Excerpt from Annual Report of the State Board of Health of Maryland: For the Year Ending December 31, 1916

By reference to the part of the table dealing with birth rates, death rates and rates of increase per thousand, on page a com parison may be made of the efficiency of registration in the various counties of Maryland. The birth rate per thousand for Maryland probably lies between the figures 25 and 28. It can be assumed, therefore, that returns from any of the counties of Maryland, which are below 29 per thousand, indicate defective re turns, and a birth rate of 15 or less means very defective returns.

The death rate exceeds 15 per thousand in eleven counties. The lowest death rate is in Garrett County, per thousand. This county has almost entirely a white population and its returns to this office are good. The death rate here given we believe is correct.

Table IV gives a summary of the births, birth rates, deaths, death rates, and excess of births over deaths per thousand among male, female, white and colored for the total population of Rural Maryland and of Baltimore City. The birth rates and death rates per thousand are calculated both in relation to the total population and to the four divisions of population, male, female.

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