class="tdr2">241

359 Illinois 2,641 468 Pennsylvania 3,656 477 Indiana 1,672 619 Rhode Island 208 383 Iowa 950 427 South Carolina 735 485 Kansas 934 552 South Dakota 315 539 Kentucky 1,581 690 Tennessee 1,231 563 Louisiana 774 468 Texas 1,864 478 Maine 340 458 Utah 232 621 Maryland 746 576 Vermont 126 354 Massachusetts 1,092 324 Virginia 1,120 543 Michigan 1,315 468 Washington 368 323 Minnesota 1,077 519 West Virginia 713 584 Mississippi 737 410 Wisconsin 1,251 537 Missouri 1,823 553 Wyoming 24 159

From this table the largest proportions of the deaf appear to be found in the states rather toward the central part of the country, and the smallest in the states in the far west and the extreme east. The highest proportions occur in Kentucky, North Carolina, Utah, Indiana, West Virginia, Maryland, Tennessee, Missouri, Kansas, Virginia, New Mexico, Ohio, South Dakota, Wisconsin, Nebraska, New York, and Minnesota, all these states having over 500 per million of population. The lowest proportions are found in Wyoming, Arizona, New Jersey, Nevada, Florida, Delaware, Connecticut, Colorado, Montana, Washington, Massachusetts, California, District of Columbia, Idaho, Vermont, Oregon, Alabama, and Rhode Island, in none of these states the number being over 400 per million. Why there should be these differences in the respective proportions of the deaf in the population of the several states, we cannot say; and we are generally unable to determine to what the variations are to be ascribed—whether they are to be set down to particular conditions of morbidity, the intensity of congenital deafness, or other influences operating in different sections; or, perhaps in some measure, to the greater thoroughness with which the census was taken in some places than in others.

Age When Deafness Occurred

The vast majority of the deaf lost their hearing in early life, and most of them in the tender years of infancy and childhood. More than ninety per cent (90.6, according to the returns of the census) became deaf before the twentieth year; nearly three-fourths (73.7 per cent) under five; over half (52.4 per cent) under two; and over a third (35.5 per cent) were born deaf. Deafness thus occurs in a strongly diminishing ratio with advancing years.[6] These facts may be indicated by the following table,[7] which shows the percentages of those who became deaf at different ages.

THE DEAF ACCORDING TO AGE OF OCCURRENCE OF DEAFNESS

Ability of the Deaf to Speak

We have just seen that "dumbness" frequently follows upon deafness, or that it is usually believed to be an effect of deafness. It is true that with the majority of the deaf phonetic speech is not employed to any large extent; but there is at the same time a fair number who can, and do, use vocal language. This speech varies to a wide degree, in some approximating normal speech, and in others being harsh and understood with difficulty; and it depends in the main upon three conditions: 1. the age at which deafness occurred, this being the most important factor; 2. the extent to which the voice is cultivated; and 3. the remaining power of the ear (which is found but seldom).[8]

Of the deaf persons enumerated in the census,[9] 21.5 per cent were reported able to speak well; 15.8 per cent imperfectly; and 62.7 per cent not at all. In other words, somewhat over a third of the deaf can speak more or less, one-fifth being able to speak well, and one-sixth imperfectly,