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CONCERNING TABLES OF MORTALITY, AND OF MEAN DURATIONS OF LIFE, OF MARRIAGES,

No documento A PHILOSOPHICAL ESSAY (páginas 152-161)

AND OF ASSOCIATIONS.

THE manner

of preparingtables ofmortalityisvery simple.

One

takes in the civilregisters a great

num-berof individuals

whose

birth and death are indicated.

One

determines

how many

of these individuals have died in the first year of their age,

how many

in the second year, and so on. It is concludedfrom these the

number

ofindividuals living atthe

commencement

of eachyear,and this

number

is written inthetable at the side of thatwhich indicatesthe year.

Thus

one writes atthe side of zero the

number

ofbirths; atthe side of the year I the

number

of infants

who

have attainedoneyear;atthe sideofthe year2the

number

ofinfants

who

have attainedtwo years, and so onfor the rest. But since in the first two years of lifethe mortalityis verygreat, it is necessaryforthe sakeof greater exactitude to indicate in this first age the

number

of survivors atthe endofeachhalf year.

If

we

divide the

sum

of the years of the life of all the individuals inscribed inatableof mortality bythe

140

CONCERNING TABLES

OF

MORTALITY,

U*

number

ofthese individuals

we

shall have the

mean

duration of lifewhich correspondsto this table. For

this,

we

will multiply by a halfyear the

number

of deaths in the firstyear, a

number

equal tothe differ-ence of thenumbersof individuals inscribed atthe side ofthe yearsoand I. Their mortality beingdistributed over the entire year the

mean

durationof theirlifeis

only a half year.

We

will multiplyby a yearand a halfthe

number

ofdeathsin thesecond year;

by

two yearsandahalfthe

number

ofdeathsinthethirdyear;

andso on.

The sum

ofthese products dividedbythe

number

of births will be the

mean

duration oflife. It iseasyto conclude from this that

we

will obtain this duration, by

making

the

sum

ofthe numbersinscribed inthe table atthe sideofeachyear, dividingitbythe

number

of births and subtracting one halffrom the quotient, the year being taken as unity.

The mean

duration of lifethatremains, startingfrom anyage, is determined in the

same

manner, working upon the

number

of individuals

who

havearrived atthisage, as hasjustbeen donewith the

number

ofbirths. Butit is not atthe

moment

ofbirth thatthe

mean

duration of lifeis the greatest; itis

when

one has escaped the dangers of infancy and it is then about forty-three years.

The

probability of arriving ata certain age, starting from a given ageisequaltotheratio of the two numbers of individuals indicated in the table at thesetwoages.

The

precision of theseresults

demands

thatforthe formation of tables

we

should employ a very great

number

of births. Analysis gives then very simple formulaeforappreciating theprobability thatthe

num-142

A

bers indicated in these tables willvary from the truth only within narrowlimits.

We

seebythese formulae that the interval ofthe limitsdiminishes andthatthe probability increasesin proportionas

we

take into con-sideration

more

births; sothatthetables would repre-sent exactly thetruelaw of mortalityifthe

number

of birthsemployed wereinfinite.

A

tableofmortalityisthen atableoftheprobability of

human

life.

The

ratioof the individuals inscribed attheside of each year tothe

number

ofbirthsis the probability thata

new

birth will attain this year.

As we

estimatethevalueofhope by

making

a

sum

ofthe products of each benefithoped for, bythe probability of obtainingit, so

we

can equally evaluate the

mean

duration of life

by

adding the products ofeach year by half the

sum

of the probabilities of attaining the

commencement

and the endofit, which leads tothe result found above. But this

manner

ofviewing the

mean

duration of life has the advantage of showing thatinastationary population,thatisto say, suchthat the

number

ofbirths equalsthat of deaths, the

mean

duration oflife isthe ratioitselfof the population to the annual births; for the populationbeing supposed stationary, the

number

ofindividualsof an age

com-prised between two consecutive years of the table is equal to the

number

of annual births, multiplied

by

half the

sum

of the probabilities of attaining these years; the

sum

ofall these productswill be then the entirepopulation.

Now

itis easytosee thatthissum, dividedbythe

number

ofannual births, coincideswith the

mean

durationoflifeas

we

havejust definedit.

It is easyby

means

ofatable of mortality to form

MORTALITY, 143 thecorresponding table of thepopulation supposed to bestationary. Forthis

we

take thearithmetical

means

ofthe numbersofthe tableof mortality corresponding tothe ages zero and oneyear,one and twoyears, two and three years, etc.

The sum

ofallthese

means

is

the entire population; it iswritten at the sideof the age zero. Thereis subtracted fromthis

sum

thefirst

mean

andtheremainder is the

number

of individuals ofone yearand upwards; it is written at the side of the year I. There is subtracted from this first re-mainder the second

mean

; this second remainder is the

number

ofindividuals oftwo years and upwards;

itiswritten at thesideof the year 2, andsoon.

So

many

variable causesinfluence mortalitythatthe tableswhichrepresent itoughtto be changed accord-ing to place and time.

The

divers states oflifeoffer in this regard appreciable differences relative to the fatigues and the dangers inseparable from each state andofwhich itisindispensable tokeep account inthe calculations founded upon the duration of life. But these differences have not been sufficientlyobserved.

Some

daytheywill be and thenwill be

known

what

sacrifice of life each profession

demands

and one will profitbythisknowledgetodiminish the dangers.

The

greaterorlesssalubrity ofthesun, itselevation, itstemperature, thecustoms of theinhabitants,andthe operations ofgovernments havea considerableinfluence uponmortality. Butitis always necessaryto precede theinvestigationof thecause of thedifferencesobserved bythat oftheprobabilitywithwhichthiscauseis indi-cated.

Thus

the ratio of the population to annual births, which onehas seenraisedin Franceto

twenty-eightand onethird, isnot equalto twenty-five in the ancientduchyof Milan. Theseratios, bothestablished upona great

number

ofbirths, donot permitof calling into question the existence

among

the Milanese ofa special cause ofmortality, which itis of

moment

for the government of our country to investigate and remove.

The

ratio of the population to the births would increaseagainif

we

could diminishandremove certain dangerous and widely spread maladies. This has happily been done for the smallpox, at first

by

the

inoculation ofthis disease, then in a

manner much more

advantageous, bythe inoculationofvaccine, the inestimable discovery of Jenner,

who

has thereby

become

oneofthe greatestbenefactorsof humanity.

The

smallpox has this in particular, namely, that the

same

individual is not twice affected byit, or at leastsuch cases aresorarethatthey

may

beabstracted

from the calculation. This malady, from which few escaped before the discovery ofvaccine, isoftenfatal

and causes the death ofoneseventh of those

whom

it attacks. Sometimes it is mild, and experience has taught that it can be given this latter character

by

inoculating it upon healthy persons, prepared for it

by

aproperdiet andina favorableseason.

Then

the ratio of the individuals

who

die to the inoculated ones is not onethree hundredth. This great advan-tageof inoculation, joinedtothose of notaltering the appearance and ofpreserving from thegrievous conse-quences which the natural smallpox often brings, caused ittobe adopted bya great

number

ofpersons.

The

practice was strongly recommended, but it was

MORTALITY, 145 strongly combated, as is nearly always the case in things subject to inconvenience. Inthe midstofthis dispute Daniel Bernoulli proposed to submit to the calculus of probabilities the influence of inoculation upon the

mean

duration oflife. Since precisedataof the mortalityproducedbythe smallpox at thevarious ages oflifewere lacking, he supposedthatthe danger ofhaving this malady andthatof dyingof it are the same ateveryage.

By means

of thesesuppositions he succeeded by a delicate analysis in converting an ordinary table of mortalityinto that which would be used ifsmallpox did not exist, or if it caused the death of only a very small

number

ofthoseaffected,and he concludes from it that inoculationwould

augment

bythreeyearsat leastthe

mean

duration oflife, which appeared to him beyond doubt the advantage ofthis operation. D'Alembert attacked theanalysis of Ber-noulli: at first in regard to the uncertainty of his two hypotheses, then in regard to its insufficiencyin this,that no comparison was

made

ofthe immediate danger, although verysmall, ofdyingof inoculation, to the very great but veryremote danger of succumbing to natural smallpox. This consideration, which dis-appears

when

one considers a great

number

of indi-viduals, is for this reason immaterial forgovernments andthe advantagesofinoculationforthemstillremain;

butitisof great weightfor the fatherofa family

who

mustfear, inhavinghischildren inoculated, toseethat one perish

whom

he holds most dearand to be the cause ofit.

Many

parentswererestrainedbythis fear,

which thediscoveryof vaccine has happilydissipated.

By

one ofthose mysterieswhich natureoffersto usso

A ON

frequently, vaccine isa preventiveof smallpoxjust as certain as variolarvirus, and thereis no dangeratall; it does not expose to any malady and

demands

only verylittlecare. Therefore thepractice ofithas spread quickly; and to renderit universalitremains onlyto overcome the natural inertia of the people, against which it is necessaryto strive continually, even

when

itis a question oftheirdearest interests.

The

simplest

means

of calculating the advantage whichthe extinctionofamalady would produce

con-sists indetermining

by

observation the

number

of indi-viduals ofa given age

who

die of it each year and subtracting this

number

from the

number

of deathsat the

same

age.

The

ratioofthe difference tothe total

number

of individuals ofthe givenage would be the probability of dying in the year at this age if the maladydid not exist. Making, then, a

sum

ofthese probabilities from birthupto anygiven age, and sub-tractingthis

sum

fromunity, theremainderwill be the probability of living to that age corresponding to the extinction ofthe malady.

The

seriesofthese prob-abilitieswill be thetable of mortalityrelative to this hypothesis, and

we may

conclude from it, by what precedes, the

mean

duration oflife. It is thus that Duvilard hasfound thattheincrease ofthe

mean

dura-tion of life, due to inoculation with vaccine, is three yearsattheleast.

An

increasesoconsiderablewould produce a very greatincreasein the population ifthe latter, for other reasons, were not restrained by the relativediminution ofsubsistences.

Itis principallybythe lack ofsubsistences thatthe progressive march ofthe population is arrested. In

MORTALITY, 14?

all kinds of animalsandvegetables, nature*tends with-out ceasing to

augment

the

number

of individuals until theyare on a levelof the

means

ofsubsistence. In the

human

race moral causes have a great influence upon the population. Ifeasy clearings ofthe forest can furnish an abundant nourishmentfor

new

genera-tions,thecertainty ofbeing abletosupport anumerous family encourages marriages and renders

them

more productive.

Upon

the same soil the population and

the births oughtto increase atthe

same

time simul-taneouslyin geometricprogression. But

when

clear-ings

become more

difficult and

more

rare then the increase of population diminishes; it approaches con-tinually the variable state of subsistences,

making

oscillationsaboutitjust asapendulum whoseperiodicity isretardedby changingthe point of suspension, oscil-latesaboutthis point byvirtueofits

own

weight. It is difficult to evaluate the

maximum

increase of the population; itappearsafter observationsthatin favor-able circumstances the population of the

human

race would be doubled every fifteen years.

We

estimate that in North America the period ofthisdoubling is twenty-twoyears. In thisstate of things, the popula-tion, births, marriages, mortality, all increase accord-ingtothesamegeometric progression ofwhich

we

have the constantratioofconsecutiveterms bythe observa-tion ofannualbirths attwoepochs.

By

means of a table of mortality representing the probabilities of

human

life,

we may

determine the

duration ofmarriages. Supposinginorderto simplify the matter that the mortalityis the sameforthetwo sexes,

we

shallobtainthe probability thatthe marriage

U$ A

PHILOSOPHICAL ESSAY

ON

PROBABILITIES.

will subsistone year,or two,or three,etc.,byforming aseriesoffractions whose

common

denominatoristhe product of thetwo numbersof thetablecorresponding tothe ages of theconsorts, and whose numeratorsare the successive products of the numbers corresponding to these ages augmented

by

one, by two, by three,

etc., years.

The sum

of thesefractions augmented by one half will be the

mean

duration of marriage, the year being taken as unity. It iseasyto extend the

same

ruletothe

mean

duration ofanassociationformed of three orof a greater

number

ofindividuals.

CHAPTER XV.

No documento A PHILOSOPHICAL ESSAY (páginas 152-161)