Illiteracy also, in the Eighteen Counties, is excessive. (See Map 3 and column 3 of Table A.) The per cent of illiterate males of voting age for the State in 1910 was 4.2. There are 29 counties in which that number was exceeded. Of these, fourteen are among the Eighteen Counties, and five border upon them. In Brown County, the percentage is 4.3, in Washington and Noble 4.5, in Monroe 5.4, in Adams 6.9, in Athens and Ross 7.4, in Scioto 7.7, in Gallia 8.1, in Vinton 8.4, in Hocking 8.6, while in Pike it is 10.7, and in Lawrence 11.6. Among the remaining ten counties whose percentage of illiteracy is above the average it appears (see Map 4, page 30) that in all but three, the percentage of foreign-born persons is large, and that among counties where the foreign born are few, there are, outside the Eighteen Counties, only six for which the percentage of illiteracy is greater than 4.2, and three of these are included in the counties which border upon them. It will be noted that in this region the number of foreign-born persons is very small. The percentage for the State is 12.5, whereas in the Eighteen Counties it is only 2.3. No less than 53 counties out of the 70 outside of the Eighteen Counties, have a foreign population of more than 2.3 per cent. In this region, therefore, where there is so high a percentage of illiteracy, of illegitimacy, and of deaths from preventable disease, the people are more nearly pure Americans than in the rest of the State. They compare unfavorably with the people of counties where a large proportion are foreigners. It is true that the cause does not lie in the origin of the population. But the fact that these things are true in the most American parts of Ohio, where we should naturally expect to find the best situation, greatly emphasizes the significance of the conditions disclosed. It is an additional indictment against those who are responsible that in Mahoning County more than 28 per cent and in Cuyahoga County more than 33 per cent of the population in 1910 were foreign born, yet in these counties, containing the large cities of Youngstown and Cleveland, the moral and social conditions are better than in the Eighteen Counties--a rural section inhabited by our purest American stock.