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_, although our mouths are full of legitimate promises for the future." Was Claude Bernard correct in this opinion as to the "empty hands?" If scientific evidence is worth anything, it points to the appalling conclusion that, _notwithstanding all the researches of physiology, the chief forms of chronic disease exhibit to-day in England a greater fatality than thirty years ago_. In the following table I have indicated the average annual mortality, per million inhabitants, of certain diseases, _first_, for the period of five years from 1850 to 1854, and _secondly_, for the period twenty-five years later, from 1875 to 1879. The authority is beyond question; the facts are collected from the report to Parliament of the Registrar-general of England: _Average Annual Rate of Mortality in England, from Causes of Death, per One Million Inhabitants._ ----------------------------------+---------------+--------------- | During | During NAME OF DISEASE. | Five Years, | Five Years, | 1850-54. | 1875-79. ----------------------------------+---------------+--------------- Gout, | 12 | 25 Aneurism, | 16 | 32 Diabetes, | 23 | 41 Insanity, | 29 | 57 Syphilis, | 37 | 86 Epilepsy, | 105 | 119 Bright's disease, | 32 | 182 Kidney disease, | 94 | 114 Brain disease, | 192 | 281 Liver disease, | 215 | 291 Heart disease, | 651 | 1,335 Cancer, | 302 | 492 Paralysis, | 440 | 501 Apoplexy, | 454 | 552 Tubercular diseases and diseases | | of the Respiratory Organs, | 6,424 | 6,886 ----------------------------------+---------------+--------------- Mortality from above diseases: | 9,026 | 10,994 ----------------------------------+---------------+--------------- This is certainly a most st
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