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TABLE 1—INFANT MORTALITY IN THE UNITED STATES, 1963-64 AND 1953-54 UNITED STATES New England Main* New Hampshire .. Vermont Massachusetts .... Rhode Island Connecticut Middle Atlantic New York Now Jersey Pennsylvania East North Central Ohio Indiana Illinois Michigan Wisconsin West North Central Minnesota Iowa Missouri North Dakota South Dakota Nebraska Kansas South Atlantic Delaware Maryland , District of Columbia . Virginia West Virginia North Carolina South Carolina Georgia Florida East South Central Kentucky Tennessee Alabama Mississippi West South Central Arkansas Louisiana Oklahoma Texas Mountain Montana Idaho Wyoming Colorado New Mexico Arizona Utah Nevada Pociflc Washington .. Oregon California .... Alaska Hawaii Average Annual Deoth Rales Under One Year of Age per 1,000 live Births 1063-64 Total Persons White 25.0 23.8 Normhite 21.9* 41.3*
Infant Mortality in the United and Abroad In 1966 about 3,629,000 babies were born in the United States and 84,800 died in their first year of life, according to provisional data. These figures trans- late into a rate of 23.4 infant deaths per 1,000 live births, which is an all- time low for the nation. However, an examination of the variations among states and between racial groups, the slowed pace of improvement in recent years, and the substantial lower infant death rates reported by many other countries make it abundantly clear that much still can be done to improve our record. Considering first the trends in the United States, it is apparent from the accompanying chart and Table 1 that the rate of improvement in infant mortality has slowed down during the past decade. Between 1953-54 and 1963-64 infant mortality for the country dropped only 8 percent. Among the 50 states and the District of Columbia, one showed no change at all while five actually registered increases, the largest rise (14 percent) occurring in the District of Columbia. This experience contrasts sharply with that for the period 1945- 46 to 1955-56, during which the nation's infant mortality rate fell by 27 percent and every state without excep- tion reported progress. It has been suggested that an im- portant factor contributing to the dis- appointing record of the past decade was the large scale population shift of rural nonwhites to the cities. This migration intensified many urban and public health problems, among them infant mortality. Among the states reporting lower infant mortality in 1963-64 compared with 1953-54 the declines were gen- erally small. In 30 states the decrease was less than 10 percent— in Vermont, Connecticut, Arkansas, and Wyoming it was only 1 percent. Only four states- Delaware, Colorado, New Mexico, and Arizona—showed declines of 20 percent or more. The largest reduction, 38 percent was recorded in Arizona, followed by 32 percent in New Mexico. These two sizeable declines are attributable largely to a Public Health Service program among the Indians, begun in 1955, which helped bring about a drop of over 50 percent in the nonwhite infant mortality rates. During 1 9^3-64, the average annual infant mortality was highest in Missis- sippi with 40.4 per 1,000 live births, followed by the District of Columbia with 33.5, South Carolina with 32.1, and Alabama with 31.6. The lowest rates were reported in Utah with 19.3, followed by Massachusetts with 20.2, Minnesota with 20.7, and Iowa with 20.9. July, 1967 THE HEALTH BULLETIN Both the chart and Table 1 show the smaller reductions in infant mortality among nonwhites than whites, with consequent widening disparity in infant death rates by race. The 1 1 percent reduction in the mortality of white in- fants over the recent decade was twice that for the nonwhite. In 1945-46 the nonwhite to white differential in infant mortality was 1.6 to 1; by 1963-64 it had risen to 1.9 to 1. There are con- siderable variations by state with re- spect to the relative progress made in reducing infant mortality rates by race. The reductions of 9 and 7 percent among whites of Louisiana and Georgia, respectively, were accompanied by scarcely any change for nonwhites. In Michigan, New York, the District of Columbia, and in four southern states the rate declined among white babies, but increased somewhat among the nonwhite. Every state which showed an overall increase, except Nevada, did so because of sizeable increases in the infant death rate among nonwhites.
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HEALTH SCIENCES LIBRARY OF THE UNIV
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he Phy and the Child"
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The State Legislative Building Wher
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The Public Health Policy Makers The
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National Leaders of the Council on
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THE HEALTH BULLETIN
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Immunization Prevention Is the Best
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The "Little Jack Puppet Show" Teach
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Starting Over with Help and Encoura
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^*> F^g n^^y UB8l«t
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Glue Sniffing . . The Quest for Ecs
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The Problem of Hernia Hernia, while
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Decade of Progress In Public Healfh
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Grove Park Inn Welcomes You Any Tim
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Introduction Robert F. Lewis, Ph.D.
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"Black Market Medicine" On May 15,
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Relations Center; and, third, a Rur
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'>Aa>.«^^ l*^^*^ ^^'"^ Juanit'o M.
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GOVERNOR MOORE PROCLAIMS SENIOR CIT
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A Message By Acting Secretary Of Co
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Dr. Scurletis Appoinf-ed Director o
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Secretary of Labor, W. Willard Wirt
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DEMOGRAPHY Senior Citizens in the U
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acoME 1950 1965 1965 RETIREI.ffiNT
Page 51 and 52: PROGRAM OUTLINE EASTERN DISTRICT, N
Page 53 and 54: The Officiar Publication Of T V^V^,
Page 55 and 56: Brains Across The Sea by Ronald Sch
Page 57 and 58: ers, 4400 nurses, 4200 engineers an
Page 59 and 60: Day Care Health Needs Information N
Page 61 and 62: 57 ® I Vol. I, No. 1, June 1967 FI
Page 63 and 64: children in wheelchairs, with brace
Page 65 and 66: Here's part of what Joseph E. Mur-
Page 67 and 68: Community Hospitals Offered Disaste
Page 69 and 70: ,^^ M/^1 /?67 [m\^ mmi'nm tiblicaf-
Page 71 and 72: i*?^ * 4 % Thomas F. Wood, M.D. 187
Page 73 and 74: Richard H. Lewis, M.D. 1892-1909 â
Page 75 and 76: W. S. Rankin, M.D. 1909-1925 May, 1
Page 77 and 78: Chas. O'H. Laughinghouse, M.D. 1926
Page 79 and 80: :^^ James M. Parrott, M.D. 1931-193
Page 81 and 82: Carl V. Reynolds, M.D. 1934-1948 Th
Page 83 and 84: J. W. R. Norton, M.D., M.P.H. 1948-
Page 85 and 86: \ m!\^ ©raiiû The Official Public
Page 87 and 88: The Insecticide That Turns The Bug
Page 89 and 90: June, 1967 THE HEALTH BULLETIN
Page 91 and 92: een following a course of investiga
Page 93 and 94: The mixture was no less than one hu
Page 95 and 96: fields is enormous. (The American b
Page 97 and 98: Progress In Venereal Disease Contro
Page 99 and 100: It^s Miami Beach For The APHA In Oc
Page 101: The Official Publication Of The Nor
Page 105 and 106: where large reductions were record-
Page 107 and 108: of newspaper accounts by the U. S.
Page 109 and 110: throughout the state concerning the
Page 111 and 112: NORTH CAROLINA STATE BOARD OF HEALT
Page 113 and 114: Simulat-ion Techniques Aid Workers
Page 115 and 116: TOURIST GUIDE FOR HANDICAPPED Washi
Page 117 and 118: etawiMiBMnnEiinni The Official Publ
Page 119 and 120: The nation's first community medica
Page 121 and 122: The Forgof-fen Addicts By Leslie R.
Page 123 and 124: lack period when he picked up more
Page 125 and 126: surnames are found most frequent- l
Page 127 and 128: New Emergency Medical Services Prog
Page 129 and 130: Influenza Is On Its Way! Substantia
Page 131 and 132: Smallpox Alert Physicians were urge
Page 133 and 134: iiWPiB] ^ e Official PublicaHon Of
Page 135 and 136: LEE HOLDER Public Health Department
Page 137 and 138: Dr. Alan Guttmacher, M.D., New York
Page 139 and 140: HEW Chief Explains Reorganization B
Page 141 and 142: part-time. Bu the unknown number wh
Page 143 and 144: clear the massive commitment of re-
Page 145 and 146: e the "Chief of State of the Legal
Page 147 and 148: North Carolina Recalls Walter Reed
Page 149 and 150: IBPIUJHIiiptllilJUIHiinilMI The Off
Page 151 and 152: NCPHA Award Winners Award Recipient
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New NCPHA Officers Newly elected of
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ship and capabilities of State heal
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Director of North Carolina Departme
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other group, should plan for the en
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partment of Administration has aske
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First Irwin V. Sperry Award Present
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The Official Publication Of T ^cîs
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Today's Priorities in Tuberculosis
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active, the risk becomes minimal fo
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The Program of the N. C. Tuberculos
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Another area in which the associa-
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Live Mumps Vaccine Trial A large-sc
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monthly Cancer Detection Clinic is
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HEALTH FACILITIES ADVISORY COMMITTE
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V/ TTi TSra^h ruiR/7\ns?rLn JlJ[^[A
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i Earl Siegel, M.D., M.P.H. Dr. Fre
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tile couples try to limit their fam
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year and illness per person year) i
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population and enriching family lif
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Help fo Needy Grows Through Medicai
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i whatever t- Both have the two pri
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and public health— shall be exami
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