with the moral or the immoral, which are standards of human conduct, and the duty of the naturalist is to point out what goes on in Nature. There can now be scarcely a doubt that even in highly organized human communities the death-rate is selective, and physical fitness is the criterion for survival. To assert the existence of this selection and measure its intensity must be distinguished from an advocacy of high infant mortality as a factor of racial efficiency. This reminder is the more needful as there are not wanting those who assert that demonstrating the existence of natural selection in man is identical with decrying all efforts to reduce the infantile death-rate." A further discussion of this point will be found in a later chapter.
The conclusion that, of the infants who die, a large number do so through inherent weakness—because they are not "fit" to survive—is also suggested by a study of the causes of death. From a third to a half of the deaths during the first year of life, and particularly during the first month, are due to what may be termed uterine causes, such as debility, atrophy, inanition, or premature birth. Although in many cases such a death is the result of lack of prenatal care, in still more it must be ascribed to a defect in the parental stock.
In