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C 614.1
N©'7v
of tlje
Oniiietisitp of JBortf) Carolina
Collection of il2ort5 Catoliniana
M«Vv
1953
00032761850
This hook must not
he talc en from the
Lihrary huildin^.
LUNC-15M N.36
OP-13370
ANNUAL REPORT
OF THE
BUREAU OF VITAL
STATISTICS
OF THE
NORTH CAROLINA
STATE BOARD OF HEALTH
1933
CARL V. REYNOLDS, M. D.
SECRETARY
AND STATE HEALTH OFFICER
CONTENTS
Page
Introduction 7
GENERAL TABLES
Table I.—Total births and deaths (exclusive of stillbirths) with rate
per 1,000 population for the years 1914-1933 inclusive 16
Table II.—Births (exclusive of stillbirths) in each county, by color, vpith
rate per 1.000 population, per cent attended by physicians and num-ber
illegitimate, 1933 17
Table II-A—Births (exclusive of stillbirths) in each city of 10,000 popu-lation
or over in 1980, by color, with rate per 1,000 population
;
per cent attended by physicians and number illegitimate, 1933 21
Table III.—Deaths (exclusive of stillbirths) for the State as a whole
from each cause, by sex, color and age 1933 (includes all deaths
occurring in North Carolina and residents of North Carolina who
died in other states) 22
Table IV.—Deaths (exclusive of stillbirths) in each county, by color,
with rate per 1,000 population, 1933 ,- 68
Table V.—Deaths (exclusive of stillbirths) in each county, by cause of
death (abridged international list) and by color of decedent. 1933 72
Table VI.—Deaths (exclusive of stillbirths) in cities or towns, by cause
of death (abridged international list) and by color of decedent, 1933 122
Table VII.—Death rates per 100,000 population (by place of death, also
by place of usual residence) in each county, from nine imix>rtant
causes, with estimated population, 1933 132
Table VIII.—Deaths (exclusive of stillbirths) by cause by certain sub-divisions
of the first year of life, 1933 136
Table IX.—Deaths under 1 year of age (exclusive of stillbirths), and
maternal deaths in each county with rates per 1,000 live births, 1933 138
Table X.—Cases and deaths from special diseases by month of occur-rence,
1933 140
Table XI.—Cases from 30 of the reportable diseases by counties, 1933 144
Table XII.—Death rates per 100.000 population from ten imiwrtant
causes, for the State as a whole, with estimated population for
each year, 1914-1933 148
t
a
LETTER OF TRANSMITTAL
Raleigh, N. C, March 27, 1935.
To His Excellency, J. C. B. Ehringhaus,
Goi^ernor of North Carolina,
Raleigh.
My deae Governor Ehringhaus :
I have the honor of transmitting the report for the Bureau of Vital
Statistics covering the calendar year, 1933.
With assurance of my very great respect, I am
Very sincerely,
Carl V. Reynolds, M.D.,
r/e Secretary and State Health Officer.
INTRODUCTION
The annual report of the Bureau of Vital Statistics presents a tabu-lation
of the births and deaths occurring in North Carolina as recorded
with the State Board of Health. State-wide registration was begun in
1914, and the first report related to that year. Eeports have been pub-lished
for every year since, with the exception of 1918 and 1919.
This data is of inestimable value to the public health worker. It is
useful in outlining future policies and practices and in calculating the
results of past endeavors. To the individual the registration of a birth
occurring in North Carolina makes it possible always to obtain an offi-cial
record of the facts surrounding his advent into life. The purposes
for which certified 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 shoAvs that this vital record
is essential in upholding the right of citizens in the establishment of
necessary facts in the closing event of life.
In the 1933 Annual Report of the Bureau of Vital Statistics the
Abridged International List of Causes of Death has been used in tabu-lating
deaths by counties and cities. This is the same plan that was
followed for 1931 and 1932. Information for the State as a whole has
been tabulated according to the detailed International List of Causes of
Death. Deaths have been allocated to the place of legal residence of the
deceased before death. Prior to 1932, deaths had been recorded by
place of occurrence only. This gives a distorted rate for those counties
that have medical centers within their borders and for the counties from
which the patients are drawn. Deaths by counties and cities are tabu-lated
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 consideration. The rates are crude
rates, in the calculation of which no allowance is made for the differ-ence
in the sex, age, and color distribution of the population. For the
State as a whole, 90 per cent of the deaths are believed to be reported.
For any single area, the percentage may be above or below that figure^
and this degree of completeness of reported deaths should be borne in
mind when comparing two areas.
Population
The total population of North Carolina in 1930 was 3,170,276, a gain
in ten years of 611,153 or 23.9 per cent. This was the largest addition
on record. There was an increase of 352,836 between 1910 and 1920,
8 Annual Report, Nineteen Thirty-Three
and an increase of 312,477 for the period 1900-1910. It is not reason-able
to predict as great a growth between 1930 and 1940 as occurred in
the last decade.
Population is based upon three factors—births, deaths, and migra-tion.
All are important not OJily in themselves, but in relation to each
other. The excess of births over deaths, or the natural increase, has
varied at times rather widely, but for the past five years, with the ex-ception
of the present year, it shows that the source of future population
is increasing. Between the census of 1920 and 1930 the State gained
611,153 persons, but the natural increase for the decade was 498,583.
This means that JSTorth Carolina gained approximately 113,000 by
immigration.
Of the total population in 1930, 809,847 or 25.5 per cent were con-sidered
urban. This included all incorporated places of 2,500 inhabi-tants
or more. In 1920 there were fourteen cities over 10,000 popula-tion.
By 1930 there were 21 in this group. The gain in these cities
accounted for 71.3 per cent of the actual urban gain. In 1920 there
was not a single city with a population as great as 50,000. By 1930
there were five cities—Asheville, Charlotte, Durham, Greensboro, and
Winston-Salem—with a population greater than 50,000. The gain in
these cities accounted for 46.6 per cent of the actual urban gain.
The mid-year population of the State in 1933, as estimated by the
Bureau of the Census, was 3,275,000. The estimate for 1932 was
3,244,000. This represents an annual increase of 31,000 over 1932.
Incidently, the natural increase in population in 1933 was 45,019, or
a loss to the State by emigration of approximately 14,000 persons. Of
the total number of ]^orth Carolina's inhabitants, 70.5 per cent
(2,310,000) are white, 29.0 per cent (965,000) N'egro, and 0.5 per cent
"other races," the majority of which are Indians. Approximately 0.3
per cent are foreign-born.
Natality
Live Births: During 1933 there were 75,322 live births recorded with
the Bureau of Vital Statistics, 2,558 fewer than for 1932. Tl^is is
equivalent to a rate of 23.0 per 1,000 population, a decrease of 1.0 from
the rate of 24.0 for 1932, and lowest ever recorded. Of the 75,322 live
births, 51,490 were white, 23,265 ISTegro, and 567 Indian, which gave a
birth rate of 22.3 per 1,000 population for white, 24.5 for Negro, and
35.4 for Indian. For the first fifteen years of State registration, the
birth rate ranged between a high of 33.4 in 1915 and a low of 27.5 for
1928. There has been a gradual decline in the birth rate since 1921.
North Carolina Bureau of Vital Statistics 9
CHAET 1. Birth and Death Rates per 1,000 Population for
XoRTH Carolina: 1914-1932, Inclusive.
^Q
\,^^^---^^^^^^"""'^N
o. —
^
I
1
I
I I '
I
' '
I I I I
19/
Q
I9Z^ /9Z6 1930 /9SJ
y£AR
Sti'llhirtlis: In conformity with statistical practice, the stillbirths
were not included in the totals of either births or deaths. Parallel to
the decrease in the number of births, there were 521 fewer stillbirths
than last year. The 3,122 stillbirths represents a rate of 41.4 per 1,000
live births. If they were classified as a single cause of death, the rate
based on a 100,000 population would be a little more than that of tuber-culosis
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 it is based, it is desirable that physicians give as accurate
and complete a diagnosis of cause of death as possible. A specific
cause, rather than a general condition or symptom is essential if the
greatest accuracy is to be expected. Hundreds of certificates are queried
as to cause of death yearly in order to classify them correctly. We are
duly appreciative of the prompt and courteous replies given by most
10 Annual Repokt, ^Nineteen Thirty-Thkee
physicians when asked to gi^^e a more specific statement as to cause of
death. Occasionally a certificate is queried that should not have been,
but this can hardly be prevented considering that the clerks do not have
the advantage of medical training and must follow more closely a rule
of thumb.
Health conditions during 1933, as indicated by the death rate, were
generally favorable throughout North Carolina. There were fewer
deaths in the State from all causes in proportion to the total population
at all ages than in any year since the beginning of State registration
in 1914. The 30,496 deaths, exclusive of 3,122 stillbirths reported for
1933, represents an annual death rate of 9.3 per 1,000 population. "When
the number of deaths of residents of other states (367) are excluded
and the residents of North Carolina (89) who died elsewhere are added,
the total number of resident deaths is 30,118. The mortality rate for
1932 was 9.6; for 1931, 10.2; for 1930, 11.2; and for 1929, 12.4. (See
Chart 1.) Considered in terms of total deaths, the deaths reported for
1933 were 504 fewer than for 1932, and 2,573 fewer than in 1931.
The principal causes of death in 1933 in order of their importance
were heart disease, nephritis, congenital malformations and diseases of
early infancy, cerebral hemorrhage, tuberculosis, the pneumonias, all
accidents and cancer. These eight causes make up approximately 68
per cent of the 30,496 deaths recorded. The hazards to life and health
in North Carolina have undergone a noticeable change since 1914, the
first year of registration. For the most part, there has been improve-ment,
but in some instances the change has been for the worse. The
declines in death rates from specific causes have been gradual and, there-fore,
not very outstanding from one year to the next. But when the last
twenty years are considered a great gain is evident.
North Cakolina BtrREAr or Vital Statistics 11
CHART 2. Leading Causes of Death in North Carolina, 1914
AND 1932.
LEADING CAUSES OF DEATH
Ranlf Cause of Death ^
1 Z)/seas€S ofi/ie hee>rt
2 Nephrilis
3 Cong, mslf'if- eirly irffincy
4 Cerebral hemorrhage
5 Tuberculosis (<3ll formi)
UP»eumor,h (all forms)
12 Annual Report, Nineteen Thirty-Three
Diarrhea and enteritis, a major cause of death in 1914, does not
appear among the six leaders in 1933. The rate has fallen from 98.8
per 100,000 population in 1914 to 32.8 in 1933. Modern sanitary meas-ures
have played a large part in reducing the death rate from diarrhea
among infants.
CHART 3. Death Rates per 100,000 Population for Specified
Causes in INTorth Carolina on Arithlog-grid : 1914-1933.
Yeir: 13JS f925 1933
The decreases in the death rates from typhoid fever, diarrhea and
enteritis, diphtheria and tuberculosis are shown in Chart 3. The rates
are charted on semi-logarithmic grid in order to avoid error in making
direct comparisons of rates between the various causes. The inclina-tion
of the lines indicate the proportionate change in each instance. It
is readily discernible that typhoid fever had the greatest improvement
North Carolina Bi-reav of Vital Statistics 13
in mortality, diphtheria second, diarrhea and enteritis third, and tuber-culosis
fourth. While the trend throughout the entire period has been
downward for all four causes, the mortality from tuberculosis has shown
less fluctuations from year to year. Diphtheria has had two well defined
rises during this period. It is further shown that the rates for diph-theria
and for diarrhea and enteritis are higher for 1933 than they were
for 1932.
Typhoid Fever: There was a noticeable decrease in the number of
deaths from typhoid fever. The 128 deaths from this cause were thirty
fewer than the 158 for 1932, with a consequent lowering of the death
rate from 4.9 per 100,000 population to 3.9. Of these deaths 15 occurred
in June, 28 in July, 22 in August, and 17 in September. There has
been a great improvement in this condition since 1914 with its rate of
35.8 for every 100,000 population, or a total of 839 deaths, to the
present rate of 3.9. For three years prior to 1933 the rate remained
practically stationary, but for the present year a favorable decrease
has been manifested.
Smallpox: This is the second consecutive year that no deaths were
reported from smallpox. There were 35 cases reported to the Division
of Epidemiology. In 1932 there were 72 cases reported with no deaths.
Diph therm: The records concerning diphtheria do not show so favor-ably.
There were 218 deaths with a rate of 6.7 per 100,000 population
compared to 165 deaths with a rate of 5.1 for 1932. There has been a
70 per cent reduction in the mortality rate from this disease since 1915.
The rate for 1933 is only slightly over half of what the rate was five
years ago. Diphtheria is a disease for which we have a specific pro-tective
vaccination and is, therefore, a disease against Avhich public
health activities can be very effective. In round numbers, five-sixths
of the deaths from diphtheria occur in children under five years of age.
This indicates that vaccination to be most profitable must be done early
in infancy.
Influenza and Pneumonia: There were 2,072 deaths from pneu-monia,
and 997 deaths from influenza, making a total of 3,169 recorded
for 1933. The deaths from these two combined gave a rate of 96.8 per
100,000 population for 1933, as against a rate of 102.5 for 1932.
Tuberculosis : The death rate from all forms of tuberculosis was 64.4
in 1933 and 68.1 in 1932. In the past 20 years the mortality rate has
declined by more than 50 per cent. Tuberculosis ranked first among
the causes of death in 1914. Since then it has fallen to the record low
rate for 1933, and to fifth place in the causes of death.
14 Annual Report, Nineteen Thirty-Three
Of the 2,110 deaths 47.5 per cent were males and 52.5 per cent
females, 42.6 per cent were white, 57.0 per cent Negroes, and 0.4 per
cent Indian. The colored rate of 125.3 for tuberculosis is more than
three times the white rate of 39.0.
Cancer: Cancer accounted for 1,738 deaths in 1933, giving a rate of
53.1 against a rate of 51.7 for 1932 and 48.2 for 1931. While the trend
of cancer mortality has been steadily upward, it is not unreasonable to
hope for at least a retarding in the increase. Early diagnosis offers a
genuine opportunity for a cure. If the public can be convinced of this
fact, the ascending rate will be checked.
Pellagra: The deaths from pellagra continued to decline for 1933.
There were approximately one hundred fewer deaths in 1933 than the
number recorded for 1932, reducing the rate from 14.6 to 11.4 per
100,000 population. The 374 deaths in 1933 were only a few more than
one-third of the 1015 for 1930, the peak year for pellagra deaths.
Suicides and Homicides: The deaths from suicides decreased and
those from homicides increased for 1933, the total showing 28 more
than for 1932. There were 268 suicidal and 440 homicidal deaths.
Accidental Causes: Automobile accidents accounted for the greatest
number of accidental deaths in 1933. There were 203 more deaths from
all types of automobile accidents than for the preceding year. There
were 807 in 1933 and 604 in 1932. Deaths from railroad accidents,
exclusive of collision with automobiles, decreased from 134 in 1932 to
106 in 1933.
Maternal Mortality: The diseases of pregnancy, childbirth and the
puerperal state continued to make the creation of new life hazardous
in North Carolina. There was a decrease in the number of puerperal
deaths, but the ratio to the number of live births remained about the
same since parallel to the decrease in deaths there were fewer births.
There were 535 maternal deaths in 1933 to 560 in 1932, giving a rate
of 7.1 per 1,000 live births for the former year and 7.2 for the latter.
This is in excess of the rate of approximately 6.5 for the United States
Registration Area. There were 319 white, 2 Indian, and 214 Negro
puerperal deaths, accounting for a death rate of 6.2 per 1,000 live
births for the white and 9.3 for the Negro. The rate for the white is
higher than it was for 1932, while the colored rate has fallen from 10.3.
The annual rates for the past five years are 6.6 for the white, and 11.4
for the colored. Albuminuria and exlampsia accounted for more of
the puerperal deaths than any other single cause, xlpproximately a
third of the deaths were due to this cause. The second and third greatest
offenders were puerperal septicemia and other accidents of childbirth,
North Carolina Bureau of Vital Statistics 15
respectively. Eighty-nine maternal deaths were chargeable to puerperal
septicemia and 64 to other accidents of childbirth.
Infant Mortality: The total number of deaths under one year of age
was 4,974. This is 197 fewer than for 1932, but because of the fewer
number of births in 1933 the rate remained practically stationary. The
rate for 1933 was 66,0 per 1,000 live births and 66,4 for 1932. Of the
total deaths 2,824 were white and 2,151 colored. This gave a white
rate of 54.8 and a colored rate of 90.2,
Of the total number of deaths under one year of age, 1,253 occurred
under one day of age, and almost half in the first two weeks. Over
fifty per cent are caused by the group known as "diseases of early in-fancy,"
Mortality from this group of causes, to which fall victims
mainly infants under one month old, has changed but slightly or has
actually increased. Deaths from these causes must be lowered if the
present death rate of infants is to be improved. The progress made in
saving young lives has been due primarily to the reduction in the num-ber
of deaths from infectious and gastrointestinal diseases. Diarrhea
and enteritis as a cause of infant mortality has been reduced materially.
Every birth and death occurring in North Carolina should be re-corded
with the Bureau of Vital Statistics. Birth and death records
have a wide variety of uses Avhich are of great importance to individuals.
Vital statistics are of practical value to every citizen of the State. For
health organizations, accurate certificates are essential if our true prob-lems
are to be known, if our programs are to be intelligently planned,
if we are to ascertain the eftectiveness of the procedure, and if errors
in our work are to be detected. Incomplete or incorrect records may
lead to costly mistakes. It is, therefore, incumbent upon every citizen
of jSTorth Carolina to do whatever possible to promote the completeness
of our birth and death records.
16 Annual Report, JSTineteen Thirty-Three
TABLE I-TOTAL BIRTHS AND DEATHS (EXCLUSIVE OF STILLBIRTHS) WITH RATE
PER 1000 POPULATION FOR THE YEARS 1914-1933 INCLUSIVE
Year
XoRTH Carolina Bureau of Vital Statistics IT
I K
18 Annual Report, I^ineteen Thirty-Three
North Carolina Bureau of Vital Statistics 19
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Annual Report, ISTineteen Thirty-Three
North Carolina Bureau of Vital Statistics 21
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22 Annual Repobt, Nineteen Thirty-Thkee
TABLE III—DEATHS (EXCLUSIVE OF STILLBIRTHS) FOR THE STATE AS A WHOLE
RING IN NORTH CAROLINA AND RESIDENTS OF
Cause of Death
ISToRTH Carolina Bureau of Vital Statistics 23
FROM EACH CAUSE, BY SEX, COLOR AND AGE—1933 (INCLUDES ALL DEATHS OCCUR-NORTH
CAROLINA WHO DIED IN OTHER STATES)
£
2
3
24 Annual Report, N^ineteen Thirty-Three
Cause of Death
North Carolina Bureau of Vital Statistics 25
2
S
26 Annual Report, Nineteen Thirty-Thkee
TABLE III—
Cause of Death
NOETH CaEOLINA BuREAU OF VlTAL STATISTICS 27
i
>>
i
2
28 Annual Report, Nineteen Thirty-Three
Cause of Death
XoRTH Carolina Bureau of Vital Statistics 29
£
2
22
30 Annual Report, ISTineteen Thirty-Three
TABLE Ill-
Cause of Death
II. Cancers and Other Tumors:
Males
Females .-
45. Cancer and other malignant tumors of the
buccal cavity and pharynx
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 genital organs
50. Cancer and other malignant tumors of the
breast
5L Cancer and other malignant tumors of the
male genitourinary organs
52. Cancer and other malignant tumors of the
skin
53. Cancer and other malignant tumors of other
or unspecified organs
W fMale....
1 Female.
I fMale....
1 Female.
CUIale....
1 Female.
North Carolina Bureau of Vital Statistics 31
2
o
32 Annual Keport, J^ineteen Thirty-Three
Cause of Death
North Carolina Bureau of Vital Statistics 33
E
34 Annual Report, Nineteen Thirty-Three
Cause of Death
North Carolina Bureau of Vital Statistics 35
>•
s
36 Annual Report, Nineteen Thirty-Three
TABLE III—
Cause of Death
North Carolina Bureau of Vital Statistics 37
1
><
-
c
38 Annual Report, Nineteen Thikty-Three
Cause of Death
i^oRTH Carolina Bureau of Vitax, Statistics 39
1
><
40 Annual Report, Nineteen Thirty-Theee
Cause of Death
Diseases of the organs of vision. C Male.
Diseases of the ear and of the mastoid process
VII. Diseases of the Circulatory System:
90. Pericarditis.
91. Acute endocarditis
.
Chronic endocarditis, valvular diseases
.
of the myocardium
.
W /Male
Female..
-
Male
Female...
Male
Female...
Total...
White..
-
Indian..
Colored.
Total...
White...
Indian ..
Colored.
W fMale....
1 Female.
CUIale....
\Female.
W [Male....
1 Female.
I |Male....
1 Female.
C /Male....
\Female.
W /Male....
1 Female.
I /Male....
1 Female.
C /Male....
\Female.
W fMale....
^Female.
I /Male....
^Female.
C /Male....
1 Female.
94. Diseases of the coronary arteries and angina
pectoris —
W /Male....
1 Female.
I /Male....
/Female.
C/Male....
/Female.
North Carolina Bureau of Vital Statistics 41
><
42 Annual Report, ^Nineteen Thirty-Three
Cause of Death
95. Other diseases of the heart.
96. Aneurysm (except of the heart).
97. Arteriosclerosis (diseases of the coronary
teries excepted)
Other diseases of the arteries.
100. Diseases of the veins (varices, hemorrhoids,
phlebitis , etc. )
W IMale_...
\FemaIe.
I JMale....
1 Female.
C|Male_...
\ Female.
101. Diseases of the lymphatic system (lymphan-gitis)
--
102. Idiopathic anomalies of the blood-pressure.
Other diseases of the circulatory system
VIII. Diseases of the Respiratory Sy.-tem
Males -
jSTorth Carolina Bureau of Vital Statistics 43
2
2
B
44 Annual Report. N^ineteen Thirty-Three
TABLE III-
North Cabolina Bureau of Vital Statistics 45
E
>
SB
46 Annual Eeport, Nineteen Thirty-Thkee
Cause of Death
112. Asthma.
113. Pleurisy emphysema
.
W (Male....
IPemale.
\Female.
C Male....
114. Other diseases of the respiratory system
(tuberculosis excepted)
W fMale....
\Female-
C (Male...
1 Female.
IX. Diseases of the Digestive System:
Males - -
115. Diseases of the buccal cavity and annexa
and of the pharynx and tonsils (including
adenoid vegetations) -
U6. Diseases of the esophagus.
117. Ulcer of the stomach and duodenum.
Other diseases of the stomach (cancer ex-
119. Diarrhea and enteritis (under 2 years)
.
1,310
862
12
436
1,111
665
10
436
59
70
1
33
22
1
2
1
XORTH CaROLIKA BuREAU OF VlTAL STATISTICS 47
1
o
48 Annual Repokt, Nineteen Thirty-Three
Cause of Death
120. Diarrhea and enteritis (2 years and over).
121. Appendicitis.
122. Hernia, intestinal obstruction.
123. Other diseases of the intestines.
124. Cirrhosis of the liver.
125. Other diseases of the liver (including yellow
atrophy of the liver).
126. Biliary calculi.
127. Other diseases of the gall-bladder and biliary
passages
128. Diseases of thie pancreas
.
129. Peritonitis, cause not specified .
North Carolina Bureau of Vital Statistics 49
1
o
50 Annual Eeport, Nineteen Thirty-Three
TABLE Ill-
Cause of Death
132. Nephritis, unspecified (10 years and over).
133. Other diseases of the kidneys and ureters
(puerperal diseases excepted) ---
134. Calculi of the urinary passages -.-
135. Diseases of the bladder...
136. Diseases of the urethra, urinary abscess, etc.
137. Diseases of the prostate.
Total...
White...
Indian..
Colored.
Total...
White...
Indian..
Colored.
W J Male....
1 Female.
C |Male....
Jj \Female.
W (Male....
IPemale.
I |Male_...
1 Female.
C fMale....
\Female.
W /Male....
!
Female.
Male...
Female.
Male
.
Male.
W I Male....
Female.
Male....
Female.
Male....
Female.
1,793
1,225
5
563
1,502
972
5
525
56
41
64
53
i^oRTH Carolina Bureau of Vital Statistics 51
><
52 Annual Report, !N^ineteen Thirty-Three
Cause of Death
138. Diseases of the male genital organs, not
specified as venereal..
W Male.
C Male.
Diseases of the female genital organs, not
specified as venereal.
XI. Diseases of Pregnancy, Childbirth and
THE Puerperal State:
W Female.
I Female.
C Female.
Total...
White...
Indian..
Colored.
140. Abortion with septic conditions. White...
Colored.
141. Abortion without mention of septic condi-tion
(to include hemorrhage)
White...
Colored.
142. Ectopic gestation. White...
Colored-
143. Other accidents of pregnancy (not to include
j
hemorrhage)
144. Puerperal hemorrhages
White...
Colored.
White...
Colored.
145. Puerperal septicemia (not specified as du
to abortion)
146. Puerperal albuminuria and eclampsia.
White...
Indian.
-
Colored.
White...
Colored-
147. Other toxemias of pregnancy. White...
Colored.
148. Puerperal phlegmasia albadolens, embok
sudden death (not specified as septic)..
White...
Colored.
149. Other accidents of labor. White...
Colored.
150. Other and unspecified conditions of the puer- I
peral state
XII. Diseases of the Skin and Cellular
Tissue:
White...
Colored.
Total...
White...
Indian..
Colored.
North Carolina Bureau of Vital Statistics 53
2
2
54 Annual Report, Nineteen Thirty-Three
Cause of Death
JSToRTH Carolina Bureau of Vitax Statistics 55
><
o
56 Annual Report, JSTineteen Thirty-Three
Cause of Death
157. Congenital malformations (stillbirths not
included)
XV. DisE.*.sEs OP Early Infancy:
Males
158. Congenital debility.
159. Premature birth.
160. Injury at birth.
161. Other diseases peculiar to early infancy.
XVI. Senility:
Males
W (Male
^Female..
I fMale.-..
iFemale.-
C fMale....
1 Female..
Total...
White...
Indian..
Colored.
Total...
White...
Indian..
Colored.
W IMale....
^Female.
I |M3le.-..
1 Female.
C|Male..-.
\Female.
W fMale..-.
^Female.
I JMale...,
1 Female.
C fMale....
(Female.
W (Male..-.
Female.
Male...
Female.
Male-..
Female-
W (Male-...
1 Female.
I |Male..-.
1 Female.
C /Male-..
[Female.
Total...
White...
Indian..
Colored.
,100
North Carolina Bureau of Vital Statistics 57
£
S
S
58 Annual Report, Nineteen Thirty-Three
Cause of Death
XVII. Violent and Accidental Deaths:
Males -.
163. Suicide by solid or liquid piosons or by cor-rosive
substances
164. Suicide by poisonous gas
165. Suicide by hanging ^r strangulation.
166. Suicide by drowning
.
167. Suicide by firearms.
168. Suicide by cutting or piercing instruments.
169. Suicide by jumping from high places.
170. Suicide by crushing
171. Suicide by other means.
Total...
White...
Indian..
Colored-
Total...
White -_.
Indian..
Colored-
2,046
1,379
14
653
653
447
8
N"oRTH Carolina Bureau of Vital Statistics 59
1
3
U5
60 Annual Eeport, Nineteen Thirty-Three
Cause of Death
North Carolina Bureau of Vital Statistics 61
3
62 Annual Report, Nineteen Thiety-Three
Cause of Death
181. Accidental burns...
182. Accidental mechanical suffocation
183. Accidental drowning
184. Accidental traumatism by firearms (wounds
of war excepted)
185. Accidental traumatism by cutting or piercing
instruments (wounds of war excepted)
186. Accidental traumatism by fall, crushing,
landslide, etc
187. Cataclysm (all deaths attributed to cata-clysm
regardless of their nature)
Injuries by animals.
189. Hunger and thirst.
190. Excessive cold W Male.
C Male.
N^ORTH Carolina Bureau of Vital Statistics 63
i
o
64 Annual Eepobt, Nineteen Thirty-Three
TABLE Ill-
Cause of Death
191. Excessive heat.
192. Lightning.
193. Accidents due to electric currents.
194. Other accidents.
195. Violent deaths of which the nature (acci-dent,
suicide, homicide) is unknown
198. Legal executions
.
201. Accidents in mines and quarries
202. Accidents from agricultural machinery.
203. Elevator accidents -
205. Other machinery accidents.
Railroad and automobile collisions
.
207. Other railroad accidents
Street car and automobile collisions.
209. Other street car accidents
Female.
Male
Female.
W IMale....
(Female-
Male....
Female.
W jMale....
: Female.
North Carolina Bureau of Vital Statistics 65
1
o
Annual Report, JN^ineteen Thirty-Three
Cause of Death
North Carolina Bureau of Vital Statistics 67
><
Annual Report, Nineteen Thirty-Three
1
"o
5
«
North Carolina Bureau of Vital Statistics
sg
70 Annual Report, ^Nineteen Thirty-Three
!N^ORTH Carolina Bureau of Vital Statistics 71
C C"
72 Annual Report, N'ineteen Thirty-Three
TABLE V—DEATHS (EXCLUSIVE OF STILLBIRTHS) IN EACH COUNTY, BY CAUSE OF
Cause of Death
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
3 Smallpox
4. Measles
5. Scarlet fever -
6. Whooping-cough
7. Diphtheria
8. Influenza
10. Tuberculosis of the respiratory system
11. Other forms of tuberculosis --.
12. Syphilis...
13. Malaria
14. Dysentery
14. Acute poliomyelitis and polioencephalitis
14. Epidemic cerebrospinal meningitis
14. Other infectious and parasitic diseases
15. Cancer and other malignant tumors.
16. Tumors, nonmalignant or unspecified
17. Chronic rheumatism and gout
18. Diabetes melUtus .-
19. Alcoholism (acute or chronic)
20. Other general diseases and chronic poisonings
20. Pellagra
21. Progressive locomotor ataxia and paresis
22. Cerebral hemorrhage, cerebral embolism and
thrombosis- -
23. Other diseases of the nervous system and organs of
special sense
24. Diseases of the heart
25. Other diseases of the circulatory system..
26. Bronchitis'
27. Pneumonias
28. Other diseases of the respiratory system (TB ex-cepted)
29. Diarrhea and enteritis (under 2 years)
29. Diarrhea and enteritis (2 years and over)
30. Appendicitis -
31. Cirrhosis of the liver
31. Other diseases of the liver
32. Other diseases of the digestive system
33. Nephritis
34. Other diseases of the genitourinary system
35. Puerperal septicemia
36. Other diseases of pregnancy and puerperal state. ..
37. Diseases of skin, bones and organs of locomotion..
38. Congenital debility, malformations and early in-fancy
-
39. Senility
40. Suicide
41. Homicide...
42. Violent and accidental (suicide and homicide ex-cepted)
- - -
43 . Cau.se not specified or ill-defined
19,140
54
5
311
3,067
194
56
1,223
104
462
188
228
77
96
468
2,040
151
1,701
232
1,403
217
73
46
94
176
574
735
72
44
29
58
12
147
1,314
77
41
268
62
252
223
1,576
310
3,044
194
55
1,216
XoRTH Carolina Bureau of Vital Statistics
DEATH
74 Annual Report, Nineteen Thirty-Three
TABLE V—
Cause of Death
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, nonmalignant or unspecified
Chronic rheumatism and gout
Diabetes meUitus -
Alcoholism (acute or chronic).
Other general diseases and chronic poisonings
PeUagra .--_
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 (tuberculosis 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
Homicide.
Violent and accidental (suicide and homicide excepted).
Cause not specified or ill-defined _
1
13
XoRTH Cakolixa Bureau of Vital Statistics 75
Ashe
76 x\nnual Report, Nineteen Thirty-Three
Cause of Death
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, nonmalignant or unspecified
Chronic rheumatism and gout- -
Diabetes melli tus
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 (tuberculosis 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, malformations and early infancy
Senility - -- --
Suicide - - -"
Homicide.
Violent and accidental (suicide and homicide excepted).
Cause not specified or ill-defined .__
XORTH CaROLIXA BuREAL' OF VlTAL STATISTICS 77
Bladen
Y8 Annual Report, I^ineteen Thirty-Thkee
Place
of
death
Place
of
res.
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, nonmalignant or unspecified _ -.
Chronic rheumatism and gout
Diabetes meUitus
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 (tuberculosis 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 the skin, bones, and organs of locomotion...
Congenital debility, malformations and early infancy
SeniUty - - -•
Suicide -
Homicide. -
Violent and accidental (suicide and homicide excepted)
Cause not specified or ill-defined.. -
1
1
2
XoRTH Carolina Bureau of Vital Statistics
Cabarrus
80 Annual Report, ^Nineteen Thirty-Three
North Carolina Bureau of Vital Statistics 81
Caswell
82 Annual Report, Nineteen Thirty-Three
N'oRTH Carolina Bureau of Vital Statistics 83
84 Annual Report, ISTineteen Thirty-Three
XoRTH Carolina Bureau STATISTICS
Continu
86 Annual Repokt, JSTineteen Thirty-Three
North Carolina Bureau of Vital Statistics 87
Davidson
Annual Report, Nineteen Thirty-Three
North Carolina Bureai' of Vital Statistics
Edgecombe
90 Annual Report, Nineteen Thirty-Three
Cause of Death
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, nonmaUgnant 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 (tuberculosis 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 the skin, bones and organs of locomotion..
Congenital debility, malformations and early infancy
Senility
Suicide
Homicide -
Violent and accidental (suicide and homicide excepted)
Cause not specified or ill-defined
2
XoRTH Carolina Bureau of Vital Statistics 91
Gates
92 Annual Eeport, N"ineteen Thirty-Three
XoRTH Caroli>'a Bureau of Vital Statistics 93
Guilford
94 Annual Report, Nineteen Thirty-Three
Cause of Death
Place
of
death
Place
of
Place
of
death
Colored (
All causes—Total reported
1. Typhoid and paratyphoid fever
2. Typhus fever
3. Smallpox
4. Measles.
5. Scarlet fever
6. Whooping-cough
7. Diphtheria
8. InfJuenza
10. Tuberculosis of the respiratory system
11. Other forms of tuberculosis
12. Syphilis
13. Malaria..
14. Dysentery
14. Acute pohomyelitis and polioencephalitis
14. Epidemic cerebrospinal meningitis
14. Other infectious and parasitic diseases
15. Cancer and other malignant tumors..
16. Tumors, nonmalignant or unspecified
17. Chronic rheumatism and gout...
18. Diabetes mellitus .___
19. Alcoholism (acute or chronic)
20. Other general diseases and chronic poisonings
20. Pellagra
21. Progressive locomotor ataxia and paresis _..
22. Cerebral hemorrhage, cerebral embolism and thrombosis
23. Other diseases of the nervous system and organs of special sense.
24. Diseases of the heart
25. Other diseases of the circulatory system _.
26. Bronchitis _
27. Pneumonias
28. Other diseases of the respiratory system (tuberculosis excepted).
29. Diarrhea and enteritis (under 2 years)
29. Diarrhea and enteritis (2 years and over)
30. Appendicitis
31. Cirrhosis of the liver _.
31. Other diseases of the liver
32. Other diseases of the digestive system
33. Nephritis..
34. Other diseases of the genitourinary system.
35. Puerperal septicemia
36. Other diseases of pregnancy and puerperal state
37. Diseases of the skin, bones and organs of locomotion
38. Congenital debility, malformations and early infancy
39. Senility
40. Suicide _
41. Homicide
42. Violent and accidental (suicide and homicide excepted)
43. Cause not specified or ill-defined
JNToRTH Carolina Bureau of Vital Statistics 95
Henderson
Annual Report, Nineteen Thirty-Three
North Carolina Bureau of Vitax Statistics 97
Iredell
98 Annual Report, Nineteen Thirty-Three
North Carolina Bureau of Vital Statistics 99
Lee
100 Annual Report, I!^ineteen Thirty-Three
North Carolina Bureau of Vital Statistics 101
102 Annual Eeport, Nineteen Thirty-Three
Cause of Death
All causes—Total recorded
1. Typhoid and paratyphoid fever _
2. Typhus fever
3. Smallpox
4. Measles
5. Scarlet fever
6
.
Whooping-cough
7. Diphtheria
8. Influenza
10. Tuberculosis of the respiratory system
11. Other forms of tuberculosis _.
12. Syphilis
13. Malaria
14. Dysentery
14. Acute poliomyelitis and pohoencephalitis
14. Epidemic cerebrospinal meningitis..
14. Other infectious and parasitic diseases
15. Cancer and other malignant tumors
16. Tumors, nonmalignant or unspecified
17. Chronic rheumatism and gout
1 8
.
Diabetes mellitus
19. Alcoholism (acute or chronic)
20. Other general diseases and chronic poisonings
20. Pellagra __.
21. Progressive locomotor ataxia and paresis
22. Cerebral hemorrhage, cerebral embolism and thrombosis
23. Other diseases of the nervous system and organs of special sense.
24. Diseases of the heart
25. Other diseases of the circulatory system
26. Bronchitis
27. Pneumonias..
28. Other diseases of the respiratory system (tuberculosis excepted).
29. Diarrhea and enteritis (under 2 years) _
29. Diarrhea and enteritis (2 years and over)
30. Appendicitis _-
31. Cirrhosis of the liver .._ ___
31. Other diseases of the liver
32. Other diseases of the digestive system
33. Nephritis
34. Other diseases of the genitourinary system
35
Puerperal septicemia _
36. Other diseases of pregnancy and puerperal state
37. Diseases of the skin, bones and organs of locomotion
38. Congenital debiUty, malformations and early infancy
39
.
Senility
40. Suicide
41. Homicide -
42. Violent and accidental (suicide and homicide excepted)
43. Cause not specified or ill-defined
Mecklenburg
Place
of
death
Place
of
Place
of
death
North Carolina Bx^reau Vital Statistici 103
Mitchell Montgomery
104 Annual Report, Nineteen Thirty-Three
ISToKTH Carolina Bureau of Vital Statistics 105
New Hanover
106 Annual Report, Nineteen Thikty-Three
North Carolina Bureau of Vital Statistics 107
Pamlico
108 Annual Report, Nineteen Thirty-Three
i^oRTH Carolina Bureau of Vitax Statistics 109
Person Pitt
110 Annual Report, Nineteen Thirty-Three
TABLE V—
North Carolina Bureau of Vital Statistics 111
Richmond
112 Annual Eeport, Nineteen Thirty-Three
TABLE V—
North Carolina Bureau of Vitax Statistics 113
Rutherford
114 Annual Eeport, Nineteen Thirty-Three
North Carolina Bureau of Vital Statistics 115
Stokes
116 Annual Report, !N'ineteen Thirty-Three
North Carolina Bureau of Vital Statistics 117
Continu
118 Annual Report, Nineteen Thikty-Three
North Carolina Bureau of Vital Statistics 119
Warren
120 Annual Keport, ISTineteen Thikty-Thkee
Cause of Death
Wayne
Place
of
Place
of
Place
of
death
All causes—Total recorded.
1. Typhoid and paratyphoid fever.
2. Typhus fever
3. Smallpox
4. Measles
5 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, nonmahgnant or unspecified
Chronic rheumatism and gout
Diabetes mellitus
Alcoholism (aeute 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 (tuberculosis 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 the skin, bones and organs of locomotion
Congenital debihty, malformations and early infancy
Senility
Suicide .-
Homicide..
Violent and accidental (suicide and homicide excepted).
Cause not specified or ill-defined
N^ORTH Carolina Bureau of Vital Statistics 121
Wilkes
122 Annual Eeport, Nineteen Thirty-Three
TABLE VI—DEATHS (EXCLUSIVE OF STILLBIRTHS) IN CITIES OR TOWNS, BY CAUSE
Catise of Death
Place
of
Place
of
White
Place
of
death
Place
of
All causes—Total recorded
1. Typhoid and paratyphoid fever
2. Typhus fever ---
3. Smallpox --
4. Measles - --
5. Scarlet fever .-.
6. Whooping-cough
7. Diphtheria
8. Influenza.-
10. Tuberculosis of the respiratory system
11. Other forms of tuberculosis
12. Syphilis
13. Malaria.- --
14. Dysentery
14. Acute poHomyelitis and polioencephalitis
14. Epidemic cerebrospinal meningitis
14. Other infectious and parasitic diseases-
15. Cancer and other malignant tumors --.
16. Tumors, nonmaUgnant or unspecified
17. Chronic rheumatism and gout
18. Diabetes melhtus - -
19. Alcoholism (acute or chronic).-- --
20. Other general diseases and chronic poisonings
20. Pellagra - - -
21. Progressive locomotor ataxia and paresis -
22. Cerebral hemorrhage, cerebral embolism and thrombosis-.
23. Other diseases of the nervous system and organs of special
sense
24. Diseases of the heart - --
25. Other diseases of the circulatory system ---
26. Bronchitis --
27. Pneumonias...
28. Other diseases of the respiratory system (T. B. excepted).
29. Diarrhea and enteritis (under 2 years)
29. Diarrhea and enteritis (2 years and over)
30. Appendicitis
31. Cirrhosis of the liver
31. Other diseases of the liver
32. Other diseases of the digestive system
33. Nephritis---
34. Other diseases of the genitourinary system
35. Puerperal septicemia
36. Other diseases of pregnancy and puerperal state.
37. Diseases of the skin, bones and organs of locomotion
38. Congenital debility, malformations and early infancy
39. Senility -
40. Suicide
41. Homicide
42. Violent and accidental (suicide and homicide excepted)...
43. Cause not specified or ill-defined
North Carolina Bureau of Vital Statistics 123
OF death (ABRIDGED INTERNATIONAL LIST) AND BY COLOR OF DECEDENT-
124 Annual Report, JSTineteen Thirty-Theee
TABLE VI—
North Carolina Bureau of Vitax Statistics 125
EUzabeth City
126 Annual Eepokt, ISTineteen Thirty-Three
North Carolina Bureau of Vital Statistics 127
High Point
128 Annual Keport, Nineteen Thirty-Three
Cause of Death
Raleigh
Place
of
death
Place
of
Place
of
death
Colored (
All causes—Total recorded
Typhoid and paratyphoid fever
Typhus fever
Smallpox
Measles
Scarlet fever
Whoopi ng-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, nonmalignant or unspecified
Chronic rheumatism and gout
Diabetes meUitus
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 (tuberculosis 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 the skin, bones and organs of locomotion
Congenital debility, malformations and early infancy
Senihty _
Suicide
Homicide
Violent and accidental (suicide and homicide excepted).
Cause not specified or ill-defined
North Carolina Bureau of Vital Statistics 129
Rocky Mount
130 Annual Report, Nineteen Thirty-Three
North Carolina Bureau of Yital Statistics 131
Wilmington
132 Annual REPOliT, Nineteen Thirty-Three
North Carolina Btreau of Vital Statistics 133
134 Annual Keport, Nineteen Thirty-Three
North Carolina BrREAr of Vitax Statistics 135
•O O CO .
°^2S ;
136 Annual Repoet, Nineteen Thirtt-Three
table vlir—deaths (exclusive of stillbirths) by cause
Cause of Death
TsToRTH CAROLrNA BuREATJ OF VlTAL STATISTICS
BY CERTAIN SUBDIVISIONS OF THE FIRST YEAR OF LIFE-1933'
137
1
138 Annual Report, Nineteen Thibtt-Three
TABLE IX—DEATHS UNDER 1 YEAR OF AGE (EXCLUSIVE OF STILLBIRTHS), AND MA-TERNAL
DEATHS IN EACH COUNTY WITH RATES PER 1,000 LIVE BIRTHS—1933
County
Infant Mortality
By Place of
Death
By Place of
Residence
Maternal Mortality
By Place of
Death
Entire State
Alamance
Alexander
Alleghany
Anson...
Ashe
Avery
Beaufort
Bertie
Bladen
Brunswick
Buncombe
Burke
Cabarrus
Caldwell
Camden
Carteret
Caswell-
Catawba
Chatham
Cherokee
Chowan
Clay
Cleveland
Columbus
Craven.
Cumberland.
-
Currituck
Dare
Davidson
Davie
Duplin
Durham
Edgecombe...
Forsyth
Franklin
Gaston
Gates
Graham
Granville
Greene
Guilford
Halifax
Harnett
Haywood
Henderson
—
Hertford
Hoke_
Hyde...
Iredell
Jackson
Johnston
Jones...
4,974
36
18
10
36
22
16
70
67
45
56.6
60.6
53.1
42.4
46.1
87.1
94.1
65.5
38.4
70.0
34.2
71.4
62.8
104.2
72.4
71.0
52.6
47.8
42.6
124.1
44.1
43.2
80.8
92.0
78.3
73.0
96.8
37.4
57.8
68.5
76.9
80.1
77.3
66.7
62.3
59.4
77.6
64.9
80.6
56.6
87.4
62.3
64.6
63.5
89.5
94.4
54.0
54.3
64.1
91.5
4,950
41
65.8
38.3
54.9
59.5
57.1
39.8
45.4
83.8
95.4
65.2
37.9
70.1
35.3
72.0
62.5
103.1
73.7
70.0
51.0
55.4
44.9
124.1
43.5
43.9
81.5
72.4
64.3
40.7
59.3
72.8
71.8
78.0
75.6
72.5
61.9
59.1
74.4
65.8
81.9
54.9
88.5
93.4
62.5
70.6
53.8
66.8
91.0
1.9
14.4
10.0
2.8
5.8
4.3
7.8
5.9
4.0
7.1
5.0
5.3
11.3
0.8
7.5
13.8
11.4
7.3
8.7
12.8
8.5
10.2
5.7
7.4
8.3
2.0
7.5
3.5
6.4
6.9
1.8
10.5
2.8
10.8
9.3
8.4
5.1
3.5
North Carolina Bureau of Vital Statistics 139
table IX—Continued
Lee
Lenoir
Lincoln
McDowell
Macon
Madison
Martin
Mecklenburg...
Mitchell
Montgomery...
Moore. _
Nash
New Hanover.
Northampton
.
Onslow _
Orange
Pamlico
Pasquotank...
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
Infant Mortality
By Place of
Death
Number Rate
116.9
50.8
70.6
50.7
56.8
78.0
65.0
49.1
60.1
47.7
74.0
57.3
63.0
42.3
51.4
22.3
96.9
67.8
52.8
43.3
83.2
95.2
39.5
73.3
73.5
43.7
55.7
47.8
69.9
80.4
49.9
35.2
58.8
45.1
64.5
133.8
49.7
84.4
82.1
83.4
87.5
68.2
80.0
45.2
94.2
40.2
59.1
By Place of
Residence
Maternal Mortality
By Place of
Death
Number Rate
61.8
113.4
52.0
72.4
48.1
58.0
78.8
64.2
47.9
62.3
44.3
70.8
49.1
46.2
55,.
22.1
98.6
66.2
56.4
46.0
83.1
57.5
42.4
72.5
73.4
43.4
55.2
47.9
75.5
80.2
50.6
38.7
58.0
45.1
64.3
133.8
48.8
83.6
78.3
84.1
87.1
68.0
80.8
45.5
91.8
47.2
58.2
By Place of
Residence
5.6
11.9
7.0
9.3
13.3
5.5
5.7
7.6
9.4
18.7
6.5
4.5
6.0
4.3
2.3
7.2
7.4
9.5
9.8
3.8
5.4
11.8
7.1
3.9
12.2
12.3
4.0
28.2
3.2
13.1
3.0
14.4
2.8
9.4
140 Annual Report, Nineteen Thirtt-Three
TABLE X—CASES AND DEATHS FROM SPECIAL
Disease
North Carolina Bureau or Vital Statistics
DISEASES BY MONTH OF OCCURRENCE—1933
141
March April
142 Annual Report, Nineteen Thirty-Three
Disease
North Carolina Bureau of Vital Statistics 143
March
144 Annual Kepobt, Ninete:^n /Thirty-Three
table xi—cases from 30 of the
County or City
North Carolina Bureau of Vital Statistics 145
reportable diseases by counties—1933
.2E
|i
II
146 Annual Report, Nineteen Thirty-Three
County or City
XoRTH Carolina Bureau of Vital Statistics 147
i
148 Annual Report, I^ineteen Thirty-Three
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 1933
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 | 1933 |
| Subjects |
Diseases--Reporting--North Carolina North Carolina--Statistics, Vital--Periodicals Public health--North Carolina |
| Place |
Raleigh (Wake County, N.C.) North Carolina |
| 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 | N.C. 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 | 7085 KB; 168 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_annualreportvitalstatistics1933.pdf |
| Pres Local File Path-M | \Preservation_content\StatePubs\pubs_edp\images_master\ |
| Full Text |
C 614.1 N©'7v of tlje Oniiietisitp of JBortf) Carolina Collection of il2ort5 Catoliniana M«Vv 1953 00032761850 This hook must not he talc en from the Lihrary huildin^. LUNC-15M N.36 OP-13370 ANNUAL REPORT OF THE BUREAU OF VITAL STATISTICS OF THE NORTH CAROLINA STATE BOARD OF HEALTH 1933 CARL V. REYNOLDS, M. D. SECRETARY AND STATE HEALTH OFFICER CONTENTS Page Introduction 7 GENERAL TABLES Table I.—Total births and deaths (exclusive of stillbirths) with rate per 1,000 population for the years 1914-1933 inclusive 16 Table II.—Births (exclusive of stillbirths) in each county, by color, vpith rate per 1.000 population, per cent attended by physicians and num-ber illegitimate, 1933 17 Table II-A—Births (exclusive of stillbirths) in each city of 10,000 popu-lation or over in 1980, by color, with rate per 1,000 population ; per cent attended by physicians and number illegitimate, 1933 21 Table III.—Deaths (exclusive of stillbirths) for the State as a whole from each cause, by sex, color and age 1933 (includes all deaths occurring in North Carolina and residents of North Carolina who died in other states) 22 Table IV.—Deaths (exclusive of stillbirths) in each county, by color, with rate per 1,000 population, 1933 ,- 68 Table V.—Deaths (exclusive of stillbirths) in each county, by cause of death (abridged international list) and by color of decedent. 1933 72 Table VI.—Deaths (exclusive of stillbirths) in cities or towns, by cause of death (abridged international list) and by color of decedent, 1933 122 Table VII.—Death rates per 100,000 population (by place of death, also by place of usual residence) in each county, from nine imix>rtant causes, with estimated population, 1933 132 Table VIII.—Deaths (exclusive of stillbirths) by cause by certain sub-divisions of the first year of life, 1933 136 Table IX.—Deaths under 1 year of age (exclusive of stillbirths), and maternal deaths in each county with rates per 1,000 live births, 1933 138 Table X.—Cases and deaths from special diseases by month of occur-rence, 1933 140 Table XI.—Cases from 30 of the reportable diseases by counties, 1933 144 Table XII.—Death rates per 100.000 population from ten imiwrtant causes, for the State as a whole, with estimated population for each year, 1914-1933 148 t a LETTER OF TRANSMITTAL Raleigh, N. C, March 27, 1935. To His Excellency, J. C. B. Ehringhaus, Goi^ernor of North Carolina, Raleigh. My deae Governor Ehringhaus : I have the honor of transmitting the report for the Bureau of Vital Statistics covering the calendar year, 1933. With assurance of my very great respect, I am Very sincerely, Carl V. Reynolds, M.D., r/e Secretary and State Health Officer. INTRODUCTION The annual report of the Bureau of Vital Statistics presents a tabu-lation of the births and deaths occurring in North Carolina as recorded with the State Board of Health. State-wide registration was begun in 1914, and the first report related to that year. Eeports have been pub-lished for every year since, with the exception of 1918 and 1919. This data is of inestimable value to the public health worker. It is useful in outlining future policies and practices and in calculating the results of past endeavors. To the individual the registration of a birth occurring in North Carolina makes it possible always to obtain an offi-cial record of the facts surrounding his advent into life. The purposes for which certified 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 shoAvs that this vital record is essential in upholding the right of citizens in the establishment of necessary facts in the closing event of life. In the 1933 Annual Report of the Bureau of Vital Statistics the Abridged International List of Causes of Death has been used in tabu-lating deaths by counties and cities. This is the same plan that was followed for 1931 and 1932. Information for the State as a whole has been tabulated according to the detailed International List of Causes of Death. Deaths have been allocated to the place of legal residence of the deceased before death. Prior to 1932, deaths had been recorded by place of occurrence only. This gives a distorted rate for those counties that have medical centers within their borders and for the counties from which the patients are drawn. Deaths by counties and cities are tabu-lated 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 consideration. The rates are crude rates, in the calculation of which no allowance is made for the differ-ence in the sex, age, and color distribution of the population. For the State as a whole, 90 per cent of the deaths are believed to be reported. For any single area, the percentage may be above or below that figure^ and this degree of completeness of reported deaths should be borne in mind when comparing two areas. Population The total population of North Carolina in 1930 was 3,170,276, a gain in ten years of 611,153 or 23.9 per cent. This was the largest addition on record. There was an increase of 352,836 between 1910 and 1920, 8 Annual Report, Nineteen Thirty-Three and an increase of 312,477 for the period 1900-1910. It is not reason-able to predict as great a growth between 1930 and 1940 as occurred in the last decade. Population is based upon three factors—births, deaths, and migra-tion. All are important not OJily in themselves, but in relation to each other. The excess of births over deaths, or the natural increase, has varied at times rather widely, but for the past five years, with the ex-ception of the present year, it shows that the source of future population is increasing. Between the census of 1920 and 1930 the State gained 611,153 persons, but the natural increase for the decade was 498,583. This means that JSTorth Carolina gained approximately 113,000 by immigration. Of the total population in 1930, 809,847 or 25.5 per cent were con-sidered urban. This included all incorporated places of 2,500 inhabi-tants or more. In 1920 there were fourteen cities over 10,000 popula-tion. By 1930 there were 21 in this group. The gain in these cities accounted for 71.3 per cent of the actual urban gain. In 1920 there was not a single city with a population as great as 50,000. By 1930 there were five cities—Asheville, Charlotte, Durham, Greensboro, and Winston-Salem—with a population greater than 50,000. The gain in these cities accounted for 46.6 per cent of the actual urban gain. The mid-year population of the State in 1933, as estimated by the Bureau of the Census, was 3,275,000. The estimate for 1932 was 3,244,000. This represents an annual increase of 31,000 over 1932. Incidently, the natural increase in population in 1933 was 45,019, or a loss to the State by emigration of approximately 14,000 persons. Of the total number of ]^orth Carolina's inhabitants, 70.5 per cent (2,310,000) are white, 29.0 per cent (965,000) N'egro, and 0.5 per cent "other races" the majority of which are Indians. Approximately 0.3 per cent are foreign-born. Natality Live Births: During 1933 there were 75,322 live births recorded with the Bureau of Vital Statistics, 2,558 fewer than for 1932. Tl^is is equivalent to a rate of 23.0 per 1,000 population, a decrease of 1.0 from the rate of 24.0 for 1932, and lowest ever recorded. Of the 75,322 live births, 51,490 were white, 23,265 ISTegro, and 567 Indian, which gave a birth rate of 22.3 per 1,000 population for white, 24.5 for Negro, and 35.4 for Indian. For the first fifteen years of State registration, the birth rate ranged between a high of 33.4 in 1915 and a low of 27.5 for 1928. There has been a gradual decline in the birth rate since 1921. North Carolina Bureau of Vital Statistics 9 CHAET 1. Birth and Death Rates per 1,000 Population for XoRTH Carolina: 1914-1932, Inclusive. ^Q \,^^^---^^^^^^"""'^N o. — ^ I 1 I I I ' I ' ' I I I I 19/ Q I9Z^ /9Z6 1930 /9SJ y£AR Sti'llhirtlis: In conformity with statistical practice, the stillbirths were not included in the totals of either births or deaths. Parallel to the decrease in the number of births, there were 521 fewer stillbirths than last year. The 3,122 stillbirths represents a rate of 41.4 per 1,000 live births. If they were classified as a single cause of death, the rate based on a 100,000 population would be a little more than that of tuber-culosis 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 it is based, it is desirable that physicians give as accurate and complete a diagnosis of cause of death as possible. A specific cause, rather than a general condition or symptom is essential if the greatest accuracy is to be expected. Hundreds of certificates are queried as to cause of death yearly in order to classify them correctly. We are duly appreciative of the prompt and courteous replies given by most 10 Annual Repokt, ^Nineteen Thirty-Thkee physicians when asked to gi^^e a more specific statement as to cause of death. Occasionally a certificate is queried that should not have been, but this can hardly be prevented considering that the clerks do not have the advantage of medical training and must follow more closely a rule of thumb. Health conditions during 1933, as indicated by the death rate, were generally favorable throughout North Carolina. There were fewer deaths in the State from all causes in proportion to the total population at all ages than in any year since the beginning of State registration in 1914. The 30,496 deaths, exclusive of 3,122 stillbirths reported for 1933, represents an annual death rate of 9.3 per 1,000 population. "When the number of deaths of residents of other states (367) are excluded and the residents of North Carolina (89) who died elsewhere are added, the total number of resident deaths is 30,118. The mortality rate for 1932 was 9.6; for 1931, 10.2; for 1930, 11.2; and for 1929, 12.4. (See Chart 1.) Considered in terms of total deaths, the deaths reported for 1933 were 504 fewer than for 1932, and 2,573 fewer than in 1931. The principal causes of death in 1933 in order of their importance were heart disease, nephritis, congenital malformations and diseases of early infancy, cerebral hemorrhage, tuberculosis, the pneumonias, all accidents and cancer. These eight causes make up approximately 68 per cent of the 30,496 deaths recorded. The hazards to life and health in North Carolina have undergone a noticeable change since 1914, the first year of registration. For the most part, there has been improve-ment, but in some instances the change has been for the worse. The declines in death rates from specific causes have been gradual and, there-fore, not very outstanding from one year to the next. But when the last twenty years are considered a great gain is evident. North Cakolina BtrREAr or Vital Statistics 11 CHART 2. Leading Causes of Death in North Carolina, 1914 AND 1932. LEADING CAUSES OF DEATH Ranlf Cause of Death ^ 1 Z)/seas€S ofi/ie hee>rt 2 Nephrilis 3 Cong, mslf'if- eirly irffincy 4 Cerebral hemorrhage 5 Tuberculosis (<3ll formi) UP»eumor,h (all forms) 12 Annual Report, Nineteen Thirty-Three Diarrhea and enteritis, a major cause of death in 1914, does not appear among the six leaders in 1933. The rate has fallen from 98.8 per 100,000 population in 1914 to 32.8 in 1933. Modern sanitary meas-ures have played a large part in reducing the death rate from diarrhea among infants. CHART 3. Death Rates per 100,000 Population for Specified Causes in INTorth Carolina on Arithlog-grid : 1914-1933. Yeir: 13JS f925 1933 The decreases in the death rates from typhoid fever, diarrhea and enteritis, diphtheria and tuberculosis are shown in Chart 3. The rates are charted on semi-logarithmic grid in order to avoid error in making direct comparisons of rates between the various causes. The inclina-tion of the lines indicate the proportionate change in each instance. It is readily discernible that typhoid fever had the greatest improvement North Carolina Bi-reav of Vital Statistics 13 in mortality, diphtheria second, diarrhea and enteritis third, and tuber-culosis fourth. While the trend throughout the entire period has been downward for all four causes, the mortality from tuberculosis has shown less fluctuations from year to year. Diphtheria has had two well defined rises during this period. It is further shown that the rates for diph-theria and for diarrhea and enteritis are higher for 1933 than they were for 1932. Typhoid Fever: There was a noticeable decrease in the number of deaths from typhoid fever. The 128 deaths from this cause were thirty fewer than the 158 for 1932, with a consequent lowering of the death rate from 4.9 per 100,000 population to 3.9. Of these deaths 15 occurred in June, 28 in July, 22 in August, and 17 in September. There has been a great improvement in this condition since 1914 with its rate of 35.8 for every 100,000 population, or a total of 839 deaths, to the present rate of 3.9. For three years prior to 1933 the rate remained practically stationary, but for the present year a favorable decrease has been manifested. Smallpox: This is the second consecutive year that no deaths were reported from smallpox. There were 35 cases reported to the Division of Epidemiology. In 1932 there were 72 cases reported with no deaths. Diph therm: The records concerning diphtheria do not show so favor-ably. There were 218 deaths with a rate of 6.7 per 100,000 population compared to 165 deaths with a rate of 5.1 for 1932. There has been a 70 per cent reduction in the mortality rate from this disease since 1915. The rate for 1933 is only slightly over half of what the rate was five years ago. Diphtheria is a disease for which we have a specific pro-tective vaccination and is, therefore, a disease against Avhich public health activities can be very effective. In round numbers, five-sixths of the deaths from diphtheria occur in children under five years of age. This indicates that vaccination to be most profitable must be done early in infancy. Influenza and Pneumonia: There were 2,072 deaths from pneu-monia, and 997 deaths from influenza, making a total of 3,169 recorded for 1933. The deaths from these two combined gave a rate of 96.8 per 100,000 population for 1933, as against a rate of 102.5 for 1932. Tuberculosis : The death rate from all forms of tuberculosis was 64.4 in 1933 and 68.1 in 1932. In the past 20 years the mortality rate has declined by more than 50 per cent. Tuberculosis ranked first among the causes of death in 1914. Since then it has fallen to the record low rate for 1933, and to fifth place in the causes of death. 14 Annual Report, Nineteen Thirty-Three Of the 2,110 deaths 47.5 per cent were males and 52.5 per cent females, 42.6 per cent were white, 57.0 per cent Negroes, and 0.4 per cent Indian. The colored rate of 125.3 for tuberculosis is more than three times the white rate of 39.0. Cancer: Cancer accounted for 1,738 deaths in 1933, giving a rate of 53.1 against a rate of 51.7 for 1932 and 48.2 for 1931. While the trend of cancer mortality has been steadily upward, it is not unreasonable to hope for at least a retarding in the increase. Early diagnosis offers a genuine opportunity for a cure. If the public can be convinced of this fact, the ascending rate will be checked. Pellagra: The deaths from pellagra continued to decline for 1933. There were approximately one hundred fewer deaths in 1933 than the number recorded for 1932, reducing the rate from 14.6 to 11.4 per 100,000 population. The 374 deaths in 1933 were only a few more than one-third of the 1015 for 1930, the peak year for pellagra deaths. Suicides and Homicides: The deaths from suicides decreased and those from homicides increased for 1933, the total showing 28 more than for 1932. There were 268 suicidal and 440 homicidal deaths. Accidental Causes: Automobile accidents accounted for the greatest number of accidental deaths in 1933. There were 203 more deaths from all types of automobile accidents than for the preceding year. There were 807 in 1933 and 604 in 1932. Deaths from railroad accidents, exclusive of collision with automobiles, decreased from 134 in 1932 to 106 in 1933. Maternal Mortality: The diseases of pregnancy, childbirth and the puerperal state continued to make the creation of new life hazardous in North Carolina. There was a decrease in the number of puerperal deaths, but the ratio to the number of live births remained about the same since parallel to the decrease in deaths there were fewer births. There were 535 maternal deaths in 1933 to 560 in 1932, giving a rate of 7.1 per 1,000 live births for the former year and 7.2 for the latter. This is in excess of the rate of approximately 6.5 for the United States Registration Area. There were 319 white, 2 Indian, and 214 Negro puerperal deaths, accounting for a death rate of 6.2 per 1,000 live births for the white and 9.3 for the Negro. The rate for the white is higher than it was for 1932, while the colored rate has fallen from 10.3. The annual rates for the past five years are 6.6 for the white, and 11.4 for the colored. Albuminuria and exlampsia accounted for more of the puerperal deaths than any other single cause, xlpproximately a third of the deaths were due to this cause. The second and third greatest offenders were puerperal septicemia and other accidents of childbirth, North Carolina Bureau of Vital Statistics 15 respectively. Eighty-nine maternal deaths were chargeable to puerperal septicemia and 64 to other accidents of childbirth. Infant Mortality: The total number of deaths under one year of age was 4,974. This is 197 fewer than for 1932, but because of the fewer number of births in 1933 the rate remained practically stationary. The rate for 1933 was 66,0 per 1,000 live births and 66,4 for 1932. Of the total deaths 2,824 were white and 2,151 colored. This gave a white rate of 54.8 and a colored rate of 90.2, Of the total number of deaths under one year of age, 1,253 occurred under one day of age, and almost half in the first two weeks. Over fifty per cent are caused by the group known as "diseases of early in-fancy" Mortality from this group of causes, to which fall victims mainly infants under one month old, has changed but slightly or has actually increased. Deaths from these causes must be lowered if the present death rate of infants is to be improved. The progress made in saving young lives has been due primarily to the reduction in the num-ber of deaths from infectious and gastrointestinal diseases. Diarrhea and enteritis as a cause of infant mortality has been reduced materially. Every birth and death occurring in North Carolina should be re-corded with the Bureau of Vital Statistics. Birth and death records have a wide variety of uses Avhich are of great importance to individuals. Vital statistics are of practical value to every citizen of the State. For health organizations, accurate certificates are essential if our true prob-lems are to be known, if our programs are to be intelligently planned, if we are to ascertain the eftectiveness of the procedure, and if errors in our work are to be detected. Incomplete or incorrect records may lead to costly mistakes. It is, therefore, incumbent upon every citizen of jSTorth Carolina to do whatever possible to promote the completeness of our birth and death records. 16 Annual Report, JSTineteen Thirty-Three TABLE I-TOTAL BIRTHS AND DEATHS (EXCLUSIVE OF STILLBIRTHS) WITH RATE PER 1000 POPULATION FOR THE YEARS 1914-1933 INCLUSIVE Year XoRTH Carolina Bureau of Vital Statistics IT I K 18 Annual Report, I^ineteen Thirty-Three North Carolina Bureau of Vital Statistics 19 »0 1^ OO O Oi O i00INMT).O00-HO OO to O 00 OS O O 03 SO 00 o »o tOiOOIMM^OCOOO OO * O X5 00 OC 1- O I- to o « — • lO * OO l^ o o c^< to -a> o= m c<5 -w « S 2 g s t g Annual Report, ISTineteen Thirty-Three North Carolina Bureau of Vital Statistics 21 o 5 o 00 ^ o; OO 1^ o o 0^0i»0»0^0**00000 o a-s^ ^r^c>iTj«t--c^oooocooqo5t>.r-.oc^^ccoqoi^co(M cqoOO^^C^iOOM—'O-^OSCOOOCOCDOCO^^OOO 050^a:ccoc^r^osooo50500^t^csoooiOr^ooa5 OOOJ0100(MO»0000>0 — OO—O't'Ot^COI^OCOOO Oooosoastoirscoco^cDCDr^-^as^eoPOCocoioo 05C^050(M |
| OCLC number | 5107459 |
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