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1. The neglect to report cases of diphtheria. viagra products online Some physicians are so busy that they forget to report their mild cases, while others omit to do so at the earnest entreaties of the family. As a rule, however, the se- vere cases, in spite of business and entreaties, are re- ported. This factor tends materially to viagra products online increase the death rate. While it may not be inoperative at the present time, I believe it has had a viagra products online greater influence on the statistics of the early period than on those of the late period. 2. The second factor influencing statistics is the character or type of the disease that prevails in differ- ent years. The accompanying table is taken from the official health reports of the cities of Boston, New York, and Brooklyn. The first column for each city gives the number of cases reported, the second column the num- ber of deaths, the third column percentage of deaths. and the fourth column is computed from the official census or estimated population in these cities for the respective years. Although the estimated population may lie an uncertain quantity, I find that a variation of fifty thousand inhabitants would not alter materially the figures. On examining this table, we find in the first column viagra 50mg nhs in each of the cities an enormous increase in the number of cases in 1S94 and 1895, and quite an increase in New York in 1S93. On closer inspection it will be observed that in every case the great increa in the number of cases of diphtheria reported to the boards of health corresponds to the year in which those cities furnished the practitioners residing there with opportunities for having bacteriological examina- tions of cultures taken from the throats of their p tients. Examining the column of deaths, we find in ea PIITt- viagra products online ERIA. Boston.