Appendix
Value of 100-Calorie Portions of Common Foods
Edible Portion, Uncooked
| Food Material | Weight40 | Common Measures41 | Prot.41 | Fat41 | Cbhy.41 | Lime40 | Phos.40 | Iron40 | |
| Oz. | Gr. | Calories | Calories | Calories | Grams | Grams | Grams | ||
| Almonds | .54 | 15.5 | 8-12 | 13 | 77 | 10 | .046 | .132 | .0003 |
| Apples | 5.61 | 159. | 1 large | 3 | 7 | 90 | .022 | .05 | .0005 |
| Apricots (dried) | 1.27 | 36. | 4 large | 7 | 3 | 90 | .031 | .1 | |
| Bacon | .56 | 16. | 2 thin slices | 7 | 93 | 0 | .001 | .04 | .0002 |
| Bananas | 3.58 | 101.4 | 1 large | 5 | 5 | 90 | .01 | .055 | .0006 |
| Barley flour | 1. | 28. | 2 T.44 | 10 | 3 | 87 | .083 | .00028 | |
| Beans (dried), Lima | 1.01 | 28.6 | 1½ T. | 21 | 4 | 75 | .028 | .219 | .00195 |
| Beans, string | 8.5 | 241. | 1 qt. | 15 | 48 | 37 | .177 | .284 | .0038 |
| Beef, round, lean | 2.26 | 64. | ½ × 2 × 2 in. | 55 | 45 | 0 | .01 | .313 | .002 |
| Beets | 7.66 | 217.1 | 2 med. | 2 | 23 | 75 | .06 | .19 | .0013 |
| Bread, white | 1.38 | 39.0 | 1 thick slice | 13 | 6 | 81 | .011 | .075 | .0003 |
| Bread, whole wheat | 1.44 | 40.7 | 1 thick slice | 15 | 5 | 80 | .016 | .16 | .0006 |
| Butter | .46 | 13. | 1 T. scant | .5 | 99.5 | 0 | .003 | .004 | |
| Chicken | 3.27 | 92.6 | ½ × 3 × 3 in. | 90 | 10 | 0 | .007 | .25 | |
| Carrots | 7.80 | 221.2 | 2 med. | 10 | 8 | 82 | .168 | .22 | .0016 |
| Celery | 19.07 | 540.6 | 2 heads | 24 | 5 | 71 | .54 | .54 | .0027 |
| Cheese, American | .8 | 22.8 | 1½ cub. in. | 25 | 73 | 2 | .25 | .329 | |
| Cheese, cottage | 3.21 | 91.1 | 3½ T. | 76 | 8 | 16 | .3 | .4 | |
| Chestnuts | 1.46 | 41.3 | 9 | 10 | 20 | 70 | .017 | .08 | .0004 |
| Cocoa | .71 | 20.1 | 3 T. | 17 | 52 | 31 | .027 | .22 | .0005 |
| Corn, green | 3.49 | 99. | 3 T. | 13 | 10 | 77 | .008 | .21 | .00075 |
| Crackers, soda | .85 | 24.2 | 2½ | 9 | 20 | 71 | .006 | .054 | .00035 |
| Crackers, wheatsworth | .81 | 23. | 3 | 15 | 20 | 65 | .016 | .243 | .0014 |
| Crackers, oatmeal | .81 | 23. | 2 | 11 | 24 | 65 | .03 | .216 | .0009 |
| Crackers, graham | .82 | 23. | 2 | 9 | 20 | 71 | .016 | .243 | .0014 |
| Corn meal, granular | .99 | 28.1 | 3 T. | 10 | 5 | 85 | .004 | .08 | .0003 |
| Corn meal, unbolted42 | .92 | 3 T. | 9 | ||||||
| Cream, 20 per cent | 1.49 | 40. | 2 T. | 5 | 86 | 9 | .07 | .10 | .0001 |
| Dates | 1.02 | 28.8 | 4-6 | 2 | 7 | 91 | .03 | .03 | .001 |
| Eggs | 2.38 | 67.5 | 1¼ | 32 | 68 | 0 | .06 | .24 | .0019 |
| Egg white | 6.92 | 196.1 | 7-8 | 100 | 0 | 0 | .028 | .05 | .0002 |
| Egg yolk | .97 | 27.6 | 2 | 17 | 83 | 0 | .05 | .27 | .0023 |
| Figs | 1.12 | 31.6 | 1 large | 5 | 0 | 95 | .089 | .099 | .001 |
| Fish, cod (salt) | 3.1 | 88. | 1 c.45 not packed | 97 | 3 | 0 | .036 | .601 | .001 |
| Fish, haddock (fresh) | 4.94 | 139.9 | 1 slice 1×2×3 in. | 96 | 4 | 0 | .04 | .5 | |
| Fish, halibut (fresh) | 2.93 | 82.5 | 1 slice ½×2×3 in. | 61 | 39 | 0 | .01 | .3 | .0002 |
| Grape juice | 3.53 | 100. | 7 T. | 0 | 0 | 100 | .021 | .04 | |
| Honey | 1.03 | 30.6 | 4 t.46 | 1 | 0 | 99 | .001 | .01 | .0003 |
| Lady finger | .96 | 27. | 1 | 10 | 12 | 78 | .01 | .05 | .0003 |
| Lentils | 1.01 | 28.7 | 2 T. | 21 | 7 | 72 | .03 | .18 | .0024 |
| Lettuce | 18.47 | 523.6 | 1 large head | 25 | 14 | 61 | .26 | .47 | .005 |
| Macaroni | .99 | 28. | 16 sticks | 15 | 0 | 85 | |||
| Maple syrup | 1.2 | 35. | 4 t. | 0 | 0 | 100 | .06 | .02 | .0009 |
| Milk, whole | 5.1 | 144.5 | ⅔ c. | 19 | 52 | 29 | .239 | .303 | .00034 |
| Milk, skimmed | 9.61 | 272.5 | 1⅓ c. | 37 | 7 | 56 | .478 | .606 | .00068 |
| Molasses | 1.23 | 34.9 | 1½ T. | .5 | 0 | 95.5 | .3 | .1 | |
| Molasses cookie | .95 | 27. | 1 | 6 | 23 | 71 | .01 | .05 | .0003 |
| Oatmeal | .88 | 25.1 | 4 T. | 18 | 7 | 75 | .03 | .216 | .0009 |
| Olives (ripe) | 1.3 | 38. | 7 | 2 | 91 | 7 | .06 | .01 | .0009 |
| Onions | 7.24 | 205.4 | 2½ large | 13 | 5 | 82 | .12 | .24 | .0011 |
| Orange juice | 8.17 | 231.5 | 1 large | 0 | 0 | 100 | .12 | .07 | |
| Peaches (fresh) | 8.53 | 242.1 | 2 large | 7 | 2 | 91 | .02 | .113 | .0007 |
| Peanuts | .62 | 18. | 13 double | 20 | 63 | 17 | .018 | .160 | .00035 |
| Peanut butter | .58 | 16. | 1 T. | 19 | 64 | 17 | .018 | .160 | .00035 |
| Pears (fresh) | 5.57 | 158. | 1 large | 4 | 7 | 89 | .032 | .09 | .0005 |
| Peas, dried | .99 | 28.1 | 2 T. | 28 | 2 | 70 | .04 | .25 | .0015 |
| Peas, green | 3.52 | 99.9 | 4 T. | 28 | 4 | 68 | .032 | .24 | .0016 |
| Pecans | .46 | 13. | 8 | 6 | 87 | 7 | .016 | .104 | .00035 |
| Pineapple (fresh) | 8.18 | 232. | ½ c. scant | 4 | 6 | 90 | .04 | .14 | .0011 |
| Plums | 4.18 | 118.5 | 3-4 large | 4 | 6 | 90 | .029 | .064 | .0006 |
| Potatoes | 4.23 | 120. | 1 med. | 11 | 1 | 88 | .019 | .166 | .0015 |
| Potatoes, sweet | 2.86 | 81.2 | 1 small | 6 | 5 | 89 | .02 | .08 | .0004 |
| Prunes (dried) | 1.17 | 33.2 | 4-6 (30’s-40’s) | 3 | 0 | 97 | .02 | .08 | .0009 |
| Raisins | 1.02 | 29. | 20 | 3 | 9 | 88 | .02 | .08 | .001 |
| Rhubarb | 15.27 | 433. | 8 stalks | 10 | 27 | 63 | .26 | .3 | |
| Rice (polished)43 | 1.01 | 28.5 | 2 T. | 9 | 1 | 90 | .003 | .057 | .0003 |
| Rye flour | 1.01 | 28.5 | 3½ T. | 8 | 0 | 92 | .005 | .22 | |
| Spinach | 14.76 | 418.4 | scant qt. | 36 | 10 | 54 | .37 | .54 | .0133 |
| Squash | 7.4 | 210. | 9 T. | 12 | 10 | 78 | .054 | .17 | .0017 |
| Sugar | .86 | 25. | 5 t. | 0 | 0 | 100 | 0 | 0 | |
| Tomatoes fresh | 15.47 | 438.6 | 2-4 med. | 15 | 16 | 69 | .087 | .257 | .0017 |
| Tapioca | .99 | 28.2 | 2 T. | 0 | 0 | 100 | 0 | 0 | |
| Walnuts, Calif. | .48 | 14. | 6 | 10 | 83 | 7 | .01 | .108 | .0003 |
| Wheat flour entire | .98 | 27.8 | 3½ T. | 15 | 5 | 80 | .01 | .12 | .0006 |
| Wheat flour, wht., process | 1. | 28.3 | 3½ T. | 12 | 3 | 85 | .007 | .05 | .0004 |
| Wheat, shredded | .94 | 27. | 1 | 13 | 4 | 83 | .016 | .243 | .0014 |
Composition of Common Measure Portions of Food41
Edible Portion, Uncooked
| Oz. | Grams | Total Cal. | Prot. | Fat | Cbhy. | Lime | Phos. | Iron | |
| Calories | Calories | Calories | Grams | Grams | Grams | ||||
| Egg, whole | 1.8 | 57 | 74 | 24 | 50 | 0 | .044 | .175 | .0014 |
| Egg, white | 1.2 | 33 | 14 | 14 | 0 | 0 | .004 | .01 | .00003 |
| Egg, yolk | .6 | 17 | 60 | 10 | 50 | 0 | .03 | .16 | .0014 |
| Wheat flour, entire, 1 T. | .28 | 9.7 | 28 | 4 | 1 | 23 | .017 | .227 | .0015 |
| Wheat flour, entire, 1 cup | 4.48 | 155.6 | 448 | 67 | 12 | 359 | .268 | 4.076 | .027 |
| Wheat flour, white, 1 T. | .3 | 8 | 28 | 3 | 1 | 24 | .002 | .014 | .0001 |
| Wheat flour, white, 1 cup | 5. | 142 | 500 | 60 | 15 | 425 | .035 | .25 | .002 |
| Milk, whole, 1 T. | .7 | 20 | 14 | 3 | 7 | 4 | .033 | .042 | .00005 |
| Milk, whole, 1 pt. | 17.2 | 487 | 337 | 64 | 175 | 98 | .805 | 1.021 | .0011 |
| Milk, whole, 1 qt. | 34.4 | 975 | 675 | 128 | 350 | 196 | 1.61 | 2.042 | .0023 |
| Milk, skimmed, 1 T. | .7 | 20 | 7 | 2.5 | .5 | 4 | .035 | .044 | .00005 |
| Milk, skimmed, 1 pt. | 17.2 | 487 | 179 | 66 | 13 | 100 | .85 | .108 | .0012 |
| Sugar, gran., 1 t. | .2 | 5 | 20 | 20 | |||||
| Sugar. gran., 1 T. | .7 | 15 | 60 | 60 | |||||
| Sugar, gran., 1 cup | 7.5 | 210 | 840 | 840 |
Foods with Acid Balance 47
Figures are per 100-Calorie portion
| Cereals and Grains | Meats | Eggs | |||
| Lentils | 1.7 | Beef | 2 to 10 | Yolk | 7 |
| Rice | 2.7 | Mutton | 3 to 4 | White | 9.5 |
| Corn | 1.8 | Veal | 4 to 10 | Whole | 7.5 |
| Wheat flour | 2.7 | Chicken | 4 to 10 | ||
| Whole Wheat | 3.3 | Fish | 4 to 12 | ||
Possibly: prunes, plums, cranberries.48
Foods with Potential Alkalinity47
Figures are per 100-Calorie portion
| Less than 5 | 5 TO 15 | |
| Dates | Apples | Peaches |
| Grapes | Apricots | Pineapple |
| Milk (2.6) | Bananas | Potatoes |
| Nuts (except peanuts) | Beans | Raisins |
| Onions | Cherries | Radishes |
| Pears | Lemons | Raspberry juice |
| Peas | Oranges | Squash |
| 15 TO 25 | Very High | |
| Beets | Celery | 42.1 |
| Cabbage | Chard | 41.1 |
| Carrots | Figs (dried) | 32 |
| Cauliflower | Cucumbers | 45 |
| Cantaloupe | Lettuce | 38.6 |
| Olives | Rhubarb | 37 |
| Tomatoes | Spinach | 113 |
Principles of Growth
Height and weight are only one index of physical condition. They must be interpreted in connection with other factors, as organic and muscular conditions, appetite, energy.
Growth is not constant and regular but by spurts. Increase in height and in weight usually do not proceed together but alternate.
Two types of individuals are distinguished:
a. Rapid growth in height and weight until 9 to 12 years
Slower growth 12 to 16 years
Early maturity (12 to 14 years, girls; 13 to 15 years, boys);
b. Slow growth in height and weight until 12 to 12 years
Rapid growth after acceleration begins
Late maturity (14 to 16 years, girls; 15 to 18 years, boys).
Growth is influenced by various factors.
I. Heredity.
1. Race. Americans average heavier than Europeans, and taller than Europeans except Swedish, Danish, and Dutch. Children of Irish parentage average taller than children of German parentage. Children of American-born parents are in this country taller and heavier than children of foreign-born parents.
2. Family. Children tend to approximate height and build of family; good hygiene slightly increases average above immediate ancestors.
3. Sex. See pages 372-375.
II. Environment and Hygiene.
1. Hygiene. Good hygiene promotes growth in height and weight. Breastfed babies are usually found to increase more rapidly than those artificially fed, and this growth impulse continues through life. See page 100.
A comparative study recently made of (a) 278 children in well-nourished families, (b) 1,000 orphan asylum inmates, (c) 69,000 public school children, revealed a difference of six (6) inches average height and twenty (20) pounds average weight, at twelve years of age, in favor of the first group, living under good conditions of nourishment, exercise, and hygiene, above the public-school group, the asylum group being intermediate.49
Illness retards growth, especially weight; adenoids retard growth in height and weight.
2. Urban or rural environment. Country children average taller, heavier, and greater lung capacity than city children.
3. Season. In the North Temperate Zone, increase in height is greatest from December to July, least from June to January; growth in weight is the reverse.
Maturity. Various factors influence the age of physiological maturity.
1. Sex. Girls mature at from 12 to 16 years, two years earlier than boys,—from 14 to 18 years. The period of adjustment is longer, slower, and with less stress and upheaval with boys than with girls.
2. Growth. Children above the average in height and weight at 12 years mature earlier than those at or below average height and weight.
3. Climate. Maturity is earlier in warm climates, and later in cold climates.
4. Urban or rural environment. Maturity is earlier with city children, later with country children.
5. Stimulation. Stimulating physical or psychical influences, as a stimulating diet, use of alcohol, early social dissipation, reading and plays that stimulate sex interest, tend to cause earlier maturity.
Children mentally defective, retarded, or laggards in school, are usually shorter and lighter weight and smaller lung capacity than the median for normal children.
Children above the median in height, weight, and lung capacity (the three are usually found together) are usually above the average in school grades of other children the same chronological age. Such children may be from 1 to 5 years older physiologically and mentally than children of the same chronological age who are below the median in height and weight.
Proportions.
During the entire growth period the proportions of different parts are constantly changing because of their uneven rate of growth. The awkwardness, easy fatigue, and weakness during childhood and adolescence are in no small measure due to these changing proportions and their inadequacy as compared with their adjustment in maturity.
The following variations from the average are indices of weakness, and measures should be taken for bringing them to normal.50
1. Over average weight with under average height.50
2. Under average weight with over average height.50
3. Chest circumference less than head circumference after two years, or less by more than one-fourth inch under two years; or chest circumference less than the following proportions of the body length: first year, 60%; 1 to 6 years, 56%; 6 to 9 years, 52%.51
4. Circumference of abdomen more than chest.
The Tables for the first five years are a composite of the figures by Holt (compiled from several hundred hospital and private practice cases in New York City), the American Medical Association (compiled from several thousand cases in 23 States), the Life Extension Institute, and the Better Babies’ Bureau of the Woman’s Home Companion. In the main, the minimum figures are those of Dr. Holt, the maximum those of the Woman’s Home Companion. The figures of Dr. Freeman from 278 children in private practice (see page of Charts) are from 5 to 10 per cent higher than the maximum given in the Tables, for height and weight.
All measurements are without clothing.
Height—Boys52
| Age | Range Inches | Gain Inches | Age | Range Inches | Gain Inches |
| Birth | 19½-20½ | 2 yr | 31-33¾ | 3-4 | |
| 3 mo | 21-23½ | 3½ | 3 yr | 34-37 | 3-3½ |
| 6 mo | 25-26½ | 3¼ | 4 yr | 36-39½ | 1-3 |
| 1 yr | 29-29½ | 9-10 | 5 yr | 39-42½ | 1-3 |
Until acceleration period, annual gain 1-2 inches.
During acceleration, annual gain 2-3 inches.
Acceleration period: girls, 11 to 14 years; boys, 13 to 15.
Slight gains after acceleration period.
After three years, height varies during day, being greatest on rising, shortest at night.
Weight—Boys53
| Age | Range Pounds | Gain Pounds | |
| Birth | 6½-7½ | Weight doubled: 5 months | |
| 3 mo | 12½- | Weight trebled: 1 year | |
| 6 mo | 16-17½ | Weight quadrupled: 2½ years | |
| 9 mo | 17½-20 | Weight fivefold: 4 years | |
| 1 yr | 20½-22 | 12-15 | Loss of weight first 3 days |
| 2 yr | 26½-27½ | 5½-6 | Regained by 7th to 10th day |
| 3 yr | 31½-33½ | 4½-6 | Weekly gain: |
| 4 yr | 35-38 | 3½-4½ | 1st 5 months, 6 to 8 ounces |
| 5 yr | 41-43 | 5-6 | To 1 year, 4 to 6 ounces |
Acceleration period: girls, 11 to 16 years; boys, 13 to 18.
Weight varies during day, being greatest after supper, lowest before breakfast.
Girls nearly cease growing at about 17 years, boys at about 23 years.
Lung capacity is greater in boys than girls, all ages.
Relative Weight and Height Table—Boys 54
The figures represent weight in pounds
| Height in Inches | 5 Yrs. | 6 Yrs. | 7 Yrs. | 8 Yrs. | 9 Yrs. | 10 Yrs. | 11 Yrs. | 12 Yrs. | 13 Yrs. | 14 Yrs. | 15 Yrs. | 16 Yrs. | 17 Yrs. | 18 Yrs. | 19 Yrs. | 20 Yrs. |
| 39 | 35 | |||||||||||||||
| 40 | 38 | 36 | ||||||||||||||
| 41 | 39 | 39 | ||||||||||||||
| 42 | 41 | 41 | ||||||||||||||
| 43 | 42 | 42 | 42 | |||||||||||||
| 44 | 46 | 44 | 43 | |||||||||||||
| 45 | 46 | 46 | 45 | |||||||||||||
| 46 | 48 | 48 | 48 | |||||||||||||
| 47 | 49 | 50 | 50 | |||||||||||||
| 48 | 54 | 53 | 53 | 53 | ||||||||||||
| 49 | 54 | 55 | 55 | |||||||||||||
| 50 | 57 | 58 | 58 | |||||||||||||
| 51 | 59 | 60 | 60 | 61 | ||||||||||||
| 52 | 62 | 62 | 61 | 63 | ||||||||||||
| 53 | 62 | 65 | 65 | 67 | 67 | 67 | ||||||||||
| 54 | 65 | 68 | 68 | 70 | 71 | 71 | ||||||||||
| 55 | 69 | 71 | 75 | 75 | 76 | |||||||||||
| 56 | 71 | 77 | 76 | 78 | 79 | 79 | ||||||||||
| 57 | 77 | 79 | 80 | 82 | 82 | |||||||||||
| 58 | 78 | 84 | 85 | 86 | 87 | |||||||||||
| 59 | 84 | 86 | 90 | 91 | ||||||||||||
| 60 | 85 | 91 | 94 | 95 | 90 | |||||||||||
| 61 | 98 | 97 | 99 | 96 | ||||||||||||
| 62 | 99 | 103 | 106 | 104 | 104 | |||||||||||
| 63 | 100 | 107 | 112 | 112 | 110 | 118 | ||||||||||
| 64 | 114 | 118 | 120 | 117 | 120 | 120 | ||||||||||
| 65 | 122 | 119 | 122 | 122 | 120 | 126 | 125 | |||||||||
| 66 | 121 | 125 | 125 | 126 | 129 | 130 | ||||||||||
| 67 | 128 | 129 | 128 | 131 | 134 | 132 | ||||||||||
| 68 | 133 | 133 | 130 | 136 | 136 | 136 | ||||||||||
| 69 | 134 | 136 | 139 | 139 | 139 | |||||||||||
| 70 | 136 | 140 | 143 | 144 | 145 | |||||||||||
| 71 | 140 | 146 | 146 | 146 | ||||||||||||
| 72 | 149 | 154 | ||||||||||||||
| 73 | 165 |
Relative Weight and Height Table—Girls54
The figures represent weight in pounds
| Height in Inches | 5 Yrs. | 6 Yrs. | 7 Yrs. | 8 Yrs. | 9 Yrs. | 10 Yrs. | 11 Yrs. | 12 Yrs. | 13 Yrs. | 14 Yrs. | 15 Yrs. | 16 Yrs. | 17 Yrs. | 18 Yrs. | 19 Yrs. | 20 Yrs. |
| 39 | 34 | |||||||||||||||
| 40 | 37 | 35 | ||||||||||||||
| 41 | 38 | 37 | ||||||||||||||
| 42 | 41 | 39 | 39 | |||||||||||||
| 43 | 41 | 41 | 42 | |||||||||||||
| 44 | 45 | 43 | 44 | 42 | ||||||||||||
| 45 | 45 | 45 | 45 | |||||||||||||
| 46 | 48 | 47 | 47 | |||||||||||||
| 47 | 50 | 49 | 49 | |||||||||||||
| 48 | 51 | 51 | ||||||||||||||
| 49 | 53 | 53 | 54 | |||||||||||||
| 50 | 56 | 56 | 57 | |||||||||||||
| 51 | 59 | 58 | 60 | |||||||||||||
| 52 | 63 | 62 | 62 | 63 | ||||||||||||
| 53 | 64 | 63 | 66 | 65 | ||||||||||||
| 54 | 69 | 68 | 69 | 68 | ||||||||||||
| 55 | 70 | 71 | 73 | |||||||||||||
| 56 | 75 | 75 | 76 | 78 | ||||||||||||
| 57 | 78 | 80 | 83 | |||||||||||||
| 58 | 83 | 86 | 88 | 89 | ||||||||||||
| 59 | 88 | 89 | 93 | 97 | 100 | |||||||||||
| 60 | 94 | 94 | 96 | 100 | 104 | 109 | 103 | 99 | 99 | |||||||
| 61 | 99 | 100 | 102 | 109 | 109 | 106 | 105 | 111 | ||||||||
| 62 | 104 | 104 | 106 | 111 | 110 | 107 | 111 | 114 | ||||||||
| 63 | 107 | 109 | 116 | 110 | 112 | 113 | 114 | |||||||||
| 64 | 112 | 118 | 116 | 117 | 114 | 119 | 115 | |||||||||
| 65 | 114 | 118 | 121 | 125 | 120 | 123 | 125 |
Pulse55
| Age | Per Minute |
| Birth | 130 |
| 6-12 mo. | 105-115 |
| 2-6 yr. | 90-105 |
| 7-10 yr. | 80-90 |
| 11-14 yr. | 75-85 |
Respiration56
(During sleep)
| Age | Per Minute |
| Birth | 35 |
| 1 yr. | 27 |
| 2 yr. | 25 |
| 6 yr. | 22 |
| 12 yr. | 20 |
| Adult | 16-18 |
Pulse and respiration in infants may be normally irregular and the rate greatly modified by apparently slight causes. In very young infants regular rhythmic breathing is seen only in sleep, and rhythm is not fully established before two years.
Temperature in young children is normally 98°-99.5°F., taken by rectum; it occasionally rises to 100.5 in apparently perfect health. It is normally higher in late afternoon.57
The rate of circulation (time required from leaving the heart till return to the heart) is in the newly born 12 seconds, at 3 years 15 seconds, in the adult 22 seconds.57
Infant Mortality
The infant mortality rate is the number of deaths of babies which occur for every 1,000 live births. Figures in the United States are available only for that part of the country known as the registration area, where the reporting of births and deaths is legally required. It is important that the birth of every child should be registered, and that laws requiring registration should be enforced in every State.
Deaths of Infants Under One Year of Age Per 1,000 Live Births in Foreign Countries58
| Country | Year | Rate |
| Russia | 1909 | 248 |
| Ceylon | 1912 | 215 |
| German Empire | 1911 | 192 |
| Austria | 1912 | 180 |
| Italy | 1911 | 153 |
| Switzerland | 1911 | 123 |
| England and Wales | 1912 | 95 |
| Ireland | 1912 | 86 |
| France | 1912 | 78 |
| Australia | 1912 | 72 |
| Norway | 1911 | 65 |
| New Zealand | 1912 | 51 |
The New York Milk Committee states that an infant mortality rate above 50 per 1,000 is preventable by sanitation, hygiene, prenatal care, and the instruction of mothers; and that a rate beyond this is unfair to the babies, and a disgrace to the community for its negligence.
Principal Causes of Death During Growth
Registration Area, United States, including about 65 per cent. of population. For the year 1913.
| Cause of Death | Under 1 Yr. | 1-2 Yrs. | 2-3 Yrs. | 3-4 Yrs. | 4-5 Yrs. | 5-9 Yrs. | 10-20 Yrs. |
| 1. Congenital debility | 60,551 | ||||||
| 2. Premature birth | 27,359 | ||||||
| 3. Injuries at birth | 5,131 | ||||||
| 4. Digestive | 43,243 | 9,942 | 2,653 | 1,124 | 697 | 1,968 | 2,939 |
| 5. Respiratory (except tuberculosis, chiefly pneumonia) | 25,274 | 9,272 | 3,567 | 1,724 | 1,055 | 2,296 | 2,502 |
| Tuberculosis | 2,491 | 1,879 | 1,053 | 693 | 507 | 1,702 | 8,350 |
| 6. Whooping cough | 3,442 | 1,516 | 596 | 301 | 152 | 246 | 40 |
| 7. Measles | 2,011 | 2,562 | 1,117 | 584 | 302 | 660 | 346 |
| 8. Diphtheria and croup | 913 | 1,857 | 1,781 | 1,498 | 1,293 | 3,171 | 918 |
| 9. Scarlet fever | 255 | 618 | 798 | 684 | 603 | 1,563 | 621 |
| 10. Influenza | 608 | 171 | 105 | 47 | 42 | 126 | 202 |
| 11. Smallpox59 | 27 | 4 | 4 | 3 | 5 | 8 |
The death rate is higher during the first five years than at any other five-year period; higher during the first year than any other year; highest during the first month; and its maximum is during the first week of life.
It is estimated that about fifty per cent. of all children die before they are born. Life is conferred at conception, and miscarriage is really death before birth. The registration of stillbirths, with causes, should be required by law, as it now is in some foreign countries.
Diarrhea and other digestive disorders are prevalent causes in summer; pneumonia and colds in winter.
Of the deaths from summer diarrhea, about 90 per cent. are babies artificially fed, compared with 10 per cent. naturally fed.
Mortality in Pregnancy
United States Registration Area, 1913
| Puerperal septicemia (blood poisoning, due to lack of surgical cleanliness in care) | 4,542 |
| Albuminaria and convulsions (usually preventable by regular examination of urine) | 2,397 |
| Accidents (frequently preventable by prenatal hygiene and skilful medical supervision) | 2,703 |
| Other causes | 368 |
| 10,010 |
Most of these deaths were due to preventable causes.
Even with these preventable deaths, the chances of death in childbirth were only 1 in about 200 births.
In every community where instruction has been provided in prenatal hygiene and the care of infants, a marked reduction has resulted, both in prenatal deaths, in mortality in pregnancy, in infant mortality and in the inability of mothers to nurse their babies.
Footnotes:
34 See Preface, page xiii.
35 C (?) = Possibly contagious; isolate.
36 C = Contagious; child should be isolated.
37 Diagnosis of a specific disease in a given case can only be made by an experienced physician. The Table is of value particularly as indicating the mild symptoms with which these begin. Incubation is the period from exposure to first symptoms. Isolation dates from first symptoms.
38 G. = Onset gradual.
39 S. = Onset sudden.
40 Quoted from Rose’s “Laboratory Manual in Dietetics”, and Sherman’s “Food Products”, by permission.
41 In part, quoted from Fisher’s “Graphic Method in Dietetics”, by permission; in part, calculated by the author, from data in Rose’s “Manual.”
42 Exact figures not yet available; mineral about 3 times that in bolted.
43 Exact figures for unpolished not yet available; mineral about 3 times that in polished.
44 T = tablespoon.
45 c = cup.
46 t = teaspoon. Level measures.
47 From “Food Products”, H. C. Sherman, by permission of the publishers (The Macmillan Company). Complete tables there itemized.
48 Blatherwick.
49 Amer. Jour. Diseases of Children, November, 1914. Doctor Roland G. Freeman.
50 For normal relativity see tables, pages 374, 375.
51 Daten und Tabellen, Vierordt.
52 Girls average ½ inch shorter until 2 to 4 years, then 1 to 2 inches shorter until 11 to 14 years; ½ to 2 inches taller 11 to 14 years; then shorter.
53 Girls average ½ pound lighter than boys during first year; then 1 to 2 pounds lighter until 12 years; 2 to 3 pounds heavier until 14 years, then lighter.
54 From the Ninth Yearbook of the National Society for the Study of Education, by courtesy of the author, Doctor Thomas D. Wood. (Data are based upon examinations, during fourteen years, of pupils in Horace Mann School, New York City.)
55 Holt.
56 Uffelmann, quoted by Holt.
57 Vierordt, quoted by Holt.
58 In the United States the rate in the registration area, according to the Census of 1910, was 124 per 1,000, a total of 159,435, from which the Census Bureau estimates the total deaths for the entire country as 300,000 under 1 year of age.
59 Before vaccine was generally used, was as prevalent as tuberculosis.