North·CaroIina 1981 VITAL. STATlSTICS \bIumel
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North·CaroIina
1981VITAL.STATlSTICS
\bIumel
STATE OF NORTH CA~OLINA
JamesB .. Hunt. Jr .• GOvernor
OEPARTPlENT OF HUNAN RESOURCES
Sarah T. Morrow. M.D .• M.P.H•• Secr~tary
DIVISION OF HEALTH SERVICES
RonaldH. Levine. PI.D •• M.P .H•• State Health Director
'OFFIcr OFPlANAGEPlENT SERVICES
Plargaret Woodcock, II.A •• PI.P.A •• Assistant Oirector
STATE CENTER FOR HEALTH STATISTICS
Charles J. Rothwell. PI.8.A •• PI.S •• Oirector
Plarcll 1983
TABLE OF CONTENTS
I... ~ION .. ~ .........- ..... - ..........
II.. '!'RENDS IN vrrAL S'l'ATISTICS .• .. .. .. .. .. ..
III. GmGRAPBICALPA'l"l'ERNS IN VITAL STATISTICS
IV.. RBGISTRATIOH OF"vrTAL EvENTs
Birth and oea1:l1 • •
Feta1 Death .........
Marrlage and Divorce
V.. 'ftJ:mICAL HO'l"ES
Residence Allocation
OCCUrrence Allocation
~
1- 1
1- 3
1-U
1-23
1-23
1-24
1-24
1-27
1-27
1-27
Race or Color·AllocatiCl'l
Completeness ·of Registration 'of vital Evtmts
Accuracy of lteas an certificates
Treataent of Missing Values
VI.
VII.
Data Processing
POPUI.A7IOR BASES AND BIASES IN pp.E-1980 VITAL STATISTICS RATES
llllFDII'1"IONS AND FOIMJIJ\S
SYMIlOLS
~t of au.an Resources
Bieal:t:h serri.ces Areas
Perinata1 cam Regi:cms
CouDt:ies
Cities ..
WIlER: A pe<l and ink~ by.Rlleigh artist.Jeri:y Miller.oftl:e (:ape IIattera$ L1ghtbouse <n the Outer._.Public <Xll1t:ribJt:im to the Save the (:ape Hat-..s}igbt!'ecuge O:m&i.t:tee bavexesul.t.ed-in the use ofart:i£icial __ to drive the ooean 200 feetbacJc fJ:ao the !j!#'thouse bese. In 1980. erosionbod brought __ within 70 feet..
1°27
1.;/8
1-28
1-28
lc29
1-31
1-33
I~O
1-41
2- 1
3- 1
4-1
5-1
6-1
7- 1
I. INTRODUCTION
ThisvolUllle is the sixtz·-sixth annual vital statistics .~port of the
State of North Carolina. It is intended to serve as a basic resource to
those individuals. institutions and agencies delivering and/or planning
health services for t.~e citizens of North carolina.
The tables of this report show annual frequencies. annual rates and
five-year rates for the state. four Department of Huraan ReSources reqions,
six Health Service Areas, six Perinatal Care RegiOns and -the one htUldred
COWlties of North carolina. :In addition, annual frequencies and selected
rates are shown for 43 major incorporated cities. Five new cities .- Boone.
cary, Garner, Bavelo:-~ and Laurinburg - were added by virture of these
:incorporated places surpassing 10,000 population as enumerated i.n the 1980
~nsus.
Trends in state data are described in Section II while section III
contains maps .depicting countY data. Geographical patterns are discussed
in tezms of the HSA's. sections IV-VII contain description and discussion
of the tezms and procedures - Wloorlying lil tabular and. graphical data presented.
Users should note a change in the case of birth attendant, begin."'ling ~n 1980.
Effective Ju1y I, 1979, amendment of General Statute 130-50 allows a certified
nurse midwife (~) to attend births occurring in a hospital or ot.J,er medical
facility. Further, a CNM maY obtain a permit to deliVer outside a IiEdical
facility. Thus, effective January I, 1980, certified nurse midwives and
penli.tted lu.dwives are coded separately.
As more detailed information is available on· an annual baSis than can
be published here, other publications released through this office are described
on the back of t-..he front coVer _ Persons desiring copies of these publications
aay"oontact the State Center "for Health Statistics" at {919) 733-4728, or add:Cess
correspondenae to:
State center for Health Statistics
Divisico of Health services
P.O. Box 2091
Raleigh, North carolina 27602
-- 1-1
II. TRENDS· IN VITAl STATISTICS
North Carolina's population and registered vital events reflect the
follawinq recent" trends:
THE STATE I S POPULATION "Is BOTH INCREASING F"ASTER AND AGING FASTER THAN
THAT OF THE U.S. WHILE THE NONWHITE AND NONMETROPOL1.TION SECTORS
EXPERIENCE RE2tEWED GROWTfl.
H..C.·S B:rR.TH RATE-REMAINS BELOW THE NATIOH'S BU"l' HIGH LlNE:LS OF
PREMATURrlY roNT:IWJE •
.INFANT MOR'l'AIJTY CONT:INUES DowNwARD; RACE DIFFERENTIALS RQIAIN WIDE.
MALES OF BOTH RACES EXPERIENCED REDUCED MORTALITY IN 1981, BUT SEX
DU'FERENTIALS REHAIN WIDE.
THE DIVORCE RATE REACHED A RECORD HIGH IN 1981, AND THE MARRIAGE
RATE ALSO ROSE.
~ded anal.yses of these trends follow. These anal.yses are based on
annUal. vital. event registrations and population bases applicable to July 1. of
the-event year. The popu1ation bases and inherent problellS are described in
Section VI where the reader may also glean sc.e appreciation for biases iil.
pre-1950 estimates ariS1n9 from population undercounts.
~ t:he analyses that foll.o.r t the several statistiCS: aredis'CU$Sed in the
order of their appearance- in the tables o~ this report. Counties and regions
say revieW their :respective vital statistics trenCls in order to detect
departures fl:Olll the state, area and nalienal trends depicted gr~hi.cal.ly. For
definiti.oos and fonaul.as, see Sec:ti.ca VIL 'l'he :tl!ader ;is a1so cautioned heze
that trend data and correspondinq graphs have not been corrected for errors
in pxe-1980 population bases.
For the graphical presentations, data fortbe united States (U.S.) and
the soatb· Atl.antic Area. (S.A_) are fraa the National center for Heal.th statistics.
'!be South Atlantic AJ:ea incl~s eight: states. and the District of· CGolumbia_
For the 0 ..5. and S.A., 1980 and 1981 data are provisional except thai:. 1980
na:tality data axe final.; data O!l 1981. P:reJDaturity and births out of wedlodt
and 011 1.980 'aDd 1981 fetal deaths are not yetavailabl.e. Uso, users "should
*Detallfare,JiOii'Yiii'd, vircp.n~a, west Vi·rg:uu.a, ROiih carolina, SOUth caronna,
. Georgia and Florida.
1-'
be _are, 'that. nine .ta:tes. inclUlU.!uJ MarylMd in the iO\rth Atlantic Are., do
not report, the legitiaacy status of U". births.
~ the fQllowinq section describinq North,C.roli~l. ch&nq1nq popu~ation,
white andnonvh.ite populat.ion counts am plotted on both the loqarithlliic and
.:. aritluEtic scal.es.. 'l'hereafter, only the loq-Adtluidc scAle 18 used in order
that the reader may co.pare relative (percentage) chan9'l!8 as opposed -to
n-.eriealor absolute change. in Ute selected at.,.,tistics ..
PqM,ll.atiOll
Between 1950 and 1970, the North Carolina white populAtion increased
about '31 percent while the nonwIU.u: population ro-e about 9 pe-r:ce:nt (1).
Bet:weell·1970and 1980, however, the percentage incre&lie would appear qxeater
for DClNbi.tes - 20.6 percent 00IIIpa.red to 14.0 for vhi~a (1,2) -' a1though
nonwhite underoounts in 1970 account for nruch of the difference (see Section
VI) .. Graphically. the rela.tive si.sailarity between the whl1:e and nonvhite
pe~tage increases since 1970 is apparent 0Il1y when one uses t;he-1ogatithaic
scale (be.l.ow left).. 'I.'bis is because equa.l distaPces on the loqarltluaic: scale
represent equal percentage changes whereas equal distances em the arithmetic
scal.e- represent. eqQal Dugerica1 changes ..
1~i!
I I I I
t J-,,:jJ.. ,. .. .. '"
,. ., os-8ot.h whites -.4- nCDlhites experienced net out.-lliqration-during the
rai.Det.eell-o-fifties, While whites. _tt:ed an. in-.igration. of 2 ..9' and DODWbites
aD out-IIigmtiOil of 1.4.h between 1.960 and 1970 (1). Between 1970 -and 1980,
both whit:ea ao4 l\OIMU.teS ezpenenc:ec1 apparent in-aigration of· ahGUt 8t eadl.
1-4
But atj'aJ..n. those perQentages, e::xpeCl.ally for nonwtu.tes. l.nvolve undercounts
l.D. 1970.
In-migration of whites and out-migration of nonwhites lowered the
peroen~ of nOnwhites in the population from 25.4 ;'n 1960 to 23.2 in 1970
(1). The percentage was about 24.2 in 1980 (2). As to natural increase in
the. popUlation (the excess of bi~s over deaths), the' nonwhite rate is more
than twice the white rate - 10.1 compared to 4.4 per 1,000 populati.on in 1981.
FtoIa. the: health COIIIDWlity's point of view. it is highly notable that
N.C.·s PoPulation is both .increasing faster and aging faster than that of the
U.S. as a whole. While median age J:e!Dili.ns sl.ightly bel-ow thenation's, the
state's increase in the percentage of residents 65 and ol.der is expected to
double the' nationwide increase during the interval 1976 to 1985. Other health
n!lated popuia:tiob. factorS documented by the 1980 census include recent renewed
growth- in the state's nonmetropolitan population and rapid increases in the
ntJl!libers of single parents, working WOlUl.'!U. Children in da.y care and residents in
nursinghames. Alt..otjet:her. the combi.nation of the above- factors p1.us a bleak
~~t pi.ctw=e po-l:tend an unprecedented deJDand for health services during
the "1980's. (3)
Live Births
'l'he Nort.'t carolina birth rate was 14.1. resident births per 1.OOOpOpu1ation
in 1981. '1'hi.s CClIBprdreS with rates of 14.4 in 1980f" 14~9 in 1919, 14.8 in 1978
and 15.3' in 1977. Aq.ai.nf" pre-1980 rates are artifically high due to undercotmts
in the -1970 popuJ.atian.
Ha.tiQlWide. a provisional. bi.rth rate Of 15.9 in 1981 continues an- upward
trend be9un in 1977. In North Carolina the birth :tate also rose in 19n when
aU states except Alaska experienced an increaee. According to the National
Qmter for aealth Statistics, thi.s was due ~n large measure to previ.ously
poiSt:pQled births as opposed toearller chi.ldbearl.ng among ~"Ounger WOIIlen or
larqer famili.es aIIionq older WOIDl!D. (5 ..6)
As shown in the next graph, N.C. 's birth rate is recently below the
natlOl'aand: this is true for both races. Provisionally. a t.o1:al of 40
other states had higher cates in 1981". (5,6)
As not"-ed in the Introduction .. North carolina now allows Certifi.ed nurse
aidwi'Vles to pedont deliveries. ~in9 1.981., they delive:n!d 1.9 percent of
all live bi.rths - L6 percent of White births and 2.6 percent of nOrlWhite
birt::bs •
_ o.-l1ll!:8!1'Y1oO<,
-.-r~.----. '1--, "'""'T 'l'be percent of North Carolina live births
In
due
fi4ures ~present
the Horeb carolina.
these
pounds, 8 ounws or
in 1978" anJ 1919, and
premature rate was above those of -42 other states in
1980. In N.C. as well as nationw-ide, the nonwhite
pretMture rate is about twice the white premature
rate. (5)
In both tile state and the nation, the number
an appreciable decline since 1968,
classified as premat~ - 5
less - was 7.9 in 1977, 8~1
7.9 in 1980 and 1981. While
North carolina, the increase appears entirely
and :PerQmtaqe of live births oceurrinq out of
- wedlock rose steadily during the last decade.
! !to growth in the number of unmarried 'women of child-
SIll '31 58 62 66 7ti ". 78 B.2 oc bearing age i the rate of childbearing by wunarried-wa.en aetuaJ..l-y drq»ped slightly durin9 the decade, from 3S-.€ to 35 .. 1. live births
per 1,OOOsinq1ewomen'~s 15-44. Ccaparable race-specific rates are not yet
available. but .in 19a1~ the"percentages of. white and nonwhite births that
occur-red out of wedlock were 6 .. 5 and 46.4 respectively. Corresponding u.s.
percentages were ll ..0and 48.4 respecti.vely in J.9.8O. (5)
Notable _changes in North Carolina birthS abo include reduced percentages
. of -others of young arid old age, lOilf educaticm. high parity and previous loss
of a liveboxi:l infant. Sti1.1, in 1.981, 43 percent of white births and 72 per
cent of nonwhite b1.rthsinvo1ved at least one of the eight maternal. _charac
teristics associated with high infant IbQrtality. (3)
1
I,i I ,... ,.
'"., .. '" '"- '" "
~ LIfE !I!1i'''l'S OJ' £F lEIUJ(:I.
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I I! .1 I.. " .. .. '" .. '" '" '" " "'-
1-6
Perinatal and !nfant. Mortali.'ty·
COntinuing a decline begun in 1911 and interrupted only in 1916, Nor~
~lina's 1981 perinatal Iiortality rate was 18.9 fetal and neonatal deat.'ls
per 1,000 deliveries. The state's infant rate of 13.2 deaths (under 1 year)
per I,COd livebirths C'OIIlPares to 14.4 in 1980, 15.2 in 1979, 16.6 in 1978
and 15.8 in 1917. Both the perinatal and infant rates -in N.C. have remained
hi.gh.er than rates for the U.S. and the SOuth Atlantic Area: provisionally,
the infant rate was exceeded by thoSe of only 4 states in 1980and 7 states
in 1981- (6). To what extent this reflects diffezentialsin registration
co.pleteness is unknown ..
1 i I I "1I
~ the next two graphs, it is clear that a domturn in nonwhite post
neC:Da:tal. JIiOrtality represents a major recent iJ;provementin North carolina"s
infant -=trtalit"j'. lIlile both white and nonwhite fet.al and neonatal rates
halle dzupped substantially, the nonwhite post:neooatal rate decreased by 50
percent bebreen 1910 and 1981 while the white rate dropped only 10 percent
dm:iilg the period. Also worthy of note are findings that reductiOns in the
fetal- and neccata,l rates of .ature-weight infan1:s were greater aiaong nCG
Wi.tI:s- (3).; St,ill .. nonwhite feta1, roeonatal and po6tneonatal ra~ al.l reJiIaiD
¥ell~ correspoodinq rates for whites as the next table shows.
*Users- sbou,ld be a.rare that N.. C. fetal and perinatal trends invol'V'e a changein lar-'wbereby fetal d<!aths of 20 or ~n! 'R!eksof gestaticm aay -be zeportab1e -as - the_rapeutic abortiCDS, beqi.nn.i.ng in 1911 (see discussiOll of fetaldeat:hEe<jistratiCG, page 1-24. AlSo. fo~ the U.S. and S.A.. , 1980 and 1981periAaUll da:ta (fetal deaths) are not. avai.lable·~
1-7
... ..,....-; ....~ ...IOCr ----;-i-----r--,--,·--,---""""';'
.;-
Whites Nonwhi.tes
North caxolina ~ 1980 ~ 1970 1980 ~
Fetal Rate 13.5 B.2 B.1 22.9 14.7 14.5
Neonatal Rate 15.3 B.3 7.1 24.1 13.3 U.4
Postneooatal Rate 4.0 3.B 3.6 12.0 6.1 6.0
~
'J.'be following graph reveals a relatively favorable death rate 'in Nort:h
carolina. However, that cirCUlllStanoe i.s du9 t:O the state I s PJtOre favorable
age structure, i.e., while we are aqing faster, we reaa.in a younger population
than ~ nation as a whole.
I
t
1.I I
'"' .. "., .. " .. .. "-
The state"s 1981 death- rate was 8.3 resident
.Jeaths per 1,000 population, up slightly frcs. 8.2
in 1980 but well below peak rates of 9.0 eXf'l"!'ri
enced in 19n and 1973. The 1981 -.ale rate of
9.5 c:ompares to a feJBa1e rate of 1.1. IIb.i.te and
nOnwhite rates in 1981 wen! 8_2 and 8.4 RSpeC
tive1y. Rates for .ales of both races represent
iJIp~ts over 1980 levels.
J
•
1-B
/
fte .t:ate·~ 8IIltd1aa age ,at death was 70 .. 4 years in 1961. up' froB 66.4 in
1~1O -cad 28.. 1 in 1.914 when. deat:hs: were first centrally reCorded. For aJ.:l ages
~pt 15-24. the 1981 taCllWhite death rate vas hiC)'hCi::r than·the whi.te rate. A
~ite c:bi.ld 0-4 years of age vas 81 peroentft"Ore likely to die than 'a white
cbild of the SCUll! aqe.A nonwhite adult 25-34, 35-44 or 45-54 years of aqe
v_ at least twice as likely to die as a white adu.lt in the 'SaE a~ group.
Illite 8Dd DClIlVhite persons 5-14 and 15-24 experienced similar death rates.
tIben North carolina aqe-specific death rates for 1981 are~ to
provi..GiCIDiIJ. rates 'for the O.S. (6). N.C.. excesses of 10 to 30 percent are
fowI4 in the fol.1clolIing grOups,
Jerl.1:e IB1eS ages 55-64
.ute .feiUl.es ages .5-14
IbNhite .ales in -all 10:-year age qroups 35-44 through 75-84
IJaGWb.ite fe.ales ac.;es 0-4 and 45-54.
Karrlaps aodnivoroes
For the first tiE since 1969, the North carolina marriage rate rose
sliCJb.t1y-iD 1917, to 7.9 Marriages per 1. ..000 ·popu1aticn.. RePiaining at 7 ..9
iD 1918, the rate rose to 8.0 in 1979 and to 8.1 in 1981.. 'Dte net decrease
sinoe 1970 has been about 15 percent.
Durinq1990,. the state"s divorce rate dropped slightly to 4.8 divorces
-per 1.000 i?OPula:tirirt to bt:eak. a I3-year course of increase. IIclWever, the rate
EOSe 14- 1981 to 5.0, the highest e9'er ~corded. 1'he result is that for eadt
.100 JMrriages in Borth ca.rolina, t:lleze were 62 divorces in 1981 IN!nms 28 in
1970 aDd 20 in l.962 when aarriages weJ:e first oentrall.y recorded.
I..~-::'.:--:",~--,,,!-:_--,,,,,.,_"''''-_-',,-
-
1 ~-l
I,l,-;-'!
-l
1-9
-r-,--,-----'"T'-""''''r'--,'-",+ I 1 ~
t ~i Ii l
"f- Jt -1
~,j
.ColIpAEedtot:be U.S. and the south Atlantic; Area. North caroUn;a's ....rri~
and di~ rates are both lQ",er (6). It should be noted. howe-ver, that aarri,age
and diVorce eounts are by place of occurrence rather th~ residence if' and siilc::e
North carolina"s. aarriage and divorce laws are .an! .n!strictive than in so.e
other staUs. liorth carolinians .ay tend to marry and divorce O\,t of state far
-.ore often than na:tresi-dents marry and divorce here. Hence, compared to U.S.
and regional data, theM.C•. aarriac;e and divorce rates aay be -artifica11y l(JIIJ.
!lore AbouC- the LOqatithlU.c scale
Persons desirinq fuller eXplanation of the logarithmic scale should COIltaet
the State Center for Heal:th statistics. We will be glad to· assist in .n!adi..nq
and p%eparinq graphs~ Again, equal. distances OIl the- IOCJarithmic scal.e D::!PD!Sellt
equal. percenbge, ehanges whereas equal. distances on the ari.th8atic sca1e re
pz'esent equal. ntaerical. .changes. '!'he two types of graphs are COIIlpaXed on page
1-4.
1-10
III. GEOGRAPHICAl. PATTERIIS IN VITAL STATISTICS
'1'tli.$ section contains 10 CCIIIIIIpUter"'produce~!lapswhich depict population
and selected vital statistics for the state's 100 co~ties~ Each -.ap displays
six .levels of popul.ation or a particular vi tal statistics rate. For -the~e
aaps. a clusteri..ri'g routine from the statistical Analysis -System. (7) was used
to group into each of six clusters counties that were -most like each other
with :A'spect to the statistic being examined. nus procedure .ay nasul.t in
'Very Large or ~ry- saall groUps depending upon how counties differ from. one
another.
Users of t:he vital statistics IMpS shou1d _note that the interval vallES
indicated by the aap legends are not' necessarily continuous but refl.ect the
actual range of va1ues in each interval.. Data and poptilation bases are for
the five-year period 1977-1961.
'ftle·ten .aps display the CotUlty statistics listed below. Definitioos
and fOJ:8l1as are found in SectiQl VII and maps displaying county n~s are
printed Ql the J:e"ierse sides of re¢on arid county divider sheets.
~
1
2
3
4
5
6
7
8
9
10
EstiaatedPopu1ation, _Ju.l.y .1981
Live Births per 1,000 Population
Pxeallture Live Births per 100 Live Births
Out-of-Nedlock Li'\."e Births per 100 Lilie Births
Fetal -Deaths per 1,000 Deliveries
HeQoa:tal. Deaths per 1,000 Live Births
Post::Deollatal Deaths per 1,000 Heanatal SUrvivors
Deaths per 1,000 POpu1atiOll
Marriages per 1,000 Population
Di¥Oroes per 1,000 PopUlation
~ .Moog Health Service Areas
For eacti of the -.pped variables, the table OIl the following page shaW
the range of values aaoDg the six BSAs and each USA· s rank. A low rank in
dicateS a high. value, e ..g., a rank. of 1 aeans.the HSA had the highest of the
six' BSA -va1ues for a particuL:ir vari.ab1e.. Ties are assi9Ded the average of
_ ti.ed <anks. Values for "'" individual BSA's are found OD _ 4-1
tI1rougb 4-6.
In tex.sof population si2:e. the Piedlaor!lt ,,:sA is the l.arqest and the
~ital is the' SlWlllest. these accounting for 19~ and 14\ respectively of
N~C:. 'statal population. Additional infon.ation gleaned fr~ the' USA -rankS
are highliqhted beloW.
Rankitl9 third in population. the Western qSA has the lowest
percentage of preaatum and Ola'"t.-of~dlock births as 'well
as the lowest neonata1 death rate. b\lt the- overall death
rate is high.
First i.n population, the Piedmont HSAhas aboveaveraqe
.-arriage and, divorce rates.
RIelaUve to other aapped variables. neonatal IlIOrtaU,::y
and divorce appear IMjor concernS in the Southern piedilont..
A high rate of PreJMturity is found in the smallest liSA, the
capita1.
:In the cardinal HSA. a high birth rate accoapanies abOve
&"Ierage leve1s of il1egi.ti-.a.cy and fetal and postneonatal.
JOOrtality •
second-largest in popu.la.tion size. the £astern lISA has high
rates tor, all. ~d variables except the divorce rate.
a..ge: of Ya1uRs~ RSA"1i iIDd 8S& RiIub
for~ KiIIpped in !"1.qIUes 1.-10
......... a..ge ofllS!l Val.1Ie:S Dealtb seni.ce~ Rank
...."'= P~t:. So. Pi.edIlIxlt ClIIpitii.lca=_ .......
~7flJ8J. 8lO~SO!i - l. .. l.J6.. J.l3 3 1 • 6 • 2Lhe JIirtIl lab: 12.9 - 11~" • 6 3 • 1 2Pen:eot P--.bIra 7.4 - 8.5 6 • • 1 3 2PezCeAt OK of iied1.ol.$ 1l.9 - 21..3 6 • • 3 2 1....UJ, DMtII aat:e 9.6 - ll.!> 4.5· 6 3 4.5· 2 1-.c..tal. I:IaUh~ 8.8 - 11.3 6 • 2 3 • 1~tal o-tir. Iiat:le l.9 - 5.S 3 • 6 • 1 2-- 8.1 - 8.8 1 3 •• •• S' 2-- 5.S - 1<>.' 3 , • • 6 1Di..--..... 4.0 - 5.] • 2 1 3 5 6
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PREMATURE BIRTH RATESPER JOG II VE (l j RTHS• J0.·, ' 10 .•.. s.n - ,0 .•887.• - 8,0J2l G.:,' I.nG5.( ., G,nO'.~ - ;'.<
PREMATURf:: BiRTH RAT::')
;·jGURE 3
.9'7? ;98i
,/'"
\,I
IT"cr:r,-
a-z <:r:
-;..~.
,-~ ,-n-
,-:-...J 0(la- !- e>,L) Z <T'
W:r Cl,- ,~
0:: (f) c-O W mZ cr
::,21= U")<I: :r:iDri:'" muow...-1>0ULJ
l"atLO::l .-.I
>- a::::lWOil
1-16
'i~..
FETAL DEATHS PERj .000 DELIVERiES.:::4.~ - 24.Q• IS." - 20./11814.' - 1'7.'l] 11.G - 13./C]7.0·· I!.';Of),'l·~7.~
FErRL DERTHRRTES
;:----~,~, ......--
fIGURE 5
1977 - ~38~
(f'
:.r:L-
eeuJo.-.1IT:fa:zCJLLJz.
\
1-18
"'a'r:---CT'
~~:£=:;;~i ~ I I I =
.~~ ~ ": -: ~ ~.
;;:::'~~~ 'f:t"
••RlISOO
cr? a-,~ cr,
C~
a:r 1__ ._
"c: ;z n'LJJ
r C,,-...,.,
cr (J.~ ,,-0 uJ 0? 0'
c.r.r,-c:-LLJC1
,.-1IT"~
c:-Z'=:li.LJZ t"-
,-u:
iLla:
0::::>
Q,.lD
"-
1--19
U)a: a:iLl 0lL ><J) >:r: a:!-- :::>a: r.r.iLlCI ~...J
IT:-' .cr:cr:!-- 2cr: 0;z UJ02:W20!-- 0("'"J co(L -
~
Q '-r: "": C:"': c.<.... ~(.C.~.NO
-- w .. -... "." C;
c:;; c..:i u-: ;..j -: c.1IIIl1&
<.r:~.1
..r1-
cri...lJCl
c:::," 7" (r
:-:- ~ ,--' 0':,
0 C\a::cr: f-- CLU ? 'TO
i..ll:r. a~-- ,~
a:: u~ '-0 LL'
"Z. Q"
Co :\J, • co.~: - ,-;., tC ........ C) - ••
-.ooc...;~
1-20
- ~
,""I , ..
MARRIAGE RATESPER 1000 POPULAT ION
167.~ - 67 .. r.33.0- 33.02l.q-Zl.q
1:::113.3 .. 15. j
[:]8.' - 11..Dei .. - 7.Q
.,
MARRIAGE· RATES
.... or' °"" ,.
FIGURE 9
, . .. ,-
NORTH CAROLINARES iDENTOATR
188,
, , ,""J C ~'\J G o· ~
c: C fr- ..... lr c.:......<:--~ .. ..,-I..","
... - ..t:.: l(; ~ \~ ':>,J.-
\TZ cr:
!---' cr
CJ 0a~c:: ~u z
w:r 0 co,- cr
(f) .-wa::
zofa:_J
en ;:)UJ (Lf- 0a: (La:
ai.LJ Cwea::. ,.....a>a:-UJCl(L
(f)lUf-er:a:lUUa:0:>
a.......0
UJa:=>'""-
1-22
IV. REGISTRATION OF V!TAl EVENTS
'!'be origin, flow and dispositioo of North Carolina vital records are
illustrated in the flow diagram on page 1-25. A brief history of vital records
processing and current xeqistration _practice' in North Ca.t'olina are discussed
belor.'1'he user of this report JIlay note in particular the section regarding
registration of fetal. deaths. Leqislation enacted by the 1971 North CaroUna
GeDeral. Assembly a1tered fetal death registration practice to S~ extent.
Birth and Death
'1'be 8uXeau of Vita). statistics.' with t..lw State aeal.th Director as State
Registrar of vital Statistics, was created by an act of the Gerieral As5ellbly
of -1913. '!'be 1973 General ASsembly changed ~e n~ of the office to the
Depan:.mt of lIuman.Resource's. The "Director of the Divisial of Health Services
is the state Reqistrar of vita1 statistics. Tbe atithorit-,f of this departDlent
and the laws which it adllli.nisters are contai..ned in G:hapter 130, Article 7, of
the General Statutes of North carolina. Within the organizational-structure
of the Depilrt.ent of HuIaan !teS01.ttcieS, the duties of the stat:e.Reqistrar of
vital StatiStics are: aCcompUshed primarily by the v.ital Records BranCh with
support froa t:he state center for Health Statistics.
'!be coUect:icm of birth and dea1:h records began on october 1, 1913. '!he
De~rit of eu-an Resources is the custOOian of these records. '!'he hospital
ailainistrator or person attending a non-hospita1 delivery is %eqUi..redto file
a birth oerti.fiea:te or fetal. dea'th report within five days after delivery. '!'be
ftDeral diZ'f!ctor or persul burying a body is t:espcnsiblefor filing: a dea.th
certi.f.ica~ with the local registrar prior to final disposition and within 5
<Jays after death.
'!be local mgistrar .is -the county healthdi.zector. A clerk of the COWlty
,health depart-ent, desi9llated by the local registrar and deputy-registrar,
carries out registration prooeduJ:es locally. "1he deputy reqistrar forwards
the oriqinal birth and death oertifieates to the Depa.rtJllent of IbIan -~..sources
em 'the fifth clay of 'the-.m.th folloWing the event, where they are processed
_d pereanently p-...-ese~. Hicrofilaed -copies and COIIputerized data fna birth
-.d deaUt. certifi.cates axe sent to the NatiQllAl center for Health Statistics.
Jro.-t:b Caroli.na was adlaitted into" ~HatiCQa1 Death Pe<fis,tration A:l:ea in
1916 -and ini:O the Rational Birth Eeqistration Area. in 1917.
1-23
NUl D&adl
Prtorto'My 19, 1971, Borth carolii'la\aw~xedthe filinqof a fetal
death certificate -for fet&l deat::hs (stiilbirths) of 20 or .:J.re weeks gestation.
Leqi.slaticn en.actied by the 1971 General AsseDb1y and altered by subsequent
leq.is1ation (G.S. 14-45.1) requires that therapeutic abortions be reported
separately. For -fetal deaths falling within the purview of the refe:tenCled
statute, the therapeutic aboEticm :report fora now serves in lieu of a feta1
death certificate. For thJ.s: reason. cOunts of fetal deaths and perinatal
deaths'sinCle 1971 aze 'not strictly, canparab1e to t::ounts in previous years.
In 1981, apprmdBiately 143 fetal deaths of 20 or -.n:e lIIIlI!nstrua1 weeks of
gest&:ti.on. were preferentially reported' as therapeutic abOrtions.
A :fetal, death certificate aust be filed with the local mqistrar within
72 hours after dellveE!'.
Marriage and Divorce
In 1957,the General. Assellbly enacted legi.slation requiring that the duties
of the clerk of court i.tlcl.ude ~e registration of divorces and annu1Jlents of
-.rr:iage effeetiWi Januaxy I, 1958. Lists of diVC?rCles and annulments are
requi.redto be sent to the Depart:lEnt of Human Resources OIl arbefoze the 15th
day of the ...th foll..ciwi.ng the e'VeIlt.
By virtue of l.egi.S1atia'1 enacted in 1961, the duties of the coUnty register
of deeds i.nc.lude the J:egistratiOl'l of aarriages occurri.nq on or after January I,
1.962.. COpies of the certificates of aarrl.age aze requixed. to be fonrarded to
the Depa:rt-ent of IIt8an RIeSOUJ:CeS OIl or before the 15th day of the lilanth
-fo1J.owing the aarriage. '!'be original Q:!:rtificates are filed with the county
mgisteJ:s of deeds.
In January 1964, Harth carolina vas admitted to the National Marri.age
RegistratiQIl' Area.. North carolina is. not a lIIe.t»er of the National. Divorce
Bagist.rati.co Area..
1-24
.,
iIIIIIIIII
~
'?IIIII
COS. 1»-49·~~lUy.
~~-u-
I--_m.tab-~
j~-1'R,u ,
G..S. ao...] '" 201.1~~hiH't'y.
Illtll. - nSlt:el lH
.. . ,lIIiM-~lity.
s.dS nc.ti fiO/ltiQI ofdMttI IX> n.gistnr -.d~ dBr..h oartifi_. wrlltoB Ol>ttif~
f\Y a dNth rew;.~~~.!Jlli-
~~ of dNtb cidI!. ~ nc-lctde anl!I
anl!I si9MhJn;. of fl!':'si- r.x~ _t- I~. JtBldeI! dei!tns anll
=;=~~~ 11!~~1D=ll"'l!l"S deJatll.. Ct'!ltiti- ~i.<:u!oddf:\atlE.
:ae.tD~~~1 I=:;;~=j
I .. .,L ...J ]-l>~'o:ill"~!!J!!. !iJi[n<~q
QW:ks~ !=~~<:aIp~.
Sl!ms -..thiy~ o! t&p'SU ~~'*'eft~.ti_.~~ ~ oopy of birth _ dlmb certificates b-far~ of -. ad .A!g'ister' of da8d$.~ , "PM....... SIDls Original binh aad dBDtb~ b.> tie
I I~ of - RIsQurnee.
t I I z.ies turial tnrBit pe=itG.
,J, ~r llllWI. 1I:£S(ll!l{.(S
..., ....m__..
r----i>I
aaan:a:xra:w ~drn:icl~ Sect:iI;uI~~.c·~efvital-.
IOiClOGi (Frld..iok>o;ry~
-Qld5s ...u ~t4us. at. tI!liII:b..ur:iwJ~mri.akIII at '.:hi> I<D.
-<tdeos~Uol~ m birth~
S1XnSnCS (~~ far--.ntl.~--.'lrlI!lwenl~h~"i.f;lll~.....~':f'"':Tt;~l!" cd.-..u¥; ar
OlD.~~ 0=Iter C«.IIbIldl~- ~ .... fre-vital~.~.
tetal deirtm.~ cd.~~ 1Iltlecti_ edit. (If __~ .-:! -.tJltaiR,
a.d~_ filt=.~t$ o;kt:a to tI:E lIIiII:iaAIIJ. 0Iiab!!r flr BIl;l1Ul~.
j=:!:""",:B:J .....,. STATlSi '"l&>=i_ 1Iia!lt.i.la.-s dtita tm.~
I~~qgotli.t¥~-?_~ <1 all~ an!...... em.
~UIi:VI:!~~
I~ l2idaical~. . •
IFftIor.idr!s~·.1D~uenJ.
v. TECHNICAL NOTES
Residence Alloeatioo
Except -asothei:Wise indicated~ vital events in this :report arc-- allocated
to place of residence. In the case of a birth or fetal death, residenoe- is
the usual residenCe of t:he mother. For deaths of inmates of lanq-tena inSti
tU't.i<XH5 (!IIl<al,. penal, old age .. orphan, nursin1 home. rest ho.e, etc.) the
institution is considered the usual residence provided the decedent has resided
in the institutiQl'l ai_ leas~ ~ year.._ Col.lege students and military personnel
iU.1! consi4ere-a--Xesi<Jents of the college or military community.
Harth carolina participates in an inter<:hange program whereby phot~i.es
on non-resident birth and death Certificates axe required to be sent to the
state-,-of -residance within two months of the date of occurrence. 'nle National
center for Health statistics acts as a control for this Ulte.rchange through -a
report froia ea.c:b state vhich Ih,t;s the number of each type of-vital record sent
to every other state. However, delays or omissions i.n the inte:rd\ange un
doubted.1y occur ..
OccUrrence -ALlocation
Items 7 and 16 -of the tables allocate live b.irths and deaths respectively
to place of occ:u:rzence reqarclless of place of residence. Marriage and divorce
data axe callplied cnly by place of OCCurrence-county of license for Mai:r1ages
and cc:itmty of decree for divorces and annlll.nents-.because (1) aU states do Dot
engage· in an interdlange· prograa whereby we-readve notification of North
Carolina zesident:s who atarry or divorce in other states and .(j.i) the two
parties to tbese proceedings are often residents of different counties or
states.
Race or C01.6r AllocatiQ1
'lwo broad ca:teqones, "'whi.te.. and -nonwhi.te-, are uSed in this report.
IIClawbite is pn!dollinantiy Black (93%) in North eat:olina (2). For· births and
fe~·deatbs, vhere,one-~t.i.sclassified as white and the other nonwhite,
the child is classified as nommite.
Due to S~ cases of dissitlilar races of the two pa.rti.es invelved in
lliUriage and divoroe/annul.Ment proceedings and to a nlDllher of -not atated"
race -cases, fzeqqencies and rates for these events are shown only for the
total.
1-27
CC!!pleteneS$ of Reg1sb:ab.on. of V:1.tal Ewnts
CcIIpleteness of req1.strat1.OD J..S de hned as th.e degree to which reported
vital event ~'Ullaerations &g:fee with the true counts in a given ~ frame.
Birth J:legistration, tested for completeness in 1940 and "1950, was found tn.----bc-
86 -and 96 percent complete respectively (a). Death registration is believed
to be even JIlO.re CCIIIlplete than birth registration. Fetal death .registration,
tested for COIIPleteness in 1974, was found to be 99 percent CODlplete (9) &
Marriage registration was tested for completeness in 1963:.. OYer99
percent of perfonued aarriages terminated in properly recorded certificates
of aarriaqe U.Q).
Del.ayed .regi.stratial resul.ts in underenumeration of vital events for a
specific tiJIe period. Frequency counts in this report are based 011 1981
eW!D.ts filed with the l.ocal registrar prior to April -1, 1982 and processed
in the state office before the end of April 1982. Based on examinations of
lagti:tles in prior years, the nUJZOer of calendar year events filed after
April 1 of the subsequent year is considered negU9i.ble.. As this publ.icatiOl'1
goes to press .. 34 births, 22 deaths, and 1 fetal death for 1981 were filed
after April 1 and not added to the statistical file.. These residual.s are
considered ailDn9St the 0 ..2 - 0.5% which may finally accrue •
.In addition' to the above; a source of inca.pleteness in ~si.dence data
could involve failure of other states to send' photocopies for North carolina
resi.dent events occurri.ng in their states (see discussion of interchange
pJ:Ogrdll, page 1-27). The extent to which this occurs is unknown.
Accuracy of It:eas on Certifi.cates
'!be Vieal Records Branch main1:ai.ns Continuous survei1lance of certificates
to &"teCt: wCODSistencies in related items (e ..g., newborn's n~ vs. sex).
However, the true extent of bias and unzeUability due to incorrect answers
is not malin.
TJ:eat:.mt of 1ti.ssi.J1g Va1ues
As A reSult of a quezy prograa to :reconcile inconsistencies in the data
and to ~le:te unanswered items:, tissingva1ues axe rare for the characteristics
incl.uded in this report.. 'l'bese -not stated" cases -are treated in 'one of two ways:
(1) Dot allocated because they are believed to have an UI1knOwn~ca which is different fro. the distribution for·stated"" cases.
(2) ranc:sc..l.y distzi.buted in the sa.e prq,orti6n as the "statedcases for tbe -s"tate.
1-28
'lbe following Ulble sheJll'S the nUllber and treataent of lIlissinq values athe statistiea.l -files underlyinq this report.. In the caSe of race'ila"'ld
legitiaacy, .,st of th~ aissing- va.lues are due to absence of these i teJIIS on
ce:tti.f'icates- frt:llR other states ..
NUIIlber of Missing values by Itea and TreabDent
North carolina, 1981
TJ:eat:::lEnt· of Missing Values
'l'rea:t-ent 1 Tniaaent 2
Li.lie Births
Sex 0 1
Birth weight 45 0
Legi.tiaacy 8 0
Race 0 •~
Age 0 U
Race 0 28
Sex 0 1
~
Le¢tiaaey 2 0
Race 0 2
Data PrOcesSing
'11le~ infOaMtion -syst:ea used to genera.te the data of t:r~s report
is Qepicted "" the Bert page.
cz
•o
VI POPUlATION BASES AND BIASES INPRE-1980 VITAL STATISTICS RATES
Every ten years (years endinq in z:ero i the U.. S.. B\l:£eau of the census
conducts a COWlt of the Uriited States population, which includes a. 'profile
of the popuution's characteristics such as age, race, and sex. After a
eensus year, esti.ulates of population size and OOIIIpOSition are based on
knowledqe of the population in the census year plus subsequent events such
lIS births, deaths" and JUqration. In- the latter years of a decade, estirlates
-.y depart OCIIlSiderably fn:.. the "true- population values to the extent that
asSUlllptions, particu1.arly about in- and out-aigratian, depart froa wa1: ~&G1S
actually CJCCtJrDld.. '!'bus, an estiBlate ·of the 1979 population of North caroUna
based on projectioil frca 1910 may differ from an esti.mclte of the 1979
pclpul.atian based on knowledge of a 8lOre. current (1980) census COWlt. Since
8:)$t vital statistics rates an!: based on papula.tion counts in the denctldnator,
'changes. in population such as mi(jht result from a new census may cause sub
stantial: cbange it\ the trend OT rates over tiJie ..
To COIIplicate the prOblea even further. there was an under-count of the
popuJ.ation of North carolina in the 1970 census ... partiCUlarly ~g nOlWhites.
'l'b.Us, projections for 1ater years were lOW' and rates based on those populatiOQ
projectioos QOr%eSPaidingly high. 'lberefore, changing to 1980 census figures
for rate deno-tnators caused a decrease in rates frcm 1979 to 1980 7 to the
extent that t:he 1980 census figures were h.igber than 1980 projectioos based
Q1 the 1970 census •
tJseB of seas eubli-;::atioos for 1.979 and prior years .ust be aware of
theSe-_ b.iases When 100k.ing at trends in rates, Particularly When analysi.s is
at .the eounty.1e?el or. for the nonwhite poeu1auon. In the .-eant:i..JE, tbe five
year rates of the cun:ent vollae are based on a nell series of populatian
bases resulting fnJllt inteJ:POlations bebieen the 1910 and 1980 censuses~
(Rote: For .further detail Concerning biases. in the population-based
rates published for the 1970's, the user should refer to J>ages 1-33
t:b1:OQgb 1-31 of the 1.980 ve:rsioo of th.is publicatioo..)
1-31
-:~;;-o' .
,--
j
j
j
j
j
j
j
j
j
j
j
j
j
j
j
j
j
j
j
j
j
j
j
j
j
j
j
j
j
j
j
j
j
j
j
j
j
j
jj
Iii. DEFINITIONS AND FOR~ULAS
Defini:tions and fom.ulu· qiYen in this section represent terms and
ee-puUnq, procedures for the data of this report. FOZllIulas for the rates are
of the foza
EpX r
where .E represents vital event enUlRerations for the calendar. year or £1ve-year
period, P represents zelated vital events or the population base for the
calendar year or five-year period and r is the base (100 or 1,000) for expressi.nq
the n.~r of individual.s at risk. '!'be C'OIIputi.ng .fO%DlU1a for a five-year rate
is
E1 + E
2 + E3
+ E4 + E
SX r
P1 + P2
~ P3 + P4 + Ps
Definitions and fonmlas """ given in the nu.erical order of their
appearance in the "tables..
DefinitiOns
L Population is the population of an area as en.-erated July'I,. 1981.
'l'ot:a.l and.raoe-speci.fic L"OUDts are final censUs figures while sex- and age
speCific coUnts are based on projections adjusted to the race-speCific census
""""ts •
2.. 1iAt:araJ. Increase is the excess of births over deaths aIIlODI:J residents
of an area.
3. A Li'ge Birth is the COIIIplet.e ezpul.sion or eXtraCtion fraa. its IlO1:her
of a' pzcduct of conception. irrespective of the durati..OD. of pzegnancy,. which,
after :separation, breathes Dr shows auy other evidence of life,. such as beating
of tbe heart, pulsation of ~~liCal cord, or any defi.nite mem.ent of
vo11llltary -.scles, wbet:her or not the tBbilical cord bas been cUt or the p:'acenta
is attacbed(defi.nitiOll adopted by' World Health Organization in 1950) ..
4. Attendailt is a~cian and Whether a hospital or non-hosPit:al
place of.birtil; a certified nurse aidldfe, or a per:aitted aidwife. New
1-33
legislatlOft during 1979-81 allows a cert~f.1..ed n~ midw1.fe (CIon to ~rfQ%S
dehven... J.n .. hospiUl or other IM!dical facility and to obtain a pe!'llit
toperfoxa deliveries' ou'tside a.edi-c~ facilityw During 1981,. peraitted
0IMs attertaed only a few births; thus, the-cateqory "pendtted midri.~
largly includes lay aididves.
5. Pre!lla.ture Birth is defined as birth of a liveborn infant weighinq
under 2500. graJ6 (5 pounds., -8 ounces or less) at birth, re<Jardle:ss of the
period of gestAtiext. (Birth weight index recor.ended by the Expert Group 011
PniIIaturity of the. World Heal1:h OrganiAtion, 1950.)
6. ltirth -ou.t of Wedlock is birth to a 'tf'C8all WhO haS never been legally
1M.rrl.ed or who has been vidowedor l.eqa11ydiv~ froID her husband in em::ess
of 280 days llll.
7. Ail ~ce Birth i.s one that occurs in an area i.rrespective of
place of residence. Live Births occurring in an area to residents of the area
are 'also sbcM1 in the b:ibles. eatp1.ellentaxy'totals, i.e., non-resident births
occurrl.DgiD the area. and resident births occurring elsewhere, may be obtained
by subtracticm.
8. Peri..natal neat:hs are the SUll of_reqistered feta1 deaths and necma:tal
deaths (see oiefii:Li.tions below).
9. Pet:a1 Death is -death prior to the ti:aplete expulsion -or extractic:m
frca ·its aotber of a pzodtlct of h~ conception, irreSpecti.'7e of the duration
of pregDaDCy, as t.naicat:ed -by the -'fact that after such ezpU.lsion. or ertraction
tl1e fetus does not. breathe or shOIif any evidence of life;. such as beating of the
heart, pu.l.satiOD of the u-bilical cord, or definite:ah ent of vo1un~
.-usclm=: (definition 'adopted by World ~lth organization in 1950) ~ consiStent
With BOrth carolina law, this report. includes Cl'lly fetal deaths which do not
qaal.i.fy ast:berapeutic abortions and which result fraa preqnancies of 20 or aore
~ _C}eStatiOll (see -sectiop IV) •
.10.. lIeCGat:al Death is death 'of a livebos:n ctd1d under 28 days of age ..
llo. PoslDet:A:.a:tal oaa'th is death of an infant 28 days and over but less
tban 1 year of·_.u. 1DfaDt De4dt. is defined as death of a llvebom infant under Ole year
of_.1.3. ~ is 4efined as the pe'TNnent disa:ppearance of any evidence of
11fe at ally tae·after Uve bi.r;th U2L Also. Borth carolina law (G.S.9(}-322)
.riMs Cri~ £or certi~in9 '"brain--death.-
14. Age at Death 1.S reported age in completed years as of the last
birthday. Errors 10D reporb.nq are beheved to l.nclude underest.uutes for aqes
22 through-aiddle age- and -_OV?restiNltes for persons nearih9 their 21st end 65th
birthdays and for those over a4)e 65. Preferences for ages ending in certain
iti.gits (e.g., aqe ending in. 0 and S) aay -also result in undue concentrations
of reported ages (13).
15. Place of Death is the hospital, other institution or non-institution
place of death.
16. An: Occurrence Death is one that occurs in an area irrespective of
place of residence.
17. Marriage is defined as the leqal tm.i:Oft of a male and a female (North
carollna G.S. 51-1);. Marriages are by place of occurrence and race-speaific
data are Dot shown (see section V).
18" Divorces and Annulments can occur ally by decree :::If an authorized
court. ADnu1Jaents, which void marriage -fran the beginning, constitute less
than one percent -of the sum. of these events. A divorce frem bed and board is
a judicial separation -suspending' cohabitation but not othezwise affecti..n.q the
aarriage boDd. Divorces fran bed and bOard are not included in this report.
oivoroes and annulJEnts are by place of ocCUrrence and. race-specific dau_ are
not shown (see Section V).
F<moulas
'!'be relative freqUency with which a vital event occurs is expressed in
the ra:t:es of this report. Rates are silllple ratios of two nud»ers which represent
population entaerations for a g1Yen tilE r.eriocL :For annual. rates, DQErators
in "these ratios are vital event counts and den<:a:inators represent related vital
event counts or population projections for the calendar year. For the five-
year rates, which am expressed as average annual rates, nUMerators in the
ratios are vita1 event counts and denominators are the related vital event
counts (or the population aCClBUlated over the S-year period; ~ In sc.e cases ..
the DUliierators are pJ:q1er subsets of the dencainator; uSually these rates are
elipressed as percei:ltaqes. other rates are exp:re:ssed in teJ:DlS of 1,000 reI.a:ted
events or popuI.atiOl1" For ~le, the crude birth rate is expressed as -the
nUlliber of liVe births- per 1,000 population.-
Rates are rounded to· one' deciaal. place for publication _ Except for marriage
aDd divorce events for which race-specific rates are not calC'..lla~., a blank in
~ -~te ool~: i.DcIicates that.both t:be n~rator and the dencainator are zero.
A rate of 0.0 is: sbam for rates l.ess than 0.05.
Inaccurate reporting, underreq1.strat1.on and IUSS1ng 'Values have been
Q1scussed (section V). These factors affect thevah.d1.tY of 1teMs of l.nfor
_tion involved in rate COIaputation. The user of vital statistics measures
should be aWare of these ·possible lim!tations.
AlSo, one shoUld interpret with caution rates which are based.on small
frequenci,es since these may be aSSCJC:iated with relatively larqe~
fluctuation-. For this reason, five-Year rates are included. Based on an
increaSed IlUIIiber of events, these average annual :r;ates are more stable-than
the sinqle-year rates.
In -COIIpi1;ring- rates, one -ust carefully examine the various factors to
wbi.ch a difference in rates might be attributed. Unless the pOpulationS are
equival.ent in all factors except the one for which the comparison is made,
conclusions about differences in rates may not be clearly drawn. Aqe"':'aajusi:::ea
rates or other further ana1yses may be necessary in ordai: to make val:id
QOIIIIparisons •
EXcept for i'tems 7 and 16-18, rates are for resident events. The rate
fODrulas are:
1. Population
Percentage of N.C. populationresiding in -area
Population of area X 100Popul.ation of North Carolina
Percentage .ale poJ:Ulationin area
Perceil:l:aqe foemale poPlllatiOnin area
2. Jlatural Increase
Male population of areaTota1 population of area
Female popu.1ation of areaTotal population of area
X 100
X 100
Rate ofnatural. increase
NuIBber of live birthsJRinus nlJd)er of deaths
Population of areaX 1000
3. Live Births
Bi.rt:h rate
Male birth· rate
=HUllber of 11ve births
Popu1a.tion of area
Humber of male live birthsPopulation of area
X 1000
x 1000
PeEle birth rate
4. Attendant
Peroentaqe uf live bi..rths..-..- by phys.idan in hospital.
N\Dber of female live births X 1000Population of area
Nm&ber of live births attended
-=by~ph~YS:::=i",c>"'=an';7in=---;h"osP~",i,,,ta1=__ X 100NUMber of live -births
Percenuge- of liVie birthsattended by physician not in hospital
NuJmer of liVI! births attendedbY physician not in hospital
Num1er of live births X 100
Peroeata.ge of live' birthsattended by certified nurse udwife
Percentage ofUve birthsatteDded_by peDli:tted aidwife
s. PrelY.ture Births
PerceDtaqe ofUve birthsclasSified as 'pre-ature
6. Births out of wedlock.
Perci!ntaqe of ll'ge births~ out of wedl.ocIt
7 e 0CC:iIznmce Bu:ths
Pu<:entllge of R.C. 1.bo", births~inarea
~r of live bi"rths attended
"""o/=::""'::;:,rti.::,:'"f=1,,'e=:d~n,:urse""':7.::8I1;;·:,""O"'i"f"e,--_ X 100NdBber of live births
HuIIber of liVI! births attended_o/~~pe~D>1=,'::t,;;ted~,:"'=':,dwi~';:f:;:e::-=_~_X 100
"'-her of live births
liUIIliber of pnsatUre li.ve births X 100~ of live births
NoIber of li;o;e· birthsoccurrinq -out of wedl.ock 100
Nwlber of live births X
Ik8ber '-of live births
="occurri.'7""=nq~,,",,'in,,,,"-,area7'~~!b!ber of live births X 100oceurringin N.C.
~age -of _area live bi.rt:hsocc:urrl.Dg t:o oD!SJ.dents of azea
IlumJer of resident ll'Vebirths occurrinq- in area
IIUdM!r of tota1 livebirths occw:ri..ng' in area
x 100
8. Perinatal DH.t:NI
Perlnatal aortalit.y rate
9. Fetal Deaths
N\a'lber of fetal deaths -plusnUlllber 'of neonatal deaths
NUilber of live births plusllUIllb!r of fetal deaths
x 1000
Fetal ~ity rate
Percentage of fetal deaths attended byphysician iii bospit4l.
::-~N",...""bp7'r.,.o"f"-,f"e,:ta"'71,.."de",a,,tIu;?"'- X 1000NuMber of 11ve births plus
nu.ber of fetal. deaths
Number of fetal deaths attended
-"by,=:=ph~Y"::=l"c~ian",,:-.,,·n:yh",osp~",i"ta1",,~__ X 100Number of fetal deaths
PerCentage of fetal. deaths attended by
physician not in bospital
N1.Dber of fetal deaths attendedby physician not in hospital
N1Dber of fetal· deaths X 100
Percentage ,of fetal deaths attended byt.'ert1fied nurse Jlidvife
Percentage of fetal deaths attended bypend.t~ llidilife
NUlIber of fetal 'deaths attended
-=by"";;=ce~rti=,,-f1~'e~d=.,;n",urs:?fe'-iIlU-"·,;dw""i"f"e~_X 100NtRber of fetal deaths
NulDber of fetal deaths attended
--"byL-Jpemi"==."t"'ted=;;",=;·"dw7'i~f,,e7"= X 100IQaber of feta1 deaths
Percentage of· fetal dN.t:hsoccu:rriDq out of wedlock
10. 1IeODatal. Deaths
NlDber of fetal deathsoccurring out of wed.loc::k
Humber of fetal deaths X 100
Hqgher of neonatal deathsltIDber of Iive births X 1000
PoBtbeoD&ta1 -ortality rate~ of. post:neonatal. deaths X 1000~r of live births Jainusn~ of neonatal. deaths
Infant MOrtality rateHtalber Q£ infant' deaths
R\DIber of 11ve births X 1000
1-38
13. ~
neath ra.te
Male-apecific death rate
Nullber of deathsPopulation of area
Nt:Pber of male deathsMale population of area
X 1000
X 1000
Fema1.e-speclfic death ratlS
14. Age;speclfic Deaths
Number of female deaths X 1000Female population of, area
AgE specific ~ HuEber of, deaths in age group X 1000death rate Population in age qroup
15. Place of Death
Percentaqe of deathsoccurring in hospital s
Number of deathsin hospitals
Nam.ber of deathsX 100
Percentage of deathsoccurring- in non-hoSPital institutions ..
HtBmer of deathsin non-hospital institutions X 100
NuIIlber of deaths
Percentage of deathsoccurri.nc)"in~ or non-institutions
16.. Occurrence Deaths
Humber of deaths inhoBie or non-institutions
HmDber of deathsX 100
Pe~tage of B.C. deathsoceurrinq in area
Percentage of area deathsoccurri.nc) to residents or area
It\mlber of' deathsoccurring' in areaHumber of deaths
occurring- in Hc':lorth carolina
Rtaber of resident deathsoccurrlnq in area
!k8ber of total deathsoccurring in area
1-39
X 100
X 100
17. 1latt1ages
Marriage rate ..
18. Di'VOrce8 aDd Artnubents
Nulillber of _aaarriaqesoCcurring in area
POpulation of areax 1000
Number of divorces and annUlJRents____-:oc=cur:::i':'r'::in~q~i=n7area:::::_----Divorce,lAnnul8!nt rate = - X 1000Population of area
SYMBOLS
QUantity (frequency) is zero
Bate is less than 0.05
Rate is mt app1i.cab1e
1-40
o
0.0
blank space
( 1)
REfERENCES
U.-5. Bureau of the CenSus. United States Census. of Population:Popu1at.i.on Characteristics Final :RePOrt: North carolina. U.S.Printing: Office-, Wotshinqt-on, D.C. 1951, 1961, 1971.
(2) U.S. Bureau of the Census. Advance Reports: 1980 census of Populationand HOusing. PBC80-V-35, North Ca.rolina Final POpulation and Housingunit Cowlts. u.s. Gove~t Printing Office, washington, D.C,; March 1981.
(.3) North carolina- Department of HuIDan Resources, DivisiOn of Health- 5ernee-s,state center for Bealt-l-t Statistics.. North carolina's Health.. Raleigh,N.C. (in p~ress) ..
(4) Na.:tiona1 center -fot: Bea1th statistics. -Advance .Report of Final Natalitystatistics 19n, -MorithlY vital Statistics Report. voL. 27, No. 11,Supp. DIlEN Pub. No. (PBS) 79-1120. P\j)lic Health services, Hyattsville,Md. Feburary 5, 1919 ..
(5) National. Cen:t.er for Hea1th statistics. -Advance Report of Final NatalityStatistics 1980,· Monthly Vital Statistics Report. Vol.. 31, No. a, Supp.DBHS Pub .. No. (PHS) 83-1120. Public flealth 5ervioe:, Hyattsville, Md.November 30, 1~82 ..
(6) Natioo~cente:rforHealth statistics. -Annual SI.1lIPaZY of Births', Deaths,Marriages and Divorces .. tiJl1ted States 1981, -MonthlY Vi.ta~ Statistics~. Vol. 30, No. 13. DBBS Pub. No. (PHS) 83-1120. Public Healthservice, Hyattsville. Md. DecetUber 20, 1982.
(7) Barr,_Anthaly J.; Goodnight, JaJDeS H.; Sals,John P.; and Be1viq, Jane T.Statistical Analys.is System, Cluster Proce.~. SAS InStitUte, Inc.,Ra1e.i.gh, H~C. 1916.
(8) U.S. oepan:.mt of Bea1th, EduCation, and Welfare, Public Be:a.lth Se.ni.ce,Katicna1 Office of Vital Statistics. -Birth Registration ee.tpleteness intb$ ODi.ted Stat:es and GeocJraphic Areas, 1950.- 39;2. 5epted:Jer 21, 1954.
(9) Lucas, I .. J... A study of CoaIp1ete:ness of Fetal Death Registration inNorth CUol..i.na. ~rth Carolina Deyarbnent of Human Resources. DiVisionof Beail.thServices statistical Report Series, No. SRS-5141-o7-28-7S.Ra1.ei.9h, North Carolina, 1975 ..
UO) North caroUna St.a:te- Board of Baa1th, Public Be31th Statistics section.Test ca:lducted in co.pliance wi1:h procedures of the Na.ti.ona.l Office ofVital Stati.sties.
(U) Borth CarOlina State Board of Health, Public Health stat.i.stic:s seC"-4,on.-Bospita.J. BaaGbook for Vital statistics Registration. - Raiei9h, H.-C.
02) ~, R. D._a. A. M. Hetzel. Vita1 Statisei.cs Rates in the Unitedsta:tes; 19~196O. PUblic 6ea1th Serri.ce Publicatioo. 110.. 1677 ~ u.S.GOV'emlEnt pruitinqOffioe, Washi.n.gton, D.C., 1968.
(13) SpeigelJuD, K. Introduc:ti.on 1:0 Deaogriiphy. Harvard uni'W!trsity Press,CMbrt&Je, Mass., 1969..
1-41"
STATE. TABLE
S [ l [ C T (~ v TAL STAT ., c ~ F ~ Q l' 1 1 ~ 1 , • 1
~ 0 R THe l R 0 lIN A
T C T ~ l W H I 1 [ H 0 N .. '" IT [
T E "
RATE_lctll'll T7-flt
NUIIlRLR1'9"1
p ~ P II l A T I 0 ~
1. TOTALlIIALlSFE~ALE~
2. ~ATURAL JNCRfASF
S'J6(l50~
?892'JO(l3067'0~
3_S"0
100.0168.5'51.5
•••
100.n1It-8.551.5•••
_50B5612201983>'306571'1
1'tM7
100.0"8.851.2
'.'
101'1.0"".851.2'.S
l""e,1~"
690"177t.U27
111733
100.0..7.&'!? ...10.1
100.01It7.,52.611.1
l J V £ A J R T Ii S
100.0 100.n'518.0 '918.1
100.0 10"'.1''917.7 97.7
20.010.1
•••97.(,
•••1.0-0.'11.9..... 6
18.. "••5•• 1
.,6.5.0,'~.6
'.111.8.6.'
100.0 InO.o9!!.8 ".0
:.'6""6
'0'1TO..31'96l~n
?711'J::'678')
'91[111.8n.,n.sn.l•• 1~.~
97.'91..'1 ••
••••• 0•• 5
55537
'''''888,.33')23696
5675628')'3327763
573_..56021
98."n.s0.7
0.'••n18.11
97._
0.'1.'n.l7.9.
19."
&375?"277,,"097~
!lIS83...168:?..6581'1
16210
3. T('ITAl,.ALE.Sf"£"ALES
II. ATTt:"IOANtPHYSICI~W IN HOSP.ITAlPHYSICU,"' "-'{)T IN HOSPITAL.CE~TI~I£r ~mRSE ~I~WIF£
pER~IT1E~ -IOVIF[5. ~"ATU~[ el~THS
(.. OllT Of VErL OCK7. ()cclmR£NCf
TOTALTO RESIDf"'TS
F £ TAL I I N FAN T ~ 0 R TAL ITT
1603
•••8. PFRI~AT'l-D£ATHS
9. FrTAl -rtEATt-iSIl.TTE.fwliANT
PHTSICIAS IN HOSPITAL 8.'PHYSICIM: NOT IN H~sPITAl 111
.(£PTIFIE" NURSE ~IOWIF£ 3PlR"ITT£n"IDwIF£ ~
nUT OF ~£OIOCK 26~
HI. llft"oHATAL (llNl'ER- 2B DAYS) 15.,11. POSTNEoNATAl (2B OATS _ 1 TEAR) 36~
12. I~ANT OEATHS IUNDER 1 TEAR) 110~
'37.31 ••n••n.o
30.7
•••..'13.2
'31.81.50.10.1
2B.310.3' ..
15.0
871
•••."•••..•••...•••
15.2..1'38.1..'••••• 011.'7.1
' ..10.7
'91'1.6.. '0.>o.n~.3
"'.3
•••11.<;1
"."8
•••10
o•212
~311,.,...
26.71••5
'96.5>.5
'.'•••~~.5
12."6.'18.~
....•••'.00.1
50.01'.5
7 ••21.7
C£ATHS IE~CLUDJNG FETAlSl
5.18 ••1 ••
•••5.811.i~
21.952.1
<a••1••'91(,.9
'. T•••1.0
•••5.0
-11 .. 021.&~2.7
lGO.G :00.0".9 97.7
'88os
'1193a123
126122876-60
12~63.....5'"
a.>Q.57.<
•••".~1. ,1.1>.>5.9
1 .... 2IIq.'J
S.''.'7.1
' ....'1.11.1'.05.'
13.3..8 ....
100.0 10".0~.3 '91£.2
25296596257Bl
3733"35'915J
"....893S.'
1171-2660
601132ft..S2
. 369.~20'52016lt~9
a••'.87 ••
'.7..'1.11 ••
•••1.0
15.750.3
8.'••57.1
••••••1.11.'::>.66.~
1".9"9.3
100.0 100.0'3'6.7 <)6.'"
.921::'27481121121"
13:!1'07
120"13,.,.18'91!'39218330
309U
,,<aO762.7')0p:.....
't8070
13. TOT~l
"ALESFl"IAlES
III. AlOEno-e" TEIIRS1)5-1- Tf"PS15-2. n--.RS25-3'" T£.lRS3!1-4ft TE.lftSlt5-!JII. y£ARS!=5-" YEARS£5 ANt1 OVER
15. PLAcr OF l'£"THHOSPITALotHER IN~TlTU110M
HO"E OP ~~~INSTITUTION
tiS. OCCUl'RENCETOTALTO R£Str·FlrTS
CTHE" £vf_YS
17. """lACES1~. OIV~C£S ANO ....-ul~.TS
_BI092'>5"
8.15.0
8 ••••a
• sEE ~FI.ITI~ AND FO~.S ISECTION YII)• UP .00£0 J"1f'1)
• _ 1
Department ofHuman Resources
Regions
REGIONTABLES
enzD.....(!)Wa.!
a.!::I:Cl
a::Z........JDa.!a::U
::I:~
a.!DZ
:z0<W..... if)w~
Z0<w>.... ~if)a:w
SELECTED • J T • L S T • T J S T J C • • o • 1 . 1 1 • 1 " • 1
D.H.fI. JJ • NORTH C[~fR.t.
TU T • L • H J T ( o. 0 • H J T (
.......-. RAfF • NUfll8£1t ,,"ATC- Ho_' IU,T£_
T T ( • 1'98, letfll l?...~' \"1"'\ ,.,-, 11'_'" 1~&1 1""1 17-61
• n • U L • T I o •
1. TnTAL 1273950 21.'1 21.11 9Sl'Ut' 21.9 2'.(0 t-A!>"]' 19.1 19.5
·"\.L~ 61015(1 Itl.9 .1.5 47'59]8 "'''.2 .7.!II l!oll'3t .. 7.11 46.6
FE....LES 66380(! 5'-.1 52'.S 512'220 51.8 ~".' l!'il"180 ~!.O 53 ....
>. IrIATUOfAL J~("ft£,,~£ !5l"711 •• 1 ...~ 3321 '.' :-- .5 1'K~ S.8 8 ••
L t •• - t• T H S
•• TOTAL 16001- 12.6- 13.0 11560 11.7 11.6 ""116 15.6 17....
"'.LE~ SCi"!" 6.A 6.1 51"56 S.' S.l 2237 1.8 8.,",E!'tALES 791:!' 6.' S •• 57.... 5.8 '5.7 2'e" 7.7 '.5-. ATTt:wm.",
158-6'PtfTSICU'" tN HOSPITAl ' ... 1 ".' 11.....q '99.0 9 11II ." 4"13 99.3 -".~ptiYSTtU", "!OT IHOfOspITAL 11 0.1 D.> 5 D.D A.l 12 0.3 D.Aac[~TtFI[n ~S£ -IOYIF£ 70 0~5 D.t 13 D•• 0.' t D.O 0 ••
f'("ItPtTTft' "towlFE 0 0.0 0.1 • ••0 r .1 D ••0 •••5. PP.E~_Tl~ AI~T~S 127,!, 8.0 8.' 12> S•• F.' !'i~3 12." 12.3
S. ()tIT Of W£[\l OCk 2887 ""'0 11.5 11. s •• 0::.'" 2t7~ 'fl.9 '6."1. OCrUfrRf'NC£
TorAL 111877 17.6 11.5 11.072 1.'J.3 l'l'.l ,A.. ,".G 1".2
•., • L • I o • A • 1 .. 0 R T A L t T 1
•• PEPIN.TAl OEBTHS ••• u;.~ 19..~ ,s• 13.. 0; 10;.7 ... 2!'05 21.7
'. FETAL'. OCollHS . '31 8.5 ••8 19 s.~ 1.7 '8 t2 ..~ 15.0ATTENDA";T
PHYS1ClArt IN HOSPI't~ '30 9'7.6 9:&.7 ,. ')8.7 '1Q.3 .. 'i&.6 ....PHYSICU~-' '" Ul HOSPITAL > '.' 1.0- ! t.' 0.7 , 1.7 To'
aC"ERTlrIEr! NURSC ,.1p.wIFf" 0 0.(1 o.a • D.O A., D 0 •• 0••PEP"'UTE:!) "'IOWIH 0 •• 0 •• 1 • 0.0 .. ' • 0.0 •••
OUT OF IoI£OLOCK A' 29.9 28.5 1 ••• Tool! .. ~~.~ Mo."!1 •• ~~.T.L- fl~~ 28 DAYS) 13, 8.' ••5 D' 7.' A.l -8 10.& 12":9
11. POS~ONAT~L(28DAYS - 1 YeAR) 50 ••A A.' .. '.1 '.' .. A.l S.51='~ , ......, DEATHS (UND£R 1 Tf.R) 18~ 11.6 13.7 tt. 10.3 11." .. 1_.8 1'9.3
"... 1 ... $ (EXC~UDIH&F£TALS)
13. TOyAL t073=, A.' 8.5 8239 8.' 'p.~ 2_.3 A.1 '.t".1.£.5 5915 ••1 10.1 _552 9.6 -.0 t", 10.2 11-.1FE".L£S .817 '.' 1.\ -, 1.' T.r 1.130 1.' 1.,
". AGI:00-....· Y£&RS ... 3.0 ••• 151 2.6 ~.'" •• A•• A.8
· 05-111 Y£ARS ... D.' .. ' 0> ..' n.~ 23 0._ 0';_15-24 YE"R~ ?5~ '.' 1 .. ," 101 1.' I.> 5. t.O ,.,2~-~ TE"R-s '81 I.' 1.A '.5 t.O ,.' "S ..- '.S.5.... TFARS 0>0 ..S ~.e 'SA ••• <?(l 156 5.1 S.'.5-!IIt yt'ARS "S 6.' S.S 5•• 5.' s.& .., "9.5 11."..!:o.... Y£aR!C> 111"'1 III." 1it.9 1372 13..1 n .. 5 _S' 21.! 21.16~ AJID OVEp .... "-8.5 50.0 5'050 "'.'3 lIq.l .... !':_~3 50.'
15. PLJlC": OF (If'"IlIHtfOSPTTAL 7760 67.6- &5.fJ 5... 6-7.3 60; .. 1 1717 E8.9 ....("T'*:1t _IItSUTUl'IOff ,... 15.... 17.0 13111 15.9 17.5 ..- ]3•• 15."~ Oft' 1fO'o-Il't$TITtITlOfol ,... 17.0 17..$;. '38' 16.(1 IT.1li .... 11.1' 1&.3
16. OC(URtO£lOtt
TO'''' to5~ 21 .. ? ;>1 ..1 "23'9 2:1'.1 2:>.0 ..... !J!.6 18••
r T " F R £ V £ .. l-S
17. "ARRIA6E~ ,tI.. 6';7 8.TIll:. DIVORCES ......-....LI'l£IIfTS U2(l '.' 5.\
• SEE CEFI.ITr~ .-0 FOR......'S C~CTlON nu• In. ........ '1980
• • •
SE:L£C,TCD V, T • L S T • Ii S T I C • F ,.. q 1 19,,7 7,,, 1 " • 1
n.Iot.R. III _ ,,~OUTK CEIIlTRal
T o T .. t. • " , , r •• • • • J T r........ "AT£_ ht,t..e£P RATE- toJlJ""Et:I' alu·
I l't: fIl ,.., '''.-J 77-"'1 ,""] 1""'1 77-el 1 lte1 1'181 77-8'
• o p U l. 1 1 • •I. TOTll. 13770T,!, ~3;1 ~2.q ":U737 ?~.7 2(1,£ flfI5~!" ;!9~1 30.1
".AtES 61'+0'93 '49~n ~9~" ~&fIt23 _9._ 5fl.O :n 3'970 _".0 "1!l~2
FE"ALES 70298:- ~l~O M.6- ~7J61't 50~f. 5r~(l 251:"'-1'1 ~2.0 51.ft>. ~~aL ]NCRfaSE U't7T 7.' 0.' 5237 '.' '.1 5~"O 11.& 13.0
l 1 V • " J R T " S
•• TOTAL. :»0721 15.1) u'.o tnl~ 13.0 111.1 , lt07 1".3 1'1.1
"'LES 10567 7.7 '.> G20t '.7 ',I ..~(. ' .. t-O • .-FE~AL,£S 10t5. 7.0 7 •• 5913 '.' F.' ,,"In ••5 to ...
o. aT1£I'lOAIlITPHYSltl.- IN HOSPITAL 19UO 9.... !\ 'J117.? 116"'8 96.2 ''''.1'' 8152 , ...5 .7.3PHYstcl.~ ~aT IN ~SPITAL •• ••• 0.0 ,. 0.2 r., '2 '.0 '.5"c£lf'nFl£r,,~SC "'JDYIF£' ... ••• 1.0 005 ••• 1.' 011 0•• 1.7
PER'lITT£f' -tOWIFT • ..' '.2 • '.' ~.~ • ••• ..,o. ~r".lUR£ ,PIRTHS 16._(11 ••• 0.] '0' 5.' "'·.7 1(100 11.6 tt.&
'. OUT (IF WEDLnCI( ..391 21.~ 1.9.9 73. ••• .... ! ..., ..~.5 'to ...7. otCI)ltREIICF
TOT... 2'197.. 2f..O "6.1 1261'1_ ?2.1 2~.2 .,~«tG 3t'.3 3".5
• • T • l • I tor • • T. - 0 R T .. L , T T
•• Pr~I~ATAL r.£ATHS '" 19.'" 21.8 17' 1"." u.-e. ••• 26 • .5 29.3
•• F£TAL I'l£HIotS 211 10.1 11.3 •• T•• T.!" t25 1".3 16-.1aTtttfb",NTPHT$ICU~ IN HOSPITAL ?O~ '.n.~ '7'.9 85 98.8 9f1l.B t2. 96.0 97.3PHlSJCU": OOT I:iHOsPnAL • 1.9 t.t 1 1.' f'. ~ • ..' 1'.3
.CERTIFJE[I NURSE" -,.towtFf • ..' ••• 8 .. ' 0.- • ••• ,O.nPUt!'UllEl'\ P:IDVJF£ • ••• 8.t • .. ' .., • 0.0 ·0.1
GUY OF ~Cloa- •• 3~.? 30.':4 8 '.' ":'.1 ., "e.B ..S.718. ,"f(ilI.TAL (lJIiIOER 28 Day~) ''''' ..' 10.7 .0 7.0 p..~ 105 12.2 13.,.
· 11. ~ST11EOIIATAL C28 DAYS .. 1 '!'£AR) to!' 5.t 5.1 50 0.7 3.' •• 5.< 7.''2. 1""&,," DEiUff~ ,....... , n:_P.l ••• 1_.5 J5.7 ... 12.J 1;:>._ ,,.., IT.9 20.5
tE,AlHS (EXCUIOIIf6 FETlU.S'
to. T(\T'II~ 10211,. 7.' 7.7 60" 7.' 7.E- .367 7.' ••1NALE!=: 578!' 8.' B.' 3820 S.' 0.' 1%5 ••2 '.7f"E"AlFS .... ..' '.5 3051 ••S ••• 11102 ••1 '.S
to. ........... 'n:",q~ 36' '.6 '.] "B '.' ~.c tS5 0.' 5.7.~n T£&It~ .. ••3 ••0 37 ..' 0.' •• ••• 0.0JS~, "..... 2'] ,.' t •• ". ..' 0.'] "5 ].1 1.2~-". 'ff"'K~ ••• h3 1.5 "7 ..' l.' ,.2 2.1 2••.5- ft...• '" 2.T ' .. 21. I.S ?? .,. 0•• 5.0oS-,.., "... ... ••• 7.' S" 5.S ' .. ~61 10.' U.o~-64 TE~!'" 1757 15." 16.8 1178 14.0 1~•• 'n J9.... 20.7~5 ""'" O¥EP '-1"Q :'1).2 52."; 0'" 50.0 S~.? 1723 '!:O.6- 50.'9
IS. Ollie'" QF. [iFATttffCKPltu. .... .... ".7 .577 66.6 "'.7 22..7 H.7 ....oTHI.P JPfSTll"uTtOfl! t75' 17.1 17.5 1213 17.tI 1".(1 11I;38 t6.8 16·3~ OR ~-JMSTllUTIa. 166":' 16.3 15.A toe7 1'5.8 l!i.3 ..2 17.3 16.9
1•• Ol'c\IRRnrt"TOT... 11541 23.:> 23.7 "2' 2C.7 .21 .... 3.18 !,1.8 3t."
• TN £ It [ V r "" T S
17. "MtJlIAU'$ 9••• ••5 •••J~. 9J¥0PC£~ ~ _"",,S <8U 5•• 0 ••
• sEE (l£F'lMITI{'ltJft:: aMI !="ORf'UUS C~CTJOW Vln
• 1ttP- a!'ftaJ 1"• .- • ,
S £: l £ C T E 0 ,..' T , ., 5 T • T I 5 , I C • F 0 • 1 • 7 T - 1 9 "1
O.....R. IV - [ASTEfttt
T 0 TA l W " I , ," 0 • • H 1 , E
Nltl'lft£p RATE. MI~n~ RATE· NII""rR ItATr-, E • 1'9"'1 1'''1 77..,ll1 19111 1""1 ?7~Al 1"1\1 I 'Uti 77..1\1
p o P l' l • , 1 o "t. "i(\T"Al t2£62~1 21.2 21.6 fl312:67 18."t 1".1 11."","""4 !lJ.O 30.9
,.AlES 622?1~ "9.1 1119.2 '114285 1119.8 5".1 2or-53 Of7.S 1117.5
,.£"Al£S 6111HJ1! 50.9 'Sr•• EI "1700:0> 50.2 IIA .<> 227011 !'f2.2 ..S2.5
•• "ATllI~Al It:CR~IISE 9256 T.S 7 ..~ ~Ml' 5.' f.? ~~~, HI.! '11.'1
, t· \' F• I., ,. 5
•• TOTAl• 280"89 16.Q U;'.Eo tta'iG 111'.3 1·,.~ "'''33 19._ 20.3
..ALES 103£'9 ••• 8.5 60S"," 7.3 7.~ ..~t5 '.' 113.3
FEio!Al£S 99•• T.' S.t .... T.e 7.1 ..U8 '.' 10.0
•• "TTEtIDANTPH'l"SI('tIlN t~ ftOSPITAl lOJS3fl; ....s 9T .2 11"'e., ..... ,t'.'1 en..., "e:.1It .... 0
r*lYSICJ#llf "OT IN HOSpITAL ., D.' 1.0 .. D.' l'.s •• D.7 1 ••ar-nnIFlrr. ~t'RS£' '"IDWIF£ 55_ '.7 1.D ... 7.' 0.';' ••• S.> 1.'
ptQflITT[O ~JDWIF~ SF D.' 0.5 5 D.D p •• S! 0.' D.'5. ~~TuPr~IcT~S 1~21 P.D '.S ••• 5 •• '.' '., 11." 11.7
F. OUI' Of W£t"tOCf( IfIlS, 22.0 21.2 ... 5.> _.T 3"ltO 45.5 1111.3
T. OCCUPRENC£TOT"l 200"2 23.7 23.7 1171;> 20.1:1 2r.! 8'13n !0.1 30.9
• E , .L • I .. F .. ., " 0 • T • , J J y
a. PrRHIATAl ['E.ATHS '0' l'i1.11 22.2 17~ 14.5 l£o.~ >ss 27.2 30.If
•• ~ETAL D£ATttS Pl. 10.5 11 ... •• T.' P.l ". 14.7 15.8ATl'£WOAP!T~YSlt1"K nt HOSF'YTAl 21. 97.2 96.7 •• 97.e '17.9 "> 56.& 95 .. 8Pt<!YSJOAt· NOT UI HOsPITAL - I.' 2 •• D D•• I.' • S.' '.5
ttCERTIFJE~,Hti'l:sr 1'I1[lWl,.r- 1 D.5 0.2 1 1.1 !'J.ll- D D.D 0.0PER"ITTEr- .JD~IFF 0 D.O 0.1 0 D.O ..' • ' .. O.T
t"l1"T" fIf. .W£01..NK T. 34.7 30.5 1l It.2 7.0 •• ~0.8 ..7.2
'0. """"'II1At:. nltfCER. 2& DAYS. ... ••• 11.{l .. 7.0 P.'!i lOT 12< 7 1".7!1. POST~~AT'L 128 n_yS _ 1 YEAR' 10:" !!I. I '.' 'D ..' :'I.ll- .s T•• 8.1
". JrtF"lIfT N"~ IUNOER 1 yF..R) PS. 14 .... 16.3 IPS 1O.~ It.€> n. 1!'Oc2 ~,..~
• £•. T " S 'f~CLUOIN& FETALS)
JS. TOT.L n033 8.T '.7 70" ••5 ".- n&lI. '.' •.s.....LES 621,. 10.. 0 :10.1 .,.. ,~5 0.' 2?7-. 10,.9 11.3
FE"'au:s ltfl;l~ 7.S T.S 3105 7.' T.S 1710 T.' T••... ...,.0.;.0_ "n"R$ "0 S •• 0.' I'S 2.' ~ .. !l 1", ~.o •• D1'5-1_ YE.tts •• O.S 0.0 so D.S P.' SO D.' 0.0n-2" Tr'flS ~7!> 1.0 1.1 '" I.' 1.1 7S 0.&. 1 .. 1?!I-3ft Tr..,e: S05 1.S 1•• I.' 1.' ••1 'ST ' .. 0 . 2;'5
35-ltlt n:"IlS .., '.1 S.3 215 2.1 2.' :'"::&i> S.' 6.0
"~-54 YEAR!=: S" T•• a.D ... 5.' F,. !l97 11.3 11...!'5-E4 YF'RS
,_ 16.7 17.6 ttAlt 1... 3 15 4 7 na 22.1(. 22.0r.s· AM) over: 676;1 51.9 52 .. 0 4610 51." 5?· .. " 2152 ~3.2 50.11S
'!-. Pl...a OF D("TtINOSPlTAt. 762(11 69.1 (,9.0 .8" 6"1.5 6q.E "29 E~.5 fi~.O
OTHl.R I~' 1TUTIOf'" I .... Ilt.O 15.2 1057 15.. 0 1!".7 '91 12.. 3 1".5HO"'l£ 011 1IOr'-IJ'STlTUTIC* 1"57 16." 15.1! 1893 15.5 It1.1:' 7.. 1~.2 tT.!>... OCt""""",,,TOTAL 183!J~ 20.9 28.9 ...S 17.8 17.! .750 !o... 30.8
• 7 " F • E \' E ... T S
17. ""alfRlaGES 127.1 10.1 •••)p. (ltYMtUS &W'\ A.......""'""TS .... ..' R.2
• SEt CEFINITIONS ...., FOItfIIUL.AS ~SECTTOff vlu• UHi .rtlEO. 19<00
S _R
Health ServiceAreas
AREATABLES
WESTERNI
NORTH CRROLINR HERLTH SERVICE ARERSPIEDMONT
J IIIIW I ...,...
CARD INAL HEALTHAGENCY
V
EASTERNVI
S £ l E C TEO v r , I l ~ T " T t S T C <: F n q 197? - 1 , 8 t
Wr-ST£R'-!
1 F "
liU!"!f!(P19S1
TOT" l
RATr_)Q'l1 c77~"1
• 0
f {'I P 11 l " T , C N
I. TI)TAI·.illt"::FEMalFS
~. "l\TliJ;:,U ''''fPrASE
10:'lt'J="(I..~'3S7~53~3S5
3677
17.3'lAo."~h6
:'1.6
17.?'lA.l51.9
'.'
<:ISDB!''1I',OS9f.'1A913~
2999
?1.1lfA.~
51.5
'.'
2".'""". ,'il.F-
>:;. ~
Al"9~
'l.e Q 7,,)421;,16
.7e
0:.61117.8~7.2
I! .3
5 ••1117.71)2.119.8
,v£ ~ I R T 'I S.
3. T('lr~l
~AU.S
FE""lE~
... "TTt~"NTPHYSICl_N I~ HO$PITAIPHYSlCfIl"" ~1('lT IN "('SPITAL
#rF:pnnrf' f-URSE. ",If'\IIIF[p£q~lTTr~ -IOWIFF
~. PP~A1URE PIPlHS6. OUT nFwr~lorK
7. OCCUPRf~Cf
TOUl
1267l'!6S8'i!&08..
]2500F55.,11
'"]691
O;;>fl;.7
•••..,..,7.'
1 :'1.11
13.1.."..'99.30.3O. ,
'."7.'11.?
11?375813
5"'"ll07~
"..11
74..77
98.60.50.'..,..'".7
.,").?..,n.ln. r.,.'7.~
1"3£77.'.0
1"2A1]
o1777.0
17.6'.5e.l
'j.<:j ..0.10.10.0
12.3!O.1
'.3
19 ..{,10.1'.5....0.,0.00.0
11.7...6.3
f-r A l 3 1 ~ FAN T ~ 0 R TAL! Y
8. Pf"RJr4ATAl CEI'THS 23,.9. ~£TA1_ r.EAlHS 1;>'9
UT£I,rh'l;NTPHYSICIA~,IN HOSPITAL 12~
PHYSICU"' NOT_ IN HOsPJTIlL ,..r.ERTt~IE~ ~URsr ~IOWIFr 0
PLfl:"lT1E!) t'lIOWlf"r (IDl.lTOF WDuiCK 2~
10. 'lIE'ONA1Al «trh!>fR 28 DAyS) 10:0;11. PO!\Tt!f'OtUIT"L (28 DIU'S _ 1. YEARI 52'? IWFA~l OEATHS CUNDrR 1 yFAR) 15~
18.110.1
'n.7,..'.00.0
n.5e.,".1
1;>.2
98.31.'0.'0.'
19.3e••iI.1'i
13.7
'n111
"',•o
11..,."'
16.8••e
".10.'0.00.'
15.37.1'.5
111.6
.,<:j.f'r .!"
'.'f".~
L"'."7.'".'1::>.7
,.]
oo
"231336
ee.'10;.&•• 00.0
E:6.716.0
'.'2'5.1
'1".5
•••0 ••0.0
53~2'
16.28.,211-.6
13. TOTAL..ALESFE-.LfS
1". AGfpn-o.. _'F"R!:,,5-1_ ,£.p~
1'5-211- lEAR<:'5-3" T£ARS35-". TEARS115-~1I YEARS5~-6tI YE,l.RS6~ ANIl OV£R
15. Pi r.('F OF "'.THHO~PIT,l.l
(IT,*'' I"STJTIITlO~
~ Oft I"O"'-INSTJTUTJOfl16.. OC('1ll!PF",C£
TCUl •••
••e11.6e.2
6.30.31.53.1'.7
11.ft22.151.3
5.50.'I.'2.1·!~7
11.1~1.1
!!3.5
..,10.8
7 ••
75.'2]337
<••,..••
3e3
2.553...
13""'-'2
?'?r.!I1.::', .1~_:'I
":'.71:".1.... '7.fo
~ .....0.31.11.2
e.710.0
7.'A231146093Eo2~
"0'3
1731752.e55'4
121';5671
8093
8.~
10.'17.'3~2
0.31.3
'.'::0.5..,
13.7"7.9
>.70.3, .11.32.3'.e
t:>.e"6.£'
,,...19~
'10500..,
13",.6093
8e6]
(£~CLUDJ~~ FFT"lS)~ EAT H S
(' T ~ f R F Vf ~, T S
1"1'. ~R'" I Il.{'..f~tlO.-ptVO')ACrS II~ ANMIl f'IOI:TS
'.3• • 7
".3•••
• ~ ~FI.ITIO~ AND F~~AS C~E(TT~ YIT)• JT£~ ~~ 19100
•• 1
s r.t r c T r 0 \It T • L S T A T I S T I C , • n , I • T 7 . , • • I
H.S.A. II PTEO"lOfn
T o T A L W " I 1 C • 0 .' k H 1- T E
NUf'!flr" IfA.Tr. 'W1IlIf'fP. R,UC. N""P1F~ M"n;'·1 < • nal 1':1"-\ 77-"1 19"-1 191'11 77-"1 1"'81 19l!1 77-81
• 0 p " L A T I o •
I. TOTAL 1H'6"'1~ 1..... ") lA." 9(l,,~~<J 20.1 2ft. ] 2't""71t 1~.3 15.1
"'ALE!'> 53e7~' q7.R cO .4 435269 4l'.1 tl'7.7 It131f.73 '16.& 46.2
F£~.LE~ 587571 ~,2.2 5~.f, '+69170 'il.9 5:>.~ 118·01 '!:~ .It S3.fl
'. ~ATU~AI. jJlCRr'ASF 'Ie9" 'I.'" '.7 3252 '.6 '. T 1"'12 7.' 8 ••
I V r " I • T ".•• 'to"TM. 1'076 12.5 12.'" 10607 11~ 7 11.'9' 3-69 1!!.& 11.'5
..iI·us 7tO~ 6.' ••6 5375 5.' _f.1 173_ 7.8 8 ••
F£olIaLFS 6967 6 •• 6.3 5232 5.8 .. 1735 7.8 8.6
'. UTF'!O~NTPH'l'SIClAf.· HI HOSPITAL 139"'7 '79.1 99.'1 1051)" ')'9.0 9 .... lt 3-"3 '9.3 ....PH1S1Claf\' ~:OT IN HOsPITAL 10 0.1 ••> • '.' n. I 7 ••• ..,
l!('tt:l:TIFlfO 0:U~Sf: "'l1f\W1F£ •• 0.5 ••1 .. n.6 n•• 1 -0.0 •••pf~~ITlEP ~IDWIFf • ••• ••• • '.' n.n • ••• •••
•• PRr~AluPF PI~THS 1071 7.6 7.A 65. 6.' 6.' AI, 11.' t2.1
6. {JUT.· (IF wrr>lO("f( 237,. 16.'9 16.5 667 6.' ""... 1711 Q'h3 ..7 ...
7. OCcURRFJtcrTOTAL 13118'il 16.4 Jl,. ~ 10539 18." 1"". J 3'"1~O t2." 1"0'5
F • T A I • J t~ F" A" T !'" ° l:' T • L I T Y
p. Pf~ltIATItL £IF_hHS ... 15_5 1/'1.1) lA8 13.9 1'S.7 72 20.5 26 .. ,
'. I':'fTAL OCAlHS '>0 a.~ 9.6 75 7.' 7.7 ., 1?8 15.3ATT!.NflAflOt
PJfYSJrJA~l I'I HOSPITAL It7 "7.~ 9P.~ " 98.7 90:;.3 .. 'J!:.6 98.2PHYSICtAlV NOY IN Ii(IsPITlil. > '.7 1.0 , 1.3 ".7 I >•• I.'
!ll'CERTIJ'JE(I NURsr -Y(lwlFr • ••• ••• • '.0 n-.Il • ••• '.0PEft~tT1E~ ~IDwTFr • ••• 0.' • [l.o "." , '.' •••
flUT· OF ..,t>OLOCK . " .27.5 27.1 • '.0 T.' >7 IOt).9 s'5.Eo
". "f'O"l4TAL t',"f\£1t 2~ DAyS) I •• 7.1 •• n n 6.' '.' 27 7.0 11.8
". PO!'>TtLONATalI28 "'1YS ~1 TE~RJ •• ,., •• 0 " 3.1 "'.? " '.0 6.'12. I~FA"l nr"T"'" 1000FR I 'l'£ARJ '" 10.'+ 13.0 106 10.0 11.:! •• tt.5 If'.O
r F • T H S (r~rLUOI~ FETALSI
,~. TOTAL 91ft:> '.2 8.' 7355 0.1 P. I 1"'27 ••• 8':e"!au_s 5033 9.3 .. ' 4043 '.' <;I.E ... ••• to.7FE"Al£~ 41fJ9 7.1 ••• 331C' 7.1 <.' ,,, 7.1 7.2
lA. 'GF00-0.. yt,llRS ... ..' 3.' "6 2.6 :>.!" 56 :!! • .5 •••p50-l't 'tEIlIt~ 53 ,., 0.3 ,. 0.' f'.!1 lA ••• •••l'!l-O!:" TV·RS 2'7 '.1 I.' '" 1.1 '.' AS 0.9 ,..~5-3. y[·,,~s ... I.' 1.' 151 I •• l .. t 88 ..3 ~.5
3~-•• y£AtfS 353 '.5 2.6 ... ' .. ~.O ". ••• 6.1"50-0;11. TEIlR~ 72(,. 5.' ..' ... 5.' c;.~ "7 10.. 2 11.4-;5-6.. y£ARS 157. 1....2 1,..1'> 123_ 13.0 13.:" :a..O 21 •.2 22.365 AMl O¥£Jl 5e-2ft 47.9 4'9.6 "a'l" • 6.9 "A.f.. ••• !!::!!.5 55.0
15. PLACE .tW MUMIofGsPlTaL 62~2 67.8 65.2 ..<:155 67.11 (,_.9 1'67 E':'.3 ...,nTHEP lfolS'l'luTlO" ".. 15.~ 17.1 115e. 1~.7 17. ~ ·OI ]!:.2 15.5~OR wo~.InSTITUTTON 1561 17.0 17.7 Ull2 16.'" 1'7.S ;\n 17.. :;' 18.2... XC'1.llIfRntCFTOTAL 931 ... 18.(1 18.7 753. ?O.2 2ft.! I T85 1 .... 5 1.....
C T Jot £ R E V £ • T S
17. "."1t1&&£5 992!- 8.8 f'I.~
t_. f',VOftC£S .,.0 ANMJt.I"rtn'S .'SA 5.5 5.'
• -~t nr~I~JTlo.s aMP r{m",ulA5 (SECTTOIill VIP• ITr" Il,UO Ut',
• . •
UI
$ r l E C T r n • I T .. L • T • T r Sf r C • Fr), I • , , - I '9 .& 1
H.S.~ • .. CAPUlL
T 0 TAL • H r T E • 0 • .. HI T E
NOI"f!:£P ~!lTf.:. ttU~(R flAt£: .. 'tt.l 1'f\[R "ut.r T • • 1981 101,.1 77_"1 1':1'il't1 t"'jIIIl 17_,.1 t.qSt 1981 77-41
F 0 P l' L • T r ('l t~
I. TOTII. 8~O'!j(j" 13.9 B.!,! 5M'J":f9 13.1 1:'~" 240-;10 U;.f. u. l'
"'ALES "OOS8!" -t" .. 2 lfR.3 2870"'7 ~8.7 ,,-.- 11':"3'" 1liI7.1 1ll7.1
tE"'ALFS .. :501414 51.F1 51.7 -302'952 51.3 51.? 1:'7172 !'lOt.9 52.9
>. ""TUq'-l l~rRf"AS£ "32~ 5 •• 5 •• 2 ..52 ••• -.! 1111;73 T.' •••l T V E • r R. T J' S
•• TO'1'Al• lfUn~ 13.1 13.7 ~86lf 11.6 l~.O •.,t09 16.1 17.~
"ALL~ 55t3 ••• 7 •• .... 5.' 10-.2 2030 f!!,:4 '3'.0
Ff.!"IALES .... '.5 '.7 3381 5.7 ~.~ .... ~.2 •••'. t,TTt'..oAAt
PtlyStUA'" U4 HOSP1H.l 1059£, "7.5 '9,1).5 6630 96.6 ')P.::» 3"l166 '5I11J .. '1 ....pHYSltu~ "'Of IN HfISPITAt 3> ••• ••• to ••• n.' IS ••• •••.C[~TIFIF~ ~'URSE ~I~~IF~ 71. 2.-0 O.~ 157 >•• , .1 .. '.5 •••PE~"ITT£P ·TO~IFr • ••• 0 •• • ••• (l .. ? • ••• •••,. ~M"'\~ ~JelMS ... '.5 •• S • 7> 5.' 1;.. '!'. ";4& B.6 12'.8
•• ')UT nF 14Ft'tl O~I( 2301 21.2 ~O.n ... 5.' ~.5 lq59 ..8.9 _5.7
7. OCCURAr"ClTC"TAl 111156 1".0 13.~ 711.18 12.9 1;>.5 "''''3t'l 16." U.5
F r T • L • I " F • " Tiii 0 P T • L r T T
•• P£RJ~"T.l'rf~THS ?2~ 20.3 21.7 .. h.O 111':,.0 ... !l.Q 31.1
•• ='FTAl oEAll-lS 55 ••• 10.9 •• ..1 7.' 57 1/f1.0 15.8AITENDA~T
ptiYSIrIA"l n~ HOSPIUJ_ •• "'7.0 ca8.5 .. , 00.0 <;I.... ;" 55 ~lJ.7 97.8Pftys'ICI'-"-' NOT IN. HOSPITAL I '.0 ••7 • .. ' n.1I. I I •• •••
att:folTIFJEf" NURSf"'lriWIF"F" 0 ••• .. ' • ••• 0.' • ••• ,0.0P£RftITTEQ ~IDwtF~ • ••0 0.' • ..' n..e • 0,.0 •••
OUT OF w[Dlcicl( .. 32.' 30~1 • 11.'3 "..~ 27 47.it /fI.7.7
1•• Ii€DfIIATAL fl.,fl.ER 28 PAYS) 1.. 11." 1O.~ 55 '.' R~? •• 17.2 15.. 5
1 J .. e»o~tN(~Al"LI28 DolTS _ 1 yEAR} 57 ••• ' .. .. ••• ~.1 75 ••• 7.2... I.-A-ll Df'''TH~ Il.JNQ-(R 1 YE"~) 171 ~S.7 l'i.5 17 11.2 11~3 55 2~ ... 22.6
C F • T " S CfxClUOI~G ~E1ALS.
13. TOTAL 6s-." 7.' 8.1 "1112 7.5 7.7 "86 ••• e ••
"ALU' 3619 ••• '.5 ;0'22 ..' R.' 11'!'7 10.6 11.0FE....LES "'.. ••• ••• 199'0 ..' f, .. t' ... 7.' 7.1
~.. ...ftt'_O.lt Yf.AP5 ••• ••• 3~7 53 ••e :>.5 11• 6.0 5.enS"l' HAftS .. ••• o.! 1. ••• .. ' lO 0.' 0••15...2_ YrlllR~ 17. 1.0 ,.. 107 ••• ".9 •• 1.' '.1:>!t_3/f1 YE"R~ lO. 1.' 1 •• .. ••• ,.' os 2.2 •••~5~'" .ttlU.~ ... '.7 ••• ... I.' ::0,.:1 ,.. ~./fI. 5;'8flS":'!I/fI. YC"R$ ... '.1 7.' ... ..' ~.7 '.. lU.O 11.. 0'i.!r-M .YE"R~ Itt£. J'5.5 1(•• " 731 13.6 1"'."- :'1185 21.3 20••~5 AND 0\'£11 _07.- 51.1 52.1i1 2':13~ '5Q~" S,!,.1 un ~!.1 ~lJ.5
,~. PlllCt rw Of ATHJf(lWITJll 1f13..'! Eo3.J 62 •• 2778 63~O 6;:>.7 i355 E3~'t 61.7,OTtfER IIIfSTlTuTlON 118f. 18.. J 18.'5 .., 1.,.0 I"'.~ ~.7 16.2 14••8~ '3A -e~-IRSTlTUTION J2~ 1".8 t".:l' 755 UI,~O 1".1 ... 10.3 2] .1\
1 •• f)CCI.lRftf'"NC£TOTAL 781? 1!>.7 15.9 53011. lli1~2' 1"." ~1l 28 •• 2'1."
C 1 U r R r·Y f • T S
J7...lUt~JJI~S 6";1. 7.' 7.1l'. rlY~rS "M': ..,....,11. "'E'WTS .... '.1 ~.1
.~ ~FO[~I.ITIONS _~ F"ORPIU.. ..S I~CrrOllf ~IJ I
• r~.. ·..t"D£D ,.... .- •
S [ L E r T r 0 • , T A I , T A T I • T T ( < F r • 1 • ., 7- • • • 1
~.s.,... • CAROINAL
• 0 T • L • H 1 T £ •• N .. hI T E
NUI"IAr~ RAT[. kU,.aCR RAtE:· NIIfIICll£~ RAn:-T r • I"". 19R1 17-r1 1"1111 1'''1 11-81 1·"1 11l1"1 17-81
F 0 P " l • T , o •
'. TOTII.I 911"11 1.5.3 15.2 !oelt93~ l~.D B.l 316"''''5 2:-.5 2~.O
"AU~ 1I't975~ lIq.! 119.9 2915(,& 1I'i1.8 5".6 1~8)11e:1 ..~.5 ..8.7FE."'''lfS ,,£'112' 50.1 '5D.l 2'13566 50.2 It... " IMU5f' ~t.~ 51~3
•• ...",uPAI u'rRf:'ASE 7f:,3? A., '.' 3"'2$ ••• f..!l l12'e.. I?' I1t.5
1 V r " , R T ... S
'. rOTAI. lItfUt!'i 1£,.2 17._ ~12D 13.9 1_.f' 6~"5 20.~ ~2.It
!'"ALES 759, ' .. ••• ...171 T.' T.T 3"1" 10.5 tt ...Ff."'IAlES 7?lIt 7.' ••5 ..... '.7 1.:; 3?71 lt1.0 11.1
'. Af1'£frlDANTp+4YSJcJ"t! J" _HOSPITAL 13gef' ".5 'n.2 7821 .... 9 .... (: foUl 92.3 ".1pHYSIC"'''' "07 IH HOSPITAl •• ••• ••5 ,. ••2 ".~ 23 ••• ..7
,C£RtJFlET t,;URSE "I~VIF£ 73(' ••• 1.' ,.. '.2 1." ... 7 •• 2 ••Pf.~ITTf~ -lnWIFf • ••• ..' • .,. n.~ • ••• •••
" ttP~'IoTIIR£ ~I~THS 11(,.1 7 •• .. ] ••• 5.5 ~. 7 T17 10.7 11.8
•• ""7 t1F v£1)l GCfC: 3285 22.:' 20.6 'H 7.1 ••• 2712 40.6 38.77. ::JCClrQMEt.lC£
TOTAL 1"28£, 16.9 17~2 7763 13.5 1".1 6'\23 211.1 2'''.0
T r T • L • 1- Jill F A o T " 0 • T • L 1 T Y
" prRIMATAl reaTMS ~6p. 19.2 21.7 12. 111.7 H..'S ... 2".8 28.3
" FETAL. r-EATHS It;~ lr.o 11.3 .. 7.' 7.7 ,.. 1".7 15.9"tTUlOllklPHYSIJ1A~ IN H(lSPITAL ,.. 98.;: 97.5 •• 98';5 9P~'5 .e ose.c 96 .. 9PHTSICIA" OOT IN HOSPITAL , ,.. 1.5 , ].5 t.2 2 2 •• ].7
_ct:F1TiF1[l"t NURSE III!InWIFF • 0 •• o.n • 0 •• ••• • ••• •••~R~IITEO ~JDWJF~ C ••• ••2 0 ••• n•• • ••• •••lWT OF )1£01 oct( 5. 3? .. 1 3? .. 1 5 7.7 ~.3 .e -'48.0 -'46.5,.. 'IE(IflIATAl n"'f'ER 28 DalS) 12~ .., 10.5 55 ' .. A•• .. 10.2 - 12.5
11. PO~T"ftONAT"_L f28 Days _1 YE"AR) .5 5•• 5.5 •• 5.5 '.' At '.2 7.6... I.A"'l f'lEnH~ ",NOF'"R , Y[AR'. ?'Op 1IJ .. (l 16.0 55 12.2 ,. T ••• 16.3 20.1
r E A T H S 1[.r.LUOIN~ F[TALSI
". TO,Al. 7173 7.' 8.' ..692 ••• 1l.0 2lt-81 7.' e.2_ALE_S 1f161 ••• ••• 2701 '.' ":".2 , ..e '.2 '.7FE""1 FS 3012 ••5 ••• '55' ' .. ••• Ift21 .., '.7
lA. -",itO-Bit- YE.R~ 25' '.5 '.' 11. 2.' '.' 13' ..2 5.8to!'''''I'' 'l'E"R~ 5. ••• ••• 5. ..' 0.' l? .., ••5J~-?" TEARS 2•• ] ., 1.2 132 ].' ,.. TO ] .. ,..<"S-3" YE"RS 2?f. '.5 1•• 115 1.2 ••• 111 ••• 2 ••350........ Y£'FlS 29~ 2.e '.2 lS7 2,. 2.' ,.e '.7 5.2Ift.~_~... Tr"~S ... 7.' .., 57e ••2 5.' "5' 10.3 11.155-64 YEaRS 1275- 16.2 17." ... 1".8 1~.9 AS. i9.7 21.1{.!l-"tfO (IV[R ":>"(1 11'91.9 52." 25" ..9.1 5:<".7 130~ !:1.8 51.6
". PLAtt" or [IF.ATNtIO...."Al 505'5 70.5 71.0 3316 70.7 71.ft 173., 70.1 70."OT...... IN!'Tl TUnON 107" 1~.0 15.8 732 15.Eo llFo.O lU)7 1".0 15.2HO"'£.- OR ..·O......lftSnTUTI~ 105tJ 1".5 n ..2 ... 13.7 1:>.9 '55 1";.9 13.6
T., OC['llflMrlfC£TOTAL 60"" n.6 13 ..9 "_"0 11.9 1:>.1 .... 19.5 19.3
~. T H £ R E • , • y S
11'. ".RRIA6CS 5220 5.7 '.'-11'. O,V-'JRt:£S -ron AMII}L I'I£JfTS .2?e '.' ".5
• SE£ r£~I.ITI~ • .0 FOR!'Wl'S -Is£cnow VHf
• HE" .t'O[O 19"0 .- •
SE l E C T f D V , TA l S T • T I S T I C , F o • t- OJ 7 1 - 1 •• I
wooS·••• VI EaSTERN C.ROlINa
T o T • L W " I T r " .. • • " I T (
NUf'lRf'1l RaTr. NU"IBEfI R,lTt_ HUf'AUl RUE_
I" T r • 1981 1981 71-Pl 1981 19"i 77-'!'1 i~"1 t"e! .,..,....1
p D P " L • T , D N
I. TtlT~L lOllP':l57 17.l> 17.9 671792 1.... ':1 lc; .. <, 311V.S ~&.Q ~' .. 1'
"'ALE.S 517'581 '19.3 "9.5 33&60..... 50.1 5t'.1t IflO"3'! ,,~.G "7.7,:'E"'AL(S 53l37.=. 50.7 50.5 35511t8 119.9 "9.~ 1'1""28 ~tt.O 52.3
•• ".TUQAL I~RI'"ASE A15f, 1.0 0.' 't233 ••• -.. .... 10." 11.3
, I V r • , • T " S
•• TOTAL lnt>::> 16.5 16.9 9939 1".8 1'5.11 7:"23 1'9." 20.'"AI.ES 8816 O.V 0.1 '5076- 1 •• 1.1 37..0 ' .. 10."~E....LES ~..,,~ 0.1 ••• ,,865 1.2 1. ~ 3~1I3 '.' 10.1
n. I\TTEl'4iD4fel'f"4'fSlCU~ 1'N '4OSP ITAl 10£_9 9&." 91.3 ..31 .... 9fl.? 1018 ,5•• 96.1pt4ysti:ta": HOT IN HOSPITAL .. 0.' 1.' S. D.' n.1 5. ••• 1.'
.cEf!nFIEf'l p,'tJRS£ ,,",nYIFE n.. ••• 0.' '37 ..n '.- ... ' .. 1••PER~ITT£O "'IDwIF£ •• 0.' 0.' • 0.' 0.1 31 ..V 0.'
5. PRr"'"TtIP[ RIP"THS 1393 ••1 ..n '5' ••• 5.~ ... 11." :1I.t!;
•• 0\'1: <If' WEOl. O{:t( 3'7'7;1 2-\.9 2'1..3 n79 n•• ... ~ 3"'J" ..S.O 113.'J
7. DrcURRtHcrTOT~l 16-862 20.0 20.1 97..e 17.0 17.(1 7tH· 26.2 26 ••
F r T • L • I N F • • T ~ 0 R T • L I T T
•• PERI~AT.L OEATHS 3"" 20.0 ·22.7 n. Ill.6- 1~.7 ••• 27.3 30.7
'. ~ET~l. O£ATK~ 180 10.3 11.5 T3 7.' A.' '.7 1".lf. 15.'1
.TTEtlPAfiflPHTSJCIA~.' Iff HOSPlTAl 17-. '96.7 '6.5 n 'J7.3 '7.11; '" '56.3 '5.7PHT$ICIA_"' NOT TN MoSPITAL • ..' '.7 0 0•• 1.' n !.7 '.T
trt:E.RTlFH.:) NUP.Sr *IrwlFF" 1 0•• 0.' • l.n '.5 0 '.0 0.0PER~ITT[O "tDWJF~ , 0.0 D., 0 ••• !,!.(l • 0.' 0.0
OUT 'OF"W£OLD;:K .T 3"7~2: 30 ..1t 10 13.7 1'.'!:. 57 !3.03 ".110. ':O""T"l CUtIOER ~e DAYSI I.' ••• 1I.3 7. 7.' 0 •• •• 13.1 15.11J. POST'iEOMATal (2~ OATS .. 1 TE,IRI on n•• ••• 33 3.3 ~ ... 51 7.' 7.'T2. 'NJ'"A"T D£IlTHS (lM[)ER 1 yEAR I 2S! 1".7 16.6 10. 10.7 1::>.:- 107 20.1 22.8
:- £ • T " S IfxCLUoI~6 FET~LSI
". TOTAL 910£ 8.7 '.7 5796 _8.5 p.o 3C¥.OO '.0 •••"ALES 510~ ••• 10.0 3150 ..' '.- '''55 10.8 11.2:F'E-ALES 11001 7.' 7._ 2556 T•• 7._ .... 7.n 7.'
In. AGE.'1n...o.. y[tlPS .'" '.7 v.n ••• ••• ~.~ I •• n•• ..0(15·1" nARs "' ••• •• n •• 0':3 "v '7 ..- o.n15 :-2" yrAR~ ". 1.0 t.l lSn 1.1 1.0 T> 0.' 1.1"s-~ YF"RS .5. I.' I •• '" ••• 1.1 I>. '.1 •••:'15-..... ttARS 35~ :';.1 ••< 17' '.1 -".3 '" ••n •••IIS-!JII T£"ft!i 755 7•• '.1 ... '.0 ~.6 '56 _11.7 11."-..5-t>" Tf .R~ 1595 16.6- 17.. 6 .., 1".1 1"'.6 ... 22:.3 22.0E-5 ANO eVE"p 5577 5?3 5?1 3770 52.2 5;.7 1-07 !:2." 50."
'.. pUier Cf" Ofilt"tfO'q"n;'l 630;:> 69.2 6'J.3 "HO 6'.6- 6-9.9 Z!J32 ,.;8.6 68 ..2OTHER IffSllTUTlOflI 12$3 1".1 15.2 ~55 15.0 l!O.f: <•• 12.6 1".'5~ OR "~-I-STTTUTION 15"1 16.7 15."i "1 15.11 lll.'!:l 'n. 1".8 11~3
I •• octU'tROrG"TOTAL e:"~7 -17.1 17.2 5327 1".3 1•• 11 3160 ~':6 ."..
C ., H,C lit [ V • • T •
17. ",,,RRIAGES un!' 10~7 10.51~. OtYORC£S "llI(I .......M"..TS 1151., < •• <.0
.. SEE 1J£t: J.ITIC'!tIS AND FO!tPltA.AS ISECTIOfItI von,-. 1tt!"."O£O J980
n ; •
Perinatal Care Regions
REGIONTABLES
NORTH CAROLINA PERINATAL CARE REGIONS
WESTERNI
NORTHWESTERNII
SOUTHWESTERNIII
NoRTHERSTERNIV
SOUTHEASTERNV
5 E L [ C 1 E 0 • I 1 , L 5 • • 1 I 5 1 I C < F 0 , I • 7 7 . 1 • • I
P.c. RrGlrN VESTER-'"
1 0 1 ., W H I 1 £ • 0 • • • I T £
NUr-&P RATE. "lUI'I'1[1I RATE· ~u~q[R lUTE_
I 1 £ " 19P;1 1""1 77... 11.1 nftl 1'90:;1 77-~! t"'f'l 1')-1 77-81
• ('l p-U L • 1 I o •
,. lOT A! 53'5261 '.0 •• 0 ""TEo'" 11.0 11 .r. "7F.12 ".' •••IIIAlrs 257'5"'1 Ilil.] "7._ 2'3"'609 '18.1 ". 0 17<t3? .. 7.7 "8.1~f"'''L£S 21172(\ 51.'9 5:>.~ ?SMIlO 'S1.' '5::-.~ 1911.80 ~~.3 '51.e
>. 'IlATU<:t"t It;fJH''''st 1:>81 ?" 3•• 101~ 2.0 :> • .;. .., 7.1 ,.3
I • £ , I • • H •
3. TOT'" 6"57 1".1 12.6 5807 11.7 1".1 <5G 17.3 19.0...us 3379 •• 3 '.5 30"0 '.1 .... ~ :"3'9 ".0 ".9FEI1ALES 3071" 5 •• •• 1 2747 !'.(, ~ ... ~11 1'J.3 '.1
'. • TTE....'nPHYStcUtl ':'N HOSPITAL 4316 ':iI7 •• 98.9 5669 ·n.6 <)1I..!l ... 'J9.5 ....pttV~JCtAN ~'O1- IN HOSPITAl 5, 0•• G.' SG 0.9 ".E- I 0.' 0.3.r£~'tFr£~ ~URSE ~rowrFE .. ••• •• 1 .. •• 7 •• 1 • ' .. G,OPf~"ltlEP IIIIDWIFr It 0.> 0.' It .,' ".1 0 0.0 0.0
5. PA£~A1UR£ PlkT~ ... 7.S 7.:5 305 ..' <.' .S 1!.1 11.8
•• OUT "J wENnrK 773 12.0 ] O.A -.. 7 •• 7,1 ". ".,.1 ft3.77. DCCI"'tlFMC£
TOUt &H.14 7.3 7.3 5518 ' .. ".' ... 2._ ..,F 1 • L • J ••• • 1 '!" 0 P 1 • L I 1 1., ptpl~.TAl, rE~T~S 111 17 ..9 19.3 9. 1£.7 l'l.{t 19 28.& 30 .. 11-
•• FE'TAI. P£,IITHS •• lO.t:. lO .. A 59 10.:1 l!1.S 1. 15.2 111-.3.tttPfOANT
PHYSIC 1 Alii IN HOSPITAL 66 ~S.7 98.0 5. ~8.3 '3'0'.0 • eO.9 '1.7P!1YSICU.'- NOl ]fll HOsPITAL • 2.' 1-'11I- 1 1,7 ".' I 10.0 6.5
.r:UTIFIEO NURSE: f"'!:lWIFf' • •• 0 0•• • 0.0 ••• 0 0•• 0.0PE~ITTE~ "IDWtF£ 0 0 •• ••0 • •• 0 •• 0 0 •• 0 0.0
f'UT oF "rotOCt< IT 211-.6 1&.~ 11 1&.6 1~.1 0 60 .. 0 52.1' .. "lEntlA'Al· IUIIIJ"ER 28 OATS) -. 7.' ..5 .. 0.7 7.' 9 13 .. 8 16.3n. ~~1~ntlIA1"L 128 DAY'S _ 1 YfARI 'S S•• _.5 1. 3.1 '.3 5 7 •• '.112. l"FA"tl O£ATH~ IUNDrR , YEAR I Tl 11.0 12.9 57 9 •• U .. 9 ,. 21 .. 5 2:" .. 3
r < a T H S c~XrlUDING F£TaLSI
13. TOTAl.. 517f, 9.7 9.0 -- 9 •• ".5 S52 10 .. 2 10.7~"'_l.S 2879 11.7 11.3 .680 11.2 11.~ '99 11 .. 1 1:"..4Ft"lllES 2297 8.! ~.O 21111- ..' 7.' ,.., '.3 '.1
TV. ...no-o" Yf,llR~ •• ••• 5.' '5 2.2 >.7 15 ' .. '.705-14 Tt:"RS 2_ O.S O.S .. 0.3 •• 3 • ••0 0.']!'--211- 1£AIil": •• 1.0 1.' •• 1,0 1.> • 1.1 lo.61'5-311- yt"fl:~ tOf- '.3 1.S .7 I.' :l.? 19 5.3 S.O~'Io_4 ttARs "6 2.5 ••• 15' 2,5 >.- 12 '! ..~ 5.0..!t-~ Y!'AIil~ 5'7 5 •• ••0 ~3 5.5 '.- $V l1.;a 12 ..3~5-6It Tt:Ati;S 76!1 13.2 13.6 .., 12.6 1~.1 7' .23 .. 2 :"3.365 Ann OWR ..., 'Ui.3 olf6..e ,ft.Oll 46.0 ....6 .,. !'? .. 't ,0.,
••• PLAtt OF' l"£A'H..m:oPJTAL 3277 63.3 62.7 3Mo 63.0 61'.7 :>51 ~1 .. 3 ....nTHl.p ItI':~llTUTIO'!! 10"0 20.J 29.7 '17,. 20.3 20 .. 6 .5 17.9 22.11-t40"£.. OR -- ffO"-IIiIIsTITUTIOII 'Sg 16.6 U .• '5 ... 16.7 le..7 .0 15.7 111-.9
16, ncC11IR'REtKfTOTAL !"30~ 10.7 10.-; .... 13.1 17.'1 ." ~.II- 5._
C T ... [ If £ •• . 1 S
17. """"'1.61:5 4611-" 0.7 0.'J". OI",f)RCCS ."...._~S
2511 _.7 _.:5
" SEt Dl.n_tTJOlIIS .~ FOft"'-ILAS CSECnOlil VI"• nEP.•fIOEO 19f'O
5 • 1
, E L E C , r 0 V , , A L S , A T I S T , C • F , . 1 ., '7 '7 - ••••p.c. ..(GIO.. IT - t.~THW[ST[~.'
, • TAL W H I , r • 0 • • H 1 T £
NU~B£1t RATE_ 'fUI'IBlP p."lr_ Nl"'AcR R"n'·T E " 1'981 1"1'\1 77-"1 1')~1 1,,,,1 17-el 1qel 1'181 77....1
p 0 p U L A T 1 o •
•• lflTA, 1(,O?~5f:,. 2&.9 26~" 1350"\76 30.0 2"' .. 1:' ?~638a: n.2 IT.O·.lES 77nO,. 'tA.? '17.7 £.5""~~ 'tf\~" ..... G 117"23- IIIG.9 "&.2f:l~AlrS 830",,"fl ~·1." 52." 697991 51.6 '5:'.!) 132')5'1 '!;".1 ~3 .. 8
•• "AntRAL lI\·r:fl"F .. SE 72~~ ••5 5.' 5219 S.' ".. ~ Z03. n.' •••L , V F " , • T , S
'. TeTAI- 20t!£, 12'.6 13~2 16,039 11.9 I" ... 'ttl'3l7 16.'t 11'-1
·.'.E.S \0130 6." 6.e &1S'7 E.' F..~ 2ft7! •• > '.2F£.,ALES, 990f, E.' _.5 7"182 5.' '.' 2... ••1 ••••• .1TF~ANT
PHTSICIAN n. HOSPITAl 2000? .,.' 9'J.5 15938 'J9~" '3'9.5 .. n61l 'i9.2 99••PHYStCtA~ "!tIf IN HOSPITAL .. 0.' 0.' - 0.0 ••• • 0.' 0••
·C£"'-.IFlfTl "'lIRSE- -r'i"'IF[ 52 0.' 0.' SI 0.> ('.1 , 0.0 0.0P£R"ITT£O -IDwIFf • 0.0 0.0 • ,.0 ,.. 0 0.0 0.0
S. PR£~A1UR[ ~lPTHS no:!! 7.'S 7._ 1013 E.' E.' "0 12•• 12.1E. 0,,, .. WEDl.OCK .,., 15.':J 15.1 1.158 7.' f..5 201(.1 "9.. 8 ....7. OC"C"u'l'Rr~r[
TOT.L 201't<;t 2'3.9 2.... 0 1601~ 27.~ 2ft~C' ..131 1'5.2 15....
F E" TAL • , • F A N T ~ 0 R , .L , T T
•• 'PERIl1a'Ul- '['I£""HS 3>• 1&.2 19.0 "0 10\.8 U ... 7 •• 21 .... 27 .. 9. ~£TAl OEATtfS 18~ '.1 10.. 3 '2' &.0 "' .. I'" S. 13.. 5 If;.OATTENOAf.:T
f'HYSICUN .IN Ht)SPITAL 1•• 9R .... 98.7 '2& .,.2 9"3'.0 ..~' .." 97.9
PHYSI(U,·J NO' IN HOsPITAL • ,.. 1:.2 • 0.& '.' • .,- .,.II'CERTlFIEO NURSE' "'IOlfIFF" • 0.0 '.0 0 0.0 ' .. 0 ~.t1 0.0PER~ITT£~ "IDlfIFF. , 0.' 0.0 0 0.' fl.O 0 G.O 0.0
OUT OF "E01.0CK .. 25.') .... .. 10 ..9 5 •• .. 69.7 55..&'0. ~ONATAL flJN!}ER,2!1o OATS' 1"" 7.2 '.& II. ••5 ".0 33 '.1 12..111. POSTnEONAIALl28 CAYS _ 1 yEAR) •• .., ••• .. ••7 '.' ,. ..' E••
. t2 a INFAH' DF".TH5 UJNN'R ] YEAR I 28~ 10.2 12.') ,s. ,.E 11 ... 51 1~." 18.7
< E .. , H S IEXClUDING FETALS)... TOTAL 12M3 ".0 &.2 10!l20 ..0 -,. 2ft'3 !!.2 5.0P'lALES 711') 5.' 5.7 ....., 5.' "l'.5 11"" ..- 10.8FE"At..ES 57£... '.5 E.' "!l30 _.' ~. 7 ... 7.0 7••... ....00-8-" YE.Rlt 'E, 2.E '.0 ... '.' F•• E' ••1 '.7~50-1" YE"RS '5 0.' O~3 57 0.' ".3 .. 0.' 0••15--2_ YEARS • It .., ' .. ... ,.' ,.. '5 O.G '.025-3_ TE"R~ "0 i'.3 1.' ..5 ••1 ,., os ••• 2••~5-ft" Y£AR~ '79 2.' 2.E "5 I.' '.1 ,.. 5.0 '.1"'5-~ 'rt. ..,,~ ..... 5.7 E.' TTl 5.0 &;.6 ~22 10.. 8 11.85~-6AI YEARS 2::'" 13.7 10\.;3 17~1 12.7 1~ .. 2 "'. 21.3 22.6£5 AND OYEI' 828(. -'17.& "".0 Tln ~.') ..... 2 U09 '!3.1 511."", PLAn OF of'-TtlHOSPJTJl 8"3189 6') .. 8 67.3 .... 6oj~3 67.0 .... 72.5 .....nTHf.R I~STTTUTION .... 15.1 1(".. 7 ,- 15.. 6 1", .. '9 262 12.7 15••MO!"E _OR JitOf'l-INSTITt'TlON J..,.." lS.1 16.0 '''0 15.2 1'".1 '0. llt.8 15.;8
". otCI~£NC£TOT.\. 13007 2&.2 26 ..1 JDIJ77 29.1 2C'.O 2130 17.. 3 11.~
• T H £ • £ V £ • T •
17. fllAAOUGt'S 13787 -S.-6 '.-,.. nn.ttS AliI{l .-.uorwTS 820" 5.' 5,0
• SE£ D£~lNITreNS ano FORI'IULAS (SEC.rt~ VII'.IfEIIt,A(lIO£O '''0
5 _ •
• E L E C TED • I r A L • T , T I • T I C , F " , I • • • . I • • •po.c. FtF610N '" _ SOUTHWc.:::5T[pN
T 0 T A L W " • T E • D • • • I T r
NU"'B[P RAtE. ~JUIll8ER MAll:_ fil'!'l"£R RA'£_
T E • 1't811"'"
77-1'1 1')"'1 '''Ill 17-!'Jl 141'1 1'Jet 77-8.
.. 0 p U L A T I O... Tn,_l. 93E-3{,'J 15.7 15.7 733'5'17 16.3 1" .~ ,,02-32 1••0 l!.j
"'Alf-S "IfOJ9"" if/hI It7." ~5526l" q.e~" 1(".2 'Jllt7,.. (16 .. 7 "'.6n"'!"lH 48637::'\ 51.9 52.1 378270;, 51.6 !ll.A 1n8ft')8 ~3~.5 53 ...
•• '!"'tUPAl Jt'(prA5£ 576;:> 6.' 6.- 332A -.' .. ' 2"3" 1".0 12.2
l I V r " •• , .. ~
•• rOTIII, t3?1fl 1".1 1".q. 9UO 12 .... 1:;>.1 ,.n88 ;JO.i' 21 .. 0
....U~ 67l.('I ••> '.' 'Ui31 6.' r...~ 2'1?9 Ift.S 10.5
fr·"l(~ 6"5" 6.' .. ' .....,,, 6.1 <.> 1_'59 ..' to ...o. tlTTr":t{lA~T
PH~~HtU.t! IN tfOSPIl Al 130'" 9~.7 'J'J.3 9015 98." 'JCiI.1f "0" '8." ....pttysICU" "OT IN H(lSPITAL .. 0.1 o.~ 6 0.1 " .1 " 0.' 0••
ItcfQTlFlff' "'URSE.,"Il"lwtFE 'tl!=- 0.'51 0.' OJ 0.' fl.! .. "",'Ii _4.. 3_
P£~~]TT£n -IPwIFr • 0.0 0.0 0 0.0 fl.fl 0 .(1..0 0.0
•• P9r",ATUR£ pr~THS lO{.c A.' a.o '60 6.' " ~~. ~O5 12.110 12.!"
<. eUT r.f. wrOt arK <'7"~ <'0.8 t~.~ 6" 6.' <.1 2"" ~1.7 51.?
7. OC"tuPRf'"H("f"TOTAL '''''O'? 17.1 111;.7 1 nt1lo1 J 7.7 17.~ ,,<'GO i~.l 1".9
F E T a L • IN f- a N ; '0' T a L T ; Y
a. Df"RltU,TAl ['£~THS >a, 21.0 -22.4 ,eo 17.3 17 .!! 1>, '9.1 32.9
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f1rr"'UFIrr "'URSE '"'!'lwtFfpf~~JTT£r ~rDWIF~
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OUT OF"~fOt OCfl'11'. ~f(lNIITAL' U'~nf.1l 2& DA'YS'11. l:>I\ST""f'~"'.TAl 1211 otyS _ J yfAR)1.? IPIFII.·' "f~TH;<: fUNOF:R 1 TEA!'!)
•••to.97.,6.1'.31 ••3.'••0
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",~-f,.IJ TfIlR!'..!'tlt~ .(VF~
I:'l..Cf" OF" DfATHttO<;PIUlnT~RI~S"TUTloP
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ToT"l.TO kESJrENTS
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17.. ,.""Dl.I;£$1~. PIVORCES ."~ .~~~S
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7.75.'
7.1s.s
• SE£ rL~I~JTi~ ~ND F~~UL.S f~ECTIGt~ VIT •• ITF~ .~'O£O l"J1"O·-
G _ HI
s [ \. E E 1 E n • J 1 • L , J • 1 , S , , C , F • 0 J • 1 1 . t • • ,C HER 0 , r , c o U l'I , ,
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P C P " l , , I 0 •,. lnTAl 19<"le l'! .. 3 Q.:'\ lP."l2~ ..' n.' l'.q!> 1)-.0 (10.0
.AU,~ 9?61 "".2 47.6 fl'941J 46.3 .,.. "17 4'5.6 _<".'31
rE".l[,~ 99~7 51." 52." 957'3' 51.7 5::>.::- :He !':IJ." '57.1
2. \/IITURAL n'CRF A~r ., 3." S.l ., 3 .. 5 ~ .4 n ••• 1? .. f.
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S. TOTAL ;-;;>~. 11.7 H.l ",s 12.0 1?9' • '.' 18.5fOAU_S 1tA f,;1 '.' '17 ..' ".. ~ , _1.11 ..'FEl'IALES 101 5 •• '.1 1" 5.1 '.< 1 t .' ..,
•• I\TTf"'£lIlf'tTNITSleUf-' 1Jo:!iOspn,\L >to ~6.'9 'n.7 21. .... 91.7 • 1OfJ.&I 98.1PH'l"~lcut· ·'OT 1ft t4(\SPUAl. t ..' t •• t . 0 .... T.' • .. ' t.'
:I'('"Ffn IFIf fl ~'URSE -I""'TF'"F • 0.' '.' • 0.' n.r. • '.' •••P[p~ITTFr ~ID~IFF • >.• ••• 5 ••• 0.' • o~o •••
5. PPl'",,"/lllIR£ flll'THS " ••• ••• It '.' .. ' • • o' 5.1
•• ':'IUT Of' \;!f.{'.lO':tl: .. a.' 1.t .. ••5 "i .. ~ • ••• 37 .. 71. nC('"UPflF~f
TOT,tL 22!' •• S 0.3 223 '.' 0.' • ••• •••1'(1 PFSIr:·CNTg t 5<;t 70 .. 7 6('.."' ,5A 70 ..~ 6 .... 1 • ~(I .. O ....
T T • L • I • F • r.' T .. 0 ~ , A l , ,•• PFP1l"ATlll llf.:IITHS , 13.3 1_.2 3 13 ..Il l ...~ • ••• ••••• '1='£ T Al- nr ""l-lS ••• 1.5 , ••5 7.';'· , ••• •••
ATTf.. ...O,t~'-'P",(l;JCIA~: IN' HOSPITAL J 100.0 88.9 1 100.0 61'.9 •rt-''(SIC!.A1t rJOT IN, HClSPfTAl 0 n.' 11.1. • C.C 11 .. \ C
II(;:ERTlF")Er NURSE "If'lWrn" n ••• 0 •• • ••• (l.t" •PER~ITTFf'I ~IOWIFF • o~o '.0 • '0' r. (0 •
ntITOF, ....FClO("K 0 ••• 11.1 • 0.' 11.J •TO. "f"(lrtIlTAL fIlM'lER 2l* n.'lY!';) , ••• '.1 2 ..C 1.f' • 0.' n••... ~!l~nJE ONAtAL "'I' fl''(~ _ 1 YEAR' • ••• '.' • '0' '0> • c•• '0'"0 I~f"IlHtnE",TH'O; ".INnER , YE"PJ ? '0' 12~' • ••• 1~ .. ? • '.' •••
C F A T, .. ~ f[.~l.unI~~ ~ETALSI
t~. TnlAt '" B.' '.' "a B.5 ....s ? 2.' 5.'·ALE!' 1T ••s 11.~ 15 B.- It .. ' • .0' c••n"alts B, n., 1.0 ns '.1 1.1 0 '.0 •• S
TO. ."no-oil Y£AA<: ? ,.. ••• • ••• ;(.0 • n•• •••ftS-14 'ff lo~~ , ••• 0.' I {'-~3 '.- • ••• •••,1~-2q, ..£.~~ • 1.' to' 5 ,1. '3 ,.' • n.c '0'::>'5-3'1 '([,\...s n :?.03 1.' • 2.' t .3 0 0 .. &1 2.'
"i~""'''Y[Aft!" • 2.1 '.B 5 2 02 :Z.' • c•• 15.6
..!)-~- 'l'[IlA~ 11 5.5 '.5 '0 5.1 n.o • 21 ..1 s.i0::.5-6'" Yf"""" 2> 10.3 12._ .. le.6 1=' .. '5 • n•• ..,0'5 "PI'" (IV(O 'OP 3£.." "'''.1 101 37." .._.E- 1 U!.&I 2'''8
1~. Pliler {IF'_crAfHUf)SPIT!\l J1. 6-8.1' 73.1 10' 6,,..0 i'll.Oj. 1 !n..... 5~ ..~nTHE~ 1~S111U1I~N If ]0.. 0 H.1 .. 10.1 In.2 , ••• 5.'HO~OR .:O"'-INSTITlITIGN •• 2J.;> 16.fl 53 20 .. '3 1", • .5 , ~O.lt Itl .."
T•• rteruwR£f'CfTOT.Al I"!," ••S B., ... B.' '.- • ••• •••TO ttf!'lt>HI'TS 'Jo ~'.7 75.1 ,OA 67.1 7~.7 • "0.0 70.0
C T "F • F Ii f , S
11. .."ft1HAf'.{S ... B.7 1;;>.1
IFo ftlvr>ffCf$ aN" A.......... II9F'I'fTS ., S.2 2-.9
"'"rt,FINtTIOII,;;- II'" f:'ORI'tULAS f~(C"OfrI VIn
• Iff. A'!DFD 19-0
6 .;.. 20
, £ l £ C , £ r • , , A l , , A , I S , I C , F r , , • 1 1 . I • • 1
C H 0 " " • C t\ ,I ,., , ,, 0 T AL • H I , £ • 0 • • H I , £
NUfIlPE" PATE. "U-e[R RATE- NIJfltPlr. lUtE·T~ £ • }")81 1""'1 77-'" 1'981 t~"l _77_ttt 1·81 l'jIlnn-fit
F 0 P l' l A 1 , o H
1. TroyAL 12£3". n.> n.> nu" 0.> -fl.? ~!'" 0.-' 0.'
"lIl.E$:. ~~n "6.9 "8.~ 35(13 It7., It,..", 2'''2f1 .......~ "1.1
F'Ef'tALrS 671!' ~3.1 ·H.8 3-'13 !I~.l St." 2"02 ~".5 52.3
>. "''''URAL n;('"f~FAs:r •• 5.1 •• 1 1 1.0 n._ 51 1(1.7 iO.8
l I V f " I • T ... !=
•• T('TAL- 1'3'!' 15:." 15.T 17 10.5 If.!i rIO ~2.2 2'h6
-ALE 5; '" I'.S '.' •• ' .. F .1 •• 11.3 1:1.:5
~E"'AU~S P7 ..' 1.' " '.0 !i.' 5' 10.'1 to."'. AlTf"tOO.... '
PHYSJtlll-'" l~ Hf"SPI'At ... q~.5 99.6 1A '!tft.? 9.,... (I 11. 10(1.0 100.0PHYSlCi,.", "0-' 1M HOSPITAL • 0.' 0.' • 0.0 n•• 0 ••0 •••
acEA1IFU r - "UP:S£ .,rWtF£ I 0.5 0.> 1 I •• ('.5 0 D"v ••0PE""'ITTfl' "'rO..IF£ 0 •• 0 o.n • •• 0 n., 0 0.0 •••
•• pp~~AIUR£ PIQTHS It •• > '.5 • 5.> <.1 .. 11.9 Ihl
•• O'tIT nf V£N(;Ct<: SO 25.6 2'1'.3 > >•• :'I.? •• ,,0.7 _7.0
1. Cl('"CtlRR£t:CfTOTAL '" ••• •• 5 ,.. ••• n•• ... 1.' 0.'Tn RESlf'HITS 110 37.ft 3').6 •• 32.7 3!'\.7 110 "'.8 ..2.e
f , • l • 1 • F •., ... 0 " T A l T 1
•• ptAINATAL rE~THS I ~.1 26.7 0 •• 0 7.' 1 ••• .\f0.9
'. F"fTJ,l -ot",tt.lS n ..' 13._ 0 0.0 :il!."- 0 0.' ~1.3
IltTE.M'I"~·TMoY~JtlAt. U!H(lSF'JTAL 0 9~.3 • 10n.o 0 91.7P~TSICI"": NOliN HC!SPITAl n 1.1 • ' .. • ..,
ar:(PTlFIP' NURS£ P"JnwJFF • 0.0 0 '.0 0 0.0PlR"lTTEt' _lOw IFF" 0 '.0 • ••n 0 0 ••
OOT OF ldPLncK • .~.2 0 n. , 0 50.01 (I. W(lNA1AL CloN·lER 21'1 DAn:) 1 5.1 1~.5 • 0.0 '.' 1 -to.s 20.0... !>OST""f ONIllAL (2" DAYS _1 yEAR) • 0 •• ••> 0 0.' '.' n •• 0 '.1,>. INF"·'l f\£.'Hs CUNOER 1 'fEARI 1 5.' 17.7 • ••• '.' 1 '.5 23.6
r r A T Ii S cfl(t:LIK'IHC F£TAlS I
'.. lOTAl 'SI 10.4 11.0 1. ' .. 11. J ., 11.5 10.8..AU.S .. 11.1 12.9 .. '.1 J:'.! .. 14.0 13.7F'E '!'Illl f"S .- '.1 ••> •• 10.0 ".' 21 .., ••>
". AFr00_1l0; YEflR'" , 1.1 ..' • ••• l.S 1 >.0 1••05-1" yORe; • - 0.0 ••1 • 0 •• ".~ • '.0 0.0J!>-2il1 TEAR~ 5 >•• 1.' • '.0 I.' 1 ,.. Ie"~5-.!_ T["R~ • 1.' ,.~ 1 1.0 '.' 2 >., 2.'35-.. 'r£ASf:C: • '.0 •• 1 • '.5 3 t 2 1 >•• 7~7
.!t-~ TEAR'S • 6;.9 '.0 • '.5 ..' • 13.7 10.75!>~" Y£llR<: 2' 1... Ec 17._ 11 11.1 1"-.! 10 22.2 22.1fO!l AMf'I cYEI'I' .. "ft.D e..' •• 3~.6 5-.(1 •• E..... 5'''7... bLac,"" OF -Of An,ttOC:PHAl 16i 17 .1 7~.9 51 72.9 8l'l.~ 50 ~2.0 79.0OTH£~ [~~T'lUTIO~ .. 10.7 e •• 11 15.7 '.1 , ••• 1 ••..... OR U)"-INSTlTlITtOlf ,. t?? 11.6 e 11.' JO." • t:! .1 ·13.11-
lA. ncCI~""IIfCf"
TO'AL ••• ..' ..' TO' 0.' n•• ";f! ••• ..7TIl M"SJ[I(ftlS: 'OA 5?!\ 5.?!' .< '51.9 5'.? 51 ~'.O ""..
< T .. f • £ V , T 5
n. I""AR'tlMf$ " ••> '.'", NV""crs -..~ ANfIUl.""'lifTS .. ••• >.e
. S£[ rEFr"JTI~~ AMO F"QAf"UlA$ C~(ctICMIl VITIa tTEI"' Af'"OED 191'0
ft _ 21
SEt.£C , ( 0 ,. I , , L S , • , r s , r ( • r r • I • 7 7 • 1 5 • 1
( L ., (' Q II .. T V
1 0 , .L W H r , < • 0 "." r , (
NlI"'firp. R.Tt.'. "'Uf'lRER RATE· '-'ttflllfllfR RUr*
1 • • 19") )".) 77-,01 198) 1"11·1 IT-lll )"41 1q81 17-81
p 0 P L' L • 1 In.~
r. HltAL M'5'J 0.1 n .1 • ~n'S n •• '.1 ,. 0.0 o.n
-AI f.~ '.51 _9.l. 117.~ '1129 "9.7 1f7.;> » "".3 50.2
FE"'At,ES 35f1f ~O." !'~." ,,,no 50.3 5~.1l 30 !'7.7 ",.~
'. 'lff-TURAl 1~{'R~Asr 0 1.' 2." 7 1.0 ::>. ", lQ.01: 9.7
l I .( " r • 1 " S
3. TOTAL Op :U.f'l l"~ 7 0, 11.7 1::>.7 , n.2 19."".AUS " 5.7 6.' 39 5.6 P.' 1 19.2 lla'.<)F'f.....U:l; .. s.o 6.P •• 6.1 ~.e 0 0.0 6.5
'. l'lTTPIDA'lT~'1SJ'tU~· IN H()SPtTAl 7' ~1.5 9:>." TV 91." .,~. '-. , UlO.D 100.0pttYSiCIA~' 'm Iff .Ht'lSpITAl • ••• ~.O • ••• ... .. , 0 0.0 '.0
Itr[RTuttr -.fURS£' .. tr"IolJFE • 0.0 0.' • 0.0 f'.~ 0 0.0 0.0p-fP,",IT1£f' "'D"'IFf" 3 3.7 1.3 3 3.7 -).3 0 ••• 0.0
5. ppr~Al.~£ fJpTH$ • ••• 3.' • ••5 1I.~ 0 D., 0.0
6. OUT I"If ...'[norK , 1.;- 3.5 0 n.D :'1.1 1 100.0 33.37. ')(rl!I{"£~CE
TOTlol 5 ".0 n.n 5 0.0 n. f' 0 0.0 0.0TO fl£-S}['["'TS 7 77.to 73.i! 7 17.a 7".~ 0
r , • L • 1 '" r A N , • n • , • L J , T
A. P(RJ"'ATlil .I"£I'YHS J 1:>.2 17.1f 1 12.3 17.7 n D.n 0.0
5. ':-[TIll. I:'£A'''"S • 0.0 1;'." n n.D tC'.~ n D•• D.nIITTENn,,~·T
PHYSrn.a·· I.~ fofOSPlTAl , ~OO.O 0 \0('1.0 •Pt1YSIClll t , NO' Itl H(\5PlTAl n n.n 0 ' .. 0
."£R1tf IE'f) t.luFlS( IilJf:lWIFF" • n.D 0 n.n nPEPoiltlT£O "IO"'IFF" • n.o 0 '.' 0
nUT or· "'fCllOCK • 26.0 • itt.!; n'P. ~'f'C)lfl\.lAl H!t<:':'£R 2S OIlY~l , U'.P !'l.0 1 12.' '.1 0 0.0 0.011. ~P<:;T"ECiN.T.l 12ft DAYS - 1 '1[AIU • •• 0 7.6 0 0.0 7.7 n 0.0 O.nJ>. I~A~l rw"1H" WNOCR 'I YEA.' J '''~~ 1.2.& 1 12.3 l~ • .I" 0 0.0 0.0
r r I: )' H S IF)~lUP1NR FETAL51
13. tOTAL ,. 10.£0 11'1.' 1V 10.7 1".~ • D.D 5.7"ALE:'! if! 13.0 12.7 .. 13.1 1".~ 0 0.0 19."F"E"'... rs •• R.3 0.1 .. 0.' ".p n 0.0 D.n
". .""""';'0" Yf"R~ • 2 .. 3 '.1 , ..' 3.1 0 D.n 0.0n5-1" Tfl''''' , 1.0 ••• 1 1.0 fl. !. • 0.0 n.D15-24 TfllffS- J 1.' 1.0 1 1.1 , .1 0 n.D D.n2'5-~" Tf"IlRS , ,.. ••• • '.5 p., 0 0.0 0.0_54_ yrARe; n 0.0 1.1 0 n.n 1;." 0 ••n 45 ..5
"5-~ rt"R«: T 10.1f 7.' 7 10.5 7.~ 0 0.0 D.,55-"''' y£Af(!' '. n.t lZ.::" 15 17.5 1~.1iI • 0.0 n.n~'S ...... C'V(I> AT ..e.l ... 3.11I AT ,,~ ..~ ":-;.7 n o.n ".7
15. ~.t:£ OFr".,,,,t4C'WITAJ 5' 7".! "".'5 55 7".3 6_.1;1 0 ",3.3tllH[p ·1,.~ltTtlTt~ • ••• 10.0 • ..' -.' n 6l..'7MO-t. f)R l'o(Ifo-!lIl~TlTllll(llll to lR .." Z'; ..~ to la.~ 2~." 0 D.n
TS. !'\{("uPftn:C:fTOTlilL J. 0.0 0.0 15 0.0 r.r n '.0 O.n
; Tn R£o::lr£!"',S to 93.3 .... to 93.3 'JIll." 0 J8'O.O
• T "C R F V f. • 7 5
17. ...."·I.f;£S 7. 10 .. ;' •••... "",..as "~f' ANtftJI..."lf,"S •• '.7 •••• ~££ r~F ••ITI~·,MD ~ORP:Ul"S 1~£CT10111 Ylt)
" ITF" I''''f'I["o 1<)"0 .- ..
S E l , , T , n v 1 , l , • • • • , v f P • I • f f . 1 • • I
, , V , • • • n • " • • T
n t • l • H I T r N 0 ." I T E
N,-"""fR 11.'[- ''l-III'-_ IUTf • "'I"""£R ~~T[.
T , • ''til, '11IO,., 11.. ' , '''''1 n·, 71·'" ,Qlll ''''Il'l n·8,
, n p" l • T 1 o "
1. TOTAL l'\!'1131 ,.- l.v ..{,(l~" 1.' .. ' ,l?}? 1.' 1.'
"'litES ... O3~" "'.~1 ""." '11""7 ""." "''''.f, ..... _Ei.9 _7.1
FE ....u:S "!~lfI ~t ." S'l1.1 S""1''' 51.1. ~, ... 9"n !!l.1 52.9
•• '\IATU~AL t"'("~"AS~ '" ,.. ..... "!II 1 •• ".It >2T 12.11 13.2
I V E n 1 • 1 " S
•• 1(1TAI. 10911 .".1 1"." 726: 11.0 1>._ '12 20.\f 22.3
"'Alf~ st.. ~.,. f.' 3!t't !I•• '.- .,. • I'.! 11.6
FE."'ALE-:!' ..., 6.!l ••• "" ' .. -.- ,.. ••• 10.7
'. "'TE.NOANTrJ04YSJcTA'· tf'! HftSPI1' At .... "Ilt .... .,....., 12. n." "~.'1 :"71 '3'9.1 ....PHYSTrI"'I" ·'OT IN HnSP"Al • a•• •• 1 • 0.' -.' • 0.0 •••
_crill tFIEr "'URS[ fl'1""IFE , 0.1 ..- 0 ' .. . 1'.:" 1 ••• •• 1
rpl'p'ITTrf"t '"IOWJF£" - ••• -.- • ••• '.0 • ••• ••••• PP[""'!ATt",F PI~THS •• '.' .. ' •• ••• _.f .. 11.0 u.s•• 'tiT fit wFrt or-II( ?tII7 '3._ '0.3 •• '.' f' .~ 1'J!> !:?" "'J.37. ~CCII~prNf[
,,,TAL 13~'" 1.' 1.' ... 1.7 >.- ... 1.' 1 .. 5
TO R[""If'F~l~ OJn 11." 69.7 ..' 6!i.e 6'1.E- :!IIt!- "£.0 l'6."
, £ , • L • 1 .: r " N T • 0 p , • l 1 , T
•• P£~I~AT~l_~Er.T~S n 2_.3 2".3 ,. 21.8 \-.1 11 29.3 35.~
'. j:"f"TAL 'I'lf"T"'S: .. 11.7 11.1 • 10'.2 Q.:!I • 10.1> 15.1ATT£N{1....,lPHY~ltJA~ IN HrrSF'IlAL J> 101'1.0 'JI'.• ~ • 100.0 101'1.0 • 100.0 ....PHrsJClA!' NOT IN HCsPn"L • n•• 1 •• • ••• "tiD • '.D •••
IlCERTlf)£'" NURSE' !"IrwIFF" • n•• ••• n D•• p.- • '.D •••pf.pl"!IllEn "JDWIFF • 0.0 . '.D n D.D "all • •• D '.D
nUT OF" lr/f"nt('lCIC - 38.S 33.-" , 11.1 l"a'3 • 100tiO S3.6,n. 'f£ONAlAl li""nF:R 28 nI\Y~) 1. 12." 13.3 7 ct.& Qti3 7 l~ti8 20.~
Tl. POS1~n""AT"1,.. 12" O"Y~ .., 1 YfAR) 11 10~1 7.' 7 '.7 5." • 11.0 13."to. I",Al-t1 rtFATH'" ,"""'. 1 yEAR) .. 21.f: 21.1 IV n.3 1~.2 11 2'9.6 33.'J
, , II T H ~ Ifll:l"'Lll()ltlF FETAL5)... TOTAl. 770 ~.3 9.'" ... ••• -.. lV. I'h2 '.1"AU.!' "33 10.7 10.'5 ... 11.0 11'.2 •• ••• to.9Ff:"'''LES n~ 7.' 7.' ... ••• 7.' •• ..7 7.S
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66.7
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aTTE",...Af.'TPH?$ILlfl.~ IN HOSPITALPHY~IC.JIl··' NOT 1M HOsPITAL.C£RTJFJ[~ NUPSC ~lcWI~r
PER~ITTE~ ~IOWJFr
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I: r AT H S
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1!. T('IT&I.!"ALESFE"'''lES,It. l\{;tnn-(tlt YFAR'"('!I-I_ TrItt'S1~-2" y(lIRs;>5-3" TrAFl~
11",,-4'" 1£111(<1"5-~ nfl.R<;!i5-6.. ytllP,>~!t~ ..,., (lVE~
1'$. PlilerOf' ['-fa THl-tO<;<PJTAI"Ttlf p III'~' '.TUn.".~ OR ·flOQ·'-lnSTlnrnOlll
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TOTALyo R£str,fJrt1'S
C T H F P £ V f ~ T S
17.. "'lAPlAl;-[SJa .. O}vnRCF.S .~ A~~"TS
T161
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6 - It?
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• t:r:'l.l t~lft' 'lUR'!\F "I""'Wl~£
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5'3123
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96.30.030.7
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p. P[pfOlIlTAl ('[I"T,.5q C"F.:"TIlI. flElllt1S
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ttrERTIFTf.... ,-,URSE !"IpWIFFf'Ul'~nlf') "'U.."'FlO
nuT OF ",r.OLOCKH'. ~rotl1\.'AL I""'~ER 2'1 n"'Y~J
11 .. ;JOc::T;"EC"l!Allll 121" OIlYS ... 1 vEolR)1? "'FA"" f"l~IITH'O; iUf!lDFR 1 YEA?)
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1(10.00.00.00.00.0
21.~
21.7'I2.~
100.1)0.'•••0."
33.'18.. "J
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100.U
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"o.. ")17.5
10~ .. 00.00.00 ••
33.. 323.~
11'1 .. !lIIl .. 7
0.185.7
9.90.0'.95._5.9
13.11 5 .........,
t2.1t1~.3
9.9
13.20.00 ••!.07
17.1.22.5
11.&"~.3
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11.75F.':'
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111 .. 96.9
6".2
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1917
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12'.01•• 1)
10.2..'0.',.,2._,.'9.1
12.852.9
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59.5
1'.5.712.5?3o.7
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lit. !\(;f'""'0_11'" n lOR,"5-1" 't£M~!'
15-"" Yr-.. ~<:;?!:'>~$_ YE~"(<;
35-". 'rr IIR'O;.~_!>. y[lIlf<:
5o!l-f,,, Ttll"!':t;.!i A.-p l"\'£P
15. pt .C~ ttf". CFIlYHH'l~PtUl
f)TWE~ If,'STlTUTl1J!oIftc"'l. lIP "'O~-IN~TJ1"nO't
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TOTALTO k[SIN Ji'ts
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1". "IVl'tNt'f"!: .,.... AHilUlfl""TS.."
'.71.'n••
'.-• ~Ff PUI~tTINt~ ",NO FORP"UlAS f~E'CTIO" VIT)'I Iff'" 11:'1)£"0 t<J"O'
5 r L r r T r 0 v • T • S , A , , S , • C • F " • • • T T • 1 • • 1
• E 0 f L I C r " N , T
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Nt"'FlEp RATE. t.llII'II\£P RATE- NIl"'R[fl Rlyr.
T • • 191'1 1~"1 77.... ' l'9ftl l'9al 77-At 1""1 l'e1 11-&1
0 P <- l A T I 0 ••• Tfl''-l P.Ql!i7 1.' ..' - 6'9235 1. , , .. !;. 1"";>? 1.' '.1
....l.f.~ 1I0f.6,. "".3 .. ,.1Il, 33555 "1'1.5 ""'-.(1 7107 117.t. 116.'9
n ...."lFs Q3"'9!' 51.7 52.2 ~"i6fl,O 510.5 5::".(' 11115 ~2." 53.1
•• 'l!l\,"D"l It fPF'ASE "T •• 1 '.1 ,.. '.' ;'l.5 ". 11." 10.0
L 1 • • • 1 • • "S
3. TOTAL 10"",0 t "of' 13.3 191 11 .5 1:'.1 ••3 1'.0 18.l-
·Ill_f~ ". Eo.!> ••1 .., 5. 'J F •• 131 ••• •••FErAl £~ 53F ..' ••• ... 5 •• ., .~ lA• ••• •••
'. ~lTr-mA~T
PHYS'rtUf! IN HOSPITAL 107. 99." ".5 19? "'':'.- 9,,?,.Q :>8:? '9~ .. 6 ....rHyslCU,t-· ··OT 'N HOSPITAL 0 ••• ••• • 0 •• ' .. • ••• •••
"t'FP1IFlfr'! ·~tRSt "'INIIFf , ••3 •• 1 3 ..' •• 1 • ' .. •••pFPfllinffl -tDWIFE: • ••• .. ' • ••• '.' • ••• •••
S. 1)ftf1't" TlI'tC P/'-THS •• 1.' 7."" .. '.' !'>.~ JT 13.1 13.5
'. RUT "" lo'£r·LO('t!: 21~ 20.3 18.6 .. .. ' '.' 111 EO.lt 57.7
1. otrUR"~NrfTDTIIL l~O'" '.' '.• Ii .,. ' .. 1.1 ?83 1.' •••,0 RESIN NTS .5. 76.6 7B.O 695 75.1 711
." '55 <;1l.1 90.{,
• T • l , , • F A " T • 0 • , A L • T ,•• p("pp,Aill.l. "P.TH~ 17 15.6 24.& 1. 1:11:.5 1.'9.(1 1 :0_.3 111.1
5. ~"'TAl nr'TI-IS 1, '.? 13.. 0 5 ••• 1f'.1 5 17.11 U.6
,ATTtfo!OAI\'T......Y!';ICla~' 1. HOSPITAL • 90.0 911.11 5 tOD.D 97.:e- • eo.o 90.0M4TSI (;} A·' NO' TN HOSPITAL , 10.0 '.2 • 0 .. 0 >.' 1 20.0 '.7
fOCEPTIfJE ' l .,URSF" !'I!roWJFr" • ••• ' .. • ••• (1.0 • ••• •••Pl.R;"'tTTEP "'IDWIF~ • 0.' ••• • ' .. ' .. • .. ' •••
l"lUT OF "'F"£'fI'\CK , 30.0· 3t.0 • ' .. 1. , • 60.0 63':3
". ""'('IfIAl'L C"NnE"R 2!!1 OATSI 1 6.3 11 .. 7 5 •• 3 .. ' 2 1.1 t',h9'1~ POS1Plf;.IlHA1 aL l?8 OATS - 1 TfIlR) • ••• •• 3 • '.0 >.' , 3•• •••12. INFANl n£"TH~ (UNOE"R 1 TEA~) • 1.' 16.0 5 '.3 1'.11- , to':. 29.5
r r • T " 5 In:CU"Ir.IN~ F[TAlSI
13. ]f>TAL 13~ ••1 l".6 6?fI. '.1 ."l..~ .., 1 •• •••_.I.£'$ ." 10.11 10.3 3.3 10.8 In.3 GO !.If. 10.3r:E"AL£!' 31(1 1.1 1.1 ••5 1 •• 1 •• '5 '5.& 1 ••
". '"M ..OII T£Mtc; to 1.' 3.5 1 1.1 ::>.~ 3 2.' ••3n!l"l~ 'EAR~ , '.? O~3
, '.3 '.' • ••• ..3'~-2'lf. Y£.~~ " 1.3 1.2 .. 1.5 ,.. 2 '.7 1.5;:>!\-3" Yf'AH!, 20 I.' '.' 15 1 •• 1 .~ 5 1..2 •••~5-4" TFAR5: 29 ~.8 2.' 21 2.3 ?> • ~ .. 3 5,1115-~. T£AR~ 5> 5.6 ••5 .. 5.1 5.6 l?
10.. _12'.7
~'5o.t>._ T£"'R'" ,,. 13.1' 13.1 .. 13.2 11.7 1. 17.7 21.(,
" A!WI·OVE'" 982 "11'.7 1It-9.6 ". 49.2 IfJO .. :? 5. 1111.8 51.315. o>l.IICF: OF rFATtt
HOg.itAl 55< 75.9 12.9 '12 75.2 7:"1.(- .. I!O .. O .9.7OT"[.' ~"~11 TOT 10M 8? 11.2 13." 19 11.6 1"'.J! • 1.' It.A...... Of' ~O"!-INSTtTlIIJON .. 13.C 13.7 '2 13.1 1?6 .. 12.. _
18.5
". OtCU9FtF."hCFTOTAL 11:J l.lJ 1.' .,. 1.6 ,.. ,.. ••• 0.'TO H{"SI(lE~1S 5., 81.6 80.3 '" 80.5 71l.':- •• 1!1!.2 A9.2
C T " • • r • E ., T S
11. "AR'tlA~~ ." 1.' 1.'", f'tYnf'C£$ .on ..,......Illi'F"tlTS 35' '.2 1I~O
· SF£ l"f.F"tflltT!OfIlS ... Ff>R"I'IlA-AS 'SECT JON "")• Jrrp' 1-'tnf"D 1 '9f1,lt
• - ••
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J, C • • 0 " C 0 U "
, ,I n 7 • L W H I 7 [ • 0 • • r , r
:'JUI"'PF':P RUe-. flUf'I!:RC.R fl: ..tE* "I!ft'l[R ,,&tt-, ~ 1 "'~1 lQ", 17...1'1 tCJl'l '-'''1 11-1'1' ,OIl"] net 17...At
t o r" L • , , ".
'. TOyAl. :?61t6f'l '.' '.' 73353 '.5 -.' 31n7 ,.. n••
-AI.f.S H':t~"T "'=<.0 ""J.2 11'10:'0 ItA.9 ..... ? .«;37 .,q., .9.1
~f"""lrs 13~(1~ !'1.0 50 .. " 11~33 51.1 5n.e to::71! ~{l.5 ~O.'9
•• "'''T"''·l '''fMC" .Sf" '>P ••• '., .. 3.5 :>."l •• 1".8." .. 7
, Y , p , • T H S
•• TOTAI._ 3'> \?? H.G 25' 11..1 Ill. !' " 20 • .! .:!'1.1
"'Al[~ 15,. '.7 5.7 12' 5,1 ,.n .. 10.3 11 ...
F"P·"l~~ 170 '.' 5.' 13' <.' "'._'5 31 10.0 10.3.. A1TPIOA~1
NfV~lct~N IN HnSPtTAI :!ltlt 91.5 9~.6 2" 97.3 ''''.ll .. 0;;6 ... 99.7
PHYSICJ'''' ~'OT IN HOSP[TAl • t •• O.~ 3 ,.. (I .. <J • ~.~ ..,.Cf'Q>llFl£'" >luttS[ .'T'WJF[ • n,' •• n n n•• _,r • .,. ',0
pfRI"...ttf£l "JDWI~F" - n., '.1 , n•• ". , • D,. .,.5. i'1'1'"""AltlP£ PI~THS 2D ',2 ',' " >•• Fo. ! > 7,' 7"
•• ntlT fJf- W[t>l af:K " 1!'= .. " 10.3 ?l ',1 ~.9 2? !".'j 27.'"
7. OfTlt'tHPt,lCfTOTAL '3D 0 ..'5 0.' ... '.' n .s .. ••• '.2TO fff"SlrfIH$ >A, 5~.e 55.1 212 58.2 57.'1 2. .. 2 .... ftl.t
r , , • L , , • F • • 7 • 0 n 1 n L 1 ,e. PF~I·'''T,U fll/lTtfS • 15.3 2 .... 1 > 7.7 If.9 , 115.5 112.1
e. FfTAI_il£'T~S • '''.3 12.7 1 3•• 1,0.1 3 1I'!:.5 ~2.7
Il,TTt-foI('IA~_'
PHYSIC I A~' IN Hospl,;,Al 3 7~.n 9.... 1 , - J 01). D 10t'l.(I 2 ~6. 7 85.7Plfl'SICU."· 0.' 1M HOsPIH'L • ••• D.' • 0.' f>. n • ••• 0.0
.rtRTIFJ£rt I"IURsr "I[lWIF" D ••• D.n D {l.O D.' • ••• '.DP(R~ITT£~ ~IDWJFr , ••• ',D • e•• n .0 , ••• •••
('liT Of' ",r{\lOt~ , 7~.O 26.' • '.' "'.! 3 !(Ic o n 57.1
'D. ~nJil".l"l ('-"N~EP. 2~ ('I!1YS) , 3.1 "J.'!i 1 3,' f.!' • '" 19.9., . POSTtIEQflfATIlI. I?A nATS _ 1 YEAR) , 3,' •• e 0 ••• ~.q 1 1~.'J 10.1
'., 11fF"""" nn.ltiS ll_llIIDJ:R , T'EA~J • ••• 1".2 1 3.' 111.2 , 1"5.9 29.8
(' F" ~ T .. S IrX~lUOIN6 FEYALSI
~ :!I. fr=y&t. ... 7.3 7•• 177 7 •• 7.~ ,7 ••• 7.,".I.[S 107 e.3 R.<J •• ••• "'.!'l 11 7~2 '.7Ff-""·t.F~ 07 '.' <.2 " < •• ',' < !.8 •••
". '0,1J1l-" YrIlRS 7 1.' 3.::! 1 D•• 7.' 1 3.7 < ••II!'''-l. YfAA~ • ••• ••• 2 D.7 n~ .. , e •• D.31!,-2" 'fEAR!" 1 ." 0.' • .. ' _.7 1 1,2 2,~
~-~ "fE.Me E 1 •• 1 •• • 1.2 •• 3 2 '.' 3.73~:-'1" 'l'(.~C q 3•• ' .. e 3,' :>.1 1 3.' .2.1"5-~ y[lIftS " '.' 6.,* 12 '.7 E.' 1 -.'!- 13..."~-6_ TEARS .. 1~.1I 11.& •• 12.1 1".(1 3 15.8 "J.SF5 ANO eVEiii' 13:!l 1t5.2 -7.0 12' 4'5.9 47.? • !1.'t ..,3.8
,.. PlAtt OF [If''lHMQo:>PnM. 137 70.6 67 ... 123 69.5 67." ,.
~l." 67.0nTHtft J",,~tlTUTllJlll 73 11.'3! l'J.'t 22 1~.'t IfJ.7 1 ". 12.4MO"!t OF P'O"';'J'tSTlTt;TJOflt .. 17.5 111I.2' .. 16.1 17.'31 • ]).8 20.6
.~, ~C\.m~f
TOTAL 170 ••• ' .. 171 ' .. (I ... 3 ..' .,1Ttl "C~II"f''''TS '>0 73.6 7:!1.q 12S 'n.t 7"'.1lI 3 10(l.fI 16.2
• T N F' A , ., ~T •'7. ,"AR91A(:£$ 1.. 7.' •••l~'- l',vnftC~!I: ~..... """'I'"f'","S 11. '.' 3.3
• "" n.f'lt4ITIGr: I'ItO I"M?'\.Ii\.AS t~ECTlON V[JJ, J!f'" &"0£0 ,...6 _ 59
S [ l [ C , r 0 v t T II' l ~ TAt T S T I ~ ~ F ~-~ t ~ 7 1 •• ~ 8 •
J 0 ~ N $ T n ~ r ~ u ~ , T
t r r
.wMITE' ~ON""ITE
~ a P II l ft T 1 0 ~
1. T('TAl... AI 'S~l:'''''AL''.s
:<0. '~","DAI III"'-"J\.gf"
""~IU
3"M"~n:lS~
?~!'
1.>'107,":52'.5"l.s
5f50f211'1"'529612...
1 ;3"1'.551.5
7.:?
,. :""'1I.f'5::>.0
•••
1'.'13"-4¥oCJl
7..11I-"".
] .0,,'i.8')".?
9 .. .3-
t V £ A I R 1 ~ S
0 ••cn.O
2'0.0
•••to.l
98.70 ••0.10.0
13.7.8.0
8.'fle.o
't'.1•••0-.",0.0
1~.Er
~".1
>5'3
•o..13'
'O.1 ~"
9f1.9_.7-.''.'IE-.O~.~
' ..1'10.1
98.11.00 ••...... 05.>6.5
35]2']
61'23'].31
65~
7
••37
••
')8."O.E'o(I."0.'A.'17.~
~1l.1
1.1o.~
0.07.0
19.7
30. TOTAL• "u:~J"t."lALfS
ft. IITrF"'l'AffTNtTSICU'" tn H(tSPTT·...l~HySTCIA~ ~~T 1M HOSPITAl.r.rPTtFI[~ ~*sr ~IPUTFE
p(R~TTt£n ~tDwtFF
~~ PRr~~lt~£ ~I~THS
Eo. niiT m. to'Ent 0"11(.,. ~ttlPR:OtC£
TOTALTO pE"SJrn'TS
f r , ~ l ~ 1 ~ F J\. ~ T • 0 Po T A ~ , T
1'. :::>~~t·lIt.T~lerr "T~9. ~"'fAl OrllTl"'S
nTf"'flAnPHYSJCJA~ I~ HOSPITALp~Y~ICJA~ NOT I~HnsPITAl
.,.tRTrFl£~ Ht*sr ~lnWIFr
PlR:~JTTE~ .tOWIFrnllT Of" ~Ol OCt<
1ft. 'lff'ntlA'"l. 110000l"E"R 2/\ nj\y~~
1). POo:::"t£0f11..tlll (:?A OllY~ _1 Y[AR)1'. tp'':.·11 {trlllH~ (l.IH'O£R 1 Y£Apt
111
•••,•11
91.78.30.00.0
1&.7~..,6.5
11.8
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1.'0.00.0
17.18~"
7.01").3
o6
•oooo235
11.80.8
100.60.0o.Ci!l.O0.03.0b.>7 ••
97.7n.c·-.'-.'q.~
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1".&
•6•]oo•33
•
!!,!;.3U.l0.'0.'
~3.3
11.111.&2~ .. 3
%.53.71'.0
•••29.616.710.376.9
i'[ATHS
"3. TO,"I.
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f'I~-O" nllR!'"~-1. YFJl.k!':15"211 YE""","5-3ft VrrR:<;.,5~" YfAE<!'f1"-~" TfAfI<;~5-6" 'ff .R!'~:').-AINC ('11'£'1'
15. f'i M·r. oN" nrAnlOto....Jl.il\T"I.R ...·~TfTUlI()fl~ rn;. ~'-lfI!>,n"TJON
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2.,. ,...QRJat;FS111I. 0T"nlterS a ..... af'NIJl."'fk'TS
6"otO~...
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10. WnNA1Al Cl'!'l~ER 21.' OIl.TS) • 0.3 6.' 3 6.' '.6 • '.0 0.011. ~,",Tt-,£nHATAl (28 DilTS - • TE'AR) " 0.' 3.0 0 ••• ,.. • '.' •• 012. ~ t".:'AHT fl£~Tt1c: IUNOfR 1 1'£A~J • '.3 '.' • '.< co .. ,· • ••• 0.0
r [ • • " S IFXClUOIN6 FETAlSJ
13. lOT'" 17~ 5.' 6.' 173 '.' 6.' • 0.' 6.1
·A'.E~ .02 ••• 7.' 10> 6.' 7.' • 0.' <.6Ft""ALE'S 7] <.> '.7 7] '.3 5.7 • 0.' 7.6
n. .~f
n(l-Oli y£aR~ • 2.' >.7 • 2.' 0.0 0 0.' 0';0fl5';141 'Tf~fl:~ 1 .. ' ' .. • 0.3 ('.1 0 0.0 '.0
1~-" n"R'i , ••• 0•• 3 0.3 0.0 0 '.' '.0
?O-" TE"R~ • 0.0 0.' • 0.0 .. ' • •• C 0.035_ "f.~:!i 5 l.< l.' • 1.' 1 •• • ••• 0.04~-~ y£"R~ 10 '.6 '." lO 3.6 "".1 0 D.' 14.0~5-641 YfAR$ >t 6.3 10.' 2t 6.' 11.(l 0 0.' 0.06~ A"'" OVER 12'l'i 39.1> ·9.1 12, 40.3 "Q.£ 0 0.0 31.6
1~.. PlaCF OF [\fIlTHHOWJTlil ."" 7?.3 73 .. ~ '25 72 .. 3 7~ ..~ • 76.9P.Tl-4[fJ I"$IITOTJO'l .. Ie .." 10 .... •• 10.4 It>.5 • 7.7HO"'f: OP ~-tffSTJnlttOlil .. 17.' ]6.. 2 30 17.3 II: .? 0 15 ..4
'6. O('ClJ'tfc£NCFTOTAL ."" 0.5 0.' <'241 0.6 0.7 5 0.0 '.1Tn Rt:SINJi'S 1.. 6<".9 I>?.. (t ••• 6_.3 6~.~ 0 0.' 22.2
r T "... .. v [ ,. T •
IT. "AfJ~IAGE~ ••• 6 •• 9.0lP. fllWOftCn 1l1'i.'"I: AIlIIIIUl1llEIIfl'S 120 '.7 3.9
• ~ .. f"lnNIT'~ "Il1O ~DRl'ftIl.S cSt'CTJO'f wtuc 1t£P A'lOEB .....
6 .,. 'J5
s , L , , T , 0 • r • s , • T S T I C • , ", 1 • 1 1 - 1 • • 1
• • y N , C 0 U N T y
y 0 T • L • " r r , N 0 • • h r T ,I'tUI'!RFD RATE. P.'U~~E:R RAyE. ':.!~ER 1l.I,U:_
• • l'Ott'l ,qAl .,7-"1 I"" 1~·1 77-81 1-"1 nu 71'-81
• • .' I. • y 1.0 N
1. '('TM 97&"9 I.' 1.7 6-.S9tt l.a ,.' 'I;?"'S~ >.> 2 ••
·lU_f.~ IH~.? 4,\ .. f, It" .. '" ~2073 _9 .. 7 't e ." 15"6"t .6.5 ..60.6
F["'lllES 50107 ~1." '51." 32517 Sr..3 'j, .... :;> 17'"<:10 ~'.~ 53.2
,. "~Tun"l nrprll~E 73~ 7.5 '.> "SII 7.1 '.7 '75 ..' ';0."
t y ," r • ,
" S
>. TOTlll 1597 lliO~" 17.7 .., 1~." If.'" .., 1"'.5 1"••
"'Al.[~ 19. 8.1 '.1 .71 '.' ·.S ~13 9.5 te.oFE""'t F"5 "7 '.' .. ' 51' ".0 " .. ? ,.. "'.8 •••
'. ;lllT£ffllllNTr4vStr:U." fN HO!;PJTAI 1'567 9A.l '97.JIi 9"2 9P .. 7 9".(1 -;"5 "H.2 '97.1
PHYSIC!A'" ~'(lT [PI HOSpITAL 30 1.' 2.3 .. 1.' ".0 IT 2 •• 2 ••
ttrr"lTFIU' '-'OHS£ "'lnWTFE • n•• n.n n n•• ". r , ,.. n.,p[q.l"nU r "IOWIFf' n ••• 0 •• , ,.. f1 .. !' • ••• •••
Pf'P"I\T'.MiF "',rrTHS f" 7.' '.' -. ••• -.' A' l1 .. fJ 12 ••,. OtlT .. .,rDlOI'"I( ,.. 11".7 Ifl.A "' 5.5 '.A ." 110.5 ..I.!
7. ~rCI"u~nlrf
TOTAL 176'" '.1 2.::! 1t~7 '.' _.f 631 <'.3 •••to Rr~I(lPI1S 1526 66.;'\ f'6.n .S> ~3.7 6"1.1 'TO ';;1 .0 91.2
r T • L T I 0, F A " T • 0 • T n L f , ,F. F'Ii.RY"llTilL: ('["11-lS .. lA.6 22'.5 .. 11.9 1";.2 IF 29.50 3/"'2
'. f:"fTAl_ "'1"1\1"5 to ll.f'; 12." 1C lC.O 7.'" • 111.7 2'1..3
jlTTu'nllrjlPHYC;!C'l"1'< IN HOSPItAL t. 10!l .. f) 9'50._ In IM.D 9_.~ • ]Oo.u 9~.7
PfiTSJCJA· NOT fN H('SPITAl • ••• -.. 0 0.' .., , '.0 •••tlC[PUF"tEl'> NURSF "rr"WIFr • '.0 '.' • '.0 \'I;,n • 0.' •••
PflqplITH:':' nIDWfFf • n.o •• n • '.0 ".r: 0 ,.. 0.,OlIT 0' Io'ffl'.!\CK , 0"(,.3 31.5 t 1r.o l::J." • lit"." 112.0
TO. "Kfl"'II.TAl Cl"'I'lf"P .. DAY~I 11 A.' 9.A • 2.' 7.':' • l~.O 13.2, 1. PC'~T·I£~"'Tf.L ,~a DA~~ - 1 TFAR' • 5.7 A.l • 2.0 .. ~ 1 n.8 0.•... H'~A·h !lr:,ITH~' IUNDER 1 YEA~J ,. 1::'.5 15.1'< • n•• l~ .. r I' 2E.6 22.0
r , , , H S IfJ,TLl'OI"~ FETAlS)... 1(,TAI. 0._ R .... ' .. '" f •• 3 ".1 '27 11'.0 •••!'!IIU.!'. 07. 10.0 '.' 2~3 C.' ..- '91 ]2.:' 10.7
F£"'"lE"~ ... 7.' 7.' "'" 7 •• 7 .1 "A 7.7 7.,
". Af;~
n(l-(llf Y£AR~ •• !5. t 11.2 • 1.7 "'.~ 'A 5.' 5.5n~-l. TfAt(~ • n•• 0.• 6 • '.' r.!' • ••• 0.11S-CO_ YfARO: ,- ,.. 1.' TS 1.' 1;,~ 10 f.' I.'::>~.. .,.. tf"RS 17 1.' 1.7 • '.0 1.' • I.' 2.1
)Il!l-'I" YrAQ!=. !~ I\.(t !'.1 .. '.' '.' n ~.l ~.o
..5':~ YfllR'{ •• 9.~ . '.7 •• h •• '.. .. 1"i.1J 13.1
..5-61J "f".R~ 107 17.7 Ut.!'; .. I .... :!' 1f-.~ A' ~f';.lj 23.5AS A"'" -~VEI: .'" 60 ..1 57.11 ..- 61.3 5-.- ,.. ~7.& 51.8
1 !:i. =1. ",rr, OF rofA'HHO<;pJtAl ••• 5"'.1 5f'!.1 ",I S.,.e 5".7 101 c~ .. " 55 .. '5nTf'tf' 1,..::lJTUTJO'= ,,,::- "".:i' :i',.q 12t 22.'5 2-;>.1 7t ;'1.7 21.6
""'" "" t·o". INSTJ T'ITJON 11, J9~7 20.1' .,., 17.. 7 1" .. ~ To; 22.9 ~? ...,
'A. flCClJll'~f"N('r
TOTAL ." 1.1 t •• sn 1.' '.' ",,07 2.' ?0.3TO ft~O::J(lFNfS n. 6f1~<!' f'3.1J "'5~ .... ~1.~ .77 o;O.~ 86-."
c , N , • , • , . t S
f7. I"IlflQ i"'G£S ... ct.' '.'I". OTV1Wlrr~ ~'lf" AN'ftJl"'f"'TS '0' 5.' ' ... ~££ rEF"ltttTI'1N!' "'" FOP-ul "'$ C9~CnP!'C VU.• tT£" A"!'Ff' '''·0
A - ..
SELE·C , £ 0 V , , A l S , A , , SoT 1 C S • 0 • , • T T- , •• ,W , L • £ S C 0 U " T Y
Y 0 y A L W ", y £ • 0 .. " , yE
NUlllleEA RATE_ """"EO AATE" "".01 Rile·y r • 111':",1.1 1"'''1 77.P: ,,,] 19"'.1 77-e1 1""1 l'J1l :n-th
p 0 p U L • Y I o •
1. TOTAL S'3'1'JI~ 1.' ] .. 561"'<:1 1.' 1.' ..... '.' •••"'IlI.L£S 2'90"6'1 q.9.1 Iloilo.@, 21~O" If<J.l ""'.!i' Ilf.5,. .8.7 .7.1
FE~AU:S 30126 50.9 51.2 28'5.':'0 50.'3' 51.1 1"\36 ~t.5 52.!
•• "fATU~AL INrRFASE 'P3 '.' '.' 291'1 5.~ '.- 25 iII!.lt •••l t V f: -, • T I-' S
•• fOTAL 771 15.0 13.7 ". 12.. S ~:-:.,s 51 11.0 16."!"I.LES n. 6.9 1.2 381 ' .. 1.' 2' 9._7 •••FE"'AUS 'Ol '.1 ••• ... ' .. ..' .2 T.' •••
'. "TT"~.,NTPHYSICI/ll\' IN HOSPtTAl TO' 99.7 99.8 11. '3'''-' .. 9 "". !" •• o;e.o ".1PHYSICt,,~1 .., till HOSPITAL 1 .. ] 0.1 , •• 1 .. ] • ••• •••
o .cERTtFf(rt ~S£ -rowrFE • ••• ••• • ••• ••• • ••• •••P[R~ITf£P ~IDWIFE • ••• ••• • ••• ••• • ••• •••
5. PPE~~tORE ~loTHS •• ••• 1.' •• ' .. T., • ••• T.7
•• ()(Jf -!IF liEN GCt< " 1(1.1 ••• •• ••• '.' ,. '!5 .. 3 37.07. OCCUfl:P£~£
TOTolL ." ••7 ••• 575 ] .. ] .] .. ••2 ••2TO RESIl'F!WfS 5•• 9 .... 5 9".6 50' '3'''" .... '31".~ •• ~5.2 ...7
• £ , A L • , • • A • T I'll 0 R T A L , T y
•• PER'ttlATAL ['!(IITHS 7 9,,;0 1.8." 7 '.7 lq.5 • '0.0 ••••• FETAL otAl~S • '.2 10.7 • ••• 10.13 • ••• •••
ATTENnA;"tPHTstCU~ IN HOSPtTliL • 100.0 10\1.0 • 1'00.0 10Ct.tf • 100.(/PHYSIC I Arl NOT~' IN 'HOSPIT~:' • ••• ••• • ••• 0.0 • •••
ttC£RlIFlEO NURS£"'tDWIF~ • '.' ••• • ' .. ••• • •••PER~ITTEO ~IDWIFr • ••• ••• • ••• 0.' • •••
OUT' en:. WrOlOC.K • ••• ••• • ••• 7.5 • ~G.O,.. 'If£ON'lTAl lUMr't£R 28 nAYS) , 3.9 ••• 3 '.' p.' • ••• •••J]. PO~TfIEO"''''UL 128 DAYS ... , YEAR} • '.' •• 7 • '.' '.' t 19.. & <••12. IHFANt bE"TH~ IUNDER 1 y(ARI 7 '.1 1~.9 • <•• 13.1 1 1~.6 •••
• F " T H 5 (£.CLUDr~ F£TALSJ... TOTAL ... 7.' 7.' ••• 7.' 7.!! •• 8.1' !O.2liI'AI.£S 2..7 •• 5 ••• 231 <.' 9.3 1. tt.o 12.6FE"AL£S ,., ••7 '.' '" '.7 '.' L. '.' •••
". .OF00"11ll'. l'£ilps • ••• '.' 7 1 •• 3.' 1 ••• '.7n5--14 ,["RS 1 •• t .., , ••1 ..' • ••• •••15-2C1 yl:l!lR'S 15 1.' 1.' lA '.5 1 .... 1 1 •• •••p5-3. n.ARS 15 1.5 t.' lA 1 •• 1.> 1 ~.,1 ••<3!'i-ltCi YEARS " ~.2 2.' lA '.' ?~3 • ..' '.5"5-511- TEARS ,. '.1 .., 37 ••• '.' 1 3.7 '.1!'l5-&1l YEARS •• 12.3 12." ., 12.2 l?~ • 13.7 17.7fO'5 ~N(). OvER 2M "~.2 • 7.7 '7• ""5.2 .€-.'1 15 '15.7 ......... PLACE OF' C'fAn+HOSPItAL 3(l(l 67.0 (,5.0 2<. 66." 6".5 •• 76.9 6").2nT~ I~~TITUTION •• 10.3 12.Eo •• 10 .... 1'.£ • 1.7 13.7,HO""E: OR l'IO~-INSTITUTtON 10. 22.8 22.3 .< 23.2 2:'.,7 • 15."" 17.1
ro. DCl;URR£f:lC£TOTAL 35. ••7 ••1 .37 ••• (I.e to ••1 •••"to PESID£f<l1S ,.. 87.3 '312.3 29. a~.6 91 ..9 .. 100.0 97.1
C TIfE'R £ Y r " T S
1'" 1t"'Fl'Pl~tn ... ••• 8 4 ?',.. OtvnRC£S "'" .........!iTS ••• ..' '.'
• SEE nuiNln~ AIifO FORMUlAS (stell,"", 'lIIt)
• ITE~ .~OEO . l~PO
Eo _ 97
S[t.£C-ftD v I T • L S T .. T r $ T I C • rD' I ., 7 T • 1 , • 1
• I L $ 0 N C fI U If T T
T D 'f A L • HIT £ ••• If to! I T E
....... RAft. ........ RAlE. -- R"'fe_I T £ "
1981 1'9"1 77.,.\ t"'1 1,,.1 71 ....1 l~e1 !'1It n-6!
p • p U L-A T I D •
I. TO,.oI.L 631&5 1.1 1.1 ""0013 0,' 0.' 2~272 I •• 1 ••
"ALES 2'982~ 1:$7 .. 1 "7.ll 1""0 "7.6- ,,"fiI._ 10765 116.~ ~5'07
FE"'AL£S 331160 52.9 52.6 20'53 52.'" 5\.6 12!"O7 ~3.1 Sll.3
'. ~A'fURAL l~rRrAsE ... ..' ••• '" ••• .,1 ."' t'.' to.'
L I V £• I _
1 H S
''- TOTAL '.5 1!S.6 1'5.5 517 12.' 1?~" ••• 20.1 21.1"AU:Sc
.21 ..' •• 1 •n ••• •• T ... 10.$ to.1Ff:"'.U:S ... 7 •• 7.' ... ••• !t.1' ... ••• 18••
'. ATT£MlAkTPHYSltlAN IN HOsPITAL • OJ e.s .... ':5.5 "5 95.7 '7.9 ••• 73.' ea••PttTSICUJe MOT IN HOSPITAL I •• 1 0.' 0 ••• '.' I _'.2 •••ICE~TtFI£~ ~SE "'IDWtFE JR. 111.5 5•• .. '.' 1.7 121 25.' '.1PER"JtnD "JOWIF£ 0 0.0 1.0 0 0•• 0.' • •• 0 107
5. JI'R£1ilATUftE BIIilTMS ., ••• '.' •• 5._ 5.' 5. ff.l 13....-. OUT' \"51" WEDlOtK 269 27.3 2&."1 .5 ' .. '.' ... 52.1 ..,.,7. OCCURR£TK£
TOTAl. 120~ 1.' I •• ••• I.' 1.1 .... ••• •••TO RESIDENts .., 76.5 76.5 .oo 72." 71.9 ••• 81.5 al.,
F E T • L • I • F • • T ,. 0 R T • L I T T
'. PERINATAL OE_THS .. 1&.1 2\.7 • 11." ],".9 10 21.1 ....'. FETIL-'OCol.THS • '.1 11.5 I I.' 7.' 5 10.. " 160.0
ATTttmAtiT-PHY.SICIlt4 IN HOSPITAL • 100.0 9it.2 I 100.0 10".0 • 100.. 0 ,'1._ptn'SICUft NOT IN HoSPITAL 0 ••• '.0 0 0.' 1'.0 0 '.0 •••
.cERtlFtEO NURSE- "'IDWIF( 0 0.' 0.0 0 0.0 0.0 • ••• •••PERI"tITTED ftiOVln: • 0.' 0.0 • ••• 0.' • .. ' 0.0
OUT OF wED!.OCK • 66~7 3'.5 • •• 0 0.0 • 80.' 55••
". 'lEotIAT,aL cUNOER 28 OAYSI 10 10.2 13.. 3 5 '.7 _.7 • 10 ..7 11'.1n. POSTI'IEOIIIA,'L 128 DAYS • 1 YEARI S 5.' 5.' • 3.9 ~;'" • '.5 '.1... INFA'" DEATHS IUNDER 1 TE"'Rt IS 15.2 1').1 7 13.& 12.6 • 11'.1 ....
o EAT H S C[XCLUOI_G FETAL!)... TOTIU.. ••• ••• ' .. .79 '.5 9;"2 PlS ••• 18.2"ALES .,. It ..Eo 11.5 "0 11.5 In.7 125 11.6 15.0Ft:"'UES ... 7.' 7 •• '" 7 •• 7.' •• 7.' 7 ••
14.. ...OO..Olt YE'RS 17 ••• '.7 7 ••• '.0 10 '.7 ••5ft~ltt TEARS • 0.' 0•• 1 0.2: 0.' 1 ••• •••1$-2,," TEARS 17 1.' I.' 1. 1.' 1.2 • ••• 1 ••2S-3'J TEJ"S 21 '.0 2.0 • ,.' I.' 12 '.' •••..-YEARS 16 ••• '.7 • '.' ..' 15 Eo:.8 7 ••_s.~ TE"RS .. 9"lf. '.' 37 •• 1 6 • .! •• 12.3 15.25'''''' TEARS 116 1').0 1').1 n 18.1 16.1 •• 21.1 206.0~S .1dID OVER ..5 51.8 53.6 ... 51.5 5_.. 3 11. !2'04 ....1
15. PLAtE OF Of aTHtfC)SPtTAl ••• 83.8 81.6- ... 82.3 8t.7 '" 15.~ 81.5OTHER t_STiTUTIQN •• 11.&
12.. _'5 11."- l?l 2' 11.2 12.&
~ Off f'OW-IIISTIWHOfiIl 27 ...5 6.0 •• 5.' -.1 • '.' 5 ••1•• OCCURRf:1ICE
T1)T..L 719 1.0 _1.£ '73 1.' 1.' 1.37 1.' •••TO RESIDENTS 512 72 .. 1 67.7 ... 69.3 ".7 ... 77." 73.lf.
• THE'" E V £ " T S
1'). ,rARluA5£S ." •• 0 -.11"•. l'1W.CCS Aa.p MMlLIIOn'S no '.7 '.'
•. SEt DEVINITIOllS ..., FORMIlAS ISEenOtfVltI• !TEfII "OPED 1980
6 ... '8
S [ l [ C T < 0 v [ [ • l 5 T • [ [ S T [ C < F , • I • 1 1 . •• • I
T • 0 • l N t 0 U N T 1
1 • 1 • l III H- r T ( • 0 • • • J" T' [
Nlil'!8CR ftATC* NtI"O£R RATE. NU""EJI: ItATC·
, T r. • 1'981 191'1 17·"" '''81 19111) 71-el 1~81 l.n 11-81
p o p u l .' T, o N
'. TOTAL 2902(1 ••• '.' ?7!i10 0.6 "I.E- 150n '.' oa~·lES 111211;> 06".1 1f7.' 13-.711 iIl-9.0 117.7 76' !t .~ 51.0
F[~Al[S 1_111' 50.9 52.1 Illh6 51.0 5;> • .!l 732 IIe.a 11'.0
2. ""TURAL I1I'CRfASE O. '.1 ...~ O. 3.1 •• p • 2.7 •••l [ V r • , "
, • s
'. TO'fAl - ... 10.9 it.l "D 10.9 11.0 TO In.1 13.2
-lilts 15~ S.' !5.7 ... ••2 ~.1 • '.0 0.0Ft"tAl£"S ,.. '.0 ••• UF s.1 '.' 7 ••7 F.F
'. aTTEtmAt'TPftYSICIAN IN HOSPITAL ... 100.0 ".:11 50. UlO.O 9'9'0~ TO 100.0 100.0PHYSlcr_~ ~OT fN HOSPIT~L C 0.' 0.' • •• 0 P.l • 0.0 0.0.CE~lTFI[~ MURSF' ~InWI~[ 0 0.0 0.' • 0.0 '.' • D.O 0.'p£~..tTTn -:IDWtFE • 0.' '.1 • 0.0 1).1 0 0.0 0 ••
'. PII(1'iatURf f'ltATHS •• 7.0 1.1 2D 6.7 7.1 • 2'5.0 7.0F. OUT OF WEDLO("fI( .. 1.' 7.0 IS S.O <.1 10 E~.S 3&.0
7. OCCl"':R:f"NC'£TCUl lOS •• 1 '.1 •• 0.' 0.2 1> 0.0 0.0TO RESIOFhTS .. 88.6 82.6 02 88.2 81.9 11 lilt. 1 !'l8.7
F < 1 • l I 1 • F • • T • 0 " T • l , T y
'. ~RI~T_L OfATHS F 18.7 23.0 F 1'9.7 2P'.3 • '.' 3".1
'. FFTAl.' O£Al'"'S S 15.6 11.8 S 1".4 1::>.2 0 ••• 22.7aTlEN(lAkl
~,slcrA'Il IN IfOSPITAL • 80.0 '5.0 • 80.0 9_._ • I~O.O
PHYSIdA~l NOT 'I" HOsPITAl. 1 20.0 S.' 1 20'.0 !!=.f. 0 •••aCEflTlFt£r NURSC l'!ltiwtF£ • 0.' o.n • •• G 0.' • 0••
PEP"IT1EO ~IDWIFE 0 ••• 0.0 • .. ' n.;o • •••(llI'" OFW£DLOCK 1 2n.o 10.0 1 20.0 ~'06 • 50.0
'.. "KofiI.llUL fllN'l£R 28 DAis. 1 ,.. 10.3 1 '.' 10.~ • ••• 11.6
11~ POST~O'IA1"L (28,OA,S - I \"'f:AR) • ••• 1. , • D.O , .T • .. ' •••t2. IW"Akl' [J£"'H~ IUNDf'R 1 lEAPt I ••• 11.Eo 1 '.' 11.6 • 0.' 11.6
C' f" « T H S tExnucnK, FCT,uS,
t~. TOTAL 2~7 1.' '.T 2" 7.0 Ill.! " fl.O 10.0~Al.[S '" ••• 10.5 127 ..' 10.5 7 •• 1 ,1.8~!'r~lrs
., 0.' 6.~ •• ••• ~.! • ••• '.2
". '0£00-.4 YC"R!= 1 ••F 2.' 1 ••6 '.' • '.0 1 ••e5-1_ Tt"RS 1 '.2 ••• 1 ..' ••• • ••• ..015--2_ rrllRS 1 I.S I.S 7 1.0 l.' • ••• :2.32'5-',.,. YeARS • ••7 1.1 2 ••S I.' 1 ,.. '.1,.5..... n"'Rs • 0.8 1.0 • ••• I.F • ••• T.'45-~ YE"'''S 17 5.1 F.T I' ••T ".9 • :1':1'.'3 18.755"'", Y£AflS " 10.2 11.4 .. ••• 1'.~ 2 17.1 17.66~MID OVER 10' .... .....2 15. 11".6 "".7 6 !E.8 57.7
l5. ~tltt OF MATHHO"iPJT"'L '" 70.9 71.2 15. 71.2 11.~ 0 66.1 ....OTHER I"SlITUTION .. 10.1 11.6 2' ••S u~" 2 1Ii.7 15...MO""f. .OR ftO<'l-I'-STIT'tITloN ..~ 18.9 11.2 ., n.l 11': .6 2 16.7 20.2
tF. OCC\lOflEtO<£TOTot. 12,!, 0.' 0.' 122 0.' 0.' • '.0 ••1TO ftl'Sl('£fIITS 1O~ 84.1'1 81.3 102 83.6 at .fl: • 104.0 11'.0
< T H r " £ • r • T S
n. ",ARP1AGES 27. '.' '.7
". tll.aa-c£S·..... ANHuLM'trns 120 T.l '.0
• SE£ ","FUnTlOlllS .lIID -FOFlft\"-.AS iSECTJON wnt• STEP' Af'OEO '''' .- ..
s [ 1. E C , r n • • , 0 l , , 0 , 1· S t •C , ., • t " , , . 1 •• 1
, a N C ,. y C o u .. T ,, o , o L ." I • r • 0 • •• I T E
""""£0 RaTE. ....... RaTE_ """"'. waTE.y E .. t"p., 1~1'l] 11·1"1 1961 1""1 ""'81 1"'n . 1"81 '71....1
p 0 .. U l ,,', 1 o •
1, TOTAl. 150S1'1 '.S '.S 1"110 .,S '.S ", ••• •••..al(~ T3~T "".9 "1'1.'" THIT "~." ·-.3 ". c 6?5 '7.'5FE~ALES nn. 51.1 51.] ""S -51.! ~l.T •• !7.S 22.5
•• ",aTuqal IflJ('RrAS[ >T 1.' ,.. 2. 1.' !l.3 -1 -".2 5 ••
L I ., II , II T 4',. TOTAL ,.. 11.1 12.1 .0 II.! 1".2 • ••• '.S
~ALES '" ••• ..' 55 .,. 6." • 0 •• 5.1F'E ..at'rS 7A ••• 5.7 7A 5,. ....~ • ••• ,..
'. "TT£f1O'"''PHYSIC"'''' Ifill HOSPITAl. 16~ 97.6 "'.3 ,., "'.6 "'.3 • 100.0pftYSICU" ...., I. HOsPITal • 1.' 1.' • 1.' r •• • •••
*,cE.R1IFtp·' frfURSE "1""IFf • _(1.0 ..' • ••• r.e • •••g£A~ITTfD ~ID~IFE • ••• ••• • ••• ..5 • •••
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,., "'''.3 ...... lJ ,.. "8.8 ..·.2 • ••• •••13, PlIlC£ OF' £'r.TH
HOSPtTAt .. 62.9 59.2 .. 63.3 Sq.'1 • .,. 73••nTttE;t IkSTlTUTtOH >s 17.CJ 20.2 .. 111.0 20.3 • ..' •••~ OR H(lOI'...IJtSTITUTIOtil >T 19.3 C,tO.6 2. 18.7 2f'.!. 1 10".8 ....
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Department of Hu!Mn -ResoUi"cesDivision. of Health Services~tate Center.for HealthStattst;csP.O. Box 2091Raletgh~North Canolina 27602
Bulk !\ateU.S4 Postage
PAID. RALEIGH, N.C. 27602
PERMIT NO. 1862
End of Book
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