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
1937
CARL V. REYNOLDS, M. D.,
SECRETARY
AND STATE HEALTH OFFICER
i/'
CONTENTS
Introduction '^
GENEEAL TABLES
Table I.—Total births and deaths (exclusive of stillbirths) with rate
per 1,000 population for the years 1914-1937, inclusive 15
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, 1937 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,
1937 21
Table III.—Deaths (exclusive of stillbirths) for the State as a whole
from each cause, by sex, color and age 1937 (includes all deaths
occurring in North Carolina) 22
Table IV.—Deaths (exclusive of stillbirths) in each county, by color,
with rate per 1,000 population, 1937 66
Table V.—Deaths (exclusive of stillbirths) in each county, by cause
of death (abridged international list) and by color of decedent,
1937 70
Table VI.—Deaths (exclusive of stillbirths) in cities or towns, by cause
of death (abridged international list) and by color of decedent,
1937 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, 1937 130
Table VIII.—Deaths (exclusive of stillbirths) by cause by certain sub-divisions
of the first year of life, 1937 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,
1937 136
Table X.—Cases and deaths from special diseases by month of occur-rence,
1937 138
Table XI.—Cases from 30 of the reportable diseases by counties, 1937 142
Table XII.—Death rates per 100,000 population from ten important
causes, for the State as a whole, with estimated population for
V7 each year, 1914-1937 146
C3
If
ANNUAL REPORT OF THE BUREAU OF
VITAL STATISTICS
This annual report of the Bureau of Vital Statistics presents
tabulations of births and deaths for the calendar year 1937. The
Bureau of Vital Statistics was established July 1, 1913 by legis-lative
enactment and began the registration of births and deaths
in October of the same year, 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 contained tabulations for 1914, and
a report has been published annually ever since with the excep-tion
of 1918 and 1919. Beginning with the 1931 report county
and city tabulations have been made according to the abridged
International List of Causes of Death. State tabulations have
continued to be made according to the detailed International List.
The present report follows the plan begun in 1932 of tabulating
births and deaths both by place of occurrence and by place of
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 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.
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.
Futhermore, 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 pop-ulation
when made this far removed from the 1930 census enu-meration.
State rates are based on the United States Census
Bureau estimate of 3,492,000 population. To arrive at an esti-
8 Annual Report Nineteen Thirty-Seven
mated population for each county the increase computed for the
State as a whole was distributed among- the counties in propor-tion
to the share which each county had in the increase between
1920 and 1930. No estimate was made for areas where the pop-ulation
decreased between 1920 and 1930, the figures shown be-ing
those of the 1930 Federal Census.
Natality
Live Births: The birth rate of 22.7 per 1,000 population was
the lowest ever recorded for North Carolina with the exception
of last year with a rate of 22.1. In actual numbers there were
2,923 more births than in 1936, and 352 fewer than in 1935. Of
the 79,244 live births, 53,857 were white; 24,578 negro; and 809
Indian, representing rates of 21.9 per 1,000 population for white
and 24.6 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 only slig^ht 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 38 more stillbirths than
last year, but due to the greater number of births the rate de-clined
from 40.9 to 39.9 per 1,000 live births, or approximately
one stillbirth for every 100 live births.
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 desirable
that physicians give as accurate and complete a diagnosis of the
cause of death as possible. A specific cause, rather than a g-en-eral
condition or symptom, is essential if the greatest accuracy
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 1937 as indicated
by the death rate were, in general, more favorable than for the
preceding year. There were fewer deaths recorded from all
causes combined and consequently a lower death rate than for
North Carolina Bureau of Vital Statistics 9
1936. The 33,976 deaths, exclusive of stillbirths, represent an
annual death rate of 9.7 per 1,000 population. The mortality
rate for 1936 was 10.3; for 1935, 9.8; and for 1934, 10.6. Con-sidered
in terms of total deaths, the number reported for 1937
was 1,613 fewer than for 1936.
When the deaths are analyzed by cause it is discovered that
the group of degenerative diseases caused fewer deaths than in
1936. This group—heart diseases, chronic nephritis, apoplexy,
cancer, diseases of the arteries, diabetes mellitus, and angina
pectoris,—seven in all, accounted for 14,924 in 1936 and 14,153
in 1937. In each of the two years these degenerative diseases
accounted for approximately 42 per cent of all deaths.
Table 1. Deaths from Degenerative Diseases
Nimiber
Cause of Death 1936 1937
Heart Diseases 4,944 4,783
Cerebral Hemorrhage 3,250 2,940
Chronic Nephritis 3,190 2,755
Cancer 1,819 1,912
Angina Pectoris 835 975
Diseases of the Arteries 478 402
Diabetes 409 386
Total 14,925 14,153
The principal causes of death in 1937 in order of their rank
were diseases of the heart, apoplexy, nephritis, the pneumonias,
congenital malformations and diseases of early infancy, violent
and accidental deaths, cancer and tuberculosis. This order is en-tirely
different from that shown twenty-three years ago, the first
year of registration, when tuberculosis ranked first with a rate
of 139 deaths for every 100,000 population. Tuberculosis ranked
eighth in 1937 with a rate of 54.8.
Heart diseases rank first in 1937 in the list of causes of death.
In 1914 there were 1,780 deaths charged to this condition and
in 1937 diseases of the heart, including angina pectoris, account-ed
for 5,758 deaths. This represents a rate twice that of 1914.
Nephritis, third 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
10 Annual Report Nineteen Thirty-Seven
dropped from second to fourth place. Diarrhea and enteritis, a
major cause of death in 1914, is ninth in 1937. The rate has
fallen from 98.8 per 100,000 population in 1914 to 32.8 in 1937.
Modern sanitary measures have played a large part in reducing
the death rate from diarrhea among infants.
Typhoid Fever: The death rate from typhoid fever failed to
continue the downward trend shown annually for the past five
years, but both the number and the rate increased slightly. The
75 deaths from this cause were 4 more than for 1936, but 7 fewer
than 1935. The improvement in the condition since the beginning
of registration can be appreciated by comparing the rate of 35.8
in 1914, or a total of 839 deaths, to the present low rate of 2.2,
or 75 deaths.
Smallpox: The five year period in which no deaths were re-ported
as due to smallpox was brought to a close with the one
death from this cause in 1937. There were 11 cases reported to
the Division of Epidemiology. In 1936 there were 19 cases re-ported.
Diphtheria: The record for 1937 shows a decrease in diph-theria
deaths with a lower death rate than in 1936. There were
168 deaths with a rate of 4.8 per 100,000 population compared
to 190 deaths with a rate of 5.5 for 1935. There was a seventy
per cent reduction in the mortality rate from this disease be-tween
1915 and 1931, but no significant change in the rate since
with the exception of the decrease shown in 1935 and 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
eflicacious 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 2,923 deaths from
pneumonia and 862 deaths from influenza, making a total of 3,785
recorded for 1937. The deaths from these two conditions give a
rate of 108.4 per 100,000 population for 1937 as against a rate
of 127.3 for 1936. There were 301 fewer deaths from influenza
during 1937 than for the previous year and 316 fewer from
pneumonias.
Tuberculosis: The death rate from all forms of tuberculosis
North Carolina Bureau of Vital Statistics 11
was 54.8 in 1937 and 60.8 in 1936. This represents a decrease in
actual numbers of 190. Tuberculosis ranked first among all causes
of death in 1914, but has fallen to eighth place in 1937. In the
past twenty years the mortality rate has declined by approxi-mately
65 per cent.
Of the 1912 deaths from all forms of tuberculosis, 52.6 per
cent were males and 47.4 per cent females; 40 per cent were
white and 60 per cent negro. The colored rate of 111.0 for tuber-culosis
is over three times the white rate of 31.1.
Cancer: Cancer accounted for 1912 deaths in 1937, giving
a, rate of 54.8 against a rate of 51.6 for 1936 and 52.1 for 1935.
Taken over a number of years the general trend of cancer mor-tality
has been upward, but for four years prior to 1937 we had
at least held our own. In 1937 there were 93 more deaths than in
1936, making the rate of 54.8 the highest ever recorded in North
Carolina.
Pellagra: The mortality rate of 13.0 per 100,000 population
from pellagra was an increase over the rate of 10.3 for 1936.
There has been a downward trend in mortality from this disease
since 1930 with the exception of 1934 and the present year. The
peak year for pellagra deaths was 1930 when 1,015 were charged
to this disease.
Suicides and Homicides: There were 305 suicides in 1937
and 302 in 1936. The difference was not great enough to make
any change in the rate of 8.7 per 100,000 population. There were
6 more homicidal deaths in 1937 than in 1936, the totals being
408 and 402 respectively.
Accidental Causes: Violent and accidental deaths, exclusive
of suicides and homicides, accounted for 2,484 deaths, 35 fewer
than in 1936. Violent and accidental deaths rank sixth among
the principal causes of death. Automobile accidents accounted
for the greatest number of the accidental deaths. There were
1,056 deaths from all types of automobile accidents in 1937 and
1,006 in 1936. Railroad accidents, exclusive of collisions with
automobiles, caused 99 deaths in 1937 and 109 in 1936.
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 nine years are shown in
12 Annual Report Nineteen Thirty-Seven
Table 2. There were 445 maternal deaths in 1937 to 532 in 1936,
or 87 fewer deaths although there were 2,923 more births. This
gives a maternal mortality rate of 5.6 per 1,000 live births
against a rate of 7.0 last year. There were 231 white, 211 negro
and 3 Indian puerperal deaths, accounting for a death rate of
4.3 per 1,000 live births for the white and 8.7 for the colored.
Table 2.
—
Total Maternal Deaths and Rates,
1929-1937.
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
1937 445 5.6
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 164
maternal deaths, which is 37 per cent of all maternal deaths.
Infant Mortality: The total number of deaths under one year
of age was 5,164 or 57 fewer than occurred in 1936. The rate
for 1937 was 65.1 per 1,000 live births and 68.4 in 1936. Of the
total deaths 3,017 were white and 2,147 colored. This gave a
rate of 56.0 for the white and 84.6 for the colored. The number
of deaths of infants under one year of age and the infant mor-tality
rates per 1,000 live births for the past ten years are shown
in Table 3.
North Carolina Bureau of Vital Statistics 13
Table 3.
—
Total Infant Deaths and Rates,
1928-1937.
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
1937 5,164 65.1
Five principal causes of infant mortality accounted for 70
per cent of all infant deaths. These causes with the number of
infant deaths charged to each were as follows
:
Premature birth 1,563
Diarrhea and enteritis 691
Pneumonias 560
Sudden death (cause not specified) 474
Congenital malformations 312
Total 3,600
Of the 5,164 deaths of infants under one year of age 1,243
or 24 per cent died during the first day of life and 2,124 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 individual
the registration of a birth occurring in North Carolina makes it
possible always to obtain an official 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 be-coming
more generally realized from year to year. Likewise, the
demand for death certificates show that this vital record is es-sential
in upholding the right of citizens in the establishment of
necessary facts in the closing event of life.
14 Annual Report Nineteen Thirty-Seven
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 certi-ficates
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.
North Carolina Bureau of Vital Statistics 15
Table 1
—
Total Births and Deaths (Exclusive of Stillbirths) With Rate
Per 1,000 Population for the Years 1914-1937 Inclusive
1914
1915
1916,
1917,
1918
1919
1920,
1921
1922,
1923,
1924,
1925
1926
1927,
1928
1929
1930.
1931.
1932
1933
1934
1935
1936
1937
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
22.7
29,044
31,324
31,372
33,989
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
33,976
Rate
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
10.3
9.7
•Stillbirths included in births 1914 and 1915.
North Carolina Bureau of Vital Statistics 17
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18 Annual Report Nineteen Thirty-Seven
North Carolina Bureau of Vital Statistics 19
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Annual Report Nineteen Thirty-Seven
North Carolina Bureau of Vital Statistics 21
22 Annual Report Nineteen Thirty-Seven
Table III
—
Deaths (Exclusive of Stillbirths) for the Entire
Cause of Death Race
All Causes.
I. Infectious and Parasitic Diseases:
Males
1. Typhoid fever.
2. Paratyphoid fever.
3. Typhus fever
5. Undulant fever.
Smallpox.
Scarlet fever.
9, Whooping cough.
Total...
White...
Indian..
Colored.
Total...
White...
Indian..
Colored.
Total...
White...
Indian..
Colored.
Total...
White...
Indian..
Colored.
W IMale...
Wemale.
C |Male...
\Female.
W Male...
W /Male...
C \Male...
W fMale...
1 Female.
33,976
18,549
114
6,536
15,427
9,312
79
6,036
2,112
1,077
5,164
2,851
1,705
34
1,112
2,313
1,312
21
North Carolina Bureau of Vital Statistics 23
State From Each Cause, By Sex
24 Annual Report Nineteen Thirty-Seven
Table III-Cause
of Death
lO.'Diphtheria-
13. Dysentery.
15. Erysipelas.
16. Acute poliomyelitis and acute polioencephalitis.
17. Lethargic or epidemic encephalitis _
Epidemic cerebrospinal meningitis
.
i. Tuberculosis of the respiratory system.
1
North Carolina Bureau of Vital Statistics 25
Continued
en
26 Annual Report Nineteen Thirty-Seven
North Carolina Bureau of Vital Statistics 27
Continued
1
s
"2
28 Annual Report Nineteen Thirty-Seven
Table III-
North Carolina Bureau of Vital Statistics 29
Continued
1
s
•a
30 Annual Report Nineteen Thirty-Seven
Table III-CArsE
OF Death
47. Cancer and other malignant tumors of the
respiratory system
48. Cancer and other malignant tumors of the uterus.
49. Cancer and other malignant tumors of other female
genital organs --- -
SO. Cancer and other malignant tumors of the breast.
61. Cancer and other malignant tumors of the male
genitourmary organs..
52. Canoer and other malignant tumors of the skin.
53. Cancer and other malignant tumors of other or
unspecified organs
54. Non-malignant tumors.
55. Tumors of which the nature is not specified.
III. Rheumatic Diseases, Nutritional Diseases, Dis-eases
OP THE Endocrine Glands and other
General Diseases:
Total...
White...
Indian..
Colored.
Total...
White...
Indian..
Colored.
North Carolina Bureau of Vital Statistics 31
Continued
2
CO
S
Annual Eeport Nineteen Thirty-Seven
North Carolina Bureau of Vital Statistics 3S
Continued
s
34 Annual Report Nineteen Thirty-Seven
Table III-W
fMale—
.
iFemale.
C JMale—,
\ Female-
Total...
White-
Indian..
Colored.
North Carolina Bureau of Vital Statistics 35
Continued
36 Annual Report Nineteen Thirty-Seven
North Carolina Bureau of Vital Statistics 37
Continued
£
38 Annual Report Nineteen Thirty-Seven
Table III-Cadse
of Death
85. Epilepsy.
Convulsions (under 5 years of age).
87. Other diseases of the nervous system.
Diseases of the organs of vision
Diseases of the ear and of the mastoid process.
Diseases of the Circulatory System:
Males
Acute endocarditis.
92. Chronic endocarditis, valvular diseases.
3,616
2,563
13
1,040
2,678
1,762
10
906
13
North Carolina Bureau of Vital Statistics 39
Continued
Is
40 Annual Report Nineteen Thirty-Seven
Table III—
Cause of Death
3. Diseases of the myocardiu
84. Diseases of the coronary arteries and angina pectoris.
North Carolina Bureau of Vital Statistics 41
Continued
Annual Report Nineteen Thirty-Seven
Table III—
Cause of Death
North Carolina Bureau of Vital Statistics 43
Continued
i
2
44 Annual Report Nineteen Thirty-Seven
Table III-
North Carolina Bureau of Vital Statistics 45
Continued
2
OS
o
46 Annual Report Nineteen Thirty-Seven
North Carolina Bureau of Vital Statistics 47
Continued
2
S
o>
3
48 Annual, Report Nineteen Thirty-Seven
Table I]
North Carolina Bureau of Vital Statistics 49
Continued
50 Annual Report Nineteen Thirty-Seven
Table III-Cause
of Death
135. Diseases of the bladder (tumors excepted)
136. Diseases of the urethra, urinary abscess, etc
137. Diseases of the prostate
138. Diseases of the male genital organs, not specifier
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 conditions
(to incl ude hemorrhages)
142. Ectopic gestation
143. Other accidents of pregnancy (not to include
hemorrhages)
144. Puerperal hemorrhage
145. Puerperal septicemia (not specified as due to
abortion)
146. Puerperal albuminuria and eclampsia
147. Other toxemias of pregnancy
148. Puerperal phlegmasia albadolens, embolus
death (not specified as septic)
149. Other accidents of childbirth
North Carolina Bureau of Vital Statistics 61
Continued
52 Annual Report Nineteen Thirty-Seven
Table III-Cause
of Death
156. Diseases of the joints and other organs of
locomotion
North Carolina Bureau of Vital Statistics 63
Continu
54 Annual Report Nineteen Thirty-Seven
Table III—
Cause of Death
North Carolina Bureau of Vital Statistics 65
Continued
56 Annual Report Nineteen Thirty-Seven
Table III—
Cause of Death
162. Senility
Females-
XVII. Violent and Accidental Dea
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
Total...
White...
Indian..
Colored.
W (Male...
\Female-
I fMale_...
^Female.
C |Male.-..
\FemaIe.
2,342
1,504
25
813
854
544
7
North Carolina Bureau of Vital Statistics 57
Continued
1
3
58 Annual Report Nineteen Thirty-Seven
Table III-
182. Accidental mechanical suffocation.
North Carolina Bureau of Vital Statistics 59
Continued
60 Annual Report Nineteen Thirty-Seven
Table III—
Cause of Death
183. Accidental drowning _-.
184. Accidental traumatism by firearms (wounds of war
excepted)
185. Accidental traumatism by cutting or piercing
instruments (wounds of war excepted)
186. Accidental traumatism by fall, crushing, landslide—
North Carolina Bureau of Vital Statistics 61
Continued
s
>-
2
S
62 Annual Report Nineteen Thirty-Seven
Table III-Cause
of Death
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.
209. Other street car accidents.
210. Automobile accidents.,
211. Motor-cycle accidents
212. Other land transportation accidents .
213. Water transportation accidents.
214. Air transportation accidents
XVIII. Ill-Defined Caises of Death:
Males
W Male.
C Male.
W Male.
C Male.
W Male.
C Male.
W Female.
W ("Male...
1 Female
-
I JMale...
I^Female.
C JMale...
\Female.
W Male...
Total...
White...
Indian.
.
Colored-
North Carolina Bureau of Vital Statistics 63
Continued
3
64 Annual Report Nineteen Thirty-Seven
North Carolina Bureau of Vital Statistics 65
Continued
1
-S
2
Annual Report Nineteen Thirty-Seven
North Carolina Bureau of Vital Statistics 67
^ot^cicri^-^^>^^>^oooc<itoot-^I>^Q3Ccoooiccocococ^cco6t^^^oc»
s
Annual Report Nineteen Thirty-Seven
North Carolina Bureau of Vital Statistics
=^
70 Annual Report Nineteen Thirty-Seven
Table V
—
Deaths (Exclusive of Stillbirths) in Each County, by Cause of
Cause op 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 poUomyelitis 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 melHtus
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 71
Deatk
72 Annual Report Nineteen Thirty-Seven
Table V-
North Carolina Bureau of "Vital Statistics 73
Continued
Ashe
74 Annual Report Nineteen Thirty-Seven
Table V-
North Carolina Bureau of Vital Statistics 75
Continued
Bladen
76 Annual Report Nineteen Thirty-Seven
Table V-
North Carolina Bureau of Vital Statistics 77
Continued
78 Annual Report Nineteen Thirty-Seven
Table V
—
North Carolina Bureau of Vital Statistics 79
Continued
Caswell
Annual Report Nineteen Thirty-Seven
Table V-
North Carolina Bureau of Vital Statistics 81
Continued
Chowan
82 Annual Report Nineteen Thirty-Seven
Table V-
North Carolina Bureau of Vital Statistics
Continued
Craven
84 Annual Report Nineteen Thirty-Seven
Table V—
North Carolina Bureau of Vital Statistics 85
Continued
Davidson
86 Annual Report Nineteen Thirty-Seven
Table V-Cause
of Death
Place
of
death
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 mahgnant 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 Hver
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 ._ -_
20
North Carolina Bureau of Vital Statistics 87
Continued
Edgecombe
Place
of
Place
of
death
Place
of
Forsyth
Place
of
death
Place
of
Place
of
death
Place
of
res.
Place
of
death
Place
of
Place
of
death
Place
of
Plac(
of
death
Place
of
1^
88 Annual Report Nineteen Thirty-Seven
Table V-
North Carolina Bureau of Vital Statistics 89
Continued
Gates
90 Annual Report Nineteen Thirty-Seven
Table V-
North Carolina Bureau of Vital Statistics 91
Continued
Guilford
92 Annual Report Nineteen Thirty-Seven
Table V-
North Carolina Bureau of Vital Statistics 93
Continued
Henderson
94 Annual Report Nineteen Thirty-Seven
Table V-Cavse
of Death
Hyde
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 •
Di phtheria
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
Canter 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
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
Cther 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 95
Continued
Iredell
96 Annual Report Nineteen Thirty-Seven
Table V-
North Carolina Bureau of Vital Statistics 97
Continued
Lee
Annual Eeport Nineteen Thirty-Seven
Table V—
North Carolina Bureau of Vital Statistics 99
Coyitinued
Macon
lOU Annual Report Nineteen Thirty-Seven
Table V-CaUSE
01' DEiTH
Mecklenburg
Place
of
death
Place
of
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 mahgnant 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 Uver
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 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 specif ed or ill-defined
North Carolina Bureau of Vital Statistics 101
Continued
Mitchell
102 Annual Report Nineteen Thirty-Seven
Table V-
North Carolina Bureau of Vital Statistics 103
Continued
New Hanover
104 Annual Report Nineteen Thirty-Seven
Table V-
North Carolina Bureau of Vital Statistics 105
(Continued
Pamlico
106 Annual Report Nineteen Thirty-Seven
Table V-
North Carolina Bureau of Vital Statistics 107
Continued
Person
108 Annual Report Nineteen Thirty-Seven
Table V-CAfSE
OF Death
All causes—Total i
Typhoid and paratyphoid fever.
2. 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-
Progressive locomotor ataxia and paresis
Cerebral hemorrhage, cerebral embohsm 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-defned
Randolph
Place
of
death
Place
of of
death
North Carolina Bureau of Vital Statistics 109
Continued
Richmond
110 Annual Report Nineteen Thirty-Seven
Table V—
North Carolina Bureau of Vital Statistics 111
Continued
Rutherford
112 Annual Report Nineteen Thirty-Seven
Table V—
North Carolina Bureau of Vital Statistics 113
Coy^tinued
114 Annual Report Nineteen Thirty-Seven
Table V-
North Carolina Bureau of Vital Statistics 115
Continued
116 Annual Report Nineteen Thirty-Seven
Table V
—
Cause of Death
Place
of
death
Place
of
Place
of
death
All causes��Total recorded _
Typhoid and paratyphoid fever.
Typhus fever
Smallpox
Measles
Scarlet fever
Whooping-cough
Diphtheria
Influenza
Tuberculosis of the respiratory system.
Other forms of tuberculosis
Syphilis
Malaria
Dysentery
Acute poliomyelitis and polioencephalitis
Epidemic cerebrospinal meningitis
Other infectious and parasitic diseases _
Cancer and other malignant tumors
Tumors, non-malignant or unspecified
Chronic rheumatism and gout
Diabetes mellitus
Alcohohsm (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 117
Continued
Warren
118 Annual Report Nineteen Thirty-Seven
Table V-Cause
op Death
Wayne
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 poUomyelitis and polioencephalitis
Epidemic cerebrospinal meningitis
Other infectious and parasitic diseases
Cancer and other malignant timiors
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
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 _
IS
North Carolina Bureau of Vital Statistics 119
Coritimied
W ilkcs
120 Annual Report Nineteen Thirty-Seven
Table VI
—
Deaths (Exclusive of Stillbirths) in Cities or
North Carolina Bureau of Vital Statistics 121
OF Death (abridged International List) Also by Color of Decedent—1937
122 Annual Report Nineteen Thirty-Seven
Table VI-
North Carolina Bureau of Vital Statistics 123
Continued
Elizabeth City
124 Annual Report Nineteen Thirty-Seven
Table VI-
North Carolina Bureau of Vital Statistics 125
Continued
Greensboro
126 Annual Report Nineteen Thirty-Seven
Table VI—
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 pohomyelitis 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 chrome).
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 i
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 hver
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 op Vital Statistics 127
Continued
128 Annual Report Nineteen Thirty-Seven
Table VI—
North Carolina Bureau of Vital Statistics 129
Continued
130 Annual Report Nineteen Thirty-Seven
J
"S
1
1
1
North Carolina Bureau of Vital Statistics 131
132 Annual Report Nineteen Thirty-Seven
North Carolina Bureau of Vital Statistics 133
oc i -^ e*5 :o 00 CO
mioot^e^ooiiMus
OU5I^Ot^C<lt^cO
«0 -H <M O
o . o I tn
S'OC^iO-*-*'-* —
•>»• -J" t^ o
U5 o oo in
Oi — -« lO M
O iC^O^COO—•*-^»«-^»rtO
§|8 8||gS|S§|SS|§|||
134 Annual Report Nineteen Thirty-Seven
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—1937
135
136 Annual Report Nineteen Thirty-Seven
Table IX
—
Deaths Under 1 Year of Age (Exclusive of Stillbirths) and
Maternal Deaths in Each County With Rate Per 1,000 Live Births—1937
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.
Infant Mortality
Place of
Death
65.2
48.2
69.4
64.3
85.9
64.8
40.6
68.9
46.3
51.1
74.2
87.0
33.8
47.4
38.9
54.1
53.3
36.3
80.9
72.3
71.9
67.4
52.2
67.4
41.4
72.8
80.2
68.2
75.6
49.7
67.8
52.3
68.5
44.6
52.2
70.2
60.6
46.9
54.9
63.7
76.0
83.3
48.5
Place of
Residence
5,157
66
27
33
38
65.2
59.1
82.3
61.2
47.7
71.4
94.6
89.6
65.7
67.3
46.7
57.7
76.7
90.9
66.1
37.0
44.6
81.1
37.3
53.3
75.5
37.8
84.9
52.2
63.2
44.6
87.8
67.2
79.3
69.4
86.6
52.4
70.5
62.1
71.1
60.3
49.8
72.3
74.8
49.8
56.0
64.9
74.9
81.9
47.2
Maternal Mortality
Place of
Death
7.0
10.3
8.4
3.7
2.8
3.6
4.2
2.8
3.6
7.5
6.2
2.9
1.2
3.8
10.6
4.9
17.5
9.2
Place of
Residence
North Carolina Bureau of Vital Statistics 137
Table IX
—
Continued
Infant Mortality
Place of
Death
15
30
112
29
39
23
37
46
228
24
12
27
92
65.2
55.8
55.4
71.8
106.9
53.3
67.2
54.1
67.8
60.6
84.4
54.0
38.7
47.0
62.2
92.0
74.1
72.9
41.2
47.6
69.6
53.4
50.8
76.0
48.2
63.5
65.7
57.3
57.6
52.8
57.2
93.0
50.4
70.6
58.8
38.8
68.2
31.8
41.4
45.8
92.8
70.4
94.2
56.6
86.2
63.4
81.5
46.0
49.1
Place of
Residence
92.7
53.9
67.7
41.0
67.7
68.5
75.6
55.7
42.9
45.8
60.2
55.7
77.6
89.7
59.5
46.8
71.0
65.1
78.5
55.5
75.3
74.6
49.7
63.6
68.2
62.0
58.3
53.8
95.3
55.7
77.9
58.1
41.0
71.2
38.2
44.8
43.5
83.9
75.2
57.7
84.3
61.0
79.8
44.0
52.3
Maternal Mortality
Place of
Death
3.2
7.0
8.1
12.0
1.6
7.5
5.2
1.4
2.6
7.2
5.5
6.3
5.4
2.9
5.7
6.2
1.4
1.9
5.5
2.6
3.8
1.3
5.3
10.0
6.9
7.5
2.4
9.9
2.9
6.3
4.8
7.0
Place of
Residence
138 Annual Report Nineteen Thirty-Seven
Table X
—
Cases and Deaths from
North Carolina Bureau of Vital Statistics 139
Diseases By Month of Occurrence—1937
Mar.
140 Annual Report Nineteen Thirty-Seven
Table X—
Diseases
North Carolina Bureau of Vital Statistics 141
Continued
Mar.
142 Annual Report Nineteen Thirty-Seven
Table XI
��
Cases From ThirtY'Three of the
CouNTT OR City
North Carolina Bureau of Vital Statistics 143
Reportable Diseases
144 Annual Report Nineteen Thirty-Seven
North Carolina Bureau of Vital Statistics 145
Continued
"s
y
146 Annual Report Nineteen Thirty-Seven
Table XII—Death Rates Per 100,000 Population from Ten Important
Causes, for the State as a Whole, with Estimated Population for
Each Year—1914-1937, Inclusive
1914...
1915...
1916...
1917...
1918...
1919...
1920...
1921...
1922...
1923...
1924...
1925...
1926...
1927...
1928....
1929....
1931.
1932.
1933.
1934.
1935.
1936.
1937.
Estimated
Population
Death Rate per 100,000 Population from-
81.2
72.9
72.7
91.4
77.5
55.1
59.9
61.7
52.4
53.0
54.5
52.0
49.8
40.7
44.8
33.3
35.0
24.5
30.3
24.9
24.2
24.6
7.6
0.5
7.1
44.8
12.4
5.0
2.3
4.9
0.4
19.0
15.6
0.4
2.9
7.9
17.0
0.5
0.06
3.1
1.8
2.8
10.1
2.0
0.3
1.3
1.1
0.4
0.5
0.4
0.1
0.3
1.0
0.8
0.2
0.4
0.8
0.2
0.4
0.4
0.5
0.03
0.1
0.06
35.8
31.3
29.1
30.2
22.2
17.0
12.5
11.7
11.2
18.7
11.5
18.1
26.2
28.5
8.7
13.4
14.6
7.2
18.6
17.4
5.3
10.1
21.8.
6.5
9.0
9.5
6.5
7.4
6.1
12.9
9.0
1.1
4.9
'U. S. Census years.
\J