GtA ~fO.P3 GEORGIA . 19%-J ~s?- .ISEASE PA,.,.ERMS F ,.HE li l l l l l~l li 1 111111111111111111111111 : illllll1lllillilllllllill 11 11111111 111 1111111:111 1IIIIIilllilll:llllllllll: lNlTH EPIDEMIOLOGICAL PROFILES ~. :1\11.1\1~1~1:1 .III~~:.~:~ 1.~:.I:~:l~1 1 RE: r . V: - ' i DC T16 1998 j ,,~~~!!1!!1!~__ I 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 HO'f'G ~ ,.UTOW I l t-A(2A)-A rr fL._~.- ~ 'MUOIUE I I __ J - ..............__, --_.s " POlK / - HEALTH DISTRICT - UNIT BOUNDARY HEALTH DISTRICT \ HEALTH UNIT WITHIN DISTRICT I 3-2 \ '1 " llWCOLIl " '.\:... -,. \-I;~.,..\.,( ",..---- TALIAfUIl;;f . l... , __ ) '."'OUffIE{ CGLUM.I"./, / '. \ ./ L. _ \ / '\ .AlUlI. \/ "lCM"ONO _,.---- .......,?L.,.<...\ ...._ ,610,,, - LASCOC~/ ; J(ffUSOIl \ / ) /- - -'-'t" \~.i-..._i JI......., \. \ I TVAlIIlIl , -'---; tAlMOU" ( OOUGHIlTV ? WOltTH I \ . . . ' 8' ( \ -- \ --1--""(2)7 I I / ' (I) lU'lY I 1AJ.f1l ,,,.,J .. - ..... 1' . -_- ( :- _._--..i-_, .if MITCHEll _--Ii i_I-Il_llUTi_-'I,lrL._-!~ __ jI _-~-1 , "'-l IUIIiU j . . ., __ __ (OlOum .-,.... _ , '" . ~ COOl I ~l~NIEA I Sf:IfU.OLl I / ',,(' OltATUIl I " , \' I GIlAOY i I \ I . .I THO"AS i ' \_ -'-.( \ lOWfitOfS BROOKS I < \"" ~, Iff'"..... (I) . ""-.",,. --~-............ \ ~,,// \/ \ EVAItS } _ ,. '".'1"". 1.._---, "' ,.. '\ -i.. T"n.... Ll .~....... \. ~ I fI ~ -"" ......- -'.",_,f " ',._"'"'' .."" [9' / -, .~ "" ! ..., "/ '~'1 --fJ/'l;l ~_, r~ f!/; ~. -'-., ,I WAY" '"/ ."IT" " , , -,'IAtD.1iI .i...."""\.. -'A'!' ' ' ' - '"' '. / I, ,_ . \ '- ..--)_~:_I I \ ""CE \_ - ; "'.. -1 _-J (2) \r"-'/ _ .....".J . . (1\ - -\ .", I" \ \. .. \"", r-" ..., i I . I ~_ ~)/'~y, \ ~j i 'HARLTON /1 L'lL 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