We have seen that the negro population has not kept pace with the native white population. The reason is found in the smaller excess of births over deaths. Statistics of births are almost entirely lacking in the United States. Statistics of deaths are complete for only portions of Northern states and a few Southern cities, containing, in 1900, in all, 27,500,000 whites and 1,180,000 negroes. Of this number, 20,500,000 whites and 1,100,000 negroes lived in cities, so that the showing which the census is able to give is mainly for cities North and South and for rural sections only in the North.[30] It appears that for every 1000 colored persons living in these cities the deaths in 1900 were 31.1, while for every 1000 white persons the deaths were only 17.9. That is to say, the colored death-rate was 73 per cent greater than the white death-rate.

In the rural districts there was much less difference. The colored death-rate was 19.1 and the white death-rate 15.3, a colored excess of 25 per cent.

Morals and Environment.—In explaining the excessive colored mortality there are two classes of opinions. One explains it by social conditions, the other by race traits. The one points to environment, the other to moral character. The one is socialistic, the other individualistic. These different views exist among colored people themselves, and one of the encouraging signs is the scientific and candid interest in the subject taken by them under the leadership of Atlanta University. A colored physician who takes the first view states his case forcibly:[31]

“Is it any wonder that we die faster than our white brother when he gets the first and best attention, while we are neglected on all sides? They have the best wards and treatment at the hospital, while we must take it second hand or not at all; they have all the homes for the poor and friendless, we have none; they have a home for fallen women, we have none; they have the public libraries where they can get and read books on hygiene and other subjects pertaining to health, we have no such privileges; they have the gymnasiums where they can go and develop themselves physically, we have not; they have all the parks where they and their children can go in the hot summer days and breathe the pure, cool air, but for fear we might catch a breath of that air and live, they put up large signs, which read thus, ‘For white people only’; they live in the best homes, while we live in humble ones; they live in the cleanest and healthiest parts of the city, while we live in the sickliest and filthiest parts of the city; the streets on which they live are cleaned once and twice a day, the streets on which we live are not cleaned once a month, and some not at all; besides, they have plenty of money with which they can get any physician they wish, any medicine they need, and travel for their health when necessary; all of these blessings we are deprived of. Now, my friends, in the face of all these disadvantages, do you not think we are doing well to stay here as long as we do?”

Another colored writer, less eloquent, but not less accurate, in summarizing the statistics collected under the guidance of Atlanta University concludes:[32]

“Overcrowding in tenements and houses occupied by colored people does not exist to any great extent, and is less than was supposed.

“In comparison with white women, an excess of colored women support their families, or contribute to the family support, by occupation which takes them much of their time from home, to the neglect of their children.

“Environment and the sanitary condition of houses are not chiefly responsible for the excessive mortality among colored people.

“Ignorance and disregard of the laws of health are responsible for a large proportion of this excessive mortality.”

It is pointed out by these colored students and by many others that the excessive mortality of colored people is owing to pulmonary consumption, scrofula, and syphilis, all of which are constitutional; and to infant mortality due also to constitutional and congenital disease. The census of 1900 reports for a portion of the Northern states that for every 1000 white children under five years of age there were 49.7 deaths in one year, and for every 1000 colored children under five years there were 118.5 deaths, an excess of negro infant mortality of 137 per cent.[33] The census also reports that negro deaths in cities owing to consumption are proportionately 2.8 times as many as white deaths,[34] deaths owing to pneumonia are 89 per cent greater,[35] while deaths owing to contagious causes, such as measles, scarlet fever, diphtheria,[36] are but slightly greater or actually less than the white deaths in proportion to population. In the city of Charleston, where mortality statistics of negroes were compiled before the war, it has been shown that from 1822 to 1848 the colored death-rate from consumption was a trifle less than the white, but since 1865 the white mortality from that cause has decreased 38 per cent, while the negro mortality has increased 70 per cent.[37] The death-rates from consumption in Charleston in 1900 were 189.8 for 100,000 whites and 647.7 for 100,000 negroes, an excess of 241 per cent. The lowest negro death-rate reported from consumption in cities is 378.5 for Memphis, but in that city the white death-rate from the same cause is 169.9, a negro excess of 123 per cent.[38]