attention that wealth could command and science could furnish. If the infant mortality problem is to be solved on the basis of knowledge and reason, it must be recognized that sanitation and hygiene can not take the place of eugenics any more than eugenics can dispense with sanitation and hygiene. It must be recognized that the death-rate in childhood is largely selective, and that the most effective way to cut it down is to endow the children with better constitutions. This can not be done solely by any euthenic campaign; it can not be done by swatting the fly, abolishing the midwife, sterilizing the milk, nor by any of the other panaceas sometimes proposed. But, it may be objected, this discussion ignores the actual facts. Statistics show that infant mortality campaigns _have_ consistently produced reductions in the death-rate. The figures for New York, which could be matched in dozens of other cities, show that the number of deaths per 1,000 births, in the first year of life, has steadily declined since a determined campaign to "Save the Babies" was started: 1902 181 1903 152 1904 162 1905 159 1906 153 1907 144 1908 128 1909 129 1910 125 1911 112 1912 105 1913 102 1914 95 To one who can not see beyond the immediate consequences of an action, such figures as the above indeed give quite a different idea of the effects of an infant mortality campaign, than that which we have just tried to create. And it is a great misfortune that euthenics so often fails to look beyond the immediate effect, fails to see what may happen next year, or 10 years from now, or in the next generation. We admit that it is possible to keep a lot of children alive who would otherwise have died in the first few months of life. It is being done, as the New York figures, and pages of others that could be cited, prove. The ultimate result is twofold: 1. Some of those who are doomed by heredity to a selective death, but are kept alive through the first year, die in the second or third or fourth year. They must die sooner or later; they have not inherited sufficient resistance to survive more than a limited time. If they are by a great effort carried through the first year, it is only to die in the next. This is a statement which we have nowhere observed in the propaganda of the infant mortality movement; and it is perhaps a disconcerting one. It can only be proved by refined statistical methods, but several independent determinations by the English biometricians leave no doubt as to the fact. This work of Karl Pearson, E. C. Snow, and Ethel M. Elderton, was cited in our chapter on natural selection; the reader will recall how they showed that nature is weeding out the weaklings, and in proportion to the stringency with which she weeds them out at the start, there are fewer weaklings left to die in succeeding years.