Ever since John Graunt (1620-1674) established the statistical science of epidemiology, physicians have been aware of the greater vulnerability of the male to disease than the female. Graunt also called attention to the excess of males over females at birth; he further commented on the greater mortality rate of the male throughout his life. The following observations upon the mortality of infants and children in Philadelphia were probably the first published in this country to support Graunt's observations:
Of the children born in Philadelphia during the ten years included between 1821 and 1830, amounting according to the returns made to the Board of Health, to 66,642; there were 2,496 more males than females. But notwithstanding the males at birth thus exceed the females about 7½ per cent, a reference to the census of 1830, shows that by the fifth year of childhood, the male excesss is reduced to about 5 per cent; and at ten years to only 1 per cent; and that the reduction still going on, the females between the ages of ten and fifteen, exceed the males about 8 per cent; and between fifteen and twenty, 7.3 per cent.
Here then we find, that during the early stages of life, there are agencies operating to reduce unduly the proportion of the male sex, and to trace out and identify these, forms a highly interesting subject of inquiry.
It has commonly been supposed that the greater exposure of males to accidents furnished a sufficient explanation of their greater mortality. But our inquiry (in 1830) shows the fallacy of this reasoning, the deaths reported under the head of casualties consisting but a small proportion of the whole mortality, in which when burns and scalds are included, the female deaths are found to exceed the male. The truth is that with very few exceptions, all the morbid influences to which the early periods of life are exposed, operate with peculiar fatality among the males, showing unequivocally that the true cause of the disparity resides in some physiological peculiarity.