The Earth in Relation to the Preservation And Destruction of Contagia: Being the Milroy Lectures Delivered At the Royal College of Physicians in 1899, Together With Other Papers On Sanitation
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This is well shown by the following table which is taken from the 'Annuaire Statistique de la Ville d' Amsterdam,' 1896. The decline of the death- rate has been uniform and continuous since 1884, but for the sake of conciseness the years 1877, 1880, and every fourth year thereafter alone have been given. Nombre des dSc&s (mort-tiSs exclus) par 100,000 habi- tants de la population moyenne dans les cinq grandes villes des Pays-Bas, ann'ees 1877-96. Amster- Rotter- Less Annies dam dam hage Utrecht... gen villes 1877 25,00 25,32 21,66 23,91 29,51 24,70 1880 27,00 24,65 23,38 27,10 24,39 25,74 1884 27,87 27,01 24,87 26,38 22,00 26,67 1888 21,82 21,26 20,11 22,56 20,04 21,38 1892 19,78 23,26 20,32 23,84 17,27 20,89 1896 17,77 18,27 16,27 19,04 16,01 17,65 The causes of this improvement in the death-rate are probably the same as have operated throughout Western Europe generally. These causes are : (1) the improve- ment in the physical and moral condition of the lower strata of society ; (2) sanitation in its widest sense ; (3) the rapid increase of population, especially in the towns, causing a dilution of the high death-rates in the old crowded portions by the lower death-rates of new settlers in the outskirts ; and (4) the decrease in the birth-rates.
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