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79 8 MEDICAL RECORD. [June 6, 1896 naturally be led to judge that any new viagra online answers method of treatment pretty generally employed during 1895 viagra cost dubai ought to be credited as being superior to former meth- ods of treatment. When we examine the columns showing the number dying per 10,000 inhabitants, we find 11.73. This is a saving of nearly 5 per 10,000 over the preceding year. Can this saving be attrib- uted to new methods of treatment? If we examine the figures in the fourth column, there will be noticed a periodic rise and fall in the number dying; thus from 1881 to 1882 there is a fall of 4 plus; from 1883 to 1884 a fall of 2.75. Remaining nearly stationary for nearly four years, it rises again in 18S8 by nearly 4, with a further rise the following year (1889) of nearly 2. Next year (1890) it falls viagra cost dubai nearly 4, with a still fur- ther fall of 3.9 the next year; then rises by jumps of 3.8, 1.1, and 6.7 to 1894; and, lastly, falls nearly 5 in 1895. How much of this fall in 1895 may be due to change in the character and type of the disease and how much to treatment, is something, I am free to con- fess, I am unable to answer. We notice that in 1895 the death rate, 14.48 per cent., was a phenomenal one. It is but little more than half of that of 1894, and less than half of what it was in the majority of the years here tabulated. There is viagra cost dubai nothing phenomenal, however, in the number 1 1.73 dying per 10,000, for in more than half the years it was less than this. When next we come to examine in detail the figures for New York, we find pretty much the same conditions, viz., increase of cases from 1S93 on, increase in the num- ber of people dying in 1894, the death rate coming down in 1894 but the number per 10,000 rising. The number of cases in 1S95 increased, the deaths were fewer, viagra online answers there was a great reduction in mortality rate to 16.46, and also considerable reduction in the number dying per 10,000. A greater reduction, however, took place between 1881 and 1882 and 1882 and 1883, and a closely approximating reduction between 1889 and 1890. Brooklyn, for the years 1894 and 1895, showed nearly the same conditions; but we are surprised to find that the mortality rate there viagra online answers was still so high, 26.63. From the study of all the foregoing statistics, we believe that 1S94 was an epidemic year. In 1895 the death rate diminished. Did that epidemic die a natural death or was it helped out of existence by antitoxin? Examination of the statistics of diphtheria from the Boston City Hospital and the Willard Parker Hospital shows the following: B. C. H. W. P. H. 1 .IM S. viagra cost dubai 1 leaths. Per Cent. Cases. Deaths. Per Cent. viagra online answers I88S 2 5 S 60 23-25 ISS9 3S3 79 20.62