Georgia vital and morbidity statistics 1965 [Oct. 1966]

- PART 1 VITAL STATISTICS
TABLE OF CONTENTS
SYMBOLS USED IN THIS REPORT........e.......................e.......

Page viii

SOWE FACTORS INFLUENCIHG VITAL STAlISTICS.......................... Sources of data.............................................., Completeness of registration........,........................, Accuracy and coqleteness of reporting items on certificates.. Socio-economic status.....,................................... Population, race and age trends...........,,.................. Average age at death..............,....................*...*.. Military events.,.,.,..,...........,..,..,...

x-xii
X
x-xi xi1 xi1
xii-xiii
. xiii
xiii

DISCUSSION OF 1965 STATISTICS......................................

xiv-xxiii

Population..............,..................................... Physicians...............,,...............

....................

xiv xiv

Marriages and divorces....................,.......,...........

xiv-xv

Fetal d e a t h s . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . * . . . . . . . . . . . .

xv-xvi

Live births..........................................,........

mi-xviii

Births to unwed mothers.......................................

xviii

.................................... Iumature births.................................,.............
Deaths from immaturity....

xix xix-xx

Infant deaths................,...........,....................

XX

Neonatal deaths...............................................

XX

Maternal deaths..,............................................

xxi

Deaths, all ages......,........,..............................

xxi-xxii

Deaths by age groups............................,.............

xxii-xxiii

FIGURES
Figure
1. Live birth rates adjusted for underregistration, Georgia, 1940-1965........................................*........
2. Live birth and death rates, by race. Georgia, 1935-1965...
3. Immature birth rates, 1947-1965 and death rates from immaturity by race, Georgia, 1935-1965....................
4. Infant and neonatal death rates by race, Georgia, 1935-1965
5. Maternal death ratio by race, Georgia, 1935-1965,.........

Page
xi xiii
xix
XX
xxi

TEXT TABLES

Table
1. Estimates of b i r t h r e g i s t r a t i o n completeness, by place of occurrence, Georgia, 1950-1965................................
2. Population by r a c e and residence, Georgia, 1950 and 1960 Censuses and J u l y 1, 1965 Estimate...........................,
3. Marriages by residence of b r i d e and groom, Georgia, 1965......
4. F e t a l deaths by r a c e , place of occurrence, a t t e n d a n t and length of g e s t a t i o n , Georgia, 1965............................
5. Live b i r t h r a t e s , Georgia, 1940-1965..........................
6. Death r a t e s p e r 100,000 population f o r Georgia and United S t a t e s and death r a t e s adjusted f o r age, and r a c e , Georgia, 1950-1965................................................

Page x
xiv xv
xvi xviii
x~ii

GENERAL TABLES

I. Selected v i t a l events, number and r a t e and per c e n t ocurring

i n h o s p i t a l s by r a c e , urban and r u r a l , Georgia, 1965..........

1

11. Deaths, a l l causes, number and r a t e per 1,000 population by

race, age and sex, Georgia, 1965..............................

1

111. Sumnary of s e l e c t e d v i t a l s t a t i s t i c s , Georgia, 1935-1965......

2-4

I V . Live b i r t h s by age of p a r e n t s , Georgia, 1965,.................

5

V. Live b i r t h s t o unwed mothers, number and r a t e per 1,000

l i v e b i r t h s , by age of mother, Georgia, 1965..................

5

IV-A. Important causes ob death, number and r a t e per 100,000 popu-

l a t i o n , i n s p e c i f i e d age groups by r a c e , Georgia, 1965,.....,.

6-9

............................ VI-B. Important causes of death, number and per cent, i n specified age groups, Georgia, 1965 (Charts)

10-12

V I I . Deaths from h e a r t d i s e a s e s by type, by age, Georgia, 1965.....

13

V I I I . Deaths from cancer, by s i t e , r a c e , and sex, Georgia, 1965.....

13

vii

. GENERAL TABLES (Con t 'd )
Table
I X . Maternal deaths, number and r a t i o per 10,000 l i v e b i r t h s by r a c e , Georgia, 1965.....................................
I n f a n t death8,number and r a t e per 1,000 l i v e b i r t h s by r a c e , sex and age, Georgia, 1965.......,...................
X I . I n f a n t deaths, number and r a t e per 1,000 l i v e b i r t h s by r a c e , by cause, Georgia, 1965..............................
Accidental deaths, number and r a t e , by type of accident, by age, Georgia, 1965......................................
V i t a l s t a t i s t i c s , by county and race, Georgia, 1965........
V i t a l s t a t i s t i c s , by c i t i e s with population of 75,000 o r more, Georgia, 1 9 6 5 . , , , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
XIV-B. V i t a l s t a t i s t i c s , by c i t i e s with population of 10,000-74,999, Georgia, 1965..............................................
. XIV-C V i t a l s t a t i s t i c s , by c i t i e s with population of 2,500-9,999, Georgia, 1965..............................................
XV. Number of physicians i n p r i v a t e p r a c t i c e and average number of persons per physician, by county, Georgia, J u l y 1, 1965.
XVI-A. Estimated population, urban and r u r a l , by race,by county and c i t y , Georgia, J u l y 1, 1965............................
. XVI -B Estimated population by race, sex and age, Georgia, J u l y 1, 1965............................................... . X V I I T o t a l population by census years by age and race, Georgia, 1920-1960..................................................
. XVIII Marriages, divorces, and annulments, by county of a p p l i c a t i o n , by r a c e , Georgia, 1965........................
XIX. Marriages by r a c e and age of b r i d e by age of groom, Georgia, 1965.......................

Page

TABLE OF CONTENTS

Page

INTRODUCTION................................................................
SUMNARY.....................................................................

v vi-xi

FIGURES

Figure

1. Tuberculosis case and death r a t e s per 100,000 population, Georgia,

1935-1965...............................................*............

x

SlMWRY TABLES

Table

A. Tuberculosis c a s e s , numbers and r a t e s , by a c t i v i t y s t a t u s , by r a c e ,

sex and age groups, Georgia, 1965....................................

ix

GENERAL TABLES

Table I. Reported c a s e s and deaths from n o t i f i a b l e d i s e a s e s , Georgia, 1955-1965 1-2

I1 A. Reported c a s e s of n o t i f i a b l e d i s e a s e s , by r a c e and age, Georgia, 1965

3

11 B. Rates per 100,000 population f o r n o t i f i a b l e d i s e a s e s , by r a c e and

age, Georgia, 1965...................................................

4

.. 111 A. Reported cases of n o t i f i a b l e diseases by month, Georgia, 1965......

5

111 B. Estimated c a s e s of c e r t a i n d i s e a s e s , by month, Georgia, 1965.........

5

I V . Reported c a s e s of n o t i f i a b l e d i s e a s e s by s t a t e t o t a l , r u r a l and

urban with r a t e s per 100,000 population, Georgia, 1965...............

5

V. Reported cases of n o t i f i a b l e diseases with r a t e s per 100,000

population, by county, Georgia, 1965................................

6-7

V I . Reported t u b e r c u l o s i s c a s e s and deaths, by county and r a c e , with

r a t e s per 100,000 population, Georgia, 1965..........................

8-9

SYMBOLS USED IN THIS REPORT
- Quantity is zero in frequency table
--- Data not available
... Rate or per cent not applicable
0.0 Rate or per cent more than zero but l e s s than 0.05
0 Quantity i s zero i n rate table
NR Not reportable

INTRODUCTION
This report provides data on the reported incidence of notifiable diseases in Georgia in 1965, by county and city of occurrence, age and race of case, and month reported. The initial report was issued in 1948.
The statistics herein are based on cases reported by private physicians to the Division of Epidemiology. Sources of reports include county health departments, military and veterans hospitals, death certificates, Battey State Hospital for tuberculous patients, the Georgia Department of Public Health Laboratories, Tuberculosis Control Service, and Venereal Disease Control Section. Cases of diphtheria, malaria, poliomyelitis, salmonellosis, shigellosis, and all zoonoses, particularly encephalitides suspected of being insect-borne, psittacosis, and rickettsial diseases, are each confirmed through investigation by the Epidemiologic Investigations Branch.
Completeness of data varies with disease and locale, as reporting of cases is influenced by popular interest, availability of effective treatment, hospital procedures, and emphasis placed on reporting by local health departments. Some diseases are generally well-reported, due to rarity of occurrence, registration for state-supported treatment, intensive case-finding programs, the limelight of public attention, or the use of state laboratories in connection with diagnosis. These include poliomyelitis, venereal diseases, tuberculosis, malaria, rabies, rickettsial diseases, diphtheria, and typhoid fever. Diseases believed poorly reported are meningitis other than tuberculous or meningococcal, rheumatic fever, tetanus, influenza, measles, staphylococcal infections, streptococcal infections, and whooping cough.
These factors should be considered in the interpretation of the data
. in the report. Also, care must be taken in considering rates based on small
numbers
In addition to the figures compiled from official sources, another estimate of occurrence of disease in Georgia has been sought by contacting physicians. Prior to 1959, each physician in Georgia received weekly a postpaid, addressed form card, but few cards were returned. Since that year, a random 10% sample of all general practitioners and pediatricians was chosen weekly for contact by cards. For some of the reportable diseases and certain other notifiable diseases, the estimates made on the basis of the 1965 data thus obtained are given in Table 111 B. The Epidemiology Section of the ~e~artment'sannual descriptive report contains a comparison of direct and sampling reports for all notifiable diseases.
Diseases are classified according to the 7th Revision of the International Statistical Classification of Diseases, Injuries and Causes of Death.
Other health statistics may be obtained from the Georgia Department of Public Health, Biostatistics Service, 47 Trinity Avenue, S. W., Atlanta, Georgia 30334.

SUMMARY
On t h e following pages a r e presented summaries and a d d i t i o n a l d e t a i l s of the data contained i n General Tables.
Dysentery The dysentery case r a t e i n 1965 was 15.4 per 100,000 population comparing
with 14.8 i n 1964 and 11.0 i n 1963. S h i g e l l o s i s comprised 99.7% (672 of 674) of t h e c a s e s , 139 being reported a t the Gracewood S t a t e School and Hospital i n Richmond County. The remaining 2 cases were amebiasis, a condition which must r a r e l y become acute, inasmuch a s random surveys i n Georgia have shown t h a t 3% of t h e small populations t e s t e d were asymptomatic c a r r i e r s .
Diphtheria Sixteen cases occurred, resulting i n 1 death.
Hookworm d i s e a s e The race of i d e n t i f i e d cases of hookworm d i s e a s e i n Georgia has dropped
y e a r l y , from 610.3 c a s e s per 100,000 population i n 1950 t o 78T9 i n 1965;*i,441 cases were reported i n 1965. A l l c a s e s a r e reported from laboratory bindings.
This infection occurs i n the Coastal Plain of southern Georgia, only i s o l a t e d cases appear i n h i l l y n o r t h Georgia. The i n f e c t i o n i s minimal i n most p a t i e n t s .
Infectious hepatitis I n 1965, 166 cases were reported, a r a t e of 3.8 cases per 100,000 popula-
tion. Primarily 5-24 year o l d s were a t t a c k e d , 40% of t h e cases being 5-14 years old and 19%, 15-24 years old. Case r a t e s were 7.0 per 100,000 popul a t i o n i n the 5-14 age group, 4.8 i n t h e 15-24 group.
After an epidemic peak of 42.9 cases per 100,000 population i n 1952, t h e r a t e of reported cases declined y e a r l y , reaching a low of 3.6 i n 1957. I n 1958 t h e r a t e again began t o r i s e u n t i l i n 1961 i t was 19.2. However, t h e death and f a t a l i t y r a t e s have followed d i f f e r e n t p a t t e r n s s i n c e 1956, a s Table I reveals.
Meningococcal infections There were 71 cases reported i n 1965. Forty-nine per cent of t h e reported
c a s e s were under 5 years old. The r a t e i n t h i s group was 6.7 reported cases per 100,000 population, whereas t h e o v e r a l l r a t e was 1.6. Eleven of the cases were m i l i t a r y personnel.
Meningitis, other than meningococcal or tuberculous Under t h i s c l a s s i f i c a t i o n , added t o t h e n o t i f i a b l e l i s t i n 1956, 85
cases were reported i n 1965, o r 1.9 cases per 100,000 population. T h r i t y one cases occurred i n persons under 1 year o l d , with a r a t e of 29.1 cases per 100,000.

Poliomyelitis Only 1 case was reported in 1965 in Georgia, a death with unconfirmed
diagnosis.
Psittacosis No cases of psittacosis were reported in 1965. The number of cases
rose from 1 in 1952 to 14 in 1955, as parakeets became popular household pets. Banding of parakeets, according to state law, enabled epidemiologists to trace infected birds and halt sales from infected aviaries. In 1956, the number of cases began to decline.
Salmonellosis There were 822 cases reported in 1965, 99.9% of these reports being
derived from laboratory findings on specimens submitted by private physicians for identification and typing. The case rate was 18.9 per 100,000 population; 84 cases were under 1 year, with a rate of 78.7. Two deaths were recorded from salmonellosis.
Salmonella food infection Most dramatic of the Salmonella infections in Georgia in 1965 was an
outbreak of gastroenteritis caused by Salmonella schwarzengrund resulting in the death of one child and hospitalization of six other family members. Meat loaf and dressing served for Christmas dinner yielded large numbers of the infecting organism. Onset of the fatal case was about 9 hours after eating and the child developed severe diarrhea, vomiting, a fever of 107' with convulsions, and died at noon on the following day, five minutes after being admitted to the hospital. The head of the family had run away from a prison camp to be with his family at Christmas.
Tetanus Of the 13 cases reported, 12 were first reported by death certificates,
and of these, 2 were tetanus of newborn. The rate was 0.3 per 100,000 population.
Tularemia Twelve cases were reported, with a rate of 0.3 cases per 100,000
population.
Rickettsia1 diseases Rocky Mountain Spotted fever This disease, communicated by the bite of an infected American
dog tick, occurs mstly in the Northern Mountain and Piedmont sections of Georgia. Sixteen cases were reported in 1965, with a rate of 0.4 per 100,000 population.
Typhus fever No cases were reported in 1965. Twenty years ago, the case total ran
consistently in excess of 1,000 per year.
Venereal diseases In 1965, there were 16,586 cases reported, compared with 15,940 in
1964. The total rate, 380.4,in 1965, was greater than the 1964 rate of 377.3 per 1000,000 population.
Gonorrhea, with 12,213 cases reported, comprised 80% of the reported cases of venereal diseases in 1965. The number of reported cases was lower in 1965 than 1964.

The 1965 case rate for primary and secondary syphilis was greater than the 1964 rate, (37.2 and 28.8, respectively).
Rheumatic fever Twenty-two cases were reported in 1965, with a rate of 0.5 cases per 100,000
p.op.ulation, but it is believed to be vastly underreported. There were 10 deaths listed as due to this disease in 1965.
Tuberculosis Table A provides numbers and rates of newly reported cases in 1965, allowing
comparison with respect to race, sex, age, and activity status. The classification "active or probably active'' includes cases for which tubercle bacilli were demonstrated and cases for which activity was indicated by chest X-rays, unexplained pleurisy with effusion, or clinically active extra-pulmonary tuberculosis. In the "other" category falls conditions of excessive pulmonary fibrosis and nodulation, cases with a record of active disease or treated in the previous five years, cases with X-ray indications of collapse therapy, and active primary pulmonary cases.
The total number-andrate of newly reported cases is less in 1965 than in 1964. The number decreased from 1,413 in 1964 to 1,361 in 1965 and the rate from 33.4 to 31.2
For "active or probably active" cases in both white and nonwhite the rate is higher for males than for females.

TUBERCULOSIS CASES, NUMBERS AND RATES, BY ACTIVITY STATUS, BY RACE, SEX AND AGE GROUPS, GEORGIA, 1965

Activity Status, Race and Sex

Age in Years
65 & Total Under 5 5-14 15-24 25-44 45-64 Over Unknown

Number Total, all cases
"Active or probably active" cases Total White Male Female

1,361 127 104 116 378 391 219 26
1

1,269 125 103 115 349 352 201 24

581 35

24

35 155 194 1 124 14

407 17

14

23 116 148 80

9

174 18

10

12 39 46 44

5

Nonwhite Male Female

688 90

79

80 194 158 77 10

388 34

4 2

34 108 114 53

3

300 56

37

46 86 44 24

7

"Other" cases Total White Male Female

92 2
- 54 1
34 20 1

- 1 - -

--1-

29 18 12 6

39 18 24 10 19 3
5 7

2
1 -
1

Nonwhite Male Female

38 1
- 28 1
10

1
- 1

- 1

11 8

15 13

8 4

1

3

2 4

1
1 -

Rate per 100,000 Population

Total, all cases

31.2
I

"Active or probably

Active" cases

Total

White

Male

Female

Nonwhite Male Female

"Other" cases Total White Male Female

Nonwhite Male Female

The history of tuberculosis in Georgia since 1935 is illustrated in Figure 1. Case and death rateshave declined at different rates.
Figure 1
- TUBERCULDSIS CASE AND DEATH U T E S PER 100.000 WPULATIOW, GEORGIA 1935 1965
Typhoid fever Fourteen cases occurred, with 2 deaths resulting. The overall rate was 0.3
cases per 100,000 population. The rate in the white population was 0.3, in the nonwhite 0.5.
A total of 4 typhoid carriers were added to the number known in the state. The total number of carriers was decreased by deaths considerably in excess of the number of new carriers which could have developed. Undulant fever
Ten cases were reported in 1965, with a rate of 0.2 per 100,000 population. Infectious encephalitis
Fourteen cases of infectious encephalitis, unspecified, were reported in 1965, with a rate of 0.3 cases per 100,000 population. Two widely separated deaths occurred in children, one in Cook County and one in Emanuel County, from infections proven to be Eastern Viral encephalitis.

Specified communicable diseases Morbidity data are so incomplete for the following diseases that it is of
advantage to mention the mortality data also.

Disease
Influenza Measles Streptococcal
Infections Whooping cough German measles

I

I Rates per 100,000

Reported Data
Cases 1 Deaths

I Po~ulation

cases

Deaths

I

I

Scarlet fever and streptococcal sore throat are included in the streptococcal infect ions.
Deaths are reported by place of residence.
Rabies in Man No cases of rabies in man have been reported since 1960.
Malaria One civilian malaria case charged to Harris County was found on investigation
to be coincident in actual origin with a similar civilian case infected a year earlier on a military reservation. The 1965 case was not recognized until recrudescence was triggered by a coexisting disease. Search of military records indicated that at least one foreign malaria patient with a parasitemia had exposed mosquitoes on the reservation prior to the initial development of symptoms in both cases.

Diaeasa and Year

Dlphtheria (55)

1955 1956 1957 1958 1959 1960 1961 1962 1963 1964

1965

Hookwom (l29)
Influenza (480-483)

1955 1956 1957 1958 1959 1960 1961 1962 1963 1964
1965
1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965

Ueasles (85)

1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965

1955

1956

1957

Poliomyali- 1958

t is

1959

(80)

1960

1961

1962

1963

1964

1965

Rocky Utn. svotted fiver
(lor)

1957
1958
1959 1960 1961 1962 1963 1964 1965

1955

1956

1957

Salmonello- 1958

sis

1959

(41-42) 1960

1961

1962

1963

1964

1965

TABLE I
- REPORTED CASES AND DEATHS FROM NOTIFIABLE DISEASES, GEORGIA, 1955 1965
(Case and death r a t e s a m p e r 100.000 population. f a t a l i t y r a t i o is p e r 100 reported cases)

Cases

Deaths

2.0

0.2

0.2

0.2

Encephalitin, infactious
(82)

1958 1959 1960 1961

Infectious Hepatitis
(92)

1955 1956
1957 1958 1959 1960 1961 1962 1963
1964 1965

1955 1956

1957

Ueningitis 1958

o t h e r than 1959

meningococ- 1960

c a l and

1961

tuberculous 1962

(340) 1963

1964 1965

-
wccal infections
(57)

1959 1960 1961

1955

1956

1957

Psittacosis 1958

(96.2)

1959

1960

1961

1962

1963

1964

1965

Rheumatic fever (400-402)

1955 1956 1957
1958 1959 1960
1961 1962 1963 1964 1965

Streptococcal infaction
(50-51)

1955 1956 1957 1958
1959 1960 1961 1962
1963 1964 1965

Disease and Year

1955

1956

1957

Shigellosis 1958

(45)

1959

1960

1961

1962

1963

1964

1965

TubeFculosie
(1-19)

1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965

Typhoid fever
(40)

1955 1956 1957 1958 1959 1960 1961 1962 1963 1964
1965

Undulant fever
(44)

1955 1956 1957 1958 1959 1960 1961 1962 1963 1964
1965

Syphilis, p ~ i m r yS secondary (21.0-21.3)

1955 1956 1957 1958 1959 1960 1961 1962 1963 1964
1965

Gonorrhea (30-35)

1955 1956 1957 1958 1959 1960 1961 1962 1963 1964
1965

TABLE I
- REPORTED CASES AND DEATHS FROM NOTIFIABLE DISEASES, GEORGIA, 1955 1965 (CONT'D.)
(Case and death r a t e s a r e per 100,000 population. f a t a l i t y r a t i o is per 100 r e h a d cases)

1 F~;;Y

Disaase and Year

A

oaaths

Number

Rate Number Rate

Tetanus (61)

1955 1956 1957 1958 1959 1960 1961 1962 1963 1964
1965

1955

1956

1957

Tularemia 1958

(59)

1959

1960

1961

I

1962 1963

1964

1965

1955

1956

1957

Typhus

1958

fever

1959

(101-103, 1960

105-1071 1961

1962

1963

I

1964 1965

21

0.6

25

0.7

27

0.7

23

0.6

15

0.4

14

0.4

33

0.8

14

0.3

11

0.3

7

0.2

13

0.3

39

1.0

15

0.4

31

0.8

27

0.7

22

0.6

15

0.4

15

0.4

19

0.5

31

0.7

14

0.3

59

1.4

15

0.4

9

0.2

15

0.4

3

0.1

8

0.2

4

0.1

8

0.2

5

0.1

1

0.0

1

0.0

0

10

0.3

20

0.5

22

0.6

10

0.2

14

0.4

11 0.3

22

0.5

13

0.3

9

0.2

4

0.1

13 0.3
- 0

0

-

0 0

0

-

0 0

-

0 0

0

0

2

0.1

1 0.0

1 0.0

0

0
-1 0.0 0

1 0.0

0 0

0

1957

Whooping 1958

I

cough

1959

24

0.6

36

0.9

5

0.1

6

0.2

18

0.5

7

0.2

3

0.1

0

8

0.2

7

0.2

2

0.0

1955

1956

1957

Syphilis, 1958

( a l l other) 1959

(20, 22-29) 1960

1

1961

1962

1963

1964 1965

94

2.5

76

2.0

90

2.3

98

2.4

85

2.1

65

1.6

76

1.9

59

1.5

65

1.6

Fatality Ratio

A l l other Venereal diseases (36-39)

1957 1958 1959 1960 1961 1962 1963 1964 1965

Diseases

Diphtheria (55)

Total
White Nonwhite
Unknown

Encephalitis infections (82)

Total White Nonwhite

Infectious Hepatitis (92)

Total White
Nonwhite Unknown

Meningococcal Infections (57)

Total White
Nonwhite Unknown

Poliomyelitis (80)

Total White Nonwhite

Rheumatic Fever (400-402)

Total White Nonwhite

Rocky Mountain spotted fever (104)
Salmonellosis (42)

Total White Nonwhite
Total White Nonwhite Unknown

Shigellosis (45)

Total
White Nonwhite
Unknown

Tetanus (61)

Total
White Nonwhite

Tularemia (59)

Total
White Nonwhite

Typhoid fever (40)

Total White Nonwhite

Meningitis, other Total

than meningo-

White

coccal or

Nonwhite

tuberculous (340) Unknown

Undulant fever (44)

Total
White Nonwhite Unknown

Venereal disease

Total

(20-39)

White

Nonwhite

Gonorrhea (30-35)

Total
White Nonwhite

syphllie, primary Total

nnd secondary

White

(21)

Nonwhite

syph I1 1 8 , other ( 2 0 , 22-29)

Total
White Nonwhite

r)thrr Venereal rltseaaes (3h-39)

Total White Nonwhite

TABLE II-A REPORTED CASES OF NOTIFIABLE DISEASES BY RACE AND AGE, GEORGIA, 1965

- Under 1 4

Total 1 Year Years

16 4 11 1 I

- - -

5 3 2

14

5

3

13

4

3

1 1

1

-

- - - -

7 5 1 1

I

15

20

11 17

4

3

1- 1

-

1

- - -

2 1 1

- - -

2 1 1

84 169

68 152

15 15

1

2

44 125

15 58

26 65

3

2

2 -

2 -

- -

1 1

- - -

8 4 4

31 17

15

8

16

9

16 20

1

3

15 17

11 17

1

3

10 14

- 1

- 1

5

2

5

2

45-54 Years

55-64 Years

65-74 75 Years Unknown Years and Over Age
1

1

5

4

4

2

20

5

2

3

2

5

2

1

4

11

4

3

2

2

2

1

1

1

1

1

39

29

12

33

24

11

6

4

1

1

7

4

7

6

3

5

1

1

2

2

1

2

1

2

1

1

1 1

6

5

3

2

1

6

3

2

2

2

1

2

I

439 204

73

123

62

20

316 142

53

223

44

7

65

17

2

158

27

5

33

12

1

6

2

27

10

1

174 146

64

51

42

18

123 104

46

9

2

1

1

1

8

1

1

1 212 97

4

56

59

1

195

1

40

94

6 1

1

1

1

1

1

1

3 1

2

12 1.288

3

195

9 1.093

1

358

117

1

241

1

510

1

1

509

9

4 19

3

77

6

342

1

1

1

1

RATES PER 100.000 POPULATION FOR NOTIF7ABLE DISEASES BY RACE AND AGE, GEORGIA. 1965
Infectious Meningocoecal
Rheumatic fever (400-402)
Rocky Mountain spotted fever

Tularemia

Typhoid fever

Meningitis, other

Total

than meningo-

coccal or

tuberculosis (340)

Undulant fever

Venereal Diseases (Total) (30-39)

Total White

Gonorrhea

syphilis, other (20, 22-29)
Other Venereal Diaeases

TABLE 111-A REPORTED CASES OF NOTIFIABLE DISEASES BY MNTH, GEORGIA, 1965

? a : ~ ~ i c s( $ 5 )
?dc'r:,rpr 1 is, unspecified (340) ?~:-in~o~orcianlfections (57) ?..licnvclttis (80) r c l t raicsls (96.2) S::-ICF in Nan (94)
X,:r(im;t ic fever (400-402) r.-;%\.Ptc. spotted fever (104) ir:.:x.ncl losis (42) P:riprllosis (45) ~rrepcococcalinfections (50-51) T c t A n u r (61)
Tulnremia (59) T ~ ~ h o ifdever (40
- TABLE 111-B ESTIMATED NUMBER OF SPECIFIED DISEASES BY MONTH, GEORGIA, 1965

Conjunctivitis, infectious (370) German measles (86)

Infectious hepatitis (92) Influenza (480-483) Measles (85) Salmonellosis (42)
Shigellosis (45) Staphlococcosis
Pulmonary (490) Superficial (698) Wound (53.9)

400 70 10 10 30

240 50

-

-

220 40 30

- 30

5,220 400 330 370 500

2,270 220 210 260 450

10 50 40 10 80 70 10 10

10 10 30

-

80

30

20

10

- 10 20 20

- 20 50

-

240 470 550 450 1,040 430 230 210

140 160 200 170 160 190 70 40

Streptococcosis Rheumatic fever (400) Scarlet fever (50) Sore throat (51)
Whooping cough (56)

460 40 40 40 50 2,460 260 440 370 440 49,590 5,430 5,290 6,220 4,290
760 60 40 40 20

60 50 60 10 30 40 20 20 200 40 140 50 40 160 18 140
- 5,540 2.764 3.060 3,460 2,370 4,410 2,770 3,990 20 10 50 380 20 30 90

- TABLE N REPORTED CASES OF NUIIFIABLE DISEASES BY STATE TOTAL, RURAL AND URBAN WITH RATES PER 100,000 PDPULATION GEORGIA, 1965

-

-

-

State Total

I

Urban

-
Rural

-
Military Res.

Institutions

Number

Rate Number

Rate Number

Rate Number Rate Number Rate

CMI Diptheria (55) Encephalitis, infectious (82) Eookvorm (129) Infectious hepatitis (92) Influenza (480-483)
Measles (85) ~eningitis,unspecified (340) ~ningococcalinfections (57) poliomyelitis (80) Rheumatic fever (400-402)
~ o c k y~ t .spotted fever (104) ~almonellosis (42) Shigellosis (45) streptococcal infections (50-51) Tetanus (61)
Tularemia (59) ~yphoid fever (40) ~yphusfever (101-103. 105-107) Undulant fever (44) Whooping cough (56)

16 14 3,441 166 5,423

0.4 0.3 78.9 3.8 124.4

688 15.8 85 1.9 71 1.6
1 0.0 22 0.5

16 0.4 822 18.9 672 15.4 745 17.1
13 0.3

12 0.3
-14 0.3 0 10 0.2 26 0.6

15 0.7

1 0.0

8 0.4

6 0.3

1 N O T A V A I L A B L E

104 1 4.9

49

2.2

NOT AVAILABLE

I

I

NOT AVAILABLE

53 2.5

31 1.4

-44 2.1 0

16 0.7 1 0.0

9 0.4

13 0.6

2 0.1

14 0.6

617 28.9

199 8.9

366 17.1

164 7.4

I ::: N O T A V A I L A B L E

5 0.2

8

5

- 1 0

4 -

0.4
0.2 0.2 0

4 0.2

6 0.3

NOT AVAILABLE

I

I

- - -13

0
0
--0-
0

19 1
-11
-

---------
0
0

-
2
3
-38

------0---
0

- - - -

0 0 0 0

- - - - -

0 0 0 0 0

- - - - -

0 0 0 0 0

- 0

4 23.4

-139 812.9

-

0 0

- - - -

0 0 0 0

TABLE V
REPORTED CASES OF SELECTED NOTIFIABLE DISEASES WITH RATES PER 100,000 POPULATION BY COUNTY, GEORGIA, 1965

County
TOTAL
Appling Atkinson Bacon Baker Baldwin Banks Barrow Bartow Ben Hill Berrien Bibb Bleckley Brantley Brooks Bryan Bulloch Burke Butts Calhoun Camlen Candler Carroll Catoosa Charlton Chatham Chattahoochee Chattooga Cherokee Clark Clay Clayton Clinch C0bb Coffee co1quitt Columbia Cook Coweta Crawford crisp Dade Dawson Decatur DeKalb Dodge Dooly Dougherty Douglas Early Echols Ef fingham Elbert Emanuel Evans F annin Fayette Floyd Forsyth Franklin Fulton Gilmer Glascock
Glrur Gordon Grady Greene Gwinnett Habersham Hall Hancock Haralson Earris Hart Heard Henry Houston Irwin Jackson Jasper

Infectious a e r i a Hookworm Hepatitis
No. Rate No. Rate No. Rate

16 0.4 3441 78.9 166 3.8

- - - - 1
- - - -

0 0 0 0 4.3 0 0 0 0 0

124885.7

54 806.0

95 1079.5 14 304.3 22 94.0
1:

1

2 6.1

14100.7

61484.1,

-------
- - -

0 0 0 0 0 0 0 0 0 0

----------3--- - - - - - - - - - 3

2.0 0 0 0 0 0 0 0

118 79.9 16 158.4 43 693.5 86547.8 7 104.5 132 517.6 20 93.5 1 10.8

I
/

1-------0

6.8 0 0 0 0 0 0 0

0

3 39.5

0

38355.1

0 0 0

18--

260.9 0 0

0

68 1172.4

1.6 0 0 0 0

---1-

0.5 0 0 0 0

0

4 87.0

-----1-

13.2 0 0 0 0 0 0

-1 71.4 0

-2 8.2

-

0 0

0 0

13 19.7 61 859.2

-1 1.5 0

0 0 0

3 2.0 97 416.3 191 577.0

1 0.7
- 0 - 0

---- 1 - - - - - - 1

- 0 1 - I 0 1 -

0

53424.0

0 0

-3 9.7 0

5.4 21 114.1

0 0

-2 21.7 0

--1--

0

73 316.0

1

0 0 0

8 2.3 50292.4 7 59.3

28--

0 0
3.2 0 0 0 0 4.3 8.0 0 0

- - - - - - - - - - - - 1

1.2 0 0 0 0 0 0 0 0 0 0 0 0

42 50.4 3 16.7 39284.7
35 1750.0
-37349.1 0 65 347.6 3 40.5
- 0 - 0
2 2.8
-3 22.9 0

- - - - - - 7 - - - - - -

8.4 0 0
0 0 0 0 0 0 0 0 0 0

------------5-------

0.8 21 3.5

0

2 21.5

0

1 37.0

0 0

-34 65.6 0

0 0 0

-115 611.7

-

0 0

0 0

-4 20.6 0

0 0 0 0

1 9.7
- 0 - 0 - 0

0 0

-1 18.2 0

0

6 13.8

0 0

-15 156.3 0

0

1 16.1

54------

9.0 0 0 0 0 0 0

- - - - - 1

1.8 0 0 0 0 0

- - 1

6.4 0 0

1 2.3
- 0 - 0 - 0

Meningitis Unspecified No. Rate

85

1.9

- - - - - - - - - - - 7

50.0 0 0 0 0 0 0 0 0 0 0 0

- - - - - - - 1

16.1 0 0 0 0 0 0 0

--1-

14.5 0 0 0

-3--

1.6 0 0 0

- - - 1

2.2 0 0 0

4

2.7

---1-

4.3 0 0 0 0

1 16.4

- - 1

5.4 0 0

1

4.3

3

0.9

1

5.8

- 1

8.5 0

- - - - - 1 - - - - - -

5.6 0 0 0 0 0 0 0 0 0 0 0

12

2.0

1 -

10.8 0

-1--

1.9 0 0 0

-----2-

3.7 0 0 0 0 0 0

1 18.2

1

5.3

- - 2 -

4.6 0 0 0

Meningococcal

Infections

No.

Rate

71

1

-

0

0

0

0

0

0

0

0

0

0

3

2.0

-

0 0

0

0 0 0

0

0

-

0 0

0

0

0

1

0.5

0

0

1

4.1

1

2.2

0

0

0

- 5

3.3 0

0

1

6.8

0

- -

0 0 0

0

-

0 0

1--0

2.9 0 0

-

0 0

0

0

0

0

0

0

0

0 0

1

7.6

8

-13

2.2 0

0

2

3.9

0

0

-

0 0

0

0

0

0

0

- - -

0 0 0 0

0

0 0

Salmonella No. Rate

822 18.9

2 14.3

1 14.9

4 45.5

1 21.7

4----

17.1 0 0 0 0

1 7.9

129 87.4

-20 198.0 0

7 44.6

-1 14.9 0

4 18.7

3 32.3

- - - - - 1

13.2 0 0 0 0 0

-2 1.1 0

1 4.7
- 0 - 0 - 0

-17 25.8 0

28 18.6

8 34.3

3 9.1

1 6.8

1 8.0

6 19.4

1 16.4

--8 43.5 0 0

1 4.3

87 24.8

4 23.4

1 8.5

27 32.4

3 16.7

-1 7.3 0
- 0 - 0

-2 10.7 0

2 14.3

5 58.1

-7 10.0 0

7

0

-231 38.5

-

0 0

9 17.4

2 9.8
- 0 - 0

6 11.0

1 5.2

--5 9.3 0 0

1--

8.7 0 0

1 5.3

8 18.4

-5 52.1

-

0 0

Shigellosis No. Rate

672 15.4

- -

0 0

-7 79.5 0

-3 12.8 0

-1 6.6 0

1 7.2

1 7.9

86 58.3

15 148.5

- - - - 1

16.1 0 0 0 0

4-----

43.0 0 0 0 0 0

1 17.2

-5 2.7 0

3 14.2

- - 1

4.1 0 0

-8 12.1 0

6 4.0

--1-

4.3 0 0 0

12 38.7

1 16.4

6 32.6
- 0 - 0 - 0

-14 4.0 0

3 25.4

8 9.6

----2---

11.1 0 0 0 0 0 0 0

5 58.1

4 5.7

-1 7.6 0

163--

27.2 0 0

--1-

1.9 0 0 0

-1 1.8 0

1 1.9
- 0 - 0

- - 1

8.7 0 0

3 15.9

2 4.6

-1-

10.4 0 0

Typhoid Fever No. ~ ~ t e

14

0.3

0

-

0 0

-

0 0

-

0 0

- - 1 - - -

3.0 0 0 0 0 0

0

0

0

-

0 0

0

0

0

0

-

0 0

1

0.5

- -

0 0 0

0

0

2

3.0

- -

0 0 0

0

0

- - -

0 0 0 0

0

0

0

2

0.6

- - -

0 0 0 0

0

0

0

0

0

0

- - -

0 0 0 0

-

0 0

0

-

0 0

0

0

0

1

1.8

0

1

1.9

0

-

0 0

0

- - -

0 0 0 0

0

0

County
Jeff Davis Jefferson Jenkins Johnson Jonea Lamar Lanier Laurens Lee Liberty Lincoln Long Lowndes Lumpkin Macon Madison Marion McDuf fie UcIntosh Meriwether Miller Uitchell Monroe Montgomery Morgan Murray uuscogee Newton Oconee Oglethorpe Paulding Peach Pickens Pierce Pike Polk Pulaski Putnam Quitman Rabun Randolph Richmond Rockdale Schley Screven Seminole Spalding Stephens Stewart sumter Talbot Taliaferro Tattnall Taylor Telfair Terrell Thomas Tift Twmbs Towns Treutlen Troup Turner
Twiggs Union upson Walker Walton Ware Warren Washington Wayne Webster Wheeler White Whit field wi1cox Wilkes Wilkinson Worth Military Institutions

REPORTED CASES OP SELECTED NOTIFIABLE DISEASES WITH RATES PER 100,000 POPULATION BY COUNTP. GEORGIA. 1965 (COHT'D.)

Diphtheria

No. Rate

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

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

- - - - - - - - - - - - - - - - - - - - - - - - - - - 1

0.7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

- - - - - - - - - - - - - - - - - - - - - - - - - - - 1

8.1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
--0-
0

Hookworm No. Rate

64 666.7

19 105.0

18 187.5

34404.8

6 67.4

1 9.4

32 592.6

-50 149.3 0

-21164.1 0

43 1048.8

112 232.8

1 13.0

5 36.8

1 8.5

1 17.9

1 7.5

19 283.6

2 9.9

73 1013.9

37 177.0

4 37.4

--9 136.4 0

-

0 0

1 4.5

- -

0 0

- 0

-7 47.9 0

--72 705.9 0 0

9 104.7

-1 12.2 0

1 12.7

7 63.1

--2 1.5 0 0

29 189.5

20 277.8

13 33.5

3 15.5

3 40.5

-6 23.4

-

0 0

31 219.9

7 82.4

-55 447.2 0

94254.7

45 179.3

-48 268.2 0

-45 725.8 0

7 78.7

-4 47.1 0

-8 32.3 0

1 4.6

257 732.2

1 13.2

1 5.1

56288.7

6 176.5

--32 581.8 0 0

-13 160.5 0

26 268.0

--- -24 136.4 - 0

Infectious

Hepatitis

No. Rate

- - - - - -

0 0 0 0 0 0

0

i s--------- i

0 0
0 0 0 0 0 0 0

- - - - - - 1 -

14.9 0 0 0 0 0 0 0

- - - 9 - - - - -

5.9 0 0 0 0 0 0 0 0

2 - - - -

6.7 0 0 0 0

1 9.0

4 3.0

- 3 - - - - -

26.3 0 0 0 0 0 0

- - - - 1 - -

3.9 0 0 0 0 0 0

2 - - - - - - - - - - -

5.4 0 0 0 0 0 0 0 0 0 0 0

- - - - - - 1

2.8 0 0 0 0 0 0

19 37.1

- -

0 0

- 0

-13 --0-

- 0

Meningitis

Unspecified

No. Rate

- -

0 0

- 1 - - -

10.4 0 0 0 0

2 - -

06.0 0

- - - - - 1 - - - - - - - -

16.7 0 0 0 0 0 0 0 0 0 0 0 0 0

- 1

9.3 0

1-------------6-

10.5 0 0 0 0 0 0 0 0 0 0 0 0 0 0

- - - 6 - - - -

4.4 0 0 0 0 0 0 0

1

3.9

- - - - 1

13.7 0 0 0 0

- 1

7.5 0

1 - - -

4.0 0 0 0

1

2.2

- - - 1

11.2 0 0 0

1 - -

2.0 0 0 0

- - - - 1

5.1 0 0 0 0

- 1

2.0 0

1 - -
- 1

8.9 0
--0-
0

Meningococcal

Infections

No.

Rate

0

- 1

5.5 0

0

0

0

-

0 0

0

-

0 0

0

0

0

1

7.4

0

0

0

0

0

0

0

0

-

0 0

0

6

3.9

0

0

0

1

7.2

0

0

0

0

0

0

0

0

0

0

9

6.7

0

0

0

0

0

0

0

- 1

3.9 0

0

0

0

-

0 0

-

0 0

0

0

- -

0 0 0

0

0

0

2

3.9

0

0

-

0 0

1

5.2

0

0

-

0 0

-

0 0

0

11 --0-

0

Salmonella No. Rate

-5 52.1 0

-1 10.4 0

2 22.5
- 0 - 0

- - - 3 -

9.0 0 0 0 0

--6 12.5 0 0

-1 8.5 0

4 29.9
- 0 - 0 - 0

2 9.6

- - - 1

9.3 0 0 0

6 3.9

--1 4.5 0 0

-1 7.2 0

1 10.5

-2 19.6 0

2 6.7

11 127.9

- 0

- -

0 0

- 0

5 3.7

-2 17.5 0

3 19.6

5 69.4

-5 12.9 0

2 27.0

3 11.7
- 0 - 0 - 0 - 0

-2 16.3 0

5 13.6

18 71.7
- 0 - 0 - 0

1 2.2

14 157.3

-3 35.3 0

2 8.1

1 2.0

1 4.6

6 17.1

5 65.8

-12 61.2 0

1 29.4
- 0 - 0

2 3.9

1 12.3

2 17.9

110.3

--- 2 11.4
2

4 23.4

Shigellosis

No. Rate

- -

0 0

1 10.4

-3 35.7 0

- - 1

9.4 0 0

1---

15.4 0 0 0

--3--

6.2 0 0 0 0

7 522

-1 14.9 0

3 41.7

- - 2 - -

9.6 0 0 0 0

1 0.7

- - - 2

9.0 0 0 0

2----

13.7 0 0 0 0

1 11.6

2 - - -

24.4 0 0 0

2 1.5

-3 26.3 0

-1 6.5 0

2 - -

5.2 0 0

2 - - - -

7.8 0 0 0 0

4 32.5

-2 15.0 0

1----8

71.7 0 0 0 0

26 292.1

-19--

223.5 0 0

0

1 4.6

8 22.8

2 26.3

9 45.9

-1 5.2 0

-5 90.9 0

19 37.1

- - 1

12.3 0 0

2 3

--11-.4

139 812.9

7

Typhoid Fever

No.

Rate

0

- -

0 0 0

-

0 0

0

-

0 0

0

0

-

0 0

0

0

0

- -

0 0 0

- -

0 0 0

0

0

0

- -

0 0 0

0

0

-

0 0

0

0

0

- -

0 0 0

0

0

- -

0 0 0

-

0 0

-

0 0

0

-

0 0

0

0

0

- -

0 0 0

0

2

8.0

0

0

0

- -

0 0 0

0

0

- - - - -

0 0 0 0 0 0

-

0 0

0

4 -

7.8 0

0

- - -

0
--0-
0

REPORTED TUBERCULOSIS CASES AND DEATHS, BY COUNTY AND RACE, WITH BATES PER 100,000 POPULATION, GEORGIA, 1965

TCounty

F I Total

Cases (Occurence Data)

Number

1

Rate

I ( ([ on-
White L i t e Total White

I
ffWhite Total

Appling Atkinson Bacon Baker Baldwin Banks Barrow Bartov Ben Hill Berrien Bibb Bleckley Brantley Brooks Bryan Bulloch Burke Butts Calhoun Camden Candler Carroll Catoosa Charlton Chatham Chattahoochee Chat tooga Cherokee Clarke Clay Clayton Clinch C0bb Coffee Colquitt Columbia Cook Coweta Crawford Crisp Dade Dawson Decatur DeKalb Dodge Dooly Dougherty Douglas Early Echols E ffingham Elbert Emanuel Evans Fanuin Payette Floyd Forsyth Franklin Pulton Gilmcr Glascock
Glynn Gordon Grady Greene Gvirmet t Habersham Hall Hancock Earalaon Harris Hart Beard Henry H0u.ton Irwin Jackson Jasper

Rate

' 1 I

I Non-

White White

TABLE VI
REPORTED TUBERCULOSIS CASES AND DEATHS, BY COUNTY AND RACE, WITR RATES PER 100,000 POPULATION, GEORGIA, 1965 (coRT'D.)

County
Jeff Davis Jefferson Jenkins Johnson Jones Lamar Lanier Laurens Lee Liberty Lincoln
Long Lmdes Lumpkin Macon Madison Uarion McDuffie McIntosh Meriwether Miller Mitchell Monroe Montgomery Morgan Murray Muscogee Newton Oconee Oglethorpe Paulding Peach Pickens Pierce Pike Polk Pmlaski Putnam Quitman Rabun Randolph Richmond Rockdale Schley Screven Seminole Spalding Stephens Stewart Sumter Talbot Taliaferro Tattnall Taylor Telfair Terrell Thomas Tift Toombs Towns Treutlen Troup Turner
Twigss Union upson Walker Walton Ware Warren Washington Wayne Webster Wheeler White Whitefield wi1cox Wilkes Wilkinson Worth military Institutions

Cases (Occ~ rence Data)

Number

Rate

I (I on-

I

Total White k i t e Total White

31.3

39.0

60.8

89.7

114.6

62.5

11.9

0

44.9

45.5

18.9

0

18.5

26.3

17.9

14.0

61.5 40.0

54.7

58.0

0

0

0

0

33.3

22.2

0

0

51.5

60.0

17.1

21.1

17.9

0

14.9

26.0

44.8

69.0

14.9

0

69.4

20.0

9.6

0

28.0

18.2

30.3

25.6

18.7

0

8.8

8.9

0

0

0

0

Deaths (Resident Data)

Number

Rate

Non-

White White Total White

I

I1