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The Health bulletin [serial] - University of North Carolina at Chapel Hill

The Health bulletin [serial] - University of North Carolina at Chapel Hill

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November, 1951<strong>The</strong> <strong>Health</strong> BulletinMID WEST AND WESTERN STATESWyoming 3.8Utah 6.8Iowa 8.0Nebraska 8.2Idaho 9.4SOUTHERN STATES, HAWAII ANDPUERTO RICOFlorida 18.1<strong>North</strong> <strong>Carolina</strong> 18.4South <strong>Carolina</strong> 19.8West Virginia 20.5Oklahoma 22.2Delaware 22.3Hawaii 22.8Georgia 23.8Mississippi 25.6Texas 26.0Virginia 27.5Arkansas 31.3Tennessee 33.3Maryland 33.8Kentucky 34.1District <strong>of</strong> Columbia 49.1Puerto Rico 128.1EASTERN STATESConnecticut 15.9Maine 16.2Pennsylvania 22,7New Jersey 24.3New York 25.5De<strong>at</strong>h r<strong>at</strong>es in cities outside theUnited St<strong>at</strong>es are <strong>of</strong> considerable interest.<strong>The</strong> de<strong>at</strong>h r<strong>at</strong>es per 100,000 popul<strong>at</strong>ion01 certain large cities are tabul<strong>at</strong>edbelowCITIES OUTSIDE THEUNITED STATESLondon (1945) 87Berlin (1946) 260Vienna (1945) 257Rio de Janeiro (1942) 312Rome (1945) 176Copenhagen (1945) 49Stockholm (1945) 60Oslo (1945) 61b. Morbidity or Case R<strong>at</strong>eAlthough the de<strong>at</strong>h r<strong>at</strong>e from tuberculosishas fallen steadily for Tnanyyears, the morbidity has been consistentlyhigh. Community-wide chest surveysbegan in 1945, and these surveysmay have stimul<strong>at</strong>ed more accur<strong>at</strong>e reporting.<strong>The</strong> number <strong>of</strong> cases reportedin 1950 was 3,653, which is the largestnumber reported in the history <strong>of</strong> theSt<strong>at</strong>e. However, a smaller number <strong>of</strong>cases has been reported for the first sixmonths <strong>of</strong> 1951 than was reported inthe first six months <strong>of</strong> 1950. This declinein the number <strong>of</strong> cases may be dueto vari<strong>at</strong>ions in the reporting <strong>of</strong> cases<strong>of</strong> borderline significance. Again, it maymean th<strong>at</strong> a peak has been reached fornew cases; and th<strong>at</strong> from now on, therewill not be such a wide difference betweenthe number <strong>of</strong> cases found andthe niunber <strong>of</strong> de<strong>at</strong>hs.c. Mortality and Morbidity by Race.<strong>The</strong> 1950 popul<strong>at</strong>ion <strong>of</strong> <strong>North</strong> <strong>Carolina</strong>was 4,061,929. <strong>The</strong> white popul<strong>at</strong>ionwas 2,983,110 and non-white (mostlynegroes) 1,078,819. <strong>The</strong> de<strong>at</strong>h r<strong>at</strong>e forwhites in 1950 was 10.0 per 100,000 popul<strong>at</strong>ion,and the de<strong>at</strong>h r<strong>at</strong>e <strong>of</strong> non-whitewas 41.8.<strong>The</strong> white morbidity r<strong>at</strong>e was 69.5 per100,000 popul<strong>at</strong>ion, and the non-whitemorbidity 146.5.Both the de<strong>at</strong>h and morbidity r<strong>at</strong>esamong non-white is much higher thanamong the white popul<strong>at</strong>ion; but, asbefore st<strong>at</strong>ed, it has been found th<strong>at</strong>the white popul<strong>at</strong>ion shows a higherdisease incidence in cormnunity-wideX-ray surveys than does the non-whitepopul<strong>at</strong>ion. In all probability, a selectivenon-white group comes to the mobiletmits for X-ray. <strong>The</strong> Negro <strong>Health</strong> Educ<strong>at</strong>orresigned in June <strong>of</strong> this year, andanother Negro Educ<strong>at</strong>or has recentlybeen employed. It is hoped th<strong>at</strong> moreinterest can be stimul<strong>at</strong>ed among theNegro Race in having X-ray examin<strong>at</strong>ions.5. BUDGETAppropri<strong>at</strong>ions both Federal and St<strong>at</strong>eare tabul<strong>at</strong>ed below:1950-1951Federal $234,731.00St<strong>at</strong>e 27,965.00Total $262,696.001951-1952Federal $176,700.00St<strong>at</strong>e 27,965.00Total $204,665.00

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