Annual report of the Bureau of Vital Statistics of the North Carolina State Board of Health

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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 OF HEALTH
1935
CARL V. REYNOLDS, M.D.
SECRETARY
AND STATE HEALTH OFFICER
CONTENTS
Introduction
GENERAL TABLES
Table L—Total births and deaths (exclusive of stillbirths) with rate
per 1,000 population for the years 1914-1935 inclusive 16
Table II.—Births (exclusive of stillbirths) in each county, by color,
with rate per 1,000 population, per cent attended by physicians
and number illegitimate, 1935 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 popula-tion;
per cent attended by physicians and number illegitimate,
1935 21
Table III.—Deaths (exclusive of stillbirths) for the State as a whole
from each cause, by sex, color and age 1935 (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, 1935 68
Table V.—Deaths (exclusive of stillbirths) in each county, by cause
of death (abridged international list) and by color of decedent,
1935 72
Table VI.—Deaths (exclusive of stillbirths) in cities or towns, by cause
of death (abridged international list) and by color of decedent,
1935 122
Table VII.—Death rates per 100,000 population (by place of death,
also by place of usual residence) in each county, from nine im-portant
causes, with estimated population, 1935 132
Table VIII.—Deaths (exclusive of stillbirths) by cause by certain sub-divisions
of the first year of life, 1935 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,
1935 138
Table X.—Cases and deaths from special diseases by month of occur-rence,
1935 140
Table XI.—Cases from 30 of the reportable diseases by counties, 1935 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, 1914-1935 148
LETTER OF TRANSMITTAL
Raleigh, N. C, March 5, 1937.
To His Excellency, Clyde R. Hoey,
Governor of North Carolina,
Raleigh.
My dear Governor Hoey
:
I have the honor of transmitting- the report for the Bureau
of Vital Statistics covering the calendar year 1935.
With assurance of my very best respect, I am
Sincerely,
CARL V. REYNOLDS, M.D.,
Secretary and State Health Officer.
INTRODUCTION
The annual report of the Bureau of Vital Statistics presents
a tabulation of births and deaths occurring in North Carolina as
recorded with the State Board of Health for the year 1935. The
first annual report related to 1914, and one has been published
annually ever since with the exception of 1918 and 1919. The
Bureau of Vital Statistics began the recording of birth 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 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 have been tabulated, as formerly, accord-ing
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 occur-rence
only. This gives too high a rate for those counties con-taining
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 were begun, deaths
and births have been recorded by place of occurrence and by
place of residence.
Although tabulation by residence corrects one, probably the
greatest, source of error in comparing the rates of different
localities there are other factors that must be taken into con-sideration.
The rates given in this report are crude rates, in the
calculation of which no allowance is made for the differences in
sex, age and color distribution of the population. Furthermore,
the degree of completeness of reporting may vary in different
localities, and this should be taken into consideration when com-paring
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
8 Annual Report Nineteen Thirty-Five
largest addition of any ten years on record. There was an in-crease
of 352,836 between 1910 and 1920, and an increase of
312,477 for the period 1900-1910. It is doubtful if North Caro-lina
has continued to increase as rapidly in numbers since 1930
as it did in the decade immediately preceding 1930.
Of the total population in 1930, 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 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 2,234,948 918,647 16,681
Urban 809,847 563,478 246,237 132
Rural 2,360,429 1,671,470 672,410 16,549
The population of North Carolina on July 1, 1935 was
3,417,000, according to the estimate made by the United States
Bureau of the Census. The method used in deriving this figure
was basically as follows : an estimate for the entire country was
computed on the excess of births over deaths and immigration
over emigration. Allowance was made for under-registration of
births and deaths. In general the computed increase in the popu-lation
of the country as a whole was distributed among the states
in proportion to the share which each of these areas had in the
increase between 1920 and 1930. Furthermore, the trend in
school enrollment and other local data was taken into considera-tion.
The Bureau of Vital Statistics has estimated that of the
3,417,000 total population 2,417,000 are white and 1,000,000 are
colored. A similar method of that used by the Census Bureau
has been adopted by the Bureau of Vital Statistics in estimating
the population of counties. The increase computed for the State
as a whole was distributed among the counties in proportion lo
the share which each county had in the increase between 1920
and 1930. No estimates were made for areas where population
decreased in 1920-1930, the figures shown being those of the last
Federal census.
North Carolina Bureau of Vital Statistics 9
Natality
Live Births: The birth rate of 23.3 per 1,000 population varies
little from the 24.1 for 1934. In actual numbers there were 79,596
live births recorded for 1935 and 79,556 for 1934. The lower rate
is due to the fact that the population increased proportionally
at a more rapid rate than the births. Of the 79,596 live births,
54,199 were white, 24,642 negro, and 755 Indian, which gives
rates of 22.4 per 1,000 population for white and 25.1 for negro.
The birth rate ranged between 30 and 35 per 1,000 population
from 1914 to 1924. From the latter date to 1929 the decline was
rapid, but since that time it has shown only slight variations
from year to year, the rate of 23.0 in 1933 being the record low.
Stillbirths: In conformity with statistical practice, the still-births
were not included in the totals of either births or deaths
but tabulated separately. There were 46 less stillbirths than last
year. The 3,257 stillbirths represent a rate of 40.9 per 1,000 live
births. For 1934 the rate was 41.5. 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 con-dition
or symptom is essential if the greatest accuracy 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 1935 were, in
general, more favorable than for the preceding year. There
were fewer deaths recorded from all causes combined, and con-sequently
a lower death rate than for 1934. The 33,451 deaths,
exclusive of stillbirths, represent an annual death rate of 9.8 per
1,000 population. The mortality rate for 1934 was 10.6; for 1933,
9.3; for 1932, 9.6; and for 1931, 10.2. Considered in terms of
total deaths, the number reported for 1935 was 1,661 fewer than
for 1934, but 2,955 more than in 1933.
10 Annual Report Nineteen Thirty-Five
Diseases of the heart, nephritis, cerebral hemorrhage, em-bolism
and thrombosis, accounted for approximately the same
proportion of the total deaths as in 1934. The pneumonias and
influenza showed a slight decline. Diarrhea and enteritis in chil-dren
under two years of age contributed 852 deaths as against
1,001 in 1934. Measles deaths dropped from 333 for 1934 to 69
for 1935, while there were 113 fewer deaths charged to whooping
cough. Typhoid fever, scarlet fever, diphtheria and tuberculosis
showed encouraging declines.
Violent and accidental deaths increased in 1935. The suicide
rate was somewhat above that of 1934, while homicides showed
a decrease. Fatalities from automobile accidents continued to
climb as did deaths from accidental burns. Deaths from railw^ay,
drowning and firearm accidents remained practically unchanged.
The principal causes of death in 1935 in order of their rank
were diseases of the heart, nephritis, congenital malformations
and diseases of early infancy, cerebral hemorrhage, the pneu-monias,
accidents, tuberculosis and cancer. The relative posi-tions
of the various causes of death have changed within the
past twenty years. Tuberculosis ranking first in 1914 with a
rate of 139 per 100,000 population has decreased to seventh place
in 1935 with a rate of 56.7. This is an outstanding example of
the success of preventive medicine and public health in the con-trol
of an infectious disease.
Heart diseases rank first in 1935 in the list of causes of death.
In 1914 there were 1,780 deaths charged to this condition and in
1935 diseases of the -heart accounted for 5,191 deaths. This rep-resents
a rate twice that of 1914. Nephritis, second in impor-tance,
was seventh twenty years ago. Pneumonia has dropped
from second to fourth place although the rate has remained
practically unchanged. Diarrhea and enteritis, a major cause of
death in 1914, does not appear among the eight leaders in 1935.
The rate has fallen from 98.8 per 100,000 population in 1914 to
24.9 in 1935. Modern sanitary measures have played a large
part in reducing the death rate from diarrhea among infants.
Typhoid Fever: There was a slight decrease in the number of
deaths from typhoid fever. The 83 deaths from this cause were
eight fewer than for 1934, and forty-five fewer than for 1933,
with a consequent lowering of the death rate from 2.8 per 100,000
population in 1934 to 2.4 for the present year. The improvement
in this condition can be appreciated by comparing the rate of
North Carolina Bureau of Vital Statistics 11
35.8 in 1914, or a total of 839 deaths, to the present record low
rate of 2.4.
Smallpox: This is the fourth consecutive year that no deaths
were reported from smallpox. There were 24 cases reported to
the Division of Epidemiology. In 1934 there were 18 cases re-ported.
Measles: As was to be expected following the epidemic year
of 1934, the deaths from measles showed a sharp decline. Measles
caused 333 deaths in 1934 and 69 in the present year. This
number is still greater than the average shown for years farther
removed from an epidemic.
Diphtheria: The records concerning diphtheria show some im-provement.
There were 164 deaths with a rate of 4.8 per 100,000
population compared to 207 deaths with a rate of 6.3 for 1934.
There was a seventy per cent reduction in the mortality rate from
this disease between 1915 and 1931, but no significant change in
the rate since, with the exception of the decrease shown this
year. This failure to show continued improvement is all the more
striking since diphtheria is a disease for which we have a spe-cific
protective vaccine. 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 long before the child becomes of school age.
Influenza and Pneumonia: There were 2,828 deaths from
pneumonia, and 1,033 deaths from influenza, making a total of
3,861 recorded for 1935. The deaths from these two conditions
give a rate of 113.0 per 100,000 population for 1935 as against a
rate of 120.4 for 1934. There were over 200 more deaths from
influenza during 1935 than for the previous year, but the few-er
deaths charged to the pneumonias gave a smaller rate for the
pneumonias and influenza combined.
Tuberculosis: The death rate from all forms of tuberculosis
was 56.7 in 1935 and 64.8 in 1934. This represents a decrease in
actual numbers of 213. Tuberculosis ranked first among all
causes of death in 1914, but has fallen to seventh place in 1935.
In the past twenty years the mortality rate has declined by ap-proximately
65 per cent. The rate for the present year is the
lowest ever recorded.
12 Annual Report Nineteen Thirty-Five
Of the 1,936 deaths from all forms of tuberculosis, 51 per cent
were males and 49 per cent females ; 44 per cent were white and
56 per cent negro. The colored rate of 110.5 for tuberculosis is
almost three times the white rate of 35.5.
Cancer: Cancer accounted for 1,780 deaths in 1935, giving a
rate of 52.1 against a rate of 54.0 for 1934 and 53.1 for 1933.
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 in-crease.
Pellagra: The mortality from pellagra continued the down-ward
trend begun in 1931, but interrupted by an increase for
1934. The rate for 1935 was 11.4 per 100,000 population. This
was lower than the 13.2 for 1934 and 12.0 for 1933. The peak
year for pellagra deaths was 1930 when 1,015 were charged to
this disease.
Suicides and Homicides: The deaths from suicides increased
and those from homicides decreased for 1935, the total showing
36 fewer than for 1934. There were 276 suicidal and 399 homi-cidal
deaths.
Accidental Causes: Violent and accidental deaths, exclusive
of suicides and homicides, increased from 2,347 in 1934 to 2,385
in 1935, placing violent and accidental deaths sixth among the
principal causes of death. Automobile accidents accounted for
the greatest number of accidental deaths; in fact, if it had not
been for the increased number of deaths from this condition
there would have been fewer deaths from all accidental causes
than for 1934. There were 1,058 deaths from all types of auto-mobile
accidents in 1935 and 938 in 1934. There were 105 rail-road
accidents in 1935 and 109 in 1934, exclusive of collisions
with automobiles.
Maternal Mortality: The diseases of pregnancy, childbirth
and the puerperal state continued to exact a large number of
lives. There was a decrease of 52 maternal deaths in approxi-mately
the same number of births as for 1934, which accounts
for a somewhat lower maternal mortality rate. There were 554
maternal deaths in 1935 to 606 in 1934, giving a rate of 7.0 per
1,000 live births for the former year and 7.6 for the latter. This
is in excess of the rate of approximately 6.5 for the United
North Carolina Bureau of Vital Statistics 13
States Registration Area. There were 316 white, 4 Indian, and
234 negro puerperal deaths, accounting for a death rate of 5.8
per 1,000 live births for the white and 9.5 for the colored.
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 septice-mia
and puerperal hemorrhage, respectively. Albuminuria and
eclampsia with other toxemias of pregnancy account for 190
maternal deaths, which is over one-third of all maternal deaths.
Infant Mortality: The total number of deaths under one year
of age was 5,407 or 789 less than occurred in 1934. But for 1934
infant mortality was exceptionally high and the rate for 1935
just about equaled that of 1933. In 1935 the death rate was 67.9
per 1,000 live births, 77.9 in 1934 and 66.0 in 1933. Of the total
deaths 3,191 were white and 2,216 colored. This gave a rate of
58.9 for the white and a rate of 87.3 for the colored.
Ten principal causes accounted for over 80 per cent of all in-fant
deaths. Premature birth was given as the cause for 1,614
deaths and ranked first among the conditions affecting infants.
Diarrhea and enteritis, congenital debility, and the pneumonias
ranked second, third and fourth, respectively. Of the 4,628
deaths from the ten leading causes 28 per cent or 1,306 occurred
under one day of age, and 47 per cent or 2,165 within the first
week 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 oflficial record of the facts surround-ing
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 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 certifi-cates
are essential if our true problems are to be known, if our
14 Annual Report Nineteen Thirty-Five
programs are to be intelligently planned and we are to ascertain
their effectiveness, and if errors in our work are to be detected.
It is, therefore, important that every effort be made to promote
the completeness of our birth and death records.
16 Annual Report Nineteen Thirty-Five
TABLE I—TOTAL BIRTHS AND DEATHS (EXCLUSIVE OF STILLBIRTHS) WITH RATE
PER 1000 POPULATION FOR THE YEARS 1914-1935 INCLUSIVE
North Carolina Bureau of Vital Statistics 17
18 Annual Report Nineteen Thirty-Five
North Carolina Bureau of Vital Statistics 19
20 Annual Report Nineteen Thirty-Five
North Carolina Bureau of Vital Statistics 21
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22 Annual Report Nineteen Thirty-Five
TABLE III—DEATHS (EXCLUSIVE OF STILLBIRTHS) FOR THE STATE AS A WHOLE.
DENTS DYING IN
Cause of Death
^ -I o
I. Infectious and Parasitic Diseases:
1. Typhoid fever.
2. Paratyphoid fever
.
3. Typhus fever
7. Measles.
9. Whooping-cough.
10. Diphtheria.
TotaL..
White...
Indian..
Colored .
Total...
White...
Indian..
Colored .
Total...
White..
Indian.
.
Colored
.
Total...
White.-
Indian.
Colored
W Male...
Female.
C jMale...
Female.
Male.
Male.
5,419
19
1,211
2.338
1.352
13
North Carolina Bureau of Vital Statistics 23
FROM EACH CAUSE. BY SEX, COLOR AND AGE—1935 (INCLUDES DEATHS OF RESI-OTHER
STATES)
s
24 Annual Report Nineteen Thirty-Five
Cause of Death
North Carolina Bureau of Vital Statistics 25
o
26 Annual Report Nineteen Thirty-Five
Cause of Death
25. Tuberculosis of the intestines and
peritoneum
26. Tuberculosis of the vertebral column.
r. Tuberculosis of the bones and joints
(vertebral column excepted)
28. Tuberculosis of the skin and subcutaneous
cellular tissue
29. Tuberculosis of the lymphatic system (bron-chial,
mesenteric and retroperitoneal
glands excepted)
30. Tuberculosis of the genitourinary system-
Si. Tuberculosis of other organs
32. Disseminated tuberculosis.
34. Syphilis.
35. Gonococcus infection and other venereal
di
W Female.
W Male.
C Male.
W (Male...
\Female.
C Male...
36. Purulent infection and other venereal
North Carolina Bureau of Vital Statistics 27
o
-5
28 Annual Report Nineteen Thirty-Five
Cause of Death
North Carolina Bureau of Vital Statistics 29
><
30 Annual Report Nineteen Thirty-Five
Cause of Death
45. Cancer and other malignant
buccal cavity
46. Cancer and other malignant tumors of the
digestive tract and peritoneum
47. Cancer and other malignant tumors of the
respiratory system
50. Cancer and other malignant tumors of the
breast
51. Cancer and other malignant 1
male genitourinary organs
52. Cancer and other malignant tumors of the
skin
53. Cancer and other malignant tumors of
other or unspecified organs
54. Non-malignant tumors.
Tumors of which the nature is not specified.
48. Cancer and other malignant tumors of the /
uterus
)^
49. Cancer and other malignant tumors of
other female organs
W ("Male...
1 Female.
C |Male.„
\Female.
W J Male...
Female.
Male...
Female.
Male
Female.
W I Male...
^Female.
C JMale...
\ Female.
Female.
Female.
W Female-
C Female.
North Carolina Bureau of Vital Statistics 31
o
32 Annual Report Nineteen Thirty-Five
Cause of Death
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.
60. Scurvy..
61. Beriberi.
62. Pellagra.
65. Diseases of pituitary body.
66. Diseases of the thyroid and parathyroid
glands
W Male
W /Male...
1 Female.
C JMale...
1 Female.
North Carolina Bureau op Vital Statistics 33
E
34 Annual Report Nineteen Thirty-Five
Cause of Death
67. Diseases of the thymus gland.
68. Diseases of the adrenals (Addison's disease,
not specified as tuberculosis)
69. Other general diseases.
IV. Diseases of the Blood and Blood-
Making Organs:
70. Hemorrhagic conditions.
Leukemias and pseudoleukemias.
73. Diseases of the spleen.
74. Other diseases of the blood-making organs.
V. Chronic Poisonings and Intoxications:
Males
(Male...
[Female.
Total...
White...
Indian..
Colored
.
North Carolina Bureau of Vital Statistics 35
2
36 Annual Report Nineteen Thirty-Five
TABLE III-Cause
of Death
75. Alcoholism (acute or chronic).
76. Chronic poisonings by other organic
77. Chronic poisonings by mineral substances.
Total
White
Indian
Colored
Total...
White...
Indian.
.
Colored
.
W (Male...
iFemale.
C |Male.-
1 Female.
W /Male...
iFemale.
C /Male...
1 Female.
W Male.
W /Male...
iFemale.
C /Male...
1 Female.
1,233
7
652
[,678
1,020
North Carolina Bureau of Vital Statistics 37
1
s
38 Annual Report Nineteen Thirty-Five
>AUSE OP UEATH
3,189
2,250
7
932
2,480
1,636
North Carolina Bureau of Vital Statistics
1
40 Annual Report Nineteen Thirty-Five
TABLE III-Cause
of Death
90. Pericarditis.
91. Acute endocarditis.
92. Clironic endocarditis, valvular diseases.
93. Diseases of the myocardium.
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
arteries excepted)
i. Gangrene.
North Carolina Bureau of Vital Statistics 41
1
42 Annual Report Nineteen Thirty-Five
TABLE III—
Cause of Death
99. Other diseases of the arteries
100. Diseases of the veins (varices, hemorrhoids,
phlebitis, etc.)
101. Diseases of the lymphatic system
(lymphangitis, etc.)
102. Idiopathic anomalies of the blood pressure.
103. Other diseases of the circulatory system
VIII. Diseases of the Respiratory System:
Males
104. Diseases of the nasal fossae and annexa.
103. Diseases of the larynx.
106. Bronchitis
Total--.
White-
Indian- .
Colored _
1,764
1,085
North Carolina Bureau of Vital Statistics 43
i
2
u Annual Report Nineteen Thirty-Five
TABLE III—
Cause of Death
1,302
857
9
436
1,092
433
North Carolina Bureau of Vital Statistics 45
46 Annual Report Nineteen Thirty-Five
Cause of Death fill
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
excepted)
119. Diarrhea and enteritis (under 2 years)
120. Diarrhea and enteritis (2 years and overl
W .CMale...
iFemale.
I JMale...
^Female.
C |Male._.
\Female_
W ("Male...
\Female_
W fMale._.
^Female-
C fMale...
1 Female.
W IMale...
^Female.
C [Male...
\Female.
W
121. Appendicitis-
122. Hernia, intestinal obstructic
Male
!
Female.
Male...
Female.
Male...
\Female_
W fMale...
I Female.
I /Male...
iFemale.
C fMale...
\Female-
W ''Male...
^Female.
1 [Male...
^Female.
C /Male...
\Female.
W fMale...
^Female.
1 fMale...
iFemale.
C [Male...
\Female.
123. Other diseases of the intestines.
W fMale...
iFemale.
C fMale...
\Female.
North Carolina Bureau of Vital Statistics 47
1
3
48 Annual Report Nineteen Thirty-Five
TABLE III-Cause
of Death
124. Cirrhosis of Ihe 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
128. Diseases of the pancreas
129. Peritonitis, cause not specified.
X. Diseases of the Genitourinary System:
Males -
130. Acute nephritis (including under 10 years
of age)
131. Chronic nephrit
W (Male
1 Female
I JMale
iFemale
C JMale
\ Female
W fMale
^Female...
C JMale
\Female...
W Male
Total.-.
White...
Indian..
Colored
.
Total...
White...
Indian..
Colored.
W [Male...
Wemale.
I |Male-..
Wemale.
C JMale...
1 Female.
W (Male...
iFemale.
I JMale...
l^Female.
C JMale..-
\ Female.
6S1
1,553
54
46
1,006
3
7
504
415
North Carolina Bureau of Vital Statistics 49
2
50 Annual Report Nineteen Thirty-Five
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
138. Diseases of the male genital organs, not
specified as venereal
139. Diseases of the female genital organs not
specified as venereal
XI. Diseases of Pregnancy, Childbirth and
THE Puerperal State:
Females
140. Abortion with septic conditions
141. Abortion without mention of septic con-dition
(to include hemorrhage)
142. Ectopic gestation
W /Male...
Female.
Male
Female.
Male
Female.
W fMale...
1 Female.
C JMale...
\Female_
W fMale...
1 Female.
C |Male...
\Female.
W fMale...
l^Female.
C |Male...
\Female.
W Male...
C Male...
Male.
Male.
Male.
Female.
Female.
Female.
Total
North Carolina Bureau of Vital Statistics 51
1
52 Annual Report Nineteen Thirty-Five
Cause of Death
North Carolina Bureau of Vital Statistics 53
i
54 Annual Report Nineteen Thirty-Five
TABLE III—
Cause of Death
North Carolina Bureau of Vital Statistics 55
56 Annual Report Nineteen Thirty-Five
Cause of Death
XV. Diseases of Early Infancy
Males
Females
158. Congenital debility
159. Premature birth
160. Injury at birth
161. Other diseases peculiar to early infancy..
XVI. Senility:
Total__.
White...
Indian..
Colored
.
Total...
White...
Indian.
.
Colored .
1,512
941
8
563
1,125
664
4
457
1,511
940
8
563
1,122
662
4
456
171
102
4
2
192
North Carolina Bureau of Vital Statistics 57
1
68 Annual Report Nineteen Thirty-Five
Cause of Death
XVII. Violent and Accidental Deaths:
Males
163. Suicide by solid or liquid poisons or by
absorption of corrosive substances
164. Suicide by poisonous gas-
165. Suicide by hanging or strangulation.
166. Suicide by drowning.
167. Suicide by firearms-
168. Suicide by cutting or piercing instruments.
169. Suicide by jumping from high places
170. Suicide by crushing
171. Suicide by other means
172. Infanticide (murder of infants less than
one year)
173. Homicide by firearms.
Total...
White...
Indian..
Colored.
Total
White
Indian
Colored
W Male-_-
Female.
Male...
Female.
W I Male...
^Female.
C fMale...
\ Female.
W (Male...
\Female_
I Male...
C Male...
W fMale...
! Female.
C fMale...
\Female.
W fMale...
\Female-
W Male...
W Male...
W Female.
W IMale...
\Female.
C Male...
W (Male...
iFemcde.
I fMale...
Wemale.
C fMale-
.
1 Female.
2,347
1,562
15
770
791
545
4
242
159
27 I
North Carolina Bureau of Vital Statistics 59
o
S
Annual Report Nineteen Thirty-Five
TABLE III—
Cause of Death
174. Homicide by cutting or piercing instruments
Homicide by other means
Attack by venomous animals
Poisoning by food
Accidental absorption of poisonous
Other acute accidental poisonings (
excepted)
Conflagration
181. Accidental burns (conflagration excepted)
.
182. Accidental mechanical suffocation.
183. Accidental drowmng.
W (Male,..
lFemale_
C |Male...
iFemale.
W JMale__.
Female-
Male,..
Female.
Male
Female.
W (Male...
1 Female.
C JMale...
1 Female.
W I Male...
iFemale.
C |Male..-
' \ Female.
W /Male...
iFemale.
C /Male...
/Female.
W fMale...
iFemale.
C /Male...
/Female.
W fMale...
iFemale.
C JMale...
/Female.
W fMale...
/Female.
C (Male...
/Female.
W I Male...
/Female.
I (Male...
/Female.
C /Male...
/Female.
W /Male...
\Female.
C fMale...
/Female.
North Carolina Bureau of Vital Statistics 61
s
Annual Report Nineteen Thirty-Five
Cause of Death
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
187. Cataclysm (all deaths attributed to a ca
clysm regardless of their nature)
188. Injuries by animals
189. Hunger and thrist
190. Excessive cold
191. Excessive heat
192. Lightning
193. Accidents due to electric currents
194. Other accidents
W /Male
\Female_..
C /Male
\Female.-.
W /Male
North Carolina Bureau of Vital Statistics 63
3
64 Annual Report Nineteen Thirty-Five
Cause of Death
North Carolina Bureau of Vital Statistics 65
Annual Report Nineteen Thirty-Five
Cause of Death
XVIII. Ill-Defined Causes of Death:
199. Sudden death.
200. Cause of death not specified or ill-defiued.
Total...
White..
Indian..
Colored _
Total..
White..
Indian.
Colored
.
W (Male...
^Female.
I |Male...
^Female.
C |Male...
1 Female.
W J Male...
Female.
I (Male...
Male..
.Female
North Carolina Bureau of Vital Statistics 67
E
68 Annual Report Nineteen Thirty-Five
North Carolina Bureau of Vital Statistics 69
:» o ^ — =i o XJ :»
S ^ ^ (M OO
1 I 1 1 1 1 1 —I 1 1 1 1 1 1 I 1 -* 1 1 1 1 1 ' M ! 1 I I
' —1
I I I I I I
c-i^-i^ciot^»coooioioico<^5^*<co«oy3ccooc^i-<rcoo��orc^Mccoc;cocot---X):oro
-"i»is§isiss§
70 Annual Eeport Nineteen Thirty-Five
1
1
North Carolina Bureau of Vital Statistics 71
LO o in uo o o t^
72 Annual Report Nineteen Thirty-Five
TABLE V—DEATHS (EXCLUSIVE OF STILLBIRTHS) IN EACH COUNTY, BY CAUSE OF
Cause of Dfath
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 polioencephaii
Epidemic cerebrospinal meniagitis
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 chron
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
Bronchi tis
Pneumonias
Other diseases of the respiratory system (T. B.
excepted) 1
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
Place
of
death
21,216
41
1
Place
of
21,
C
65
43
285
85
259
234
47
1,835
352
3,540
319
43
172
250
122
1,672
259
41
19
147
124
662
697
64
58
41
56
42
28
157
1,341
65
43
281
83
259
232
50
1,827
356
3,530
318
41
1,798
141
511
149
221
82
92
461
Place
of
death
1,641
260
Place
of
Place
of
death
12,077 12,032
42 42
1.054 I 1,056
190
1,639
131
32
1,006
87
324
65
108
39
29
256
1,109
118
64
170
42
1,077
154
25
273
North Carolina Bureau of Vital Statistics 73
DEATH (ABRIDGED INTERNATIONAL LIST) AND BY COLOR OF DECEDENT—1935
74 Annual Report Nineteen Thirty-Five
North Carolina Bureau of Vital Statistics 75
Ashe
76 Annual Report Nineteen Thirty-Five
North Carolina Bureau of Vital Statistics 77
Bladen
78 Annual Report Nineteen Thirty-Five
North Carolina Bureau of Vital Statistics 79
Cabarrus
Annual Report Nineteen Thirty-Five
North Carolina Bureau of Vital Statistics 81
Annual Report Nineteen Thirty-Five
TABLE V—
North Carolina Bureau of Vital Statistics 83
Chowan
84 Annual Report Nineteen Thirty-Five
North Carolina Bureau of Vital Statistics 85
Craven
86 Annual Report Nineteen Thirty-Five
North Carolina Bureau of Vital Statistics 87
Davidson
Annual Report Nineteen Thirty-Five
North Carolina Bureau of Vital Statistics 89
Edgecombe
90 Annual Report Nineteen Thirty-Five
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-malignaut 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 geni tourinary system
Puerperal septicemia
Other diseases of pregnancy and puerperal state
Diseases of the 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 91
Gates
92 Annual Report Nineteen Thirty-Five
TABLE V—
North Carolina Bureau of Vital Statistics
Place
of
Place
of
death
Place
of
Place
of
death
Place
of
Place
of
death
Plac(
of
death
Place
of
Place
of
death
Place
of
Place
of
death
Place
of
94 Annual Report Nineteen Thirty-Five
North Carolina Bureau of Vital Statistics 95
Henderson
96 Annual Report Nineteen Thirty-Five
North Carolina Bureau of Vital Statistics 97
Iredell
98 Annual Report Nineteen Thirty-Five
North Carolina Bureau of Vital Statistics
Lee
100 Annual Report Nineteen Thirty-Five
North Carolina Bureau of Vital Statistics 101
Macon
102 Annual Report Nineteen Thirty-Five
Cause of Death
Mecklenburg
Place
of
death
Place
of
Place
of
death
All causes^Total recorded
Typhoid and paratyphoid fever
Typhus fever
Smallpox
Measles
Sccirlet 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 j
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 the 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-Five
North Carolina Bureau of Vital Statistics 105
Continued
106 Annual Report Nineteen Thirty-Five
North Carolina Bureau of Vital Statistics 107
Pamlico
108 Annual Report Nineteen Thirty-Five
NoKTH Carolina Bureau of Vital Statistics 109
Person
110 Annual Eeport Nineteen Thirty-Five
North Carolina Bureau of Vital Statistics 111
112 Annual Report Nineteen Thirty-Five
North Carolina Bureau of Vital Statistics 113
Rutherford
114 Annual Report Nineteen Thirty-Five
North Carolina Bureau of Vital Statistics 115
Stokes
116 Annual Report Nineteen Thirty-Five
North Carolina Bureau of Vital Statistics 117
•
118 Annual Report Nineteen Thirty-Five
Cause of Death
All causes—Total recorded
1. Typhoid and paratyjihoid fever
2. Typhus fever
3
Smallpox
4. Measles
5. Scarlet fever
6. Whooping-cough
7. Diphtheria
8. Influenza
10. Tuberculosis of the respiratory system
1 1 . Other forms of tuberculosis
12. Syphilis
13. Malaria
14. Dysentery
14. Acute poliomyelilis 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 the nervous system and organs of special s
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, 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
Place
of
death
Place
of of
death
2
North Carolina Bureau of Vital Statistics 119
120 Annual Report Nineteen Thirty-Five
North Carolina Bureau of Vital Statistics 121
122 Annual Report Nineteen Thirty-Five
TABLE \ I—DEATHS (EXCLUSIVE OF STILLBIRTHS) IN CITIES OR TOWNS, BY CAUSE
Cause of Death Place
of
death
Place
of
Place
of
death
Place
of
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 i
'
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
Nephrit is
Other diseases of the genitourinary system
Puerperal septicemia
Other diseases of pregnancy and puerperal stale
Diseases of the skin, bones and organs of locomotion
Congenital del.ility, nnalformation and early infancy
Senility
Suicide (total)
Homicide (total)
Violent and accidental fsuicide and homicide excepted)
Cause not specified or ill-defined
5,373
10
North Carolina Bureau of Vital Statistics 123
OF DEATH (ABRIDGED INTERNATIONAL LIST) AND BY COLOR OF DECEDENT—
124 Annual Report Nineteen Thirty-Five
TABLE VI—
North Carolina Bureau of Vital Statistics 125
126 Annual Report Nineteen Thirty-Five
TABLE VI—
North Carolina Bureau of Vital Statistics 127
128 Annual Report Nineteen Thirty-Five
North Carolina Bureau of Vital Statistics 129
130 Annual Report Nineteen Thirty-Five
TABLE VI-
North Carolina Bureau of Vital Statistics 131
Wilmington
132 Annual Report Nineteen Thirty-Five
North Carolina Bureau of Vital Statistics 133
; c
134 Annual Report Nineteen Thirty-Five
North Carolina Bureau of Vital Statistics 135
s =
136 Annual Report Nineteen Thirty-Five
table mil—deaths (exclusive of stillbirths) by cause and
Cause of Death
North Carolina Bureau of Vital Statistics 137
BY CERTAIN SUBDIVISIONS OF THE FIRST YEAR OF LIFE—1935
138 Annual Report Nineteen Thirty-Five
TABLE IX— DEATHS UNDER 1 YEAR OF AGE (EXCLUSIVE OF STILLBIRTHS) AND
MATERNAL DEATHS IN EACH COUNTY WITH RATE PER 1,000 LIVE BIRTHS—1935
Infant Mortality
Place of
Death
5,407
51
19
8
42
33
17
67.9
48.4
56.9
53.7
59.3
61.1
37.7
119.9
72.4
55.2
64.4
49.1
49.9
57.6
47.2
48.7
57.2
55.7
75.8
42.3
72.0
72.6
45.3
67.9
37.9
74.3
111.6
101.4
66.0
54.3
85.6
58.5
62.7
59.2
63.8
73.3
68.3
44.9
44.4
68.2
59.6
30.6
42.5
75.5
78.6
Place of
Residence
67.9
56.1
56.4
46.4
61.0
61.5
34.7
86.3
121.7
74.3
60.2
63.1
51.3
48.3
59.0
53.6
52.4
60.0
55.9
76.9
42.4
75.2
70.9
44.9
70.6
80.4
74.0
84.0
38.9
79.6
99.0
67.2
57.2
77.5
85.3
57.1
63.1
59.5
76.8
73.0
53.1
44.9
71.6
58.7
29.7
46.3
76.8
91.8
Maternal Mortality
Place of
Death
13.0
11.1
11.9
4.0
5.6
11.0
8.6
6.3
2.0
6.5
13.0
11.9
4.4
Place of
Residence
North Carolina Bureau of Vital Statistics 139
TABLE lX~Continued
Jones
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
In ant Mortality
Place of
Death
84.4
47.0
106.0
60.7
48.0
35.2
62.0
72.5
6.3.2
46.2
75.8
64.2
67.2
108.5
54.7
61.8
45.1
69.0
100.0
82.4
71.7
43.5
79.7
102.2
54.0
53.9
61.8
48.1
59.0
38.1
78.6
94.7
52.7
45.3
73.9
51.3
43.8
78.6
.54.9
111.3
74.6
102.1
105.1
.54.1
105.4
43.7
102.9
44.3
.53.0
Place of
Residence
Maternal Mortali
88.3
47.1
98.1
61.1
47.1
36.1
65.
e
73.
S
46.9
85.4
54.1
61.6
60.1
72.0
101.1
86.4
69.5
49.
t
83.6
50.2
58.0
54.0
61.9
51 .2
57.1
41 .-9
93.9
53.4
44.7
74.2
50.7
39.4
77.5
55.8
110.0
72.4
111.4
106.7
60.1
106.5
41.7
Place of
Death
9.4
4.9
7.6
8.0
8.7
9.4
9.4
13.4
4.0
6.2
2.5
5.9
9.0
5.0
17.1
10.9
42.9
4.1
3.1
10.5
Place of
Re.'iidence
140 Annual Report Nineteen Thirty-Five
TABLE X—CASES AND DEATHS FROM SPECIAL
Diseases
North Carolina Bureau op Vital Statistics 141
DISEASES BY MONTH OF OCCURRENCE
142 Annual Report Nineteen Thirty-Five
Diseases
North Carolina Bureau of Vital Statistics 143
Mar.
144 Annual Report Nineteen Thirty-Five
table xi—cases from thirty-three of the
County or City
North Carolina Bureau of Vital Statistics
reportable diseases by counties—1935
145
i
i
.25
"1
1
146 Annual. Report Nineteen Thirty-Five
North Carolina Bureau op Vital Statistics 147
•J
l
1
148 Annual Report Nineteen Thirty-Five
TABLr-: MI—DEATH RATES PER 100,000 POPULATION FROM TEN IMPORTANT CAUSES.
K(tH THE STATE AS A WHOLE. WITH ESTIMATED POPULATION FOR
EACH YEAR—1<) 1 4-1 935 INCLUSIVE