where proper treatment could be had, and the result was a low death-rate.
These were tenements of the tall, modern type. A little more than a year ago, when a census was made of the tenements and compared with the mortality tables, no little surprise and congratulation was caused by the discovery that as the buildings grew taller the death-rate fell. The reason is plain, though the reverse had been expected by most people. The biggest tenements have been built in the last ten years of sanitary reform rule, and have been brought, in all but the crowding, under its laws. The old houses that from private dwellings were made into tenements, or were run up to house the biggest crowds in defiance of every moral and physical law, can be improved by no device short of demolition. They will ever remain the worst.
That ignorance plays its part, as well as poverty and bad hygienic surroundings, in the sacrifice of life is of course inevitable. They go usually hand in hand. A message came one day last spring summoning me to a Mott Street tenement in which lay a child dying from some unknown disease. With the "charity doctor" I found the patient on the top floor, stretched upon two chairs in a dreadfully stifling room. She was gasping in the agony of peritonitis that had already written its death-sentence on her wan and pinched face. The whole family, father, mother, and four ragged children, sat around looking on with the stony resignation of helpless despair that had long since given up the fight against fate as useless. A glance around the wretched room left no doubt as to the cause of the child's condition. "Improper nourishment," said the doctor, which, translated to suit the place, meant starvation. The father's hands were crip-
