PER CENT OF TOTAL IMMIGRATION DESTINED TO EACH OF THE SPECIFIED DIVISIONS, 1910
Division Per Cent
North Atlantic 62.3
South Atlantic 2.5
North Central 26.1
South Central 2.3
Western 6.1

Total 99.3[[175]]

[175]. Balance to Alaska, Hawaii, Philippine Islands, and Porto Rico.

The fact that in a typical year 88.4 per cent of the total immigration gave their intended future residence as the North Atlantic or North Central divisions, introduces us to some of the peculiarities of the distribution of immigrants in the United States, which will be further considered later.

Before closing our consideration of arriving immigrants it will be well to glance briefly at those who arrive, but are not admitted—in other words, the debarred. We have seen that the law has grown more and more stringent in its conditions for admission, and each new statute has tended to raise the standard. These laws have had a powerful influence in improving the character of the applicants for admission, and with the coöperation of the transportation companies have operated to check the emigration of the manifestly undesirable to an ever greater extent. Yet there are every year considerable numbers of would-be immigrants who have to be turned back at the portals of the United States. The lot of these unfortunates is undeniably a hard one, and they are the objects of much well-deserved sympathy. Everything possible ought to be done to limit the number of inadmissible aliens who are allowed to present themselves at the immigrant stations of this country. The farther back on the road they can be stopped, the better will the interests of humanity be served. At the same time, pity for the rejected alien ought not to be allowed to express itself in unreasonable and unwarranted attacks upon our system of admission, and the officials who administer it, as is sometimes done.[[176]]

The statistics of debarments may be indicative of the character of the applicants, of the stringency of the laws and the faithfulness of their enforcement, or of the care of the transportation companies in prosecuting their examination on the other side. It is impossible to tell from the figures themselves which of these factors account for the different fluctuations. It is undoubtedly true that there has been, in general, a steady improvement in the care with which immigrants are selected. If, next year, a million immigrants of the same general character as prevailed sixty years ago should present themselves at our gates, the proportion of refusals would soar tremendously. The following table gives the proportion of debarments to admissions since 1892.

PROPORTION OF ALIENS DEBARRED, EXPRESSED IN PERCENTAGES OF IMMIGRANTS ADMITTED, 1892–1912
Year 1892 1893 1894 1895 1896 1897 1898
Per cent .37 .24 .49 .94 .62 .70 1.32
Year 1899 1900 1901 1902 1903 1904 1905
Per cent 1.22 .95 .72 .76 1.02 .98 1.15
Year 1906 1907 1908 1909 1910 1911 1912
Per cent 1.12 1.02 1.18 1.09 2.33 2.54 1.92

In the years 1892 to 1912, 169,132 aliens were refused admission to the United States. Of these, 58.2 per cent were debarred on the grounds of pauperism or likelihood of becoming a public charge, 15.8 per cent were afflicted with loathsome or dangerous contagious diseases, and 12.7 per cent were contract laborers. These three leading causes account for 86.7 per cent of all the debarments. The other classes of debarred aliens specified in the reports are as follows: idiots, imbeciles, feeble-minded, epileptics, insane, tuberculosis (non-contagious), professional beggars, mental or physical defects likely to affect ability to earn a living, accompanying aliens, under sixteen years of age unaccompanied by parent, assisted aliens, criminals, polygamists, anarchists, prostitutes, etc., aliens who procure prostitutes, etc., under passport provision, Section 1, under provisions Chinese exclusion act, supported by proceeds of prostitution.

There has been a change in the relative importance of the three leading causes of debarment since 1892. In that year almost all the debarred aliens were paupers or likely to become a public charge or contract laborers. The first of these classes has held its own down to the present, and still stands far in advance of any other cause as regards the number refused. The contract labor class has declined in relative importance. Loathsome and dangerous contagious diseases were comparatively unimportant until 1898, when they sprang into prominence, and have since outstripped contract laborers. This was due to the classification, in 1897, of trachoma as a dangerous contagious disease. It has since led the list of diseases by a large margin. In 1910 there were 2618 cases of trachoma out of a total of 3123 loathsome or dangerous contagious diseases. Favus comes next with 111 cases, tuberculosis next with 90, and others 304. The proportions were about the same in 1908 and 1909. In 1912 the proportion of trachoma was even greater.

Trachoma is the disease popularly known as granular lids. It attacks the conjunctiva, or mucous lining of the lids, setting up inflammation. It affects the cornea, forming ulcers, and may result in partial or total opacity, which may be permanent or temporary. The determination of cases of true trachoma appears to be a matter of some difficulty; the examiners on Ellis Island are “instructed to regard as trachoma any case wherein the conjunctiva presents firm, well-marked granulations which do not have a tendency to disappear when the case is placed in hygienic surroundings a few days, or does not yield rapidly to ordinary treatment, even though there be no evidence of active inflammation at the time of the examination, nor appreciable discharge, nor as yet any signs of degenerative or destructive processes.”[[177]] The necessity for great caution in this matter is increased by the fact that it is possible by medical treatment to remove the outward symptoms of trachoma so as to make it very difficult of detection, though there is no real cure, and the disease will return later. Many immigrants who are suffering from this malady take treatment of this sort before emigrating. It is stated that in London there are institutions which make a business of preparing immigrants for admission.[[178]] Statements emanating from medical sources have recently appeared in the newspapers to the effect that trachoma is not so contagious or dangerous as has been supposed, but they appear to lack substantiation.

Favus is another name for the disease known as ring worm. It is a vegetable parasite which attacks the hair, causing it to become dry, brittle, dull, and easily pulled out. Favus is also susceptible to temporary “cures.”