I. _Vital Statistics._--The first "Bill of Mortality" in New York city extended from November 1st, 1801, to January 1st, 1803. In it people are said to have died of "flux," "hives," "putrid fever," "breaking out," "stoppage," "fits," of "rash," and, by way of contrast, of "lingering illness." This rude beginning gradually led to the organization of the Metropolitan Board of Health, whose first report was made in 1866. Their second report showed a decrease of 3,152 deaths, mainly in districts where the greatest amount of sanitary work had been done. Valuable illustrations of the relation between damp houses and consumption were obtained by constructing maps of certain wards, on which every death from phthisis for several years was noted opposite each house. It was found that the disease was most fatal in the lowest levels, in rainy seasons, and in crowded localities.
The registration of marriages continued so defective that a writer on the subject declares it would be impossible for a large portion of the adult native population of the United States to prove by any legal document that they have a right to the name they bear, or that their parents were ever married. The mortality returns of 1871 were probably nearly perfect, and their very accuracy told against New York city, whose death rate was 28.6 per thousand, while St. Louis reported 17, Rochester 16, Buffalo 14, and Jersey City 7 per thousand. To secure accuracy in the returns of marriages and births, etc., more stringent legislation will be necessary.
In New Jersey the State Sanitary Association has conclusively shown the utter worthlessness of the State vital statistics. They memorialized the legislature, and caused the passage of a law which gives to New Jersey one of the best systems of registration yet devised. It owes its excellence to the following features, which should be universally copied:
1. _Burial Permits_ are issued only after registry has been made by a properly qualified person; and
2. The returns are made to an _expert_, who collates them and deduces practical lessons from them.
II. _Registration of Disease_.--A large class of diseases may be prevented from becoming epidemic if their existence is known in time. For this purpose the boards of health should be invested with power and provided with means to investigate, reform, and, if necessary, to punish delinquency. Yet in the face of so practical a requirement little more is annually appropriated for the Board of Health of New Jersey than for the pay of two policemen.