35
(/,n ,8n., CHILIIRE}I'S BUREAU STATISTICAL SERIES ilUMBER 9 iRALSECURITY AGENCY. SOCIAL SECURITY ADMINTSTRATION. CHILDREN'S BUREAU.WASH.25,D.C. 1951 Provided by the Maternal and Child Health Library, Georgetown University

CHILIIRE}I'S BUREAU · tnvolved., the phyelclan vho conplatae the ilsath cert!.ftcatc also eelcete the unilerlytng eaure of d.eath. (gy tne carltcr procodnree thlg eerectlon ryas

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Page 1: CHILIIRE}I'S BUREAU · tnvolved., the phyelclan vho conplatae the ilsath cert!.ftcatc also eelcete the unilerlytng eaure of d.eath. (gy tne carltcr procodnree thlg eerectlon ryas

(/,n ,8n.,

CHILIIRE}I'S BUREAU

STATISTICAL SERIES ilUMBER 9

iRAL SECURITY AGENCY. SOCIAL SECURITY ADMINTSTRATION. CHILDREN'S BUREAU.WASH.25,D.C.

1951

Provided by the Maternal and Child Health Library, Georgetown University

Page 2: CHILIIRE}I'S BUREAU · tnvolved., the phyelclan vho conplatae the ilsath cert!.ftcatc also eelcete the unilerlytng eaure of d.eath. (gy tne carltcr procodnree thlg eerectlon ryas

COISIENTS

IIIIRODUCTIOS

ItorEs olt 'rcr' (cawr) cElARfs. o o c c ofnfant nortallty by naln causes. nCblldhooil nor.ballty by naln causosldaterrnal nor"ballty by naln carrcoo.

a o

o t

Pago

1

23l+7

1I

L21313thL5L5

L718-202L-2,fi42

$o{IES OII ttgtt (Stnrg) cEARlE. . o . o e . .Irrfant nor"ballty rata, each Stato, . .Chlldbood. nortallty rate, each State .ltlatemal rortallty rate, each State. .?ercent of llve blrthe outgl,de hog-

pttala, oachState o . o c o o o o oPsrcent of ltvo bh'bhc rlthout ned.lcal

attend.anca, each State o o o . . o .

toIlES olt nr' (IRHTD) CEat[rs. . o o . . o .Bl:t:.bh rate by race, L9Q9-I+9. o o c c .Blrthg by attendance and' rac€, L%rJ+gInfant norbalLty by a€or I9L7-l+9 . o .Chllilhood. rortallty by age, L900-l+9. .Mater:na1 roz*allty by race , l9l;5-l+9, o

6789

10

ITOIIES OIf TAHLES " "Cauae tables oState tables .lbend. tableg .

o ? o c c a o o a o o g

o o o o o a G o o o o o

o o o o c o a o o a o o

o a o o o o o o a a o o

*ttF

Prelaroil byProgran Resoarch BranchDlvletoa of Begoarcb

Chtld.r€r'r s Buroau

Provided by the Maternal and Child Health Library, Georgetown University

Page 3: CHILIIRE}I'S BUREAU · tnvolved., the phyelclan vho conplatae the ilsath cert!.ftcatc also eelcete the unilerlytng eaure of d.eath. (gy tne carltcr procodnree thlg eerectlon ryas

TSTR0EUCgr0n

The cbarte ln thl.s ropozt for the year f9l$9 eontLnue thc sorLos of grapblcrsJ-eagcs on tnfant, chlldhood., and. natsrrral nortall.ty lesuad. prevLously bi thcChtldrca's Bureau*" A11 data aro thoee prrbl,lshod. regularly or furnlshcdtbrougb slnclal tabulatlons by tho ffatLonal Offlcc of YLtal Statlgttce. fhecharte aro of tbe fo3"lowlng klncte:

trdatn cauees ("C" chgILsI: Son proced.uree for claeslfyLng eortalltyUoa of d.eterstntng causes of death for

tabulatlonnlmrposes, becane effectlra in tho yoar l9ll9, Tbe o0ocharbs show, for contlnental Unl.ted. Statee, the reeulte of tbseetrnoced.ures eo far as nnLn causos of lnfant, chllelhod, and. ratarnaLuortaltty are concornad." The noet tnportant foature of tbc ncvlrocedurce ls that, for oach d,cath vhoro nors tban onc cause 1etnvolved., the phyelclan vho conplatae the ilsath cert!.ftcatc alsoeelcete the unilerlytng eaure of d.eath. (gy tne carltcr procodnreethlg eerectlon ryas nerd.o rater, ln accordancs wLth rtLes s?rtch ftxcd.a ecrtaln pnl.orlty for aacb caugc ln rslatlon to aLl othere) " Shcunderlylng cauec of ilcath gtatcd. by the phyclcLan !,g now tabrdatod,tn aort !.nstances, altbougb both the und"crly.tng causc and an aEsocl&dconilltl.on arc cod.od. for ccrtatn ccnabrqatlona of causes that ara ofspeclal lntorest" Furthcr Lufomatton regard{ng the nC'' cbartg !.sglvcn oa tho ncrt IEgc "

Provlelona1 data on c(aparabtlfty of the nev and. oIiL proceduree arebeLng cmpllod froa aaaples of I9l+9 ana 1950 fleath cartifLcateg " Thereeu}ta should be avallhb1e early tn L9r2, and, cbarts d.sal{ng rlththtg problen are bek6 prannod. for a oupplonontary relcacre u

State rateg ("S" S+ar*e) I Tbege charta ahorr the relatlvo otandlngaof the States, Terrltorles and. fnsuLar Possetglone ln each type ofrate ilurlng 191$9. Partl.cular attsntton Lg cal1ed. to the cblld-hood. nortallty ratea ln chart S-2 (pge 8) " [o ratec of tbat lrlnilYore pub11eh"4 6w'rng the pcrlod }9h2-l+8, becauae the ftgurct mStats chlId. populatLons naecsaary for thelr cmputatlon arc aroll"ab1eonly for years cloeo to the t{lc vhon E popul.atlm ccnsus le tahau.

Treod'e ("r" cnart-g): The char*g on Iragos 13-15 br.tng up to datc thctrcnd' data for contlncatal Unltoil Statcs ln roalnct to aatallty and.tnfant, chtldhood., and. natcr.nal nortallty. IIev sstrrator of thebt*h rate aro shovn ta cbcrb f-l-. trn tbc alata plotted, tbcrc, sn!.t-iUte allorrrncee have boon nad.s for lncupLete rogtotratlon of bLrtbsand. for the Statcs nblcb vorc not tn tbe Blrth Regtetratton Areabefes 1933.

* fbo Topo* for the year 19q8r- nblch 1s avellable on roquest to tbe CblLilrenf gBnrsau (statrctlcal S6rles ilo, 6) , tnclud.ce charts on charigee ln the causcs oflnf,ant, ehildbood, and. raternal nortallty over the d.cca0c 1939-18, fbo reportfor tbe yoar Lgl+T ts no longer ln suppl& but tg avalia'bla for etrrd.y tn moetState Eealth Depa:trcnta aril nauy llbanarlea, A llaltod cupply of tbe chartglggucd, fcir thc tcar L*6 is sttl-l avaLlable "

I

Provided by the Maternal and Child Health Library, Georgetown University

Page 4: CHILIIRE}I'S BUREAU · tnvolved., the phyelclan vho conplatae the ilsath cert!.ftcatc also eelcete the unilerlytng eaure of d.eath. (gy tne carltcr procodnree thlg eerectlon ryas

l{clEs 0n "c" cEAnrs

I! each of thcgc charts thc fntcrratLonal Llst nulobcrs arc lncludcd fortbc caugcs ghomr. ltcsc nrnbcre corrcepod to thc grouplngs of causcs uEcal lnthc claselflcatl@ of ilcaths. Ihc nrnbcre, group tlt1ce, anil lnc1ueloaE usdcrthcgc tltlce trc glvcn ln thc "llanuel of tbc Intcraatloal StatlBtlcll Claegl.-flcatlon of Dtscaece, IDJurlcs, ana Cau8c6 of Dcatb; Slrth Ravlglon of tbcIntcmatl@sl Llsta of Dlscaecs a.nil Clusce of Dcatbn . Thla lrlarrual, tibloh rasliubushcil la 1948 by tbc worli Ecaltb Orguntzatlsrr la arallat'Ic tn nostlltranics ae nr1I aE ln Statc e'ril uunlcl.Inl hcalth atcpartucntE "

hfant lortEltty (C-1): Aldg aII 111, )31 dcathE uniler I Jreer r€IEo8entoaltn tbtg-ffiffiG-6EEatf lcil yltb tnaturtty (!,renature blrth) as at leagtdo caurc. Amtrorrratcly balf of tbce ncrc tlsathg ln llhlob LEaturltt rrs thcooly causc rrntloacd, thougb tbl.B ilocE not ucccamrlly lran that no otbcr causc.rlstciL. lbcgc caacr arc rctFsscntcA by tbc block la tbc uppor rtgbt-h!,Dn partof tbc cbrrt (o tratultty uoquallflcit"). In th. othcr half of thc caace,lreturtty rar rcpstcil l,n ccrblDrtlo vlth podnatal allhJxla or atclcctasla,btrith llJurlc!, or !s. oth.r lloclftc c@itlt16 of ea.rly lafancy. lbele calcl,tlblch !,rc rcpcrcatcd by thc ehadcil parto of tbo otber blockt la the rlgbt-hanilpart of the char{, roveal nuchaaturely born lnfanta than hac

lnfornnatlon about the cauteg of cleath of pro-avallab1e before,

uorcbeen

llhe ncr clarclficatlm crcourago! pbyllcla,$ to ilcflnc an tnaturc itrfanta! olG tralghlng * poroer (ar:oo grarl) or L!! at blrtb, oar aa oc vlth agcltatlm ll6110d of lc!! tbdr 37 vcctrr. ltc crtcnt of obecrvancc of thlrAcf,1tr1t16 l,a tha uoruallty i!,ata for 19L9 ls aot bora.

lbc clalllflcatlon ilocg not takc account otr la.turttt rc[tl@cil LB cc[-bbatlm yltb conacaltal ralfoelatloas or thc othcr corlllttouB rcpr.acBtcil ln thcIomr lcft part of thc che*. E [ac tbc count of ilcathg aegoclatcil rLthteturttt la acccsaarlly lnccnpJ-ctc.

Eorcvcr, tbc cLsalflcatlo pcrolta a dctollc<l brcaHosa to be rade of theacrDlDatlons of llaturltt vltb allseased nhlcb, for graphlc ptrrpoaos, ar€ groupoaltogctbcc a6 "other cood.ltlms of carty lnfanoy" l"n tho lorrr rlgbt p@tlon of theaba:*. fbe norc hportant prte of thla breaHorm are eborm ca !ag. 18 (t6b1e c-$,rih€ao De@atal aDil postDomstal lufant lot"iautt ratee, by caus., are also glvcn.

qtllllood lortalr tt (C-2): [b6 rank ortler of the caua66 shol'rt la chart c€,ar u @ lcaitlng cauoeE, ilepend.e ln pcrt. ou the grouplngaof caugos crployeil. Evcn eo, ltla alrparsat that accLleDts arc the loBt outBtandtngcauso of childhooit uottallty. Of aII 34r 4olr dcatbs tlurlng 1949 aronA chlldron ofagee 1-11+ ycare, 1Or2J8 or 306 rcrc ilu. to accidents. Iufluenza aa0 pneruonlacoctltutc tbc nclt lost s.rlouo caus.r accountlng for $ of cbllilhoo<l dcatha.

It vllt Da notail thrrt tbrcr dr loto cau6c4 aro groupca togethcr ln 6€6. ofthc catcgortoa Bbom ln tbc rlg!t-h!!il ?.rt of thc chatt. }lhll. thcsc catcSorloabav, 3co rlaluc fc gon6[ta1 purltoe€8, lt rlll bo unileratood that thet

"opaB€ntoly oc of tbe losslblc atraageacots of the itata thst va:-ant conBlaeratloa tnchllil b9altb Yort.

t{atot pat rorlaUtt (C-3): Tbo total lubor of Btcllgl. aleathB raprcaoa+.edla thlc ffi-ls 3zf6a ft ls c6t:.Dtoa that thla arnlcr t oulil hare been aptr'orl-rtcly l0f lar6cr lf tbc olit proacalure of classl?tln€ ratcr:nal ileathg bail lcen usil.

ft 1r olcar tbat to:alag anil 66l,t1c adlill.tloag ( tnotualng scptlc abor{1oa)lrc tba trc leaillng cauecs of ntana] lortalliy, togcthcr aacountln6 for ovcrhrlf tbr ratcrnai alcrths .

-2*

Provided by the Maternal and Child Health Library, Georgetown University

Page 5: CHILIIRE}I'S BUREAU · tnvolved., the phyelclan vho conplatae the ilsath cert!.ftcatc also eelcete the unilerlytng eaure of d.eath. (gy tne carltcr procodnree thlg eerectlon ryas

CHART C- I.MAI N

INFANT MORTALITYcAUsES, U .S . , 1949

vvvvTvvzlv//.'-///""

//

/

-/

W I T H I M M A T U R I T Y( P R E M A T U R I T Y )

W I T H O U T I M M A T U R I T Y

(r)\l\taUJ

:{sootl{ta.qTtlJ\

q\at\(r)\L\t{Ja

3 r .3

20.o

lo .o

o* e x c l u o e s p N E U M o r : r a o F T H E N I w B o R N

W H I C H I S I N C L U D E O W I T H" O T H E R C O N D I T I O N S O F E A R U v t N F a i ' . l C v " .

- 3 -

I M M A T U R I ' T Y U h I Q U A L I F I E D

P O S T N A T A L A S P H Y X I AA N D A T E L E C T A S I S

B I R T i - I I N J U R I E S

O T H E R C O N D I T I O N SO F E . A R L Y I N F A N C Y

7 6 3 - 7 4

D I S E A S E S O F E A R L Y I N F A N C Y

( S H O W N A T R I G I - I T W I T H T W O . F O L DI N C R E A S E I N S G A L E )

760 -76

\

C O N G E N I T A L M A L F O R M A T I O N S

7 5 0 - 9

IN FLU ENZA AN D PN EU MON IA*4 8 0 - 9 3

G A S T R t T t S , E T C . 5 4 3 , 5 7 t _ 2

A L L O T H E R C A U S E S

Provided by the Maternal and Child Health Library, Georgetown University

Page 6: CHILIIRE}I'S BUREAU · tnvolved., the phyelclan vho conplatae the ilsath cert!.ftcatc also eelcete the unilerlytng eaure of d.eath. (gy tne carltcr procodnree thlg eerectlon ryas

\tI

(4\9 e n ^ -\ \r\./.\./

\stl.rJ\a

\$

aod.4O.O -etl.{

\(t)

\LSqta

92,6 -

80.0 -

20.o -

o-

CHART C.2, CHILDHOOD MORTALITYMAtN CAUSES, U .S . , 1949

A L LA C C I D E N T S

M O T O R - V E H I C t E A C C I D E N T S

E 8 r 0 - 3 5

O T H E R A C C I D E N T S

E 8 0 0 - 2E840 -962

I N F L U E N Z A A N D P N E U M O N I A

4 8 0 - 9 3

M A L I G N A N T N E O P L A S M S

t 4 0 - 2 0 5

( S H O W N A T R I G H T W I T H T W O .F O L D I N C R E A S E I N S C A L E )

A L L O T H E R C A U S E S

C O N G E N I T A L M A L F O R M A T I O N S

7 5 0 - 9

M E A S L E S , D I P H T H E R I A ,M E N I N G O C O C C A L I N F E C T I O N S ,A N D W H O O P I N G C O U G H

5 5 - 7 . 8 5

H E A R T D I S E A S E S A N DR H E U M A T I C F E V E R

4 r o - 4 3 . 4 0 0 - 2

T U B E R C U L O S I S ( A L L F O R M S )

t- r9

A C U T E P O L I O M Y E L I T I S8 0

G A S T R I T I S , D U O D E N I T I S , E N T E R I T I S ,c o L t T t s , r N F E G T , D t s . l N I N T E S T . T R A C T

4 0 - 4 5 - 8 . 5 4 3 . 5 7 t - 2

A P P E N D I C I T I S 5 s o - 3A C U T E N E P H R I T I S 5 9 o - I

B R O N C H T T I S 5 o o - 2

Provided by the Maternal and Child Health Library, Georgetown University

Page 7: CHILIIRE}I'S BUREAU · tnvolved., the phyelclan vho conplatae the ilsath cert!.ftcatc also eelcete the unilerlytng eaure of d.eath. (gy tne carltcr procodnree thlg eerectlon ryas

(r)\

ta'.'.'\\,1

Ssostt'J\(4\\t'Ja

CHART C-3.MAI N

MATERNAL MORTALITYcAUSES, U"S. , 1949

T O X E M I A S O F P R E G N A N C YA N D P U E R P E R I U M

6 4 2 , 6 8 5 - 6

S E P S t S O F P R E G N A N C Y ,C H I L D B I R T H , A N D P U E R P E R I U M

6 4 O - 1 , 6 8 t - 2 , 6 8 4

A B O R T I O N S6 5 0 - 2

H E M O R R H A G E O F P R E G N A N C YA N D C H I L D B I R T H

6 4 3 - 4 , 6 7 0 - 2

E C T O P I C P R E G N A N C Y

O T H E R C O M P L I C A T I O N S O FP R E G N A N C Y , C H I L D B I R T H ,A N D P U E R P E R I U M

6 4 6 - 9 , 6 6 06 7 3 - 8 O , 6 8 3 , 6 8 7 - 9

W I T HS E P S I S

- 5 -

Provided by the Maternal and Child Health Library, Georgetown University

Page 8: CHILIIRE}I'S BUREAU · tnvolved., the phyelclan vho conplatae the ilsath cert!.ftcatc also eelcete the unilerlytng eaure of d.eath. (gy tne carltcr procodnree thlg eerectlon ryas

I{0116 oil trss' cEARrs

By vay of gtregel.ng the varlatlone ln ratee shorn 1u thesecba,rrber lt le vortb notLng that the aplnorlreta ratlo of h{ghest toLorcet ratoe le as l- to h for tnfant nortallty, I to 8 for chll-cl-hood nortallty, and. 1 to 10 for natemal nortallty " It le rorthrenarklng aLao tbst ln ll of thc ,3 areas the 19h9 lnfant aad., cblld-bood rateE rrnro blgber tban rae tnre for the Unltetl Statce a decadccarLlcr, nhen the lnfant ratc ras b8,0 and. the chlldbood ratc taoL66.O. I{lth rcapoct to natcrnal ror*allty, horcvcr, tbc L9l+9 ratcsln all 53 arcas varc rclI bclov tbc Uo So rate of l+O.b ln 1939"

fa gcncralr relatlvcly hlgb ratcs occur ln arcas havlng lot1nr caplta lncclc, and. tbcec arcas tcnit to havc hlgh lnrcenta€csof nrrraf ann noarhLtc Bopnlatlsn. (tror percentage of nonrfrlteblrthe ln each area, see lagt oohnr of table S-5r page 2>) " .[Lao,lnccnc levcl 1g baglc to hoapttal antl red.lcal facllltlce, and. lea vory lryortant factor

"1'36s1rng the lnrccntage of blrtha outeld,c

hoepltalg anil ylth no red.lcal attcndanco (charte S-ll aniL r) "

fhle rcpor{ doee not attcpt to ghov ratsg Dy cauec-of-ilcath brcaH'mne Ln tbc 53 arcaa, a6 tbat vouLeL rcqutrc a vcr?largc nulbcr of eha:*e and. tablcs. Eorcvcr, ratce for tlctallcdcauscs of lnfant or uatcmal nor*all.ty ln any Statc a^rc caellycclnrted frs the &ata pnovldcd. 1n the anara} volurse entltled"Vltal Statletlce of' the Unlteil Statee", nhlch are prrbllebed bythe Federal SecurLty Agency and are avall-able ln noet llbrarles.

The saao volunes provlcle tho nurbers of chlldbood doathefro ualn causes ln aqr glvea Stater ad correspondLng rateelay bc ccnputed. by relatrng thoge nunbere to the Stateva chtldpoprlatl.on aval}ablc frc thc Lg]ro. ccnsus. For nogt ptrrposcglt ls eufflclcntly accuratc to ralatc L9r+9 dcathe to LgrO chl.LtlpofulatLoner E8 bae bcca d.onc for thc Statc ratce tn cbart S-2"fhc avcragc cff,cct of uel.ng thle procednro le to decrcasc thcratce by oaly a fractlm of oac lrrccnt"

As l.n other eectloag of thle rcport, tlata f or the Unltcd.States Ln a].l 'S' cha.r*s and. tableg aro for contlnental UnltcdStatee (l+8 Statee an1 tbo Dlstrtct of Colunbta) "

6

Provided by the Maternal and Child Health Library, Georgetown University

Page 9: CHILIIRE}I'S BUREAU · tnvolved., the phyelclan vho conplatae the ilsath cert!.ftcatc also eelcete the unilerlytng eaure of d.eath. (gy tne carltcr procodnree thlg eerectlon ryas

0onn.a , o I oNebr "ldas s n0reg.Earal 1Utahl{ lnn.I owa[ans"s . JoS, Dak.s n Y "Wi g.CaI1f .I deboWash.I11 "r " E oOhi oM1 ch.D o C o

trad..Fa"lnlont,MooDe l .l'uld."

N.Dak"0k1a"Nev"vt.l,!aineGao

Ark.tr*Ia.C o 1 o .Ia"!t|yo.lilu c .va.s" c".Lla.M i s s oI{.Va.Tenn.trY.TexasAlasP.aI*LzoNo! lexo

P. R"V" I s .uo s "

23"12l+,024.124.524"6

Char t S-1

IITANT

HoBIAII gr

( DeatUs und.erI year per 11000

l lve blr ths)

191+9

25.t25"325.625 "725 "925.025.0?'6"L26.526"927 -o27 -L27.1+27 "g28'L2g.g29'.L29.129.229.7J0.o,0.1+30"530.734.832.132"\32"533"333 "733'-835"L37 "237 . \38.L38.L39 "039 "5tg.539.540"2l+l.aw..7

l+7.651. O

6|..L6T.T

go.33L.37

Provided by the Maternal and Child Health Library, Georgetown University

Page 10: CHILIIRE}I'S BUREAU · tnvolved., the phyelclan vho conplatae the ilsath cert!.ftcatc also eelcete the unilerlytng eaure of d.eath. (gy tne carltcr procodnree thlg eerectlon ryas

Conn'R . f nlI" J.vt.llasg ollo InltaLnefowaHarallll. Hor11.DeIa.PaoCaI[f .lkbroSash"ltleho![lnnotfleoS "Dek.D o C .Indo0h1o!{d.OregoKang.GaoNoDak.N o C o

ffLaoIdalroTennolloVa.MootaoVaoAla,Mont os " coUtettKy.ArkoOkIa,Colo,lfyo"lbvol{lss "TexasArlz.NoMexoT o I s oAlaskaPo Ro

U o $ r

61,766 "77t"5

72,.',|?h"h

Chart S-2

CHITDHOOD

uomAtIIr

(Oeattrs per 100r@0chlldren of ages L-lb)

19b9

o I

1"h0b.30h,808.3

L10.0r10"3

111"L

L7.32L.6

77,878.278,3?8.879,5g1.h82,983 "183,283"33.?

85.886.386.596.688 .3gg

"5gg, ggg.h90.090.3

o 23.1b.795,896,596.ggB"3

,l L55"7i l--166.7

18"8. 0t/ tc9"1

Provided by the Maternal and Child Health Library, Georgetown University

Page 11: CHILIIRE}I'S BUREAU · tnvolved., the phyelclan vho conplatae the ilsath cert!.ftcatc also eelcete the unilerlytng eaure of d.eath. (gy tne carltcr procodnree thlg eerectlon ryas

UtahtfyooHaraltfoweS.Dek"KangolI.Dak.Del"t{fuuroOhtoOregoIfashoD o C o

AlaskeUig.Hags oIndoll lch"Callf.Conn"Md"vt"Ho Io

NO IIO

tilo Jo

Pa.r11"R o I o

Idaholdebr"l{aineltooColooHont"LIoVaoVtol{o co

TexasK}i.LaoOkla"Tenno!["]{eroArt z"HevoflLaos , coArk.Ga"llrolff.ssoV o f s oPo B.ll. so

L"ob"25"o5"25"35,35"b5.lt5 "ll5.b5"55.65"75"9

2"11

Chsrt S-3

HATtsNTAI

}OHTAtItT

(t{aternal dcathaper 10rOO0

ILve blrths )

19b95.06"15"25,h6"b6.56"56"66"76"76"7

7 o 07"37"57.68"?B,g9"19.19.910"21.1.8IL.9L2.2

!- LZ "3!- L2"Tf- L3.3ts L3"9!- 11r.3

16.3L7.317.hL7',5

t- 18n2!- lP'ht sZZ.b

22''623.2

9"a-9-

Provided by the Maternal and Child Health Library, Georgetown University

Page 12: CHILIIRE}I'S BUREAU · tnvolved., the phyelclan vho conplatae the ilsath cert!.ftcatc also eelcete the unilerlytng eaure of d.eath. (gy tne carltcr procodnree thlg eerectlon ryas

Conn.l{ash.MaggoR O I .A . E oD . C oCal.lf .0r egnN. T .UtahI daboNev.l{tan.i lo J rWl s.Hont"lfyo.Earalll{1ch.S" Dak.Iotraleb .UoIItkoEans.I11 "OhloColo"PaoYt.Ind.Ar1 z.l'{alncDeL.l{d.0k1a.}{o.Ire'AlashBTerasFlEoTennoV8oXo tilex.tr. c.0eoU.TaoV o I s .Ark"qy"Ala.s. c.ldl e e"P O B "

U . S o

0"5r .0L"2L.4l ' .51 .7L"g1 ,81"91 .92 .32 .32"52 .72 .9

Chart g-4

Pmc$ru 0r

BIRBHS

oufsIDn

EOSPI TAIS

( [hese ftgureslnclud,e both the

blrthe attencled byphygl cl aas out sl d.eho epl tal s aad, the

blrthg wlthoutnecll cal attendrance)

191+9

55.556"9

J.rt .53.73.83"83.93.9l+.75.0, .25.65.57.1+g.og. t9 .78.89.8

1l+.1+t5.615.1

L9.72L.622.222.7

29.52g.g,0 .0tL.9t? .8

,5"5,5.L36.5t7 .8

l+t.545.9

L3.3- I O

Provided by the Maternal and Child Health Library, Georgetown University

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Mo"

Okla.

HarirAll

Wo TBo

ud"

Ar lzo

DeI .

(y"

llenn"

Iexas

N o C u

V8"

Le.

g o Mex.

Fla"

Ark"

.LlaeI€

Ga,

Aleo

S o C o

T o I s o

lril. s s .

P. n,"

Uo So

6"0

7,1

3"L

3"L

t "8

4"9

5,1

1"7

2"9

C.hart S-5

PTRCUIT OT

srBrrs mlgou[

IIUDICAIJ

ASIXNDASCS

( I aclud.ee onLythose 2t areagln rhlch over Lfof the bt r ths uerervl thout nedlcal

attenctrance)

r949

5T "8

8"5

10" 9

13"0

1J .0

1r.4

1l+.5

14" 7

L5"7

20"1

22.O

22"7

-11 -

2g "6

54.0

t6.3

Provided by the Maternal and Child Health Library, Georgetown University

Page 14: CHILIIRE}I'S BUREAU · tnvolved., the phyelclan vho conplatae the ilsath cert!.ftcatc also eelcete the unilerlytng eaure of d.eath. (gy tne carltcr procodnree thlg eerectlon ryas

NOIES OIT IIIIII CTARTB

Ae nentloned. ln the lntroductlon, the blrth ratee shown1n cbart f-I have been est{mFted. by uaklng al"Ionances for lncon-plete reglstratlon of }lve blrths ancl for States vblch werc nottn the Blrth Regtetratlon Area untl,l 1933. [he ostltratcB rntro natloby P. E. lfbclpton ta collaboratloa vtth tbc l{attoaal 0fflcc of VltalStatlgtlcs. Fro rlata ptrbJ-Lehed carller on the trencl of tbc ratefor regtetcrcd blrtbg cnly, tt appcarcd tbat the f9l+? pcak ln thcratc for all racc groups uaa hlghcr than the 19I, lcvcl of the ratcoChart T-I gbone tbls waa not the casc o

ftrc &ata on bttthe by attcntlancc sho*n tn chart lI-2 atcfor rcgtgtcrcal llvc blrths only. I{o cetLuatee for total llvcblrthe (lncludtng thoec vhtch rlcrc unrcglatcrcd) arc avaltablcln rcelnct to attcndanco at bLrth. Eswrvcr, tt uay bc agsuscd.that lf euch cgtlnatcs fiirc avallablc for chart E-Zt thc bantlfor thc lnrccntagc vlth t'no trcd.lcal attcndancc" voulil bc oon-slrlerably largcr thsn lE actually ebonn, Barttcularly for nonnhltcblrthg. At the sane' trnc thc banits ehOrrn for "phyelclan Ln honc"anil npbyelclan ln boepltal" roultl bc eacrhat gnallcr. Data onbirthg by attcnrLancc arc not avallab1c for the years bcfore L93) "

fire data for each chart on nortallty trend.e (f-3r ll, and ,)have been plottecl on tvo cllfferent ecalee, In tbc larger plot thevertlcal acale i.e logarLthm'lc" Thte snables thc rcatlcr to Jud€e,by lne1nctlon, the roLattvc or pcrcenta6e changce rrlrlch hsve occurredln thc ratce ehorn. If , tor arampJ.a, ono rato has bccn coneletcntlyIarger than anothcr, but both ratce havc dccrcasccl by thc aaupcrceatcgcr thc elopce of the two ratee as plottcd on thc logarlthnlcscalc arc cractly tbc sa,trlc.

A logartthnlc ecale hae no zero pol.nt, hotever, and. forbbat raason Judgnent of the abeoLute elze of the ratee 1g dl.fflculton euch a ecale. To uaha up for thle eleflcl.ency of the LogarLthicgcaLc1 En tngert chart ehorlng the data plotteel on an ordf.aaryarttbtlc ecale 1g provtded. for each eet of aortaLLty trend.e "

L 2 o

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CHART T- I .( D A T A C O R R E C T E D F O R

BIRTH RATE, U.S. ,I N C O M P L E T E R E G I S T R A T I O N

1909 - 49O F L I V E B I R T H S )

308t\\!iars\saa

20 -*F(*(t)

.\l\

\as

ro :

1 9 0 0 r 9 r o 1 9 2 0

CHART T.2 . B IRTHSW H I T E

N O M E D I C A L A T T E N D A N C E

t 9 3 0 t940 r950

BY ATTENDANCE, U.S. , 1935-49N O NWH ITE

roo roo

60

40

r 9 5 5 r940 r 9 4 5

8 0 gLsa

s^^ \ .1t r ( I- - s

VJeH(r)(5\

4 0 [a|\tt{$a|.lJ

2 0 q

N

N O N W H I T E

N NN O M E D I C A L A T T E N D A N C E

LAT

t .

IPoHN

P H Y S I C I A N I N H O M E

Provided by the Maternal and Child Health Library, Georgetown University

r950

Page 16: CHILIIRE}I'S BUREAU · tnvolved., the phyelclan vho conplatae the ilsath cert!.ftcatc also eelcete the unilerlytng eaure of d.eath. (gy tne carltcr procodnree thlg eerectlon ryas

r900

t 9 0 0

GHART T-3. INFANT MORTALITY, I9I5.49(U .S . B IRTH REGISTRATION AREA)

r9 ro r920 t930 r940 t950

o'20 '30 t 4 A 5 0- U + _

too

(/)

T50HG

srr. (1{ ( 4

Q ( )s\os-^tt rQ(*st ' )3* . \ .q|.JJa

ro

UJ-J

\$(t)

()5 0 R

,{l

\\L

t\

BETWEEN I MONTHA N D I Y E A R

U N D E RI Y E A R

U N D E RI M O N T H

B E T W E E N I M O N T HA N D I Y E A R

U N D E R I D A Y

' 10

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Page 17: CHILIIRE}I'S BUREAU · tnvolved., the phyelclan vho conplatae the ilsath cert!.ftcatc also eelcete the unilerlytng eaure of d.eath. (gy tne carltcr procodnree thlg eerectlon ryas

1900

CHART T-4,

l 9 to

CHILDHOOD MORTALITY, I9OO-49(U .S . DEATH REGISTRATION AREA)

r 920 r930 r940 1950---T-

I - 4 Y E A R S

I - I 4 Y E A R S

5- 14 YEARS

o

(r)t{t(5\

ttGkJ

50i l__\ t{tsttsuJ .')t s1\\t \..\- ..\\. ].\\ :$ toi l\ ) oQ - l

$-qtlJar(t)

Tt

toa

\{\()e)

$loo L-

\\\}\a\

'2C- '30 '4c. ' 50

_ 1 5 _

t - 4Y E A R S

t - 1 4Y E A R S

| 900

Provided by the Maternal and Child Health Library, Georgetown University

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GHART T-5. MATERNAL MORTALITY, l9l5-49(U .S . B IRTH REGISTRATION AREA)

r9 !o r920 | 930 r940 r950

N O T E : I 9 4 9 R A T E S A R E B Y N E W ( 6 T H ) R E V I S I O NO F T H E I N T E R N A T I O N A L L I S T .S E E F O O T N O T E T O T A B L E T . 5 .

- L 6 -

r900

t20

(4

Tsa

6Or.. ,\l_n t | JvA \ I

dId:(DJsts\ [( r rD

R\3sst t . t !Q - i

\ t l

TeFq

\

ro

5

t{{\$(4

$R

^^ \b U \

.\

t\

N O N W H I T E

N O N W H I T E

WH ITE

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ITOIES OIT TA3[,ES

So far aa poerlble the tablce arc dcalgnatcd. by lottcreand. nrubcrs corrcalnnd.rng to thogc ugod. for thc cbartg.

Tbc tablcg provleLc norc dsta than are shora tn thc eharts.For cxanplc, ilata on the causos of lnfant doath ln thc aconatalpcrlod. (unitcr 28 tLaya) e; cmparccl nlth the poetnconatal pcrlod(eB a^aye to I year) sre lncluiled la table C-L. Shllarly, tablcC-2 lncludee aLata on the causes of deatb arong preechooL and.achool-age cbtlrtrenr or tboee aged 1-t+ anil 5-1h years reepactlvcly.[ab].e C-3 tncludeg thc r"atee and. nrubere of uaternal tleaths forrfrlte and. nonrrhlte groups.

Each oS' table (erccpt S-2) lnclud.ee the ratee, ln ,cachState, for nhtte and nonnhlte groupE " In table S-2r no cblld-hood lortallty ratoe for rrhlte and. nonnbltc groups are glvca forlnd,lvLtLual States because catlnatcs of thc Statce' nhlte anifnonnhlte chllit populatlons nerc not avallablc nhcn thc tabLerro prclnrcrl. For the Untted Statee as a nho1e, bovever, tboratee for nhtte and. nonuhlte chlldrcu arc append.ed to tbetablc (paec Z2) .

llable I-1 glves the cetlrEtcd total nrrnbcr of llvc bLrthsln cotlnental Unltcd Statee for cacb ycar rlnoc 1909, Bcgletcrcd.llvc blrtbs tn cach yoar elncc 193) arc gltun ln tablc l-2 "

lablcs T-3b and. T-3c shov nbltc and. nmnhltc tnfaat roartalltyratcg. by agt, for cach ycar slncc 1915. fhc chllilhooil ratost-n tablc !-ll rlo not tncluCc ahta for nhttc andt norrhltc oblldlrcabccaugc tho ratcs for thoec groups havc shangad. ln about thc strtpl.oportlme ae thc rates glvcn ln thc tablc for cblltlrcn of allracc groupr. Eoruvcr, thc ratcg for wtttc anil nmrfilte chllitncnfor t'hc ycar l9lr9 arc aBpcnd,cd to thc tablc (paSc 31) "

- lT_

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Table 0-1o INFAI\IT IIORTAIITY RA?ES, EY AGE, FOB MAIN CAUSES: Uo S.,

Rates per 11000 registered live births" Numbers after nares of causesnumbers of the Sixbh Revision of the International List. Exclusive of

Cause of death

A l l c a u s e s c . . . . . . o . . . . . e . . . . . . . . . . .C e r t a i n d i s e a s e s o f e a r l y l n f a n c y . . . . . . o . r . . . . 7 6 - 7 5

Immaturif unquallfigd, . . . . . . . . . . . . . . . . . . . . . . . .776Pos tna ta l asphy : r ia and a te lec ta$ is . . . . . . . o , , , o ,762

l { i t h i m m a t u r i t y ( " i l o . . . e . . . . . . . . . . . . . . . . f . . .W i t h o l : t i n m a t u r i t y ( . 0 ) r . f . . . o c . . . . . . . . * . . . . .

B i r t h i n j u r i e s e r r o o . . . . . . . . o . . . I o . . . . . . . . . . . . 7 & - IWlth immatur i t y ( .5 ) . . . . ' . . . . . . . . . . . . . . . . . . . .W i t h o u t i m r n a t u r l t y ( . 0 ) . . . . o r r i r . . . . . . . . . . . . .

P r n g u m o r r i a o f n g w b o r n o o . r . . . . . r r . . . . . . . . . . . e . . r 1 7 6 3W l t h i m m a t r : r l t y ( . 5 ) . o o . r . . . . o . . . . o . o . . . . . o . oW l t h o u t i m m a t u r l t y ( . 0 ) o . o . . . f . . . . . c . . . . . o . . .

Hemolytic disease of newborn (erythroblastosls) ?70W i t h l n m a t r r r l t y ( . 5 ) r d c o . . . . . . o . . . . . . . . . . . . . .W i t h o u t i m m a t r r r i t y ( . 0 ) f o . . . . o . . . . . . ' . o . . . . . .

D i a r r h g a o f n e w b o r n . . . . . . . . . . . . . . . f . . . . . . . . r . r 1 7 5 l i 1W i t h i m m a t u r i t y ( . 5 ) . . . . . . . . . . . . . . . . . . . . . . . . .W i t h o u t i m n a t u r i t y ( . 0 ) o . . . . o . . . . . . r G . . . . . . . .

Neonatal disorders arlsing from maternalt o x e n i a . r . . . . . . . . . . . . . . r . . . o . . . . . . . . . . . . . o . . . . . 7 6 9

W l t h l n n n a t u r i t y ( . 5 ) r r . . . . . . , . . . . . . . . . . . o . . . .W i t h o u t i r r m a t ' u r i t y ( . 0 ) . o . . . r . . . . . . . . . . . . . . . .

H e m o r r h a g i c d : l s e a s g o f n e w b o r n . c . o . . . . . . . . . . r . r 7 7 LW i t h l m r n a t u r i t y ( . 5 ) r o . . . . . o . . . . . . . . . . . . . . o . .W i t h o u t l n m a t u r l t y ( . 0 ) . . o I r . . . . . . . . . . . . . . . . .

0ther and ill-defined diseases peculiar toearly infancy, including nutritional mal-ad jus tne [ t . . . . . . . . . . . . . . . . . . . . . . . . o . . .765-8 t 7724

Wl th t nma tu r t t y ( . 5 ) o . . . . o o . . o . . o . . . . o . . . . o . .W l t t r ou t imma tu r i t y ( .O ; . . . c . r . . . . . . . . o . . . . | . .

Congen i t a l ma l f o rma t , i ons r . . r . . . . . . . . . . f . . r . . . . . f $0 -9Influenza and pneumonl.a (excr pneumoDla of

n e w b O f n ) . . . . r . . r r r . . . r . . . . . r . . f o . . . r o . . . . o . . b 8 0 - 9 3AJ.t other dieeasee of resplretory

S y 3 t g m . . r r . . r . . . . r . I t . f f o e . o o o . . . i . . . h 7 0 - 5 , I Q Q - 2 7Oestritls, duodenltls, enteritis, and

coLitis (exc, dlamhea of newborn) . o.. ,.5\3, 57t-zAll lnfective and parasit ic dj.seasesoo o o.....001-I3BAccidental rcchanical suffocation ln

bgd or cradlg. . . . . . . o . . . . . . .-. . . . . . . . . . . . . . . . . rEr9zbAll other accidental csus€so.. . . . . .8800-)23r Er925420ther spec i f ied cond l t io l lso . . . . . . . . . . . . o . . . .Res idr ra lSynptons and iIl-defined conditLonsr I o, o r.. o, .?80-95

- l E o

r9b9,

are categoryfetal deaths.

28 daysto

I year

9.90"70 .10 .1

0.10 .0

c

o

a

a

0.0a a a

a a a

o a a

0.0

0 .00 .0

0.0

0 .0a

0,00 .0

c

0.21.h

2 '5

0.3

1.60.8

0.30.51.1OrS

0.5h.1

2 1 6

0.lr

1".60.9

0.b0.?1.5T.T

0.0

0 .L

0 .00 .2

0 .10 .20.50.6

Provided by the Maternal and Child Health Library, Georgetown University

Page 21: CHILIIRE}I'S BUREAU · tnvolved., the phyelclan vho conplatae the ilsath cert!.ftcatc also eelcete the unilerlytng eaure of d.eath. (gy tne carltcr procodnree thlg eerectlon ryas

Table C-2 . CliIl,DliOOD iroR TAiI TY RATL S, BY irG.u, ̂ r/0R MAII$ CaUSLS: u o s o , 19h9 .

Jtates per 1001 000 child.renare cale numbers of the

Name of cause

l L l l e a u s e s . o . . . o . o . . r . . . . o . o . . . . . r . e .

A l l a c c i d g n t S . . . . . . . . . . . . . r . o . . . . o . . . . . . . . . E 8 0 0 - 9 6 2I " i o t o r - v e h i c l e a c c i d e n t s . . o . . . r r o r . . . . . . . . 8 8 1 0 - 3 5O t h e r a c c i - d e n t s . n . o . . . , , . . . . . " " . E 8 O O - 2 , E 8 h 0 - 9 6 2

I n f l u e n z a a n d p n e u m o n i a . . . . . . . . . c . . . a . . . . . . . ' h 8 0 - 9 3Malignant neoplasms, including neoplasms oflynrphatic and hematopoiet ic t i -ssues... . . . . . "1h0-205C o n g e n i t a l m a l f o r m a t i o n s . c . . . . . . o G . . . . . . . . . . , . 7 5 0 - 9Measles, diphtheria, meningococcal infeetions,a n d w h o o p i n g c o u g h . . . . o . o o . . . . . c . . . . . . . . r O 5 5 - 7 , 0 8 5

M g a s l e S o o . . . . o . o . . o . , , . . . o o o . o . . . . . . . . . . . o . . . " 0 8 5

D i p h t h e r i a . . . o . . . . o . . . . . . . . . . r . c o . . . c . . . . r c . . O 5 5I " l e n i n g o c o c c a l i n f e c t i o l l s e o c . . o . . . . o . . . o . c . . . . O 5 7' r d l r o o p i n g c o u g h . . . . . . . . . . . . . . e . . o r . . . r . . . . . . . r A 5 6

Di-seases of the heart and rheumaticf g v e r c . . . . o . . . . . . . . . . . . o . . . . o o . . . . . . . . L 1 0 - i + 3 , l + 0 0 - 2

D i s g a s g s o f t h e h e a r t o . . . . o . o . . . . . o . . . . . . . L 1 0 - h 3R h g u m a t i c f e v g r o o ' . . o . . . G . . . . . o r . . . . . . . . . . . 1 + 0 0 - 2

T u b g r c u l o s i s , a l l f o r r n s o . . . . . . , . . o . o . . . . . e . . . 0 0 1 - 1 9A c u t g p o l i o r q y e l i t i s " c . o . . . . o . . . . . . . . o . . . o o . . . o . ' 0 8 0Gastriti-s, duodenitis, enteriti-s, coh-tis, andcertain infectious diseases in the intestinalt r ac t c . o . . . . . . o . . . e . c . o . . . . . . 5h3g -57L -2 , 0 l+0 , 0h5 -8Append i c i t i s . o . . . . o . . . . . . . . . . . o . . . . o c . . . . . . . . . 550 -3Acute nephritis and nephritis with edema,including nephro si s o . . . . . . . . o . o . c . . . o i . . . . . . . . 590-1Bronchiti s. . . . . . . . . . , . . . . . . . . . | . . . . . . c . . . . . . . . !00-2l L l o t h g r c a u s g s r . ' . . . . . o o o . 3 . o . . ' . r o . . . . . . R g s i d u g r . }

-19 . .

of speeified ages. Nurnbers after names of carlsesSixth Hevisi-on of the International- List.

,Ages

5-rl+

63.9

22.5c

L3"73.1

6.12"3

2 n A

h.6

a

0.5o.50"0

o

2,lJ1 .93 .8

0.7r .5

0"90 .3

th .2

L7 .g8.?

+? ?,

l c (

5.5

l+" it

26"2rg.6

10.9l2"r

g .g

0 .66 ,62 .7

B.o1.6

I o 5

2"73h"6

1.83"53.5

3,2]-15

l- .11 .1

21.0

Provided by the Maternal and Child Health Library, Georgetown University

Page 22: CHILIIRE}I'S BUREAU · tnvolved., the phyelclan vho conplatae the ilsath cert!.ftcatc also eelcete the unilerlytng eaure of d.eath. (gy tne carltcr procodnree thlg eerectlon ryas

Table C-3. i,Iri'MRr,lAL ;'{OIiTALITY RAl'lS ANil l{U]'{b};its 01.' M/{T!,RNAL DEATiIS,'fi RACE Ai''lD i'nI-\ CAUSES: U. S., LilJ9.

Ratc s pe r 1,0,000 re gi ste r^e d live births. I'lumbe rs af te r name s of cause s arscai3 gory numbt:rs of tiie Sixth lievisj-on of t;re Intr:rnational List.

-20 -

i-lane of causeRATES NUi!tsEKS OF DEATHS

Allraee s i^ihite

Non-white

Allrace s lJhit€

Non-whi te

All car.rses (del iveries andcornplications of prcgnancy,cnilcibirth and puer-p e r i ' : r n ) . . f . 6 . . o . . e . . . . o . 6 b 0 - 8 9

Toxe nias of pregnancy and pue r-pe ri'ern (e xcept abcrti on wi tht o x e i r L i a ) . . . e , . . . . o . . . . . . . . . " 6 ) ! + 2 1 6 8 5 - 6

Sepsis of prcgnancy and puer-nerium (except abort ion nibhs e p s i s ) " . n , , . . . . . . . . 6 h 0 - 1 , f f i L - z , 6 8 L

A b o r i i o n w i t h s e p s i s . r , , . . r . . . . . . , 6 5 L

Abort ' ' rn '* lr fhout sepsis orL o x g r u i a . . . . . . . . . . . . . . . . . . . . . . r . . . 1 6 5 0

Abortion wiLr toxemia, with-o u t s e p s i s . . . . r o . o . r . . o . . . o . . o . . . . 6 5 2

i{emorrhage of pregnancya n d c h i l d b i r t h . . . . . . . . . , . 5 h 3 - l r , 6 7 o - 2

E c t o p i c p r e g n a n c f o o . . . . . . . . . . . . . . r 6 l t 5

Other complications of p1€gnancy,childbirtn and the puerperiuno... . . .51.16-p1 6&, 673-80, 683r f f i7-9

9 .O

2.9

1 .h

a.7

0.3

0 .1

L .5

0 .6

L.5

6.8

20r

L.2

a"5

Orz

0 .1

1 .2

0.b

1.2

23.5

8.0

3"3

C o Z

0.8

0.3

3.7

2.4

3.2

3r2t6

1r 033

5to

26L

99

3b

5b5

203

525

2 ro99

65?

62

358

T5l1

20

37r

108

3714

1, 117

381

158

107

1lr

]71

e5

37

L5t

Provided by the Maternal and Child Health Library, Georgetown University

Page 23: CHILIIRE}I'S BUREAU · tnvolved., the phyelclan vho conplatae the ilsath cert!.ftcatc also eelcete the unilerlytng eaure of d.eath. (gy tne carltcr procodnree thlg eerectlon ryas

Sanh ofStat e

Table $-i* INTANT MCIRTALIIY RATII BY &s,CS it; EACII STAffi" ffi.RIlORY,dJ[D INS"dIAR S,0S$E$,5I0]$ * :-',j49"

Rates ai 'e r i*ach.e r-L: lr i ,er i year p*r 1:*C,{); ' regti . , ! ;o} i ; :C i : [ 'u"e hi,F, ' t i :s.

3y p lace of res ldence for $ ta tes, an i l by occu. r renee for S, laskatHaraal l . h;.erto Rlco and Vl,r

S ta te

Uni" f ,od- $ ta tes.

l r z+)bg5035L5371

?7(c,

3\A

151 g239

10ir738))28+

2T

44c a)^3

? f

1 q

1l5LL3) r n

2A30

Ea l ,c*l

i;:]

I

4ej "?

k5+8

i

32E?)+r1 7+r-:. ; l nI +

19te nc{i; i:fii:,lj]"nE f o'i*tng te u^&e*r

regneunl foria "i e 'h.l .t.F i-

v - G S d - d U a a e,nd. d.eath

l i late.ma. . 6 e e . o ! r . . o !

A l a s k a . . . . 6 . . r o . . . . .

A r i z o n a , . o . e . 6 o . e , , r

A r k a n s a s . . . o o a a o s e . .

C a L i f o r n i a " n . . . s r , . .

0olcra.d.o0onnec t l cu t . "D e l a w a r e . . r . . . . . . . . .D l s t . o f Co } : . nb ia . . ,H l o r i d a . . . . . . o oG e o r g i a " . . o r D s . . o . . ,

I { a r a i r . o G . . e a ' o ! e o . o

I d a h o r . r o o o . . . o . ' . o c

I l l i n o i s . , o , . c . . r . r ,I n d i a n a . o . . . r i . . . . o .I o w a a I o , . . c 6 c o . s o c . ,

K a n s a s . r c s o o o + . , o . . o .

Kentucky i : $ o a i i o o n a o !

l o u i s j . a n a o o . . e ,M a t n g " . . . . c . o . . . . . . .I t l a r y l a n d . i e e o G & , o n o , o

M a s s a c h u s e t t , e . : ; . r s c nM l e h l g a n e o e o o o e . o o F e

M i n n e s o b a o o . , . a c , ! e . ,

M l s s i s s l p p i s o o e B ? c . ,

M ! s s o u r l o e & . 6 o 6 s o e o c

M o n t a n a . . o . . . . o , . . . c

N e b r a s k a . e . 6 ( - o F s 6 * a o

Ngva*a" p,) I j t , c, n o i . e s i . , . i

New l la .npehl re . e o . c . rI { e w J e r s € y . , r . . . . . . .N e w l , { e x l c o " , n e c , o , . o

N e w Y o r k o . o r o o , 6 e e . o

N o r t : r S a i " t J . i l : a i i i , . , . r t i

[ o r t h D a ] o i a n o : \ * o o , 0

O b l o " . r & 6 + o 5 . ' . ' . e s . '

O k l a h o n * s * q , : "

1 , , i e s o - F

O r e g o n u o . r d 3 i - , o d o 4 f o a

P en n E y-'1- olP*. n.1'8.,.

I \ rer '+rr 3 lc; r . o, . i ! , , . , : lR h o d . g I s i a 8 d * e . , o o . .S o u t h C a r o l i n a e o * . . ,S o u t h D e . k o t a " a o e e . . 6T g n n g s s e s r " . " . . o , e o .T e x a s . o c . a e o . . . c a . r .

U t a h " o o o o . r . i 6 e r € 4 . o e

V g r n o n t r " ( . ? o e * $ F & s e 6 .

Tl rg tx Ie " ' l -and.e" , , e 6 e "T 1 r g t n l e . r . . r o . a r . r .

W a e h l n g t o r l s * o e o o e . a s

b r e s t , ' f : i : " 5 ' l n i € 1 . n , . , ,

o , o ,

W i g c g n s f , i l . . o " e q o c . . e

l f y o n t n g " o ? € € o . 6 a c ' o ,

n I sland.e

Allraces

l 1 " j

tra.t i oa*

Rate

r ) g ( l: - ' / 4 - t

) 9 ,6 l i a "6 l T l . o47.6 i * i *51"0 ! i *r" l I r rz.933,7 | 3L.1 I i9" I25 ,& la5 .a !14 "0

, i : i l2z. t i u l . i) o ,4 l z5 "T I l +g . z

]5 .1 ! ] \ .9 | 42*- l

zg .L lzs . t i 3c .433.9 i e7.6 i t ,o"g

zi . i i ts ; t I t -5 ;625.7 | z5"t i 51"525.9 i 25"4 i j8" jt+r.? i l9.g i 5g-o3T "2 | 27 ,2 i i2"332 . , i l a . 4 ! r r l + , ]Jo .5 i e5" , 1 h5 ,0eit, . I i : I t . . , , : : is.c28*9 , 7 i , .E : i+ { i ,gzj"6 i . zl-x i 69"rjg .6 i l r .? i U i "8)0* i ; ; lg "g ! 43 .829"7 I 2?"\ i 7r .5

3 3 " 3 i Z S " € , i 4 1 . 02 t r 1 I e I rt ) . J : i

2- i .Q | 25,3 | 73"327.\ i z5"o I tto"5

a 4 " l . i * . 6 i 1 + 6 . 03?-,li i

'-\,],..t) i b"0

27,9 i e7"9 I 50.0z5 .o 123 ,5 i 49 .465.1 ! 6 r ,o l u9"g25"r zl.a | 38.33s. t ! j * . "? i 54o€] 0 . ? j ag " ] i 94 , ]2 8 . l . i a 7 . C i + l2 8 . 1 . i a 7 . c i 4 1 " " 03o,8 ies# ? to "8i i " .e i t4;6 i i3: ie.- j ,a ; 3T*$ i 47.ai _ :' . i o i i i

a4 .o i z j " 4 i 45 .0Jg"o i ag.i i 5O.22 5 , Q l a i + " t I 7 O " 3s .Jn? i j? - * , 5S, ,7i*e,? : t".,;.":; ] 5.*.9?5*3 ; Prq..? : 5S*g3e ,4 \3Z "3 lA5S*o4 n - ? ' r l j +. ! { a - . , : :

J8 .1 132 .7 I 53 .527,r ! a5"o | 58- l: : , " ( * : i !1 , * u r i# . ' : '25"5 i Z5"s i 5g.g

1l:1*i"- I*"i-i*:9k!-i-.ag.r.era:*€trr#F..8!ff 4@r-+rF -i*i

tain' ;y tha? l 'a*e d.oftnlt fu:as were

Nonwhl te

4 l | o . i

Provided by the Maternal and Child Health Library, Georgetown University

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lablc S-?. CHILDIIOOD I'IORTAIITY RAIE IN EACH SIATS, IEIIRITOBI AllD INSULAXPossEssroN, 1949

Rates are deaths per 100rO0O chi ld.rcu of agcs 1-14. 3y place ofresid.ence for States, aad by occr:rrence for Alaska, Hanalt, PuertoRico and Vl rg ln Is land.s .

Stat e Rate

I t i e s l s s i p p l , . . . . . . . . . . iI r l l s s o u r l . . . . . . . . . . . . o t . . . . . IM o n t a n a . . r o . . . . . . . r . . r o . o . . I

A l a b a n a . . . . . . . . . . . . . . ! . . r . oA l a s k a . r . . . t o . . . . . o . . . o D . r .A r i z o n a . . r . o . r . . . . . o . . . . , . .

A r k a n s a 8 . o . . . . . . . , . . . . . . . . ,C a 1 t f o r n L a . . . . . . . . . . . . , . . . .C o l o r a d o . . . . . . ' . . . . . r . . . . . .C o n n e c t l c [ t . . . . . . . . o . . a . . . !D g l s l t a r g . . . . . . . . . . . . . . . . . o ID l s t r l c t o f C o l u m b l a . . . . . . .

t r t I o r i d g . . . o . . . . . . , . . . .G e o r 8 i a . . . . . . . . . . . . . . . . . . . .

E a w a i l . r . . . . . . r . . . . r . .

I d . a h o . r . . . . . . . | . . . . . r .I l } l n o l s . . . . . . . o . o . . r . . . . . .

I n d , i a , n a . . . . . . . o . . . o . . . . r . . .I o w a . . . . . . . . . . . . . . . . . . o . . . .

X a n g a g . . . . . r . . . . . o . . . . . . . . .

K e n t u c k y r . . . . . . . . . ? . . . . . . . .

I r o u i 8 l a , n a . r . . . . . . , o . . . . . . . ,M a l n e a . . . t . . . . . . . . . . . . r . . . .M a r y l a n c l . r . . . , . . . . . . . r . . . . rM a s s a c h u 8 e t t s . . . . . . . . . . . . o rl l i c h l g a n . . . . . . . . . . . . . . . . r . .M l n n g s o t a r . . , o . . . . . . r . . . . o !

N e b r a s k a . . r r . . . . . . . . . . . . . . . iN g v a d a . o . . . . . . . . . . . . . . . r . . oN e w E a . r n * o 8 h i r e r . o . . o o . . o . . , .N e w J g r s € $ r . . . r . r . . . . . r r . . .N g w M e x i c o . . . . . . . . . . . r f . r . rN e w Y o r k r . . . . . . . . . . . . . o . . . tN o r t h C a r o l i n a r o . . . o . r . . . . .N o r t h D a k o t & . . . . . . . . . . . . . r rO h l o . . . . . . . . . . . o . . . . . . o . . . .0 k l a h o n a r r . . . . . . . . . , r . . r , . .O r e g o n . o o . . . . . . . . . . . . .P e n n e y l v a n i & . , . o . . . . . . . . . . , ,

P u g r t o R i c o o . . . r r . , . . , . . . . oB h o d e I s l a n d . . . . . . . . . . r . . . . .

S o u t b C a r o l i n a r o . . . . . , . . . . .

S o u t h D a k o t a r . o r . . ' . . o . . . . r

T e n n g s s g € r . . . . . . . . . . . . . . . o .

T g x a s . . . . . . . . . . . .

U t a h . . . . o . . . r . . . . . . . . . . . . . .V g f m O n t . . . o . . . . . . . . . | . . . . . .

V t r g t a I s l a n d . s . r . , o o . t . . o . .

V l r g l n l a . . o ' . r . . o . o . . r ' . . . .

W a g h l n g t o D . . . . . . i . . . . . r . . . ,

l f g s t V l r g i n l a . . . . . r . r . o . , . .

W 1 s c o n g l l r . " . n . r . . . . . . . . D . . .

W y o m l n g . . o . . . . o . r . . ' . . . . . . .

r Rates for whlte and.respect t ve ly .

nonwhl te ch l ldrer were 85.5 and IJJ .4 ,

_ ? 2 _

3752+Yl{elItl+4I

t 2?L30279

l11I22

I254r35I

245

r.7184Zl438r545t0

{506

?92823+)? 5t353

239e032l{sl{o4

51361533r.9D

g 2 , 5 *

104 .8J90,0r55'-7110 .7

83.2111 .4

5t,7q r o

88.3o t r q- ' / J t v

92.278.895.5g r .488 .578 '3go.3

r10. JL01 .4

78 .28 9 . 474 .485.886.3

117 . J100.1108 .J

8 t .3LL3.279.57L,.5

L56,777.894 ,793,rg8 .g

110,990.083.1

509.166.7

r08r 485 .596.g

121 .5110.072.7

218 .810b"J

63.7o q ?

85,51 1 2 . 9

Provided by the Maternal and Child Health Library, Georgetown University

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Table S-5. IfATERNAL U0RTALITY RATE BY ITACE IN EACH STATE' TiIRRITORY

AND rllsulAR POSSESSION, 1949.

Rates a.re mat6rns,lp laco of res i .dencoPuerto Rico and Vir

deaths per l0 '000 reg is tered l lve b i r ths . By

for States, and by occurrence for Alaska, Hawaii ,

i n f s l ands .

State

U n i t e d f i t a t e s . . o . .

A l a b a r n a . c o c . . . r o . . . . . .

A ] . a s k a . . . . . . . . r c o I B . r t

Ar i zona . . nA r k a n s a s . o . . . . o , o . . . . a '

C a l i f o r n i & o ' . . . ' o . . ' . .

C o l o r a d o . o r | | o . . . o . o ! .

C o n n e c t i c u t . t o . . . . . o . '

D g l a w a r g . . . . . . . r 3 . . . . o

D i s t . o f C o l r : m b i a . . n u 'F l o r i d a . . . . r . . . . . . . . . .G e o r g i a r o . t . t o o . . c . . . .

i { a w a i i . r r . . . . . . r o . . . . .

I d a h o . . . . . . . . . . r . . . . , o o

f l l i n o i s . . . . . o o c ! . . . . t

I n d i a n a . . i . r . . . . o o . o . o

Iowa " . . . . . o . . . .

K a n a a s . . a . . . . . . . r . . . . .

K o n t u c k y . . . . . . . . . . . o . o

t o u i g i a n a . . r r . . . . . . . . .M a i n o . o c . . r o o o e o . o . o r .

M a r y l " a n d . . . . . . . . . . o . . .Massac i ruset ts . o o . . . . . .M i c h i g a n r . . . . c . . . . . . i .

M i n n o s o t S r o r r . . . r c . ! r t

M j " s s i s s i p p l . . . o . . . . . . .M i s s o u r i . ! o e . . r . . . . . . .M o n t a r r a . o o o o . . . t o . o & D .

N g b r a s k g , . I e . . . . . r r . . . s

N g v g d a a . . . . . . . G . . . . o . .

N o w H a m p s h i r g o . . o g . . . .

l [ g w . ' I o r s o / o r . r r o r . . o I o

H g w M g x i c o r r r ! . . . . o r c .

H e w Y o r k . . . . r o o . . . . i o .

N o r t h C a r o i . i n a . c . , o . . .No rbh Dako tac . . o . . o . . .O h i o . t o . . . . c . . . . . . ! o . oO k l a h g r n a e . . . o . . . o . . . . o0 r o g o n . o . o . . . . . . . . e . . .PennsylvaDi&. . o' o . . . .R r o r t o R i c o " . o o r ? o r . . .R h o d g I s l a a d . c , o . . . . . oS o u t h C a r o L i n a . c e i o . . oS o u t h , D a k o t a . . . . e . . . . oT g n n g s s g o r r o r o ' . e e e . r .T g x a s . . . r . . . . . . , . . o e . rU t a h * c . r a . o . r . r e o . . . r r r

Y g r m o n t . ! o . . o e o G i r o . . o

Y i r g i n I s l a n d g o . . . . , . oV i r g i n i a . o r . . . . . . o c a . rW a s h i n g t o r l r . . . . c . . . . o cW o s t Y i r g i n i a . o . o . 3 . r .W i s c o n s i x l r c r r c . 6 . + . ! e EW y o n i n g o r c ' c . o e G ' : o * o D

te not uncertaiaty that race tione

50I 4444B1 933208

1.5+649

329z7L 746

5 9403 lzlT6IBI

5 l7 9

543045z4?,643233 7

7IO4 I1 1265Sz84 7

4238

1L

6a

5e3 6

$ 5I b

,,

9 " 0

1 9 , 4q , f

1 4 " 31 7 . 5

O r t

9 . 16 . 45 . 45 , 6

1 7 . 31 9 . u4 . 27 . 5? . 0A 1

5 . 0t r ?

L2.2LZ.38 . 76 " 56 . 06 . 25 . 4

2 ? . 48 " 99 . 17 . 6

1 6 . 36 . 76 . 7

1 3 . 9b r b

1 1 . 8t r q

5 . 412.7

5 . 46 . 7

z $ . 27 . 6

TT.45 " 4

1 3 . 31 1 , g

2 . 46 . 5

22.61 .0 .2

5 , 59 , 95 o 94 , G

6 , 8

] 3 . 6t;

9 . 7ro .2

5 . 89 " 05 . 34 . 9s . 49 . 9

r 1 . I*

7 . 66 " 45 . 45 . 14 . 8

1 1 0 46 . 48 . ?3 o 65 . 84 " 95 . 5

1 1 . 77 , 68 . 97 " 9

1 7 . 76 . 75 . 4

1 3 . 45..36 . 94 . 95 . 0

10.44 . 96 . 0

*6o29"84 . 9

L l . a9 . 6?, "46 . 5

13

6 . 04 . 29 . 7s"g4 . i

Nonwhito

23.5

? 8 . 9*

43 .63 9 . 5T 3 " 7L3.Z38.7

7 . 98 . 5

5 6 . 53 0 . 2

d

01 2 . 11 8 . 10

1 5 . 724.L2L'.Z

285.'l1 7 . 01.4.62 0 , 6L 2 " 35 0 , 8z l - . zL2.3ooo

i .9 ,52 0 . 0? 0 . 82L,727.01 1 . 13 0 . 42 8 . 01 6 . 0

,l

4'-1.426.41 3 . 822"22 7 . 7 .0o*

22"24 1 . 91 5 . 94 1 . 90

unlforlnco&Buted

in blrthCIwing to

and deatil reg lEt ra t ions.

- 23 -

Rank of IStats I nf f

r&cos

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Page 26: CHILIIRE}I'S BUREAU · tnvolved., the phyelclan vho conplatae the ilsath cert!.ftcatc also eelcete the unilerlytng eaure of d.eath. (gy tne carltcr procodnree thlg eerectlon ryas

Table S-L. pbitCi;NT rJir BIRTIIS tsY ATTr-:NIlliNCi! rri{D RACI: IN [A0]l STATj,, Ti,RRITORYAND I}ISUIAR POS,SljS-qTOi{, 19L9.

$- moiherts place of residence i 'or States, and by occurrence for I ' t laska,i ia.raii, Puerto Rico, and Virgin fslands, It is assumed that birrhs inhospifals i,{rere atrended by physicians or other qualified medj-cal ai;ten-ciants. Based cn registereci l ive birbhs

_2b_

Provided by the Maternal and Child Health Library, Georgetown University

aS E ( l O I ] I ' E S I 5a

Sfate

AIL IiACES(Percen1,)

I{HITE(Percent)

NONI.RiI TE(Percent )

hosp-itaL

nT S -

icianin

irone

Phy rp r'l

ical-atten-dance

l{o l hf I I

hosp-i-tal

Phys-ician

inhome

No red-ical

a t ten-dance

Inhosp-ltal

P h r rL t LJ s -t-cLanin

hore

li'lo rned-icaL

at ten-dance

A l a b a m a o c . . c " ./ . ' l ^ ^ 1 . ^

t l - l - c t D l 1 . c l . . r . . . . .

Ar i - zonan . . . . . .A r k a n s a s o . . . r .Ca l i f o rn l4c . r ,C o l o r a c i o . . o . . .Conneet , icut . . "D e l a w a r g . o ' . . rDist. ColumbiaF l o r i d a . . . . . . .G e o r g i a . r . . . f .I l a w a i i - . . . . . . o .I d a h o " . o . . o . . .I l l i n o i s . . . . o .f n c i i a n a r . . ' . . .i o - r l a . t . . . o . . . .

K a n s a s . . r r r r r .K e n t u c l q r . o . . . rL o u l s i a n 4 r o . . .[ 1 a i n 9 . . . . . . . . .

Mary Iand . . . . . .Iulassachuse tts.I v f r - c h i g a n . . . c . .M l n n e s o t a o . . " rM iss i ss i pp i . , .] r i i s s o u r i . . r . . .] t { o n t a n a " . r r . . !I t l e b r a s k a . . a . . .N e v a d a . o . o . . . .New Flampsirire

"N e w J e r s € / . o r rl l ew i ' bx i co r r r rNgt ' l York . . r . . .North CarolinaNorth Dalcota..O h i o . r . . . . r . . .Ok lahoma . . . . . c0 r e g o n . . . . . . r .Pennsylvarlia" "Puer to Ri -co. . oRhode Is land. .South CarolinaSouth Dakota,.T e r r n e s s € € r o . c cT g x a s o . . o . o o . .

U t a h . . o o c c . r . .i t g r m o n t . . e r o o .

Vlrgin IslandsV i r g i n i a r . . . . .W a s h i n g t o n r . . .!{est Virgini-a. lW i s c o n s i n " . . . . II n l y o m i n g . . . . . , . j

87

5a? R

t v

g'l

6l9B^ l74

999oAR

7767969B7>9296e562BO91B699969BL+5Bl+97969B9B97709B6Be5e5Bh989331995l+9521l r

?B9B926lJ7L99659797

v tU . R

r9a

l+2L1

1h2B

1112

7l+5

3179

101l+2

t9' l l '4!+

3hI22

L52

T9l+)

132TII

t 73

2011

2B2

161

3233

l51231 2 0lsl 16I rt -l 1l 0lalol t5l | 22l3l 0t9l;l 0l7

l'3l l +lol3l )6l 2lol 0l rlol 1115l 0l r :I rl 0

30o

680

2 gI9

1100

? f ,

130300

I

I

92

77AR

927B999399969992BB

1009B9793969663929t9299979BBOB5979699989B709BB596e5879B933099Bl+9777B19B92I+zB299669797

I

7

t v

II(+

20l-6.13IA

902

7Irl+

3067

7I32

1Bllr3b1 f2 12 l

16 I2 l13 1l+ l5l

12 l2 l7 l1 l1 l

1lr I3 l

19 110 12 l8 l5 l

L5 l1 l

31 |3 l3 I

1

1h201U

1023000000720100U

2L0U

00

1b02001oo

69llj

20l+9

n

533

3Uo

/ r ') 2

2B4OB32T96^ lvuOR

6h973932e59I+7B6796795z63B96l+97B993L773909l+85e59r7o96359L9062e59L3h9BI 9Bl+b75e937565399B3li92Bl+

I

I

2l+

c.)

3aJ

?63

I I 'th1z

2I263

20hh7

11223

10Ir

2L1l+5

6iR Iv l

3 l? l

30 12 l

10 11e I3 le ll l

L6

1B

22Tl+

25173

252

19I

637

10

192

29

5l+5o1356I10

30o

l+l5bl+b171Ib

300

1L0t3

62R

,1B01

27I

3570

0650

&T22B25

I '

033bz

1a

I6

Page 27: CHILIIRE}I'S BUREAU · tnvolved., the phyelclan vho conplatae the ilsath cert!.ftcatc also eelcete the unilerlytng eaure of d.eath. (gy tne carltcr procodnree thlg eerectlon ryas

.TAblE S.5. NU}tsER O}- BIRTHS BY RACX AJ$D PERCENT TH/\T I^ERE NON'.JI{ITE INEACH STA',iE, TEh'ltITORy AND IN:iULAR POSSESSION, l.gbg,

KT/

Riplace

d Virsin Islandof residence for States, and

Baseci on roccurrencetened l-ive

by for Alaska, Hawaiie Puertobir ths,

V c l - I I J - L r l , l l - L c t a o o . . c a a . a a . . a .

C o ] - c t r a c t o . . . o . . . o o r . o o . . . .C o n n g c t i - c u t o . . . . o . . . . . . . .D g l a W a r g . . . o . . ! . . . . . ! r . t .D i s t . C o ] - r : . i n b i a . . . . . o . . . o .F l o r i d a . . . c r . r . . . r | ! . . . . .G e o r g i a . c . o . . . . . . . . . . . . . .H a w a l i o . . . r e . . . . . . . o . . . . .I d a h o c . . c . t e o o . ! . . . . o . . . o

I l l i n o i s . . o o . c o . . . . c . . . o .

I n d i a n a i . . o o . . . . . , . . , . , . .

Iotara g a . . . . . . . . . . . . . . . . . . .

K a n s a s r r . . . . . . c c c . . . o . . . .

K e n t u c l g r o . . o o o c o . . . . . . o . .T ^ . . i ^ . i ^ - ^I J V L l J - J - L e I I G L O a a . . a o a a o a o . . . .

i t l a i t r e o . . . c 0 . . o . e r o . . . o . . .

l { a r ; r l a n c i r . . . o . . o . o . o . . . . ol , l a s s a c h u s e t t s . r . c . . . c . ! o .f . l r ^ h r ' . ^ -

I [ U r l I X q I l O a o O a a a a r a . . a a a a a

w d - n n e S O * t 3 . . . . . . . . o . . o r o . .

l l i s s i s s l o p i . o o . . c . . . . . . . .M i s s o r r r i - o . o . o . . . r t o . . . . . oM o n t a n a . . . c . ? . r . . o . . . . . . .I t l e b r a s k a c . . o . . r . . . . . . . . . .N g v a d a . . . c o c . . , . o . . r . . . , o

N e w H a m p s h i r g . o r . . . o . . . . o\ ] e r o J g r s € f o o o . . . c . . . r . . . cN e w i { e x i C o r o . o o . . . , . . . . . .N e w l o r k o . o . . o . . . . . . . . . . .N o r t h O a r o l i n a a . . o o I o I r . oN o r t h D a k o t a . . o . . . c . . . . . .O h i O . . r . . . o o . . r c . . . . . . . . .

O k l a h o n r a o . c . r . c ' . . . . . . . . .O r e g o n . . . . r o t . c . . . o . . r . . .P e n n s y l v a n i a . n f . r . . | . . . o ,P u e r t o R i c o o r . o . c . | | r . r . .r ? h o d g f s l a n d . . . r . r . . . o o . .S o u t h C a r o l i n a . . o . . c o . . . .S o u t h D a k o t a . . . . . ! , . . . . . .T e n n g s s g e . . r . . o c . . o . . . . . oT g x a s . . r . . . r r . . . o r . . . . . . .U t a h a . o o a . . . . o . . . ! r r o . o . .I f a n n n n *Y v 4 r r l v l i v o t a a a a t a o a a t a a o a a a

V i r g i n I s l a n d s , r . r . . o . r . .V J - r g i n i a . . . . . o . . . . . . . . . . .W a s h i n g t o l l o o r . . , I r . . . . r o .W e s t V i r g i r r - i a c . . . . . . . r , I oW i s c o n s i f l r r r . . . . . . . . . . . . .i l r$omlng.. r o . . o. . . . . . . . . . .

A+5 tr9')32rB9Ll[or gB77 ,369

- ^ 6 r I

-LYr Ol-l+6t'7\3A A A y '

T J s z ) 71l+r150- J ^ n I

I ) tYaU1 O nt o > , ) L )

9i+,21hA'r R?'rv + r u l +

l+3r 7Bl-a / ; ^ ^

( o r t 7 l

75, \Bt2 r rg3g/^ / ^^) J t ) Y (^ P / t J

Y) toL )r ( z r z R+ ) l t L I v

73,92966'\75851302l-513663rr5lt?30673

l'1r 9lro97 'oo6

/ a ^

zL,otu3Orr2B7ro? rgTo16, Bh6

1Bg, L281r9,70235,3L6

22ltr5B].Br,62516rhgz(R ('r A. / v t . / \ v

L71 21182r 85l+

2O2r2g7- / r

tt, to[g,297

BB682r96056,5\z52,586Bz'91+97 'I+9O

221+rT8532'L37a A / i . J

) 7 t ) Y 26rro3

11r 62hb)t'1+90( A ( ] Rr / v , , / e v

2rBO2l-5,752

L70 r376R o o r rV /

' ! J L

6rr 3oBbl,871+7rr2r8b5,3r22rrgol]hl, Bl+9

r ' / r 'yJ t>o>a I I a e r aL$t]-rv>t

73rl 'Lg29.O9777,2BBr I / / /I4r ) )o30,87331 3Bh

Lrrg2oBBr 39320,118

271+,78372, t lJ-516'b75

^ 6 J ^ / -

f r / ) t U O t

hl+r11l+3hr 60I

2o7 r7zo63,;tT16ro703t,6\916r Lr8667,573

r75 r70g20, BBB9,293

1+o/ : ^ / -oL, J>I51+r63th9,681+81r 5137 r3tO

20' LlL757

r r 2 g 2L,256B, tgo

17 r2l473U'71+I11r 31+B

232rB,937\ rgB3

J / ^\r \ {2 / " J ,

t r9o7u,979

30 r t75^ /. ( h

J /

11r 71+BA n / a( . , v>v

l -31126Br-o

37,3L8Br otil

B}O6TIr28920

9 1213rr5o2

26r50lr^ / / / /) ) t ) 2 9

37tI)rr3675,588

7l-516,86122,LoB

\zz26,867

725L5,2Br26rrBB

276l+

8h52tr6ag1r 9112r9O2lr l+35

180

8 .32 ,33 .2

L7.-2l+f .327'.937.3Bo .2r .5

10 .0\ {) . )0 " 9h.l+6 . 5

ho "0O 1 2

2r.g2r IB.Ll - .1

56.29)r5 ,32 . r7 .90 " 29.1+6 , 98 . 8

32.92 . 27 . 6

1 1 . 22 . O7 '5

25,82 . 6

l$.9u.2

lB. lr1 3 . 11 . 30 .0

95,526,03.1+2 t 2

l -17

2.1+

CQ r i{n n d,OCLS e seQ 0n resl_sT/er€ t l Dt

StateNUI\E&]R OF BIRTIIS Percent that

werenonwhite

r u r i Ir a c e s l . u e i . t e l N o n w h i t e

U n i t e d S t a t e s r o . . r o o

A ] - a b a m a . . . . . o o . t . . . . . . . . t

A ] . a s k a . f . . . . c c . . c . . . . o . . .

A f j - Z O n a . . . . . . . c . e t . . . . e . .A h l - ^ * ^ - ^

f l J , I \ e l l O C , D a c t o a O . . o a r . a r . r a

3,5591529Bhr l+183 ,527

^ - . J

t Q , 1 l >| / / ^ ^4)r oLrY

3rA83r72Ly ' a a r a

> l r a l t2r t6g

I q r " a aL t t ) ( v^ \ ^ - /JUt /L )

h75,808

32r2O51r 358^ a / y 'z t ( 2 2

1 a a n lL J - , ) y 4

13.1+

38 .138.5l - J e O

Z ) o V

Provided by the Maternal and Child Health Library, Georgetown University

Page 28: CHILIIRE}I'S BUREAU · tnvolved., the phyelclan vho conplatae the ilsath cert!.ftcatc also eelcete the unilerlytng eaure of d.eath. (gy tne carltcr procodnree thlg eerectlon ryas

Table !-1o BInfE BITE AilD mnffiSR CIf &If3 BIRfH$, ST FACX: S, S., I90F49.

Satrr er. per Ir00O eetlnatoil eld-year popnrla$tcn of a}l agesr lncludlng arnealforcce oveieoas for 19\0-[6 asd exclu&lng arme* foreen erers6as for 1!4J-4!.Al l data arc ad.Justerl for u.nderreglatrat lon af i lne'blrths" Data prtor to 19JJart ad.Justed for Statee not ln the Birth Rcgletrat ion Area*

3l.rth ra.t* fbousand.e r : f i lve b l r thsr

fcar a]"lracog ffhl.te I$onrhi to I races Fonwhtto

1949

19\81947r946194519lA

191+,191+219411g\oL9t9

L9ttL9r219lr1gl0L9?9

19e6L9?7Lg25L9251924

L92tLg22r92119201919

191819Ur9151gr5r914

191'r9u19r11910r909

e5.1

251327.O2\.52Q"721r 5

?2.92?,520.l19' l+18.8

L9.219.718. \L6.7I9"0

19.419.520.221ni2La2

22.?23.524'225'1e5.r

25.025.22gn127

"726,2

28,629.5?9.1?9.529"9

29.529.629.9Jo.lJ0.0

?"3.8

24"125.3?3"8r9,g20n7

?2r?'?1.619.5ls '616oO

t sn417,917.5\7,9I6"1

t"7.5tg.7\ 9 " 5s"520.5

el"522.723.L24.r?5.I

25.2?5.427.5E5"g25"5

28f028.029"52g"g29.3

28.829.029.129.229.2

] 5 , 0

34ub] i * r30nSe8n0e8. ?

?6"325"025.125.8?5.3

e5"525.925,-6? 7 , 52V..1

eg"5J l .1J5, i+J4.a"J4.5

33.233.235. St5.a3e,6

a 7: 2

3 , 7 4 73 , 8 7 6ts i+6f,

e,59 l+2 ,969

3 , : e ?] rooJ2,13"O?,5582,456

2 '495?,4L32,1552,377?, ]95

2,3472.1+402,506'n,6L82,58e

? , 5 7 42 r w z2,8 t9P,9092,g7g

a,91CI2,882t,e552,9502,7 !O

2,9482 r9]+\2 ,96 \2 ,9652,965

2,969er8\0e,909?,7772 r718

'J, I7L

? ' t 7 t

3,377J ,013214874 ,55s

2,7L32,510? 1332e,1992 , 1 1 7

2,1482,O71.2 .O272,042?1958

1 , 9 8 e2 '0992,170a,274e,eu+

2,3252r\?5e,l+412,5062,577

2,53L2,5072,6572"5662,r87

?'5882,5872,5992rr9\?' t588

2,l+97?,4572t\35e,4012, J\i+

325141535ll+4,19

29,328o427 "7e6"7C O o . L

55Lq2q

4gg4t+l!o84rr

4rl,9t37836o]49

148j4a5285r'4t58

,4937739eIrol4or

580375398trt,53

,60327

33..212"9

:

L9t8L9t7t9t5L9t'1914

'r Nunbers of blrths ars estimates rounded to the neatest, thousand H.ith-out being adJusted to totals, uhich arc indepsndentJ.y r4oun&d.

source3 P. K. !lh9]ptonr. nBlrths s,nd blrth rates in .i:he entirc unltedstrtesr-1909-l9b8n, Natd.ona] office of vital. statlstics, vttalStatistd.cs--Speclal Reports, Vol" 3Jr No. g, 1g5O:

Provided by the Maternal and Child Health Library, Georgetown University

Page 29: CHILIIRE}I'S BUREAU · tnvolved., the phyelclan vho conplatae the ilsath cert!.ftcatc also eelcete the unilerlytng eaure of d.eath. (gy tne carltcr procodnree thlg eerectlon ryas

lable S-2r PmCIUf 0F SIRIES 3Y ATfEilDIXCT fSD AACE, AXD I${BSROtr nSGIS?mm tIfE BIB?HS 3Y XACI: U. S., 19J5-49.

labuLatlon of blrtbs by attendancc nas bcgua lu I!Jl. Data cover reglsteredllve blrths oaly. If unregtstercd. llve blrths rare tnelutlctl, the pcrcentagctattenilcil by ntdvtve! ot otber nonnedlcal attendants vroulil bc tuereaec<l rub-rtaatielly, anil the other percentages vou]d be dccroaseil sllghlly.

PNTOTTT DISTBI3UTIC'T OT BIRMS

rg\g1gl{s1947Lg\s1945

1911419\l191+21g4rr9l{o

L9t91916L9r71g16L9r5

Yhttr

Year and racc

AIl raceg

Ia hospl te l(p\yslclanat tendantassuned.)

86.785.664.962.l+78"8

15.672rL57.95t.a55'.8

51.II18.0blr.640.9t6.g

gL.590.!}89.367.I6b. '

8r.077.27?.765.759.9

55.05L.5118.2\t.959.5

Attended bypbyrlelan

outs ldo iho spl tal

Atteacletl bynl.dnlfe or

otber nonned.att end.ant

lunbcro f

rcgt rteretll tve

blrths

6 . 19 .1

10o1L2.2ll+.7

17.721.024n7JO.2t5.o

5 . 15.55.15"46.4

5.97u07.48 .59"3

9.710.110"511.7],'2.5

J9.I41.9l+4.5h7.J50.6

6 .98.19.2

1I"2U.7

L6.g20.624.9SLrZ35.5

l+L.l44.247.J5o.l+5l+.0

Lr.9L5.617.720.08 . 7

2).L24.024.023.3allol

2\,82J'.Q25"525.125.4

t,559,5295,515,068J,599,guot,288|57?.?,7t5,+56

2,79\,6002rgJ4,85o2,8O8,9952,5L3 t\272,360,399

2,265.5882,286,9622,?ot,t572,lU+,79o2,L55 JO5

,,o85 t72lJ,080,Jl51,27\,6202,9L5,6\52,195,165

z,l+54,7002,59\,76t2,\86,93\2 r&\ rgo52,a67,953

L$82,67L2,@5 '95510928,1+J7I ,881,68tI ,868,012

\7r,8og4*,Tizvi,rN3l5ro27t59,69'

JuO,100ilo,097,22,062508,r2\a92,\45

ffiz,91726\ r0o727I+,900262,9O'l267,09

r94919I+s1gl+7191619b

r9l+4194119421941rglo

L919LgttL9'TL935L955

Xoarbltr

1gu9lgls191+71945rgl+5

19411191+lrg4a19ltl1g\o

L959L9r8L9t7L916L95'

,, .152.949.7\j,zb.2

57,055.1]0.529.026.7

2\.t?2.721oo19.5L8.2

1.1+1 .5I . 51 r52.Q

?.L2.22.5J.1l16

3.94n24'55.16.ll

29.O30"5,2.6,b.s,8 .1

J9.9l+e.7\r.5\7.749.2

fr.952'353.55r.0

" I- 2 7 -

Provided by the Maternal and Child Health Library, Georgetown University

Page 30: CHILIIRE}I'S BUREAU · tnvolved., the phyelclan vho conplatae the ilsath cert!.ftcatc also eelcete the unilerlytng eaure of d.eath. (gy tne carltcr procodnree thlg eerectlon ryas

Table 1-lao INFAI'IT MORTAIIIT nAtE, EiI Affi, FOR ̂ Atr,L RACE GffiUPSI U' S., L9L5-b9.

natss per 1r0O0 rregisteEed lirrc birthsn Data are for Statesin tbe Btrth Aegi strati*n AE€e* wh3,*h 'wa$ begun in 1915 endhas incLuded all States sin*e 3.p33*

Toar IIafleryGar

t1"r {i

r li l

1g4g1g4s191+?191151g\5

191+l+lgl+5r9l+e191+r1gl+o

L9t9r918L9t7L916L9t5

191l+LgttL952r9l11gr0

L929L928t927Lg26L925

1921tL925L9?2192119e0

1919r91819U19161915

37.352' 0,2"233"858" 3

39"8t+ou4l+o"t+S.3l+7"o

l+g"o5lu05Lt' b57' I55.7

60. l58.157.66to65\" 5

6T "659, T5l+.513"37L.7

70.877.t76.275.665.8

85.51C0.99!.6

101"099'.9

T"*,' 5i,r)*73* "?i I* 4I l*r P

PI* k*gg"2ffa" s*4.0a4,5

gl+. T44"?25,727 *7a8.8

29 1349.651.53P" 53A.4

3\,"13l+" o33"53l+" 635. T

1t1.5U+" e45"\Ur,lbl+, I

9'9*9.69.1+9"8

14,0

15" I15.7rlt" T17" 619.2

18" ?Pl. h25.1el+" 525.5

25.0e[n 12l+"127,O?8.9

52.2,7,6t6"515,9W+.,

l+5,t56.750" ll55.955.5

11" 531" 6LA,"3L3"P13.9

tr!+.1lb"3,14* ?15"115oS

15,415'1.15"915'CI15"Ci

15" 315" 5l5.X15.?15"o

J0.7JI .52t.515.435.9

36"937.e36, I37 "937 "838'639.539'T39.741" 5

1l$"9Ll+" T1l+.9th ,51l+.8

lll.515.1+15.CI1l+.915.s

; In aecord.anee wl th the naw c laeet fLcat i .on procedures 'tbesc 1949 rstes ars f*r sr:nder A8 daysn and f i26 i traysto I ycarll o 8he forner rate uar:3,ci be i"ncreaeed. leeethan L$, and thc l-mtt,er ra*e !sc)l : l ' i ba decreased, lessthan 4, tf the 19US il.nr.+,*a ired be*n tatyuletcd by theage gfouping uned" fr].:' ' .' i1;i:fi ri1-i'j;ii er':'.i :1 *r' ye&yss

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Tab1e T-3b. IMANT MORTATITY RATE, BI AGE, FOR IIHIIE GROUPS; Uo S., L976-\9,

Rates per 11000 registered lirre birttrso Data are for States in theBirth Regrstration Area, which was begun j.n 1915 and has includedall States since 1933.

f,earUn&r1 1rear

Upder1 day

Under1 monttr

Betrteen 1nonth andI ]rear

L9l+919hBr9b719h5L9I$

l9ldr1913r9lfir9L1IgLO

19391938l937L935Le35

L93lll-933193219311,930

Lg2g1928rg27l926L925

L92l+tg23t922L92LL920

rgtg1918T9T7L9t6

28,g29 '930.131, B35.6

36.937 .537 ,3l l1.2b3.2

hh.3lr7.t50 "352"95r.g

91.552.853.357 .lt60 01

63"26l+-o&"670.059.3

66.873o57 3 .272.582.1

83.0g7.ufr.599'.0

100110.310.1r11 .211.0

11 .21]..h12,1l,2.gL3.6

13 .813 "9Lb.51l+.9IL. B

:-.5,_2th. g1l+. Bth.B1l+.8

L5.2l-5,215.0L5"Lth.9

1l+.711r.71l+.8lL.h1lr. ?

th.hL5.bth.91l+.7

20"3x2ro22L.723"L23.3

23.623 "72l+,526.L27.2

27 .B28.329.731.03tr,0

32,332,L32rO33,23b.2

35.635.735.a37.L36. B

37.b38.638" B38.7bo.b

bo.3I$.3bz.6b3.5

8"5*8.7B,lr8 .7

l,2"3

13.313'B12,815.1L6.0

f6"518 "B2A"62L.gN.g

22.220 07?J.32L.225.9

27.628'325.632.93]',5

2g "b3b.g3h.h33. BbI.?

bz.T5h.rlfl.g55.5

* See footnote to Table Td'a.

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UnderI Y'ear

b7'3l+6,5l+B'5I$,557 .o

6.352.56b.67L'873.8

7b.279.r83,-287.683.2

th.lt9r''386.293.L99..9

]..02.2Lo5.z100.1111.8110.8

LTz,9117.h110o0t08.5131,7

130"5161.2l-5O.7l8b,g

12. IL2'-9t3.513.1+l,2.7

13,2L3"21l+'b15.716.0

L6,215.8t5.L16.1r16.2

16.316.6]..6.3L6'6]..6'6

L5.tL6"516.015.815"b

l-5.7L5.3]-5"bL5,oL5.5

15.8]5.216" I20.6

28,GX290L31.03]-.532.O

32,532,93b.639.o39.7

39'.639'tl+2.1b3.gI+2,7

b5.3b5.8I+3.7b5,2h7. h

b7'-3l+8.8h6.1lr8.obg.5

5L,.21t9.9bg.g50.355"9

55.260r558.o68,g

f,Ab]E T-3c. INFANT MCRTALITY NATE, BI AGE, FOR NONWHITE GROUPS: U. s. , 1916-lrg.

Rates per 11000 registered live blrthsoBlrth Registratlon Area, rrhich was begunall States since L933.

Data are for States in thein 1915 and has included

Tear Between 1month and1 year

191+9191+Bt9b719h6LebS

l9ldrL9u3]',9ll:219Ll19b0

t939L938L937l.936t935

L93l+L933L932L%rL930

L929Lg28Lg27L926Lg2,

L92bL923L922L92LL9?f'

L9L91918L9L71915

lBoBx17.b17 '517.925,O

27 .829,630.035,83l+.t

3b,61r0.0Ll.1b3.T1r0.5

h9.tb5.5IQ.5lfi,g52.5

5b.g5l,b5l+.o53,861.3

5L,.767.560.158.276.7

75.3100,792.7

115.0

* See footaote to Table g-Jar

*F-

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,lablc s-b. cEIlDEooD l'toRlAtlrr RAIE, Ur AOEI U. S., 1900-49

Batog are dcathe per 101000 chlltlren of speclfted eges.Data are for States ln the Doath Reglstret lon Area, rhichwes begun ln 1900 aacl has lncluded alL states einee L9t3,

Icar

1949191{s1947r9l+51gl{5

r9l+4191+l1g4e1941rglo

L939Lg38L9t7L936L9t5

1gl4LgtL95219lr1gl0

L9€gt928Lg27L926L925

1-I4year e

9. t )9.79"9

I I . ,L2.5

15,519.020.922.t?2.7

24'525.52r.626.527.8

,I.0t2.\Jo.l+3\.912.8

1-4ysers

5-1!iyearE

L3.6lb.l+L3.515.0L5.5

rl+.9*15.9r5.9rg.0?0.1

23.L25.624.426.129.0

3L.8,8.4l+t.9l+4.0S.1

50.8Ir7.Jlt6,z52.7#,\

62.65l+.959.t72.5Ot.1

6.1+*5.66.98"1g.g

9.19.69.09,9

10" 4

10.912.1U.514.9L5'.5

L5.315n015,415.5L7.2

19.719.4tg"gL9.319.7

1921+L92tL92219211920

191919181917rg161915

191\19Ur.912L91.1r9r0

190919081907rgoS1905

1901+190t1902r9or1900

l+5.?75,550.551" 14tr. J

50.96r.g6T.t71.059' '

75.974.773.L75,.885.6

68.380.774.280.L98.7

92"8157. !+105.5LL} .292.\

r0!+,21.20.81.10.9119.5u9.?

Ul+.9T19 "71l+5.8158" orl+9,9

25"\27,O24"827 "o29.4

28"2]c13,L.7,2.7Itt o

16.7,1t.4t3"LJ5.l+tg.6

20.1?J.5el.!$2\.726"\

J4,439.257.t4r, Il+7.9

25.94t. J25.624"523"o

lE.755.951.1+55.563.3

L59.2154. eL55.6L69'5198.4

t In 1949 thc rate for whltc chl ld.ren of ages 1-14 years waB 8.7 and thccorrcspondlng rate for nouwhl tc chtldren was L3.5. For eges 1-4rhltc a.nd, nonrhltc rates wcre L3.7 a3d 21.9, whilc for ages 5-14whtto a.nd, noawhltc rates vere 5.1 and 8.3, respeet lvely.

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TAbIE T.5. MAMNNAT I'{ORTALIIT RAIE, BY RACE:

Rat€s per 101000 registered line births.for States in tlre Birth Registration Alea,begun in 1915 and has lncluded all States

Iear lfhito fonvht te

U. S., IYL1..b9

Data arerhlch was

Stnce 1933,

1g491948r9l+7r.946lgl+5

1941+1g4l194219411gl+o

L9r9L9t8L957Lgt6Lgt5

rgl4L95tt9r219r1r9l0

L929L9zeL927Lg26L925

1924L923t9221921L92A

19191.916r9u191 5191 5

9.or11"715.5L5.7&,7

5. gf8 .9

10"9U.l"17" e

43" 5rJ0"133,.5,5"945.5

50'551.05lt.l+67,977 "t76.2gl+.985-897',2g}s"6

89,796"798.0

Lrl "o117o0

120.0121o0lU.0107.0r15.0

118.0r09.0107.0108.0129.0

124.0I]9.0116.0118o0106.0

2?.82l+1525.93L"737.6

4o.bl+J.Il+S"956.9.58"2

59.351og6t.355" t6T "3

1g"g21" I22 '?25.532"O

,5.1t7.7b5.65I.257.L

54,1[56.It59.050.o6t .0

6J"o5J"o,9.O52.050, o

51..05J"o5J.g5l+.076.0

70.089r06r.o5t. o50ro

69.569.26Ir. T6|.664" 7

65"555.566. t+56" a79.9

71.791.666.26a.z50.9

* UetemeJ. deeths ocenrri"ng in 19hg ret€ classifledby the nsr (6th) Revtsion of tlre International List.If the dsta had been classlJled by tho proceduresusEd for 19h8 and earlier yearso tlre 19119 ratee wouldhe.v€ been approrinately lOS hi"ghe r,

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CI{IIDRA}I' S BUREAU STATTSTICAI SENIES

Bullctins tn this serles present analysesof perlodlc data usefirr to research, admlnLetratlve,and Lnfonnatl.onal specialJ_sts tn th6 fteld ofsenrl,ces for chlldren" rn these burretins fromtLme to ttne will appeer data on the operatr.onsof publlc health and rrel-fare prograrBs, statisticson condLtions of chl.ld llfer and related sourcenaterlars' copLes are available rlthout chageorf you would Ilke to receive futur"e l-ssues in thlsserles, please send to the Childrent s Bureau areguest that your narp be placed on this nailingllst.

Specify:Llst SS-1 o lf you rant all i.ssues.List SS-2 @ lf you want health issues only.r,lst ss-3 € lf you rant reLfare lssues oniy.

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