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December 22, 1906


JAMA. 1906;XLVII(25):2096. doi:10.1001/jama.1906.02520250050007

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Notwithstanding that correct registration of vital statistics is recognized as necessary in all civilized countries, it is remarkable that the laws of most of our states still remain so imperfect in principle or so faulty in execution that they can not be included in the registration area recognized by the United States census authorities. Eleven states were included in 1900 and five more were added in 1906, making the total 16, including the District of Columbia. The list of states not yet admitted includes some of the most important in the union and comprises over 60 per cent, of the population of the whole country. If the population of cities in non-registration states which have effective systems of registration be deducted there still remains 51.5 per cent, of the population of the country not properly provided with a system of registration of vital statistics. The Census Bureau has issued a

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