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In viagra forum buy Boston in 1S91, ...... 232 " 1S94, 817 In Philadelphia in iSSS, ..... 350 1SS9 375 " 1892 1,425 In London in 1S91, 1,361 " 1S93, 3,265 In Berlin in 1S66 (croup and diphtheria), . . 813 " 1S67, ...... 904 " " 1S6S, 2,154 Again in 1S77, with an increase in population of nearly half a million, only . . 1091 The same variation in the type of the disease is shown in the mortality returns from hospitals in dif- ferent years. Thus, we find that in the Children's Hospital in Basel the mortality from diphtheria in 1876 was 34.1 per cent., in 1886 6.2 per cent. = In the Crown Prince Rudolph Hospital 3 (Vienna) we find that the mortality in 1887 was 27.1 per cent., and in 1888 62.8 per cent. These normal variations in the type of the disease must be given due consider- ation when estimating the value of a mode of treat- ment. The rule of uniformity of results applies to reports by individual observers. If one hundred physicians report five thousand cases of diphtheria treated with antitoxin with a mortality of five per cent, and ten physicians report five hundred cases treated with anti- toxin with a mortality of fifty per cent., the only logi- cal conclusion is that there was a difference in the character of the cases in the two series, and that when the one hundred physicians meet with a series viagra uk 50mg of cases of the same type as those treated by the ten physi- cians, they, too, will have a mortality of fifty per cent. The most misleading part of the antitoxin viagra uk 50mg literature is the viagra forum buy constantly quoted percentage of mortality. The mortality viagra uk 50mg from diphtheria in the city of Boston in 1895 was 14.48 per cent.; in 1893 32.49 per cent., and yet there were one hundred and twelve more deaths from diphtheria in the city of Boston in 1895 than there were in 1893 (four hundred and seventy-six in 1893 878 MEDICAL RECORD. [June 20, 1896 and five hundred and eighty-eight in 1895). The per- centage mortality in 1895 is less than one-half as much as that of 1893, and yet the actual number of deaths was increased about one-fourth. The per- centage reduction of mortality is due to viagra forum buy the fact that in 1895 four thousand and ninety-five cases were re- ported, and viagra forum buy there were only one thousand four hundred and sixty-five cases of diphtheria reported in 1893 in the city of Boston. The percentage mortality from diphtheria in the Boston City Hospital in 1893 was 48.44 per cent., and in 1S95 13.21 percent.: and yet we find that there were two hundred and three deaths from diphtheria in the Boston City Hospital in 1893 and two hundred and seven deaths in 1895. Boston City Hospital. Year. [893. 1S94. 1895. Cases. . 419. 59S. .1,566. Deaths. . .203.. . .266. . Per cent. .48.44 ...44-48 ..13-21 From the foregoing it is readily seen that per- centage mortality is not only misleading, but is abso- lutely worthless unless accompanied by the actual number of cases reported and the actual number of deaths: and the report must viagra uk 50mg also include a series of years, in order to enable the reader to compare present results with the viagra forum buy results in previous years when there was a mild type of the disease. Reports on the anti- toxin treatment have ingeniously compared years of highest mortality instead of including all years. viagra uk 50mg