Excerpt from The Diseases of Children, Vol. 1: A Work for the Practising Physician
A Distinctively pediatric literature in the United States is barely a quarter century old. Previous to that time, what was written regarding children and their diseases was for the most part included with obstetrics or with general medicine, and the teaching of pediatrics, what little of it there was, was with one or two exceptions given by men occupying one or the other of these chairs in our medical schools.
One of the most striking things in connection with the rapid development of this special branch of medicine has been the growth of pediatric literature. The past twenty years have seen the establishment of two special journals, one four-volume cyclop?dia, eight general text books, and at least a score of monographs or books upon special subjects.
The same period has witnessed the organization of a national society and many State, County, and city societies for the study of pediatrics.
It is interesting to see what has been accomplished in this period, - whether any results sufficiently important to be evident in mortality statistics have been produced. The study of the mortality reports from three fairly typical American cities is illuminating in this connection. I have selected New York, Rochester, and Yonkers. Reducing the mortality records of all these to a uniform scale, for the sake of comparison, we find that in New York City (Boroughs of Manhattan and Bronx), the mortality of children under five years, per 100,000 of population, has fallen in eighteen years from 1160 to 620. During the same period in Rochester, an inland city of 180,000, it has fallen from 584 to 340. In Yonkers, a surburban city of 60,000 inhabitants, it has fallen from 880 to 660. A calculation based upon the present population of children under five years, shows an annual saving of the lives of 12,000 children of this age in New York City alone.
There is, possibly, no branch of medical science which has developed more rapidly during the past two decades than Pediatrics; and it is to be doubted if there is any other which can point to such a record of achievements.
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