Georgia disease patterns of the 80's with epidemiological profiles

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GEORGIA .

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lNlTH EPIDEMIOLOGICAL PROFILES

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Georgia: Disease Patterns of the'80 s
with Epidemiological Promes
DivWoa ofPablic H...... GeorgIa Cent_forH StatistIcs

Preface
Georgia: Disease Pattenas of the '70 s, (Department of ' Human Resources, DPH, 1976) was one of the first studies by the Division of Public Health which utilized computer graphics to effectively show state and health district disease problems in Georgia. Documenting the period 1980-84, Georgia: Disease Pattenas of the'SOs is the tenyear follow-up study to the previous volume which investigated mortality and morbidity patterns for 1970-74, and up-dated the benchmark study of 1969-72, Crlppl. . and KiD. ., A Profile of Georgia (DHR, DPH, 1973).
All causes of death presented in Disease Pattenas of the '70 s are included in this volume to allow continuity in trend analysis. However, in addition to identifying disease patterns within the state, this document compares Georgia to national disease patterns (Unit I) and provides data for additional causes of mortality. Epidemiological Profiles demonstrating patterns by person, place and time for each cause of death are also an added feature.
Disease Pattenas of the '80 s is divided into major sections by disease category in Unit I (United States/Georgia) and Unit II (Georgia):
Cardiovascalar Mol'ta1ity - the number one killer in the country and in Georgia.
Cancer Mol'ta1ity - the second greatest cause of death nationally and in Georgia.
Violent Deaths' - the major cause of death in chddren, adolescents and young adults.
Llfestv1e Mol'ta1ity - chronic and infectious diseases representative of personal habits and socio- economic status.
Infant Mol'ta1ity - a continuing problem in Georgia whose reduction is a major public health objective.
Sexually Trans.itted Diseases - represented by syphilis and gonorrhea.
iii

,.. -~';;

"

'''',>, :,'

i.l';

Contents

~.c:e IB

I..IIIt of Tables

vi

I..IIIt of FIgare8 ............. d

Methoclo~ xv

UBit I: UBited States I Georgia

Sectioal
United States/Georgia Com. parison for Major Causes of Death .... 1

SedionU

Cardiovascular MortaUty

5

Sedionm
. Cancer MortaUty .............. 23

SedionlV
Violent Deaths. . . . . . . . . . . . . . . . .. 29

Section V

Mortality Related to Lifestyle

47

Sec:tionVi
Infant Mortality . . . . . . . . . . . . . . . 70

UoitD:Geo.p.

Section 1
Infant MortaUty . . . . . . . . . . . . . . . . 73

SectionU
Cardiovascular Mortality . . . . . . . 85

Sectio.m
Cancer MortaUty ............. 117

Section IV
Violent Deaths. . . . . . . . . . . . 155

Section V
Mortality Related to Ufestyle . . . . . . . . . . . . . . . . . .. 179

Sec:tionVi
Sexually Transmitted
Diseases. . . . . . . . . . . . . . . . . . . 207

Ap~

213

v

List--iofTables

' ' '-' .. ,':;: '-".:';-'

' .........,-.,;.

Unit I: United States/ Georgia - Comparison

Tables

Pages

1. Selected Causes mDeath, United '

States and Georgia ~ .. '..'

3

2. Total Heart Disease, Age-RaceSex Sped8c MortaJijyRat:es~ 1975-1979 -1980-1984 . ~ . . . . 8

3. Death Rates for Heart Disease;
Age-Race-Sex, U~S.,' 19~ 1984 .............. . . . . 9

4. Acute Myocardial Infarction,

Age-Race-Sex Spedflc Mortality

Rates, 1975-1979 - 1980-

1984

!............ 12

5. Cerebrovascular Disease, Age-

Race-Sex Sped8c MortaBty

- Rates, 1975-1979 - .198().;

1984 ..... ' '

; 16

6. Death Rates For CerebrovascuIaf Diseases, by Age-RaceSex, U.S., 1980-84 . . . . . . . . . 17
7. Diseases m the Arteries and
Capillaries, Age-Race-Sex Sped8c Mortality Rates, 19751979 -1980-1984 ......... 20

8. Total Cancer, Age-Race-Sex

Spedftc Mortality Rates, 1975-

1979-1980-1984

26

9. Death Rates for Total Cancer, by Age-Race-Sex, U.S., 19801984 ... . . . . . . . . . . . . . . . . 27

10. Motor Vehicle Acdden1s, Age-

Race-Sex Sped8c MortaBty

Rates, 1975-1979 - 1980-

1984

32

11. Death Rates for Motor Vehicle Accidents, by Age-Race-Sex,
U.S., 1980-1984 . . . . . . . . . . . 33

12. All Other Accldents, Age-

Race-Sex Spedftc Mortality

Rates, 1975-1979 - 1980-

1984

'. . 36

Tables

, Pages

13~ Homicide, Age-Race-SeX Specif-

ic Mortality Rates, 1975-

1979 -1980-1984 ........ 40

14. Death Rates for Homicide and '-:LegaI~by Age-RaceSex, U.S., 1980-1984 ...... 41

15. Suicide, Age-Race-Sex Sped6c Mortality Rates, 1975-1979 1980- 1984- . . . . . . . . . . . . . . . 44

16. Death Rates for Suicide, by

Age-Race"5ex, U.S., 198().;

1984

. . . . . . . . . 45

17. Diabetes, Age-Race-Sex' Sped8c
Mortality Rates, 1975-1979 1980- 1984 . . . . . . . . . ... ' 5()

18. Death Rates for Diabetes, by Race and Sex, U.S., 1980- , ' 1984 .:.................. 51
m 19. Cirrhosis the lJWr, Age-
Race-Sex Spedftc Mortality Rates, 1975-1979 - 19801984 . . . . . . . . . . . . . . . . . . . 54
20. Death Rates for Cirrhosis mthe lJ\Ier, by Race and Sex, U.S., 1980-1984 . . . . . . . . . . . . . . 55

21. In8uenza and Pneumonia, Age-

Race-Sex Spedftc MortaBty

Rates, 1975-1979 - 1980-

1984

58

22. Death Rates for InBuenza and
Pneumonia, by Race and Sex,
U.S., 1980-1984 .. . . . . . . . . . 59

23. Chronic Obstructiw Pulmonary Disease, Age-Race-Sex Spedftc
Mortality Rates, 1975-1979 1980-1984 . . . . . . . . . . . . . . . 62

24. Death Rates for Chronic 0b-

structive Pulmonary DIsease, by

Race and Sex, U.S., 1980-

1984

. . . . . . . . . . . . 63

,vi

Unit D: Georgia

T......

Pages T......

Pages

25. Total Infant Mortality, by Health District, 1980-1984 . . . . . . . .

26. Total Infant Mortality, by Health
District, 197o.l974 ....... '.

'27. Total Infant Mortality, by Health District, 1969-1972 . . . . . . . . .
,28. White Infar1t MOrtalIty, by Health
. District, 1980-1984. . . . . . . . .

29. White Infant Mortality, by IieaIth
DIstrict, 197o.l974 . . . . . . . . .

38. White Infant MortaIity,byHealth
District, 1969-1972 . . .. . . . . .

31. Black Infant Mortality, by Health
District, 199).1984 . . . . . . . . .

32. Black Infant Mortality, by Health
District, 197o.l974 . . . . . . . . .

0"""

33. BJa& Infant Mortality, by Heidth.

District, 1969-1972

:~.

34. TOtal ,NeOnatal Mortality, by Health District, 1980-1984 . . . .

43. Total Heart Disease, Age-Race

77

and Age-Sex Sped8c Mortality

Rates, 1980-1984

88

77

M. Total Heart Disease, Age-Race.

Sex Sped6c Mortality Rates,

199).1984 .. . . . . . . . . . . . . . 88

77

45. Total Heart Disease, Age-Sex

A4usted Death Rates by Health

78

District, 1. .1984 . . . . . . . . . 89

46. Acute Myocardial infarction,

78

Age.Race and Age-Sex' Sped8c

MoRality Rates, 199).1984. . . 9'l

78

"Race-Sex 47. ~ ,Myocardial. infarction,

Rates,

Sped&c 1980-1984

Mortality
.

,<'

79

48'\,~ Myocardial Infarction, by

I:feaIth DIstrict, 199).1984 .. .. ."

79

;;F

.
4,9.

J\a,ate",

Myocardial

Infa", rctlon,

by

:iI.,'
.,,"

:Heaitb District,197o.l974 . . . : ',.,

79:

" ' j . Acute Myocardial Infarction,

by Health District, 1969

81

1972

94"

35. Total Neonatal Mortality, by Health District, 197o.l974 . . . . 81
. 36. Total Neonatal Mortality, by Health District, 1969-1972 . . . . 81
37. White Neonatal Mortality, by Health District, 1980-1984 . .. . 82
38. White' Neonatal Mortality, by Health Dlstrict,197o.l974 . . . . 82
39.White Neonatal Mortality, by Health DIstrict, 1969-1972 . . . . 82
48. Black Neonatal Mortabty, by Health District, 199).1984 . . . . 83

51. Other Ischemic Heart Dlsease, Age-Race and Age. Sex Sped8c Mortabty Rates, 199).1984. . . . . . . . . . . . . . . 97
52. Other Ischemic Heart Dlsease, Age-Race-Sex Sped8c Mortality Rates, 1980 1984 .. . . . . . . . . . . . . . . . . . 97
53. Other Ischemic Heart Dlsease, by Health District, 199).1984 . . . . . . . . . . . . . . . 99
54. Oth~ 'Ischemic Heart 'Dlsease, by Health District, 197o. 1974 . . . . . . . . . . . . . . . 99

41; Black Neonatal Mortality, by Health DIstrict, 197o.l974 . .. . 83
42. Black Neonatal Mortality, by Health District, 1969-1972 . . . . 83

55. Other Ischemic Heart Dlsease, by Health District, 1969-1972. . . . . . . . . . . . . . . 99
56. Hypertensive Dlsease, Age. Race and Age-Sex Sped8c Mortality Rates, 19801984 . . . . . . . . . . . . . . . . . . . 102:<'

vii

Tables

',-~"

Pages Tables

Pages

57. Hypertensive Disease, Age-Race-

Sex Sped6c' Mortality Rates, ,'

1~1984

102

58. Hypertensive ,Disease, by Health

District, 1~1984

. 104

59. Hypertensive ~, by .Health District, 1970-1974 ....... 104

60. Hypertensive DIsease, by Health DIstrict, 196~1972 ........ 104

73. Cancer of the Lung, Age-RaceSex Specific Mortality Rates, 1980-1984 . . . . . . . . . . .. . . . 124
74. Cancer of thel,mlg,by Health
District, 1980-1984 . . . . . . .0 ; 126
75. Cancer of the ".1.lIng, by Hea1th
District, 1970-1974. . .. . . . . . 126
76. Caricerof .the~, "by Health
District, 1969-1972. . . . . ; . . . 126

61. Diseases' 'of the Arteries and

CapiDaries, Age-Race and Age.

Sex Specific Mortality Rates,

1~1984

. 107

77. Cancer of the Breast,

Age-Race and Age-Sex

Specific Mortality Rates,

1980-1984

. 129

62. Diseases of the Arteries and Capillaries, Age-Race-Sex Specific <' Mortality Rates, ,1980-1984 '.. ;. '....... " . 107
63. DIseases ,of the,. Arteries and
~, ,by Health District,
1~1984 '.............. 108
,,,64. Cerebrovascular Disease, Age-Race and Age-Sex Specific
Mor1alfly Rates,l980-1984.... 111

65. Cerebrovascular Disease, Age-

~-Sex ,Speci6cMortality

Rates,l~l984

. 111

66. Cerebrovascular Disease, by
Health District, 1~1984 ..... 113
67. c&c!brovascular Disease, by
Health District, 1970-1974 .... 113

78. Cancer of the Breast,

Age-Race-Sex Specific Mor-

tality Rates, 1980-1984 '

. 129

79. Cancer of the Breast, by

Health District, 1980-

1984 ....... ,

. 131

88. Cancer of the Breast, by

Health District, 1970-

1974

;

. 131

81. Cancer, of. the Breast, by

Health' District, 19~9-

1972

. 131

82. Cancer of the Stomach;

Age-Race and Age-Sex

Specific Mortality Rates,

1~1984

. 134

83. Cancer of the Stomach,

Age-Race-Sex Sped6c Mor-

tality Rates, 1980-1984

. 134

68. Q!rebrovascular Disease, by Health District, 1969-1972 .... 113

69. Total Cancer, Age-Race and Age-Sex Specific Mortality
Rates"l~I984 ......... 120

70. Total Cancer, Age-Race-Sex

Specific Mortality 'Rates,

1980-1984

'

. 120

71. Total Cancer, by Health District, 1~1984 .............. 121

72. Cancer of" the ,Lung, Age-Race

and Age-Sex Speci6c Mortality

Rates,l~l984

. 124

84. Cancer ,of the Stomach, by

Health District, 1980-

1984

. 136

85. Cancer of the' Stomach, by

Health District, 1970-

1974

. 136

86. Cancer of the Stomach, by

Health District, 1969-

1972 .. :

' . 136

87. Cancer of ,the Large Intestine,

, Age-Race and Age-Sex

Specific Mortality Rates,

1~1984

. 139

viii

Tahl~

~ Tables

~

88. Cancer of "the Large Intestine,

Age-Race-5ex Speci6c Mor-

tality Rates, 1980-1984

139

89. Cancer of the Large Intestine,

by Health District, 1980-

1984

141

90. Cancer of the Large Intestine,

by Health District, 1970-

1974

141

91. Cancer of the Largelntestirie,

bll Health District,' 1969-

1972

141

92. Cancer of the Rectum, Age-
Race-Sex Speci8c Mortality Rates, 1980-1984 ... . . . . . . . 144

93_Cancer of the Rectum, Age-
Race-Sex Speci8c Mortality Rates, 1980-1984 ... . . . . . . . 144

cancer 94.

of the Rectum, by Health

District, 1980-1984 ..... ; . . . 146

95. Cancer of the Rectum, by Health District, 1970-1974 . . . . . . . . . 146

96. Cancer of the Rectum, by Health District, 1969-1972 . . . . . . . . . 146

97.'Cancer of th~ Cervix, Age-Race

and Age-5ex Speci6c Mortality

Rates, 1980-1984

149

98. Cancer of the Cervix, AgeRace-Sex Speci8c Mortality Rates, 1980-1984.. . . . . . . . . 149

99. Cancer of the Cervix, by Health District, 1980-1984 . . . . . . . . . 151

100. Cancer of the Cervix,by Health

District, 1970-1974 .

151

101. Cancer of the Cervix, by Health District, 1969-1972 . . . . . . . . . 151

102. Motor Vehicle Acciden1s, Age-

Race and Age-Sex Speci6c Mor-

tality Rates, 1980-1984

158

103. Motor Vehicle Acciden1s, Age-,

Race-Sex '. Speci8c Mortality

Rates, 1980-1984

158

1M. Motor Vehicle Acciden1s, by Health District, 1980-1984. . . . 160

105. Motor Vehicle Accidents, by Health District, 1970-1974. . . . 160

106. Motor Vehicle Acciden1s, by Health District, 1969-1972. . . . 160

107. All Other Acciden1s, Age-Race and Age-Sex Speci6c Mortabty
Rates, 1980-1984 . . . . . . . . . . 163

108. All Other Accidents, Age-RaceSex Speci6c Mortality Rates,
1980-1984 . . . . . . . . . . . . . . . 163

109. All Other Acciden1s, by Health District, 1980-1984 . . . . . . . . . 165

110. All Other Accidents, by Health District, 1970-1974 . . . . . . . . . 165

111. All Other Acciden1s, by Health District, 1969-1972 . . . . . . . . . 165

112. Homicide, Age-Race and AgeSex Speci6c Mortality Rates, 1980-1984 . . . . . . . . . . . . . . . 168

113. Homicide, Age-Race-5ex Speci6c Mortality Rates, 1980-1984. . . . 168

114. Homicide, by Health District,

1980-1984

170

115. Homicide, by Health District, 1970-1974............... 170

116. Homicide, by Health District, 1969-1972............... 170

117. Suicide, Age-Race cqI Age-5ex

Specific Mortality Rates,

1980-1984

173

118. Suicide, Age-Race-5ex Speci6c Mortality Rates, 1980- 1984 . . . 173

119. Suicide, by Health District,

1980-1984

175

120. Suicide, by Health District, 1970-1974........... .... 175

121. Suicide, by Health District,

1969-1972

175

ix

T.... ...... ..,-~.'

122. Diabetes, ,Age-Race and Age-

Sex Speei8c Mc>rtaJi47 Rates,

1~1984

182

123. Diabetes, Age-Race-Sex Spedflc Mc>rtaJi47 Rates. 1980-1984. . . . 182

124. Diabetes, by Health District, 1980-1984 . . . . . . . . . . . . . . . 184

125. Diabetes. by Health District, 1970-1974 ...... ~ . . . . . . . 184

126. Diabetes. by Health District, 1969-1972 ........... ; . . 184

127. Cirrhosis, Age-Race ". and Age-Sex Speclflc Mortality
, Rates. 1980-1984 . .. .. .. . .. 187

128. Cirrhosis, Age-Race-Sex Specific Mortality Rates,
1980-1984 . . . . . . . . . . . . . . . 187

129. Cirrhosis. by Health District, .1980-1984 .... . . . . . . . . . . . 189

130. Cirrhosis, by Health District, 1970-1974. ; . . . . . . . . . . . . 189

131. Cirrhosis, by Health District,

1969-1972

. 189

132. In8uenza and. Pneumonia, AgeRace and Age-Sex Sped8c MOl'-
taUty Rates, 1980-1984. . . . . . 192

133. Influenza and Pnemnonla. AgeRace-Sex Specl8c Mortality Rates, 1980-1984 .. .. .. .. . . 194

IM.'Inftuenza and Pneumonia, by Health District, 1980-1984 . . . . 194
135. In8uenza and Pnemnonla, by
, HealthDistrict,I970-1974.... 194

Ta....

......

136. In8uenza and Pneumonia, by Health District, 1969-1972 . . . . 193

137. ChrOnic Obstrudlve Pulmonary Disease, Age-Race and Age-Sex Spedflc MortaBty Rates, 19801984 . . .. . . . . . . . . . . . . . 197

138. ChrOnic Obstrudlve Pulmonary Disease, Age-Race-Sex Sped8c
Rates, 1980-1984 . . . . . . . . 197

139. Chronic Obstrudlve Pulmonary Disease, by Health District,
1980-1984 . . . . . . . . . .. . . . . 199
140. Chronic Obstrudlve Pulmonary Disease, by Health District,
1970-1974............... 199

141. ChrOnic Obstrudlve Pulmonary Disease. by Health District, 1969-1972 .. .. .. .. .. .. .. 199

142. AIDS MortaBty, Age-Race and Age-Sex Specific Rates. 1981-1985 . . . .. . . . . . . 202

143. Syphilis MorblcIty. by Health District, 1980-1984 . ; . . . . . . 210

144. Gonorrhea Morbidity. by Health District, 1980-1984 . . . .. . . . . 212

145. Gonorrhea Morbidity, by Health District, 1970-1974 . . . . . . . . . 212

146. Gonorrhea Morbidity. by Health District, 1969-1972 . . . . . . . . . 212

147. Cause-Sex Sped8c Death Rates

for Selected ~, 1960-

1984

~L .. . .. .. . 216

x

List of Figures
Coal""" UnitI: UnitedStat./ Georgia

1. Mortality Rates - United States/

Georgia Comparison for

Selected Causes of Death. . . . .

3

2. Percent of Total Deaths for

Selected Causes of Death. . . . .

4

3. Total Heart Disease, 1975-

1979 (Map). . . . . . . . . . .

7

4. Heart Disease, Age-Specific Mortality Rates . . . . . . . . . . . . 9

5 Acute Myocardial Infarction, 1975-1979 (Map). . . . . . . .. . . 11

6. Acute Myocardial Infarction, Age-Sped&c Mortality Rates. . . 13

7~ CerebrO'JiUiCular DIsease, 1975-

1979 (Map)

: . . . . . 15

8. Cerebrouascular DIsease, AgeSped8c MOJ'taWy Rates . . . . . . 17

9. Diseases of the Arteries, 1975-1979 (Map). . . . . . . . . . . 19

10. DIseases of the Arteries and Capillaries, Age-Sped6c Mar-
taBty Rates. . . . . . . . . . . . . . . 21

11. Total Cancer, 1975-1979 (Map). . . . . . . . . . . . . . . . . . . 25

12. Cancer, Age-Sped&c MOJ'taWy Rates. .. . . . . . . . . . . . . . . . . 27

13. Motor Vehicle Accidems, 19751979 (Map). . . . . . . . . . . . . . . 31

14. Motor Vehicle Accidems, AgeSped8c Mortality Rates . . . . . . 33

15. AU Other Accidents, 19751979 (Map). . . . . . . . . . . . . . . 35

16. AD Other AcciderUs, Age-Speci6c MortaHty Rates . . . . . . . . . . . . 37

17. Homicides, 1975-1979 (Map) . . . 39
18. Homicides, Age-Speci6c Mortality Rates. . . . . . . . . . . . . . . . . . 41
19. Suicides, 1975-1979 (Map) . . . . 43
28. Suiddes, Age-Speci6c Mortality
Rates . . . . . . . . . . . . . . . . . . 45
21. DIabetes, 1975-1979 (Map). . . 49
22. DIabetes, Age-Speci6c Mortality Rates . . . . . . . . . . . . . . . . 51
23. Cirrhosis of the Uwr, 19751979(Map)............... 53
24. Cirrhosis of the Uwr, AgeSped8c Mortality Rates . . . . . . 55
25. Intluenza and Pneumonia, 1975-
1979(Map)............... 57
26. Intluenza and Pneumonia, AgeSped8c Mortality Rates. . . . . . 59
27. Chronic Obstructiw Pulmonary Disease, 1975-1979 (Map) . . . . 61
28. Chronic Obstructiw Pulmonary Disease, Age-Speci6c MortalIty Rates. . . . . . . . . . . . . . . . . . 63
29. AIDS Cases, 1979-June 1986 . . . 65

30. AIDS Cases and Deaths, United

States, January 1979 - June

1986

66

31. AIDS Adult/Adolescent Pa-
tient Groups, 1979-June 1986 . . 67

32. AIDS, Pediatric Patient Groups (Under 13 years) 1979-June 1986 . . . . . . . . . . . . . . . . . . . 67

33. Infant Mortality, 1981-1983
(Map). . . . . . . . . . . . . . . . . . . 71

xi

.UnltD; GeOl'gia
"";i,' .

FIaaNII

......

34. Infant Mortality, 1980-1984,

(Map)

, . . . . '75

35. Infant Mortality, 1950-1984..... 76

36. Neonatal Mortality, 1950-1984 .. 76

37. Infant Mortality, Projection to the Year 1990 .............. 76

38. Neonatal Mortality, 1980-1984

(Map) .........'

. 80

.39. Total Heart ~, 1980.' . 1984 (Map) ............ frl

, .. 41. Acute..... Myocardial Infarction,

1980-1984 (Map)

. 91

41. Acute Myocardial Infarction, .by Age-RaCe-Sex. . . . . . . . 93

42. Other Ischemic Heart DIsease,
1980-1984 (Map) ...... ; ... 96
43. Other ~ Heart DIsease, by
Age-RaCe-Sex ...... 98

, 44. Hypertensive' Disease, 1980-

1984 (Map)

. 101

. ;;' 45.Hypertensive Disease, 1980-

. 1984 (Map) ........'

. 103

,

."

'.

46. Diseases of the '. J\rteries and

CapIllaries, 1980-1984 (Map) .. 106

..

.

47. Cerebrovascular Disease,

1980-1984 (Map). . . . .. . . .. 110

48. Cerebrovascular Disease, . by Age-ftace.Sex. . . . . . . .. . 112

49. ~ OiseaseMortaltty, ~totheyearl990 .... 115

50. Total Cancer,' 1980-1984 (Map),~ .. . .. . . . . . . .. .. . 119

51. Cancer of the 1..m1g, 1980-1984 (Map) ..:. . . . . . ... . . . ... ~. . 123

52. Cancer of the Trachea, Bronchus and 1..m1g, by Age-RaCe-Sex . '. 125

F"JgUreS

Pages

53.: c8nter .of the Breast, 1980-
1984(Map)................ 128

54. Cancer of the Breast, by
Age-Race-Sex. . . . .'. . '-tao

55. Cancer of the Stomach, 1980-1984 (Map) ..'. . 133

56. Cancer of the Stomach, by Age-Race-Sex. . . . . . . 135

57. Cancer of the Large intestine, , 1980-1984 (Map). . . . . . .. . . . 138

58. Cancer of the Large hlfesdne" by Age-ftace.Sex.. . . . . . .. . 140

59. Cancer of the' Rectum, .1980-1984 (Map) .. . 143

60. Cancer of the Rectum, by .Age..Race-SeK. . . . .'. 145

61. Cancer of the Cervix, 1980-1984 (Map).. . . . 148

62. Cancer of the CervIx, by AQe' and Race . . . . . . . . . . . . . . ... ... 150

63. Cancer Mortality, Projection to the Year 1990. . . . . . . . . . 153

64. Motor Vehicle Accidents, 1980-1984 (Map). . . . . . . . . . . 157

65. Motor vehicle Acddems, by
Age-Race-Sex. . . . . . 159

66. All Other Accidents, 1980-1984 (Map). . . . 162

67.AD Other Acddems, by AgeRaCe-Sex . . . . . . . . 164
.'
68. Homtddes, 1980-1984 (Map) 167
69. -Homicide, by Age-RaCe-Sex. . . 169
70. Suicides, 1980-1984 (Map) .. . .. 172
71. Suicide, byAge-Race-Sex . '.. 174
72. Deaths by Violence, .Projection to the Year 1990 ~ . . . . . . . . . . . . 177

xii

Figures

Pages f'"agures

Pages

73. Diabetes MeIHtus, 1980-1984 (Map)................... 181
74. Diabetes, by Age-Race-Sex .... 183
75. Cirrhosis of the 1lver, 19801984 (Map). . . . . . . . . . . . . . . 186
76. Cirrhosis of the Uver, by Age-~~............. 188
77. InIluenza and Pneumonia, 19801984 (Map). . . . . . . . . . . . . . . 191
78. InIluenza and Pneumonia, by
Age-Race-Sex............. 193
79. ,Chronic Obstrudiw Pulmonary Disease, 1980-1984 (Map) . . 196
80. Chronic Obstructive Pulmonary
Disease, by Age-Race-Sex . . . . 198

81. AIDS (Acquired Immunode-

6ciency Syndrome) Cases, June

1981.July 1986 (Map)

201

82. AIDS, New Cases and Deaths by Year, 1981.June 1986 . . . . . . . 203

83. Mortality Related to lJ&tyle and Sodo-Economic Status, Projection to the Year 1990 . . . . . . . . 205

84. Syphilis Morbidity, 1980-1984 (Map). . . . . . . . . . . . . 209

85. Gonorrhea Morbidity, 19801984 (Map). . . . . . . . . . . . 211

86. Georgia Health District.lJnits . 215

xiU

"Ustof
Epid~lDiologi~1
, Promes

~"

bnitl:'tJnIted StatesI Geor1M

Coaapultaon '

Page
;,;-

TOtal Heart Disease .. 10

SuiCide. ..'.. . . . '.'. . 46

Acute Myocardial Infarction . 14

,DIabetes. . . . . . . . . . . . . . . . . 52

Cerebro\1aScuIa DIsease " . , . 18

Cirrhosis mthe Liwr . . . . . . . . . 56

." Diseases mthe Arteries and

I~ "'.-.;u~ ..".;...,







.





,',
.>











22

InfltIenm'and PneumonIa .. '..'. 60 Chronic ," Obstructive Pulmonmy

Tomi Cancer

. 28

Motor Vehicle Acdden1s. 34

DIse. ase,

:

'

' .'.







....





64-

. ,~

AIDS (Acquired fmm~

de6clenc.)1 Syndrome). . . . . . . 68

All Other AccIdents ....' .... 38

Infant Mortalby . . . . . . . 72

Homidde . . . . . Un42it D: G. . . . .

Infant Mortality . . . . . . . . . . . . . 84 Total Heart DIsease . 90 Acute Myocardial Infarction . . . . 95 Other Ischemic Heart DIsease . 100 Hypertensive DIsease. 105 Diseases m the Arteries and
Capillaries ............. 109
Cerebrovascular DIsease . . . . . 114 Total Cancer. . . . . . . . . . . . . . . 122 Cancer m the Lung ... 127 Cancer m the Breast . . . . . . . . . 132 Cancer ofthe Stomach . . . . . . . 137 Cancer ofthe Large Intestine. .. . 142
xiv

CancermtheRedum ....... 147
Cancer m the CervIx .. 152 Motor Vehicle Acdden1s. . . . . . . 161 All Other Acdden1s 166 Homicide . . . . . . . . 171 Suicide. .. . . . . . . . . . . . . . . . 176
Diabetes. . . . . . . . . . . . . . . . . . 185
CIrrhosis mthe lJver 190
IntIuenza and Pneumonia 195
Chronic Obstructive Pulmonary DIsease . 200 AIDS (Acquired Imm~ de6clenc.)1 Syndrome). . . . . . . . . 204

Methodology

Unitt: Comparison of Disease Patterns in the United States and Georgia.
This document utilizes three methods
for comparing the disease patterns for 13 selected causes of death in the United States and Georgia.
(1) MAPS: United States maps provide national patterns of mortality. Each United States map displays a legend showing the ranges of age-adjlged rates identified as Excellent (1owest rate range), Good, Average, Fair, and Poor (highest rate range).
(2) TABLES: Tabular comparisons of age-sex-race mortality rates in the United States and Georgia are presented for the period 1975 - 1979. Because aggregated l lnited States data for 1980 1984 are not yet available for comparison with Georgia, annual mortalitv rates by age-race-sex have heen selected from Health: United States 1985 for the years 1980 - 1984.
(3) GRAPHS: Included also are line graphs comparing the United States and Georgia mortality rates by age group for the period 1975 - 1979. Further, United States / Georgia pie charts illustrate percent of total deaths for selected causes of' death.

Epidemiological Profiles

The information from the maps, tables,

and graphs is then summarized as an epi-

demiological profile for each cause of death. The

profile has been designed to present a brief

epidemiological overview by PERSON, PlACE

AND TIME.

'

TOTAL

Total Risk is demonstrated by Georgia's Rank in the Nation. The state placement was determined by rank-ordering all 50 states including the District of Columbia by their age-
adjusted rates. The first rank denotes the lowest mortality rate in the nation, the 51st rank, the highest

rate. This rank-order holds true for all causes of death except AIDS.
Following the state ranks assigned by the Centers for Disease Control, Georgia has the tenth highest case rate in the country.

Cause-speci&c death rates, ageadjusted death rates, and percent of deaths for the United States and Georgia are given for 1975 -1979.

PERSON Personal Risk is represented by (a) Age at Risk (b) Race at Risk (c) Sex at Risk (d) Group(s) at Risk

(a) Age at Risk: Age-specific mortality rates calculated by Iifestage identify the ages at which risk of mortality becomes increasingly evident.

(b) Race at Risk: The race (white or black) with the statistically signi6.
cant higher mortality rate is iden-
tified as the race at risk. The signi8cance of dUlerence between
two independent rates has been
calcuJated to assure acaoacy in
identi6cation for. race, sex, and group(s) at risk. The abbreviation
N.S.D. (no signi8cant difference) is used if no signi8cant diIference exists between the compared
groups.

(c) Sex at Risk: The sex at risk (male
or female) is identified as having the statistically significant higher mortality rate.

(d) Group(s) at Risk: White males and black males are compared for signiftcance of
diffelence in rate, and white fema1es and black fema1es are compared by the same
method. The statistically
significant higher sub-group of males or females is the group at risk.

PlACE

Geographic Risk is defined by the states' health status ratings. The profile highlights areas of the country and those states

xvii

TIME

whose moI1:ality patterns emerge as EXCEllENT/GOOD; FAIR/ POOR. Georgia's status is stated according to its map pattern.
Current and Future Risk is represented by (a) The ten year mortality rate,
1975 - 1984, (U.S. Mortality rates for the years 1981 1984 which are included in the ten year rate are provisional data from the Month'y Vita' Statistics Report, National Center for Health Statistics.)

(b) A 1990 projected rate based on the ten year trend using regression analysis.
(c) Percent change in causespeci6c mortality rate from 1975-1979 to 1980-1984 to show increase or decline.
In the cases of infant mortality and AIDS, the Epidemiological Profile has been modi6ed to accommodate the types of data available for these causes of death.
MOl'bIIItv Rates
AD mortality rates in Unit I are identiled as cause-sped8c, age-adjusted, and age-race-sexspeci6c. AD maps are based on state rates for 1975 - 1979 which have been age-adjusted according to 1970 United States age-sped6c death rates. AD rates are calculated per 100,000 population, except infant mortality which is expressed per 1,000 live births.
UnitD: Georgia Disease Patterns
This section of the document involves
the same three basic methods for identifying disease patterns as was used in Unit I: MAPS, TABlES, and GRAPHS.

(1)

MAPS: Georgia's 159 counties

were ranked according to their age-

sex adjmted rates and divided into

quintiles. The health status of coun-

ties faIHng into the quintile ranges

were identified on map legends as

Excellent (lowest rate range), Good,

Average, Fair, and Poor (highest

rate range).

(2)

TABLES: Race-specific,

sex~, and faa/sex speci6c

mortality rates by five year age

groups are presented for the state. In

addition, age- sex adjmted rates by

health district for 1980 - 1984,

1970 - 1974 and 1969 - 1972

are also given in tabular form.

(3)

GRAPHS: To show changes in

pattern between 1970 - 1974 and

1980 - 1984, Hne graphs for the

two periods trace the trends in mor-

tality by faa/sex and age group.

Trends Hoes are also shown that

graph selected causes of death from

1975 to a projected rate in 1990.

Epidemiologlal1 ProfI.

The Georgia Epidemiological Profiles,
like those developed for Unit I, summarize the
mortality data according to PERSON, PlACE,
and11ME.

TOTAL

Total.. is ascertained by the State Mortality Rank (causes of
death are ranked according to the
ten year mortality rate, 1975 1984). Inaddition, Cause- speci6c Death Rates; Age-sex adjusted Death Rates; and Percent of aD deaths for the periods 1970 - 1974 and 1980 - 1984 are presented.

PERSON Penonal . . is represented by age-sped&c mortality rates for 1975 - 1979 and 1980 - 1984 to compare the two time periods.

The methods for defining Age at Risk, Race at Risk, Sex at Risk, and Group(s) at Risk are the same as
used in Unit I (see page xvii).

PlACE

Geographic Risk is also designated by the method used in Unit I. Health status is described as Excellent/Good; Fair/Poor according to the patterns that emerge across the state. In addition, health districts at higher risk are iden-
tiled, and the disease .pattern is further described as urban, rural or both.

TIME

Current and Future Risk is identical to the format used in Unit I except that percent

xviii

change irimortality rate is presented for cause- specific and age-sex adjusted rates for the time periods 1970-1974 to 1980-1984.
Mortality Rates

policy for state and district health programs
TABLES
The Tables provide several types of detailed data comparison:

As in Unit I, all mortality rates are identified as cause-specific, age-sex adjusted, or age/race/sex-specific. All county maps and health district tables are based on rates for 1980-1984 which have been age-sex adjusted according to the state's 1970 population.
How to use the Maps, Tables, and Graphs in this book:

1. 2. 3.
GRAPHS

Chronological identification of disease patterns
Isolation of' high risk groups by specific ages
Comparison of rates by geographic area

MAPS

The United States and Georgia maps serve several functions.
1. To demonstrate high risk areas for specific diseases - use Fair and Poor rankings

Une graphs are necessary to show changes over time. In this volume, the graphs show trends in mortality rate by age and for the time period 1975-1984, including projections to 1990. These graphs can be used in the following ways:

2. To demonstrate low risk areas for specific diseases - use Excellent and Good rankings
3. To provide "state and community diagnosis" that may be used by state and local health officials

1. To show differences in national death rates and Georgia death rates
2. To show differences in mortality pattern over lifetime for white males, black males, white females and black females

4. As an important tool for planning and resource allocation in health and social programs
5. As a reliable method of data presentation to concerned groups
6. As an aid in developing

3. To illustrate maximum and minimum death rate values
4. To show directional changes for death rates
5. To project or predict death rates by extrapolating the trend line

xix

Table 1
Selected Causes of Death United States and Georgia

Cause of Death

----

~

Heart Disease

Acute Myocardial Infarction

Cancer

Cerebrovascular Disease

AII Other Accidents

Influenza and Pneumonia

Diseases of the Arteries and

Capillaries

Motor Vehicle Accidents

Diabetes

Cirrhosis

Suicide

COPD

Homicide

Proportionate Mortality

Ratios

u.s.

Georgia

1975-79 1975-79 1980-84

37.9 35.1

35.3

16.3 17.1

15.4

20.2 17.6 19.8

9.5 11.8

9.7

2.8 3.4

3.1

2.9 3.1

2.7

2.8 2.4

1.9

2.6 3.4

3.1

1.7 1.6

1.7

1.6 1.4

1.3

1.4 1.7

1.6

1.2 1.2

1.0

1.1 1.9

1.6

Georgia's Rank In United States
37 46 20 51 41 42
16
38 28 28 37 31 49

Figure 1

Mortality Rates
U.S. / Georgia Comparison for Selected Causes of Death

RATE PER 100,000 POPULATION
350

300

~ us 1975-79

~ GA 1975-79

250

~ GA198084

200

150

100

50

o

50.1:01_~ ~~~~~.~ ~~~ ~tz~ f?XWa _

Influenza and

Diseases of

Motor Vehicle

Diabetes

Pneumonia

the Arteries

Accidents

& Capillaries

Cirrhosis

Suicide
3

COPD

Homicide

Figure 2
Percent of Total Deaths for Selected Causes of Death
United States and Georgia

'.
~~~oJ>()

Ii

Oa/a

O""<:lrI.

SIII<:lrle

Dlabet.s

Dis of Arts .. Caps

UNITED STATES (1975-1979)

GEORGIA (1975-1979)

Cerebrovascular Disease Motor Vehicle Accidents Diseases of Arteries and Capillaries Chronic Obstructive Pulmonary Disease

GEORGIA (1980-1984)
4

Figlue3 Total Heart Dleea 1975-1979 A...AdJ_t.d Death Rat. . Per 100.000

,0
~
"'jb
{)
".
'- ...

RATE PER 100.000
_ _ _ _......1 194.7 to 272.3
EXCELLENT

VIII///ZJ 272.4 to 293.0
GOOD

~ 293.1 to 314.9

- - AVERAGE
FAIR

315.0 to 335.0

IIIIillII 335.1 to 368.8
POOR

7

Table 2
Total Heart DiseaseAge-Rac:e-Sex Specific: Mortality Rates
Per 100,000 Population United States and Georgia
(1975-79 - 1980-84)

Lifestage
Under 1 .......... 1-4 .............. 514 ............. 15-19 ............ 20-29 ............ 30-44 ....... _.... 45-59 ............ 6074 ......... _.. ,75 + ............. Total ........
-Lifestage
Under 1 ....... , .. 1-4 .............. 5-14 ............. 15-19 ............ 20-29 ............ 30-44 ......... _.. 45-59 ............ 60-74 ............ 75 + ............. Total ........

United States (1975-79)

TOTAL

WM

WF

22.8 2.0 0.9 2.0 4.4
34.6 263.3 1032.4 4133.0 334.3

22.1 1.8 0.8 2.1 4.6
48.3 401.4 1482.2 5015.1 393.8

16.1 1.6 0.8 1.2 2.4
13.0 109.8 637.0 3758.2 305.7

TOTAL
21.6 1.8 0.8 2.9 5.7
45.8 335.5 1182.6 3756.9 293.3

Georgia (1975-79)

WM

WF

13.2 0.9 1.1 2.8 3.9
57.5 487.1 1664.2 4828.1 347.0

16.2 1.7 0.6 1.8 2.4
14.4 120.2 647.6 3425.1 249.4

BM
44.3 3.8 1.4 4.7
14.2 101.4 540.8 1568.9 4074.3 295.2
BM
38.8 3.7 0.8 5.2 13.9
107.9 625.0 1874.5 3858.4 306.2

Lifestage
Under 1 .......... 1-4 .............. 5-14 ............. 15-19 ............ 20-29 '" ......... 3044 ............ 45-59 ............ 6074 ............ 75 + ............. Total ....

TOTAL
30.6 3.0 1.1 2.1 6.0
37.5 274.1 .1064.3 3557.9 282.9

Georgia (1980-84)

WM

WF

26.2 2.8 0.8 1.8 5.3
45.0 373.1 1461.8 4528.6 323.8

19.1 0.9 0.9 0.9 2.8 12.3 104.9 600.6 3233.3 258.1

BM
47.8 4.5 1.5 4.3 13.1
87.1 582.9 1760.9 3750.0 278.0

BF
42.0 3.5 1.4 2.9 8.1
45.2 279.0 1007.3 3322.9 237.0
BF
33.4 1.9 0.8 2.8
11.5 54.9 338.0 1193.1 3014.7 260.0
BF
41.9 5.6 1.4 3.0 8.4
44.3 289.9 1101.2 2506.5 252.1

8

Table 3
Death Rates for Heart Disease, by Age United States, 1980 - 1984

1'_8.!

1981

1982

1983

1984 1,2

All ages, age adjusted All ages, crude

202.0 336.0

195.0 328.7

190.5 326.0

188.8 329.2

183.3 324.4

All ages: Under 1 year 14 years 514 years 15-24 years 25-34 years 35-44 years 45-54 vears 55-64 years 65-74 years 75-84 years 85 years and over

22.8 2.6 0.9 2.9 8.3
44.6 180.2 494.1 1,218.6 2,933,1 7,777.1

21.3 2.5 0.9 2.6 8.4
43.2 177.7 481.5 1,175.8 2,850.3 7,458.8

21.1 2.3 1.1 2.7 8.2
40.7 169.4 468.7 1,156.4 2,801.4 7,341.8

26.0 2.5 0.9 2.6 8.3
39.3 164.7 463.0 1,139.2 2,816.3 7,335.5

20.1
1.3
2.5 8.0 37.1 160.5 444.7 1,110.6 2,752.3 7,125.7

Age-Adjusted Death Rates for Heart Disease by Race and Sex United States, 1980-1984

Total White Male Black Male White Female Black Female

1980
202.0 277.5 327.3 134.6 201.1

1981
195.0 268.8 316.7 129.8 191.2

1982
190.5 262.1 309.4 127.4 186.3

1983
188.8 257.8 308.2 126.7 191.5

19841,2
183.3

'Includes deaths of nonresidents of the United States. 'Provisional data. SOURCE: U.S. D.H.H.S., P.H.S., N.C.H.S., Health United States, December 1985. Table 16, pp. 46-47
and Table 17, pp 48-49.

Figure 4

4000

0

0

0
0

3000

0

J"4

CIl
IIol
Do 2000
IIol
i

1000

Heart Disease Age-Specific Mortality Rates
United States and Georgia
US (1975-1979)GA (1975-1979) ---GA (1980-1984) ---

__ o ~~---_--+--~-=-~~ .c:=---~=-=---::-::4-=-=-------=~I----t

Under 1 1-4 5-14 15-19

75+

9

EPIDEMIOLOGICAL PROFILE
Total Heart Disease
United States/Georgia 1975-79

C!f:J Georgia's Rank In The Nation

Cause-specific death rate Age-adjusted rate Percent of all deaths

United States
334.3 f8l14.9 '-.:'37.9

Georgia
293.3 ,.327.4
\.:1 35.1

Life Stages in Years Under 1 1-4 5-14 15-19 20-29 30-44 45-59 60-74 75 +
Ages at risk:
Race at risk:
Sex at risk:
Group(s) at risk:

MORTALITY RATES

United States
22.8 2.0 0.9 2.0 4.4
34.6 263.3 1,032.4 4,133.0

Georgia
21.6 1.8 0.8 2.9 5.7
45.8 335.5 1,182.6 3,756.9

United States
30+ Whites Males White males White females

Georgia
30+ Whites Males White males White females

Health Status by Geographic Area

Excellent / Good: The western half of the United States.

Fair/Poor:

The eastern half of the United States.

Georgia:

Fair

United States

1975-1984 mortality rate

331.8

1990 projected rate

319.0

Percent change from 1975-79

to 1980-84 in cause-specific rate: -2.1

10

Georgia
287.8 270.8
-3.5

Figure 5 Acute Myocardial Infarction, 1975-1979 Age-Adjusted Death Rates Per 100,000

,0 ~ ~~
{)
~
'-

RATE PER 100,000

EXCELLENT

51.1 to 113.6

VIIIII/ZJ 113.7 to 131.8
GOOD

~
AVERAGE
-FAIR - - POOR

131.9 to 142.1 142.2 to 155.1 155.2 to 181.2

11

Table 4
Acate Myocardlalln'arc:tlon Ag..Race-S. . Specific Mortality Rat. .
Per 100.000 Population United States and Georgia
(1975-79 - 1980-84)

Llfestage
Underl .......... 1-4 .............. 5-14 ............. 15-19 ............ 20-29 ............ 30-44 ............ 45-59 ............ 60-74 ............ 75 + ............. Total ..........

U.lted Stat_ (1975-79)

TOTAL

WM

WF

0.3 0.1 0.1 0.1 0.8 16.7 144.0 527.0 1433.5 143.4

0.4 0.1 0.1 0.2 1.0 27.6 241.1 816.3 1961.1 193.9

0.2 0.1 0.4 0.1 0.3 5.0 54.9 311.2 1207.5 114.6

BM
0.1 0.1 0.1 0.3 2.6 34.7 203.7 576.0 1221.5 101.7

Llfe.age
Under 1 .......... 1-4 .............. 5-14 ............. 15-19 ............ 20-29 ............ 30-44 ............ 45-59 ............ 60-74 ............ 75 + ............. Total ..........

TOTAL
0.2 0.0 0.1 0.2 1.3 24.1 195.6 640.2 1509.0 143.1

Georgia (1975-79)

WM

WF

0.0 0.0 0.0
0.2 1.1 38.5 324.0 1037.6 2245.1 201.9

0.7 0.0 0.1
0.0 0.4 5.4 67.1 357.1 1348.5 112.3

BM
0.0 0.0 0.0 0.5 3.2 48.0 287.9 789.1 1323.2 124.8

Llfestage
Under 1 .......... 1-4 .............. 5-14 ............. 15-19 ............ 20-29 ............ 30-44 ............ 45-59 ............ 60-74 ............ 75 + ............. Total ..........

TOTAL
1.1 0.1 0.1 0.1 1.0 15.8 143.5 528.9 1286.8 123.0

Georgia (1980-84)

WM

WF

0.7 0.0
0.1 0.1 1.4 24.2 225.1 820.3 1904.5 167.1

0.7 0.0
0.0 0.0 0.3 4.1 51.1 304.8 1132.7 103.6

BM
1.3 0.3 0.1 0.5 1.9 31.7 245.5 704.1 1167.2 103.7

BF
0.5 0.1 0.1 0.2 0.8 12.7 96.8 344.7 904.2 72.9
BF
0.0 0.0 0.0 0.5 2.1 18.2 141.6 452.4 893.8 91.3
BF
2.6 0.3 0.1 0.0 0.9 11.8 115.8 408.0 725.7 83.8

12

2000

Figure 6
Acute Myoc:arcllallnfarc:tlon Age-Spedftc Mortality Rates
United States and Georgia

1500
0 0 0
,...0 1000
llll
~
i""
500

P

I

I

I

I
I .'
I

I .'
Ii

Ii
I
Ii

I: II I:

I

~

/

/

/

~

/

/

/

/

/

/

""",,tI.
o

Under 1

1-4

5-14 15-19 20-29 30-44 45-59 60-74 75+

AGE

US (1975-1979) GA (1975-1979) GA (1980-1984)

13

EPIDEMIOLOGICAL PROFILE
Acute Myocardial Infarction
United States/Georgia 1975-79

c:el Georgia's Rank In ne Nation

Cause-specific death rate Age-adjusted rate Percent of all deaths

United States
143.4
~35.5
V 16.3

Georgia
143.1
~157.9
V 17.1

Life Stages in Years Under 1 1-4 5-14 15-19 20-29 30-44 45-59 60-74 75 +
Ages at risk:
Race at risk:
Sex at risk:
Group(s) at risk:

MORTALITY RATES

United States
0.3 0.1 0.1 0.1 0.8 16.7 144.0 527.0 1,433.5

Georgia
0.2 0.0 0.1 0.2 1.3 24.1 195.6 640.2 1,509.0

United States
30+ Whites Males White males White females

Georgia
30+ Whites Males White males White females

Health Status by Geographic Area

Excellent / Good: The western states, including parts of the

midwest and New England.

Fair/ Poor:

The north central and west south central states;

parts of the south and northeast.

Georgia:

Poor

United States

1975-1984 mortality rate

133.9

1990 projected rate

94.9

Percent change from 1975-79

to 1980-84 in cause-specific rate: -13.1

14

Georgia
132.4 93.3
-14.0

Figure 7 Cerebrovascular Disease, 1975-1979 Age-Adjusted Death Rates Per 100,000

RATE PER 100,000

1'--

_ 37.5 to 67.1

EXCELLENT

VII///IZJ 67.2 to 76.1
GOOD

~ 76.2 to 80.6

. - AVERAGE

80.7 to 91.6

FAIR

IIIIIIIIIIIIII!IIIIIIIIIIIIIIIIIIIIIIIIIIIII 91.7 to 108.5
POOR
15

Table 5
Cerebrovascular Disease Age-Race-Sex Specific Mortality Rates
Per 100,000 Population United States and Georgia
(1975-79 - 1980-84)

Lifestage
Underl .......... 1-4 .............. 5-14 ............. 15-19 .. , ......... 20-29 ............ 30-44 ............ 45-59 .. , ......... 60-74 ............ 75 + ............. Total ..........

United Stat_ (1975-79)

TOTAL

WM

WF

5.0 0.7 0.5 0.9 1.9 8.0 38.6 200.6 1300.2 84.0

4.3 0.8 0.5 0.9 1.7 6.0 34.8 216.9 1329.4 73.1

3.7 0.6 0.4 0.8 1.4 6.3 29.2 156.3 1298.1 96.7

Bill
10.5 1.0 0.6 1.4 4.2 26.3 116.2 429.7 1355.6 81.7

Lifestage
Under 1 .......... 1-4 .............. 5-14 ............. 15-19 .. , ......... 20-29 ............ 30-44 ............ 45-59 ............ 60-74 ............ 75 + ............. Total
-Lifestage
Underl .......... 1-4 .............. 5-14 ............. 15-19 ............ 20-29 ............ 30-44 ............ 45-59 ............ 60-74 ............ 75 + ............. Total

TOTAL
5.3 0.5 0.3 0.9 2.3 12.9 69.0 331.3 1662.1 98.2
TOTAL
4.6 0.4 0.3 1.0 1.8 8.5 48.6 230.9 1255.0 77.3

Georgia (1975-79)

Will

WF

3.5
0.3 0.3 1.3 1.3 7.1 48.4 294.1 1747.2 75.4

3.7
0.2 0.3 0.5 1.3 7.7 35.5 205.4 1688.8 106.6

Georgia (1980-84)

WM

WF

2.8 0.3 0.1 0.9 1.3 4.5 33.3 207.3 1279.5 58.6

3.7 .
0.2 0.3 0.5 0.8 5.5 27.6 148.4 1269.9 88.9

Bill
7.5 0.4 0.1 1.5 4.1 38.9 188.5 706.5 1517.4 110.6
Bill
10.3 1.3 0.8 0.7 4.0
22.3 140.4 499.2 1250.4 79.7

BF
10.7 0.8 0.6 1.1 4.0 19.7 89.6 343.8 1302.5 86.1
BF
10.6 1.5 0.4 0.5 5.4 25.6 149.7 550.4 1493.7 122.9
BF
3.9 0.0 0.3 2.3 3.0 5.9 97.0 375.1 971.4 90.7

16

Table 6

Death Rates for Cerebrovascular Disease, by Age United States, 1980 - 1984

1980

1981

1982

1983

1984 12

AU ages, age adjusted AU ages, crude

40.8 75.1

38.1 71.3

35.8 68.0

34.4 66.5

33.9 65.6

All ages: Under 1 year 1-4 years 5-14 years 15-24 years 25-34 years 35-44 years 45-54 years 55-64 years 65-74 years 75-84 years 85 years and over

4.4 0.5 0.3 1.0 2.6 8.5 25.2 65.2 219.5 788.6 2,288.9

3.7 0.3 0.3 0.9 2.6 8.4 24.9 62.9 206.3 715.6 2.126.8

3.7 0.3 0.3 0.7 2.4 7.7 23.7 58.9 193.5 675.1 2,000.8

3.9 0.4 0.3 0.8 2.2 7.3 22.8 57.6 182.2 652.7 1,912.5

3.3
0.2
0.7 2.3 7.7 24.8 58.2 181.7 628.0 1.796.6

Age-Adjusted Death Rates for Cerebrovascular Disease, by Race and Sex United States, 1980-1984

Total White Male Black Male White Female Black Female

1980
40.8 41.9 77.5 35.2 61.7

1981
38.1 38.9 72.7 33.1 58.1

1982
35.8 36.6 68.9 31.0 54.7

1983
34.4 35.2 64.2 29.6 53.8

19841,2
33.9

Iinciudes d_ths of uonresidents of the United States. "Provisional data. SOURCE: U.S. D.H.H.S., P.H.S., N.C.H.S., Health United States, December 1985. Table 16, pp. 46-47
and Table 18, pp. 50-51.

2000
o 1500
goo
"Il"Il 1000
~
i 500

Figure 8
Cerebrovascular Disease Age-Specific Mortality Rates
United States and Georgia
US (1975-1979)GA (1975-1979) ---GA (1980-1984) ---

O.L..._ _-_-_-_-_-~~~-_+___-_+________t Under 1 1-4 5-14 15-1920-2938-44 45-5960-74 75+ AGE
17

EPIDEMIOLOGICAL PROFILE
Cerebrovascular Disease
United States / Georgia 1975-79

~ Geo.gia's Rank In The Nation

Cause-specific death rate Age-adjusted rate Percent of all deaths

United States
84.0
~80.6
V 9.5

Georgia
98.2 1T\108.5
V 11.8

Life Stages in Years Under 1 1-4 5-14 15-19 20-29 30-44 45-59 60-74 75 +
Ages at risk:
Race at risk:
Sex at risk: Group(s) at risk:

MORTALITY RATES

United States
5.0 0.7 0.5 0.9 1.9 8.0 38.6 200.6 1,300.2

Georgia
5.3 0.5 0.3 0.9 2.3 12.9 69.0 331.3 1,622.1

United States
Infants Under 1 year; Ages 30+ Whites Females Black males White females

Georgia
Infants Under 1 year; Ages 30+ Blacks Females Black males Black females

Health Status by Geographic Area

Iii..,'-: f I,Y',:., \ ':

\~,-f- '" I'"

.i

Excelient / Good: The northeast; the mounta;n and Pacific states.

Fair / Poor:

The south and west central states.

"',, . ()_...:.">' A~'

Georgia:

Poor

United States

1975-1984 mortality rate

76.5

1990 projected rate

46.4

Percent change from 1975-79

to 1980-84 in cause-specific rate: -17.9

18

Georgia
87.2 46.4
-21.3

Figure 9
Diseases ofthe Arteries. 1975-1979 Age-Adjusted Death Rates Per 100.000

,0 ~ 'T~
()
,.
'-
0' lac:had.. DR..... C.pUlarl

RATE PER 100.000
1 _ - 11.8to 21.0
/EXCELLENT
VZI/7/7I2 21.1 to 22.8
GOOD

.~
. - AVERAGE
FAIR

22.9 to 24.5 24.6 to 27.4

DIDDII 27.5 to 40.0
POOR

19

Table 7
Diseases of the Arteries and CapUlaries Age-Bace-Sex Specific Mortality Bates
Per 100,000 Population United States and Georgia
(1975-79 - 1980-84)

LVestage
Under 1 .......... 1-4 .............. 514 ............. 1519 ............ 20-29 ............ 30-44 ............ 45-59 ............ 60-74 ............ 75 + ............. Total ..
-
Lifestage
Underl .......... 1-4 .............. 5-14 ............. 1519 ............ 20-29 ............ 30-44 ............ 4559 ............ 6074 ............ 75 + ............. Total ..

United Stat_ (1975-79)

TOTAL

WM

WF

1.0 0.1
0.1 0.2 0.4 1.4 9.1 58.1 402.3 24.8

1.1 0.1
0.1 0.3 0.4 1.4 12.0 86.7 478.0 26.9

0.7 0.1
0.1 0.2 0.3 1.0 5.4 34.3 376.7 26.0

TOTAL
1.0 0.2 0.1 0.1 0.7 1.4 11.6 67.0 353.9 19.9

Georgia (1975-79)

WM

WF

0.0 0.2 0.1 0.1 0.8 1.6 15.0 101.6 446.0 22.1

0.0 0.0 0.0 0.1 0.6 0.8 5.0 32.3 331.8 19.6

BM
1.9 0.1 0.1 0.3 1.0 3.2 18.0 78.1 337.1 16.2
BM
6.0 0.4 0.3 0.0 0.8 3.1 23.5 92.2 350.8 17.3

Lifestage
Under 1 .......... 14 .............. 5-14 ............. 15-19 ............ 20-29 ............ 30-44 ............ 45-59 ............ 60-74 ............ 75 + ............. Total

TOTAL
0.2 0.1 0.1 0.2 0.3 1.1 7.3 48.0 249.7 15.1

Georgia (1980-84)

WM

WF

0.7 0.0 0.2 0.2 0.1 1.2 9.1 72.8 311.1 16.6

0.0 0.2 0.1 0.0 0.5 0.4 3.9 24.5 239.3 16.0

BM
0.0 0.0 0.1 0.2 0.6 2.5 13.9 75.7 244.5 12.2

BF
0.9 0.1 0.1 0.3 1.0 2.3 11.0 52.4 296.7 15.7
BF
0.0 0.8 0.0 0.0 0.7 1.9 13.1 73.6 273.4 17.7
BF
0.0 0.0 0.0 0.2 0.5 1.5 7.8 43.6 156.5 12.0

2.

Figure 10
O..e.... of the Arterle. &: C.pW.rt. . Ag..spedftc Mort.lity Rat. . U.lted Stat. . . .d Georgi.

500

400

0

0

...CIt
o0

-300

m

5 200

100

US (1975-1979) GA (1975-1979) GA (1980-1984)

,

I

I

I I

I

I

I

III

l'


II .'

1 .'

.I

/

i

.I .I

oL......-__- - _ - -__---'_-_--_~~~-___4~-_+--_t
Under 1 1-4 514 15-19 20-29 30-44 45-59 60-74 75+
AGE

21

EPIDEMIOLOGICAL PROFILE
Diseases of the Arteries and Capillaries
United States/Georgia 1975-79

~ Georgia's Rank In The Nation

Cause-specific death rate Age-adjusted rate Percent of all deaths

United States
24.8 rT\23.1
V 2.8

Georgia
19.9 (1\21.7
V 2.4

Life Stages in Years Under 1 1-4 5-14 15-19 20-29 30-44 45-59 60-74 75 +
Ages at risk:
Race at risk:
Sex at risk:
Group(s) at risk:

MORTALITY RATES

United States
1.0 0.1 0.1 0.2 0.4 1.4 9.1 58.1 402.3

Georgia
1.0 0.2 0.1 0.1 0.7 1.4 11.'6 67.0 353.9

United States
45+ Whites Males White males White females

Georgia
45+ Whites Males White males White females

Health Status by Geographic Area

Excellent / Good: Mid-Atlantic states; the south; California,

Nevada, Utah and New Mexico.

Fair/ Poor:

The upper one-third of the United States,

Arizona.

Georgia:

Good

United States

1975-1984 mortality rate

22.7

1990 projected rate

14.6

Percent change from 1975-79

to 1980-84 in cause-specific rate: -17.3

22

Georgia
17.4 10.2
-24.1

Figure 11
Total Cancer, 19751979 Age-Adjusted Death Rates Per 100,000

-...

RATE PER 100,000

EXCELLENT

108.1 to 150.5

V////I/lI1 150.6 to 160.7
GOOD

~ 160.8 to 167.7

AVERAGE
-. .-. FAIR

167.8 to 178.8

178.9 to 226.1

POOR

25

Table 8
Total Cancer ABe-Race-Sex Specific Mortality Rates
Per 100.000 Population United States and Georgia
(1975-79 - 1980-84)

LifestaBe
Under 1 ..........
1-4 .............. 514 ............. 1519 ............ 2029 ............ 3044 ............ 45-59 ............ 60-74 ............ 75 + ............. Total ...

V.ited St_te. (1975-79)

TOTAL

WM

WF

3.8 5.1 5.1 5.7 8.9 38.0 237.6 691.1 1306.8 178.2

4.2 5.9 5.9 7.0 10.5 32.4 241.7 879.1 1873.9 202.5

3.7 4.7 4.4 4.5 7.5 39.8 214.6 517.8 998.2 164.0

BM
3.9 4.6 5.1 6.7 9.9 54.1 422.8 1161.8 1970.8 196.7

LifestaBe
Under 1 ..........
1-4 .............. 5-14 ............. 15-19 ............ 2029 '" ......... 30-44 ............ 45-59 ............ 6074 ............ 75 + ............. Total ...

TOTAL
3.6 5.1 4.5 5.9 8.5 39.7 248.7 679.1 1093.4 147.1

Georgi_ (197579)

WM

WF

4.2 5.6 5.5 7.5 8.9 35.3 268.6 912.1 . 1752.1
173.8

4.4 4.6 4.2 4.5 7.1 35.2 192.1 457.0 852.0 128.8

BM
3.0 5.2 4.4 6.0 11.5 54.4 397.4 1072.8 1456.3 165.4

LifestaBe
Under 1 .......... 14 .: ............ 5-14 ............. 1519 ............ 2029 ............ 30-44 ............ 45-59 ............ 6074 ............ 75 + ............. Total ...

TOTAL
3.9 3.7 3.7 4.7 7.9 35.9 239.1 715.7 1183.3 158.3

Georgi_ (1980-84)

WM

WF

4.8 2.9 4.5 6.3 8.9 30.8 248.6 948.1 1882.2 186.8

2.9 4.0 2.6 3.4 6.3 34.2 186.7 478.1 878.8 140.7

BM
2.6 4.8 4.3 5.7 8.6 44.4 422.5 1252.5 1802.9 178.1

BF
2.4 4.4 4.0 4.6 8.8 56.5 278.1 579.9 941.8 129.4
BF
1.5 4.9 2.9 5.5 8.7 54.9 253.0 526.0 609.3 111.3
BF
5.2 3.3 3.6 2.8 8.5 47.2 243.3 539.7 662.9 117.0

26

Table 9
Death Rates for Total Cancer. by Age United States. 1980 - 1984

1980

1981

1982

1983

19841.2

AU ages. age adjusted All ages. crude

132.8 183.9

131.6 184.0

132.5 187.2

132.6 189.3

133.1 191.6

All ages: Under 1 year 1-4 years 5-14 years 15-24 years 25-34 years 35-44 years 45-54 years 55-64 years 65-74 years 75-84 years 85 years and over

3.2 4.5 4.3 6.3 13.7 48.6 180.0 436.1 817.9 1,232.3 1,594.6

2.5 4.9 4.1 5.7 13.0 47.2 178.1 434.8 814.8 1,221.8 1,575.3

3.7 4.6 4.1 5.9 13.2 46.2 176.0 439.7 824.9 1,238.7 1,598.6

3.6 4.7 3.9 5.6 12.8 45.6 172.2 443.0 829.3 1,254.7 1,583.4

2.5
3.4
5.5 12.6 44.5 172.4 450.8 830.0 1,272.7 1,559.1

Age-Adjusted Death Rates for Total Cancer. by Race and Sex United States. 1980-1984

1980

1981

1982

1983

19841.2

Total White Male Black Male White Female Black Female

132.8 160.5 229.9 107.7 129.7

131.6 158.3 232.0 107.2 127.1

132.5 159.4 235.2 108.2 128.7

132.6 158.9 232.2 108.5 129.8

133.1

'Includes d_ths of nonresidents of the Dnited States. "Provisional data. SODRCE: D.S. D.H.H.S., P.H.S., N.C.H.S., Health Dnited States, December 1985. Table 16, pp. 46-47
and Table 19, pp. 52-53.

1500
oo
:- 1000
o
!
$
Clll 500

Figure 12

Cancer

Age-Specific Mortality Rates

United States and Georgia

/,,"

DS (1975-1979)GA (1975-1979) GA (1980-1984) ---

II :I II :I II :I
I I I I I I I I I I I I
~~~~~..A

0 . L . . . . - - . _ - _ - _ -_ _- _ = = = + - - - - + - - - - + - - - + - - - <
Dnder 1 1-4 5-14 15-19 20-29 38-44 45-59 60-74 75 + AGE
27

EPIDEMIOLOGICAL PROFILE
Total Cancer
United States/Georgia 1975-79

~ Georgia's Rank 10 The Nation

Cause-specific death rate Age-adjusted rate Percent of all deaths

United States
178.2
~69.5
V 20.2

Georgia
147.1
~160.7
V 17.6

Life Stages in Years Under 1 1-4 5-14 15-19 20-29 30-44 45-59 60-74 75 +
Ages at risk:
Race at risk:
Sex at risk:
Group(s) at risk:

MORTALITY RATES

United States
3.8 5.1 5.1 5.7 8.9 38.0 237.6 691.1 1,306.8

Georgia
3.6 5.1 4.5 5.9 8.5 39.7 248.7 679.1 1,093.4

United States
All ages, particularly 30 + Whites Males White males White females

Georgia
All ages, particularly 30 + Whites Males White males White females

Health Status by Geographic Area

Excellent / Good: The western states and parts of the southeast.

Fair/Poor: Georgia:

The northeast; east north central states, Louisiana and Florida. Good

United States

1975-1984 mortality rate

182.8

1990 projected rate

203.1

Percent change from 1975-79

to 1980-84 in cause-specific rate: + 4.6

28

Georgia
153.0 180.7
+7.6

Flgare13 Motor Vehicle Acddenu, 1975-1979 Age-Adjusted Death Rat. . Per 100,000

RATE PER 100,000

EXCELLENT

11.1 to 18.5

VTIIIIIZJ 18.6 to 23.2
GOOD

~
AVERAGE
- - FAIR

23.3 to 26.6 26.7 to 30.9

mIIIIII 31.0to50.6
POOR

31

Table 10
Motor Vehicle Accidents Age-Hace-Sex Specific Mortality Hates
Per 100.000 Population United States and Georgia
(1975-79 - 1980-84)

Lifestage
Underl .......... 1-4 .............. 5-14 ............. 15-19 ............ 20-29 ............ 30-44 ............ 45-59 ............ 60-74 ............ 75 + ............. Total ......

United Stat_ (1975-79)

TOTAL

WM

WF

7.8 10.3
8.7 42.7 37.6 20.8 17.8 20.5 30.0 23.0

7.7 10.3 10.7 68.0 61.3 30.7 24.7 27.8 49.8 34.3

7.9 8.3 6.3 24.4 15.9 9.6 9.6 13.4 18.9 12.4

Lifestage
Underl .......... 1-4 .............. 5-14 ............. 15-19 ............ 20-29 ............ 30-44 ............ 45-59 ............ 60-74 ............ 75 + ............. Total ........

TOTAL
7.8 14.2 12.4 49.0 41.6 27.7 27.7 28.4 34.5 28.7

Georgia (1975-79)

WM

WF

5.6 14.8 16.9 91.0 68.4 38.5 38.9 42.7 69.3 44.6

8.1 9.9 8.9 35.6 18.5 12.8 14.2 17.7 21.6 16.2

Lifestage
Under 1 .......... 1-4 .............. 5-14 ............. 15-19 ............ 20-29 ............ 30-44 ............ 45-59 ............ 60-74 ............ 75 + ............. Total .......

TOTAL
9.2 8.8 8.9 43.4 39.4 24.2 21.7 24.7 31.6 25.0

Georgia (198084)

WM

WF

11.0 10.0 11.7 77.3 69.1 35.9 29.6 33.2 59.4 39.3

7.3 7.9 7.3 33.8 19.6 11.5 12.8 16.6 21.1 15.1

BM
6.8 13.8 11.9 26.3 50.1 43.5 39.2 42.6 50.3 32.2
BM
12.0 21.3 15.0 28.5 63.4 62.2 56.8 49.4 47.0 41.0
BM
12.9 9.7 9.1
26.0 48.0 42.8 43.8 51.1 58.2 32.3

BF
8.3 10.6 5.6 8.3 10.4
8.9 10.7 11.1 12.3 9.1
BF
7.6 14.8
7.1 6.3 11.2 11.9 13.8 12.1 12.9 10.6
BF
5.2 7.5 6.2 7.7 9.9 10.9 9.5 11.6 7.7 9.0

32

Table 11

Death Rates for Motor Vehicle Accident., by Age United States, 1980 - 1984

1980

1981

1982

1983

19841,2

All ages, age adjusted All ages, crude
All ages: Under 1 year 1-4 years 5-14 years 1524 years 25-34 years 35-44 years 45-54 years 5564 years 6574 years 7584 years 85 years and over

22.9 23.5
7.0 9.2 7.9 44.8 29.1 20.9 18.6 17.4 19.2 28.1 27.6

21.8 22.4
6.1 7.8 7.5 41.2 28.6 20.2 17.8 17.3 19.4 27.3 25.8

19.3 19.8
5.8 7.9 6.8 36.9 24.1 17.7 15.7 15.2 17.5 25.2 23.7

18.5 19.0

19.2 19.6

5.2

4.1

7.5t
6.6

6.7

35.1

36.5

23.4

23.0

16.8

18.1

15.3

16.3

14.7

15.9

17.1

18.5

26.0

29.5

25.0

20.6

Age-Adjusted Death Rates for Motor Vehicle Accidents, by Race and Sex United States, 1980-1984

Total White Male Black Male White Female Black Female

1980
22.9 34.8 32.9 12.3
8.4

1981
21.8 33.4 30.7 11.7
7.7

1982
19.3 29.3 27.2 10.5
7.5

1983
18.5 27.8 26.4 10.3
7.5

19841,2 -
19.2

'Includes deaths of nonresidents of the United States. "Provisional data. SOURCE: U.S. D.H.H.S., P.H.S., N.C.H.S., Health United States, December 1985. Table 16, pp. 46-47
and Table 23, pp. 58-59.

50

0

..0
0

40

0

0

III 30
~
Do

~
i 20

Figure 14
Motor Vehicle Accidents Age-Specific Mortality Rates
United State. and Georgia

US (1975-1979)_
GA (1975-1979) GA (1980-1984) ---

10

o_
Under 1

1-4 5-14,15-1920-2930-4445-5960-7475+ AGE
33

EPIDEMIOLOGICAL PROFILE
Motor Vehicle Accidents
United States/Georgia 1975-79

~ Georgia's Rank In The Nation

Cause-specific death rate Age-adjusted rate Percent of all deaths

United States
23.0
Q)22.4 2.6

Georgia
28.7
C)28.6 3.4

Life Stages in Years Under 1 1-4 5-14 15-19 20-29 30-44 45-59 60-74 75 +
Ages at risk:
Race at risk:
Sex at risk:
Group(s) at risk:

MORTALITY RATES

United States
7.8 10.3
8.7 42.7 37.6 20.8 17.8 20.5 30.0

Georgia
7.8 14.2 12.4 49.0 41.6 27.7 27.7 28.4 34.5

United States
All ages Whites Males White males White females

Georgia
All ages Whites Males White males White females

Health Status by Geographic Area

Excellent/Good: New England; east north central states; parts

of the midwest and west.

Fair/ Poor:

The southeast; west south central and mountain

states; North and South Dakota; Illinois.

Georgia:

Fair

United States

1975-1984 mortality rate

21.9

1990 projected rate

18.3

Percent change hom 1975-79

to 1980-84 in cause-specific rate: -10.0

34

Georgia
26.3 20.5
-12.9

F....... 15
All Other AcddeDu, 1975-1979 Age-AdJted Death Rat_ Per 100,000

,0
~~~
{)
~
'-

RATE PER 100,000

I

I 16.5 to 21.1

EXCELLENT

VlIII7IZJ 21.2 to 24.9
GOOD

~ 25.0 to 27.4

. - AVERAGE

27.5 to 30.3

FAIR

- - POOR

30.4 to 39.4

35

Table 12
All Other Accidenu Age-Race-Sex Specific Mortality Rat_
Per 100.000 Population United States and Georgia
(1975-79 - 1980-84)

Lifestage
Under 1 .......... 1-4 .............. 5-14 ............. 15-19 ............ 20-29 ............ 30-44 ............ 45-59 ............ 60-74 ............ 75 + ............. Total ...
-Lifestage
Under 1 .......... 1-4 .............. 5-14 ............. 15-19 ............ 20-29 ............ 3044 ............ 45-59 ............ 60-74 ............ 75 + ............. Total ..

United Stat. . (1975-79)

TOTAL

WM

WF

30.9 17.6 8.6
16.7 20.1 18.2 23.6 36.9 139.2 24.9

28.6 19.4 11.2
27.1 32.5 26.6 32.7 50.9 167.5 32.9

21.2 12.1
4.2
5.4 5.7 6.4 11.1 22.2 126.0 15.6

TOTAL
47.5 19.0 11.1 20.9 20.7 24.6 33.5 44.2 145.4 28.2

Georgia (1975-79)

WM

WF

43.8 20.9 15.0 35.4 32.6 32.0 44.4 56.8 176.0 36.4

27.2 11.4
4.6 5.9 6.1 8.2 14.6 21.1 139.1 15.9

BM
69.5 31.3 18.9 29.4 46.3 58.5 69.3 85.3 160.2 47.7
BM
77.6 31.0 20.3 36.0 43.8 71.1 80.4 104.3 150.3 51.8

Lifestage
Under 1 .......... 14 .............. 514 ............. 15-19 ............ 20-29 ............ 30-44 ............ 45-59 ............ 60-74 ............ 75 + ............. Total .

TOTAL
36.5 17.9
7.3 13.5 18.7 20.3 26.9 45.1 142.0 25.1

Georgia (1980-84)

WM

WF

25.5 17.9 8.2 23.3 32.1 26.0 34.6 56.5 177.1 31.6

24.2 11.5 33.1
4.0 5.3 6.8 10.3 22.4 126.4 14.9

BM
56.8 26.8 13.2 21.4 31.9 55.6 77.9 111.5 207.5 44.9

BF
60.1 23.3 7.0 6.3 10.7 12.5 19.2 33.8 106.6 17.6
BF
66.8 18.6
6.4 5.3 6.7 14.3 23.9 42.8 111.4 18.5
BF
58.9 19.0
6.9 3.0 6.2 11.8 18.8 44.7 93.7 17.5

36

Figure 16
All Otllel' Acciden..
Age-Specific Me-I'tality Rates United States and Georgia

150
125
I 100
i..
75
50

US (1975-1979) GA (1975-1979) GA (19.0-1984)

25

0"""""-----+----+----+---..---+-----+----+----+---..........--..-..

Under 1

1-4

514 15-19 20-29 30-44 45-59 60-74 75+

AGE

37

EPIDEMIOLOGICAL PROFILE
All Other Accidents
United States/Georgia 1975-79

~ Georgia's Rank In The Nation

Cause-specific death rate Age-adjusted rate Percent of all deaths

United States
24.9
C)24.2 2.8

Georgia
28.2
IT\30.3
V 3.4

Life Stages in Years Underl 1-4 5-14 15-19 20-29 30-44 45-59 60-74 75 +
Ages at risk:
Race at risk:
Sex at risk:
Group(s) at risk:

MORTALITY RATES

United States
30.9 17.6
8.6 16.7 20.1 18.2 23.6 36.9 139.2

Georgia
47.5
19.0 11.1 20.9 20.7 24.6 33.5 44.2 145.4

United States
All ages Blacks Males Black males Black females

Georgia
All ages Blacks Males Black males Black females

Health Status by Geographic Area

Excellent/Good: New England; east north central and pacific

states; parts of the midwest.

Fair /Poor:

The south; the mountain states; North and

South Dakota.

Georgia:

Fair

United States

1975-1984 mortality rate

23.1

1990 projected rate

15.7

Percent change from 1975-79

to 1980-84 in cause-specific rate: -14.9

38

Georgia
27.1 19.1
-11.0

"""17
Ho.lddes.1975-1979
Age-Adjusted Death Rates Per 100.000

RATE PER 100.000

I

I 1.7to 3.8

EXCELLENT

VI/////Z] 3.9to 6.1
GOOD

~ 6.2 to 9.4

AVERAGE

- - FAIR

9.5 to 12.0

- . I I 12.1 to 26.1
POOR

39

Table 13
Homicide Age-Race-Sex Specific Mortality Rates
Per 100,000 Population United States and Georgia
(1975-79 - 1980-84)

Lifestage
Under 1 .......... 1-4 .............. 5-14 ............. 15-19 ............ 20-29 ............ 30-44 ............ 45-59 ............ 60-74 ............ 75 + ............. Total ....

United Stat. . (1975-79)

TOTAL

WM

WF

5.1

4.2

3.6

2.6

1.8

1.5

1.1

0.9

0.8

9.3

8.7

3.3

18.0

15.8

4.4

15.1

14.2

3.7

9.6

9.7

2.7

6.0

6.6

2.3

5.0

5.6

3.5

9.6

9.0

2.9

BM
15.8 7.5 3.1 46.1 133.0 120.8 76.4 42.7 24.9 62.9

Lifestage
Under 1 .......... 1-4 .............. 5-14 ............. 15-19 ............ 20-29 ............ 30-44 ............ 45-59 ............ 60-74 ............ 75 + ............. Total ......

TOTAL
7.5 2.9 1.2 9.4 25.7 27.8 20.7 11.9 7.8 15.7

Georgia (1975-79)

WM

WF

4.9

2.9

1.6

1.7

1.0

0.7

7.2

2.9

17.8

5.5

21.8

5.7

19.1

5.6

14.9

3.5

10.7

2.6

13.3

4.0

BM
16.4 7.1 1.3
24.2 106.6 132.1
92.7 42.3 36.0 58.0

Lifestage
Under 1 .......... 1-4 .............. 5-14 ............. 15-19 ............ 20-29 ............ 30-44 ............ 45-59 ............ 60-74 ............ 75 + ............. Total ...

TOTAL
5.7 2.9 1.2 8.2 23.5 29.0 14.9 8.9 7.8 13.2

Georgia (1980-84)

WM

WF

2.1

2.9

1.7

2.2

0.5

0.9

6.7

3.2

17.0

5.7

16.1

5.2

13.4

3.3

9.9

1.9

10.0

3.4

10.7

3.5

BM
10.3 4.5 2.5
20.5 80.9 88.0 69.4 40.0 31.7 45.7

BF
12.9 7.2 2.2 12.8 26.4 21.1 12.9 9.1 8.8 13.7
BF
13.7 4.2 2.5
12.5 25.3 29.3 18.0
9.3 6.0 15.0
BF
13.1 4.6 1.8 8.6
25.3 22.7 16.5
8.1 6.6 13.9

40

Table 14
Death Rates for Homicide and Legal Intervention, by Age United States, 1980 - 1984

1980

1981

1982

1983

1984l.2

All ages, age adjusted All ages, crude
All ages:" Under 1 year 1-4 years 5-14 years 15-24 years 25-34 years 35-44 years 45-54 years 55-64 years 65-74 years 75-84 years 85 years and over

10.8

10.4

9.7

8.6

8.2

10.7

10.3

9.6

8.6

8.3

5.9

6.1

6.7

5.3

9.6

2.5 1.2

2.6 1.3

2.7 1.2

2.3 ( 1.0

1.2

15.6

14.7

13.7

12.4

11.8

19.6

18.5

17.3

15.4

14.4

15.1

14.4

13.3

11.8

11.3

11.1

11.3

10.2

8.7

8.5

7.0

7.1

6.5

6.1

5.3

5.7

4.8

4.9

4.3

4.4

5.2

5.3

4.7

4.9

5.6

5.3

5.3

5.8

5.0

5.2

Age-Adjusted Death Rates for Homicide and Legal Intervention, by Race and Sex United States, 1980-1984

1980

1981

1982

1983

1984l.2

Total White Male Black Male White Female Black Female

10.8

10.4

9.7

8.6

8.2

10.9

10.3

9.5

8.4

71.9

69.2

62.3

53.8

3.2

3.1

3.1

2.8

13.7

12.9

12.0

11.2

'Includes deaths of nonresidents of the United States. "Provisional data. SOURCE: U.S. D.H.H.S P.H.S N.C.H.S Health United States. December 1985. Table 16. pp. 46-47
and Table 24. pp. 6061.
Figure 18
Homicide Age-Specific Mortality Rates
United States and Georgia
30

25

0

0

0
0

20

0
III 15

Ilol

Do

iIlol 1& 5

,,

US (1975-1979) GA (1975-1979) GA (1980-1984)

o '----_----<~___+----+-_-__+_-

-

_ _- _ _ + _ _ _ _ <

Under 1 14 514 15-19 202930-4445-5960-74 75+

AGE

41

EPIDEMIOLOGICAL PROFILE
Homicide
United States/Georgia 197579

~ Georgia's Rank In The Nation

Cause-specific death rate Age-adjusted rate Percent of all deaths

United States
9.6
C) 9.2 1.1

Georgia
15.7
1T\15.1
V 1.9

Life Stages in Years Under 1 1-4 5-14 15-19 20-29 30-44 45-59 60-74 75 +

MORTALITY RATES

United States
5.1 2.6 1.1 8.3 18.0 15.1
9.6
6.0 5.0

Georgia
7.5 2.9 1.2 9.4 25.7 27.8 20.7 11.9 7.8

Ages at risk: Race at risk: Sex at risk: Group(s) at risk:

United States
Infants under 1 year; ages 15 + Blacks Males Black males Black females

Georgia
Infants under 1 year; ages 15 + Blacks Males Black males Black females

Excellent/Good: New England, west north central states;

mountain and north pacific states.

Fair/ Poor:

The south; Texas, Arizona, New Mexico,

California and Nevada.

Georgia:

Poor

United States

1975-1984 mortality rate

9.5

1990 projected rate

8.4

Percent change from 1975-79

to 1980-84 in cause-specific rate: -1.0

42

Georgia
14.4 8.5
-15.9

FItIue 19
Saiddea,1975-1979
Age-AdJa.ted Death Ratea Per 100,000

10
~ ~~
~
~
......

RATE PER 100,000

1_ _EXCELLENT

7.1 to 10.3

VZIIIIIZJ 10.4 to 11.4
GOOD

~
AVERAGE
-FAIR

11.5 to 12.7 12.8 to 15.2

POOR
43

15.3 to 26.3

Table 15
Suicide Age-Race-SexSpecmc Mortality Rates
Per 100,000 Populatioa Uaited States aad Georgia
(1975-79 - 1980-84)

Lifestage

Uaited Stat_ (1975-79)

TOTAL

WM

WF

BM

BF

Underl ........ ,. 1-4 .............. 5-14 ............. 15-19 ............ 20-29 ............ 30-44 ............ 45-59 ............ 60-74 ............ 75 + ............. Total ......

0.0 0.0 0.5 8.1 17.1 16.2 18.5 19.1 20.7 12.7

0.0 0.0 0.8 13.7 27.5 23.6 27.5 33.9 48.6 20.3

0.0

0.0

0.0

0.0

0.0

0.0

0.2

0.2

0.2

3.4

6.4

2.0

7.4

24.2

5.5

10.4

18.6

4.7

12.7

12.3

3.7

9.3

11.8

2.9

7.0

12.9

1.8

7.1

10.7

2.8

Lifestage
Under 1 .......... 1-4 .............. 5-14 ............. 15-19 ............ 20-29 ............ 30-44 ............ 45-59 ............ 60-74 ............ 75 + ............. Total ..........

TOTAL
0.0 0.0 0.5 8.1 17.0 18.4 24.3 25.0 16.9 13.9

Georgia (1975-79)

WM

WF

0.0

0.0

0.0

0.0

1.0

0.3

15.0

5.8

28.5

9.2

29.6

12.9

40.8

16.8

54.0

11.8

54.3

4.0

25.3

8.8

BM

BF

0.0

0.0

0.0

0.0

0.1

0.1

5.5

0.8

18.1

5.7

15.7

3.1

15.4

4.5

14.7

3.0

11.0

0.9

9.4

2.5

Lifestage
Under 1 .......... 1-4 .............. 5-14 ............. 15-19 ............ 20-29 ............ 30-44 ............ 45-59 ............ 60-74 ............ 75 + ............. Total .....

TOTAL
0.0 0.0 0.3 7.4 16.4 15.9 . 20.1 19.2 19.0 12.5

Georgia (1980-84)

WM

WF

0.0

0.0

0.0

0.0

0.5

0.4

13.8

4.8

30.8

8.1

28.1

9.4

35.4

11.8

40.9

9.5

58.2

6.7

24.0

7.2

BM

BF

0.0

0.0

0.0

0.0

0.1

0.0

4.6

1.9

15.9

3.2

13.3

2.2

15.5

2.7

9.2

2.9

11.9

1.1

8.5

1.8

44

Table 16
Death Rates for Suicide, by Age United States, 1980 - 1984

1980

1981

1982

1983

19841,2

All ages, age adjusted All ages, crude

11.4 11.9

11.5 12.0

11.6 12.2

11.4 12.1

11.6 12.3

All ages: Under 1 year 1-4 years 5-14 years 15-24 years 25-34 years 35-44 years 45-54 years 55-64 years 65-74 years 75-84 years 85 years and over

0.4 12.3 16.0 15.4 15.9 15.9 16.9 19.1 19.2

0.5 12.3 16.3 15.9 16.1 16.4 16.2 18.6 17.7

0.6 12.1 16.0 15.3 16.6 16.9 17.4 20.3 17.6

0.6 11.9 15.8 14.6 16.2 16.5 17.7 22.3 19.0

0.6
12.2 16.1 14.3 16.9 16.3 18.5 21.9 17.2

Age-Adjusted Death Rates for Suicide, by Race and Sex United States, 1980-1984

1980

1981

1982

1983

19841,2

Total White Male Black Male White Female Black Female

11.4

11.5

11.6

11.4

11.6

18.9

18.9

19.4

19.3

11.1

11.0

10.8

10.5

5.7

6.0

5.8

5.6

2.4

2.5

2.2

2.1

'Includes deaths of nonresidents of the United States. 'Provisional data. SOURCE: U.S. D.H.H.S., P.H.S., N.C.H.S., Health United States, December 1985. Table 16, pp. 46-47
and Table 25, pp. 62-63.

Figure 20

Suicide

Age-Specific Mortality Rates

30

United States and Georgia

25
0 0
0 20
0.0..
III 15
IIol
Do
IIol
~ 10
5

US (1975-1979) GA (1975-1979) GA (1980-1984)

0
Under I 1-4 5-14 15-1920-29 30-4445-59 60-74 75+ AGE
45

EPIDEMIOLOGICAL PROFILE
Suicide
United States/Georgia 1975-79

~ Georgia's Rank In The Nation

Cause-specific death rate Age-adjusted rate Percent of all deaths

United States
12.7
C)12.2 1.4

Georgia
13.9
C)14.0 1.7

Life Stages in Years Under 1 1-4 5-14 15-19 20-29 30-44 45-59 60-74 75 +
Ages at risk:
Race at risk:
Sex at risk:
Group(s) at risk:

MORTALITY RATES
United States
0.0 0.0 0.5 8.1 17.1 16.2 18.5 19.1 20.7

Georgia
0.0 0.0 0.5 8.1 17.0 18.4 24.3 25.0 16.9

United States
Ages15+ Whites Males White males White females

Georgia
Ages 15+ Whites Males White males White females

Health Status by Geographic Area

J'~.L,J/PJ') Excellent/Good:

The midwest; New England; Texas and some southern states.

Fair/ Poor:

The western states, including parts

of the south.

Georgia:

Fair

United States

1975-1984 mortality rate

12.4

1990 projected rate

11.5

Percent change from 1975-79

to 1980-84 in cause-specific rate: -5.5

46

Georgia
13.1 11.3
-10.1

Flga..e21 Diabetes, 19751979 Age-Adjusted Death Rates Per 100,000

,0
~""~
tp
~
......

RATE PER 100,000

I
EXCELLENT

4.2 to 12.4

E7J11//Zl 12.5 to 13.2
GOOD

~ 13.3 to 15.2

AVERAGE
-FAIR

15.3 to 17.0

- . m 17.1 to 23
POOR

49

Table 17
Diabetes Age-Race-Sex Specific Mortality Rates
Per 100.000 Population United States and Georgia
(1975-79 - 1980-84)

Lifestage
Under 1 .......... 1-4 .............. 5_~14 ............. 15-19 ............ 20-29 ............ 30-44 ............ 45-59 ............ 60-74 ............ 75 + ............. Total _..

Vaited Stat_ (1975-79)

TOTAL

WM

WF

0.2 0.1 0.1 0.2 0.9 3.1 13.3 51.1 163.4 15.7

0.2 0.0 0.1 0.2 0.8 3.1 12.3 52.6 151.8 13.0

0.2 0.1 0.2 0.2 0.8 2.2 9.8 48.2 164.0 17.1

BM
0.1 0.1 0.1 0.3 1.7 8.5 30.3 87.5 170.4 15.8

Lifestage
Under 1 .......... 1-4 .............. 5-14 ............. 15-19 ............ 20-29 ............ 30-44 ............ 45-59 ............ 60-74 ............ 75 + ............. Total ....

TOTAL
0.0 0.0 0.1 0.4 0.8 4.7 17.4 61.5 128.7 13.6

Georgia (1975-79)

WM

WF

0.0 0.0 0.0 0.1 0.8 3.9 11.3 45.2 118.3 9.4

0.0 0.0 0.1 0.6 0.6 2.2 9.2 46.9 122.8 12.8

BM
0.0 0.0 0.0 0.7 0.8 11.6 33.9 79.6 126.8 14.2

Lifestage
Under 1 .......... 1-4 .............. 5-14 ............. 15-19 ............ 20-29 ............ 30-44 ............ 45-59 ............ 60-74 ............ 75 + ............. Total .

TOTAL
0.2 0.1 0.1 0.3 0.7 3.9 15.0 56.1 130.0 13.4

Georgia (1980-84)

WM

WF

0.0 0.2 0.1 0.1 0.6 2.8 10.4 43.5 120.5 9.6

0.0 0.2 0.0 0.5 0.5 2.0 6.4 42.9 119.5 12.8

BM
1.3 0.0 0.0 0.2 1.4 7.9 38.2 83.8 129.5 14.1

BF
0.3 0.1 0.2 0.4 1.4 6.4 38.0 128.8 251.3 25.5
BF
0.0 0.0 0.3 0.0 0.9 9.0 51.0 134.2 169.7 25.8
BF
0.0 0.0 0.3 0.2 0.7 8.9 40.6 111.5 153.2 23.2

5.

Table 18

Age-Adjusted Death Rates for Diabetes, by Race and Sex United States, 1980-1984

1980

1981

1982

1983

1984,2

Total White Male Black Male White Female Black Female

10.1

9.8

9.6

9.9

9.9

9.5

9.3

9.2

9.2

17.7

16.8

16.1

17.7

8.7

8.4

8.3

8.6

22.1

21.3

19.8

21.1

llncludes deatbs of nonresidents of tbe UnitedStates. 'Provisional data. SOURCE: U.S. D.H.H.S P.H.S N.C.H.S Healtb United States. DecelDber 1985. Table 16. pp. 46-47.

Figure 22
Diabetes Age-Specific Mortality Rates
United States and Georgia
200

.0.. 150
I 100
i
50
0

US (1975-1979) GA (1975-1979) GA (1980-1984)

Under 1 1-4

5-14

15-19

20-29

1
"~/l,'
I
I
/ / ,/ /
///' ///' ///'
/.' ....-:-:=-:.~
...,"'''''
30-44 45-59 60-74 75+

AGE

51

EPIDEMIOLOGICAL PROFILE
Diabetes
United States/Georgia 1975-79

Georgia's Rank In The Nation

~

Cause-specific death rate Age-adjusted rate Percent of all deaths

United States
15.9
IT\ 15.0 V 1.7

Georgia
13.6
IT\14.9 V 1.6

Life Stages in Years Under 1 1-4 5-14 15-19
20-29 30-44 45-59 60-74 75 +
Ages at risk:
Race at risk:
Sex at risk:
Group(s) at risk:

MORTALITY RATES
United States
0.2 0.1 0.1 0.2 0.9 3.1 13.3 51.1 163.4

Georgia
0.0 0.0 0.1 0.4 0.8 4.7 17.4 61.5 128.7

United States
45+ Blacks Females Black males Black females

Georgia
45+ Blacks Females Black males Black females

Health Status by Geographic Area

Excellent/Good: The midwest and western states.

Fair/Poor:

The eastern United States.

Georgia:

Average

United States

1975-1984 mortality rate

15.4

1990 projected rate

13.5

Percent change from 1975-79

to 1980-84 in cause-specific rate: -0.7

52

Georgia
13.5 13.1
-1.5

Flgare23 Cirrhosis ofthe Liver-, 1975-1979 Age-Adjusted Death Rates Per 100,000

....... Cllntmc: Uv_ m-a-

RATE PER 100,000

EXCELLENT

7.6 to 9.3

VIlIII/ZJ 9.4 to 11.3
GOOD

~
AVERAGE
-FAIR

11.4to 12.8 12.9 to 14.7

1III'IIIIIIIIIIIIIII!IIIII,lllllllllillllllll, 14.8 to 28.2 POOR
53

Table 19
Cirrhosis of the Liver Age-Race-Sex Specific Mortality Rates
Per 100,000 Population United States and Georgia
(1975-79 - 1980-84)

Lifestage
Under 1 .......... 1-4 .............. 5-14 ............. 15-19 ............ 20-29 ............ 30-44 ............ 45-59 ............ 60-74 ............ 75 + ............. Total .

United Stat_ (1975-79)

TOTAL

WM

WF

1.0

0.9

0.9

0.1

0.1

0.1

0.1

0.1

0.1

0.1

0.1

0.1

1.2

1.1

0.5

11.4

11.9

5.2

36.5

46.1

22.0

44.6

66.4

26.9

27.0

43.8

18.7

14.1

18.3

9.0

BM
1.9 0.1 0.1 0.1 5.8 47.1 88.9 67.4 27.7 25.5

Lifestage
Underl .......... 1-4 .............. 5-14 ............. 15-19 ............ 20-29 ............ 30-44 ............ 45-59 ............ 60-74 ............ 75 + ............. Total ..

TOTAL
1.2 0.1 0.1 0.2 1.3 12.0 35.6 34.9 20.8 11.7

Georgia (1975-79)

WM

WF

2.1

0.7

0.2

0.0

0.0

0.1

0.2

0.1

1.0

0.2

11.1

5.0

45.5

23.1

53.7

24.3

31.0

22.1

15.0

8.4

BM
0.0 0.0 0.0 0.2 2.4 28.3 47.0 38.1 9.4 13.0

Lifestage
Underl .......... 1-4 .............. 5-14 ............. 15-19 ............ 20-29 ............ 30-44 ............ 45-59 ........ '.... 60-74 ............ 75 + ............. Total ..

TOTAL
1.6 0.1 0.1 0.2 1.2 9.1 29.2 34.0 21.8 10.5

Georgia (1980-84)

WM

WF

3.4

0.0

0.0

0.2

0.0

0.1

0.0

0.0

0.7

0.3

7.9

3.3

38.3

15.3

50.9

23.0

28.7

21.5

13.4

7.0

BM
2.6 0.0 0.0 0.7 1.9 21.4 52.8 43.0 23.8 13.2

BF
1.2 0.1 0.1 0.3 3.2 22.3 41.6 29.0 12.7 13.0
BF
1.5 0.0 0.3 0.0 3.9 23.0 36.5 19.6 4.3 11.0
BF
0.0 0.0 0.3 0.2 3.7 18.2 29.1 21.0 8.8 9.9

54

Table 20

Age-Adjusted Death Rates for Cirrhosis of the Liver. by Race and Sex United States. 1980-1984

1980

1981

1982

1983

1984 2

Total White Male Black Male White Female Black Female

12.2

11.4

10.5

10.2

9.8

15.7

14.8

14.1

13.4

30.6

27.3

23.5

22.8

7.0

6.7

6.1

6.0

14.4

12.7

10.9

10.8

'Ioclade. death. of ooore.ideote of the Uoited State "Provieiooal data. SOURCE: U.S. D.H.H.S., P.H.S., N.C.H.S., Health Uoited State., Dece.ber 1985. Table 16, pp. 46-47.

Figure 24
Cirrhosis of the Liver Age-Specific Mortality Rates
United States and Georgia

50

US (1975-1979) GA (1975-1979) GA (1980-1984) 40

1 -----"1-

' \ . / . ,

./'

..

30

f'/'

\

I

\\

I
;'

~-:

20

;'

;'

I

10

/, :I
l' ...

I!/

./

.,/

.. o.l-.----.:l~~""".-_ ..- -.....=:::=::::::+__--r_-__t--_+--__+_-___I

Uoder 1 1-4

5-14 15-19 20-29 30-44 45-59 60-74

AGE

55

EPIDEMIOLOGICAL PROFILE
Cirrhosis of the Liver
United States/Georgia 1975-79

~ Georgia's Rank In The Nation

Cause-specific death rate Age-adjusted rate Percent of all deaths

United States
14.1 13.7
C)1.6

Georgia
11.7 12.2
C) 1.4

Life Stages in Years Under 1 1-4 5-14 15-19 20-29 30-44 45-59 60-74
75 +
Ages at risk:
Race at risk:
Sex at risk:
Group(s) at risk:

MORTALITY RATES

United States
1.0 0.1 0.1 0.1 1.2 11.4 36.5 44.6 27.0

Georgia
1.2 0.1 0.1 0.2 1.3 12.0 35.6 34.9 20.8

United States
30+ Blacks
Males Black males Black females

Georgia
30+ N.S.D. * between whites and blacks
Males
White males
Black females

!:'ii!r~.t1--.I.j..~. '::# r'A:J=-:'r :'

Excellent / Good: West north central and northern mountain states; the south.

~~'-~'\)~ Fair/Poor: Georgia:

The Pacific states; Florida, New England, Michigan and Illinois. Average

United States

1975-1984 mortality rate

13.2

1990 projected rate

9.1

Percent change from 1975-79

to 1980-84 in cause-specific rate: -13.5

No significant difference
56

Georgia
11.1 8.6
-10.3

Fl...... 25 Influenza and Pnea_onia, 1975-1979 Ag..AclJasted Death Rates Per 100,000

,0 ~ "Y~
{>
"~
'-

RATE PER 100,000

EXCELLENT

15.8t021.3

VlIIIlJZl 21.4t022.9
GOOD

~
- - AVERAGE
FAIR

23.0 to 25.7 25.8 to 27.5

POOR
57

27.6 to 33.9

Table 21
Influenza and Pneumonia Age-Race-Sex Specific Mortality Rates
Per 100,000 Population United States and Georgia
(1975-79 - 1980-84)

Lifestage
Under 1. .......... 1-4 .............. 514 ............. 1519 ............ 20-29 ............ 30-44 ............ 45-59 ............ 6074 ............ 75 + ............. Total ...

Dnited States (1975-79)

TOTAL

WM

WF

54.0 3.2 0.9 1.2 1.6 3.7 12.4 49.3
375.7 25.1

44.9 . 2.7
0.8 1.3 1.6 3.2 13.8 66.6 501.2 27.4

36.8 2.6 0.8 0.9 1.1 2.2 7.5
30.8 317.9 23.8

BM
139.6 6.6 1.2 1.9 4.3
17.2 46.0 112.5 417.2 30.4

Lifestage
Underl ........... 1-4 .............. 5-14 ............. 1519 ............ 20-29 ............ 30-44 ............ 4559 ............ 60-74 ............ 75 + ............. Total ......

TOTAL
124.0 5.3 1.5 1.3 2.5 6.7
18.6 65.9 379.8 25.7

Georgia (1975-79)

WM

WF

75.1 3.1
1.5 1.3 2.0 4.4 19.0 85.5 552.2 26.2

52.9 2.4
1.3 1.3 1.5 2.8 9.3 33.9 343.1 22.8

BM
296.9 10.8 1.5 1.0 4.6 23.4 53.2
153.8 375.8 36.7

Lifestage
Under 1 .......... 1-4 .............. 5-14 ............. 1519 ............ 20-29 ............ 30-44 ............ 4559 ............ 6074 ............ 75 + ............. Total ....

TOTAL
55.8 2.2 0.5 0.6 1.0 3.5
12.1 50.4 348.4 21.3

Georgia (198084)

WM

WF

26.2 1.9 0.6 0.4 0.7 2.4
10.0 60.7 505.0 21.4

27.9 0.9 0.5 0.7 0.6 1.5 5.7
28.6 319.1 21.7

BM
122.7 3.6 0.1 1.1 2.1
10.6 42.2 125.3 364.8 25.7

BF
113.9 5.5 1.2 1.8 3.0 7.6
17.6 46.1 219.3 17.6
BF
202.0 10.6 1.8 1.5 4.5 11.8 20.5 55.5
210.8 22.2
BF
94.3 3.9 0.5 0.5 1.7 6.0
17.3 44.7 154.3 16.3

58

Table 22

Age-Adjusted Death Rates for Influenza and Pneumonia,by Race and Sex United States, 1980-1984

1980

1981

1982

1983

1984 t.2

Total White Male Black Male White Female Black Female

12.9

12.3

10.9

11.8

12.2

16.2

15.6

14.3

15.3

28.0

26.4

23.2

24.3

9.4

9.0

7.6

8.6

12.7

11.3

10.1

10.2

'Includes deaths of nonresidents of the United States. zProvisional data.
SOURCE: U.S. D.H.H.S., P.H.S., N.C.H.S., Health United States, December 1985. Table 16, pp. 46-47.

Figul'e 26
Influenza and Pneumonia Age-Specific Mortality Rates
United States and Georgia

400
US (1975-1979) GA (1975-1979) GA (1980-1984)

300
0 0 0
.00..
llll IioI
Clo 200
IioI
i

~

\

100

\ \

\

\

\

\

\

\

----- \
OL---+----=~\--.--~-_...-Ii!!:E~:::::=.:;:..--_+_--I__-_l

Under 1 1-4 . 5-14 15-19 20-29 30-44 45-59 60-74 75+

AGE

59

EPIDEMIOLOGICAL PROFILE
Influenza and Pneumonia

"

United States/Georgia 1975-79

~ Georgia's Rank In The Nation

Cause-specific death rate Age-adjusted rate Percent of all deaths

United States
25.1
fT\ 24.2 V 2.9

Georgia
25.7
C) 27.9 3.1

Life Stages in Years Under 1 1-4 5-14 15-19 20-29 30-44 45-59 60-74 75 +
Ages at risk:
Race at risk:
Sex at risk:
Group(s) at risk:

MORTALITY RATES

United States
54.0 3.2 0.9 1.2 1.6 3.7
12.4 49.3 375.7

Georgia
124.0 5.3 1.5 1.3 2.5 6.7
18.6 65.9 379.8

United States
45+ Infants Under 1 year;
Whites
Males
Black males White females

Georgia
45+ Infants Under 1 year;
Blacks
Males
Black males N.S.D. between white females and black females

Health Status by Geographic Area

Excellent / Good: Parts of the south; east north central,

mountain and pacific states.

Fair/ Poor:

West north central states; the north-

east; Washington and Montana.

Georgia:

Poor

United States

1975-1984 mortality rate

24.4

1990 projected rate

20.3

Percent change from 1975-79

to 1980-84 in cause-specific rate: -6.8

No significant difference

60

Georgia
23.4 15.0
-17.1

Figure 27 COPD ,1975-1979 Age-Adjusted Death Rates Per 100,000

JO
~, ~
{)

~
-...

RATE PER 100,000

EXCELLENT

5.6to 8.3

VIIIT//Zl 8.4 to 9.2
GOOD

~ 9.3 to 10.5

AVERAGE

- - FAIR

10.6to 11.8

C'--Ie CMNIIIICtIwe . . . .- . , ~(COPD) POOR
61

11.9to 15.8

Table 23
Chronic: Obstructive Pulmonary Disease (COPD) Age-Rac:e-Sex Specific: Mortality Rates Per 100.000 Population United States and Georgia (1975-79 - 1980-84)

Lifestage

United States (1975-79)

TOTAL

WM

WF

BM

Under 1 ..........

1.9

2.1

1.5

5.2

1-4 ..............

0.5

0.5

0.3

0.9

5-14 .............

0.2

0.2

0.1

0.3

15-19 ............

0.3

0.2

0.2

0.7

20-29 ............

0.3

0.3

0.2

1.1

30-44 ............

1.0

0.8

0.8

2.7

45-59 ............

8.3

10.7

5.9

14.0

60-74 ............

37.1

77.6

22.2

45.4

75 + .............

94.1

199.2

41.0

86.4

Total .........

10.5

16.7

6.2

8.0

-Lifestage

Georgia (1975-79)

TOTAL

WM

WF

BM

Under 1 ..........

2.7

3.5

0.0

4.5

1-4 ..............

0.4

0.5

0.2

0.0

5-14 .............

0.2

0.1

0.2

0.4

15-19 ............

0.6

0.6

0.2

1.2

20-29 ............

0.2

0.1

0.1

0.8

30-44 ............

1.4

0.9

1.3

2.3

45-59 ............

11.7

16.6

8.9

12.0

60-74 ............

50.6

106.6

21.1

47.3

75 + .............

84.5

225.4

40.0

57.9

Total ..........

9.7

17.6

5.9

6.8

Lifestage

Georgia (1980-84)

TOTAL

WM

WF

BM

Under 1 ..........

2.1

2.1

0.7

5.2

1-4 ..............

0.5

0.2

0.2

1.0

5-14 .............

0.2

0.1

0.1

0.4

15-19 ............

0.6

0.2

0.1

1.4

20-29 ............

0.4

0.3

0.3

1.0

3044 ............

1.0

0.6

0.8

2.5

45-59 ............

8.3

10.1

5.9

13.6

60-74 ............

39.5

71.1

23.5

42.3

75 + .............

69.1

176.7

39.8

37.0

Total ..........

8.1

13.1

6.0

6.1

BF
2.8 0.7 0.3 0.5 0.9 2.4 6.6 11.0 18.2 3.2
BF
4.5 0.7 0.1 0.5 0.4 2.5 4.7 8.7 12.0 2.5
BF
1.3 1.0 0.4 1.4 0.5 1.6 6.8 10.8 8.8 2.8

62

Table 24

Age-Adjusted Death Rates for Chronic Obstructive Pulmonary Disease, by Race and Sex
United States, 1980-1984

1980

1981

1982

1983

19841,2

Total White Male Black Male White Female Black Female

15.9

16.3

16.2

17.4

18.0

26.7

26.8

26.2

27.6

20.9

21.4

20.6

22.2

9.2

9.8

10.0

11.3

6.3

6.3

7.3

7.6

'Iaclad. . d.ath. of aoarld.au of the Ualt.d Stat "Provleloaal data COPD rat for the U.S. refl.ct the COPD Cod., 490-496 a. utlllz.d Ia the 9th revleloa of the ',,'.....atlo_I
CI_sl/fcatlo.. 0/ DIe.as.s. 1975. la thle volu.... COPD ..ortallty Ia G.orgla Ie cod.d 490-493.
SOURCE: U.S. D.H.H.S. P.H.S., N.C.H.S., H.alth Unit.d States, D.ce..ber 1985. Yable 16, pp. 46-47.

Figure 28
Chronic Obstructive Pulmonary Disease Age-Specific Mortality Rates United States and Georgia
100

80
ooooo... 60 ~

US (1975-1979)-GA (1975-1979) ---GA (1980-1984) ---

~
I I I I
:~ / ,I
// / ./ ~ ./ / ./

i 40

I I I~ I:

II

I:

II

I:

II

20

I: It

".I I
/." " " "

oL...----.:+==:~::::::,.~.-.....- -.....- -....-===~--_+_--_+_--+_-_____i

Under 1 1-4

5-14 1519 2029 3044 45-59 60-74 75+

AGE

63

EPIDEMIOLOGICAL PROFILE
Chronic Obstructive Pulmonary Disease
United States/Georgia 1975-79

~ Georgia's Rank In The Nation

Cause-specific death rate Age-adjusted rate Percent of all deaths

United States
10.5
C) 9.9 1.2

Georgia
9.7
C)10.5 1.2

Life Stages in Years Under 1 1-4 5-14 15-19 20-29 30-44 45-59 60-74 75 +
Ages at risk:
Race at risk:
Sex at risk:
Group(s) at risk:

MORTALITY RATES

United States
1.9 0.5
0.2 0.3 0.3
1.0 8.3 37.1 94.1

Georgia
2.7 0.4 0.2 0.6 0.2 1.4
11.7 50.6 84.5

United States
45+ Whites Males White males White females

Georgia
45+ Whites Males White males White females

Excellent / Good: The west north central and west south central

states; the south and parts of the northeast.

Fair / Poor:

The western and east north central states;

Florida and Maine.

Georgia:

Average

United States

1975-1984 mortality rate

9.6

1990 projected rate

5.6

Percent change from 1975-79

to 1980-84 in cause-specific rate:

-17.1

64

Georgia
8.8 7.1
-16.5

Figare29
AIDS CASES. 1979-dune 1986

AIDS CASES

EXCELLENT

2to 16

V/ZZIZJ 17t039
GOOD

~
-AVERAGE
FAIR
--- POOR

40 to 102 103t0277 278 to 6.504

65

Figure 30
AIDS Cases and Deaths United States
Janaal'y 1979 - Jane 1986 N=22356

dAN-dUN 79

dUL-DEC 79

dAN-dUN 80

dUL-DEC 80
1 dAN-dUN 81 ~

II dUL-DEC 81 ::::::J
is dAN -dUN 82 ~

, dUL-DEC8~

~

5 dAN-dUN 83

"~ dOL-DEC 83

~ dAN-dUN 84

dUL-DEC 84

dAN-dUN 85

dUL-DEC 85

dAN-dUN 86

~/h1 1'////-1

CJ
~

KNOWN DEAD CASES STILL LMNG

o

500 1000 1500 2000 2500 3000 3500 4000 4500 5000

NUMBER OF CASES/DEATHS

66

Figure 31
AIDS Adult / Adolescent Patient Groups
United States/ Georgia 1979 - June 1986

HOMOSEXUAL/BISEXUAL MEN

16.186

I------------------........J 349

INTRAVENOUS DRUG USERS "":;"'4~~ 3.778

HEMOPHILIA/COAGULATION DISORDER

176 5

HETEROSEXUAL CONTACT

TRANSFUSIONS: BLOOD / BLOOD PRODUCTS

OTHER

1.177 18

UNITED STATES GEORGIA

Death.

o

20

40

60

PERCENT

Figure 32
AIDS Pediatric Patient Groups (Under 13 Yrs.)
United States / Georgia 1979 - June 1986

80

100

AIDS

OR

PARENT WITH INCREASED RISK

i'"",~",;.:;.,~",::::..:::.~:;.::;."tG<~~2~40



TRANSFUSIONS: +,~~L.-

----.

BLOOD / BLOOD PRODUCTS

3

1------_---1

HEMOPHILIA

OTHER

UNITED STATES GEORGIA

Death.

o

20

40

60

80

100

PERCENT

67

EPIDEMIOLOGICAL PROFILE
Acquired Immunodeficiency Syndrome (AIDS)
United States / Georgia
1979 - June 1986

Georgia's Rank In The Nation ~

~ United States

Number of cases

22,356

Number of deaths

12,239

Case fatality rate

55 %

Georgia
435 259 60%

Years of Age
Under 13 13-19 20-29 30-39 40-49 over 49
Age at risk: 20-49
Race: White Black Hispanic Other Unknown
Sex: Males 92.8%

l.:ases
312 96
4,680 10,479
4,632 2,157
13,301 5,619 3,189 126 121
Females 7.2%

Percent
1.4 0.4 20.9 46.9 20.7 9.6
59.5 25.1 14.3
0.6 0.5

Cases
7 5 112 197 77 37
302 117
9 0 0

Percent
1.6 1.1 25.7 45.3 17.7 8.5
70.6 27.3
2.1 0.0 0.0

Health Status by Geographic Area

~ . f"J7:jI~fr~.~. .~ tit .

Excellent / Good: The midwest and parts of New England and

the south.

Fair/Poor:

The eastern United States, the Great Lakes

area, Texas, California, Washington.

Georgia:

Poor

1979-June 1986 mortality rate

United States
.7

Annual percent change in incidence rate: 1979-1980
1980-1981 1981-1982 1982-1983 1983-1984 1984-1985

+ 303.7 + 416.5 + 281.4 + 149.2 + 97.7 + 63.0

Source: AIDS Weekly Surveillance Report, Centers for Disease Control

68

Georgia
.6
0.0 0.0 170.2 203.8 166.1 98.0

I
J J J J J J J J J J J J J J J J J J J J J J J J J J J J J J J J J J

fItItu'e II
Infant Mortality, 1981-1983
Rat. . Per 1,000

RATE PER 1,000

EXCELLENT

8.6 to 9.9

P'IZ/Z7~ 10.0 to 10.4
GOOD

~

AVERAGE

FAIR

- ........................... ltea.IJ. D ..........

- - .........._

a__........ 41.

POOR

10.5 to 11.7 11.8to 12.5 12.6to 21.8

71

EPIDEMIOLOGICAL PROFILE
Infant Mortality
United States / Georgia

c:::J Georgia's Rank In The Nation (1984 .)

Infant Mortality Rate * *
1975-1979 1980-1984

United States Total White Black
14.4 12.6 24.0 11.6 10.1 20.5

Georgia Total White Black
16.3 12.6 22.6 14.3 10.4 21.1

Neonatal Mortality Rate (Under 28 days)
1975-1979 1980-1984

United States Total White Black
10.1 9.0 16.4 7.7 N/A N/A

Post-neonatal Mortality Rate

(28 days - 1 year)

1975-1979

4.3 3.6 7.6

1980-1984

3.9 N/A N/A

Georgia Total White Black
10.9 8.9 14.4 9.6 7.1 14.0
5.4 3.8 8.1 4.7 3.3 7.1

Race at Risk: Blacks

Sex at Risk: Males

Health Status by Geographic Area

Excellent/Good: New England, the midwest and west.

Fair/Poor: Georgia:

The south; Illinois, Michigan, Pennsylvania, and Alaska. Poor

1975-1984 Mortality Rate 1990 Projected Rate Percent change from
1975-79 to 1980-84

United States
12.9 6.8
-19.4%

Georgia
15.2 10.3
-12.3%

* * All data for the period 1981-1984 is provisional from the Monthly Vital Statistics Report (NCHS). Infant, Neonatal, and Post-neonatal rates are per 1,000 live births. 72

40
='Il
~ 35
;
"-I 30 ~
..l
g 25
o...
ffi 20
l:l.
='Il
I- 15
~ 10

Figure 35
Infant Mortality 1950 - 1984

.--- Male Female ..... - -I(

5I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I 1950 1955 1960 1965 1970 1975 1980
YEAR

40
='Il
~ 35
;
;";-;I. 30
::i
0oo...25
ClUO "-I l:l.
='Il 15
I-
"-I 10
Q

Figure 36
Neonatal Mortality 1950 - 1984

.--_ Male Female ..... _ -I(

5I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I

1950 1955 1960 1965 1970 1975

1980

YEAR

Figure 37

Infant Mortality Projection to Year 1990
16

='Il
;I=- 2

'\
'\'.-//-'" ----'0//.---'0"

.--.. Infant Mortality .- .. Neonatal Mortality

;";-;I.
::i

"'"

"-- _._-~--~--._-~--~--.10.3

g8

. . . - - - - - - - .... - - . / / . - - - . -

8.5

.~...

".--~--~--.--~--~--.--~---

="-I
l:l.
"-1 4
~

0'

I

I

I

I

I

I

I

I

I

I

I

I

I

I

I

I

I

1975

1980 YEAR 1985

1990

76

Table 25
TOTAL INFANT MORTALITY BY HEALTH DISTRICT~UNIT. 1980-1984

Table 26
TOTAL INFANT MORTALITY BY HEALTH DISTRICT-UNIT. 1970-1974

HEALTH DISTRICT
UNIT

kATE PER 1.000
LIVE BIRTHS

RATE AS A PROPORTION OF STATE AVERAGE
(STATE AVERAGE = 100'

HEALTH DISTRICT
UNIT

RATE PER 1.000
LIVE BIRTHS

RATE AS A PROPORTION OF STATE AVERAGE
(STATE AVERAGE = 100)

GHINNETT CLAYTON DALTON
COBI! ROME AUGUSTA GAINESVILLE HAYCROSS DEKALB ATHENS DUBLIN

9.50 10.70 11.00 11.20 11.60 12.80 13.00 13.10 13.90 14.00 14.30

STATE AVERAGE 14.30

LAGRANGE VALDOSTA MACON SAVANNAH BRUNSHICK COLUMBUS
FULTON ALBANY

14.50 14.80 15.10 15.20 15.60 17.00 18.10 18.50

66.43 74.82 76.92 78.32 81.11 89.51 90.90 91.61 97.20 97.90 100.00
100.00
101.40 104.50 105.59 106.29 109.09 118.88 126.57 129.37

COBB GHINNETT DEKALB GAINESVILLE CLAYTON DALTON
ROME SAVANNAH LAGRANGE
FULTON

13.92 14.16 15.50 15.93 16.64 18.71 19.14 19.92 21.22 21.50

STATE AVERAGE 21. 70

BRUNSHICK ATHENS AUGUSTA VALDOSTA DUBLIN MACON COLUMBUS ALBANY WAYCROSS

21. 77 22.18 22.28 23.08 23.29 23.35 23.96 24.02 24.03

64.16 65.27 71.44 73.43 76.70 86.22 88.20 91.81 97.83 99.10
100.00
100.36 102.25 102.68 106.36 107.34 107.62 110.42 110.70 110.77

Table 27
TOTAL INFANT MORTALITY BY HEALTH DISTRICT-UNIT. 1969-1972

HEALTH DISTRICT
UNIT

RATE PER 1,000
LIVE BIRTHS

RATE AS A PROPORTION OF STATE AVERAGE
(STATE AVERAGE = 100)

COBB GWINNETT GAINESVILLE
DEKALB CLAYTON
ROME DALTON FULTON ATHENS DUBLIN

15.30 15.53 15.79 16.17 18.2B 18.66 21.98 22.25 23.29 23.33

65.10 66.08 67.17 68.80 77.78 79.41 93.53 94.67 99.11 99.25

STATE AVERAGE 23.50

100.00

LAGRANGE MACON AUGUSTA WAYCROSS SAVANNAH COLUMBUS BRUNSHICK YALDOSTA ALBANY

24.06 24.07 24.67 24.84 25.01
~6.02
26.33 26.67 28.07

102.36 102.43 104.95 105.70 106.41 110.70 112.05 113.47 119.42

77

Table 28
HHITE INFANT MORTALITY BY HEALTH DISTRICT-UNIT, 1980-1984

Table 29
HHITE INFANT MORTALITY BY HEALTH DISTRICT-UNIT, 1970-1974

HEALTH DISTRICT
UNIT

RATE PER 1,000 LIVE BIRTHS

RATE AS A PROPORTION OF STATE AVERAGE
(STATE AVERAGE = 1001

HEALTH DISTRICT
UNIT

RATE PEf< 1,000
LIVE BIRTHS

RATE AS A PROPORTION OF STATE AVERAGe
ISTATE AVERAGE = 100,

ATHENS AUGUSTA DUBLIN GHINNETT CLAYTON HAYCROSS VALDOSTA SAVANNAH

8.28 8.35
8.80 8.90 9.00 9.20 9.60 10.30

79.62 80.29 84.62
85.58 86.54 88.46 92.31 99.04

DEKALB GHINNETT
COBB AUGUSTA MACON
FULTON CLAYTON GAINESVILLE

12.44
12.55 13.19 14.05 14.73 IS .18 15.4S 15.62

76.32 76.99 80.92 86.20 90.37 93.D 94.91 95.83

STATE AVERAGE 10.40

100.00

STATE AVERAGE 16.30

100.00

DEKALB COBB DALTON ALBANY ROME LAGRANGE MACON GAINESVILLE FULTON BRUNSHICK COLUMBUS

10.50 10.60 10.65 10.66 10.69 10.71 11.20 11.50 12.10 12.40 12.80

100.96 101.92 102.40 102.50 102.79 102.98 107.69
110.58 116.35 119.23 123.08

SAVANNAH ALBANV VALDOSTA ATHENS HAYCROSS DALTON
ROME LAGRANGE BRUNSHICK COLUMBUS DUBLIN

16.40 17 .37 17 .45 17.92 18.01 18.10 18.34 18.38 18.73 18.86 19.02

100.61 106.56 107.06 109.94 110.49 111. 04
112.52 112.76 114.91 115.71 116.69

Table 30
HHITE INFANT MORTALITY BY HEALTH DISTRICT-UNIT, 1969-1972

HEALTH DISTRICT
UNIT

RATE PER 1,000 LIVE BIRTHS

RATE AS A PROPORTION OF STATE AVERAGE
(STATE AVERAGE = 100)

DEKALB GHINNETT
COBB COLUMBUS
MACON GAINESVILLE
AUGUSTA FUL TON ALBANY
CLAYTON

13.50 13.65 13.85 15.00
15.11 15.23 15.45 16.42 Ib.44 17 .03

78.95 79.82 80.99 87.72 88.32 89.06 90.35 96.02 96.14 99.59

STATE AVERAGE 17 .10

100.00

DUBLIN ROME
HAVCROSS VALDOSTA ATHENS LAGRANGE DALTON SAVANNAH BRUNSHICK

17 .57 17 .62 18.81 18.89 19.2.. 19.90 20.81 20.89
21.92

102.75 103.04
110.00 110.48
112.51 116.37 121.70 122 .16 121>.1':1

78

Table 31
BLACK INFANl_MORTALITY BY HEALTH DISTRICT-UNIT, 19BO-19R4

Table 32
BLACK INFANT MORTALIlY BY HEALTH DISTRICT-UNIl, 1970-1974

HEALTH DISTRICT
UNIT

RATE PER 1.000
LIVE BIRTHS

RATE AS A PROPORTION OF STATE AVERAGE
(STATE AVERAGE = 100'

HEALTH DISTRICT
UNIT

RATE PER
1,000 LIVE BIRTHS

RATE AS A PROPORTION OF STATE AVERAGE
(STATE AVERAGE = 100i

GHINNETT AUGUSTA
COBB DEKALB
ROME HACON BRUNSWICK SAVANNAH FUL TON

15.90 17 .90 IB.OO 18.10 18.70 19.50 20.90 20.93 21.10

STATE AVERAGE 21.10

COLUMBUS WAYCROSS CLAYTON
DUBLIN LAGRANGE VALDOSTA
ATHENS GAINESVILLE
ALBANY DALTON

21.28 21.29 21. 70 22.23 22.25 22 ...0 25.90 26.10 26.20 27.10

75.36 84.83 85.31 85.78 88.63 92.42 99.05 99.19 100.00
10C.00
100.85 100.90 102.84 105.36 105.45 106.16 122.75 123.70 124.17 128.43

GAINESVILLE 13.40

STATE AVERAGE 28.10

COBB DEKALB BRUNSWICK LAGRANGE SAVANNAH VALDOSTA FULTON AUGUSTA COLUMBUS
ROME DUBLIN MACON ATHENS GHINNETT ALBANY WAYCROSS CLAYTON DALTON

24.04 24.24 25.32 25.79 25.91 26.28 26.62 27.51 27.60 28.09 28.77 29.76 29.82 30.18 31.03 36.11 38.48 52.42

61. 76
100.00
110.80 111.73 116.72 118.85 119.42 121. 12 122.70 126.82 127.21 129.49 132.62 137.17 137.45 139.10 143.04 166.46 177 .36 241.60

Table 33
BLACK INFANT MORTALITY BY HEALTH DISTRICT-UNIT, 1969.1972

HEALTH DISTRICT
UIHT

RATE PER 1,000
LIVE BIRTHS

RATE AS A PROPORTION OF STATE AVERAGE
(STATE AVERAGE = 100)

GAINESVILLE 18.69

123.70

STATE AVERAGE 31.00

100.00

DEKALB FULTON LAGRANGE MACON ATHENS DUBLIN ROME VALDOSTA AUGUSTA COBB COLUMBUS SAVANNAH BRUNSWICK WAYCROSS
GW~NNETT
ALBANY CLAYTON DALTON

26.60 28.30 30.50 30.78 30.83 30.85 30.87 31.02 31.60 32.21 32.27 32.32 32.95 36.57 36.67 38.f2 44.12
73.69

113.18 120.41 129.78 130.98 131.18 131.25 131.36 132.00 134.47 137.05 137.29 137.54 140.20 155.62 156.05 165.20 187.73 313.53

79

FIgure 38
Neonatal Mortality. 1980-1984 Death Rates P_l.000

RAlE PfJIl.000

I

'I

EXCElJ .ENT

1.9to 6.3

VIIIfl/Zl 6.4to8.3
GOOD

~ 8.4to 9.8
AvtBAGE

-FAIR
POOR

9.9to 12.5 12.6to 23.0

_

Georgia Health District- Units

80

Table 34
TOTAL NEONATAL MORTALITY BY HEALTH DISTRICT-UNIT, 1980-1984

Table 35
TOTAL NEONATAL MORTALITY 8Y HEALTH DISTRICT-UNIT, 1970-1974

HEALTH DISTRICT
UNIT

RAlF PER 1,000
LIVE 8IRTHS

RATE AS A PROPORTION OF STATE AVERAGE
(STATE AVERAGE = 100.

HEALTH DISTRICT
UNIT

RATE PER 1,000
LIVE 8IRTHS

RATE AS A PROPORTION OF STATE AVERAGE
(STATE AVERAGE = 1001

DALTON GHINNETT CLAYTON
DUBLlN ROME COBB
WAYCROSS AUGUSTA
ATHENS GAINESVILLE BRUNSWICK

6.10 7.00 7.21 7.22 7.90 8.06 8.10 8.20 8.70 8.90 9.50

STATE AVERAGE

9.60

VALDOSTA SAVANNAH LAGRANGE DEKALB MACON COLUMBUS _
ALBANY FULTON

9.66 9.73 10.29 10.34 10.50 11.10 12.00 13.00

63.54 72.92 75.10 75.21 82.29 B3.96 84.38 85.42 90.63 92.71 9B.96
100.00
100.63 101.35 107.19 107.65 109.38 115.63 125.00 135.42

COBB GWINNETT GAINESVILLE SAVANNAH
DEKALB COLUMBUS
ATHENS CLAYTON
ALBANY DUBLIN
ROME DALTON

9.76 10.15 11.46 11.99 12.26 12.90 13.01 13.02 13.04 13.47 13.66 13.72

STATE AVERAGE 13.78

LAGRANGE AUGUSTA MACON VALDOSTA WAYCROSS
FULTON BRUNSWICK

14.26 14.40 14.61 14.66 15.65 16.22 17.24

70.82 73.65 8::.19 B7.01 8B.97 93.61 94.41 94.48 94.59 97.77 99.10 99.54
100.00
103.49 104.47 106.04 106.37 113.60 117.70 125.13

Table 36
TOTAL NEONATAL MORTALITY BY HEALTH DISTRICT-UNIT, 1969-1972

HEALTH DISTRICT
UNIT

RATE PER 1,000
LIVE BIRTHS

RATE AS A PROPORTION OF STATE AVERAGE
(STATE AVERAGE = 100)

GHINNETT COB8
GAINESVILLE DEKALB DUBLIN ATHENS
COLUMBUS ROME
CLAYTON MACON

10.33 10.50 11.32 12.62 12.94 13.23 13.37 13.73 13.73 14.41

70.7B 71.91 77.51 86.43 8B.61 90.60 91.55 94.00 94.03 98.72

STATE AVERAGE 14.00

100.00

ALBANY LAGRANGE AUGUSTA WAYCROSS VALDOSTA
DALTON SAVANNAH
FULTON BRUNSWICK

15.23 15.40 15.46 16.08 16.n 16.43 16.83 17.00 20.3..

104.33 105.50 105.85 110.16 110.74 112.52 115.23 116.43 139.32

81

Table 37
HHITE NEONATAL MORTALITY BY HEALTH DISTRICT-UNIT, 1980-1984

Table 38
HHITE NEONATAL MORTALITY BY HEALTH DISTRICT-UNIT, 1970-1974

HEALTH DISTRICT
UNIT

RATE PER 1.000
LIVE BIRTHS

RATE AS A PROPORTION OF STATE AVERAGE
(STATE AVERAGE = 1001

HEALTH DISTRICT
UNIT

RATE PER 1,000
LIVE BIRTHS

RATE AS ~ PROPORTION OF STATE AVERAGE
(STATE AVERAGE = 1001

DUBLIN ATHENS AUGUSTA DALTON HAYCROSS VALDOSTA CLAYTON GHINNETT SAVANNAH

5.20 5.41 5.44 5.50 5.70 5.80 6.20 6.80 6.90

ST ATE AVERAGE

7.10

BRUNSHICK ROME
ALBANY LAGRANGE
COBB DEKALB MACON GAINESVILLE COLUMBUS FULTON

7.10 7.40 7.45 7.46 7.70 7.80 7.83 8.10 8.50 8.60

73.24 76.20 76.62 77 .46 80.28 81.69 87.32 95.77 97.18
10C.00
100.00 104.23 104.92 105.07 108.45 109.86 110.28 114.08 119.72 121.13

GHINNETT DEKALB COBB
AUGUSTA FULTON
SAVANNAH GAINESVILLE
CLAYTON ATHENS AL8ANY MACON
COLUM8US DALTON ROME
VALDOSTA

9.08 9.62 9.70 10.74 11.34 11.97 12.01 12.24 12.69 12.77 12.77 13.05 13.20 13.56 13.63

STATE AVERAGE 12.30

BRUNSWICK HAYCROSS
DUBLIN LAGRANGE

13.78 13.95 14.78 14.82

65.89 69.81 70.39 77 .95 82.29 86.86 87.18 88.82 92 .10 92.64
92.7CJ 9... 6&
'95.79 98.41 98.86
100.00
100.02 101.22 107.24 107.54

Table 39
HHITE NEONATAL MORTALITY BY HEALTH DISTRICT-UNIT, 1969-1972

HEALTH DISTRICT
UNIT

RATE PER 1,000
LIVE BIRTHS

RATE AS A PROPORTION OF STATE AVERAGE
(STATE AVERAGE = 100)

GHINNETT COBB DEKALB
COLUMBUS ALBANY
GAINESVILLE AUGUSTA FULTON DUBLIN MACON ATHENS CLAYTON ROME HAYCROSS

9.53 10.29 10.70 10.85 11.28 11.45 11.98 12.58 12.68 12.72 12.93 12.98 13.60 14.13

65.30 70.47 73.28 74.31
77.24 78.44 82.07 86.16 86.83 87.09 88.57 88.90 98.13 96.74

STATE AVERAGE 14.60

100.00

Vt.LDOSTA BRUNSWICK LAGRt.NGE DAl.TON SAVANNAH

15.14 15.20 15.62 15.73 16.26

103.71 104.11 106.98 107.71 al.36

82

Table 40

Table 41

BLACK NEONATAL MORTALITY BY HEALTH DISTRICT-UNIT, 19BO-1984

BLACK NEONATAL MORTALITY BY HEALTH DISTRICT-UNIT, 1970-1974

HEALTH DISTRICT
UNIT

RATE PER 1,000
LIVE BIRTHS

RATE AS A PROPORTION OF STATE AVERAGE
(STATE AVERAGE = 100)

HEALTH DISTRICT
UNIT

RATE PER 1,000
LIVE BIRTHS

RATE AS A PROPORTION OF STATE AVERAGE
(STATE AYERAGE = 100)

DALTON GHINNETT
DUBLIN AUGUSTA
COBB ROME HAYCROSS SAVANNAH BRUNSHICK CLAYTON MACON DEKALB COLUMBUS

6.00 9.20 10.10 11.30 12.02 12.02 13.00 13.10 13.30 13.36 13.42 13.45 13.70

42.B6 65.71 72. lit 80.71 85.86 85.86 92.86 93.47 95.00 95.43 95.86 96.07 97.86

GAINESVILLE COBB DUBLIN
SAVANNAH VALDOSTA COLUMBUS ATHENS LAGRANGE

6.83 10.22 11.39 11.97 12.89 13.43 13.61 13.63

4B.ll 74.16 B2.68 86.86 93.55 97.45 98.73 98.88

._----------------------------------------------------

STATE AVERAGE 17.20

100.00

STATE AVERAGE 14.00

100.00

-----------------------------------------------------

FULTON VALDOSTA ATHENS GAINESVILLE LAGRANGE ALBANY

15.10 15.30 15.40 16.00 16.20 16.50

107.86 109.29 110.00 114.29 115.71 117.86

ALBANY MACON
ROME DALTON AUGUSTA HAYCROSS DEKALB GHINNETT FULTON BRUNSHICK CLAYTON

14.10 15.82 16.45 16.78 16.80 18.32 19.70 19.77 20.08 21.10 26.48

102.31 114.79 119.36 121.79 121. 93 132.97 142.95 143.46 145.71 153.09 192.15

Table 42
BLACK NEONATAL MORTALITY BY HEALTH DISTRICT-UNIT, 1969-1972

HEALTH DISTRICT
UNIT

RATE PER 1,000
LIVE BIRTHS

RATE AS A PROPORTION OF STATE AVERAGE
(STATE AVERAGE = 100l

GAINESVILLE DUBLIN VALDOSTA COBB ATHENS

12.67 12.84 13.34 13.53 13.69

62.09 158.41 111.11 93.16 82.86

STATE AVERAGE 18.60

100.00

LAGRANGE COLUMBUS
MACON ROME SAVANNAH AUGUSTA ALBANY HAYCROSS DEKALB GHINNETT DALTON FULTON BRUNSHICK CLAYTON

15.09 15.37 17.20 17.52 17 .97 18.68 19.00 19.59 20.17 20.29 21.03 21.50 27.64 28.17

103.32 105.28 117.76 119.97 123;10 127.96 130.11 134.17 138.96 138.96 144.05 147.25 189.32 192.93

83

EPIDEMIOLOGICAL PROFILE
Infant Mortality
Georgia

Infant Mortality Rate White Male Female Black Male Female

197074
21.7 16.3 N/A N/A 28.3 N/A N/A

Neonatal Mortality Rate

(Under 28 days)

13.8

White

12.3

Black

17.2

Post-neonatal Mortality Rate

(28 days - 1 year)

6.3

White

3.9

Black

11.0

Race at risk: Black

197579
16.3 12.6 13.4 10.3 22.6 28.7 24.5

1980-84
14.3 10.4 11.4
9.8 21.1 24.5 20.7

10.9

9.6

&,9

7.1

14.4

14.0

5.4

4.7

3.8

3.3

8.2

7.1

Sex at risk: Male

Health Status by Geographic Area

Excellent / Good: Fair/ Poor:

The northern one-third of the state; and east central & southeastern sections. The southwestern corner of the state and counties lying on the Piedmont line; Fulton County

Health Districts 10% above the state rate:

Albany, Fulton, Columbus

Urban / Rural Pattern:

Primarily Rural

1975 - 1984 Mortality Rate 1984 Mortality Rate 1990 Projected Rate
Percent change in Mortality from: 1970-1974 to 1975-1979 1975-1979 to 1980-19&4 1970-1974 to 1980-1984
Rate per 1,000 live births
84

15.2 13.6 10.3
-24.9 -12.3 -34.1

AGE
0-4 5-9 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-79 80-84 85+ TOTAL
AGE
0-4 5-9 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-79 80-84 85 UP TOTAL

Table 43

Total Heart Disease Age-Race and Age-Sex Specific Mortality Rates
Per 100,000 Population Georgia, 1980-1984

TOTAL

WHITE

BLACK

MALE

8.5 0.7 1.4 2.1 4.2 8.0 14.4 35.5 73.3 140.8 269.3 432.7 729.7 1023.0 1617.6 2311.1 3655.4 6282.6 282.9

6.0 0.4 1.3 1.4 2.9 5.2 9.8 27.2 56.7 115.2 226.3 380.2 657.3 935.8 1508.0 2274.5 3656.8 6825.5 290.2

13.0 1.3 1.6 3.7 7.0
14.5 27.3 61.0 127.0 231.8 426.9 636.5 992.2 1305.6 1987.8 2435.7 3650.1 4563.5 264.2

9.4 1.1 0.9 2.6 4.9 10.3 19.8 52.2 109.6 211.8 410.7 661.0 1093.1 1509.5 2280.1 3202.9 4726.7 7326.9 311.3

FEMALE
7.5 0.3 1.9 1.6 3.5 5.7 9.2 19.5 38.9 74.1 141.2 234.9 430.4 663.2 1178.7 1820.4 3170.3 5915.1 256.4

Table 44
Total Heart Disease Age-Race-Sex Specific Mortality Rates
Per 100,000 Population Georgia, 1980-1984

MALE

WHITE

BLACK

FEMALE

WHITE

BLACK

7.4 0.6 0.9 1.8 3.3 7.3 14.5 43.7 89.6 185.5 361.1 608.3 1022.3 1459.5 2232.7 3245.9 4918.8 8014.4 323.8

13.2 2.0 1.0 4.3 8.6
18.2 35.7 80.9 180.5 316.6 614.9 886.0 1378.3 1681.8 2443.3 3059.3 4047.9 5302.2 278.0

4.5 0.1 1.7 0.9 2.5 3.1 5.0 10.7 24.2 46.0 98.5 175.2 344.7 538.8 1025.0 1744.2 3098.9 6417.1 258.1

12.8 0.5 2.3 3.0 5.6
11.4 20.0 44.3 82.8 164.3 283.1 448.7 717.1 1049.0 1692.6 2083.5 3453.0 4283.4 252.1

88

Table 45
TOTAL HEART DISEASE AGE-SEX ADJUSTED DEATH RATES BY HEALTH DISTRICT-UNIT, 1980-1984 ~

HEALTH

AGE-SEX

DISTRICT ADJUSTED DEATH

UNIT RATE PER 100,000

RATE AS A PROPORTION OF STATE AVERAGE
(STATE AVERAGE = 100)

GWINNETT DEKALB COBB
GAINESVILLE CLAYTON DALTON
ALBANY ATHENS

209.30 212.30 214.80 220.40 222.60 233.50
233.90 242.90

86.16 87.10 88.43 90.73 91.64 91.80
96.13 96.29

STATE AVERAGE 242.90

100.00

ROME LAGRANGE AUGUSTA SAVANNAH
FULTON BRUNSWICK
MACON COLUMBUS VALDOSTA WAYCROSS
DUBLIN

243.80 249.20 251.60 253.50 256.60 256.90 257.60 263.50 266.60 267.40 279.60

100.37 102.59 103.58 104.36 105.64 105.76 106.05 108.48 109.75 110.08 115.10

Disease Patterns of the 70's did not include Total Heart Disease; no health district tables for 1970-74, 1969-72 are available for comparison.
89

EPIDEMIOLOGICAL PROFILE
Total Heart Disease
Georgia

Cause-specific Death Rate Age-sex adjusted Death Rate Percent of all Deaths

1970-1974
307.0
N/A
34.1

1980-1984
282.9 242.9
35.3

Life Stages in Years Under 1 1-4 5-14 15-19 20-29 30-44 45-59 60-74 75 +

Ages at Risk:

30+

Race at Risk:

Whites

MORTALITY RATES

1975-1979
21.6 1.8 0.8 2.9 5.7
45.8 335.5 1,182.6 3,756.9

1980-1984
30.6 3.0 1.1 2.1 6.0
37.5 274.1 1,064.3 3,557.9

Sex at Risk:

Males

Group(s) at Risk: White Males White Females

Health Status by Geographic Area:

Excellent / Good: Fair/ Poor:

The north / northeast and the southwest. South central and south/southeastern parts of Georgia.

Health Districts 10% and above the state rate:

Dublin, Waycross

Urban / Rural Pattern:

Rural and Urban

1975 - 1984 Mortality Rate 1990 Projected Rate Percent change from 1970-1974
to 1980-1984 Cause-specific Rate
90

287.8 270.8
-7.9

AGE
0-4 5-9 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-79 80-84 85+ TOTAL
AGE
0-4 5-9 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-79 80-84 85 UP TOTAL

Table 46
Acute Myocardial Infarction Age-Race and Age-Sex Specific Mortality Rates
Per 100.000 Population Geor.a. 1980-1984

TOTAL

WHITE

BLACK

MALE

FEMALE

0.3 0.0 0.1 0.1 0.5 1.5 4.1 14.7 34.1 72.4 138.9 230.0 378.7 514.5 771.5 1009.9 1375.6 1804.1 123.0

0.1 0.0 0.1 0.1 0.4 1.3 3.1 13.4 30.4 67.4 130.5 218.1
371.6 512.5 788.9 1068.7 1463.2 1985.2 134.6

0.7 0.1 0.1 0.2 0.8 2.0 7.0 18.7 46.1 90.5 169.7 276.3
404.6 521.0 712.7 809.3 1041.0 1230.7
93.1

0.3 0.1 0.2 0.2 0.9 2.2 6.6 23.8 56.9 117.0 224.2 369.0
589.8 796.0 1141.9 1450.0 1911.3 2339.4 149.8

0.4 0.0 0.1 0.0 0.2 0.9 1.8 6.0 12.6 30.5 61.6 109.6
205.0 306.4 526.2 767.7 1133.0 1615.7
97.9

Table 47
Acute Myocardial Infarction Age-Race-Sex Specific Mortality Rates
Per 100.000 Population Georgia. 1980-1984

MALE

WHITE

BLACK

0.1 0.0 0.3 0.1 0.7 2.1 5.5 22.9 52.1 115.6 216.4 364.1 594.0 828.0 1204.6 1576.5 2113.1 2617.8 167.1

0.5 0.3 0.0 0.5 1.3 2.6 10.0 26.8 73.9 122.6 256.4 389.8 572.6 685.5 926.3 1027.9 1198.3 1519.8 103.7

FEMALE

WHITE

BLACK

0.1 0.0 0.0 0.0 0.1 0.6 0.7 3.8 9.1 19.8 49.1 86.9 181.1 273.4 511.8 791.4 1176.0 1767.9 103.6

0.8 0.0 0.3 0.0 0.2 1.5 4.5 12.0 23.2 64.8 103.4 190.8 284.8 408.7 574.2 685.8 963.0 1121.0 83.8

92

Figure 41 Acute Myocardial Infarction
RATE PER 100,000 POPULATION

3OClO

White Males

/

/

~

2&00

,, / /

/

2000 1llOO 1000

1970-1974 1980-1984

/

/

~

, ,/ J /

/

/

? /

I

-I.'

IlOO

~/ /

_r/ /

0 0-.. 10-14 20-24 :50-34 40-44 5O-M eo-.... 70-74 eo-....

811.

AGE

3OClO

White females

2&00

2000 1llOO 1000
IlOO

1970-1974 1980-1984

t
/
/;
// ./ /1
J' /
//'
/'

0 0-4 10-14 20-24 30-;J4 40-44 5O-M eC>-M 70-74 80-84 811.
AGE

3OClO

AGE
Black Males

2IlOO

2000

1IlOO

1970-1974

1980-1984

? l': / /)/ ?

1000

r / , \ /
~

. //

~/r'

IlOO

... .,./,/ //

0

--~

0-" 10-1420-2430-34 40-44 50-54 eo-M 70-74 80-....
u.

AGE

3OClO

Black females

2&00

2000

1IlOO

1970-1974

1000 IlOO

1980-1984

/1/J"' '~/~"
--, ~// ~/

0
0-4 10-14 20-204 .10-34 40-44 8O-1M eo-.... 7'0-74 eo-.... u.

AGE

93

Table 48

Table 49

Aeun JltOCARDIAL IIIPARC'1'IOR
AGE-SEX ADJUSTBD XA'l'B M!'IS BY HEALTH DISTRICT-UNIT, 1980-198~

HEALTH

AGE-SEX

DISTRICT ADJUSTED DEATH

UNIT RATE PER 100,000

RATE AS A PROPORTION OF STATE AVERAGE
(STATE AVERAGE. 100)

DEltALB FULTON
cOBB

75.40 84.50 88.10

70.00 78.45 81. 80

STATE AVERAGE 107.70

100.00

COLUMBUS LAGRANGE AUGUSTA GWINNETT
ALBANY
ATHENS GAINESVILLE
DALTON
MACON CLAYTON BRUNSWICIt
ROME SAVANNAH
DUBLIN WAYCROSS VALDOSTA

107.80 108.10 108.60 110.90 111.10 112.10 112.40 113.00 113.80 117.40 118.00 119.60 124.50 130.20 132.40
135.20

100.09 100.37
100.83
102.97
103.15
10~.08 10~.36
104.92
105.66
109.00
109.56 111.04
115.59
120.89 122.93
125.53

ACUTE MYOCARDIAL INFARCTION
.t AGE-SEX ADJUSTED DEATH RATES BEAL'l'B DIS'l'RICT-oMI'l', 1'70.1974

-----------------------------------------------------

IlIAL!'H

AGI-sa

DISTRICT ADJUSTBD DEATH

UNIT RATE PER 100,000

lA'l'E AS A PIIOPOR'1'IOII
OF STATE AVERAGE (STATE AVERAGE. 100)

-----------------------------------------------------

FULTON SAVANNAH
DEltALB BRUNSWICIt
ALBANY
GAINESVILLE
DUBLIN DALTON MACON LAGRANGE COLUMBUS
COBB ATHENS

114.35 137.25 145.43
158.~1
158.48 160.11
160.32 164.00 169.43 169.52 169.99 170.41 173.31

65.71 78.88 83.57
91.03 91.07 92.01
92.13 94.24 97.37 97 .42
97.69 97 .93 99.60

-----------------------------------------------------

STATE AVERAGE 17~.01

100.00

IIOME
AUGUSTA VALDOSTA
CLAYTON
WAYCROSS GWINNETT

177.02 191.68 197.69 201.68 202.54 202.78

101. 73 110.15 113.60 115.90 116.39 116.53

Table 50
ACUTE MYOCARDIAL INFARCTION AGE-SEX ADJUSTED DEATH RATES BY HEALTH DISTRICT-UNIT, 1969-1972

HEALTH

AGE-SEX

DISTRICT ADJUSTED DEATH

UNIT RATE PER 100,000

RATE AS A PROPORTION OF STATE AVERAGE
(STATE AVERAGE 100)

FULTON SAVANNAH
DUBLIN DEKALB BRUNSWICIt GAINESVILLE
ALBANY DALTON LAGRANGE MACON COLUMBUS
COBB

129.87 152.57 154.79 155.18
157.70 162.24
162.61 166.84 172.89 175.87 175.94 179.10

72.40
85.06 86.30
86.51
87.92 90.45 90.65
93.01
96.39 98.05
98.09
99.85

STATE AVERAGE 179.37

100.00

ATHENS
ROME
CLAYTON VALDOSTA
WAYCROSS
AUGUSTA GWINNETT

183.28 184.54
193.43 202.61 205.76 207.88 214.08

102.18 102.88 107.84 112.96
114.71 115.90 119.35

94

EPIDEMIOLOGICAL PROFILE
Acute Myocardial Infarction
Georgia

State Mortality Rank
D

Cause-specific Death Rate Age-sex adjusted Death Rate Percent of all Deaths

1970-1974
162.9 174.0
18.1

1980-1984
123.0 107.7
15.4

Life Stages in Years
Under 1 1-4 5-14 15-19 20-29 30-44 45-59 60-74 75 +

Ages at Risk:

35+

Race at Risk:

Whites

MORTALITY RATES

1975-1979
0.2 0.0 0.1 0.2 1.3 24.1 195.6 640.2 1,509.0

1980-1984
1.1 0.1 0.9 0.1 1.0 15.8 143.5 528.9 1,286.8

Sex at Risk:

Males

Group(s) at Risk: White Males White Females

Health Status by Geographic Area: Excellent / Good: The northern half of the state.

Fair/Pool':

The southern half of Georgia including clusters in the north/north central part ofthe state.

Health Districts 10% and above the state rate:
Urban / Rural Pattern:

Rome, Savannah, Dublin, Waycross, and Valdosta. Rural

1975 - 1984- Mortality Rate 1990 Projected Rate
Percent change from 1970-1974to 1980-1984Cause-specific Rate Age-sex adjusted Rate
95

132.4 93.3
-24.5 -38.1

AGE
0-4 5-9 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-79 80-84 85+ TOTAL
AGE
0-4 5-9 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-79 80-84 85 UP TOTAL

Table 51

Other Ischemic Heart Disease Age-Race and Age-Sex Specific Mortality Rates
Per 100,000 Population Georgia, 1980-1984

TOTAL

WHITE

BLACK

MALE

FEMALE

0.2 0.0 0.0 0.0 0.2 0.8 1.0 4.3 8.8 19.9 42.9 70.7 131.4 199.9 340.2 540.8 992.8 1978.3 63.3

0.2 0.0 0.0 0.1 0.2 0.6 0.9 3.8 8.1 17.3 38.5 66.1 125.9 193.5 325.7 552.4 1038.2 2224.6 69.4

0.3 0.1 0.0 0.0 0.1 1.1 1.3 5.7 11.1 29.1 58.9 88.6 151.3 221.0 389.1 501.3 819.1 1198.5 47.9

0.3 0.1 0.0 0.1 0.2 1.5 1.5 6.8 15.3 31.0 67.1 112.1 207.8 304.6 495.5 750.4 1271.6 2264.5 66.4

Table 52

Other Ischemic Heart Disease Age-Race-Sex Specific Mortality Rates
Per 100,000 Population Georgia, 1980-1984

0.2 0.0 0.0 0.0 0.1 0.1 0.5 1.9 2.6 9.4 20.9 34.8 68.5 122.6 237.4 425.5 866.5 1877.6 60.4

MALE

WHITE

BLACK

FEMALE

WHITE

BLACK

0.3 0.0 0.0 0.1 0.2 1.1 1.6 6.3 14.0 27.8 63.1 107.6 205.5 312.4 503.6 782.8 1369.3 2512.7 72.9

0.3 0.3 0.0 0.0 0.3 2.3 1.4 8.3 20.1 43.5 83.6 131.8 217.0 277.8 467.7 642.4 926.4 1533.6 49.3

0.1 0.0 0.0 0.0 0.1 0.1 0.2 1.4 2.2 6.9 15.2 28.8 57.7 103.3 207.2 426.6 891.9 2125.7 66.0

0.3 0.0 0.0 0.0 0.0 0.0 1.2 3.5 3.8 17.6 40.0 56.1 104.5 182.2 338.1 421.6 765.9 1071.5 46.7

97

Figure 43
Other Ischemic Heart Disease
RATE PER 100.000 POPULAnON

White Males
4OClO

White Females
4OClO

.1000

1970-1974

2000

1980-1984

1000

.---r::: 40_ 0 1 1 I



I

I1

I

0_ 10-1420-2430-'504

II IIII 110-.... llO-M 70-74 110-84

1

85+

AGE

.1000
2000
1000
01 0-4

T

I

I

I

I

1970-1974 ----

I

1980-1984 - -

I
f

I I

I

.. ; ~ ; J' /

,

r:::: ' I ' I I

I

I

t

I

10-14 20-24 30-'504 ~ 110-.... llO-M 70-74 80-84

U+

AGE

4OClO .1000

Black Males

Black Females
=1

2000

1970-1974

1980-1984

"/ y~

1000
I

J
J'/
~/

o

" " . F ~ I



.,./

I

I

I

I

I

I

0-4 10-14 20-24 30-'504 ~ 110-.... llO-M 70-74 lIO-84

lIlI+

AGE

2000

1970-1974

1980-1984

1000

,I

,

T,



I



AGE

!
; '"\ II
\I

98

Table 53
ALL OTHER ISCHEMIC-HEART DISEASE AGE-SEX ADJUSTED DEATH RATES
BY HEALTH DISTRICT-UNIT, 1980-1984

Table 54
ALL OTHER ISCHEMIC HEART DISEASE AGE-SEX ADJUSTED DEATH RATES
BY HEALTH DISTRICT-UNIT, 1970-1974

HEALTH

AGE-SEX

DISTRICT ADJUSTED DEATH

UNIT RATE PER 100,000

RATE AS A PROPORTION
OF STATE AVERAGE (STATE AVERAGE. 100)

HEALTH

AGE-SEX

DISTRICT ADJUSTED DEATH

UNIT RATE PER 100,000

RATE AS A PROPORTION
OF STATE AVERAGE (STATE AVERAGE. 100)

VALDOSTA GWINNETT GAINESVILLE BRUNSWICK
DEKALB MACON
DALTON DUBLIN CLAYTON WAYCROSS ATHENS
ROME

40.20 41.30 45.40 45.40 47.20 47.20 49.70 49.90 50.60 50.70 50.70 51.50

75.99 78.07
85.82 85.82
89.22 89.22 93.95 94.33 95.65
95.84 95.84 97.35

-----------------------------------------------------

STATE AVERAGE 52.90

100.00

---------------------------------------------------_.

ALBANY FULTON AUGUSTA
COBB SAVANNAH LAGRANGE COLUMBUS

53.30 54.20
55.20
56.30
58.60 64.60
77.00

100.76 102.46 104.35 106.43 110.78 122.12 145.56

DALTON GWINNETT
ALBANY ROME
GAINESVILLE LAGRANGE
STATE AVERAGE
COLUMBUS DUBLIN
VALDOSTA ATHENS
WAYCROSS COBB
BRUNSWICK AUGUSTA CLAYTON
MACON DEKALB SAVANNAH FULTON

53.40 72.03 76.72 79.41 84. 76 88.42
89.02
89.06 91.96 92.20 92.32 93.21 93.87 94.19 97.55 98.12 98.25 114.57 115.64 140.13

59.99 80.92 86.19 89.21 95.21 99.33
100.00
100.04 103.30 103.57 103.71 104.71 105.45 105.81 109.58 110.23 110.37 128.71 129.91 157.42

Table 55
ALL OTHER ISCHEMIC HEART DISEASE AGE-SEX ADJUSTED DEATH RATES
BY HEALTH DISTRICT-UNIT, 1969-1972

HEALTH

AGE-SEX

DISTRICT ADJUSTED DEATH

UNIT RATE PER 100,000

RATE AS A PROPORTION OF STATE AVERAGE
(STATE AVERAGE. 100)

DALTON GWINNETT
ROME ALBANY COLUMBUS BRUNSWICK
COBB

54.31 75.20 78.97 82.84 84.69 88.63
89.74

59.72 82.69 86.84 91.10 93.13 97.46
98.68

STATE AVERAGE 90.94

100.00

GAINESVILLE
LAGRANGE VALDOSTA
CLAYTON WAYCROSS
ATHENS DUBLIN
AUGUSTA MACON
DUALB SAVANNAH
FULTON

91.88
92.53 93.37
93.39 95.11
95.46 96.08
97.57 103.45
107.06 122.14
134.28

101. 03 101.74
102.66 102.69
104.58
104.97 105.65
107.29 113.75
117.72 134.31
147.65

99

EPIDEMIOLOGICAL PROFILE
Other Ischemic Heart Disease
Georgia

State Mortality Rank
[)

Cause-specific Death Rate Age-sex adjusted Death Rate Percent of all Deaths

Life Stages in Years Under 1 14 5-14 15-19 20-29 30-44 45-59 60-74 75 +

Ages at Risk:

45+

Race at Risk:

Whites

MORTALITY RATES

1975-1979
0.7 0.0 0.2 0.1 0.4 7.5 76.4 336.6 1,549.3

1980-1984
0.7 0.1
1.2 0.4 0.5 4.2 43.3 210.0 982.3

Sex at Risk:

Males

Group(s) at Risk: White Males White Females

Health Status by Geographic Area: Excellent/ Good: The southwest and central/east central Georgia.

Fair/Poor:
Health Districts 10% and above the state rate:
Urban / Rural Pattern:

The northwest, including the Atlanta metropolitan

area; southeastern Georgia.

t~~1i~

Clayton, Macon, DeKalb, Fulton, and Savannah.
Rural and Urban

1975 - 1984 Mortality Rate 1990 Projected Rate
Percent change from 1970-1974 to 1980-1984 Cause-specific Rate Age-sex adjusted Rate
100

78.1 37.4
-38.8 -68.2

AGE
0-4 5-9 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-79 80-84 85+ TOTAL
AGE
0-4 5-9 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-79 80-84 85 UP TOTAL

Table 56

Hypertensive Disease Age-Race and Age-Sex Specific Mortality Rates
Per 100,000 Population Georgia, 1980-1984

TOTAL

WHITE

BLACK

MALE

FEMALE

0.1 0.0 0.0 0.0 0.0 0.4 0.6 2.3 5.6 9.9 15.1 23.6 39.6 53.2 84.5 124.5 203.5 344.4 15.4

0.1 0.0 0.0 0.0 0.1 0.2 0.2 0.3 1.6 3.3 5.3 9.2 19.6 26.0 48.0 89.2 151.1 327.8 10.3

0.3 0.0 0.0 0.1 0.0 1.0 1.6 8.4 18.4 33.2 50.9 79.6 112.0 141.6 208.1 245.0 403.7 397.0 28.5

0.2 0.0 0.0 0.1 0.1 0.4 0.8 2.8 6.2 10.8 17.0 28.9 41.8 63.2 99.0 132.4 232.1 312.0 13.4

0.1 0.0 0.0 0.0 0.0 0.4 0.4 1.8 5.0 9.0 13.4 19.0 37.7 45.9 74.9 120.2 190.6 355.8 17.3

Table 57

Hypertensive Disease Age-Race-Sex Specific Mortality Rates
Per 100,000 Population Georgia, 1980-1984

MALE

WHITE

BLACK

FEMALE

WHITE

BLACK

0.1 0.0 0.0 0.0 0.1 0.3 0.1 0.5 1.9 3.9 6.2 12.5 23.0 33.1 57.5 97.3 166.7 289.6 8.5

0.3 0.0 0.0 0.2 0.0 0.6 2.7 10.2 21.2 37.8 61.1 99.1 117.5 167.1 241.3 249.7 463.2 378.2 26.6

0.0 0.0 0.0 0.0 0.0 0.0 0.3 0.0 1.3 2.7 4.4 6.1 16.7 20.6 41.6 84.8 144.2 340.9 12.1

0.3 0.0 0.0 0.0 0.0 1.3 0.6 6.9 16.1 29.6 43.1 65.5 108.1 124.1 186.6 242.3 374.2 404.1 30.2

102

Figure 45
Hypertensive Disease
RATE PER 100,000 POPULATION

White Males

White Females

300

1970-1974

1980-1984

200

1970-1974 1980-1984
200

100
0--4- 10-14 20-2.... 30-34 40-44 50-~"" ISO-".... 70-74 80-80485+
AGE

'00

oL
0-4

........

~ ~ : : : : : ; : . . _ ~ ~ _ ~

10-14 20-24 30-34 40-44 ao-a.... 450-04 70-74 150-84
"5+

AGE

500

Black Males

Black Females

\

300
200
100
0~
0-4

1970-1974

1980-1984

,/

/ /
--/
, _..-
...--- v
~'--'1~::-~~~_~~~~~

10-14 20-24 30-34 40-44 50-a4 60-64 70-74 80-84 "5+

AGE

400

300

1970-1974

1980-1984

200

100

0-4 10-14 20-24 30-34 40-...... .50-a.... 60-1S4 70-74 eO-84 85+
AGE

103

Table 58
HYPERTENSIVE DISEASE
* AGE-SEX ADJUSTED DEATH RATES
BY HEALTH DISTRICT-UNIT, 1980-1984

Table 59
HYPERTENSIVE DISEASE AGE-SEX ADJUSTED DEATH RATES BY HEALTH DISTRICT-UNIT, 1970-1974

BEALTH

AGE-SEX

DISTRICT ADJUSTED DEATH

UNIT RATE PER 100,000

RATE AS A PROPORTION OP STATE AVERAGE
(STATt. AVERAGE 1001

HEALTH

AGE-SEX

DISTRICT ADJUSTED DEATH

DNIT RATE PER 100,000

RATE AS A PROPORTION OF STATE AVERAGt
(STATE AVERAGE. 100)

lIOII
GU"UVILLI DALTON
GWINNETT COBB
CLAYTON ATHENS
VALDOSTA DEltALB DUBLIN
BRUNSWICII: LAGRANGE COLUMBUS

1.10 7.00 7.20 7.90 8.70 8.90
10.00 10.10 10.90 11.40 11.60 11.80 12.50

50.00 13.03 U.S4 59.84 65.90 67.42
75.75 76.51 80.74 86.36 87.87 89.39 94.69

GWINNETT DALTON DEItALB COBB
GAINESVILLE CLAYTON ATHENS ROflE t;AYCIlOSS FOLTOR DOBLI. LAGIWIGE VALDOftA

3.44 5.57 5.93 6.15 6.24 6.62 8.29 9.34 J.54 10.21 10.44 11.03 12.45

27.46 44.38
47.26
49.02 U.76 52.76 66.05 74.44 76.00 11.36
13.25
"17.2.926

STATE AVERAGE 13.20

100.00

STATE AVERAGE 12.55

100.00

ALBANY WAYCROSS AUGUSTA SAVANNAH
KACON PULTON

13.70 13.70 14.80 15.70 16.90 28.30

103.78 103.78 112.12 118.93 128.03 214.39

AUGUSTA KACON
BRUNSWICII: COLUMBUS
ALBANY
SAVANNAH

13.65 15.16 16.92 18.09 22.43 26.39

108.82 120.83 134.89 144.21 178.80 210.34

Table 60
HYPERTENSIVE DISEASE AGE-SEX ADJUSTED DEATH RATES BY HEALTH DISTRICT-UNIT, 1969-1972

BEALTH

AGE-SEX

DISTRICT ADJUSTED DEATH

UNIT RATE PER 100,000

RATE AS A PROPORTION OF STATE AVERAGE
(STATE AVERAGE 100)

GWIIlNETT CLAYTON
DALTON DEIl:ALB GAINESVILLE ATHENS
ROME COBB FULTON WAYCROSS LAGRANGE DUBLIN AUGUSTA

2.28 4.56 5.98 6.77 7.10 8.99
9.41
9.87 10.93 12.05 12.28 13.04 13.30

16.00 32.01 41.94 47 .52 U.86 63.11 66.07 69.31
76.71 84.58 86.20 91.52 93.36

STATE AVERAGE 14.25

100.00

VALDOSTA KACON
COLUMBUS ALBANY
BRUNSWICII: SAVANNAH

14.27 17.12 19.83 24.88 25.82 30.39

100.19 120.19 139.22 174.61 181. 20 213.30

Changes in the coding for Hypertensive Disease according to the 9th revision of the International
Classification 0/ Dise_es, 1975. accounts for the seeming increase in Hypertensive Disease mortality
from 1970-74 to 1980-84.
104

EPIDEMIOLOGICAL PROFILE
Hypertensive Disease
Georgia

State Mortality Rank
E:>

Cause-specific Death Rate Age-sex adjusted Death Rate Percent of all Deaths

1980-1984
15.4 13.2
2.0

Life Stages in Years Under 1 1-4 5-14 15-19 20-29 30-44 45-59 60-74 75 +

Ages at Risk:

45+

Race at Risk:

Blacks

MORTALITY RATES
1980-1984'
0.7 0.0 0.0 0.0 0.2 2.5 15.9 56.1 194.9

Sex at Risk:

Females

Group(s) at Risk: Black Males Black Females

Health Status by Geographic Area: Excellent / Good: The northern third of the state.

Fair/Poor:
Health Districts 10% and above the state rate:
Urban / Rural Pattern:

The lower two-thirds of the state, including Fulton County.
Fulton, Macon, Savannah, and Augusta. Urban and Rural

1975 - 1984 Mortality Rate

16.0

1990 Projected Rate

12.0

Percent change from 1970-1974

to 1980-1984

Cause-specific Rate

-16.6

Changes in the coding for Hypertensive Disease according to the 9th revision of the International Classification oj

Diseases, 1975. makes comparison of the data impractical for the periods 1975-79 and 1980-84.

105

AGE
0-4 5-9 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-79 80-84 85+ TOTAL
AGE
0-4 5-9 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-79 80-84 85 UP TOTAL

Table 61

Diseases of the Arteries and Capillaries Age-Race and Age-Sex Specific Mortality Rates
Per 100.000 Population Georgia. 1980-1984

TOTAL

WHITE

BLACK

MALE

FEMALE

0.1 0.0 0.2 0.2 0.3 0.4 0.7 1.3 1.5 3.3 7.2 11.9 23.8 50.5 80.7 139.6 233.7 522.7 15.1

0.1 0.0 0.3 0.1 0.2 0.3 0.5 0.8 1.3 2.8 6.1 10.9 21.0 50.4 76.2 143.6 230.2 582.1 16.3

0.0 0.0 0.1 0.2 0.5 0.5 1.1 2.9 2.1 5.4 11.2 16.0 34.3 50.9 96.1 126.0 246.9 334.6 12.1

0.1 0.0 0.3 0.2 0.2 0.2 0.8 1.3 2.8 4.6 9.1 17.6 39.2 78.5 124.0 213.4 296.5 550.9 15.4

Table 62

Diseases of the Arteries and Capillaries Age-Race-Sex Specific: Mortality Rates
Per 100.000 Population Georgia. 1980-1984

0.1 0.0 0.1 0.1 0.3 0.6 0.6 1.3 0.2 2.2 5.4 7.0 11.2 29.8 52.1 99.0 205.2 512.8 14.9

MALE

WHITE

BLACK

0.1 0.0 0.4 0.2 0.0 0.1 0.7 0.8 2.3 3.9 8.8 15.5 36.7 83.4 120.8 222.9 300.7 611.8 16.6

0.0 0.0 0.3 0.2 0.8 0.3 1.0 2.8 4.6 7.1 10.4 26.4 49.2 61.7 134.9 181.8 281.9 371.4 12.2

FEMALE

WHITE

BLACK

0.1 0.0 0.1 0.0 0.3 0.6 0.3 0.7 0.3 1.6 3.5 6.7 7.5 25.3 46.5 100.3 199.0 571.9 16.0

0.0 0.0 0.0 0.2 0.2 0.8 1.2 3.1 0.0 4.0 11.7 8.2 23.6 43.6 70.9 94.5 229.5 320.7 12.0

107

Table 63

DISEASES OF ARTERIES AND CAPILLARIES AGE-SEX ADJUSTED DEATH RATES
BY HEALTH DISTRICT-UNIT, 1980-1984

HEALTH

AGE-SEX

DISTRICT ADJUSTED DEATH

UNIT RATE PER 100,000

RATE AS A PROPORTION
= OF STATE AVERAGE
(STATE AVERAGE 100)

GAINESVILLE ATHENS
GWINNETT DEKALB FULTON
WAYCROSS
DALTON LAGRANGE
ALBANY ROME
DUBLIN CLAYTON

8.20 8.60 9.80 10.20 10.30 10.60
10.90 11.30 11.80 12.00 12.00 12.30

66.12 69.35 79.03 82.25 83.06 85.48
87.90 91.12 95.16 96.77 96.77 99.19

STATE AVERAGE 12.40

100.00

AUGUSTA COBB
BRUNSWICK SAVANNAH VALDOSTA
MACON COLUMBUS

12.90 14.10 14.30 15.20 16.10 17.80 19.00

104.03 113.70 115.32 122.58 129.83 143.54 153.22

Disease Patterns of the 70's did not inc:lude Diseases of the Arteries and Capillaries; no health district tables for 1970-74, 1969-72 are available for comparison.
108

EPIDEMIOLOGICAL PROFILE
Diseases of the Arteries and Capillaries
Georgia

State Mortality Rank
2)

Cause-specific Death Rate Age-sex adjusted Death Rate Percent of all Deaths

1970-1974 1980-1984

23.1

15.1

N/A

12.4

2.6

1.9

Life Stages in Years Under 1 1-4 5-14 15-19 20-29 30-44 45-59 60-74 75 +

Ages at Risk:

45+

Race at Risk:

Whites

MORTALITY RATES

1975-1979
1.0 0.2 0.1
0.1 0.7 1.4 11.6 67.0 353.9

1980-1984
0.2 0.1 0.1 0.2 0.3 1.1 7.3 48.0 249.7

Sex at Risk:

N.S.D. between males and females

Group(s) at Risk: White Males White Females

Health Status by Geographic Area:

Excellent / Good: Fair /Poor:

The northern half of the state and parts of the southeast and southwest. West central and east central Georgia.

Health Districts 10% _--..~and above the state rate:
Urban / Rural Pattern:

Columbus, Macon, Valdosta, and Savannah.
Rural

1975 - 1984- Mortality Rate 1990 Projected Rate

Percent change from 1970-1974-

to 1980-1984-

No significant difference.

Cause-specific Rate

109

17.4 10.2
-34.6

AGE
0-4 5-9 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-79 80-84 85+ TOTAL
AGE
0-4 5-9 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-79 80-84 85 UP TOTAL

Table 64

Cerebrovascular Disease Age-Race and Age-Sex Specific Mortality Rates
Per 100,000 Population Georgia, 1980-1984

TOTAL

WHITE

BLACK

MALE

FEMALE

1.2 0.2 0.4 1.0 1.2 2.4 3.9 9.0 14.5 29.5 45.8 73.7 126.5 214.9 407.6 707.8 1304.0 2442.5 77.3

0.9 0.2 0.2 0.7 0.7 1.4 1.8 5.8 8.5 17.9 26.9 48.1 87.0 160.3 323.8 648.6 1281.1 2715.4 74.1

2.0 0.1 0.9 1.5 2.3 4.8 9.7 19.1 34.0 70.5 115.0 172.9 270.0 391.9 690.9 909.9 1391.3 1578.5 85.5

1.6 0.1 0.5 0.8 1.2 3.0 3.7 9.7 14.7 33.1 50.6 83.5 144.6 266.5 486.4 848.2 1417.1 2370.8 64.4

Table 65
Cerebrovascular Disease Age-Race-Sex Specific Mortality Rates
Per 100,000 Population Georgia, 1980-1984

0.8 0.3 0.3 1.1 1.2 1.7 4.2 8.4 14.3 26.0 41.4 65.1 111.6 176.7 355.5 630.6 1252.7 2467.7 89.4

MALE

WHITE

BLACK

FEMALE

WHITE

BLACK

0.8 0.0 0.1 0.9 0.7 1.9 1.6 4.9 8.1 20.6 28.7 53.1 98.9 207.3 396.7 792.9 1429.2 2599.1 58.6

3.1 0.3 1.3 0.7 2.4 5.9 10.0 25.9 38.4 82.7 140.7 213.6 328.5 470.5 794.4 1032.7 1374.5 1698.6 79.7

0.9 0.4 0.3 0.5 0.8 0.8 2.1 6.6 8.9 15.2 25.2 43.6 76.8 124.6 275.2 569.8 1215.6 2755.3 88.9

0.8 0.0 0.5 2.3 2.2 3.8 9.5 13.5 30.3 60.8 95.4 142.3 228.3 338.3 623.8 840.5 1399.7 1533.0 90.7

111

EPIDEMIOLOGICAL PROFILE
Cerebrovascular Disease
Georgia

State Mortality Rank
U

Cause-specific Death Rate Age-sex adjusted Death Rate Percent of all Deaths

1970-1974
128.8 126.8
13.4

1980-1984
77.3 63.9
9.7

Life Stages in Years Under 1 1-4 5-14 15-19 20-29 30-44 45-59 60-74 75 +

Ages at Risk:

45+

Race at Risk:

Blacks

MORTALITY RATES

1975-1979
5.3 0.5 0.3 0.9 2.3 12.9 69.0 331.3 1,662.1

1980-1984
4.5 0.4 0.3 1.0 1.8 8.5 48.6 230.9 1,255.0

Sex at Risk:

Females

Group(s) at Risk: Black Males
N.S.D. * between white females and black females

Health Status by Geographic Area:

Excellent/ Good: Fair/ Poor:

The northeast, northwest, southeast, and some central counties. The southwest, west, and east central portions of the state.

Health Districts 10% and above the state rate:

Albany, Columbus, LaGrange and Waycross.

Rural

1975 - 1984 Mortality Rate 1990 Projected Rate

Percent change from 1970-1974

to 1980-1984

Cause-specific Rate

No significant difference.

Age-sex adjusted Rate

114

87.2 46.4
-36.0 -49.6

Figure 49
Cardiovascular Disease Mortality Projection to Year 1990

300

---... -- --.---e.. ..... - . .------......

.............

~
~

.....

.

"..

....
~-- ---.--~--.---.--~

250

g 200
==.o..
100 50

.--......
... .. _-.-_ ... ... .. .. .._--. _- _- _- -- ~--

--.--
>c----

.....--...... .....\ \-".......-._---

---.._-
.-----.....--

.....
......

-

- --- --......_- ---
-.....-.--- -~ -.._-........

-------

..---;.------. "9-

.--~-_

--._-~--

0~-_+_-_+_-_+_-_+_-_-_+-_-_+-__+----.-____1

-~-_-+_-_-_+_____I

1975

1980,

1985

1990

YEAR

... -.. Total Heart Disease -.. Acute Myocardial Infarction 6---& Cerebrovascular Disease .... -.... Other Ischemic Heart Disease D---a Hypertensive Disease
Diseases of the Arteries & Capillaries

115

AGE
0-4 5-9 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-79 80-84 85+ TOTAL
AGE
0-4 5-9 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-79 80-84 85 UP TOTAL

Table 69

Total Cancer Age-Race and Age-Sex Specific Mortality Rates
Per 100.000 Population Geor.a. 1980-1984

TOTAL

WHITE

BLACK

MALE

FEMALE

3.7 3.8 3.7 4.7 5.5 10.3 17.6 33.6 65.2 122.5 237.2 375.4 558.7 716.8 948.2 1078.9 1250.0 1334.9 158.3

3.6 3.6 3.6 4.9 5.1 10.0 16.4 31.1 56.6 107.4 214.5 342.9 530.0 693.7 898.8 1068.9 1239.2 1445.5 163.2

4.0 4.1 3.8 4.3 6.4 10.9 20.7 41.0 93.1 176.2 320.6 501.5 662.8 791.6 1115.3 1112.8 1291.2 984.9 145.7

3.7 4.8 4.1 6.1 6.9 10.8 15.1 30.6 65.9 128.1 276.0 475.6 750.0 1031.8 1432.0 1718.8 1976.9 2139.0 184.4

3.8 2.7 3.2 3.2 4.2 9.8 20.0 36.4 64.5 117.2 202.1 288.5 401.3 483.8 627.7 726.8 920.8 1052.0 133.9

Table 70

Total Cancer Age-Race-Sex Specific Mortality Rates
Per 100.000 Population Georgia. 1980-1984

MALE

WHITE

BLACK

FEMALE

WHITE

BLACK

3.3 4.7 4.4 6.3 6.4 11.4 14.9 29.0 55.5 107.2 240.0 425.5 692.2 982.5 1346.3 1704.3 1990.6 2276.8 186.8

4.4 5.1 3.5 5.7 8.1 9.1 15.5 36.1 103.2 211.1 424.4 689.7 982.5 1201.8 1726.8 1767.2 1928.3 1733.0 178.1

3.8 2.5 2.8 3.4 3.9 8.7 17.9 33.3 57.7 107.5 190.3 268.6 391.2 474.8 600.4 722.0 907.0 1159.9 140.7

3.7 3.1 4.1 2.8 4.8 12.4 25.2 45.1 84.7 148.4 241.2 359.8 435.1 511.8 719.0 743.3 975.5 701.3 117.0

120

Table 71
TOTAL CANCER AGE-SEX ADJUSTED DEATH RATES
BY HEALTH DISTRICT-UNIT, 1980-1984 *

HEALTH

AGE-SEX

DISTRICT ADJUSTED DEATH

UNIT

RATE PER 100,000

RATE AS A PROPORTION OF STATE AVERAGE
(STATE AVERAGE = 100)

GAINESVILLE DALTON
GWINNETT DEKALB ATHENS MACON
VALDOSTA DUBLIN
LAGRANGE WAYCROSS
ALBANY

124.50 129.30 134.70 136.40 136.70 137.00
137.20 138.10 138.60 139.10 140.80

87.30 90.67 94.46 95.65 95.86 96.07 96.21 96.84 97.19 97.54 98.73

STATE AVERAGE 142.60

100.00

COBB ROME AUGUS'l.'A CLAYTON COLUMBUS BRUNSWICK FULTON SAVANNAH

142.80 145.50 149.80 150.30 153.70 156.50 158.20 165.30

100.10 102.03 105.04 105.39 107.78 109.88 110.93 115.91

Disease Patterns o/the 10's did not include Total Cancer; no health district tables for 1970-74. 196972 are available for comparison.
121

EPIDEMIOLOGICAL PROFILE
Total Cancer
Georgia

Cause-specific Death Rate Age-sex adjusted Death Rate Percent of all Deaths

1970-1974
133.9
N/A
14.9

19801984
158.3 142.6
19.8

Life Stages in Years Under 1 1-4 5-14 15-19 20-29 30-44 45-59 60-74 75 +

Ages at Risk:

30+

Race at Risk:

Whites

MORTALITY RATES

1975-1979
3.6 5.1 4.5 5.9 8.5 39.7 248.7 679.1 1,093.4

1980-1984
3.9 3.7 3.7 4.7 7.9 35.9 239.1 715.7 1,183.3

Sex at Risk:

Males

Group(s) at Risk: White Males White Females

Health Status by Geographic Area:

Excellent / Good: Fair/ Poor:

The northeast; parts of central Georgia; the south/southwest The southeast; areas of east central and northwest Georgia, including the Atlanta metropolitan area.

Health Districts 10" and above the state rate:

Fulton and Savannah

Urban / Rural Pattern:

Rural and Urban

1975 - 1984 Mortality Rate 1990 Projected Rate Percent change from 1970-1974
to 1980-1984 Cause-specific Rate
122

153.0 180.7
+ 18.2

AGE
0-4 5-9 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-79 80-84 85+ TOTAL
AGE
0-4 5-9 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-79 80-84 85 UP TOTAL

Table 72
Cancer of the Lung Age-Race and Age-Sex Specific Mortality Rates
Per 100,000 Population Georgia, 19801984

TOTAL

WHITE

BLACK

MALE

FEMALE

0.0

0.1

0.0

0.1

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.1

0.1

0.0

0.1

0.2

0.0

0.1

0.2

0.3

0.3

0.3

0.6

0.1

1.3

1.1

1.6

1.3

1.3

5.7

5.6

6.1

8.3

3.2

14.1

13.2

16.8

20.5

8.0

38.2

37.4

40.8

52.6

24.6

81.9

80.1

88.5

126.3

41.7

138.8

134.2

156.5

226.4

62.9

204.5

204.9

202.7

346.8

87.3

239.1

247.0

213.6

446.4

85.9

266.6

277.3

230.5

548.8

79.6

254.4

271.1

197.7

565.5

83.3

210.5

217.1

185.2

496.4

81~0

148.8

164.8

98.3

360.9

74.2

44.4

48.8

33.3

70.5

20.1

Table 73

Cancer of the Lung Age-Race-Sex Specific Mortality Rates
Per 100,000 Population Georgia, 1980-1984

MALE

WHITE

BLACK

0.1 0.0 0.0 0.0 0.1 0.6 0.9 7.8 18.7 49.2 117.2 213.8 334.3 445.8 561.5 602.7 524.4 392.3 75.4

0.0 0.0 0.0 0.2 0.0 0.6 2.4 9.7 26.9 66.3 164.0 279.9 396.8 448.1 505.1 441.2 397.7 268.2 57.2
124

FEMALE

WHITE

BLACK

0.0 0.0 0.0 0.0 0.2 0.1 1.4 3.3 7.8 25.8 45.0 62.7 94.1 96.3 87.8 90.0 81.3 86.6 23.3

0.0 0.0 0.0 0.0 0.0 0.0 0.9 3.1 8.5 20.5 30.8 63.6 64.4 53.7 52.5 60.2 79.8 33.9 12.2

figure 52
Cancer of the Trachea. Bronchus & Lung
RATE PER 100,000 POPULATION

White Males
700

White Females
700

eoo

eoo

!lOO
400 1970-1974 1980-1984
300
200

,'";

...", '-

/

\

//

\ \

; '/

\~

'00

oI



I

ITT

I

1""""'-; I

I

I

I

I

I

I

I

0-4 10-14 20-24 30-34 40-44 50-M 80-64 70-7.... 80-84

8ll+

AGE

!lOO
400 1970-1974 1980-1984
300

200

100

01

, . , T T , I ...........: -- I I I



I

I

0-4 10-14 20-24 30-34 -40-44 50-&4 80-114 70-74 SO-1S4

e"+

AGE

Black Males
700

800

"00
400+ '1970-1974 ---1980-1984 _._-
300
200
'00

o

V /..-

',/, \\

"--.

b-

0 1 r f' r '~l I

I

I

I

I

4

I

0-4 10-'4 20-24 30-34 ..c.o-44 &0-&4 80-64 70-74 80-.....

8ll+

AGE

Black Females
700

800

"00
1970-1974
400
1980-1984
300

200

'00

, p o I I

,

,

"

,,~..,.- -, ...I. ~I , ....,......, I

0-4 10-1'" 20-24 30-34 40-++ 50-0.4 eO-8'" 70-7.... 80-84
e,,+

AGE

125

Table 74
CANCER OF THE TRACHEA, BRONCHUS, AND LUNG AGE-SEX ADJUSTED DEATH RATES
BY HEALTH DISTRICT-UNIT, 1980-1984

Table 75
CANCER OF THE TRACHEA, BRONCHUS, AND LUNG AGE-SEX ADJUSTED DEATH RATES
BY HEALTH DISTRICT-UNIT, 1970-1974

HEALTH

AGE-SEX

DISTRICT ADJUSTED DEATH

UNIT RATE PER 100,000

RATE AS A PROPORTION
OF STATE AVERAGE (STATE AVERAGE 100)

HEALTH

AGE-SEX

DISTRICT ADJUSTED DEATH

UNIT RATE PER 100,000

RATE AS A PROPORTION OF STATE AVERAGE
(STATE AVERAGE. 100)

GAINESVILLE DEKALB ATHENS DALTON MACON
GWINNETT
DUBLIN COBB

30.70 35.50 36.40 37.30 38.60 39.10
39.40 41.00

74.69 86.37 88.56 90.75 93.91 95.13 :/5.86
99.75

GAINESVILLE COLUMBUS DALTON ATHENS LAGRANGE

18.65 22.22 22.83 24.20 24.23

STATE AVERAGE 28.03

STATE AVERAGE 41.10

100.00

-----------------------------------------------------

LAGRANGE
WAYCROSS FULTON
COLUMBUS VALDOSTA
AUGUSTA
ALBANY ROME
BRUNSWICK
SAVANNAH
CLAYTON

41. 70
42.20 42.70 43.50 43.50 43.60 43.70 46.00 47.80 48.00 48.20

101. 45
102.67 103.89
105.83
105.83 106.08
106.32 111.92
116.30 116.78
117.27

MACON
DUBLIN
GWINNETT SAVANNAH
COBB
AUGUSTA
FULTON ROME
ALBANY WAYCROSS
DEKALB
VALDOSTA CLAYTON
BRUNSWICK

28.21
28.72
29.14 29.28
29.36
30.26 30.30
31.23
32.27
32.27 32.45 33.94 34.83
37.40

66.54 79.29 81. 45 86.37 86.44
100.00
100.66 102.49 103.97 104.47 104.76 107.99 108.11 111.42 115.14 115.15 115.78 121.09 124.28 133.45

Table 76
CANCER OF THE TRACHEA, BRONCHUS, AND LUNG AGE-SEX ADJUSTED DEATH RATES
BY HEALTH DISTRICT-UNIT, 1969-1972

HEALTH

AGE-SEX

DISTRICT ADJUSTED DEATH

UNIT RATE PER 100,000

RATE AS A PROPORTION OF STATE AVERAGE
(STATE AVERAGE. 100)

GAINESVILLE LAGRANGE
COLUMBUS
DALTON ATHENS

18.17 21.54 23.21 23.32 23.63

STATE AVERAGE 26.74

67.94 80.54 86.80 87.20 88.38
100.00

WAYCROSS
COBB
MACON DUBLIN
GWINNETT
AUGUSTA ROME
CLAYTON SAVANNAH
DEKALB FULTON
ALBANY VALDOSTA
BRUNSWICK

27.84
28.11
28.22 28.32 28.53
28.73 29.23 29.80 29.90
30.45 30.53 30.67
31. 35 36.67

104.12 105.10
105.53
105.91 106.69 107.43 109.30 111.44 111. 82
113.87 114.17 114.69
117.25
137.13

126

EPIDEMIOLOGICAL PROFILE
Cancer of the Lung
Georgia

State Mortality Rank
D

Cause-specific Death Rate Age-sex adjusted Death Rate Percent of all Deaths

1970-1974
29.7 28.0
3.3

19801984
44.4 41.1
5.6

Life Stages in Years Under 1 1-4 5-14 15-19 2029 30-44 45-59 60-74 75 +

Ages at Risk:

45+

Race at Risk:

Whites

MORTALITY RATES

19751979
0.5 0.0 0.2 0.1 0.3 7.5 79.1 198.7 175.0

19801984
0.2 0.0 0.0 0.0 0.2 6.2 83.9 232.8 218.9

Sex at Risk:

Males

Group(s) at Risk: White Males White Females

Health Status by Geographic Area: Excellent / Good: The northeast; east and southwest central Georgia

Fair/Poor:
Health Districts 10% and above the state rate: Urban / Rural Pattern:

The southeast; the northwestern and southwestern corners of the state.
Rome, Brunswick, Savannah and Clayton Rural and Urban

1975 - 1984 Mortality Rate 1990 Projected Rate
Percent change from 1970-1974 to 1980-1984 Cause-specific Rate Age-sex adjusted Rate
127

41.2 56.0
+ 49.5 +46.8

Ffgate53 Cancerofthe.... 1980-1984 Age-Sex Adjusted Death Rates P.. l00.000

RATE PER 100.000

I

I 0.0 to 7.0

EXCfJJ.ENT

VI////iZl 7.1 to9.3
GOOD

~ 9.4 to 10.7
AVERAGE

-FAIR -POOR

10.8to 13.0 13.1 toM.O

_

Georgia Health District- Units

128

AGE
0-4 5-9 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-79 80-84 85+ TOTAL
AGE
0-4 5-9 10-14 15-19 20-24 25-29 30-34 3539 40-44 45-49 50-54 55-59 6064 65-69 70-74 75-79 80-84 85 UP TOTAL

Table 77
Cancer of the Breast Age-Race and Age-Sex Specific Mortality Rates
Per 100,000 Population Georgia, 1980-1984

TOTAL

WHITE

BLACK

MALE

FEMALE

0.1

0.0

0.3

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.1

0.0

0.8

0.7

1.2

0.1

2.7

2.2

3.8

0.0

6.3

5.0

10.3

0.0

11.9

11.2

14.3

0.0

16.3

15.1

20.2

0.1

25.9

24.0

33.1

0.2

32.3

32.0

33.6

0.5

39.1

39.3

38.4

0.6

46.4

46.6

45.8

1.4

54.0

52.1

60.1

1.0

57.3

62.1

41.1

1.1

74.1

73.4

76.7

3.3

97.6

112.8

49.2

0.0

12.0

12.7

10.1

0.2

Table 78
Cancer of the Breast Age-Race-Sex Specific Mortality Rates
Per 100,000 Population Georgia, 1980-1984

0.2 0.0 0.0 0.0 0.1 1.7 5.3 12.3 23.2 31.6 49.4 60.3 71.3 80.8 89.7 88.9 107.6 131.9 23.2

MALE

WHITE

BLACK

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.1

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.2

0.0

0.0

0.8

0.4

0.9

0.5

1.0

1.5

1.1

0.4

3.0

0.7

2.4

2.8

5.0

0.0

0.0

0.2

0.2

129

FEMALE

WHITE

BLACK

0.0 0.0 0.0 0.0 0.0 1.4 4.5 10.0 22.2 30.1 46.7 60.7 72.9 82.0 86.9 96.0 105.8 151.6 24.9

0.5 0.0 0.0 0.0 0.2 2.3 7.1 18.9 26.0 36.4 58.5 58.8 65.8 77.0 99.1 64.3 114.8 67.8 19.0

Figure 54 Cancer of the Breast
RATE PER 100.000 POPULADON

White Males
,.,.

,.,.

White Females

'110
'28
1970-1974 '00 1980-1984
.,.

110

28

.. oI a t

I



1

1

I

r

r,

I ........- ...

I

0-4 '0-'420-24 30-34 40-44 lIO-M eo-M 70-74 eo-M

AGE

'110

'28

1970-1974
'00
.,. 1980-1984

, .., ..... I

fi

fi 110
/,

28

r '/-'-

.. I
o

I

fC"(~

./


I

I



I

I

I

I

I

0-4 '0-'420-24 30-34 40-44 110-. . _ _. . 70-74 lIO-84

AGE

Black Males
'711
'110
'211
'00 t 1970-1974 1980-1984
711
110
28
,.--X 0 1 , , " . , 0-4 '0-'420-24 30-34 40-44 110-" 110-" 70-74 lIO-84 811+ AGE

Black Females
'711

'110

'~j'28 1970-1974 1980-1984
711
110+
28

- r. ..i"J\ ,

/

\I

/

V

/

01 I

r

,

~

1

I

I

0-4 '0-'4 20-24 30-34 40-44 _

,

.

.

I

eo-I .

.

I

I
70-7

4

_

I

I

I

..

811+

AGE

138
/

Table 79
CANCER OF THE BREAST AGE-SEX ADJUSTED DEATH RATES BY HEALTH DISTRICT-UNIT, 1980-1984

Table 80
CANCER OF THE BREAST AGE-SEX ADJUSTED DEATH RATES BY HEALTH DISTRICT-UNIT, 1970-1974

HEALTH

AGE-SEX

DISTRICT ADJUSTED DEATH

UNIT RATE PER 100,000

RATE AS A PROPORTION OF STATE AVERAGE
(STATE AVERAGE K 100)

HEALTH

AGE-SEX

DISTRICT ADJUSTED DEATH

UNIT RATE PER ,.00,000

RATE AS A PROPORTION
OF STATE AVERAGE (STATE AVERAGE K 100)

VALDOSTA
DUBLIN
ALBANY
COLUMBUS DALTON
WAYCROSS ROME
MACON LAGRANGE
BRUNSWICK

8.10 8.50 8.70 9.10 9.40
9.40 10.10 10.20 10.90 10.90

STATE AVERAGE 10.90

GAINESVILLE GWINNETT AUGUSTA COBB ATHENS DEKALB SAVANNAH CLAYTON FULTON

11.30 11.40 11. 70 11. 90 12.00 12.40 12.50 12.80 13.00

74.31 77.98 79.81 83.48 86.23 86.23 92.66 93.57 100.00 100.00
100.00
103.66 104.58 107.33 109.17 110.09 113.76 114.67 117.43 119.26

AUGUSTA SAVANNAH WAYCROSS MACON
DUBLIN ALBANY
VALDOSTA

7.75 7.81 7.96 8.54 8.70 8.98
9.15

STATE AVERAGE

9.70

ROME COLUMBUS LAGRANGE
GWINNETT BRUNSWICK
ATHENS CLAYTON
COBB DALTON
GAINESVILLE FULTON
DEKALB

9.75 10.15 10.41 10.44
10.78
11.03 11. 74
11. 88 12.01
12.17 13.19
13.72

79.91 80.43 82.07 87.99 89.63 92.58 94.28
100.00
100.47 104.62 107.32 107.64 111.12 113.68 120.98 122.42 123.82 125.46 135.92 141. 39

Table 81
CANCER OF THE BREAST AGE-SEX ADJUSTED DEATH RATES BY HEALTH DISTRICT-UNIT, 1969-1972

HEALTH

AGE-SEX

DISTRICT ADJUSTED DEATH

UNIT RATE PER 100,000

RATE AS A PROPORTION OF STATE AVERAGE
(STATE AVERAGE = 100)

AUGUSTA WAYCROSS SAVANNAH
ALBANY GWINNETT
ROME CLAYTON
DUBLIN

6.28 7.98 8.37 9.31 9.39 9.64
9.77 9.79

60.58 77.02 80.73 89.84
90.57 92.99 94.23 94.47

STATE AVERAGE 10.37

100.00

MACON GAINESVILLE
BRUNSWICK ATHENS
LAGRANGE VALDOSTA
COBB DALTON DEKALB FULTON COLUMBUS

10.60 10.87 10.99 11.03 11. 04 11.48 12.52 12.63 13.54 13.83 14.15

102.25 104.84 106.05 106.41 106.44 110.76 120.76 121. 79 130.60 133.39 136.45

131

EPIDEMIOLOGICAL PROFILE
Cancer of the Breast
Georgia

State Mortality Rank
G)

Cause-specific Death Rate Age-sex adjusted Death Rate Percent of all Deaths

1970-1974
11.3 9.7 1.3

1980-1984
12.0 10.9
1.5

Life Stages in Years Under 1 1-4 5-14 15-19 20-29 30-44 45-59 60-74 75 +

Ages at Risk:

45+

Race at Risk:

Whites

MORTALITY RATES

19751979
0.0 0.0 0.0 0.0 0.5 6.1 27.0 44.0 63.6

1980-1984
0.5 0.0 0.0 0.0 0.4 6.4 24.5 45.5 70.8

Sex at Risk:

Females

Group(s) at Risk: White Females

Health Status by Geographic Area: Excellent/Good: The central and southern portions ofthe state.

Fair/Poor:
Health Districts 10% and above the state rate: l:'.:K.;~~/ . .. Urban / Rural Pattern:

The northern half of Georgia; counties on the South Carolina border and the extreme southeastern corner
Fulton, Savannah, DeKalb and Athens Urban

1975 - 1984 Mortality Rate 1990 Projected Rate
Percent change from 1970-1974 to 1980-1984 Cause-specific Rate Age-sex adjusted Rate

11.8 12.6
+6.2 + 12.4

132
./

AGE
0-4 5-9 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-79 80-84 85+ TOTAL
AGE
0-4 5-9 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-79 80-84 85 UP TOTAL

Table 82
Cancer of the Stomach Age-Race and Age-Sex Specific Mortality Rates
Per 100,000 Population Georgia, 1980-1984

TOTAL

WHITE

BLACK

MALE

FEMALE

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.1

0.1

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.1

0.1

0.1

0.0

0.2

0.2

0.2

0.3

0.4

0.0

0.3

0.3

0.5

0.4

0.3

0.9

0.8

1.1

1.1

0.7

2.3

1.8

4.1

2.8

1.9

3.7

2.5

7.9

5.2

2.3

5.8

4.4

11.2

8.8

3.1

9.3

6.8

18.7

13.4

5.7

16.8

11.1

37.6

23.2

11.5

18.8

13.3

36.7

27.3

12.6

31.2

20.9

66.0

48.3

19.9

34.1

24.9

65.6

53.1

23.7

46.4

37.6

80.1

66.6

37.2

49.9

47.2

58.6

73.2

41.7

4.7

3.7

7.2

5.7

3.8

Table 83
Cancer of the Stomach Age-Race-Sex Specific Mortality Rates
Per 100,000 Population Georgia, 1980-1984

MALE

WHITE

BLACK

0.0

0.0

0.0

0.3

0.0

0.0

0.0

0.0

0.0

0.0

0.3

0.6

0.3

0.7

1.2

0.5

2.4

4.0 .

3.2

12.8

6.1

20.1

9.8

29.1

16.0

52.2

18.8

56.4

31.8

104.9

36.3

109.1

58.4

95.7

67.7

89.4

4.5

9.1

134

FEMALE

WHITE

BLACK

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.1

0.2

0.0

0.0

0.2

0.3

0.4

1.5

1.1

4.3

1.8

4.0

2.8

4.3

4.2

10.9

6.8

27.2

9.1

23.2

13.7

40.8

18.6

41.1

28.3

72.4

40.1

46.9

3.1

5.5

.;...,

Figure 56

Cancer of the Stomach

RATE PER 100,000 POPULATION

1110
White Males
1211

1110
White Females
1211

100

711
1970-1974

110

1980-1984

211

. /-
I I
'-4I
/
"-'

01 T

T

T

T



,

,

, r;

I

I

I

0-.... 10-1 .... 20-2.... 30-34 40-........ 50-84 80-&+ 70-7.... 80-64

llll+

AGE

100

711
1970-1974

110

1980-1984

211

o ITT'

....,"~ I I I I

I

0-.... 10-' .... 20-2.... 30-3+ 40-....... 50-:,+ 80-.... 70-7+ 80-84

llll+

AGE

1110

Black Males

1211

100

'75

1970-1974

1980-1984
110

t 1\
1\ I\ I\
\ \ \
\
\ l.
"-
'"

/'

~/

211

/

J . . . . , ""..,.L I

I

I

0-.... 10-'+ 20-2.... 30-3+ 40-........ 50-84 SO-lS+ 70-7+ 80-64

llll+

AGE

1110

Black Females

1211

100

711

1970-1974

1980-1984
110

211

' I 0 1 I



I

,

I



~

0-+ 10-1 .... 20-2+ 30-34 40-....... 50-54 80-.... 70-7+ 80-&4-

1111+

AGE

135

Table 84
CANCER OF THE STOMACH AGE-SEX ADJUSTED DEATH RATES BY HEALTH DISTRICT-UNIT, 1980-1984

Table 85
CANCER OF THE STOMACH AGE-SEX ADJUSTED DEATH RATES BY HEALTH DISTRICT-UNIT, 1970-1974

HEALTH

AGE-SEX

DISTRICT ADJUSTED DEATH

UNIT RATE PER 100,000

RATE AS A PROPORTIO~
OF STATE AVERAGE (STATE AVERAGE ~ 100)

HEALTH

AGE-SEX

DISTRICT ADJUSTED DEATH

U~IT

RATE PER 100,000

RATE AS A PROPORTION
OF STATE AVERAGE (STATE AVERAGE. 100)

DALTON
LAGRANGE GWINNETT GAINESVlbLE
COBB VALDOSTA
ROME CLAYTON
ALBANY ATHENS
DEKALB AUGUSTA

2.50
3.00
3.20 3.30
3.40 3.60 3.80 3.80
3.90
3.90 4.10 4.20

STATE AVERAGE

4.20

BRUNSWICK
DUBLIN
MACON COLUMBUS WAYCROSS
FULTON
SAVANNAH

4.70
4.80
4.90 4.90
5.00 5.30
6.10

59.52 71. 42 76.19 78.57 80.95 85.71 90.47 90.47 92.85 92.85 97.61 100.00
100.00
111. 90 114.28 116.66 116.66 119.04 126.19 145.23

COBB
WAYCROSS
ROME AUGUSTA
DEKALB
LAGRANGE GAINESVILLE
DUBLIN ATHENS DALTON

2.66
3.61 3.89
3.93
4.48
4.57 4.86 4.90 4.95 5.26

STATE AVERAGE

5.38

GWINNETT
FULTON
CLAYTON
SAVANNAH VALDOSTA
ALBANY COLUIlBUS
MACON BRUNSWICK

5.39 5.54 6.11
6.34 6.46 6.62 6.63 7.03 8.83

49.54 67.09 72.24 73.13 83.29 84.93 90.34 91.11 91.95 97.82
100.00
100.20 102.99 113.59 117.96 120.15 123.14 123.27 130.79 164.09

Table 86
CANCER OF THE STOMACH AGE-SEX ADJUSTED DEATH RATES BY HEALTH DISTRICT-UNIT, 1969-1972

HEALTH

AGE-SEX

DISTRICT ADJUSTED DEATH

UNIT RATE PER 100,000

RATE AS A PROPORTION OF STATE AVERAGE
(STATE AVERAGE = 100)

CLAYTON COBB
WAYCROSS LAGRANGE
DUBLIN AUGUSTA
ROME: DEKALB DALTON GAINESVILLE
GWIN~ETT
ATHENS

2.87 2.94 3.61 4.40 4.45 4.53 4.57 4.57 4.96 5.00 5.04 5.41

52.84 54.22
66.39 81.06
81. 96 83.41 84.10 84.13
91. 31
92.06
92.79 99.54

STATE AVERAGE

5.43

100.00

COLUMBUS FULTON
VALDOSTA ALBANY
MACON SAVANNAH
BRUNSWICK

5.83
6.28
6.66 6.86
7.00
8.50 9.11

107.42 115.61
122.54 126.23
128.86
156.39 167.68

136

EPIDEMIOLOGICAL PROFILE
Cancer of the Stomach
Georgia

State Mortality Rank
2)

Cause-specific Death Rate Age-sex adjusted Death Rate Percent of all Deaths

Life Stages in Years
Under 1 1-4 5-14 15-19 20-29 30-44 45-59 60-74 75 +

Ages at Risk:

45+

Race at Risk:

Blacks

MORTALITY RATES

1975-1979
0.0 0.0 0.0 0.0 0.2 1.0 6.2
23.4 41.9

1980-1984
0.0 0.0 0.0 0.0 0.1 1.1 6.1 21.3 41.0

Sex at Risk:

Males

Group(s) at Risk: Black Males Black Females

Health Status by Geographic Area:

Excellent/ Good: Fair/ Poor:

The northern third of Georgia; the east central counties; the south/ southwest. The southeast; metropolitan areas; central and west central Georgia.

Health Districts 10% and above the state rate:

Fulton, Savannah, Waycross, Columbus, Macon, Dublin and Brunswick

Urban / Rural Pattern:

Urban and rural

1975 - 1984 Mortality Rate 1990 Projected Rate
Percent change frOID 1970-1974 to 1980-1984 Cause-spec::ific:: Rate Age-sex adjusted Rate
137

4.7 4.9
-13.0 -22.2

AGE
0-4 5-9 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-79 80-84 85+ TOTAL
AGE
0-4 5-9 10-14 15-19 2024 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 6569 70-74 75-79 80-84 85 UP TOTAL

Table 87

Cancer of the Large Intestine Age-Race and Age-Sex Specific Mortality Rates
Per 100,000 Population Georgia, 1980-1984

TOTAL

WHITE

BLACK

MALE

FEMALE

0.0 0.0 0.0 0.1 0.3 0.3 1.1 2.3 3.2 8.1 17.0 24.7 36.7 60.2 91.4 122.6 154.7 191.9 14.0

0.1 0.0 0.1 0.1 0.2 0.2 0.9 2.0 2.5 6.8 15.6 23.1 34.4 58.2 86.3 123.1 153.3 212.6 14.6

0.0 0.0 0.0 0.1 0.5 0.7 1.6 3.4 5.4 12.7 22.0 30.8 44.7 66.5 108.5 120.7 160.2 126.7 12.4

Table 88

Cancer of the Large Intestine Age-Race-Sex Specific Mortality Rates
Per 100,000 Population Georgia, 1980-1984

0.0 0.0 0.1 0.1 0.5 0.4 1.0 2.5 3.5 9.0 17.1 24.3 41.8 74.0 107.4 159.2 189.9 237.1 13.3

0.1 0.0 0.0 0.1 0.2 0.2 1.1 2.1 2.9 7.1 16.8 25.1 32.4 49.9 80.8 102.4 138.8 176.0 14.6

MALE

WHITE

BLACK

0.0 0.0 0.1 0.1 0.3 0.2 0.9 2.1 2.7 7.5 15.8 24.7 39.7 73.8 103.8 163.4 186.7 259.2 14.0

0.0 0.0 0.0 0.0 0.8 0.9 1.4 4.2 6.3 15.0 22.5 22.7 50.2 74.5 119.9 145.5 201.4 171.9 11.5

FEMALE

WHITE

BLACK

0.1 0.0 0.0 0.0 0.1 0.1 0.8 1.9 2.2 6.0 15.4 21.8 29.9 46.4 74.7 101.1 138.6 196.5 15.2

0.0 0.0 0.0 0.2 0.2 0.5 1.8 2.7 4.7 10.8 21.5 36.9 40.8 61.0 101.0 106.8 139.7 109.5 13.2

139

Figure 58
Cancer of the Large Intestine
RATE PER 100.000 POPULATION

White Males
300

","0

200
1970-1974 '''0+ 1980-1984
'00
"0

r'"
1
/' If
1 /1
'FA

oI

T

I

I

I

........,...- I

I

I

I

I

0-4 10-14 20-24 30-34 40-....... &O-e... ISO-1S4 70-74 eO-1M
""+

AGE

White Females
300

","0

200
1970-1974
,&0
1980-1984

".
h

'00
o?

"0

0' I 0-4

"

1 , 1 I ~~I I

I

10-14 20-24 30-34 40-....... "0-0.... eo-..... 70-74 80-84

""+

AGE

Black Males
300

Black Females
300

2"0

2"0

200

1970-1974
'''0 1980-1984
'00
"0

1\

1\

1\

1 It

... 'I ..... 1
:;...'I

\ \
\

0'

I

I

I

I . . .~ I

I

I

I

0-4 10-' .... 20-24 30-34 40-....... 50-&4 80-64 70-74 80-....

""+

AGE

200

1970-1974
'"0 1980-1984
'00
"0

.. ,

1

... .....

h

'"

..!.~"'"

,0-,,, f'"""'": o I I ,

I'

I

I

I

I

I

0-4

20-24 30-34 4M)-...... 50-&4 80-.... 70-74 80-84

""+

AGE

140

Table 89
CANCER OF THE LARGE INTESTINE AGE-SEX ADJUSTED DEATH RATES BY HEALTH DISTRICT-UNIT, 1'80-1'84

Table 90
CANCER OF THE LARGE INTESTINE AGE-SEX ADJUSTED DEATH RATES BY HEALTH DISTRICT-UNIT, 1'70-1'74

HEALTH

AGE-SEX

DISTRICT ADJUSTED DEATH

DNIT RATE PER 100,000

RATE AS A PROPORTION OF STATE AVERAGE
(STATE AVERAGE. 100)

HEALTH

AGE-SEX

DISTRICT ADJUSTED DEATH

DNIT RATE PER 100,00(\

RATE AS A PROPORTION OF STATE AVERAGE
(STATE AVERAGE. 100)

DAtoTON DUBLIN WAyCROSS GWINNETT GAINESVILLE
ROME COBB ATHENS MACON ALBANY

7.20 8.80 10.10 11.00 11.30 11.60
11.80
11.'0 12.00 12.00

5'.01 72.13 82.78
'0.16 '2.62 '5.08 ".72
"te..3564 te.36

WAYCROSS COLUIIBUS VALDOSTA GAINESVILLE AUGUSTA

7.86 8.54
'.15
''..6218

78.91 85.73
'1.91 93.25 ".53

----------------------------------------------------

,." STATE AVERAGE

100.00

STATE AVERAGE 12.20

100.00

----------------------------------------------------

CLAYTON BJlUNSWICl LAGRANGE AUGUSTA VALDOSTA
DUALB PULTON COLUMBUS SAVANN1lJI

12.30 12.30 12.40 12.40 12.40 12.80 14.10 14.20 16.20

100.81 100.81 101.63 101.63 101.63
104.91 115.57
116.39
132.78

GWINNETT ATHENS MACON ALBANY DALTON SAVANNAB LAGRANGE DUBLIN COBB ROME DUALB CLAYTON FULTON BRUNSWICK

10.05
10.0' 10.0' 10.17 10.30 10.62 10.71 10.84 11.48 11.54
11.'2 12.34 12.85
13.'3

100." 101.34 101. 39 102.18
103.42 106.72 107.62 108.84 115.25 115.88 119.72
123." 1a.06
139.'3

Table 91
CANCER OF THE LARGE INTESTINE AGE-SEX ADJUSTED DEATH RATES BY HEALTH DISTRICT-UNIT, 1'6'-1'72

HEALTH

AGE-SEX

DISTRICT ADJUSTED DEATH

DNIT RATE PER 100,000

RATE AS A PROPORTION OF STATE AVERAGE
(STATE AVERAGE. 100)

DALTON

7.24

WAYCROSS COBB

77..'"1

COLUIIBUS

8.40

GAINESVILLE GWINNETT

8'.6.471

MACON

'.80

VALDOSTA ATHENS

''..887'

STATE AVERAGE 10.18

71.12 77.66 77." 82.44 82.58 '5.00
""..2t45
" .13
100.00

AUGUSTA ALBANY ROllE
LAGRANGE DUBLIN DEKALB
SAVANNAH PULTON
CLAYTON BRUNSWICK

10.87 11.28 11.53 11.77 11.81 12.01 12.46 12.64 14.05
16.35

106.72 110.81 113.17 115.55
115." 117. '3 122.3' 124.11
116307..5"1

141

EPIDEMIOLOGICAL PROFILE
Cancer of the Large Intestine
Georgia

State Mortality Rank
~

Cause-specific Death Rate Age-sex adjusted Death Rate Percent of all Deaths

1970-1974
11.3 10.0
1.3

1980-1984
14.0 12.2
1.7

Life Stages in Years Under 1 1-4 5-14 15-19 20-29 30-44 45-59 60-74 75 +

Ages at Risk:

45+

Race at Risk:

Whites

MORTALITY RATES

1975-1979
0.2 0.0 0.0 0.2 0.3 2.6 15.4 56.7 140.4

1980-1984
0.2 0.0 0.0 0.1 0.3 2.1 16.2 59.2 146.8

Sex at Risk:

Females

Group(s) at Risk: White Males White Females

Health Status by Geographic Area: Excellent / Good: The northeastern quadrant and interior southeast.

Fair/Poor:
Health Districts 10% and above the state rate:
Urban / Rural Pattern:

The Atlanta metropolitan area; South Carolina border; the coast and south/southwestern Georgia.
Savannah, Columbus, and Fulton Urban and Rural

1975 - 1984 Mortality Rate 1990 Projected Rate
Percent change from 1970-1974 to 1980-1984 Cause-specific Rate Age-sex adjusted Rate
142

13.4 14.5
+23.9 +22.0

FI..... S9
Cancer of the Recta., 1980-1984 Ag..SexAdjusted Death Rates Per 100,000

RATE PER 100,000

I

I 0.0 to 0.1

EXCELLENT

VIII////1 0.2 to 1.4
GOOD

~ 1.5 to 2.0
AVERAGE

-FAIR -POOR

2.1 to 2.7 2.8 to 10.0

-

Georgia Health District- Units

143

AGE
0-4 5-9 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-79 80-84 85+ TOTAL
AGE
0-4 5-9 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-79 80-84 85 UP TOTAL

Table 92

Cancer of the Rectum Age-Race and Age-Sex Specific Mortality Rates
Per 100,000 Population Georgia, 1989-1984

TOTAL

WHITE

BLACK

MALE

FEMALE

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.1

0.1

0.0

0.0

0.0

0.1

0.0

0.1

0.2

0.2

0.3

0.2

0.2

0.2

0.2

0.2

0.1

0.3

0.3

0.3

0.4

0.2

0.4

0.7

0.6

1.3

0.6

0.8

0.8

0.8

0.9

0.9

0.8

2.5

2.3

3.1

2.8

2.1

4.4

3.5

7.8

6.0

3.0

7.9

7.9

7.5

8.8

7.1

8.2

8.0

9.1

10.5

6.6

12.5

11.5

15.9

17.9

8.9

16.1

14.9

20.1

22.9

12.3

24.9

24.9

25.0

40.0

18.1

27.2

33.4

7.6

34.9

24.5

2.1

2.2

1.9

2.3

2.0

Table 93
Cancer of the Rectum Age-Race-Sex Specific Mortality Rates
Per 100,000 Population Georgia, 1980-1984

MALE

WHITE

BLACK

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.2

0.0

0.0

0.1

0.6

0.0

0.3

0.3

0.0

0.3

1.7

0.7

1.4

2.7

3.2

5.5

8.2

8.5

10.0

10.5

10.6

17.0

21.0

25.4

14.5

39.9

40.3

39.7

20.6

2.4

2.0

FEMALE

WHITE

BLACK

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.2

0.2

0.0

0.3

0.0

0.3

0.8

0.8

0.9

0.9

0.6

1.9

3.1

1.7

7.5

7.5

5.7

6.1

8.0

7.8

12.6

9.1

23.3

18.3

17.5

31.3

2.6

2.1

1.9

144

Figure 60
Cancer of the Rectum
RATE PER 100.000 POPULATION

170
eo

White Males

White Females
70
eo

50

T\

50

1970-1974

I\ I\

1970-1974

1980-1984

I I

1980-1984

I f.

,.

/,

20

20

'0
OL-......._ _- _ _......._ _- ....,.:::.-+---+-_-o__-+--+---+-_----<
0--40 10-14 20-24 .30-34 40-+4- 80-&4 00-64 70-74 80-&4 85+
AGE

'0

_ _r '

o l-0--.-. '-0--,.-...2. -0.-.2. .-..3. -0.-.34-40-.-...~..I.5O::-;::..:.::.::..:eo--'"":04-7-0-'"":.7.-'"":e-:-0-'"":04--<
e5+
AGE

Black Males

70
eo
1970-1974 1980-1984
20 10
OL-......._ _- _....

,
n
1\ 1\ 1\ 1\ 1\
,/ \ \
/ I
1\/
/\
I
-- /
"""==:;:....-+---+-_-o__-+--+---+-_----o

0-4 10-14 20-24 30-34 40-44 50-54 .0-.... 70-7.... 80-&4 85+

AGE

Black Females
70 eo
1970-1974 1980-1984
20
?'- .../
10
0-.... 10-14 20-2.... 30-34 40-...... 50-&4 80-.... 70-74 80-0+ e5+
AGE

145

Table 94
CANCER OF THE RECTUM AGE-SEX ADJUSTED DEATH RATES BY HEALTH DISTRICT-UNIT, 1980-1984

Table 95
CANCER OF THE RECTUM AGE-SEX ADJUSTED DEATH RATES BY HEALTH DISTRICT-UNIT, 1970-1974

HEALTH

AGE-SEX

DISTRICT ADJUSTED DEATH

UNIT RATE PER 100,000

RATE AS A PROPORTION
OF STATE AVERAGE (STATE AVERAGE 100)

HEALTH

AGE-SEX

DISTRICT ADJUSTED DEATH

UNIT RATE PER 100,000

RATE AS A PROPORTION
OF STATE AVERAGE (STATE AVERAGE 100)

DUBLIN BRUNSWICK AUGUSTA GAINESVILLE
DALTON FULTON
DEKALB COLUMBUS VALDOSTA
ALBANY ROME
LAGRANGE

1. 30 1.40 1.50
1. 70 1. 80 1. 80
1. 80 1. 80 1. 80 1. 80 1.90 1.90

68.42 73.68 78.94 89.47 94.73 94.73
94.73 94.73 94.73 94.73 100.00 100.00

----------------------------------------------------

STATE AVERAGE

1. 90

100.00

----------------------------------------------------

MACON ATHENS GWINNETT
SAVANNAH
WAYCROSS COBB
CLAYTON

2.00
2.00
2.10 2.20 2.20
2.40
3.20

105.26
105.26 110.52
115.78 115.78
126.31 168.42

DUBLIN ALBANY MACON ATHENS LAGRANGE
STATE AVERAGE
VALDOSTA ROME
GWINNETT BRUNSWICK SAVANNAH AUGUSTA COLUMBUS
COBB WAYCROSS
DALTON GAINESVILLE
CLAYTON DEKALB FULTON

1.20 1.23 1.52 1.74 1. 97
2.04
2.04 2.05 2.07 2.11 2.15 2.20 2.31 2.32 2.34 2.45 2.93 2.94 3.04 3.25

59.09 60.41 74.68 85.22 96.61
100.00
100.08 100.82 101.56 103.76 105.73 107.78 113.51 113.82 114.62 120.20 143.82 144.24 149.14 159.45

Table 96
CANCER OF THE RECTUM AGE-SEX ADJUSTED DEATH RATES BY HEALTH DISTRICT-UNIT, 1969-1972

HEALTH

AGE-SEX

DISTRICT ADJUSTED DEATH

UNIT RATE PER 100,000

RATE AS A PROPORTION OF STATE AVERAGE
(STATE AVERAGE ~ 100)

ALBANY COLUMBUS
ATHENS MACON
COBB DUBLIN
SAVANNAH GWINNETT

1. 20 1.25 1.27 1.52 1.57 1.57
1.59 1.69

64.85 67.66 68.61 81. 84 84.69 84.87
86.04 91.16

STATE AVERAGE

1. 85

100.00

AUGUSTA
ROME
WAYCROSS LAGRANGE
VALDOSTA DALTON
GAINESVILLE
CLAYTON BRUNSWICK
DEKALB
FULTON

1. 88
1. 98 2.10
2.10
2.19 2.29
2.53 2.68
2.73
3.50 3.67

101. 33 107.08 113.28 113.53 118.40 123.53 136.31 144.57 147.53 188.80 197.97

146

EPIDEMIOLOGICAL PROFILE
Cancer of the Rectum
Georgia

State Mortality Rank
E:>

Cause-specific Death Rate Age-sex adjusted Death Rate Percent of all Deaths

1970-1974
2.5 2.0 0.3

1980-1984
2.1 1.9 0.3

Life Stages in Years Under 1 1-4 5-14 15-19 20-29 30-44 45-59 60-74
75 +

Ages at Risk:

60 +

Race at Risk: N.S.D. *between Whites and Blacks

MORTALITY RATES

1975-1979
0.0 0.1 0.0
0.4
0.2
0.5 2.8 10.7
25.6

1980-1984
0.0 0.0 0.0 0.0
0.1
0.4
2.5
9.2 21.0

Sex at Risk:

N.S.D. * between Males and Females

Group(s) at Risk: N.S.D. * between race/sex groups

Health Status by Geographic Area: Excellent/ Good: The south and east central portions of the state.

Fair/Poor:
~~~~f@'" Health Districts 10% and above the state rate: Urban / Rural Pattern:

Scattered counties in the northern half of Georgia and a cluster of counties in the southeastern corner.
Gwinnett, Savannah, Waycross, Cobb and Clayton Urban and Rural

1975 - 1984- Mortality Rate 1990 Projected Rate
Percent change from 1970-1974to 1980-1984Cause-specific Rate Age-sex adjusted Rate
No significant difference.
147

2.2 2.0
-16.0 -5.0

AGE
0-4 5-9 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-79 80-84 85+ TOTAL
AGE
0-4 5-9 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-79 80-84 85 UP TOTAL

Table 97
Cancer of the Cervix Age-Race and Age-Sex Specific Mortality Rates
Per 100,000 Population Georgia, 1980-1984

TOTAL

WHITE

BLACK

MALE

FEMALE

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.1

0.0

0.0

0.1

0.4

0.1

1.1

0.0

0.8

1.7

1.3

2.9

0.0

3.3

1.5

1.2

2.5

0.0

2.9

2.6

1.5

6.2

0.0

5.1

3.6

2.1

8.9

0.0

7.0

4.0

2.8

8.7

0.0

7.7

5.1

3.6

10.9

0.0

9.6

5.7

4.4

10.4

0.0

10.4

6.5

4.4

13.4

0.0

11.3

7.7

5.8

14.1

0.0

12.8

9.3

5.1

23.6

0.0

14.4

16.3

12.7

30.0

0.0

23.6

18.6

13.7

34.0

0.0

25.1

2.2

1.6

3.6

0.0

4.2

Table 98
Cancer of the Cervix Age-Race-Sex Specific Mortality Rates
Per 100,000 Population Georgia, 1980-1984

MALE

WHITE

BLACK

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

149

FEMALE

WHITE

BLACK

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.1

0.0

0.2

2.0

2.5

5.4

2.3

4.6

3.0

11.4

4.2

15.9

5.4

15.4

6.9

19.2

8.1

17.9

7.7

22.5

9.6

23.3

7.9

37.0

18.3

44.9

18.4

46.9

3.1

6.8

Figure 62
Cancer of the Cervix
RATE PER 100,000 POPULATION

60

White Females

50

40

1970-1974 - - - -

1980-1984

_

30

20

I
I
I I
/ ,,-.... ....I.

/

~,.---,

10

~,. ~--

'c..... 0 1

?....-:

-r"


1-

0-4 10-14 20-24 30-34 40-44 50-54 60-64 70-74 80-8485+

AGE

Black Females 60

50

40

1970-1974 - - - -

1980-1984

"I \
I\

I\

r"'-"'~ I

I

.....

I

I

30

/J

,."

".

20

I

I

I

10

I

/

-....-=:. 0 1 ."

I

I

I

I

I

I

I

I

I

I

I

I

I

0-4 10-14 20-24 30-34 40-44 50-54 60-64 70-7480-8485+

AGE

150

Table 99 .
CANCER OF THE CERVIX AGE-SEX ADJUSTED DEATH RATES BY HEALTH DISTRICT-UNIT, 1960-1984

Table 100
CANCER OF THE CERVIX AGE-SEX ADJUSTED DEATH RATES BY HEALTH DISTRICT-UNIT, 1970-1974

HEALTH

AGE-SEX

DISTRICT ADJUSTED DEATH

UNIT RATE PER 100,000

RATE AS A PROPORTION OF STATE AVEP~GE
(STATE AVERAGE = 100)

HEALTH

AGE-SEX

DISTRICT ADJUSTED DEATH

UNIT RATE PER 100,000

RATE Af A PROPORTIOJ-;
OF STATE AVERAGE (STATE AVERAGE = 100)

CLAYTON GAINESVILLE
MACON COBB
DEKALB
DALTO~l
ATHEr;s ALBANY SAVANr;AH

0.80 1.10 1. 40 1.50 1.50 1. 70
1. 70 1. 90 1. 90

STATE AVERAGE

1. 90

GI'iIN1'IETT ROME
FULTON DUBLIN
AUGUSTA COLUMBUS WAYCROSS BRUNSWICK LAGRANGE VALDOSTA

2.00 2.20 2.20 2.20
2.30 2.30 2.30 2.30 2.50 2.80

42.10 57.89 73.68 78.94 78.94 89.47 89.47 100.00 100.00
100.00
105.26 115.78 115.78 115.78 121.05 121.05 121.05 121. 05 131.57 147.36

CLAYTON DALTON
GAINESVILLE
DEKALB SAVANNAH
COBB GWINNETT VALDOSTA COLUMBUS
ATHENS FULTON

1. 39 1.85 2.07
2.48
2.88
3.03 3.16
3.22 3.45
3.48 3.85

35.55 47.32 53.00 63.43 73.79 77.50
80.82 82.49 88.18 89.09 98.47

----------------------------------------------------

STATE AVERAGE

3.91

100.00

----------------------------------------------------

ROME LAGRANGE
DUBLIN BRUNS,iICK WAYCROSS
ALBANY MACON AUGUSTA

3.92 4.08
4.19
4.34 4.42
4.64
4.76 5.93

100.21 104.42
107.14
111.13
113.18 118.66
121.77 151. 64

Table 101
CANCER OF THE CERVIX AGE-SEX ADJUSTED DEATH RATES BY HEALTH DISTRICT-UNIT, 1969-1972

HEALTH

AGE-SEX

DISTRICT ADJUSTED DEATH

UNIT RATE PER 100,000

RATE AS A PROPORTION
(STOAFTESTAATVEERAAGVEERA=GE100)

CLAYTON DALTON DEKALB COBB
SAVANNAH GAINESVILLE
FULTON GWINNETT
DUBLIN ATHENS
ROME MACON VALDOSTA BRUNS,;ICK

2.06 2.21 2.89 2.91 2.96
3.29 3.39 3.81 3.83 3.98 4.11 4.20 4.23 4.26

44.90 48.27 62.99 63.53 64.51 71. 75 73.88 83.04 83.42 86.83 89.69 91. 46 92.10 92.84

----------------------------------------------------

STATE AVERAGE

4.59

100.00

----------------------------------------------------

COLUMBUS ALBANY
LAGRANGE WAYCROSS
AUGUSTA

4.73 5.14 5.52 6.12 6.65

103.13 112.12
120.25 133.35
14 4.85

151

EPIDEMIOLOGICAL PROFILE
Cancer of the Cervix
Georgia

State Mortality Rank
L:J

Cause-specific Death Rate Age-sex adjusted Death Rate Percent of all Deaths

1970-1974
3.8 3.9
0.4

1980-1984
2.2
1.9
0.4

Life Stages in Years Under 1 1-4 5-14 15-19
20-29
30-44 45-59 60-74
75 +

Ages at Risk:

45+

Race at Risk:

Blacks

MORTALITY RATES

19751979
0.0 0.0 0.0 0.4 0.4
1.9
6.4
10.2
14.4

19801984
0.0 0.0 0.0 0.0 0.2
1.9 7.0
6.5
13.3

Sex at Risk:

Females

Group(s) at Risk: Black Females

Health Status by Geographic Area:

Excellent / Good: Fair /Poor:

The metropolitan areas; the northeast and upper southeast. The southern two-thirds of the state.

~~'> Health Districts 10% J:.~\... and above the state rate:
~ ~ .~\;~\
'j''i Urban / Rural Pattern:

Valdosta, LaGrange, Brunswick, Waycross, Columbus, Augusta, Fulton and Rome
Rural

1975 - 1984 Mortality Rate 1990 Projected Rate
Percent change from 1970-1974 to 1980-1984 Cause-specific Rate Age-sex adjusted Rate
152

2.5 1.5
-42.1
-51.3

Figure 63
Cancer Mortality Projection to Year 1990

200

150
""-
50

0 0 ~
00... 25

1:1:

Ilol Ilo

15

Ilol
i

10

.. . --.-- .-_.-....-- ...------ ----- ~--.---

........-.-.--.-..-_....--_ -_-..---'"

-- --- -----.- .. ...-.-.---

-----.- _...-_.- -.

-_..- -

--. ----. ------------

5

.. . -- --..._. -----_ _-----

~--.--~--~--.--~--~--.--~--~

O.L-----ir----+--+--+----+--+---+--t----+--+--+----+--t---+--t---+--i

1975

1980

YEAR

1985

1990

.... - .. Total Cancer -... Cancer of the Lung ... -.... Cancer of the Large Intestine ~ - ~ Cancer of the Breast 0- - ~ Cancer of the Stomach ~ - - Cancer of the Rectum
*" - -)( Cancer of the Cervix

153

AGE
0-4 5-9 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-79 80-84 85+ TOTAL
AGE
0-4 5-9 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-79 80-84 85 UP TOTAL

Table 102
Motor Vehicle Accidents Age-Race and Age-Sex Specific Mortality Rates
Per 100,000 Population Georgia, 1980-1984

TOTAL

WHITE

BLACK

MALE

FEMALE

8.9

9.0

8.7

10.3

7.5

8.8

8.5

9.4

10.1

7.4

9.1

10.7

5.9

11.6

6.4

43.4

56.4

16.9

60.7

25.1

44.8

52.3

28.0

70.1

19.9

33.9

36.4

27.7

55.5

13.1

27.4

27.0

28.6

42.7

12.5

23.2

23.5

22.3

35.1

11.9

20.6

19.4

24.6

32.8

9.0

22.4

21.2

26.6

32.7

12.7

20.4

19.3

24.4

31.6

10.2

22.3

22.4

21.9

32.9

13.1

24.3

23.3

28.0

36.4

14.3

24.2

23.6

26.3

36.6

15.1

25.8

24.9

28.9

38.8

17.2

30.1

30.8

28.0

53.1

17.5

34.6

37.1

25.0

61.1

22.6

30.9

34.0

20.8

75.0

15.3

25.0

27.0

19.9

37.4

13.4

Table 103
Motor Vehicle Accidents Age-Race-Sex Specific Mortality Rates
Per 100,000 Population Georgia, 1980-1984

MALE

WHITE

BLACK

FEMALE

WHITE

BLACK

10.2

10.3

9.3

11.5

14.1

6.8

77.3

26.0

79.8

47.3

58.2

48.7

41.1

47.4

34.6

36.5

30.0

43.0

29.6

44.9

28.5

44.2

30.8

41.8

33.0

50.2

32.4

51.1

34.9

52.5

51.6

58.2

64.1

50.3

77.1

68.8

39.3

32.3

7.8

7.1

7.5

7.3

7.2

5.1

33.8

7.7

24.4

10.2

14.7

9.6

12.6

12.2

12.5

10.4

8.9

9.5

12.9

11.9

10.6

9.2

14.9

6.8

15.0

12.2

16.9

9.4

18.3

13.6

19.4

11.0

25.2

12.5

19.3

2.6

15.1

9.0

158

Figure 65
Motor Vehicle Accidents
RATE PER 100,000 POPULATION

White Males
'20

'00 "0

r"i

,\

I\

,\

I

\

,, \

,----
/
-/
/",.10"

110

,I

\ \?-

..... --'"'"

I

V-

40

I

I

I

20

ol....--+--+--r----o-+--+---+--+--+_>---o--+--+--r----o_+--+---+---<

0-4

10-'4 20-2.... 30-34 40-...... .50-84 lSo-e... 70-74 80-84
""+

1970-1974

AGE

1980-1984

White Females
'20

'00

110

110

40 20

"I \
~ ~ ---...----_...------/~-" \

'"

0-4 10-14 20-24 30-34 -..0-+4 50-&4 eo-84 70-7.... 80-84
""+
AGE 1970-1974

1980-1984

Black Males

'20

/~\

,~\

100

J' \

/'

,\

1 \ ..... .... \\

,II

I I

\..-' \ / \/

\ JI

r , \

"0

I

V

\/\, \ I

I

'" \ ~ \ I

I

\/

\I

eo ......., ,,,,,,Ir
20
\1

'"

\
\

1

oL--+--+--r----o-+--+---+--+--+->---o--+--+-_----o-+--+---+---<
0-4 10-'4 20-2.... 30-34 40-...... eo-:t.... eO-1S4 70-74 80-&4
""+
AGE

1970-1974 1980-1984

Black Females
'20
'00
"0
110
20
oL--+--+-_----o_+--+---+--+--+_>---o--+--+-_----o_+--+-__+_~
0-'" 10-'''' 20-24 30-34 40-+4 50-M eo-84 70-7'" 80-&4-
""+
AGE 1970-1974 1980-1984

159

Table 104
MOTOR VEHICLE ACCIDENTS AGE-SEX ADJUSTED DEATH RATES BY HEALTH DISTRICT-UNIT, 1980-1984

Table 105
MOTOR VEHICLE ACCIDENTS AGE-SEX ADJUSTED DEATH RATES BY HEALTH DISTRICT-UNIT, 1970-1974

HEALTH

AGE-SEX

DISTRICT ADJUSTED DEATH

UNIT RATE PER 100,000

RATE AS A PROPORTION OF STATE AVERAGE
(STATE AVERAGE = 100)

HEALTH

AGE-SEX

DISTRICT ADJUSTED DEATH

UNIT RATE PER 100,000

RATE AS A PROPORTION OF STATE AVERAGE
(STATE AVERAGE = 100)

DEKALB FULTON SAVANNAH AUGUSTA COLUMBUS CLAYTON
VALDOSTA

16.70 19.60 19,90 22.00 22.00 22.70
23.70

69.87 82.00 83.26
92.05 92.05 94.97
99.16

----------------------------------------------------

STATE AVERAGE 23.90

100.00

DEKALB FULTON CLAYTON SAVANNAH
COBB GWINNETT
DAU'ON LAGRANGE
ROME ATHENS ALBANY

18.39 23.48 33.89 34.69 40.60 45.18
46.08 48.18 54.02 54.19 56.65

30.90 39.45 56.94 58.30
68.22 75.91 77.43 80.96 90.77 91.05 95.19

COBB GWINNETT
MACON LAGRANGE
ALBANY ATHENS WAYCROSS
ROME BRUNSWICK DALTON -
DUBLIN GAINESVILLE

24.10 24.10 24.40 25.50 25.90 26.10 26.80 27.60 28.20 30.20 30.30 33.20

100.83 100.83 102.51 106.69 108.36 109.20 112.13 115.48 117.99 126.35
126.77 138.91

STATE AVERAGE 59.51

100.00

----------------------------------------------------

WAYCROSS VALDOSTA
MACON DUBLIN GAINESVILLE AUGUSTA COLUMBUS BRUNSWICK

61. 34 61.67
62.03
63.23
65.25
65.98 66.42
93.96

103.07 103.63 104.23 106.25 109.63 11 0.86 111. 60 157.87

Table 106
MOTOR VEHICLE ACCIDENTS AGE-SEX ADJUSTED DEATH RATES BY HEALTH DISTRICT-UNIT, 1969-1972

HEALTH

AGE-SEX

DISTRICT ADJUSTED DEATH

UNIT RATE PER 100,000

RATE AS A PROPORTION OF STATE AVERAGE
(STATE AVERAGE = 100)

DEKALB
FULTON CLAYTON
SAVANNAH
COBB GWINNETT
DALTON
LAGRANGE
ROME WAYCROSS
ATHENS
VALDOSTA
ALBANY DUBLIN

19.63 24.16
35.02
37.46
41. 30 48.34
51.28
55.37 56.24
59.06
59.07 59.13 60.66
61.57

31. 84
39.19 56.80
60.76
66.99 78.41 83.17
89.81 91. 22
95.79
95.80 95.91 98.40
99.86

-------------------------~--------------------------

STATE AVERAGE 61.65

100.00

AUGUSTA
MACON GAINESVILLE
COLUMBUS BRUNSWICK

62.51
67.67 68.21
69.20
99.28

101. 39 109.76 110.64
112.25 161. 02

160

EPIDEMIOLOGICAL PROFILE
Motor Vehicle Accidents
Georgia

State Mortality Rank
EJ

Cause-specific Death Rate Age-sex adjusted Death Rate Percent of all Deaths

1970-1974
37.4 59.5
4.2

1980-1984
25.0 23.9
3.1

Life Stages in Yeal'S Under 1 1-4 5-14 15-19 20-29 30-44 45-59 60-74 75 +
All ages; particularly high risk Ages at Risk: from ages 15-29

MORTALITY RATES

1975-1979
7.8 14.2 12.4 49.0 41.6 27.7 27.7 28.4 34.5

1980-1984
9.2 8.8 8.9 43.4 39.4 24.2 21.7 24.7 31.6

Sex at Risk:

Males

Race at Risk:

Whites

Gl'oup(s) at Risk: White Males White Females

Health Status by Geographic Area:

Excellent/Good: Fail'/ Poor:

The Atlanta metropolitan area and portions of the northwest and south central areas. The northeast and scattered counties in southeastern and southwestern Georgia.

"f~~~~~

Health Districts 10" and above the state rat

e:

Gainesville, Dublin, Dalton, Brunswick, Rome and Waycross.

Urban / Rural Pattern:

Rural

1975 - 1984 Mortality Rate 1990 Projected Rate
Percent change from 1970-1974 to 1980-1984 Cause-specific Rate Age-sex adjusted Rate
161

26.3 20.5
-33.2 -59.8

AGE
0-4 5-9 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-79 80-84 85+ TOTAL
AGE
0-4 5-9 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-79 80-84 85 UP TOTAL

Yable 107
All Other Accidents Age-Bace and Age-Sex Specific Mortality Bates
Per 100,000 Population Geor~a, 1980-1984

TOTAL

WHITE

BLACK

MALE

FEMALE

21.6 7.2 7.3
13.5 19.0 18.3 17.9 21.2 22.7 22.8 29.0 29.4 37.4 43.5 58.7 82.3 149.2 269.1 25.1

17.1 5.1 6.6 14.0 19.7 17.9 15.2 16.1 18.5 18.4 23.9 24.4 30.6 34.4 51.1 77.5 137.2 301.5 23.1

29.9 11.3
8.8 12.3 17.4 19.4 25.5 36.6 36.3 38.6 47.7 48.4 61.9 72.9 84.3 98.9 195.2 166.4 30.3

24.1 9.0
10.7 22.7 32.6 31.5 29.3 34.6 36.2 37.1 44.9 48.2 56.8 69.9 85.4 120.7 207.7 345.2 35.2

19.1 5.3 3.8 3.7 5.6 5.7 6.8 8.3 9.9 9.3 14.5 13.0 21.4 23.9 40.9
61.2 122.7 242.3
15.6

Yable 108
All Other Accidents Age-Bace-Sex Specific Mortality Bates
Per 100.000 Population Geor~a, 1980-1984

MALE

WHITE

BLACK

FEMALE

WHITE

BLACK

19.5 6.5 9.9 23.3 33.7 30.6 24.1 25.8 28.7 29.1 35.3 40.4 46.4 54.1 77.6
113.3 171.0 392.3
31.6

32.8 14.0 12.3 21.4 30.1 34.0 44.6 64.3 63.0 69.2 84.4 81.8 98.4 124.5 112.4 145.5 337.3 206.3 44.9

14.7 3.6 3.0 4.0 5.6 5.1 6.0 6.4 8.4 7.8 13.0 10.1 17.1 19.4 33.4 57.9
122.2 270.3
14.9

27.0 8.6 5.3 3.0 5.6 6.8 8.9 13.5 14.2 14.2 19.7 23.3 35.8 37.8 66.1 72.6
124.7 151.2
17.5

163

Figure 67 All Other Accidents
RATE PER 100.000 POPULATION

White Males
~
1970-1974
300
1980-1984
20:)

White Fe.ales
~
1970-1974
300
1980-1984
200

'00

_-_---------J/-

0'

::t::::"" I I

I

I

I

I

I

I

I

0-4 10-14 20-24 30-34 40-...... .50-54 eo-e.... 70-74 80-84

11&+

AGE

'00

o I ~ .... .,., , , r.,.-r=~,

,

0-4 10-' .... 20-2-4 30-34 <60-44 SO-54 SO-M 70-74 80-....

11&+

AGE

Black Males
~
1970-1974
300
1980-1984
200

Black Fe.ales
400
1970-1974
300
1980-1984
200

'00

...."

'\

oI

I

I"

I

I

I

I

I

I

I

0-4 10-1 .... 20-24 30-34 40-+4 &0-64 80-.... 70-74 80-....

11&+

AGE

100

'\

0 1 : \ 1 - ...1 r::-:~

"

0-4 10-1 .... 20-24 30-34 40-44 eo-M 80-..... 70-74 80-.....

8D+

AGE

164

Table 109

Table 110

ALL OTHER ACCIDENTS AGE-SEX ADJUSTED DEATH RATES
BY HEALTH DISTRICT-UNIT, 1980-1984

HEALTH

AGE-SEX

DISTRICT ADJllSTED DEATH

llNIT RATE PER 100,000

RATE AS A PROPORTION
OF STATE AVERAGE (STATE AVERAGE ~ 100)

-----------------------------------------------------

COBB DEKALB CLAYTON GWINNETT ATHENS DALTON GAINESVILLE
ROME LAGRANGE
MACON

17.70 17.70
17.90 18.70 20.20 20.30
20.40 21. 70 22.70 23.00

75.64 75.64 76.49 79.91 86.32 86.75
87.17 91.45 97.00 98.29

STATE AVERAGE 23.40

100.00

----------------------------------------------------

COLUMBUS AUGUSTA SAVANNAH
ALBANY FULTON VALDOSTA BRUNSWICK DUBLIN
WAYCROSS

25.10 25.90 25.90 27.60 27.70 28.10 28.10 31.10 31.20

107.26 110.68 110.68 117.94 118.37 120.08 120.08 132.90 133.33

ALL OTHER ACCIDENTS
AGE-SEX ADJUSTED DEATH RATES BY HEALTH DISTRICT-UNIT, 1970-1974

-----------------------------------------------------

HEALTH

AGE-SEX

DISTRICT ADJUSTED DEATH

UNIT RATE PER 100,000

RATE AS A PROPORTION OF STATE AVERAGE
(STATE AVERAGE. 100)

---------------------------------------------------_.

DEKALB COBB
GWINNETT CLAYTON
DALTON FULTON ATHENS
ROME LAGRANGE SAVANNAH
DUBLIN GAINESVILLE

20.95 25.44 26.97 27.42 29.13 30.69 31.51 31.67 33.85 35.46 38.55 40.69

50.21 60.98 64.65 65.72 69.82 73.56 75.54 75.91 81.13 84.99 92.40
'7.54

STATE AVERAGE 41. 72

100.00

VALDOSTA
ALBANY
AUGUSTA WAYCROSS
COLUMBUS MACON
BRUNSWICK

42.41 44.60
45.47
46.01
49.69 51.49 60.78

101. 65
106.90 108.99
110.27
119.09
123.41 145.68

Table 111
ALL OTHER ACCIDENTS AGE-SEX ADJUSTED DEATH RATES BY HEALTH DISTRICT-UNIT, 1969-1972

HEALTH

AGE-SEX

DISTRICT ADJUSTED DEATH

llNIT RATE PER 100,000

RATE AS A PROPORTION
OF STATE AVERAGE (STATE AVERAGE ~ 100)

DEKALB CLAYTON
COBB GWINNETT
FULTON DALTON
ROME ATHENS LAGRANGE GAINESVILLE DUBLIN SAVANNAH

18.95 22.64 23.92 28.85 29.97 30.20 33.29 35.44 35.66 37.44 39.08 39.04

43.70 52.21 55.16 66.53 69.11 69.64 76.77 81.49 82.23 86.33 90.12 92.12

STATE AVERAGE 43.36

100.00

VALDOSTA
WAYCROSS COLUMBUS
ALBANY AUGUSTA
MACON
BRUNSWICK

45.26 46.65
48.38 48.78
48.97
51. 91
74.86

104.37 107.58 111. 56 112.49 112.93 119.71 172.64

165

EPIDEMIOLOGICAL PROFILE
All Other Accidents
Georgia

stateMoDDk

Cause-specific Death Rate Age-sex adjusted Death Rate Percent of all Deaths

1970-1974
32.9 41.7
3.7

1980-1984
25.1 23.4
3.1

Life Stages in Years Under 1 1-4 5-14 15-19 20-29 30-44 45-59 60-74 75 +

MORTALITY RATES

1975-1979
47.5 19.0 11.1 20.9 20.7 24.6 33.5 44.2 145.4

1980-1984
36.5 17.9
7.3 13.5 18.7 20.3 26.9 45.1 142.0

All ages; particularly infants Ages at Risk: and persons over 65

Sex at Risk:

Males

Race at Risk:

Blacks

Group(s) at Risk: Black Males Black Females

Health Status by Geographic Area: Excellent / Good: The northern half of the state.

Fair/Poor:
Health Districts 10% and above the state rate:
Urban / Rural Pattern:

The southern half of the state including scattered northern counties.
Waycross, Dublin, Brunswick, Valdosta, Fulton, Albany, Savannah and Augusta. Primarily rural

1975 - 1984 Mortality Rate 1990 Projected Rate
Percent change hom 1970-1974 to 1980-1984 Cause-specific Rate Age-sex adjusted Rate
166

27.1 19.1
-23.7 -43.9

AGE
0-4 5-9 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-79 80-84 85+ TOTAL
AGE
0-4 5-9 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-79 80-84 85 UP TOTAL

Table 112
Homicide Age-Race and Age-Sex Specific Mortality Rates
Per 100,000 Population Georgia, 1980-1984

TOTAL

WHITE

BLACK

MALE

FEMALE

3.4

2.1

6.0

3.1

3.8

0.8

0.7

1.0

0.6

1.0

1.6

0.7

3.3

1.8

1.4

8.2

5.0

14.6

11.2

5.0

20.6

10.3

43.8

30.9

10.5

26.5

12.5

59.9

40.4

13.2

22.4

9.4

58.7

34.2

10.9

20.9

11.0

51.3

33.2

9.2

19.6

12.0

44.3

30.8

9.0

17.0

8.7

46.5

27.4

7.3

16.7

10.2

40.8

27.0

7.4

10.6

5.6

29.7

17.9

4.2

10.7

6.0

28.0

18.0

4.8

7.7

5.3

15.5

14.6

2.7

7.7

4.4

18.9

15.9

2.2

7.7

4.9

17.5

14.0

4.3

6.6

6.1

8.3

14.4

3.0

9.5

6.0

20.8

19.2

6.1

13.2

7.0

28.8

20.3

6.5

Table 113
Homicide Accidents Age-Race-Sex Specific Mortality Rates
Per 100,000 Population Georgia, 1980-1984

MALE

WHITE

BLACK

FEMALE

WHITE

BLACK

1.8

5.7

0.4

1.0

0.6

4.0

6.7

20.5

14.9

68.3

19.2

95.0

13.7

96.2

16.9

87.9

18.5

74.5

14.2

79.9

16.0

72.3

9.8

52.7

10.5

48.2

9.6

31.9

9.2

39.0

8.0

33.9

12.8

20.1

11.7

41.3

10.7

45.7

2.3

6.3

1.0

1.0

0.8

2.5

3.2

8.6

5.6

21.1

5.8

29.6

5.0

26.2

5.1

20.8

5.6

19.4

3.4

19.9

4.6

16.6

1.9

12.3

2.1

13.6

2.1

4.4

1.2

5.8

3.2

8.2

3.1

2.5

4.0

13.0

3.5

13.9

168

Figure 69
Homicide
RATE PER 100,000 POPULATION

1970-1974 1980-1984
200

White Males

'''0 100

"0

- ,-,......._----

oL---L======~":=:-~~

0-4 10-14 20-24 30-34 40-..... 50-&4 SO-84 70-74 80-84
~...

AGE

White Females 1970-1974 1980-1984
200

'!lO 100

"0

L _ _ o

-=t:=::::::=!=~~~~~===--_~~"'---'

... 0-4 10-'4 20-24 30-34 40-404 SO-&.... eO-84 70-74 80-8"" ~

AGE

Black Males

2"0 1970-1974

1980-198:1 ,..-".

200

I

'---..,

I

\

I

\

'''0

fI

\\

I

\

J

--,

'00

I I

I
~

\ ~,
,~

"0

I I

' ....

I

I

0-4

."... 10-14 20-24 .30-34 40-44 50-&4 eO-e4 70-74 150-&4

AGE

1970-1974 1980-1984
200

Black Females

'''0

'00

AGE

169

Table 114
HOMICIDES AGE-SEX ADJUSTED DEATH RATES BY HEALTH DISTRICT-UNIT, 1980-1984

Table 115
HOMICIDES AGE-SEX ADJUSTED DEATH RATES BY HEALTH DISTRICT-UNIT, 1970-1974

HEALTH

AGE-SEX

DISTRICT ADJUSTED DEATH

UNIT RATE PER 100,000

RATE AS A PROPORTION OF STATE AVERAGE
(STATE AVERAGE = 100)

-----------------------------------------------------

GWINNETT COBB
CLAYTON GAINESVILLE
DALTON ROME
ATHENS DERALB BRUNSWICR VALDOSTA LAGRANGE MACON WAYCROSS

5.10 6.00 6.40 8.10 8.30 10.10
10.10 10.50 10.70 10.80 10.90 12.10 12.10

42.14 49.56 52.89 66.94 68.59 83.47 83.47 86.77 88.42 89.25 90.08 100.00 100.00

HEALTH

AGE-SEX

DISTRICT ADJUSTED DEATH

UNIT RATE PER 100,000

RATE AS A PROPORTION OF STATE AVERAGE
(STATE AVERAGE = 100)

-----------------------------------------------------

CLAYTON COBB
GAINESVILLE ROME
DALTON DERALB GWINNETT SAVANNAH LAGRANGE WAYCROSS

7.31 9.77 11.91 11. 96 12.37 14.40
14.88 15.21 lB.83 18.97

37.05
49.51 60.35 60.63 62.71 72.98 75.41 77.11 95.40 96.13

STATE AVERAGE 19.73

100.00

STATE AVERAGE 12.10

COLUMBUS
DUBLIN AUGUSTA
ALBANY
SAVANNAH FULTON

12.50 12.80 14.50 14.80 18.40 23.00

100.00
103.30 105.78 119.83 122.31 152.06 190.08

MACON
ATHENS DUBLIN
ALBANY
BRUNSWICR VALDOSTA
AUGUSTA COLUMBUS
FULTON

20.50 21.47
21. 50
22.42 22.66 23.46
23.80
25.80 37.31

103.90 108.83 108.96 113.61
114.84 118.87 120.61 130.73 189.08

Table 116
HOMICIDES AGE-SEX ADJUSTED DEATH RATES BY HEALTH DISTRICT-UNIT, 1969-1972

HEALTH

AGE-SEX

DISTRICT ADJUSTED DEATH

UNIT RATE PER 100,000

RATE AS A PROPORTION OF STATE AVERAGE
(STATE AVERAGE = 100)

CLAYTON ROME
COBB DALTON GAINESVILLE GWINNETT
DERALB SAVANNAH LAGRANGE

6.52 9.85 12.30 12.35 12.42 13.32
15.04 15.27 18.47

35.19 53.16 66.38 66.64 67.03 71. 88
81.16 82.43 99.66

STATE AVERAGE 18.53

100.00

MACON COLUMBUS
ALBANY ATHENS WAYCROSS DUBLIN VALDOSTA BRUNSWICR AUGUSTA FULTON

18.53 18.99 19.50 19.68 20.08 20.92 22.90 23.22 24.83 34.92

100.02 102.50 105.24 106.22 108.35 112.89 123.60 125.31 134.02 188.45

170

EPIDEMIOLOGICAL PROFILE
Homicide
Georgia

State Mortality Rank
D

Cause-specific Death Rate Age-sex adjusted Death Rate Percent of all Deaths

19701974
19.8 19.7
2.2

1980-1984
13.2 12.1
1.6

Life Stages in Years Under 1 1-4 5-14 15-19 20-29 30-44 45-59 60-74 75 +

MORTALITY RATES

19751979
7.5 2.9
1.2
9.4 25.7 27.8 20.7
11.9
7.8

1980-1984
5.7 2.9
1.2
8.2 23.5 14.9 14.9
8.9 7.8

Ages at Risk: Infants and ages 15 +

Sex at Risk:

Males

Race at Risk:

Blacks

Group(s) at Risk: Black Males Black Females

Health Status by Geographic Area:

Excellent / Good: Fair / Poor:

The northeastern and northwestern corners of the state; some interior southeastern counties. East central and southwest Georgia; Fulton County and some coastal counties.

Health Districts 10% and above the state rate:

Fulton, Savannah, Albany and Augusta

Urban / Rural Pattern:

Primarily urban; also rural

1975 - 1984 Mortality Rate 1990 Projected Rate
Percent change from 1970-1974 to 1980-1984 Cause-specific Rate Age-sex adjusted Rate
171

14.4 8.5
-33.3 -38.6

AGE
0-4 5-9 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-79 80-84 85+ TOTAL
AGE
0-4 5-9 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-79 80-84 85 UP TOTAL

Table 117
Suicide Age';Race and Age-Sex Specific Mortality Rates
Per 100,000 Population Georgia, 1980-1984

TOTAL

WHITE

BLACK

MALE

FEMALE

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.6

0.9

0.1

0.8

0.5

7.4

9.5

3.2

10.8

3.8

14.7

17.7

8.0

24.1

5.4

18.1

21.3

10.5

29.0

7.7

15.3

17.6

8.9

23.8

7.1

16.9

20.2

6.9

26.5

7.8

15.6

18.8

5.2

23.8

7.9

19.3

22.4

8.2

29.1

10.0

20.2

24.1

5.9

31.6

10.0

20.9

23.4

10.9

34.3

9.3

19.8

23.8

5.0

31.2

10.4

18.1

22.0

5.6

32.6

7.4

19.6

23.7

5.9

41.2

5.4

22.6

27.4

6.1

48.6

8.3

17.0

20.1

5.0

45.5

4.0

13.6

17.3

1.9

47.1

1.8

12.5

15.4

5.0

19.8

5.6

Table 118
Suicide Age-Race-Sex Specific Mortality Rates
Per 100,000 Population Georgia, 1980-1984

MALE

WHITE

BLACK

FEMALE

WHITE

BLACK

0.0

0.0

0.0

0.0

1.0

0.3

13.8

4.6

28.3

14.1

33.3

17.9

26.3

16.1

30.6

12.5

27.7

9.7

32.5

15.7

36.7

10.4

37.4

20.9

37.5

6.0

39.2

9.6

49.3

13.5

59.5

12.1

54.1

15.1

60.7

6.9

24.0

8.5

0.0

0.0

0.0

0.0

0.8

0.0

4.8

1.9

6.8

2.4

9.4

4.1

8.8

2.7

9.7

2.3

10.0

1.4

12.4

2.3

12.2

2.5

10.9

3.4

12.2

4.3

8.9

2.9

6.7

1.0

9.9

2.7

5.0

0.0

2.4

0.0

7.2

1.8

173

Figure 71 Suicide
RATE PER 100.000 POPULATION

70
eo 1970-1974
50+
1980-1984
40
30

White Males
/ .......
,.. /-~
/ .....~
/ /
.1'

20

'0

0' , l~ I I I

I

I

I

I

0-4 10-14 20-24 .30-.:J4 40-44 50-04 fSO-64 70-7'" 80-84

U+

AGE

White Females
70

eo 1970-1974
50
1980-1984
40

30

20

'0

- 'A, r

.

.

-

-.,...

.............................
~

~ .....

o ! T ,-d(:

I

I

I

I

I

~"'I'

0-4 10-14 20-24 .10-34 <40-44 50-&4 .0-.... 70-74 80-&4-

e5+

AGE

70
eo 1970-1974
50
1980-1984
40

Black Males

30

20

'0

oI I
0-4

"I

I

I

I

I

I

I

I

I ...

10-14 20-24 30-~ 40-44 50-54 .0-.... 70-74 80-....

85+

AGE

Black Females
70
eo 1970-1974
eo 1980-1984
40
30
20
_ -- '0
o I T ~T......: ..... ..: .. ...........~" 0-4 '0-'4 20-24 1IO-34 40--44 llO-M 8O-M 70-74 llO-M 85+ AGE

174

Table 119
SUICIDES AGE-SEX ADJUSTED DEATH RATES BY HEALTH DISTRICT-UNIT, 1980-1964

Table 120
SUICIDES AGE-SEX ADJUSTED DEATH RATES BY HEALTH DISTRICT-UNIT, 1970-1974

HEALTH

AGE-SEX

DISTRICT ADJUSTED DEATH

UNIT RATE PER 100,000

RATE AS A PROPORTION
(STOAFTESTAATVEERAAGVEERA=GE100)

HEALTli

AGE-SEX

DISTRICT ADJUSTED DEATH

UNIT RATE PER 100,000

RATE AS A PROPORTION OF STATE AVLRAGE
(STATE AVERAGE = 100)

AUGUSTA WAYCROSS BRUNSWICK
DEKALI'.
COLUMBGS VALDOSTA SAVANNAH
ATHENS DUBLIN MACON DALTON

9.00
9.40 9.90
10.40 10.50
10.50 10.60
10.80
11.10
11.30 11. 40

STATE AVERAGE 11.50

GWIt-:NETT GAINESVILLE
FULTON ALBANY
ROME LAGRANGE
COBB CLAYTON

11.70 12.00 12.30 12.40 12.50 12.90 14.50 15.00

78.26 81. 73 86.08 90.43 91. 30 91.30 92.17 93.91 96.52 98.26 99.13
100.00
101.73 104.34 106.95 107.62 108.69 112.17 126.06 130.43

SAVANNAH BRUNSWICK COLUMBUS
MACON VALDOSTA
ALBAKY
WAYCROSS AUGUSTA
DUBLIN

5.55 5.83 9.42 9.81 10.08 10.51
10.64 11.05 11.23

49.31 51. 82 83.67 87.15 89.56 93.39 94.55 98.15 99.75

----------------------------------------------------

STATE AVERAGE 11. 25

100.00

GAIt-:ESVILLE LAGRANGE ROME DALTON DEKALB GWINNETT CLAYTON FULTO!' COBB ATHENS

12.14 12.14 12.38 13.51 14.25 14.69 15.05 15.06 15.17 16.80

107.85 107. 86 110.05 120.03 126.62 130.53 133.73 133.62 134.79 149.26

Table 121
SUICIDES AGE-SEX ADJUSTLD DEATH RPTES BY HEALTH DISTRICT-UNIT, 1969-1972

HEALTH

AGE-SEX

DISTRICT ADJUSTED DEATH

UNIT RATE PER 100,000

RATE AS A PROPORTION
(STOAFTESTAATVEERAAGVEERA=GE100)

BRUNSWIC~
SAVANNAH VALDOSTl>.
WAYCROSS GAINESVILLE
ALBANY DUBLIN MACOK

6.77 6.90 8.38 8.39 8.43 9.65 10.39 10.81

61. 96 63.23
76.78 76.84
77.19
88.35 95.15 98.96

STATE AVERAGE 10.92

100.00

AUGUSTA LAGRANGE GWINNETT
ROME DALTON COLUMBUS
COBB DEKALB FULTON CLAYTON ATHENS

11. 43 11. 85 12.42 12.47 12.81 13.23 13.61 13.76 14. 40 15.46 16.25

104.67 108.56
113.76 114.24
117.32 121.15
124.68 126.00
133.70
141.57 14 8.77

175

EPIDEMIOLOGICAL PROFILE
Suicide
Georgia

State Mortality Rank
[0

Cause-specific Death Rate Age-sex adjusted Death Rate Percent of all Deaths

1970-1974
12.6 11.3
0.4

1980-1984
12.5 11.5
1.6

MORTALITY RATES

Life Stages in Veal's Under 1 1-4 5-14

1975-1979
0.0 0.0 0.5

1980-1984
0.0 0.0 0.3

15-19 20-29 30-44 45-59 60-74
75 +

8.1

7.4

17.0

16.4

18.4

15.9

\

24.3

20.1

25.0

19.2

16.9

19.0

Ages at Risk:

15+

Sex at Risk:

Males

Race at Risk:

Whites

Group(s) at Risk: White Males

Health Status by Geographic Area: Excellent / Good: East central and southeastern portions of the state.

Fair/Pool': Health Districts 10% ..........~ and above the state rate:

Scattered counties throughout the remainder of the state.
Cobb, LaGrange and Clayton

Urban / Rural Pattern:

Rural and Urban

1975 - 1984 Mortality Rate 1990 Projected Rate
Percent change from 1970-1974to 1980-1984Cause-specific Rate Age-sex adjusted Rate
176

13.1 11.3
-0.8 + 1.8

Figure 72
Deaths by Violence Projection to Year 1990
RATE PER 100.000 POPULATION

40 ~ -o4 Motor Vehicle Accidents

-... All Other Accidents

30 20

. ........ ......

./
,./

...... ~~--.........

....... ..... .".,.-...

....><"......,

...................,//

.............. / /

_~

......... /

......

~-- .................

. ...--- --.. -----...;:-:---.._------ """~',..~ -,......

.... -..... Suicide 0- - ~ Homicide
-.:8:::-_
::::::::-----

10

o ..L.....--+---+---+-----+--+----ll---I---+--+----+---+---+---+----+---+----ll------l

1975

1980

1985

1990

YEAR

177

Figure 73 Diabetes MeUitus,1980-1984 Age-Sex Adjusted Death Rates Per 100,000

RATE PER 100,000

EXCELLENT

2.8 to 7.3

VlI/2///J 7.4 to 9.8
GOOD

~ . 9.9 to 11.9
AVERAGE

FAIR
--POOR

12.0 to 17.1 17.2 to 31.6

_

Georgia Health District- Units

181

AGE
04 5-9 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-79 80-84 85+ TOTAL
AGE
0-4 5-9 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-79 80-84 85 UP TOTAL

Table 122
Diabetes Age-Race and Age-Sex Specific Mortality Rates
Per 100,000 Population Georgia, 1980-1984

TOTAL

WHITE

BLACK

MALE

FEMALE

0.1 0.0 0.1 0.3 0.3 1.1 2.4 3.9 6.2 6.5 16.0 23.7 38.5 54.8 84.0 101.3 144.7 176.5 13.4

0.1 0.0 0.1 0.3 0.2 0.9 1.5 2.5 3.7 4.5 8.1 13.0 27.8 41.8 68.2 86.4 130.2 183.3 11.2

0.1 0.0 0.3 0.2 0.5 1.6 4.9 8.2 14.5 13.9 45.0 65.2 77.3 96.7 137.4 152.2 200.2 155.0 18.9

0.2 0.0 0.1 0.1 0.4 1.2 2.9 3.9 5.8 7.2 15.1 27.0 36.4 50.8 80.7 104.5 129.9 167.4 10.8

0.1 0.0 0.2 0.4 0.2 1.0 1.9 3.8 6.7 5.9 16.8 20.8 40.2 57.7 86.1 99.6 151.4 179.7 15.8

Table 123
Diabetes Age-Race-Sex Specific Mortality Rates
Per 100,000 Population Georgia, 1980-1984

MALE

WHITE

BLACK

FEMALE

WHITE

BLACK

0.1 0.0 0.1 0.1 0.1 1.0 1.9 3.3 3.5 5.7 9.4 17.0 29.5 40.5 72.4 98.8 128.2 177.5 9.6

0.3 0.0 0.0 0.2 1.0 1.8 5.8 6.0 13.8 12.8 38.6 70.0 64.3 86.2 109.4 123.6 135.9 137.5 14.1
182

0.1 0.0 0.0 0.5 0.2 0.8 1.0 1.6 3.8 3.2 6.9 9.4 26.3 42.9 65.4 79.7 131.0 185.3 12.8

0.0 0.0 0.5 0.2 0.0 1.5 4.2 10.0 15.1 14.8 49.8 61.6 86.6 103.8 155.5 168.4 232.0 161.6 23.2

figure 74 Diabetes
RATE PER 100.000 POPULATION

White Males

White Females
2lIO

200
1970-1974
.110
1980-1984
100
0-4 10-14 20-24 30-34 040-+4 ~-04 80-..... 70-74 8O-M 85+
AGE

200

1970-1974
.110
1980-1984

./

100

//

/)

T -:.--

j/

0.L..__......_ _-

- d _ ~~~_+__+_

_+-~~_+__

0-4 10-14 20-24 30-34 040-........ 50-54 80-84 70-74 80-84 85+

AGE

Black Males
2110 200
1970-1974 ----
1110
1980-1984 - -
.00
AGE

Black Females
2110
200
1970-1974
.50
1980-1984
.00
50
0-4 10-14 20-24 30-34 40-44 80-&4 80-84 70-7'" eo-54 85+
AGE

183

Table 124
DIABETE& MELLITUS AGE-SEX ADJUSTED DEATH RATES BY HEALTH DISTRICT-UNIT, 1980-1984

Table 125
DIABETES MELLITUS AGE-SEX ADJUSTED DEATH RATES BY HEALTH DISTRICT-UNIT, 1970-1974

HEALTH

AGE-SEX

DISTRICT ADJUSTED DEATB

UNIT RATE PER 100,000

RATE AS A PROPORTION OF STATE AVERAGE
(STATE AVERAGE. 100)

HEALTH

AGE-SEX

DISTRICT ADJUSTED DEATH

UNIT RATE PER 100,000

RATE AS A PROPORTION OF STATE AVERAGE
(STATE AVERAGE 100)

DUALB LAGRANGE GWINNETT
DALTON ROME COBB
AUGUSTA GAINESVILLE
BRUNSWICK

8.30 8.50 8.60
9.10 9.60 10.40 10.50 10.90 11.70

STATE AVERAGE 11.70

WAYCROSS MACON
SAVANNAH VALDOSTA CLAYTON
FULTON DUBLIN ATHENS ALBANY COLUMBUS

11. 90 12.00 12.60 13.10 13.30 13.50 13.60 13.70 15.60 16.50

70.94 72.64 73.50 77.77 82.05 88.88 89.74 93.16 100.00
100.00
101. 70 102.56 107.69 111. 96 113.67 115.38 116.24 117.09 133.33 141.02

LAGRANGE
DEKALB COBB
GAINESVILLE GWINNETT COLUMBUS
VALDOSTA ROME

10.38 11. 87 12.62 12.75 13.71 14.07 14.51 15.39

STATE AVERAGE 15.89

DALTON ATHENS SAVANNAH
MACON WAYCROSS CLAYTON
FULTON AUGUSTA
ALBANY DUBLIN BRUNSWICK

16.39 16.61 16.65
16.84 16.84 16.89 17 .34 18.07 18.20 20.01 21.81

65.33 74.68 79.40 80.20 86.29 88.51 91.32 96.82
100.00
103.12 104.51 104.79 105.94 105.95 106.27 109.10 113.69 114.51 125.90 137.20

Table 126
DIABETES MELLITUS AGE-SEX ADJUSTED DEATH RATES BY HEALTH DISTRICT-UNIT, 1969-1972

HEALTH

AGE-SEX

DISTRICT ADJUSTED DEATH

UNIT RATE PER 100,000

RATE AS A PROPORTION OF STATE AVERAGE
(STATE AVERAGE. 100)

LAGRANGE DEKALB
COBB GAINESVILLE
SAVANNAH MACON ROME DALTON
VALDOSTA CLAYTON

10.87 11. 75 14.90 15.06 15.53 15.63 16.24 16.35 16.53 17.04

62.00 67.03 85.00 85.90 88.63 89.14 92.65 93.27 94.28 97.21

STATE AVERAGE 17.53

100.00

WAYCROSS GWINNETT COLUMBUS
FULTON ALBANY ATHENS AUGUSTA DUBLIN BRUNSWICK

17.57
17.74 17.76
18.12 19.33
20.70
21.80 22.10
22.83

100.23 101.21
101. 33 103.37
110.28 118.08
124.39
126.08 130.27

184

EPIDEMIOLOGICAL PROFILE
Diabetes
Georgia

State Mortality Rank
2)

Cause-specific Death Rate Age-sex adjusted Death Rate Percent of all Deaths

19701974
15.9 15.9
1.8

19801984
13.4 11.7
1.7

Life Stages in Years Under 1 1-4 5-14 15-19 20-29 30-44 45-59 60-74 75 +

Ages at Risk:

45+

Race at Risk:

Blacks

MORTALITY RATES

1975-1979
0.0 0.0 0.1 0.4 0.8 4.7 17.4 61.5 128.7

19801984
0.2 0.1 0.1 0.3 0.7 3.9 15.0 56.1 130.0

Sex at Risk:

Females

Group(s) at Risk: Black Males Black Females

Health Status by Geographic Area:

Excellent/Good: Fair/ Poor:

The northeast and parts of the east/south central areas of the state. The southwest and parts of the eastern/southeastern border.

Health Districts 10% and above the state rate:

Columbus, Albany, Athens, Dublin, Fulton, Clayton and Valdosta.

Urban / Rural Pattern:

Primarily rural

1975 - 1984 Mortality Rate 1990 Projected Rate
Percent change from 1970-1974 to 1980-1984 Cause-specific Rate Age-sex adjusted Rate
185

13.5 13.1
-15.7 -26.4

AGE
0-4 5-9 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-79 80-84 85+ TOTAL
AGE
0-4 5-9 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-79 80-84 85 UP TOTAL

Table 127
Cirrhosis of the Liver Age-Race and Age-Sex Specific Mortality Rates
Per 100.000 Population Georgia. 1980-1984

TOTAL

WHITE

BLACK

MALE

FEMALE

0.4

0.4

0.3

0.6

0.1

0.0

0.0

0.1

0.0

0.1

0.1

0.1

0.1

0.0

0.2

0.2

0.0

0.5

0.2

0.1

0.4

0.2

0.9

0.2

0.7

2.0

0.7

5.0

2.U

2.0

4.0

1.8

10.0

4.9

3.1

9.6

5.2

22.9

10.6

8.6

16.0

11.3

31.4

20.6

11.7

22.0

17.7

37.3

29.7

14.8

32.3

29.3

43.6

47.0

19.1

34.1

33.2

37.5

48.4

21.7

37.3

38.9

31.3

54.4

23.2

31.9

33.4

26.8

46.0

21.4

31.8

31.6

32.4

44.9

23.0

26.0

28.2

18.4

27.9

24.9

20.4

21.8

15.0

28.9

16.6

14.1

16.1

7.6

24.4

10.4

10.5

10.2

11.4

13.4

7.8

Table 128
Cirrhosis of the Liver Age-Race-Sex Specific Mortality Rates
Per 100.000 Population Georgia. 1980-1984

MALE

WHITE

BLACK

FEMALE

WHITE

BLACK

0.7

0.5

0.0

0.0

0.0

0.0

0.0

0.7

0.1

0.3

1.3

3.8

2.3

12.7

7.7

20.4

16.0

37.2

24.2

51.3

43.7

60.3

48.9

46.3

55.4

50.2

48.8

36.2

45.8

42.0

29.0

24.2

29.9

25.2

25.7

20.6

13.4

13.2

187

0.1

0.0

0.0

0.3

0.1

0.3

0.0

0.2

0.3

1.5

0.2

6.1

1.3

7.7

2.7

25.1

6.7

26.5

11.3

26.1

15.6

30.8

19.1

30.8

24.8

17.9

21.8

20.3

22.1

26.2

27.8

15.1

18.3

10.0

12.8

2.6

7.0

9.9

Figure 76
Cirrhosis of the Liver
RATE PER 100,000 POPULATION

White Males
70

eOT
1970-1974 ____

r
I

-

-J-'\\.,

:>0+
1980-1984 - -

,I I I

40+

,I
I
30+

20+

//

I

10+

)

/

. \ \

0' ...... ----.

I

I

I

I

0-....

10-14 20-2'" 30-3<4 40-........ 50-54 80-64- 70-74 eo-1M
""+

AGE

White Females
70

eo
1970-1974
"0
1980-1984
40

30

J..... / L 20
10

--~',. ---- .

A
/ ....

~ ..... ~

0-4 10-14 20-24 30-34 40-44 &0-54 eo-84 70-74 80-..... 8!l+
AGE

Black Males
70

eo

1970-1974

_

"0 1980-1984 - -

r-
I

I

40

I

I

l-

30

I

I

20

I

I

I

10

I

~. /.

o I .. , 'f" I

I

I

I

I

I

0-4 10-14 20-24 30-34 40-44 eo-M eo-M 70-74 80-84
""+

AGE

70
eo
llO+ 1970-1974 1980-1984
40
30
20

Black Females

,"\

, /' ,\

JI

\

, '"

J

10

0' .... T ~ I

I

I

I

I

I"



0-4 10-14 20-24 30-34 40-....... eo-D4 8O-M 70-74 110-84

""+

AGE

188

Table 129

Table 130

CIRRHOSIS OF THE LIVER AGE-SEX ADJUSTE~ DEATH RATES BY HEALTH DISTRICT~UNIT, 1980-1984

CIRRHOSIS or THE LIVER
AGE-SEX ADJUSTED DEATH RATES BY HEALTH DISTRICT-UNIT, 1970-1974

-----------------------------------------------------

HEALTH

AGE-SEX

DISTRICT ADJUSTED DEATH

UNIT RATE PER 100,000

RATE AS A PROPORTION
or STATE AVERAGE
(STATE AVERAGE. 100)

HEALTH

AGE-SEX

DISTRICT ADJUSTED DEATH

UNIT RATE PER 100,000

RATE AS A PROPORTION'
or STATE AVERAGE
(STATE AVERAGE. 100)

----------------------------------------------------- -----------------------------------------------------

LAGRANGE DALTON GWINNETT GAINESVILLE
IlOME VALDOSTA
CLAYTON DEltALB COBB DUBLIN
ALBANY BRUNSWICK

6.60 7.40 7.80 1.00 1.20 1.60
8.70 8.90
'.20 9.70
'.80 9.80

66.00 74.00 78.00 10.00
12.00 16.00
17.00 89.00 92.00 97.00 98.00
tB.OO

----------------------------------------------------

GAINESVILLE VALDOSTA ATHENS ALBANY
ROME GWINNETT
AUGUSTA
DALTON

6.36 6.52 7.25 7.61 7.80 7.96
8.17
8.47

69.99 71.82 79.76 84.65 15.82 87.62
89.95
'3.25

----------------------------------------------------

STATE AVERAGE

9.08

100.00

----------------------------------------------------

STATE AVERAGE 10.00

100.00

----------------------------------------------------

COLUMBUS ATHENS
WAYCROSS AUGUSTA
JlACON FULTON SAVANNAH

10.40
10.40 10.50 11.10 12.20 13.60 17.30

104.00 104.00 105.00
Ill. JO 122.00 136.00 173.00

JlACON LAGRANGE COLUMBUS
COBB WAYCROSS
DEltALB SAVANNAH
DUBLIN CLAYTON BRUNSWICK
FULTON

9.19
'.26 9.71 10.36 11.16 11.50 11.71 12.30 13.36 13.41 22.30

101.21 101. 93 106.84 114.04 122.87 126.59 128.95 135.43 147.06 147.59 245.47

Table 131
CIRRHOSIS OF THE LIVER AGE-SEX ADJUSTED DEATH RATES BY HEALTH DISTRICT-UNIT, 1969-1972

HEALTH

AGE-SEX

DISTRICT ADJUSTED DEATH

UNIT RATE PER 100,000

RATE AS A PROPORTION
OF STATE AVERAGE (STATE AVERAGE. 100)

GWINNETT GAINESVILLE
VALDOSTA AUGUSTA
ROME JlACON
ATHENS ALBANY DALTON
COBB

4.75 5.91 6.47
6.93 7.02 7.06
7.14 7.18 7.46 7.75

58.49 72.71 79.54
85.19 86.31 86.79
87.81
88.34 91. 82 95.39

STATE AVERAGE

1.13

100.00

LAGRANGE BRUNSWICK
DEKALB
COLUMBUS WAYCROSS
DUBLIN SAVANNAH CLAYTON
FULTON

8.68 9.30
9.94
9.96 10.32 10.35 10.84 11.89 20.54

106.76 114.41 122.26 122.54 127.00 127.25 133.33 146.25 252.64

189

EPIDEMIOLOGICAL PROFILE

Cirrhosis of the Liver

"

Georgia

State Mortality Rank
S)

Cause-specific Death Rate Age-sex adjusted Death Rate Percent of all Deaths

1970-1974
12.0 9.1 1.3

1980-1984
10.5 10.0
1.3

Life Stages in Years
Under 1 1-4 5-14 15-19 20-29 30-44 45-59 60-74 75 +

Ages at Risk:

30+

Race at Risk:

Blacks

MORTALITY RATES

1975-1979
1.2 0.1 0.1 0.2 1.3 12.0 35.6 34.9 20.8

1980-1984
1.6 0.1 0.1 0.2 1.2 9.1 29.2 34.0 21.8

Sex at Risk:

Males

Group(s) at Risk: Black Females
N.S.D. * between White Males & Black Males

Health Status by Geographic Area:

Excellent / Good: Fair/ Poor:

Some counties in the northeast; east and south central Georgia. Metropolitan areas; clusters of counties in central Georgia and parts of the southeast and southwest.

Jd:tJIIW.. Health Districts 10%
and above the state rate:

Savannah, Fulton, Macon and Augusta

Urban / Rural Pattern:

Urban and rural

1975 - 1984 Mortality Rate 1990 Projected Rate

Percent change from 1970-1974

to 1980-1984

Cause-specific Rate

No significant difference.

Age-sex adjusted Rate

190

11.1 8.6
-12.5 +9.9

Figure 77 Influenza and Pneumonia, 1980-1984 Age-Sex Adjusted Death Rates Per 100,000

RATE PER 100,000
_ _1 1.4to 13.5 EXCELLENT
VlJllTJZl 13.6to 16.2
GOOD
~ 16.3 to 18.8
AVERAGE

-FAIR -POOR

18.9 to 22.3 22.4 to 42.5

_

Georgia Health District - Units

191

AGE
0-4 5-9 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-79 80-84 85+ TOTAL
AGE
O-lt 5-9 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-79 80-84 85 UP TOTAL

Table 132
Influenza and Pneumonia Age-Race and Age-Sex Specific Mortality Rates
Per 100,000 Population Georgia, 1980-1984

TOTAL

WHITE

BLACK

MALE

FEMALE

12.9 0.4 0.6 0.6 1.0 1.1 2.2 2.9 6.1 7.6
11.9 17.6 30.6 43.4 89.4 161.4 328.2 802.7 21.3

6.5 0.5 0.6 0.6 0.8 0.5 1.2 1.6 3.4 4.0 6.8 13.1 23.6 38.9 76.0 161.6 350.7 920.7 21.5

24.6 0.1 0.5 0.8 1.4 2.4 4.9 6.7 14.8
20.6 30.3 35.1 56.0 57.8 134.4 161.0 241.9 429.1 20.7

13.8 0.4 0.5 0.7 0.9 1.4 2.3 3.7 7.9 9.2 17.0 24.1 46.0 62.3 140.2 245.3 496.4 1143.6 22.6

11.9 0.3 0.7 0.6 1.1 0.8 2.1 2.1 4.3 6.2 7.3 11.9 17.9
29.4 55.7 115.3 252.0 682.7 20.1

Table 133
Influenza and Pneumonia Age-Race-Sex Specific Mortality Rates
Per 100,000 Population Georgia, 1980-1984

MALE

WHITE

BLACK

FEMALE

WHITE

BLACK

6.8 0.6 0.6 0.4 0.8 0.7 1.6 1.9 4.0 4.3 9.0 17.9 33.0 53.8 119.0 242.5 541.5 1289.0 21.4

27.1 0.0 0.3 1.1 1.0 3.2 4.5 9.7
21.8 28.5 49.8 50.9 98.4 91.5 212.8 254.5 337.3 715.2 25.7

6.3 0.3 0.7 0.7 0.8 0.3 0.8 1.4 2.7 3.7 4.8 8.8 15.6 27.6 47.4 117.4 266.4 794.1 21.7

22.0 0.3 0.8 0.5 1.7 1.8 5.4 4.2 9.0
14.2 15.4 23.3 25.8 34.8 83.6 108.1 194.6 320.7 16.3

192

Figure 78 Influenza and Pneumonia
RATE PER 100,000 POPULATION

White Males
1400

1200
1970-1974
1000
1980-1984
800

800

200
o L...l.:.:.:..

-.-

I I I I' / J /
t;;.;a=-:::.:..:~ ::::;....._--+~~_~

0-4 10-1'" 20-24 30-34 40-...... 50-54 80-84 70-74 eO-84
""+

AGE

White Females
1400
'200
1970-1974
'000
1980-1984
800
800

200
oL~

" .......~:..: .. o: r :;~~~~

0-4 10-'420-2430-3440-........ SO-54 8O-a4 70-74 eo-a. llll+

AGE

Black Males
'400
1200
1970-1974 '000 1980-1984
BOO

Black Females
1400
1200
1970-1974
1000
1980-1984
BOO
BOO

0-4 10-14 20-2.... 30-3.... 40-44 50-&.... 450-a4 70-74 80-84
""+
AGE

0-4 10-' .... 20-24 30-~ 40-+4 SO-54 eo-e4 70-74 80-804llll+
AGE

193

Table 134
INFLUENZA AND ~NEUMONIA AGE-SEX ADJUSTED DEATH RATES BY HEALTH DISTRICT-UNIT, 1980-1984

Table 135
INFLUENZA AND PNEUMONIA AGE-SEX ADJUSTED DEATH RATES BY HEALTH DISTRICT-UNIT, 1970-1974

HEALTH

AGE-SEX

DISTRICT ADJUSTED DEATH

UNIT RATE PER 100,000

RATE AS A PROPORTION
(STOAFTESTAATVEERAAGVEERA=GE100)

HEALTH

AGE-SEX

DISTRICT ADJUSTED DEATH

UNIT RATE PER 100,000

RATE AS A PROPORTION
(STOAFTESTAATVEERAAGVEERA=GE100)

LAGRANGE COBB
GAINESVILLE ALBANY
VALDOSTA BRUNSWICK
DEKALB GWINNETT
ROME ATHENS WAYCROSS

14.80 15.10 15.50 15.70 15.90 16.10 16.40 17.80 17.90 17.90 18.00

82.22 83.88 86.11 87.22 88.33 89.44
91.1l 98.88 99.44 99.44 100.00

COBB GAINESVILLE
DEKALB ROME
GWINNETT CLAYTON
ATHENS AUGUSTA VALDOSTA
ALBANY SAVANNAH

23.81 27.84 27.92 28.45 29.06 29.81
31.04 31.54 32.15 33.19 33.92

69.90 81. 75
81. 99 83.55
85.33 87.54
91.16 92.60 94.42
97.47
99.60

STATE AVERAGE 18.00

100.00

STATE AVERAGE 34.05

100.00

SAVANNAH
MACON AUGUSTA
CLAYTON
DALTON COLUMBUS
FULTON DUBLIN

19.20 19.50 19.60 20.10 20.70 21.30 21. 70 22.00

106.66 108.33 108.88 111.66 115.00 118.33 120.55 122.22

DALTON
LAGRANGE
DUBLIN BRUNSWICK
WAYCROSS
COLUMBUS MACON FULTON

34.54 35.36 35.88 36.83 37.10 38.61 40.50 41.14

101.42 103.83 105.36 108.16 108.93 113.38 118.93 120.81

Table 136
INFLUENZA AND PNEUMONIA AGE-SEX ADJUSTED DEATH RATES BY HEALTH DISTRICT-UNIT, 1969-1972

HEALTH

AGE-SEX

DISTRICT ADJUSTED DEATH

UNIT RATE PER 100,000

RATE AS A PROPORTION
(STOAFTESTAATVEERAAGVEERA=GE100)

COBB ROME DEKALB GAINESVILLE CLAYTON DALTON
ATHENS DUBLIN VALDOSTA GWINNETT

25.25 27.76 29.78 32.56 33.92 34.06
35.14 35.85 36.01 36.81

64.88 71.32 76.51 83.64 87.14 87.49
90.28 92.10 92.52 94.57

STATE AVERAGE 38.92

100.00

AUGUSTA BRUNSWICK LAGRANGE
SAVANNAH
WAYCROSS ALBANY
MACON COLUMBUS
FULTON

39.62 40.54 41.36 41.86 41. 99 42.35
44.77 46.47 46.98

101. 79 104.15 106.25
107.56 107.87
108.81
115.02
119.39 120.70

194

EPIDEMIOLOGICAL PROFILE
Influenza and Pneumonia
Georgia

State Mortality Rank

Cause-specific Death Rate Age-sex adjusted Death Rate Percent of all Deaths

1970-1974
32.7 34.1
3.6

19801984
21.3 18.0
2.7

Life Stages in Years

Under 1

1-4

5-14

1519

20-29

30-44

45-59

6074

75 +

Infants and ages

Ages at Risk:

45+

MORTALITY RATES

19751979
124.0 5.3 1.5 1.3 2.5 6.7
18.6 65.9 379.8

19801984
55.8 2.2 0.5 0.6 1.0 3.5
12.1 50.4 348.4

Sex at Risk:

Males

Race at Risk: N.S.D. between Whites and Blacks

Group(s) at Risk: Black Males White Females

Health Status by Geographic Area:

Excellent / Good: Fair/ Poor:

The northeast, the west/northwest, and extreme southeast. Central and east central sections of the state, including parts of the Atlanta metropolitan area.

Health Districts 10% and above the state rate:

Dublin, Fulton, Columbus, Dalton and Clayton

Urban / Rural Pattern:

Rural

1975 - 1984 Mortality Rate 1990 Projected Rate

Percent change from 1970-1974

to 1980-1984

Cause-specific Rate

No significant difference.

Age-sex adjusted Rate

195

23.4 15.0
-34.9 -47.2

Figure 79
COPD ,1980-1984 Age-Sex Adjusted Death Rates Per 100,000

Chl'Oalc: Ob.tnactlve Pal_oaary O __.e (COPO)

RATE PER 100,000

EXCELLENT

0.0 to 4.1

PZ//2/~//J 4.2 to 5.9
GOOD

~ 6.0 to 7.6
AVERAGE

-FAIR -POOR

7.7 to 9.5 9.6to 17.7

_

Georgia Health District- Units

196

AGE
0-4 5-9 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-79 80-84 85+ TOTAL
AGE
0-4 5-9 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-79 80-84 85 UP TOTAL

Table 137
,Chronic Obstructive Pulmonary Disease Age-Race and Age-Sex Specific Mortality Rates
Per 100,000 Population Georgia, 1980-1984

TOTAL

WHITE

BLACK

MALE

FEMALE

0.8

0.4

1.4

1.0

0.6

0.2

0.1

0.5

0.3

0.1

0.2

0.2

0.3

0.1

0.3

0.6

0.2

1.4

0.6

0.5

0.2

0.2

0.1

0.2

0.2

0.7

0.4

1.4

0.8

0.6

0.5

0.3

1.0

0.3

0.6

1.0

0.6

2.1

1.3

0.7

1.8

1.3

3.6

1.8

1.9

3.9

3.2

6.3

4.6

3.2

6.2

6.3

5.9

7.1

5.4

15.7

15.0

18.3

22.2

10.0

26.3

28.5

18.4

37.4

17.1

3.9.5

45.2

21.1

68.5

18.1

59.3

66.8

34.2

106.4

28.2

64.1

77.7

17.5

132.4

26.4

77.9

90.0

31.7

163.3

39.2

69.0

87.8

9.5

151.7

39.9

8.1

9.5

4.4

11.2

5.1

Table 138
Chronic Obstructive Pulmonary Disease Age-Race-Sex Specific Mortality Rates Per 100,000 Population Georgia, 1980-1984

MALE

WHITE

BLACK

FEMALE

WHITE

BLACK

0.6

1.8

0.1

0.8

0.1

0.0

0.2

1.4

0.2

0.3

0.5

1.8

0.2

0.7

0.7

3.2

1.0

4.6

4.1

6.4

6.4

9.6

21.0

27.3

40.0

27.1

76.6

40.4

117.7

67.5

163.4

29.1

192.4

60.4

193.8

27.5

13.1

6.1

0.3

1.0

0.0

0.3

0.3

0.5

0.1

1.4

0.2

0.0

0.3

1.0

0.3

1.2

0.5

1.2

1.6

2.8

2.3

6.3

6.1

3.1

9.6

11.6

18.6

12.2

21.3

8.0

32.8

12.6

30.9

11.0

44.7

17.5

51.3

2.6

6.0

2.8

197

EPIDEMIOLOGICAL PROFILE
Chronic Obstructive Pulmonary Disease
Georgia

State Mortality Rank
G)

Cause-specific Death Rate Age-sex adjusted Death Rate Percent of all Deaths

1970-1974
12.5 12.3
1.4

19801984
8.1 7.2 1.0

Life Stages in Years
Under 1 1-4 5-14 15-19 20-29 30-44 45-59 60-74 75 +

Ages at Risk:

45+

Race at Risk:

Whites

MORTALITY RATES

1975-1979
2.7 0.4 0.2 0.6 0.2 1.4 11.7 50.6 84.5

1980-1984
2.1 0.5 0.2 0.6 0.4 1.0 8.3 39.5 69.1

Sex at Risk:

Males

Group(s) at Risk: White Males White Females

Health Status by Geographic Area: Excellent / Good: The northeast and southwest.

Fair/Poor:
Health Districts 10% and above the state rate:

The southeast, and parts of the northwest,including the Atlanta metropolitan area.
Clayton, DeKalb, LaGrange and Valdosta Rural and urban

1975 - 1984 Mortality Rate 1990 Projected Rate Percent change from 1970-1974
to 1980-1984 Cause-specific Rate Age-sex adjusted Rate
200

8.8 7.1
-35.2 -41.5

AGE
0-4 5-9 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-79 80-84 85+

Table 142
AIDS Mortality Age-Race and Age-Sex Specific Rates
Georgia, 1981-1985

TOTAL

WHITE

BLACK

MALE

0.2

0.1

0.4

0.1

0.1

0.0

0.1

0.1

0.1

0.1

0.0

0.1

0.1

0.0

0.2

0.1

0.5

0.4

0.9

1.1

2.8

2.5

3.1

5.5

3.5

3.1

4.1

6.9

3.4

3.6

3.1

6.7

2.0

2.0

1.5

4.0

1.6

1.5

2.2

3.1

0.7

0.8

0.3

1.4

0.9

0.6

1.9

1.7

0.1

0.1

0.0

0.2

0.5

0.6

0.0

1.2

0.0

0.0

0.0

0.0

0.2

0.7

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

FEMALE
0.4 0.0 0.0 0.0 0.0 0.2 0.2 0.3 0.2 0.3 0.1 0.1 0.0 0.0 0.0 0.3 0.0 0.0

202

Figure 82
AIDS New Cases and Deaths by Year
Georgia. 1981 - clune 1986

200

175

150
=rIl
I-
:i 125
Q

~

rIl 100

Il.l

r<Il

U
:s

75

Ilol

Z

50

25

0

~ New Cases

0

DeiJths

41 1981

1982

1983

1984

YEAR

'Includes only January through June 1986

187 1985

85 1986'

203

EPIDEMIOLOGICAL PROFILE
Acquired Immunodeficiency Syndrome (AIDS)
Georgia
1981 -1985

Number of Cases:

331

Number of Deaths:

232

Case Fatality Rate:

Mortality Rate:

70.1 % .7

Lifestage in Years Under 1 1-4 5-14 15-19 20-29 30-44 45-59 60-74 75+

Cases
2 3 2 2 84 186 45 6 1

Age at Risk:

20-59

Race at Risk: Whites & Blacks

Percent
0.6 0.9 0.6 0.6 25.4 56.2 13.6 1.8 0.3

Case Fatality Rate
100.0 66.7 0.0
100.0 61.9 71.0 77.8
100.0 100.0

Sex at Risk: Males

Mortality Rate
0.5 0.1 0.0 0.1 1.0 2.2 0.8 0.2 0.1

Fair/Poor: Urban / Rural Pattern:

Non-metropolitan regions Metropolitan areas, particularly Atlanta Urban

1981 - 1985 Mortality Rate: .7

Annual percent change in mortality:

1981-1982 1982-1983 1983-1984 1984-1985

Source: Office of Epidemiology, Georgia Division of Public Health
204

+400% + 173% + 167% + 125%

Figure 83
Mortality Related to Lifestyle & Socio Economic Status Projection to Year 1990
RATE PER 100.000 POPULATION

30

/" e--------e//' \

_ -.. Influenza and Pneumonia - ~ Diabetes

25

\ \

20 15

\

\

\
--. \

......

---.- ----..------ ..- .....\

,/'/

- " ~_.-----.. .......

...... - -.. Cirrhosis of the Liver o--..Q COPD
- ------.

10

5

0 .........-+---+---+---+----+----+----+----+----+----+----+----+----+---+---+---+----1

1975

1980

1985

1990

YEAR

205

Table 143
TOTAL SYPHILIS MORBIDITY BY HEALTH DISTRICT-UNIT, 1980-1984

HEALTH DISTRICT
UNIT

RATE PER 100,000 POPULATION

RATE AS A PROPORTION OF STATE AVERAGE
(STATE AVERAGE = 100)

ROl'lE DALTON GAINESVILLE GWINNETT
COBB CLAY'l'ON
ATHENS DUBLIN BRUNSWICK WAYCROSS l-'lACON LAGRANGE VALDOSTA AUGUSTA SAVANNAH COLUMBUS DEKALB

6.00 9.60 11.60 13.10 18.10 22.80
26.90 33.00 41.50 46.20 48.50 52.80 53.20 61.80 71.00 72.80 79.50

6.78 10.74 12.98 14.65 20.25 25.50 30.09 36.91 46.42 51.68 54.25 59.06 59.51 69.13 79.42 81.43 88.93

STATE AVERAGE 89.40

100.00

ALBANY FULTON

93.20 231.20

104.25 258.61

Health district data for syphilis morbidity (1970-74,1969-72) in Disease Patterns of the 70's is not comparable to syphilis data collected for 1980-84, and therefore, is not presented here.
210

Table 144
* GONORRHEA MORBIDITY
IV HEALTH DISTRICT-uNIT, l.aO-l.a4
------------------_.

Table 145
GONORRHEA MORBIDITY IV HEALTH DISTRICT-uNIT, 1970-1974
RATE AS A PROPORTION OF STATE AVERAGE
(STATE AVERAGE. 1001 37.22
40."
41.60 51.09 62.10 73.09 74.11 a7.89 aa.32 90.17 100.00 101.41 109.01 123.38 147.58 152.95 156.57 220.55 257.02 1359.27

HEALTH DISTRICT
UNIT

RATE PER 100,000 POPULATION
-

GAINESVILLE DALTON ROME NAYCROSS COLlIl8US BRUNSWICK VALDOSTA DUBLIN LAGRANGE NACOII CLAYTON

42.56 49.18 79.82 81.53 a5.47 '5.69 100.59 103.35 119.29 119.96 128.92

STATE AVERAGE 137.07
----------

COBB ATHENS AlIAIlY AUGUSTA GNINNETT DEKALB SAVANNAH FUlTON

144.71 153.55 166.2a 216.32 25a.3O 346.'1 583.38 2611.28

RATE AS A PROPORTION OF STATE AVERAGE
(STATE AVERAGE 100)
31.05 35.88 5a.23 59.41 62.36 69.al 73.38 75.40 87.03 a7.51 '4.05
100.00
105.57 112.02 121.31 157.a2 la8.45 253.09 425.60 1'05.05

The increase in rates from 1970-74 to 1980-84 is due to the initiation of the gonorrhea screening program which serves patients in pre-natal, family planning and S.T.D. clinics.
212

Figure 86 Georgia Health District- Units

. ,E l.vIII"" \_.--'_. i \ i
OAOEl

if'
l.tATOou.

.I

f .....UI

)

L _"'tHOr

r

'.

,. w"ull

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(GllMlIl '-

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/...' j.l..-;""._._r . .> HO'f'G

~ ,.UTOW

I

l

t-A(2A)-A

rr
fL._~.-

~

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I

I

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"

POlK

/

- HEALTH DISTRICT - UNIT BOUNDARY

HEALTH DISTRICT
\

HEALTH UNIT WITHIN DISTRICT
I

3-2

\

'1

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" '.\:... -,. \-I;~.,..\.,( ",..----

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215

Table 147
Cause-Sex Specific Death Rates For Selected Diseases in Georgia
1960-1984

Acute Myocardial Infarction

Cerebrovascular Diseases

Ischemic Heart Disease

Motor Vehicle Accidents

All Other Accidents

Influenza and Pneumonia

Other Forms of Heart Disease

Cancer of the Lung

Infant Mortality

YEAR MALE FEMALE MALE IFEMALE MALE FEMALE MALE FEMALE MALE FEMALE MALE FEMALE

MALE FEMALE MALE FEMALE MALE FEMALE

1984 136.9 95.4 60.0 87.7 52.1 47.9 36.3 13.8 30.2 13.2 21.8 20.9 78.4 80.1 74.6 22.6 14.2 12.6 1983 145.7 97.1 61.1 88.6 50.3 49.7 34.7 13.7 33.1 16.2 23.1 20.4 84.1 82.1 70.7 21.4 15.3 11.7 1982 148.0 95.5 65.4 84.7 50.3 49.7 33.4 12.1 36.5 16.0 21.9 18.9 76.8 76.4 71.3 20.0 14.1. 12.5 1981 154.8 99.1 66.8 91.0 50.3 49.7 40.7 13.2 37.1 14.9 23.3 19.9 82.6 78.7 69.1 17.7 14.5 13.1 1980 164.8 102.5 69.0 95.3 50.4 49.6 42.3 14.0 39.7 18.0 22.7 20.5 73.0 71.9 66.2 18.4 15.8 13.3

1979 170.5 102.2 73.7 99.9 70.9 60.8 45.3 14.4 37.3 15.2 21.7 18.4 69.6 71.4 64.9 16.0 16.8 13.0

1978 183.3 108.2 81.4 109.8 100.9 103.9 44.7 15.0 40.0 16.9 30.7 26.1 45.2 38.1 67.6 16.0 17.0 13.8

1977 180.6 108.1 85.6 111.9 106.7 102.2 43.2 14.6 43.3 19.3 29.2 23.8 44.9 35.5 63.1 13.7 18.4 15.3

...Ill)

1976 187.7 106.1 92.5 117.5 102.2 96.4 38.5 1975 187.1 108.0 90.3 117.2 101.2 100.8 42.6

13.5 41.9 13.9 43.7

15.8 31.5 17.5 31.8

22.8 42.5 22.0 39.1

33.9 59.8 30.1 56.7

13.3 17.9 11.9 20.2

13.7 16.4

0'\ 1974 204.9 115.7 99.6 130.1 107.6 101.7 49.4 15.7 45.2 18.0 29.7 22.2 36.0 26.5 53.3 10.4 19.9 16.0

1973 209.8 114.2 109.0 136.0 108.9 105.8 59.2 18.9 50.3 19.7 40.2 28.9 35.7 27.9 51.8 10.5 21.1 17.1

1972 214.9 116.6 113.0 136.8 105.7 103.7 61.2 19.9 47.6 17.3 40.2 27.5 30.9 25.0 52.2 9.2 22.9 16.6

1971 210.8 119.0 108.3 128.4 100.5 98.8 56.4 20.2 47.5 19.4 37.8 27.2 28.3 23.7 49.3 10.0 22.8 19.3 1970 222.8 116.5 114.8 129.6 101.1 100.2 60.2 19.2 50.0 18.4 44.8 31.4 30.2 23.3 46.5 8.3 25.2 19.4

1969 217.6 117.9 116.4 129.7 96.3 93.1 56.7 19.4 45.9 17.0 44.0 38.1 26.9 21.2 43.2 1968 230.0 125.5 118.2 136.7 94.7 91.3 57.6 18.8 44.3 20.2 47.5 41.1 27.2 23.9 38.4 1967 237.7 127.2 115.1 128.3 31.4 29.7 51.1 18.5 43.8 17.9 38.8 30.0 21.9 18.5 39.0 1966 233.0 124.5 116.7 128.8 31.2 30.8 52.6 17.9 45.0 19.2 40.5 35.1 24.3 18.6 37.7 1965 232.3 125.5 141.1 135.3 32.5 31.6 46.7 17.2 47.5 20.6 43.6 36.8 22.4 16.8 34.6 1964 238.1 119.8 121.0 137.4 31.3 31.8 46.7 14.5 47.5 23.0 40.1 34.3 23.6 16.3 32.7 1963 202.0 99.5 125.1 140.6 67.7 50.6 46.6 13.6 46.5 24.5 53.8 45.2 20.3 17.7 32.4 1962 203.7 98.4 127.0 140.4 66.6 45.9 41.9 13.8 46.2 22.3 42.4 33.3 20.8 15.2 29.8 1961 185.6 93.1 125.8 137.6 67.8 47.6 38.9 11.9 43.4 22.8 35.6 27.1 20.2 16.9 27.8 1960 196.9 100.8 134.6 143.4 56.2 41.3 39.4 12.9 45.2 24.4 54.9 37.3 21.1 16.6 26.5

8.1 25.7 19.8 7.2 28.7 22.1 6.8 29.6 23.5 5.9 30.7 25.1 5.4 32.5 25.3 5.7 32.2 26.0 5.2 34.2 27.7 4.7 33.6 26.5 5.1 33.8 24.7 4.6 37.8 27.8

All rates are per 100.000 population except infant and neonatal mortality rates which are calculated per 1.000 live births.

Table 147, Continued
Cause-Sex Specific Death Rates' For Selected Diseases in Georgia
1960-1984

Homicides

Diabetes Mellitus

Neonatal Mortality

Hypertensive Disease

Chronic Obstructive Pulmonary Disease

Suicides

Cancer the Large Intestine

Cancer of the Breast

Cirrhosis of the Liver

YEAR

MALE FEMALE MALE FEMALE MALE FEMALE

MALE FEMALE MALE FEMALE MALE FEMALE MALE FEMALE MALE FEMALE MALE FEMALE

1984 17.4

6.1 11.1 15.6 9.7

8.5

9.5 11.8 9.8

1983 16.4 5.8 11.1 16.0 9.9 8.1 9.2 11.4 11.3

1982 21.2 7.3 10.7 15.4 9.4 8.5 7.9 9.9 11.6

1981 22.9 7.1 9.8 15.7 10.5 9.2 8.5 11.0 11.6

1980 23.9 6.3 11.2 16.6 11.8 9.7 8.1 12.3 11.8

1979 25.5 6.4 10.3 16.5 11.0 8.7 15.8 21.5 12.0

1978 23.4 5.7 10.0 15.7 11.2 9.2 6.6 8.6 14.4

1977 22.5
...N 1976 24.7
'I 1975 28.8

5.9 11.3 17.5 11.8 10.3 6.8 10.7 14.9 12.0 9.8 7.2 11.1 17.3 14.1 11.0

7.9 10.5 15.5 8.0 9.8 15.7 8.5 9.4 16.6

1974 32.2 10.3 11.0 17.4 14.2 11.0 8.6 11.1 19.1

1973 32.8 10.3 12.4 19.6 14.2 11.4 10.1 12.0 19.1

1972 33.1 8.0 12.7 19.5 15.8 11.4 11.8 13.8 20.1

1971 30.3 7.6 14.4 18.9 15.7 13.5 12.2 14.0 20.8

1970 30.2 7.5 12.8 19.9 18.0 12.9 12.9 15.5 20.2

1969 26.3 5.0 13.6 18.1 18.8 12.8 13.6 13.8 22.2

1968 23.5 7.1 11.5 17.4 19.4 14.3 15.9 16.5 22.9

1967 21.7 6.0 10.7 15.0 19.6 14.8 34.4 36.7 19.2

1966 18.9 6.4 10.4 15.4 19.6 15.1 40.0 40.2 20.4

5.3 20.7 5.4 18.1 4.8 20.8 5.2 19.5 4.8 19.8 4.9 19.0 5.0 20.9 4.9 20.9 4.8 20.9 5.1 23.9 6.6 21.2 5.3 19.6 5.2 19.1 4.9 18.0 6.5 18.4 5.4 17.2 5.2 16.4 4.3 15.8 4.9 17.0

4.7 15.0 5.4 13.6 5.9 13.2 6.4 12.6 5.8 11.9 6.4 11.2 6.7 12.0 7.5 11.5 6.2 11.6 8.6 11.4 6.9 10.6 7.0 10.2 7.1 8.4 4.8 9.7 6.0 10.1 5.1 10.0 5.6 8.7 4.7 8.4 5.7 8.4

15.7 0.2 13.8 0.2 14.3 0.2 14.8 0.3 14.7 0.0 13.7 0.2 14.9 0.2 13.2 0.2 14.0 0.5 13.7 0.3 13.4 0.3 13.3 0.3 12.2 0.3 11.9 0.3 12.6 0.2 10.8 0.1 12.4 0.3 11.3 0.2 11.6 0.2

24.8 13.4 7.7 23.5 12.9 6.7 22.5 13.2 7.9 23.6 12.5 8.4 21.6 15.0 8.6 21.3 14.2 8.3 23.2 14.3 9.1 23.7 13.9 9.0 20.8 15.3 10.2 20.6 14.9 8.9 22.6 17.5 8.9 20.6 17.0 10.3 23.5 15.5 9.7 22.3 13.7 8.0 20.2 12.3 8.0 21.2 10.8 7.3 20.1 10.4 7.0 21.9 8.4 6.4 19.6 10.3 6.2

1965 20.4 6.0 9.9 14.7 21.4 15.6 41.8 43.4 18.4 4.6 18.4 4.4 9.4 10.1 0.3 19.3 9.0 5.1

1964 20.4 5.4 10.7 14.0 21.2 16.1 43.8 44.1 18.5 4.2 18.4 4.6 8.0 9.6 0.2 19.1 9.4 5.5

1963 18.1 5.0 9.5 15.1 22.1 16.6 42.1 48.0 18.8 4.8 17.2 4.6 8.4 10.4 0.2 18.3 9.4 4.8

1962 17.7

5.7 11.1 15.5 22.0 16.8 47.0 49.9 15.5

4.6 16.1

4.1 7.6 10.1 0.1

15.2 7.9

4.7

1961 17.2

4.9 10.2 14.9 22.7 16.6 49.9 52.5 18.1

3.9 15.6

3.1 7.0 10.4 0.2

18.8 8.7

4.5

1960 17.1

5.0 11.3 13.5 24.6 17.8 50.1 55.0 13.2

3.9 15.0

4.0 7.9 10.8 0.2

18.7 9.1

4.7

All rates are per 100,000 population except infant and neonatal mortality rates which are calculated per 1,000 live births.

Table 147, Continued
Cause-Sex Specific Death Rates * For Selected Diseases in Georgia
1960-1984

Cancer of the Stomach

Cancer of the Cervix

Cancer of the Rectum

YEAR MALE FEMALE MALE FEMALE MALE FEMALE

1984 5.6

3.7 0.0

3.9 2.0

2.2

1983 5.9

4.2 0.0

3.5 2.7

1.7

1982 6.2

3.8 0.0

4.6 2.0

2.2

1981 5.6

3.6 0.0

4.4 2.5

1.9

1980 5.3

3.7 0.0

4.5 2.1

2.0

1979 6.1

4.1 0.0

4.6 2.7

2.1

1978 5.2

3.7 0.0

6.3 2.6

2.3

.~.
QD

1977 6.7 1976 5.3 1975 4.9

3.8 0.0 3.7 0.0 3.8 0.0

4.8 2.8 5.9 2.1 5.7 2.6

2.5 2.4 1.7

1974 6.4

4.7 0.0

6.9 2.3

2.4

1973 6.1

4.3 0.0

7.5 3.2

2.2

1972 6.2

3.9 0.0

7.5 2.7

2.6

1971 6.4

3.6 0.0

7.6 2.6

2.3

1970 7.8

5.0 0.0

7.6 2.3

2.5

1969 7.1

4.0 0.0

8.6 2.4

2.4

1968 6.1

4.3 0.0

9.8 2.3

3.2

1967 7.6

5.0 0.0

8.7 3.2

3.2

1966 7.8

4.8 0.0

9.2 2.4

2.5

1965 8.7

4.1 0.0 10.2 2.7

2.5

1964 7.6

5.9 0.0 12.0 2.5

2.2

1963 9.3

5.8 0.0 11.0 3.1

2.4

1962 8.7

5.3 0.0 12.2 2.6

2.2

1961 8.4

4.6 0.0 12.1 2.4

2.7

1960 9.2

5.5 0.0 13.6 3.0

2.4

All rates are per 100,000 population except infant and neonatal mortality rates which are calculated per 1,000 live births.

Unit.
CAUSE OF DEATH
Total Cancer Diabetes Diseases of the Heart
Acute Myocardial Infarction Cerebrovascular Disease Diseases of the Arteries and
Capillaries Influenza and Pneumonia
Chronic Obstructive Pulmonary Disease
Cirrhosis of the Liver All Other Accidents
Motor Vehicle Accidents Suicide Homicide

INTERNATIONAL CLASSIFICATION OF DISEASE CODES

8th Revision
140-209 250 390-398; 402; 404; 410-429 410 430-438 440-448

9th Revision
140-208 250 390-398; 402; 404-429 410 430-438 440-448

470-474; 480-486

480-487

490-493
571 E800-E807; E825-E949 E810-E823 E950-E959 E960-E969 (excludes legal intervention)

490-496 (490-493 was used rather than the 9th revision in this study)
571
E800-E807; E826-E949
E810-E825
E950-E959
E960-E969 (excludes legal intervention)

Unit II
Total Cancer Cancer of the Stomach Cancer of the Large Intestine Cancer of the Rectum Cancer of the Trachea. Bronchus and Lung Cancer of the Breast Cancer of the Cervix
Diabetes Diseases of the Heart
Hypertensive Disease Acute Myocardial Infarction Other Ischemic Heart Disease Cerebrovascular Disease Diseases of the Arteries and Capillaries Influenza and Pneumonia Chronic Obstructive Pulmonary Disease Cirrhosis of the Liver All Other Accidents Motor Vehicle Accidents Suicide Homicide

140-208 151 153 154
162 174-175 180 250 390-398; 402; 404-429 401-405 410 411 430-438 440-448 480-487 490-493 571 E800-E807 ;E826-E949 E810-E825 E950-E959 E960-E969

219

$4638/400