The parents in the Genealogical
Record Office files had, many of them, inadequate incomes and low
standards of living under frontier conditions, but their children grew
up while those of the royal families were dying in spite of every
attention that wealth could command and science could furnish.
If the infant mortality problem is to be solved on the basis of
knowledge and reason, it must be recognized that sanitation and hygiene
can not take the place of eugenics any more than eugenics can dispense
with sanitation and hygiene. It must be recognized that the death-rate
in childhood is largely selective, and that the most effective way to
cut it down is to endow the children with better constitutions. This can
not be done solely by any euthenic campaign; it can not be done by
swatting the fly, abolishing the midwife, sterilizing the milk, nor by
any of the other panaceas sometimes proposed.
But, it may be objected, this discussion ignores the actual facts.
Statistics show that infant mortality campaigns _have_ consistently
produced reductions in the death-rate. The figures for New York, which
could be matched in dozens of other cities, show that the number of
deaths per 1,000 births, in the first year of life, has steadily
declined since a determined campaign to "Save the Babies" was started:
1902 181
1903 152
1904 162
1905 159
1906 153
1907 144
1908 128
1909 129
1910 125
1911 112
1912 105
1913 102
1914 95
To one who can not see beyond the immediate consequences of an action,
such figures as the above indeed give quite a different idea of the
effects of an infant mortality campaign, than that which we have just
tried to create.
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