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Page 1: DEPARTMENTstacks.cdc.gov/view/cdc/21797/cdc_21797_DS1.pdf · Birth registration ismuch mmot-onipU'iu limn fetal death registration. Table 7. Fetal deaths andfetal death ratios: 1945-63
Page 2: DEPARTMENTstacks.cdc.gov/view/cdc/21797/cdc_21797_DS1.pdf · Birth registration ismuch mmot-onipU'iu limn fetal death registration. Table 7. Fetal deaths andfetal death ratios: 1945-63

U.S. DEPARTMENT OF

HEALTH, EDUCATION, AND WELFARE

PUBLIC HEALTH SERVICE

HEALTH SERVICES AND MENTAL HEALTH ADMINISTRATION

National Center for Health Statistics

Rockville, Maryland 1970

'Ul.&StJPT.GFPQCa

Page 3: DEPARTMENTstacks.cdc.gov/view/cdc/21797/cdc_21797_DS1.pdf · Birth registration ismuch mmot-onipU'iu limn fetal death registration. Table 7. Fetal deaths andfetal death ratios: 1945-63

Page

introduction *-** ^-" " M4-" -" fc-- ""~"-"^ M "-^ M -*"-""'---'-- *-'-- -^ j.

Figure

A. Marriage and divorce rates: 1930-69--- 4

B. Birthrates: 1930-69 - --- 5

C. Fertility rates: 1930-69 6

D. Estimated illegitimacy rates: 1940-68 7

E. Infant mortality rates: 1930-69 9

F. Death rates: 1930- 69 10

Table

1. Population residing In the United States and annual rate of increase

(percent per year) between dates given: 1900-1969 3

2. Population residing in the United States, by age, and percent of total

population in each age group: 1940, 1960, and 1969 3

3. Marriages, divorces, andrates: 1930-69 4

4. Live births and birthrates: 1930-69- - 5

5. Birth rates by age of mother: 1940-69 6

6. Estimated number of illegitimate live births and illegitimacy rates and

ratios: 1940-68 - - - 7

7. Fetal deaths and fetal death ratios: 1945-68 8

8. Infant and maternal mortality: 1935-68 8

9. Neonatal mortality rates by color and sex: 1950-68 9

10. Deaths, death rates, and age-adjusted death rates: 1935-68 10

11. Deaths and death rates, by age and sex: 1968 11

12. Deaths and death rates for the 10 leading causes of death in 1967 and

death rates for these same causes in 1900 12

13. Deaths and death rates for the 10 leading causes of death, by sex: 1967- 13

Page 4: DEPARTMENTstacks.cdc.gov/view/cdc/21797/cdc_21797_DS1.pdf · Birth registration ismuch mmot-onipU'iu limn fetal death registration. Table 7. Fetal deaths andfetal death ratios: 1945-63

CONTENTS Con.

Page

14. Deaths and death rates for the 10 leading causes of death in specified

age and sex groups: 1967---------------------------------------- 14

15. Deaths and death rates for diseases of heart (400-402, 410-443), by ageand sex: 1950 and 1967 --------------------------------------------- 20

16. Deaths and death rates formalignantneoplasms.includinglymphatic and

hematopoietic tissues (140-205), by age and sex: 1950 and 1967 -------- 21

17. Deaths and death rates for malignant neoplasms, including neoplasms of

lymphatic and hematopoietic tissues (140-205): Selected years, 1950-67- 22

18. Death rates for malignant neoplasm of bronchus and trachea, and of

lung specified as primary (162); malignant neoplasms of lung, un-

specified as to whether primary or secondary (163): 1950-67 ---------- 23

19. Death rates for homicide (E964,E980-E985): 1935-67---------------- 24

20. Death rates for suicide (E963.E970-E979): 1935-67 ---- ....... --..... 24

21. Death rates per 100,000 population for specified chronic diseases of

respiratory system: 1950, 1960, and 1967 --- ...... ---------------- 25

22. Deaths and death rates for accidents, by external cause of injury: 1950

and 1967------------------------- ...... ------------------------- 26

23. Average remaining lifetime in years at specified ages: 1900- 1902 to

, ____ ._____________________________________________________ 27" ** ~"~ *"~ '

24, Average remaining lifetime in years at specified ages, by color, and sex:

1900-1902, 1959-61, and 1968 ......--------------------- ..... ---- 28

25. Communicable diseases reported cases and registered deaths:

7 - -- ___ ___. ___ -- - ___ __________________ 29/~""^ " " t*s

26. Selected health statistics: 1968 ...... --------------- - -----......... 31

27. Leading causes of bed disability among acute conditions: 1968--------- 32

28. Selected chronic conditions causing limitation of activities: July 1965-

June 1967....... ------------ ................. - .............. ---- 33

29. Estimated persons employed in selected occupations within each health

field: 1968------------------ ...... --------------- ........... ---- 34

30. Physicians in relation topopulation: Selected years, 1950through 1967-- 37

31. Physicians by type of practice: 1963-67 ---------------------------- 39

Page 5: DEPARTMENTstacks.cdc.gov/view/cdc/21797/cdc_21797_DS1.pdf · Birth registration ismuch mmot-onipU'iu limn fetal death registration. Table 7. Fetal deaths andfetal death ratios: 1945-63

INTRODUCTION

The statistics in this report have been assembled by the National

Center for Health Statistics, Public Health Service, to answer questions

frequently asked about vital and health statistics for the United States.

Information on births, deaths, marriages, divorces, and life expect-

ancy is based on vital data gathered by the Center's Division of Vital

Statistics.

Estimates for selected health conditions, chronic conditions,

persons injured, and days of bed disability came from the Division of

Health Interview Statistics.

Health personnel data were obtained from the Division of Health

Resources Statistics.

Reported cases of communicable diseases came from the Center

for Disease Control, Atlanta, Georgia.

Vital statistics shown in this report include only events occurring

within a specified area. Beginning with 1933, all data cover events

occurring within the entire conterminous (48) United States. Beginning

with 1959, the figures include Alaska, and starting with 1960, they in-

clude Hawaii. For the years prior to 1933, data for marriages, divorces,

and births, when these are shown as having been adjusted for underregis-

tration, are for the entire United States. Data for registered births and

deaths, prior to 1933, are for expanding groups of registration States.

Fetal deaths are excluded from birth and death statistics. Fetal

death figures include only fetal deaths for which the period of gestation

was given as 20 weeks or more or was not stated.

Numbers shown as estimated in certain tables are based on a sample

of incomplete data. Numbers shown as provisional are based on figures

reported on a monthly bcisis and are subject to revision in final tabu-

lations,

Rates are based on population figures from the Bureau of the Census.

Birth and divorce rates for 1941-46 are based on population including

the Armed Forces abroad; other rates are based on total population

residing in the area. For years ending in a zero, rates are based on

the enumerated population as indicated in table 1. For all other years,

rates are based on estimated midyear population.

1

Page 6: DEPARTMENTstacks.cdc.gov/view/cdc/21797/cdc_21797_DS1.pdf · Birth registration ismuch mmot-onipU'iu limn fetal death registration. Table 7. Fetal deaths andfetal death ratios: 1945-63

SYMBOLS

Data not available .

Category notapplicable

Quantity zero

Quantity more than but leas than 0.05 0.0

Figure does not meet standards of

reliability orprecision*

Page 7: DEPARTMENTstacks.cdc.gov/view/cdc/21797/cdc_21797_DS1.pdf · Birth registration ismuch mmot-onipU'iu limn fetal death registration. Table 7. Fetal deaths andfetal death ratios: 1945-63

Table 1. Population residing in the United States and annual rate of increase (percentper year) between dates given- 1900-1969

ie i H" -

Table 2. Population residing in the United States, by age, and percent of totallation in each age group: 1940, 1960, and 1969

[fiiumomtoii n's of April 1 for 1840 nnd 1000 nnd oalinmloil ns of July 1 for IQba]

popu-

Page 8: DEPARTMENTstacks.cdc.gov/view/cdc/21797/cdc_21797_DS1.pdf · Birth registration ismuch mmot-onipU'iu limn fetal death registration. Table 7. Fetal deaths andfetal death ratios: 1945-63

Table 3, Marriages, divorces, and rates: 1930-69

^Estimated for 1935 and 1955-67

^Estimated, Includes reported annulments.^Provisional.

FIG. A. MARRIAGE AND DIVORCE RATES) 1930-69

(Per 1,000 population)

..m.lHi'"""1

''"".I,,.,,,.,.

LLJLJLL'I i i i i Lii i i i i i n I i

[

D'V 'ce *"***

'"'"""""'"Unmum ..niMHim-m

20

10

1930 1940 1950 I960 1970

Page 9: DEPARTMENTstacks.cdc.gov/view/cdc/21797/cdc_21797_DS1.pdf · Birth registration ismuch mmot-onipU'iu limn fetal death registration. Table 7. Fetal deaths andfetal death ratios: 1945-63

Table 4, Live births and birth rates: 1930-69

Year

Registered livebirths

Number

Rate pai1,000popu-lation

Births adjusted forunderregistration 1

Number

Rate per1,000popu-lation

1930 "2,203,958

2,155,105

2,360,399

2,735,4561950 3,554,1491955- 4,047,2951956 4,163,0901957 4,254,7841958* 4,203,8121959'1 -

4,244,796

4,257,850

4,268,326

4,167,362I 963 4,098,0201964 4,027,490I 965 ~

3,760,3581966

4

3,606,274196 7

5

3,520,9591968' -

3,501,5641969 -

3,571,000

18

16

17.9

19.5

23.6

24.6

24.9

25.0

24.3

24.0

23.7

23.3

22.4

21.7

21.0

19.4

18.4

17.8

17.5

17.7

32, 618,000

2,377,000

2,559,000

2,858,000

3,632,000

4,104,000

4,218,000

4,308,000

4,255,000

4,295,000

21.3

18.7

19.4

20.4

24.1

25.0

25.2

25.3

24.5

24.3

^Adjustment for underregistration discontinued after 19592 Birth-registration area included 46 States.Estimated for the entire United States.

*Data based on a 50-percent sample of births.*> Based on a 20-to 50-percent sample of births."Provisional.

FIG, B. BIRTH RATES: 1930-69

(Per 1,000 population)

Live Births Arf/usfcd for Underreglslrallon

1930 1940 I960 I960 1970

406-099 O - TO - 2

Page 10: DEPARTMENTstacks.cdc.gov/view/cdc/21797/cdc_21797_DS1.pdf · Birth registration ismuch mmot-onipU'iu limn fetal death registration. Table 7. Fetal deaths andfetal death ratios: 1945-63

Table 5. Birth rates by age of mother: 1940-69

Year15-44years

1

10-14years

15-19

years

20-24years

25-29years

30-34years

35-39years

40-44years

45-49years

1940 79.9

1945 85.9

1950 - 106.2

1955 118.5

1956-' 121.2

1957" 122.9

19582

120.2

1959" 118.8

I9603

118.0

196r 117.2

19623

112.2

1963" 108.5

1964" 105.0

19652

96.6

1966'2

91.3

19673

87.6

19682

85.7

19691 '* 85.8

0.7

0.8

1.0

0.9

1.0

1.0

0.9

0.9

0.8

0.9

0.8

0.9

0.9

0.8

0.9

0.9

1.0

54.1

51.1

81.6

90.5

94.6

96.3

91.4

89.1

89.1

88.0

81.2

76.4

72.8

70.4

70.6

67.9

66.1

135.6

138.9

196.6

242.0

253.7

260,6

258.2

257.5

258.1

243.7

231.2

219.9

196.8

185.9

174.0

167.4

122.8

132.2

166.

190.

194.

199.4

198.3

198.6

197.4

197.9

191.7

185.8

179.4

162.5

149.4

142.6

140.3

83.4

100.2

103.7

116.2

117.3

118.9

116.2

114.4

112.7

113.3

108.9

106.2

103.9

95.0

85.9

79.3

74.9

46.3

56.9

52.9

58.7

59.3

59.9

58.3

57.3

56.2

55.6

52.7

51.3

50.0

46. 4

42.2

38.5

35.6

15.6

16.6

15.1

16,

16,

16.3

15.7

15.3

15.5

15.6

14.8

14.2

13.8

12.8

11.7

10.6

9.6

1.9

1.6

1.2

1.0

1.0

1.1

0.9

0.9

0.9

0.9

0.9

0.9

0.3

0.8

0.7

0.70.6

!

Rates computed relating total births, regardless of age of mother,15-44 years.

-Based on a 50-percent sample of births.;!Based on a 20-to 50-percent sample of births.'Provisional.

to women aged

130

120

100

70

FIG. C. FERTILITY RATES: 1930-69

Fertility Rates Per 1,000

Women 15-44 Years

_ *Provisional.

fl I I I I I I I IT I I I I II | | ITI I I i

|

1930 1940 1950 I960

TO

nI97O

Page 11: DEPARTMENTstacks.cdc.gov/view/cdc/21797/cdc_21797_DS1.pdf · Birth registration ismuch mmot-onipU'iu limn fetal death registration. Table 7. Fetal deaths andfetal death ratios: 1945-63

Table 6. Estimated number of illegitimate live births and illegitimacy rates andratios: 1940-68

Data based on a 50-percent sample of births."Data based on a 20-to 50-percent sample of births.

FIG. D. ESTIMATED ILLEGITIMACY RATES: 1940-68

30i (Per 1,000 Unmarried Women Aged 15-44 Years)

1940 I960 I960 970

Page 12: DEPARTMENTstacks.cdc.gov/view/cdc/21797/cdc_21797_DS1.pdf · Birth registration ismuch mmot-onipU'iu limn fetal death registration. Table 7. Fetal deaths andfetal death ratios: 1945-63

i, , < i'- , 'jf'-unual evidence that many fetal

"_ },(: reported. < onsequently, the ratios

,1'

i r ii>l"

.ire- believed to be considerably-

f ![>.-.-. art- annual national estimates

based on the registered Wnlis untl knjii ilL-.iflUi.

Birth registration is much mmo t-onipU'iu limn

fetal death registration.

Table 7. Fetal deaths and fetal death ratios: 1945-63

Ratto1,000btrth

15is,

lfi.2i.r).7

l'j.615.8

Table 8, Infant and maternal mortality; 1935-68

530

319

childbirth, and the

residents of New Jerseyt

puer-

Page 13: DEPARTMENTstacks.cdc.gov/view/cdc/21797/cdc_21797_DS1.pdf · Birth registration ismuch mmot-onipU'iu limn fetal death registration. Table 7. Fetal deaths andfetal death ratios: 1945-63

FIG. E, INFANT MOfcTAllTY RATES: 1930-69

1940 1950 I960

60

50

- 40

- 30

- 20

. 10

1970

Table 9. Neonacal mortality races by color and sex: 1950-68

[fintos are dontht. under 2& days per 1,000 live births in specified cotor-scx group]

color exclude data for residents of New Jersey.

Page 14: DEPARTMENTstacks.cdc.gov/view/cdc/21797/cdc_21797_DS1.pdf · Birth registration ismuch mmot-onipU'iu limn fetal death registration. Table 7. Fetal deaths andfetal death ratios: 1945-63

Table 10. Deaths, death rates, and age-adjusted death rates: 1935-68

'Adjusted to age distribution of U.S. population as enumerated in 1940,

^Figures by color exclude data for residents of Hew Jersey.

FIG. F- DEATH RATES: 1930-69

{Per 1,000 population)

^Provisional.

Ofl I I I I I I I

10

9 -

10

LL-LJ-JJ1930 1940 1950 I960 1970

10

Page 15: DEPARTMENTstacks.cdc.gov/view/cdc/21797/cdc_21797_DS1.pdf · Birth registration ismuch mmot-onipU'iu limn fetal death registration. Table 7. Fetal deaths andfetal death ratios: 1945-63

Table 11, Deaths and death rates, by age and sex: 1968

"Includes deaths for which age was not stated.

11

Page 16: DEPARTMENTstacks.cdc.gov/view/cdc/21797/cdc_21797_DS1.pdf · Birth registration ismuch mmot-onipU'iu limn fetal death registration. Table 7. Fetal deaths andfetal death ratios: 1945-63

The next table shows the number of deaths

and death rates for the leading causes of death in

1967 and death rates for these causes in 1900.

Figures for the 2 years show gross changes in

mortality, but they are not exactly comparable in

many respects. The rates for 1900 are based on

deaths in 10 States and the District of Columbia,

while the figures for 1967 are for the entire United

States. New discoveries in medicine and new diag-

nostic facilities have produced an improvement in

reporting causes of death. Causes of death which

were not recognized as disease entities in 1900 are

relatively frequent in 1967, The classification of

causes of death is revised every decade to kt

abreast of new information.

For 1967 deaths were classified accordinj

the Seventh Revision of the International Lists

Diseases and Causes of Death, and for 1900, i

cording to the First Revision. Also, beginnings

1949, the underlying cause of death indicated

the physician is generally the cause used in s

tistical tabulation. In earlier years, a fixed sei

priorities was used to select the cause of death

be tabulated when more than one cause was 3

ported.

Table 12. Deaths and death rates for the 10 leading causes of death in 1967 and dearates for these same causes in 1900

etc.

* Birth injuries, asphyxia, infections of newborn, ill-defined diseases, -immaturity2 Not comparable because of change in classification.

Page 17: DEPARTMENTstacks.cdc.gov/view/cdc/21797/cdc_21797_DS1.pdf · Birth registration ismuch mmot-onipU'iu limn fetal death registration. Table 7. Fetal deaths andfetal death ratios: 1945-63

Table 13. Deaths and death rates for the 10 leading causes of death, by sex: 196?

10G-OBD O - 10 -

13

Page 18: DEPARTMENTstacks.cdc.gov/view/cdc/21797/cdc_21797_DS1.pdf · Birth registration ismuch mmot-onipU'iu limn fetal death registration. Table 7. Fetal deaths andfetal death ratios: 1945-63

Table 14. Deaths and death rates for Che 10 leading causes of death in specified ageand sex groups; 1967

Page 19: DEPARTMENTstacks.cdc.gov/view/cdc/21797/cdc_21797_DS1.pdf · Birth registration ismuch mmot-onipU'iu limn fetal death registration. Table 7. Fetal deaths andfetal death ratios: 1945-63

Table 14. Deaths and death rates for the 10 leading causes of death in specified ageand sex groups: 1967 Con.

15

Page 20: DEPARTMENTstacks.cdc.gov/view/cdc/21797/cdc_21797_DS1.pdf · Birth registration ismuch mmot-onipU'iu limn fetal death registration. Table 7. Fetal deaths andfetal death ratios: 1945-63

Table 14. Deaths and death rates for the 10 leading causes of death in specified ageand sex groups: 1967 Con.

Rank Age, sex, cause of death, and category numbers of theSeventh Revision of the International Lists, 1955

Number

Rate per100,000

popul a tionin agegroup

15-24 years, J^oth sexes

All causes 37, 706

1 Accidents - E800-E962 21,6452 Homicide - E964,E980~E985 2,9233 Malignant neoplasms, including neoplasms of lymphatic and

hematopoietic tissues 140-205 2,6634 Suicide - E963.E970-E979 2,2445 Diseases of heart - 400-402,410-443 8406 Influenza and pneumonia, except pneumonia of

newborn 480-493 7357 Congenital malformations - 750-759 700

Vascular lesions affecting central nervous system 330-334 461Chronic and unspecified nephritis and otherrenal sclerosis - 592-594 382

10 Other diseases of circulatory system 451-468 363

I5~24years,male

All ^fHicftc-.^^.^*... _>._.. ta t._,______ ta ____ u _______.._. u _^.__i l_-i u _ 7 1 ft *\dJ~ 1, ^Ell_l3t-a~"~^ -^ -^ ^ .*.* ^ _ _ . * ^ * . * &i f y &.\J +J

1 Accidents - E800-E962 17,2902 Homicide - E964,E980-E985 2,2753 Suicide E963,E970-E979 1,6714 Malignant neoplasms, including neoplasms of lymphatic and

hematopoietic tissues 140-205 1,6045 Diseases of heart 400-402,410-443 4846 Influenza and pneumonia, except pneumonia of

newborn . 480-493 4357 Congenital malformations - - 750-759 4188 Chronic and unspecified nephritis and other renal

sclerosis-- - - 592-594 2189 Vascular lesions affecting central nervous system 330-334 216

10 Other diseases of circulatory system-- 451-468 112

15j-^

All causes 10,521

1 Accidents - E800-E962 4,3552 Malignant neoplasms, including neoplasms of lymphatic and

hematopoietic tissues 140-205 1,0593 Homicide --E964,E980-E985 '6484 Suicide E963,E970-E979 5735 Diseases of heart- 400-402,410-443 3566 Deliveries and complications of pregnancy, childbirth, and

the puerperium - 640-689 3477 Influenza and pneumonia, except pneumonia of

newborn---- _ 480-493 3008 Congenital malformations ~ 750-759 2829 Other diseases of circulatory system 451-468 251

10 Vascular lesions affecting central nervous system 330-334 245

116.9

67.19,1

8.37.02.6

2,32,21.4

1.21.1

170,4

108.414.310.5

10,13,0

2.72.6

1.40.7

64.5

26.7

6.54.03.52,2

2,1

1.81.71.51.5

Page 21: DEPARTMENTstacks.cdc.gov/view/cdc/21797/cdc_21797_DS1.pdf · Birth registration ismuch mmot-onipU'iu limn fetal death registration. Table 7. Fetal deaths andfetal death ratios: 1945-63

Table 14. Deaths and death rates for the LO leading causes of death inand sex groups: 1967 Con.

specified age

Rank Age, sex, cause of death, and category numbers of theSeventh Revision of the International Lists, 1955

Number

Rate per100,000

populationin agegroup

25-44 years, both sexes

All causes - - 108,825

1 Accidents - --E800-E962 23,2552 Diseases of heart 400-402,410-443 19,9163 Malignant neoplasms, including neoplasms of lymphatic and

hematopoietic tissues 140-205- 18,3864 Suicide - E963.E97Q-E979 6,7805 Homicide - E964.E980-E985 6,2226 Cirrhosis of liver - -- 581 5,0147 Vascular lesions affecting central nervous system 330-334 4,776

Influenza and pneumonia, except pneumonia ofnewborn 480-493 2,440

9 Other diseases of circulatory system 451-468 1,74510 Diabetes mellitus - - 260 1,710

25-44 years, male

All causes 68,663

1 Accidents - E800-E962 18,3572 Diseases of heart - 400-402,410-443 14,6023 Malignant neoplasms, including neoplasms of lymphatic and

hematopoietic tissues 140-205 8,0124 Homicide E964,E980-E985 4,8685 Suicide E963,E970-E979 4,5846 Cirrhosis of liver - 581 3,0867 Vascular lesions affecting central nervous system 330-334 2,232

Influenza and pneumonia, except pneumonia ofnewborn 480-493 1,441

9 Diabetes mellitus - - 260 98410 Other diseases of circulatory system 451-468 715

25-44 years , female

_..__b. u _..*.u.._te_taii*_tab._-*Bi*_*_BBi __**^ *-* -**- ^ ^"^^ to- '

1 Malignant neoplasms, including neoplasms of lymphatic and

hematopoietic tissues 140-205 10,3742 Diseases of heart--- - 400-402,410-443 5,3143 Accidents- - - E800-E962 4,8984 Vascular lesions affecting central nervous system 330-334 2,5445 Suicide E963,970-E979 2,1966 Cirrhosis of liver- - 581 1,9287 Homicide E964,E980-E985 1,3548 Other diseases of circulatory system 451-468 1,030

Influenza and pneumonia, except pneumonia ofnewborn 480-493 999

10 Diabetes mellitus 260 726

233.2

49.842.7

39.414.513.310.710.2

5.23.73.7

301.2

80.564.0

35.121.420.113.59.8

6.34.33.1

168.3

43,522.320.510.79.28.15.74.3

4.23.0

17

Page 22: DEPARTMENTstacks.cdc.gov/view/cdc/21797/cdc_21797_DS1.pdf · Birth registration ismuch mmot-onipU'iu limn fetal death registration. Table 7. Fetal deaths andfetal death ratios: 1945-63

Table 14. Deaths and death rates for Che 10 leading causes of death inand sex groups: 1967 Con.

specified age

Ran Age, sex, cause of death, and category numbers of theSeventh Revision of the International Lists, 1955

Number

Rate per100,000

populationin agegroup

45-64 years 3 both sexes

All causes 459,203

1 Diseases of heart 400-402,410-443 177,7332 Malignant neoplasms, including neoplasms of lymphatic and

hematopoietic tissues 140-205 112,9913 Vascular lesions affecting central nervous system 330-334 31,0794 Accidents - --E800-E962 23,8265 Cirrhosis of liver 581 15,8846 Diabetes mellitus 260 9, 1577 Influenza and pneumonia, except pneumonia of

newborn - - 480-493 8,436Suicide -

E963,E970-E979 8,3479 Other bronchopulmonic diseases 525-527 8,308

10 Other diseases of circulatory system 451-468 7,898

45 -64 years . inalg

All causes _ 297,849

1 Diseases of heart -400-402,410-443 130,362

Malignant neoplasms, including neoplasms of lymphatic andOm " "" "*~~---140-205 60,893

i i . ff -E800-E962 17 ,422vascular lesions affecting central nervous system 330-334 16 879Cirrhosis of liver

CQ-I'

6 Other bronchopulmonic diseases-- - 525-527 6 6597 Suicide --E963,E970-E979 5*inlluenza and pneumonia, except pneumonia of

'

newborn9

10 ._.

45-64 years, female

161,354

of

2 Diseases of "heart------^IZIII""!"" r^V^?^? 52,098

5 Cirrhosis "o'fTiverllllUlIII E800-E962 6,4046 Diabetes mellitus I"" 581 5,5137 Influenza and

pneumonia,

9 suicid.----:::/]fc"^^^^

10 Other bronchopulmonic d"i"s"e"a"s"e"s":::::::::::""E963 * E9^:E979 2,462oo -0/7 1,649

1,143. 4

442.6

281,477.459.339.622.8

21.020. S20.719.7

1,542.8

675.2

315.490.287.453,34,

30,

29.327.022.1

773.8

249.8227.268,

30,

26,

23.

13.312.911.87.9

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Table 14, Deaths and death rates for the 10 leading causes of death in specified ageand sex groups,: 1967 Con.

19

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Table 15. Deaths and death rates or diseases of heart (400-402, 410-443) , byand sex: 1950 and 1967

s nflor cnuse of death are category numbers of the Seventli Revision of tho Inteinntionul Lists, 1955]

20

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Table 16, Deaths and death rates for malignant neoplasms, including lymphatic and hem-

atopoietic tissues (140-205), by age and sex: 1950 and 1967

fNumbers aflGr cause of death nre category numbers of lho Seventh Revision of tho International Lists, 195Ji]

21

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Table 17. Deaths and death rates for malignant neoplasms, including neoplasms of lym-

phatic and hematopoietic tissues (140-2055: Selected years, 1950-67

22

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Table 18. Death rates for malignant neoplasm of bronchus and trachea, and of lung

specified as primary (162); malignant neoplasm of lung, unspecified as to whether

primary or secondary (163): 1950-67

[Rates per 100,000 population in specified group. Numbers after cause of death are category numbers of the Seventh Revision of

the International Lists, 195f>J

Rates by color exclude New Jersey.

23

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Table 19. Death rates for homicide (E964,E980-E985) : 1935-67

pr-r 100,000 population in fa|iecifie(l .group. Numbers after cnuse of (loath HID category numbers of tin 1 Si>vrnt!i Itr>viHion t) l

t ho International Lists, 19 5n]

-Rates by color exclude New Jersey.

[Bate, per 100 ,000

Table 20. Death rates for suicide (E963,E970-E979) . 1935 _67,n speci fie( l groilp N,

;mhers^ of d

the International Li&ts, 1955]

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ii TITable /J,.

rates per 100,000 population for specified chronic diseases of respira-tory system: 1950, 1960, and 1967

25

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Table 22. Deaths and death rates for accidents by external cause of injury: 1950 and1967

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Table 23, Average remaining lifetime in years at specified ages: 1900-1902 to 1968

[For 1900-1902, data aio foi 10 States and the District of Columbm; for 1919-21, for 34 States and the District of Columbia. Bo-

ginning with 1939-41, data arc for the UnitedStates]

27

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Table 24. Average remaining lifetime in years at specified ages, by color, and sex;

1900-1902, 1959-61, and 1968

[Foi 1900-190:2, data are for 10 States and tho District of Columbia; tor 1959-61 and 19C8 data arc for the Uniloil Stnton]

Figures for the all other groups cover only Negroes. However, the Negro populationcomprised 95 percent of the corresponding all other population.

28

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Table 25. Communicable diseases reported cases and registered deaths: 1960-67

[Numbers nftor dinpuboi aro category numbers of the Seventh Revision of iho International List,, 1053. Sinco fionuoncip* arc for aalndnr vonrsnot nil deaths noco&dfliily resulted Trom the c >("*

li'lliiv!]

Cases include both infectious and serum hepatitis; deaths are for infectious hepatitis (092)only,

2Figures for cases of rabies in man represent registered deaths, 1961.

29

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Table 25. Communicable diseases -reported cases and registered deaths: 1960-67-Con.

rs after dueasea are category numbers of tho Seventh Revision of tho Intornationa! Lists, iOH. Since froquonnos are for calendar yQMS ,

r. it e ^ ^ dm^B nocoa3nf| i ro8U | tod from the caoos talliodj

*J

Newly reported active cases.

Newly reported cases.f Co diseases came from the Center for Disease Control, HSMHA,

30

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The Division of Health Interview Statistics

obtains data on a wide variety of health topics.

These data are reported from household inter-

views conducted during each year in 42,000 house-

holds consisting of about 134,000 persons. Data in

tables 26 and 27 are based on interviews during

1968 while data in table 28 are annual averages

based on data collected during the period July1965-June 1967. The data refer to the civilian,

noninstitutional population of the United States.

During July 1965-June 1967 this population

averaged 191,537,000 persons ofwhom 42,875,000were 6-16 years of age and 124,616,000 were 17

years or older. In 1968 this population averaged

Table 26. Selected health statistics: L968

Health topicEstimated nationalannual frequency

Number of acute conditions:Infective and parasitic diseasesl_l Ol milOil CQ-LQ"""**"*'*"1" *" ^ _ I- b..H_P-.~l*- -m. mmtU _IH_Hta<P.h-l m.mm -m+mmmmrmrmmi.ll*fm.W*H

Other acute respiratory conditions -

Acute digestive conditions--- ~

j_n "i mr iLGo *- ~ ** -.*.*.^ .,* ~..p-t **tau-**.._ _ W i-.-*_,i.w, MV _ H .v___ taH t- ta -tar-t<- -

All other acute conditions -~

Number of days of disability:Res trie ted -activity days ---. -__..--Tl Cl/"! rlOlTO _ _ _ _ ^ ^.m^ .mm mm mm m~ m-mm *m mm m- -mm _M_ U **_ta__ta__-__..___u t_ _ _..___ m . ___.1JL*-1_1. LJC4 V O "" -^ ~ mm _ .. n --__.. mm- .mm mm r-,^mm mmm,.mm-mm^.^,m,mm.,mmmm.m,-,mmmmm,mmmmmmmmm,mmmmmm.

School -loss days (ages 6-16 years)Work-loss days (reported for currently employed persons17 years and over)

Number of persons with limited activity due to chronic diseaseor impairment :

With any degree of limitation of activityWith limitations in major activity^ ._--

Medical and dental care:Number of physician visits

VlSlbS *-" mt *m tm * +m V+ mm mm m, mm m, m. m. *.-**mmmmmmm.^m,mm,^m-.m,m- " + mm- mm - ,

* fl \7'\ O"T i'G ^mmm^^mmmf^mm m, MM m- mm *.mmm*mm*mmm.m.m*m.f*. m.~.+m.m--. m-mm m..-m.mm*,mmm.-.++mm. mm mm ,. mm m^ mm* \~> -V_I_^_LL.O*"****"I I"" H*^"'

Other visits or consultations--- --_-

Number of dental visits 4

Number of persons injured:1 '

In moving motor vehicle accidentsIn work accidents---In home accidents _----_-_---_-_-..---.In all other accidents --_-

41,592,00093,683,000144,792,00019,390,00051,620,00048,017,000

2,996,059,0001,223,240,000

219,229,000

412,619,000

21,329,00017,899,000

815,324,00021,079,000

586,388,000207,857,000259,990,000

3,414,0009,287,00020,475,00017,381,000

frequencies include only acute conditions for which a doctor was consulted orwhich caused the person to restrict his normal daily activities for at least 1 day.

2 The figures are not mutually exclusive. A work- or school -loss day may also be abed day. Work-loss days, school-loss days, and bed days are included in restricted-activity days.

3Major activity refers to ability to work, keep house, or engage in school or pre-school activities.

^This figure is a correction of data shown in estimated annual volume of dentalvisits in the United States, 1968. Monthly Vital Statistic Report, Vol. 18, No, 9,

Supplement 2, December 18, 1969.5The frequencies include only persons whose injuries required medical attention or

resulted in at least 1 day of activity restriction. The classes of accidents are not

mutually exclusive, e.g., a person injured in a moving motor vehicle while at work isclassified in both categories.

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195,392,000 persons of whom 44,308,000 were 6-16

years of age and 128,386,000 were 17 years or

older.

In general, the items listed follow commonly

accepted definitions. Technical uses of the data

and more detailed information about the topics

are given in the report entitled "Health Survey

Procedure" (Vital and Health Statistics, PHS

Pub. No. 1,000, Series 1, No. 2).

Table 27. Leading causes of bed disability among acute conditions: 1968

32

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The Division of Health Interview Statistics

obtains data on chronic conditions reported tohave

caused or contributed to limitation of activities.

The estimates shown below include conditions

limiting major activities such as working, keeping

house, and going to school as well as those caus-

ing lesser limitation not related to major activity.

Excluded are conditions causing limitation among

persons in resident institutions, sanitariums,chronic disease hospitals, nursing homes, and

homes for the aged,

Additional data about conditions causing limi-

tation of activities are shown in "Chronic Con-ditions Causing Activity Limitation" (Vital andHealth Statistics, PHS Pub. No. 1,000, Series 10,

No. 51).

Table 28. Selected chronic conditions causing limitation of activities: July 1965June 1967

Condition causing limitation of activities EstimatedNumber of cases

Tuberculosis, all forms

Malignant neoplasmsBenign and unspecified neoplasmsAs thma-hay feverDiabetes "'-- ta ta - _-"-<--"-- __ ___--__-*_-Mental and nervous conditionsT-l PIJI T* f~ n r*Ti f\ ? f1

_ nn G *_. _ _ _ _ _____.. _ _ *. __. tata __________________ _______1 1 CtU_ L- L~l_/J.LVL.L.L-JLLJI-li3 " " * i i i i i

. H*-**..*.***-..*...-***.- . ta*-, M * *

Hypertension without heart involvementVaricose veinsHemorrhoidsOther conditions of circulatory systemChronic sinusitis and bronchitisOther conditions of respiratory system1 ept 3Lc 1.1-Leer ~ * -- -. ..-. _ ____.*- _._.._.._ H _ _ _ .- _ .*._ __

T-Tj3i-n-I n _ --. _ -- _ _ ____ - _ ...._.. ______ ____________________ritii-ii-LcL"'~ fc"*""""*** Mi(""'~ i ~ ^ tata ~ fc """"*"*""" "" " "*' ^

Other conditions of digestive system ---

Conditions of genitourinary systemArthritis and rheumatismOther diseases of muscles, bones, and jointsVisual impairmentsHearing impairmentsParalysis, complete or partialImpairments (except paralysis) of back or spineImpairments (except paralysis and absence) of upper extremitiesand shouldersImpairments (except paralysis and absence) of lower extremitiesand hips

--

162,000276,000220,000

1,065,000562,000

1,711,0003,600,0001,187,000

435,000261,000691,000660,000595,000452,000521,000716,000894,000

3,248,000781,000

1,222,000403,000925,000

1,796,000

410,000

1,351,000

33

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Table 29. ESTIMATED PERSONS EMPLOYED IN SELECTED OCCUPATIONS WITHIN EACH

HEALTH FIELD: 1968

Health field and occupation Workers

Total' 3, 689, 650 to 3, 706,350

Administration of health services 39,000 to 45,000

Administrator, program representative, management officer . 39,000 to 45,000

Anthropology and sociology. . 1,400

Anthropologist cultural and phyaical. . GOO

Sociologist medical __ 800

Automatic data processing in the health field _ 700 to 1,000

Systems analyst L 700 to 1,000

Basic sciences in the health field _ _ 61,200Eesearch scientist (other than physician, dentist, veterinarian) 51, 200

Biomedical engineering 9,000

Biomedical engineer _ 2 3,000Biomedical engineering technician _ _ * 6,000

Chiropractic and naturopathy _ 16,000 to 18,000Chiropractor, naturopath, other drugless healer _ 16,000 to 18,000

Clinicallaboratory services _ _ 108,000

Clinical laboratory scientist _ 4 000Clinical (medical) laboratory technologist

3_. .'_ 43,000Clinical laboratory technician and assistant __ __ QI QOO

Dentistry and allied services. _ __ _ 237 000

Dentist . ',= 100,000Dental hygiemst __ , 15 Ofl0Dental assistant ____'_' * Qf>',mDental laboratory technician i ^ 000

Dietetic and nutritional services ._ "s6~000

Dietitian and nutritionist e *000

Dietary technician, food service supervisor '.".".['. 6*000

Economic research in the health field Knn . ,nn-' ------ - ::::::::::::::::::::::::::::::: .gjjggS

Environmental control~

, _..217,600

Environmental engineer'

Scientist....13 ' EO

Sanitarian "_,"_"_ -.

11' 000

Industrial hygienist. -"!!-""__""712, 000

Other environmental protection program'apecialTsts"."."

" " "

- J'

??JTechnicians and aides

" 16 ' 400- - -

163,000

Food and drug protective services28,400

Food technologist' ~~

Food and drug analyst and inspector"'"] "1~~]!"]!]~" ""

22,000

See footnotes at end of table,1,400

.34

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Table 29 ESTIMATED PERSONS EMPLOYED IN SELECTED OCCUPATIONS WITHIN EACHHEALTH FIELD: 1968 Continued

Health field and occupation Workers

Health and vital statistics

Health statistician, vital-record registrar, demographer .

Health education

Public health educator

School health educator, coordinator

Health information and communication

Health information specialist and science writer

Health technical writer

Medical illustrator _ _..

Library services in the health field

Medical librarian _

Medical library technician and clerk

Medical records

Medical record librarian _

Medical record technician

Medicine and osteopathy

Physician (M.D.)

Physician (D.O.)

MidwiferyLay midwife

Nursing and related services...

Registered nurse ,

Practical nurse

Nursing aide, orderly, attendant.

Home health aide

Occupational therapy

Occupational therapist..

Occupational therapy technician, assistant

Optometry, opticianry, and ocular services

Optometrist

Dispensing optician

Optical technician __

Ophthalmic assistant _

Orthoptist.

Orthotic and prosthetic technologyOrthotist and prosthetist

Pharmacy

Pharmacist

Pharmacy aide

1,500

1,600

20, 000 to 21,000

2,000 to 3,000

18,000

4,500 to 5,600

2,000 to 3, 000

"2,000500 to 600

9,000

*3,OQO

6,000

38,500

12,600

26,000

313,000

301, 600

11,600

4,400

4,400

1,825,000

680,000

345,000

786,000

14,000

11,200 to 12,200

6,700

4, 500 to 5,500

53,450

18,000

10,000

15,000

10,000450

3,600

3,600

130,100

124,50086,600

SM footnotes at end of table.

35

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T.blc 29. ESTIMATED PERSONS EMPLOYED IN SELECTED OCCUPATIONS WITHIN EACHHEALTH FIELD: -1968-Continued

Health field and occupation

Physical therapy _ ,

Physical therapist __..

Physical therapy technician, assistant

Podiatry, -- _ _

Podiatrist _

Psychology _ _

Psychologist clinical, counseling, and other health.,

Radiologic technology

Radiologic (X-ray) technologist, technician, assistant-

Secretarial and office services in the health field..

Receptionist, secretary, assistant, aide. _ _

Social work

Social workermedical and psychiatricSocial work assistant

Specialized rehabilitation services

Corrective therapist

Educational therapist _

Manual arts therapist

Music therapist _

Recreational therapist

Homemaking rehabilitation consultant

Speech pathology and audiology. _ _

Speech pathologist and audiologist.

Veterinary medicine

Veterinarian _

Vocational rehabilitation counselingVocational rehabilitation counselor. ..!_..

Miscellaneous health services

Surgical technical aide

Inhalation therapy technician"

Electrocardiograph technician

Electroencephalograph technician.

1 Each occupation is counted only once For example, all physiciansarc in medicine nnd osteopathyPiysiciana

hh6

t

7

?UaUia reP^ted '" HbSenCe ' SUfficlent '"^rmation onwhich to base revision

1 With bachelor's degree or ASCP certified1 Estimate indicates active rather than total.

Workers

19, 500 to 21,500

13,60026, 000 to 3,000

8,0008,000

12,00012,000

75,000 to 100,00075, 000 to 100,000

250,000 to 275,000250,000 to 275, 000

24,200

22,7008 1,500

8,900 to 10, 100

1,000 to 1,200e GOO900

2,2004, 000 to 5,000

300

17,00017,000

25,00025,000

11,10011,100

35,000 to 37,000

319, 0008,000

6,000 to 7, 0002,000 to 3,000

'Preliminary estimate.U96S wtimata repeated in absence of wffidont Information onwhich to baie revision' Previous Bdiuww included a combined oitimalo for "Sanitariansand Sanitarian Technicians".8 Limited to hospital employees in 19G6

36

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Table 30. PHYSICIANS IN RELATION TO POPULATION: SELECTED VEARS, 1950 THROUGH1967

See footnotes nt end of tnble.

37

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Table 30. PHYSICIANS IN RELATION TO POPULATION: SELECTED YEARS, 1950 THROUGH1967 Continued

' All data aa of December 81.1 Includes civilians In 50 States, District of Columbia, Puerto

Rico, and other U,S. outlying arena; U 3 citizens In foreign countries,

and the Armed Forces In United States and abroadi Includes non-Federal physicians In the 60 States, District of

Columbia, Puerto Rico, and other U.S. outlying areas (AmericanSamoa, Canal Zone, Guam, Pae I fie Islands, and Virgin Islands) j thosewith addresses temporarily unknown to the AMA; and Federal phy-sicians !n the United States and abroad. Excludes physicians with

temporary foreign addresses.< Excludes physicians with addresses tcmpornrily unknown lo tho

AMA nnd those whose status was not reported to tho ADA.1 Includes those m solo, partnership, group, or other (orma of

office practice nnd those In hospital-baaed practice Interns, residents,

fellows, and full-time hospital staff.

* Data for 1903-07 are for M.D.'s in aolo, partnership, group, or

other practice and D.O.'a In private practice. Prior to 1963 dntn refer to

M.D.'s and D O.'s In private practice.

Sources: AMA Department of Survey Research! Distribution of Physiciana, Hoiptfal*, and Hospital Beds in the V S..1BS7. Regional, Stale, County,Metropolitan ATKU. J. N. Haug and G. A. Roback Chicago.

American Medical Association, 1968. Also prior reports

Division of Public Health Methods, Dental Public Health and Resources, and Nursing' Manpower In the 1960's. Health Manpower SourceBook 18. PHS Pub No 263, Section 18. Public Health Service, U S. Department of Health, Education, and Welfare. Washington. U.S.Government Printing Office, 1064, Table 12.

Membership and Statistics Department: A Statistical Study of (he Oatwpathic Profeuion, December 31. 1987. Chicago. American OsteopathAssociation, June 1088. Also prior editions.

U S. Bureau of the Census: Population estimates. Current Population Reports. Series P-25, NOB. 827, 83Q, 368, 361, 888, and 802. U.S. De-partment of State- Annual Report on U.S. Citiun Pwonnel and Their Dependents-ai of March SI, 1D87. Also prior report*.

38

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Table 31. PHYSICIANS BY TYPE OF PRACTICE: 1963-67'

1 Includes non-Federal physicians In the BO .States, District

of Columbia, Puerto Itlco, and other US outlying KTBSII (American

Samoa, Canal Zone, Guam, Pacific Inlands, and Virgin Islands); those

with addresses temporarily unknown to the American Medical Aiiaoeia-

tion; nnd Federal physicians in the United Siatci unrt abroad Ex-

cludi'i physicians with temporary foreign addressed' Excludes the categories inactive, nddrpsa unknown, and stntun

not reported.' M D.'a include thoao in solo, partnership, group or other practice

nnd thoso in hospital-baaed practice; D O.'a include those in private

practice, and tlitne in hospital-based practice,1 Include* M D 's providing pnticnt care In private practice and

Institutional settings such as industry, Insurance companies, health

departments, laboratories, etc

* Includes no specialty and other specialties not recognized.

* Includes Interns, residents, and fellows.

' Includes teaching, administration, and research.

' Includes manipulative therapy.

Sources' AMA Department of Survey Research, Distribution of Physicians, HoBpffnJs, and Hospital Beds in the U.S.IS67: Regional, State, County,

Metropolitan Area J N HaugnndG.A Robark Chicago. American Medlcnl Association, 1968. Also, prior annual reports

AOA Membership and Statistics Department: A Stalwlicai Study of the Osttopalhte Profession, December 31, 1957. Chicago. American

Oitcopathlc Association, June 19G8 Also, prior annual reports.

U. S. GOVERNMENT PRINTING OFF(CE 1970 O - 406-0