Rural Hygiene. Henry N. Ogden
Another reason for the prevalence of this disease in small cities is that the organization of their health boards is much less effective than that of larger cities. Individuals have not yet learned to sacrifice their own wishes for the sake of the community, and the local health officer, however much he may desire to do his duty, is not upheld by public opinion, and is therefore powerless.
In order to show the condition existing in the small cities of the state of New York, the preceding table has been prepared, showing the average death-rate for the cities of the state for the past ten years, excluding, however, the cities of New York, Buffalo, Rochester, and Syracuse, all of which have well-organized health boards, and where no epidemic of typhoid fever may be expected. Remembering that a rate of 15 per 100,000 is a normal rate, it will be easily seen how excessive is the amount of typhoid fever in most of the cities of New York State.
Table IX. Showing Deaths from Tuberculosis per 100,000 Population in the United States
| 1900 | 1901 | 1902 | 1903 | 1904 | 1905 | 1906 | 1907 | 1908 | |
| The registration area | 180.5 | 175.1 | 163.6 | 165.7 | 177.3 | 168.2 | 159.4 | 158.9 | 149.6 |
| Registration cities | 198.8 | 192.1 | 180.7 | 183.6 | 195.5 | 184.4 | 181.5 | 179.4 | 170.1 |
| Cities in Registration states | 204.1 | 194.9 | 177.7 | 179.7 | 189.4 |
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