Licence: Public Domain Mark
Credit: Deaf-mutism / by Holger Mygind. Source: Wellcome Collection.
Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.
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![These remarks plainly express the author's opinion that unfavourable social and hygienic conditions are of importance as remote causes of both congenital and acquired deafness which leads to deaf-mutism. We cannot at present decide which of the two forms is most affected by these causes, as none of the in- vestigations which treat of the subject distinguish between acquired and congenital deafness. It may be mentioned in connection with the above, that Wilde found deaf-mutism to be more common in Ireland among the rural than among the urban population [72, p. 474]. Later authors have come to the same conclusion, but a satisfactory explana- tion has not been discovered.* There is, however, reason to doubt the correctness of this apparently well-founded supposition. All the statistics which serve as a basis for this hypothesis have calculated the relation of the deaf-mute popula- tion to the population living in the towns and rural districts. It is, however, an accepted fact that in most countries there is a strong tendency in the population to emigrate from the rural districts to the towns, and especially to the large towns. The con- sequence is that the deaf-mute rate is put at too high a figure when the deaf-mutes born in the rural districts are calculated in relation to the existing population, viz., the population remaining in the rural districts. On the other hand, the urban deaf- mute rate will be too low if it is calculated according * Schmaltz endeavours to explain the circumstance by the greater ease with which medical aid is obtained in towns than in rural districts, the conse- quence being that ear-disease and epidemic disease do not injure the organs of town children as much as those of country children [i6i, p. 71].](https://iiif.wellcomecollection.org/image/b21709968_0052.jp2/full/800%2C/0/default.jpg)