Annual report of the Bureau of Vital Statistics of the North Carolina State Board of Health |
Previous | 139 of 156 | Next |
|
small (250x250 max)
medium (500x500 max)
Large
Extra Large
large ( > 500x500)
Full Resolution
|
This page
All
|
of t|)C OniDerisitp of BortI) Carolina CoUecUon of iRortS CatoUniana C(d\+.\ UNIVERSITY OF N.C. AT CHAPEL HILL 00017472478 This book may be kept out one month unless a recall notice is sent to you. It must be brought to the North Carolina Collection (in Wilson Library) for renewal. ANNUAL REPORT OF THE BUREAU OF VITAL STATISTICS OF THE NORTH CAROLINA STATE BOARD OF HEALTH 1936 CARL V. REYNOLDS, M. D. SECRETARY AND STATE HEATH OFFICER CONTENTS Introduction - : - 7 GENERAL TABLES Table I.—Total births and deaths (exclusive of stillbirths) with rate per 1,000 population for the years 1914-1936, inclusive 14 Table XL—Births (exclusive of stillbirths) in each county, by color, with rate per 1,000 population, per cent attended by physicians and number illegitimate, 1936 15 Table II-A.—Births (exclusive of stillbirths) in each city of 10,000 population or over in 1930, by color, with rate per 1,000 popula-tion; per cent attended by physicians and number illegitimate, 1936 19 Table III.—Deaths (exclusive of stillbirths) for the State as a whole from each cause, by sex, color and age 1936 (includes all deaths occurring in North Carolina and residents of North Carolina who died in other states) 20 Table IV.—Deaths (exclusive of stillbirths) in each county, by color, with rate per 1,000 population, 1936- 66 Table V.—Deaths (exclusive of stillbirths) in each county, by cause of death (abridged international list) and by color of decedent, 1936 70 Table VI.—Deaths (exclusive of stillbirths) in cities or towns, by cause of death (abridged international list) and by color of decedent, 1936 120 Table VII.—Death rates per 100,000 population (by place of death, also by place of usual residence) in each county, from nine im-portant causes, with estimated population, 1936 - 130 Table VIII.—Deaths (exclusive of stillbirths) by cause by certain sub-divisions of the first year of life, 1936 134 Table IX.—Deaths under 1 year of age (exclusive of stillbirths), and maternal deaths in each county with rates per 1,000 live births, 1936 136 Table X.—Cases and deaths from special diseases by month of occur-rence, 1936 138 Table XI.—Cases from 30 of the reportable diseases by counties, 1936 142 Table XII.—Death rates per 100,000 population from ten important causes, for the State as a whole, with estimated population for each year, 1914-1936 146 LETTER OF TRANSMITTAL Raleigh, N. C, February 18, 1938. To His Excellency, Clyde R. Hoey, Governor of North Carolina, Raleigh. My dear Governor Hoey I have the honor of transmitting the report for the Bureau of Vital Statistics covering the calendar year 1936. With assurance of my very best respect, I am Sincerely, CARL V. REYNOLDS, M.D., Secretary and State Health Officer. ANNUAL REPORT OF THE BUREAU OF VITAL STATISTICS This annual report of the Bureau of Vital Statistics for the twenty-first year of State registration presents tabulations of births and deaths for the calendar year 1936. This report marks the fourth year in which all births and deaths have been allocated to residence so far as it was possible to ascertain the residence. Births have been allocated to the legal residence of the mother and deaths to the place of legal residence before death of the deceased. In order to permit comparison with years before tabu-lations by place of residence were begun, deaths and births have been recorded by place of occurrence and by place of residence. Although tabulation by residence corrects one, probably the greatest, source of error in comparing the rates of different localities there are other factors that must be taken into con-sideration. For example, the rates given in this report are crude rates in the calculation of which no allowance is made for the differences in sex, age and color distribution of the population. Furthermore, the degree of completeness of reporting may vary in different localities and this should be taken into consideration when comparing the rates of two areas. Population Population estimates for the State, and more especially for its political sub-divisions, may vary widely from the true popula-tion for no census has been taken since 1930. State rates are based on the Census Bureau estimate of 3,457,000 population. The Bureau of Vital Statistics has estimated that 2,441,000 are white and 1,016,000 are colored. To arrive at an estimated population for each county the increase computed for the State as a whole was distributed among the counties in proportion to the share which each county had in the increase between 1920 and 1930. No estimate was made for areas where the population decreased between 1920 and 1930, the figures shown being those of the 1930 Federal Census. Natality Live Births: The birth rate of 22.1 per 1,000 population was the lowest rate ever recorded for North Carolina. In actual numbers there were 3,275 fewer births than in 1935. This rep- 8 Annual Report Nineteen Thirty-Six resents a decline in the rate from 23.3 per 1,000 population to 22.1. Of the 76,321 live births, 52,408 were white ; 23,218 negro and 695 Indian which gives rates of 21.5 per 1,000 population for white and 22.9 for negro. The birth rate ranged between 30 and 35 per 1,000 population from 1914 to 1924. From the latter date the rate rapidly dropped to 24.7 in 1929 and since that time there has been a slight tendency for it to decrease. Stillbirths: In conformity with statistical practice, the still-births were not included in the totals of either births or deaths, but tabulated separately. There were 135 fewer stillbirths than last year, but the rate of 40.9 per 1,000 live births is identical with that for 1935. If they were classified as a single cause of death, the rate based on 100,000 population would be greater than that of tuberculosis and influenza combined. In every 100 deliveries there were approximately four stillbirths. Mortality In the compilation of mortality statistics the cause of death as stated by the physician is used as the basis of classification by causes. Since the accuracy of statistics can be no greater than that of the material upon which they are based, it is desira-ble that physicians give as accurate and complete a diagnosis of the cause of death as possible. A specific cause, rather than a general condition or symptom, is essential if the greatest ac-curacy is to be expected. Failure to conform with this rule necessitates that hundreds of certificates be queried yearly as to cause of death in order to classify them correctly. The health conditions in North Carolina for 1936 as indicated by the death rate were, in general, not so favorable as for the preceding year. There were more deaths recorded from all causes combined, and consequently a higher death rate than for 1935. The 35,580 deaths, exclusive of stillbirths, represent an annual death rate of 10.3 per 1,000 population. The mortality rate for 1935 was 9.8; for 1934, .10.6; and for 1933, 9.3. Con-sidered in terms of total deaths, the number reported for 1936 was 2,129 more than for 1935. When the deaths from all causes are analyzed it is discovered that the largest proportional increase occurred among the group of degenerative diseases. This group—^heart diseases, chronic nephritis, cerebral hemorrhage, cancer, diseases of the arteries, diabetes, and angina pectoris—, seven in all, accounted for 14,925 deaths, or 42 per cent of the deaths from all causes. Of the North Carolina Bureau of Vital Statistics S) 2,129 deaths over the 1935 total this group was responsible for 1,320, or 62 per cent of the increase. Therefore, the increase in the number of deaths over 1935 is due in a larger measure to the degenerative diseases than to infectious and contagious or other causes. Table 1. Deaths prom Degenerative Diseases Number Cause of Death 1935 1936 Heart Diseases 4,459 4,944 Cerebral Hemorrhage 2,909 3,250 Chronic Nethritis 2,954 3,190 Cancer 1,811 1,819 Angina Pectoris 758 835 Diseases of the Arteries 337 478 Diabetes 377 409 Total 13,605 14,925 The principal causes of death in 1936 in order of their rank were diseases of the heart, nephritis, cerebral hemorrhage, the pneumonias, accidents, congenital malformations and diseases of early infancy, tuberculosis and cancer. The relative positions of the various causes of death have changed within the past twenty years. Tuberculosis ranking first in 1914 with a rate of 139 per 1000,000 population has decreased to seventh place in 1936 with a rate of 60.8. Heart diseases rank first in 1936 in the list of causes of death. In 1914 there were 1,780 deaths charged to this condition and in 1935 diseases of the heart, including angina pectoris, account-ed for 5,733 deaths. This represents a rate twice that of 1914. Nephritis, second in importance, was seventh twenty years ago. The death rate from pneumonias has changed little, but due to the increase in deaths from other conditions, pneumonia has dropped from second to fourth place. Diarrhea and enteritis, a a major cause of death in 1914, is tenth in 1936. The rate has fallen from 98.8 per 100,000 population in 1914 to 33.2 in 1936. Modern sanitary measures have played a large part in reducing the death rate from diarrhea among infants. Typhoid Fever: Continuing the downward trend there was a decrease in the number of deaths from typhoid fever. The 71 deaths from this cause were eleven fewer than for 1935, nine 10 Annual Report Nineteen Thirty-Six fewer than for 1934, and 57 fewer than for 1933, with a conse-quent lowering of the death rate from 2.4 per 100,000 popula-tion in 1935 to 2.1 for the present year. The improvement in this condition can be appreciated by comparing the rate of 35.8 in 1914, or a total of 839 deaths, to the present record low rate of 2.4. Smallpox: This is the fifth consecutive year that no deaths were reported from smallpox. There were 19 cases reported to the Division of Epidemiology. In 1935 there were 24 cases re-ported. Diphtheria: The record for 1936 reveals an increase in diphtheria deaths with a higher death rate than in 1935. There were 190 deaths with a rate of 5.5 per 100,000 population com-pared to 164 deaths with a rate of 4.8 for 1935. There was a seventy per cent reduction in the mortality rate from this disease between 1915 and 1931, but no significant change in the rate since with the exception of the decrease shown in 1935 which is partly lost for the present year. This failure to show continued improvement is all the more striking since diphtheria is a disease for which we have a highly efficacious protective vaccine. In round numbers, five-sixths of the deaths from diphtheria occur in children under five years of age. This indicates that vacci-nation to be most profitable must be done long before the child becomes of school age. Influenza and Pneumonia: There were 3,239 deaths from pneumonia and 1,163 deaths from influenza, making a total of 4,402 recorded for 1936. The deaths from these two conditions give a rate of 127.3 per 100,000 population for 1936 as against a rate of 113.0 for 1935. There were 130 more deaths from in-fluenza during 1936 than for the previous year and 411 more from the pneumonias. Tuberculosis: The death rate from all forms of tuberculosis was 60.8 in 1936 and 56.7 in 1935. This represents an increase in actual numbers of 166. Tuberculosis ranked first among all causes of death in 1914, but has fallen to seventh place in 1936. In the past twenty years the mortality rate has declined by ap-proximately 65 per cent. Of the 2,102 deaths from all forms of tuberculosis, 51 per cent were males and 49 per cent females ; 44 per cent were white and 56 per cent negro. The colored rate of 110.5 for tubercu-losis is almost three times the white rate of 35.5. North Carolina Bureau of Vital Statistics 11 Cancer: Cancer accounted for 1,819 deaths in 1936 giving a rate of 51.6 against a rate of 52.1 for 1935 and 54.0 for 1934. While the trend of cancer mortality has been steadily upward in the past, we have at least held our own for the past four years and it is not unreasonable to hope for the prevention of an in-crease. Pellagra: The mortality from pellagra continued the down-ward trend begun in 1931, but interrupted by an increase for 1934. The rate for 1936 was 10.3 per 100,000 population. This was lower than the 11.4 for 1935 and 13.2 for 1934. The peak year for pellagra deaths was 1930 when 1,015 were charged to this disease. Suicides and Homicides: There were 302 suicides compared to 276 for 1935. This accounted for an increase in the rate from 8.1 per 100,000 population to 8.7. There were 3 more homicidal deaths in 1936 than in 1935, the totals being 402 and 399 respectively. Accidental Causes: Violent and accidental deaths, exclusive of suicides and homicides, increased from 2,385 in 1935 to 2,519 in 1936 placing violent and accidental deaths fifth among the principal causes of death. Automobile accidents accounted for the greatest number of accidental deaths. There were 1,006 deaths from all types of automobile accidents in 1936 and 1,058 in 1935. There were 109 railroad accidents in 1936 and 105 in 1935, exclusive of collisions with automobiles. Maternal Mortality: The diseases of pregnancy, childbirth and the puerperal state continued to exact a large number of lives. Deaths from maternal causes and the maternal mortality rates per 1,000 live births for the past eight years are shown in Table 2. There was a decrease of 22 maternal deaths from the 1935 figures in approximately 3,000 fewer births, which gives the same maternal mortality rate. There were 532 ma-ternal deaths in 1936 to 554 in 1935 giving a rate of 7.0 per 1,000 live births for each year. This is in excess of the rate of ap-proximately 6.5 for the United States Registration Area. There were 309 white, 222 negro and 1 Indian puerperal deaths, ac-counting for a death rate of 5.9 per 1,000 live births for the white and 9.6 for the colored. 12 Annual Report Nineteen Thirty-Six Table 2. — Total Maternal Deaths and Rates, 1929-1936. Year No. of Deaths Rate 1929 684 8.8 1930 645 8.4 1931 640 8.5 1932 555 7.1 1933 535 7.1 1934 605 7.6 1935 554 7.0 1936 532 7.0 Albuminuria and eclampsia, as in previous years, accounted for more of the puerperal deaths than any other single cause. The second and third greatest offenders were puerperal septi-cemia and puerperal hemorrhage, respectively. Albuminuria and eclampsia with other toxemias of pregnancy account for 187 maternal deaths, which is 35 per cent of all maternal deaths. Infant Mortality: The total number of deaths under one year of age was 5,221 or 188 fewer than occurred in 1935. The rate for 1936 was 68.4 per 1,000 live births and 67.9 in 1935. Of the total deaths 3,123 were white and 2,069 negro. This gave a rate of 59.6 for the white and 89.1 for the negro. The number of deaths of infants under one year of age and the infant mortality rates per 1,000 live births for the past nine years are shown in Table 3. Table 3. — Total Infant Deaths and Rates, 1928-1936. Year No. of Deaths Rate 1928 6,929 85.6 1929 6,112 79.2 1930 6,021 78.4 1931 5,459 73.0 1932 5,173 66.4 1933 4,974 66.0 1934 6,196 77.9 1935 5,407 67.9 1936 5,221 68.4 Five principal causes of infant mortality accounted for 68 per cent of all infant deaths. These causes with the number of infant deaths charged to each were as follows: North Cakolixa Bureau of Vital Statistics 13 Premature birth 1,4'72 Diarrhea and enteritis 676 Pneumonias 605 Sudden death (cause not specified) 507 Congenital debility 302 Total 3,562 Of the 5,221 deaths of infants under one year of age, 1,241 or 24 per cent died during the first day of life and 2,141 or 41 per cent within the first week. Registration Every birth and death occurring in North Carolina should be recorded with the Bureau of Vital Statistics. To the indi-vidual the registration of a birth occurring in North Carolina makes it possible always to obtain an official record of the facts surrounding his advent into life. The purposes for which certi-fied copies of birth certificates are requested indicate that their value is becoming more generally realized from year to year. Likewise, the demand for death certificates show that this vital record is essential in upholding the right of citizens in the estab-lishment of necessary facts in the closing event of life. Vital Statistics are of inestimable value to the public health workers, but without complete registration full reliance cannot be placed on the data. For health organizations accurate certifi-cates are essential if our true problems are to be known, if our programs are to be intelligently planned and we are to ascertain their effectiveness and if errors in our work are to be detected. It is, therefore, important that every effort be made to promote the completeness of our birth and death records. 14 Annual Report Nineteen Thirty-Six Table I — Total Births and Deaths (Exclusive of Stillbirths) With Rate Pee 1,000 Population for the Years 1914-1936 Inclusive 1914 1915 1916 1917. 1918. 1919. 1920. 1921. 1922. 1923. 1924. 1925. 1926. 1927. 1928. 1929. 1930. 1931. 1932. 1933. 1934. 1935. *71,931 •79,409 76,658 76,539 76, 175 69,791 81,407 87,456 81,673 84. 190 87,023 83,700 82,459 83,330 80,887 77, 164 76,717 74,743 77,880 75,322 79,556 79,596 76,321 31.2 33.4 31.9 31.8 30.8 29.3 31.8 33.4 30.8 31.3 31.9 29.7 28.8 28.7 27.5 24.7 24.1 23.2 24.0 23.0 24.1 23.3 22.1 29,044 31,324 31,372 42,411 30,114 32,336 29,010 30,660 32,396 33,234 32,524 34,608 32,911 36,133 36,894 35, 739 33,069 31,000 30.496 35,112 33,451 35,580 12.4 13.2 13.0 14.1 17.6 12.4 12.6 11.0 11.5 12.0 12.2 11.5 12.1 11.3 12.3 12.4 11.2 10.2 9.6 9.3 10.6 9.8 10.3 Stillbirths included in births 1914 and 1915. North Carolina Bureau of Vital Statistics 15 16 Annual Report Nineteen Thirty-Six O CO »0 t-» Oi OO -^P i-H I fe Sj O S? S SS§SS3 ec»0'^oo»-iooco*H «» O « Ttl « CO -w Ot^^Oi-<*-<OCT>0 IIOI^COO CO-*J*T-«iOO<00000'^<MOC 5SS O to CO « CO»OOOiO»OCCC^O oosr^ooooo*-»»oco o * -^ O lO » S5 ss s s OiQ0t^O-^Cflt^Tj«O00t^t^C0OS<OCT>CO00»-Hl0O00C0 g s•o oo t^ o r?"5co'nc^^:o^^o s°a >Oi-iioe<50ocnt^m-fl<-Hcoot^c<5'-icomrou5 mooeoNi£3oi--;tooodoJodo>ocooioot>;i>: §J2 ^-1 oo^HcO'-HW3eooicoccoia>coc^'«^0<-Hoo'^ir^oooor>- r-l Ol Oi IM O OO O O CO T-1 <M il <M c5 S ?3 I s J I i J J .3 i i f I g J i I s' 1 d ^ 1 1 1 oE33a«c3P3-oo2ca«22S3c3s«a)a; North Carolina Bureau of Vital Statistics 17 •» <»« « MCO t^ at 1-1 S252 O lO CD OJ -^ C4 C4 t^ o «3t>.CQCCCCCO^Hl>-OCOOr*»-<000 00 M t^ CO C^ C*fl Oi ^^ f- M t^ C5 eo OS 18 Annual Report Nineteen Thirty-Six North Carolina Bureau of Vital Statistics 19 Annual Report Nineteen Thirty-Six Table III — Deaths (Exclusive of Stillbirths) Fob the State as a Whole Residents Dying Cause of Dkath I. Infectious and Parasitic Diseases: Males 1. Typhoid fever. 2. Paratyphoid fever. 3. Typhus fever 5. Undulant feve 8. Scarlet fever. 9. Whooping-cough. 10. Diphthe Total... White... Indian.. Colored. Total... White... Indian.. Colored. 5,237 2,984 1,8,04 27 1,153 2,253 1,319 18 1,416 755 471 7 277 661 432 11 218 North Carolina Bureau of Vital Statistics 21 From Each Cause, By Sex, Color and Age—1936 (Includes Deaths of IN Other States) 2S 22 Annual Report Nineteen Thirty-Six North Carolina Bureau of Vital Statistics 23 Contimied E 24 Annual Repokt Nineteen Thirty-Six Table III-Cause of Death 24. Tuberculosis of the meninges and central nervous system 25. Tuberculosis of the intestines and peritoneum. 26. Tuberculosis of the vertebral column. 27. Tuberculosis of the bones and joints (vertebral column excepted) 8. Tuberculosis of the skin and subcutaneous tissue _ 29. Tuberculosis of the lymphatic system (bronchial, mesenteric and retroperitoneal glands excepted). 30. Tuberculosis of the genitourinary system. 31. Tuberculosis of other organs. 32. Disseminated tuberculosis. 34. Syphilis 35. Gonococcus infection and other venereal diseases. Male. Male... Female. (Male... (Female. [Male... (Female. (Male... (^Female. (Male... (Female. (Male... [Female. (Male... [Male.. I Female North Carolina Bureau of Vital Statistics 26 Continued 1 s U3 Annual Report Nineteen Thirty-Six Table III �� Cause of Death Purulent infection, septicemia (nonpuerperal). Other diseases due to protozoal parasites . 40. Ankylostomiasis- 42. Other diseases caused by helminths. 43. Mycosis. 44. (a) Chickenpox_ 44. (b) German 44. (c) Mmnps- 44. (d) Hiccoughs- 44. (e) Infectious fever 44. (f) Trench mounth 44. (g) Rocky Mountain spotted fever. North Carolina Bureau of Vital Statistics 27 Continued 1 OS s U5 Annual Report Nineteen Thirty-Six Table III-Cause of Death n. Cancers and Tumors: Males Females 45. Cancer and other malignant tumors of the buccal cavity 46. Cancer and other malignant tumors of the digestive tract and peritoneum 47. Cancer and other malignant tumors of the respiratory system 48. Cancer and other malignant tumors of the uterus 49. Cancer and other malignant tumors of other female organs. 50. Cancer and other malignant tumors of the breast. 51. Cancer and other malignant tumors of the male genitourinary organs 52. Cancer and other malignant tumors of the skin... 1,232 881 4 347 North Carolina Bureau of Vital Statistics 29 Continued 1ss 30 Annual Report Nineteen Thirty-Six Table III — Cause of Death W (Male..., 1 Female. I JMale.... 1 Female C |Male.... \ Female. C < Female. W fMale.... 1 Female. C JMale.... (Female. North Cabolina Bureau of Vital Statistics 31 Continued 1 2 2 32 Annual Report Nineteen Thirty-Six Table III — Cause of Death North Caeolina Bureau of Vital Statistics 33 Continued 2 i s 34 Annual Repobt Nineteen Thirty-Six Table III— Cause of Death C [Male- 1 Female Total... White... Indian.. Colored. Total... White... Indian.. Colored. W (Male-iFemale C /Male.. W fMale.._ \ Female. Total... White... Indian.. Colored. Total... White... Indian.. Colored. W fMale... ^Female. C |Male-.. \ Female. W fMale... 1 Female- I fMale... iFemale. C I Male... [Female. 1,864 1,118 North Carolina Bureau of Vital Statistics 35 Continued 1 s 36 Annual Report Nineteen Thirty-Six Table III-Cause of Death SO. Progressive locomotor ataxia (tabes dorsalis). Other diseases of the spinal cord. 82. Cerebral hemorrhage, cerebral embohsm and thrombosis 3. General paralysis of the in 84. Dementia praecox and other psychoses- 85. Epilepsy. Convulsions (under 5 years of age). Other diseases of the nervous system. of the organs of vision. Diseases of the ear and of the mastoid process. W male... W fiMale-.. 1 Female. I |Male... 1 Female. C I Male... 1 Female. North Carolina Bureau op Vital Statistics 37 Continued a, S 2 38 Annual Repobt Nineteen Thirty-Six Table III — Cause of Death VII. Diseases of the Circulatory System: 90. Pericarditis. Acute endocorditis. Chronic endocarditis, valvular diseases. 93. Diseases of the myocardium- Diseases of the coronory arteries and angina pectoris. Other diseases of the heart. Aneurysm (except of the heart). 3,630 2,536 16 1,078 2,750 1,788 11 951 22 13 North Carolina Bureau of Vital Statistics Continued 1 40 Annual Report Nineteen Thirty-Six Table III— Cavse of Death 97. Arteriosclerosis (diseases of the coronary arteries excepted) Gangrene. Other diseases of the arteries. 100. Diseases of the veins (varices, hemorroids, phlebitis, etc.) 101. Diseases of the lymphatic system (Ijanphangitii etc.) 102. Idiopathic anomalies of the blood pressure. 103. Other diseases of the circulatory system. VIII. Diseases of the Respiratory System: Males W I Male.... 1 Female. I |Male.... ^Female. C |Male.... 1 Female. W I Male... 1 Female. I fMale... iFemale. C fMale.... [Female. W /Male... iFemale. Male- Female. W fMale... 1 Female. C JMale... [Female. Total... White... Indian. Colored. Total... White... Indian.. Colored. 1,997 1,175 9 813 1,046 11 556 North Carolina Bureau of Vital Statistics 41 Continued a, 3 "5 42 Annual Report Nineteen Thirty-Six Table III-Cause of Death 104. Diseases of the nasal fossae and annexa. 105. Diseases of the larynx. 106. Bronchitis. 107. Bronchopneumonia (including capillary bronchitis) _ Lobar pneumonia. 109. Pneumonia (unspecified). 110. Pleurisy. 111. Congestion, edema, embolism, hemorrhagic infarct, and thrombosis of the lungs W fMale... 1 Female. I JMale.... iFemale. C JMale..., \Female W /Male.... I (Male..-. iFemale. C fMale.... \Female. W JMale.... \Female. C iMale.... /Female. W fMale.... 1 Female.. I JMale.... 1 Female.. C fMale.... (Female.. W fMale.... 1 Female.. I JMale.... 1 Female.. C |Male.... 1 Female.. W (Male... iFemale. I JMale... iFemale. C JMale... \Female. W fMale..., iFemale. C JMale... \Female. W fMale.... iFemale. C JMale.... \Female.. W fMale.... iFemale.. C fMale.... (Female.. North Carolina Bureau of Vital Statistics 43 Continued 3 44 Annual Report Nineteen Thirty-Six Table III-Causb of Death 113. Pulmonary emphysema.. 114. Other diseases of the respiratory system. IX. Diseases of the Digestive System: Males 115. Diseases of the buccal cavity and annexa and of the pharynx and tonsils (including adenoid vegetation) 116. Diseases of the esophagus. 117. Ulcer of the stomach and duodenum. IIS. Other diseases of the stomach (cancer excepted). 119. Diarrhea and enteritis (under 2 years). 120. Diarrhea and enteritis (2 years and i 121. Appendicitis. NoKTH Carolina Bureau of Vital Statistics Continued OS U5 Annual Report Nineteen Thirty-Six Table III-Cause of Death North Carolina Bureau of Vital Statistic; 47 Continued o 48 Annual Report Nineteen Thirty-Six Table III-Cause op Death Acute nephritis (including under 10 years of agfi)-.- 1,026 847 3 7 543 469 North Carolina Bureau of Vital Statistics 49 Continued 1 i U3 50 Annual Report Nineteen Thirty-Six Table III-Cause of Death North Carolina Bureau of Vital Statistics 51 Continued 1 s 52 Annual Report Nineteen Thirty-Six Table III — Cause op Death North Carolina Bureau of Vital Statistics 53 Continued s 54 Annual Report Nineteen Thirty-Six Table III — Cause op Death North Carolina Bureau of Vital Statistics 55 Continued 56 Annual Report Nineteen Thirty-Six Table III— Cause of Death Suicide by solid or liquid poisons by absorption of corrosive substances 164. Suicide by poisonous gas. 165. Suicide by hanging or strangulation. 166. Suicide by drowning. 167. Suicide by firearms. 168. Suicide by cutting or piercing instruments. 169. Suicide by jumping from high places 171. Suicide by other means 173. Homicide by firearms. 174. Homicide by cutting or piercing instruments. W Female. C fMale... \ Female. W fMaIe..., lFemale. I JMale..., 1 Female. C fMale..., \ Female. W fMale.... 1 Female. I fMale... iFemale. C |Male... 1 Female. North Carolina Bureau of Vital Statistics 57 Continued 1 >< -S Annual Report Nineteen Thirty-Six North Cabolina Bureau of Vital Statistics 59 Continued i 60 Annual Report Nineteen Thirty-Six Table III— Cause of Death North Carolina Bureau of Vital Statistics 61 Continued 2 62 Annual Report Nineteen Thirty-Six Table III-Cause of Death 194. Other accidents. 195. Violent deaths of which the nature (accident, suicide, homicide) is unknown 198. Legal executions -. 201. Accidental traumatism in mines and quarries. 202. Accidents from agricultural machinery 203. Elevator accidents. 205. Other machinery accidents. 206. Railroad and automobile collisions. 207. Other railroad accidents. 208. Street car and automobile collisions. 209. Other street car accidents 210. Automobile accidents (primary) 211. Motor-cycle accidents. North Carolina Bureau of Vital Statistics 63 Continued 1 a, 3 64 Annual Report Nineteen Thirty-Six Table III-Cause of Death 212. Other land transportation accidents. 213. Water transportation accidents. 214. Air transportation accidents XVIII. Ill-Defined Causes of Death: Males 9. Sudden death. 200. Cause of death not specified or ill-defined. Total... White... Indian.. Colored Total... White... Indian.. Colored. W fMale... 1 Female. I [Male... 1 Female. C JMale... [Female. W fMale... 1 Female. I fMale... 1 Female. C |Male..., I Female. North Cakolina Bureau of Vital Statistics Continued 1 s Annual Report Nineteen Thikty-Six North Carolina Bureau of Vital Statistics 67 •^ 68 Annual Report Nineteen Thirty-Six «2i-iOCO(MCOW3C^O OCOOO»OCO(M<MOOiCOrH 00 >0 lO -< ->»< lO CO * o CO CO in oooo-<jiai«>«5cooooj05«-*iocqrtoooo(Meo CMoo^QOOOOOOasaicdoof-HodcDOdt^oif-* IJ North Carolina Bureau of Vital Statistics 00 70 Annual Report Nineteen Thikty-Six Table V — Deaths (Exclusive of Stillbirths) in Each County, by Cause of Cause of Death Entire State Place of death Place of Place of death Place of Place of death All causes—Total recorded... 1. Typhoid and paratyphoid fever. 2. Typhus fever Scarlet fever Whooping-cough Diphtheria Influenza ___ Tuberculosis of the respiratory system Other forms of tuberculosis.. Syphilis Malaria... Dysentery _ Acute poliomyelitis and polioencephalitis Epidemic cerebrospinal meningitis Other infectious and parasitic diseases Cancer and other malignant tumors Tumors, non-malignant or unspecified Chronic rheumatism and gout Diabetes mellitus Alcoholism (acute or chronic) Other general diseases and chronic poisonings Pellagra- Progressive locomotor ataxia and paresis Cerebral hemorrhage, cerebral embolism and thrombosis... Other diseases of the nervous system and organs of special sease Diseases of the heart Other diseases of the circulatory system Bronchitis Pneumonias Other diseases of the respiratory system (T. B. excepted). _ Diarrhea and enteritis (under 2 years) Diarrhea and enteritis (2 years and over) Appendicitis Cirrhosis of the liver Other diseases of the liver Other diseases of the digestive system Nephritis Other diseases of the genitourinary system Puerperal septicemia. Other diseases of pregnancy and puerperal state Diseases of skin, bones and organs of locomotion Congenital debility, malformation and early infancy Senility 40. Suicide (total) 41. Homicide (total) 42. Violent and accidental (suicide and homicide excepted). 43. Cause not specified or ill-defined 71 102 437 2,102 274 60 242 120 13,182 35 21 35 420 1,144 126 268 65 32 4 26 70 410 57 22 94 23 123 146 51 1,235 1,854 169 23 1,230 110 311 37 23 312 1,232 131 61 161 49 795 145 31 263 North Carolina Bureau op Vital Statistics 71 Death (Abridged International List) Also By Color of Decedent—1936 Alamance 72 Annual Report Nineteen Thirty-Six Table V- North Cakolina Bureau of Vital Statistics 73 Continued Ashe 74 Annual Report Nineteen Thirty-Six Table V- North Carolina Bxtreau of Vital Statistics 75 Continued Bladen 76 Annual Report Nineteen Thirty-Six Table V- North Carolina Bureau of Vital Statistics 77 Continued Cabarrus 78 Annual Report Nineteen Thirty-Six Table V— North Carolina Bureau of Vital Statistics 79 Continued CasweU 80 Annual Report Nineteen Thibty-Six Table V- North Carolina Bureau of Vital Statistics 81 Continued Chowan 82 Annual Report Nineteen Thirty-Six Table V- North Carolina Bureau of Vital Statistics 83 Continued Craven Annual Report Nineteen Thikty-Six Table V- North Carolina Bureau of Vital Statistics 85 Continued Davidson 86 Annual Report Nineteen Thibty-Six Table V- North Carolina Bureau of Vital Statistics 87 Continued Edgecombe Annual Report Nineteen Thirty-Six Table V— North Cakolina Bureau of Vital Statistics Continued Gates 1 Annual Report Nineteen Thirty-Six Table V— North Caeolina Bureau of Vital Statistics 91 Continued Guilford 92 Annual Report Ninetejen Thirty-Six Table V— North Carolina Bureau of Vital Statistics 93 Continued Annual Report Nineteen Thirty-Six Table V- North Caeolina Bureau of Vital Statistics 95 Continued Iredell Annual Report Nineteen Thirty-Six Table V- North Carolina Bureau of Vital Statistics 97 Continued Lee 98 Annual Report Nineteen Thirty-Six Table V- North Carolina Bxjeeau of Vital Statistics 99 Continued Macon 100 Annual Report Nineteen Thirty-Six Table V— North Carolina Bureau of Vital Statistics 101 Continued Mitchell Annual Report Nineteen Thirty-Six Table V- North Carolina Bureau of Vital Statistics 103 Continued New Hanover 104 Annual Report Nineteen Thirty-Six Table V- North Carolina Bureau of Vital Statistics 105 Continued Pamlico 106 Annual Report Nineteen Thiety-Six Table V— North Carolina Bureau of Vital Statistics 107 Person 108 Annual Report Nineteen Thirty-Six Table V- North Carolina Bureau of Vital Statistics 109 Continued Richmond 110 Annual Report Nineteen Thiety-Six Table V- North Carolina Bureau of Vital Statistics Continued Rutherford 112 Annual Report Nineteen Thirty-Six Continued Cause of Death Stanly Place of death Place of res. Place of death White White All causes—Total recorded __ Typhoid and paratyphoid fever. Typhus fever Measles Scarlet fever Whooping-cough Diphtheria Influenza Tuberculosis of the respiratory system Other forms of tuberculosis Syphilis Malaria Dysentery Acute poliomyelitis and polioencephalitis Epidemic cerebrospinal meningitis Other infectious and parasitic diseases Cancer and other malignant tumors Tumors, non-malignant or unspecified . Chronic rheumatism and gout Diabetes mellitus Alcoholism (acute or chronic) Other general diseases and chronic poisonings Pellagra Progressive locomotor ataxia and paresis Cerebral hemorrhage, cerebral embolism and thrombosis Other diseases of the nervous system and organs of special sense. Diseases of the heart Other diseases of the circulatory system __. Bronchitis _ Pneumonias _ Other diseases of the respiratory system (T. B. excepted) Diarrhea and enteritis (under 2 years) Diarrhea and enteritis (2 years and over) Appendicitis Cirrhosis of the liver Other diseases of the liver Other diseases of the digestive system Nephritis Other diseases of the genitourinary system Puerperal septicemia Other diseases of pregnancy and puerperal state Diseases of skin, bones and organs of locomotion Congenital debility, malformation and early infancy 39. Senility 40. 41. 42. 43. Suicide (total) Homicide (total) Violent and accidental (suicide and homicide excepted) Cause not specified or ill-defined North Carolina Bureau of Vital Statistics 113 Continued Stokes 114 Annual Report Nineteen Thirty-Six Table V- North Cakolina Bureau of Vital Statistics 115 Continued Tyrrell 116 Annual Report Nineteen Thibty-Six Table V-Cause of Death Place of death Place of death AU causes—Total recorded Typhoid and paratyphoid fever Typhus fever Smallpox -- Measles Scarlet fever Whooping-cough Diphtheria Influenza Tuberculosis of the respiratory system --. Other forms of tuberculosis. Syphilis Malaria Dysentery Acute poliomyelitis and polioencephalitis -- Epidemic cerebrospinal meningitis Other infectious and parasitic diseases Cancer and other malignant tumors. Tumors, non-malignant or unspecified _ Chronic rheumatism and gout Diabetes mellitus Alcoholism (acute or chronic) Other general diseases and chronic poisonings Pellagra Progressive locomotor ataxia and paresis Cerebral hemorrhage, cerebral embolism and thrombosis.- Other diseases of the nervous system and organs of special sense- Diseases of the heart Other diseases of the circulatory system Bronchitis Pneumonias --- Other diseases of the respiratory system (T. B. excepted) Diarrhea and enteritis (under 2 years) Diarrhea and enteritis (2 years and over) Appendicitis Cirrhosis of the liver Other diseases of the liver Other diseases of the digestive system Nephritis Other diseases of the genitourinary system Puerperal septicemia Other diseases of pregnancy and puerperal state Diseases of skin, bones and organs of locomotion Congenital debility, malformation and early infancy. Senihty - Suicide (total) Homicide (total) -- Violent and accidental (suicide and homicide excepted) Cause not specified or ill-defined. North Carolina Bureau of Vital Statistics 117 Warren 118 Annual Report Nineteen Thirty-Six Table V-Cause of Death Wayr Place of death Place of Place of death All causes—Total recorded.. Typhoid and paratyphoid fever Typhus fever Smallpox Measles Scarlet fever Whooping-cough Diphtheria Influenza Tuberculosis of the respiratory system Other forms of tuberculosis Syphilis Malaria Dysentery Acute poliomyelitis and polioencephalitis Epidemic cerebrospinal meningitis Other infectious and parasitic diseases Cancer and other malignant tumors Tumors, non-malignant or unspecified Chronic rheumatism and gout Diabetes mellitus Alcoholism (acute or chronic) Other general diseases and chronic poisonings Pellagra Progressive locomotor ataxia and paresis Cerebral hemorrhage, cerebral embolism and thrombosis Other diseases of the nervous system and organs of special sense- Diseases of the heart Other diseases of the circulatory system Bronchitis Pneumonias Other diseases of the respiratory system (T. B. excepted) Diarrhea and enteritis (under 2 years) Diarrhea and enteritis (2 years and over) Appendicitis Cirrhosis of the Uver Other diseases of the liver Other diseases of the digestive system Nephritis Other diseases of the genitourinary system Puerperal septicemia Other diseases of pregnancy and puerperal state Diseases of skin, bones and organs of locomotion Congenital debility, malformation and early infancy Senility Suicide (total) Homicide (total) Violent and accidental (suicide and homicide excepted) Cause not specified or ill-defined North Carolina Bureau of Vital Statistics 119 Continued Wilkes Annual Report Nineteen Thibty-Six Table VI — Deaths (Exclusive of Stillbirths) in Cities or Towns, by Cause Cause of Death Place of death Place of Place of death Place of Place of death All causes—Total recorded Typhoid and paratyphoid fever Typhus fever Smallpox Measles Scarlet fever Whooping-cough Diphtheria Influenza Tuberculosis of the respiratory system Other forms of tuberculosis Syphilis Malaria Dysentery Acute poliomyelitis and polioencephalitis Epidemic cerebrospinal meningitis _ Other infectious and parasitic diseases Cancer and other malignant tumors Tumors, non-malignant or unspecified Chronic rheumatism and gout Diabetes mellitus Alcoholism (acute or chronic) Other general diseases and chronic poisonings _ Pellagra _. Progressive locomotor ataxia and paresis Cerebral hemorrhage, cerebral embolism and thrombosis.. Other diseases of the nervous system and organs of special sense Diseases of the heart Other diseases of the circulatory system Bronchitis Pneumonias- _. Other diseases of the respiratory system (T. B. excepted). Diarrhea and enteritis (under 2 years) Diarrhea and enteritis (2 years and over) Appendicitis __ Cirrhosis of the liver Other diseases of the liver Other diseases of the digestive system Nephritis Other diseases of the genitourinary system Puerperal septicemia Other diseases of pregnancy and puerperal state _ Diseases of skin, bones and organs of locomotion Congenital debility, malformation and early infancy Senility Suicide (total) Homicide (total) Violent and accidental (suicide and homicide excepted)... Cause not specified or ill-defined 5,915 11 4,079 4 10 North Carolina Bureau of Vital Statistics 121 OF Death (Abridged International List) Also by Color of Decedent—1936 Asheville 122 Annual Report Nineteen Thirty-Six Table VI— North Carolina Bureau of Vital Statistics 123 Continued Elizabeth City Annual Report Nineteen Thikty-Six Table VI- North Carolina Bureau of Vital Statistics 125 Continued Greensboro 126 Annual Report Nineteen Thirty-Six Table VI- North Carolina Bureau of Vital Statistics 127 Rocky Mount 128 Annual Report Nineteen Thirty-Six Table VI- North Carolina Bureau of Vital Statistics 129 Continued Wilmington 130 Annual Report Nineteen Thirty-Six a 1 1 1 1 North Carolina Bureau of Vital Statistics 131 132 Annual Report Nineteen Thirty-Six 1 i 8 1 North Carolina Bureau of Vital Statistics 133 §3 ^ 134 Annual Report Nineteen Thirty-Six Table VIII — Deaths (Exclusive of Stillbirths) By Cause and Cause of Death North Carolina Bureau of Vital Statistics By Certain Subdivisions of the First Year of Life—1936 135 136 Annual Report Nineteen Thirty-Six Table IX — Deaths Under 1 Year of Age (Exclusive of Stillbirths) and Maternal Deaths in Each County With Rate Per 1,000 Live Births—1936 Infant Mortality Place of Death Place of Residence Maternal Mortality Place of Death Place of Residence 5,221 35 16 15 51 31 19 70 67 55 22 125 51.6 90.4 72.3 57.1 43.2 79.6 97.0 76.3 57.9 66.7 42.7 64.1 118.8 51.9 42.9 50.4 33.9 85.4 71.4 47.4 84.4 71.4 74.1 50.2 56.0 55.6 112.4 81.3 49.2 84.9 42.9 70.4 72.1 74.4 60.0 69.9 54.8 56.7 67.9 96.4 51.4 68.0 64.6 56.5 5,221 41 17 13 51 32 19 58 58 24 123 32 65 55 13 20 20 56 37 14 22 9 53.6 77.4 73.4 57.8 49.1 60.6 67.5 40.8 64.6 60.4 123.8 52.2 44.3 53.2 79.2 31.6 88.0 75.6 49.4 86.3 96.5 70.4 72.5 53.1 56.7 67.5 92.2 85.1 68.6 51.1 85.3 50.9 69.0 73.9 81.8 59.1 71.0 66.8 57.6 73.2 100.5 52.6 51.7 64.9 64.2 75.1 4.7 6.3 14.5 23.1 2.9 2.0 13.5 6.1 8.0 1.5 3.9 6.2 4.7 3.7 3.7 4.8 6.0 5.9 11.9 6.3 2.0 North Cakolixa Bureau of Vital Statistics 137 Table IX — Continued Infant Mortality Place of Death Jones Lee Lenoir.. Lincoln McDowell Macon Madison Martin Mecklenburg.. Mitchell Montgomery. _ Moore Nash New Hanover. Northampton. Onslow Orange Pamlico y^asquotank... Pender. Perquimans. . Person Pitt Polk Randolph Richmond Robeson Rockingham. Rowan Rutherford Sampson. Scotland Stanly Stokes Surry Swain Transylvania.. Tyrrell Union Vance Wake Warren Washington.. Watauga Wayne. Wilkes Wilson Yadkin Yancey 20 22 110 26 35 23 25 49 199 24 15 22 123 85 34 40 21 22 22 21 16 41 125 18 38 42 165 Place of Residence 57.9 122.5 47.6 64.5 51.1 45.5 57.1 48.9 43.9 55.9 83.0 58.7 65.5 51.0 78.0 65.9 90.5 90.5 49.0 57.4 79.7 71.5 63.7 37.5 54.7 82.0 46.8 51.3 71.9 32.4 51.4 97.2 64.4 68.3 85.7 84.1 103.1 42.5 72.4 56.7 106.1 54.9 29.6 Maternal Mortality 81.1 54.2 107.6 43.6 64.1 51.8 46.5 71.2 72.3 56.2 48.6 42.3 78.9 66.7 58.9 86.2 80.6 73.0 93.8 45.0 48.9 58.1 81.4 74.4 65.0 42.4 61.9 80.7 50.4 54.7 71.0 37.9 51.0 97.2 64.5 70.0 82.9 84.2 106.5 42.7 69.9 56.1 99.1 58.0 29.1 Place of Death Place of Residence 10.5 15.8 15.6 16.5 5.5 11.1 5.5 5.2 4.5 2.4 3.3 10.0 11.3 17.1 3.3 4.1 5.6 9.4 11.9 2.4 7.7 15.0 4.8 3.3 6.5 3.9 4.0 13.9 6.4 5.8 8.7 4.3 7.6 2.4 13.2 4.2 10.6 138 Annual Report Nineteen Thirty-Six Table X — Cases and Deaths from Special Diseases North Carolina Bureau of Vital Statistics Diseases By Month of Occurrence—1936 139 Mar. 140 Annual Report Nineteen Thirty-Six Table X-Diseases North Carolina Bureau of Vital Statistics Continued Apr. May June July Aug. Sept. Oct. Nov. Dec. 142 Annual Report Nineteen Thirty-Six Table XI — Cases From Thirty-Three of the County or City North Carolina Bureau of Vital Statistics Reportable Diseases by Counties—1936 143 3 "1 Annual Report Nineteen Thirty-Six Table XI-County or City North Carolina Bureau of Vital Statistics 145 Continued 1 146 Annual Report Nineteen Thirty-Six Table XII — Death Rates Per 100,000 Population from Ten Important Causes, for the State as a Whole, with Estimated Population for Each Year—1914-1936, Inclusive
Object Description
Description
Title | Annual report of the Bureau of Vital Statistics of the North Carolina State Board of Health |
Other Title | Biennial report of the Bureau of Vital Statistics of the North Carolina State Board of Health. |
Creator | North Carolina. |
Date | 1936 |
Subjects |
Diseases--Reporting--North Carolina North Carolina--Statistics, Vital--Periodicals Public health--North Carolina |
Place |
Raleigh, Wake County, North Carolina, United States North Carolina, United States |
Time Period |
(1929-1945) Depression and World War Two |
Description | Title varies slightly: Biennial report of the Bureau of Vital Statistics of the North Carolina State Board of Health, 1916-1917.; No reports issued for 1918-1919; reports for 1920-1921 published in The health bulletin / North Carolina State Board of Health. |
Publisher | Raleigh :The Bureau,1915-1949. |
Agency-Current | North Carolina Department of Health and Human Services |
Rights | State Document see http://digital.ncdcr.gov/u?/p249901coll22,63754 |
Physical Characteristics | 33 v. ;24 cm. |
Collection | Health Sciences Library. University of North Carolina at Chapel Hill |
Type | text |
Language |
English |
Format |
Annual reports Statistics Periodicals |
Digital Characteristics-A | 6607 KB; 166 p. |
Digital Collection |
Ensuring Democracy through Digital Access, a North Carolina LSTA-funded grant project North Carolina Digital State Documents Collection |
Digital Format | application/pdf |
Title Replaced By | North Carolina. State Board of Health..Annual report of communicable disease morbidity statistics of the North Carolina State Board of Health |
Audience | All |
Pres File Name-M | pubs_edp_annualreportvitalstatistics1936.pdf |
Pres Local File Path-M | \Preservation_content\StatePubs\pubs_edp\images_master\ |
Full Text |
of t|)C
OniDerisitp of BortI) Carolina
CoUecUon of iRortS CatoUniana
C(d\+.\
UNIVERSITY OF N.C. AT CHAPEL HILL
00017472478
This book may be kept out one month unless a recall
notice is sent to you. It must be brought to the North
Carolina Collection (in Wilson Library) for renewal.
ANNUAL REPORT
OF THE
BUREAU OF VITAL
STATISTICS
OF THE
NORTH CAROLINA
STATE BOARD OF HEALTH
1936
CARL V. REYNOLDS, M. D.
SECRETARY
AND STATE HEATH OFFICER
CONTENTS
Introduction - : - 7
GENERAL TABLES
Table I.—Total births and deaths (exclusive of stillbirths) with rate
per 1,000 population for the years 1914-1936, inclusive 14
Table XL—Births (exclusive of stillbirths) in each county, by color,
with rate per 1,000 population, per cent attended by physicians
and number illegitimate, 1936 15
Table II-A.—Births (exclusive of stillbirths) in each city of 10,000
population or over in 1930, by color, with rate per 1,000 popula-tion;
per cent attended by physicians and number illegitimate,
1936 19
Table III.—Deaths (exclusive of stillbirths) for the State as a whole
from each cause, by sex, color and age 1936 (includes all deaths
occurring in North Carolina and residents of North Carolina
who died in other states) 20
Table IV.—Deaths (exclusive of stillbirths) in each county, by color,
with rate per 1,000 population, 1936- 66
Table V.—Deaths (exclusive of stillbirths) in each county, by cause
of death (abridged international list) and by color of decedent,
1936 70
Table VI.—Deaths (exclusive of stillbirths) in cities or towns, by cause
of death (abridged international list) and by color of decedent,
1936 120
Table VII.—Death rates per 100,000 population (by place of death,
also by place of usual residence) in each county, from nine im-portant
causes, with estimated population, 1936 - 130
Table VIII.—Deaths (exclusive of stillbirths) by cause by certain sub-divisions
of the first year of life, 1936 134
Table IX.—Deaths under 1 year of age (exclusive of stillbirths), and
maternal deaths in each county with rates per 1,000 live births,
1936 136
Table X.—Cases and deaths from special diseases by month of occur-rence,
1936 138
Table XI.—Cases from 30 of the reportable diseases by counties, 1936 142
Table XII.—Death rates per 100,000 population from ten important
causes, for the State as a whole, with estimated population for
each year, 1914-1936 146
LETTER OF TRANSMITTAL
Raleigh, N. C, February 18, 1938.
To His Excellency, Clyde R. Hoey,
Governor of North Carolina,
Raleigh.
My dear Governor Hoey
I have the honor of transmitting the report for the Bureau
of Vital Statistics covering the calendar year 1936.
With assurance of my very best respect, I am
Sincerely,
CARL V. REYNOLDS, M.D.,
Secretary and State Health Officer.
ANNUAL REPORT OF THE BUREAU OF
VITAL STATISTICS
This annual report of the Bureau of Vital Statistics for the
twenty-first year of State registration presents tabulations of
births and deaths for the calendar year 1936. This report marks
the fourth year in which all births and deaths have been allocated
to residence so far as it was possible to ascertain the residence.
Births have been allocated to the legal residence of the mother
and deaths to the place of legal residence before death of the
deceased. In order to permit comparison with years before tabu-lations
by place of residence were begun, deaths and births have
been recorded by place of occurrence and by place of residence.
Although tabulation by residence corrects one, probably the
greatest, source of error in comparing the rates of different
localities there are other factors that must be taken into con-sideration.
For example, the rates given in this report are crude
rates in the calculation of which no allowance is made for the
differences in sex, age and color distribution of the population.
Furthermore, the degree of completeness of reporting may vary
in different localities and this should be taken into consideration
when comparing the rates of two areas.
Population
Population estimates for the State, and more especially for
its political sub-divisions, may vary widely from the true popula-tion
for no census has been taken since 1930. State rates are
based on the Census Bureau estimate of 3,457,000 population.
The Bureau of Vital Statistics has estimated that 2,441,000 are
white and 1,016,000 are colored. To arrive at an estimated
population for each county the increase computed for the State
as a whole was distributed among the counties in proportion to
the share which each county had in the increase between 1920
and 1930. No estimate was made for areas where the population
decreased between 1920 and 1930, the figures shown being those
of the 1930 Federal Census.
Natality
Live Births: The birth rate of 22.1 per 1,000 population
was the lowest rate ever recorded for North Carolina. In actual
numbers there were 3,275 fewer births than in 1935. This rep-
8 Annual Report Nineteen Thirty-Six
resents a decline in the rate from 23.3 per 1,000 population to
22.1. Of the 76,321 live births, 52,408 were white ; 23,218 negro
and 695 Indian which gives rates of 21.5 per 1,000 population
for white and 22.9 for negro. The birth rate ranged between 30
and 35 per 1,000 population from 1914 to 1924. From the latter
date the rate rapidly dropped to 24.7 in 1929 and since that time
there has been a slight tendency for it to decrease.
Stillbirths: In conformity with statistical practice, the still-births
were not included in the totals of either births or deaths,
but tabulated separately. There were 135 fewer stillbirths than
last year, but the rate of 40.9 per 1,000 live births is identical
with that for 1935. If they were classified as a single cause of
death, the rate based on 100,000 population would be greater
than that of tuberculosis and influenza combined. In every 100
deliveries there were approximately four stillbirths.
Mortality
In the compilation of mortality statistics the cause of death
as stated by the physician is used as the basis of classification
by causes. Since the accuracy of statistics can be no greater
than that of the material upon which they are based, it is desira-ble
that physicians give as accurate and complete a diagnosis of
the cause of death as possible. A specific cause, rather than a
general condition or symptom, is essential if the greatest ac-curacy
is to be expected. Failure to conform with this rule
necessitates that hundreds of certificates be queried yearly as to
cause of death in order to classify them correctly.
The health conditions in North Carolina for 1936 as indicated
by the death rate were, in general, not so favorable as for the
preceding year. There were more deaths recorded from all
causes combined, and consequently a higher death rate than for
1935. The 35,580 deaths, exclusive of stillbirths, represent an
annual death rate of 10.3 per 1,000 population. The mortality
rate for 1935 was 9.8; for 1934, .10.6; and for 1933, 9.3. Con-sidered
in terms of total deaths, the number reported for 1936
was 2,129 more than for 1935.
When the deaths from all causes are analyzed it is discovered
that the largest proportional increase occurred among the group
of degenerative diseases. This group—^heart diseases, chronic
nephritis, cerebral hemorrhage, cancer, diseases of the arteries,
diabetes, and angina pectoris—, seven in all, accounted for 14,925
deaths, or 42 per cent of the deaths from all causes. Of the
North Carolina Bureau of Vital Statistics S)
2,129 deaths over the 1935 total this group was responsible for
1,320, or 62 per cent of the increase. Therefore, the increase in
the number of deaths over 1935 is due in a larger measure to
the degenerative diseases than to infectious and contagious or
other causes.
Table 1. Deaths prom Degenerative Diseases
Number
Cause of Death 1935 1936
Heart Diseases 4,459 4,944
Cerebral Hemorrhage 2,909 3,250
Chronic Nethritis 2,954 3,190
Cancer 1,811 1,819
Angina Pectoris 758 835
Diseases of the Arteries 337 478
Diabetes 377 409
Total 13,605 14,925
The principal causes of death in 1936 in order of their rank
were diseases of the heart, nephritis, cerebral hemorrhage, the
pneumonias, accidents, congenital malformations and diseases of
early infancy, tuberculosis and cancer. The relative positions of
the various causes of death have changed within the past twenty
years. Tuberculosis ranking first in 1914 with a rate of 139
per 1000,000 population has decreased to seventh place in 1936
with a rate of 60.8.
Heart diseases rank first in 1936 in the list of causes of death.
In 1914 there were 1,780 deaths charged to this condition and
in 1935 diseases of the heart, including angina pectoris, account-ed
for 5,733 deaths. This represents a rate twice that of 1914.
Nephritis, second in importance, was seventh twenty years ago.
The death rate from pneumonias has changed little, but due to
the increase in deaths from other conditions, pneumonia has
dropped from second to fourth place. Diarrhea and enteritis, a
a major cause of death in 1914, is tenth in 1936. The rate has
fallen from 98.8 per 100,000 population in 1914 to 33.2 in 1936.
Modern sanitary measures have played a large part in reducing
the death rate from diarrhea among infants.
Typhoid Fever: Continuing the downward trend there was
a decrease in the number of deaths from typhoid fever. The 71
deaths from this cause were eleven fewer than for 1935, nine
10 Annual Report Nineteen Thirty-Six
fewer than for 1934, and 57 fewer than for 1933, with a conse-quent
lowering of the death rate from 2.4 per 100,000 popula-tion
in 1935 to 2.1 for the present year. The improvement in
this condition can be appreciated by comparing the rate of 35.8
in 1914, or a total of 839 deaths, to the present record low rate
of 2.4.
Smallpox: This is the fifth consecutive year that no deaths
were reported from smallpox. There were 19 cases reported to
the Division of Epidemiology. In 1935 there were 24 cases re-ported.
Diphtheria: The record for 1936 reveals an increase in
diphtheria deaths with a higher death rate than in 1935. There
were 190 deaths with a rate of 5.5 per 100,000 population com-pared
to 164 deaths with a rate of 4.8 for 1935. There was a
seventy per cent reduction in the mortality rate from this disease
between 1915 and 1931, but no significant change in the rate
since with the exception of the decrease shown in 1935 which is
partly lost for the present year. This failure to show continued
improvement is all the more striking since diphtheria is a disease
for which we have a highly efficacious protective vaccine. In
round numbers, five-sixths of the deaths from diphtheria occur
in children under five years of age. This indicates that vacci-nation
to be most profitable must be done long before the child
becomes of school age.
Influenza and Pneumonia: There were 3,239 deaths from
pneumonia and 1,163 deaths from influenza, making a total of
4,402 recorded for 1936. The deaths from these two conditions
give a rate of 127.3 per 100,000 population for 1936 as against a
rate of 113.0 for 1935. There were 130 more deaths from in-fluenza
during 1936 than for the previous year and 411 more
from the pneumonias.
Tuberculosis: The death rate from all forms of tuberculosis
was 60.8 in 1936 and 56.7 in 1935. This represents an increase
in actual numbers of 166. Tuberculosis ranked first among all
causes of death in 1914, but has fallen to seventh place in 1936.
In the past twenty years the mortality rate has declined by ap-proximately
65 per cent.
Of the 2,102 deaths from all forms of tuberculosis, 51 per
cent were males and 49 per cent females ; 44 per cent were white
and 56 per cent negro. The colored rate of 110.5 for tubercu-losis
is almost three times the white rate of 35.5.
North Carolina Bureau of Vital Statistics 11
Cancer: Cancer accounted for 1,819 deaths in 1936 giving
a rate of 51.6 against a rate of 52.1 for 1935 and 54.0 for 1934.
While the trend of cancer mortality has been steadily upward
in the past, we have at least held our own for the past four years
and it is not unreasonable to hope for the prevention of an in-crease.
Pellagra: The mortality from pellagra continued the down-ward
trend begun in 1931, but interrupted by an increase for
1934. The rate for 1936 was 10.3 per 100,000 population. This
was lower than the 11.4 for 1935 and 13.2 for 1934. The peak
year for pellagra deaths was 1930 when 1,015 were charged to
this disease.
Suicides and Homicides: There were 302 suicides compared
to 276 for 1935. This accounted for an increase in the rate from
8.1 per 100,000 population to 8.7. There were 3 more homicidal
deaths in 1936 than in 1935, the totals being 402 and 399
respectively.
Accidental Causes: Violent and accidental deaths, exclusive
of suicides and homicides, increased from 2,385 in 1935 to 2,519
in 1936 placing violent and accidental deaths fifth among the
principal causes of death. Automobile accidents accounted for
the greatest number of accidental deaths. There were 1,006
deaths from all types of automobile accidents in 1936 and 1,058
in 1935. There were 109 railroad accidents in 1936 and 105 in
1935, exclusive of collisions with automobiles.
Maternal Mortality: The diseases of pregnancy, childbirth
and the puerperal state continued to exact a large number of
lives. Deaths from maternal causes and the maternal mortality
rates per 1,000 live births for the past eight years are shown
in Table 2. There was a decrease of 22 maternal deaths from
the 1935 figures in approximately 3,000 fewer births, which
gives the same maternal mortality rate. There were 532 ma-ternal
deaths in 1936 to 554 in 1935 giving a rate of 7.0 per 1,000
live births for each year. This is in excess of the rate of ap-proximately
6.5 for the United States Registration Area. There
were 309 white, 222 negro and 1 Indian puerperal deaths, ac-counting
for a death rate of 5.9 per 1,000 live births for the
white and 9.6 for the colored.
12 Annual Report Nineteen Thirty-Six
Table 2.
—
Total Maternal Deaths and Rates,
1929-1936.
Year No. of Deaths Rate
1929 684 8.8
1930 645 8.4
1931 640 8.5
1932 555 7.1
1933 535 7.1
1934 605 7.6
1935 554 7.0
1936 532 7.0
Albuminuria and eclampsia, as in previous years, accounted
for more of the puerperal deaths than any other single cause.
The second and third greatest offenders were puerperal septi-cemia
and puerperal hemorrhage, respectively. Albuminuria
and eclampsia with other toxemias of pregnancy account for
187 maternal deaths, which is 35 per cent of all maternal deaths.
Infant Mortality: The total number of deaths under one
year of age was 5,221 or 188 fewer than occurred in 1935. The
rate for 1936 was 68.4 per 1,000 live births and 67.9 in 1935.
Of the total deaths 3,123 were white and 2,069 negro. This
gave a rate of 59.6 for the white and 89.1 for the negro. The
number of deaths of infants under one year of age and the
infant mortality rates per 1,000 live births for the past nine
years are shown in Table 3.
Table 3.
—
Total Infant Deaths and Rates,
1928-1936.
Year No. of Deaths Rate
1928 6,929 85.6
1929 6,112 79.2
1930 6,021 78.4
1931 5,459 73.0
1932 5,173 66.4
1933 4,974 66.0
1934 6,196 77.9
1935 5,407 67.9
1936 5,221 68.4
Five principal causes of infant mortality accounted for 68
per cent of all infant deaths. These causes with the number of
infant deaths charged to each were as follows:
North Cakolixa Bureau of Vital Statistics 13
Premature birth 1,4'72
Diarrhea and enteritis 676
Pneumonias 605
Sudden death (cause not specified) 507
Congenital debility 302
Total 3,562
Of the 5,221 deaths of infants under one year of age, 1,241
or 24 per cent died during the first day of life and 2,141 or 41
per cent within the first week.
Registration
Every birth and death occurring in North Carolina should
be recorded with the Bureau of Vital Statistics. To the indi-vidual
the registration of a birth occurring in North Carolina
makes it possible always to obtain an official record of the facts
surrounding his advent into life. The purposes for which certi-fied
copies of birth certificates are requested indicate that their
value is becoming more generally realized from year to year.
Likewise, the demand for death certificates show that this vital
record is essential in upholding the right of citizens in the estab-lishment
of necessary facts in the closing event of life.
Vital Statistics are of inestimable value to the public health
workers, but without complete registration full reliance cannot
be placed on the data. For health organizations accurate certifi-cates
are essential if our true problems are to be known, if our
programs are to be intelligently planned and we are to ascertain
their effectiveness and if errors in our work are to be detected.
It is, therefore, important that every effort be made to promote
the completeness of our birth and death records.
14 Annual Report Nineteen Thirty-Six
Table I
—
Total Births and Deaths (Exclusive of Stillbirths) With Rate
Pee 1,000 Population for the Years 1914-1936 Inclusive
1914
1915
1916
1917.
1918.
1919.
1920.
1921.
1922.
1923.
1924.
1925.
1926.
1927.
1928.
1929.
1930.
1931.
1932.
1933.
1934.
1935.
*71,931
•79,409
76,658
76,539
76, 175
69,791
81,407
87,456
81,673
84. 190
87,023
83,700
82,459
83,330
80,887
77, 164
76,717
74,743
77,880
75,322
79,556
79,596
76,321
31.2
33.4
31.9
31.8
30.8
29.3
31.8
33.4
30.8
31.3
31.9
29.7
28.8
28.7
27.5
24.7
24.1
23.2
24.0
23.0
24.1
23.3
22.1
29,044
31,324
31,372
42,411
30,114
32,336
29,010
30,660
32,396
33,234
32,524
34,608
32,911
36,133
36,894
35, 739
33,069
31,000
30.496
35,112
33,451
35,580
12.4
13.2
13.0
14.1
17.6
12.4
12.6
11.0
11.5
12.0
12.2
11.5
12.1
11.3
12.3
12.4
11.2
10.2
9.6
9.3
10.6
9.8
10.3
Stillbirths included in births 1914 and 1915.
North Carolina Bureau of Vital Statistics 15
16 Annual Report Nineteen Thirty-Six
O CO »0 t-» Oi OO
-^P i-H I fe Sj O S? S
SS§SS3 ec»0'^oo»-iooco*H
«» O « Ttl « CO -w
Ot^^Oi-<*- |
OCLC number | 5107459 |