A survey of crippled children in Georgia. Administrative project number 165-34-6015, 1937

. . ...;

-

-

A SURVIY Of

CRIPPLED CHILD~EN
IN , GEO~GIA

ADMINISTRATIVE P~OJECT NO. 165 346015
WORKS PROGRESS ADMINISTRATION of GEORGIA

WORKS PROGRESS
GAY B. SHEPPERSON, Administrator

ADMINISTRATION OE GEORGIA
MILTON W. BLANTON, Coordinator of Research and Statistical Projects

CRIPPLED CHILDREN IN GEORGIA
Administrative Project Number 165-34-6015 1937
Supervised by Ben H. Askew, III Sponsored by the Georgia State Departments of
Health, Education, and Public Welfare

WORKS PROGRESS ADMINISTRATION OF GEORGIA

Miss GAY B. SHEPPERSON AdminisuaioT

Ten Forsyth Street Buildinq
AnANTA, GEORGIA
August 1, 1937

Miss Gay B. Shepperson, Administrator, Works Progress .Administration of Georgia, Ten Forsyth Street Bulding, Atlanta, Georgia.
Dear Miss Shepperson:
I am transmitting herewith the final report of a Survey of Crippled Children in Georgia.
This report includes basic data which will be useful in establishing a coordinated program for the care and training of crippled children. It does not attempt to make a medical analysis or to recommend the adoption of a specific program. Instead, it is a statistical presentation showing the number of crippled children, the causes of their handicaps, the number of these children receiving treatment, and their educational status.
It would have been impossible to have completed this project without the excellent assistance rendered by vari 'US organizations and individuals throughout the state. In several counties the project workers were furnished transportation by county officials, free newspaper publicity was given, and one radio station gave free broadcasts asking that interested persons report cases of crippled children to the survey workers. In the assistance rendered the field workers, the schools, county welfare agencies, and public health nurses were especially valuable.
The project was conducted under the general direction of Milton W. Blanton; the original plans and procedure for the survey was prepared by Thelma R~ Wright; and the field work, statistical analysis, and preparation of the final report were under the supervision of Ben H. Askew, III.
CIAftJ Yours very truly, (l;j~
Clifford A. Strickland, Administrative Assistant

CONTENTS
Introduction General summary. Causes of Crippling Conditions Treatment Education and Vocational Rehabilitation Conclusion Appendix A. Appendix B.

Page
1
3 5 9
12
15 19 25

L1 ST OF TA&LES AND CHARTS

Narrative Tables

Page

Table I

Crippled Children Classified According to Race and Sex

3

Table II Residence of Crippled Children - By Race.

4

Table- III Age Group of Crippled Children

4

Table IV Doctor s Diagnosis of Crippled Children - BY Race- Total Cases

5

Table V Doctor s Diagnosis of Crippled Children - By Race - Total Diagnosed Cases

5

Table VI Doctor s Diagnosis of Crippled Children - By Sex-Total Cases

6

Table VII Doctor s Diagnosis of Crippled Children - By Relief Status - Total Cases

7

Table VIII ~ercentage Table Showing Doctor's Diagnosis of Crippled Children - By Age Group-

Total Ca.s es

7

Table IX Medical Treatment ~ece1ved By Crippled Children - By Race and Residence

9

Table X Percentage Table Showing Medical Treatment Received by Crippled Children - By Race

and Residence . . . . . .

9

Table XI Crippled Children Receiving Hospital C...re - By Relief Status, 10

Table XII Number of Local Crippled Children Tr!t&ted. in Georgia Hospitale 10

Table XIII Education of Crippled Children 12

Table XIV Median Grade 1n School for Fulton County Crippled Children - By Age Group. 12

Narrative Charts

Chart I

Location of Residence of Crippled Children



3

Chart II Causes of Crippling Condition - Per Cent of Diagnosed Cases

6

Chart III Per Cent of Crippled Children Receiving Hospital Care - By County of Residence

S

Chart IV Crippled Children Rece1v1ng Hosp1 tal Treatment - By Race and Residence

9

Chart V Crippled Children Receiving Hospital Treatment - By Relief Status 10

Cha.rt VI _Education of Crippled Children Attending School To Education of Total Crippled Children - Fulton County 13

Appendix Tables

Table 1. Age Groups of Crippled Children - By Residence and Race

25

Table 2. Relief Status of Crippled Children - By Race

25

Table 3. Doctor's Diagnosis of Crippled Children - By Race and Sex

25

Table 4. Doctor's Diagnosis of Crippled Children - By Race and Age Groups.

26

Table 5. Doctor's Diagnosis of Crippled Children - By Relief Status and Race

26

Table 6. Doctor's Diagnosis of Crippled Children - By Parts of the Body Affected

27

Table 7. Relief Status of Crippled Children - Treatment By Race

2~

Table 8. Doctor's Diagnosis and Treatment of Crippled Children

28

Table 9. Type of Treatment Received By Crippled Children - By Doctor's Diagnosis

(Percentage Table)

28

Table 10. Distribution of Crippled Children

29

Table 11. D1str1but1on of Hospital Cases

30

Table 12. The Grade 1n School for the Median Crippled Child

31

Srv<Ly of Crippl<Ld Childr<Ln in G<Z.orgia
INT D.ODUCT ION

The Federal Social Security Act* provides that funds shall be granted to the several states to assist them in extending services for the care and treatment of crippled children. Prior to the passage of this act Georgia had been rendering a restricted amount of care to physically handicapped persons through the State Departments 0f Health, Education,** ana Public Welfare. However,it was realized that for these services to be most effective they should be coordinated into a uniform state program.
The Survey of Crippled Children in Georgia was designed to compile data to be used in the development of a program for the care of orippled children. Its immediate objectives were: First, to take a census of such children in the state; second, to study the causes of their crippling conditions; third, to determine the extent of the medical treatment that is being afforded these children; and fourth, to determine the opportunities for education and vocational training provided for them.
It is believed that with this basic information available the problem of determining the size and type of organization needed will be better understood, thereby enabling the state to establish an efficient and adequate program. SCOPE AND METHODS
The census of crippled children attempted to include data on all crippled children living in the state during the period beginning January
1, 1937 and ending April 30, 1937. For the pur-
pose of this survey a crippled child is defined as any person, twenty-one years of age or under, whose activity is, or due to a progressive disease may become, so far restricted by loss, defect, or deformity of body or limbs as to re Title V, Part 2 and Part 4, Social Security Act. Division of Vocational Rehabilitation.

duce his normal capacity for education or for self support. The deaf and blind are not considered.
No medical analysis was attempted._ Instead, the report is limited to a general discussion of the number of crippled children, the causes of their handicaps, the number that have received treatment,and their educational statue. Detailed information includes such data as race, sex, age, location, and relief status.
To supplement the census data a study was made of children receiving orthopedic treatment in the hospitals of the state for the period
beginning January 1, 1936, and ending June 30, 1936. Statistics on this part of the study in-
elude the number of institutions giving orthopedic treatment, the number of children treated, and the cost of treatment. This section of the report is not as comprehensive as was originally planned as much of the desired information was not available.
Since personal interviews were not practical it was necessary that the information be gathered through the assistance of civic and public organizations. Names of crippled ohildren in each county were collected by schools, churches, parent-teachers associations, child health and welfare councils, doctors, nurses, county welfare workers, and other interested organizatione and individuals. The project workere collected the data on these cases from the various agencies and, after eliminating any duplications, they attempted to complete schedules on which some information was lacking by contacting other sources.
It is improbable for a survey conducted in this manner to be as complete in coverage as one in which personal interviews are trned. In some sections of the state more interest is taken in

-l -

public welfar.e. - _problems than in other sections of the state, ciyic organi.zl!tion!J are more active,and the general public ls more cooperative. Therefore, the task of collecting the census data was easier in some areas than in others. As an example, the proportion of Negro crippled children to the total Negro population was not as large as the proportion of white rippled children to the total white population. Th1s, no doubt, results from the fact that in certain areaA there is less public interest taken in the

Negro, and fewer civic and social organizations service Negro cases.
However, it is believed that because of the public interest in cripp1ed children and the splendid cooperation given the field workers a satisfactory coverage of cases was made in most counties.
This survey was conducted as a Works Progress Administration project, and was sponsored by the State Departments of Health, Education, and Public Welfare.

- 2-

GENERAL 5UMMAQ.Y

A total of 7,557 crippled children were in- crippled children reported in the survey were

cluded in the survey. Of the total cases 5,462 male and 4o.2 per cent were female. Little dif-

were white and 2,095 were Negro. According to ference was found in the ratios of males and fe-

these figures the ratio of crippled children to males to total cases for the two races. The ra-

the 1936 State population was 2.47 per thou- tio for white cases was 60.5 per cent male and

sand.* The ratios of white and Negro crippled 39.5 per cent female, and for the Negroes,58.0

children to the total white and Negro popula- per cent male and 42.0 per cent female.

tions were 2.80 per thousand and 1.89 per thou- RESIDENCE OF CRIPPLED CHILDREN

sand respectively. There was nothing to indi-

Twenty-five and one-tenth per cent of the

cate that the much lower rate of crippled children among the Negroes as compared with the rate for white cases was due to the Negro race being

LOCATION OF RESIDENCE OF CRIPPLED CHILDREN
G-E:OR<:TIA l'IS1

less susceptible to diseases that result in

cripplin~ conditions. The explanation seems to

be that the survey of white children was more

accurate than that of Negro children since a

greater proportion of white children attend

schools, and since more institutions in the

state service white children than Negro chil-

dren. In several counties where it was possible

to make an intensive study of Negro oases there

was no appreciable difference between the ratios TABLE I
CRIPPLED CHILDREN CLASSIFIED ACCORDING TO RACE AND SEX

NUM&Ell LIVING- IN URMN COUNTIES . NUMMQ LIVINcr IN RURAL COUNTIES.
TOTAL.

1897
5~0
7557

GEORGIA 1937

S ex

Total Per
Number Cent

Ra c e

White

Negro

Per

Per

Number Cent Number Cent

Male

4,520 59.8 3,304 6o.5 1, 216 58.0

Female 3,037 4o.2 2,158 39. 5

g79 42.0

Total 7,557 100.0 5,462 100.0 2,095 100.0

of crippled children to the populations as be-

tween the two races.**

SEX OF CRIPPLED CHILDREN

Fifty-nine and eight-tenths per cent of the

The 1935 population of 3,053.387 was estimated by
the State Department of H:ealth by addtng the yearly ex-
cesses of births over deaths to the 1930 United States
Bureau of Census figures.

CMART NO. I
7,557 crippled children lived in the six counties containing large urban areas, whereas 74.9 per cent lived in the remaining 153 counties.*** Again the ratios vary little in the comparison of the two races, 24.8 per cent of the white children and 25.8 per cent of the Negroes were found to be living in the six urban counties, and 75.2 per cent of the white cases, and 74.2 per cent or the Negroes in the remaining counties.
These figures become more significant when we consider the proportion of each group receiv-

If the state ratio of Negro crippled children to Negro population had equalled the ratio of white crippled children to white population, the total number of Negro
crippled would have been 3,102, and the state total number of crippled children would have been 8,564.

Bibb, Chatham, DeKalb, Fulton, Muscogee, and Richmond counties are considered urban in this survey. DeKalb is considered in this group because it is contained within the Greater Atlanta Area.

- 3-

1ng hosp! ta), . tr_eatme11i:.. Th1rty-tnree and s1x-

tenths per cent . of the 1;Qtal 7, 557 crippled

children received hospital treatment. In the

six urban counties 53.2 per cent of the oases

were treated in hospitals, whereas for the re-

TABLE II

RESIDENCE OF CRIPPLED CHILDREN BY RACE

GEORGIA - 1937

Residence

Total Per
Number Cent

Rao e

White

Ne_gro

Per

Per

Number Cent Number Cent

Urban l,g97 25.1 1,357 24,g

54o 25,g

Rural 5,660 74,9 4,105 75.2 1,555 74.2

Total 7,557 100.0 5,462 100,0 2,095 100.0

ma1nder of the state only 27.0 per cent received

this service.

It was found impossible in this survey to

make a study o~ the ability of 1nd1v1dual fam1-

lies to meet the expenses of orthopedic treat-

ment. Statistics were available, however, which

showed the proportion of crippled children whose

families were rec1p1ente of relief in 1936. The

fact that 24.3 per cent of these children were

from families that could not meet the ordinary

expenses of life without the aes1etance of re-

11ef should 1oughly indicate the much larger

group of cripple~ children whose families were

unable to finance the added expense or orthope-

die treatment. Twenty-five and two-tenths per

cent or the white children and 22.1 per cent of

the Negro children were from rel1ef families.

AGES OF CRIPPLED CHILDREN

Seventy-six and nine-tenths per cent or the

total number of crippled children were under

seventeen years or age. or this figure 12.7 per

cent were fifteen and sixteen yearE of age; 30.6

per cent were between the ages of ten and rourteen 1nclue1ve; 22,g per cent were between the ages or five and nine 1nolus1ve; and the remaining 10,g per cent were four years of age or under,

Cons1der1ng that less than one-fourth or the entire number or oases in the survey were from seventeen through twenty-one yesrs of age, and that 1n this age group there were a large proportion of old cases, it is apparent that for

TABLE III AGE GROUPS OF CRIPPLED CHILDREN

Age Groups

GEORGIA - 1937

Total

White

Per

Per

Number Cent Number Cent

Negro Per
Number Cent

4 & Under g13 10,g 636 11.7 177 g,5

5 to 9

1,719 22,g 1,253 22.9 466 22.2

10 to 14 2,315 30.6 1,662 3e.4 653 31.2

15 to 16

963 12.7 674 12.3 2g9 13.8

17 to 21 1,714 22.7 1,206 22.1 508 24.2

N, A.

33 .4 31 .6

2 .1

TOTAL

7,557 100.0 5,462 100.0 2,095 100.0

=======

the moat part these oases become crippled early in life.
For these reasons treatment, both orthopedic and educational, should begin as early as possible.
There are no public schools in the state of Georgia that speo1al1ze 1n the education and vocational training of or1ppled children. The D1v1s1on of Vocational Rehab111tat1on of the State Department of Education ls the only State agency that attempts to rehabilitate them. This department ls not allowed to take oases that are under sixteen years or age.

- 4-
r

CAUSfS OF CA.IPPLINr CONDITIONS

Of the 7,557 crippled children studied it was possible to obtain a diagnosis on 4,572 cases or 6o.5 per cent,* and to relate the etfeet of such factors as race,relief statue, sex, and age to the occurence or the causes of crippling conditions.
Forty-eight and six-tenths per cent of the
'!'he different types of disabilities are compared with both the total nwnber of cases in the survey and the total nwnber of cases for which it was possible to obtain a doctor's diagnosis.

Begro crippled children were represented 1n the not ascertainable as to diagnosis group, as compared with 36.0 per cent of the white cases. It is natural that a larger per cent of the Negroes should be included in this group since fewer Negroes received treatment fqr their disabilities than the white children and also since it was more difficult to gather information tor the Negroes.
Infantile paralysis, traumatic deformities,

TABLE IV

DOCTOR'S DIAGNOSIS OF CRIPPLED CHILDREN - BY RACE TOTAL . CASES

GEORGIA - 1937

Doctor's Diagnosis

T Q j; f! l

Number

Per Cent

Wh i t ~

Number

Per Cent

H g r o

Number

Per Cent

Infantile Paralysis Spastic Paralysis T.B. Bone and Joint Osteomyelitis Arthritis Congenital Deformities Club Foot Obstetrical Paralysis Traumatic Deformities* Burne Rickets Other Two Diseases Not AscertainRble

1,645
159 221 263 169 461
277 g9 820 147 51 203 67 2,985

21.8 2.1 2.9 3.5 2.2 6.1
3.7 1.2 10.8 1.9
.7 2.7
.9
39.5

1,34~ 12 184 232 106 34o 226 !Sl 526
i~
142
1,9~1

24.6 2.a
t3 1. 9 6.2 4.1 9l.. ~ 1. 7 o.8 2.6 1.0 36.0

302 33 37
~~
121 51 8
294 53
6i 14 1,018

14.4 1.6 1.8 1. 5 3.0 5.8 2.4 o.4 14.o
2:4
2.9
413j

TOTAL CASES

1.551

100.0

5, lj:62

100,0

2,092

100,(l

In this study a traumatic deformity is a permanent crippling condition resulting from an injury such as a crushing blow, gun shot wound, fall, or an automobile wreck.

TABLE V

DOCTOR'S DIAGNOSIS OF CRIPPLED CHILDREN - BY RACE TOTAL DIAGNOSED CASES

GEORGIA - 1937

Doctor's Diagnosis

T0 t al

Number

Per Cent

Wh i t e

Number

Per Cent

Ne g r o

Number

Per Cent

Infantile Paralysis Spastic Paralysis T.B. Bone and Joint Osteomyelit1s Arthritis Congenital Deformities Club Foot Obstetrical Paralysis Traumatic Deformities* Burns Rickets Other Two Diseases
TOTAL DIAGNOSED CA.SES

1,645 159 221 263 169 461 277 89 820 147 51 203 67
4,572

36.0
a.58 5.8 3.7 10.l 6.1 1.9 17.9 3.2 1.1 4.4 1.5
100.0

1,34~ 12 184 232 106 34o 226 81 526
i~
142
53
~.492

38.4 3.6
~:~
3.0 9.7 6.5 2.3 15.1 2.7 1.2 4.l 1.5
100.0

302 33 37
t~
121 51 8
294 53
6i 14
1,077

25.0 3.1 3.4 2.9 5.9
11.2 4. 7 .8
2i..3?
.8 5.7 1.3
100.0

In this study a ~raumatic deformity is a permanent crippling condition resulting from an injury such as a crushing blow, gun shot wound, fall, or an automobile wreck.
- 5-
..

and congenital deformities, in the order named, were the most frequent causes or crippling condi tione for both races.
These three causes were responsible for
40.4 per cent of the total white cases, and 34.2
per CP.nt of the total Negro cases; and account-

CAUSES OF CRIPPLING- CONDITIONS

PER CENT OF DIAGNOSED CASES

1 DISEASES

IJEOP.GIA IQ31

10

7.0

30

INFANTILE PARALYSIS

rnAUMATIC

CONGENITAL

CLU& FOOT

OSTEOMYLITIS

T. &. WNC AND JOINT

ARTHRITIS

SPASTIC PARALYSIS

SUR NS
O&STETRICAL PARALYSIS
TWO DISEASES

RICKETS

OTHER

CHART No.?.

ed for 63.2 per cent of the total diagnosed white cases, and 66.5 per cent or the total diagnosed Negro cases. 14.o per cent of the total Negro cases, and 27.3 per cent of the diag-

nosed Negro cases were classified as traumatic
deformities, whereas 9.6 per cent or the total white cases and 15.1 per cent of the white diag-
nosed cases were similarly classified. Other classifications of doctor's diagnosis do not vary to a great extent when compared by race.
Sex was not an important factor in determining the proportion or each diagnosis to the total number of oases with the exception or the traumatic deformities classification. Thirteen
per cent or the u18.les and 7.6 per cent or the
females were diagnosed as traumatic. Eleven and
six-tenths per cent or the white males, and 16.9
per cent or the Negro males were ~1sabled from traumatic injuries. Doctor's diagnoses were ob-
tained on 652 of the 1,216 Negro male cases. Traumatic deformities accounted for 205 of these
cases; infantile paralysis was responsible for
139 cases.* The Negro males were the only group
in the survey in which infantile paralysis did not cause the greatest number or crippling dieabilities.
Relief status was also unimportant in determining the causes of crippling conditions. The largest variation between the relief and
In this study a trawnf:ltic deformity is a '.'":r:,t'.'., 1 ~:~:... crippling condition resulting from an injury S'..!cn "" a cruhing blow, gun shot wound, fall, or an aut,:i:ooil~ wreck.

TABLE VI

DOCTOR'S DIAGNOSIS OF CRIPPLED CHILDREN - BY SEX TOTAL CASES

GEORGIA - 1937

Doctor's Diagnosis

T0 t a l

Number

Per Cent

Ma l e

Number

Per Cent

Infantile Paralysis Spastic Paralysis
T.B. Bone and Joint Osteomyeli tis Arthri tie Congenital Deformities Club Foot Obstetrical Paralysis Traumatic Deformities* Burns Rickets Other Two Diseases Not Ascertainable

1,645 159 221 263 169 461 277 g9 820 147 51 203 67
2,985

21.8 2.1 2.9 3.5 2.2 6.1 3.7 1.2 10.8 1.9
.7 2.7
.9 39.5

921

20.4

100

2.2

152 182

~..o4

90

2.0

268 188

~:.29

59

1.3

589

13.0

83

1.8

l~l

.6 2.8

1,70305

.8 37.6

TOTAL CASES

7,557

100.0

4,520

100.0

F em a l e

Number

Per Cent

724

23.8

g

1.9 2.3

31 79 193

22..l 6.4

89

2,9

30

1.0

231 64 24

72... s~

77 32

12..1

1,285

42.}

3,037

100,0

In this study a traumatic deformity is a permanent crippling condition resulting from an injury su~h as a crusni~g blow, gun sh0t wound, fall, or an automobile wreck.
- 6-

non-relief groups was in the riokets diagnosis, w1 th the ratio for the rel1ef group to th~ total number of cases being 1.1 per cent, and that for the non-relief group being 0.5 per cent.
It is of interest to note the increase and decrease in importance of the various causes of crippling conditions as the age of the child advances. Children crippled from congenital deformities and birth injuries represent a much larger proportion of the total cases in the

younger groups than they do in the older groups. The ratio of cases disabled from traumatic injuries to the total number of crippled children increases in the higher age groups. This ls likewise true for several of the diseases that cause a crippling condition. Infantile paralysis remains fairly constant 1n its ratio to the total for all age groups,*
As a supplement to this section table 6 presents find-
ings on Part.a of the Body Affected.

TABLE VII

DOCTOR'S DIAGNOSIS OF CRIPPLED CHILDREN BY RELIEF STATUS

TOTAL CASES

GEORGIA - 1937

Doctor's Diagnosis

T o t a;!,

Number

Per Cent

Re 1 i e t Number Per Cent

No n - R e l 1 e t'

Number

Per Cent

Infantile Paralysis Spastic Paralysis T.B. Bone and Joint Osteomyelitie Arthritis Congenital Deformities Club Foot Obstetrical Paralysis Traumatic Deformities* Burne Rickets Other Two Diseases Not Ascertainable

1,645 159 221 263 169 461 277 g9 820 147 51 203 67
2.~5

21.8 2.1 2.9 3.5 2.2 6.1-
3.7 1.2 10.8 1.9
.7 2.7
.9 39.5

3gg

21.0

33

l,g

f ~

~.o9

51

2,g

116

6.3

75

4.1

17

.9

187

10.l

42

2.3

21

1.1

58

3.1

22

1.2

690

37.4

l,2152 l 14a lg9 118
345 202
72 633 105
l~
45
2,295

22.0 2.2 2.6 3.3 2.1 6.1 3.5 1.3
11.l 1.8 .5 2.5 .8 4o. 2

TOTAL CASES

7,557

100.0

i,847

100.0

5,710

100.0

In thls study a traumatic deformity is a pel'lll8llent crippling condition resulting from an injury auch as a crushing blow, gun shot wound, fall, or an automobile wreck.

TABLE VIII

PERCENoTrAGCERIPTPALBELDE

SHOWING DOCTOR'S DIAGNOSIS CHILDREN BY AGE GROUPS

TOTAL CASES

Doctore Diagnosis

Grand Total

GEORGIA - 1937

4 Years
& Under

5- 9 Years

l0-14 Years

15-16 Years

17-21 Years

Infantile Paralysis Spastio Paralysis T.B. Bone and Joint Osteomyel1 tis Arthritis Congenital Deformities Club Foot Obstetrical Paralysis Traumatic Deformities* Burns Riokets Other Two Diseases Not Ascertainable

21.8 2.1 2,9
3.5 2.2 6.1
3.7 l.2 10.8 1.9
.7 2.7
.9 39.5

21.~ 2. l.5
il..o2
9.5
11a.. ~
,,1 1.8 2.8
3:1 37,9

22.5 2.2 2.0 2.5 1.7 6.1 4.8 2.1
82 .. l .8
2.9 .8
4o.9

22.~
2.
I:l
1.8 6.6 2.1
.9 10.7
2.0 .6
2.7 1.0
39.0

:!O.~ l. 2.5
24..l 4.9 2.1
.7 16.3
2.3 .1
2.0 1.0 39.1

21.5 2.1 3.7 3.7
~:l
1,8 .5
14.5 1.2
.o
2.7 .8
39.2

TOTAL CASES

100.0

100.0

100.0

100.0

100.0

100.0

In this study a traumatic deformity is a permanent crippling condition resulting from an injury such as a crushing blow, gun shot wound, fall, or an automobile wreck.

- 7-

PER CENT OF (QIPPLED CHtLDQEN Qece1v1NG HosPITAL CAnE
Bv COUNTY OF RESIDENCE
GEORGIA 1937

PE12 CENT.S FQOM O.OTH~UISH 10.0
PQ CENTS FROM 10.1 THQOU&H Z0.0 PE12 CENTS FROM 2Q I THQOUllH 30.0
PER C~NTS FR.OM 30.1THROUGH40.0
PER CENTS FROM 40.( THROUGH 50.0 PEQ CENTS FQOM SO.I lND OVEQ

[II]
~
m;
.-.~

I.,
Cl-IA~T NO. 3

TREATMENT

or the 7,557 crippled children studied, 5,292 cases or 70.1 per cent were reported as having received treatment. Less than halt or the cases treated, or 33.6 per cent or the total cases, received hospital care. or the remaining cases 36.5 per cent received treatment by a private doctor only, and 24.8 per cent received no treatment. In 5.1 per cent or the cases it was impossible to determine what type or treatment, it any, had been given.
In comparing types or treatment received, by race, it was round that 74.o per cent or the white children receiYed treatment, whereas only 59.8 per cent or the Negro children received treatment. Thirty-eight and three-tenths per cent or the white crippled children were treated in bospitals as compared with 21.2 per cent or the Negroes. Thirty-five and seven-tenths per cent or the white children and 38.6 per cent or the Negro children were treated by private doctors, only.

Types or care given to crippled children vary more with the residence or the children

Cl21PPLED CHILDREN RECEIVING- HOSPITAL TREATMENT

BY RACE ANO RESIDENCE.

GEORGIA

cPeNfR,.

1q37

PU
CENT

60r------------------~,o

50r---

30

---30

----!'20

10

0

0

WHITff.NEGRO

Wl.ffTE

TOTAL ~

LEGEND Ull.e.t.tl-

Rull.AL~

CllART N0.4

thar. with the race, since fifty-three and twotenths per cent or the crippled children living

T re at m e n t Hospital Private Doctor None Not Ascertainable TOTAL CASES

TABLE IX

MEDICAL TREATMENT RECEIVED BY CRIPPLED CHILDREN BY RACE AND RESIDENCE

GEORGIA - 1937

Lo ca t i o'n o r R e s i d e n c e

To t a l Total Urban Rural

Total " hUribant ~ Rural

Ne g r o Total Urban Rural

2,537 2,755 1,878
387

1,010 369
22 7l /

l,52z 12,,~l
111-6

2,04l 1,9 1,093
330

729 1,364

i~

1,670 953

212

118

444 1309 785

281 93 137

U!163

57

29

28

7,557 1,897 5,660

5,11-62 1,357 4,105

2,095

54-0 1,555

TABLE X

PERCENTAGE TABLE SHOWING MEDICAL TREATMENT RECEIVED BY CRIPPLED CHILDREN BY RACE AND RESIDENCE

Treatmen t

GEORGIA - 1937

Lo c a t i o n o r R e s i d e n c e

T o ta l

Wh 1 t e

N e gr o

Total Urban Rural

Total Urban Rural

Total Urban Rural

Hospital Private Doctor None Not Ascertainable

33.6 36.5 24.g
5.1

53.2

l~.
l

i;
f;

12.7

27.0 42.l 282.. ~

38.3 35.7 20.0
6.o

53. 7 20.3 10.3 15.7

46.:7? 23.2
2.9

21.2 3g.6 37.5
2.7

52.0 17.:? 25.4
5.4

l0.5 11-6.o 41. 7
l.g

TOTAL

100.0 100.0 100.0

100.0 100.0 100.0

100.0 100.0 100.0

- 9-

in urban counties were treated at a hospital,
whereas only 27.o per cent ~ the .crippled ch11-

1936. *** Five hu_ndred and sixty-four of these cases were white and 107 were Negro. Ninety-one

dren living in rural counties were treated at a and four-tenths per cent of these oases were

hospital. Fifty-three and seven-tenths per cent treated in six of the thirteen hospitals, five

of the urban white children and 52.0 per cent of of which were in the Greater Atlanta area. Warm

the urban Negro children received hospital

TABLE XI

treatment, as compared with 33.2 per cent of the rural white and l0,5 per cent of the rural Negro

CRIPPLED CHILDREN RECEIVING HOSPITAL TREATMENT

el' RELIEF STATUS

4aP0EmP.

GEOQGIA 1q37

PEit CE~ NT

301-----.J

f--------<30

CRIPPLED CHILDREN RECEIVING HOSPITAL CARE BY RELIEF STATUS

GEORGIA - 1937

Total Relief Status Cases

Receiving Hospital Care

Number

Per Cent

Relief

l,g47

630

34.1

Non-Relief

5,710 1,907

33.4

TOTAL

7,557

2,537

33.6

Springs Foundation, the only one or the six hos-

pitals not located in the Greater Atlanta area,

'ZO

1-------1'20

reported g7 oases treated, of which g4 were

IOt-------<

~---110

white and three were Negro,**** An idea as to the cost of treating orthope-

O'------' TOTAL

ll.E LIEF Cl1ART N0.5

...___ ____. 0 NON-RELIEF

groups, These figures should be or vital interest inasmuch as one purpose of the program of Se;"Vices for Crippled Children is to extend and strengthen care for crippled children,"especially in rural areas and in areas suffering from severe economic distress".*
Thirty-four and one-tenth per cent of the crippled children from relief families received hospital treatment, as compared with 33.4 per cent of the crippled children from non-relief families. The fact that the relief group shows a slightly higher percentage receiving hospital treatment would appear to indicate that children from re~ief families have received more outside assistance than those from the non-relief group.**

dic cases may be obtained from the following

sts.tistics as reported by two of the above

institutions.

During the year 1936 one or the institu-

tions admitted 370 cases for orthopedic treat-

ment. The average stay per patient at the hos-

pital was 57 days, with an average cost of $2.12

TABLE XII

NUMBER OF LOCAL CRIPPLED CHILDREN TREATED IN GEORGIA HOSPITALS JANUARY 1, to JUNE 30, 1936,

Ho s p i t a l

Total

White

Ne_g_ro

Eggleston Memorial

46

46

0

Georgia Baptist

32

32

0

Grady

223

133

90

Piedmont

4o

4o

0

Scottish R1 te

185

lg5

0

Warm Springs All Other

g7

glj.

3

5g

44

14

TOTAL

671

564.

107

Thirteen hospitals in the state reported a total of 671 cases treated during the period beginning January 1, 1936, and ending June 30,

An attempt was made to discover the total number of crippled children in the state receiving orthopedic care during the period beginning January 1, 1936, and ending June 30, 1936. A report was obtained from thirteen hospitals giving this information, which, it is believed, will cover the majority of such cases.

See Federal Social Security Appendix A.
Sep, Table 7, Appendix B.

Act, Title V, Part 2, in

*The 87 cases reported for the Warm Springs Foundation were residents of Georgia. Cases treated at that institution whose residences were outside of the state were not included in the Survey.

- 10 -

per patient day.. 'l'he average cost of treatment for each patien.t wa~ 120.gl!-. --'c:.
It was possible to obtain the cost of treating 31 of the g7 cases admitted to the other institution. Thirteen of these oases were treated, but did not stay in the hospital. The lg cases that did stay in the hospital averaged g2 hospital days per patient. The average cost of treating the 31 patients was $34-3.79.
It must be remembered that these figures do not represent the total cost of treating a case,

but rather they indicate the cost as related to a certain period of time in the treatment. In the majority of orthopedic cases the initial hospital treatment is only the begin~ing, and the patient should receive careful attention over a period of years for the treatment to be most valuable. To obtain an accurate picture of the cost of orthopedic treatment it would be necessary to study the history of several cases from the time medical treatment began until the oases were dismissed.

- 11 -

EDUCATIONAL AND VOCATIONAL REMA&ILITATION

The education ot the crippled child was years of age in the general state population

studied with particular interest as to: tiret, were reported as illiterate.* The comparison ot

the present educational attainments of crippled the education of Negro crippled children to the

children; and second, the facilities now avail- total Negro child population is probably not ao-

able to them tor special training and vocational curate as the coverage of Negro oases was not as

guidanof!.

complete as the coverage of white oases. Since

One thousand titteen white cripple~ children between the ages of 5 dnd 21, inclusive, were found to have received no education. Thie

TABLE XIV MEDIAN GRADE IN SCHboi FOR FULTON COUNTY
CRIPPLED CHILDREN BY AGE GROUPS

group represents lees than one-fourth ot the 4-,975 white crippled children that were included :.in these age groups. Five hundred and twenty-

Age Groups

GEORGIA - 1937 Median Grade
tor Whites

Median Grade for Negroes

one, or 14. 7 per cent,. ot the 3,54-2 white crippled children between 10 and 21 years of age were reported as illiterate. The 1930 census

5- 9 10-14 15-16 17-19 20-21

1- 2
lj.
7 7 7

l -2
l
4
3

reported 1.8 per cent of the total native white children in Georgia between 10 and 20 years ot age as belng illiterate.*
Four hundred and seventy-three out ot a total of 1,916 Negro crippled children from 5 to 21 years ot age were found to have received no education. Two hundred fifty-five, or 17.7 per cent, of the Negro crippled children from 10 to 21 years of age were reported as illiterate, where~a 9.5 per cent ot the Negroes 10 to 20
Population - Georgia - United States Bureau of the Cen-
sus, 1930. Table 7, page 10.

much of the census information was obtained through schools, it is reasonable to assumetbat a large proportion ot the Negro crippled children not included in the Survey were illiterate.
The proportion of illiterates among the white crippled children as compared with the illiterates in the general white population does not appear to be excessive when it is probable that in some oases a c~tppling condition is accompanied by mental deficiency, and in other

TABLE XIII

EDUCATION OF CRIPPLED CHILDREN

Race Age Group

White

15 0-- l~ 15-16 17-19 20-21

TOTAL

Negro

150--1~ 15-16 17-19 20-21

TOTAL

Total N.A. None

1l,,26t32 g6474

~l9~
21

494 271 81 121

359 22

Ilg

4,125 141 1,015

466 6 218

653 10

2g9 340

5g

10~
~8

16g lj.

lj.lj.

1,916 g3 4-73

GEORGIA - 1937 GRADE I N S C H 0 0 L

l-2 3

4

5

6

7

515 220
28 44 15

131 l~
24 21

59 250
38
i

4 2a;
39 30

4 ll
il

i;3i
99 50

g22 4og 4ol Jgo ;l21 l2~

206 29

6

0

l

0

207 95 9g 59 46 19

~

39 29 15

~
11

37 31 19

24-
i~

21 27 15

522 207 191 146 114- 82

l- 2 3-41-23-4 High High Col. Col.

4

0 0 0

6l 0

ill 81 2 0 221 26 8

50 72 13 7

4z~ 380 4-2 l~

0

0 0 0

7

30 0

15

0 00

30 20 5 2

8

6 1 1

60 29 6 ~

Children under school age were not included in this table,
- 12 -

oases the m1nd is normal but the ph)'s1cal handi- age.**** Only 93~ of these children could be

cap is so great that the ch1ld is unable to at- classified as crippled according to the defini-

tend school.

tion used ln the survey; the others were either

A comparison was made ot educational status blind or deaf. This department could service

tor crippled children ln Fulton County that were more oases but for the fact that ln many in-

reported to be attending school during the year stances physically handicapped persons are not

1936-37* with that for the total Fulton County capable of choosing a specific vocation for

Cr1ppled child population. Two points of es- which they wish to be trained. Thie is probably

pecial interest in these f1ndlngs were: First, due to the lack of a basic education. Services

although suffer1ng trom physical handicaps the white crippled child had acquired an elementary school education; and second, the rate of advancement for those white crippled children that were attending school at the time the survey was
- made varied but little from the normal rate of
advancement.** The Negro crippled children that were attending school during 1936-37 were more advanced ln their school work than were those from the total Negro child population.
Many children mentally capable ot receiving an education are physically unable to do so because the spec1al equipment necessary to enable them to attend school is not provided. In many of the large eastern schools, ent:r&nces are pro-

EDUCATION Of CRIPPLED CHILDREN AT'tENDING- SCHOOL

TO EDUCATION OF TOTAL CRIPPLED Cl-llLDQEN

~y QACE

FULTOM COUNTY

6-AAOEIN

6EORGIA

CSilADE IN

SOIOOL II 10

1'13Go!l7

~ , ~/ SCMOoL
~/

ScllOOlI 1 IO

9

'I

6

1:-.~:r!.:I I~/ I /"1 ~'GT~

.- . , / ~;/

,.....- /

8
~

/' ... ~v

,... \

v .. , v ... 5

/' /

/~ / / .

.&::

,,:(.~

~ 1......
~ 7_,,~ ..

(:."
,,

?..
, ,-

,."
......

-

.......
, ,- ,.

~~~~~--

\

-1- ~:-

i--.... ~-~

r~~i~~1

...

0" ,

0 1 0 1 1 l ' l 1 3 1415 !Go 1 7 1 8 1 '
AGE INVEAR$

TME HOA.MAL ~TE OF PR.OCrRESSION IS DfflNEO AS THf ADVANCEMfMT MA.DEW' ACMILD NTfR.ING SCHOOL A1 Sil YEARS Of .ABE AND P~tSSIN& ONE GQAOE EACH 'IEAQ..

CHAIU NO.(O

vided for wheel chairs and special desks which
may be adJueted to the pupil's needs are fur-
nished in order that physically handicapped
children may receive equal educational oppor-
tunlties with normal students.
The only services designed purposely for
the education or voca~ional rehabilitation of crippled children ln Georgia and financed from
state funde***are conducted through the Division
of Vocational Rehabilitation of the State De-
partment cf Education. During the year 1936,
this department trained and placed in Jobs 104 handicapped children between 16 and 21 years ot
* It was possible to obtain the grade 'n school for 227 white and 36 Negro Fulton County crippled children that
attended schoo~ during the school year 1936-37. These do
not represent, however, the total number of crippled children attending school.
The normal rate of progression is defined as: A child entering school at six years of age and advancing one grad~ each year.
The Division of Vocational Rehabilitation is financed fro~ Federal and State .Funds.

rendered to the handicapped by this department
include: providing artificial limbs, aiding in
occupational placement, adv1slng and supervising
vocational t:r&inlng, and locating handicapped
persons.
There are no state supported schools ln
Georgia purposely equipped to care for crippled
children,*****nor are there any classes ln state
schools especially designed for the purpose ot
teaching the crippled a vocational skill. The
lack of such facilities in this state ls of con-
cern, since education and vocational training
These 104 cases represent only a portion of the work accomplished by the Division of Vocation Rehabilitation as the major portion of their services are rendered to adults.
****While Georgia does have a school for the blind and alao a school for the deaf,there is no educational institution provided for crippled children. Such courses as are given for vocational training must be taken in the public schools or other regular institutions offering such work, hence the vast majority of crippled children are denied educational training except for whatever tutoring they 11188 be given at home.

- 13 -

are of such 1.mporfan"c:i"e to the physically handicapped. The preparat1un of a crti>pled child for a profession or a definite occupation may be the

largest single factor in determining whether that child shall become a self-supporting citizen or a recipient of public relief.

- 14 -

CONCLUSION Seven thousand five hundred and fifty-seven cases were included in the Survey of Crippled Children in Georgia. Infantile paralysis was the cause of more of the disabilities than any other diagnosis. This disease was responsible for
21.S per cent of the total oases, and 36.0 per cent of the
oases for which a dootors diagnosis was available. seventy and one-tenth per oent of the total crippled
children were reported as having received medical treatment. Thirty-three and six-tenths per cent were treated in a hos-
pital, and 36.5 per cent were treated by a private doctor
outside of a hospital. Fifty-three and two-tenths per cent of the children living in urban counties received hospital treatment, whereas only 27.0 per cent of the children living in the remaining counties received hospital treatment.
Fourteen and seven-tenths per cent of the white crippled children between 10 and 21 years of age had received no schooling. Seventeen and seven-tenths per cent of the Negro crippled children in the same age group were reported to be illiterate.
Although this rate of illiteracy is higher than that of the normal child the findings of the survey indicate that crippled children made a steady rate of advancement in school. This fact is important since an education is so valuable to the physically handicapped.
- 15 -

APPENO\XES

APPENDIX A
SoCIAL SECUIUTY ACT, PUBLIC - NO. 271 74TH CONGRESS, H.R. 7260 TITLE V:
GRANTS TO STATES FOR MATERNAL AND CHILD WELFARE

PART 1
PART 2 - SERVICES FOR CIUPPLED CHILDRF.N
APPROPRIATION Sec. 511. For the purpose of enabling each State to extend and improve (especially ln rural areas and ln areas suffering from severe economlc distress), as far as practicable under the conditions ln such State, servloes for locating crippled children, and for providing medical, surgical, corrective, and other services and care, and facllltles for diagnosis, hospltallzatlon, and aftercare, for children who are crippled or who are suffering from conditions which lead to crippling, there le hereby authorized to be appropriated for each fiscal year, beginning With the fiscal year ending June 30, 1936, the sum of $2,g50,ooo. The sums made available under thle section shall be used for !118.klng payments to States whloh have submitted, and had approved by the Chief of the Children's Bureau, State plane for euoh services.
ALLOTMENTS TO STATES Seo. 512. (a) Out of the sums appropriated pursuant to eeotlon 511 for eaoh fiscal year the Secretary of Labor shall allot to each State $20,000, and the remainder to the States aooordlng to the need of each State as determined by him after taking into consideration the number or crippled children ln such State ln need of the services referred to in section 511 and the cost of furnishing such servloee to them.
(b} The amount of any allotment to a State 1mder s11beeotlon (a) for any fiscal year remaining unpaid to such State at the end of euoh fiscal year shall be available for payment to such State under section 514 until the end of the seoond succeeding fiscal year. No payment to a State under section 514 shall be made out of lte

allotment for any fiscal year until its allotment for the preceding fiscal year has been exhausted or has ceased to be available.
APPROVAL OF STATE PLANS Seo. 513. (a) A State plan for services for crippled children must (1) provide for financial partiolpatlon by the State; (2) provide for the administration of the plan by a State agenoy or the supervision of the admlnlstratlon of the plan by a State agency; (3) provide such methods of admlnlstratlon (other than those relating to selection, tenure of office, and compensation or personnel) as are necessary for the efficient operation or the plan; (4) provide that the State agency will make such reports, ln such form and containing such information, as the Secretary of Labor may from ti~eto time require, and comply with such provisions as he may from time to time find necessary to assure the correctness and verification of such reports; (5) provide for carrying out the purposes specified in section 511; and (6) provide for cooperation with medical, health, nursing, and welfar~ groups and organizations and with any agency 1n such State charged with administering State la~ providing for vocational rehab1li tat1on of ph~ slcally handloapped ohlldren.
(b) The Chief of the Children s Bur<"~u shall approve any plan which fulfills the oond1tlons specified in _subsection (a) and ehal 1
thereupon notify the Secretary of Labor and th"'
State agenoy or hie approval. PAYMENT TO STATES
Seo. 514. (a) From the sums appropriated therefor and the allotments available under sectlon 512, the Secretary of the Treasury shall pay to each State which has an approved plan for services for crippled ohildren,for each quarter, beginning with the quarter ccmmencing July 1,

- 19 -

1935, an amount, which shall be used exclusively
for carrying out the State plan, equal .to onehalf of the total sum expended during such quarter for carrying out such plan,
(b) The method of computing and paying such amounts shall be as follows:
(1) The Secretary of Labor shall, prior to the beginning of each quarter, estiate the amount to be paid to the State for sucn quarter under the provisions of subsection (a), such estimate to be based on (A) a report filed by the State containing its estimate of the total sum to be expended in such quarter in accordance with the previsions of such subsection and stating the amount appropriated or made available by the State and its political subdivisions fnr such expenditures in such quarter, and if such amount is less than one-half of the total sum of such estimated expenditures, the source or sources from which the difference is expected to be derived, and (B) such investigation as he may find necessary,
(2) The Secretary of Labor shall then certify the amount so estimated by him to the Secretary of the Treasury, reduced or increased, as the case may be, by any sum by which the Secretary of Labor finds that his estimate for any prior quarter was greater or less than the amount which should have been_ paid to the State for such quarter, except to the extent that such sum has been applied to make the amount certified for any prior quarter greater or less than the amount estimated by the Secretary of Labor for such prior quarter.
(3) The Secretary of the Treasury shall thereupon, through the Division of Disbursement of the Treasury Department and prior to audit or settlement by the General Accounting Office, pay to the State, at the time or times fixed by the Secretary of' Labor, the amount so certified.
OPERATION OF STATE PlANS
Seo. 515. In the case of' any State plan for
services for crippled children which has been

approved by the Chief of the Children's Bureau, if the Secretary of Labor, after reasonable notice and opportunity for hearing to the State agency administering or supervising the administration of such plan, finds that in the adminietration of the plan there is a failure to comply substantially with any provision required by
section 513 to be included in the plan, he shall
notify such State agency that further payments will not be made to the State until he is satisfied that there is no longer any such failure to comply, Until he is so satisfied he shall make no further certification to the Secretary of the Treasury with respect to such State.
PART 3
PART 4 - VOCATIONAL REHABILITATION
Sec. 531. (a) In order to enable the United
States to cooperate with the States and Hawaii in extending and strengthening their programs of vocational rehabilitation of the physically disabled, and to continue to carry out the provisions and pu:'poses of the Act entitled "An Act to provide for the promotion of vocational rehabilitation of persons disabled in industry or otherwise and their return to civil employment", approved June 2, 1920, as amended (U. S. C.,
title 29, ch. 4; u.s. C., Supp. VII, title 29, secs. 31, 32, 34, 35, 37, 39, and 4o), there is
hereby authorized to be appropriated for the
fiscal years ending June 30, 1936, and June 30, 1937, the sum of' $S41,000 for each such fiscal
year in addition to the amount of the existing authorization, and for each fiscal year there-
after the sum of' $J.,93g,ooo. Of' the sums appro-
priated pursuant to such authorization for each fiscal year, $5,000 shall be apportioned to the Territory of Hawaii and the remainder shall be' apportioned among the several States in the manner provided in such Act of June 2, 1920, as amended.
(b) For the administration of such Act of June 2. 1920, as amended, by the Federal ageno7

20 -

authoriz~ toadm1nister it, there is hereby authorized to be appropriated for ~ f1~cal 7ears ending June 30, 1936,and June 30, 1937, the sum of $22,000 for each such fiscal year in addition

to the amount of the ex~sting authorization, and tor each fiscal year thereafter the sum of $102,000.

STATE OF GEORGIA

H.B. NO. 700 AN ACT

To authorize and empower the State Department ot Public Welfare to cooperate with the Federal Government through its appropriate agency or instrumentality in supervising the administration of a program of services for children who are crippled or who are suffering from conditions which lead to crippling; to receive and expend grants of Federal or other money for the above purposes in accordance with such provisions and regulations made therefor; to deeignate the State Department of Public Welfare as the official agency of the State of Georgia (f) or the administration of the State program for services for crippled children; and for other purposes.
BE IT ENACTED BY THE GENERAL ASSEHBLY OF THE STATE OF GEORGIA, and it is hereby enacted by authority of the same:
Section 1. The State Department of Public Welfare is hereby designated as the agency of the State of Georgia to supervise the administration of a program of services for children who are crippled or who are suffering from conditions which lead to crippling. The purpose of such program shall be to develop, extend and improve services tor locating such children and for providing for medical, surgical, corrective and other services

and care, and tor facilities tor diagnosing, ho1pitalization and after care.
Section 2. The State Department ot Public Welfare is hereby authorized: (a) To formulate and administer a detailed plan or plane for the purposes specified in Section 1, and make such rules and regulations as may be necessary or desirable for the administration of such plane and the provision of this Act. (b) To receive and expend in accordance with such plans all funds made available to the Department by the Federal Government, the State or its political subdivisions or from other sources for such purposes. (c) To cooperate with the Federal Government through its appropriate agency or instrumentality in developing, extending and improving such se!'Vices and in the administration of such plans. (d) To delegate the authority provided tor in this Act as heretofore authorized to said Department in Section 6, subsection 15, of the Welfare Reorganization Act ot 1937.
Section 3. All provisions of law in conflict with the provisions of this Act are hereby repealed.

- 21 -

Block 1. Child's Last Name

EXHIBIT A

CENSUS CAJ:ill ~_ Survey of Crippled ChiIdren In Georgia

1937

IDENTIFICATION OF CHILD

White I Negro

First Name

I
Race

Male Female Sex

Yee I No
I
Relief

Name of Parent or Guardian

Poet Office Address

Countv

Circle Age Last Birthday

Age IJn~:rl 2 3 j 4 j 5 j 6 j 7 j 8 j 9 j 10 j 11 j 12 13 j 14 I 15 j 16 j 17 18 j 19 j 20 j 21

Educatio~s~~~~f I O j 1

Circle Highest Grade Reached
2 j 3 j 4 5 j 6 j 7 Js~~~~1 J 1 2 j 3 j 4 ]college 1 j 2 J 3 j 4

Has the crippling condition been treated? Yes No Hospital Private Doctor

Block 2. Neck Snine

RIL RIL RIL
I I I
Arm Shoul. Elbow

RIL
I
Hand

RIL
I
Chest

PARTS AFFECTED
RIL RIL RIL
I I I
Leg Hin Knee

RIL RILi
I II
Ankle Foot Pelvis Other-snecifv

Block 3

FUNCTION IMPAIRED-MARKED. Check j

I I I I

I

I

I

Unable Walks wi thl Unable to Wheel

Bed

to Walk Apparatus Feed Self Chair

Case

Speech Defect

I Sight 11-------------1 Defect I Other. - Snecifv

Block 4.

DOCTOR'S DIAGNOSIS - Check j

Not

I I I

I

I

I

.I

Infant I Spastic I TB Bone \ Osteo-

Club

Ascert. ParalysislParalysi~ & Joint Myelitis Foot

I

I

\ Arth- \ Trauritie matic

Other Diagnosis Specify

INSTRUCTIONS
Prepare a Census Card for persons 21 years of age and under, having amputated, withered, paraly~ed, stiffened, shortened, distorted, or swollen members; or with continued dislocation of Joints or discharging bones. Block 1. IDENTIFICATION OF CHILD. Give child's last name and first name. Check correct race and sex ../. If child's family has received relief in 1935 or 1936 or has been transferred from relief to WPA, check relief, Yes ../; otherwise check Nov. Give name of parent or guardian of child, post office address, and county of residence. Circle age of child at last birthday. Circle highest grade reached in school. If the crippling condition.has been treated check Yes../; otherwise, No/. If treatment was given in a hospital or clinic, check ./after hospital; if treatment was given in a private office or home by a private physician, check /after Private Doctor. Block 2. PARTS AFFECTED. Check ../ to indicate parts affected.
Block 3. FUNCTION IMPAIRED. Marked. If child has only a slight impairment, do not check; when impairment is marked or serious, check v'. Block 4. DOCTOR'S DIAGNOSIS.
This block is designed only for a doctor's diagnosis. If this cannot be obtained, check space above Not Ascert.v'.
Submitted by _ _ _ _ _ _ _ _ _~
Date~----~----

- 22 -

EXHIBIT B 'f1CHEDULE OF-:f.UBLIC AND PRIVATE HOSPITAL EXPENDITURES
SURVEY OF CRIPPLED CHILDREN IN GEORGIA
1937

Patient's Last Name First NamP
I I 1'hite Negro Male Female

Race

Sex

AIZe

~11nic Hosoital or Ins t i tut1on Homf! P. o. Add.ress

Location County of Residence

Last Date Admission
Infant. Spastic TB Bone Osteo- Club ParalY. Paralv. & Joint rnye11 tis Foot
D 1 a p: n " o l s Total Cost-Include Surgeon's Fee$

Number 'rimes Admitted

Number Days in Hospital

I I

Arth- Traur1t1s mat1c

Good I Fair I Poor

Other Diagnos,Q-2nPc1fy

Prognosis

IPrivate Funds $

!Public Funds $

Source of Private Funds

Source of Public: P:.mio:

I NSTROCTIONS
Submit Schedules on all cases admitted to clinics, hospitals, or ins ti t.itions, during January-
June, 1936, inclusive, twenty-one years of age or under, which have a record showing amputation or treatment of withered, paralyzed, stiffened, stortened, distorted, or swollen m~mbers or treatment of dislocation of Joints or discharge frol!l bones or Joints or for treatment of severe burns.
List patient's name in space indicated. Write the name of., the clinic, hospital, OT' institution from which the child received treatment above the words, "Clinic, Hosp1'tal, or Institution." List the name of the town or city in which the clinic, hospital,or institution is located above the word, "Location".
Cheak Race and Sex, with mark./ in correct spaces. Above Age, give the child's age at the time
of his last admission to the hospital during period January-June, 1936. Write the child's home post
office address above the words, "Home Poet Office Address"; and the county of residence in the space prov1ded.
G1ve the last date of the child's admission during period January-June, 1936, indicate the number ot times admitted during period and the total number days in hospital or institution in first six months of 1936 in the spaces provided,
In the space following "Total Cost-Include Surgeon's Fee, give the total oost tor the period
January-June, 1936. Show the amount of the total expenditure paid from private funds and the amount
paid from public funds.
Indicate source of private funds and source of public funds 1n the spaces provided. Private funds may be provided by an individual or from a general private fund such as Community Ches~, Red Cross, Scottish Rite fund, et cetera; while Public Funds refer only to public tax funds, either city tax or oounty tax or both,
- 23 -

Age Groups
Under 4 Years 5 - 9 Years 10 - 14 Years 15 - 16 Years 17 - 21 Years Not Ascertainable TOTAL

APPEMOIX B

TABLE l AGE GROUPS OF CRIPPLED CHILDREN
BY RESIDENCE AND RACE

To t a l Total White

GEORGIA - 1937

Negro

Ur b a n Total White Negro

813

636

177

1,719 1,253

466

226

177

49

410

285

125

2,315 1,662

653

963

674

289

1, 714 1,206

508

33

31

2

617

451

166

232

161

71

388

261

127

24

22

2

2,095

l,897 l,357

54o

Ru r a 1 Total White Negro

587

128

1,309

341

l,698 1,211

4$7

731 1,326

513 218

945

381

9 5,660

9 4,105

0
1,555

Rell et' Status Relief' Non-Relief TOTAL

TABLE 2

RELIEF STATUS OF CRIPPLED CHILDREN - BY RACE

GEORGIA - 1937

'l' o t a l

Number

Per Cent

wh i t e

Number

Per Cent

1,838

24.3

l,375

5,719

75.7

4,087

7,557

100.0

5,462

100.0

N e gr o

Number

Per Cent

22.l

77.9

2,095

100.0

TABLE 3

DOCTOR'S DIAGNOSIS OF CRIPPLED CHILDREN - BY RACE AND SEX

Doctor's Diagnosis

GEORGIA - 1937

Gr a n d T o t a l Total Male Female

wh i t e
Total Male Female

Ne g r o Total llale Female

Infantile Paralysis

1,645

921

724

1,343

732

611

302

189

113

Spastic Paralysis

159

100

59

126

82

44

T.B. Bone and Joint

221

152

69

184 130

54

33

18

15

37

22

15

Osteomyelitis Arthritis

263

182

81

232

163

69

.169 90

79

106

64

42

31

19

12

63

26

37

Congenital Deformities 461

268

193

34o

209

131

121

59

62

Club Foot

277

188

89

226 155

71

Obstetrical Paralysis

89

59

30

81

53

28

51

33

18

g

6

2

Traumatic Deformities

820

589

231

526

384

142

294

205

g9

Burns

147

83

64.

94

57

53

26

27

Rickets

51

27

24

42

22

9

5

4

Other Two Diseases Not Ascertainable

203 67
2,985

126 35
1,700

77 32 1,285

142 53
l,967

88 29 1,136

61

38

23

14.

6

g

1,018

564

454

TOTAL

7,557 4,520 3,037

2,158

2,095 l,216

879

- 25 -

TABLE 4 _DOCTOR'S DIAGNOSIS OF CRIPPLED CHILDREN
BY RACE AND AGE GROUPS GEORGIA - 1937

R a c e a n d A g e Gro.JL:Q_e

Doctor's iJiagnosis -----

W HI T E

NEG R 0

Grand

ana

and

Total Total N.A. Under 5 - 9 10-14 15-16 17-21 Total N.A. Under 5 - 9 10-14 15-16 17-21

Infan. Para. 1,645 1,343 4 13S 31g 420 161 302 302 o 35 6e 96 36

67

Spaet.Para. 159 126 0

20 33 4-0

9 24

33 0

1

6 11

3

12

T.B. Bone

221 1S4 o

10 26 71 19 5g

37 0

2

9 15

5

6

Osteomyli t. 263 232 0

6 4o gg 42 56

31 0

4

4 13

3

7

Arthri t1s

169 106 0

5 22 26 15 3g

63 0

3

8 16 10

26

Congen1 tal

Deformi t1 es 461 34o 1

65 7g 107 36 53 121 0 12 27 45 11

26

Club Foot

277 226 0

eo 71 4o 15 20

51 1 12 11 10

6

11

Obstetrical

Paralysis

g9 81 0

16 34 19

5

7

g 0

0

2

3

2

1

Trauma tic

Deformities S20 526 0

16 e6 147 107 170 294 0

9 56 101 50

7g

Burns

147 94 1

15 28 26 11 13

53 0

0 14 20 11

g

Rickets

51 42 0

19 11 10

1

1

9 0

4

2

3 0

0

Other

203 142 o

21 34 43

8 36

61 0

6 15 19 11

10

2 Diseases

67 53 0

5 13 17

8 10

14 0

1

1

7

2

3

N. A.

2,985 1,967 25 220 459 608 237 418 1,018 1 gg 243 294 139 253

TOTAL

7,557 5,462 31 636 1,253 1,662 674 1,206 2,092 2 177 466 622_ 282 5_08

TABLE 5 DOCTOR'S DIAGNOSIS OF CRIPPLED CHILDREN
BY RELIEF STATUS AND RACE GEORGIA - 1937

Doctor's Diagnosis Infantile Paralysis Spastic Paralysis T.B. Bone and Joint Osteomye11 tis Arthritis Congenital Deformities Club Foot Obstetrical Paralysis Traumatic Deformities Burne Rickets Other Two Diseases Not Aecertainable TOTAL

Grand Total Total White Negro

1,645 1,343

302

159

126

33

221

184

37

263

232

31

169

106

63

461

34-0

121

277

226

51

89

81

8

S20

526

294

147

94

53

51

42

9

203

142

61

67

53

14

2,985 1,967 l,OlS

7,557 5,462 2,095

Relief Total White

3gg

314

33

24

73

60

74

72

51

34

116

94

75

62

17

15

1S7

123

.. 42

31

21

19

58

45

22

20

690

462

1,847 1,375

Negro 74 9 13 2 17
22
13
2
64
11 2
13 2
228 472

- 26 -

Non-Relief Tota1---wlilte Negro

1,257 1,029

22g

126

102

24

148

124

24

189

160

29

11e

72

46

345

246

99

202

164

3e

72

66

6

633

4o3

230

105

63

42

30

23

7

145

97

48

45

33

12

2,295 1,505

790

5,710 4,087 1,623

---

TABLE 6
DOCTOR'S DIAGNOSIS OF CRIPPLED CHILDREN BY PARTS OF THE BODY AFFECTED
GEORGIA - 1937

Parts

D o c t 0 r I 8 Diagnos i s

of

Infan, Spast. T.B. Osteo- Club Arth- Trau- Con- Obst.

2 Dis-

Body Affected Paral. Paral. Bone 1'felitie Foot ritis matic genital Paral. Burns Rickets Other eases N,A.

Total

Total Cases 1,645 159 221 263 277 169 820 461 89 147 51 203 67 2,985 7,557

White Cases-No. 1,343 126 184 232 226 106 526 340 81

94 42 142 53 1,967 5,462

Neck Spine Arm Shoulder Elbow

.39 17

4 3

l

3

li

34 6

9 3 15 3 118 266

213 36 34 5

6

7

40

70 26

l

7 39 12 393 889

387 47

8 29

6 13 171

87 30

23

6 29 11 452 1,299

179 33

8 13

1 6

33

43 6

4 3 14 6 211 560

iJ9 29

5 10

0 11

55

43 8

6 2 14 7 195 524

Hand Chest Leg Hip
Knee

240 41

6 8 10 10

93 108 19

86 17 11 4

l

3

5 24 3

1,015 85 98 156 29 52 185 145 42

340 48 61 50

6 29

78

79 17

414 47 26 53

8 44

66

72 17

36

5 22 12 370 980

5

4

9 2

93 267

35 32 73 33 1,010 2,990

7 7 32 8 461 1,223

10 10 36 23 442 1,268

Ankle Foot Pelvis Other N.A.

433 48 17 27 53 26

559 55 13 28 212 24

50 6

2 0

0

0

28 13

2 l

0 2

12 l

1 2

1

l

53

85 18

74 127 28

3

8 1

7

16 8

0

7 1

12

2 38 16 452 1,280

18 15 46 19 637 1,855

0

1

7 0

57 135

16

l 21 7

99 221

0

0

4 0

39

69

Total Parts
Affected 4,134 523 296 389 334 231 874 948 230 182 98 399 159 5,029 13,826

Negro Cases-No. 302 33 37 31 51 63 294 121 8

53

9 61 14 1,018 2,095

Neck Spine Arm Shoulder Elbow

7 4

0

l

0 2

3

2 0

1

0

6 0 49

75

36 5

7 1

0

6

13

13 l

3

2

6 1 127 221

124 18

4 2

0

9

39

29 2

15

l 16 4 222 485

58 8

l 1

0

5

11

12 0

4

3

7 2 109 221

56 9

0 0

0

7

11

14 0

7

0

5 1

81 191

Hand Chest Leg Hip Knee

83 12

0 0

1

7

39

47 2

17

0

7 3 193 411

18 5 2 0 0 1

3

5 0

5

0

1 l

50

q1

244 21 13 16

5 30 144

69 2

21

6 36 4 577 l, l.Sg

109 10 18 10

l 22

42

25 1

103 9 10 3

2 21

44

26 0

6 5

0 1

9 16

4 4

247 274

5Q1; 518

Ankle Foot Pelvis
Other N.A.

101 10 10 3 13 11

26

28 0

137 13

7 6 49 11

44

53 3

11

0

0 0

0

0

3

2 0

60 02 0 0

9

0 0

40 00 0 0

l

l 0

3

l 12 2 223 443

9

l 13 5 333 684

0

l

0 0 31

48

0 0 20

7 26

0 0 20

4

12

Total Parts
Affected 1,097 124 72 45 71 132 432 236 11

96 16 138 31 2,527 5,ll!S

Grand Total
Parts Affected 5,231 647 36s 434 405 363 1,306 1,274 241

278 114 ;137 190 1.256 lB, 941+

In several cases where club foot is given as the cause of crippling conditions the children so classified were found to have other parts of the body affected.

- 27 -

Treatment Received Hospital Private Doctor None Not Asce.rtainable TOTAL

'l'AJIL& 7
:ULl:U S'l'J.TUS or CRIPJ'l.ID CHILIIRD 'l'm:.l'1'11111'1' BY R.lCI
GIORGIA - 1937

Total 2,537 2, 755 1,878
387 7,557

Tot a 1 \'/hite
2,093 1,946 1,093
330 5,462

R e 1 i e f Status an d :a a c e

Relief

Non-Relief

Negro

Total White Negro

Total White Negro

444

630

507

123

1,907 1,586

321

809

661

490

171

2,094 1,456

638

785

494

330

164

1,384

763

621

57

62

48

14

325

282

43

2,095

1,847 1,375

472

5, 710 4,087 1,623

TABLE 8
DOCTOR'S DIAGNOSIS AND TlillATMENT or CRIPPLED CHILDREN
GEORGIA - 1937

Doctor's I:iagnosis

Grand Total

White

Negro

Total Hosp. Pr.Dr. None N.A. Total Hosp. Pr.Dr. None N.A. Total Hosp. -Pr.Dr. None N.A.

Infant Para. 1,645 603 745 248 49 1,343 537 583 177 46 302 66 162 71

3

Spastic Para. 159 66 66

24 3 126 59 50

14 3

33

7 16 10

0

T.B. Bone

221 137 70

13 1 184 120 50

13 1

37 . 17 20

0

0

Osteoll\Yelitis 263 202 56

5 (} 232 181 47

4 0

31 21

9

l

0

Arthritis

169 56 84

22 7 106 37 54

10 5

63 19 30 12

2

Congenital Deformities

461 131 102

187 41

340 117

74

115 34

121

14

28

72

7

Club Foot

277 142 51

76

8

226 130

39

50 7

51 12 12 26

l

Obstetrical

Paralysis

89 27 32

27 3

81 27 30

21 3

8

0

2

6

0

Traumatic

Deformities

820 370 326

99 25 526 254 207

44 21 294 116 119 55

4

Burns Rickets

147 49 68

26 4

94 39 40

11 4

53 10 28 i5

0

51 13 29

9

0

42 11 24

7 0

9

2

5

2

0

Other

203 67 100

31 5 142 51 69

17 5

61 16 31 14

0

Two Diseases

67 39 20

6 2

53 30 18

3 2

14

9

2

3

0

N, .l.

2,985 635 1,006 1,105 239 1,967 500 661 6o7 199 1,018 135 345 498 40

TOTAL

7,557 2,537 2,755 1,878 387 5,462 2,093 1,946 1,093 330 2,095 444 809 785 57

!DL& 9
PERCUTAGJ: 'l'AJILJ: SHOWUIG 'l'YPIS or 'l'Jlti'rlllJI' :UCJ:IVJ:D BY CRIPPLED CHILDREN BY DOC'l'OR18 lll.lGIOSIS
IDORGI.l - 1937

Type
of Treatment

Doctor' Di.L.&nosis

Infant Spastic 'l'B Bone Oeteo- Club .lrth- 'l'rau- Con- o. B.

Two

Total N.A. Parf_l. Para1. & JoJnt ~elitie root r1 tie tic genital Paral. Burns Rickets Other Diseases

Hospital

33.6 21.3 36.6 41.5 62.0 76.8 51.3 33.1 45.1 28.4 30.3 33.3 25.5 33.0 58.2

Private Doctor 36.5 33,7 45.3 41,5 31.7 21.3 18,4 49.7 39,8 22.1 36,0 46.3 56.9 49.2 29.8

None N. A.

24.8 37.0 15,1 15.1 5.9 1.9 27.4 i3.o i2.1 4o,6 30,3 i7.7 17.6 15.3

9.0

5.1 8.0 3.0 1.9

.4

.o 2,9 4,2 3,0 8.9 3,4 2.7 .o 2.5

3.0

TOTAL

100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0

- 28 -

COUNTY Appling Atkinson Bacon Baker Baldwin Banks Barrow Bartow Ben Hill Berrien Bibb Bleckley Brantley Brooks Bryan Bullock Burke Butts Calhoun Camden
Candl~r
Carroll Catoosa Charlton Chatham Chattahoochee Chattooga Cherokee Clarke Clay Clayton Clinch Cobb Coffee Colquitt Columbia Cook Coweta Crawford Crisp Dade Dawson Decatur DeKalb Dodge Dooly Dougherty Douglas Early Echols Effingham Elbert Emanuel Evans Fannin Fayette Floyd Forsyth Franklin Fulton Gilmer Glascock Glynn Gordon Grady Greene Gwinnett Habersham Hall Hancock Haralson Harrie Hart Heard Henry Hou aton Irwin Jackson Jasper Jeff D!<Vie

TOTAL
69 46 26 32 27
20 47 63 47 61
131 3g
;2l4
51
~[
31 13
~4
26 23 309
6
41
115 7
22 16 70 29 97
44 55 3g 23 45
16 19
l~l 57
29 52 32 lS
7
~g
34 27 6g
16 134
37 28 967
42 12 5S
4~
18 43
1i
31
4o 25 23 31 23
26 33 51 16 11

TABLE 10

DISTRIBU'l'ION OF CRIPPLED CHILDREN

WHITE

GEORGIA - 1937

NEGRO

COUNTY

57

12

Jefferson

35

11

Jenkins

25

l

Johnson

19

13

Jones

lS

9

Lamar

16
46

l

Lanier

7

Laurena

Lee

33

i4

Liberty

55

6

Lincoln

g9

42

Long

32

6

Lowndes

21

3

Lumpkin

42

25

McDuffie

36

20

Mcintosh

u41

10

Macon

39

Madison

lS.

Marion

14

17

Meriwether

6

7

Miller

~4

4

Mitchell

0

Monroe

25

l

Montgomery

20

Morgan

173

13g

Murray

l

5

Muscogee

~

0

Newton

2

Oconee

14

38

Oglethorpe

3

Paulding

lS

4

Peach

12

4

Pickens

62g7

1 3

Pierce Pike

g2

15

Polk

14

30

Pulaski

4o

15

Putnam

lS

20

Quitman

16

7

Rabun

25

20

Randolph

14 19 53 125
-35
11
~4
13 7

2

Richmond

0

Rockdale

24

Schley

31

Screven

22

Seminole

18

Spalding

25

Stephens

g

Stewart

0 5

Sumter Talbot

21 50 31 21

9
1g0

Taliaferro Tattnall iaylor Telfair

68

0

Terrell

12

4

Thomas

110

24

Tift

~J

0

Toombs

0

Towns

738

229

Treutlen

42

0

Troup

11

l

Turner

36

22

Twiggs

55 39

4

Union

ti.

Upson

10

8

Walker

640l

3 2

Walton Ware

10

Warren

12

19

Washington

i4

l

Wayns

11

Webster

20 28

3 3

'l'lhseler 'l'lhi te

21

2

'llhi tfield

15

11

Wilcox

25

8

Wilkes

45

6

Wilkinson

10

Worth

13

TOTA!:
*- 29 -

TOTAL
34
~364
19
15 g5 25 32g7
36
~4
23 26
25 37 29
45
45
46 44 35 22 33
90 29 15 52 35
24
~
20 66
22 30 16 25 42
244 20 11
~
6g 31 17 21 il
15 50
4~
35
63 25 6S 22 20
57 27 35
~4
63
4
12 34
57 13 21 37 82
29 52
~i!
Z122Z

WHITE
24 21 22 14 11
13 60 11 16 13
26 44 14 8
7
15 32 17
~~
29
~l
10 31
77
20 11
~4
8 17 4o 15 55
17 12
l 24 21
1l4 g lS 24
4o 25 9
i
g 46 25 31
5
33
22'
14
~~
13 37 21
60 16 41
2 17
42 9 17 33 75
26 18 12 18 21Jj:l)J:!

NEGRO
13 13 12 12 g
2 2" 14 21 15
10 15 0 15 19
10 5
12 30 9
17 17
9 12 2
13
4
23 1
16 2 6 5
11
5 lS 15
1 21
g9 6 3
15 21
2g 6 g
12 5
4 11111 30
30 10 14 0
6
12 1
22 0 3
3 3 13 10 17
la 4 4 7
34 ll
6 21022

COUNTY Appling Atkinson Bacon Baker Baldwin Banke Barrow Bartow Ben Hill Berrien Bibb Bleckley Brantley Brooks Bryan Bulloch Burke Butts Calhoun Camden candler Carroll Catoosa Charlton Chatham Chattahoochee Chattooga Cherokee Clarke Clay Clayton Clinch Cobb C o f f f!e Colquitt Columbia Cook Coweta Crawford Crisp Dade Dawson Decatur DeKalb Dodge Dooly Dougherty Douglas Early Echols Effingham Elbert Emanuel Evans Fannin Fayette Floyd Forsyth Franklin Fulton Gilmer Glascock Glynn Gordon Grady Greene Gwinnett Habersham Hall Hancock Haralson Harris Hart Heard Henry
- Houston
Irwin Jackson Jasper Jeff Davis

TABLE 11

DISTRIBUTION OF CRIPPLED CHILDREN RECEIVING HOSPITAL CARE

Total No. Cases

--
Total No. Hospital Caeee

GEX>RGIA - 1937

Per Cent

COUNTY

Total No. Cases

69

25

36.2

Jefferson

46

12

26.1

Jenkins

26

7

26.9

Johnson

32

9

2S.1

Jones

3\~64

27

3

ll.l

Lamar

19

20 47

5 13

25.0 27.7

Lanier Laurene

15 g5

63 47

la

23.8

Lee

s.5

Liberty

61

ll

18.0

Lincoln

25 32g7

131

77

5s.s

Long

36

3g

12

31. 6

Lowndes

24
~l

9 10

134..95

Lumpkin McDuffie

23

41.1

Mcintosh

i~
23 26

51
~~
31 13

14

lg.7 2 .9

Macon Mad1eon

2g9

45.3

Marlon

25.g

Meriwether

5

3s.5

Miller

25 37 29
tt

~4
26 23 309

5

29.4

Mitchell

g 9

37.5 30.s

Monroe Montgomery

g23

13.0 26.5

Morgan Murray

46 44 3225 33

6

0

.o

Muscogee

90

4~

22

56.4

Newton

17

36.2

Oconee

29 15

115 7

2~

25.2 57.1

Oglethorpe Paulding

52 35

22 16

6 1-

2l..32

Peach Pickens

24 19

70

16

22.9

Pierce

46

29 97

3 31

10.3 32.0

Pike Polk

20 66

44

ll

2~.o

Pulaski

22

55 38 23

9

l .4

Putnam

lg

34.2 26.1

Quitman Rabun

30 16 25

45

7

15.6

Randolph

42

16

7

43.7

Richmond

244

19
l~l

g 3 gg

15.s 10.4 56.4

Rockdale Schley Screven

57

5

s.s

Seminole

20 ll
~

29

g

27.6

Spalding

6g

52 32

20 g

3s.5 25.0

Stephens Stewart

31 17

lS

6

33.3

Sumter

21

7

4

57.1

Talbot

ll

30 60 34 27

g 7 ll

23.3 13.4 32.

Tal1af erro Tattnall Taylor

6

22.2

Telfair

15 50
4~

6g

13

19.l

Terrell

35

16

4

25.0

Thomae

63

134

70

52.2

T1f t

25

327g 967

10

27.0

Toombs

55~

17.9 57.5

Towne Treutlen

68 22 20

42

16

3s.1

Troup

57

12

2

16.7

Tum er

27

~

22

37.9

Twiggs

35

as

22 15

54:

Union Upson

~I

lS

4

22.2

Walker

63

~i

16

48.5

Walton

23

46.9

Ware

2g

36.S

.Warren

a
12

31

3

9.7

Washington

34

4o

10

25.0

Wayne

57

25

5

20.0

Webster

13

23 31

g 3

13.0
2~.8

Wheeler White

23

13

5 .5

Whitfield

21 g372

26

8

30.s

Wilcox

29

33 51 16

9 1g5

2n9.4 50.0

W1lkee W1lk1nson worth

52
~4

17

3

17.6

TOTAL

Z1~~Z

- 30 -

Total No. Hospital Cases
12 7 9 5 7
3 2a 0 9
4 15
2 7 1
g l~
11
8
19 10
l
5
47 7 8 14 9
6 6 6 2 21
12 0 5 14 13
16o 9 5 2 ll
34 6 3 5 0
1 16
6 9 5
22 4
ll 5 5
4o g 7 10 4
8 4 13 3 5
12
4 3 32
g
l
5
2,5~

Per Cent
32.4 20.6 26.5 19.2 36.s
20.0 29.4 16.o
.o 32.1
ll.l 2a.4 130. 4
3.8
32.0 51.4 124..84 17.8
41.3 22.7 20.0 27.3 15.1
52.2 24.1 52g.93 25.7
25.0 31.6 13.0 10.0 31.8
1564..1 .o
56.0 31.0
65.6 45.0 ~-.41 24.4
;o.o
19.4 17.6 23.8
.o
6.7 32.0 15.4 21.4 14.3
34.9 16.o 16.2 22.7 25.0
70.2 29.6 20.0 2i.o 1 .7
"12. 7 21.1 24.1 2a.o 1 .7
21.0 23.1 19.0 8.1 39.0
27.6 l2g.51 20.8
~~.li

TABLE 12

THE GRADE IN SCHOOL FOR THE MEDIAN CRIPPLED CHILD BY AGE AND RACE

FULTON COUNTY, GEORGIA

1937

WH I T E

NEG R 0

'Normal

Those

Those Rate or

Age

Total

in School

Total

in School

Prosigornes*-

6

1

1

1

1

1

g 7 9

1 1 3

1 2 4

1 1 1

1
l

2
l

10 11 12
il i2
17 18

~
5

4

2

2

3 3

2 4 4

5

6

3

5

2
g 7

7 7

g 7

g 7

9 9

g

11

5

5

9

~

5
2

10 11

~

10

g

Over

19

7

9

4

6

High

20

7

9

0

School

21

7

11

5

The normal rate of progression is defined as th~ advancement made by a child entering school at six years of age and progressing one grade each year.

- 31 -