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Article
June 22, 1895

SEWAGE DISPOSAL ALONG THE GREAT LAKES.

JAMA. 1895;XXIV(25):981-982. doi:10.1001/jama.1895.02430250029003
Abstract

In the report of the Chicago Health Department for 1894, recently issued, appears a tabulation of the claimed populations, reported deaths, and annual death rates per thousand, based thereon, of the sixteen cities of the United States having more than 200,000 inhabitants each. These embrace, in the order of lowest death rates per thousand of population, the following cities: Chicago, 15.24; Detroit, 15.49; Milwaukee, 15.71; Cleveland, 15.86; St. Louis, 16.13; Buffalo, 16.76; Pittsburg, 18.17; Philadelphia, 18.28; Cincinnati, 18.29; San Francisco, 18.85; Baltimore, 19.11; Brooklyn, 20.14; Washington, 20.23; New York, 21.03; Boston, 22.99; and New Orleans, 24.88.

The striking feature of this table is the group of cities lying on the shores of the Great Lakes—Chicago, Milwaukee, Detroit, Cleveland and Buffalo. The aggregate claimed population of the total sixteen cities is 9,934,058 and the aggregate of reported deaths is 185,632—an average mortality of 18.68 per thousand of population. But the five

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