. . ...; 
 
- 
 
- 
 
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 -