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August 10, 1907


JAMA. 1907;XLIX(6):457-460. doi:10.1001/jama.1907.25320060007001b

Of all fundamental conditions of society none is of greater moment than that of the propagation and preservation of the human race. Beside it all other sociologic and material conditions fade into insignificance. For it is self-evident that only a few decades without a single birth would mean practically the depopulation of the entire earth, and though this will probably not occur, yet we are undoubtedly facing a diminishing birth rate, especially among the better class of American-born citizens.

I will not tire you with statistics, for they are often incorrect and usually misleading; but I would ask each one of you to compare the number of children born twenty years ago in your immediate neighborhood with the number born to-day, and I feel sure that you will note a decided reduction.

Fifteen years after I was graduated in medicine there were inquiries made of the one hundred and twenty-four

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