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

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