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FOUKTKENTir BIENNIAL KEPOKT 73 a decline of .3 in our death rate from 1910 to 1911. This reduction applied to the entire population of the State means a saving of six hundred lives a year, which, capitalized at the average economic value of life $1,700, amounts to an economic value of $1,020,000. With that amount of life saved there was prevented an amount of sickness equal to the yearly total incapacitation of eighteen hundred people. So much for total losses and general death rates. Second, I wish to call your attention to certain special death rates. This is all important to the sanitarian in indicating to him the distribution of his forces in the war against disease. However, so long as public agencies for the suppression of disease are insufficiently equipped to prevent all sickness and death, it would certainly seem the part of wisdom to turn our guns on those diseases that are affecting the largest number of those interested in the prevention of disease, that is, diseases directly or indirectly responsible for the heaviest death rates. It, therefore, becomes a matter of importance that the sanitarian study special death rates carefully in order to appreciate those causes of death most deserving of his attention. Turning now our attention to these special death rates, I ask you to note, first, that North Carolina loses practically two thousand lives from tuberculosis in excess of what the State would lose with the average death rate from tuberculosis. Note again that the next heaviest loss is from the diar-rhoeal diseases of children under two years of age. Here again you observe that the entire excess loss from this cause to the State amounts to nearly two thousand lives a year. As a preventable cause of death, typhoid fever is next deserving of our attention. Our State had last year a triple death rate from this disease, and lost nearly one thousand lives in excess of what w^e would have lost had we had an average death rate from typhoid fever. The next disease from a standpoint of death and sickness that deserves our attention is malaria. The fatality from malaria is about one per cent, which would mean that with the loss of 515 lives from this cause in 1911 there must have been about five hundred thousand cases of chills and fever, or that about twenty-five per cent of the population of this State were infected at some time of 1911 with the Plasmodium malarice. With these excessive death rates, it is encouraging to know that the death rate of North Carolina from contagious diseases is less than the average that obtains throughout the United States. This fact is explained by the large proportion of rural to urban population in our State. Of course, the more concentrated a population the easier the means for spread of contagion. There is one intensely interesting and important lesson which the death rates from the four principal contagions should force upon this assemblage. As you know, there is great opposition to the quarantine of whooping cough in North Carolina. Some intelligent people are opposed to the quarantine of this contagion, which the census of the United States shows is more important than measles or scarlet fever as a cause of death, and which statistics show causes the death of fifty-four children under one year of age out of one hundred such children that contract the disease. Whooping cough ^ in North Carolina, in 1911, probably because the public did not look upon it as one of the necessary evils of childhood and opposed the quarantine of the disease, killed fifteen times as many children as scarlet fever, five times as many children as measles, and caused almost twice as many deaths as diphtheria, measles, and scarlet fever combined. The suggestion from these figures is unavoidable that the people of this State who dread scarlet fever with its susceptibility of fifty per cent and its fatality of twelve and a half per cent, demand its
Object Description
Rating | |
Fixed Title * | NCHH-02: Biennial Report of the North Carolina State Board of Health [1909-1972] |
Document Title | Biennial Report of the North Carolina State Board of Health [1909-1972] |
Subject Name | North Carolina. State Board of Health -- Statistics -- Periodicals. |
Subject Topical | Public health -- North Carolina -- Statistics -- Periodicals. |
Subject Topical Other | Public Health -- North Carolina. |
Description | Publication began with the 13th (1909/1910); ceased with the 44th (1970/1972) |
Creator | North Carolina. State Board of Health. |
Publisher | Raleigh : The Board, 1911- |
Repository | University of North Carolina at Chapel Hill. Health Sciences Library. |
Host | University of North Carolina at Chapel Hill |
Date | 1911-1912 |
Identifier | NCHH-02-014 |
Form General | Periodicals |
Language | English |
Rights | This item is part of the North Carolina History of Health Digital Collection. Some materials in the Collection are protected by U.S. copyright law. This item is presented by the Health Sciences Library of the University of North Carolina at Chapel Hill for research and educational purposes. It may not be republished or distributed without permission of the Health Sciences Library. |
Digital Collection | North Carolina History of Health Digital Collection |
Sponsor | The North Carolina History of Health Digital Collection is an open access publishing initiative of the Health Sciences Library of the University of North Carolina at Chapel Hill. Financial support for the initiative was provided in part by a multi-year NC ECHO (Exploring Cultural Heritage Online) digitization grant, awarded by the State Library of North Carolina, and funded through the Library Services and Technology Act (LSTA). |
Volume Number | 14 |
Health Discipline | Public Health |
Digital Format | JPEG 2000 |
Print / Download PDF Version | http://archives.hsl.unc.edu/nchh/nchh-02/nchh-02-014.pdf |
Document Sort | all; group-a; nchh-02 |
Volume Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/identi/searchterm/NCHH-02-014 |
Title Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/documa/searchterm/NCHH-02 |
Catalog Record link | http://search.lib.unc.edu/search?R=UNCb2375275 |
Description
Fixed Title * | Page 73 |
Document Title | Biennial Report of the North Carolina State Board of Health [1909-1972] |
Subject Name | North Carolina. State Board of Health -- Statistics -- Periodicals. |
Subject Topical | Public health -- North Carolina -- Statistics -- Periodicals. |
Subject Topical Other | Public Health -- North Carolina. |
Description | Publication began with the 13th (1909/1910); ceased with the 44th (1970/1972) |
Creator | North Carolina. State Board of Health. |
Publisher | Raleigh : The Board, 1911- |
Repository | University of North Carolina at Chapel Hill. Health Sciences Library. |
Host | University of North Carolina at Chapel Hill |
Date | 1911-1912 |
Identifier | NCHH-02-014-0077 |
Form General | Periodicals |
Page Type | all; report/review |
Language | English |
Rights | This item is part of the North Carolina History of Health Digital Collection. Some materials in the Collection are protected by U.S. copyright law. This item is presented by the Health Sciences Library of the University of North Carolina at Chapel Hill for research and educational purposes. It may not be republished or distributed without permission of the Health Sciences Library. |
Filename | biennialreportof14nort_0077.jp2 |
Digital Collection | North Carolina History of Health Digital Collection |
Sponsor | The North Carolina History of Health Digital Collection is an open access publishing initiative of the Health Sciences Library of the University of North Carolina at Chapel Hill. Financial support for the initiative was provided in part by a multi-year NC ECHO (Exploring Cultural Heritage Online) digitization grant, awarded by the State Library of North Carolina, and funded through the Library Services and Technology Act (LSTA). |
Volume Number | 14 |
Page Number | 73 |
Health Discipline | Public Health |
Full Text | FOUKTKENTir BIENNIAL KEPOKT 73 a decline of .3 in our death rate from 1910 to 1911. This reduction applied to the entire population of the State means a saving of six hundred lives a year, which, capitalized at the average economic value of life $1,700, amounts to an economic value of $1,020,000. With that amount of life saved there was prevented an amount of sickness equal to the yearly total incapacitation of eighteen hundred people. So much for total losses and general death rates. Second, I wish to call your attention to certain special death rates. This is all important to the sanitarian in indicating to him the distribution of his forces in the war against disease. However, so long as public agencies for the suppression of disease are insufficiently equipped to prevent all sickness and death, it would certainly seem the part of wisdom to turn our guns on those diseases that are affecting the largest number of those interested in the prevention of disease, that is, diseases directly or indirectly responsible for the heaviest death rates. It, therefore, becomes a matter of importance that the sanitarian study special death rates carefully in order to appreciate those causes of death most deserving of his attention. Turning now our attention to these special death rates, I ask you to note, first, that North Carolina loses practically two thousand lives from tuberculosis in excess of what the State would lose with the average death rate from tuberculosis. Note again that the next heaviest loss is from the diar-rhoeal diseases of children under two years of age. Here again you observe that the entire excess loss from this cause to the State amounts to nearly two thousand lives a year. As a preventable cause of death, typhoid fever is next deserving of our attention. Our State had last year a triple death rate from this disease, and lost nearly one thousand lives in excess of what w^e would have lost had we had an average death rate from typhoid fever. The next disease from a standpoint of death and sickness that deserves our attention is malaria. The fatality from malaria is about one per cent, which would mean that with the loss of 515 lives from this cause in 1911 there must have been about five hundred thousand cases of chills and fever, or that about twenty-five per cent of the population of this State were infected at some time of 1911 with the Plasmodium malarice. With these excessive death rates, it is encouraging to know that the death rate of North Carolina from contagious diseases is less than the average that obtains throughout the United States. This fact is explained by the large proportion of rural to urban population in our State. Of course, the more concentrated a population the easier the means for spread of contagion. There is one intensely interesting and important lesson which the death rates from the four principal contagions should force upon this assemblage. As you know, there is great opposition to the quarantine of whooping cough in North Carolina. Some intelligent people are opposed to the quarantine of this contagion, which the census of the United States shows is more important than measles or scarlet fever as a cause of death, and which statistics show causes the death of fifty-four children under one year of age out of one hundred such children that contract the disease. Whooping cough ^ in North Carolina, in 1911, probably because the public did not look upon it as one of the necessary evils of childhood and opposed the quarantine of the disease, killed fifteen times as many children as scarlet fever, five times as many children as measles, and caused almost twice as many deaths as diphtheria, measles, and scarlet fever combined. The suggestion from these figures is unavoidable that the people of this State who dread scarlet fever with its susceptibility of fifty per cent and its fatality of twelve and a half per cent, demand its |
Digital Format | JPEG 2000 |
Print / Download PDF Version | http://archives.hsl.unc.edu/nchh/nchh-02/nchh-02-014.pdf |
Document Sort | all; group-a; nchh-02 |
Volume Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/identi/searchterm/NCHH-02-014 |
Title Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/documa/searchterm/NCHH-02 |
Catalog Record link | http://search.lib.unc.edu/search?R=UNCb2375275 |
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