13. Action in respect to marriages of the deaf likely to result in deaf offspring seems for the present rather to be limited to moral forces.
14. Congenital deafness appears, from all the evidence, to be decreasing relatively among the population, though probably only at a very slow rate.
15. Finally, with respect to our original inquiry, it is to be said that there are no indications that deafness will disappear from the human race within any time which we can measure; and hence that the deaf are to be in society not only for a season, but for a period apparently as yet indefinite. Nevertheless the situation is not without encouragement. From the data in our possession regarding deafness as a whole, it seems certain that deafness is not on the increase relatively among the population. From our knowledge concerning adventitious deafness, the probabilities are that, if anything, it is decreasing; while the evidence as to congenital deafness is that it is decreasing. It is likely, then, that deafness in general is tending to decrease; and we are thus justified in believing that the number of the deaf will in time become less.
FOOTNOTES:
[15] Moreover, later censuses are probably taken more thoroughly than former, with a consequent discovery of a larger number of the deaf; while at the same time greater care is employed in preparing the later censuses, with the more rigorous elimination of doubtful cases, all in some measure, however, tending to even up the differences. On the difficulty of making comparisons of the censuses of the deaf, see Special Reports, pp. 66-69; Annals, li., 1906, p. 487.
[16] Ibid.
[17] Deafness has also been divided into three classes: adventitious deafness, congenital or hereditary deafness, and infantile or sporadic congenital deafness, the last class including many cases where there are other antecedent defects, mental or physical, or where the deafness occurred shortly after birth with the exact cause not definitely determined. See Proceedings of International Otological Congress, ix., 1913, p. 49; Volta Review, xiv., 1912, p. 348; xv., 1913, p. 209.
[18] Of the cases usually ascribed to accidents, as falls, blows and the like, the probabilities are that a large part are really to be attributed to some other cause. Deafness is not often likely to result from such occurrences.
[19] See Proceedings of International Otological Congress, ix., 1913, p. 49; Volta Review, xiv., 1912, p. 348.
[20] Special Reports, pp. 110, 122, 124. See also Annals, xxxiii., 1888, p. 199; lii., 1907, p. 168. In the table are given only the specified causes that represent at least 0.7 per cent of the total amount of deafness. In respect to external ear trouble, impacted cerumen is usually found to result from water in the ear, or wax in the ear. Other diseases of the middle ear of suppurative character are diphtheria, pneumonia, erysipelas, smallpox, tonsilitis, teething, bronchitis, and consumption. Other non-suppurative diseases of the middle ear are whooping cough, scrofula, exposure and cold, disease of the throat, thickening of eardrum, croup, etc. Of the internal ear, other causes affecting the labyrinth are malformation, noise and concussion, mumps, and syphilis; affecting the nerve, paralysis, convulsions, sunstroke, congestion of brain, and disease of nervous system; and affecting brain center, hydrocephalus and epilepsy. Among unclassified causes are also adduced neuralgia, childbirth, accident, medicine, heat, rheumatism, head-ache, fright or shock, overwork, lightning, diarrhea, chicken-pox, operation, and other causes.