Vital statistics in this country are an infant science. Yet they are the very basis and fundament of any attempt to better the general health. Knowledge of what is killing us before our time is the first step toward saving our lives. The Census Bureau does its best to acquire this essential information. For years Director North has been persistently hammering away at this point. But progress is slow. Only fifteen States, representing 48 per cent. of our population, are comprised in the "registration area"; that is, record all deaths, and forbid burial without a legal permit giving the cause of death and other details. Outside of this little group of States, the decedent may be tucked away informally underground and no one be the wiser for it. This is convenient for the enterprising murderers, and saves trouble for the undertakers. Indeed, so interested are the latter class, that in Iowa they secured the practical repeal of a law which would have brought that State within the area; and in Virginia this year they snowed under a similar bill in the legislature, by a flood of telegrams. Ohio, the third largest State in the Union, keeps no accurate count of the ravages of disease. Probably not more than 60 per cent. of its deaths are reported. Why? Inertia, apparently, on the part of the officials who should take the matter in charge. Governor Harris in his January message made a strong plea for registration, but without result. As for births, there is no such thing as general registration of them. So this matter is neglected, upon which depend such vital factors as school attendance, factory employment, marriage, military duty, and the very franchise which is the basis of citizenship. It is curious to note that Uruguay, in its official tables of comparative statistics, regrets its inability to draw satisfactory conclusions regarding the United States of America, because that nation has not yet attained to any scientific method of treating the subject. Patriotism may wince; but let us not haughtily demand any explanation from our sneering little neighbor. Explanations might be embarrassing. For the taunt is well founded. [Illustration: DR. GEORGE W. GOLER HEALTH OFFICER OF ROCHESTER, NEW YORK, WHO REFUSES CHILDREN CERTIFICATES TO WORK IN FACTORIES, UNLESS THE APPLICANTS ARE IN SOUND PHYSICAL CONDITION]