JAMA. 1903;XL(8):521. doi:10.1001/jama.1903.02490080039006.
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The alleged decrease in the birth rate of the American-born population in this country is the subject of a recent article in one of our contemporaries.1 It seems to suggest that we shall soon be following the same course toward natural extinction that had been alarming France. The subject has excited considerable popular attention, and a previous utterance on the subject from the chief magistrate of our country has been brought into prominence. This is a subject which has been mentioned, not once but frequently, in past numbers of The Journal. It is not the United States alone, but many other civilized countries that give evidence of declining birth rates.

The facts, however, as to our own country are too deficient to enable us to lay down a rule, or to say that the condition is one that need excite natural alarm. The registration district in this country is


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