F LIBRARY OF CONGRESS. ii^pf^-^ S 2^ij|a|ng]^ :f it...... UNITED STATES OF AMERICA. WHERE TO FIND The Healthiest Chrnate IN THE UNITED STATES AND SO FAR AS WE HAVE THE EVIDENCE, THE HEALTHIEST IN THE WORLD. AS INDICATED BY THE MEDICAL STATISTICS OF THE ARMIES OF THE UNITED STATES, GREAT BRITAIN, FRANCE, ITALY, ETC. By E. Y. ROBBINS, Corresponding Member of the American Statistical Association. CINCINNATI : ROBERT CLARKE & COMPANY, 1883. Copyrighted, 1883, BY E. Y. ROBBINS. It is very easy to talk and write about a certain region being " The Consumptive's Paradise," and a" Sanitarium for all Atflicted Humanity," with little to support the claim except bold assertions, wreathed in flowery language. But in the following pages the reader will find facts, not fancies ; and facts too numerous and authentic to be set aside. And in collecting and comparing these facts the writer has not at all been actuated by the desire to prove a theory, but simply to find out truth. Where sliall we seek recuperation and health? Where can we find the best climate in America — or in the world ? Is it in Florida ? or on the Mediterranean ? or in New Mexico 'i or California? Individual experience and opinion can determine notliing. It is only by the combination and comparison of great (3) 4 iiuinlicrs of carefully recorded facts that wc can arrive at any certainty about the matter. These facts or statistics we may tind in the records of sickness and death Avhich are kept at the militar}^ posts throughout the United States and other civilized countries. Let us ?iee which way these point. OUR NORTH PACIFIC SLOPE COMPARED U'lTlI UTHEU PARTS or THE UNITED STATES. Taking the period from 1849 to I860, omit- ting fractions as much as possible, and taking the nearest whole numbers, we tind that the average number of deaths per annum, in every 1,000 soldiers, by disease, was: In Florida 26 In Southern Texas 50 In Western Texas 20 In New Mexico and Arizona 19 And in tlie "Department of the Colum- bia," Oregon, Washington and Idaho, ou\y 9 Between the years 1860 and 1867 the rate of mortality was disturbed and complicated by the war. During the years 1868 and 1869 there died, on the average, by disease, in every 1,000 soldiers, annually : In Florida and tlic Southeast 10 In Texas 11 In New Mexico a little more than 8 In Arizona 10. G In Colorado, Nebraska, Wyoming and Utah 67 In California a little over (! In Montana, Dakota and MinnesvOta 4 And in the Department of the Columbia, Oregon, Washington and Idaho, only.. 1 During the period from 1870 to 1874 there died, in every 1,000 soldiers annually, by disease : III Florida and the Southeast 12 In Texas, an average of about 16 In Colorado, Nebraf^ka, "Wyoming and Utah 6 In New Mexico, nearly 8 In Arizona 15 In California 7.8 In Montana, Dakota and Minnesota 6 And in the Department of the Columbia, Oregon, Washington and Idaho 5.4 On taking the seven years from 1868 to 6 1874, inclusive, we have the average mortality per annum, in each 1,000 soldiers : In Florida and the Southeast about 14 In Texas 13 In Colorado, Nebraska, W3'oming and Utah 6.3 In New Mexico 8 In Montana, Dakota and Minnesota 5.5 In Arizona 13 In California 7.3 And in the Department of the Columbia... 3.6 (viz., Oregon, 3 ; Washington, 6 ; and Idaho 2, in each 1,000 troops.) Making a more brief and general estimate, we have for the seven years from 1874 to 1881, a death rate per annum, by disease, in Florida, Texas, New Mexico and Arizona of from 8 to 14 in every 1,000 soldiers ; while in Oregon, Washington and Idaho, the death rate, by the ofHcial record, was less than 4 per 1,000, (the exact figures, 3.74, being almost precisely the same as for the preceding seven years). Or let us compare the prevalence of cer- tain diseases in the different parts of the United States. In an equal number of soldiers in the different Departments during 7 the years 1868 and 1869, the number of cases of sickness, (not deaths), by malarial fever, stood nearly in the following proportion : III the Department of the East 30 III the Department of the South 60 Department of the Lakes 50 Department of Texas 80 New Mexico, Indian Territory, Kansas, Arkansas, and Missouri, over.. 40 Wyoming, Nebraska and Utah 20 Montana, Dakota and Minnesota, nearly-... 10 Department of the Columbia (Oregon, Washington and Idaho) , 10 Department of California 20 Department of Arizona 160 Or compare the mortality, in the different sections, by that great destroyer of human life. Consumption, and other respiratory diseases. Taking the period from 1850 to 1860 there died annually in every 1,000 sol- diers, by consumption, pneumonia, etc.: In Florida, an average of 2.75 In Texas 3 In New Mexico and Arizona 3.15 In California, a little more than 3 In the Department of the Columbia, Oregon, Washington ar.d Idaho.., 1.6 From 1870 to 1874 (the next period for which the necessar}^ figures have been ol)- tained), the niortality by consumption, })neu- monia, etc., was in every 1,000 soldiers annually: In FI(3i-ida 3 In Texas an average of. 2.3 In Montana, Dakota and Minnesota 2 In New Mexico 2.2 In Colorado, Nebraska, Wyoming and Utah ^ 1.6 In Arizona 3.3 In California 3; while in the Department of the Columbia, Oregon, Washington and Idaho, the mortality by these diseases was a little less than 1 in 1,000 ; and for the period from 1874 to 1881 it was considerably less than 1 in 1,000; — showing only about half as much consumption and other respiratory disease in this section as in any other Department of the United States army; — and, as we shall see, less than in the British, French, or Italian armies, on the Mediterranean, or in Algeria, or in the West Indies, or, so far as we can find, in any other part of the world. 9 But first, the vital statistics of the United States census for 1870 (the hitcst yet pub- lislied) coincide to a remarkable extent ^yith tliese records of the arniy in regard to the comparative healtlifulness or unhealthfulness of dift'erent States and Territories. Especial!}' is this true in the West, Xorthwest and South- west. Thus the census of 1870 shows in the civil population of the Department of the Columbia, viz., Oregon, Washington and Idaho, an entire death rate of about 7 per 1,000; in California of 16, and in Arizona of 26; and by consumption, pneumonia, etc., there died on tlie average in ea'^di 1,000 of the civil population of the Department of the Columbia (according to the census of 1870) 1.5 ; in California 3.3, and in Arizona 4.7. So that combining these two sets of statistics, l)oth in regard to the entire mortality, and also to the mortality by the principal diseases, we have the ITorth Pacific Slope shown to be the very healthiest part of the United States. 10 THE CLIMATE OF OUR NORTH PACIFIC SLOPES COM- PARED AVITH THAT OF THE SOUTH OF EUROPE, ALGERIA, ETC. But we will go fnrthei% and say that, so far as we have the vital statistics to determine, there is no climate in the world that can com- pare with that of the northwestern part of onr own country, between the Rocky Mount- ains and the Pacific. Take Italy, the south of France, and Algeria, to which invalids are sent, and both the civil and military statistics show a luuch higher mortality there than here. In presenting the following figures, as well as the preceding, perfect fairness has been observed. Particular years are taken, not at all because they favor a theory, but because they are obtainable, and in form to be com- pared. The death rate per annum, by all diseases, in the Italian army, from 18G0 to 1876, was about 11 in 1,000. Among the soldiers of the French army stationed in the south of France in 1872, it was 10 in 1,000. In the French 11 tirniy in Algeria during the years 1863, 1864, 1866 and 1870 it was 14.50 ; while in our own Department of the Cohimbia, viz., Oregon, Washington, and Idaho, the death rate from 1868 to 1881 was only 3.75 in 1,000 by all diseases. Why should people cross the rough and stormy Atlantic to find healtli, with the chances threefold against them, there, as com- pared with what they would be on our own beautiful mountains and plains, that slope from the summit of the continent westward to where the setting sun gilds the Pacific waters? Or let us compare the figures for the diseases of the respiratory organs, including consumption, pneumonia, etc., and we have among the soldiers in the south of France (including the health resorts of iTice, Men- tone, etc.,) for the year 1872, an average death rate, by these diseases, of 2.4 per 1,000 annually. In the French army in Algeria during the years 1863, 1864, and 1866, it was, 1)y these diseases, more than 3 in 1,000 annu- ally ; and in the Italian army during tlie years 1867, 1868, and 1869, and 1874, 1875, and 1876, 12 the fleatlis by respiratory diseases, including consumption, etc., averaged nearly 4 in 1,000 annually; while in our own Department of the Colundjia, ()i'egon, Washington, and Idaho, the mortality, by these diseases, from 1870 to 1881, was less than 1 in 1,000 troops annually. TUE NORTH PACIFIC SLOPE HEALTHIER THAN ANY OTHER PART OF THE WORLD OF WHICH WE HAVE THE STATISTICS. All this is confirmed in a remarkable man- ner by the records of the Medical Department of the British army from 1 859 to 1 879. These records show the sanitary condition of the British soldiers, the diseases and deaths which occur at every military station in the British Dominions, and consequently represent the healthfulness or unhealthfulness of climate in portions of every quarter of the globe — Europe, Asia, Africa, North and South America, and the Islands of Australia, New Zealand, and the East and West Indies, — a mass of ofiicial and certainly very valuable statistics. These sliow every-where a mor- 13 tcility iiuieli liiglier tlian in our aSTorth Pacitic slope — even'-whero (xcrpf irhen ajpproachwg the bitter, in the rieighljoriiig territory of British C(>luml)i(i, adjoining Washington and Idaho on the north, and liaving a climate very similar to these. And here we are struck hy tlie fact that these records show a degree of iiealthfulness almost exactly the same in liritish Columhia as that in the Department of the Columbia, on our own side of the boundary line. But let us compare the tigures. From 1859 to 1879 at the British stations of (iJibraltar, the Ionian Islands, and Malta, in the supposed sanitary zone of the Mediterranean, we find an average death rate, by all diseases, of about 7.5, 8.4, and 10.5, respectively, in each 1,000 troops, per annum ; and by respira- tory diseases, including consumption, pneu- monia, etc., of 2 in 1,000; being more than twice as great as in our Department of the C^olumbia. In Australia we find a death rate, by all diseases, of 12 in each 1,000 troops annually, and by respiratory diseases of over 5 in 1,000. In Xcav Zealand, of 8.75 by all dis- 14 cases, and of nearly 3 per 1,000 by respiratory diseases. Japan, Cliina, and the East Indies are much worse, having a mortahty of from 14 to 25 or 30 in 1,000 troops. In the West Indies it is, by all diseases, from 10 to 12 and 13 in 1,000, and by respiratory diseases over 2 per annum. In England itself the mortality is about 8 in 1,000 soldiers, by all diseases, annually ; and by respiratory diseases over 3.5, In Canada it is between 6 and 7 per 1,000, by all diseases, and over 21)y respiratory diseases. While in British Columbia, lying immediately north of Washington and Idaho, and having a climate quite similar, the death rate per annum, for the four and a half years the British troops were there, was a little over 3 in 1,000, (3.04), by all diseases, being almost exactly the same as among our own soldiers in the Department of the Columbia, so similarly situated. Indeed, the British troops were stationed less than fifty miles from our boundaiy line. Thus, after making the circuit of the globe in search of health, we come back to find our own North Pacific slope, and the country ad- 15 jacent to it — extending from the Rocky Mountains to the coast regions — the healthiest countiy, so far as we have any positive and reliable evidence, in the vorhL And this question of health is, after all, the important question, for health is the basis of enjoyment of all other blessings — the measure of the value of money, and whatever money can buy. Only a healthy eye can see all the beauties in nature and art. Only a healthy palate can taste the full pleasure of eating. Only healthy nerves and brain can feel all the enjoyment of living. But not only is this a land of health ; it is also a land of beauty, of grandeur, of fertility ; witli mountains scarcely inferior to those of Switzer- land; with plains not surpassed in fertility by any on the globe; a land refreshed and made beautiful by bubbling springs, and rippling streams of purest water, and grand with rapid rivers and roaring cataracts; a land, in many parts, of almost matchless wealth of forest for architectural use ; with harbors the most exten- sive and beautiful in the world, winding in nu- merous branches and coves far into the interior 16 of the country, where the shipping of all nations could float in safety. And, withal, it is a land where nature is mild and peaceful : for of the GOO cyclones reported by the Signal Service in the United States, and which, in other parts of our country, have destroyed hundreds of lives and rendered thousands houseless, not one is reported in Oregon, Wasfi- ington, or Idaho, and only one in California.* Moreover, this region is mild in temperature both winter and summer. With an average thermometer for the year about equal to that of Cincinnati or St. Louis, the winter is not so cold, nor the summer so warm, by several degrees, as at these places. The nights are never uncomfortably warm, and the days are seldom uncomfortably cold. The great elevation of the Rocky Mount- ains in Montana and Wyoming forms the dividing barrier between two dis'inct climates : on the east side the rainfall being mainly in summer, and on the west in winter. Also, on *See " Professional Papers of the Signal Service, No. VII., 18S2." 17 the east side tlie winds in winter come mostly from the' frozen nortli ; or, if they come across from the west, they bring down with them the cold of the snowy mountain tops. On the other side they come mainly from that great reservoir and equalizer of caloric, the Pacilic ocean; and in winter the farther they travel from the ocean the colder they become ; so that as you go west from the Mississipjji the winter temperature, at equal altitudes, in- creases till you reach the Pacific. Thus, taking the reports of the k>ignal Service for the years 1S7S, 1879, and 1880, we find, on or near the same parallel of latitude, the average winter temperature at St. Paul, Minn., about 18.o0° — (some parts of Dakota being even colder on account of greater ele- vation) — at Umatilla, Eastern Oregon, 33.50°, and at Portland, •AVestern Oregon, 40.50°. Also at Breckenridge, Minn., we have an average temperature in winter of 6°, and at Olympia, on the same latitude near the Pacific, of 37°. In summer the case is beautifullv reversed. and the temperature l)ecoraes more cool and pleasant as we approach the I'acilic. It is then no Avild fancy or exaggeration to say that this region has the conditions to be- come one of the (/ravdcst portions of the earth, with apopulati^ hues. Our great traveler. Bayard Taylor, says tliaf nowhere else, except in Greece, has he seen such deli- cate and ever-changing atmospheric tints as among the mountains near the Pacific coast. Going there for the first time, is almost like jj-oino- to a new world, so many thino's are dif- ferent there from here. The Quail lias a dif- ferent wliistle; the Lai-k a dift'erent song, — it siuo's there as if its throat were fnll and over- fio^ving with melody. In Europe you may find art ; mit in the AVest you will find health, purity of air, and a freshness and beauty of nature, which is '"The Art of God." WHERE TO FIND The Healthiest Chmate IN THE UNITED STATES; AN'l) SO I'Ai; AS \VK HAVK THE KVIDENCK. THE HEALTHIEST IN THE WORLD. AS INDICATED BY THK MEDICAL STATISTICS OF THE ARMIES OF THE UNITED STATES, GREAT BRITAIN, FRANCE, ITALY, ETC. By E. Y. ROBBINS, Corresponding Member of the American Statistical Association. CIN'CINNATI : ROBERT CLARKE it COMl'ANY.