Certain anomalous features with respect to infant mortality in our Eastern insular possessions are not easily realized at first by any one accustomed to conditions in the United States or Continental Europe. We are told by the health authorities1 that infant mortality in Manila is greater than it is in any other city from which we have records. This excessive mortality is not due to a single cause or to natural conditions of the country. There are a number of predisposing factors, prenatal and postnatal, as well as various immediate or active causes. Faulty nutrition is one of the most prominent.
It is said that in countries having the same degree of civilization the infant death-rate is remarkably constant, and this is probably accounted for by the similarity in the methods of feeding. Certainly where there is a difference in conditions a difference in mortality will be found. Thus,