Statistical Studies. The Significance of a Declining Birth Rate. Frederick L. Hoffman, Statistician of the Prudential Insurance Company, Newark, N. J.

From an economic and social point of view a low birth rate and a low death rate would unquestionably be more advantageous than the opposite condition, which involves much needless waste of human energy and pecuniary expenditure. For reasons which require no discussion, every civilized country desires a normal increase in population, though a high degree of social and economic well-being is not at all inconsistent with even a stationary population condition such as for some years past has prevailed in France. P. 23.

All the available statistical information seems to justify the conclusion that the world’s population in general, and of the more civilized countries in particular is increasing at the present time at a more rapid rate than in earlier years—a condition largely the result of a persistent and considerable decline in the birth rate. P. 28.

The important causes of death which have increased during the five years ending 1910, as compared with the previous five years, are briefly the following:—Syphilis increased from 4.1 to 5.4, per 100,000 of population. Cancer, and other malignant tumors from 11.5 to 13.7; locomotor ataxia, and other diseases of the spinal cord from 7.3 to 8.4; all diseases of the circulatory system combined from 161.2 to 171.7; ulcers of the stomach from 2.9 to 3.6; diarrhea and enteritis under two years, from 89.0 to 96.2; diseases of the puerperal state considered as a group from 14.2 to 15.5; malformations, chiefly congenital, from 12.2 to 14.9; diseases of early infancy, chiefly congenital debility and premature births, from 73.9 to 75.0. P. 45.

GONORRHEA

THE PRACTICE OF OBSTETRICS. In Original Contributions by American Authors. Edited by Reuben Peterson, A.B., M.D. Lea Bros. & Co., Phil. and New York. 1907.

The reciprocal relation of gonorrhea and pregnancy is most unfavorable. Gonorrhea exerts a very unfavorable effect upon pregnancy and is responsible for a large number of abortions in the early months. Finally the gonococcus is a great source of danger to the fetus whose eyes may become affected during his passage through the diseased maternal parts. P. 373.

THE PRINCIPALS AND PRACTICE OF OBSTETRICS. Jos. B. De Lee, M.D., Professor of Obstetrics at the Northwestern University Medical School; Obstetrician to the Chicago Lying-in-Hospital and Dispensary and to Wesley and Mercy Hospitals, etc. W. B. Saunders Co. 1913.

Abortion is probably often the result of gonorrhea, acute or chronic. Chronic endometritis is most often the result of gonorrhea. P. 516.

THE SEXUAL LIFE OF WOMAN IN ITS PHYSIOLOGICAL, BIOLOGICAL AND HYGIENIC ASPECTS. E. Heinrich Kisch, Professor of the German Medical Faculty of the University of Prague, Physician to the Hospital and Spa of Marienbad; Member of the Board of Health, etc. Translated by M. Eden Paul, M.D. Rebman Co., New York.