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(4 KOKTH CAKOJ.IXA BOAKD OF HEALTH quarantine, and who not dreading whooping cough with its susceptibility of ninety-one per cent and its fatality of ten per cent, oppose its quarantine. The chart shows that whooping cough had nearly a treble death rate in North Carolina where all the other contagions fell under the average. In the present state of public opinion no consideration of the health of North Carolina can be considered in any way complete without some reference to the effect of hookworm disease on the life of this State. In prefacing my remarks concerning special disease death rates, I pointed out that from a public standpoint the importance of any disease was commensurate to its direct or indirect effect on death rates; for there are no diseases, no matter how mild, that do not serve as contributing factors through one channel or another to the general and to some special disease death rates. Therefore, the importance of hookworm disease as compared with tuberculosis, diarrhceal diseases of infants, typhoid fever, and malaria, from a public standpoint, must be judged, first, from the death rate from hookworm disease, and, second, by the general and , special death rates from other diseases to which it can be shown, or it is reasonable to suppose, that hookworm indirectly contributed. As to hookworm as a direct cause of death: Of 6,857 death certificates filed with the State Registrar for deaths occurring during 1911, in the total population of 372,043, only two certificates assigned hookworm disease as cause of death. Notwithstanding the fact that this disease is, to a considerable extent, a rural disease, and that these certificates are from urban populations, still one would expect, from the importance at present given this disease, and in view of the constant influx from the country to the town, a much larger number of deaths from this cause. However, it is generally conceded that a large majority of the cases of hookworm disease in this State, and in the South, are of a milder type and would, therefore, not act as a direct cause of death, but would exert their morbid influence as contributing factors to general and special disease death rates. So turning from hookworm disease as a direct cause of death, let us now examine the disease as an indirect cause of death, or a contributing cause of death. The standard form of death certificate contains, after the blank in which is written, by the attending physician, the cause of death, a blank in which is to be written the contributing cause of death. It will, therefore, be interesting to examine the 6,857 death certificates filled out by the North Carolina medical profession in which they assign hookworm disease as a contributing cause of death. On only one of these certificates does hookworm disease occur as a contributing factor to the death. It is interesting to know, in connection with this, that 55 of the 6,857 death certificates carry malaria as the contributing cause of death. Such suggestive data as the above warrants a further examination of the infiuence of this disease on death rates. To what death rates would hookworm be most likely to contribute? In answering this question let us remember the age period in which this disease is operative. In the first place, the disease in this State, and in the South, is contracted in the barefooted period of life, that is, from three to eighteen or twenty years of age. Dr. Stiles' youngest case was three years of age. Nicholson and Rankin reported a case two and one-half years of age. Of 118 cases studied with reference to age, by these last observers, only six per cent occurred under the sixth year. These facts are in perfect harmony with the etiology of the disease—bare feet, active life on infected premises, and ground itch. It would,
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 74 |
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-02-014-0078 |
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_0078.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 | 74 |
Health Discipline | Public Health |
Full Text | (4 KOKTH CAKOJ.IXA BOAKD OF HEALTH quarantine, and who not dreading whooping cough with its susceptibility of ninety-one per cent and its fatality of ten per cent, oppose its quarantine. The chart shows that whooping cough had nearly a treble death rate in North Carolina where all the other contagions fell under the average. In the present state of public opinion no consideration of the health of North Carolina can be considered in any way complete without some reference to the effect of hookworm disease on the life of this State. In prefacing my remarks concerning special disease death rates, I pointed out that from a public standpoint the importance of any disease was commensurate to its direct or indirect effect on death rates; for there are no diseases, no matter how mild, that do not serve as contributing factors through one channel or another to the general and to some special disease death rates. Therefore, the importance of hookworm disease as compared with tuberculosis, diarrhceal diseases of infants, typhoid fever, and malaria, from a public standpoint, must be judged, first, from the death rate from hookworm disease, and, second, by the general and , special death rates from other diseases to which it can be shown, or it is reasonable to suppose, that hookworm indirectly contributed. As to hookworm as a direct cause of death: Of 6,857 death certificates filed with the State Registrar for deaths occurring during 1911, in the total population of 372,043, only two certificates assigned hookworm disease as cause of death. Notwithstanding the fact that this disease is, to a considerable extent, a rural disease, and that these certificates are from urban populations, still one would expect, from the importance at present given this disease, and in view of the constant influx from the country to the town, a much larger number of deaths from this cause. However, it is generally conceded that a large majority of the cases of hookworm disease in this State, and in the South, are of a milder type and would, therefore, not act as a direct cause of death, but would exert their morbid influence as contributing factors to general and special disease death rates. So turning from hookworm disease as a direct cause of death, let us now examine the disease as an indirect cause of death, or a contributing cause of death. The standard form of death certificate contains, after the blank in which is written, by the attending physician, the cause of death, a blank in which is to be written the contributing cause of death. It will, therefore, be interesting to examine the 6,857 death certificates filled out by the North Carolina medical profession in which they assign hookworm disease as a contributing cause of death. On only one of these certificates does hookworm disease occur as a contributing factor to the death. It is interesting to know, in connection with this, that 55 of the 6,857 death certificates carry malaria as the contributing cause of death. Such suggestive data as the above warrants a further examination of the infiuence of this disease on death rates. To what death rates would hookworm be most likely to contribute? In answering this question let us remember the age period in which this disease is operative. In the first place, the disease in this State, and in the South, is contracted in the barefooted period of life, that is, from three to eighteen or twenty years of age. Dr. Stiles' youngest case was three years of age. Nicholson and Rankin reported a case two and one-half years of age. Of 118 cases studied with reference to age, by these last observers, only six per cent occurred under the sixth year. These facts are in perfect harmony with the etiology of the disease—bare feet, active life on infected premises, and ground itch. It would, |
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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