Biennial report 1931-1932 [1933]

STATE BOARD of HEALTH
OFFICIAL. BULLETIN
ON

' I~
BIENNIAL .REPORT
DEPARTMENT OF PUBLIC HEALTH
1931-1932
.,

(Table of Contenb on Back of Cover Page)
' ~~ ----------------~------~
..

'

T. F. ABERCROMBIE. M. D.

COMMISSIONER OP HEALTH

ATI.A.NTA

STATE BOARD
of HEALTH
. ~:
OFFICIAL BULLETIN
ON
BIENNIAL REPORT
DEPARTMENT OF PUBLIC HEALTH 1931-1932
T. F. ABERCROMBIE, M. D.
COMMISSIONER OF HEALTH ATLANTA 1

MEMBERS S'l'ATE BOARD OF HEALTH
-0Ex-Offid o: HON, EUGENE TALMADGE Governtr of Georgi a

NAME
Cleve land Tholfpson, M.D.,
C, K. Sharp, M, D,,
R, C. Ellis, Esq,, M, M, Head, M, D., fl.on, Rnbert F. Maddcx A. R, Rozar, M. D., M, M. tlcCord, M. D. 1 H, '1/, Clerr.ents, M. D., L. C. Allen, M, D,, W. A, Mulherin, M, D., M, H, Varn, D, D. S,, R, F, Sullivan, D, D, S,, T, C, Marshall, Ph. G,, Claude Rountree, Ph. G.,

-0RESIDENCE
Mi lien Ar I ingtcn Americus Zebulon Atlanta MarJJn Rome Adel Hosch t e n Augusta At Iant a
SaiJama~
Atlanta Thomasvi I Ie

TERM EXPIRES
Sept. I, 1339 Sept. I, 1939 Sept. I, 1936 Sept. I, 1937 Sept. I, 1936 Sept. I, 1938 Sept. I, 1938 Sept. I, 1938 Sept. I, 1939 Sept. I, 1937 Sept. I, 1934 Sept. I, 1934 Sept. I, 1935 Sept. I, 1935

REPRESENT! NG
First Distriot Second District Third Distri<'i Ftrth Distr id Fifth Diitrict Sixth Di:.triot Seventh District Eighth District Ninth District Tenth District State-at Large State-at-Large state-at-Lru-se State-at-Large

NOT~I The State IXIard of Health was appointed July 5, 1933 by Hio:
Excellency, Gnvernor Eugene Talmadge, in pu-suanc<1; of an
Act approv&d Mlrch 18, 1933

2

DEPARTMENT OF PUBLIC HEALTH
Personnel of Staff:
-0-
D., T, F, ABERC'RCM31 E~ M,
Director of PubI i c Hea Ith

-0Chiefs of Divisicns:
Joe P, Bowdoin, M, 0, 1 ...................... Assistant Director of Public 1-\::alth Child Hygiene, Vl;flereal Diseases,

Thomas Fcrt Sellers, M. D., .................. Laboratory

Millard E, Winchester, M.D.,

County Health Work

Daniel L. Seckinger, M. 0,, ................. Epidemiolegy

H, C, Schenck, M. 0,, ....................... Tuberculosis Control

Butler Toombs ................................ Vital Statistics

Lee Massey Clarkson ......................... Sanitary Engineering

C. L. Tinsley................................ Finance and AecoU1ting

hlgus A. Acree .............................. S11ppl ie:o

3

(
Atlanta, Georgia,
August 30, 1933.
To His Excellency, Hen. Eugone Ta Irradge, The Governor of G<;;orgi a.
Dear Sir:
I have the hcncr to present to you the biennia I repcrt of the
Department of Public P.ealth fer the yoars 1931 and 1932.
lnGreasing demands and requests fer servjce to the people of the State are being met without any curtai lrr:ent on account of decreased reviilllues. So far, tho persomel of the dopartrr.ent has loyally absQrbed the greater pert of o~r diminished resources by reductions in salary, in order that the standard of service we have set in the past may be m~intained.
New problems are constantly presenting themselves fc;r solution by this deparbrent, and these are being ~ret with dosp;tch by both our offi co ar.d
fie! d for cos,
The rapods of the divisions of the deparitrent arE) set fcrth in the "follcwins order:
Laborat~ry,
Scni tary Engineering, Child Hygiene, Vener-ea I Di seo~ses1 Epidemiology, Co~nty Hea!Ur 'ilork,
Tuberou los is Ccnio I, V[tal Statistics.
4

DIVISIO~ OF LABORATORIES T. F. Sellers, Chief

1931 and 1932:

I beg to submit the following ccnso\ idated report for the years

SP~C\Ij[JS EXA' \Ni:f) IN 8ACTERIOLOGICAL LABORATCR'I

Twbercu los is Total Positive

1931

19)2

3,121 714

OiFhtheria Total Positive

1,813
340

'1/idal tusts for Typhoid (Dried sr-ecim:ms)

Total

552

Positive

152

Agglutination Hcaction (liqJid speciw.cn>) Total

3,5)0

Pcsitive for Typhoid Paatyphoid Bri I i 1s Undulant Tularomia Mi sed Ianeous

I ,C84

918

79

22

189

309

58

56

34

3!

()

8

Blood Culbres Total Pes it ives - Tohl
Positive fer
Ty~hoid Pa~atyphoid
u.-.dul ant Other Crgani sms

3,345 431
410
6
~
6

3,6rn
410
)90 8 4 8

Gonococcus Total Positive
5

2,155 520

Spec irr.Gns examined in Bacter iol og ical Laboratory ( cont in~ed)

1931 Stool and L:r in'-' Cui tures

Total Positives - Total Positives for

1,829 83

Typhoid

76

Paratyphoid

I

Oys.:nte;ry

6

Oth~r Organisms

0

1932

I ,980

i

142

/'

134 5
2

Malaria Tobl Positive

10,88~
388

17,284 1,004

Intest ina I Parasites Total Pas itive
Rabios Total Pas it ive
Mi see II aneous
Tota I for year
'.':assermarn tests Total Positive

19,535 4,268
815 355 703 49,146
46,711 1'1,418

27,651 3,124
...
813 360
b09
63,657
49,296 11,757

\later Sanples Grand Total

9,419 105,276

9,175 122, 128

The following table canpares the growth of the laboratory work during th8 past

five yeors: ~

1928

192)

1930

1931

1932

Bactcr ioIog i ca I spec i trens 19,155

25.7~0 ?1,576 49,146 63,65?

l

\'lassermar:n tests

32, ~6G

36,768 49,328 46,711 49,256

I

Water analysis

_Jhl12 .....ij'i8 ...2z..04'i ~ ..h.!l5..

Total

6o, 107

?0,986 89,94.9 IC) ,276 122, I2R

6

The total number of specimens handled during 1932 was 122,128, an increase of lb1 852 1 cr J6y;, l'hi Ia nearly all types of spocin:ws increase:d in number, the
principal gain was due to blood smearrs for malaria and stools for intestinal parasites,
During 1932 thoro '1/a an increase of 16% '>VOr 1931. For the two year period of 1931-1932 the increase owr the preceding two ye:.ars was 41.3%.

There is considerable variaticn in the amount of work required
for each type of specimen. CGrtain specimens are subjected to a number of separate tests which are called procec!~res, For example- the a'Jc.rage specimen to be examinGd for diphtheria requires two procedures, while a specimen of I iquid blood requires about five procedures in examining the serum fraction and fo~r for eXamining the clot fr~ction which, incidemtally1 is regarded as a separate specimen, If the \.assenr.arn test is a Iso dos ired, a pert i en of the serum is referred to the Wassermann Laboratory and is also co~ted as a separate specirt:n. As shown by the following table, the total nUilb~r
of procedures for 1931 was 340,5121 or an average of 3.2 procGdur5s per specimen, ar.d for 1932 tho tota I nLmber of procedures NaS 381,327, Cf" an average of 3.1 precodurfls
par speciJT.cn.

Types of specimen

Nuff.bcr of procudures per sp.cc i rr.en

Tuberculosis

2

Diphtheria

2

Widals

2

Agglutinations

5

alood Cultures

4

Stool & t!rino Cui tures

3

Gcnococcis

rt~alaria

2

Intestinal Parasites

2

Rabi-::s

3

rM see II aneous

3

1\'asscrmann

4

iater

4

Tot a I number of prpcedure$

Average number of prvcedu-es per specirren

Nur.ber of procedures

for each typo of spec.

1931

1932

6,242

6,&82

5,818

3,626

I I 104 166,500

776
1~,180

13,380 5,487

J4 I 748 5,940

1,927

2,155

21,760 34,568

39,070 2,445

55.302 2,439

2,109
186,844 37,676
;!40,512

1,827
197,184
36,700 JSI,)27

32

3.1

7

S?UTUh' EXMW~AT IONS

The following table compares tho sputum examination results in tho

/

past f ivo years,

Nurrbor of spcci rwcns examined Nuwbcr of pos it ivo ;'ercenta.ge pos itivo

1928 2,261
,163 20,4

1929 2,325
~.84
20.8

1930
2,556 482 18,8

l9JI 3,050
709 22.8

1932 3.334
428 12.8

.~verago
2, 705 513 19.1

rositi1c findings fer tubercle baci IIi obtained in cnly 12,8;: of specimens as compared with 22.8), in 1931. This was largely due to routine examination of sputum fer barccrs who, as a rosul t of recently cn-fcrood regulations, arc reqc.ircd to submit to this test in order to obtain I icensc to ~ractico, ~ractically all such spociw~ns were negative.
EXf"''NATIO~l OF CULTUi~ES FCI~ Dh'HTHERIA

1931

1932

Tota I

:ositi,c

Total

f'osi tivc

Diagnosis

2,281

452

808

196

~:

Release from Quarant inc

251

77

291

91

Dotoetion of carrier

252

22

673

50

Virulence Test Total

26

17

2,909

568

7

3

I ,813

340

~ihilo morbidity ard mortality records are not yet available, tho incidence of diphtheria was ap~ar<mtly low during 1332, Only 1:;6 positive diagnostic cultt..res were obtained as cow.pared with 452 "for the preceding year,

Tho following table shews the n~.mber of positive diagnostic cultures for diphtheria for tho past five yoars,

1928 ~ O'ii tive d iasnost i0 cui tures

182

1929 II

II

rt

83

1930 II

11

rt

123

1931 II

rt

II

452

1932 11

II

rt

196

SEROLOGIC/1L AGGLLITIIIJATIO~I HEACT!Or-!S (Liquid Blood)

Th~ demand fer this work continuos to increase. 3,8)6 specimens of I iquid blood were submitted for agglutination fer typhoid, pantyphoid, Sri I Jls typhus, undulant fever and tularemia, as compared with 3,530 for 1931 and 2,569 for 1930,

.\n analysis of tho positive agglutination tests shows th.. following:

Typhoid and i aratyphoid Brill's (Typhus) Undu Iant Fever Tularemia Other Crganisms

1931

1932

1,163

940

1~9

309

58

56

34

31

0

8

These figures should, howt:lvor, not bo i:'terpreted as an indox to the incidence of these diseases. 1\gglutinations, per se, except strong reactions for undulant fover and tularemia are not specifically diagnostic,

TniUS (8r i II' s Disease)

309 positive \'lei 1-Fel ix tests for An:orican typhus were obtained as compared with 189 for 1931. The epidemiological report ~cws 290 cases on record fer
1932, 146, or 50.;$ of these wero repcrted through 0\J" Iaboratory. 96 cases 11ere
ropcded from Savannah and Chatham Comty. i''resumably diag10sis of all of those was confirmed by the Savamah laboratories, Several endomio foci were located nhere rats :.
were very prevalent.

the past four years.
January Feb-uary March Apri I May Jll'le July August September October November December

The fo II owing tab Ie shows tho reported incidence of typhus dt:ring

1)29

1930

1931

1932

7

14

15

7

7

12

3

II

H

8

b

10

II

4

22

4

13

5

15

b

II

5

21

5

28

15

25

2b

38

19

45

16

'f;

16

46

II

29

17

56

15

15

19

28

6

13

8

28

Ut{)UL\NT FEVER
lhe incidence of this diseas<J shows no increaso. 56 positivo reaotions for ~J~dulant were obtained as ccmpared with 58 fer 19~1, 33 cases were roported to the Epidemiological Department. Of this numbr 23, ot 7ar, were roported
throU\fl our Iabcra tcry.
9

TULAREMIA

Tho incidence of tularemia oS indicated by laboratory findings was
slightly less than fer 1931.

BLOCD CULTURES

Nurrher posi tivo fer 8, typhosiJI Nurrber positive for 8, paratyphcsus Number positive for er. abortus Nurcbcr positive for Other Crganisrrs

1931

1932

t, 10

330

6

8

9

4

6

8

Note that of 338 bIocd ou I tun;s posit ho for the typha id par a-
typhoid group only 8 cr 2% were paratyphoid in 1332, This is evidence of the relatively
minor importance of this disease in ou- State.

STOOL AND URINE GLULRES
Number positive fer B. typhosus Nurtber positive fer 8. paratyphosus Number positive for 8, dysentery Number positive for Other Organisms

1931

1932

76

134

I

5

6

0

2

Duo to tho activity of tho Epidemiological depart~rent, interest in this wcrk has greatly increased, ;'ositive findings occu1red in li,2 specirtens as com-
pared with 83 in 1931. f, new mediwn for the isolation of typhoid in stools and urine
ha~ been recently investig~ted in our laboratory and found to be far superior to the old endo rr.edi~m. This new medium was devised by 1'/i II iam & Blair of Belfast, Ireland, and so far has not been used in this country. The improved technique will undoubtedly greatly increase our positive findings fer the coming year,

MAL~RI A

The following table shews the positive malaria for the past five years:

1928

1930

1931

1932

281

486

388

I,C04

Of the totul "f 17,284 blood smears examined fer malaria, cnly 2,731 were routine speoi~rens submitted by physicims for diagnosis, The remaining 14,553
were largely thick smears submitted by health' w~rkers for tho p~rpose of determining

10

malaria indices, The most interesting of these indices was that of Calhoun County made
in 1932 which showed 1 g-oss positive blood index of 26,\S%, Many of the negro schools showed a positive index of more than 60%, the highest bGing 87.5%. A rr11re dotai lod
discussion of this wcrk wi 1\ be found in the reports of the Epidemiologist and the Chief Sanitary Engineer,

INTESTINAL PARASITES

Single \nfest~tion
,Jorms fer Indent if ication Hookworm Dwarf Tape Worm Rourd Wcrm Pin Ylcrm ihip Ylcrm Amoeba histolytica SpeciJrens not included in above

1931
I
3, 714 279 75 59 22 6

1932
1\
8,251
217
280
66 25 3
4

41 !60
DOUBLE INFESTATION (Two kir.ds of worms in same patient)

Kookworm and dwarf tape worm 1'1ookworm and romd worm Hookworm and p in worm Hookworm ar.d wh i p worm Hookworm and Hyrrenol ep is d iminuta Dwarf Tape Worm and Round Worm Dwarf Tape Ylorm ard Pin \'lcrm Round worm ard pin worm Rour.d wcrm ard whip worm Pin worm ard whip wcrm

50 26
II 10 I
2 2 l
_ _o
104

97
ll8
17
9 c
8 0 ~
8
_I 264

TRIPLE INFESTATION (Three kinds of wcrlf.s in same patient)

Hockwcrm1 dwarf ta~e wcrm am rourd wcrm Hockworm, dwarf tape worm ar.d pin wcrm Hookworm, rourd 11crm ar.d pin worm Hookw.;rm, ro~nd wcrm and whip worm

0 2 _ _!
4

2
6
_ l_
tn

11

MISCELLIINEOUS EX M4 I'~.'.T IONS

1931

Uorrrs for Ident if i cation

0

Dark Field

16

L'rines (Bacteriologi~al)

IJO

Diff~rential blood counts

69

Vir.cent 1s angina

141

Chancroid - B. Oucrey

16

1\1 i see I I ar.eous CuI lures

Type of Organism

1811

Spinal Fluids for ~l.eningitis

62

Unclassified

88

703

1932
7 9
129 84 1)6

ANIMAL HEADS EXN.'INED FCR RABIES

Nurrber heads examined Nurrber pos i ti ve fer Neg- i bodies i'ercentage i"osi ti ve

1928

1929

193f

1931

1932

621

652

I ,050

803

791

210

289

507

351

343

33.8 34.3

48.2 437 4J.J

CLASSIFICATION OF Al~ii/AL HEflDS EX.V!INED FCR Rfli31ES

Kind of Anirral
Dog Cat Ccw Mule Horse Hog Goat

?ositive

1931

1932

324

JC8

16

16

10

13

2

0

2

0

I

0

I

351

343

I.'ANUFACTlRE N;o DISTRIBUTION ~F f\NTIRABIC TREATMENTS

Year

Human

1928

I ,26Q

1929

I14i'4

1930

2,466

1\ni<rar
212 1(;8 196

Total
I ,472 1,642 2,662

H~man deaths from rabies during and after treatrwnt
2 I 2

1931

I, 789

178

1,967

0

1932

I ,748

98

I ,846

12

1931

Canine Vaccine distributed

791

Typhoid vaccine distributed 1928 Ty;Jhoid vaccine distributed 1929 Typhoid vaccine distributed 1930
Ty,,hoid vaccinG distributed 1931 Typhoid vaccine distributed 1932

320.705 c.c.
317,802 c.c.
390,645 ~.c.
421 ,bob c,c.
640,823 c,c.

kl investig..tion 'Of tne potency of ou- typhoid vaccine was begl.l1 dtring 1932 and is being ccntinued, Thoro is sufficient evider.co at hand to indicate that the Rawlings strain of B. tyrhosus which has boen used by tho U.S. Army 11'adical School ard by almost all stato, ll1\I,iciral and corr.rmrcial laboratories fer the manu-
m factLre of t~hoid vaccine has lest much of its criginal antig~;nic potency.
increasing nLII'her of cases of typhoid fever repcrtcd as occ<.rring in vaccinated persons during the jlast three cr foLr years may be attributable to this deterioration. After studying a large nt..mber of strains of B. typhcsus, most of -M1 ich wore of local origin, we have decided to us6 as vaccine antigen a strain isolated from the blood of a yoo.;ng white mar who had r.reveiously rec&ivcd our vaccim prcperly administered cne year prior to cnset and also three years rricr to that. This strain seems to fulfi II all requirements in evo1y way.

Plans fer a rather critical stt.o'dy of the entire subject of typhoid vaccinatico are ncw t..r.dcrway, nd only in ot..r State, but throughout the lhited States urder the auspices of the A.~.H.A. and the National Institute of Health.

As a result of the nurrber of cases of typhoid fe-.er in Athens
occurring among vaccir.ated ;.ers:,ns in 1931, tho Clarke County Health Oopartlr.ent t:nder
the directicn of Dr.\:,\';', 8rcwn, Health Officer, has suggested that a s;;ecial strain
of B. tyr..hosus ll!ay be locally prevaknt in that col.nty against which strain the Raw! ins vacci nc wi II not ;;rohct, After a vory interesting study of the st.bject, Dr. Brown requested that ou- labcratcrJ pr<..pare for them a special vaocir.e 11111de 'frCII tho
s~veral str~ins isolated from Athws cases of feVEt'. A lot 'Of 5,0CC e.c. was prerared and has beer. used exclusively in Clarke County d~ring 1932. No 1.1\toward reactions
r8sultcd, 't is yet too early, how~vif, to obte.in any sati;;factvry data as to its
s~.per ior i ty owr Raw I ins vaoo in<:J.

Due credit should be given to Or. &-own and his bacte-iologist, Miss Louise Stcry, for their part in !:ringing about the rrcduction of an imrroved typhoid vaccine. A mere detailed report en the vaccine study will be made later.

13

r-

TY'W:IO VACCINE DISTRI81JTED Tr COUNTY HEALTrl OFFICERS
DURING nRS 1331 ard 1932

County Baldwin 8artow Bibb Brooks Chatham Clarke Clinch Cobb Coffee Colquitt DecatwDeKalb Dougherty Floyd Gl )On Grady Hall Jefferscn Jerl< ins Lai.T&"\S Lowndes Mitchell Augusta & Richmond Spalding Sumter Thomas Troup II are Washington City of Col ur.bus City of Atlanta
Grand Total

Total Number c.c. distributed during

1931

1932

2,225

3,440

6,500

7,821

3,630

7,121

3,61;;

12,419

2,6oo

6,657

6,634

2,230

I, 788

0

IO,COO

12,122

3,008

0

),700

9,321

3,965

9.333

8,490

3.750

910

2,981

5,900

24,691

620

0

3,023

4,344

10,308

2,640

6,186

5,801

4,100

6,o69

5,700

10,680

6,086

4,826

3,106

30,298

6,600

8,495

4,9QO

6,392

3,406

6,545

3,610

12,711

6,350

8,938

5,616

8,398

4,726

20,098

2,250

4,574

1.Q12_

_2z.QR_

154,552

256,496

14

OIPHlHERIA ANTITOXIN

Number Lnits diphtheria antitoxin di.stributed 1928

11

"

"

1929

II

II

1330

II

It

11

1931

"

It

11

1932

TOXIN-ANT ITOXIN

Number c.c. Toxin-antitoxin distributed 1928

"

11

"

11

"

11

11

"

"

""

TOXOID

Number c.c. toxoid distributed 1931

"

"

1932

S(}l ICK MATERIAL

Nurrber c.c. Schick material drstr ibuted 1328

,, " 11

1929

"

II

" 1330

II

11

II

1931

"

II

1932

SMALLPOX VACCINE POINTS

Sma II pox vaccine points distr ibuted 1928

"
I!

11

" 1929

11

II 1330

" "

II
,,

II 1931
" 1932

SILVER NITRATE AM'ULES

Silver nitrate ampules distributed

II

"

"

"

11

"

"

;i

1928 1929 1930 1931 1932
15

35.999,000 30,6')6,oco 29,924,000 34,565,000
Jb, 141 ,ooo
39.710 104 1 ]b8 49,074 26,774 17,565
7,84f.
II ,400
13,490 16,155 10,125
32,400 27,160 27,710 26,817 27,830
34,749 41,883 39.767 41,423 46,050

TETANUS ANT ITOX IN

.. Number units tetanus antitoxin distributed
" " "" "" II

1328 1929 1930

II

II

"

II

1931

""

II

" 1932

713,000 2,562,000
2,881 ,ooo
2,599,600 8,398,8GO

CARBON T~TfiACHLCiliDE-OIL OF CHENOPODIUM ~11XTURE

Number c,c. Carbon tetrart,l.,ride mixture distributed 1928

"

II

1929

"

II

"

1930

"

II

"

1931

"

"

"

1932

11,685 21,280 23,231) 18,409 28,6?3

TU3ERCULIN

Number Tt.<bercul in tests distr ibut6d 1931

"

"

1932

YEAST

66,800 pol.llds of dried Brewers yeast were purchased and distributed during 1932 as ocmpared with 100,400 pounds distributed in 1931. Several thousand prunds were distributed free to indigent patients. Not more than two pounds per month was supplied to any cne applicant,

Yeast is sold primarily for the prevention and cure of pellagra but its distribution is not I imited to this field.

Respectful! y submitted,

T. F. Sellers, M.D., Chief of Laboratories,

16

DIVISION OF SAl~ITARY ENGINEERING L, M, Clarkson, Chief
I have the honor to slhmit herewith a biennial report of the Olvisicrt of
Sanitary Engineering for 1931 and 1932
S!Tvioo rendered by the Division of Sanitary f:ngineering may be listed as .follows:
S~.p0rvision of design and operation of public and semi-public water supplies,
CErtification of water supplies for interstate trar'ISportation in cooperation with the United States Public Health Service.
Supervision of design and operation of swimming p~ls,
Sanitation of private water st.ppl ies.
Laboratory service fer bacteriological cxaminacions of water st.ppl ies,
Supervision of design and operation of sewage and industrial waste disposal plants,
Promotion of privies and home sewage disposa I pI ants
Promotion and s~..pervision of malaria control by drainage and other methrds,
Cooperation with State Department of Edl'cati.n for school sanitation,
Cooperation with United States Pub! ic Health Service field investigations of malaria control,
Munieipal sanitary sarveys and emergency sanitary problems,
llrganizt.tion, enginoering surveys and supervision ef 111e111ploymcYit rol ief in oolrlties reeolving Reccnstruction Finance Corpcration loans,
It wi II be roted that the abcvo itoms of service may be classified undor urban ard ri.Tal, In rendering such service wo must ccnsider tl!.at a majcrity of the total imabitants of the State live on farms and in unincporated towns and villages. It is also true that populatiens without the faoi Iities ef m'-'licipal governments and sanitary regulations are in c:crtsideraele need of assistance to improve insanitary environments.
17

Tho State is physiographical ly divided into two sections almost equal in area and population: narrLiy, the Piedmont Plateau on the North and the Coastal Plain an the South. The sanitary engineering problems in those twa sections are extremely adverse, In tho industrial Piodrror,t Plahau water filtration pl:mts, sewage disposal and industrial waste are major problems. In the agricultural Coastal ?lain deep well water supp I ies, sma llcr municipal populat i ens with lesser sewage and industria I waste comprise the rn.micipal sanitary problems. However, in this section are two problems of esp~cial importance: narr.ely, hookwarm and malaria. Tho malaria prablom is so vast in extent ar.d so exceptionally endemic that it constitutes a problem in public health and eeonomics unequalod in few sections of the coiSltry. Drainage and general rural sanitation are urgent necessities.
It has for some time been the objective to divide sanitary engir.eering application nearer equal between these twt- sections, specializing l"n problems characteristic of each secticn, This wa~ in the past difficult en account of distance an;l inaccessibility of tho Coastal Plain section from administrative headquarters, Long distance travol involved mu:h time and expmsive transpcrtati,n. Recently it became possible to establish two district engineers, or.c in H.e soutl".west ar.d tho other in tho southeast, special izing en malaria control, deep wd I water suppl ics and other m~;nicipal and rtre.l sanitary engineering rrobl~ms, This plan has made it possible, fur other personnel at administrat ivo headquarters to more adequately serve tho P icdmcnt PI ateau soot ion on such problems as filtration of surface water s~;pplios, sewage and industrial waste into water s~;pply streams and other correlated ~roblems, This distribution f personnel is resulting in marked progress in each activity of the Divisi(')l1 and the public is receiving rrt~re equal distribution of service in a moro eccnomical manner.
SUi'ERVISION OF PUBLIC ::ATER SLfHlES
At the end of 1932, 286 p~;bl ic and semi-p~;bl ic water s~ppl ies made water avai Iable to I, l2310CO people, or 38,5 per cent nf the total population of the State. Of these s~;ppl ies, 128 maintain purification plants and equiprront. These 128 supplies, emb-acing the filtration and chl<"rination :)lants, f~rnish water to 959,000 people, or 85.4 per oont of the population served by pub I i c water supp Iies. The group of 158 supplies net maintaining treatrrent plants include the deep wells and SIJrings, Within this S'"Ol.P are many towns that have safe wells, and p~.rificaticn as a public health measure can be safely withheld fer the present. This gray:> also inclt.des towns that are not giving the maximum protection to their water C'ons~s through failure to install protective equi~rrent or to Froperly utilize natural conditions which would make for safety if wisely used, Many tor.ns in this latter groy:> are small ones that have made a start towards provi;Jing a p~.;bl ic water supply but lack somo feature that makes for maximum protection.
18

Nature of Problem:
Ev!ln with the ptopor mechanical &quipment ar.d struDtures, tho maintenance of tho safety of a pub! ic water supply is one of constant vigilance on the part of those in local IX>ntrol. Arr.or.g such a larg<> group of supplies there are many persons who are: not trained for the specific work involved. The rate of depreciation of certain types of purification equipment is high and diflgers duf.l to t'lbsoloscence are constantly mounting. It is, therefore, apparent that this Division's efforts must be directed not only to promoting initial irrprovOIIIll'ltS but in better operation of purification equipment already insblled and replacing wern-out and obsolete rr.aterial. The pr<lblem of instructing in water purification, especially filtration, is complicated oy the che~r.ical and bacteriological princi?les involved and the fact that many of those locally responsiblE> fer the safety of the plbl ic watf';r st.pply are not technically trained.
TRAINING OF 1'L!\NT o:'ERATCRS, LABCRATCRY AT-0 RH1lTS
To meet t~e requirements for lnstructins in the elements of water purifi~~tion, the Division has undertaken to teach local rersonnel by having a ~:eprosentative stay at the water plant as long as necessary to demonstrate the use of the plant control laboratory and to apply tho t(Jst results to the daily opcratien of the plant. i';hen this work was started <~.bout fot.r years agf' only two cities, the largest and the fifth largest in tho State, were using a plant laboratory for control of the pt.rificaticn process. Since the in5tructional service has been made avai Iable, fifteen additional filtered sup;:lios have ;>rovicld the chc;mical and bactfjriological laboratory equipment and taken advantage of the increased efficiency and safety resulting from an apr Iication of basic principles s~.perseding the uncertain rules of thwnb. A sinple yet detailed rej>ort form has been prepared up-.n which is kopt a complete recerd of each day's physical, chemical, and bacteriological tests madG by tho plant epClrator. These reports are submitted to this division each month and are equivalent to daily contact with each plant sc cClntrolleJ. It has been demonstrated that this reliabie type of fi Iter pi ant control can bo applied in the smallest as well as the largest toYns. The seventeen fi Iter plants nt'IW cot.trolled by local chemical and bacteriological laboratory represent eam major tr,e of organized oonmU1ity in the state served by a ~X~trmcn water s~..pply. In the list are mcnicipal, in~Justrial village and public institution WJater s~.p~l ies. TIH1 iJCFUiaticn served l>y these seventeen chemical and bacteriological laboratory ea'1'trolle<i filter rlants is ~a,ooo.
In eollabtoration with the Georgia School Qf Teohnology the divisim hold a three day sohool fer fi Iter ;;!ant opEI"ators. The course inoh.ded looh.rus and laboratory worl( direetly rel.tt:d to the pr&ctlcal ~9blems arisina in ;:!ant operati'ln. A laboratory 11\1:111ual was prepwed in mieog-apb form fer use in this eourse. Seventy plant operators and oth' 111111ieipal represontati~s attended this school.
19

~---
~~LANT IM"ROVEr-JENT
Major inrrovements were com;::lotc<l on fcrty-foLT existing water sup~! ies. The
j)cr,>ulation of this group of towns is 552,407. The im;,roveJOOnts inc! u:le fine new fi Iter
plants with control laboratories, ten chlorination or hy;:ochlorite arparatus on deer wells anti s;-rings not ~reviously steri I ized, three old chlorinator plants replaced with new units, six existing filter plants placed under local laberatory control, two steel surface reservoirs re;,facing leaky '.n:lergrot..nd reservoirs, changing construction of the first softening ;:lant in the state, major cr(lSs-ccnnectians with non-potables~ j)l ies el iminatd in two towrs 1 seven towns regularly reporting daily chlorine tests and five sanitary improvements to well rum;: heads, suction I ir.es and ground reservoirs. Tho only sup~ly frem unfiltered surface stream was reclaced by chlorinated springs
during 1332. All water now used from surface streams by the public water supplies
receives filtration and chlorination. Cr.e new filter plant re~lacing an inadequate ~!ant is new \I\Jcr constructicn.
Several cities have made formal ap; I ication to the Reconstruction Finance Carperat ion for f~nds with which to construct now water works systems or reconstruct existing plrification ~lads. Two such loans have boen grante:J in Georgia. Cr.u city is now rebuilding its filter i'lant with !aJar from money granted for relief rurroses. In th<o othc.r city, plans arc being prepared for a corrplete new water system and deep well to be financed with Reconstruction Finance Corporation funds already authorized.
coo: l:fl',TIVE , CRK 1'/ITH UNITI'D STATES 'LBLIC Hf!'.\llH
SERVICE ON DRINKING :IAT!:R ON INITRST\TE CARRIERS
All field inspections, IJborutory and cl~rical work for the L~ited States ?ubi ic Health Sa-vice codification of supplies furnishing drinking water on interstate vessels, trains and airplar.es is done by the Division. In 1~31, of fifty-five public water su;pl ies furnishing drinking water to inte-rstate carriers, eight made major inprovements, forty-one received favorable, eight provisional, and six ~ro
hibitory certifications. In 1932, nine made major improvements, thirty-six
received favorable, fifteen ~rovisional and five prohibitory certification.
SE'::ERI.GE AN0 SElVAGE DISiCS.\L
Routine supervision was given to tho operation of existing sewage treatment plants and to extension to sewerage faoil ities to urban areas not previo~sly sewered, One mll'licipal sewage disposal rlar.t com~ose:! of coarse bar screen, ln:hoff tank, dosing ard measuring tank, sprinkling fi Iter and sludge bod v1as ccnstructed. Cne municipality installe-! sewerage tCJ serve approimately cne half of the tcwn, This system includes ;)arti~l treatment by sedilrentation and Jigestion ef the. sewage sol ids. A textile vi II age was completely sowered followed by Imhoff tank treatment. A new sewerage system was canstr~cted at a health resort, ~nd an additional municipali-
20

l
ty bui It a treatment :I ant,
Improvement of char.ncl Mnditions to permit free flow of stream'> receiving rrimary treat.r.ent r:lant effluents has materially reduced 5ellf"&l local nuisance situations. By repidly leadir.g plant effluents away to largl1" strea.ms, suffici~t diluticn may often be, sec<.red with conseqJel'\t elimination of tldcrs ar.d nuisance mosquito production, TMis is equivalent in many instances to the providing of seconJary treatment on existing primary tarks, This is partieularly a;:.>pl icable when relief fl.nds are available fer hand labor only and when no bui I ding material can be pwd'lased,
SAN fTI.RY RIVY ?RWllT I ON N\0 CONSTRUCT ION
It is not possible to obtain acc~rate inf~rmation of t~e total sanitary privies ccnstrJcted, The number of installatims, esi_oecially r:..ral, must necessarily be considerably greater than those en<;rr.erated. To t;Oderstand the great number of ~.nrecorded installaticn~ it is necessary to consider the manner of sanitary privy rromoticn. Hmc!reds of ir.Jividuals have been interviewed and con fcrred with relative to various sanitary problems ar.d p~l ic health matters, These persons are influential in th.:1ir commmities in txlth public and private capacities or have ocC~.<pied public positions, During such ernferenc!JS oppcdmityhas not been lost tor-resent plans fer sanitary privy oor.struction and to stress the importance of such sanitation. There is no doubt tr.at a large volume of privy construetiCII"l has been a~rorn;-1 ished in this infcrmal marner. Public talks to civic organizations haYe been maje and city co~ci I meetings have been attended for promotion of such
sanitation. The result h1s been passage of the standard plt privy ~dinanoe in a nunber of tcwn$,
In Sl.'lllllarizing the wcrk definitely recorded, a total of 72~ sanit~y privies have been constructed in fourteen towns, 107 in n:ral homes, and 49 at
rtral schools.
The great irrportance of this type of sanitatim is fully realized and this work is being greatly accelerated dLring the CITrent year. The neKt re;:>crt will show this work exceeding! y active.
At the tillle of eom;leticn of this re;:>ort, prog-ess is being tnade in obtaining loans for other oomties from the Reoonstn.:eticn Finanee CO";.>OratiQil for the p<.rpose of both sanitation ar:J unemr-loyment rei ief.
Si'ECIAL TYt'HOID FEVER E.IOI;MICS INVESTIG~TEO
Below is a list of toMlS and corrmunities at which special trrhoid frNer investigations were made upon requests and general sanitation promoted on account
21

r--

1
of e~idemics, Brant ley Cami II a Carroll ton Fitzgerald

Lal!bert Leesbt.rg McRae Nc1ille

Statesboro St..rrenoy \':aver ly

RECA:'ITUL\TION CF P!.SLIC \'lATER SUPPLIES TQ DEC, 31, 1932

Supplies receiving both filtration and ch lor inat ion

Nurrber
6o

Population ,'ercU'ltag~ population ( 1930 cessus) using pub I ic supp Iies
662,000

i'ercentage tota I state population
22.6

Deep wells, shallow we II s and springs receiving chlorination

301 ,ceo

Deep wells, sha II ow

we II s and srr ings not

receiving chlorinatior' 158

16~,coo

14.6

Total pub Ii c water supplies

286 I, 127,0')0

\':ater from home wells and springs in rural sect ions end vi II ages without rublic water sup;-> Iies Total for State

I, 775,500 2,902,500

100,0

38.5
61.5 100.0

Pili Iic su; pI ies accepting

Department 1s Iabcratory

service in 1932

221

~l.blic supplies not accepting De;J<U"tn:cnt' s laboratory service in
1~32
Total

I,088 1 0CC
39 1 COO
1, 127 ,ceo

34
100,0

;'~bl ic supplies making

major improvements in

1932

24

l

RECAi' ITULIITl ON OF PLBL IC WATER SUP"LI ES TO DEC. 31, 1932 (continued) Population Percentage population
Number (1930 census)using public supplies

Percentage total statu population

Fi Iter pI ants under

local chemical am!

bacterial ogical

Iaboratory contr:o I

17 4bo,ooo

41,8

Filter plants under

local dlemical

laboratory control

8

44,500

4,0

FIELD 11\SPECTIONS, CONFERENCES mJ ENGINEERS Plf!NS APPROVED

Pub I ic water suppi i es Sewage dis;>osal Malaria control Swimming pools, privies and misootlanoous Engineers plans fer water Sl'ppl ius approved Engineers plans fer sewage disrosal approved

856
164 1,185
171 10
5

BULLETINS DISTfl ISUTID
Farrrstead wator st..pp Iy llama sewage d i s;:.osa I Pit privy leaflets Mosquitoes and ~alaria control Swimming pool Miscellaneous

3.265
2,829
25.595 6,723
59
2,860

VIATER LABCRATO"<Y I>NALYSES

Bacteriological a Public water supplies Private w1ter supplies S.imming pool Total

Chemical a

Pwl ic water supplies

4()

23

l
MALAR IA CONlROL
Tho year 1~32 was the socorrl full year of intensive prcmotion o-F urban and rural drainage, principally by the use of co~.r~ty and state ccnvicts fer nalaria drainage. The latter quurter of the year was marked by adding tv convict Iaber certain forces classified ur.der unc~loy~T~Jnt relief, city tax delinqumts,: city prisoners and regular city orrplcyoes, It wi Il be noted from the tabulation under "County Drainage for Malaria Control - 1~3211 the naroos of counties, together with thu nl.lllbor of ponds drained, acres drained, and I ineal feet of ;surveys and ccnstruction, In ccndensing this tabulation it can be sho\11'1 that ap;::roximately
141 miles of new drainage was ccnstructed and approximately 500 miles of maintenance, or old drainage invulving Iighter wcrk, There were 745 porrls comprising over 41000
acres rlraino,f,

Even though there was an eXO(;SS of rai nfa II fer the year trroughout the malarious counties the malaria .deaths, due to somo cause, remained practically stationery, Because of its shcrt Juration too much credit shouiJ not be given to drainage.

An atte!'Pt was llBdc during th() year in two coll1ties tc mere accurately obtain infcrmation relati11e to malaria incidence by means of blood examinations in all schools. lmnediately after this infcrmaticn was obtained sbowing a very high rate of malaria infection, cne of these ccll1ties readily agreed to cooperate by assigning ocnvicts fer use on drainage. Drainage surveys are now in ;:>regress and actual cc.nstructkn wi II immediately follow, It is pro~osed to use those two cOIS'Ities as demcnstration areas to measure results. This wcrk is in co~peration with the Division of Epidemiulogy.

Several colrlties have vbtained I.Jans frcm the Reconstruction Finance Ccrporaticn and are using L11e~lcyed forces fQr malaria drainage. It is anticipated that during this year work will be considerably augmented anJ many counties will take advantage of this means c,f unemployment relief and public health i~rovOIT'IJnt.

MALARIA DRAINAGE BY REGUUR CITY EM'LOYEES

The following cities used regular city employees fer the purpose of malaria drainage. The Iist shows the maximum nunber used at any time Jl.ring the year

Americus

. ..,~

4

Baxley

2

Eastman

4

McRae

2

Millen

Sa11amah.

18

Sylvania

4

Waycross

10

Wa)11esboro

8

TOTAL

53

24

l

MALAR!~ DRAINAGE BY FREE LABOR

The fo II owing cities emp Ioyed free Iabor and requi sitiorad com ty

convicts for tho purpose of ~!aria drainage.

Ashburn

3

Brmswick

10

Cami II a

IC

Cordele

4

Fitzgerald

8

Hawk insvi lie

2

Leesburg

2

Manchester

9

Oci II a

3

llaycross

10

Total

61

MALM IADHAINAGE BY DYN/I.MI TE

Aproject worthy of mention is a very serious malaria problem in a valley twenty-five miles ncrth of Atlanta. lhe problem involves several hLndred fami les in excellent agricultural territory. It is nc exaggeraticn to state that the malaria rrublem has been so serious that familes have moved from the CoLnty en account of this condition. The problem involv{!S a drainage project of exceptional magnitude. After three years of effort by the Divisicn, the project was recently started. Pcrticns of the drainage-way huve been improved by the use of dynamite. It is prop<lSed during the current y<Jar tu continue the work, gradually completing the entire pr;,ject.

O..ASSIFIGATION CF COlNTIES OOER MALMIA DRAIIIlAGE

By refer<:nce it will be notej that there are fcrty-fcour counties which have been rendered engineering service by ti"ainage s~rwys and <i"ainago supervision. Sume of these c::>l.l'\tills have practiceu' relaria t:ontrol by the use of col.llty or state convicts for bdh r~ral and U"ban drainage. others have made use of 111isoellaneous labur t'hiefly in blms but in SOIIIB instar!oas fer both l.f"ban and r~ral drainage. It will be ootet! by referring to the d&tail c.f "CJ:u\ty Drainage for 11\tlaria Control - 1~32" that the olassificatic:n of Iaber oth41" than
county or state ca'lvicts is as follows1 (a) ~loy!Wit relief (b) city tax
delinquents (c) olty prisoners (d) regular city empl~es.

Below there is Iisted accredited anJ non-accredited O'J~..nties. h\ accredited coU'lty is defirod as followst (a) cfficial ac!;,pticn of malaria c.:ntrol by col.l'\ty commissioners (b) use of col.l'lty or state convicts or other Iaber authorized by ccLnty officials (c) plan intermittent or continuous consistent
25

l~--

with agreement of county. A non-accredited county is one which has co~leted a project or projects without official asstrance of continuous work.

Accred i ted Counties Appling Ben Hi II
B~rke
Calhot..n Chatham Colquitt Decatur Dcdgo Doughedy Irwin Latrens 1\'criwethcr Mi llcr f/itchcll
f~ontgomery
Richm<;nd Screven Sunter Thomas Turror Worth

Non-Accredited Counties Bacon Bryan Bulloch Candler Coffee Crisp Dooly Enanuel Evans Fulton Glynn Jenkins Jdlnscn Loe Liberty Pulaski Tattnall Telfair
Tift
Treutlen Washington

o'iheeler

CONTROL OF ll.'fOUNOED ''.'ATERS

Under a permit system all water inpcunded in the state must meet requirements for r-rotection of tho pub! ic from malaria caused by impouoding of waters for hydro-electric, water power, recreational and fishing purrcses. The pr:JPOSed area must first be cl~ared d all vegetation, and if in the malarious section of the state an apr;roved larvaocide, together with approved equipment for applying same, must meet specification of the Department of i'ubl ic Health. My person, firm, cor:ocration, county .r municipality desiring to im;oo..nd water must first submit plans and description cf such project. Tho pro;oosed sita is then investigated by a representative of the OivisiJn. If ar,~roved, a prcl iminary permit is granted to proce.;;d with constructicn. This area then is under c~nstant observati::n until satisfactcry work justifies raising of the water .'hen clearin, larva~cide a;pl icati,,n and equipment is satisfactcry, a final maintenance permit is issuod. Below is dato showing tho extent of in-pol.l'ded wat~r malaria control.
26

l

HYORO-ELEC'TR IC \MPOIJllEO I';,IJtR MALAR IA CONTROL

NJilber of hydro-electric developments ~reet ing impoLnded water regulations

NUITber d acres in hydro-electric areas Num Nunber of hydro-electric developments using larveacides fer mosquito centro I
Nutrber of aorea under larvaGcide control

150,000
7
21,000

i'RIVATE IMi>OtJWEO WATEf< PROJECTS

County Bulloch
" "
Bl.l"ke Candler
"
Decatur Liberty M:::Ouff ie
"
"
Meriwether Ware Worth

No. Ponds
5
I lj

N.) Aerea
3
20
20 2 50 I 250 20 10
13
10 100

Owner J. B. Johnsen M. M. Rushing Scu. Ga, Teachers Cui lege Vesta I Lurrber Cclllli>any Mil len Lumber Company
Authority 0f City &County
M. B. Hcwe II Car I isle Veneer Company ?, C. Bowden
G. W, Arrington
G. F. Hobbs U.S. Bureau of Fisheries City of l~aycross Wa II Brothers

It is interesting to note that as progress is made in establishing urban and rural drainage authorized by public officials tho intGrest of individual property owners is als;; so stiruiated tha~ service fr.;m the Oivisim is requested for malaria and drainage investigations. The fact that a pond, either natl.l"al or artificial, usually cc:tstitutes a malaria problem is being more generally reco(11ized. This is a cvnsiderable aid to official establishment of coLnty drain-
ago.
In addition to county and fll.lnicipal project authcrized f\'r ~~~alaria
drainage, individual property owners requested service from the Oivisicn tn private projects as I i sted be I;:w.

27

PRIVATE IML.ARI A DRAIN~Gr PROJECTS

County Bryan Burke Chatham Colquitt
" "
Decatur Jeffersun Jenkins
"
"
fv'er iwether
"
Miller Montgorrory Rich mend Screven Sumter
n
Treutlen '.Jorth
"

Ponds

Acrea

5

90

3

6o

2

2

2

5

I

I

2

G

20

5

2

2

I

I

I

5

15

3

2

3

I

10

I

I

3

15

2

7

I

10

I

ICO

I

2

20

Prcperty OMlor Ford Farms F. F, Cates, Jr. A, C. l., il, 11. Drake Gecrge Thompson Tyson Newtcn Long V,j Ison H, A, Drake Virgi I Burke Alwood A, B. & C. R.R. Rev. Harvy Err.est Sl\effield M, H. Newsorro Gracewood lnstituticn J. A. Mi lis Bailey Geiger ,\, B. Jchnson Champicn Smicrely

fMLA:il A ORA IN.\GE BY MACH INERY

Below is given a list A cccnti~s making use of machir.ery fer malaria drainage. Because of the fact that no type of malaria drainage is contract work, no cubic yardage reccrd is kept ur rer.~rted. The nunber of I ineal feet of drainage by machinery is I isted elsewhere in the repcrt,

Col.l'lty Appling Chatham Decatur Jenkins Pulaski Richmord

Type of Machine
3/4 yd. Drag Linc 3/4 yd. Drag Lir.o 3i4 yci, Shovel 3/4 yd. Drag line 3/4 yd, Shovel 314 rc, Drag Liro

Employed By Courty City Comty County Comty County

28

l

MAL~RIA DRAINAGE BY CITY rRISONERS

The following eighteen cities have made use on malaria drainage of !layer's

cotrt prisoners ar.J tax workers, The maxirrum number assigned at any tirro in these

various cities is shewn boiCJw,

Adrain

30

Albany

10

Alrr.a

15

Cami II a

8

Claxtcn

30

Ccrdele

13

Doerun

12

Eastman

10

Hawkinsvi lie

6

Lee (CoLilty)

8

Leesburg

6

t.'etter

15

Ocilla

7

i'oulan

6

Sandersvi lie

20

Stah;sbcrc

25

Sylvester

7

Swainsboro

30

Tifton

10

268

MALAn IA o:;AINAGE BY LNE~HOYt/ENT RELIEF

Twenty-three cities anc eounties have caree for the Unei!ployed by provid-

ing labor f:r malaria drainage. Because of the fact that employees arc alternated
in order to provide employment for as many as possible, the following I ist shews

the maxirr.um nunber working at any one time ard nd tho total number given ei!ployment

which would be c,,nsiderably great~r.

Albany and Daug1erty Ccunty

141

Arer i cus

6

Ashb~..rn

17

Atlanta and Ful bn C0unty

6oo

Ball ley

12

Cami I ia

7

Claxton

15

Coil ins

4

Ccrdele

25

Doerun

8

Douglas

15

~1Alf,l!A DflAINAGE B'f LNBiu"LOYIIENT RELIEF

(Cent i nued)

Garfield

2

Hawi<$o"1Sv i II e

5

McRae

10

Midvi lie

10

Millen

40

M~ul trie

20

Pelham

8

i'crtal

I

Savannah

10

Statesbcro

15

S)lvania

4

Thomas vi II e and Thomas County

69

Total

1,044

Colilty I. Appling 2. Bacon 3 Ben Hi II 4. Erooks
5 Bulloch
6. B~ke 7 Candler 8. Chatham
9 Colquitt
10. Coffee II. Crisp 12. Detiatur 13. Dodge 14. Oooly 15. Dougherty 16. Evans 17. Fulton 18, Glynn 19. Houstcn 20. Irwin 21. Jefferson 22. Jenkins 23. Laurens 24. Lee

No, f'onds Drained
8 2
4
7 I
35
2 128 51
4
80 23
4
74 II
33 12 61
53 I
86 12 6

No,Acres Draimd Hand La' ="" and
Machinery 66 I
9
9 I
75
12
239 382 10 10
I, I58
30 303 1,073 21 6ta
75
730 289 100
998
151 16

30

Lineal Feet New Cwstruction and Maintenance
33,050 3.000 6,()00 4,100 50,300 60,200 4,250 2,270,500 71,800 6,000 6,300 56,950 12,)20 8,680
153.550 1?,800 62,800 25,000
94,700
43,2L'O 2,6oo 152,425 14,)25 4,6oo

l

County
2). Liberty 26. Meriwether 27. Miller 28. Mitchell
29. Mcntgomery 30 Pulaski
)I. ;iichmond
32. Screvf.ln 33 Sumter 34. Tattnall 35 Tel fair 36. Thomas
37 Tift
38 Turmr
39 ~are
4G. Washington
41. Worth

No.Acres Oraimd

N~. Pcnds Hand Laber and

Drained

Machinery

I

5

27

493

34

310

68

502

9

5

23

107

10

5,CIO

4

14

65

535

I

I

2

6

9

14

113

43

242

3

I

~

26

49

186

Tota1 number of pcnds drained, twu years

Total miles of drainage Total acres drained

"" ""

Lineal Feet New Construct ion am mainten<r~oe
I, 150 44,500 42,650 126,000
I ,9CO 35,700 )06,400 18,903 81,115
1,925
I,CCO
7,2co 24,000 67,500 34,000 4,300 50,3C0
]6o 1,060 13,737

L. M. Clarkson, Chief Oivisi ;;.n of Sanitary Engineering

31

1-~~
I

DIVISION OF CHILD HYGIENE Joe P. Bowdoin, Chief

Tho j:f"ogr~m of maternity and child health wcrk has cne of tho strcngost of
all human aRJeals. It po;lls upon the heart-strings. It is a call to all wh,, have
human interest at heart. i.e see year after year the death rate of mothers in childbed remaining abut tho saroo. llo see stillbirths and deaths, prier to one year, by far tao high. \",b witness broken and grief striken horros. ;;e see children orphaned all because tho rr.cther didn't know the necessity of prenatal care or kncwing did not have thu means ta procure proper examination and treatment. This being true, it should stir us to renewed activity and a re-dedication of our efforts to save I ives.

MIDWIFE WORK

In 1~31 the work of tho five itinerant mrses was about tho sane as

~revic-us yoars, that is, the sane I ine of contacts were made. The state was dis-

trictcd intc five zcnos and each nurse given a definite territcry to wcrk, the

idea being that a nurse wcrking the same territcry wo..Jij become mere efficient and

could do a given c~unty in luss time after becoming acquainted with the roads and

the midwives. In 1931 we ccntacted all tho counties in the state, except thirteen.

By this we mean that in only thirteen counties did we have to renew tho certifi-

i

I

cates by questicnnaire from the central office,

In the spring of 1932, t~.e state was divided into fol.l' districts ewing to
tho transfer of one of our nurses t0 the tuberculosis healthmobi lo unit. This, of course, necessitated cutting down the length of time in each cc.unty. The volume of wcrk done was only lri.lde possible by the wholehearted ccoperaticn of everyone, especially the health officers, physicians, ar.d registrars in the counties. Many of the doctcrs fU"nished their offices, and others gave their time for taking lassermams. Many of the doctors ha~ continue~ their assistance by giving instructions to tho midwives who failed to sec~re a certificate, inspecting their bags, and vaccinating them against smalljJOX after the nurse left the county. In
1932, certificates in 21; counties were issued by the health officer; in II) counties they were isst..ed by fell' nurses from the central officeJ and in 13 counties the
certificates were renewed by qll!sticnnaire from this office. Ccrtif lcates in the County of Burke were issU.d by tho county nurse. Twc counties, with certificates
expiring in Oeoenber 1;131, wero carried over to Jl\nuary 1332.

The eooncmio condition of the midwife as a class is deplorable. Many can not collect fer their servioos and in consequenoo have been unable to meet

32

l
tho instructor cr buy the necessary equipment fcr their bags. This has made it hard on tho nurses as in many cases they have t.:: drive thoir cars at their own expense b visit the midwives in their huoos.
Many of the midwives arc. getting advanced in years and the questicn of training new enos is cnc that shculd engage serious consideration. In preparing n:;w midwives the amount of educativn and training necessary sh)<.J!d be ccnsidcred, anc: the actual noe:l d th~ sections in which they live.
In 1932, twt1 of otr nurses wer<- withdrawn from the midwife work and
assigned tc a hcusc tc, house survey in the CoU>ty d Mi Iton, now Fultc-11 County. 1\b. ut six wooks were required fer this work, neccssitat ing the renewal of midwi fo certificates by questimnaire in nine counties.
SPECIAL COM1 1SSI<J; APPOINTED
Tho 8~ate Medical Association, at its amual session in Savamah,
May, 1932, discussod in the house of delegates the high maternal anll infant death
rate, c.nc passed a resoluticn creating a ccnmission of twenty doctors, two frun each cong-essional district, b study the cntin field. The chairman of the cc:m missicn is Or. Hines Roberts of Atlana; the co-chairman, Or. C. B. Upshaw,. is also of Ati,Vlta. t:c have cooperated with this commission by furnishing a cupy of
all maternal and infant deaths fer 1932. This means the writing d ever fccr
thcus.~tnd death c<.rtificates. The task is a big one and wi II require a great deal of wcrk.
MAY DAY A~ SUt/1/.ER ROLND-UP
The t~ay Day- Child Health Day program was given considerable time. Every cc~nty in the state put en scme kind d wcrk, and many counties had elaborate programs. Alcng with i.lay Da~ VIas carried tho Summer RoU'ld-Up of the preschool chi Idrcn vf the state. Tho respcnse to the appeal for this work was vory pleasing. The governor's proclamatkn for beth years were mailed tc; all newspapers and broadcast over tho radio.
The Medical Associaticn als._, participated in this wcrk by conducting a health education we<:k1 giving physic~! examinaticns and public addresses throughout the stato. The presi..:ent of the Association appointed cne ~ysician in each county to make physical examinations of all preschool chi I .ren.
INVITATIONS
We haw never ha~ as many invitaticns from clubs, civic bodies, churches and other crganizaticns to speak bofcro the people en sanitation, hygiene ard irnnunizati en.
33

UNtf!G.~NIZED BOMDS OF Hr\LTH VISITED
Many counties with L(lorganizcd boards of h~;<'.lth were visited, Many of the county boards of health have not organize~ or adopted any rules and regulations, ncr in any way ;rcmulgate<i regulati1.ns :}overning quarantinr, Contacting this offici at group has been of great advantage.
R:o1o
Tho radic broadcast vvf'T \'.SB has been ccntinued, ffftoon mll)ites being allotted for the broa,icast.
TUBERCULOSIS
The fight un childhJOd tuberculosis has been carried en mere intensely than ever before, not alvnc by the ldt~ Sanatcrium and the State Department of Public Health, but by individual rhysicians, with the result that the children's coHag<; at Altco has been full, with a v.aiting list. The department is happy over the canpletion of the Jchn A Rhcdes school builc!ing for the afflicted children at the State Institution.
MOTHERS' HEALPERS1 LEAGUES
Owing to oLT prog-am being so crawded, tho itinerant nurses did not have timo to remain in the c~urties !eng enuugh to put en but fow Mothers' Helpers Leagues. This form of cJucaticn is funJamentall~ sound and education for parenthood is rerhaps of more real value than many things that are 8iven precedence.
COOPER\TIVE AGENCIES
For thu ~ast few years the :livision has been n:.quosted tc. prepare for
the Congress of Parents and Teachers of Ge.crgia a Frcgram fer the health wcrk of this great Associati~n. Such out! ines were prepared the past two years and adopted by the boarc1 cf directcrs. This crganizati~n has given the department great opportunity to carry the h,.alth messages to the reoplo of our stahl, offering space in their bulldin as 11()11 as extending many invitations to the heads ~f the different divisi,ns and the nurses to address their mc'etings.
The Wcman 1s Aux i I iary of the "'od ical Associ at iJn has been of great service to oLr divisicn, Sever~! shcrt talks wore ;::repared and distributej fer use before different woi!\Q1s 1 grou~s. This oJucational material has potential lfJod an::l is far reaching in its efforts.
34

l
In 1931, the State Department of Education requested the chief of the division to addr(.SS the supcrintsndents of schools of the state at a neoting held in Macon, Abcut twc hurdred were "resent. It . as a feat opportunity to speak to the m<:JJrbers of the bQards of health of ~ach of the colilties.
SUMMER COURSES FOR DOCTORS
The sunrner cvurses for physicians \;javc ti100 for obstetrics as well as child hygiene. These were well attenJerl and splendid work was dcre.
The chief of the divisi:n was invited tc read a paper before the Amual Ccngress on !lhlic~.l Educatiw, Medical Licensure and Hospitals, held in Chicago, February 17, 1~31. Tho subject d the paper was "Extension Ccu-ses for Rural Phys ici ansi!,
GEORGIA BABY BOCK
In 1~31 the Georgia Pediatrics Society a;,pointed a committee of three to assist in the rewriting and &!iting of the Go;.crgia Baby Book. The book was carefully revised andrew !lll<terial introduced, It was delivered for distributicn January 13, 1932. lnmediately copies were so..pplicd to all libraries of the state, to state and tcrritcrial health officers, as 'Mlll as local health officers. Fifty thousand wore pr inteu,
SPECIAL SURVEY, HABERSHAII COUNTY
In 1931 a p ieee of work of ccns iderabl e inwrest was done by the extension .lepartment of the State College of Agriculture in Habersham Cot.nty, The ontire coU1ty was covered in an intEJ1sive campaign. Every child in school was given physical and dental examinations by local physicians and dentists, and in addition to this a hbcrculosis t:;xamination was given by a specialist in diseases of the chest in chil~ren. lnvtmizaticn work was also carried on, The climax was a meeting at the colt'lty seat, a parade and pageant.
DIPHTHERIA, LtliON CO!JHY
OWing to an outl:reak of diphtheria in Lnicn CW'ty in 1132 we gave
the services of one of our nurses for several days. Th:-. ccnditial was in an isolated section of the coU'\ty. (Soe statistical report)
CMPAI~, A.OYD COUNTY
Request was made of the chief of the division to assist in plaming a campaign for Floyd County in the ~revcntion of diphtheria. Several visits were
35

made tv Rolll6, This project was sponsored by the Chamber of Conmerce and was executed
by the Health Officer, Or. B. V. Elmore,
P(BTAGE
Tho advance in the cost cf postage made a ccnside:rabk difference in our operating expense, To overcome this, we decided to use P"stal cards to notify our midwives when to meet the instructor, This has proven satisfaotcry,
EDUCi\TIONi\l !,~CVEMENT - CANCER
The continued increase in deaths from c~ncer is alarming, Because so many homes are left in scrr~w by the moth~r dying of this disease, a movement for educating the rrothers was deerred wise, and in 1932 il conference was arranged by this division between thE: president of the Parent-Teacher Association, the chairman of the Cancer Commission, arid the president-elect of the Wcman1s Medical Auxiliary, It was agreed to~ave the Cancer Commission appear before the summer institute of the Parent-Teachtr Association at Athens to discuss the menace of this disease. This was done accordingly, and in addition a paper was prepared and distributed along this line. The paper was written by Or, J, L, Campbell, chairman of the Commission en Cancer for tho Medical Association, and has had wide distribution,
ORGA~IZATION OF ~rLL BABY HE~LTH CENTEBS
In the fall of 1932, a new program was Froposed and a volunteer physician, Dr, leila Denmark enabled us to try out a project for nearby ct:ntcrs to Atlanta in the crganization of well baby health centers. The proposal was made to the president of the Parent-Teacher Association of the state, Mrs. R. H, Hankinson, She a1,provod the plan ancl the local Parent-Teacher Associations at lk{)cnough, Douglasville, and Lawrenooville were contacted with the result that the Oe,'art~e~t uf Plbl ie Health received an invitation from each County Medical Society to put on such a oonter, Tho spcnsor'ir19 Partnt-T~acher Assooiat ion has charge of the local arrangements. Or. Oermark is giving hLr time three days in the month to the ~eople of these collliiU1ities, The idea is good and we believe will prove to be cntirol) satisfactcry and of vast benefit tr. the mothers and their chi ldron, Infants and children up to six years of a::Je aro ::Jivlll'l the examination without charge, This ?roject wi II give l!llJch r.eeded s~ervision to supposedly well babies,
This narrative and CQillpi lation does not cover the W<Jrk in child hy~iene and maternity th~t is ::!one in tho counties with full time corm~issioners of health. These will be found in detail in the re~ort of Col11ty Hoalth Work, This co.rse is thought best as their use here would giV(; a false idea of the total work done, To get a com;Jietc rope-d you aro invited L study in connection the statistics of Or. Winchester in his ropart of the activities of tho health officers,

ACT! VITI ES OF "l\.I,;SES
MIDIJIFE ~:ORK: Classes Organizd ~'eet ings He Id Midw ivcs Contacted Midwives Receiving Certificates V/assermams Taken: Positive Negative Mic!wives V~ccinated Against Srrallpox Homes Inspected No Visits to Midwives Oerronstrations Given Bags Insrectcd Bagt Approved Notices Sent tu Midwives by Nurse Midwives not LLcated Midwives who did
MOTHERS' HELPERS LEAGUE: Classes (A-ganized r.betings ~ld No, Girls Errolled Children Rocei ving Ccrt ificates
MOTH SiS I CLASSES I
Classes CT,1an ized treetin;Js Held No. Attending lfeetings Oew~nstrati ens Given No. Ccmpletin11 Cvurse
IMitUIIZ'-TI ON l'iffiK (Assist in3 Physician) 1 Smallpox (Nv, Doses) Tvxuid (No. D:ses) Taxin-antotoxin (NJ. Doses) Typh~id Inoculation (Nc. Doses) Hookworm Treatment

(5 Nurses) 1931 341 1,080 4,614 2,132 100 467 351 610
I ,(1)8
2c6
115 522 5,020 3,246
53 187
824
755
48
2,363

(4 Nurses) 1932
358 1,c6o 4,827 2,493
153 517 597
m
1,486 474
2,445 2,266 I,352
207 164
6o 317 2,940 1,044
26 73 265 25 247
58 159 309 341
7

37

VISITSa Adults Prenatal Obstetr ica I Postnatal Infant Preschool Sch(,QI Physicians& Satisfactcry Visits Unsatisfactory Visits Not at H'.rre Registrarsa Satisfactory Visits Unsatisfactory Visits Not at Heme

1931
3,014 216 23
14
279 183 269

MISCELLAI-.EOLSa Talks to Lay Gr~ups Attendance Perfected Birth Certificates fer Midwives literature Distributed

10,851

?HYSIGAL EXAMINATION, lr&IUNIZATION, UNION COLNTY Ch oestoe Corrmun i ty
Nove nber 1932

Preschool mi ldren examined

86

Sdlool children examined

110

klu Its examined

25

Vaccinated for typhoid

148

Vaccinated for diphtheria

a6

'h.ocinate:J for smallpox

29

1932
2,632 235
<J5
56 320 273 233 560 59 298
413
25
80
272 13,634
218 10,864

(

Joe :Bowdoin, M. D.,

01ief, Division of Child Hygiene.
38

DIVISION OF VENEREAL DISEASE OONTROL Joe P. ]owdoi~, Chief
The Division of Venereal Disease Control has gene forward with a fundamentally strong prog-am dtring 1931 and 1932. This is stated because of the increased demand en the part of the p&opl"' of all classes for information, and consequently has been of great importmce,
In 1931 the general assembly established a new i3arber Examining Board which passes a regulation requiring freedom frcm venereal disease of all barbers, a negative \'iasserman being req.,ired as well as a phys1cal examination, This began to boar fruit early in the year 19)2. In the physical examination of the individual
it was required that each oo examined by "regular physician, and that they must
be free of infectious diseases; that the appl ica-1t for I icense must be free of venereal diseases; and the fi I ing of a reputable laboratory r!lport was obi igatory.
The result was that during the first year's operation 726 barbers W&ro refused
I iocnse because of syphi I is, Thre<.; hcnclred shops were closed entirely because they were not sanitary. It also beca100 necessary to revoke I icenses of 72 for this reascn,
The or;~raLs ar.d proprietors of beauty parlors did not wish to be supervised and l:rought a bi II of injunction to prevcnt the Barber Board interfering with their business, This was c~rr ied throu(#l the courts and in the fa II the supreme col;rt of the stat,, hanJed d0wn a deeision in favor of thG Barber Board placing all beauty ~hops, hair dressers, etc., IIlder the SliJervision of the Board, This decisicn is be rc:ci!nt tu h::'Je any rercrts cr en;ouftl insp,,ctions to be of service in an evalu3tkn of the final results.
The examinati:n of barbtJrs, however, proves the value of examinaticn and certificati~n of all individuals who are feed handlers, mrsemaids and those coming in ccntact with J\I rocplo in such a way that diseases might be transmitted.
The stcri I ization bi II as proposed ay tho Human Betterment Fol.l'ldation
was indc,.sed by the State 1.\ldical Association and wi II be proposed for passage in our state in January.
A great deal of educational material was prepared and sent out from the Departtront of Public H~alth during the biemial,
ihe publ icaticn "Gecrgials He,llth" has steadily increased in popularity. Requests have come fer it from every walk of I ife. Many school teachers requested it for use as a basis for th>-ir hr:alth talks,
39

T-
1
Popular articles have.been prepared for the Educational Journal, P.T.A. magazine, Masonic Heme Messenger, tho stato newspapers, the Uoited States Daily,
Aglaia, Nati~nal Phi WIU rragazine, and others. During 19'32 special mcnthly articles,
writton by different members of oii staff, a;:pearc.d in each issu0 of the Journal of the State Medical Association. Th(j Journal has also reproduced a n'-'!lber d articles that have originated in 0\T departrent. This cooperation is greatly arpreciated.
In 1932 eight short talks hf.ro mimeographed, five of them prerar\ld in our
office, fa- the l.cmanls Auxi I iary. The subjects of these W') prepared wcrc, "The Most Dangercus Age 11, "Immunization against Typhoid", "Smallpox and Di;>hthoria", "Degenerative r.r the Silent Diseases", "NI.Tsemaids Should Have Health Certificates", "Ewry Co~.nty Has a Beard cf Health". One Thousand eaoh of the eight talks were mimeo9'"aphed and delivered to M-s. N. Peterson at Tifton. This material was for use in thdr health program~.
Along educational lines we should mention the wvnderful response to our appeal for help in ,..utting en a wcdh-while May Day-Naticnal Child Health Day both in 1;131 and in 1932. Every county and almost every community had a program. The SUI!Iller RclZld-up of th(, ?,T.A. was put on in ccnnectivn with Health Week sronsored and put over by the Ge~rgia Medical Association. A physician in eaoh county was appointed by the Prusident of the Association to examine thG children and immvnize thfll ~gai"st di;lhtheria. This cooperation was arcr-reci~ted by all. Each yc.;ar Governor Richard B. Russell issued the usual May Day Proclarration. This v.as furnished the State Chairman, was sent to all th6 news,.,apers and was also read over >ISB.
The physicians of the state set up a lectiie Bureau and fiinished many speakers to a Iarge number of counties. This was an important part cf the work and was well ruceived by the public.
The follcwing is copied from the report rrade to the American Child Health Association: liThe President of the State Medical Associati~n appointed a physician in each county to examine presch,1ol ohi ldren during tho Sumner Rcund-up. The Commiteo en Health and legislati~n crganizcd a bureau of pub! ic speakers en health. These speakers I iveJ in liJVery section cf the statu am could be secured by any organization for l!ny occasion. At the May meeting of the Asscciation .a committee of twenty physicians was apr-ointed to stu.:y the conditions anJ causes of maternal and infant. deaths in tho state, and tc re, -:rt at tho next annual meeting with suggestions for ln~~ering the rate. This study is new r..nc~Gr way."
We have prepared special I i teratiic en syphi I is and gonorrhea. Copies of this as well as the goverruoont partphlet, "Managell'llnt of Syphi I is in General Practice" have been mailed tc each physician in the state.
40

l
The insert to be enclosed with automobile tags in 1933 will carry a notice to all ?<TChasers on "Syphi I is", In anticipation of this, instructicns to the infected as to taking care of themselves and to prevent the spread of the disease have been prepared, also thousands of copies of the leaflet, "What the People Should Know about Syphi I is", have been printed, Other material is avai Iable en request in I imited quantities. Notice has been received that free materialthat has been given us previously by the Lhited States i'ublic Health Service has been withdrawn and no mere can be furnished by them.
The State Chairman en Social Hygiene of the Georgia Ccngress of Parents and Teachers has been active in her work, All local chairmen have been furnished informatiun an<.! letters have ::een written as to their program, Many talks have been given by women lecturers.
Dr. Valeria Parker, ~f the Aroor-ican Social Hygiene Association, was a visitor to otr state in t.1arch of 1931. Sho att,;nded the meeting of the State Coi.I'ICi I of Sooial Agencies in Athens, alsc visited other interested groups in sevsral sections of the state.
In 1932 th~ Georgia Sooial Hygiene Associaticn was organized nl has held two meetings. It is t~ be ho1,ec that a state-wide Frogram can be ~.ut on for the education of the people in this inpcrtant matter.
There has been agreat demard fer health talks by members of tfie staff d~r ing both 1)31 and 1~32 Invitations to address almost every type of plbl ic assembly have been recetved and accepted, Vie have spcken to n~rses 1 training schools, senicr meJical students, civic clubs, fraternity meetings, Associaticn of Workers for the 81 ind 1 State !k,dical AU)(i I iaries, Press Association, EdJcation Association, COU'lty comnissioners, many of the women's clubs ard other crganizaticns.
A nunber of bay 1s sch od s havo asked th is 0; vis i en to send a speaker to address their boys ~n social hygiene. Over three thousand boys have been reached each year in this way. lhese sox and veweal disease talks have been wei I received and
many of the sl.4'erintendents cf school.:~ and deans 0f men have been kind enOIJ!tl to tell
ua ~t the work was highly satisfactory.
In l.ll1JSIJII deparhre from the inv itat iens to address peop Ie came fr0111 the judicial circuits of Jt.dges Pittmlf' and h'addax, This invitatiM was to address the cotrt W\i le in session. This was done in several cunties and the talks were well received.
During the two years, lj31 and 1932, we have spcken to more than 20,000 people en varied subjects, alI of them by invitaticn,

We have ccntinucd our week.ly broadcasts uver :ISB. In 1932 we were accorded
tho privilege of brvadcasting over five additional stations! WJTL, Oglethcrpe University; ~.'ROW, Augusta; WOTC, Savarnah; 1\'RBL, Columbus; WFDV, Rome, About fifty talks have been given over these stations, They are very short- not over three minutes in deliveryand are read by the announcer. No doubt these talks are heard by thousands of people.
For the first time in the histcry cf our Department a request for a social hygiuoe talk over r~dio was received fr:>m the station at Rcme. This talk was given, sponsored by thu Radio Chairman of the Seventh District P.T.A,
A special r.rogram was preparec fer the Rcme Broadcasting Ccmpany at the request of the Rcme Chamber of CiJfQillerce, In cooperation with the local health officer several radio brQadcasts were prepared on Diphtheria and the use of Toxoid, also a nuriler of articles for tho Rome Dai Iy News.
Both in 1931 and in 1:-!32 a successful Venereal Disease Clinic was put on
in connection with and through the cooperation of Emery University. This is one of the oldest clinic weeks that I kno111 of in the cot..ntry. It wi II be recalled that it was originally a strictly venereal diseasu clinic, lfganized just after the close of the World War .ihe Alumni Association Week was added to it with great advantage to all. This service is appreciated by the Gecrgia physicians and by many from outside
the state1 in 1931 we had 199 rhysicians registered; in 1932, 205; and as usual an
t..nkncwn nt..mber who did not register. The clinic opened en l.'cnday and c.cntimed through Friday, closing 111ith a banquet and annual meeting of the Alurmi at the BiltffiQre Hotel.
In 1931 the annual Extonsi on Courses for the state, ccnduoted joint! y by
the faculties of the University of Georgia and Ern;.ry University were held in six
centers, In 1932 these courses were repeated and two additional twons added, making
a total of eight centers, t~wit: Val~osta, Statesboro, Albany, Hawkinsvi lie, Mil ledgevi lie, Griffin, Athens,. and Roroo, The physicians who attended requesteJ that the same centers be used again anrJ that th> cou-se be repeated,
A rew foature of the course in 1932 was that the Woman's Auxi Iiary
participated and held a meeting en each ~~cdrl(;sday a half hour before the regJiar lecture. The pediatrician conducted this pericd. The Auxiliary seemed to appr~iate this up,,ortt..nity. Many nurses attended, It was the wish of all that this feature be c'ntin~.ed, Complete reports were furnished beth th$ Universities aro the Board of Regents.
The good wcrk dcne almg these I ines has traveled beycnd tho borders of oil" state, as we have received a letter frcm Dr. Janes A. Hayne of South Caroline, asking how we organized and conJucted oil" sUT~~~~er sd1ool. This infcrmation was given him in detai I.

A five day course for negro r;hysiciiJls was held in cooperatim with Emory University ard the Rosenwald Fl.f'd. The coi.Tse covered many subjects but gave
special attention to the venereal diseases. It was attended by 53 physicians from
21 counties of the state.
The free venereal disease ol inlc that for rMny years has been ccnducted by Emery lhiversity was ti.Tner.l uvcr to the City of HliJlta in 1932, an<.l for some months new has been in ch1rge of the City Health Officer, It has l:oen moved from Emory to the contagi-ous .1isease and letenti~n building en College Street, The attendance continues largo,
The other clinics over the state have been continued and one new ol inio opened, the same being a part Qf the new ho5pit;,.l at i'.ayoross, We are U'lder obligation to all of the clinics and health officers for their help in tho work of eradication and control of venereal diseases.
Early in 1~31 the questicn of contacting co~r~ty boards of health was discussed by Dr, Abercrombie, Dr. 'ilinchcstor, and myself, with the decision that thv state shout~ be .1ividod b~tweon us, and when cceasion permitted we would visit the cOU"Ities, call the health boards together, 1d if they had not been .:rganized, to organize them. Lists of c01.nties were made up and assigned, I have don~ some of my assignment I found the work very ploasant and believe it is of sufficient inoport&nce to be ~ushod to a coflllletc crganization of the state, I hac the privilege
of attending the meetings ,,f th0 board of health in Whitfield, M\rray, Habersham,
Gorden, Fannin, Taliaferro, Colunbia, V.'arren, McDuffie, Tu-ner, and Berrien, In Clayton we trat with a majority of the board but definite action on adopting the regulations was postpond ~r~til the full board cvuld attend, In each co\.l'lty I was received with c~rdial ity,
For some time it has 1-een kncwn that cur I ist of physicians was net ccmplete or acou-~te. Lat,o in 1~32 it was decided that a list of physicians as nearly perfect as possible would be completed. The. work was therefore begul, IIJ'ld has been prosecuted \.l'ltil as the yeer OCfiii!S to a close this list is almost complete. It
will bo an on I j.ghtenmg sh.dy, as wo haV'J a nunber of o';t.ntias in GeorJia wi til only one, two, rr three physicians, The new law requiros that each ph)'Sieian register with the Secretary :Jf Shte, cJUt en ched<ing tllis list it was fo\J'ICI to bo inCOfllllete. Ou" field fcrc.os ar~; ondc.avoring tc get tho unregistered physicians to r!ll)ister.
Frvm tha Serol caical Department it will be fc\.l'ld that tho demand has grown for blood c-xamir>\ticns. The ropcrt oi the Oirector will reveal that the positives fe>r syphili3 average 23.at fer the year 1:)32, and that the requests for service h.ve been practically universal. In t~is repcrt arc not included thereports made by ths health officers excet where clinics arc established and then

only the clinic caaJS and not repcrts of in~ ividual physicians, The health officers only report to our Division of CoLnty Health Wcrk, To visualize the situati:nof tho state this report must be studied in ccnjuncticn with tho Divisicn of County Health,

Attenticn is directed to the st~tistical report of the clinics and the De;:>artment of Serology that is folrd below.

SEROLOGICAL DEPARTMENT 1~31 - 1~32

Below wi II be found report on blood specimens examined for convenience of reference, The corrplete report of the Serological Department will be found under Laboratory.

Number of SllCcimens examined in 1~)2 Nwmber of specimens examined in 1~31
Number of specimens increase for 1~)2 Percentage increase of 1~)2 over 1931

5,026
11.4%

Average number of specimens examined per month in 1~32 Av~rage nunber of specimens examined per month in 1931

Averag:; month specimen increase of 1932 over 1~31

41~

Percentage of specimens in 1932 shewing rosi tive reactions Percentage of specimens in 1~31 showing positive re,acticns

Percentage increase of positive reactions of 1932 over 1931

Number of s~ecimens rejected as unsatisfactory in 1932 Number of specimens rejected as unsatisfactory U1 1~31

Number of rejected specimens increase of 1~)2 over 1~31

6

Nunber of Keidel tubes ftrnished phrsicians in 1932
Number of Keidel tubes furnished physicians in 1~31

48,137
51,022

Numter of Keidel tubes furnished decrease of 19)2 under 1731

2,885

Nunber of Keidel tubes on hand .!anuary I, 1~33

3,111

2,623 (The above dces not inc ludc

specimens from the Rosenwald Clinic, Brunswick,

Gc::.rg1 .., fer 1931)

44

__ __,.,J

SUMMARY OF VENEREAL DIS"f:.:ASE CONTROL WORK FOR THE YEAR ElmiNG DECEMBER 31, 1931 Joe P. :Bowdoin, g.D., Director, Venereal Disease Control Bureau

1~1
MONTH

S)Phi lis
M. F.

Gcncrrhea

M.

F.

Chancroid

M.

F.

Arsphenamine

l~assermanns

Smears

Pamphlets

Lechres Aul.

Jan.

380 28~ 347 103

90

Feb.

368 268 225 81

84

Mch.

m 435 32j

83

20

0

Apr.

451 379 2"/6 81

22 2

+
\,]1

May

404 348 281 93

33 3

JU'\e

641 8~ 263 74

10 4

July
Aug.

343 266 318 259

244 58 lfo . 64

Sept. 352 314 283 ]4

70 29 I
24 4

Oct.

583 557 303 ICO

22 I

Nov.

470 334 300 76

17 0

Dee.

40C 288 232 6]

17 3

3,524
3,:m 3.955 5,036
5099 4,563 4,311
3.557 4,JCb
5.395 5,803 5,187

4,)52
5,316 4,949 5,880 5,918 6,223
5,941 .-.,631
5.~3
5.~1
4,422 4,444

235

I ,492

217

I ,345

169

1,'1.)0

231

936

2.)2

807

223

1,040

293

765

235

3cb

244

450

270

603

215

1,003

219

370

II
~
1,070 982
1,056 351
0
300 450 2,8]0 130 2,645

TOTAL 5,145 4,526 3,223 954 218 22

54,175

64,430

2,803

11,067

9.995

~Ali)
TOTAl

j,6]1

... m

240

54,175

64,430

2,803

II ,067

9.9J5

SUMMARY OF VENEREAL DISEASE CONTROL WORK FOR YEAR ENDING DECEMBER 31, 1932

l

Joe P. ~owdoin, ~~D., Chief, Venereal Disease Bureau

1)32
MONTH

Sy,>hi I is M. F.

Gmorrhea

M.

F.

Ch3tlcroid

M.

F.

Arsphenamine

Wasser manns

Smears

Pamrhlcts

Audiences
Lect~res

Jan.

814 546 321 108 19

2

6,497

6,264

250

610

40

Feb. 574 447 168 28 17 2

6,~2

6,485

222

812

0

tr..

Mar.

585 437 284 84 18

4

Apr. TJ2 546 256 106 7 I

5,430 7,2]1

5.569 6,583

189

1,023

2]0

865

1,120 1,814

Yay

768 583 307 87 II

3

5,818

6,613

283

482

1,110

Jll'le

666 479 'f57 123 17

2

5,673

6,268

270

211

1,420

July

382 652 348 125 16

I

5.733

6,449

289

285

280

Aug.

822 577 391 147 17

4

6,3'16

7,oc6

311

260

2)0

Sept. ]58 647 30 118

8

()

6,482

6,496

310

998

1,027

Oct.

554 321 258 'j6

4

0

5,G7&

6,3'fo

247

405

2,579

Nov.

227 162 156 16

4

0

4,765

5,224

261

529

I,Jbl

Doc.

743 411 522 214

80

4,915

5,182

239

647

313

TOTAL 8,469 5,8C8 3,708 1,252 146 19

70,950

74,879

3,141

],207

GRN-JO

TOTAL

14,077

4,560

165

]0,950

74,879

3.141

],207

II ,'Jj4
II ,Jj4

Jce P. Bowdoin, M.D., Chief, Divisim of Venereal Disease Control

DIVISION OF EPIDEMIOIDGY Daniel L. Seckinger, Chief
Inasmuch as the Division of Epidemiology was not established mti I February,
1932, it is irr.possible to summarize certain statistical data for 1931 and 1932 into a
mified report throughout, With the establishment of the Division and a full tiroo clerk for reoord keeping, it has been possible to institute a system of record keeping similar to other well established divisions of epidemiology throughout the cot.ntry,
which was not possible unti I the beginning of 1932.
EPIDEMI<lOGY
Tho statement has been repeatedly made by public health workers, to an extent now almost axiomatic, that "No health department, state or local, can effectively prevent or control disease without knowledge of when, where, and under what conditions cases are occurring." It is evident that in his state, comty or city, the epidemiologist must assume a large part of the responsibi I ity of ft.rnishing to hiS department, and through it to the people of the State, carefully collected and scientifically accuratv data as to when, where, and under what conditions cases of disease occur, f'e must go into the field when cases occur and employ every AlBans known to science and medicine before he can safely and justly arrive at ccnclu:.ions; and while fLrdionally ard perhaps not practically a clinician, bacteriologist, sanitarian, statistician, cr public health administrator, he must be able to apply these so iences whenever necessary as a part of his arrnmentar i um for guidance. Perhaps no better description of the epidemiologist as he wcrks tcday could be ft.rnished than that by Dr. Haven Emerson befcre the American Public Hellth Association in Washington, D.C.,
19321
"Y.tlether originating frc:m the scknces of laboratory medicine, or engineering, or mathematics, or out of the di:ociplos of observaticnal or clinical medicine, the epidemiolcgist is entitle<;! to the distinction cf R specialist in pt.blic health. In fact, he is a master of natu-al history of di;ease as it expresses itself in grcups of persoras, related by sc11e CQMIOn factcr such as age, sex, race, ccc~.paticn, or geographic distribution, as wet I as by development of disease.
IIWi thout nec;SS!!I" i Iy boing a ~act it iGnPr of ilflY of the basi o sciences of medicine or sanihti:n he must be able t.:> use th<Om in arriV-ing at his own objectives,
"By familiar tests epidemiology is not cnly a vocation, a career, an
intellectual discipline, an administrative functivn1 it is a scinence in so far as its theories and laws of disease perfcrmance &'e based upon accumulated facts, and objedtive reasoning, and to an increasing degree upcn planned experiment, both upon man ard upcn the lower animals,"

1/CRB 1D ITY REPCRT I1'.13
Fer the past three cr four years the Uhited States Public Health Service in cooperati~n with the physicians, state, county ard city health authorities has outlined r:;lans and procedure'- to improve morbidity repcrting thre1ughout the COlX\try. It is evi<i.nt that prcmpt corrplete and acc..rab ropcr-ting ,f diasese is one of the follldations upcn which pLbl ic health rests. Rep~ding by physicians is absolutely essential to knowledge and central of disease by health officers and the state authorities, ThEre are mary physicians who report promptly and regularly, while others report infrequently, and in some cases not at all. With the: health officers rests a great deal ai the n-.s;~cnsibi I ity in increasing mcrbidity reporting in their ooo.nties,
In oder to im;:rove repcrting general Iy throughout tho cocntry, the Uhited States Public Health Servire has established the r,.crbidity Rep~rting t,rea, lhder this plan states are rateJ with referencu to repcrting, Requirerr.ent for admission to the r.'crbidity R(:>crtinl) Area are a~ follows:
I. The Stato must be included in the registration area Jf births ard deaths,
2. There must be adequate leliislaticn to enfcrce repcrting,
3 Thre must be machinery for securin.J ropcrts and keeping records,
4, There must be clerical fcrc"l to do the w1rk required,
5 There must bs wiII ingncss tc cocperate in d forts to secure mere
nearly acctrate and com:;let~ repvrts of notifiable diseases.
6. The State must secur' at 1-::ast as '!?ny cases per death as the
average num':l..lr reported by states in tho registration area fer deaths fer th~; Jreceding three years for five diseases- diphtheria, reasles 1 scarlet fever, typhoid fever, and whooping cough.
4g

The following is a comparative percontafje rating of states 1)2& ~ lj301 and comprises the most recent ratin[J by the Public Health Service:

Comparative Percentage Rating of States - Five Diseases (Average I00 per cent)

1928

1930

State rated Standard - Above the

States rated Below Standard -Below the

average nll!'ber d oases fer each

average nunber of cases for each death

death

Per Cent

Per Cent

Cal ifcrnia

147

Alabare

bl

Connecticut

174

Arizona

51

District of Colu.bia

183

Arkansas

41

Illinois

11e

Col or ado

83

Kansas

141

Delaware

89

Miine

IIG

Fllr ida

b2

Maryland

150

Georgia

'j:,

Massachusetts

162

Idaho

83

Michigan

leG

Indiana

67

Minnesota

152

Iowa

63

Mississippi

133

Kentucky

30

fl'ontana

118

Louisiana

60

New Jersey

143

Missouri

70

New York

147

Netraska

91

North Carol ina

lib

New Hampsh i M

77

Ohio

12C

North Dakota

88

cregcn

134

Oklahoma

52

i'emsylvania

118

Tennessfle

57

Rhcde Island

102

\'lest Virginia

67

South Carol ina

107

utah Verm<-nt

19)

States for which comparable data for the

19~

three years were not avai table

Virginia llashington tliscons in Wyoming

125

201

Nevada

ti

New Mexico

102

South Dakota

Texas

From the above rerort it is evident that bofore Georgia can be admitted,

considerable improvotnent in morbidity reporting wi II be nec.;,ssary,

In order t<.: stimulat.;, re::din3 am01g tho physicians of the State, the Division of Epirlemi0logy instituted a plan early in 1932 of sending monthly morbidity reports to physicians, The respwnse in repcrting has beell gratitying as shewn by Tables I- XVII, which show a Jeorf.iaSe in FATALITY rates during 1932 for a number of

the more comnon dir.eases, Since the fatality rate is the ratio between the nul!ber of cases r<>ported and the number of deaths reoorded1 a decrease in the fatality rate indicates oril of two things, or both I (I) Improvement in treatment of cases, and (2) Improved morbidity reporting, It is evidonf that as morbidity reporting increases, fatality rates fall, and until morbidity reporting becomes more nearly uniform and complete, it will be difficult or impossible to accurately evaluate the effects of improved treatment. It is bel ioved wha1ever and wherever thiz point is forcibly enphasized to physicians, much improvement in reporting will result,
OUTBREAK OF DYSENTERY AT WARM SPRINGS
M epide.mic of dysentery of very unusual interest occurred at the Warm
Springs Foundation in May and June of 1932. Requests for assistance came fol,~wing
the death of a patia1t from dysentery the first of Jure,
Epidemiological investigation was begun on June 4th 1 at which tine 21 oases
were studied. Sixteen occurred from 1/a.y 30th to June 4th; 9, <Jr mere than half of
the cases occurred on June 1st. Five of the 21 oases belcnged to a previous outbreak about the middle of ~'By.
From tile explosive nature of the outbreaks and the wide distribution of cases amung the resident pcpulaticn, ccntaminatod water is boliewd to havo been responsible, although milk, ice, ve8atables and food-handlers were considered, but subsequent! y ruled out.
The Warm Springs FoU1dati~n is located on Pine MoU'ltain m Meriwether
CoU'lty and situated imnediately above the Warm Springs, from which residents obtain their water supply. At the tirro of the investigation the cnly method of sewage disposal was into :;apt ic tari;s and cesspools. Sewage from tho Infirmary of the Foundation
flcwed into a cesspool some 75 yards above tho springs, Solj8time about the middle of
May a patient with dysentery was treated at the Infirmary, from whose stools the Flelltler strain of i3. 'Jysenteriae was subsequently cultured. Flexner organisms were also cultured from stools of two others, including the patient that succul!bed.
Water coming frcm the springs was ohlcrinated before being pumped into a
tank on the mc>..ntaih, but on several occasions employees had experienced mechanical
difficulties with the chlcrinator and at the time of the outbreak chlorine concentration in the water was foU'ld insufficia1t for steri I ization,
In justice to the authorities at the Foundation, it should be stated that every possible assistance was given by them dl.l"ing tho investi:;Jation and every recommendation made by the Division was imrrodiatoly acted upon anri executed in minute detail.
50

Sewer mains, approved by thro Division of Sanitary Engineering of the Georgia Department of Public Health, have been lai~, an:J a pasteurization plant installed in the dairy at no small cost to the institution and the dairyman, ilhi le the illnesses and loss of a life is deeply rogretted, study of the outbreaks made pvssible therenewal of a condition which constituted a grave potential danger to tho ccnvalescent 1--ol iomyel it is patients anj resident population at the Foundaticn.
TR I CRESYLPHOSPHATE PAAAL YSI S
Upcn the request of the health officer and a local physician of Americus
for assistance in what was bel ievod tc oo an -outbreak of poliomyelitis, the Division
was called upcn to make an epidemiological study of the cases. Five cases of paralysis were reported; two yoU"\g adults and three negro children, two cases residing in cne home and three in another, A study of th-:J cases r~>vealed a paralytic condition of the extensor muscle of both logs of all the patients, with a characteristic "shuffle gait" when attempts b walk were made. In several cases thero was slight involvement of the muscles of ore arm, although this was by no means a characteristic feature. No history of acute iII ness could be obtained, Spinal fluid of all cases sh~wed a normal cell count and no increased globulin.
During the ~OII'se of the invostigaticn it was fc\.l'ld that all patients about a week prior t-o iII ness took what was supposed to have been castor oi I from a can labeled "lacquer". Corres;.ondence with the manufacturers of the particular
product revealed that the !Jiixturo contained I part trioresylphosphate tc 3 parts of
caster oi I.
It is of particular interest to note that during the past six months all of the patients have made notable progress towart recovery, which is generally o<.>ntrary to the experience of those: who have ~bserved "jake paralysis" cases. The physician in charge of the cases states that ho has employed electrical stimulation with the faradic current frequently sinc0 the onset of the paralysis,
TY''HO ID FEVER
The meth<Als fvr the proventi~n and erauioation of typhoid fever are too we II known among he.a Ith workers t. bo discussed here. No other disc ase offers greater hope for final obi itcrati0n, and nu brighter char;t9f' in the field of preventive medicine may be cit<~<' than that which rocJLnts the developroont of our present knowledge of thcetiol~gy, made of s;road, and roothcds of prevEntion and obi iteration.
The death r<.te from typhr.i:J fever in the Jcath registration area has fallen from 30 per 100,000 population at the beginning of the century to 4.6 in 1931. A number of cities and even states are able to show mortality rates of less than I per 100,000
populaticn.
51

l'lhi le GeorJia has shared scmewhat in the, deo-easeJ death rate frum
typhoid, the rate fr,r the past five ycrars sti II varies from 3 - 4 tiroos th~t of the
registratiun area, This fact fostered the desire, ard requests fer assisbnce from a rumber d stricken commt.nitics, made possible the study of endemic tyrh .. id cwditions
in the State during the past two summers, The study c.:-rrprises a ~ample of 213 cases
of typh,_,id fever, from whom detailed information was sec\JI'"ed in tho field, The study in detail ha$ beon submitted elsewhere for publ icaticn, but the essential findings are sumnar ized br iof Iy as fol kws 1
(I) In 80 per cent uf the cases, households were rated as insanitary; 74,6 per cont, both trban and rural, (CclTred where open strface privies were in use;
eKcreta from 40.8 per cent was dumpod en the grot.nd without previous treatment.
(2) Ninety-one (.r 42,1 per cent of cases occtrred in 32 households, The
high secondary case rate accentuates the lack of community and hcusehcld sanitation, improper treatment and disposal "f excreta, i rrproper nurs inu care, ard isol at ien of the sick.
(3) The decreased earning capacity cf 70 per cent (,f Ge<'r>jia's pc-~ulation,
classified as r~.ral, and inability ,f many of these to secu-e 1diquate rredical attention and instruction in the r;revcnticn of typh.id, are believed to be faotc.rs concerned in the continued high death rates, The fact is emphasized that the number of deaths due to disease <.nattended )y physicians in Gecrgia increased year by yeer
frcm 3,497 In 1929 h: 4,269 in 1932. (4) It is believed that before typhcid can be materially further reduced,
increased enrhasis should be placed upon sanitation, supervisicn of milk supplies and control of convalescent and chronic typhoid carriers, Typh0id vaccination cannot be substituted in the placb of thoso well recognized control methods; and while at present in Ge~rgia vaccination should be advised, it should not be allowed to assume the major role at the expense Jf other central methods, which unfortunately has been the case in many areas throughout the State, A ~II rounded program should include sanitation and centro! cf carriers primarily, with vaccination unti I such time that it will be found no lcn:;er necessary, except for contacts with recent cases, as already is the caso in a nllllber of cities and states.
TYP+!O ID CARR IERS
The search fer chronic and convalescent typhoid carriers constitutes an ltrpcrtant part of clT program in the study of outtreaks that occur from time to time. Rasults of this phase of a typhoid fever control program wi II def:'end up..:n the am;U'1t of emphasis and the interest exercised by the investigator when wcrking in a ccmmll'1ity. It has become a part of ctr routine to enlist the active support d some one in tho comnunity who has sh,wn particular interest du-ing the prcgress A the investigaticn, ~Jsually this is tho local physician in non-health officer c,ctnties, and through him and other so<rces obtain the names of all in the ccmm<.nity whoat any time ever had typhdd fever, Specimen outfits for stool and urine culhres art; left with these
52

individuals, and the physician cr othor interested citizen assUfres responsibility for sending sarre tc the State Labcratory1 ?rovided it is i~~pcssible to vbtain them du-ing the cou-se of the investigation, Obtaining specirrens is not an easy procedu-e crdinarily1 but with the assistance of scm; influential person in the C011'111U'lity and the exercise of tact, very satisfactory results may be had.
In Table A. it may be soen that 7 chronic carriers were detected in
connection with cutbreaks studied in 1~32 Fifty-five recent Frimary and secondary cases are reccrded as having been caused by these carriers in 1~32. Carrier years
for these i~ivijuals total 43.51 and if these carriers infected as many ind!ividuals
as were infected in 19321 it may be seen that they very readily might have caused
21J.)2 cases of typhoid fever in the 435 years.
After carriers are detected, their control becorres an obi igation uf the local and State health authorities, The qcestion is often asked what may be done to free carriers of tho carrier state. So far as known, science has developed no ch.g that wi II render carriers non-infectious, Otr only hopo at present consists in resort to su-gery. In order to obtain sorre idea of the value of removal of the gall-bladder of typhoid carriers with tho hope of riddin:; them of typh~id bacilli, letters were addressed to the Directors of Cc.mllU'licable Diseases d the States of Massachusetts ard New Ycrk. For a number of years these states have reconmenr:led and observe:! the results of operation fer typhcid carriers, and therefore have been able to collect considerable data, Dr. Rvy F, Feemster, Assistant Director of Communicable Diseases d the Massachuseets State Health Department, in reply states, that the State offers
to pay the cost of operation, not to ol'cced $2501 of all chronic typhoid carriers,
who have dischargt;J organisms for as lonj as one year after date of reccvery from the disease. Such indivi:luals are notified "that the only way thoy can ever get off our carrier I ist is to have the gall-bladder removed." Befcre oreraticn1 hcwever1 a duodenal tube is passed and a specirren of bile obtained, If typhuid bacilli are fo~.nd 1 the operation is recolfi11Cn(~od, Dr, Feemster states that "twelve individuals have been operated upon sinco this policy was begun, about half of them at State expense. Nol all of them have betJn rc leased frcm the c~r' i er I ist due to the fact that they (Jot tired ~,f submitting s;)ooimcns. Not cne cf the twleve1 hcwever, has continued to exorete typhuid crganisms after vperation"
Dr. George H. Ramsey, Dircctcr .~f CcjMlU'licable Diseases of the New York State Health Dep~rtment, writes that the State has "a small fund which we use to rneder financial assistance to typhoid cJrriors wh~ arc unable to pursue their crdinary occtpaticns because of the carrier state". With reference to typhoid
carrier situation in up-state New Ycrk he quotes from a reeent abstract ..f the
Department as fc II ows:
"An analytic study of 368 chronic typhoid carriers discovered in up-state
New York from 1~11 to June 301 1~32 (Exclusive of those discovered in New Ycrk State
53

lnstituticns; it was found th~t carriers who gave a history of' havins had typhuid
fever, cause,) .33 caso per person year prier to and .11 per person year subsequent
to discovery. Cholecystectc.my was perfcnood on 61 carriers, with a mortality of 14,7 per cent. Sixty-eight ,:er cent Jf those who survived the orer;,ticn and sub-
mitted the required spocin:ens were apparently ctred of the carrier conditicn,n

Fer ce-ntro! of ty;:.hoid carriers the G.;orgia prosram consists in a regulation which requires the ~wmission of at least two specimens of feces and urine of cunv1lescent patients. Written instructions arc given to carriers, which emphasize tho irrrcrtance of pcrsunal hygiene and household sanitati0n in the prevention of Sf!read to others, When carriers are found in sm~ll tcwns or rural areas, every possible attempt is made to :o~tain the installaticn of privies cr septic tanks of the tyros a~~roveJ the Stato Health D<Jpartment, Whc.n carriers have. been pi aced under supervision acccrding to al1ove sp<;cificaticns, it has been tho cxrerience of the Division that outbreaks of ty~hoid fever have been completely controlled in areas whore endemic typhoid is common.

Table A - Typhoid Carriers

CH~ONIC SEX CCLOR AGE OCCLPA- DATE OF TYPHC 10 TYPE OF PRI.&SEC. 'iRS,AS SE'lAGE

CARRIER M. F. W, C.

Tl ON

ILLNESS

CARRIER CASES CARRIER OIS~OSAL

M 2M

"

40 Farmer June 1, 1~31

c II School Dec. 1931

Lrinary Feces

3

F \',

48 House- Sun:rrer, I~28 Feces

wife

4

F

c 46 Cock

Sumrr.cr ,1~27 Feces

5 M ;,

46 Farrr.er r.1ay, 1920

Feces

6

F \'j

51 Practical Sunn:er, 1512 Feces

nur~'.l

7

F

c f2 Laur.dross J\116, ~32

Feces

TOTAL 3 4 4 3

5 '5 Open
Privy

5

1.0

II

5

4.0

II

5.0 Toilet
in yard
9 12.5 Open Privy
7 20.0 II

~ 0.5 "
55 43-5

lYPHCIO VACCINATION
It is evident that if all carriers could be detected and put U'lder c:ontrol, there would bo Iittle neod for vaccination, except these in close 00'\tact with the
carriers. lhiversal control of carr itr's is at the present ti11111 inpossible, and ewing
to sanitary conditions, particularly in the smaller to-.ns and in r~ral areas, vaccinati<ll'l on a large scale is sti II necessary. The point sho.lld be errphasized, however, that in such areas vaccine fai l\l"es have been rather conm<ll'l, due to the apport unity for "mass infection", Acconling to ol.t' present knc.wledge, imi1'IU'Iizati<ll'l is Cll'lly rei ative, depending LpCil two var iables1 the resistance of the host and the
virulence (or n\AI'ber) of the vina or bacteria. Therefore an efficient program in any
CCIIIIIIU'Iity, if vaccinati<ll'l is to be conclusiwly effective, miSt incllde every
reasCII'Iable atte~rpt to prevent the entrance of the erganisms into the body, which means
sanitatiCII'I. In our series of 213 casos1 21 individuals or ,,, per oent had been vaccinated within a period of one year. 1lhile there is room to believe, judging frot11 the independent wk of Arkright and Grinrell 1 and also from expor inents conducted
in our Laboratory, that the Ra~~~lins strain at present does not produce as potent a
vaccine as it is possible to prodt.ee1 tho vast majority of vaccination fail ~res in our series was du. in no small part to lack of sanitation. Foor chronic carriers wore found in the hones of 8 of the patients who l'lad been nccinated within ore ~ar, and in every instance the open sorface privy and gpport111ity for spread by flies was in evidence. lo'hether it wi II be possible to produce a vaccine that will protect U'lder all circumstances Is doubtful - it would seem that is asking too much, There will be cpportU'Iity fer observati<ll'l this N!lmel' of the effects of the new vaccine, and it Is hoped that useful data may be gathered which wi II make possible a conparison of the Raw I ins strain of vaocine with that prepared from virulent cultures of 8, typhosus, now being used through01.t th& State.
MALARIN.. STU>IES IN CALHO~ MD 1/CINTOSH COIJlTIES
kly atte~~pt to estimate the amo111t af illness due to malaria in any area o_. any length of ti is extrenely difficult. lhis is due in part to the fact that .n~people I ivlng In malarious areas know its s)'tl1)t0111tology end treatlllent, and therefore newr oell a physician 1111ess serious coaplioations arise. FlrtileniiOI"e1 there are aaae physioians in si.Ch areas who do not regularly rept the disease. HEnce any esti11111te that ray be obtained fr0111 casoe reported fal Is far short of the actual nudler that actually occur'. Again, death reports ~~~ay be used as a baaia for the oatiation of the prevalence of malaria, Actually this is the most CQIIII\Crlly employed method, for each death rcpted from two to four h\IIG'"ed cases are ordinarily estimated to have ccc~rred. This nethod has its objections, for .,.,-ors in diagtosis occiA" very frequently, particularly where laboratory w<ll"k is not done, Again the mortality frcm sub-tertian malaria is eonsiderably higher than fran tertian, and any estination based <11'1 mortality should take into consideration the type of
55

malaria prevalent, which is not always possible. Accurate malarial incidence may be obtained through blood indices, and the school population offers a most satisfactory sanplc.
In tho fall of 1932 it was decided to take blood indices in several
counties, whore malaria constitutes a mere or less serious prcblem, to establish a base line of malarial incidence ;;mel then institute corrective rr.eas~res. Reports of heavy malarial infection were received from f.'clntosh County, a coastal county in Southeast Georgia. l.lclntosh was selected bccaUio of its location on the coast. It was desired to include a coastal county as well as cne from the limestone area in the study, for while the sarro etiological factors that prcduce malaria arc operative in both areas, it was bel iewd that imr.edicate a:othcds of control might vary, ~~hen the topography of land and ability to institute worthwhile drainage projects are
ccnaidcrod. Mclnto~h C01.nty has a population of only 5,763 according to tho 1930 census, of which 1,830 arc white and 3,033 colored. CalheVl County in Southwest
Georgia was selected a representative of counties in tho I inestone aroa, where
malaria is particular~y prevalent. The County acccrding to tho 1930 census has a p~ulatia"l of 10,576, of ~hich Cl"lly 3,145 arc Illite and 71431 arc colorod. ~hi lc tho
soil is particularly adapted to agricultural purposes, in a considerable area of the
county malaria is so prevalent that it is impossible for white people to live in such areas.
Blood indices of school children in beth counties were made in October
and Novenbor of 1~32. Tho results are tabulated b~ schools and range frcm 0 to 87 5
per cent positio.e. Tho tests in tho l.'clntosh schools shewed ].6 per cent positive in white schools ard 18.5 per oent in tho col orad schools, tota I 14.2 per cent.
The Calhoun 111hite schools shcl'lod 4.66 positive and colored 3952 total 26.16. It
may be seen that a larger per cent of white children were infected in 1!cfntosh Coulty, while in Calhoun Colflty tho colored schools showed a much higher por cent infected.
In both counties all posiiivo cases have beon allocated to houses whoro the children lived. Thi;; has boen of ccnsidf.rablc value. Spot county maps shew a considerable gr01.ping of cases in certain areas, and it is in these areas whore concentration of effort is being directed in ccrroctlvo rreasuros. The Calholfl County CCIII!Iissicnr;rs are new using their convicts fer drainage in the most heavily infested areas, wherowr crainage is feasible.

MALARIAL SURVEY - :BU>OD INDEX MCINTOSH COUNTY, G.A.. October, 1932

COURED SCHOOLS

SCHOOL Carnagham

TOTAL SMEARS 37

Hldson

24

New Hnrr.e

2~

Johnson

34

Todd (Darien)

~I

Cannon Bl uff

29

Harris Neck

37

Credit Hi II

23

Warsaw

23

Ardoek

12

Ways

22

Triu

22

Brtro Neck

26

Eulonia

62

Borglum

15

Saint Siperine(Private) 25

Deans Grove

..5Q..

Sbl

POSITIVE
0
0 0 2 ~
3 4
3
3
2 4 4
5 18 6 12 _11. 104

PER CENT POSITIVE
0
0
0 5~ ~9 10.3 10.8 13.0 13.1 16.7 18.2 18.2
233 29.0 40.0 48.0 ~ 18.5

Darien TOII'lsend South Newport

WH tTE SCHOOLS

184

7

117

~

_ji

J.s

367

28

Tota I sr:ec imens

928

Total positive

132

Per cent positive

14.2

38
17
~

57

-r~-
I
MALARIAL OORVEY - :BIOOD INDEX CALHOUN COUNTY, GA.
November, 1932

SCHOOL Sandersvi lie Oak Grove Mt. Ebell St. Mark Mt. Nebo st. Jares Morgan Jacobs Chape I Edison Davis Olape I Cordray St, Peters HoI t-St. tlarys Leary Arlington Pleasant Grow Pleasant Hi II Parkersv i II e Sladesvi lie New Point
01 iver Grove
Hopewell Mt. Maria Th001as Grove Iii II iamsbu-g
fdison Ma-gan Art ington Jcnesvi lie leary

COLO~ED S~OOLS
TOTAL SI!EARS
31 25 40 38 56 28 33 31 177 25 67 60 38
%
72 26 24 55 20 27 35 50 43 69
_1Q_
1,206
\'~I TE SCHQQS
253 180
168 48 ~
751
Total specinans Total Positive Per cJn positive
58

POSITIVE
0
0
2 2
3 2
3 3 25 7 20 19
I~
41
37 15 16 36 14 21
28
40
35 59 ..3i. 477

PER CENT POSITIVE
0 0 5.0
53 54 71 90 97 14.2 28.0 29.8
3Q.I
395 43.4 51.4
577 66.0 65.4
]0.0
777 80.0 80.0 81.4
85.5
..2M_
3952

3 3 13 4 _12_
35
1,557 512
26.16

1.2
1.7
77 8.3
...!J.d._
4,66

In both eoll'\ties ther'eareseveral very heavily infected areas where drainage projoots at present would be prohibitive on aecoll'\t of tke cost of such projects in such areas. The Wi II iamsblrg area in the extrene southern part of C.alhoun Coll'\ty and the Deans Q-ove aroa in the extrene northwestern part of Mcintosh can hardly be reached with drainage projects, and it has been decided to map out these areas and institute control measi.Tes through systematic treatnent with Plasmochin and Atabrine throughout the coming season. If this can be effected, it will be of value and should be included in ol..l" anti-malarial program, for in many instances the Division of Sanitary Engineering finds, after making surveys, that the cost of drainage is too prohibitive ll'\der present eco~omic conditions.
P.ASMOCHIN AND ATABRINE IN THE PREVENTION AND TREATMENT OF WALARIA
lhe value of Plasmochin in the prophylaxis af malaria ha.s been recognized for a period of years, and a number of physicians,;in the State have reported its usc. with gocd results. It readily and effectively destroys the soXual forms of the Malarial parasite in the blood, and should be of vall.il in a malarial prevention program, fer it is the 11carry over" of seXual fcrm from season to season that infects ancphelene II'Osquitoes ~nd makes possible the oontinuatio" of the malarial cycle ootween man and the musquito.
Atabrine (originally called Ericn) is a new drug synthetically prepared by Bayer thlister - Lucius in Gernany. Fre I iminary exp(;f"iments with the drug proved its highly clTati-.e qualities in the treatnent of bird malaria. The repcrt of the Medical Departll'ent of the
lhitod Fruit Coopany fer 1931 indicates that the drug has proved eminently satisfactory in the
treatment of malaria in man in several of the Cofr;l40y 1s hospitals. TherE; appears to be a wide nargin of safety ootween the effective therapeutic dose and the toxic cne; its solution
and absorption takes place rapidly, but excretion is relatively slow according to repcrts, and
there is no demcnstrable d~leterio~ action, other than a possible temporary yellow ooloring of the skin, due to staining C!lllalitios of the drug when large quantities are taken. The drug
is put up in packages of 15 t~btets to each package and tho manufactlTers state that three
tablets daily administered fer five days will effectively and permanently rid the blood stream of the sexual parasites. If this is true, ani it seems to be substantiated by reports fr0111 severd physicians to whom we f~.mished trial packages flTnished to us for experimental pl..l"poses, then this drug wi II cone to occupy an important place in the treatment and prevention of malaria. It should be added that the drug also destroys sexual forns of all types exeept the sill-tertian. It hu been foll'\d that plasmochin tnly destroys the sexual form of sub-tertian ~alarla.
Through the courtesy of the Wintho-op Chemical Company, who are the Anerican Representatives of Atabrine and Plasrnochin, sufficient amoll'\ts of beth drugs have b<>..en obtained to carry on
studies throughout the coming malarial seascn in an area comprising a papulation of 500 people
in Calhoun CoV~ty and a similar area of approximatEily 200 population in Mcintosh. At regular intervals dlTing the season blood indices will be made, and in the late fall final blood indices should indicate the -.alue of these two uso ful drugs in the ccntnl en:: ~reventicn of mal;ria in population grol{lS where drainage is not feasible.
59

l
TL8ERCULOSIS
It nay be seen from the Morbidity, 1/ortality and Fatality tables that tho nl.lll'ber of cases of tt.OOrculosis reported dLring 1~32 was twice the nunber reported in 1'30, and the number reported in 1932 was more than twice the number reported in 1931. In fact 1932 was the only year in which the fatality rate was less then 100 per cent, all of which i llustre.tes tho fact that hberculosis has been poorly rlportcd. There is unquestionably bettr reporting of tuberculosis at present than has bean the case in the past, but tht; fact should be kept in mind that since the establ ishmcnt of the Division of Epidemiology, tho Laboratory rlccrds of known cases of communicable diseases and death repcrts from the Division of Vital Statistics are included in
final morbidity reports. Better reporting of the disease generally wi II mean increased opportunity for learning mere about the mc'de of spread of hberculosis.
The Division has cooperated with Or. M. F. Ha.yg<'od of the State Tuberculosis Sanitarium and Dr. C. St. C. Guild of the Naticnal Tlberculosis Association in attempting to make arrangements in several of the health officer cot.r1ties for the study of tuberculosis, with particular reference tc its mode of spread. Or. J. D. Applewhite, Commissioner of Health of Bibb County, is planning a study of the role played by domestic servants in the spread of tuberculosis, and intends to use a suitable samplu in the City of Macon fer his initial stlx.lies.
h'mBIDITY STlDIES AKlNG RURAL NEGROES IN OOLGLAS COtr-JTY
During the past yoar the Division has assisted in a health project in Douglas County among rural negroes. The area is composed of some 400 negroes, among whom Prof. V. A. Edwards, teacher cf Rural Sociology and Economics at M:lrehouse College in Atlanta, is attempting to make studios and eventually establish an ideal community to be made use )f by his students as a field labcratcry scheme of social, eccncmio and health betterl!llnt of nral negroes in Cecrgia,
Up to tho present the Divisicn has acted in an advisory capacity in the direction of a typhoid fever central program, including the sanitation cf the two schools and homes in the area, ifMU1izaticn of all school children with typhilid vacoi ne, and the search for typha id carriers among a II who gave histories of previous typhoid. A blank was prepared in the Oivisicn fer keeping morbidity data with reference to days lost, kinds and costs of medicines used, enplcyrrent of physicians, h01111 remedies, etc, It is hoped that arrangerrents can be made wheroby the incidence of syphilis and tuberculosis may be establ imed in this area. The project offers opportunity for the collection and assembling of useful data relative to health conditions among rural negroes.
6o

TRACHOMA IN DODGE COUNTY
Oppcrh.nity for study of tho epidemiology of trachoma was made possible through the discovery of cases !Jy Drs. C, B. Vlelch and C. E. Rice of the U, S, Pub"'c Health Service in Dodge Coi..C1ty, Thirty-two cases were rc;->crtod at the cotton mi II in Eastman and in the contiguous rural 'il"6a nvrthwest of that town, l'lhile trachcma fer years has been endemic in Decatur and Mitchell Col-TTties, where hundreds of cases were folrd and treated a:-,out twelvo years a.;;o and within the past twc years, it was believed that the cases in Dcdge Ccunty would offer better opportunity for epidemiological study, because 0f the fewer number found there anc: the possibel op~ortunity to observe these cases mere accurately with reference to close, particular!y fami I ial, coritact,
Tho cases diagnosed as trachoma were visited and an attnpt was made to establish previous inorect4ons of a similar nat~re among parents and near relatives. The Dodge County cases i !lustrated the we 11-establ ished t>el ief that trachoma is primarily a disease of the underprivi legcd, It selecterJ ib victims at the cot tal mill among those where lack of the crdinary comforts of I ifo is particularly noticeable and in the rural areas a!l'Ong tenant fanners where similar C)nclitions apply, although no kncwn association could be folrd between the mi II vi II ago cases and these
in the rural areas nearby.
The most interustin<J part of the irwestigat kn was ma.~o in the rural area in the study of cne diagnosed and two suspicious cases amcn3 children in the Hodge family, Hisbry of chr.mic eye infection and even subsequent ':Jiindness extends back f-:r fu;r g1.:neraticn amcng i mme<;iate forel;ears and r:oar relatives ~f tho Roland and Hedge fami les, This informat ion was given by merrbers of the Hodge family and was verified to th" third generation by th,; County School Superintendent of Education, v.ho hapr;erod to be raised in the community where the grandfather of the Hodge children suff;red with a chr:nic eye condition and gradually becaroo totally blind befzre his d(;;e>th. This man's father is said by members of the family to have migrated to Gecrgia fronr Virginia follc.wing one d the wars in whirh he served, prGsumaoly the Rovol utionary i'lar cr \~ar cf 1812, and was known to have had the oyo condition after his arrival in '4cr&ia, alth01.1;;h it is impossible to learn whether he came til this State with a pre-existing infeotic.n,
Judging from the cases shxlied in Gecrgia, it appears that trachoma is a disease associated with pCQr livin3 conditicns, and spreads through clas& familial aS!looiat ion, possibly through the roodium of the coiMICf'l face towel, han:lkerehiefs, and n~A~rerous other mans that would be possible through ccntinoous association with a patient amid )111\)'gienio surroundings. It appears to have a kw pathrgenaoity for those outside of family circles in which it occurs, fer thc;ugh the disease has apparently been in Dodge County f<.r years, it se.;ms to have sprQad little dll"l1lg

this time, ell<:ept in families or very dose associates of families in which it originally occu-red,
OUTBREAK OF DIPHTHERIA
A widespread outbreak of diphtheria occurred in the mountains of Northwest
Georgia during the sumner and early fall of 1931, The first cases occurred in August
at Chattoogaville in Chattcoga County, and at that time the cases were generally so mild that physicians treated tham as sore throat. Or, fred H, Simonton, District Commissioner of Health at LaFayette, learned of tho "sore throat" in the community, and made a .-...bar of cultures; most of them were found positive at oor laboratcry, Shortly afterwards cases began to appear throughout Chattooga County and a I itt lo later in the adjoining Counties of Walker, Gordon, Catoosa, and Whitfield, As tho season progressed and cases spread, the disease increased in severity, and it was feared that a quarantine of Chattooga CoLilty mi~t become necessary. However, with the establishment of rigid quarantine measlTes of cases and ccntacts, and taking of cultu-es fran suspicious oases ant! contacts, followed by irnmediate treatment of positives with antitOllin, the disease gradually subsided,
It is estimated that no loss than 250 cases occurred, including those not
originally recognized at the begiming of the outbreak. HistLries of 42 well recognized cases were obtained, but these represent only a fracti en of the nurr:ber believed to have had even mild clinical diphtheria.
The outbreak enphasizes the inportance of culture taking and early quarantine and treatment of cases and contacts, Had those mc:~sures been instituted at once and the oases reported to tho health officer, long before he casually learned of the outbreak through laymen, a great deal of ellpense to the cort\I1U'Iity and State would have been savo:l, as well as the prevention :>f serious illness and even deaths,
PAPPATACI FEVER
M outl:reak of disease of Jlusual interast occu-red at Waya"oss in July of 1~31, At the request of Dr. Geo. E, Atwocd, local health officer, the writer went to 1oaycross to study the cases. The health officer had had previous experience with similar outbreaks in the tropics, and frcm the na.tlre of the disease he expressed the belief that the Waycross outOreak was Pappataci fever, ilhich, judging from tho avai table I iterat~re and st.bsequent studies, is bel ievod to be ccrroct.
With reference tc the epidomiology or mode of spread, th!:i bits of the sand-fly of the crdt:r phlebotomus papatasi is the usually recognized insect vectcr from which the disease spreads, Eighty-seven and cne-half per cent of the cases
occurred in chi leren U'lder 15 years Jf age.

'l

O'lset of the disease is sudden usually with chill an.l fever, which may

suldenly riase to 104- IQ5, Too disease is of shcrt duraticn and the tenperature
usually falls to normal after 3 or 4 days, with no residual symptoms, except weak-

ness, and in a few cases nausea. Thirty-two cases were shdied, Fer the benefit

of physicians and health officers, who may encounter this disease in the future, the

more common symptoms as they were found in these cases in the order of their fre-

quency are recorded as follcwss

Per Cent

Per cont

Rigcr frontal Headache

82.6

Erythema face ard neck

435

7~.1

Vomiting ar.d diarrhea

435

lnjecticn Mueus Merrbrane

Lumbar cr body pains

435

(Nasc-Pharnyx)

73~

Oelirun

21.7

Acute Ccnjunct ivi tis

67.4

Epistaxis

1~.o

E1lball Pain

4].8

Abdominal pain

13.0

Excitation

47.8

The disease, while similar to dengue, differs in sewral important chronical aro epidemiological respects, which because of the iac.c ,,c space cannot be discussed.

REPORTING AND TABULATION OF CASES BY NAME, ~DRESS, SEX, COLOR AND AGE

The epidemiologist even with a limited amcU'lt of data is able to furnish useful informaticn with reference to the nature of diseases as they occur in his state. Vlo have been unable to mako use of all data sont to the Division until 1~, at which til!'e the tabulation of communicable diseases by narro, ad'!ress, sex1 color and age was begl.i1, This requires a general and cross-indax system, inasmuch as the Division tabulated reports ftom the physicians, health officers, certain hospitals, and from the State Labcratory and Bureau of Vital Statistics.

Sene Idea of the valuo of the present method of tabulation may be gained from the Tables 1nd Graphs hereto apr;endaged. The tables aro com;;leto for certain diseases and in addi{icn show the i~idencc of disuase and case rates for every county and alse for every tcwn above 215CO in the State. The Graphs are shewn to illustrate the &IIPU'lt of useful material th:d health )fficcrs, physicians and others 11111y obtain upon re,;uest from the Oepartrent. This information is both local and ctrrent, and hence should be of interest to Georgians &verywhere.

lnvestigaticns of Disease outbreaks in other than those ccnsidc.red above were investi3ated by the Divisicn. Space does not permit their enUTSraticn here, but scme idua of their nature and locations may be gained from the record of field trips for 1~32.

'1
I

FIELD ffiiPS
March I , 1932 to December 31 1 1932

CEREBROSPINAL MENINGITIS CHICKEf'+-POX

Sta tesbcro (2)

Carrollton (2)

DIPHTHERIA

LaFayette

DYSENTERY

Rhyre
Dahlmega

Springfield Rutledge

EftYTHEMA MULTIFOR~E

Viarm Springs (4) Manchester (2)

HEALTH SLRVEYS

Millon

LECTLRES AA'O TALKS

Brunswick Winston

Cami Ita

MALNliA MEETIOOS

Albany Arlington Winder Statesboro Darien Winstm
Darien (4)
t.bnrc:e
Edison (3)

Macon
Atlanta (4) Camilla (2)
Manchester Woodbury
k-1 ington (4)
Townsend (2)
Syl~~ester

NARCtt.EPSY

Brunswick
Statosboro (2)
Camilla Dah lcnega Winstcn Mcilae

Savannah
Atlanta (6)
Strrer.cy Winder Darien

Shad) Dale MILK

SCARLET FEVER

LaFayette

Camilla

TRICRESYLPHOSPHATE PARAlYSIS

LaFayette h:ericus

Bremen
Warrenton Perry
Blandtoiil'l
Irwinton
&me (2)
Frankl in llnrgan Me Rae
Mlrgan (2)
Ways
Jmes (2)
Rorr.e Albany Millen Mi lledgevi Ito Morgan
Warm Springs

64'

l I

SUSPECTED CONTAGIOUS DISEASES
TUBERCQOSIS TYPf-Kl ID FEVER
TYPHUS (BRILLS) IJIDULANT FEVER VISITS TO HEALTH
OFFICERS

FIELD TRIPS (ContinuEd)

Millen Edison Nahunta

Carrolltm Baxley

LUII'pkin Statesboro

Jakin
t.'cRao Statesboro Nahunta
S~dis
Milner Woodbury Leesburg (2) Cami !Ia Co II ege Park Roberta
Pinecra (3)
Dah Imega Barnesvi lie (2) Schlattervi llo

Ellavi lie
Baxley
Blandtown (3)
Vidalia Ways Blakely Cordele Palmetto Poulan Lovejoy Carroll ton Concord
l~aycross
Gray (2) Jakin

Su-rency (3)
'Ninston Girard Fitzgerald Frari<l in Lunpkin Cedar Springs (2) Sylvania Davisboro Winder Fry Manchester (2)
~lena
Waverly

Leslie

Blakely

laFayette

Millen (3)
Macon (4)
Athens (3)
Augusta (2) Savannah (4)
v;aycross (3)
Brunswick (4) Atlanta (8)
Valdosta (3) Cartersvi lie (3)

Baintr idge (2) Cairo (I) Thomasvi lie (2) Albany (4)
Cami II a (5)
Anerieus (4) 1/oultrie (I) Griffin (2) QtJitman (2) Gairesvi lie (2)

Douglas (1) Louisvi lie (2)
Sandersvi I le (3)
Mi lledgevi lie (2) Marietta (2)
LaFayette (3) Co ll.!lbus (3)
Dublin (1)
LaGrange (3) Rone (3)

PLRPOSE

SUt.'MARY OF FIELD 1R IPS

Cerebrospinal Meningitis Ch i cken-pox Diphtheria Dysentery Erythema Mu It ifcnoo Hea Ith S.rJe:rs Lectures and Talks !vial aria Mootir.3s Milk Narl",olepsy Scarlet Fever Suspected Gontag i ous 0 i seasos Tricr(sylphosphate Paralysis Tuber0~los is Typt-o:d fever Typhus (8r i lis) lh:lulant fever Visits to Health Officers

Total

March I, 1~)2 to
Decellbor 31 , 1932
5
I
6 6
4 22
17
22
3
I I
7
2
56
2 I rJ,
244

'l

M<f(BIDITY, M~TALITY AM:> FATALITY RATES
1928 - 1932

Table I -Diphtheria

Year Cases Case Rate per

100,000 Pop.

1~28

862

30.0

~~~

757

26.0

1~0

758

26.0

1~31

~78

233

1932 1,362

46.0

Deaths
240 183 135 158 168

Death Rate per
100,00 Pop, 8.3 6.3 4.6
54 57

Fatality Rate (Per cent)
2].8 24,2 1].8 16.2 12.3

Table II - Dysentery

1928

563

19.4

304

10.5

54.0

1929 624

21.5

204

J,O

327

1~30

614

21.1

305

10.5

4~.7

1931

355

12.1

177

6.o

4~.~

1~32

435

14.6

141

4.8

324

Table Ill- Malaria

1928 5,080

1]4.]

582

20.0

11.5

1929 6, 703

230.S

677

233

10.1

1930 3. ]20

12].6

442

15.2

1931 1,907

64.9

307

10.5

II.~
16.1

1932 3,411

115.2

314

10.6

92

Table IV - !teas les

1928 4,]81

164.5

143

4.9

3.0

1929 I, 188

40.)

31

1.1

2.6

1930 4, 751

163.0

128

4.4

1~1 3,180

108.2

1932 1,075

363

62

2.1

15

o.s

2.7 2.0 1.4

Table V- Meningitis

1928

29

1.0

14

o.s

48.3

1929

87

3-0

1930

134

4.6

1931

87

30

55

1.9

93

32

56

1.9

6}.2
69.4 64,4

1932

78

2.6

26

0.9

333

'"I !

MOBBiD!~'t'; MOD'l:...tl:TY AND F.~TALITY RATES

l$28 - 1932

Year Cases

1928

658

1929 730

1930

705

1931

627

1932

~6

1928 2,097 1929 2,001 19~ 1,791 1931 2,262 1932 4,252

1528

12

1329

24

1930

21

1931

32

1932

42

1928 1929 1930 1931 1932

1,000 l,o69 I, le6 2,129
802

1328
tm

~
165

1930

62

1931

1/6

1932

20

Table VI - Pellagra

Case Rate per Deaths Death Rater per

100,000 Pop.

100,00 Pop.

22,6

846

29.1

25.1

871

3Q.O

24,2

713

24.5

21.3

563

19.2

332

491

16.6

Fatality Rate (Per cent)
128.6 liM 101.1
898 497

Table VII- Pneumonia

r~.2

2,776

955

68.8

2,316

79.6

61.5

2,580

n.o

2,465

88.5 839

143,2

2,443

82.5

132.3 1157 144.5 10').0 56.3

Table VIII- Poliomyelitis

0.4

18

o.6

0,8

21

0,]

0.7

31

1.1

1,1

33

1.1

1.4

27

0.9

150.0 875 147.6 103.1 64.3

Table IX - Scar let Fever

34.4

36

1.2

'f, .a

40

1.4

36 31

40.7

38

1,3

32

725

46

1.6

2.2

2],1

19

0.6

2,4

Table X- Small-poX

8.1

5

0,2

2.1

57

2

0,1

1,2

2.1

0

0

0

6.o

0

0

0

0,7

I

0

5.0

MOB:BIDITY, MORTALITY .AND FATALITY RATES 1928 - 1932

Table XI- Tuberculosis

Year Cases Case Rate per

100,000 Pop.

1928

833

28.7

1929 927

319

1930

879

30.2

1931 1,691

57-5

1]32 3,321

I 12.2

Deaths
2,J/5 2,190 2,175 2,165 1,927

Death Rate per
100,000 Pop. 81.7
753 74.6
737 65.1

Fatality Rate
(Per cent)
285.1 236.2
258.8
128.0
ss.o

Table XII- Typhoid

1928 1,061

'1>5

444

153

41.7

1929

899

309

1930 I, 126

386

1931 1,226

41.7

1932 1,79)

Go.e

340

11.7

500

17-2

513

175

362

12,2

378 44.4 41.8 20.1

Table XIII- Endemic Typhus (!rills)

1928

48

1.7

1)29

57

2.C

1~30

134

4.6

1}31

127

4,3

1932

303

10.4

6

0.2

12.7

I

0.03

I.B

9

0.3

6.7

7

0.2

57

8

0.3

2.6

Table XIV - Lhdulant Fever

1920

10

0.)

1

o.o

10.0

1929

14

8.5

1930

10

J.3

1931

8

0.3

1932

35

1.2

o.o

o.o

0

c

3

o.1

7.1 10.1 0 e.6

Table XV - Whooping GoUQh

1926 778

2~.8

lb3

s.6

21.0

1929 I, 7C7

60.9

IJ30 1,293

44.4

280

96

257

c.s

2'j.!l
199

1931

774

26.3

113

38

14.6

1932 1,085

'5>5

Ill

37

10.2

MJRBimTY, MORTALITY .AND FATALITY RATES 1928 ..,. 1932

Year

Cases

1:;2<3 I, 756 19~ 2,175 1930 2,493 1931 2,03Q 1932 2,'f23

1320 2J,6VO 1929 29,033 1930 3,284 1931 12,354 1932 15.61J5

192S 1, 7e2 1~9 1,876
f330 2,33Q
1)31 2,531
I~ 6, 776

Table XV I - Gonorrhea

Case Rate per

Deaths

I Gv, L:}O Pop.

60,4

27

74.13

15

05.5

19

69.4

16

91.8

32

Death Rate per 190,00C Pop.
0.)
Do5 0,] 0.5 1.1

Fata Iity Rate
(Per cent)
1.5 0.]
o.o o.o
1.2

Table XVII - lnflwnza

821.9

2,041

70.2

8.5

99:1.5

2,543

8],6

8,8

112.7

964

)3.1

29.4

420,6

1,301

44.3

10.5

52::i.2

1,168

395

].4

Table XVIII- Syphilis

61.3
64.5

494

1],0

277

461

159

24.6

80.0

42)

14.7

f[l,4

BG.2

413

14.1

16.3

220.9

425

14.4

6.3

70

MORBIDITY REPORTS EY YEARS 1925 - 1932

Diseases

1)32 1931

Acute ln.Conjunct iviti s 71

34

Act inomycos is

Anchy lost an ias is

3,965 b'fj

Anthrax

2

Cer.h'eningi tis

78 f37

Chicken poX

)46 1,3C4

Deng<..e

6 II

Diphtheria

1,362 978

Dysentery Gonorrhea

435 355 2,]23 2,038

lnfl uenza

15,685 12,354

Let.Encephalitis Leprosy

22

3

I

Malaria

3,411 1,907

M:lasles

I,075 3, leO

M.mps

]86 996

Paratyphoid fever

19 26

P'lllagra Pneumonia

936 627 4,252 2,262

Pol iomyel it is Psittacosis

42

32

I 31

Rabies (In Man)

3

2

Scarlet fever

i302 2,129

Septic Sore Throat

325 491

Small-pox Syphi I is

20 176
6, 776 2,531

Tetanus

29 7

Trachow.a

592 54

Trichinosis

Tuberculosis

3,321 1,691

Tularemia Typhoid fever

2'j

5

I, 799 1,226

Typhus fever

3CU 127

l.hdulant fever Whooping Cough

35 8 1,ocs 774

1930
27
1375 I
134 1,210
9
750
614 2,493 3,284
3
3,720 4, 751 1,270
29 705 1,791 21
I
I, 186 403 62
2,33~ ')
9 4 iJ79 2C 1,126 134 10 IJ293

1929 20 2 167 I 87 710 62 757 624
2,175 29,033
4
6,703 1,18[
574 38 73C 2,001 24
l,o69 386 165
1,8]6 8 I 3
927 8
899
57 14 1,]70

192!3 17
139 2 2'j
I ,232 78 13t2 563
1,756 231CC8
5
5,0ll0 4, TJI
543
rp 658
2,097 12
1,080 437 236
I1 782 13
833 18
I ,c:1 48 10 778

1927 43
157 3
23
1,246 43
1,315 559
2,369 5,6o2
5
2,233 3,661
932 69 443 1,619 21
4 979 394 1,934 2,119
13 7
8fl7
1,723 57
1,464

1926 1925

33 !39 2

215 364

I

23 38

1,159 I, 127
21 36

1,498 943

519 1,042

2,588 3,331

12,024 11,996

I

4

I

I

~039 2,452

3,030 567

I,IGC 1,905

67 07

294 401

2,715 2,755

13

~

I 535 523 957 1,962
12 6
1,0']2

2
328 449 444
1,7~
20 21 I 1,210

1,701 2,016
so 33

l,c:6 1,450

Total

5C,'fj2 36,150 29,161 52,0134 40,015 29,~4 ,35,217 34,944

71

Oases of no~;i:::i:.1ble eli sea.~es re:t:~crted in the State of Georgie:. ........rinc;; ;; .-J.e year. ~932, by months

DiHases

Total January_. February MiJrch April

Nay

Jv)e

July August. September October Novel!bcr December

Acute ln. Cc.njlSlC.

71

2

Anchylostomiasis+ 3.%5

27

lnthrax

2

Ce. Me"lingitis

78

14

Chickenpox

946

lob

Dengue

6

Diphtheria

1,)62

91

Oysentery G<ncrrhea

435

15

2,]23

260

Influenza

15,685 486

Le. Encephalitis

22

2

Malaria Measles

3,411

99

1,075

17

ltUJps

786

54

Paratyphoid Fewr

19

Pella!Ta PneiAIIc.nia

986

52

4,252 3)2

Pol~elitis

42

4

Rabies (In Man)
Scarlet Fever
Septic s. Throat

3

I

802 109

325

21

Smallpox

20

I

Syphi Iis

6,]76 500

Tetanus

29

2

Trachoma

592

3

Tlberculosis

3,321 257

Tularemia

29

I

Typhoid Fever

1,799

72

Typhus fewr

3013

4

Lhdulant Fever 1'/hocping Cough

35

4

1,005

Ill

9

I

2

27

28

63 '645 410

187

164

89

I{)

10

10

4

3

8

6

100

95 219 86

64

25

3

48

44

63 41

28

49

72

15

17

32

45

122

77

48

121

I4B

164 177

264

305

236

628

869 907 502 iOI

118

84

3

2

4

2

2

2

68

48

102 132 240 3bo

348

24

159

174 301

t48

55

20

74

189

192 109

155

32

6

I

2

2

5

5

42

70

71

<f.

202

149

105

287

m 385

463 256 216

146

5

6

2

6

I

I

59

37

53 38

21

21

43

22

9

22 27

34

21

32

4

I

3

5

I

3

427

386

592 527

~

773

664

3

3

5

5

3

I

I

42

12

31

I

232

250

366 3313

~9

341

341

II

2

5

2

2

I

71

78

82 102

l51

410

328

13

6

24

16

23

26

47

4

4

2

I

.5

3

2

89

90

154 105

ill9

~

102

21

4

181

426

l

3

I

18

26

3

I

215

283

25

18

303

220

122

187

l

479

484

15

30

13

17

2

l

75

23

174

197

6

105

124

55

~

2

799

501

2

2

38

45

234

233

4

2132

131

48

38

5

2

37

5C

.4

505

240

9
27 m

I

2')6

132

13

8

213

312

371 11,210

l

2

432

619

3

21

16

49

I

55

46

321

676

6

6

104

eB

26

24

445

446

I

2

136

2133

222

2!e

a,

26

30

30

3

50

30

Psittacosis

I

Leprosy

I

Puerperal Fever

Total

50,993 2,]28

2,395 2,987 5,679 3,545 3,ae6 3,274 2,767

3,258 3,118

3,344 14,712

72

Casee of notifiable diseases reported in Georgia during 1932,by color and sex, with case rates

Diseases
Conjt110t ivi tis Diphtheria ilpentery Malaria Measles Meningitis Paratyphoid F. Pellagra Fneumcnia Pol iomyel it is Scarlet fever Septic S. Throat Snallpcoc Traohana Tuberculosis
T~aremia
Typhoid fever Typhus fever lhd111ant fever ftlooping eough

&tns+NC ++CR
26 0.9 9o6 31.2 297 10.2 1;543 530 311 10.7 65 2.2
18 0.6 622 21.4
1,905 655
33 1.1
409 14.1 118 4.1 14 0.5 568 19.5 2,639 907 30 1.0 1,501 51.6
189 6.5 30 1.0 427 14.7

TOTAL M!.le
NC CR
14 1.0 425 2].6
153 10.7
]62 53'
14~ IG.4 44 3.1
9 o.6
199 13.0 1,058 ]3.8
16 1.1
165 11.5
54 3.8
12 o.a ~I 25.1 1,214 84.6 18 '3 7'34 503 12G 8.3 20 1.4 201 14.0

female
NC CR 12 0.8
46l )2.6
144 98 781 530 162 IO.:J 21 1.4
9 o.6 423 28.7
847 57-5 17 1.2
244 16.6 64 4.3 2 o.I 'ZV] 14.0
1,425 96.
12 0.8
707 48.0
69 4.]
10 o.a
226 15-3

WHITE

cel~Rm

Both ~s

Male

female

Both Sexes

Male

Female

NC

CR NC rn NC CR

NC

rn

NC CR

NC CR

22 1.2 13 1.4 9 1.0
sa; 43.9 382 41.5 424 46.3 229 12.5 122 13.2 107 11.7 I,O'jl 57.2 520 58.6 511 55-8

4 0.4
100 ~3
68 6.3
492 46.o

I 0.2 ~3 8.4 3t 6.0 222 43.2

3 0.5 57 10.2 37 6.6 270 48.4

233 12.7 113 12.3 120 13.1 41 2.2 31 3-4 10 1.1

78 7-3 3b 7.0
24 2.2 13 2.5

42 7-5
II 2.0

15 o.8 7 o.8 8 0.9 335 18.2 123 13.4 212 231
I, 186 64.7 639 69.4 549 6o.o
23 1.3 10 1.1 13 1.4
400 21.8 163 17-7 237 259
'f5 52 46 50 49 53
12 0.7 10 1.1 2 0.2

3 0.3 2 0.4

I 0.2

2B7 26.8 ]6 14.8 211 378

717 6].0 419 81.6 298 534

10 0.9 c 1.2

4 0.7

9 o.e 2 0.4

7 1.3

23 2.1

8 1.6

15 2.]

rtt-"\

2 0.2 2 0.4

c0

568 31.0 )61 3').2 207 22.6
1,182 64.3 595 65.0 584 63.7
18 t.c II 1.2 7 0.8
783 42.6 409 44.4 374 40.8 174 95 Ill 12.1 63 39 28 1.5 18 2.0 10 1.1

1,457 136.o
12 1.1
]18 6].0 l5 1.4
2 0.2

6t6 120.0
7 1.4 385 ]5.0
9 1.8
2 o.4

841 150.8
5 0.9
333 597
6 1.1

347 18.9 163 17.7 184 20.1

80 7-5 38 ].4 .42 75

+ Nurber of cases ++ Rate per IOC,OOO population

Cas' es of notifiable diseases reported in Georgta during 1932, by ages

Diseases

.."0.'.
I-

~

...

:; .

U~ J

~

~~
"'

UJ
Ia
~
CY"\

. ..

~

UJ
'>..

"'>'..

.... ... ... O')U)(I)cn
L~ !~;; :~;; ~~

en
:~;;

""L~''

:'!
0

-n----.
0

"'(\J
0

..q

Lt"'\ "-.0 . ~ co

cr-.

0

!:0 ~

.
"'>'..
g;-
.s
~

.. .

~Ul -

~"'

... (~ ~
..0.. 0

..
...._"'>,'... ..,!,U.;...l.,.
... ..0.. 0

t ...c""r"--
0

~

~

0
""'

.c..,r. -

c0 r-

..

"t""
cr-
..0...

(f)
'>..
.,_~
...'-D
0

~ -~

~
.0
"''c0 R"'..

!
,5 ~

CrojWJCtivitis 71

43

4I

2

5I 4

42

0 iphther ia

I,362 43 7{ 85 115 120 87 81 64 49 37 78 18 16 6 8 4 4

4}5

Dysentery

435 45 5-3 14 8 2 4 5 3

8 7 15 6 15 14 19 II 12 9 . 10 38 157

Malaria

31 411 25 14 31 26 . 35 23 36 10 42 12 roo 119 16o 132 12& 127 102 79 ~ 47 87 68 1,910

Meastes

I,075 7 II 9 16 17 24 35 29 33 16 48 22 13 4 4 2

32

779

l&!nirigitis

78 12 -4

222 4

45654

I2 I

I

21

ParatyphOid f. 19.

'3 2 I

4 I4

I

I

Pel la9"a

586

I

'4 20 38 40 55 45 63 59 43 36 . 63 68 450

Prie~m<nia

4,252" 195 88 67 54 38 36 40 44 34 32 1'15 147 134 94 9-9 85 84 65 73 73 140 203 472

Po(ianyel itis

42 5 5 2 3 5

3

3I 2 1

.I

-9

r.:-t

sCarlet fever 1302 8 -18 20 32 48 33 54 38 21 24 55 15 5 3 -5 2 I 2 I

sep. S. Throat 325

I 3 3 5 l 2

6 3 7 9 l';J II -9 9 5 4 3

Slllilllpox

20

I 3I2

2.

I

417
3 220
I 7

Trachoma'

592

2

5 rp 43 47 52 2<Q 76 21 14 8 10 5 7 I 4 3 I - 32

Tlberculosis 3,321 14 12 II 8 12 9 19 14 II 22 85 223 417 337 302 258 218 181 135 ICB 91 73 ]66

Tul~ia

29

Typhoid fever 1,799

I 4 2 3 4 4 2I 4
3 6 13 26 30 37 48 44 5) 49 217. 225 204 129 a; 67 54 32 28 19 25

I3 9 397

T)'Phus fever

)08

I I2I4

15 22 20 21 18 13 14 14 . !O 12 10 I 129

Urdulint fever 35

I

I

2 23 I

8 22

24 I 5

Whocping Co~h 1,085 99 43 44 34 36 37 39 27 17 9 26 5

667

Incidence of Communicable Diseases Under One Year of Age, 1932

Diseases

Total l.hder I I - 2 2-3 3- 4 4- 5 5-6 6- 7
month months months ma'lths ma'lths months ffia'\ths

7- 8 8- 9 9 - ID lG- II
ma'lths ma'lths ma'lths ma'lths

II - 12 months

Conjl.l'lCtivi tis Diphtheria OysS'ltery Malaria Measles tiS'! ingi tis

43

45

2

3

25

2

2

7

12

3
4
I

3
5
5
I
3

I

2

2

4

I

I

I

2

3
3 I
I

2

10

3

7

2

5

5

I

!

I

2

2

2

8 6
3
I 2

8 2
2
I

Paratyphoid fever

Pellagra Pneunonia

195

'f,

19-

20

13

18

16

16

!6

14

II

Poliomyelitis

5

I

I

I

Scar let fever

8

I

I

I

14
I 2

2 I 3

.L..n..

Septic S. Throat

Smallpox

Trachoma

Tubercu Ios is

14

I

I

2

3

I

3

3

Tularemia

Typhoid fever

3

Typhus fever

lh:luIant fever

Whooping Cough

'f)

10

10

18

10

4

4

9

ID

4

6

6

8

Cases

No. Cases

4oo 350 300 250 200 150
100.

200

GRAPH A. SHOWING PEAK OF DlHTHERIA

INCIDENCE IN AGE GROUPS

0 - 10 FOR GEORGIA, 1932

150

100
/---
50

\,J._)

Under 1 2

3

4

5

6

7

8

9

10

AGE GROUP

GMPH J3. SHf'IVVT'IITG INCIDENCE OF DIPH'J.11ERIA
IN GIORGIA FOR ALL AGE GROUPS, 1932

50
o..rr- 5-9 10-14 15-19 20-24 25-29 30-34 35-39 4():44 45-49 50-54 55-59 60:69 70 +

350

DIPHTHERIA INCIDENCE :BY MJNTHS 1931 and 1932

LEGEND: 1931 --

300

1932 -
,------\

250 'rtl (I) r:ll ~
. 200 10 0 I~
150
100

rr--
', ,
,'

50 ~------

4 .. ~-

~

....... .

... . ..... ~ .... -...,

Me JaL.n.....F--e-b=.-...M--a-r.--,.A-p:-r-. ~---:-:--J-u-n:e:---J:u:l:y--=-A-u-:g-. ---S--e:p:t:.---O:-c-t-.:~N-ov.

Dec.

320

280
Glll.PH SHOi1ING INCIDENCE OF TYPHOID FEVER BY AGE GROUPS, 1932 24o

200

160

~

\

120

'~

so

40
~
0-4 5-9 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-69 70 +

4r;I)No. Ca.saa
4oo 350

TYPHOID INCIDENCE :BY MONTHS 1931 and 1932
LEGEND: 1931 _ _ 1932 ~ - - -

300

I ...'

~~2"
~
100[

',
'. '.
/.i/;

rm -

~~.

0

..

.'

Ja~ n. .Fe- b.. Mar. Apr. May June July Aug. Sept. Oct. Nov. Dec.

4go INCIDElCE OF TUBERCULOSIS EY AGE GBOUPS, 1932
360

240

o

to

120

0-4 5-9 10-14 15-19 20-24_25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-69 70 +

Notifiable diseases reported in Georgia during 1932, by counties and cities, with case rates

Co111ties and Cities

I

Population

ICe. Men-
I
ingitis

A

B

c NC CR

Diphtheria NC CR

G01orrhea I Influenza

NC

CR

NC

CR

Miliaria NC CR

I Measles !Paratyphoid Pellagra

NC CR NC (J1 NC

CR

Appling Atkinson Bae01 Baker Baldwin

1 13,314
I 6,654
I 1.055 7,818 1 1],344

I
I

2 15.0 6 87.0
7 99.2

2 '5(. 6 67.0
8 113.4

22 165.2 3 22.5

4 58.0 3 435 2 25.0,

2 28.3 4 567

'

I 7-5
I I 14.5 I 14.2

I

I I 58

9 115.1

7 4o.4

I

I1

I 5. 28.6

+Milledgevi lie

Banks

9. 703

Barrow

9,118

Winder BartOli

I 3,283 20,114

Cartersvi lie

Ben Hill

6,635

Fitzgerald

5.534

I

2 21.~ 4 43.8
I 7 213.2
I I 16 795

5,2501
I
6,4121

5 :7'.).2
I 2 3Q.I
I 6 9'].6

6 1~.o
3 329
3 57-1 I 15.1 I 15.6

Il 200.0

,

15 154.6 I 1031

15 164.4 3 3291

lI I. . I 18.21 2 36.3

24
76 5

731.0
37781 95.2

1 i I ~.5
4 20.0 6 25~ 2 991 16 ~-5

2 38.1,

4 7o.2

50 ?j3.6 4 62.4

I.

. I 15.11
i

g

Berrien Bibb
Macon

1 14,646 1 23,213 I

i'
!
53,82~! I

I I 6.8.

i 15
'9! 47

S4

r
oV

II

8].3 i

14 956,
I 2 s.61
6 11.1

4 1 2

27-3 4.3j 37j

Il
I 7 3Q.I 2 8.6i 23 42.7i I

I " I 13 _,6.o
1.9, 74 1375

Bleck ley Brantley Brooks
Qultll1llfl Bryan

i 9.133 6,&J5 17,181
' 5.952

I
!'
j
I
4,14~
I

I 3 32-Bj
' I 14.51
i 3 17-51 I 3 729
I 6 100.8

105 I, 1497 2 29.0
8 1)4.4

I 257 2,814.0. 75 821.2j I l4.5i
6 349! 38 221.21
81 1,)68.51 9~240591
136 2,28'j.O 21 )52.8'

7 76.61
I,
I

49 53t5
I 4 233
I I 24.3 I 16.13

Bulloeh

1 22,513

Statesboro .

3,)96

I i
i

5 22.2!
I I

8
3

355 7'\.1

46 204.3 6 150.2

33 146.61 6a 3Q2.ol 3 13-3! 1 4.41 2 8.9

8 200.2, l'i 27').41

I

I

LEGENOt NCNI.IItlor co Cases, CR Case rate per ICC,COf'J populaticn, 4 Citios
ARural and towns up to 2,500 population, &Cities of 2,500 to 5,000 population, CCities of 5,000 population and above

CoLnt i es ard
Cities

I Pneunonia

II Scarlet Fever

I Smallpox

NC ffi NC

CR NC

ffi

Appling

8 60.1

Atkinson Bacon

5 725 2 28.3

I

Baker

4 51.2

Baldwin

14 80.] 3 17.31

Milledgeville. 4 727

j

I1

Bank Barrow

I I 1 6 61.8

!

13 142.5 2 2l.'j

Wirder
I n Bartow I Cartersville

12 365.5 382.8
5 95.2

5 152.3 13 64.6 7 1333

I

Ben Hill

. 2 30.1

Fitzgerald

3 46.8

Berrien

II 75.1

Bibb
Macon
Blackley

. 6 25.8
I 21 J;J.O
I II 120.4

4
6
I

17.21 11.1, 10.9

I'
!

Brantley

I I 14.5

I

Brooks
Quitman

I I 5.8 I 5.8 I 24.q I 24.3

j
j'

Bryan

,. II J04.8 2 33.6

Bulloch

, 9 40.0 2 8.9

,.

I Statesbcrc

10 250.21 2 5C.Ij

Syphi I is NC ffi

I j Tracboma Tt..borculosis Typhoid Fever Endemic Typhus I lhoopir.g Cougr.

NC CR NC ffi NC

CR NC

I {R

NC

CR

5 37.6 18 135.2 7 52.61 I 7-5

I 14.5 2 28.3

2 29.0 5 ]O.'j 14 l'j8.4

.
2 28.3 Ij

I

I 12.81 3 384.

I 4 51.2

1 5.8

39 224.'j 4 23.1

7 127.21
1
I Ir.ol
I
3 57.11

l 15 272.61 8 145.4 17 175.21 s 82.4

I 3 32-9,. 17 186.41

I 3 9i .4 3
I 26 12931 22 I 6 11.:.3,. I

91.41 IO'j.4 19.0j

I

I 22 109.4

1 l'j.OI

I 19.0

I.

3 45.2, 7 IG55j 6 9361 8 124.8

4 60.3
j

3 20.5,
:

3 20.5 4 2].3

I1~2

5'7 189.5

'j
27

38-8 50.2

:
I 47 202.5
I 1.9, 66 159.8

I 72 ]88.3

8 87.6 6 65.7
3 435 19 275.6

j 3 32.8


20 116.4,

13 757 14 81.5

4 233'

4 23.3

43 1,045.01
I'

5 121.5 I 24.3 2 33.6 2 J;J.6

I I 24.3 j

I 24.3 2 33.6

5 22.2,
I 2501

10 44.4 7 31.1
5 125.tl 2 so.! I

4 17.8 9 225.21

~~

Notifiable diseases reported in Georgia during 1932, by counties and cities, with case rates

C<U'Iti es and Cities

I

Population

I Ce. Men
ingitis Diphtheria

Gcnorrhea

j Influenza

Malaria Measles raratyphoi Pellagra

A

B

C lit ffi NC

01 1\t

CR

NC

ffi

NC CR NC CR NC CR NC

ffi

u.rke Waynesboro
Butts Calh<U'I Camden Candler Carroll
.earrollton Catoosa

~25,302
I 3,~22 5,345

10,576

6,335

0,9')1

29,220

I1 9,421

5,052

6 23-7 4 15. 15~

I 3 321

2

21.4 43

i

1 ~.~ 9

I

I

4

44.~

5 17.1 10 34..2 I 3.4 211

I ~ 2 3;1.

44

2 2.1.2 62 658.1

628.4 86 340.0

9 2295

I

460.1 7 74'1- I IG.~

851 533 50JJ.]

I

10 1577

!

7 77-9 I 11.1{

]22.1
8]0.?
403.4

3 10.3 2 2 21.21 3

361..a~lI

14 55.3 2 51.0
I IC.7
6 56.7 I 15.0
I 5 17.1 2 J).6

CChhatahrai~t~o~n
Silllamah flattahoocheo Chattooga
Trion Cherokee
Canton Clarke
Athens Clay Clayton Clinch
cobb
Marietta

4,y.; I

2c,4o7
1!,0]4
I12,1HJ
3,259
17,I H

.

I &),024

1
1

III I

2.o,:2

l ],421

I

I 18,132l I

I 6,943

10,26o
7.015 21,no
f

II
7.630

10 :129.3
I 24 1r7. a;
I 72 84.] 582

;

t 59

;O.li 4 33.0! 15 6 46.a

I 13.~

2 I

69.2
13.4

4

5i I 55 12

I! 2 26.8 I 97

l 2 28.51
I1 5 w.ol 2 3 39--3i

I7
127'1 w
bB4.~ I 958
663.4 ! 327
123.0! 76
!2
1 39 1. 7
53:1 14
bb.iJ 500
I3 I
j6
I7.2! 49 9

'J397 . ea.2
1,.126.7
3,676-bl 627.2!
6Q_:,l
227.'} . 242.0 1
U!B.J!
2,740.51 43.21 97 855
176.4
117.131

3 6s.nf 22
'!5 4b5.sl 65
227 266.~1 173 6 67 .5'1
& 66.o, 25
I 3Go4! I
:L i 23
1: II
7 305 66 I I4.4{
~j
12 43
I 13.1

504.41
3ts.sl
203.~
206.~i
30.4!
50.4 7'151
134682..21~
!
!
I
II

2
6

4~5.49

74 87.0 ~

I I 11.2 6 495

i I 5.0

.
I I 55

2 19-5 1 14.3
4 14.4
3 393

COU"'ties and Cities

l Pneumonia

I I Scarlet Fever Sma II pox 1 Syph i Iis Trachoma

I I Tuberculosis ryphoid Fever I Endemic TyphJS Wnoop.il;'g Cough

!lu-ke
Waynesboro

NC

CR 00

I 35 1383'

CR NC CR NC

CRNC CR NC

CR NC

CRI NC

4 15.81

19 75-ll 37 146.2 I

4 102.0 I 25.5

I CR NC

CR

Butts Calhol.ll

10 107.0 I 10.7 16 1513

I 10.7 2 18.9

2 21.41 7 749 4 37 .al 3 28.4

I

10.71

3 28.4 I 2 1a.9

Camden

2 31.6

9 142.0

Candler

I 11.1

2 22.2

2 22.2 I 11.1

2

22.2

,.

Carroll Cilf"rolltcn
Catoosa

17 58.2 3
I 3 59-4
I 3 31.8' 18

10.3 191.1 3

I
: I 19.8 31.8 16 169.8

7 24.0 27 92.4
I 3 59-~ 9 178.1 15 15921 2 21.2

I

3.4

2 396 I 10.6

Charltm

I 4 9171 I 22.9

I 22.~:

I 2 4591 3 68.8 I

Chatham Savamah
Cha ttahoa:hee
Chatt~a
Irion Cherokee
Cant em Clarka
Athens Clay Claytm Clinch

39 191.1 2
I 246 289-3 37
I 8 89,;1 27 222.8
6 35'' 18 622.41 1
I 3 40.4 I 4 22.0 8
3 43.2
I 4 3).0
I 13 1853

96 435
I
I
34.61
44.0

231 1,132.01
I2,186 2,571.01 "f) 8C2.2

. 28
II 227 I

1)7.21 18 26/.01 65
II :q

88,2
'}6.4

12 105

5:.8 40 196.0 123-5 92 108.2

I 38 313.6 18 148.~ 16 132.01 6 4~5 4 121. 13 3953 4 121.6

3 91.2

..::t
'tlO

I I 10 58.41 3 46.8 6 2o,.'j 2 69.2

51 298.1 2 69.2

19 256.0

14 IE~.] I 13.4

I

13.4

197 1,002.9 2 28.8

19 104.41 4 22.0 6 86 41 2 28.8

2

II 13
2o.a I

715 14.4

6 5151 3 29.2

4 5701 6 85-5

2 28.5 I 14.3

Coob

I 58 200.9 16 576

Marietta

i

I 13.1

23 82,81 10 Jb.O
12 157' j 7 9!.6

I

36 B 28.8

2 26.2 4 52.4

Notifiable diseases reported in Georgia during 1932, by counties and cities, with case rates

Cot.nt ies ard Cities

I

Pop~.pati (t'l

Ce. Meningitis Diphtheria

Gonorrhea

Influenza

Malaria Measles Paratyphoid Pellagra

A

B

c NC

CR NC

CR NC CR

NC

CR

NC (R NC CR iNC

CR NC

(R

Coffee

15,533

2 12.~ 14 90.1 5 32.2 2 12.9

i

I 6.4

Douglas Colquitt

4,206 22,555

lj.jl 2 8,9 14 62.ol 19

2 47.6 2 ~04.1 43 ~~-3 64 203 3

9 '33 3 133

Moultrie

8,207

14 174.4 40 45iJ.3 10 124.5

2 24.9

CoiiMl'lbia Ccok
Coweta

8,]93
I II ,311
I 18,741

4 459 I 0.8 2 177 3

II 126.2 26.5,
89 4749

4 35.4 3 16.0

3 34.4
I a:
3 16.0

l\lswnan Q-awford

I 7,020

6,)06

I 1571

2 28.5 3 128.2 I 14.2 92 I,310.5 31 441.6

2 31.3 2 20,5

Crisp

10,463

3 20.7

4 38.3 12 114.]

CO'"deiG Dade Oalrson Decabr
Bainbridge DoKalb
1\tlanta Decatur llcdgc Eastman Dooly Dougheny Albany
Douglas

6,aso 1

4,146 3.502

I

17,401

I

6,1411

32,259

II w,5n

24,7431 13,276

'

3,022

I 18,025 I 7.m

I

I

I

I
l

],4tl

14,5071
I

2 I 24,1 I
I
I2 I
2 6.21 19
5 14 2 4
2
10 2

2').-1 3 24.1
28.6
11.41 14 16.3 9
5091 I

377 I
]5.4

66.21 22.2 8

~6o..6~1

I
6

21.1 21

17 "7'1 43.6 25 363.4 43 1,0)7.1

~ 59 1,423.

so.t\ I 28.6 299 1,71D.4 132 755-1
146.61 6 97-7 6 911

I
!
i

31 209
I
].5 5 73
44.41 12.0 41.4 4

64].91

2

6.2i
!

9

377 ' 2 15.1 393-0 39 210.0
I 33'
59 3273, 23 2949 3
27.6 1 38 261.91 2

27 .c) I
I
\
!I
l
I
~~
13

222.0 55 se1.3 1

! 2 21.Ll

I 14.5 5 120.6
2 11.4
i 3 40.9
3-1 8 24.8
5) I 54 2 66.2 2 11.1
I 3 30-5 9 62.0
I
I 2 21.1

w.11'\

. :.

COlrlt i es and Cities
COffee ;: . Douglas .~"1~ .;:~: - . . :, : Colquitt
llbultrie

I Pnet..ma1i a !Scarlet Fever Sma II pox

NC CR INC rn INC CR

2 12.,

'

4 95-1

I

22 97.4

4.41

. 5 62.;31 4 49~81

Syphilis I Trachoma ~Tuberculosis Typhoid Fever

NC CRINC CR NC CR NC

CR

I Endemic Typhus r Whooping Cough

NC

ffi

NC

CR

4 25.8
33 146.11
4 49.8

6 38 6

l I 23.8 3

I

2
2

386 5 71.3 12
8.9, 3 24.91 6

32.2
285.3.
1331 74.6

4
3

I 2').8 i I 71.3

4

12.5 1

17-7

COiurbia

3 344

6 68.8

COOk Caleta
~.,an

2 17-7 8 42.7 2 31-3

:..~..

i 4 3').41 6 53-0
II 5871 29 1547

8.8
53

8.8

6 94.0 4 62.6

l'rfcrd
crisp Cordele

I 19 5 8

Dade

8

Oawsm

2

Oec4ftr, . . .

22

Ba-intri~ . .

6

DeKa~. . ,. . 56

.~: ,, ? .'

;:s~!r1: t ; .

A+tan+... 1 "':::T";cw::,.;

<t -~.-.~',,

:;:. ,: ':,;' .'t .,.,

,:;~.,~:-~
-~ft,

>.

i'

6

I . . OC~folgherty' . .

6

. A' t.batly

I II

Oqug.!as

~ 13

2]0.]1' 2 4].8
116.31
193.01 8
572, 125-9 97~7,
1]3.6, 19
52-71 6 10.8
333
7701 2
]5.8 I
13741 22

28.5
193.0 1
I2 I
5891
I
45.2
551 25.6, 6.9
23251

. 14.2

5 71.2 to 142.4

2 19.1

14.5

8 116.3 2 29'

2 48.2! 8 193.0 6 144,7 I 74.1

I
11.4

I 571 162 926.7 7 40.0 9 51-5

; 2 32.6 7 114.11 I 16.3

0' 18.6,

34 fQ5,4 I 16 49.6

2 15.1 '

18 135.61 8 6o.3

6 323' 4 21.5 II 59.2 5 26.9

7 231.6 2 66.2

7 388 23 12].6

I

2 256 4 51-3

14
4

'4fo2-.53,

6 41.4 7 74.0 I 15 1585

96
2 29'

5 120.6

.:\!)

57 I

57 ''to

16.3 I !6.3

13

40.3

75

].5

55

12.8

4 27.6 3 20.7

7

]4.fJ

~ ..

'

.' ''

Notifiable diseases reported in Georgia during 1932, by counties and cities, with case rates

CoUltios and
Cities I

Early

I

P~ulation

A

B

18,273

c

I ~~-I mgt ts

otpntherta

Gonorrhea

M: CR NC

Ol NC

CR

I 1 5-5

lnfll.enza

NC

m

II 6o.

....,.. """'' I'~""*'~ Malaria
M) CR ~

00~ CR NC

CR

II 6o

1 5

Emols

2,744

Effingham Elbert

10,164 13,835

l

II

7 so9.681' 6

108.3 43.4

22
52

216. '!> )54.
375 4

4 39.4 2 14.5

Elberton Emanuel

4,650 24,101

3 64.5 13 2]9.6 103 2,215.1 3 64.5 I 4.1 3 12.4 6 24.9 35 145.2 22 913

I 5 1075 I. 4.1

Evans

7,102

2 28.2 I 40 ~3.2

Famin

12,~9

5 JB.6 5 JB.6 58 44].2

I

2 15.4

Fa)'Qtte

S,665

2 23ol

13 150.0 7 ao.a

I ll.5

Floyd
Rome
Fcrsyth Franklin fl.llton
At Ia"Jta College ?ark East Point

26,824
10,624 15,!102 69,257

18 67.1 4 14.9 577 2,151.1 2 75 4 14.

5 18.6

21,S.3

15 68.7 2 92 193 883.6 6 2].5 14 ~.1

2 9.2

l
II
2]0,6431 tl

4
8
1.4 37 4.1 251

377 I
503 8
534 26
927 1,361

94 15
503 97 375 6 5029 4,406

141.2
610.0
8.]1
1,62a.ol

3 18.91
2 2.9,
51 18.8 62 22.9

3
~ 2 0.71

18.9
2.9
12.9

......
w

G6o4

8 121.1

19 28771 I !5.11

I
i

I 2 30.3

9:5121

6 63.1 5 526 I

10.5

Hapevi lie

4,224

6 142.0 2 4].3 25 ~.6 1 237

Gilmer

],344

4 545 2 27.2 2() 2]2.3

f 13.6

Glascock

4,_38[;

2 45.6

{ 22.6

&l)!Pin
Br~..nswick

5.378
i
I

I
14,0221

I 18.6 4 20.5

5 930

2

14.3 2 14.3 3 21.41

II 1 18.6 3 21:4

Gordon

t6,G46

30 178.01 a 4].5 42 249.3 14 BJ.l 20 118.]

I

I

I

I

CoLnties and Cities

I I I Pneurronia 1 Soarlet Fever1 Smallp~

Syphilis Trachoma j Tuberculosis\ Typhoid Fever\ Erdemic Typhus! Whoping Ccu\jh

Early

I Nc 7

CR INc 3331 I

!CR !Nc
5.5

CR INC 1I

I cR NC CR! NC CR INc

5.5 1

8 43.81 6

CR! NC 3281 4

2C1.R~~:

NC I

CR 5.5

Echols
Effingham Elbert
Elbertoo Emanuel
Evans
F,.a,m..in..
Floyd Rcme
Fa-syth Frankl in

II. 8 ]0
3 12
5
I7 3 j 44
II ~ o
14

I
7871 50.6 3 64.5 1 49.8 ]0.4 54.0
'J4.5
1~.0 23
11 5 10 56.5 7 88.0 I

j
21.71
I 21.5 1
I, 2
'
857 ~58 b591 6.3

II 4 . 14
9 15 I
I15.4 II 8
4

!
3~41
i 101.2
1~35 :
I 62.2,
14.1
II 41.0
36.6 ,
j
25.2

;

I

I 7 68.91 18 177.d

! I 7.2, 6 43.41 5 107.5 , 4 e6.oj

i 1 6 24.9j 21
j 4 56.3

I7
II 6 40
I 40
I

I 65<4).0~
I 149.1 I 183.1 ,
9"

12
12 10 10 2

87.1
1 925j
138-51
~M .. 5.81 lu.8

2 I
2 3

6 3771 4 25.2,

I

!6
I 43.
II

59.1 310.8 21.5

!8.3
14.1

8 61.7

I
Mj 4 52.2

13.7! I

4.6

1 2 18.8

jI

6.3

f"ltm

j 14 20.2 I( 2j.l

30 4J.J I 63 91.01 4 5.81 2 2.3

~

Atlanta

945 349.2 187 69.1

3,565 1,317.2

495 184.3 129 477 16

59 221 61.4

College Park

2 303 2 303

8 121.1 8 121.1

East Point Hapevi lie Gilmer Glascock Gl)flll
Bnnswick Ga-don

4
II 2 7 2 ,I
I 10
j 15

42.1 2
4].31 4
~3'
45.6 18.6 2
713 2 89.0 II
1

I 21.1 , I
947
37.2 14.3
65.3

10.5 I 10.5
I
,
I 59

1 II 115.6 I 1o.5j
3 71.0 2 4731 4 545 8 108.9, 3 68.4 1 3 68.4
3 55.8 ! 3 55.8 I
13 ~71 17 121.2 I
24 142.5 17 100.9

I 2 27.2

18.6

i711 10 14

713 83.!

Notifiable di soases roported in Georgia during 1932, by counties and cities, with case rates

Cwlties ard Cities
Grady

I

Pcpulation

A

B

16,031

c

I ee. Men-
ingitis Diphtheria
r- CR jr- CR
I I 6.2

-- I .... I ....,.. ,,_. ~

~ 1""'~'1 <R ~

Pellagra
<R NC at II: CR 1: <R NC (R

j2

12.5 5 31.2 I 6.2

Cairo Greene
~innett
Buford Habersham Hall

I

3,16~

12,616

24~4%

3, ';137

I1 12,748 21,68~

I

IM

Jj 277.4 3 23.8

I

3 12.2

I

I I 7.8 3 235

3

I , l2.21 40 32

163.3 I ..t.l
a,...t
251..0 I ].8

4 18.4

4 l8.4

2 l5..j 6 2~5
I~
6 47.1
5 2'}.1

Gainesv i IIe

8,624

4 46.4

Hanc:k
Hralam

I 13,070 f3,263

I 17 3 22.? 4 )0.2 3 22.6 I

4
7-5 6

)0.6 2 153
45.2 I 7-5 I 7-5

3 22.5 4 30.2

KaT is

II, 140

3 26.'j

1~ 170.6

4 35-~

Hart
'-'d
Henry

15,174 ?,102 15,%!4

I 3 19.8 I 6.6 2 22.0

3

1?.6 17
II

112.0 120.8

I
I

t 15 942 10 62.8 41 2575 i 4 25-0 I 6.3

I 6.6 0'\ I 11.0 to 10 62.8

Hcuston rrwin Jack sen
Canneroe

11,280

12,199

:

18,607

3,0C2

4 332 3 16.1

6 10

16
4'}.8 5 537 61

141.81 41.5,
327.81

2 17..7 l2 10{;.4

l 7
t

58' 5.4

f

34

W2.

I 33-3

I B.'}
7 376 2 66.6

Jasper

8,594

Jeff Davis

j a, 118

Jeffersm JEI'Vclns
Mi !Len
JchnsO'I

Z,]2]
I 10,)81
I 2,527 t2,6s,

I
I
I

2 232 2 24.6 I 8 386 6 5 413.2 2
I II 86.7, I

12
12.3
28.9 6B
19-3 32 14
7'} so

13'}.6 2 24.61 l 12.
..,.. 328.0 12 579 l 2t WI.
300-3 ~ ~ 2 '9
554.0 46 1820. 3943 27 212.

5 58.2
3 36-9 6 28.9
18 173.4
(0 m-7
3 237

Co1.11ties ard

Cities
Grady Cairo
Greene Gwimett
~ford

I Pne~.~~mia rcarlet fever

68.6, NC

CR NC

CR

II

22 174.4
24 580 4 16.3 6 1707 I 290

Smallpox NC CR

I'""~ '""'wl~l f~ '"""'"'""~I Syphilis

NC

CR NC CR I NC

CR ["NC""'' CR

Whooping Cough

NC

CR

NC

CR

I 6.2 6~ 430,4 8 499 2

I
II

..,I

I 10 75.3 2
21 057 8

12 '!57-5 3

12.5 I
15.9 3271 89.4

6.2
I
I I 4.1 2 59.6

Habersham Hall
Gainesvi lie

14 109.8 I 73
8 '1:9 2 92
6 6~.6

I

I I

12 94.1 3 235 14 64.5 5 2).11
~ 104.4 3 34.0

I I 4.6

Hancock Haralson

2 153 Ill 135-7 I 75

I

I 9 613.9 4 6 45.2 (l

30.61 82.9

I 5 38.3

I

2

15.1

Harris Hart Heard Herv-y

2 13.0
8 527 2 13.2
4 439 10 62.8

I3

1~.o 2

I

6 2

I5

12.6116

5391 19.8. 5 5491 10 IC0.51 6

330
IC9.8I 377

I

0
0'\

Houstcn
Irwin

5 44.3 17 141.1

I 5 44.3 5 41.5

l ~ 8.3, 44.3, 4 355 fb.4 I

7 58.1

Jadcsm

33 1774 2 10.7

4 21.5

14 7521 10 537 I 5.41 5 26.9

C~e
Jasper

4 133.2 3 999 I 11.6

19 221.1

I 3331 7 81.5

I I 11.6

Jeff Davis

3 369

Jefferscn Jenkins
Millen Jd>nson

16 77.2 2 9.6
63 6o6.7 I ~.6
[} 316.6
II a6.7

2 96 I 96 23 221.6
I 12 4749

13 62.7 B
15 144.5 31
~ 356.2 I 12 ~4.6 7

)8.6 298.61 )9.6
552

I 17 163.8

Notifiable diseases reported in Georgia during 19321 by counties and cities, with case rates

Col.nties ard Cities
Jcnes lamar
Barnesvi lie Lanier

'I

Population

AB

c

a,~

6,509

3,236

5,190

I I I Ce. ~reo-
ingitis Diphtheria

I

Goncrrhea

Influenza

Malaria

Mlasles IParat)'phoid Pel lag-a

NC CR ~
II 3

O'l NO
15.4
cp. 7 2

CR ~

CR NC CR NC CR I~ rn NC

CR

2 22,2

3 333

265 4,:na.5 3 46.1 I

I

61.6 38 I, 1]4.3

'51 I 3091 2 61.8

2

~-5 I 19-3

I 19.,

la18'enS Dlblin
lee liberty

26,012 6,661
6,328 8,153

2 2 I
I

11 10
3Q.O I
12.0 6
12.3 2

36.4 21
15.0 38
]2.0
24.5 9

60.] 29 111.5 ~.8 8 119-7
121 1,452.9
IID.4 n 969-0 2

"~

1 4 15.4 2 30.0 I 12,0
I 12.3

Lingdn ltng lowndes
Valdosta lllllpkin McDuffie Mcintosh Macon Madison Merion Meriwether
Manchester Miller

7,84]
4,160 16,512
4,'J27 9,014 5,763 16,643 I4,'J21 6,%8 18,692
3,745 9,076

f3,482
I'

7 89.2 9 114.7 53 2 4].8

67j.4 8 101.9 13 311.0

I

I 12.] I 23.9

4 24.2 66 '!J9-7 215 1,3Q2.1 53 321.0

I

8 593 22 163.2 19 140.9 34 252.2

I

2 12.1 8 593

...
Ci'\

I 20.3 5 5551 6 66.61 II

I 122.0 4 44.5 2 ~.,

2 22.2

I 2 347 2 347 145 2,516.1

I 1].3

I

6.o I I

5

30.0

10

I

6o.lj 3 18.0 I I 6.]

3 18.0

2 28.]

I 14.3

3 16.1 3 16.1

4 21.4

8 213.6

II 4 21.4
2 53-4 I 26.7

2 22,0

2 22.0 2 22.0

Mitchell

20,858

2

B.]

203 888.1 9 'jJ.4

I 4.4 1 10 437

Pelham Maroe

2,]62
j11 ,~c6

I J6.2

7 60.3 8 66.9 101 8]0.21 2 1].2\

/I

I2 '

17.2

CoLnt ies and Cities
Jeres l.uar

i ...",.,. I -'"'"'""! . ., , , "'"" I ,,,... IPneUIIIOOia NC CR

~'"-!

NC

CR NC

CR

I

""'" ,,

f\C

CR

I

'"~"""
NC CR

''""~'~'

NC

CR

,,,~
f\C

CR

!\D

CR f\C

CR

I I 6 (b.6

I

7 777 18 200.2 I 11.1

i . 10 1536 3 46.1 1 4 61.5

5 76.8 4

61.5

!4

61.5

Barnesville

4 123.6

2 61.8 !6 494.4

l~ier
lall'llns

3 57.8 6 23.1

12 46.1

I

1~.3

9 )4.6 10

)8.41

II
I2

193
17

DU>Ii11 Lee

2 )0.0

I 15oO

2 24.0 I 12.0 I 12.0

5 ]4.6 4
4 48.0 4

I599
48.0 I

I12.0

3

36.0

Liberty

5 61.3

12 147.2 14 l]lo]

I

12.3

Linooln

3 38.2

18 229.4

I 12.] 4

51.0

Lchg Lc:wndea

36 216.0

I 286 I, 732.1

6 1435 3 9 54.5 8

71.8

43.4 3

18.2

23

1)9.3

Valdosta ll.lllpkin
McDuffie

18 1335 4 297 I ].4 117 e7.8

3 f0.9

12 1)3.1

1 11.1

18 1335 12

89.0 6 44.5

2

14.8

3 60.9

10 110.~ 5

555

I

20.3

(\J

0"1

Mcintosh

4 6!J-4

3 52.0 2 3471

I 2 347

lilaOCI'I Madiscn

II 66.1 3 18.0
2 13.4

4 24.0 2 1).4

12 ;J.I 3

18.0

3 2u.l 4

26.8

Mari<ll

4 574

3 43.1 2

28.7

Meriwether

21 112.6

I 54

13 42.) 22

117.9

~ester

12 )20.4 2 53.4

7 186.9' 3

80.1

Miller Mitchell
Pelham Mcnroe

3 )3.1 6 26.2 5 21.9 I 4.4
I 36.21 I )6.2
6 5'7

2 22.0 2

22.0

295 1,2<)0. 25 109.4 15

65.61 I

4.41 2

a.]

20 724.! 13 4]0.] 9 325~ I 36.2

7 6c.3 8 68.9,

II

8.9

.. ....... r,.,,, Notifiable dieea.ees reported in Georgia during 1932, by counties a.M. ci t.ies, w1 th case rates

(k.ISit; OS ll1d
I ttties

Population

~.Men-
ingitis

~iphtl'lel"!a I~

fnfluenza

,w~

Pellagra

A B c NC CR r: CR NC ca

NC

CR

NC at Ill CR NC CR NC CR

Montgomery

1o,aw

l IMI

I

7 69.'}

Mcrgan

12,488

6 48.! I 6.1 129 1,033-7

40 92(1.

6 64.1

Ml.l'ray lbcogee
CoiWIIbul Newt<n
Cwington Perter-dale
oe:a-
,flglethr"~
l'iuWi"t P.ad!
hrt Valley Pickens
Pierce Pike
P!Uk
Rodcmart Cedart011n Pulaski Putnam

9,2" 14,427
11,005 3,2o; 3,0C2
li,002 12,12]
l2,'Jl7 5.700
4,50
'},68] 12,522
IC,B53 13,753
3,24
9,005
8,367

43,131
il,l24

7 ]&a
12 83.21 .,. 2 4.6 17 39.4 7 t6.2 140
9 31.2 ~ 81.21 56

:~ i 21 2 12
505.2

&I4 126.

0 249.8

I 333

I ''

5

I

l 71 8 61.~

. 2 lb-2

l

u '927

43 9

' l332.6 I
1577 4

l 1

w7.,

I 2'1.'}

c
7

)652..b,

2

to )2.J 5

I I

7-31
306

6 ]3.'} I

I I 12.0

I

21.

~ 96o.i

16.0 5 399! ;.t ~ 2~..~
~ 2;)01.2

12.3

5
,tl
I

~~}3').4 fl.
~7

I

I

I
6
4
"2

:a
l 12..

~

l 12.41

J

7 43.5 7 rb.2 3 27.1
I 31.2

2 24.7

6 46.4

I 8.1

4 70.1

t<\ 0"\

4 877
I I 18.3 3 24.0

2 1.4

I ].3

1 30.6
3 ~.'}

I I 12.0

Quitaen

3,820

Rabin

6,331

I

! 1 15.01

I

I3

Co\nt ies and

I l Cities

PnellliOilia Scarlet Fever! Smallpcx

I I Syphilis Trachoma Tl.Oeroulosisl Typhoid Fever Endemio Typhus Whooping Cough

I
M: CR NC

mjr..c CR NC CR M: CR NC CR NC

CR

NC

CR

NC

CR

l.bntgOIIIS"y Morgan

I II 1()9.6 22 ljb.3

5

40.1

Ml.rray Ml.&ccgee
CoiU!b"S

I3

I

3 24

326 5 20.6
556 12

543 27.8

i

5 50-0

I
I
I5

54.~

5 16

40.1 f73.6

33 228.]

I ~ 62.4

10 23.2

I 54 12').2

3 29, 7 56.1 5 543
7 48.5, I
7 16.2

I
I6., I 6., 2 4.6

NE;.ton Covingtcn Portu-dalo

,., 3 2].1 2 18.0
3 ,37 3

Occnee

I 5 61.,

Ogle ttu:rpe Paulding

I II 2

65.1 16.2

I

77

3 27.1
I

I 3 27.1 3 '137
7 ~.6 13 100.6
6 48.7

2 18.0
3 '137 I 33-3 2 24.71
3 232

I 5 61., I I 8.1

Peach Fort Valley

6 140.2 2 43.,

12 210.2

3 52.6 2 43.9

5 8].6 2 439

I 1].5

.:t

""

Pickens

II 113.6

5 51.6

4 41.3 I 10.3

59 6()9.1

Pierce Piko

3 24.0 15 138.2

I ,.2

5 ~., 10 7].8

4

319

12 110.6 26 2396

I 8.o 5 46.1

Folk Rod<I!Brt <'Aldart0110

8 582 12 6].3
4 122.5 3 91., 7 E6.2 10 123.0

,I 73 I 10.8

8 58-2 6 183.8
17 20C).3

2 14.5 I 30.6

3 21.8
I 3 919 2 24.6

Pulaski

2 22.2

I 11.1

I 11.1

Nnam Quitman Rabu'l

6 717

I I 26.2

I

I

8 ~.6j
3 785' 3 47.41

9 10].6 I 15.8

Notifiable diseases reported in Georgia during 1932, by counties and cities, w.i th case rates

CcM.nti es an:! Citiea
Rwolph Cuthbert
Richllord
Augusta
Rockdale Schley
Screven
Seminole
Spaldi~
Q-lffln Stephel'l$
Toocat Stew&rt
Swllter,_,.ious
Talbot
Taliaferr-~
Tattnalt Tayl<r TelfairTeiT'ell
Dawsc.n

I

Pepulation

A

B

c

IM35 3,235
12,648

6o,342

7,247

5.347 20,503

7.389 13,174

10,321

],138
4,6o2

11,114

18,040
o,]bo

8,458

6,1]2

15,411

l<l,617

l4,'fJ7

14,463

),82]

Ce. ltb"tingitis NC CR

I Diphtheria Gc1lorrhea

NC CR

NC CR

16 IIG.4 ~ &).5

14 110.7

2 33 34 6
6
I I
I 91 6
5 4

56.j 82 355
82.8 7 %.6 3 56.1
293 9 43-9
13.5
7.6 l 16
58' (lb.,]0.0 I 14.0
I 21.]

2 18.0

5 277 I 11.4 4 457 5 57'
2 23.6

I 16.2

2 13.0

I 94
7 46.7 13 c6.]

4 27.6

I

~.1

Influenza NC a:!
354 2,5"75.0 101 3,104.8 J'j{ 1,557.6 134 222.1 280 3,863.7 20 374.0
25 121.,,
~-'1 3
15 210.1 17 369.4 2& 180.0
8 44.3
22 251.1 7 82.8
3l 502.3 I 6.5
114 1,07}.7 46 ~-1
5U 36.7 5 1)1.7

Malaria I!Mslea
NC m II: m
16 116.
78 21}7 27 2135 ~ 1027. a6 142.5 20 33 4 55.2

27 13171 12 162.4

I

I 90
15 83'
4 45.7 I ll.8 13 210.6 14 ,o.&
2 l8.S
'"' 31 2JJ{,.] t
25 1]2.~ 1 182..,,

Pellagra NC CR
9 9j.5 6 184.4
5 39-5
I 41.4 2; 276
I 2 98
I I '35
4 ~.a
LC'\ 0"\
3 27.0
3 16.6
I 11.4 I 11.8 14 226.8
5 )2.4
t 9.4 5 3'.M 9 62.2 2 523

Counties aIll Cities
Randolph Cuthbu"t
ilichmord Augusta
Rockdll!e

I
I I I

PneU!!Ilrlia

I t..c CR

Scarbt Fewrl Smallpox

NC

CR I NC CH

Syphi I is NC CR

Trachoma NC CR

I TcborciJiosi sl Typhoid Fcver 1 Endumic Typhust Whooping Cough

r.c rn NC CR

t..c

ffilI NC

CR

I I 24 174.61 I 7-3 I ~ B~l~ 13 102.6 17 134.4 .
(,s 112.7 19 31.5 II 151.6

I 21 152.8

I
I

14

430.41

I

I 15 24.9

14 1932

2 14.5 10 727 2 14.5

I5 22
I 102 (i

1537 6
1739 5 !69.0 19 110.4 6

24591
3951 31.5!
D2.aj

3 92.2

I I 7-9

3 5.0

I

1.7

Schley Sa-eve11 Seminole Spalding
Griff in Stephens
Toteoa Stewart Sunter
Americus Talbot TaliafeJT Tattnalf Taylor Telfair Terrell
Dawson

I 16.7 I 18.7

20 I 2
5 2

975 13-5 15.2 43.4 28.0

5

12
II 70.0

I 4.9
I I 15.21
I I 9 Izb.ll

I 21.7 6 130.4
7 63.0 2 18.0 8 44.3 I 55

2
i2

4w3.o51

I 4 22.2,

4 4571 I 11.4
i
6 97.2
7 45.4

! 7 7991
II

14 131-9 15 100.0 12 il3.0 2 52.3

1

. 14

I I 3 2C.7 6

I I 26.1

3

934 41.5
78.4

I

II

15 4

I 10

9 6

18.71 I 732 4 54.1 1 2
7591 3 87.2 6 84.1 3

18.]
1951 27.1
I 22.81
5e.t 42.0

I

4.9

I 13.5

3 22.B

19 le4.1

I 3 65.2 1 21.71
b 54.0 I 90

3 5.2

\.0 0"\

I

9.C

I 9 499! 17 94.2
14 159.C 7 799

7 36.8 22 122.0 2 22.c

5 59'1 4 4].3

I 5 59.1

17 275-4. 7 113.4

I 6 33-91 7 45.4 1 3 195
5 47.1 3 28.3

10 (.7 16 120.0 3 2C.O

5 34.6 1 ~ 27.6

4 27.6 1 2 13.8

6 156. 81 6 156.B 3 ]8.4
I

Notifiable diseases reported in Georgia during 1932, by counties and cities, with case ratos

I Coult ies and cti

~lat. ion

A8

c

Thonas

20,8]<}

I Ce. Minlngitis M: CR

Oi~theria
tC CR IC 4].9

Goncrrhea M: CR
3 14.3

Influenza

NC CR

10

4].')

,...., Malaria
NC CR
3

Measles Paratyphoid NC CR 1:: CR
I 4.8

Pellagra NC CR
I 4.8

lhomasvi lie

11,733

I a.5 4 34.1

2

1].0 4 ~.t

2 17.0

Tift

12,678

8 50.5 II 80.4 16 lib.') 29 212..0 2 l4.b

I ].0

Tiftm Toarbs
Vidalia T<lWfl8

3.350 13,580
3.583
4,34(;

5 147-5 6 177-0 3 22.1 25 184.1
2 55.0

I 15 442.5 4 IIIJ.t
2b 1')1.5 25 184.1 I 23.0

I I 7.4, 29 2135 2 558

Treutlen
Tro~.p
LaGrange
Tu-ner llrlggs lhion
Lt>son
lhomaston

7,480

I 16,621
I 11,196

20,131

B,3Jl

6,340

14,587
(,,a

I 13-4

10 ~.2 13 108.3

5

I s.o 24 11').2 7 348 5

2 IM I 8.')

I II.') 6 71-7 33

5 6

]B.')
41.1

I 14
1 6.') 3ll

5 66.8
3().1
24.8 I 5.0 [ 50 7 62.5
3')4.2 8 ?).6 6 717 220.8
ao.51 2 137

I') 114.3

!l 397

I B.')

I II.')

r-
OJ\

I 15.8

3 20.6

Walker laFayette fiossviiPe
Walt.m
Mmroe

20,165 2,en 3,230
1],412 3,7c6

7 34.e 7 24').0 2 61.~
5 2B.]
7 I ell.')

3 14.')
2 7l.l
5 2B.] 3 81.0

52 2'j8.4 1 5.0f 4 t!J.'J!

" 142.:t I 35-'

4 12J.8

f bl.~

S'l'-71 36 :ua.2 13 ]4.
Ill! 323.6 12 323.

I 4 1').')
7 40.! 3 81.0

Ware Waycross
Warren

11,046
II 11,181

15,510

3 27.2 I ').I flO '1fi1 2 Ja.l

2 12.') 3 1::M

I

70 6..4 3 1~3

~'3r

I

[!.')

3 ~.8

76 68e.o I 6.4 I B.')

Comtiesard Cities
Thomas Thomasv i II e
Tift Tifton
Toonbs Vidalia

! I Pneu100n ia
I I I NC CR
1 '9 91.0

Scarlet Fever~ Smallpox j

NC
6

CR
2C. 7

'

NC

CR

l 3 ~-7 4 29-2

I

I 4 118,0

I Syph i Iis J Trachoma f Ttborculosis Typhoid Fever 1

NC
64
1

CR I NC
I 3065 ! I
o.sl.

CR I NC
4.8 12 1I 13

CR NC
i 57-5 10
IIO.!lj 6

3 21.jl 3 DC.5

I' 5 16.61 10 ~9491 2

CRI
47 911
51.1 1
5;J.C

II 81.0

II 6 44,2 It: I17 .8
27.81 , 83.7

I Endemic Typhus \\1-,ooping Cough

NC

CR I NC

CR

4 19.2 1 7 33-5

3 25.6,

8.5

I 2

5~-~- I

40 294.6

2].8

Tcwas Treutlen Tr04.p
LaGrange
T"'llfl" Twiggs lklion
l%Json
Th011a,;ton Walker
LaFayette

4 92.0

I 13.4

7 42.11 2 12.0

12 59.6 II 54.6

2 1].9

2 23-3

7 I ID.4

IC 63.6

6.9

2 40.6 1
II 54.] 65 323.0

4 142.3 26 9250

I I 32 19251
I 35 17391

I2

46.0 1 10
I

Z)O.I
13.4

I ~ 1Go.5 v 3]2.6 7

48.1
34.ll

3 113.0 5-0

l

I

(J Cjj.6

I 9 61.]

I ~ 536j 2 1].91

.6

71-7 5 94.61 15

597
236.6

2

17-9

7 IID.4

9 61.]! 5 34.3

to
0"1

I

20.3

5 101.6

5 24.~ 13 64.6 3 14.9

35.61

w 64C.3 i 5 1779

35.G 8 284.6

Rossvi lie Walton

3 ')2.9 II 340.6
14 f.0,4

2 11.5,

13 402.51

31.0

12 68.91 ll 45-9

Mcnroe

10 26;1.13 5 134.9

I 26.9

5 1349 5 1349

Ware Waycross

1l ]2.4 I~ 122.5

2 18.1
3 19.3

13 2].2 3 27.2

9'

6.4

16 IQ3,21 21 135.4

4 25-8 2 12.9

Warren

5 44.]

II 91J.4 25 223-6

I I I I Notifiable diseases reported in Georgia during 1932, by counties and cities, with case rates

COUlties ard Cities

Popoldim
AB

c

Ce. Meningitis r>l) CR

Diphtheria M: CR

Goner rhea M: CR

lnflo.enza NC CR

Malaria Measles !Paratyphoid! Pellagra M: CR NC CR .NC CR. NC CR

tlash ingtcn Sandersvi II e
Wayne Webster Wheeler White Whitfield
Dalton Wilcox Wilkes
Washingtm Vlilklnscn Werth

22,029

3,001

12,647

5,032

9,149

6,C'j6

12,648

8,160

13,439

12,]86 3, 1513
10,644 21,094

I 78
I
I

II 50.0 2 9' 322 1,461.7 207 9377 2 9-1

3

3 10.0 2 15.G
5 993 4 437

41
I
I 26 II

136.6
].9
516.61 10.9

61 203-3
9 71.2
11 210.6 r
I 10.9.

I
I
I

I3
II

I 16.5 3 49.5

9 71.2 12 949 2 15.8 2 15.81 9 71..21

I2

5 61.3 I 12.3 2 24.5

I 12.3

I 7 52.0 8 60.3 8 60.3 14 105.61
I 7.8 I 70 109 85251 8 62.6 3 235.

II 4

I 317
I 9.2 4 '"fo-9
3 14.21 3 14.2

3 5501 I 9.2 15 13031 3 2771 42 19911 38 180.1

II I 2

13.6
237 to.9
15.8
7-5 31.3 92 .:,.0~'\ 94

Total for State

12,033,1.11

I

103,231?1,856 78

I

I

2.6,1,362 46.012.723 91.e 115,685

II

I

i 529.si 3,:.11 115.2 1,075 36.31 19 o.6!986

t

I

33.8

I I

I
I

I
I

Cot.r1t ics ard Cities
Wash ingtc.n Sandersvi lie
Wayne

I I Pneuroonia
I NC Cfl
i I I 5J 23fo5!
I i 2 6.7,

Scar let Feverr

NC

CR I:

6 2].2

33 t I

Smallpox j
NC CR

I II 07.0, 2 15.0 1

I I Syphi Iis

Trachcma 1 Tuberculosis! Typhoid Fever 1

m; ~ NC Cfl J

NC

m\ NC

CR !

' I 6 27.2 I

II 77.2,' 26 tre.o

I 4 13.3

I 3.3

331

I n.tl to

11 87,0

End'lmic Typhus

NC

CR

2 9.1 i I

D 63.3

Whoop j ng Cough

NC

CR

3 13,6
3 lo.o

Webster Wheeler Vlh ite l'rhitfield
Oal ten

I I 199. l 10.9 3 4).5 14 110.7 5 61.31

I 27 2135
4 49.0

I 2 15.e
I 2 24.5

I4 Ib

9433~)"

:
I

I 21 166.0! 1

n.5 65.6 tG.5
553

I 15 lil3.C 4 49.0

5 395

Wilcox

7 52.13j

rlilkes

8 62.6!

].8

Washington

4 126.71

3 22.6 6 47.0
I

I 2 15.d l

7-5

l o 62.61 13 101.7 I 31.71 5 15[\.3

l 78

78

Wilkinson Worth
Tota I for State

I 6 5531 13 Gt.61 2 ,4,252 143.2\ 802

92
95 I
27.1 1 20

I 9.21 I 4.7,
0.7 16,776 222-.91 ~2 I

I 6 55.3!

I to 4].4,14

i 13,321 20.0

112.2 I, 799

9.2
~G.4
6G.B 308

I
10.4 lt,055

4.] 36.5

g....

ilespectfu II y subm i tted,
M.D..,D~ ~cf'~x
DanielL. Seckinger,
Chief, Division of Epidemiology

DIVISIOU OF OOUNTY IIEALTF.L iiOnK
u. E. .tinchester, Chief
HISTCRY OF THE DIVISION
The Division of County Health l;ork was established by the State Board of
Health on Janul!.ry I, 191), f~r tho purpose of giving aid to tho full-tirre coi.Klty healih I.Klits then existing rud fer stimulating interest in the organization of new
units. Prior tc that tim0 three counties had organized health lilits, the first
being Glym Coll'lty, ostabl ished in 1914. Even before any cot.nty health t.nits were
organi<Zed in the stato, studies and demonstrations had been conducted by the State
Board of Health cocperating with the Rockefeller Sanitary Crnrrnission for a short pericd of tim: in a nutrber cf colilties. These studies wer() beglil in 1905 and wore conducted most I y for the pt.rpose cf making further studies in hcokworm disease control.
The bogiming of colr.ty health work in 1914 rooant ~nly cne thing to tho average citizen of tho state - the ccntrd of epidumic and en:lemic infectious
diseases, and when such dise>.ses were not ;revaknt, the valo.e of a colilty ll'lit was not fully realized by the ccrrmt.nity.
Ot,ring the rast eightoon years tne wide d<lvelopment of COI.Ilty health lilits throughout the sc-uth has awakened tho ptbl ic b the valw of Oolilty health work, and tho rapid progress that has been IJl;l.cle in the ~Y"eventi)n of disease and the extension of life has resulted in the ~;stabiishllfmt of thirty-three full time coU'lty health t.llits that give health prutection to 467, of the pcpulaticn of Georgia.
Ge'lrgi<\ is the Iargest state east of the Mississippi and has one hllldrod fifty-f'lino c.;t.llties. thly thirty-f'line of th'lSC colllties havo a pcpulaticn of more than 201C00 1 h:wovor, and for this reason it is difficult to scctre an adoquato appropriaticn to establish a health unit in the majority of counties. The state is also diviJed topographically into three distinct sections; tho mountainous seoticn
with pc1ks that rise 5,000 feet above sea level, tha middle cr Piedmont Section, and thP. Ce45bl Plain Region. Each of these three sections present an t.lleven distribution of lllmss and each section has health problems entirely different frcm the other.
Therefore, the econcmic and logica I method in the. centro! of ccmlllll1icable di se'lse and the protection of hoolth is t.'lrau;;h a full tiroo ooU'lty health lllit, carrying out activities and developing a prcsram in the county where the disease originates.
GROWTH CF COUNTY HEAL Tii I'ICRK
In 1914, Glynn Ccunty organized the first full time c.ount.y Heal1h lllit. in
Georgia. During tho past eighteen years, however, tho dovelcpment of county health units has not been as rapid as in some of otr neighboring states since Georgia has
101

one hU1dred twenty COU1ties with a porulation of less than 201000 and tho toh.l hx valuaticn of these coU1ties is nd sufficient to raise the necessary funds Lr establishing a health unit without state aid, Georgia has never offered a subsidy to counties fer establishing ccunty hoalth units.
At the end of tho year 1932, Gecrgia had thirty-three counties operating full
t ilf.e county hea Ith un i'ls anc the ccmbined ;opul at ien of these thirty-three ccU1t ics comprises 46% of the t, tal pcpulaticn of the state. The past two years have brousht rocre ~rcblems and -financi?.l difficulties to the coLnty health ~.nits than any ~ericd in the history of public :1ealth WGrk in Gecrgia, thly cnu county, hcwevur, discontinced
work durin8 the two ye"-r ;.:erioJ d 1931-1932. AI I of the counties recei'.I'JJ 'l reducticn
in their budsets durin:; the two years but were able to retain their entire perscr.rel by recucins sal~ries,
In Jt.r.e 1924, D(Jcat~r, Semimlu ~nC: Mi I ler Comties were crganizod into a
health district, The ;cersorr.el cf this Jistrict consiste.J of a rr.edical officer, three sanitary ins~ectors, and a clerk, These ccunties arc !ccated in southwest Gocrgia where malaria is the IT'zjor problem, A satisfactory sanitation ar.d drainage program was established, and the district cp~rated fsr om year, lifter that tiw.e the two sw.al ler counties, Miller anc! Seminole, were U1able tc ccntinU3 their apprcpriaticns, anc in
1925, a neVI district wae .. astab!ishod cow.posed of Oecah:r, Grady, and Baker ColXltios, In 19271 Grac!y CoU1ty rJr:cidorJ to establish a coLnty health lTiit alene, This left cnly
two co1.11ties in thEJ district, anJ since Baker was Ll1i!ble to finance its share of the budget, the health district was discontinued and Decatur County reestablished its county health t;nit alene.
The health wcrk in this district dt.ring the three years shewed that satisfactory results car be accomr;l ished in the forming o-f health districts and it is bel ievcd that the futt.re ex;..ansi:n of health wcrk in the one hundred twenty small counties in Gecrgia d,~ends entirely Lpon the establishrrent of such districts,
Cn April I, 1931, two new health districts were established in ncrthwest
Georgia by t~e cccperaticn of the Ln ited States Pub! ic Hea Ith Sflrv ice through droLjht relief furlls. District NC~Tber Cr.e was composed of Chattcoga, Walker anc Dado CoLrlties, This district hits a ;<erscnnel of a health officer, sanitary engineer, threo nt1rsos and a clerk. District NLmber Two was coo:pcsod of Catcosa, Gcrdcn, Murray and \:hitfiGid Counties, The ~0rscnne! of this unit ccnsisted of a health officer, sanitary engineer,
foLr ncrses and a clerk, These t111;J distrirts creratcd t.ntil JU1e 30, 1932, at which
time the drought rol ief funds were withcrav.n, anj a new health district crganized 11h ich was ccmposed of l'lalker, Dado and Cat:::osa Countias, This district has a. personnel A a health officer, sanitary engineer, two nurses and a clerk, The counties share a larser part of i:he bt.dget with the state and the lhited States Pub! ic Health Service cooperating. The other four coLnties in the criginal districts wore L.nable to finance
102

their share of the budget to operate a health district but l'thitfield and Murray Counties have cantinUJd the services vf their pub! ic health mrses.
Tho dcrnonstra-ti()n in -these two health districts has proven that a well rvund0.J health program can be carried out in forming health disiricts and the f\;ture pro3ress it1 county health w'rk in Gecrgia depends tc a groat extent en the fcrming of similar health districts.
MC81 LE HEf1L 1H LN IT
Throu!:Jh tho cooperation of the Lh ited States Pub I ic Hoa I th Service, a Mob i Ie
Health lhit was established ~n Ar.ri I I, 1331, tr.Jer drought rei ief funds. The perscn-
nel of this unit ccnsisted of a medical officer, nurse and sanitary engineer. Aftor operating fer two mcnths, it was decided to replace the engineer with twv nt;rses, as it was four.d that tho unit spent such a shcrt time in each county that a sanitary progrem cculd not b<J establ ishcd befcre the lhit ilYJ~d into another comty. The work vf this l'nit was c.-,rried en in the small counties in .vhich thero was no crganized form of health wcrk.
Dering the fifteen months of operation, twenty-throe counties were visited
by this Unit. An active educaticnal rrosram ~1as established in e<.!ch county,
vaccinaticn against typhoid, diphtheria and smal lpcx was offered tc the public, hookwcrm examinaticns were rr.ade and treatmr,nt given, malaria str~ys were made and treatnent given to thos0 found positive, infant and maternity work was established ard a shcrt course of instruction given to midwives.
The wcrk of this m;,bi le hsalth un.it was 0f g-0at val!.'e and tho cooperation givon in every county shewed that they were arx ious fer health wcrk to bG established.
The Mobi Jo Health Lhit was discontinued on JI.J1e 30, 1932, on account of the discon-
tinuance of the f~nds.
TRACHGMA UNIT.
l.n Septomcer 1330, a larse nurrber of cases of trachcma was foL:nd in south-
west Gecrgia. TraGhcma had been known to exist in this sccticn fer a numter of years. The lhitos States P~bl"ic Health Service wasrequ;;sted to assist in making a strvcy of
two countiGs 1 Mitchell and Decatur, inJanuery 1931, anJ during this str~y several
hundred pes it i vo cases of trachcrra were found,
Cn Febrwry I 1 1331 1 tho State Dcpartlf\ent of Pub! ic Health with tho
cooperation of the lhi ted States Pub I ic Health Service ostabl ished a trachoma field unit, the personnel ccnsisting of a part-time physician and two public health n(.:rses.
This field unit operated unti I Septeml:er I, 1932, at which time the State Department
of Pub I ic Health recehed a special apprvpr iaticn fer tradhow.a wcrk from the state LegislatL:re. The field mit was thenreorganizec! and a full tirre physician and one
103

pub! ic health nurse employed as perscnnel for the: lflit,
The first six mcnths of 1931 were spent in southern Georgia by the Trachcma
Lhit as two cot;()ties in this section had about seventy-five percent of the trachcma existing in tho state. All school childn;n in these cct;tlties WrC examinEd and those found posit i;e were treated and cperaticns performed when necessary, The nurses followed up every positive case and also locatocl and brought into the clinics many cases not fot;()d in the schco Is

Weasures fer the erevcnticn of the spread and treatment of trachcma in the
early stases have served t" gredly lessen this public health problem. Trachcma
surveys have been m~de ever the entire state ard the map en page 114 shr.ws the
distribution of trachoma in the stde,

The following s~.;n;mary shows the activities and accompli shrents of the

Trachoma Lhit during the years 1931-!932:

!931

1932

Nt.:mber of Ccmties with clinics

12

17

Num:er of ~ers:ns ex~mincd

12,634

8,339

Trachoma cases pos i ~ i ve

I, 116

1,930

Numt:or of cases ~nucr aci: i ve treatment

I ,040

1,765

NLillber A field clinks established

67

80

Number of cases opera~d ~.:pen Lr tho two yoar period

l93

P~rccntaso of cases foun,< with impa irmnt of vis icn

16.32

r.'OLITH HYG IE~E

Tho De~artrnent of Meuth Hy9iene began operation unlcr this Oivisicn en
January 11 1931. H:e persJJrel of this Departrrent consists of a Superviscr of Meuth
Hygiene whose ;;srk is entirely educational, ccnsistina of lectures and the provision of j)rinted material an~ sugjested ~rcJrarrs fer the prorroticn of mouth health.

Special errphasi s is s:ven in talks b teachers and to col.llty school sup:.rintendents. The teachers vf a county are reqU0stcd to meet at scro central Iy Iocated place in the crl.llty and a lecture n rr.outh hygiem giv'ln ar.d an outlire en the r-rocedure for estatJI ishing a :Jentai r-rcsram in the schuols :3iven, Waterial is f~rnish ed to each schcol f~r recordin8 thu examination of each child's mouth. The dentists in the coWlty arc visitGd, an out! in~ of the school program fLrnished them and tbir ocoperaticn request8d in tho c!er.tal i-rosr"m t\11 examinaticns were mace by the local dentists in the sixty co:.ntie"; in which -the su~erviscr has wcrkc,J. The dentists have given their cocperaticn to thJ rroJam and have siven their services, both in examinihg the school children and in making rr.any correct i ens en chi Icren whose ?arents were unable to pay for the wcrk.

M..ch of the SLocuss of this dental health program is dw to tne splendid cooperaticn given by the Gecrgia Dental Assooiati:,n, Mere than 2001 000 school
104

children were examined free during the past two years by the dentists of the state and thousands of dental defects were corrected at srrall or no cost to the school children,

Ten su=r Institutes fer Teachers werG visited by the Superviscr of Mouth
Hygiene during 1931 and 1932 and much educaticnal work was accorrplished through this
medium,

follows:

Abrief si.IJ1rr,1ry of th0 dental health educaticn work du-ing 1931 and 1932

Ni.lllbcr of Counties visited Number schools visited Schoo i attendance Number teachers a ttcnd ing conferences Number dentists visited PubI i c meot ings addressed

1931 26
303
~,204
725
82
34

1932
34 119 26,036
1,044
164
27

TLBERCUL.OS IS

The Tt:berculosis Field lhit has been operating in the co>.nties with
crganized health units in the state during 1931 and 1932 and thousands of ccnhcts
have been examined and many found positive, Each health unit is following up all positive cases of tuberculosis with a view tc giving instructions and insisting on the cases receiving treatment, A ccrnpleto reccrd of this wcrk is made under the report of the Tuberculosis Unit,

MALPRIA

Malaria is one of our largest pub I ic health problems in the southern part of the state and every county health unit in the malaria secticn h:!.s, with the assistance of the Division of Sanitary Engineering, established an active malaria
~rogram.

Complete detai Is of this wcrk are included in the repcrt of the Division of Sanitary Engineering,

ACT! VIT IES AND ACCct.1Pll SHMENTS

The ~rogram of each county health unit camot be given in dotai I in a report of this natu-e but a brief summary based on a generalized program covering tho activities of each county health mit in the state follows:

105

SUMt!ARY OF COUNTY HEAL Tf! WORK FCR THE YEARS 1931 and 1932

ACT IV ITIES
' EOIJC,\TJ ONAl::: Pub! ic meetings addressed Attendance SchJo! talks given Attendance Bulletins distributed Newspaper art icl os

1931
I, 160 70,946 6,422 251,581 129,465
1,572

II. COMML'N ICABLC DISEASE CONTROL; Nurrber neN cC~ses Tctal nunber visits Cases cr carders isolated Contacts quarant incd

13,918 31,553 3,210 4,271

III,MATERNAL, INFANT AND CHILD HYGIENE: Prenatal NLmber rcw cases Harre visits Office ccnsultaticns 1\'urrber midwives receiving first instruct ion Total nurrber midwife instructicns given Nurrbcr midwives in col11tios Postnatal Number new oases 1\'urrber visits Infant and Pres;;hco I New proschco I cases Visits b preschool cases Group conferences with mothers Off ice cx,nsul tat iens with mcthe.rs School Nurrber schools in coli1ty Nurrber visits to schools fl'umber chi Idrcn examined Number defective chi Idron Total number defects found Follow-up visits Nutritiona I Classes Cases attend ing ti.lmber weighed and meas~red

4,556 16,341 6,893
336 3,274 !,C02
2,882 14,835
I 1,846 43,101 ?,691 10,807
988 15,412 176,261 67,893 95,326 30,183
32,300 49,759

lo6

1932
1,06! 80,030
s.rh
250,466 137,072
1,521
15,313 32,949 2,853 3,487
5, IG5 25,791 10,6)5
275
2,981 I ,026
2,944 !6,210
14,305 47,196 4,373 12,856
1,143 16,756 131,797 68,521 94,951 38,059
17,420 47,646

III,MATER"',l, INFANT AND CHILD HYGIENE (Ccntinued) lhderwe i gh t Cases i rrpr-ovcd

1931 6o, 746 4,339

1932
8,]48 2,496

IV. IM~ll~ IZATI ONS: Completed antityphoid vaccinaticns(threo inject icns) Campi oted toxin--ant itox in troatfTilnts( three injections) Protective antitoxin, oases Curati vo antitoxin, casas f1nt isma II pox vacc inat iens (suocessf uI) Perscns given antirabic treat!l'nnt (complete)
v. VE~EREAL DISEASE CONTROL:
Suspects examined Number r~w cases treated Total nu~rber treatm:mts

113,098
'2!),577
805 504 36,675 395
1],810 3,508 9::P,602

162,')46 34,924
6CJ) 413 37, 154 291
21,234 3,]02 73,442

VI. INTESTFIAL PMAS!TES: Number of exam ina t i ens Number cases h<Jckworm found Nunber cases other intost im I parasites fourd Number corrploted treabrents

28,849 5,199
659 ],343

32t542 9tl40
807 12,009

VII. LIFE EXTENSION; Numoor of examinaticns

3,060

3,452

VIII,SANITATICN OF FOCO SUPPLIES: Physical exam. of food handlers and dairy employees Inspections of dairies ard milk distributing p)aces Cows tuberoul in tested Cows tested for abcrtus fever Slaughter houses inspected Nun:ber c~rcasses ccndemned Nt..mber carcasse, ap~.roved tfc!rksts, hotels, eating places insl"ected other inspections

],332 10,217 23,522
833 1,223
987 67,')72 32,315
5,566

4,494 9,2!)]
15' 119 !,622 1,289 1,455 6],547 31,9sG
5,264

IX, MAU1RIA: Pcnds and marshes drained Ponds and marshes oi Ied Pcnds and marshes dusted with Paris green Quinine distributed, grains Hcmes screened

3,407 4,141 I, 701 2,]01,!76
638

6,120 !,659
847 2,132,139
327

107

x. GENEREAL SANITATION:
Inspections of ~rivate premises Inspections schools and other pub! ic buildings Inspections of cafl'jJS Inspection of swimming pools Other inspections
XI. LABORATCRY: Specimens examined Spec i mans ssnt to State Laboratc:ry Mi Jk samp Ies examined Water sar.;p Ies examined 'llat0r sarrples sent to State Laboratcry Others
RESULTS
XII, SANITARY FfliVIES INSTALLED: Concrete Vault (dry) Water Tight Vault Box and Can Pit Other types
XIll, PR lVI ES RESTCRES TO SAN ITPRY TYPE: RLral Urban
XIV, SEPTIC TANKS INSTALLED: Rurul l'rban
xv. NEI'I \'lATER Ai'iD SEVIER CONNECTIONS:
\'later Sewer
XVI. VIELLS MD SPRINGS IWffiOVED: Wells Springs
XV II. FOOD HAWLI NG ESTABLI SHMEmS: Dairies improved Stcres improved Eating places improved other improvements
103

1931
;)8,354 2,504 770 316 30,866
119,871 30,194 12,392 1,566 1,447 66,670
1931
34 28 16 1,436 1,286
628
7)8
201 117
715
494
251 44
895 482 465 503

1932
334,927 3,081 I ,029 399 14,171
107,317 37,780 11,212 1,959 1,473 55,651
1932
6 55
48
1,416 164
410 1,693
361
48
457 371
214 35
712 849
8]7
397

XVIII. CHILD HYGIENE: Infant and preschoo I Cases improved Defects corrected School Cases i mprovcd Defects carr acted
XIX. GENERAL SANITATION: Prcmis<:>s irrproved Schools improved Other pub I ic bui Idings irnpreved Camps i rnproved Swimming pools improved Nu isancos abated Ordinances passed Convictions for violations of laws

1931
1,233 2,]66
19, 7ab 28,528
17,836 357 234 76 30
10,445 33 32

1332
1,546 I, 756
9.761 23,383
20,213 284 202 56 61
21,121
13
22

Respectfully submitted,
U0~~~ M. E. Winchester, M. D., Chief, Division of Co~.nty Health Vlcrk

109

Number of Counties Operating Full-Time Health Units

0

I-' 0

!\)

\..J,J

0

0

-!=' 0

1915

1916

1917 1918

~~---~

1919. -

~

1920 I

~

.....
I-'
0

~
~

1921 1922

I'I1------..-----=~1.

-... (ll 102"7, --

\

-\

11992254.~~-----.

-
--

-~ - -" \

1~~92 6 1 1 L - - - - - - - _

.

~~~~ 1-- ~ ' - ~ ' ~ : I ' '

111


0 :;t
:8:q

0 l:.j

~

I-'
1..0

r1:-l

1-' 1-3

U1

H

~

1-'
~
{\)

8

1-3

t-<:

III
~
~

~
1-3 Cll

PERCENT OF POPULATION SERVED EY FULL-THfE HE..4..LTH UNITS
1915 - 1932

40
I

1=1

~ 30 ~

__j

~I
0 P-;

'H 0

-P
ffi 20
0 1-i
Q)
f);

I
11~1I ~1~.1~=
LC'\1...0 1"-- w 0\ 0 r-l C\.l 1""'\.::t LC'\ 1...0 r- w 0\ 0 r-1 C\.l
r-1 r-1 r-l r-1 .-1 C\.l C\.l C\.l C\.l C\.l C\.l C\.l C\.l C\.l C\.l f") f") f") 0\ 0\ 0\ 0\ 0"1 0\ 0\ 0\ 0\ 0\ 0\ 0\ 0\ 0\ 0"1 Ol 0\ 0\ r-l r-l r-l r-1 r-1 r-1 r-l r-l r-1 r-1 r-l r-1 r-1 r-1 r-1 r-1 r-1 r-1

111

COUNTIES SERV:ElD :BY LOCAL FULL-TIME HEALTH UNITS
1931.

I. Walker 2. Floyd
3 Bartcw
4. Cobb
5 DeKalb
6. Hal I
l Clarke

8. Spaid ing
9 Bibb
10, Bc.ldwin
II. \'l2sh ington
12. Jeffersen 13. Richmond
14, Jenkins

15. La~;rens 16 Sumter 17. Chatham
18. Dougherty
'9 Coffee
20. \'/are
21. Glynn

22. Mitchell
23 Colquitt
24. Decatur
25. Grady 26. Thom~s 2?. Brocks
28. Lowndes

112

- -------------------------.
COUNTIES SERVED ]Y lOCAL IDJLL-T!ME HEALTH UNITS
1932

,~l

\

~
I

~-~,\

)

I. Dade
2. Walker
3 Catoosa
4. Floyd
5 Bartcw 6. Cobb
7 Fulton
8. DeKalb

9 Cl'lrke
10. Hall
II. SpuldintJ
12. Troup 13. Bibb
14. Baldwin
15. 1/ash ington
16. Jefferson

17. Richmond
18. Jenkins
19. Laurens
20. Sunter 21. Chatham
22. o~_t..ghorty
23. Mitchell
24. Coi')Uitt

113

25. Ware
~. Glym
27. Decatur
28. Grady
29. Thcmas
30. Brocks 31. Lo~ndes

DISTRI:BUTION OF CASES OF TRA.CIIOM.A DI.AGl'JOSED .AND TREATED
1931 - 1932

I, Dade
2, Walker
3 Catoosa
4. l~1it'iold
5 M.rny b. Chatooga 7 Fulton

8, OeKalb
9 Bibb
10. DodcJ II. Who~IEr
12. Tohair 13. Jeff Davis 14. Coffee
2J. Baker

15. i'iaro
lb. Rende Iph
17, Torrell
18, Calhot.11
19. Dougherty
20. Early 21. Mitchell

23. Seminole
24, Dec-atLr
25. Grady 26. Thomas 27. Brooks
28. Lowndes

114

MOUTH HYGIENE PROGRAM
1931 - 1932

I. Dade
2. Walker
3 Catoosa
4, Whitfield
5. Mt.rray
6. Gilmer
7 Gcrdcn
8, Floyd
9 Bartow 10, Cherokee II, LU!pkin 12, White

13, TC'IIns 14.- Habersham 15. Hall
16. Barl<s
17. Stephens
18. Carroll
19. Fulton 20. DeKalb 21. Vialton 22. Clarke 23, Henry 24, Spaid ing

2;5. TrOl.lp ~. Lamar
27. ll.onroe
28. Putman 29, Baldwin 30. \'lash i ngtcn 31 Jefferson 32. Richmcnd
33 Bibb
34. Poach
35, Musco gee 36, Bleckley
115

37 Lat.:rens 38. Treutlen S'J. Montgont2ry
40, Toord:Js
41. Jenkins
'
42. Bulloch
43, Chatham 44, Sumter
45. Dougherty 46. Worth 47, T~ner 48. Tift

4~. Irwin
50. Coffee
51. Mitchell
52. Colquitt
53 Grady 54, Thomas 55 Brooks
56, Lowndes
57 Clinch 58. l'lare 59 Glynn
60. Telfair

SCHOOL TALKS :SY COUNTY HEALTH UNITS

8000 -

ro 6ooo
.!<!
.-1
cd E-i
.-1 0 0
'5
U2 4000
'H 0
H
..Qa)
.~
r-"-1

6422
I~'~:~
~:\ \_
\:\

2000

~~

01

~I~~

'1929

1930

1931

1932

Years

116

COMMUNI C.A:BL.l!l DISEASE CONTROL
BY COD~TY HEALTH UNITS

40 ,':JO
(J1
::"38 ,oo
!.I 'H 0 ~.
C)
,D
~20,000
~
16,000
0

Yenrs
117

PERSONS IMMUNIZED AGAINST TYPHOID FEVER EY COUNTY HEALTH UNITS

200,000

150,000 -

til
t::
0 r-l
1tl
t;l
'E!lOO ,00 ~
j
H

(j)

+>

(j)

r-l

o~50,000

0

I

'H 0

I
0

1SQ18
~~~
1929

113098

II90iill
I~II

~
I~~~

--r-930

-1:931

Years

118

!!
~
~
l
162946
~ ~~ -
l~~

~~~

-
I

19.52

EYPRCEONUATNtT~Y.LHH~' ~THVUISNIITTSS

Ill .p
rl Ill rl
:>

't-1 0

20

,ooo

'-t
(!)
~
~;-~

10,000

0

Years 119

PERSONS IMMU11IZED AGAINST DIPHTHERIA :BY COUNTY HEALTH UJ:H TS

4o ,00()

I
i30,00~-

'I I

H Q) .p
,oo Q)
~20
8
0
~
0 H
Q)
!10 ,oo
0

I~~~

17948
I'~~'
I~~

i~~~~~
~

1929

1930

1931

1932

Years

120

HOOKWORM TREATMEl~TS :BY COUNTY HEALTH UNITS

4o,ooo
~0,000 fi_
G'
s(]) "ttl
(])
S.. E-t 'H
"c:o ,ooo
S..
(])
J
10,000
0

6
~~

1930

1931

Yenrs

2 42
~~~,, \\ -
~
'\
~
~'~\'~\
1932

121

SANITARY PRIVIES INSTALLED IN CO'{J}'!TIES WITH :EULL-TIME RE.AlrTH UNITS
_, __

4ooo -
rd
Q)
:::: 3000
~
+>
rsl::l
H rll Q)
t~ 2000 -
ll-t
fH 0
~ Q)
~.0 1000
0

f~~.
\,\'' I ~\\~\'
~"~~'\'1.,
~,1
~~~
~\",~,
1929

21

~\
I~'

~

1155
~ ~
~I
~

"~~~~\'

1930

1931

Years

122

-

16

~
~
~

~"

\

'

1932

SPECIM:BEYl~SCOUSENNTTY ~~TATHTEUl~LTASIDRATORY

.. ,~ ~~~-

~ 200,000 I
i

150,000

t
0
~

' t ~,1100 0001

~s::

~'

c.>

I

til

I.

~
(J)

50 ,oool!~-

s.....

Il'

g

I!

~

u

I

oL __

1932
Years

123

AGERAGE AGE AT DEATH

1931

r---

,-- 45r

4o t

i

35

I
!

30 .

I

f1l

~
~l

25

I

(f.(
0 20
~
$. '
~~ 15 ~

I
wl

L----_-_-_-,j Counties with Health Units
~~~\~~~'~~\-"-',~\,J\ Counties without Health Units
124

Tt1BERCUIDSIS FIELD CLINIC H. C. Schenck, Chief Clinician
A TI.Obercclosis Field Clihic Service was COII'II!Elnced in October, 1930,
throu9h t~ coop"ration of the State Tubu-culosis Sanatorium, the Georgia Tuberculosis ,Assooiation, the State 8oad of Health, Cot.nty Health Commissioners, and the medical profcssicn.
From a w:.ry mcdost beginning, this service was quickly built up so that
until April, 1932 it consisted A a traveling diagnostic U'lit composed of a clinician
from the State TubcrcJlosis Sa<~atcrium, an associate clinician assisting with
= organizati<)n w~rk and d ing tuberculin testing, an x-ray outfit fully equipped
making and dt>.oloping x-ray chest films in tho field, an x-ray technician, and clinic nlJ'sa.
The field of .;;-perat ion was I imited to health-officer counties and to those colX1ties having public h:::alth mrses, '!S it is almost useless to attempt control work
in tuberc:;losis wiihcut suitable foil c.-up. Howsver, in f>pri I, 1932 a follow-up
m.rse was added to the pursonnel, and other co~;nties were added unti I the unit is cperating in fifty C('Lnties, the limit of its capacity with the presont staff of A.rkers, and under the present plan of o~eration.
New, as when this service was begun, the object of this program has been kept uppermost in mind; that is, the discovery, eure and prevention of tuberculosis with especial errph<1sis on early discovery of early h.berculosis, for it is tuberculosis h its very earl iost stag;; which is most amenable to proper management, and such discovery can be made cnly with certain ~ethcds with highly technical ski I I. Tho pot icy of making rc?~ts to the physician of the patient's selection and of offering no suggestions of treatrrent to tho patient, except through his ph)ISician, has been
striotly adhered to, and it is recomnended that this proven successful plan be rigidly
upheld by all workers in this service.
The hollle treatl!lent of tuberoulosis can be aocOI!lllished with assurance of suecoss in no other way and the proportion of success in Ol.r fight against tuberculosis is in direct ratio to the interest the local physicians may have in the ~atter, No natter tnat patients :Jo tc a sanatcriun, since a time I imit too short to cl.re, usu1lly is set after which they must rehrn to their homes only to lose whateva- they gained t.nless a satisfactory sup;rvision of their cases wder their own physicians can be accomplished. There is no intent to disparage the value or the need of sanatoria. They fi II, unti I they can be supplied otherwise, a crying need for special forme of treat~rent, and their educational valw to ratients and physicians alike is invaluable.
125

It is conceiva!:lle t~at with sanatcrium treatment and h0me treatn:ent co~rbincd, the inciJcnce of tuberculosis can be so reduc<>d that sanatoria would finally become h01005 fer tho incl.rablo and fit in nic'lly with rrovt5ntion work by becoming true colcnization centers. Much wcrk will have t~ be c!ome before that tiro arrives, however.
Besides assisting physicians in the counties in which clinics have been held, the Tuberculo$is Central Service has t~en able to induce several physicians and Sl.rgeons to use r;llapse therapy and ;:>crfcrm llng C)llapsing operations with gratifying life-saving results. It will bo possible, under a ;)lan for eXpanded clinic service, to interest physicians and surgeons in evury district to the extent that they wi II equir the111Selves with aparatus and training necessary to make these forms of treatment, which have prcven of such imrronse value in certain types of tuborculosis, avai labk to many patierts at home. Also, such a program would offer to wany patients with ncntuberculous lung afflictions rei ief by the same methods Jf collapse therapy at heme, or close to their honLs by their own physicians.
lrifortunately, figures are not now avai Iable shewing actual results in Olre, improved cases, of prevention work, etc., but many cases have been arrested, many have secured thP. advantages of special formS cf treatments, the contact of many ohi ldren and othurs with opon cases of tubercul ~sis has been broken and it is kncwn th~t through the instrumentation of this servia~, acting between patient and physician, the tuberculosis death rate ha.s been materially loW<Jred, even in the face of one of thegreatcst periods of depr~ssicn the country has ever kncwn. It will be possible, we hope, to give full details of the results obtained by our eff:rts in tuberculosis
central at the en.j of 1933
full credit for the success of this service is iCccrded to the medical profession in the Ccuntios where this work has bcJn carried on, fer, withcut their splendid cooperat ien, nothing could have been dcno.
It is possible to greatly increase the efficacy of tubercuhsis control by increasing the fellow-up mrsin~ service, to cover the entire State with clinic service, and increase, with a slight change in clinic mechanics, the nunber of clinic examinations fromb,OOO to 15,000 per year. Such a clinic change would permit the chief clinician to pass on every case, permit him to speat one-half of his time in thu office or other outside wcrk relating to tuberculosis. The augmented follow-up service would be imrnsely valuable in many ways. Bosidos tho usual duties of calling on j:hysicians 1n:l receiving instructions for patients and attumpting to put such instr-ucti ~ns into effect, such instruct ions covering not only treatment Lr the patient but for preventing the infecticn of )thers, fellow-up 111rses would assist in organizing clinics and help with them. These nurses would be of inrrense value in the wcrk cf enl istins aid frcm all health associations, sccioties, schools, and private citizens in the health and social welfare problems which have to be solved in each family where there is tuberculosis, if this disease is to be actually controllod.

This enlargt;d pr..::rarn can be accofllll ishecl fer no greater cost, pe1haps less, per capita than is the cC'st of ell" present less adequate plan,

Less than five hundred cases were examined in clinics in 1930:

Ne, Clinics from Octob'r 131 1930 to Oece11ber 31, 1931
No, PGrscns Ex~mined
~. RcHJlnminaticns No. Diagn;;sed as Pc.s iti vc ;, Dia(1l;sc.: as Sus~icicus Nc. Oi~'JT'used as '!ogQti ve

93
5.576
619
1,539 - 2].60'1> 589 - 10.56~
3,448 - 61.84~

hs wi II be seen in the appended table, a classificaticn according to age
grou;:>s as well as to ty1c ,1f disease is atte"l'ted fer all examined in 19321

127

TDnERCULOSIS CLINIC STATISTICS, 1932

CR IGIN:iL EXI'.~~ INATl ONS 'f1b4~
WHITE Childhcod T, B,
l.~inimal
Mcd. Mv. Far kJv, Tota I ~>osi ti ve
Suspicious ti~!J<It i ve TOTAL

- RE-EXWIN:,TtONS

AGE MALE
To- 16 17 - 45

51

I

2

23

2

37

18

~5

79

167

55

826

471

1,oca

6Cfj

1 180~ - TOTAL EXf~:IN'\TIGNS

TOTAL tNI!..E

46.t.p

To - lb

~2

120

6

31

1

18

57

2

II

29

35

203 123

21

243 163

73 1,370 835 129 1,822 I,121

6,453 - CLINICS 134 - CLINIC DAYS 193

AGE FE'IiALE

TOTAL FEMALE

TOTAL PERCEt;TAGE

17 - 45 46 - Lp

4

124

216

5-72

'f>

6

43

]4

1.:;6

~6

[4

62

119

315

27

4

31

6o

1.59

111

24

26o

4h9

12.42

Cl

lt.

238

481

12.74

5b9

50

1,454

2,824

]4.82

743

88

1,952 3, 774

IGC.OC

COLORED <hi ldh~oG T.3. Minimal tlod. t.:lv. Far Mv. Total Positive
Suspicious Negative TOTAL

34

34 5G

00 C\J r-1

50

84

~.6c

I

I

I

3

4

5

57

I

3

I

5

3

7

2

12

17

1.94

I

12

13

5

)

22

2.52

37

15

I

53

54

19

2

75

128

14.~3

36

13

6

:s 40

8

2

50

105

12.00

164

69

21

254 236

13'~

18

378

642

7337

Z37

97

28

3b2 330

!61

22

513

87)

100.00

FiJur&s an; mt available, at this time, fer all hberculin testing, but in 1~31 mere thn IC,~JO tests were done. Much of it was done by county health C,'Mlis,:ioners un{1 ;r our directi~n. However, there were tested in Bartow County 2,380 s::tuol chiljron with the result that 15.12 per cent were found positive to C.! mgil:. Oh Tuwrcu I in !:ly the t.Aantot.n( rethod, which is the one adopted by us as )~inJ the most ~courate.
Du-ing 1332, 2,234 white ard 600 neyrc schcol children in Hart CoLnty were t~.o!;erculin teste~; 713 por cent of the white and 12.90 per cent of the neg-o children we,e fc~ ::;,,sitive reactors to J.l mgm. Old TLbercul in. In Bartow CoLnty,
2,50\ whi:e. and 067 nog-:> children were tested; 2535 per cent of the white ard
23.38 per cent of tho OOJ"O children were f~U1d positive. In 1932, 10,435 school children were given the tuberculin test by the
associ>ite clinician in secu-ing material for later examination by the clinic peramnel. ~iith the exception of the special grours mentioned above, ()Illy thus suspected of having t~.o:Jerculosis, or thosf; in contact with open cases were tested.
During 1932, our f:-llow-o..p nurse in 187 days visited in the field 1,193
patients, having seen prier to thesf; visits 193 physicians b whcm visits were
made 260 times. In a~diticn to the work done by our nurse, a great deal of similar foii'W-Uj:' wcrk has been .Jcne by Miss Whyte, Field Ntrse fer the Georgia Tlberculosis Associativn, the c~~.nty Health Ccmnissioners, and Ptbl ic Health Ntrses in COU'lties having pull I ic health nutsing service.
Respectfu II y submitted,
H. C. Schenck, M.D., Chief Clinician.
129

BUREAU OF VITAL STATISTICS Butler Toombs, Chief
lo1 this report are presented statistics of births and deaths fer the two
c~.lend-:-r ye~rs 1931 and 1932. crdinari ly vital statistics rdlect m oconomic depression
with a lowered birth rate and an increased death rate but the reverse has bwn true in Gr:.orgia during the past two y-;ars of world-wide depression,
Births- In 1932 thor.; .Jere rogistervd 63,690 I ive births, corresponding to a birth rate 21.5 per 1,000 population, In 1931 Georgia was tho only state in the lhion
that has the distinction of an inore~se in its amual birth rate. Birth rates for the
counties in 1932 rangE; from 10.9 for Echols County to 30.7 for lhion County.
Deaths- Tho deaih rate per 1,000 populaticn in 1932 was 10.8, which is eleven per cent lower than the rate (12.1) recorded in 1930. The death rates in 1932 range from the low 4,0 in Echols County to 22.2 in Mcintosh County.
Infant M:lrtality- In 1932 the infant mortality rate per 1,000 live births was 64.3 which is the lcwest rat!i reccrded sinc3 the registration of births and deaths became State-wide. Theru wero 41097 deaths of infants under I year of ago but had the rate per 1,000 I ive births remained as of 1531 thero would have been 1,540 more deaths
of !Jabics under I year of age.
In Georgia 1932 was a splendid health year with reductions in the rates of many
of th3 important causes as we II as the gener.;l death rate from ~II causes, Typhoid fev<J, Influenza, Dysentery, Tuberculosis, Cancer, Pellagra, Pncummia, Nephritis,
PL.~rperal and many other causes show dea-eases. The rate fer t}phoid fever in 1932, cu.,pared with 1931, shJWS a reduction of 30 per cent. There were 38 counties with an aruregate populaticn of 403,271 that dij not have a death frcm typhoid fever in 1932. In the past eleven years this reccrd has been excelled only once and that was in 1929 wi~h 46 cuunties without a death from this disease. The duath rate in 1932 frum T~oerculosis (65.3) is the lowest rate ever recorded in Georgia and is II per cent less th<.n the next lcwost rate (73.7) rec.)l"ded in 1931.
These reductions in the death rates of the various diseases represent a saving
of 1,000 lives, that is, if the d&ath rate vf 1931 had prevailed in 1932 there would have been 33,159 deaths instead of 32,122 that actually occurreG. If the future earning pcwer of these saved Feoplc avenged cnly $5,000, it wi&l mean that in their future
I ives they wi II earn $5,ooo,ooc.
/~f~~ autkr Tcunbs Chid, Bureau of Vital Statistics
130

Tab Ill I. Population Estimated as of July I, Births and Deaths with Rates Per 1,000 Population,

Infant Deaths lhdor I Year of Age With Rates Per 1,000 Live Births, Births Per 100

[)Qaths, and Stiii-Pirths l'lith Rates Per 1,000 Live Births, By Sex and Color, in

Georgiaz 1931 ill.d 1932

--------

---r~~-B-OT-H-~--ES----r----M-~-ES------~---rn--.~-E-S----~

SUBJECT
POPULATION Total Illite

c_-;;~ 1931
Il
: 2,96o,66l 2,937,482 , I18]6,)6 I1858,856

1932

1931

1

I,459,674 , I,4481497

939,876 931,384

1932

1931

I

I ,500,989 I ,488, 985
936,495 927,472

Colored
BIRTHS Total Vthi te

: I 084. 'IDI I 078 626 'il'1. 807 'll7 ll"l 'l64 4q4 'l61.'ll"l
r------..l----,-----ll'.I. NIIM'tl'~ !W.tCir------+------1

63,69~ 61,774
)8,20 3],531

)2,658
19,716

31,635 19,282

31,032 18,493

30,135 18,249

Colored

2'),481 24,243 12,942 12,353 12,539 II ,89Q

DEATHS Total r.h ite

32,12~I 32,999
1G,8I 11,012

I
I 17,127 1 17,791
9,352 9,488

14,995 7,461

15,198 7,524

Colored

15,30" 15,977 7.7751 8,303 7.534 ],6]4

INFANT DEATHS Total r.hito Colored

4,09~ 4,234

2,300 1 2,455

1,797

1,779

2,12

2,137

1,215 1 1,252

907

885

i 1,97,1 2,097

1,0851 1,203

890

894

STILL-BIRTHS
Total l'llite Colored

; l:~ t~ '~I ':~ ~.~ll ~.~ ~- ~-t _2_;'='---2-''-'25_4-!...--!!.::..34.::.3..!.--_1.:...,29,.::.:.7_..1..-_...:1':.,.0_12-t;____

L-
BIRTHS PER l,SCO PC'f'ULATIO!' i

Total

21.5

ltl ito

, 20.4

!
II 21.c 20,2

RATE

11.0

10.8

10.5

10.3

10.5

10.4

99

9.8

Colored

j 235

I DEATHS PER 1,000 POPULATION '

Tota I

I (;,8

II 22.5
11.2

1\hite

' 3.0

9.2

11.9

11.5

11.6

11.0

"7

12.3

10.0

10.2

}.0

10.2

8.0

8.1

Colored

I! 14,1

BIRTHS PER 1,000 DEATKS Total

I 1)8.3

Illite Colored

22].3 Ij 166.4

INFANT DEATHS PER 11 000 LIVE jCliRTHS

Total .lh ite

'I 64,3
555

Co I ored

77-5

STILL-BIRTHS PER I,OOC. LIVE ~IRTHS

~~~

i ~~

1\h i te Colored

!I )9.0 i 924

14.8
187-3
j 220.6
151.7

15.0
190-7
210.8 166.5
7o.4
61.6 83.8
6e.o
44.5 103.8

16.1
177.8
203.2 148.8
776
64.9 974
67.3 43.1 105.0

133
2ob.9 24].9 166.4
57-9
49.0 71.0
52.4
333
80.7

137
'995
242.5 154.~
59-0 48,;5
752
51.4 32.4 80.5

TU

TABLE 2. Deaths From Speeified Causes, By Color, In Gtlorgia: 1)31 and 1932

-t' J'!illf---t- !

-..

1~32 1~31 1~32 CAUSES OF DEATH

I__ ..!QTA_L

COLORED

--AIJC;~;;---- ----~~

1932 i 1931
32,'}89+116,813!17,012

15,309

1931 15,977

Typhoid ~nd Paratyphoid favor

II 363 513__ 1331 201 230 312

Typhusfever

8

7!

4

5. 4

2

Undulant fever Smallpox

3 I

o!
ol

31
oj

0 0

0 I

0 0

tt'oasles Scarlet favor
Vlhocping Cou(#l
Diphtheria
lnfl uenza
~::t~~iomyolitis
Lethgaric Encephalitis Cerebrospinal ~ningitis (epidFJmic)
Rabies

15 62 j 61 37

9 2J

19 46j 17 38

2

8

I 112

113 'I 521 59

60

54

II 169 158 1391 122 30 'f>

I, 170 I ,301! 6941 703 476 598

~- ~~~ ~~~ ~~ ~ 5~ ~~

I 13

12! 111

71

2

5

26 561 12 38j 14 18

3

11

I'1 11

2

0

Tetanus Tuberculosis (all fori15)

I -;f;

47! Ill 13

15

34

1

1 1,933 2, 1651. 665j 700 1,268 1,465

Syph i I is Other venereal disoases
t.'alaria Cancer Diabetes 1/ellitus

425 413J 731 54 352 359

32 IG i 6 5 26 II

1 316 307! 1361 119

18( 188

, 1,531 1,580 ,I,Cij2 1,1oe 47J 474

343 322 2~01 224 83 '38

Pellagra Ane111ia Cerebral hemcrrhage and softening Heart diseases PnelAI'O'lia (all forms) Diarrhea IW\d enteritis (Uldcr 2 yeQrs) Diarrhea and enteritis (2 yrs. & Over) Appendicitis Clrrllosis of the I iver
Nephritis Puerpera I aeptiCelllla other PLerperal causes Suicides Homicides Autcmobile accidents other uxtemal violcence AII other eauses

492 5631 2051 192
1 S7 I 61 j 42. 36

I 2,352 2,366,1,27811,277
41 102 31948 21308 2,101

1 21444 1 2,465 I 1,204 1,255

1. 390 545! 2')4 291

I 184 358

i 204 }9
347 I 255

113 234

91 124 j 61

87

},2i61' 3,226ll 1,753 1,794

lb5 153 I 69 80

455! 463, 241 242 304 1 313 279 282

554 5?71 175 179

539 6121 385 397
1,375 11398 797 s4b
81 275 41C28 1 41 ab5
I

287 15
1,114 1,]94 1,240
136 85
103 30
1,463
96
214 25
377
154
578

371 25 1,089 11 847 1,210 254 91
113 37
1,4)21 73 221 ,. 11
4l8 I
215 552

132

TAil.E 2a Ooath Rates Per 100,000 Populaticn, From Specifi~ causes, In Georgia: 1931 and 1932

-------

CAUSE OF DEATH

------------
All Causes

Typhdd ard i'aretyphoid fever

Typhus fever

Lrdulent fever

Smallpox

r.basles

Scarlet fever

Whooping Cough

Diphther ia

lnfluenz a Dysentery

Acute Po I iomye lit is

t.ethgar ic &lcephal it is

Cerebrospinal tr.eningitis (epidemic)

Rabies

Tetanus

T\.berculos is {all forms)

Syphil i s

other\1\lnereal d iseascs

Malaria

Cancer

Diabetes r.bll itus

Pellagra

Anemia

Cerebra I hemcrrhage and softening

Heart d iseases

Pnemon ia (all fcrms)

Diarrhea and enteritis (lrlder 2 yrs) Oiarrhea and enteritis {2yrs. &over)

Apr;end ic it is

Cirrhos is of the I ivcr

Nephr it is

Puerpera I Septicemia

other Pwrpera I cuases Suicides

.. ,-

Homicide s

Automob i le accidents

other external violence

All other causes

133

TOTAL

WHITE

COLCRED

1932 1931 1332

1005.0 1123.C a96.o

12.~ I].' ].1
o.q o.: < 0.2

o.1 0 0.2

0

0

0

0.5 2.1 0.3

o.6 1.~ 0.9

3.8 3t 2.8

57 5~ 74

395 44.~ 37.0 4.8 6.< 4.5

0.9 1.1 1.1
0.~ o. 0.6

0.' 1.- o.6

0.1 0 0.1

o.c I. o.6

65.' 73 35.4
14.4 14.1 39 1.1 0.' 0.3

10.7 10.5 ].2

5'7 53! 56.1 11.6 II.( 13.9

16.f 19. 10.9

1.' 2.1 2.2

BC.( 80.1 68.1

138.{ 133. 123.0

82.' 83. 64.2

13.: 18. 13.5

6.: 6. 53 12.1 II. 13.6

3' 4.: 33 108.~ 109 93-4

56 5-" 37 15.4 15.( . 12.9

10."~ 10. 14.9

1!3.7: 20. 93 te.~ 20.[ 20.5

46.4 4].{ 42.5

I
281.3

281.

214.7

I

1931 1932 1931

~15.2 1411.9 1481.2

10.8 21.2 28.9

0.3 0.4 0.2

0

0

0

0 0.1 0

2.0 o.8 2.3

2.0 0.2 o.7

3.2 55 5.0 6.6 2.8 33

378 43.~ 55.4 4.6 52 8.4 1.2 o.6 Q.9

0.4 c.2 0.5

2.0 1.3 1.7

0.1 0.2 0

0.7 1.4 3.2

377 116.9 135.8 2.9 325 33.2 0.3 2.4 1.0

6.4 16.6 17.4

595 44.2 439 12.1 77 91 10.3 26.5 34.4

1.9 1.4 2.3

tn.7 102.7 101.0

112.9 1655 17t.2

6].5 114.4 112.2

157 12.5 235 6.1 78 8.4
12.6 95 10.5 4.7 2.8 34

96-5 1349 132.8 43 8.9 6.8 13.0 197 20.5 15.2 2.3 2.9

96 Jj.O 38.8
21.4 14.2 '99 455 533 51.2 218.7 396~ 390.3

I

I

TASLE 3 Deaths From All Causes, By Age, Sex and Color, in Georgiat 1931 and 1932

-
YE/\R 00 AGE
----All Ages
1932 1931 Urd er 5 Years 1932 1931 5 - 9 Years 1932 1931 10 - 14 Years 1932 1531 15- 19 Years 1932 1931 20 - 24 Years 1932
19)1
25 - 29 Years 1932 1931
30 - 34 Years 1932 1931
35 - 44 Years
1932 1931
45-54 Y~s
19)2 1931
55 - 64 Years
1932 1931 65 - 74 Years 1932 1931 75 & Over 1932 1931
\H<nam Ages
19:91931

Both Sexes

TOTAL
Males

II I Females

"
WHIT! Both Males

Sexes

Femalss

!

32,122 j17, 127114,~95 32,98? I 17,791 115,1~8
II

16,8131 9,352 7,461 1],012 9,488 ],524

5,361 : 2,94! ?/iJ7 1 2,8451 1,597 I,248

5,633 j 3,231 l ~,402 , 2,87' 1 1,659 1,212

II

Ii

5)6 1 2841 232 I 305j 173

531 i

I
3041

II I
478 253 i

I 553 I 259 ! I

1,084 I 503 !

;'.2]
220 254
581

1
I
1
I
.III

3071
I
229 I
2651 I.
4161

187
!35 1551
228

132 120
94
110
188

1,215 I
I
1,6!3 I
I,]II I

6231
i 764 I
845 I

5}2
849 866

I ' I 438/
'
5591
! 594 I

25)
284 330

179
275
264

I 5~ 1,417 665 752

I 247 262

1,445 699 7t.6

5161 274 242

1,3?3

667 I

726

I I

569

303

266

1,582
3,405 3.503

7851 797
.I 1,721 III I,684
11,784 1 1,719

I' 6c6

II
I

1,383 1,406

317
]bo 772

289
623 634

1''1' 1''<5 I 4,116

I 1,6~ 1,041 655

4,291 2,403 1,888 1,820 I, II I 709

4,187 2,456 1,731 II 2,322 1,433 889
! 4,234 2,469 1,765 2,330 I 1,431 899
I

4,132 2,3381' 794 ,2,8381 1,592 1,246
I ~.117 2,2~ I 1,828 2,8831 1,581 1,302

4,389 2,2221 2,167 13,130 I 1,552 1,578

4,129 2,Qt,o 1 2,oa9 1 2,961 I l,,:ol 1,560

31
4'i

I ~I 141 17
2o I 2'i

7
II

5
4

----

j

COLORED

Both Males Females Sexes

15,309 7.775 7.534 15,977 8,303 7,674

2,516 1,367 I, 149 2,]62 1,572 I, 190

I

211 Ill I 100

I 2241

117 i I

107

I 249 1 123 I ,a;
2881 1441 144

668 2i5 393 777 364 413

1,(1)4 480 ~74 1,117 515 602

908 418 490 929 425 504

824 Jb4 460
9761 468 508

2,022 961 l,c61
2,097 I,01211,085
I, 2,420 ,230 1,190
2,4]1 1,292 I, 179

1,865 1,023 842 I,904 1,038 866

1,2;)4 746 548 1,2]4 708 526

1,2591 670 589

1,168 639 529

I
~~I

~~~

p;4

TABLE 3a Speeific Death Rates Per 1,000 Population, Fer All CatJSes, In Gecrgiar

--

1)31 Ard 1~32

YEAR AI-D AGE

TOTAL

I Both
Sexes

i Mal e

All Ages
1~32

I
10.81 II,]

1931

11.2 i 12.3

Lh:ler 5 years

l

1932

II 16.C ' 10.3

1931

I 17.6 20.1

5 - 9 years

i

Female

Both Sexes

WHITE Male

10.0 90 10.0 10.2 ~.2 10.2
15.0 13.~ 15-3 15.1 14.2 16.1

Female
8.0 8,1
12.3 12.2

COLOR

Both Sexes

Male

14.1 15.0 14.8 16.1
21.4 235
236 2].2

1932 1931

I 1.4 1 1.6
I 1.5 i 1.7

IC - 14 years I

I

1932

1.4 1.5

1931

I.G 1.7

1.3 1.4 1.5 1.2 1.3 1.4 1.] 1.1
1.3 1.1 1.3 0,') 1.5 1.3 1.5 1.1

1.6 1.] 1.] 1.8
1.3 1.~ 2,2 2.2

15 - 19 years

IJ32
1931
20 - 24 years

32 I 30 36 37

34 2.0 2.2 '3 35 2.2 2.5 1.8

4.9 4.3 57 57

1932 1}31
25 - 29 years

55 55 5~ 6.2

55 31 3-2 3.0 56 33 3-8 2.9

~3 94 99 10.2

1~32
1931 30 - 34 years
1932 1)31
35 - 44 years
1)32 1931 45 - 54 years

6.2 6.3
6.4 6.6
lI
7-5 ].6
8.5 ~ '}.0 I I
9.9 1 IC.5 10.3 ! 11,0
I
!

6.2 35 36 35 6.2 36 4.0 33
].4 4.6 50 4.2 8.2 4.9 53 4,6
53 6.2 6.8 55
96 6.; ].0 5-7

10.9 11.4 11.2 11.6
133 13-3 15.8 17.2
16.9 18.5 17.6 1~.6

1932

15.3 1 16.6

1931

i 16.1 17-7

55 - 64 years
1932
I ! 1931 I 65- 74 years

27.J !l 2'}.3
27-5 2).] !

1932

51.4 ! 569

I

1931

51-7 i 56.1

75 & CNer

i

s.s 13-9 ').8 11.8 77
14.4 10.6 12.7
24.3 22.3 26.3 17.8 25.0 22.5 26.5 18.2
457 50.6 56.6 44.6 4].0 519 567 47.0

25.1 253 258 26.7
369 349 378 356
534 57-5 51.2 549

1932
1)31 lhknorn .~ges

1753 j 136.1
118.0 !I 1259
!

1159 1327 142.1 124.6 112.6 12G.7 1295 124.3

110.0 1239 102.6 115.8

1932

16.5 1 14.1

19-3 12.2 12.6 1!.] 21.3 16.o

1931

24.2 20.3 28.6 15.4 20.0 95 338 20.]

Female
13-3 137
1~.4
20.2
'5 1.6
I.'}
2.2
55 5.8
'}.I
'}.6
10.5 10.9
13.2 14.]
15.6 16.1
250 '
24.~
394 40.]
48.6 46.'}
976 88,1
Gb.4 46.5

TIRE 4 lnhnt 0<"dhs Under I Year of l.g;;, From Specified Causes, by Color, In GGa-gia: 13)1 And 1~)2

------------.-------+-------r---------1

All Causus
Measles
Scarlet fevor Whoop i ,'9 Cough

j

TOTAL

WH 1TE

COLOR

11531 -, ~- ~

l j ; - r ljJ~- -19-3;----.---19-31--1

I 2,09; I

-~

I 4,09~ 4,234 2,122 2,137 1,97~

I ;I ~ ~ l ~ ~

Diphtheria Influenza
Dysentery

i

i 20

16

17

7

3

9

I 117

114

(I

57

56

57

I 2') I

45

17

23

12

22

Erysipelas
Meningocoecus Meningitis

I 17

13 5

17
2

10 4

0 2

3
I

Tetarus

5

I

0

I

5

Tuberculosis (all forms) Syphilis Convulsions

It

14

8

10

6

T3

73

10

15

63

58

40

31

13

II

27

20

Brcnch it is
Broncho-pneumonia Pnei.Mn(tl i a

?

I:J

6

5

3

5

24')

2C)

133

ICO

112

189

245 1 2G9

102

80

143

129

I

2;r1' Storr.3cn [' isea~es

I

Oiaphea ~ tr';ritis lhder

2~~ ,

24
345

13
174

6
184

16

18

97

161

Cnn~n' tal F _,j iormat i <1nli

137

130

1C9

IC3

28

)0

I

C...n<113rd ta I ~leb i llty

II
l

142 lI
I,O(JO

232
1,153

64 671

120
700

78
419

112
453

l

146

~

:J6

40

50

I

Clher Oilllll~ 9f Early lnfano;,

External Ciwse IHc.nown, UI-defined
AII other. Cai.Bes

I1
I

n'1)1
349 235

73
37
293

139

151

Ill

'

Tf<BLE 4a Infant 0\laths lhdor I Year of Age Per I,00(; Live Births, From Specified

Causes, by CcH~r, In Goorgiat 1931 and 1932

----------r

CAUSE OF DEATH

I TOTAL

______________ _j_ 1932

1)31

VIHITE 1)32 1)31

COLCR

1932

1]31

All Causes

64.3 b3.5 555 569 775 e6.5

Measles Scarlet fever ~lhoep ing Cough
Diphtheria Influenza Dysentery

c.J 0.2

0

0.2

0.2

0.2

0

0.1

D. I

o.l

0

0

1.1

1.2

D.)

I.e

1.5

1.4

0.3 l.[l

I0.3

0.4

1.8

1.6

0.2 1.5

0.1 2.2

0.4 2.4

0.5 0.]

0.4

o.6

D.5

0.9

Erysipelas treningococcus !.~ingitis Tetanus

0.3

0.2

0.4

0.3

0

0.1

0.1

C.l

0.1

0.1

0.1

0

0

c.l

J

0

0

0.2

Tlbercu Iosi s (a II forms)
Syphi I is Convulsions

0.3

0.2

0.2

0.2

0.4

0.2

1.1

1.2

D.3

0.4

2.5

2.4

G.6

0.5

0.3

0.3

1.1

o.o

Bronchitis

0.1

0.2

;.).2

0.1

0.1

0.2

Broncho-pneumonia Pneumonia
Storrach Diseases

tI 3.3 3.3
I
0.5

Diarrhea & Enter it is lhder 2

4.3

34

35

34

2.]

I~.4

0.3

5.6

4.6

2.]
2.1
0.2 4.9

4.4 56
0.6 38

4.5 53
0.7 6.6

Congenital Malformations

2.2 2.2

2.9

2.9

1.(

1.2

Congenital Oebi Iity ?rellllh.re Birth In jury at Birth

I
I 2.2
I 17.1 2.2

II 3.0

'7

13.7 17.6

I 2,4

2.6

32 18.7 2.6

3' 16.4
1.6

4.6
W.7
2.1

I Other Diseases of Early lnfJy 2.1

2.v~

1.0

1.9

2.5

2.2

Externa I Causes l.H<nown, Ill-defined
All Other Caui<Js

I

1.21 14.9

1.4 14.4

0.9 8.6

l 4.2
371

36

____! ____

1.0

1.7

2.0

70

24.4

24.6

4.0

38

4.6

I

137

TABLE 5

Birlhs and Deaths With Rates Per 1,000 Populaticn, Infant Deaths lhder I Year of
fv;Jil With Rates Per 1,000 l.ive8irths1 and Still-birth& With Ratas Per 1,000 Live
Births, By Color, in Each Countyt 1531 ard 1532

AREi,, COLOR M() YEAR
The State
Total 1:132
1~31

BIRTHS A~ DEATHS--~T DEATHS j

-

y: (exclusive of s~,i 11::00~ ~ 1

STILl~IR:

0 I 1 TOTAL ;JlJMlER

POPUL~TION ToTAL t,ooo TOTAL t,ooo

. L -1 . - _ __1_ _____ JIIJM3ER LIVE NUMEER LIVE

t - T - i 1 1 .. --, --

I

I BIRlHS DEATHS BIRTHS DEATHS j

~ -~---

BIRTHS

BIRTHS

I1 63,6~ 132 122 21.5 10.8 4,097 64.3 3,fl47 60.4 61 I 774 132'989 21 .o 11.2 ~,234 Cs.5 3,678 595

I White 1:/32

38,2C9 I 16,813 20.4

1331 I 37.5:)1 II7,0IZ 20.2

I l <'olor~d 1932
I 1931

!

I

25,4a1 15,309

24,243 115,)77

23.5 22.5

Appling

I Total 1932 i 321 I 116 23,6

1931 I 312

8) 23.2

I

!

\tl ite 1932 I 250 . 77 23.4 1931 I 239 65 22.5

I

l Colored t~ f I?Jl

I71 1 39
73 20

24.7 25 .6

Atkinson

ictal 15JZ 1 1941 35 27.o
'?' 1 146 I 37 2c,]

l' 157 1I 22 30.
f 1071 26 21.2

I Q,Jorw 1932

'fl : I~ I[. .I

1931 :

J) i ll 1~.5

I l:;aoon Total I~

22015211

81

2SJ.2

1331

60 20.6

I ihite 1932

175 I

66

20.5

I 1931

178 I 43 29.4

Colored 1)32

37/l 15 33.0

_ _ _1_ 931 _____,_ _2_7_:_ _ 12 2<~.4 __.~,__

90 I 2,122
921 2,137 j
14,11 1,9i5
14.8 I 2,097

a.sl 17
63 I 12

72' II

6.11 1o

!

I13.61 6

7.o

2

555 1,492 569 1,424

n.s 2,35:;
86.5 1 2,254
~ 53,0 20

385 II
I

1\4,0 'I II

41.8

8

I B4.s 1 9
27,4 I 3

390
ss.o
92.4 930
62.3 353
44.0 335 i
126.8 ' i
41 .l ',

4.9

2 10.31 8 41.2

5.2 1
I
54.2311

I 7 4].9 1
2 12.7 .
5 I ti,.? {

12 i 82.1 :

I6

I
1

sa.2

7 65.4 :

I I 6,41 ~ 0

2 54. [

551 2 5131 5 j128.2

11.21
B.4j

i 14 I 66.0 : 9 42.5
I 8 39.0 21 jtc2.4

II
I O.d

~

I
51 .4 i

I
8 I 45 7

791

8 44.) I IC i 56~2

i 13-41 5 135.1

j 27,0

I IC.l)I_ __0 __ _ 0 jI_ _ _ II _.!_4_0_7.4_

TASLE 5 Births and Deaths Vlith Rates Per 1,000 Population, Infant Deaths lhder I Year of Age Vlith Rates f'er I,OCC Live Births, and Sti 11-births With Rates Per 1,000 Live Births, By Color, in Each Countyt 1331 and 1932

-,

BIRTHS AND DEATHS

INFANT DEATHS

MEA, COLCH IiilO YEAR

L (exclusive of stil !-births)

Ut{)ER I YEAR

I II
TOTAL NLM3ER
i_ ...

I
I i'ER I,000 POPU.ATION

TOTAL NlMBER

PER
1,ooo
LIVE BIRTHS

!

i

j Sli<THS DEATHS BIRTHS DEATHS

-------+-

Baker

i

Total

I 1932

213

1931

230

I

89 26.5 11.1

22 1033

65

289

I8.2

10

435

ll'hik 1932 1931
Colored 1}32

I
l

bb
]f3
I
147 I

29
31
bO

1)31

152 I 34

21.3 94 255 IC. I
257 12.1 31.1 ].0

7 tc6.1
5 64.1
15 102.0 5 329

Baldwin

Total 1332 1;131
ll'h ite 1932 1931

287

47b

286

519

I

100

22C

89

264

12.2 2C.2 12.4 22.3
18 17.1
].1 21.0

9 31.4 II 3fl.2
2 2J.O 2 22.5

STILL-BIRW.S

TOTAL Nl.MBER

PER 1,000 LIVE BIRTHS

15 ]0.4
23 tco.o
3 45.5 8 102.6
12 81.6 15 987
17 59-2 13 45.1
3 30.0
00

I

Colored IJ32 I

1:131 I'

8<S~ks

I

187

i 2'j6 1].4

I19)

255 I 18.5

I

23.8 237

Total

1932

I
I
I

237

i I

I)] 23.6

96

White

1931
1932 1)31

I I

2!~~

i
l

I

I 2iC
I I I 226

Il136 2'j.O
76 24.0 79 2'j 3

137
2.4 G.8

j Cclored 15)2 ;

19

I
I

i
I 23 197 239

!)31 i 22

57 I 22.8 592

Barrow
Total

I

i 1932

231

112 18.1 S.8

1931

265

122 21.0 9-7

7 374 9 237
6 253 16 64.5
4 (8.3 12 531
2 IC53 4 161.8
25 108.2
30 113.2

14 749 13 653
12 50.6 13 52.4 .
12 55.0 12 53-1
00 I 455
! 12 51-9
10 37-7

White 1932 1931
Colored 1732 1931

IJ7
I 209
I

84 I 18.5
I90 199

].9 8.6

34

28 16.0 13.2

56

32 2.7 15.2

139

17 e6.3 23 110.0
8 2353 7 12'j.O

4 20.3 6 28.7 1
8 2353
4 I 71.4

TABLE 5

Bitths and Deaths ~ith Rates ?er I, COO ?opulation, Infant Deaths Under I Year of
Ag:J 'iJith Rates Per 1,000 Live Births, and Still-births With Rates Per I,JCO Live Births, By Color, in Each County: 1931 and 1932

-----------"--~------------------~--------~--------~

I I BIRTHS 00 DEATHS

! INFMIT DEATH STILL-BIRTHS

_J_. AREA, COL()f;

j (ex;lusi~ sti 1~-births)

UtCER 1 YEAR

AND YEAR
------tlr. , II f: Bartow II Total

I
I TOTAL NUM3ER
I

i 1
1

PER 1,coo

TOTAL PER

?OPULAT ION

Nur.aER I ,ooo

i

I

LIVE

TOTAL li_P_ER _
NI.M3ER I,o~o I LIVE

~IRTH~j 1

-,

BIRTHS

,OEATH4i3H1THS DE@:\2j_ _ _ -----!,---

l

1932 I 5~3

208 22.8 11.1 42 70.8

27

'93' 6,9 228 237 8.9 so 02.1 33 54.2

White 1932

4j4 1 213 23.2 1o.o 38

1331
Colored 1)32 1331
tlen Hi II
Total 1932 1931

II 517 :.9
I .r
2)6
319

I 161 !I ?5
i 7
Ii 134 190

24.6 77

,. 21.2
I 21).2
I 22.4 I
I 24.3

!6.1
14.7
I
I IC.I
14.51

38
4
12
15
23

l'lhite 1932 1931
Colored 1932 1)31

176
1GB
120
131

I 67 100

1
I

~~

I' I 2C I 771 21.7 11.51 I
l 14.3
I ~~:~ I 20.1

II II
4 12

Berrien

I

!

Tctal

I 1932

i I 446

122

2;.3

3.0

1931

406 1 127 : )2.5 . 8.5,

19 24

White
Colored 1932 19)1
Bibb Total 1932 1931

I I 390
I 431
i
I
1,440
1,396

I
l ! 103 30.41' 3.o I

I I i
:]i

f38

I 34-3

i

1

Il 23.2 1.

70
I
7) I

I 39 I 2).0 16.31

l I ,136

! I ! l 18.6

I
i4.61

II''"~ ' I 14.41' IG.O

17
18
2
6
110
93

l'ttite 1932 I 732 I 4)1 I JC.4 11.0 43

1931

702 I 434 I I5.G 10.) 1 29

i

Colored 1932
1)31

645 I 21A 19.6!

I 631 II 21.0

i9.1 i i

"'f,.9 17 735 25 48.4
10 1101.1 0 0].0

50-7

24 31.1

]2.1

2[ G7.B

62.5

IC 56.o

58.5 i IC 532

I 333

14

91.6 I IG

i

42.61 4C

49.4

22

I 43.6 37

41.8

15

357 109.1 !
I
76.t. I
I 66.6

3 1 53.6 7 1127.3
102 ]G.S
Cfj w.1

5J71'
41.3
I
94.6 i
32.21

25
21
77 IICB.O
74 IIC6.6

TABLE 5

Births and Deaths With Rates Per 1,000 Population, Infant Deaths Under 1 Year of Age With Rates Per 1,000 Live Births, and Sti II -births With Rates Per 1,000 live Births, By Color, in Each County: 1931 and 1932

AREA, COLOR 1\1\0 YEAR

i

I

BIRTHS At-0 DEATHS

I (exclusive of still-births)

i

j
: TOTAL NLMBER
i ____

PER I,000
POPULATION

-
Blackley Total
White

!

I

i 3WTI j DEATHS

- - ;' -~- --- !

! 1932

26j 1 124

1931 1 236

100

i

1932

i
I

158

64

1931 i 145

58

BIRTHS DEATHS
28.3 13,2 255 11.7 26.1 10.6 24.3 97

INFANT DEATHS UNDER I YEAR

STILL-BIRTHS

TOTAL NLMBER

PER
1,oco
LIVE BIRTI

TOTAL NLMBER

PER
1,000 LIVE
BIRTHS

28 105/ 13 55-1
20 1~.6 7 48.3

12 45.3 II 46.6
5 31.6 3 20.]

! Colored 1932

107

1931 I 91

Brantley

I

Total 1932 I lab

1931

201

6o 32-3 18.1 50 27-7 15.2
69 ~.2 97 80 28.7 11.4

8 74.8 6 659
13 69.~ 8 39-8

7 65.4 8 87.9
16 e6.o 12 59-7

White 1932 1931

165

56

174

61

i Colored 1932

21 I 13

6rooks Total

1931
1932 1931

!
I
i
!
i
I

I27

19

I 522

195

4}~

174

I

ltl i te

1932

i
I

1)1

1931

i
I

1)8

75
80

I

I

Colored 1)32 j 331

120

Bryan

l 1931

'l-)6

94

Total

1932 1931

I I

148
IJb

77 52

ilh ite 1932

75

25

I 1931

75

20

Colored 1932 1931

73

52

61

32

28.3 96 303 10.6
16.4 10.2 21.2 14.9
24.0 90 22.9 8.1
18.7 7-3 19.5 79
28.7 10.4 259 8.2
24.3 12.6 22.5 8.6
22.3 7-4 22.5 6.o
'Jl,,] 19.0 22.5 11.8
'

12 ]2.] 7 40.2
I 4].6 I 37.C

38 72.8 2C 40.5

14 73-3 5 25.1

24

72-~

15 so./

13 87.E 6 44,4

4 531 I 13.1

9 123 .... 5 SJ.C

II 66.7 8 46.0
5 238.1 4 148.1
50 9').8 'j, 729
9 4].1 5 2'j.3
41 123-9 31 104.]
10 67.6 15 110.3
4 533
5 66.7
6 82.2 10 163.9
I

TABLE 5 Births and Deaths With Rates Per 1,000 PO!'I,IIatim, lnhnt Deaths lhder I Year of

Age With Rates Per 1,000 Live Births, and Still-births With Rates Per 1,000 Live

Births, By Color, in Each Cculty 1931 ard 1932

MEA, CCLCil

BIRTHS MO OEATHS
~~'"")_

II
INFANT DEATHS U~ER I YEAR STILL-.'31RTHS

I I

A~ YEAR
---

I TO TAL NI.MBIOR

PER I,OCO POFULATI ON

PER TOTAL 1,000

PER TOTAL I,OCO

_f,,~ '""~r,~ DEATHS

NtMBER

LIVE BIRTHS

NlMBER LIVE
~lATHS

Bulloch Total

I

I

1932 1 6a1

156 1 24.9 ].2

1931 I 680

218

l

252 8,1

33 48.5
36 529

57 837 42 61.8

White 1)32 1931
Colored 1)32

392 423
2b]

I
I I l

IC2 119
94

I 231 I 253
lI 279'

6.0 ].1
91

8&.rke

1)31

I I 257

99

24.9 j.6

Total

1932 1931

I I5)1 3ch

I 537

271

I I
I

20.0 1.2

10.3 9.2

White 1?32

II

125

53 I Jo.8 r s.o

Cojored
Butts Total

1931

I Ill

44

1932 19.31

4(6 253
I I 426 I 227
II

I 1)32

146

1)31

!64

75 98

i 16.8 I 6.]

II
I

I
20.31

II.G

1a.6l 9-9

i

'!
I

I
I
1551

8,0

I 1].51 1c.5

White 1932
12'1

Oalored 19,32

1731

CalhOU'I

Total

1932

C7 I 37
I57 42

79 I 38

I'J7

I
I

~

I 242 I 1~2

II
l 1371 11.7

7~
8.6

I i
I
I

I 1].51

3.4

I !

23.a 1

12.4

I I 22.41 11.3

19.31

I 'i',]

130 I 25.0 12.2

I

It! ite

1932

! 48 I 27

15.1 J.5

Colored

1931 I
1932

I57

24

I 194

'}5

18.0 7/
~-;/ 12.5

1931

! I 21C Jc6

2].9 14.1

17 4,3.4 17 40.2
16 55.4
19 7].8
29 43.1
21 39'
4 ,32.0 2 13.0
25 536 19 46.9
8 54.8 7 42.]
3 44.8 2 )5.1
5 6331 5 46.].
24 ~~]
18 '-].4
b 125.0 3 52.6
18 )2.8 15 ]1.4

21 53.6 17 40.2
36 124.6 25 97-3
I 64 IC8.3
41 ]6.4
2 16.o 4 36.0
62 133.0
37 a6.9
9 61.6. 4 24.4 :
4 597: I '75'
'
5 633 3 28.0
21 li.B 12 44.9
~ I 20.8 0
20 10).1 12 57'

TABLE 5

Births and Deaths With Rates PEr 1,000 Pq:~ulatim, Infant Deaths lhder I Year of
Aee With Rates Per 1,000 Live Births, and Still-births With Rates Per 1,000 Live
Births, By Color, in Each County: 1931 1nd 1932

BIRTHS AND DEATHS (exclusive of sti 11-births)

INFI'NT DEATHS UNDER I YEAR

STILL-BIRTHS

MEA, COLeR

r

AND YEAR

I TOT.\L NlJIBER
I
1-:::.~ DEATHS

Camden ljJ2_T_"J

Total

86

1')31

162

110

l

White 1932 i 54

18

1931

63

28

PER 1,000 POPULATION
BIRTHS DEATHS

TOTAL NIJ.IBER

PER 1,000 LIVE
BIRTHS

TOTf.l. NUt6ER

PER 1,000 LIVE BIRTHS

22,2 13.4 25.4 1].2
20.3 6.6 24.0 10.]

8 559 13 80,2
3 556 3 . 4].6

18 1259
23 142.0
4 ]4.1 5 ]9.4

Colored 1932 1931
Candler Total 1932 1931

89 99

I68 236
62 26.3

16.0 21.8

5 56.2 10 101,0

14 157-3 18 181.8

261

81 28,3

8.8

17 fS.I

14 536

214

81 23.4 8.9 14 f5,4

9 42.1

1\hite 1932 1931
Colored 1932 1931
Carroll Total 1932
1~31
Illite 1')32 1931

161

49

113

36

I
I
I
I

100
IOI t
l716 I t76

32 45
334
2C6

'

I
557

262

522

198

26.9 8.2

19.1

6.1

30.8

98

315 14.1

20.4

95

'95 I 17

20.4

96

193

73

9 559 5 44,2
8 80.0 9 89.1
40 559 40 592
25 44,9
29 55.6

I5 31.1
5 44.2
9 90.0 4 396
29 40.5
24 355
20 359 17 )2.6

Colored 1932 1931
Catoosa Total 1?32 1)31

I I

159 154

i

190

168

ltlite 1932 1931
Colored 1932 1)31

182
I 165 8 3

72 20.5

93

68 20.0 8.8

6o 197

6.2

84 17.6 8.8

6o 197 6.c
79 18.1 8,]

5 18.3 11.4
5 6.9 11.4
-

15 943 II 71.4
9 4].4 16 9;;.2
9 495 t6 970
00 00

9 56.6 7 455
12 63.2 9 536
10 549 9 545
2 250.0
l 0 0

TABLE 5 Births .md Deaths With Rates Per I100C Population, Infant Deaths Lhder I Year of Ago With Ratos Pif 1,000 Live Births, ard Still-births With Rates Per 1 0CO Live
1
Births, By Color, In Eabh Cl:liltyt 1931 lhd l~

Ai~EA, COLOr1 AND YEAi~

Charlton

Total

1932

1~31

BIRTHS AI'() OE~.THS

(exclusive of sti 11-births)

I PER l,coo

TOTt.L Nllt1BER
!

POPUlATION
I

BI,1THS DEATHS BIRTHS I OI'AT\.1.~

INFANT OEATHS UN:>ER I YEAR

TOTAL NUM3ER

PER 1,000 LIVE BIRTHS

STILL-BIRTHS

TOTAL NltffR

FER 1,000 LIVE BIRlliS

I lc6
133

I41 23.4 91
51 29-8 11.4

5 4].2 10 "f5.2

7 66.0 8 6o.2

Illite

1932

1931

Colored 1?32

1931

Chatham

Total

IJ32

1931

White 1932 1931

Colored 1932 1931
Glattahooehee
Total 1932
1931

]6

30 21.9 8.6

113

36 33-1 10.5

I

I I 30 I II 1 28.5

20

15 19.1

IC.4 14.4

4 52.6
~ ]9.6
I 333 I 50.0

1,932 1,840 118,2 1].3 152

]B.]

1,864

1,899

1].6

17-9

160
I

&5.8

967
1,018

687 t9l

I].! (8.2

I 12.2 48
12.3 51

49.6 50.1

965 I, 153 19.3 23.1 104 10].8

846 I,208 17.0 24.2 109

128.8

204

59 22.4 6.5

II

539

lt4

44 18.2 4.9

6

36.6

4 52.6 6 53.1
3 100.0 2 100.0
137 ]C.9 148 ]9.4
41 42.4
39 383
96 995 109 128.8
4 19.6
7 42.]

Whit. 1;132 1931

149

40 235 6.3

7

4].0

lf9

lj 18.9 4.0

4

336

4 26.8 2 !6.8

t:blored 15)2
1331
Glattooaa
Total 1932
1931
White 1932 1931
Colored 1}32 lj31

55

19 20,0 6.9

4 121

0

0

45

19 16.5 ].0

2

44.4

5 Ill.!

482

150 30-5 95 29

60.2

Q .I

18.]

416

145 26.6 93 26

62.5

14 337

(2] 363

129 30.9 93
120 26.6 a.o

I 26

60.9

20 55 I

5 II.] II 303

55

21

2].3

10.4

I
3

545

4 ]2.]

53

I 25 26.5 12.5

6

113.2

3 56.6

TABLE 5 Births and Deaths With Rates Per I,OOC Population, Infant Deaths Under I Year of Age \Vith ltates Per 1,000 Live Births, and Still-births With Rates PEr 1,000 Live Births, By Coler, in Each COlllty: 1931 ard 1932

~1Ef.., COLOn AN) YEPH

BIRTHS AKl DEATHS (eXclusive of sti I!-births)

INFANT DEATHS I.IDI'R I YEAR

STILL -BIRTHS

I
l
TOTAL NLM3ER
I
I BIRTHS DEATHS

PER I,OCO POPULATION
BIRTHS DEATHS

TOTAL NUM3ER

PER
1,coo
LIVE BIRTHS

TOTAL Nt.mER

PER
t,oco
LIVE BIRTHS

Cherokee
Total 1932 1331

506

188 24.4 j.l

537 167 26.3 8.2

37 73'
28 52'

17 33.6 22 41.0

\lh ito 1332 1931

4)1

173 24.3 8.8

'f5 713

13 26.5

513

152 26.4 7.0

26 507

21 40.9

Colored 1932 1)31
Clarke
Total 1_132 1)31

15

15 15-3 15-3

2 2039

4 266.]

24

15 24.6 15.4

2 833

I 41.7

50

373 19.6 14.5

39 n.2

41 81.2

4b; 383 18.3 14.9 3B o.t.c 17 )6.2

ilh ite 1932 1)31

274

192 173 12.1

t:A 1]8 16.8 11.3

I I Colored 1932 1)31

231

181

2C5

205

23.2 20.6

18.2
20.6

Clay Total

1932 1931

I
I
j

I139 I142

51 19.6 71 i 20.2

7.2 10.1

1\h ite 1)32

34

17 14.0 ].J

1931

27

I

Colored 1932 1931

I I

IC5 115

20 11.2 8.3
34 22.5 73 51 24.9 11.1

Clayton

Total 1)32

163

91 15.6 8.7

1931

159

107 15-3 10.3

19 693 17 64.4
20 86.6 21 102.4
3 21.6 6 42.3
I 294 00
2 19.0 6 522
II 67.5 12 05

18 657 9 34.1
23 996 8 39.0
II 791 8 563
I 29.1 I 37.0
10 )5.2 7 60.9
7 42.9 12 755

vtlite 1932 1331

90

53 12.5 ].4

4 44.4

3 333

83

50 1).1

].0

8 j6.4

5 6o.2

Colored 1932 1931
--~--

73

3B 22.3 11.6

76 57 233 '75

7 ;Jj.9 4 52.6

4 54.8 7 ;)2.1

TIS!! 5

Births ard Deaths With Rates Per I,000 Pc:pulat ien, Infant Deaths l.)yjer I Year of Age With Rates Per 1,000 Liw Births, arjd Sti It-birth$ With Rates Per !,GOO Live Births, By Coler, in Eaeh CW1ty1 1931 <rod 1932

AAEA, COLOR AN:lYEAR
Clinch Total 1932 1931

BIRTHS Af.CJ DEATHS (exelusi ve of sti If-births)

INFANT DEATHS UtfltR I YEM

ST ILL-4'31RTHS

TOT/l NI.NBER BIRTHS DEATHS

PER I ,ooo
PCPLtATI~

PeR TOTAL 1,000
NLMJER LIVE ~IRTHS

BIRTH DEATHS

TOTAL NUM3ER

PER 1,oro
LIVE BIRTHS

119

73 16.5 10.1

9 75~

9 756

155

4b 21.7 6.5

7

45.~

19 122.6

lhite 1932 1931

78

40 19.0 97

4

51.~

97

23 24.!T 57

2

20.~

4 51.3 3 30-9

Colored 1932 1931
Ccbb Total 1932 1931
'1'1 ite 1932 1931

41

33 13.2 10.6

5 122.C

5 122.0

5ll

23 W.B 7-5

5

86~

16 2759

{}j]

315 1&.2 a.]

41

62.~

34 51.e

682

364 19.1 10.2

47 6a.c

33 48.4

531

I222 18.0 7o5

30

56.~

21 395

538

261 18.4 0.9

37 6M

22 40.9

Colored I~ 1931
Coffee
Total 1932 1931

126

93 19.1 14.1

II

137.~

13 103.2

144

103 21.9 157

10

69.~

II 76.4

462

116 22.6 57

II 23(

19 41.1

405

~ 20.1 4.9

0

19oi

12 296

Illite 1932
~
~-- ~~ 1931 Colquitt
Total 1932 1931

345

64 22.9 4.3

9 26.1

3Qa

~ 20.4 4.1

4 13ol

117

52 21.7 9.6

2 17

103

39 193 ].3

4 38.!

662

2.<~ 21.1 7.2

44 66.

6]2

235 21.7 ].6

~

44.

'

ltite 1932

510

139 21.7 59

23 45

1931

30' 5CO

156 21.5 6.7

15

I Colored 1932

152

-- . 1- 1931 --- __________ ,__

172 I ..

I

~I 19.3 10.9l 21

22.0 10.1

15

- - - --- ---- --- ~

-

-~--~--

IJ!l ... 87

11 31.9 4 f3.2
a 68.4 0 777
42 6).4 28 41.7
17 3331
14 28.01
25 164.~1
14 81.4

TABLE 5 Births ard Deaths With Rates Per 1,000 Population, Infant Deaths Under I Year of

Age With Rates Per 1,000 Live Births, and Still-births With Rates Per I,OOOLive

-

----~--

Births, By Color, in Each CoLntyz 1931 ard 1932

i

BIRTHS AND DEATHS

INFANT DEATHS

A~EA, COLOR ANO YEAR
----

I

(exclusiw of still-births)

I
I

I TOTAL NLJ.IBER

PER 1,000 POPU.ATION

i I . BffiTHS I DEATHS

I
BIRTHS DEATHS

UNDER I YEAR

TOTAL NtMlER

PER 1,000 LIVE BIRTHS

Colur.b ia

ST ILL-81 RTHS

TOTIt fUllER

PER 1,oco LIVE BIRTHS

Total
White
Colored Cod<
Total

I I 1932 1 21l

1931

185

I

I 1932

74

1931 I 56
I

1932 I !37

1931 j 125

1932

259

I' 1931

::53

79 23.4 8.8
69 20.7 11
I
23 22.3 6.9
18 1].0 55

56 24.0 98 51 22.9 91

I

63 73

I22,31 54
22.0 6.4

7 33-2 6 32.4
3 40.5 2 357
4 29.2 4 31.0
4 15.4 5 19.8

14 66.4 IB 973
3 40.5 5 893
II 80.3 13 IC0.8
II 42.5 12 47.4

1\h ite

I
1932 l ~J5
1931 I' 206

Colored 1932 I 54

i

i 193i

4]

Ccwuta

l

Total

1932 i 557

1)31

I
!

48!

i

White

1732 i 315

I 1931

285

I Colored 1?32 i 242

Crawford

1331

I
I

196

I

Total

1932 1931

i
!
I

182 168

I

l'tltte

1932 1931

I 74
I 59

l Colorod 1932

'~8

I 1931

I 09

I I 45 ~4: 53

I51

I L;.o 6.1

18 I 17.21

I 22
226

I
I I
I

15.1 I
I ~1.8

57 ].1
8.9

I 2~ 19.0 1 8.1

I

I

98 21.61 6.]

I77

I

19.7 I I

53

I128 22.1 11.7

128 I 18.1 II. 7

II

I

75
78

10.4

25.2 23.6

I'

10.9

II
34 23.21 IC.6

30 IR.G ! ~5

41 26.9 10.2 48 27.6 12.1

4 19.5 3 14.6
00 2 42.6
29 52.1 30 62.4
II 349 13 45.6
18 74.4
17 86.7
II 60.4
17 101.2
6 81.1 5 84.]
5 46.3 12 110.1

6 293
7 34.0
5 92.6 5 lc6.4
33 59.2 23 47.8
II 349 II 38.6
22 909 12 61.2
8 44.0
13 774
00 3 50.8
8 74.1 10 917

1 lr"'7

UBLE' Births and Deaths Vlith Ratos Per I, COO Populaticrt, Infant Ooaths lhder I Year of A<J3 llith Rates Pe- I,OCO Live Births, and Still-births \'lith i~ates Pe- I,OOC Live Births, By Color, in Each Countya 1931 and 1932

AREA, COLOii Al'll YEAA

BIRTHS NfJ OEIITHS (oxe~ us i ve of st i 11-b lrths)

I TOTf.t. NUM3ER

PER l,ooo PCPll.AT ION

BIRTHS DEATHS BIRTHS DEATHS

INFANT DEATHS U~ER I YEAA

TOTAL NLM3ER

PER l,oco
LIVE BIRTHS

STI LL-81RTHS

TOTAL NUM3ER

FER I,COO LIVE BIRTHS

Crisp

Total

1932

1931

394

215 22.3 12.2

34 86.3

27 68.5

4C2

227 22.9 13.0

42 104.5

33 82.1

White

1932

1931

193

91 ! 21.0 M

12 62.2

7 36-3

212

97 233 10.7

16 755

4 lB.]

Colored 1932

1931

Dade

Total

1932

1931

lbite

1932

1931

2CI

124 237 14.61 22 1095

20 995

l)J

130 22.6 15.4

26 136.8

29 1 152.6

103

I!
35 238 8.1

6 58-3

I4 38.8

104

31 2~5 73

IC ;)6.2

2 19.2

97

I 33 23.5 a.o

6 61.9

4 41.2

94

26 233 6.4

a 85.1

2 21.3

Colored Dawson
Total
Illite

1932

6

I 1931

to I

1932

92

1931

82

1932

92

l:rJI

82

2 2G.8 96

5

48.3

24.2 i

22 257 6.2
17 232 4.8
22 ze.o 6.2
17 234 4.9

00 2 2JO.O
8 87.0 2 24.4
6 87.0 2 24.4

\)

0

00

I 10.] 3 36.6

I 10.9 3 36.6

Colored 1932

1931

Decatur

Total

1932

1931

c

0

0

0

0

0

0

0

577

Q69 239 11.1

~

248 24.5 10.4

1\h ito

1932

265

110 22.0 91

1931

I 275

110 23.0 92

Colored 1932

jI
312

159

25.8

13.1

1931

310

138 259 11.5

------------.---- -- ------- - ------ ----

0

0

0c

29 503 ]5.2
441
10 377 15 545
19 60~9
29 935

a0
00
45 ]8.0 34 ss.1
II 41.5 9 327
34 10].0
25 80.6

Tf,BLE 5 Births and Deaths With Rates Per 1,000 Population, Infant Dea-ths Lhder 1 Year of

Age With Rates Per 1,000 Live Births, and Still-births With Rates Per 1,000 Live

Births, By CoL:r, in Each COI.r'lt)a 1331 and I~

--

I BIRTHS At{) DEATilS

INFANT DEATHS

ij- (exelusi ve of sti 11-births}

LNDER I YEM

STILL-BIRTHS

IHEA, COWl AND YEAR
Dcl<aiD Total
Vthite
Colored

II____TOTAL NUM3ER

--f'"' "I

I

DEATHS

I 1))2

I ,C98

647

1931 I 1,203

695

I

1932 I 874

493

I 1931

:m

531

1932

224

154

PER I, 000 P<PllATION

TOTAL NUM3ER

BIRTH~ DEATHS

PER 1,000
LIVE
BIRTHS

TOTAL
NLMBER

PER 1,000 LIVE OIRTHS

15.1 j.l 575 98
14.7 8.3 17.0 9.C
18.5 12.7

63 574
6o 499
35 4C.G
33 330
28 125.0

59 53-7 41 34.[
33 37.8 19 19.0
26 116.!

Dcdge Total

' 1}31 I 204 I

1)32

512

1931

545

164

16.8 13-5

27 132.4

160 230 72

12 23.4

182 24.8 8.3

18 330

22 107.8
16 31-3 26 47-7

White

1932

301

I 1931

316

I Colored 1932

21 I

1931 I Z23

Dooly

'

Total

1)32 l .);22

1931 l 4'.')
I

White

I 1932

!
159

1931 ( 103

I Colored 1932

263

Dougherty Total

I 1931 I 3o6

1)32

357

1931

~3

113 21.5 8.1

lo6

22.9 77

47 255 57
"/> 28.1 93

liS 23.0 95
197 26.8 10.8 I
58 19.6 7-0 73 22.7 9-1

117 257 11.4 124 30.1 12.2

315

159 14.0

291

16.2 13.0

II ~-5 9 28.5
I 4.7 9 393
30 71.1 31 63.4
6 377 9 49.2
24 913 22 719
25 ]C,O 2:> 55'

3 10.0 II 34.8
13 61.6 15 65.~
42 995 24 49.1
5 31.4 7 133
37 :o7 17 55-6
14 39..2
32 00.2

White 1932

143

'l5 14.8 98

6 42.0

I ].0

1931

153

83 16.0 8.7

4 2h.l

12 78.4

Colored 1932 1931

214

220

16.] 1].2

19 8&,8

210

200

16.4 16.2

16 ]6.2

J 13 60.7 1
20 552

HBLE 5

Births and Deaths With Rates Per I,CXl P~pul at ion, Infant Oeaths lh:ler I Year of Age With Rates Per 1,80G Live Births, end Still-births With Rates Per 1,000 Live Births, By Calor, in Each CQI.I"'tys 19)1 and 1932

BIRTHS f.llJ DEATHS (exclusive of stilI -births)

INFANT DEATHS ~~fR I YEAR

STILL-BIRTHS

Aif:.A, COLOR MJ YEAR

TOTAL MltltlER 81RTHS DEATHS

l'ER 1,000 i'OPIJLATION

TOT~L
NUM3ER

BIRTHS DEATHS

PER
1,0~
LIVE aJRTHS

TOTAL NLM3ER

PER 1,oco LIVE BIRTHl

Douglas

Total

1932

1931

White 1932 1931

225 201

I97 23.2
130 26.4

10.0 10,5

I

159

I65 21.6

B.G

150

I45 20,6

6,2

Colored 1932

66

32 213,2 '37

1931

51

35 22,1 15.2

Early

Total

1932

1931

Illite

1932

1931

:;;I
197 203

149
2~
54
73

I 23.J n.o

i 26.6 II.I

I

I

I i 22.6 r 6.2

I I 235

8,4

Col Grid Echols
Total
11\lt.
lloltNd Efflnghllll!
Total

1532

249

1;31

21}~ I

1932

30

1931

26

;.II I
I~
'"' I

1932

5i

1931

2

1932

226

I

T; I 2') .::

95

133 I ?),3 '35
I

ll i 10.9

4,()

9

I
I

35

33

I

I7
3

13.2
12.6 I

37 1.6

I

4 6

I
I

53 2,4

4,]
7 t

II I 115 21.7 11.1

1931

'll ite

1932

'

1931

Colored 1932 1931

rae
I106 1
66
12~ ~
114

99
54 36

I I 1].5

!

II
I

173 10.9

'

],6
8.e
5?

I

I 61 22.0

1~,.2

I I 63 2],0

4.9

14 62.2 13 64,7

7 44,0 9 6c.o
7 1o6.l 4 713.4

30 6].3
33 67.1

13 66.0 13 64.0

17 6c.3 20 6j.2

00 t 385

00 I. 41.7

00

0

"v

12 53' 10 IO,C
7 66,0
2 303 I
5 41.7 16 14.0

G 35.6 5 24.9
00 I 6.7
13 121.2 4 7M
30 6].3
22 44.]
4 20.3 4 IJ.?
26 !04.4 113 f2.3
I2 66.7
t I 30.5
2 80.0
0 0I I 00
I so.o
If' ]9.6
14 n.a
5 47.2
6 190.)
13 Jc-8.3 G ]0.2

TABLE 5 Births and Deaths With Ratee Per 11000 PopulatiM1 Infant Deaths lhder I Year of Arp l;ith Rates Per 1,000 Live Births, and Still-births \'lith Rates Per 1,000 live

-------------, Births, By Color, in Each Countyt 1931 and 1932

I

BIRTHS AND DEATHS

INFANT DEATHS

{exclusive of sti 11-births) Uf'.OER I 'iEAR

I
AREA, COLOR

PER 1,000

PER

STILl-BIRTHS PER

At!J YEAR

TOTAL NtM!ER ---

POPU.ATION

TOTAL Nll!tBER

1,000 TOTAL 1,000

LIVE NOOER LIVE

BIRTHS

BIRTHS

- - - - - tliRT!-IS DEATHS BIRTHS DEATHS

Elbert

Total 1932

421

180 22.4 96

24 57.0

21 499

1931

403

193 21.6 10.3

27 67.0

13 323

l'tlite 1932 1931
Colored 1932 1931
Emanuel Total 1932 1931
1\h ite 1932 1931

213

84 19.0 ].5

1)2

97 17.3

8.]

208

96 2].3 12.6

i 211

96 2].8 12.]

I l 562

215 22,8

532

I 212 21.8

B.] B.]

345

110 22.4

].2

305

106 20.1

].0

9 42.3 13 677
15 (2.1 14 66.4
26 46.3 44 82.7
19 55-1 20 65.6

5 235 4 20.8
16 ]6.9
9 42.]
27 48.0 34 63.9
9 26.1 16 525

Colored 1932

217

105 233 11.3

7 323

18 82.9

1531

'227

lo6 21.6 11.5

24 IC1j.7

18 793

Evc:.ns

Total 1932

116

1931

12G

57 I 1~,9

].8

I6~ 16.]

96

9 n.6
8 66.7

4 345 5 41.7

1\h ite 1)32

76

I30 16.3

6.4

2 26.3

2 26.3

1931

79

28 17.2 6.1

4 50.6

00

Colored 1932

40

27 15~3 10.3

7 1]5.0

2 50.0

1931

41

41 15 7 157

4 976

5 122.0

Fannin

Total 1)32

30

125 27 7 92

'fJ 80.0

17 453

1931

(17

114 31.4 8.6

21 50.4

II 26.4

l'lhite 1932

373

1;31

416

I
Colored 1932 ~2

1931

I

---------->------

123 2].] 9-1
112 31-5 8.5
2 25.6 256 2 12.8 25.6
151

30 80.4 21 505
G0 00

17 45.6 II 26.4
00
0 o

TABLE 5 Births and Deaths With Rates Per 1,000 Pq>ulation, Infant Deaths lhder I Year of
Age Wli th Rates Per 1,000 Live Births, and Sti II -births With Rates Per I,OGO Live Births, By Color, in Eaoh Cruntya 1931 and 1~32

AREA, COLOR At>D YEAR

Fayette

Total

1~32

1931

Illite

1932

1931

Colored 1'3)2

1)31

Floyd

Total

1932

1931

White

1932

1331

Colored 1932
1~31
Forsyth Total 1932 ljSI

Illite 1932
'"'
Coloree 1932 1531
Frt.nkl in
Total 19Jl
1931

BIRTHS AND DEATHS

INFANT DEATiiS

(exelusive of Still-births)

OOER I YEAR

TOTAL NUM3ER

I PER I,eoo

TOTAL

POPLLATION

NUM3ER

-

BIRTHS DEATHS BIRTHS DEATHS

PER I,OOG LIVE BIRTHS

STILL-BIRTHS

TOTAL NLM3ER

PER 1,000 LIVE BIRTHS

I 193
I191

I I I

115

I
I

IIi'

I I

I 78

I

73

I I

I 1,\.07

!
I

l,v9B I
I I 928

I 931

I I 159 167 I

j

I

I 266 I

I
I

293

I
I

I 265

291

I 2

76 21.9 8.6 8~ 21.8 10.2

I42 1).4 7-1

I 50 I 2C,I 8.5 I
Jt; i 27 .o I 11.7

! 25.4 1 1).6

I I

551 547

I
I
I

21.)
~2.3 1

II .I 11.1

i

401 i 22.6 I 9.8

375

i I

22.9

~.2

150
lp

! I
I

18.4 1).4

173 19-9

I

i 65 24.0 6.1

63

i
I

26.9

s.s

I68 I 24.0
63 26.8

6.1
s.a

I

0 58.8 0

0 ll.tr 0

403

143 ! 24.7 8,8

383

167 237 10.3

7 ~3
15 785

7 36.3
5 26.2

3 26.1 8 6].8
4 513
7 :09

5 43.5
3 254
I
2 2).6
2 2].4

87 80.0 100 91.1
64 69.0
69 ]4.1

44 40.5
55 so. I
34 J6.6
35 3?.6

23 144.7 31 !85.6

10 62.9 20 119.8

7 26.3 4 137
7 26.4
4 137

7 26.3 7 239
7 26,4 7 24.1

00
0 0I
26 64.5
25 65-3

00

0

0

7 1].4 17 44,4

White 1932 1931

333

100 24.4 ].3

15 45.0 .

5 15,0 I

334

136 j 24.8 10,1

19 56-9

14 41.9

Colored 1)32
1~31

70
49

I43 26.0 16.0
31 I 18,3 11.5

II 1571
6 !22.4

2 28,6 3 61.2

T'.BLE 5
----

Births and Deaths With Rates Per 1,000 Population, Infant Deaths lhder I Year of Age With Rates Per 1,000 Live Births, ard Sti It-births l'lith Rates Per I ,00~ l.ive
Births, By Color, in Each County 1~31 and 1932

BIRlHS AND DEATHS {eKclusive of still-births)

INFANT DEATHS

l.NOER I YEAR

STILL-BIRTHS

AREA, COLOR AND YEAR
-
Ful tm Total
~lite
Colored Gi Imer
Total
White
Colored Glascock
Total

-+--!TOTAL NUMlER I BIRTHS DEATHS

i 1~32
1331

I
I

6,154 5,894

4,438 4,788

I

I 1~32 I 4,o6o

1,731

4,024

2,405 2,483

I 1332 2,094 2,033
1931 1,870 2,305

1332

228

70

1931 i 204

59

I

I 1932

228

1931 I 203

70 59

I

1332 I 0

0

1931 I I

0

I

I 1932

96

47

IJ31

109

51

PER I ,GOO POPULATION

TOTAL NUMBER

BIRTHS DEATHS

PER
1,000
LIVE BIRTHS

TOTAL NLMSER

PER
1,coo
LIVE
BIRTHS

18.2 13.1 IJ.5 14.2

1].4 10.3 1].8 11.0

199 19.4 16.8 20,7

29.8 9' 27.1 18

29.8 92 2].0 79

0

0

71.4 0

21.3 10.4 24.5 11.5

425 6~.1 353 57.4 498 84.5 'f,4 61.8

235 57~ 155 382 267 66.4 161 40.0

190 307 198 94.6 231 123.5 203 108.6

21 92.1 9 44.1

7 307 6 294

21 92.1 9 44.3

7 307 6 29.6

00 00

0

0

0

0

7 729 II 100.1

7 729 3 2?.5

Vfl ite

1932

1931

71

30 22.6 ~M

4 Sb3 4 56.3

92

36 ~.6 11.6

8 87.0 2 21.7

Colored 1)32

1931

G!ym

Total

1932

1931

25

17 18.4 12.5

3 120.0 3 120.0 1

17

15 12.7 11.2

3 1765 I ~.81

3713

259 19.2 13.1

23 767 39 103.2

372

298 19.0 15.2

25 6].2 28 753

White

1932

1931

Colored

1~32

1931

242

112

228

II~

I

l136 147

144

I~

21.2 98 20.2 10.5
16.4 '77 17.4 21.6

17 7D.2 9 ~5
12 88.2 !6 111.1

16 66.1 9 395
23 169.1 19 1319
I

TABLE 5 Births and Deaths With Rates Per 1,000 Population, Infant Deaths Under I Yoar of
Age With Rates Per 1,000 Livo Births, and Still-births With Rates Per 1,000 Live Births, By Color, in Each Covltyt 1931 and 1932

BIRTHS AI{) DEATHS (exelusive of still-births)

INFANT OIOATHS UP{)ER I YEAR

STILL -BJRlliS

AAEA, COLOR 1NJ YEAR

I
I TOTAL NUM3ER
BIRlliS DEATHS

PER I,OOC POPllATION
BIRTHS DElTHS

TOTAL NUM3ER

PER I,OOC
LIVE
BIRTHS

TOTAL NWBER

PER I ,000
LIVE
BIRTHS

Gcrdon Total
White
Colored Grady
Total
1\h i te
Colored Greene
Total
ite

1932 1931
1932 1931
1)32 IJ31
1932 1931
1932 1331
1932 1931
1932 I
1931
IJJ2 1931

,,02 3)4
I382
367
20 27

150 23.1
I 145 23.C
i 13G 23.5
I12G 22.9
14 17.6 17 24.0

45} 464
280 303
I179
161

213 23.3
I18.2 23.8
'131 I 21.7
133 I 23.7
82 26.3 49 239

298
311
II19
135

53 i 23.4
165 24.5
58 197
73 22.5

8.6
8.5
3,41 8.0
12.3 15.1
IC.8 93
10.1 10.4
12.1 ].3
12.5 13.0
).6 12.1

40 995
33 83.8
34 89.0 30 81.7
6 3CO.O 3 111.1
44 ~91
35 154
25 8}.3 22 ]2.6
19 lob. I 13 80.7
25 1339'
19 61.2
6 50.4 7 51 9

15 37-3 15 38.1
12 31.4 13 35.4
3 150.0 2 74.1
38 D2.B
44 ;34.8
20 71.4 17 56.1
18 1co.6 27 1677
35 83.9
15 48.2
3 25.2
6 44,,

Colored 1932

1931

Gwimett

Tatal

1932

1931

lt!ite

1932

1931

fulored 1932 1931

IT;l

ICI 2.] 15.1

1]6

92 26.4 13.8

634

24) 22.3 8.13

591

254 21.0 ),0

55C

I196 22,C 78

494

I198 19.] 8.0

I84

24.7 15/

97

55631 2G.] 16.6

19 le6.1
12 68.2

22 122.)
9 51.1

42 66.2
50 t\4.6

30 473
26 44.0

'f, 655

19 345

38 76.') '16 J2.4
I

6 12

I71.4

II

1237 10

131 .o
103.1

TABI.E 5

Birth~ ~nd D<nc.hs With Rites Per 1,000 Popu.lation, Infant Deaths lhder I Year of Age With Ratt>s Per 1,000 Live Births, and Still-births With Rates Per 11000 Live Births, By Cdcr, in Each Co\Tity: 1931 and 1932

~;EA, COLOii AND YEAR

BIRTHS ~NO DEATHS (exclusive of sti If-births)

INFANT DEATHS IJ..OER I YEAR

STILL-BIRTHS

TOTAL NUM3ER BIRTHS DEATHS

PER 1,000 POPllATION
BIRTHS DEATHS

TOTAL NUMlER

PER 1,000 LIVE BIRTHS

TOTAL NLM3ER

PER I ,{100 LIVE BIRtHS

Habersham

Total

1532

322

116 24.5 8.8

18 559

19 59.0

1931

324

101 25.0 78

16 49.4

II 34.0

'1111 ito

1932

3C4

101 24,4 8,1

18 592

16 52.6

1331

311

93 ~-3 76

15 48.2

8 ?57

Colored 1932

18

15 26.1 21.8

00

3 166.7

1931

13

8 1!3.9 11.6

I ]6.9

3 230.8

Hall

Total

1932

776

309 24.8 99

42 54.1

26 335

1931

644

318 20.9 10.3

52 80.7

36 559

White

1932

693

1931

585

Colored 1932

83

193!

59

H;sncoek

Tot&!

1932

3[1

1]31

I
I

336

266 24.9 96 264 21 3 96
43 24.2 12.5
54 17-3 15.0
113 27.l 8.5
112 254 8.5

38 54.8
41 ]0.1
4 40,2 II leb.4
16 44.3 18 53.6

17 24.5 24 41.0
9 100,4
I~ 203,4
20 55.4
31 923

White 1]32

61

31 16.2 8.3

3 49.2

I 16.4

1~1

57

30 153 8.0

3 52.6

4 70.2

Colored 1932

300

1931

2]9

82 313 8.6 82 2),4 8,6

13 433 15 53.0

19 6).3
21 96.8

Haralson

Total

1932

254

Ill 18.6 8.1

15 59'

II 43-3

1,531

256

117 19.0 8.7

7 2].3

8 31.3

Illite

1932

220

103 IM 8.4

15 68.2

10 455

1]31

228

100 113.8 8.2

5 21.9

7 30.7

Colored 1932

34

8 2'j.4 6.0

0c

I 2'.7.4

1931

28

17 21.1 !6.5

2 71.4

I 'Jj.7

TABLE 5

Births and Deaths With Rates Per I, r.c;,; Pcpulation, Infant Deaths lhder 1 Year of
Ags ~ith Rates Per I,Ow liw Births, and Still-births With Rates Per I,OCJ Live Births, By Coler, in Each Co~tyc 1~31 and 1932

AREA, COLOR
~YEAR

I I BIRTHS AND DEATHS {excl usi vo of st iII ~births) PEil I,ooo

I TOTAL NlHBER

POFULATION

I DEA~-:- I
I BIRTHS DEATHS BIRTHS

INFANT DE"THS OOER I YEAR

TOTAL NUWER

PER
I ,coc
LIVE BIRTHS

STILL-BIRTHS

TOTAL NlMilER

PER 1,000 LIVE BIRTHS

Harris

Total

1932

1)31

White

1932

1931

Colored 1932 1931

Hart

Total

1932

1931

I 266

115

243

115

23.4 21.6

10,1 10.2

I42
43

43 12.2
I 35 12.5

12.5 10.2

224

72 28,2 91

20C

80 25.6 10,2

40/J

117 259

74

364

119 235

77

12 45.1 1 12 45.1

9 37.0

15 61.7

3 71.4 I 23-31

I 23.8
G0

) 125.0 [; 4;},0

II 49.1
15 i'5 .o

22 53) 22 60,4

lb 392
13 J57

Mlite

1932

313

00 26.7 6.13

1931

271

i'5 235 6.5

Colored 1332

95

I37 23.6

92

Heard Total

1931

93

44

I
!

23.5

11.1

I
1932 I 227 I

I

90

I
I

24.2

9.6

Illite

1931
1932 1931

'I
I I
I

209 !
I
151
I137

f I 22.6
66 21.7 58 20,0
I

8.2
95 8.5

Colored 1932

1931 Henry

Tot1J

1932

1931

Illite

1932

1931

I 76

24 I 31.2 98

72
I I I 345 I
346

18 I 30.0
160 21,2 145 21.5

I I 149

70 liJ.2

II I 144

56 17.8

].5
).B
90
8.5 6.9

Colored 1932 1931

l196 I 9C

2C2

89

24.3 253

11.2 11.1

17 543 13 48.0

9 28.8 4 14.8

5 52.G
9 96.8

7 737
9 cp.B

12 529 21 100.5

10 44.1 II 52.6

7 46.4
13 949

4 26.5 6 43.8

5 (6.8 8 111.1

6 789 5 69.4

21 60.) 1 20 51.81

18 27

I 52.2
78.0

10 67.1 7 48,(,

6 40.3
8 556

II 56.1 13 64.4

12 61.2 19 94.1

TVlLE 5

3irths <~nd Deaths Ylith Rates Per 1,000 Pcpulation, Infant Deaths lhder I Year of Age With Rates i'er I,000 live Births, and Sti II -births With Rates Per 11 0(.0 Live \Jirths, 3y Color, in Each Cr.untyr 1931 and 1932

f.RE;~, COLOR

T

i31RTI'.S 00 DEATHS

I'j____(.exciLSi ve of sti 11-births)

TOTAL NUMJER

PER l,vO' O

INFANT DEATHS LNOER I YEAR
PER

STILL-BIRTHS
PER

AND YEAR

POPLt.~.T ION

TOTAL 1,ooo TOTAL l,oco

_~-~~m"'T;-..,. - NUM3ER LIVE NUM3ER LIVE

GIRTHS DEATHS

BIRTHS

BIRTHS

Hcuston

Total

1932

1931

White 1932 1931

230 76

217 I 126

I

i 71

26

fol

41

20.3 6.7 19.2 11.1
I 19.4 71
16.7 11.2

10 435 12 553
3 42,3 3 49.2

15 65.2 II 507
2 213.2 I 16.4

Colored Irwin
Total
White
Colored Jacksm
Total
White
Colored Jasper
Total
rt. i te
Colored

1)32

159

1331

156

1932

3G3 I

1?31

J~

I
I

I 1932

157

l 1931

17C

1932 I I:~;

I 1331

136

i

1)32 i 4;,2

1931

I I

4<~2

i

1932 I 3'~v

I 1)31

T'-~

I

I 1932

72

1931

713

19)2

2C7

1931

213

1932

66

1931

61

1932

141

1931

150

I50 20.7
~ 20,4

6.5 It .I

II

89 24.2 I 7'

IC6 24.7 G.6

42 20.1

54

6o 21.9 77

47 31.1 10,0

46 29' ! 99

i
I 1:.;5 19.5 I e.4

I I 177 21.1

ll.l

I 139 20.0

77

i 132 21.5 74

I

46 17.6 1 11.3
45 1).1 i 11.0

I 112 237 I 12.e
I 113 253 13.0
I

37 28

I193 10.8
18.0 0.3

I

75 26.6 14.1

J5 299 16.1

7 44.0
9 577
13 42.9 14 45.8
5 31.8 5 294
8 54.8 9 6f.2
19 44.0 33 71.4
13 36.1 27 703
6 833
6 n.o
IO 40.3 22 IOC.5
3 455 3 49.2
7 4').6
19 120.3

13 131.0 10 64.1
23 759 21 68.6
0 51.0 4 23.5
15 102.7 17 125.0
13 30.1 22 47.6
9 25.0
17 44.3
4 556 5 64.1
13 87.0 20 9'3
2 30-3
3 4).2
16 I 135 17 10?.6

1'17

TABLE 5

3irths ard Deaths With Rates Por I,CGO Population, Infant Deaths Lhder I Year of Age With Rates Per 1,000 Live Sirths, 'llld Still-births With Rates Per I,OOC Live Births, 3y Color, in Each County: 1~1 and 1932

AREA, COLOR ,ANQ YEAR

BIRTHS AND DEATHS
- (exclusive of still-births)
PER 1,000 TOTAL NliM3ER ?<PLVTICN
31RTHS DEAlHS OIRTHS DEATHS

INFANT DEATHS lNDER I YEAR

STILL-BIRTHS

TOTAL NUM)ER

PER I,OOC TOTAL LIVE NLMBER BIRTHS

PER 1,000 LIVE BIRTHS

Jeff Davis

Total

1)32

225

1331

(84

63

27.2 76

15

66.7

II

48.~

62 22.4 76 13 70.7

4 21.7

Illite 1932

Hl4

4~

28.0 74

15

81.5

8 435

1)31

154

48

23.6 74

(0

64.~

4 26.0

Colored 1932

41

14 24.2 8.3

0

0

3 ]3.2

1931

3C

11

17-9 8.3

3 100.0

00

Jefferson

Total

1932

395

194

18.] ~21 21

532

24 Go.s

13)1

408

167 19-5 8.0 13 46.61 30 735

I

White 1932

154

67

1].5 76

9 58.4

7 455

1931

142

65 16.2 14

5 352

7 493

Colored 1932

241

127

1~.5 10.3

12 5c.oJ 17 70.5

1)31

266

102

21.8 8.4

14

52.6

23 86.5

Jenkins

Total 1932

)46

129

26.4 9.81 21

6c.7

13 376

1~1

327

15(

25.1 12.01 22

6].3

18 55-0

Illite

I~

130

1~31

,a;

54

237 981

8

61.5

54 23.0 ~-~

8 635

4 30.8 5 3~7

Cohred 1932

216

9) 75 28.4

13 60.2

9 41.7

1931

261

102 26.G 1351 14 6).7 13 64.]

Johnsen

Total

1932

)Ill

129 26.3 99 17 50.0 19 557

1331

334

104 26.o 8.(

19 5bo9

10 2~-9

White 1932

!6D

1~31

170

73 21.3 93 II 655

54

21 .tJ 6.9

13

765

6 357
3 17.6

Colored 1932

173

1931

!64

56 33~ 11.0

50

32.6 ~9

6 34.7 13 ?.:il

6 36.6

7 42.7

TABU,. 5: Bidhs :and_.Deatbs With Rates Per I, 000 Population, Infant Dea:ths lhder I Year of

Age With Rates Per 11 000 Live Births, and Sti 11-births With Rates Per I,000 Live

Births, By Color, in Each COlJ'lt}':l 1931 ard 1932.

- - - - - - - - .-.--_ ~r---,81RTHS AND DEATHS

""' "'-'"
AND. YEAH

l__c..,...;9""':::000
I i TOTAL NUMBER POPULATION

IN~ANT DEATHS

OOER I YEAR

ST ILL-B !RlHS

IPER

PER

TOTAL 1,000 TOTAL I, 000

N~M3ER LIVE NLM3ER LIVE

!-31~!~1~DEATHS BIRTHl' DEATHS

BIRTHS

BIRTHS

------------ --- t-----+-----!--+-~-1---+---1----t--1

Jones Total

II

1932

216

1931 . 211

14 64.8 15 71.1

14 64.8 13 61.6

I

l'lhite

I 49 47

22 22

6.7

3 61.2

3 61.2

6.8

I 21.3

00

Colored 1932

167

28.1

Lamar TOtal

1931 1 164

I

1932

212

279 112 21.4

1931

205

114 20.8

lt1ite 1932

.I91

42

1931

921 45

l

l

Colored Lanier
Total
l\t1 ite

! 1932 1 121 I

1331

113 'I

I 1932
1931
l 1932

II
.I.,6 .
90 I
41

14.4
17.2
12.4

1931 l 43

13.1

Ii

Colored 1932

35

23 177

Lau-ens

1931 I

47

i

27 24.0

Total

1932
lI 1931

j White 1932

392

1931 1 418

339 21.6 10.2 331 22.9 10.0
1511. 2<n.l . M 155 21 ;6 8.0

II 14

19

17 80.2

II

13 63.4

3

3 330

I

00

16 10
9 118.4
10 111.1

14 1157
13 115.0
9 118.4
4 44.4

2 48.8
3 70.1
7 7
35 44.2
38 50.3 I
16 40~81
18 43.1 '

I 24.4
I 233
8 228.6 3 63.8
41 570 44 58.2

Colored 1932 1931

327

185 23.8 13.5

19

338

176 24.8 12.9

20

26 795
28 82.8

159

TABLE 5

Births ard Deaths With Rates Per I ,000 Pl'lpulation, Infant Deaths lhder I Year of
Age With Rates Per 1,000 Live Births, and Sti II -births With Rates Per 1,000 Live Births, By Color, in Each C01Z1ty1 1~31 ard 1932

BIRTHS Am DEATHS (exclusive of sti 11-births)

INFANT DEAlliS UNDER I YEAR

ST ILL-BIRTHS

AREA, COL!R Am YEN'!
Lee Total

TOTAL NUM3ER
- - ,__B__IR_THS DEATHS

PER 11000
PCPU.ATION
BIRTHS DEATHS

TOTAL NLM3ER

PER
1,000 LIVE
BIRTHS

TOTAL NLMlER

PER
1,000 LIVE
BIRTHS

1~32

'79

Ill 21.3 13.2

26 145.3

14 ]8.2

1~31

210

97 2'j.l 11.6

10 47.6

16 76.2

White

1)32

31

23 16.6 12.3

4 1~.0

00

1~1

42

12 22.7 6.5

2 47.6

2 47.6

Colcred 19~

148

88 22.6 13.4

22 148.7

14 ~.6

1931

168

85 257 13.0

8 476

14 833

Liberty

Total

1932

176

(42 21.3 17.2

26 1477

14 ~5

1931

160

I 1~.5 15.8
1)0

20 125.0

8 50.0

White

1~2

43

22 159 8oJ

I 233

3 69.8

1931

41

19 15.4 71

I 24.4

00

Colored Lineoln
Total
White
Colored
long
Total

II~ I 1~32

1931

I
I

133

120
Ill

I

I 1~32
1~1

J1~0241.

37
Z)

I

1932

87

20

1931

84

16

239 21,6
21.4 20,0
I
237 4.5 22.7 36
22.3 5-1 21.9 4.2

1932

lu7

1931

)6

17 25'",, 4.0
13 233 3.1

1932

7~

49 18.6 11.5

1~31

62

42 14.7 10.0

25 188.0
19 15~7

6 309 3 16.5

3 345

I

II.~

3 28.0 2 20.4

8 101.3 3 48,4

If 82.] 8 67.2
II %-7
13 71,4
6 6~.0 I 11.9
5 46.]
12 122.4
8 101.3 3 48.4

rtl ite

1932

39

20 16.o 8.2

2 513

3 769

1931

39

14 16.2 58

I 2'j.6

00

Colored 1932

40

29 22.0 16,0

6 150.0

5 125.0

1931

23

28 12.8 155

2 87.0

3 130.4

16o

T'.8LE 5 Births and Deaths !lith Rates Per 1,000 Papulation, Infant Deaths lhder I Year of

Age With Rates Per t,coo Live Births, and Still-births \'lith Rates Per 1,000 live

Births, By Color, in Each Collltya 1931 and 1932

-

-

-

-

-

-

-

-

-

-

-~

r

-

---------
GIRTHS AND DEATHS

-

-

-

r

-

-

---
INFANT

--r-
DEATHS

-

-

-

-

-

-

1

II l (exclusive of still-b._ir_th_s.!-)--+_.;.I.ND~ER-r-1-"-'YE;..;ASTRIL-L-;-S.--IR--TrH-S---1

PER I ,oco

PER

PER

liND YEAR

I TOTAL NL'M3ER

~llATION

TOTAL' I ,00:) TOTAL I,OCO

I!-----,~r-----+----r---; NUM3ER 81HTHS \DEATHS BIRTHS DEATHS
-----!-- i

LIVE BIRTHS

MmER

LIVE BIRTHS

LoWndes Total

1 1

1932 1 665

411 21.7

1931 I 627

378 20.]

53 ~7
43 68.6

51 ]6.] 52 82.9

White

1932

322

1931

310

11.4

18 559

10 31.11

11.3

10 323

(4 45.2

Colored 1932

34)

1931

317

Ll.lllpkin

Total

1932

123

1931

)9

35 I02.0

41

33 IC4.1

38

8.1

5 40.6

3 24.4

].2

4 40.4

2 20.2

l'fnite 1932 1931

Colored 1932

1331

NcOuffie

Total

1932

1)31

White

1932

1931

IIC

39 24.2 1}.0

<Jj

34 '97 7'

5

2 1 26.6 10.6

4i

2 21.3 10.6

l212

123 23.1

~~I 119 ! 22.1

57 20.4 12.6

99

55 22.1 12.)

5 42.4
4 42.1

0

0

0

0

12 56.6
15 ]4.6
3 )2.6 6 6o.6

3 25.4 2 21.1

0

0

00

15 ]0.6
9 44.8
2 21.7
4 40.4

Colored 1932

1931

Mcintosh

Total

1]32

1931

I2C

66 2').6 14.1

9 750 13

102

64 22.0 13.8

9 88.2

5

129 233 22.2

22

103 2D.4 1].8

10

15 111.1
17 144. (

1\h i te

1932

1931

25 21.0 1).1

6

19 20.6 10.0

3

0

0

4 10.3

Colored 1932
1931

'f5

I04 24.4 30.6

16 168.4

15 1579

79

84 20.3 21.6

7 88.6 13 164.6

TABLE 5

Births rd Deaths With Rates Per I,CCO Populati(J'I, Infant Deaths lhder I Year of
Age With Rates Per 1,000 Live Births, ard Still-births With.IMes Per 1,000 Live Births, By Color, in Each C;)l.ntya I?JI and 1932

AREA, COUll AND YEAH

Mac en

Total

1932

1931

White

1932

1931

Colored 1932

1931

Madison

Total

1932

1531

'illite

1932

1931

Col .red 1932

1931

Marion

Total

1932

1931

llhite 1532 1931

BIRTHS AND DEATHS 1-J:xelusive of still-births)

TOTAL NOOER

r>ER 1,oc~
POFLlATION

INFANT DEATHS OOER I YEAR

TOTAL

PER I,OCO

-,-- STILL-BIRTHS I PER
TOTAL 1,000

NI.MlER LIVE NUMBER LIVE

BIRTHS DEATHS BIP.THS DEATHS

BIRTHS

376

I 177 22.3 10.5 26 69.1

35C

I 181 21.4 IJ.il 26 p..6

I

88
61

I 52 tG.o 54
50 11.1 9-1

2 22.7 4 65.6

280

125

II

254 II.G

24

833

297

131 2(,.3 11.6

22 74.1

BIRTHS
I --
I 29 77-1
20 559
4 45-5 00
25 86.8
20 I 67-3

400 117

379

12')

316

7G

303

oG

I I

84
7~

41 43

I I 175

6)

ICO

74

64

27

64

31

I 2(.! 7.6 20 50.0

2').0 8.5 i 24 G3.3

I

253 6.1

II 34.8

24. 70

II 363

l 2~.1 14.2 9 107.1

I 2C.6 15.c I 13 171.1 I

I 24.5 97 1 12 I 68.6
255 10.5 i 7 389

!

2:.6 8.7

3 46.9

20.7 to.o

4 62.5

17 42.5 15 396
10 31.6
I13 42.9
7 833 2 2t.3
II 62.9 13 ]2.2
5 ]0.1
4 62.5

&lored 1932

1;31

ll'eriwether

Total

1~32

1931

White 1932 1931

Colored 1932 1931

Ill
116

42
43

I 277 1o.s 1
2').2 IO.'l

9 81.1
I3 259

6 54.1
9 776

536 497

I I 225 2331 9'-' i 2) 541

249 21.? 11.0

4C 80.5

30 60.1 36 72.4

217

[;J 19.iJ 7.4 ~ 5 23.0

213

IC8 I).] . IC.O

20 939

3 36-9 0 376

319

I 144 ~6.5 12.J

24 752

22 6).0

2G4

141 23.8 11.81 20 ]0.4

28 93.6
--

1\8l 5 Girths >.nd Donths With Rates Per 1,000 Population, Infant Deaths Under I Year of

~ge With Rates Per 1,000 Live Births, and Still-births With Rates Per 1,000 Live

I --------i3-irth-s,-J-y -Cd-cr,, -in-E-ach-C-C-I.I'l-ty:--15-31-an-d +1932------.-------1

BIRTHS Af-{) DEATHS

INFANT DEATHS

~.NO YEAH

I (exclusive of still-births)

\.NOER I YEAR

. I TOTAL NU!SER IL~\IRTHS l DEATHS

PER I ,coo

POPU.AT ION

TOTAL

NLM3ER

i31RTHS DEATHS

PER I,OCC LIVE i3IRTHS

STILL-BIRTHS

TOTAL MJMBER

PER I ,000
LIVE BIRTHS

------------- -----+----+---t----+---t----+---+---1

Miller

Tohl 1932

271

1931

267

73 28.8 78
67 213.9 72

14 517 15 56.2

19 ]0.1 9 337

Illite

I ~32

ICO

49 29.0 ].9

1;131

172

313 28.1 6.2

Colored 1932

1931

Mitchell

Total

1932

644

l'lhite

::~

t.q
262

1931 1'. 269

Colored
Mcnroe
Total
White

j
1)32 i
1931 I I
1932 I! 271
1)31 i 252
i
1932 1 72
1;31 1 70

24 28.6 7-5 29 30.2 9.2
82 21.6 6.8
DB 22.5 ].4 151 31.1 12.3
1413 2L,O 12,2
22.9 12.2 21.5 12.4 48 45

6 659 7 737
559
]5.8
13 17
12
20
2 2].8
4 57.1

IC 110.0
3 31.6
48
61
10 21
38
40
13 23
3
I

Colored
Mcntgomery Total

13321 I)) 1)31 1 Hl2
I 1932
1931 I 22)

97 2f1,6 139 101 2.5 14.]
Ill 27.3 1c:.u 99 22.5 9 7

10 16
14 so.o 10 43.7

10 50.2
22 120.~
20 ]1.4
22 96.1

White 1)32

138

56 24.5 99

6

l 1931

114

55 2C.4 9.f'

4

4 29.0
5 43-9

Colored 1932

142

1931

115

55 30. 11.9 44 2).2 96

D 5631 r6 1 r12.7
6 52.2! 11 I 147.s

--------------~---~----~--~---~-~-----~-----~----

TABLE 5

Births and Deaths With Rates Per 1,000 Population, lnfaJ~~t Deaths lhder I Year nf Age With Rate5 Per 1,000 Live Births, and Sti If-births With Rates Per 1,000 Live
Births, By Color, in Each Cot..ntya 1931 and 1932

BIRTHS ANl DEATHS (exclusive of st ill-b!rths)

INFANT DEATHS OOER I YEAR

STILL-BIRTHS

MEA, COLOR AfiO YEAR
Morgan Total

TOTAL NUM'lER

1-

f'

1932

233

1931

259

DEATHS
132 129

PER I ,000

POPLUTION

TOTAL

NLM3ER

BIRTHS DEATHS

18.4 10.4 7 20.6 10.3 16

PER
1,000
Live BIRTHS

TOTAL NUM3ER

30.0 18 61.8 19

PER
1,000
Live BIRTHS
773
7).4

White 1932 1931

92

47 1].1 8.]

2 21.7

2 21.i

94

48 17.6 9.0 9 957

3 319

Colored 1932

141

85 19.4 "7 5 355

16 "35

1931

165

81 22.8 11.2

7 42.4

16 970

MLrray

Total 1932

204

68 21.4 ].I

7 34.3

8 392

1931

234

58 259 6.2 II 4].0

9 385

White 1932

197

67 21.5 73 7 15.2

8 40.6

1931

223

51 24.6 6.3 II 493

9 40.4

Colored Musoogae
Total
111 ite
Colored Newton
Total

1932

7

I

1931 I II

I

I

I 1932 1,091

748

1931

976 I 810

I

1932

640 I 416

1931

I539 434

1932

451 332

1931

437 376

1932

388

171

1931

331

187

19.9 2.8 32.1 2.9
18.9 12.9 16.9 14.2
173 11.2
14.6 "7
21,7 16.0 21.1 18.2
22.2 98 19.0 10.7

00 00
98 89.8 90 92.2
52 81.3 47 87,2
46 102.0 43 984
20 515 12 363

00
0 o
71 65.1 61 62.5
31 48.4 16 297
40 88.7
45 103.0
29 747 17 51.4

llttite 1932

203

80 19.0 7-5 8 394

9 44.3

1931

197

92 !8,6 8,7 7 355

5 2').4

Colored 1932

Iff)

91 2].2 13.4 12 64.9

20 108.11

1931

134

95 197 14.0 5 37-3 12 89.6

I

I

TABLE 5 Births and Deaths With Rates Per 1,000 Population, Infant Deaths Under I Year of
Af1J With Rates Per 11000 Live Births, and Still-births With Rates Per 1,000 Live 9irths, By Colr:r, in Each County. 1331 and I~

:iln., cOLe;,
A~D YEAR

BIRTHS At-0 DEATHS

I {exclusive of still-births)

I I
L~O_:L N~BER

PER 1,000 PQ;CULATICN

Oconee Total

-+-lskTdS DEATHS BIRTHS DEATHS I

1?32

164

69 19.9 8.4

1~31

!60

83 1~.6 10.2

INFANT DEATHS STILL-BIRTHS OOER I YEAR

TOTAL
~lJM3ER

PER L1000 TOTAL LIVE NU>IBER BIRTHS

PER
t,ooo
LIVE BIRl*

15 91.6 15 938

13 793 6 37-5

White 1932

97

43 16.8 74

8 82.5

8 82.5

1931

108

49 18.8 a.s

7 64.8

4 370

Colored 1932
1~31
Oglethorpe Total 1932 1931

I 26 2].4 10.6

6572

34 21.4 14.0

305

135 22.9 10.1

295

145 22.5 11.0

White 1932

142

57 21.3 e.s

Colored
Paulding Total

1931
!
1932 I i 1~'31
I
I
1)32 I 1;131 i

120
163
I 17)
314
277

59 18.2 8.9
I76 24.6 11.8
86 26.8 13.2
99 24.6 ].6
~2 i 22.0 ].3

I

White

I 1932

2&]

1931 t 251

i

Colored

1932

I
I

251

Peach

l1931

26

91 24.9 ].6 80 22.0 y.o
8 21.6 6.9 12 22.] 10.5

Total 1932 I 239

116 2,3.1 11.2

1/31

218

155 21.1 15.0

7 104.5
8 1538
15 49.2 17 576
6 42.3 8 66.7
9 55-2
9 51.4
18 57-3
II 397
16 554 10 398
2 ao.o
I 385
23 96.2 26 1193

5 ]4.6 2 385
17 557 12 40.7
3 21.1
5 41.7
14 859 7 40.0
14 44.6
16 5].6
13 45.0 13 51.8
I 40.0 3 115.4
14 58.6 12 55-0

White 1932 1931

62

35 16.6 93

5 80.6

I 16.1

62

47 16.6 12.6

II 1774

2 325

Colored IJ32 lj3l

177 156

81 26.8 12.3 108 237 16.4

18 101.7
15 96.2

I I 13 734
10 I 64.1

TABLE 5 Births and Deaths With Rates Per 1,000 Populatic:n, Infant Deaths l.hder I YtW.r of
A<J3 With Rates Per 1,000 Live Births, and Sti 11-births With Rates Per I,000 Live Births, By Coler, in Each Ccuntys 193l and 1932

AREA, COLeR ANO YEAR

BIRTHS h"'J DEATriS

INFANT DEATHS

(exclcsive of sti If-births)

t.nlER I YEAR STILL-BIRTHS

TOTAL NtJ.'BER ~P-ER-l.,-00-0-+---....--PER--+---..,..-PE-R--t

POPULATION TOT!L 1,000 TOTAL 1,000

I 1-----+---+---+--1 Nl.M3ER LIVE NI.MIER LIVE

BIRTHS DEATHS BIRTiiS DEATHS

BIRTHS

BIRTHS

--------------+----~---~--~----+---~----+-----r----1
Pickens

Total 1532

270

1931 I, 239

52 26.9 52
6o 24.2. 6.1

7 26.0 15 62.8

II 40.]
8 33-5

1111 ite

1932
1531 I

Colored

Pierce Total

White
Coler-ed Pike
Total

II

'932
1931

I

I 1932
1931 1
I
1932 I
193! I

1932 1531

247 214
~I I
345 1 342
I 262 275
83
67 .
I2{2 I
2~8 i
l 85
98

; l 28.5 31.2 I
IJb ,' 26,8
I 13i 2f.7 82 Ii
s3 1
I
54 1
48 j
I 122 !i
12) 2<' .6
46 16.1 58 17-9

37 10,0
10.6
10.3
I
8.6 8.8
16.4
14.7
I 11.: I I 11.8
8.3 10.6

7 28.3 15 70.1

0

0

0

0

27
29
22 84.0
21 ]6.4
5 6o.2
8 119.4
26
18
6 6].4 5 51.0

8 32.4
7 327
3 130.4
I 40,0
26 754
18 52.8

1m 1

CoiQI'ed

1

1931 1

Polk

I

Total 1932

626

1931

492

Illite 1932 1931

Colored 1932

79

1331

34

76 31.4
71 27.4

219

8.5

262

10.3

149 26.2
187 22.1
70 16.6 75 ].2

20 115.61 13 75'

13 86.]

17 113-3

44 180.3
46 9351
I 65.8
6991 I
8 101.31 14 411.8
i

17 31.1 13 28.4
9 113.9/ 10 29411
j

TAI3LE 5 Births and Deaths lith Rates Per I,Ooo Population, Infant Deaths lhder I Year of Age lith Rates Por 11000 Live Births, and Still-births With Rates Per 1,000 Livs Births, By Color, in Each Countyr 1931 ard 1932

AREA, Ca.a:l MD YEAR
Pulaski Total

I ( BIRTHS 00 DEATHS (exclusive of sti II -births)

I
1
~TOTAL""""

PER 11000
POPll.ATI CN

. BIHTHS DEATHS BIRTHS DEATHS
----

1932

17,;

79 19.1 8.6

17)1

164

82 18,0 90

INFANT DEATHS OOER I YEAR

TOTAL NUM3ER

PER
1,000
LIVE BIRTHS

9 51.4 9 589

STILL-BIRTHS

TOTAL NUM3ER

PER
1,000 LIVE
BIRTHS

12 68.6 10 61.0

~Jhite

1932

1931

52

32 13.0 8.0

58

37 14.6 93

4 1>9
3 519

3 577 2 345

Colored 1932 1931
Putnam
Total 1932 1931

123

47 ;23.8 9.1

5 40.7

106

45 20.7 8.8

6 56.6

224

100 26.1 II.]

12 536

19) 105 235 12.4 19 955

9 732 6 755
14 62.5 17 ~.4

White 1332 1931

58

30 18.2 9.4

4 69.0

55

31 173 98

5 909

3 517 6 109.1

Colored Quitman

I 1932
1931 i
i

166 1 144

Total 1932 I 5

1;)31 I IC6

!

ihite 1932

lj

1)31

20

70 309 13.0
74 27.2 14.0
28 21.2 70 42 2].0 10.7
7 155 57
15 16.6 12.5

8 48.2
14 972
2 235 7 66.0
00 3 150.0

II 66.3 II ]6.4
5 588 4 377
I 526 I 500

Colored 1))2
1931
Rabun

66

21 23.8 76

2 303

a;

27 31,] 99

4 46.5

Total 1)32

153

47 23.5 72

9 58.8

1931

133

35 2C,] 5.4

4 )0.1

4 6o.6 3 349
5 32.] 5 37.6

White 1332

153

44 24.1 6.9

9 588

1931

132

34 21.0 5.4

4 30.3

5 321
4 303

Colored 1932 1931

0

3 0 18.3

00

I

I 6,1 6.1

00

00 I 100.0

TABLE 5

Births and Deaths With Ratss P~r I1000 Pcpulaticn, Infant Ollaths Under I Year of Age With Rdos Per I,000 l.lve Births, and St i It-births With Rates Per I,000 Live
Births, By Color, in Each Countya 1931 and 1932

BIRTHS N() DEATHS (exclusive of still-births)

INFANT OEATHS ST ILL-8 IRTHS UNDER I YEAR

IREA, CQ.OR AM> YEAR
..

PER 1,000

I TOTAL NUM3Eii

POPll.ATl ON

-- -

TOTAL NUISER

BIRTHS DEATHS BIRTHS DEATHS
-

PER
a,ccc
LIVE BIRTHS

TOTAL Nl.MBER

PER
1,coo LIVE
BIRTHS

Rardolph
Total 1332 365
1931 387

182 20.9 10.4 171 22.3 99

14 ')8.4 18 46.5

28 76.] 32 82.]

White 1932 101 1931 Ill

61 ~ 177 10.] 55 19.6 97

5 4~.5 7 63.1

3 297 3 2(.0

Colored 1932 264

121 22.4 10.3

9 34!1 25 947

1931 2]6

116 23.6 99

II 399 29 105.1

Riehnood

Total 1932 1,492 1,244 2C.O 16.)1 118 ~.1 Ill ]4.4

85' f931 1,399 1,~5 19.1 I8.C I 150 107-2 119

White 1932 868 1931 819

612 20.2 14.2 669 19.1 15.6

55 63.4 74 90.4

45 51.8 41 50.t

Colored
Rockdale Total

I 1932 624

1931

58(\

1932 I 147
1931 I 1)5

White 1932 92 1931 83

612 20.5 20.8 . 696 19.1 22.9
56 20.3 77 81 18.6 11.2
I
32 19.1 6.71 54 1].3 11.2

63 101.0 ?6 131.0
7 47.6 8 593
4 43-5 7 84o3

66 105.8 78 ,,4.5
IO 68.0 9 66.]
8 8]0.0 6 72-3

Colored 1932

55

1931 52

Schley

Total 1932 134

1~1

loa

24 22.5 98 27 21 3 11.1
70 24.] 12.91 74 20.0 '37'

3 545
I 19.2
It 82.1 16 148.1

2 )6,4 3 577
6 44.8 5 -lb.3

White 1932

34

1931 27

19 16.6 93 34 .,3.2 r6.7

00 5 185.2

2 58.8
2 ]4.1

Colored 1932 roo 1931 81

51 29.6 l5oll "40 24.1 !1.9j

It 110.0 II 1.35.8

4 40,0 3 37.0

TM3LE 5 Births 'lnd Deaths With Rates Per 11000 f'opulaticn, Infant Diaths lhler I Yoar of

Ago 'ilith Rates Per 1,000 Live Births, and Still-births With Rates Per 11 000 Live
- - - - - - - - , Bit ths, By Color, in Each Colllty, 1331 and 13)2

BIRTHS AND DEATHS

INFANT DEATHS

AREt,, COLOfl

I I (exclusive of still-births)

l

PER I ,000

OOER I YEAR PER

Af\D YE/Ul

I TOTAL Nl.tt18ER

POPIUTION

TOTAL t,ooo

----r Sa-oven

Ir--- tliRTHS

DEATHS

-

Nl.MlER LIVE

BIRM DEATHS

Btr!lHS

STILL-BIRlHS

TOTAL NLM3ER

PER
1,ooo
LIVE BIRTHS

Total

1932

499 183 235 5.6 28 56.1

46 32.2

1931 1 518 172 24.& 8.2 36 695 44 84.9

White

I1932 156

1331

1')7

67 17.2 74 63 21.9 7-0

Colored

I1932 343
1931 321

116 109

28.1 95 26.9 91

Seminole

Total

1132

137

(,a

<f.l ').C

1)31

157

72 21.0 96

I

White

l 1732 I 57

1')31

.GG

35 21.3 77 41 14.6 9-0

I

Colored

1)32 1:}31

I
! i

100 91

33 33.6 11.1 31 31.0 10.5

Spalding

I

Total

1332 ! 45:1 331 21.1 14.0

1)31 i ,t2

351

1').6 14.3

i

White

1)32 I 332 169 21.5 12.2

I 1931

3C5

172

19.e 11.2

I Colcrad 1932

167 142 20.5 1].4

1~1

157 179 19.2 21.9

Stephens

Total

1932 270 93 22.2 17

1931

254

99 21.2 8.3

4 25.6
7 355
24 70.0 29 903
19 96.4 II 70-1
5 51.5 ,6 ')D.')
14 140.0 5 549
34 ~8.1 46 3').6
19 572 20 65.6
15 8').8 26 165.6
14 51.9 9 35.4

13 83-3 5 25.4
33 rf,.2 39 121.5
13 66.0 10 637
6 61.') 3 45.5
7 70.0 7 769
37 ?4.1 43 93'
17 51.2 21 68.')1
20 11').6
22 140.!
9 333 9 354

White

1)32

240

67 24.0 6.]

II 45.8

1)31

228

86 23.2 8.7

8 3').1

6 25 .o
5 21.9

Colored 1932 1931

30

26 I4~C 12.1

26 13 12.3 6.1

3 too.o
I 38-5

3 roo.o
4 153.8

TAal.E 5

Births ard Deaths With Rates Per I,COfJ Populaticn, Infant Deaths lhdor I Year of Age IYith Rates Per I, COO Live Births, ard Still-births otith f<atos Per I,OCC Live
Births, By Color, in Each County: 1931 ard 1932

AREA, COLOR AND YEAR

i31RTHS AID DEATHS (exclusive of still-births}

TOTAL Nl.IMlE;;

PEn 1,wo
ro-Qt,TION

BIRTHS DEATHS BIRlHS DEATHS

INf"ANT OEAlHS liDER I YEAR

STILL-BIRTHS -

PER

PER

TOTAL t,coo TOTAL I,oco

NUISER LIVE NUd3ER LIVE

iliRTHS

BIRTHS

Stewart

Total

1932

1931

2ll2

12(, 24.7 II ,O 14 4}.6

15 532

23!3

125 21.1 11.1 21 [)(l,2

15 63.0

White 1932 1)31

31

32 97 IG.O

I 323

4 12') .o

33

~ 10.4 ].I

00

2 6o.6

Colcred 1932

1931

Sunter

Total

1932

1931

251

94 306 11.4 13 51.13

It 43.13

205

% 253 11.9 21 102.4 13 63.4

575 335 21.2 12.3 37 64.3 50 0],0
530 'foe 19.6 133 39 ]3.6 33 62.3

~hlte

1}32

1931

127

M 13.4 93 5 394

135

113 l4o3 12.0 15 It 1.1

6 47.2 4 296

Colored
Talbot lobi

1932

44D

1931 I I

3:;15

I

I 1732

210

1931

223

White 1?32

31

1931

31

247 253 139 247 22.5 14.1
87 I 24.9 99
I IC.2 25.3 11.13 I
18 11.5 6.] 27 11.6 10.1

32 ]1.4 24 60.13
22 IG0.9 16 ]I,]
4 129.0 I 323

44 982 29 ]3.4
II 505 20 fJ97
2 ~.5 I 323

Colored 1932

1137

69 ~.8 11.4 10 963

9 4n.l

1931

192

75 32.2 12.6 15 ]13.1

19 99.0

Taliaferro

Total 1932

17')

77 2[;,4 12.2 II 61.5

II 61.5

1931

170

90 27.2 14.4 15 013.2 12 -,o.6

White 1932 1931
Colored 1)32
1931

37 30

19 23

19.0 15.4

971
11.0

I 27.0 2 66.]

I142 I 513

140

67

32.] 326

~~:J
15.6

10 13

70.4 929

c0
2 f6.7
II 77-5 10 71.4

TABLE 5 Births and Deaths With Rates Per t,coo Population, Infant Deaths Under I Year of

Age With rta.tes Per t,ooc Live Birt~s, and Still-births With Rates PEr t,ooo Live

Births, By Coler, in Each COUltyr 1931 and 1932

-----------~ BIRTHS A~ DEATHS
1--loxclusive of sti 11-births)

INFANT DEATHS OOER I YEAR

STILL-81R1HS

.\IlEA, COLOI; A."D YEfR

i
!
j TOTAL NLMlER

PER I ,000 PO!'llATION

TOT~L

~--------.-----+----r---1 NUMlER

PER I 100C' LIVE

TOTAL NUMBER

PER t,CUG LIVE

-------}--G-IR--THS---+-D-EA-THS--+-8-IR-THS-+-D-EA-THS-+---I-8-IR.-THS---11------i-B-IR-THS-I

Tattnall

I

Tota I

1932 1 334

1931 I 333 I
t

llhite

I 1::32 1 250

1931

261

131 21.1 104 21.3
20.1 21.3

20 599
13 390

20 599
20 6o.l
13 520 12 46.o

Co Icreel 1932

1931

Taylor

Total

1)32

1)31

134

34 24.8 10.1

4 47.6

7 ll3o3

35 21.4 10.4

4 556

8 111.1

01 24.0 7.5

17 65.4

ID

65 10.3 6.1

to 51.0

6

IVhite
Colored Tel fair
Total
ifhite
Colored Terrell
Total

1)32

103

33

1931

77

29

1)32

l157

I 1)31 I 119

I 1}32

371

1931

423

170 154

i

1932

22t

~

1)31

250

08

1)32

150

76

1531

170

66

_1)32

415

109

1?31

376

20]

24.2 11.1 26.2 10.1
21.2 90
25' 8.5
30-5 15.4 34 7 135
22.4 10.2 20.4 II ,2

5 48.5
3 390
12 76.4 7 5!J.!l
16 72.4 10 31l.B 16 1o6.7 15 80.2

4 313.8 2: 26.0 14
4
25
27
40 96.4
28 745

'llhito

1332

1)31

53

42 99 7-8

3 st;.6

65

40 12.2 ].5

2 30.8

Colored 1)32
1)31

'fo2

147 27-5 11.2

311

16] 23.'3 12.8

33 91.2 27 o6.o

"'...,.,

r TABLE 5 Births and Ocaihs With Rates Per- I,OCO P~ulaticn, Infant Ooaths lhder I Year of
Age With Rates Per I,CCO Live Births, and Sti II -births With Rates Per 11 000 Live 13irths1 By Color, in Each COIIlty 1~1 and 1932

AREA, CQOR ANJ YEAR

BIRTHS AI() OEATI6 (exclusiw of sti 11-births)

IIFANT DEATHS OOER I YEAR

STILL -BIRTHS

TOTAL NLf..I8ER
-
GIRTHS DEATHS

PER l,ooc

POf'ULATl ON

TOTAL

NI..MlER

!31Rn1S DEATHS

PER
1,ooc
LIVE BIRTHS

TOTAL NI.M3ER

PER 1,000 LIVE BIRTHS

Thomas

Total

lj32

1931

]04 445 21.2 13.4 ]16 443 21.] 135

57 81.0 56 ]8.2

69 )il.O 61 85.2

IYhite

1932

1931

332 164 19.6 97
307 203 IG.2 12.0

21 633
10 '}8.6

22 66.3 10 58.6

Colored
Tift
Total
White
Colored Tooabs
Total
Vihite
Colcred TCIInS
Total

1932

372

281

22.9 17-3

1931

409 240 254 14.4

I

1932

376

184

230 11.3

1931

281

189

17-3 "7

1932

2.36 108 20.9 95'

1931

177 104 15.6 9.2

I 1)32
I 1931 I 1132
1931

:~ I I 13131
104
I

I 76 i 28.0
1l5 21.2
103 20.2
12( i 20.3

15.4 l]o3
58 72

1932

226 I 67

1].8 53

1~1

236

79 lllo9 6.3

1332

132

36 26.2 ].1

1931

118

47 237 95

1)32

122

35 2].0 77

1931

128

40 20.0 90

'f, %.8 36 929
35 931 26 925
18 756 15 84.7
17 123-2 II IC5o8
14 391 18 50.8
1 31.0
14 593
7 530 4 33-9
6 49.2
7 547

47 126.3 43 105.1
21 559 32 113.9
9 31-8
10 101.7
12 8].0 14 134.6
31 66.6
20 56-5
10 44.2
8 3'39
21 1591 12 IOI.f
4 328 10 7a.1

White

lj32

1931

Colored 1932 1931
'

122

35 2].C 7-7

128

40 28.8 90

0

0c0

0

c0 0

6 49.2 7 547
G0
c0

4 )2.8 10 ]8.1
00 00

172

T\GLE 5 Births and :-kaths With Rat<;s Per l.c:o Population, Infant Deaths lh:ler I Year of

Age With Rates Per I,COO Live Girths, and Still-births With Rates Per 1.ooo Live

--------r- Births 8y Color, in Each Co111tya 1~31 and I~:J!

\3 IRTHS AN!: DEATHS

INFANT DEATHS

(exclusive of still-births)

LN~R I YFAR

STILL-BIRTHS

1\rtEf,, COLOil lite YEAA
Treutlen

I

PER I, 000

I TOTAL NUM3ER

POPllA TION

TOTAL

I

--1 t-- tI CEAlHS ih1THS

NU!.BER OIRlHS DEATHS

PER 1.occ TOTAL LIVE f>l.IWDER i31RlHS

PER t,ooo LIVE 31RTHS

Total White Co lcred Troup

1~32 1 165

I 1~31

175

I

I 1)32
1931

I
i

12D 105

I

1)32

37

I 1~31

67

]2 21.5

~.4

64 23' 8.4

43 <:'j.O 8.4

35 21.3

6.~

2~ 14.6 11.4
~ 't/,.7 11.6

8 48.5 14 ao.o

5

~.I

6 556

3 81.1 8 11~.4

~ 545
13 743
5 ~.I
7 64.a
4 IC8.1 6 [)9.6

Total

1932

786

1~31

702

~6 21.0 11.1 416 to.~ 11.2

62 ]8.~
55 783

38 48.3
42 53.8

l'lhite

i 1)32 l 47~-
1~31 I 415
I

202 21.4

~.1

~~~ 18.3

91

40 84.0 26 62.]

13 273
20 48.2

Colcred
Turner Total

I 17)2

310

I 1)31

2fJ7

I

I 1932

239

1931

291

214 20.4 14.1 217 1~.0 14.3
100 20.6 8.6
')7 255 8.5

22 ]1.0 29 101.0
10 41.8 I~ 65.3

<:') 8o.6 22 ]6.]
16 66.9
20 68.]

Ylh ite
Colored Twiggs
Total

1~32

142

1)31 I IG3
I

1332

37

1931

10&

19:32

235

1)31

224

50 18.6 6.6 44 24.4 59

50 24.5 12.6 53 27-5 '35

80 2].1

92

87 26.2 10.2

4 28.2
9 4~.2
6 Gr.~
10 32.6
17 723 13 58.0

7 493 i 10 546
9 928 10 936
9 303 13 50.1'0

Illite

1932

62

1931

5~

9' 28 20.2
35 1~.3 11.5

6 J{,.e
3 50.8

00 I 16.3

Colored 1932

173

1931

165

52 JC.B 93

52 30.1

95

II 63.6
10 6o.6

9 520
12 727

"1*77

TABLE 5 Births and Deaths With Rates Pa- I,000 Population, Infant Deaths l.hder I Year nf A~ With Rates Pa- 1,000 Live Births, and Still-births With Rates Per 1,000 Live Births, By Color, in Each Coll'ltyt 1~31 ml 1932

AREA, COLOR A'll YEAR

BIRTHS AND DEAlHS

l (exclusive of sti II -births) PER 1,000

TOTAL NI.M3ER

POPllATION

I

BIRTHS DEAlHS BIRTHS DEATHS

INF~T DEATHS LNOER I YEAR

TOTAL NlNI:lER

PER 1,000 LIVE BIRTHS

STILL-BIRTHS

TOTAL NUM3ER

PER 1,000
LIVE
BIRTHS

lilion Total
lttite
Colored
t.pscn
Total
White
Colored Walker
Total
White
Colored Walton
Total
Whito
Colored

I 1932

203

1931

187

1932,

203

1931

185

72 307
I53 28.8

I10.9
8.2

15 6

739 32.1

72 31.0 11.o I 15 739

52 28.] 8.1

6 32.4

1932

0

c0

0

0

0

1931
1932 1931

2

I 40,8 20.4

00

I

I4~2

I~

I 24.7 IO.O

39

448

202 I 22.] 10,2

26

793
sa.o

I~
II1931

342 320

133
lo6

1932 I 150 I 66

1931 I 128

96

I

1932 I 529

212

1931 I 537

244

26.6 10.3 25.1 8.3
21.4 94 18.4 13.8
19.7 ].9 20.2 92

31 ~o.6 18 56-3
8 533 8 62.5
31 58.6 41 ]6.4

1932 1931

484
4~

190 210

19.8 20.3

].8
I B.]

26 5371
30 I 61.0

1932

45

9' 22 18.]

I5 II 1.1

1931

45

34 lf,.8 14.2

I II 244.4

1932

461

197

21.3

9ol I

I18

~.o

1931

465

219 21.7 10.21 34 731

1}32

304

110 22.6 74

II 'f,.2

1931

311

I131 21.3 8,8

24 772

1932

157

1931

154

87 22.3 12.6 88 22.5 12.~

7 44.6 10 64.9

6 29.6 9 48.1
6 I 29.6
9 48,6

00

0

0

23 46.]
23 513

II 32.2
8 25-0

12 8c.o
15 11].2

20 37.8 10 18.6

17 3').1 9 18.3
3 66.]
I 22.2

31 67.2 27 58.1

14 46.1 12 38.6

17 IC8.3 15 97/1

, -,.),

ThJL!: 5 Birth. and_D.;aths Wit~ Rates Per I,OCO Popi.!laticn; Infant Deaths th:ler I Year of

Age i'litll'Rat'es Per 1;000 u've Births, and Stil-l-births With Rates Per l,oo: Live

3irths, By Cofor, i'n Each' County: 1931 and 1~32
--..------ .. i BIRlHS AID DEATHS
i- 1 (exclusive of sti If-birth~)

INFANT DEAlHS OOER YEAA

STILL-B IRlHS

.\i(Ef,, COLOn AND YEf.H

.I TOnL Nl.MBER
+"";~,~,

.

1

Pffi I ,coo
POPULATION
BIRT[!S DEATHS

.TOTAL NUM3ER

PER
1,oco TOTAL LIVE NUMBER
BIRTHS

PER
1,000
LIVE
81Rl*

l'lare Total

I ~32 I 'iJb 337 22.1 12.5 34 570

931

63o 1 313 ZM 11.7 36 57'

37 62.1 50 ]9.4

l'lhito

~32

331

Colored 932

931

Warren

Total

932

931

423 203 22.6 10.8

45o

i]6 24.] ~-5

I 173 134 21.1 16.3

1]2

13.7 20.9 16.]

25 59' 16 349
9 52.0 20 116.3

233 249

101 20.3
I ~7 I 21.9

8.8 10.3'

7
II

30.0 44.2

22 52.0 23 50.2
15 86.] 27 157.0
10 42., 24 ;/>.4

White

932

63

22 16.2 56 2 317

I 15.S

931

6t

46 f7.6 "9

4 588

II 161.8

Colored 932

170

?31

181

Washington

7'1 22.4 10.4
71 24.2 95

5 294 7 387

9 529 13 71.8

Total

)32

487

228 19.2 90 29 595

27 55.4

931

462 253 18.3 10.0 I~ 41.1

25 541

White

932 ?31

196 162 .

96 19.5
92 (4.7

95 8.4

II 56.1 6 3].0

II 56.1 6 37.0

Colored 732

291

132 20.3 92 18 61.9

16 550

931

30'.:-

161 21.1 11.3 13 43-3

19 63-3

Wayne

Total

':)32

326

152 25.2 11.7 18 552

~I 64.4

)31 337 149 26.3 11.6 30 89.0 23 68.2

White

932

263

IOO 26.5

I!
10.1 14

532

10 38,0

931

27)

98 28.4 1o.o 21 "fJ3

16 57-3

Cofore:l

?32

63

52 20.8 17.2

4 635

II 1]4.6

931

58

51 1].2 16.9 9 1552

7 12Co]

, "'7C::

TABLE 5

Births &I'd Deaths \'lith Rates Per 1,000 Population, Infant Deaths lhder I Year of Age With Rates Per I,JOO Liw Births, an:! Still-births With Rates Pill" I,COO Live Births, By Color, in Eaeh Colzlty& l'}l and 1932

BIRlHS AI{J DEATHS (exelusiw of still-births)

INFANT DEATHS lWER I YEM

STILL -BIRTtiS

lt\EA, COLOR AtfJ YEAA

TOTAL r.u~ BIRTHS DEATI1S

PER 1,ooo POPULATION TOTAL
NLM.lER
BIRTHS DEATHS

PER I,OC.O LIVE BIRlHS

TOTAL NUM3ER

PER 1,000 LIVE BIRniS

Wobster

Total

1932

121

1931

114

White

1932

27

1931

38

56 236 10.9 8 66.1
53 22.4 10.4 10 877
20 13.4 10.0 u 0 20 19.0 ro.o 2 52.6

12 ~.2 6 52.6
I 37-0
c0

Colored IJ32

94

'j, 301 11.5 8 851

II 117.0

itleeler

1.331

76

I33 24,6 10.7

8 10).3

6 789

Total

1932

2G6

71 21.7 75 4 19.4

12 583

1931

201

59 21.5 6.3 !6 "{9.6

14 697

White

1932

124

1931

134

41 19.4 6.4 I

B. I

38 21.2 6.0 12 89.6

4 323
4 299

Colored
White Total

1932

82

I 1931

67

I 1932

lf'7

1931

1~2

30 26.5 97 3 'f>.6

21 22.2 6.9 4 597

I

51 295

B. I

8

42.8

!.5 24.5 72 10 65.8

8 916
10 1493
7 374 5 329

llh ite

1,32

172

1?31

144

Colcre4 1932

15

1931

8

ltitfield

49 290 8.3 6 349
41 24.8 7-0 8 556

2 377 50
4 20,4 10.2

2 1333 2 2')0.0

7 4071
2 1391 I
I 0 0 I
3 375.0

Total

1932

526

194 16.5 90 39 ]4,1

12 22.81

1931

554

223 26.1 10.5 47 IJ].B

22 397

I

Illite

1932 1931

4;fj 521

166 24.6 8.3 35 707
205 26.3 10,4 45 e6.4

=~I 10
20

Colored 1932

31

28 22,0 199 4 129.0

2 64.51

1931

33

18 23.6 12.9 2 6o.6

2 6o.6

, 7~

Tlil.E 5 Births <nd Deaths With Rates Per I,OCO Populaticn, Infant Deaths trder I Year of

Age With Rates Per 1,000 Live Births, and Still-births With Rates Per l,oco Live

----

Girths, B) Color, in Each Colllty 1~31 and 1~32

BIRTHS AND DEATHS (exclusiw of still-births)

INFANT DEATHS t.WER I YENl

STILL-81flTHS

N,Ef,, COLOR AID YEAR
---
VIii cox Total

I TOTAL Nlt.IGER
I-
GIRTHS DEATHS

PER 1,000
POrULATION TOTAL N\.MBER
BIRTHS DEATHS

I'ER
t,ccc TOTAL
LIVE NI.MlER
BIRTHS

~
1,000 LIVE
BIRTHS

1932 254 1931 276

93 10.5 6.0 83 20.3 6.1

13 51.2 13 47.1

22 86.6 12 43.5

White

1332

1931

Colored 1)32

1931

Wilkes

Total

1932

1331

II&

38

I134

37

I136

55

I142

46

I 34:1

172

277 171

14.5 4.7 16.6 4.6
24.4 99 257 8.3
21.7 10.7 173 10.7

3 254 6 44.0

10 735

7

4~}.3

13 37.2 8 28.9

8 67.0 6 44.0
14 102.9 6 42.3
25 71.6 12 433

lil ite

1932

113

1331

IC2

63 19.0 10.6 53 17.2 9.0

2 '77 2 19.6

10 88.5 6 58.8

Colored
Wilkinson Total

1932 I 1931 I

2'1>
175

I 1;132 216
1931 I 216

109 233 10.7 118 173 "7
97 19.6 8.8 115 197 10.5

II 46.6 6 343
18 833 26 120.4

15 63.6 6 34.3
21 97-2 6 27.8

White

1)32

80

39 13.0 6.7

4 50.0

3 37-5

1331

99

49 17.2 8.5 10 101.0

3 303

Colcred 1932

136

~ 26.0 11.1 14 102.9 18 132.4

1;131

117

66 22.6 12.7 16 136.8

3 25.6

rorth

Total

1'132

566 245 26.0 11.3 47 83.0 30 53.0

l:fjl

570

243 26.6 !1.31 44 7].2

34 59.6

ilhlte

1932

258

ICO 24.3 8.4 20 69.4

12 41.7

1931

303

103 25(/' 8.8 17 56.1

9 297

Colored 1Jj2

278

145 23.2 14.] 2] 971

18 64.7

1931

267

140 27.4 14.4 2] 101.1

25 )3.6

II

TABLE 6 Deaths and Death Rate Per I()(,,OCO Population From Specified Causes, in Each COIIltyr 1~2 and 1931

Area ar~ Cause of Death
The State All Causes
Typhoid fever Malaria Diphtheria lnflumza
O~ntery
Tuberculosis (alI forms ) Cancer
Diabetes mellitus Pellagra Cerebra I Hemorrhage Hoart d i sease s Pnaunooia
Diarrhea and Enteritis Under 2 years
Nopt.ritis Puerpera I causes Malformations and Early Infancy External causes All other causes Appl irg
All Causes Typhoid fever Malaria Diphtheria lnfluenu Dysentory
Tuberculosis (alI forms)
Cancer Diabetes melt itus Pellagra Cere bra I Hemorrhage Heart diseases Pneunooia Diarrhoa.and Enteritis l.klder 2 years Nephritis Pt.erpera I causes Ma lformati C11S and Ear Iy Infancy External causes All other causes

N.Arber
1932 1931

Rate
!232 1931

32,122 32,~9 I005.0

363

513 12.3

316

307 10.7

169

158 57

l, flO 1,301 395

141

177 4.8

1,933 2,165 65.3

I 1,531 343

1,580 322

517 11.6

j 492

563 J6.6

2,Jl2 I 2,340 80.5

I 4,102 3,948

2,444 390

I

2,465 545

139.6
835 13.2

I 3,216
I 620

3,226 I 108.6 616 20,9

1,662 1,827 ~.1

2,7]2 2,920 936

8,0]6 8,016 2]2.8

1123.0 1].5
10.5
54 44.3 6.0
737 53.8
ll.O 19.2
797 134.4
839 18.6 109.8 21.0 62.2
994 2729

116

85 8j4.1 631.4

5

4 36.8 297

II

2

].4

14.9

i 3I

I 22.1

].4

7

10 51.5 ]4.3

2

0 14.7 0

4

4 295 297

II 2
il
10

2

7.4 14.9

0 14.] 0

I

].4

].4

I

2 736 14.9

6

5 44.2 37'

17

13 125,2 :;6.6

I2
10

I
6

14.]
"(3.6

].4 i

44.6

! I

2

0 14.7

0!

4 14 25

3 15 16

295 103,1
184.1

22.3 :
J "IIB'.~B I

178

TABLE 6 Deaths ilnd Death Rate Per 100,000 Populaticn From Specified Causes, in Each OOUlty, 1932 and 1931

Area and Cause of Death
Atkinson All Cuuses
TYJ:boid fev~;.r Malaria Oiphther ia lnflwnza Dysentery T\berculosis (all fc.rms) Cancer Diabetes mellitus Pellagra Cerebral Hemorrhage Heart diseases PneUIOOnia Diarrhea and Enteritis lhdr 2 years Nepuitis Puerpera I causes MalforllliltiCI'lS and Early Infancy Externa I causes All other causes Bacon
All Cai.SGS Typhoid fever Malaria Diphtheria Influenza Dysentery Tt.beroulosis {all fcrms) Cancer Diabetes mellitus Pellagra Cerebra I He rn:rrhage Heart diS(;i!S6S Prv-.umonia Dic.rrh~:;a and Enteritis lhder 2 years Nephritis Puerpera I causes Ma Ifermat i ;ns and Ear Iy Infancy Ex to rna I causes All other causes

Nunber ,,.,2 1931

Rate

1~2

1931

Jj

37 467.6 524.7

0

00

0

I

0 13.9

0

I

0 '39

0

0

0

0

0

I

0 139

0

0

2

0

28.4

I

I 139 14.2

I

I 139 14.2

I

0 139

0

3

3 41.8 42.5

6

4 83.6 56.]

3

2 41.0 26.4

I

0 13.9

0

0

2

0

28.4

2

I 279 14.2

I

I

139

14.2

I

4 139 '567 I

12

16 16].2 226.9 \

:

;

81

6o 1116.8 ll374

:

3

I 41.4 14.0 i

I

0 13.8

0

2

0 27.6

0

2

4 27.6 558

0

0

0

0

2

I 2].6 14.0

3

0 41.4

0

3

0 41.4

0

0

2

0

279

3

3 41.4 41.9

10

8 137-9 Ill.]

5

II 68.9 1535

3

2 41.41 279

12

II 165.4 1535

2

2 27.6 i 2].9

2

4 27.6 550

6

I f.Q.7 -!4.0

22

I1o 3033 J33.6

179

TABLE 6 Deaths ard Death Rate Per 100,000 P~ulatim From SpecIfied Causes, in Each Colllty1 1932 and 1~1

l
lrea and Cause of Death
Baker All Causes
Typhoid fever Malaria Diphtheria lnflwnza Dys()Otery Tuberculosis (all forms) Cancer Diabetes nell itus Pellagra Cerebral Hemorrhage Heart diseases Pneui!OOia
Diarrhea and Enteritis Under 2 yt~ars
Nephritis Puerpera I causes Malformations and Early Infancy External causes All other causes Baldwin
All Causes Typhoid fever Malaria Diphtheria Influenza Dysentery TlberculoSi s (all fcrms) Cancer Diabetes mel! itus Pellagra Cerel:ral Hemorrhage Heart diseases Pneumonia
Diarrhea and Enteritis Uhder 2 years
Nephritis Puerpera I causes Malfcrmations and Early Infancy External causes All other causes

Nutrber
1932 1931

Rate
1932 1931

89

65 11 c6.c 818.(

3

5

37.~

62.9

4

3 49. 378

0

0

0'

0

4 2 49. 25'

0

I

0

12.1

31

3 37' 371

31

I

37

12.~

0

0

0

0

0

I

0

12.6

6

8 ]4.! 100.7

4

5

49.

62.<

;I 2 8]. 25'

I

24.

12.!

4

4 49. 50'

I

I

12.

12.

10

3 124. 37

8

6 99 75

30

19 372. 2')9.1

476

519 2015.4 22~8.)

3

4 12.] 1].2

0

00

0

0

I

0

4.3

II

5 46.6 21.5

I

2 4.2 8.6

6o

90 254.0 386.4

14

14 593 6o.l

5

3 21.2 12.9

8

15 339 64.4

22

43 931 184.6

47

43 1990 184.6

40

37 169.4 1589

0

I

0

4.3

39

28 !65.1 120.2

I

2 4.< 8.6

4

I 16.'

4.3

45

45 19D.5 1932

176

185 745.~ ]94.4

180

IAULE 6 Osaths and Ooath Rate Per 100,000 Pq~ulatim From Specified Ca~.~~es, in Eadl Q)lldya 1~32 and I!J3 I

---

--~
tJanks

Area and Cause of Death

All Causes

Typh.Jid fover

tlalaria

Diphtheria

Influenza

Dysentery

Tuberculosis {a II forms)

Cancer

Diabetes re IIi tus

Pellagra

Cerebra I Hemorrhage

Heart diseases

PneiAl'IOI"\ia

Diarrhel and Enteritis Lhder 2 years

Nephritis

P~.Crper a I causes

Malformations and Early Infancy

Externa I causes

All other causus

Barrow

All Causes

Typhoid fellfJr

Malaria

Diphtheria

Influenza

Dysentery

Tuberculosis (all forms)

Cancer

Oi abotes ~~ell itus

Pellagra

Cerebral HM:~~Th~

Heart diseasos

Pnel.mll'lia

0 iarrhea and Enteritis lhder 2 years

Nephritis

Puerperal causes

Malformations and Early Infancy

External ca..SU

AII other cuses
'

Nunber-

1~32

1~1

Rate

1~32

1~31

~~

136 9838 13733

I

3

~~ 303

I

I

~9 "10.1

0

I

0

10.1

7

5

69.6 50o5

0

0

0

0

18

47

178-~ 474.6

5

5

4~7 50.5

I

0

9~

0

0

I

0

10.1

5

8

4~7 80.8

15

17

14~.1 1717

6

4

596 40.4

0

2

0 20.2

14

4

1391 40.4

2

5

19~ 5o.5

2

8

19.~ 80.8

7

5

6~.6 505

15

20 149.1 202.0

112

122 8]7.7 !68.2

0

4

0 3'1

0

0

0

0

I

0

].8

0

3

I 235 7o9

0

I

0

M

3

9 235 71o4

6

8 47oO ,,.5

0

2

Q 159

I

I 16 79

a

8 62.7 6.35

22 8

14 4

l 1]2.4 111.1
62.] 3l.y

6

6 47-0 47.6

16

12

125o4 5').2

I

I

].8

].9

10

7 78.4 1349

9

9

705 714

18

25

141.1 -~~.4

181

TABLE 6 Deaths and Death Rate Per 100,000 Population From Specified Causes, in Each County 1932 and 1931

h"ea and Cause of Death

Bartar

All Causes

Typhoid fever

Mllaria

Diphtheria

lnflLSnZa

Dysentery

Tuberculosis (all forms)

Career

Diabetes roo II itus

Pellagra

Cerel:ral Hemcrrhago

Heart diseases

Pneunmia

Diarrhea and Enteritis lhder 2 years

Nephrlt is

Pt.erperal causes

Malformations and Early Infancy

External causes

All other causes

Ben Hi II

All Causes

Typhoid fever

Malaria

Diphtheria

Influenza

Dysentery

Tuberculosis (all forms)

Cancer

0 iabetes 1110 II itus

Pellagra

Cerebra I Hemorrhage

Heart diseases

Pneuoonia

Diarrhea and Enteritis Under 2 y~ars

Nephritis

Puerperal causes

Malformaticns and Early Infancy

Externa I causes

AII other causes

-

Nunter
I 1932 19'31

-Rate I'J32 19'31

288

228 1109-3 887-3

3

5

11.6 19-5

2

0

77

0

5

I

19-3

39

14

8

539 31.1

3

5

11.6 19-5

21

8

80.9 31.1

15

9

57.8 350

0

3

0

II.]

0

3 34.] 11.7

28

II 10].8 42.8

26

22

ICO.I

85.6

25

13

96.3 50.6

8

4

30.8

15-6

28

:fi IC].8 140.1

5

7

19-3 27.2

19

32

]3,2 124.5

28

23 107,8 89.5

49

38

IC.'l.] 14].9

134

190 1012.9 1445.1

6

17

45.4 83-7

c

8

0

6o.s

2

I

t;.l

].6

3

3

22.] 22.8

0

0

0

0

9

6 6a.o 45.6

I4

7

2

I

I

2

II

13

30.2 532

15 .I

].6

I ].6 15.2

n3.2 I 9!39

17

19 120.5 145-5

I II

12

83.2 91-3

0

4

0

30.4

II 2
6

II 12
9

J

12a.5 15.1

913 6.'!.5

7

45.4 53-2

10

17

7j.6 129-3

39

'i8

i 21)4..8 441.1

182

TAELE 6 Deaths and D&ath Rate Por 100,000 Population From Specified Causes, in Each Col.l'ltya
I~ w 1331

-----
Area anc c~.use of Death
-------
&rricn

Nunber

1332

1331

Rate
1932 I 1931

All Causos

122

127 801.2 8<18.4

Typhoid fEver

2

6

13.l 40.1

Malaria

0

2

0

13.4

Diphtheria lnfl uel"tla Dysentery

2

3

13.1 20.0

6

2

33.4 13.4

I

c

6.6

0

Tilleroulos is (all fonr.s) Cancor Diabetes mel I itus

2

5

13.1 :lj.4

3

II

13.7 735

I

2

6.6 13.4

Pellagra

0

4

0

26.7

Cerebra I Hemorrhage

13

12

85.4 80.2

Heart diseases PnellnOI'lia
Diarrhea and Enteritis lhdor 2 years
Nephritis P..erpera I causes Malfcrmaticr.s and Early Infancy Extemal causes AII other causes Bibb

8

9 525 6o.1

18

5 118.2 334

2

3

13.1 20.0

7

6

46.o 40.1

7

2

46.0 13.4

5

12

32.8 80.2

II

9 72.2 60.1

34

34 223.3 227.1

All Caus<.s

1!36

1115 14~4.0 1441.5

Typhoid fever Malaria

5

9

6.4 11.6

4

2

5o2 2.6

Oiphther ia

2

5

2.6 6.5

lnflur.nxa

22

4b

28.4 595

Dysentery

2

I

2.6

1.3

Tuberculosis (all ronns}
Cancer

84

89 108.3 115.1

65

6o 83.8 n.6 '

Oi<.~betes 111811 itus
Pelle.gr.

9

6

11.6

76 ;

14

30

IB.O )3.S

I

Cer&bral llolll:rrilage

100

lj 126.9 970

He!!rt diseases P11oiAICI'li a

11.3

129 248o7 166.6 ;

:

83

108 107.0 139.6

Oi<!F"rhoa and FntorltiG lhier 2 years

5

10

6.4 12.9

Nephritis

Ill

133 143.1 172.0 :

Puerperal causos Malformations and Early Infancy EKtema I causes AI I other causes

13

14

16.13 10.1 ;

57 113 248

26
121 251

~I 73-5
1534
31~.6 3245

I I

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

183

TA!l.E 6 Deaths and Death Rate Per 100,000 Population From Specified Causes, in Each Coll'ltya
1~32 and 1~1

k'ea ard Cause of Death
Bleck ley All Cal.Ses
Tyj:hoid fever Malaria Diphtheria lnflumza Dysentery TIJberculosis (all fcrms) Cancer Diabetes mellitus Pellagra Cerebral Hemcrrhage Heart diseases Pneumonia Diarrhea and Ehteri tis lhder 2 years Nephritis P\Jerpera I causes Malfcrndions and Early Infancy Eiderna I causes All other ca I..Ses &-antley
All Causes Typhoid fever Malaria Diphtheria
lnfl~.enza
Dysentery Tuberculosis (all forms) Can::er Diabetes ~II itus Pellagra Cerebral Hemcrrhage
Heart diseases
PneUIOOn ia Diarrhea and Enteritis Under 2 years Nephritis Puerperal causes Malformetions and Early Infancy External causes AII other causes

ftlnber

1932

1931

Rate

1932

1931

124

108 13238 1165.~

I

I

10.7 10.8

3

2

32.0 21.6

0

0

0

0

4

7

42.7 r.;.6

3

I

320 10.8

8

~

85.4 972

4 0

3 0

, 42.7 324
0

0

I

0

10.8

2

3

21.4 324

9

12

')6.1 12').5

~

5

~6.1 54.0

6

0

64.1

0

13

14

138.8 151.1

2

3

21.4 324

7

7

747 7).6

(,

8

64.1 86.4

47

32 501.8 3455

69

80

9703 1140.4

3

3

42.2 42.8

I

I

14.1 14.3

I

0

14.1

0

3

0

42.2

0

I

0

14.1

0

3

4

42.2 570

0

I

0

14.3

0

2

0

28.5

0

4

0

57.0

2

6

28.1 85.5

4

6

563 855

3

4

42.2 570

0

5

0

71.3

10

7

140.6 9~.8

4

5

56-3 71.3

6

3

84.4 42.8

4

9

563 128.3

24

20 337-5 285.1

TASLE ~ Deaths :~nd D!.oath Rate Per 100,000 Population from Specified Causes, in Each Colntyt 1932 and 1931

------~---
- - Aroa and Cause of Death
ETooks All Cai.Ses
Typhoid fcvur Malaria Diphtheria Influenza Dysentery Tuberculosis (all forms) Cancer Diabetes mellitus Pellagra Core bra I Hemorrhage Heart diseases Pnel.lliOni a Diarrhea and Entot it is lhdor 2 years Nephritis Pwrpera I causes Malformations and Early Infancy Ex terna I causes All other causes Bryan
All causes Typha id fever Malaria Diphtheria Influenza Dysentery Tilierculosis (all forms) Career Diabetes melt itus Pellagra Cc.robral f-lel!l)l"rhag. Heart diseases PneUIIa'lia Oivrhea ard Enteritis lndcr 2 years Nephritis Puerperal causes Malformations and Early Infancy Extema I causes AII other causes

I fi.lrrber

1932

1931

Rate

1932

1931

195 I
5 I
5
II 6 II 0
5 12 18 8 2 27 3 20 II
59
77
l 2 I I 2 2 2 0 2
7
0
5
0
7
I 4
9 23

174 897! &6.8

4

4.6 18.6

0

230

0

I

4.6

4.6

14

230

64.9

!

4.6

4.6

5

27.6 23-2

7

50.6 325

0

0

0

3

23..0 139

6 552 27.8

20

82.8

927

8 36.8 37'

3

92

139

21

124.2 9].4

4

13.8 18.5

9

92.0

41.7

II

50.6 51.0

57 271.4 264.4

52 1262.3 861.8

I

16.4 16.6

l

328

16.6

0

16.4

0

l

16.4 16.6

0

32.8

0

I

32.8

16.6

4

32..8 66.3

0

0

0

I

328

16.6

4 114.6 66.3

6 131.1 994

2

82.0 3,3.1

I

0

16.6

I I 14.8 16.6

l

16.4

16.6

0

65.6

0

8

14].5 132.6

20 37].0 331-5

TABLE 6 Deaths and Death Rate Per IOO,CCO Populatia1 From Specified CalSes, in Each Co111tya
1932 ard 1931

--------------------------------r-----------~----------

NurtJer

Rate

I ----f-.re-a -and-C-alS-O-o-f D-ea-th-----------1-932-+-1~731~~~~1~93~2.--1-931

Bulloch

All CalSes

I
t96 218 716.9 I SC8.3

Typhoid fever

3

5 11.0 I w.5

Malaria

3

2 11.0 74

Diphthcr ia lnfl um:ra Dysentery Tlilerculosi s ( all forms}

2 3 7 7.4

4

5 14.6 18.5

c

20

74

II

7 4::J.2 26.0

Cancer

3

9 11.0 33-4

Diabetes 100ll itus Pellagra Cerebra I Hemorrhage Heart diseases Pneumonia Diarrhea ard fnteritis Under 2 years

2 37 74

2

2

].3 74

16

10 585 371

22

24

80o5 8j.O

9

10 329 37-1

4

0 14.6 0

~itis
Puerpera I causes Malfonna t ions and Early Infancy External causes All other causes

9

17 329 63.0

5

5 152.9 10.5

17

23 62.2 853

21

28 ]6.8 103.8

65

65 2J7.0 241.0

Burke

All Causes

306 271

920.5

Typhoid fever Malaria

4

34

14

12

40.8

Diphtheria

0

0

0

Influenza

J

16 54.0 54-3

Dysentery

0

0

0

0

Tt.berculosis (all forms} Cancer Diabetes mellitus Pellagra

at

31 70-9 IC5.3

10
Ij

9 3381' ~.6
3 34 10.2

61 6 20.3, 20.4

Cere bra I Hemorrhage Heart diseases Pneunonia Diarrhea and Enteritis Under 2 years Nephritis Puerpcr a I causes Ma Iformat i CllS and Ear Iy Infancy Ex terna I causes All other causes

I20 1
3116

9 31
II

6].5 3C.6
104.7 i 1053
54.o I 374

3~ I
aI
8

4 10.1 1 13.6
23 I 125.0 I
I 78' 5 I 27.0 1].0
I4 27.0 I 13.6

21

231 70.9 I 78.1

90

83 1 304.0 1 2CI.9

'

186

TABLE 6 Deaths and Death Rate Per IOC,OOO i'cpulaticn Fran Specified Cat..Ses in Each COlntyt 1932 al"d 1931

/!rea and Cause of Death
-- Butts All C:.l.l:los Typhc id fever Malaria Diphtheria lnfhenza Dysentery T\berculosi s (all fcrms) Cancer Diabetes moll itus Pellagra Cerebra I Herr.:.rrh age Heart disenses Pneurocnia Diarrhea and Enteritis Under 2 years Nephritis Puerperal causes Malformations and Early Infancy Externa I ca u;;es All other causes Calhoun All Causes Typhoid fever Malaria Diphtheria lnfh.enza Dysentery Tuberculosis (all forms) Cancer Diabetes rrcll itus Pellagra Cerebral Hemorrhage &art diseases Pmunmia Diarrhea ard Enteritis lhler 2 years N!!phritis Pwrpera I causes Mal fcrmatims and Early Infancy EX tema I causes AII other ca t$eS

Nunber
1932 1931

Rate

-

1932 1931

!J

95 7987 1045-9

I

3

10.6 32.0

0

3

0 32.0

I

I

10.6 10.7

4

II

42.6 117.4

0

c

0

0

2

7

21.3 ]4.]

6

6 639 64.0

0

I

0 10.7

0

2

Q

21.3

4

4 42.6 42.7

3

5 319 53-4

9

9 958 96.1

I

3

10.6 32-0

6

12

639 128.1

3

0 31-9 0

2

I

21.3 10.7

14

10 149.1 lo6.]

l)

20 202.3 213.4

122

130 1131.4 1216.0

0

5

0 46.8

12

5 111.3 46.ll

J

0

0

0

2

2

18.5 18.7

0

I

0

94

4

9 37' 84.2

5

3

46.4 2ll.l

I

4

~M 37o4

4

I

37.1 9o4

7

8

64.9 74.0

14

12 129.8 112.2

17

10 1577 935

I

I

93 'o4

10

15

927 140.3

4

3 371 2ll.l

8

8 74.2 y..s

8

15

]4.2 46.ll

25

3ll 231.0 355.4

1?;7

TABlE 6 Deaths ard Death Rate Per IOCI,0:JO Population From Specified Cau;es, in Each Gcunty1 1)32 ard 1331

Area and Caus(; of Death

I
i

NU!ber

1932 1931

-

Rate

'

1932

1931

Canrlen All Causes
T}'J:hoid fever Malaria Diphtheria Influenza Dysentery Tlberculosis (all fcrms) Cancer Diabetes me II itus Pellagra Cerebra I Hemcrrhage Heart diseases PneuntJn ia Diarrhea ard Enteritis lhder 2 )'Sars Nephritis Puerpera I causes MaIfonnat iens and Ear Iy Infancy Externa I causes AII other causes Candler
All Causos Typhoid fever Malaria Diphtheria Influenza Dysentery Tubcrculos is (all fcrms) Cancer Diabetcs m:; II itus Pellagra Cerebra I Hemcrrhago Heart d iseascs Pneummia Diarrhea ard Enteritis l.hder 2 years Ncphri tis Puerpera I causes Malfornations and early Infancy External causes AII other causes

I 136

110

0

0

3

I

0

0

0

0

0

0

I9

6

5

3

0

4

I

5

2

7

7

7

3

7

2

0

4

D

2

2

4

3

7

7

37

50

81

01

I

I

I

I

0

I

3

2

I

0

2

5

I I 4

2

I

I

0

2

7

9

7

5

8

2

II

I
5

I

2 12 3

I6

7

I8
I 25

3
23

1337.1 0 46.6 0 0 0
1339 777 0 15.5 31.1 roo.8 46.6 31.1 62.21 31.11
62.21 108.0 575.2

1]21.4 0 15.6 0 0 0
939 46.9 62.6 7G.2 1()9.5 109.5 1()9.5 0 125.2 31.3 46.9
1095J 782.5

8]6.D IO.fJ 1o.o
0
325
to.o
21.6
4331
IO.fJ I
;~I
]5.fJ
136.61
lo.81
54.1 II IO.fJ I 64.9 I
136.6 J
I 27o.6

fJ07.4 11.0 11.0 11.0 21.9 0 54.8 21.9 11.0 21.5 92.6
54.[]
21.9 21.9 131.5 32.9
7to71
329 '
~2.0 I

188

TABlE 6 Deaths and Death Rate Per 100,000 Population From Specified Causes, in Each Cot.ntya I~ and 1931

Prea and Cause of Death
Carroll All Ca~.Ses
Typhoid fever Malaria Diphtheria lnflt.enza Dysentery
Tlberculosis (all fer ms)
Cancer Diabetes me II itus Pellagra Cerebral HeRK;rrhage Heart diseases Pneumonia
Diarrhea and Enter i t i s Under 2 years
Nephritis Puerpera I causes Ma I format ions and Ear ly Infancy Externa I causes AII other causes Catoosa
All Causes Typhoid fever Malaria 0 iphtheria Influenza Dyser.tery
Tuberculo~is (all forms)
Cancer Dhbeh;$ rw IIi tus Pellagra Cerebral Hemorrhage fkP.rt d !St;JSOS Pnsurocn:a
Diarrhea ard Ent~r it is Lhder 2 years
Nephritis Poorpora I ca LSos Malf..:rmaticns and Early Infancy Ex tarna I causes AII other causes
--------
189

tluaber
1932 li3_1

Rate
1932 1931

334

266 '!327 766.4

9

8 '251 23.0

0

2

0

5.8

0

1

0

2.9

18

9 51.3 '259

I

0

2.9 0

10

16 28.5 46.1

20

23 570 66.3

4

2 11.4 5.8

8

3 22,8 8.6

21

12 599 346

42

32 119.8 922

17

16 48.5 46.1

3

3

8,6 8.6

49

35 139.8 100.8

7

6 20.0 173

19

23 54.2 66.3

32

19 913 54.7

74

56 211.1 161.3

6o

84 621.0 8791

0

I

0

10.5

0

0

0

0

I

0

10.3 0

0

I

0

IO.S

I

0

ID.3 0

8

9 82.8 942

5

2 517 20.9

0

4

0 41.9

0

2

0

20.9

4

8 41.4 83.f

6

II

62.1 115.1

5

5 517 52.3

I

2 10-3 20.9

6

2 62.1 20.9

0

2

0 20.9

6

13 62.1 1)6.1

5

3 517 31.4

12

19 [24.2 198,8

TAil.E 6 Deaths and Death Rate Per 100,000 Population From Specified Causes, in Each Co~.ntya

1932 and 1931

-
Area and Ca l.Se of Death
-
Charlton

L Nurmr

I i 1932

1931

Rate

1932

1931

All Causes Typhoid fever Malaria Diphtheria lnfl uonza Dysentery Tlbercul os is (all forms) CancaDiabetes mellitus Pellagra Cerebral HeiOCrrhage Heart diseases Preunonia Diarrhea and Enteritis lhder 2 years Nephritis Puorperal causes Malformations ard Early Infancy Ex ~rna I causes AII other causes Chatham

41

51 9057 1143.0

I

0 22.1

0

0
II 0I (;

I

0

22.4

2 22. I 44.8

3

0

6].2

0

0

0

I

i)

22.1

0

4

2

88.4 44.8

0

0

0

0

I I(\ 3

0 I

0

0

66.3 22.4

4

5 88.4 112.1

5

3 110,4 67.2

I

3 22.1 67.2

3

4 66.3 89.6

I

2 22.1 44.8

2

3 44.2 67.2

3

5 66.3 112.1

12

17 265.1 3BI.C

All Causes Typhoid fever Malaria 0 ij)lther ia Influenza Dysentery TLberculosis (all forms) Cancer Diabetes rre II i tus Pellagra Cerebra I Hemcrrhage Heart d iseases meuncnia Diarrhea arxl Enter it is Unda- 2 years Nephritis Puerpera I causes Mal fcrma t iens and Ear Iy Infancy External causes All other causes

ISAO IC
3 6
32
5 132
79
22
29 183
I 385 146 23 193 29 71 158 334

1899 1731.5 17933

13

94 12.3

6

2.8 57

6

56 57

. 66 30.1 62.3

3

4.7 2.8

109 124.2 102.9

~

]4.3 86.9

15

2C.] 14.2

31

27.3 293

164 1]2.2 1549

366 362.3 345.6 I I
139 137.4 1313

35 21.6 331 234 181.6 221.0

33 2].3 31.2
88 66.8 83.1

173 148.7 163.4
326 314.3 307.8

190

TABLE 6 Deaths and Death Rate Per 100,000 Population From Specified Causes, in Each Countyt 1932 and 1931

Area and Cause of Death
Ola ttahcodlee All CaUSes
Typhoid fever Malaria Oiphther ia Influenza Dysentery Tl.borculosls {all forms) Can:er Diabetes mellitus Pellagra Cerebra I HelllJ"T'hage Heart diseases Pneum;:nia
Dirrhea and Enteritis lhder 2 years
Nephritis Puerperal causes Malformations and Early Infancy External causes AI t other causes Chattooga
All Catl5es typhc,id fever Malaria Diphtheria Influenza Dy&:lntery Tlbercul os i s (a II forms) Cancer Diabetes ~rell itus PeHagra Caretral Homcrrhage Heart diseases A1eunonia Diat'rhea aro &lterit~s lhder 2 years Nephritis Pulrpera I causes Malfcrmaticns and Early lnfanoy External causes All other causes

Nunber
1932 1931

Rate
1932 1331

59

44 648.4 488.5

0

0

0

0

0

0

()

0

I

0 11.0 0

2

5 22.0 555

0

0

0

0

I

I 11.0 11.1

3

2 330 22.2

t

0 11.0

0

I

0 11.0

0

3

I 33-0 11.1

5

3 55.0 335

I

3 11.0 333

0

00

0

2

6 22.0 66.6

I

0 11.0 0

5

4 550 44.4

II

13 120.9 144.3

22

6 241,8 66.6

150

145 947-9 f)2].2

0

0

0

0

I

0

6.3

0

I

2 6.3 12.8

9

4 569 256

I

I 6.3 6.4

17

II 10].4 703

7

II 44.2 70.3

I

I 6.3 6.4

0

30

19.2

6

8 37-9 51.2

II

12 695 767

14

16 88.5 102;.3

3

0 19.0 0

15

f6 948 tt5.1

2

I 12.6 6.4

15

16 946 102.3

II

15 695 559

36

28 227/j 179.0

191

TABLE 6 Deaths and Death Rate Per IOO,COO Population Frcm ~ecified Causes, in Each Col.lltya 1932 and 1931

Area and Cause of Death
Cherokee All Causes
Typhoid fever Malaria ()lphtheria Influenza Dysentery Tl.tlerculosis {all forms) Cancer Diabetes mellitus Pellagra Ceretral Hemcrrhage Heart diseasos Pneumonia Diarrhea an:l Enteritis thler 2 years Nephritis Pueq::era I causes Malformations and Early lnf<ncy External call56S All other causes Clrke
All Causes Typhoid fever Malaria Diphtheria lnfl uenza Dysentery Tuberculosis (all forms) Caroer Diabetes mellihs Pellagra Ceretra I Hemorrhage Heart diseases Pneuncnia Diarrhea ard Enter it is Lhder 2 years l\\3phritis Puer~oral causes Malf~rmations a1d Early lnfarcy External causes AII other causes
~~-

I MJmber

1932

1931

- Rate

1932

1931

188 I 0 I 4 2 14 II 2 0 21 16 II 2
9
4
9 18 63
373
I
[
0
7 2
25
I 13 4
3 30 54
I 19 0 52 c 21 50 33

167 9C59 817-9

I

4.8

4.9

0

0

0

2

4.8

98

6

193

2').4

I

96

4.9

8

6].5

392

II

53.0

539

4

9.6

19.6

I

0

4.9

II 101.2

539

26

771 12].3

13 53-0 637

3

96

14.7

7

43.4

343

3 '9? 14.7

0

43.~ I 39.2

12 o6.7 58.0

50 3036 244.9

383 144].8 l49o.4

5

39 195

0

39

0

I

0

39

5'' 13 2i.Z

0

78

0

31 9].0 120..6

22 505 85.6

7

15.5

2].2

0

11.6

31.1

23 116.4 895
52 209.6 202.4

21

737 81.7

5

0

195

43 201.8 16].3

3 31.1

11.7

21

131.5

31.7

40 194.1 155.6

98 3222 381.4

192

TABLE b Deaths and Death Rate Per IOC,OOO Pq:,ulatim Fran Specified Ca~s, in Each CO\.Fltya

1932 and 1931

- ------

/!rea ard Cause of Death

----

-

I
Nunber
1932 1931

--
Rate
1932 1931

Clay

All Ceuse Typhoid fever

51

71 718.3 1010.0

2

0 28.2

0

Malaria

0

0

0

0

Diphtheria Influenza Dysentery

I

0 14.1

0

2

3 28.2 42.7

I

0

14.1

0

TU:lerculosis (all forms) Cancer Diabetes me IIi tLS Pellagra Cerebra I Herrorrha 93

5

2

70.4

28.4

0

3

0

42.7

I

0

14.1

0

0

3

0

42.7

2

6 28.2 85.3

Heart di soases Pneumonia 0 iarrhea ard Enteritis lhder 2 years

5

7

70.4

996

4

7 56-3 996

0

I

0

14.2

Nephrit-is Puerpera I ea LSes Malformations and Early Infancy

6

5

84.5

28.4

I

3

14.1

42.7

0

0

0

0

External causes All other causes Claytm

5 16

I

8

7D.4 113.8

23 2254 3272

All Causes Typhoid fever

91

107 8703 10319

2

4

19.1

38.6

Malaria

0

0

0

0

Oiphther ia

0

0

0

0

lnfh.unza Dysentery Tubereul osis {all forms) Career Di~tes mellitus Pellagra Cerebre I Heloorrhage Heart dIseases PreUIII)(Ii a Diarrhea and Enteritis lhder 2 years Nephritis

4

I

383

96

I

0

96

0

6

12 51.4 1157

3

5 28.7 48.2

0

0

0

0

5

2 47.8 193

13

10 124.3

I 96.4

II

I 16 IC5.2 1543

3

9 28.] 86.8

0

0

0

0

10

10 <Jj.6 96.4

Plllrperal causes Ma !formations and Early Infancy Externa I causes

0

I

0

96

6

7 574 675

10

II

~.6 106.1

All other causes

17

19 162.6 183.2

193

TABLE 6 Oeaths_nd Death Rate Per IOO,OC0 Population From Specified Causes, in Each Countyt

-
Clinch

1~32 and 1931

Area and Cause of Death

I N~r

-

1932 1931

,--Rate
! 1932 1931

All Causes Typhoid fe~er

73

46 1011.5 645.4

c

0

0

0

Malaria

0

0

0

0

Diphtheria lnfl uenza Dysentery Tuberculosis (all forms) Cancer Diabetcs Ill) IIi tus

2

0

II

I

3

0

4

3

2

I

0

2

277 0

139 14.0

41.6 0

554 42.1

277 14.0

0

28.1

Pellagra Cerebral Hemorrhage Heart diseases Pneumonia Diarrhea and Enteritis thder 2 years

2

0

2].]

0

5

5 693 ]0.2

10

3 138.6 42.1

4

5 554 7C.2

0

0

0

0

Nephritis Puerperal causes Malforamticns and Early Infancy External causes

7

9 970 126.3

4

I

554 14.0

4

4 554 56.1

II

2 152.4 28.1

AII other causes
Cobb

~

14

10 194.0 140.3

All CalSes Typhoid fever Malaria

315

364 8]2.8 101].1

I

3

2.8 8.4

0

0

0

0

Diphtheria

I

I

2.8 2.8

Influenza Dysentery Tlberculos is (all forms) Cancer Diabetes mallitus

18

16 499 44.]

2

0

55 0

15

~

41.6 81.0

16

2Q

44.3 559

8

I 22.2 2.8

Pellagra: Cerebra I Hemcrrhage Heart diseases Pneumonia Diarrhea and Enteritis Under 2 years Nephritis Puerpera I causes Malfcramticns and Early Infancy External causes All other causes

13

4 36.0 11.2

23

27 637 754

52

59 144.1 164.9

24

29 66.5 81.0

5

8

139 22.4

26

39 ]2.0 109.0

3

6

8.3 16.8

21

17 58.2 47-5

30

26 83.1 ]2.6

57

79 157-9 220.7

. TA8LE 6 Deaths and Death Rate Per HlO,OOO P<lpulation From Specified Causes, in Each llolntya 1932 and 1931

/lrca and C..use of ~ath
----
Coffee All Causes
Typhoid fever Malaria Diphtheria
lnfl~.enza
Dysentery Tubercu Ios is (a II fcrms) Cancer 0 i abates melt i tus Pellagra Cerebra I Hemcl'rhagc
Heart di seasos
Pneumonia
Diarrhoa ard Enteritis Lhder 2 years Nephritis .
?~.erperal causes Ma Ifermat icns ard Ear Iy Infa roy External causes AII other causes Colquitt
All Causes Typhoid fever Malaria Diphtheria lnfluc.nza Dysentery Tuberculosis (all fcrms) Cancer Diabetes ro II i tus Pellasra. CeroLra I Hemorrhage He~d d i senses Pnewonia
0iarrhea and Enter itis Lhder 2 yoars
Nephritis Pue~0ral causes Malfcrmaticns and Early Infancy External causes All other causes

Nunber
1932 1931

Rate
1932 1931

116

99 56].5 491?

3

I 14.7 50

2

2 98 99

0

I

0

50

6

3 294 14.)

I

0

4.9

0

7

3 342 14.9

4

3 19.6 14.9

0

I

0

50

I

I 4.9 50

4

13 19.6 64.6

13

5 63.6 24.S

7

3 34.2 14.9

0

20

99

131 9 63.6 44.7

3 3 7

,,3
I

14.7 14.7
342

14.9 50 795

42

32 2<:55 1590

225 235 718.1 7576

5

7 16..o 22.6

4

6 12.8 193

5

I 16.0 32

10

II 319 355

I

I 3.2 32

;5 I

6 16.o 193 5 22.3 16.1 I 32 32

3

96

9~7

12

14 38.3 45..1

24

26 76.f, 838

I)

13 6o.6 41.9

10

7 31-9 22.6

24

~ 76.6 935

8

7 255 22.6

19

12 6c.6 387

15

14 47-9 45.1

53

p. 16'9.2 232.1

195

TABLE 6 Deaths and Death Rate Prr 1001 000 Pq>ulaticn Frcm Spooifi e:i Causes, in Each Co~.ntya 1932 and 1931

llrea end Cause of Death
CoiUIIbia All CalBes
Typhoid fever Malaria Diphtheria lnfluei"IEa Dysentery Tuberculosis (all forms) Cancer Diabetes mellitus Pellagra Cerebral Hemcrrhage Heart diseases Pneumonia
Diarrhea ard Enter it is lklder 2 years
Nephritis Pueq:era I causes Malformations and Early lnfarey Extemal causes All other causes Cock
All Causes Typhoid fever Malaria Diphtheria lnfluerza Dysentery Tuberculosis (all fcnns) Cancer Diabetes melt itus Pellagra Cerebral Hemorrhage Heart diseases
PneU~K:nia
Diarrhea ard Enteritis thler 2 years
Nephritis Pusrpera I causes Mal fermat ions and Early Infancy Extema I causes All other causes

N..wtber
1932 1931

Rate
1932 1}31

79

69 a76.o m.y

0

0

0

0

0

I

0

11.2

0

0

0

0

2

0

22.2

0

0

0

0

0

7

6 n.6 6].3

5

I 88.7 11.2

0

I

0

11.2

3

I 333 11.2

II

10 122.0 112.1

6

13 66.5 145.8

7

6 776 6].3

0

l

0

11.2

8

5 88.7 56.1

2

2 22.2 22.4

3

2 333 22.4

2

5 22.2 56.1

20

15 221.8 168.2

63

73 541.3 635.2

I

3

8.6 26.1

I

0

8.6 0

0

0

0

c

2

0 17.2 c

0

0

0

0

2

3 17.2 26.1

4

2

344 1].4

I

2

8.6 1].4

2
5

3 7

1].2 43.0

~6o-.9

9

12

773 104.4

5

7 43.0 6o.9

2

I 17.2 8.7

2

8

1].2 69.6

0

I

0

D.]

2

4

1].2 J4.8

6

5 51.6 435

19

15 163.2 1305

196

TABLE 6 Ceaths and Death Rate Per 100,000 Pcpulation From Specified Causes, in Each Countya

1932 and 1~31
-

Area and Cause of Jeaij,
-
Coweta

t-.lu!ber
1932 1931

Rate

-

1932 1931

All Causes

226

2C5 885.5 808.8

Typhoid fever Malaria

10

5 392 1~.7

0

00

0

Oiphther ia lnfl ~.enza Dysentery Tlllerculos is (all forms) Cancer Di !betes me II itus Pel lag-a Cerebral Hemorrhage Heart diseases

0

I

0

3?

12

9 47.0 355

2

6 78 237

13

19 50.9 750

6

II 235 43.4

2

2

78

].9

6

2 235 7-9

20

8 78.4 31.6

26

27 101.9 to6.5

Pneumonia
Diarrhea ard Enteritis lhder 2 years
Nephritis Pu::rpcra I causes Malformations and Early Infancy External causes

I~

I

I
26

5

9 !6

16 74.4 63.1
2 39 ?.9 19 101.9 75:'1 4 19.6 15.8
14 353 552
15 62.] 59.2

All other causes Crawford

53

45 2077 177-5

All CaLBes Typhoid fever

75

78 1040.4 '~7

I

2 13.~ 28.1

Itt\ Iaria

I

I 139 14.0

Diphtheria lnfl u:mza Dysentery Tuberculosis (a II forms) Cancer Diabetes msll itus Pellagra Cerebra I Hemorrhage Heart di seasos Pneuiii)O ia
Diarrhea and Enteritis Lhder 2 }ears

I

(, '39

()

5

5 69.4 70.2

I

0 139 0

4

7 555 ~8.2

2

5 277 70.2

2

I 271 14.0

2

I 277 14.0

3

5 41.6 70.2

5

7 6~.4

~.2

2

4 277 56.1

0

00

0

Nephritis Puerperal causes

6

5 111.0 70.2

I

2

13.~

28.1

Ma,ta-mations and Early Infancy Extema I causes AJ I other causes

7

6 ~7-1 84.2

5

5 6~.4 70.2

25

22 346.8 308.8

197

TABLE6 Deaths and Death Rate Per 100,000 Population from Specified Causes, in Each County:

1932 and 1931

Area and Cause of Death

Nunber
1932 1931

I
Rato
1932 1931

Crisp All Causos
Typhoid fe ver Malaria Diphtheria Influenza Dysentery Ttbercul os is (all ferns) Cancer Diabetes 100 IIi tt..S Pel lag-a Ceretral Hemorrhage Heart diseasos Pneumonia
Diarrhea and Enteritis Under 2 years
Nephritis Puerperal causes Malformati ens and Early Infancy External causes All other causes Dade
All causes Typhoid fe wr Malaria Diphtheria lnflumza Dysentery Ttberculosis (alI fonns) Cancer Diabetes ma II itus Pellagra Cerelral Hemorrhage Heart discases Pneunmia
Diarrhea and Enteritis Under 2 years
NeJ:hritis Puerperal cau;es Malformati ons and Ear I y Infancy Ext!lmal causes All other causes

215 227

I

4

7

II

3

0

I l6 10

I I

5

~

7

8

7

I

0

22

6 13 27 22

10 19

3

I

23 24

73

II

12

20 26

]0

61

1217.6
57 39.6 17.0 34.0
57 51.0 45.3
57 "3 34.0 1529 56.6 17.0 130-3 396 62.3
1133 396.4

1285-5 22.6 62.3 0 56.6 28.3 39.6 39.6
0
II .3 ]3.6 124.6 10].6
56 1359 17.0 68.5 14].2
345.6

I 35 I 0 0 2
0
6 5
0
0
I
3
I
I
0
0
2 2
II

31 808.7 72'3-9

0 23.1 0

I

0 23.5

0

0

0

3

46.2

]0.6

I

0

235

2 138.6 4].1

2 1155 4].1

I

0

235

00

0

2 23.1 47.1

2 69-3 47.1

I 23.1 235

0 23.1 0

3

0

70.6

0

0I0

I 4 46.~

lli ~~l 3

70.6

6

141.3

198

TABU: 6 Deaths ard Death Rate Per 100,000 Population From Specified Causos, in Each CoL11ty1

------

1~32 ard 1~31

Area and Cause of Death
--
Dawson

Nunber

1~2

1~31

Rate

1~32

1~31

All Causes Typhoid fever Malaria Diphtheria lnfh.enza Dysentery

22

17 615.6 4]8.0

0

0

0

0

0

0

0

0

0

0

0

0

2

0 56.o 0

I

0 28,0 0

Tlberculosi s (all forms) Cancer Diabetes rell itus Pellagra Cerebra I Hemcrrhago

0

2

0

565

I

2 28.0 565

0

0

0

0

0

0

0

0

0

I

0

28.2

Heart diseases Pneumonia Diarrhea and Enteritis Lhder 2 years Nephritis Puerperal causes Ma lfcrmatlons ard Early Infancy External causes AI I othor causes Deoatw

I

3 28.0 84.]

2

I 56.o 28.2

0

0

0

0

2

0 s(..o 0

0

I

0

28.2

3

I

83~ 28.2

5

2 140.0 sb5

5

4 140.0 112.9

All Catses Typhoid fever Malaria Diphtheria Influenza Dysentery Tuberculosis (all forms) Carner Diabetes mellitus Pellagra Cerebra I Hemcrrhage Heart diseases Fneumcnia Diarrhea and Enteritis Under 2 years Nephritis Puerperal causes Malfcrmations and Early Infancy External causes AII other causes

269

248 11137 10)6.~

I

3

4.1 12.5

7

8

~.o 334

0

I

0

4.2

10

6 41.4 25-1

I

0

4.1 0

15

II 62.1 46.o

7

7

2~.0

2~.3

2

3

8.3 12.5

5

4 20.7 16.]

26

18 IO].] '03

32

32 132.5 133.8

18

14 745 58-5

6

5 24.8 20.9

27

19 136.6 7:).4

13

5 I ,3.8 20.9

II

14 455 58.5

25

22 1035 920

63

]6 260.9 31].8

199

TABLE 6 Deaths and Death Rate Per IOO,OCO Population From ~cified Causes, in Each County 1932 ard 1931

Area ard Cause of Doath
OeKalb All Causes
Typhoid fever Malaria Diphtheria lnf luenza Dysentery Tuberculosis (all forms) Cancer Diabetes mel! it us Pellagra Cer<2bral Hemcrrhage Heart diseases Pneumonia
Diarrhca and Enteritis lhler 2 years
Nephritis Puerpera I causes Malformations ard Early Infancy External causes All other causes Dodge
All Causes Typhoid fever Mal aria Diphtheria lnfluer..aa Dysentery Tuberculosis (all forms) Cancer Diabetes mel Iitus Pellagra Cerebra I Hemorrhage Heart diseases PneLITIOI'lia
Diarrhea af'U Enteritis lhder 2 years
Nephritis Puerperal causes Malformaticns and Early Infancy Externa I causes AII other causes

Nunber
1932 1931

Rate
1932 1931

647 6'f5

II I

4 0

I

0

28

26

I

0

32

45

34

53

17

10

6

6

I I48

48

112

122

l35

55

2

7

92

fJl

5

4

32

31

51

55

149

142

160 182

3

5

3

2

0

I

5

IO

2

I

9

16

IC

6

0! 3

I

5 16

5 15

21

16

,; I

15 5

;l I

14
6

5

12 1 18

40 i 39

906.1 980.2

1,4 5.6

1.4

0

1.4

0

)9.2 367

1.4

0

44.8 63.5

47.6 747 23.8 14.1

8,4 8.5

67.2 67.7

156.9 1]2.1
49.0 n.6

2.8 99 128.8 122.7

70 5.6
44,8 437
]1.4 n.6

208,7 200.3

718.9 828,6

'35 22,8

13.5 91

0

4,6

22,5 45.5 90 4,6 40,4 72.8
44,9 2].3

0

13-7

22.5 22,8

7'9 68.3 94,4 I ]2.8

359 68.3 4,5 22,8

7b,4 637 2],0 273 90 22.8
539 82,0

1797 1777

200

TABLE 6 Deaths and Death Rate Per 100,000 PopulatiQI'I From Specified Causes, in Each CW'ltyt

I~ and 1931

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

f.rea ;lnd c~use of DEath
------ - - - - - - - - - - ----------
Deely All Causes
Typhoid fever Malaria 0 iphther ia Influenza Dysentery Tuberculosis (all forms) Cancer 0 iabetes me IIi tus Pellagra Cerebra I tbmorrhage Heart d i soases Pneumonia DIarrhea and Enter it is lhder 2 years Nephritis Puerperal causes Malformations and Early Infancy Ex terna I causes AII other eauses Dougherty

Nurber

Rate

1932
175 3 7 5 5 0 7 4 0 I 3 19 II I 27 9 II 10 52

--:-r1931

1932

952.6

5

16.3

II

Jl.l

2

27.2

17

27.2

0

0

10

381

8

21.8

3

0

4

54

4

16.3

17

103.4

8

599

8

54

28

147.0

5

49.0

8

599

10

54.4

49 283.1

1931
1081.4 27.4 6D.4 11.0 933 0 549 439 16.5 22.0 22.0 933 439 439 1537 27.4 439 549 269.0

All Causes Typhoid fever Malaria Diphtheria Influenza Dysentery Tuberculosis (all forms) Career Diabetes mel Iihs Pellagra Cerebral Hemcrrhage Heart diseases Pnelll!onia Diarrhea and Enteritis Uhder 2 years Nephritis Puerpera I causes Ma lforiiJ;ltions and Early Infancy Externa I causes All other causes

315 291 1401.3 1299.0

0

2

0

8.9

5

4

22.2 1].9

0

I

0

4.5

25

19

111.2 84.8

0

4

0

17-9

14

16

62.3 71.4

18

9

80.1 40.2

2

I

8.9 4.5

12

17

534 759

23

18 102.3 80.3

36

29

160.1 1295

21

23

120.1 102.7

7

3

31.1 13.4

46

37 204.6 165.2

3

3

133 13.4

13

10

578 44.6

25

25

111.2 Ill.]

59

70 ;:62.5 312.5

201

TABLE 6 Deaths ard Death Rate Per 100,000 Population Fr()f!l Specified Causes, in Each COU'ltya

1932 and 1931

----,--

-

ard Cause of Death

I

Nl.llber

R.a-te------

1932

1931

1932

1931

Douglas All Cal.Se
Typho id fever Malar ia Oiphtheria lnfluenz a Dysentery Tuberculosis (all forms) Cancer Diabetes rrell it us Pellagra Cerebral Hemcrrhage Heart diseases Preuroon ia Diarrhea and Enter itis Lhder 2 yo 1rs Nephr it is Puerporal ce:c.ses Malformaticns ard Early Infancy External causes All other causes Farly
AII Causes Typhoid fever Malar ia Diphtheria lnflWJ za Dysentery TLterculosis (all fcrms) Canco r Oiabetes mel I it us Pellagra Cerebra I Hemorrhage Heart diseases Pneuroon ia Diarrhea and Enteritis lhder 2 years Nephr it is Puerperat causes Ma Iformat i~s ard Early Infancy External causes All other causes

97

80

I

4

0

0

0

0

6

5

0

I

6

7

10

4

3

I

0

2

7

8

12

10

3

5

0

I

7

5

3

0

8

5

I~

5

21

17

149 2C6

3

I
I

3

III

II

" '

I

2

6

0

0

6

14

8

7

I

3

0

2

5

9

14

20

22

15

2

5

G 14

2

6

8

12

6

15

53

63

9989 10.3 0 0 61.8
c
61.8 103.0 30-9
0 ]2.1 123.6
309
0
]2.1
30.9 82.4 103.0 216.4

8333 41.] 0
c
52.1 10.4
729
41.7 lc.4 20.8
83.3 104.2 52.1 10.4 52.1
0 52.1 52.1
177'

rJ,.9
16.0 58.8 0 10.]
0
32'
42.3
53
0
26.] ]4.9
II].] 10.] 32.1 10.] 42.8
321 2835

1113.0 16.2
594 5-4 324
0
Ji.6
j1.8
16.2 10.8 48.6 108.1 81.0 2].0
]5.6
32.4 64.8 81.0 340.4

202

T~BLE G Oe.~ths md Death Rate Per 100,000 Population From SpecifiEd Cal5Els, in Each Countyt

1932 and 1931

--~---------

Aroa and Cause of Death
------
Echvls
All Causes
Typhoid fever

Nunber
I 1932 1)31

I II 0

9 0

Rate
1932- 1931

400.6 3279

0

0

Malaria Diphtheria Influenza

0

2

0

729

0

0

0

0

0

0

0

0

Dysentery

0

0

0

0

Tlborcul os is (all fGrms) Cancer

0

I

0

36.4

2

I 72.8 36.4

Diabetes rro II it us

0

0

0

0

Pe It agra

0

0

0

0

Ce06bral Hemorrhage Heart diseases Prnumcnia
Diarrhea and Enteritis Under 2 years

0

0

0

0

I

2 36.4 729

I

0 36.4 0

0

00

0

Nephritis Pwrpera I causes

I

0 36.4

0

0

0

0

0

!Ia !fermat k'"'s and Early Infancy

0

00

0

Exto rna I C;!USOS AII ether causes

I

0 36.4 0

5

3 182.1 1093

Effingham

All Cau;es Typhoid fever Ma Iaria Diphtheria Influenza Dysentery Tuberculosis (all forms) Cancer Diabetes noll itus Pellagra Cerebral Hemcrrha[J'O Heart d iscases Pneumcnia
Diarrhea and Enteritis l.t'der 2 years
Nephritis Puerperal caLsos Ma Ifor~mt icns ard Early Infancy Extomal caus,:;s All ether causes

115

99 1106.0 ')61.7

7

2 673 19.4

3

0 28.9

0

l

0

96

0

6

5 577 48.6

0

I

0

97

5

I

48.1

"7

4

4 38.5 589

2

I 19.2 97

I

2 96 19.4

II

7 105.8 68.0

7

17 6].3 165.1

3

5 28.9 48.6

0

30

2;).1

II

5 105.8 45.6

I

4 96 ~-9

6

5 577 48.6

10

8 :;6.2 777

37

29 3558 281.7

TABLE 6 Deaths and Death Rate Per ICC,OOO Populaticn From Specified Causes, in Each Countya 1932 and 1931

Nurrber

Rate

Area and Cause of Cklath
------------------ 1932

1931 .. 1932 -1-93-1--

Elbert

All Causes Typhoid fever Malaria

lBO

193 ;156.8 10339

3

6 159 32-1

0

0

0

0

Diphtheria

0

0

cc

lnfl uenza Dysentery Tl.bercul os is (a II fcrms)

8
I0 5

2
-
'

42.5
0

54
0i

14

26.6 7).0 I

Cancer Diabetes 100 II itus Pel I agra Cerebra I Hororrh age

[;

7 42.5 3].5

I

3

53 16.1

3

2 15.9 1 10.7

8

13 42.5 69.6

Heart diseases

25

24 1329 128.6

Pneuronia Diarhca an1 Enter it is lhdcr 2 years Nej:tlritis Puerperal causes Malfcrmaticns and Early lnfarcy

7
I3
I 15 I 8

12 372 64.3

2 15'9 54

17 797 91.1

I
14

452.531

54 f).o

Extoma I causes

2C

17 106.3 91.1

AII other causes

65

59 3455 316.1

Emanuel

AIr Ca~..Ses

215 212 871.1 868.c

Typhoid fever

8

4 324 16.4

lrhlaria

3

0

12.2 0

Diphtheria

I

3

4.1 12.3

Influenza Dysentery

17

3 68.9 12.3

0

I

0

4.1

Tl.berculosis (all forms) Cancer

7 8

I

6 12

::.4 24.6 32.4 49.1

Diabetes moll itus Pellagra Cerebra I Hemcrrhage Heart diseases

II

3

3

3

J4

10

19

22

4.1 12.3 12.21 12.3 5671 40.] 770 }0.1

Proumcnia Diarrhea an.:l Enteritis lhdG" 2 years Nej:tlritis PI.Brpcral causes Malfcnnaticns and Early Infancy

16

7 64.8 28.7

I

10

4.1 40.9

2:)

18 81.0 737

4 10

I5 16.2 20.5

19

40.5 7].8

External causes

20

25 81.0 102.4

All other causes

61 ~53j 24).8

204

TABLJE 6 Deaths and !)lath Rate Par ICO,OOO Population From Specified Causes, in Each CQU'Ityt

--------

1932 and 1931

lv-ea an:! Cause cf Death

----

--

Evans

Nunber
1932 1931

R+
1932 1931

All Causes Typhdd fever Malaria Diphtheria. Influenza Dysentery Tuberculosis (all forms) Cancer Diabetes mel Iitus i'ellagra Cerebral Hemorrhage Heart diseases Pneutoonia
Diarrhea and Enteritis Under 2 years
Nephritis Pwrpera I causes Mal fermat iens an:! Early Infarcy Extemal causes All other causes Fannin
All Causes Typhoid fever Malaria Diphtheria Influenza Dysentery Tuberculosis (all fcrms) Cancer Diabetes mel Iitw Pellagra Cerebra I Hemorrhage Heart diseases Pneuncnia
0 iarrhea and Entor it is lkld.or 2 years
Nephritis P~.erperal causes Malformaticns am Early Infancy Extemal causes AII other causes

57
0
0 0
I
0 4
3 2
I
3
8
8
I
2 3 2 5 14
125 2
0
4 13
I
7
I9 G 2
5
8
I7
0
4
0 10 5 40

69 783.0 9)8.2

I

0

139

20

27.8

20

27.8

I 137 '39

I

0

139

2 549 27.8

2 41.2 2].8

I 2].5 139

I 137 13.9 II 41.2 152.8

5 110.0 69.4 I 110.0 13-9

I 137 139 5 2].5 69.4 3 41.2 41.7

4 27-5 555 5 &J.7 69.4 21 1923 2')1.6

114 ~4.1 e51J.5 2 14.8 15.1

00

0

3 29.6 22.6 6 ;;6.1 45.2

I

14

].5

10 517 753

5 66.5 377

0c

0

I 14.8 7-5

7 37-0 527 6 59' 45.2 13 517 979

I

0

7-5

2 2').6 15.1

50

377

7 739 527

II

37-0

82.8

34 354.8 ;!56.0

205

TABLE 6 Deaths and Death Rate Per 100,000 Population From Specified CaLBes, in Each Co1A1ty1 1932 and 1931

Fayette All Causes
Typhoid fever Ma far i a Diphtheria lnfl wnza Dysentery Tt.berculosis {all forms) Cancu0 i <betes roo II itus Pellagra Cere!Tal Hemorrhage Heart diseases Pneumonia Diarrhea and Enteritis Under 2 years Nephritis Pu:;rperal causes Malfcrrmtions and Early Infancy External causes All other causes Floyd
All CalBes
Typhoid fever Malaria Diphtheria Influenza Dysentery Tuberculosis (alI forms) Can::er Diabetes ll'.ell itus Pellagra Caret:ral Hemorrhage Heart d iseases Fnoumonia Diarrhea and Enteritis Under 2 }ears Nephritis Pwrperal causes Ma !fermat ions and Ear Iy Infancy Externa I causes All other causes
206

76 !
I0 I0
I I
0 4
2 0 I 3 II 6 0
5
4 9 28

II 89 j 861.7 1017.0

3I 0

34,3

0!
0 ,. 2

0I
I 11.3 j I 11.3

0 0 22.9 .

0

0

0

II 45.4 125.7

2 22 7 22.9

0

0

0

2

II.)

22.9

4 34.0 457

13 124.7 148,6
10 6a.o 114.3

0

0

D

4 Sb7 45,7

3 11.3 343

2

4),4

22.9

10 102.0 114.3
23 317.5 ~2.8

551

547 1108.2 1110.6

3

4 6.o 8.1

I

I

2.0

2.0

3

5 6.o 10.2

15

17 30.2 345

2.0 2.0

41

41 82.5 83.2

29

33 583 67.0

8

6 16.1 12.2

12

II

24.1

22.3

42

34 84.5 6,.0

71

65 142.8 132.0

53

49 1c6.6 595

4

10

8,0 20.3

55

39 110.6 792

10

13 20.1 26.4

48

55 96-5 111.8

42

43 84.5 873

113

120 227.3 243.6

TABLE 6 Doaths and Death Rate Por IOQ,OOQ Pcpulaticn From Specified O!,uses, in Eac:h County

1932 and 1931
----------

Area and Cause of Oeath
--------------Forsyth

Nunber 1932 1931

Rate 1932 1931

All Causes Typhoid fever

6a

63 6139 5793

0

v0

0

Malaria

0

0

0

0

Diphtheria lnfh.enza

0

I

0

9.2

4

I

~.I

9.2

Dysentery

2

3 18.1 2].6

Tl.berculosis (all forms)

I

0

90

0

Cancer'

4

10 36.1 92.0

Diabetes Jrell itus

I

I

90

92

Pellagra

0

I

0

92

Ceretral Hemorrhage Heart diseases PneiJm:lnia

II

6 993 55.2

8

6 "[l.2 552

3

4 2].1 36.8

Oiarrh'!la ard Enteritis lhder 2 )Oars

0

I

0

9.2

Nephritis

4

2 36.1 18.4

Puerperal causes

2

0 18.1

0

Ma !format ions and Ear I)' Infancy

2

I 18.1

92

Ex\ernal causes AII other causes

7

4 63-2 'f,.B

19

22 1715 202.3

Frankl in

All Causes

143

167 8757 1034.8

Typhoid fever

I

2

6.1

12.4

Malaria

0

0

0

0

Diphtheria

0

00

0

Influenza

2

6 12.2 37.2

Dysentery

G

4

0

24.8

'Tuberculosis (all form> )
Cancer Diabetes mellitus Pellagra
Corebr a: Hemorrhage

6

5 '1>7 31.0

5
4

13 30~6 80.6

'.2 I

~.5

I

6.1

6.2

5

14 3Q.6 ab.]

Heart diseases PneullPnia

19

23 116.4 142.5

II

II 6].4 68.2

0 iarrhea and Enteritis lhder 2 years

I

I

6.1

6.2

~phritis
Puerperal causes Ma lfcrmati ens and Early Infancy Externa I causes

15

19 9'9 II].]

I

7 6.1 4).4

9

14 55' 86.]

18

6 uo.2 37-2

All other causes

45

40 2]5.6 24].8

207

TABLE(, Deaths. ana Oea.th Rate Per lo;:.,QQO ~opulation From Specified Causes, in Each Cmntya
I~ and 193t

Area and Cause of Death
Ful ta'l All Causes
Typhoid fewr Malaria Diphtheria lnfluenila Dysentery Tuberculosis (all forms) Career Diabetes mel I it us Pellagra Cerebra I Hemcrrhage Heart diseasos i'noUII'CI"l ia
0 iarrhea and Enteritis lhder 2 years
Nephritis Puerperal causes Mllformations and Early Infancy External causes All other causes Gilmer
All Causes Tyt:hoid fever Malaria Oiphther ia lnfhmza Dysentery Ttberculosis (all forms) Cancer Diabetes roll itus Pellagra Cerebra I Hemcrrhage Heart diseases Pneumonia
Diarrhea and Enteritis Under 2 yoars
NeJ:i!ritrs Puerpera I ca u;cs Mal formations and Early Infancy Extemal causes AII other causes - . --- --- --- --

NU!ber
1932 1931

Rate
1932 1931

4,438 4,788 1,312.3 1,4957

32

37

4

5

95 I1.6 1.2 1.6

15

14

4.4 4.4

140 178

41.4 55.6

8

(2

320 426

2.4 37
946 f33,1

259 286

]6.(, 893

74

63

21.9 197

33

45

98 (4.1

340 380 100.5 118.7

656 594 194.0 185.6

402 416 118.0 1299

40

67

I1.8 20.9

458 452 135.4 (41.2

51

55

16.9 17.2

'l37 284

70.1 88.7

480

500

141.9 156.2

883 974 261.1 3C4o3

70
0
I0 3 c 0
3
I
0
II 2
I II 3 0 6 2
4
3 31

59

914.0 ]84.8

2

0 26.6

0

c

0

I

392 133

2

0 26.6

0

0

0

I

392 13.3

I

13.1 133

2

0 26.6

4"

13.1 0 26.1 532

4 143.6 532

6

392 ]9.8

2

0 26.6

I

]8.3 133

I

26.1 133

I

52.2 13.3

2

392 26.6

29

404.8 3857

208

JABLE 6 0Qaths an:t Death Rate PET 100,0\;0 Papulation From Specified Causes, in Each Cotnt.yt

----.----- ---

-- I~ and 1931

'>rca >.nd Cc1use uf Death
- --- ,----------

NunbET

1932

1931

Rate

1932

1931

Glascr.ck

All C3UOOS

47

51 I,C437 1,145.6

Typhdd fovcr Malaria

3

I

66.6 22.5

0

2

0

44.9

Diphtheria lnflumza

0

0

0

0

4

0 as.a 0

Dysontery

0

I

0

22.5

Tl.berculosi s (all forms) Cancer Diabetes mellitus

3

3

66.6 6].4

2

3

44.4 67.4

0

4

0 89.8

Pellagra

0

0

0

0

Cerelral Hemorrhage

I

I

22.2 22.5

Heart d iscases

2

4

44.4 89.8

Prourronia DiiiThea and Enteritis l..hder 2 years

I

5

22.2 112.3

I

2

22.2 44,,

Nephritis Puerperal causos

b

4 1777 89.8

I

I 22.2 22.5

lllalformatict~s and Early Infancy

2

2

44,4 44.9

External causes All other causes Glynn

2

3

44.4 67.4

17

15 377-5 336-9

All Causes

259

298 1312.7 1521.7

Typhoid fewr

4

2

2Q.3 10.2

Milari~

6

0

3).4 0

Diphtheria Influenza Dysentery Tl.berculo~is (all f()l"ma) Cancer Oidxrtcs !!'&lllhl$ Pel I'gra

I

0

51

0

10

5 507 255

c

3

0

153

12
9
I 4

18 16
'10

,.,60.8 919
41j.6 61.]
au
20.3 51.1

Cerc:ral Hemorrhage

29

24

14].0 !22.5

H<art dis~,ases

40

46 202.71 2J4.9

Pneumo,.,ia

10

16

507 81.7

Diarrhea and Enteritis l.Wer 2 years NGp'lritis Pueq:era I causes

3

3

15.2 15-3

30

23 152.0 11].4

4

2

20.3 10.2

Ma ILrmat icns and Early Infancy

13

12

659 61.3

Extemal causes AII other cuuses

27

49

136.8 250.2

56

65 283.8 3319

209

TABLE 6 Deaths and Death Rate Per 10v,:~o Pcpulaticn From SpecifiE:d Causes, in Each C01.ntyt

1932 ard 1931

Area and Cause of Oc,ath
Gordon All Causes
Typhoid fever

I --r-------.

-!332 1
!

Nunber

j

1 1931

mA2a1tu-1931-

----~,5: ,,.~ ~:rT

Malaria

Diphtheria lnflwnza :Jysontery TWer-culosis (all fcrms) Cancer 0 iabotes mil i tus Pellagra

3 1 4 17.3 23.3
I~ I~ 3~5 5~3

12 I 10 6).C 583

6 I 9 34.5 52.5

2j

11.5 5.0

C

I

0

5.6

Cercl:ral Homcrrhage

7 6 40.3 350

Heart diseases Preumcnia Diarrhea and Enteritis lhder 2 yoars

17

14 900 81.]

10

7 5].5 40.0

6

2 34..5 11.7

Nephritis ?uerpcra I causes

10

7 575 ~8.8

5 1 2e.s 5.s

Ma !formations and Early Infancy

19

19 109.3 IIJ.S

Externa I causes

IJ

7 575 4C,G

AII other causes Grady

35 47

2]4.1

All Causes

213 162 1oor.,6 934.1

Typhoid fever Malaria Diphtheria lnflwnza

2

3 10.1 15.4

6

5 3o.4 257

0

0

0

0

II 15 556 n.o

Dysentery Tt.berculosis (all forms) Cancer Di abctos Ill) II itus Pellagra. Cerebral Hemorrhage Heart diseases PncU1Jl)Oia

0

0

0

0

5' 7

I 35.5

9 7 457 359

0

0

51

2

2

10.1

10.3

14

16 ]1.0 82.1

20 14 101.5 719

15 12 'Jb.l 61.6

Diarrhea ard Enteritis lhder 2 years Nephritis

4

6 20.3 3\M

15

12 ]6.1 61.6

Pt.erpera I causes Malfcrmations and Early Infancy External cause s All other causes

7 7 355 359

13

22 f6.o 112.9

16

14 81.2 71 9

72 45 3b53 231.0

-----'-----_1

210

TABLE 6 Deaths and Death Rat6 Per 100,000 Pop1.1latim From Specified Causes, in Each Col.ntya 1932 an:! 1931

Area and Cause of Death
Greeno All Causes
Typhoid fover Malaria 0 ipht.hcr i a lnflt..enza Dysentery Tuberculosis (all fcrms) Canc'r Oiab6tes mellitus Pellagra Cerebral Hemorrhage Heart diS<,lasos Pneuroonia 0 iarrhea and Enteritis Under 2 years Nephritis Puerpera I causes Malforfl!ations and Early Infancy Externa I causes AII other causes Gwimett
All Causes Typhoid foll6r 1.\llaria Diphtheria lnfh.enza Dysentery
T\blrc~o~losis
Cencer Oiabotoa .allitua Pellagra Cerebral Hemorrha!J6 Heart diseases Pnel.llllalia
Diarrhea and Ent<>riti(; lhder 2 years
Nej:hr it is Pt.erperal causes Malformations and Early Infancy Extern a I causes All other ~uses

Nunber

1932

1931

Rate
1932 1931

159

165 I,249.4 1,301.6

2

5 1'). 7 394

0

I

0

79

0

0

0

0

5

10 3').3 76.,

0

2

0

15.8

7

7 550 552

16

3 125.] 23.7

2

0 15J 0

2

6 157 47-3

II

7 !:'16.4 55.2

22

27 1]2.8 213.0

16

17 12').] 134.1

0

0

0

0

16

19

1257 J!.~.,

3

I

2).6

].')

6

4 4].1 31.6

I

12

M C)4.6

50

44

3~1

34].L

:
;

249

254 8]6.0 '!J1 '

6

II

21.1 39.0

0

I

0

35

I

I

35 35

14

II

493 )9.0

2

5 10 171

16

9 )6.3 319 .

II

12 'J31 42.6 .

3

2 to-' 71 '

5

6 1].6 21.3

16

21 563 745

35

32 123.1 113.6

21

26 739 923

5

6 1].6 21.3 :

19

24 66.8 852

3

4 10.6 14.2

II

18

'j3.] 639

19

14 66.a 49.]

62

51 218.1 181.0

211

TABlE 6 Doaths and Death Rata P~ 100,000 Papulation From Specified Causes, In Each County: 1932 and 1931

Prea and Cause of Death
Habersham All Causes
Typhoid fever Malaria Dipthoria Influenza Dysentery Tubercu Ios is (a II forms) Cancer Diabates me II itus Pellagra C~lral Hemorrhage Heart diseases Pneumonia Diarrhea and Enteritis lhder 2 years Nqfiritis Puerperal causes Malfa-mations and Early Infancy External causes All other causes Hall
All Causes Typhoid fever Malaria Diphtheria Influenza Dysentery Tuberoulosi s (all forms) Cancer Diabetes mellitus Pel lag-a Cerebra I Herrorrhage Heart diseases Pneumonia Diarrhea an:J Enteritis lhder 2 years Nephritis Puerperal causes Ma Iforma t iens and Ear Iy Infancy External causes All other causes

Number

1932

1931

Rate

1932

1931

116

101 882,4 n8.8

I

0

76

0

0

0

0

0

0

2

0

15.4

6

2 45.6

15.4

0

2

0

15.4

10

14

~.1

10].9

&

5 60.9

36.6

I

0

76

0

3

I 22.8

77

6

II

45.6

84.6

II

8

637

6!.7

7

7 53.2

54.0

5

I 36.0

77

14

9 lc6.5

69.4

4

4

~.4

3Q.6

5

7 36.0

540

II

9 637

69.4

24

19 182.6

146.5

309

316 967.8 1030.6

4

6 12.6

19.4

0

0

0

0

2

2

6.4

6.5

22

19 703

61.6

0

I

0

3-2

14

15

44,8

48.6

21

17 67.1 55'

5

4 16.0

13.0

5

4

16.0

13.0

19

16 6o.]

519

27

30 66.3

972

17

21

543

68.1

3

10

].6

324

32

31 102.3 Joc.s

5

& 16.0

259

21 40 72

.,24
31

I6].1
127.;)

]7.8 100.5

230.2 256.1

212

TAGLE 6 Deaths anl Death Rate Per 100,000 Pq>ulatim From Specified Callies, in Each C<ulty: 1~)2 and 1931

~~rr-----+----~~~t~e_____ Area and Cause of Death
- -----------------+....:..!::=...-+~:::.:.1.~.2-4-.:.19!31:..-J.1).3-2-:LL..19:3.1._f
Hancock

All Causes

113 !12 84b.a 847.0

Typhoid fever Malaria

I

3 7-5 22.7

I

0

].5

0

Diphtheria Influenza

I

I

].5

76

4

6 300 45.4

Dysentery TIAlerculosis (all forms)

I

0

M

0

6

6 45.0 45.4

Cancer

7

6 525 45.4

0 iabctes ne II itus

2

0

15.0

0

Pellagra

5

9 375 68.1

Cerebral Hemorrhage Heart diseases

10

!2 749 9o.B

16

14 1199 ICJ).9

Pneumonia Diarrhea and Enteritis LhdEr 2 years

4

4 3Q.O 303

c

2

0

15.1

Nephritis Puerpera I causos Malformations ard Early Infancy

5

6 375 45.4

7

3 525 22.7

2

I 15.0 ].6

Externa I causes AII oth.;r cal.SeS Haralson

8

9 599 68.1

33

30 2473 226.9

All Cal.SOS

Ill

117 814.9 869.1

Typhoid fever

5

7 36-7 52.0

Malaria

0

0

0

0

Di.:hthcria Influenza

I

I 7-3 7-4

lv

6 ]3.4 44.6

Dysentery

2

I 14.7 7.4

Tuberculosis (all forms)

3

5 22.0 37 .I '

Concer

4

3 29.4 22.3

Diabetca mellitus Pel lag-a Cerebra I Hemorrhage Heart di scases

3

0 22.0

0

3

0 22.0

0

5

8 'f:,.] 59.4

II

12 80.8 89.1

Pneunr:;nia

6

4 44.0 2'}.7

Diarrhea and Enteritis Under 2 years
Nophritis

3

! 22.0

74

10

16 734 118.9

Puerperal causes Malfcr11111tions and Early lnmcy External caus(>S All other cal.Ses

4

4 2<).4 297

"'1 5

2

15.0

14

19 102.8 141.1

22

27 161,5 200.6

213

TABLE 6 Deaths and Death Rate Per IGO,DCO Pcpul&tirn From Specified Causes, in Each CaJntyt
1932 ard 1931

/trea and Cause of Death
Harris All Causes
Typhoid fever Malaria Diphtheria Influenza Dysentery Tlberculosis (all forms) Cancer 0 iabetes 1re IIi tus Pellagra Cerebra I Heoorrhage Hoart d iseases Pneumonia 0 iarrhea and Enteritis lhler 2 yc~s Nephritis Puerperal c~uses Malformations anJ Early Infancy EX torna I causes All other causes Hart
All Causes Typhoid fever Malaria Diphtheria lnflu;mza Dysentery Tuberculosis (all fcrms) Cancer Diabetes mellitus Pellagra Cerebra I Hemorrhage Heart diseases Pneum;;nia Diarrhea ard Enteritis Lnder 2 years Nephritis Puerperal causes Malformations and Early Infancy Externa I causes All other causes
-----

Nunber

1932

1931

Rate

1932

t~.3.f

115

115 1010.7 1020.2

c

I

0

8.9

0

0

0

0

0

0

0

0

0

4

0

355

0

I

0

8.9

2

7

17.6

62.1

5

4

439

355

I

I

8.8

8.9

5

4

439

355

7

7

61.5

62.1

14

20 123.0 f77.4

10

6 8].9 53.2

0

0

0

0

II

II

96.7 97.6

4

I

35.2

8.9

5

5

439

44.4

II

14

%-7 124.2

40

29 351.6 25].3

117

119 742.2 7677

0

3

0

19.4

0

0

0

0

0

I

0

6.5

3

2

19.0

12.9

3

I

19.0

6.5

4

2

2').4

12.9

5

4 31.7 25.8

3

4 19.0 25.8

I

4

6.3 25.8

7

8

44.4

51.6

12

13

-,6.1

839

15

II

5').2 71.0

3

I

19.0

6.5

16

23 101.5 148.4

0

3

0

19.4

10

12

63.4

774

5

8 31-7 51.6

30

19 1903 122.6

214

TAel.E 6 Oeaths and Death Rate P1" ICO,OOC Pqlulaticn From Specified Causes, in Each Countyt

~

1932 and 1931

Area anJ Cause of Death

Number

1932

1931

Rate

1932

1931

~ard
AI I Causes Tyt1loid fever Malaria Diphtheria lnf luenza Dysmtery Tuberculosis (all fcrfll!;) Cancer Diabetes mol titus o"o llagra Cer::.bral Heme rrhage Heart diseaS(;s Preumcnia Diarrh01a ar.d Entaritis lh<:!er 2 years NiJ!:hritis i'l.llrpcral causes Ma Iformat ions and Early lnfency Extorna I c auses All other causes Herry
All Causes Typhoid fever Malaria DiFhiheria lnflwnza Dysentery Tuberculosis (all ferns)
Cenoer
0 Iabd1111 nc II itus
P~llagra
Cerebra I Hemorrhage Heart diseases fheumcnia Diarrhea and Enteritis Under 2 years Nephritis Puerpcr a I causes Ma Ifermat iens ard Ear Iy Infancy Externa I causes All other causes

90

76 'fJ1) 820.1

5

0 532

0

0

0

0

0

3

I

31-9

10.8

6

I

63.8

10.8

0

I

0

10.0

3

5 319 54.0

5

2

532

21.6

0

I

0

10.8

I

I

10.6

10.8

3

6 319 64.]

II

4 117.0 43.2

7

8 745 86.3

0

0

0

0

4

5

42.6

54.0

2

0

21 3

0

3

7 319 755

5

5 532 54.0

32

29 340.5 312.j

t6o

145 984.6 9~~-3

I

3

6.2

18.6

0

I

0

6.2

I

I

6.2

6.2

2

5

12.3

31.0

2

I

12.3

6.2

13

7 80.1

435

4

5

24.6

31.0

0

0

0

0

4

2 24.6 12,4

9

6 554 '3l3

17

26 IC4.6 161.4

17

9 104.6

559

c

60

31-3

20

It 123.1

68.3

2

6

12.3

373

6

7 36.9 435

10

10

61.5

62.1

52

39 )20.0 242.2

215

TABLE 6 Deaths and Death Rate Per 100,000 Populatia1 From Specified Causes, in Each Colllty 1932 and 1931

lrea and Cause of Death
Houston All Causes
Typhoid fever Malaria Diphtheria lnfh.enza Dysentery Tlberculosis (all forms) Cancer Diabetes me Ititus Pellagra Cerebra I Hernrrhage Hoart diseases Pneumonia
Diarrhea and E'nteri tis lhder 2 years
Nephritis Puerpera I causes Malforrrations and Early Infancy External causes All other causes Irwin
All Causes Typhoid fever Malaria Diphtheria lnfl U'lnZa Dysentery Tuberculosis (all forms) Carner Diabetes mellitus Pellagra Cerebral HeRDrrhago Heart d iscases A'!el.lllCI'Iia
Diarrhea an::f Enteritis lhder 2 years
Nephritis Puerpera I oausos Malformations <nd Early Infancy Externa I causes All other causes
--------~--

Nunber
1932 1931

Rate
I~ 1931

]6

126 6]1.0. 1114.5

0

2

0

177

2

6 177 531

0

0

0

0

3

II

26.5 97-3

0

0

0

0

3

6 26.5 53.1

3

3 26.5 26.5

3

0

26.5

2

8,8 177

II

18 971 1592

7

14 61.8 123.8

4

5 353 44.2

0

0

0

0

5

8 44.1 70.8

3

3 26.5 26.5

4

I

.353

8.8

8

13 70.6 115.0

22

31 194.2 274.2

89

106 711.1 856.6

0

3

0

24.2

I

8.0 8.1

0

2

0

16.2

3

2 24.0 16.2

2

I

16.0

8.1

6

7 4].9 56.6

2

7 16.0 56.6

2

3 16.0 24.2

I

I

I a.o 8.1

6

8.0 48.5

12 10

16 12

I %79..08

1293 970

2

2 16.0 16.2

7

IC

559 80,8

4

3

32 ,-, oV

24.2

4

6 32.0 48.5

8

6 G3.9 48.5

24

18 191.81 1455 i

216

TABLE 6 Deaths and D(dh Rate Per 1~,000 Pop~ation From Specified Causes, in Each Countyt

-

-

1932 ard 1931

lrea and Causo of Death
-

Number
1932 1931

Rate
1932 1931

Jacks en

All Causes T)'lilcid fc'lel" Malaria

185

177 836.2 808.4

I

I

4.5

4.6

I

I

4.5

4,6

Diphtheria
lnfl~za

0

0

0

0

12

4 54.2 18.3

Dysentery Tl.bereulosi s (all forms) Career Diabetes me II itus Pellagra Cerebra I Hemorrhage Heart diseases Pnou.ronia
Oierrhea and Enteritis lh:ler 2 yevs
Nephritis Puarperal causes Malformations and Early lnf~noy External causes AII other causes Jasper

I

0

4.5

0

7

I 31.6

4,1)

9

13 40.7 594

3

I 13.6

4.6

5

4 22.6 18.3

15

9 6p 41.1

20

26 9o.4 liB.]

18

14 81.4 63.~

0

2

0

91

32

28 144.6 1279

I

0

4.5

0

9

17 40,] 7].6

17

21

]6.6

959

34

35 1537 1599

All Causes Typhoid feveP Milaria

112

113 12837 13C3.8

0

2

0

23.1

0

0

0

0'

Diphtheria lnflu;nza :lysentery

I

0 11.5

0

I

0 11.5

0I

0

0

0

0

TUberculosis (all forms) Cancer Oi~betG~ mallitus Pella;::ra Cere b a 1 P.:11rorrhage He~rt d i 06aS<38 Phcumonia
Obrrhea and Eilteritis lklder 2 years
Nephritis Pwrrc-r.:.t causes lffl.lfcrmations ard Early Infancy ExtJrna I causes All other causes

4 6 2 I
II
19
4
0 8
3 3 7
42 I

II 45.8 126.9 ~

3 68.8 34.6 '

0

22~,

0I

0 11.5

0

8 126.1

~2.3

18 217,8 207-7

8 2

I 45.8 923

0

23-1

I 6 91-7 69.2
2 34.4 23.1

6 3.:.4 j ~9-2

12 80.2 1)8.4

I 35 481.4 1 403.8

217

T.4BLE 6 Deaths and Death Rate Pfr 100,000 Population From Specified Causes, in Each Comty1

-
Area ard Cause of Death
.hff Davis

1~32 and ~31

I

!

Nunber

I I 1932 I 1931

~~
1~32 _!W_

All CaU>eS T)'Jlhoid fever Malaria Diphtheria Influenza Dysentery Tuberculosis (all forms) Cancer Diabetes mellitus Pellagra Cerebra I Hemorrhage Heart diseases Pne!.llal ia Diarrhea and Enteritis Lhder 2 yoars Nephritis Puerperal causes Malformations and Early Infancy External causes AI I other causes .hffersm
All Causes Typhoid fever Malaria Diphtheda Influenza

63

62

0

3

2

0

2

2

2

3

0

0

II 0

II I

I0

I

0

I

5

3

4

3

4

5

0

2

9

10

I

I

5

2

5

4

22

21

I~

167

2

2

2

I

I

I

4

6

761.7 0 24.2 24.2 24.2 0 12.1 12.1 0 0 6o.5 48.4 48.4 0
108.8 12.1 60.5 60.5 266.0
918.3
95
~-5
4.]
18.~

755.8
36.6 0 24.4 36.6 0 0 12.2 12.2 12.2 'f,.6 36.6 61.0 24.4 121.9 12.2 24.4 48.8 256.0
m.2
95 4.8 4.8 28.6

Dysentery Tuberculosis (all forms) Cancer Diabetes mall itus Pellagra Cerebral He100rrhage Heart d iAases A1euronia Diarrhea and Enteritis Lhder 2 years Nephritis Puerperal causes Malformations and Early Infancy External causes AII oth ET cau:>es

0

4

0

1~.1

II

8 52.1

38.2

4

8 18.9 382

0

I

0

4.8

6 10 19

I I 2 28.4

95

21

473 100.2

9 899 43.0

16

I16 757 ]6.4

3 21

I2 14.2
12 994

95
57-3

I

5

4.] 239

6

9 28.4 4;-J.O

12

10 56.8 4].7

]6

50 3598 238.8

218

TABLE 6 Deaths ard Death Rate Per 1001000 Population From Specified Causes, in Each Collltyt 1932 ard 1931

~oa and Cause of Death
J.o;;nkins All Causes
Typhoid favor h'alaria Diphtheri"
lnfl~a
Dysentery Tl.berculosis (all forM>) Cancer Diabetes ~II itus Pellagra Cerebra I Hen-orrhage Heart di seasos Pneumonia Diarrhea and Enter it is lhdet 2 years Nephritis Puerpera I causes Malformations and Early Infancy External causes All other causes Johnson
All CalSes Typhoid fever Malaria Diphtheria Influenza Dysentery Tuberculosis (all fc.rns) Caneor Di~betos mel! itus Pellagra Cerobra I Hemcrrhage Heart d i soases Pneumonia Diarmea and Enter i t is Under 2 years t-ilphritis Puerperal causes Ma !fermat ions and Early Infancy Externa I causes All other c~usos

Nunber
1932 .. 1931

Rate

1932

1931

129 156 1J4.0 1198.7

4

7

30-5 53-8

3

7 22.9 538

0

4

0

307

16

7 122.1 538

0

0

0

0

6

7

45,8 538

2

5

15.3 38.4

I

I

76 17

3

4

22.9 307

9

14 68.7 107.6

15 14

1.3,
'

114.5 599 106.9 53.8

3

4

22.9 307

6

II

45.8 84.5

3

3 22.9 23-1

II

15

84.0 1153

14

14 106.9 107.6

19

33 145.0 2536

123

104 994.0 8()9.6 I

i

3

I

23.1

].6 i

I

4

11

31.1

I
I

3

0

23.1

0!

3

4

23.1 31.1 '

0

0

0

0i

5

6

38.5 46.] ;

8

I

61.6 7-8 !

2

0

15.4

0

I
I

4
7

I
7

3C'.8 539

7.8 545

l'
i

17 5

II 8

131.0 385

I 85.6
62.3

2

I

15.4

18

; i

18 5

13 4

138.7 30.5

101.2 !

31, I

!
i

8

5

61.6 389 I

9
29

4 34

69.3 2235

J )1.1
264.7

219

TABLE 6 Deaths an:l Death Rate Per IOO,COO Pq,ulation From Specified Causes, in Each Countyt

-
k-ea and Cause of Ckath Ja'IGS

19:32 an:l 1931
Nun bar
I 1932 1931

I
I Rate 1932 1931 -

All Causes T)plloi d fever Malaria Oiphtherla Influenza Dysentery Tlhercul osi s (all forms) Cancer Diabetes mellitus Pellagra Cerebra I Hemorrhage Heart di seasos
PnE.UJ~onia
Diarrhea and Enteritis Under 2 years
Nephritis Pl.erpera I causes Malformations and Early Infancy External causes AI I other causes Lamar

87
I
(;
0
15
I
7 6
0
3 10 9 10 0 3
2
I2
6 12

~ 9437 1041.9

I

10.8 11.0

0

0

J

0

0

0

9 162.7 987

I

10.8 11.0

5 759 54.8

7 65.1 ]6.8

0I 0

0

4 32.5 439 II 108.5 120.6

3 97.6 329 4 108.5 439

I

0

11.0

6 32-5 65.8 I 21.7 11.0

6 21.7 65.8

8 65.1 87-7 20 130.2 307.1

AI I Causes Typhoid fewr

112

114 1129-7 11507

I

4 10.1 40.7

Malaria

I

0

10.1 0

Diphtheria

0

2

0 20.3

Influenza Dysentery Tl.bercul os is (al I fcrms) Canoer Diabetes ll'ellitus Pellagra

8

3 80.? 305

0

0

0

0

6
I

6 4

I 60.5 61.0
10.1 40.7

3

I 30.3 10.2

I

I

10.1 10.2

Care bra I Henx:rrhage Heart diseases fheuronia Diarrhea and Enteritis lhder 2 years Nephritis Puerperal ca LSes Malformations an:! Early Infancy External causes All other cause

17

10 171.5 101.6

14

13 141.2 132.1

7

10

70.6 101.6

0

3

0 30.5

15

9 151.3 91-5

2

3 20.2 30.5

6

2 6o.5 20.3

6

13 60.5 132.1

24

30 242.1 304.9

220

1A!1..E ~ Deaths ard Death Aate Per 1001000 P~ulation From Specified Causes, in Each Co~.nty1 1~32 and 1531

Area and Cause of Death
---Lanier All Causes Typhoid fever Malaria Diphtheria Influenza Dysontery Tubercult~si s (all fonns) Cancer Diabetes mellitus Fl:lllagra Cerebra I Heroorrhage Heart diseases Pneumonia
Diarrhea and Enteritis t.nder 2 years Nephritis Puerpera I causes Malformations and Early Infancy Externa I causes All other causes Laurens
All Causes Typhoid fever Malaria Diphtheria lnfl uen:z:a Dysentery Tuberoul os is (all forms) Cancer Di abates moll itus Pel Iagra Cerebral Hemorrhage f-k,art d iseases Pneu100nia f)i arrhea and Enteritis lhder 2 years Nephritis Puerpera I causes fr'atformaticns and Early Infancy Externa I causes AII other causes

Nwnber

1~32

1~31

Rate
1932 1~31

39

49 m.G 5358

0

0

0

0

0

2

0 382

0

0

0

0

I

3

19.0 57-3

2

I

379 19.1

I

0

19.0 0

2

3 379 57-3

0

0

0

0

0

I

'l

19.1

2

2

37-9 38.2

3

4 5b-9 -,b.4

I

4

19.0 76.4

I

0

19.0 0

5

7 94.8 133-7

I

0

19.0 0

I

2

19.0 38-2

4

5

759 955

15

15

284.5

286.5

! i

335

331

1019.0

1002.]

i i

4

5

12.0 15.1 I

!4

8

42.1 24.2

2

2

6.0 6.1

8

II

24.0 333

3

I 90 3

B

12

24.0 36.4

ID

10

30.1 303 i

2

;

0

6.0 0

!

8

4

24.0 12.1

20

12 6o.t 36.4

37

37 111.2 112.1

23

16

' 69.1 48.5

3

5

90 15.1

20

22

60.1 66.6.

9

10

2].! 30-3

13

8

391 24,2

25

29

]5.1 8?.8

130

139 39Q.8 421.1

'

221

TABLE 6 Deaths and Death Rate Per 100,000 Population From Specified Causes, in Each County& 1932 and 1931

Area and Cause of Death
..
Lee All Causes
Typhoid fever Malaria Diphtheria lnfl uenza Dysentery Tlberculos is Cancer Diabetes me IIi tus Pellagra Cerebral Hemorrhage Heart diseases Pneumonia
Diarrhea and Enteritis Under 2 years
~phritis
Puerperal cau;os Malformati ons ard Early Infancy Extemal ca~Bes All :1ther causes liberty
All Cai.Bes Typhoid fever Malaria
Di~htheria
lnflt.anza Dysentery Tuberculosis (all forms) Cancer Di,betes me II itus Pe ~ lagra C'.erebral He1110rrhage Heart discases Pneumonia
Diarrhea and Enteritis Under 2 years
l'ephri tis Puerperal causes Mal formati ons and Early Infancy External causes All other causes

Nurber

1932

1931

Rate
1932 1931

Ill

97 1319.2 1158.1

2

1 23.8 11.9

8 4 95' 47.8

I

0 11.9

0

3

6 357

]1.6

0

00

0

4

4 475 47.8

3

2

357

23-~

2

I 23.8 II 9

I

4

II.~

47.8

4

2 475 239

5

15 59-4 1]9.1

15

4 1]8.3 47.8

I

I 11.9 11.9

4

6 475 71.6

I

I 11.9 11.9

2

I 23.8 11.9

6

6 ]1.3 ]1.6

49

39 582.4 465.6

142

130 1717.5 1582.1

6

1 72.6 12.2

9

10 108.9 121.7

I

I 12.1 12.2

9

10 108.9 121.7

~

3

0

365

12

8 145.1 974

5

2 60.5 24.3

I

0 12.1

0

2

2 24.2 24.3

13

13 1572 158.2

17

15 2(1).6 182.5

6

8 72.6 974

I

2 12.1 24.3

9

12 108.9 146.0

2

1 24.2 12.2

5

5 60.5 6o.8

6

10 ]2.6 121.7

38

27 459.6 . 328.6

222

TABLE 6 Deaths and ile'lth R~te Per 100,000 Pq>ulation From Specified Causes, in Each CQI.ntya 1932 and 1931

N-ea and Cause oi Oeath
- Lincoln

All Causes

Typhoid fever

Maltll"ia

Diphtheria

Influenza

Dysentery

Ttbereulosis (all forms)

Cancer

Diabetes me II itiJs

Pellagra

CereiTal Hemorrhage

Heart diseases

Pneunooia

Diarrhea and Enteritis Under 2 ynars

Nephritis

Puerpera I causes

Malformations and Early Infancy

External oa1,1ses

All other causes

Long

AI I Causei

Typhoid fever

Mllarla

Diphtheria

Influenza

OyaeniBry

T\.borculosis (ali for!IIS)

r...eer
Otabetos ~lilt~

Pel lara ~al

He.;rrh

Heart di1illases

Pneunr:tl ie

Diarrhea and Enteritis thder 2 years

Naphritis

Puerperal causes

Ma Iformat ions and Early Infancy

External causes

AII other causes

Nl.lllber
m2 1931

Rate
1932 1931

37

29 452.4 361,1

0

2

0

24.9

0

0

0

0

0

I

0

12.5

0

0

0

0

0

0

0

0

I

4 12.2 49.8

4

2 48.9 24,9

I

0 12.2

0

2

0 24,4

0

4

I 48.9 12.5

3

2 'J,.] 24.9

I

I 12.2 12.5

0

0

0

0

3

0 36.7

0

0

0

0

0

4

2 48.9 24.9

0

I

0

(2.5

14

13 171.2 61.9

49

42 11543 rffo.2 ;

I

0 23.6 0 '

:

3

I

]0.7

'Z37 :'

0

0

0

0

0

2

0

4].4

I

0

I

0

237

6

4 141.3 949

3

J ]0.1 237

2
I

0 4

47.1 23.6

. 0 '
~9

2

6 47.1 142.3 '

5

I 117.8 237

2

3 47.1 71.2

I

0 23.6

0

I

5 23.6 118.6

3

2 707 47.4

2

I

4].1

237

2

3

4].1

71.2

15

8 3534 189.6

223

TABLE 6 Deaths and Oeaih Rate Per 100,000 Pc.pulation From Specified Causes, in Each County: 1932 and 1931

f.rea and Cause of Death
Lowndes AI I Causes
Typhoid fever Malaria
Oiphth~ia
Influenza Dysentery Tl.berculosis (all forms) Cancer 0 iabates roo II itus Pel lag-a Cerebral Hemorrhage Heart diseases Pneumonia Diarrhea and Enteritis lhder 2 }{lars
~phritis
Puerperal cai.Ses Ma Iformat icns and Early Infancy External causes All oiher causes Lunpkin
AI I Causes Ty~old fever Malaria Diphtheria lnf luenza Dysentery Tl.berculos is (a II forms} Cancer Diabetes nell itus Pel lag-a Cerebra I Hemorrhage Heart d i soases Pne UllO"I ia Diarrhea and Enteritis Nephritis Pwrperal causes Malformations and Early Infancy External causes All other causes -------
224

Nllllber
1932 1931

Rate
i932 1931

41 I 378 13429 1246.1

3

2 9-8 6.6

4

6 13. I 19.8

I

3 3o3 99

8

13 26.1 42.9

3

I 98 33

17

15 555 49.4

17

24 555 75-1

2

2 6.5 6.6

7

6 22.9 19.8

20

14 65.3 46.2

45

41 147.0 135.2

34

20 111.1 65.9

5

5 16.3 16.5

36

40 11].6 1319

7

16 22.9 527

12

14 39-2 46.2

58

39 1895 128.6

132

117 4313 '135 7

41

36 8Q9.6 71).6

0

00

0

0

c 0 0I

I

0 197 0

I 0

2
0

I 19-7 40.0

0

0

2

I 39-5 2C.O

4

3 79-0 6o.o

I

I 19-7 20.C

i)

I

0

2C.C

2

5 3:1-5 999

9

2 '777 40.0

6

3 118.5 6:1.0

0

0

0

0

I

3 19.] 6o.c

2

I 395 2C.C

2

3 395 6c..o

I

3 19.7 6o.o

9

8 1777 1599

'

TABLE GOeatlls and Death Rate ?er 100,000 Popul~tion From Specified Causes, in Eacn Col.ntya

-

1932 and 1931

Area ard Cause of Doa th
....~-- - -

Nunber
1932 1931

Rate
1932 1931

Mac e-n

All Causes Typhoid fever Malaria Diphtheria Influenza Dysentery Tuberculosis (all forms) Cancer Diabetes me II itus Pellagra Cerebral Hcm::rrhage Heart diseases Preumonia
Diarrhea and Enteritis Under 2 years
Nephritis Puerperal c~usos Ma Iformat ions and Early Infanoy External causes AII other oa ISOS
Madi~>on

177 181 1049.6 10]9.6

3

6 1].8 35.8

3

5 1].8 29.8

0

I

0

6.o

5

12 296 71.6

I

0 59

0

8

6 4].4 35.6

8

6 4].4 35.6

0

0

0

0

4

3 237 17.9

10

II 593

65.6

31

21 183.8 12).3

7
4

,,9 41.5
4 237

537 23-9

15

88.9 113.3

3

4 1].8 239

5

6 29.6 35.6

13

16 771

954

57

52 338.0 310.2

All caUS(lS Typhoid fever Malaria Diphtheria Influenza Dyl(lntery T..tleroulos is (all forms) Cancer Diabetes mellitua Pel lair' Cerebra I Hei!Drrhage Hoart diseases
lhe~ia
Dt-. rhea Md Enteritis lhdor 2 years
Nephritis Puerperal causes Malformations and Early Infancy Extema I causes AII other causes

117

129 ]62.0 850.8

2

5 13.0 33.0

0

00

0

0

00

0

2

3 13.0 13.8

I

I 6.5

6.6

4

10 26.1 66.o

10

4 65.1 26.4

I

I 6.5

6.6

0

I.

0

6.6

7

9 45.6 53.4

II

12 ]1.6 79.1

6

12 39.1

~.1

0

20

13.2

21

22 136.8 145.1

I

2 6.5 1).2

IO

10 65.1

66"0

18

4 I17.2 26.4

23

31 !49.8 aJ4.5

225

TABLE 6 Deaths and Death Rate Per 100,000 PPpulation From Specified Causes, In Each County: 1~32 and 1~31

Area and Ca t.Se of Death
Marion All Causes
Typhoid fe ...or Malaria Diphtheria lnflwnza Dysentery Tuberculosis (all forms) Cancer Diabotos mellitus Pella!Ta Cerebra I Hemorrhage Heart diseases Pneumonia Diarrhea and Enteritis lh:ler 2 :ruars
~phritis
Puerperal causes Ma lfornBt ions and Early Infancy External causes AII other causes MoDuffie
All Causes TyPhoid fewr Malaria Diphtheria lnf luerrza Dysentery To.berculosis (all fonns) Cancer Diabetes me IIi tus Pellagra Cerebra I Hemcrrhago Heart di seases Pne l.l!llnl a Diarrhea and &ltoritis lhdor 2 years Nephritis ~pera I causes Malfa-mations and Early Infancy External causes All other causes

NLI!Iber

1932

1~31

Rate

1932

1931

6~ 2 0 0 5 0
3 6 0 4 I
3 2
0
10 0 I
3
2~
123 3 2 0 4 0 II 10 2 4 14 17 ~ 0 8 I
~
I 'i 26

74 967.1 1048.0

0

28.0 0

I

0

14.2

0

0

0

3

]0.1 42.5

0

0

0

4

42.0 56.6

8

84.1 1133

0

0

0

I

56.1 14.2

5

14.0 ]0.8

5 42.0 70.8

4

28.0 56.6

I

0

14.2

II

140.2 1558

3

0

42.5

3

14.0 42.5

3

28.0 42.5

22 4o6.4 311.6

II~ 1338.4 IJJ6.o

3

32.6 32~

2

21.8 21.~

0

0

0

3

435 32~

I

0

11.0

I

"~7 11.0

5

108.8 54.~

I

I 21.8 11.0

3

I 435 32.~

II

I 152.3 120.7

13 185.0 142.]

7

~M ]6.8

5

0

54~

15

8].1 164.6

8

10.~ 8].8

7 32.6 "f,.s

4

~7-9 43~

30

282.~ 3292

226

TABLE 6 Deaths and Death Rate Per 1001000 Population Fr001 Specified Causes, in Each Coultyt
1932 and 1931

k-ea and Cause of Death
.

I Nutrber

I Rate

1932 1931 1932 1931

Itt: Intosh All Ca\ses
Typhoid fever Malaria Diphtheria Influenza Dysentery Tuberculosis (all forms) Cancer Diabetes mel! itus Pellagra Cerebra I Hemorrhage Heart diseases Pneumcnia Diarrhea and Enteritis Under 2 years
~phritis
Puerperal causes Ire lfcrrrations and Early Infancy Ellterna I Muses AII other causes Meriwether
All Cai.SeS Typhoid fever
ti~alaria
OiFhtker"ia
lnfl~a D~y
Tl.ber-c:uiOISi s (all forms)
Canoe~"
0 iabetes ~~all it\JS
Pellagr'a Cerubral H~llijC Heart diss~.ses Pnet.IIQ'Iill
Diarrhea and Enteritis Under 2 years
Ne~itis
Puu-peral cau;es Ma lfcr-rrat ions and Ear Iy lnf~J~cy Externa I causes AII other cau;es

129 103 2221.8 1TfJ.9

I

0 1].2

0

9

7 155-0 121.0

0

2

0

34.6

7

0 120.6

0

I

3 1].2

51.8

3

3 51.7

51.8

4

4 68.9

69.1

I

2

1].2

34.6

r

I

1].2

17-3

7

9 120.6 1555

21

15 361.] 2592

6

5 103-3

86.4

I

0 17-2

0

8

4 1378 69.1

I

3 1].2

51.8

8

I 13?.8

1].3

8

10 13].8 1]2.8

42

34 ]23.4 587-5

:
225 249 9798 10~.5 I

2

6

B.]

;i;.4 I

I 1

c c

I 4.4

0

4.4

0'

7

I 10 305

44.0 :

2

3

B.]

13.2

14

19 61.0 83.6 :

13

Ill 56~

~,2;

I

2

4.4

8.8

5

2 21.8 I 1:1.8

19

13 82.]

572 ;

28

31 121.9 136.4 i

t6

22 69-7

~.a

I

5

4.4

22.0

17

13 74.0

57.2 :

I 12

5
18

I 4.4

22.0 i

52.3

~.2 \

24 18 104.5 ]').21

61

6] 265.6 294.8

----- -

227

TABLE 6 Deaths and Death Rate Per IC01CCO PqJulation From Specified Causes, in Each CotXlty
1932 and 1931

Area and Cause of Death
Miller AI I Causes
Typhoid fever Malaria Diphtheria lnfl uenza Dysentery Tlborculos is (all forms) Cancer Diabetes mellitus Pellagra Cerebra I Hcmcrrhage Heart d iseascs Prot..m.:Jnia Diarrhea and Enteritis Under 2 years Nephritis Puerpera I causes ~~!formations and Early Infancy Externa I causes AII other causes Mitchell
All Causes Typhoid fever Malaria Diphlheria Influenza Dysentery Tlbercul os is (al I forms) Cancer Diabetes roo II it us Pellagra Cerebral HolllO"'rhage Heart diseases Pneur.cn ia Diarrhea and Enteritis Nephritis Pl.urpera I causes tl.al format ions and Early Infancy Externa I causes All other ca ISEls

I~ Nutter

1932

1931

Rate

-1

11931_:::

73

6]

I

3

2

I

I

I

3

5

0

I

2

3

3

6

I

0

J

0

2

2

14

8

4

8

I

3

3

4

2

0

4

5

I3

I

27

16

7]6.~
10.6 21.3 10.6
31.~ 0
21.3 31-9 10.6
0
21.3 149.0 42.6 10.6
31.)
21.3 42.6
31.~
287.4

724.0 32.4 IC.8 10.6 54.0 10.8
324 6t8
c
c
21 .6 86.4 86.4 32.4 43.2
c
54.0 10.8
1]2.~

233

236 9)5.8 901.]

6

5

24.6 20.8

8

7

326 :sJ .I

0

0

0

0

12

2

49.2 6.3

0

2

0

6.3

13

II

53-3 45.8

10

7

41.0 2].1

2

I

0.2 I 4.2

4

5

16.4 I 20.8

I~ I~
14 2

15 16 14 8

I 77-9 ! 62.4 7].9 66.6
I 57-4 58.2 8.2 333

I

I~ ~

I21

7].')

5 36.)

8].4 20.8

15

20

61.5 83.2

12

II

4).2 i 45.8

6~

o6

I a33.0 3577

228

TABLE 6 Oeatlls and Death Rate Per 100,000 Population From Specified Causes, in Each Coulty 1932 ard 1931

Prea and Cause of Doath
Monroe All Causes
Typhoid fever Malaria Diphtheria Influenza Dysentery Tuberculosis {all fonns) Cancer Diabetes IIIli Ii tus Pellagra Cerebra I Henorrhage Heart diseases FheUironia
Diarrhea an:l Enteritis Lhder 2 years
N:lphr it is Puerperal causes Ma Iformat ions and Ear Iy lnfancy External causes AII other causes t.bntgomry
All Causes Typhoid fever Malaria Di;)lthcr ia Influenza Dysentery Tlberoul0$is (all forms) Cancer Diabetes mall itus Pellagra Cerebra I Hemrrhage Heart disoases fheumnia
Oi<rrhea an:l Enteritis Under 2 years
Nephritis Pl.erpera I causes Malformations and Early Infancy Externa I causes All other causes
------------~

N1.111ber
1932 1931

Rate
1932 1931

145

146 1222,8

3

0 253

0

I

0

I

0 8.4

5

13 42,2

0

I

0

5

II 42.2

1

5 59.0

3

4 253

I

3 8,4

8

6 6].5

18

25 151.8

8

H 6].5

I

2 8,4

21

8 f77.1

I

4 8.4

5

10 42,2

II

12 92.8

47 I 30 3%.4

Ill

99 1081.0

3

2 29,2

0

00

I

I

97

4

I 39.0

0I 0 0

4
I4
II

5 39.0
4 39.0
2 97

2

I8

I

I
'

10

i I

14

I

1~1.5

6 7?.9

9 974

16 1363

I
I

4

I 390

I
I

6

2

I
I

7
2

58.4 19-5

5

5 413 7

8
I 35

4 77-9 33 340.9

124.3
0
8.5 0 110.7 8.5
936 42.6 34.1
255
51.8 212.8
93' 17.0 68.1 34.1 85.1
i 102.2 I
2554
974.6 1
197 i
0!
98 ' 9.8 0
,49...2.
197 9-8 591 88.6
1575 9.8 68.9
197 49.2
394 3249

229

TABLE 6 Deaths ard Death Rate Per IOO,OOC Population From Specified Causes, in Each Co111tyt 1932 and 1931

-

Area and Cause of Death

Morgan

All Causes

Typhoid fever

Malaria

Diphtheria

lnfiLenza

Dysentery

Tlberculosis (all forms)

Cancer

Diabetes mel Iit us

Pellagra

Cerebra I Heroorrhage

Heart diseases

Pneurronia

Diarrhea and Enteritis Under 2 years

Ne!flritis

Puerperal causes

Malformations and Early lnfanoy

EXternal causes

All other causes

Mlrray

All Causes

Typhoid fever

Malaria

Diphtheria

lnf luenza

Dysentery

Tl.berculosis (all forms}

Cancer

Oi abetes me II itus

Pel! agra

Cerebra I Hemorrhage

Heart diseases

Fheunx:nia

Diarrhea and Enter it is Under 2 years

Nephritis

Puerperal causes

Malformations and Early Infancy

Eictema I causes

All other causes

Number
193-2- -t- 1931

Rate
- - - 1932 1-19-31--

132

I~ 1043-9 I02'j.8

I

2

79

15.9

0

0

0

0

I

0

79

0

8

6 633 4].]

c

0

0

0

3

7 237 557

6

9

4].4

]1.6

3

I 237 8.0

3

5 237 398

8

8

63.3

63.6

12

II 949 8].5

7

4 55.4 31.8

I

0

79

0

18

10 142.3

795

2

2

15.8

15.9

c

8

0

63.6

8

10

633

795

51

46 403-3 3(().8

68

58 7135 6177

0

2

0

21.3

c

0

0

0

3

0 315

0

I

3

lo.5

319

0

0

0

0

14

5 146.] 532

2

5 21.0 532

I

2

10.5

21.3

0

2

0

21.3

2

0 21.0

0

7

6

735

63-9

4
0

I 2

42.C 0

I 10.6
21 3

6

9 63.0 958

2

0 21.0

0

3

2

315

21.3

10

7 104.]

]4.5

13

12 1~.4 127.8

230

T~.BLE 6 Deaths and Death Rate Per IC~,GOC Popu1aticn From Specified Causes, in Each Countya

'-"

1932 and 1931

--

ha and Cau;c;. of Jeath

Nunbsr

1932

1931

Rate

1932

1931

Mu;cogee All Cal.Sos
Typhoid fever Malaria Diphtheria Influenza Dysentery TubGrculos is (all f rms) Cancer Diabetes me II itus Pellagra Coretral Herorrhage Heart diseases PneuiOCll i a Diarrhe ard Enteritis Under 2 years Nephritis Pt.erperal causes Malformati ens and Early Infancy External causes All other causes NGWton
All Causes Typhoid fe ver Walar ia Diphtheria Influenza Dysentery TLberculos is {all forms) c.)ncer Oi abet.Js mo llltus Pellagra Cerebral HeiOCrrhage Heart diseases lneunonla Diarrhea ard Enter i tis lhder 2 years Nephritis Puerperal causes fllalfcrmati ons and Early Infancy External ca uses AI I other causes

748

810 1293.6 14037

6

6

10.4

10.4

4

2

6.9

35

3

0

52

0

26

38

45.0

65.8

I

4

1.7

6.9

50

58 86.5 100.5

42

27 ]2.6 46.8

6

to

10.4

17-3

II

9

19.0

15.6

48

62 83.0 107.4

99

100 171.2 1]3.2

53

66 917 114.3

9

14

15.6

24.3

97

99 16].8 171.5

19

19 329 329

43

35 74.4 6o.6

68

82 I 1].6 142.0

163

179 ~1.9 310.2

171

187 9771 1674.7

3

I

17.2

57

0

0

0

0

3

0 1].2

0

6

12

343

69.0

0

0

0

0

4

17

22.9

977

5

13

28.6

747

2

I U.J

57 !

I

10

57

57-5 '

19

16 108.6

91.9 ,

21 8 2

19
6
2

120.1
457 11.4

I 109.2 '
345 i
11.5 !

15

19 85.8 109.2

I

2

57

11.5

6

5

34.3

28.]

7

II

40.0

63.2

68

53 388.8 304.6

231

TMI. 6 Deaths and Death Rate Per 100,000 Population Frcm Specified Causes, in Each Col.l'lty
1932 and 1931

k-ea and Cause of Death
Oconee All Causes
Typhoid fever Malaria Diphtheria Influenza Dysentery Tl.berculosis (all forms) Cancer Diabetes me II it us Pellag:-a Cerebral Hemorrhage Heart diseases Pneumonia
Diarrhea and Enter it is lh:kr 2 ~ars
Nephritis Puerperal cau;es Malformations and Early Infancy External causes All other oauses (lg fe th a-pe
All Causes Typhoid fever Malaria Diphtheria Influenza DysQni:ery Tiber-cui osi s (a II forms) c.tcer Diabetes mel I itus Pellagra Cerebra I Hemorrhage Heart d iseases Pne li1IOil ia
Diarrhea and Enteritis thdcr 2 years
Nephritis Puarpera I ea u;es Malfcrmations and Early Infancy EXterna I causes All other causes

Nunber
i--
1932 1931

Rate
1932 1931

69

83 838.1 1016.4

2

0 24.3 0

0 0

I0 0
00

0 0

3

3 36.4 367

I

2 12.1 24.5

6

8 129 ,a.o

3

3 36.4 36-7

I

I 12.1 12.2

2

I 2q 12.2

2

5 24.3 61.2

7

8 85.0 98.0

3

3 36.4 ';36.7

2

I 24.3 12.2

10

10 121.5 122.5

0

00

0

5

2 6o.7 24.5

I

7 12.1 857

21

29 255-1 355.1

135

145 1015.0 11039

3

7 22.6 533

I

0

].5

0

I

0 75 0

I

9

].5 68.5

0

I

0

].6

9

9 671 68.5

13

7 97.8 533

4

0 30.1 0

2

4 15.0 30.5

5

8 376 60.9

13

27 977 20).6

14

9 1053 68.5

2

I 15.0 ].6

17

15 12].8 114.2

2

I 15.0 ].6

3

6 22.6 457

9

8 6].] 6o.9

'j,

33 2]0.7 251.2

232

TABlE 6 Deaths and Doath Rate Per 100,000 Population From Specified Causes, in Each Cel.llty:
1~32 and 1~31

/lroa ard Cause of Death

-,

.

Paulding

I Nunber

1932

1931

__ Rate

, 1932

1931

All Causes Twhoid fe~~U" Mil aria Diphtheria lnfl IJEli"\Za Dysentery Tuberculosis (all fns) Cancer Diabetes rrell itus Pellagra Cer.:.bt-al Hcmorrhago
Heart disearos PneUIOOrl i a
Diarrhea and Enteritis Under 2 years Nephritis PL.erporal causes Malfcrmations and Early Infamy External causes AII other causes Peach
All Causes Typhoid fewr Malaria Diphtheria lnfl1.191'1za Dysontery Tuboroulosis (alI forms) Cancer Diabetes rrell itus Pol lag-a Cerebral Hemorrhage Heart diseases Pneumonia Diarrhea and Enteritis Under 2 years Nephritis Puerperal causes Malfcrmations ard Early Infancy Extorna I causes All ether causes

~9

~2 Tf5.6 "(32.0

0

0

0

0

0

0

0

0

2

5

15.7 3'}.8

2

3

15.7 23.~

6

3

47.0 23~

7

5 549 398

3

2

23-5

15.~

I

2

78

15.~

I

I

78

8.0

3

0

23.5

0

4

7 31.3 557

4

~

31.3 71.6

0

5

0

3~.8

24

22 188.1 1750

2

2

15-7 15.~

8

8 62.] 637

8

3

62.7 23.~

24

15 188,1 11~.4

116

155 1120.7 1502.8

0

3

0

29..

0

I

0

~1

I
I

I 15

I ~7

~7

~7 145.4

G

0

0

0I

5

13

48.3 126.0

4

I

38.6

~7

0

I

0

~1

8

5

773 48.5

16

14 154.6 1357

II

II lcb.3 lo6.7

II

9 106.3 8].3

0

1

0

91

12

10

115.~

970

3

3

~.o

~.I

6

~

58.0 873

8

II

77-3 lob.]

30

47 28~.8 4557

233

Tf8LE 6 Deaths and Death Rate Per 100,000 Population From Specified Causes, in Each Col.ntyt
tm and 1931

lroa and Cause of Death ........_
Pic:kons All Causes
Typhoid fover Malaria Diphtheria lnflt.enza Dysentery Tlilerculosis (all forms) Cancer Diabetes mel Iitus Pellagra Cerotra I HcJOOrThago Heart disoases Pneumonia Diarrh-..a and Enteritis Lhder 2 years Nephrii:is Puerperal causes Malformations and Early Infancy Extemal causes All other causes Pierce
All CaLSos Typhoid fever M:tlaria Diphtheria lnflt.enza Dysentery Tlilcrculosis (all forms) Cancer Diabetes mellitus Pellagra
Cerebra I Hemorrhage Heart di soasos Pneumcnia
Diarrhea and Enteritis Under 2 years
Nephritis Pt.erpera I causes Malformations and Early Infancy Extemal causes All other causos

I Nunber
I 1932 1931

- -Rate - -
1932 1931

I 52

6c 518.5 60].5

I I I 10.0 10.1

0

c0

0

2
II 0

0 '99 0 0 10.0 0

0

0

0

I4
4
0

4 399 lrC.5

2 399 :00.2

0

0

0

I

II 10.0 111.4

5

3 4).9 30.4

9

5 89.8 50.6

I 8 I 2 79-8 20.2

c! 0 0

0

4

3 3)5 30.4

0

3

0

30.4

I

4 1.:.c 40.5

2

3 199 3C.4

I~

I? 93-13 192.4

136 2
c
2 4
c
5
I7
I
4
7
II
7 5 15
4
12
9 4(

131 107).9

7 155

2

0

0 15.5

5 31.1

0

0

2 38.8

2 54.3

I

].8

I 31.1

6 543 10 85.4

10 5"3 4 38.8

20 116.5

I 31.1

16 932

5 699

39 318.3

102].8 55.0 157
0
393
0
15.7 157 79 7-9
4].2
]8.6 ]8.6 31.4 1572
].9
125.8 3J3 306.6

TM3LE 6 Ool';ths ard Death Rate Per 100,000 Population From SpecifiEd Causes, in Each County a

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

1932 and -19-31

lrea. and CaJse of Death

Nunber
1932 1931

Rate
1932 IJ31

Pike

All Causes Typhoid fever ~!til aria Diphtheria lnfiUf\za Dysentery

122 129 11o6.o 1177-9

3

4. 27,2 36.5

0

0

0

0

0

00

0

2

4 18.1 36.5

0

0

n

0

Tltlerculosis (al I f10rms) Cancer Diabetes 100 II itus Pellagra Cerebral Hrmcrrhage Heart diseases Pneumonia
Diarrhea and Enteritis Lhder 2 years
Nephritis Puerpera I causes h'al fa-mati ons and Early Infancy Extema I eau;es Ail ather cat.Ses Polk

7

7 635 639

8

II 725 100.4

I

0 91 0

0

2 0 18.3

15

9 136.0 82.2

5

9 45.3 82.2

9

13 81.6 118.7

I

I

9' 9.1

20

10 181.3 91-3

I

2 9' 18.3

9

3 81.6 27.4

8

7 725 155-2

33

27 2992 246.5

All CaLSOs Typhoid fever Malaria Diphtheria lnflwnza Dysentery Tt..borculosi s (aII forms) Cancer Oi abetes me II itus Pellagra Cereb-al Hcnrrrh aJJO Heert d i seases PneulllJI'Iia Diarrhea and Enter i tis Under 2 years Nephritis Puerp(;r a I causes Malfcrm~tions an.j Ear Iy Infancy External cau;es AII other causes

219 262 853-4 1030.3

0

2

0

7-9

2

l

78 39

l

3 39 11,8

19

18 ]4.0 70.S

2

l

],8 39

24

20 935 78.6 I

10

II 39.0 433 I

I

l 39 39

5

6 '95 23.6

22

19 857 74-7

30

35 116.9 137.6

15

16 585 62.9

4

7 15.6 27.5

II

16 42.9 62.9

7

9 2].3 354

17

15 66,2 58.0

19

29 74.0 114.0

30

53 116.9 208.4

TABLE' Oeaths and Death Rate Per IOG,OCO Population From Spocifi cd Causes, in Each Countyi

1932 and 1931
--

k'ea and Ca\.Se of Death

--- Ntrnber
1932 1931

Rate 1932 1931

Pulaski All Ca\.SeS
Typhoid fever Malaria Diphtheria Influenza Dysentery Tlberculosis (alI forms) Cancer Diabetes me II i_tus Pellagra Cerebra I HeRaThage Heart diseases Pneumcnia Diarrhea arrl Enteritis lhder 2 years f'eplritis Puerperal causes Malformations an:J Early Infancy External causes All other causes Putnam

79

82 861.8 9()1.6

"'

2

0

22.0

4

5 43.6 55.0

0

0

0

c

3

4 327 44.0

2

0 21.8 0

I

J 10.] 990

4

3

43.6 33.0



I

10.9 11.0

0

I

0

11.0

7

9 -,6.4 9).0

9

8 98.2 86.0

5

4 545 44.0

I

2

10.9 22.0

10

6 109.1 66.o

I

4

10.9 44.0

I

I 10.9 11.0

3

5 382 550

21

18 229.1 1979

All Causes Typhoid fever Malaria Diphtheria lnfiUEiTlZa Dysentery Tlbtt"culosis (all forms) Cancer Diabetes mellitus Pellagra Coretra I Hemorrhage Heart diseases Pne1.111cnia DiarThoa and Enteritis lhder 2 years Nephritis Pw-pora I causes Malformations and Early Infancy l:xterna I eauses AII other causes

100

105 116].0 1238.3

4

5 ti..7 590

I

2

11.7 23.6

I

c 11.7 0

6

4 ]0.0 47.2

I

I

11.7 11.8

7

9 81.] lo6.1

3

7 35.0 82.6

c

I

0

11.8

I

4

II.] 4].2

12

14 140.0 165.1

12

12 140.0 141.5

8

3 934 35.4

I

4

"7 4].2

14

13 163.4 1533

0

0

0

0

4

9

46.] IC6,1

3

6 350 7'7

22

II 256.7 12}.]

23&

TABLE(, Deaths ard Death Rate Per IOO,OCO Population From Specified Causes, in Each Col..l'ltyl

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

I932 ard 1931

k-oa anc! Cause of Death
------------Quitman

Nul!ber 1932 1331

Rate 1932 1931

All Causes Typhoid fever Malaria Diphtheria Influenza Dysentery Tl.berculosis (a I I ferms)
Cancer
Liabetos mellitus Pellagra Cerubra I Horrorrhaga Heart diseases Pneurronia Diarrhea and Entorit is lh:Jer 2 years Nephritis Puerperal causes Ma!formaticns and Early Infancy E~tterna I causes All othar causes Rabl..l'l

28

42 6997 10]1.1

I

3

25.0 76.5

0

0

0

0

0

0

0

0

3

2

75oO 51.0

c

0

c

0

3

4

750 102.0

2

I

50.0 255

0

0

0

0

0

0

0

0

3

2

7).0 51 .o

6

5 1499 127-5

I

3

25.0 i65

c

I

0

255

0

0

0

0

I

I

2').0 255

0

I

0

255

I

5

2').0 127-5

7

14

1749 357'

All Causes Typhoid fever Malaria Ciphtheria lnfluonza Dysentery
Tl.berculosi s (all fo rms)
Cancer Diabetos moi I itus Pellagra Cerebral Ht..rocrrhago Heart d i seasos Prevncnia Ciarrhea ard Entorit is l.hder 2 years Nophr it is ?wrpcra I causes Malfcrmdions and Ear ly Infancy Extcrna I causes AII other causes

47

35 ]21.1 5439

I

2

l5o3 31.1

0

0

0

0

0

0

0

0

2

0

30.7 0

0

0

0

0

3

I

46.o l5o5

2

3

30-7 46.6

c

0

0

0

c

I

0

155

2

G

30.7

0

6

3

921 46.6

2

3

307 46.6

I

I

153 15-5

7

5 107.4 777

I

0

15.3 0

5

I

767 15-5

5

II

767 170-9

10

4 153.4 62.2

t!.17

TASLE 6 Deaths ind Death Rate Per 100,000 Population From Specified Causes, in Each Countyt 1532 ard 1931

f.rea and Cause of Death
-
Rardolph All Causes
Typhoid fever Malaria Diphtheria Influenza Dysentery Tuberculosis (all forms) Carwer Diabetes liD II it us Pellagra Cerebra I 1-2 rrorrh age Heart diseases Pneumonia Diarmea and Enteritis thder 2 years Nephritis Pt.erpera I causes Malformations and Early Infancy External causes All other causes Richmond
All Causes Typhoid fever Malaria Diphtheria Influenza Oysontery Tl.herculosis (all forms) Cancer Diabetes nell i tus Pellagra Cerebral Hemcrrhago Heart diseases PneUIOOnia Diarrhea and Enteritis lhder 2 years Nephritis Puerperal causes Malformations ard Early Infancy Extema I causes All other causes --~ ---------------

I

Nunber

1932 1931

Rate 1932 1931

182

I
I I
I

I 4 2 II

l0 4

14 4

6
Ib 2j
I 13

3 22

4

3 8

52

1244

12 4

3
36
4

100

59

10

I

18 110

199
127
I 21
I 164 19
52
to6
200

171 1041.1

5

57

3 22.9

2 11.4

5 62.9

4

0

8 22.9 5 80.1 2 22.9 8 343

15 34.3 10 143.0

10 74.4

3 17.2 18 125.8

7 22.9 8 17.2

15 45.8
43 2974

9855 28.8 1].3 11.5 28.8 23.1 46.1 28.8 11.5 46.1 8b.5
577
577
173 103.8 40.4 46.1 86.5 2479

1365 1654.4 10 16.3

5

54

3

4.1

54 49.0

4

54

102 1)6.2

63 80.4 18 13.6 20 24.5

112 149.8

191 2]1.0 158 1]3.0 16 28.6 146 223.4

15 259 82 ]0,8 121 144.4
245 1 272. .4

1864.0
137 6.8 4.1
731
54
'393 !16.0 24.6 21-3
'529 26o.8 215.8 21.8 199-4 20.5 112.0 165.2
334.6

238

TABLE 6 Den.ths and Oo.th Rate Per 100,000 Population From Specified Cat.Ses, in Each County1

----------

1932 and 1931

f.rea ard Cause of Deatll
--------

N1.111ber
1932 1931

Rate
1932 1931

Rockdale

All Causes Typhoid few-r

56

81 772.3 111].4

0

I

0

13.8

Malaria

0

0

0

0

Diphtheria

0

00

0

Influenza Dysentery
Tuberculos1s (al I fer ins)
Cancer Diabetes me II itus

3

2 41.4 2].6

0

0

0

0

5

8 69.0 110.4

4

7 55.2 96.6

1

0 13.8 0

Pel Iagra

0

0

0

0

Cerebral He rrcrrh;g.. Heart diseases Fneumcnia
Diarrhea and Enteritis Under 2 years
Nephritis Puerperal causes Ma Ifermat ions and Ear Iy Infancy External causes All other causes Schley

7

8 96.5 110.4

8

5 110.3 69.0

8

12 110.3 165.5

I

3 13.8 41.4

4

13 55.2 1]9.3

0

3 0 41.4

2

5 21.6 69.0

4

6 55.2 82.8

9

8 124.1 110.4

All Causes Typhoid feve r

70

74 1288.] 1371-9

I

6 18.4 111.2

Malaria Diphtheria

0

I

0

18.5

0

0

0

0

Influenza Oyscntery Tlbcrculos is (all forms) Cancer Diabetes ITO II itus Pellagra Cerebral Hemorrhage 1-P.art d iseases Pneumcnia
Diarrhea and Enteritis Under 2 years
Nephritis Puerperal causes Malforanti ens and Early Infancy Exttrnal causes All other causes

6

5 110.5 ~7

4

I 736 18.5

1

5 18.4 927

3

I 2 55.2 37'

0 0

0 I

0
0

I 0
18.5

5

3 92.0 556

3

3 55.2 556

3

0 55.2 0

2

3 36.8 556

4

3 736 556

I

3 18.4 556

5

5

~.0 ~7

7

6 128.9 111.2

25

27 460.2 500.6

239

TABlE 6 !)laths and Oeath Rate Per ICO,GCO Populatia'l From Specified Causes, in Eadl Cotntyt ~932 and 1931

Aroa and Cause of Death
Screven All Causes
T)phoid fewr Malaria Dlphtheria
lnfl~a
O)'SOI'ltery Tlberculosis (all forms} Cancer Oiabotos nellitus Pollagra Cerebra I Hemorrhage Heart diseases
Pre~~~mia
Diarrhea and Enteritis lhd~ 2 years
Mllphritis ?wrperal causes Malformations and Early Infancy External caL.SOs AII other causes SeMinole
All Causes T)phoid fever Malaria Diphtheria
lnfl~a
Dysentery Tlbei"ClUI osi s (all fcrms) Cancer Dia betas 100!1 itus Pollagra Cerebral Hcoorrhage Heart disoases
PneU~mia
Diarrhea and Enter i ti4 lh:ler 2 )'Oar'S l'bphritis Puerperal causes Malformations and Early Infancy ExterMI causes All other causes

Nunber
1932 1931

Rato

1~32

193

133 1]2 a6o.6 822.0

I

5 4.7 23-9

5

II 23-5 52.6

0

I

0

4.8

3

3 14.1 14.3

I

0 4.7 0

12

8 56.4 382

6

5 28.2 239

2

0

94

0

0

0

0

0

II

19 517 90.8

27

12 1270 573

II

7 517 335

0

20

96

5

10 235 4].8

7

5 32.9 23-9

9

~ 42.3 43.0

II

3 51-7 62.1

72

62 333.6 ~-3

68

72 9CQ5 %3.8

I

2 1).3 2G.a

I

I 13-3 13.4

0

I

0

13.4

0

20

26.8

0

I

0

13.4

2

4 26.5 535

I

I 13.3 13.4

c

0

0

0

0

0

0

0

5

7 66.4 937

7

6 )12.9 80.3

5

6 66,4 80.3

I

2 13.3 26.8

2
4

I 6 26.5 80.3
I 53.1 13.4

I

4 13-3 535

5

6 66.4 8Q.3

33

22 4)8.0 2945

TABLE 6 Deaths ard Death Rate Per 100,000 Populaticn From Specified Causes, in Each Coi.Cltya

1932 ard 1931
-

/.rea and Cause of Death

Nunber

-

I

1932 1931

--
Rate
1932 1931

Spa I ding

All Caus.:,s Typhoid fever Ma bria Diphtheri a I nfluenza Dysentory Tuberculosis (ai I .; ms) Cancer Diabates roo II itus pell agra
cerebra I fbnorrha:go
Heart disor,ses pneumcnia 0 iarrhea and Enteritis lhder 2 years Nophritis ptJQrpera I cames Ma !formations and Early Infancy Externa I causes AII othor causes Step hens

331 4 0 1 20
3
I IO 12
'5 6 23 49 29 4 21 12 15 39 78

351 1402.9 1490.4

7

17.0 297

0

0

0

2

4,2

8.5

23

84.8 97-7

6

12.7 25.5

II

42.4 46.7

17

509 722

4 21.2 17.0

3 254 12.7
20 97-5 as.o
48 2077 203.8 26 122.9 110.4

10

17.0 42.5

24

89.0 101.9

14

509 59.4

21

63.6 69.1

33 165.3 140.1 82 3306 348.2

All Causes Typhoid fever Ma Iaria Diphtheria
lnflu:m~a
0 ysontery Tlborculosis (all forms)
cancer
0 i abctes rro II itus Po llagra Cerebral Hemorrhage Heart diseases Pns ummia Di arrhea ard Enteritis lhder 2 years Nephr itis puerpcra 1 causes Mal form ti ons and Early Infancy Externa1 causes AII ctnor causes
- - ---~~-----

93

99 1>55 827-3

0

4

0

33o4

0

0

0

0

I

I

8.2

8.4

0

2

0

!6.7

I

2

8.2 16.7

7

3 57.6 25.1

5

9 41.2 b2

I

0

8.2

0

1

c

8.2

0

8

6 65.8 50.1

8

7

65.8 58.5

10

20 82.3 167.1

4

3 329 25.1

II

15

905 1253

I

I

8,2

8.4

to

I

82.3

8.4

7

II

576 919

18

14

- - 148,2 117.0

241

TABLE 6 Deaths and Death Rate Per 100,000 Population From Specified Causes, in Each CruntyJ

1932 and 1?31

--,

Irea and Cause of Death

Nunber
~

1932

1~31

Rate

I~

1~31

Stewart
All Causes Typhoid fever Malaria Diphtheria Influenza Dysentery
Tlberculosis (at I fonns)
Cancer Diabetes m IIitus Pellagra Coretral ReiiDrrhage Heart d{seases Pneumonia
Oiarrhe m Enttt{tn Uo!der 2 years
Naphritis Puerperal oauses Malfonnations and Early Infancy Ott..omat causes AII other causes &.mter

126 125

I

6

0

0

I0

2

7

6

0

4

6

5

3

I

I

0

4

I

6

3

15

17

7

II

0

2

15

20

2

4

7

9

10

10

42

24

1104.7
a_a
0 0 61.4 0 52.6 26.3
8.8
351 526 1315 61o4 0 131.5
'75 61.4
87.7 3bao2

1108.5
53.2
0
17.-7 53.2
355 44.3
a.~
0
a.~
26.6
150~8
?M
r1n7.47
355
"f).B
88.7 212.8

All Causes Typhoid fever Malaria Oi ;Jhtheria lnf I LllllZ& Dysentery Tlberculosi s (all fonns} Cenoer Diabetes IllS II it us Pellagra Cerebral Hemorrhage Heart diseases Pneumonia
Dian+tea ard Enteritis lh1er 2 )(lars
Nephritis Puerpera I caLSas Mal fermat; ens and Early Infancy External causes All other causes ------------

335 36o 12)4.2 13)3.8

7

8 258 296

4

5 14.7 18.5

I

I 37 37

5

12 18.4 44.5

0

00

0

17

23 62.6 85.2

20

22 737 81.5

I

5 37 18.5

4

8 14.7 296

25 23 92' 85.2

37

4~ 1)6.) 161.5

34

26 J25.3 ~)

4

6 14.7 22.2

31

26 114.2 963

7

8 25.8 29.6

13

18 4].9 66.7

34

3l 125.3 114.8

91

89 3353 )29.8

TA!l.E 6 Deaths ard Death Rate Per IO::,GOO Population From Specified Causes, in Each Countyt 1932 and 1931
------------

N-ea and Cause of Death

Nunber
1932 1931

Rate
1932 1931

Talbot

All Cal.5es Typhoid fevor Malaria Diphtheria Influenza Dysentery Tuberculosis (all forms) Cancer Di abotes ;ro IIi tus Pellagra Cerobral Hemorrhilgo !hart diseases Fheuoon i a
Diarrhea and Enteritis Under 2 years
Nephritis Puer;>er a I causes Malformations and Early Infancy External causes All other causes Taliaferro

87

102 'ff25 1182.1

4

5 45.6 57-9

0

0

c

0

0

0

0

0

2

2 22.8 23.2

0

I

0

11.5

4

2 459 232

2

2 22.8 23.2

0

3

0 34.8

3

0 34.2 0

0

12

0 1391

3

II

34.2 1275

12

14 136.9 162.2

0

0

0

0

5

3 57.0 34.8

3

2 34.2 23.2

I

4 11.4 46.4

6

5 68.4 57-9

42

36 4791 417.2

All Causes Typhoid fever Malaria Diphtheria lnfhanza Dysentery Tlberoulosis (all forms) Cancer Diabetes melt itus Pellagra Cerebra I Hemorrhage Heart diseases Pneumonia
0 iarrhea and Enteritis Lhder 2 years
Noplritis Pwrpera I causes Malformdions and Early lnfaney Externa I causes AII ether causes

77 2
0
I
c
0
6
3
I2
I
6 4 8
I
9 4 4
5
21

90 1223.4 1442.3

I 31.8 t6.o

I

0 t6.o

I 15.9 t6.o

4

0 64.1

0

0

0

4 953 64.1 5 411 00.1

I 31.8 t6.o

3 159 48.1 4 953 64.1
7 63.6 112.1

7 127.1 112.1

0

159 0

15 143.0 240.4

I 63.6 t6.o

7 63.6 112.2

3 794 48.1 26 3'537 416.7

TA3LE 6 Deaths and Death Rate Per 10~,000 Population Fro111 Specified Causes, in Each Colllty

-----c 1932 and 1331

Nutrber

Rate

Area and Cause ot .Jc>th

1932

1~1

1932 -19-3l -

Tattna II

All Causes
T~hoid fever Mllaria Diphtheria Influenza Dysentery
Twerculosis {all forms) Cancor Diabetes mel Iit us Pellagra

131
II 9 c
I3 I 2
5
4
2

104 828.4 665.2

3

6.3 19.2

3 56.9 19.2

0

0

0

3 19.0 19.2

~
"

6.3 0

9 12.6 576

2 31.6 12.8

4 253 2').6 0 12.6 0

Cerebra I Hemorrhage Heart diseases Pneutronia Diarrhea 3J'ld Enteritis lhder 2 years Nephritis Pcerpera I causes Malformaticns and Early Infancy l:)ttemal causes All other causos Taylor

7 14
8
5
I6
I7 7 9 41

4 44.3 2').6
II 88.5 70.4 4 50.6 256 3 31.6 19.2 II 379 70.4 I ' 44.3 6.4 6 44.3 38.4 6 56-9 38.4 34 2593 31].5

All Causes

81

65 748.8 605-9

Typhoid fever

I

Malaria

0

0 iphtheria

0

Influenza.

2

Dysentery

0

Tubereul osis (all fonns)

5

Cancer

I

Diabetes mel I itiB

0

Pellagra

I

Cerebra I Hemorrhago

6

Hoart diseases

8

PreUIOOll i a

9

Diarrhea and enteritis lhder 2 yoars

2

Nephritis

6

Puerperal causes

0

Mal formati ms and Early Infancy

3

External causes

8

AII ether causes

29
---

I

92 93

3

0

28.0

I

0

93

I

18.5 93

I

0

93

3 46.2 28.0

I

~.2

~M

0

c

0

c

92 0

4 555 373

9 74.0 839

7 83.2 65.2

0

Hi.5 0

4 555 3].3

I

0

93

I 2].] 93
6 ]4.0 559
22 26c.t 2C5.1

r; , , TABLE 6 Deaths and Death Rate Per IGC,COO Population Ftcm Specified Causes, in Each Collltya

---

1932 and 1931
-

N1.111ber

Area and Cause of Death

-

---

1932 1931 1)32 1931

Telfair

All Causes Typhoid fowr Malaria Diphtheria Influenza

170 154 1107.4 10135

3

5 195 32.9

2

3 13.0 19.7

3

2 195 13.2

I

2 6.5 13.2

Dysentery

0

0

0

0

Tl.bcrculr.si s (all f. nrs) Cancer Diabetes ne II it us Pellagra Cerelra I Hcmcrrh~ge fi.,art diseases Pneurronia
Diarrhea and Enteritis lhder 2 years
Nephritis Puerperal causes Malfermaticns and Early Infancy External causes

6

4 391 26.3

5

0 326 527

2

0 13.0 0

5

4 32.6 26.3

19

12 123.8 7}.0

12

12 J8.2 790

15

6 971 395

I

0

6.5

0

15

17 971 111.9

4

5 2G.t 329

9

6 55.6 395

13

to 84.7 65.8

All other causes Terrell

55

58 3583 3817

All Cause& Typhoid fever Malaria Diphtheria lnflt.enza Dysentery

1135 207

4

5

6

I

II

0

6

5

2

6

1021.3 21.6 32.4
54 32.4 1o.o

1124.4 27.2
54
0
27.2 32.6

Tt.berculcsis (all forms) Cancer Di abetus 100 IIi tus Pellagra Cerut::ral Hemcrrhage

II 4
3
I5
19

7 594 30.0 9 21.6 48.9 2 16.2 10.9
1 27.0 38.0 12 102.7 65.2

Heart disaases Fheumcnia
Diarrhoa and Enteritis IXldar 2 years
Nephritis Puer;JOra I causes Malfcrma( ions and Early Infancy External c~usos All othur causes

I!J

20 97-3 10!3.6

7

9 37.8 48.9

I

10 54 543

II

23 59-4 124.9

6

3 324 16.3

13

II 70.2 598

13

17 70.2 923

59

6o 318.8 3~9

T.at. b Daaths ard Death Rate Per IOO,'JOO Population From Speci fled Causes, in Each Co~ty1

1932 and 1931

--

/!rea and Cause of Death

Nunber

1932

1931

Rate

1932

1931

Thomas All Causes
T)?hoid fever Malaria Diphtheria lnfh.enza Dysentery
Tuberculosis (all forms}
Cancer Diabetes me II it us Pellagra Cerebra I Hemorrhage
Heart diseases
Pnel.lncrlia Diarrhea and Enteritis Under 2 years Nephritis Puerpera I cai.Ses Malformations and Early Infancy External causes AI I other causes Tift
All Causes Typhc jd fevtor Malaria
Di~hheria
!nf IUl>lla Dysentury
Tuberculosis (a II foriiiS}
Cancer Oi '!bates nell itus Pellagra Cerebra I Hemorrhage Hear-t ciseases Pneumonia Diarrhea and Enteritis Under 2 years Nephritis Puerperal oai.Ses Maifcr,r.at ions and Early Infancy Exte-na I causes All other causes
-

445

443 1341.4 1345.5

6

5

(8,1

15.2

7

4 21.1

12.1

4

I

12,1

3.0

25

24 "'{j.4 729

0

6

0

18,2

18

19 543 577

19

23 573 699

4

2

12.1

6.1

5

2

15.1

6.1

46

38 138.] 115.4

29

40 87,4 121.5

32

43

96-5 I)O.G

4

9

12.1

2?.3

59

54 177-9 1(4,0

9

5 27.1

i5.2

30

16 }0.4 48.6

35

45 1055 1367

113

liJ7 340.6 3250

184

189 1125.6 1165.0

I

4

6.1

24.7

3

4 18.4 24.7

2

2 12.2 12.3

5

6 30.6 37-0

3

3

18.4

1!3.5

12

5

734

30.8

II

7

6].3

43.1

4

I

24.5

6.2

0

2

0

12.3

12

8

734

I 4~-3

16

II

97-9

6].8 I

13

9 795 555 I

4

3 24.5 18.5

18

32 110.1 197-3

5

5 30.6 3C,8

1!3

13 110,1 80,1

15

19 91.8 r17.1

42

55 2569 3390

2lJ.5

TAi.llE 6 Deaths am Dedh Rate Per IOC',OOO Population From Specified Causes, in Each Ckultya

--

1932 and 1931

/>rea and Cause of Death
-----
Tocrrbs All Ca u;es
Typh,jcl fewr Malad a Diphtheria
lnf(~.e.,za
Uy.;enbry Tlbe!"'cul os is (all forms) Cancer Diabetes me llitus Pellagra Ce;rebral He mcrrh.~ge Hoart j iscases Pneumonia
Diarrhea and Enteritis lhder 2 years
Nephritis Puerpe!"'al causes Malforr.atic ns and Early Infancy External ea uses All other oauses Towns

N\.lllber

1932 1931

I 103

126

I I

I
4

5 7

0

0

2

9

0

I

7

3

II

I

0 2

4 0
4

[\

7

14

!6

B

to

!0

4

10

9

0

I

7

5

12

17

27

24

Rate
1932 1331

581.] 721.4

5.6 28.6

22.6 40.1

0

0

11.3 51.5

0

57

395 1].1 5.r; 22.9

0

0

11.3 22.9

45.2 4C.I

?,J.I 91.6

45.2 5]o)
0 22.?

56.5 515

0

57

3~).5 23.6

6].8 974

1525 J37.4

All Ca US<;;S Typhoid fever
Malari~
Diphtheria lnflt!lnza
Dys<.:ntery Tuberoulosi s (all for118) Cancer Diabotos me llitus Pel !agra Cerebra I He norrhage Heart di seases

35
0
~
"'
0 I
I
2 6
J
0
I6
I

40 7737 8993

I

0

22.5

0

0

0

I

c 22.5

0

22.1 0

0

22.1 0

I 44.2 22.5 2 132.6 5.0

I

0 22.5

0

0

0

4 132.6 9Q.O

4 22.1 9Q.O

Pneurrcnia
Diarrhea and Enteritis UnGer 2 years
f'C~hri tis Pusrrera I oauses Malformati msand Early Infancy Extorn~l oa uses All other oauses

I

3 22.1 67.5

0

0

0

0

I

2 22.1 45.0

0

I

0 22.5

0

2

0 45.0

I

5 22.1 112.5

15

13 331.6 2925

TABLE 6 Deaths and Death Rate Per 100,000 Population From Specified Causes, in Each Co~.nty:

1932 ard 1~31

---

Area ard CaUie of Death

Nl.lllber

1932

1931

Rate 1?32 ~- 1-111!_

Treutlen All Causes
Typhoid fever tie. Iaria Diphtheria Influenza Dysentery Tubcrcul osi s Cancer Diabetes mellitus Pellagra Cerebra I Hemorrhage Hoart diseases Pneumonia Diarrhea and Enteritis Under 2 years Nephritis Puerperal causes tle.l format ions and Ear Iy Infancy Externa I causes Atl other causes
Tro~.p

72

64 9387 8433

I

0 13.0

0

5

4

65.2

527

0

0

0

0

I

I 13.0 13.2

0

0

0

0

0

2

0

26.4

I

5 13.0 65.9

0

0

0

0

0

0

0

0

8

2 104.3

26.4

7

4

913

527

3

2

~.I

26.4

I

I

13.0

13.2

4

I 52.2 13.2

3

I

39.1

13.2

I

I

13.0

13.2

4

5 52.2 65.9

33

35 430.2 461.2

All Causes Typhoid fever Malaria Oiphtheri a Influenza Dysentery
Tuberculosis (al I forf!IS)
Cancer Oi abates mel Iitus Pellagra Cerobra I Hemorrhage Heart discases Fheumonia Diarrhea and Enteritis Under 2 years Nephritis Puerperal causes Malformations anl Early Infancy Extemal causes All other causes -------------------

416 416 I112.6 1121.1

I

3

2.7

8.1

0

0

0

0

2

2

53

54

34

31

9J.' 835

0

I

0

2.7

40
25

25
22

I 10].0 6].4

66.~

593

5

2

! 13.4

54

13

12 34.8 323

17

28

455

755

48

55 128.4 148.2

13

27 34.8 72.8

I 12

7 32.1

1!1.9

61

6o 163.1 161.7

7

5

33

30

I23

41

82 65

18.7 88.3 61.5 219-)

I 135
I 80.8
I 110.6
I
I 1]5.2

248

TABLE 6 Deaths and Death Rate Por IOO,GOO Po;>ulation From Specifi eel Causes, in Each Countya

1932 and 1931

------------- ---
Area and Cause of Death

~~

------------ - - - - - - _1932 --1-- 1931 __

--
___ Rate
1932_ ,__1931

TlTner

All Cal.SOS Typhoid fever

100

97 862.3 8495

I

I 8.6 8.8

Malaria Diphtheria

6

3 51.7 26.3

0

00

0

lnfl uonza Oysontcry

0

2

0

17-5

I

I 8.6 8.8

Tt.b'JI"culosis (all f orms) Cancer Diabetes mel I itus Pellagra

2

3 17.2 26.3

I 7I
II
2

I
0 0

6o.4 8.6 17.2

8.8 0 0

Cerebra I Homcrrhagc Heart d isec:;ses Preumonia
0 ie.rrhea and Enter i tis Lhder 2 years

8

IC

I

3 0

7 69-0 61.3

9 86.2 78.8

6 259 525

I

0

8.8

Nephritis Pwrperal causes

II

9 949 78.8

2

0 17.2 0

Ma Ifermat icns and E<!rly Infancy

4

12 34.5 105.1

External causes All other causes Twiggs
All Causes Typhoid fever

7

8 60.4 70.0

I35

34 301.8 2977

80

87 921.3 1018.1

2

2 23.0 23.4

Molar ia

I

2 11.5 23.4

Oirhtheria

0

0

0

0

lnfl uenza Dysentery
Tlborculosis (a II f crms)

2

4 230 46.8

2

0

230

0

6

4 69.1 46.8

Cancer

8

4 92.1 46.8

0 i ~.bbtes oo II itus

0

20

23.4

?ellagra Cerebra I Hemcrrhage

I

I 11.5 "7

I

6 11.5 ]0.2

Heart d isoases Pneuncnia
Diarrhea and Enteri tis Lhder 2 years

7

7 ao.6 81.9

4

3 46.1 351

0

0

0

c

Nerhritis Puerpera I causes

5

5 576 585

0

I

0

11.7

Mal fermat ions and Early Infancy Externa I causes All other Cal5es

5

3 576 351

4

7 46.1 81.9

32

36 368.5 421.3

TABLE 6 Ooaths ard Death Rate Per IGO,:JO Population From Specified Causes, in Eaeh COU'!tyt 1932 and 1331

/Irea and Cause of Death
All Causes Typhoid fever Malaria

---rl-~-i r 1931

2

53

2

I

0

0

Rate

1932 -

I 193-1 -

I09Dol 30.3
0

81].0 15.4
0

Diphtheria lnfltenza Dysentery Tuberculcsi s {all forms) Cancer 0i abates ~re II itus Pellagra Cerebra I Hemorrhage Hoart diseases Pneumcnia Diarrhea and Enteritis Lhder 2 )ears Nephritis Puerperal causes Malformaticns and Early Infancy E'xtemal causes All other ca lBOS Lpson

3

2 45,4 30.8

7

5 106.0 11'

0

I

0

15.4

3

3 45.4 46.2

0

I

0

15.4

2

2 303 3J.8

2

3 30.3 46.2

3

3 45.4 46.2

4

5

6.~.G

77-1

9

6 136.3 925

I

I 15.1 15.4

2

I 303 15.4

II

0

2

2

I 15.1

0

30.3 30.8

. II

2

3v

15

15.1 454.2

30.8 231.2

All Causes Typhoid fever Md aria Oipt'>th:.;ria lnfl1.snza Dysentery

199

202 ICCI,O L02t.6

I

6 s.o 30.4

()

c0

0

0

I

0

5-1

4I 2l

16
0

]0.4 10.1

Bl,2 0

Tlberculvsis (all ferm.s) Cancer Diabet(;s mel! itus
Pell~gra
Cerctral Hemorrhage lt.,at i: .;; !'>Oases Pneutmnia
Diarrn~a ard Fnteritis l.hdcr 2 years

0

II 50.3 55.6

8

II

40.2

5').8

0
4

I c I 0

0

4 I 20,1

20.)

7
24

I

I 19
43

I

f5.5
l,d..,.l.,7

I

~6.4
2'.0' .1

24

12 12o.; 60.9

6

2 )0.2 ro.r

Nephritis
Puer;:era r causes
MllfcrmaUcns and Early Infancy

13

13 65.4 65.)

9

4 45.3 28.)

20

12 1co.6 (~.9

Extema I causes

19

13 956 6].9

-

-

-

-

All
--

other
---

causes
----

-

-

-

-

-

-

-

-

-

-

-

-

-

'

-

28
--

-

-

'

-3-5

-

-

l40,fi
-'--

-

-1-77--5 -

250

TABLE 6 Deaths and Oe1th Rate Per 100,000 Population From Specified Causes, in Each County: 1932 and 1931

Area and Cause of Jeath
Walker All C3LSes
Typhoid fever tlalaria Diphtheria lnfl uenza Dysentery
Tuberculosis (all f orms)
Cancer Diabetes mellitus Pellagra Cerebral Hf'morrhage fuart diseases Pneuronia
Diarrhea and Enter itis C'nder 2 years
Nephritis Puerpera I causes ~alformations and Early Infancy External Muses All other oauses Walton
All Causes Typha id fevor Malaria Di phthGr ia Influenza Dysentery Tuberculosis (al I forms) Cancer Oi abotlls md Iit us Pellagra Cerebral Hemorrhag0 1'13art d i:;e?..ses Pneumonia
Diarrhea and Enter i tis Under 2 years
Nephritis Puerpcra I causes Maifcr1rLt;rns and Early Infancy Ex term; ce.uscs All other causos

Number
1932 1931

Rate
1932 1931

212

244 787-7 9173

0

0

0

0

2

0 74 0

I

I

37

38

18

II 66.9 41.4

2

0 7-4 0

32

1o loc.) 1353

12

14 44.6 52.6

2

3 74 11.3

2

I 7-4 3.8

9

19 33-4 71.4

33

39 122.6 146.6

14

20 52.0 7).2

10

5 372 18.8

II

12 40.9 45. I

2

0 74 0

10

16 372 60.2

13

20 48.3 752

39

I 47 144.9 1767

197 219 908.8 1022.0

0

6

0

28.0

0

I

0

4.7

I

4 4.6 18.7

8

5 369 23.3 I

2

3 92 14.0

12

13 55.4 60.7

12

12 554 56.0

I

2 4.6

93

3

3 13.8 14.0

22

16 101.5 747

21

33 96.9 154.0

20

15 923 70.0

4

8 18.5 37-3

25

21 115-3 980

4

3 18.5 14.0

7

17 323 793

IO

14 46.1 653

45

43 20?.b 200.7

251

TA6LE 6 Deaths ar\d Death Rate Per 100,000 Pepulati!Yl From Specified Causes, in Each Colllty: 1932 an:i 1931

lrea and Cause of Death
Ware All Causes
Typhoid fever Malaria Diphtheria Influenza Dysentery Tuberculosis (all forms) Cancer Diabetes roll itus Pellagra Cerebra I Hemorrhage Heart diseases lheumonia
Diarrhea and Enter it is Under 2 years
Nephritis Puerperal causes Malformations and Early Infancy Externa I ca tSes All other causes Warren
All Causes Typhoid fever Malaria Diphtheria Influenza Dysentery Tuberculosis (all forms) Cancer Diabetes me !I it us Pella!Ta Cerebral Hemorrhage fuart diseases Pneurnmia
Oi arrhoa and Enteritis lhcler 2 years
Nephritis Pucrperal causes !.'alformations and Early Infancy Ei< terna I causes All other causes

Nunber

1932

1931

Rate
1932 1931

331 313 1249.8 1168.6

3

I 11.1

3-7

2

2

74

].5

0

00

0

2

9 74 33-6

0

I

0

37

15

12 55.6 44.8

9

13 33-4 48.5

2

2

74

].5

4

10 14.8 373

30

23 Ill.) 65-9

46

43 1].0.6 16o.5

27

25 100.1 933

14

5 51.9 18.7

40

32 148.3 1195

16

9 593 33.6

15

19 55.6 70-9

36

40 140.9 1493

74

67 2]4.4 250.t

101

117 8]9.3 1030.1

6

2 52.2 17.6

0

0

0

0

0

f)

0

0

6

10 52.2 88.1

0

I

0

8.8

10

8 87.1 40.5

0

60

529

2

0 17.4

0

2

5' 1].4 44.0

10

7 8].1 61.]

6

5 52.2 44.0

8

12 69.6 105-7

I

I

8.7

8.8

27

22 235.0 193.8

4

3 34.8 26.4

2

5 17.4 44.0

2

9 17.4 l)J

15

21 130.6 185.0

252

TABLE 6 Deaths and Death Rate Per IOO,OQQ Population from Specified Causes, in Each County: 1932 and 1931
-

k-aa and Cause of Death

Nl.lllber
1932 1931

Rate
1932 1931

Washingtcn All Cai.Se;s
Typhoid fuvor Mllaria Diphtheria Influenza Dysentery Tuberculosis {a II forms} Cancer Diabetes mellitus Pellagra Cerebral Hemcrrhage Heart diseases PnelJ1la)ia
Diarrhea and Enteritis lhder 2 years
t-ephritis Pooperaf causes Malformations and Early Infancy ExternaI causes I, II other eauses Wayne
All Causes Typhoid fever Malaria Oiphthoria lnflutnza Dysentery Tuberrulosis (all forms) C3ncar Diabetes mellitus Pollagra Cercbrh 1 Hemorrhage He crt d iseases Pneumonia Diarrhea and Enteritis lhder 2 years Nc.phritis Puerperal ca\Ses Malformations and Early Infancy Ext._rna I causes All >ther cruses

228 253 8985 1003.1

2

2

].9 79

5

5 197 19.8

2

I

19 4.0

5

6 197 23.8

2

2 0 1'

12

17 4].3 6].4

14

16 552 63.4

I

2 39 19

4

10 15.8 39.6

17

20 67.0 793

22

2b s6.7 103.1

19

16

749 b~.4

2

I

].9 4.0

12

23

4].3 91.2

6

5 23.6 19.8

12

6 4].3 23.8

22

19 86.] 753

69

76 Z79 301.3

152

149 11727 1162.1

2

I

15.4 78

2

2 15.4 15.6

0

3

0 23.4

5

I 386 7.8

0

2

0 15.6

7

9 54.0 70.2

5

2

38,6 15.6 I

I
4

I

I 77 ],8

I

309 ].8 i

9

12 69,4 936

23

II 1774 85.8

13

9 100.3 ]0.2

0

4

0 31.2

13

II 100.3 8').8

6

7 46.3 54.6

7

9 54.0 70.2

12

13 92.6 101,4

43

51 331.] 397o8

253

TABLE 6 Deaths al'ld Death Rate Per 100,000 Population From Specifi <rl Causes, in Each COllltyt 1932 and 1931

M-oa and Cause of Oea th Webster

Nunber
-------1-- 1932 1931

All Causes Typhoid fever Malaria Diphtheria Influenza Dysentery

56

53

0

2

2

I

2

0

2

4

0

0

Tuberculosis (all forms) Cancer Diabetes mellitus Pel lag-a Cerebral Hemcrrhage Heart diseases Fneumonia
Diarrhea and Enteritis Under 2 years
Nephritis Puerperal causes Ma Iformations and Ear Iy Infancy External causes All other causes
heler

0

0

4

I

0

0

I

0

4

6

8

9

2

4

0

0

3

3

0

3

5

7

6

3

17

10

All Causes T)'phoid fever Malar;a DipH:haria lnfl UBI \La Dysmtory Tuberculosis (all fonr.s} CanCGr Diabetes mollitus Pel 1ag1a: Cerebral Hemcrrhage Heart diseases Fheumonia
Diarrhea and Enteritis Under 2 years
~phritis
PuErpera I causes Malformations and Early Infancy Externa I causes All other causes

71

59

3

I

2

I

3

I

I

I

0

0

4

2

33

I

0

I

0

tl

0

5

6

3

2

0

I

3

3

2

4

I

9

5

3

23

22

Rate
1932 1931

1091.0 0
)9.0
390 39.0
0
0
779 0
195 779 1559 39.0 0
584 0
974 116.9 331.2

I041.y
393
'97 0 ]8.6
0
0
197 0 0 117.9 1?69 ]8.6 0
59-0 59.0 137.6
590 1965

749-5 317 21.1 31.7 10.6
0
42.2
31-7 10.6 10.6
116.1
52.8 31.7 0 31.7
21.1
10.6 52.8 242,8

632.4
JO.]
10.7 10.7 10.7 0 21.4 32.:? 0
0 0 ~4.3 21 .4
10.7 )2.2
42.9
~5 )2.2
235-8

TABLE 6 Deaths ~.ro 00'.th Rate Per IOO,COO Population From Specified Causes, in Each CoU'Ity:

1932 ard 1931

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

-

Jrea and Cause of Death
-- ------- --1\h ito

NUTiber

Rate

t_IP_I__ 1932 -19'3-1 - ~-'j'j2

All Causes Typhoid fever Malaria Diphtheria lnflwnza Dysentery Tuberculosis (all forms) Cancer Diabetes mel I itus Pellagra Corobral Hemorrhage Heart diseases Pneumcnia
Diarrhea and Enteritis Under 2 years
Ne!flr itis Pwrpera I causes Malfcrmations and E,r!y Infancy Ex terna I causes All other causes Whitfield
All Causes Typhoid fever Malar:a D'phtheria lnfivJJza Dysentery Tuberculosis (a II forms) Cancer Diabetes mellitus Pellagra Cerebral Hemorrhage Heart diseases Pneunroia
Diarrhea ard Enteritis Under 2 years
Nephritis l'uorpera I causes Ma'formatuns.and Early Infancy ExternaI causes All ether causes

51 0
0
0
3
0
5 3 0
0
5 7 2
I
I8
2
3 3 9

194

'

2

0

0

II

I
16

9

0
4

16

19

15 2

27 2 22

15

33

45 805' 724.5

I

0

16.1

0

0

0

I

0

16.1

4 47.4 64.4

0

0

0

0 789 0 I 47.4 16.1

v"

0

0

I

0

16.1

4 789 64.4 9 110.5 144.9 I 31.6 16.1

0 15.8

0

4 126.3 64.4

0 31.6 0

4 47.4 64.4

2 47.4 32.2

13 142.1 2C~.J

223 9GI.] 10519

0 93 0

0

0

0

Ic

4.7

5 51.1 23.6

I

4.6

4.7

13 74.4 61.3

Ll 41.8 519

I

0

4.7

4 18.6 18.9

21 74.4 ~.I

14 88.3 66.0

16 697 755
6 93 28.3

19 125-5 89.6

7 93 330 17 102.3 81;.2

27 69.7 1273

6o 1534 283.0
--

255

TAii.E 6 Deaths and Death Rate Per 100,000 Population Fran Speoified Causes, in Each Co1Xliy1 1932 and 1931

h-ea and Cause of Death
l'li locx All Causes
Typhoid fever Malad a Diphtheria lnfl1.e11za Dysentery Tlt>Erculosi s (all fonrs) Car.cer Diabetes mel I itus Pe lla(1'a Cerebral Hemorrhage Heart diseases Pneunooia
Diarrhl:la and EntEritis LhdElf" 2 years
Nephritis Puerper at t-.auses Malformations and Early Infancy External oa\JS6s AII other oauses Wilkes
All Causes Typhoid fever l&daria
Oipht~'lria
lnflo za
Oysenf.~ry
Ttberoul:sis (all fonns) Cancer Oi abebs rrAI ! i tus
Pella~ra
Cerebrill Homorrhage Heart diseases PneUI!i01 ia
Diarrhea and Enter it is Lhder 2 years
Neplriti$ Pwrperal causes Malformations and Early Infancy External oauses AII other causes

NW!'Per
1332 1931

Rate
1932 1931

93
0
5 3
2 2 2
3 c
I
9 9 9
I
2
4 2 4
35
172 2 I
0 8
I
a
14 2
3
I 20
29
B 0 20 I
5
12
38

83 67].8 6JC.5

I

0

].4

6 36.4 44.1

0

21.9

0

5

14.6 36.8

2 14.6 14.]

2 14.6 14.7

5

21.9 36.8

0

0

0

2

7-3 14.7

5 65.6 36.8

6 65.6 44.1

6 65.6 44.1

2

73 14.7

5

14.6 36.8

0

2').2

0

6

14.6 44.1

7

2').2 51.5

23 255.1 169.2

171 1C(;a.o 1066.5

5

12.4 31.2

0

6.2

0

0

0

0

8 497 499

I

6.2 6.2

10

4'):.]

~4

17 86.9 lob.C

2

12.4 12.5

7 18.6 43.i
17 124.2 lrb,O

2~

180.1 124.7

6

4~.7

374

0

0

0

24 124.2 149-7

I

6.2

6.2

I 31 .o 6.2

12

745 74.8

40 2)5,9 249.6

TABLE 6 l:'aaths and Death Ratf;l Per 100,000 P~ulati(ll"' Fro111 Specified Causes, in Each Ccuntyt

-----

1932 and 1931

.Area and C;:u::;:; ,.,f De<:tM
------
Wilkinson

Number
1932 1931

Rate
1932 1931

All Causes Typhoid fever Malaria Diphtheria

97

115 880.8 1051.4

I

0 91 0

0

I

0

91

0

0

0

0

lnfl uenza Dy$Cntery

2

2 18.1 18.3

0

2 0 18.3

TLhercul osis (all forms) Cancer Diabetes roo II itus Pellagra Cerdral Hemorrhage

5;

8 45.4 731

6

6 54.5 54.8

0

I

.0

91

0

I

0

91

8

6 ]2.6 54.8

Heart diseases

8

4 ]2.6 36.6

Fheumonia
Oi arrhea and Entori tis lhder 2 years
f\ephr it is
Pwrperal catses Malfcrmat ions and far Iy Infancy Exbrnal causes All other causes Worth

8

16 ]2.6 146.3

I

0I 3

I4

12

3

0

0 2].4 36.3 1097 2].2 0

4

5 36.3 457

6

9 54.5 82.3

42

39 381.4 356.6

AI I Cluses

245

243 1126.9 11327

Typhoid fever Mal <:ria

2

8 92 37-3

IO

6 46,o 28.0

Diphtheria Influenza

2

3 92 14.0

6

6 2].6 28.0

Dysenkry Tlberculosis (all fer roo)

6

I 2].6 4.7

12

17 55.2 7').2

Cancer Diabetes roo II itus Pellagra Corebral Hemorrhage f'eart diseases Pnlumonia Diarrhea and Enteritis Uhder 2 years Nephritis Puerperal caw;es Malh;mations and Early Infancy External c<:uses AII other causes

8

5 36.8 233

2

2 92 93

6

5 2].6 233

15

10 69.0 46.6

32

34 14].2 1585

20

16 920 74.6

6

8 2].6 373

19

29 8].4 1352

2

6 92 28.0

18

16 82.8 ]4.6

10

8 4G.o 373

69

63 317.4 293.7

257

,,,.
TABLE OF OONTENTS
Page State 13oard of Health ......... , . , , .. :, .. , ........... ~ ... 2
Departrrent of Plblic ltaalth, persomel ....... : ................. 3
of Letter Tr'lnSmittal .......................................... 4
Laboratory ............................................... . 5
Sanitary Engineering........................................... 17 d., i ld Hygiene........................................... , ...... 32
Venereal Diseases ... ., ..........................................39
Epidemiology......... , .............................. :" 47 Coll1ty Health Work............................................. 101
Tlberoulosis Field Clinic...... : .............................. 125
.Vital Statistics.............................................. 130