death rates per 1,000 of operatives and non operatives from tuberculous, nontuberculous, and all causes, by age 293 group, conjugal condition, nativity, and sex, 1908 to 1912...................... Table 25.—Crude and age-adjusted death rates per 1,000 from tubercu lous, nontuberculous, and all causes, for operatives and nonoperatives in age group 15 to 44, by sex, conjugal condition, and nativity, and in age groups 45 to 64 and 15 to 64, by sex and nativity, 1908 to 1912___ 294-297 Table 26.—Per cent by which death rate exceeded or fell below death rate for all persons in specified age groups, by cause of death, conjugal condition, sex, age, occupational and workroom groups, and race, 1908 to 1912......................................................................................... 298-301 Table 27.—Percentage distribution of urban whites of registration States and the District of Columbia, 1911, and per cent by which their death rate exceeded or fell below the rate for all persons, Fall River, by age group..................................................................................................... 302 Table 28.—Parturition: Age, race, occupation, other disease complica tions, prolificacy, and economic condition of each of 230 female dece dent operatives and nonoperatives whose pregnancy had ended within 9 months before death, 1908 to 1912...................................................... 304-319 Table 29.—Parturition: Female decedents dying not exceeding 9 months and not exceeding 30 days after pregnancy had ended, by occupation and by disease complication, 1908 to 1912............................................ 320 Table 30.—Parturition: Female decedent operatives and nonoperatives dying not exceeding 9 months and not exceeding 30 days after preg nancy had ended, by race and age group, 1908 to 1912........................ 321 Table 31.—Parturition: Female decedents dying not exceeding 9 months and not exceeding 30 days after pregnancy had ended, by race and by disease complication, 1908 to 1912......................................................... 322, 323 Table 32.—Population, deaths, and'death rates per 1,000 from each speci fied cause in each age group, and percentage distribution of deaths, for operatives by workrooms, and for nonoperatives, 1905 to 1907 and 1908 to 1912......... . ................................................................................ 324-349 Table 33.—Population of each specified class of males, and deaths and death rates per 1,000 from tuberculous, nontuberculous (including alcoholism), and all causes, according as alcoholic addiction was reported as present or absent as a circumstance at least contributory to death, by age, race, conjugal condition, and occupational and work room groups, 1908 to 1912---- ?............................................................... 350-353 Table 34.—Number and per cent of tuberculous and of nontuberculous operative and nonoperative decedents of specified age, sex, and race group who within 5 years before death or at any time had tuberculous relatives or intimates, and average number of such relatives or inti mates per decedent having such, 1908 to 1912...................................... 354-357 CO N TE N TS. 7 General tables—Continued. 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Table 35.—Number and per cent of tuberculous and of nontuberculous decedents of specified sex, race, and workroom group, who within 5 years before death had tuberculous relatives or intimates, and average number of such relatives or intimates per decedent having such, age group 15 to 44, 1908 to 1912 ................................................................... 358, 359 Table 36.—Number and per cent of tuberculous and of nontuberculous decedents of specified sex, age group, and workroom group, who within 5 years before death had tuberculous relatives or intimates, and aver age number of such relatives or intimates per decedent having such, 1908 to 1912............................................................................................ 360,361 Table 37.—Number and relationship of relatives and intimates who within 5 years or at any time before death of decedent were tubercu lous, for operatives and nonoperatives of specified age group, by cause of death, sex, and race.......................................................................... 362-367 Table 38.—Number and per cent of decedents who had occupied dwell ings of each specified size, by occupational group, cause of death, and age group, 1908 to 1912.......................................................................... 368 Table 39.—Average number of persons per room in dwellings last occu pied by decedents aged 15 to 64, by race, sex, occupational group, and cause of death, 1908 to 1912.................................................................. 369 Table 40.—Hygienic condition of last abode of decedents, by sex, age group, occupational group, and cause of death, and by race for both sexes, age group 15 to 64, 1908 to 1912.................................................. 370-372 Table 41.—Average annual rent per occupant of dwellings last occupied by decedents aged 15 to 64, by race, sex, occupational group, and cause of death, 1908 to 1912................................................................... 373 Table 42.—Hygienic condition of dwelling and circumstances possibly contributory to death of female wage-earning operatives and nonoper atives dying from each cause, who had lived at home, by age group, 1908 to 1912............................................................................................ 374,375 Table 43.—Circumstances possibly contributory to death of female wageearning operatives and nonoperatives who lived at home, by age group, cause of death, conjugal condition, and race, 1908 to 1912................... 376, 377 Table 44.—Tuberculous and nontuberculous decedents having families of 2 or more members, by weekly earnings per member of family, and by sex, age group, occupational group, and race, 1911 and 1912.......... 378-381 Table 45.—Number of operatives who had worked each specified num ber of years in cotton mills, by sex, nativity, age group, and race...... 382-385 Table 46.—Deaths and death rates per 1,000 of operatives who had worked each specified number of years in cotton mills, by sex, nativity, and age group, 1908 to 1912................................................................... 386, 387 Table 47.—Number and per cent of decedent mill workers employed in cotton mills each specified number of years, by sex, age group, cause of death, occupational group, and number of years out of mill before death, 1908 to 1912................................................................................ 388-393 Table 48.—Number and per cent of decedent mill workers who had been out of mill each specified length of time before death, by sex, age group, and cause of death, 1908 to 1912............................................................ 394-397 Table 49.—Number and per cent of decedents in each specified age group, by sex, classified according to occupational group, cause of death, and years out of mill before death, 1908 to 1912................... ... 398-401 8 C O N TE N TS. General tables—Concluded. Table 50.—Population, deaths, and death rates (crude) per 1,000 of married woman operatives, age group 15 to 44, having had specified number of children, by cause of death and by number of children living or dead, 1908 to 1912................................................................... Table 51.—Prolificacy of decedents by age group, race, occupational group, and cause of death, 1908 to 1912................................................ Table 52.—Prolificacy of decedent mothers, by age group, race, occupa tional group, cause of death, and intervals between pregnancies......... Table 53.—Decedents having good, possibly good, or poor heredity, by sex, age group, occupational group, and cause of death....................... Table 54.—Average amount of insurance carried upon lives of decedents and average cost of funeral, by race, sex, and occupational group....... Table 55.—Circumstances having possible significance as contributory causes of death for each person who died, aged 10 to 49 years, inclu sive, 1908 to 1912................................................................................... Page. 402-405 406-411 412-417 418, 419 420,421 422-529 B U L L E T IN U . S . B U R E A U NO. 2S1. O F O F T H E L A B O R S T A T I S T I C S . W A SH IN G TO N . October, 1919. PREVENTABLE DEATHINCOTTONMANUFACTURINGINDUSTRY. IN T R O D U C T IO N . OBJECT OF THIS STUDY. T h e m a in p u r p o s e o f th is m o n o g r a p h is t o s h o w th e r e a l d e a t h h a z a r d b y a g e g r o u p s , f o r w a g e e a r n e r s u n d e r 4 5 y e a r s , e s p e c ia lly f o r t h o s e e n g a g e d in th e s e v e r a l p r o c e s s e s o f c o t t o n c lo t h m a n u fa c t u r e , b u t i t a im s a lso t o s h o w w h a t fa c t o r s h a v e b e e n e s p e c ia lly a c t iv e in c u t t in g o ff th e liv e s o f w a g e e a r n e rs d u r in g a g e p e r io d s w h ic h a re n o r m a lly o f g r e a t e s t p r o d u c t iv e a c t iv it y . I n o t h e r w o r d s it is a s t u d y b o t h o f th e d e a t h h a z a r d e x is t in g a m o n g in d u s t r ia l w o r k e r s in th e e a r lie r a g e g r o u p s a n d o f th e c a u s e s c o m m o n ly c o n t r ib u t in g th ere to. RELATION TO EARLIER STUDY. T h is w o r k is s u p p le m e n t a r y t o a n e a r lie r r e p o r t u p o n th e s u b je c t p u b lis h e d in 1 9 1 2 as V o lu m e X I V o f th e S e n a t e r e p o r t o n th e c o n d it io n o f w o m a n a n d c h ild w a g e e a r n e r s in t h e U n it e d S t a t e s , w h ic h w a s p r e p a r e d u n d e r t h e d ir e c t io n o f th e C o m m is s io n e r o f L a b o r b y t h e p r e s e n t w r it e r . I n t h a t r e p o r t th e d e a t h h a z a r d , b y a g e , s e x , a n d r a c e , o f t h e e n t ir e o p e r a t iv e p o p u la t io n o f F a ll R i v e r w a s c o n t r a s t e d w it h t h e c o r r e s p o n d in g h a z a r d o f th e n o n o p e r a t iv e s o f th e c it y f o r t h e th r e e y e a r s 1 9 0 5 t o 1 9 0 7 , in c lu s iv e . I n th is r e p o r t th e s a m e c o m p a r is o n is m a d e f o r th e s u c c e e d in g fiv e y e a r s , a n d in a d d it io n a c o m p a r a t iv e s t u d y is m a d e o f th e d e a t h r a te s o f w o r k e r s in th e d iffe r e n t r o o m s w it h in t h e c o t t o n m ill, i. e ., th e c a r d r o o m , s p in n in g r o o m , s p o o le r r o o m , a n d w e a v e r o o m . F o r e a c h o f th e s e th e t r u e d e a t h h a z a r d is g iv e n , f r o m t u b e r c u lo u s a n d n o n t u b e r c u lo u s c a u s e s a n d a ll c a u s e s c o m b in e d , f o r e a c h a g e g r o u p , s e x , r a c e , a n d c o n ju g a l c la s s . T h e fir s t s t u d y s h o w e d t h a t f o r th e th r e e y e a r s c o v e r e d o p e r a t iv e s w e r e m o r e lia b le t o d ie t h a n n o n o p e r a t iv e s o f th e s a m e a g e , s e x , a n d r a c e , a n d g a v e t h e d e g r e e b y w h ic h th e o p e r a t iv e e x c e e d e d t h e n o n o p e r a t iv e h a z a r d . T h is s t u d y s h o w s t h a t th e s a m e s it u a t io n as t o th e g r e a t e r h a z a r d o f th e o p e r a t iv e p e r s is t e d t h r o u g h th e fiv e y e a r s fr o m 1 9 0 8 9 IN TR O D U C TIO N . 10 t o 1 9 1 2 , in c lu s iv e , a n d , in a d d it io n , it se e k s t o s h o w w h e t h e r th is g r e a t e r h a z a r d c a n b e a s c r ib e d t o a n y p a r t ic u la r p a r t o f t h e p r o c e s s o f m a n u fa c t u r in g c o t t o n c lo t h , o r w h e t h e r i t is a t t r ib u t a b le t o t h e in d u s t r y a s a w h o le , n o o n e r o o m s h o w in g a n y m a r k e d e x c e s s o v e r t h e o t h e r s in it s d e a t h h a z a r d . RELATION TO OTHER INDUSTRIAL STUDIES. A t th e t im e o f it s fo r m a t io n t h e B u r e a u o f L a b o r , w h ic h a ft e r w a r d s d e v e lo p e d in t o th e D e p a r t m e n t o f L a b o r , w a s a u t h o r iz e d t o s t u d y t h e c o n d it io n s o f la b o r , t o in v e s t ig a t e a ll m a t t e r s o f in t e r e s t t o th e w o r k in g m a n a n d w o m a n , a n d t o c o lle c t a n d p u b lis h d a t a b e a r in g o n s u c h s u b je c t s . U n d e r th is b r o a d a u t h o r iz a t io n , s t u d ie s w e r e a t fir s t m a d e o f m a t t e r s a ffe c t in g t h e m a t e r ia l o r e c o n o m ic w e lfa r e o f th e w o r k e r , s u c h a s w a g e s , le n g t h o f w o r k in g d a y , h o u s in g c o n d it io n s , u n e m p lo y m e n t , in s u r a n c e , c o m p e n s a t io n f o r in ju r ie s , a n d t h e lik e . G r a d u a lly s t u d ie s w e r e a d d e d o f c o n d it io n s w it h in d iffe r e n t in d u s t r ie s w h ic h , b y a ffe c t in g t h e w o r k e r ’ s p h y s ic a l w e lfa r e , m i g h t in ju r e o r d e s t r o y h is e a r n in g p o w e r , o r b y w h ic h , o n t h e o t h e r h a n d , t h a t p o w e r m ig h t b e in c r e a s e d . T h u s in v e s t ig a t io n s w e r e m a d e o f in d u s t r ia l a c c id e n t s , o f t h e e ffe c t s o f t h e fu m e s a n d d u s t s c o n n e c t e d w it h c e r t a in in d u s t r ia l p r o c e s s e s , o f in d u s t r ia l p o is o n s , a n d e v e n , t o s o m e e x t e n t , o f i ll h e a lt h , w h ic h is a p p a r e n t ly r e la te d t o in d u s t r ia l e m p l o y m e n t , a lt h o u g h th e c o n n e c t io n c a n n o t a lw a y s b e d e fin it e ly e s t a b lis h e d . A l l t h e s e m ig h t b e s u m m a r iz e d a s a t t e m p t s t o s h o w w h a t th e w o r k e r r e c e iv e s in r e t u r n f o r h is p r o d u c t i v e pow der, a n d h o w t h a t p o w e r is a ffe c t e d f o r g o o d o r i ll b y t h e c o n d it io n s u n d e r w h ic h i t is e x e r c is e d . T h e p r e s e n t s t u d y , lik e it s p r e d e c e s s o r , t h e r e p o r t o f 1 9 1 2 , g o e s s t ill fu r t h e r a n d u n d e r t a k e s t o s h o w ju s t h o w c o m m o n l y a n d w h y , in a g e g r o u p s w h ic h s h o u ld r e p r e s e n t t h e g r e a t e s t in d u s t r ia l e ffic ie n c y , t h e w a g e -e a r n e r ’ s life it s e lf is l o s t a n d h is p r o d u c t i v e p o w e r is d e s t r o y e d a b s o lu t e ly . E v id e n t ly s u c h a n in q u ir y is fu n d a m e n t a l. I f i t is im p o r t a n t t o k n o w h o w m a n y d ie in a g iv e n in d u s t r y f r o m s o m e o n e c a u s e , s u c h a s in d u s t r ia l a c c id e n t s o r le a d p o is o n in g , i t is e v e n m o r e i m p o r t a n t t o k n o w h o w m a n y d ie f r o m a ll c a u s e s a n d w h ic h o f th e s e c a u s e s is m o s t e ff e c t iv e in s w e llin g t h e d e a t h r o ll. I f i t is im p o r t a n t t o im p r o v e t h e c o n d it io n s u n d e r w h ic h e m p lo y e e s w o r k , i t is s t ill m o r e im p o r t a n t t o k e e p t h e e m p lo y e e s a liv e t o e n jo y t h e im p r o v e m e n t , a n d lo g ic a lly t h e fir s t s t e p t o w a r d d o in g s o is t o fin d o u t w h a t in d u s trie s , o r , m o r e s p e c ific a lly s t ill, w h a t o c c u p a t io n s h a v e a n u n d u ly h ig h d e a t h r a te , a n d ju s t w h a t c a u s e s t e n d t o p r o d u c e t h is r a t e . A r m e d w it h s u c h k n o w le d g e i t w il l b e p o s s ib le t o p u t t h e im p r o v e m e n t s w h e r e t h e y w ill d o t h e m o s t g o o d . F o r in s t a n c e , in d u s t r ia l a c c id e n t s o c c a s io n a lly h a p p e n in t h e c o t t o n m a n u fa c t u r in g in d u s t r y , a n d s t e p s M E T H O D OF STU D Y USED. 11 sh ou ld , c e r t a in ly b e t a k e n t o g u a r d a g a in s t t h e m . B u t a s t u d y o f th e d e a t h r a te s o f c o t t o n -m ill o p e r a t iv e s s h o w s t h a t d e a t h s f r o m t u b e r c u lo s is a re f r o m s e v e n t o e ig h t t im e s a s c o m m o n a m o n g t h e m a s d e a t h s fr o m a c c id e n t a n d v io le n c e c o m b in e d . N a t u r a lly , g u a r d s f o r t h e m a c h in e r y s h o u ld n o t b e n e g le c t e d , b u t a n e v e n m o r e im p o r t a n t s t e p is t o r e m o v e t h e u n d u e h a z a r d f r o m t u b e r c u lo s is , s o t h a t th e o p e r a t iv e m a y l iv e t o e n j o y t h e b e n e fit o f th e s a fe g u a r d s a n d o t h e r im p r o v e d c o n d it io n s w h ic h m a y b e in s t a lle d as a r e s u lt o f fu r t h e r in v e s t ig a t io n s . A p a r t fr o m its o w n fu n d a m e n t a l im p o r t a n c e a s t u d y lik e t h e p r e s e n t o n e m a y a ls o s e r v e as a t e s t o f o t h e r in v e s t ig a t io n s , s in c e m a n y o f th e s e a re u n d e r t a k e n w it h t h e id e a o f i m p r o v in g c o n d it io n s i f t h e y a re fo u n d t o b e b a d , a n d a s t u d y o f d e a t h r a t e s s h o w s n o t o n l y h o w g o o d o r b a d t h e y a c t u a lly a re, b u t a ls o t o w h a t e x t e n t th e c h a n g e s in t r o d u c e d as a r e s u lt o f in v e s t ig a t io n a re e ff e c t iv e . S u p p o s e , t h r o u g h t h e in v e s t ig a t io n o f a g iv e n in d u s t r y , c e r t a in c o n d it io n s a r e f o u n d w h ic h a re c o n s id e r e d h a r m fu l, a n d a s a r e s u lt o f t h e in v e s t ig a t io n t h e s e a re a lt e r e d . A s t u d y o f t h e d e a t h r a t e s in t h is in d u s t r y t h r o u g h a n u m b e r o f y e a r s w ill s h o w b e t t e r t h a n a n y o t h e r m e t h o d t h e d e g r e e t o w h ic h th e s e c h a n g e s h a v e b e e n b e n e fic ia l o r o t h e r w is e . I f , a ft e r t h e ir in t r o d u c t io n , t h e d e a t h r a t e s f o r w o r k e r s o f e a c h g iv e n a g e , s e x , r a c e , a n d c o n ju g a l c o n d it io n s h o w a d e c lin e , t h e p r e s u m p t io n is v e r y s t r o n g t h a t th e c h a n g e s h a v e b e e n h e lp fu l t o t h e w o r k e r s a n d t h r o u g h t h e m t o th e c o m m u n it y ; b u t i f t h e d e a t h r a te s r e m a in u n c h a n g e d o r e v e n s h o w a n in c r e a s e , i t is e v id e n t e it h e r t h a t t h e in v e s t ig a t io n u p o n w h ic h t h e c h a n g e s w e r e b a s e d w a s in a c c u r a t e o r t h a t it s fin d in g s w e r e m is in t e r p r e t e d . A s t u d y o f d e a t h r a te s , th e r e fo r e , m a y b e s a id t o b e r e la t e d t o o t h e r s t u d ie s o f h e a lt h in in d u s t r y , fir s t, as a fo u n d a t io n , a n d , s e c o n d , a s a t e s t . METHOD OF STUDY USED. A s in th e fir s t s t u d y , w h a t m a y b e c a lle d t h e d e a t h -r a t e m e t h o d h a s b e e n e m p lo y e d . A c c u r a t e d e a t h r a t e s f o r t h e w o r k e r s in th e in d u s t r y s e le c t e d w e r e fir s t d e t e r m in e d , a n d n e x t , b y a c o m p a r is o n o f t h e s e r a t e s w it h t h o s e o f p e r s o n s o f t h e s a m e a g e , r a c e , s e x , a n d c o n ju g a l c o n d it io n w h o w e r e n o t e m p lo y e d in t h e in d u s t r y , c o n c lu s io n s w e r e r e a c h e d as t o t h e e f f e c t o f t h e in d u s t r y s t u d ie d u p o n le n g t h o f life . M o r e o v e r , b y s im ila r c o m p a r is o n s b e t w e e n g r o u p s d iffe r in g in s o m e o t h e r p a r t ic u la r t h a n in d u s t r y , c o n c lu s io n s m a y b e d r a w n a s t o t h e e ff e c t o f th e p a r t ic u la r in w h ic h t h e y d iffe r . T h u s i t is p o s s ib le t o in d ic a t e t h e e ff e c t u p o n le n g t h o f life o f r a c e , s e x , p a r t ic u la r o c c u p a t io n w it h in t h e in d u s t r y , f o r w o m e n , t h e r e la t iv e p e r il o f m a r r ie d a s c o m p a r e d w it h s in g le life , e t c . T h is m e t h o d o f s t u d y in g t h e e f f e c t o f a n in d u s t r y o r o t h e r m o d i f y i n g in flu e n c e u p o n t h e h e a lt h o f t h o s e a ffe c t e d b y i t d iffe r s s o w id e ly f r o m t h e m e t h o d u s u a lly e m p lo y e d t h a t i t s e e m s w o r t h w h ile t o q u o t e f r o m t h e fir s t 12 IN TR O D U C TIO N . r e p o r t a b r ie f s u m m a r y o f th e r e a s o n s f o r p r e fe r r in g t h e d e a t h -r a t e m e th o d :1 T h e t w o m e t h o d s m a y b e r e s p e c t iv e ly d e fin e d as t h e in s p e c t io n m e t h o d a n d t h e d e a t h -r a t e m e t h o d . U n d e r th e fir s t m e t h o d a c a r e f u l in s p e c t io n is m a d e o f a s m a n y a s p o s s ib le o f t h o s e e n g a g e d in a g iv e n i n d u s t r y a n d f r o m t h e p r e v a le n c e o f i ll h e a lt h o r d is e a s e a m o n g t h e m c o n c lu s io n s a r e d r a w n a s t o t h e h e a lth fu ln e s s o f t h a t p u r s u it . B y t h e s e c o n d m e t h o d , t h e d e a t h r a t e a m o n g t h o s e e n g a g e d i n a g iv e n i n d u s t r y is a c c u r a t e ly d e t e r m in e d f o r a p e r io d s u ffic ie n t ly l o n g t o e x c l u d e t h e e ff e c t o f t e m p o r a r y d is t u r b a n c e s , a n d fr o m a c o m p a r is o n o f t h is d e a t h r a t e w it h t h a t p r e v a ilin g in s im ila r a g e a n d s e x g r o u p s o u t s id e o f t h e in d u s t r y , c o n c lu s io n s a r e d r a w n a s t o t h e h e a lt h fu l o r n o n h e a lt h fu l c h a r a c t e r o f th e in d u s t r y . ^ vjj T o s u m m a r iz e , i t m a y b e s a id t h a t f o r d e t e r m in in g th e h e a lth fu ln e s s o f a g iv e n in d u s t r y t h e d e a t h -r a t e m e t h o d , o f w h ic h t h e b a s ic u n it is a n in d iv id u a l d e a d , is p r e fe r a b le t o t h e in s p e c t io n m e t h o d , o f w h ic h t h e b a s ic u n it is a n in d iv id u a l in ill h e a lth , o n t w o p r in c ip a l g r o u n d s : I . P O T E N T IA L U T I L I T Y . (1 ) I n d is c o v e r in g t h e p r e v a le n c e o f th e c o n d it io n in q u ir e d in t o , s in c e d e a t h is a d e fin it e a n d u n c h a n g in g s t a t e a b o u t w h ic h t h e r e c a n b e n o q u e s t io n , w h ile ill h e a lt h is a v a g u e ly d e fin e d s t a t e w h ic h m a y a t a n y t im e m e r g e e it h e r i n t o d e a t h o r in t o g o o d h e a lth . I n o t h e r w o r d s , i t s b o u n d a r ie s a r e a t o n c e ill d e fin e d a n d s h ift in g . (2 ) I n d e t e r m in in g t h e r e la t iv e im p o r t a n c e o f a n t ilo n g e v it y c a u s e s , b e c a u s e t h e s e v e r a l fa c t o r s w h ic h , c o m b in e d , b r in g a b o u t t h e d e fin ite c o n d it io n , d e a t h , a r e m o r e e a s ily is o la t e d a n d m e a s u r e d a s t o th e ir c o m p a r a t iv e h a r m fu ln e s s t h a n is t h e c a s e w it h t h e fa c t o r s w h ic h , c o m b in e d , b r in g a b o u t t h e in definite^ c o n d it io n , ill h e a lt h . A n d a lso b e c a u s e t h e s t u d y o f a c o m p le t e d life is a p t t o r e v e a l a g r e a t e r n u m b e r a n d v a r ie t y o f m o r b ific in flu e n c e s a n d e x p e r ie n c e s t h a n w ill b e fo u n d in th e s t u d y o f a life o f t h e s a m e le n g t h t h a t is as y e t u n fin is h e d . II. IN H E R E N T E X P E D I E N C Y . (1 ) I n d is c o v e r in g t h e p r e v a le n c e o f t h e c o n d it io n in q u ir e d in t o , b e c a u s e , as it s b a s ic u n it s c a n b e a b s o lu t e ly id e n t ifie d , i t is p o s s ib le t o m a k e a c o m p le t e e n u m e r a t io n o f t h e m f o r & g iv e n c o m m u n it y d u r in g a g iv e n p e r io d , w h e r e a s i t w o u ld b e p r a c t ic a l ly im p o s s ib le t o m a k e an e q u a lly c o m p le t e e n u m e r a t io n o f a ll t h e c a s e s o f ill h e a lt h o c c u r r in g in t h e s a m e c o m m u n it y d u r in g t h e s a m e p e r io d . (2 ) I n d e t e r m in in g a n t ilo n g e v it y c a u s e s , b e c a u s e i t in c lu d e s t h e c a u s e s le a d in g u p t o e a c h a n d e v e r y d e a t h o c c u r r in g in t h e g iv e n c o m m u n it y d u r in g t h e g iv e n p e r io d , a n d is t h e r e fo r e a t o n c e m o r e in c lu s iv e a n d fa ir e r t h a n t h e in s p e c t io n m e t h o d , w h ic h c a n o n l y c o v e r t h e c a u s e s p r o d u c in g ill h e a lt h in a s e le c t e d n u m b e r o f th e c a s e s e x is t in g o n a g iv e n d a y w it h in th e g iv e n c o m m u n it y . 1 Report on Condition of "Woman and Child Wage Earners in the United States (S. Doc. 645, 61st Cong., 2d sess.), Vol. X IV : Causes of death among woman and child cotton-mill operatives. Wash ington, 1912, pp. 22, 25, 26. FA IL U R E TO STUDY N O N C A SU A LTY IN D U ST R IA L D EATH S. 13 A n d fin a lly , th e h is t o r y o f a c a s e in w h ic h th e a n t ilo n g e v it y fa c t o r s h a v e w o r k e d o u t t h e ir fu ll e ffe c t — in o t h e r w o r d s , th e h is t o r y o f an in d iv id u a l d e a d — e v id e n t ly a ffo r d s a m o r e c o m p le t e fie ld f o r s t u d y in g t h o s e fa c t o r s t h a n th e h is t o r y o f a c a s e in w h ic h t h o s e fo r c e s a re s till a t w o r k . I n t h e la t t e r c a s e w e k n o w t h a t th e s e fa c t o r s w ill a t la s t c a u s e d e a t h , b u t w e d o n o t k n o w h o w lo n g i t w ill t a k e t h e m t o d o s o , a n d c o n s e q u e n t ly c a n n o t e s t im a t e w h a t d e g r e e o f h a r m t h e y h a v e a lr e a d y w o r k e d . I n t h e o n e c a s e w e a re d e a lin g w it h a c o m p le t e , in t h e o t h e r w it h a n in c o m p le t e , h is t o r y , a n d th e a d v a n t a g e s o f th e fir s t fo r p u r p o s e s o f s t u d y a re o b v io u s . PARAMOUNT IMPORTANCE OF AGE AT DEATH. F r o m a n in d u s t r ia l s t a n d p o in t , d e a t h a t a g iv e n a g e m e a n s a fix e d a n d d e fin ite lo s s . A t e a c h a g e th e w o r k e r h a s a c e r t a in e x p e c t a n c y o f life , v a r y in g a c c o r d in g t o c e r t a in fa c t o r s , s u c h as s e x , r a c e , a n d c o n ju g a l c o n d it io n , b u t s t ill d e fin it e ly c a lc u la b le . A c e r t a in p a r t o f th is life e x p e c t a n c y , v a r y in g a c c o r d in g t o th e p r e s e n t a g e, w ill a lso b e a p e r io d o f fu ll in d u s t r ia l e ffe c t iv e n e s s . T h is in d u s t r ia l e x p e c t a n c y , i f th e t e r m m a y b e s o u s e d , a t a g iv e n a g e h a s n o t y e t b e e n c a lc u la t e d , b u t its e x is t e n c e w ill n o t b e q u e s t io n e d . N a t u r a lly th e y o u n g e r a w a g e e a r n e r is th e lo n g e r is h is in d u s t r ia l e x p e c t a n c y a n d t h e g r e a te r is t h e in d u s t r ia l lo s s in v o l v e d in h is d e a th . T h e a m o u n t o f th is lo s s w ill n o t b e a ffe c t e d b y th e m a n n e r in w h ic h th e w o r k e r d ie s . D e a t h m a y c o m e s u d d e n ly a n d v io le n t ly t o t h e v ic t im w h ile h e is a t w o r k , as b y a n in d u s t r ia l a c c id e n t , o r s u d d e n ly , t h o u g h n o t v io le n t ly , t h r o u g h t h e fin a l m a n ife s t a t io n o f s o m e d ise a se , as a p o p le x y ; o r i t m a y c o m e n e it h e r s u d d e n ly , v io le n t ly , n o r w h ile t h e v ic t im is a t w o r k , b u t w it h in s o b r ie f a t im e a ft e r h e h a s g iv e n u p h is e m p lo y m e n t t h a t t h e e ffe c t s o f th e in d u s t r ia l c o n d it io n s t o w h ic h h e w a s s u b je c t e d m a y b e c o n s id e r e d b e y o n d a ll q u e s t io n a s h a v in g b o r n e a c a u s a t iv e r e la tio n t o h is d e a t h . B u t in e a c h c a s e th e lo s s i n v o lv e d d e p e n d s o n t h e a g e a t d e a th , n o t o n t h e c a u s e o f d e a th . F r o m th e s t a n d p o in t o f t h e w o r k e r d e a t h a t a g iv e n a g e m e a n s t h e lo s s o f ju s t s o m a n y y e a r s o f h is life e x p e c t a n c y ; fr o m t h e s t a n d p o in t o f th e in d u s t r y i t m e a n s t h e lo s s o f ju s t s o m u c h p o t e n t ia l in d u s t r ia l a c t iv it y ; a n d t o b o t h t h e w o r k e r a n d th e in d u s t r y t h e d e g r e e o f th is lo s s , w h ic h is m e a s u r e d b y y o u t h fu ln e s s a t d e a th , is a fa r m o r e v it a l q u e s t io n t h a n th e p r e c is e m a n n e r in w h ic h d e a t h w a s in c u r r e d . GENERAL FAILURE TO STUDY NONCASUALTY INDUSTRIAL DEATHS. I n v ie w o f th e im p o r t a n c e o f a g e a t d e a t h as c o m p a r e d w it h c a u s e o f d e a t h i t m ig h t s e e m s in g u la r t h a t s o lit t le h a s b e e n d o n e in th e w a y o f s t u d y in g in d u s t r ia l d e a t h r a te s b y a g e g r o u p s w h ile s o m u c h a t t e n t io n h a s b e e n p a id t o c e r t a in fo r m s o f d e a t h , a s, f o r in s t a n c e , in d u s tr ia l fa t a lit ie s a n d d e a t h s fr o m in d u s t r ia l p o is o n s ; b u t t h e r e a s o n s f o r th is d is c r im in a t io n a re n o t fa r t o s e e k . D e a t h s fr o m v io le n c e o r 14 IN TR O D U C TIO N . c a s u a lt y h a v e a c q u ir e d p r o m in e n c e o u t o f a ll p r o p o r t io n t o th e ir r e a l i m p o r t a n c e 1 t h r o u g h t h e ir v e r y c h a r a c t e r ; t h e y a re s u d d e n a n d s h o c k in g ; t h e y fo r c e th e m s e lv e s o n th e a t t e n t io n . A n d ju s t b e c a u s e t h e y a t t r a c t s u c h n o t ic e , t h e y a re r e m e m b e r e d a n d a n e x a g g e r a t e d im p r e s s io n is fo r m e d o f th e ir p r e v a le n c e . A ls o , i t is n o t d iffic u lt t o fix th e r e s p o n s ib ilit y f o r s u c h d e a t h s w it h r e a s o n a b le c e r t a in t y , w h ic h m a k e s a s t u d y o f t h e m e a s ie r a n d m o r e a t t r a c t iv e . T h is la t t e r a d v a n t a g e in h e r e s a ls o in d e a t h s fr o m in d u s t r ia l p o is o n s , fu m e s , o r d u s ts . D e a t h s f r o m o t h e r c a u s e s th a n c a s u a lt y , o n th e o t h e r h a n d , a re a p t t o h a v e lit t le o f th e s p e c t a c u la r a b o u t t h e m a n d t o p a s s u n n o t ic e d . T h a t a ll m u s t d ie s o o n e r o r la t e r is th e t r it e s t o f c o m m o n p la c e s , a n d th e in d iv id u a l d e a t h a t t r a c t s lit t le a t t e n t io n u n le s s a c c o m p a n ie d b y s t r ik in g d e ta ils o f s o m e k in d . A ls o , n o n c a s u a lt y d e a t h s u s u a lly o c c u r e ls e w h e r e t h a n a t th e p la c e o f e m p lo y m e n t , a n d th e ir c o n n e c t io n w it h t h e in d u s t r y in w h ic h t h e v i c t im m a y h a v e s p e n t t h e g r e a t e r p a r t o f h is life is s e ld o m f u ll y a p p r e c ia t e d . I t is o n l y w h e n t h e r e c o r d s o f a la r g e n u m b e r o f d e a t h s a re s t u d ie d t h a t th e fa c t s a re s u ffic ie n t ly m a s s e d f o r t h e ir im p o r t a n c e t o b e c o m e a p p a r e n t. PRACTICAL LIMITATIONS UPON USE OF DEATH-RATE METHOD, I n s p it e o f th e v a lu e o f a s t u d y o f d e a t h r a te s w h e n t h e e ffe c t o f a n y g iv e n in d u s t r y u p o n it s w o r k e r s is u n d e r c o n s id e r a t io n , th e r e a re s e r io u s d iffic u lt ie s in th e w a y o f a p p ly in g th is m e t h o d u n iv e r s a lly t o in d u s tr ie s . S u c h a s t u d y m u s t fir s t o f a ll b e b a s e d u p o n r e c o r d e d d e a t h s . I t w o u ld b e im p o s s ib le t o h u n t o u t o n e b y o n e u n r e c o r d e d d e a t h s o c c u r r in g t h r o u g h a p e r io d o f y e a r s , a n d i f th e a t t e m p t w e r e m a d e th e r e c o u ld b e n o a s s u r a n c e t h a t it s r e s u lts w o u ld b e c o m p l e t e ; in fa c t , i t is p r a c t ic a lly c e r t a in t h a t t h e y w o u ld n o t b e , a n d n o o n e c o u ld e v e n g u e s s in t e llig e n t ly h o w n u m e r o u s th e u n d is c o v e r e d d e a t h s m ig h t b e . T h is m e a n s t h a t th e fir s t r e q u is it e f o r a s t u d y o f in d u s t r ia l d e a t h r a t e s is t h a t t h e in d u s t r y u n d e r c o n s id e r a t io n s h a ll b e l o c a t e d , a t le a s t t o a c o n s id e r a b le e x t e n t , w it h in th e r e g is t r a t io n a r e a , i. e . ; w it h in m u n ic ip a lit ie s in w h ic h th e r e g is t r a t io n o f a ll d e a t h s is c o m p u ls o r y . I n th e s e c o n d p la c e , a s t u d y o f in d u s t r ia l d e a t h r a te s , t o b e o f a n y v a lu e , m u s t b e b a s e d u p o n a n u m b e r o f d e a t h s s o la r g e t h a t th e a v e r a g e a n n u a l n u m b e r o f d e a t h s is s ig n ific a n t . T h e r e a r e p r o b a b ly n o in d u s t r ie s s o c o n c e n t r a t e d w it h in o n e c i t y t h a t t h e d e a t h s in t h a t c it y d u r in g o n e y e a r w o u ld b e s u ffic ie n t ly n u m e r o u s t o fu r n is h 1 Mortality Statistics, Bureau of the Census, 1909, pp. 30S, 309, and 325. This shows that in the registra tion area of the whole country during the decade 1900 to 1909 there were on the average 41,402 deaths an nually from violence. This is a sufficiently appalling fact; yet it must be remembered that during the same period the average annual number of deaths from a single noncasualty cause —tuberculosis (like wise very largely, if not wholly, preventable)—was 68,825, which is an excess of 66 per cent over thenumber of deaths from violence. L IM IT A T IO N S U PO N USE OF D E A TH -R A TE M ET H O D . 15 a satisfactory basis of study. The requisite number of deaths may, however, be secured by taking all occurring within several cities, or all occurring within a single specified area during a number of years, or by combining these two ways and taking all the deaths from several designated areas through a series of years. But if deaths from differ ent cities are taken it is always possible that local factors affecting the death rate may vary from place to place and so bring in an element of error. This particular obstacle can be overcome by taking the deaths from one place through a series of years; but when this method is used another limitation appears. The scanty data of the official death records must be supplemented by fuller information gathered from relatives of the deceased, and since the memories of survivors can not be trusted for details occurring long before the time of the inquiry, it is necessary to limit the time covered to a very few years. This method of study is restricted, therefore, to industries which are so concentrated in cities, similar in general health conditions and situated within the registration area, that a number of deaths of workers, sufficient to furnish significant annual death rates, shall occur within these cities during a strictly limited period of years. So few industries conform to these conditions that at present, in spite of the value of the results obtainable from a study of indus trial death rates, the use of the method herein employed is not always feasible. When, however, as in the case of the cotton manufacturing industry, these primary requirements are met, the hygienic effect of an industry upon its workers can be surveyed far more satisfactorily through a study of deaths than through a study of cases of illness, which has hitherto been the common method. In other words, the effect of an industry upon the health of its workers is more conclu sively tested through study of their mortality than of their morbidity. CHAPTER L— SCOPE AND METHOD OP INVESTIGATION, PLACE AND YEARS COVERED. T h e fo llo w in g r e p o r t is b a s e d u p o n s c h e d u le d in fo r m a t io n s p e c ia lly o b t a in e d f r o m e a c h c o t t o n - m i ll o p e r a t iv e o f F a ll R i v e r , w h a t e v e r th e a g e (in 1 9 1 3 )/ a n d c o n c e r n in g e a c h c o t t o n o p e r a t iv e c e r t ifie d as h a v in g d ie d in F a ll R i v e r (d u r in g t h e y e a r s 1 9 0 8 t o 1 9 1 2 ), w h a t e v e r th e a g e a t d e a t h . R e s p e c t in g t h e t o t a l F a ll R i v e r p o p u la t io n a n d th e d e a t h s o c c u r r in g th e r e in d u r in g 1 9 0 8 t o 1 9 1 2 , t h e s t u d y is b a s e d u p o n F e d e r a l c e n s u s d a t a o f a g e g r o u p 10 t o 6 4 y e a r s o n ly . ’ I t s s p e c ia l p u r p o s e is t o d e t e r m in e t h e p r e v a le n c e a n d c a u s e s o f e a r ly d e a t h a m o n g th e w o r k e r s o f t h e c o t t o n m a n u fa c t u r in g in d u s t r y . T h e f a c t t h a t i t is a n e x t e n s io n o f a n e a r lie r s t u d y 1 d e t e r m in e d th e c h o ic e o f t h e in d u s t r y , b u t t h e r e a s o n s f o r s e le c t in g t h is in d u s t r y in th e fir s t p la c e m a y b e b r ie fly s u m m a r iz e d a s fo llo w s : F ir s t , th e m a n u fa c t u r e o f c o t t o n g o o d s e m p lo y s a la r g e r w o r k in g f o r c e o f w o m e n a n d c h ild r e n t h a n a n y o t h e r in d u s t r y . S e c o n d , it s w o r k in g f o r c e is m o r e e q u a lly d iv id e d b e t w e e n t h e s e x e s th a n is t h e c a s e w it h a n y o t h e r la r g e in d u s t r y . A n d th ir d , i t is s u ffic ie n t ly c o n c e n t r a t e d w it h in t h e r e g is t r a t io n a r e a t o m a k e p o s s ib le th e u s e o f w h a t h a s b e e n c a lle d t h e d e a t h -r a t e m e t h o d o f s t u d y . F o r s u c h a s t u d y F a ll R i v e r p r e s e n ts s o m e e x c e p t io n a l a d v a n t a g e s . I t is th e le a d in g c o t t o n m a n u fa c t u r in g c i t y in t h e U n it e d S ta te s , c o n t a in in g a p p r o x im a t e ly o n e -t e n t h (9 .8 3 p e r c e n t ) o f t h e t o t a l n u m b e r o f a c t u a l c o t t o n - m i ll w o r k e r s 2 in t h e w h o le c o u n t r y ; m o r e o v e r , i t h a s lo n g h e ld it s p o s it io n o f le a d e r s h ip , s o t h a t w h a t e v e r in flu e n c e s m a y b e in h e r e n t in t h e in d u s t r y h a v e h a d t im e t o m a k e t h e m s e lv e s fe lt . I t h a s a h ig h e r p r o p o r t io n o f it s w o m e n e n g a g e d in w a g e e a r n in g t h a n a n y o t h e r A m e r ic a n c i t y o f s im ila r s iz e . I t s s it u a t io n a n d n a t u r a l r e s o u r c e s a r e s u c h a s s h o u ld m a k e i t p a r t ic u la r ly h e a lt h fu l, t h u s e lim in a t in g t h e c o m p lic a t io n s o f t h e d e a t h r a t e w h ic h m ig h t a r is e f r o m in s a n it a r y lo c a t io n , b a d w a t e r s u p p ly , o r s im ila r u n fa v o r a b le c o n d it io n s . M o r e o v e r , t h e p o p u la t io n is s o c o n s t it u t e d as t o b e e s p e c ia lly s u it a b le f o r s u c h a s t u d y a s is h e r e u n d e r ta k e n . T h e m a k e -u p o f th is p o p u la t io n d e s e r v e s s o m e m e n t io n . 1 Report on Condition of Woman and Child Wage Earners in the United States (S. Doc. No. 645,61st Cong., 2d sess.) Vol. X IV , 1912. 2 The term “ actual cotton-mill workers” is used to distinguish those regularly exposed to conditions peculiar to the manufacture of cotton from those who, although on the pay roll of a cotton mill, meet only such conditions as they would be likely to find anywhere else. Thus, an engineer or fireman works under the same conditions in a cotton mill as anywhere else, and so do yardmen, truckmen, teamsters, and others. 16 PLACE AND YEARS COVERED. 17 Distribution by sex.— In 1 9 1 0 Fall River had a population of 1 1 9 ,2 9 5 inhabitants, comprising 2 4 ,3 7 8 families, housed in 1 0 ,9 6 2 dwellings. Of those aged 10 years or over, 4 4 ,3 9 5 were males and 4 8 ,4 1 1 were females. Among those aged 15 years or over, the males numbered 3 8 ,4 3 9 and the females 4 2 ,5 7 2 . Distribution by race or people.— In 1 9 1 0 the French Canadians formed almost one-fourth (2 4 per cent) of the total population; the English and the Portuguese were almost equal in numerical impor tance, furnishing respectively 20 per cent and 21 per cent of the total; the Americans furnished 12 per cent, the Irish 12 per cent, and the aggregate “ Other” or miscellaneous races and peoples 11 per cent. The colored, the Indians, and the Chinese together comprised but 4 3 8 , or less than one-half of 1 per cent of the entire population. Distribution by nativity and conjugal condition.— O f th e t o t a l p o p u la t io n o f 8 1 ,0 1 1 a g e d 15 y e a r s o r o v e r in 1 9 1 0 o v e r o n e -h a lf (5 3 p e r c e n t ) w e r e fo r e ig n b o r n , w h ile a p p r o x im a t e ly t h r e e in e v e r y fiv e (6 2 p e r c e n t ) h a d b e e n m a r r ie d . Distribution by occupation.— I n 1 9 1 0 , o f t h e p o p u la t io n a g e d 10 y e a r s a n d o v e r , m o r e t h a n fo u r -fift h s (8 2 p e r c e n t ) o f th e m a le s a n d t w o fift h s (4 2 p e r c e n t ) o f th e fe m a le s w e r e g a in fu lly e m p lo y e d , 2 9 a n d 2 8 p e r c e n t r e s p e c t iv e ly b e in g in th e c o t t o n m a n u fa c t u r in g in d u s t r y . T h u s a lm o s t id e n t ic a lly t h e s a m e p r o p o r t io n o f t h e m a le s a s o f th e fe m a le s o f w o r k in g a g e w e r e c o t t o n -m ill o p e r a t iv e s . I t m u s t b e b o r n e in m in d , h o w e v e r , t h a t th e c o t t o n -m ill o p e r a t iv e s f o r m a m u c h m o r e i m p o r t a n t p a r t o f th e e n tir e w o r k in g f o r c e th a n o f th e m a le . O f t h e w h o le n u m b e r o f fe m a le s g a in fu lly e m p lo y e d t w o -t h ir d s (0 6 .8 p e r c e n t ) w e r e c o t t o n -m ill o p e r a t iv e s , w h ile o f th e g a in fu lly e m p lo y e d m a le s th e c o t t o n -m ill o p e r a t iv e s fo r m e d b u t 35 p e r c e n t . The even sex distribution of the population, especially of the operatives, gives special opportunities for studying the relative effect of cotton-mill work on males and females. The large foreign element gives a wider range for study of racial tendencies than would be found in a more homogeneous population, and the racial division is also advantageous. The population falls naturally into six racial groups, counting the miscellaneous as one. Of these, five are of European stock, and are sufficiently alike in size to make a compara tive study possible. The French Canadian, English, and Portuguese groups are nearly of the same size, and the largest of the five groups the French Canadian, is only twice the size of the smallest. The Irish and the American groups are identical in size. The advantage of this comparative similarity in the size of the race groups when racial comparisons are to be made is obvious. For all these reasons— the healthfulness of its location, its position as the leading cotton manufacturing city of the country, the size of its operative population, the number of women engaged in its 88204°— 19— Bull. 251---- - 2 18 C H A P . I .---- SCOPE AN D M E T H O D OF IN V E ST IG A TIO N . c o t t o n in d u s t r y , a n d th e a d v a n t a g e o u s d is t r ib u t io n o f th e p o p u la t io n as ter s e x , r a c e , a n d o c c u p a t io n — F a ll R i v e r w a s c h o s e n as th e fie ld o f th is in v e s t ig a t io n . T h e c h o ic e o f t h e y e a r s t o b e c o v e r e d w a s d e t e r m in e d b y th e e a r lie r in v e s t ig a t io n . T h e r e w e r e m a n ife s t a d v a n t a g e s t o b e g a in e d b y m a k in g t h e s t u d y c o n t in u o u s , i. e ., b e g in n in g th is in v e s t ig a t io n a t t h e d a t e a t w h ic h t h e fo r m e r h a d c o n c lu d e d , s o 1 9 0 8 w a s t a k e n a s th e fir s t o f th e y e a r s t o b e c o v e r e d . I t w a s d e s ir e d t o t a k e a s lo n g a p e r io d a s p o s s ib le s o t h a t t h e v o lu m e o f d e a t h s m i g h t b e la r g e a n d t h e c h a n c e o f c o n c lu s io n s b e in g a ffe c t e d b y s o m e a c c id e n t a l o r t e m p o r a r y f a c t o r m ig h t b e r e d u c e d t o a m in im u m . B u t a s h a s a lr e a d y b e e n m e n t io n e d , th e le n g t h o f t h e p e r io d w h ic h c a n b e c o v e r e d is c o n d it io n e d b y t h e m e m o r y o f s u r v iv o r s . S in c e in fo r m a t io n m u s t b e s o u g h t f r o m r e la tiv e s o f d e c e d e n t s , i t w o u ld n o t d o t o m a k e t h e p e r io d s o lo n g t h a t th e s e r e la t iv e s c o u ld n o t r e m e m b e r t h e fa c t s c o n c e r n in g w h ic h in fo r m a t io n w a s d e s ir e d . F i v e y e a r s , i t w a s fe lt , w a s as lo n g a t im e a s c o u ld s a fe ly b e in c lu d e d in a n in q u ir y d e p e n d in g o n t h e m e m o r y o f p e r s o n s w h o h a d n o s p e c ia l in c e n t iv e s t o r e m e m b e r t h e d a t a w a n t e d .1 T h e y e a r s 1 9 0 8 t o 1 9 1 2 , in c lu s iv e , w e r e t h e r e fo r e t a k e n a s t h e t im e t o b e c o v e r e d b y th is s t u d y . S in c e t h e p r e c e d in g r e p o r t c o v e r e d t h e y e a r s 1 9 0 5 t o 1 9 0 7 , in c lu s iv e , th e t w o t o g e t h e r g iv e a c o m p le t e s t u d y o f th e m o r t a lit y o f F a ll R i v e r f o r t h e e ig h t y e a r s 1 9 0 5 t o 1 9 1 2 . AGE PERIOD COVERED. S in c e th is is a s t u d y o f th e p r e v a le n c e a n d t h e c o n t r i b u t o r y c a u s e s o f e a r ly d e a t h in in d u s t r y , i t w a s m a n ife s t ly u n n e c e s s a r y t o in c lu d e d e a t h s o f th o s e t o o y o u n g t o b e e m p lo y e d in d u s t r ia lly . I n o r d e r , h o w e v e r , n o t t o o m it a n y p o s s ib le o p e r a t iv e d e c e d e n t , t h e lo w e r a g e lim it w a s fix e d a t 10 y e a r s . F o r o p e r a t iv e s a n d f o r a ll t u b e r c u lo u s d e c e d e n t s , n o u p p e r a g e l im it w a s fix e d , b u t f o r n o n o p e r a t iv e d e c e d e n t s w h o d ie d f r o m c a u s e s o t h e r t h a n t u b e r c u lo s is 6 4 y e a r s w a s ta k e n a s th e u p p e r a g e lim it . A n a d d it io n a l r e a s o n f o r s e le c t in g 10 y e a r s a s t h e lo w e r a g e lim it w a s t h a t th e a g e g r o u p in g s in th e t a b le s t h r o u g h o u t th is s t u d y m ig h t c o in c id e w it h t h o s e ' o f th e c e n s u s a n d m ill t a b u la t io n s o f p o p u la t io n . METHODS OF OBTAINING MATERIAL. MATERIAL CONCERNING TH E LIVING. A t th e o u t s e t i t b e c a m e e v id e n t t h a t t w o lin e s o f w o r k w e r e n e c e s s a r y : T h e a c q u is it io n o f d a t a c o n c e r n in g th e liv in g o p e r a t iv e s , as w e ll as th e c o lle c t io n o f fa c t s c o n c e r n in g d e c e d e n t s . T h e s t u d y o f t h e i The inquiry concerning decedents aged 15 to 44 dying during 1908, 1909 and 1910 was begun in 1911, so that the longest possible interval between any one of these deaths and the inquiry was less than four years and the average interval was rather less than two years. Investigation of the other deaths o;? 1908 to 1910 and of all deaths of 1911 was practically completed within the year 1912. Deaths of the year 1912 were studied within as few months after their occurrence as was practically possible. M ETH O D S OF O B TA IN IN G M A T E R IA L , 19 l iv in g o p e r a t iv e s w a s r e n d e r e d n e c e s s a r y b y th e fa c t t h a t th e c e n s u s d a t a c o n c e r n in g t h e m w e r e w h o lly in a d e q u a t e f o r e s t a b lis h in g a c c u r a t e d e a t h r a t e s . W h e n i t h a s b e e n le a r n e d , f o r in s t a n c e , t h a t a g iv e n n u m b e r o f m a r r ie d fe m a le w e a v e r s a g e d 2 5 t o 3 4 y e a r s d ie a n n u a lly o f t u b e r c u lo s is , i t is im p o s s ib le t o c a lc u la t e t h e ir d e a t h r a t e o r t o s a y w h e t h e r o r n o t t u b e r c u lo s is is a la r m in g ly p r e v a le n t a m o n g t h e m u n t il th e w h o le n u m b e r o f m a r r ie d fe m a le w e a v e r s in t h a t a g e g r o u p is k n o w n . S im ila r ly , in fo r m a t io n w a s n e e d e d c o n c e r n in g th e d is t r i b u t io n o f th e w h o le o p e r a t iv e b o d y as t o a g e , s e x , r a c e , c o n ju g a l c o n d it io n , o c c u p a t io n , e t c . N o s u c h b o d y o f d e t a ile d in fo r m a t io n w a s in e x is t e n c e , a n d th e o n l y w a y o f g e t t in g i t w a s t o m a k e a c o m p le t e c e n s u s o f th e liv in g c o t t o n -m ill o p e r a t iv e s . T h is w a s a s u f fic ie n t ly d iffic u lt t a s k , a n d w o u ld h a v e b e e n im p o s s ib le e x c e p t f o r th e c o u r t e s y o f t h e m ill o w n e r s , w h o p r a c t ic a lly u n d e r t o o k , a t th e ir o w n e x p e n s e , th e c o lle c t io n o f th e d a t a n e e d e d . T h e l a b o r u n io n s a ls o c o o p e r a t e d , a n d e a c h o f th e fiv e lo c a l n e w s p a p e r s , in c lu d in g t h o s e p u b lis h e d in F r e n c h a n d in P o r t u g u e s e , e d it o r ia lly u r g e d th e fu lle s t c o m p lia n c e w it h th e e ffo r t t o s e c u r e th e c o m p le t e s t p o s s ib le in fo r m a t io n . A s a fir s t s t e p t o w a r d s e c u r in g th e d a t a w a n t e d , s c h e d u le s w e r e d is t r ib u t e d t h r o u g h o u t a ll th e m ills o f F a ll E i v e r e n g a g e d in m a n u fa c t u r in g y a m , tw in e , t h r e a d , c lo t h , a n d c o t t o n m is c e lla n ie s . T h e s e s c h e d u le s c o n t a in e d q u e s t io n s as t o a g e , s e x , r a c e ( b y n a t iv it y o f fa t h e r ), n a t iv it y , c o n ju g a l c o n d it io n , n u m b e r o f c h ild r e n b o t h liv in g a n d d e a d , p a r t ic u la r w o r k d o n e in th e m ill, a g e a t b e g in n in g m ill w o r k , y e a r s (en g a ged in th e in d u s t r y a n d in th e p r e s e n t o c c u p a t io n , a n d t h e n u m b e r o f w a g e e a r n e rs in t h e fa m ily . O f th e s e in d iv id u a l s c h e d u le s , 2 9 ,2 3 0 c o m p le t e ly fille d o u t w e r e fin a lly o b t a in e d . M o r e t h a n o n e -h a lf w e r e fille d o u t b y c le r k s d e t a ile d f o r t h a t p u r p o s e fr o m th e m i l ls ; th e r e s t w e r e w r it t e n b y t h e in d iv id u a l o p e r a t iv e s a ft e r th e c a r d s h a d b e e n d is t r ib u t e d b y th e s e v e r a l o v e r s e e r s . A r o u g h im m e d ia t e c h e c k u p o n th e a c c u r a c y a n d c o m p le t e n e s s o f th e s e s c h e d u le s w a s p o s s ib le t h r o u g h a c o m p a r is o n with th e s u p e r in te n d e n t s ’ p a y r o ll s c h e d u le s s e c u r e d f o r th e e a r lie r s t u d y in 1 9 0 8 . A n y g r o s s d is c r e p a n c y b e t w e e n th e t w o n o t s a t is fa c t o r ily e x p la in e d w a s fo r t h w it h c o r r e c t e d b y a r e c a n v a s s o f th e w o r k e r s in t h e s u s p e c t e d w o r k r o o m . T h is d e t e c t io n o f d is c r e p a n c ie s a n d t h e ir c o r r e c t io n a d d e d a b o u t 4 ,0 0 0 s c h e d u le s t o th e 2 5 ,0 0 0 o r m o r e a t fir s t h a n d e d in . F i f t y e s t a b lis h m e n t s w e r e c o v e r e d . T h e s e m a y b e d iv id e d in t o th r e e g r o u p s , a c c o r d in g t o th e c lo s e n e s s w it h w h ic h th e n u m b e r o f in d iv id u a l s c h e d u le s o b t a in e d a p p r o a c h e d th e t o t a l n u m b e r o f o p e r a t iv e s a p p e a r in g o n th e p a y r o ll. I n th e fir s t g r o u p a re t h o s e i n w h ic h th e n u m b e r o f in d iv id u a l s c h e d u le s s e c u r e d fo r m e d 95 p e r c e n t o r m o r e o f th e n u m b e r o f o p e r a t iv e s s h o w n o n th e p a y r o ll ; in th e s e c o n d g r o u p a re t h o s e in w h ic h th e c o r r e s p o n d in g p e r c e n t a g e C H A P . I .---- SCOPE AND M ETH O D OF IN V E ST IG A TIO N . 20 w a s 91 t o 94, in c lu s iv e ; a n d in th e th ir d th o s e in w h ic h i t w a s 9 0 o r le ss. T h e n u m b e r o f e s t a b lis h m e n t s , th e n u m b e r o f o p e r a t iv e s o n t h e p a y r o lls , a n d th e n u m b e r o f in d iv id u a l s c h e d u le s o b t a in e d w e r e , f o r e a c h g r o u p , as f o l l o w s : NUM BER OF ESTABLISH M ENTS COVERED, O PER ATIVES ON T H E P A Y RO LLS, AND IN D IV ID U AL SCHEDULES OBTAIN ED . Group I. Group II. Group III. Total. Number of mills....................................................................... Number of operatives on pay roll........................................ Number of individual schedules obtained......................... 24 15,995 15,845 14 8,319 7,676 12 6,544 5,709 50 30,858 29,230 Difference between pay-roll and schedule totals. . 150 643 835 1,628 I t a p p e a r s fr o m th is t h a t in th e la r g e s t g r o u p , e n r o llin g 5 2 p e r c e n t o f th e t o t a l n u m b e r o f e m p lo y e e s s h o w n o n th e p a y r o lls o f a ll th e m ills , th e d iffe r e n c e b e t w e e n th e p a y r o ll a n d th e s c h e d u le t o t a ls w a s n o t q u it e 1 p e r c e n t (0 .9 4 p e r c e n t ) ; t h a t in th e s e c o n d g r o u p , e m p lo y in g 2 7 p e r c e n t o f th e p a y -r o ll o p e r a t iv e s , th e d iffe r e n c e b e t w e e n th e t o t a ls w a s o n ly 8 p e r c e n t o f th e la t t e r ; a n d t h a t in th e g r o u p e m p lo y in g 21 p e r c e n t o f th e p a y -r o ll o p e r a t iv e s th e d iffe r e n c e a m o u n t e d t o 13 p e r c e n t . F o r th e w h o le n u m b e r o f m ills th e d iffe r e h c e b e t w e e n th e s c h e d u le a n d th e p a y - r o ll t o t a ls w a s o n ly 5 p e r c e n t . T h e w h o le s u c c e e d in g s t u d y is b a s e d u p o n th e a s s u m p t io n t h a t th e s e 2 9 ,2 3 0 s c h e d u le s r e p r e s e n t p r a c t ic a lly th e e n tir e m ill-w o r k in g fo r c e o f F a ll R i v e r a m o n g w h o m o c c u r r e d th e o p e r a t iv e d e a th s r e c o r d e d d u r in g th e fiv e y e a r s c o v e r e d . I t is w o r t h w h ile , th e r e fo r e , t o g o a t s o m e le n g t h in t o th e r e a s o n s f o r b e lie v in g t h a t £he s c h e d u le s a re r e a lly c o m p r e h e n s iv e a n d r e lia b le . A s t o th e ir r e lia b ilit y , a n u n e x p e c t e d t e s t o c c u r r e d w h e n o n e o f th e la r g e s t m ills , d is r e g a r d in g th e w r it e r ’s s u g g e s t io n , d is t r ib u t e d th e s c h e d u le s t o th e o p e r a t iv e s t o b e fille d o u t b y t h e m a n d la t e r d ir e c t e d it s o v e r s e e r s t o fill o u t n e w s c h e d u le s f o r th e w h o le m ill fr o m in fo r m a t io n e a c h o p e r a t iv e g a v e . A p p r o x im a t e ly 5 0 0 s c h e d u le s w e r e th u s d u p lic a t e d . V e r y fe w a n d n o n o t e w o r t h y d is c r e p a n c ie s h o w e v e r , w e r e fo u n d as a r e s u lt o f a c o m p a r is o n o f th e t w o s e ts o f s c h e d u le s . T h e s c h e d u le s w e r e g a th e r e d in F e b r u a r y , 1 9 1 3 . L a t e r th e m ill s u p e r in te n d e n t s fu r n is h e d in fo r m a t io n as t o th e n u m b e r o f m a le s a n d fe m a le s o f a ll a g e s w h o , o n th e fir s t p a y d a y in M a r c h a n d in A p r il, w e r e e m p lo y e d in th e s e v e r a l w o r k r o o m s o f e a c h m ill. T h e in d i v id u a l s c h e d u le s w h ic h h a d a lr e a d y b e e n r e c e iv e d w e r e c h e c k e d u p fr o m th e s e lis ts , a n d p e r s o n a lly , a t th e m ills , th e w r it e r t r a c e d a n d s e c u r e d a n y m is s in g s c h e d u le s . I t is b e lie v e d t h a t th is p r o c e s s w a s c o m p le t e , a n d t h a t in th e e n d p r a c t ic a lly n o o p e r a t iv e fa ile d t o fu r n is h th e v e r y im p o r t a n t p e r s o n a l in fo r m a t io n c a lle d f o r b y th e s c h e d u le . M ETH OD S OF O B TA IN IN G M A T E R IA L. 21 T h e f a c t t h a t th e t o t a l n u m b e r o f s c h e d u le s o b t a in e d w a s s m a lle r b y 5 p e r c e n t th a n t h e t o t a l n u m b e r o f o p e r a t iv e s g iv e n o n th e p a y r o lls m ig h t s e e m t o s h o w t h a t th e w o r k o f g e t t in g s c h e d u le s w a s in c o m p le te , b u t th is d o e s n o t n e c e s s a r ily f o llo w . T h e p a y r o lls c o n t a in m a n y d u p lic a t io n s . E v e n as r e g a r d s th e s a m e w o r k r o o m , i f an o p e r a t iv e w o r k s o v e r t im e h e is c o m m o n l y t w ic e r e g is t e r e d o n th e p a y r o ll, a n d t h e s a m e t h in g o ft e n h a p p e n s i f h e is tr a n s fe r r e d fr o m o n e w o r k r o o m t o a n o t h e r in th e s a m e m ill, o r f r o m o n e m ill t o a n o t h e r in th e s a m e c o r p o r a t io n . A n d o f c o u r s e d u p lic a t io n is in e v it a b le i f th e e m p lo y e e w o r k e d a p a r t o f th e c e n s u s w e e k in e a c h o f t w o m ills b e lo n g in g t o d iffe r e n t c o r p o r a t io n s . T h e n , t o o , p ie c e w o r k (a s, f o r e x a m p le , a c u t o f c lo t h ) , i f l e f t u n fin is h e d b y a n o p e r a t iv e w h o q u it s a n e s t a b lis h m e n t , is u s u a lly n o t p a id f o r u n t il th e s u c c e e d in g o p e r a t iv e fin ish e s th e p ie c e o r c u t . B u t u n t il h e is p a id th e fir s t o p e r a t iv e is c a r r ie d o n th e p a y r o ll o f th e m ill h e q u it , as w e ll as u p o n t h a t o f th e m ill h e n e x t e n t e r e d . T h e r e b e in g s o m a n y c o r p o r a t io n s in F a ll R iv e r , th e p r o b a b le n u m b e r o f s u c h s h ift s in a n y g iv e n w e e k is b y n o m e a n s in c o n s id e r a b le . T h e m ills w e r e r u n n in g fu ll t im e in F e b r u a r y 1 9 1 3 , a n d i t is p r o b a b le t h a t m a n y e x o p e r a t iv e s o r o t h e r p e r s o n s n o t u s u a lly e m p lo y e d w e r e w o r k in g in t h e m ills . I t s h o u ld a ls o b e b o r n e in m in d t h a t s o m e w o r k e r s r e s id e o u t s id e th e c i t y lim it s a n d t h a t d e a t h s a m o n g s u c h w o r k e r s w o u ld n o t b e in c lu d e d a m o n g F a ll R i v e r d e a t h s u n le s s t h e y o c c u r r e d in h o s p it a ls o f th e c it y . MATERIAL CONCERNING THE DECEDENTS. I n th e m a in th e d a t a c o n c e r n in g d e c e d e n t s w e r e o b t a in e d in th e s a m e m a n n e r as in th e e a r lie r in v e s t ig a t io n . T h e o ffic ia l r e c o r d s o f a ll d e a t h s o c c u r r in g w ith in th e fiv e y e a r s t o b e c o v e r e d w e r e c o p ie d , a n d th e d a t a th u s o b t a in e d s u p p le m e n t e d b y ' in t e r v ie w s w it h th e r e la tiv e s o r fr ie n d s o f th e d e c e a s e d . T h e U n it e d S ta te s B u r e a u o f t h e C e n s u s t r a n s c r ib e d th e d e a t h c e r t ific a t e s o f 1 9 0 8 t o 1 9 1 0 , in c lu s iv e , a n d th e M a s s a c h u s e t ts S e c r e t a r y o f S t a t e ’ s o ffic e t h o s e o f 191 1 a n d 1 9 1 2 . A te s t o f th e a c c u r a c y o f th e w o r k is fo u n d in a c o m p a r is o n o f th e fig u re s o f th e c e n s u s w it h t h o s e o f th is s t u d y . T h e c e n s u s g iv e s t h e n u m b e r o f d e a t h s o c c u r r in g in a g e g r o u p 10 t o 4 9 d u r in g th e fiv e y e a r s c o v e r e d as 2 ,2 7 7 , w h ile th e n u m b e r u s e d h e r e is 2 ,2 7 2 , a v a r ia t io n o f 5. B u t i t is k n o w n t h a t o n e c a s e w a s o ffic ia lly r e c o r d e d t w ic e , t w o d e a t h c e r t ific a t e s f o r o n e m a le d e c e d e n t , e a c h s ig n e d b y a d iffe r e n t p h y s ic ia n , h a v in g b e e n fo u n d o n r e c o r d . T h is le a v e s , t h e r e fo r e , a n e t v a r ia t io n o f 4 ca s e s in c id e n t t o c o p y in g o ffic ia l c e r t ific a t e s . H a v in g th u s o b t a in e d th e o ffic ia l r e c o r d s o f 3 ,7 5 0 d e a t h s , v is it s w e r e m a d e t o th e d e c e d e n t ’ s la t e h o m e , a n d th e d a t a o f th e c e r t ific a t e s u p p le m e n t e d in n e a r ly e v e r y c a s e b y in q u ir ie s o f t h e d e c e d e n t ’ s 22 C H A P . I.— SCOPE AND M E T H O D O F IN V E ST IG A TIO N . relatives; but where that was impossible inquiries were made of his personal friends and acquaintances. From this inquiry information was gained as to the decedent’s family, habits, occupation, and con jugal experiences, exposure to communicable diseases, and other per sonal facts of possible significance in explanation of his death. More over, the investigator personally inspected the premises and made note of certain hygienic conditions which might have had some effect upon the decedent’s general health, or might themselves have been among the debilitating factors which led up to his death. These visits were all made by one person, the present writer, thereby avoiding the variations which almost inevitably arise from differences of indi vidual judgment when different persons pass upon such matters. The difficulty of locating relatives and gaining such information as was desired increases greatly as the death of a given worker grows more remote. In Fall River this difficulty has been much increased by the progressive infusion into the operative body of Portuguese, because relatives and acquaintances of these decedents are sometimes undiscoverable. Everywhere, without exception, mill authorities gave all the assistance possible, sometimes even detailing an employee to prosecute inquiries among the foreign workers supposed to have been acquainted with a decedent concerning whom information was sought. This disposition to cooperate was manifested by people generally, both in and out of the mills. There are three ways in which the data thus collected might be misleading or inaccurate. First, Fall River residents, finding them selves stricken with a fatal disease, may go elsewhere to die, or former residents who have long been absent may, under similar circumstances, return to Fall River to die, the result in either case being an inter ference with the representative character of the Fall River data. In the second place, information obtained concerning decedents may be erroneous. And third, and most important of all in its effect upon a death-rate study, the data of the official death certificate may be misleading or absolutely false. Each of these possibilities of error deserves some consideration. A s t o th e fir s t , th e r e is lit t le d o u b t t h a t th is c a u s e d o e s o p e r a t e t o m a k e th e F a ll R i v e r d e a t h r a t e s , e s p e c ia lly a s c o n c e r n s o p e r a t iv e s , i m p e r fe c t ly r e p r e s e n t a t iv e . S o m e t e n t a t iv e r e s e a r c h e s u n d e r t a k e n in F a ll R i v e r in 1 9 0 8 in d ic a t e d t h a t , as r e g a r d s t u b e r c u lo s is a t le a s t , th e r e c o r d s d o n o t t e ll th e w h o le s t o r y . R e p e a t e d l y th e w r it e r ’s a t t e n t io n w a s c a lle d t o in s t a n c e s o f t u b e r c u lo u s d e c e d e n t s , w h o h a d b e e n m ill o p e r a t iv e s u n t il t h e y w e r e n o lo n g e r a b le t o w o r k , b u t w h o , s h o r t ly b e f o r e d e a t h , h a d g o n e t o t h e ir fo r m e r h o m e s in C a n a d a , in th e A z o r e s , o r in s o u t h e r n E u r o p e in th e h o p e t h a t t h e ir n a t iv e c lim a t e a n d fo r m e r m a n n e r o f liv in g m ig h t r e s t o r e t h e m t o h e a lt h , o r M ETH O D S OF O B T A IN IN G M A T E R IA L . 23 failing that, that they might at least be buried in the land of their birth. These cases, of course, were not included in the mortality statistics of Fall River, yet presumably they had there contracted the disease which proved fatal to them within a few months after they left the city. Since this tendency to return to an earlier home is particularly manifest in cases of tuberculosis, it is probable that the mortality rate from tuberculosis is too low, both for Fall River as a whole, and for the operatives in particular. It is probable for the city as a whole, because Fall River contains a very large foreign-born popula tion, among whom the tendency to return to an earlier home would naturally manifest itself, while there is no reason to suppose that it sends out to other cities anything like an equal proportion of its own native-born population; hence the number leaving it before death for this reason would naturally exceed the number of its own people, living elsewhere, who would come back to it to die. It is probable for operatives in particular, because a large proportion of the foreign bom are in the cotton mills, and because tuberculosis is especially prevalent among them. It is quite certain, at least, that the number of tuberculous decedents among the operatives has not been exag gerated by the inclusion of nonresidents who have come home to die, because no decedent has been classed as an operative unless a definite statement to this effect was made by an informant whose name is on <i$cord. This statement includes not only the fact that the decedent liftd been employed, but usually also the specific occupation at which Jbehad woi^ed, and always the fact that he had been employed at such millwork within a specified period, not exceeding two years, before his death. It is obvious that evidence so specific and detailed would not probably be manufactured, especially as the informant had no inducement to misrepresent the facts in either direction. But it is equally apparent that such evidence, if correct, makes it impossible that the death rate of operatives should have been unduly increased by the inclusion of decedents who had worked elsewhere and merely returned to Fall River to die. The death rates of operatives from tuberculous causes may be, and probably are, somewhat too small; they can not possibly be incorrectly large. Naturally it would not be safe to say that there are no errors due to this cause in the information obtained, but it is believed that the probability of such error is so small that it may be disregarded. The information was obtained nearly always from the decedent's nearest of kin; when that was impossible, from friends or personal acquaintfances who had had abundant opportunity to become familiar with the facts concerning which they were questioned. Most of these were matters about which they would have no inducement to falsify, and as to the few in which their feeling toward the deceased might lead 24 C H A P . I .— SCOPE AN D M E T H Q D OP IN V E ST IG A T IO N . t o m is r e p r e s e n t a t io n , th e r e s e e m e d c o n s id e r a b le r e a s o n t o s u p p o s e t h a t th is c a u s e w o r k e d in c o n t r a r y d ir e c t io n s in d iffe r e n t c a s e s , s o t h a t th e n e t r e s u lt s w e r e v e r y p r o b a b ly a b o u t t h e t r u t h . ( F o r a d is c u s s io n o f t h e p r o b a b il i t y o f m is r e p r e s e n t a t io n as t o a lc o h o lic h a b it s o f th e d e c e d e n t , se e p . 1 4 5 .) D u r in g th e c o u r s e o f th e e a r lie r in v e s t ig a t io n a n in c id e n t a l p r o o f w a s o b t a in e d o f th e g e n e r a l a c c u r a c y o f th e in fo r m a t io n g a in e d . F iv e m o n t h s a ft e r t h a t i n q u ir y h a d b e g u n a c h a n g e in th e s c o p e o f th e in v e s t ig a t io n m a d e i t n e c e s s a r y t o r e c o r d c e r t a in a d d it io n a l d a t a c o n c e r n in g fe m a le d e c e d e n t s , w h ic h c o u ld b e o b t a in e d o n ly b y r e v is it in g th e i n fo r m a n t s w h o h a d a lr e a d y b e e n q u e s t io n e d . I n th is r e in v e s t ig a t io n s e v e r a l h u n d r e d p e r s o n s w e r e q u e s t io n e d a s e c o n d t im e o n p o in t s o n w h ic h t h e y h a d fir s t g iv e n in fo r m a t io n fiv e m o n t h s e a r lie r , y e t in o n l y t w o c a s e s w a s th e ir t e s t im o n y fo u n d t o d iffe r f r o m th e o r ig in a l s t a t e m e n t in a n y i m p o r t a n t p a r t ic u la r . T h e r e s u lt o f th is s e c o n d c a n v a s s s e e m s r a t h e r c o n v in c in g p r o o f t h a t th e in fo r m a n t s m a d e t h e ir s t a t e m e n t s as a c c u r a t e as t h e ir m e m o r ie s p e r m it t e d , a n d t h a t t h e r e is n o p r o b a b il i t y o f s e r io u s e r r o r in th e d a t a o b t a in e d f r o m t h e m . A s in th e fir s t in v e s t ig a t io n , s t a t e m e n t s m a d e b y fr ie n d s a n d r e la t iv e s o f th e d e c e d e n t s in r e s p o n s e t o q u e s t io n s b y th e in v e s t ig a t o r b r o u g h t o u t th e f a c t t h a t th e o ffic ia l d e a t h r e c o r d s c o n t a in e d e r r o r s as t o f a c t a n d a ls o o m is s io n s o f f a c t w h ic h in t h e ir r e s u lt s w e r e a lm o s t as m is le a d in g as a c t u a l m is s t a t e m e n t s . T h e s e e r r o r s w e r e o f t h r e e k in d s : T h e a c t u a l c a u s e o f d e a t h m ig h t b e m is s t a t e d ; th e im m e d ia t e , c a u s e o f d e a t h m i g h t b e g iv e n a c c u r a t e ly , b u t t h e e x is t e n c e o f o th e r , > d e b ilit a t in g fa c t o r s w h ic h p r o b a b l y h a d m u c h t o d o w it h b r in g in g : a b o u t d e a t h a t t h a t t im e m ig h t b e p a s s e d o v e r in s ile n e e ; a n d t h e , d e c e d e n t ’s o c c u p a t io n m ig h t b e i n c o r r e c t l y g iv e n . T h e fir s t o f th e s e e r r o r s a p p e a r e d m o s t n u m e r o u s ly in c a s e s in w h ic h t u b e r c u lo s is w a s th e r e a l t h o u g h n o t t h e r e c o r d e d c a u s e o f d e a t h ; i t a ls o p la y e d a n im p o r t a n t p a r t in c o n c e a lin g th e n u m b e r o f d e a t h s d u e t o c h ild b ir t h . T h e s e c o n d a ls o w a s f o u n d in c o n n e c t io n w it h p a r t u r it io n c a s e s , b u t a p p e a r e d fa r m o r e n u m e r o u s ly in c o n n e c t io n w it h c a s e s in w h ic h t h e a d d ic t io n t o a lc o h o lic b e v e r a g e s w a s e v id e n t ly a c o n t r i b u t o r y c a u s e , t h o u g h n o t s o r e c o r d e d . T h e t h ir d a ffe c t e d b o t h o p e r a t iv e s a n d n o n o p e r a t iv e s , t h o u g h in d iffe r e n t d e g r e e s , s o m e o f e a c h c la s s b e in g a s s ig n e d t o t h e o t h e r . T h e e x t e n t t o w h ic h e a c h o f th e s e e r r o r s p r e v a ile d , a n d t h e d e g r e e t o w h ic h i t w a s p o s s ib le t o c o r r e c t th e m is le a d in g d a t a , w ill b e d is c u s s e d s o m e w h a t fu lly . T h e r e c a n b e n o d o u b t t h a t t h e t u b e r c u lo s is r a t e w a s d im in is h e d b y in a c c u r a t e s t a t e m e n t o f th e c a u s e o f d e a t h o n th e o ffic ia l c e r t ific a t e . I n a n u m b e r o f c a s e s a m a r k e d v a r ia n c e w a s f o u n d b e t w e e n tfye a p p a r e n t ly s u p e r fic ia l c a u s e o f d e a t h c e r t ifie d t o b y t h e p h y s ic ia n a n d th e p r o b a b le b a s ic c a u s e s u g g e s t e d b y th e h is t o r y o f th e d e c e d e n t ’ s illn e s s a s r e p o r t e d b y r e la tiv e s . T h u s in c a s e s in w h ic h th e p h y s i M ETH O D S OF O B TA IN IN G M A T E R IA L. 25 c ia n 's c e r t ific a t e g a v e s o m e s u c h e q u iv o c a l c a u s e o f d e a t h as b r o n c h it is o r h e m o r r h a g e , o r s o m e te r m in a l c o n d it io n , s u c h as b r o n c h o p n e u m o n ia o r h e a r t fa ilu r e o r d e b ilit y , r e la tiv e s o f th e d e c e d e n t t e s tifie d t h a t f o r p o s s ib ly a y e a r o r m o r e b e f o r e d e a t h th e d e c e d e n t h a d h a d a b a d c o u g h , h a d b e c o m e e x t r e m e l y e m a c ia t e d , h a d s u ffe r e d f r o m n ig h t s w e a ts , h a d h a d o n e o r m o r e h e m o r r h a g e s o f b r ig h t b lo o d , a n d w a s th e s e c o n d o r t h ir d in th e f a m ily w h o h a d “ d ie d o f c o n s u m p t i o n 77 w it h in th e la s t fe w y e a r s . S u c h t e s t im o n y as t o m a t t e r s o f s im p le f a c t s e e m s e n t it le d t o c o n s id e r a b le c r e d e n c e . A s p e c ia l c a n v a s s w a s m a d e t o se e ju s t h o w c o m m o n l y t u b e r c u lo s is w a s m is r e p o r t e d o n th e o ffic ia l d e a t h c e r t ific a t e . T h e r e w e r e 188 c a s e s in w h ic h th e r e w a s a m a r k e d d is c r e p a n c y b e t w e e n th e c a u s e o f d e a t h as g iv e n o n th e d e a t h c e r t ific a t e a n d th e c a u s e o f d e a t h s u g g e s t e d b y th e h is t o r y o f th e d e c e d e n t 7s illn e s s as g iv e n b y th e fa m ily . E v e r y p h y s ic ia n w h o h a d s ig n e d o n e o f th e s e 188 c e r t ific a t e s , i f s till l iv in g a n d in F a ll R iv e r , w a s v is it e d a n d q u e s t io n e d a b o u t th e d e a th . B y th is p r o c e s s th e p r o b a b le c o r r e c t n e s s o f t h e c e r t ifie d c a u s e w a s s a t is fa c t o r ily e s t a b lis h e d c o n c e r n in g 31 o f th e s e c a se s. I n 6 5 o f th e r e m a in in g 15 7 c a s e s th e c e r t ify in g p h y s ic ia n h a d e it h e r d ie d o r l e f t F a ll R i v e r o r e lse p r o fe s s e d i n a b ilit y t o r e m e m b e r t h e c a s e . T h r e e o f th e s e 6 5 c a s e s h a d a n o v e r w h e lm in g ly t u b e r c u lo u s h is t o r y , y e t e v e n in t h e s e in s t a n c e s i t w a s f e l t t h a t u n le s s a n a d m is s io n w a s s e c u r e d f r o m t h e p h y s ic ia n t h a t th e r e c o r d e d c a u s e o f d e a t h w a s i n c o r r e c t th e. s t a t e m e n t o f th e c e r t ific a t e m u s t b e ta k e n . C o n s e q u e n t ly th e s e , w it h th e r e m a in d e r o f th e 6 5 c a s e s , h a v e b e e n c la s s e d as n o n t u b e r c u lo u s d e a t h s t h r o u g h o u t th is s t u d y , e x c e p t o n l y in th e d is c u s s io n c o n c e r n in g t u b e r c u lo u s k in d r e d . B u t th e r e m a in in g 9 2 a re e it h e r a d m it t e d ly o r d e m o n s t r a b ly c a s e s o f t u b e r c u lo u s d e a t h s . T h e s e h a v e t h e r e fo r e b e e n c la s s e d a s t u b e r c u lo u s t h r o u g h o u t t h is s t u d y . T h e 9 2 m a y b e d iv id e d i n t o th e fo llo w in g f o u r c la s s e s : 1. T h o s e in w h ic h th e c e r t ify in g p h y s ic ia n u n e q u iv o c a lly s t a t e d th e c a u s e o f d e a t h t o b e t u b e r c u lo s is . T h e s e n u m b e r e d 70. 2 . T h o s e u n e q u iv o c a lly v o u c h e d f o r as t u b e r c u lo u s b y a p h y s ic ia n w h o h a d a t t e n d e d t h e d e c e d e n t in h is la s t illn e s s , b u t h a d n o t s ig n e d th e d e a t h c e r t ific a t e . R e c o u r s e w a s h a d t o th e s e o t h e r p h y s ic ia n s o n ly b e c a u s e in e v e r y o n e o f th e s e c a s e s th e p h y s ic ia n w h o h a d s ig n e d th e c e r t ific a t e h a d e it h e r d ie d , l e f t F a ll R i v e r , o r f o r g o t t e n a ll a b o u t th e c a s e . T h is fo r g e t fu ln e s s is e x p la in e d b y th e f a c t t h a t th e s ig n e r s o f th e c e r t ific a t e s w e r e s o m e t im e s c i t y p h y s ic ia n s , w h o h a d r e s p o n d e d t o a n e m e r g e n c y c a ll, a n d p o s s ib ly h a d s e e n th e d e c e d e n t p r o fe s s io n a lly o h ly o n c e . T h e s e c a s e s n u m b e r e d 12. 3 . T h o s e w h o , a ft e r a s p u t u m e x a m in a t io n , h a d b e e n r e c o r d e d o n c i t y o r h o s p it a l r e c o r d s a s t u b e r c u lo u s . O f th e s e th e r e w e r e 5. 26 C H A P . I .— SCOPE AND M E T H O D OF IN V E ST IG A T IO N . 4, T h o s e s t a t e d b y th e c e r t ify in g p h y s ic ia n t o h a v e b e e n 11t u b e r c u lo u s p r o b a b ly .” T w o o f th e s e h a d n o t b e e n c e r t ifie d as t u b e r c u lo u s b e c a u s e n o b a c t e r io lo g ic a l e x a m in a t io n o f th e s p u t u m h a d b e e n m a d e , “ a n d s o ,” s a id t h e p h y s ic ia n , c o n c e r n in g o n e o f th e s e , “ t h o u g h I k n e w th e c a s e w^as t u b e r c u lo s is I c o u l d n ’ t a c t u a lly s w e a r i t w a s .” T h is g r o u p lik e w is e n u m b e r e d 5 . A s a r e s u lt o f th is s p e c ia l c a n v a s s , i t a p p e a r s t h a t n o t i m p r o b a b ly o n e -s ix t h (1 7 p e r c e n t ) o f a ll th e fa t a l t u b e r c u lo s is in t h e c i t y w a s m is r e p o r t e d u n d e r n o n t u b e r c u lo u s d ia g n o s e s . T h is a d m it t e d e r r o r a m o u n t e d t o 19 p e r c e n t in t h e c a s e o f th e F r e n c h C a n a d ia n s d y i n g f r o m t u b e r c u lo s is a n d t o 10 p e r c e n t in s u c h d e a t h s in t h e g e n e r a l p o p u la t io n o f a ll r a c e s . T h e d is t r ib u t io n b y s e x , a g e , r a c e , a n d o c c u p a t io n o f th e 9 2 d e c e d e n t s w h o w e r e th u s a d m it t e d t o b e v ic t im s o f t u b e r c u lo s is , t h o u g h n o t s o r e c o r d e d o n th e d e a t h c e r t ific a t e , is a s f o l l o w s : DECEDENTS A D M ITTED TO BE VICTIMS OF TUBERCULOSIS, T H O U G H NOT SO R E CORDED ON D E A T H CERTIFICATES, B Y S E X , A G E, RACE, AN D OCCUPATIONAL GROUP. French Canadians. Sex, and age group. Opera tives. All other races. Irish. Non opera tives. All races. NonOpera opera tives. tives. Opera tives. Nonopera tives. 4 1 4 1 5 1 16 1 1 15 g 1 31 10 5 4 7 17 25 42 3 4 1 1 1 4 4 20 2 2 12 14 2 32 16 Opera tives. Non Both opera tives. classes. MALES. 10 to 14 years............................ 15 to 44 years.................... 45 to 64 years............................ 12 1 Total............................... 13 FEMALES. 6 I: : : : : : : : 7 ............. 13 1 ii ! ! I 5 i 7 | 6 i................ i 10 to 14 years............................ 15 to 44 years............................ 45 to 64 years............................ 12 1 Total............................... 13 12 1 7 7 2 9 22 28 50 10 to 14 years............................ 15 to 44 years............................ 45 to 64 years............................ 24 2 1 11 13 7 7 5 5 1 2 9 5 36 3 3 27 23 3 63 26 Total................................ 26 25 7 12 6 16 39 53 92 BOTH SEXES. I t w ill b e s e e n t h a t b y fa r th e la r g e s t p r o p o r t io n o f th e s e c a s e s (5 5 p e r c e n t ) o c c u r a m o n g t h e F r e n c h C a n a d ia n s , w h o f o r m le s s t h a n o n e -q u a r t e r (2 4 p e r c e n t ) o f t h e p o p u la t io n . T h e I r is h a n d F r e n c h C a n a d ia n s t o g e t h e r m a k e u p s lig h t ly m o r e t h a n t h r e e -fo u r t h s (7 6 p e r c e n t ) o f t h e w h o le n u m b e r o f t h e s e v a r ia n t c a s e s , t h o u g h c o m p r is in g o n l y 3 6 p e r c e n t o f t h e w h o le p o p u la t io n . T h e q u e s t io n a rise s a s t o w h y th e t r u e c a u s e s h o u ld b e s o o ft e n ig n o r e d o r m is le a d in g ly r e p o r t e d o n t h e d e a t h c e r t ific a t e . T h e r e s e e m t o b e s e v e r a l r e a s o n s f o r th is . S o m e p e r s o n s a r e s e n s it iv e a s t o M ETH O D S OF O B T A IN IN G M A T E R IA L . 27 the existence of a case of tuberculosis in their family, and would seriously object to having such a cause recorded upon a certificate. The knowledge that this feeling is common may affect the physician even in cases where no such prejudice exists. But apparently by far the most effective reason is the attitude of some of the insurance companies, who may delay payment of policies in cases where deced ents are officially certified to have died from tuberculosis, and who also not uncommonly refuse to insure other members of the family of such a decedent. Physicians when asked about these variant cases occasionally admitted that the certificates were designedly mis leading, but justified them on the ground of personal financial expediency arising from intense medical competition, and on the added ground that only through such registration practices could the decedent’s family secure promptly the amount they are entitled to from the insurance companies. As in the case of deaths from tuberculosis, other cases were found in which the record was absolutely false, cases in which investi gation proved the death to have been really due to childbirth, but in which the official certificate gave some equivocal or designedly misleading term to designate the cause. But in addition to this, certificates of female decedents were often seriously defective in that they failed to give parturition as a contributory cause of death even when a pregnancy had terminated within so short a period before the death that it could hardly have failed to be a very important factor m bringing it about. Since the death certificate is supposed to give the cbntributory as well as the main cause of death, it is evident that such an omission may have almost as misleading effects as the failure to designate properly the principal cause of death. Indis putably, these omissions have served to obscure the real risks involved in pregnancy, as will be shown more fully in the discussion of parturition as a cause of death. T h e c a s e s in w h ic h t h e o ffic ia l c e r t ific a t e s c o n t a in e d a b s o lu t e ly e r r o n e o u s s t a t e m e n t s a s t o ,th e c a u s e o f d e a t h w ill b e c o n s id e r e d fir s t. I n 3 4 c a s e s in w h ic h d e a t h w a s im m e d ia t e ly a n d in d is p u t a b ly th e d i r e c t c o n s e q u e n c e e ith e r o f p a r t u r it io n o r o f it s g r o s s m is m a n a g e m e n t , t h e d e a t h r e c o r d c o n t a in e d n o t t h e s lig h e s t in t im a t io n t h a t p r e g n a n c y o r c h ild b ir t h h a d b e e n in a n y w a y t h e c a u s e , o r e v e n a c o n t r i b u t o r y c a u s e , o f d e a t h . T h e s e c a s e s fo r m e d a b o u t o n e -f o u r t h (2 6 p e r c e n t ) o f t h e a c t u a l p a r t u r it io n c a s e s 1 o c c u r r in g in F a ll R i v e r d u r in g t h e p e r io d o f th is s t u d y . O f t h e s e 3 4 c a s e s , 11 d ie d f r o m p u e r p e r a l s e p t ic e m ia ; 5 f r o m p u e r p e r a l n e p h r it is , i. e ., e c la m p s ia ; 7 f r o m p u e r p e r a l h e m o r r h a g e ; 4 f r o m E m b o lis m ; 1 f r o m s h o c k c o in c id e n t w it h c h ild b ir t h ; a n d 4 f r o m 1 Deaths from parturition, as the term is used here, include every fatal case in which a prcgnancy at any stage (including full term) had ended not more than 30 days before death occurred. 28 C H A P . I .-----SCOPE AN D M E T H O D OF IN V E ST IG A TIO N . p n e u m o n ia e n d in g w it h in 10 d a y s a ft e r th e b ir t h o f a fu ll-t e r m b a b y . A s i t 'w a s n o t c la im e d t h a t a n y o n e o f th e s e 4 c a s e s h a d a n y p u l m o n a r y s y m p t o m s o t h e r t h a n fe v e r , a n d a s t h e c e r t ify in g p h y s ic ia n w a s o n e w h o h a d a d m it t e d m is r e g is t r a t io n o f c a s e s o f t u b e r c u lo s is , it is o v e r w h e lm in g ly p r o b a b le t h a t t h e s e 4 c a s e s w e r e a c t u a lly p u e r p e r a l s e p t ic e m ia . A n d fin a lly 2 c a s e s w e r e o ffic ia lly r e p o r t e d u n d e r m is c e lla n e o u s d e s ig n a t io n s , e a c h o b v io u s ly h a v in g b e e n s p e e d ily fa t a l t h r o u g h p a r t u r it io n . I n th e s e 3 4 c a s e s t h e p r o o f t h a t t h e d e a t h w a s r e a lly d u e t o p r e g n a n c y o r p a r t u r it io n w a s s o s t r o n g t h a t t h e o ffic ia l c e r t ific a t e s h a v e b e e n d is r e g a r d e d , a n d t h e d e a t h s h a v e b e e n c la s s e d as d u e t o p a r t u r it io n . I n 2 6 o t h e r c a s e s in w h ic h a p r e g n a n c y h a d t e r m in a t e d w it h in 3 0 d a y s o f t h e d e a t h , t h e c e r t ific a t e s c o n t a in n o m e n t io n o f e it h e r p r e g n a n c y o r p a r t u r it io n a s e v e n a c o n t r i b u t o r y c a u s e o f d e a t h , a n d in d e e d g iv e n o in t im a t io n t h a t s u c h a s t a t e o f a ffa ir s e x is t e d . Y e t i t is e v id e n t t h a t w h e r e a p r e g n a n c y h a s t e r m in a t e d w it h in s o b r ie f a p e r io d b e f o r e d e a t h i t is h a r d ly p o s s ib le t h a t i t s h o u ld n o t h a v e b e e n in s o m e d e g r e e a c o n t r i b u t o r y c a u s e . I n th e s e c a s e s , t h e r e fo r e , w h ile t h e c a u s e o f d e a t h a s g iv e n o n t h e c e r t ific a t e s h a s b e e n r e t a in e d a n d u s e d , t h e r e c o r d s h a v e b e e n c o m p le t e d b y in c lu d in g p a r t u r it io n a s a c o n t r ib u t o r y f a c t o r . O f t h e s e 2 6 d e a t h s 14 a r e o ffic ia lly a s c r ib e d t o t u b e r c u lo s is , 3 t o t y p h o i d fe v e r , 4 t o p n e u m o n ia , a n d 5 t o m is c e lla n e o u s , n o n in fe c t io u s c a u s e s . O n e o f th e s e la s t w a s a c a s e o f c r im in a l a b o r t io n , in w h ic h t h e c a u s e o f d e a t h w a s o ff ic ia lly g iv e n as “ h e a r t s t o p p e d .5’ T h is c a s e h a s b e e n c la s s e d t h r o u g h o u t th is s t u d y as a d e a t h f r o m v io le n c e , b u t f o r t h e 2 5 o t h e r s i t h e c a u s e o f d e a t h a s g iv e n o n t h e c e r t ific a t e h a s b e e n a c c e p t e d , a n d t h e y h a v e b e e n c la s s e d a c c o r d in g ly . T o s u m u p t h e s it u a t io n , in F a ll f t i v e r d u r in g t h e p e r io d c o v e r e d th e r e w e r e 1 63 fe m a le d e c e d e n t s w h o h a d h a d a p r e g n a n c y t e r m in a t in g w it h in 3 0 d a y s o f d e a t h . I n 1 2 0 c a s e s t h e d e a t h s w e r e c le a r ly a t t r ib u t a b le t o p a r t u r it io n ; w h ile in 4 3 c a s e s , a lt h o u g h s o m e o t h e r c a u s e w a s a c c e p t e d a s t h e p r in c ip a l fa c t o r , p a r t u r it io n w a s p la in ly a v e r y im p o rta n t c o n tr ib u to r y cau se. E r r o r s d u e t o t h e o m is s io n o f a n im p o r t a n t c o n t r i b u t o r y c a u s e o f d e a t h a p p e a r fa r m o r e n u m e r o u s ly in c a s e s in w h ic h a lc o h o lis m h a s p la y e d a p a r t t h a n in a n y o t h e r c o m b in a t io n . E v e n as a c o n t r i b u t o r y c a u s e o f d e a t h a lc o h o lis m is a lm o s t in v a r ia b ly o m it t e d . A l c o h o lic a d d ic t io n , a s t h e t e r m is u s e d in t h is s t u d y , m e a n s t h a t t h e d e c e d e n t c u s t o m a r ily d r a n k a lc o h o lic b e v e r a g e s d a ily , a n d b e c a m e i n t o x ic a t e d a t le a s t o n c e a m o n t h . P e r io d ic a l a t t a c k s o f a lc o h o lis m t h r e e o r f o u r t im e s a y e a r , w it h a b s t in e n c e o r v e r y t e m p e r a t e u s e o f a lc o h o lic b e v e r a g e s d u r in g t h e in t e r v a ls b e t w e e n s u c h “ s p r e e s ” h a v e , t h e r e fo r e , b e e n e x c lu d e d as e v id e n c e o f a lc o h o lic a d d ic t io n , as a b o v e d e fin e d . M ETH O D S OF O B T A IN IN G M A T E R IA L. 29 I t is a p p r e c ia t e d t h a t t h e in fo r m a n t s ’ d e fin it io n o f “ i n t o x i c a t i o n ” m a y r a n g e o v e r a c o n s id e r a b le la t it u d e . I t is a ls o a p p r e c ia t e d t h a t t h e in fo r m a n t s m a y h a v e b e e n in flu e n c e d , o n t h e o n e h a n d , b y p e r s o n a l r e s e n t m e n t , r e s u lt in g in a n e x a g g e r a t io n o f t h e d e c e d e n t ’s t e n d e n c y t o a lc o h o lis m , o r o n t h e o t h e r h a n d , m a y h a v e b e e n in flu e n c e d t h r o u g h a c h a r it a b le fo r g e t fu ln e s s o r m in im iz in g o f th e ir r e la t iv e ’s a lc o h o lic h a b it s o r d ise a se s. T h e t e n d e n c y t o e x c u s e t h r o u g h m in im iz in g t h e d e p lo r a b le h a b it s o f a d e a d s o n , fa t h e r , o r b r o t h e r s e e m e d t o t h e w r it e r q u it e as s t r o n g as t h e t e n d e n c y t o e x a g g e r a t e t h e m t h r o u g h b it t e r n e s s o r m a le v o le n c e t o w a r d t h e d e a d . O n t h e w h o le , t h e r e is p r o b a b ly u n d e r s t a t e m e n t r a t h e r t h a n o v e r s t a t e m e n t o f t h e p r e v a le n c e in F a ll R iv e r o f fa t a lit ie s d u e t o a lc o h o lic a d d ic t io n , a t le a s t as a c o n t r i b u t o r y c a u s e . A c c o r d in g t o t h e t e s t im o n y o f t h e n e x t o f k in o f d e c e d e n t m a le s a g e d 2 5 t o 4 4 , t h e h a b it u a l u s e t o e x c e s s o f a lc o h o lic b e v e r a g e s c h a r a c t e r iz e d 93 o f t h e 1 8 7 d e c e d e n t I r is h ; 7 4 o f th e 163 d e c e d e n t F r e n c h C a n a d ia n s ; a n d a p p r o x im a t e ly 1 d e c e d e n t o u t o f e v e r y 3 (3 6 p e r c e n t ) a g e d 2 5 t o 4 4 o f a ll r a c e s . O f th e 2 4 8 w h o d ie d fr o m t u b e r c u lo s is , 11 0 (o r 4 4 p e r c e n t ) w e r e b y t h e ir n e x t o f k in a lle g e d t o h a v e b e e n a d d ic t e d t o t h e e x c e s s iv e u s e o f a lc o h o lic b e v e r a g e s , as w e r e a p p r o x im a t e ly 3 o u t o f e v e r y 10 (31 p e r c e n t ) n o n t u b e r c u lo u s d e c e d e n t s o f a ll r a c e s a g e d 2 5 t o 4 4 . F u r t h e r m o r e , n o t m u c h s m a lle r a lc o h o lic a d d i c t i o n ” p e r c e n t a g e s w e r e o b t a in e d f o r th e g r e a t m o r t a lit y a g e g r o u p , 4 5 t o 6 4 , v iz , 3 7 p e r c e n t o f t h e t u b e r c u lo u s a n d 2 8 rper c e n t o f t3n?e n o n t u b e r c u lo u s d e c e d e n t s . A c a u s e w h ic h , a m o n g 1 ,4 7 4 d e c e d e n t s a g e d 2 5 t o 4 4 y e a r s , w a s th u s Jan a c c o m p & n y in g c ir c u m s t a n c e o f 1 o u t o f e v e r y 3 (3 2 p e r c e n t ) d e a t h s a m o n g m a le s in th e m o s t a c t iv e w o r k in g a g e g r o u p s s h o u ld fin d it s e lf r e fle c t e d o n o ffic ia l d e a t h c e r t ific a t e s t o a d e g r e e c o m m e n s u r a te s o m e w h a t w it h its r e a l p r e v a le n c e a n d its g r e a t im p o r t a n c e as a s t r ic t ly p r e v e n t a b le c a u s e o f d e a th . T h r o u g h o u t th is s t u d y a lc o h o lic a d d ic t io n , u n le s s c e r t ifie d t o as “ a lc o h o lis m ” b y t h e a t t e n d in g p h y s ic ia n , h a s n o t b e e n s c h e d u le d a m o n g t h e r e g u la r o ffic ia lly s t y le d “ c a u s e s o f d e a t h .” I n a d d it io n t o th e e r r o r s c o n c e r n in g th e c a u s e o f d e a t h , w h e t h e r p r in c ip a l o r c o n t r ib u t o r y , t h e r e c o r d s w e r e fo u n d t o b e s e r io u s ly in a c c u r a t e in t h e ir s t a t e m e n t s c o n c e r n in g t h e d e c e d e n t ’s o c c u p a t io n . F o r t u n a t e ly , it w a s p o s s ib le t o c o r r e c t th is e r r o r t o a v e r y c o n s id e r a b le d e g r e e , fa r m o r e s o t h a n it w a s in t h e c a s e o f e r r o r s r e s p e c t in g th e c a u s e o f d e a th . I t w a s fe lt t h a t in t h is s t u d y it w a s n e c e s s a r y t o a c c e p t t h e p h y s ic ia n ’s o ffic ia l s t a t e m e n t as t o th e c a u s e o f d e a t h , .e x c e p t as t o d e a th s fr o m c h ild b ir t h a n d p r e g n a n c y in w h ic h o n ly q u e s t io n s o f fa c t w e r e in v o lv e d , u n le s s h e h im s e lf a c k n o w le d g e d t h a t t h e o r ig in a l c e r t ific a t io n w a s w r o n g ; a n d th is p o l i c y w a s fo llo w e d n o m a t t e r h o w s e r io u s ly t h e c o r r e c t n e s s o f t h e c e r t ific a t e w a s d o u b t e d . 80 C H A P . I .— SCOPE A N D M ET H O D OF IN V E ST IG A TIO N . B u t a s im ila r a d h e r e n c e t o t h e r e c o r d w a s n o t c o n s id e r e d n e c e s s a r y in r e g a r d t o th e s t a t e m e n t o f t h e d e c e d e n t 's o c c u p a t io n , t h is b e in g a m a t t e r o n w h ic h t h e p h y s ic ia n ’s p r o fe s s io n a l t r a in in g w o u ld h a v e n o b e a r in g , a n d o f w h ic h n e it h e r h e n o r t h e h u r r ie d a n d o ft e n t im e s c a re le s s u n d e r t a k e r p r o b a b ly h a d p e r s o n a l k n o w le d g e . W h e n , th e r e fo r e , a n i n fo r m a n t 's s t a t e m e n t as t o t h e o c c u p a t io n o f a g iv e n d e c e d e n t d iffe r e d f r o m t h a t o f th e d e a t h c e r t ific a t e , t h e fo r m e r w a s t a k e n as a u t h o r it a t iv e . T h e e r r o r s o f t h e d e a t h c e r t ific a t e s as t o o c c u p a t io n w e r e o f b o t h o m is s io n a n d c o m m is s io n . P e r s o n s w h o w e r e r e a lly c o t t o n -m ill o p e r a t iv e s w e r e n o t s o r e c o r d e d , a n d o t h e r s w e r e r e g is t e r e d a s o p e r a t iv e s w h o h a d n e v e r w o r k e d in a c o t t o n m ill o r wrh o h a d n o t d o n e s o f o r m o r e t h a n t w o y e a r s p r e c e d in g d e a t h .1 T h e fo r m e r e r r o r w a s t h e m o r e c o m m o n a m o n g fe m a le a n d t h e la t t e r a m o n g m a le d e c e d e n t s . T h e e x t e n t o f t h e s e e r r o r s a s a c c u r a t e ly d e t e r m in e d in F a ll R i v e r f o r t h e w h o le 8 -y e a r p e r io d s h o w s m o s t c o n c lu s iv e ly t h e s e r io u s n e s s o f t h e m is a p p r e h e n s io n w h ic h w o u ld b e c a u s e d b y u s in g th e o ffic ia l c e r t ific a t e s w it h o u t in v e s t ig a t io n o f t h e ir a c c u r a c y . F o r t h e 8 -y e a r p e r io d (1 9 0 5 -1 9 1 2 ) n e a r ly o n e -h a lf (4 9 p e r c e n t ) o f th e fe m a le d e c e d e n t s w h o w e r e fo u n d t o h a v e b e e n c o t t o n - m i ll o p e r a t iv e s w^ere n o t s o r e c o r d e d .2 O n t h e o t h e r h a n d , o n e -e ig h t h (1 3 p e r c e n t ) o f th e g r o u p r e c o r d e d as o p e r a t iv e s w e r e fo u n d 'o n in v e s t ig a t io n n o t t o h a v e b e e n c o t t o n -m ill o p e r a t iv e s . A m o n g t h e m a le s f o r th e s a m e p e r io d , 2 3 p e r c e n t o f t h o s e w h o w e r e fin a lly c la s s e d as c o t t o n o p e r a t iv e s w e r e r e c o r d e d o n t h e d e a t h c e r t ific a t e as fo llo w in g s o m e o t h e r o c c u p a t io n , w h ile o n e -fo u r t h o f t h o s e r e c o r d e d as o p e r a t iv e s c o u ld n o t p r o p e r ly b e in c lu d e d a m o n g c o t t o n - m i ll w orkers. T h e r e c o r d e d n u m b e r o f m a le o p e r a t iv e d e c e d e n t s in F a ll R i v e r f o r t h e 8 -y e a r p e r io d w a s 9 1 5 . O f th e s e , 2 3 3 were fo u n d n o t t o h a v e b e e n c o t t o n o p e r a t iv e s , w h ile 2 0 7 w h o o n t h e ir d e a t h c e r t ifi c a t e s w e r e a s s ig n e d t o o t h e r o c c u p a t io n s h a d r e a lly b e e n c o t t o n o p e r a t iv e s . T h e r e a l n u m b e r o f m a le o p e r a t iv e d e c e d e n t s , t h e r e fo r e , w a s 8 8 9 , t h e g r o u p as r e c o r d e d h a v in g b e e n la r g e r b y 2 6 t h a n t h e fa c t s ju s t ifie d . O n th e o t h e r h a n d , th e r e c o r d e d n u m b e r o f fe m a le o p e r a t iv e d e c e d e n t s in F a ll R i v e r f o r th e 8 -y e a r p e r io d w a s 5 4 8 . O f th e s e 71 w e r e 1 A considerable part of this error is due to the vague use of the term “ operative,” which is frequently omployed on death certificates with nothing to show whether the person concerned worked in cotton or woolen mills, in dye works, bleaeheries or printeries, or in piano or hat factories. 2 For the 5-year period of the present study, 606 male decedents were recorded as cotton operatives, of whom 130 proved not to be so, while 126 who were otherwise recorded proved to belong among the cotton operatives, the net result being a group of 602 male cotton operative decedents, instead of the 606 give:i on the records. Among the female decedents for the same period, 377 were recorded as cotton operatives, of w hom 47 were found not to have been so, while 307 others who were recorded as having other or no occu pations were found to have been really cotton operatives. The net result was, therefore, to bring up the number of female operatives among the decedents from 377 to 637. M ETH O D S OF O B T A IN IN G MATERIAL,. 31 f o u n d n o t t o h a v e b e e n c o t t o n o p e r a t iv e s , w h ile 4 5 9 w h o w e r e r e c o r d e d e it h e r a s h a v in g o t h e r o c c u p a t io n s o r n o o c c u p a t io n a t a ll p r o v e d o n in v e s t ig a t io n t o h a v e b e e n r e a lly c o t t o n o p e r a t iv e s . T h e c o r r e c t n u m b e r o f fe m a le o p e r a t iv e d e c e d e n t s , t h e r e fo r e , w a s 9 3 6 , a n d t h e g r o u p a s r e c o r d e d w a s t o o s m a ll b y 3 8 8 . S in c e th e g r o u p o f m a le o p e r a t iv e d e c e d e n t s w a s t o o la r g e b y w h ile th e g r o u p o f fe m a le o p e r a t iv e d e c e d e n t s w a s t o o s m a ll b y 3 8 8 , i t is e v id e n t t h a t th e w h o le n u m b e r o f r e c o r d e d o p e r a t iv e d e c e d e n t s w a s t o o s m a ll b y 3 6 2 , a n d t h a t th e u s e o f th e u n c o r r e c t e d r e c o r d s w o u ld h a v e g iv e n a d e a t h r a t e c o n s id e r a b ly b e lo w th e c o r r e c t o n e . A s a ll d e c e d e n t s 10 y e a r s o f a g e o r o v e r in F a ll R i v e r f o r th e th r e e y e a r s 1 9 0 5 t o 1 9 0 7 w e r e in v e s t ig a t e d , th e o c c u p a t io n a l d a t a in th e fir s t s t u d y w e r e f u ll y c o r r e c t e d . I n th e p r e s e n t in q u ir y , c o v e r in g th e fiv e y e a r s 1 9 0 8 t o 1 9 1 2 , a ll d e c e d e n t s a g e d 10 t o 64 y e a r s w e r e in v e s t i g a te d . A ls o , a ll r e c o r d e d as h a v in g d ie d fr o m t u b e r c u lo s is , o r as h a v in g b e e n o p e r a t iv e s , w e r e in v e s t ig a t e d , w h a t e v e r t h e ir a g e . H e n c e , a ll t u b e r c u lo u s o p e r a t iv e s w e r e i n e v it a b ly fo u n d , a n d i f n o t a lr e a d y r e c o r d e d as o p e r a t iv e s w e r e a d d e d t o t h a t g r o u p . A ls o , a ll t h o s e in c o r r e c t ly r e c o r d e d a s o p e r a t iv e s w e r e d is c o v e r e d a n d e x c lu d e d fr o m th e o p e r a t iv e g r o u p . B u t t h o s e n o n t u b e r c u lo u s d e c e d e n t s , a g e d 6 5 y e a r s o r o v e r , w h o w e r e r e a lly o p e r a t iv e s , t h o u g h n o t s o r e c o r d e d , w e r e n o t d is c o v e r e d .1 H e n c e t h e n u m b e r o f o p e r a t iv e d e c e d e n t s f o r the 5 -y e a r p e r io d 1 9 0 8 -1 9 1 2 is p o s s ib ly t o o lo w . The e ff e c t o f th is w o u ld b e t o c a u s e a s lig h t in a c c u r a c y in c o m b in a t io n s i n v o l v i n g th e n o n t u b e r c u lo u s o p e r a t iv e d e c e d e n t s o f a ll a g es, b o t h f o r th e 5 a n d f o r t h e 8 -y e a r p e r io d . S u m m in g u p th e w h o le s it u a t io n , t h e n , a s t o t h e a c c u r a c y o f th e in fo r m a t io n c o n c e r n in g d e c e d e n t s o n w h ic h th is s t u d y is b a s e d , i t m a y b e s a id t h a t as t o th e p r in c ip a l c a u s e o f d e a t h th e r e a re u n d o u b t e d ly s o m e e r r o r s , b u t t h a t t h e s e a ll t e n d t o w a r d m a k in g th e r a t e s f o r b o t h t u b e r c u lo s is a n d p a r t u r it io n s m a lle r t h a n t h e y s h o u ld b e . U n q u e s t io n a b ly t h e in fo r m a t io n is o ft e n d e fe c t iv e a s t o c o n t r i b u t o r y c a u s e s o f d e a t h . C o n t r ib u t o r y c a u s e s a re, h o w e v e r , t r e a t e d o n l y in d is c u s s io n , in w h ic h a t t e n t io n w ill b e c a lle d t o s u c h in a c c u r a c ie s . T h e o c c u p a t io n a l a n d t u b e r c u lo u s d a t a a re c o r r e c t f o r t h e th r e e y e a r s c o v e r e d b y th e fir s t r e p o r t . T h e s a m e d a t a f o r th e fiv e y e a r s o f t h is s t u d y a re c o r r e c t f o r a ll c la s s e s f o r t h e a g e p e r io d 10 t o 6 4 y e a r s , a n d f o r t u b e r c u lo u s d e c e d e n t s o f a ll a g e s. F o r n o n t u b e r c u lo u s d e c e d e n t s a g e d 6 5 y e a r s a n d o v e r , h o w e v e r , t h e n u m b e r o f o p e r a t iv e s is p o s s ib ly s o m e w h a t t o o s m a ll. 1 The cases of 44 males and 2 females aged 65 years or over were discovered to be incorrectly regis tered and are therefore excluded from this study. 32 C H A P . I .---- SCOPE AN D M ET H O D OF IN V E ST IG A TIO N . ITEMS TABULATED. T h e fa c t s o b t a in e d b y th e s e m e t h o d s h a v e b e e n t a b u la t e d w it h v a r y in g d e g r e e s o f c o m p le t e n e s s a c c o r d in g t o t h e ir im p o r t a n c e . T h e f o llo w in g it e m s h a v e b e e n t a b u la t e d f o r t h e m illw o r k e r s in e a c h o c c u p a t io n : (1 ) T h e n u m b e r o f d e a t h s ; (2 ) t h e c a u s e o f d e a t h a s g iv e n o n t h e o ffic ia l c e r t ific a t e ; (3 ) t h e a g e o f d e c e d e n t s ; (4 ) t h e ir c o lo r ; (5 ) s e x ; (6 ) t h e ir r a c e , as d e t e r m in e d b y b ir t h p la c e o f fa t h e r ; (7 ) c o n ju g a l c o n d it io n ; (8 ) p e r io d o u t o f e m p lo y m e n t b e f o r e d e a t h . A s c o r e o f o t h e r p e r s o n a l d a t a c o n c e r n in g t h e d e c e d e n t w h ic h m a y h a v e b o r n e s o m e c a u s a t iv e r e la t io n t o l e n g t h o f life h a v e b e e n t a b u la t e d u n d e r s o m e h a lf d o z e n c la s s ific a t io n s — a g e , s e x , c a u s e o f d e a t h , in d u s t r y , s p e c ific o c c u p a t io n , p e r io d o u t o f e m p lo y m e n t b e fo r e d e a t h , an d race. I t is b e lie v e d t h a t t h e r e p e a t e d c o m p a r is o n s w h ic h e v e r y s t a t is t ic a l it e m u n d e r g o e s in th e s e n u m e r o u s t a b u la t io n s a n d c la s s ific a t io n s t e n d t o le s s e n th e im p o r t a n c e o f a d v e n t it io u s a n d in c id e n t a l fa c t o r s , a n d t o b r in g in h e r e n t a n d b a s ic e le m e n t s in t o g r e a t e r p r o m in e n c e . I f a g iv e n f a c t o r m a k e s it s a p p e a r a n c e in o n ly o n e t a b u la t io n , th e r e is r e a s o n f o r lo o k in g u p o n i t a s th e r e s u lt o f s o m e s t r ic t ly lim it e d c a u s e ; w h ile th e m o r e fr e q u e n t ly i t a p p e a r s in th e v a r io u s a g e g r o u p c la s s ifi c a t io n s a n d t a b u la t io n s , t h e g r e a t e r t h e r e a s o n f o r l o o k in g u p o n i t a s o f b a s ic s ig n ific a n c e . AGE-ADJUSTED DEATH RATES. T h e c o m p a r is o n s w e r e m a d e la r g e ly b e t w e e n t h e d e a t h r a t e s o f th e v a r io u s g r o u p s , as d e s c r ib e d in t h e e x p la n a t io n o f t h e ^ d e a t h -r a t e m e t h o d " g iv e n in t h e in t r o d u c t io n . (S e e p . 1 1 .) W h e n d e a t h r a t e s a re c a lc u la t e d f o r p e r io d s o f 5 o r 10 y e a r s , a c o m p a r is o n b e t w e e n t h e m g iv e s a r e lia b le t e s t o f t h e c o m p a r a t iv e m o r t a lit y in t h e g r o u p s f o r w h ic h th e r a te s a re c a lc u la t e d . B u t a n y c o m p a r is o n b e t w e e n t h e d e a t h r a t e s o f t w o g r o u p s f o r a b r o a d a g e p e r io d is a p t t o m is le a d b e c a u s e o f th e d iffe r e n t a g e d is t r ib u t io n o f t h e t w o g r o u p s w it h in t h e p e r io d c o v e r e d . T a k e , f o r in s t a n c e , th e F a ll R i v e r p o p u la t io n a g e d 15 t o 6 4 . T h e a g e g r o u p 15 t o 2 4 c o n t a in s n e a r ly h a lf (4 5 p e r c e n t ) o f t h e o p e r a t iv e p o p u la t io n , b u t le ss t h a n o n e -f o u r t h (2 4 p e r c e n t ) o f th e n o n o p e r a t iv e , w h ile th e a g e g r o u p 4 5 t o 6 4 c o n t a in s o n ly 13 p e r c e n t o f th e o p e r a t iv e a g a in s t 2 7 p e r c e n t o f th e n o n o p e r a t iv e p o p u la t io n . T h a t is, th e o p e r a t iv e s h a v e n e a r ly t w ic e a s la r g e a p r o p o r t io n o f th e ir t o t a l n u m b e r in th e y o u n g e s t g r o u p a s is t h e c a s e w it h t h e n o n o p e r a t iv e s , w h ile t h e la t t e r h a v e t w ic e a s la r g e a p r o p o r t io n a s t h e o p e r a t iv e s in t h e a g e g r o u p s b e y o n d 4 4 . B u t s in c e t h o s e in y o u t h f u l a g e g r o u p s a r e n o r m a lly f a r le s s lia b le t o d ie t h a n t h o s e in a d v a n c e d life , a c o m p a r is o n o f t o t a l d e a t h r a te s f o r o p e r a t iv e s a n d n o n o p e r a t iv e s c o v e r in g t h e w h o le p e r io d m ig h t b e , a n d in f a c t is, AG E-AD JU STED D EATH RATES. 33 e x c e e d in g ly m is le a d in g . To s h o w t o w h a t e x t e n t t h is is tr u e , suppose it is d e s ir e d t o c o m p a r e t h e d e a t h r a t e s fr o m n o n t u b e r c u lo u s c a u s e s o f o p e r a t iv e s a n d n o n o p e r a t iv e s f o r th e 3 0 -y e a r p e r io d 15 to 4 4 , th e 2 0 -y e a r p e r io d 4 5 t o 6 4 , a n d t h e 5 0 -y e a r p e r io d 15 t o 6 4 . The a g e d is t r ib u t io n o f th e p o p u la t io n w it h in th is 5 0 -y e a r p e r io d and th e d e a t h r a te s f o r th e s e v e r a l 1 0 -y e a r a g e g r o u p s a re as fo llo w s : D ISTRIBUTIO N B Y 10-YEAR AGE GROUPS OF O PER ATIVES AND N O N O PER ATIVES, AND D E A T H R A T E S PER 1,000 FROM NONTUBERCULOUS CAUSES W IT H IN EACH AGE GROUP. Operatives. Age group. Number. Nonoperatives. Death Per cent. rate per 1,000. 15 to 24 years.............................................. 25 to 34 years.............................................. 35 to 44 years.............................................. 45 to 54 years.............................................. 55 to 64 years.............................................. 12,683 7,042 4,773 2,822 932 45 25 17 10 3 Total............................ ................... 28,252 100 2.08 4.60 6.29 12.54 33.05 Number. Death Per cent. rate per 1,000. 12,472 13,748 12,022 8,300 5,628 24 26 23 16 11 52,170 100 1.57 3.70 5.87 11.08 27.40 Here in each 10-year age group the death rate of the operatives is higher than that of the nonoperatives, but when the death rates are calculated for the three broad age periods mentioned, the follow ing results are obtained: D E A T H R ATES PER 1,000 AMONG O P E R A T IV E S A N D N O N O P E R A T IV E S , FROM NON TU BER CU LO U S CAUSES, B Y A G E GROUP. Age group. 15 to 44 years........................................................................................................................... 45 to 64 years........................................................................................................................... 15 to 64 years........................................................................................................................... Operative death rate. 3.62 17.64 5.49 Nonoperative death rate. 3.69 17.67 7.42 That is, a comparison of the actual or crude death rates shows that while in each 10-year age group the operatives have the higher death rate, yet when two, three, or more of the 10-year age groups are combined the nonoperatives invariably have the higher rates. This apparent anomaly is due, of course, to the different age distri bution of the two populations, the nonoperatives having the larger proportion in the upper age groups where the death-rates are high, and hence having the larger actual number of deaths. But however explicable it may be, this contradiction in the rates for the whole period as compared with the rates for the 10-year periods evidently obscures the real situation. In order to make any valid comparison 88204°—19—Bull. 251------3 34 C H A P . I .---- SCOPE AN D M ET H O D OF IN V E ST IG A TIO N . between the death rates of the two groups for any long period, it is necessary to use age-adjusted death rates, which are thus obtained: The actual or crude death rates of both operative and nonoperative populations by 10-year age groups are first calculated. The 10-year age groups of the operative population are then taken as a standard and the corresponding 10-year age groups of the nonoperative popu lation are arbitrarily made to agree with this standard. The death rates already calculated are then applied to these standardized 10-year age groups and the total number of deaths thus obtained is used as the basis for the death rate for the whole period. T o illu s t r a t e th is m e t h o d , t a k e th e c a s e a lr e a d y u s e d o f a c o m p a r is o n b e t w e e n th e d e a t h r a te s fr o m n o n t u b e r c u lo u s c a u s e s o f o p e r a t iv e s a n d n o n o p e r a t iv e s f o r 3 0 , 2 0 , a n d 5 0 -y e a r p e r io d s . T h e a c t u a l d is t r ib u t io n o f th e t w o p o p u la t io n s a n d th e ir d e a t h r a te s fr o m n o n t u b e r c u lo u s c a u s e s b y 1 0 -y e a r a g e g r o u p s h a v e a lr e a d y b e e n g iv e n . S in c e th e o p e r a t iv e p o p u la t io n is t a k e n as a s t a n d a r d , th e r a te s f o r o p e r a t iv e s a re l e f t u n c h a n g e d . T o a d ju s t th e d e a t h r a t e s f o r n o n o p e r a t iv e s t o th is s t a n d a r d , th e n u m b e r o f o p e r a t iv e s in e a c h 1 0 -y e a r a g e g r o u p is s u b s t it u t e d f o r th e n u m b e r o f n o n o p e r a t iv e s in t h a t g r o u p , a n d th e c r u d e d e a t h r a te s a lr e a d y c a lc u la t e d f o r n o n o p e r a t iv e s a r e a p p lie d t o th e s e a lte r e d g r o u p s . T h is g iv e s t h e fo llo w in g r e s u lt s : A V E R A G E A N N U A L D E A T H S FROM N O N TU BER CU LO U S CAUSES AM ONG N O N O P E R A T IV E S IN EACH A G E GROUP, COMPUTED ON BASIS OF N U M B E R OF OP E R A T IV E S IN EACH AG E GROUP. Age group. 15 to 24 years......................................................................................... 25 to 34 years......................................................................................... 35 to 44 years......................................................................................... 45 to 54 years......................................................................................... 1I 55 to 64 years......................................................................................... Number in standard age group. Crude death rate for non operatives. 12,683 7,042 4, 773 2,822 932 1.57 3.70 5.87 11.08 27.40 Average an nual deaths in stand ardized age group. 19.91 26.05 28.02 31.27 25.53 C o m b in in g a s t o p o p u la t io n a n d a ls o as t o d e a t h s t h e 1 0 -y e a r a g e p e r io d s , a n d c a lc u la t in g a n e w d e a t h r a t e f r o m t h e t o t a ls t h u s o b ta in e d , w e h a v e t h e fo llo w in g r e s u lts fo r th e 3 0 , th e 2 0 , a n d th e 5 0 y e a r a g e p e r io d s : D E A T H R A T E S (A G E-AD JUSTED ) FROM N O N TUBER CU LO U S CAUSES, AM ONG N O N O P E R A T IV E S, B Y A G E GROUP. Age group. 15 to 44 years......................................................................................... 45 to 64 vears......................................................................................... 15 to 64 years......................................................................................... Number in group. Average an nual deaths. Age-adjusted death rate. 24.498 3,754 28,252 73.98 56.80 130.78 3.02 15.13 4.63 35 AGE-AD JU S T E D D EATH RATES. The revised or age-adjusted death rates thus obtained are abso lutely comparable with the death rates of the operatives, since they are based on the number of deaths which would have taken place among the nonoperatives had their number and age distribution been the same as those of the operatives, their actual death rates remaining unchanged. But the difference which this age adjustment makes in the comparison between the death rates of the operatives and nonoperatives is so striking that it is worth while to nresent an illustration in tabular form: DIFFERENCE IN R ESULTS O BTAINED B Y COMPARING CRUDE A N D AGE-AD JU STED D E A T H RATES FROM NONTUBERCULOUS CAUSES OF O PER ATIVES AN D NON OPERATIVES. Crude rate. Age group. Operative rate. 15 to 44 years............................... 45 to 64 years............................... 15 to 64 years............................... 3.62 17.64 5.49 Age-adjusted rate. Per cent of Nonexcess in Operative operative rate for non rate. rate. operatives. Non operative rate. 3.62 17.64 5.49 3.02 15.13 4.63 3.69 17.67 7.42 1.9 .2 35.2 Per cent of excess in rate for op eratives. 19.9 16.6 18. ft T h e n o n o p e r a t iv e e x c e s s w h ic h th e c r u d e r a te s s h o w d is a p p e a r s e n t ir e ly w h e n th e a g e -a d ju s t e d r a te s a re u s e d a n d in it s p la c e a p p e a r s a n o p e r a t iv e e x c e s s . T h e c r u d e r a te s s h o w fo r t h e a g e g r o u p 15 t o 6 4 a n e x c e s s in d e a t h r a t e a m o n g th e n o n o p e r a t iv e s a m o u n t in g t o o v e r o n e -t h ir d , b u t w h e n t h e r a te s h a v e b e e n m a d e r e a lly c o m p a r a b le b y a d ju s tin g t h e m t o th e a g e d is t r ib u t io n o f t h e s t a n d a r d g r o u p , t h e o p e r a t iv e s s h o w a d e a t h r a t e la r g e r b y n e a r ly o n e -fift h t h a n t h a t o f t h e n o n o p e r a t iv e s . T h e c o m p a r is o n o f t h e c r u d e r a t e s s h o w s r e s u lts n o t o n ly e r r o n e o u s , b u t e r r o n e o u s t o s u c h a d e g r e e t h a t t h e r e a l s it u a t io n is c o m p le t e ly o b s c u r e d a n d th e fu n d a m e n t a l f a c t c o n c e r n in g t h e r e la t iv e d e a t h h a z a r d fr o m n o n t u b e r c u lo u s ca u s e s o f th e t w o c la s s e s is m is r e p r e s e n te d . T o a v o id t h e p o s s ib ilit y o f s u c h m is r e p r e s e n t a t io n s , th e a g e a d ju s t e d d e a t h r a te s w ill b e u s e d t h r o u g h o u t th is s t u d y w h e n e v e r i t is d e s ir a b le t o c o m p a r e a g e g r o u p s c o v e r in g 2 0 , 3 0 , o r 5 0 y e a r s , p r o v id e d , w h ic h is u s u a lly th e c a se , th e c o n s t it u e n t 5 o r 1 0 y e a r a g e g r o u p s a r e o f a s iz e lik e ly t o g iv e a r a t e w h ic h w ill it s e lf b e r e a s o n a b ly t y p ic a l. I n e v e r y c a s e th e t o t a l o p e r a t iv e p o p u la t io n , a s d is t r ib u t e d in th e v a r io u s a g e g r o u p s , is ta k e n a s th e s t a n d a r d in c a lc u la t in g th e a g e -a d ju s t e d d e a t h r a te s f o r a n y g r o u p s h o w n in t h is r e p o r t . 36 C H A P . I .— SCOPE AN D M E T H O D OP IN V E ST IG A TIO N . COMPARATIVE STUDY OF SELECTED GROUPS AND CLASSES. The age period 15 to 4 4 years was selected for special intensive study, first, because more than one-half of the entire population is found within its limits, so that it presents a wider field for study than a more limited age group could present. Moreover, for a study of causes of deaths among cotton operatives, this group presents unique advantages, since more than four-fifths (8 4 per cent) of the entire' operative population is included within it. Second, within its limits are found over three-fourths (7 6 per cent) of the entire number of deaths of tuberculous persons aged 10 or over, nearly two-thirds (6 5 per cent) of the whole operative mortality from all causes, and almost nine-tenths (88 per cent) of the deaths of operatives from tuber culosis. Third, it represents a period of full industrial activity dur ing which the death rate would normally be low. It is customary to present vital statistics by age groups of .10 years. If this period from 15 to 44 years, inclusive, be divided into these customary groups of 10 years, the death rates of these three groups are suffi ciently similar to justify considering the three together as a single age group characterized throughout by a low mortality. In regard to sex, special attention has been given to the study of female decedents as compared with the corresponding classes of male decedents. S p e c ia l a t t e n t io n h a s a ls o b e e n g iv e n t o r a c ia l fa c t o r s . I n t h e c o u r s e o f th e in v e s t ig a t io n o f 1 9 0 5 -1 9 0 7 , i t b e c a m e e v id e n t t h a t t h e I r is h in e a c h a g e , s e x , a n d o c c u p a t io n g r o u p , a lm o s t w it h o u t e x c e p t io n , p r e s e n te d a h ig h e r d e a t h r a t e t h a n a n y o t h e r r a c e o r p e o p le . T h is d iffe r e n c e w a s s o m a r k e d t h a t t h e in c lu s io n o f t h e I r is h in a n y t a b u la t io n s o f t h e a g g r e g a t e p o p u la t io n p r o v e d lik e ly t o c a u s e e x c e e d in g ly m is le a d in g r e s u lts a n d e r r o n e o u s c o n c lu s io n s . I n t h e s e c o n d in v e s t ig a t io n it w a s fo u n d t h a t t h e I r is h s t ill m a n ife s t e d t h e s a m e e x c e p t io n a l fe a tu r e s , a n d t h a t in a d d it io n t h e F r e n c h C a n a d ia n s d is p la y e d s o m e p e c u lia r it ie s in t h e ir d e a t h r a te s . I n t h e fo llo w in g t a b u la t io n s , th e r e fo r e , t h e d a t a f o r th e s e t w o r a c e s a r e s o m e t im e s c o m b in e d a n d c o n t r a s t e d w it h s im ila r d a t a f o r th e r e m a in in g r a c e s . Cotton-mill work was selected for special investigation because it employs a larger number of women and children than any other industry, and because it, more frequently perhaps than any other large industry, subjects its workers to the inhalation of irritant vegetable dust, which in the underfed and overworked elsewhere has generally been found to be specially conducive to bronchitic, asthma tic, and tuberculously infectious pulmonary diseases. F in a lly t u b e r c u lo s is w a s s e le c t e d f o r s p e c ia l in t e n s iv e s t u d y b e c a u s e i t w a s f o u n d t o b e t h e m o s t p r e v a le n t im m e d ia t e c a u s e o f d e a t h w it h in t h e a g e p e r io d 15 t o 4 4 , w h ic h p e r io d c o m p r is e s o n e -h a lf th e t o t a l a n d fo u r -fift h s o f t h e o p e r a t iv e p o p u la t io n . D E F IN IT IO N OF TE R M S. 37 SIZE OF UNITS CONSIDERED. T h e m e t h o d o f s e c u r in g th e d a t a h a s a lr e a d y b e e n d e s c r ib e d (p . 1 8 ). A s th e m o r t a lit y p e r io d c o v e r e d b y th e t w o in v e s t ig a t io n s w a s e ig h t y e a r s , a n d a s F a ll R i v e r in c lu d e s a b o u t o n e -q u a r t e r o f th e c o t t o n o p e r a t iv e s o f M a s s a c h u s e tts , N e w H a m p s h ir e , a n d R h o d e I s la n d , it fo llo w s t h a t t h e m o r t a lit y s t a t is t ic s h e r e g iv e n w ill r o u g h ly r e p r e s e n t th e d e a t h s a m o n g a ll t h e c o t t o n o p e r a t iv e s o f t h e th r e e S t a t e s f o r a p e r io d o f n e a r ly t w o y e a r s . T h is fa c t , a n d t h e a d d it io n a l f a c t t h a t th e d e a t h s h e r e in e n u m e r a t e d a re c o m p le t e f o r th e a r e a a n d th e p e r io d s s p e c ifie d , e n t itle s t h e c o n c lu s io n s o f th e fo llo w in g s t u d y t o a w e ig h t w h ic h o t h e r w is e c o u ld n o t b e a c c o r d e d t h e m in v ie w o f th e c o m p a r a t iv e ly s m a l l 1 n u m b e r o f c a s e s o n w h ic h t h e y a re b a s e d . I t m u s t b e c o n s t a n t ly b o r n e in m in d t h a t h o w e v e r s m a ll in s o m e o f t h e a g e g r o u p s u b d iv is io n s th e b a s ic n u m b e r in th is s t u d y m a y b e , s t ill i t is a p p r o x im a t e ly r e p r e s e n t a t iv e o f a ll th e d e a t h s o c c u r r in g in t h a t s u b g r o u p a m o n g th e c o t t o n o p e r a t iv e s o f th e e n tir e c o u n t r y f o r a p e r io d o f 10 m o n t h s ; i t is a c lo s e a p p r o x im a t io n t o a ll d e a t h s f o r 2 4 c o n s e c u t iv e m o n t h s a m o n g c o t t o n o p e r a t iv e s in a S t a t e d o in g th r e e -fift h s o f th e c o t t o n m a n u fa c t u r in g o f th e N o r t h ; a n d it r e p r e s e n t s t h e a c t u a l fa c t s f o r a c i t y d o in g a b o u t a q u a r t e r o f th e c o t t o n m a n u fa c t u r in g o f th e N o r t h , d e r iv e d f r o m a n in v e s t ig a t io n k n o w n t o b e c o m p le t e f o r p e r io d s b o t h o f o n e y e a r a n d t h r e e y e a r s , o f fiv e y e a r s , a n d o f e ig h t y e a r s . DEFINITION OF TERMS. T h e t e r m “ d e c e d e n t ” w it h in th e s c o p e o f t h is in q u ir y in c lu d e s a ll t u b e r c u lo u s d e c e d e n t s 10 y e a r s o f a g e a n d o v e r , a ll o p e r a t iv e s w h o d ie d w h a t e v e r t h e ir a g e , a n d a ll o t h e r p e r s o n s w h o d ie d a g e d 10 t o 6 4 . I t a p p lie s o n l y t o t h o s e d y in g w it h in t h e lim it s o f F a ll R i v e r w it h in th e y e a r s 1 9 0 8 t o 1 9 1 2 . E x c e p t in t h e c a s e o f 3 4 n o n t u b e r c u lo u s d e a t h s w h ic h w e r e c o in c id e n t w it h c h ild b ir t h , a n d 9 2 ca s e s , w h ic h th e a t t e n d in g p h y s ic ia n s s t a t e d w e r e t u b e r c u lo u s , a lt h o u g h t h e y h a d n o t b e e n o ffic ia lly r e c o r d e d as s u c h , t h e t e r m “ fa t a l d is e a s e ,” w h e r e v e r u s e d in th is s t u d y , m e a n s th e c a u s e o f d e a t h a s s t a t e d in t h e o ffic ia l d e a t h c e r t ific a t e s ig n e d b y t h e p h y s ic ia n la s t a t t e n d in g t h e d e c e a s e d . The term “ cotton operative” is used to mean only those persons, from overseers down to scrubbers, whose work had been such as to expose them many hours daily to the processes or hygienic condi tions peculiar to a mill that manufactures cotton wadding, cloth, yarn, or thread. Others, although on a cotton-mill pay roll, are not included in the operative class, and neither are employees of bleacheries, dye works, and printeries. Those thus excluded comprised 6 i It is based on an aggregate of 5,636 deaths occurring in age group 15 to 64 during eight years, of which 1,749 occurred among operatives and 3,887 among nonoperatives. 38 C H A P . I.---- SCOPE AN D M ET H O D OF IN V E ST IG A T IO N . per cent of the total pay roll, their numbers and classification being as follows: Office force.................................... .... 327 Firemen............................................. 238 Carpenters..................................... .... 118 Watchmen..................................... .... 135 Dyers............................................. 96 Engineers...................................... .... 129 Machinists..................................... Painters......................................... Bleachers....................................... Yardmen........................................ 276 56 102 533 Total.................................... 2»010 The term a cotton operativeM has been still further restricted by limiting it to those who were either working in a cotton mill up to the time of death, or who had left it not more than two years before death.1 This arbitrary limit was fixed upon after consultation with eminent medical men as being probably well within the period during which the effects of mill influences, even if latent while the decedent was in the mill, might yet be considered beyond question as having borne a causative relation to the death. In the course of this study many facts were elicited showing resemblances, sometimes almost to identity, between the class just outside the two-year limit and the operative class. It was felt that this fact gave a strong indication that the two-year limit erred, if at all, on the side of conservatism, and, that a limit of three or even four years, or the inclusion of nearly life-long cottonmill workers retired through age, would possibly have been fairer.2 Those who had worked as cotton operatives but had left the mills more than two years before their deaths were divided into two groups, those who had been out of the mills not more than two but less than six years before their deaths, and those who had left the mills more than six years before their deaths. The following table shows the 1 Since decedents are classed as operatives, even if two years had intervened between their death and their last employment in a cotton mill, it may be felt that the operative population on which the death rates are calculated ought to include not only all those working at the time the schedules were taken, but likewise all who within two years preceding had retired from the industry. It was not possible to canvass the city and take a census of such retired operatives; nevertheless it is believed that the population basis used is substantially correct. For at the time when the schedules of the operative force were taken— February, 1913—the Fall River mills were running full time with a full force and were clamorous for addi tional operatives. Under these circumstances, it is not improbable that mill overseers were largely suc cessful in securing the reentry into the industry of women of proved efficiency in mill work who had retired therefrom (“ women, ” because they are more apt than men to retire before age makes it really neces sary). The very considerable increase of females in the older age groups in 1913 over the number shown for the previous study supports this view, and so do their increased numbers as compared with those of males. Those who may have failed to reenter the industry are probably more than offset by the many persons enrolled in this study as mill operatives of Fall River whose residence, as indicated on their individual schedille cards, is known to be outside the city, and whose deaths therefore could not be enrolled in the data of Fall River mortality. Finally, any possible error consequent upon the practical impossibility of including in the basic popu lation the average number of retirements within two years is still further compensated for by having the mill population based upon the aggregate of 1913, instead of 1910, the median year of the quinquennial period studied. 2 The application of this definition of cotton operative has eliminated from the investigation 46 non tuberculous decedents aged 65 and over who were mill veterans. Of these 44 were males and 2 females; all had been certified officially as operatives. Fourteen of these had left the mill less than six years before their deaths; 13 of these averaged each 45 years cotton-mill work, while for one the time thus spent was unreported. The other 32 (1 not reported) had averaged 47 years in the mills. Other nontuberculous decedents aged 65 years and over included a female silk weaver of 66, and 4 males who had never been operatives, though officially certified as such. 39 D E F IN IT IO N OF TE R M S. n u m b e r o f d e c e d e n t s in th e s e v a r io u s c la s s e s , t o g e t h e r w it h th e t im e o u t o f th e m ill b e fo r e d e a t h o f t h o s e w h o a re s t ill c la s s e d as o p e r a t iv e s : N U M B E R A N D P E R C E N T O F T O T A L M IL L W O R K E R S A G E D 15 TO 64 Y E A R S D Y I N G FROM TU B E R C U LO U S, N O N T U B E R C U L O U S , A N D A L L C AU SES, W H O H A D B E E N O U T O F T H E M IL L F O R S P E C IF IE D P E R IO D S B E F O R E D E A T H , 1908 T O 1912. Number of decedents from— Occupation classification a n d time out of mill before death. Tuber culous causes. Per cent of decedents from— Nontuberculous causes. A ll causes. Nontuberculous causes. Tuber culous causes. All causes. OPERATIVES .1 Under 2 weeks............................... 2 and under 8 weeks.................... 2 and under 4 m onths................. 4 and under 7 m onths................ 7 and under 13 m onths.............. 13 and including 24 months— 4 23 67 90 157 73 193 135 104 94 142 107 197 158 171 184 299 180 Total, 2 years and under. 414 775 1 ,1 8 9 Over 2 and under 4 years.......... 4 and under 6 years..................... 22 23 45 70 T o ta l...................................... 45 6 and under 11 years................... 11 and under 16" vears................. 1 6 and under 2 6 years................. 26 years and over.......................... 47 T o ta l..................................... Grand total......................... 1 10 8 14 9 7 7 4 12 10 8 9 9 15 9 74 55 60 67 93 4 4 3 5 3 5 115 160 8 8 S 195 126 193 113 8 .10 4 5 6 148 104 164 107 10 6 10 6 104 523 627 18 37 32 563 1 ,4 1 3 1 ,9 7 6 100 100 100 16 28 13 5 -Y E A R O PERATIVES .1 E X -O P ER AT IV ES .1 22 29 7 12 8 1 * u Operatives,” for the purposes of this report, may be defined as those who were either working in a cotton mill up to the time of death or who had left it not more than two years before death; “ 5-year oper atives” as former operatives who had given up cotton-mill work more than 2 but less than 6 years before death; and “ ex-operatives” as those who had not worked in a cotton mill for at least 6 years before death. T h is s h o w s 1 ,1 8 9 w h o w e r e c o u n t e d as o p e r a t iv e s , w h e t h e r o r n o t t h e y w e r e a c t u a lly w o r k in g in th e m ills a t th e t im e o f d e a th , a n d 7 87 w h o w e r e n o t c la s s e d as o p e r a t iv e s , a lt h o u g h t h e y h a d b e e n m ill w o r k e r s a t s o m e p e r io d e a r lie r th a n t w o y e a r s b e f o r e th e ir d e a th s . T h e fo llo w in g t a b le s h o w s fo r a ll th e s e d e c e d e n ts , c la s s ifie d a c c o r d in g t o t im e o u t o f m ill w o r k b e f o r e d e a th , t h e n u m b e r o f y e a r s e m p lo y e d in c o t t o n m ills : N U M B E R A N D P E R C E N T O F D E C E D E N T S A G E D 15 TO 64 Y E A R S W H O H A D B E E N E M P L O Y E D IN C O T T O N M IL L S E A C H S P E C IF IE D N U M B E R O F Y E A R S , 1908 TO 1912. Number of decedents. Years employed in cotton mills. Out of mill not over 2 years. Out of Out of mill mill 6 over 2 years but and under over. 6 years. Per cent of decedents. Total. Out of mill not over 2 years. Out of Out of mill mill 6 over 2 years but, and under over. 6 years. Total. 44 75 87 147 147 220 316 11 20 12 10 30 29 48 22 43 73 86 168 145 90 77 138 172 243 345 394 454 4 7 9 14 14 21 31 7 13 7 6 19 18 30 3 7 12 14 27 23 14 4 8 9 13 19 22 25 T o ta l.................................................... Years employed not reported................ 1,036 153 160 627 1,823 153 100 100 100 100 Grand total....................................... 1,189 160 627 | 1,976 Under 2 years............................................... 2 and under 4 years.................................... 4 and under 6 years................................... 6 and under 10 years................................. 10 and under 16 vears............................... 16 and under 26 years............................... 26 years and over........................................ - 40 C H A P . I .---- SCOPE AND M ETH O D OF IN V E ST IG A TIO N . I t w ill b e s e e n fr o m th is t a b le t h a t 5 1 0 , a lm o s t t w o -t h ir d s (6 5 p e r c e n t ) o f th e fo r m e r c o t t o n - m i ll w o r k e r s w h o a re e x c lu d e d fr o m t h e lis t o f o p e r a t iv e s , as t h e te r m is u s e d in th is r e p o r t , w e r e p e r s o n s w h o h a d b e e n in c o t n - m ill w o r k f o r 10 y e a r s o r m o r e . SUMMARY OF TOTALS FOR THIS AND THE EARLIER STUDY. T h e fo llo w in g t a b le s h o w s f o r th e t w o in v e s t ig a t io n p e r io d s , 1 9 0 5 t o 1 9 0 7 a n d 1 9 0 8 t o 1 9 1 2 , th e e s t im a t e d p o p u la t io n a g e d 10 y e a r s a n d o v e r in 1 9 0 6 a n d in 1 9 1 3 , a n d th e d e a t h s , b y s e x a n d o c c u p a t io n , o n w h ic h th is s t u d y is b a s e d : N U M B E R O F D E C E D E N T S , A G E D 10 Y E A R S A N D O V E R , F R O M T U B E R C U L O U S , N O N T U B E R C U L O U S , A N D A L L C A U S E S IN 1905 T O 1907 A N D IN 1908 TO 1912, B Y S E X A N D O C C U P A T IO N A L G R O U P . Males. Investigation period, population, and cause of death. Both sexes. Females. Nonoperati yes. Opera tives. Opera tives. Nonoper atives. Opera tives. Population, 10 years and over, 1906............... 13,010 27,325 12,148 33,183 25,158 60,508 Deaths, 1907: Tuberculous................................................... N ontuberculous............................................. 40 78 56 346 47 70 39 409 87 148 95 755 Nonoper atives. FIRST STUDY. A ll causes.................................................... 118 402 117 448 235 850 Deaths, 1905 to 1907: Tuberculous................................................... N ontuberculous............................................. 94 193 152 945 112 187 108 1,163 206 380 260 2,108 A ll causes..................................................... 287 1,097 299 1,271 586 2,368 SUPPLEMENTARY STUDY. Population, 10 vears and over, 1913.............. 14,373 32,115 14,857 35,596 29,230 67,711 Deaths, 1912: Tuberculous................................................... N ontuberculous............................................. 31 82 55 i 175 43 89 37 i 209 74 171 92 i 384 A ll causes..................................................... 113 Deaths, 1908 to 1912: ................. .............................. Tuberculous N ontuberculous............................................. 184 418 A ll causes.................................................... 602 (2) 258 i 928 (2) * Age group 10 to 64, for nontuberculous nonoperatives. 132 232 405 637 (2) 225 U , 100 (2) 245 (2) 416 823 483 i 2,028 1,239 2 N ot reported. (2) 41 S U M M A R Y OF TOTALS. I N V E S T I G A T I O N P E R IO D S C O M P A R E D : A V E R A G E A N N U A L N U M B E R O F D E A T H S F R O M T U B E R C U L O U S , N O N T U B E R C U L O U S , A N D A L L C A U S E S O C C U R R IN G IN E A C H O F T H E T W O I N V E S T I G A T I O N P E R IO D S , 1905 TO 1907, A N D 1908 T O 1912, B Y A G E G R O U P , S E X , A N D O C C U P A T IO N A L G R O U P O F D E C E D E N T S . N ontuberculous. Tuberculous. group, class and investiga tion period. Males. Fe males. Total. Males. A ll causes. FeTotal. males. 1 Males. Fe males. Total. I 15 TO 24 YEARS. Operatives: 1905 to 1907.............................. 1908 to 1912.............................. Nonoperatives: 1905 to 1907.............................. 1908 to 1912.............................. Both classes: 1905 to 1907.............................. 1908 to 1912.............................. 9 8 15 21 24 29 12 14 17 13 29 27 21 22 32 34 53 56 7 7 6 7 13 14 13 12 12 7, 25 19 20 19 18 14 38 33 16 15 21 28 37 43 25 26 29 20 54 46 41 41 50 48 91 89 10 10 15 14 25 24 11 10 15 22 26 32 21 20 30 36 51 56 13 14 13 12 26 26 23 24 29 27 52 51 36 38 42 39 78 77 23 24 28 26 51 50 34 34 44 49 . 78 83 57 58 72 75 129 133 25 TO 34 YEARS. Operatives: 1905 to 1 907.............................. 1908 to 1912.............................. Nonoperatives: 1905 to 1907.............................. 1908 to 1912.............................. Both classes: 1905 to 1907.............................. 1908 to 1912.............................. 35 TO 44 YEARS. Operatives: 1905 to 1907.............................. 1908 to 1912.............................. Nonoperatives: 1905 to 1907.............................. 1908 to 1912.............................. 9 12 5 8 14 20 9 12 17 18 26 30 18 24 22 26 40 50 12 13 4 10 16 23 35 33 35 i 38 1 70 71 47 46 39 48 86 94 Both classes: 1905 to 1907.............................. 1908 to 1912.............................. 21 25 9 18 30 43 44 45 52 i 56 1 96 101 65 70 61 74 126 144 28 30 35 43 63 73 32 36 49 53 81 89 60 66 84 96 144 162 32 34 23 29 55 63 71 69 76 72 147 141 103 103 99 101 202 204 60 64 58 72 118 136 103 105 228 230 163 169 183 197 346 366 29 TOTAL, 15 TO 44 YEARS. Operatives: 1905 to 1907.............................. 1908 to 1912.............................. Nonoperatives: 1905 to 1907.............................. 1908 to 1912.............................. Both classes: 1905 to 1907.............................. 1908 to 1912.............................. 125 1 125 TOTAL, 45 TO 64 YEARS. 1 Operatives: 1905 to 1907.............................. 1908 to 1912.............................. Nonoperatives: 1905 to 1 907.............................. 1908 to 1 912.............................. 4 7 2 3 6 10 25 40 12 26 37 66 47 14 29 43 76 14 13 9 11 23 24 122 106 157 140 279 246 136 119 166 151 302 270 Both classes: 1905 to 1907.............................. 1908 to 1912.............................. 18 20 11 14 29 34 147 146 169 166 316 312 165 166 180 180 345 346 GRAND TOTAL, 15 TO 64 YEARS. Operatives: 1905 to 1907.............................. 1908 to 1912.............................. Nonoperatives: 1905 to 1907.............................. 1908 to 1912.............................. 32 37 37 46 69 83 57 76 61 79 118 155 89 113 98 125 187 238 46 47 32 40 7S 87 193 175 233 212 426 387 239 222 265 252 504 474 Total, both classes: 1905 to 1907..................... 1908 to 1912.............................. 78 84 69 86 147 170 250 251 294 291 544 542 328 335 363 377 691 712 42 C H A P . I .— SCOPE A N D M E T H O D OF IN V E ST IG A TIO N . S in c e it is c o m m o n k n o w le d g e t h a t th e r e w a s a v e r y m a t e r ia l in c r e a s e (e s t im a t e d a t a b o u t 8 p e r c e n t ) in F a ll R i v e r s w h o le p o p u la t io n d u r in g t h e p e r io d b e t w e e n 1 9 0 6 a n d 1 9 1 0 , t h e m e d ia n y e a r s o f t h e t w o in v e s t ig a t io n p e r io d s , a n y t h in g le ss t h a n a c o r r e s p o n d in g in c r e a s e in th e a v e r a g e a n n u a l n u m b e r o f d e a th s in e a c h a g e g r o u p o f t h e v a r io u s s e x a n d o c c u p a t io n p o p u la t io n c la s s e s is p r im a fa c ie e v id e n c e o f im p r o v e d g e n e r a l c o n d it io n s f o r th e c i t 3r. I t w ill b e s e e n t h a t in t h e im p o r t a n t a g e g r o u p 15 t o 2 4 , th e a v e r a g e d e a th s in th e 5 -y e a r p r e s e n t in v e s t ig a t io n w e r e a c t u a lly le ss (2 p e r c e n t ) th a n in t h e 3 -y e a r fo r m e r s t u d y , d u e t o a s m a lle r fe m a le m o r t a lit y , t h o u g h t h e fe m a le o p e r a t iv e s s h o w e d a n in c r e a s e o f d e a th s in th is a n d in e v e r y a g e g r o u p . E s p e c ia lly n o t e w o r t h y is th e s h o w in g in a g e g r o u p 4 5 t o 6 4 , w h e r e t h e a v e r a g e a n n u a l n u m b e r o f fe m a le d e a th s w e r e id e n t ic a l f o r th e t w o p e r io d s , a n d d e a t h s o f m a le s a v e r a g e d b u t 1 a d d it io n a l in th e la t e r s t u d y . CHAPTER II.— MORTALITY IN AGE GROUP 15 TO 44. REASONS FOR SELECTION OF GROUP. W h ile th is s t u d y , as a w h o le , d e a ls w it h c a u s e s o f d e a t h a ffe c t in g th e t o t a l p o p u la t io n a g e d 10 t o 6 4 , th e a g e g r o u p 15 t o 4 4 h a s b e e n s e le c t e d f o r s p e c ia l c o n s id e r a t io n a n d c o n t r a s t w it h th e a g e g r o u p 4 5 t o 6 4 . S in c e i t is c u s t o m a r y t o c o m p a r e d e a t h r a te s o n l y w it h in p e r io d s n o t e x c e e d in g a d e c a d e , th e s e le c t io n o f s o lo n g a p e r io d as t h a t c o m p r is e d b e t w e e n 15 a n d 4 4 fir s t d e m a n d s e x p la n a t io n . T h is is fo u n d in th e f a c t t h a t th e d e a t h r a te s o f th e d iffe r e n t c la s s e s t o b e c o n s id e r e d s h o w , in g e n e r a l, th e s a m e r e la t io n f o r a n y 5 o r 1 0 -y e a r p e r io d w it h in th e 3 0 y e a r s t h a t t h e y s h o w f o r th e p e r io d as a w h o le . T h is d o e s n o t , o f c o u r s e , e x p la in th e c o m p a r is o n o f a 3 0 -y e a r p e r io d w it h a 2 0 -y e a r p e r io d , b u t th is is r e n d e r e d e q u i t a b l y p o s s ib le b y m e a n s o f th e d e v ic e o f a g e a d ju s t m e n t , w h ic h h a s a lr e a d y b e e n d e s c r ib e d .1 B y a d is c r im in a t e u se o f th is d e v ic e c o m p a r is o n o f th e d e a t h h a z a r d s o f g r o u p s c o v e r in g 2 0 , 3 0 , o r e v e n 5 0 y e a r s c a n b e m a d e w it h o u t d a n g e r o f o b t a in in g fa lla c io u s c o n c lu s io n s t h e r e fr o m . T h r e e p r in c ip a l r e a s o n s le d t o th e c h o ic e o f th is g r o u p f o r s p e c ia l s t u d y : F ir s t, th e m a s s in g o f c o t t o n o p e r a t iv e s w it h in it s lim it s r e n d e rs its s e le c t io n d e s ir a b le , in o r d e r t h a t th e c o m p a r is o n s b e t w e e n o p e r a t iv e s a n d n o n o p e r a t iv e s m a y b e fa ir ly e q u it a b le , e v e n w it h o u t a g e a d ju s t m e n t o f th e d e a t h r a t e s ; s e c o n d , th is is th e p e r io d w it h in w h ic h t u b e r c u lo s is is m o s t fa t a lly a c t iv e , a n d s in c e t u b e r c u lo s is is t h e m o s t i m p o r t a n t s in g le c a u s e o f e a r ly d e a t h in F a ll R iv e r , i t is e v id e n t t h a t th is a g e g r o u p is e s p e c ia lly s u it a b le f o r d e t a ile d s t u d y in th e p r e s e n t in v e s t ig a t io n ; t h ir d , th e fr e e d o m o f th e g r o u p fr o m th e c o m p lic a t io n s o f e ith e r in fa n c y o r a g e r e n d e r s i t p o s s ib le t o t r a c e th e e ffe c t o f a s p e c ifie d c a u s e u p o n d e a t h r a t e s fa r m o r e e a s ily t h a n c a n b e d o n e in t h e h ig h e r a g e g r o u p s , in w h ic h th e in flu e n c e o f a d v a n c in g y e a r s s e r io u s ly a ffe c t s th e m o r t a lit y . E a c h o f th e s e r e a s o n s d e s e r v e s s o m e c o n s id e r a t io n . F ir s t , as t o t h e m a s s in g o f th e c o t t o n o p e r a t iv e s w it h in th is a g e g r o u p , th e fo llo w in g t a b le s s h o w h o w la r g e ly t h e y a re in c lu d e d w it h in it s l im it s : A G E P E R C E N T A G E D IS T R IB U T IO N O F O P E R A T I V E S A N D N O N O P E R A T I V E S O F E A C H S E X , 1910.® Males. Age group. Opera tives. Females. Nonop eratives. Opera tives. Nonop eratives. 10 to 14 years..................................................................................................... 15 to 44 years..................................................................................................... 45 to 64 years..................................................................................................... 3 78 19 18 58 24 3 89 8 16 55 29 T otal........................................................................................................ 100 100 100 100 a The operative distribution is that which was found to prevail in February, 1913, when the operative census, already described, was taken. See p. 19. 1 See p. 32. 43 44 C H A P . n . ---- M O R T A L IT Y IN AGE GROUP 15 TO 44. E v id e n t ly th e a g e d is t r ib u t io n o f th e o p e r a t iv e s d iffe r s s o w id e ly fr o m t h a t o f th e n o n o p e r a t iv e s t h a t n o v a lid c o m p a r is o n c a n b e d r a w n b e t w e e n t h e ir d e a t h r a te s u n le s s a llo w a n c e is m a d e f o r th is d iv e r g e n c e . T a k e , f o r in s t a n c e , t h e fe m a le p o p u la t io n . O n ly 8 p e r c e n t o f th e o p e r a t iv e s a r e o v e r 4 4 , w h ile 2 9 p e r c e n t o f t h e n o n o p e r a t iv e s a re 4 5 o r o v e r . B u t a b o v e 4 4 t h e d e a t h r a t e in c r e a s e s r a p id ly , o w in g t o t h e e ffe c t o f a d v a n c in g y e a r s . I f , t h e r e fo r e , t h e d e a t h r a t e o f fe m a le o p e r a t iv e s b e c o m p a r e d w it h t h e d e a t h r a t e o f fe m a le n o n o p e r a t iv e s , t h e r e a l r e la t io n w ill b e o b s c u r e d b y t h e h ig h e r d e a t h h a z a r d a m o n g t h e o ld e r g r o u p s o f n o n o p e r a t iv e s , w h o s e in flu e n c e is n o t o ffs e t b y s im ila r o ld e r g r o u p s o f o p e r a t iv e s . T h e s a m e s it u a t io n , t h o u g h n o t t o s o m a r k e d a n e x t e n t , p r e v a ils a m o n g t h e m a le p o p u la t io n . M o r e o v e r , th e s a m e d is s im ila r it y o f a g e g r o u p in g p r e v a ils a m o n g th e o p e r a t iv e s t h e m s e lv e s in t h e d iffe r e n t w o r k r o o m s , as is a p p a r e n t fr o m t h e fo llo w in g t a b le : P E R C E N T O F O P E R A T I V E S IN E A C H W O R K R O O M , B Y S E X A N D A G E G R O U P , 1913. Per cent of operatives in— Sex, and age group. Card room. Spooler Spinning room and room. miscel laneous. W eave room. A ll work rooms. MALES. 15 to 44 years............................................................................... 45 to 64 years............................................................................... 1 81 18 Total................................................................................... 100 . 4 84 12 5 79 16 2 75 23 3 78 19 100 100 100 100 FEMALES. 10 to 14 years............................................................................... 15 to 44 years............................................................................... 45 to 64 years............................................................................... 3 87 10 3 95 2 3 91 6 3 84 13 3 89 Total................................................................................... 100 100 100 100 100 8 i T h e a g e d is t r ib u t io n o f t h e o p e r a t iv e s in th e s e d iffe r e n t r o o m s d o e s n o t d iffe r s o w id e ly as t h a t o f t h e o p e r a t iv e s a n d n o n o p e r a t iv e s , b u t it is n e v e r t h e le s s t o o g r e a t t o p e r m it c o m p a r is o n s b e t w e e n t h e d e a t h r a t e f o r th e t o t a l w o r k r o o m g r o u p s . T a k in g t h e fe m a le o p e r a t iv e s , i t is e v id e n t t h a t t h e w e a v e -r o o m g r o u p , w it h 13 p e r c e n t in t h e a g e g r o u p 4 5 t o 6 4 , c a n n o t fa ir ly b e c o m p a r e d w it h t h e s p in n in g -r o o m g r o u p , o f w h ic h o n l y 2 p e r c e n t a r e 4 5 o r o v e r , n o r c a n t h e s e b e fa ir ly c o m p a r e d w it h t h e c a r d -r o o m g r o u p , in w h ic h 1 0 p e r c e n t a r e in th e o ld e s t a g e g r o u p . B u t in e v e r y w o r k r o o m t h e g r e a t m a jo r i t y o f t h e w o r k e r s a re fo u n d in th e a g e g r o u p 15 t o 4 4 , t h e m a jo r i t y b e in g s o la r g e t h a t th is a g e g r o u p it s e lf m a y b e t a k e n as r e p r e s e n t in g th e ro o m . 45 REASONS FOR SELECTION OF GROUP. T h e s e c o n d r e a s o n f o r th e s e le c t io n o f th is g r o u p , i. e ., th e s p e c ia l a c t iv it y o f t u b e r c u lo s is w it h in its lim it s , n e e d s lit t le d is c u s s io n . O f th e w h o le n u m b e r o f d e a t h s fr o m t u b e r c u lo s is a m o n g th e p o p u la t io n a g e d 10 y e a r s o r o v e r d u r in g th e p e r io d 1 9 0 8 t o 1 9 1 2 , 73 p e r c e n t o f th e m a le d e a t h s , 7 9 p e r c e n t o f th e fe m a le , a n d 76 p e r c e n t o f th e t o t a l f o r b o t h s e x e s o c c u r r e d a m o n g t h o s e a g e d 15 t o 4 4 . A m o n g th e o p e r a t iv e s t h e m a s s in g o f t u b e r c u lo u s d e a t h s w it h in th is a g e g r o u p is e v e n m o r e m a r k e d , as a p p e a r s p la in ly in th e fo llo w in g ta b le : PE R CENT T H A T D EATH S FROM TUBERCULOSIS AMONG OPER ATIVES OF EACH W ORKROOM IN AGE GROUP 15 TO 44 W E R E OF T O TAL D EA TH S FROM TUBERCULOSIS AMONG SUCH W O R K R O O M OPERATIVES, 10 Y E A R S OF AG E OR OVER, 1908 TO 1912. Workroom. Females. Males. Both sexes. Card room.................................................................................................................... Spinning room........................................................................................................... Spooler room and miscellaneous............................................................................ Weave room.................................................................. ............................................. 75 82 67 83 92 100 93 88 86 92 90 85 All operatives.................................................................................................. 80 94 88 S in c e t h r e e -fo u r t h s o f th e d e a th s fr o m t u b e r c u lo s is a m o n g th e g e n e r a l p o p u la t io n , n e a r ly fo u r -fift h s o f t h o s e a m o n g th e fe m a le p o p u la t io n as a w h o le , a n d n o t fa r fr o m n in e -t e n t h s o f th o s e a m o n g th e w h o le o p e r a t iv e p o p u la t io n t o o k p la c e in th e a g e g r o u p 15 t o 4 4 , i t is e v id e n t t h a t a s t u d y o f t u b e r c u lo s is , e s p e c ia lly a m o n g fe m a le s a n d o p e r a t iv e s , m a y p r o p e r ly b e b a s e d in th e m a in u p o n th e d a t a f o r th is a g e g r o u p . T h e t h ir d r e a s o n f o r s e le c t in g th is g r o u p is its fr e e d o m f r o m t h e d is t u r b in g in flu e n c e s o f in fa n c y a n d o ld a g e , as a c o n s e q u e n c e o f w h ic h th e d e a t h r a t e s r e fle c t th e e ffe c t o f a g iv e n c a u s e , s u c h a s o c c u p a t io n , m o r e c le a r ly t h a n w h e n t h e y a re c o m p lic a t e d b y t h e f a c t o f a d v a n c in g y e a r s .1 T h e c o m p a r a t iv e fr e e d o m o f th is g r o u p fr o m th e m o r t a lit y d u e t o a g e is c le a r ly s h o w n in th e fo llo w in g t a b l e : D E A T H RATES PER 1,000 AND P E R ‘ CENT OF T O TA L P O PU LATIO N OF 1910 AN D OF TO TA L D EATH S IN EACH 10-YEAR AGE GROUP, 1908 TO 1912. Age group. Death rate per 1,000 of 1910 popu lation. Per cent of popu lation of 1910. Per cent of total deaths (average). Under 10 years.............................. .................................................. 10 to 14 years.................................................................................................... 15 to 24 years.................................................................................................... 25 to 34 years.................................................................................................... 35 to 44 years................................... ........................ ...... 45 to 54 years................................................................................................... 55 to 64 years................................................................................................... 65 years and over............................................................................................ 42.25 2.05 3.70 6.67 8.98 13.43 35.54 80.67 22 10 20 17 14 9 5 3 51 1 4 6 7 7 9 15 Total, all ages....................................................................................... 18. 28 100 100 Total, 10 years and ovei*.................................................................... Total, 15 to 44 years............................................................................ Total, 45 to 64 years............................................................................ 11.43 6.10 20.46 78 51 14 49 17 16 1 The 5 years from 10 to 14, which are equally free from this complication, were not included, because the number of operatives under 14 is practically negligible. 4S C H A P. I I .-----M O R T A LITY IN AGE GROUP 15 TO 44. I t m a y a ssist in im p r e s s in g u p o n th e m in d th e s e a g e g r o u p d iffe r e n c e s in th e d e a t h h a z a r d o f t h e w h o le p o p u la t io n t o n o t i c e t h a t n p t o m id d le life , 4 4 , t h e d e a t h r a t e , b e g in n in g in t h e y o u n g e s t in d u s t r ia l a g e g r o u p , 1 0 t o 1 4 , a t 2 .0 5 p e r 1 ,0 0 0 , in c r e a s e s in e a c h 1 0 -y e a r a g e g r o u p b y a p p r o x im a t e ly 2 ; a n d t h a t f r o m 4 5 o n w a r d e a c h 1 0 -y e a r a g e g r o u p h a s r o u g h ly d o u b le t h e r a t e o f t h e p r e c e d in g o n e . T h a t is , t h e s u d d e n r is e in th e d e a t h r a t e p r e s u m a b ly a t t r ib u t a b le t o a d v a n c in g y e a r s d o e s n o t a ffe c t t h e p e r io d 15 t o 4 4 , a n d t h e h ig h e s t r a t e f o r a n y o n e o f t h e t h r e e d e c a d e s c o n t a in e d in it is l o w a s c o m p a r e d w it h t h e r a t e f o r a n y s u c c e e d in g d e c a d e . A ls o t h e v a r ia t io n s b e t w e e n t h e r a t e s f o r a n y t w o d e c a d e s o f t h is p e r io d a r e r e la t iv e ly s m a ll, s o t h a t f o r t h e p e r io d a s a w h o le t h e d e a t h r a te s m a y b e r e g a r d e d a s b o t h r e la t iv e ly l o w a n d r e la t iv e ly u n ifo r m . S o m e a d d it io n a l r e a s o n s w e r e o f w e ig h t i n t h e s e le c t io n o f t h is p a r t ic u la r g r o u p . O n e o f t h e f a c t o r s w h ic h m u s t b e c o n s id e r e d in o r d e r t o a c c o u n t a d e q u a t e ly f o r t h e m o r t a l it y w it h in a n in d u s t r y is th e n a t io n a lit y o rv r a ce o f it s w o r k e r s . T h e a g e g r o u p d e a t h h a z a r d is g iv e n h e r e in a c c u r a t e ly f o r c o t t o n o p e r a t iv e s o n l y . A t p r e s e n t t h e r e a r e n o d a t a a v a ila b le s h o w in g t h e a g e d is t r ib u t io n o f t h e n o n o p e r a t iv e p o p u la t io n b y r a c e , b u t o n l y fig u r e s s h o w in g h o w t h e e n t ir e p o p u la t io n o f a ll a g e s is d iv id e d r a c ia lly . T h e r e fo r e , in c o m p u t in g n o n o p e r a t i v e d e a t h r a t e s o f t h e d iffe r e n t r a c e s o r p e o p le s h j a g e g r o u p s , i t h a s b e e n t e n t a t iv e ly a s s u m e d t h a t th e r a c e d is t r ib u t io n o f t h e t o t a l m a le a n d fe m a le p o p u la t io n w it h in a n y s p e c ifie d a g e g r o u p is id e n t ic a l w it h t h a t w h ic h t h e c e n s u s s h o w s t o e x is t in t h e p o p u la t io n a s a w h o le . F o r e x a m p le , i t h a s b e e n a s s u m e d t h a t t h e E n g lis h a g e d 1 0 t o 14 f o r m th e s a m e p r o p o r t io n o f t h e w h o le g r o u p a g e d 1 0 t o 14 t h a t t h e E n g lis h o f a ll a g e s f o r m o f t h e p o p u la t io n o f a ll a g e s . F o r im m ig r a n t r a c e s o f l o n g s t a n d in g t h is is p r o b a b ly a c o r r e c t a s s u m p t io n , b u t f o r m o r e r e c e n t im m ig r a n t s , s u c h a s t h e P o r t u g u e s e w h o f o r m a n im p o r t a n t p a r t o f t h e F a l l R i v e r o p e r a t iv e b o d y , i t is m o r e a p t t o b e t r u e a s r e s p e c t s t h e a g e g r o u p 15 t o 4 4 t h a n f o r t h e p o p u la t io n a s a w h o le . F o r t h e s e n e w e r a r r iv a ls a re t o a la r g e e x t e n t p e r s o n s o f w o r k in g a g e , w h o h a v e n o t b e e n h e r e l o n g e n o u g h t o h a v e m a r r ie d a n d h a d c h ild r e n , o r t o h a v e g r o w n i n t o t h e h ig h e r a g e g r o u p s . I n o t h e r w o r d s , t h e r e a re l ik e ly t o b e r e la t iv e ly f e w c h ild r e n a n d f e w a g e d p e o p le a m o n g t h e m , a n d h e n c e t h e r a c ia l d e a t h r a t e s c a n p r o b a b ly b e c o m p u t e d m o r e a c c u r a t e ly b y a g e , w it h in t h is g r o u p in w h ic h t h e y a r e m a s s e d , th a n t h e y c o u l d b e i f t h e s a m e a s s u m p t io n w e r e a p p lie d t h r o u g h o u t t h e w h o le p o p u la t io n o f a ll a g e s. A g a in , th is p a r t ic u la r g r o u p n o t o n l y fu r n is h e s th e g r e a t m a jo r i t y o f d e a t h s f r o m t u b e r c u lo s is , b u t a m a jo r i t y o f a ll d e a t h s a m o n g 47 REASONS FOB SELECTIO N OF GROUP. c o t t o n o p e r a t iv e s o c c u r w it h in its lim it s . t h e fo llo w in g t a b le : T h is is a p p a r e n t fr o m PER CENT T H A T D E A T H S FROM A L L CAUSES AMONG COTTON O P E R A T IV E S OF EACH SPECIFIED W O R K R O O M , IN AGE GROUP 15 TO 44 A R E OF T O T A L FROM A L L CAUSES AM ONG O P E R A T IV E S A G E D 10 Y E A R S OR O VER O F EA C H SPECIFIED ROOM. i Females. O^ Males. «8 Workroom. Card room........................................................................................................ .......... Spinning room........................................................................................................... Spooler room and miscellaneous............................................................................ Weave room............................................................................................... ................ 63 67 39 53 71 96 82 64 64 80 74 58 All rooms.......................................................................................................... 54 76 65 A lt h o u g h t h e s e p e r c e n t a g e s a re n o t s o la r g e a s t h o s e f o r t u b e r c u lo u s d e a t h s t h e y a re q u it e s u ffic ie n t t o e s t a b lis h t h e f a c t t h a t t h is a g e p e r io d is f a ir ly r e p r e s e n t a t iv e o f t h e a g g r e g a t e o p e r a t iv e d e a t h s . F in a lly , t h e s iz e o f t h e n u m b e r s n e c e s s a r ily i n v o l v e d in t h e v i t a l s t a t is t ic s o f a n a g e g r o u p c o v e r in g 3 0 y e a r s a d d s c o n c lu s iv e n e s s t o th e r e s u lt s o b t a in e d . W h e n th e m o r t a l it y d a t a o f o n e in q u ir y c o v e r in g t h r e e y e a r s a n d o f a n o t h e r c o v e r in g t h e s u c c e e d in g fiv e y e a r s b o t h p r e s e n t c e r t a in fe a tu r e s , t h is d u a l a c c o r d fu r n is h e s a s t r o n g p r e s u m p t io n t h a t t h e s e a r e r e a lly b a s ic f a c t s , e v e n t h o u g h in e a c h c a s e t h e g r o u p s f r o m w h ic h t h e d a t a h a v e b e e n d r a w n m ig h t b e s m a ll. B u t w h e n t h e s a m e a c c o r d a p p e a r s in d a t a b a s e d u p o n g r o u p s in c lu d in g o v e r h a lf t h e p o p u la t io n , th e in fe r e n c e a s t o t h e b a s i c c h a r a c t e r o f t h e fa c t s t h u s d is c lo s e d b e c o m e s m u c h s t r o n g e r . T h e c h a r a c t e r is t ic s o f t h e a g e g r o u p 15 t o 4 4 w h ic h h e lp e d t o d e t e r m in e it s s e le c t io n f o r d e t a ile d s t u d y m a y , t h e r e fo r e , b e t h u s s u m m a r iz e d : 1. It includes more than four-fifths of the operative population, and can therefore be used more suitably than any other age group for comparisons between operative and nonoperative mortality, even if no age adjustment of death rates were employed. 2 . N e a r ly t w o -t h ir d s o f t h e e n t ir e o p e r a t iv e d e a t h s , m o r e t h a n t h r e e -fo u r t h s o f t h e e n t ir e f a t a l t u b e r c u lo s is a m o n g p e r s o n s a g e d 1 0 y e a r s a n d o v e r , a n d a lm o s t n in e -t e n t h s o f t h e w h o le n u m b e r o f o p e r a t iv e d e a t h s f r o m t u b e r c u lo s is o c c u r w it h in it s lim it s . T h e r e fo r e i t is e s p e c ia lly s u it a b le f o r in t e n s iv e s t u d y in a n in v e s t ig a t io n o f d e a t h c a u s e s a m o n g c o t t o n o p e r a t iv e s . 3 . I t r e p r e s e n ts t h a t p e r io d o f life w h ic h s h o u ld n o r m a lly b e a lm o s t w h o lly fr e e f r o m fa t a lit ie s , e x c e p t f o r a r a r e o c c a s io n a l d e a t h f r o m in b o r n d e fe c t . A p e r io d , t h e r e fo r e , in w h ic h p r a c t ic a lly e v e r y d e a t h is in it s e s s e n c e a c a s u a lt y , n o m a t t e r w h a t c o n v e n t io n a l t e r m m a y o ffic ia lly b e g iv e n as t h e “ c a u s e ” ; a p e r io d , t o o , in w h ic h u n q u e s t io n a b ly d e a t h is v e r y la r g e ly p r e v e n t a b le e v e n n o w t h r o u g h th e in t e llig e n t a p p lic a t io n o f p r e s e n t k n o w le d g e . 48 C H A P . I I .---- M O R T A L IT Y IN AGE GROUP 15 TO 44. 4 . I t is p r o b a b le t h a t th e a p p lica tio n , t o tn is a g e g r o u p o f t h e c e n s u s p e r c e n t a g e s o f th e r a c e d is t r ib u t io n o f the* e n t ir e p o p u l a t io n g iv e s a s m a lle r e r r o r in th e r a c ia l d e a t h r a te s o f n o n o p e r a t iv e s t h a n w o u ld b e t h e c a s e w it h a n y o t h e r a g e g r o u p . R a c ia l d e a t h r a t e s f o r o p e r a t iv e s a r e b a s e d u p o n k n o w n p o p u la t io n d a t a . 5 . F in a lly , in t h e n u m b e r o f in d iv id u a ls i n v o l v e d t h is g r o u p , in c lu d in g m o r e t h a n h a lf o f th e t o t a l p o p u la t io n , p o s s e s s e s d e c id e d a d v a n t a g e s o v e r o t h e r a g e g r o u p s f o r s t a t is t ic a l a n a ly s is . SUMMARY OF COMPONENT 5-YEAR AGE GROUPS. A s h a s a lr e a d y b e e n s a id , t h e v a r ia t io n s in th e d e a t h r a t e s f o r t h e 5 -y e a r a g e g r o u p s w it h in t h is 3 0 -y e a r p e r io d a re r e la t iv e ly s m a ll as c o m p a r e d w it h t h e d iffe r e n c e s b e t w e e n t h e d e a t h r a t e s f o r a n y 5 o r 1 0 -y e a r a g e g r o u p s o u t s id e th e p e r io d , o r f o r t h e p e r io d it s e lf as a w h o le a n d a n y o f t h e h ig h e r a g e g r o u p s in c lu d in g a n e q u a l n u m b e r o f y e a r s . N e v e r th e le s s , i f th e c o m p a r is o n b e c o n fin e d t o t h e d e a t h r a t e s o f th e s e c o m p o n e n t 5 -y e a r a g e g r o u p s w it h o u t r e fe r e n c e t o r a te s p r e v a ilin g o u t s id e o f th e p e r io d , c o n s id e r a b le d iffe r e n c e s a p p e a r . M o r e o v e r , th e m a s s in g b y s e x a n d o c c u p a t io n d iffe r s f r o m g r o u p t o g r o u p , th e r e la t iv e im p o r t a n c e o f t u b e r c u lo u s a n d n o n t u b e r c u lo u s c a u s e s o f d e a t h v a r ie s , a n d in t h e s u b d iv is io n s b y s e x a n d o c c u p a t io n t h e d e a t h r a t e s f r o m t u b e r c u lo s is in s t e a d o f in c r e a s in g s t e a d ily f r o m b e g in n in g t o e n d o f t h e p e r io d s h o w s o m e t e n d e n c y t o fa ll a ft e r th e a g e o f 3 4 . I n d is c u s s in g t h e m o r t a lit y o f t h e g r o u p as a w h o le th e s e v a r ia t io n s a re o f im p o r t a n c e , a n d c o n s e q u e n t ly i t s e e m s a d v is a b le t o p r e fa c e t h e c o n s id e r a t io n o f c o n d it io n s in t h e a g e g r o u p 15 t o 4 4 b y a b r ie f s t a t e m e n t o f c o n d it io n s in e a c h o f it s c o m p o n e n t 5 -y e a r a g e g r o u p s . A t t h e o u t s e t , in o r d e r t o p r e s e n t a c o m p r e h e n s iv e v ie w o f t h e v a r ia t io n s a b o u t t o b e d is c u s s e d , a n d in o r d e r a ls o t o s h o w t h e r e la t io n b e t w e e n t h o s e in t h is g r o u p a n d t h o s e in t h e w h o le p o p u la t io n a g e d 15 t o 6 4 , t h e fo llo w in g t a b le s a re p r e s e n te d , s h o w in g t h e g e n e r a l d is t r ib u t io n o f t h e p o p u la t io n a n d t h e d e a t h s , t o g e t h e r w it h a c o m p a r is o n o f t h e d e a t h r a te s f o r o p e r a t iv e s , b o t h a s a w h o le a n d b y w o r k r o o m g r o u p s , a n d f o r n o n o p e r a t iv e s in e a c h 5 -y e a r a g e grou p. 49 S U M M A R Y OF C O M P O N E N T 5 -YEAR AGE GROUPS. PERCENTAGE DISTRIBUTION, IN EACH 5-Y E A R AGE GROUP, OF POPULATION AN D OF DEATHS, OF O PER ATIVES ACCORDING TO W O RK R O O M AN D OF NON OPERATIVES, B Y SE X . Picker room and Spinning card room. room. Spooler room and miscel laneous. Weave room. Non operatives. Opera tives. Both classes. Sex, and age group. Pop Pop Pop Pop Pop Pop Pop ula Dths ula Dths ula Dths ula Dths ula Dths ula Dths ula Dths tion. tion. tion. tion. tion. tion. tion. MALES. to 19 years.................... 20 to 24 years.................... 25 to 29 years.................... 30 to 34 years.................... 35 to 39 years.................... 40 to 44 years.................... 15 11 17 16 13 11 9 8 8 6 12 12 12 11 6 7 10 10 13 12 69 77 58 17 3 11 20 24 18 11 31 23 42 134 6 ,7 7 0 12 8 6 16 4 83 59 89 45 to 54 years.................... 55 to 64 years.................... 12 5 20 21 Total, 45 to 64 years. 17 41 Grand total, 15 to 64 years (basic num ber or 100 per cent). 2 ,4 1 5 Total, 15 to 44 years. 16 18 13 35 24 10 6 6 8 90 3 ,1 8 0 14 15 13 6 27 17 12 11 9 8 13 5 4 9 5 20 17 14 11 11 9 9 10 iot 8' 111 10 13 14 15 3 11 13 10 6 8 9 10 11 5 16 15 14 7 8 12 12 9 10 11 9 36 82 58 76 47 78 50 13 21 21 14 10 21 14 5 25 39 32 21 29 16 64 18 42 24 53 84 11 2 83^ 1,459 5 56 1 3 ,8 2 4 8 22 50 563^ 24,558 1 ,1 1 4 ^ 3 8 ,3 8 2 1 ,6 7 7 FEM ALES. 15 to 19 years.................... 20 to 24 years.................... 25 to 29 years.................... 30 to 34 years.................... 35 to 39 years.................... 40 to 44 years.................... 24 24 15 Total, 15 to 44 years. 8 16 9 14 15 9 7 10 90 11 23 33 35 13 27 19 8 6 22 22 15 10 10 3 12 11 5 72 98 97 87 2 1 2 152 2,925 45 to 54 years.................... 55 to 64 years.................... 8 2 14 14 Total, 45 to 64 years. 10 28 Grand total, 15 to 64 years (basic num ber or 100 per cent). 2 ,7 1 5 0) 7 29 U 26 17 10 11 11 17 11 20 26 27 12 10 15 15 13 13 13 10 11 12 12 10 16 U 2 3 7 9 9 16 16 14 12 11 9 6 7 10 10 9 10 9 18 7 5 10 66 94 83 92 77 71 40 78 52 10 25 5 12 15 17 23 14 3 9 5 *7 1 3 13 34 17 8 23 112 4 ,9 4 4 2 8 16 1 8 1 6 224 3 ,8 4 4 8 6 138 1 4 ,4 2 8 10 12 37 8 21 27 29 60 22 48 626 2 7 ,6 1 2 1 ,2 6 0 8 42,040 1,886 BOTH SEXES. 15 to 19 years.................... 20 to 24 years.................... 25 to 29 years.................... 3 0 to 3 4 years.................... 35 to 39 years................. 40 to 44 years.................... 34 29 13 9 8 13 12 12 10 12 Total, 15 to 44 years. 87 67 93 45 to 54 years.................... 55 to 64 years.................... 10 5 2 7 242 6 ,1 0 5 18 20 16 13 11 8 6 3 3 17 16 Total, 45 to 64 years. 13 33 Grand total, 15 to 64 years (basic num ber or 100 per cent). 5 ,1 3 0 19 22 16 17 5 18 14 23 11 10 16 12 8 9 22 14 13 12 14 7 10 7 12 11 10 11 12 12 11 10 10 16 15 14 12 11 10 73 43 78 51 22 35 14 8 21 28 57 22 49 194 2 8 ,2 5 2 1 ,1 8 9 5 2 ,1 7 0 2 ,3 7 4 8 0 ,4 2 2 3,563 11 8 6 11 12 13 9 13 82 81 61 91 70 87 68 24 15 7 2 15 15 10 3 18 12 14 5 14 16 11 18 19 39 9 30 13 32 27 246 11,714 6 6 507 5 ,3 0 3 1 Less than one-half of 1 per cent. 88204°—19—Bull. 251----- 4 12 15 15 10 8 28 24 10 10 10 11 3 4 9 5 7 9 10 10 10 50 C H A P. II .— M O R T A L IT Y IN AGE GROUP 15 TO 44. COM PARISON OF D E A T H R A T E S PER 1,000 FOR O P E R A T IV E S A N D N O N O P E R A 'H V E S IN EACH 5-Y E A R AGE GROUP, B Y W O R K R O O M AN D S E X . Picker room and card room. Spinning room. Spooler room and miscellaneous. Weave room. Age group. Fe Both Males Fe Both Males Fe Both Males Fe Both Males males males sexes males sexes males sexes sexes 15 to 19 vears.......................... 6.18 20 to 24 years.......................... 3.95 4.06 7.26 Total, 15 to 24 years.. 4.89 5.68 25 to 29 years.......................... 3 33 10.65 30 to 34 years.......................... 3.19 14.57 Total, 25 to 34 years.. 3.27 12.31 4.67 6.11 3.79 6.31 5.33 5.85 4.51 6.04 3.35 2.29 3 . SO 5.28 5.43 4.82 5.60 5.22 6.96 IsTST loTST 9.88 8.26 11.43 11.72 11.57 7.54 9.89 11.18 10.53 35 to 39 vears.......................... 6.90 11.91 I m ST 8.12 14.04 10.87 40 to 44 years.......................... 10.41 14.58 12.15 12.70 15.58 13.79 Total, 35 to 44 years.. 8.50 13.11 10.44 Total, 15 to 44 years: •Age adjusted........ 5.13 9.03 7.01 Crude.................. 5.31 8.92 4.19 3.17 4.03 3.03 3.15 3-70 3.57 0) ~8.87~ 13.37 7.42 9.25 0) 10.51 8.13 2.79 4.56 3-59 0) 3.59 3.82 I 3.71 6.12 7.12 5.89 9.96 6.02 8.23 6.58 7.53 6.98 9.19 9.80 9.42 T l 9 ~ "(M B’ 6.80 9 3 0 18.82 12.57 0 ) 13.21 10.40 9.91 14.52 11.91 9.24 13.61 10.83 6.30 9.34 833 7.27 8.94 5.55 6.79 3.20 6.76 5-81 6.53 7.58 6.21 6.92 3.26 6.36 8.05 6.04 45 to 54 years.......................... 12.12 19.21 15.21 11.76 " o r 10.56 12.19 21.44 15.10 17To7~ 16.00 55 to 64 years.......................... 31.41 100.00 49.08 50.47 0 ) 53 21 25 49 27 27 25.98 64.71 46.67 Total, 45 to 64 years: Age adjusted........ 16.91 39.27 23-62 21.37 0 ) 21.15 15.49 22.89 17.80 28.90 23.61 Crude.................. 17.70 31.73 Grand total, 15 to 64 years: Age adjusted........ 6.69 13.05 Crude.................. 9.22 7.45 11.20 Operatives. Age group. 15.75 22.79 2^.20 12.00 9.14 29.35 8.43 9.79 7.66 6.87 8.93 8.36 9.06 Nonoperatives. 3.93 5.22 3. 89 4.93 Total, 15 to 24 years. 4.14 4.58 4.40 25 to 29 years................... 5.70 8. 54 30 to 34 years................... 6.13 12.13 7. 22 8.96 Total, 25 to 34 years. 5.89 2.13 3. 73 2.02 2.68 2.08 3.23 2.93 2.36 4. 97 6.86 4. 78 6. 05 27.08 31.03 20.00 7.60 6.61 9.00 7.68 7.18 8.64 Per cent of excess in death rates. Both classes and Fe Both Males Fe Both both Males males sexes males sexes sexes. 15 to 19 years................... 3.83 20 to 24 years................... 4.48 16.48 59.18 Operative over Female Male nonoperative. over over male female nonoper Fe oper Males. males. atives. atives. 3.01 4.07 ro 20 95 95 2.66 3. 54 41 4.88 6.41 5. 71 7.22 15 »11 3 17 5 39 94 31 24 79 100 50 98 4 13 7. 95 5. 80 5.40 5.59 6.39 2 84 69 7 35 to 39 vears................... 8.37 10.02 9.11 40 to 44 years................... 9.51 16.18 12.25 7. 46 9. 56 6. 66 8.13 7.04 8. 76 7. 66 9. 70 12 31 50 99 20 70 12 18 Total, 35 to 44 years. 8. 88 12.55 10.48 Total, 15 to 44 years: Age adjusted__ 5.57 7.67 6.60 8. 41 7. 38 7.85 8.60 6 70 41 14 4. 82 4.21 4.51 5.35 16 38 14 5.56 5.14 4 82 42 25 8 45 to 54 years................... 12. 55 18.99 14. 81 13.60 12.16 12. 77 55 to 64 years................... 34.09 44. 74 36.70 29.64 28.89 29. 21 Total, 45 to 64 years: Age adjusted 17.90 25.38 20. 25 17.-58 16.32 16. 85 13.29 30. 27 38 15 56 56 51 31 12 3 17.50 2 38 56 42 8 26 28 7 11 3 10 72 39 *5 12 61 Crude............... 5.81 9.94 7.28 Crude............... 18.53 23.81 Grand total, 15 to 64 years: Age adjusted. . . Crude............... 7. 21 10.03 8.15 8.68 20.15 18.87 8. 42 6. 52 5.82 9.07 9.13 6.15 6.96 1 Less than 5 deaths in population group; rate not computed. 8 Average rate estimated. Crude rate 45 to 64 used instead of atypical rates of subgroups. 3 Per cent by which operative rate fell below nonDperative rate. 4 Per cent by which operative rate fell below nonoperative rate; fallacious because of dissimilar age distribution. See detailed explanation, p. 32. 6 Per cent by which rate for nonoperative males fell below rate for nonoperative females; fallacious because of dissimilar age distribution. See detailed explanation, p. 32. S U M M A R Y OF C O M P O N E N T 5-Y EAR AGE GROUPS. 51 T h e fir s t o f t h e t w o p r e c e d in g t a b le s b r in g s o u t th e m a s s in g o f th e fe m a le o p e r a t iv e s in th e e a r lie r a g e g r o u p s , w h e r e n o r m a lly th e d e a t h r a te is lo w . O v e r o n e -h a lf (5 3 p e r c e n t ) o f th e fe m a le o p e r a t iv e s a re fo u n d in th e t w o g r o u p s a g e d 15 t o 19 a n d 2 0 t o 2 4 y e a r s , w h ile o n ly a b o u t o n e -fift h (21 p e r c e n t ) o f t h e fe m a le n o n o p e r a t iv e s are fo u n d in th e s e t w o a g e g r o u p s . T h e r e la t iv e y o u t h fu ln e s s o f th e o p e r a t iv e s g r e a t ly in c r e a s e s th e im p r e s s iv e n e s s o f t h e ir h ig h d e a t h r a te s . T w e n t y -e ig h t p e r c e n t o f th e fe m a le o p e r a t iv e d e a t h s a g a in s t o n ly 5 p e r c e n t o f th e fe m a le n o n o p e r a t iv e d e a t h s o c c u r r e d b e t w e e n th e a g e s o f 15 a n d 2 4 . A m o n g m a le o p e r a t iv e s t h e m a s s in g in t h e lo w e r a g e g r o u p s is n o t s o p r o n o u n c e d . O v e r o n e -t h ir d (3 7 p e r c e n t ) o f th e m a le o p e r a t iv e s , h o w e v e r , a g a in s t a b o u t o n e -f o u r t h (2 7 p e r c e n t ) o f t h e n o n o p e r a t iv e s a re fo u n d in t h e t w o a g e g r o u p s c o v e r in g 15 t o 2 4 y e a r s , a n d 19 p e r c e n t o f t h e o p e r a t iv e d e a t h s a s c o m p a r e d w it h 9 p e r c e n t o f th e n o n o p e r a t iv e o c c u r in th e s e t w o a g e g r o u p s . C o m p a r in g th e d e a t h r a te s o f o p e r a t iv e s a n d n o n o p e r a t iv e s , as s h o w n in th e s e c o n d o f th e ta b le s , i t w ill b e s e e n t h a t a m o n g th e m a le s th e g r e a t e s t o p e r a t iv e e x c e s s is f o u n d in th e g r o u p a g e d 15 t o 39. T h e im p o r t a n c e o f th is g r o u p is in d ic a t e d b y t h e f a c t t h a t i t c o n t a in s o n e -fift h o f a ll th e m a le o p e r a t iv e s . I n t h e a lm o s t e q u a lly im p o r t a n t g r o u p a g e d 2 0 t o 2 4 y e a r s th e o p e r a t iv e e x c e s s is o n ly 2 0 p e r c e n t . I n t w o o f th e o £ h e r fiv e -y e a r a g e g r o u p s t h e e x c e s s is o n th e s id e o f th e n o n o p e r a t iv e s , t h o u g h in n e it h e r c a s e is i t la rg e . A c o m p a r is o n o f th e d e a t h r a t e s o f th e fe m a le p o p u la t io n w ill s h o w t h a t th e o p e r a t iv e in v a r ia b ly e x c e e d s th e n o n o p e r a t iv e r a te , a n d t h a t th e e x c e s s is s o m e t im e s v e r y la r g e . T h e g r e a t e s t o p e r a t iv e e x c e s s , 100 p e r c e n t , a p p e a r s in t h e g r o u p a g e d 3 0 t o 3 4 , w h ic h c o n ta in s o n e -t e n t h o f th e t o t a l fe m a le o p e r a t iv e s . I n t h e g r o u p a g e d 40 t o 44 t h e o p e r a t iv e e x c e s s is 9 9 p e r c e n t , b u t th is g r o u p is n u m e r ic a lly le s s im p o r t a n t , c o n t a in in g o n l y 6 p e r c e n t o f a ll fe m a le o p e r a t iv e s . I n t h e m o s t im p o r t a n t a g e g r o u p , 2 0 t o 2 4 y e a r s , w h ic h c o n t a in s 2 7 p e r c e n t o f a ll fe m a le o p e r a t iv e s , th e e x c e s s in t h e o p e r a t iv e d e a t h r a t e is 95 p e r c e n t , a n d in th e n e x t m o s t im p o r t a n t g r o u p , 15 t o 19 y e a r s , c o n t a in in g 2 6 p e r c e n t o f th e fe m a le o p e r a t iv e s , th e e x c e s s is a g a in 95 p e r c e n t . T h e v e r y g r e a t e x c e s s in t h e d e a t h r a t e s o f o p e r a t iv e s o v e r n o n o p e r a t iv e s a m o n g th e y o u n g e s t w o r k e r s , t h o s e a g e d 15 t o 19, m u s t b e c o n s id e r e d e s p e c ia lly s ig n ific a n t , f o r th e s e g r o u p s c o n t a in la r g e n u m b e r s , a n d a ffo r d a c o m p a r is o n b e t w e e n b o y s a n d g ir ls w h o h a v e b e e n e m p lo y e d f o r a fe w y e a r s a n d b o y s a n d g ir ls o f e q u a l a g e s o m e o f w h o m h a v e n o t b e e n e m p lo y e d a t a ll a s w a g e e a r n e rs . T u r n in g n o w fr o m t h e t a b le t o a c o n s id e r a t io n o f th e s e p a r a t e fiv e y e a r a g e g r o u p s , i t m a y b e s a id t h a t in th is p r e f a t o r y d is c u s s io n d a t a c o n c e r n in g p o p u la t io n a n d m o r t a lit y fr o m t u b e r c u lo u s a n d fr o m n o n t u b e r c u lo u s c a u s e s w ill b e c o n s id e r e d c h ie fly b y s e x a n d o c c u p a 52 C H A P . II .---- M O R T A L IT Y IN AGE GROUP 15 TO 44. tio n , w h ile in th e t r e a t m e n t o f w o r k r o o m m o r t a lit y t h e d is t in c t io n b e t w e e n t u b e r c u lo u s a n d n o n t u b e r c u lo u s c a u s e s o f d e a t h w ill b e d is r e g a r d e d , a n d th e d is c u s s io n w ill b e lim it e d t o d e a t h s fr o m a ll c a u s e s o n ly . I t m a y b e w e ll t o p r e m is e t h a t th e c o n d it io n s p r e v a ilin g in th e s e p a r a t e fiv e -y e a r a g e g r o u p s r a r e ly d iffe r fr o m t h o s e in th e w h o le 3 0 -y e a r p e r io d in s u c h a w a y a s t o a ffe c t s e r io u s ly th e r e la t iv e d e a t h r a te o f th e s e v e r a l c la s s e s . A n y e x c e p t io n s t o th is g e n e r a l s t a t e m e n t w ill b e n o t e d . MORTALITY IN AGE GROUP 15 TO 19. T h e p e r c e n t o f th e t o t a l p o p u la t io n a n d o f th e t o t a l d e a t h s in e a c h s e x a n d o c c u p a t io n c la s s o f t h e a g e g r o u p 15 t o 19, a n d th e d e a t h r a t e p e r 1 ,0 0 0 p o p u la t io n in e a c h s e x a n d o c c u p a t io n c la s s , a s w e ll as in a ll c o m b in e d , a re s h o w n in th e fo llo w in g t a b l e : PERCENTAGE D IST R IB U T IO N OF PO PULATION AND OF D E AT H S, AN D D E A T H R ATES PER 1,000 FROM TU BER CU LO U S, N O NTUBER CU LO U S, AN D A L L CAUSES, B Y S E X AN D OCCUPATIONAL GROUP, AGE GROUP 15 TO 19,1908 TO 1912. Percentage distribution of population and of deaths. Males. Cause of death. Opera tives. Popula tion and number of deaths. Females. • Both Nonoper atives. classes. Opera tives. Nonoper Both atives. classes. Population..................................... 22 26 48 29 23 52 12,634 Deaths: Tuberculous............................ Nontuberculous..................... 17 36 14 22 31 58 49 30 20 12 69 42 86 104 All causes............................. 27 19 46 39 15 54 190 Death rates per 1,000. Tuberculous................................... Nontuberculous............................ 1.10 2.73 0.73 1.40 0.90 2.00 2.23 1.70 1.18 .84 1.78 1.33 1 1.36 i 1.65 All causes............................. 3.83 2.13 2.90 3.93 2.02 3.11 1 3.01 i Death rate for both sexes and both classes combined. Mortality by sex .— I n th is g r o u p fe m a le s a re a lit t le m o r e n u m e r o u s t h a n m a le s , fo r m in g 52 p e r c e n t o f th e t o t a l. T h e y fu r n is h a s lig h t ly la r g e r p e r c e n t a g e o f th e d e a t h s , 5 4 p e r c e n t , t h a n th e ir n u m e r ic a l e x c e s s w a r r a n ts . B o t h o p e r a t iv e a n d n o n o p e r a t iv e fe m a le s s h o w a s m a lle r p r o p o r t io n o f d e a t h s fr o m n o n t u b e r c u lo u s c a u s e s t h a n th e m a le s o f th e c o r r e s p o n d in g g r o u p s . C o m p a r in g th e d e a t h h a z a r d o f th e t w o s e x e s a s s h o w n b y th e ir d e a t h r a te s , th e fe m a le h a z a r d is s lig h t ly g r e a te r — 3 .1 1 a g a in s t 2 .9 0 , a n e x c e s s o f 7 p e r c e n t . T h e e x c e s s is f o u n d o n l y a m o n g th e fe m a le s d y in g o f tu b e r c u lo s is , th e fe m a le s in th e o t h e r s u b g r o u p s s h o w in g a lo w e r r a te th a n th e m a le s . I n n o o t h e r a g e g r o u p is th e t o t a l d e a t h h a z a r d o f e a c h s e x s o lo w , 53 S U M M A R Y OF C O M P O N E N T 5 -YEAR AGE GROUPS. n o r , e x c e p t in th e n e x t a g e g r o u p , a re th e h a z a r d s o f th e s e x e s s o n e a r ly e q u a l. Mortality by cause .— T u b e r c u lo s is is r e s p o n s ib le f o r 86 o u t o f 1 9 0 d e a t h s in th is g r o u p , o r n e a r ly o n e -h a lf. A b o u t o n e r th ir d (31 p e r c e n t ) o f t h e m o r t a lit y o f m a le s , o p e r a t iv e s a n d n o n o p e r a t iv e s t o g e t h e r , is c h a r g e a b le t o t u b e r c u lo s is , w h ile n e a r ly t h r e e -fift h s (5 7 p e r c e n t ) , o f th e w h o le d e a t h h a z a r d o f th e fe m a le s is d u e t o th is c a u s e .. T h is d o e s n o t , h o w e v e r , m e a n t h a t t u b e r c u lo s is w a s e s p e c ia lly p r e v a le n t s o m u c h as t h a t in th is e a r ly a g e g r o u p o t h e r ca u s e s o f d e a t h w e r e n o t a c t iv e . I n a c t u a l h a z a r d , a s s h o w n b y th e d e a t h r a te s , th e r is k f r o m t u b e r c u lo s is w a s s m a lle r in th is a g e g r o u p f o r th e p o p u la t io n a s a w h o le a n d f o r e a c h a n d e v e r y s u b g r o u p t h a n in a n y o t h e r o f th e s ix 5 -y e a r a g e g r o u p s w it h in th e p e r io d 15 t o 4 4 .1 Mortality by industry .— A lt h o u g h c o t t o n o p e r a t iv e s fo r m b u t h a lf o f th is a g e g r o u p t h e y fu r n is h t w o -t h ir d s o f its t o t a l d e a t h s . T h is g r e a t e r h a z a r d o f th e o p e r a t iv e a p p e a r s in v a r y in g d e g r e e s a m o n g m a le s a n d fe m a le s fr o m b o t h t u b e r c u lo u s a n d n o n t u b e r c u lo u s c a u s e s o f d e a t h . I n n o o t h e r g r o u p d o e s th e m a le o p e r a t iv e e x c e e d th e n o n o p e r a t iv e in t o t a l d e a t h h a z a r d s o m u c h a s h e re , w h e r e t h e m a le o p e r a t iv e d e a t h r a t e is 8 0 p e r c e n t h ig h e r t h a n th e n o n o p e r a t iv e . Operative mortality by workroom .— T h e p e r c e n t a g e d is t r ib u t io n o f t h e m a le a n d fe m a le o p e r a t iv e s a n d o f t h e ir d e a t h s fr o m a ll c a u s e s a m o n g t h e d iffe r e n t w o r k r o o m s , a n d th e ir d e a t h r a t e in e a c h r o o m , a re fo r th is a g e g r o u p as fo llo w s : PERCENTAGE D ISTR IBUTIO N OF M ALE AN D FEM ALE O PER ATIVES AN D OF D EATH S FROM ALL CAUSES, AND D E A T H R ATES PER 1,000, B Y W O R K R O O M , AGE GROUP 15 TO 19. Card room. Item. Spooler Spinning room and room. miscella neous. Weave room. Total. MALES. Per cent population............................................................ Per cent deaths.................................................................... Death rates per 1,000........................................................... 10 15 6.18 41 40 3.79 14 14 3.59 35 31 3.35 o2,712 «52 3.83 17 18 4.06 26 35 5.33 29 31 4.19 28 16 2.29 « 3 ,763 074 3.93 14 17 4.67 32 37 4.51 23 24 4.03 31 22 2. 79 o6,475 ol26 3.89 FEMALES. Per cent population............................................................ Per cent deaths.................................................................... Death rates per 1,000........................................................... BOTH SEXES. Per cent population............................................................ Per cent deaths.................................................................... Death rates per 1,000.......................................................... a Basic number (100 per cent), i The difference between the actual hazard from tuberculosis, as shown by the death rate, and the pro portion of deaths due to tuberculosis appears with special clearness among the female nonoperatives of this age group. Nearly three-fifths (59 per cent) of their total mortality is attributed to tuberculosis. At no other age throughout adult life is the proportion of tuberculous deaths among them so high; and yet at no other age, under 65 were they so little liable to die from tuberculosis as at 15 to 19. 54 C H A P. II .---- M O R T A L IT Y IN AGE GROUP 15 TO 44. T h e c a r d r o o m h a s th e h ig h e s t d e a t h r a te h e re , d u e t o th e m o r t a lit y a m o n g th e m a le s , f o r w h o m th is r o o m s h o w s b y fa r t h e g r e a t e s t h a z a r d . N e x t in g e n e r a l h a z a r d s t a n d s th e s p in n in g r o o m , w h ic h s h o w s t h e h ig h e s t fe m a le d e a t h r a te , w h ile th e m a le d e a t h r a t e h e r e is h ig h e r t h a n a n y w h e r e else e x c e p t in th e c a r d r o o m . A s th e s p in n in g r o o m c o n t a in s n e a r ly o n e -t h ir d o f th e t o t a l o p e r a t iv e s o f th is a g e g r o u p its h ig h r a t e is o f im p o r t a n c e b o t h a b s o lu t e ly a n d r e la t iv e ly . T h e s p o o le r r o o m s h o w s r e la t iv e ly a lo w r a t e f o r m a le s a n d a h ig h r a t e f o r fe m a le s , w h ile f o r b o t h s e x e s th e w e a v e r o o m s h o w s a m u c h lo w e r r a te t h a n t h a t f o r th e w h o le o p e r a t iv e g r o u p . T h is is th e o n l y a g e g r o u p in w h ic h a w o r k r o o m d e a t h r a te f o r m a le s is fo u n d h ig h e r t h a n a n y r o o m r a te f o r fe m a le s , a n d e v e n h e r e th e h ig h e s t m a le r a te e x c e e d s th e h ig h e s t fe m a le r a te b y o n l y 16 p e r c e n t .1 M O RTALITY IN AGE GROUP 20 TO 24. T h e p e r c e n t o f th e t o t a l p o p u la t io n a n d o f t h e t o t a l d e a t h s in e a c h s e x a n d o c c u p a t io n c la s s o f th e a g e g r o u p 2 0 t o 2 4 , a n d t h e d e a t h r a t e p e r 1 ,0 0 0 p o p u la t io n in e a c h s e x a n d o c c u p a t io n c la s s , as w e ll as in a ll c o m b in e d , a re s h o w n in t h e f o llo w in g t a b le : PERCENTAGE D ISTR IBUTION OF POPULATION AN D OF D EA TH S,, AN D D E A T H R ATES PER 1,000 FROM TUBERCULOUS, NONTUBERCULOUS, A N D A L L CAUSES, B Y S E X AND OCCUPATIONAL GROUP, AGE GROUP 20 TO 24, 1908 TO 1912. Percentage distribution of population and of deaths. Males. Cause of death. Opera tives. Nonop eratives. Popula tion and number of deaths. Females. Both classes. Opera tives. Nonop eratives. Both classes. Population..................................... 20 26 46 30 24 54 12,521 Deaths: Tuberculous............................... N ontuberculous......................... 20 22 16 33 36 55 50 28 14 17 64 45 129 126 All causes............................ 21 24 45 39 16 55 255 Death rate per 1,000. Tuberculous................................... Nontuberculous............................ 2.16 2.32 1.26 2. 47 1.64 2.41 3.37 1.85 1.21 1.47 2.42 1.68 i 2.06 1 2.01 All causes............................. 4. 48 3.73 4.05 5.22 2.68 4.10 i 4.07 1 Death rate for both sexes and both classes combined. Mortality by sex .— I n th is g r o u p a g a in th e fe m a le s g iv e a s lig h t ly la r g e r p r o p o r t io n o f t h e d e a t h s t h a n t h e y f o r m o f t h e p o p u la t io n , a n d t h e ir t o t a l d e a t h h a z a r d is v e r y s lig h t ly g r e a t e r t h a n t h a t o f 1 Table 55, giving detailed individual death causes, shows that of the total eight deaths of card room males in this age group, two were from appendicitis, one from scarlet fever, one from typhoid fever, two from pneumonia, and two from casualties, a distribution which seems to suggest that the card room death rate for males in this age group may not improbably be atypical. S U M M A R Y OF C O M P O N E N T 5 -YEAR AGE GROUPS. 55 m a le s . T h is e x c e s s is d u e t o t h e h ig h d e a t h r a t e f r o m t u b e r c u lo u s c a u s e s a m o n g fe m a le o p e r a t iv e s . I n e v e r y o t h e r s u b g r o u p th e fe m a le s fu r n is h a s m a lle r p r o p o r t io n o f th e d e a t h s t h a n o f t h e p o p u la t io n a n d t h e ir d e a t h r a t e is s m a lle r t h a n t h a t o f t h e c o r r e s p o n d in g m a le g r o u p . I n n o o t h e r a g e g r o u p a r e th e t o t a l d e a t h r a te s o f m a le s a n d fe m a le s s o n e a r ly e q u a l. Mortality by cause .— T h e p r o p o r t io n o f t u b e r c u lo u s d e a t h s (5 1 p e r c e n t ) is la r g e r t h a n in a n y o t h e r a g e g r o u p . T h is is d u e t o th e v e r y h ig h p r o p o r t io n o f t u b e r c u lo u s d e a t h s a m o n g o p e r a t iv e s , e s p e c ia lly fe m a le o p e r a t iv e s , a m o n g w h o m 6 4 p e r c e n t o f t h e t o t a l d e a th s w e r e f r o m th is c a u s e . A s in t h e p r e c e d in g g r o u p , th is m e a n s s im p ly t h a t o t h e r c a u s e s o f d e a t h h a d n o t y e t b e c o m e a c t iv e , n o t t h a t t u b e r c u lo s is w a s m o r e p r e v a le n t t h a n e ls e w h e r e . I n a c t u a l h a z a r d , as s h o w n b y th e d e a t h r a t e , t h e r is k f r o m t u b e r c u lo s is in th is a g e g r o u p w a s s m a lle r th a n in a n y o t h e r , e x c e p t th e g r o u p a g e d 15 t o 19 y e a r s . Mortality by industry .— I n g e n e r a l, o p e r a t iv e s in th is a g e g r o u p s h o w a d is t in c t ly h ig h e r d e a t h r a t e t h a n n o n o p e r a t iv e s o f t h e s a m e s e x . T h e o n l y e x c e p t io n t o th is g e n e r a l r e la t io n is fo u n d a m o n g t h e m a le s d y in g o f n o n t u b e r c u lo u s c a u s e s , w h e r e th e n o n o p e r a t iv e e x c e e d s th e o p e r a t iv e h a z a r d b y 6 p e r c e n t . T h e c o m p a r a t iv e ly h ig h d e a t h r a t e f r o m t u b e r c u lo s is a m o n g fe m a le o p e r a t iv e s h a s a lr e a d y b e e n m e n t io n e d , b u t e v e n f r o m n o n t u b e r c u lo u s c a u s e s th e ir d e a t h r a t e e x c e e d s t h a t o f th e n o n o p e r a t iv e s b y 2 6 p e r c e n t . F r o m t u b e r c u lo s is t h e y a re n e a r ly th r e e t im e s (2 7 9 p e r c e n t ) as lia b le t o d ie as n o n o p e r a t iv e s . Operative mortality by workroom .— T h e p e r c e n t a g e d is t r ib u t io n o f t h e m a le a n d fe m a le o p e r a t iv e s a n d o f t h e ir d e a t h s f r o m a ll c a u s e s a m o n g th e d iffe r e n t w o r k r o o m s , a n d t h e ir d e a t h r a t e in e a c h r o o m , a re f o r th is a g e g r o u p as f o l l o w s : PERCENTAGE D ISTRIBUTIO N OF MALE AND FEM ALE O PER ATIVE S AN D OF DEATHS FROM A L L CAUSES, AND D E A T H R ATES PE R 1,000, B Y W O R K R O O M , AG E GROUP 20 TO 24. 1 Basic number (100 per cent). 56 C H A P . II .— M O R T A L IT Y IN AGE GROUP 15 TO 44. A g a in t h e c a r d r o o m s h o w s t h e g r e a t e s t d e a t h h a z a r d , c a u s e d in t h is c a s e b y t h e h ig h d e a t h r a t e a m o n g t h e fe m a le o p e r a t iv e s e m p lo y e d h e r e . F o r fe m a le s th is is th e r o o m o f g r e a t e s t p e r il, t h e ir d e a t h r a t e h e r e e x c e e d in g t h a t o f a ll fe m a le o p e r a t iv e s in t h is a g e g r o u p b y 39 p e r c e n t . F o r m a le s t h e s p in n in g r o o m is th e p o in t o f g r e a t e s t d a n g e r , t h e ir d e a t h r a t e h e r e e x c e e d in g t h a t o f a ll m a le o p e r a t iv e s b y 41 p e r c e n t . F o r b o t h s e x e s t h e s p o o le r r o o m h a s t h e lo w e s t h a z a r d , t h e w e a v e r o o m s t a n d in g n e x t lo w e s t . M O R TALITY IN AG E GROUP 25 TO 29. T h e p e r c e n t o f t h e t o t a l p o p u la t io n a n d o f t h e t o t a l d e a t h s in e a c h s e x a n d o c c u p a t io n c la s s o f t h e a g e g r o u p 2 5 t o 2 9 , a n d t h e d e a t h r a t e p e r 1 ,0 0 0 p o p u l a t io n in e a c h s e x a n d o c c u p a t io n c la s s , as w e ll a s in a ll c o m b in e d , a r e s h o w n in t h e fo llo w in g t a b le : PERCENTAGE D ISTR IBUTIO N OF PO PULATION AND OF D EATH S, AN D D E A T H R ATE P E R 1,000 FROM TUBERCULOUS, NONTUBERCULOUS, AN D A L L CAUSES, B Y S E X AN D OCCUPATIONAL GROUP, AGE GROUP 25 TO 29, 1908 TO 1912. Percentage distribution of population and of deaths. Opera tives. Nonop eratives. Popula tion and number of deaths. Females. Males. Cause of death. Both classes. Opera tives. Nonop eratives. Both classes. Population..................................... 17 31 48 19 33 52 11,456 Deaths: Tuberculous....... ................... Nontuberculous..................... 18 16 26 29 44 45 32 26 24 29 56 55 126 201 17 27 44 29 27 56 327 All causes............................ ! Death rate per 1,000. r Tuberculous................................... Nontuberculous............................ 2.43 3. 27 1.75 3.22 1.98 3.24 3.67 4.87 1.66 3.12 2. 41 3. 76 12.20 13.51 All causes............................. 5.70 4.97 5.22 8.54 4.78 6.14 i 5.71 1 Death rate for both sexes and both classes combined. Mortality by sex .— I n th is a g e g r o u p fe m a le s s t ill fo r m m o r e t h a n h a lf o f t h e p o p u la t io n a n d s h o w a d is p r o p o r t io n a t e n u m b e r o f th e t o t a l d e a th s . T h e ir d e a t h r a t e is h ig h e r b y 18 p e r c e n t t h a n t h a t o f t h e m a le s , th e e x c e s s a p p e a r in g in d e a t h s f r o m b o t h t u b e r c u lo u s a n d n o n t u b e r c u lo u s c a u s e s . T h e m a le s , b o t h a s a w h o le a n d in t h e n o n o p e r a t iv e s u b g r o u p , fu r n is h a s m a lle r p r o p o r t io n o f th e d e a t h s t h a n o f th e p o p u la t io n . M a le n o n o p e r a t iv e s s h o w a h ig h e r d e a t h r a t e th a n fe m a le n o n o p e r a t iv e s , b u t t h e e x c e s s , 4 p e r c e n t , is s m a lle r t h a n in a n y o t h e r a g e g r o u p w it h in t h e 15 t o 4 4 y e a r s p e r io d , t h o u g h i t is n e a r ly e q u a le d in a g e g r o u p 15 t o 19 , w h e r e th e c o r r e s p o n d in g e x c e s s is 5 p e r c e n t . 57 S U M M A R Y OF CO M P O N E N T 5 -YEAR AGE GROUPS. A m o n g o p e r a t iv e s fe m a le s h a v e m u c h th e g r e a t e r h a z a r d , t h e ir d e a t h r a t e e x c e e d in g t h a t o f th e m a le s b y 50 p e r c e n t. Mortality by cause.— B y th e t im e th e a g e o f 25 is r e a c h e d jio n t u b e r c u lo u s c a u s e s o f d e a t h a re b e c o m in g m u c h m o r e a c t iv e th a n in th e e a r lie r y e a r s , a n d c o n s e q u e n t ly , t h o u g h t u b e r c u lo s is is r e a lly m o r e p r e v a le n t h e re t h a n in th e y o u n g e r g r o u p s , it fo r m s a s m a lle r p r o p o r t io n — 39 p e r c e n t — o f t h e t o t a l d e a th s t h a n in e ith e r o f th e p r e c e d in g a g e g r o u p s . I n th is a g e g r o u p f o r th e fir s t t im e th e in c r e a s e in th e d e a t h h a z a r d fr o m n o n t u b e r c u lo u s c a u s e s is g r e a te r th a n t h a t fr o m t u b e r c u lo s is , th e in c r e a s e in th e d e a th , r a te fr o m t u b e r c u lo s is o v e r t h a t in a g e g r o u p 20 t o 24 b e in g o n ly 7 p e r c e n t , w h ile th e in c re a s e in th e d e a t h r a t e fr o m n o n t u b e r c u lo u s ca u s e s is 75 p e r c e n t . H e r e a ft e r t h e h a z a r d fr o m n o n t u b e r c u lo u s c a u s e s in c r e a s e s in e a c h fiv e -y e a r a g e g r o u p m o r e r a p id ly th a n t h a t fr o m tu b e r c u lo s is . Mortality by industry .— O p e r a t iv e s s h o w a g r e a t e r lia b ilit y t o d e a t h fr o m b o t h t u b e r c u lo u s a n d n o n t u b e r c u lo u s c a u s e s th a n d o n o n o p e r a t iv e s o f th e s a m e s e x . T h is is e s p e c ia lly n o t ic e a b le in th e c a s e o f fe m a le o p e r a t iv e s , w h o s e d e a t h r a te fr o m t u b e r c u lo u s c a u se s e x c e e d s t h a t o f th e n o n o p e r a t iv e s b y 121 p e r c e n t. T h is e x c e s s is s o la r g e t h a t i t fu r t h e r a u g m e n t s th e o p e r a t iv e e x c e s s o f o v e r o n e h a lf in th e d e a t h r a te fr o m n o n t u b e r c u lo u s c a u s e s , m a k in g th e o p e r a t iv e d e a t h r a te fr o m a ll c a u s e s a m o n g fe m a le s 79 p e r c e n t h ig h e r t h a n th e n o n o p e r a t iv e . A m o n g m a le s th e o p e r a t iv e s as a w h o le h a v e a d e a t h r a t e o n ly s lig h t ly h ig h e r (1 5 p e r c e n t ) th a n th e n o n o p e r a t iv e s , a lt h o u g h t h e y s h o w a v e r y c o n s id e r a b le e x c e s s in th e d e a t h r a t e fr o m t u b e r c u lo s is , th e ir r a te e x c e e d in g t h a t o f th e n o n o p e r a t iv e s b y 39 p e r c e n t . Operative mortality by workroom .— T h e p e r c e n t a g e d is t r ib u t io n o f th e m a le a n d fe m a le o p e r a t iv e s a n d o f th e ir d e a t h s fr o m a ll ca u s e s a m o n g t h e d iffe r e n t w o r k r o o m s , a n d t h e ir d e a t h r a t e in e a c h r o o m , a re f o r th is a g e g r o u p a s fo llo w s : PERCENTAGE D ISTR IBU TION OF MALE AND FEM ALE OPER ATIVES AND OF D E A T H S FROM A L L CAUSES, AN D D E A T H R AT E PER 1,000, B Y W ORKROOM S, AGE GROUP 25 TO 29. Card room. Item. Spooler Spinning room and room. miscel laneous. Weave room. Total. M ALES. Per cent population. Per cent deaths____ Death rate Der 1.000_______________________________ 22 13 3.84 20 31 8.90 9 4 2.25 48 52 6.12 i 1,895 1 54 5.70 19 24 10.65 18 22 10.85 8. 87 29 30 34 24 5.89 1 2,178 1 93 8.54 20 20 6.96 19 26 9.88 20 20 7.42 41 34 6.02 1 4,073 1 147 7.22 FEMALES. Per cent population. Per cent deaths____ Death rate per 1,000............................................................ BOTH SEXE S. Per cent population. Per cent deaths....... Death rate per 1,000 1 Basic number (100 per cent). 58 C H A P. I I .-----M O R T A L IT Y IN AGE GROUP 15 TO 44. T h e s p in n in g r o o m s h o w s th e h ig h e s t d e a t h r a te f o r m a le s a n d fe m a le s a lik e , th is b e in g th e o n ly c a s e w it h in th e fiv e -y e a r a g e g r o u p s u n d e r c o n s id e r a t io n in w h ic h th e h ig h e s t d e a t h r a te s f o r b o t h s e x e s a re fo u n d in th e s a m e r o o m . T h is h ig h d e a t h r a te is e s p e c ia lly s e r io u s o n a c c o u n t o f th e im p o r t a n c e o f th e r o o m , n e a r ly o n e -fift h o f th e t o t a l o p e r a t iv e p o p u la t io n o f th e g r o u p b e in g e m p lo y e d h e re . F o r fe m a le s th e c a r d r o o m , in w h ic h a lm o s t th e s a m e p r o p o r t io n o f t h e ir t o t a l n u m b e r is e m p lo y e d , h a s a lm o s t a s h ig h a d e a t h r a te , w h ile f o r m a le s th e h a z a r d o f th e w e a v e r o o m , th e n e x t in p o in t o f d a n g e r , fa lls b e lo w t h a t o f th e s p in n in g r o o m b y 31 p e r c e n t . F o r m a le s th e s p o o le r r o o m a n d f o r fe m a le s th e w e a v e r o o m s h o w th e lo w e s t d e a t h h a z a r d s . T h e im p o r t a n c e o f th is f a c t d iffe r s f o r th e s e x e s , h o w e v e r , s in c e th e s p o o le r r o o m c o n t a in s le s s t h a n o n e -t e n t h o f th e m a le o p e r a t iv e s o f th is a g e g r o u p , w h ile th e w e a v e r o o m c o n t a in s o v e r o n e -t h ir d o f th e fe m a le o p e r a t iv e s . M O R TALITY IN AGE GROUP 30 TO 34. T h e p e r c e n t o f th e t o t a l p o p u la t io n a n d o f th e t o t a l d e a t h s in e a c h s e x a n d o c c u p a t io n c la s s o f th e a g e g r o u p 3 0 t o 3 4 y e a r s , a n d th e d e a t h r a t e p e r 1 ,0 0 0 p o p u la t io n in e a c h s e x a n d o c c u p a t io n c la s s , a s w e ll as in a ll c o m b in e d , a r e s h o w n in th e fo llo w in g t a b le : PERCEN TAG E DISTR IBU TIO N OF POPULATION A N D OF D E A T H S, AN D D E A T H R A T E PER 1,000 FROM TUBERCULO US, N ON TUBER CU LO U S, AN D A L L CAUSES, B Y SE X AN D OCCUPATIONAL GROUPS, AGE GROUP 30 TO 34, 1908 TO 1912. Percentage distribution of population and of deaths. Males. Cause of death. Opera tives. Females. Non oper Both atives. classes. Opera tives. Nonoper atives. Both classes. Popula tion and number of deaths. Population..................................... 17 30 47 15 38 53 9,334 Deaths: Tuberculous........................... Nontuberculous..................... 19 11 31 28 50 39 26 25 24 36 50 61 122 215 All causes............................. 14 29 43 25 32 57 337 1.64 4.41 j 2.47 5.30 i 2.61 i 4.61 6.05 7.77 i 7.22 Death rate per 1,000. Tuberculous................, ................ N ontuberculous...... ..................... 2.94 3.19 2.69 4.17 2.78 3.82 4.57 7.56 All causes............................ 6.13 6.86 6.60 12.13 1 Death rate for both sexes and both classes combined. Mortality hy sex .— F e m a le s s t ill o u t n u m b e r th e m a le s in t h e g e n e r a l p o p u la t io n , b u t in th is g r o u p for* th e fir s t t im e t h e y f o r m le s s t h a n h a lf o f th e o p e r a t iv e s . B o t h s e x e s fu r n is h n e a r ly th e s a m e p r o p o r t io n o f th e t u b e r c u lo u s d e a t h s as o f t h e p o p u la t io n , b u t th e m a le t u b e r c u lo u s d e a t h r a t e is s lig h t ly h ig h e r t h a n th e fe m a le . T h is m a le e x c e s s o c c u r s w h o lly a m o n g th e n o n o p e r a t iv e s , a s a m o n g o p e r a t iv e s th e t u b e r c u lo u s d e a t h r a t e f o r fe m a le s is h ig h e r t h a n t h a t o f th e m a le s b y 55 p e r c e n t . F r o m n o n t u b e r c u lo u s c a u s e s th e d e a t h r a te s 59 S U M M A R Y OF C O M P O X E K T 5-Y E A R AGE GROUPS. o f fe m a le o p e r a t iv e s a n d n o n o p e r a t iv e s a lik e e x c e e d th o s e o f th e c o r r e s p o n d in g m a le g r o u p s . A m o n g n o n o p e r a t iv e s th is fe m a le e x c e s s is s lig h t (6 p e r c e n t ) , b u t a m o n g o p e r a t iv e s i t r u n s u p t o 13 7 p e r c e n t . T h e p a r t u r it io n h a z a r d o f fe m a le o p e r a t iv e s , w h ic h is e s p e c ia lly h ig h in th is g r o u p , a c c o u n t s f o r a c o n s id e r a b le p a r t o f th e e x c e s s . Mortality by cause .— T u b e r c u lo s is , t h o u g h r e s p o n s ib le f o r a s m a lle r p e r c e n t a g e (3 6 p e r c e n t ) o f th e t o t a l m o r t a lit y in a g e g r o u p 3 0 t o 3 4 th a n in a n y o f th e th re e p r e c e d in g a g e g r o u p s , is a c t u a lly m o r e p r e v a le n t h e re th a n in a n y g r o u p y e t c o n s id e r e d . T h e o n ly g r o u p in w h ic h it is m o r e p r e v a le n t is th e a g e g r o u p 3 5 t o 3 9 , in w h ic h t h e t u b e r c u lo u s d e a t h r a te f o r a ll p e r s o n s , 2 .7 2 p e r 1 ,0 0 0 p o p u la t io n , e x c e e d s th e c o r r e s p o n d in g r a te f o r th is g r o u p b y o n ly 4 p e r c e n t . F e m a le s a re m o r e lia b le t o d ie fr o m t u b e r c u lo s is in th is a g e g r o u p th a n in a n y o th e r , b u t f o r m a le s th e n e x t a g e g r o u p s h o w s th e h ig h e s t t u b e r c u lo u s d e a t h h a z a r d fo u n d . Mortality by industry .— A m o n g th e fe m a le s o f th is g r o u p th e d e a t h r a te o f o p e r a t iv e s fr o m all c a u s e s e x c e e d s t h a t o f n o n o p e r a t iv e s b y 100 p e r c e n t, a n e x c e s s g r e a t e r th a n is fo u n d in a n y o t h e r a g e g r o u p . I t a lso e x c e e d s th e c o r r e s p o n d in g d e a t h r a t e o f m a le o p e r a t iv e s b y p r a c t ic a lly 100 p e r c e n t , w h ic h is lik e w is e th e g r e a t e s t e x c e s s o f th is k in d fo u n d in a n y a g e g r o u p . A m o n g m a le s th is is th e fir s t a g e g r o u p in w h ic h o p e r a t iv e s fa ll b e lo w , n o n o p e r a t iv e s in t o t a l d e a t h h a z a r d , th e n o n o p e r a t iv e d e a t h r a te e x c e e d in g th e o p e r a t iv e b y 12 p e r c e n t . S m a ll as th is e x c e s s s e e m s i t is g r e a t e r t h a n is fo u n d a n y w h e r e e ls e a m o n g m a le s a g e d 15 t o 4 4 ; in d e e d , in th e o n ly o t h e r g r o u p in w h ic h s u c h a n e x c e s s o c c u r s , a g e g r o u p 4 0 t o 4 4 , it is m e r e ly n o m in a l, b e in g less t h a n 1 p e r c e n t (0 .5 p e r c e n t ). Operative mortality by workroom .— T h e p e r c e n t a g e d is t r ib u t io n o f th e m a le a n d fe m a le o p e r a t iv e s , a n d o f t h e ir d e a t h s f r o m a ll c a u s e s , a m o n g th e d iffe r e n t w o r k r o o m s , a n d th e d e a t h r a te f o r e a c h r o o m , a re f o r t h is a g e g r o u p as fo llo w s : PERCENTAGE D ISTR IBUTIO N OF MALE A N D FEM ALE O P ER ATIVES, AN D OF D EA TH S FROM A L L CAUSES, AN D D E A T H R A T E S PER 1,000, B Y W O R K R O O M , AG E GROUP 30 TO 34. Card room. Item. Spooler Spinning room and room. miscel laneous. Weave room. Total. MALES. 24 13 3.70 16 29 11.43 10 50 58 7.12 1 1,567 i 41 6.13 22 25 14.57 17 18 11.72 25 28 13.37 36 29 9.96 1 1, 402 'J 85 12.13 Per cent population............................................................ 23 21 .................................................................. Per cent deaths. Death rates per 1,000........................................................... £.26 16 21 11.57 18 18 9.25 43 40 8.23 i 2,969 1 133 8.96 Per cent population............................................................ Per cent deaths.................................................................... Death rates per 1,000 ..................................................... FEMALES. Per cent population............................................................ Per cent deaths.................................................................... Death rates per 1,000........................................................... BOTH SEXES. 1 Basic number (100 per cent). 60 C H A P . I I .— M O R T A L IT Y IN AGE GROUP' 15 TO 44. I n t h is a g e g r o u p th e d iffe r e n t w o r k r o o m s r a n k a s t o d e a t h h a z a r d p r e c is e ly as t h e y d id in a g e g r o u p 2 5 t o 2 9 , th e s p in n in g r o o m s t a n d in g a t th e h e a d , fo llo w e d in o r d e r b y th e s p o o le r r o o m , c a r d r o o m , a n d w e a v e r o o m . F o r m a le o p e r a t iv e s , t o o , th e r o o m s h a v e th e s a m e r a n k as t o h a z a r d a s in th e p r e c e d in g a g e g r o u p ; f o r fe m a le s , h o w e v e r , th e a r r a n g e m e n t is v e r y d iffe r e n t , th e c a r d r o o m s t a n d in g h ig h e s t a n d th e s p o o le r r o o m n e x t . T h e r e is a m u c h w id e r r a n g e f o r th e r a t e s a m o n g m a le s t h a n a m o n g fe m a le s , th e h ig h e s t r o o m r a t e f o r t h e m a le s , t h a t o f th e s p in n in g r o o m , e x c e e d in g th e g e n e r a l m a le o p e r a t iv e r a t e b y 8 6 p e r c e n t , w h ile th e c o r r e s p o n d in g e x c e s s a m o n g th e fe m a le s is o n l y 2 0 p e r c e n t . T h e f a c t t h a t fe m a le o p e r a t iv e s h a v e a m u c h h ig h e r d e a t h h a z a r d t h a n m a le s , w h ic h h a s a lr e a d y b e e n d is c u s s e d , s h o w s- o u t s t r ik in g ly h e r e in e v e r y r o o m . T h e n e a r e s t a p p r o a c h t o a n e q u a lit y o f h a z a r d b e t w e e n th e s e x e s is fo u n d in th e s p in n in g r o o m , w h ic h e m p lo y s a s m a lle r p r o p o r t io n o f th e fe m a le o p e r a t iv e s o f th is a g e g r o u p t h a n a n y o t h e r r o o m in th e m ill. M O RTALITY IN AGE GROUP 35 TO 39. T h e p e r c e n t o f th e t o t a l p o p u la t io n a n d o f th e t o t a l d e a t h s in e a c h s e x a n d o c c u p a t io n c la s s o f th e a g e g r o u p 3 5 t o 3 9 , a n d th e d e a t h r a t e p e r 1 ,0 0 0 p o p u la t io n in e a c h s e x a n d o c c u p a t io n c la s s , as w e ll as in a ll c o m b in e d , a re s h o w n in th e f o llo w in g t a b le : PER CEN TAGE D ISTR IBUTION OF PO PULATIO N AN D OF D EA TH S, AN D D E A T H R A T E S PER 1,000 FROM TUBERCULOUS, NONTUBERCULOU S, AN D A L L CAUSES, B Y S E X A N D OCCUPATIONAL GROUP, AG E GROUP 35 TO 39, 1908 TO 1912. Percentage distribution of population and of deaths. Males. Cause of death. Opera tives. Nonoper atives. Popula tion and number of deaths. Females. Both classes. Opera tives. Nonoper Both atives. classes. Population..................................... 17 33 50 13 37 50 9,062 Deaths: Tuberculous........................... N ontuberculous..................... 27 13 33 32 60 45 17 18 23 37 40 55 123 224 All causes............................. 17 33 50 18 32 50 347 Death rate per 1,000. Tuberculous................................... N ontuberculous............................. 4.45 3.92 2. 71 4. 75 3.28 4.48 3,45 6. 57 1.68 4.98 2.15 5. 41 i 2.72 i 4.94 All causes............................. 8.37 7.46 7.76 10.02 6.66 7. 56 1 7.66 1 Death rate for both sexes and both classes combined. Mortality by sex .— T h is is th e o n l y a g e g r o u p in w h ic h b o t h p o p u la t io n a n d d e a t h s a re e q u a lly d iv id e d b e t w e e n th e s e x e s , e a c h h a v in g 5 0 p e r c e n t o f e a c h . T h is e q u a lit y o f d iv is io n d o e s n o t h o ld , h o w e v e r , in th e o c c u p a t io n c la s s e s ; th e fe m a le s f o r m le ss t h a n h a lf t h e S U M M A R Y OF C O M P O N E N T 5 -YEAR AGE GROUPS. 61 o p e r a t iv e s b u t fu r n is h a lit t le o v e r h a lf th e o p e r a t iv e d e a t h s , a n d , fo r m in g a lit t le m o r e th a n h a lf th e n o n o p e r a t iv e s , g iv e s o m e t h in g le ss th a n h a lf o f th e n o n o p e r a t iv e d e a th s . T h is is th e o n ly o n e o f th e fiv e -y e a r a g e g r o u p s in w h ic h fe m a le n o n o p e r a t iv e s r e a c h th e n u m b e r o f d e a th s fr o m n o n t u b e r c u lo u s c a u s e s w h ic h c o r r e s p o n d s t o th e ir p o p u la t io n q u o t a . (F r o m t u b e r c u lo u s c a u s e s t h e y n e v e r r e a c h th is c o r r e s p o n d e n c e .) T h is is a ls o th e o n l y in s t a n c e in w h ic h th e m a le d e a th r a t e fr o m a ll c a u s e s is h ig h e r th a n th e fe m a le , th e e x c e s s b e in g fo u n d s o le ly in th e t u b e r c u lo u s d e a t h s o f m a le s . A s a th ir d p e c u lia r it y , th is is th e o n l y a g e g r o u p in w h ic h o n e o f th e s e x o r o c c u p a t io n c la s s e s h a s a s m a lle r d e a t h r a t e th a n th e s a m e c la s s in a n e a r lie r a g e g r o u p . H e r e th e d e a t h r a te s o f th e fe m a le o p e r a tiv e s fr o m b o t h t u b e r c u lo u s a n d n o n t u b e r c u lo u s c a u s e s a re lo w e r th a n th e c o r r e s p o n d in g r a te s f o r a g e g r o u p 3 0 to 3 4 , a n d a lt h o u g h th e d e a th r a te s a m o n g th e n o n o p e r a t iv e s c o n f o r m t o th e g e n e r a l r u le , th e d e fic it a m o n g th e o p e r a t iv e s b r in g s d o w n th e d e a t h r a t e f r o m a ll ca u s e s f o r fe m a le s in g e n e r a l s lig h t ly b e lo w t h a t o f th e p r e c e d in g a g e g r o u p . Mortality by cause.— T h e n u m b e r o f d e a th s fr o m t u b e r c u lo s is is la r g e r in th is th a n in th e g r o u p ju s t p r e c e d in g , a n d is b u t s ix s m a lle r th a n th e la r g e s t n u m b e r in a n y o f th e s ix 5 -y e a r a g e g r o u p s . D e a t h s fr o m o t h e r c a u s e s , h o w e v e r , a re s o m u c h m o r e n u m e r o u s t h a n a t th e e a r lie r a g e s t h a t th e p r o p o r t io n o f d e a th s fr o m t u b e r c u lo s is is s m a lle r th a n in a n y p r e c e d in g a g e g r o u p . T h e a c t u a l p r e v a le n c e o f t u b e r c u lo s is , as s h o w n b y th e d e a t h r a te , is g r e a t e r in th is a g e g r o u p , as a w h o le , th a n in a n y o t h e r . T h e h a z a r d d iffe r s in th e d iffe r e n t s u b g r o u p s , h o w e v e r . A m o n g fe m a le o p e r a t iv e s i t is less th a n in th e p r e c e d in g a g e g r o u p , b u t a m o n g n o n o p e r a t iv e s , b o t h m a le a n d fe m a le , it is h ig h e r t h a n in a n y o t h e r a g e g r o u p . A m o n g o p e r a t iv e s as a w h o le , o n l y th e s u c c e e d in g a g e g r o u p , 4 0 t o 44 y e a r s , s h o w s a g r e a t e r d e a t h h a z a r d f r o m t u b e r c u lo s is . Mortality by industry.— O p e r a t iv e s , b o t h m a le a n d fe m a le , s h o w a h ig h e r d e a t h r a t e t h a n p r e v a ils a m o n g n o n o p e r a t iv e s o f th e s a m e s e x . A m o n g fe m a le s th e o p e r a t iv e e x c e s s , 5 0 p e r c e n t , is s m a lle r t h a n th e e x c e s s fo u n d in a n y o t h e r a g e g r o u p , th e n e x t s m a lle s t e x c e s s , 79 p e r c e n t , o c c u r r in g in a g e g r o u p 2 5 t o 2 9 . A m o n g m a le s , a lt h o u g h th e o p e r a t iv e e x c e s s is b u t 12 p e r c e n t , i t s t ill m a r k s a c o n s id e r a b le c h a n g e fr o m th e p r e c e d in g a g e g r o u p , in w h ic h th e n o n o p e r a t iv e s s h o w e d th e h ig h e r r a t e s . T h e o p e r a t iv e s as a w h o le s h o w o n e c u r io u s p a r a lle lis m n o t s e e n in a n y o t h e r a g e g r o u p ; m a le a n d fe m a le o p e r a t iv e s c o m b in e d fu r n is h 3 0 p e r c e n t o f th e g r o u p ’ s p o p u la t io n a n d 31 p e r c e n t o f th e n o n t u b e r c u lo u s d e a t h s o c c u r r in g w it h in it. T h is is th e o n l y a g e g r o u p in w h ic h a m o n g t h e m a le o p e r a t iv e s d e a t h s fr o m tu b e r c u lo s is e x c e e d d e a t h s fr o m a ll n o n t u b e r c u lo u s c a u s e s . 62 CH A P. I I .— M O R T A L IT Y IlsT AGE GROUP 15 TO 44. Operative mortality by workroom .— T h e p e r c e n t a g e d is t r ib u t io n o f th e m a le a n d fe m a le o p e r a t iv e s , a n d o f th e ir d e a th s f r o m a ll c a u s e s , a m o n g th e d iffe r e n t w o r k r o o m s , a n d th e ir d e a t h r a t e in e a c h r o o m a re as fo llo w s : PERCENTAGE D ISTR IBUTION OF M ALE AND FEM ALE O P ER AT IV ES AN D OF DEATHS FROM A LL CAUSES, AND D EAT H R ATE S PER 1,000, B Y W O R K R O O M , AGE GROUP 35 TO 39. Card room. Item. Spooler Spinning room and room. miscella neous. Weave room. Total. MALES. Per cent population.......................................................... Per cent deaths................................................................... Death rate per 1,000............................................................ 22 18 6.88 13 13 8.12 9 8 7.19 56 61 9.19 ll, 482 i 62 8.37 19 23 11.91 14 20 14.04 25 16 6.62 42 41 9.80 i 1,218 i 61 10.02 20 21 9.03 14 16 10.87 16 12 6.80 50 51 9.42 i 2,700 i 123 9.11 FEMALES. Per cent population............................................................ Per cent deaths.................................................................... Death rate per 1,000........................................................... BOTH SEXES. Per cent population........................................................... Per cent deaths................................................................... Death rate per 1,000............................................................ 1 Basic number (100 per cent). H e r e , as in th e t w o p r e c e d in g a g e g r o u p s , th e s p in n in g r o o m s h o w s th e h ig h e s t t o t a l d e a t h h a z a r d , fo llo w e d in o r d e r b y th e w e a v e r o o m , c a r d r o o m , a n d s p o o le r r o o m . A m o n g m a le s , th e w e a v e r o o m f o r th e fir s t tim e s h o w s th e h ig h e s t d e a t h r a te , th e ir h a z a r d h e r e e x c e e d in g t h a t o f a ll m a le o p e r a t iv e s b y 10 p e r c e n t . F o r fe m a le s th e s p in n in g r o o m is th e d a n g e r p o in t , th e ir d e a t h r a t e h e r e e x c e e d in g t h a t o f a ll fe m a le o p e r a t iv e s b y 4 0 p e r c e n t . T h e r e is th is im p o r t a n t d iffe r e n c e b e t w e e n th e s e x e s , t h a t w h e re a s th e h ig h e s t m a le d e a t h r a t e o c c u r s in a r o o m e m p lo y in g m o r e th a n h a lf th e m a le o p e r a t iv e s o f th is a g e g r o u p , th e h ig h e s t fe m a le d e a t h r a t e is f o u n d in a r o o m e m p lo y in g le s s th a n o n e -s ix t h o f th e fe m a le o p e r a t iv e s . T h e fe m a le d e a t h r a te s f o r b o t h th e w e a v e r o o m a n d th e s p o o le r r o o m fa ll b e lo w th e c o r r e s p o n d in g r a te s f o r th e n e x t y o u n g e r a g e g r o u p , th o s e a g e d 3 0 t o 3 4 . T h is is a c c o u n t e d f o r b y a m a r k e d d im in u t io n in p a r t u r it io n d e a th s in th is o ld e r g r o u p . S p in n in g r o o m m a le s a ls o s h o w a s m a lle r d e a t h r a t e th a n a p p e a r s in th e n e x t you n ger age grou p . T h is is th e y o u n g e s t a g e g r o u p in w h ic h th e w e a v e r o o m s h o w s , f o r b o t h s e x e s c o m b in e d , a la r g e r p r o p o r t io n o f th e d e a t h s t h a n is ju s t ifie d b y its p o p u la t io n q u o t a . E v e n h e r e th is e x c e s s is fo u n d s o le ly a m o n g th e m a le s . T h e im p o r t a n c e o f th e w e a v e r o o m , it w ill b e n o t ic e d , h a s in c r e a s e d s t e a d ily t h r o u g h o u t th e s u c c e s s iv e a g e g r o u p s , u n t il h e r e i t c o n t a in s h a lf th e o p e r a t iv e p o p u la t io n , n e a r ly th r e e -fifth s o f th e m a le s a n d o v e r t w o -fift h s o f th e fe m a le s b e in g e m p lo y e d w it h in i t . 1 1 In both this and the succeeding age group loom fixers, whose work is in the weave room, comprise 10 per cent of all operative males. 63 SU M M A R Y OF C O M P O N E N T 5 -YEAR AGE GROUPS. M O R TALITY IN AGE GROUP 40 TO 44. T h e p e r c e n t o f th e t o t a l p o p u la t io n a n d o f th e t o t a l d e a th s in e a c h s e x a n d o c c u p a t io n c la s s o f th e a g e g r o u p 40 t o 44, a n d th e d e a t h r a te p e r 1 ,0 0 0 p o p u la t io n in e a c h s e x a n d o c c u p a t io n c la s s , as w e ll as in a ll c o m b in e d , a re s h o w n in th e fo llo w in g t a b le : PERCENTAGE DISTRIBU TION OF POPULATION AND OF D EAT H S, AND D EA TH R ATES PER 1,030 FROM TUBERCU LOU S, NON TU BER CU LO U S, AND A L L CAUSES, B Y S E X AND OCCUPATIONAL GROUP, AGE GROUP 40 TO 44, 1908 TO 1912. Percentage distribution of population and of deaths. Opera tives. Popula tion and number of deaths. Females. Males. Cause of death. Nonoper Both atives. classes. Opera tives. N onoperatives. Both classes. Population..................................... 16 32 48 11 41 52 7,733 Deaths: Tuberculous............................ Nontuberculous..................... 29 11 31 32 60 43 19 13 21 39 40 57 96 279 All causes........................... 15 32 47 19 34 53 375 Death rate per 1,000. Tuberculous................................... Nontuberculous............................ 4.59 4.92 2.39 7.17 3.11 6.43 1 4.22 11.98 1.27 6.86 1.90 7.94 12.43 i 7.22 All causes............................. 9. 51 9.56 | 1 9.54 16.18 8.13 9.84 19. 70 i 1 Death rate for both sexes and both classes combined. Mortality by sex .— I n th is g r o u p fe m a le s fu r n is h a s lig h t ly la r g e r p r o p o r t io n o f th e d e a t h s th a n o f th e p o p u la t io n , th e u n d u e p r o p o r t io n b e in g f o u n d o n l y a m o n g o p e r a t iv e s . A s u s u a l, th e t o t a l fe m a le d e a t h r a t e f r o m a ll c a u s e s is h ig h e r t h a n t h e m a le . F r o m t u b e r c u lo s is , h o w e v e r , m a le s in e a c h o c c u p a t io n g r o u p s h o w a m o r t a l it y h ig h e r th a n t h a t p r e v a ilin g in th e c o r r e s p o n d in g fe m a le g r o u p . A m o n g n o n o p e r a t iv e s t h e m a le r a t e f r o m n o n t u b e r c u lo u s c a u s e s is h ig h e r t h a n th e fe m a le , b u t th e fe m a le o p e r a t iv e s h a v e s u c h a n e x c e e d in g ly h ig h r a t e f r o m t h e s e c a u s e s t h a t i t b r in g s th e r a t e f o r th e s e x as a w h o le a b o v e t h a t o f t h e m a le s . Mortality by cause .— I n th is g r o u p t h e r e a re 9 6 d e a th s fr o m t u b e r c u lo s is , w h ic h f o r m o n ly a b o u t o n e -f o u r t h (2 6 p e r c e n t ) o f th e t o t a l d e a th s , a s m a lle r p e r c e n t a g e t h a n t u b e r c u lo s is h a s fu r n is h e d i n a n y p r e c e d in g a g e g r o u p . A s c o m p a r e d w it h o t h e r c a u s e s o f d e a th , t h e r e fo r e , t u b e r c u lo s is is r e la t iv e ly u n im p o r t a n t h e r e ; y e t a b s o lu t e ly th e h a z a r d , as s h o w n b y th e t o t a l d e a t h r a t e f r o m t u b e r c u lo s is , is o n l y 10 p e r c e n t le s s t h a n in th e p r e c e d in g a g e g r o u p w h e r e i t r e a c h e d it s h e ig h t , a n d o n ly 5 p e r c e n t b e lo w t h a t o f a g e g r o u p 3 0 t o 3 4 , th e s e c o n d in p o i n t o f d a n g e r f r o m t u b e r c u lo s is . F o r m a le o p e r a t iv e s t h e t u b e r c u lo u s m o r t a lit y r e a c h e s it s h ig h e s t p o in t in th is a g e g r o u p , w h ile fo r 64 C H A P. I I .---- M O R T A L IT Y IN AGE GROUP 15 TO 44. fe m a le o p e r a t iv e s i t is e x c e e d e d o n ly in a g e g r o u p 3 0 i o 3 4 . A m o n g fe m a le n o n o p e r a t iv e s , o n th e o t h e r h a n d , th e t u b e r c u lo u s h a z a r d is s m a lle r t h a n a n y w h e r e e lse e x c e p t in th e fir s t t w o 5 -y e a r a g e g r o u p s . I n t o t a l d e a t h r a t e e a c h s e x a n d o c c u p a t io n c la s s n a t u r a lly fin d s it s h ig h e s t p o i n t in th is o ld e s t o f th e 5 -y e a r g r o u p s . Mortality by industry .— T h e o p e r a t iv e s in th is a g e g r o u p f o r m o n ly 2 7 p e r c e n t o f th e p o p u la t io n , b u t fu r n is h 3 4 p e r c e n t o f th e d e a t h s . T h is e x c e s s o c c u r s m a in ly a m o n g t h e d e a t h s f r o m t u b e r c u lo s is , b o t h m a le a n d fe m a le o p e r a t iv e s h a v in g f r o m th is c a u s e a n e n o r m o u s ly g r e a t e r h a z a r d th a n n o n o p e r a t iv e s . F e m a le o p e r a t iv e s h a v e h ig h e r d e a t h r a te s t h a n n o n o p e r a t iv e s f r o m e a c h g r o u p o f c a u s e s , t h e ir t o t a l h a z a r d b e in g n e a r ly d o u b le (1 9 9 p e r c e n t ) t h a t o f th e n o n o p e r a t iv e s . M a le o p e r a t iv e s , o n th e o t h e r h a n d , a lt h o u g h t h e y e x c e e d n o n o p e r a t iv e s in t u b e r c u lo u s h a z a r d , fa ll s o m u c h b e lo w t h e m in n o n t u b e r c u lo u s h a z a r d t h a t th e n o n o p e r a t iv e s s h o w a b a r e ly a p p r e c ia b le e x c e s s (less t h a n 1 p e r c e n t ) o v e r th e o p e r a t iv e s i'n t o t a l d e a t h r a t e . Operative mortality by workroom .— T h e p e r c e n t a g e d is t r ib u t io n o f th e o p e r a t iv e p o p u la t io n a n d o f d e a t h s o f t h is a g e g r o u p t h r o u g h th e d iffe r e n t m ill r o o m s a n d th e d e a t h r a t e f o r e a c h r o o m a re as f o llo w s : PERCENTAGE DISTRIBUTION OF MALE AND FEMALE OPER ATIVES A N D OF DEATHS FROM A LL CAUSES, AND D E A T H R ATES PER 1,000, B Y W O RK R O O M , AGE GROUP 40 TO 44. Card room. Item. Spooler Spinning room and room. miscella neous. Weave room. Total. MALES. Per cent population............................................................ Per cent deaths.................................................................... Death rate per 1,000............................................................ 22 24 10.48 10 14 12.70 9 5 5.22 58 57 9.30 »1,220 158 9.51 23 20 14.58 9 9 15.58 24 20 13.21 44 51 18.82 1 853 169 16.18 22 22 12.15 10 11 13.79 16 13 10. 40 52 54 12.57 12,073 1 127 12.35 FEMALES. Per cent population............................................................ Per cent deaths.................................................................... Death rate per 1,000............................................................ BOTH SEXES. Per cent population............................................................ Per cent deaths.................................................................... Death rate per 1,000............................................................ i Basic number (100 per cent). F o r th e f o u r t h tim e th e s p in n in g r o o m s h o w s th e g r e a t e s t h a z a r d f o r th e o p e r a t iv e f o r c e r e g a r d le s s o f s e x , it s r a t e e x c e e d in g th e g e n e r a l r a te b y 12 p e r c e n t . N e x t in o r d e r c o m e th e w e a v e r o o m , c a r d r o o m , a n d s p o o le r r o o m . T h e s p in n in g r o o m s h o w s th e h ig h e s t d e a t h r a te f o r m a le s ; in th e w e a v e r o o m , c o n t r a r y t o th e s it u a t io n in th e p r e c e d in g a g e g r o u p , th e m a le s fu r n is h a s lig h t ly s m a lle r p r o p o r t io n o f th e t o t a l o p e r a t iv e d e a th s th a n o f th e o p e r a t iv e p o p u la t io n . A m o n g fe m a le s f o r th e fir s t tim e th e w e a v e r o o m s h o w s th e h ig h e s t r a te , a n d SUMMARY OF COMPONENT 5-YEAR AGE GROUPS. 65 this rate, 18.82, impressive enough in itself, is made more important by the size of the room, which employs over two-fifths of the total females in this age group. This high death rate occurring in a populous room is really the most striking mortality fact respecting the workroom death hazards of this age group. RECAPITULATION. Hazard by age.— In the population as a whole, and in the large sub divisions by sex and by operative or nonoperative condition, with one exception the total death hazard increases with each 5-year age group up to the close of the 15 to 44 year period, although there is considerable diversity in the degree of increase. The one exception is found among the female operatives, whose total death hazard in the age group 30 to 34 is greater than that in the next age group. The female nonoperatives conform to the general rule, but among the operatives the irregularity is so great that it determines the rate for the whole sex; and consequently for females as a whole, as well as for female operatives, the death rate is higher in age group 30 to 34 than in the age group 35 to 39. This exception, due in part to a drop in the nontuberculous parturition deaths from 21 in the younger to 51 in the older group, obtains not only among female operatives as a whole but also among those in every workroom except the spin ning room. In this room over four-fifths (81 per cent) of the female workers are under 30; consequently the 5-year age groups above 30 are so small numerically that this exception is not significant. Turning from the large subdivisions to the smaller workroom groups among the operatives, several irregularities are found. The cardroom males aged 15 to 192 have a higher death rate from all causes than those in the next three age groups; the spinning-room males aged 30 to 34 have a higher death rate than those aged 35 to 39; the females of all except the spinning room, as mentioned above, show this same irregularity; the spooler-room females aged 15 to 19 have a higher rate than those aged 20 to 24; in the same room the females aged 35 to 39 have a lower rate than those in either of the two age groups next below them, and the females in age group 40 to 44 have a lower death rate than those in age group 30 to 34. This last is the only exception found in any subgroup or subdivision to the general rule that those aged 40 to 44 have a higher total death rate than is found in any of the lower age groups. Hazard by sex.— Considering the death rates for each sex without regard to industrial classification, females show the higher total death hazard in every one of the six 5-year age groups except the fifth, 35 1Including one typhoid-fever-parturition death. 2 As to the probably atypical character of this rate see note, p. 54. 88204°— 19— Bull. 251------ 5 66 CHAP. II.— MORTALITY IN AGE GROUP 15 TO 44. to 39 years, in which males have the higher total risk. Comparing the sexes according to their industrial divisions, female operatives invariably show a higher rate than male operatives, while female nonoperatives just as invariably show a lower rate than either non operative or operative males. In the separate workrooms, however, there are several exceptions to the general rule that female operatives exceed the males in total death hazard, higher rates being found among the males of the card room aged 15 to 19, spinning room males aged 20 to 24, spooler room males aged 35 to 39, and weave room males aged 15 to 19 and 25 to 29 than among the females of the same groups. These exceptions will be discussed at length in the con sideration of workroom mortality. Hazard by industry.— In every age group the operatives as a whole show a higher death rate from all causes than the nonoperatives in the same group. This is true also of female operatives as compared with female nonoperatives, but male operatives show a lower rate than male nonoperatives in age groups 30 to 34 and 40 to 44. Com paring the operatives themselves as to occupational risk, in every 5-year age group, the spinning room shows a higher total death rate than any of the other rooms, except that in the youngest age groups, 15 to 19 and 20 to 24, the card room exceeds it slightly. MORTALITY BY SEX. In the table on pages 178 to 201 are given the sex distribution and the death rates by sex for the Fall River population aged 15 to 44 as a whole, and for each of the subdivisions of nativity, race, conjugal con dition, industry and, for operatives, the workroom in which employed, these details being given for each of the 10-year periods and for the 30 years as a whole. Moreover, to furnish a standard of comparison, the tables give also the sex distribution and the death rates by sex of the total urban white population in the registration States of the United States in 1911, these data being given for the native and the foreign born separately, as well as for the total. These death rates for those aged 15 to 44, as well as those of the Fall River groups, have been age adjusted so that they are strictly comparable with those of the operatives. Looking first at the death rates by sex of the whole Fall River population aged 15 to 44 it is at once apparent that females have appreciably the higher death hazard. From tuberculosis their death rate exceeds that of the males by 12 per cent, from nontuberculous causes by 5 per cent, and from all causes combined by 8 per cent. There are some minor exceptions to the general rule in the 10-year age groups. In age group 15 to 24, males exceed females in hazard from nontuberculous causes of death, the male death rate from these causes being 2.20 and the female rate 1.51. MORTALITY BY SEX. 67 This is true of all the subdivisions of the population in this age group, except the Portuguese, and the combined Irish and French Canadians of the spooler and miscellaneous rooms. These two classes together form less than one-fifth (19 per cent) of this age group. A second exception is found in age group 35 to 44, in which males are more than one-half (58 per cent) more liable than females to die from tuberculosis. Considering deaths from all causes, however, the greater female hazard appears throughout the 10-year age groups as well as in the 30-year period, the female excess being 4 per cent in the group aged 15 to 24 years, 18 per cent among those aged 25 to 34, and 0.8 per cent among those aged 35 to 44. Yet while this statement as to the higher female death hazard is true of the population as a whole, it is absolutely untrue of that portion of it (61 per cent) which does not work in cotton mills, for among these three-fifths the male death rate exceeds the female by 14 per cent. This is true of both the native and the foreign born, the excess of the male rate being among the native born 25 per cent and among the foreign born 9 per cent. It is true, also, in general of the separate 10-year periods, although in the two groups aged 25 to 34 and 35 to 44 foreign born females have the higher rate from nontuberculous causes, parturition fatalities being very prominent among these deaths. Also in age group 15 to 24 native bom, non operative females have a higher death rate than males from tuber culosis. Looking now at the corresponding data for the population of the registration States, which numbered over 18,000,000 urban whites, it appears that among these the males had the higher death rates, and that with the exception only of the males aged 15 to 24 this held true throughout the three decades, as well as for the period as a whole. The male excess is found among both native and foreign born, though it is far more marked among the native born. Comparing the Fall River data with these, it appears that while the nonoperatives who comprised three-fifths of the city’s popula tion aged 15 to 44 conform to the sex mortality rule prevailing throughout the registration area, the other two-fifths, the operatives, depart from it to such a degree that they completely hide the situa tion prevailing among the three-fifths, and make the death rates for the population as a whole appear radically at variance with those of the registration area. The general rule for Fall River, then, is that females show the higher death rate. Considering the death rates in more detail, it appears first that there is an exception to this rule in the case of the native born. Among these for the 30-year period the male death rate shows a slight excess (2 per cent) over the female. This excep tion, however, does not exist in the death rate from tuberculous 68 CHAP. II.— MORTALITY IN AGE GROUP 15 TO 44. causes, the native-born females here showing a rate higher by 6 per cent than that of the males. Taking up the question of race, as distinguished from nativity, it appears that in general the different race groups conform to the Fall River rule and display a higher mortality among females than among males. The English and the Irish, however, present some divergencies from this. The English, who form more than one-sixth (18 per cent) of the total operatives, show a female excess of 10 per cent in death hazard from tuberculosis, but in deaths from nontuberculous causes and in deaths from all causes they conform to the general rule of the regis tration area and show a male excess. The Irish just reverse the situa tion, for among them, while the females had the higher death rate from all causes, the male rate from tuberculosis was higher by 12 per cent than the female. This, too, though Irish females were fully two-thirds more liable to die from tuberculosis than were females of the aggregate non-Irish races. In deaths from all causes the Irish female rate showed an excess over the male of 15 per cent. Through volume of deaths the Irish were a very large factor in establishing the Fall River rule of female excess in mortality. Turning to the workroom groups there is but a single instance of divergence from the general rule of the city as to sex mortality. The weave-room workers who constitute almost two-fifths (39 per cent) of the entire cotton operative force aged 15 to 44 have a slightly greater male than female death rate from tuberculosis only, the male rate being higher by 4 per cent. Looking at the racial divisions of the weave room, it appears that the Irish and French Canadians combined have no share in this exception, but show the familiar excess in the female death rates from both tuberculous and nontuberculous causes. The combined other races of the weave room, however, constituting nearly two-thirds of the weave-room force, and onetenth of the total population aged 15 to 44, show higher death rates for males than for females throughout, the excess being in the case of tuberculous deaths 34 per cent, in the case of nontuberculous deaths negligible, and in deaths from all causes combined 11 per cent. The English, who make up more than two-fifths (43 per cent) of the nonIrish and non-French Canadian weave-room workers, might help to account for the higher male rate in nontuberculous deaths, but since they themselves show a higher female than male rate from tuberculous causes, the considerable male excess in death rates from tuberculous causes can not be even partially explained by their racial tendencies. So far the discussion has dealt with three classes— the native born, the nonoperatives and the English— who deviate from the general rule of the city as to sex mortality, conforming instead to the rule which prevails among the urban whites of the registration States, the rule that males have the greater death hazard. One other important MORTALITY BY SEX. 69 division of the population falls into this class— the single. The detail tables already referred to (see table on pp. 178 to 201) show 29 population classes, in each of which the male and female single may be compared as to death hazard from tuberculous and nontubercu lous causes and all causes combined, making 87 possible comparisons. Taking the total age group 15 to 44 years, the single males show the higher hazard in 78 of these 87 comparisons, and the nine exceptional cases in which the single females have the higher hazard represent less than 11 per cent of the total population. Five of these exceptions are found among the deaths from tuberculosis, one among the deaths from nontuberculous causes, and three in the deaths from all causes combined. These last three concern only three of the 29 population classes, all relatively inconsequential. The card-room workers show a female excess of 5 per cent, the workers in the spooler and miscel laneous rooms a female excess of 1 per cent, and the non-Irish, nonFrench Canadian workers in the spooler and miscellaneous rooms a female excess of 112 per cent. This last group is less important than its heavy excess would seem to indicate, as it comprises but 3 per cent of the entire population. The greater death hazard of single males as compared with single females appears in the main throughout two of the three decades comprised in this study, but the age group 15 to 24, whose single com prise one-third of the total population aged 15 to 44, presents in its death hazard from tuberculosis a noteworthy divergence from the general rule. In this youthful age group all single females have a death hazard from tuberculosis more than one-half greater (51 per cent) than that of single males. This female excess appears in 26 of the 29 population classes, the only exceptions being two of the racial groups, the Irish, and the combined Americans and unspecified races, and one of the work-room groups, the weave-room workers who are neither Irish nor French Canadians. This age group, in fact, presents a double divergence from the stan dards prevailing in the two other age groups of the 30-year period. If the single alone be considered, the females show a higher death rate from tuberculosis than the males, contrary to the situation pre vailing among the single in the other age groups; while if conjugal condition be disregarded, the males show a higher death rate from nontuberculous causes than the females, which again is contrary to the situation in the other age groups. Summing up the situation, then, as to sex mortality in Fall River among those aged 15 to 44, it appears that females are more liable than males to die from either tuberculous or nontuberculous causes, and from both combined, but there are several exceptions to this general rule. Prominent among these are the native-born, the English, the nonoperatives, and the single. Of these the single and 70 CHAP. II.----MORTALITY IN AGE GROUP 15 TO 44. the nonoperatives are the most important, the single constituting 48 per cent and the nonoperatives 61 per cent of the entire population aged 15 to 44. Several variations from the general rule, and even from these special exceptions, occur in separate age groups, but in deaths from all causes the rule holds good throughout the period. The most striking feature of the discussion is the fact that among the operatives the excess of female death hazard is so great that it reverses the situation prevailing among the larger, nonoperative group, and establishes the rule for the entire population, a rule directly at variance with that which is known to have prevailed among the entire urban white population of the registration States. MORTALITY BY NATIVITY. Taking up the subject of mortality in connection with nativity the detail tables already referred to (see table on pp. 178 to 201) show that in the population aged 15 to 44 the total death hazard of the native bom exceeds that of the foreign born by 9 per cent. This liability, however, varies with the cause of death, since the native bom are actually less liable than the foreign born to die from tuberculosis, though the difference between the death rates here is less than 1 per cent, while from nontuberculous causes their death rate is higher by 15 per cent than that of the foreign born. The greater hazard of the native bom from all causes combined appears throughout the three 10-year age groups, also, except that among those aged 15 to 24 the rates for the native and the foreign bom are exactly even. The native born show the higher death rates from tuberculosis everywhere except in age group 25 to 34, where the death rates of the foreign born are the higher by 11 per cent. This is not a large excess, yet it is sufficient to counterbalance the much smaller excess among the native born of the two other groups and to make the entire population aged 15 to 44 show a higher death rate from tuberculosis among the foreign than among the native born. The native born show the higher death rates from nontuberculous causes everywhere except in age group 15 to 24. In general, throughout the different population groups the native born show the higher rates from all causes combined, while the foreign born rather fre quently show the higher rates from tuberculosis, though this is not true of females, nor of the aggregate male and female operatives. The excess of tuberculous hazard among the foreign bom is especially noteworthy among the operatives aged 25 to 34, where it is so de cided that it determines the excess for the whole operative population aged 15 to 44, which shows a death rate of the foreign bom from tuberculosis greater by 5 per cent than that of the native born. As respects females, the native born have, in general, total death rates but little, if at all, higher than those of the foreign born. This MORTALITY BY NATIVITY. 71 does not hold true of the married in the two younger age groups, among whom the native born are much more liable to die than are the foreign born; in age group 35 to 44, however, this situation is reversed, the foreign born married having much the greater hazard from tuberculosis. Males very generally show a considerably higher death hazard from all causes among the native than among the foreign born. To this, single male operatives in age group 25 to 34 present a striking exception. The French Canadian operatives, the only racial group within which a comparison between the native and the foreign born is possible, depart from the general rule that the native born have the greater death hazard from all causes, its foreign born operatives having, in the population aged 15 to 44, a death rate higher by 22 per cent than that of the native born. To this the married females present an exception, the native born among them having much the higher death rate. The native born married, however, form such a small propor tion of the French Canadian females, that while their high death rate counterbalances much of the excess found among the foreign born single it does not entirely overcome it, so that for French Canadian females as a whole the foreign born still show a slightly greater liability to death from all causes, the death rate being 8.71 for the native born against 8.89 for the foreign born. The general rule that, regardless of sex, the foreign born among the French Canadian operatives have a higher death rate than the native born holds good not only in the entire population aged 15 to 44, but in the two younger age groups also. In age group 35 to 44, however, they conform to the general rule of the city, though barely, the excess of hazard among the native born being but 3 per cent. Summing up the matter, then, it may be said that in the Fall River population aged 15 to 44 and distributed as to age as are all operatives, the native born are in general more liable to die than are the foreign born, and that this greater liability is more marked among males than among females, except in the case of the married females, where the native born have a decided death hazard excess. In gen eral, however, the foreign born are more liable than the native born to die of tuberculosis, this being especially noticeable in the group aged 25 to 34. The high death rate from tuberculosis among the foreign born of this age group is, indeed, the principal explanation of their excess of such deaths in the whole population aged 15 to 44 years. In its general rule respecting mortality by nativity, Fall River differs little from the average experience as to death rates of the urban white population of the registration States, except that among the latter the foreign bom in the age group 15 to 24 are about onefourth (28 per cent) more liable to die from all causes than are the native bom. 72 CHAP. II.----MORTALITY IN AGE GROUP 15 TO 44. M O RTALITY BY RACE, N ATIONALITY, OR PEOPLE. Members of the various racial groups in Fall River who have reached at least the age of 15 years differ greatly in their liability to die before reaching the age of 45 years. In fact the race variations as to the hazard of dying thus early are so great as to show very clearly the inconclusiveness of deductions respecting the industrial death hazards of any population unless its racial distribution by age, sex, and con jugal condition is fully known. Elsewhere in this study the assumption has been made that the race distribution by sex of the whole population within each and every age group is the same as its distribution within the total population of all ages.1 In this discussion, however, it has been deemed best to ex clude all assumption and to limit the study of death hazard by race mainly to operatives; for concerning operatives the exact facts are known as to race distribution by age, by sex, by nativity, by con jugal condition, and by workroom occupation, so that these personal characteristics, either singly or in any combination, may be studied in their relation to hazard from any and every cause of death without apprehension that the conclusions may be unsound owing to the in completeness or inaccuracy of the data on which they are based. (In this part of the discussion “ causes of death’ ’ will be limited to the three groups— tuberculosis, the combined nontuberculous causes, and all causes combined.) Taking up first the Irish, it appears that in the total operative population aged 15 to 44 they are nearly twice (188 per cent) as liable to di§ from all causes as are the aggregate non-Irish operatives. This extra hazard varies at different ages and from different causes, as is shown by the following table: P£R CENT BY WHICH DEATH HAZARD OF IRISH OPERATIVES EXCEEDS THAT OF NON-IRISH OPERATIVES, BY AGE GROUP, SEX, AND CAUSE OF DEATH. Xontuberculous. Tuberculous. Age group. Males. Fe Both males. sexes. All causes. Males. Fe males. Both sexes. FeMales. 1 males. Both sexes. 15 to 24 years.......................... 25 to 34 years.......................... 35 to 44 years.......................... 130 67 308 32 70 155 60 86 205 3 71 89 16 93 84 7 115 111 50 1 70 j 187 ! 26 84 103 35 103 146 Total............................. 160 67 101 46 71 78 94 69 88 It will be seen that there is not a single case in which the death rates of the Irish, either male or female, fall below those of the nonIrish, that there are only three cases— the deaths from nontuber culous causes in age group 15 to 24—in which their rates even approach the level of the others, and that in many cases, especially 1 For the reasons on which this assumption is based see p. 46. MORTALITY BY RACE, NATIONALITY, OR PEOPLE. 73 in the deaths from tuberculosis, the Irish excess is enormous. The Irish rate is not infrequently twice, and sometimes three or even four times, that of the combined other operatives. If, instead of making the comparison between the Irish and the total non-Irish, it is made between the Irish and the four other race groups separately, the results are not very dissimilar. Comparing the death hazard from all causes of the Irish operatives, male and female separately, with that of the corresponding classes of the other races throughout the three 10-year age groups, only two instances appear in which the Irish death rate is exceeded. Both of these occur in age group 15 to 24, where the death rate of the English males exceeds that of the Irish males by 4 per cent, and the death rate of the French Canadian females exceeds that of the Irish females by 8 per cent. If the comparison be extended to the subgroups showing conjugal condition, seven cases of non-Irish excess are found. In age group 15 to 24 no deaths occurred among the married Irish males, so each of the four other race groups here exceeds the Irish in death hazard. In age group 25 to 34, among the single males, the Americans and unspecified races, the English, and the French Canadians all show higher death rates than the Irish. These are the only cases in which, in any of the subdivisions of the 10-year age groups, any race shows a higher death rate from all causes combined than the Irish. Most of these exceptional death rates prevail only in small groups. If the smaller divisions be ignored, and the races be compared by sex as to death hazard, there are only the two in stances mentioned in age group 15 to 24 of non-Irish excess. If sex be ignored and the comparison be restricted to the race groups by age, there is not one instance of departure from the rule of Irish excess. It is to be noted that the excess of the Irish death hazard is often very great, and that it appears even more uniformly in deaths from tuberculosis than in those from the aggregate nontuberculous causes. Of the other races, the French Canadians show the greatest liability to die between 15 and 44, but their tendency in this direction is not so marked and uniform as that of the Irish. Comparing the race groups, both sexes combined, aged 15 to 44, by total death hazard, their order stands: Irish, French Canadians, English, American and unspecified races, and last of all, Portuguese. If the same com parison be made for the three 10-year age groups, the order is identi cal, except that in the group aged 25 to 34 the Portuguese change places with the group of American and unspecified races. If the comparison be made by sex, the female order is much the same as that for the general population, except that in age group 15 to 24 the French Canadians stand first, and in both this and the next age group the Portuguese stand third in order instead of fifth, the group 14 CHAP. II.— MORTALITY IK AGE GROUP 15 TO 44. of Americans and unspecified races taking their place at the foot of the list. Also among the total females aged 15 to 44 the Portuguese have risen one place, the order being: Irish, French Canadians, English, Portuguese, Americans and unspecified races. Among the males aged 15 to 44, the order is: Irish, English, French Canadian, American and unspecified races, and Portuguese; but in the three 10-year age groups there are a good many variations from this order. Summing up the situation as to racial death hazards among the operatives aged 15 to 44, it seems safe to say that while no other race holds such a striking and unquestionable place as the Irish, the French Canadians stand second in order, closely followed by the English, with the Americans and unspecified races in fourth place and the Portuguese last. TYPICAL CHARACTER OP IRISH DATA. In considering the high death rate of the Irish the question naturally arises whether this is typical. The Irish operatives, who form about 10 per cent of the total operative body aged 15 to 44, number alto gether 2,410, and when the deaths occurring in this group are divided according to cause of death, the rates are necessarily based on rather scanty data. Nevertheless, it is believed that the constancy with which they exceed the rates of other race groups shows their typical character. An excess occurring once in a small race group may be an accident, but if that race group is subdivided by age, sex, or other classifications, and a similar excess appears with very general uni formity throughout these subdivisions, the presumption is justified that it represents a genuine race characteristic, and the more con stantly the excess appears the stronger the presumption will be. To apply this test the population unit or race group may reasonably be divided into four mutually exclusive groups:1 Males, single and married, and females, single and married. Each of these groups is subject to hazard of death from tuberculosis and from nontuber culous causes, so that there will be eight entirely independent death rates for each of the three 10-year age groups, or 24 in all. Each of these rates for the Irish may be compared with the corresponding rate for each of four other racial groups. (See table on pp. 178 to 201.) The single Irish males, for instance, in age group 15 to 24, may be compared as to death hazard from tuberculosis and from nontuber culous causes of death with the same group among the Americans and unspecified races, the English, the Portuguese, and the French Canadians, and similar comparisons may be made in each of the other mutually exclusive population divisions. This process, if carried through the three 10-year age groups, will give 96 comparisons. i This division is justified by the differences which have been shown in preceding sections to exist between the death hazards of men and of women, and of the single and married of each sex. 75 MORTALITY BY RACE, NATIONALITY, OR PEOPLE. The following table shows how often and in what divisions the Irish lead when these comparisons are made: NUMBER OF CASES IN WHICH THE IRISH LEAD WHEN COMPARED WITH FOUR OTHER RACE GROUPS AS TO DEATH HAZARD FROM SPECIFIED CAUSES. N ontuberculous. Tuberculous. Age group. Females. Males. Single. Married. Single. Females. Males. Married. Single. Married. Single. Married. 15 to 24 years............ 25 to 34 years............. 35 to 44 years............. 4 3 4 4 4 3 2 4 4 4 4 2 1 3 4 3 4 4 4 4 4 4 Total................ 11 8 9 12 6 7 12 12 The Irish lead in 77 of the 96 comparisons possible, that is, in 80 per cent. Such constancy of excess seems to indicate rather strongly that the excess already shown in the group as a whole, and in its larger subdivisions, is not due to accidental circumstances, but is thoroughly typical of the race and that therefore, although the population unit here used is smaller than that of some of the other race groups, it affords a valid basis for conclusions as to the relative death hazard of the Irish as compared with other operative groups. RACIAL D EATH HAZARDS IN TH E GENERAL POPULATION. Concerning the operative population of Fall River, the actual facts are known as to race distribution, age, sex, and conjugal con dition, but for the general population these facts are known much less certainly; indeed, as to some of them, only estimates are availa ble. The data concerning the racial hazards of the general popula tion are therefore less reliable than those for the operatives, and it is not worth while to discuss them in detail. For the total popula tion aged 15 to 44, age adjusted so as to be comparable with the operative population, the death rates by race groups are as follows: DEATH RATES (AGE ADJUSTED) PER 1,000 FROM TUBERCULOUS, NONTUBERCU LOUS, AND ALL CAUSES, AMONG THE POPULATION OF FALL RIVER, IN AGE GROUP 15 TO 44, BY RACE. Race. Aggregate non-Irish races....................................................................... Irish.......................................................................................................... American and unspecified...................................................................... English.................................................................................................... Portuguese............................................................................................... French Canadian.................................................................................... From tu From non berculosis. tuberculous causes. 1.81 4.17 1.76 1. 53 1.19 2.62 2.87 6.32 3. 20 3.10 1. 92 3.21 From all causes. 4. 68 10. 49 4.96 4.63 3.11 5.83 76 CHAP. II.— MORTALITY IN AGE GROUP 15 TO 44. The order of the race groups shown here closely resembles that which was found to exist among the operatives. From each group of causes the Irish lead in death hazard and the French Canadians stand second. The English and the American groups have changed places, however, the American and unspecified races standing third in hazard from each group of causes while the English sink to fourth place. The Portuguese, just as among the operatives, take the lowest place. The Portuguese, it must be remembered, are the newest comers, and have most recently been vouched for by immigration inspectors as a class comparatively free from debilitated and mori bund members. M O RTALITY BY CONJUGAL CO ND ITIO N. There is no classification, except possibly that of race, under which the different population groups present wider divergencies in their death hazards than they show when classified by conjugal condition. In studying mortality by conjugal condition, however, one caution is to be observed: The relative hazard of the single as compared with the married differs radically in the two sexes, so that any com parison of death rates by conjugal condition must be confined to a single sex if results of any value are to be obtained. For when the males and females of a given conjugal condition are combined, the sex differences tend to counterbalance each other, and a comparison between the total married and the total single, regardless of sex, gives almost meaningless results. Comparing the single and the married within each sex, however, as to the relative hazard of death of each, conjugal condition gives noteworthy results. The most constant rule respecting hazard of death within the age group 15 to 44 is that the death hazard increases as age increases. But the next most constant rule is that whatever be the age, nativity, race, industry, or workroom occupation of females the married are much more liable to die than are the single of the same age. This appears plainly in the table already referred to (see table on pp. 178 to 201) where death rates from tuberculosis, nontuberculous causes, and all causes are given for the single and married of each sex throughout 29 population divisions. Comparing first the death hazard from all causes of the single and the married females, 87 comparisons may be made, 29 for each 10-year age group. Out of this whole number there are only four instances in which the single show a greater liability to death than the married, these exceptions being found among the foreign-born nonoperatives aged 15 to 24, the native-born nonoperatives aged 35 to 44, and two workroom groups— the spinning-room workers, and the “ other races” of the combined spooler and miscellaneous rooms— in age group 35 to 44. The two workroom groups are entirely unimportant numerically, MORTALITY BY CONJUGAL CONDITION. 77 while the two nonoperative groups form respectively but 3 and 4 per cent of the total population aged 15 to 44. If instead of being carried through the three 10-year age groups the comparison be made for the total group aged 15 to 44, there is not one case in which the single females exceed the married in total death hazard. If the comparison be made by cause of death, several exceptions to the general rule are found in the three 10-year age groups, the most important being foreign-born nonoperatives, aged 15 to 24 and 25 to 34, and native-born operatives and nonoperatives, aged 35 to 44. In all of these, the single show a greater death hazard than the married from tuberculosis, and in the first and third groups the single have the greater hazard from nontuberculous causes also. If the comparison by causes of death be limited to the total group aged 15 to 44 only one instance is found of a higher death rate among single than among married females, this occurring among the foreignborn nonoperatives dying from tuberculosis. As respects females, therefore, the case may be thus summarized: In Fall River, married females between the ages of 15 and 44 are much more liable to die, both from tuberculosis and from all non tuberculous causes, than are the single. This greater liability ap pears, with very few exceptions, in all the population divisions throughout the three 10-year age groups, as well as in the total group aged 15 to 44, and is often extremely marked. Among males, however, the situation as to death hazard by con jugal condition is just the opposite, since the single males are almost invariably far more liable to die early than are the married of the same age. This is* less generally true in the age group 15 to 24, where the married are relatively very few, than in either of the other 10-year age groups or in the total population aged 15 to 44. Even in age group 15 to 24, however, the male operatives show a greater liability to death from nontuberculous causes among the single than among the married, and this is sufficiently large to offset the greater liability of the married to die from tuberculosis, and to make the death hazard of single male operatives from all causes exceed that of the married. In the two succeeding age groups the greater tendency to early death of the single is almost constant and fre quently extreme, appearing alike in respect to tuberculosis and to nontuberculous causes of death. In these two age groups the only classes of any numerical importance in which the married show higher death rates than the single are the following: From tuberculosis: The Irish and Portuguese operatives aged 25 to 34, and the operative group of Americans and unspecified races aged 35 to 44. 78 CHAP. II.— MORTALITY IN AGE GROUP 15 TO 44. From nontuberculous causes: Irish operatives aged 25 to 34; all native-born operatives aged 35 to 44, and all English operatives in the same age group. The othgr exceptions are found only in workroom groups where the numbers involved are too small to be indicative. It is to be observed that the age groups and population classes conforming to the general rule of the higher death hazard of the married are so much more important numerically than those pre senting exceptions to it that, when the classes and groups are com bined, the exceptions are overweighted and disappear. In the total group aged 15 to 44 there is but one case 1in which in any population division the total death hazard of the married exceeds, or even equals, that of the single. For males, then, the situation as to death hazard by conjugal con dition may be thus summarized: In Fall River single males between the ages of 15 and 44, except for those aged 15 to 24, are almost invariably far more liable to die from all causes combined than are married males of the same age. And although in the age group 15 to 24 a number of exceptions to the general rule are found they affect the general situation so little that in the total population aged 15 to 44 only one exception, and that in a class comprising only 1 per cent of the whole population, is found to the general rule that the male single have a very much greater death hazard from all causes than have the male, married. The same rule holds good, though with a number of exceptions, especially in the group aged 15 to 24, as respects the greater liability of single as compared with married males to die early from tuberculosis. M O R TALITY BY INDUSTRY. In the discussion of Fall River it has already been pointed out (see p. 32) that there are probably few persons in the city within the age group 15 to 24 whose standard of living is other than that of the wage earner. Consequently in such a city comparisons between the death hazards of cotton operatives and all other persons of corre sponding age are peculiarly defensible. If such comparisons show great and constant differences between the death rates of the cotton operatives and the nonoperatives, many of whom are wage earners outside of the cotton mills, and many others of whom form the families of wage earners, then tentatively the induction may be made that at least a part of the difference is attributable to the industry— cotton manufacturing— which is characterized by such well-nigh invariably excessive death hazards. i This exception is found among the “ other races” of the spooler and miscellaneous rooms, a group comprising only 752 males. MORTALITY BY INDUSTRY. 79 In this connection it is well to remember when considering the high death hazard of Fall River females that the nonoperative females are no more liable to early death than the females outside of Fall River; in fact, their hazard is slightly less than that of females else where. The table on pages 178 to 201 gives the death rate of all females aged 15 to 44 within the cities of the registration States in 1911, adjusted as to age so as to be comparable with the corresponding rate for Fall River. This shows a total death hazard higher by 2 per cent than that of the Fall River female nonoperatives from 1908 to 1912, inclusive. The difference is very small, but it is sufficient to show that the high death rates appearing among the female operatives of Fall River can not be attributed to any local condition independent of the cotton mills, peculiarly unfavorable to females in general, since the Fall River women and girls who do not work in cotton mills are slightly less liable to die young than the women and girls of the registration States generally. Yet in making any inductions as to the effect of the cotton manu facturing industry upon the mortality of its operatives, it is to be remembered that there is a racial hazard independent of occupation which must be taken into account, and in the case of females there is the additional fact to be borne in mind that at least some deaths occurring among operatives are doubtless chargeable to prolificacy and to neglect or incompetent care of the expectant mother, quite apart from occupational influences. HAZARD OF OPERATIVES AS COM PARED W ITH N ON OPERATIVES. The death rates of operatives and nonoperatives are given in much detail in the tables already used, but for convenient reference and also to show more clearly the possible influence of such factors as age, sex, nativity, and conjugal condition in connection with indus try, the following table is inserted. 80 CHAP. II.----MORTALITY IN AGE GROUP 15 TO 44. PER CENT BY WHICH DEATH RATES OF OPERATIVES EXCEEDED (+ ) OR FELL BE LOW ( - ) THE CORRESPONDING RATES OF NONOPERATIVES, BY CAUSE OF DEATH, NATIVITY, AGE GROUP, SEX, AND CONJUGAL CONDITION. Age group 15 to 24. Tuberculous. Sex and conjugal condition. Nontuberc-ulous. All causes. Native Foreign All na Native 1Foreign All na Native |Foreign All na born. tivities. born. | born. tivities. born. bom. born. tivities Males: Single............................... Married............................ + 28 + 165 +171 + 13 + 63 + 52 + 57 j + 3 4 - 47 | - 62 + 47 — 59 + 47 + 14 Total............................. + 36 + 102 + + + 32 + 44 | + 4 0 Females: Single............................... Married............................ +110 +238 +107 +617 + 95 +351 + 5 +419 - 3 +347 + 64 +316 + 18 +464 + 46 +349 +113 +230 + 134 + 53 | + 4 9 + 53 + 118 + +170 + 113 + + + + 87 + 64 + +65 Total............................. Both sexes, both classes........ 98 60 48 | + 1 3 ! I 38 I - 26 +341 + 24 32 j j +68 - 32 72 | + 53 - 19 + 41 94 Age group 25 to 34. Males: Single............................... Married............................ - 60 - 75 + 104 + 79 + 11 + 43 - 2 3 + 5 8 - 2 - 14 - 27 - 25 + 40 + 25 | + + 4 6 Total............................. - 65 + 86 + 23 - 2 - 4 - ~ 26_ + 29 | + 2 Females: Single............................... Married............................ - 23 +290 - 11 +283 - 14 +277 + 30 +162 +105 +171 + 144 + 17 +124 + 77 Total............................. Both sexes, both classes........j 11 + 2 + 75 + 16 + 100 + 13 +198 - 5 +132 + 4 +149 + 75 + 47 + 58 + 84 + 87 + 84 + 44 + 19 + 24 + 35 + 55 + 42 Age group 35 to 44. ! Males; Single............................... Married............................ + 81 + 95 + 61 + 84 + 56 + 82 - 54 + 11 -.3 4 - 25 - 40 - 20 — 7 + 35 - 10 + 9 - 10 + 11 Total............................. + 99 + 83 + 76 - - 25 - 25 + 22 + + Females: Single............................... Married............................ +163 +172 + 32 +177 + 88 +186 - 14 + 94 + 89 + 52 + 27 + 63 + 20 + 105 + 75 + 80 + 40 + 87 + 49 + 70 + 70 + 70 + 43 + 32 + 34 - + - 13 Total............................. + 186 | +139 +154 + 48 + 50 Both sexes, both classes........ +123 1 +109 +112 + 16 + 6 | + 7 7 6 Age-adjusted total group, 15 to 44. Males: Single............................... Married............................ + 19 + 65 + 95 + 47 + 41 + 57 - 17 15 Total............................. + 17 + 91 + 51 + 7 Females: Single............................... Married............................ + 79 +247 + 37 +358 + 54 +292 + 5 +202 - 36 - 37 - 12 - 34 + - - 3 + 10 + 26 + 16 + 16 +135 + 31 +218 + 26 + 182 + 30 +185 5 + 20 +109 3 6 7 6 6 3 Total............................. +120 +182 ' +142 + 60 + 49 + 63 + 80 + 89 + 82 Both sexes, both classes....... + 75 +135 +100 + 32 + 15 + 20 + 46 + 52 + 46 MORTALITY BY INDUSTRY. 81 CONSTANCY AND DEGREE OF OPERATIVE EXCESS. It is evident from this table that operatives as compared with nonoperatives show a rather constant, and frequently a Very consid erable excess, in their liability to die under the age of 45. Taking the operative body as a whole, without distinction as to sex or con jugal condition, the operatives, whether native or foreign bom, inva riably show a death hazard greater than that of nonoperatives. When the comparison is made by sex and conjugal condition, as well as by nativity and age groups, there are a good many exceptions to the general rule, but the operatives lead with a fair degree of con stancy. The table shows for each sex four mutually exclusive divi sions—the single and the married of the native and of the foreign born—each of which is affected by two groups of death causes— tuberculosis and the combined nontuberculous causes. This gives for each sex 8 entirely independent death rates in each age group, or 24 in the three 10-year age periods. The death rates of operatives show an excess over those of nonoperatives among males in 14, or 58 per cent of these cases, and among females in 20, or 83 per cent; or, considering the whole 48 comparisons, the operatives lead in 34, or 70 per cent, while if the total group aged 15 to 44 be considered, they lead in 12, or 75 per cent, of the 16 comparisons. Even more striking is the degree by which the death hazard of the operatives exceeds that of the nonoperatives. Considering the whole operative body without respect to sex, nativity, conjugal condition, or cause of death, the excess of operative hazard ranges from about two-thirds (65 per cent) in the group aged 15 to 24—a group which comprises 52 per cent of the operatives aged 15 to 44—to about onethird (34 per cent) among those aged 35 to 44, while in the total group aged 15 to 44 it reaches 46 per cent; that is, the operatives taken as a whole, are on the average one and one-half times as liable to die as nonoperatives of practically identical age. RELATIVE HAZARD BY CAUSE OF DEATH. When operatives and nonoperatives are compared by cause of death, age, sex, nativity, etc., some variations appear from the gen eral rule as to their relative hazard. When the death hazard from tuberculosis only is considered the operatives generally show an excess, and frequently a very great excess, over nonoperatives. The only exceptions are found in age groups 25 to 34, where all native-born males, regardless of conjugal condition, and all single females, re gardless of nativity, show a lower mortality among operatives than among nonoperatives. The death rates from tuberculosis invariably show a greater operative excess among married than among single females of the same age, and usually this excess is enormously greater 88204°— 19— Bull. 251------ 6 82 CHAP. II.----MORTALITY IX AGE GROUP 15 TO 44. among the married than among the single. The only exception to this is found among the native-born females of age group 35 to 44, where the operatives form only 1 per cent of the total population aged 15 to 44, and even in this group the excess of the married is greater than that of the single, though only slightly so. In the two younger groups of foreign born, both male and female have a much higher degree of operative excess in tuberculous death rate over nonopera tives of the same age than obtains among the native born. In age group.35 to 44, however, the situation is reversed, the native born showing the greater degree of excess. From nontuberculous causes of death the operatives as a whole show a tendency to early death greater by one-fifth (20 per cent) than that which obtains among the nonoperatives, but when the comparison is made in greater detail the sexes are found to differ greatly. Female operatives show an excess over female nonopera tives in 10 of the 12 comparisons possible in the three 10-year age groups, while male operatives show an excess in only 4 of these 12 comparisons. That is, while female operatives show in general a greater liability to death than nonoperatives do from nontubercu lous, just as from tuberculous, causes of death, male operatives show a smaller liability from nontuberculous causes, the only important exception to this statement being the single males of age group 15 to 24, where the operatives show an excess of from one-third to nearly three-fifths over nonoperatives. From nontuberculous causes the native-born married females in variably show a much larger percentage of excess in the operative as compared with the nonoperative death rate than is disclosed in the case of the foreign-born married females. In the two older age groups, and in the total group aged 15 to 44, this operative excess of the native born is practically double that which obtains among the foreign born. Attention has already been called to the fact that from tuberculous causes the excess of operative over nonoperative death rates is greater among married than among single females; this same fact is strikingly true of the death rates from nontuberculous causes also. Whether native or foreign born, the married female operative exceeds in a degree varying from one and a half to nearly four and a half times the death hazard of the married female nonoperative from non tuberculous causes, among which parturition is the most noteworthy. Furthermore, married females regularly show a much higher excess of operative over nonoperative death rates from nontuberculous causes than is true of the single females of each corresponding age and nativity class. The female foreign born of age group 35 to 44 constitute the sole exception to this rule. MORTALITY BY INDUSTRY. 83 RACE AS AFFECTING EXCESS OF OPERATIVE HAZARD. The suggestion is sometimes made that the excess of operative hazard is due to the racial tendencies of the operatives rather than to anything in the industry. The data gathered in this investigation seem to tell against this theory. It is true that both the Irish and the French Canadians have high death rates, in some cases excessively high, and that both are numerously represented among the operatives. If they were less numerous among the nonoperatives it would be a reasonable assumption that the operative death rates were unfairly weighted by their greater relative number, and that a part at least of the operative excess was due to the racial composition of the operative body. The race data, however, do not warrant this assump tion. In the total group aged 15 to 44, the combined Irish and French Canadians form 36.8 per cent of the operatives and 34.9 per cent of the nonoperatives. That is, the excess of their percentage among the operatives is 5 per cent. But for this same total group aged 15 to 44 the operative excess in death hazard is 46 per cent; obviously the 5 per cent excess of Irish and French Canadians can not be responsible for any considerable part of this. Moreover, in the group aged 15 to 24, where the operative excess of death hazard is greatest, the Irish and French Canadians combined are actually less numerous among the operatives than among the nonoperatives, forming 32 per cent of the operatives and 39 per cent of the nonoperatives. Again, the tables of operative and nonopera tive death rates by race show that among the combined nonIrish and non-French Canadian races operatives exceed nonoperatives in death hazard more constantly than is the case among either the Irish or the French Canadians. If the death rates of the operatives, male and female, from tuberculosis and from nontuber culous causes, be compared with the corresponding death rates of nonoperatives throughout the three 10-year age groups, we have 12 comparisons. Among the combined non-Irish, non-French Canadian races, there is not a single instance in these 12 cases in which the operative death rate does not exceed that of the nonoperatives, but if a similar comparison be made with the other races there are four instances among the Irish and three among the French Canadians in which the nonoperatives show the higher death rates. It seems reasonable to consider, therefore, that the general fact of an operative excess in death hazard can not be explained on the ground of the racial composition of the operative body, but that there is a distinct hazard of industry, quite independent of racial tendencies. SUMMARY. Fall River cotton operatives between the ages of 15 and 44 are about one-half (46 per cent) more liable to die from all causes com bined than are nonoperatives of the same age, their hazard from 84 CHAP. II.— MORTALITY IN AGE GROUP 15 TO 44. tuberculosis being 100 per cent and from all nontuberculous causes of death 20 per cent greater than the hazard of all other persons. The difference in death hazard between cotton operatives and nonpperatives varies widely, however, according as the comparison is made by age group, sex, nativity, or for each sex by conjugal con dition, additional variations being discovered when two or more of these factors are considered in the comparison. Taking up first the comparison by age, the most striking fact dis closed is that the excess of the operative over the nonoperative death hazard from all causes diminishes as age increases. This steady decrease is found mainly among the deaths from nontuberculous causes, the figures for the different causes being as follows: P E R C E N T B Y W H IC H D E A T H R A T E S O F O P E R A T IV E S E X C E E D E D T H E C O R R E S P O N D IN G R A T E S O F N O N O P E R A T IV E S F R O M T U B E R C U L O U S , N O N T U B E R C U LOU S, A N D A L L CAU SES, B Y A G E G R O U P. A g e gro u p . T u b e r cu lo u s. N o n tu b e r cu lou s. 113 77 32 24 7 15 t o 24 y e a r s ............................................................................................................. 25 t o 34 y e a r s ............................................. ................................................................ 35 t o 44 y e a rs............................................................................................................. 112 A ll causes. 65 42 34 The variation in the excess from tuberculosis appears wholly irregu lar, while that from nontuberculous causes shows a progressive diminution in the higher age groups. Turning to the comparison by sex, it appears that the operative excess is at once more constant and greater among females than among males. The figures for the comparison by sex are as follows: P E R C E N T B Y W H IC H D E A T H R A T E S O F O P E R A T I V E S E X C E E D E D ( + ) O R F E L L B E L O W ( - ) T H E C O R R E S P O N D IN G R A T E S O F N O N O P E R A T IV E S , B Y C A U SE O F D E A T H , S E X , AND AGE GROUP. T u b ercu lou s. N o n tu b e rcu lo u s. A ll causes. A g e g rou p . M ales. F em ales. M ales. F em ales. M ales. F e m a le s. 15 t o 24 y ears.......................................................... 25 t o 34 years.......................................................... 35 t o 44 y ears.......................................................... +60 +23 + 76 +134 + 144 + 154 +32 -11 -2 5 +53 + 58 + 49 + 41 + 2 + 6 +94 + 84 + 70 T ota l, 15 to 44 yea rs................................. + 51 + 142 - + 53 + 16 + 82 3 This table shows that even among the males an operative excess is the general rule, though in the two older age groups it approaches the vanishing point. It is quite pronounced in the youngest group, however, and this group contains nearly one-half (45 per cent) of all male operatives aged 15 to 44 years. Also, from tuberculosis the MORTALITY BY INDUSTRY. 85 operative excess among males is considerable and appears throughout the three 10-year age groups. Among females the operative excess appears in every age group and from both groups of causes; it is considerable even when only deaths from nontuberculous causes are considered, and from tuberculosis it is strikingly large. This excess from tuberculosis is particularly great among married females, the operative excess in this case for the age group 15 to 44 being 292 per cent. Taking up the question of nativity it appears that foreign-born operatives average a somewhat greater excess over nonoperatives in death liability from all causes than obtains respecting native-born operatives. This is due to the large excess of deaths of foreign born from tuberculosis which obtains in the cases of the male single and the female married. From nontuberculous causes the native born show a greater excess of operative over nonoperative death hazard than appears among the foreign born. As to racial variations, the combined Irish and French Canadian operatives almost without exception exceed, and generally exceed greatly, operatives of all the other races combined in death hazard, both from tuberculosis and from all nontuberculous causes. The non-Irish, non-French Canadian operatives show a constant, but smaller, excess of death hazard over the nonoperatives of the same combined race groups. Turning to conjugal condition, married operatives, male as well as female, though the former in far less degree, average a greater excess over nonoperatives in death hazard, especially in that from tubercu losis, than is true of the operative single. In the case of the female married this excess of operative over nonoperative hazard is always large and sometimes enormous, varying in respect to tuberculosis from 105 to 617 per cent. OPERATIVE MORTALITY BY WORKROOM. It has been shown that in the age group 15 to 44 operatives are considerably more liable to death than nonoperatives. The degree of their extra hazard varies in different groups, but in some degree it appears so generally as to leave no reasonable doubt that there is a hazard inherent in the industry regardless of the age, sex, conjugal condition, or race of the operative; these different circumstances affect the degree but not the fact of an excess of hazard. Naturally the next question which rises is whether this hazard affects the indus try as a whole or can be traced to particular occupations within it. In testing this the occupations have been grouped according to the workroom within which they are carried on. This has been done partly because a consideration of the occupations separately would lead to such subdivision of the operative body that the resultant 86 CHAP. II.— MORTALITY IN AGE GROUP 15 TO 44. groups would be too small to give significant results, and partly because certain physical conditions of the rooms must affect almost equally all who work within them. Thus the card room is dusty and ill ventilated, and these conditions are likely to be as harmful to one worker as another, whether he be employed as card grinder, speeder tender, slubber tender, or in any other capacity. The classification of rooms and workers is as follows: Card and picker 1 'ooms (usually called in this study simply card room).—Picker tenders and picker bosses, male card grinders, etc., female speeder tenders, male and female slubber tenders and drawingframe tenders, and female doffers. Spinning room.—Mule spinners (male), ring and frame spinners (male and female), male doffers, and back boys. Weave room.—Loom fixers (male), weavers (male and female), miscellaneous employees. Spooler room and rooms not otherwise speciiied.—Spooler tenders, drawers-in, warper tenders, winders and reelers, slasher tenders and helpers, cloth-room hands, and miscellaneous employees, and among decedents those not reported as to workroom occupations. The following table shows what proportion of the total operative force is employed in each of these workroom groups, by age and sex: N U M B E R A N D P E R C E N T O F O P E R A T IV E S E M P L O Y E D IN S P E C IF IE D W O R K R O O M S , B Y AGE GROUP AND SEX. Males. Fem ales. B o th sexes. A g e g rou p a n d w o rk ro o m . N u m b e r. P e r cen t. N u m b e r. P e r cen t. N u m b e r. P er cen t. 13 to 24 years: Card r o o m ........................................................ S pin n in g r o o m ............................................... W ea v e r o o m ................................................... S p ooler ro o m a n d m iscella neous.............. 2.5 7.6 8.2 2.6 2,001 2,146 2,110 5.3 2,008 635 8.2 8.8 8.6 1,915 3,869 4,154 2,745 7.8 15.8 17.0 T o t a l.............................................................. 5,124 20.9 7,559 30.9 12,683 51.8 25 to 34 years: Card r o o m ........................................................ S pin n in g r o o m ............................................... W ea v e r o o m ................................................... Spooler r o o m a n d m iscella n eou s............ 796 627 1,701 338 3 .2 715 626 1,249 990 2.9 7.0 1.4 5.1 4 .0 1,511 1,253 2,950 1,328 6.2 f>. 1 12.0 T o t a l .............................................................. 3,462 14.1 3,580 14.6 7,042 28.7 35 t o 44 years: # Card r o o m ....................................................... S pin n in g r o o m ............................................... W ea ve r o o m ................................................... S pooler ro o m a n d m iscella n eou s............ 588 323 1,537 254 2.4 1 .3 6.3 1.7 3.6 1.0 2.1 1,015 571 2,419 768 4.1 2.3 9.3 3.1 T o t a l.............................................................. 2,702 1.0 11.0 427 248 882 514 2,071 8.5 4, 773 19.5 T o ta l, 15 to 44 years: Card r o o m ........................................................ S p in n in g r o o m ............................................... W eave r o o m ................................................... Spooler ro o m a n d m iscella n eou s............ 1,997 2,818 5,246 1,227 2,444 2,875 4,277 3,614 10.0 11.5 21.4 5.0 11.7 17.5 14.8 4,441 5,693 9,523 4,841 18.1 23.2 38.9 19.8 T o t a l.............................................................. 11,288 46.0 13,210 54.0 24,498 100.0 613 1,868 2.6 8.1 1,302 2.6 11.2 5.4 87 OPERATIVE MORTALITY BY WORKROOM. Numerically the weave room is the most important, containing nearly two-fifths of the total force. Relatively, however, it is far more important in the upper than in the lower age groups, employing about one-third of the workers aged 15 to 24, more than two-fifths (42 percent) of those aged 25 to 34, and over one-half of those aged 35 to 44. Next in numerical importance is the spinning room, which is relatively most important among the youngest workers, the proportion employed in it ranging from 31 per cent of those aged 15 to 24 to 12 per cent of those aged 35 to 44. The card and spooler room groups are of about the same size, each accounting for nearly one-fifth of the total opera tive force aged 15 to 44, but the card room, like the weave room, is relatively more important among the older workers, while the spooler room has its largest representation in the youngest age group, employing 21 per cent of those aged 15 to 24, but only 16 per cent of those aged 35 to 44. The spooler-room group is the only one in which females outnumber males throughout. DEATH RATES, BY AGE AND SEX, OF EACH WORKROOM GROUP. The death rates of the different groups of workers are given in much detail in the table on pages 178 to 201, but for convenience of discussion the following summary is given here of the death rates in the different rooms; for purposes of comparison, the death rates of the total operative group and of the total nonoperatives are also given: D E A T H R A T E S P E R 1,000, F R O M A L L C A U S E S , O F E A C H W O R K R O O M G R O U P A N D T O T A L O P E R A T IV E S A N D N O N O P E R A T IV E S , B Y A G E A N D S E X . A g e g rou p an d w o rk room . Males. Fem ales. OF B o t h sexes. 15 to 24 years: Cara r o o m ........................................................................................................... S pinning r o o m .......................... ............................................................... W e a v e r o o m ....................................................................................................... S pooler r o o m a n d m iscella n eou s................................................................ 4.89 4.82 3.59 3.15 5.68 5.60 3.82 3.70 5.43 5.22 3. 71 3.57 T ota l o p e r a tiv e s ........................................................................................... T o ta l n o n o p e ra tiv e s ................................................................................... 4.14 2.93 4.58 2.36 2. 66 25 to 34 years: Card r o o m ........................................................................................................... Spinning r o o m .......... .... ....................................... W e a v e r o o m ....................................................................................................... ..................................... S pooler ro o m a n d m iscella n eou s....... 3.27 9.89 6.58 1.18 12.31 11.18 7.53 10.51 7. 54 10.53 6.98 8.13 T ota l o p e r a tiv e s ........................................................................................... T ota l n o n o p e ra tiv e s ................................................................................... 5. 89 5. 80 9.94 5.40 7.95 5.59 35 to 44 years: Card r o o m ........................................................................................................... Spinning r o o m .................................................................................................. W eave r o o m ....................................................................................................... Spooler r o o m a n d m isce lla n e o u s........................... .................................... 8.50 9.91 9.24 6.30 13.11 14.52 13. 61 9.34 10. 44 11.91 10.83 8.33 T ota l o p e r a tiv e s ........................................................................................... T ota l n o n o p e ra tiv e s .................................................................................... 8.88 8.41 12.55 7.38 10. 48 7.85 T o ta l 15 t o 44 years (age a d ju s te d ): C ard r o o m .......... ■............................................................................................... S pinning r o o m .................................................................................................. W e a v e r o o m ....................................................................................................... Spooler r o o m a n d m isce lla n e o u s................................................................ 5.13 7.27 5.55 3.20 9.03 8.94 6.79 6.76 7.01 8.05 6.04 5.81 T o ta l op e r a tiv e s ........................................................................................... T o ta l n o n o p e ra tiv e s . . . . ............................................................. 5.57 4.82 7.67 4.21 6.60 4.51 4. 40 88 CHAP. II.— MORTALITY IN AGE GROUP 15 TO 44. This table shows at once that tha spinning room has the highest death rate, followed in order by the card room, the weave room, and the spooler room. The spinning room was shown by the preceding table to have a larger proportion of young people among its work ers than any other room, over two-thirds (68 per cent) of the spinningroom employees being in the age group 15 to 24, while only one other room (the spooler room) has as high a proportion as 50 per cent in this age group. In order to see the meaning and incidence of these death rates the rooms will be considered separately. THE CARD ROOM. Card rooms not infrequently have poor light, poor ventilation, and an atmosphere that is hazy with vegetable fiber, dust, or “ fly.” These conditions are not necessary, and in the best mills they are not found, but outside of the best they are common. The work done by males in this room is in the main unskilled and poorly paid. In Fall River it goes naturally to the recent immigrant, who usually gives it up and goes on to a job which pays more as soon as his better acquaintance with the English language enables him to do so. Cardroom women, on the other hand, may earn quite as much as does the average female mill worker, and therefore their connection with the card room is apt to be much longer than that of the males. For women, card-room work involves lifting bobbins of roving weighing from 2 to 4 pounds each and placing them on frames from 5 to 6 feet high— above the head, therefore, for most women. Comparing the death rates of card-room workers with those of nonoperatives of the same sex, a striking difference appears, as is shown by the following table: P E R C E N T B Y W H I C H D E A T H R A T E S O F C A R D -R O O M W O R K E R S E X C E E D E D ( + ) O R ' F E L L B E L O W ( - ) T H E C O R R E S P O N D IN G R A T E S O F N O N O P E R A T IV E S , B Y S E X , CAU SE O F D E A T H , A N D A G E G R O U P. Males. A g e group. T u b e rcu lous. Fem ales. N o n tu bercu lo u s. A ll causes. T u b e rcu lous. N o n tu bercu lo u s. A ll causes. 15 t o 24 yea rs.......................................................... 25 t o 34 y ears.......................................................... 35 t o 44 y ears.......................................................... +30 -3 0 +86 +86 -5 2 - 4 +67 -7 7 + 1 + 156 +290 +311 + 125 + 57 + 19 + 141 + 128 + 78 T ota l............................................................... + 24 - + 6 +235 + 56 + 114 3 The death rate of nonoperatives is taken as the standard of measure ment because it gives a fairer idea of the real hazard of a workroom than if the operative rate were used. Previous discussion has shown that the operative, by the mere fact of being an operative, is apt to have a greater liability to death than the average person not employed 89 OPERATIVE MORTALITY BY WORKROOM. in the cotton mills. If the operative rate is used as a standard this fact is obscured, and the workroom which shows a death hazard less than that of the total operative force may appear to be a reasonably salubrious place, even though all the while its death rate may be much higher than that which prevails among nonoperatives. The"difference shown here between the sexes is striking. For the group as a whole males arc very little more liable to death than the average nonoperative male, while females have more than twice as great a death hazard as the females outside of the mills. In the second age group males are actually less liable to die than nonoperative males of the same age, and in the third the two classes have prac tically the same hazard. In the first decade the higher rate is ac counted for in part by some cases of drowning. Except in this decade the percentage of deaths from all causes combined is little if at all greater among card-room males than among the nonoperative males of their own age. This situation is probably explained by the facts mentioned above concerning the card-room employment of males. Since to a large extent they are newly arrived immigrants, they are still in good physical condition, for any definite weakness would have barred them from entering the country, and since they leave the card room for better-paying work as soon as possible they are not so long exposed to the dust, poor light, and bad ventilation as the females are; also, even if they remain long enough to become affected by these conditions that fact may not become apparent until after they have left the card room. The female workers of the card room in each case exceed non operative females of the same age in their liability to death, but the degree of excess differs considerably according to their conjugal con dition and cause of death. The table just given shows that their extra hazard from tuberculosis is impressively large, but the greater part of this excess is found among the married. For the total group aged 15 to 44 the percentages by which the death hazard of card-room workers exceeds that of nonoperative females of the same age, according to conjugal condition and cause of death, are as follows: P E R C E N T B Y W H IC H D E A T H R A T E S O F F E M A L E C A R D -R O O M W O R K E R S E X C E E D E D T H E C O R R E S P O N D IN G R A T E S F O R F E M A L E N O N O P E R A T IV E S , B Y C A U SE O F D E A T H A N D C O N JU G A L C O N D IT IO N . Con jugal c o n d itio n . Single fem a les................................................................................................ M arried fem ales__________________________________________________ A ll fem ales T u bercu lou s. N o n tu b e r culous. A ll causes. 93 323 35 81 57 163 235 56 114 90 CHAP. II.---- MORTALITY IN AGE GROUP 15 TO 4-L Were it not overshadowed by the greater peril of the married, the excess of the hazard of single females from tuberculosis would seem large, for even the single operatives are nearly twice as liable to die from tuberculosis as are single nonoperative women, but this situation is not so unusual. Among the single, tuberculosis kills more than all other reported causes of death combined in every workroom except the weave room. But the card room is the only workroom in which, among the married, deaths from tuberculosis exceed those from all other causes. Comment on the excess of their hazard from this cause as compared with nonoperative married females is unnecessary. In considering the total hazard from tuberculosis among the women working in the card room, the abundance of vegetable dust in the air and the lack of light and ventilation inevitably suggest themselves as probable causes. For the high death rate of married females from causes other than tuberculosis, the character of work done by women in the card room may afford some explanation. As mentioned before it involves continual lifting of bobbins of roving and placing them upon frames often above the woman’s head. So much lifting may quite probably constitute a contributory cause of death from prematurely terminated pregnancy and from child birth. The racial factor appears to enter into the matter. Un questionably a large part of the high female death rate is incidental to the considerable proportion of Irish married women among cardroom workers aged 15 to 44. These form less than one-fifth (19.6 per cent) of the married women of the card room, but contribute one-third of all the card-room deaths of married females, and onethird the parturition deaths uncomplicated with tuberculosis. Among the single a similarly disproportionate mortality appears. The Irish formed but one-fifth (20 per cent) of the single female workers of the card room in this age group, yet they furnished 8 of the 19 deaths from nontuberculous causes— that is, 42 per cent— occurring among them. The Portuguese also bring up the death rate unduly. The Portuguese married composed only about onefourth (26 per cent) of the married card-room females, yet they fur nished one-half all the deaths from parturition occurring among them. Card-room work requires more strength than any other cottonmill occupation women engage in, so that presumably few carders are weaklings when they enter the occupation. The high death rate of females in the card room is therefore especially noteworthy, particularly that of married females. To sum up the situation then, in the card room, male workers show little more liability to death before 45 than do nonoperative 91 OPERATIVE MORTALITY BY WORKROOM. males of the same age. Female workers show a much greater lia bility to death than is fouhd among nonoperative females; this is greater among married than among single women, and reaches its* maximum in the hazard of married card-room females from tuberculosis. TH E SPINNING ROOM. The most striking physical features of the spinning room are the heat and moisture of the atmosphere. The cotton can not be spun successfully if it is dry, and the effort to keep it sufficiently moist for good handling often leads to an excess of humidity. The work on which women are employed—ring and frame spinning—does not involve any heavy strain, though in the course of the day much walking is done. It will be remembered that the spinning room employs a larger number of operatives than any other except the weave room, and that the spinning-room employees are in the main young, 68 per cent of all spinning-room workers and 70 per cent of the women being under 25 years old. The table on page 87 shows that the spinning room leads all the other rooms in its total death hazard, and that this greater hazard appears in two of the three decades as well as for the total group aged 15 to 44. Moreover, it is rather uniform as between the sexes, thus differing from the situation which prevails in the card room. The following table shows the degree to which spinning-room workers exceed nonoperatives of the same sex and age in their liability to death: P E R C E N T B Y W H I C H D E A T H R A T E S O F S P I N N I N G -R O O M W O R K E R S E X C E E D E D ( + ) O R F E L L B E L O W ( - ) C O R R E S P O N D IN G R A T E S O F N O N O P E R A T IV E S , B Y S E X , CAU SE OF D E A T H , A N D A G E G R O U P. Males. A g e grou p. T u b e rcu lous. N o n tu bercu lous. Fem ales. A ll causes. T u b e rcu lous. N o n tu be rcu lous. A ll causes. 15 t o 24 yea rs.......................................................... 25 t o 34 years.......................................................... 35 t o 44 yea rs.......................................................... + 82 + 151 + 70 +55 +23 - 5 +65 + 71 + 18 + 183 + 190 + 282 +90 + 70 +50 + 137 +107 + 97 T ota l, 15 t o 44 years (age a d ju s t e d ).. + 104 +23 +50 +207 +66 + 112 92 CHAP. II.---- MORTALITY IN AGE GROUP 15 TO 44. The hazard of the male workers, as shown on page 87, is greater than in any of the other rooms. Mule spinners contribute materially to this high risk, especially to the very high death rate from tubercu losis, 10 of the 14 deaths of mule spinners aged 15 to 44 having been from tuberculosis. Mule spinners constitute but 6 per cent of the spinning-room male population, yet they contribute almost one-fourth (24 per cent) of all tuberculous deaths of the spinning-room males. In general, however, tuberculosis is rife among the males of the spinning room; their death rate from this cause invariably exceeds that of nonoperatives, and usually also that of operatives in the other workrooms. The hazard of spinning-room males from nontuberculous causes is not so marked, but still they exceed nonoperatives in this respect by over one-fifth (23 per cent) except in the age group 35 to 44, where they are slightly less liable to die than nonoperative males of the same age. An examination of the detailed tables shows that this lesser liability is due solely to the married males, while the single follow the usual rule of a spinning-room excess. As regards the female workers of the spinning room, the age group 15 to 24 appears to represent the peculiar conditions of the room most fairly. This group is unique in several respects. For females it is by far the most important of the spinning-room groups, contain ing seven-tenths of all spinning-room females aged 15 to 44 and twothirds of those aged 15 to 64. The French Canadian and the Portu guese are the dominant races, forming 89 per cent of its single and 92 per cent of its married spinning-room workers. This reflects very closely the situation in the total female spinning-room group aged 15 to 44, in which the French Canadians and Portuguese combined form 87 per cent of the single and 88 per cent of the married. The single female spinners of these two races in age group 15 to 24 form three-quarters of all single female spinners aged 15 to 44, while the married of these two races form about two-fifths of the married female spinners aged 15 to 44. A study of the detailed tables shows that the most important factors in the female mortality in this age group are tuberculosis and parturi tion. How important they are may be judged from the following table, which contrasts the prevalence of these causes of death in the spinning room with their prevalence elsewhere in Fall River: OPERATIVE MORTALITY BY WORKROOM. 93 P O P U L A T IO N , D E A T H S F R O M P A R T U R IT IO N A N D O T H E R CAU SES, A N D D E A T H R A T E S P E R 1,000 O F F E M A L E S P IN N I N G -R O O M O P E R A T I V E S O F E A C H S P E C IF IE D R A C E , A N D O F A L L F E M A L E O P E R A T IV E S A N D N O N O P E R A T IV E S , A N D A L L F E M A L E S , I N A G E G R O U P 15 TO 24, B Y C O N J U G A L C O N D I T I O N . F e m a le .. W ork ro o m , race, a n d occu p a tion al group. N u m b e r o f de ce d e n ts. D eaths o f mar ried w om en from M ar B o th par T u - N onT u - N on T u - N onried . classes. turi ber- tuber- A ll b er- tuber- A ll ber- tuber- A ll tio n .1 cucu - causes. cu c u - causes. cu - causes. cu lous. lous. lous. lous. lous. lous. Single. S in gle. S p in n in g room : F ren ch Cana dian P o r tu g u e s e .. . 102 M arried. 29 23 3 27 52 34 56 210 1 211 106 67 173 328 35 34 69 <5 141 101 242 633 10 14 21 11 24 32 14 13 27 34 31 65 12 n 23 46 42 88 | 16 3 6 19 9 5 B o th r a c e s .. 1,437 U n s p e c ifie d races.......... 174 358 1,795 19 9 28 13 32 206 A ll races___ 1,611 390 2,001 1 20 9 29 A ll op e r a tiv e s ... 6,373 1,186 A l l nonopera tiv e s .................. 3,972 1,884 7,559 72 36 108 5,856 23 23 46 A ll fem ales. 10,345 3,070 13,415 95 59 154 1 8 12 20 2 22 6 11 2 705 1,090 3 256 603 834 B o t h classes. 8 1 5 2 3 .4 i P er cen t each classified group is o f its w h ole 15 t o 64 fem ale age g ro u p total. Sp in n in g room : F ren ch Cana dian .............. P o r t u g u e s e ... D eath rate p e r 1,000. 73 95 21 54 87 5.31 .7 2 0.99 1.44 6.30 2.16 9.81 6.25 9.80 4.69 19.61 10.94 5.97 2.28 67 2.02 2.20 8.25 4.22' 5.88 5.47 B o th ra c e s .. U n s p ecified races.............. 85 42 70 2.79 1.25 4.94 7.26 6.15 13.41 3.56 2.23 5.79 5.59 74 24 56 ( 6) ( 6) ( 6) ( 6) ( 6) ( 6) (6) (6) A ll races___ 83 39 68 2.48 1.12 3.60 7.18 6.67 13.85 3.40 2.20 5.60 5.64 A ll o p era tiv es ... A l l nonop era t iv es.................. 71 53 2.26 1.13 3.39 5.73 5.23 10.96 2.81 1.77 4.58 4.72 51 21 1.16 1.16 2.32 1.27 1.17 2.44 1.20 1.16 2.36 A ll fem ales. 62 22 10 12 32 1.84 1.14 2.98 3.00 2.73 5.73 ■ 2.10 1.51 3.61 ! (6) .53 2.15 1A ll cases, in c lu d in g com plication s, w here p r e g n a n cy e n d e d n o t e x ce e d in g 30 d a ys before death. 2In clu d in g 2 cases co m p lica te d w ith tuberculosis, 1 co m p lica te d w ith p n eu m on ia, a n d 1 w here d e ce d e n t was u n m a m e d . a In clu d in g 4 cases co m p lica te d w ith tuberculosis, 1 com p lica ted w ith p n e u m o n ia , a n d 3 w here d e ce d e n t w as unm arried. 4In clu d in g 1 case co m p lica te d w ith tuberculosis. 6In clu d in g 5 cases com p lica ted w ith tuberculosis, 1 co m p lica te d w ith pn e u m o n ia , a n d 3 w here d e ce d e n t w as u n m a m e d . 6L ess th an 9 d ea th s; n o rate co m p u te d . A very striking feature of this table is the high death rate of the married from parturition. As compared with all nonoperatives, the death rates from parturition of the Portuguese and the French Cana dians respectively show an excess from this cause of 932 per cent and 1,009 per cent. Even as compared with the death rate from this cause of all females— that is, including themselves and other opera tives— they show excesses respectively of 154 per cent and 173 per cent. 94 CHAP. II.— MORTALITY IN AGE GROUP 15 TO 44. Of all the workrooms the spinning room has the largest percentage, over one-half (51 per cent), of the total nontuberculous deaths of married females 15 to 44 years of age ascribable to parturition. This preeminence holds true also of the tuberculous decedents of the spinning room, one-eighth (13 per cent) of whom had had within 30 days of their deaths a terminated pregnancy as a complicating circumstance. The death rate from parturition not complicated with tuberculosis among married women of the spinning room for the age group 15 to 24 is 5.03 as contrasted with 3.02 for the corresponding females of the other workrooms. This is a spinning-room death rate excess from nontuberculous parturition of two-thirds (67 per cent) in an age group that includes seven-tenths of all spinning-room females aged 15 to 44. This excess does not seem to be a racial matter, except that since the French Canadians and the Portuguese make up the great majority of the spinning-room married in this age group they nat urally have the majority of these deaths. But in proportion to their number the other races show about the same degree of mortality from this cause. This is shown by the following figures: PERCEN TAGE D IS T R IB U T IO N O F M A R R IE D F E M A L E S P A R T U R IT IO N , B Y R A C E . AND R a ce . F ren ch C anadians..................................................................................................................... P ortu gu ese.. O ther races.. OF DEATHS P ercentage o f m arried fem ales fro m each race grou p. 26 FROM P ercentage o f partu ri t io n deaths fro m each race grou p. 27 64 9 Probably the nature of the work done by women in the spinning room has much to do with the prevalence of these parturition deaths. There is nothing heavy about the work, but it demands almost'con stant walking or standing in a hot, moist atmosphere. “ She did her daily marathon/’ said the sister of one spinning-room girl decedent, describing the work. The hazard from tuberculosis appears very clearly in this table. For single women of the spinning room the liability to death from this cause is 114 per cent and for married women 465 per cent greater than among nonoperative women of the same age and conjugal con dition. This extreme liability to tuberculosis exists throughout the female force of the spinning room, the death rate from this cause for those aged 15 to 44 being among single women 90 per cent and among married women 379 per cent greater than among nonoperatives. This is the only workroom in which, among the single women, deaths from tuberculosis outnumber those from all other causes, nearly two out of every three deaths (62 per cent) being from this cause. OPERATIVE MORTALITY BY WORKROOM. 95 THE WEAVE ROOM. From a physical standpoint the weave room is free from some of the objectionable features found in other rooms. The atmosphere must contain a great deal of moisture, but is not necessarily as hot and humid as that of the spinning room. In this respect conditions differ from mill to mill. At the time of this investigation in some of the older mills the air was kept damp by a jet of live steam beside the loom, so that as the weaver stood at his work he got the full effect of its heat and moisture. But most of the mills had humidi fiers, by the nse of which the atmosphere is kept at the required point of moisture without exposing the workers to such undesirable conditions. The noise and vibration of the looms constitute an objectionable feature of the room, which is much the same in all mills and is apparently inseparable from the work. Well-equipped mills are all supposed to have shuttles which thread automatically but at the time of the investigation many still used the old-fashioned shuttle, which the weaver threads by putting it to his lips and sud denly drawing in his breath. The use of such shuttles has long been thought to be a principal cause of the tuberculosis among weavers. The weave room, it will be remembered, is much the largest of the workrooms, the weavers in age group 15 to 44 numbering almost as many as the card-room and spinning-room workers combined. As is the case in all the other rooms, the age group 15 to 24 is the most important numerically, containing 44 per cent of the total weaveroom workers, but the predominance of this group is not so marked as in some of the other rooms, especially with regard to women workers. Both absolutely and proportionately women of the upper age groups are more numerous in the weave room than in any of the other rooms, women aged 35 to 44 constituting 21 per cent of the weave-room female employees as against 9 per cenf in the spinning room, 17 per cent in the card room, and 14 per cent in the spooler room. The table on page 87 shows that for the total group aged 15 to 44 the weave room stands third in liability to death from all causes, and that it holds this same position for the group aged 15 to 24. For the total weave-room group the hazard of death from all causes is a little below that of all operatives, but exceeds that of all non operatives by 34 per cent. Turning to the male workers, the table on page 87 shows that the male death rate increases more regularly throughout the decades in the weave room than elsewhere. This arises entirely from the death rate of the single men and more especially the death rate from tuberculosis, which, beginning at 1.37 in the youngest age group is more than trebled in the second decade, where it is 4.73; this in turn is almost trebled among those aged 35 to 44, their rate reach 96 CHAP. II.----MORTALITY IN AGE GROUP 15 TO 44. ing 11.60. From nontuberculous causes there is no such rapid in crease, the death rates for the three decades being 2.16, 5.51, and 6.52.1 The death hazard of female weavers differs so widely according to conjugal condition and cause of death that the following table is presented to show these variations as compared with the corre sponding variations among nonoperatives of the same sex, age, and conjugal condition: PER CENT BY WHICH DEATH RATES OF FEMALE WEAVERS EXCEEDED (+ ) OR FELL BELOW ( - ) THE CORRESPONDING RATES FOR FEMALE NONOPERATIVES. Single. Age group. Married. Tubercu lous. Nontu bercu lous. 15 to 24 years................................................. 25 to 34 years................................................. 35 to 44 years................................................. +40 0) +75 -3 4 - 4 +42 + 3 -4 3 +49 +430 +135 +111 +418 + 89 + 100 +424 +102 +102 Total.......................................................... - 5 + 7 + 4 +266 + 160 +194 AH causes. Tubercu lous. Nontu bercu lous. All causes. 1 No deaths in workroom group. From all causes combined the death hazard of single female weavers in the total group aged 15 to 44 barely exceeds that of single non operative females, while from tuberculosis the nonoperative females actually have the higher hazard, as they also have in two of the age groups, from nontuberculous causes. This low mortality is at least partly due to the numbers of single English operatives, who have a low mortality and who form about one-third of the single female workers in the weave room as against about one-sixth in the other rooms. Although they form 30 per cent of the single female weavers, the English contribute but 17 per cent of their deaths, from tubercu losis and nontuberculous causes alike. The low death hazard in each age group of all non-Irish single females of the weave room is a striking feature of workroom mortality in the cotton-manufacturing industry. The hazard of married women in the weave room, on the other hand, is uniformly high, not only as compared with nonoperatives but in relation to other operatives also. For the age group 15 to 44 the death rate of married female weavers from tuberculosis is only 6 per cent less than that of all female married operatives, while from nontuberculous causes it is higher than in any other workroom, sur passing the rate for all female married operatives by 11 per cent. This relative hazard is of special importance since the weave room contains not far from as many married female workers as any two of the other rooms combined. This high death rate of the married may at least in part be explained by two factors— the nature of the work, with the surroundings in 1See chapter on alcoholic addiction, p. 145, for possible cause. 97 OPERATIVE MORTALITY BY WORKROOM. which it is done, and the racial composition of the group. As to the first, weavers have to do much bending over the looms. Also, at the time of this investigation it was customary in some mills to require the weavers to carry the completed cut of cloth to the scales, which are sometimes at a considerable distance from the looms. Thus a small woman might have to carry 15 or 18 pounds of cloth 100 feet or more. The load is bulky and rather troublesome for a woman to manage. The male weavers usually lift it onto their shoulders, but in 1913 the women whom the writer saw invariably carried it in their hands before them. It will readily be appreciated how much fatigue such lifting induces, and how great is the danger to the expectant mother, especially during the last half of her pregnancy. The sur roundings also in many cases are unfavorable. The din of the looms is actually deafening, their vibration is disturbing, the lighting is sometimes bad, and the ventilation is seldom adequate. Moreover in some of the mills in 1913 the drinking water in open pails, the common drinking cup, and the old style, nonautomatic ally threading shuttle were still in use, though the more progressive mills had sub stituted for them modern weave room hygienic equipment, including humidifiers and adequate systems of ventilation and lighting. As to the racial factor, just as among the single, the English kept down their death rate, so among the married the Irish and the French Canadians bring up the hazard. It will be remembered that both these races are characterized by a high mortality among their married female operatives, and reference to the detail table on pages 178 to 201 shows that this mortality is greater in the weave room than any where else in the mill. For the total age group 15 to 44 the death rates of married women in different workrooms and in the mill as a whole were for the combined Irish and French Canadians and for the combined other races as follows: DEATH RATES PER 1,000 OF MARRIED WOMAN OPERATIVES, IN AGE GROUP 15 TO 44, FOR EACH WORKROOM AND FOR THE MILL AS A WHOLE, BY RACE. Irish and FrenchCanadian. In card and spinning room combined............................................................................... In spooler room and miscellaneous................................................................................... In weave room............................................................................................................. In mill as a whole............................................................................................................... 19.42 18.11 25.30 20.50 Other races. 10.31 6.87 8.82 9.09 The weave room, it will be seen, takes for the Irish and French Canadians the place of peril which for the other races is held by the spinning room, but with even a greater excess of hazard over that of the mill in general. An indication of their high death rate is shown by the fact that while in the age group 15 to 44 the Irish 88204°— 19— Bull. 251------ 7. 98 CHAP. II.— MORTALITY IN AGE GROUP 15 TO 44. and the French Canadians combined form but 32 per cent of the mar ried female weave-room workers they furnish 54 per cent of the 107 deaths occurring in the group. TH E SPOOLER ROOM AN D M ISCELLANEOUS. Spooler-room workers and the miscellaneous operatives of unspeci fied workrooms comprise about one-fifth of all millworkers aged 15 to 44. Besides the spooler-room workers, the group includes the operatives of the slasher room, who are all males and whose death rate is very high, owing largely to the extreme heat and the steamy atmosphere of the slasher room; those of the drawing-in room, of the winding and reeling, the warper-tending and the cloth rooms. Drawers-in and most cloth-room hands sit while at work. Three-quarters of the total group are females. Comparing the death hazard of this group of workers with that of nonoperatives of the same sex, for the total group aged 15 to 44, it appears that the death rate of the males falls below that of nonoperatives by 34 per cent, while females show an excess of 61 per cent over nonoperatives. Here, as is usually the case throughout the mill, the female excess is largely due to the high rates prevailing among the married women. Males in general have a lower death rate here than in any other workroom, the only exception being found among the married males whose death rate from tuberculosis exceeds the corresponding rate in each of the other workrooms. The high death rate from tuberculosis of the small slasher-room male contingent— 2.93 per 1,000 in the total group aged 15 to 44— probably accounts largely for this excess. In the number of women employed, the spooler-room aggregate stands second only to the weave room, containing 3,614 women, or about half as many again as the card room, and about one-fourth more than the spinning room. Throughout the age groups it has a lower total death hazard for women than any of the other rooms, except in age group 25 to 34, where it stands next to the lowest. Nevertheless, as compared with female nonoperatives, the women of this group show an excess of death hazard ranging from 27 per cent for the group aged 35 to 44 to 95 per cent in the age group 25 to 34. An examination of the detail tables on pages 178 ta 201 shows that this excess is mainly due to the married, whose death hazard both from tuberculosis and from nontuberculous causes is greater than that of the single. As compared with the corresponding class of nonoperatives, single females of the spooler-room group show an excess in death hazard of 29 per cent, while that of the married is 139 per cent. Comparing the married and the single women within the group, the married exceed the single in their liability to death from tuberculosis by 91 per cent and from nontuberculous causes by 155 per cent. 99 OPERATIVE MORTALITY BY WORKROOM. In the main this excessive liability to death from nontuberculous causes of married females is due to parturition fatalities, especially in age group 25 to 34. Of the 20 within this age group who died from nontuberculous causes 10 had had within 30 days of their death an interrupted pregnancy—full term or otherwise. The parturition hazard of married women of the spooler-room aggregate is in this age group 4.48 per 1,000 population. Corresponding parturition rates of the married of other workrooms are: Weave room, 3.81; card room, 4.41; and spinning room, 5.21, if a pneumonia fatality that was complicated by a prematurely interrupted pregnancy is included, or 4.64 omitting that case. From nontuberculous parturition the married women of the spooler-room aggregate had more deaths per 1,000 population than had the married of any other room, excepting only the spinning room, in which the corresponding rate was higher by one-sixth (16 per cent). SUMMARY. The following table brings together the hazard of employees in the several workrooms as compared with the hazard of nonopera tives of the same age, sex, and conjugal condition: PER CENT BY WHICH THE DEATH RATES OF OPERATIVES EXCEEDED (+ ) OR FELL BELOW ( - ) THE CORRESPONDING RATES FOR NONOPERATIVES, BY SEX, CAUSE OF DEATH, CONJUGAL CONDITION, WORKROOM, AND AGE GROUP. Males. Workroom, and age group. Tubercu lous. Sin gle. Mar ried. Females. Tubercu lous. Nontuber culous. All causes. Sin Mar gle. ried. Sin Mar Sin Mar gle. ried. gle. ried. Nontuber culous. All causes. Sin Mar gle. ried. Sin Mar gle. ried. Card room: C1) + 148 +201 + 99 + 40 + 124 15 to 24 years................. + 67 C1) +112 0) +134 25 to 34 years................. 0) + 24 - 52 - 46 - 71 - 22 - 12 +471 + 20 + 79 + 7 35 to 44 years................. + 105 + 152 - 56 - 25 - 54 + 29 + 166 +362 + 8 + 26 + 41 +213 +189 + 93 62 - 28 - 41 + 93 +323 + 35 + 88 + 57 +163 + 90 + 54 + 74 - 58 + 79 - 19 + 114 +465 - 3 + 47 + 55 + 105 +206 + 38 + 12 + 65 + 79 + 43 +286 - 36 + 124 - 4 + 94 + 48 + 17 - 20 + 41 + 1 + 126 +337 + 143 + 27 + 140 +468 +170 + 89 Total, 15 to 44 years.. + 97 + 97 + 34 - 27 + 56 + 15 + 90 +379 + 48 + 156 + 64 +228 Weave room: 15 to 24 years................. + 44 l+ 84 + 16 + 37 + 26 + 79 + 40 +430 - 34 +418 + 3 25 to 34 years................. + 39 + 20 + 9 + 9 + 21 + 13 C1) + 135 - 4 + 89 - 42 35 to 44 years................. + 95 + 59 - 50 - 10 - 5 + 11 + 75 + 111 + 42 + 100 + 49 +424 + 102 + 102 Total, 15 to 44 years.. Spiiming room: 15 to 24 years................. 25 to 34 years................. 35 to 44 years................. - 47 + 1 - 18 - Total, 15 to 44 years.. + 65 + 59 - 20 - 15 + 9 + 30 - 5 +266 + 7 + 160 + 3 +194 Spooler room and miscel laneous: 15 to 24 years................. + 43 +235 - 9 C1) + 8 + 18 + 103 +232 - 27 + 187 + 38 25 to 34 years................. (x) C1) + 48 +288 + 58 + 115 + 54 C1) - 39 <l) - 63 35 to 44 years................. (*) + 84 - 15 - 59 - 42 - 17 + 49 + 70 - 20 + 47 - 6 + 21 + 163 + 52 Total, 15 to 44 years.. - 73 + 98 - 21 - 88 - 39 - 26 + 72 +216 + Basic nonoperative death rate: 15 to 24 years................. 25 to 34 years................. 35 to 44 years................. Total, 15 to 44 years (age adjusted)........ 3 + 103 - 29 + 139 0.95 3. 41 5.94 1.30 1.86 1.53 5.07 1.99 13.12 2.39 2.81 2.92 8.48 4.60 19.06 3.69 4.45 6.59 1.16 1.74 1.34 1.27 1.62 1.51 1.16 2.56 4.98 1.17 4.18 6.07 2.32 4.30 6.32 2.44 5.80 7.58 2.63 1.50 2.97 4.47 1.36 1.42 2.31 2.99 3.67 4.41 4.98 7.61 i No operative deaths. 100 CHAP. II.----MORTALITY IN AGE GROUP 15 TO 44. Considering first the male employees, it appears that in the card room they average about the same death rate from all causes as nonoperative males, but as respects tuberculosis card-room males are considerably the more liable to die. This, as has already been men tioned, is probably due to the fact that the card-room workers are in the main newly arrived immigrants who are in good physical con dition when they go into the card room, and who stay in it but a short time, so that if they are affected by its unhygienic conditions the effects do not become apparent until after they have left this employment. The spinning and weave rooms are the two work rooms showing the greatest peril for male workers; in each the death rates both of single and married men from all causes are greater than the corresponding rates of nonoperatives. Of the two, the spinning room shows the greater degree of hazard, a fact of importance since the spinning-room group is distinctly younger than the weave-room group; among the spinning-room males 66 per cent are under 25, while among the weave-room males only 38 per cent are under this age. In both rooms tuberculosis is mainly responsible for the extra hazard of the operatives as compared with nonoperatives, and from this cause the peril of the spinning room exceeds that of the weave room. The spooler-room group, like the card-room group, shows a lower death rate for operatives than prevails among males of the same age outside the mill. Unlike the card-room group, however, its married males show nearly twice as great a liability as nonoperatives to death from tuberculosis. This is probably due entirely to the slasher tenders and helpers whose work is carried on under very undesirable conditions of heat and dampness. The group is a small one, however, and their high death rate is not sufficient to offset the low rates pre vailing elsewhere among this group, so that for married men as well as for single the total liability to death is below that of nonoperatives. Among female operatives a very different situation prevails. In general, in every workroom they are more liable to die before reach ing 45, both from tuberculosis and from nontuberculous causes, than are nonoperatives. In a few groups single female operatives are less liable to death than are single female nonoperatives of the same age, but there is not one case in which married women in the cotton mill have as low a death rate as married women of the same age outside it. Usually the married female operatives of every age group and in every workroom are at least twice as liable to death as are married women of the same age who are not operatives. Taking up the separate rooms, the card room and the spinning room show the greatest total peril of death to the female workers. For single females the risks of the two rooms are nearly the same, but for married females, especially from nontuberculous causes, the hazard of the spinning room is much greater. In the preceding dis OPERATIVE MORTALITY BY WORKROOM. 101 cussion it has been shown how large a part of the mortality among married women from nontuberculous causes is due to parturition fatalities. In both rooms the conditions of work are well adapted to induce both tuberculosis and parturition fatalities. The card room often is dark, dusty, and ill ventilated, and the work done by women involves much lifting and reaching upward. The spinning room has a hot, damp, debilitating atmosphere, and the women must be con tinually on their feet, and in the course of the day must do a great deal of walking. The weave room stands third in the list in its total hazard to women aged 15 to 44, but shows an unequal distribution of this peril between single and married workers. The single women of the weave room have a death hazard from tuberculosis lower than is found anywhere else in the mill and lower by 5 per cent than that of single female nonoperatives, while from nontuberculous causes their death rate is only 7 per cent higher than that of single nonoperatives; but mar ried women have a higher death rate from nontuberculous causes of death than anywhere else in the mill. As has been said before, this seems due to the peculiar susceptibility of the Irish and^ French Canadian women to the influences of the weave room. They form a smaller proportion of the weave-room force than of any of the other workroom groups, being 32 per cent of the married women in the weave room, 35 per cent of those in the spooler and miscellaneous rooms, and 39 per cent of those in the spinning and card rooms, but their death rate is 30 per cent higher than in either of these other groups, so that in spite of their smaller number they are an important factor in raising the death rate for the married women of the weave room as a whole. The spooler room and miscellaneous group has a lower total hazard for female employees than is found in any of the other rooms, but as in the weave room, this hazard is unequally distributed between the single and the married. The single barely exceed in death hazard from nontuberculous causes the single nonoperatives of the same age, while from tuberculosis the excess of their hazard is 72 per cent. But the married women of this group exceed nonoperatives in their hazard from tuberculosis by 216 per cent and from nontuberculous causes by 103 per cent. Summing up the situation, it may be said that the workroom hazard of women aged 15 to 44 varies according to their conjugal condition. For the single the spinning room shows the highest death rate, fol lowed in order by the card room, the spooler room and rooms not otherwise specified, and the weave room. For married women the spinning room leads, followed in order by the weave room, the card room, and the spooler room and rooms not otherwise specified. For both single and married the spinning room is the room of greatest peril, a fact which is of great importance because the spinning room females are a youthful group, 70 per cent being under 25. CHAPTER III.— MORTALITY FROM SPECIFIED CAUSES AS OFFICIALLY CERTIFIED. In the foregoing sections the mortality in the Fall River population aged 15 to 44 has been discussed by age, sex, nativity, race, conjugal condition, industry, and, in the case of operatives, by workroom in which employed. It is now proposed to discuss the mortality of the same population according to the cause of death as certified in the official death certificates. Within this age group “ death causes” as officially reported, other than parturition, casualty, the infections and neoplasms, and degen erations from industrial poisonings, have comparatively little signifi cance in preventive medicine and industrial hygiene, because for the most part they are only names conventionally prescribed to desig nate merely the manner of a death of which the essential cause is wear and tear. Each and all of these terms, by emphasizing the manner of death, tend to distract attention from the vastly more important fact that a life has been cut off at a premature age. Moreover, these names, conventional as they are, are far from being uniformly applied, owing to the varying fallibility of physicians. CLASSIFICATION OF CAUSES OF D E A T H . Nevertheless, these terms have been recognized, at least, through classification of all deaths into eight groups according to the cause or group of causes to which they are officially attributed. The deaths from each of these causes have been tabulated by age, sex, industry, and in the case of operatives by workroom. The classi fication is as follows: (1) Tuberculosis; (2) parturition; (3) accident or violence; (4) nephritis, apoplexy (including arterial diseases), and diseases of the heart wall and valves: (5) typhoid fever; (6) cancer, including all malignant growths; (7) nontuberculous respiratory diseases, many of which in reality are cases of tuberculosis misreported; and (8) all other or unclassified causes of death. In the following sections it is proposed to discuss the fatalities due to each of these groups of causes during the period covered. Some of these causes are most active in the older age groups, and in order to give a fair view of their fatal prevalence as compared with that of other causes, the age period 45 to 64 will be included in the discussion. Of course deaths occurring before the age of 45 repre sent usually far greater economic and social losses than those in the upper age groups; nevertheless, in studying the fatal prevalence 102 CLASSIFICA TIO N OF CAUSES OF D E A TH . 103 of various death causes or groups of causes, these deaths at higher ages must be taken into account. It must be borne in mind that no attempt is made in this study to show disease virulency, i e., to show how fatal a given disease is. In the discussion of typhoid fever, for instance, the effort is not to show how many deaths occur per 1,000 of those attacked by the dis ease, but only to show the prevalence of typhoid fatalities— the average annual number of deaths per 1,000 persons, whether sick or well, of the sex or other specified population class. In the same way, the married women of the city are not differentiated as to whether during the period of this study they had had a pregnancy terminate whether by miscarriage prematurely or by childbirth at full term, married decedents only being thus differentiated. Hence, except by indirection, this study does not show how liable pregnancy is to terminate fatally, but only how prevalent childbirth deaths are among married females. M O R TALITY FR O M TUBERCULOSIS. In taking up the study of deaths due to tuberculosis it may be well to begin by restating the fact already pointed out (see p. 55) that a high percentage of deaths from any given cause occurring in a group does not necessarily mean that that cause is very preva lent within the group; it may simply mean that deaths from other causes are few. Yet in the discussion of deaths from any specified cause the confusion between a high percentage of deaths from that cause and great prevalence of that cause is often made, and the results of this confusion are apt to be extremely misleading. To emphasize the difference between high percentage and great preva lence, the following table is given, showing for each age group in the Fall River population the number of deaths, the number and per cent of those due to tuberculosis, and the death rate from tuberculosis. The latter is an accurate measure of the prevalence of fatal tuber culosis, since it shows how many deaths from that cause occur annu ally in each 1,000 of the population, while the percentage merely shows what proportion of the deaths occurring in any age group was due to tuberculosis. Incidentally this table may possess an added interest, as showing that the crude and the age-adjusted death rates from tuberculosis for the 30 and for the 20 year period covered are not widely differ ent, as would, of course, be expected concerning a disease whose fatalities are distributed so generally throughout every age group of the population. 104 C H A P . I I I .---- M O R T A L IT Y FR O M SPECIFIED CAUSES. DEATHS FROM ALL CAUSES, AND DEATHS, PER CENT OF DEATHS, AND DEATH RATES PER 1,000 FROM TUBERCULOSIS, AMONG OPERATIVES AND NONOPERA TIVES, BY SEX AND AGE GROUP. Males. Operatives. Nonoperatives. Deaths from tuberculosis. Age group. Total Total deaths deaths from from Death all all rate causes. Per causes. Num per ber. cent. 1,000. 10 to 14 years.................................... 4 15 to 19 years.................................... 20 to 24 years.................................... 52 54 15 26 29 48 Per cent by which operative exceeds nonopera Death tive rates. Num Per rate ber. cent. per 1,000. Deaths from, tuberculosis. 59 7 12 1.10 2.16 35 62 12 21 34 34 0.73 1.26 51 71 15 to 24 years.......................... 106 41 39 1.60 97 33 34 1.00 60 25 to 29 years.................................... 30 to 34 years.................................... 54 48 23 23 43 48 2.43 2.94 91 97 32 38 35 39 1.75 2.69 39 9 25 to 34 years.......................... 102 46 45 2.66 188 70 37 2.16 23 35 to 39 years.................................... 40 to 44.................... ........................ 62 58 33~ 28 53~ 48 4.45 4.59 113 120 41 30 36 25 2. 71 2.39 64 92 35 to 44 years.......................... 120 61 51 4.51 233 71 30 2.56 76 Total 15 to 44 years............... Crude death rate ............. 328 148 45 2.47 518 174 34 1.64 51 1.87 40 45 to 54 years.................................... 55 to 64 years.................................... 115 120 25 10 22 8 2.73 2.84 238 358 35 29 15 8 2.00 2. 40 37 18 Total 45 to 64 years............... Crude death rate............... 235 35 15 2. 75 596 64 11 Grand total 15 to 64 years___ Crude death rate........... 563 65 years and over............................. 35 2.62 2. 76 183 33 2.51 1,114 238 21 2.65 1 3 1.15 0) 13 C1) 2.10 31 2.16 28 1.70 48 1.94 87 1.53 225 Females. 10 to 14 years.................................... 3 1 33 0.50 55 15 .27 15 to 19 years.................................... 20 to 24 years.................................... 74 99 42 64 57 65 2.23 3.37 29 40 17 18 59 45 1.18 1.21 89 179 15 to 24 years.......................... 173 106 61 2.81 69 35 51 1.20 134 25 to 29 years.................................... 30 to 34 years.................................... 93 85 40 32 43 38 3.67 4.57 89 107 31 29 35 27 1.66 1.64 121 179 25 to 34 years.......................... 178 72 40 4.02 196 60 31 1.65 144 35 to 39 years.................................... 40 to 44 years.................................... 61 69 21 18 34 26 3. 45 4.22 111 128 28 20 25 16 1.68 1.27 105 232 35 to 44 years........................, 130 39 30 3.76 239 48 20 1.48 154 Total 15 to 44 years............... Crude death rate............... 481 217 45 3.34 504 143 28 1.38 142 1.46 125 45 to 54 years.................................... 55 to 64 years.................................... 94 51 7 7 7 14 1.41 6.14 292 464 35 22 12 5 1.46 1.37 348 Total 45 to 64 years.......... . Crude death rate............ 145 14 10 2.58 756 57 8 1.44 79 1 .4 2 62 Grand total 15 to 64 years___ Crude death rate............... 626 1.39 133 1.45 121 65 years and over............................. 8 1 Not reported. S. 28 2. SO 231 37 3.24 1,260 200 16 S. 20 0) 10 C1) .87 * Per cent by which operative falls below nonoperative rate. 23 MORTALITY FROM TUBERCULOSIS. 105 This table shows that within industrial age groups tuberculosis is by far the commonest single cause of death, and that within four of the 5-year age groups it is responsible for more deaths than are all other causes combined.1 But a glance at the death rates from tuberculosis shows that the assumption that these groups are more prone to die of tuberculosis than groups in which the percentage of such deaths is smaller would be extremely fallacious. Among the female operatives aged 20 to 24, for instance, tuberculosis is respon sible for 65 per cent of the deaths, yet the death rate from tuber culosis, 3.37, is smaller than among the female operatives aged 30 to 34, where the percentage of deaths due to tuberculosis is only 38, but the tuberculous death rate is 4.57. Among female nonoperatives aged 15 to 19 the percentage of deaths due to tuberculosis is 59, and among those aged 20 to 24 it is 45, but the death rate in the first group is 1.18 against 1.21 in the second. The tuberculous deaths form precisely the same percentage (45 per cent) of the total deaths of male and of female operatives aged 15 to 44, but among the female operatives the death rate from tuberculosis is higher by 35 per cent than among the male operatives. In fact, the table contains many illustrations of both the probable and the unavoidable fallacies con sequent upon any but the most discriminating comparisons and de ductions drawn from the percentages which tuberculous deaths form of all deaths, if uncorroborated by corresponding death rates from tuberculosis. This table shows not only the greater importance of tuberculosis among operatives as compared with nonoperatives, but the diminu tion of its relative importance as a cause of death in the higher age groups where other causes are increasingly destructive. Among those aged 15 to 44, both male and female operatives, except in age group 15 to 19,2 show a greater percentage of deaths due to tuberculosis, and without exception a higher death rate from tuberculosis than nonoperatives; but the difference is much greater among females than among males. Among female nonoperatives it will be noticed that the highest percentages of tuberculous deaths are found in the age groups 15 to 19 and 20 to 24, although such deaths are fewer there than in the next two age groups, the reason for the high percentages in the earlier groups being of course that deaths from nontuberculous causes are not common at these earlier ages. Among the female operatives of the same ages deaths from other causes are much more numerous and consequently, though the tuberculous deaths are 1These groups are the male operatives aged 35 to 39; female operatives aged 15 to 19; female operatives aged 20 to 24; female nonoperatives aged 15 to 19. Three of the 10-year age groups, male operatives aged 35 to 44, female operatives aged 15 to 24, and female nonoperatives aged 15 to 24, show the same situation, though except among the female operatives aged 15 to 24, this is due only to the weight of the younger 5-year group in the decade. 2Among females outside of this age limit, another exception occurs in age group 45 to 54, where nonoperatives have both a higher percentage of tuberculous deaths and a higher death rate from tuberculosis. 106 CHAP. III.— MORTALITY FROM SPECIFIED CAUSES. three times as numerous as among nonoperatives, the percentage they form of the total deaths is by no means proportionately greater, nor in the age group 15 to 19 is it even as great. In the case of male operatives aged 35 to 39 tuberculous deaths outnumber all others to such an extent that they overbalance the reverse situation prevail ing in the next 5-year age group and make the whole decade, 35 to 44, show more than half its deaths due to tuberculosis. This decade is the only one of the age groups in which the highest percentage of tuberculous deaths coincides with the highest death rate from tuberculosis. TUBERCULOUS M O R TALITY BY AGE. Tuberculosis is unique among the causes of death to which wageearners are ordinarily exposed, not only because it is by far the commonest, but because its prevalence increases with age only to early middle life and thenceforth gradually lessens. There are some differences between the sexes as to the period of greatest danger, so their risks will be considered separately. Females.—-Taking the female population aged 15 to 44 as a whole the greatest hazard from tuberculosis appears in the group aged 25 to 34,1 where the rate is 2.44. This hazard differs considerably according to industry and conjugal condition, and, among married women, according to whether or not parturition comes in as a com plicating factor.2 The following table shows the varying risks accord ing to these classifications: DISTRIBUTION OF FEMALE POPULATION BY AGE GROUP, INDUSTRY, AND CON JUGAL CONDITION, AND DEATH RATES PER 1,000 OF EACH GROUP FROM TUBER0VLOSIS. Female population. Death rate per 1,000 from tuberculosis. Age and occupational groups. Single. Married. Single. Married. Both classes. 15 to 24 years: Operatives............................................... Nonoperatives......................................... 6,373 3,972 1,186 1,884 2.26 1.16 5.73 1.27 2.81 1.20 Both classes......................................... 10,345 3,070 1.84 3.00 2.10 25 to 34 years: Operatives............................................... Nonoperatives......................................... 1,613 1,952 1,967 5,310 1.49 1.74 6.10 1.62 4.02 1.65 Both classes......................................... 3,565 7,277 1.63 2.83 2.44 634 1,044 1,437 5,437 2.52 1.34 4.32 1.51 3.76 1.48 35 to 44 years: Operatives...............................................! Nonoperatives......................................... 1,678 6,874 1.79 2.09 2.03 15 to 44 years: Operatives............................................... Nonoperatives......................................... 8,6206,968 4,590 12,631 2.09 1.36 5.56 1.42 3.34 1.38 Both classes......................................... 15,588 17,221 1.77 2.77 2.18 Both classes......................................... 1If the hazard bo considered by 5-year age groups, the highest rate for all women is found in age group 30 to 34, where it is 2.47. For married women, alike for operatives and nonoperatives, the greatest peril is found in age group 15 to 19, where the rate is 4.24, and for single nonoperatives 20 to 24 is the period of highest tuberculous death rate. 2For discussion of parturition as a complicating factor, see p. 116 107 MORTALITY FROM TUBERCULOSIS. The single operatives differ from all the other groups in that the decade from 25 to 34 is their period of lowest risk, while for the others it is their time of greatest hazard. Among the single nonoperatives this period deserves attention as being the only age group in which among those aged 15 to 44 the tuberculous death rate of nonopera tive females exceeds that of operatives, their rate, 1.74 per 1,000 population, being greater by one-sixth (17 per cent) than the tuber culous death rate of the single operatives. Among married women the hazard of the decade from 25 to 34, although surpassing that of any other 10-year period, is but little greater than that of the preceding decade. Considering only mar ried operatives, in the group aged 15 to 24 years, 16 of the 34 tuber culous deaths, or 47 per cent, were cases in which a pregnancy had terminated either naturally or prematurely during the last nine months of life. In the group aged 19 to 24 there are 19 such deaths— 32 per cent of the 60 tuberculous deaths giving a rate of 1.93 against a rate of 2.70 in the younger group. Throughout the two decades from 15 to 34, which comprise the principal childbearing years of life, the native born married women, both operatives and nonoperatives, are considerably more prone to die from tuberculosis than are the foreign born, and this difference is especially marked in the first decade.1 Also in each of these age groups operative married women are about four times as liable to perish from tuberculous infection, with or without parturition as a complication, as are the corresponding nonoperatives. The following table shows for female operatives the variation, by age, in the death rate from tuberculosis m the different workrooms: AGE DISTRIBUTION OF FEMALE OPERATIVES, BY WORKROOM, AND DEATH RATES PER 1,000 FROM TUBERCULOSIS BY AGE GROUP, CONJUGAL CONDITION, AND WORKROOM. Married. Single. Workroom and age group. Number. Card room: 15 to 24 years...................... 25 to 34 years...................... 35 to 44 years...................... Spinning room: 15 to 24 years...................... 25 to 34 years...................... 35 to 44 years...................... Weave room: 15 to 24 vears...................... 25 to 34 years...................... 35 to 44 years...................... Spooler room and miscella neous: 15 to 24 years...................... 25 to 34 years...................... 35 to 44 years...................... Total: 15 to 24 years...................... 25 to 34 years...................... 35 to 44 years...................... Death rate per 1,000. Number. Both classes. Death rate per 1,000. Number. Death rate per 1,000. 1,040 261 112 2.88 1.53 3.57 262 454 315 3.82 9.25 6.98 1,302 715 427 3.07 6.43 6.09 1,611 242 66 2.48 2.48 3.03 390 384 384 7.18 6.25 6.25 2,001 626 626 3.40 4.79 4.79 1.62 1,849 566 255 ...........2.35 297 683 627 6.73 3.81 3.19 2,146 1,249 882 2.33 2.08 2.95 1,873 544 201 2.35 2.57 1.99 237 446 313 4.22 6.28 2.56 2,110 990 514 2.56 4.24 2.34 6,373 1,613 634 2.26 1.49 2.52 1,186 1,967 1,437 5.73 6.10 4.32 7,559 3,580 2,071 2.81 4.02 3.76 1 See basic table, pp. 268-279. 108 CHAP. III.----MORTALITY FROM SPECIFIED CAUSES. It has just been remarked that for single female operatives as a whole the decade from 25 to 34 is the period of lowest hazard from tuberculosis. The table shows that this is due to the situation in two rooms, the card and the weave room. In the spinning room the death rate from tuberculosis is no lower in the group aged 25 to 34 than in the group aged 15 to 24, and in the spooler and miscellaneous rooms it is higher in this decade than in either of the other age groups. In the card room, on the other hand, the tuberculous hazard in this age group is 47 per cent lower than in the group 15 to 24, and 57 per cent lower than in the group aged 35 to 44. It is the weave room, however, which really determines the situation for the single female operatives as a whole, for here there is not one tuberculous death among the single females aged 25 to 34. As the group numbers 566 this is a noteworthy fact. It might perhaps be explained on the supposition of wrong age reporting, but some explanation would then be needed of the reason why wrong age reporting should concentrate itself on this particular group. But the death rate of the married women of the weave room is also low in this age group— only about three-fifths (62 per cent) of the rate prevailing among all married female operatives. Moreover, there is no such compensatory exces sive rate from nontuberculous causes in this age group as would sug gest erroneous official certification here as to the cause of death. It is therefore probably a safe induction from these data that the single female operatives of the weave room aged 25 to 34 are but slightly liable to die from tuberculosis. The married women of the weave room show a peculiarity not found in any of the other rooms in that their tuberculous hazard is greatest in the youngest age group, and decreases steadily in the two following age groups. The married women of the spinning room share this peculiarity to the extent of having their highest tubercu lous death rate in the youngest group, but they do not have the regular diminution thereafter which appears in the weave room. One of the most noteworthy features of the mortality by age of the married female operatives is the high death rate from tuberculosis in the card room in the group aged 25 to 34, where it reaches 9.25 per 1,000 population. This is a higher tuberculous hazard than is found in any other workroom group of females of all races combined. Males.— The following table shows the tuberculous hazard of males aged 15 to 44: MORTALITY FROM TUBERCULOSIS. 109 DEATH RATES OF MALES PER 1,000 FROM TUBERCULOSIS, BY AGE AND OCCUPA TIONAL GROUPS, AND CONJUGAL CONDITION. J Single. Age and occupational groups. Number. Death rate per 1,000. j Married. Number. Death rate per 1,000. Total. Number. Death rate per 1,000. 15 to 24 years: Operatives.......................... Nonoperatives................... 4,518 5,695 1.55 .95 606 921 1.98 1.30 5,124 6,616 1.60 1.00 Both classes.................. . 10,213 1.22 1,527 1.57 11,740 1.26 25 to 34 years: Operatives.......................... Nonoperatives................... 1,001 2,171 3.80 3.41 2,461 4,315 2.19 1.53 3,462 6,486 2.66 2.16 Both classes.................... 3,172 3.53 6,776 1.77 9,948 2.33 35 to 44 years: Operatives.......................... Nonoperatives................... 433 808 9.24 5.94 2,269 4,733 3.62 1.99 2,702 5,541 4.51 2.56 Both classes.................... 1,241 7.09 7,002 2.52 8,243 3.20 It will be noticed here that in every group the danger from tuberculosis increases with age. This increase differs considerably among the married, especially the married nonoperatives being relatively small, while among the single operatives the death rate in a given decade may be twice or three times that of the preceding decade; but in every case the tuberculous death rate of any 10-year age group is greater than that of the next younger group. This holds true, also, when the male population is divided into native and foreign born. Comparing operatives by sex, it appears that the age of greatest hazard from tuberculosis is 10 years later for males than for females, but that at the time of greatest danger for each sex their death rates are not very dissimilar— 4.51 for male opera tives and 4.02 for female operatives.1 Taking up the tuberculous hazard by age in the different work rooms, in the card room during the five years covered by this study there were no tuberculous fatalities among the married carders aged 15 to 24, nor among the single carders aged 25 to 34. This probably renders the tuberculous death rate of card-room males aged 15 to 44 somewhat atypically low. The spooler and miscellaneous rooms also show an absence of any tuberculous deaths among males, both single and married, aged 25 to 34, and among the single males aged 35 to 44, but in both cases these groups are small, numbering 338 in the first instance and 36 in the second. 1 This appears still more strikingly if the death rates be computed for five-year periods. The point of highest danger for male operatives is in the group aged 39 to 44, where their death rate from tubercu losis is 4.59 per 1,000, while for female operatives it is in age group 29 to 34, where the tuberculous death rate is 4.57. That is, at their respective periods of greatest danger from tuberculosis male and female operatives have practically the same death rate from tuberculosis. 110 CHAP. III.----MORTALITY FROM SPECIFIED CAUSES. The spinning room is notable for the high tuberculous death rate in age group 25 to 34 of both its single and its married males, which far exceeds the corresponding rates for any other room. In the age group 35 to 44 both the spinning and the weave room show enor mously high death rates among the single males— 11.54 and 11.60, respectively— as compared with the rates of their married, which are 2.95 and 3.17. TUBERCULOUS M O RTALITY BY SEX. Taking the population aged 15 to 44 as a whole, all females are rather more liable to die from tuberculosis than all males, whether the death rate used as the standard of measurement be the crude or the age-adjusted. Among those aged 45 to 64,1 however, the situation is reversed, the males having by either rate a hazard higher by one-half (52 per cent or 53 per cent, according to which rate is used). The elimination among females of child bearing almost wholly, and of wage earning very largely, are characteristics of the group aged 45 to 64, which may in a measure account for this change in the relative hazard of the sexes. Among operatives females exceed males in their death hazard from tuberculosis by one-third, their excess being 35 per cent in the group aged 15 to 44 and 29 per cent in the total group aged 15 to 64.1 This higher death rate of female operatives prevails in every age group, except among those aged 35 to 44, where their tuberculous hazard is lower by one-sixth (17 per cent), and among those aged 45 to 54, where it is lower by 48 per>cent than that of the males. Among nonoperatives an exactly opposite situation prevails, all males aged 15 to 44 averaging a tuberculous death rate greater by 19 per cent than that of all nonoperative females, while among those aged 45 to 64 the male excess is 46 per cent. Taking the population aged 15 to 44 as a whole, single males are more and married males are less liable to die of tuberculosis than are the corresponding classes of females. The death rates from tuberculosis for these divisions of the population are as follows: DEATH RATES PER 1,000 FROM TUBERCULOSIS, AMONG MALES AND FEMALES OF FALL RIVER, IN AGE GROUP 15 TO 44, BY CONJUGAL CONDITION. Males. Single................................................................................................................................... Married................................................................................................................................ Both classes.......... ......... ............ .................... ... 3.03 1.81 1.94 Females. 1.77 2.77 2.18 It appears from these figures that even the added hazard of married life does not bring the tuberculosis hazard of women quite up to that of single males, while single females fall below the tuber 1See table on p. 104. I ll MORTALITY FROM TUBERCULOSIS. culous hazard even of married males. When, however, the com parison is confined to operatives this relation changes, as shown by the following figures, which give the death rates from tuberculosis of operatives aged 15 to 44: DEATH RATES PER 1,000 FROM TUBERCULOSIS, AMONG MALE AND FEMALE OPERATIVES, IN AGE GROUP 15 TO 44, BY CONJUGAL CONDITION. Conjugal condition. Single.................................................................................................................................. Married................................................................................................................................ Both classes..............................................: ........................................................................ Males. 3.70 2.36 2.47 Females. 2.09 5.56 3.34 Here the single females still show a lower death rate than do the married males, but the hazard of the married women has increased so materially that it exceeds that of the single males by 50 per cent. TUBERCULOUS M O R TALITY BY NATIVITY. Taking the population aged 15 to 44 as a whole, the death rate from tuberculosis is very slightly higher among the foreign bom than among the native born; this is the case also among operatives as a whole. Considering separate groups, it appears that among the nonoperatives in each sex and conjugal condition the native born lead in death hazard, excepting only among the married males. Among operatives, the males, both single and married, show an excess of tuberculous hazard among the foreign born, while the females, both single and married, show the greater hazard among the native born. TUBERCULOUS M O RTALITY BY RACE. The rule which prevails among the operatives aged 15 to 44 as to the relative tuberculous mortality of the sexes by conjugal con dition holds true for operatives of each race group without a single exception— the female married greatly exceed the male single in their liability to perish from tuberculosis. In other respects the variations which characterize the different race groups of operatives 1 are striking. Among males the Portu guese and among females the English have lower tuberculous death rates than any other races, and for each sex the operatives of the American and unspecified races have the next lowest rates. Almost without exception the Irish of each sex in each age group far exceed every other race in their liability to die of tuberculosis. Next to them stand the French Canadians. In age group 15 to 24, however, among the female single and the male married operatives the French *-----—-- ----------------------------------------------a--------------------------------------------1 This discussion is confined to the tuberculous mortality of the operatives, since it is only among opera tives that the racial distribution of the population is accurately known. 112 CHAP. III.----MORTALITY FROM SPECIFIED CAUSES. Canadians somewhat exceed the corresponding classes of Irish in their hazard from tuberculosis, and this excess is reflected in the tuberculous death rate of the total group aged 15 to 44. A peculiarity of the tuberculous death hazard of Irish males is its great accentuation at ages above 34 years. Thus in the age group 35 to 44, the death rate from tuberculosis of Irish males is 13.11, which is more than three times as great as the corresponding rate for English males, who stand next in order with a tuberculous death rate of 3.81. In general, in the age group 15 to 44, the tuberculous death hazard of the Irish operatives averages for males about two and a half times (260 per cent) and for females one and two-thirds times (167 per cent) the corresponding hazard of the aggregate non-Irish operatives. TUBJERCTJLOUS M O RTALITY BY INDUSTRY. The general rule is that operatives of a given class exceed non operatives of the same class in their liability to die of tuberculosis. The table on page 104 shows that for the whole population aged 15 and over there are only two exceptions to this rule, both falling outside the important industrial group aged 15 to 44. In the group aged 45 to 54 the tuberculous hazard of female operatives falls below that of female nonoperatives by 3 per cent, and in the group aged 65 and over the tuberculous hazard of male operatives falls below that of male nonoperatives by 25 per cent. Apart from these, males aged 30 to 34 form the only important age group in which nonoperatives even approach operatives in their death rate from this disease. Here operatives have only 9 per cent the greater hazard. In considering this small difference, however, it must be borne in mind that in this age group the male nonoperatives reach almost their highest point of tuberculous mortality, their death rate, 2.69, being exceeded only by that of the next 5-year period, where it is 2.71, while for male operatives the death rate in this group, 2.94, is only two-thirds of that in the next 5-year age group, which in its turn is exceeded by that of the group aged 40 to 44. For the group aged 15 to 44 as a whole the tuberculous death hazard of male operatives is 51 per cent greater than that of the male nonoperatives, and for the group aged 45 to 64 it is 31 per cent greater. The constancy of this operative excess among males is peculiarly significant because in Fall River nearly all males are wage earners, and the relatively few who are not are almost all engaged in indus trial pursuits. Within certain broad limits, therefore, their economic level is more nearly the same, and comparisons between the two groups are more indicative than in communities of more diversified openings. The excess of tuberculous hazard among the operatives, under these circumstances, strongly suggests that cotton-mill con MORTALITY FROM TUBERCULOSIS. 113 ditions are at least conducive to tuberculous fatalities, even if they do not actually cause them. Among females the operative excess in tuberculous hazard is as constant as among males and considerably larger. The table on page 104 shows that among those aged 15 to 44, whether the death rates be compared by 5 or by 10 year age groups, the operative excess invariably amounts to over 100 per cent, except in age group 15 to 19, where it is 89 per cent. For the whole group aged 15 to 44 the operative excess is 142 per cent; for the group aged 45 to 64 it is 79 per cent. A comparison between female cotton workers and all other fe males of the city does not resolve itself so sharply as in the case of Fall River males into a comparison of cotton-mill wage earners with all other wage earners of the city, since the female nonoperatives include many who do not work for wages at all, as well as many wage earners who are not cotton operatives. Nevertheless, the constancy and degree of operative excess in tuberculous hazard has a value as indicating the influence of cotton-mill work, especially since it is uniformly in accord with the trend among males. In age group 15 to 44 the rule that operatives exceed nonoperatives in their liability to die from tuberculosis obtains not only for all operatives of each sex and conjugal condition, but also for the separate workroom classifications. To this there are but three exceptions, the tuberculous death rates of single males of the card room, of single males of the spooler and miscellaneous rooms, and of single females of the weave room falling below the corresponding rates of nonoperatives. Furthermore, the rule holds good throughout the race classifications, the only exceptions being the English married males, single males of the American and unspecified races, and both single males and single females of the Portuguese. TUBERCULOUS M O RTALITY OF OPERATIVES BY W O R K R O O M S. The general rule as to tuberculous hazard among operatives by sex and conjugal condition is that single males are more and single females less liable to die than the married of their respective sexes. This holds true for females in the different workrooms, without a single exception, throughout the three decades and for the period 15 to 44 as a whole. For males, however, there are numerous ex ceptions. In the age group 15 to 24, except in the card room, single males have the lower death rate; in the age group 25 to 34 they fall below married males in tuberculous mortality in the card room and in the spooler and miscellaneous rooms, and the same situation prevails both in age group 35 to 44, and for the period 15 to 44 as a whole. 88204°—19— Bull. 251------8 114 CHAP. III.----MORTALITY FROM SPECIFIED CAUSES. It will be remembered that in the population in general single males exceed married females and married males exceed single females in tuberculous hazard, but that among operatives the hazard of married females is so increased that it exceeds that of single males. Among those aged 15 to 44 this greater mortality from tuberculosis of married females as compared with single males prevails in every one of the workroom groups. The other part of the rule, the greater mortality of married male, as compared with single female operatives, finds, an exception in the card room, where the single females have a tuberculous death rate higher by 73 per cent than the married males, but prevails elsewhere throughout the workroom groups.1 Males of the spinning room and females of the card room are more liable to die from tuberculosis than are respectively the males and females of any other mill workroom. But females of the spinning room have almost the same tuberculous death hazard as those of the card room (a rate of 4.24 against 4.62), while for married women the hazard of the spinning room is even greater than that of the card room. Disregarding the relatively very unimportant group of single males in the spooler room whose tuberculous death rate is extremely low (0.70 per 1,000), the most noteworthy low tuberculous death hazard is that of the single females of the weave room, their death rate from this cause being 1.29 per 1,000. This is lower by nearly two-fifths (38 per cent) than the tuberculous hazard of all female operatives. This rate is, however, probably not typical, owing to the fact that during the five years covered no tuberculous death was reported among the single females of the weave room aged 25 to 34. These number 566, which is the equivalent of an annual population of 2,830, and gives probably an atypical death hazard, due perhaps to erroneous concentration within the age group 15 to 24 (which has 15 tuberculous deaths) of several tuberculous fatalities which rightly belong in the next age group. Even the crude rate, unadjusted as to age, for the period 15 to 44, is for single females of the weave room but 1.35 per 1,000. The married women of the weave room, however, have a death rate from tuberculosis lower by only 6 per cent than that of all married female operatives. Considering all operatives aged 15 to 44, regardless of sex or con jugal condition, the highest death rate from tuberculosis is found among the operatives of the spinning room, this rate exceeding that of the card room by 10 per cent, that of the weave room workers by 52 per cent, and of the spool room aggregate by 45 per cent. 1 The Irish and French Canadians of the spooler and miscellaneous rooms present an exception to the general rule, the tuberculous death rate of their single females being 1.92 and of their married males 0.95. MORTALITY FROM TUBERCULOSIS. 115 TUBERCULOUS M O RTALITY BY CONJUGAL CONDITION. The variations as to tuberculous death rates between the single** and the married of each sex are next in degree to those between the different race groups, and are even more important than the latter because of the large numbers involved. These differences by conjugal condition are particularly great in the case of females. In the group aged 15 to 44 males, both operatives and nonopera tives, native and foreign born, have in general, especially outside of age group 15 to 24, a higher tuberculous death rate for the single than for the married. Among females the reverse holds true, the married almost inva riably showing the higher death rate from tuberculosis. The situa tion in this respect differs materially between operatives and non operatives. Among the latter the married in general show but a slight excess in tuberculous hazard over the single, and even in a few cases fall below them. This occurs, for instance, among the foreign-born nonoperatives aged 15 to 24, the foreign-born non operatives aged 25 to 34, and the native-born nonoperatives aged 35 to 44. Among operatives, on the other hand, up to the age of 35 the married invariably exceed the single in tuburculous hazard, usually by a very large degree, and in age group 35 to 44 there are but three subgroups in which this rule does not prevail; these are the native-born operatives, among whom the single have a death rate from tuberculosis higher by 34 per cent than that of the married; the English operatives, among whom the hazard of the single is higher by 151 per cent than that of the married; and the non-Irish, non-French Canadian races of the weave room, among whom the tuberculous death rate of the single is the higher by 18 per cent. These are all small groups, the native-born operatives numbering 635 and the other two, respectively, 495 and 464. This tendency to a practically constant excess of the tuberculous hazard of married female operatives as compared with the single is of peculiar importance and interest, because to a considerable extent the high rates of the married females seem susceptible of improve ment. Reference has already been made to the fact that among married women the tuberculous deaths are frequently complicated with parturition. The following table shows the number of tuber culous deaths among married women aged 15 to 44, the number and per cent of these complicated with parturition, and the death rates according to whether or not this complication existed, as well as for the total tuberculous deaths. 116 CHAP. III.----MORTALITY FROM SPECIFIED CAUSES. DEATHS AND DEATH RATES PER 1,000 OF MARRIED WOMEN IN AGE GROUP 15 TO 44, BY CAUSE OF DEATH AND BY AGE AND OCCUPATIONAL GROUPS. Death rate per 1,000. Deaths. Age and occupational groups. com Not par Parturition plicated. turition compli cated. Number. Per cent. Total. Not par turition compli cated. Parturi tion compli cated. Total. 15 to 24 years: Operatives............................ Nonoperatives...................... 18 g 16 4 47 33 34 12 3.03 .85 2.70 .42 5.73 1.27 Both classes...................... 26 20 43 46 1.70 | 1.30 3.00 25 to 34 years: Operatives............................ Nonoperatives...................... 41 34 19 9 32 21 60 43 4.17 1.28' 1.93 .34 6.10 1.62 2.06 | .77 2.83 Both classes...................... 75 28 27 103 35 to 44 years: Operatives............................ Nonoperatives...................... 29 35 2 6 5 15 31 41 4.04 1.29 .28 .22 4.32 1.51 Both classes...................... 64 8 11 72 1.86 .23 2.09 15 to 44 years: Operatives............................ Nonoperatives...................... 88 77 37 19 30 20 125 96 3.56 1.06 2.00 .36 5.56 1.42 Both classes...................... 165 56 25 221 1.83 .94 2.77 This shows very clearly the importance of parturition as a con tributory cause of tuberculous deaths among married women and more especially among married operatives. Practically one-third (30 per cent) of the 125 tuberculous deaths occurring among married operatives aged 15 to 44 were thus complicated. Also, it shows the greater importance of this factor in the younger age groups. Among the married operatives aged 15 to 24 nearly one-half (47 per cent) and among the married nonoperatives one-third (33 per cent) of the tuberculous decedents had had a pregnancy terminate within the last nine months of life. Naturally in this age group the mar ried are comparatively few, comprising only one-third (32 per cent) of the nonoperative and one-sixth (16 per cent) of the operative females, but they are nevertheless an important group. Most of the first pregnancies obviously occur within this age group, and these frequently entail unusually hard delivery, convalescence from which may be abnormally slow. Evidently such pregnancies form a heavy drain upon a young woman’s strength, a drain which may allow a latent tuberculosis to become active, and which is practically sure to accelerate existing tuberculosis. Among the married of the next decade parturition has lost some of its importance as a contributory cause of tuberculous death, but still it appears in connection with one-third (32 per cent) of the operative and one-fifth (21 per cent) of the nonoperative married decedents. In the age group 35 to 44, as would naturally be expected, 117 MORTALITY FROM TUBERCULOSIS. it has still further decreased in importance, being found in connec tion with only 11 per cent of the total deaths from tubefculosis of married females. Of the 221 married women in the age group 15 to 44 who died of tuberculosis, 56, or one-fourth, had had this experience of childbirth (or miscarriage) not longer than nine months before death. And it is to be borne in mind that tuberculosis is a disease usually of more than nine months’ duration. Reasonable inductions from these facts are that for women who have tuberculosis or are tuberculously disposed, childbearing and millwork each tend to arouse the disease, or to hasten its course if it is already active, and that for married operatives the period of great est danger from these factors is under 25 years, while for married nonoperatives the danger reaches its climax in the next decade, 25 to 34 years. SUM M ARY. The following table is presented as giving in brief compass a com prehensive view of the tuberculous hazard of the Fall River popula tion aged 15 to 44, by sex, conjugal condition, and nativity, and for operatives by race and workroom. AGE-ADJUSTED DEATH RATES PER 1,000 FROM TUBERCULOSIS, IN AGE GROUP 15 TO 44, AMONG OPERATIVES BY RACE, NATIVITY, WORKROOM, SEX, AND CON JUGAL CONDITION, AND AMONG NONOPERATIVES BY NATIVITY, SEX, AND CON JUGAL CONDITION. Operatives. Sex and conjugal condition. For Amer Total NativeNonborn eignIrish opera opera icans Irish born French and Nonnonand Eng Cana Portu tives. tives. opera Irish. Irish. un lish. dians. guese. French French tives. speci Cana Cana dians. fied. dians. MALES. Married.................... Single...................... 1.86 2.26 3.79 5.18 2 .2 2 2.92 3.24 6.95 2.11 1.99 1.26 2.70 3.65 4.09 2 .2 2 2.36 3.70 2.29 3.67 2.36 3.84 Total.............. 1.90 3.47 2.15 5.59 2.02 2.14 2.79 1.60 2.47 2 .2 2 2.63 Married.................... Single...................... 3.91 1.59 9.37 2.71 4.86 13.37 1.94 2.58 3.68 1.83 3.13 1.80 7.96 2.64 4.59 .57 5.56 2.09 6.31 2.41 5.22 1.77 Total.............. 2.47 4.51 2.98 4.97 2.43 2.36 4.07 2.83 3. 34 3.19 3.35 Total, both sexes........... 2 .2 2 4.15 2.63 5.29 2 .2 2 2.33 3.57 2.13 2.98 2.88 3.01 1.77 FEMALES. CHAP. III.----MORTALITY FROM SPECIFIED CAUSES. 118 AGE-ADJUSTED DEATH RATES PER 1,000 FROM TUBERCULOSIS, IN AGE GROUP 15 TO 44, AMONG OPERATIVES B Y RACE, NATIVITY, WORKROOM, SEX, AND CON JUGAL CONDITION, AND AMONG NONOPERATIVES B Y NATIVITY, SEX, AND CON JUGAL CONDITION—Concluded. Operatives of the S ex and conjugal condition. Nonoperatives. Spooler Total Card opera room Spin Weave room tives. Native and ning and mis born. picker room. room. cella room. neous. For eign bom. Operatives and nonoperatives. Total Na For non- tive eign Total. opera bom. bom. tives. MALES. Married.................... Single....................... 1.52 1.39 2.95 5.19 2.39 4.33 2.97 .70 2.36 3.70 1.39 3.09 1.61 1.97 1.50 2.63 1.62 3.27 1.92 2.85 1.81 3.03 Total.............. 2.04 3.35 2.47 1.43 2.47 1.90 1.38 1.64 2.00 1.97 1.94 Married............. ..... Single...................... 6.00 2.63 6.80 2.59 5.20 1.29 4.48 2.34 5.56 2.09 1.82 1.35 1.14 1.29 1.42 1.36 3.06 1.84 2.59 1.64 2.77 1.77 Total.............. 4.62 4. 24 2.38 3.00 3.34 1.45 1.19 1.38 2.12 2.16 2.18 Total, both sexes........... 3.44 3.79 2.49 2.62 2.98 1.65 1.28 1.49 2.06 2.08 2.08 FEMALES. Age.— This table does not show the hazard by age. Concerning that, it is perhaps enough to say that for males, both operatives and nonoperatives, the death rate from tuberculosis reaches its high est point in the group aged 35 to 44, but that for females, both oper atives and nonoperatives, the preceding decade, 25 to 34, shows the highest tuberculous hazard.1 If the population be considered as a whole, without regard to sex or industry, the group aged 35 to 44 leads in tuberculous death rate. Sex.— Taking the population aged 15 to 44 as a whole, females have a higher death rate from tuberculosis than males— 2.18 against 1.94. Comparing the sexes by conjugal condition, the general rule is that single males are more, and married males less liable to die of tuber culosis than the corresponding classes of females. For operatives this rule holds good throughout all the race and nativity groups, but in the workroom groups two exceptions are found, the single males in both the card room and the spooler and miscellaneous rooms having a much lower death rate from tuberculosis than the single females of these rooms. In both of these rooms, however, the single males are relatively few. Among nonoperatives, while the single males inva riably have a greater hazard from tuberculosis than the single females, married males also exceed married females in this respect, except among the native born, where the females lead. 1 In age group 55 to 64 the female operatives have a higher tuberculous death rate than in the group aged 25 to 34, but the older group falls outside of the great industrial period, 15 to 44, with which this summary is especially concerned. 119 MORTALITY FROM TUBERCULOSIS. Nativity.—Among males the tuberculous hazard of the native and the foreign born is almost identical, the former leading by only 1 per cent. The situation differs as between operatives and nonoperatives, however; among the former the foreign born and among the latter the native born being most liable to die of tuberculosis. There is no very great difference in this respect, however, except among the single male nonoperatives, where the death r#te from tuberculosis of the native born exceeds that of the foreign born by 57 per cent. Among females, taking the population aged 15 to 44 as a whole, the foreign born are slightly more liable than the native born to die of tuberculosis. Among nonoperatives, however, the native born show the higher mortality from this cause, and so do all women, whether operatives, nonoperatives or both combined, when divided according to conjugal condition. The greatest difference is found among the married nonoperatives, where the native born exceed the foreign born in tuberculous hazard by 60 per cent. Race.—The most striking features of the racial hazard from tuber culosis are the high death rates of the Irish and French Canadians, and the almost uniform hazard of the three other groups. Since the importance of a death rate is closely related to the importance in the community of the class or group among whom it prevails, the follow ing summary is given, showing for each of these race groups its numer ical size, the percentage it forms of the total operative group, and its death rate from tuberculosis: NUMBER AND PER CENT OF OPERATIVES OF EACH RACE AND DEATH RATES PER 1 1,000 FROM TUBERCULOSIS. Race. Number. Percentage Death rate of operative from tuber group. culosis. Irish......................................................................................................... French Canadian.................................................................................... American and unspecified...................................................................... English.................................................................................................... Portuguese........................................................................................... 2,410 6,595 5,234 4,473 5,786 10 27 21 18 24 5.29 3.57 2.22 2.33 2.13 Total.............................................................................................. 24,498 100 2.98 Excluding the Irish and the French Canadians, the three remaining races are so similar both in size and in tuberculous hazard that, as appears in the table on page 117 the tuberculous death rate of the Americans and unspecified is identical with that for the three groups combined. In the tuberculous hazard within their own limits, however, these three races differ considerably from one another. The Portuguese single women have the lowest and their married women the highest tuberculous death rates found in any subdivisions of the three groups. English males exceed and English females fall below the corresponding classes of the American and unspecified races, 120 CHAP. III.— MORTALITY FROM SPECIFIED CAUSES. while Portuguese males have the lowest and Portuguese females the highest death rates from tuberculosis for their respective sexes. Of the two other groups the Irish lead in fatal susceptibility to tuberculosis. In both groups the high tuberculous hazard of the single males and the married females is remarkable, and particularly so among the Irish, where the tuberculous death rate of the married female operatives exceeds the corresponding rate for all operatives by 141 per cent, and of all non-Irish operatives by 175 per cent. The Irish single females and married males, however, have a slightly lower hazard than the same groups of French Canadians. Industry.— Operatives as a body considerably exceed nonopera tives in tuberculosis hazard, their respective death rates from this cause being 2.98 and 1.49. The greater hazard of operatives is shown by both sexes and in both conjugal conditions, but is most marked among the married female operatives. Among nonoperatives, females, both single and married, have lower death rates from tuber culosis than males of the same conjugal condition. Among opera tives, the single females still fall below the single males in this respect, but the married females far exceed either married or single males in their tuberculous death rate. Workroom.— Among male operatives the spinning room and among females the card room is the place of greatest danger from tuberculosis. The tuberculous death rate of males in the spinning room, however, is higher by 36 per cent than that of any other workroom, while the tuberculous death rate of females in the card room is very little (only 9 per cent) higher than the same rate for the spinning room. For married females the hazard of the spinning room is even greater than that oi the card room. Conjugal condition.— The situation as to the relative hazard of the married and single differs for the sexes, single males being far more and single females much less liable to die of tuberculosis than the married of their respective sexes. For nonoperatives and for the population as a whole single males have a higher hazard from tuber culosis than married females, while married males have a higher hazard than single females. Among operatives the latter part of this statement holds good, the death rate from tuberculosis of the married males being 2.36 against 2.09 among the single females, but the other part is reversed, the married women exceeding the single males in tuberculous hazard by 50 per cent. A considerable propor tion of the tuberculous deaths of married women are complicated with parturition or pregnancy, this complication occurring far more frequently among operatives than among nonoperatives. One-fourth of the tuberculous deaths among married women aged 15 to 44 were thus complicated, the rate for these deaths being 2 for operatives and 0.36 for nonoperatives. M O R T A L IT Y FRO M P A R T U R IT IO N . 121 M O R TALITY FR O M PARTURITION. PREVENTABLE CHARACTER OF PARTURITION D E A TH S AN D REA SO N S FOR THEIR PREVALENCE. Deaths from childbirth, with such rare exceptions as to be almost negligible, are preventable. For this reason and because obviously they must come from age groups which are highest in productive and reproductive importance, deaths from pregnancy and parturi tion should arouse the active interest and highest concern of advo cates of preventive medicine. Yet as a matter of fact little atten tion has been paid to the subject, and far less has been attempted along the lines of prevention in connection with childbirth fatalities than in regard to tuberculosis, for instance, or typhoid fever. For this general apathy there seem to be several reasons. False or mis leading certificates of death conceal the real extent of the mortality in which childbirth is either the principal or a contributory cause; underpaid physicians permit wholly unnecessary deaths, sometimes through ignorance, sometimes through carelessness, or occasionally cause them by illegal operations; and a misunderstanding of religious teachings on the subject results in some cases in sacrifice of the mother’s life. Beginning with the matter of misleading certification of the causes of death, this was found to be fairly common in Fall River in connec tion with cases in which parturition or pregnancy had played at least a part in bringing about the death.1 In this study the ground has been taken that when a pregnancy has terminated, either nat urally or prematurely, within 30 days of the decedent’s death, that pregnancy may fairly be looked upon either as the cause, or as an im portant contributory cause, of the death. In Fall River during the five years covered, 163 women died under such circumstances, yet in the case of 60 (37 per cent) of these there was nothing upon the offi cial death certificate to show that pregnancy or parturition had been either the cause or a contributory cause of death. Yet in more than half of these 60 cases death was immediately and indisputably the consequence either of parturition or of its gross mismanagement,3 and nearly one-third were such instances of puerperal nephritis, puerperal hemorrhage, or puerperal embolism as scarcely could have preceded death by more than minutes, hours, or, very rarely, at longest by more than two or three days. In this one city, therefore, more than one-third of the mortality in which parturition played a part was concealed by the carelessness or worse of the doctors who signed the death certificates. Deaths from parturition, even when they are due solely to this cause, are usually accepted by the family 1 For a discussion of the extent to which cases of parturition are misreported, see pp. 27 and 28. 2 See pp. 27 and 28. 122 C H A P . II I .-----M O R T A L IT Y FRO M SPECIFIED CAUSES. of the victim as inevitable fatalities, and do not attract the atten tion given to some sudden visitation like typhoid, in which numbers die at or about the same time from causes not so submissively ac cepted as natural. It is only through study of official records, there fore, that the prevalence of parturition fatalities is likely to be real ized, and such a realization must come before any widespread and earnest effort is made to reduce their number. The seriousness of such misleading or absolutely false certification of the cause of death is therefore apparent. Taking up the next cause mentioned above, medical carelessness or incompetence, there can be no question that this accounts for some part of the childbirth mortality of Fall River. The symptoms which indicate a danger of eclampsia, for instance, should be familiar to the veriest beginner in obstetrical practice, yet there were re ported to the writer instances in which pregnant women had con sulted doctors to know the meaning of “ these spells of blindness” or “ dizziness” or “ terrible headache” only to be dismissed without ex amination of the urine, or advice other than “ Oh, you’ll be all right; don’t worry.” Not even the basic cause of such carelessness— the prevailing absurdly low compensation for childbirth cases— can ex cuse such unprofessional conduct, although explaining it. The usual fee for these cases is $10, a sum which is grossly incommensurate with the work required to safeguard life properly before and after the child has been delivered, to say nothing of recompensing the physician for his skill in the delivery itself, which is always a time of anxiety. In stead of giving careful medical oversight for a minimum of 10 days or a fortnight after the birth it is a not uncommon practice among a certain class of Fall River accoucheurs to make but two visits after the delivery of the child. But it is not only through carelessness that physicians fail to dQ their part in preventing deaths in childbirth, as evidenced by a re mark made by one of them to the writer during a discussion of puer peral septicemia: “ Well, doctor, if one could discover the cure for (childbirth) blood poison he’d make all the money he’d want, wouldn’t he?” That even one among the Fall River physicians could be so uninformed concerning the essentials of obstetrics sug gests that lack of proper compensation to the physician is not the full explanation for deaths from eclampsia, nor for the even more rep rehensible record concerning fatalities from puerperal septicemia or blood poison. The third cause, a misapprehension of certain religious teachings, appears especially in connection with deaths from eclampsia, i. e., the nephritis or “ convulsions” of pregnancy. The largest number of fatalities (45) occurring from any one cause within 30 days of a terminated pregnancy were instances of eclampsia. The regular M O R T A L IT Y FROM PA R T U R IT IO N . 123 treatment, usually effective, of inducing profuse sweats, followed, if the condition is unrelieved, by immediate evacuation of the uterine contents, was pursued in but very few of these 45 fatal instances. This arose largely, no doubt, from the widespread teaching of certain clergymen, a teaching disseminated by them among Fall River physi cians of their faith, that no circumstances can exist which render it ethically permissible to empty a uterus of its contents when it con tains a living fetus which can not possibly live outside the uterus. This seems to be a misinterpretation by the clergymen in question of the published teaching of their church, which is that such inter ruption of pregnancy can not be intentionally accomplished without danger of “ grave error/’ The danger of grave error in such a case is universally admitted, and it is in order to avoid it as far as is humanly possible that physicians of good repute seek other medical advice (except, of course, in cases of extreme emergency) before undertaking such premature deliveries. Specifically, of course, even the law recognizes no exception that favors the life of the mother through the intentional sacrifice of the fetus, but where the evident purpose is to save the living woman at the expense of the only possibly living child, the courts everywhere have in effect decided that deliberate operative intervention in behalf of the mother’s life is justifiable. This seems also to be the real attitude of the church in question. Not only is its published teach ing limited to the warning that in such interference there is danger of grave error, but medical schools which, as part of a university, are under the nominal jurisdiction of high officials of the church, instruct their medical students through courses upon obstetrics in accordance with medical teaching generally, i. e., to sacrifice the fetus if only thereby can the prospective mother’s life be saved, since through the mother’s death the fetus must inevitably die ultimately, anyway. And, moreover, in at least one well authenticated Fall River instance, a young husband, upon the physician’s statement that only through immediate interruption of pregnancy could the patient’s life be saved, interrogated his pastor as to whether he could rightfully consent to the proposed operation. The pastor replied in effect: “ Do whatever the doctor says is necessary.” Incidental to the delay in getting the clergyman’s quasi approval, however, the young wife died. D EATH S FROM PARTURITION COMPLICATED W ITH OTHER CAUSES. The investigation at the homes of the decedents added, as stated above, 60 cases to the list of those whose deaths were due wholly or in part to pregnancy or parturition. With these additions, there were 163 cases in which women died within 30 days of a terminated preg nancy. Of these, 45 died from eclampsia, 42 from puerperal septi cemia, 17 from hemorrhage, including placenta prsevia, 12 from 124 C H A P . I I I .---- M O R T A L IT Y FRO M SPECIFIED CAUSES. pneumonia, 9 from embolism, 3 from typhoid fever, 2 from heart disease, and 16 from miscellaneous causes ranging from exhaustion and childbirth shock to suicide during childbirth insanity. Seven teen cases were complicated with tuberculosis. In the present dis cussion all these cases are treated as deaths due in part, at least, to parturition; elsewhere in the study, deaths which are directly con sequent upon parturition, such as the deaths from hemorrhage, eclampsia, puerperal septicemia, etc., are scheduled as parturition deaths, but deaths from casualties, as burns and suicide, are not thus scheduled, nor are cases of tuberculosis, typhoid fever, or heart disease. Four of the 12 cases of fatal pneumonia occurring within two weeks after pregnancy had ended had a history so like that of septicemia, were so atypical of pneumonia, and were so closely con nected with the puerperal period that they are included among puerperal deaths. The other pneumonia cases occurred during the progress of pregnancy and have been scheduled under the heading of “ Nontuberculous respiratory diseases” in the general tables. Altogether there are 18 deaths of operatives which occurred with parturition as an accompanying circumstance which have been sched uled, except in this chapter, under nonparturition designations. Twelve of these were cases of tuberculosis, which have been dis cussed in the preceding section. Of the 6 others, 2 were Portuguese employed in the spinning room, aged, respectively, 20 and 25 years, whose deaths are scheduled as due to pneumonia. Two were English, a weaver, aged 19, scheduled as having died from appendicitis, and a carder, aged 24, whose death from burns is classed among deaths from accident. The other 2 were French Canadians and were single. One, a spooler aged 18, whose certificate giving as cause of death “ heart stopped” proved to cover a death from abortion, has been scheduled elsewhere as a case of death from violence, and the second, a spinner aged 38, who had typhoid, which with the preg nancy proved fatal, has been classed as having died from typhoid fever. LEADING CAUSES OF PARTURITION D EATH S. Before considering the incidence of these parturition deaths as to age, race, etc., it may be well to consider separately the two forms in which they most often appeared, eclampsia and puerperal septi cemia. Eclampsia, as has already been stated, was responsible for more of these childbirth fatalities than any other one cause, and eclampsia is largely preventable by proper medical care during preg nancy. The following table shows the incidence of the deaths and the death rates due to this cause: M O R T A L IT Y FROM P A R T U R IT IO N . 125 DEATHS AND DEATH RATES PER 1,000 FROM PUERPERAL NEPHRITIS, OR ECLAMPSIA, AMONG OPERATIVES AND NONOPERATIVES, BY AGE GROUP AND RACE. Decedents dying in first pregnancy. Total decedents. Number. Age group and race. Number. Death rate per 1,000. Non NonNon Opera opera Both Opera Both Opera opera Both tives. tives. classes. tives. opera tives. classes. tives. tives. classes. AGE GROUP. 15 to 19 years......................... 20 to 24 years......................... 2 5 3 2 8 2 7 3 2 10 2.70 1.35 0.37 0.94 .60 1.52 .32 .65 1.32 .49 .71 .20 Total, 15 to 24 years.. . 7 3 10 9 3 12 25 to 29 years......................... 30 to 34 years......................... 6 1 4 1 10 2 9 4 6 7 15 11 Total, 25 to 34 years.. . 7 5 12 13 13 26 2 4 1 6 1 35 to 39 years......................... 40 to 44 years......................... Total, 35 to 44 years Total, 15 to 44 years... 14 8 22 2 5 7 .28 .18 24 21 45 1.22 .34 .58 1.05 .83 .52 Crude death rate RACE (AGES 15 TO 44). Americans and unspecified.. English................................... Irish........................................ French Canadian................... Portuguese............................. 2 1 4 5 2 3 2 2 1 5 3 6 6 2 4 3 6 8 3 3 7 3 5 3 7 10 9 13 6 Total, all races............. 14 8 22 24 21 45 Crude death rate .91 .65 2.42 1.40 .52 1.22 1.05 The hazard of the younger operatives from eclampsia is very marked. In the group aged 15 to 24 the hazard (1.52) of the mar ried operatives from this one of the accidents of pregnancy is almost exactly that suffered by all foreign-born single girls of the same age from tuberculosis (1.53). It is greater by 20 per cent than the hazard from tuberculosis of married female nonoperatives aged 15 to 24 (1.27), and only 17 per cent less than the tuberculous death rate (1.84) of all single females, operatives and nonoperatives com bined, in this age group. Irish operatives average the highest death rate (2.42) from eclampsia, French Canadians have the next highest average, and Portuguese operatives are least liable of any race thus to die. The table shows also how much more frequently eclampsia occurs to complicate fatally a first rather than a later pregnancy. Onehalf (49 per cent) of the 45 deaths from this cause were among women pregnant for the first time, and 83 per cent of all eclampsia deaths in the group aged 15 to 24 were likewise among women preg nant for the first time. In this age group such deaths were five 126 C H A P . I I I .---- M O R T A L IT Y FRO M SPECIFIED CAUSES. times as common among operatives (1.52) as among nonoperatives (0.32), and for the total age period 15 to 44, operatives were about four times as liable thus to die as nonoperatives. Of the 24 deaths of operatives from eclampsia, eleven (46 per cent) were from the weave room, though this room comprises but 35 per cent of all married female operatives. Next in frequency to eclampsia as an immediate cause of partu rition deaths is puerperal septicemia, or u blood poison, ” with 42 cases. In 10 of these cases there was nothing upon the death certifi cate to indicate that pregnancy or childbirth had been in any way a contributory factor of death, the qualifying and enlightening word “ puerperal” having been omitted. This is an almost entirely pre ventable cause of death, its development usually being due to lack of scrupulous cleanliness in the management of the confinement. The scanty compensation given to physicians and the scanty after-care often given by them suggest an explanation for the frequency of this death cause. Though operatives comprise but one-fourth (27 per cent) of the married women aged 15 to 44, they suffer 55 per cent of all deaths from puerperal septicemia (23 cases out of 42). All but two of these operative cases— 91 per cent—lived in homes that were unhy gienic; whereas only 58 per cent of all the nonoperative septicemia cases were from such homes. How these 42 cases are distributed by race, industry, and hygienic or unhygienic character of abode may be seen from the following table: DEATHS AND DEATH RATES PER 1,000 FROM PUERPERAL SEPTICEMIA, IN AGE GROUP 15 TO 44, BY RACE AND OCCUPATIONAL GROUP, AND NUMBER OF DECE DENTS WHOSE HOMES WERE JUDGED UNHYGIENIC. Decedents from unhy gienic housing con ditions. All decedents. Number. Race. Number. Death rate per 1,000. NonNonBoth Opera NonOpera opera Both Opera opera Both tives. tives. classes. tives. tives. classes. tives. opera tives. classes. 1 American................................ ............ English.... Irish........................................ French Canadian................... Portuguese............................. Other races............................. 2 5 10 3 Total, all races............. 21 3 1 5 1 2 2 8 11 8 1 2 2 5 10 3 1 2 2 8 1 5 2 4 4 13 11 8 0.76 .44 .81 .35 1.73 .98 11 32 23 19 42 i 1.00 2 1 Crude rate, not age-adjusted. *0.30 10.49 MORTALITY FROM PARTURITION. 127 It will be noted that the Portuguese, who form only one-quarter (25 per cent) of the total married operatives, furnish nearly one-half of the operative decedents shown in the above foregoing to have come from unhygienic homes. The Portuguese death rate (1.73 per 1,000) from puerperal septicemia is nearly double that of the race group having the next highest rate, more than double that of the Irish, and practically four times as great as that of the English. There occurs an average of 1 death from puerperal septicemia to every 1,000 married woman operatives; 1 to every 3,000 married nonoperatives; and 1 to every 2,000 married women of all occupa tional classes within the age group 15 to 44 in Fall River; and yet one-fourth of the mortality from this cause is undiscoverable from any data upon the official certificate of death. Turning from this consideration of deaths from special “ accidents of pregnancy ” to parturition deaths in general, it is to be observed that though deaths from parturition may conceivably occur even up to the age of 54, yet no death from this cause actually did occur during the period covered by this study outside of the group aged 15 to 44, and but 7 decedents from this cause were over 39 years old, the oldest being 43. There were 6 deaths in five years from parturition among the single women of Fall River, and these have been included among the deaths of the married from parturition for parturition death rates only. Without these 6, the total parturition cases would be 157 instead of 163, as herein scheduled, and the parturition cases would then comprise 23 per cent instead of 24 per cent of the total deaths of Fall River married women. The following table gives the entire death hazard of the 17,221 married women in which recent parturition played any part, as con trasted with their death rates from all causes not thus complicated, and as compared with the total death rates of the 15,558 single women from all causes. 128 CHAP. m . ---- MORTALITY PROM SPECIFIED C U SES. D E A T H S A N D D E A T H R A T E S P E R 1,000 OF SIN G LE A N D M A R RIE ft) W O M E N F R O M A L L CAU SES, A N D O F M A R R IE D W O M E N F R O M P A R T U R IT IO N , B Y A G E G R O U P , R A C E , A N D O C C U P A T IO N A L G R O U P . Single women. Age group, race, and occu pational group. Married women. N ot com pli cated with parturition. Death Deaths rate pei 1,000. Complicated with parturition. Both classes. Total. Per cent Death Death Death of all Deaths rate Deaths rate Deaths deaths of rate per ’ per per married 1,000. 1,000. women. 1,000. Death Deaths rate per 1,000. OPERATIVES. Irish, and French Cana dian: 15 to 24 years............... 25 to 34 years............... 35 to 44 years............... 49 4.30 25 5.56 24 11.57 13 9.59 47 14.26 67 18.93 15 20 5 54 11.07 30 6.07 7 1.41 28 20.66 67 20.33 72 20.34 77 92 96 6.04 11.81 17.10 127 12.75 40 24 7.75 167 20.50 265 9.85 37 8.09 75 11.47 30 8.23 96 86 34 3.83 8.51 7.17 Total, 15 to 44 years. 98 6.08 A ll other races: 15 to 24 years............... 25 to 34 years............... 35 to 44 years............... 59 11 4 2. 88 3.08 3.65 24 49 27 5.25 7.49 7.44 13 26 3 35 35 10 2.84 3.98 .82 100 6.32 42 30 2.77 142 9.09 216 5.83 37 6.24 96 9.76 94 13.08 28 46 8 43 32 8 4.72 4.68 1.12 65 10.96 142 14.44 102 14.20 173 178 130 4.58 9.94 12.55 Total, 15 to 44 years. 74 3.09 A ll races: 15 to 24 years............... 25 to 34 years............... 35 to 44 years................ 108 36 28 3.39 4.46 8.83 Total, 15 to 44 years. 172 4. 76 227 8.58 82 27 4.01 309 12.59 481 7.67 15 to 24 years....................... 25 to 34 vears....................... 35 to 44 years....................... 46 42 33 2.32 4 . 30 6.32 17 109 176 1.80 4.11 6.47 6 45 30 26 29 15 .64 1.69 1.11 23 154 206 2.44 5.80 7.58 69 196 239 5 .4 0 7 .3 8 Total, 15 to 44 years. 12X 3.67 302 3.38 81 21 1.03 383 4.41 504 4 .2 1 15 to 24 years....................... 25 to 34 years....................... 35 to 44 years....................... 154 78 61 2.98 4.38 7.27 54 205 270 3.52 5.64 7.85 34 91 38 39 31 12 2.21 2.50 1.11 88 296 308 5.73 8.14 8.96 242 374 369 3 .6 1 Total, 15 to 44 years. 293 4.22 529 4.97 163 24 2.08 692 7.05 985 5 .5 3 NONOPERATIVES. 2.36 ALL CLASSES. 6.90 8.63 i Looking first at the total hazard, it appears that parturition occurring within 30 days of death is exactly as prevalent a cause, either principal or contributory, of fatalities among all married women aged 15 to 44 (that is, 2.08 per 1,000 population) as tuber culosis is among all Fall River persons of both sexes having a like age distribution. The common parturition-tuberculous factor enters into 17 deaths, and these give a rate of 0.29 per 1,000, which obviously is twice counted in the above comparison—once in the death hazard from tuberculosis and once in that from parturition. Properly it may be included under either head, but whenever the total death hazard of a population class is cited this common parturition-tuberculous rate MORTALITY FROM PARTURITION. 129 obviously must be included as all parturition or as all tuberculosis. In this study it is included regularly with the latter. PREVALENCE BY INDUSTRY, AGE, AND RACE. Turning from the total hazard complicated with parturition to the hazard of separate groups, one of the most striking features is the difference in this respect between married operatives and married nonoperatives. This difference varies with age. In the group aged 15 to 24, operatives are more than seven times as liable to die from causes thus complicated as are nonoperatives; in the age group 25 to 34 they are nearly three times as liable, and in the age group 35 to 44, the peril for the two classes is practically equal. Among operatives the hazard from this cause is enormous. In the decade 15 to 24, their death rate from causes complicated with parturition, 4.72, is larger by 39 per cent than the total death rate from all causes of single operatives in the same age group; in the next decade it is 5 per cent higher than that of single operatives from all causes, but falls off sharply in the third where it is only 1.12 per 1,000. In considering the high mortality among operatives from parturi tion either as principal or as contributory cause, in the age group 15 to 24, it is to be remembered that the great majority of the first pregnancies fall within this youngest age group, and first pregnancies have the highest legitimate death hazard normally inherent in pregnancies of any order. But that this inherent danger from first pregnancies should normally be slight is evidenced by the death rate of married nonoperatives in this age group, which is only 0.64 per 1,000—less than one-seventh of the hazard of the operatives. In any consideration of death rates it is of importance to know whether the populations involved are large enough to give typical rates. In age group 15 to 24 married operatives numbered 1,186 and married nonoperatives 1,884. As the study covered five years, these are equivalent to annual populations respectively of 5,930 and 9,420, from which occurred the equivalent of 65 operative and 23 nonoper ative deaths annually. Of these deaths 28 among operatives and 6 among nonoperatives were complicated with a pregnancy terminate ing not more than 30 days before death. These basic data represent populations sufficiently large to justify certain definite inductions. One-fifth of the married female opera tives of Fall River had never been parturient, yet taking the married operatives altogether, in age groups 15 to 24 and 25 to 34 they are somewhat more liable to die from parturition complications than are the single operatives in these age groups from all causes combined. These two age groups, it is to be remembered, contain 84 per cent of all female operatives aged 15 to 44. This relation between the 88204°— 19— Bull. 251-------9 IS O CHAP. IIL.— MORTALITY FROM SPECIFIED CAUSES. deaths of the single from all causes, and of the married from parturi tion or causes complicated with parturition, holds not only for opera tives as a whole, but practically for operatives of all the non-Irish, non-French Canadian races, while for the Irish and French Canadian the relation is considerably exaggerated, the parturition death rate of married operatives of these races aged 15 to 24 being almost three times (11.07 against 4.30) that of the single from all causes. Also, in a comparison of this kind it must be remembered that the anti longevity effect of parturition is probably considerably understated when its influence as a debilitating agency is limited, as in the pre ceding table, to cases in which the decedents died not longer than 30 days after a pregnancy had ended either prematurely or at full term. Even with the parturition factor eliminated, however, married operatives in each of the two younger 10-year age groups are about twice as liable to die from all nonparturition causes as single operatives of the same age groups, while in the third decade they are about half again as liable as the single to die from all nonparturition causes. This great disparity in the death hazard of the married and the single operatives shows that there are other debilitating factors besides parturition that conduce to early death among married opera tives. Also, it is to be borne in mind that the antilongevity effect of parturition is probably considerably understated when its influence as a debilitating agency is limited, as in the preceding table, to cases in which the decedents died not longer than 30 days after a pregnancy had ended either prematurely or at full term.1 Another striking feature of this table is the high parturition mortal ity shown among the Irish and the French Canadian operatives. This is not only much higher than that of the other races (their parturition complicated death rate for the total group aged 15 to 44 being 7.75 against the 2.77 of the other races), but is further remarkable as being heavier in the youngest age group, 15 to 24, than anywhere else. The Irish and the French Canadians together form oi*ly 23 per cent of the total married female operatives in the age group 15 to 24, .but their mortality from parturition is so large that when combined with the married operatives of other races they bring up the mor tality from this cause for the whole age group above that of the next decade. This makes the married operatives present a strong contrast to the married nonoperatives, among whom the death rate i During the five years covered there were 230 instances in Fall River in which not more than 9 months intervened between an ended pregnancy and the wom an’s death; in 67 of these cases the pregnancy ended more than 30 days before death. Thirty-nine of these cases were tuberculous, and it is very likely, con sidering the long period covered b y a tuberculous illness, that the pregnancies were important debilitating factors that ensured or hastened the wom an’s ultimate death from tuberculosis. There remain, then, 28 nontuberculous decedents whose deaths occurred m ore than 30 days b ut not exceeding 9 m onths after a pregnancy had terminated either naturally or prematurely. In the case of at least some of these 28, the pregnancy or the childbearing m ay well be presumed to have exercised a debilitating effect that conduced to the wom an’s death from some cause officially given a nonparturition designation. MORTALITY FROM PARTURITION. 131 from parturition in the age group 25 to 34 is more than twice that in the age group 15 to 24. The Irish and the French Canadian operatives present another peculiarity in the remarkable similarity in the death rates from all causes of their married women in the three 10-year age groups, these rates being respectively 20.66, 20.33, and 20.34 per 1,000 population. Here, again, their heavy mortality effects the whole group of married operatives, making their death rates from all causes far more nearly equal in the three 10-year age groups than are the corresponding rates of married nonoperatives. The most striking points, then, in regard to the death hazard of married women from parturition, either as a principal or as a contrib utory cause of death, are the prevalence of such deaths in the early age groups, the very high death rates of operatives as contrasted with nonoperatives, and the enormous mortality of Irish and of French Canadian operatives as contrasted with operatives of other races. For women of all classes, operatives and nonoperatives, aged 15 to 44, the total hazard from this cause is 2.08, exactly the hazard from tuberculosis of all persons in Fall River aged 15 to 44. In the foregoing discussion parturition has not been considered as even a contributory cause of death unless a pregnancy ended within 30 days of death. If, however, all pregnancies ending within 9 months of death be deemed debilitating circumstances probably contributory to death, then there are 230 instances of such parturition complicated deaths. One third (33 per cent) of the total 692 deaths of Fall River married women were thus complicated with a parturi tion terminating not longer than 9 months before death. In the group aged 15 to 44, in the equivalent of an annual population of 86,105 married women, the total average death hazard from parturi tion, either as the cause of death or as a cause contributory thereto, based upon these 230 deaths, is 3.01 per 1,000 if age-adjusted, or 2.67 per 1,000 if the crude rate be used. This is somewhat higher than the total hazard from tuberculosis (2.77) of married women of the same age group. The 56 tuberculously complicated parturition deaths, however, are included in both this total parturition and total tuberculosis death rate, and are therefore counted twice. This doubly reckoned factor amounts to a parturition-tuberculosis rate of 0.94 age-adjusted, or 0,65, crude rate, per 1,000. CASE HISTORIES. The following brief histories of women whose deaths were due to pregnancy or childbirth, at least as a contributory cause, may give a clearer idea of the complexity of the problem of isolating and measuring death factors than can be conveyed by tables: No. 2051. An Irish card-room girl, aged 17 years, who left the mill at marriage, 9 months before her death at full term from eclampsia. “ Her religion forbade inter ruption of pregnancy.73! 132 CHAP. III.---- MORTALITY FROM SPECIFIED CAUSES. No. 2067. A Portuguese spinner, aged 19 years, who had left the mill 5 months, died 3 weeks after a full-term childbirth, from puerperal septicemia. The physician’s fee for her operative delivery at the hospital was $125. No. 393. Tuberculous Irish carder; aged 22 years; 7 months pregnant; had pre viously 4 times miscarried during the 4 years of married life; 5 pregnancies therefore in 4 years. Husband did not work; she had been 5 months out of millwork. Though tuberculous and 7 months pregnant, she had just returned to Fall River, after having walked from New Hampshire with her husband, 70 miles, and slept in door ways on the route. Then she miscarried and 2 days later died. No. 2093. Single Irish weaver, aged 23, out of mill 5 months; died from puerperal septicemia 15 days after end of full-term pregnancy. “ Danced to excess.” Mother had died from tuberculosis. No. 2095. Irish weaver, out of mill 1 week; twice pregnant in 3 years of married life; died from eclampsia at the termination of 8§ months pregnancy. “ She had meant to allow 2 weeks out of the mill before baby should com e,” said her mother. “ She always walked to and from the mill, a mile distant from her hom e.” No. 2115. Portuguese weaver, aged 23; out of mill 3 months; died from nephritis 8 months after full-term first pregnancy had ended through a forceps delivery. She returned to millwork 2 weeks after the birth of the baby (who died), bu t after work ing 4 or 5 months she became so ill as to be confined to the bed; and 3 months later she died. No. 2167. Irish weaver, aged 27; out of mill 5 months; died from “ accidental bleeding in w om b,” officially according to the hospital interne, 1 hour after prema ture delivery at 8J months. Her husband had been out of work and was then in the hospital ill of pneumonia. She was in good health, though in 5 years of married life she had had 4 pregnancies, and then had, besides the expected arrival, 3 babies, the oldest but 4 years. She told her mother (who was the writer’ s informant) that, though well, she felt on account of her babies she could not take any risks, bu t ought to be confined at the hospital where everything could be done for her if any emergency arose. The physician’s degree of pride in what really was “ done for her ” is reflected in the death certificate “ accidental bleeding in w om b,” which contains obviously no intimation that the death was puerperal “ postpartum hemorrhage ” from “ retained placenta” or less probably from “ intertia uteri.” But these are the commonest complications met b y obstetricians, and, especially in a hospital, should never be^ fatal. Whether a more sinister meaning (as rupture of the uterus from inept instru mentation) is concealed b y the certificate designation “ accidental b leedin g” the writer could not learn. No. 2220. Irish nonoperative dry goods clerk, aged 28; 4 months away from wage earning; died from eclampsia within 24 hours of the termination, b y the physician, of a 7 months’ pregnancy, the decedent’ s pastor assenting to the operation when appealed to. No. 2236. French Canadian nonoperative (ex-spinner, retired from the mill 6 years), aged 25 years, died from septicemia 4 weeks after full-term b a b y ’s birth. She had had 6 pregnancies in 6 years. First physician in last confinement made but 2 visits. No. 2243. Portuguese nonoperative non wage earner, aged 29; died after an instru mental delivery had ended 2 days of labor. The death certificate stated she was an “ operative,” but the informant, a friend, stated decedent never had worked in a cotton m ill, and accordingly herein she has been scheduled as a nonoperative. No. 537. Tuberculous, cloth room, English, aged 34; out of m ill 6 weeks, having left because of a miscarriage when 4 months pregnant. F ive weeks after the mis carriage she entered the tuberculosis hospital, where she died within a week. During 9 years she had 5 miscarriages, 7 months being the longest pregnancy. She did much (4 hours) work in the home outside millwork. “ Stress killed her.” MORTALITY FROM PARTURITION. 133 No. 2250. Retired spooler tender of the so-called “ other races,” aged 25. Probably intentional abortion (certified as “ hemorrhage” ) upon woman in perfect health b y 7hysician “ who failed to be prosecuted because husband consented to abortion and soon afterwards was fatally injured himself.” No. 2257. English carder, aged 32; 2 years out of the m ill; 8 pregnancies in 8 years of married life; never regained consciousness after an operative delivery. Death certified as “ shock,” with no intimation that 4 hours before death a baby had been born. Last 4 pregnancies ended prematurely at 5 months, 6 months, 8 months, and 8 months, and the last 2 were but 9 months apart. No. 544. Tuberculous Irish weaver, aged 33 years; 1 year out of the m ill; married 4 years; 3 children, the last being born 4 months prior to decedent’s death from tuberculosis. She worked very hard, living upon scanty food, though the $20 weekly family incom e provided “ g ood ” housing and the home was neat. The children were poorly clothed and fed. There was $400 insurance, and through odd coincidence the funeral cost just $400. No. 2280. Irish weaver, aged 33 years; out of mill 1 week; married 11 years; 7 pregnancies; died from placenta prsevia 5 hours after delivery of child. Physician (French Canadian name) allowed her to bleed 2 days in “ spurts.” Physician arrived at 3.30 a. m. Baby born unaided next day at 4 p. m. Decedent died 9 p. m. No. 2287. French Canadian spinner, aged 32; out of mill 1 year; twice married in 17 years, first time at 15; 17 pregnancies, 10 children living. She died from “ pneu m onia.” “ Age probably 40.” Last husband died 1 month after decedent. No. 2305. Weaver of the “ other races,” aged 30; out of mill 1 year; never strong after first childbirth, 2 years before death; “ weaving was much harder for her.” She died from hemorrhage, 2 days after birth of child at full term. No. 2345. Irish nonoperative (ex-weaver, 12 years out of m ill), aged 34; sciatica 8 years before; 4 pregnancies in 9 years; last one, the physician wished to terminate b y Caesarean section at 7 months, but husband alleged his religion on no account allowed him to consent. Child stillborn after mother’s death from valvular heart disease. No. 583. Tuberculous French Canadian nonoperative (ex-spinner, out of mill 6 years), aged 30 years. Died 1 hour after having miscarried at 3 months. Her death was certified as ‘ 4congestion of the liver, ’ ’ and nothing on the certificate intimated that either tuberculosis or pregnancy was even a contributory death factor. And yet decedent’s brother and sister had died from tuberculosis and she herself was an inmate of the city tuberculosis hospital 7 months before she died. When interro gated concerning the case, the physician who signed the death certificate said he remembered decedent had a most severe cough and miscarried at 3 months, after pneumonia. He said he did not remember whether the case was tuberculous or not. The hospital records, however, state that the case was one of tuberculosis. (This same physician is responsible for the second largest number of erroneously certified deaths that avowedly b y the physician himself were really tuberculous.) No. 2362. French Canadian nonoperative housewife, aged 30; eight pregnancies; 11 years married. First«6 children living; interim between pregnancies, in months, 10, 11, 17, 12, 12, 9, 56; seventh pregnancy miscarried at 3 months. Death from eclampsia 1 day after delivery of 7 months premature child. No. 2364. French Canadian nonoperative; seamstress, aged 31 years; died from “ dropsy’ ’ 1 week after having miscarried at 6 months. Boy in hospital with hip disease; husband a drunkard. “ Sewed night and d a y .” Insurance lapsed 2 weeks before death; was buried a pauper. No. 2386. American weaver, aged 39; 2 months out of the mill; died from eclampsia 2 hours after the birth of full-term child. She had had a cough 2 years; was a “ great drinker’ ’ and was very emaciated. 134 CHAP. III.---- MORTALITY FROM SPECIFIED CAUSES. No. 2417. French Canadian spooler tender, aged 38; 7 months out of m ill; married at 16; 12 children in 17 years, but thirteenth came after interim of 7 years. Husband said “ I did n ’t work her much, though she kept wanting to go into the mill. She was always feeble during her pregnancies. ” She lived in a house of poor hygienic condi tion, and died from puerperal septicemia 1 week after full-term baby was bom , though the death certificate ‘ ‘ peritonitis and salpingitis’ 7 is not very illum inative as to the real death cause. No. 2442. English nonoperative (ex-carder, out of mill 7 years), aged 38. Eight pregnancies in 11 years married life; miscarried at 3 months. Physician’s last visit was on second day; told decedent she was ‘ ‘ all right” after giving her a medicine, instead of curetting to expel uterine contents. No. 2478. French Canadian nonoperative (ex-dom estic), aged 37; died 10 days after having miscarried at 1 month; French Canadian physician summoned second day after abortion, and said patient probably would die; gave medicine only; attended 8 days. No. 2490. Portuguese nonoperative (ex-dressmaker), aged 39; fourteen pregnancies in 21 years married life; 10 children living. House in bad hygienic condition. Very capable manager; “ used to work in garden at 4 and 5 a. m .” Forceps delivery; death from embolism. No intimation of parturition on death certificate. Husband re married within a month. No. 2553. French Canadian weaver, aged 40; out of mill 6 months; died from placenta prsevia 9 hours after full-term child was born. She worked from 5 a. m. to 10.30 p. m. In mill during first 5 months of pregnancies, and returned thereto 2 months after pregnancies. These 27 abstracts of fatal parturition histories, 16 operative and 11 nonoperative, 4 tuberculous and 23 nontuberculous, show the fallacy of assuming that occupation or any single factor, except perhaps igno rance, adequately explains the fact that a life has been cut off at a premature or presenile age. And it must be noticed that much of the ignorance may not have been the decedent’s own lack of common sense, experience, or foresight, but that of a hospital attendant or physician in whom presumably trust could be reposed. Midwives who do much of the obstetrical routine of Fall River are not supposed to possess especial skill; however, to state that they are responsible for no greatly higher parturition death rates than are the medical accoucheurs might be an unjust reflection, and certainly could not be construed as commendation. However, though no single factor can be held accountable for the parturition death rate, it is evident that some factors have more weight than others in producing it. The data of this study make it seem wholly probable that mill work is a factor generally in early death from parturition, although in some cases influences only indirectly, if at all, connected with the mill certainly seem to have been predominant in cutting off life prematurely among pregnant and parturient cotton-mill operatives. MORTALITY FROM ACCIDENT OR VIOLENCE, 135 MORTALITY FROM ACCIDENT OR VIOLENCE. The following table shows the deaths and death rates from accident or violence during the five years covered: D E A T H S A N D D E A T H R A T E S P E R 1,000 F R O M A C C ID E N T S O R V IO L E N C E A M O N G O P E R A T IV E S A N D N O N O P E R A T IV E S , 1308 TO 1912, B Y S E X A N D B Y A G E G R O U P . Males. Operatives. Age group. 15 to 25 to 35 to 45 to 55 to 24 years..................................................... 34 years..................................................... 44 years..................................................... 54 years..................................................... 64 years..................................................... Nonoperatives. Both classes. Deaths. Death rate per 1,000. Deaths. Death rate per 1,000. Deaths. 8 8 14 14 7 0.31 .46 1.04 1.53 1.99 14 35 29 24 17 0.42 1.08 1.05 1.37 3.41 22 43 43 38 24 0.38 .87 1.04 1.42 1.54 0.16 .11 .29 1.41 .88 2 5 5 6 9 0.07 .14 .15 .25 . 56 8 7 8 13 10 0.12 .13 .19 .45 .58 Death rate per 1 ,0 0 a Females. 15 to 25 to 35 to 45 to 55 to 24 years..... .............................................. 34 years..................................................... 44 years..................................................... 54 years..................................................... 64 years..................................................... 6 2 3 7 1 A larger proportion of the deaths of males than of females from this cause, it will be seen, occurred in the important industrial age group 15 to 44 years, the numbers being 108, or 64 per cent of the deaths of the males, and 2Sr or 50 per cent of the deaths of the fe males. Among operatives the proportions are nearly equal, 59 per cent of the deaths of the males and 58 per cent of those of females having occurred in age group 15 to 44; but among nonoperatives 66 per cent of the deaths of males against only 44 per cent of those of females are found in this group. In the age group 15 to 64 years casualty accounts for 10 per cent of the male and about 2 per cent of the female deaths. A difference between the sexes is shown also with respect to the relative as well as the absolute importance of accident or violence as a death cause. The death causes to which males are liable have been divided into six specified groups and those to which females are liable into seven.1 Among males aged 15 to 24, casualty stands third in prevalence of these groups, being exceeded only by tuber culosis and the degenerative diseases, while among females only cancer, from which there are no deaths in this age group, falls below it in importance. In the next age group, among males only tuber culosis is responsible for more deaths, while among females only 1 Specified groups of death causes: (1) Tuberculosis; (2) parturition; (3) accident or violence; (4) ne phritis, apoplexy, and heart disease; (5) typhoid fever; (6) cancer; (7) nontuberculous respiratory diseases. 136 CHAP, I II .-—MORTALITY FROM SPECIFIED . CAUSES. typhoid fever, with a death rate of 0.04, is responsible for fewer. In age group 35 to 44, among males it again takes third place, while among females it falls to the very foot of the list, with a death rate of 0.19. In age group 45 to 54 it stands third for males and fifth for females, while in the final age group it ranks fifth in importance for both sexes. Among males nonoperatives show higher casualty death rates than operatives in the first two age groups, in the third the rates for the two classes are practically identical, and in the last two operatives have the higher rates. Among females up to 44 the variations be tween operatives and nonoperatives in casualty death rates seem quite irregular; beyond that age operatives show the higher death rates. The casualty death hazard closely resembles the noncasualty death hazard in its tendency to increase as age increases. The following table brings this fact out clearly: P E R C E N T B Y W H IC H C A S U A L T Y A N D N O N C A S U A L T Y D E A T H R A T E S P E R 1,000 OF M A LE S IN E A C H A G E G R O U P E X C E E D E D T H E C O R R E S P O N D IN G R A T E S IN T H E N E X T LO W E R AGE GROUP. Casualty. Noncasualty causes. Age group. Oper atives. 25 to 35 to 45 to 55 to 34 years..................................................... 44 years................ ................................... 54 years..................................................... 64 years..................................................... 48 126 47 30 Nonoper atives. 157 i3 30 3 Both classes. 129 20 36 8 Oper atives. 42 44 41 191 N onoper Both atives. classes. 88 56 66 131 61 52 57 146 i Per cent b y which rate of specified age group falls below rate of next lower age group. Except among operatives and in age group 25 to 34, it will be noticed, the decennial increase in death rate is less from casualty than from noncasualty causes. The percentage of increase in the casualty rate, however, is especially significant, for it shows that although inexperience, which in most industries is almost synony mous with youthful age, is a very large factor in fatalities from accident, yet the infirmities incident to increasing years would seem to exert among males in cotton manufacturing cities an even greater influence in cutting off lives through casualty, as well as in abridging them through noncasualty causes, called diseases. Of Fall River’s total 216 deaths from casualty in age group 15 to 64, during 1908 to 1912, 25 per cent were self-inflicted intentionally, there being among males 31 cases, or 18 per cent of their casualty deaths, and among females 23, or 50 per cent of their total casualty fatalities. These deaths from suicide are thus distributed: MORTALITY FROM ACCIDENT OR VIOLENCE. 137 M O R T AL IT Y FROM SUICIDE AMONG O PER ATIVES AN D N O N O PER A TIV ES, 1908 TO 1912, B Y S E X AN D AGE GROUP. Number of deaths. Males. Age group. Oper atives. Females. N on Both Oper oper atives. classes. atives. Both sexes. NonBoth Oper oper atives. atives. classes. N on Both oper atives. classes. 15 to 44 years............................ 45 to 64 years............................ 8 5 9 9 17 14 4 6 7 6 11 12 12 11 16 15 28 26 Total, 15 to 64 y e a rs .. . 13 18 31 10 13 23 23 31 I 54 Average age at death in years. 15 to 44 years............................ 45 to 04 years............................ 35 55 32 47 33 50 22 50 30 57 27 53 31 52 31 51 31 51 Total, 15 to 64 years__ 43 39 41 39 43 41 41 41 41 0.07 .26 0.10 .59 0.08 .22 Death rate per 1,000 (crude rate). 15 to 44 years............................ 45 to 64 years............................ 0.14 .39 0.10 .30 0.11 .33 0.06 .99 0.07 .15 0.09 .29 Per cent suicides form of all deaths from casualty. 15 to 44 years............................ 45 to 64 years............................ 27 24 12 22 16 23 36 75 58 40 48 52 29 38 18 38 21 33 Total, 15 to 64 years. . . 25 15 18 53 48 50 33 33 25 The lowest suicide death rate is among female operatives aged 15 to 44, and the highest among female operatives aged 45 to 64, where it is 0.99 per 1,000 population—exactly what the death hazard from tuberculosis is among all female native born of this age group. The mortality from suicide is greater among operatives of each age and sex, except female operatives aged 15 to 44, than among nonoper atives, and except for operatives aged 45 to 64, males of each age and occupation classification have a higher rate from this cause than do females. To sum up: Accident or violence is a far more important cause of death among males than among females, and like most groups of death causes it increases in prevalency with age. Suicide accounts for a considerable proportion of the total casualty deaths, and, like other forms of violent death, is more common among* males than among females. MORTALITY FROM NEPHRITIS, APOPLEXY, AND DISEASES OF THE HEART. Generally speaking, the mortality from nephritis, apoplexy, and diseases of the heart is really due to the wear and tear of existence. Deaths from these diseases are largely the result of earlier com muni- 138 CHAP. III.---- MORTALITY FROM SPECIFIED CAUSES. cable diseases, or of dissipation, or of overwork. Not uncommonly they are the result of two or all three of these debilitating agencies. Their real seriousness is obscured by the fact that the physical con dition represented by this group of death causes furnishes a soil in which not uncommonly tuberculosis flourishes, and when this hap pens the resultant death is attributed to tuberculosis only. Hence, in all youthful age groups, in which, as has already been demon strated, tuberculosis is responsible for much of the mortality, the real death hazard from the renal and circulatory affections of this group of causes will inevitably be understated. It is far from im probable that, were data available concerning the full injury wrought by infectious diseases in childhood, we should find that the economic loss really ascribable to hearts and kidneys thus weakened in youth would greatly exceed the loss consequent upon external injury or accident. Because of this there is hope that in time a greatly lowered mor tality from these diseases in the earlier life periods may follow from the improved methods of treating many of the infectious diseases. For example, the general administration of antitoxin in the treat ment of diphtheria, especially during the last two decades, will assuredly result in lowering the death rates from circulatory and renal causes, though it may be, perhaps, a score of years yet before its benefits in this direction are fully realized. The merit of anti toxin in cases of diphtheria is not only that when administered early it saves most of the lives that formerly would have been lost through merely local treatment, but that it stops the ravages of the diphtheria bacilli, and thereby checks the heart degeneration usually before the heart valves have become irreparably damaged. Hence, it decreases the likelihood of serious circulatory troubles later on. Again, no physician doubts that a large aggregate annually, partic ularly of males, die from arterial degeneration consequent upon alcoholic addiction and upon luetic disease, which is, perhaps, inher ited.1 No adequate data are available respecting the prevalence of i The following excerpt, from an address b y Louis I . D ublin, P h. D ., before the section on vital statistics o f the American Public Health Association, September, 1913, and published in the American Journal of Public Health, pages 1266 and 1267, is m ost appropriate in this connection: The effects o f the intem perate use o f alcohol upon m iddle age m ortality are closely related to those o f the venereal diseases; indeed, there seems to b e a distinct correlation betw een these tw o forms o f indulgence. The statistical analysis o f the subject is full o f difficulties, in view o f the reticence o f physicians t o report the facts o f alcoholism on the death certificate. Y e t the evidence is unmistakable that there is a marked influence on m iddle and old age m ortality from this cause. The title “ Alcoholism ” (acute and chronic) in the census returns showed, in 1911, the n o t very significant sate o f 4.9 per 100,000; b u t this is o n ly a trace of the deaths resultingfrom alcoholism. N o one can estimate the annual m ortality loss that is hidden behind such returns as “ pneum onia,” “ acute and chronic nephritis,” “ cirrhosis o f the liv e r,” “ organic heart disease,” and “ arteriosclerosis,” all o f which causes are now , as we observed, on the increase in their incidence a t th e higher ages. I f further evidence o f the causal relation betw een alcoholism and higher mortality were necessary, we should need on ly refer to the b od y o f facts which have been accumulating i n insurance offices, showing that total abstainers are b y far the best risks, and that the m ortality rates observed in various occupations are significantly tinged b y the degree of exposure t o alcohol, which is characteristic o f the occupation. W e can not, therefore, observe w ithout alarm the reports o f the steadily increasing consum ption of alcoholic beverages in the U nited States during the last 30 years, as shown b y the reports o f the Commis sioner of Internal Revenue. In the period 1881-1890 the per capita consum ption o f liquors and wines was 13.21 gallons, whereas in 1912 the figure per capita had risen to 21.98 gallons, an increase o f 66.4 per cent since the earlier date. 139 MORTALITY FROM NEPHRITIS, APOPLEXY, ETC. either as a cause contributory to death, but the common observation and experience of physicians have convinced them that both are serious factors in the causation of the degenerative diseases. The prevalence of both can be lessened, and probably is even now being lessened, by the present day campaigns in favor of temperance and social prophylaxis, and any such reduction must in time be reflected in decreased death rates from diseases of this group. The following table shows the deaths and deatn rates from this group of causes during the period studied: D E A T H S A N D D E A T H R A T E S F R O M N E P H R IT IS , A P O P L E X Y , A N D D ISEA SES OF T H E H E A R T AM ONG O P E R A T IV E S A N D N O N O P E R A T IV E S , 1908 T O 1912, B Y S E X A N D B Y A G E G R O U PS. Males. Operatives. Nonoperatives. Both'classes. Age group. Deaths. 15 to 25 to 35 to 45 to 55 to 24 years..................................................... 34 years..................................................... 44 years..................................................... 54 years..................................................... 64 years............................. *...................... Death rate. 14 16 27 35 41 Deaths. Death rate. Deaths. Death rate. 0.55 .92 2.00 3.82 11.65 12 24 61 82 189 0.36 .74 2.20 4.69 15.65 26 40 88 117 230 0.44 .80 2.14 4.39 14.74 0.29 1.67 3.87 8.49 23.68 12 37 70 105 198 0.41 1.02 2.16 4.37 12.33 23 67 110 147 225 0.34 1.24 2.57 5.08 13.08 Females. 15 to 25 to 35 to 45 to 55 to 24 years..................................................... 34 years.................................................. 44 years................................................... 54 years................................................ 64 years................................................... 11 30 40 42 27 This table shows very clearly the rapid increase in fatalities in the upper age groups due to these diseases. Among males the death rate from this group of causes in age group 35 to 44 is more than double that in age group 25 to 34, in the next age group it more than doubles again, and in age group 55 to 64 it is more than three times the rate of the preceding age group. Among women the increase is not quite so even, but is marked, nevertheless. The rate in age group 25 to 34 is nearly four times as. great as in age group 15 to 24, and among those over 34 the rate practically doubles or more in each successive decade. The relative importance of this group of death causes as compared with others is even greater among women than among men. For males the degenerative diseases stand second only to tuberculosis in the first and third age periods (in age group 25 to 34 they are exceeded also by accident or violence), but from 45 onward more deaths are assignable to them than to any other group of causes. Among females they are exceeded by both tuberculosis and parturition up to the age of 35, after which they are responsible for heavier death rates than any other group of causes. As respects the mortality of oper 140 CHAP. III.---- MORTALITY FROM SPECIFIED CAUSES. a t iv e s a n d n o n o p e r a t iv e s f r o m th e s e d ise a se s th e s e x e s d iffe r . A m o n g m a le s f o r t h e fir s t t w o a g e g r o u p s o p e r a t iv e s le a d , b u t t h e r e a ft e r n o n o p e r a t iv e s s h o w t h e la r g e r d e a t h r a t e s . A m o n g fe m a le s , in t h e a g e g r o u p 15 t o 2 4 , n o n o p e r a t iv e s h a v e t h e h ig h e r d e a t h r a t e fr 6 m th is g r o u p o f c a u s e s , b u t t h e r e a ft e r o p e r a t iv e s h a v e t h e h ig h e r m o r t a lit y . MORTALITY FROM TYPHOID FEVER. T y p h o id fe v e r i s m o s t d e s t r u c t iv e in th e lo w e r a g e g r o u p s . T h e fo llo w in g t a b le g iv e s a s u m m a r y o f t h e d e a t h s f r o m th is c a u s e in F a ll R i v e r d u r in g th e fiv e y e a r s c o v e r e d : D E A T H S A N D D E A T H R A T E S P E R 1,000 FR O M T Y P H O ID F E V E R , A M O N G O P E R A T IV E S A N D N O N O P E R A T IV E S , 1908 TO 1912, B Y S E X A N D B Y A G E G R O U P . Males. Operatives. Age group. 15 to 25 to 35 to 45 to 55 to 24 years............................. 34 years............................. 44 years............................. 54 years............................. 64 years............................. Nonoperatives. Both classes. Deaths. Death rate per 1,000. Deaths. Death rate per 1,000. Deaths. 9 3 1 2 0.35 .17 .07 .22 8 8 4 3 0.24 .25 .14 .17 17 11 5 5 0.29 .22 .12 .19 0.18 .11 .29 5 0.17 12 6 . 19 . 17 .12 0.18 .04 .21 . 14 .11 Death rate per 1,000. i Females. 15 to 24 years..................................................... 25 to 34 years..................................................... 35 to 44 years..................................................... 7 2 3 45 to 54 vp.ars___________________________________ 55 to 64 years..................................................... L , .............. 4 2 2 9 4 2 Nearly one-half (4 5 per cent) of the 3 8 male and two-fifths (4 1 per Cent) of the 2 9 female deaths from typhoid fever in the total population aged 15 to 64 occurred among those aged 15 to 2 4 — about three-fifths in the case of operatives of each sex, and about one-third among the nonoperatives. Its fatal prevalence was great est among male operatives aged 15 to 2 4 , among whom it killed one in three thousand (0 .3 5 ), or slightly more than perished through nontuberculous respiratory diseases, chiefly pneumonia. Even in age group 15 to 2 4 , however, typhoid fever is responsible for but 8 per cent of all male deaths, among both operatives and non operatives, and for but 5 per cent of all deaths of females. Among males of this age group no scheduled group of death causes except cancer has so few fatalities, whereas among females casualty and the nontuberculous respiratory diseases each cause fewer deaths, and cancer causes none at all. In the total population aged 15 to 6 4 , in the period 1 9 0 8 -1 9 1 2 , an aggregate of 6 7 deaths occurred from this wholly preventable cause—more than one a month. 141 MORTALITY FROM TYPHOID FEVER. In each age group, except 35 to 44 and 55 to 64, the males of each occupational classification were much more liable than the corre sponding class of females to die of typhoid fever, but in the age group 35 to 44 the death rate of all women from this cause (0.21) was higher by 75 per cent than that of all males (0.12), and in age group 55 to 64 there were no male, deaths from typhoid. In each age group under 45, female operatives were more liable to die from this cause than female nonoperatives; whereas among males, except in age groups 15 to 24 and 45 to 54, the reverse holds true. Omitting the year 1911, for which the Census Office published no death rates, the relative prevalence of typhoid fever in Fall River as a death cause, compared with its prevalence among whites of all ages in all registration cities, and in all Massachusetts cities, is seen from the following: D E A T H R A T E S P E R 1,000 FR O M T Y P H O ID F E V E R F O R A L L U R B A N R E G IS T R A T IO N W H IT E S OF A L L A G E S. Year. United States. • 1908................................................................................................................... 1909.................................................................................................................... 1910.................................................................................................................... 1912.................................................................................................................... 1913.................................................................................................................... Massachu setts. 0.250 .212 .228 .154 .152 Fall River. 0.161 .118 .134 .086 .087 ' 0.122 .213 .150 .089 .180 M O R TALITY FR O M CANCER. In the study of deaths from cancer in Fall River the term has been used to include not only carcinoma but all malignant growths or neoplasms as well. The following table shows the incidence of deaths from this cause during the period covered: D E A T H S A N D D E A T H R A T E S P E R 1,000 F R O M C A N C E R , 1908 T O 1912, B Y S E X , A G E G R O U P , A N D O C C U PA TIO N A L G R O U P . Males. Operatives. Age group. 15 to 25 to 35 to 45 to 55 to 24 years..................................................... 34 years..................................................... 44 years..................................................... 54 years..................................................... 64 years..................................................... Deaths. Death rate per 1,000. 2 1 1 9 10 N onoperatives. Both classes. Deaths. Death rate per 1,000. Deaths. 0.08 .06 .07 .98 2.84 2 4 20 29 0.06 .15 1.14 2.40 2 3 5 29 39 0.03 .06 .12 1.09 2.50 0.39 1.45 3. 84 4.39 16 44 57 61 0. 44 1.36 2.37 3.80 23 59 76 66 0.42 1.38 2.62 3.84 Death rate per 1,000. Females. 15 to 25 to 35 to 45 to 55 to 24 years..................................................... 34 years..................................................... 44 years..................................................... 54 years..................................................... 64 years..................................................... 7 15 19 5 142 CHAP. III.---- MORTALITY FROM SPECIFIED CAUSES. Two characteristic features of cancer are brought out clearly in this table—the fact that in the main it is a disease of the upper age groups, and the fact that it is much more prevalent among women than among men. As to the first, it will be noticed that in the whole population of Fall River during the five years covered there were only two deaths from cancer among persons aged 15 to 24. In the group aged 15 to 44 the total number of deaths, regardless of sex, from this cause was 92, while in the group aged 45 to 54 such deaths number 105; that is, in this single 10-year age group the deaths from cancer were more numerous by one-eighth (14 per cent) than in the 30-year age group 15 to 44. Moreover, each 10-year age group of the group 15 to 44 contains many more people than the age group 45 to 54. In the 20-year age group, 45 to 64, such deaths numbered 210, more than double the number occurring in the earlier 30-year group. The greater liability of women to cancer is apparent early in life. It is true that the only two cases of cancer in age group 15 to 24 occurred among males, but from that.age onward women lead in such deaths in every age group. In the age group 25 to 34 their death rate from cancer is seven times that of the males, in age group 35 to 44 it is nearly twelve times as great, in age group 45 to 54 it is considera bly more than twice as great, and in the final age group, 55 to 64, it exceeds the male rate by 54 per cent. Taking up the danger from cancer by sex, it appears that although, among males, in the age period 15 to 44 years, the death rate in each succeeding decade is just double that of the preceding, cancer first attains serious proportions as a death factor in the group aged 45 to 54, wherein on an average it kills annually 1.09 victims per 1,000 males. In the next age group, 55 to 64, the death rate from cancer is more than doubled and is identical with that from tuberculosis in this same age group (2.50). Among women cancer begins to be a serious factor in mortality earlier than among men. Among those aged 25 to 34 it annually kills 0.42 per 1,000, and in the next decade the death rate from this cause rises to 1.38, or considerably higher than it is among men in age group 45 to 54 (1.09). From age group 25 to 34 onward, cancer is increasingly prevalent among women, although its rates of increase are irregular. The death rates from cancer and the percentage of increase in each decade among women may be compared with the corresponding data for the “ wear and tear” diseases, that is, the ag gregate degenerative diseases— apoplexy, nephritis, and heart disease. The following table gives the figures for women for both of these groups of death causes: MORTALITY FROM CANCER. 143 DEATH RATES PER 1,000 FROM CANCER AND PER CENT OF INCREASE OVER PRE CEDING DECADE COMPARED WITH CORRESPONDING DATA FOR AGGREGATE DEGENERATIVE DISEASES, BY AGE GROUP. A poplexy, nephritis, and heart disease. Cancer. Death rate per 1,000. Per cent of increase over rate of preceding decade. 0.42 1.38 2.62 3.84 229 90 47 A ge group. 25 to 35 to 45 to 55 to 34 years............................................................................. 44 years............................................................................. 54 years............................................................................. 64 years............................................................................. Death rate per 1,000. Per cent of increase over rate of preceding decade. 1.24 2.57 5.08 13.08 107 98 157 As might naturally be expected the death rates from the “ wear and tear” diseases show their highest percentage of increase in the highest age group, while for cancer the greatest percentage of increase comes in the decade of early middle life, 35 to 44, where economically and socially & death is of greater importance than it is twenty years later. In the age groups from *35 onward among women cancer as a death cause is respectively one-half (54 per cent), one-half (52 per cent), and one-third (29 per cent) as common as are these three “ wear and tear” causes combined. M O R TALITY FR O M NONTUBERCULOUS RESPIRATORY DISEASES. Deaths due to this group of causes are mainly those from pneu monia, bronchitis, and pleurisy. In Fall River, to judge from the situation prevailing during the period of this study, the number of such deaths especially is apt to be unduly augmented by the in clusion, through either careless or fraudulent registration, of deaths really due to tuberculosis. Twenty-four deaths of males and 27 of females, *vhich occurred during the five years covered and which were certified as due to this group of causes, were stated to the writer by the certifying physician to have been really tuberculous; these have been scheduled as cases of tuberculosis everywhere throughout this study, and the number of deaths ascribed to nontuberculous respiratory diseases has been diminished by just so much. In addition, five other deaths certified under equivocal designations as due to non tuberculous respiratory diseases proved to have been tuberculous in reality, and have been so scheduled. Thus there were 56 cases in which the certifying physicians themselves admitted that the oiiginal assignment of death to a nontuberculous respiratory disease was in correct. These formed 61 per cent of the total 92 “ variant” cases really tuberculous, but originally otherwise certified as to cause. Had the original certification been accepted, the number of deaths at tributed to this group of causes would have been 362 instead of 306; that is, it would have been larger by nearly one-fifth (18 percent) than the facts justified. CHAP. III.— MORTALITY FROM SPECIFIED CAUSES. 144 The deaths and death rates from this group of causes during the period covered were as follows: D E A T H S A N D D E A T H R A T E S P E R 1,000 FR O M N O N T U B E R C U L O U S R E S P I R A T O R Y CAUSES, 1908 TO 1912, B Y S E X , A G E G R O U P , A N D O C C U P A T IO N A L G R O U P . Males. Operatives. 24 years..................................................... 34 years..................................................... 44 years .................................................. 54 years..................................................... 64 years..................................................... 15 to 25 to 35 to 45 to 55 to 24 years. 34 years, 44 years. 54 years. 64 years. B oth classes. Deaths. Death rate per 1,000. Deaths. Death rate per 1,000. Deaths. 8 15 5 8 19 0.31 .87 .37 .87 5. 40 10 17 24 24 30 0.30 .52 .87 1.37 2.48 18 32 29 32 49 0.31 .64 .70 1.20 3.14 0.21 .50 .77 .81 4. 39 11 9 31 61 0. 30 .28 1. 29 3.80 20 17 35 66 0.12 .37 .40 1.21 3.84 Age group. 15 to 25 to 35 to 45 to 55 to Nonoperatives. Death rate per 1,000. Females. 8 9 8 4 5 One-half (49 per cent) of all the male deaths occurring within the age group 15 to 64 for which this group of -causes is responsible occur under 45 years of age. This obtains alike for operatives, among whom 51 per cent of these deaths are in the age group 15 to 44, and for nonopera tives, among whom 49 per cent are found here. In the case of females, however, this group of causes is plainly much more prevalent in the age group 45 to 64 years, 69 per cent of their total deaths occur ring here. Only 8 per cent of the female operatives, however, are older than 44 years. Obviously, therefore, even though this group of causes is far more fatally prevalent at ages over 44, yet among female operatives the great bulk of its occurrence must naturally be among the 92 per cent who are under 45, and 25 of the total 34 deaths from these causes (74 per cent) among female operatives are found in age group 15 to 44. Among female operatives one-fourth of the total deaths from non tuberculous respiratory causes is found in each 10-year age group up to the age of 45, and the remaining one-fourth is about equally dis tributed between age groups 45 to 54 and 55 to 64. Up to the age of 45 males of each occupational classification, except male operatives aged 35 to 44, are considerably more liable than are females to die from this group of causes, but in the higher age groups there is nd great difference in the death hazard of the sexes therefrom. Among females aged 55 to 64 the hazard from this group of causes is identical, both for operatives and for nonoperatives, with that from cancer, there having occurred 66 deaths from each cause during the five \ears covered. Among males, on the other hand, this cause is more important in age group 55 to 64 than cancer, being responsible for 49 deaths against 39 from cancer. Like cancer and the “ wear and tear” diseases, nontuberculous respiratory deaths, since they occur principally in age groups over 44 years, are by no means the most important causes of death. CHAPTER IV.—CAUSES CONTRIBUTORY TO EARLY DEATH. The official certificate of death is expected to give the immediate or principal cause of death, and in addition to name any other disease or circumstance which contributed to the death. Attention has already been called (see pp. 24 to 29) to the fact that such important contributory causes as parturition occurring within thirty days of death and alcoholic addiction were frequently omitted, so that even for causes commonly and officially recognized as contributory to death the certificates are often incomplete. But there are a number of other circumstances which are never included in death certificates, even though common sense indicates that they may have had much to do with the fact that death occurred at the time it did. In the house-to-house investigation made as to the cir cumstances of each decedent, questions were included covering many of these contributory causes. The factors which may have an effect in determining early death are numerous; on some it was impossible to obtain complete information, while as to others we are not yet in a position to decide definitely what their influence may be. Concerning a few points, however, it was felt that the data gathered were sufficiently important and significant to justify presentation in this study, and the following discussion is therefore presented of cer tain factors, such as alcoholic addiction, tuberculous kindred, unhy gienic condition of the decedent’s dwelling, low income, long mill service, short life of parents, additional work of mill workers, and prolificacy, which will generally be admitted to have had an influence in bringing about early deaths. ALCOHOLIC ADDICTION. RELIABILITY OF DATA SECURED. Information on this point, outside of that furnished by the official death certificate, was gained by inquiry almost always from the decedent’s relations, otherwise from his intimates. If a decedent had habitually become intoxicated once or more every month he was classed as having used alcoholic beverages to excess, and alcoholic addiction was entered as a contributory cause of his death. The question, of course, at once arises whether information gained in this way on such a point can be regarded as reliable. In the very nature of the case it can not be as incontrovertible, as regards a specified individual, as the information concerning some of the other points covered. Whether, for instance, a specified woman decedent 88204°— 19— Bull. 251------ 10 145 146 CHAP. IV.— CAUSES CONTRIBUTORY TO EARLY DEATH. had had a pregnancy terminate within a definite period precedent to her decease is a fact of record, or of medical knowledge, which can ordinarily be established beyond the possibility of doubt. Such verification is lacking for the data concerning alcoholic addiction, which for the most part rests on the assertion of the nearest relative or friend of the decedent who could be found. Certainly these rela tives and friends had abundant opportunity io know the facts; how far were they under temptation to misrepresent them? There are two tendencies to be taken into account, the tendency to minimize or conceal altogether circumstances uncomplimentary to the memory of a father, husband, or brother, and the tendency to exaggerate that relative’s shortcomings and discreditable excesses. It can not be assumed that inherently the latter tendency is the stronger; if the two are of equal strength and prevalence, the facts as to intemperance will at least not be exaggerated, and if, as many will think probable, the charitable impulse to hide the weaknesses of the dead is the stronger, they will be understated. The writer, having talked per sonally with the relatives or friends of every man herein set down as an alcoholic addict, believes that the data on this point, though not susceptible of absolute verification, are in the main reliable. He was impressed with the candor with which relatives, when once they understood the purpose of this effort to collect the facts relating to contributory circumstances of death, gave full information about habits as to intemperance which they might naturally feel a reluc tance to disclose. Nevertheless, in spite of this candor, he believes that the data presented in the following tables as to the prevalence of alcoholic addiction as a contributory cause of death err on the side of understatement. For this belief there are three reasons: First, some cases in which alcoholism was undoubtedly a con tributory cause of death escaped classification under this head be cause the decedents, according to the testimony of members of their household, had been able to drink regularly very considerable amounts of alcoholic beverages without becoming intoxicated. These in stances included those who “ drank hard but never showed it, n and those who “ drank regularly77 or who “ always drank, but it never interfered with his working. ” Second, because those who “ occasionally got drunk” and those who “ went on a spree three or four times a year” escaped classifica tion as alcoholic addicts, since they did not regularly become intoxi cated at least once a month. Third, because male decedents concerning whom nothing could be learned are quite as liable to have been intemperate users of alcoholic beverages as the average decedent whose habits in this respect were reported. Those concerning whom no information could be gained have invariably been excluded from the number of alcoholic addicts. 147 ALCOHOLIC ADDICTION. PREVALENCE OF ALCOHOLIC ADDICTION AS A CONTRIBUTORY CAUSE OF DEATH. Turning now to the actual prevalence of this contributory cause of death, as shown by the testimony of friends and relatives of the de ceased, the first consideration is the size of the population in which it prevailed. The special study of the subject has been limited to those in the industrially important groups under 45 years of age. Also, since ordinarily it is not to be expected that any man under the age of 25 years will have developed such addiction to the intemperate use of alcoholic beverages as to become intoxicated at least once in each month of the year, decedents aged 15 to 24 are excluded from the following statistical analysis;1 and as alcoholic addiction was decidedly the exception among female decedents,2 they also are ex cluded. This leaves the male population aged 25 to 44 years among whom the prevalence of alcoholic addiction as a cause contributory to death has been studied. This population was thus divided: D IS T R IB U T IO N OF M A LE S IN A G E G R O U P 25 TO 44 B Y W O R K R O O M , R A C E , OCCUPA T IO N A L G R O U P , A N D C ON JU G AL C O N D ITIO N . W orkroom , race, and occupational group. Single. Married. Both classes. Operatives: Spinning room ......................................................................................... French Canadian............................................................................. 252 129 698 326 Card and picker room ............................................................................ 233 1 ,151~ 1,384 W eave room: French Canadian............................................................................. Irish.................................................................................................... ' English............................................................................................... All other races.................................................................................. 219 127 187 251 800 201 606 847 1,019 328 793 1,098 3,238 950 455 Total, weave room ................................................................ 784 2,454 Spooler room and miscellaneous......................................................... 165 427 592 French Canadian..................................................................................... Irish...................................................................................................: ____ English...................................................................................................... Portuguese............................................................................................... All other races.......................................................................................... 422 209 282 208 313 1,307 329 859 1,253 982 1,729 538 1,141 1,461 1,295 Total, operatives................................................................................. Total, nonoperatives...................................................................................... 1,434 2,979 4,730 9,048 6,164 12,027 Total, both classes............................................................................... 4,413 , 13,778 18,191 1 Among the 203 male decedents aged 15 to 24, there were 7 whose relatives declared them to have been alcoholic addicts in the sense in which the term is here use£. 2 Among the 743 female decedents aged 25 to 44, there were 45 in whose cases alcoholic addiction had been a contributory cause of death. 148 CHAP. IV.---- CAUSES CONTRIBUTORY TO EARLY DEATH. The prevalence of alcoholic addiction, as a contributory cause of death, among the male population thus distributed, is shown by the following tables: M A LE D E C E D E N T S 25 TO 44 Y E A R S O F A G E A N D N U M B E R A N D P E R C E N T W H O S E A D D IC T IO N TO A L C O H O L IC B E V E R A G E S IS R E P O R T E D T O H A V E R E S U L T E D IN IN T O X IC A T IO N ONCE A M O N TH O R O F T E N E R , B Y W O R K R O O M , R A C E , A N D OCCU P A T IO N A L G R O U P , 1908 TO 1912. Decedents. Single. B oth classes. Married. Total. W orkroom , race, and occupational group. To tal. T i>AY* er cent having alco holic addic tion. T o tal. Per cent having alco holic addic tion. To tal. Tuberculous. Having alcoholic addiction. To tal. N um Per ber. cent. Having alcoholic addiction. N um Per ber. cent. Operatives: Spinning room ................................... French Canadian........................... 21 10 38 40 26 13 50 69 47 23 21 13 45 57 24 13 11 7 46 54 Card and picker room ...................... 5 40 33 24 38 10 26 20 7 35 W eave room: French Canadian........................... Irish.................................................. E nglish............................................ A ll other races................................ 14 16 11 10 57 81 27 40 20 13 29 14 25 54 21 29 34 29 40 24 13 20 9 8 38 69 23 33 20 17 13 9 6 13 3 3 30 76 23 33 55 76 35 127 50 39 59 25 42 6 50 10 3 30 4 nr 75 39 70 21 7 30 64 45 47 33 33 27 32 11 2 12 42 71 23 6 36 36 27 17 15 12 14 21 4 2 5 39 78 24 13 42 Total, weave room ..................... 51 Spooler room and miscellaneous. . . 4 French Canadian............................... Irish..........: ........................................ English................................................ Portuguese...................................... A ll other races.................................... 26 22 14 6 13 46 73 29 46 38 23 33 27 20 Total, operatives............................ Total, nonoperatives............................ 81 169 47 43 141 252 33 30 222 421 84 148 38 35 107 141 46 64 43 45 Total, both classes......................... 250 44 393 31 643 232 36 248 110 44 ALCOHOLIC ADDICTION. 149 D E A T H RATES P E R 1,000 OF M A LE S A G E D 25 TO 44 F R O M C AU SES W I T H W H IC H A D D IC T IO N TO A L C O H O L IC B E V E R A G E S R E S U L T IN G IN IN T O X IC A T IO N ONCE A M O N TH O R O F T E N E R W A S A C O M P L IC A T IN G CIRC U M STAN C E A N D F R O M CAU SES N O T TH U S C O M P L IC A T E D , B Y W O R K R O O M , R A C E , A N D O C C U P A T IO N A L G R O U P , 1908 TO 1912. Death rate per 1,000 population of males aged 25 to 44 years (cru de). B oth married and single. of death. W orkroom , race, and occupa tional group. Operatives: Spinning room ............. ........... French Canadian.................. Com pli cated with alco holic ad dic tion. 11 lYJ.fcU11UU,---AAll causes of death. A ll causes of death. Tuberculosis. Com Com Com pli pli pli Not cated N ot cated N ot cated N ot thus To with thus with thus with thus T o T o com alco com alco com alco com Topli tal. holic pli tal. holic pli tal. holic pli tal. cated. ad cated. ad cated. ad cated. dic d ic dic tion. tion. tion. 6.35 10.32 16.67 6. 20 9.30 15.50 3.73 5.52 3.72 7.45 2.46 7.98 4.42 5. 71 5.47 9.89 4.40 10.11 2.31 3.07 2.74 5.05 2.64 5.71 1.72 2.57 4.29 1.39 4.34 5. 73 1.44 4.05 5. 49 1.01 1.88 2.89 W eave room: French Canadian.................. 7. 31 Irish......................................... 20. 47 English............. ..................... 3. 21 A ll other races....................... 3.19 5. 48 12.79 4.73 25.20 8.56 11.76 4.78 9.97 1.25 6.97 1.98 .95 3.75 5.97 7.59 2.36 5.00 2. 55 12.94 12.19 9. 57 2. 27 3.31 1.46 4.12 6.67 5. 49 17.68 7.82 10.09 2.91 4.37 1.18 7.93 .76 .55 2.75 3.93 2. 44 10.37 2. 52 3.28 1.09 1.64 5.87 13.01 1.79 4.40 6.19 3.09 4.76 7.85 1.54 2.10 3.64 .34 1.35 Card and picker room ............. Total, weave room ............ 7.14 Spooler room and miscellane ous........................................ French Canadian..... ............ 5.69 Irish......................................... 15.31 English................................... 2. 84 Portuguese............................. A ll other races....................... 3.84 4 84 4.84 1.41 1.41 2.81 1.01 2.37 3.38 1.01 6.63 12.82 5. 74 21.05 7.09 9.93 5.77 5.77 4.47 8.31 2. 29 9.73 1.63 .32 1.22 3.52 5.81 3.12: 4. 25 13.98 11.90 6.05 7.68 1.93 .28 3.99 4. 31 2.85 4.07 1. So 4.28 ” 7.40 4.83 16. 73 6.31 8.24 4.24 4.52 3. 24 5.10 L 62 " 2.54 4.16 7.81 2. 23 10.04 .70 2.28 2.98 .28 1.77 2.05 .77 1.08 1.85 Total, operatives............... Total, nonoperatives................... 5.30 4.84 6.00 11.30 6.51 11.35 1.94 1.68 4.02 5.96 3.89 5. 57 2. 72 2. 46 4. 48 7.20 4.54 7.00 1.49 1.06 1.98 3.47 1.28 2.34 Total, both classes: Crude........................................... Age-adjusted............................. 4.99 6.84 11:88 3.rr! 1.65j 8.98 5.70 2.55 3.82 5.47 2. 46 4.52 7.07 1.21 1.52 2.78 5.89 6.64 12.53 4.47 6.93 1.17 1.51 2.68 The 18,191 males of this age group comprise roughly two-thirds (61 per cent) of all males aged 15 to 44, and nearly one-half (47 per cent) of all males aged 15 to 64 years. Their mortality for a period of five years is the equivalent of the annual death hazard of 90,955 males, aged 25 to 44, for a single year. The 6,164 operatives of the group comprise 55 per cent of all male operatives aged 15 to 44, and 45 per cent of all aged 15 to 64. Their mortality for five years is equivalent to the average annual mortality of 30,820 male operatives aged 25 to 44. The population considered is therefore large enough to be indicative. The table shows that in this population there were 643 deaths from all causes, of which 232, or 36 per cent, were complicated with alco holic addiction. Of the 248 deaths from tuberculosis 110, or 44 per cent, and of the 395 deaths from nontuberculous causes 122, or 31 per cent, were complicated with alcoholic addiction. 150 CHAP. IV.— CAUSES CONTRIBUTORY TO EARLY DEATH. IMPORTANCE OF ALCOHOLIC ADDICTION AS A CONTRIBUTORY CAUSE OF DEATH. The most important question raised by the tables is as to the weight which should be allowed to this factor of alcoholic addiction in causing the deaths in connection with which it appears. In a very few cases— nine, to be exact— alcoholism is given as the immediate and direct cause of death; in some others it is plainly the indirect cause. When, for instance, a drunken teamster falls from his seat and is crushed beneath the wheels of his own wagon, most observers would put the responsibility for his death upon his alcoholic habits. In by far the largest number of cases, however, while intemperance probably had a large effect in bringing about the decedents’ death, it is impossible to say just how far it should be held accountable. When a man, for instance, who has been in the habit of drinking to intoxication at least once a month dies of tuberculosis, it is questionable just to what degree his intemperance should be considered responsible for his death. Probably no one would deny that such a use of alcoholic liquors constitutes a debilitating experience, increasing the chance of the drinker’s being infected with tuberculosis, lessening his power of resistance to it, and diminishing the likelihood of his adopting such measures as would give him a chance of overcoming it or at least of protracting its siege. It is entirely likely, therefore, that a drink ing man who dies of tuberculosis might not have developed the disease had he been temperate, or that if he had taken it he might have built up an effective resistance against it, and that at the worst, if he had been infected with tuberculosis and had not been able to resist it, his death might not have taken place until considerably later in life than it actually occurred. Nor is the case much clearer when the certified cause of death is pneumonia or nephritis or heart disease.1 Whatever the principal cause assigned, intemperance of the degree described would almost certainly have played a consider able part in bringing about the death, but what its part is can not be definitely ascertained. In the following discussion, then, when the 46alcoholic addiction death rate” is spoken of, the term is used only for the sake of brevity, and without any intention of implying that the whole responsibility for this mortality rests at the door of intemperance. It will be noticed that operatives invariably show a higher death rate than nonoperatives from causes complicated with alcoholic addic tion, but among themselves different groups of operatives differ con siderably in regard to this factor. Taking the single males, the weave room shows a higher alcoholic addiction death rate than any other room, while among the married this position is held by the spinning room, which has also the highest rate for all males regardless of conjugal con dition. The most striking feature of the workroom death rates is the enormously high rate of the single Irish in the weave room from causes complicated with alcoholic addiction. Of the 16 deaths occurring i See note, p. 138. 151 ALCOHOLIC ADDICTION. among them, 81 per cent were thus complicated, a larger proportion than is found in any other racial, occupational, or conjugal condition group. They have much the highest alcoholic addiction death rate found among the single, 20.47 per 1,000 population, against 7.31, the next highest rate, which is found among the single French Canadians of the weave room, and 7.14, the rate for all single males of the weave room regardless of race. Taking up the hazard by race, it will be seen that the Irish opera tives, both single and married, greatly exceed those of every other race in the size of their death rate from causes complicated with alcoholic addiction. This is very noticeable among the single, where the death rate from such causes, 15.31 per 1,000, exceeds by 169 per cent the next highest rate, 5.69 among the French Canadians; but a still greater percentage of excess is shown among the married, where the alcoholic addiction rate of the Irish, 9.73 per 1,000, exceeds the nexthighestvrate, again that of the French Canadians, by 325 percent. It can not, of course, be assumed that all the mortality complicated with alcoholic addiction is due to alcoholic addiction; nevertheless, it is impossible not to see some significance in the fact that the race having the highest mortality found exceeds the other races so greatly in its death rate from causes complicated with intemperance. If the mortality from causes not thus complicated be compared, the Irish stand second to the English, and exceed the French Canadians and the Portuguese by only 13 and 14 per cent, respectively. A somewhat similar situation appears in regard to the death rates of the married and the single. It repeatedly has been shown that in each age group the death rate of single men is much higher than that of the married. This table shows that in the population considered a large part of this difference lies in the deaths complicated with alcoholic addiction. From such deaths the rates of the single are in general nearly three times as great as those of the married, while from all causes not so complicated the death rates of the single men seldom exceed those of the married by even two-thirds. Taking the male population aged 25 to 44 without regard to’occu pation, deaths with alcoholic complications form a more important part of the mortality from tuberculosis than of that from all causes, being responsible for 44 per cent of the first against 36 per cent of the second. As between operatives and nonoperatives, however, there is a difference in this respect. Their death rates, adjusted for age, are for the two groups of causes as follows: D E A T H R A T E S P E R 1,000 OF O P E R A T IV E S A N D N O N O P E R A T IV E S F R O M T U B E R C U LO U S A N D N O N T U B E R C U L O U S C A U S E S C O M P L IC A T E D W I T H A L C O H O L IC A D D IC T IO N . Occupational group. Operatives .................................................................................................................... N onoperati ves ............................................................................................................ N ontubercu Tuberculosis lous causes complicated com plicated with alcoholic with alcoholic addiction. addiction. 1.45 1.03 1.21 1.32 152 CHAP. IV.---- CAUSES CONTRIBUTORY TO EARLY DEATH. Among operatives, therefore, alcoholic addiction appears as a complication of deaths from tuberculosis more frequently by 41 per cent than among nonoperatives, while among nonoperatives it a p p e a r s as a complication of deaths from nontuberculous causes more frequently by 9 per cent than among operatives. The subject of alcoholic addiction as a contributory cause of death is so important, and has been so left out of sight in general, that it may be worth while to give a more detailed view of its occur rence. The following table is therefore presented: D E A T H S A N D D E A T H R A T E S P E R 1,000, O F M A LE S A G E D 25 TO 44, F R O M C AU SES C O M PLIC A TE D A N D N O T C O M PL IC A T E D W IT H A L C O H O L IC A D D IC T IO N , B Y CON JU G A L C O N D ITIO N , O C C U P A T IO N A L G R O U P , A N D A G E G R O U P , 1908 TO 1912. Deaths. N ot com plicated with alcoholic ad diction. Occupational group, race, and age group. Single. Mar ried. OPERATIVES. Irish, and French Canadian: 25 to 34 years................................ 35 to 44 years................................ Total, 25 to 44 years................ A ll other races: 25 to 34 years................................ 35 to 44 years................................ T o tal. Complicated with alcohplic addiction. Mar Single. ried. T o tal. 23 27 9 19 12 19 21 38 30 50 28 31 59 29 36 45 43 8 2 5 10 13 12 11 9 12 18 20 16 7 B oth classes. Single. Mar ried. T o tal. 24 37 44 65 48 61 109 24 9 34 46 58 55 20 28 Total, 25 to 44 years................ A ll races: 25 to 34 years................................ 35 to 44Jyears................................ 23 65 88 10 15 25 33 80 113 27 16 41 54 68 70 17 21 17 29 34 50 44 37 58 83 102 120 Total, 25 to 44 years................ 43 95 138 38 46 84 81 141 222 NONOPERATIVES. A ll races: 25 to 34 years................................ 35 to 44 years................................ 63 34 73 103 136 137 29 43 23 53 52 96 92 77 96 156 188 233 Total, 25 to 44 years................ 97 176 273 72 76 148 169 252 421 A ll races: 25 to 34 years................................ 35 to <44 years................................ 90 50 114 157 204 207 46 64 40 82 86 146 136 114 154 239 290 353 Total, 25 to 44 years................ 140 271 411 110 122 232 250 393 643 3.93 6.34 10.23 23.33 7.09 7.72 8.24 10.84 15.52 7.34 BOTH CLASSES. Death rate1 per 1,000 population. OPERATIVES. Irish, and French Canadian: 25 to 34 years..................... 35 to 44 years..................... Total, 25 to 44 years— Age-adjusted.......... . Crude....................... . 6.49 3.62 4.39 6.84 8.67 4-41 8.87 S. 79 6.21 15.21 7.46 9.62 A ll other races: 25 to 34 years..................... 35 to 44 years..................... 5.25 7.26 3.25 5.49 3.76 5 . 72 2.62 2.07 .56 1.53 1.09 1.60 7.87 9.33 3.81 7.02 4.85 7.32 2.40 .95 Total, 25 to 44 years— Age-adjusted----Crude................... 5.63 7. 76 3.54 3.76 4.31 4.50 4.60 15.57 3.55 3.96 9.03 3.72 4.90 9.29 m 6.06 4 . 16 6. 73 4.20 4.55 4.52 2.49 .97 1.30 1.28 8.46 8.22 5.11 6.17 5.85 6.80 1 The reader will note that the variation between age-adjusted and crude death rates is greatest in the cases of the male single—especially nonoperative male single—and the operative female single. In each instance the age-adjusted rate regularly is higher than the crude rate. ALCOHOLIC ADDICTION. 153 D E A T H S A N D D E A T H R A T E S P E R 1,000, O F M A L E S A G E D 25 TO 44, F R O M C AU SES C O M P L IC A T E D A N D N O T C O M P L IC A T E D W I T H A L C O H O L IC A D D IC T IO N , B Y CON J U G A L C O N D IT IO N , O C C U P A T IO N A L G R O U P , R A C E , A N D A G E G R O U P , 1908 TO 1912— Concluded. Death rate per 1,000 population—Concluded. Occupational group, race, and age group. N ot complicated with alcoholic ad diction. Complicated with al coholic addiction. Mar Single. ried. Mar Single. ried. Total operatives: 25 to 34 years................................ 35 to 44 years................................ Total, 25 to 44 years— A ge-adjusted..................... Crude.............................. Total nonoperatives: 25 to 34 years................................ 35 to 44 years................................ Total, 25 to 44 years— Age-adjusted..................... 5.39 7.39 3.33 4.76 6.20 3.90 To tal. 3.93 5.18 3.40 9.70 1.38 2.56 To tal. 1.96 3.70 B oth classes. Mar Single. ried. T o tal. 8.79 17.09 4. 71 7.32 5.89 8.88 6.00 4.02 4.44 5; 94 1.86 2.66 12.14 5.76 7.10 4-48 S. 30 1.94 B. 72 11.30 5.96 7.00 5. 81 8.42 3.38 4.35 4.20 4.94 2. 67 10.64 1.07 2.24 1.60 3.47 8.48 19.06 4.45 6.59 5.80 8.41 1.54 2.35 12. 75 5.31 6.85 2.46 11.35 5.57 7.00 1.73 3.54 8.57 18.37 4.55 6. 83 5.83 8.56 Crude.............................. 6.86 3.77 4.50 5.89 6.51 3.89 4-54 4.84 1.68 T otal, both classes: 25 to 34 years................................ 35 to 44 years................................ 5.67 8.06 3.37 4.49 4.10 5.02 2.90 10.31 1.18 2.34 6.64 3.82 4.47 5.89 1.65 2. 46 12. 53 5.47 6.93 6.34 3.93 4.52 4.99 1.77 2.55 11.33 6.70 7.07 Total, 25 to 44 years— Age-adjusted..................... Crude.............................. RAPID INCREASE IN PREVALENCE WITH AGE. One of the most striking facts shown in this table is the rapidity with which the death rate from causes complicated with alcoholism, as compared with the death rate from causes not so complicated, in creases in the age group 35 to 44. This appears more clearly in the following summary: P E R C E N T B Y W H IC H D E A T H H A Z A R D OF S P E C IF IE D C LASSES IN A G E G R O U P 35 TO 44 E X C E E D E D T H A T O F T H E C O R R E S P O N D IN G C LASSES IN A G E G R O U P 25 TO 34, 1908 TO 1912. Death not com plicated with alcoholic ad diction. Death com plicated with alcoholic addiction. Both classes. Occupational group. Single. Mar ried. Total. Single. Mar ried. Total. Single. Mar ried. Total. MALES. Operatives................................ N onoperatives.......................... 37 45 43 29 31 18 185 299 86 109 89 117 94 125 55 48 51 45 Both classes................... 42 33 22 256 98 105 114 50 47 154 CHAP. IV.---- CAUSES CONTRIBUTORY TO EARLY DEATH. A certain degree of mortality increase from one age decade to the next older is natural and to be expected. But the figures just given show that this increase is enormously greater when alcoholic addiction enters into the situation than when it does not. The highest per cent of excess for the older age group, when causes complicated with al coholic addiction are excluded, is 45, while for causes complicated with alcoholic addiction the lowest percentage of excess is nearly twice this, 86, and the highest is 299. A wholly reasonable induction from these figures is that for males at ages normally of greatest industrial efficiency alcoholic addiction is an antilongevity factor of most noteworthy importance. TUBERCULOUS KINDRED. The inquiry as to whether the decedents had had tuberculous kindred, and if so, how many and of what degree, was undertaken not only for its own sake, but more for its value in throwing light upon the true cause of death independently of the cause given upon the death certificate. The discovery of tuberculous kindred might give to the investigator the first intimation that the decedent whose life was being studied and whose death perhaps had been cer tified as due to some nontuberculous cause had in reality died from tuberculosis. And the decedent’s exposure to infection, through the constant and necessarily very intimate association with a member of his own family who within the preceding five years had died of tuberculosis, might prove the weightiest single item explanatory of the death of the decedent himself. An additional reason for undertaking the inquiry was the desire to see whether the data thus gained would tend to confirm any one of the three theories now advanced to explain the greater number of tuberculous deaths in some families than in others. These theories respectively explain this difference on the ground of exposure to volume of infective bacilli, family strain (i. e., family inherent tubercu lous tendency), and recrudescence. This last theory is based upon the assumption that tuberculosis is generally acquired in infancy or early childhood and remains latent thereafter until in adult life some profoundly debilitating circumstance starts it up again. The second theory is self-explanatory, and so, on the whole, is the first. If a single member of a family becomes tuberculous, the other members are evidently exposed to a greater volume of infective bacilli, and their exposure is more continuous than it is in the case of persons who have no such invalid in their homes. Also, the closer their associa tion with the invalid relative the greater and more constant is their exposure; thus a wife nursing her tuberculous husband is far more ex posed to infection than is some inmate of the house who is not brought into close contact with the patient. Note was therefore taken of the 155 TUBERCULrQUS KtKTDEED. closeness of the relationship in all cases in which a decedent had had tuberculous relatives or intimates, and also of the number of years intervening between the decedent’s death and the time at which he had each tuberculous relative. Obviously if a decedent had had tubercu lous relatives within five years of his own death they were far more likely to have had a causative relation to his death than if they had died 10 or 15 years before he did. The following table shows the number and per cent in each main age group of tuberculous and nontuberculous decedents who had had tuberculous relatives within specified periods of their deaths: N U M BER AND P E R CENT OF TU BERCU LO U S £ N D N ON TU BERCU LO US DECED EN TS O F S P E C IF IE D A G E G R O U PS W H O W IT H IN 5 Y E A R S B E F O R E D E A T H O R A T A N E A R L I E R P E R IO D H A D T U B E R C U L O U S R E L A T IV E S OR IN T IM A T E S . Decedents having tuberculous relatives or intimates— Age group. W ithin 5 years preceding death. N um ber. Per cent. T otal having had such asso ciates. A t earlier period. N um ber. Per cent. N um ber. Per cent. Total dece dents of speci fied class. Tuberculous decedents:1 15 to 44 years.................................................... 45 to 64 years.................................................... 317 69 44 36 67 29 9 15 384 98 54 51 716 194 T otal, 15 to 64 years.................................... 386 42 96 11 482 53 913 Nontuberculous decedents:3 15 to 44 years.................................................... 45 to 64 years.................................................... 114 140 10 9 67 153 6 10 181 293 16 19 1,115 1,538 Total, 15 to 64 years.................................... 254 10 220 8 474 18 2,653 1 Including 34 decedents aged 15 to 44, and 24 aged 45 to 64, very probably tuberculous but elsewhere tabulated as nontuberculous, because the certifying physician did not remember the case, and therefore could not say whether or not the certificate o f death was correct. 2 N ot including the 58 decedents mentioned in N ote 1. This table shows that tuberculous relatives were found far more commonly in connection with tuberculous than with nontuberculous decedents. Considering only those who had had such relatives within five years of their own deaths, proportionately four times as many of the tuberculous as of the nontuberculous decedents in each age group had had tuberculous intimates. The disparity is much greater in this group than among those who had had tuberculous relatives at some earlier period. That is, when we deal with tuber culous relationships so far in the past that there is little probability of their having had a direct influence in bringing about the decedent’s death, there is comparatively little difference in the proportion of tuberculous and nontuberculous decedents who have had such con nections ; but when we deal with relationships which in point of time are entirely capable of having had an influence upon the decedent's own death at a given date, then the tuberculous decedents are found 156 CHAP. IV.---- CAUSES CONTRIBUTORY TO EARLY DEATH. to have had this experience far more frequently than the nontuber culous. It also appears that decedents aged 15 to 44 had had tuberculous relatives within five years of their own deaths far more commonly than had decedents aged 45 to 64, and that this disparity is much greater in the case of tuberculous than of nontuberculous decedents. Fuller details concerning tuberculous kindred of decedents aged 15 to 44 are given in Table 34 (see pp. 354-357).1 From this it appears that the proportion of decedents who had had such relatives within five years of death is very nearly the same for the two sexes. For the total age group 15 to 44, female decedents, whether tuber culous or nontuberculous, show a slightly higher proportion having had such kindred than do the corresponding classes of males, although in the five-year age groups this is not always true. Considering the decedents by five-year age groups, it rarely hap pens that the highest death rate from tuberculosis of any given class occurs in the ag-e group in which this class has the largest percentage of decedents having tuberculous kindred, or in which the highest average number per decedent of such kindred is found. For in stance, among males the highest tuberculous death rate is found in the age group 40 to 44, but the highest percentage— 55— of tubercu lous decedents having had tuberculous kindred appears in age group 20 to 24, while the average number per decedent of such kindred is but 1.6 for decedents of age group 40 to 44, against 2.2 in age groups 20 to 24 and 25 to 29. In fact, among decedent tuberculous operatives classified by age, sex, and workroom, and among decedent tuberculous nonoperatives classified by five-year age groups and sex, only three cases are found of the coincidences referred to above. The first is found among all females aged 30 to 34, whose tuberculous death rate— 2.47 per 1,000— and whose proportion having tuberculous kindred— 52 per cent— are alike the highest found. The second instance occurs among all spinning-room males, whose death rate of 2.91 per 1,000 is higher than that of males of any other workroom or industrial classifica tion, and a much higher percentage— 57—of whose tuberculous decedents had had tuberculous relatives within five years of their own death. The third is a coincidence between highest tuberculous death rate and highest average number of tuberculous kindred per tuberculous decedent, and is found among males of the card room aged 40 to 44. Taking up the matter by race, a similar lack of correlation between these factors appears. Considering only operatives 2 who had had 1 From this point onward, except where expressly stated otherwise, the discussion deals only with decedents aged 15 to 44 who had tuberculous relatives or intimates within five years of their own deaths. 2 The discussion is lim ited to operatives because the racial data concerning them are known to be correct, while for nonoperatives the correctness of these data is less certain. 157 TUBERCULOUS KINDRED. tuberculous relatives within five years of their own death, the following summary shows, for those aged 15 to 44, the relation among the three factors, by race: D E A T H R A T E S P E R 1,000 P R O M T U B E R C U L O SIS , P E R C E N T OF T U B E R C U L O U S D E C E D E N T S H A V IN G T U B E R C U L O U S R E L A T IV E S , A N D A V E R A G E N U M B E R OF SUCH R E L A T IV E S P E R D E C E D E N T H A V IN G SUCH A M O N G M A LE S A N D F E M A L E S A G E D 15 TO 44, B Y R A C E . Sex and race. Males: Irish................................................................................................. American........................................................................................ English........................................................................................... French Canadian.......................................................................... Portuguese..................................................................................... Other races..................................................................................... Females: Irish................................................................................................. American........................................................................................ English........................................................................................... French Canadian.......................................................................... Portuguese..................................................................................... Other races..................................................................................... Death rate from tuberculosis. Per cent of Average num tuberculous ber of tuber decedents culous rela having tu tives per tuberculous berculous decedent. relatives. 5.59 2.13 2.14 2.79 1.60 1.79 42 40 48 50 46 20 2.2 2.5 4.97 1.95 2.36 4.07 2.83 1.64 50 57 44 54 50 27 1.8 1.5 1.9 1.8 1.0 2.2 2.3 2.4 1.8 1.0 It will be seen that there is no correspondence whatever between the highest death rate and the highest racial standing in either of the other two particulars. Irish males, for instance, far exceed any other race group in their death rate, but they stand second in the number of tuberculous relatives per decedent, and three race groups surpass them in the percentage having tuberculous relatives. If, instead of considering each racial group as a whole, the death rate in its various occupational divisions is compared with the corre sponding figures for percentage of decedents having tuberculous relatives, and average number of tuberculous relatives per decedent, not much greater correlation is found than in the above comparison. Four instances of such correlation are found, one in the spinningroom, one in the weave-room, and two in the spooler-room group, but as there are six racial groups, each divided according to sex, and four work-room groups for each race, the fact that there are only four such instances emphasizes the lack of accord. On the whole, the rarity of these coincidences of highest tubercu lous death rate with the highest per cent of decedents who had had tuberculous kindred within five years of their own death, and with the highest average number of such kindred per decedent, rather argues against the theory of tuberculous fatal infection having generally occurred because of volume of fresh infective bacilli at close range in the home. The degree of relationship between the decedents and their tuber culous kindred is of importance, as determining the intimacy of their 158 CHAP. IV.— CAUSES CONTRIBUTORY TO EARLY DEATH. association. The following table shows the distribution of the tuberculous kindred by sex and relationship: N U M B E R A N D R E L A T IO N S H IP O F T U B E R C U L O U S K IN D R E D S P E C IF IE D A G E G R O U P S W H O H A D H A D SUCH K IN D R E D P E R IO D S B E F O R E T H E IR O W N D E A T H S . OF D ECED EN TS OF W IT H IN S P E C IF IE D Decedents aged 15 to 44 who had had such kindred— Decedents aged 45 to 64 who had had such kindred— Decedents aged 15 to 64 who had had such kindred— W ithin 5 years be fore death. W ithin 5 years be fore death. W ithin 5 years be fore death. Relationship to decedent. A t any time. A t any time. A t any time. Tuberculous decedents. H usbands........................................................... Sons.................................................................... Other males....................................................... 48 108 23 17 79 80 159 26 17 111 9 8 35 14 g 23 9 45 16 48 117 31 52 93 89 182 35 62 127 Total, males........................................... 275 393 66 102 341 495 M oth ers............................................................. Sisters................................................................. W ives.................................................................. Daughters.......................................................... Other females.................................................... 36 172 19 19 101 81 236 20 20 139 2 10 40 16 4 9 15 55 24 36 174 29 59 117 85 245 35 75 163 Total, females........................................ 347 496 68 107 415 603 Grand total, both sexes....................... 622 889 134 209 756 1,098 Nontuberculous decedents. Other males....................................................... 11 39 13 7 17 29 66 18 7 47 15 4 44 15 11 56 19 86 28 11 54 17 51 32 40 122 37 93 75 Total, m ales........................................... 87 167 78 200 165 367 Mothers............................................................... Sisters................................................................. Wives ............................................................. Daughters.......................................................... Other females................................................... 6 35 5 6 26 18 61 6 7 43 1 10 6 56 22 24 63 14 105 60 7 45 11 62 48 42 124 20 112 103 Fathers............................................................... Brothers............................................................. Husbands. ........................................................ Total, females........................................ 78 135 05 266 173 401 Grand total, both sexes....................... 165 302 173 466 338 768 Taking up first the most intimate relationship, it will be noticed that the tuberculous kindred include 60 husbands and wives of tuberculous and 28 of nontuberculous decedents, all tuberculous within five years of the deaths of their respective spouses. These often had themselves had a tuberculous family history, and the death from tuberculosis of the first of the married pair to die may, therefore, have had no causative relation with the disease of the other. Disregarding the period at which the relationship existed, the table shows that there were 72 tuberculous husbands who had lost wives aged 15 to 64, and that in more than one-half (37, or 51 per cent) of these cases the wives had died from nontuberculous causes, TUBERCULOUS KINDRED. 159 while in the remaining 35 they had died from tuberculosis. On the other hand, there were 55 tuberculous wives who had lost husbands aged 15 to 64, and in only about one-third (20, or 36 per cent) of these cases had the husbands died from nontuberculous causes, the remaining 35 having died from tuberculosis. That is, in this par ticular group, it was a commoner thing for tuberculous widows dying within the five years covered to have had husbands who had also died of tuberculosis than for tuberculous widowers dying within the same period to have had wives who had died of the same disease. The group under consideration includes 127 tuberculous husbands and wives. Even if in every case the partners of these tuberculous decedents had also died of tuberculosis, the number of cases would still be far too few to justify any such far-reaching induction as that volume of tubercle bacilli involved in close daily juxtaposition to a tuberculous relative at home in itself probably accounts for the dece dent’s having died of tuberculosis. Still less can such an induction be made when in nearly half the cases (45 per cent) the conjugal partner had died from nontuberculous causes. Taking up the degree of relationship, it will be noticed that in age group 15 to 44 brothers and sisters, and in age group 45 to 64 sons and daughters, comprise about one-half (respectively 45 and 48 per cent) of the total number of relatives and intimates who were tuber culous not only within five years of the decedent’s death from tuberculosis, but at any period preceding that death. Parents, on the other hand, comprise but about one-sixth of the total tuber culous kindred of tuberculous decedents. Generally speaking, females are more numerous than males among the tuberculous kindred. Among the tuberculous kindred of tuber culous decedents, total females outnumber total males in every classification shown in the above table, while among the tubercu lous kindred of nontuberculous decedents, they outnumber males in four out of the six groups. This predominance of female tuberculous kindred quite agrees with the probabilities, because females with tuberculosis would seem more likely than males to remain within the house, and thus become disseminators of infection to child members of the family, especially to little girls. Girls probably play indoors more than boys do, and thus more frequently than boys may be infected by mothers and aunts. Daughters of tuberculous decedents aged 45 to 64 years, rather more commonly than sons, are seen to have been tuberculous before their parents died, though this female excess is small, and may in part be attributable to the general preponderance of females in the Fall River population generally. Whatever be the explanation, the sisters of decedents aged 15 to 44 comprised more than three-fifths (61 per cent) of the 280 sisters 160 CHAP. IV.— CAUSES CONTRIBUTORY TO EARLY DEATH. and brothers who had been tuberculous within five years of the death of decedents from tuberculosis, and but slightly over one-half (56 per cent) of those 115 brothers and sisters whose tuberculosis was remote from the decedent’s tuberculous death by more than, five years. Not improbably the first-mentioned kindred were about the same ages as their tuberculous brother and sister decedents, whereas the second class more probably were not. If this be true the infection of the decedent and of the tuberculous brothers and sisters from a common household source during infancy and early childhood would seem to be rather strongly suggested, and the “ volume of infective bacilli” theory of accounting for tuberculous fatalities among adults would seem thereby to be correspondingly discredited. In the absence of more “ tuberculous kindred” data, especially concerning tuberculosis in both husbands and wives, not much more can be said in summary upon infectivity of tuberculous kindred than that they are very much more commonly an accompanying cir cumstance of tuberculous than of nontuberculous deaths, and that such kindred are more commonly females than males. UNHYGIENIC CO N D ITIO N OF D EC ED EN T S’ D W ELLIN G S. The subject of hygiene of dwellings is the only one considered in this study that rests upon the judgment of the investigator. The standard is arbitrary and indefinable, not being founded upon any system of numerical aggregates or percentage ratings; but these data as to hygiene do possess the advantage of being estimates made by the same individual, and hence the point of view is always essentially the same. The factor of hygiene of dwellings can not, of course, be isolated absolutely, nor can we always be sure whether, bad hygiene is the cause or the ultimate manifestation of other phenomena, as for example of tuberculosis. CONDITIONS AMONG FEMALE WAGE EARNERS. Before taking up the subject of hygiene of dwellings among the whole group of decedents, some attention may be given to the female wage earners of whom a special study was made. The study included all the female decedents aged 15 to 44 who had been wage earn ers, numbering 600. Of these, however, 70 had not lived at home, and they are therefore omitted from the following table, which deals only with those living in the dwellings whose hygienic condi tion is estimated. For the 530 who had lived at home the table shows the relation between hygiene of dwelling and average length of life, by age, cause of death, conjugal condition, and occupation, while for the 435 who were operatives the relation is shown also by racial division. 161 UNHYGIENIC CONDITION OF DECEDENTS ’ DWELLINGS. R E L A T IO N B E T W E E N H Y G IE N IC C O N D IT IO N OF D W E L L IN G S A N D A V E R A G E L E N G T H O F L IF E O F D E C E D E N T F E M A L E W A G E E A R N E R S , IN A G E G R O U P 15 TO 44, 1908 TO 1912. Hygienic condition sat isfactory. Age, conjugal condition, race, and cause of death. N um ber. AGE GROUPS. 15 to 24 years: Tuberculous..................................................................... N ontuberculous............................................................... 25 to 34 years: Tuberculous..................................................................... N ontuberculous............................................................... 35 to 44 years: Tuberculous..................................................................... N ontuberculous............................................................... Per cent. Hygienic condition un satisfactory. Aver age length Num ber. of life (years). Aver Per cent. age length of life (years). 51 28 46 40 20.8 20.4 59 42 54 60 20.2 19.8 28 66 39 48 29.1 29.3 44 71 61 52 29.4 29.7 17 67 47 64 39.1 39.4 19 38 53 36 39.0 39.8 Total, 15 to 44 years: Tuberculous..................................................................... N ontuberculous............................................................. 96 161 44 52 26.5 31.9 122 151 56 48 26.5 29.5 A ll causes...................................................................... 257 48 29.9 273 52 28.1 CONJUGAL CONDITION. Single............................................ ........................................... Married.................................................................... ............... 109 148 61 42 26.7 32.3 71 202 3d 58 22.3 30.1 OCCUPATION. Operatives: R aee:# Irish, and French Canadian................................. Others........................................................................ Certified cause of death: Tuberculous............................................................. Nontuberculous........................................................ 122 79 51 41 30.7 28.0 119 115 49 59 30.5 25.7 81 120 42 49 26.8 31.6 111 123 58 51 26.8 30.5 Total, operatives................................................. N onoperatives........................................................................ 201 56 46 59 29.7 30.8 234 39 54 41 28.1 28.2 Grand total.................................................................. 257 48 29.9 273 52 28.1 It appears from the table that one-half (52 per cent) of this group of female wage earners had died in abodes judged hygienically unsatis factory, and that the proportion having died in such abodes is (1) materially higher among operatives than among nonoperatives; (2) much higher among the married than among the single; and (3) ex cept in age group 15 to 24, higher among the tuberculous than among the nontuberculous. In other words, the classes which show the higher death rates show also the higher proportions who lived in un hygienic dwellings. To this general rule there is one exception. It will be remembered that the Irish and the French Canadian operatives have a much higher death rate than the aggregate operatives of other races, yet the latter group have amuch higher proportion of their deaths from all causes associated with bad housing conditions than is the case with the combined Irish and French Canadians. This exception is probably due to the situation among the Portuguese and aOther races/' These, it will be remembered, comprise together more than one-half— 53 per cent— of all the non-Irish, non-French Canadian female op8 8 2 0 4 0— 19— B u ll. 2 5 1 -------- 11 162 CHAP. IV.---- CAUSES CONTRIBUTORY TO EARLY DEATH. eratives. They are for the most part recent immigrants, and are apt to be crowded together in the cheapest and poorest buildings the com munity offers, and therefore obviously the majority of deaths occurring among them would take place in unsatisfactory surroundings. Another point of interest is the average length of life in relation to housing conditions. In general, the decedents who had lived in hygienic dwellings averaged an appreciably longer lease of life than those whose housing hygiene was poor. This is not invariably the case; age group 25 to 34 presents an exception, and so, among those dying from nontuberculous causes, does age group 35 to 44, while in the total group, ages 15 to 44, the two classes show exactly the same length of life among those dying from tuberculosis. How ever, in the cases in which the decedents dying in unhygienic dwellings had the longer lives their excess is very slight, only once reaching as much as half a year, while in the other cases the decedents dying in hygienic dwellings had lived from one-tenth of a year to 4.4 years longer than the decedents of the same classes from unhygienic dwell ings. It is impossible, of course, to say what part of this difference can be ascribed to hygiene of dwelling. But the general correlation, first of highest death hazard with highest proportion of decedents who had been unhygienic ally housed, and second of hygienic housing with greatest average length of life, at least justifies the conclusion that among female wage earners in age group 15 to 44 unhygienic housing is a contributory cause of early death, and probably one of consider able importance. CONDITIONS AMONG TOTAL DECEDENTS. Turning to the subject of hygiene of dwellings among the total de cedents of the 5-year period, Tables 38 to 42 give the facts in much detail. For the purposes of the present chapter the following sum mary may prove useful:1 P E R C E N T O F D E C E D E N T S A G E D 15 TO 64, O F E A C H S P E C IF IE D CLASS, W H O L A S T L IV E D IN A B O D E S J U D G E D U N S A T IS F A C T O R Y H Y G IE N IC A L L Y , 1908 TO 1912. Females. Males. Age and cause of death. Both sexes. Non NonB oth Oper op B oth B oth Oper NonOper oper er operatives. atives. classes. atives. atives. classes. atives. atives. classes. 15 to 64 years: Tuberculous............................ N ontuberculous........................... 62 44 A ll causes.................................. 15 to 44 years....................................... 45 to 64 years....................................... 47 31 53 35 56 50 42 34 50 38 59 47 45 33 52 37 50 35 40 52 35 41 51 35 41 55 42 38 32 45 35 53 50 41 32 47 35 54 45 39 32 46 35 i The total number of decedents aged 15 to 64 was 3,563. Concerning the apartments of 65, or approxi m ately 2 per cent of these, no report is made. UNHYGIENIC CONDITION OF DECEDENTS’ DWELLINGS. 163 P E R C E N T O F D E C E D E N T S A G E D 15 TO 64, O F E A C H S P E C IF IE D C L A S S , W H O L A S T L IV E D IN A B O D E S J U D G E D U N S A T IS F A C T O R Y fH Y G IE N IC A L L Y , 1908 T O 1912—Concluded. French Canadian. Other races. Portu guese. A ll races. Age, sex, occupation, and cause of death. Ameri can. 15 to 44 years: Males............................................. Fem ales......................................... 20 20 27 24 36 39 42 44 92 83 65 75 40 41 Operatives.................................... Nonoperatives............................. 35 17 32 22 44 35 52 38 92 81 91 61 51 35 Tuberculous................................. Nontuberculous.......................... 29 17 29 25 53 33 49 40 89 86 90 63 52 37 A ll classes and all causes.................. 15 to 44 years....................................... 45 to 64 years....................................... 20 24 16 26 24 27 37 40 35 43 46 39 87 90 81 70 83 42 41 46 35 English. Irish. D E A T H R A T E S P E R 1,000 P O P U L A T IO N , IN A G E G R O U P 15 TO 64. Age-adjusted rates. Males. Age and cause of death. Females. Both sexes. NonBoth Oper NonBoth Oper NonB oth Oper oper classes. atives. oper classes. atives. oper classes. atives. atives. atives. atives. 15 to 64 years: Tuberculous................................. N ontuberculous.......................... 2.51 4.70 1.70 4.82 2.00 4.79 3.24 6.79 1.39 4.43 2.10 5.02 2.93 5.49 1.52 4.63 2.05 4.91 A ll causes.................................. 7.21 6.52 6. 79 10.03 5.82 7.12 8.42 6.15 6.96 15 to 44 years........................................ 5.57 45 to 64 years........................................ 17.90 4.82 17.58 5.13 17.56 7.67 25.38 4.21 16.32 5. 53 17. 45 6.60 20. 25 4. 51 16.85 5. 35 17.50 2.93 5.49 1.68 7. 42 2.12 6.74 Crude rates. i 15 to 64 years: Tuberculous................................. N ontuberculous.......................... 2.65 5.50 1.94 7.13 2.19 6.55 3.20 5.48 1.45 7.68 2.05 6.92 All causes.................................. 8.15 9.07 8. 74 8.68 9.13 8.97 8.42 9.10 8.86 15 to 44 years........................................ 5. 81 45 to 64 years........................................ 18.53 5. 56 20.15 5.65 19.67 7.28 23.81 5.14 18. 87 6.00 19.52 6.60 20.25 5.34 19.41 5.84 19.59 In these tables, as in the table concerning female wage-earning de cedents (see p. 161), there is a general correlation between a high death rate and a high proportion dying in unhygienic dwellings. As between the sexes, there is little difference in either of these respects. Comparing the decedents by their industrial classifica tion, operatives invariably exceed nonoperatives both in death rate and in proportion of decedents unhygienically housed. Comparing them by cause of death, the tuberculous invariably lead in the pro portion from dwellings of unsatisfactory hygiene. A comparison by race shows the same exception noted on page 161: The Irish and the French Canadians, though leading in death rates, are exceeded by the Portuguese and “ Other races ” in the proportion from insani tary dwellings. As suggested before, this is probably due to the 164 CHAP. IV.— -CAUSES CONTRIBUTORY TO EARLY DEATH. fact that these latter races, as the most recent immigrants, are crowded into the poorest and cheapest tenements of the city, and that there fore their deaths of necessity occur for the most part in unsatisfactory surroundings. SPECIFIC UNDESIRABLE CONDITIONS. The hygienic condition of a dwelling depends upon a number of factors. The amount of direct sunlight it receives, its possibilities in the way of ventilation, its water supply and toilet accommoda tions, its freedom from flies and vermin, its degree of overcrowding or freedom from crowding— these are only some of the items which determine its general sanitary condition. It is not possible to take up all of these items separately, but the data concerning three important factors— amount of direct sunlight, location of toilets, and degree of crowding— have been abstracted from Tables 39 and 40, in which they are treated in detail, and brought together in the follow ing summary table: P E R C E N T OF D E C E D E N T S A G E D 15 TO 64,i OF E A C H S P E C IF IE D CLASS, W H O HAD D IE D IN D W E L L IN G S C H A R A C T E R IZ E D BY S P E C IF IE D FEATURE, A V E R A G E N U M B E R O F P E R S O N S P E R R O O M A N D R OOM S P E R P E R S O N , A N D A G E -A D JU S T E D D E A T H R A T E S , 1908 TO 1912. Per cent whose living room had less than four hours of sunshine. Females. Males. B oth sexes. NonNonBoth Oper oper Both Oper oper Oper NonB oth atives. atives. classes. atives. atives. classes. atives. oper classes. atives. Cause of death. Tuberculous......................................... N ontuberculous.................................. 26 22 25 18 25 19 30 23 26 19 28 20 28 22 25 18 26 19 All causes.................................. 24 20 21 26 20 22 24 19 21 Per cent having toilet located outside of apartment. Tuberculous........................................ N ontuberculous.................................. 48 37 37 29 42 31 35 47 32 30 34 34 41 42 35 29 38 33 All causes.................................. 40 31 34 42 30 34 41 30 34 Average number of persons per room. Tuberculous........................................ N ontuberculous.................................. 1.29 1.08 1.06 .88 1.16 .94 1.15 1.03 0.99 .89 1.07 .93 1.21 1.06 1.03 .89 1.12 .93 A ll causes.................................. 1.15 .92 .99 1.08 .91 .96 1.11 .91 .98 Average number of rooms per person. Tuberculous........................................ Nontuberculous.................................. 0.77 .92 0. 94 1.14 0. 86 1.06 0.87 .97 1.01 1.12 0. 93 1.08 0.82 .94 0. 97 1.12 0.89 1.08 All causes.................................. .87 1.09 1.01 .92 1.10 1.04 .90 1.10 1.02 Age-adjusted death rates, total population, ages 15 to 64. Tuberculous......................................... Nontuberculous.................................. All causes.................................. 2.51 4. 70 1.70 4.82 7.21 | 6.52 3.24 6. 79 1.39 4.43 2.10 5.02 2.93 5.49 1.52 4.63 2.05 4.91 6. 79 j 10.03 5. 82 7.12 8. 42 6.15 6.96 2.00 4.79 i The study covers 3,563 decedents aged 15 to 64. The number of cases in which no report was obtained concerning a specified item was as follows: Less than four hours sunshine, 78, or approxim ately 2 per cent. Toilet location, 75, or approxim ately 2 per cent. Crowding, 126, or approximately 4 per cent. UNHYGIENIC CONDITION OF DECEDENTS* DWELLINGS. 165 Taking up first the item of insufficient sunlight in living rooms, it appears that without exception a larger proportion of the tuberculous than of the nontuberculous decedents came from dwellings having less than four hours of sunshine daily, and the same holds true of operatives as compared with nonoperatives. Also, females as com pared with males show the larger proportion from such dwellings. In other words, in each case the higher death hazard coincides with the higher proportion from dwellings having insufficient sunlight. When subclasses are compared the coincidence does not invariably appear, but in the main classes it is sufficiently common to lend weight to the opinion that scanty sunlight in living rooms conduces in some degree to shortened life. Toilet location outside of apartment.— The location of a toilet out side of a dwelling in a corridor, basement, or yard makes resort to it less convenient and increases the difficulty of keeping it clean and in sanitary condition. When, as is often the case with outside toilets, its use is shared by several families, both of these objections are strengthened, and others are added. In itself, therefore, the outside location of a toilet is undesirable from a hygienic standpoint, but in addition such a location is apt to indicate that the house is of the older type and built with less regard to the requirements of health than houses in which the dwellings are self-contained. As in the case of the insufficiently sun-lighted apartments, operative decedents invariably show a higher percentage coming from dwellings with the toilet located outside than prevails among nonoperative decedents, and in general tuberculous decedents lead the non tuberculous in this percentage. The following table shows the racial differences in this respect: P E R CEN T OF D E C E D E N T S W H O S E A P A R T M E N T S H A D O U T SID E T O IL E T S , B Y R A C E . Classified group. NonIrish. Irish. A m eri can. Eng lish. French PortuCana dian. . guese. Other races. A ll races. M a les...-.................................... Females...................................... 32 30 40 43 31 28 34 28 23 22 49 46 33 44 35 34 Operatives................................. Nonoperatives........................... 38 27 53 37 32 29 38 26 28 20 54 41 50 34 41 30 Tuberculous.............................. N ontuberculous........................ 33 30 50 39 34 28 35 30 26 22 43 49 45 36 38 33 A ll causes................................... 31 42 29 31 23 47 38 34 In every race the proportion of decedents from houses character ized by an outside location of the toilet is larger among operatives than among nonoperatives, and except among the Portuguese is larger among those dying from tuberculosis than among the non tuberculous. The races show considerable variation in this par ticular. The Portuguese, probably for the reasons given earlier, 166 C H A P . IY .-----CAUSES CO N TR IB U TO R Y TO E ARLY D E A T H . show the highest percentages from houses with the toilet located out side. A more suggestive fact, however, is the very high percentage (42) of all Irish decedents from dwellings of this kind. As noted in the earlier study,1 these percentages of the Irish are much higher than those of any other race, except races of very recent immigration like the Portuguese. How much more common residence in this old type of dwelling in the years 1905 to 1907 was among the 548 female Irish decedents (8 per cent unreported) than among the 1,022 female decedents of Fall River of aggregate non-Irish races (9 per cent unreported), the following shows: P E R CEN T OF S P E C IF IE D F E M A L E D E C E D E N T S 10 Y E A R S A N D O V E R (1905 T O 1907) H A V IN G B A S E M E N T L O C A T IO N OF T O IL E T . Race. Non-Irish............. Irish...................... j .....................1 .....................! i Operatives. 14 48 Nonoperatives. 20 31 Both classes. 19 34 Overcrowding.—Overcrowding is rather an indefinite term. For census purposes the English definition counts a tenement as over crowded when it contains more than two adults to a room, two chil dren under 12 being considered equal to one adult. In this country it is more common to consider that anything over one and one-half persons per room constitutes overcrowding. The laws, however, generally do not attempt to fix the number of persons who may be housed in a given number of rooms, but content themselves with prescribing a specified amount of cubic air space per occupant. It has not been practicable in this study to go into the subject of crowding in such detail as this, but the table on page 164 shows the average number of persons per room and the average number of rooms per occupant for decedents of the specified classes. It will be noticed that operative decedents of each sex and from each cause of death show a higher degree of crowding in their last dwellings than do the non operatives; also, tuberculous decedents invariably show a larger number of persons per room than do the nontuberculous. As between the sexes, however, the coincidence between higher death hazard and greater degree of crowding does not hold, each sex seeming to 1 R ep orton Condition of W om an and Child W ageE am ers in th e U nited States, V ol. X I V (S. D o c .N o .645, 61st Cong., 2d sess.), p. 156, as follows: “ The operative Irish of our decedentperiod, though scattered throughout th e city,largely still evinced an apparent reluctance to quit the im m ediate neighborhood of the mills in the central section, where a not very uncom m on typ e o f dwelling was a wooden, tw o-story, four-apartment building, often in ill repair, its three low-studded rooms—one large three-window living room and tw o bedroom s (a one-window and a tw o-w indow )—usually housing a fam ily of from three to five. In such apartments culinary and other household conveniences, notably gas stoves, were not unusually conspicuous b y their absence. Moreover, the com m on toilet, sometimes befouled or even unflushable, was usually located in the basement, or, in the larger dwellings, occasionally was of! the hall in a closet frequently unUghted, or d im ly lighted only through an aperture in the closet door. * * * ” 167 U N H Y G IE N IC CO N D ITIO N OF D E C E D E N T S' D W E L L IN G S. be a rule to itself. Table 39 shows that in the number of persons per room the Portuguese led, followed in order by the “ Other races/’ the French Canadian, the Irish, the English, and the Americans. In other words, the degree of crowding is proportional to the recency of ingress to the country. Average per capita rent.—Rent can not in itself be called a hygienic condition, yet it is to some degree an index of the hygienic condition of the dwellings for which it is paid. In the case of 660, or 19 per cent of the total 3,563 decedents aged 15 to 64, the dwelling was owned by a member of the decedent’s immediate family. In 137 additional cases (4 per cent) the rent of the dwelling was not reported. For the remaining 2,766 decedents the figures in the following table show the average per capita rent paid. A V E R A G E A N N U A L R E N T P A ID P E R C A P IT A . Males. Cause of death. Tuberculous......................................... N ontuberculous.................................. A ll causes............................................. Females. B oth sexes. Oper NonOper NonBoth Both Oper N onBoth atives. oper classes. atives. oper classes. atives. oper- classes. atives. atives. atives. $18 21 20 ! ! $22 27 $20 25 $20 22 $24 26 $22 25 $19 22 $23 27 $21 25 26 23 21 26 24 21 26 24 Without exception, operative decedents had paid a lower rent than nonoperative, and tuberculous decedents than nontuberculous. This agreement with the showing of the preceding tables in respect to various items going to make up an unsatisfactory condition in re spect to hygiene seems to indicate that in this case the rent paid is rather a reliable index to the general condition of the building for which it is paid. Also, since ordinarily people insist upon living under as favorable conditions as they can afford, rent is, roughly, an index of their economic condition. A study of Table 41 shows that the rent paid is closely associated with the degree of crowding, the Portuguese averaging the lowest per capita rent—$16—of all the races, the “ Other races” coming next, then the French Canadi ans, Irish, English, and Americans. In general the races paid rent that was low directly in proportion to the recency of their immigra tion. The average rent of $2 per month per member of the decedent’s family is identical with the findings of the previous study concern ing all female decedents aged 10 years and over.1 i Report on Condition of W om an and Child Wage Earners in the United States, Vol. X I V (S. Doc. No, 645, 61st Cong., 2d sess.), p. 159. 168 C H A P . IV .— CAUSES C O N TR IBU TO RY TO EARLY D E A TH . SUMMARY OF UNHYGIENIC CONDITIONS. Very generally, except for the races of most recent entry into the country, the race and occupation classes which are shown to have been most liable to die from tuberculosis and from all nontuberculous causes are the very classes of which high percentages of the de cedents lived in dwellings hygienically unsatisfactory. Furthermore, the dwelling factors of (1) scanty sunlight in living room, (2) location of toilet outside of apartment, (3) overcrowding, and (4) low rent, in the main are accordant with this high percentage of homes adjudged unsuitable, and with a demonstrably high hazard of dying at a presenile age and especially from tuberculosis. These coincidences in varying degrees suggest contributory par ticipation in cutting off lives prematurely. LO W IN C O M E . It is probably safe to assume a very considerable degree of accu racy in informant relatives’ memory of so important an economic item as the number of family members who were working at the time their decedent family wage earner relinquished work before death occurred; and at least a fair degree of accuracy concerning the usual amount each such family wage earner was receiving weekly; because all deaths of the years 1911 and 1912 were investigated almost im mediately upon the close of each of those years, and data respecting the deaths of age group 15 to 44 for the three other years were gath ered on the average within two years from their occurrence. Rather convincing confirmatory indication of the tolerably close approximation of the income data cited to the actual income facts exists in the constancy of accord of the cited income figures with cor related data that are known to be obtainable with essential ac curacy. Thus very little difficulty was experienced in learning the actual rent of any apartment from the informant relative, or in confirming that information from other sources. It proved to be an item knowledge of which pervaded very generally the whole section in which decedent’s apartment was located, and there was encountered practically no hesitation in any informant’s imparting data as to rent. The presumption is common that rent is an important index of a family’s economic status. Furthermore, in manufacturing cities cer tainly, a rule generally applicable is, that the lower the rent the more liable is the hygienic condition of the apartment to be unsatisfactory. When, therefore, the gathered data respecting rent discloses that, among female decedents of each and every classification comparable in age, those who had lived in apartments unsatisfactory as to hygiene paid a rent without exception from one-sixth (16 per cent) to one- L O W IN C O M E . 169 third (35 per cent) less than the rent paid by 4ecedents whose hous ing was hygienic, then the essential correctness of the investigator’s classification of apartments as to alleged hygienic or unhygienic con dition is thereby rather strongly evidenced or confirmed, and recip rocally the income data also are to a certain degree thereby verified. Of course in summarizing from the tabulated *data respecting low income what evidence exists suggestive that this item conduces to early death, it must be plainly understood that any precise weigh ing or measuring of the income factor in the absence of correlative income data about the population is at present impossible. And yet indirectly, through multiple coincidences among the circum stances known to have characterized a life or class of lives known to have been shortened, a chain of accordances may be disclosed so strong as most plausibly to be explained through the suggestion that their relationship is one of cause in effecting early death. The oftener and more striking a specified factor (as for example low in come) appears among these accompanying circumstances of early death, the greater is its probable weight or malignity in producing the fatal result. Here the reader may be perhaps advantageously reminded that the factors which end life at a specified age must be in aggregate po tency or malignity always the same, since however few or however many those factors may have been they together produced the same fundamental result or catastrophe, the measure of which in any par ticular instance always is the youthfulness of the adult decedent vic tim. If one factor is very prominent (as in death from casualty) the others will be few and proportionately less prominent. B y age.—The younger age group decedents from all causes average considerably the smaller total family income, and much the smaller per capita income-decedent males and females having had a weekly family income respectively of $21 and $20 in age group 15 to 44 years, and $29 and $25 in the total age group 15 to 64 years. The age group 15 to 44 averaged less in per capita income than the total age group— the males by one-third (36 per cent), the females by one-quarter (24 per cent). By certified death cause.—As a circumstance possibly explanatory of fatal tuberculosis, the income, both total and per family member, of 280 families of tuberculous decedents which had each two or more persons, regularly (except for the unimportant class of female oper atives aged 45 to 64 and the female English) was less than the in come of each of 30 corresponding age group, sex, industry, and race classes of the 861 persons who died during the years 1911 and 1912 from nontuberculous causes, except that for two classes of female decedents there was equality of average total income of the tuber 170 C H A P . IV .— CAUSES C O N TR IBU TO RY TO E ARLY D E A TH . culous and nontuberculous, and even in these two classes the income per family member of the tuberculous fell below (by one-sixth) that of the nontuberculous. Furthermore, the lower income of tuberculous decedents is not only general when thus averaged as to the whole family and as to each family member, but also a far larger percentage of all the tuberculous than of all the nontuberculous decedents had had an income per family member lower than $3 per week. This bulking of tuberculous decedents among decedents whose family member in come was less than $3 per week characterizes each specified age, race, and industry classification. It averages 29 per cent, as com pared with the 14 per cent which obtains among the nontuberculous. Of 17 classifications, including totals, in age group 15 to 64, only one tuberculous group (comprising the second fewest decedents) has a smaller concentration in the low (or $3) income class than 20 per cent, and but four a smaller than 28 per cent. On the other hand, the bulking of nontuberculous decedents is at the opposite or high-income end of the scale— there being but four classes that had a greater concentration than 20 per cent of their total within the section characterized by a per capita family income of less than $3 per week, seven classes having had not exceeding 10 per cent of their total decedents possessed of a per capita income so low as $3. In age group 15 to 44 the proportion (31 per cent) of tuberculous decedents thus characterized with having had less than $3 weekly income per member of their famity is one-half higher than the pro portion (20 per cent) of nontuberculous decedents that had an income as low. Furthermore, as respects age group 45 to 64, the proportion the low-income tuberculous form of the total tuberculous at that age (24 per cent) is one and two-thirds greater than the per centage of nontuberculous decedents having the low income of $3 per week per capita (9 per cent). The far greater bulking of tuberculous decedents at the lower end of the income scale in the 15 to 44 age group than in the age group 45 to 64 would seem to indicate that low income is an antilongevity factor, and especially so in connection with tuberculosis. By sex.—Females of most classifications averaged a smaller income than males both as respects total and per capita. But in age group 15 to 44 operative females averaged more than operative males. Respecting this exception to the rule it is to be borne in mind not only that a fair size per capita or total family income may represent through diversions and abstractions (possibly by family member alcoholic addicts) only a small net income available for necessities, but that even that sum may include the wages of a female of the family whose drafting into wage earning helped complete the vicious circle—the less the home comforts, the greater the alcoholic addic L O W IN C O M E . 171 tion, and the more the alcoholic addiction the less the physical and financial ability available to provide the home comforts of com panionship, shelter, good food, and adequate rest. Generally, then, among Fall River decedents of 1911 and 1912, in the age group 15 to 64, females had a lower income than males, both as respects each family member and as to income total, though this rule does not apply to age group 15 to 44, where females exceed males as to this item. Here, however, the larger family gross receipts may not indicate a net better economic status for the family members, since it frequently involves absence from home of the mother home maker. B y race.—The statistical evidence respecting income receipts as explanatory of race differences in death hazard is inconclusive owing doubtless largely to race idiosyncrasies and varying race standards in income expenditure, as well as to variations in gross income incidental to recency of entry into the country. Priority of immigra tion here seems largely to determine priority in income receipts among decedents, but seems not correlatable, either in the same order or regularly in the inverse order, with liability to die before middle life has been attained. Aptitude in income production characterizes Fall River race groups apparently therefore progressively according to length of residence in America, whereas, evidently much of what each race has evolved and learned respecting such an expenditure of a specified income as will surest enable the race group to escape early death, had been experienced prior to advent here. There is found, then, no constant correlation among the several nationalities and peoples between low income and high mortality, the generally higher incomes of the races longest resident in the country being not improbably largely absorbed by the more expensive standards of living they respectively maintain. For example, as regards headdress of women, the latest immigrant races may be satisfied with perennial shawls, whereas among the older immigrant races the annual cost of millinery may represent two or three weeks’ wages. By conjugal condition.—The wage-earning married decedents, who in each subgroup of age group 15 to 44 are demonstrably much more liable to die than are the corresponding single, are also characterized: (1) By somewhat the lower family income, despite the inclusion therein of the decedent’s own wages; (2) by considerably the greater average time devoted to household work outside the wage-earning day; and finally (3) by very much the greater proportion of decedents housed unhygienically. By industry.—Comparing all cotton operative decedent females aged 15 to 44 with all other females as to income, that of the former class was yet the lower despite the inclusion of their own wages, both 172 C H A P . IV .---- CAUSES C O N TR IBU TO RY TO E A RLY D E A TH . as respects total family income and as respects income per family member. This suggests that (1) economic pressure forced the operative decedent into wage earning; and that (2) loss of dece dent’s wages was a material handicap against restoration to health, averaging greater in the case of the operative than in the case of the nonoperative decedent, because the nonoperative’s loss of health did not so invariably involve loss of one of the family wage earners. Likewise, comparing cotton operative females with all other wage-earning nonoperative females similarly within age group 15 to 44, operatives of every group had the smaller income, except in group 15 to 24 where the income of each decedent class was prac tically identical per capita, and except for those lately having lived in unhygienic apartments, who similarly had the same per capita family income, whereas operative female decedents aged 15 to 44 whose late apartments were hygienic had an income per week onefourth less than that of the nonoperative female wage earners whose apartments likewise were hygienic. By unsatisfactory apartment hygiene.—The more than one-half (52 per cent) of the female wage-earning decedents of age group 15 to 44 who were characterized by having last lived in apartments unsatisfactory as to hygiene, were characterized also as compared with the decedents that had been housed hygienically, by their having had about (1) one-quarter the less income; (2) one-fourth the less rent outlay for apartment; (3) one-fifth the greatest prolificacy, and double the average number of infants dying under the age of one year; (4) by one-fifth the greater proportion dying from tuber culosis; and finally (5) by about one-fifth the greater bulking of decedents within age group 15 to 24. YEARS OF C O T T O N -M IL L E M P L O Y M E N T . In the age group (15 to 19 years) which is nearest the wage-earning beginner period, the death rate of operative females (2.68 per 1,000 population) is 33 per cent higher than that of the nonoperative females (2.02). But female operatives within the age group 15 to 44 whose mill employment was even so short as two and three years had an increased death hazard of 42 per cent over that of female operatives employed less than two years; while those whose mill employment lasted 4 and 5 years, and those of 6 to 10 years of mill work, were respectively twice and two and one-half times as liable to die as were operatives of the beginner class (i. e., females of less than two years in cotton mills). Furthermore, within age group 25 to 34, wherein is located onequarter of all female operatives, the women who had worked in cotton mills from 6 to 10 years were only one-half as liable to die as were those who had worked from 11 to 15 years, despite the fact YEARS OF C O T T O N -M IL L E M P L O Y M E N T . 173 that the decedents of the former class (i. e., those of from 6 to 10 years’ work in cotton mills) were slightly older—the average age of the two classes being respectively 27.8 and 27.7 years. The rule that among similarly aged cotton operatives the class which has worked longer in cotton mills is the one the more liable to die holds true without any important exception respecting males of all races and all activities of each sex. On the whole, an entirely warrantable induction from the. data would seem to be that among cotton-mill operatives of similar age the factor of mill work as a contributory cause of death is active commonly according to length of the period of employment in the mill. W O R K AD D ITIO N AL TO W A G E -E A R N IN G D AY. The old adage that “ man works from rise to set of sun but woman’s work is never done” is happily losing point in its present application to man’s work, but it still largely applies to the actual working hours of woman, because the woman wage earner, almost without exception, especially in manufacturing cities, performs household duties that lengthen materially her working day. Obviously, upon such a topic precise and accurate information practically is not obtainable. Under these circumstances no sub division of an hour was recorded, but such daily extra work averaged 2.8 hours for the 814 female wage-earning decedents reported as to this item; 118 were not reported, including 26 domestics. The data, which are based only upon female decedent wage earners aged 15 to 64 years, disclose that the percentage of operatives, both tuberculous and nontuberculous who had worked three hours or more in excess of the wage-earning day, exceeded that of nonoperatives both in age group 45 to 64 and in age group 15 to 44. In age group 15 to 44, data respecting this item of extra labor show as regards 530 nonboarding female wage-earning decedents that the married exceeded by almost one-half (48 per cent) the single, and that the operative exceeded by one-eighth (12 per cent) the nonoperative, in average number of hours each worked daily outside the regular wage-earning day. This factor of extra hours of work of the married operatives as compared with the single operatives may account in great measure for the fact that even with the parturition factor eliminated from the married total death hazard, the death rate of the married operatives is still about double that of the single in age groups 15 to 24 and 25 to 34 years, while in group 35 to 44 the married are about one-half the more liable to die. Since with the parturition factor eliminated * the operative married differ from the operative single of the same age conspicuously as respects this one item of extra hours of house- 174 C H A P . IV .-----CAUSES C O N TR IBU TO RY TO EARLY D E A TH . hold work, a not unreasonable induction is that some part of the great excess in liability of their dying before the age of 45 is due to this single circumstance of more extra work at home. And since this is a factor in causing early death among the married, it may not illogically be presumed to be an antilongevity factor for all wage-earning women. PROLIFICACY. The points brought out most strikingly by the specific death rates computed upon 4,590 married female cotton operatives aged 15 to 44 years, of whom but 6 per cent (262) were unreported as to pro lificacy and 18 per cent had never borne a child at the time of the schedule taking, are— First. Cotton operative mothers under 45 who had lost each a specified number of children less than seven were practically without exception themselves far more liable to die both from tuberculosis and from all nontuberculous causes than were those operative mothers who had each the same corresponding number of children living (their hazard is much greater than could be accounted for on the score of their probably somewhat older age); and that— Second. Cotton operative mothers aged under 45 years who had borne one child Qnly were quite as liable themselves to die, despite their obviously younger average age, as were operative mothers aged 15 to 44 years who had each borne two, three, five, or six children. AVERAGE NUMBER OF OFFSPRING AND PERCENTAGE OF THEM DEAD. The 2,210 decedent parents aged 15 to 64 had had a total of 11,829 offspring, or an average of 5.4 children apiece, of whom 4,519, or 38 per cent, had died before the death of their parents. It is especially noteworthy that decedent mothers and operative parents, but especially operative mothers, were much more liable to have lost a very large percentage of their total offspring, than were decedent fathers and nonoperative parents. The loss by operative mothers of one-half (age-group 15 to 44, 48 per cent; 45 to 64, 50 per cent) of their children suggests as a not unreasonable induction that Fall River decedent operative mothers were in the cotton mill largely through economic stress (high infant mortality being commonly an accompanying circumstance of low economic condition of the family). It also confirms as respects 1908 to 1912 what had been earlier1 deduced, viz, “ However few the chilniren, therefore, motherhood conjoined to cotton-mill work in Fall River constituted a combination of duties that was prejudicial to child life; and conversely, for Fall River female decedent operatives of 1905 to 1907 any extra work outside this mill including the care of i Causes of Death A m ong W om en and Children Cotton Operatives, V ol. X I V , 1912 (S. D oc. N o. 645, 61st Cong., 2d sess.), p. 153. PR O L IFIC A C Y . 175 the children, however few, constituted a seemingly debilitating influence that in the average case, even in the absence of tuberculous infection, was inimical to maternal longevity. ” SHORT INTERVALS BETWEEN PREGNANCIES. The most significant fact developing from the data upon this topic is the rarity of a brief interval between pregnancies of decedents aged 45 to 64— only 5 per cent of them having been characterized by an average interval shorter than 16 months, whereas 27 per cent of the mothers dying aged 15 to 44 years were thus characterized. An interval between pregnancies averaging less than 16 months was also a very common characteristic both of operative and of tubercu lous decedent mothers. A plausible induction from this data is that intervals between pregnancies which for each decedent mother average less than 16 months constitute an antilongevity factor for the mother, especially if the latter be tuberculous or a cotton opera tive. And furthermore that since the lives of the mothers were thus shortened incident to childbearing at brief intervals, the mothers thus characterized (1) bore fewer children and (2) had a larger per cent of their children dead before the latter were one year old than obtained respecting decedent mothers whose average interval between births exceeded 15 months. Respecting prolificacy of Fall River female decedents the following inductions seem abundantly warranted: I. The death of mothers early (1) decreases obviously the number of children that can be born; and (2) lessens the proportion of children that will survive the mother. II. Either (1) cotton-mill work by mothers conduces to a high percentage of children dead; or (2) the very high percentage of children dead among operative mothers themselves dead suggests probable economic stress in the family that may account (a) both for the children’s death, (6) and either the mother’s mill employment before death or (c) very improbably the mother’s death independent of her mill employment. III. Employment in the cotton mill for mothers of child-bearing age, however few are the total children born but especially however few are the children who have died, is generally inimical to the longevity of such operative mothers. IV. Operative mothers of children dead are themselves far more liable to die than are mothers having each the corresponding number of children living. Respecting operative mothers who have borne but one or two children, the mothers with children dead are more than twice as liable themselves to die as the mothers whose children are alive. But— Y. Operative mothers possessing the intelligence, vigor, or past tolerable freedom from economic stress suggested by possession of 176 CHAP* I V — CAUSES C O N TR IBU TO RY TO EARLY D EATH . all the children living from the total one or two childbirths each already had managed themselves to survive, are practically no more liable to die before 45 years of age than are all married operatives who have never borne a child, though probably the childless on the average are the younger class. Hence— VI. (1) Operative employment and (2) the economic stress com monly responsible for the presence of mothers in cotton mills, plus (3) the additional household work outside the mill almost always necessarily to be done by the married operative whether she has children or not, are circumstances seemingly more effective in causing the married woman’s fatal breakdown than is childbearing in strict moderation, especially if success both for mother and for child shall have attended the first birth. POOR HEREDITY. Though husbands or wives or grown children were usually entirely satisfactory informants respecting most circumstances in the per sonal history respectively of decedent wives, or husbands, or parents, they often had no knowledge as to the age of both parents of their decedent relatives, and the percentage of unreported respecting this item of heredity or age of parents is therefore the largest encountered regarding any subject. On the whole the data disclose pretty regularly that the class of decedents who died averaging the younger age corresponds with the class characterized with having had the higher percentage either (1) of both parents dead aged under 50 years, or (2) of one parent either living or, if dead, aged over 49 years, and the other parent dead aged less than 50 years; i. e., corresponds with the class possessing the higher percentage of parents constituting heredity that averaged either obviously poor or only possibly good. A wholly reasonable induction from the data reported is that short-lived parents conduce, somewhat, to short-lived offspring. PR O L IFIC A C Y . 177 CHAPTER V —GENERAL. A M O U N T OF INSURANCE AND COST OF FUNERAL. Of the 3,563 decedents in age group 15 to 64 all but 349 (10 per cent) were reported as to insurance and all but 350 (10 per cent) as to funeral cost. All but 26 per cent of all decedents were insured, the average amount of such insurance being $441 (males $611, females $293). The average funeral cost was $135 for males and $134 for females. Of all the race groups, the Irish had the most expensive funerals ($159), carried next to the lowest insurance ($400), and had the highest proportion (85 per cent) of their decedents insured. The race aggregate styled “ Other races” were the exact opposite to the Irish in their characteristics respectively upon each of these items. Less than one-halt the Portuguese decedents carried insurance, and those insured averaged but $256 each; whereas the Americans carried most insurance, averaging $723 each, and 60 per cent having been insured; their funeral cost, averaging $146, was exceeded only by the English ($148) and the Irish ($159). French Canadians aver aged a funeral cost of $108 and carried each $420 of insurance on the average. Eighty-three per cent of all English decedents carried insurance—many of them however at an astonishingly low rate in a local burial society— the Philanthropic. The State insurance, then only lately (1907) inaugurated, had seemingly in 1908 to 1912 been only slightly availed of despite its comparatively low cost. About two-fifths (39 per cent) of the total insurance of operatives goes to pay funeral expenses. The Irish of all classes spend for funerals the largest percentage (40) of the insurance received of any race group, and the so-called “ Other races” expend the smallest part (15 per cent). It would seem that the insurance policy lure prompts to funeral extravagance, and that the pitiless extortions consequently exacted from the poor by a certain class of undertakers aggravates needlessly the anguish of the bereaved, and calls for indignant protest from the public upon whom, in some instances, the victims immediately thereafter become a charge. PO PU LATIO N , D E A T H S, AND D EATH RATES. The following table shows in detail the population, deaths, and death rates per 1,000 from tuberculous, nontuberculous, and all causes in specified age groups, by conjugal condition, sex, nativity, and occupational groups. The same data are given for operatives by nativity, race, and workroom group. 88204°— 19— Bull. 251------ 12 178 POPULATION, DEATHS,, AND DEATH RATES. P O P U L A T IO N , D E A T H S , A N D D E A T H RATES P E R 1,000 F R O M TUBERCULOU S, JU G A L C O N D IT IO N , S E X , N A T I V IT Y , A N D O C C U P A T IO N A L G R O U P , A N D AGE &ROTJP 15 TO ?A\ POPULATION AND DEATHS. P o p u la tio n . Single. N a t iv it y , race, o ccu p a tio n a l g r o u p , a n d w o rk ro o m group. M ales. M arried. F e F e M ales. m ales. m ales. 10,213 10,345 . 1,52 A l l p e r so n s _______ . ________ _______ _ N a tiv e b o r n ................................................. .. B o th classes. 3,070 M ales. : 11,740 : 562 1 , 1 1 2 505 : 6,6807,067 3,708 965 1,958 4,673 F oreign3,665 b o r n .................................................... N on op erativ es: N a tive b o m ........................................... .......... 4 ,149 F oreign b o r n .............x.................................... 1,546 Fem ales. B oth sexes. 13,415 25,155 7,792 5,623 14,859 10,296 3,031 941 408513 751 1,133 4,557 2,059 3,782 2,074 8,339 4,133 5,695 3,972 921 1,884 6,616 5,856 12,472 O peratives: N ative b o r n . .................... ............. .. 2,356 Foreign b o r n ................................................... , 2,162 3,649 2,724 154 452 361 825 2,510 2,614 4,010 3,549 6,520 6,163 T ota l, o p e r a tiv e s ....................................... ' 4,518 12,683 Total', n o n o p e ra tiv e s............................... I r is h ............................................................ .. N on-Irish— A m ericans an d u n s p e c ifie d ............... E n g lis h ...................................................... P ortu g u ese............................................... F ren ch Canadians— N ative b o m ..................................... F oreig n b o m ................................... 6,373 606 1*186 5,124 7,559 216 459 14 35 230 494 724 1,092 731 1,302 1,486 1,158 1,452 162 60 268 272 151 512 1,254 791 1,570 1,758 1,289 1,964 3,012 2,080 3,534 820 357 1,207 d ll 51 51 124 112 1,331 723 2 ,2 0 2 1,131 236 T o ta l F r e n c h C an adian s......... . 1,177 1,8-18 102 T ota l n o n -I r is h ........................ , 4,. 302 5,914 592 ; 1 , m 600 559 866 576 36 60 I r is h , an d F ren ch Canadians— Card - room an d spin n in g - room w o rk e rs................................................. W ea v e-room w o rk e rs .......................... Spooler-room a n d m iscellaneous w ork ers .............................................. 146 56 871 408 ; 1,279 2,054 3,333 4,894 ; 7,065 11,959 636 619 1 ,0 1 2 632 1,648 1,251 234 835 20 69 254 904 1,158 T ota l,Irish ,a n d F ren ch Canadians 1,393 2,277 116 271 1,509 2,548 4,057 O th er races— C a r d -r o o m an d sp in n in g - r o o m w o rk e rs.................................................. 1,572 W ea ve-room w orkers............................ 1,198 S pooler-room a n d m iscellaneous w ork ers...................... ..................... .. 355 1,785 1,273 273 191 506 241 1,845 1,389 2,291 1,514 4,136 2,903 T o ta l, oth er races............................... A ll races— C ard-room w o rk e rs ............................... S pin n in g-room w o rk e rs ....................... W ea ve-room w o rk e rs .......................... S p coler-room a n d m iscellaneous w ork ers .............................................. T o ta l, all r a c e s ................................... 1,038 26 : 168 381 1,206 1,587 3,125 s rm 490 915 3,615 5,011 8,626 504 1 ,6 6 8 , Ibl 1,040 1,611 1,849 109 200 251 262 390 297 613 1 ,8 6 8 2,008 1,302 2 ,0 0 1 2,146 1,915 3,869 4,154 ■1 589 1,873 46 237 635 2 ,1 1 0 2,745 4,518 6,373 606 1,186 5,124 7,559 12,683 C rb a n w hites o f registration States an d D istrict of C olu m bia (1-911): 2 N a tiv e b o m ..................................................... F oreign b o r n ................................................... 3,170,288 2,525,187 5,695,475 : 750,374 1 69$,686 1,442,060 ; T o t a l . . . . ....................................................... •............. f............. 1 Less than 1 per cent. 3,920,662 3,216,873 7,137,535 179 DEATHS, ETC., BY SPECIFIED AGE GROUPS. NONTUBERCULOUS, AND ALL CAUSES, IN SPECIFIED AGE GROUPS, FOR OPERATIVES, BY NATIVITY, RACE, AND WORKROOM GROUP. BY CON- AGE GROUP 15 TO 24: POPULATION AND DEATHS. Percentage distribution of the total. D eaths (b o th classes). P o p u la tio n . D e a th s (b o t h cla sses). M arried. Single. ; M ales. * F e m ales. B o th sexes. Males. B o th classes. F e F eMales. m ales. m ales. Males. F e m ales. B o th sexes. Males. F e m ales. B o th se x e s. 203 242 445 41 41 6 12 47 53 100 46 54 100 120 83 143 99 263 182 26 15 26 15 2 4 5 7 28 19 31 22 59 41 27 19 32 22 59 41 67 30 48 21 115 51 16 7 12 4 2 2 3 4 18 9 15 8 33 17 15 7 11 4 26 11 97 69 166 23 16 4 7 27 23 50 22 15 37 53 53 95 78 148 131 10 8 14 11 2 2 3 10 10 16 14 26 24 12 12 21 18 33 30 106 173 279 18 25 5 20 30 50 24 39 63 7 14 21 1 2 I 2 3 2 3 5 28 25 20 30 26 40 58 51 60 4 3 5 6 4 6 P> 1 1 2 5 3 6 7 5 8 12 8 14 6 5 5 7 6 9 13 11 14 14 12 39 24 53 36 4 1 4 3 P> (*> 1 4 1 5 3 9 4 3 3 9 5 12 8 0 ) C> 2 0 ) (0 1 26 63 89 5 7 99 159 258 17 23 20 9 40 17 60 26 2 3 3 2 (*> (*) 4 20 24 1 4 (*> 33 77 110 6 9 0 ) 40 27 53 24 93 51 7 4 7 5 1 C1) 1 5 8 13 6 14 20 5 19 28 47 22 36 58 1 2 3 4 2 6 5 5 2 9 4 14 (*) 0) 1 4 5 1 4 5 1 6 10 16 8 17 25 1 1 2 1 8 5 9 6 17 11 9 6 12 5 21 11 2 1 1 6 6 19 25 1 4 5 & 1 5 a 73 96 169 12 16 2 4 14 20 34 16 22 38 15 45 36 37 56 41 52 101 77 2 7 7 4 6 7 (l> 1 1 1 2 1 2 8 8 5 8 8 7 16 16 4 10 8 8 13 9 23 17 f1 ) 12 9 11 2 9 11 20 30 50 24 39 63 17,504 5,659 44 11 36 9 80 20 39 14 37 10 76 24 23,163 55 45 100 53 47 100 10 39 49 2 8 0 > 106 173 279 18 25 2 9,073 3,257 8,431 2,402 12,330 10,833 1 5 2 2 T h ese figures are co m p ile d from th e T h irte e n th Census, V o ls. I, I I, a n d I I I, P o p u la tio n , 1910. I n ascertain ing figures for 1911 th e average y e a rly per c e n t o f increase from 1900 t o 1910, as s h o w n o n p. 32, Y o l. I, w as ad d ed t o th e figures fo r 1910. 180 POPULATION, DEATHS, AND DEATH RATES. POPULATION, DEATHS, AND DEATH RATES PER 1,000 FROM TUBERCULOUS, JUGAL CONDITION, SEX, NATIVITY, AND OCCUPATIONAL GROUP, AND FOR AGE GROUP 15 TO 24: DEATH RATES PE R 1,000. T u b e rcu lo u s. N a t iv it y , race, occu p a tio n a l gro u p , a n d w o rk ro o m grou p. Single. M ales. M arried. F e m ales. M ales. Fe m ales. B o t h classes. M ales. F e m ales. B o th sexes. A ll person s ................................................................................. 1.22 1.84 1.57 3.00 1.26 2.10 1.71 N a tiv e b o m ......................................................... 1 . 17 1.29 2. 00 1.53 1.42 1.66 3. 78 2.55 1.19 1.37 2.26 1.88 1.75 1.65 1.06 .65 1.25 .85 .98 1.56 2.13 .71 1.05 .87 1 43 .77 1.22 .95 1.16 1.30 1.27 1.00 1.20 1.09 1. 36 1. 76 2.63 1.76 2.60 1.77 7.20 5.09 1.43 1.76 3.04 2.54 2.42 1.55 2.26 1.98 5.73 1.60 2. 81 2.32 11.43 3.48 3.64 3.59 2.08 1.52 1.15 2. 27 2. 48 2.04 2.19 2.11 1.64 3. 61 4. 70 2.54 3.89 F o r e ig n h o r n ____ r, . . - T- ______ _________ _____ N on op era tiv es: N a tiv e b o r n ......................................................... T o ta l, n o n o p e ra tiv e s .................................... O peratives: N a tive b o m ......................................................... T ota l, o p e r a tiv e s ........................................... N on-Irish— A m ericans and u n sp e cifie d ................... E n g lish .......................................................... P ortu gu ese................................................... F ren ch Canadians— N a tiv e b o m ......................................... F oreign b o m ....................................... 2.21 3.70 3.05 2 . 01 1.64 1.07 1.89 2.42 1.10 * i. 49 4.41 3.05 4.69 .73 2. 24 2. 98 3. 60 3.92 3.92 9.68 10. 71 .92 2.45 10.17 1.41 3. 99 3.00 1.51 2. 75 2.24 9.59 14.29 2.52 .97 5.34 3.48 4.25 2.24 8.70 1.58 2.65 2.42 10.33 1.72 3.92 3.10 1.41 1.73 2.36 1.85 1.94 1.79 2.47 T ota l, F ren ch C a n a d ia n s ........ .. 1.19 3.19 3. 92 T ota l, n on -Irish .............................. 1.44 2.20 2. 03 Irish , and F ren ch C anadians— C ard-room an d spin n in g-room w o rk ers................................................................ W ea v e-room w ork e rs............................... Spooler-room and m iscellaneous w ork ers...................................................... 2.33 .71 4.62 2.43 5.56 3.33 1.71 2.15 1.58 3.16 3.45 1.52 1.67 1.68 1.26 .74 2.10 T o ta l,Ir is h , and F ren ch Cana dians .............................................. .82 5.56 | O ther races— C ard-room an d spin n in g-room w o rk ers . .................................... W ea v e-room w o rk e rs ............................... S pooler-room an d m iscellaneous w o r k e r s ................................................ 1.13 2.50 7.69 2. 38 1.58 2.49 2.27 T o ta l, other races................................. 1.53 1.76 1.63 4.37 1.55 2.23 1.95 1. 59 1.80 1.37 2 .88 2. 48 3.82 7.18 1.30 1 . 82 3.07 3.40 6.73 1.50 2.33 2.51 2.64 1.93 AH races— Card-room w ork ers................................... Spinning-room w o rk e rs........................... W ea ve-room w o rk e rs............................... Spooler-room and m iscellaneous w ork ers.................................................. T ota l, all ra ces........................................ U rb an w hites o f registration States and D istrict o f Colum bia (1911): N a tiv e b o r n ......................................................... Foreign b o r n ....................................................... T o t a l................................................................... 4.74 4.98 i 1.62 2 .00 2. 39 1.36 2.35 4.35 4.22 1.58 2.56 2.33 1.55 2.26 1.98 5.73 | 1.60 2.81 2. 32 181 DEATHS, ETC., BY SPECIFIED AGE GROUPS. NONTUBERCULOUS, AND ALL CAUSES, IN SPECIFIED AGE GROUPS, BY CONOPERATIVES, BY NATIVITY, RACE, AND WORKROOM GROUP—Continued. AGE GROUP 15 TO 24: DEATH RATES PE R 1,000. N ontuberculous. Single. Males. Married. Fe Fe Males. males. males. A ll causes. Both classes. Single. Fe Both Males. males. sexes. Married. Both classes. Fe Fe Both Males. males. Males. males. Males. Females. sexes. 2.25 1.14 1.84 2.73 2.20 1.51 1.83 3.47 2.98 3.41 5.73 3-46 3.61 3.54 2.21 2.32 1.02 1.36 2.13 2.66 3.78 £. 15 2.21 2.18 1.41 1.64 1.79 1.89 3.38 3 61 3-02 2.89 3-55 332 7.56 4.70 3.40 3-55 3-67 3.52 3-54 3-54 1.83 1.94 •99 1.70 2.45 2.34 1.60 .88 1.89 2.04 1.11 1.25 1.54 1.65 2.89 2.59 2.24 2-55 343 3-90 3.73 1.59 2.94 2.91 2.54 2-02 2.76 2.47 1.86 1.16 2-39 1.17 1.93 1.16 1.57 2.81 2-32 3-69 2.44 2.93 2.36 2.66 2.88 2.59 1.04 1.25 1.30 .88 8.31 0.88 2.79 2.30 1.70 1.86 2.12 2.04 4.24 4.35 *3.67 3.01 3-90 2.65 15.51 8.97 4.22 4.06 4.74 4.40 4.54 4.25 .99 2.97 2.74 1.13 2.78 1.31 5.23 2.54 1.77 2.08 4.29 3.39 11.43 2.61 ?, 03 2.21 6.48 4.36 2.75 4.65 1.54 .94 1.21 "6 '6 7 * 1.24 .75 2.21 4.58 4.29 2.39 4.80 1.40 1.14 1.55 2.03 1.66 2.79 1.76 4.76 6.29 2.61 2.83 3.63 2.34 2.44 3.92 1.00 ........... 1.31 14.52 5.36 2.29 343 2.25 1.94 2.27 2.48 3.17 6.16 3.98 4.91 2.89 1.10 ........... 10.17 2.66 2.14 2.34 4.08 2.74 1.11 1.01 5.04 2.54 1.75 2.07 4.18 4.00 2.15 1.38 .70 9.59 14.28 377 1.94 2.57 1.90 3.03 1.92 6.33 2.86 6.00 3.13 1.71 1.20 8.69 1.57 1.77 1.73 3.42 3.35 2.87 1.14 10.33 2.65 2.12 2.32 4.45 4.30 3.31 2.17 1.68 .78 .73 2.09 4.35 4.15 2.93 2.16 2.27 1.32 2.56 1.72 4.83 3.84 3.36 2.04 10.96 4.14 4.58 4.40 22.86 6.09 5.67 5.80 2.47 6.67 2.24 6.62 7.63 8.98 4.47 6.32 2.55 3.41 4.03 4.07 3.85 4.90 3-40 3-92 3-92 24.19 16.07 3-21 5.88 5.86 6.64 4.81 6.37 4.29 3-92 20.34 4.07 6.13 5.34 3.31 3-04 10.60 4.05 4.50 4.31 5.56 3-33 19.18 28.57 6.29 2.91 7.91 5.38 7.28 4.16 17.39 3.15 4.42 4.15 3-45 20.66 4.37 6.04 5.42 1.47 4.19 9.09 9.13 4.34 3.89 4.63 3.17 4.50 3-51 1.69 .58 1.19 1.57 .66 .88 2.82 3.08 7.69 3.57 3-15 3.15 3.15 2.69 1.12 1.23 3.72 2.49 1.60 1.97 4.22 2.88 2.86 8.09 4.04 3.83 3.92 4.36 3.24 2.16 2.31 1.12 .76 1.00 1.59 3.81 6.67 6.06 3.59 3.00 2.09 2.61 2.20 1.49 2.92 2.58 1.78 5.95 5.04 3.53 5.19 3.60 2.38 3.00 3.98 7.63 13.85 12.79 4.89 4.82 3.59 5.68 5-60 3-82 5.43 5.22 3.71 .85 ........... 3.37 1.57 1.14 1.24 3.06 3.20 4.35 7-59 3.15 3.70 3.57 5.23 2.54 1.77 2.08 4.29 3.39 2.97 10.96 4.14 4.58 4.40 2.86 4.34 3-34 3-47 3.07 3.92 3.14 3.37 j 3.25 1.70 2.74 1.13 .99 POPULATION, DEATHS, AND DEATH BATES. 182 POPULATION, DEATHS, AND DEATH RATES PER 1,000 FROM TUBERCULOUS, JUGAL CONDITION, SEX, NATIVITY, AND OCCUPATIONAL GROUP, AND FOR AGE GROUP 15 TO 24: PERCENTAGE COMPARISON OF DEATH RATES, Per cent b y which death rates exceeded ( + ) or fell beiovr ( —) rate for all persons. Tuberculous. Nativity, race, occupational group, and work room group-. Married. Males. - All persons............ 25 - 38 44 Total, nonoperatives. Operatives: N ative b o m .. Foreign born. Males. + + 17 - 11 - 27 50 - 32 3 Total, operatives. Fe males. + 32 - 17 3 - 30 20 + 25 - 39 49 - 42 - 58 24 + 52 + 4 +321 +198 + +235 16 + 78 + 18 4 - 37 + 11 + 42 - 36 - 57 + 31 + 74 + 111 + 129 + 129 Total, French Canadians. + 87 + 129 +495 Total, non-Irish.................. + 29 + 19 +225 +170 + 42 +225 + 95 +461 +736 F ren ch C anadians— N ative b orn ..................... Foreign b orn ................... Irish, and French Canadians— Card - room and spinning - room workers............................................... Weave-room workers.......................... . Spooler-room and miscellaneous workers............................................... + 36 - 58 - 11 2 - 7 + 5 - 20 - 20 - 36 + 41 + 29 + 64 +568 +104 +113 +110 +158 + 78 +174 + 22 - 11 - 33 + 33 + 45 + 19 + 28 + 23 4 +466 +526 - 46 + 43 + 111 + 175 + 49 + 127 + 133 + 75 + 31 + 47 - 43 +212 + 104 + 149 + 31 +409 + 55 + 42 +504 + 129 + 81 - 2 26 - 57 + 23 +177 +191 + 38 + 8' + 13 + 5 +350 + 39 + 46 33 + 3 - 5 +156 30 + 14 + 68 + 45 5 + 17 + 40 +123 +320 + 294 - 24 + 6 - 12 + 80 + 99 + 36 + 47 + 54 + 13 + 37 +154 +147 - + 50 + 36 + 64 + 36 Urban whites of registration States and Dis trict of Columbia (1911); Native b orn .................................................. Foreign b orn................................................ Total. + 78 + 49 2 4 + 102 + 32 Total, all races. - 16 + 3 + - + 85 34 Total, other races. A ll races— Card-room workers.............................. Spinning-room workers...................... Weave-room workers.......................... . Spooler-room and miscellaneous workers............................................... . ‘- 1 3 + 26 (2) Total, Irish, and French Canadians. Other races— Card - room and spinning - room workers............................................... Weave-room workers.......................... Spooler-room and miscellaneous workers............................................... + 44 Both sexes. + 23 +121 + 49 +116 Irish................................................. Non-Irish— Americans and unspecified. English.................................... Portuguese.............................. Fe males. + 75 29 N ative b o m . . Foreign b orn . Nonoperatives: Native b e a n .. Foreign b o m . Fe males Both classes. 1 Basic death rate. +235 - 18 + 1 8 183 DEATHS, E TC ., BY SPECIFIED AGE GROUPS. NONTUBERCULOUS, AND ALL CAUSES, IN SPECIFIED AGE GROUPS, BY CONOPERATIVES, BY NATIVITY, RACE, AND WORKROOM GROUP—Continued. AGE GROUP 15 TO 24: PERCENTAGE COMPARISON OF D EATH RATES. Per cent b y which, death rates exceeded ( + ) or fell below ( —) rate for all persons. Nontuberculous. Single. Married. All causes. Single. B oth classes. Fe Fe Males. males. Males. males. Fe Males. males. Both sexes. Married. Fe Fe Males. males. Males. males. + 23 -3 8 (2) + 49 + 20 -1 7 1 1 . 83 - 2 -1 6 + 21 + 27 -4 4 -2 6 + 16 +107 + 17 + 21 + 19 -2 3 -1 0 - 2 + 3 - 5 + 2 -1 5 -1 8 - (\ + (2)c 6 -4 6 _ + 34 + 28 - 13 52 + 3 + 11 -3 9 -3 2 -1 6 -1 0 -1 8 -2 7 -3 7 -2 8 + 2 —37 + 31 - 36 + 5 -3 7 -1 4 -2 1 + 57 + 42 -4 3 -2 2 - 29 52 +354 +112 + 52 + 26 - 7 + 2 + 16 + 11 - 46 - 9 Both classes. Males. + 62 - + 2 13.54 +114 + 33 - 4 , + (2) 4 ± 0 db o 3 + 10 + 5 - 55 -1 7 -1 8 - 28 43 - 22 30 -3 4 + 4 - 31 -1 7 - 33 - 25 +20 + 23 + 4 -1 5 + - 10 25 +338 + 153 + 19 + 15 + 34 + 24 + 30 - 16 +210 + 17 + 29 + 24 +546 + 72 + 60 + 64 - 4 2 F e Both males. sexes. 1 + 28 + 50 -3 8 +186 + 39 - 3 + 14 + 21 - + 52 -2 8 +525 + 43 + 11 + 21 + 83 + 23 + 50 +154 - 16 -4 9 -3 4 -3 2 + 21 +150 +134 + 31 + 62 - 23 -3 8 -1 5 - 9 +52 - 4 + 34 + 78 -2 6 -2 0 + 3 -3 4 - 21 + 88 - 37 +177 + 116 + 154 + 26 +79 -2 8 - 4 + 14 + 15 + 9 + 38 4 + 33 +114 -4 5 -2 8 +693 +193 + 25 + 87 +23 +24 + 6 * +35 -1 0 +74 + 12 +39 + 11 + 11 +583 +354 - 9 +66 + 66 + 88 + 36 + 80 + 58 -4 0 + 50 -3 9 +119 + 17 "+264* - 59 + 11 4 +456 + 45 + 17 +28 +15 +21 + 11 +475 + 15 + 73 + 58 +175 + 39 - 4 +13 +18 - - 14 +199 + 14 + 27 + 22 —25 -6 2 +424 +680 +106 + 6 +40 + 4 +66 + 5 + 79 -1 9 +69 —12 + 57 6 +442 +707 i +78 i -1 8 +123 + 52 +106 + 18 - 45 6 7 -3 4 +375 - 14 — 3 — 5 - +391 i -1 1 + 25 + + 57 -3 8 +464 + 45 +16 +27 + 26 +21 — 3 +484 ! +23 + 71 + 53 + 81 + 19 - 8 -5 7 +138 +127 + 60 + 18 +24 -2 8 +40 - 6 + 36 + 8 - 5 -4 2 - 58 + 18 +157 + 158 +23 + 10 + 31 - 10 + 27 1 - - - - - 60 + 14 3 - 5 17 8 —68 14 —64 -5 2 -2 0 -1 3 + 117 + 1 -1 1 - 11 - 11 + 47 -3 9 - 33 +103 + 36 -1 3 + 8 + 19 -1 9 - 19 +129 +14 + 8 + 11 +138 + 77 + 18 +26 -3 9 -5 8 45 13 +108 +264 +231 + 96 - + 64 + 14 +43 +20 -1 9 +60 +41 - 3 +68 + 42 + 12 +116 +291 +261 +38 +36 (2) +47 + 2 -3 3 — 15 - + 60 + 58 + 8 - 7 -5 4 + 84 - -3 8 -3 2 -1 4 -1 0 + 23 +114 -1 1 + + 50 -3 8 +186 + 39 - + 14 + 21 ! + 4 - +210 + 17 + 29 [ -1 9 +23 - 2 + 13 11 i ~ n i - 5 - 8 - 46 35 14 3 i 2 Less than 1 per cent. 16 + 1 5 6 + 53 + 47 + 5 + 1 + 24 POPULATION, DEATHS, AND DEATH RATES. 184 POPULATION, DEATHS, AND DEATH RATES PER 1,000 FROM TUBERCULOUS, JUGAL CONDITION, SEX, NATIVITY, AND OCCUPATIONAL GROUP, AND FOR AGE GROUP 25 TO 34: POPULATION AND DEATHS. Population. N ativity, race, occupational group, and workroom group. Single. A ll persons. N ative b o m . . Foreign born. Nonoperatives: Native b o r n .. Foreign b orn . Males. Fe Fe Males. males, males, 3,172 3,565 6,776 7,277 9,948 10,842 20,790 1,668 1,504 2,050 1,515 2,299 4,477 2,648 4,629 3,967 5,981 4,698 6,144 12,125 1,293 878 1,189 763 1,783 2,532 2,085 3,225 3,076 3,410 3,274 6,350 7,3"" 5,310 6,486 7,262 13,748 563 1,404 891 2,571 1,424 2,156 2,315 4,727 3,580 7,042 Total, nonoperatives. 2,171 Operatives: Native b orn ........... t ___ Foreign b orn ................... 375 626 Total, operatives. 243 188 179 N a tiv e b o r n ...................... Foreign b orn ................. . 516 1,945 Total, non-Irish................. Irish, and French Canadians— Card-room and spinning-room workers............................................ Weave-room workers...................... . Spooler-room and miscellaneous workers........................................... . 139 189 Total, Irish, and French Canadi ans ................................................. 391 Other races— • Card-room and spinning-room workers............ W eave-room workers...................... . Spooler-room and miscellaneous workers..................... ...................... 225 319 Total, other races.. A ll races— Card-room workers.......................... . Spinning-room workers................... Weave-room workers...................... Spooler-room and miscellaneous workers........................................... 2,461 Females. B oth sexes. 585 772 270 325 119 621 376 787 864 564 658 757 607 1,552 1,321 1,573 151 327 158 . 430 251 630 297 676 548 1,306 973 1,854 1,192 2,372 3,275 2,995 6,270 307 263 234 388 326 198 373 577 633 461 1,006 1,0“ '' 329 55 135 118 677 659 1,068 1,558 825 805 512 485 1,050 1,124 708 788 1,758 1,912 526 746 196 303 215 154 311 220 610 714 1,784 1,308 2,394 164 200 508 261 242 566 632 427 1,193 454 384 796 627 1,701 715 626 1,249 1,511 1,253 2,950 3,462 3,580 7,042 129 544 209 446 1,001 1,613 2,461 1,967 Urban whites o f registration States and District of Columbia (1911): 2 Native b o m .............................................. Foreign b o m ............................................. 1,328 1,875,026 1,956,722 3,831,748 1,184,340 1,596,042 2,780,382 3,059,366 3,552,764 Total. Males. 478 Total, French Canadians Total, all ra ces. 752 1,001 Irish ................................................ Non-Irish Americans and unspecified.. E nglish.................................. . Portuguese............................. French Canadians— B oth classes. Married. 1 Less than 1 per cent. >,612,130 185 DEATHS, ETC., BY SPECIFIED AGE GROUPS. NONTUBERCULOUS, AND ALL CAUSES, OPEKATIVES, BY NATIVITY, RACE, AND SPECIFIED AGE GROUPS, BY CONWORKROOM GROUP—Continued. IN AGE GROUP 25 TO 34: POPULATION AND DEATHS. Percentage distribution of the total. Deaths (both cl?isses). Population. Deaths (both classes). Fe males. Males. Both sexes. Both classes. Married. Single. Both Fe Fe Fe Males. Males. males. Males. males. sexes. males. Males. Fe Both males. sexes. 290 374 664 48 52 100 44 56 100 130 160 171 203 301 363 19 29 23 29 42 58 20 24 26 30 46 54 107 81 95 101 202 182 15 16 16 19 31 35 17 12 14 15 31 27 188 196 384 31 35 66 29 29 58 23 79 76 102 99 181 4 13 7 10 11 23 3 12 12 15 15 27 102 178 280 17 17 34 15 j 27 42 9 47 56 1 3 4 1 7 8 20 21 17 22 34 30 42 55 47 4 3 5 3 3 3 7 6 8 3 3 3 4 5 4 8 7 6 29 13 32 19 6i 1 3 2 3 3 6 1 4 2 5 3 35 45 I 80 ........... I............ 4 5 9 5 7 12 93 131 16 14 30 14 20 34 2 2 3 3 5 5 3 3 7 4 10 7 1 2 3 3 3 • .. ! i ..... 1 i i |. . . 224 7 9 1 20 23 44 25 64 48 1 23 24 44 92 136 5 8 13 6 14 20 24 33 35 22 59 55 5 6 4 3 9 9 4 5 5 3 8 i ! * '■ * ! C1) 9 1 29 30 1 2 3 5 5 58 j 86 144 12 9 21 9 13 22 13 31 56 44 35 47 57 66 103 ______ i______ 1 I 4 3 8 4 3 6 8 6 14 2 5 8 7 5 7 9 10 15 1 C1) 2 52 54 2 4 6 8 8 102 178 280 17 17 34 15 27 42 12,074 6, 579 9 818 4,617 21,892 11,196 28 18 30 24 58 42 36 20 30 14 66 34 18,653 14,435 33,088 46 54 100 56 44 100 0 1 * These figures are com piled from the Thirteenth Census, Vols. I, II, and III, Population, 1910. In ascer taining figures for 1911 the average yearly per cent of increase from 1900 to 1910, as shown on p. 32, V ol. I, was added to the figures for 1910. POPULATION, DEATHS, AND DEATH RATES. 186 P O P U L A T IO N , D E A T H S , A N D D E A T H R A T E S P E R 1,000 F R O M T U B E R C U L O U S , JU G A L C O N D IT IO N , S E X , N A T IV IT Y , A N D O C C U P A T IO N A L G R O U P S , A N D F O R A G E G R O U P 25 T O 34: D E A T H R A T E S P E R 1,000. Tuberculous. N ativity, race, occupational group, and workroom group. Single. Males. Married. Fe males. Males. Fe males. B oth classes. Males. Fe males. Both sexes. ......................................................... 3.53 1.63 1.77 2.83 2.33 2.44 2.39 Native b o rn .................................................... Foreign b orn .................................................. 3.48 3.59 1.37 1.98 1.31 2.01 2.95 2.76 2.22 2. 41 2.26 2.57 2.24 2.49 4.02 2.50 1.51 2.10 1.57 1.50 1.82 1.49 2.60 1.76 1.71 1.61 2.14 1.68 3.41 1.74 1.53 1.62 2.16 1.65 1.89 .90 3.27 3.51 4.36 2.50 3.77 A]] persons Nonoperatives: Foreign b orn .................................................. Operatives: 1.60 1.16 7.10 .39 Native b o rn .................................................... 5.11.........................*........................ 1.86 5.70 2.68 Foreign b orn Non-Irish— Americans and. unspecified................. English .............................................. Portuguese .......................................... French Canadians— N ative born ................................. Foreign born .................................. 3.80 1.49 2.19 6.10 2. 66 4.02 3.35 4.08 .95 4.50 19.51 4.28 6.15 5.70 3.29 2.13 1.12 2.96 .64 2.13 2.03 3.61 4.63 4.92 1.39 2.13 1.86 3.35 2.64 3.95 2.23 2. 42 2.67 1.59 6.03 2.69 5.03 2.19 5.51 2.15 9.00 3.67 1.27 4.65 5.48 6.30 Total French Canadians......... 6.82 2.51 3. 74 6.06 4. 77 4.32 4.53 T otal non-Irish.......................... 3.77 1.68 2.11 4.89 2.56 3. 61 3.06 Irish, and French Canadians— Card-room and spinmng-room work ers ......................................................... Weave-room workers ........................ Spooler-room and miscellaneous workers................................................. 7.19 7.41 3 . 26 6.84 2.58 9.20 10.10 6.97 4.16 6.32 4.34 6.56 4.24 3. 88 3.09 Total, Irish, and French Canadians 6.14 3.84 9.41 4.68 5.01 4. 88 Other races— Card-room and spinning-room work ers........................................................... W eave-room workers............................ Spooler-room and miscellaneous workers................................................. 1.78 3.13 1.94 1.49 7.03 1.24 1.90 1.96 5.09 .76 3.18 1.46 4.56 3.22 Total, other races............................... 2.30 1.12 1.57 4.44 1.76 3.27 2. 44 A ll races— Card-room workers................................ Spinning-room workers........................ W eave-room workers............................ Spooler-room and miscellaneous workers................................................. 1.53 7.00 4.73 2.48 1.90 4.68 1.84 9.25 6.25 3.81 1.51 5. 42 2.70 6.43 4.79 2.08 3.84 5.11 2.44 4.24 3.16 Total, all ra ces.................................... 3.80 2.19 6.10 2.66 4.02 3.35 Urban whites of registration States and Dis trict of Columbia (1911): Native b orn .................................................... Foreign b orn .................................................. Total............................................................. 1.82 1.78 8.89 3.72 5.14 2.57 1.49 6.28 DEATHS, ETC .7 BY SPECIFIED AGE GROUPS. 187 NONTUBERCULOUS, AND ALL CAUSES, IN SPECIFIED AGE GROUPS, BY CONOPERATIVES, BY NATIVITY, RACE, AND WORKROOM GROUP—Co&tinfied. AGE GHOUP 25 TO 34: DEATH B A TE S PE R 1,000. A ll causes. Nontuberculous. Married. Single. Fe Fe Males. males. Males. males. Both classes. Males. Single. Married. B oth classes. Fe Both Both Males. Fe Fe Females. Males. males. Males. males. sexes. males. sexes. 5,04. 2.75 2.78 5.31 3.50 4.46 4.00 8.57 4.38 4.55 8.14 5.83 6.90 6.39 5.39 4.65 3.41 1.85 3.57 2.&7 6.19 4.80 . 4.33 2.94 5.02 4.04 4.68 3.51 8.87 8.24 4.78 3,83- 4.88 4.38 9.14 t 6.55 7.56 , 5.35 7.28 6.61 6.92 6.00 5.42 4.56 3.03 1.83 3.59 2.45 4.61 3.91 4.36 2.99' 4.09 3.46 4.19 3.27 9.44 7.06 4.54 3.93 5.16 3.95 6.43 i 6.96 5.46 | 4.75 5.80 5.07 6.33 4.95 5.07 2.56 2.92 4.18 3.64 3.75 3.70 8.48 4.30 4.45 5.80 5.80 5.40 5.5£ 5.33 4.79 3 .% 1.86 3.49 2.26 12.08 6.84 4.26 2.88 7.16 5.10 6.05 3.89 6.93 9.90 5.11 3.72 3.88 4.94 19.18 12.54 5.16 6.15 10.67 9.46 8.55 7.66 4.99 2.97 2.52 8.34 3.23 5.92 4.60 8.79 4.46 4.71 14.44 5.89 9.94 7.95 4.08 5.70 6.74 20.73 5.35 9.92 8.81 8,16 6.65 11.24 40.24 9.63 16.97 14.51 5.76 1 1.48 &51 3.08 2,23 2.26 3.72 1.53 4.69 8.80 7.38 3.24 5.32 1.66 3.34 6.34 5.93 3.29 5.91 3.31 9.05 10.64 3.35 4.44 3.08 2.90 5.85 3.56 8.25 13.43 12.30 4.63 7.45 3.52 6.69 8. 98 9.88 5.52 8.33 5.98 4.30 4.00 3.97 1.22 2.53 2.79 8.22 7.45 6.06 3.19 3.18 ; 4.44 4.74 3.83 6.45 13a00 3.97 4.89 3.80 7.44 13.70 13.75 4.78 9.21 8.75 9.47 6.93 9.34 4.10 2.09 2.72 7.68 3.18 4.93 4.10 10.92 4.60 6.46 13.74 , 7,95 9.25 9.63 5.0$ 2.01 2.36 7.22 z .n : 5.14 4.09 8,86 3.69 4.47 12.11 5.68 8,75 7.15 4.32 4.23 3.25 3”. 80 3.42 3.61 11.66 io. ia 3.75 . 7.58 3.81 6.51 6.16 5.01 11.51 11.64 6.51 10.26 6.19 20.86 20.20 10.72 7.97 13.90 10.85 12.72 9.25 3.17 4.26 10.37 1.69 6.03 5.16 3.17 6.08 19.26 1.69 ■ a 9i 8.25 4.09 3. 78 | 3.25 io . n 3.56 6.80 5.48 10.23 5.56 7.09 20.33 a. 24 11. s i 10.36 5.33 6*27 1.02 1.32 2.67 4.80 3.91 ; 4.82 3.53 4.29 7.11 ; 1.02 1.32 9.40 3.88 4.47 13.28 8.25 4.57 5.87 9.89 5.58 6.71 5.75 3.03 3.72 8.36 .91 6.47 4.82 3.03 7.44 .91 11.03 8.04 5.57 1.96 2.24 7.03 3. ©ft 5.24 4.08 7.87 3.08 3.81 11.47 4.85 | &S-1 6.52 2.44 T.OO 5.51 a. 07 1.65 2.47 1.58 3.28 3.19 7.49 1.76 9.38 ' 4.47 7.9© ' 3 .m 5.88 6.39 5.45 3.70 5.42 4.54 2.44 14.00 10.24 4.60 4.13 2.47 3.48 7.96 5.03 16,74 15.63 11.71 3.27 9.89 6.58 12.31 11.18 7.53 7.5-4 10.53 6.98 3.10 4.05 8.97 1.18 6.27 4.97 3.10 6.62 15.25 1.18 10.51 8.13 4.99 2.9-7 2.52 ! 8.34 3.23 5.92 4.60 ft. 79 4.46 14.44 5.89 9.94 7.95 6.44 5.55 5.02 2.89 5.71 4.03 ; 6.10 4.06 5.00 1.94 2.98 6,25 7.01 3.80 13.50 1 | 1 ~ 4.71 POPULATION, DEATHS, AND DEATH RATES. 188 POPULATION, DEATHS, AND DEATH RATES PER 1,000 FROM TUBERCULOUS, JUGAL CONDITION, SEX, NATIVITY, AND OCCUPATIONAL GROUP, AND FOR AGE GROUP 25 TO 34: PERCENTAGE COMPARISON OF D EATH RA TE S. Percent b y which death rates exceeded ( + ) o r fell below (—) rate for all persons. Tuberculous. Nativity, race, occupational group, and workroom group. Married. Single. Males. A ll persons. Native b o m . . Foreign born. Fe males. Males. Both classes. Fe males. - 26 + 18 - 3 + 2 12.3 — 45 - 16 + 23 + 15 + 7 1 + 5 8 - 6 + 4 - 34 37 - + 9 - 26 _ 28 - 33 - 10 30 + 47 + 82 + 5 + 58 24 38 + 43 -2 7 - 36 32 - 33 + 114 -5 1 -2 2 - 84 + 12 +197 + 138 Total, operatives. + 59 -3 8 - + 71 + 38 Total, French Canadians . Total, non-Irish.................. Irish, and French Canadians— Card-room and spinning-room w ork ers ........................................................ Weave-room workers.......................... Spooler-room and miscellaneous workers............................................... - 11 - 53 - 10 +24 + 155 + 11 +716 + 79 + 167 + 138 - 73 11 15 + 51 + 94 +106 - 42 11 22 + 40 + 10 + 65 7 + 1 + 12 +54 - 47 + 95 +129 +164 - 33 + 152 + 13 + 110 8 + 131 + 185 + 5 + 56 j +154 + 103 + 81 + 90 + 58 -3 0 - + 7 + 51 +201 +210 +36 + 186 ' + 192 + 74 + 164 + 82 + 12 I +105 8 . Total, all races . + 193 + 98 +285 +323 + 110 + 104 + 194 - 48 +113 - 68 33 +56 + 115 + 91 + 35 -53 + 86 + 37 + 2 +169 +100 - 13 + 61 + 114 + 2 + 77 + 32 -26 + 61 -36 + 4 - 21 + 96 - 23 +294 +287 + 162 + 59 + 96 - 37 + 127 + 13 +163 + + 174 - 77 +29 +272 + 31 Total, other races. All races— Card-room workers................................ Spinning-room workers........................ Weave-room workers............................ Spooler-room and miscellaneous workers............................................... + 40 +277 + 157 Other races— Card-room and spinning-room w ork ers .......................................................... Weave-room workers............................ Spooler-room and miscellaneous work ers .......................................................... 59 Urban whites of registration States and District of Columbia (1911): Native b o m .................................................... Foreign born.................................................. Total. 8 + 88 -2 4 Total, Irish, and French Cana* dians................................................ Both sexes. + 46 + 50 Operatives: Native born. Foreign born............ Irish............................................... Non-Irish— American and unspecified. English.................................. Portuguese............................ French Canadians— Native b o m ................... Foreign b orn ................. Fe males. + 48 Nonoperatives: Native b o r n .. Foreign b o m . Total, nonoperatives . Males. i Basic death rate. + 155 + 11 + 40 189 DEATHS, ETC., BY SPECIFIED AGE GROUPS. NONTUBERCULOUS, AN D A L L CAUSES, IN SPECIFIED AGE GROUPS, B Y OPERATIVES, B Y N A T IV IT Y , RACE, AN D W O RK R O O M GROUP—Continued. CON- A G E G R O U P 25 T O 34: P E R C E N T A G E C O M P A R IS O N O F D E A T H R A T E S . Per cent by which death rates exceeded ( + ) or fell below (—) rate for all persons. Nontuberculous. Single. Males. ■All causes. Married. Single. Both classes. Fe Fe males. Males. males. Males. Fe Both males. sexes. + 26 -3 1 -3 0 + 33 -1 2 + 12 14.00 + 35+ 16 -1 5 -5 4 -1 1 -4 1 + 55 + 20 + 8 -2 6 + 26 + 1 + 17 4- 36 + 14 -2 4 -5 4 -1 0 -3 9 + 15 + 9 -2 5 + 2 - 13 + 5 + 27 -3 6 -2 7 + 20 - - + 33 + 20 1 -5 3 -1 3 -4 3 +202 + 72 + 7 -2 8 + 25 -2 6 -3 7 +109 + 2 + 43 + 69 + 44 + 113 - 44 -6 3 -2 3 -4 3 - 7 —62 + 8 + (*) - 1 -6 9 + - Married. Both classes. Fe Fe Males. males. Males. males. Males. Fe Both males, j sexes. + 34 -3 1 -2 9 + 27 - 9 + 8 i 6.39 + 39 + 29 -2 5 -4 0 -2 4 -3 1 + 43 + 18 + 3 -1 6 + 14 + 3 + 8 - 6 + 48 + 10 -2 9 -3 8 -1 9 -3 8 + -1 8 - 1 15 + 9 -2 6 - 9 -2 1 - 1 -2 3 - 7 + 33 -3 3 -3 0 - 9 - 9 -1 5 -1 3 + 79 + 28 +51 - 3 + 8 + 55 -2 0 -5 8 -3 9 -2 3 +200 + 96 -1 9 - 4 +67 +48 +34 -1 9 + 48 + 15 + 38 -3 0 -2 6 + 126 - + 56 + 24 + 418 + 34 + 148 +120 + 28 + 4 + 76 +530 + 51 +151 1 +127 + 16 +120 -1 9 +33 —68 - 16 + 59 + 48 - + 48 + 42 + 67 -3 1 -5 2 + 85 — 17 — 48 -5 5 - 8 —34 + 29 + 110 + 92 -2 8 + 17 -4 5 + 5 + 41 + 55 -3 7 -3 0 +106 + 86 -2 0 -2 0 + 52 + 11 + 19 4 + 1 +103 -3 8 -2 3 -4 1 +26 + 114 +115 -2 5 +44 + 37 + 48 + 8 + 46 - 2 9 -1 2 6 18 8 +20 - 14 + 30 — 6 3 -4 8 -3 2 + 92 -2 0 + 23 + 3 + 71 -2 8 + 1 + 115 +24 + 45 + 35 + 27 -5 0 -4 1 + 81 -2 2 + 29 + 2 + 39 -4 2 -3 0 + 90 -1 1 + 37 + 12 + -1 4 -1 0 +192 +153 - 6 5 + 90 + 63 + 54 + 25 + 80 + 82 + 2 -4 0 +61 - 3 +226 +216 +68 +25 + 118 + 70 + 99 + 45 +159 -5 8 + 51 + 29 - 40 —5 +201 -7 4 + 55 + 29 + 8 6 -1 9 - 5 - 21 + 7 + 2 5 -1 9 +173 -1 1 + 70 + 37 + 60 -1 3 + 11 +218 +29 + 85 + 62 + 33 + 57 -7 4 -6 7 -6 1 -7 5 + 56 + 75 -3 3 - 2 + 20 + 21 - 12 + 7 + 11 + 47 -8 4 -7 9 -3 9 -3 0 + 108 + 29 -2 8 - 8 + 55 - 13 + - - - 5 10 24 — 7 +109 -7 7 + 62 + 21 - 53 + 16 + 111 -8 6 + 73 + 26 + 39 -5 1 -4 4 + 76 -2 3 + 31 + 2 + 23 -5 2 -4 0 + 80 -2 4 + 33 + - -2 3 -5 9 -3 8 -6 0 -1 8 -2 0 + 87 +135 + 98 -5 6 + 12 - 3 + 47 + 60 + 36 - 7 + 38 + 36 + 14 - 62 + 119 + 60 -2 8 -3 5 -6 1 -4 5 + 25 -2 1 +162 + 145 + 83 -4 9 +55 + 3 + 93 + 75 + 28 + 18 + 65 + 9 — 22 + 1 +124 -7 0 + 57 + 24 - 51 + 4 +139 -8 2 + 64 + 27 + 25 -2 6 +109 -1 9 + 48 + 15 + 38 -3 0 + 126 - 8 + 56 + 24 + 1 -1 3 - 21 — 55 - 11 - 37 - - - 22 39 + 75 -3 7 * Less than 1 per cent. -2 6 5 3G 2 P O P U L A T IO N , D EATH S, AN D D E A TH BATES. 190 POPULATION, D EATH S, AND D E A T H R ATES PER 1,000 FROM TUBERCULOUS, JUGAL CONDITION, S E X , N A T IV IT Y , AN D OCCUPATIONAL GROUP, AN D FOR AGE GROUP 35 TO 44: POPULATION A N D D E A T H S. Population. Nativity, race, occupational group, and workroom group. Single. Both classes. Married. Fe Fe Males. males. Males. males. Males. Females. Both sexes. 1,241 1,678 7,002 6,874 8,243 8,552 16,795 Native b o m .. Foreign born. 562 679 842 836 2,207 4,795 2,143 4,731 2,769 5,474 2,985 5,567, 5,754 M,041 Nonoperatives: Native born.. Foreign born. 422 386 570 474 1,740 2,993 1,780 3,657 2,162 3,379 2,350 4,131 4,512 7,510 808 1,044 4,733 5,437 5,541 6,481 12,022 140 293 272 362 467 1,802 363 1,074 607 2,095 635 1,430 1,242 3,531 433 634 2,269 1,437 2,702 2,071 4,773 111 267 240 296 351 563 914 70 94 29 51 141 27 361 483 466 218 354 157 431 577 495 269 495 184 700 1,072 679 28 101 25 123 116 603 49 363 144 704 74 486 218 1,190 All persons. Total, nonoperatives . Operatives: Native born.. Foreign born. Total, operatives . Irish................................................. Non-Irish— Americans and unspecified. English..................................... Portuguese.............................. French Canadians— Native b om ..................... Foreign bom ........ .......... Total, French Canadians. 129 148 719 412 848 560 1,408 Total, non-Irish................. 322 367 2,029 1,141 2,351 1,508 3,859 62 157 125 153 264 613 301 265 326 770 426 418 752 1,188 21 137 82 142 103 279 382 240 415 959 708 1,199 1,123 2,322 59 119 53 102 526 648 196 362 585 767 249 464 834 1,231 Irish, and French Canadians— Card - room and spinning - room workers............................................. Weave-room workers........................ Spooler-room and miscellaneous workers............................................ Total, Irish, and French Cana dians.............................................. Other peoples or races— Card - room and spinning - room workers............................................. Weave-room workers........................ Spooler - room and miscellaneous workers............................................. Total, other races.. All races— Card-room workers.......................... . Spinning-room workers.................. . Weave-room workers...................... . Spooler - room and miscellaneous workers............................................. Total, all races . 15 64 136 171 151 235 386 193 219 1,310 729 1,503 948 2,451 69 52 276 112 66 255 519 271 1,261 315 182 627 588 323 1,537 427 248 882 1,015 571 2,419 36 201 218 313 254 514 768 433 634 2,269 1,437 2,702 2,071 4,773 Urban whites of registration States and District of Columbia (1911): 2 Native bom................................................ Foreign b o m ............................................. Total. 1,428,283 1,454 241 2 882 524 950,977 755,603 1,706,580 2,379,260 2,209,844 4,589,104 1 Less than 1 per cent. 191 D E A TH S, E T C ., B Y SPECIFIED AGE GROUPS. NONTUBERCULOUS, AN D A L L CAUSES, IN SPECIFIED AGE GROUPS, B Y O PER ATIVES, B Y N A T IV IT Y , RACE, AN D W O RK R O O M GROUP—Continued. CON- AGE GROUP 35 TO 44: POPULATIO N AN D D E A T H S. Percentage distribution of the total. Population. Deaths (both classes). Deaths (both classes). Single. Both sexes. Married. Fe Fe Males. males. Males. males, Both classes. Fe Males. males. Both sexes. Fe Males. males. Both sexes. Males. Fe males. 353 369 722 49 ; 51 100 49 51 100 145 208 121 248 266 456 16 33 18 33 34 66 20 29 17 34 37 63 108 125 83 156 191 281 13 20 14 25 27 45 14 18 12 21 26 39 233 239 472 33 39 72 32 33 65 37 as 38 92 75 175 3 13 4 8 7 21 6 11 5 13 11 24 120 130 250 16 12 28 17 18 35 36 56 92 2 3 5 5 8 13 13 26 16 9 20 5 22 46 21 3 3 3 1 3 1 4 6 4 2 4 2 1 2 1 3 6 3 5 24 6 34 11 58 1 4 1 3 2 7 1 3 1 5 2 8 I 29 40 69 5 4 9 4 6 10 84 74 158 14 9 23 12 10 22 20 40 37 42 57 82 2 5 3 2 5 7 2 6 6 6 8 12 5 17 22 2 2 1 2 3 65 96 161 7 7 14 9 14 23 21 31 9 18 30 49 3 5 1 3 4 8 3 4 1 2 4 6 C) 3 7 10 1 1 2 1 1 2 55 34 89 9 5 14 8 4 12 25 16 71 28 18 60 53 34 131 3 2 10 3 1 5 6 3 15 3 2 10 4 3 8 7 5 18 8 24 32 1 4 2 3 5 120 130 250 16 12 | 28 17 18 35 14,270 8,980 10,002 , 5,797 24,272 14,777 31 21 1 32 16 I 63 37 37 23 25 15 62 38 23,250 15,799 39,049 52 48 100 60 40 100 1 ........... I............ 1 3 2 These figures are compiled from the Thirteenth Census, Vols. I, II, and III, Population, 1910. In ascertaining figures for 1911 the average yearly per cent of increase from 1900 to 1910, as shown on p. 32, Vol. I, was added to the figures for 1910. 192 PO P U L A T IO N , D E A TH S, AND D EATH RATES. POPULATION, DEATHS, AN D D E A T H B AT ES PER 1,000 FROM TUBERCULOUS, JUGAL CONDITION, S E X , N A T IV IT Y , AN D OCCUPATIONAL G R O U P , A N D FOR AGE GROUP 35 TO 44: D E A T H R A T E S PER 1,000. Tuberculous. Nativity, race, occupational group, and workroom group. Single. Males. Fe males. Married. Both classes. Males. Fe males. Males. Fe males. Both sexes. A ll persons............................................................. 7.09 1.79 2.52 2.09 3.20 2.03 2.61 Native bom .................................................... Foreign bom .................................................. 8.54 5.89 2.14 1.44 2.63 2.46 1.31 2.45 3.83 2. 89 1. 54 2.30 2.64 2. 59 Nonoperatives: Native bom .................................................... Foreign bom .................................................. 7.11 4.66 1.40 2.19 1.87 1.01 1.75 3.14 2.19 1 . 10 1.26 1.69 2. 09 1.92 Total, nonoperatives................................ 5.94 1.34 1.99 1.51 2. 56 1.48 1.98 Operatives: Native bom .................................................... Foreign bom .................................................. 12. 86 7.51 3. 68 1.66 4.28 3.44 2.75 4.84 6. 26 4.01 3.15 4. 04 4. 02 Total, operatives....................................... 9.24 2.52 3.62 4.32 4.51 3.76 4.19 Irish................................................................. Non-Irish— Americans and unspecified................ English..................................................... Portuguese.............................................. French Canadians— Native bom ..................................... Foreign bom ................................... 19.82 3.74 10.00 9.46 13.11 6.75 9.19 6.38 6.90 2.84 3. 32 3.31 2.15 1.84 1.13 3.82 2. 78 3. 81 2.42 1.49 1.62 3.26 2.29 2.80 2.65 9.90 1.63 5.17 2. 32 4.08 4.96 4.16 3.41 2.70 4.11 3.67 3.70 Total, French Canadians......... 7.75 1.35 2. 78 4.85 3.54 3.93 3.69 Total, non-Irish........................... 5.59 1.63 2.86 2.98 3. 23 2.65 3.01 Irish, and French Canadians— Card-room and spinning-room work ers.......................................................... "Weave-room workers............................ Spooler-room and miscellaneous workers................................................. 9.68 16.56 4. 80 2.80 6.06 3.91 9.97 5.28 6.75 6.49 8.45 4.31 7.71 5.72 1.46 4.88 2.82 3. 88 2.15 2.62 2. 89 4. 59 6.78 6.34 5.34 5.86 1.96 3.42 2.47 2.04 1.66 3. 42 2.87 1.61 1.72 2.44 Total, Irish, and French Cana dians .................................................. Other races— Card-room and spinning-room work ers.......................................................... "Weave-room workers............................ Spooler-room and miscellaneous workers................................................. 13.33 3.39 5.04 4.67 2. 88 3.13 2.94 2.34 1 2.65 [ 2.55 2.59 Total, other races............................. 4.15 1.83 2.90 1.92 3.06 1.90 2.61 A ll races— Card-room workers................................ Spinning-room workers........................ Weave-room workers............................ Spooler-room and miscellaneous workers................................................. 2.90 11.54 11.60 3.57 3.03 2.35 5.01 2. 95 3.17 6.98 6.60 3.19 4.76 4. 34 4.69 6.09 5.65 2.95 5.32 4.90 4.05 1.99 3.67 2.56 3.15 2.34 2.60 2.52 3.62 4.32 4.51 3. 76 4.19 Total, all races.................................... 9.24 j Urban whites of registration States and Dis trict of Columbia (1911): Native bom .................................................... Foreign bom .................................................. Total. . ............................................ 1 " ' “ " ' 1 ............. 1........ i 1 i 193 D EATH S, E T C ., B Y SPECIFIED AGE GROUPS. NONTUBERCULOUS, AND A L L CAUSES, IN SPECIFIED AGE GROUPS, OPER ATIVES, B Y N A T IV IT Y , RACE, AND W O RK R O O M GROUP— Continued. BY CON- A G E G R O U P 35 TO 44: D E A T H B A T E S P E R 1,000. N ontuberculous. Single. Married. Fe Fe Males. males. Males. males. All causes. Both classes. Males. Single. Married. Fe Bpth Fe Fe Males. males. Males. males. males. sexes. Both classes. Males. Fe Both males. sexes. 11.28 5.48 4.31 6.87 5.36 6.60 5.99 18.37 7.27 6.83 8.96 8.56 8.63 8.60 11.03 11.49 5.70 5.26 5.53 3.75 6.90 6.85 6.64 4.71 6.57 6.61 6.61 5.67 19.57 17.38 7.84 6.70 8.16 6.21 8.21 9.30 10.47 7.60 8.11 8.91 9.25 8.26 12.80 13.47 5.97 3.80 5.40 4.14 5.96 6.13 6.85 5.21 5.96 5.86 6.38 5.56 19.91 18.13 7.37 5.06 7.59 6.01 6.97 7.88 9.99 7.40 7.06 7.55 8.47 7.48 13.12 4.98 4.60 6.07 5.85 5.90 5.87 19.06 6.32 6.59 7.58 8.41 7.38 7.85 5.71 8.87 5.14 7.18 6.00 3.11 11.57 9.31 5.93 3.91 8.82 8.77 7.41 5.89 18.57 16.38 8.82 8.84 10.28 6.55 14.32 14.15 12.19 7.92 11.97 12.81 12.08 9.91 7.85 6.31 3.70 9.88 4.37 8.79 6.29 17.09 8.83 7.32 14.20 8.88 12.55 10.48 12.61 10.49 5.00 15.54 7.40 13.14 10.94 32.43 14.23 15.00 25.00 20.51 19.89 20.13 5.71 2.13 13.79 3.92 1.42 2.77 5.80 3.43 5.50 8.47 2.55 3.25 5.20 4.04 5.20 6. 46 2.17 4.00 5.78 3.54 5.71 8.51 20.69 3.92 4.26 6.09 9.11 5.58 7.34 9.60 6.37 6.03 9.01 6.46 6.69 8.08 5.43 6.29 8.58 6.19 6.42 6.05 7.14 17.82 8.13 6.90 4.98 24.49 15.98 6.94 6.82 16.22 13.99 10.09 9.75 7.14 7.92 **6*50* 1.73 2.66 20.41 11.02 2. 78 3. 41 13.52 9.88 7.75 5.41 2.51 12.14 3.30 10.36 6.11 15.50 6. 76 5.29 16.99 6.84 14.29 9.80 6.21 3.27 3.55 8.41 3.92 7.16 5.18 11.80 4.90 6.41 11.39 7.15 9.81 8.19 12.90 7.64 11.20 11.19 3.97 2.94 7.79 18.87 5.52 3.90 8.92 15.79 7. 45 8.08 22.58 24.20 16.00 13.99 9.85 6.85 17.94 24.15 12.27 10.39 17.37 20.10 15.16 13.80 19.05 4.38 2.44 15.49 5.83 10.04 8.90 19.05 5.84 7.32 18.31 9.71 12.19 11.52 10.00 8.68 3.13 13.56 4.50 11.76 8.01 23. 33 11.57 7.72 20.34 10.84 17.10 13.87 6.78 5.04 1.96 3.42 5.25 7.14 7.18 3.76 5.21 5.62 6.04 4.31 5.52 10.17 10.08 3.92 6.84 7.72 9.18 8.84 7.18 8.08 7.23 7.76 7.19 7.96 3.12 1.47 3.51 1.32 3.41 2.59 6.25 4.41 5.85 3.97 5.96 5.18 5.18 1.82 4.12 6.31 4.26 5.27 4.65 9.33 3.65 7.02 8.23 7.32 7.17 7.26 5.80 15.38 6.52 5.36 12.12 7.06 3.47 3.69 4.13 7.62 7.69 12.12 3. 74 5.57 4.55 7.02 8.87 10.66 5.12 7.01 6. 78 8.70 26.92 18.12 8.93 15.15 9.41 8. 48 6. 64 7.30 14.60 14.29 15.31 8.50 9.91 9.24 13.11 14.52 13.61 10.44 11.91 10.83 11.11 3.98 1.83 8.94 3.15 7.00 5.73 11.11 5.97 5.50 11.50 6.30 9.34 8.33 7.85 6.31 3.70 9.88 4.37 8.79 6.29 17.09 8.83 7.32 14.20 8.88 12.55 10.48 9.99 9.44 6.88 7.67 8.42 8.66 9.77 7.15 8.51 t 88204°— 19— B u ll. 251-------13 194 P O P U L A T IO N , D EATH S, AN D D EATH BATES. PO PU LATION, DEATHS, AND D E A T H BATES PER 1,000 FROM TUBERCULOUS, JUGAL CONDITION, S E X , N A T IV IT Y , AN D OCCUPATIONAL GROUP, A N D FOR AGE GROUP 35 TO 44: PERCENTAG E COMPARISON OF D E A T H R A T E S. Per cent by which death rates exceeded (-j-) or fell below (—) rate for all persons. Tuberculous. Nativity, race, occupational group, and workroom group. Single. Males. Both classes. Married. Fe males. Males. Fe males. Males. Fe males. Both sexes. A1Vpersons............................................................. +172 -3 1 - 3 - 20 + 23 - 22 i 2.61 Native born.................................................... Foreign born.................................................. +227 +126 -1 8 -4 5 + - 3 6 - 50 6 + 47 + 11 - 41 12 + - 1 1 Nonoperatives: Native born.................................................... Foreign born.................................................. +172 -4 6 -5 2 - 16 28 - + 79 - 61 33 + 20 6 - 58 35 - 20 20 Total, nonoperatives................................. +128 -4 9 - 24 - 42 - - 43 - 24 Operatives: Native born.................................................... Foreign born.................................................. +393 +188 +41 -3 6 + 64 + 32 + 5 + 85 2 + 140 + 54 + 21 * + 79 + 55 + 54 Total, operatives........................................ +254 - 3 + 39 + 68 | + 73 + 44 + 61 Irish.................................................................. Non-Irish— Americans and unspecified................... English..................................................... Portuguese.............................................. French Canadians— Native born..................................... Foreign born.................................... +659 +43 +283 +262 +402 +i59 +252 +144 +164 + 9 + 27 + 27 + 18 - 29 57 + 46 + 7 + 46 7 - 43 - 38 + 25 - 12 + 7 + 2 +279 -3 8 + 98 - 11 + 56 + 90 + 59 + 31 + 3 + 57 + 41 + 41 Total, French Canadians......... + 197 -4 8 + 7 + 86 + 36 + 51 + 41 Total, non-Irish........................... +114 -3 8 + 10 + 14 + 24 + Irish, and French Canadians— Card-room and spinning-room work ers........................................................... Weave-room workers............................ Spooler - room and miscellaneous workers................................................. +271 +534 +84 + 132 + 7 + 50 +282 +102 + 159 + 149 +224 + 65 + 195 + 119 -4 4 + 87 + 8 + 49 - +(*> +411 + 11 + 76 +160 + 143 + 105 + 125 Other races— Card-room and spinning-room work ers........................................................... Weave-room workers.. . .*.................... Spooler - room and miscellaneous workers................................................. + 30 + 93 -2 5 + 31 5 - 22 36 + 31 + 10 - + 10 7 +20 + 13 - 10 + 2 - 2 Total, other races.............................. + 59 -3 0 + 11 - 26 + 17 - 27 + (2) All races— Card-room workers................................ Spinning-room workers........................ weave-room workers............................ Spooler - room and miscellaneous workers................................................. + 11 +342 +344 +37 + 16 -1 0 + 92 + 13 + 21 +167 +153 + 22 + 82 + 66 + 80 + 133 + 116 + 13 + 104 + 88 + 55 -2 4 + 41 - 2 + 21 - - Total, all races.................................... +254 - + 39 + 66 + 73 + 44 Total, Irish, and French Cana dians .............................................. 3 Urban whites of registration States and Dis trict of Columbia (1911): Native born.................................................... Foreign bom................................................... T o t a l........................................................................... i Basic death rate. 2 18 38 34 10 + - 15 1 (*) + 61 195 DEATHS, ETC., BY SPECIFIED AGE GEOOTS. NONTUBERCULOUS, A N D A L L CAUSES, IN SPECIFIED AGE GROUPS, OPER ATIVES, B Y N A T IV IT Y , RACE, AN D W O R K R O O M GROUP— Continued. BY CON- AGE GROUP 35 TO 44: PER CENTAGE COMPARISON OF D E A T H R A T E S. Pe^ dent by which death rates exceeded ( + ) or fell below ( —) rate for all persons. Nontuberculous. Single. Married. All causes. Single. Both classes. Both classes. Married. Fe Fe Fe Fe. Fe- 1 Both Fe Both Males. males. Males. males. Males. Males. males. Males. males. Males. males. sexes. males. sexes. + 88 - 9 -2 8 + 15 -ll + 10 15.99 + 114 -1 5 -2 1 + 4 - + 1 i 8.60 + 84 + 92 - 5 12 - 8 -3 7 + 15 + 15 + 11 -2 1 + 10 + 10 +10 - 5 +128 + 102 - 9 -2 2 - 5 -2 8 + 5 8 + 22 - 12 - 6 + 4 + - 8 4 + 114 + 125 - (*) -1 0 -3 1 - +14 -1 3 - 1 2 + 7 - 7 +132 +111 -1 4 -4 1 19 8 16 -3 0 - + + 1 2 -1 2 37 - 14 - 18 12 - 2 13 + 119 - 17 -2 3 + 1 i — 2 - 2 - 2 + 122 -2 7 -2 3 - 12 - 2 - 14 - 9 - + 48 - 14 + 20 + (*) -4 8 + 93 + 55 - 1 -3 5 + 47 + 47 +24 - 2 +116 + 90 + 3 + 3 +20 -2 4 + 67 + 65 + 42 8 + 3r + 5 -3 8 + €5 -2 7 + 47 + 5 + 99 + 3 -1 5 + 65 + 3 + 46 + 22 + iii - 75 + 17 +159 +24 + 119 +83 +277 +65 +74 + 191 +138 +131 + 134 5 - 64 +130 - 35 76 -5 4 - 8 + 41 - 57 —46 -1 3 —33 + 13 8 — 64 -3 3 - — 3 —43 - -5 4 -5 0 -2 9 + 6 —35 - 15 - 30 ; - 22 + 12 . + 5 6 — 26 — 25 — 37 - ( 2) —71 -5 6 +241 + 84 —54 -4 3 5 + 1» + 32 + 9 1 + 39 + 49 —41 34 1 +141 + 65 + 7 + 1 — 17 + 107 - 5 —20 -4 2 + 185 + 86 — 19 - 21 + 89 + 63 + 126 4 - + 40 + 15 - 27 — 28 + + 17 13 + 29 — 10 -5 8 +103 -4 5 + 73 + 2 + 80 —21 -3 8 + 98 - 20 + 66 + 14 + 4 — 45 —41 + 40 —35 + 20 +14 + 37 -4 3 -2 5 + 32 - 17 + 14 + 5 + 115 + 28 + 87 + 87 -3 7 -5 1 + 33 + 215 - 8 -3 5 + 49 + 164 + 24 +35 +163 +181 +86 +63 +15 -2 0 +109 +181 + 43 : +102 + 21 +134 + 76 + 60 +218 - 27 —59 + 159 - 3 + 68 +49 + 122 -3 2 -1 5 + 113 + 13 + 42 + 34 + 67 + 45 -4 8 + 126 -2 5 + 96 +34 +171 +35 -1 0 +137 + 26 + 99 + 61 + 13 - 16 —43 -1 2 + 19 + 20 —37 -1 3 — + 6 - 1 —28 - 8 + 18 + 17 -5 4 : —20 -1 0 + + 7 3 — 17 6 — 16 - 10 — 16 7 67 — 48 -7 5 - 41 -7 8 - 43 -5 7 -2 7 —49 - 32 - 54 - 31 - 40 - 70 -3 1 + 5 -2 9 - 12 -2 2 + 8 -5 8 -1 8 - 4 - 15 - 17 - 16 3 +157 + 9 - 11 -4 2 -3 8 -3 1 + 27 + 28 +102 -3 8 - 7 -2 4 + 17 + 48 + 78 -1 5 + 1 +213 + 111 + 4 +76 + 9 - 1 -2 3 + 70 + w + 78 + 85 - 34 -6 9 + 49 —47 : + 17 - + 29 -3 1 -3 6 + 34 - 27 + 31 + 5 -3 8 + 65 -2 7 + 5 + + 3 -1 5 + 65 + 3 + 46 + 22 + 16 + 10 — 20 - 11 + 2 1 + 14 - - 1 - 14 + 102 + 18, + 47 2 + 17 +13, 4 99 Less than 1 per cent. -1 5 1 + 15 + 7 + 52 + 60 + 58 + 9 17 + 21 + 38 + 26 - - 3 196 PO P U L A T IO N , D E ATH S, AN D D E A TH RATES. PO PULATION, D EATH S, AN D D E A T H R ATES PER 1,000 FROM TUBERCULOUS, JUGAL CONDITION, S E X , N A T IV IT Y , AN D OCCUPATIONAL GROUP, AN D FOR AGE GROUP 15 TO 44: POPULATION A N D D E A T H S. Population. Nativity, race, occupational group, and workroom group. Single. Males. Married. Both classes. Fe Males. Fe males. males. Males. All persons........................................................ 14,626 15,588 15,305 17,221 Native born............................................... 8,735 Fnrftign horn______ __________________ 5,891 9,572 5,068 5,903 6,016 10,237 11,318 Females. Both sexes. 29,931 32,809 62, 740 13,803 . 16,128 15,475 17,334 29,278 33,462 9,795 8,848 9,406 10,193 19,201 19,041 . 18,643 19,599 38,242 N onoperatives— ___________ 5,864 2,810 4,790 2,178 3,931 6,038 Total, nonoperatives........................... 8,674 6,968 9,969 12,631 | 2,871 3,081 4,782 3,838 1,137 4,199 1,287 3,303 4,008 7,280 6,069 7,141 10,077 14,421 5,952 8,620 5,336 4,590 11,288 13,210 24,498 425 Irish............................................................ Non-Irish— Americans and unspecified............ 1,405 English................................................ 1,013 Portuguese.......................................... 1,510 French Canadians— 941 Native born................................ 658 Foreign born.............................. 1,147 1,642 2,410 F o re ig n born , , T. _ _ _ ______ Operatives— Total, operatives.................................. 343~ 4,616 8,015 495 768~ 1,807 1,624 1,598 1,144 919 1,521 878 917 1,157 2,549 1,932 3,031 2,685 • 2,541 2,755 5,234 4,473 5,786 1,383 1,061 325 1,084 319 824 1,266 1,742 1,702 1,885 2,968 3,627 1,599 2,444 1,409 1,143 3,008 3,587 6,595 Total, non-Irish..................... 5,527 7,473 4,993 4,095 10,520 11,568 22,088 Total, French Canadians. . . Irish, and French Canadians— Card-room and spinning-room workers........................................... Weave-room workers....................... Spooler-room and miscellaneous workers............................................ 801 905 1,298 992 534 1,061 773 519 1,335 1,966 2,071 1,511 3,406 3,477 318 1,301 157 346 475 1,647 2,122 Total, Irish, and French Cana dians ............................................ 2,024 3,591 1,752 1,638 3,776 5,229 9,005 Other races— Card-room and spinning-room workers............................................ Weave-room workers...................... Spooler-room and miscellaneous workers............................................ 1,856 1,636 2,034 1,678 1,624 1,644 1,214 1,088 3,480 3,280 3,248 2,766 6,728 6,046 436 1,317 316 650 752 1,967 2,719 Total, other races............................ 3, 928 5,029 3,584 2,952 7,512 7,981 15,493 1,413 1,919 2,670 1,260 898 2,705 1,031 956 1,607 1,997 2,818 5,246 2,444 2,875 4,277 4,441 5,693 9,523 All races— 737 Card-room workers.......................... Spinning-room workers................... 1,920 Weave-room workers...................... 2,541 Spooler-room and miscellaneous 754 workers............................................ 5, 952 Total, all races............................... 2,618 473 996 1,227 3,614 4,841 8,620 5,336 4,590 11,288 13,210 24,498 Urban whites of registration States and District of Columbia (1911): 2 Native born............................................... Foreign bom ............................................. Total........................................................ 1 Less than 1 per cent. 12,409,747 5, 929,022 9 359 988 8 Q7Q 481 18,338,769 ' ’ r 197 D E A TH S, E T C ., B Y SPECIFIED AGE GROUPS. NONTUBERCULOUS, AN D A L L CAUSES, IN SPECIFIED AGE GROUPS, OPERATIVES, B Y N A T IV IT Y , RACE, AND W ORK R OO M GROUP— Continued. BY CON- AGE GROUP 15 TO 44: POPULATION AND D E A T H S. Percentage distribution of the total. Deaths (both classes). Population. Deaths (both classes). Single. Males. Females. Both sexes. Both classes. Married. Fe Fe Fe Both Males. males. Males. males. Males. males. sexes. Fe Males. males. Both sexes. 846 985 1,831 23 25 25 27 48 52 100 46 54 100 395 451 435 550 830 1,001 14 9 16 9 8 17 9 18 22 26 25 27 47 53 21 25 24 30 45 55 282 236 226 278 508 514 10 4 8 3 6 10 7 13 16 14 15 16 31 30 15 13 13 15 28 28 518 504 1,022 14 .11 16 20 30 31 61 28 28 56 113 215 209 272 322 487 4 5 8 6 2 7 2 5 6 12 10 11 16 23 6 12 11 15 17 27 328 481 809 9 14 9 7 18 21 39 18 26 44 52 117 169 1 2 1 1 3 4 2 7 9 61 72 53 61 80 75 122 152 128 2 2 2 3 3 2 2 1 3 1 1 4 3 5 4 4 4 8 7 9 4 4 3 3 4 4 7 8 7 25 65 58 90 83 155 1 1 2 2 1 2 1 1 2 3 3 3 5 6 2 3 3 5 5 8 0) 90 148 238 2 4 3 2 5 6 11 5 8 13 276 364 640 8 12 9 6 17 18 35 16 19 35 60 72 121 84 181 156 1 1 2 2 1 2 2 1 2 3 4 3 6 6 3 4 7 5 10 9 10 60 70 1 2 1 2 3 3 3 142 265 407 3 6 3 3 6 9 15 7 15 22 85 91 97 64 182 155 3 3 3 3 2 3 2 1 5 6 5 4 10 10 5 5 5 3 10 8 0) (*) 0) 10 55 65 2 1 1 1 3 4 1 3 4 186 216 402 6 8 6 4 12 12 24 11 11 22 53 92 ; 163 109 109 148 162 201 311 1 3 4 2 3 5 2 1 5 2 2 2 3 4 9 4 5 7 7 9 16 3 5 9 6 6 8 9 11 17 0) 20 115 135 1 4 1 1 2 5 7 1 6 7 328 481 809 9 14 9 7 18 21 39 18 26 44 54,233 41,067 95,300 67 33 68 32 63,668 31,632 51 49 100 57 43 100 a These figures are compiled from the Thirteenth Census, Vols. I, II, and III, Population, 1910. In ascer taining figures for 1911 the average yearly per cent of increase from 1900 to 1910, as shown on p. 32, Vol. I, was added to the figures for 1910. 198 P O P U L A T IO N , D E A TH S, A N D D EATH RATES. POPULATION, D EATH S, A N D D E A T H K ATES PER 1,000 FROM T U B E R C U L O U S , JUGAL CONDITION, S E X , N A T IV IT Y , A N D OCCUPATIONAL GROUP, AN D FOB AGE GROUP 15 TO 44: D E A T H B A T E S PER 1,000 (AGE A D JU STE D ). Tuberculous. Nativity, race, occupational group, and workroom group. Single. Males. All persons.... . .............. . Native bora................................................... Nonoperatives: Native bom .................................................... Tdtal, nonoperatives................................ Operatives: Native b om .................................................... Married. Fe males. Fe Males, i males. Both classes. Males. Fe males. Both sexes. 3.03 1.77 1.81 ; 2.77 1.94 2.18 2.08 3.27 2.85 1.84 1.64 1.62 , 1.92 3.06 259 2.00 1.97 2.12 2.16 2.06 2.08 3.09 1.97 1.35 1.29 1.39 1.61 1.82 1.14 1.90 1.38 1.45 ; 1.19 1.65 1.28; 2.63 1.36 1.50 1.42 1.64 i .3 8 : 1.49 3.67 3.84 2.41 1.77 2.29 2.36 6.31 5.22 2.22 2.63 3.19 3.35 , 2.88 3.01 Total, operatives....................................... 3.70 2.09 2.36 5.56 2.47 3.34 | 2.98 Irish................................................................. Non-Irish— Americans and unspecified.................. English................................................... Portuguese........................ ..................... French Canadians— Native born..................................... Foreign b om .................................... 6-95 2.58 3.24 13.37 ir & r 4.97 S. 29 1.99 2.70 222 1.83 1.80 .57 2.11 1.26 1.77 3.68 3.13 4.59 2.02 2.14 1.60 2.43 * 2.36 ' 2.83 2.22 2.33 2.13 1.00 S. 68 1.54 3.24 3.40 3.82 7.38 8.32 1.74 3.67 3.17 4.68 2.66 4.32 Total, French Canadians.......... 4.09 2.64 3.65 7.96 2.79 4.07 3.57 Total, non-Irish.......................... 2.92 1.94 2.22 4.86 2.15 2.98 2.63 5.16 5.72 * 4.25 1.80 6.02 3.23 9.5$ 11.33 4.62 2.96 6.22 3.89 '5.59 3.49 Irish, and French Canadians— Card-room and spinning - r o o m workers......................... - ............... Weave-room workers...... ..................... Spooler-room and miscellaneous workers........................ ...................... .88 1.92 .95 761 1.57 2.90 2.65 Total, Irish, and French Canadians. 5.18 2.71 3.79 9.37 3.47 4.51 4.15 Other races— Card-room and spinning - r o o m workers................................................. Weave-room workers............... ........... Spooler-room and miscellaneous workers......................... - ..................... 1.96 2.74 .87 1.03 1.61 2.00 4.87 3.26 1.94 2.02 3.00 2.48 1.82 .58 2.97 4.55 3.17 1.34 3.10 2.60 Total, other races.............................. 2.26 1.59 1.86 3.91 1.90 2.47 2.22 All races— Card-room workers........ ....................... Spinning-room workers........................ Weave-room workers............................ Spooler-room and miscellaneous workers........... ................................... 1.39 5.10 4.33 2.63 2.59 1.29 1.52 2.95 2.39 6.00 680 5.20 2.04 3.35 2.47 4.62 4.24 2.38 3.44 3.79 2.49 Total, all races................................... Urban whites of registration States and District of Columbia (1911): Native bom .................................................... Foreign born.................................................. Total............................................................. 1.51 .70 2.34 2.97 4.48 1.43 3.00 2.62 3.70 2.09 2.36 ! 5.56 2.47 3.34 2.98 | j 199 D E ATH S, E T C ., B Y SPECIFIED AGE GROUPS. NONTUBERCULOUS, A N D A L L CAUSES, IN SPECIFIED AGE GROUPS, B Y O PER ATIVES, B Y N A T IV IT Y , RACE, AN D W O RK R O O M GROUP—Continued. CON- A G E G R O U P 15 T O 44: D E A T H R A T E S P E R 1,000 (A G E -A D J U S T E * )). All causes. N ontuberculous. Married. Single. Single. Both classes. Married. Both classes. Fe Both Fe Fe Both Fe Fe Fe Males. males. Males. males. sexes. Males. males. Males. males. Males. males. sexes. Males. males. 4.81 2.45 2.59 4.28 3.19 3.35 3.27 7.84 4.22 4.40 7.05 5.13 5.53 5.35 4.84 4.76 2.62 2.26 3.21 2.27 5.03 3.83 3.68 2.89 3.45 3.30 3.56 3.09 8.11 7.61 4.46 3.90 4.83 4.19 8.14 6.42 5.68 4.86 5.57 5.46 5.62 5.17 5.00 6.90 2.55 2.15 3.35 2.72 3.32 2.77 3.57 2.93 2.91 2.78 3.25 2.88 8.09 8.87 3.90 3.44 4.74 4.33 5.14 3.91 5.47 4.31 4.36 3.97 4.90 4.16 4.98 2.31 2.97 2.99 3.18 2.83 3.02 7.61 3.67 4.47 4. 41 4.82 4.21 4.51 4.14 4.45 2.68 2.58 2.85 1.71 10.03 5.79 3.82 2.78 4.66 4.14 4.28 3.32 7.81 8.29 5.09 4.35 5.04 4.07 16.34 11.01 6.04 5.41 7.85 7. 49 7.16 6.33 4.38 2.67 1.96 7.03 3.10 4.33 3.62 8.08 4.76 4.32 12.59 5.57 7.67 6.60 4.33 6.46 5.81 12.02 6.94 6.15 28.27 9.92 11.43 11.10 5.07 4.36 2.91 14.90 4.19 5.27 4.13 1.67 1.79 .64 1.19 5.65 1.50 3.55 6.55 4.84 2.80 5.03 1.99 2.56 3.88 3.18 2.59 4.27 2.55 6.18 7.97 6.35 3.50 3.59 1.21 3.30 6.91 3.27 7.23 9.68 9.43 4.82 7.17 3.59 4.99 6.24 6.01 4.81 6.60 4.68 3.89 4.72 1.66 2.29 1.07 1.32 13.85 7.07 2.65 3.35 5.54 4.21 3.79 3.56 4. 89 10.40 3.20 5.53 4.47 5.14 21.23 15.39 4.39 7.02 8.71 8.89 6.45 7.88 4.18 2.22 1.27 9.83 2.93 4.55 3.59 8.27 4.86 4.92 17.79 5.72 8.62 7.16 4.09 1.79 1.89 6.33 2.97 3.78 3.26 7.01 3.73 4.11 11.19 5.12 6.76 5.89 5.82 3.82 3.84 3.64 1.72 1.61 9.87 13.97 4.11 2.86 5.25 5.93 4.79 4.01 10.98 9.54 8.09 5.44 7.75 4.84 19.42 25.30 8.73 5.82 11.47 9.82 10.38 7.50 5.51 2.70 .48 10.50 2.44 4.61 4.11 6.39 4.62 1.43 18.11 4.01 7.51 6.76 4.61 3.37 1.54 11.13 3.27 5.34 4.34 9.79 6.08 5.33 20.50 6.74 9.85 8.49 4.57 3.91 1.16 1.17 1.60 2.96 5.44 5.56 3.02 3.26 3.65 3.25 3.18 3.20 6.53 6.65 2.03 2.20 3.21 4.96 10.31 8.82 4.96 5.28 6.65 4.76 5.66 5.02 1.75 1.98 .29 3.70 1.33 3.27 2.35 2.33 4.95 4.84 6.87 2.67 6.37 4.95 4.00 1.50 2.08 5.18 3.01 3.36 3.10 6.26 3.09 3.94 9.09 4.91 5.83 5.32 4.09 6.69 3.97 3.12 3.41 2.48 1.13 2.18 2.54 5.61 7.65 7.77 3.09 3.92 3.08 4.41 4.70 4.41 3.57 4.26 3.55 5.48 11.88 8.30 5.75 6.00 3.77 2.65 5.13 5.93 11.61 14.45 12.97 5.13 7.27 5.55 9.03 8.94 6.79 7.01 8.05 6.04 3.96 2.38 .35 6.07 1.77 3.76 3.19 4.66 4.72 3.32 10.55 3.20 6.76 5.81 4.38 2.67 1.96 7.03 3.10 4.33 3.62 8.08 4.76 4.32 12.59 5.57 7.67 6.60 6.76 5.68 4.51 4.12 4.87 4.88 5.28 4.30 4.78 200 P O P U L A T IO N , D E ATH S, AN D D E A TH RATES. POPULATION, D EATHS, AN D D E A T H R ATES PER 1,000 FROM TUBERCULOUS, JUGAL CONDITION, S E X , N A T IV IT Y , AN D OCCUPATIONAL GROUP, A N D FOR AGE GROUP 15 TO 44: PER CENTAG E COMPARISON OF D E A T H RATES. Per cent by which age-adjusted death rate^xceeded ( + ) or fell below ( —) rate for all persons. Tuberculous. Nativity, race, occupational group, and workroom group' Single. Married. Fe Males. males. Males. Fe males. 13 + 33 Native born.. Foreign born. + 57 + 37 - 22 - 8 + 47 + 25 Nonoperatives: Native born.. Foreign born. + 49 + 5 - 33 23 - 28 All persons. 15 + 46 Total, nonoperatives. Operatives: Native born.. Foreign born. + 76 + 85 + 10 Both Fe Males. males. - 7 +203 +151 - 21 - 34 + 7 + 26 + 53 + 61 + 38 + 45 78 -(2) 13 + 167 19 + 61 + 43 + 24 + 56 +543 +169 +139 +154 + 12 + 2 + 28 + 108 - 12 + 1 39 15 + 121 + 3 - 23 + 17 + 13 + 36 - 26 + 56 + 63 + 84 +255 + 300 - 16 + 76 + 52 + 125 4 + 30 + 7 - - 52 + 173 13 73 - + 77 + 50 Total, French Canadians. + + 27 + 75 +283 + 34 + 40 - 7 + 7 +184 + + 148 + 175 + 104 - 13 +189 + 55 +359 +445 - 58 - 8 - 54 +266 +149 + 30 + 82 - 23 - Total, Irish, and French Canadians Other races— Card-room and spinning-room work ers........................................................ . Weave-room workers............................ Spooler-room and miscellaneous workers............................................... Total, other races. All races— Card-room workers. Spinning-room workers..................... . Weave-room workers.......................... . Spooler-room a n d miscellaneous workers............................................... . 97 + 32 - 72 + 9 - 33 + 150 +108 - 66 + 78 Total, all races. 43 - + 26 + 25 + + 7 96 72 + 43 26 + 199 + 87 + 169 + 42 - + 39 + 27 + 350 + 117 + 100 4 +134 + 57 + 26 - 27 + 19 +119 + 52 24 - 27 + 42 + 15 3 +122 25 + 68 - 12 - 36 + 49 + 25 - 9 + 19 + - 2 +122 7 + 65 + 82 +188 +227 + 150 4- 61 + 19 +104 + 14 + 20 13 +115 - + 44 + 26 (2) + 167 + 01 + Urban whites of registration States and District of Columbia (1911): Native born.................................................. Foreign bora................................................. Total. - 21 30 43 Total, non-Irish.................. Irish, and French Canadians— Card-room and spinning-r o o m workers................................................ Weave-room workers............................ Spooler-room, and miscellaneous workers................................................ 12.08 - 45 + 13 5 - 1 + (2) - 12 - + +234 Total, operatives. Irish................................................. Non-Irish— Americans and unspecified. English.. Portuguese. French CanadiansNative born... Foreign born.. + 16 - 15 - Both classes. i Basic death rate. 31 43 D EATH S, E T C ., B Y SPECIFIED AGE GROUPS. 201 NONTUBERCULOUS, AND A L L CAUSES, IN SPECIFIED AGE GROUPS, B Y CONOPER ATIVES, B Y N A T IV IT Y , RACE, AND W ORK R O O M GROUP—Concluded. AGE GROUP 15 TO 44: PERCENTAGE COMPARISON OF D E A T H R ATES. Per cent’ which age-adjusted death rates exceeded ( + ) or fell below (—) rate for all persons. N ontuberculous. Single. Married. Both classes. Males. Fe Fe Males. males. males. + 47 - + 4« + 46 _ 20 - 31 + 53 25 - All causes. Fe Males. males. Both sexes. Married. Both classes. Fe Fe Both Males. Fe Males. males. Males. males. males. sexes. 21 + 31 - 2 + 2 i 3.27 + 47 — 21 - 18 + 32 - 4 + 3 i 5.35 2 31 + 55+ 17 + 13 — 13 + + 6 1 + - 9 6 + 52 + 42 _ 17 - 27 _ 10 — 22 + 52 + 20 + 6 — 9 + + 4 2 + - 5 3 + + 8 — 11 - 11 15 - 1 12 + 51 + 66 27 36 4 + - 11 19 - - - 27 2 19 - 19 26 - 8 22 3 - 13 - 8 + 42 - 31 - 16 - 18 - 10 — 21 — 16 6 — 24 +205 +106 + 13 + 1 + 47 + 40 + 34 + 18 + 111 - 22 34 + 2 - 17 - 2 15 + 52 - 29 - 9 - 9 + 27 + 36 - 18 21 - 13 48 + 34 - 18 - 40 +115 - + 55 + 33 - 11 +356 + 28 + 61 + 26 49 45 80 64 + 73 - 54 + 9 + 100 + 48 _ 14 + 54 — 39 + 19 + 44 _ _ “ _ - 49 30 - 67 60 + 324 + 116 + + 28 - 32 - 61 +201 - 45 - 42 + 94 + 78' + 17 + 17 + 11 - 47 51 +202 +327 + 25 Single. - +207 + 77 - + 16 — 16 + 43 + 27 + 31 + 2 + 46 + 55 - 5 19 5 + 32 + 11 + 51 - 11 19 +135 + 4 + 43 + 23 + 32 + 98 + 78 +125 + 30 + 15 +428 + 87 +114 +107 - 22 + 19 3 - -21 + 31 - 22 + 16 + 49 + 19 _ 35 — 33 — 77 _ 38 + 29 — 39 + 35 + 81 + 76 _ 10 + 34 — 33 7 + 17 + 12 - 19 2 + 69 + 29 + 16 + 9 9 + 94 _ 40 + 3 _ 16 — 4 + 297 + 188 _ 18 + 31 + 63 + 66 + 21 + 47 10 + 39 + 10 + 55 - 8 +233 + 7 + 61 + 34 9 + 16 4 + 26 + 10 + 26 — 13 + 61 + 81 + 46 + 23 _(*)_ + 31 9 - - 10 + 23 - 13 30 23 + 105 + 78 + 51 + 2 + 45 — 10 +263 +373 + 63 + 9 + 114 + 84 + 94 + 40 - + 69 - 17 - 85 +220 - 25 + 41 + 26 + 73 +239 - 25 + 40 + 26 + 41 + 3 - 53 +240 + (2) + 63 + 33 + 83 + 14 + (2) +283 + 26 + 84 + 59 + 40 + 20 - 65 64 - 51 9 + 66 + 70 - 8 (2) + 12 1 - + 22 + 24 62 — 59 40 — 7 + 93 + 65 7 — 1 + 24 - 11 + - 6 6 - - 39 - 91 + 12 - 58 + (2) — 28 - - + 19 - 7 - 54 - 34 + 58 - 8 + - + 17 + - 1 - 65 33 22 +134 +138 6 + 20 6 - + 35 + 44 + 35 + 9 + 30 + 9 + + 5 4 24 + 72 +105 + 21 + 21 - 27 - 89 + - 46 + 15 - 46 + 22 + 25 + 34 - 18 - 40 86 +115 - 5 3 + 32 5 2 + 11 2 - 10 + 28 - 50 42 26 + 70 - 8 2 + 122 + 55 + 7 + 12 — 30 50 — 4 + 11 + 117 +170 + 142 4 + 36 + 4 + 69 + 67 + 27 + 31 + 50 + 13 - - - 38 + 97 - 30 + 26 + - 19 + 135 + 4 + 43 + 23 + 26 + 6 - 16 — 23 - _ - 56 13 7 12 11 + 51 1 i 1 ........... 1............ 3 2 19 14 +109 | Less than 1 per cent. - 1 9 20 9 9 9 - 11 ---------- GENERAL TABLES 203 204 GENERAL TABLES. T a b le 1.—NUMBER AND PER CENT OF OPERATIVES OF ALL RACES GROUP NUMBER. Operatives of specified age group and sex. Workroom and occupational groups. 15 to 19 years. 14 years. 20 to 24 years. 2J> to 29 years. j 30 to 34 years. Fe Fe Fe Fe Males. males. Mal^g. Fe Males. males. Males. males. Males. males. males. Picker room............................... Card room.................................. Spinning room: Spinners, ring or frame. - Spinners, mule................. Miscellaneous.................. Total................................. 1 30 86 26 80 121 9 250 36 318 641 661 55 365 247 1,023 27 487 ........3 163 28 191 385 964 5 286 5 816 147 85 1,107 975 761 1,026 3 6 19 32 7 31 412 111 41 198 19 24 18 19 11 413 52 324 **302’ 238 2 135 37 73 382 387 245 239 360 122 79 115 19 6 20 4 228 83 59 65 13 4 12 3 132 70 45 30 1 Spooler room: Spooler tenders.................. Drawers-in.......................... Warper tenders................ Winders and reelers.......... Slasher tenders and helpers............................. Miscellaneous................... 13 44 15 2 17 3 32 13 21 162 44 31 57 42 33 34 19 43 28 10 Total................................. 57 91 272 806 168 718 116 454 103 287 Weave room: Weavers.............................. Loom fixers...................... Miscellaneous..................... 83 120 7 640 110 36 499 18 798 80 37 740 47 958 58 36 1,080 11 792 8 156 1,001 50 Total................................. 13a 131 956 1,048 1,052 1,098 915 747 786 502 Cloth room................................. Miscellaneous employees....... 6 2 8 101 17 53 24 243 50 33 29 152 25 34 23 61 11 Grand total..................... 376 401 2,712 2,412 3,796 1,895 2,178 1,567 1,402 278 15. 3,763 3 PER CENT IN EACH WORKROOM AND OCCUPATION. Picker room............................. Card room.................................. Spinning room: Spinners, ring or frame... Spinners, mule................... Miscellaneous..................... Total................................. Spooler room: Spooler tenders.................. Drawers-in.......................... Warper tenders................. Winders and reelers......... Slasher tenders and helpers.............................. Miscellaneous..................... 0) 8 21 7 20 32 1 39 21 1 2 11 4 1 4 3 0) 9 i7 11 26 0) 30 0) 10 1 20 18 27 .0 ) 41 26 31 27 1 1 11 3 1 5 1 1 1 1 10 3 2 3 1 1 2 0) 1 1 8 3 1 6 Total................................. 15 23 10 21 Weave room: Weavers.............................. Loom fixers........................ Miscellaneous..................... 22 30 29 27 13 3 (1)6 Total................................. 35 33 Cloth room................................. Miscellaneous employees........ 2 1 2 Grand total..................... 100 100 2 13 3 19 9 1 10 3 19 21 18 9 2 5 0) 20 18 1 10 4 3 3 0) l 0) 22 17 0) 16 17 1 9 5 3 2 C1) 1 C1) 1 2 2 1 3 2 1 7 19 6 21 7 20 40 2 2 28 41 7 2 36 1 42 4 2 34 1 35 28 44 29 48 34 4 1 8 2 1 6 1 2 2 7 1 100 100 100 100 100 0) h xT i Less than 1 per cent. 0) 50 2 1 | 100 0) 36 4 1 100 205 GENERAL TABLES. EM PLO YED IN SPECIFIE D W ORKROOM S AND OCCUPATIONS, B Y AGE A N D SE X . NUM BER. Operatives of specified age group and sex. 35 to 39 years. Males. 50 269 15 to 44 years. 40 to 44 years. 45 to 54 years. 55 to 64 years. 65 years and over. Total (14 to 65 years and over). Fe Fe Males. Fe Mates. Fe Males. Fe Males. males. Males. Fe Males. Fe males. males. males. males. males. males. 235 63 206 192 265 1,732 2,444 91 206 229 2,804 3 1 48 107 2 31 1 3,358 3,011 83 25 33 14 3 2 2 1 13 3 5 1 1 2 125 80 89 78 1,475 501 327 474 130 41 25 4 15 19 42 45 1 171 126 77 2,818 2,875 255 118 40 29 21 13 83 32 34 13 97 69 73 61 1,333 458 287 442 22 2 13 3 3 205 317 7 2 402 2,066 1,084 2,984 282 1,992 ........27 51 87 117 14 3 9 2 3 1 4 26 991 2,857 155 1,672 " ’ ’ is" 197 3 19 2 77 170 42 15 36 56 57 27 42 103 31 63 42 79 48 12 12 29 24 88 220 75 165 822 2,650 106 159 646 146 35 509 542 118 50 371 77 857 171 88 511 1 4,376 520 350 4,200 1 827 510 710 372 5,246 4,277 1,116 513 28 23 >69 13 22 18 36 11 271 131 839 125 35 23 482 1,218 1,220 853 |11,288 13,210 1,832 1 6 13 270 406 147 21 21 3 1,048 2,924 298 152 41 69 ........2 58 3 32 19 5,672 735 589 5,002 408 154 93 19 6,996 5,094 24 17 21 5 8 1 6 1 1 339 164 880 144 990 704 228 173 28 14,373 14,857 2 92 P E R CENT IN EACH WORKROOM AND OCCUPATION. 3 18 7 2 4 19 14 14 1 10 3 2 2 1 C) 2 15 19 9 9 1 15 10 9 25 22 1 10 4 4 1 1 10 4 2 3 1 0) 3 1 1 2 2 6 18 6 44 10 2 42 44 10 4 0) 23 5 2 3 0) 13 (i) 5 17 (i) 1 0) 5 11 22 3 5 6 23 6 11 2 11 19 1 1 2 15 4 8 2 14 14 5 15 1 18 4 24 20 1 8 3 3 2 1 6 1 2 i l 1 10 4 2 3 (0 0) 0) 1 0) 0) i1) 0) 2 3 1 19 7 20 6 16 6 9 12 44 39 5 3 31 47 9 5 52 42 6 10 67 1 1 0) 0) 42 58 44 47 32 61 52 58 2 2 6 1 2 2 4 1 3 1 6 1 2 1 2 2 3 1 100 100 100 100 100 100 100 100 j 7 G) 4 2 2 0) 3 14 2 5 8 2 3 0) 11 5 56 18 100 3 7 1 C1) 20 (*) 2 3 1 11 7 20 34 2 18 68 40 5 4 33 68 54 68 49 34 4 3 3 3 2 1 6 1 100 100 100 100 0) 100 j 1 206 GENERAL, TABLES. T a b l e 2 . — D E A T H S P R O M T U B E R C U L O U S , N O N T U B E R C l fL O U S , A N D A L L WORKROOMS AND OCCUPATIONS, BY AGE D E A T H S: T U B E R C U L O U S. Operatives of specified age group and sex. Workroom and occupational groups. 14 years. ; 15 to 19 years. 30 to 34 years. Fe f e Males,; Fe- : Males.; Fe- ; Males. males. males. males. ^ - j n S T e s . males. Males. \ s _ ____ 1. ____ S 1 Card rooni. . . ......................... 6 Spinning room: Spinners, ring or frame Spinners, mule-_________ Miscellaneous........ „ .......... 4 Total................................ 5 13 1 9 1 1 Spooler room: Spooler tenders. . . » .......... Drawers-in......................... Warper tenders................. ■ * Winders and reelers_____ Slasher tenders and help ers......... ............. ............ Miscellaneous........ 13 1 3 14 2 1 9 21 12 21 2 14 4 9 4 8 3 4 2 7 8 9 7 4 8 : 4 2 1 3 1 8 2 1 2 2 1 10 6 1 1 Total....... ............ ............ Weave room: Weavers.... ............ ............ Loom fixers........... . Miscellaneous___________ . Cloth room......... ....................... Miscellaneous employees-___ Grand total__ _________ 1 11 1 11 6 6 8 1 17 i ---------- .---------- .. Total................................ 25 to "29 years.. 20 to 24 years. 1 6 7 2 1 2 3 15 42 11 2 7 1 9 18 13 7 9 1 6 10 € 4j 1 64 23 40 23 32 10 5 8 2 13 2 1 9 9 3 1 5 13 1 7 12 9 9 13 2 4 4 26 D E A T H S : JTOJSTTUBERCrOXOUS. Picker room............................. Card room.................................. 1 Spinning Toom: Spinners, ring or frame Spinners, m u l e . . . . . . . . . . . Miscellaneous..................... 1 Total................................ 1 ! 1 1 1 i 7 7 4 13 12 1 13 1 3 3 1 2 1 2 6 4 2 12 6 5 10 13 1 1 15 16 . 2 19 1 11 15 15 18 19 1 Total................................ 2 , Total................................. 4 i 11 . 2~ 5 11 2~' 1 Grand total..................... 10 ^=■=^7 37 1 ~32~ 5 1 28 35 10 J" 1 1 31 53 7 9 4 4, 2 Cloth room............................. Miscellaneous employees........ 4 16 Spooler room: Spooler tenders.................. Drawers-in......................... Warper tenders................. Winders arid reelers.____ Slasher tenders and help ers..................................... Miscellaneous___ _______ Weave room: Weavers.............................. Loom fixers............... Miscellaneous..................... 1 2 T 1 25* 53~ 207 GENERAL, TABLES. CAUSES, OP OPERATIVES OF ALL RACES EMPLOYED IN SPECIFIED GROUP AND SEX, 1908 TO 1912. DEATHS: TtrBEECTTLOUS. Operatives of specified age group and sex. 35 to 39 years. 40 to 44 years. 45 to 54 years. 15 to 44 years. 55 to 64 years. 65 years and over. Total (14 to 65 years and over). Fe Fe Fe Males. Fe Males. Fe Males. Fe Males. Fe Males. males. males. Males. males. males. males. males. Males. males. 2 3 8 2 1 5 3 5 1 8 5 1 56 2 41 56 2 1 25 5 3 8 1 2 4 2 56 12 10 19 2 4 4 4 20 1 2 1 5 6 2 20 3 6 12 1 23 6 1 1 1 33 21 13 28 4 ' 56 3 50 56 1 27 5 4 8 1 1 1 4 1 1 42 1 2 1 1 6 45 48 11 1 3 2 4 79 9 1 55 4 89 58 4 3 9 3 6 ' ! 1 66 - 8 7 i 74: 51 1 i : 3 2 9 3 148 217 18 61 13 17 20 1 3 3 9 23 2 2 1 1 1 1 1 1 3 12 3 3 1 1 25 7 10 3 7 1 184 232 19 8 13 55 93 3 18 28 42 55 3 88 57 5 2 40 10 7 6 D E A T H S : NONTTTBERCTTLOTTS. 2 4 5 6 24 1 4 3 1 1 7 5 7 1 5 2 7 10 3 2 19 15 19 20 2 16 16 4 31 52 1 1 5 3 1 1 16 7 2 1 4 4 51 53 9 1 24 2 5 2 1 2 2 29 8 4 6 6 1 3 3 3 1 18 2 6 4 2 1 1 13 2 7 47 4 10 9 4 2 2 22 63 28 74 8 7 96 47 8 1 52 32 6 11 17 16 2 2 6 169 24 23 171 1 97 56 52 49 17 20 6 216 172 7 17 13 7 418 405 28 89 1 2 2 2 9 i 5 I 4 j 5 1 3 1 1 9 1 1 1 30 51 180 264 | 90 j 87 110 44 34 2 8 20 1 40 6 6 3 2 1 3 9 3 1 2 29~ 53 8 1 G EN ERAL TABLES. 208 T able 2 ___D EATH S FROM TUBERCULOUS, NONTUBERCULOUS, AN D A L L W ORKROOM S AN D OCCUPATIONS, B Y AG E DEATHS: ALL CAUSES. Operatives of specified age group and sex. Workroom and occupational groups. 15 to 19 years. 14 years. 20 to 24 years. 25 to 29 years. 30 to 34 years. Fe Fe Fe Males. Fe Fe Males. males. Males. males. Males. males. Males. males. males. Picker room............................... Card room .................................. 1 Spinning room: Spinners, ring or frame Spinners, mule................... Miscellaneous..................... 1 Total................................ 1 2 1 1 7 13 5 26 .21 26 2 12 1 1 3 16 1 Spooler room: Spooler tenders.................. D rawers-in.......................... Warper tenders................. Winders and reelers.......... Slasher tenders and help ers ..................................... Miscellaneous........... 2 5 24 7 22 6 22 4 2 18 30 7 1 9 21 4 4 6 14 24 30 17 21 14 14 2 12 4 7 2 2 3 1 1 . . 15 2 22 19 1 27 24 3 1 22 25 3 25 2 28 22 28 25 11 4 1 Total................................ 2 16 12 20 29 2 2 2 4 2 1 52 74 54 99 3 1 1 12 4 . 17 2 Cloth room................................. Miscellaneous employees........ . 3 Weave room: Weavers.............................. Loom fixers........................ Miscellaneous..................... 6 1 Total................................ Grand total..................... 10 2 3 1 I 5 1 54 93 j 16 7 1 48 j 85 209 GENERAL TABLES. CAUSES, OF OPERATIVES OP ALL RACES EMPLOYED IN SPECIFIED GROUP AND SEX, 1908 TO 1912— Concluded. D E A T H S ; A L L CAUSES. Operatives of specified age group and sex. 35 to 39 years. 40 to 44 years. 15 to.44 years. 55 to 64 years. 45 to 54 years. 65 years and years. Total (14 to 65 years and over). Fe Fe Fe Fe Fe Males. Fe Fe Males. males. Males. males. Males. males. Males. males. Males. males. males. Males. males. 4 7 14 5 2 1 12 8 12 1 6 2 2 2 12 ii 9 44 109 10 8 22 2 17 21 3 5 5 28 14 50 108 1 2 10 3 1 1 18 8 2 1 8 6 92 109 15 1 27 2 7 2 1 1 3 2 54 13 7 14 7 1 4 3 4 1 2 5 5 1 1 1 8 22 78 3 31 45 62 111 3 138 113 6 2 67 15 U 14 2 1 1 6 1 154 2 17 3 1 3 8 2 11 11 89 5 12 10 5 2 2 28 108 30 6 2 25 30 3 34 140 16 7 144 34 6 12 21 16 2 2 6 248 33 24 226 4 58 9 1 55 1 38 25 33 35 163 148 68 55 52 21 20 6 305 230 1 1 2 1 1 2 5 4 18 8 4 5 3 1 2 10 1 1 1 11 20 22 10 58 69 328 481 115 94 120 51 35 602 637 ; 62 61 | 88204°— 19— Bull. 251------ 14 8 4 210 GEN ERAL TABLES. T a b l e 3 . — N U M B E R O F O P E R A T IV E S O F EACH R A C E E M P L O Y E D IN SPECI AM ER ICAN . Operatives of specified age group and sex. Workroom and occupational groups. 15 to 19 years. 14 years. 20 to 24 years. 25 to 29 years. 30 to 34 years. Fe Fe Fe Males. Fe Males. Fe Males. males. males. Males. males. Males. males. males. Picker room............................... 0»rd room . . . . . . 4 19 Spinning room: Spinners, ring or frame.. . Spinners, . T......... Miscellaneous..................... 3 6 18 Total................................. ........... 21 6 41 92 1 25 46 1 13 33 12 16 13 43 3 2 15 14 9 3 12 1 9 1 20 23 73 86 44 30 23 20 14 12 12 7 8 1 5 5 52 14 6 35 2 13 4 2 5 25 19 7 16 1 1 3 10 16 7 10 2 Spooler room: Spooler tenders.................. Drawers-in.......................... Warper tenders................. Winders and reelers.......... Slasher tenders and help ers. Miscellaneous..................... 2 2 9 5 27 8 3 8 2 4 Total................................ 13 19 53 115 29 75 11 47 6 10 18 5 102 1 30 160 8 60 62 10 3 ........2* 40 4 4 Total................................ 18 23 133 174 86 103 73 64 48 45 Cloth room................................. Miscellaneous employees........ 3 4 30 6 76 4 15 9 61 4 6 2 29 2 7 7 1 Grand total.................... 59 71 349 505 195 312 I 85 | s^T 2 26 123 1 27 n Weave room: AVeavers.............................. Loom fixers........................ Miscellaneous..................... 2 10 2 14 4 74 98 8 4 ........5* 1 9 3 4 4 126 1 '• 189 j 1 n | i | ENGLISH. Picker room............................... Card room.................................. Spinning room: Spinners, ring or frame... Spinners, mule................... Miscellaneous..................... Total................................ 1 10 22 3 3 20 1 50 117 1 24 72 13 1 15 9 11 4 24 9 8 1 5 17 32 74 20 54 13 25 11 37 8 1 9 1 12 40 20 13 57 6 1 4 4 28 15 10 31 4 1 S 12 12 5 14 4 3 7 1 9 7 1 9 19 2 5 3 66 23 5 4 Spooler room: Spooler tenders.................. Drawers-in.......................... Warper tenders................. Winders and reelers......... Slasher tenders and help ers ..................................... Miscellaneous..................... 3 8 4 1 7 1 7 % 6 37 6 4 9 6 2 11 4 8 14 3 Total............................... 15 22 66 136 28 90 26 47 37 29 Weave room: Weavers.............................. Loom fixers........................ Miscellaneous..................... 17 33 131 239 29 8 ........3* 153 39 6 209 3 157 21 12 275 16 Total................................ 33 36 240 306 190 282 168 242 198 210 Cloth room................................. Miscellaneous employee s ........ 2 1 1 33 6 103 6 17 4 84 9 6 4 52 1 Grand total................... 85 86 470 688 321 G01 254 425 292 190 2 48 ” ’ *i4* 7 i(T 310 1 14 332 211 GENERAL TABLES. FIE D W ORKROOM S AND OCCUPATIONS, B Y AG E G RO U P AN D S E X . AM ERICAN. Operatives of specified age group and sex. Males. 1 8 45 to 54 years. 55 to 64 years. 65 years and over. Total (14 to 65 years and over). Fe Fe Fe Fe Fe Males. Fe Males. males. Males. males. Males. Fe Males. males. males. Males. males. males. males. 1 8 13 6 3 3 4 12 4 6 1 3 3 1 4 2 1 3 2 6 14 4 32 6 1 26 21 5 39 26 26 3 6 69 63 1 1 2 15 to 44 years. 40 to 44 years. 35 to 39 years. 8 4 107 208 4 11 3 2 2 1 1 2 1 45 10 111 99 3 166 100 4 1 3 2 2 2 2 13 22 11 8 20 93 63 26 71 2 2 6 2 1 35 24 1 8 109 277 7 10 3 1 16 329 34 42 406 29 5 1 14 10 1 4 22 16 405 428 35 14 11 1 5 62 17 184 11 3 7 46 1 40 870 1,208 5 1 3 1 4 4 64 1 1 232 49 16 131 108 2 2 196 107 18 22 11 10 26 105 72 28 73 1 2 35 | 10 124 1 45 29 132 307 1 379 40 51 442 4 1 470 469 3 3 1 24 9 4 5 17 13 4 18 228 6 20 4 4 4 32 160 161 71 8 353 74 29 24 38 26 118 71 35 128 72 1 17 1 1 27 198 11 1,021 | 1,324 ENGLISH. 1 21 1 24 54 5 12 5 11 22 11 12 3 1 6 1 10 6 4 11 1 34 7 172 471 20 82 122 64 2 7 3 2 2 2 5 25 35 4 1 3 54 11 224 65 68 4 30 22 15 32 20 106 63 31 116 6 2 5 2 3 4 3 5 1 2 1 1 34 78 21 8 8 3 6 2 10 2 2 4 5 23 21 21 14 201 337 31 15 21 189 40 7 188 150 33 8 140 970 164 89 1,343 295 76 19 184 25 236 188 191 140 1,223 1,368 390 U , ’ 1 20 12 1 11 89 16 284 16 15 , 294 262 201 1,932 2,541 1 534 , 315 1 7 9 1 541 3 4 4 54 106 23 1 9 277 375 140 20 25 51 39 3 14 14 1,461 1,625 263 163 ........28 184 185 51 56 14 1,887 1,653 4 11 1 4 121 17 290 16 242 269 66 81 2,901 2,949 14 212 G ENERAL TABLES. T a b le 3 . — NUM BER OF O P E R A T IV E S OF EACH RACE EM PLO YED IN SPECI IRISH . Operatives of specified age group and sex. Workroom and occupational groups. 15 to 19 years. 14 years. 20 to 24 years. 25 to 29 years. 30 to 34 years. Fe Fe Fe Fe Fe Males. males. Males. males. Males. males. Males. males. Males. males. Picker room............................... Card room.................................. 3 Spinning room: Spinners, ring or frame Spinners, mule................... Miscellaneous..................... 6 1 20 i| I 1 4 [ 1 24 ! Total................................ 6 28 1 7 2 3 3 2 5 19 5 1 13 1 3 3 16 2 2 30 2 3 3 2 5 5 Spooler room: Spooler tenders.................. Drawers-in.......................... W arper tenders................. Winders and reelers......... Slasher tenders and help ers ..................................... Miscellaneous..................... 1 2 Total................................ 3 Weave room: Weavers.............................. Loom fixers........................ Miscellaneous..................... Total................................ 7 2 Cloth room....................; ........... Miscellaneous employees........ Grand total.................... 17 14 10 89 14 69 15 88 7 2 3 5 15 12 7 10 15 20 23 4 13 3 2 1 2 20 18 7 8 1 4 25 8 4 4 7 3 7 1 2 5 3 4 40 17 63 16 55 10 45 33 56 52 3 5 1 26 8 2 109 5 35 90 1 6 ........2 129 16 49 61 42 92 60 130 36 109 12 1 36 1 11 2 44 4 6 2 40 : 3 141 200 89 294 110 -304 77 2 21 48 2 18 61 1 2 4 3 4 8 1 4 . 2 24 281 FRE NC H CAN AD IAN . 6 13 1 57 90 19 64 8 41 61 360 339 92 1 52 206 6 61 2 103 366 166 339 145 8 10 3 5 204 59 18 77 5 7 8 9 103 60 44 44 Picker room............................... Card room.................................. Spinning room: Spinners, ring or frame... Spinners, mule.................. Miscellaneous..................... 44 2 266 Total................................ 52 43 327 29 169 1 98 4 32 207 134 170 6 2 7 1 55 34 32 27 3 1 1 1 35 27 30 11 1 Spooler room: Spooler tenders.................. Brawers-in.......................... Warper tenders................. Winders and reelers......... Slasher tenders and help ers..................................... Miscellaneous..................... 5 14 8 1 8 11 5 3 63 18 12 25 12 11 9 6 18 5 2 Total................................ 16 36 92 376 66 263 36 154 29 105 Weave room: Weavers.............................. Loom fixers........................ Miscellaneous.................... 32 41 9 1 Total................................ 41 Cloth room............................... Miscellaneous employees........ 1 1 Grand total..................... 117 | 268 248 4 24 ........9 ’ 209 220 21 2 ........2* 191 33 4 143 199 48 6 78 42 296 257 1I 232 222 228 143 253 79 1 16 2 35 1 5 38 3 6 2 23 3 2 -4A 135 791 1,125 488 929 440 575 441 OVO 1 1 GENERAL TABLES. 213 FIED WORKROOMS AND OCCUPATIONS, BY AGE GROUP AND SEX—Con, IRISH. Operatives of specified age group and sex. 35 to 39 years. 15 to 44 years. 40 to 44 years. 45 to 54 years. 65 years and over. 55 to 64 years. Total (14 to 65 years and . over). Fe Fe Fe Fe Fe Fe Fe Males. males. Males. males. Males. males. Males. males. Males. males. Males. males. Males. males. 83 19 1 28 96 3 7 2 10 2 106 486 19 27 47 44 8 42 4 22 5 8 10 9 5 9 24 9 12 10 93 44 31 • 8 1 13 12 7 3 2 10 8 8 2 12 5 3 10 86 91 35 43 6 3 1 14 8 12 4 37 28 14 95 269 11 1 3 7 13 38 9 28 74 10 3 155 120 20 5 101 87 155 145 6 3 30 3 1 Z15. 199 1 5 22 118 1 13 4 18 8 1 1 20 39 2 340 640 42 37 ........8* 183 28 12 172 1 101 419 648 223 12 1 42 11 186 9 3 1 248 768 1,642 328 15 181 2 • 635 52 1 24 62 63 1 149 52 18 5 6 11 104 100 48 47 2 1 1 1 10 22 1 3 50 34 15 4 4 124 314 57 10 4 54 10 2 6 173 71 56 16 8 3 4 3 349 122 85 29 2 i 1152 | 3 592 872 80 62 ........i3 3 734 '885 1 49 12 198 12 6 1,264 2,096 2 4 38 231 315 1,331 480 26 609 ........12 FRENCH C AN ADIAN . 5 28 22 3 30 16 10 36 25 6 1 27 2 1 13 1 34 2 14 1 1,115 1,343 2 37 21 22 21 520 229 182 185 31 56 429 18 501 1,263 1 41 7 14 9 36 7 24 134 62 56 948 1,272 67 25 35 16 18 9 3 28 19 21 5 33 21 22 16 460 215 163 173 4 35 5 15 3 2 75 115 76 4 34 133 114 8 1 2 1 20 3 2 11 10 34 80 25 75 229 80 7 76 167 53 2 86 316 76 222 4 1 9 502 321 : 13 173 ” *269’ 13 12 9 1 3 1 42 13 7 i 4 6 282 1,053 24 59 10 13 4 1,263 239 45 851 279 50 3 107 6 1 - 71 9 16 29 12 86 1,547 863 332 108 96 29 15 6 3 1 ........... 37 8 125 5 5 1 4 1 1 2 1 1 239 3,008 425 228 168 47 346 3,587 j| 92 143 48 3 336 1,164 2 1,651 298 82 1,030 2 2,031 1,044 1 45 12 131 7 7 3,808 4,004 4 9 40 14 214 G ENERAL TA B LE S. T able 3 . — N UM BER OF O PE R A T IV E S OF EACH RA CE EM PLO Y E D IN SPECI PORTUGUESE. Operatives of specified age group and sex. Workroom and occupational groups. * j 14 years. 25 to 29 years. 20 to 24 years. 30 to 34 years. Fe j Males. Fe Males. males. Males. Fe Males. Fe Males. Fe males. males. males. males. Picker room............................... Card room. .... .................... RfUTiTvinoi riwm • Spinners, ring or frame. - Spinners, mule................... Miscellaneous..................... 26 1 Total................................. 37 28 Spooler room: Spooler tenders................. Drawers-in.......................... Warper tenders................. Winders and reelers.......... Slasher tenders and help ers..................................... Miscellaneous................... . 15 to 19 years. 6 11 17 | 27 5 48 194 2 353 190 43 196 153 597 3 308 ........3 56 5 98 124 116 43 164 52 1 549 • 490 464 600 159 125 40 23 67 2 2 3 4 2 162 3 1 125 2 g 1 3 12 2 71 1 3 1 3 488 30 138 16 2 22 5 2 179 2 | 1 2 9 6 5 8 8 g 8 3 7 5 23 Total................................. 5 5 12 80 19 184 21 139 16 75 Weave room: Weavers .......................... Loom fixers........................ Miscellaneous..................... 16 16 ' 97 1 13 100 170 A 8 107 131 2 13 35 74 4 14 14 Total................................. 24 16 111 100 182 107 146 35 92 14 1 2 1 2 2 7 3 28 2 18 19 7 19 9 842 1,112 585 434 38! 173 8 97 75 6 88 46 8 Cloth room................................. Miscellaneous employees........ Grand total..................... 72 66 728 852 j O TH E R RACES. Picker room............................... Card room.................................. Spinning room: Spinners, ring or frame.. . Spinners, mule................... Miscellaneous..................... Total................................. 1 8 1 34 102 3 100 149 1 3 9 53 19 49 23 1 21 6 1 5 11 34 11 1 9 43 54 40 49 21 23 12 11 1 2 4 30 11 1 13 1 1 1 22 5 2 9 2 6 1 2 12 1 1 5 1 2 7 8 3 1 5 1 Spooler room: Spooler tenders.................. Drawers-in.......................... Warper tenders................. Winders and reelers......... Slasher tenders and help ers..................................... Miscellaneous..................... 3 1 2 10 4 1 5 5 3 Total................................. 5 7 19 59 9 43 6 12 5 15 Weave room: Weavers.............................. Loom fixers........................ Miscellaneous..................... 6 9 102 145 1 148 7 4 45 2 233 3 4 132 5 313 3 4 290 25 Total................................. 12 9 127 150 320 292 240 133 159 45 2 9 27 1 3 2 13 2 7 1 8 3 2 29 233 393 477 548 380 251 273 119 1 6 Cloth room. ................. Miscellaneous employees........ Grand total..................... 26 1 1 215 GENERAL TABLES. F IE D W ORKROOM S AN D OCCUPATIONS, B Y AG E G RO U P AND S E X — Con. PORTTTGTTESE. Operatives of specified age group and sex. 40 to 44 years. 35 to 39 years. Males. 4 2 14 9 20 9 | 42 74 36 3 3 26 2 1 45 1 6 71 3 3 1,258 1,250 78 6 32 12 4 2 502 6 27 8 4 22 1 2 12 267 118 17 24 3 11 1 636 269 62 14 10 15 78 4 80 3 20 228 66 3,031 2,755 299 57 1 J 1 563 2 11 | 18 20 1 1 1 2 1 1 2 9 269 2 32 2 530 6 27 1 525 16 95 48 17 6 4 3 2 23 1,284 7 89 11 1,396 1,244 1 30 3 15 3 426 15 817 35 14 2 3 20 14 24 32 39 50 | 1,274 19 445 15 936 18 2 6 6 265 857 52 67 22 [ 7 Total (14 to 65 years and over). 1 3 589 36 198 757 2 3 3 65 years and over. 55 to 64 years. Fe Males. Fe Fe Fe Males. Fe Males. Fe Males. Fe Mafes. Males. males. males. males. males. males. males. males. 35 137 1 45 to 54 years. 15 to 44 years. 1 1 1 35 53 626 10 9 21 115 | 593 555 17 171 286. 18 1 21 743 | 288 13 2 3 1 62 87 4 3 2 2 50 3 20 101 8 4 94 3,497 j 2,887 O TH ER RACES. 8 56 27 15 42 22 2 1 2 4 5 3 5 4 421 12 25 24 52 3 74 143 1 4 1 6 2 3 129 144 7 4 2 1 12 2 1 2 4 5 2 3 7 86 20 5 31 3 7 2 1 1 1 7 22 9 1 2 46 151 7 12 3 60 11 3 33 3 8 1 1 1 2 2 41 417 4 5 17 2 5 92 7 2 53 61 5 3 26 1 101 54 69 27 1,016 701 74 33 2 4 1 2 1 2 26 4 56 4 6 1 1 177 107 139 59 1,679 1,477 132 | 74; 1 949 691 25 42 **’ ‘ io‘ 56 445 455 150 3 54 3 92 3 149 151 1 6 2 8 10 98 23 7 32 1 1 13 25 11 1 3 64 171 17 1 6 14 2 24 14 34 1 17 1 1 3 1,034 747 37 60 ........io 5 1,131 757 32 5 59 4 11 1,882 ; 1,597 216 G ENERAL TABLES. T a b le 4=.— D E A TH S FROM TU BERCULOU S, N O N TU BE R C U LO U S, A N D A L L W O RKRO OM S A N D OCCUPATIONS, B Y D E A T H S : TUBERCULOUS. Operatives of specified age group and sex. Race, workroom group, and occupational group. 14 years. 15 to 19 years. 20 to 24 years. 25 to 29 years. 30 to 34 years. Fe Fe Fe Fe Males. males. Males. Fe Males. males. Males. males. males. Males. males. AMERICAN. 3 2 Spinning room: 1 1 2 Miscellaneous.............. 1 Total................................. Spooler room: 2 2 Warper tenders................. 1 1 1 2 1 3 2 1 Slasher tenders and help ers.................................. "Miscellaneous_______ ^. T. Total................................. Weave room: Weavers............................. Loom fixers........................ Miscellaneous..................... 1 1 2 3 4 1 3 4 1 Total................................. 1 2 Cloth room......... ....................... Miscellaneous employees........ 1 1 1 Grand total........ - ........... 3 7 1 5 8 4 3 1 2 1 3 ENGLISH. Picker room.................. ............ Card room.................................. 4 Spinning room: Spinners, ring or frame S-ninnPTS. rrmle.... .......... Miscellaneous..................... !............ 2 Total................................. 3 1 4 1 1 2 Spooler room: Spooler tenders................. Drawers-in.......................... Warper tenders................. Winders and reelers.......... Slasher tenders and helpers............................. Miscellaneous..................... 1 1 1 Total................................. 2 1 i 1 1 2 1 Weave room: ' Weavers.............................. Loom fixers........................ Miscellaneous..................... 2 1 1 3 2 2 Total................ ............... 2 1 1 3 2 2 Cloth room................................. ........... 1 .......... Miscellaneous employees........ ........... ............. 1 1 Grand total____ _____ i 1 2 7 2 2 T 4 9 2 3 4 7 217 G EN ERAL TABLES. CAUSES, O F O PE R A TIV E S OF EACH RACE EM PLO YE D IN SPE C IFIE D AGE GRO U P AN D S E X , 1908 TO 1912. D E A T H S : TtTBERCITLOrS. Operatives of specified age group and sex. 35 to 39 years. 55 to 64 years. 45 to 54 years. 15 to 44 years. 40 to 44 years. 65 years and over. Total (14 to 65 years and over). Fe Fe Fe Fe Fe Fe Fe Males. males. Males. males. Males. males. Males. males. Males. males. Males. males. Males. males 6 6 1 1 2 2 3 3 2 1 2 1 4 4 7 7 1 6 1 6 6 1 2 1 10 22 1 6 1 1 7 j 6 2 1 r 1 1 _1 11 22 ! is 6 6 1 : 1 ] ........... 1 1 1 14 1 1 4 2 1 2 2 7 1 i = = » = 1 1 6 2 1 2 2 9 | 1 r 2 2 . 1 3 3 i 1 1 i 2 5 3 19 1 10 3 20 10 1 1 i 4 1 4 1 4 1 5 5 1 15 X 7 4 16 7 4 1 4 = 1 7 3 3 3 23 30 7 1 i 3 . 31 34 218 G EN ERAL TAB LES. .T a b le 4 . — DEATHS PROM TUBERCULOUS, NONTUBERCULOUS, AND ALL W ORKROOM S AN D OCCUPATIONS, B Y AG E D E A T H S ; TU BER CULO US—Continued. Operatives of specified age group and sex. Race, workroom group, and.; occupational group. 15 to 19 years. 14 years. 20 to 24 years. 25 to 29 years. SO to 34 years. Fe Fe Males. Fe Fe Males. Fe Males. males. males. males. Males. males. males. Males. IRISH. Picker room ............................. Card room.................................. 3 3 ! t 4 1 1 ........... 1 i Ii Total................................ 1 Spooler Toom: Spooler tenders.................. Drawers-in.......................... Warper tenders................. Winders and reelers.......... Slasher tenders and helpers.............................. Miscellaneous..................... 1 1 1 1 1 1 ! ! 1 ! i Total................................. Weave room: Weavers.............................. Loom fixers...... .................. Miscellaneous..................... Total................................. 2 i........... Spinning room: Spinners, ring or frame.. . Spinners, mule................... Miscellaneous..................... j Cloth room................................. ......... 1 ... . | Miscellaneous employees........ Grand total..................... 1 1 1 2 2 1 2 1 2 2 3 j 1 1 2 1 1 3 3 3 3 | 1 3 2 1 6 3 '8 2 1 2 14 4 4 li 3 ........... 7 4 10 FEENCH CANADIAN. Picker room............................... Card room.................................. 1 1 Spinning Toora: Spinners, ring or frame... Spinners, mule................... Miscellaneous..................... 2 Total................................. 2 7 1 3 1 1 2 1 4 5 7 Spooler room: Spooler tenders.................. Drawers-in.......................... Warper tenders................. Winders and reelers......... Slasher tenders and help ers ..................................... Miscellaneous..................... 1 3 Weave room: Weavers.............................. Loom fixers........................ Miscellaneous..................... 1 Total................................. 2 1 Cloth room................................. Miscellaneous employees........ • 5 4 5 2 1 1 1 1 1 Total................................ Grand total..................... 4 2 1 1 1 1 2 4 2 R 1 ! | 1 5 5 j 3 4 3 1 4 4 1 1 1 3 15 6 26 ia | 13 8 8 GEN ERAL TAB LES. 219 CAUSES, OF OPERATIVES OF EACH RACE EMPLOYED IN SPECIFIED GROUP AND SEX, 1908 TO 1912— Continued. D E A T H S ! TU BER CU LO U S—Continued. 220 G EN ERAL TABLES. T able 4 . — DEATH S FROM TUBERCULOUS, NONTUBERCULOUS, AN D A L L W ORKROOM S AND OCCUPATIONS, B Y AGE D E A T H S : TU BERCULOUS—Concluded. Operatives of specified age group and sex. Race, workroom group, and occupational group. 14 years. 15 to 19 years. 25 to 29 years. 20 to 24 years. 30 to 34 years. Fe Fe Fe Fe Fe males. Males. males. Males. males. Males. males. Males. males. Males. i PORTUGUESE. Picker room............................... 1 1 Spinning room: 3 6 Rpinnfvrs, mnlA____ ______ |Misr»ellRTlP-ons.................... 2 Total................................. 2 Spooler room: 1 1 5 2 6 3 4 3 1 3 2 1 5 1 1 2 3 1 5 1 i Warper tenders................. Wrndp.rs and rp.p.lprs_____ Slasher tenders and help ers ..................................... Miscellaneous.................. . 1 1 1 . i 1 I 1 1 2 1 1 1 2 ! 1 6 11 I 3 1 1 I 1 1 2 Total................................. Weave room: W eavers.............................. Loom fixers........................ Miscellaneous..................... Total................................. 5 1 Cloth room................................. Miscellaneous employees........ 3 Grand total..................... 9 OTHER RACES. Picker room............................... Card room.................................. Spinning room: Spinners, ring or frame Spinners, mule................... Miscellaneous..................... 1 l 1 ! 1 ........... |............ Spooler room: Spooler tenders.................. Drawers-in. . . . . *___ Warper tenders................. Winders and reelers......... Slasher tenders and help ers ..................................... Miscellaneous..................... 1 j ........... 1............ 1 1 i Total................................. | i ! 1 1 ______ I............ | i i 1 i I 1 ........... t............ 1 2 2 2 3 1 2 2 2 3 , . 1 Total............................... 1 Cloth room................................. Miscellaneous employees. . . . 1 i Grand total..................... 2 i f 1 ! Total................................. Weave room: W eavers................. ........... Loom fixers........................ Miscellaneous..................... 6 f v ii •' ' 1 3 4 2 1 3 3 221 GENERAL, TABLES* CAUSES, OF O PE R A TIV E S OF EACH RACE EM PLO YED IN SPECIFIED GRO U P AN D SEX, 1908 TO 1912— Continued. D E A T H S i TTTBERCTTLOTTS—Concluded. Operatives of specified age group and sex. 35 to 39 years. 40 to 44 years. 15 to 44 years. 45 to 54 years. 55 to 64 years. 65 years and over. Total (14 to 65 years and over). Fe Fe Fe Fe Fe Fe Males. Fe Males. males. Males. Males. males. Males. males. Males. males. males. Males. males. males. 1 1 1 2 2 8 8 2 14 2 1 1 6 8 1 1 14 6 14 8 14 10 2 2 1 2 10 2 10 3 2 3 2 3 3 1 1 1 3 1 24 35 5 2 3 3 2 1 1 1 3 ■ 1 1 1 2 1 i 2 9 10 1 3 5 8 27 36 1 5 2 2 2 2 2 ........... i............ j ! 1 2 9 5 9 5 1 2 9 5 l 9 | 5 1 1 1 i 1 1 15 11 i1**-. 2 2 3 1 I ........... 1............ 1 16 | 11 G EN ERAL TAB LES. 222 T able 4 . — D EATH S FROM TUBERCULOUS, NONTUBERCULOUS, A N D A L L W ORKROOM S AN D OCCUPATIONS, B Y AGE D E A T H S : NONTTTBEBCTJXOTTS. Operatives of specified age group and sex. I 1 20 to 24 years. 15 to 19 years. 14 years. Race, workroom group, and occupational group. 25 to 29 years. i Fe Males. Fe Fe Males. Fe Males. males. nfatos. M ales' males. males. males. Males. AMERICAN. j 1 1 Spinning room: ........... ............. I............ 2 i i Spooler room: 1 1 1 2 1 2 1 ! 1 | 1 1 1 1 3 1 1 1 ! Slasher tenders helpers. Total . 30 to 34 years. 1 “ 1 1 1 . and i ; ................. 1 Weave room: Weavers . . . - ....... Loom fixers . . ..... Miscellaneous.......... ' 1 1 1 1 1 1 3 2 M 1 1 3 3 2 6 2 3 3 6 4 1 2 Picker room............. ..................... Card room... ..................................... 2 2 2 1 3 Spinning room: Spinners, ring or frame Spinners, mule................... Miscellaneous.................... 4 1 1 Total................................. 4 2 Trrf-.nl -------- _ _ . ___________ X 2 2 _ 1 Cloth room ............... .. .......... .. Miscellaneous employees........ Grand total..................... \ I 1 1 . ENGLISH. 3 1 1 Spooler room: Snnnlp.r ten ders. __ ____ Drawers-in........... . . . . . . . . 1 ............ Warper tenders._________ I............ W in d e r s an d reelers 1 1 _____________ 1 3 Slasher tenders and helpers. Miscellaneous..................... 1 Total................................ Weave room: Weavers.............................. Loom fixers......... ............. Miscellaneous..................... 2 Total................................ 4 2 3 10 1 4 5 4 7 7 4 8 7 \ .............. i............... 3 Cloth room................................. 1............ M iscellaneous em nlovees. ____ *____ . Grand total.................... 1 5 1 6 5 ij 5 2 f 9 4 | 1 1 6 12 2 9 12 G EN ERAL TABLES. 223 CAUSES, OF O PE R A TIV E S OP EACH RACE EM PLO YED IN SPECIFIED GKOUP AN D SE X, 1908 TO 1912— Continued. D E A T H S : NONTUBEBCTTLOUS. Operatives of specified age group and sex. 40 to 44 years. 35 to 39 years. 55 to 64 years. 45 to 54 years. 15 to 44 years. Total (14 to 65 years and over). 65 years and over. Fe Fe Fe Fe Fe Males. Fe Males. males. Males. Fe Males. males. Males. males. Males. males. males. Males. males. males. 2 2 2 1 1 = 5 3 = 1 1 5 1 1 1 5 1 7 1 7 1 1 1 2 1 1 3 1 1 1 1 1 4 1 1 2 2 1 4 2 3 9 2 2 3 9 9 2 1 3 * , 2 2 1 1 5 1 1 7 2 3 lb 1 1 12 10 1 1 2 1 2 20 16 3 2 2 2 1 27 21 1 3 13 1 5 2 5 2 8 23 2 5 1 1 1 7 1 1 2 1 2 1 3 3 1 2 9 2 ---------- 1 : 15 6 21 1 1 1 3 1 1 4 1 4 3 2 8 1 3 1 7 1 9 9 1 7 3 2 4 3 2 4 9 6 31 3 2 25 24 5 23 18 5 2 10 10 2 4 83 15 4 62 5 4 9 6 36 25 29 23 25 10 12 4 102 62 2 3 1 2 2 4 5 4 1 50 40 149 100 1 5 | 8 10 8 49 1 2 30 42 1 16 IS 4 224 G EN EBAL TABLES. T able 4 — D EATH S FROM TUBERCULOUS, NONTUBERCULOUS, AND A L L WORKROOM S AND OCCUPATIONS, B Y AGE D E A T H S : NONTTJBERCTTLOTJS—Continued. Operatives of specified age group and sex. Race, workroom group, and occupational group. 15 to 19 years. 14 years. 20 to 24 years. 25 to 29 years. 30 to 34 years. Fe Fe Males. Fe Fe Fe Males. males. Males. males. males. Males. males. Males. males. IRISH. Picker room............................... 2 1 1 2 6 Spinning room: Spinnp.rs, ring or fram.fi... Spinners, mule................... 1 1 i Total................................. Spooler room: Spooler tenders.................. ---------- ---------- ---------- 1 - 2 1” 2 ---------- 1 1 2 Warper tenders................. Slasher tenders helpers. Misop,]]an ___ and I ........... I............ Total............................... Weave room: W eavers... . Loom fixers......... Miscellaneous............... . 1 2 .......1 .:.::.. 1 Total..................... 2 2 i Cloth room Miscellaneous employees. . . 1 Grand total..................... 2 2 1 5 3 8 5 3 8 1 3 3 12 2 2 5 17 FRENCH CANADIAN. Picker room.................... Card room.................................. Spinning room: Spinners, ring or frame. Spinners, mule................. Miscellaneous................... Total................................. 1 1 1 1 2 1 7 Spooler room: Spooler tenders.............. Drawers-in...................... Warper tenders............... Winders and reelers Slasher tenders and help ers ................................... Miscellaneous............... 1 Total................................ 1 4 8 1 4 2 4 3 2 1 1 1 3 1 3 8 3 2 2 3 2 1 1 1 Total................................. 1 4 3 4 1 1 4 4 1 1 11 4 1 3 3 3 2 4 1 3 2 5 7 15 7 1 1 1 2 1 ! Cloth room................................. Miscellaneous employees........ 1 1 Weave room: Weavers............................ Loom fixers........................ Miscellaneous..................... Grand total..................... 4 5 2 1 8 6 14 | 9 225 G EN ERAL TABLES. CAUSES, OP O PE R A TIV E S OP EACH RACE EM PLO YED IN SPECIFIE D GROUP AND S E X , 1908 TO 1912— Continued. D E A T H S : HONTTTBERCTJLOUS—Continued. Operatives of specified age group and sex. 35 to 39 years. 40 to 44 years. 15 to 44 years. 55 to 64 years. 45 to 54 years. 65 years and over. Total (14 to 65 years and over). Fe Fe Fe Fe Fe Fe Males. males. Males. Fe Males. males. Males. males. Males. males. Males. males. males. Males. males. 3 1 1 1 4 1 1 1 1 3 1 1 3 2 1 2 7 5 2 3 7 5 5 9 9 3 1 4 1 7 3 3 14 1 6 15 12 1 39 13 23 1 6 2 3 6 1 3 2 21 71 23 4 2 3 1 3 8 3 3 1 16 3 9 23 8 1 4 5 13 5 2 1 31 21 23 8 41 1 1 1 3 10 2 35 4 6 69 2 45 69 2 2 1 2 1 1 28 4 28 3 1 1 15 2 4 11 2 1 3 2 5 1 2 3 1 5 1 2 13 3 6 22 6 17 2 15 3 8 1 19 15 9 1 1 1 1 45 75 13 88204°— 19— B u ll. 251-------15 3 4 8 9 30 1 2 2 4 16 135 27 30 3 21 2 6 1 1 1 5 6 2 86 17 5 3 1 4 3 6 1 1 2 8 30 3 34 3 3 21 3 40 21 2 3 4 2 1 1 2 2 11 3 5 46 6 4 1 1 19 1 1 4 8 3 1 1 1 15 2 11 3 13 2 1 1 1 1 3 1 39 2 1 2 1 17 5 1 6 5 1 3 15 14 1 1 1 1 7 18 2 1 1 14 2 8 1 4 9 24 1 5 5 4 I ....... ■ 2 88 1........ — 1 2 92 226 GENERAL TABLES. T a b le 4 ___DEATHS FROM TUBERCULOUS, NONTUBERCULOUS, AND ALL W ORKROOM S AN D OCCUPATIONS, B Y AGE DEATHS: NOHTTJBEBCTJ3U>TJS—C«cl«ded. Operatives of specified age group and sex. Race., workroom group, and occupational group. 14 years. Scales. 20 to 24 years. 15 to 19 years. 23 to 29 years. 30 to 34 years. Fe Fe Fe Fe Males. Males. Fe Males. males. Males. males. males. males. males. PORTUGUESE. Picker room... C'HT<1 T*0©rar - ......... 1 2 Spinning room: Spinners, ring or frame. Rpli?rWT'?Jmnle_ MiapeJlaTieoiis 2 9 2 3 2 3 j 2 3 4 4 Total................................. 1 2 9 5 1 3 , 3 2 ; 1 6 1 6 i______ 1______ Warper tenders.............. Winders and reelers __ Slasher tenders and help ers ..................................... Mfsfv^ianeoTiR..................... i Total................................. 2 1 1 1 1 1 1 iIl........... s 1 1 Cloth room................................. lyfanftHflnftpais employees........ Grand total..................... 2 1 3 Spooler room: Spooler tenders................. Weave room: Weavers.............................. Loom fixers Miscellaneous................... 2 1 1 t 3 i| 1 ........ 6 12 5 8 6, 1 1 1 1 1 2 2 , 7 i. 1 |............ 2 11 OTHER RACES. Picker room............................... Card room.................................. Spinning room: Spinners, ring or frame Spinners, mule. Miscellaneous. . . . . . . __ | i i i ........... T otals-......... ................. ! 1 1 1 1 1 1 Spooler room: Spooler tenders................ Drawers-in.......................... Warper tenders................. Winders and reelers Slasher tenders and help e rs.-................................ Miscellaneous........ ............ 1 Total................................. 1 Weave room: Weavers__ Loom fixers........................ Miscellaneous............... ..... 1 1 1 4 Total................................. 1 1 1 i 4j 1 1 1 1 1 3 1 2 | 1 Cloth room................................. Miscellaneous employees____ Grand total..................... 1 3 2 | 3 3 . 6 j 227 GEN ERAL TABLES. CAUSES, OF O PE R A TIV E S OF EACH RACE EM PLO YE D IN SP E C IFIE D GROUP AN D S E X , 1908 TO 1912— Continued. D E A T H S : NONTTJBERCtTLOTTS—Concluded. O p eratives of specified age group and sex . 35 to 39 years. 15 to 44 years. 40 to 44 years. 45 to 54 years. 55 to 64 years. 65 years and over. Total (14 to 65 years and over). Fe Males. Fe Fe Fe Fe Fe Males. males. Males. males. Males. males. Males. Fe Males. males. males. Males. males. males. 2 2 3 1 9 6 17 1 1 7 i 1 1 13 1 1 2 10 18 5 1 1 3 7 14 10 6 17 1 1 3 11 2 1 1 3 17 19 7 8 1 i | _____ i______ 7 1 1 ---------- 8 — .... - = == = = 2 3 2 3 2 2 1 1 3 7 1 2 4 4 1 3 9 4 1 1 2 1 2 10 50 44 1 2 7 3 2 1 1 29 40 10 2 6 3 i______ 7 3 1 1 2 1 4 1 t 1 ! 3 3 3 3 | i 1 1 l | 1 ! ........... I............ »i i i 1 1 1 2 R 1 1 1 1 1 1 1 1 1 1 R 1 8 6 5 1 8 6 18 13 1 8 1 16 12 1 1 1 1 228 T able G EN ERAL TABLES. 4 ___D EATH S FROM TUBERCULOUS, NONTUBERCULOUS, AN D A L L WORKROOM S AND OCCUPATIONS, B Y AGE D E A T H S : A L L CAUSES. Operatives of specified age group and sex. Race, workroom group, and occupational group. 15 to 19 years. 14 years. Males. 25 to 29 years. 20 to 24 years. 30 to 34 years. Fe Fe Fe Fe Males. Fe Males. males. Males. males. males. Males. males. males. AMERICAN. Picker room............................... Card room.................................. 1 1 Spinning room: Ppinnpirs, 2 2 1 .................. Total................................. Spooler room: 1 4 2 4 1 3 1 1 1 1 1 1 1 3 1 2 1 2 2 1 3 2 Drawers-in..... .................... 1 Winders and reelers.......... Slasher tenders and help ers ..................................... 'Miscalla.noniis______ ____ 1 Total................................. 1 4 Weave room: Weavers.............................. Loom fixers........................ Miscellaneous..................... 1 3 4 5 1 1 1 3 1 2 2 Total................................. 3 3 4 5 3 3 1 2 Cloth room. . ...................... Miscellaneous employees........ 1 1 1 9 9 Picker room............................... Card room......................... ........ 2 6 Spinning room: Spinners, ring or frame Spinners, mule................... Miscellaneous..................... 4 Total................................. 4 Grand total..................... 1 1 1 1 8 2 5 6 4 1 7 1 1 3 1 1 5 1 8 11 6 ENGLISH. Spooler room: Spooler tenders.................. Drawers-in.......................... Warper tenders................. Winders and reelers......... Slasher tenders and help ers ..................................... Miscellaneous..................... Total................................. Weave room: Weavers.............................. Loom fixers........................ Miscellaneous..................... 2 Total................................. 6 Cloth room................................. Miscellaneous employees........ Grand total..................... 4 _______ 12 2 1 2 1 1 1 1 2 2 1 5 6 4 7 4 9 1 9 4 6 4 7 4 10 9 1 2 ~ 13 13 4 1 1 4 1 _______j_______ 13 8 j 15 3 13 19 GENERAL TABLES. 229 CAUSES, OP O PE R A TIV E S OF EACH RACE EM PLO YED IN SPECIFIE D GROUP AND SE X, 1908 TO 1912— Continued. D E A T H S : A L L CAUSES. Operatives of specified age group and sex. 40 to 44 years. 35 to 39 years. Males. 15 to 44 years. 45 to 54 years. 65 years and over. 5a to 64 years. Total (14 to 65 years and over). Fe Fe Males. Fe Males. Fe Males. Fe Males. Fe Males. Fe Males. males. males. males. males. males. males. males. 2 2 8 5 9 2 1 7 1 2 1 7 1 10 1 10 1 1 3 3 1 3 4 1 1 i 1 5 5 1 11 2 1 10 2 3 15 2 1 3 15 15 3 1 1 2 1 2 ........... 1 ____ 4 3 2 1 1 13 3 3 16 1 1 19 16 2 1 4 1 38 43 1 4 2 2 2 1 1 6 2 5 2 8 38 1 21 8 2 2 2 30 2 2 30 2 3 27 1 2 6 7 3 12 2 1 38 3 1 1 1 1 1 1 1 1 8 5 | 1 14 2 1 4 1 2 2 9 5 1 1 1 1 7 1 4 2 7 2 9 9 5 13 5 9 14 17 3 1 1 8 1 11 14 102 16 72 1 1 12 4 2 5 6 46 4 2 32 28 23 18 52 32 33 1 1 2 6 1 2 2 11 72 80 47 1 6 1 13 5 ! 23 | 2 25 102 4 4 13 12 4 1 2 31 | 5 1 •1 7 1 43 1 19 18 4 || 122 72 4 5 7 1 180 134 230 GENERAL TABLES. T able 4 ___D EATHS FROM TUBERCULOUS, NONTUBERCULOUS. AN D A LL W ORKROOM S AND OCCUPATIONS, B Y AGE D E A T H S : A L L CAUSES—Continued. Operatives of specified age group an d sex. Race, workroom group, and occupational group. Males. 20 to 24 years. 15 to 19 years. 14 years. 25 to 29 years. 30 to 34 years. Fe Fe males. Males. males. Fe Fe Males. Males. males. males. imsn. Picker room............................... Card room.................................. 2 4 1 3 Spinning room: Spinners, ring or frnmpi Spinners, mule................... Miscellaneous... . . . 1 Total................................. 1 5 i Spooler room: Spooler tenders................ Drawers-in Warper tenders.................. Winders and reelers.......... Slasher tenders and help ers ..................................... Miscellaneous___.. . , Total............................. Weave room: Weavers.............................. Loom fixers........................ Miscellaneous..................... 1 2 1 .......... | Total................................. i Cloth room................................. i Miscellaneous employees........ ........... 1............ .......... j............ 1 Grand total..................... 2 | i 1 2 1 ! ! 1 1 3 2 | 1 1 1 1 1 1 2 11 4 ' 8 3 11 8 3 11 2 4 | 1 5 2 ! 1 4 .. . J 3 i 1 2 2 I 1 1 2 3 1 1 1 1 1 1 2 1 I. ............|l .........: 10 3 i . . i ____ ! 2 3 9 3 20 6 4 1 4 4 12 3 1 2 8 12 6 8 27 FRENCH CANADIAN. Picker room............................... Card room.................................. Spinning room: Spinners, ring or frame Spinners, mule................... Miscellaneous..................... 1 Total................................ 1 7 1 9 11 1 6 1 1 Spooler room: Spooler tenders................. Drawers-in......................... Warper tenders................. Winders and reelers......... Slasher tenders and - helpers.............................. Miscellaneous..................... 1 Total................................ 2 8 1 1 Weave room: Weavers.............................. Loom fixers........................ Miscellaneous..................... 1 Total................................ 1 18 6 18 10 3 2 2 1 1 5 1 2 | 1 11 14 4 1 2 1 2 1 6 2 6 1 ______ i 23 8 1 5 8 8 6 7 2 8 6 9 1 I........... 2 6 1 1 Cloth room................................. Miscellaneous employees........ Grand total................... 1 1 4 2 12 | 9 1 1 1 40 | 20 | 28 15 17 231 GENERAL TABLES. CAUSES, OF O PE R A TIV E S OF EACH RACE EM PLO YED IN SPECIFIE D GROUP AND SE X , 1908 TO 1912—Continued, D E A T H S : A L L CAUSES—Continued. Operatives of specified age group and sex. 35 to 39 years. Males. 40 to 44 years. 55 to 64 years. 45 to 54 years. 15 to 44 years. 65 years and over. Total (14 to 65 years and over). Fe Fe Fe Males. Fe Fe Males. Fe Males. males. Males. Fe Males males. Males. males. males males. males. males. 14 38 67 11: 15 15 10 16 10 1 21 25 20 15 19 25 14 33 16 10 65 63 10 38 63 31 6 8 2 1 48 27 '2 8 7 41 29 11 1 12 34 2 10 35 2 2 17 20 12 20 90 148 19 144 232 G EN EEAL TABLES. T able 4 .—DEATHS FROM TUBERCULOUS, NONTUBERCULOUS, AND ALL WORKROOMS AND OCCUPATIONS, BY AGE D E A T H S : A L L .CAUSES— Concluded. Operatives of specified age group and sex. Race, workroom group, and occupational group. 14 year??. Fe Males. males. 15 to 19 years. 20 to 24 years. 25 to 29 years. 30 to 34 years. Fe Males. Fe Fe Fe Males. males. males. Males. males. Males. males. PORTUGUESE. 1 Picker room............................... Card room.................................. 1 3 Spinning room: Spinners, ring or frame, .. Spinners, mule................... Mi SOfil1q/naoiis . 2 15 Total................................ 6 5 2 4 Spooler room: 15 8 2 Warper tenders................. Winders ftTid repilfirs. . Slasher tenders and helpers.............................. Miscellaneous.. . . - ............... 5 2 6 5 1 2 8 4 2 2 .1 2 6 2 1 6 7 1 6 7 1 Total............................... 2 Weave room: Weavers.............................. ............... Loom fixers Miscellaneous..................... 1 Total................................. 1 2 1 9 ' 2 1 1 4 1 1 1 1 1 8 12 1 Cloth room................................. Miscellaneous employees........ Grand total..................... 8 6 4 1 5 1 11 19 9 18 1 2 3 2 1 1 1 21 OTHER RACES. Picker room............................... Card room.................................. 1 1 1 Spinning room: Spinners, ring or frame Spinners, mule................... Miscellaneous..................... 2 1 2 Total................................. 2 1 2 Spooler room: Spooler tenders.................. Drawers-in.......................... Warper tenders................. Winders and reelers......... Slasher tenders and helpers.............................. Miscellaneous..................... 1 Total................................ 1 Weave room: Weavers.............................. Loom fixers........................ Miscellaneous..................... 2 1 3 2 6 1 3 2 6 1 Total................................ 2 1 Cloth room.............•.................. Miscellaneous employees........ 1 1 Grand total..................... 5 3 ' 4 2 4 2 1 6 7 8 4 4 5 GENERAL, TAB LES. 233 CAUSES, OF O PE R A TIV E S OF EACH RACE EM PLO YE D IN SPECIFIE D GRO U P AND SE X, 1908 TO 1912— Concluded. D E A T H S : A L L CAUSES—Concluded. Operatives of specified age group and sex. 35 to 39 years. Males. 40 to 44 years. 15 to 44 years. 45 to 54 years. Fe Fe Fe Fe Fe Fe Fe Males. males. Males. males. Males. males. Males. males. Males. males. Males. males. males. 3 3 5 1 4 2 18 17 1 3 1 3 17 2 1 21 32 1 1 3 25 33 1 2 1 1 17 5 5 2 2 1 2 1 7 7 1 1 1 2 1 1 53~ 75 12~ 4 2 11 5 1 2 | 1 1 3 3 1 l 1 1 1 4 1 1 18 5 5 3 7 2 3 12 7 1 1 3 1 2 rT 80 3 12 5 10 r r ---------= | 1 | 5 5 5 1 1 1 3 2 ........... 1 5 1 18 2 1 3 31 1 2 3 j........... 8 1 1 6 19 31 17 3 12 22 8 2 10 1 13 1 1 1 7 1 1 1 4 65 years and I Total (14 to 65 years and over. over). 55 to 64 years. 1 1 1 1 1 17 10 1 17 11 17 10 1 17 11 1 1 1 1 1 1 31 23 34 24 _______ 2 1 1 234 G EN ERAL TABLES. NUM BER OP O PE R A TIV E S OF SPECIFIED CONJUGAL CONDI TION, SE X, AND AGE GROUP, B Y W ORKROOM G RO U P AND RACE. T able 5 .— MALES. Operatives of specified conjugal condition and age group. Single. Workroom group and race. 14 years. 20 35 15 25 45 to to to to years 34 44 24 and 19 years. years. years. years. over. Picker and card room: American....... English........... Irish................. French Canadian Portuguese.......... Other races... Total. 74 28 325 546 43 140 323 29 1,102 Total. Spooler, drawing-in, warping, winding, and slashing room: American............. English................ Irish...................... French Canadian Portuguese.......... Other races... 801 248 21 47 6 12 22 13 18 13 104 43 9 144 182 69 653 955 93 200 29 2,096 106 7 1 26 141 11 28 384 153* 632 519 19 44 9 175 156 24 17 26 25 151 43 9 7 94 45 108 52 171 80 462 441 56 427 271 364 1,262 87 271 133 131 240 49 295 108 125 69 153 36 179 131 241 51 115 52 137 61 92 948 809 508 21 578 142 163 470 292 678 290 790 329 516 52 355 157 456 37 566 237 387 82 87 178 1,209 444 1,241 414 615 243 1,193 1,261 1,396 4,101 70 251 44 344 177 307 276 101 140 19 65 18 18 17 17 4 101 44 26 185 41 Total................ Total male opera tives: American............. English................ Irish...................... French Canadian Portuguese.......... Other races......... 17 20 16 64 36 347 470 141 787 720 230 158 261 75 390 582 357 89 188 98 293 179 154 129 29 50 1,823 1,001 433 1,667 1 1 59 85 17 117 72 26 376 94 111 44 134 135 153 872 329 37 139 52 140 76 Total. Miscellaneous em ployees: American........... . English................ Irish.................... . French Canadian Portuguese. . . Other races. . . Total... 15 55 74 69 156 38 95 138 72 196 39 Total. Weave room: American....... English........... Irisn...................... French Canadian Portuguese. . . Other races... To tal. 14 38 37 51 270 109 33 61 .116 250 172 14 108 75 256 20 15 25 35 45 to to to to years 34 44 24 19 and years. years. years. years. over. 112 20 8 31 To tal. 90 23 Spinning room: American........ English........... Irish...................... French Canadian Portuguese. . . Other races... Total. Cloth room: American. English... Irish_____ _______ French Canadian Portuguese. Other races Married, widowed, and divorced. 16 82 1,180 91 533 72 1,788 9 1,591 37 60 14 98 260 21 291 6,619 120 17 122 376 89 588 787 499 589 2,461 43 95 483 240 719 466 266 61 154 27 100 76 332 1,721 731 611 385 156 2,020 ,269 2,418 7,754 1,906 1,044 235 GENERAL TAB LES. T able 5 .— NUM BER O F O PER A TIV E S OF SPECIFIE D CONJUGAL CONDI TION, SE X , AND AGE GROUP, B Y W ORK RO OM G RO U P AND RACE— Continued. FEMALES. Operatives of specified conjugal condition and age group. Single. Workroom group and race. 20 25 35 45 to to years to 34 44 24 and years. years years. over. 14 years Picker a n d c a r d room: American........... English................ Irish..................... French C a n a dian................... Portuguese. . . Other races.. . 90 108 59 171 95 Total., Spinning room: American........... English............... Irish.................... French C a n a dian................. Portuguese........ Other races........ Total. Spooler, drawing-in, warping, winding, and slashing room: American........... English.............. Irish...................... French C a n a dian................... Total. Miscellaneous e m ployees: American............ English................ Irish..................... French C a n a dian.................. Portuguese......... Other races......... Total. 35 84 62 193 339 40 134 1,560 230 10 7 11 77 44 21 4 354 445 53 249 389 34 164 35 15 864 902 107 914 697 112 66 135 40 77 58 48 46 90 373 211 154 72 Total., 164 308 335 1 57 Cloth room: American........... English.............. Irish.................... French C a n a dian................. Portuguese........ Other races........ 20 15 25 35 45 to to to to years 24 34 44 19 and years. years. years. years. over. 15 9 Other races... Total. To tal. 221 431 P ortu gu ese. . . Weave room: American............ English................ Irish..................... French C a n a dian................... Portuguese......... Other races......... Harried, widowed, and divorced. 92 2,015 34 34 789 167 303 60 77 233 87 251 92 141 178 61 199 131 1,014 835 65 178 164 11 81 122 29 48 47 287 234 454 4 49 104 122 213 1,244 12 11 11 11 3 30 30 31 211 213 113 19 141 9 15 479 382 44 329 384 90 40 17 30 10 15 24 263 53 81 51 847 225 108 105 180 105 317 368 63 21 21 68 19 121 347 880 542 44 274 75 31 247 134 179 422 123 39 128 131 13 71 683 627 31 ” io' 233 300 1,991 133 68 15 56 120 16 1 61 To tal. 2,999 34 263 14 200 128 111 1 34 933 122 773 343 415 107 335 2,095 74 103 36 172 235 178 26 55 34 101 30 1 27 4 47 275 737 20 *i2 59 40 143 4 2 3 63 12 14 1 24 13 73 236 GEN ERAL TABLES. T able 5 .— NUM BER OF O PERA TIVES OF SPECIFIED CONJUGAL CONDI TION, S E X AN D AGE GROUP, B Y W ORKROOM G R O U P AND RACE— Concluded. FEM ALES—Concluded. Operatives of specified conjugal condition and age group. Single. Married, widowed, and divorced. Workroom group and race. 14 years. Total female opera tives: American............ English................ Irish..................... French C a n a dian................... Portuguese.......... Other races.......... Total................. 20 25 45 15 35 to to years to to 34 44 24 and 19 years. years. years. years. over. To tal. 15 20 25 35 45 to to to to years 24 44 19 34 and years. years. years. years. over. To tal. 489 674 196 254 484 263 169 325 421 33 141 267 9 1,025 63 1,773 188 1,349 16 14 4 58 117 31 119 432 164 70 354 296 36 259 252 299 1,176 747 135 1,099 66 783 374 29 719 669 369 478 119 101 148 27 18 59 2,638 16 1,680 908 17 26 69 19 210 443 179 495 488 269 412 157 148 223 50 74 1,366 1,207 689 401 3,615 2,758 1,613 634 352 9,373 148 1,038 1,967 1,437 894 5,484 71 86 14 237 GENERAL TABLES. T able 6 . — DEATHS AND D EATH RATES P E R 1,000 FROM TUBERCULOUS, NONTUBERCULOUS, AND ALL CAUSES, OF O PE R A TIV E S OF SPECIFIED CONJUGAL CONDITION AND AGE GROUP, B Y SE X AN D RACE, 1908 TO 1912. DEATHS: TUBERCULOUS. Operatives of specified conjugal condition and age group. Single. Married, widowed, and divorced. Sex and race. 45 45 15 to 20 to 25 to 35 to 15 to 20 to 25 to 35 to years 14 24 34 24 44 34 44 years Total. Total, 19 years. 19 years. years. and and years. years. years, years. years, over. years. over. MALES. American............... English.................. Irish........................ French Canadian. Portuguese........... Other races........... 3 19 24 34 17 9 20 Total. 19 20 27 41 32 106 FEM \LER. 8 American............... English.................. Irish........................ French Canadian. Portuguese............ Other races........... 17 36 41 28 7 36 Total. 12 95 28 60 31 1 2 5 22 18 19 13 6 5 96 60 50 22 3 14 131 83 90 52 16 137 DEATHS: NONTUBERCULOUS. MALES. American.................... English........................ Irish............................. French Canadian___ Portuguese................. Other races................. Total................. 9 12 3 14 9 5 7 11 4 10 8 5 5 10 4 16 3 6 4 18 10 3 2 4 52 45 44 37 1 7 12 4 19 15 3 7 9 6 20 2 4 5 5 14 11 1 3 19 5 60 48 36 1 2 1 2 12 17 2 1 24 49 46 54 25 18 2 3 1 3 11 5 19 14 6 34 216 9 58 83 236 386 10 20 5 2 21 39 63 62 19 8 2 1 1 4 6 4 4 3 20 17 3 8 29 33 34 30 8 4 17 37 35 5 4 4 44 49 15 3 1 22 95 123 108 61 16 37 212 14 51 142 102 116 425 FEMALES. American.................... English........................ Irish............................. French Canadian___ Portuguese................. Other races............... Total................. 2 3 1 28 238 G ENERAL TAB LES. 6 . — D EATH S AND D EATH R A TES P E R 1,000 FROM TUBERCULOUS, NONTUBERCULOUS, AND A L L CAUSES, OF O PE R A TIV E S O F SP E C IF IE D CONJUGAL CO ND ITIO N AND AGE G RO U P, B Y S E X AN D RACE, 1908 TO 1912— Concluded. T able D E A T H K A T E S PE R 1,000: TU BER CU LO U S. Operatives of specified conjugal condition and age group. Single. Married, widowed, and divorced. Sex and race. 45 45 15 to 20 to 25 to 35 to 15 to 20 to 25 to 35 to years 14 34 44 years Total. 34 44 TotaL 19 24 24 19 and years. years. years. years. years. and years. years. years, years. over. over. MALES. 1.73 5.06 .85 3.07 2.84 5.33 .76 2.05 .83 • 1.37 1.74 1.12 American.............. English.................. Irish....................... French Canadian. Portuguese........... . Other races........... 2. 25 2.13 6.38 4.08 19.82 6.83 7.75 1.12 6.90 3.90 2.44 4.40 22.22 2.19 3.80 9.24 2.75 2.45 2.08 3.06 2.37 1.53 .53 3.94 2.89 3.04 4.45 .95 2.51 2.84 3.75 1.35 3.17 1.06 1.99 2.61 TotaL. 2.32 2.03 7.13 2.46 1.26 1.67 5.41 4.08 1.54 1.67 2.11 2.13 3.31 4.49 10.00 3. 74 2. 78 2.03 2.15 3.76 2.63 1.75 5.15 3.60 1.04 1.28 1.81 2.21 6.57 3.37 1.78 1.72 2.3 2.04 2.19 3.61 2.65 2.73 2.73 12.50 10.34 6.73 1.92 3.42 4.63 12.90 19.51 2.80 9.52 6.06 .95 4.06 4.92 2.23 2.23 1.13 9.46 4.85 3.82 2. 71 2.32 3.17 3.59 4.00 6.10 4.32 2.68 5.00 FEMALES. American.............. English.................. Irish....................... French Canadian. Portuguese........... Other races........... 1.48 Total................. .50 1.49 2.52 1.14 2.22 2.03 11 5.39 5.35 2.89 9.64 6.00 4.64 2.03 D E A T H R A T E S PER 1,000: N ONTUBERCULOUS. MALES. American............... English.................. Irish........................ French Canadian. Portuguese........... Other races........... 3.42 2.78 Total. 3.46 4.26 1.42 2.80 1.67 2.61 3.80 5.36 5.33 3.08 1.37 1.68 25.00 4.64 8.99 8.51 2.13 26.83 6.27 4.08 1.26 32.97 10.13 4.10 7.75 5.56 3.58 2.23 13.79 1.89 2.63 3.90 2. 75 2. 74 4.99 1.57 2.37 8.00 7.85 20.62 4.17 6.06 1.42 28.57 5.70 10.49 2.09 5.41 16.95 25.00 1.37 2.48 7.12 1.90 1.31 2.97 2.49 4.92 3. 72 6. 74 2.72 ’*.’ 77* 1.52 1.60 8.42 5.80 5.00 2.50 3.43 10.53 22.19 25.77 12.77 10.39 2.56 6.63 13.20 16.14 5.54 3.67 1.34 1.02 3.70 16.87 7.21 6.67 2.52 FEMALES. American............... English.................. Irish........................ French Canadian. Portuguese............ Other races............ Total................. 2.82 48 1.00 .41 1.48 1.02 1.09 2.30 1.07 1.33 1.52 1.11 .87 20.21 6.31 19.8 12.50 14.29 50.00 15.38 8.70 22.22 3.45 6.72 11.43 3.42 8.80 47 31.66 6.45 20.73 15.54 35.71 9.52 7.68 12.14 9.87 3.61 7.38 2. 55 3.72 2. 70 2.70 8.00 1.12 4.43 8.34 9.36 13.27 23.29 9.81 5.47 2.61 23.27 10.50 5.41 4.92 10.53 13.16 25.00 6.97 29.27 8.31 6.67 5.85 9.11 23.94 37.36 17.26 .......... 11.24 15.00 30.93 T 08* 6.46 5.29 16.37 5.56 6.04 22.22 3.14 2.31 3.56 5.58 11.43 4.30 1.67 2.40 4.51 3.85 8.43 15.22 22.71 8.91 5.46 3.07 D E A T H R ATES P ER 1,000: A L L CAUSES. MALES. American.................... 3.39 English........................ Irish............................. French Canadian___ 3.42 Portuguese................. 2.78 Other races................. 5.19 8.86 11.24 5.11 8. 43 10.64 8 .51 4.26 10.67 8.16 32.43 3.56 5.13 10.92 15.50 2.50 2.75 3.35 20.69 4.35 2.80 7.79 8.00 2.13 3.86 4.94 8.79 17.09 23.37 6.53 American.................... 2.82 English........................ Irish............................. French Canadian___ 2.96 Portuguese................. Other races................. 2.86 3.56 4.08 3. 46 3.83 1.60 5.51 3.72 4.56 5.56 .58 2.17 5.92 6.06 3.08 4.26 3i.'75 6.65 14.23 21.28 4.60 6.76 16.95 25.00 1.98 4.10 4.40 9.34 4.70 2.26 1.76 Total................. 1.50 3.32 3.48 4.46 4.52 18.92 Total................. 7.32 19.52 9.96 25.00 13.79 13.45 11.43 22.22 14.29 6.84 13.43 9.60 33.98 50.00 19.35 40.24 25.00 38.89 30.77 19.05 13.74 16.99 13. 45 17.39 7.67 12.30 6.37 12.00 3.35 5.95 5. 41 2. 70 14.72 16.16 32.93 15.81 10.11 4.64 3.06 4.71 FEMALES. 8.83 21.02 9.83 14.44 14.20 25.95 15.50 239 GENERAL TABLES. T able 7 . — DEATHS AND D EATH R A TES P E R 1,000 FROM TUBERCULOUS, JNON TUBERCULOUS, AND A L L CAUSES, OP O PE R A TIV E S OP SPECIFIE D CONJUGAL CONDITION AND AGE G RO U P, B Y S E X A N D W ORKROOM G RO U P, 1908 TO 1912. DEATHS: TTrBEB.CTn.OtTS. Operatives of specified conjugal condition and age group. Single. Married, widowed, and divorced. Sex and workroom group. 14 years. 20 15 20 15 25 35 45 35 45 25 years Total. to to to to to to to years Total. to 34 34 24 44 24 44 19 19 and and years. years. years. years. over. years. years. years. years. over. MALES. Picker and card rooms..................... Spirmingromn.,Tr . Spooler, drawing-in, warping, winding, a n a s la s h in g ............. rooms Weave room............. Cloth room............... Miscellaneous em ployees ................... 5 4 10 7 1 3 1 1 6 26 1 6 2 6 12 16 1 1 2 41 2 15 20 19 20 4 78 5 10 10 10 2 3 2 1 9 7 2 8 8 4 1 Total............... 2 6 10 13 4 7 8 26 24 1 3 11 2 20 1 1 14 1 4 48 2 1 1 2 6 27 41 32 106 1 FEMALES. Picker and card rooms..................... Spinning room......... Spooler,drawing-in, warping,winding, a n d s la s h in g rooms...................... Weave room............. Cloth room............... Miscellaneous em ployees................... Total............... 1 36 1 3 4 11 21 12 11 6 4 41 32 2 3 10 12 13 2 4 10 3 5 24 38 2 6 28 60 31 12 137 3 2 2 3 21 20 7 12 8 2 95 3 1 20 24 3 36 D E A T H S : NONTUBERCU LO U S. MALES. Picker and card rooms..................... S p i n n i n g room......... Spooler,drawing-in, warping,winding, a n a s la s h in g rooms..................... Weave room............. Cloth room............... Miscellaneous em ployees ................... Total............... 1 1 8 16 2 2 10 4 37 1 3 11 2 7 2 4 2 4 18 43 1 5 7 9 5 36 32 50 45 2 14 2 9 2 17 1 8 61 3 2 19 1 26 13 108 4 14 155 4 4 5 1 11 12 25 25 17 30 138 3 31 42 204 280 6 9 6 4 2 3 4 7 2 27 18 1 4 4 9 17 18 12 7 32 1 66 39 4 4 2 3 1 9 7 2 3 9 1 7 19 25 42 4 2 1 2 8 13 27 5 12 38 9 56 4 38 130 9 2 2 2 6 12 24 20 35 117 8 23 82 71 104 288 9 2 1 FEMALES. Picker and card rooms..................... Spinning room......... Spooler, drawing-in, warping, winding, a n a s la s h i n g rooms..................... Weave room............. Cloth room............... Miscellaneous em ployees ................... Total............... 1 2 24 1 240 GENERAL TABLES. 7 . — DEATHS AND D EATH BATES P E R 1,000 FROM TUBERCULOUS, NONTUBERCULOUS, AND ALL CAUSES, OF O PE R A TIV E S OF SPECIFIED CONJUGAL CONDITION AND AGE GROUP, B Y SE X AN D W ORKROOM G RO U P, 1908 TO 1912— Continued. T able DEATHS: ALL CAUSES. Operatives of specified conjugal condition and age group. Single. Married, widowed, and divorced. Sex and workroom group. 15 14 years. 20 20 25 35 45 15 25 35 45 to to to years Total. to to to to years 44 24 24 34 19 and 34 44 19 and years. years. years. years. over. years. years. years. years. over. to Total, MALES. Picker and card rooms..................... Spinning room......... Spooler, drawing-in, warping, winding, a n a s la s h in g rooms ........... Weave room.. . . . . . . Cloth room ........... Miscellaneous em ployees . . . . . . . . . 1 1 8 21 7 21 2 3 16 2 15 2 2 14 3 7 3 5 24 69 2 26 2 25 3 18 1 10 102 5 4 6 2 T o ta l............. 4 52 45 44 37 34 216 2 1 11 19 16 10 6 5 5 5 7 2 47 42 13 11 2 10 11 1 13 7 5 3 12 3 7 21 46 62 11 48 36 28 37 212 3 11 17 22 9 43 40 76 69 1 5 30 3 46 1 14 122 5 18 203 2 12 14 6 9 58 83’ 236 386 2 7 8 20 38 30 23 13 36 1 107 71 4 1 5 18 25 40 7 16 48 12 61 4 62 168 11 2 2 2 6 14 51 142 102 116 425 1.90 4.68 1.84 5.01 2.95 3.17 3.67 3.44 4.40 2.01 2.39 3.12 3.80 2.34 2.21 FEMALES. Picker and card rooms........ ........... Spinning room......... Spooler, drawing-in, warping, winding, an d s la s h in g rooms ............. Weave room............. Cloth room Miscellaneous em ployees ................. 4 Total............... 3 60 4 DEATH RATES PER 1,000: TUBERCULOUS. MALES. Picker and card rooms..................... Spinning room......... Weave room............. Other rooms............. 0.91 1.27 ? 06 Total............... 6.06 6.90 .90 25.00 1.50 2.48 2.83 1.21 2.05 2.47 4.44 9.24 2.75 2.36 2.04 2.19 3.62 2.65 2.73 3.57 3.03 2.35 1.99 2.56 6.25 2.38 9.84 1.33 2.22 i9.’ 05* 3.48 6.69 7.60 2.78 9.25 6.25 3.81 6.28 6.98 6.60 3.19 2.56 3.76 2.02 2.05* 3.92 6.59 6.43 3.63 4.53 2.52 1.14 2.03 5.39 6.10 4.32 2.68 5.00 3.23 3.53 1.48 2.90 7.00 11.54 4.73 11.60 1.11 2.19 3.80 Picker and card rooms..................... 2.33 Spinning room......... Weave room............. Other rooms............. 1.64 2.19 1.38 2.60 4.64 1.53 2.87 2.48 1.91 2.01 *2.57* .50 1.99 2.61 FEMALES. Total............... 1. 49 8.11 241 GENERAL TABLES. T a b l e 7 ___ D EATHS AND D EATH RA TES P E R 1,000 FROM TUBERCULOUS, NONTUBERCULOUS, AN D ALL CAUSES, OF O PERA TIVES OF SPECIFIED CONJUGAL CONDITION AND AGE GROUP, B Y S E X AN D W ORKROOM GROUP, 1908 TO 1912—Concluded. DEATH RATES PEK 1,000: NONTTTBERCTXLOTTS. Operatives of specified conjugal condition and age group. Single. Married, widowed, and divorced. Sex and workroom group. 14 years. 20 15 20 25 35 15 25 35 45 45 to to to to to years Total to years Total. to to 34 34 44 24 44 24 19 and 19 and years. years. years. years. over. years. years. years. years. over. MALES. Picker and card rooms..................... 6.45 Spinning room......... 1.36 Weave room............. 3.01 Other rooms............. 6.25 2.90 2.11 1.54 2.42 3.89 2. 22 2. 00 2.44 5.80 12.12 7.00 15.38 27.59 5.51 6.52 15.39 3.10 11.11 175.00 4.49 ......... 4.10 T ra 4.21 1.65 3.87 1.58 3.28 3.19 3.47 3.69 4.13 1.83 17.69 17.58 15. 47 22. 31 6.00 7.13 7.56 8.29 2.13 2. 75 2. 74 5.00 Total............... 7.85 20.62 4.17 1.02 2. 52 3.70 16. 87 7.22 1.97 2.78 1.97 .79 ".'72 .93 .75 3.07 5.36 1.65 12.12 2. 47 7.06 4.05 3.98 22.95 36.36 19.19 17.05 3. 46 6.25 1.79 13.11 2.80 5. 88 19.05 3.48 5. 47 6.08 1.85 7. 49 7.62 30.05 9.38 7.69 5.00 7.90 12.12 22. 95 8. 97 8.94 19. 61 10.61 7.83 12.41 1.33 2.97 19.89 2.49 10.81 4. 43 8.34 9.88 23.27 10.50 3. 48 7.96 5.03 8.48 6. 64 7. 30 5.50 21.13 21.98 17. 48 24.70 9.12 10.94 9.90 10.50 FEMALES. Picker and card rooms..................... 2.33 Spinning room......... 2.35 Weave room............. Other rooms............. Total............... 1.00 .87 6.31 DEATH RATES PER 1,000: ALL CAUSES. MALES. Picker and card rooms..................... 6. 45 Spinning room......... 1.36 Weave room............. 3. 01 Other rooms............. 6. 25 3. 81 3.38 3.60 5. 65 2.44 8.70 18.18 7. 42 14.00 26.92 34. 48 3. 71 10. 24 18.12 16.29 2.00 3.10 11.11 200.00 5.99 6. 58 7.05 5.08 3.08 4.12 4. 44 Total............... 2.13 3.86 4. 94 8.79 17.09 23.37 6.53 3.06 4.71 7.32 19.52 9.96 Picker and card rooms..................... 4.65 Spinning room......... 2.35 Weave room............. Other rooms............. 3. 61 4.16 2.17 3.53 7. 42 2. 87 2.63 2. 77 4.60 8.93 4.13 15.15 2. 47 9. 41 6. 62 5.97 22.95 36.36 21. 21 17.07 6.03 12. 50 6.96 16.74 4.17 22. 95 12.16 15.63 4.13 5. 88 13.69 11.71 4. 36 38.10 4.63 15.25 14. 60 33.80 14.29 5.00 15.31 25.00 11.50 23.53 17.20 14.26 16.04 13. 75 1.50 3.32 3.48 4.46 21.02 4.52 18.92 9.83 14.44 14.20 25.95 15.50 FEMALES. Total............... 88204°— 19— Bull. 251------ 16 8.83 242 G EN ERAL TABLES. Table 8*—POPULATION, DEATHS, AND DEATH RATES PER 1,000 FROM TIVES AND NONOPERATIVES IN EACH 5Population and deaths. Males. Age group and cause of death. Opera tives. Females. NonBoth Opera opera classes. tives. tives. Both sexes. NonBoth Opera opera classes. tives. tives. Non Both opera classes. tives. 15 TO 19 YEARS. Population............................... 2,712 3,293 6,005 3,763 2,866 6,629 6,475 6,159 12,634 Deaths: Tuberculous..................... N ontuberculous............... 15 37 12 23 27 60 42 32 17 12 59 44 57 69 29 35 86 104 Total, all causes........... 52 35 87 74 29 103 126 64 190 20 TO 24 YE A E S. Population............................... 2,412 3,323 5,735 3,796 2,990 6,786 6,208 6,313 Deaths: Tuberculous..................... N ontuberculous............... 26 28 21 41 47 69 64 35 18 22 82 57 90 63 39 63 129 126 Total, all causes........... 54 62 116 99 40 139 153 102 255 25 TO 29 YEARS. Population............................... 1,895 3,659 5,554 2,178 3,724 5,902 4,073 7,383 11,456 Deaths: Tuberculous..................... N ontuberculous............... 23 31 32 59 55 90 40 53 31 58 71 111 63 84 63 117 126 201 12,521 Total, all causes........... 54 91 145 93 89 182 147 180 327 30 TO 34 YEARS. Population............................... 1,567 2,827 4,394 1,402 3,538 4,940 2,969 6,365 9,334 Deaths: Tuberculous..................... N ontuberculous............... 23 25 38 59 61 84 32 53 29 78 61 131 55 78 67 137 122 215 Total, all causes........... 48 97 145 85 107 192 133 204 337 35 TO 39 YEARS. Population............................ .. 1,482 3,031 4,513 1,218 3,331 4,549 2,700 6,362 9,062 Deaths: Tuberculous..................... N ontuberculous............... 33 29 41 72 74 101 21 40 28 83 49 123 54 69 69 155 123 224 Total, all causes........... 62 113 175 61 111 172 123 224 347 40 TO 44 YEARS. Population............................... 1,220 2,510 3,730 853 3,150 4,003 2,073 5,660 7,733 Dearths: Tuberculous..................... N ontuberculous............... 28 30 30 90 58 120 18 51 20 108 38 159 46 81 50 198 96 279 Total, all causes........... 58 120 178 69 128 197 127 248 375 15 TO 44 YEARS. Population............................... 11,288 18,643 29,931 13,210 19,599 32,809 24,498 38,242 62,740 US 180 323 174 su 518 322 524 846 217 264 481 143 361 504 360 625 985 365 4U 809 317 705 1,022 682 1,149 1,831 Deaths: Tuberculous i ................... Nontuberculous1............. Total, all causes1......... AGE-ADJUSTED RATES. Tuberculous............................ N ontuberculous...................... Total, all causes........... i The rates here are cmde rates, not age-adjusted. 243 GENERAL TABLES. TUBERCULOUS, NONTUBERCULOUS, AN D A L L Y E A R AGE G RO U P, B Y SE X , 1908 TO 1912. CAUSES, F O R O PE R A 244 G EN ERAL TABLES. 9 — AGE PERCEN TAG E D IST R IB U T IO N OF O P E R A TIV E AND OF N O N O PER ATIVE M ALES AND FEM ALES, FO R POPULATION AND FOR DEATH S FROM TUBERCULOUS, NONTUBERCULOUS, AND ALL CAUSES, 1908 TO 1912. T able Males. Age group and cause of death. Opera tives. Females. NonBoth Opera opera classes. tives. tives. Non opera tives. Both sexes. Both Opera classes. tives. Nonopera Both tives. classes. 15 TO 19 YEARS. 24 18 20 28 15 20 26 16 20 Deaths: Tuberculous...................... Nontuberculous............... 10 21 7 7 8 12 19 12 12 3 16 7 16 16 9 5 13 9 Total, all causes............ 16 7 10 15 6 10 16 6 10 20 TO 24 YEARS. 21 18 19 29 15 21 25 16 20 Deaths: Tuberculous...................... Nontuberculous. . ........... 17 15 12 12 15 13 30 13 13 6 23 9 25 14 12 9 19 11 Total, all causes............ 16 12 14 21 8 14 19 10 14 17 20 19 17 19 18 17 19 18 Deaths: Tuberculous...................... Nontuberculous............... 16 17 18 17 17 17 18 20 22 16 20 18 17 19 20 17 18 17 Total, all causes............ 16 17 17 19 18 19 18 18 18 25 TO 29 YEARS. 30 TO 34 YEARS. ............................ 14 15 15 11 18 15 12 17 15 Deaths: Tuberculous...................... Nontuberculous............... 16 14 22 17 19 16 15 20 20 22 17 21 15 17 21 19 18 19 Total, all causes............ 15 19 17 18 21 20 16 20 18 Population................................ 13 16 15 9 17 14 11 17 15 Deaths: Tuberculous...................... N ontuberculous............... 22 16 24 21 23 19 10 15 19 23 14 20 15 16 '22 22 18 20 Total, all causes............ 19 22 21 13 22 17 15 22 19 Population 35 TO 39 YEARS. 40 TO 44 YEARS. Population .............................. 11 13 12 6 16 12 9 15 12 Deaths: Tuberculous...................... Nontuberculous............... 19 17 17 26 18 23 20 8 14 30 10 25 12 18 16 28 14 24 Total, all causes............ 18 23 21, 14 25 20 16 24 21 Population................................ 11,288 18,643 29,931 13,210 19,599 32,809 24,498 38,242 62,740 TOTALS, AGE GROUP 15 TO 44 YEARS (100 PER CENT), UPON WHICH AGE GROUP PERCENTAGES ARE BASED. Deaths: Tuberculous...................... N ontuberculous............... 148 180 174 344 322 524 217 264 143 361 360 625 365 444 317 705 682 1,149 Total, all causes............ 328 518 846 481 504 985 809 1,022 1,831 245 GENERAL TABLES. SE X PERCEN TAG E D ISTR IB U TIO N OF O PE R A TIV E S AND OF NO N O PER ATIVE S IN EACH 5-Y E A R AGE GROUP, FO R PO PULATION AND FO R DEATH S FROM TUBERCULOUS, NONTUBERCULOUS, AND ALL CAUSES, 1908 TO 1912. T ab le 1 0 .— Nonoperatives. Operatives. Age group and cause of death Per cent. Males. Per cent. Both sexes (100 per Fe males. cent). Males. Fe males. Both classes. Both sexes (100 per cent). Per cent. Males. Both sexes (100 per Fe males. cent). 15 TO 19 YEARS. 42 5S 6,475 53 47 6,159 48 52 12,634 28 54 74 46 57 69 41 66 59 34 29 35 31 58 69 42 86 104 41 59 126 55 45 64 46 54 190 39 61 6,208 53 47 6,313 46 54 12,521 Nontuberculous............... 29 44 71 56 90 63 54 65 46 35 39 63 36 55 64 45 129 126 Total, all causes............ 35 65 153 61 39 102 45 55 255 Deaths: 20 TO 24 YEARS. Deaths: 25 TO 29 YEARS. Population . . . . . . . . . . . . . . . . . . 47 53 4,073 50 50 7,383 48 52 11,456 Deaths: Tuberculous...................... Nontuberculous............... 37 37 63 63 63 84 51 50 49 50 63 117 44 45 56 55 126 201 Total, all causes............ 37 63 147 51 49 180 44 56 327 30 TO 34 YEARS. Population.............................. 53 47 2,969 44 56 6,365 47 53 9,334 Deaths: Tuberculous...................... N ontuber culous............... 42 32 68 58 55 78 57 43 43 57 67 137 50 39 50 61 122 215 Total, all causes............ 36 64 133 48 52 204 43 57 337 35 TO 39 YEARS. Population............................... 55 45 2,700 48 52 6,362 50 50 9,062 Deaths: Tuberculous...................... Nontuberculous............... 61 42 39 58 54 69 59 46 41 54 69 155 60 45 40 55 123 224 Total, all causes............ 50 50 ,123 50 50 224 50 50 347 Population................................ 59 41 2,073 44 56 5,660 48 52 7,733 Deaths: Tuberculous...................... Nontuberculous............... 61 37 39 63 46 81 60 45 40 55 50 198 60 43 40 57 96 279 Total, all causes............ 46 54 127 48 52 248 47 53 375 Population................................ 46 54 24,498 49 51 38,242 48 52 62,740 Deaths: Tuberculous...................... Nontuberculous............... 41 41 59 59 365 444 55 49 45 51 317 705 47 46 53 54 682 1,149 Total, all causes............ 41 59 809 51 49 1,022 46 54 1,831 40 TO 44 YEARS. 15 TO 44 YEARS. 246 G EN ERAL TABLES. T able 1 1 .— P E R CENT O F O PE R A TIV E S AND N O N O PER ATIVE S AMONG M ALES AN D AM ONG FEM ALES IN EACH 5-Y E A R AG E GROUP, FO R PO PU LATIO N AND F O R D EATH S FROM TUBERCULOUS, N O N TU BER CULOUS, AN D A L L CAUSES, 1908 TO 1912. Females. Males. Per cent. Age group and cause of death. Opera tives. Nonopera tives. Per cent. Both classes (100 per Noncent). Opera tives. opera tives. Both sexes. Per cent. Both classes (100 per Noncent). Opera opera tives. tives. Both classes (100 per cent). 15 TO 10 YEARS. 45 55 6,005 57 43 6,629 51 49 12,634 Deaths: Tuberculous...................... N ontuberculous................ 56 62 44 38 27 60 71 73 29 27 59 44 66 66 34 34 86 104 Total, all causes............ 60 40 87 72 28 103 66 34 190 42 58 5,735 56 44 6,786 50 50 12,521 55 41 59 47 69 78 61 22 39 82 57 70 50 30 50 129 126 47 j 53 | 116 71 29 139 60 40 255 Population_________ ________ 34 66 5,554 37 63 5,902 36 64 11,456 Deaths: Tuberculous. ..................... N ontuberculous................ 42 34 58 66 55 90 56 48 44 52 71 111 50 42 50 58 126 201 Total, all causes............ 37 63 145 51 49 182 45 55 327 Population............................... 36 64 4,394 28 72 4,940 32 68 9,334 Deaths: Tuberculous...................... N ontuberculous................ 38 30 62 70 61 84 52 40 48 60 61 131 45 36 55 64 122 215 Total, all causes............ 33 67 145 44 56 192 39 61 337 33 67 | 4,513 27 73 4,549 30 70 9,062 74 101 43 33 57 67 49 123 44 31 56 69 123 224 20 TO 24 YEARS. Deaths: Tuberculous...................... N ontuberculous................ 25 TO 29 YEARS. 30 TO 34 YEARS. 35 TO 39 YEARS. Population................................ Deaths: Tuberculous..................... N ontuberculous............... 45 29 55 71 Total, all causes............ 35 65 175 35 65 172 35 65 347 Population................................ 33 67 3,730 21 79 4,003 27 73 7,733 Deaths: Tuberculous...................... N ontuberculous................ 48 25 52 75 58 120 47 32 53 68 38 159 48 29 52 71 96 279 Total, all causes............ 33 67 178 35 65 197 34 68 375 Population................................ 38 62 29,931 40 60 32,809 39 61 62,740 Deaths: Tuberculous................... N ontuberculous............... 46 34 54 66 322 524 60 42 40 58 360 625 54 39 46 61 682 1,149 39 61 846 49 51 985 44 56 1,831 1 40 TO 44 YEARS. 15 TO 44 YEARS. Total, all causes........ 247 GENERAL TABLES. P E R CENT OF O PE R A T IV E AND N ON O P E R A T IV E MALES AND FEM ALES IN TO TAL F O R EACH 5-Y E A R AG E GROUP, FO R POPU LATION AND FO R D E A TH S FROM TUBERCULO US, NONTUBERCULOUS, AND ALL CAUSES, 1908 TO 1912. T able 1 2 .— Males. Age group and cause of death. Females. Both sexes. Nonopera tives. Both classes. (100 per cent). 51 49 12,634 69 42 66 66 34 34 80 104 15 54 66 34 190 Nonopera tives. Opera tives. Nonopera tives. Population................................ 22 26 48 29 23 52 Deaths: Tuberculous...................... Nontuberculous............... 17 36 14 22 31 58 49 30 20 12 Total, all causes............ 27 19 46 39 Both Opera classes. tives. Both Opera classes. tives. 15 TO 19 YEARS. 20 TO 24 YEARS. Population................................ 20 26 46 30 24 54 50 50 12.521 Deaths: Tuberculous...................... N ontuberculous............... 20 22 16 33 36 55 50 28 14 17 64 45 70 50 30 50 129 126 Total, all causes............ 21 24 45 39 16 55 60 40 255 Population............................... 17 31 48 19 33 52 36 64 11,456 Deaths: Tuberculous...................... Nontuberculous............... 18 16 26 29 44 45 32 26 24 29 56 55 50 42 50 58 126 201 Total, all causes............ 17 27 44 29 27 56 45 55 327 Population................................ 17 30 47 15 38 53 32 68 9,334 Deaths: Tuberculous...................... N ontuberculous............... 19 11 31 28 50 39 26 25 24 36 50 61 45 36 55 64 122 215 Total, all causes............ 14 29 43 25 32 57 39 61 337 Population................................ 17 33 50 13 37 50 30 70 9,062 Deaths: Tuberculous...................... N ontuberculous............... 27 13 33 32 60 45 17 18 23 37 40 55 44 31 56 69 123 224 Total, all causes............ 17 33 50 18 32 50 35 65 347 Population............................... 16 32 48 11 41 52 27 73 7,733 Deaths: Tuberculous...................... N ontuberculous............... 29 11 31 32 60 43 19 18 21 39 40 57 48 29 52 71 96 279 Total, all causes............ 15 32 47 19 34 53 34 66 375 Population................................ 18 30 48 21 31 52 39 61 62,740 Deaths: Tuberculous...................... N ontuberculous............... 22 16 25 30 47 46 32 23 21 31 53 54 54 39 46 61 682 1,149 Total, all causes............ 18 28 46 26 28 54 44 56 1,831 25 TO 29 YEARS. 30 TO 34 YEARS. 35 TO 39 YEARS. 40 TO 44 YEARS. 15 TO 44 YEARS. 248 G EN ERAL TABLES. T a b l e 1 3 — P E R CENT OF M ALES AND FEM ALES IN EACH 5-Y E A R AGE G RO U P O F TO TA L O P E R A T IV E S AN D O F T O T A L NO N O PER ATIVE S, F O R PO PU LATIO N AN D F O R D EATH S FROM TUBERCULOUS, NON TUBERCULOUS, AN D A L L CAUSES, 1908 TO 1912. Operatives. Nonoperatives. Both classes. Age group and cause of death. Males. Fe males. Both sexes. Males. Fe males. Both sexes. Males. Fe males. 11 15 26 9 7 16 10 10 20 4 9 12 7 16 16 4 3 5 2 9 5 4 5 9 4 13 9 7 9 16 3 3 6 4 6 10 10 15 25 8 8 16 9 11 20 7 6 18 8 25 14 6 6 6 3 12 9 7 6 12 5 19 11 7 12 19 6 4 10 6 8 14 Population. . . . . . . . . . . . . . . . . . 8 9 17 9 10 19 9 9 18 Deaths: Tuberculous...................... Nontuberculous. . . . . . . . . 6 7 11 12 17 19 10 9 10 8 20 17 8 8 10 9 18 17 Total, all causes............ 7 11 18 9 9 18 8 10 18 Both sexes. 15 TO 19 YEARS. Deaths: Total, all causes............ 20 TO 24 YEARS. Deaths: Tuberculous...................... Total, all causes............ 25 TO 29 YEARS. 30 TO 34 YEARS. Population. . . . . . . . . . . . . . . . . . 6 6 12 8 9 17 7 8 15 Deaths: Tuberculous...................... Nontuberculous............... 6 5 9 12 15 17 12 8 9 11 21 19 9 8 9 11 18 19 Total, all causes............ 6 10 16 10 10 20 8 10 18 35 TO 39 YEARS. Population................................ 6 5 11 8 9 17 7 8 15 Deaths: Tuberculous...................... Nontuberculous............... 9 7 6 9 15 16 13 10 9 12 22 22 11 9 7 11 18 20 Total, all causes............ 7 8 15 11 11 [ 22 10 9 19 Population. . . . . . . . . . . . . . . . . . 5 4 9 7 8 15 6 6 12 Deaths: Tuberculous...................... Nontuberculous............... 8 7 4 11 12 18 10 13 6 15 16 28 8 10 6 14 14 24 Total, all causes............ 7 9 16 12 12 24 10 11 21 40 TO 44 YEARS. 15 TO 44 YEARS. Population. . . . . . . . . . . . . . . . . . 46 54 124,498 49 51 138,242 48 52 i 62,740 Deaths: Tuberculous...................... Nontuberculous............... 40 41 60 59 l 365 l 444 55 49 45 51 1317 i 705 47 46 53 54 i 682 i 1,149 Total, all causes............ 41 59 i 809 51 49 U ,022 46 54 i 1,831 i Total on which percentages are based. 249 G EN ERAL TAB LES. T able 1 4 .— P E R CENT OF O PE R A TIV E S AND N O N O PER ATIVE S IN EA CH 5-Y E A R AGE G RO U P O F TO TAL M ALES AND O F TO T A L FEM ALES, FO R POPULATION AND F O R D EATH S FROM TU BERCU LO U S, NON TUBERCULOUS, AN D A L L CAUSES, 1908 TO 1912. Males. Age group and cause of death. Opera tives. Females. NonBoth Opera opera classes. tives. tives. Both sexes. Non opera Both Opera tives. classes. tives. NonBoth opera tives. classes. 15 TO 19 Y E A R S. Total, all causes............ 10 10 20 16 9 6 4 3 13 7 3 10 7 3 10 12 9 21 10 10 20 9 11 20 11 5 7 3 5 8 11 12 5 2 6 4 10 7 8 11 19 7 Deaths: 9 20 5 9 20 TO 24 Y E A R S. Deaths: 8 8 15 13 18 5 5 4 23 5 9 13 6 6 5 19 11 7 7 14 10 4 14 8 6 14 7' 12 19 7 11 18 6 12 18 7 9 25 TO 29 Y E A R S. Population................................ Deaths: Tuberculous...................... Nontuberculous............... 6 6 10 11 17 17 11 9 9 9 20 18 9 7 10 18 17 11 17 10 9 19 8 10 18 Population................................ 5 10 15 4 11 15 5 10 15 Deaths: Tuberculous...................... Nontuberculous............... 7 5 12 11 19 16 9 8 13 8 17 21 8 7 10 12 18 19 6 11 17 9 11 20 7 11 18 10 14 5 10 15 Total, all causes............ 3 0 TO 34 Y EA R S. Total, all causes............ 35 TO 39 YEA R S. Population................................ 5 10 15 4 Deaths: Tuberculous...................... Nontuberculous............... 10 5 13 23 6 14 19 7 13 20 6 14 20 Total, all causes............ 7 14 21 6 11 17 7 12 19 8 12 2 10 12 3 9 12 8 14 8 10 18 40 TO 44 YEA RS. Population................................ 4 Deaths: Tuberculous...................... Nontuberculous............... 9 9 8 5 17 10 25 7 17 18 23 5 a 7 177 14 24 Total, all causes............ 7 14 21 7 13 20 7 14 21 61 162,740 15 TO 44 Y E A R S. Population................................ 38 62 129,931 40 60 i 32,809 39 Deaths: Tuberculous...................... Nontuberculous............... 46 34 66 i 322 60 42 40 58 i 360 i 625 54 46 i 524 39 61 i 682 i 1,149 Total, all causes............ 39 61 i 846 49 51 i 985 44 56 i 1,831 54 1 Total on which percentages are based. 250 GENERAL TAB LES. T able 1 5 .— P E R CENT O P O PE R A TIV E S AND N O N O PER ATIVE S OF EACH S E X AND AG E G RO U P, FO R PO PU LATION AND FO R D EATH S FROM TUBERCULOUS, NONTUBERCULOUS, AN D A L L CAUSES, 1908 TO 1912. F em ales. M ales. A g e group an d cause of d eath. B o th sexes. O per a tiv es. Nonopera tiv e s. B o th classes. O p er a tives. Nonopera tiv e s. B o th classes. O per a tives. N onopera tiv e s. P o p u la t io n ....................................... 4 6 10 6 4 10 10 10 20 D e a th s: T u b e r c u lo u s ........................... N o n tu b e r c u lo u s ................... 3 3 1 2 4 5 6 3 3 1 9 4 9 6 4 3 13 9 T o ta l, all c a u se s............... 3 1 4 4 2 6 7 3 10 P o p u la t io n ....................................... 4 5 9 6 5 11 10 10 20 D e a th s: T u b ercu lo u s............................ N o n tu b erc u lo u s................... 4 3 3 3 7 6 9 3 3 2 12 5 13 6 6 5 19 11 T o ta l, all ca u se s............... 3 3 6 5 3 8 8 6 14 P o p u la tio n ....................................... 3 6 9 3 6 9 6 12 18 D e a th s: Tu b ercu lou s............................ N o n tu b e r c u lo u s................... 3 3 5 5 8 8 6 4 4 5 10 9 9 7 9 10 18 17 T o ta l, all ca u se s.............. 3 5 8 5 5 10 8 10 18 P o p u la t io n ....................................... 2 5 7 3 5 8 5 10 15 D e a th s: T u b ercu lo u s............................ N o n tu b e r c u lo u s................... 3 2 6 6 9 8 5 5 4 6 9 11 8 7 10 12 18 19 T o ta l, all ca u se s.............. 2 6 8 5 5 10 7 11 18 P o p u la t io n ....................................... 3 4 7 2 6 8 5 10 15 D e a th s: T u b ercu lo u s........................... N o n tu b e r c u lo u s................... 5 2 6 7 11 9 3 4 4 7 7 11 8 6 10 14 18 20 T o ta l, all c a u se s............... 4 6 10 3 6 9 7 12 19 1 5 6 3 9 12 4 3 10 6 14 7 7 7 17 14 24 7 ■ 14 21 B o th classes. 15 to 19 YEARS. 20 TO 24 YEARS. 25 TO 29 YEARS. 30 TO 34 YEARS. 35 TO 39 YEARS. 40 TO 44 YEARS. P o p u la t io n ....................................... 2 4 6 D e a th s: T u b ercu lo u s........................... N o n tu b e r c u lo u s ................... 4 3 4 7 8 10 T o ta l, all ca u se s.............. 3 7 10 4 7 11 P o p u la t io n ....................................... 18 30 48 21 31 52 39 61 i 62 ,740 D e a th s: T u b ercu lo u s........................... N o n tu b e r c u lo u s................... 22 16 25 30 47 46 32 23 21 31 53 54 54 39 46 61 1682 11,149 T o ta l, all c a u se s............... 18 28 46 26 28 54 44 56 il,831 a 15 TO 44 YEARS. 1 Total on which percentages are based. 251 GENERAL TABLES. T able 1 6 .— P E R CENT OF D EATH S FROM TU B ERC U LO U S AND NONTU BERCULOUS CAUSES AMONG O P E R A T IV E AND N O N O PE R A TIV E MALES AND FEMALES, FO R EACH 5-Y E A R AGE GROUP, 1908 TO 1912. Males. Age group and cause of death. Females. Both sexes. N onNonNonOper Oper Oper B oth Both Both atives. opera classes. atives. opera classes. atives. opera classes. tives. tives. tives. 15 TO 19 Y E A R S. Per cent of deaths: Tuberculous..................................... Nontuberculous............................. 29 71 34 66 31 69 57 43 59 41 57 43 45 55 45 55 45 55 Number, all causes (100 per ce n t). . Death rates per 1,000, all causes___ 52 3.83 35 2.13 87 2.90 74 3.93 29 2.02 103 3.11 126 3.89 64 2.08 190 3.01 Per cent of deaths: Tuberculous..................................... Nontuberculous............................. 48 52 34 66 41 59 65 35 45 55 59 41 59 41 38 62 51 49 Number, all causes (100 per c e n t). . Death rates per 1,000, all causes___ 54 4.48 62 3.73 40 2.68 139 4.10 153 4.93 102 3.23 255 4.07 Per cent of deaths: T uberculous................................... Nontuberculous............................. 43 57 35 65 38 62 43 57 35 65 39 61 43 57 35 65 39 61 Number, all causes (100 per cen t). . Death rates per 1,000, all causes___ 54 5.70 91 4.97 145 5.22 93 8.54 89 4.78 182 6.17 147 7.22 180 4.88 327 5.71 Per cent of deaths: Tuberculous..................................... Nontuberculous............................. 48 52 39 61 42 58 38 62 27 73 32 68 41 59 33 67 36 64 Number, all causes (100 per cen t). . Death rates per 1,000, all causes___ 48 6.13 97 6.86 145 6.60 85 12.13 107 6.05 192 7.77 133 8.96 204 6.41 337 7.22 Per cent of deaths: Tuberculous..................................... N ontuberculous............................. 53 47 36 64 42 58 31 66 25 75 28 72 44 56 31 69 35 65 Number, all causes (100 per cen t). . Death rates per 1,000, all causes___ 62 8.37 113 7.46 175 7.76 61 10.02 111 6.66 172 7.56 123 9.11 224 7.04 347 7.66 Per cent of deaths: Tuberculous..................................... Nontuberculous............................. 48 52 25 75 33 67 26 74 16 84 19 81 36 64 20 80 26 74 Number, all causes (100 per ce n t). . Death rates per 1,000, all causes___ 58 9.51 120 9. 58 178 9.54 69 16.18 128 8.13 197 9.84 127 12.25 248 8.76 375 9.70 45 55 34 66 38 62 45 55 2S 72 37 63 45 55 31 69 37 63 20 TO 24 Y E A R S . ncT 4.05 99~ 5.22 25 TO 29 Y E A R S. 30 TO 34 Y E A R S. 35 TO 39 Y E A R S. 4 0 TO 44 Y E A R S. 1 5 TO 44 Y E A R S. Per cent of deaths: Tuberculous..................................... Nontuberculous............................. Number, all causes (100 per cen t). . Death rates per 1,000 (crude), all causes..................................................... Death rates per 1,000 (age adjusted), all causes............................................... 328 518 840 481 504 985 809 1,022 1,831 5 .8 1 5 .5 6 5 .6 5 7 .2 8 5.14 6 .0 0 6 .6 0 5 .3 4 5 .8 4 5.57 4.82 5.13 7.67 4.21 5.53 6.60 4.51 5.35 252 GENERAL TABLES. T a b le 1 7 — POPULATION, DEATHS, AND D EATH B A TES P E R 1,000 PROM ATIY E S AND NON O PERA TIVES OP SPECIFIED AGE GROUP 15 TO 24. Males. Race. Oper atives. Females. Non Both Oper oper classes. atives. atives. Both sexes. NonBoth Oper oper classes. atives. atives. Non Both oper classes. atives. POPULATION. Non-Irish...................................... 4,894 5,666 Irish................................................ American...................................... English.......................................... French Canadian....................... 230 544 701 1,279 950 867 1,523 1,544 10,560 1 7,065 1,180 1,411 2.314 2,823 494 817 1,289 2,054 4,667 11,732 11,959 10,333 22,292 1,189 847 1, 420 1,227 1 ,6S3 1,664 2.709 3,281 724 1,361 2,080 3,333 2,139 1,714 2,943 2; 771 2,863 3,075 5,023 6,104 D E A T H S : TUBERCULOUS. Females. Males. Race. Oper atives. Non Oper Both oper classes. atives. atives. Both sexes. NonBoth oper classes. atives. Oper atives. Nonoper atives. Both classes. Non-Irish..................................... 37 30 67 97 30 127 134 60 194 Irish............................................... American..................................... English......................................... French Canadian..................... ! Portuguese.................................. Other races.................................. 4 9 9 5 3 11 8 8 1 2 7 19 14 17 10 7 9 15 16 41 20 5 5 11 7 8 2 2 14 26 23 49 22 7 13 23 22 50 29 10 8 22 15 16 3 4 21 45 37 66 32 14 All races........................... 41 33 74 106 35 141 147 68 215 Non-Irish and non-Fiench Canadian................................. 28 22 50 56 22 78 84 44 128 8 6 D E A T H S : NONTUBERCULOUS. Non-Irish..................................... 62 55 117 62 | 30 92 124 85 209 Irish............................................... American..................................... English......................................... French Canadian...................... Portuguese......... ......................... Other races.................................. 3 9 19 17 11 6 9 14 15 11 6 9 12 23 34 28 17 15 5 5 10 22 20 4 11 4 4 4 7 9 16 14 26 24 12 8 14 29 39 31 11 13 25 19 15 10 16 21 39 48 54 41 27 A ll races........................... 65 64 129 67 34 101 132 98 230 Non-Irish and non-French Canadian................................. 45 44 89 40 26 66 85 70 155 60 5 D E A T H S : A L L CAUSES. 99 85 | 184 159 219 258 145 403 Irish ...................... *.......... American..................................... English......................................... French Canadian.__ . . . . . . . . Portuguese ...................... 7 17 25 26 20 11 12 25 23 19 7 11 19 42 48 45 27 22 14 20 26 63 40 10 9~ 22 11 12 6 9 23 42 37 75 46 19 21 37 51 89 60 21 21 47 34 31 13 20 .4 2 84 85 120 73 41 All races........................... 106 97 203 173 69 242 279 166 445 Non-Irish and non-French Canadian 73 66 139 96 48 144 169 114 N o n -Irish ................................... 283 ------------- GENERAL TABLES. 253 TUBERCULOUS, NONTUBERCULOUS, AND A LL RACES, B Y AGE G RO UP AND SE X, 1908 TO 1912. CAUSES FO R OPER AGE GROUP 15 TO 24. Males. Race. Oper atives. Females. NonOper Both operclasses. atives. atives. Nonoper atives. Both sexes. Both Oper classes. atives. Non Both oper classes. atives. POPULATION. Portuguese................................... Other races................................... 1,570 710 1,024 708 2,594 1,418 1,964 941 759 414 2,723 1,355 3,534 1,651 1,783 1,122 5,317 2,773 All races............................ 5,124 6,616 11,740 7,559 5,856 13,415 12,683 12,472 25,155 Non-Irish and non-French Canadian.................................. 3,615 4,122 7,737 5,011 3,440 8,451 8,626 7,562 16,188 D E A T H R ATES PER 1,000: TUBERCULOUS. Males. Oper atives. Females. Nonop eratives. Both classes. Oper atives. Nonop eratives. Both sexes. Both classes. Oper atives. Nonop eratives. Both classes. 1.51 1.06 1.27 2.75 1.29 2.16 2.24 1.16 1.74 3.48 2.94 1.52 1.41 1.15 1.41 .63 2.54 1.05 1.04 .20 .57 1.19 2.69 1.21 1.21 .77 .99 3.64 3.67 2.48 3.99 2.04 1.06 .84 2.60 .99 1.30 .53 .97 1.66 3.13 1.70 2.99 1.62 1.03 3.59 3.38 2.11 3.00 1.64 1.21 .75 2.57 1.02 1.16 .34 .71 1.47 2.93 1.47 2.16 1.21 1.01 1.60 1.00 1.26 2.81 1.20 2.10 2.32 1.09 1.71 1.55 1.07 1.29 2.23 1.28 1.85 1.95 1.16 1.58 D E A T H R ATES PER 1,000: NONTUBERCULOUS. 2.54 1.94 2.21 1.75 1.28 1.57 2.07 1.65 1.88 2. 61 3.31 4.80 2. 66 1.40 1.69 1.90 3.23 1.97 1.42 1.17 2.54 2.03 3.26 2.94 1.98 1.31 2.11 2.03 1.23 1.55 2.14 2.03 1.07 .67 2.59 .56 . .65 1.05 3.38 1.07 1.92 1.03 1.58 1. 76 1.77 2.21 2.06 2.79 2.34 1.76 1.33 1.21 2.91 1.29 1.08 1.12 2.86 1.46 2.53 1.91 1.77 1.54 1.95 2.54 1.93 2. 20 1.77 1.16 1.51 2.08 1.57 1.83 2.49 2.13 2.30 1.60 1.51 1.56 1.97 1.85 1.92 * D E A T H R ATES PER 1,000: A L L CAUSES. 4. 05 3.00 3.48 4. 50 2. 57 3.73 4.31 2. 81 3.62 6. 09 6.25 6.32 4.07 2.55 3.10 2.53 5.77 3.02 2.46 1.37 3.11 3.22 5.95 4.15 3.19 2.08 3.10 5. 67 4.90 4.03 6.13 4.07 2.13 1.51 5.19 1.55 1.95 1.58 4.35 2. 73 5.05 2.73 4.57 3.38 2.80 5.80 5.44 4.90 5.34 3.40 2.54 1.96 5.48 2.31 2.24 1.46 3.57 2.93 5.46 3.38 3.93 2.75 2.96 4.14 2.93 3.46 4.58 2.36 3. 61 4.40 2. 66 3.54 4.04 3.20 3.59 3.83 2.79 3.41 3.92 3.01 3.50 GENERAL TABLES. 254 T a b l e 1 7 .— P O PU LA TIO N , D EATH S, AND D E A T H R A T E S P E R 1,000 FROM A T I Y ES AN D N ON OPE R A T IY E S OF SP E C IFIE D RACES, AGE GROUP 25 TO 34. Males. Race. Oper atives. Non oper atives. Females. Oper Both classes. atives. Nonoper atives. Both sexes. Both Oper classes. atives. Non oper atives. Both classcs. POPULATION. Nfl&-Irish..................................... Irish............................................... Am erican..................................... E nglish...............- ................... French Canadian...................... 3,275 5,673 8,948 2,995 6,481 9,476 6,270 12,154 18,424 187 211 564 881 813 985 1.397 1,511 1,000 1,196 1,961 2,392 585 288 757 973 781 1,057 1,434 1,680 1,366 1,345 % 191 2,653 772 499 1,321 1,854 1,594 2,042 2,831 3,191 2,366 2,541 4,152 5,045 D E A T H S : TU BER CU LO U S. Females. Males. Race. Oper atives. NonBoth Oper oper classes. atives. atives. Both sexes. NonOper B oth operclasses. atives. aiiv-es. NonB oth oper classes. atives. N on-Irish..................................... 42 43 85 54 39 93 96 82 178 Irish............................................... American..................................... E nglish......................................... French Canadian...................... Portuguese.................................. Other races.................................. 4 1i 6 21 9 5 27 6 11 17 5 4 31 7 17 38 14 9 18 7 10 21 12 4 21 8 3 23 3 2 39 15 13 44 15 6 22 S 16 42 21 9 48 14 14 40 8 6 70 22 30 82 29 15 A ll races............................ 46 70 116 72 60 132 118 130 248 Non-Trish and non-French Canadian................................. 21 26 47 33 16 49 54 42 96 D E A T H S : NON TUBER CU LOU S. Non-Irish..................................... 51 : 93 144 77 107 184 128 200 : 328 Irish............................................. Am erican.................................... E nglish......................................... French Canadian.. ............... Portuguese.................................. Other races............................ .. 5 7 15 14 8 7 25 21 18 29 14 11 30 28 33 * 43 22 18 29 6 24 24 18 5 29 25 20 36 11 15 58 31 44 60 29 20 34 13 39 38 26 12 54 46 38 65 25 26 88 59 77 103 51 38 A ll races............................ 53 118 174 106 136 242 162 254 416 Non-Irish and non-French Canadian................................. 37 64 101 53 71 124 90 135 225 D E A T H S : A L L CAUSES. Non-Irish..................................... 93 136 229 131 146 277 224 282 506 Irish............................................... American..................................... English......................................... French Canadian...................... Portuguese.................................. Other races.................................. 9 8 21 35 17 12 52 27 29 46 19 15 61 35 50 81 36 27 47 13 34 45 30 9 50 33 23 59 14 17 97 46 57 104 44 26 56 21 55 80 47 21 102 60 52 105 33 32 158 81 107 185 80 53 A ll races............................ 102 188 290 178 196 374 280 3S4 664 Non-Irish and non-French Canadian.................................. 58 90 148; 86 87 173 144 177 321 GENERAL TABLES. 255 TUBERCULOUS, NONTUBERCULOUS, AN D A L L CAUSES B Y AG E G RO UP AN D S E X , 1908 TO 1912—Continued. FOR OPER AGE GROUP 25 TO 34. Males. Race. % Oper atives. Females. B oth sexes. N onN onBoth Oper Both Oper oper oper classes. atives. classes. atives. atives. atives. N onBoth oper classes atives. POPULATION. Portuguese................................... Other races................................... 966 653 1,231 549 2,197 1,202 607 370 1,590 720 2,197 1,090 1,573 1,023 2,821 1,269 4,394 2,292 A ll races............................ 3,462 6,486 9,948 3,580 7,262 10,842 7,042 13,748 20,790 Non-Irish and non-French Canadian.................................. 2,394 4,162 6,556 2,022 4,801 6,823 4,416 8,963 13,379 D EA T H B A T E S PEE, 1,000: TUBERCULOUS. Males. Opera tives. Non op eratives. Females. Both classes. Operatives. Nonopera tives. Both sexes. B oth classes. Operatives. Nonopera tives. Both classes. 2.56 1.51 1.90 3.61 1.21 1.96 3.06 1.35 1.93 4.28 .95 2.13 4.77 1.86 1.53 6.64 1.22 1.57 2.25 .81 1.45 6.20 1.17 1.73 3.18 1.28 1.50 6.15 4.86 2.64 4.32 3.95 2.16 ' 5.38 1.51 .42 2.74 .38 .55 5. 71 2. 23 1.19 3.32 1.37 1.10 5.70 3.21 2.42 4.53 2.67 1.76 6.02 1.37 .99 2.51 .57 .94 5^92 1-73 1.44 3.25 1.32 1.31 2. 66 2.16 2.33 4.02 1.65 2. 44 3.35 1.89 2.39 1.76 1.25 1.43 3.27 .66 1.44 2.44 .94 1.44 D E A T H R A T E S PER 1,000: NO NTUBERCULOUS. 3.12 3.28 3.22 j| 5.14 3.30 3.89 4.09 3.29 3.56 5.35 6.63 5.32 3.18 1.66 2.15 6.15 4.26 2. 58 3.84 2.28 4.01 6.00 4.68 3.37 3.59 2.00 2.99 9.92 4.17 6.34 4.93 5.93 2. 70 • 7.42 4.73 2.79 4.28 1.38 4.17 8.49 4.61 4.01 4.52 2.64 3.67 8.81 5.21 5.91 4.10 3.31 2.35 6. 78 4.51 2.68 4.07 1.77 4.10 7.44 4.65 3.71 4.08 2.32 8.31 3.23 3.64 3.50 5.92 3.75 4.46 4. CO 3. 70 4.00 3.09 3.07 3.08 5.24 2.96 3.63 4.08 3.01 3.36 D E A T H R A T E S PE R 1,000: A L L CAUSES. 5.68 4.79 5.12 8. 75 4.51 5.85 7.15 4.64 5.49 9.63 7.58 7.45 7 95 3.52 3.68 12. 79 5.48 4.15 6.09 3.09 5.46 12.20 5.85 5.10 €.77 3.28 4.49 16.07 9.03 8.98 9.25 9.88 4.86 12.80 6.24 3.21 7.02 1.76 4.72 14. 20 6.84 5.20 7.84 4.01 4. 77 14.51 8.42 8.33 8.63 5.98 4.11 12.80 5.88 3.67 6.58 2.34 5.04 13.36 6.38 5.15 7.33 3.64 4.62 5.89 . 5.80 5.83 9.94 5.40 6.90 7.95 5. 59 6.39 4.85 4.32 4.51 8.51 3.62 5.07 6.52 3.95 4.80 GENERAL TABLES. 256 T able 17*—POPULATION, DEATHS, AND DEATH RATES PER 1,000 FROM TIVES AND NONOPERATIVES OF SPECIFIED RACES, AG E GROUP 35 TO 44. Males. Race. Females. Both sexes. Non Both. Oper NonBoth Oper Oper oper oper classes. B°th classes. atives. atives. atives. atives. atives. atives. classes- £& 1 POPULATION. N on -Irish .................................... 2,351 5,064 7,415 1,508 5,961 7,469 3,859 11,025 14,884 Irish............................................... Am erican..................................... English......................................... French Canadian...................... 351 115 577 848 477 876 1,048 1,134 828 991 1,625 1,982 563 103 495 560 520 959 1,233 1,534 1,083 1,062 1,728 2,094 914 218 1,072 1,408 997 1,835 2,281 2,668 1,911 2,053 3,353 4,076 D E A T H S : TU BERCU LOU S. Males. Race. Oper atives. Females. NonOper Both oper classes. atives. atives. Both sexes. NonOper Both oper classes. atives. atives. Non oper atives. Both classes. Non-Irish..................................... 38 44 82 20 33 53 58 77 135 Irish............................................... Am erican..................................... E n glish......................................... French Canadian...................... Portuguese.................................. Other races............................. 23 1 ,11 15 6 5 27 8 9 22 2 3 50 9 20 37 8 8 19 4 11 3 2 15 4 6 12 6 5 34 4 10 23 9 7 42 1 15 26 9 7 42 12 15 34 8 8 84 13 30 60 17 15 A ll races........................... 61 71 132 39 48 87 100 119 219 Non-Irish and non-French Canadian................................. 23 22 45 9 21 30 32 43 75 D E A T H S : NONTUBERCULOU S. Non-Irish..................................... 46 99 145 |I 54 136 190 100 235 335 Irish............................................... Am erican..................................... E nglish......................................... French Canadian...................... Portuguese.................................. Other races................................. 13 4 15 14 10 3 63 25 27 31 8 8 76 29 42 45 18 11 37 5 16 29 2 2 55 19 32 43 21 21 92 24 48 72 23 23 50 9 31 43 12 5 118 44 59 74 29 29 168 53 90 117 41 34 A ll races........................... 59 162 221 91 191 282 150 353 503 Non-Irish and non-French Canadian................................. 32 68 100 25 93 118 57 161 218 f D E A T H S : A L L CAUSES. Non-Irish..................................... 84 143 227 74 169 243 158 312 470 Irish............................................... Am erican..................................... English......................................... French Canadian...................... Portuguese.................................. Other races................................. 36 5 26 29 16 8 90 33 36 53 10 11 126 38 62 82 26 19 56 5 20 40 5 4 70 23 38 55 27 26 126 28 58 95 32 30 92 10 46 69 21 12 160 56 74 108 37 37 252 66 120 177 58 49 A ll races...........................1 120 233 353 130 239 369 250 472 722 Non-Irish and non-French I Canadian................................. j 55 90 145 34 114 148 89 204 293 GENERAL TABLES. 257 TUBERCULOUS, NONTUBERCULOUS, AND A L L CAUSES B Y AGE G ROUP AN D S E X , 1908 TO 1912— Continued. FO R O PERA AGE GROUP 35 TO 44. Males. Race. (Nativity of father.) Females. Both sexes. Non NonNonOper oper Both Oper oper Both Oper operBoth classes. atives. atives. atives. atives. classes. atives. atives. classcs. POPULATION. Portuguese........................... Other races.......................... 495 316 1,327 679 1,822 995 184 166 1,544 691 1,728 857 All races..................... 2,702 5,541 8,243 2,071 6,481 Non-Irish and non-French Canadian.......................... 1,503 3,930 5,433 948 4,427 679 482 2,871 1,370 3,550 1,852 8,552 4,773 12,022 16,795 5,375 2,451 10,808 8,357 DEATH RATES PER 1,000: TUBERCULOUS. Males. Oper atives. Nonop eratives. 3.23 1.74 13.11 1.74 3.81 3.54 2.42 3.16 11.32 1.82 1.72 3.88 .30 .88 4. 51 2. 56 3.06 1.12 Females. Both classes. Oper atives. Nonop eratives. Both classes. Both classes. Oper atives. Nonop eratives. Both classes. 2. 65 1.11 1.42 3.01 1.40 1.82 12.07 6.75 1.82 .................. 2.46 1. 62 3.73 3.93 3.26 .88 1. 61 2.41 5.77 .84 .97 1.56 .78 1.45 6.28 .75 1.16 2. 20 1.04 1. 63 9.19 .92 2.80 3.69 2. 65 2.90 8.43 1.31 1.32 2.55 .56 1.17 8.79 1.27 1.79 2.94 3.20 3. 76 1.48 2.03 4.19 1. 98 2.61 1.66 1.90 .95 1.12 2.61 1.03 1.39 2. 21 .96 1.62 DEATH RATES PER 1,000: NONTUBERCULOUS. 3.92 3.91 3. 91 7.16 4. 56 5.09 5.18 4. 26 4. 50 7.40 6.96 5.20 3.30 4.04 1.90 26.42 5.71 5.15 5.47 1.21 2.36 18.36 5.85 5.17 4.54 1.97 2.21 13.14 9.71 6.46 10.36 2.17 2.41 21.15 3.96 5.19 5.61 2.72 6.08 16.99 4.52 5.55 6.87 2.66 5. 37 10.94 8.25 5.78 e. u 3.54 2.08 23. 67 4.79 5.17 5.55 2.02 4.23 17.58 5.16 5.37 5.74 2.31 3.67 4.37 5.85 5.36 8. 79 5.90 6. 60 6.29 5.87 5.99 4.26 3.46 3. 68 5.27 4.20 4. 39 4.65 3.85 4.03 DEATH RATES PER 1,000: ALL CAUSES. 7.15 5,65 6.12 9.81 5. 67 6. 51 8.19 5.66 6.32 20. 51 8.70 9.01 6.84 6.46 5.06 37.74 7.53 6.87 9.35 1.51 3.24 30.43 7.67 7.63 8.27 2.85 3.82 19.89 9.71 8.08 14.29 5.43 4.82 26.92 4.80 6.16 7.17 3.50 7.53 23.27 5.27 6.71 9.07 3.70 7.00 20.13 9.17 8.58 9.80 6.19 4.98 32.10 6.10 6.49 8.10 2.58 5.40 26. 37 6.43 7.16 8.68 3.27 5.29 8.88 8.41 8. 56 12.55 7.38 8.63 10.48 7. 85 8.60 7.32 4.58 5. 34 7.17 5.15 5.51 7. 26 4.88 5.42 -88204°— 19— Bull. 251-------17 GENERAL TABLES. 258 T a b le 1 7 .— P O PU LA TIO N , D E A TH S, AN D D E A T H RA TE S P E R 1,000 FRO M T IV E S AN D N O N O PE R A TIV E S O F SP E C IFIE D RACES, TOTAL, AGE GROUP 15 TO 44. Males. Race. Females. Both sexes. NonNonNon- Both Both Oper oper Both Oper oper Oper oper classes. atives. atives. classes. atives. atives. classes. atives. atives. POPULATION. Non-Irish............................. 10,520 16,403 26,923 11,568 768 870 1,932 3,008 2,240 2,728 3,968 4,189 3,008 3,598 5,900 7,197 1,642 1,208 2,541 3,587 Irish..................................... American............................. English................................ French Canadian................. 17,109 28,677 22,088 33,512 2,490 2,863 4,087 4,441 4,132 4,071 6,628 8,028 2,410 2,078 4,473 6,595 4,730 5,591 8,055 8,630 55,600 7,140 7,669 12,528 15,225 DEATHS: TUBERCULOUS. Males. Race. Females. Both sexes. Non Both Opera Non- Both Opera Non Both Opera opera opera tives. tives. classes. tives. opera tives. classes. tives. tives. classes. Non-Irish............................. 117 117 234 171 102 273 288 219 507 Irish................................ . American............................. English................................ French Canadian................. Portuguese........................... Other races.......................... 31 10 23 45 24 15 57 25 28 47 8 9 88 35 51 92 32 24 46 22 30 73 35 11 41 23 16 43 11 9 87 45 46 116 46 20 77 32 53 118 59 26 98 48 44 90 19 18 175 80 97 208 78 ■44 All races..................... 148 174 322 217 143 360 365 317 682 Non-Irish and non-French Canadian.......................... 72 70 142 98 59 157 170 129 299 DEATHS: NONTUBERCULOUS. Non-Irish............................. 159 247 406 193 273 466 352 520 872 Irish..................................... American............................. English................................ French Canadian................. Portuguese........................... Other races............'.............. 21 20 49 45 29 16 97 60 60 71 28 28 118 80 109 116 57 44 71 16 50 75 40 12 88 55 56 83 36 43 159 71 106 158 76 55 92 36 99 120 69 28 185 115 116 154 64 71 277 151 215 274 133 99 All races..................... 180 344 524 264 361 625 444 705 1,149 Non-Irish and non-French Canadian.......................... 114 176 290 118 190 308 232 366 598 DEATHS: ALL CAUSES. Non-Irish............................. 276 364 640 364 375 739 640 739 1,379 Irish..................................... American............................. English................................ French Canadian................. Portuguese........................... Other races.......................... 52 30 72 90 53 31 154 85 88 118 36 37 206 115 160 208 89 68 117 38 80 148 75 23 129 78 72 126 47 52 246 116 152 274 122 75 169 68 152 238 128 54 283 163 160 244 83 89 452 231 312 482 211 143 All races..................... 328 518 846 481 504 985 809 1,022 1,831 Non-Irish and non-French Canadian.......................... 186 246 432 216 249 465 402 495 897 GENERAL TABLES. 259 TUBERCULOUS, NONTUBERCULOUS, AND A L L CAUSES F O R B Y AGE G RO U P AN D S E X , 1908 TO 1912— Concluded. OPERA TOTAL, AGE GROUP 15 TO 44. Females. Males. Race. Both sexes. NonNonOper NonBoth Oper oper Both Oper oper Both oper classes. atives. atives. atives. atives. classes. atives. atives. classes. P.OPULATION. Portuguese............. ............. Other races........................... All races..................... Non-Irish and non-French Canadian.......................... 3,031 1,679 3,582 1,936 6,613 3,615 2,755 1,477 11,288 18,643 29,931 13,210 7,981 7,512 12,214 19,726 3,893 1,825 6,648 3,302 7,475 3,761 13,261 6,917 19,599 32,809 24,498 38,242 62,740 12,668 20,649 15,493 24,882 40,375 DEATH RATES PER 1,000: NONTUBERCULOUS. 5,786 3,156 GENERAL TABLES. 260 T a b l e 1 8 .— PO PULATION AND D EATHS FROM TUBERCULO US AND NON FROM A LL CAUSES, F O R O PE R A TIV E S AND N O N O PER ATIVE S OF AGE GROUP 15 TO 24. Native bom. Both sexes. Males. Females. Non Both Opera Non- Both Opera Non- Both Opera opera opera tives. tives. classes. tives. operatives. classes. tives. tives. classes. Race. (Nativity of father.) POPULATION. Non-Irish............................. 2,294 3,928 6,222 3,564 3,123 6,687 5,858 7,051 12,909 Irish..................................... American............................. English................................ French Canadian................. Portuguese........................... Other races........................... 216 531 592 871 172 128 629 866 747 755 911 649 845 1,397 1,339 1,626 1,083 777 446 806 970 1,331 217 240 659 836 745 439 693 410 1,105 1,642 1,715 1,770 910 650 662 1,337 1,562 2,202 389 368 1,288 1,702 1,492 1,194 1,604 1,059 1,950 3,039 3,054 3,396 1,993 1,427 All races..................... 2,510 4,557 7,067 4,010 3,782 7,792 6,520 8,339 14,859 Non-Irish and non-French Canadian......................... 1,423 3,173 4,596 2,233 2,684 4,917 3,656 5,857 9,513 DEATHS: TUBERCULOUS. Non-Irish............................. 16 22 38 55 22 77 71 44 115 Irish..................................... American............................. English................................ French Canadian................. Portuguese........................... Other races........................... 2 8 4 4 2 11 6 5 4 19 10 9 6 15 12 24 3 1 5 11 6 5 11 26 18 29 3 1 8 23 16 28 3 1 7 22 12 10 15 45 28 38 3 1 All races..................... 18 24 42 61 27 88 79 51 130 12 17 29 31 17 48 43 34 77 Non-Irish and non-French Canadian.......................... DEATHS: NONTUBERCULOUS. Non-Irish............................. 32 37 69 29 17 46 61 54 115 Irish..................................... American............................. English................................ French Canadian................. Portuguese........................... Other races........................... 3 8 12 10 2 6 14 12 9 1 1 9 22 24 19 3 1 5 5 7 15 1 1 4 11 2 3 1 9 16 9 18 1 2 8 13 19 25 3 1 10 25 14 12 1 2 18 38 33 37 4 3 All races..................... 35 43 78 34 21 55 69 64 133 Non-Irish and non-French Canadian.......................... 22 28 50 14 14 28 36 42 78 DEATHS: ALL CAUSES. Non-Irish............................. 48 69 Irish..................................... 5~ 8~ American............................. 25 16 English................................ 18 16 14 14 French Canadian................. Portuguese........... ............... 2 1 .......................... Other races 1 All races..................... Non-Irish and non-French Canadian......................... 107 84 39 123 132 98 230 13 41 34 28 3 1 11 20 19 39 4 2 9 22 8 8 16 36 35 53 6 2 17 47 26 22 1 2 33 83 61 75 7 4 1 20 42 27 47 4 3 53 67 120 95 48 143 148 115 263 34 45 79 45 31 76 79 76 155 DEATH RATES PER 1,000: ALL CAUSES. Non-Irish............................. 4.18 3.00 3.44 4.71 2.50 3.68 4.51 2. 78 3.56 Irish..................................... American............................. English................................ French Canadian................. Portuguese........................... Other races........................... 4.63 6.03 5.41 3.21 2.33 2.54 5.77 4.82 3.71 .22 .31 3.08 5.87 5.08 3.44 .55 .26 4.93 4.96 3.92 5.86 3.69 1.67 2.73 5.26 2.15 3.64 .49 3.62 5.12 3.15 5.31 .88 .92 4.84 : 2.64 5.52 5.39 4.48 3.49 4.81 3.69 .12 3.08 1.08 .38 3.38 5.46 3.99 4.42 .70 .56 All races..................... 4.22 2.94 3. 40 4.74 2.54 3.67 4.54 2. 76 3.54 Non-Irish and non-French Canadian.......................... 4.78 2.84 3. 44 4.03 2.31 3.09 4.32 2.60 3.26 •••- GENERAL TABLES. 261 TUBERCULOUS CAUSES, AND DEATHS AND DEATH RATES PER 1,000 SPECIFIED RACES, BY AGE GROUP, SEX, AND NATIVITY, 1908 TO 1912. AG E G BO U P 15 TO 24. Foreign bom. Males. Opera tives. Females. Both sexes. Nonop eratives. Both classes. 2,600 1,738 4,338 3,501 1,544 5,045 6,101 3,282 9,383 14 13 199 408 1,398 582 321 1 776 789 113 59 335 14 975 1,197 1,511 641 48 11 319 723 1,747 701 530 11 675 .788 66 4 578 22 994 1,511 1,813 705 62 24 518 1,131 3,145 1,283 851 12 1,451 1,577 179 63 913 36 1,969 2,708 3,324 1,346 2,614 2,059 4,673 3,549 2,074 5,623 6,163 4,133 10,296 2,192 949 3,141 2,778 756 3,534 4,970 1,705 6,675 3.92 2.99 3.55 4.28 28.57 2.49 15.38 9.05 ........i.2 9 ’ 5.88 1.27 10.62 2.58 3.78 33.90 3.58 14.29 2.87 2.84 3.18 6.55 12.50 4.39 6.64 4.12 2.28 .89 1.02 18.18 400.00 4.06 2.91 3.55 4.40 3.56 4.43 3.82 3.67 i Operatives. Nonopera tives. Both classes. Operatives. Nonopera tives. Both classes. POPULATION. DEATH RATES PER 1,000: ALL CAUSES. 3.81 4.13 2.86 3.69 1.04 .94 2.01 3.71 4.63 4.54 16.13 8.33 6.18 6.37 3.43 2.96 1.10 1.14 13.41 57.14 1.97 5.56 2.44 3.32 3.97 5.50 2.03 3.52 4.25 2. 47 3.54 4- 5<> 3.85 3.62 4.46 S 3.84 2. 72 .. GENERAL TABLES. 262 18.—POPULATION AND DEATHS FROM TUBERCULOUS AND NON FROM ALL CAUSES, FOR OPERATIVES AND NONOPERATIVES OF SPEC T able AG E GROUP 25 T O 34. Native born. Race. (Nativity of father.) Females. Males. Both sexes. Non Both Ojpera- Non Both Opera Non Both Opera opera opera classes. tives. opera classes. tives. tives. classes. tives. tives. POPULATION. Non-Irish. 750 2,646 3,396 1,004 2,973 3,977 1,754 5,619 7,373 Irish..................... American............. English................ French Canadian. Portuguese........... Other races........... 141 203 257 251 9 430 976 456 608 255 351 571 1,179 713 859 264 381 420 282 362 297 20 43 301 1,038 404 699 431 401 721 1,320 766 996 451 444 561 485 619 548 29 73 731 2,014 860 1,307 686 752 1,292 2,499 1,479 1,855 715 825 3,967 1,424 3,274 4,6 2,315 6,350 8,665 2,537 707 2,274 2,981 1,206 4,312 5,518 DEATHS: TUBERCULOUS. 21 12 15 18 27 18 30 48 12 33 All races. Non-Irish and non-French Canadian......................... 891 499 Non-Irish. 2,038 Irish..................... Ameiican............. English................ French Canadian. Portuguese........... Other races.......... All races. Non-Irish and non-French Canadian.......................... Non-Irish............................. 10 40 20 12 DEATHS: KroyTUBERCULQirS. 65 18 47 30 48 78 48 95 13 22 13 20 13 1 1 39 46 23 22 2 2 146 59 43 35 3 3 1 12 13 11 Irish..................................... American............................. English................................ French Canadian................. Portuguese........................... Other races.......................... 1 7 7 4 20 21 9 14 2 1 21 28 16 18 2 1 21 6 13 9 1 1 19 25 14 8 1 40 31 27 17 1 2 All races..................... Non-Irish and non-French Canadian....................... 19 67 86 51 67 118 70 134 204 14 33 47 21 40 61 35 73 108 Non-Irish............................. DEATHS: ALL CAUSES. 21 45 60 86 65 105 66 125 191 33 20 24 19 1 2 77 59 30 31 2 3 110 79 54 50 3 5 Irish..................................... American............................. English................................ French Canadian.............. Portuguese........................... Other races.......................... 2 8 7 6 42 27 15 20 2 1 44 35 22 26 2 1 31 12 17 13 1 2 35 32 15 11 2 66 44 32 24 1 4 All races..................... Non-Irish and non-French Canadian.......................... 23 107 130 76 95 171 99 202 301 15 45 60 32 49 81 47 94 141 DEATH RATES PER 1,000: ALL CAUSES. Non-Irish............................. 5.60 4.91 5.07 8.96 4.04 5.28 7.53 4.45 5.18 18.31 6.67 8.36 4.82 .44 1.80 11.76 8.25 7.75 6.93 6.90 5.48 21.07 5.86 6.98 4.74 .58 .80 17.03 6.32 7.30 5.39 .84 1.21 5.80 7.28 8.55 6.36 6.95 4.31 5.43 7.79 4.36 5.11 Irish..................................... American............................. English................................ French Canadian................. Portuguese........................... 1 Other races.......................... 2. 84 7. 88 5.45 4.78 19.53 5.53 6.58 6.58 1.57 .57 15.41 5.94 6.17 6.05 1.52 .52 14. 76 8.51 9.39 8.75 10.00 9.30 23.26 6.17 7.43 3.15 All races..................... Non-Irish and non-French Canadian........................ 5.16 6.96 6.55 10.67 6.01 4.42 4.73 9.05 1.00 GENERAL TABLES. 263 TUBERCULOUS CAUSES, AND DEATHS AND DEATH RATES PER 1,000 IPIED RACES, BY AGE GROUP, SEX, AND NATIVITY, 1908 TO 1912—Con. AG E GROUP 25 TO 34. Foreign bom. Females. Males. Opera tives. Operatives. Nonopera tives. Nonop eratives. Both classes. 2,525 3,027 5,552 1,991 46 8 307 630 957 623 383 9 941 903 976 198 429 17 1,248 1,533 1,933 821 165 6 395 676 587 327 2,571 3,410 5,981 1,895 2,124 4,019 72 71 143 7 10 17 14 29 17 12 14 26 17 14 79 81 43 45 Both sexes. Both classes. Both classes. Operatives.| POPULATION. 3,508 5,499 4,516 6,535 11,051 480 19 1,030 981 1,159 319 645 25 1,425 1,657 1,746 646 211 14 702 1,306 1,544 950 863 28 1,971 1,884 2,135 517 1,074 42 2,673 3,190 3,679 1,467 2,156 3,988 6,144 4,727 7,398 12,125 1,315 2,527 3,842 3,210 4,651 7,861 DEATHS: ALL CAUSES. 86 86 172 158 157 315 28 55 34 26 16 1 17 32 29 7 15 1 8 48 14 15 31 2 25 80 43 22 23 1 31 61 46 19 25 1 22 74 81 29 48 2 53 135 77 48 160 102 101 203 181 182 363 88 54 38 92 97 83 180 5.70 4.69 DEATH RATES PER 1,000: ALL CAUSES. 5.15 8.64 4.90 6.26 7.00 30.43 5.22 7.93 9.12 9.21 3.55 3.85 2.98 5.76 3.48 14.14 6.15 4.54 4.80 5.70 4.49 7.17 3.52 6.33 19.39 33.33 8.61 9.47 9.88 4.28 6.25 10.53 1.55 9.79 2.42 9.40 9.61 16.00 3.51 9.66 4.93 6.81 21.80 14.29 8.83 9.34 5.96 4.00 5.79 7.14 2.23 7.86 2.90 11.22 8.94 9.52 3.97 8.46 4.19 6.54 4.75 5.35 9.46 5.07 6.61 7.66 4.92 5.99 4.24 4.38 8.21 3.01 4.79 6.04 3.57 4.58 264 GENERAL TABLES. T a b l e 1 8 . — POPULATION AND DEATHS FROM TUBERCULOUS AND NON FROM ALL CAUSES, FOR OPERATIVES AND NONOPERATIVES OF SPEC AG E GROUP 35 TO 44. Native bom. Females. Males. Race. (Nativity of father.) Both sexes. Non- Both NonBoth Opera operaOpera opera Both Opera Nontives. tives. classes. tives. operatives. classes. tives. tives. classes. POPULATION. Non-Irish............................. 439 1,895 2,334 356 2,131 2,487 795 4,026 4,821 Irish..................................... American............................. English................................ French Canadian.................. Portuguese........................... Other races........................... 168 108 165 144 2 20 267 868 319 435 50 223 435 976 484 579 52 243 279 98 148 74 6 30 219 941 287 518 142 243 498 1,039 435 592 148 273 447 206 313 218 8 50 486 1,809 606 953 192 466 933 2,015 919 1,171 200 516 All races..................... Non-Irish and non-French Canadian........................... 607 2,162 2,769 635 2,350 2,985 1,242 4,512 5,754 1,460 1,755 282 1,613 1,895 577 3,073 3,650 295 D E A T H S : TUBERCULOUS. ■Rriglish ,. r , ___ Portuguese........................... All races..................... Non-Irish and non-French Canadian.......................... 9 15 24 3 7 10 12 22 10 1 5 3 19 8 3 3 29 9 8 6 7 2 1 6 3 3 1 13 3 5 2 17 1 7 4 25 11 6 4 1 1 19 34 53 10 13 23 29 47 76 6 12 18 2 6 8 8 18 | 26 1 1| 34 42 12 13 8 1 D E A T H S : NONTUBERCULOUS. Non-Irish............................. 11 42 53 14 35 49 25 77 102 Irish..................................... American............................. English................................ French Canadian................. Portuguese........................... Other races........................... 7 4 5 2 32 25 9 8 39 29 14 10 14 5 4 5 35 19 11 4 49 24 15 9 21 9 9 7 67 44 20 12 88 53 29 19 1 1 All races..................... Non-Irish and non-French Canadian.......................... 18 74 92 28 70 98 46 144 | 190 34 43 9 31 40 18 65 83 9 1 I........ 1 D E A T H S : A L L CAUSES. Non-Irish............................. 20 57 77 17 42 59 37 99 136 Irish..................................... American............................. English................................ French Canadian................. Portuguese.. Other races.......................... 17 5 10 5 51 33 12 11 68 38 22 16 21 5 6 6 41 22 14 5 62 27 20 11 38 10 16 11 92 55 26 16 130 65 42 27 1 1 1 1 2 2 All races..................... Non-Irish and non-French Canadian........................... 37 108 145 38 83 121 75 191 266 15 46 61 11 37 48 26 83 109 D E A T H R AT E S PER 1,000: A L L CAUSES. ilk Non-Irish............................. 9.11 6.02 6.60 9.55 3.94 4.74 9.31 4.92 5.64 Irish..................................... American............................. English................................ French Canadian................. Portuguese........................... Other races........................... 20.24 9.26 12.12 6.94 38.20 7.60 7.52 5.06 31.26 7.79 9.09 5.53 15.05 10.20 8.11 16.22 37.44 4.68 9.76 1.93 24.90 5.20 9.20 3.72 17.00 9. 71 10.22 10.09 37.86 6.08 8.58 3.36 27.87 6.45 9.14 4.61 .90 .82 .82 .73 .86 .78 All races..................... Non-Irish and non-French Canadian........................... 12.19 9. 99 10. 47 11.97 7.06 8.11 12.08 8. 47 9.25 10.17 6.30 6. 95 7.80 4.59 . 5.07 9.01 5.40 | 1 5.97,. 265 GENERAL TABLES. TUBERCULOUS CAUSES, AND D EATH S AND D E A TH R A TE S P E R 1,000 IF IE D RACES, B Y AG E GRO UP, S E X , AND N A T IV IT Y , 1908 TO 1912— Con. AGE GROUP 35 TO 44. Foreign bom. Males. Opera tives. Both sexes. Females. Both classes. Nonop eratives. Both. classes. 1,912 3,169 5,081 1,152 3,830 4,982 3,064 6,999 10,063 183 7 412 704 493 296 210 8 729 699 1,277 456 393 15 1,141 1,403 1,770 752 284 5 347 486 178 130 301 18 946 1,016 1,402 448 585 23 1,293 1,502 1,580 584 467 12 759 1,190 671 ‘ 432 511 26 1,675 1,715 2,679 904 978 38 2,434 2,905 3,350 1,336 2,095 3,379 5,474 1,436 4,131 5,567 3,531 7, 510 11,041 1,208 2,470 3,678 606 2,814 3,480 1,874 5,284 7,158 Operatives. Nonopera tives. Operatives. Nonopera tives. Both classes. POPULATION. DEATHS: TUBERCULOUS. 29 29 58 17 26 43 46 55 101 13 8 21 12 6 19 2 2 12 31 8 7 2 10 3 2 21 1 5 21 9 7 25 6 12 6 5 9 1 3 11 6 5 8 22 9 7 17 1 9 30 8 7 42 1 17 52 17 14 42 37 79 29 35 64 71 72 143 17 10 27 7 15 22 24 25 49 DEATHS: NONTUBERCULOUS. 35 57 92 40 101 141 75 158 233 6 31 37 23 20 43 29 51 80 10 ' 12 10 3 18 23 8 8 28 35 18 11 12 24 2 2 21 39 21 20 33 63 23 22 22 36 12 5 39 62 29 28 61 98 41 33 41 88 129 63 121 184 104 209 313 23 34 57 16 62 78 39 96 135 DEATHS: ALL CAUSES. 64 86 150 57 127 184 121 213 334 19 39 58 35 24 42 10 10 40 66 26 18 14 34 5 4 64 1 38 84 32 29 54 16 24 16 8 29 1 24 50 27 25 30 58 21 12 68 1 48 92 37 35 122 1 78 150 58 47 83 125 208 92 156 248 175 281 456 40 44 84 23 77 100 63 121 184 5.43 DEATH RATES PER 1,000: ALL CAUSES. 7.39 7.90 9.90 6.63 5.90 6.09 6.64 20. 77 37.14 29.52 24.65 7.77 6.82 6.49 5.41 6.58 12.02 1.57 4.39 7.01 9.41 2.94 4.79 8.07 13.99 5.62 5.88 19.27 11.11 5.07 9.84 3.85 11.16 23.13 21.88 8.70 5.88 ..........7.91 9.75 11.19 6.26 4.05 5.56 9.93 26.61 7.69 5.73 10.73 2.76 7.74 24.95 5.26 6.41 10.33 3.46 7.04 7.92 7.40 7.60 12. 81 7.55 8.91 9.91 7.48 8.26 6.62 3.56 4. 57 6.91 5.47 5.75 6.72 4.58 5.14 6. 09 GENERAL TABLES. 266 T a b l e 1 8 .— PO PU LATIO N AN D D EATH S FROM TUBERCULOUS AN D NON FROM A L L CAUSES, FO R O P E R A T IV E S AN D N O N O PER ATIVE S OF SPEC TOTAL, AGE GROUP 15 TO 44. Native bom. Females. Males. Race. (Nativity of father.) Both sexes. Non- Both Opera Non Both Opera Non- Both Opera operaopera tives. tives. classes. tives. opera tives. classes. tives. tives. classes. POPULATION. Non-Irish............................. 3,483 8,469 11,952 4,924 8,227 13,151 8,407 Irish..................................... American............................. English................................ FrQnch Canadian................. Portuguese........................... Other races.......................... 525 842 1,014 1,266 183 178 1,326 2,710 1,522 1,798 1,216 1,223 1,851 3,552 2,536 3,064 1,399 1,401 1,145 1,186 1,480 1,702 243 313 1,179 2,815 1,436 1,656 1,266 1,054 2,324 4,001 2,916 3,358 1,509 1,367 1,670 2,028 2,494 2,968 426 491 16,696 25,103 2,505 5,525 2,958 3,454 2,482 2,277 4,175 7,553 5,452 6,422 2,908 2,768 All races..................... 4,008 9,795 13,803 6,069 9,406 15,475 10,077 19,201 29,278 Non-Irish and non-French Canadian.......................... 2,217 6,671 8,888 3,222 6,571 9,793 5,439 13,242 18,681 D E A T H S : TUBERCULOUS. Non-Irish............................. 28 55 83 73 41 114 101 96 197 Irish..................................... American............................. English................................ French Canadian................. Portuguese . .............. Other races.......................... 13 10 9 9 43 25 15 14 56 35 24 23 27 21 10 9 1 1 50 42 28 38 3 3 36 31 27 38 3 2 70 46 25 23 1 23 21 18 29 3 2 2 106 77 52 61 3 4 All races..................... 41 98 139 96 68 164 137 166 303 Non-Irish and non-French Canadian.......................... 19 41 60 44 32 76 63 73 136 D E A T H S : N ONTUBERCULOUS. Non-Irish............................. 61 126 187 73 100 173 134 226 360 Irish..................................... American............................. English................................ French Canadian................. Portuguese........................... Other races.......................... 11 19 24 16 2 58 60 30 31 3 2 69 79 54 47 5 2 40 16 24 29 2 2 58 55 / 27 ' 15 3 98 71 51 44 2 5 51 35 48 45 4 2 116 115 57 46 3 5 167 150 105 91 7 7 All races..................... 72 184 256 113 158 271 185 342 527 Non-Irish and non-French Canadian.......................... 45 95 140 44 85 129 89 180 269 D E A T H S : A L L CAUSES. Non-Irish............................. 89 181 270 146 141 287 235 322 557 Irish..................................... American............................. English................................ French Canadian................. Portuguese........................... Other races.......................... 24 29 33 25 2 101 85 45 45 3 3 125 114' 78 70 5 3 63 37 42 58 85 76 37 24 4 4 148 113 79 82 g 8 87 66 75 83 7« 4 186 161 82 69 Q O 7 273 227 157 152 10 11 113 ... ' 64 282 395 209 226 435 322 508 830 136 200 88 117 205 152 253 405 All races..................... Non-Irish and non-French Canadian..................... 5 GENERAL TABLES. 267 TUBERCULOUS CAUSES, AND DEATHS AND DEATH RATES PER 1,000 IFIED RACES, BY AGE GROUP, SEX, AND NATIVITY, 1908 TO 1912—Concld. TOTAL, AGE GROUP 15 TO 44. Foreign born. Females. Males. Opera tives. Nonop Both Nonopera eratives. . classes. Operatives. tives. Both sexes. Both classes. Operatives. Nonopera tives. Both classes. POPULATION. 7,037 7,934 14,971 6,644 8,882 15,526 13,681 16,816 30,497 243 28 918 1,742 2,848 1,501 914 18 2,446 2,391 2,366 713 1,157 46 3,a64 4,133 5,214 2,214 497 22 1,061 1,885 2.512 1,164 1,311 48 2r651 2,785 2,627 771 1,808 70 3,712 4,670 5,139 1,935 740 50 1,979 3,627 5,360 2,665 2,225 66 5,097 5,176 4,993 1,484 2,965 116 7,076 8,803 10,353 4,149 7,280 8,848 16,128 7,141 10,193 17,334 14,421 19,041 33, 462 5,295 5,543 10,838 4,759 6,097 10,856 10,054 11,640 21,694 D E A T H S : TUBERCULOUS. 89 62 151 98 61 159 187 123 310 18 14 32 14 36 24 15 13 33 8 8 27 69 32 23 23 1 12 44 32 9 14 2 6 34 11 8 37 3 18 78 43 17 41 1 26 80 56 24 28 2 19 67 19 16 69 3 45 147 75 40 107 76 183 121 75 196 228 151 379 53 29 82 54 27 81 107 56 163 D E A T H S : NONTUBERCULOUS. 98 121 219 120 173 293 218 294 512 10 1 25 29 27 16 39 31 30 61 26 46 38 10 29 68 36 40 55 114 74 50 41 1 51 75 65 26 69 30 40 25 26 49 1 55 69 52 42 59 108 61 66 110 1 110 183 126 92 108 160 268 151 203 354 259 363 622 69 81 150 74 105 179 143 186 32£ 268 GENERAL, TABLES. T a b l e 1 9 .— PO PU LATION , D EATHS, AND D EATH RA TES P E R 1,000 FROM TIV E S AND N O N O PER ATIVE S IN Operatives. Age group. EACH SPECIFIED MALES, SINGLE. For Native. eign. AGE GROUP, Nonoperatives. For Total. Native. eign. Both classes. For Total. Native. eign. Total. POPULATION. 15 to 19 years........................ 20 to 24 years........................ 0) (0 (0 0) 2,695 1,823 15 to 24 years........................ 26 to 34 years........................ 35 to 44 years........................ 45 to 54 years........................ 55 to 64 years........................ 2,356 375 140 0) 0) 2,162 626 293 P 0) 4,518 1,001 433 0) 0) 0) 0) 4,149 1,293 422 0) 0) C1) 0) 1,546 878 386 0) 0) 3,250 2,445 4,059 2,446 1,886 1,822 5,945 4,268 5,695 2,171 808 0) C1) 6,505 1,668 562 C1) 0) 3,708 1,504 679 0) 0) 10,213 3,172 1,241 0) 0) D E A T H S : TUBERCULOUS. Nonoperatives. Operatives. Age group. For Native. eign. For Total. Native. eign. Both classes. For Total. Native. eign. Total. 15 to 19 years........................ 9 7 6 13 15 20 11 11 1 4 12 15 20 18 7 17 27 35 15 to 24 years........................ 25 to 54 years....................... 35 to 44 years........................ 16 3 9 19 16 11 2 1 1 35 19 20 2 1 1 22 26 15 1 5 11 9 7 2 27 37 24 8 2 38 29 24 1 24 27 20 9 3 1 62 56 44 10 3 1 65 yfiftrs and ov^r,. , . , _____ Total, 15 years and over......................... 28 50 78 64 34 98 92 84 176 15 to 44 years........................ 45 to 64 years. ...*.................. 28 46 3 74 3 63 1 25 9 88 10 91 1 71 12 162 13 28 49 77 64 34 98 92 83 175 Total, 15 to 64 years... D E A T H S : NONTUBERCULOUS. 15 to 19 years........................ 20 to 24 years....................... 23 11 14 14 37 25 19 19 4 11 23 30 42 30 18 25 60 55 15 to 24 years........................ 25 to 34 years........................ 35 to 44 years...................... 45 to 54 vears........................ 55 to 64 years........................ 65 years and over................. 34 10 4 7 2 1 28 15 13 10 6 4 62 25 17 17 8 5 38 35 27 16 18 53 55 53 31 29 C1) 72 45 31 23 20 (*) 43 35 39 25 17 C1) 15 20 26 15 11 0) 0) 115 80 70 '48 37 0) O) 0) 0) 0) Total, 15 years and over................... ...... 58 76 134 15 to 44 years........................ 45 to 64 years........................ 48 9 56 16 104 25 0) 100 34 0) 61 26 Total, 15 to 64 years... 57 72 129 134 161 60 148 43 117 42 265 85 87 221 191 159 350 D E A T H S : A L L CAUSES. 15 to 19 years........................ 20 to 24 years........................ 32 18 20 27 52 45 30 30 5 15 35 45 62 48 25 42 87 90 15 to 24 vears........................ 25 to 34 vears........................ 35 to 44 years........................ 45 to 54 years........................ 55 to 64 years........................ 65 years and over................. 50 13 13 7 2 1 47 31 24 12 7 5 97 44 37 19 9 6 60 61 42 17 18 0) 20 31 35 22 13 0) 80 92 77 39 31 C1) 110 74 55 24 20 0) 67 62 59 34 20 C1) 177 136 114 58 40 0) Total, 15 years and over 'l........................ 86 126 212 102 19 178 28 86 35 0) 249 70 (l) 239 44 0) 76 9 0) 163 35 C1) 15 to 44 years2...................... 45 to 64 years2...................... 188 54 0) 427 93 Total, 15 to 64 years 2.. £5 121 206 198 121 319 283 242 525 1 Not reported. GENEEAL TABLES. 269 TUBERCULOUS, NONTUBERCULOUS AND A LL CAUSES, F O R OPERA B Y SE X , CONJUGAL CONDITION, AN D N A T IV IT Y , 1908 TO 1912. MALES, SINGLE. Nonoperatives. Operatives. Age group. For Native. eign. For Total. Native. eign. Both classes. For Total. Native. eign. Total. PO PULATIO N. 0) 62 28 42 70 0) 9,084 9,018 6,309 15,327 5,952 283 0) 5,864 190 2,810 158 8,674 348 8,735 255 5,891 376 14,626 631 6,235 6,054 2,968 9,022 8,990 6,267 | 15,257 8 65 years and over................. 0) 0) Total, 15 years and over. 0) 6,243 15 to 44 years........................ 45 to 64 years........................ 2,871 65 0) 3,081 218 Total, 15 to 64 years .. 2,936 3,299 (0 D E A T H R A T E S PER 1,000: TU BER CU LO U S. Operatives. Native. Foreign. Both classes. Nonoperatives. Total. Native. Foreign. Total. 1.11 2.20 1.36 1.60 12.86 1.76 5.11 7.51 1.55 3.80 9.24 1.06 4.02 7.11 0.65 2.50 4.66 . Foreign. Native. Total. 0.74 1.23 0.98 1.47 0.74 1.87 0.91 1.94 .95 3.41 5.94 1.17 - 3.48 8.54 1.29 ?. 59 5.89 1.22 3.53 7.09 2.16 2.04 2.66 2.30 2.41 6.38 2.22 4.12 2.65 2.29 1.91 2.74 2.02 2.58 2.32 4.65 11.49 2.25 5.04 11.28 3. 97 22.34 3.62 26.94 5.07 4.59 25.00 2.50 1.95 2.99 2.75 1.91 2.97 | 2.49 2.12 2.15 1.05 1.78 11.39 2.03 5.75 2.08 .78 2.47 2.11 2.29 2.17 2.05 | D E A T H R A T E S PER 1,000: NONTUBERCULOUS. 1.41 2.45 2.75 2.74 2.88 5.33 5.71 2.74 4. 99 7.85 2.59 4.79 8.87 1.83 5.42 12.80 1.94 4. 56 13.47 1.86 5.07 13.12 2.07 1 2.45 1 2.21 5.39 11.03 . i 1 125.00 1 4. 29 3.34 27.69 3.63 14.68 3.49 17.67 3.41 35.79 4.34 32.91 3.71 34.48 3.88 4.37 4.14 4.43 5.86 4.90 3.39 33.73 4.25 | D E A T H R A T E S PER 1,000: A L L CAUSES. 3.86 4.94 4.24 6.93 18.57 4.35 9.90 16.38 4.29 8.79 17.09 2.15 3.68 3.05 3.92 2.65 4. 61 2.93 4.22 2.89 9.44 19.91 2.59 7.06 18.13 2. 81 8.48 19.06 3.38 a 87 19.57 3.61 8.24 17.38 3.47 8.57 18.37 150.00 6.79 5.29 27.69 6.62 17.43 5.98 19.79 5.56 36.84 6.12 44.30 5.74 40.23 5.47 34.51 6.38 28.72 5.84 31.06 5.79 7.34 6.61 6.54 8.15 7.07 6.30 7.72 6.88 a The death rates for this group are crude rates, not age-adjusted. 270 GENERAL TABLES. 19.—POPULATION, DEATHS, AND DEATH RATES PER 1,000 FROM TIVES AND NONOPERATIVES IN EACH SPECIFIED AGE GROUP, BY T a b le FEM ALES, SINGLE. Nonoperatives. Operatives. Age group. For Native. eign. For Total. Native, eign. Both classes. For Total. Native. eign. Total. POPULATION. 15 to 19 years.. 20 to 24 years. (}) 15 to 24 years.. 25 to 34 years.. 35 to 44 years.. 45 to 54 years.. 55 to 64 years . 3,649 861 272 C1) C1) C1) C1) (0 2,724 752 362 C1) C1) 3,615 2,758 0) (x) 6,373 1,613 634 0) 0) 3,031 1,189 570 (*) C1) 8 941 763 474 C1) 2,589 1,383 4,128 2,552 2,076 1,589 6,204 4,141 3,972 1,952 1,044 C1) 0) 6,680 2,050 842 0) 0) 3,665 1,515 836 P> C1) 10,345 3,565 1,678 C1) D E A T H S : TUBER CU LOU S. Nonoperatives. Operatives. Age group. For Total. Native. eign. For Native. eign. Both classes. For Total. Native. eign. Total. 15 to 19 years........................ 20 to 24 years........................ 26 22 10 14 36 36 11 8 3 1 14 9 37 30 13 15 50 45 15 to 24 years........................ 25 to 34 years........................ 35 to 44 years........................ 45 to 54 years........................ 55 to 64 years........................ 65 years and over................. 48 5 5 24 7 3 1 1 72 12 8 1 1 19 9 4 2 2 4 8 3 7 1 23 17 7 9 3 67 14 9 2 2 28 15 6 8 2 95 29 15 10 4 Total,15years and over. 58 36 94 36 23 59 94 59 153 15 to 44 years........................ 45 to 64 years........................ 58 34 2 92 2 32 4 15 8 47 12 90 4 49 10 139 14 Total, 15 to 64 years... 58 36 94 36 23 59 94 59 153 16 9 36 23 D E A T H S : NONTUBERCULOUS. 15 to 19 years........................ 20 to 24 years........................ 12 7 12 5 24 12 8 7 4 4 12 11 20 14 15 to 24 years........................ 25 to 34 years........................ 35 to 44 years........................ 45 to 54 years........................ 55 to 64 years........................ 65 years and over................. 19 17 7 8 1 17 7 13 13 9 4 36 24 20 21 10 4 15 18 17 20 11 0) 8 7 9 11 19 0) 23 25 26 31 30 C1) 34 35 24 28 12 0) 25 14 22 24 28 C1) 59 49 46 52 40 0) 0) C1) 0) C1) ~ Total, 15years and over. 52 63 115 15 to 44 years........................ 45 to 64 years........................ 43 9 37 22 80 31 50 31 24 30 74 61 93 40 0) 61 52 0) 154 92 52 59 111 81 54 135 133 113 246 Total, 15to 64years...,1 D E A T H S : A L L CAUSES. 15 to 19 years........................ 20 to 24 years........................ 38 29 22 19 60 48 19 15 7 5 26 20 57 44 29 24 86 68 15 to 24 years........................ 25 to 34 years........................ 35 to 44 years........................ 45 to 54 years........................ 55 to 64 years........................ 65 years and over................. 67 22 12 8 1 41 14 16 14 10 4 108 36 28 22 11 4 34 27 21 22 13 C1) 12 15 12 18 20 C1) 46 42 33 40 33 0) 101 49 33 30 14 0) 53 29 28 32 30 0) 154 78 61 62 44 (l) Total, 15 years and over2....................... 110 99 209 71 24 172 33 ~~ 39 38 0) 121 73 0) 101 9 C1) 82 35 C1) 15 to 44 years 2...................... 45 to 64 years 2...................... 183 44 0) 110 62 0) 293 106 110 95 205 117 77 194 227 172 399 Total, 15 to 64 years 2. 1 Not reported. 271 GENERAL TABLES. TUBERCULOUS, NONTUBERCULOUS, AND A L L CAUSES, FO R O PE R A S E X , CONJUGAL CO N D ITIO N , AND N A T IV IT Y , 1908 TO 1912—Continued. FEMALES, SINGLE. Nonoperatives. Operatives. Age group. For Native. eign. For Total. Native. eign. Both classes. For Total. Native. eign. Total. POPULATION. 65 years and over.................. C1) C1) 15 to 44 years........................ 45 to 64 years........................ 0) 4,782 95 0) 3,838 251 Total, 15 to 64 years .. 4,877 4,089 Total,15 years and over C1) 0) 164 79 91 170 0) 7,983 10,204 6,751 16,955 8,620 346 0) 4,790 458 2,178 393 6,968 851 9,572 553 6,016 644 15,588 1,197 8,966 5,248 2,571 7,819 10,125 6,660 16,785 6 8,972 DEATH RATES PER 1,000: TUBERCULOUS. Nonoperatives. Operatives. Native. Foreign. Total. Native. Foreign. 1.99 2.61 Both classes. Total. Native. Foreign. Total. 1.08 1.30 1. 79 2. 35 1.25 1.89 1.61 2.17 1.16 1. 74 1.34 2.00 1.37 2.14 1.53 1.98 1.44 1.84 1.63 1.79 1.25 1.51 1.40 0.85 2.10 1.26 1.48 1.84 1. 75 1.80 ~2.~13 1.16 1.33 1.74 1.38 4.07 1.35 2.82 1.88 1.45 1.63 3.11 l778 2.34 2.10 1.37 1.79 1.51 1.85 1. 77 1.82 2.63 1.16 3.68 1. 76 1.86 L 66 2. 26 1.49 2.52 2.42 1. 77 1.59 2.38 1. 76 2.10 DEATH RATES PER 1,000: NONTUBERCULOUS. 1.33 .87 1.04 3. 95 5.14 1.25 1.86 7.18 1.13 2. 97 6.31 0. 99 3.03 5.97 1.70 1.83 3.80 133.33 2.56 0. 93 1.59 0.97 1.10 1. 54 1. 13 1.16 1.11 1.16 2.56 4.98 1. 02 3.41 5. 70 1. 36 1.85 5. 26 1.14 2. 75 5.48 0) 0) 0) 0) C1) 1. 94 14.46 C1) 2.03 16.15 0) 2.63 3. 40 2.93 1.80 18. 95 1.93 17.53 1.86 17.92 2.09 13.54 2.20 15. 27 C1) 2.12 14.34 2.13 2.89 2. 47 3.09 4.20 3.45 1.98 15.37 DEATH RATES PER 1,000: ALL CAUSES. 3.32 3.48 3.67 5.11 8.82 3. 01 3. 72 8.84 3.39 4.46 8.83 2.24 4.54 7.37 2.55 3.93 5.06 133. 33 4.66 2. 01 2.89 2. 76 3. 45 2.79 3. 02 2.77 3.28 2.32 4. 30 6. 32 3.02 4. 78 7.84 2.89 3.83 6. 70 2.98 4.38 7.27 0) 0) 0) 0) C1) 0) 0) 4.22 18.95- 3.70 19.12 3. 99 19.08 3. 42 15. 28 3.58 19.34 3. 47 17.16 0) 3. 82 15. 91 4.51 4. 65 4.57 4.46 5. 99 4. 96 4. 48 2 The death rates for this group are crude rates, not age-adjusted. 3.66 19.26 3.76 17. 71 5.17 4.75 272 GENERAL TABLES. T a b l e 1 9 .— PO PU LA TIO N , D E A TH S, AN D D E A T H R A T E S P E R 1,000 FROM T IV E S AN D N ON O P E R A T IV E S IN EACH SP E C IFIE D AGE GROUP, B Y BOTH SEXES, SINGLE. Operatives. Age group. For Native. eign. Nonoperatives. For Total. Native. eign. Both classes. For Total. Native. eign. Total. POPULATION. 15 to 19 years........................ 20 to 24 years........................ 15 to 24 years........................ 25 to 34 years........................ 35 to 44 years........................ 45 to 54 years........................ 55 to 64 years........................ 0) C1) 6,005 1,236 412 8 6,310 C1) 4,581 (») 4,886 10,891 1,378 2,614 655 1,067 I? 8 0) 0) 7,180 2,482 992 8 0) C1) 5,839 3,828 8,187 4,998 3,962 3,411 12,149 8,409 2,487 1,641 860 0) C1) 9,667 4,123 1,852 (>) (■) 13,185 3,718 1,404 7,373 3,019 1,515 0) 0) 20,558 6,737 2,919 0) 0) (l) C1) D E A T H S : TUBERCULOUS. Nonoperatives. Operatives. Age group. For Native. eign. For Total. Native. eign. Both classes. For Total. Native. eign. Total. 15 to 19 years........................ 20 to 24 years........................ 35 29 16 27 51 56 22 19 4 5 26 24 57 48 20 32 77 80 15 to 24 years........................ 25 to 34 years........................ 35 to 44 years........................ 45 to 54 years........................ 55 to 64 years........................ 65 years and over.................. 64 8 14 43 23 14 107 31 28 1 1 41 35 19 3 2 9 19 12 14 3 50 54 31 17 5 105 43 33 3 2 52 42 26 17 5 1 157 85 59 20 7 1 Total, 15years and over 86 86 172 100 57 157 186 143 329 15 to 44 years........................ 45 to 64 years........................ 86 80 5 166 5 95 5 40 17 135 22 181 5 120 22 301 27 Total, 15 to 64 years... 86 85 171 100 57 157 186 142 328 D E A T H S : N ONTUBERCULOUS. 15 to 19 years........................ 20 to 24 years........................ 35 18 26 19 61 37 27 26 8 15 35 41 62 44 34 34 96 78 15 to 24 years........................ 25 to 34 years........................ 35 to 44 years........................ 45 to 54 years........................ 55 to 64 years........................ 65 years and over................. 53 27 11 15 3 1 45 22 26 23 15 8 98 49 37 38 18 9 53 53 44 36 29 C1) 23 27 35 26 30 0) 76 80 79 62 59 0) 106 80 55 51 32 C1) 68 49 61 49 45 C1) 174 129 116 100 77 0) Total, 15years and over 110 139 249 (') C1) C1) 0) 0) 0) 15 to 44 years........................ 45 to 64 years........................ 91 18 93 38 184 56 150 65 85 56 235 121 241 S3 178 94 419 177 Total, 15 to 64 years... 109 131 240 215 141 356 324 272 596 D E A T H S : A L L CAUSES. 15 to 19 years........................ 20 to 24 years........................ 70 47 42 46 112 93 49 45 12 20 61 65 119 92 54 66 173 158 15 to 24 years........................ 25 to 34 years........................ 35 to 44 years........................ 45 to 54 years........................ 55 to 64 years........................ 65 years and over................. 117 35 25 15 3 1 88 45 40 26 17 9 205 80 65 41 20 10 94 88 63 39 31 126 134 110 79 64 0) 211 123 88 54 34 C1) 120 91 87 66 50 0) 331 214 175 120 84 0) 32 46 47 40 33 0) 0) Total, 15 years and over 2....................... 196 225 421 0) 15 to 44 years 2..................... 45 to 64 years 2..................... 177 18 173 43 350 61 245 70 0) 125 73 0) 370 143 0) 422 88 0) 298 116 0) 720 204 Totaf, 15 to 64 years 2. . 195 216 411 315 198 513 510 414 924 1 Not reported. GENERAL TABLES. 273 TUBERCULOUS. NONTUBERCULOUS, AN D A L L CAUSES, FO R O PERA S E X , CONJUGAL CO N D ITIO N , AN D N A T IV IT Y , 1908 TO 1912— Continued. BOTH SEXES, SINGLE. Nonoperatives. Operatives. Age group. For Total. Native. eign. For Native. eign. Both classes. For Total. Native. eign. Total. POPULATION. 65 years and over................. 0) Total, 15 years and over 14 0) 0) 15,215 (1) 226 (x) 17,067 133 240 19,222 13,060 107 32,282 15 to 44 years........................ 45 to 64 years........................ <l) 7,653 160 C1) <l> 6,919 14,572 10,654 648 469 629 4,988 551 15,642 18,307 11,907 808 1,020 1,199 30,214 1,828 Total, 15 to 64 years... 7,813 7,388 11,302 5,539 16,841 32,042 15,201 19,115 12,927 DEATH RATES PER 1,000: TUBERCULOUS. Operatives. Native. Foreign. Total. Native. Foreign. 1.62 2.44 2.13 1.29 6.80 1.76 3.34 4.27 Both classcs. Nonoperatives. 1.96 2.37 5.25 1.14 2.82 3.83 0.72 2.32 2.79 Total. Native. Foreign. 0.89 1.26 1.39 1.92 1.01 1.88 1.27 1.90 1.04 2.62 3.35 1.59 2.31 4.70 1.41 2.78 3.43 1.53 2.52 4.04 1.51 .83 1.84 1.94 2.19 2.04 14.29 2.26 Total. 2.25 2.31 2.13 2.28 1.59 1.78 1.54 1.60 6.17 1.73 3.67 1.98 1.24 2.02 4.32 1.99 2.95 2.20 2.30 2.25 1.77 2.06 1.86 1.95 2.20 2.05 DEATH RATES PER 1,000: NONTUBERCULOUS. 1.93 1.62 1.77 4.37 5.34 1.84 3.19 7.94 1.80 3.75 6.93 1.20 2.14 1.52 1.76 1.72 1.99 1.58 1.86 1.48 4.27 8.87 1.85 3.29 8.14 1.57 3.88 8.53 1.61 4.31 7.84 1.85 3.25 8.06 1.69 3.83 7.95 2.82 20.06 3.41 20.33 3.00 20.18 2.63 20.54 2.99 18.43 2.78 19.37 5.09 4.23 3.39 4.21 3.72 128.57 3.27 2.38 22.50 2.69 16.21 2.52 17.81 2.79 3.55 3.16 3.80 j DEATH RATES PER 1,000: ALL CAUSES. 3.55 4.06 3.90 5.66 12.14 3.60 6.53 12.21 3.76 6.12 12.18 2.09 3.40 2.91 3.68 2.73 3.87 2.85 3.76 2.62 7.09 12.70 2.57 5.61 10.93 2.61 6.50 11.88 3.20 6.62 12.54 3.26 6.03 11.49 3.22 6.35 11.99 5.01 26.50 4.73 23.85 4.61 21.78 5.01 22.75 4.77 22.32 6.09 5.34 142.86 5.53 4.63 22.50 5.00 18.34 4.80 19.40 4.60 21.60 4.99 5.85 5.41 5.57 7il5 j 3 The death rates for this group are crude rates, not age-adjusted. 88204°— 19— Bull. 251------ 18 6.41 | 5.77 GENERAL TABLES. 274 19.—POPULATION, DEATHS, AND DEATH RATES PER 1,000 FROM TIYES AND NONOPERATIVES IN EACH SPECIFIED AGE GROUP, BY T able M ALES, M ARRIED. Operatives. Age group. For Native. eign. Nonoperatives. For Total. Native. eign. Both classes. For Total. Native. eign. Total. POPULATION. 15 to 19 years. 20 to 24 years, 15 to 24 years. 25 to 34 years, 35 to 44 years. 45 to 54 years. 55 to 64 years. 17 589 0) (*) 154 516 467 C1) 0) 606 2,461 2,269 452 1,945 1,802 8 0) C1) 0) 0) 408 1,783 1,740 *) C1) 513 2,532 2,993 ll) 0) 43 878 24 538 36 929 60 1,467 921 4,315 4,733 (0 C1) 562 2,299 2,207 0) 0) 965 4,477 4,975 0) 0) 1,527 6,776 7,002 (l) C1) DEATHS: TUBERCULOUS. Operatives. Nonoperatives. Both classes. Age group. For Total. Native. For Total. Native. For Total. Native. eign. eign. eign. • 15 to 19 years........................ 6 6 2 4 2 12 4 4 20 to 24 years........................ 8 15 to 24 years........................ 25 to 34 vears........................ 35 to 44 years........................ 45 to 54 years........................ 55 to 64 years........................ 65 years and over................. 2 1 10 4 1 4 26 31 19 8 61 27 41 23 9 2 14 19 5 10 4 4 19 28 22 17 9 6 33 47 27 27 13 4 15 29 9 11 4 45 59 41 25 9 8 12 60 88 50 36 13 Total, 15years and over 18 88 106 54 99 153 72 187 259 15 to 44 years........... ............ 45 to 64 years........................ 13 5 61 27 74 32 35 15 51 39 86 54 48 20 112 66 160 86 Total, 15 to 64 years... 18 88 106 50 90 140 68 •178 246 DEATHS: NONTUBERCULOUS. 15 to 19 years........................ 20 to 24 years........................ 1 2 3 5 6 11 6 8 14 15 to 24 years........................ 25 to 34 years........................ 85 to 44 years........................ 45 to 54 years........................ 55 to 64 years........................ 65 years and over................. 1 9 14 11 8 1 2 22 28 62 94 28 3 31 42 73 102 29 5 32 47 62 86 C1) 6 31 62 110 214 C1) 11 63 109 172 300 0) 6 41 61 73 94 C1) 8 53 90 172 308 0) 14 94 151 245 402 0) Total, 15 years and over 44 236 280 0) 0) (l) 24 19 52 156 76 175 84 148 0) 183 472 0) 15 to 44 years........................ 45 to 64 years........................ 0) 99 324 Total, 15 to 64 years... 43 208 251 232 108 167 151 480 259 647 423 ; 655 275 631 906 DEATHS: ALL CAUSES. 15 to 19 years........................ 20 to 24 years........................ 3 6 9 7 10 17 10 16 26 15 to 24 years........................ 25 to 34 years........................ 35 to 44 years........................ 45 to 54 years........................ 55 to 64 years........................ 65 years and over................. 3 10 24 15 9 1 6 48 59 81 102 28 9 58 83 96 111 29 7 46 66 67 96 17 96 156 199 327 C1) 10 56 90 82 105 0) 16 98 149 213 333 239 295 0) 10 50 90 132 231 0) Total, 15 years and over 2....................... 62 324 386 0) 15 to 44 years 2..................... 45 to 64 years 2..................... 37 24 113 183 150 207 119 163 (») 150 363 (*> 269 526 Total, 15 to 64 years2. . 61 296 357 282 513 795 1 Not reported* C1) 26 154 438 0) (*) 263 546 0) 156 187 343 809 1,152 C1) 419 733 GENERAL TABLES. 275 TUBERCULOUS, NO NTUBE RCULOUS, AND ALL CAUSES, FOR OPERA SEX, CONJUGAL CONDITION, AND NATIVITY, 1908 TO 1912— Continued. M A L E S , M AKREEB. Operatives. Age group. Nonoperatives. Both classes. For TotaL . Naafciv&J For Total. For Native,; eign. Native. eign. eign. : 1 Total. POPtTXATIOIT. ■65years and. over... ......... Total, 15years and over C1) C1) C1) ■ C1) m ; 7,754 ; C1) 1,634 <*) 17,170 15 to 44 years........................ 45 to 64 years *.............. 1,187 m 4,1$9 1,948 5,m (*) 3,9St i,m 6,038 3,748 Total* 15to 64 years___ 1,442 6,147 7,589 5,780 9,756 2,25$ 440 . 1,359 1,799 17,262 24,924 7,662 9,969 5,068 ' 10,237 1 15,305 5,567 : 2,154 5,666 7,S20 15,536 7,222 ^ 15,903 23,125 DEATH SATES PEB U »0 ; TtTBEBLCXTLOUS. Operatives. Native. Foreign. Total. Native. Foreign. 2.04 2,60 .39; 4.28 1- 77 2.68 3.44 1,982* 19 &62 0.98 1.57 ; 2.19 1,56 1.50 1.87 2.74 2. 29 . 3.28 2.90 2.77 2.50 . 2.86 Both classes. Nonoperatives. Total. Native. Foreign. Total. 1.37 1.49 1.72 : l.«4 1.30 ^ 1.53 1.99! 1.42 1.31 2.63 1.66 2.01 ' 2.46 1.57 1.77 2.52 1.59 1.82 , 1.32 i 1.45 1.78 1.88 2.17 2.08 2.77 2.84 1.78 1.62 1.69 2.10 1.73 1.94: 1.90 1.86 2.19 2.33 2.09 2.20 2.79 1.73 1,85 1.8© 1.88 2.24 2.13 DEATH RATES PEE 1,400: JfTONTUBEB.Ctrl.OrS. 1.02 1.30 3. 49 ; 6.00 0.88 2.26 3.11 .99 2.52 3.70 2.50, 2.23 1.72 , 1.91 2.45 3.59 5.40 2.34 2.45 4.14 2.39 2.92 4.60 2.13 3.57 5.53 1.66 ; 2.37 3.75 1.84 2.78 4.31 3.52 7.22 4.22 12. 46 2.48 16.02 2.85 15.53 4.27 16.01 , 3.28 17.43 3.67 16.96, 4.26 15.50 2.95 16.94 3.39 16.55 5.96 6.77 6.62 8.03 8.67 8.43 7.62 7.93 7.83 DEATH RATES PER 1,000: ALL CAUSES. 2 The death rates lor this group are crude rates, not age-adjusted. 276 GENERAL TABLES. T a b l e 1 9 .— PO PU LATIO N , D EATH S, AN D D E A TH R A TE S P E R 1,000 FROM T IV E S A N D NON O P E R A T IV E S IN EACH SPECIFIE D AGE GROUP, B Y FEMALES, MARRIED. Operatives. Age group. For Native. eign. Nonoperatives. ForT Total. Native. eign. Both classes. For Total. Native. eign. Total. POPULATION". 15 to 19 years......................... 20 to 24 years......................... 0) 0) 15 to 24 years......................... 25 to 34 years................ ........ 35 to 44 years......................... 45 to 54 years......................... 55 to 64 years......................... 361 563 363 (>) 0) 0) 0) 825 1,404 1,074 0) 0) 148 1,038 0) C1) 751 1,186 1,967 2,085 1,780 1,437 - C1) (1) 0) V) 0) (>) 1,133 3,225 3,657 0) 0) 277 1,607 161 951 264 1,694 425 2,645 1,884 5,310 5,437 (») (x> 1,112 2,648 2,143 0) 0) 1,958 4,629 4,731 (1? 3,070 7,277 6,874 0) 0) DEATHS: TUBERCULOUS. Operatives. Age group. Nonoperatives. For Total. Native. eign. For Native. eign. 1 Both classes. For Total. Native. eign. Total. 15 to 19 years........................ 20 to 24 years........................ 2 11 4 17 6 28 1 7 2 2 3 9 3 18 6 19 9 37 15 to 24 years........................ 25 to 34 years........................ 35 to 44 vears........................ 45 to 54 years........................ 55 to 64 years........................ .65 years and over................. 13 20 5 1 1 21 40 26 5 5 34 60 31 6 6 8 19 9 4 3 2 4 24 32 22 16 8 12 43 41 26 19 10 21 39 14 5 4 2 25 64 58 27 21 8 46 103 72 32 25 10 Total, 15years and over 40 97 137 45 106 151 85 203 288 38 2 - 87 10 125 12 36 7 60 38 96 45 74 9 147 48 221 57 40 97 137 43 98 141 83 • 195 278 15 to 44 years........................ 45 to 64 years........................ Total, 15 to 64 years... DEATHS: NONTUBERCULOUS. 15 to 19 years........................ 20 to 24 years..................... 5 10 3 13 8 23 6 5 11 5 16 3 18 8 34 15 to 24 years........................ 25 to 34 years........................ 35 to 44 years........................ 45 to 54 years........................ 55 to 64 years........................ 65 years and over................. 15 34 21 5 3 16 48 50 61 31 4 31 82 71 66 34 4 6 48 53 53 71 C1) 5 63 112 173 341 0) 11 111 165 226 412 0) 21 82 74 58 74 0) 21 111 162 234 372 0) 42 193 236 292 446 0) 0) 0) Total, 15years and over 78 210 288 15 to 44 years........................ 45 to 64 years........................ 70 8 114 92 184 100 107 124 0) 180 514 0) 287 638 Total, 15 to 64 years... 78 206 284 231 .694 0) 177 132 _ (0 _ 294 606 925 309 900 1,209 471 738 DEATHS: ALL CAUSES. 15 to 19 years.. 20 to 24 years.. 7 21 7 30 14 51 1 13 2 7 3 20 8 34 9 37 17 71 15 to 24 years........ 25 to 34 years........ 35 to 44 years........ 45 to 54 years........ 55 to 64 years........ 65 years and over.. 28 54 26 6 4 37 88 76 66 36 4 65 142 102 72 40 4 14 67 62 57 74 0) 9 87 144 195 357 (*) 23 154 206 252 431 0) 42 121 88 63 78 0) 46 175 220 261 393 0) 88 296 308 324 471 0) 0) (1) 0) _ ( 1)_ 251 441 141 654 692 795 Total, 15 years and over 2 ...................... 15 to 44 years a. 45 to 64 years a. Total, 15 to 64 years . 118 307 425 m 10 201 102 309~ 112 0) 143~ 131 118 303 421 274 1 Not reported.. V40 552 383 683 792 1,066 392 . 1,095 | 1,487 277 GENERAL TABLES. TUBERCULOUS, NO NTUBERCULO US, AND ALL CAUSES, FO R O P E R A S E X , CONJUGAL CO ND ITIO N, AND N A T IV IT Y , 1908 TO 1912—Continued. FEMALES, MARRIED. Operatives. Age group. For Native. eign. Nonoperatives. For Total. Native. eign. Both classes. For Total. Native. eign. Total. POPULATION. 22 65 years and over................. 2,136 561 1,597 2,158 0) 8,015 5,217 21,929 8,548 18,865 27,413 4,590 872 0) 4,616 1,945 12,631 7,162 5,903 2,084 11,318 5,950 17,221 8,034 5,462 6,561 13,232 19,793 7,987 17,268 25.255 (>) C1) 5,484 15 to 44 years........................ 45 to 64 years........................ 1,287 139 3,303 733 Total, 15 to 64 years . . . 1,426 4,036 Total, 15years and over DEATH RATES PER 1,000: TUBERCULOUS. Operatives. Native. Foreign. Nonoperatives. Total. Native. Foreign. 8.11 5.40 5.09 5.70 4.84 7.20 7.10 2.75 5.73 6.10 4.32 2.13 1.82 1.01 0.71 1.49 1.75 5.00 Both classes. Total. Native. Foreign. Total. 2.17 1.12 3.73 3.79 4.55 2.24 4.24 2.80 1.27 1.62 1.51 3.78 2.95 1.31 2.55 2.76 2.45 3.00 2.83 2.09 .94 .71 1.00 .93 1.38 1.99 2.15 2.10 5.90 2.88 5.27 2.73 5.45 2.75 1.56 .72 1.50 1.46 1.52 1.26 2.51 .86 2.60 1.61 2.57 1.42 5.61 4.81 5.02 1.31 1.48 1.42 2.08 2.26 2.20 DEATH RATES PER 1,000: ALL CAUSES. 18.92 9.83 15.51 19.18 14.32 8.97 12.54 14.15 10.96 14.44 14.20 2.17 2.49 9.94 7.15 6.82 4.37 8.00 5.37 3.73 6.43 6.97 1.59 5.40 7.88 2.44 5.80 7.58 7.56 9.14 8.21 4.70 7.56 9.30 5.73 8.14 8.96 36.36 15.50 16.78 14.39 12.17 27.83 13.47 25.69 6.20 13.47 5.99 21.16 6.06 19.07 8.50 13.53 7.79 21.98 8.04 19.79 16.55 15.02 15.42 8.35 11.97 10.77 9.82 12.68 11.78 * The death rates for this group are crude rates, not age-adjusted. GENERAL TABLES. 278 T a b u s 1 9 . — PO PU LATION , D EATH S, AN D D E A T H R A T E S P E R 1,000 F R O M T IY E S AND N O N O PER ATIVE S IN EACH SP E C IF IE D AG E G R O U P , B Y BOTH SEXES, MARRIED. Nonoperatives. Operatives. Age group For Native. eign. Both classes. For Total. Native. eign. Total. Total. POPULATION. 15 to 19 years................... 15 to 24 years........................ 25 to 34 years........................ 35 to 44 years........................ 45 to 54 vears................... 55 to 64 years................... . C1) C1) 0) 0) 165 1,627 515 1,079 830 C1) C1) 1,277 3,349 2,876 C1) (1) 1,792 4,428 3,706 0) (*) 0) 0) 1,159 3,868 3,520 0) 0) 0) (l) 320 2,485 185 1,489 300 2,623 485 4,112 1,646 5,757 6,650 (1) 0) 2,805 9,625 10,170 (*) 1,674 4,947 4,350 0) 2,923 9,106 9,526 (l) C1) 4,597 14,053 13,876 0) (1) 0) 0) DEATHS; TUBERCULOUS. Operatives. Age group. For Native. eign. Nonoperatives. For Total. Native. eign. Both classes. For Total. Native. eign. Total. 15 to 19 years.,............. . 20 to 24 years.............. ........ 13 2 4 21 6 34 1 9 2 6 3 15 3 22 6 27 9 49 25 to 34 years........................ 15 21 15 5 25 66 57 24 13 40 87 72 29 15 10 33 28 9 13 6 8 43 60 44 33 17 18 76 88 53 46 23 25 54 43 14 15 6 33 109 117 68 46 17 58 163 160 82 61 23 85 to 44 years........................ 45 to 54 years...................... . 55 to 64 years........................ 65 years and over................. 2 Total, 15years and over 58 185 243 99 205 304 157 390 547 15 to 44 years........................ 45 to 64 years........................ 51 7 148 37 199 44 71 22 111 77 182 99 122 29 259 114 381 143 58 185 243 93 188 281 151 373 524 Total, 15 to 64 years___ DEATHS: NONTUBERCULOUS. 15 to 19 years..................... 20 to 24 years........................ 5 11 3 15 8 26 11 11 22 5 22 3 26 8 48 15’ to 24 years........................ 25 to 34 years...................... 35 to 44 years........................ 45 to 54 years........................ 55 to 64 years........................ 65 years and over................. 16 43 35 16 11 1 18 70 78 123 125 32 34 113 113 139 136 33 11 80 100 115 157 C1) 11 94 174 283 555 0) 22 174 274 398 712 0) 27 123 135 131 168 C1) 29 164 252 400 680 C1) 56 287 387 537 848 0) (l) C1) Total, 15years and over 122 446 568 94 27 166 248 260 275 0) 191 272 (!) 15 to 44 vears........ ............... 45 to 64 years........................ 279 838 470 1,110 285 299 _ 0 )_ 445 1,086 _ 0 )_ 730 1,385 Total, 15 to 64 years... 121 414 535 463 1,117 1,580 584 1,531 2,115 DEATHS: ALL CAUSES. 15 to 19 years........................ 20 to 24 years........................ 7 24 7 36 14 60 1 20 2 17 3 37 8 44 9 53 17 97 15 to 24 years........................ 25 to 34 years........................ 31 64 50 21 13 1 43 136 135 147 138 32 74 200 185 168 151 33 21 113 128 124 170 0) 19 137 234 327 588 0) 40 250 362 451 758 0) 52 177 178 145 183 (1) 62 273 369 474 726 C1) 114 450 547 619 909 e> (l) (*) 407 328 C1) 704 1,200 1, 111 1,528 735 1,904 2,639 45 to 54 years........................ 65 to 64 years........................ 65 years and over................. Total, 15 years and over 3....................... 18a 631 811 15 to 44 years *..................... 45 to 64 years2...................... 145 34 314 285 459 319 262 294 390 915 0) 652 1,209 Total, 15 to 64 years *.. 179 599 778 556 1,305 1,861 1 Not reported. C1) C) 279 GENERAL TABLES. TUBERCULOUS, NONTUBERCULOUS, AN D A L L CAUSES, F O R O P E R A S E X , CONJUGAL CO ND ITIO N, AN D N A T IV IT Y , 1908 TO 1912—Concluded. BOTH SEXES, MARRIED. Operatives. Age group. For Native. eign. Nonoperatives. For Total. Native. eign. Both classes. For Total. Native. eign. Total. POPULATION. 65 years and over................. C1) Total, 15 years and over......................... 15 to 44 years........................ 45 to 64 years........................ 0) 2,424 444 Total, 15 to 64 years ... 2,868 C1) 187 C1) 13,238 C1) 7,502 9,.926 2,681 3,125 8,547 3,794 13,051 12,341 10,183 C1) 3,770 0) 39,099 1,001 2,956 3,957 16,210 36,127 52,337 14,053 22,600 10,971 21,555 8,935 12,729 4,238 11,616 32,526 15,854 22,988 35,329 48,380 C1) 33,171 15,209 DEATH RATES PER 1,000: TUBERCULOUS. Operatives. Native. Foreign. Nonoperatives. Total. Native. Foreign. 7.27 4.18 5*83 3.89 3.62 4.46 3.93 3.88 3.91 3.94 3.96 1.72 1.71 1.59 0.97 1.49 1.81 3.67 Both classes. Total. Native. Foreign. Total. 1.88 1.21 3.24 2.96 4.00 2.06 3.71 2.38 1.28 1.58 1.73 2.99 2.19 1.98 2.26 2.40 2.46 2. 52 2.32 2.30 1.22 1.20 1.15 1.16 1.56 1.94 2.16 2.09 4.21 3.16 3.95 2. 76 4.01 2.82 1.66 1.16 1.58 1.72 1.61 1.56 2.22 1.37 2.40 1.96 2.34 4.04 3.63 3.72 1.51 1.63 1.59 1.99 2.25 2.17 1.81 DEATH RATES PER 1,000: NONTUBERCULOUS. 1.77 5.41 2.95 2.00 1.98 3.30 2.34 1.34 3.27 5. 23 1.57 3.61 5.39 3.22 4.97 6.20 1.98 3.60 5.29 2.44 4.08 5 58 0) 0) 0) 0) C1) 0) 0) 9.70 3.20 6.21 7.97 8.43 2. 82 4.18 5.43 3.80 5.10 6.10 1.90 4.13 5.68 35. 29 8.58 7.75 12.16 4. 42 18. 50 5. 24 17.60 4.47 14.34 3.97 18. 76 C1) 4.16 17. 44 8.44 8.13 8.20 7.50 9.72 8.95 5,20 14.11 4.13 18.70 4.49 17.47 7.68 9.23 8. 74 DEATH RATES PER 1,000: ALL CAUSES. 16.97 7.38 12.04 11.86 12.05 6.73 8.12 9.39 8.26 9.03 9.98 3.62 5.84 7.27 2.31 4. 76 7.04 35.29 12. 25 1.88 2.98 8.65 5.91 6.00 4.04 7.01 4.72 2. 85 5.19 7.12 6.21 7.16 8.18 4.24 6.00 7.75 4.96 6.40 7.88 0) (l) 0) 0) (0 C1) 11.96 15.32 8.37 21.26 9. 25 20.42 6.13 15.50 5.55 20.48 5. 77 19.00 0) 7.42 15.48 0) 6.53 20.66 12.48 11.76 11.92 9.01 11.35 10. 54 9.67 11.48 2 The death rates for this group are crude rates, not age-adjusted. 6.83 19.28 10.91 280 GENERAL TABLES. T a b le 2 0.—POPULATION, DEATHS, AND DEATH RATES PER 1,000 FROM TIVES OF SPECIFIED RACES, BY AGE GROUP, SEX, AGE GBOUP 15 TO 24. Males. Native. For eign. Both sexes, both classes. Married. Single. Married. For Native. eign. For Native. eign. For Native. eign. Single. Race. Females. For Native. eign. POPULATION. 203 496 550 820 Irish........................ American................ English................... French Canadian... 13 35 42 51 13 9 181 357 1 4 18 51 44 7 278 611 415, 736 880 1,207 31 70 90 124 4 4 41 112 662 1,337 1,562 2,202 62 24 518 1,131 DEATHS: TUBERCULOUS. Males. Single. Racc. Native. Irish........................ American.. English................... French Canadian... Portuguese .1.......... Other races............. 2 7 4 3 All raccs........ 16 For eign. 2 Females. Both sexes, both classes. Married. Single. Married. For Native. eign. For Native. eign. For Native. eign. 1 2 4 7 4 1 1 2 1 19 2 4 4 11 12 18 3 48 3 2 11 5 3 24 2 4 For Native. eign. 5 1 2 6 12 1 8 23 16 28 3 1 6 22 26 9 13 21 79 68 1 3 11 1 8 13 19 25 3 1 1 10 14 28 10 16 69 63 16 36 35 53 6 2 5 1 16 36 54 19 148 131 6 DEATHS: NONTUBERCULOUS. Irish........................ American . . . . . . . . English................... French Canadian... Portuguese............. Other races............. 3 8 11 10 2 All races. . ___ 34 1 6 7 8 6 28 1 1 1 1 2 3 3 5 6 1 1 2 4 8 3 19 17 2 2 2 9 15 DEATHS: ALL CAUSES. Irish........................ American............ English................... Ffceneh Canadian... Portuguese ........... Other races............. 5 15 15 13 2 All races........ 50 2 1 8 11 1 1 1 47 3 15 10 3 4 6 1 1 3 1 7 14 17 24 4 1 4 15 13 6 2 15 1 3 9 23 2 6 67 41 28 37 GENERAL TABLES. 281 TUBERCULOUS, NONTUBERCULOUS, AND A L L CAUSES, FO R CONJUGAL CONDITION, AND N A T IV IT Y , 1908 TO 1912. O PE R A AGE GROUP 15 TO 24. Males. Race. Females. Both sexes, "both classes. Single. Married. Single. Married. For Native. eign. For Native. eign. For Native. eign. For Native. eign. For Native. eign. POPULATION. Portuguese............. Other races............. 163 124 1,139 463 9 4. 259 119 187 224 1,265 519 All races........ 2,356 2,162 154 452 3,649 2,724 30 16. 361 482 182 389 368 3,145 1,283 825 6,520 6,163 DEATH RATES PER 1,000: TUBERCULOUS. Females. Males. Married. Single. Native. Foreign. Native. Single. Foreign. 1.97 30.77 2.82 1.45 .......2.2i 2.24 .73 1.23 1.73 3.92 3.92 1.54 1.68 1.36 2.60 1.77 1. 76 5.71 Both sexes, both classes. Married. Native. Foreign. Native. 1.93 2.99 2.73 2.98 3.21 13.64 12.90 11.43 2.63 1.76 1.44 3.60 .79 1.16 Foreign. Native. i2.5o" 2.42 3.44 2.05 2.54 1.54 .55 16.13 9.76 10.71 4.98 1.10 7.20 5.09 2.42 2.21 4.88 5.36 4.56 1.10 2.41 1.94 2.43 2.27 1.54 .54 8.33 3.86 2.48 1.78 1.56 3.88 2.12 2.04 14.63 16.07 9.54 2.20 4.83 5.39 4.48 4.81 3.08 1.09 16.13 8.33 6.18 6.37 3.43 2.96 8.97 4.54 4.25 9.68 Foreign. 2.32 3.89 1.65 1.40 DEATH RATES PER 1,000: NONTUBERCULOUS. 2.96 3.23 4.00 2.44 2.45 2.88 22.22 6.63 3.92 1.40 2.59 2.59 4.76 11.11 .77 1.30 .88 1.45 .82 1.14 1.00 1.07 .89 1.44 1.31 1.26 1.16 1.04 1.25 12.90 5.71 4.44 14.52 8.31 DEATH RATES PER 1,000: ALL CAUSES. 4.93 6.05 5.45 3.17 2.45 30.77 22.22 8.84 6.16 2.63 4.32 5.71 4.76 3.92 4. 24 4.35 3.90 25.81 17.14 2.88 4.44 4.91 24.19 2.06 ............... 2.31 12.50 3.37 3.80 3.86 3.98 4.28 .89 13.64 11.11 3.92 2.32 1.68 2.65 3.67 3.01 15.51 GESTEBAL TABLES. 282 him FROM TIVES OF SPECIFIED RACES, BY AGE GROUP, SEX, T a b l e 2 0 .—POPULATION, DEATHS, AND DEATH RATES PER AGE GBOUP 25 TO 34. Males. Single. Race. Females. Married. For Native. eign. Single. For Native. eign. Native. Both sexes, both classes. Married. For eign. For Native. eign. For Native. eign. POPULATION. 86 88 92 93 Irish........................... American................ English................... French Canadian.. . 12 1 96 200 55 115 165 158 34 7 211 430 323 166 185 151 98 3 140 327 97 116 177 146 67 3 255 349 561 485 619 548 211 14 702 1,306 DEATHS: TUBERCULOUS. Males. Single. Race. Married. For Native. eign. Irish...................... 1 1 American................ English.............. . French Canadian... Portuguese............. Other races............ 1 All races........ 3 Females. For Native, eign. 1 2 2 4 10 8 2 9 1 3 16 1 1 26 Both sexes, both classes. Single. Married. For Native. eign. For Native. eign. 1 3 1 11 7 4 6 For eign. 6 9 3 4 4 7 1 6 11 12 3 .1 11 1 12 36 . 21 8 7 20 40 29 89 1 8 22 7 13 10 1 1 li l 16 24 29 7 33 20 24 19 1 2 23 1 31 61 46 19 14 54 88 99, 181 1 5 Native. DEATHS: NONTUBERCULOUS. Irish........... ............ American,.............. English................... French Canadian... Portuguese............. Other races............. i 5 4 3 All races........ 13 3 6 13 3 6 31 1 3 3 3 10 4 8 16 14 6 48: 9 5 4 3 5 1 22 GENERAL. TABLES. 28& TUBERCULOUS, NONTUBERCULOUS, AN D A L L CAUSES, FO R O PE R A CONJUGAL CO N D ITIO N , AND N A T IV IT Y , 1908 TO m 2 — Continued. AGE GROUP 25 TO 84. Females. Males. Both, sexes, both classes. Slagle. Married. Single. Married. For Native. eign. For Native. eign. For Native. eign. For Native. eign. Race. For Native. eign. POPULATION. Portuguese. . . . . . . . . Other races........ 2 14 177 140 7 16 780 483 9 27 110 74 11 16 477 253 29 73 All races..... 375 626 516 1,945 861 752 563 1,404 2,315 1,544 m DEATH RATES PER 1,000: TUBERCULOUS. Females. Males. Single. Native. 2.33 *2.27 ........ 2. id 1.60 Single. Married. Foreign. Native. Foreign. Native. 16.67 11.76 1.27 3.79 4.65 2.05 .83 0.62 3.61 2.04 4.17 0.00 1.13 4.29 3.67 18.56 5.17 4.52 5.48 S. 11 .39 1.86 7.10 Foreign. Native. 2.68 Foreign. 7.41 1.16 Both sexes, both classes. Married. Native. 20.90 3.92 66.67 2.89 4.71 1.29 6.30 2.19 5.03 2.37 .......2. 74* 5. 70 2.50 Foreign. 10.43 14,2% 3.42 5.51 2.72 1.68 3.77 DEATH RATES PER 1,000: NONTUBERCULOUS. I | I 3133 9.0£ 8.70 .......i*3§* 4.30 4M ±26 3.64 S. 22 2.64 2. 53 11.76 3.49 2.26 4.29 r 5.33 4.79 3.79 2.79 1.54 1.66 4.% 2.41 4.32 3.97 8.16 1.43 1.22 11.94 26.80 6.90 10.17 .......7.84* 8.22 7.45 18.18 7.13 12.50 3.16 7.84 11.37 5.36 6.46 *....... i'.ii 4.74 3.8$ 6.90 3.24 2. 74 2.32 3.95 1.86 12.08 6.84 6.05 3.89 DEATH RATES PER 1,090: ALL CAUSES. 2.33 11.36 8.70 6.45 50.00 6.93 9.90 12.50 13.00 139 8.57 3.64 23.53 S. 22 3.64 *‘ *'*7.*58* 3.80 7.44 3.59 2.48 5.57 6.02 4.32 3.97 3.88 5.11 4.94 ia20 1.43 4.89 45.36 12.07 14.69 13.70 18.18 12.50 32.84 66.67 12.55 13.75 12.16 5.53 11.76 8.25 7.75 6.93 6.90 5.48 21.80 14.29 8.83 9.34 5.96 4.00 3. 72 19.18 12.54 8.55 7.66 7. ii GENERAL. TABLES. 284 T a b l e 2 0 .— PO PU LATION , DEATHS, AND D EATH B A TES P E R 1,000 FROM TIV E S OF SPECIFIED RACES, B Y AG E GROUP, SE X, AGE GROUP 35 TO 44. Males. Race. Single. Native. Females. Married. For eign. Single. For Native. eign. Native. Both sexes, both classes. Married. For eign. Native. For eign. For Native. eign. POPULATION’. Irish...................... American................ English................... French Canadian... sa 19 36 28 58 1 58 101 115 89 129 116 125 6 354 603 144 33 59 25 123 135 65 89 49 82 123 161 5 265 363 447 206 313 218 467 12 759 1,190 DEATHS: TUBERCULOUS. Males. Race. Trish . . ....... ............. American . . . . . . . . . English................... French Canadian Portuguese............. Other races............. All races........ Females. Both sexes, both classes. Single. Married. Single. Married. For Native. eign. For Native. eign. For Native. eign. For Native. eign. 6 3 9 5 5 1 11 4 1 2 3 10 For Native. eign. 8 4 1 3 11 6 7 5 5 1 1 1 1 1 1 9 3 2 31 5 3 )5 26 29 71 8 15 21 9 29 7 22 36 12 17 1 7 4 25 8 , 22 9 7 DEATHS: NONTUBERCULOUS. Irish....................... American. . . _____ English.................. French Canadian .. Portugus©............. Other races............ 3 4 1 1 4 2 All races....... 4 4 4 5 1 2 13 2 9 6 1 8 8 8 1 4 4 4 5 1 14 28 11 20 2 9 5 2' 7 13 21 50 46 104 26 12 29 5 4 38 54 10 16 ....... 30* 11 58 21 12 76 75 DEATHS: ALL CAUSES. Irish........................ American. . . . . . . . . English................... French Canadian... Portuguese.. ... Other races 9 9 3 1 1 9 3 2 All races........ 13 24 8 5 7 4 24 | 10 10 1 9 15 15 13 6 t 2 5 11 4 5 6 59 12 16 26 175 285 GENERAL, TABLES. TUBERCULOUS, NONTUBERCULOUS, AND A L L C A U S E S , FO R O PERA CONJUGAL CO ND ITIO N, AND N A T IV IT Y , 1908 TO 1912— Continued. AGE GROUP 35 TO 44. Males. Females. Both sexes, both classes. Single. Married. Single. Married. For Native. eign. For Native. eign. For Native. eign. For Native. eign. Race. For Native. eign. POPULATION. Portuguese............. Other races............. 1 3 28 47 All races........ 140 293 1 17 465 249 2 9 25 9 4 21 153 127 8 50 671 432 467 j 1,802 272 362 363 1,074 1,242 3,531 DEATH RATES PER 1,000: TUBERCULOUS. Males. Married. Single. Native. 22.64 16.67 12.86 Females. Foreign. Native. Foreign. 17.24 6.96 2.25 3.10 5.17 12.80 5.56 3.39 2.32 2.15 4.02 3.39 4. 28 3.44 3.68 1.66 9.90 7.14 7.51 Native. Both sexes, both classes. Married. Single. Foreign. Native. Foreign. Native. 1.63 4.44 13.66 2. 25 4. 08 .75 4.96 3.92 3.15 7.61 .97 4.47 3.67 . 10.71 2.44 1.63 2. 75 4.84 4. 67 4.02 Foreign. 3.70 2.68 3.24 DEATH RATES PER 1,000: NONTUBERCULOUS. 7.14 7.92 14.29 8.51 6.96 8.99 7. 75 1. 73 3.20 3.45 5.71 8.87 6.00 3.11 11.32 13.79 8.33 6.06 5.08 2.66 3.44 .80 5.15 13. oi 11.85 12.31 18.63 ....... 2.44* 6.50 a 99 20.41 8.30 11.02 2. 61 3.15 7.18 11,57 9.31 9.40 12.42 8.74 5. 75 .........5.80 6.42 6.05 3. 58 2.31 7.40 5.89 DEATH RATES PER 1,000: ALL CAUSES. 33.96 16. 67 7.14 3.45 17.82 21.43 8.51 16.00 13.91 11.24 10.85 ....... 8*47* 4.98 6.90 5.59 4.82 18.57 16.38 10.28 31.03 6.55 13.89 6.06 3.39 14.63 16.30 12.31 11.24 24.49 32.30 4.88 8.13 9.06 15.98 6.54 6.30 17.00 23.13 9.71 10.22 .........7.91 10.09 9.75 6.26 5.56 8.82 8.84 14. 33 14.15 12.08 ' 9.91 286 G EN ERAL TAB LES. T a b le 20» — POPULATION, DEATHS, AND DEATH RATES PEE 1,005 FROM TIVES OF SPECIFIED RACES, BY AGE <xROtTP, SEX, AGE GROUP 45 TO €4. Males. Race. Single. Native. Females. Married. For eign. Native. Stogie. For eign. Native. Both sexes, both classes. Married. For eign. Native, For eign. Native. For eign. POPULATION. Irish......................... American................ English.................... French Canadian,.. 23 15 9 13 108 39 62 55 66 1 68 58 253 3 664 517 63 8 14 3 122 $0 36 21 12 49 54 254 ; m 4 128 106 1,005 83 835 189 224 206 D E A T H S ’ TUBERCULOUS. Males. Married. Single. Race. Native. Females. For eign. Native. Irish.......... .............. American. ___ English.................... French Canadian Portuguese.,.......... Other races............ 2 1 1 1 1 2 All races......... 3 5 For eign. Native, Both sexes. both classes. Married. Single. For eign. Native. For eign. 9 1 1 3 6 9 2 1 1 1 2 4 1 27 2 2 1 4 2 Native. For eign. 2 1 2 2 15 10 7 42 44 1 36 10 1 1 21 9 12 1 1 1 116 50 23 8 92 45 286 47 23 10 14 s 10 13 3 1 D E A T H S : NONTUBER CULOU S. Irish......................... American................ English.................... French Canadian Portuguese.............. Other races....... 7 1 1 All races......... 9 6 8 2 16 35 7 10 2 6 4 2 1 66 34 20 1 19 156 9 6 4 7 1 22 D E A T H ® : A L L CAUSES. Irish......................... American............. English.................... French Canadian Portuguese.............. Other races.............. 7 1 1 AUr aces......... 9 8 9 2 19 2 - 44 7 11 2 1 72 43 22 2 7 4 2 24 183 9 7 5 8 3 95 24 2 4 3 1 38 14 2 1 M 102 i Number of deaths in 5 years exceeds population at census taking. I 1 52 110 126 , 63 26 3 328 GENERAL TABLES. 287 TUBEB€ULOUS, NONTUBERCULOUS, AND ALL CAUSES, FOR OPERA CONJUGAL CONDITION, AND NATIVITY, 1908 TO 1912-Oontinued. AGE GXOUP 45 TO 04. Males. Race. Single. Females. Married. For Native. eign. For Native. eign. Bath sexes, both classes. Single. Married. For Native. eign. For Native. eign. For Native. eign. POPULATION. i Portuguese............!............ 5 Other races........... I AHraoes...... 65 9 16 1 10 376 135 7 16 10 10 50 64 1 32 451 225 218 305 1,948 95 251 139 733 604 3,150 D E A T H R A T E S PER 1,000: TU BERCULOUS. Males. Married. Single. Native. Females. Single. Foreign. Native. Foreign. 6.06 2.94 1.85 2.90 3.23 7.27 2.75 3.28 Native. Both sexes, both classes. Married. Foreign. Native. Foreign. Native. 7.11 1.64 3.33 3.17 1.81 3. 48 1. 06 1.48 4.08 9.52 1.79 3. 88 4.00 1.57 1.56 3.77 4.82 2.77 1.59 2.88 2.73 Foreign. 4.76 1 1.99 3.11 1.33 .89 2.32 2.67 30.16 9.71 4.00 3.13 16. 54 14.06 22.64 2.41 200.00 6.25 25.10 14.90 18.16 49.74 18.11 15.63 26.42 7.23 200.00 6. 25 34.92 33.93 13. 59 8.00 3.13 27.83 17. 22 20.83 D E A T H R A T E S PER 1,000: NONTUBERCULOUS. 60.87 13.33 22.22 27.69 18.18 23.53 6.90 14.68 11.11 11. 59 22.58 3.64 27.27 22.22 16.39 19.88 13.15 10.64 ' 1.48 20.00 28.57 24.49 14. 81 25.00 0) 16.02 18.95 17.53 11.51 12.46 3.33 22.22 19.05 46.56 23.08 11.98 10.20 1.78 D E A T H R A T E S PER 1,006: A L L CAUSES. 60. 87 13. 33 22.22 27.69 24.24 26.47 6.90 17. 43 12.96 ' 14. 49 25. 81 10.91 34.78 22.22 18.03 28.57 20.00 21.69 16.63 11.70 2.96 28.57 14. 81 25.00 0) 15.74 18.79 18.95 19.12 14.39 6. 67 22. 22 28.57 25.07 15.09 11.53 2.67 GENERAL TABLES. 288 2 0 .—POPULATION, DEATHS, AND DEATH BATES PEE 1,000 FROM TUBERCULOUS, NONTUBERCULOUS, AND ALL CAUSES, FOR OPERATIVES OF SPECIFIED RACES, BY AGE GROUP, SEX, CONJU GAL CONDITION, AND NATIVITY, 1908 TO 1912—Concluded. T a b le AGE GROUP 15 TO 44. Females. Males. Race. Single. Married. Single. For Native. eign. For Native. eign. For Native. eign. Both sexes, both classes. Married. For Native. For Native. eign. eign. POPULATION. Irish........................ American................ English................... French Canadian__ Portuguese.............. Other races.............. 342 603 678 941 166 141 83 11 335 658 1,344 650 183 239 336 325 17 37 160 17 583 1,084 1,504 851 882 935 1,124 1,383 198 260 265 10 500 1,061 1,400 602 263 251 356 319 45 53 232 12 561 824 1,112 562 1,670 2,028 2,494 2,968 426 491 740 50 1,979 3,627 5,360 2,665 All races........ 2,871 3,081 1,137 4,199 4,782 3,838 1,287 3,303 10,077 14,421 14 7 5 11 36 31 27 38 3 2 41 1 20 80 1 18 1 9 26 27 >6 38 87 137 228 19 D E A T H S : TU BERCU LOU S. Irish........................ American................ English................... French Canadian__ Portuguese.............. Other races.............. 9 8 7 All races........ 28 4 8 4 18 9 7 46 4 2 2 5 13 10 18 15 8 9 14 13 18 3 1 3 18 5 3 61 58 34 10 5 56 24 D E A T H S : NONTUBERCULOUS. Irish........................ American................ English................... French Canadian.... Portuguese.. . . . . . . . . Other races.............. 6 12 15 13 2 6 1 11 15 12 11 5 7 9 3 All races........ 48 56 24 4 17 6 9 9 1 1 12 14 14 15 5 4 10 8 3 23 10 15 20 1 1 22 36 30 7 51 35 48 45 4 2 41 1 51 75 65 26 52 43 37 70 114 185 259 17 D E A T H S : A L L CAUSES. Irish........................ American................ English................... French Canadian.... Portuguese........... Other races.............. 15 20 22 17 2 14 1 15 33 21 18 9 9 11 8 All races......... 76 102 37 14 24 32 30 13 26 20 22 27 4 2 7 28 13 6 37 17 20 31 1 2 37 1 31 62 57 13 87 66 75 83 7 4 82 2 77 155 121 50 113 101 71 108 201 322 487 GENERAL TABLES. 289 T a b l e 2 1 .— COMPARISON OF D EATH R A TES P E R 1,000 OF N A T IV E AND FOREIGN BORN FROM TUBERCULOUS, NONTUBERCULOUS, AND A L L CAUSES, B Y AGE AND OCCUPATIONAL GROUPS, RACE, CONJUGAL CONDITION, AND SE X , 1908 TO 1912. Death rates per 1,000 (age-adjusted). Tuberculous. Age group, occupational group, race, conjugal con dition, and sex. Nontuberculous. Per cent of excess Na For of Na native tive tive eign over for born. born. eign born born. rate. All causes. Per cent Per cent of excess Na of excess For of For of native native eign over for tive eign over for born. eign born born. born. eign bom rate. rate. 15 TO 44 YEARS. Operatives: Irish, single and mar ried— Males........................ Females................... English, single and mar ried— Males........................ Females................... French Canadian, single and married— Males........................ Females.................... SingleMales. ....................... Females................... Married— Males........................ Females................... Nonoperatives: SingleMales........................ Females................... Married— Males........................ Females................... 3.69 i 7.43 3.73 10.91 8 50 2 66 3.47 5.99 6.27 5.94 2 45 1 7.16 113.70 9.72 16.85 1.89 2. 45 2.73 2.40 » 31 4.84 3.86 6.09 3.92 2 21 22 6.73 6.31 8.82 6.32 1.74 3.17 3.68 4.68 2 53 a32 2.65 5.54 3.35 4.21 221 32 8. 71 4.39 7.03 8.89 238 3.67 2.41 3.84 1.77 24 36 4.14 4.45 2.68 2.58 27 4 7.81 5.09 8.29 4.35 26 17 2.29 6.31 2.36 5.22 *3 22 2.85 10.03 1.71 5. 79 67 5.04 73 16.34 11.01 4.07 24 48 3.09 1.35 1.97 1.29 57 5 5.00 2.55 6.90 2.15 2 28 19 8.09 3.90 8.87 3.44 29 13 1.39 1.82 1.61 1.14 2 14 60 3.35 3.32 2. 72 2.77 23 20 4.74 5.14 4.33 3.91 9 32 Operatives and nonopera tives, single and married: Males.............................. Females.......................... 2.00 2.12 1.97 2.16 2 22 3.68 3.45 2. 89 3.30 27 5 5. 68 5. 57 4.86 5. 46 17 Both sexes.................. 2.08 2.08 21 3.56 3.09 15 5.62 5.17 9 Operatives and nonopera tives, single and married: Males.............................. Females.......................... 1.62 .94 2.62 1. 74 2 38 2 46 16.07 12.18 14.91 17.39 8 2 30 17.69 13.12 17.53 19.13 Both sexes................... 1.26 2.17 a 42 14.02 16.20 2 13 15.28 18.37 Operatives and nonopera tives, single and married: Males.............................. Females-.......................... 1.95 1.97 27 25 5.33 4.61 4.49 5.17 19 2 11 7.28 6.58 6. 54 2.11 Both sexes................... 1.96 2.09 26 4.95 4.83 2 6.91 6.92 2 248 242 224 (3) 22 2 45 TO 64 YEARS. 1 2 31 2 17 15 TO 64 YEARS. 2.05 11 2 10 7.28 (3) 1In computing this age-adjusted rate the component 15 to 24 age group was deemed too small to be rep resentative, so age group 15 to 24, males, all races, was substituted for it. 2 Per cent by which death rate of native born falls below that of foreign born. 3 Less than one-half of 1 per cent. 88204°— 19— Bull. 251-------19 290 GENERAL TABLES. T a b le 2 2 .— COMPARISON O F D EATH R A T E S P E R 1,000 OF M ALES AN D FEM ALES FROM TU BERCULOUS, NONTUBERCULOUS, AND ALL CAUSES, B Y AGE, OCCUPATIONAL AND W ORKROOM GROUPS, RACE, CONJUGAL CONDITION, AND N A T IV IT Y , 1908 TO 1912. Death rates per 1,000 (age-adjusted). Occupational group, work room group, race, conjugal condition, and nativity. Tuberculous. N ontuberculous. All causes. Per cent Per cent of excess of excess Fe of Fe Fe of female Males. males. female Males. males. over over male Males. males. male death death rate. rate. Per cent of excess of female over male death rate. AGE GROUP 15 TO 44. OPERATIVES, SINGLE AND MARRIED. Card room workers, all nativ ities, all races..................... Spooler room and mill work ers not specified................. Spinning room workers, all races.................................. French Canadian, all na tivities......................... Portuguese, all nativities. Weave room workers, all races.................................. English, all nativities---Irish, all nativities.......... Aggregate with Irish race. All mill rooms, all nativities: Irish, all nativities.......... Aggregate non-Irish races, all nativities................ French Canadian— Native born............. Foreign born............ Single, all races— Native born............. Foreign born............ Married, all races— Native born............. Foreign born............ Single and married, all races— Native bom ............. Foreign born............ 2.04 4.62 126 3.09 4.41 43 5.13 9.03 76 1.43 3.00 110 1.77 3.76 112 3.20 6.76 111 3.35 4.24 27 3.92 4.70 20 7.27 8.94 23 3.97 1.38 5.48 2.21 38 60 4.03 2.63 4.70 6.33 17 141 8.00 4.01 10.18 8.54 27 113 2.47 2.17 5.28 2.13 2.38 1.08 5.07 1.93 i4 150 i4 i9 3.08 5.49 4. 45 2.93 4. 41 3.29 8.13 3.35 5.59 4.97 *11 4.33 6.46 83 14 49 9.92 11.43 15 2.13 2.98 40 2.95 3.78 28 5.08 6. 76 33 1.74 3.68 3.17 4.68 82 27 2.65 3.35 5.54 4.21 109 26 4.39 7.03 8. 71 8.89 98 26 3.67 3.84 2.41 1.77 i 34 154 4.14 4.45 2.68 2.58 135 1 42 7.81 8.29 5.09 4.35 135 1 48 2.29 2.36 6.31 5.22 175 121 2.85 1.71 10.03 5.79 252 238 5.04 4.07 16.34 11.01 224 170 2.22 2.63 3.19 3.35 44 27 3.82 2.78 4.66 4.14 22 49 6.04 5.41 7.85 7.49 30 38 2.47 3.34 35 3.10 4.33 40 5.57 7.67 38 3.09 1.97 1.35 1.29 ; 156 135 5.00 6.90 2.55 2.15 1 49 1 69 8.09 8.87 3.90 3.44 152 161 1.39 1.61 1.82 1.14 31 129 3.35 2.72 3.32 2. 77 11 12 4.74 4.33 5.14 3.91 1 10 1.90 1.38 1.45 1.19 1 24 1 14 3.57 2.93 2.91 2.78 1 18 15 5.47 4.31 4.36 3.97 1 20 1.64 1.38 * 16 3.18 2.83 1 11 4.82 4.21 1 13 3.27 2.85 1.84 1.64 1 44 1 42 4.84 4. 76 2.62 2.-26 1 46 153 8.11 7. 61 4.46 3.90 1 45 1 49 1.62 1.92 3.06 2.59 89 35 3.21 2.27 5.08 3.83 58 69 4.83 4.19 8.14 6. 42 69 53 Single and married: Native born................... Foreign born.................. 2.00 1.97 2.12 2.16 6 10 3.68 2.89 3.45 3.30 16 14 5.68 4.86 5.57 5.46 12 All nativities............... 1.94 2.18 12 3.19 3.35 5 5.13 5.53 8 All nativities........ 43 1 40 5.55 6.79 7.66 4.37 9. 73 13.20 5.06 5.28 22 143 36 4 NONOPERATIVES, ALL RACES* Single: Native born................... Foreign born.................. Married: Native born................... Foreign bom .................. Single and married: Native born................... Foreign born.................. All nativities............... 8 18 OPERATIVES AND NONOPERA" TIVES, ALL RACES. Single: Native born................... Foreign born.................. Married: Native born................... Foreign born.................. 1 Per cent by which female death rate falls below that of male. 12 GENERAL TABLES. 291 T a b l e 2 2 . — COMPARISON O F D EATH R A TE S P E R 1 ,0 0 0 OF M ALES AND FEM ALE S FROM TUBERCULOUS, NONTUBERCULOUS, AND A LL CAUSES, B Y AG E, OCCUPATIONAL A N D W ORK RO OM GROUPS, RACE, CONJUGAL CONDITION, AND N A T IV IT Y , 1908 TO 1912— Concluded. Death rates per 1,000 (age-adjusted). Tuberculous. Occupational group, work room group, race, conjugal condition, and nativity. N ontuberculous. Percent of excess Fe of female Males. Fe Males. males. over male males. death rate. All causes. Per cent of excess of female Males. Fe over male males. death rate. Per cent of excess of female over male death rate. AGE GROUP 45 TO 64. OPERATIVES AND NONOPERA TIVES. Single and married, all races. Native bom ................... Foreign born.................. 1.62 2.62 0.94 1.74 i 42 16.07 134 14.91 12.18 17.39 l 24 17.69 17 17.53 13.12 19.13 126 9 All nativities............... 2.31 1.51 135 15.94 5 17.56 17.45 11 15.25 AGE GROUP 15 TO 64. OPERATIVES AND NONOPERA TIVES. Single and married, all races: Native born................... Foreign born.................. 1.95 2.05 1.97 2.11 1 3 5.33 4.49 4.61 5.17 114 15 7.28 6.54 6.58 7.28 110 11 All nativities............... 2.00 2.10 5 4.79 5.02 5 6. 79 7.12 5 i Per cent by which female death rate falls below that of male. GENERAL TABLES. '3 9 2 T a b l e 2 3 .— COMPARISON OF D EATH R A TES P E R 1,000 OF SINGLE AND M A R R IE D FROM TUBERCULOUS, NONTUBERCULOUS, AND A LL CAUSES, AGE G RO UP 15 TO 44, B Y OCCUPATIONAL AND W ORKROOM GROUPS, RACE, S E X , AND N A T IV IT Y , 1908 TO 1912. Death rates per 1,000 (age-adjusted). Tuberculous. 3ex, occupational group, workroom group, race, ana nativity. Spooler-room and mill work ers not specified, all races... French Canadian............ Card-room workers, all races. Irish...................... Spinning-room workers, all races.................................. French Canadian........... Weave-room workers, all Operatives, all races: Native born.................. . Foreign born.................. Nonoperatives, all races____ Native born.................. . Foreign born.................. Operatives and nonopera tives, all races: Native born.................. . Foreign born.................. All nativities............... Nontuberculous. All causes Sin gle. Per cent of excess Mar of married Sin ried. over sin gle. gle death rate. Per cent ' of excess Mar of married Sin ried. over sin gle. gle death rate. Per cent of excess Mar of married ried. over sin gle death rate. 2.34 2.08 2.63 3.53 1.82 4.48 7.17 6.00 13.34 4.52 91 245 128 278 148 2.38 2.42 3.12 5.38 1.49 6.07 9.74 5.61 11.12 5.06 155 302 80 107 240 4.72 4.50 5.75 8.91 3.31 10.55 16.91 11.61 24.46 9.58 124 276 102 175 189 2.59 4.24 6.80 8.07 163 90 3.41 3.25 7.65 9.43 124 190 6.00 7.49 14,45 17.50 141 134 1.29 1.02 5.20 4.34 303 325 2.48 .95 7.77 6.38 213 572 3.77 1.97 12.97 10.72 244 444 2.41 1.77 6.31 5.22 162 195 2.68 2.58 10.03 5.79 274 124 5.09 4.35 16.34 11.01 221 153 1.35 1.29 1.82 1.14 35 i 12 2.55 2.15 3.32 2.77 30 29 3.90 3.44 5.14 3.91 1.84 1.64 3.06 2.59 66 58 2.62 2.26 5.08 3.83 94 69 4.46 3.90 8.14 6.42 83 65 1.77 2.77 56 2.45 4.28 75 4.22 7.05 67 3.67 3.84 2.29 2.36 »38 *39 4.14 4.45 2.85 1.71 i 31 i 62 7.81 8.29 5.04 4.07 135 151 3.09 1.97 1.39 1.61 1 55 i 18 5.00 6.90 3.35 2.72 133 161 8.09 8.87 4.74 4.33 i 41 151 3.27 2.85 1.62 1.92 i 50 133 4.84 4.76 3.21 2.27 i 34 i 52 8.11 7.61 4.83 4.19 i 40 i 45 . 3.03 1.81 i 40 4.81 2.59 i 46 7.84 4.40 i 44 2.80 2.70 4.84 3.93 73 46 3.21 3.42 7.15 3.72 123 9 6.01 6.12 11.99 7.65 100 25 2.15 1.59 1.69 1.29 i 21 i 19 3.56 3.48 3.28 2.65 i8 i 24 5.71 5.07 4.97 3.94 i 13 122 2.40 2.20 2.56 2.34 7 6 3.60 3.46 4.31 3.09 20 i 12 6.00 5.66 6.87 5.43 15 14 2.31 2.42 5 3.52 3.52 5.83 5.94 2 • 32 14 MALES. Operatives, all races, all workrooms: Native born................... Foreign born.................. Nonoperatives, all races: Native born................... Foreign born.................. Operatives and nonopera tives, all races: Native born.................. . Foreign born.................. All nativities. BOTH SEXES. Operatives, all races, all workrooms: Native born.................. . Foreign born.................. Nonoperatives, all races: Native born................... Foreign born.................. Operatives and nonopera tives, all races: Native born.................. . Foreign born.................. All nativities. i Per cent by which death rate of married falls below that of single. .GENERAL TABLES. 293 2 4 .— COMPARISON OF D EATH R A TES P E R 1,000 OF O PERA TIVES AN D N O N O PER ATIVE S FROM TUBERCULOUS, NONTUBERCULOUS, AND A L L CAUSES. B Y AGE GROUP, CONJUGAL CONDITION, N A T IV IT Y AND SE X , 1908 T O 1912. T able Death rates per 1,000 (age-adjusted). Tuberculous. Age group, conjugal condi tion, nativity, and sex. Nontuberculous. All causes. Per cent Per cent Per cent of excess of excess of excess of opera of opera of opera Non NonNonOpera opera tive over Opera opera tive over Opera opera tive over tives. tives. nonopera tives. tives. nonopera tives. tives. nonoperar tive tive tive death death death rate. rate. rate. 15 TO 44 YEARS. Single: Native born— Male.......................... Female..................... Foreign born— Male......................... Female..................... Married: Native born— Male......................... Female..................... Foreign born— Male......................... Female..................... Single and married: Native born— Male......... ................ Female..................... Foreign born— Male......................... Female..................... All nativities— Male......................... Female..................... 3.67 2,41 3.09 1.35 19 79 4.14 2.68 5.00 2.55 in 5 7.81 5.09 8.09 3.90 13 3.84 1.77 1.97 1.29 95 37 4.45 2.58 6.90 2.15 i 36 20 8.29 4.35 8.87 3.44 17 2.29 6.31 1.39 1.82 65 247 2.85 10.03 3.35 3.32 1 15 202 5.04 16.34 4.74 5.14 218 2.36 5.22 1.61 1.14 47 358 1.71 5.79 2. 72 2. 77 i 37 4.07 109 11.01 4.33 3.91 16 182 2.22 3.19 1.90 1.45 17 120 3.82 4.66 3.57 2.91 7 60 6.04 7.85 5.47 4.36 10 80 2.63 3.35 1.38 1.19 91 2. 78 182 . 4.14 2.93 2. 78 15 49 5.41 7.49 4.31 3.97 26 89 2.47 3.34 1.64 1.38 51 142 3.10 4.33 3.18 2.83 i3 53 5. 57 7.67 4.82 4.21 16 82 2. 98 1.49 100 3.62 3.02 20 6.60 4.51 46 Single and married, all nativ ities: Male................................ Female........................... 2.75 2.58 2.10 1.44 31 15.15 79 22.80 15.48 14.88 i 2 17.90 53 25.38 17. 58 16.32 2 56 Both sexes................... 2.61 1.72 52 17.65 15.13 17 20.25 16. 85 20 Single and married, all nativ ities: Male................................ Female........................... 2. 51 3.24 1.70 1.39 48 133 4.70 6.79 4.82 4.43 i2 53 7.21 10.03 6.52 5.82 11 72 Both sexes................... 2.93 1.52 93 5.49 4.63 19 8.42 6.15 37 Both sexes............ 31 26 6 45 TO 64 YEARS. 15 TO 64 YEARS. 1 Per cent by which operative death rate falls below that of nonoperative. GENERAL TABLES. 294 T a b l e 2 5 . — CRUDE AN D AGE-ADJUSTED D E A TH RA TE S P E R 1,000 FROM TIY E S AND N O N O PERATIVES IN AGE GRO U P 15 TO 44, B Y AND 15 TO 64, B Y S E X AND N A T IV IT Y , 1908 TO 1912. SE X , CON Males. Nativity and occupational group. Single. Crude rates. Married. Age-ad justed rates. Crude rates. Total. Age-ad justed rates. Crude rates. Age-ad justed rates. AGE GROUP 15 TO 44: TUBERCULOUS. NATIVE BORN. Operatives................................................. Nonoperatives........................................... 1.9 5 2 .1 5 3.67 3.09 2.2 9 1.7 8 2.29 1.39 2 .0 5 2 .0 0 2.22 1.90 Both classes..................................... 2 .0 8 3.27 1.9 0 1.62 2.01 2.00 Operatives................................................. Nonoperatives........................................... 2 .9 9 1.7 8 3.84 1.97 2.9 0 1 .69 2.36 1.61 2 .9 4 1.72 2.63 1.38 Both classes..................................... 2 .41 2.85 2.1 9 1.92 2 .2 7 1.97 Operatives................................................. Nonoperatives........................................... 2 .4 9 2 .0 3 3.70 2.63 2 .7 7 1 .7 3 2.36 1.50 2 .6 2 1.8 7 2.47 1.64 Both classes..................................... 2 .2 2 3.03 2 .0 9 1.81 2 .1 5 1.94 FOREIGN BORN. ALL NATIVITIES. AGE GROUP 15 TO 44: NONTUBERCULOUS. NATIVE BORN. Operatives__ -........................................... Nonoperatives........................................... S. 84 8.41 4.14 5.00 4 .2 2 4 .2 7 2.85 3.35 8.5 9 3. 76 3.82 3.57 Both classes..................................... 8 .8 9 4.S4 4 .2 6 3.21 3.71 3.68 Operatives................................................. Nonoperatives........................................... 8 .6 8 4.3 4 4.45 6.90 2 .4 8 8 .2 8 1.71 2. 72 2 .9 7 8.62 2.78 2.93 Both classes..................................... 8.9 7 4.76 2 .9 5 2.27 3. 32 2.89 Operatives................................................. Nonoperatives........................................... 8 .4 9 8. 71 4.38 4.98 2 .8 5 8.6 7 1. 96 2.97 8.1 9 8.6 9 3.10 3.18 Both classes..................................... 8.6 2 4.81 8 .8 9 2.59 3.5 0 3.19 FOREIGN BORN. ALL NATIVITIES. AGE GROUP 15 TO 44: A L L CAUSES. NATIVE BORN. Operatives................................................. Nonoperatives........................................... 5 .2 9 5 .5 6 7.81 8.09 6.51 6 .0 5 5.04 4.74 5 .6 4 5. 76 6.04 5.47 Both classes..................................... 5. 47 8.11 6 .1 6 4.83 5. 72 5.68 Operatives................................................. Nonoperatives........................................... 6 .6 2 6 .1 2 8.29 8.87 5 .3 8 4 .9 7 4.07 4.33 6.91 5 .3 4 5.41 4.31 Both classes..................................... 6 .3 8 7.61 5 .1 4 4.19 5 .5 9 4.86 Operatives................................................. Nonoperatives........................................... 5 .9 8 5. 74 8.08 7.61 5 .6 2 5 .4 0 4.32 4.47 5. 81 5 .5 6 5.57 4. 82 Both classes..................................... 5.8 4 7.84 5 .4 8 4.40 5 .6 5 5.13 FOREIGN BORN. ALL NATIVITIES. GENERAL TABLES. 295 TUBERCULOUS. NONTUBERCULOUS, AND A L L CAUSES. FO R O PE R A JUGAL CONDITION, AN D N A T IV IT Y , A N D IN AGE GRO U PS 45 TO 64 Females. Both sexes. Married. Single. Total. Crude Age-adCrude Age-adjusted Crude rates. justed rates. rates. rates. rates. Single. Married. Total. Age-ad Crude Age-ad- Crude Age-adjusted rates. justed rates. justed rates. rates. rates. Crude rates. Age-ad justed rates. AGE GROUP 15 TO 44: TUBER CU LO U S. 2.42 1.33 2.41 1.35 5.90 1.66 6.31 1.82 3.16 1.45 3.19 1.45 2.25 1.78 2 . 80 2.15 4.21 1.66 4.84 1.69 2.72 1.73 2.88 1.65 1.88 1.84 2.51 3.06 2.12 2.12 1.98 2.40 2.22 2.56 2.07 2.06 1.77 1.38 1.77 1.29 5.27 1.50 5.22 1.14 3.39 1.47 3.35 1.19 2.31 1.60 2.70 1.59 3.95 1.58 3.93 1.29 3.16 1.59 3.01 1.28 1.6S 1.64 2.60 2.59 2.26 2.16 2.02 2.20 2.40 2.34 2.27 2.08 2.13 1.35 2.09 1.36 5.45 1.62 5.56 1.42 3.28 1.46 3.34 1.38 2.28 1.73 2.72 1.94 4.01 1.61 4.20 1.45 2.98 1.65 2.98 1.49 1.78 1.77 2.57 2.77 2.19 2.18 1.99 2.31 2.34 2.42 2.18 2.08 ' AGE GROUP 15 TO 44: NONTUBERCULOUS, 1.80 2.09 2.68 2.55 10.88 4-64 10.03 3.32 S. 73 3.34 1.94 2.62 5.99 5.08 3.49 4.66 2.91 2.38 2.82 3.21 3.56 7.75 4.47 7.15 3.28 8.67 8.55 4.28 3.25 3.45 2.63 3.60 5.20 4.31 3.59 3.56 1 1.93 2.20 2.58 2.15 6.90 4^49 5.79 2.77 4.23 4.00 4.14 2.78 2.69 3.41 3.42 3.48 4.42 3.97 3.72 2.65 3.59 3.82 3.32 2.88 2.03 2.26 6.19 3.83 4 .1 0 3.30 2.99 3.46 4.13 3.09 3.72 3.09 1.86 2.12 2.67 2.31 8.02 4.54 7.03 2.99 4 .0 0 3.68 4.33 2.83 2.52 3.00 3.36 3.59 5.24 4.16 4.62 2.90 3.62 3.69 3.62 3.02 1.98 2.45 6.47 4.28 3.81 3.35 2.78 3.52 4.49 3.52 3.66 3.27 AGE GROUP 15 TO 44: A L L CAUSES. 4.22 3.42 5.09 3.90 16.78 6.20 16.34 5.14 6.89 4.79 7.85 4.36 4.63 4.60 6.01 5.71 11.96 6.13 11.99 4.97 6.39 5.28 7.16 4.90 3.82 4.46 8.50 8.14 5.61 5.57 4.61 6.00 7.42 6.87 5.66 5.62 3.70 3.58 4.35 3.44 12.17 5.99 11.01 3.91 7.62 5.47 7.49 3.97 5.00 6.01 6.12 5.07 8.37 5.55 7.65 3.94 6.75 5.41 6.33 4.16 3.66 3.90 7.79 6.42 6.36 5.46 6.01 5.66 6.53 5.43 5.99 5.17 3.99 3.47 4.76 3.67 13.47 6.06 12.59 4.41 7.28 6 .1 4 7.67 4.21 4.80 4.73 6.08 5.53 9.25 5.77 8.82 4.35 6.60 5.34 6.60 4.51 3.76 4.22 8.04 7.05 6.00 5.53 4.77 5.83 6.83 5.94 5.84 5.35 296 GENERAL TABLES. T a b l e 2 5 .—CRUDE AND AGE-ADJUSTED D E A T H R A T E S P E R 1,000 FROM TIV E S AND N O N O PE R A TIY E S IN A G E G RO U P 15 TO 44, B Y S E X , 64 A N D 15 TO 64, B Y S E X AN D N A T IV IT Y , 1908 TO 1 9 I2 -€ on clu d ed . Tuberculous. Males. Nativity and occupational group. Crude rates. Females. Age-ad justed rates. Crude rates. Both sexes. Age-ad justed rates. Crude rates. Age-ad justed rates. AGE GROUP 45 TO 64. Operatives................................................. Nonoperatives........................................... Both classes— Native born............................... Foreign born............................. 2.76 2.16 2.75 2.10 2.30 1.42 2.58 1.44 2.61 1.74 2.61 1.72 1.74 2.58 1.62 2.62 .99 1.76 .94 1.74 1.35 2.15 1.26 2.17 All nativities.......................... 2.34 2.31 1.54 1.51 1.92 1.89 AGE GROUP 15 TO 64. 1 .9 4 2. 51 1.70 3.20 1.45 3.24 1.39 2.93 1.68 2.93 1.52 1.97 2.35 1.95 2.05 1.96 2.12 1.97 2.11 1.96 2.24 1.96 2.09 2.19 2.00 2.05 2.10 2.12 2.05 Operatives................................................. Nonoperatives........................................... Both classes— Native born............................... Foreign born............................. 2.65 All nativities.......................... 297 GENERAL TABLES. TUBERCULOUS, NONTUBERCULOUS, AND A L L CAUSES, F O R O PE R A CONJUGAL CO N D ITIO N , AN D N A T IV IT Y , AND IN AG E GROUPS 45 TO Nontuberculous. Females. Males. All causes. Both sexes. Crude Age-ad Crude Age-ad justed Crude rates. justed rates. rates. rates. rates. Females. Males. Both sexes. Age-ad Crude Age-ad Crade Age-ad Crude justed rates. justed rates. justed rates. rates. rates. rates. Age-ad justed rates. AGE GROUP 45 TO 64. 15.77 17.99 15.15 15.48 21.51 17.45 22.80 14.88 17.64 17.67 17.64 15.13 18.53 20.15 17.90 17.58 23. 81 18. 87 25.38 16.32 20.25 19.41 20.25 16.85 17. U 17.28 16.07 14.91 13.04 19.96 12.18 17.39 15.14 18.68 14.02 16.20 19.18 19.86 17.69 17.53 U- 03 21. 72 13.12 19.13 16.49 20.83 15.28 18.37 17.33 15.25 17.98 15.94 17.67 15.61 19.67 17.56 19. 52 17.45 19.59 17.50 AGE GROUP 15 TO 64. 5.50 7.13 4.70 4.82 5.48 7.68 6.79 4.43 5.49 7.42 5.49 4.63 8.15 9.07 7 . 21 6.52 8.68 9.13 10.03 5.82 9.10 8.42 6.15 5.75 7.13 5.33 4.49 4.88 8.47 4.61 5.17 5.29 7.82 4.95 4.83 7.72 9.48 7.28 6.54 6.84 10.59 6.58 7.28 7.25 10.06 6.91 6.92 6.55 4.79 6.92 5.02 6.74 4.91 8.74 6.79 8.97 7.12 8.86 6.96 8 .4 2 29 S GENERAL TABLES. 2 6 —PER CENT BY WHICH DEATH RATE EXCEEDED OR FELL BY CAUSE OF DEATH, CONJUGAL CONDITION, SEX, AGE, OCCUPA T able Per cent by which death rate exceeded (+ ) or fell below (—) rate for all persons. Age group, occupational group, workroom group, and race. Percentage distribu tion of population. Single. Fe Both Males. males. sexes. All persons: 15 to 24 years................. 25 to 34 years................. 35 to 44 years................. Average, 15 to 44 years (age adjusted)......... 30 + 75 - 26 + 23 21.71 + 18 - 3 + 2 2 2.39 - 20 + 23 - 22 2 2. 61 + 26 35 - 9 + 59 +254 + 32 - 38 - 3 + 78 (3) 31 18 - 20 - 33 +393 Average, 15 to 44 years (age ad justed).............. . 10 Irish and French Cana dians— 15 to 24 years.......... . 25 to 34 years.......... 35 to 44 years.......... . Average, 15 to 44 years (age ad justed).............. . 15 24 - 7 2 2. 08 - 42 - 4 - 2 - 30 - 31 - 43 - 32 - 21 - 34 + 16 +235 - 8 + 155 + 39 + 66 + 11 + 73 + 64 + 68 + 44 + 36 + 40 + 61 - 16 - 62 + 140 + 78 + 47 + 21 + 41 + 5 + 70 28 + 13 - 36 - 21 - 24 + 167 + 54 + 52 +321 - 51 - 84 + 197 + 41 + 64 + 5 76 + 16 + 10 +203 + + 53 + 38 + 157 +411 + 85 +102 - 26 + 61 + 11 + 76 +504 +294 +160 + 1 + 129 + 96 +110 + 143 +105 + 81 + 104 + 125 + 149 + 30 + 82 +350 + 67 + 117 + 100 - 11 - 4 + 59 + 3 - 5 - 53 - 34 - 30 + 11 +156 + 86 - 26 - 26 + 17 + 30 + 37 - 27 + 14 + 2 (3) + - 9 + 19 + 78 - 11 + 94 - 11 - 57 + 46 + 45 + 10 - 38 + 23 + 1 + 7 + 50 + 13 + 12 16 Other peoples or races— 15 to 24 years.......... . 25 to 34 years.......... . 35 to 44 years.......... . 12 - 13 - 32 - 27 Native born— 15 to 24 years.......... . 25 to 34 years.......... 35 to 44 years.......... . Average, 15 to 44 years (age ad justed).............. . 46 50 - 44 + 43 +128 Operatives: 15 to 24 years................. 25 to 34 years................. 35 to 44 years................. Average, 15 to 44 years (age adjusted)......... Fe Males. Fe Males. Fe Both Males. males. males. males. sexes. 162,740 48 Both classes. Married. 125,155 - 29 + 8 120,790 + 48 - 32 116,795 + 172 - 31 Nonoperatives: 15 to 24 years................. 25 to 34 years................. 35 to 44 years................. Average, 15 to 44 years (age adjusted)........ Tuberculour. 7 9 - 24 11 English15 to 24 years.......... . 25 to 34 years.......... . 35 to 44 years.......... . - 4 - 11 + 144 + 42 -100 9 -100 - 11 f- 27 Average, 15 to 44 years (age ad justed).............. . + 30 - 13 39 Irish— 15 to 24 years.......... . 25 to 34 years.......... . 35 to 44 years........... +116 + 71 +659 + 78 -100 +568 - 60 + 88 +716 + 43 +283 +262 +104 + 79 +402 +113 + 167 + 159 + 110 + 138 +252 Average, 15 to 44 years (age ad justed)............... +234 + 24 + 169 + 139 + 154 1Total on which percentages are based. + + 56 +543 * Basic death rate. 299 GENERAL TABLES. BELOW D E A T H R A T E F O R A L L PERSONS IN SPECIFIE D AGE GROUPS, T IO N A L AND W O RK RO OM GROUPS, AN D RACE, 1908 TO 1912. Per cent by which death rate exceeded (+ ) or fell below (—) rate for all persons. Nontuberculous. Married. Single. All causes. Single. Both classes. Fe Males. Fe Males. Fe Males. males. males. males. Both sexes. Married. Both classes. Fe Males. Fe Males. Fe Both Males. males. males. males. sexes. + 23 + 26 + 88 - 38 - 31 - 9 (3) - 30 - 28 + 49 + 33 + 15 +20 -12 -11 - 17 + 12 + 10 2 1.83 - 2 24.00 + 34 25.99 ; +114 -16 -31 -15 - 4 - 29 - 21 + 62 + 27 + 4 - 2 + 9 + 1 + 2 8 1 23.54 + 47 - 25 - 21 + 31 - 2 + 2 23. 27 + 47 -21 - 18 + 32 - 4 3 25.35 + 2 + 27 +119 - 37 - 36 - 17 + 31 - 27 - 23 - 36 + 20 + 1 + 5 - 9 - 2 - 37 - 6 - 2 - 14 - 7 - 2 - 21 + 33 +122 -34 -33 -27 + 4 - 30 - 23 - 31 - 9 - 12 - 17 - 9 “ 2 - 33 - 15 - 14 - 25 - 13 - 9 + 52 - 29 - - 9 - 3 - 13 - 8 + 42 -31 - 16 - 18 - 10 - 21 - 16 + 50 + 25 + 31 - 38 - 26 + 5 - 46 - 37 - 38 +186 + 109 + 65 +39 -19 -27 - 3 + 48 + 47 + 14 + 15 + 5 + 21 + 38 + 99 - 4 -30 + 3 - 16 - 26 - 15 +210 + 126 + 65 + 17 - 8 + 3 + 29 + '56 + 46 + 24 + 24 + 22 + 34 - 18 - 40 +115 - 5 + 32 + 11 + 51 -11 - 19 +135 + 4 + 43 + 23 + 57 + 33 - 5 - 43 - 1 - 14 - 29 - 13 (3) +354 +202 + 93 +52 + 7 - 1 - 7 + 79 + 47 + 16 + 51 + 24 + 20 + 8 +116 + 4 -20 + 3 + 10 - 39 + 20 +338 + 19 +200 - 19 + 67 + 42 + 34 + 67 + 39 + 28 + 34 + 40 + 27 - 18 — 13 +207 +16 + 43 + 31 + 46 - 5 - 6 +205 + ia + 47 + 34 + 57 + 2 + 67 - 38 - 5 + 45 -100 - 19 - 48 +464 + 173 +126 +45 -11 -25 + 16 + 70 + 96 + 27 + 37 + 34 + 26 + 60 +171 +21 -13 +35 - 3 + 11 - 10 +484 +218 + 137 + 23 + 29 + 26 + 71 + 85 + 99 + 53 + 62 + 61 + 41 + 3 - 53 +240 (3) + 63 + 33 + 83 +14 (3) +283 + 26 + 84 + 59 + 47 + 39 - 14 - 39 - 51 - 70 - 33 - 44 - 31 +103 + 76 + 5 +36 -23 -29 - 13 + 31 - 12 + 8 + 2 - 22 + 19 + 23 + 8 -19 -52 -58 - 19 - 40 - 18 + 129 + 80 - 4 + 14 - 24 - 15 + 8 + 33 - 17 + U + 2 - 16 + 22 - 54 - 34 + 58 - 8 + - 5 + 17 -42 - 26 + 70 - 8 +\ 9 - +154 + 113 — 64 - 34 - 23 - 76 +264 - 7 - 3 +150 + 120 + 41 +62 +33 -13 - 15 + 59 + 8 + 52 + 48 - 4 + 78 + 67 - 1 + 3 -52 -50 + 88 - 8 + 6 +116 + 79 + 110 + 17 + 12 + 5 + 14 + 41 - 6 + 38 + 30 (3) + 61 - 45 + 73 +100 +54 + 19 + 31 + 49 -33 + 29 + 81 + 34 + 17 + 23 + 52 + 2 + 111 - 28 + 43 + 75 -100 + 69 - 17 +525 +418 + 159 +43 +34 +24 + 11 + 148 + 119 + 21 +120 + 83 + 83 + 28 +277 +23 + 4 + 65 -100 + 76 + 74 +546 +530 + 191 + 72 + 51 + 138 + 60 +151 + 131 + 64 +127 +134 + 55 + 33 - 11 +356 +32 + 98 + 78 + 125 +30 + 15 +428 + 87 + 114 +107 9 3 s Less than one-half of 1 per cent. + 2 6.39 28.60 1 GENERAL TABLES. 300 T a b le 2 6 .— P E E CENT B Y W HICH D EATH R A T E E X C E E D E D O R F E LL B Y CAUSE OF D EATH , CONJUGAL CONDITION, SE X , AGE, OCCUPA Pier cent by which death rate exceeded (+ ) or fell below (—) rate for all persons. Age group, occupational group, workroom group, and race. Percentage distribu tion of population. Tuberculous. Married. Single. Both classes. Both Fe Fe Fe Both Fe Males. males. sexes. Males. males. Males. males. Males. males. sexes. Operatives—Concluded. French Canadians— 15 to 24 years............ 25 to 34 years............ 35 to 44 years............ 5 4 5 8 5 4 13 - 30 9 +185 9 +197 + 87 +129 +495 + 5 + 56 +154 - 48 + 7 + 86 Average, 15 to 44 years (age ad justed)................ 5 6 11 + 27 + 75 +283 + 34 Card-room workers— 15 to 24 years............ 25 to 34 years............ 35 to 44 years............ 2 4 3 5 4 3 7 - 7 + 68 8 -100 - 36 6 + 11 + 37 -100 - 21 + 92 +123 +287 + 167 - 24 + 80 + 47 - 37 +169 + 61 + 82 + 133 + 104 Average, 15 to 44 years (age ad justed)................ + 188 - + 97 - 18 +133 +100 + 81 + 36 + 51 + 75 + 90 + 41 + 96 + 72 3 4 7 - 33 + 26 - 27 2 + 122 + 65 Spinning-room workers— 15 to 24 years............ 25 to 34 years............ 35 to 44 years............ 8 3 2 8 3 1 16 + 5 6 + 193 3 +342 + 45 + 4 + 16 + 17 +320 + 6 + 96 + 162 + 127 + 13 + 153 + 66 Average, 15 to 44 years (age ad justed)................ + 99 + 54 +100 +114 + 116 + 88 1 4 5 + 42 +227 + 61 +104 + 82 Weave-room workers— 15 to 24 years............ 25 to 34 years............ 35 to 44 years............ *8 8 10 8 6 5 16 - 20 14 + 98 15 +344 - 5 + 40 -100 - 23 - 10 + 21 +294 + 59 + 22 - 12 + 13 + 80 + 36 - 13 + 13 + 13 + 2 + 55 Average, 15 to 44 years (age ad justed)................ 9 7 16 +108 - 38 + 150 + 19 + 14 + 20 9 + 150 + 25 * Less than one-half of 1 per cent. + 15 GENERAL TABLES. 301 BELOW DEATH RATE FOR ALL PERSONS IN SPECIFIED AGE GROUPS, TIONAL AND WORKROOM GROUPS, AND RACE, 1908 TO 1912—Concluded. Per cent by which death rate exceeded (+ ) or fell below (—) rate for all persons. Nontuberculous. Married. Single. All causes. Both classes. Single. Fe Males. Fe Males. Fe Both Males. males. males. males. sexes. Married. Both classes. Fe Males. Fe Males. Fe Both Males. males. males. males. sexes. +++ - 40 - 48 - 10 -100 - 32 - 58 +456 + 92 +103 +45 -45 + 17 + 23 + 73 + 28 + 3 + 2 + 15 + 71 + 80 -21 -28 + 11 + 1 - 38 +475 +115 + 98 + 15 + 24 - 20 + 73 + 45 + 66 + 56 + 35 + 14 + 28 - 32 - 61 +201 -1 0 + 39 + 10 + 55 - 9 - 8 +233 + 7 + 61 + 34 +138 - 39 - 3 + 26 - 23 - 11 - 60 - 42 -100 +108 + 87 + 27 +96 -56 -38 + 43 + 47 + 17 + 60 - 7 - 15 + 68 - 62 + 1 +47 -28 + 4 -100 - 45 - 1 +116 +162 + 70 + 38 - 49 - 1 + 60 + 93 + 52 + 53 + 18 + 21 5 - 65 + 72 - 6 + 35 + + 7 - 50 +117 - 4 + 69 + 31 + 77 + 75 +157 - 39 - 59 - 45 - 18 - 38 +264 +135 + 28 +64 +12 +102 - 7 + 20 + 60 + 48 + 41 + 36 + 17 + 42 +119 +213 + 2 -35 +76 - 15 + 25 - 23 +291 + 145 + 66 + 36 + 55 + 15 + 58 + 75 + 69 + 47 + 65 + 38 +105 + 4 - 33 +134 +20 + 44 + 30 +122 + 12 _ + 170 + 36 + 67 + 50 + 18 + 38 + 9 - 58 - 38 + 18 - 13 - 20 - 31 +231 + 98 +102 +14 - 3 -24 - 19 + 36 + 78 - 3 + 14 + 13 C1) + 60 +111 -33 -61 + 9 + 12 - 21 - 15 +261 + 83 + 78 + + + 1 + 8 3 + 28 7 + 58 + 5 + 9 + 26 + 21 - 24 - 22 +138 - 6 + 35 + + 55 -30 + 11 +142 + 4 + 27 + 13 + 25 - -20 9 + 9 2 +21 4 GENERAL TABLES. 302 T a b l e 2 7 . — PERCEN TAG E D ISTR IB U TIO N OF U RBAN W H ITE S O F REG ISTRATIO N STATES AND TH E D IST R IC T OF COLUMBIA, 1911, AND P E R CENT B Y W HICH T H E IR D EATH R A T E E X C E E D E D O R F E LL BELOW TH E R A T E FO R ALL PERSONS, FA LL R IV E R , B Y AG E GRO UP. Percentage distribution of urban whites (1911). Age group. Males. 15 to 24 years........................................ 25 to 34 years........................................ 35 to 44 years........................................ Average, 15 to 44 years (age ad justed).................................... 55 Females. Both sexes. Per cent by which death rate exceeded ( + ) or fell below ( —)rate for all persons in each age group, Fall River. Males. Females. Both sexes. 46 52 45 54 48 * 7,137,535 1 6,612,130 i 4,589,104 —11 + 14 —5 —36 -17 —8 —22 - 1 51 49 » 18,338,769 - 1 -20 -11 * Total on which percentages are based. These figures are compiled from the Thirteenth Census, Vols. I, II, and III, population, 1910. To ascertain figures for 1911 the average yearly per cent of increase from 1900 to 1910 as shown on p. 32, Vol. I, is added to the figures for 1910. 304 GENERAL TABLES. T ab l e 2 8 .— P A R T U R IT IO N : AGE, RACE, OCCUPATION, O TH E R D ISE ASE EACH OF 230 FEM ALE D EATH , 1908 TO 1912. Case No. of de Age. ced ent. Race. Bom in u. S. D ECEDEN T Occupa tion. Period lived after quit ting trade. O PE R A TIV E S Period lived after preg nancyended. AND N ONOPERA Total number of— Other disease Mos. complication. preg nant. Mis Preg Years car nan mar riages cies. ried . AGE GROUP 15 TO 19: OPERATIVES. 1 2 18 American... Yes. Spooler__ 5 m os.. 1 day... Tuberculosis.. 19 .......do.......... Yes. .. .do......... 5 mos.. 2 mos.. .......do............. 6 7 1 1 1 11- 3 19 English Yes. Weaver... 1 m o... 10 days. Appendicitis.. 6 1 1- 4 5 17 Irish............ Yes. Carder. . . . 9 mos.. 1 day... Eclampsia___ 19 French Car No.. Spooler.... 2 yrs... 5 m os.. Tuberculosis.. nadian. 18 .......do.......... Yes. Spinner... 11 mos. 13 days. Septicemia___ 9 9 1 1 2 1 1 7 1 1 1 8 18 .......do.......... Yes. W a rp e r lw k ... 2 wks.. Embolism...... tender. 18 .......do.......... Yes. Spooler.... 1 day... 1 hr .. 3 1 1 0 9 10 19 Portuguese.. No.. Spinner... 11 mos. 3 w ks.. Tuberculosis.. 16 .......do.......... No.. ...d o ......... 8 m os.. 1 wk.. . Septicemia___ 6 9 1 1 1 1 1 11 12 19 .......do.......... No.. ...d o ......... 5 mos.. 3 wks.. .......do............. 18 .......do.......... No.. ...d o ......... 2 mos.. 1 day... Eclampsia___ 9 7 1 1 1 1 1 6 7 9 AGE GROUP 15 TO 19: ITON OPERATIVES. American... Yes. W asherwoman. Portuguese.. No. ___ do.......... No. 8 mos. 4 mos.. Tuberculosis. 9 1 1 1 wk... .......do........... 3 mos.. .......do........... 9 9 1 1 1 1 4 3 4 1 5 4 6 1 4 1 0 1 2 3 2 7 AGE GROUP 20 TO 24: OPERATIVES. 16 17 18 19 23 24 22 22 Tuberculosis.. Bums............. Pneumonia — Tuberculosis.. 9 9 9 7 20. 21 ...... do.......... Yes. ...do.......... 5 m os.. 15 days. Septicemia__ 9 21 23 ...... do.......... Yes. Weaver... 1 wk__ 1 day... Eclampsia___ 22 23 American... English__ ...... do.......... Irish............ French Ca nadian. Yes. Yes. No.. Yes. Weaver... Carder.__ Weaver... Carder___ 6 mos. . 18 mos. 6 mos.. 5 mos.. 3 mos.. 2 days.. 3 mos.. 2 days.. 81 Yes. Spinner... 2 yrs... 8 mos.. Tuberculosis.. 9 23 20 ...... do.......... Yes. ...do......... 11 mos. 7 m os.. .......do............. 7 1 1 24 25 21 ...... do......... Yes. Spooler__ 1 y r .... 9 m os.. ...... do............. 23 ...... do.......... No.. ...do......... 1 yr — 6 mos.. ...... do............. 9 9 1 1 2 2 26 27 24 ...... do.......... No.. Carder___ l yr— 1 w k ... “ Pneumonia” 22 ...... do.......... No.. Spinner... l y r . . . . 1 w k ... Valvular heart disease. 22 ...... do.......... No.. ...do......... 5 m os.. 1 day... Eclampsia___ 24 ...... do.......... Yes. Spooler— 4 m os.. 10 min. ...... do............. 9 3 4 7 3 9 8 1 1 1 1 20 ...... do.......... Yes. W a rp er 3 m os.. 1 d a y .. .......do............. tender. ...... do............. 23 ...... do.......... Yes. Weaver... 18 mos. 3 hrs 9 1 1 31 9 1 1 32 33 34 22 ...... do.......... Yes. ...do......... 6 m os.. 3 days.. ...... do............. 22 ...... do.......... Yes. . ..do......... 4 mos.. 3 days.. ...... do............. 21 Portuguese.. No.. Carder___ 6 m os.. 7 m os.. Tuberculosis.. 6 9 9 1 1 3 1 2 28 29 30 1 GENERAL TABLES. 305 COMPLICATIONS, PROLIFICACY, AND ECONOMIC CONDITION OF TIVES WHOSE PREGNANCY HAD ENDED WITHIN 9 MONTHS BEFORE Number of children. Dead Liv un ing. der 1 year. Number of— In come Hy of Rent gienic fam per con ily week. Occu dition. per pants. Rooms, week. No. Remarks. of de ced ent. AGE GROUP 15 TO 19: OPERATIVES. $10 Own. 13 $2.50 3.00 Poor.. Fair+ “ Lazy husband” ; cough5months; 4 or 5 hemor rhages. Good.. Appendectomy 10 days after parturition. Delay. Fair- “ Religion forbade interrupting pregnancy” ...... Fair + Parents and sister died from tuberculosis. Hus band, also, 1 year later. Fair- French Canadian physician at first..................... 2.25 Fair+ 20 2.25 2.40 1.50 Caesarean section; decedent’s wages, $11; hus band’s, $7 (doffer). Fair- Single. Criminal abortion; died and was dis membered in physician’s office. Fair— Sister had Potts disease....................................... Poor.. Husband remarried in 4 weeks; ugly; maltreated wife. Fair- Bad obstetrics(?). Operation cost $125.............. Poor. . “ Oedema of brain.” Vomiting throughout preg nancy. 3.50 2.00 1.65 2.00 1.50 4 5 « 7 8 9 10 11 12 AGE GROUP 15 TO 19: NONOPERATIVES. 1 1 $16 $2.50 7 4 Bad... Colored. Forceps delivery.................................. 13 1 12 1.90 8 1.60 4 3 4 Poor.. Officially reported “ operative” ...................... 3 Bad... Overwork. Sister died from tuberculosis pre vious year. 14 15 AGE GROUP 20 TO 24: OPERATIVES. 1 3 1 1 1 3 1 1 1 1 1 $1.85 1.40 2.00 1.00 5 5 3 8 4 Fair-f 4 Poor.. 4 Fair3 Bad. .. 1 15 1.75 5 3 Poor.. 1 17 2.50 5 6 Fair+ 1 15 1.50 3 3 Poor.. 1 18 5.00 18 15 Poor.. 1 1 3 1.60 15 2.25 4 12 11 6 Bad... Fair- 1 15 1.90 25 1.75 5 10 5 4 Poor Fair— 1 17 1.75 18 1.75 2 2 6 4 Fair+ Fair-jFair+ 2 1 $10 12 18 21 Father (Irish name) died from tuberculosis........ Lighting fire with kerosene.................................. “ Discarded abdominal band too soon” ............... Husband a loafer; prolificacy; pregnant 7 months, she walked 70 miles, sleeping on the way in doorways; then miscarried. Single; “ danced to excess” ; mother died from tuberculosis. “ Meant to allow 2 weeks out of mill before baby came.” Father and 3 sisters died from tuberculosis; brother, mother, and 1 sister probably now have it. Mother and sister-in-law died of tuberculosis; coughed 6 years. Venereal disease from husband; separated.......... Husband “ drunken loafer” ; made wife sleep on floor. Physician engaged 2 weeks.................................. Physician not engaged nor previously con sulted. Married 9 months................................................. 1 15 1.90 2 4 1 12 2.50 2 1 18 2.20 18 1.60 15 2.25 i 5 Good.. Physician engaged 1 month; instruments; fmorphine administered.” 4 Fair— 4 Fair+ 5 Poor.. Constantly ill since parturition. 2 3 11 88204°—-19— Bull. 251------20 16 17 18 19 20 21 22 24 25 26 27 28 29 30 31 32 33 34 GENERAL TABLES. 306 T ab l e 2 8 . —P A R T U R IT IO N : AGE, RA CE, OCCUPATION, O T H E R D ISE A SE EACH O F .230 FEM ALE D ECE D E N T D EATH , 1908 TO 1912—Continued. Race. Born in TJ.S. Occupa tion. Period lived after quit ting trade. Period lived after preg nancy AND Total number of— ' Other disease complication. NOtS'OPTORA tn Case No. of de Age. ced ent. O P E R A T IV E S Mis Preg Years car nan mar riages cies. ried. AGE GBOTTP 20 TO *4: OPERATIVES—Concluded. 35 21 Portuguese . No... Spinner... l y r . . . . 2 m os.. Tuberculosis.. 9 36 37 38 22 ....... do.......... No... . ..do......... 7 m os.. 2 wks.. ...... do............. 22 ...... do.......... No.. ...do......... 5 mos.. 4 mos.. ...... do............. 24 ___ do......... ■No- Weaver... 1 yr— 6m o s .. ...... do............. 9 4 9 39 23 ...... do.......... No.. Carder___ l y r — 6 m os.. Pneumonia(?). 9 1 2 40 41 22 ...... do.......... No.. . ..do......... 3 mos.. 9 days.. Septicemia---20 No.. -Spinner... 4 m os.. 4 wks.. ...... do............. 9 9 1 1 1 1 42 43 No .. .do......... lOdays. 1 day... Pneumonia. . . .20 ...... do....... 23 ...... do.......... No.. Weaver... 3m os.. -8mos.. Nephritis....... 5 9 1 1 1 1 1 1 1 1 1 1 2 2 1 44 22 Other races. Yes. Spinner... 2 m os.. 9 m os.. Tuberculosis.. 9 45 20 ...... do.......... No.. Carder___ 2 days.. 1 day... Septicemia---- 8i 1 0 46 23 ...... do.......... No.. Spinner... 2Taos.. 10 days. ...... do............. 9 4 5 1 5 1 1 1 0 3 1 4 1 1 AOE OB.OOT 80 TO » : HOKOPEKATIVES. 47 24 American.... Yes. Cloth room 8 y rs... 1 day... Eclampsia...... 7 48 -19 22 ____do.......... Yes 1 day... .......do............. 22 English___ Yes. Loom,har 6 mos.. 1 day... Tuberculo sis 5 3 50 51 ness faoand eclamp tory. sia. 22 Other races.. No.. Bookkeep’r 4yrs... 1 w k ... “Pnenmonia” (?) 22 .......do.......... No... Sizer, hat 1 wk__ .5 days. . Septicemia___ factory. 1 1 8 9 AGE GXtO-UP 25 TO 29: OPERATIVES. 27 American... Yes. Carder---- 18 mos. 3 m os.. Tuberculosis ... 9 5 8 28 ___ do.......... Yes. Weaver— 4 m os.. 3 days.. Eclampsia...... 9 1 8 28 .......do.......... Yes. ...d o ......... 2 m os.. 1 day... .......do........... . 9 26 English....... No.. Carder---- 2 yrs... 6 m os.. Tuberculosis.-. 9 26 .....d o ...... ... No.. ...d o ......... 18 mos- 9 mos.. .......do............. 26 ___ do.......... No. - Spoo le r , reeler. Yes. 27 1 yr — 6 m os.. .......do............. 2 2 0 2 2 6 4 6 9 4 1 1 2 3 days.. 1 day... Eclampsia___ 6 1 1 0 27 .......do.......... Yes. Weaver... 21 mos. 2 wks.. Septicemia---- 9 2 4 29 Irish........... Yes. Carder---- 4m os.. 8 mos.. Tuberculosis... 9 1 2 29 .......do.......... No.. Weaver— 3 mos.. 2 w ks.. .......do............. 26 .......do.......... Yes. Carder---- 1 wk... 3 m os.. Pyosalpingitis 7 8 1 1 4 1 7 25 .......do.......... No.. Weaver... 3 mos.. 2 days.. “ Eclampsia” (?) 26 .......do.......... Yes. .. .do......... 1 wk... 8 days.. Pneumonia... 9 5 1 1 3 1 8 GENERAL TABLES. 307 COMPLICATIONS, PROLIFICACY, AND. ECONOMIC CONDITION OF TIYES WHOSE PREGNANCY HAD ENDED WITHIN 9 MONTHS BEFORE Number of children. Dead Liv un ing. der 1 year. Number of— In come Hy of Rent gienic fam per con week. ily Occu dition. per pants. Rooms. week. Remarks. AGE GROUP 20 TO 24: OPERATIVES—Concluded. 1 $20 $1.50 7 1 1 15 1.50 10 1.00 25 Own. 5 10 5 1 8 1.50 6 1 1 25 1.50 16 2.00 4 6 1 14 2.50 16 2.50 2 2 1 7 2.25 6 1 6 1.00 7 3 15 1.50 5 1 1 1 4 Bad... Cervical adenitis 15 years; infection from ex cision; husband had 3 wives in 3 years; his previous wife died from tuberculosis. 3 5 Bad... Very strong until married..................... ..... 5 Fair+ Husband and daughter died from tuberculosis 1 month before decedent. 3 Bad... Poverty, stress, exposure; not strong after child birth. 4 Poor.. Careless midwife................................................... 6 Bad... Midwife during first 2 weeks, then had phy sician. 4 Fair— “ Labor induced on tenth day to save life” . . 4 Fair+ Forceps delivery; back to mill in 2 weeks, then abed 7 months; nephritis. 5 Fair— Married father of first illegitimate child 10 months before she died. 3 Poor.. Single; a Polish boarder was child's father; hemorrhage. 4 Fair- Prolificacy; careless midwife................................ 35 36 37 38 39 40 41 42 43 44 45 46 AGE GROUP 20 TO 24: NONOPERATIVES. 1 2 1 1 $10 $2.10 2 2 5 5 Good.. Vomiting 3 weeks; sweating tried; 21 convul sions in last 2 days. 5 4 Fair-f- Single; domestic 7 years; father a loafer and drinker. 47 15 3.50 15 2.00 40 3.00 9 1.75 4 16 5 Fair+ Exposure, while tending husband’s shop........... 4 Bad... 3 beds in each bedroom; she slept in kitchen; husband a loafer. 50 51 48 49 AGE GROUP 25 TO 29: OPERATIVES. 3 2 $12 $1.50 5 1 25 2.50 2 1 25 1.75 4 1 12 2.00 3 2 15 2.50 6 17 2.50 2 18 2.75 3 2 22 3.00 4 1 8 2.50 7 1 1 15 2.00 10 1.75 7 4 1 20 1.25 9 3.00 2 1 2 ' “ ' 2’ 8 5 Bad... Father Irish name; prolificacy; mother’s sister died from tuberculosis. 4 Good.. Husband Irish name; physician for 4 months; found urine albuminous, but did nothing to remedy it. 3 Fair- Nephritis 1 year; eclampsia also 15 months be fore; father had Irish name. 4 Fair+ Brother and 2 sisters died from tuberculosis; stress, after marriage. 5 Fair+ Father has Irish name; a friend in same house died from tuberculosis. 4 Fair-f With circus in England; misreported as to (1) tuberculosis, (2) parturition, and (3) occupation. 5 Fair+ Single; physician called after convulsions began; no attempt at sweatings; emptied uterus at once. 5 Good.. Forceps delivery; under ether 3 hours; perineum repaired. 4 Fair + Hard work outside of mill; husband drunken loafer. 4 Poor.. 3 sisters died from tuberculosis............................ 4 Fair+ Husband drunkard; infected wife with venereal disease; deserted; baby macerated, stillborn. 3 Bad 5 Fair- Husband would live with decedent only when she worked; he seldom contributed to family support. 52 53 54 55 56 57 58 59 60 61 62 63 64 GENERAL TABLES. 308 T a b l e 2 8 .— P A R T U R IT IO N : AGE, RACE, OCCUPATION, O T H E R DISEASE EACH O F 230 FEM ALE DECEDENT O P E R A T IV E S AND D EATH, 1908 TO 1912— Continued. Case No. of Age. de ced ent. Bom in U.S. Race. Occupa tion. Period lived after quit ting trade. Period lived after preg nancy ended. NONOPERA Total number of— Other disease Mos. complication. preg nant. Mis Preg Years car nan mar riages cies. ried. AGE GROUP 25 TO 29: OPERATIVES—Concluded. 65 27 Irish............ Yes. Weaver... 5 m os.. 1 h r.... Hemorrhage.. H 66 67 68 25 .......do.......... Yes. Cloth room 1 yr— 1 day... Eclampsia___ 26 .......do.......... Yes. ...d o ......... 2 yrs... 1 hr__ .......do............. 25 French Cana No.. Spinner... 8 m os.. 0.......... Tuberculosis.. dian. 9 4 6 69 70 71 25 .......do.......... No.. . . .do......... 2 yrs... 3 m os.. .......do............. 27 .......do.......... No.. W eaver.. . 1 yr — 8 mos.. .......do............. 29 .......do.......... No.. Spinner... l y r . .. . 2 w ks.. Embolism...... 9 9 9 72 73 74 75 76 77 78 79 80 28 28 26 29 27 26 27 25 25 Eclampsia (?). Septicemia (?). Tuberculosis.. .......do............. .......do............. .......do............. Septicemia... .......do............ Pneumonia... 81 82 83 No.. ...d o ......... 6 m os.. 2 days.. Eclampsia___ No.. ...d o ......... 8 m os.. 6 w ks.. Scarlet fever.. No.. Spooler.... 2 wks.. 1 d a y .. P o s t-partum hemorrhage. 26 .......do......... No.. C o t t o n 6 mos.. 10 days. Septicemia___ mill. 27 Other races.. No.. Weaver... 10 mos. 3 days.. Eclampsia___ 84 85 .......do.......... .......do.......... Portuguese.. .......do......... .......do......... .......do......... ...... do......... .......do......... .......do......... No.. No.. No.. No.. No.. No.. No.. No.. No.. ...d o ......... ...d o ......... Carder___ Spooler__ ...d o ......... ...d o ......... Carder___ ...d o ......... Spinner... 8 m os.. 4 m os.. 1 m o... 11 mos. 3 mos.. 6 mos.. 4 mos.. 4 m os.. 2 wks.. 12hrs.. 4 days.. 9 mos.. 3 mos.. 4 wks.. 4 wks.. 11 days. 12 days 5 days.. 26 ...... do......... 25 ...... do......... 27 .......do......... 4 5 1 1 2 1 3 3 2 6 3 3 7 5 9 9 9 9 9 9 9 9 7 4 4 3 4 3 2 7 4 3 8 6 7 10 6 l 11 10 7 9 9 9 2 2 4 5 2 6 9 1 1 (x) Si 0) 1 (*) 1 AGE GROUP 25 TO 29: NONOPERATIVES. 86 87 88 89 90 91 92 93 94 95 96 97 98 99 26 American... Yes. W asher 4 m os.. woman. 27 ...... do......... Yes. Cloth room 5 yrs... 28 ...... do......... Yes 29 English....... Yes. Spooler.... ! 6 yrs... 1 hr___ Tuberculosis.. 6 1 1 1 2 wks.. Septicemia . .. 3 hrs... Eclampsia___ 3 mos.. Nephritis....... 9 3 9 1 2 3 1 3 10 2 6 Yes. Loom har ness re pairer. 28 .......do......... No.. Weaver... 26 .......do......... Yes. D r e s s maker. 28 .......do......... Yes. Weaver... 9 yrs... 3 m os.. .......do............. 8 1 5 10 5 yrs... 1 d a y.. Eclampsia___ 2 yrs... 1 d a y.. .......do............. 7 6 1 1 5 1 7 2 10 yrs.. 4 wks.. “ Suicide” ...... 9 27 Irish............ Yes. Spinner... 28 .......do......... No.. Domestic . 28 .......do......... Yes. Dry goods clerk. 28 French Ca No.. Spinner... nadian. 25 ...... do......... No.. ...d o ......... 25 .......do.......... No.. Spooler.... 8 yrs... 6 mos.. Tuberculosis.. 6 mos.. 2 wks.. .......do............. 4 mos.. 1 da y.. Eclampsia. . . . 9 9 7 29 .......do......... 5 10 7 3 1 11 4 1 3 yrs... 6 mos.. Tuberculosis.. 9 8 10 5 yrs... 3 mos.. .......do............. 8 yrs... 6 wks.. “ Pneumonia’ ? 9 9 3 7 6 8 No.. Cloth room 11 yrs.. 24 days Septicemia. . . Yes. Spinner... 6 yrs... 4 wks.. .......do............. 9 9 4 5 11 6 No.. M u s i c 11........ 18 days .......do............. teacher. 29 .......do......... No.. .................. ............. 0.......... Eclampsia (?). 26 Portuguese.. No.. Hat factory 8 mos.. 6 mos.. Tuberculosis.. i Not reported. 9 5 11 1 2 1 3 100 101 29 .......do......... 25 .......do......... 102 29 .......do......... 103 104 1 3 9 2 1 1 GENERAL TABLES. 309 COMPLICATIONS, PRO LIFIC A C Y , AND ECONOMIC CONDITION O F TIV E S WHOSE PRE G N AN C Y HAD EN DED W ITH IN 9 MONTHS B E FO R E Number of children. Dead Liv un ing. der 1 year. Number of— In come Hy of Rent gienic fam per con ily week. Occu dition. per pants. Rooms. week. Remarks. Case No. of de ced ent. AGE GROUP 25 TO 29: OPERATIVES—Concluded. Fair- 65 3 9 6 3 Poor.. 5 Poor 5 Poor Excellent health; husband in hospital—pneumo nia; she wished to be sure to avoid mishap, so she might care for her babies—hence went to hospital. Physician engaged 7 months before..................... Weaver 6 years; physician engaged 1 month....... Decedent refused operation; removal of child by Caesarean section after mother’s death; child lived 42 hours. 3 tuberculous relatives.......................................... 6 babies in 6J years.......... ................................... Caesarean section; other 2 babies delivered by forceps. u Succumbed to anesthetic” —delirious................. Baby born before physician arrived.................... Hard work, 5 a. m. to 10 p. m.; stress........ ......... Twin sister and 2 brothers died from tuberculosis. Sister died from tuberculosis................................ Father and sister died from tuberculosis.............. Prolificacy; dirt................................................... Curetted one year before....................................... Physician tola family case was appendicitis; pain was abdominal. Excess work......................................................... 3 Bad... Occupation certified as “ operative/’ but no in formant found. 4 Bad_ Dark bedroom.................................................... 84 7 1 $15 $1.65 5 1 1 9 1.75 25 2.50 17 3.10 2 7 11 3 Fair+ 7 Good.. 7 Fair+ 1 4 1 1 4 1 19 3.00 20 2.50 15 1.50 3 18 3 3 Poor.. 6 Poor.. 3 Fair- 2 3 2 2 2 1 1 2 2 2 1 1 2 1 1 6 2 1 1.85 1. 75 1.50 1.75 1.60 1.50 1.50 1.25 1.80 5 5 4 4 4 4 3 7 4 3 3 3 4 3 3 4 3 3 12 1.00 15 2.00 . Id 2.00 C1) 1.50 15 1.50 3 1 1 1 1 C1) 1 1 1 4 0) 17 15 15 12 13 (0 10 15 20 3 Fair+ Bad.. Bad... Fair— Bad... Poor.. Poor.. Bad... Poor.. 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 85 AGE GROUP 25 TO 29: NONOPERATIVES. 3 1 3 1 3 $10 $2.00 2 4 Bad... Negress; windowless bedroom; cellar water-closet. 86 15 3.00 10 2.75 18 2.25 5 2 3 5 6 4 87 88 89 20 2.50 5 4 15 2.00 35 4.00 5 7 4 Fair+ Physician not engaged......................................... 8 Good.. Shopping on stormy day, feet wet, fell on ice; convulsions. 4 Fair+ Puerperal insanity; cut throat with razor; was boarding with sister. 3 Poor 4 Good 5 Good.. “ Clergyman assented to induction of labor7’ ...... 4 1 9 2.00 4 4 2 1 1 1 8 1.40 33 Own. 28 3.00 6 4 3 5 1 10 1.85 7 3 6 1 15 1.75 15 Own. 5 8 2 3 1 38 Own. 15 2.00 4 5 2 3 60 Own. 5 i 12 2.50 16 1.60 2 4 . 0.... Fair 4- uSexual brutality of husband killed her” ........... Fair+ Last 2 babies stillborn; husband says she had nephritis before marriage. Good Albuminuria during whole pregnancy................ 90 91 92 93 94 95 96 4 Fair+ 97 4 5 Fair-f Fair+ 98 99 Prolificacy; father and husband died from tuber culosis. Father died from tuberculosis.............................. “ Pneumonia 35 days” ; probably tuberculous; prolificacy. 9 Excel. French Canadian physician at first..................... 5 Fair-j- 3 pregnancies terminated within 11 months; first physician made only 2 visits. 14 Excel. Forceps delivery; baby 8J lbs............................. 5 Poor.. Persistent vomiting............................................. 3 * Not reported. 100 101 102 103 104 GENERAL TABLES. 310 T ab l e 2 8 . —P A R T U R IT IO N : AGE, RACE, OCCUPATION, O T H E R D ISE ASE EACH O F 230 FEM ALE DECEDENT O P E R A T IV E S AND N O N O PERA D EATH , 1908 TO 1912—Continued. Case No. of de Age. ced ent. Born in U.S. Race. Occupa tion. Period lived after quit ting trade. Total number of— Period lived after Other disease Mos. preg complication. preg nant. Mis Preg Years nancy car nan mar ended. riages cies. ried. AGE GROUP 25 TO 29: NON'OPERATIVES—Concluded. 105 106 25 Portuguese . No. 26 ----- d o .. . . . . No. 107 29 ___ do......... No. 108 27 ----- do----- ,. No. Carder__ 27 mos 109 27 Other races.. No. 110 111 25 ___ do......... No. 25 ....d o ......... No. Sizer, hat factory. 7 wks.. “ Enteritis” ... 18 mos. 2 wks.. Goiter........... . 112 28 113 25 ___ do.......... No. .....do......... No. Spooler. 3 yrs... 3 wks.. Pneumonia.. 6 mos.. Heart endo carditis (?). 6 hrs... Exhaustion.. 9 9 2 hrs... Eclampsia___ 6 yrs... 4 mos.. Tuberculosis.. Sizer, hat factory. G rocery 1 m o... 5 days.. Septicemia__ store. Spooler... 6 yrs... 10 min. Hemorrhage (crim in a l abortion). 4 5 8 11 2 12 9 2 3 9 3 6 9 9 2 2 C1) 3 9 1 9 1 3 5 1J 1 4 6 5 5 16 12 12 AGE GROUP 30 TO 34: OPERATIVES. 114 115 33 American... Yes. Weaver... 1 m o ... 15 days. Septicemia__ 34 English....... No.. Carder. . . . 18 mos. 1 d a y.. Tuberculosis.. 9 9 116 33 .......do......... No.. Weaver... 20 mos. 9 mos.. .......d o ............ 9 1 2 117 34 .......do......... Yes. Cloth room 6 wks... 6 wks... .......d o ............ 4 5 5 9 118 33 .......do......... Yes. Carder. . . . 6 mos.- 5 mos.. Typhoid fever. 3 2 9 16 119 32 .......do......... Yes. .......do___ 2 yrs... 4 hrs... “ Shock” ....... 8 5 8 8 120 121 31 .......do.......... No.. Weaver... 2 yrs... 1 day. . Eclampsia___ 33 .......do......... No.. .......do___ 8 mos.. 2 wks.. Septicemia__ 8J 9 1 122 33 Irish............ Yes. Weaver... l y r . . . . 4 mos.. Tuberculosis.. 9 7 2 3 14 9 4 123 124 33 .......do......... 33 .......d o .. . . . . Yes. Carder___ 2 yrs... 3 m os.. Tuberculosis(?) Yes. .......do___ ly r . . . . 2 m os.. .......do............. 9 9 7 1 14 16 125 126 33 .......do......... No.. .......do___ 2 yrs... 1 d a y.. Eclampsia___ 33 .......d o ......... Yes. Spinner... l y r ... 2 wks.. *e P n e u m o nia” (?). 6 9 5 3 10 6 127 33 .......do.......... No.. Weaver... 1 w k ... 5 hrs... Placenta praevia. 9 7 11 2 128 31 .......do.......... No.. ...d o ......... l y r . . . . 2 wks.. Septicemia___ 9 4 9 129 31 .......do......... 9 1 3 130 34 French Ca nadian. 32 .......d o ......... No.. Spinner... 1 yr__ 2 wks.. “ Pneumonia” 131 Yes. Cloth room 1 yr___ 5 hrs... Placenta praevia. No.. Carder___ 2 yrs... 2 wks.. Septicemia___ 1 Not reported. 9 3 3 9 17 17 m i m tables. 311 COMPLICATIONS, PROLIFICACY, AND ECONOMIC CONDITION OF TIVES WHOSE PREGNANCY HAD ENDED WITHIN 9 MONTHS BEFORE Number of children. Number of— In- • come' Hy: of |Rent igiemc. per i con Dead' fam-1 i ly » week: Occu dition. Liv un per pants. Rooms. ing. der 1 week;; year. Remarks. Casa No. of de ced ent. AGE GROUP 25 TO 8»: 1TGNOPERATIVES—Concluded. Bad... Bad.,. Marriage at 15; prolificacy.................................. 105 106 Fair- 107 1.50 Instrumental delivery; in labor 2 days; inertia; certified ®s “ operative, ” but friend denied she ever worked in milL Poor.. Physician firstealled 4 hours before death; forceps delivery. Bud... Twins; niece died from tuberculosis............... 1.65 1.50 Bad... Bad... Goiter last 2 years................................................ 110 111 1. 40 Bad... Stress; -decapitation of baby; 2 physicians; hus band remarried in 3 months. Fair+ Decedent perfectly well before abortion; “ since husbandTconsented to abortion, physician was not prosecuted” ; husband later killed in run away accident. 112 SI. 75 1.50 2.50 1.65 2. 50 108 109 113 AGE GROUP 30 TO 34: OPERATIVES. 5 3 3 1 $15 $2.10 17 2.00 8 5 5 Fair5 Fair + 15 1.50 2 5 15 2.00 2 4 Fair+ 22 1.50 7 4 Fair+ 18 2.00 5 3 Fair+ 3 1 33 1.40 19 1.50 4 2 3 3 Poor.. Fair+ 2 1 20 2.00 4 .8 Good.. 3 3 1 9 1.65 15 3.00 6 8 3 Fair8 Poor .. 2 2 1 10 Own. 12 2.60 4 3 3 6 3 3 15 1.75 5 3 Fair+ 3 ’ 1 15 1.15 4 3 Poor.. 1 18 2.25 2 4 Fair-f- 20 1.75 5 10 1.50 7 3 Fair- Stress; prolificacy; last 2 children within 11 months. 4 Poor.. Age probably 40; 2 husbands and 17 children in 17 years; first marriage at 15. Last husband died one month after her death. 5 2 3 1 3 10 7 Fair+ Retained placenta................................................ Twins previous parturition; twin brother died from tuberculosis .3 years before. Mother who slept with decedent died from tuber culosis; chronic nephritis 3 years before. Stress; housework after mill; longest pregnancy 7 months. Out of mill at her childbirths never more than 2 months in all; endometritis; hemorrhages ever since miscarriage; had no physician at time of last abortion. Last 5 pregnancies (about 1 yr. apart—the last 9 months); all miscarried at 5 mos., 6 mos.,8 mos., 8 mos.; ether and forceps; never regained con sciousness. 8J months’ baby 2 weeks dead -when stillborn. . . . Instruments; baby 2i years old died 4 months before mother; mother “ died of grief.” Poor nourishment; hard work; children badly clothed and fed; $400 insurance, $400 funeraj. Hemorrhages from lungs..................................... Typhoid fever 6 yrs. before; hard work; stress; ill use; frequent hemorrhages; sister died; tuber culous. Stress; prolificacy........................... ..................... Sister, son, and niece died from tuberculosis; exposure getting up too soon; neuritis one year before. Physician allowed her to bleed 2 days; sudden squirting blood, 2 a.m.; physician arrived 3.30 a. m.; baby born unaided neat day At 4 p. in.; she died 9 p. m.; she begged physician insist ently to take away baby. No physician till 8th day; he syringed instead of curretting. Brother died from tuberculosis same year........... FairFair— 114 115 116 117 118 119 120 121 122 123 124 125 126 127 128 129 130 131 GENERAL TABLES. 312 T a b l e 2 8 . — P A R T U R IT IO N : AGE, RACE, OCCUPATION, O TH E R D ISEASE EACH OF 230 FEM ALE D ECEDENT O P E R A T IV E S DEATH , 1908 TO 1912—Continued. Case No. of de Age. ced ent. Race. Born in U. S. Occupa tion. Period lived after quit ting trade. Period lived after preg nancy ended. AND N O N O PERA Total number of— Mos. Other disease preg complication. nant. Mis Preg Years car nan mar riages cies. ried. AGE GROUP 30 TO 34: OPERATIVES—Concluded. 34 F r e n c h No.. Spinner... 1 yr___ 6 hrs... Eclampsia___ Canadian. 32 .......d o ......... No.. Spooler. . . 2 y rs... 8 days. Septicemia___ 9 133 134 33 . . . . . d o ........ 135 32 136 137 138 33 .......d o ......... No.. Spinner... 7 m os.. 19 days. Septicemia___ 30 No.. Spooler. . . 18 mos. 2 days. Post-partum hemorrhage. 30 .......do.......... No.. .. .do......... 4 mos.. 2 wks.. Septicemia___ 7 1 3 5 139 33 .......do.......... No.. .. .do......... 8 mos.. 1 w k... .......do............. 9 1 8 18 140 141 34 Other races. No.. Spinner... 1 yr---- 4 wks.. Tuberculosis.. 30 .......do.......... No.. Weaver... 7 mos.. 7 mos.. .......do............. 9 3 i 1 4 1 7 142 143 32 .......do.......... No.. Spinner... 2 mos.. 10 days. Septicemia___ 30 .......do.......... No.. Weaver... 1 yr---- 2 days. Hemorrhage.. 9 9 7 2 16 3 7 yrs... 5 wks.. Tuberculosis.. 9 4 10 4 14 132 Yes. .. .do......... 3 mos.. 2 wks.. Internal hem orrhage. Portuguese.. No.. Carder___ 1 y r.... 1 day.. Eclampsia___ 3 7 1 14 4 10 9 6 11 9 .1 1 9 9 6 5 8 7 AGE GROUP 30 TO 34: NONOPERATIVES. 144 34 American... Yes. Spooler, warper tender. 145 33 .......do.......... Yes. 5 days. Post-partum hemorrhage. 9 146 30 .......do.......... Yes. Bookkeep 4 yrs__ 14 hrs.. Extra-uterine er. pregnancy. 1 1 1 4 147 31 .......do.......... Yes. Domestic . 2 mos. 1 day.. Malpresentation. 31 English....... No.. Weaver... 7 yrs... 6 mos.. Pneumonia.. 34 .......do.......... No.. .. .do......... 10 yrs.. 1 hr___ Eclampsia. .. 9 1 8 8 9 7 7 4 9 9 12 9 9 2 10 6 15 10 152 34 .......do.......... Yes. Spooler... 15 yrs.. 1 w k... Septicemia___ 31 .......do.......... No.. Spooler, 10 yrs.. 2 days. Eclampsia___ warper tender. 33 Irish............ Yes. Carder___ 13 yrs.. 3 m os.. Apoplexy__ 6 3 153 34 .......do......... Yes. Weaver... 3 y rs... 5 hrs... Hemorrhage . 7 154 155 34 .......do......... 32 .......do......... No.. ...d o ......... 6 yrs.. Yes. C l o t h 18 yrs. room. 9 9 156 34 .......do......... Yes. Weaver... 12 yrs.. Valvular heart disease. 157 34 .......do......... Yes. Domestic.. 9 -yrs... 8 days.. Septicemia___ 148 149 150 151 1 hr__ .......do........... 1 hr__ Eclampsia — 10 13 13 18 1 6 1 11 4 7 1 4 12 9 1 3 9 313 G ENERAL TABLES. COMPLICATIONS, PROLIFICACY, AND ECONOMIC CONDITION OF TIVES WHOSE PREGNANCY HAD ENDED WITHIN 9 MONTHS BEFORE Number of children. Dead Liv un ing. der 1 year. Number of— In come Hy of Rent gienic fam per con ily week. Occu dition. per pants. Rooms. week. Remarks. Case No. of de ced ent. AGE GROUP 30 TO 34: OPERATIVES—Concluded. 5 2 $20 $2.10 7 5 Fair— Physician engaged before labor............................ 132 2 1 16 1.75 4 133 3 3 13 1.75 5 15 1.25 9 18 2. 75 11 1.50 10 4 5 Fair— Sister-in-law died from tuberculosis; same tene ment. 4 Fair- Hemorrhage about 3 weeks at each birth; this time it stopped suddenly (internal hemorrhage). 3 Bad... Mitral stenosis; physician engaged but no exami nation made. 6 Fair— Prolificacy............................................................ 4 Fair— Prolificacy; poverty............................................. 5 Bad... Windowless bedroom; fell downstairs two months before. 4 Bad... uTuberculosis infection from brother-in-law ’ ’ ; prolificacy; had saved $55. 3 Bad 4 Poor.. Stress; back to mill 2 days after miscarriage; cervical glands tuberculous; glands removed 4 months before death; had 4 boarders. 5 Fair- Hat factory first 14 years of work........................ 4 Bad... Never strong after first birth; weaving was very hard for her. 138 1 1 2 5 3 1 1 12 1.25 3 1 7 10 1.00 3 2 1 12 1.50 18 1.50 4 8 5 2 2 18 Own. 12 1.25 8 10 134 135 136 137 139 140 141 142 1*3 AGE GROUP 30 TO 34: NON-OPERATIVES. 4 2 2 S12 S3.50 6 5 Fair+ 30 Own. 5 8 Fair+ 15 2.50 2 5 Fair+ 3 10 2.00. 4 6 Bad... 4 1 1 10 2.50 10 1.65 7 3 5 Fair+ 3 Fair+ 6 3 2 3 12 1.50 10 1.25 8 5 4 Bad... 4 Poor.. 6 1 21 3.00 8 6 Fair-j- 8 5 14 1.75 10 5 Fair- 5 1 19 2.00 35 Own. 8 2 5 Fair— 6 Good 3 30 3.25 5 5 Good 2 20 2.50 4 5 Fair+ 4 Sister died from tuberculosis; profuse hemorrhage of lungs 2 months before baby born; no operaative intervention at 7 months; stress; poverty; very saving on food; last words to her mother: “ I wish I had followed your advice and eaten more.” Certified as “ heart failure” ; dropsy throughout pregnancy; fatal hemorrhage 2 days after birth 144 Left tubal pregnancy first diagnosed appendici tis; high pulse; operation delayed 9 a. m. to 3 a. m. (for pulse to go down); though after con sultation physician knew patient was bleeding to death at 10p.m., delayed operating; she died at 3 a. m. Negress; taken to hospital—baby half born; malpresentation. “ Typhoid pneumonia” 1 week............................ Csesarean section; eclampsia at about 7 months each pregnancy after first; three years before, physician warned that next pregnancy would probably be fatal. Forceps delivery; prolificacy................................ Physician examined patient 2 months before, but not urine; no instruments; no sweating; died in 2 days after birth. Melancholia; stress; prolificacy. Physician in terrupted last 2 pregnancies. Prolificacy. 13 in 16 years. Husband says her age was 38-40. Died before medical aid arrived at midnight...... Appendicitis at 30; version done; exsanguinated ‘‘ air hunger” ; ruptured uterus (?); morphine given. Sciatica 8 years before; physician wished to empty uterus by Csesarean section. Operative interventions prevented by husband, who alleged his religion on no account allowed it. Ethfer 3 hours; destructive operation 2 preceding children—both maimed by the forceps in ex traction. 146 145 147 148 149 150 151 152 153 154 155 156 157 GENERAL TABLES. 314 2 8 . — PARTURITION: AGE, RACE, OCCUPATION, OTHER DISEASE EACH OF 230 FEMALE DECEDENT OPERATIVES AND NONOPERA DEATH, 1908 TO 1912—Continued. T a b le Case No. UX de Age. ced ent. Race. in Occupa tion. U .S . Period lived after quit ting trade. Period lived after preglndecf Total | number of— | Mos. Other disease complication. preg nant. Mis Preg Years] car nan mar-a riages cies. riedJ 1 AGE GROUP 30 TO 34: NON OPERATIVES—Concluded. Tuberculosis.. Canadian. 3 6 14 9 14 ! 6 15: 13; 159 __ do.. No.. Carder___ 11 yrs.. 9 mos.. Liver disease.. 9 160 ___d o .. No.. ...d o....... 10 y rs.. 3 mos.. Appendicitis.. 9 161 ___do .. Yes. ...d o....... 9 1 6 162 163 ....d o .. ___do.. 9 3 1 5 5 164 ....d o .. 3 yrs... 10 days. “ P n e u m o nia” (?;. No. ...d o........ 5 yrs... 1 d a y .. Eclampsia___ No.. Weaver... 8yrs... 1 w k.. S ep ticem ia (abortion), i No.. Spinner.. 8 yrs... 1 day.. Hemorrhage... 1 3 15! 16! 9j 1 4 5 2 3 1 1 8 2 11 2 5 7 165 33 .......do. 166 32 ....d o . 167 168 ___do. ___do. 169 30 .......do. No.. Dept .store 5 y rs.... 8 hrs... Eclampsia___ clerk. Yes. M u s i c teacher. Yes. Nurse...... No. 3 yrs... 3 wks. Septicemia.... 2 yrs... 2 wks. Embolism. 1 d a y .. Eclampsia.. Yes. Bottler.... 7 yrs... 3 mos.. ‘ R h e um atism.” No.. Hatband 8yrs... 1 w k ... Septicemia.. maker. No.. Seamstress 2w ks.. 1 w k ... “ Dropsy” . . 170 .......do......... 171 .......do......... 172 | .....d o ......... No.. Domestic.. 2 yrs... 12 days. Placenta prsevia. Portuguese.. No.. 1 d a y .. ___ do............ 173 174 175 176 34 ........ do........ No.. H a t fac tory. Other races.. No.. ....d o ......... No.. 177 178 179 180 39 37 38 37 5 1 1 7 yrs... 4 hrs... Post-partum hemorrhage. 1 w k.. Septicemia__ i 2 wks. ........do___ 2 8 11 • 16 3 7 4 11 6' 9 3 4 6 10 AGE GROUP 35 TO 39: OPERATIVES. American... English....... Irish ............ .......do.......... Y qs. W eaver... Yes. .......do....... No .......do....... No.. .......do....... 2 m os.. 1 w k ... 2 yrs. . . 2 yrs. . . 2 hrs. . . 6 days.. 6 wks.. 1 day... 9 9 9 4 182 Eclampsia... ...... do.......... Cancer........ Pernicious vomiting. 38 French Ca No.. Spinner... l y r . . . . 9 m os.. Nephritis.... nadian. 38 .......do.......... No.. .......do....... 1 mo. . . 1 day... Typhoid fever. 183 38 ...... do.......... Yes. Spooler__ 7 m os.. 1 w k ... S.epticemia__ 9 184 37 Portuguese.. No.. Carder___ 3 m os.. 2 days.. Tuberculosis.. 9 181 1Not reported. 1 1 5‘ 23 8 • 16 6 20 7 11 9 7 5 1 0 13 22 7 22 . 3 13 315 GENERAL TABLES. COMPLICATIONS, PROLIFICACY, AND ECONOMIC CONDITION OP TIVES WHOSE PREGNANCY HAD ENDED WITHIN 9 MONTHS BEFORE Number of children. Dead Liv un ing. der 1 year. Number ofIn come Hy of Rent gienic fam per con ily week. Gccu- Rooms dition. per pants. week. Case No. Remarks. t>i de ced ent. AGE GROUP 30 TO 34: NONOPERATIVES—Concluded. 3 2 4 $13 $1.85 6 4 Fair+ 158 159 43 Own. 2 6 6 15 2.25 8 7 5 12 : 1.75 7 4 4 1 6 8 4 7 2 12 1.80 8 : I1) i 13 3.00 ; 10 7 3 20 2. 25 ; 5 4 5 3 1 1 25 ! 3.25 5 6. 1 1 40 ; 6.00 10 1.50 2 11 2 1 15 Own. 8 Certified as * congestion of liver” ; sister and brother died from tuberculosis, and she herself was in the city tuberculosis hospital 7 ifloriths before she died. Good Not improbably ulcer of stomach or nervous dys pepsia. Fair+ Rupture of gall bladder; delayed operation 2 to 3 weeks. Fair— Not improbably septicemia; sister died from tuberculosis. Fair+ Good Ectopic gestation about 2 to 3 months; domestic last 9 months; roomed with the family. Fair-f- No fever; no cough; no chill. (Not improbably abortion. Certified as “ pneumonia.” ) Physi cian gave medicine and did not see her again until she was dead. '“ She bled half an hour; bed full of blood.” Fair+ $12 clerk, dry goods; Consulted physician 3 or 4 weeks before death for persistent headache; no examination of urine. He said: “ Oh, you’ll be all right,” Next physician emptied uterus when nurse called nim, but was too late. Fair+ Nurse. Physician applied forceps...................... 161 162 163 164 165 166 7 Excel. Not improbably fall due to hospital neglect........ 5 Fair— Prolificacy; 7 babies in 7 years; i n t e r v a l s — months: 10,11,17,12,9,56. First 6 are living; 7th miscarried at 3 months; last premature at 7-8 months. 8 Good Sister says decedent had 3 Children in first 4 years after marriage and became discouraged. She took all sorts of abortifacients and bathed while menstruating. She was so strong she thought she could do anything. 2 abortions in last three years; husband a bartender. 6 Fair- First miscarriage at 5 months............................. . 167 168 171 1 15 Own. 10 5 6 10 1.40 7 3 Poor 2 1 9 2.00 4 6 Fair- 9 1.50 5 3 Poor 3 160 3 3 7 1.75 5 4 Poor 2 3 1 1 9 1.50 7 1.75 10 5 5 Bad 5 Poor Boy; hip disease in hospital; “ husband drunk ard ’ ’ ; prolificacy; stress; sewed night and day; insurance lapsed 2 months—buried a pauper. Uterine hemorrhage 12 days; domestic 10 years.. Forceps delivery; ether; she had a convulsion 2 months before; physician attended; did not induce labor then. “ Midwife’s case” —retained placenta................ . 169 170 172 173 174 175 176 AGE GROUP 35 TO 39: OPERATIVES. 4 6i 6 6 2 6 1 $20 20 40 18 $1.95 2. 50 3.00 2.25 5 8 8 8 4 Fair— “ A great drinker” ; cough 2 years; emaciation.. 5 Fair+ Stress............................................................... 6 Good Rheumatic fever 8 years before........................ 7 Fair+ Prolificacy; stress; pernicious vomiting........... 177 178 179 180 10 1.75 8 4 Fair+ 181 7 1.75 6 4 5 5 18 1.75 7 3 4 14 1.75. 5 Prolificacy............................................................ Fair— Single; “ abortifacient given surreptitiously by | 182 man with whom she lived.” I 3 Poor Forceps; prolificacy; 12 children in 17 years; 7 183 years between last 2; husband said: “ I didn’t work her much, though she kept wanting to go into the mill.” She was always feeble during pregnancies. 4 Poor Husband remarried in one week; appears tuber 184 culous. 316 GENERAL TABLES. PARTURITION: AGE, RACE, OCCUPATION, OTHER DISEASE EACH OP 230 FEMALE DECEDENT OPERATIVES AND NONOPERA DEATH, 1908 TO 1912—Continued. T a b le 2 8 . — Case No. of de Age. ced ent. Race. Born in U. S. Occupa tion. Period lived after quit ting trade. AGE GROUP 35 TO : Total number of— Period lived after Other disease Mos. preg complication. preg nant. Mis Preg Years nancy car nan mar ended. riages cies. ried. NONOPERATIVES. 187 7 m os.. Cancer............ 35 American__ Yes. 2 w ks.. 2 w ks.. Extra-uterine 37 .......do.......... Yes. Washer woman. pregnancy. 35 English....... No.. Weaver... 9 y rs... 1 m o ... Eclampsia...... 5 188 38 .......do.......... No.. Spooler__ 7 yrs... 2 w ks.. Septicemia___ 3 189 190 36 .......do.......... Yes. Carder---- 8 yrs. . . 1 day... Eclampsia...... 35 .......do.......... No.. Hotel dish 1 yr---- 5 days.. Pneumonia— washer. 36 Irish............ No.. Cloth room 6 yrs__ 16 days.. Embolism...... 9 6 185 186 191 192 193 35 .......do.......... Yes. Cottonmill, 10 yrs-. 2 days.. Eclampsia...... workr’m. 10 days. 1 w k ... Extra-uterine 39 .......do.......... Yes. Jewelry pregnancy. shop. 9 2 3 16 16 9 9 14 3 1 Domestic.. 13 yrs.. 4 days.. Septicemia__ Cloth room 18 yrs. . 3 m os.. Tuberculosis.. 9 9 13 18 196 197 35 .......do.......... No.. 37 French Ca Yes. nadian. 39 .......do......... No.. 38 .......do.......... No.. Weaver__ 18 yrs.. 6 mos.. .......do............ Spinner... 15 yrs.. 9 m os.. .......do............. 9 9 18 19 198 39 .......do.......... No.. Weaver__ 12 yrs. . . 10 w ks.. Pneumonia__ 9 12 199 39 .......do.......... No.. Spinner... 18 yrs. . . 17hrs... Embolism...... 9 18 200 37 .......do.......... No.. .......do....... 18 yrs. . . 9 days.. Strangulated hernia. 9 19 201 202 9 9 11 23 203 35 .......do......... Yes. Weaver... 10 yrs.. 11 days. Septicemia---39 ...... do.......... No.. Spinner... 7 yrs... 1 day... Malpresentation. 37 ...... do.......... No.. Domestic. 16 yrs.. 10 days. Septicemia__ 1 16 204 205 206 207 208 36 35 .39 37 38 9 6 9 9 9 15 16 20 23 20 209 210 Embolism...... Tuberculosis.. Typhoid fever. .......do............. Malpresentation. Septicemia.. . 1 wk__ ...... do.......... No 39 39 ...... do.......... No.. Dressmaker 20 yrs.. 1 hr----- Embolism...... 9 8 0) 21 211 212 36 ...... do.......... No 39 ...... do......... No 7 days.. *‘Pneumonia”(?) 1 hr*.. . . Eclampsia---- 9 7 17 12 213 5 hrs__ Post-partum __ do.......... No hemorrhage. 4 days.. Embolism...... 35 ...... do.......... No 39 Other races . No.. Carder___ 4 yrs... 7 mos... Tuberculosis.. 7 wks... “ Heart d i s .do......... No 35 ease.” 2 mos... do......... No 35 3 wks... Septicemia---39 ...... do.......... No 9 14 9 9 9 15 13 11 194 195 214 215 216 217 218 .......do......... Portuguese.. ...... do.......... ...... do.......... ...... do.......... No No No No.. Carder---- 10 yrs.. No.. Spooler... 7 yrs... 3 days.. 1 day... 7 mos... 4 wks... 1 hr___ 35 1 Not reported. 9 9 317 GENERAL TABLES. COMPLICATIONS, PROLIFICACY, AND ECONOMIC CONDITION OF TIVES WHOSE PREGNANCY HAD ENDED WITHIN 9 MONTHS BEFORE Number of children. Dead Liv un ing. der 1 year. Number of— In come Hy of Rent gienic fam per con week. ily dition. Occu per pants. Rooms. week. Remarks. AGE GROUP 35 TO 39i NONOPERATIVES. $20 $4.50 10 1.75 Good Poor 25 2.50 Fair+ 18 1.75 Poor 15 2.50 12 1.50 Fair— Fair- 17 1.75 Fair-f 12 2.35 Fair- 7 4.50 Good 2.50 1.75 Fair+ Fair+ 2.50 1.40 Poor Fair— Since marriage lived in Canada; got cold after childbirth; overwork, exposure, poverty; used to work in garden 2 miles from house; came to Fall River to regain health. Fair-t- Father, 2 brothers and a sister died from tuber culosis; a nephew now has tuberculosis. Fair- Forceps; sick during last three pregnancies; pro lificacy. Fair+ Hernia from fall 6 months before; no operation until 5 days after severe abdominal pain and intestinal obstruction. Fair— Boil on arm........................................................ . Poor.. Craniotomy; ether 3 hours; 3 physicians; prolifi cacy. Poor. Physician summoned second day after abortion; said patient would probably die; medicines; no curetting; treated her 18 days. Fair— Prolificacy; insurance, $1,500; funeral, $300....... Poor.. Last marriage 2 years before death..................... Bad... Bad... Married at 14; fly-infested rooms; dark bedroom. Poor.. Craniotomy; ruptured uterus; hemorrhage....... . 2.50 2.50 Own. 2.00 2.25 10 1.75 1.50 1.25 2.00 2.00 1.75 1.00 Own. Bad.. Bad.. 1.00 1.50 Poor. Poor. 1.50 Bad.. 12 Own. 13 1.85 8 2.00 12 2. 25 1.50 Three relatives died from tuberculosis................ Stress; “ she killed herself working husband sick. Eclampsia in previous pregnancy and nephritis 1 year; recovered; good health next 5 years; next pregnancy at 5months began to get blind; consulted physician every week of last preg nancy. Prolificacy; physician, instead of curetting, ga\e medicine to expel retained placenta, and left on second day, telling patient she was all right; never called again. Three brothers and 2 sisters died from tuber culosis. Stress; prolificacy; poverty; “ dropsy 5 years” ; children very bright and well-mannered. Boarding with sister winters, last 7 years; a solderer in jewelry shop; 5 months married; de layed operation; wrong diagnosis. Forceps; no curetting; 2 physicians.................... Last 5 years drank to excess............................... Abed during whole pregnancy............................ Forceps; stress; worked very hard; used to work in garden at 4 or 5 a. m; very capable manager; prolificacy; 14 pregnancies in 21 years; hus band remarried in 1 month. Poverty; bad food; insurance, $310..................... Forceps and ether; physician summoned after labor began; second marriage 2 years before. Poor. Bad.. Poor. Tuberculosis hospital. Poor. Fair- Mammary cancer; insurance, $1,000; funeral, $75. Forceps; French Canadian physician at first for 2 weeks. 318 GENERAL TABLES. 2 9 .— P A R T U R IT IO N : AG E, R A C E , O CCU PATION, O T H E R D ISE A SE EACH O F 230 FEM ALE D E CE D E N T O P E R A T IV E S AN D NON O PERA D E A TH , 1908 TO 1912—Concluded. T able Case No. of de Age. ced ent. Race. Born in U.S. Occupa tion. Period lived after quit ting trade. Total number of— Period lived after Other disease Mos. complication. preg preg nant. Mis Preg Years nancy car nan mar ended. riages cies. ried. AGE GROUP 40 TO 44: OPERATIVES. 219 220 40 French Ca No.. Weaver... 1 yr....' 1 wk__ Tuberculosis.. nadian. 40 .......do.......... No.. ...d o......... 6 mos.. 9 hrs__ Placenta praevia. 9 9 4 1 12 0) 16 AGE GROUP 40 TO 44: NONOPERATIVES. 40 English. No.. Weaver. 3 yrs.. 2 days . “ Exhaustion’ 9 13 20 No.. Spooler.. No.. 9 yrs.. 1 day... Pneumonia... 2 mos... Pleurisy......... 9 9 5 8 10 20 224 Irish........... French Ca nadians, .......do......... 11 24 .......do......... .......do......... No.. Spinner... 24 yrs .. 3 mos... Lung embol ism. 4 mos.. Nephritis....... No, No.. Weaver.. 19 yrs. 4 days.. Typhoid fever 9 225 226 13 5 25 19 227 228 229 .......do......... No.. Spooler.. .......do......... No.. Portuguese.. No.. Spooler.. 20 yrs . 230 Other races.. No.. Carder... 5 yrs. - 221 222 223 7 3 1 1 6 wks.. Cancer........... 3 days.. Eclampsia---10 yrs . 8 m os... Cancer.......... 9 9 9 10 10 4 17 24 11 5 hrs. .. Hemorrhage . 9 5 18 1Not reported. GENERAL, TABLES. COM PLICATIONS, P R O L IF IC A C Y , AN D ECONOMIC CO N D ITIO N OF T IV E S W HOSE P R E G N A N C Y H AD EN D E D W IT H IN 9 MONTHS B E FO R E Number of children. Number ofIn come Hy of Kent gienic per con Bead fam week. ily dition. Liv un per Occuing. der 1 week. pants. Rooms. year. Remarks. Case No. of de ced ent. AGE GROUT 40 TO 44: OPERATIVES. 7 4 $12 $1.00 2 4 Bad... Husband died from tuberculosis 5 months later.. 219 4 20 2. 75 8 5 Fair+ 220 Stress; worked 5 a. m. to 10.30 p. m.; prolificacy.; 12 in 14 years; in mill first 5 months of preg nancy; returnedi;omill 2 months after each baby. AGE GROUP 40 TO 44: BTOKOPERATIVES. 9 $15 $2.10 5 5 7 1 13 1.75 20 3.00 7 9 9 1 3 7 4 9 8 4 5 1 40 3.50 11 30 3.50 20 3.50 8 7 16 Own. 35 3.50 14 Own. 11 10 7 7 1.50 7 4 Fair+ Stress; prolificacy; underdevelopment; 4 feet 5 inches; 1 year a weaver. 3 Fair- Mitral regurgitation....................... ..................... 6 Fair + , Cough; night sweats; emaciation; hemorrhages from lungs. 7 Good... Abdominal pain since birth of baby; died while laughing. 7 Fair-i6 Fair-f- 2 French physicians advised against interrupting pregnancy. 5 Fair+ Prolificacy........................................................... 7 Fair-i 3 Fair- Excision of cancer of breast 2 years before. Ar thritis at 39. 4 Bad... Ignorance of midwife........................................... 221 222 223 224 225 226 227 228 2 9 .—PAR TU RITION : FEM ALE DECEDENTS DYIN G NOT EXCEEDING 9 MONTHS AND NOT EXCEED IN G 30 DAYS AFTER PREGNANCY HAD ENDED, B Y OCCUPATION AND B Y DISEASE COMPLICATION, 1908 TO 1912. 320 T able Women dying after pregnancy had ended, not exceeding— 9 months. Complications. 30 days. Operatives. Operatives. Total Carder. Spinner. Spooler. Weaver. Others. oper atives. 9 4 1 8 1 2 1 1 ' ‘ Eiver disease ” ............................... Hernia............................................. Goiter............................................ Apoplexy......................................... Heart disease................................... Nephritis......................................... Total............................................. 10 1 1 15 1 2 8 1 1 1 1 1 i 1 39 19 3 4 4 8 1 1 1 1 1 1 2 12 3 3 4 3 1 4 2 1 12 1 6 1 1 1 18 9 13 1 56 48 4 10 5 3 4 11 24 i 23 3 121 19 6 3 5 3 4 2 1 1 Total oper atives. 1 3 4 3 11 Nonoper atives. 5 2 6 1 1 1 TABLES, 11 1 2 1 Weaver. Others. GENERAL INCIDENT TO PREGNANCY. Infections: Tuberculosis.................................... Cancer.............................................. Typhoid fftvp.r and “ fintori tip” _____ Pneumonia...................................... Scarlet fever..................................... *Pyosalpingitis.................................. Rheumatism.................................... Noninfections: Nonoper* atives. Carder. Spinner. Spooler. 21 16 24 121 19 6 CONSEQUENT UPON PREGNANCY. Eclampsia.............................................. Septicemia............................................ Embolism.......................................... Hemorrhage, including placenta praevia Extra-uterine pregnancy....................... Malpresentation..................................... “ Exhaustion” and “ shock” .................. Burns................................................ Suicide.............................................. Unspecified....................................... 3 6 8 1 2 4 1 8 1 1 1 1 1 6 9 3 3 2 1 8 1 3 4 2 1 4 1 1 1 1 1 11 14 12 20 4 61 65 11 14 Grand total.................................. 26 32 21 33 5 117 113 15 24 >Including one case complicated also with probable tuberculosis. 123 3 8 1 1 Total............................................ 14 2 9 3 3 2 1 1 1 12 20 4 61 65 15 1 24 4 82 81 T a b le 3 0 -—PARTURITION: FEMALE DECEDENT OPERATIVES AND NONOPERATIVES DYING NOT EXCEEDING 9 MONTHS AND NOT EXCEEDING 30 DAYS AFTER PREGNANCY HAD ENDED, BY RACE AND AGE GROUP, 1908 TO 1912. Women dying not exceeding 9 months after pregnancy had ended. Age and occupational groups. Ameri can. English. Irish. French Canadian. Portu guese. Other races. Women dying not exceeding 30 days after pregnancy liad ended. All races. 19—Bull. 251- 15 to 19 years: Operatives....... Nonoperatives. 12 Total.. 15 12 Irish. French Canadian. Portu guese. Other races. 18 5 23 36 25 to 29 years: Operatives....... Nonoperatives. 23 18 62 23 27 63 20 Total.. 35 to 39 years:. Operatives...... Nonoperatives. 13 Total.......... . 15 to 44 years: Operatives...... Nonoperatives. .6 25 36 50 42 10 31 117 113 15 82 81 230 14 43 15 163 321 50 10 34 Total............ 40 to 44 years: Operatives...... Nonoperatives. TABLES. 16 Total.. 30 to 34 years: Operatives...... Nonoperatives. Total.............. All 10 1 10 10 Total.. English. GENERAL 20 to 24 years: Operatives....... Nonoperatives. Ameri can. 30 DAYS AFTER PREGNANCY HAD ENDED, B Y RACE AND B Y DISEASE COMPLICATION, 1908 TO 1912. 322 T able 3 1 .—PARTURITION: FEMALE DECEDENTS DYING NOT EXCEEDING 9 MONTHS AND NOT EX CEED IN G WOMEN DYING NOT EXCEEDING 9 MONTHS AFTER PREGNANCY fiAD ENDED. Those having pregnancy or parturition not intimated on death certificate. Total. Complications. Ameri can. INCIDENT to PREGNANCY. Infections: . Tuberculosis.................................. Cancer................. . ... 7 1 6 8 1 1 3 3 1 Pyosalpingitis Rheumatism Noninfections: Appendicitis........... ‘‘ Liver disease” .. . Hernia................... Goiter........................ Lung embolism. Apoplexy.............. Heart; disease............... Nephritis..................... >Total......................................... Irish. 1 2 French Cana dian. 17 1 2 4 Portu guese. 15 1 2 5 1 All races. 5 1 1 1 1 1 1 1 1 1 Other races. 1 1 58 5 6 16 1 1 1 Ameri English. can. 6 1 6 1 2 10 104 7 12 1 8 i 45 l 42 9 17 1 1 1 3 33 26 6 2 110 4 9 4 1 5 13 13 6 4 6 111 2 2 French Cana dian. 16 1 2 2 Portu guese. 15 1 2 5 1 Other races. All races. 5 1 1 1 1 1 2 1 1 1 14 28 26 10 2 1 2 3 3 2 2 2 1 12 55 5 6 13 1 1 1 1 1 1 1 15 3 1 2 1 1 1 1 1 4 15 1 1 13 7 1 1 1 *2 8 Irish. 15 97 CONSEQUENT UPON PREGNANCY. Eclampsia...... ..................................... Septicemia............................................. Embolism.............................................. Hemorrhage.................................... Including placenta prsevia . Extra-uterine pregnancy. . .. Malpresentation . . ‘ ‘ Exhaustion ’f and ‘ ‘ shock ” .......... Burns.......................................... Suicide..................................... Unspecified................................. 1 1 2 1 1 2 1 1 2 4 3 1 11 2 .4 a 1 1 3 3 1 1 2 1 1 1 1 1 Total........................................ 12 18 21 38 25 12 126 3 7 5 10 3 2 30 Grand total................. ................ 20 31 36 70 51 22 230 10 19 19 38 29 12 127 GENERAL, TABLES. Pneumonia..................... English. WOMEN DYING NOT EXCEEDING 30 D AYS AF TER PR EGNANCY H AD ENDED. Those having pregnancy or parturition not intimated on death certificate. Total. Complications. Ameri can. English. Irish. French Cana dian. Portu guese. Other races. All races. Ameri can. English. Irish. 17 3 12 1 1 2 French Portu Cana guese. dian. Other races. All races. INCIDENT TO PREGNANCY. Total............................................ 2 1 3 1 3 1 3 6 i 10 7 1 4 1 1 10 3 1 1 1 1 2 3 37 1 2 6 1 111 8 i 45 142 29 17 1 1 3 1 7 1 1 12 2 2 1 7 1 4 1 1 1 1 1 1 1 1 1 3 30 1 6 6 12 14 3 9 CONSEQUENT UPON PREGNANCY. Eclampsia.............................................. Septicemia............................................. Embolism 2............................................ Hemorrhage.......................................... Including placenta prasvia.............. Extra-uterine pregnancy....................... Malpresentations................................... “ Exhaustion" and “ shock” ................. Burns..................................................... Suicide................................................... Unspecified............................................ 2 4 1 9 4 13 13 1 26 2 2 4 2 1 1 1 2 1 1 1 2 4 3 1 5 3 1 1 2 1 3 23 2 2 1 10 2 *5 7 4 3 3 3 1 1 _______ i_____ 1 1 1 1 2 1 1 1 1 1 Total............................................ 12 18 21 38 25 12 126 3 7 4 11 3 2 30 Grand total................................... H 21 28 48 37 15 163 4 9 10 17 15 5 60 1Including one case complicated also with probable tuberculosis. * Including 1 criminal abortion, elsewhere scheduled under “ violence," judicially “ manslaughter.” 323 TABLES. 2 3 2 3 GENERAL Infections: Tuberculosis.................................... Typhoid fever.................................. Pneumonia...................................... Noninfections: Appendicitis.................................... Hernia............................................. Goiter.............................................. Heart disease................................... G EN ERAL TABLES. 324 32 . —POPULATION, DEATHS, AND DEATH HATES PER 1,000 FROM DISTRIBUTION OF DEATHS, FOR OPERATIVES BY WORKROOMS, T a b le [Workroom death rates in the first study were for all ages only. To link that investigation with this corrected by the certifying physician, the deaths from that study have been transferred to this one, each workroom age-group death rates for the early study have been estimated herein by assuming that the 1913 special mill census to obtain for this study, obtained also for that of 1905 to 1907.] PO PULATION, D EATH S, AN D D EATH RATES PER 1,000. Occupational and workroom groups. Males: Deaths due to— T l'Talo jviaie Nephri popu Nontu Cancer All lation Accident tis, apo Ty ma Tuber berculous All other or vio plexy, or phoid (all respira in lignant culosis. causes. causes. tory heart fever. growths). 1908 lence. disease. and diseases. 1913. No. jRate No. |Rate No. Rate No. Rate No. Rate No. Rate No. Rate No. Rate AGE GROUP 15 TO J OPERATIVES. Picker and card roc ms: 1905 to 1907... 1908 to 1912.... Spinning room: 1905 to 1907 . 1908 to 1912.... Spooler and slash er rooms: 1905 to 1907.... 1908 to 1912.... Weave room: 1905 to 1907.... 1908 to 1912.... Cloth room and miscellaneous: 2 1905 to 1907.... 1908 to 1912.... All operatives: 1905 to 1907.... 1908 to 1912.... All nonoperatives: 1905 to 1907.... 1908 to 1912.... Total, all classes: 1905 to 1907.... 1908 to 1912.... 519 613 1,583 1,868 1 0.64 3 .98 4 3 .84 .32 (x) 2 0.65 3 0.63 0) 5 .54 2 373 440 .21 2 0.21 1 .46 4 .78 2 .20 1 8 .20 0) .80 3 165 195 1 2 1 0) 1 4.342 5,124 10 8 .77 .31 6 14 .46 0) .55 9 .35 5,874 6,616 4 14 .23 .42 17 12 .96 0) .36 8 .24 10,216 11,740 14 22 .46 .38 23 26 .75 0) .44 17 .29 1,702 2,003 4 1.30 14 2.95 17 1.82 2 .91 10 1.96 15 1.50 .30 3 3 2 2 .08 .03 27 2.07 41 1.60 1 0.64 4 1.31 2 1.28 15 4.89 3 .64 12 1.29 27 5.69 45 4.82 1 .19 1 .10 8 1.57 7 .69 24 4.70 36 3.59 2 3 1 11 6 2 a. 65 3 4 .63 .43 1 .45 6 8 .46 .31 4 1.82 15 1.15 64 4.91 24 .94 106 4.14 20 1.14 4 .23 33 1.00 10 .30 14 20 .79 .61 47 1.53 74 1.26 29 44 .94 123 4.01 .75 203 3.46 10 18 .33 .31 59 3.35 97 2.93 AGE GROUP 25 TO 34. OPERATIVES. Picker and card rooms: 1905 to 1907__ 1908 to 1912__ Spinning room: 1905 to 1907__ 1908 to 1912.... Spooler and slash er rooms: 1905 to 1907__ 1908 to 1912__ Weave room: 1905 to 1907.... 1908 to 1912.... Cloth room and miscellaneous: 1905 to 1907__ 1908 to 1912.... All operatives: 1905 to 1907.... 1908 to 1912.... All nonoperatives: 1905 to 1907.... 1908 to 1912.... Total, all classes: 1905 to 1907.... 1908 to 1912.,.. 751 79G 3 1.33 1 .25 2 0.89 0) 1 0.25 592 627 1 2 1 .56 4 1.28 .56 .64 1 1.61 0) 2 1.82 207 219 1,605 1,701 1 .32 1 5 .21 .59 112 119 1 0.45 4 1.01 1 0.44 1 .25 8 3.55 13 3.27 8 4.51 17 5.42 2 1.13 5 1.59 2 .64 12 6.76 31 9.89 1 1.61 4 6.44 2 1.82 7 1.45 10 1.17 30 6.23 56 6.58 2 3.22 4 .83 0) 1 .12 10 1.17 2 1 0.44 6 1.51 1 0.21 1 .12 14 2.91 23 2.70 4 C1) 3 6 .62 .71 1 1 g .51 .46 10 1.02 0) 16 .92 3 .17 1 .10 1 .06 29 2.96 46 2.66 7 .71 15 .87 10 1.03 62 6.33 13 .75 102 5.89 5,659 6,486 10 .59 35 1.08 17 1.00 0) 24 .74 8 .25 1 2 .06 .06 40 2.36 70 2.16 15 17 .88 .52 25 1.47 108 6.36 32 .99 188 5.80 8,926 9,948 15 .56 27 1.01 0) 43 .87 40 .80 11 .22 2 3 .07 69 2.58 22 .06 116 2.33 32 .82 .64 35 1.31 170 6.35 45 .91 290 5.83 3,267 3,462 5 8 1 Included in “ All other causes.” G ENERAL TABLES. 325 EACH SPECIFIED CAUSE IN EACH AGE GROUP, AND PERCENTAGE AND FOR NONOPERATIVES, 1905 TO 1907 AND 1908 TO 1912. with regard to the more common detailed “ group ” causes of death as officially registered or as subsequently under the corresponding appropriate tabular designation of the present study. Thus roughly comparable workroom distribution of all male and of all female operatives within each age group, known through the POPULATION, D EATH S, AN D D EATH RATES PER 1,000. Females: Deaths due to— Fe male Nephri popu Cancer tis, apo Ty lation Parturi Accident Tuber (all ma or vio plexy, or phoid in tion. lignant culosis. lence. fever. heart 1908 growths). disease. and 1913, No. |Rate No. Rate No. Rate No. jRate No. |Rate No. Rate Nontu berculous respira tory diseases. All other causes. All causes. No. JRate No. Rate No. Rate AGE GROUP 15 TO 24. I | 1,040 1,302 3 0.96 5 .77 3 0.46 2 0.64 0) 1 .15 3 0.46 8 2.57 20 3.07 1 0.32 2 .31 2 0.64 3 .46 16; 5.13 37 5.68 1,599 2,001 3 .62 8 .80 1 .10 2 .42 0) 1 .io 3 .30 10 2.08 34 3.40 6 1.25 4 .40 2 .42 5 .50 23; 4.79 56j 5.60 1,217 1,524 3 .39 1 .27 1 .13 2 . 55 0) 1 .13 11 3.01 22 2.89 2 .54 1 .13 5 1.37 4 .53 21 5.74 32( 4.20 1,715 2,146 3 .58 4 .37 1 .09 5 .97 0) 2 .19 6 .50 8 1.55 25 2.33 1 .20 1 .09 6 1.17 2 .18 23 4.47 41 3.82 1 4 1 .34 13 7 468 586 1 0) 1 1 6 5 6,039 7,559 10 .55 20 .53 1 .05 6 .16 11 .61 0) 11 .29 7 .18 1 0.06 43 2.37 106 2.81 11 .61 8 .21 19 1.05 15 .40 96' 5.30 173 4.58 6,075 5,856 1 .05 4 .14 2 .11 2 .07 10 . 55 0) 12 .41 5 .17 1 .06 19 1.04 35 1.19 6 .33 15 .82 11 .38 54^ 2.96 69 2.36 12,114 13,415 11 .30 24 .36 3 .08 8 .12 21 .58 0) 12 .18 23 .34 2 .05 62 1.71 141 2.10 17 .47 8 .12 34 .94 26 .39 15014.13 242{ 3.61 12 6.13 23 6.43 2 1.02 2 .56 3 1.53 5 1.40 21 10.72 44 12.31 2 0.64 9 5.24 15 4.79 2 1.17 2 .64 3 1.75 2 .64 16 9.32 35 11.18 2 .54 9 4.43 16 4.32 1 .49 3 .81 4 1.97 3 .81 16 7.88 38 10.26 1 .29 2 .32 15 4.38 13 2.08 2 .59 2 .32 5 1.46 7 1.12 34 9.93 47 7.53 AGE GROUP 25 TO 34. 653 715 2 1.02 6 1.68 572 626 1 .58 9 2.87 677 741 2 .99 7 1.89 1,141 1,249 6 1.75 13 2.09 228 2‘19 2 1.02 0) 1 0.28 7 1.96 2 0.64 1 .58 0) 3 .96 6 1.62 0) 1 .27 51.46 0) 10 1.60 4 4 3,271 3,580 11 1.12 39 2.18 2 .11 6,713 7,262 21 1.04 39 1.08 4 .20 5 .14 9,984 10,842 32 .97 78 1. 44 4 .13 7 .13 8 .81 30 1.67 (1)2 .11 16 .80 0) .37 1.02 24 .80 0) 2 .04 67 1.24 1 1 5 3 14 2 .10 7 .39 46 4.69 72 4.02 9 .92 9 .50 15 1.53 17 .96 90 9.17 178 9.94 5 .25 16 .44 39 1.94 60 1.65 12 .60 11 .30 28 1.38 28 .77 125 6.21 196 5.40 6 .20 23 .42 85 2*84 132 2.43 21 .70 20 .37 43 1.54 45 .83 215 7.18 374 6.90 2 Since deaths under this designation also include those of operatives unknown or not reported as to the room wherein they worked, death rates are omitted. 326 G EN ERAL TABLES. T a b l e 3 2 . — PO PU LATION , DEATHS, AND D EATH RA TE S P E R 1,000 FROM D ISTR IB U TIO N OF DEATH S, FO R O P E R A TIV E S BY W ORKROOM S, POPULATION, DEATHS, AND DEATH BATES PER 1,000—Continued. ------------------------------------------------------------------------------------<.------------------------- Males: Deaths due to— Occupational and workroom groups. Male Nephri Nontu Cancer popu All tis, apo Ty All (all ma Tuber berculous lation Accident plexy, or or vio phoid other respira causes. lignant culosis. in tory fever. lence. heart causes. growths). 1908 disease. diseases. and 1913. No. Rate No. Rate No. Rate No. Rate No. Rate No. Rate No. Rate No. Rate AGE GROUP 35 TO 44. OPERATIVES. Picker and card rooms: 605 1905 to 1907__ 588 1908 to 1912__ Spinning room: 332 1905 to 1907.... 323 1908 to 1912.... Spooler and slasher rooms: 168 1905 to 1907.... 163 1908 to 1912.... Weave room: 1905 to 1907.... 1,581 1908 to 1912.... 1,537 Cloth room and miscellaneous: 93 1905 to 1907__ 91 1908 to 1912.... All operatives: 1905 to 1907.... 1908 to 1912.... All nonoperatives: 1905 to 1907.... 1908 to 1912.... 1 0.55 6 2.04 2 1.10 0) 2 .68 3 1.66 2 1.10 14 4.76| 1 .34 2 1.10 2 .68 10 5.51 25 8.50 2 2.01 3 1.85 1 1.00 C1) 4 2.48 6 6.02' 2 2.01 1 .62 7 4.34 1 1 1.99I 2 2.451 2 2.01 1 .62 13 13.05 16 9.91 1 1.23 2 3.97 5 6.13 1 1.98 2 2.45 3 4 .63 .52 4 .85 0) 19 2.47 1 0.13 2,779 2,702 6 .72 14 1.04 8 .96 27 2.00 0) 4,307 5,541 13 1.01 29 1.05 35 2.71 61 2.20 0) Total, all classes: 1905 to 1907.... 7,086 1908 to 1912.... 8,243 19 .90 43 1.04 14 2.95 36 4.69 1 0) 1 1 0.13 3 .39 2 2 i .12 .07 26 3.12 61 4.51 .14 6 4 .46 .15 37 2 . 86 24 1.86 71 2.56 24 .87 .12 7 5 .33 63 2.96 .12 132 3.20 1 .07 4 43 2.02 0) 88 2.14 5 i 4 5 .48 .37 3 7 .63 .91 24 5.06 71 9.24 1 4 3 8 11 .96 53 6.36 .82 120 8.88 26 2.01 141 10.91 40i 1.44 233 8.41 28 1.32 34l 1.60 194 9-13 29 .70 51 1.24 353 8.56 i AGE GROUP 45 TO 54. 1 OPERATIVES. Picker and card rooms: 263 297 1 Spinning room: 225 1905 to 1907.... 255 1 1908 to 1912... Spooler and slashe rooms: 94 1905 to 1907... 106 1 1908 to 1912.... Weave room: 986 1905 to 1907... 1908 to 1912... 1,116 10 Cloth room and miscellaneous: 1905 to 1907.... 51 58 1 1908 to 1912.... All operatives: 1905 to 1907.... 1908 to 1912.... All nonoperatives: 1905 to 1907.... 1908 to 1912... 0.67 6 4.04 1 0.67 6 4.04 .78 2 1.57 1 .78 6 4.71 1.88 2 3.77 1.79 22 3.94 3 1 1.89 1 0.18 6 1.08 1 1 3 2.02 18 12.12 5 3.92 15 11.76 1 1.89 5 .90 1 5 9.43 12 2.15 2 68 12.19 9 .98 7 1.44 25 2.73 .17 20 1.14 28 3.17 35 2.00 .19 29 1.09 35 2.56 213 15.57 60 2.25 ‘ *32 ‘ i.'20 "72 "2.70 353 13.24 1,619 1,832 14 1.53 35 3.82 2 .22 2,940 3,499 24 1.37 82 4.69 3 Total, all classes: 1905 to 1907.... 4,559 1908 to 1912.... 5,331 38 1.42 117 4.39 5 12 2.15 1 0.68 9 i Included in “ All other causes.’! .87 43 8.85 22 2.40 115 12.55 24 1.37 170 19.27 50 2.86 238 13.60 8 327 GEKERAL TABLES. EACH SPECIFIE D CAUSE IN EACH AGE G RO U P, AND PERCEN TAG E A N D F O R N O N O PER ATIVE S, 1905 TO 1907 AND 1908 TO 1912—Continued. POPULATION, D EATH S, AN D D EATH B ATES PER 1,000—Continued. Females: Deaths due to— Fe male Nephri Accident tis, apo Ty or vio phoid lation Parturi plexy or tion. lence. fever. in heart 1908 and 1913. No. Rate No. Rate No. Rate No. Rate Cancer (all ma lignant growths). Tuber culosis. Nontu berculous respira tory All other causes. All causes. No. Rate No. Rate No. Rate No. Rate No. Rate AGE GROUP 35 TO 44. 360 427 1 0.93 209 248 1 1.59 325 385 744 882 1 .91 2 .90 2 .45 7 3.14 0) 17 3.85 2 .45 1 2 5 .96 5 .48 5,839 6,481 9 27 7,585 14 .61 32 .75 8,552 1 0.81 2 2.05 5 2.60 108 129 1,746 2,071 5 4.63 (0 8 3.75 8 6.45 .52 3 1.34 4 1 0.47 .51 .83 2 1.85 1 .47 6 5.56 13 6.09 1 0.92 1 . 46 2 1.61 3 4.79 7 5.65 2 3.19 3 3.08 5 2.59 1 1.02 4 2.08 3 3.08 1 .52 3 1.56 9 9.23 19 9.87 1 .45 7 1.59 7 3.1 3 13 2.95 8 3.58 6 1.37 5 2 .2 4 9 2.04 33 1 4 . 78 60 13.61 1 2 1.85 4 1.87 6 9.57 18 14.52 2 5 1 2 17 15.74 28 13.11 2 .38 3 .29 15 2.86 o 40 3.87 3 .29 7 1.34 15 1.45 17 3.24 39 3.76 14 2.67 8 .77 7 1.34 17 1.64 67 12.79 130 12.55 7 .40 5 .15 36 2.05 0) 70 2.16 6 .19 18 1.03 44 1.36 11 .63 48 1.48 7 .40 9 .28 30 1.72 30 .93 118 6.74 239 7 .3 8 25 1.10 59 1.38 28 1.23 87 2.03 21 .92 17 .40 37 1.63 185 8.13 47 1.10 369 8.63 0.87 19.21 9 - 40 51 2.24 0) 8 .19 110 2.57 9 .21 AGE GROUP 45 TO 54. 158 229 1.75 1.75 4."17 4.'i7 110 159 1.26 7.55 1.26 2.51 2.51 15.00 353 513 2*34 9.35 4* i.*i7 2*73 2L44 990 1.41 42 8.49 4,464 4,801 5,146 5,791 "*25 'i05 4.37 .45 5.0 19 3.84 2.93 1.41 .81 3.03 14.6(5 18.99 0.17 57 2.37 1.27 1.46 i.*29 2.25 188 14.04 292 12.16 . 14 76 2.62 1.49 1.45 2.38 14.12 13.33 G EN ERAL TABLES. 328 3 2 .—POPULATION, DEATHS, AND DEATH RATES PER 1,000 FROM DISTRIBUTION OF DEATHS, FOR OPERATIVES BY WORKROOMS, T a b le POPULATION, D E A TH S, AN D D EATH BATES PER 1,000— Concluded. Males: Deaths due to— Occupational and workroom groups. Male popu lation Accident in or vio 1908 lence. and 1913. Nephri tis, apo Ty plexy, or phoid fever. heart disease. Nontu Cancer All (all ma Tuber berculous other lignant culosis. respira tory causes. growths). diseases. All causes. No. Rate No. Rate No. Rate No. Rate No. Rate No. Rate No. Rate No. Rate AGE GROUP 55 TO 64. OPERATIVES. Picker and card rooms: 1905 to 1907.... 1908 to 1912__ Spinning room: 1905 to 1907.... 1908 to 1912.... Spooler and slasher rooms: 1905 to 1907.... 1908 to 1912.... Weave room: 1905 to 1907.... 1908 to 1912.... Cloth room and miscellaneous: 1905 to 1907.... 1908 to 1912.... 99 121 9.92 3 4.96 1 1.65 6 10 18.69 3 5.61 3 5.61 5 9.35 6 1 4.76 1 4.76 .98 6 87 107 34 42 2 9.52 1 4.76 333 408 3 1.47 22 10.79 21 26 2 2 2 1 9.92 3 4.96 19 31.41 11.21 27 50.47 2 9.53 3 14.29 10 47.62 3 1.47 5 2.45 17 8.33 52 25.49 2 1 4 12 All operatives: 574 1905 to 1907__ 704 1908 to 1912__ All nonoperatives: 1905 to 1907__ 2,092 1908 to 1912.... 2,416 41 11.65 10 2.84 5 2.90 10 2.84 17 1.41 189 15.65 29 2.40 15 2.39 239 38.08 29 2.40 **35 *2.48 "64 *5.30 358 29. 64 Total, all classes: 19C5 to 1907__ 2 ,6 6 6 1908 to 1912.... 3,120 24 1.54 230 14.74 39 2.50 281 35.13 20 2.50 39 2.50 '*49 *3.‘ i4 "97 *6*22 478 30.64 7 1.99 19 5.40 42 24.39 33 9.37 120 34.09 329 GENERAL. TABLES. EACH SPECIFIED CAUSE IN EACH AGE GROUP, AND PERCENTAGE AND FOR NONOPERATIVES, 1905 TO 1907 AND 1908 TO 1912—Continued. POPULATION, DEATH S, AN D D EATH RATES PER 1,000— Concluded. Females: Deaths due to— Fe male Nephri popu tis, apo Ty lation Parturi Accident phoid or vio plexy, or in tion. fever. lence. heart 1908 disease. and 1913. No. Rate No. Rate No. Rate 'No. Rate Cancer (all malignant growths). Tuberculosis. Nontubcrculous respira tory diseases. All other causes. All causes. No. Rate| No. Rate No. Rate No. Rate No. Rate AGE GROUP 55 TO 64. i i 30 15 71.43J..... 42 1 2 109* 154; 161 228 i 1 1.30 i i 1 .88 2,904 3,212 9 3,065 3,440 10 4.76j 9.52 2 19.05 1 9 11.69 3 3.89 27 23.68 .56 198 12.33 .58 225 13.08 2 9.52 2 9.53 1 i 1100.oo1 d 21 6' 9 1 3.80 61 2 66 3.84 .11 9.52 4 5.19 7 6.14 5 4.39 2 0.12 1 ! 10 22 1.15 1.37 10 1.09 29 1.69 1 4. 76 21 100.00 yoo.oo 2200.00 i| 9.53 5 47.62 2 2.60 2 2.60 21 27.27 1 1; 5j 4.39 13 26.92 6 5.2o 51 44. 74 2 311 35.70 61j 3.80 111 6.91 464 28.89 66 3.84 117 324 35.24 6.80 515 29.94 GENERAL TABLES. 330 T a b l e 3 2 . — POPULATION, DEATH S, AND D EATH R A TES P E R 1,000 FROM D ISTR IB U TIO N O F DEATH S, FO R O P E R A TIV E S BY W O RK RO O M S, NUM BER OF D E A TH S FR O M EACH SPECIFIED CAUSE. Males: Number of deaths due to— Occupational and workroom groups. Male Nephri Non popula tubercu Cancer tion in Accident tis, apo All plexy, Typhoid (all ma Tuber lous re- other 1908 and or fever. lignant culosis. spiratory causes. 1913. violence. or diseases. growths) heart disease. All causes. AGE GROUP 15 TO 44: OPERATIVES. Picker and card rooms: 1905 t o 1907.... 1908 to 1912.... Spinning room: 1905 t o 1907.... 1908 t o 1912.... Spooler and slasher rooms: 1905 t o 1907__ 1908 t o 1912__ Weave room: 1905 to 1907.... 1908 to 1912.... Cloth room and miscellaneous: * 1905 to 1907.... 1908 to 1912.... 1,875 1,997 5 10 4 2,507 2,818 7 5 13 8 2 2 4 748 822 C1) 0) 4 24 3 7 4 7 20 53 28 41 7 10 5' 15 52 92 3 4 1 1 1 6 11 1 2 38 74 4 10 18 24 78 163 1 9 5 3 5 1 23 9 13 2 4 82 148 17 28 33 48 179 328 20 7 6 97 174 43 51 65 92 308 518 33 9 10 179 322 60 79 98 140 487 846 3 3 2 0) W 1 4,888 5,246 8 11 9 37 C1) 370 405 1 1 4 1 0) All operatives: 1905 to 1907.... 1908 to 1912.... All nonoperatives: 1905 to 1907.... 1908 to 1912.... 10,388 11,288 21 30 24 57 0) 15,840 18,643 27 78 69 97 0) Total, all classes: 1905 to 1907.... 1908 to 1912.... 26,228 29,931 48 108 93 154 0) 5 1 AGE GROUP 45 TO 64. OPERATIVES. Picker and card rooms: 1905 to 1907.... 1908 to 1912.... Spinning rooms: 1905 to 1907.... 1908 to 1912.... Spooler and slasher rooms: 1905 to 1907.... 1908 to 1912.... Weave room: 1905 to 1907.... 1908 to 1912.... Cloth room and miscellaneous: 1905 to 1907.... 1908 to 1912.... All operatives: 1905 to 1907.... 1908 to 1912.... All nonoperatives: 1905 to 1907__ 1908 to 1912.... Total, all classes: 1905 to 1907.... 1908 to 1912.... 362 418 1 3 12 0) 1 4 4 7 1 7 1 6 10 37 312 362 1 1 9 12 0) 2 4 2 9 4 5 2 11 20 42 128 148 3 3 1 2 1 3 1 3 2 15 1,319 1,524 4 13 12 44 C1) 1 3 8 4 15 4 10 12 29 39 120 72 84 1 3 4 5 0) 1 1 2 2 2 2 2 4 6 14 21 2,193 2,536 6 21 28 76 0) 2 7 19 12 35 12 27 20 55 85 235 5,032 5,915 21 41 174 271 C1) 31 32 49 43 64 40 54 99 114 409 596 7,225 8,451 27 62 202 347 0) 5 39 68 55 99 52 81 119 169 494 831 0) 1 Included In “ All other causes.” GENERAL. TABLES. §31 EACH SPECIFIED CAUSE IN EACH AGE GROUP, AND PERCENTAGE AND FOR NONOPERATIVES, 1905 TO 1907 AND 1908 TO 1912—Continued. NUM BER OF D EATH S F R O M EACH SPECIFIED CAUSE. Females: Number of deaths due to— Female popula tion in 1908 and m s. Nephri tis, apo plexy, Partu- •Accident or rition. violence. or heart disease. Cancer (all ma lignant growths). fever.' Non Tuber tubercu lous re culosis. spiratory diseases. All 1 All other causes. causes. AGE GROUP 15 TO 44. 2,444 2,053 6 11 4 9 16 C1) 2,380 2,875 5 17 3 14 (i) 3 2,650 2,219 2 11 1 1 4 12 C1) 3,600 ; 4,277 12 21 2 3 17 33 0) 804 904 1 4 1 6 C1) 11,056 13,210 26 64 3 11 34 81 C1) 18,627 19,599 31 70 13 12 62 119 C1) 29,683 32,809 57 134 16 23 96 200 V) 4 2 1 26 56 4 5 7 12 54 109 2 4 22 56 10 6 5 7 m 1 3 7 21 42 6 5 9 10 46 89 4 2 9 30 51 11 9 16 18 90 US 1 2 1 7 12 3 4 2 18 26 12 9 22 106 217 34 25 41 49 i 253 481 11 24 60 69 143 25 20 73 69 297 504 23 33 82 175 3(>0 59 45 114 118 550 985 3 2 7 10 43 1 1 2 3 3 5 17 2 5 2 9 26 76 1 1 6 45 AGE GROUP 45 TO 64. 188 271 4 26 34 50 1 P) 2 3 0) 1 1 2 4 125 180 1 3 8 C1) 1 2 3 462 667 1 7 16 33 C1) 1 15 4 7 34 50 j 843 1,218 1 3 1 8 23 69 C1) 7,368 8,013 2 12 15 214 303 Q) 8,211 9,231 2 13 23 237 372 C1) 1 5 24 6 14 3 9 5 21 43 145 6 62 118 27 57 69 92 113 165 499 756 6 67 142 33 71 72 101 118 186 542 901 GEN ERAL TABLES. 332 82.—POPULATION, DEATHS, AND DEATH RATES PER 1,000 FROM DISTRIBUTION OF DEATHS, FOR OPERATIVES BY WORKROOMS, T a b le N UM BER OF D EATH S FRO M EACH SPECIFIED CAUSE— Concluded. Males: Number of deaths due to— Occupational and workroom groups. Male Nephri popula Non tion in Accident tis, apo Cancer tubercu All plexy, (all ma Typhoid Tuber 1008 and lous re other or 1913. fever. lignant culosis. spiratory causes. or violence. heart growths) diseases. disease. All causes. AGE GROUP 15 TO 64. OPERATIVES. Picker and card rooms: 1905 to 1 9 0 7 .... 1908 to 1 9 1 2 .... Spinning room: 1905 to 1 9 0 7 .... 1908 to 1 9 1 2 .... Spooler and slasher rooms: 1905 to 1 9 0 7 .... 1908 to 1 9 1 2 .... Weave room: 1905 to 1 9 0 7 .... 1908 to 1 9 1 2 .... Cloth room and miscellaneous: 1905 to 1 9 0 7 .... 1908 to 1 9 1 2 .... 2 ,2 3 6 2 ,4 1 5 5 11 7 14 (0 2 ,8 2 0 3 ,1 8 0 8 9 14 25 0) 876 970 2 7 0) 3 6 ,2 0 6 6 ,7 7 0 12 24 21 81 0) 443 489 2 4 8 (9 6 All operatives: 1905 to 1 9 0 7 .... 1908 to 1 9 1 2 .... All nonoperatives: 1905 to 1 9 0 7 .... 1908 to 1 9 1 2 .... 12,581 13,824 27 51 52 133 0) 20 ,8 7 2 2 4 ,5 5 8 48 119 243 368 0) Total, all classes: 1905 to 1 9 0 7 .... 1908 to 1 9 1 2 . . . . 3 3 ,4 5 3 3 8 ,3 8 2 75 170 295 501 0) 3 1 4 8 31 4 14 5 13 30 90 3 2 6 30 50 11 15 7 26 72 134 1 3 1 6 1 4 2 4 26 6 4 10 42 89 20 8 30 53 117 283 2 2 2 11 7 5 2 9 7 37 30 15 9 23 94 183 29 65 53 103 264 563 23 39 55 140 238 83 105 164 206 717 1 ,114 48 78 234 421 112 38 217 309 981 1,677 * Included In “ A other causes." 160 8 333 GENERAL TABLES. EACH SPECIFIE D CAUSE IN EACH AGE G RO U P, AN D PERCEN TAG E AN D F O R N O N O P E R A T IV E S, 1905 TO 1907 AN D 1908 TO 1912— Continued. N UM BER OF D EATH S FRO M EACH SPECIFIED CATTSE--Concluded. Females: Number of deaths due to— Female popula tion in 1908 and 1913. Nephri Nontu apoCancer Accident tis, plexy, Typhoid (all ma Tuber berculous or fever. lignant culosis. respira or tory violence. heart growths). diseases. disease. Partu rition. All other All causes. causes. AGE GROUP 15 TO 64. 2,241 2,715 6 11 4 13 42 (l> 2,414 2,925 5 17 3 3 15 C1) 2,344 2,830 2 11 1 2 7 20 0) 4,061 4,944 12 21 3 10 33 66 0) 839 1,014 1 4 1 7 (’ ) 11,899 14,428 26 64 4 19 57 150 0) 25,995 27, G12 33 70 25 27 276 422 0) 37,894 42,040 59 134 29 46 333 572 (*) 4 4 4 28 60 4 8 9 19 64 152 2 1 5 22 56 10 6 6 8 47 112 1 4 9 21 45 7 5 9 13 51 106 4 3 24 34 58 13 14 18 27 116 224 1 2 4 7 12 3 1 4 3 18 32 12 14 46 112 231 37 34 46 70 296 626 17 86 178 96 200 94 112 186 234 796 1,260 29 100 224 208 431 131 146 232 304 1,092 1,886 334 GENERAL TABLES. T a b l e 3 2 . —PO PU LATIO N , D E A TH S, AND D E A T H R A T E S P E R 1.000 FROM D IST R IB U T IO N O F D E A TH S, F O R O P E R A T IV E S B Y W O RK RO OM S, PEE CENT OF D E A TH S FR O M EACH SPECIFIED CAUSE. Males: Per cent of deaths due to— Occupational and workroom groups. 1 Non Ne tuber Cancer Acci phritis, Ty All All (all ma Tuber culous other dent or apo phoid vio plexy, fever. lignant culosis. respira causes. tory causes. growths). lence. or heart dis disease. eases. AGE GROUP 15 TO 24. OPERATIVES. Picker and card rooms: 1905 to 1907 .......................... 1908 to 1912............................... Spinning room: 1905 to 1907............................... 1908 to 1912............................... Spooler and slasher rooms: 1905 to 1907 ............................. 1908 to 1912............................... Weave room: 1905 to 1907............................... 1908 to 1912............................... Cloth room and miscellaneous: 1905 to 1907............................... 1908 to 1912............................... All operatives: 1905 to 1907............................... 1908 to 1912............................... All nonoperatives: 1905 to 1907............................... 1908 to 1912............................... Total, all classes: 1905 to 1907............................... 1908 to 1912............................... 50 20 13 27 13 50 27 100 100 52 38 11 9 11 27 100 100 15 7 11 11 25 50 25 17 6 4 22 8 42 42 4 3 33 19 100 100 9 18 16 17 27 50 18 28 17 100 100 16 7 9 13 8 42 39 9 8 24 23 100 100 7 15 29 12 8 34 34 7 10 23 21 100 100 11 11 19 13 8 38 36 8 9 24 22 100 100 8 12 46 13 30 13 8 100 100 3 67 55 17 16 7 100 100 25 100 100 4 4 2 1 100 AGE GROUP 25 TO 34. OPERATIVES. Picker and card rooms: 1905 to 1907.. ................... 1908 to 1912............................... Spinning room: 1905 to 1907............................... ............. 1908 to 1912 . Spooler and slasher rooms: 1905 to 1907. .................. 1908 to 1912............................... Weave room: .................. 1905 to 1907.. 1908 to 1912.. ................ Cloth room and miscellaneous: 1905 to 1907............................... 1908 to 1912............................... 37 8 25 8 6 8 13 50 25 100 3 9 13 18 2 3 2 25 47 41 10 10 24 18 100 100 50 12 13 100 All operatives: 1905 to 1907............................... 1908 to 1912............................... All nonoperatives: 1905 to 1907............................... 1908 to 1912..... ......................... 8 8 16 16 3 2 1 47 45 11 14 16 13 100 100 9 19 16 13 4 1 1 37 37 14 9 23 17 100 100 Total, all classes: 1905 to 1907............................... 1908 to 1912............................... 9 15 16 14 4 1 1 41 40 13 11 20 15 100 100 335 GENERAL TABLES. EACH SPECIFIED CAUSE IN EACH AGE GROUP, AND PERCENTAGE AND FOR NONOPERATIVES, 1905 TO 1907 AND 1908 TO 1912—Continued. PER CEN T O F D E A TH S FRO M EACH SPECIFIED CAUSE. Females: Per cent of deaths due to— Parturi tion. Nephritis, Cancer Accident apoplexy, Typhoid (all ma or vio or aeart lever. lignant lence. growths). ■disease. Tuber culosis. Nontuberculous respiratory diseases. All other All causes. causes. AGE GROUP 15 TO 24, i9 14 8 12 3 8 50 54 6 5 13 8 100 100 13 14 2 9 5 2 43 61 26 7 9 9 100 100 9 5 3 9 3 52 69 10 3 24 13 100 100 13 10 2 22 15 35 61 4 2 26 5 100 100 8 46 72 8 ; 3i 14 100 100 1 45 61 12 5 20 9 100 100 2 35 51 11 28 16 100 100 42 58 11 3 23 11 100 100 57 52 9 5 14 11 100 100 0 56 43 13 6 19 6 100 100 5 56 42 6 8 25 8 100 100 15 15 100 100 7 5 14 10 12 1 3 11 6 4 2 6 4 3 18 17 7 7 10 2 3 14 10 5 1 l AGE GROUP 55 TO 34. 10 16 10 14 6 25 6 2 6 8 13 IS 16 17 28 15 21 3 4 44 28 6 4 29 29 7 33 35 67 1 4 51 40 10 5 4 8 31 31 3 6 39 35 12 22 1 9 17 17 20 3 2 13 19 15 21 2 2 11 18 3 1 1 100 100 100 100 10 € 17 10 22 14 10 5 20 12 100 100 100 100 GENERAL TABLES. 336 T able 3 2 .— PO PU LA TIO N , D EATH S, AND D E A T H R A TE S P E R 1,000 FROM D IST R IB U T IO N OF D EATH S, F O R O P E R A T IV E S B Y W ORK RO OM S, P E E CENT OP D E A T H S FR O M EACH SPECIFIED CAUSE— Continued. Males: Per cent of deaths due to— Occupational and workroom groups. Non Ne tuber Cancer Acci phritis, Ty All culous dent or apo phoid (all ma Tuber respira other AIL vio plexy, fever. lignant culosis. tory causes. causes. growths). lence. or heart dis disease. eases. AGE GROUP 35 TO 44. OPERATIVES. Picker and card rooms: 10 20 1905 to 1907............................... 24 1908 to 1912............................... 8 Spinning room: 15 8 1905 to 1907............................... 19 1908 to 1912............................... 25 Spooler and slasher rooms: 50 1905 to 1907............................... 40 1908 to 1912............................... Weave room: 12 1905 to 1907............. ................ 17 6 1 1908 to 1912............................... 27 Cloth room and miscellaneous: 1905 to 1907............................... 33 1908 to 1912............................... All operatives: 1905 to 1907............................... 1908 to 1912............................... All nonoperatives: 1905 to 1907............................... 1908 to 1912............................... Total, all classes; 1905 to 1907............................... 1908 to 1912........ , .................... 11 12 15 22 1 9 12 25 26 2 10 12 22 25 1 30 56 20 4 20 8 100 100 46 44 15 16 6 100 100 20 100 100 13 10 100 100 25 100 100 6 50 40 1 58 51 25 50 67 2 1 49 51 8 4 15 9 100 100 4 2 26 31 17 10 19 17 100 100 4 1 32 38 14 8 18 15 100 100 6 17 100 33 100 4 AGE GROUP 45 TO 54. OPERATIVES. Picker and card rooms: 1905 to 1907............................... 1908 to 1912............................... Spinning room: 1905 to 1907............................... 1908 to 1912............................... Spooler and slasher rooms: 1905 to 1907............................... 1908 to 1912............................... Weave room: 1905 to 1907............................... 1908 to 1912............................... Cloth room and miscellaneous: 1905 to 1907.............................. 1908 to 1912.............................. All operatives: 1905 to 1907............................... 1908 to 1912............................... All nonoperatives: 1905 to 1907 1908 to 1912............................... Total, all classes: 1905 to 1907............................... 1908 to 1912............................... 5 33 6 33 7 13 7 40 20 40 15 32 1 9 11 34 11 11 12 30 2 8 20 20 18 7 18 100 11 22 100 16 22 7 19 100 io 21 100 9 20 100 10 35 1 8 16 15 11 33 2 8 16 17 100 337 GENERAL TABLES. EACH SPECIFIED CAUSE IN EACH AGE GROUP, AND PERCENTAGE AND FOR NONOPERATIYES, 1905 TO 1907 AND 1908 TO 1912—Continued. PER CENT OF D EATH S FRO M EACH SPECIFIED CATTSE— Continued. Females: Per cent of deaths due to— Parturi tion. Accident Nephritis, Typhoid or vio apoplexy, fever. or heart lence. disease. Cancer (all ma lignant growths). Tuber culosis. Nontuber culous respiratory diseases. All other causes. Allcauses. 12 14 100 100 AGE GROUP 35 TO 44. 6 4 17 44 6 22 26 5 9 7 29 28 6 3 21 28 3 50 40 12 4 35 46 6 4 11 50 39 33 33 26 11 21 34 6 16 100 100 3 12 21 22 24 10 16 15 100 100 20 100 100 50 40 100 100 7 4 3 2 22 31 2 11 12 25 30 21 6 11 13 100 100 8 11 6 2 31 29 3 15 18 9 20 6 4 25 13 100 100 8 9 5 2 28 30 2 13 16 15 23 11 5 20 13 100 100 9 5 27 100 AGE GROUP 45 TO 54. 50 9 100 100 8 50 8 17 11 44 22 5 25 75 7 45 20 20 8 4 16 100 2 36 1 20 9 12 11 18 100 3 38 1 20 11 11 9 18 100 88204°— 19— B u ll. 251-------22 5 17 100 13 100 100 338 GENERAL TABLES. T able 3 2 . —PO PU LA TIO N , D E A TH S, AN D D E A T H R A T E S P E R 1,000 FRO M D IS T R IB U T IO N O F D EATH S, F O R O P E R A T IV E S B Y W O RK RO O M S, PEB CENT OF D EATH S FRO M EACH SPECIFIED CAUSE— Continued. Males: Per cent of deaths due to— Occupational and workroom groups. Non Ne tuber Cancer Acci phritis, Ty All culous dent or apo phoid (all ma Tuber respira other All vio plexy, fever. lignant culosis. tory causes. causes. growths). lence. or heart dis disease. eases. AGE GROUP 55 TO M. OPERATIVES. Picker and card rooms: 1905 to 1907.............................. • 1908 to 1912............................... Spinning room: 1905 to 1907............................... 1908 to 1912............................... Spooler and slasher rooms: 1905 to 1907............................... 1908 to 1912............................... Weave room: 1905 to 1907. ................ 1908 to 1912............................... Cloth room and miscellaneous: 1905 to 1907. .................. 1908 to 1912............................... 31 16 5 32 16 100 | 37 i........... i 11 11 19 22 100 20 10 ........... 10 10 20 30 100 6 42 ............ 4 6 9 ! 33 100 17 17 i........... 8 17 8 33 100 6 34 ........... 8 12 8 16 28 100 18 100 All operatives: 1905 to 1907............................... 1908 to 1912............................... All nonoperatives: 1905 to 1907.............................. 1908 to 1912........................... 5 53 ........... 8 6 8 Total, all classes: 1905 to 1907.............................. 1908 to 1912............................... 5 48 '........... 8 7 8 10 21 100 20 45 15 13 20 13 100 100 54 45 13 11 10 16 100 100 50 37 9 17 9 100 100 1 1 49 45 5 6 23 15 100 100 4 39 56 13 22 11 100 100 46 45 10 9 18 15 100 100 AGE GROUP 15 TO 44. OPERATIVES. Picker and card rooms: 1905 to 1907 ............................. 1908 to 1912............................... Spinning room: 1905 to 1907............................... 1908 to 1912............................... Spooler and slasher rooms: 1905 to 1907 ............................. 1908 to 1912 ............................. Weave room: 1905 to 1907 . . ................ 1908 to 1912............................... Cloth room and miscellaneous: 1905 to 1907 ............................. 1908 to 1912 ........................ 25 19 20 4 6 13 9 10 14 3 33 36 9 10 7 12 23 3 4 11 18 11 11 » 2 All operatives: 1905 to 1907 ............................. 1908 to 1912............................... All nonoperatives: 1905 to 1907............................... 1908 to 1912............................... 12 9 13 17 4 1 1 9 15 22 18 4 2 1 32 34 14 10 21 18 100 10Q Total, all classes: 1905 to 1907............................... 1908 to 1912............................... 10 13 19 18 4 2 1 37 38 12 9 20 17 100 100 1 Less than one-half of 1 per cent. ! 339 GENERAL TABLES. EACH SPECIFIE D CAUSE IN EA CH AGE G RO U P, AN D PER C E N TA G E AN D F O R N O N O PE R A TIV E S, 1905 TO 1907 A N D 1908 TO 1912— Continued. PER CENT OF D EATH S FRO M EACH SPECIFIED CAU SE —Continued. Females: Per cent of deaths due to— 1 Accident Nephritis, Typhoid or vio apoplexy, or heart fever. lence. disease. Parturi tion. Cancer (all ma lignant growths). Tuber culosis. Nontuber culous respiratory diseases. All other causes. All causes. 5 100 50 100 20 100 9 10 100 50 50 100 14 10 11 100 3 5 13 24 100 13 j 1 23 100 AGE GROUP 55 TO €4. i 71 i 9 5 10 £0 i 40 20 20 43 14 19 | i ................1................. | 2 1 ! ! 1 53 10 2 43 (1) 13 2 44 0) 13 1 3 5 i AGE GROUP 15 TO 44. 11 10 4 17 15 4 4 1 48 51 4 13 11 100 100 11 16 3 7 13 ^2 4 49 51 22 5 11 6 100 100 4 12 2 1 9 14 1 6 8 46 47 13 6 20 11 100 100 13 14 2 2 19 22 3 2 6 34 35 12 6 18 12 100 100 6 23 4 11 4 39 46 17 22 8 100 100 5 15 10 13 1 2 13 17 3 4 5 42 45 14 5 16 10 100 100 11 14 4 2 21 24 2 8 12 23 28 8 4 25 14 100 100 10 14 3 2 17 20 • 2 6 8 32 37 11 5 21 12 100 100 GENERAL TABLES. 340 82.—POPULATION, DEATHS, AND DEATH RATES PER 1,000 FROM DISTRIBUTION OF DEATHS, FOR OPERATIVES BY WORKROOMS, T a b le PER CENT OF D EATH S FROM EACH SPECIFIED CAUSE— Concluded. Males: Per cent of deaths due to— Occupational and workroom groups. ' Non Ne tuber Cancer Acci phritis, Ty All culous (all ma Tuber respira dent or apo phoid All other causes. vio plexy, fever. lignant culosis. tory causes. growths). lence. or heart dis disease. eases. AGE GROUP 45 TO 64. OPERATIVES. Picker and card rooms: 1905 to 1907.............................. 1908 to 1912.............................. Spinning room: 1905 to 1907.............................. 1908 to 1912.............................. Spooler and slasher rooms: 1905 to 1907.............................. 1908 to 1912............................... Weave room: 1905 to 1907.............................. 1908 to 1912.............................. Cloth room and miscellaneous: 1905 to 1907.............................. 1908 to 1912.............................. All operatives: 1905 to 1907.............................. 1908 to 1912.............................. All nonoperatives: 1905 to 1907.............................. 1908 to 1912.............................. Total, all classes: 1905 to 1907.............................. 1908 to 1912............................... 3 30 32 10 11 40 19 10 19 10 16 100 100 5 2 45 29 10 10 10 21 20 12 10 26 100 100 20 20 7 13 50 20 50 20 100 100 10 11 31 37 8 1 7 10 12 10 8 31 24 100 100 7 14 29 23 5 7 10 14 10 14 10 29 28 100 100 7 9 33 32 1 8 8 14 15 14 12 24 23 100 100 5 7 43 45 1 8 8 10 11 10 9 24 19 100 100 5 7 41 42 1 8 8 11 12 11 10 24 20 100 100 3 3 4 27 34 13 16 17 15 100 100 AGE GROUP 15 TO 64. OPERATIVES. Picker and card room s: 1905 to 1907.............................. 1908 to 1912.............................. Spinning room: 1905 to 1907.............................. 1908 to 1912.............................. Spooler and slasher rooms: 1905 to 1907............................... 1908 to 1912.............................. Weave room: 1905 to 1907.............................. 1908 to 1912.............................. Cloth room and miscellaneous: 1905 to 1907............................... 1908 to 1912.............................. All operatives: 1905 to 1907.............................. 1908 to 1912.............................. All nonoperatives: 1905 to 1907.............................. 1908 to 1912............................... Total, all classes: 1905 to 1907.............................. 1908 to 1912............................... 17 12 23 16 11 7 19 19 2 3 5 42 37 15 11 10 19 100 100 12 25 27 4 4 37 23 13 15 25 15 100 100 10 8 18 29 2 3 4 36 31 7 7 26 19 100 100 5 13 22 20 7 5 7 30 23 14 7 24 23 100 100 10 9 20 24 3 3 4 36 32 11 10 20 18 100 100 7 11 34 33 2 5 5 19 21 12 9 23 19 100 100 8 10 30 30 2 5 5 24 25 11 10 22 18 100 100 C1) ■ 1 Less than one-half of 1 per cent. 341 G ENERAL TABLES. EACH SPECIFIED CAUSE IN EACH AGE GROUP, AND PERCENTAGE AND FOR NONOPERATIVES, 1905 TO 1907 AND 1908 TO 1912—Continued. PER CENT OF D EATH S FRO M EACH SPECIFIED CAUSE— Concluded. Females: Per cent of deaths due to— Nephritis, Accident apoplexy, Typhoid or vio fever. or heart lence. disease. ParturitiOD. Cancer (all ma lignant growths). Nontuber culous All other respiratory causes. diseases. Tuber culosis. All causes. AGE GROUP 45 TO 64. 40 61 20 7 33 50 33 6 60 47 20 11 18 4 9 61 43 4 20 15 9 16 50 2 5 53 48 1.............. 12 17 0) 2 2 43 40 1 0) 3 .............2. 1 44 41 1 20 9 20 16 100 100 50 34 100 100 18 100 100 8 7 8 12 100 100 17 17 100 14 10 6 12 14 100 100 13 16 5 7 14 12 23 22 100 100 12 16 6 8 13 11 22 21 100 100 7 20 AGE GROUP 15 TO 64. 10 7 3 20 28 3 6 3 44 39 6 5 14 12 100 100 11 15 3 6 13 2 2 5 47 50 21 5 13 7 100 100 4 10 2 2 14 19 1 8 9 41 42 14 5 17 12 100 100 10 9 3 4 28 30 2 3 11 29 26 11 6 16 12 100 100 6 22 3 11 13 39 37 17 3 22 9 100 100 5 13 9 10 1 3 19 24 2 5 7 38 37 12 6 16 11 100 100 4 6 3 2 34 33 1 11 14 12 16 12 9 24 19 100 100 5 7 3 2 30 30 2 9 12 19 23 12 8 22 16 100 100 GENERAL TABLES. 342 $ 2 .—POPULATION, DEATHS, AND DEATH BATES PER 1,000 FROM DISTRIBUTION OF DEATHS, FOR OPERATIVES BY WORKROOMS, T a b le PEB CENT EACH ITEM IS OF CORBESPONDINGr Males: Deaths due to— Male popula Occupational and work tion in Acci 1908 dent or room groups. and vio 1913. lence. Non Nephri tuber tis, apo Ty Cancer plexy, phoid (all ma Tuber culous respi lignant culosis. ratory or heart. iever. growths). dis disease. eases. All All other causes. causes. AGE GROUP 1ft TO 24. OPERATIVES. Picker and card rooms: 1905 to 1907............... 1908 to 1912................ Spinning room: 1905 to 1907................ 1908 to 1912................ Spooler and slasher rooms: 1905 to 1907................ 1908 to 1912................ Weave room: 1905 to 1907................ 1908 to 1912................ Cloth room and miscella neous: 1905 to 1907................ 1908 to 1912................ 67 20 '*67" *ioo 34 i 33 33 25 *’ 50* 50 40 50 All operatives: 1905 to 1907... 1908 to 1912... All nonoperatives 1905 to 1907... 1908 to 1912... 28 Total, all classes. 1905 to 1907... 1908 to 1912... AGE GROUP 25 TO 34. OPERATIVES. Picker and card rooms: 1905 to 1907................ 1908 to 1912................ Spinning room: 1905 to 1907................ 1908 to 1912................ Spooler and slasher rooms: 1905 to 1907................ 1908 to 1912................ Weave room: 1905 to 1907................ 1908 to 1912................ Cloth room and miscella neous: 1905 to 1907................ 1908 to 1912................ 33 12 50 25 37 All operatives: 1905 to 1907...... 1908 to 1912...... All nonoperatives: 1905 to 1907...... 1908 to 1912...... Total, all classes: 1905 to 1907.... 1908 to 1912.... 29 29 20 343 GENERAL TABLES. EACH SPE C IFIE D CAUSE JN EACH AG E G R O U P, A N D PER CEN TAG E AN D F O R N ON O P E R A T IV E S , 1905 TO 1907 AN D 190$ TO 1912—Continued. IT E M IN AG E GROUP 15 TO 64 (100 PER CENT). Females: Deaths due to— Female popula tion in 1908 and 1913. Partu rition. Nephri Cancer apo Accident tis, plexy, Typhoid (all ma Tubercu or losis. or lignant fever. violence. heart growths). disease. Non tuber culous respi ratory dis eases. All other causes. All causes. AGE GROUP 15 TO 24. 47 48 50 45 75 15 2 75 29 33 25 25 22 16 25 24 66 68 60 47 33 67 20 50 45 61 60 67 33 63 49 50 52 54 42 44 27 25 19 50 52 49 23 43 29 20 8 *7 56 31 33 8 41 30 29 13 100 50 10 28 5 15 9 i 100 1 50 86 42 33 100 33 72 22 1 58 ! 7 39 46 30 24 41 22 32 28 i 20 18 6 8 4 7 5 2 30 33 5 15 9 14 13 43 38 50 25 34 26 33 29 40 41 27 20 33 50 25 34 31 22 43 35 14 60 44 23 31 36 28 26 29 21 100 51 53 39 31 25 32 19 7 23 21 3 6 8 7 3 3 30 32 32 19 18 10 17 6 4 41 AGE GROUP 25 TO 34. 29 26 33 55 15 17 24 21 20 53 30 26 100 64 30 28 25 50 62 15 15 33 8 44 22 15 14 100 57 25 14 42 67 7 15 41 31 24 26 33 24 30 28 6 9 41 30 13 10 15 12 15 16 6 10 41 31 16 14 18 15 19 20 67 33 20 27 25 42 61 10 14 20 26 26 64 56 16 18 6 9 26 26 54 58 14 15 7 12 25 100 17 7 17 44 344 G EN ERAL TABLES. 3 2 .— POPULATION, DEATHS, AND DEATH BATES PER 1,000 FROM DISTRIBUTION OF DEATHS, FOR OPERATIVES BY WORKROOMS, T a b le PER CENT EACH ITEM IS OF CO RRESPON DING ITE M Males: Deaths due to— Occupational and work room groups. Male popula tion in Acci 1908 or and dent vio 1913. lence. Non Nephri tuber tis, apo Ty Cancer culous All plexy phoid (all ma Tuber respi other All or lignant culosis. ratory causes. causes. fever. growths). heart dis disease. eases. AGE GROUP 35 TO 44. j OPERATIVES. Picker and card rooms: 27 1905 to 1907................. 24 1908 to 1912................. Spinning room: 12 1905 to 1907................. 1908 to 1912................. 10 Spooler and slasher rooms: 1905 to 1907................. 19 1908 to 1912................. 17 ; Weave room: 1905 to 1907................. 26 1908 to 1912................. 23 Cloth room and miscella neous: 1905 to 1907_________ 1908 to 1912_______________________ All operatives: 1905 to 1907................. 1908 to 1912................. All nonoperatives: 1905 to 1907................. 1908 to 1912................. Total, all classes: 1905 to 1907................. 1908 to 1912................. 20 55 29 14 25 34 7 16 i 1 19 24 50 7 40 15 33 28 20 14 18 7 28 4 18 12 25 25 19 10 13 21 25 11 11 10 33 34 50 i 29 25 17 37 45 17 25 10 33 40 50 18 28 15 22 20 27 15 20 7 11 4 27 33 14 9 15 11 20 21 21 23 27 24 14 17 17 15 7 26 30 29 23 16 19 20 21 21 21 25 26 15 !I 18 ; 13 15 6 27 31 25 18 16 16 20 21 50 77 75 50 22 AGE GROUP 15 TO 44. OPERATIVES. Picker and card rooms: 1905 to 1907................. 1908 to 1912................. Spinning room: 1905 to 1907................. 1908 to 1912................. Spooler and slasher rooms: 1905 to 1907................. 1908 to 1912................. Weave room: 1905 to 1907................. 1908 to 1912................. Cloth room and miscella neous: 1905 to 1907................. 1908 to 1912................. All operatives: 1905 to 1907.... 1908 to 1912.... All nonoperatives: 1905 to 1907.... 1908 to 1912.... Total, all classes: 1905 to 1907... 1908 to 1912.... 100 91 57 14 100 87 36 52 ‘ ioo" 100 57 ’ ioo* 43 40 ” 83' 50 83 87 56 78 64 67 71 58 72 100 67 25 50 25 75 42 90 83 50 50 33 25 20 50 22 17 71 87 81 18 11 19 13 67 59 76 76 67 58 62 30 60 56 14 59 51 62 47 58 52 49 40 45 43 47 54 49 45 45 50 50 345 GENERAL TABLES. EACH SPECIFIE D CAUSE IN EACH AG E G RO U P, AN D PER CEN TAG E AN D F O R N O N O PE R A TIV E S, 1905 TO 1907 AN D 1908 TO 1912— Continued. IN AGE G fiO U P 15 TO 64 (100 PER CENT)— Continued. Females: Deaths due to— Female popula tion in 1908 and 1913. Partu rition. Nephri apo Cancer Accident tis, plexy, Typhoid (all ma Tubercu or or lever. lignant losis. violence. heart growths). disease. Non tuber culous respi ratory dis eases. All other causes. All causes. AGE GROUP 35 TO 44. 16 16 17 9 9 20 13 14 9 19 18 25 19 25 39 19 53 50 29 25 67 20 22 26 50 i 21 22 25 13 40 14 12 20 75 56 5 9 43 20 23 18 18 34 29 21 23 62 43 28 33 29 27 34 11 15 50 100 29 1 50 25 16 22 21 26 19 13 16 25 50 33 15 17 38 24 15 24 23 21 28 19 27 27 :i 13 16 35 21 25 11 24 8 8 16 13 15 19 31 18 16 19 31 25 27 13 20 16 12 16 15 17 19 15 14 19 8 50 16 23 24 27 38 20 20 24 24 AGE GROUP 15 TO 44. I 92 90 100 100 100 69 38 100 50 25 93 93 100 63 78 63 84 72 99 98 100 100 100 100 93 100 80 100 100 100 100 83 88 96 97 95 94 100 100 100 50 57 60 100 75 78 100 93 86 100 100 77 90 84 89 87 100 100 67 30 52 50 100 67 37 88 88 85 64 89 67 78 66 100 86 100 100 25 100 100 100 100 67 100 81 100 100 93 92 100 100 75 58 60 54 100 64 48 95 94 92 74 89 70 85 77 72 71 94 100 52 44 22 28 65 28 34 72 72 27 18 39 29 37 40 78 78 97 100 55 50 29 35 79 33 37 84 84 45 31 49 39 50 52 346 GENERAL TABLES. T a b l e 3 2 . — PO PU LA TIO N , D EATH S, AND D E A T H R A T E S P E R 1,000 FROM D IST R IB U T IO N OF D E A TH S, FOR O P E R A T IV E S B Y W ORKROOM S, PER CENT EACH ITEM IS OP CORRESPON DING Males: Deaths due to— Male popula Non Nephri tuber Occupational and work tion in Acci tis, apo Ty Cancer All 1908 dent or plexy room group. culous Tuber (all ma All phoid lignant culosis. respi other causes. and vio or ratory causes. 1913. lence. heart fever. growths). dis disease. eases. ! AGE GROUP 45 TO 54. OPERATIVES. Picker and card rooms: 1905 to 1907................. 1908 to 1912................. Spinning room: 1905 to 1907................. 1908 to 1912................. Spooler and slasher rooms: 1905 to 1907................. 1908 to 1912................. Weave room: 1905 to 1907................. 1908 to 1912................. Cloth room and miscella neous: 1905 to 1907................. 1908 to 1912................. All operatives: 1905 to 1907................. 1908 to 1912................. All nonoperatives: 1905 to 1907 ............... 1908 to 1912................. Total, all classes: 1905 to 1907................. 1908 to 1912.................. 12 12 9 43 25 20 8 8 11 8 17 12 11 11 33 29 16 17 42 27 17 60 25 50 50 j 50 13 13 27 26 13 39 14 14 20 22 13 | 14 14 22 23 j 13 j j ! '7 23 20 19 11 16 25 14 25 23 24 50 29 30 8 14 15 21 16 21 36 20 15 23 24 24 21 37 15 14 20 23 22 21 I 19 AGE GROUP 55 TO 64. i OPERATIVES. Picker and card rooms: 1905 to 1907................. 1908 to 1912................. Spinning room: 1905 to 1907................. 1908 to 1912................. Spooler and slasher rooms: 1905 to 1907................. 1908 to 1912................. Weave room: 1905 to 1907................. 1908 to 1912................. Cloth room and miscella neous: 1905 to 1907................. 1908 to 1912................. ! 4 5 43 75 3 43 23 21 3 3 40 50 6 33 23 20 4 4 67 14 100 17 50 75 39 5 6 12 27 20 3 25 32 18 50 33 50 29 50 57 40 All operatives: 1905 to 1907................. 1908 to 1912.................. All nonoperatives: 1905 to 1907................. 1908 to 1912.................. 4 5 14 31 44 5 5 34 32 16 21 10 10 14 52 53 11 12 28 31 33 32 Total, all classes: 1905 to 1907................. 1908 to 1912.................. 8 8 ii 46 50 9 10 31 32 28 29 1 Less than one-half of 1 per cent. GENERAL TABLES. 347 EACH SPECIFIE D CAUSE IN EACH AGE G R O U P, AND PERCEN TAG E AND F O R N O N O PE R A TIV E S, 1905 TO 1907 AN D 1908 TO 1912— Continued. ITEM IK AGE GROUP 15 TO 64 (100 PER CENT)— Continued. Females: Deaths due to— Female popula tion in 1908 and 1913. Partu rition. i Nephri tis, apo Cancer Accident plexy, Typhoid (all ma Tubercu or fever. lignant losis. or violence. heart growths). disease. j Non tuber culous respi ratory dis eases. Ail other causes. All causes. AGE GROUP 45 TO 54. 7 8 1 2 5 6 ______ ! 1 9 1............ 10 i . . . . . . . . . .t______ I 6 i............ 7 1............ 17 i............ 17 1............ 14 '............ 14 !............ 1 26 1 50 12 3 32 20 I 14 1 50 30 ii 5 60 36 50 5 14 75 i ______ 1_______ 37 28 41 22 25 23 28 26 14 22 15 ! 11 26 25 13 12 21 32 5 3 18 17 28 23 10 15 24 23 34 i 11 10 24 23 20 21 4 25 5 14 12 2 AGE GROUP 55 TO 64. 1 2 36 0) 25 7 (1) 0) j io (x) 2 3 10 11 14 13 7 ! 1 1 5 18 12 34 47 22 39 8 11 12 7 9 j! 33 6 71 3i i 14 9 1 54 48 5 8 39 37 45 38 30 27 34 10 11 29 5 6 ! 8 5 100 ....... t . ........... I ! 11 8 i 14 ! 2 348 GENERAL TABLES. T able 3 2 .—POPULATION, DEATHS, AND DEATH RATES PER 1,000 FROM DISTRIBUTION OF DEATHS, FOR OPERATIVES BY WORKROOMS, FEB CENT EACH ITE M IS OF CO RRESPON DING ITEM Males: Deaths due to— Occupational and work room groups. Male popula tion in Acci 1908 dent or and vio 1913. lence. Non Nephri tuber tis, apo Ty Cancer culous ll plexy phoid (all ma Tuber respi 'A All other causes. or lignant culosis. ratory causes. fever. heart growths). dis disease. eases. AGE GROUP 45 TO 64. OPERATIVES. Picker and card rooms: 1905 to 1907................. 1908 to 1912.................. Spinning room: 1905 to 1907.................. 1908 to 1912.................. Spooler and slasher rooms: 1905 to 1907................. 1908 to 1912.................. Weave room: 1905 to 1907.................. 1908 to 1912.................. Cloth room and miscella neous: 1905 to 1907.................. 1908 to 1912.................. 16 17 9 43 86 100 100 50 23 25 50 20 46 33 41 11 11 13 11 64 48 100 67 7 18 36 33 29 42 28 31 15 15 100 43 100 33 100 75 50 75 25 58 21 23 33 54 57 54 17 75 80 10 17 50 50 40 55 33 42 50 75 50 83 50 50 100 18 29 40 100 44 86 38 70 All operatives: 1905 to 1907.................. 1908 to 1912................. All nonoperatives: 1905 to 1907.................. 1908 to 1912.................. 17 18 22 41 54 57 13 78 83 13 19 41 49 38 53 32 42 24 24 44 34 72 74 13 82 89 31 27 48 51 60 55 57 53 Total, all classes: 1905 to 1907................. 1908 to 1912.................. 22 22 36 36 68 69 13 81 87 24 24 46 51 55 55 50 50 GENERAL TABLES. 349 EACH SPECIFIED CAUSE IN EACH AGE GROUP, AN D PER CEN TAG E AN D F O R N O N O PER ATIVE S, 1905 TO 1907 AN D 1908 TO 1912—Concluded. IN AGE GROUP 15 TO 64 100 (PER CENT)— Concluded. Females: Deaths due to— Female popula tion in 1908 and 1913. Partu rition. Nephri apo Cancer Accident tis, plexy, Typhoid (all ma Tubercu or or fever. losis. lignant violence. heart growths). disease. Non tuber culous respi ratory dis eases. All other causes. All causes. AGE GROUP 15 TO 64. 8 10 31 62 50 75 1 2 100 7 100 20 7 7 22 37 16 28 17 12 4 3 23 10 16 15 36 11 33 22 34 100 33 19 37 14 5 6 50 43 40 25 22 7 11 13 33 70 48 50 33 63 12 12 14 75 25 42 40 46 36 52 5 6 8 26 11 30 15 23 7 8 28 29 6 48 56 78 72 35 72 66 28 28 73 82 61 71 63 60 22 22 3 45 50 71 65 21 67 63 16 16 55 69 51 61 50 48 350 GENERAL TABLES. T able 3 3 . — POPULATION O F EACH SPE C IFIE D CLASS O F M ALES, A N © BERCULOUS (IN C LU D IN G ALCOHOLISM ), AND A LL CAUSES. ACCORD ABSEN T AS A CIRCUMSTANCE A T LE A ST C O N T R IB U T O R Y TO D E A T H , ROOM GROUPS, 1908 TO 1912. AGE GROUP 25 TO 44. Population. Occupational group,workroom group, and complicating death circumstance. Deaths. Tuberculous. Nontuberculous. Married. Single. Single. Married. Married. Single. ALL RACES. 4,413 All males................................ Alcoholic.......................... Other............................... Nonoperatives........................ | 2,979 A l c o h o l i c ______________________ i Othftr___________________________ Operatives.............................. | 1,434 Alcoholic______________ Other____ ____________1__________ 13,778 9,048 4,730 J Card room and spinning room. Alcoholic......................... Other............................... 485 1,849 Card room only...................... Alcoholic.......................... Other............................... Spinning room only............... Alcoholic.......................... Other............................... Weave room........................... Alcoholic.......................... Other............................... Miscellaneous......................... Alcoholic.......................... Other............................... 233 jI 1,151 | 252 698 784 2,454 165 427 51 50 59 88 59 91 63 182 31 31 33 46 41 67 43 129 20 19 26 42 18 24 20 53 3 8 15 18 7 8 20 1 7 12 2 2 13 3 7 8 6 5 6 5 7 17 11 8 23 11 12 14 31 1 4 2 16 12 19 16 12 8 12 14 3 5 11 5 4 3 6 3 13 7 6 11 8 2 6 10 4 7 7 26 6 16 8 39 3 4 13 3 5 17 4 4 2 12 3 10 8 21 1 1 1 1 3 6 1 IRISH AND FRENCH CANADIAN. Operatives............................. Alcoholic.......................... Other............................... Card room and spinning room. Alcoholic.......................... Other............................... Weave room........................... Alcoholic.......................... Other............................... 631 1,636 201 498 346 1,001 | i ALL OTHER RACES. Operatives............................. 803 Alcoholic.......................... Other............................... 284 Card room and spinning room. Alcoholic.......................... Other............................... Weave room.......................... 438 Alcoholic______ ________ Other_________________!__________ Miscellaneous......................... i 81 Alcoholic______________ Other___________________________ 1 ! 3,094 1,351 1,453 290 351 GENERAL TABLES. DEATHS AND DEATH RATES PER 1,000 FROM TUBERCULOUS, NONTUING AS ALCOHOLIC ADDICTION WAS REPORTED AS PRESENT OR B Y AGE, RACE, CONJUGAL CONDITION, AND OCCUPATIONAL AND WORKAG E GROUP 25 TO 44. Death rates per 1,000 population (age-adjusted). Tuberculous. Single. All causes. Nontuberculous. classes. Single. Married. Both classes. Single. JMarried. Both classes. ALL RACES. 2. 71 2.26 0.81 1. 26 1.17 1.51 3.18 4.38 0.84 2. 56 1.29 2. 96 5.89 6.64 1. 65 3.82 2. 43 4.47 2. 47 1.96 .69 1. 02 1.03 1.29 3. 42 4. 90 .85 2. 75 1.32 3.21 5. 89 6. 86 1. 54 3. 77 2.35 4.50 3.19 2.80 1.04 1. 72 1.45 1.96 2. 75 3. 40 .82 2. 18 1.21 2. 48 5.94 6.20 1.86 3.90 4. 44 1.33 3. 63 1. 61 1. 92 1. 55 2. 24 3.31 3. 65 .63 2.16 1.13 2. 40 4. 64 7.28 2.24 4.08 2.68 4.64 1.17 1.12 2.04 .97 1.85 1. 45 2. 35 .16 2.18 .44 2.12 1. 45 3. 52 1.28 4.22 1. 41 3.97 2. 75 6.08 2. 57 2.41 2. 29 2.69 5.85 4. 54 .86 1.59 2. 26 2.66 8.60 10. 62 3.43 4.00 4. 55 5.35 4.63 2.87 . 55 1. 83 1. 45 2. 05 2. 93 2.99 1. 08 2.49 1. 51 2. 64 7. 56 5.86 1.63 4.32 2.96 4.69 1.11 .37 . 95 .32 .38 .74 1.98 6. 38 1.11 1.11 2.39 2.M .95 IRISH AND FRENCH CANADIAN. 5.16 3.88 2. 34 1. 80 2. 93 2. 42 3.87 2. 61 1.38 1.82 1. 97 1.97 9.03 6. 49 3. 72 3.62 4.99 4.39 3. 02 5.18 4. 59 1.93 4. 04 2.84 4. 77 * 3.01 2.24 1. 33 2. 70 1. 77 7.79 8.19 6.83 3.26 6.74 4. 61 7. 04 4. 06 1.14 1. 98 2.50 2. 60 4. 46 1.15 1.14 2.20 1.98 1.87 11. 50 5.21 2.28 4.18 4.48 4. 47 ALL OTHER RACES. 1.00 2.05 0. 44 1.67 0.58 1. 71 1. 40 4. 01 0.51 2. 49 0. 72 2.84 2. 40 6.06 0. 95 4.16 1.30 4,55 2. 43 . 60 1.94 . 53 1. 98 1 59 4.33 2. 54 . 34 2. 77 1. 59 6. 76 .60 4.48 .87 4. 75 1.80 2.10 .25 1.63 .63 1. 70 1. 42 4. 35 1.09 2.81 1.17 3. 26 3. 22 6. 45 1.34 4.44 1.8# 4.9d .60 . 59 .53 .54 1.81 . 59 1.0S 1.S1 .60 1.18 . 53 1.62 352 G EN ERAL TABLES. T a b i e 3 3 . - POPULATION OF EACH SPECIFIE D CLASS OF MALES, AND BERCULOUS (INCLUDING ALCOHOLISM), AND ALL CAUSES, ACCORD A B SEN T AS A CIRCUMSTANCE A T LEA ST C O N T R IB U T O R Y TO D E A TH , ROOM GROUPS, 1908 TO 1912-C on clu d ed . AGE GROUP 15 TO 44. Population. Occupational group, work room group, and complicat ing death circumstance! Deaths. Tuberculous. Single. Nontuberculous. Married. Single. Married. Single. Married. ALL RACES. All males................................ Alcoholic.......................... Other................................ Nonoperatives...................... Alcoholic.......................... Other................................ Operatives.............................. Alcoholic.......................... Other................................ 14,626 15,305 8,674 9,969 5,952 5,336 Card room and spinning room. Alcoholic.......................... Other................................ 2,657 2,158 Card room only...................... Alcoholic.......................... Other................................ Spinning room only............... Alcoholic.......................... Other................................ Weave room........................... Alcoholic.......................... Other................................ Miscellaneous.......................... \lcoholic.......................... Other................................ 737 1,920 1,920 898 2,541 2,705 754 473 54 109 60 99 60 208 65 191 32 57 33 52 41 123 44 136 22 52 27 47 19 85 21 55 5 25 15 20 8 45 7 20 1 4 7 12 3 12 1 13 4 21 8 8 5 33 6 7 17 23 9■ 25 11 31 14 33 4 3 2 9 2 18 21 20 17 12 18 12 14 5 10 11 6 4 15 6 3 13 9 7 11 8 8 6 10 4 31 7 30 7 57 9 41 15 4 14 4 30 1 17 4 14 2 14 3 23 8 23 2 1 2 4 1 IRISH AND FRENCH CANADIAN. Operatives.............................. Alcoholic.......................... Other................................ Card room and spinning room\lcoholic.......................... Other.............................. Weave room........................... \lcoholie.......................... Other.............................. 2,024 1,752 801 534 905 1,061 ALL OTHER RACES. Operatives.............................. Alcoholic.......................... Other ........................ Card room and spinning room. Alcoholic. . ................... Other ........................... Weave room........................... Alcoholic.......................... Other................................ Miscellaneous.......................... Alcoholic.......................... Other................................ 3,928 3,584 1,856 1,624 1,636 1,644 436 316 353 GENERAL TABLES. DEATHS AND DEATH RATES PER 1,000 FROM TUBERCULOUS, NONTUING AS ALCOHOLIC ADDICTION WAS REPORTED AS PRESENT OR BY AGE, RACE, CONJUGAL CONDITION, AND OCCUPATIONAL AND WORKAGE GROUP 15 TO 44. Death rates per 1,000 population (age-adjusted). Tuberculous. Single. Married. Nontuberculous. Both classes. Single. Married. All causes. Both classes. Single. Married. Both classes. ALL RACES. 1.34 1.69 0.46 1.35 0.60 1.34 1.54 3.27 0.54 2.05 0.65 2.54 2.88 4.96 1.00 3.40 1.25 3.88 1.21 1.42 .34 1.16 .51 1.13 1.65 3.33 .52 2.45 .66 2.42 2.86 4.75 .86 3.61 1.17 3.65 1.58 2.12 .67 1.69 .76 1.71 1.35 3.03 .57 1.39 .63 2.47 2.93 5.15 1.24 3.08 1.39 4.18 .74 2.56 .78 1.59 .83 1.87 1.64 3.53 .64 1.04 .63 2.71 2.38 6.09 1.42 2.63 1.46 4.58 .21 1.18 .54 .98 .64 1.40 .90 3.19 .08 1.05 .38 2.71 1.11 4.37 .62 2.03 1.02 4.11 1.39 3.80 1.24 1.71 1.16 2.19 2.82 3.87 .93 1.25 1.14 2.78 4.21 7.67 2.17 2.96 2.30 4.97 2.23 2.10 .68 1.71 .75 1.72 1.41 2.56 .52 2.02 .73 2.35 3.64 4.66 1.20 4.73 1.48 4.07 .70 .54 2.43 .46 .97 3. 96 .35 1.77 4.66 .54 2.78 .46 2.74 IRISH AND FRENCH CANADIAN. 2.64 2.54 2.01 1.78 1.62 1.85 1.87 2.74 0.67 .87 0.95 2.32 4.51 5.28 2.68 2.65 2.57 4.17 1.80 3.38 2.21 3.81 2.28 2.34 2.30 3.52 1.08 .64 1.30 2.81 4.10 6.88 3.29 4.46 3.58 5.15 3.40 2.32 . 2.28 .95 1.37 1.59 2.15 1.67 .55 1.06 .96 1.90 5.55 3.99 2.83 2.01 2.33 3.49 ALL OTHER RACES. 0.49 1.77 0.21 1.65 0.28 1.62 0.70 3.30 0.46 1.62 0.40 2.61 1.19 5.07 0.67 3.27 0.68 4.23 1.96 .29 1.32 .25 1.69 .83 3.74 .38 1.22 .28 2.74 .83 5.70 .67 2.54 .53 4.43 .87 1.87 .12 1.88 .31 1.71 .68 3.23 .52 2.44 .56 2.70 1.55 5.10 .64 4.32 .87 4.41 .58 .29 4.26 .26 1.08 1.75 .29 1.33 2.33 .29 4.55 .26 2.41 88204°— 19— B u ll. 251-------23 354 G ENERAL TABLES. 3 4 .—NUMBER AND PER CENT OF TUBERCULOUS AND OF NONTU FIED AGE, SEX, AND RACE GROUP WHO WITHIN 5 YEARS BEFORE MATES, AND AVERAGE NUMBER OF SUCH RELATIVES OR INTI T a b le Age group 15 to 44. Males. Unspeci fied race. Item. French Canadian. Irish. All races. Tu- NonTu- NonTu- NonTu- Nontu- bertu- bertu- • bertuber- berberbercu- €U cu- €Ucu- cucu- bereulous. lous. lous. lous. lous. lous. lous. lous. OPERATIVES. Number of decedents: As tabulated elsewhere....................................... Correction for 21 probably tuberculous............... 72 +2 114 -2 31 21 45 +1 45 -1 148 +3 180 -3 74 112 31 21 46 44 151 177 30 32 6 14 13 19 1 2 23 26 3 5 66 77 10 21 41 43 5 13 42 €1 5 10 50 57 7 11 44 51 6 12 24 27 6 9 16 12 3 11 32 3 1 51 71 12 10 Total.. 51 15 28 3 43 4 ' 122 22 At any timeMales__ Females. 26 35 15 13 25 17 8 3 16 44 4 2 67 96 27 18 61 28 42 11 €0 6 163 45 0.8 .9 1.0 L5 1.3 .9 3.0 0.5 1.4 1.0 .3 0.7 1.1 1.2 1.0 Total.. 1.7 2.5 2.2 3.0 1.9 1.3 1.8 2.2 At any timeMales__ Females. .8 1.1 1.1 .9 1.3 .9 4.0 1.5 .6 1.7 .8 .4 .9 1.2 1.3 .8 1.9 2.0 2.2 5.5 2.3 1.2 2.1 2.1 Corrected basic total....................................... Decedents who had tuberculous relatives or inti mates: Within 5 years before death............................... At any time........................................................ Per cent of decedents of each class who had tubercu lous relatives or intimates: Within 5 years before death................................ At any time........................................................ Total tuberculous relatives or intimates: Within 5 years before death— Males........................................... Females....................................... Total. Average tuberculous relatives or intimates per de cedent having such: Within 5 years before death— Males.............................................................. Females........................................................ . Total. NONOPERATIVES. Number of decedents: As tabulated elsewhere.......................- ............... Correction for 37 probably tuberculous................ 70 +1 176 -1 57 +1 97 -1 47 +4 71 -4 174 +6 344 -6 Corrected basic total........................................ 71 175 58 96 51 67 180 338 Decedents who had tuberculous relatives or inti mates: Within 5 years before -death................................. At any time.......................................................... Per cent of decedents of each class who had tubercu lous relatives or intimates: Within 5 years before death................................. At anytime.......................................................... 25 32 14 29 24 31 13 15 22 29 8 11 92 71 35 55 35 : 45 8 17 41 53 14 16 43 57 12 16 39 51 10 16 Total tuberculous relatives or intimates: Within 5 years before death— Males.............................................................. Females.......................................................... 22 31 10 6 30 19 15 3 17 27 5 9 69 77 30 18 Total........................................................... 53 16 49 18 44 14 146 48 355 G EN ERAL TABLES. BERCULOUS O P E R A T IV E AND N O N O PER ATIVE DECEDENTS OF SPEC!-* D E A TH O R A T A N Y T IM E H AD TUBERCULOUS R E L A T IV E S O R IN T I M ATES P E R D ECEDEN T H A V IN G SUCH, 1908 TO 1912. Age group 15 to 44. Age group 45 to 64, both sexes. Females. Unspeci fied race. French Canadian. Irish. Tu- NonTu- NonTu Nontutu- bertu- berber berbereucu- ber€U- cuCllculous. lous. lous. ious. lous. lous. All races. Unspeci fied raoe. French Canadian. All races. Irish. Tu NonTu- NonTu- NonTu- Nontu- ft tu- bertuer- tu- ber- berber- bereu- cu- cu- bercu- cu- cu- bercuculous. lous. lous. lous. lous. lous. lous. lous. Tuberculous. Nontuberculous. Ages 15 to 64, both sexes, all races. Tuberculous. Nontuberculous. OPERATIVES. 98 +6 118 -6 46 +4 71 -4 73 +3 75 217 264 - 3 +13 -13 17 +2 104 112 50 67 76 72 230 251 19 49 58 10 16 25 32 12 15 41 47 9 115 13 137 31 44 6 9 8 20 4 5 47 56 9 14 50 64 18 22 54 *62 13 18 50 60 12 18 32 47 5 12 40 58 3 7 21 23 3 12 44 53 8 105 7 134 14 26 4 2 98 10 44 15 97 15 239 40 54 70 8 10 34 41 5 15 57 70 17 145 15 181 124 18 75 20 127 0.8 1.2 0.3 .7 0.9 .9 0.3 1.0 2.0 1.0 1.8 .9 1.2 .5 .6 2.1 1.1 15 +3 51 -3 49 331 414 +5 - 5 +21 775 -21 18 48 54 326 435 754 11 25 4 9 4 8 14 23 23 195 53 237 64 118 24 29 9 22 22 50 8 17 26 43 7 16 45 54 8 16 5 5 2 3 5 9 4 3 3 3 10 8 13 166 17 213 39 53 6 10 5 14 7 6 18 30 379 92 30 40 7 4 8 23 4 3 14 19 6 8 5 8 17 15 27 229 50 292 84 108 32 326 70 11 31 7 33 14 13 32 77 521 192 1.1 1.3 0.9 0.9 .8 1.2 0.5 .8 0.7 .3 0.6 .7 0.5 .8 0.5 .8 1.0 .8 0.7 .8 0.7 .6 0.6 .7 0.8 1.1 0.6 .8 1.3 2.4 1.7 2.1 1.3 1.0 1.3 1.3 1.3 1.8 1.5 1.3 1.3 1.9 1.4 1.0 1.3 .3 1.0 1.2 1.5 1.3 1.2 1.1 1.3 .7 .9 .8 .4 .4 1.2 .8 .6 .5 .8 .7 .9 .6 1.0 .7 .7 .5 1.0 1.0 1.2 .7 .9 2.3 1.3 2.7 2.5 2.4 1.6 1.2 1.6 1.4 1.3 1.6 1.6 1.4 559 39 467 -6 + 6 -6 33 +7 205 121 1,231 438 1,936 - 7 +19 -19 + 37 -37 45 461 40 198 140 1,212 475 1,899 l 164 17 116 —2 ....... 162 17 116 1.5 2.2 1.6 NONOPERATIVES. 59 +4 190 41 88 - 4 +3 - 3 43 +5 83 143 361 - 5 + 12 -12 49 +6 63 186 44 85 48 78 155 349 55 553 19 27 11 23 23 26 17 23 23 25 10 15 65 78 38 61 18 27 36 95 16 26 54 99 21 22 27 46 55 117 191 75 240 245 30 43 6 12 52 59 20 27 48 52 13 19 42 50 11 17 33 49 7 17 36 58 12 21 53 55 17 23 39 54 10 20 40 52 10 19 7 16 5 , 22 13 11 22 24 11 8 50 65 31 24 19 14 18 26 15 19 32 32 22 27 15 20 56 60 65 175 78 202 126 120 24 46 19 115 55 33 44 34 64 49 35 116 143 377 246 12 19 31 12 38 190 356 GENERAL TABLES. 356 34 —NUMBER AND PER CENT OF TUBERCULOUS AND OF NONTU FTED AGE, SEX. AND RACE GROUP WHO WITHIN 5 YEARS BEFORE MATES, AND AVERAGE NUMBER OF SUCH RELATIVES OR INTI T a b le Age group 15 to 44. Males. Unspeci fied race. Item. French Canadian. Irish. All races. Tu- NonTu- NonTu- NonTu- Nontu- bertu- bertu- bertuber- berberbercucu- cu- cucu- bereucuculous. lous. lous. lous. lous. lous. lous. lous. NONOPERATIVES—Concluded. Total tuberculous relatives or intimates—Continued. At any time— Males.............................................................. Females.......................................................... 39 42 21 16 41 30 17 6 29 46 8 10 109 118 46 32 Total........................................................... 81 37 71 23 75 18 227 78 Average tuberculous relatives or intimates per de cedent having such: Within 5 years before death— Males.............................................................. Females.......................................................... 0.9 1.2 0.7 .4 1.3 .8 1.2 .2 0.8 1.2 0.6 1.2 1.0 1.1 0.9 .5 2.1 1.1 2.0 1.4 2.0 1.8 2.1 1.4 At any time— Males.............................................................. Females.......................................................... 1.2 1.3 .7 .6 1.3 1.0 1.1 .4 1.0 1.6 .7 .9 1.2 1.2 .8 .6 Total........................................................... 2.5 1.3 2.3 *1.5 2.6 1.6 2.4 1.4 OPERATIVES AND NONOPERATIVES. Number of decedents: As tabulated elsewhere........................................ Correction for 58 probably tuberculous................ 142 +3 290 -3 88 +1 118 -1 92 +5 116 -5 322 +9 524 —9 145 287 89 117 97 111 331 515 55 64 20 43 37 50 14 17 45 55 11 16 137 169 45 76 38 44 7 15 42 56 12 15 46 57 10 14 41 51 9 15 Total tuberculous relatives or intimates: Within 5 years before death— Males ........................................................... Females.......................................................... 46 58 16 15 46 31 18 3 28 59 8 10 120 148 42 28 Corrected basic total.......................................... Decedents who had tuberculous relatives or inti mates: Within 5 years before death................................. At any time.......................................................... Per cent of decedents of each class who had tubercu lous relatives or intimates: Within 5 years before death................................. At any time.......................................................... Total........................................................... 104 31 77 21 87 18 268 70 At any time— Males.............................................................. Females.......................................................... 65 77 36 29 66 47 25 9 45 90 12 12 176 214 73 50 Total........................................................... 142 65 113 34 135 24 390 123 Average tuberculous relatives or intimates per de cedent having such: Within 5 years before death— Males.............................................................. Females.......................................................... 0. 8 1.1 0.8 .8 1.3 .8 1.3 .2 0.6 1.3 0. 7 .9 0.9 1.1 1. 0 .6 Total........................................................... 1.9 1.6 2.1 1.5 1.9 1.6 2.0 1.6 At any time— Males.............................................................. Females.......................................................... 1.0 1.2 .8 .7 1,3 1.0 1.5 .5 .8 1.7 .8 .7 1.0 1.3 1. 0 .6 Total........................................................... 2.2 1.5 2.3 2.0 2.5 1.5 2.3 1.6 357 GENERAL TABLES. BERCULOUS O P E R A T IV E AND N O N O PE R A TIV E DECEDENTS OF SPECID EATH O R A T A N Y TIM E H AD TUBERCULOUS R E L A T IV E S O R IN T I MATES P E R D ECEDEN T H A V IN G SUCH, 1908 TO 1912— Concluded. Age group 45 to 64, both sexes. Age group 15 to 44. Females. Unspeci fied race. French Canadian. Irish. All races. Tu- NonTu- NonTu Nontutu- bertu- berber berbercu- cu- cu- cu- cu- berculous. lous. lous. lous. lous. lous. Tuberculous. Nontuberculous. Unspeci fied race. French Canadian. All races. Irish. Tu- NonTu- NonTu- Nontu- bertu- bei* tuber- berbercuCll- cu- cu- bercuClllous. lous. lous. lous. lous. lous. Tuberculous. Nontuberculous. Ages 15 to 64, both sexes, all races. Tu berculous. Nontuberculous. NONOPERATIVES—Concluded. 16 29 22 12 25 31 25 20 31 41 17 72 13 101 64 45 30 27 54 97 45 34 56 45 72 30 173 109 57 151 0.6 1.0 0.6 .5 0.7 1.0 0.8 .6 1.0 1.0 1.1 .8 0.8 0.8 1.0 .6 1.0 .8 0.5 .7 0.9 1.2 0.6 .6 1.0 1.3 0.6 .7 1.0 1.1 0.5 .7 0.9 1.1 0.7 .6 1.6 1.1 1.7 1.4 2.0 1.9 1.8 1.4 1.8 1.2 2.1 1.2 2.3 1.3 2.1 1.2 2.0 1.3 .6 1.1 1.0 .5 1.0 1.2 1.1 .9 1.2 1.7 1.1 .9 .9 1.3 1.1 .7 1.1 1.0 .6 1.0 .8 1.4 .8 .8 1.5 1.4 .8 .9 1.2 1.2 .7 .9 1.1 1.3 .8 .8 1.7 1.5 2.2 2.0 2.9 2.2 2.2 1.8 2.1 1.6 2.2 1.6 2.9 1.7 2.4 1.6 2.4 1.6 22 35 80 80 33 30 39 39 85 173 266 92 216 311 283 293 57 160 63 78 177 389 577 576 OPERATIVES AND NONOPERATIVES. 157 +10 308 -10 87 159 +7 - 7 116 +8 158 360 625 - 8 +25 -25 66 +8 723 -8 .167 298 94 152 124 150 385 600 74 715 62 577 58 68 85 21 39 48 58 29 38 64 72 19 180 69 28 215 105 24 36 44 115 20 65 31 124 25 31 31 54 69 140 386 98 293 482 41 51 7 13 51 62 19 25 52 58 13 19 47 53 12 18 32 49 6 16 32 50 11 21 43 53 13 22 36 51 9 19 42 53 10 18 52 77 10 12 37 45 16 23 66 77 19 155 15 199 45 50 23 16 23 31 17 22 37 41 26 30 18 23 66 68 78 341 95 415 165 173 129 22 82 39 143 34 354 95 39 54 39 78 56 41 756 338 70 99 30 i 59 22 72 30 35 88 111 34 217 28 282 94 85 37 31 62 120 26 38 94 99 39 38 44 102 200 495 47 107 266 603 367 401 169 52 131 65 199 62 499 179 68 182 64 193 77 91 209 466 1,098 768 56 583 48 +6 - 6 +10 256 170 1,562 852 2,711 —10 +24 -24 +58 -58 246 194 1,538 910 2,653 134 173 254 474 0.8 1-1 0.5 .5 0.8 .9 0.5 .8 1.0 1.2 1.0 .8 0.9 1.1 0.7 .7 0.9 .7 0.5 .7 0.9 1.1 0.6 .6 1.0 1.2 0.6 .7 0.9 1.0 0.5 .7 0.9 1.1 0.6 .7 1.9 1.0 1.7 1.3 2.2 1.8 2.0 1.4 1.6 1.2 2.0 1.2 2.2 1.3 1.9 1.2 2.0 1.3 .8 1.2 .8 .5 1.0 1.3 .8 .9 1.2 1.6 1.2 1.0 1.0 1.3 .9 .8 1.0 .9 .6 1.0 .9 1.2 .8 .8 1.3 1.2 .8 .9 1.0 1.1 .7 .9 1.0 1.3 .8 .8 2.0 1.3 2.3 1.7 2.8 2.2 2.3 1.7 1.9 1.6 2.1 1.6 2.5 1.7 2.1 1.6 2.3 1.6 358 GENERAL TABLES. T a b le 3 5 .— N U M BE R AN D P E R CENT OP TU B ERC U LO U S AN D OF NON W O R K R O O M GROUP, W HO W ITH IN 5 Y E A R S B E FO R E D E A TH H A D O F SUCH R E L A T IV E S O R IN TIM ATE S P E R D ECE D E N T H AV IN G SUCH, Males. Ameri can. Workroom group of decedents. Tuberculous. Total decedents:' Card room..................... English. Non- Tu- Nontutuber- bercu- bercu- lous. culous. lous. French Canadian. Irish. Tu- Nontuber- bereu- culous. lous. Portu guese. Tu- NonTutu- berber- bercu- cu- culous. lous. lous. Other races. Non- Tutuber- bercuCll- lous. lous. All races. Non- Tutuber- bercucu- lous. lous. Nontuberculous. 3 ? 7 7 3 7 6 4 2 5 3 20 2 18 11 8 11 13 5 8 25 42 28 50 1 6 2 9 16 3 36 3 18 1 13 1 22 5 19 3 4 3 1 9 8 9 75 11 88 Total operatives........ Total nonoperatives___ 10 25 20 60 ?.3 28 49 60 31 58 21 96 46 51 44 67 26 9 27 27 15 9 16 151 177 28 180 338 Both classes.............. 35 80 51 109 89 117 97 111 35 54 24 44 331 515 1 9 24 11 2 4 29 4 Spooler room and rooms not specified. - - Decedents who had tuber culous relatives and in timates within 5 years before death: Number— | 1 2 1 2 14 2 4 4 7 1 2 1 1 I 1 2 4 Spinning room....... Spooler room and rooms not speci fied...................... W eave room........... 2 4 2 7 2 2 9 Total operatives.. Total nonoperatives. 4 12 4 11 9 3 9 13 2.4 1 13 23 22 3 8 12 3 3 1 3 1 66 71 10 35 .... 16 4 20 12 37 14 45 11 15 4 4 137 45 Per cent of total decedents of specified class: Card room..................... Spinning r o o m ................... Spooler room and rooms not specified............. Weave room................. 67 2 57 20 67 70 11 36 50 9 8 20 36 57 7 8 33 44 67 6 *50 32 5 2 67 50 33 22 44 39 5 Total operatives........ Total nonoperatives___ 40 48 7 48 32 6 2 42 15 2 41 5 14 50 43 7 12 46 33 11 4 20 11 44 39 6 10 Both classes............ Total tuberculous relatives and intimates within 5 years before death: Card room..................... Spinning room.............. Spooler room and rooms not specified Weave room................. 46 5 39 11 2 42 12 46 10 43 7 17 41 9 3 3 23 3 12 4 1 3 1 19 40 0 9 17 1 2 3 4 2 4 59 7 43 44 4 14 21 7 8 1 3 1 122 146 22 48 87 18 28 9 4 268 3.0 1.0 1.0 2.1 1.7 1.0 2.0 1.8 1.0 ....... 1.8 2.1 1.0 2.2 1.4 Both classes 33 233 5 3 8 2 2 23 17 15 7 11 28 49 3 18 4 | 32 Both classes.............. 40 Average tuberculous rela tives and intimates per | decedent having such: Card room..................... Spinning room.............. 2.0 ___ 22. 3 Spooler room and rooms not specified Weave room.................. 3.0 .......i 1.1 18 77 21 Total operatives........ Total nonoperatives___ 4 9 a .. .J 10 30 Total operatives........ 2.5 Total nonoperatives___ 2.5 Both classes............... 2.5 4 i ’o" 1.0 1.5 1.7 5.0 U.5 1.5 3*0* 1.6 2 'i.Y 1.0 3.0 21.0 1.0 1.0 22.6 2*4* i.‘o' 1.5 T o ’ i.o’ 2.3 22.2 3.0 1.2 22.0 1.4 1.9 2.0 1.3 1.8 1.8 2.3 2.7 1.0 70 3.0 2.3 j 1.6 1.5 22.1 1.5 j 1.9 1.6 1.9 2.3 j 1.0 ....... 2.0 1.6 i 34 "probably tuberculous” decedents elsewhere regularly scheduled as nontuberculous are scheduled as tuberculous” herein and in all tables involving tuberculous kindred. For distribution of these 34 cases see Table 55. GENERAL TAB LES. 359 TUBERCULOUS DECEDENTS OF SPECIFIED SEX, RACE, AND TUBERCULOUS R E L A T IV E S OR IN TIM ATES, AND A V E R A G E N U M BE R AGE GROUP 15 TO 44, 1908 TO 1912. Females. American. English. French Canadian. Irish. Portuguese. Other races. All races. Tu- Nontu Tu- Nontu Tn- Nontu-, TuTu TuTu- Nontufaer- Nontu ber- Nontu ber- Nontu bercu berbercu berbercu berbercu- cubercu bercu- bercu cucucu: eucu- bereulous. lous. lous. lous. lous. lous. lous. lous. lous. lous. lous. lous. lous. lous. 2 1 14 13 1 1 4 11 6 3 9 10 7 9 25 7 17 23 24 15 54 32 16 48 56 47 G9 48 3 1 6 6 4 16 1 61 53 54 95 41 12 230 155 251 349 53 385 000 1 32 37 9 5 14 9 18 38 11 18 15 24 14 13 3 4 5 5 50 44 67 85 76 48 72 78 38 37 35 11 11 104 94 152 124 150 50 72 22 9 1- 1 11 4 1 4 25 2 1 5 1 2 4 2 1 6 7 5 5 5 1 1 9 3 3 8 8 8 12 8 6 3 25 23 12 17 41 23 19 3 5 10 20 5 21 6 48 29 64 19 22 7 50 50 64 8 2 50 2 75 25 50 67 25 4 63 57 11 11 68 2 1 2 3 3 100 2 2 1 1 14 7 67 51 51 26 6 4 2 55 58 58 37 13 7 1 3 3 2 22 2 7 22 24 10 2 1 2 115 65 31 38 5 3 180 69 33 55 04 10 57 8 247 43 9 13 39 33 21 7 38 33 17 25 50 40 18 36 45 13 11 57 29 7 7 44 44 6 5 2 50 2 52 18 13 13 50 25 14 6 27 18 8. 20 54 48 . 5 50 42 12 11 43 7 44 6 *51 19 52 13 44 10 23 6 47 12 7 1 24 1 15 4 5 3 61 12 2 7 18 1 2 1 65 85 .10 10 2 8 17 1 6 18 7 6 1 1 1 2 47 42 8 12 32 8 3 3 44 38 15 24 2 13 9 4 6 6 3 2 97 46 : 15 19 34 3 5 3 2 1 2 239 . 115 40 55 7 5 3 354 95 2.0 2.3 1.1 2.0 2.1 1.8 1.1 1.2 1.0 1.0 2.1 1.8 1.3 1.4 1.0 2.0 1.4 29 18 '5 47 6 40 6 82 39 143 34 37 2.3 1.0 2.7 1.0 2.0 2 1.4 21.3 1.3 3.0 3.0 2.4 1.0 1.4 i 2.3 ; 1.0 1.0 1.5 1.0 * 2.1 2.7 1.0 1.0 2.6 1.2 3.0 2.0 | 1.4 1.0 1.0 1.0 1.0 2.3 21.8 1 a2.2 2.3 4.0 1.2 2 1.0 2.2 2.6 1.3 1.1 1.0 1.0 *1.7 1.3 1.4 2.4 1-7 1.9 1.8 : 1.0 | 1.0 1.0 1.0 2.0 2.4 1.2 1.9 1.0 2 1.7 i. 3 2.2 1.8 1.7 . 1.0 1.0 1.0 1,0 8This race has the highest tuberculous death rate of all races within the specified workroom or industry. 360 . GENERAL TABLES. NUMBER AND PER CENT OF TUBERCULOUS AND OF NON WORKROOM GROUP, WHO WITHIN 5 YEARS BEFORE DEATH HAD ' OF SUCH RELATIVES OR INTIMATES PER DECEDENT HAYING T a b le 3 6 .— Males. ’Workroom group of decedents. 15 to 19 years. Tuberculous. Total decedents:1 Card room..................... Spinning room.............. Spooler room # and rooms not specified... 5 Nontuberculous. 20 to 24 years. Tuberculous. Nontuberculous. 25 to 29 years. Tu faerculous. Nontuberculous. 8 4 3 3 10 12 12 9 4 8 1 30 to 34 years. Tu faerculous. Nontuberculous. 2 5 3 Nontuberculous. 5 6 5 40 to 44 years. Tuberculous. Nontuberculous. Total, 15 to 44