Annual report of the Bureau of Vital Statistics of the North Carolina State Board of Health |
Previous | 127 of 146 | Next |
|
small (250x250 max)
medium (500x500 max)
large ( > 500x500)
Full Resolution
|
This page
All
Subset
|
of tI?P
Ittttr^rfittg of Nortlj CUarolina
(HaiUttian of Nortli Olarnltnmna
>187r
B38
UNIVERSITY OF N.C. AT CHAPEL HILL
00032761903
FOR USE ONLY IN
THE NORTH CAROLINA COLLECTION
ANNUAL REPORT
OF THE
BUREAU OF VITAL
STATISTICS
OF THE
NORTH CAROLINA
STATE BOARD OF HEALTH
1938
Lil;
N. C. St^
ANNUAL REPORT
OF THE
BUREAU OF VITAL
STATISTICS
OF THE
NORTH CAROLINA
STATE BOARD OF HEALTH
1938
CARL V. REYNOLDS, M. D.
SECRETARY
AND STATE HEALTH OFFICER
CONTENTS
Page
Introduction - —
-
-- 7
GENERAL TABLES
Table I.—Total births and deaths (exclusive of stillbirths) with rate
per 1,000 population for the years 1914-1938, inclusive 14
Table II.—Births (exclusiA'e of stillbirths) in each county, by color,
with rate per 1,000 population, per cent attended by physicians
and number illegitimate, 1938 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,
1938 19
Table III.—Deaths (exclusive of stillbirths) for the State as a whole
from each cause, by sex, color and age 1938 (includes all deaths
occurring in North Carolina) 20
Table IV.—Deaths (exclusive of stillbirths) in each county, by color,
with rate per 1,000 population, 1938.._ 62
Table V.—Deaths (exclusive of stillbirths) in each county, by cause
of death (abridged international list) and by color of decedent,
1938 -.- 66
Table VI.—Deaths (exclusive of stillbirths) in cities or towns, by cause
of death (abridged international list) and by color of decedent,
1938 —-- 116
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, 1938 126
Table VIII.—Deaths (exclusive of stillbirths) by cause by certain sub-divisions
of the first year of life, 1938 130
Table IX.—Deaths under 1 year of age (exclusive of stillbirths), and
maternal deaths in each county with rates per 1,000 live births,
1938 - 132
Table X.—Cases and deaths from special diseases by month of occur-rence,
1938 134
Table XI.—Cases from 30 of the reportable diseases by counties, 1938 138
Table XII.—Death rates per 100,000 population from ten important
causes, for the State as a whole, with estimated population for
each year, 1914-1938 142
LETTER OF TRANSMITTAL
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 1938.
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 presents
tabulations of births and deaths for the calendar year 1938. 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 exception
of 1918 and 1919. Beginning with the 1931 report county and
city tabulations have been made according to the abridged Inter-national
List of Causes of Death. State tabulations have con-tinued
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 resi-dence.
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 population
when made this far removed from the 1930 census enumeration.
State rates are based on an estimated population of 3,527,000.
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
8 Annual Report Nineteen Thirty-Eight
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 22.7 per 1,000 population was
the same as that for 1937. In actual numbers there were 79,903
births compared to 79,244 in 1937. Of the 79,903 live births,
54,469 were white; 24,647 negro; and 787 Indian, representing
rates of 21.9 per 1,000 population for white and 24.0 for negro.
The birth rate ranged between 30 and 35 per 1,000 population
from 1914 to 1924. From the latter date the rate dropped rapidly
to 24.7 in 1929 and since that time there has been only a slight
downward tendency.
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 3,086 stillbirths, or 74
fewer in 659 more births than in 1937. This represents a decline
in the stillbirth rate from 39.9 to 38.6 per 1,000 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 general
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 1938 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
1937. The 33,564 deaths, exclusive of stillbirths, represent an
annual death rate of 9.5 per 1,000 population. The mortality rate
for 1937 was 9.7 per 1,000 population. The mortality rate for
1937 was 9.7; for 1936, 10.3; and for 1935, 9.8. Considered in
terms of total deaths, the number reported for 1938 was 407
fewer than for 1937.
When the deaths are analyzed by cause it is discovered that
the group of degenerative diseases caused more deaths than in
North Carolina Bureau of Vital Statistics 9
1937. This group—heart diseases, chronic nephritis, apoplexy,
cancer, diseases of the arteries, and diabetes melHtus,—six in all,
accounted for 14,153 in 1937 and 14,675 in 1938. These de-generative
diseases accounted for approximately 44 per cent of
all deaths in 1938 and 42 per cent in 1937.
Table 1. Deaths from Degenerative Diseases
Number
Cause of Death 1937 1938
Heart Diseases -5,758 5,819
Chronic Nephritis 2,755 3,057
Cerebral Hemorrhage 2,940 3,051
Cancer 1,912 1,915
Diseases of the Arteries 402 454
Diabetes 386 379
Total 14,153 14,675
The principal causes of death in 1938 in order of their rank
were diseases of the heart, nephritis, apoplexy, the pneumonias,
congenital malformations and diseases of early infancy, violent
and accidental deaths, exclusive of homicides and suicides, cancer
and tuberculosis. This order is entirely different from that shown
twenty-four years ago, the first year of registration, when tuber-culosis
ranked first with a rate of 139 deaths for every 100,000
population. Tuberculosis ranked eighth in 1938 with a rate of
52.5.
Heart diseases rank first in 1938 in the list of causes of death.
In 1914 there were 1,780 deaths charged to this condition and in
1938 diseases of the heart, including angina pectoris, accounted
for 5,819 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
major cause of death in 1914, is ninth in 1938. The rate has
fallen from 98.8 per 100,000 population in 1914 to 37.1 in 1938.
Modern sanitary measures have played a large part in reducing
the death rate from diarrhea among infants.
TTjphoid Fever: The death rate from typhoid fever, after a
slight increase in 1937, again showed a decrease, continuing the
downward trend shown annually since 1932 with the exception of
1937. The 71 deaths were four less than for 1937. The improve-
10 Annual Report Nineteen Thikty-Eight
ment 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: There was no death from smallpox in 1938. With
the exception of one death in 1937 there has not been a death
reported from this disease since 1931. Thirty-five cases were
reported to the Division of Epidemiology in 1938 and eleven in
1937.
Diphtheria: The record for 1938 shows approximately the
same number of deaths and death rate from diphtheria as for
1937. There were 173 deaths with a rate of 4.9 per 100,000
population compared to 168 deaths with a rate of 4.8 for 1937.
There was a seventy per cent reduction in the mortality rate from
this disease from 1915 to 1932, but no significant decrease in the
rate since. In round numbers, five-sixths of the deaths from
diphtheria occur in children under five years of age. This indi-cates
that vaccination to be most profitable must be done long
before the child becomes of school age.
Influenza and PneuTuonia: There were 2,717 deaths from
pneumonia and 505 deaths from influenza, making a total of 3,222
recorded for 1938. The deaths from these two conditions give a
rate of 91.4 per 100,000 population for 1938 as against a rate of
108.4 for 1937. There were 357 fewer deaths from influenza
during 1938 than for the previous year and 206 fewer from
pneumonias.
Tuberculosis: The death rate from all forms of tuberculosis
was 52.2 in 1938 and 54.8 in 1937. This represents a decrease in
actual numbers of 59. 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 1,853 deaths from all forms of tuberculosis, 51.5 per
cent were males and 48.5 per cent females ; 38 per cent were white
and 62 per cent colored. The colored rate of 111.2 for tuber-culosis
is almost four times the white rate of 28.3.
Cancer: Cancer accounted for 1,915 deaths in 1938, giving
a rate of 54.3 against a rate of 54.8 for 1937 and 51.6 for 1936.
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, and three more this year than in 1937.
NoKTH Carolina Bureau of Vital Statistics 11
Pellagra: The 257 deaths from pellagra, representing a
mortality rate of 7.3 per 100,000 population, was a decrease over
the rate of 13.0 for 1937. There has been a downward trend in
mortality from this disease since 1930 with the exception of 1934
and 1937. The peak year for pellagra deaths was 1930 when
1,015 were charged to this disease.
Suicides and Ho7mcides: There were 332 suicides in 1938
and 305 in 1937. The 27 more deaths increased the rate from
8.7 per 100,000 population in 1937 to 9.4 in 1938. There were 52
more homicidal deaths in 1938 than in 1937, the totals being 356
and 408 respectively.
Accidental Causes: Violent and accidental deaths, exclusive
of suicides and homicides, accounted for 2,217 deaths, 267 fewer
than in 1937. 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
906 deaths from all types of automobile accidents in 1938 and
1,056 in 1937. Railroad accidents, exclusive of collisions with
automobiles, caused 89 deaths in 1938 and 99 in 1937.
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 ten years are shown in
Table 2. There were 450 maternal deaths in 1938 to 445 in 1937,
or 5 fewer deaths and 659 more births. This gives a maternal
mortality rate of 5.6 per 1,000 live births, the same as for last
year. There were 240 white, 206 negro and 4 Indian puerperal
deaths, accounting for a death rate of 4.5 per 1,000 live births
for the white and 8.4 for the colored.
Table 2.
—
Total Maternal Deaths and Rates,
1929-1938
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
1938 450 5.6
12 Annual Report Nineteen Thibtt-Eight
Albuminuria and eclampsia, as in previous years, accounted
for more of the puerperal deaths than any other single cause.
The second and third greatest offenders were puerperal septicemia
and puerperal hemorrhage, respectively. Albuminuria and
eclampsia with other toxemias of pregnancy account for 155
maternal deaths, which is 34 per cent of all maternal deaths.
Infant Mortality: The total number of deaths under one
year of age was 5,461 or 299 more than occurred in 1937. The
rate for 1938 was 68.3 per 1,000 live births and 65.1 in 1937. Of
the total deaths 3,244 were white and 2,217 colored. This gave a
rate of 59.6 for the white and 87.2 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.
Table 3.
—
Total Infant Deaths and Rates,
1929-1938
Year No. of Deaths Rate
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
1938 5,461 68.3
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 1,502
Diarrhea and enteritis 847
Pneumonias 675
Sudden death (cause not specified) 470
Congenital malformations 334
Total 3,828
Of the 5,461 deaths of infants under one year of age 1,238 or
24 per cent died during the first day of life and 2,075 or 38 per
cent within the first week.
North Carolina Bureau of Vital Statistics 13
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 essen-tial
in upholding the right of citizens in the establishment of
necessary facts in the closing event of life.
Vital Statistics are of inestimable value to the public health
workers, but without complete registration full reliance cannot be
placed on the data. For health organizations accurate certificates
are essential if our true problems are to be known, if our pro-grams
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 Thibtt-Eight
-Total Births and Deaths (Exclusive of Stillbirths) With Rate
Per 1,000 Population for the Years 1914-1938 Inclusive
North Carolina Bureau of Vital Statistics 15
1
1
16 Annual Report Nineteen Thirty-Eight
North Carolina Bureau of Vital Statistics 17
lO -H 1 1 I t-
-< t~ ««• m o * oo
r* -f eo o tTojn«00Oa0iOO»«t^O'*0s»0<MOt^-^'^CSIC0C0
^HOStOOSt^COOSt^'*^'^ ittSt^Oa
s s § s «OtS>CilN;s0s-*0 « o to te^o rmt coq to * ss
Annual Report Nineteen Thirty-Eight
"P
u? t~ (M c<l O « <M -H
(M o 00 o> o >ra
iO CO C��5 t^ t^
fo Oi Oi *n
T»iiOT-i>rat^in,-iM^t^cO'H-«"
i0t^0i03OC0O»0C^t^00ir5O
QO*-»OI^OOCOeO«OOo6cDO^
(M (M -H rt -at to o
•Mioeoc^ioiiOc^icsTjioiioo
CO^CQOCOCOCOOOO-^rOr^
W»-tC»<0»^iOCO'<*'»-tO
m g n _^
c5 a,
:i^
North Carolina Bureau of Vital Statistics 19
Jl
20 Annual Report Nineteen Thirty-Eight
Table III
—
Deaths (Exclusive of Stillbirths) for the Entire
Cause op Death
I. Infectious and Parasitic Diseases:
Males
1. Typhoid fever.
2. Paratyphoid fever.
3. Typhus fever
5. Undulant fever.
Whooping-cough.
Total..
White...
Indian..
Colored
Total..-
White...
Indian..
Colored.
Total. --
White...
Indian..
Colored.
Total...
Indian..
Colored.
W I Male
1 Female
C JMale
\Female....
W Female...
18,253
11,746
96
6,411
15,311
9,323
100
5,888
2,080
1,004
10
1,066
1,877
865
18
994
5,461
3,030
1,810
32
1,188
2,431
1,434
37
NoBTH Carolina Bureau of Vital Statistics 21
State From Each Cause, By Sex, Color and Age—1938
2,849
1,574
1,275
591
6
2,008
1,199
4,420
2,570
1,748
10
812
1,850
1,163
7
2,752
2,045
11
2,202
1,643
1,936
1,628
2
306
1,840
1,551
2
287
22 Annual Report Nineteen Thirty-Eight
Table III-Cause
op Death
10. Diphtheria.
11. Influenza.
13. Dysentery.
15. Erysipelas.
16. Acute poliomyelitis and acute polioencephalitis-
17. Lethargic or epidemic encephalitis.
18. Epidemic cerebrospinal meningitis.
Tuberculosis of the respiratory system.
North Carolina Bureau of Vital Statistics 23
Continued
Annual Repobt Nineteen Thibty-Eight
Table III-Cause
op Death
24. Tuberculosis of the meninges and central
nervous system
25. Tuberculosis of the intestines and peritoneum
I
26
Tuberculosis of the vertebral column
27. Tuberculosis of the bones and joints
(vertebral column excepted)
28. Tuberculosis of the skin and subcutaneous
cellular tissue -
29. Tuberculosis of the lymphatic system (bronchial,
mesenteric, and retroperitoneal glands excepted)
30. Tuberculosis of the genitourinary system
32. Disseminated tuberculosis _.
I
34, Syphilis I
Gonococcus infection and other venereal diseases.
36. Purulent infection, septicemia (nonpuerperal)
North Cabolina Bureau of Vital Statistics 25
Continued
1
3
26 Annual Report Nineteen Thibty-Eight
North Carolina Bureau of Vital Statistics 27
Continued
28 Annual Report Nineteen Thirty-Eight
Table III-Causb
of Death
45. Cancer and other malignant tumors of the
buccal cavity and pharynx - - -
46. Cancer and other malignant tumors of the
digestive tract and peritoneum
47. Cancer and other malignant tumors of the
respiratory system
48. Cancer and other malignant tumors of the uterus.
49. Cancer and other malignant tumors of the
female genital 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.
53. Cancer and other malignant tumors of other or
unspecified organs
54. Non-malignant tumors.
55. Tumors of which the nature is not stated.
North Carolina Bureau of Vital Statistics 29
OS
s
30 Annual Report Nineteen Thibtt-Eight
North Carolina Bureau of Vital Statistics 31
Continued
2
32 Annual Report Nineteen Thirty-Eight
Table III-Causb
of Death Race and Sex
65. Diseases of the pituitary body
66. Diseases of the thyroid and parathyroid glands.
67. Diseases of the thymus gland.
Diseases of the adrenals (Addison's disease,
not specified as tuberculous)
Other general diseases.
IV. Diseases of the Blood and Blood-Makino Organs:
Males
70. Hemorrhagic conditions
72. Leukemias and pseudoleukemias.
73. Diseases of the spleen
74. Other diseases of the blood-making organs.
V. Chronic Poisonings and Intoxications:
Males
North Carolina Bureau of Vital Statistics 33
Continued
i
2
S
34 Annual Report Nineteen Thirty-Eight
Table III—
Cause of Death
75. Alcoholism (acute or chronic)
Chronic poisonings by other organic substances-
Chronic poisonings by mineral substances
Diseases of the Nervous System and of the
Organs of Special Sense:
78. Encephalitis (nonepidemic)
79. Meningitis.
Progressive locomotor ataxia (tabes dorsalis).
Other diseases of the spinal cord.
Cerebral hemorrhage, cerebral embolism and
thrombosis
1,973
1,274
7
1,739
1,005
5
729
12
18
10
5
37
16
2
18
17
1
1
4
1
19
6
1,050
844
3
4
536
614
North Carolina Bureau of Vital Statistics 35
Continued
3
36 Annual Report Nineteen Thirty-Eight
Table III-Causb
of Death
North Carolina Bureau of Vital Statistics 37
Continued
1
3
to
3S Annual Report Nineteen Thirty-Eight
Table III-
North Carolina Bureau of Vital Statistics
Continued
1
s.
40 Annual Repobt Nineteen Thirty-Eight
Table III
—
Cause of Death
North Carolina Bureau of Vital Statistics 41
Continued
1
2
•a
42 Annual Report Nineteen Thikty-Eight
Table III-Causb
of Death
109. Pneumonia, unspecified.
110. Pleurisy.
111. Congestion, edema, embolism, hemorrhagic infarct,
and thrombosis of the lungs
112. Asthma.
113. Pulmonary emphysema.
114. Other diseases of the respiratory system
(tuberculosis excepted)
IX. Diseases o? the Digestive STSTEia:
Males
115. Diseases of the buccal cavity and annexa and of the
pharynx and tonsils (including adenoid
vegetations)
116. Diseases of the esophagus.
117. Ulcer of stomach and duodenum.
W Male.
W fMale...,
\Female.
I Male...
C fMale...,
1 Female.
Total...
White...
Indian..
Colored.
Total...
White...
Indian..
Colored.
W (Male
1 Female...
I JMale
^Female..
-
C JMale
(Female...
Female
Male..
W fMale...
iFemale.
C JMale...
[Female.
1,422
915
9
498
1,265
776
12
477
49
54
1
NoBTH Carolina Bubeau of Vital Statistics 43
Continued
OS
s
44 Annual Report Nineteen Thibty-Eight
Table III-Causb
of Death
North Carolina Bureau of Vital Statistics i5
Continued
i
-2
46 Annual Report Nineteen Thirty-Eight
North Carolina Bureau of Vital Statistics 47
Continued
1
48 Annual Repoet Nineteen Thikty-Eight
Table III-Cause
of Death
137. Diseases of the prostate f
138. Diseases of the male genital organs, not specified
as venereal
139. Diseases of the female genital organs, not specified f
as venereal \
XI. Diseases of I^eqnanct, Childbirth and the
Puerperal State:
Females 1
140. Abortion with septic conditions f
141. Abortion without mention of septic abortion f
(to include hemorrhages)... \
142. Ectopic gestation --f
143. Other accidents of pregnancy (not to include f
hemorrhage) \
I
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, sudden
death (not specified as septic)
149. Other accidents of labor
XII. Diseases of the Skin and Cellular Tissue:
Males
I
W Male...
C Male-..
C Male...
W Female.
C Female.
Total
White
Indian
Colored
White
Colored
White
Colored
White
Colored
White
Indian
Colored
White
Indian
Colored
White
Colored
White..
Indian
Colored
White _
Colored
White
Colored
White
Colored
Total
White
Indian
Colored
North Carolina Bureau of Vital Statistics 49
Continued
50 Annual Report Nineteen Thirty-Eight
Table III-Cause
of Dbath
161. Furuncle, carbuncle.
152. Phlegmon, acute abscess.
153. Other diseases of the skin and annexa, and of the
cellular tissue
XIII. Diseases of the Bones and Organs of
Locomotion:
154. Osteomyelitis
155. Other diseases of the bones (tuberculosis excepted).
156. Diseases of the joints and organs of locomotion
XIV. Congenital Malformations:
Males
157. Congenital malformations (stillbirths not included)
Feniales
Total...
White...
Indian..
Colored.
W fMale....
\Female.,
I Male....
C fMale...,
\ Female.
W [Male...
I Female.
C ("Male...
[Female.
I Male..
C fMale..
1 Female
Total...
White...
Colored
Total...
White...
Colored.
W fMale...
Wemale.
C |Male...
\Female.
W Male...
C Male...
W I Male...
\ Female.
Total...
White...
Indian..
Colored.
Total...
White-
Indian..
Colored.
North Cabolina Bubeau of Vital Statistics 51
Continued
52 Annual Report Nineteen Thirty-Eight
Table III
—
Cause of Death
XV. Diseases op Early Infancy:
Males
158. Congenital debility
159. Premature birth.
160. Injury at birth.
161. Other diseases peculiar to early infancy.
XVI. SENitrrY:
Males. ..
162. Senility
Females.
XVII. Violent and Accidental Deaths:
Males
Total...
White...
Indian..
Colored.
Total...
White..
Indian..
Colored
W [Male...
1 Female.
I |Male...
^Female.
C JMale...
\ Female.
W (Male—
^Female.
I |Male...
^Female.
C JMale...
[Female.
W I Male....
1 Female.
C fMale.-..
\Female.
W ("Male....
\Female.
I Female.
C ("Male...
1 Female.
Total...
White...
Colored.
Total...
White...
Colored.
Total...
White...
Indian..
Colored.
Total...
White...
1,172
756
10
406
2,186
1,436
15
735
723
1,171
755
10
406
919
576
North Carolina Bureau of Vital Statistics 53
Continued
3
54 Annual Repoet Nineteen Thirty-Eight
NoKTH Carolina Bureau of Vital Statistics 55
Continued
en
2
2
56 Annual Repokt Nineteen Thirty-Eight
Table III—
Cause of Death
North Carolina Bureau of Vital Statistics 57
Continued
i
s
58 Annual Report Nineteen Thirty-Eight
North Carolina Bureau of Vital Statistics 59
Continued
Annual Report Nineteen Thikty-Eight
North Carolina Bureau of Vital Statistics 61
Continued
E
3
62 Annual Report Nineteen Thirty-Eight
North Carolina Bureau of Vital Statistics 63
=
64 Annual Report Nineteen Thirty-Eight
North Carolina Bureau of Vital Statistics 65
66 Annual Repobt Nineteen Thirty-Eight
Table V
—
Deaths (Exclusive of Stillbirths) in Each County, by Cause of
Cause of Death
Place
of
death
Place
of
White
Place
of
death
Place
of
Place
of
death
Col.
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)
Automobile fatalities (total) _
Violent and accidental (suicide, homicide and automobile
excepted)
Cause not specified or ill-defined...
12,300
34
356
4,017
1
123
29
177
1,043
100
304
40
42
3
58
18
99
27
142
95
51
1,151
219
1,758
163
23
1,077
87
426
33
45
283
1,076
152
51
155
40
805
114
26
233
238
North Carolina Bureau of Vital Statistics 67
Death
68 Annual Report Nineteen Thirty-Eight
Table V-
North Carolina Bureau of Vital Statistics 69
Continued
Ashe
70 Annual Report Nineteen Thibtt-Bight
Table V-
North Carolina Bureau of Vital Statistics 71
Continued
Bladen
72 Annual Report Nineteen Thibty-Eight
Table V
—
North Carolina Bureau of Vital Statistics 73
Continued
Cabarrus
74 Annual Report Nineteen Thiety-Eight
Table V—
NoBTH Carolina Bureau of Vital Statistics 75
Continued
CasweU
76 Annual Report Nineteen Thirty-Eight
Table V-
NoBTH Carolina Bureau of Vital Statistic! 77
Continued
Chowan
78 Annual Report Nineteen Thirty-Eight
Table V-Cause
of Death
Place
of
death
Place
of
res.
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)
Automobile fatalities (total)
Violent and accidental (suicide, homicide and automobile
excepted) --
Cause not specified or ill-defined
North Carolina Bureau of Vital Statistics 79
Continued
Craven
80 Annual Report Nineteen Thirty-Eight
Table V-
NoBTH Carolina Bureau of Vital Statistics 81
Continued
Annual Report Nineteen Thirty-Eight
Table V—
Cause or 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
Ncphritb -
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)..
Automobile fatalities (total)
Violent and accidental (suicide, homicide and automobile
excepted)
Cause not specified or ill-defined
Place
of
death
Place
of
Place
of
death
Place
of
North Carolina Bureau of Vital Statistics 83
Continued
Edgecombe
84 Annual Report Nineteen Thibtt-Eight
Table V-Cause
op Death
Place
of
death
Place
of
Place
of
death
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.. _.
Senility
Suicide (total)
Homicide (total). .^
Automobile fatalities (total)
Violent and accidental (suicide, homicide and automobile excepted)
Cause not specified or ill-defined...
2
North Carolina Bureau of Vital Statistics
Gates
Annual Repoet Nineteen Thirty-Eight
Table V-
North Carolina Bureau of Vital Statistics 87
Continued
Guilford
Annual Report Nineteen Thibty-Bight
Table V-
North Carolina Bureau of Vital Statistics
Continued
Henderson
Annual Report Nineteen Thirty-Eight
Table V-
North Carolina Bureau of Vital Statistics 91
Continued
Iredell
92 Annual Report Nineteen Thikty-Eight
Table V
—
North Carolina Bureau of Vital Statistics
Continued
94 Annual Report Nineteen Thirty-Eight
Table V
—
North Carolina Bureau of Vital Statistics 95
Continued
Macon
Annual Report Nineteen Thebtt-Eight
Table V-Caube
of Death
Mecklenburg
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 tuberciilosis
. 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)
Automobile fatalities (total)
Violent and accidental (suicide, homicide and automobile (
Cause not specified or ill-defined
scepted)
NoETH Carolina Bureau of Vital Statistics 97
Continued
MitcheU
Annual Report Nineteen Thiety-Eight
Table V—
North Carolina Bureau of Vital Statistics 99
Continued
New Hanover
100 Annual Report Nineteen Thibty-Eight
Table V
—
North Carolina Bureau of Vital Statistics 101
Continued
102 Annual Report Nineteen Thirty-Eight
Table V-
North Carolina Bureau of Vital Statistics 103
Continued
Person
104 Annual Report Nineteen Thibtx-Eiqht
Table V-Cause
of Death
Randolph
Place
of
death
Place
of
res.
Place
of
death
All causes—Total recorded
Typhoid and paratyphoid fever.
Typhus fever
Smallpox
Measles
Scarlet fever
Whooping-cough
Diphtheria -.-
Influenza
Tuberculosis of the respiratory system.
Other forms of tuberculosis
Syphilis
Malaria..
Dysentery
Acute poliomyelitis and polioencephalitis
Epidemic cerebrospinal meningitis
Other infectious and parasitic diseases
Cancer and other malignant tumors
Tumors, non-malignant or unspecified
Chronic rheumatism and gout.
Diabetes mellitus
Alcoholism (acute or chronic)
Other general diseases and chronic poisonings
Pellagra
Progressive locomotor ataxia and paresis
Cerebral hemorrhage, cerebral embolism and thrombosis...
Other diseases of the nervous system and organs of special s
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 t he 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
9. Senility.
Suicide (total)
Homicide (total) ..,
Automobile fatalities (total)
Violent and accidental (suicide, homicide and automobile excepted)
Cause not specified or ill-defined
18
North Caeolina Bureau of Vital Statistics 105
Continued
Richmond
106 Annual Report Nineteen Thiety-Bight
Table V—
Cause of Death of
death
Place
of
res.
Place
of
death
All causes—Total recorded .
1. Typhoid and paratyphoid fever..
2. Typhusfever
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
Alcoholbm (acute or chronic)..
Other general diseases and chronic poisonings
Pellagra --
Progressive locomotor ataxia and paresb
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.
4L
42.
42.
43.
Suicide (total)
Homicide (total) --
Automobile fatalities (total)
Violent and accidental (suicide, homicide and automobile excepted)
Cause not specified or ill-defined -
24
NoBTH Cabolina Bueeau of Vital Statistics 107
Continued
Rutherford
108 Annual Report Nineteen Thikty-Eight
Table V
—
North Carolina Bureau of Vital Statistics 109
Continued
Stokes
no Annual Report Nineteen Thirty-Eight
Table V-
North Carolina Bureau of Vital Statistics 111
Continued
Tyrrell
112 Annual Report Nineteen Thibty-Eight
Table V—
Cause of Death
Place
of
death
Place
of
Place
of
death
Ail causes—Total recorded .
Typhoid and paratyphoid fever..
Tjrphus 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 poisoninp.
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)
Automobile fatalities (total)
Violent and accidental (suicide, homicide and automobile exceptec
Cause not specified or ill-defined
9
North Cabolina Bureau of Vital Statistics
Continued
Warren
114 Annual Report Nineteen Thiety-Eight
Table V
—
Cause of Death
Wayne
Place
of
death
Place
of
res.
Place
of
death
All causes—Total recorded
Typhoid and paratyphoid fever..
Typhus fever
Smallpox
Measles ---
Scarlet fever
Whooping-cough
Diphtheria
Influenza
Tuberculosis of the respiratory system.
Other forms of tuberculosis
Syphilis
Malaria
Dysentery
Acute poliomyelitis and polioencephalitis
Epidemic cerebrospinal meningitis
Other infectious and parasitic diseases
Cancer and other malignant tumors
Tumors, non-malignant or unspecified
Chronic rheumatism and gout
Diabetes mellitus _'
Alcoholism (acute or chronic)
Other general diseases and chronic poisonings
Pellagra
Progressive locomotor ataxia and paresis
Cerebral hemorrhage, cerebral embolism and thrombosis
Other 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) _-_ -
Automobile fatalities (total)
Violent and accidental (suicide, homicide and automobile excepted)
Cause not specified or ill-defined _
North Carolina Bureau of Vital Statistics 115
Continued
Wilkes
116 Annual Repokt Nineteen Thiety-Eight
Table VI
—
Deaths (Exclusive of Stillbibths) in Cities or Towns, by Cause
Cause of Death
Place
of
death
Place
of
Place
of
death
Place
of
res.
Place
of
death
All causes—Total recorded. __
Typhoid and paratyphoid fever.
Typhus fever
5,70J
12
2
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
I^lerpcral 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)
Automobile fatalities (total) _
Violent and accidental (suicide, homicide and automobile
excepted) ._
Cause not specified or ill-defined
4,049
11
North Carolina Bureau of Vital Statistics 117
OF Death (Abridged International List) Also by
118 Annual Report Nineteen Thirty-Eight
Table VI—
Causb 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
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)
Automobile fatalities (total)
Violent and accidental (suicide, homicide and automobile
excepted)
Cause not spprificd or ill-defined, _
NoBTH GaboonA Bureau of Vital Statistics 119
Continued
Elizabeth City
120 Annual Repobt Nineteen Thtrty-Eight
Table VI—
Cause of Death
Place
of
death
Place
of
res.
White White
Place
of
death
All causes—Total recorded
-
Typhoid and paratyphoid fever..
Typhiis fever
Smallpox
Scarlet fever.
Whooping-cough
Diphtheria
Influenza
Tuberculosis of the respiratory system.
Other forms of tuberculosis.
Syphilis
Malaria -
Dysentery
Acute poliomyelitis and polioencephalitis
Epidemic cerebrospinal meningitis
Other infectious and parasitic diseases
Cancer and other malignant tumors
Tumors, non-malignant or unspecified
Chronic rheumatism and gout
Diabetes mellitus
Alcoholism (acute or chronic)
Other general diseases and chronic poisonings
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) -
Automobile fatalities (total)
Violent and accidental (suicide, homicide and automobile excepted) _
Cause not specified or ill-defined
North Carolina Bureau of Vital Statistics 121
Continued
Place
of
Place
of
death
Place
of
res.
High Point
Place
of
death
Place
of
Place
of
death
Place
of
res.
Place
of
death
Place
of
Place
of
death
Annual Report Nineteen Thirty-Eight
Table VI—
North Carolina Bureau of Vital Statistics 123
Continued
Raleigh
124 Annual Report Nineteen Thikty-Eight
Table VI
—
North Carolina Bureau of Vital Statistics L26
Continued
Place
of
res.
Place
of
death
Wilmington
Place
of
death
Place
of
Place
of
death
Place
of
Place
of
death
Place
of
Plac,
of
death
Place
of
Winston-Salem
126 Annual Report Nineteen Thibty-Eight
1«
1
i8
I
North Carolina Bureau of Vital Statistics 127
8.0
14.2
6.3 7.8
128 Annual Report Nineteen Thikty-Eight
North Carolina Bureau of Vital Statistics 129
c^
130 Annual Report Nineteen Thirty-Eight
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—1938
131
132 Annual Report Nineteen Thirty-Eight
Table IX
—
Deaths Under 1 Year op Age (Exclusive of Stillbirths) and
Maternal Deaths in Each County With Rate Per 1,000 Live Births—1938
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
5,461
51
15
9
47
47.8
45.9
73.8
61.8
52.5
47.0
96.1
87.3
47.7
59.3
58.2
34.5
70.1
53.1
69.9
41.1
59.1
59.6
68.4
108.2
60.8
35.6
90.9
104.6
96.2
53.6
29.4
63.8
62.3
67.6
102.9
80.8
72.1
63.9
65.3
51.4
28.2
59.1
37.5
57.6
66.2
57.9
40.5
52.9
40.7
56.9
Place of Residence
5,443
62
16
8
46
21
88
70
40
27
116
28
75
6
28
27
64
Maternal Mortality
54.5
47.8
64.5
62.5
50.3
49.3
94.0
85.8
55.2
63.8
57.6
36.2
69.1
73.8
52.2
73.7
47.9
57.8
61.1
68.8
110.3
59.2
93.4
105.8
71.8
76.9
46.7
66.1
60.6
77.1
78.2
80.1
72.3
74.2
67.4
50.4
26.7
63.7
56.1
54.4
70.3
73.3
44.8
54.0
71.6
68.9
38.3
55.9
450
2
2
4.3
9.1
2.5
1.4
5.2
4.4
2.0
3.2
17.9
1.9
2.7
6.9
2.0
11.2
13.5
13.8
17.8
1.9
13.5
3.9
5.7
4.3
3.7
7.0
10.3
1.9
6.9
8.0
3.7
2.5
3.6
2.2
5.2
Place of Residence
NoBTH Carolina Bureau of Vital Statistics 133
Table IX
—
Continued
Infant Mortality
Number Rate
50.4
71.5
74.5
66.5
124.4
53.6
65.6
51.6
68.9
74.3
58.4
47.8
45.9
72.7
100.1
33.3
89.1
27.5
72.9
109.9
78.0
71.1
43.5
82.5
146.1
48.5
65.8
76.1
55.5
54.8
52.7
59.3
107.4
51.4
68.5
74.4
71.9
66.6
62.9
82.6
70.3
67.7
42.7
106.5
42.5
111.9
59.0
51.2
Place of Residence
Number Rate Number Rate
129
23
26
99
27
34
20
41
57
174
27
15
30
104
64
25
57
21
18
41
43
16
40
128
18
45
52
163
74
67
55
92
57
40
36
73
27
17
10
65
41
171
43
23
19
127
Maternal Mortality
54.8
78.9
83.6
66.2
105.7
55.7
61.2
49.3
69.7
70.9
65.3
58.7
44.5
51.9
68.1
69.7
35.3
106.5
42.2
71.1
110.5
95.1
69.3
52.0
86.4
84.1
54.9
64.8
75.8
60.2
55.0
54.1
73.2
109.0
55.4
67.9
75.4
63.4
70.4
68.2
62.1
81.0
72.1
72.6
45.8
107.0
44.2
108.2
61.3
51.2
6.1
6.5
6.4
6.8
8.4
8.5
4.5
2.0
5.0
4.0
20.9
2.4
4.4
2.1
9.1
3.3
2.5
4.0
9.1
9.8
5.4
5.9
5.0
7.6
7.4
3.2
1.5
8.9
3.4
6.5
4.7
6.8
0.9
5.7
2.2
4.5
Place of Residence
134 Annual Report Nineteen Thirty-Eight
Table X
—
Cases and Deaths from Special
Diseases
North Carolina Bureau of Vital Statistics
Diseases By Month of Occ urrence—1938
135
March
136 Annual Report Nineteen Thiett-Eight
Table X-DlSKASBS
NoBTH Carolina Bureau of Vital Statistics 137
Continued
March
138 Annual Report Nineteen Thirty-Eight
North Carolina Bureau of Vital Statistic:
Reportable Diseases by Counties—1938
139
j
140 Annual Report Nineteen Thirty-Eight
Table XI—
County or Crrr
Jones
Lee
Lenoir_ ---
Lincoln
McDowell
Macon
MadLson
Martin
Mecklenburg
Charlotte
Mitchell
Montgomery
Moore
Nash
Rocky Mount.
New Hanover
Wilmington...
Northampton
Onslow
Orange
Pamlico
Pasquotank
Pender
Perquimans
Person
Pitt
Polk
Randolph
Richmond
Robeson
Rowan
Rutherford.
Sampson....
Scotland
Stanly
Stokes
Surry
Swain
Transylvania...
Tyrrell
Union
Vance
Wake
Raleigh
Warren
Washington
Watauga
Wayne
Goldsboro.
Wilkes
Wilson
Yadkin
Yancey
Total. 102 5,316 2,442
758
101
20
4
150
16
669
2,775
296
31
447
836
315
940
,561
146
132
520
140
272
204
137
877
397
890
56
593
57
963
162
276
217
1,194
25
1,402
1,198
8
3
53
436
350
234
1,071
473
255
49,614
North Carolina Bureau of Vital Statistics 141
Continued
1
s
142 Annual Report Nineteen Thikty-Eight
Table XII
—
Death Rates Per 100,000 Population from Ten Important
Causes, for the State as a Whole, with Estimated Population for
Each Year—1914-1938, Inclusive
Object Description
Description
| Title | Annual report of the Bureau of Vital Statistics of the North Carolina State Board of Health |
| Other Title | Biennial report of the Bureau of Vital Statistics of the North Carolina State Board of Health. |
| Creator | North Carolina. |
| Date | 1938 |
| Subjects |
Diseases--Reporting--North Carolina North Carolina--Statistics, Vital--Periodicals Public health--North Carolina |
| Place |
Raleigh, Wake County, North Carolina, United States North Carolina, United States |
| Time Period |
(1929-1945) Depression and World War Two |
| Description | Title varies slightly: Biennial report of the Bureau of Vital Statistics of the North Carolina State Board of Health, 1916-1917.; No reports issued for 1918-1919; reports for 1920-1921 published in The health bulletin / North Carolina State Board of Health. |
| Publisher | Raleigh :The Bureau,1915-1949. |
| Agency-Current | North Carolina Department of Health and Human Services |
| Rights | State Document see http://digital.ncdcr.gov/u?/p249901coll22,63754 |
| Physical Characteristics | 33 v. ;24 cm. |
| Collection | Health Sciences Library. University of North Carolina at Chapel Hill |
| Type | text |
| Language |
English |
| Format |
Annual reports Statistics Periodicals |
| Digital Characteristics-A | 6641 KB; 168 p. |
| Digital Collection |
Ensuring Democracy through Digital Access, a North Carolina LSTA-funded grant project North Carolina Digital State Documents Collection |
| Digital Format | application/pdf |
| Title Replaced By | North Carolina. State Board of Health..Annual report of communicable disease morbidity statistics of the North Carolina State Board of Health |
| Audience | All |
| Pres File Name-M | pubs_edp_annualreportvitalstatistics1938.pdf |
| Pres Local File Path-M | \Preservation_content\StatePubs\pubs_edp\images_master\ |
| Full Text |
of tI?P Ittttr^rfittg of Nortlj CUarolina (HaiUttian of Nortli Olarnltnmna >187r B38 UNIVERSITY OF N.C. AT CHAPEL HILL 00032761903 FOR USE ONLY IN THE NORTH CAROLINA COLLECTION ANNUAL REPORT OF THE BUREAU OF VITAL STATISTICS OF THE NORTH CAROLINA STATE BOARD OF HEALTH 1938 Lil; N. C. St^ ANNUAL REPORT OF THE BUREAU OF VITAL STATISTICS OF THE NORTH CAROLINA STATE BOARD OF HEALTH 1938 CARL V. REYNOLDS, M. D. SECRETARY AND STATE HEALTH OFFICER CONTENTS Page Introduction - — - -- 7 GENERAL TABLES Table I.—Total births and deaths (exclusive of stillbirths) with rate per 1,000 population for the years 1914-1938, inclusive 14 Table II.—Births (exclusiA'e of stillbirths) in each county, by color, with rate per 1,000 population, per cent attended by physicians and number illegitimate, 1938 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, 1938 19 Table III.—Deaths (exclusive of stillbirths) for the State as a whole from each cause, by sex, color and age 1938 (includes all deaths occurring in North Carolina) 20 Table IV.—Deaths (exclusive of stillbirths) in each county, by color, with rate per 1,000 population, 1938.._ 62 Table V.—Deaths (exclusive of stillbirths) in each county, by cause of death (abridged international list) and by color of decedent, 1938 -.- 66 Table VI.—Deaths (exclusive of stillbirths) in cities or towns, by cause of death (abridged international list) and by color of decedent, 1938 —-- 116 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, 1938 126 Table VIII.—Deaths (exclusive of stillbirths) by cause by certain sub-divisions of the first year of life, 1938 130 Table IX.—Deaths under 1 year of age (exclusive of stillbirths), and maternal deaths in each county with rates per 1,000 live births, 1938 - 132 Table X.—Cases and deaths from special diseases by month of occur-rence, 1938 134 Table XI.—Cases from 30 of the reportable diseases by counties, 1938 138 Table XII.—Death rates per 100,000 population from ten important causes, for the State as a whole, with estimated population for each year, 1914-1938 142 LETTER OF TRANSMITTAL 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 1938. 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 presents tabulations of births and deaths for the calendar year 1938. 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 exception of 1918 and 1919. Beginning with the 1931 report county and city tabulations have been made according to the abridged Inter-national List of Causes of Death. State tabulations have con-tinued 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 resi-dence. 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 population when made this far removed from the 1930 census enumeration. State rates are based on an estimated population of 3,527,000. 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 8 Annual Report Nineteen Thirty-Eight 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 22.7 per 1,000 population was the same as that for 1937. In actual numbers there were 79,903 births compared to 79,244 in 1937. Of the 79,903 live births, 54,469 were white; 24,647 negro; and 787 Indian, representing rates of 21.9 per 1,000 population for white and 24.0 for negro. The birth rate ranged between 30 and 35 per 1,000 population from 1914 to 1924. From the latter date the rate dropped rapidly to 24.7 in 1929 and since that time there has been only a slight downward tendency. 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 3,086 stillbirths, or 74 fewer in 659 more births than in 1937. This represents a decline in the stillbirth rate from 39.9 to 38.6 per 1,000 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 general 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 1938 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 1937. The 33,564 deaths, exclusive of stillbirths, represent an annual death rate of 9.5 per 1,000 population. The mortality rate for 1937 was 9.7 per 1,000 population. The mortality rate for 1937 was 9.7; for 1936, 10.3; and for 1935, 9.8. Considered in terms of total deaths, the number reported for 1938 was 407 fewer than for 1937. When the deaths are analyzed by cause it is discovered that the group of degenerative diseases caused more deaths than in North Carolina Bureau of Vital Statistics 9 1937. This group—heart diseases, chronic nephritis, apoplexy, cancer, diseases of the arteries, and diabetes melHtus,—six in all, accounted for 14,153 in 1937 and 14,675 in 1938. These de-generative diseases accounted for approximately 44 per cent of all deaths in 1938 and 42 per cent in 1937. Table 1. Deaths from Degenerative Diseases Number Cause of Death 1937 1938 Heart Diseases -5,758 5,819 Chronic Nephritis 2,755 3,057 Cerebral Hemorrhage 2,940 3,051 Cancer 1,912 1,915 Diseases of the Arteries 402 454 Diabetes 386 379 Total 14,153 14,675 The principal causes of death in 1938 in order of their rank were diseases of the heart, nephritis, apoplexy, the pneumonias, congenital malformations and diseases of early infancy, violent and accidental deaths, exclusive of homicides and suicides, cancer and tuberculosis. This order is entirely different from that shown twenty-four years ago, the first year of registration, when tuber-culosis ranked first with a rate of 139 deaths for every 100,000 population. Tuberculosis ranked eighth in 1938 with a rate of 52.5. Heart diseases rank first in 1938 in the list of causes of death. In 1914 there were 1,780 deaths charged to this condition and in 1938 diseases of the heart, including angina pectoris, accounted for 5,819 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 major cause of death in 1914, is ninth in 1938. The rate has fallen from 98.8 per 100,000 population in 1914 to 37.1 in 1938. Modern sanitary measures have played a large part in reducing the death rate from diarrhea among infants. TTjphoid Fever: The death rate from typhoid fever, after a slight increase in 1937, again showed a decrease, continuing the downward trend shown annually since 1932 with the exception of 1937. The 71 deaths were four less than for 1937. The improve- 10 Annual Report Nineteen Thikty-Eight ment 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: There was no death from smallpox in 1938. With the exception of one death in 1937 there has not been a death reported from this disease since 1931. Thirty-five cases were reported to the Division of Epidemiology in 1938 and eleven in 1937. Diphtheria: The record for 1938 shows approximately the same number of deaths and death rate from diphtheria as for 1937. There were 173 deaths with a rate of 4.9 per 100,000 population compared to 168 deaths with a rate of 4.8 for 1937. There was a seventy per cent reduction in the mortality rate from this disease from 1915 to 1932, but no significant decrease in the rate since. In round numbers, five-sixths of the deaths from diphtheria occur in children under five years of age. This indi-cates that vaccination to be most profitable must be done long before the child becomes of school age. Influenza and PneuTuonia: There were 2,717 deaths from pneumonia and 505 deaths from influenza, making a total of 3,222 recorded for 1938. The deaths from these two conditions give a rate of 91.4 per 100,000 population for 1938 as against a rate of 108.4 for 1937. There were 357 fewer deaths from influenza during 1938 than for the previous year and 206 fewer from pneumonias. Tuberculosis: The death rate from all forms of tuberculosis was 52.2 in 1938 and 54.8 in 1937. This represents a decrease in actual numbers of 59. 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 1,853 deaths from all forms of tuberculosis, 51.5 per cent were males and 48.5 per cent females ; 38 per cent were white and 62 per cent colored. The colored rate of 111.2 for tuber-culosis is almost four times the white rate of 28.3. Cancer: Cancer accounted for 1,915 deaths in 1938, giving a rate of 54.3 against a rate of 54.8 for 1937 and 51.6 for 1936. 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, and three more this year than in 1937. NoKTH Carolina Bureau of Vital Statistics 11 Pellagra: The 257 deaths from pellagra, representing a mortality rate of 7.3 per 100,000 population, was a decrease over the rate of 13.0 for 1937. There has been a downward trend in mortality from this disease since 1930 with the exception of 1934 and 1937. The peak year for pellagra deaths was 1930 when 1,015 were charged to this disease. Suicides and Ho7mcides: There were 332 suicides in 1938 and 305 in 1937. The 27 more deaths increased the rate from 8.7 per 100,000 population in 1937 to 9.4 in 1938. There were 52 more homicidal deaths in 1938 than in 1937, the totals being 356 and 408 respectively. Accidental Causes: Violent and accidental deaths, exclusive of suicides and homicides, accounted for 2,217 deaths, 267 fewer than in 1937. 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 906 deaths from all types of automobile accidents in 1938 and 1,056 in 1937. Railroad accidents, exclusive of collisions with automobiles, caused 89 deaths in 1938 and 99 in 1937. 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 ten years are shown in Table 2. There were 450 maternal deaths in 1938 to 445 in 1937, or 5 fewer deaths and 659 more births. This gives a maternal mortality rate of 5.6 per 1,000 live births, the same as for last year. There were 240 white, 206 negro and 4 Indian puerperal deaths, accounting for a death rate of 4.5 per 1,000 live births for the white and 8.4 for the colored. Table 2. — Total Maternal Deaths and Rates, 1929-1938 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 1938 450 5.6 12 Annual Report Nineteen Thibtt-Eight Albuminuria and eclampsia, as in previous years, accounted for more of the puerperal deaths than any other single cause. The second and third greatest offenders were puerperal septicemia and puerperal hemorrhage, respectively. Albuminuria and eclampsia with other toxemias of pregnancy account for 155 maternal deaths, which is 34 per cent of all maternal deaths. Infant Mortality: The total number of deaths under one year of age was 5,461 or 299 more than occurred in 1937. The rate for 1938 was 68.3 per 1,000 live births and 65.1 in 1937. Of the total deaths 3,244 were white and 2,217 colored. This gave a rate of 59.6 for the white and 87.2 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. Table 3. — Total Infant Deaths and Rates, 1929-1938 Year No. of Deaths Rate 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 1938 5,461 68.3 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 1,502 Diarrhea and enteritis 847 Pneumonias 675 Sudden death (cause not specified) 470 Congenital malformations 334 Total 3,828 Of the 5,461 deaths of infants under one year of age 1,238 or 24 per cent died during the first day of life and 2,075 or 38 per cent within the first week. North Carolina Bureau of Vital Statistics 13 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 essen-tial in upholding the right of citizens in the establishment of necessary facts in the closing event of life. Vital Statistics are of inestimable value to the public health workers, but without complete registration full reliance cannot be placed on the data. For health organizations accurate certificates are essential if our true problems are to be known, if our pro-grams 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 Thibtt-Eight -Total Births and Deaths (Exclusive of Stillbirths) With Rate Per 1,000 Population for the Years 1914-1938 Inclusive North Carolina Bureau of Vital Statistics 15 1 1 16 Annual Report Nineteen Thirty-Eight North Carolina Bureau of Vital Statistics 17 lO -H 1 1 I t- -< t~ ««• m o * oo r* -f eo o tTojn«00Oa0iOO»«t^O'*0s»0 |
| OCLC number | 5107459 |
Tags
Add tags for Annual report of the Bureau of Vital Statistics of the North Carolina State Board of Health
Comments
Post a Comment for Annual report of the Bureau of Vital Statistics of the North Carolina State Board of Health
