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YORK MEDICAL JOURNAL INCORPORATING THE Philadelphia Medical Journal and The Medical News. A Weekly Reviezv of Medicine. Edited by FRANK P. FOSTER, M. D. Address ajl business communications to A. R. ELLIOTT PUBLISHING COMPANY, Publishers. 66 West Broadway, New York. Cable Address : Medlour, New York. Subscription Price: Under Best Place To Buy Viagra Online Forum Domestic Postage Rates, $5; under Foreign Posuge Rate. $7; single copies, fifteen cents. Remittances should be made by New York Exchange or post office or express money order, payable to the A. R. Elliott Publish- ing Co., or by registered mail, as the publishers are not respotisible for money sent by unregistered mail. Entered at the Post Office at New York and admitted for trans- portation through the mail as second-class matter. NEW YORK. SATURDAY, MAY 6, 1911. THE DECLINING BIRTH RATE. In the Lancet, for April 22. 191 1, F. B. Frc- mantle, M. B., offers a few observations on the de- clining birth rate in Great Britain ; it is not only in France that this question is becoming of absorbing interest. Mr. Fremantle points out that in England and Wales there has been a decline of ten per mille in the birth rate during the past thirty-five years, or, on an average Best Place To Buy Viagra Online Forum population of 35,000,000, there has been a total loss to Great Britain of some 5,250,000 persons ; furthermore, the scourge shows no sign of abatement. As to causes', urbanization and occupation have little effect and religion less than has been imagined. The rate declines with the increase of social comforts and is lowest where the professional classes are most numerous and where many domestic servants are employed ; it is highest where labor is of the lovvest type and Best Place To Buy Viagra Online Forum where pov- erty, drunkenness, overcrowding, tuberculosis, and pauper lunacy are highest and thrift and culture least. The nation is thus recruited from the least prosperous and least successful classes and in an increasing degree. There is, moreover, a voluntary limitation of the birth rate by two methods ; pre- vention of conception and destruction of fcetal life, rubber goods and pessaries on the one hand, aborti- facients and spurious nursing homes on the other. Both should Best Place To Buy Viagra Online Forum be ruthlessly pursued by the law. The decline became very marked in 1877 and subse- quently, immediately after the publication of the American pamphlet, The Fruits of Philosophy. As to artificial decline, as Mr. Fremantle calls it, it is due to the advice to wives to rest for two or three vears after the birth of a child : to the interest of women in charitable, political, and other matters outside the home ; and to a desire for economy and a wish to devote the means in hand to the educa- tion of the existing children rather than to the rais- ing Best Place To Buy Viagra Online Forum of new ones. The effects Best Place To Buy Viagra Online Forum are serious, says Mr. F'remantle; the practice of prevention is a check on Nature's check to sexual intercourse; it tends unconsciously to sexual excess and habituates the being to general self indulgence. Parental qualities are not stimulated and the children lose the disci- pline and delights of a full nursery. Woman, tak- ing up outside interests, is pushed out of her natu- ral sphere of home life. Mr. Fremantle says it is our duty, as professional men, to insist on the para- mount value of Nature's own methods and checks, on the serious danger resulting from celibacy, from prostitution, from interference with the normal married life, from disregard of Nature's seasons. The writer asks, however, why there should be so few children in aristocratic families, even where they are ardently desired, and asks for information on this subject from family practitioners and ob- stetricians. SALVARSAX AND Mz\LARIA. Among the first reports which were published on the medicinal effects of salvarsan were some from St. Petersburg on the use of salvarsan in malaria (see Julius Iversen. The Value of Ehrlich's 606 in Malaria, Roussky I'ratch. July 3, 1910). These reports were rather favorable. In the March num- ber of the Archiv fiir Schiffs- und Tropen-Hygiene. Dr. Heinrich Werner, of the Institut fiir Schiffs- und Tropenkrankheiten in Hamburg, gives a lengthy statement of his experience with salvarsan in malaria. He is of the opinion that the effect of this drug in tertiary malaria is very satisfactory ; he even calls it specific. Fever and parasites dis- appear within less than twenty-four hours if the dose is large enough (between 0.5 and 0.8 gramme). The dioxydiamidoarsenobenzol is best administered in a combination of intravenous and intramuscular injections. The writer treated eight such patients with only one recurrence. He is very hopeful in the outlook and thinks that Ehrlich's therapia stcrili.'tans magna can finally be attained with 606 in tertiary malaria. His experience with salvarsan in tropical malaria has not given favorable results, even in very large doses. He has been able in most cases to reduce the number of parasites and the fever, but not to produce a permanent cure, as parasites and fever would recur after a few days. Dr. Werner calls attention to the different results obtained with the Wassermann reaction in both forms of malaria May 6, 191 1]