Consider the reason for this difference in the death rates—114 deaths per 1000 in the great towns, 104 in the smaller towns, and 93 in the country districts. Does not this prove that children are killed by the conditions into which they are born. It is obvious that urbanisation, with all that it means of unhealthy living, with factory work and the employment of women, exerts a profound effect on the lives and health of little children. A portion of infant and child mortality represents, I well know, the removal from life of diseased children who ought never to have been born, and would not have been born under different sexual conditions, for this, above all, is a question of instructed motherhood. I am not forgetting this side of the problem. But these children, doomed to death from the time they are conceived, represent a fraction only of our infant mortality. The vast majority of babies are born healthy; it is we who kill them. Though the fact of the falling birth rate is being shouted aloud with an ever-increasing fear and insistence, the plain, simple fact is neglected; it is absurd to go on having more babies if we can’t first care enough to keep alive the babies that we have. There are still too many births for our civilisation to look after; we are still unfit to be trusted with a rising birth rate.[4] Let us consider now how our neglect acts on the children who fight through the first years of infancy. I can take a few facts only chosen almost at hazard from the mass of similar evidence in the Educational Report. In London, out of 294,000 children medically examined, 101,000 or nearly half, were found to be in need of treatment. In England and Wales 391,352 children of school age were medically attended. A summary of the returns shows a wide prevalence of verminous uncleanness, the percentage being 18.1 per cent. for the heads and 11.8 per cent. for the bodies of the children. Again the figures show unclean conditions to be most prevalent in the towns, in some instances the percentage rising as high as thirty unclean children out of each hundred children examined. I ask you to think what this implies. The nutrition of the children is equally bad, the different counties varying in percentage between five and twenty. Stockton-on-Tees has the unenviable distinction of standing the highest—thirty out of each hundred of its children showing signs of malnutrition. The same Report shows the fatal prevalence among the children of rickets, eye disease, discharging ears, and diseases of the throat and nose.[5] The proportion of defective teeth is higher than any malady and often exceeds seventy and eighty per cent. of the school entrants.