Something troubling is happening in Scotland. At least 21 babies under four weeks old died in September, a rate of 4.9 per 1,000 births. The former average was 2.1 deaths per 1,000 births. The nationalized health service tracks records, because everyone is on the same system; that’s why when an internal alarm is triggered by the data as it rolls in, they stop and look immediately. Public Health Scotland says: