Document B8KR4yGw1Lo8zN8VqvJQe1oKm

---y- NEWS SERVICE J' BALTIMORE CITY HEALTH DEPARTMENT Um* r. Co Vow fm In TU PrumKm FOR RFI.r.Agg Immediately HEALTH HIGHLIGHTS FOR 1971 An almost perfect record of protective inoculations against diphtheria, whooping cough and tetanus in Baltimore children through age lit end 11 cases of child lead paipt poisoning, the lowest number in 2k years, are tvo of several notable events in Baltimore's public health picture in 1971, according to a Tear end review released today by Dr. Robert . Farter,, Cctamissioner of Health of Baltimore City, Hew active cases of tuberculosis were down by about 7 per cent from 1970!s total of U93, another major advance} likewise, the city experienced sharp declines.in measles and German measles, The year was also noteworthy in that for the first time on record not a single person in Baltimore was ill with typhoid fever. While these highlights are chiefly the result of long-term public health measures by the nation;s oldest local, health department, important events have . occurred recently in medical care and manpower fields. The year 1971 saw increased activity by the medical profession and private health and medical agencies, assisted by the City Department of Health, in the development of Health Maintenance Organizations or medical Service groups which are directing their efforts at filling the need for easily available medical care in city areas where private practitioners are lacking. The Maryland Consortium for the Health Sciences moved ahead in its program of health manpower development in schools. A Medi-School program, jointly sponsored by Dunbar Community High School and the Johns Hopkins Medical Institutions, is now in operation. Similarly, curricula are being evolved or adjusted by participating educational institutions to provide allied health specialists through master's degree programs. Reviewing those concerns evident earlier in the year, the Commissioner has noted progress toward meeting the health needs of Cherry Hill and nearby areas in the groundbreaking of the Cherry-Hill Multi-Purpose Center, The center, now under construction, will house major health and social welfare services including a drug abuse unit. Target date for opening is mid 1972, In those areas of personal health requiring special public health attention. Dr, Farber noted a 5P per cent increase in infectious syphilis from 299 cases in 1970 to 1*50 cases in 19711 and a continuing inordinately high number of cases of gonorrhea--11,200 cases in 1971--both attributed tc the increasing sexual permissiveness of our society anS an insensitivity on the part of sexually promiscuous individuals to the medical aspects of the venereal diseases. Noting that heart disease and cancer continue as the tvo leading causes of death with l*,ll*3 and 2,000 deaths respectively, the health commissioner reaffirms leading medical opinion that cigarette smoking has both direct and indirect impacts on these killers. In 1971 a total.of b&l* persons died of lung cancer, Of these 383 were males and 101 were females. However, considering that the number of males far exceeded females in the smoking habit during the early popularization of cigarette smoking, the toll among males currently is higher than females. N11998 Health Highlights For 191It Cont'd,- - 2 II male and female lung cancer death trends are compared, one can see that women are slowly catching up with men and it is reasonable to predict that the number of deaths in women will continue to increase at a faster rate unless Smoking habits are modified or eliminated. The following table graphically shows these trends. Lung Cancer Deaths By Set tear Male Female Total 1931 19*1 1,951 1961 1971 32 91 173 2B9 383 13 i5 16 107 22 195 33 ' 322 101 h&k Other noteworthy Events Other noteworthy events for 1971 included the following! 1. Nutrition--Continuation of the drive against malnutrition through an iror.enriched'miik feeding program for infants in Cherry Hill supplementing a like program in the Model Cities area begun in 1969; nutrition education programs for staff, community agencies, teachers, and residents of all ages; participation in the State ana national conference on aging with a focus on nutrition; ana professional guidance in the City's summer feeding program. 2., Mental Health--Promotion by the City Health Department's Mental Health Advisory Council of the development of adequate mental health service networks throughout the City, and the beginning, through a contract from the State Department of Health and Mental Hygiene, of a program designed to reduce the role of aicohcl as a contributing factor in highway accidents. Also, the beginning of a Women's Counseling Alcoholism Group. 3. Sickle Cell Anemia--Inauguration of testing for sickle cell trait and sickle . cell disease in selected City Health Department clinics and some schools. Hopefully funds will be made available for testing black children in the senior high schools of the city. k. Immunization--Establishment of follow-through mop-up programs in schools to improve immunization levels for polio, measles and German measles. 5. Special Home Services for the Elderly Sick--Extended transportation services to medical facilities for Medical Assistance clients through reimbursement by the State Department of Health and Mental Hygiene, and provision of house keeping and volunteer services through the addition of 17 additional staff members through the Public Employment Program. Health Aides will now wash, iron, cook, clean, shop and perform other household tasks so that clients can maintain themselves in the community, 6. Hew Clinics--The addition of! Broach adult and child health and medical services Jointly with Mercy Hospital for residents of South Baltimore at the Southern Health. District Building, 1211 Wall Street; the establishment of a Foot Care Clinic in the Western Health District Building, 700 W. Lombard Street, Jointly with the Maryland Podiatry Association for persons on Medical Assistance; and family planning, prenatal and well baby clinics at the Kirk Community Activity Center, 22nd Street and Kirk Avenue, 7. Dental Care--The delivery of the . first of six mobile dental units provided through a Model Cities grant. When all units are in operation an estimated 100,000 needy residents will have available comprehensive dental services. 8. Animal Bites--Closer cooperation by animal owners in complying with the quarantine regulations in the prevention of rabies resulted in a 65 per cent increase in animal's quarantined at the Municipal Shelter or at private locations. A total of 2^700 animals, chiefly dogs, were quarantined in 1971 compared with 1,600 in 1970, Over 7f000 animal bites were reported daring the past year. LIA-76102 Health Highlights For 1971, Cont'd, - 3 - . 9. Vital Records--'Provision through legislation for the amalgamation of the City Health Department's Bureau of Vital Records with the State's Division of Vital Records effective July 1, 1972. Until such times as both units can be centralised in one location, the city's vital records office will continue in the Municipal Building at Lexington and Holliday Streets. Population The estimate of the resident population as of July 1, 1971 is 897,000 persons. This estimate indicates that Baltimore City has continued to lose population with a decline of 7,000 persons between July 1, 1970 and July 1, 1971. This decline is the net result of a drop of 12,000 in the white population from 1*76,000 to 1*61*,000 persons and an increase of 3,000 in the nonwhite population from 1*28,000 to 1*33,000 persons. As of July 1, 1971 the nonwhite population constituted 1*8.3 per cent of the total population compared to 1*7.3 per cent on July 1, 1970. Births An examination of the birth statistics for 1971 shows that the number of live births among city residents has continued to decline. The total of 13,311 resident births is the lowest such figure since 19l*0. It is 757 or b.7 per cent below the number registered in 1970 and; 7,951 of 3l*.2 per cent below the number registered in I960, The birth rate or the number of births per 1,000 city residents was 17.1 compared to 17.8 in 1970, 21.1 in 1965 and 21*.1 in I960. Deaths There were 10,716 resident deaths reported in 1971, 6ll fewer than the 11,327 deaths reported during 1970. The resident death rate per 1,000 population was 11.9 in 1971, 12,5 in 1970 and 12.7 in 1969, Among the white population deaths exceeded births for the fourth consecutive year. The infant mortality rate, the number of infant deaths per 1,000 live births, is an important health index. In 1970 the rate was 25.9, the lowest rate ever recorded in Baltimore. City. In 1971 there were b08 infant deaths resulting in a slightly higher rate of 26,6 infant deaths per 1,000 live births. In 1971 there were 5 maternal deaths compared to, 7 maternal deaths in 1970. The number of accidental deaths declined from b69 in 1970 to 38b in 1971, a decline of 85 or 16.1 per cent. All categories* of accidental deaths shoved substantial declines except occupational deaths which increased from 22 in 1970 to 31 in 1971. The largest decline was registered in the home accidents category which fell from 186 in 1970 to 12b in 1971, a decrease of 33.3 per cent. In 1971 there were 309 resident deaths due to homicide. This represents anincrease of 32.1 per cent over the 23b deaths registered in 1970 and an increase of 125.5 per cent over the 137 deaths in 1965. Approximately 60 per cent of all homicide deaths are among persons who ere between the ages of 15 to 39 years. Among the other leading causes of death the statistics for 1971 are as follows: heart disease--!,lb3 down 29b from 1970; cancer--2,000, down b8; cerebrovascular disease 759, down b5; cirrhosis of liver 333, down 26; diabetes mellitus 323, down 31; congenital malformations and diseases of early infancy 319, up 10; influenza and pneumonia 220, down 85*, suicide 108, up 6. Tuberculosis During 1971, the number of cases of new active tuberculosis fell to b60, a decline of approximately 7 per cent from the prior year's total of U93. Approximately 90 per cent of new cases are treated initially in hospitals, but the duration of hospital stay is how less than four months compared to eleven months six years ago. In City Health Department clinics 90 per cent of e*ctive tuberculosis cases continue, to receive drug therapy. One of the major emphasis in the tuberculosis program is directed toward eradication of the disease by special casefinding programs among the high incidence group? in the inner city, both by X-ray and tuberculin testing. LIA-76103 Health Highlights For 1971* Ccnt'd, - i - In addition, the tuberculosis prevention program continues to expand both through the clinic* and in industry* This acceleration has again increased the number of clinic visits which reached a total of 120,000 in 1971--almost three times, the number recorded in 1969 c Since it is increasingly obvious that many tuberculosis patients can be treated entirely on as outpatient basis, a study has been designed to start early in 1972 to compare the effects both on the patient and cn the contests of treating patients at hems as compared to treating them in the hospital. The study is supported by a greet from tbs national Tuberculosis and Respiratory Disease Association., The Venereal.,. Diseases Gonorrhea is still, by far, the moat common of reportable communicable diseases A total of 11,200 eases vere recorded is 1971 almnet the same number as in 1970c In 1962, with financial assistance free the U.S, CcnBtr.aica.ble Disease Center, the City Saslfth Department began a awes screening program to determine the extent of the reservoir of female carriers who present no symptoms of infection c At year's end the city had screened 179,000 warnsn attending City Health Department clinics, cooperating hospitals end other medical facilities. While screening has proved effective end cases remain high the rising trend over the past several years has stopped, Statistically this shows ease control but the fact remains that we have barely scratched the surface of the problem* The real problem lies In the large reservoir of esy^tamatic women who are not aware they ere infected and who should be seeking treatment, While screening, ease investigation of contacts end education-information programs are continued, -the control of gonorrhea will come when the laboratory develops more effective tools sad there is public acceptance of the new methods* Other Communicable Diseases Sotevorthy among communicable disease events in 1971 was the attainment of protection against diphtheria, whooping cough and tetanus (ETT) by 92 per cent of Baltimore children in the 1 to lb year age group* As seen in preliminary data of Baltimore children vith DPT, 69 per cent of children U years ere protected, 97*3 per cent of those 2-9 years, and 98,h per cent of youngsters 10-li years old* The study also above that about 80 per cent of children is the le>l4 year group have received polio end measles vaccines. Apart from streptococcal infections, all minor communicable diseases show a reduction as compared to 1970, Ho case of typhoid, polio sad diphtheria was reported during the year, but a significant increase in cases of infectious hepatitis and serum hepatitis was noted. Shigellosis, sa intestinal infection sometimes transmitted in infected foods, has also shown an increase, particularly in young children. Child Health and/Maternity Services The year 1971 sew the beginning of a greater involvement of the University of Maryland pediatric staff and its resident physicians in City Health Department child health program,' Agreements were reached with the hospital for resident physicians to serve in 8 child health clinics in the Western Health District. While the City Health Department's child health clinics provide preventive pediatric services and health supervision, these physicians are also treating minor illnesses which ordinarily would have been referred to outpatient or emergency departments of hospltels. In another step to provide additional tfoiiA care service, four child health clinics were located in medical facilities Where, ill children etui be referred immediately to a doctor or dentist in the same building. LIA-76104 Health Highlights For 1971, Cent'a. - 5- With the cooperation of the Maryland State Department of Health and Mental Hygiene and the Title 19 Medicaid Program, the City Health Department's federally funded Comprehensive Children and Youth Programs serving some 1(5,000 youngsters from birth through age 18 in selected areas, have been able to continue rendering health services to their original catchment areas and to maintain the quality of care despite rising costs and the stabilisation of federal funds. Although expansion of these special children and youth health service projects ic impossible without more federal money, the Child Health Services section of the Department is striving to bring better health care to Baltimore's children through a coordinated cooperative effort with public, voluntary end private agencies. Altogether the city's child health clinics including the comprehensive pediatric centers served a total of about 75,000 Baltimore children in 1971. The Baltimore Maternity Project 501 which provides services at the Baltimore Maternity Center and in 6 neighborhood clinics had 7,H00 women under obstetrical care at the end of the year. This represents an increase of 10.5 per.cent over the number under care in 1970. Family Planning Family Planning clinics of the Bureau of Maternal and Child Health served more than 16,500 patients in 1971. Of these 11,800 were active patients at year's end. Family Planning Bervices first were provided for women in the City's maternity clinics beginning in 1982. This was expanded in 1985 with the establishment of the Maternity end Infant Services Project 501. In 1969, with additional federal assistance. Family Planning services were expanded through Project 722. In 1970, the Maternity and Family Planning projects together served lit,932 patients. During the past year 16,500 patients made a total of Hi,162 visits. The Family Planning project now has 22 clinic sessions in 9 locations, available for any women in Baltimore who requests the services. There are morning, afternoon and twilight clinics. In June the 722 Project established an adolescent clinic in the Druid Health District Building. In the seven months it has been open, this clinic has seen about 350 patients. Especially noteworthy was the enactment of Chapter 758 of the Maryland State Laws of 1971 effective July 1 which permits treatment or advice concerning venereal diseases, pregnancy or contraception for any minor that seeks such medical services. Day Care of Children A steadily increasing number of day nurseries are opening in Baltimore City. Exclusive of summer programs, there are now 160 centers serving 6,150 children. Some H,000 of these children are in 97 centers giving care 10 to 11 hours per day while parents are employed. New Regulations Governing Group Day Care Centers, which were adopted October 1, by Dr. Neil Solomon, Secretary of the Maryland State Department of Health and Mental Hygiene, became effective December 1 throughout the state and apply to all day care centers in Baltimore City. These regulations call for specific training in early childhood education for all adults working with children. The local day care scene reflects the present activity in federal legislation dealing with universal child care subsidization plans. Private agencies and corporations individuals and partnerships are requesting information on licensing requirements and presenting plans so as to take advantage of expected increases in public funds for child day care. The three greatest needs facing Baltimore in 1972 in the child day care field are! Total planning to meet community needs, determination of suitable child care auspices, and appropriate facilities for use. The chief focus of the Health Department's Division of Child Day Care will be to aid in meeting these needs and to continue to safeguard the quality of child day care in Baltimore City. LIA-76105 9 Health Highlight* For 1971, Cent*4. -6- Medicaid in Baltimore City The Medical Care Services section, which assists is the local sgair.i6tre.tion of Maryland's Medicaid program, reported that for the- fiscal year of 1971 the number of needy persons eligible in Baltimore City for medical .assistance rose nearly., 10 per cent over the previous year to an average of 187,090 persons or one-fifth ' of the population of the city. la support of the Medicaid program, coordinstive services provided to eligible recipients and participating providers of services, including the Issuance of almost two million forms to providers of care and over 50,000 preeutherisatlons for drugs, dental services, medical supplies and eyeglasses. Medical Care Services' system of census-tract mapping of providers of services in Baltimore City was used for nearly 350 provider referrals during the year. In addition, this section's 1971 updated survey of physicians in the Baltimore metropolitan.area documented the nature and scops of the critical shortage of family physicians in the area. These findings verc used in a statewide' conference, held On September 25, 1971 by Maryland's Secretsry of Health and Mental Hygiene, to explore wyii: to alleviate the shortage of family physicians sad to improve the availability of primary care. Review and evaluation of the medical assistance program in Baltimore City is affected on an ongoing basis by measuring use of service and analysing the appropriateness of medical care purchased. The collection of current data relies heavily on en efficient system of over 50 computer programs for data acquisition, using payment tapes furnished by the State. To satisfy needs for small area data these efforts were expanded is 1971 to include the capability of reviewing the program in selected postal sone areas of the city. In progress for 1972, through a Joint effort of the City Health Department and the City Department of Planning, are plans to meet the needs for eligibility data end utilisation data cm a census tract basis. In addition to new computer techniques for data collection further strides were made in utilization review by the initiation is 1971 of pharmacy onsite visits to study the prescribing and dispensing of drugs for medical assistance patients in Baltimore City. These pharmacy services totalled 1.2 million services in fiscal year 1971. The following table gives a broad sunsaary of program utilization for the past fiscal year. Expenditures for Baltimore City Residents Utilizing Maryland's Medicaid Program in F.t. 1971 $ * of Total No. of Type of Service Expenditures Expenditure Services Ho. of persons vho received services Bosp, Inpatient Nursing-Home Hosp. Outpatient Physicians; Heme & Office In Hospital . Pharmacy Dental Heme Health, Special Services, Others 2b,531,683 9,552,139 8,320,261 1,672,089 599,718 b,837,992 , 2,272,260 bB 251,312 (days) 20,692 19 739,923 (days) 3,822 16 bl8,p36 (visits) Jt ' 110,075 233,771 (visits) 61,252 b 9 l,209,3bl 122,132 b-- -- Total Expenditures--$51,786,lb2; Eligible Person-fears--187,090; Per. Cap.--$277/yr. Medical Care Services' evaluations for State aided patients who ere in poseible need of or are receiving skilled nursing home cere provided for: an estimated 3,600 initial level of care determinations resulting in the placement at 1,500 patients in skilled nursing home care facilities and for the evaluation of 2,100 extension-of-stay requests. Onsite visits to skilled nursing home care facilities, to determine if the care provided is acceptable and meets the current needs of en individual patient, resulted in evaluations of 2,200 patients in 1971. To further the goal of improving the care of chronically ill persons, this section's public health nurses, in cooperation with the State Health Department, strived in 1971 to upgrade nursing heme facilities by evaluating the quality of care delivered. LI&-76106 Health Highlights For 1971, Cent1d. *" 7 Environmental Health She Bureau of Food Control which inspects retail, wholesale and manufacturing feed establishments in the city established a record breaking year is which over 25(000 inspections were made and 82,1 per cent of all establishments, vers found satisfactory on initial inspection. Institutional establishments including hospital end nursing homes were inspected on a quarterly basis. The Bureau of MiUs. Control reports that its surveillance work and the cooperation of the milk pleats providing milk for Baltimore City has resulted in sixteen consecutive years in which no unpasteurised milk has base sold to the public. The need for a method of disposal of solid wastes, as well as locations for sanitary land-fill sites, and ensuring proper operations 'l&'ttxirting sanitary lsad-fill sites, received much attention during the past year free the agencies involved, namely, the Department of Public Works, the Deputaent of Housing and Community Development and the City Health Department. The numerous meetings and conferences resulted in the enactment December 6 of Ordinance Ho. 1221 in which the responsibility of issueing permits, operation approval and enforcement of proper operation of sanitary land-fills, and other land-fills, except that of "clean earth" land-fill was delegated to the Bureau of EnvironmentalHygiene. Inspection and surveillance of hospitals, nursing homes and domiciliary care homes was intensified in the past year in an effort to prevent any recurrence of the salmonella outbreak experienced in the summer of 1970. In cooperation with the Maryland State Department of Health and Mental Hygiene, inspections of hospitals and convalescent hemes were increased to four inspections annually and the reports were given priority over all other work. The Division of Community Sanitation handled 1,630 complaints relating to general insanitary conditions. An additional 5,**50 special investigations were made including institutional investigations of hospitals, convalescent homes, day care centers, family day care homes, foster hoses, the Maryland State Penitentiary end the .City Jail; also clinical laboratories, ambulances, sanitary lend-fills and pier watering facilities. Hotewerthy among its many activities the Sanitary Enforcement Division was successful in having a it 1/2 acre lot in Araistead Gardens cleared. The lot was badly overgrown with tall grass and weeds, heavily infested with mosquitoes, old lumber and discarded bulk items. The entire area was bull-dozed and replanted with grass seed, A lot at Aliceanna and Central Avenue, which had become a deposit point for all types of trash, was cleared. This area along with many others received attention and interest through telephone calls by readers to local newspapers' action services. Toward the end of the year the Commissioner of Health created a citizens advisory group consisting of representatives of various civic organizations end municipal agencies to seek their assistance in the Department's program of eliminating exterior insanitary conditions within the city, In reporting on the city's health particular mention should be made of the educational work of the Bureau of Rodent and Insect Control. The Rat Eradication Program has been cited for its effective education program. This program not only includes rodent and insect control but also provides information on good housekeeping practices, drug abuse, and general information concerning sanitation. During 1971 the Bureau mads 1*88,639 inspections sad gave instructions to 12,650 school children. The bureau also purchased a 3 1/2 ton dump truck which is being used to expedite clean up services in the program. The Bureau of Industrial Hygiene has noted increasing success in the fight against child lead paint poisoning. The year 1971 was ended with only 11 cases of child lead poisoning from chewing leaded paint. This is the lowest figure attained in 2U years. Additionally, the bureau has purchased two X-ray lead detectors which should speed the inspection of homes for lead paint and aid in a more rapid removal Of this dangerous condition. LIA-76107 feeLth Highlights For 1971* Cont'd. 8 With new monies available from federal sources through the Lead-based "aint Prevention Act of 1971* the Department is seeking a federal grant so that large-scale screening of Baltimore children cj6n be initiated for the early detection and prevention of lead paint poisoning. During the year the Bureau of Industrial Hygiene participated in a federal study of data collection on industrial health and safety in 122 local plants directed toward establishing a national Occupational Surveillance Ketvork. The Federal Bind A look at the City Health Department's budget of 17? million dollars will reveal the significant fact: that about 1/5, or 3.k million, of the total sum utilized in departmental programs comes from city general fundi. Baltimore's health department, has already felt the effects of the tightening federal purse strings, and its top administrators are continually searching for answers to keep needed programs going. Some answers are found at state levels, others through the cooperation with other agencies end coordination of health services to prevent duplication end overlap. To the extent that our administrators are able to do this* Baltimore's health programs will continue as required. Hopefully, the plight of the cities will continue to ring in the ears of our federal legislators who certainly should know that "health comes first" and institute and pass such legislation as is needed to improve the quality of life that eventually makes for productive citizenship. l Ir -7618 Baltimore City Health Department PROVISIONAL REPORT- OF VITAL STATISTICS FOR 1971 Provisional Figures, 1971 Re corded Births: Total............... White....... / Nonwhite...... ./ 22,286 12,376 9,912 Resided! . Number 15,311 6,014 9,297 17.1 13.0 Si.'fe ' Final Figures, 1970 Recorded 23,539 13,585 9,954 . Resident Number Rate* 16,068 6,732 9,336 17.8 14.1 21.8 Deaths: Total... . . White. ___ Nonwhite., I-'.......... Infant Deaths: Total............... White............... Nonwhite....... 12,267 6,078 4,189 530 232 298 10,716 . 6,574 4,142 408 126 282 11.9 14.2 9.6 26.6 21.0 30.3 12,237 6,699 4,,'- 11,327 7", 116 4,211 --'555 ' -S90 2f>e 1 416 143 :fs; 273 12.5 14.9 9.8, 25.9 21.2 29.2 * Birth and death rates per 1,000 population; infrintiacirtali'ty rates per 1,000 live births. Total...................................... ............................................. REPORTABLE 01SEASES Chicker.pox............. ..................................... ............................. Diarrhea & enteritis.............................. Diphtherial............................................................................... Dysentery. ....................................................................... .. Encephalitis(acute infectious)............................ German measles.................... ,................................................. Heoatitis, infectious.................................................. Measles......................... ............................................ ................. Meningococcal infections.............................................. Mumps'................................................. .......................................... . Rolior.yelj.ti-s (paralytic)....................... ".................. Smallnox *............. ............................................ .............. .. Streptococcal sore throat & scarlet fever... Tetanus.............................. ......................................................... Tuberculosis (active)..................... .......................... Typhoid fever.................................................................. . . . Unculant fever.......... .. .............. .. ....................................... Venereal disease Syphilis. ....................... ................................................. Gonorrhea... ...................... ............................................... Whooping cough................................................................ OTHER CAUSES OF DEATH Accidental Causes...-...................................................... Home............. ........................................................................ Occupational................................................ .. Motor vehicle..................................................... .. Other public................................................ .. Cancer........................................................................................... Cerebrovascular disease.......................................... Cirrhosis of liver.......... ................................................. Congenital malformations and diseases of early infancy ....................................... Diabetes mellitus............................................................... Heart disease.......... ............................................ .. Homicide............................ ......................................................... Influenza............. ........................ ............................................. Nephritis and nephrosis....)................................. Pneumonia. ............................ . ................................................ Puerperal causes................... ...................................... Suicide.............................................. ...................................... Other external causes............................................... Other specified causes........... ................................ .. Cases 1971 1:6,058 * 1970 27,358* 287 11 - 596 1 51 324 17 14 333 - 488 - 359 1 460 - " 467 13 - 248 2 202 297 734 15 685 437 213 - 493 2 1,451 11,200 11 1,486 11,526 14 , - Resident Deaths 1971 10,716 1970 11,327 2 7 -` '9 5 1 67 - o 1 - 7 1 2 7 -- 1 - 91 - 89 -- " 384 124 31 130 99 2,000 759 333 469 166 22 155 106 2,048 804 359 319 323 4,143 309 1 48 219 5 108 55 1,611 309 354 4,437 234 6 50 299 7 102 55 1,666 Includes other reportable diseases: 454 cases in 1971 and 524 in 1970. Lift-"? 6109