Annual report of the Bureau of Vital Statistics of the North Carolina State Board of Health |
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HLbt Hilirarp of tl)e ([lntt)er$ttp of ii^ortb Carolina Collection of iRottj^ Catoliniana C4I4.I llllllliliiililiiMli 00017472450 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. Form No. A-369 ANNUAL REPORT OF THE BUREAU OF VITAL STATISTICS OF THE NORTH CAROLINA STATE BOARD 0¥ HEALTH 1934 CARL V. REYNOLDS, M. D. SECRETARY AND STATE HEALTH OFFICER CONTENTS Page Introduction 7 GENERAL TABLES Table L—Total births and deaths (exclusive of stillbirths) with rate per 1,000 popu-lation for the years 1914-1934 inclusive 16 Table IL—^Births (exclusive of stillbirths) in each county, by color, with rate per 1,000 population, per cent attended by physicians and number illigitimate, 1934. 17 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 population; per cent attended by physicians and number illigimate, 1934 21 Table IIL—Deaths (exclusive of stillbirths) for the State as a whole from each cause, by sex, color and age 1934 (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, 1934 68 Table V.—Deaths (exclusive of stillbirths) in each county, by cause of death (abridged international list) and by color of decedent, 1934 71 Table VI.—Deaths (exclusive of stillbirths) in cities or towns, by cause of death (abridged international list) and by color of decedent, 1934 122 Table VII.—Death rates per 100,000 population (by place of death, also by place of usual residence) in each county, from nine important causes, with estimated population, 1934 132 Table VIII.—Deaths (exclusive of stillbirths) by cause by certain subdivisions of the first year of life, 1934 • 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, 1934 138 Table X.—Cases and deaths from special diseases by month of occurrence, 1934 140 Table XI.—Cases from 30 of the reportable diseases by counties, 1934 144 Table XII.—Death rates per 100,000 population from ten important causes, for the State as a whole, with estimated population for each year, 1914-1934 148 to LETTER OF TRANSMITTAL Raleigh, N. C, March 27, 1936. To His Excellency, J. C. B. Bhringhaus, Governor of North Carolina, Raleigh. My Dear Governor Ehringhaus : I have the honor of transmitting the report for the Bureau of Vital Statistics covering the calendar year 1934. With assurance of my very best respect, I am Ver^ sincerely, CARL V. REYNOLDS, M.D., Secretary and State Health Officer. INTRODUCTION The Bureau of Vital Statistics began the recording of births and deaths in the latter part of 1913, but it was not until 1916 for deaths and 1917 for births that registration was complete enough for admission to the United States Registration Area. The first annual report related to 1914, and one has been published annually ever since with the exception of 1918 and 1919. The present report follows the plan begun in 1931 in that the abridged International List of Causes of Death has been used in tabulating deaths by counties and cities, in preference to the detailed list used prior to the 1931 report. The deaths recorded for the State as a whole has been tabulated, as formerly, according to the detailed International List of Causes. Births have been allocated to the place of legal residence of the mother and deaths to the place of legal residence of the deceased before death. Prior to 1932 births and deaths had been recorded by place of occurrence only. This gives too high a rate for those counties containing hospitals that draw a large number of patients from other counties and too low a rate for the counties from which the patients are drawn. In order to permit comparison with years before tabulations by place of residence was 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 consideration. The rates given in this report are crude rates, in the calcultaion of which no allowance is made for the differences in the 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 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 of any ten years on record. There was an increase of 352,836 between 1910 and 1920, and an increase of 312,477 for the period 1900-1910. It is not reasonable to predict as great a growth between 1930 and 1940 as occurred in the preceeding decade. Of the total population in 193 0, 2,234,948 or 70.5 per cent were white; 918,647 or 29.0 per cent negro; and 0.5 per cent or 16,681 classified as "other races," 16,579 being Indians. The number classified as urban was 8 Annual Report Nineteen Thirty-Four 809,847 or 25.5 per cent of the total. This included all incorporated places of 2,500 inhabitants or more. Cities of 10,000 population or over grew from fourteen in 1920 to twenty-one in 1930. TABLE 1. Total, Urban and Rural Population of North Carolina BY Race. (1930 U. S. Census) Total White Negro Other Total 3,170,276 2,234,948 91S,647 16,681 Urban 809,847 563,478 246,237 132 Rural 2,360,429 1,671,470 672,410 16,549 The mid-year population of the State in 1934, as estimated by the Bureau of Vital Statistics, is 3,306,000. This represents an increase of 31,000 over 1933. The estimate for the white population is 2,332,000 and for the colored 974,000. Natality Live Births: The birth rate increased from a low of 23.0 per 1,000 population in 1933 to 24.1 in 1934. The rate of 23.0 for 1933 was the lowest recorded since the beginning of registration in 1913. In actual numbers there were 79,556 live births recorded, 4,234 more than for 1933. Of the 79,556 live births, 54,43 8 were white, 24,432 negro and 686 Indian, which gives a birth rate of 23.3 per 1,000 population for white and 25.5 for negro. The birth rate ranged between 3 and 35 per 1,000 population from 1914 to 1924. Since that time the rate has gradually declined to the record low of 23.0 in 1933. Stillbirths: In conformity with statistical practice, the stillbirths were not included in the totals of either births or deaths but tabulated separately. Parallel to the increase in the number of births, there were 181 more stillbirths than last year. The 3,303 stillbirths represent a rate of 41.5 per 1,000 live births. For 1933 the rate was 41.4. 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 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 North Carolina Bureau of Vital Statistics 9 is to be expected. Hundreds of certificates are queried yearly as to cause of death in order to classify them correctly. The health conditions in North Carolina for 1934 were, in general, not so favorable as for the preceeding year. There were more deaths recorded from all causes combined, and consequently a higher death rate, than for any year since 1930. The 31,112 deaths, exclusive of stillbirths, represent an annual death rate of 10.6 per 1,000 population. The mortality rate for 1933 was 9.3; for 1932, 9.6; for 1931, 10.2; and for 1930, 11.2. Considered in terms of total deaths, the number reported for 1934 was 4,616 more than for 1933, and 4,112 more than in 1932. A great majority of the causes of death participated in the increase. Diseases of the heart, nephritis, cerebral hemorrhage, embolism and throm-bosis, caused a larger number of deaths in 1934 than the year before. Pneumonia and influenza alone killed over 900 more people than in 1933, and heart diseases nearly 800 more. Diarrhea and enteritis under two years increased. The measles epidemic accounted for 3 33 in 1934 against 91 for the previous year, and whooping-cough doubled. Scarlet fever, diphtheria and tuberculosis showed little change, while typhoid fever deaths were lower. The infant and maternal death rates manifest a considerable increase. Violent and accidental deaths increased in 1934. The suicide rate was somewhat below that of 193 3, while homicides had a slight increase. Fatalities from automobile accidents continued to climb as did deaths from accidental burns. Deaths from railway, drowning and firearm accidents remained practically unchanged. The principal causes of death in 1934 in order of their rank were diseases of the heart, nephritis, congenital malformations and diseases of early infancy, the pneumonias, cerebral hemorrhage, accidents, tuberculosis and cancer. Chart 1 shows the death rates in North Carolina from these eight leading causes in 1934, in comparison with the eight leading causes in 1914. The relative positions of the various causes of death have changed within the past tr/enty years. Tuberculosis ranking first in 1914 with a rate of 139 per 100,000 population has decreased to seventh place in 1934 with a rate of 64.8. This is an outstanding example of the success of preventive medicine and public health in the control of an infectious disease. 10 Annual Report Nineteen Thirty-Four CHART 1. Eight Leading Causes of Death in North Carolina, 1914 AND 1934. LEADING CAUSES OF DEATH Cause of death 1 Dtseases of the heart 2 Nephritis 3 Coruj. malf. ^ eorly mf. 4 Pneumonia (all forms) 5 Cerebral hemorrhocfe ^Accidents (total) 7 Tuberc u los / s (a // foivws) 8 Cancer Rate per loo.ooo population 20 40 dO 80 iOO UO J4-0 1(.0 1 Tuberculosis(Qll forms) 2 Pneumonia (all forms) 5 Oiarrhea'v- enteritis 4 Diseases of the heart 5 Cerebral hemorrhaqe (,Con<].nolfMearly mf. 7 Nephritis 8 Accidents (total) North Carolina Bureau of Vital Statistics 11 Typhoid Fever: There was a noticeable decrease in the number of deaths from typhoid fever. The 91 deaths from this cause were thirty-seven fewer than for 1933, and sixty-seven fewer than for 1932, with a consequent lowering of the death rate from 3.9 per 100,000 population in 1933 to 2.8 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 2.8. Smallpox: This is the third consecutive year that no deaths were reported from smallpox. There were 18 cases reported to the Division of Epi-demiology. In 193 3 there were 3 5 cases reported. Measles: During 1934 North Carolina had a more or less state-wide epidemic of measles. There were 33 3 deaths accounting for a rate of 10.2 per 100,000 population. This epidemic was much less severe than the last one in 192 8 when there were 501 deaths with a rate of 27. Diphtheria: The records concerning diphtheria show little improvement. There were 207 deaths with a rate of 6.3 per 100,000 population com-pared to 218 deaths with a rate of 6.6 for 1933. 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. This failure to show continued improvement is all the more striking since diphtheria is a disease for which we have a specific protective vaccine. In round num-bers, 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 long before the child becomes of school age. Influenza and Pn-emnonia: There were 3,176 deaths from pneumonia, and 804 deaths from influenza, making a total of 3,980 recorded for 1934. The deaths from these two conditions give a rate of 120.4 per 100,000 population for 1934, as against a rate of 96.8 for 1933. Tuberculosis: The death rate from all forms of tuberculosis was 64.8 in 1934 and 64.4 in 1933. This is one disease that did not participate in the increased mortality for 1934 as did the majority of other conditions. 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, but has fallen to seventh place in 1934. The present rate is the lowest ever recorded with the exception of 1933, and compares favorably with that year when the fact that most other conditions increased is taken into account. Thus the relative position occupied by tuberculosis among the principle causes of death was changed from fifth to seventh place. Of the 2,149 deaths from all forms of tuberculosis 49.1 per cent were males and 50.9 per cent females, 44.0 per cent were white and 55.8 per 12 Annual Report Nineteen Thirty-Four cent negro. The colored rate of 123.5 for tuberculosis is more than three times the white rate of 40.6. Cancer: Cancer accounted for 1,774 deaths in 1934, giving a rate of 53.7 against a rate of 53.1 for 1933 and 51.7 for 1932. While the trend of cancer mortality has been steadily upward in the past, we have almost held our own for the past three years, and it is not unreasonable to hope for the prevention of an increase. Pellagra: The mortality from pellagra failed to continue its downward trend begun in 1931. In fact the rate increased from 12.0 per 100,000 population in 1933 to 13.2 in 1934. However, the 436 deaths are far below the 1,015 for 1930, the peak year for pellagra deaths. Suicides and Homicides: The deaths from suicides decreased and those from homicides increased for 1934, the total showing only 3 more than for 1933. There were 242 suicidal and 469 homicidal deaths. Accidental Causes: Violent and accidental deaths, exclusive of suicides and homicides, increased from 1,968 in 1933 to the record high of 2,347 in 1934, placing violent and accidental deaths sixth among the principal causes of death. Automobile accidents accounted for the greatest number of accidental deaths and for a large part of the increase. There were 938 deaths from all types of automobile accidents in 1934, and 780 in 1933. There were 109 railroad accidents in 1934 and 106 in 1933, exclusive of collision with automobiles. Maternal Mortality: The diseases of pregnancy, childbirth and the puer-peral state continued to exact a large number of lives. There was an increase in the number of puerperal deaths, but parallel to this there was likewise an increase in the number of births which fact accounts for no greater rise in the maternal mortality rate than is shown. There were 606 maternal deaths in 1934 to 53 5 in 193 3, giving a rate of 7.6 per 1,000 live births for the former year and 7.1 for the latter. This is in excess of the rate of approximately 6.5 for the United States Registration Area. There were 363 white, 4 Indian, and 239 negro puerperal deaths, accounting for a death rate of 6.7 per 1,000 live births for the white and 9.7 for the colored. Table 2. Deaths from Pregnancy, Childbirth and the Puerperal State by Cause by Age Groups. 10- 15- 20- 25- 30- 35- 45^ Und. ^^"^^ Total 14 19 24 29 34 44 over Abortion 66 3 16 12 13 20 1 1 Ectopic gestation 14 1 6 3 2 2 Other accidents of pregnancy. 25 375361 Puerperal hemorrhage 78 6 9 16 14 32 1 North Carolina Bureau of Vital Statistics 13 Puerperal septicemia 118 1 20 34 24 23 15 1 Puerperal albuminuria and eclampsia 181 1 43 38 33 26 39 1 Other toxemias of pregnancy 39 677513 1 Puerperal phlegmasia alba-dolens, embolus, sudden death 22 14 8 4 5 Other accidents of childbirth 63 1 8 12 11 15 16 Total 606 3 91 133 119 105 148 6 1 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 septicemia and puerperal hemorrhage, respectively. Albuminuria and eclampsia with other toxemias of pregnancy account for 220 maternal deaths, which is over one-third of all maternal deaths. Infant Mortality: The total number of deaths under one year of age was 6,200, 1,226 more than occurred in 1933. However, there were more births than in 1933, but not enough more to account for the increased number of deaths. In 1933 the death rate was 66.0 per 1,000 Hve births and in 1934 the rate was 77.9. Of the total deaths 3,661 were white and 2,539 colored. This gave a rate of 67.2 for the white and a rate of 101.1 for the colored. Table 3. Infant Deaths from Ten Leading Causes by Age Groups. Under 1-6 7-29 1-11 Total 1 day days days mos. All Causes 6200 1354 967 769 3110 Ten Leading Causes 5330 1317 917 679 2417 Premature birth 1671 936 424 222 89 Pneumonias 947 2 22 115 808 Diarrhea and enteritis 736 1 4 51 680 Congenital debility 728 155 185 132 256 Congenital malformations 316 68 79 55 114 Whooping-cough 276 2 15 259 Injury at birth 233 88 109 25 11 Other diseases peculiar to early infancy 188 50 79 46 13 Influenza 152 1 7 11 133 Syphilis 83 16 6 7 54 The ten leading causes of infant deaths shown in table 3 accounted for 86 per cent of all infant deaths. Premature birth was given as the 14 Annual Report Nineteen Thirty-Four cause for 1,671 deaths and ranked first among the conditions afiFecting infants. The pneumonias, diarrhea and enteritis, and congenital debility ranked second, third and fourth, respectively. Of the 5,3 30 deaths from the ten leading causes 25 per cent or 1,317 occurred under one day of age, and 42 per cent or 2,234 within the first weeks of life. REGISTRATION Every birth and death occurring in North Carolina should be recorded with the Bureau of Vital Statistics. To the individual the registration of a birth occurring in North Carolina makes it possible always to obtain an oflScial 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. Like-wise, the demand for death certificates show that this vital record is essential in upholding the right of citizens in the establishment 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 certificates 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 completenes of our birth and death records. Annual Report Nineteen Thirty-Four -TOTAL BIRTHS AND DEATHS (EXCLUSIVE OF STILLBIRTHS) WITH RATE PER 1000 POPULATION FOR THE YEARS 1914-1934 INCLUSIVE Year North Carolina Bureau of Vital Statistics 17 05 to rt -< O U5 O 0> (M -a- 5 ^ « - C CO CO « « s^s >*l p "5 CO •« O O M lO fi co" 2 S g (M in T)< -H >ra CO -*< rt 1 ,-1 O X5 -H o ira o> ^ o ^H rt< O t^ O «D CO §^•5 »0 05 l-H Ci Tt< ifi CO CO Oi O GO SSKg ^ CO OS m t^ CD « J, -H c. C^ „ M O >0 ^ Jll S li-S IK — _Q 2 5^ < < < S fe « 2 i s « « > * £ '^ u :3 =3 cc cs CDS esc8,XSJ3X*3.£ 18 Annual Report Nineteen Thirty-Four 1 North Carolina Bureau of Vital Statistics 19 2<§ S«M01--i—< s tss in o CO o e^ C4 M O CO »n t^ I- OS 1^*^ « 00 0» 00 ^»o^^-Hc^cDe500eoeo«<»»oooos eoco — M«c<i=^o<0(Me<5>ftcoc»t~ « U5 « OOlOOJCVIt-t^O-rt*OO *00*oo O 'H 00 IM t- «« OC^-OO — T»i0>005—>OIN(MQ0 OOO-HCMCOt^OO'- OS t^ CN to o — e^ * ss g§sgg^§gS§S5:s§E;3SS 20 Annual Report Nineteen Thirty-Four North Carolina Bureau of Vital Statistics 21 Si ^ s PL, -a to CO CC CO oo »o *-i O O -S^ SOi500 CO S5 COC^^H00'^C0»OeOCO<M4O ^2 o to C<l O -H ca >0 (M 00 •* •« -H t^ o >0 III P5 O •* O Tl< OJ to O OCOOSt^OOOiOOOO^HOtO-^^H 0O5S0O5OCJaOOSS-O^SO0t5^0O5S0O0O0i3O0O0aita^>CQO5 OCOt^OOO'^t0'*t<05t^t^-*C0<Ot^C^»OC»00tO g2ij^SSSS^e32i23^Sc^?iS22c5S^ ^ oo o >o «> r- 40 o CD 00 5iS s-s ?3 2S^ -H « O CO >»< .*CO — C050000NIM_ OOOOOOSOOib-WS^ 00 o o -< ^B 8 J-S <S 2 •li 1 1 ^ 22 Annual Report Nineteen Thirty-Four TABLE III—DEATHS (EXCLUSIVE OF STILLBIRTHS) FOR THE STATE AS A WHOLE RING IN NORTH CAROLINA AND RESIDENTS OF Cause of Death See - >- !x § 2 S t> -H U5 Infectious and Parasitic D Males 1. Typhoid fever. 2. Paratyphoid fever. 3. Typhus fever... 4. Undulant fever. 8. Scarlet fever. Total... White... Indian.. Colored . Total... White... Indian.. Colored . Total... White... Indian.. Colored Total... White... Indian. . Colored. W (Male... I^Female. I |Male... ^Female. C fMale... \Feinale. W Female. C Male... C Female. C Male... W (Male... ^Female. I fMale... ^Female. C |Male... \ Female. W fMale... ^Female. C JMale... \Female. 3,457 2,062 27 1,368 2,743 1,599 20 1,124 1,025 621 6 North Carolina Bureau of Vital Statistics 23 FROM each cause, BY SEX, COLOR AND AGE—1934 (INCLUDES ALL DEATHS OCCUR-NORTH CAROLINA WHO DIED IN OTHER STATES) 12S 2 24 Annual Report Nineteen Thirty-Four TABLE III— Cause of Death 9. Whooping-cough. 10. Diphtheria. 13. Dysentery. 15. Erysipela 16. Acute poliomyelitis and acute polio-encephalitis 17. Lethargic or epidemic encephalitis 18. Epidemic cerebrospinal meningitis. North Carolina Bureau of Vital Statistics 25 1 o 26 Annual Report Nineteen Thirty-Four Cause of Death 23. Tuberculosis of the intestines and peritoneumi 26. Tuberculosis of the vertebral column I 27. Tuberculosis of the bones and joints (vertebral I column excepted) 1 29. Tuberculosis of the lymphatic system, (bron-1 chial, mesenteric, and retroperitoneal glands! excepted) [ 30. Tuberculosis of the genitourinary system I f 31 . Tuberculosis of other organs 32. Disseminated tuberculosis W IMale... l^Female. C flMale..- \ Female. North Carolina Bureau of Vital Statistics 27 1 s "5 Annual Report Nineteen Thirty-Four TABLE III— Cause of Death 34. Syphilis 35. Gonococcus infection and other venereal di 36. Purulent infection, septicemia (non-puerperal) 39. Other diseases due to protozoaV parasites. 40. Ankylostomiasis. 42. Other diseases caused by helminths. 43. Mycoses. 44. (a). Chicken pox. 44. (b). Devil's grip. W jMale... Female. Male Female. Male... Female. W (Male... 1 Female. C fMale... [Female. W (Male... ^Female. I |Male... Wemale. C [Male... \ Female. W (Male... ^Female. I [Male... l^Female. C fMale... 1 Female. W (Male... |_Female. C (Male... \Female. W [Male... \^ Female. C (Male... 1 Female. W (Male... IPemale. C fMale... \ Female. W (Male... ^Female. C [Male... \ Female. W (Male... IPemale. C fMale... \Female. W fMale... [Female. North Carolina Bureau of Vital Statistics 29 30 Annual Report Nineteen Thirty-Four Cause of Death North Carolina Bureau of Vital Statistics 31 i 2 S 32 Annual Report Nineteen Thirty-Four Cause of Death 51. 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 otherl or unspecified organs 54. Non-malignant tumors. 55. Tumors of which the nature is not specified _ III. Rheumatic Diseases, Nutritional Dis-eases, Diseases of the Endocrine Glands and other General Diseases: 56. Acute rheumatic fever. 57. Chronic rheumatism, osteoarthritis. 59. Diabetes mellitus. W Male. C Male- W [Male... ^Female. I |Male... ^Female. C fMale... \Female. W fMale.. - lFemale- C |Male... \Female. W fMale... ^Female. C |Male... \Female. W fMale... ^Female. C fMale... \Female. North Carolina Bureau of Vital Statistics 33 >• s "5 34 Annual Report Nineteen Thirty-Four TABLE III— Cause of Death s s 60. Scurvy. 62. Pellagra. 65. Diseases of the pituitary body. 66. Diseaises of the thyroid and parathyroid, glands 67. Diseases of the thymus gland. 68. Diseases of the adrenals (Addison's disease, not specified as tuberculosis) 69. Other general d IV. Diseases of the Blood and Blood-Making Organs: 70. Hemorrhagic conditions. W (Male... iFemale. C JMale... \ Female. W (Male... iFemale. I |Male... ^Female. C |Male„- \Female. W ("Male... ^Female. C fMale... 1 Female. W Female.. Total... White... Indian.. Colored. Total... White... Indian.. Colored. W (Male... 1 Female. I fMale-.- iFemale. C |Male... iFemale. North Carolina Bureau of Vital Statistics 35 Continued 1 2 U5 36 Annual Report Nineteen Thirty-Four TABLE III— Cause of Death North Carolina Bureau of Vital Statistics 37 1 2 38 Annual Rjeport Nineteen Thirty-Four TABLE III— ' North Carolina Bureau of Vital Statistics 39 1 40 Annual Report Nineteen Thirty-Four TABLE III— North Carolina Bureau of Vital Statistics 41 2 42 Annual Report Nineteen Thirty-Four Cause of Death 94. Diseases of the coronary arteries and angina pectoris 95. Other diseases of the heart. 96. Aneurysm (except of the heart). 97. Arteriosclerosis (diseases of the coronary teries excepted) 98. Gangrene. 99. Other diseases of the 100. Diseases of the veins (varices, hemorrhoids, phlebitis, etc.) 101. Diseases of the lymphatic system (lymphan-gitis) --- 102. Idiopathic anomalies of the blood-pressure . 103. Other diseases of the circulatory system... W fMale... ^Female. I |Male-.. ^Female. C |Male... 1 Female. W (Male... ^Female. C fMale... 1 Female. W fMale... l^Female. C |Male— 1 Female. W (Male. C (Male... \ Female. W (Male... \^Female. C |Male... 1 Female. North Carolina Bureau of Vital Statistics 43 E 2S 2 44 Annual Report Nineteen Thirty-Four Cause of Death VIII. Diseases of the Respiratory System: Males -- — 104. Diseases of the nasal fossae and annexae, 105. Diseases of the larynx. 106. Bronchitis. 107. Bronchopneumonia (including capillary bronchitis) Lobar pneumonia. 109. Pneumonia, unspecified. 110. Pleurisy - Total... White... Indian.. Colored . Total... White... Colored. W (Male... ^Female. I JMale... iFemale. C |Male... \Female. W fMale... ^Female. C fMale... \ Female. W (Male... Wemale. C fMale... 1 Female. W [Male... iFemale. I fMale... ^Female. C fMale... \ Female. W (Male... l^Female. I fMale... iFemale. C fMale... [Female. 1,905 1,162 13 730 1,572 1,006 7 559 20 10 1 2 253 146 3 104 201 121 2 78 2 2 North Carolina Bureau of Vital Statistics 45 3 46 Annual Report Nineteen Thirty-Four TABLE III— Cause of Death 111. Congestion, edema, embolism, hemorrhagic! infarct, and thrombosis of the lungs 113. Pleurisy emphysema. 114. Other diseases of the respiratory system (tuberculosis excepted) 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. 118. Other diseases of the stomach (cancer ex-cepted) W fMale Wemale... C |Male \Female.-. W fMale ^Female... C jMale \Female... W Male W fMale 1 Female... C fMale 1 Female... North Carolina Bureau of Vital Statistics 47 1 2 48 Annual Report Nineteen Thirty-Four Cause of Death 119. Diarrhea and enteritis (under 2 years) 120. Diarrhea and enteritis (2 years and over) North Carolina Bureau of Vital Statistics 49 OS s 50 Annual Report Nineteen Thirty-Four Cause of Death 132. Nephritis, unspecified (10 years and over). 133. Other diseases of the kidneys and uretersl (puerperal diseases excepted) ) 134. Calculi of the urinary passages. Total... White... Indian.. Colored. Total- -. White... Indian. . Colored. W Male- Female. C /Male... . Female. W Male... iFemale. I |Male... iFemale. C fMale... \Female. W fMale... ^Female. I (Male... iFemale. C [Male... \Female. W fMale... ^Female. C fMale... 1 Female. W fMale... ^Female. I fMale... 1 Female. C fMale... [Female. 1,984 1,304 North Carolina Bureau of Vital Statistics 51 23 52 Annual Rjeport Nineteen Thirty-Four TABLE III— Cause of Death 135. Diseases of the bladder 136. Diseases of the urethra, urinary abscess, etc. 137. Diseases of the prostate 138. Diseases of the male genital organs, notf specified as venereal \ 139. Diseases of the female genital organs, notf specified as venereal \ XI. Diseases of Pregnancy, Childbirth and THE Puerperal State: Females I 140. Abortion with septic conditions ( 141. Abortion without mention of septic con-f dition (to include hemorrhage) \ 142. Ectopic gestation f 143. Other accidents of pregnancy (not to include f hemorrhage) S 144. Puerperal hemorrhage ( 145. Puerperal septicemia (not specified as duef to abortion) i 146. Puerperal albuminuria and eclampsia i 147. Other toxemias of pregnancy f 148. Puerperal phlegmasia alba dolens, embolus, I sudden death (not specified as septic) 1 W /Male North Carolina Bureau of Vital Statistics 53 1 s 54 Annual Report Nineteen Thirty-Four Cause of Death 156. Other diseases of the organs of locomotion North Carolina Bureau of Vital Statistics 55 s 2 56 Annual Report Nineteen Thirty-Four Cause of Death XIV. Congenital Malformations: Males — FemaJes 157. Congenital malformations (stillbirths not included) XV. Diseases of Eably Infancy: Males Females. . 158. Congenital debility 159. Premature birth - 160. Injury at birth 161. Other diseases peculiar to early infancy Total... White... Indian.. Colored. Total.. - White... Indian. . Colored. W (Male... ^Female. I |Male-.. ^Female. C fMale... 1 Female. Total... White... Indian. . Colored. Total... White... Indian.. Colored. W fjMale iFemale. Male... Female. Male... Female. W ("Male... ^Female. I JMale... iFemale. C |Male.-. 1 Female. W (Male... Wemale. I fMale... ^Female. C JMale... iFemale. W /Male... ^Female. C |Male..., iFemale. 7 593 1,262 760 6 496 191 143 3 1 219 172 1,561 961 7 759 6 494 191 143 3 1 219 171 North Carolina Bureau of Vital Statistics 57 S 2 58 Annual Report Nineteen Thirty-Four Cause of Death North Carolina Bureau of Vital Statistics 59 2 in 60 Annual Report Nineteen Thirty-Four TABLE III— Cause of Death North Carolina Bureau of Vital Statistics 3 62 Annual Report Nineteen Thirty-Four Cause of Death 185. Accidental traumatism by cutting or pierc-ing instruments (wounds of war excepted) 186. Accidental traumatism by fall, crushing, landslide, etc 187. Cataclysm (all deaths attributed to cat-aclysm, regardless of their nature) 188. Injuries by animals. 189. Hunger and thirst W IMale— 1 Female. I |MaIe... 1 Female. C fMale... (Female. W jMale... Female. Ma.e Female. W /Male... Female. Male... (Male (Female. W (Male... iFemale. C fMale... (Female. W fMale... iFemale. C /Male... \Female. W (Male... ^Female. I |Male... iFemale. C fMale... 1 Female. W Female. W fMale... l^Female. C JMale... (Female. W Male. C Male. W fMale... ^Female. I JMale... ^Female. C |Male... (Female. North Carolina Bureau of Vital Statistics 63 1 s 64 Annual Report Nineteen Thirty-Four Cause of Death 191. Excessive heat. 192. Lightning. 193. Accidents due to electric currents. 194. Other accidents. 195. Violent deaths of which the nature (accident, suicide, homicide) is unknown W I Male... ^Female. I fMale... ^Female. C fMale... iFemale. W fMale... ^Female. C JMale... \Feniale- 198. Legal executions. W Male. C Male. 201. Accidents in mines and quarries 202. Accidents from agricultural machinery. 203. Elevator accidents W Male. C Male. 205. Other machinery accidents. 206. Railroad and automobile collisions. 207. Other railroad accidents. W fMale... ^Female. C JMale... \Female. W /Male... Female. Male... Female. Male Female. W /Male... Female. Male... Female. C /Male... Female. North Carolina Bureau of Vital Statistics 65 1 U5 66 Annual Report Nineteen Thirty-Four TABLE III— Cause of Death 209. Other street car accidents W Male 210. Automobile Accidents. 211. Motorcycle Accidents 212. Other land transportation accidents 213. Water transportation accidents 214. Air transportation accidents XVIII. Ill-Defined Causes of Death: Males 199. Sudden death. 200. Cause of death not specified or ill-defined- W [Male... l^Female. I |Male.-. ^Female. C JMale... \FemaIe- W Male... Total... White... Indian. . Colored. Total... White- Indian- . Colored. W (Male... ^Female. I |Male... Wemale. C |Male... \Female. W fMale... ^Female. I JMale... ^Female. C fMale... 1 Female. North Carolina Bureau of Vital Statistics 67 1 s 68 Annual Report Nineteen Thirty-Four 1 •o n North Carolina Bureau of Vital Statistics 69 2 70 Annual Report Nineteen Thirty-Four 1 E m North Carolina Bureau of Vital Statistics 71 » 72 Annual Report Nineteen Thirty-Four 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 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 peu-asitic diseases Cancer and other malignant tumors Tumors, non-malignant 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 (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 i nfancy Senility Suicide (total) Homicide (total) Violent and accidental (suicide and homicide excepted) Cause not specified or ill-defined 12,824 278 37 218 170 500 763 90 78 33 91 9 14 192 1,322 76 50 282 3,547 274 42 1,964 147 541 229 227 68 109 437 2,152 197 264 54 2 202 37 296 1,083 116 249 45 36 10 5 92 424 52 100 45 122 171 42 1,041 214 1,662 134 25 1,182 1,145 135 64 175 34 1,161 197 23 310 751 258 North Carolina Bureau of Vital Statistics 73 death (abridged international list) and by color of decedent—1934 Alamance 74 Annual Report Nineteen Thirty-Four TABLE V�� North Carolina Bureau of Vital Statistics 75 Ashe 7(> Annual Report Nineteen Thirty-Four TABLE V— North Carolina Bureau of Vital Statistics 77 78 Annual Report Nineteen Thirty-Four North Carolina Bureau of Vital Statistics 73 Cabarrus 80 Annual Report Nineteen Thirty-Four North Carolina Bureau of Vital Statistics 81 . Caswell 82 Annual Report Nineteen Thirty-Four North Carolina Bureau of Vital Statistics 83 Chowan 84 Annual Report Nineteen Thirty-Four Cause of Death Place of death Place of res. Place of death Place of AH 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, non-malignant 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 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 skin, bones and organs of locomotion 38. Congenital debility, malformations and early infancy 39. Senility 40. Suicide (total) - 41. Homicide (total) 42. Violent and accidental (suicide and homicide excepted)— 43. Cause not specifled or ill-defined North Carolina Bureau of Vital Statistics 85 Craven 86 Annual Report Nineteen Thirty-Four North Carolina Bureau of Vital Statistics 87 Da^•idson 88 Annual Report Nineteen Thirty-Four 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, 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 89 Edgecombe 90 Annual Report Nineteen Thirty-Four ^AUSE 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 pted) . Other diseases of the respiratory system (T. B 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 50 North Carolina Bureau of Vital Statistics 91 Gates 92 Annual Report Nineteen Thirty-Four TABLE V— North Carolina Bureau of Vital Statistics 93 Guilford 94 Annual Report Nineteen Thirty-Four North Carolina Bureau of Vital Statistics 95 Henderson 96 Annual Report Nineteen Thirty-Four North Carolina Bureau of Vital Statistics ^7 Iredell 98 Annual Report Nineteen Thirty-Four Cause of Death Place of death Place of res. Place of death All causes—Total recorded. . . Typhoid and paratyphoid fever. Typhus fever 1. 2. 3. Smallpox 4. 5. 6. 7. Diphtheria Measles Scarlet fever Whooping-cough. Influenza Tuberculosis of the respiratory system. Other forms of tuberculosis SyphiUs 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 Disibetes 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 North Carolina Bureau of Vital Statistics 99 Lee 100 Annual Report Nineteen Thirty-Four North Carolina Bureau of Vital Statistics 101 Macon 102 Annual Report Nineteen Thirty-Four Cause of Death Mecklenburg 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, 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 disccises 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 yeeu-s 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 North Carolina Bureau of Vital Statistics 103 Mitchell 104 Annual Report Nineteen Thirty-Four 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, 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 yeau-s) Diarrhea and enteri lis (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 esirly 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 105 New Hanover 106 Annual Report Nineteen Thirty-Four North Carolina Bureau of Vital Statistics 107 Pamlico 108 Annual Report Nineteen Thirty-Four TABLE V— North Carolina Bureau of Vital Statistics 109 Person no Annual Report Nineteen Thirty-Four North Carolina Bureau of Vital Statistics 11 Richmond 112 Annual Report Nineteen Thirty-Four North Carolina Bureau of Vital Statistics 113 114 Annual Report Nineteen Thirty-Four Cause of Death Stanly Place of death Place of Place of death All causes—Total recorded— Typhoid and paratyphoid fever. Typhus fever 3. Smallpox - Measles Scarlet fever Whooping-cough Diphtheria I nfluenza 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 Nephi itis Other diseases of the geni touri nary 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 115 116 Annual Report Nineteen Thirty-Four North Carolina Bureau of Vital Statistics 117 118 Annual Report Nineteen Thirty-Four Cause of Death Place of death Place of Place of All causes—TotsJ 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 Other diseases of the respiratory system (T. B. excepted). Diarrhea and enteritis (under 2 years) Diaurhea 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 North Carolina Bureau of Vital Statistics 119 120 Annual Report Nineteen Thirty-Four Cause of Death Place of death Place of Place of death All causes—Total recorded, . Typhoid and paratyphoid fever. Typhus fever Smallpox 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 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 (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.. - North Carolina Bureau of Vital Statistics 121 Continued Wilkes 122 Annual Report Nineteen Thirty-Four table vi—deaths (exclusive of stillbirths) in cities or towns, by cause Cause of Death Total Place of death Place of Place of death Place of All causes—Total recorded 1. Typhoid and peiratyphoid fever 2. Typhus fever -- 3. Smallpox 4. Measles 5. ScEtflet 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, non-malignant 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 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 skin, bones and organs of locomotion 38. Congenital debility, malformations and early infancy 39. Senility - --- 40. Suicide (total) 41. Homicide (total) 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—1934 124 Annual Report Nineteen Thirty-Four TABLE VI— Cause of Death 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 meJignant tumors 16. Tumors, non malignant 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 (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 skin, bones and organs of locomotion 38. Congenital debility, malformation and early infancy 39. Senility 40. Suicide (total) 41. Homicide (total) --- 42. Violent and accidental (suicide and homicide excepted) .- 43. Cause not specified or ill-defined North Carolina Bureau of Vital Statistics 125 Elizabeth City 126 Annual Report Nineteen Thirty-Four North Carolina Bureau of Vital Statistics 127 Greensboro 128 Annual Report Nineteen Thirty-Four TABLE VI— North Carolina Bureau of Vital Statistics 129 Rocky Mount 130 Annual Report Nineteen Thirty-Four North Carolina Bureau of Vital Statistics 131 132 Annual Report Nineteen Thirty-Four Q I SI 2^ 02 O 1 -i 1 1 i North Carolina Bureau of Vital Statistics 133 7.5 1.8 40.6 16.0 6.3 134 Annual Report Nineteen Thirty-Four .1 1 § § 1 North Carolina Bureau of Vital STATis'ncs 135 11.8 17.0 4.7 9.7 4.4 136 Annual Report Nineteen Thirty-Four TABLE VIII—DEATHS (EXCLUSIVE OF STILLBIRTHS) BY CAUSE AND Cause of Death Typhoid fever and paratyphoid fever. Smallpox Measles Scarlet fever Whooping-cough Diphtheria and Croup Influenza Dysentery Erysipelas Acute poliomyelitis and acute polioencephalitis Epidemic cerebrospinal meningitis Tetanus Tuberculosis of the respiratory system 32. Tuberculosis of the meninges and central nervous system Syphilis Gonococcus infection, and other venereal diseases Purulent infection, septicemia Rickets Meningitis Infantile convulsions Diseases of the ear and of the mastoid process 95. Pericarditis, endocarditis and myocarditis (acute), other diseases of the heart Bronchitis , Bronchopneumonia , Lobar pneumonia , Pleurisy Ulcer of the stomach and duodenum , Diarrhea and enteritis , Appendicitis , Hernia, intestinal obstruction . Acute nephritis , Furuncle , Phlegmon, acute abscess Other diseases of the skin and of the cellular tissue . Congenital malformation . Congenital debility . Premature birth . Injury at birth . Other diseases peculiar to early infancy . Accidental burns . Accidental mechanical suffocation . Accidental fall . I nfanticide -200. Sudden death : cause not specified or ill-defined Total all other causes 1,354 Includes four dying outside North Carolina but residents of the Slate. North Carolina Bureau of Vital Statistics BY certain subdivisions OF THE FIRST YEAR OF LIFE—1934 137 131 Annual Report Nineteen Thirty-Four TABLE IX—DEATHS UNDER 1 YEAR OF AGE (EXCLUSIVE OF STILLBIRTHS) AND MATERNAL DEATHS IN EACH COUNTY WITH RATE PER 1,000 LIVE BIRTHS—1934 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 Infant Mortality Place of Death 77.9 56.6 55.6 42.0 70.8 74.7 54.4 88.5 129.3 93.3 70.7 65.7 44.0 90.7 70.4 101.7 64.4 43.8 64.3 74.2 54.3 130.9 50.0 98.3 68.1 78.7 45.0 72.8 70.0 68.0 98.5 110.6 86.8 72.7 76.8 68.5 78.4 82.3 69.5 84.2 62.6 76.4 60.6 110.6 76.3 46.2 80.0 71.0 74.9 Place of Residence 5,182 73 19 5 53 43 23 69 100 71 77.9 65.2 55.4 35.0 72.5 73.0 58.1 82.6 131.1 95.3 79.8 62.8 42.6 91.2 67.8 100.8 67.6 49.8 66.0 78.1 54.5 130.9 85.0 51.9 101.8 85.5 61.2 85.3 51.7 74.0 78.8 73.4 86.8 110.1 87.9 71.1 78.0 67.9 83.9 93.6 69.2 84.7 71.7 77.1 64.3 110.6 75.6 49.7 79.5 72.3 Maternal Mortality Place of Death 7.6 5.6 2.9 7.0 10.7 12.2 9.2 8.2 4.3 4.7 5.9 3.1 8.5 8.4 4.6 2.7 2.2 2.3 3.6 13.2 3.1 2.6 21.9 14.4 7.9 8.1 14.2 8.0 8.1 9.8 9.3 22.8 6.5 8.0 8.6 7.5 5.1 7.9 2.4 1.8 4.4 5.6 5.8 8.2 9.9 5.6 Place of Residence North Carolina Bureau of Vital Statistics 139 TABLE rX—Cbniinued Infant Mortality Place of Death Place of Residence Maternal Mortality Place of Death Place of Residence 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 98.0 79.4 112.7 74.7 81.5 59.4 76.0 85.9 88.0 60.5 47.6 62.4 101.6 107.7 61.8 85.0 80.6 47.2 101.3 74.2 73.8 44.3 105.7 111.6 50.9 66.7 74.8 49.5 74.4 103. » 50.4 63.6 70.9 43.5 108.1 74.8 103.6 82.6 79.9 97.6 57.6 94.8 59.1 99.8 62.5 46.7 100.9 79.8 105.7 76.9 85.6 59.7 77.3 85.9 86.4 60.0 48.8 64.3 97.9 78.0 64.7 88.3 92.0 46.7" 101.8 86.0 76.9 47.5 108.8 60.3 53.9 65.8 89.2 61.8 75.3 50.7 75.4 102.0 51.0 64.4 67.4 40.2 94.8 110.3 74.8 102.2 76.2 80.8 97.6 58.7 95.7 61.5 97.2 68.1 46.2 22.9 13.2 14.5 1.7 5.1 14.3 8.6 3.8 8.8 6.3 2.8 1.7 12.9 17.8 5.6 6.7 2.3 15.2 4.8 20.5 1.5 6.1 21.5 4.6 9.2 7.8 5.7 9.0 3.8 5.4 11.1 5.8 3.9 10.7 8.5 27.0 8.0 8.8 11.9 11.0 6.1 10.3 3.8 11.7 2.7 4.1 140 Annual Report Nineteen Thirty-Four TABLE X—CASES AND DEATHS FROM SPECIAL Disease North Carolina Bureau of Vital Statistics 141 DISEASES BY MONTH OF 142 Annual Report Nineteen Thirty-Four Disease North Carolina Bureau of Vital Statistics 143 March 144 Annual Report Nineteen Thirty-Four North Carolina Bureau of Vital Statistics 145 OF THE REPORTABLE DISEASES BY COUNTIES—1934 146 Annual Report Nineteen Thirty-Four County or City North Carolina Bureau of Vital Statistics 147 M Annual Report Nineteen Thirty-Four TABLE XII—DEATH RATES PER 100,000 POPULATION FROM TEN IMPORTANT CAUSES, FOR THE STATE AS A WHOLE. WITH ESTIMATED POPULATION FOR EACH YEAR—1914-1934 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 | 1934 |
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 | 6810 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_annualreportvitalstatistics1934.pdf |
Pres Local File Path-M | \Preservation_content\StatePubs\pubs_edp\images_master\ |
Full Text |
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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.
Form No. A-369
ANNUAL REPORT
OF THE
BUREAU OF VITAL
STATISTICS
OF THE
NORTH CAROLINA
STATE BOARD 0¥ HEALTH
1934
CARL V. REYNOLDS, M. D.
SECRETARY
AND STATE HEALTH OFFICER
CONTENTS
Page
Introduction 7
GENERAL TABLES
Table L—Total births and deaths (exclusive of stillbirths) with rate per 1,000 popu-lation
for the years 1914-1934 inclusive 16
Table IL—^Births (exclusive of stillbirths) in each county, by color, with rate per
1,000 population, per cent attended by physicians and number illigitimate, 1934. 17
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 population; per cent attended by physicians
and number illigimate, 1934 21
Table IIL—Deaths (exclusive of stillbirths) for the State as a whole from each cause,
by sex, color and age 1934 (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, 1934 68
Table V.—Deaths (exclusive of stillbirths) in each county, by cause of death (abridged
international list) and by color of decedent, 1934 71
Table VI.—Deaths (exclusive of stillbirths) in cities or towns, by cause of death
(abridged international list) and by color of decedent, 1934 122
Table VII.—Death rates per 100,000 population (by place of death, also by place of
usual residence) in each county, from nine important causes, with estimated
population, 1934 132
Table VIII.—Deaths (exclusive of stillbirths) by cause by certain subdivisions of the
first year of life, 1934 • 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, 1934 138
Table X.—Cases and deaths from special diseases by month of occurrence, 1934 140
Table XI.—Cases from 30 of the reportable diseases by counties, 1934 144
Table XII.—Death rates per 100,000 population from ten important causes, for the
State as a whole, with estimated population for each year, 1914-1934 148
to
LETTER OF TRANSMITTAL
Raleigh, N. C, March 27, 1936.
To His Excellency, J. C. B. Bhringhaus,
Governor of North Carolina,
Raleigh.
My Dear Governor Ehringhaus
:
I have the honor of transmitting the report for the Bureau of Vital
Statistics covering the calendar year 1934.
With assurance of my very best respect, I am
Ver^ sincerely,
CARL V. REYNOLDS, M.D.,
Secretary and State Health Officer.
INTRODUCTION
The Bureau of Vital Statistics began the recording of births and deaths
in the latter part of 1913, but it was not until 1916 for deaths and 1917
for births that registration was complete enough for admission to the
United States Registration Area. The first annual report related to 1914,
and one has been published annually ever since with the exception of 1918
and 1919.
The present report follows the plan begun in 1931 in that the abridged
International List of Causes of Death has been used in tabulating deaths
by counties and cities, in preference to the detailed list used prior to the
1931 report. The deaths recorded for the State as a whole has been
tabulated, as formerly, according to the detailed International List of
Causes. Births have been allocated to the place of legal residence of the
mother and deaths to the place of legal residence of the deceased before
death. Prior to 1932 births and deaths had been recorded by place of
occurrence only. This gives too high a rate for those counties containing
hospitals that draw a large number of patients from other counties and
too low a rate for the counties from which the patients are drawn. In
order to permit comparison with years before tabulations by place of
residence was 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 consideration. The rates given in this
report are crude rates, in the calcultaion of which no allowance is made
for the differences in the 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
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
of any ten years on record. There was an increase of 352,836 between
1910 and 1920, and an increase of 312,477 for the period 1900-1910. It is
not reasonable to predict as great a growth between 1930 and 1940 as
occurred in the preceeding decade.
Of the total population in 193 0, 2,234,948 or 70.5 per cent were white;
918,647 or 29.0 per cent negro; and 0.5 per cent or 16,681 classified as
"other races," 16,579 being Indians. The number classified as urban was
8 Annual Report Nineteen Thirty-Four
809,847 or 25.5 per cent of the total. This included all incorporated
places of 2,500 inhabitants or more. Cities of 10,000 population or over
grew from fourteen in 1920 to twenty-one in 1930.
TABLE 1. Total, Urban and Rural Population of North Carolina
BY Race. (1930 U. S. Census)
Total White Negro Other
Total 3,170,276 2,234,948 91S,647 16,681
Urban 809,847 563,478 246,237 132
Rural 2,360,429 1,671,470 672,410 16,549
The mid-year population of the State in 1934, as estimated by the
Bureau of Vital Statistics, is 3,306,000. This represents an increase of
31,000 over 1933. The estimate for the white population is 2,332,000
and for the colored 974,000.
Natality
Live Births: The birth rate increased from a low of 23.0 per 1,000
population in 1933 to 24.1 in 1934. The rate of 23.0 for 1933 was the
lowest recorded since the beginning of registration in 1913. In actual
numbers there were 79,556 live births recorded, 4,234 more than for 1933.
Of the 79,556 live births, 54,43 8 were white, 24,432 negro and 686 Indian,
which gives a birth rate of 23.3 per 1,000 population for white and 25.5
for negro. The birth rate ranged between 3 and 35 per 1,000 population
from 1914 to 1924. Since that time the rate has gradually declined to the
record low of 23.0 in 1933.
Stillbirths: In conformity with statistical practice, the stillbirths were
not included in the totals of either births or deaths but tabulated separately.
Parallel to the increase in the number of births, there were 181 more
stillbirths than last year. The 3,303 stillbirths represent a rate of 41.5
per 1,000 live births. For 1933 the rate was 41.4. 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 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
North Carolina Bureau of Vital Statistics 9
is to be expected. Hundreds of certificates are queried yearly as to cause
of death in order to classify them correctly.
The health conditions in North Carolina for 1934 were, in general,
not so favorable as for the preceeding year. There were more deaths
recorded from all causes combined, and consequently a higher death rate,
than for any year since 1930. The 31,112 deaths, exclusive of stillbirths,
represent an annual death rate of 10.6 per 1,000 population. The mortality
rate for 1933 was 9.3; for 1932, 9.6; for 1931, 10.2; and for 1930, 11.2.
Considered in terms of total deaths, the number reported for 1934 was
4,616 more than for 1933, and 4,112 more than in 1932.
A great majority of the causes of death participated in the increase.
Diseases of the heart, nephritis, cerebral hemorrhage, embolism and throm-bosis,
caused a larger number of deaths in 1934 than the year before.
Pneumonia and influenza alone killed over 900 more people than in 1933,
and heart diseases nearly 800 more. Diarrhea and enteritis under two
years increased. The measles epidemic accounted for 3 33 in 1934 against
91 for the previous year, and whooping-cough doubled. Scarlet fever,
diphtheria and tuberculosis showed little change, while typhoid fever deaths
were lower. The infant and maternal death rates manifest a considerable
increase.
Violent and accidental deaths increased in 1934. The suicide rate
was somewhat below that of 193 3, while homicides had a slight increase.
Fatalities from automobile accidents continued to climb as did deaths from
accidental burns. Deaths from railway, drowning and firearm accidents
remained practically unchanged.
The principal causes of death in 1934 in order of their rank were
diseases of the heart, nephritis, congenital malformations and diseases of
early infancy, the pneumonias, cerebral hemorrhage, accidents, tuberculosis
and cancer. Chart 1 shows the death rates in North Carolina from these
eight leading causes in 1934, in comparison with the eight leading causes
in 1914. The relative positions of the various causes of death have changed
within the past tr/enty years. Tuberculosis ranking first in 1914 with a
rate of 139 per 100,000 population has decreased to seventh place in 1934
with a rate of 64.8. This is an outstanding example of the success of
preventive medicine and public health in the control of an infectious disease.
10 Annual Report Nineteen Thirty-Four
CHART 1. Eight Leading Causes of Death in North Carolina,
1914 AND 1934.
LEADING CAUSES OF DEATH
Cause of death
1 Dtseases of the heart
2 Nephritis
3 Coruj. malf. ^ eorly mf.
4 Pneumonia (all forms)
5 Cerebral hemorrhocfe
^Accidents (total)
7 Tuberc u los / s (a // foivws)
8 Cancer
Rate per loo.ooo population
20 40 dO 80 iOO UO J4-0 1(.0
1 Tuberculosis(Qll forms)
2 Pneumonia (all forms)
5 Oiarrhea'v- enteritis
4 Diseases of the heart
5 Cerebral hemorrhaqe
(,Con<].nolfMearly mf.
7 Nephritis
8 Accidents (total)
North Carolina Bureau of Vital Statistics 11
Typhoid Fever: There was a noticeable decrease in the number of deaths
from typhoid fever. The 91 deaths from this cause were thirty-seven
fewer than for 1933, and sixty-seven fewer than for 1932, with a consequent
lowering of the death rate from 3.9 per 100,000 population in 1933 to 2.8
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 2.8.
Smallpox: This is the third consecutive year that no deaths were reported
from smallpox. There were 18 cases reported to the Division of Epi-demiology.
In 193 3 there were 3 5 cases reported.
Measles: During 1934 North Carolina had a more or less state-wide
epidemic of measles. There were 33 3 deaths accounting for a rate of 10.2
per 100,000 population. This epidemic was much less severe than the last
one in 192 8 when there were 501 deaths with a rate of 27.
Diphtheria: The records concerning diphtheria show little improvement.
There were 207 deaths with a rate of 6.3 per 100,000 population com-pared
to 218 deaths with a rate of 6.6 for 1933. 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. This failure to
show continued improvement is all the more striking since diphtheria is
a disease for which we have a specific protective vaccine. In round num-bers,
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 long before the child becomes of school age.
Influenza and Pn-emnonia: There were 3,176 deaths from pneumonia,
and 804 deaths from influenza, making a total of 3,980 recorded for 1934.
The deaths from these two conditions give a rate of 120.4 per 100,000
population for 1934, as against a rate of 96.8 for 1933.
Tuberculosis: The death rate from all forms of tuberculosis was 64.8
in 1934 and 64.4 in 1933. This is one disease that did not participate
in the increased mortality for 1934 as did the majority of other conditions.
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, but
has fallen to seventh place in 1934. The present rate is the lowest ever
recorded with the exception of 1933, and compares favorably with that
year when the fact that most other conditions increased is taken into
account. Thus the relative position occupied by tuberculosis among the
principle causes of death was changed from fifth to seventh place.
Of the 2,149 deaths from all forms of tuberculosis 49.1 per cent were
males and 50.9 per cent females, 44.0 per cent were white and 55.8 per
12 Annual Report Nineteen Thirty-Four
cent negro. The colored rate of 123.5 for tuberculosis is more than three
times the white rate of 40.6.
Cancer: Cancer accounted for 1,774 deaths in 1934, giving a rate of
53.7 against a rate of 53.1 for 1933 and 51.7 for 1932. While the trend
of cancer mortality has been steadily upward in the past, we have almost
held our own for the past three years, and it is not unreasonable to hope
for the prevention of an increase.
Pellagra: The mortality from pellagra failed to continue its downward
trend begun in 1931. In fact the rate increased from 12.0 per 100,000
population in 1933 to 13.2 in 1934. However, the 436 deaths are far
below the 1,015 for 1930, the peak year for pellagra deaths.
Suicides and Homicides: The deaths from suicides decreased and those
from homicides increased for 1934, the total showing only 3 more than for
1933. There were 242 suicidal and 469 homicidal deaths.
Accidental Causes: Violent and accidental deaths, exclusive of suicides
and homicides, increased from 1,968 in 1933 to the record high of 2,347
in 1934, placing violent and accidental deaths sixth among the principal
causes of death. Automobile accidents accounted for the greatest number
of accidental deaths and for a large part of the increase. There were 938
deaths from all types of automobile accidents in 1934, and 780 in 1933.
There were 109 railroad accidents in 1934 and 106 in 1933, exclusive of
collision with automobiles.
Maternal Mortality: The diseases of pregnancy, childbirth and the puer-peral
state continued to exact a large number of lives. There was an
increase in the number of puerperal deaths, but parallel to this there was
likewise an increase in the number of births which fact accounts for no
greater rise in the maternal mortality rate than is shown. There were 606
maternal deaths in 1934 to 53 5 in 193 3, giving a rate of 7.6 per 1,000 live
births for the former year and 7.1 for the latter. This is in excess of the
rate of approximately 6.5 for the United States Registration Area. There
were 363 white, 4 Indian, and 239 negro puerperal deaths, accounting for
a death rate of 6.7 per 1,000 live births for the white and 9.7 for the colored.
Table 2. Deaths from Pregnancy, Childbirth and the Puerperal
State by Cause by Age Groups.
10- 15- 20- 25- 30- 35- 45^ Und.
^^"^^
Total 14 19 24 29 34 44 over
Abortion 66 3 16 12 13 20 1 1
Ectopic gestation 14 1 6 3 2 2
Other accidents of pregnancy. 25 375361
Puerperal hemorrhage 78 6 9 16 14 32 1
North Carolina Bureau of Vital Statistics 13
Puerperal septicemia 118 1 20 34 24 23 15 1
Puerperal albuminuria
and eclampsia 181 1 43 38 33 26 39 1
Other toxemias of pregnancy 39 677513 1
Puerperal phlegmasia alba-dolens,
embolus, sudden death 22 14 8 4 5
Other accidents of childbirth 63 1 8 12 11 15 16
Total 606 3 91 133 119 105 148 6 1
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 septicemia and puerperal hemorrhage,
respectively. Albuminuria and eclampsia with other toxemias of pregnancy
account for 220 maternal deaths, which is over one-third of all maternal
deaths.
Infant Mortality: The total number of deaths under one year of age
was 6,200, 1,226 more than occurred in 1933. However, there were more
births than in 1933, but not enough more to account for the increased
number of deaths. In 1933 the death rate was 66.0 per 1,000 Hve births
and in 1934 the rate was 77.9. Of the total deaths 3,661 were white and
2,539 colored. This gave a rate of 67.2 for the white and a rate of 101.1
for the colored.
Table 3. Infant Deaths from Ten Leading Causes by Age
Groups.
Under 1-6 7-29 1-11
Total 1 day days days mos.
All Causes 6200 1354 967 769 3110
Ten Leading Causes 5330 1317 917 679 2417
Premature birth 1671 936 424 222 89
Pneumonias 947 2 22 115 808
Diarrhea and enteritis 736 1 4 51 680
Congenital debility 728 155 185 132 256
Congenital malformations 316 68 79 55 114
Whooping-cough 276 2 15 259
Injury at birth 233 88 109 25 11
Other diseases peculiar
to early infancy 188 50 79 46 13
Influenza 152 1 7 11 133
Syphilis 83 16 6 7 54
The ten leading causes of infant deaths shown in table 3 accounted
for 86 per cent of all infant deaths. Premature birth was given as the
14 Annual Report Nineteen Thirty-Four
cause for 1,671 deaths and ranked first among the conditions afiFecting
infants. The pneumonias, diarrhea and enteritis, and congenital debility
ranked second, third and fourth, respectively. Of the 5,3 30 deaths from the
ten leading causes 25 per cent or 1,317 occurred under one day of age,
and 42 per cent or 2,234 within the first weeks of life.
REGISTRATION
Every birth and death occurring in North Carolina should be recorded
with the Bureau of Vital Statistics. To the individual the registration of
a birth occurring in North Carolina makes it possible always to obtain an
oflScial 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. Like-wise,
the demand for death certificates show that this vital record is essential
in upholding the right of citizens in the establishment 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 certificates 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 completenes of our birth and death records.
Annual Report Nineteen Thirty-Four
-TOTAL BIRTHS AND DEATHS (EXCLUSIVE OF STILLBIRTHS) WITH RATE
PER 1000 POPULATION FOR THE YEARS 1914-1934 INCLUSIVE
Year
North Carolina Bureau of Vital Statistics 17
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OCLC number | 5107459 |