During 1908 the deaths of 2,261 physicians in the United States and Canada were noted in THE JOURNAL, the equivalent of an annual death rate per thousand of 17.39, based on an estimate of 130,000 practitioners. This rate does not differ materially from those of the previous six years, which were, respectively: 1907, 16.1; 1906, 17.2; 1905, 16.36; 1904, 17.14; 1903, 13.73, and 1902, 14.74. The age at death varied from 21 to 102 years, the average being 59 years, 6 months and 25 days. The number of years of practice of the decedents varied from the first year of practice to the seventy-sixth, the average being 30 years and 5 months. About 14 per cent. of those who died were members of the American Medical Association. Chief among the death causes were heart disease, violence, pneumonia and cerebral hemorrhage, in the order noted.