Data from the

NATIONAL VITAL STATISTICS SYSTEM

CongenitalAnomaliesand Birth Injuries

Among live Births:

UnitedStates,1973-74

Describes variations in the incidence of congenital anomalies and

birth injuries as reported on birth certificates by selected socioeconomic, demographic, and health characteristics of the mother

and child.

DHEW Publication No. (PHS) 79-1909

Series21

Number 31

U.S. DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE

Public Health Service

National Center for Health Statistics

Hyattsville, Md. November 1978
.- ———.

Library of Congress Cataloging in Publication Data

Taffel, Selma.

Congenital anomalies and birth injuries among live births: United States, 1973-74,

(Vital and health statistics: Series 21, Data from the National Vital Statistics System,

Data on nationality, marriage, and divorce; no. 31) (DHEW publication; no. (PHS) 79-1909)

Bibliography: p.

1. Abnormalities, Human-United States–Statistics. 2. Birth injuries–United States–

Statistics. 3. Infants (Newbom)–Diseases–United States–Statistics. 4. United States–

Statistics, Medical. I. Title. II. Series: United States. National Center for Health Statistics.

Vital and health statistics: Series 21, Data from the National Vital Statistics System, Data

on nationality, marriage, and divorce; no. 31. III. Series: United States. Dept. of Health,

Education, and Welfare. DHEW publication. no. (PHS) 79-1909. [DNLM: 1. Birth injuries–

Occurrence–United States. 2. Abnormalities-Occurrences-United States. W 2 A N148vu

no. 31]

HA2 11.A3 no. 31 [RJ59] 312’.1’73s

ISBN 0-8406-0133-6

[312’.3]

78-9826

.
NATIONAL CENTER FOR HEALTH STATISTICS

DOROTHY P. RICE, Director

ROBERT A. ISRAEL, Depu ty Director

JACOB J. FELDMAN, Ph.D., Associate Director for Awdysis

GAIL F. FISHER, Ph.D., Associate Director for the Cooperative Health Statistics Systems

ELIJAH L. WHITE, Associate Director for Data Systems

JAMES T. BAIRD, JR., Ph.D., Associate Director for International Statistics

ROBERT C. HUBER, Associate Director for Management

MONROE G. SIRKEN, Ph. D., Associate Director for Mathematica~ Statistics

PETER L, HURLEY, Associate Director for Operations

JAMES M. ROBEY, Ph.D., Associate Director for Program Development

PAUL E. LEAVERTON, Ph.D., Associate Director for Research

ALICE HAYWOOD, Information Officer

DIVISION OF VITAL STATISTICS

JOHN E. PATTERSON, Director

ALICE M. HETZEL, Deputy Director

ROBERT L. HEUSER, M.A., Chief Natality Statistics Branch

MABEL G. SMITH, Chief, Statistical Resources Branch

IUTA U. HOFFMAN, Chiej Programming Branch

Vital and Health Statistics-Series 21-No. 31

.

.

DHEW Publication No. (PHS) 79-1909

Library of Congress Catalog Card hk.imber 78-9826
ACKNOWLEDGEMENT

The NationaI Center for Health Statistics gratefully acknowledges the helpful

suggestions and assistance in planning this report provided by the following individuals: Dr. J. William Flynt, Jr., and Mr. Lee James, Center for Disease Control;

Ms. Sylvia Hay; Dr. Irvin Emanuel, University of Washington; Dr. Dwight T.

Janench and Dr. Ernest B. Hook, New York State Department of Health. Peer

review of this report was carried out by Dr. CharIotte Catz, NationaI Institute of

Child Health and Human Development, and Dwight K. French, National Center

for Health Statistics, who made many constructive suggestions.
CONTENTS

Acknowledgement ...................................................................................................................................

fitroduction ............................................................................................................................................

Summary of Findings ..............................................................................................................................

Classification of Congenital AnosnaHes and Birth Injuries.......................................................................

Quality of Repotitig ...............................................................................................................................

Extent of Undemepofitig ............................................................................................................-

Reporting Kms..............................................................................................................................

Selected Anomalies Studied ..........................................................................................................

Specific Findiigs-Congenital Anosrdes ................................................................................................

kcidence ......................................................................................................................................

Race

Sex..................""........"......."........"........".................."."." ....................."..".."".."""..." ...................."....."""" .........".". ........................ ...."""...."...."

Geographic V~tion ...................................................................................................................

Birth We~ht .................................................................................................................................

Age of Mother ..............................................................................................................................

Biih Order and Age .....................................................................................................................

Phlrality.......................................................................................................................................

Legitimacy Status............................................................................................. ...........................

Outcome of and Interval Siice Iast Regmncy ............................................................................

Education of Mother ....................................................................................................................

Specific Findings-Birth bjties .............................................................................................................

Bate and Sex................................................................................................................................

Birth Weight.................................................................................................................................

Pluafity ............................................................................. .........................................................

References ..............................................................................................................................................

Wt. of Detailed Tables ............................................................................................................................

Technical Appen&x.: ...............................................................................................................................

1.

2.

3.

A

LIST OF FIGURES

Percent n-ale for births with selected anorrdes, 1973-74 avemge ................................................

Congenital anomaly ratesb y birth weight and race for all anomalies combined, 1973-74 average.....

Congenital anomaly rates by age of mother and race for all anomalies combined, 1973-74 average..........................................................................................................................................

LIST OF TEXT TABLES

Congenital anomaly rates for all anomalies combined by region and race: Total of 46 reporting

States and the District of Columbia, 1973-74 avmage .............................................................

...

lu

1

1

3

4

4

4

5

5

5

6

6

6

8

9

9

10

10

11

12

13

13

13

14

15

17

55

7

8

9

7
B. Congenital anomaly rates for alf anomrdies combined, by age of mother and live-birth orde~

Total of 46 reporting States and the Dktrict of Columbia, 1973-74 average....................... 9

c. Mean interval since termination of fast pregnancy for live births with congenital anomalies and

aIf live births, by outcome of last pregnancy and race: Total of 36 reporting States and the

District of Columbia, 1973-74 avemge .................................................................................... 12

D. Congenital anomaly rates for all anomalies combiied, by educational attainment and age of

mother: Total of 37 reporting States and the Dktrict of Columbia,1973-74 average............. 12

SYMBOLS

Data not available ------------------------------------- ---

Category not applicable ----------------------- . . .

Quantity zero ------------------------------------ -

Quantity more.than Obut less than 0.05--–- 0.0

Figure does not meet standards of

reliabilityy or precision--—---—-----— ------

*

vi
CONGENITAL ANOMALIES AND BIRTH

INJURIES AMONG LIVE BIRTHS:

UNITED STATES, 1973-74

Selma Taffel, Division of VM Statistics

INTRODUCTION

There has been growing concern in recent

years about the role of environmental

pollutants, drugs, and infectious agents in the

causation of congenital defects.a The current

paucity of information on the incidence of congenital defects has made increasingly evident the

need for national, uniformly collected data.

Birth certificates permit the study of relationships bet ween the occurrence of specific defects and variables such as age, education and

residence of the mother, and race, sex, and birth

weight of the child. The major objective of this

report is to describe patterns in the occurrence

of congenital defects relative to such demographic, socioeconomic, biologic, and geographic

characteristics. While the major emphasis of this

report is to explore factors associated with congenital anomalies, severaI tables are included

which show the prewdence of birth injunes—

another cause of infant morbidity and mortality.

Data in this report are derived from information entered on Iive birth certificates for

1973 and 1974. Information on congenital

anomalies was available from the birth certificates of 46 States and the District of Columbia

and for birth injuries, from 41 States and the

‘The terms “congenital anomaly, ” “birth defect, ”

“congenital defect,” and “congenital malformation” are

used interchangeably in tkis report.

District of Columbia. Information is shown separately for 1973 and for 1974 only in tables 1

and 2. These tables present basic data on congemtal anomalies by race and sex of child and

State of residence of mother. In all other tables,

incidence rates are an average of this 2-year

period. Two-year averages minimize the effect of

random year-to-year fluctuations in the data due

to the small number of events for some groups.

Although it is recognized that there are

major deficiencies in the recording of congenital

anomalies on birth certificates, it is hoped that

the utilization of these data will stimtdate more

accurate and complete reporting of malformations on vital records in future years.

SUMMARY OF FINDINGS

According to information entered on birth

certificates, during 1973-74, 821 of every

100,000 babies were born with a congenital

anomzdy, and 216 of every 100,000 babies

suffered a birth injury. However, it is probable

that the true incidence of such occurrences is

far higher. This is indicated by a number of

studies which have found substantial underreporting of congenital anomalies on birth certificates compared with other medical records.

bAs used in this report, “incidence” refers to the rate

of occurrence.

1
Incomplete reporting on birth certificates has

been attributed to the failure to recognize a

defect during the short interval before the certificate is filed, failure to transfer information

from hospital records to birth certificates, and

the recording of only the most severe anomaIy

when multiple anomalies are present.

There was a more than fivefold difference in

the incidence of congenital anomalies among

reporting States. During 1973-74 congenital

anomaly rates (births with anomalies per

100,000 live births) by State ranged from a low

of 364 to a high of 1,943. For some States there

were large differences between the rates for

1973 and 1974. It seems probable that such variations reflect inconsistent reporting practices

and random changes due to small numbers

rather than true differences or trends in occurrence. The lowest incidence during this period

was in the South and highest in the North

Central Region (630.7 compared ti,th 988.0).

Although the incidence of congenital anomalies

varied widely among geographic regions,

patterns of occurrence in relation to birth

weight, birth order, and age and educational

attainment of mother were found to be consistent from region to region. It is therefore felt

that national data are of value in studying the

relationship between the occurrence of

anomalies and a number of descriptive variables.

For nearly all anomalies studied, the

reported congenital anomaly rate was higher for

white than for Negro births. Ov&-all, the occurrence of anomalies was 13 percent more

frequent among white than among Negro births

(829.8 compared with 732.4). This racial differential is mainly attributable to the substantially

lower congenital anomaly rates reported in the

South, where 50 percent of all Negro births in

the congenital anomaly reporting area occurred.

A much larger proportion of male than

female newborns were found to have congenital

defects. For the 2-year period the congenital

anomaly rate for male babies exceeded the rate

for female babies by 40 percent (955.3

compared with 678.5). Congenital anomalies of

the genital organs were recorded for slightly

more than one-fifth of all male babies with a

defect.

The congenital anomaly rate for babies of

low birth weight (2,500 grams or less; 5 pounds

8 ounces or less) was about 2 1/2 times as high

as that for heavier babies (1,894.1 compared

with 727.1 ). The Iowest rate of anomalies

(636.9) was associated with birth weights of

3,501 to 4,000 grams (7 pounds 12 ounces to 8

pounds 13 ounces). White babies of low birth

weight were nearly twice as likely as Negro

babies of low birth weight to have a congenital

defect, but at higher weights the racial difference was greatly reduced or reversed.

Older women had the greatest risk of bem-ing

a child with a birth defect. The incidence of

malformations increased sharply for women

aged 35 and over and was particularly high for

mothers aged 40 years and over. For teenagers

and very young girls, the risk of having a baby

with a defect was approximately the same as for

the average of all ages combined. Women aged

25 to 29 years were least likely to bear a child

with a birth defect. The congenital anomaly rate

for this age group was less than half that for

women aged 40 years and over (779.5 compared with 1,7 10.5). For each age group studied,

the incidence of anomalies war-highest for first

births.

Births in plural deliveries were more likely

than single births to have a congenital anomaly.

The rate among plural births was 18 percent

higher than the rate among single births (965.7

compared with 817.8). However, among Negro

births the incidence was only 4 percent higher

among plural births than among single births,

while for white births the incidence was 22 percent higher.

The congenital anomaly rate was about the

same for Negro legitimate and illegitimate births,

but it was 15 percent higher for white illegitimate births than legitimate births. Two-thirds

of this difference in the rates for white births is

associated with the far higher incidence of low ‘

birth weight among white illegitimate than legitimate births.

Mothers whose previous pregnancy resulted

in a fetal death were more likely to give birth to

a baby with a congenital defect than were

mothers whose previous pregnancy resulted in a

live birth. For white births the risk was increased

by 22 percent and for Negro births by 13 percent. Close spacing of births was also foumd to

2
be associated with higher congenital anomaly

rates. The highest rates were for babies born

within a year of a previous delivery. The

mean interval since the termination of the last

pregnancy was about one-third shorter for births

with congenital anomalies than for zJI births

(27.2 months comp~ed with 40.5 months).

The incidence of congenital defects generally

decreased as the educational attainment of the

mother increased. The highest rate of anomaIies

was associated with 9 to 11 years of schooling

(879.6) and the Iowest with the completion of

college or postgraduate education (776.7).

During 1973-74 the incidence of birth injuries was 14 percent higher for white than for

Negro babies (21 7.9 compared with 191.3 per

100,000 live births). For both races, maIe births

had a substantially higher risk of a birth injury

than did female births. Overall, the birth injury

rate for male babies exceeded the rate for female

babies by 40 percent (251.1 compared with

179.0). Very small and very large babies were

most likely to suffer a birth injury. Birth injuries

were recorded for 3 of every 1,000 babies

weighing 1,500 grams or less (3 pounds 4 ounces

or less), for more than 4 of every 1,000 babies

weighing between 4,000 and 5,000 grams (8

pounds 14 ounces to 11 pounds), and nearly 3

of every 100 babies weighing more than 5,000

grams. Although white plural births had about

the same risk of a birth injury as white single

births, the birth inj~ rate was substantizdly

higher for Negro plural than single births.

CLASSIFICATION OF CONGENITAL

ANOMALIES AND BIRTH

INJURIES

The Eighth Revision International Ckmification of Dz3eases, Adapted for Use in the

United States, 1965 (ICDA) is the basis for

classifying the congenital anomalies and birth

injuries discussed in this report. Since this classification system does not readily permit the identification of aU congenital defects and because

of the difficulty in formulating a precise definition of congenital defects, this report is limited to those malformations present at birth

which are described in the ICDA section “Congenital anomalies” (codes 740-759). These

abnormalities can be expected to interfere with

the normal functioning of an individual. The

time at which function is interfered with may

vary from birth to maturity, and the intensity of

the functional interference also has a great

range. Other common congenital anomalies such

as hemangiomas, diaphragmatic and umbilicaI

hernias, and nonstructural defects such as inborn

errors of metabolism, congenital malignancies,

and certain neuromuscukr defects are scattered

throughout the remainder of the ICDA under

different headings and are consequently excluded.

Birth injury data shown in this report

include injuries for which pennatal or maternal

conditions are identified on the birth certificate

as the cause of injury (codes 764-768) as well as

injuries without mention of cause (code 772).

The decimal system of numbering used in

the ICDA includes three-digit categories for

broad classification of conditions according to

some significant axis such as anatomical site.

Four-digit subcategories withh each three-digit

category provide further detailed information

regarding cause or manifestation of the condition. For this report, if more than one condition is recorded on a birth certificate, the birth

is counted in each applicable four-digit subcategory and in the corresponding three-digit

category. However, if a birth record lists two or

more four-digit level defects within the same

three-digit category of anomaly, the birth is only

counted once at the three-digit level. For

example, as shown in table 1, code 755 (other

congenital anomalies of limbs) includes subcategories 755.0 to 755.9. A birth with a reduction deformity of both upper limb (755.2) and

lower limb (755.3) wotdd be counted only once

in the three-digit category 755, although it

would be counted each time in the applicable

four-digit subcategory. Several of the selected

anomalies shown in tables 2-6 and 8 are combinations of four-digit subcategories. Where a

birth record shows more than one defect within

such a grouping, the birth is counted only once.

TotaIs shown for categories 740-759 inclusiv:,

represent an undupIicated count of live births

with one or more defects.

3
QUALITY OF REPORTING

It should be borne in mind that data presented in this report do not reflect the entire

incidence of congenital defects. The completeness of reporting of a malformation depends primarily on the recognizability of the defect

within the short period after birth before the

filing of the birth certificate. However, even

where the presence of a malformation is noted

on the hospital record, there may be a failure to

transfer the information to the birth certificate.

Other reasons for incomplete reporting or the

loss of usable information are the desire to

confirm a diagnosis before entry on an official

record, the entry of only the most severe

anomaly in the case of a child born with multiple defects, and the use of indefinite terminology.l’3

Extent of Underreporting

Information from a survey of mothers of legitimate births in 1972 permits the comparison

of the reporting of anomalies on birth certificates with the reporting on hospital records for

the same group of births.4 Between 4 and 5

times as many hospital records as birth certificates indicated that a congenital defect was observed at the time of delivery.= By the time of

the infant’s discharge from the hospital, 8 times

as many hospital records as birth certificates

noted the presence of an anomaly.

Other studies comparing the recording of

malformations on birth certificates with other

medical records also describe widespread underreporting of congenital defects on birth certificates.s ~5’9 For many defects it has been determined that the extent of underreporting is quite

substantial. A study of the completeness of recording of malformations on vital records compared with hospital records for Iowa concluded that of 12 relatively common and easily

recognized malformations, there were only

3–cleft lip and/or cleft palate and spina bifida–

for which substantially more than half the cases

cThe proportion of birth certificates reporting anomalies in this survey corresponds closely with the overall

anomaly rates observed in this present study.

were recorded on birth certificates.g An additional study of these births found that there was

more complete reporting on birth certificates of

major malformations (those judged to be incapacitating or fatal) than of minor defects (those

which are less serious and often correctable).3

The completeness of reporting of both major

and minor defects varied directly with the ease

of recognition at birth. The most complete reporting was for the most easily recognized major

malformations (76 percent); for the least obvious major conditions, there was only 22 percent completeness in reporting. The percent

completeness varied from 8 to 18 percent for

minor defects. When there were multiple

defects, only the most severe were usually reported. The authors concluded that selective

judgment was practiced in transferring information from hospital records to birth certificates and that major malformations were more

likely to be transferred. Overall, in comparison

with entries on hospital records, only 9 percent

of minor malformations and 1 percent of insignificant defects were entered on birth certificates. However, it was also determined that for

most of the malformations studied, the entries

on the birth certificate were fairly precise; that

is, the entries were generally’ well defined or

specific and thus classifiable.

Repotting Bias

The question arises as to whether congenital

anomaly data derived from birth certificates are

a useful source of health and related demographic information despite the magnitude of

underreporting. The previously cited study of

Iowa recordss showed that when a comparison

was made between entries on birth certificates

and hospital records, tabulations for most characteristics revealed no significant differences as

measured by chi-square analyses. The authors

concluded that birth certificates could be used

with confidence to evaluate the following characteristics: birth weight, length of gestation, sex,

survival at discharge, plurality, age of mother

and of father, race of mother and of father,

number of previous deliveries, and month or day

of week of birth.

For this study patterns of reporting of four

4
variables-birth weight, age of mother, birth

order, and educational attainment of mother—

were compared by region. Although the level

of occurrence of congenital anomalies varied

considerably from one geographic region to

another (and was always lowest in the South),

the patterns of reporting for these variabIes were

quite simikir for all regions. It is therefore

believed that national data can be used to

analyze the relationship between the occurrence

of anomalies” and a variety of descriptive variables. However, because of the far lower incidence of congenital anomalies in the South and

the relatively greater proportion of Negro than

white births occurring in this region, Negro congenital anomaly rates for the United States were

consistently lower than white rates. It should

therefore be borne in mind that the consistently

lower Negro rates observed for national data

reflect to a large extent this depression in rates

in the South. A more detailed discussion of this

point may be found in the section “Geographic

Variation.”

Selected Anomalies Studied

Tables 1A and lB present frequencies and

incidence rates by race and sex of child for the

complete listing of all anomaIies in ICDA

categories 740-759. Tables 2-6 and 8 analyze a

group of selected anomalies in greater detail.

There were several criteria used in the selection

process. A basic consideration was the frequency

of occurrence, since many anomalies are

recorded too rarely to permit any type of

meaningful cross-classification. Ease of recognition and seventy of the malformation were

also taken into consideration, since these factors

are known to be highly associated with

completeness of repotiing. Anomalies which

occur frequently but which have little effect on

an individual’s ability to function (e.g., certain

anomalies of the skin, hair, and nails) were generally excluded. LastIy, other anomalies not

fully meeting these criteria were included since

it was felt that they merited further study. Brief

medical definitions of the selected anomalies can

be found in the Technical Appendix.

SPECIFIC FINDINGSCONGENITAL ANOMALIES

Congenital anomalies are a leading cause of

chiklhood mortality and lifelong disabilities. In

1974, 8,607 deaths of infants under 1 year of

age, or 16.3 percent of all infant deaths, were

caused by a congenital anomaly. In the age

group 1 to 4 years, 1,191 deaths, representing

12.1 percent of all deaths in that age group,

were attributed to congenital defects. 10 In

1974, 331,000 persons (excluding newborn

infants) were hospitalized for disabilities caused

by congenital anomalies. While 48 percent of

these patients were under 15 years of age, 33

percent were aged 15 to 44 years, and 19 percent were 45 years or older. 11 In addition, congenital anomalies cause a substantial number of

fetal deaths each year.

Incidenee

During 1973-74 less than 1 percent of the

birth certificates registered in the reporting

aread indicated that the newborn had a congenital anomaly. In 1973 the congenital anomaly rate (the number of live births with anomalies per 100,000 total live births) was 829.8;

in 1974 the rate dropped dightly to 811.3. However, as previously noted, it is well established

that there is significant underreporting of malformations on birth certificates. Thus the true

magnitude of malformations among newborns

for these years is unknown. In addition, it

should be kept in mind that yearly variations in

malformation incidence can be caused by differences in reporting practices and random fluctuations of small numbers as well as changes in

the actual frequency of occurrence.

For nearly 90 percent of the births with

anomalies, onIy a single defect was noted on the

birth certificate. During the period 1973-74,

87.8 percent of the births with anomalies had

one defect recorded, 9.3 percent had two

defects, and 2.9 percent had three or more

defects.

‘The reporting area consists of the 46 States and the

District of Columbia that included a question on congenital anomalies on the birth certificate. See table I in

tie Technical Appendix for a listing of these States.

5
Tables 1A and lB present the incidence of all

anomalies for ICDA codes 740 to 759. (Data for

1973 are shown in table 1A and for 1974 in

table lB.) The most frequently occurring major

classifications of anomalies were spina bifida,

congenital anomalies of heart, cleft palate and

cleft lip, congenital anomalies of genital organs,

clubfoot, other congenital anomalies of limbs,

and congenital syndromes affecting multiple

systems.

Race

For nearly all anomalies in the ICDA code

categories 740-759, the reported congenital

anomaly rate was higher for white births than

for Negro births (tables 1A and lB). Overall, the

incidence of congenital anomalies in 1973 and

1974 was 13 percent greater among white births.

Polydactyly (extra digits) was the most frequently occurring anomaly among Negro births,

comprising 39 percent of the total anomalies

recorded and affecting nearly 3 of every 1,000

Ne~o babies. It was a far rarer condition among

white births, the white rate being less than oneseventh the Negro rate (38.4 compared with

281.5 per 100,000 births in 1974). If this condition were excluded from the computation of

the overall congenital anomaly rate, the Negro

rate would be lowered considerably.

Other studies have noted a relatively higher

frequency of occurrence of a number of major

anomalies among white than Negro babies,

although the overall incidence of congenital anomalies has been found to be greater among

Negro births. 1z‘14 The question arises as to

whether the consistent elevation in white rates

in the present national study is due to variation

in reporting practices among hospitals. Unfortunately, this question cannot be resolved from

information presently available. However, as

noted in the section “Geographic Variation,”

the overall racial differential can be attributed

mainly to the substantially lower congenital anomaly rates reported in the South Region for

both Negro and white births.

An association between socioeconomic

status and the level of congenital malformations

is noted in this and in previous studies. (See the

section “Education of Mother.”) It was not

possible to determine to what extent th,e reported racial difference in the level of anomalies

was associated with socioeconomic differences.

Whit e congenital anomaly rates were consistently higher than Negro rates at each educational level, which was due in part to differences

in the level of reporting by race.

sex

A substantially higher proportion of male

than female newborns were found to have one

or more congenital malformations (tables 1A

and 1B). For the 2-year period the congenital

anomaly rate for male births exceeded the rate

for female births by 41 percent (955.3 compared with 678.5 per 100,000 live births). This

excess of male anomalies persisted within each

racial group. The relative difference in rates was

44 percent (975.6 compared with 675.6) for

white births, and the differential was 26 percent

(814.8 compared with 647.6) for Negro births.

Although many of the anomalies studied

showed a higher rate for males, to a large extent

the overall sex differential is explained by the

significantly higher male rate for congenital

anomalies of genital organs (code 752) and in

particular for hypospadias (code 752.2). Congenital anomalies of the genital organs were reported for slightly more than one-fifth of all

male births with anomalies but for less than 2

percent of female births with anomalies. If these

conditions are excluded from the computation

of the overall male and female congenital anomaly rates, the sex differential is reduced from 40

percent to about 13 percent.

Figure 1 presents the percentage of births

with anomalies that were male for some of the

more frequently occurring anomalies. During

1973-74, 51 percent of all births in the United

States were male. It can be seen from figure 1

that for many anomalies there was a large deviation from this expected maIe ratio. These

ratios are in close agreement with information

reported in previous studies. 1s

Geographic Variation

There were extremely large variations in the

incidence of congenital anomalies among the reporting areas during the 2-year period covered

6
51 percent of all births i. the

United Stateswere male

Anomaliesof genital organs

(752) a

~v$lylv

Clefr palate with cleft lip

{749.21 n

Cleft lip without .defr pa!aw

(749.1)

E

g

Reductiondeformities

< (755.2-755.41 m g

Clubfoot

n

z

(754.0.754.9)

<

~ Anomalis of heart

[746.0.746.9)

s

~

Polydmryiy

< (755.0)

n

Cmgsnital hydmcepf?alus

:

(742)

Y

: Down’s diseam

[759.3)

Anmcephalus

(740)

Spins bifida

(741)

Cleft palate without clefr lip

(749.0)

o 40 60 80 100

PERCENT MALE

Figure 1. Percent male for births with selected anomalies, 1973-

74 average.

by this report. Information on the incidence of

anomalies for each area is shown in table 2A for

1973 and in table 2B for 1974. During this

2-year period congenital anomaly rates ranged

from a Iow of 364.3 (Delaware, 1973) to a high

of 1,942.7 (New Mexico, 1974).

Although the overall congenital anomaly

rate , ch,anged very little between 1973 and

1974–from 829.8 in 1973 to 811.3 in 1974, a

decline of 2 percent–for individual areas,

changes ranged from a decIine of 34 percent

(District of CoIumbia) to an increase of 68 percent (New Mexico). There were 11 States which

experienced a 20-percent or greater change in

rates between 1973 and 1974 and 12 States

where the change was from 10 to 20 percent.

However, fluctuations in yearly rates were generally smaller for States with large populations.

Among the 17 largest reporting States

(representing two-thirds of the U.S. population),

there were only 4 where the yearly rate varied

by more than 10 percent. It therefore seems

dlkely that all of the variations observed

reflect true changes in the incidence of anom-

&es among these populations. The more probabIe explanations are that differences in many

instances reflect random fluctuations due to the

small number of events and that reporting practices are not consistent from State to State or

even from year to year within the same State.

As noted previously, during this period the

incidence of anomalies was 13 percent higher

among white than among Negro newborns

(829.8 compared with 732.4 for 1973-74). But

again, these overall averages conceal a very wide

variation in incidence for individual reporting

areas. For example, during the 2-year period the

incidence of congenital anomalies among white

births was less than 90 percent of the incidence

for Negro births in 17 States, while in 9 States

the white incidence exceeded the Negro incidence by 30 percent or more.

As shown in table A, there were marked

regionaI differences in the reporting of anomzdies. The lowest incidence was in the South

(630.7) and the highest in the North Central

Region (988.0). Within each region, differences

between raciaI groups were also quite noticeable.

In the Northeast and West Regions the white

congenital anomaIy rates were lower than the

Negro rates by 8 and 14 percent, respectively,

while in the North Central Region the white rate

exceeded the Negro rate by 9 percent and in the

South Region by 18 percent. The lower incidence of Negro anomalies relative to white

anomalies in the entire reporting area is a reflection of the fact that 50 percent of all Negro

Table A. Congenital anomaly rates for all anomalies combined,

by region and rat= Total of 46 reporting States and the

District of Columbia, 1973-74 average

[ Rates are live biiths with anomrdies per 100,000 live births in

specified SToup]

Region Total 1 White Negro

All reporting areas .............. ....

Northeast .............. .................... ..

North Central ......... ................... .

South .......... ................................

West ....................................... .....

HI=+=

781.7 772.1 843.4

988.0 999.0 919.0

630.7 653.0 551.9

928.9 898.8 1,044.6

l~nclude~ raceS other than white and Nesro7
births but only 29 percent of all white births

were in the South, where rates were 10west

There is reason to believe that the relatively

low congenital anomaly rates observed in the

South reflect a difference in reporting practices

rather than a lower occurrence of defects. As

discussed in the section “Birth Weight,” low

birth weighte is associated with a greatly elevated incidence of congenital defects. Although

the proportion of infants of low birth weight in

the South approximated the national average for

both races, the congenital anomaly rate for

white births in the South was 21 percent lower

than the national average and the rate for Negro

births was 25 percent lower.

Birth Weight

A number of studies have noted a greatly

eIevated rate of anomalies among lowbirth-weight infants.1 G-l 8 Data from this study

substantiate those findings. Table 3 and figure 2

present malf orrnation rates by weight in

500-gram intervals by race of child. The rate of

congenital malformations for babies of low birth

weight in 1973-74 was about 2 1/2 times as high

as that for babies with more adequate birth

weights (1,894.1 compared with 727.1 per

100,000 live births). Infants with the very

lowest birth weights had a greatly increased risk

of being born with an anomaly. For births of

1,500 grams (3 pounds 4 ounces) or less the rate

was 2,146.4, and for births of 1,501 to 2,000

grams (3 pounds 5 ounces to 4 pounds 6 ounces)

the rate was 2,454.1. It is likely that the slightly

lower congenital anomaly rate for births of

1,500 grams or less compared with births in the

next higher weight group is due to the proportionately greater number of fetal deaths in the

lower weight group.

With increasing weight, the congenital anomaly rate declined sharply, reaching a low of

636.9 for births of 3,501 to 4,000 grams (7

pounds 12 ounces to 8 pounds 13 ounces). However, the incidence again rose for heavier than

average babies, increasing to 929.1 for babies

‘Infants weighing 2,500 grams or less (5 pounds 8

ounces or less) at birth are considered to be of low birth

weight.

weighing 4,501 grams (9 pounds 15 ounces) or

more. This rise is probably a reflection of a

higher incidence of anomalies for birtbs to

diabetic mothers. Such infants tend to be Iarge,

and it is weIl established that maternal diabetes

is associated with a number of congenital malformations. 19Y20

There are marked differences in the incidence of malformations between white and

Negro babies of low birth weight. White babies ~

weighing 2,500 grams or less were nearly twice

as likely as Negro babies of this birth weight to

have a congenital anomaly (2,176.7 compared ,

with 1,126.0 ). However, racial differences were

considerably reduced with increasing weight,

and for two of the higher weight categories the

incidence of anomalies was greater for Negro

babies than for white babies (figure 2).

Variations in incidence by weight were

observed for nearly all of the 19 anomalies

studied. The greatest dissimilarity in rates by

weight was observed for anencephalus. The risk

of this defect was 81 times as great for babies

weighing 1,500 grams or less-as for babies

weighing 4,001-4,500 grams.

*

.

Figure 2. Congenital anomaly rates by birth weight and race for

all anomalies combined, 1973-74 average.

8
Age of Mother

Advancing maternal age is associated with an

increased risk of bearing an infant with a congenital anomaly (table 4 and figure 3). The incidence of malformations rises steeply for mothers

aged 35 and over and is particularly high for

mothers aged 40 years and over. Births to this

latter group of women were more than twice as

likely to have a defect as were births to women

aged 25-29 years, the age group with the Iowest

-r.

F

/

Negro

G

~

o

1014 15-19 2S24 25.29 S0-s4 25-$9 40’40

yam years yews Years was yars yaw’s

AGE OF MOTHER

Figure 3. Congenital anomaly rates by age of mother and race

for all anomelias combined, 1973-74 average.

incidence of malformations (1,710.5 compared

with 779.5). The pattern of risk by age was similar for white and Negro births, although the

,incidence was higher for white births at each

age.

Down’s disease is the most striking example

of the increased risk to older women of bearing

a defective child. The incidence of this anomaly

was 33 times as great for infants born to

mothers aged 40-49 years as for infants born to

mothers aged 20-24 years (670.5 compared with

20.2).

Birth Order and Age

Table B presents congenital anomaly rates

by birth order of child and age of mother for all

anomalies combined. The incidence of defects

was highest for fourth and higher order births,

due primarily to the relatively greater number of

older women having such births. Nearly onethird of congenital anomaly births of fourth and

higher order were to mothers aged 35 years and

older. When each age group is examined separately, it can be seen that rates for such higher

order births were generally less than rates for

lower order births. Rates for first births were

consistently higher than for other birth orders,

regardless of age of mother. The rate for first

births to women aged 35 years and older was

1,414.2, the highest observed for any age-order

group. A possible explanation for the high level

of risk for first births in comparison with higher

birth orders is that parents may not have additional children after having a malformed one.z 1

Due to the high degree of association between

Table B. Congenital anomaly ratas for all anomalias combined, by age of mother and live-birth order: Total of 46 reporting Statas and

the District of Columbia, 1973-74 ave~ge

[Rate are live births with anomalies per 100,000 live births in specified group]

I II Age of mother

Live-birth order Total

Under 20-24 25-29 30-34 35 years

20 yaars years years years and over

Total .................................................................

WI 8“8 ! ‘w’ 1 77’51 83541 1,175.4

First child .............................................................. 863.1 831.0 853.0 649.6 845.2 1,414.2

Second child .......................................................... 772.6 751.4 769.3 748.1 840.4 1,044.9

Third child ............................................................ 803.4 825.2 795.7 768.4 808.0 1,151.0

Fourth child and over............................................ 883.3 636.0 703.6 788.5 816.1 1,191.4

9
age of mother and birth order of child, it was

not possible to determine which of these variables had a greater effect on the overall congenital anomaly rates.

Plurality

As shown in table 5, the incidence of congenital defects was 18 percent higher among live

births in plural deliveries than among live births

in single deliveries (965.7 births with defects per

100,000 live births in plural deliveries compared

with 817.8 per 100,000 single live births). For

nearly all anomalies studied, there was a relatively higher level of occurrence for plural births

than for single births. The two notable exceptions were dislocation of the hip, where the

incidence was 21 percent greater for single births

than for plural births, and Down’s disease, which

occurred about twice as frequently among single

live births -asamong plural live births.

One hypothesis advanced to explain the

causation of mental and physical defects among

multiple births is that such pregnancies produce

increased nutritional demands on the mother

which, if not met, result in physical and mental

impairment. z z However, in the case of monozygotic (identical) twins, some researchers view

the twinning process itself as an instance of abnormal fetal development.23

The more frequent occurrence of low birth

weight and prematurity among multiple births

appears to be a critical factor in the study of

congenital defects. The proportion of lowbirth-weight and prematurely born babies in

plural deliveries are many times higher than

among single Iive births, and these differences

are far larger among white births. White babies

are 10 times more likely to be of low birth

weight in plural than in single deliveries and

Negro babies 5 times as likely. Similarly, the

incidence of prematurity is 5 times as high

among white plural than single deliveries and 3

times as high among Negro plural than single

deliveries. This racial disparity may provide part

fPremature births are those occurring before 37

weeks of gestation.

of the explanation for the larger differential in

incidence of malformations by plurality found

among white than Negro births. The risk of birth

defects among white babies was 22 percent

higher among pIuraJ than singIe births (1,010.7

compared with 826.5), but among Negro babies,

the risk was only 4 percent higher among plural

births (764.1 compared with 731.7).

Another factor to be considered is that

white babies have lower birth weights at younger

gestational ages than Negro babies. During

1973-74 the median birth weight of white

infants born before 36 weeks of gestation was

77 grams lower than that of Negro infants of

comparable gestationaI age. A study of twin

pregnancies found a markedly increased incidence of congenital anomalies among premature

births of 30 to 35 weeks gestation where birth

weight was lower than average for gestational

age.z 4 The lower birth weight of white babies at

younger gestational ages may therefore be an

additional explanation for the larger differential

in incidence of anomdles by plurality observed

for white births.

Legitimacy Status

The overall incidence of malformations for

illegitimate live births was less than 1 percent

greater than the incidence for legitimate live

births. The congenital anomaly rates per 100,00

births for these two groups were 807.6 and

805.2, respectively (table 6). However, among

white births the rate for illegitimate babies was

clearly higher than that for legitimate babies—

936.4 compared with 812. 7–a difference of

15 percent. For Negro births the differential in

rates was less than 1 percent (a rate of 703.5 for

illegitimate births compared with 700.4 for Legitimate births).

A factor strongly associated with an

increased risk of congenital anomalies is low

birth weight (see “Birth Weight” section), which

is more frequent among illegitimate than legitimate births. The congenital anomaly rates by

race shown in table 6 reflect these differences in

weight as well as other characteristics associated

with legitimacy status. An attempt was therefore

made to determine what the Ievels of congenital

10
anomalies would be for each legitimacy status

group if the distribution of births by birth

weight for these two groups were the same as in

a s t anclard population. Adjusted congenital

anomaly rates by legitimacy status were

computed separately by the indirect method for

each race, using as the standard for adjustment

the rates by race and weight group shown in

table 3. The observed and adjusted congenital

anomaly rates are shown below:

Race and Observed Weightlegitimacy status

adjusted

rate rate

— WHITE

Legitimate .................................. 812.7 818.7

Illegitimate ................................. 936.4 859,6

BLACK

Legitimate .................................... 700.4 707.7

Illegitimate .................................., 703.5 694.9

While there was a 15-percent differential in

white rates by legitimacy status before adjustment for weight differences, after standardization for birth weight this was reduced to 5

percent. It appears that two-thirds of the relative

difference in incidence of anomaIies between

white illegitimate and legitimate births is associated with the dksimilarity in birth weight, but

that one-third still remains to be explained in

terms of other factors related to legitimacy

status.

Despite the higher percent of low birth

weight among Negro illegitimate than legitimate

births, the overall congenital anomaly rates for

these two groups were nearly identical (703.5

and 700.4, respectively). Adjustment for birth

weight differences had only a minimal effect on

this reIative differential in rates, reflecting the

fact that low birth weight is not as strongly associated with an increased risk of anomalies for

Negro as for white babies (figure 2).

Outcome of and Interval

Since Last Pregnancy

One factor closely associated with the survival and health of babies is the prior pregnancy

history of the mother. In a study of New York

City births, low birth weight and fetal mortality

were found to be far more frequent occurrences

among women with past histories of fetal deaths

and prematurity than among women who had

had ordy mature live births.zs The interval

between births is an additional aspect of pregnancy history related to the outcome of pregnancy. In a study of several hundred children, it

was found that siblings born within 1 year of a

previous full-term pregnancy were more likely to

have low birth weight and poorer mentzd and

motor development than chiIdren born after an

interval of 2 to 5 years. Additionally, the risk of

neurological abnormalities was twice as great for

the closely spaced births.z 6 Data derived from

birth certificates show a similar adverse relationship bet ween the close spacing of births and

weight at birth.

Since the incidence of congenital anomalies

is so closely related to weight at birth, it is not surprising to find similar patterns of risk according

to the outcome of last pregnancy and spacing

of pregnancies. Table 7 shows the incidence

of congenital malformations in relation to prior

pregnancy outcome and the interval between

pregnancies. Births to mothers whose previous

pregnancy terminated in a fetal death were more

likely to have a congenital anomaly than births

to mothers whose previous pregnancy resulted in

a live birth. For white births the risk of a congenital anomaly was increased by 22 percent; for

Negro births the risk was 13 percent greater.

The incidence of anomalies was highest when

the interval between births was less than 1 year,

while the lowest anomaly rates were for intervals

of 12-17 months through 48-59 months. The

congenital anomaly rate for this last interval was

14 percent lower than the rate for births spaced

less than 1 year apart (788.1 compared with

920.3 per 100,000 Iive births). Intervals of 5

years or more were associated with a sharp

increase in rates, probably due to a greater proportion of older women in these categories.

The association between the close spacing of

births and the risk of a congenital anomaly is

strikingly illustrated by the data in table C. The

mean interval since the termination of the last

pregnancy for births with congenital anomalies

was about one-third shorter than the interval for

11
Table C. Mean interval since termination of last pregnancy for

live births with congenital anomalies and all live births, by

outcome of last pregnancy and race: Total of 36 reporting

States and the District of Columbia, 1973-74 average

Congenital anomaly status and

outcome of last pregnancyl

Live births with congenital

an-omalies

All second and higher order

pregnancies ...........................

Lest pregancy live birth ..............

Last pregnancy fetal death ... .. .....

Last pregnancy outcome

unknown ..................................

All live births

All second and higher order

pregnancies ....... .......... ...... .. ..

Last pregnancy live birth ............

Last pregnancy fetal death ..........

Last pregnancy outcome

unknown ..................................

11 I

Mean interval

in months

27.2 27.4

28.4 28.7

17.3 17.5

* 12.0 *1 5.0

40.5 40.7

42.2 42.4

24.3 24.1

39.0 39.1

27.7

28.7

17.0

40.4

41.7

26.2

38.1

l~cl~des b~hs with birth order not stated and births With

zero interval since M pregnancy (plural births).

21nclude~ ~ace5 other than white and Negro.

all births (27.2 months compared with 40.5

months). Approximately this same relative difference in mean interval between births with

congenital anomalies and all births was found

regardless of whether the previous pregnancy

resulted in a live birth or in a fetal death.

The study of closely spaced children cited

earlierz 6 concluded that the depressed birth

weight and impaired development seen in rapid

succession pregnancies are results of intrautei[ne

impoverishment. It was theorized that close

spacing of pregnancies does not allow sufficient

time for full restoration of the mother’s supply

of critical nutrients required for optimum fetal

body development.

Education of Mother

To provide a measure of the socioeconomic

status of the family, the birth certificates of

many States have been revised in recent years to

include questions on the educational attainment

of parents. In this report, congenital anomaly

rates are presented by educational attainment of

the mother rather than of the father since information on the father is often missing for illegitimate births.

The incidence of congenital anomalies gene ral 1y decreased as educational attainment

increased (table 8). The highest rate of congenital anomalies was associated with 9-11 years

of schooling and the lowest rate with the

completion of college or postgraduate education (879.6 and 776.7, respectively). The incidence of anomalies for births to mothers with

only minimal education (8 years of schooling or

less) was found to be slightly lower than that for

mothers who had completed 9-11 years of

schooling.

Since it is not possible for very young

mothers to have completed more than a limited

number of years of school, congenital anomaly

rates were computed excluding births to

mothers under 20 years of age. These rates are

shown in table D. For most age groups the

Table D. Congenital anomaly rates for all anomalies combined, by educational attainment and age of mother: Total of 37 reporting

States and the District of Columbia, 1973-74 average

[ Rate are live births with anomalies per 100,000 live births in specified group]

I I

Years of school completed

Age of mother Total

All mothers agrd 20 years I

and over ........................................... ...............

l====

20-24 years ....... ..... ................................ ................ 820.7

25-29 years ................................... ...................... .. . 802.1

30-34 years .................. .......................................... 859.3

35 years and over .................................................. 1,198.7

0-8 9-11 12 13-15 16 years

years years years years or more

876.3 907.3 850.5 829.8 7i?6.6

I 1 I I

749.7 867.4 824.0 824.2 784.8

793.8 875.4 818.5 808.4 736.6

818.6 944.9 888.8 803.9 818.4

1,371.1 1,246.9 1,200.0 1,174.0 951.2

12
pattern of risk by educational level is similar to

that previously described for women of all ages

combined. The only exception is for mothers

aged 35 years and over, where the congenital

anomaly rate was highest for women with the

lowest educational attainment.

For all age groups under age 35 years, 0-8

years of schooling was associated with a 10wer

incidence of congenital mzdformations than for

the next higher educational level (9-1 1 years). It

is not possible from data tabulated for this

report to explain this general depression in rates

when schooling was minimal. However, other

studies have reported a considerably higher incidence of malformations among stillborn infants

than among live births.19*Z T The 1973-74 fetal

death ratio for mothers with O-8 years of

schooIing was 21 percent higher than the ratio

for those with 9-11 years of schooling (23.9

compared with 19.8 fetzd deaths per 1,000 live

births). The higher proportion of pregnancies to

women with very low educational attainment

which ended in a fetal death could result in a

lower congenital anomzdy rate among live births

for the educational category O-8 years.

Previous studies have noted the association

between socioeconomic status and the level of

congenital malformations. 14 72s >Z9 It has been

suggested that this association may be attributable to the less satisfactory prenatal care,

poorer hygiene, and higher incidence of malnutrition and infectious disease found among

mothers with less adequate income and educational 4

SPECIFIC FINDINGS–BIRTH INJURIES

Chances for survival are much poorer for

newborns with birth injuries. A study of live

births in New York City~ O found that the

neonatal mortality rateg for babies with birth

injuries was almost 4 times the citywide

neonatal mortality rate for all live births. Deaths

from birth injuries in the United States

comprised 3.4 percent of all infant deaths during

gThe neonatal mortaMy rate is the number of deaths

within the first 28 days of life per 1,000 live births.

1973-74. About one-third of such infant deaths

occur during the first day of life and nearly aIl

within the first 28 days after birth.

One or more birth injuries were reported for

2 of every 1,000 live births in 1973-74 (table 9).

No injuries to the spinal cord and relatively few

brain injuries were reported. The overall birth

injury rate was 216.0 per 100,000 live births; by

site, the rates per 100,000 live births were 10.2

for brain injuries, 82.4 for bone or nerve injuries,

and 127.5 for other and unspecified injuries.

However, as noted for congenital anomalies, the

true incidence of such conditions cannot be

ascertained from entries on birth certificates.

For exampIe, a survey of Legitimate births for

1972s 1 found that hospital and/or physician

records noted birth injuries at about 10 times

the level observed in this present study.

Race and Sex

There was a higher incidence of birth injuries

among white than among Negro newborns. The

birth injury rate for white babies was 217.9 per

100,000 Iive births, 14 percent higher than the

rate of 191.3 for N&gro babies (table 9).

There was a substantially higher rate of injury to male births of both races, with the overall birth injury rate for males exceeding the rate

for fernales by 40 percent (251.1 per 100,000

live births compared with 179.0). A higher incidence of injuries to male births was found for

each type of injury for both racial groups.

Birth Weight

Very small and very large babies were most

likely to suffer birth injuries (table 10). The rate

of injury decreased with each increment in

weight, from 338.1 per 100,000 live births for

babies weighing 1,500 grams (3 pounds 4

ounces) or less to a low of 144.5 for newborns

weighing 2,501-3,000 grams (5 pounds 9 ounces

to 6 pounds 9 ounces). Increases in weight past

the 3,000-gram level were associated with a progressively higher risk of injury. The risk was

especially great for the very heaviest babies,

those weighing over 5,000 grams {11 pounds

1 ounce). Birth injuries were recorded for nearly

3 percent of newborns in this group.

13
Birth injury rates were lower for Negro than

for white babies weighing 3,000 grams or less,

but the risk of a birth injury was greater for

Negro babies at higher weights.

Plurality

As shown in table 11, the overall risk of

birth injury was about the same for single live

births and live births in plural deliveries (215.8

compared with 226.5 per 100,000 live births).

By site of injury, the rate for single births was

lower than that for plural births for brain and

bone or nerve injuries but higher for other and

unspecified types of injuries. These same relationships were observed for white births. For

Negro births, however, the birth injury rate was

substantially higher for plural live births. The

difference was due mainly to the nearly

threefold increase in the risk of bone or nerve

injury in plural deliveries.

—ooo —

14
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30 w~lace, H. M., et al.: Congenital malformations Illiiois, Aug. 15-18, 1977.

and birth injuries in New York City. Peddrics. 32 Bergsman, D.: Birth Defects–Atlas and

12(5):525-535, NOV. 1953. Compendium. The National Foundation March of

31 Placek, P. J.: Type of delivery associated with Dimes. Williams and Wilkins Cmmpany. Baltimore, 1973.

social and demographic, maternal health, infant health,

16
LIST OF DETAILED TABLES

1A. Live births with congenital anomalies and rates for each anomaly, by sex and race: Total of 46 Reporting States and the

District of Columbia, 1973 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

1 B. Live births with congenital anomalies and rates for each anomaly, by sax and race: Total of 46 Reporting States and the

District of Columbia, 1974 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2A. Live births and congenital anomaly rates for all anomalies combined and live births with selected congenital anomalies, by

race: 46 Reporting States and District of Columbia, 1973 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2B. Live births and congenital anomaly rates for all anomalies combined and live births with selected congenital anomalies, by

3.

4.

5.

6.

7.

8.

9.

race: 46 Reporting Statasand District of Columbia, 1974 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Congenital anomaly rates by birth weight and race for all anomalies combined and for selected anomalies: Total of 46

Reporting States and the District of Columbia, 1973-74 avarage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Congenital anomaly rates by age of mother and race for all anomalies combined and for salected anomalies: Total of 46

Reporting States andthe Districtof Columbia, 1973-74 average . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Congenital anomaly rates by plurality of birth and race for all anomalies combined and for selected anomalies: Total of 46

Reporti~g States and the District of Columbia, 1973-74 average . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Congenital anomaly rates by legitimacy status and race for all anomalies combined and for selected anomalias: Total of 35

Reporting States and the District of Columbia, 1973 -74average . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Congenital anomaly rates by outcoma of last pregnancy, interval since termination of last pregnancy, and race: Total of 36

Repoming States andthe District of Columbia, l973-74average . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Congenital anomaly rates by educational attainment of mother and race for all anomalies combined and for selected

anomalies: Total of 37 Reporting States and the District of Columbia, 1973-74 average . . . . . . . . . . . . . . . . . . . .

Birth injury rates for type of injury, by sex and race: Total 41 Reporting States and the District of Columbia, 1973-74

average . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

10. Birth injury rates for type of injury, by birth weight and race: Total of 41 Reporting States and the District of Columbia,

1973-74 average . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .........

11. Birth injury rates for type of injury, by plurality of birth and race: Total of 41 Reporting States and the District of Columbia,

1973-74 average . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

18

25

32

39

46

47

48

49

50

51

52

52

53

17
TABLE 1A. LIVE BIRTHS MITH CONGENITAL ANOMALIES ANO RATES FOR EACH ANOMALY, BY SEX AND RACE:

TOTAL OF 46 REPORTING STATES ANO THE OISTRICT OF COLUMBIA, 1973

( BASED ON 100 PERCENT OF BIRTHS IN SELECTEO STATES AND ON A 50-PERCENT St. HPLE OF BIRTHS IN ALL OTHER STATES; SEE TECHNICAL APPENDIX.

REFERS ONLY TO BIRTHS OCCURRING MITH1 N THE AREAS REPORTING CONGENITAL ANOMAL lES TO RES1OENTS OF THESE AREAS.

EAS, SEE TECHNICAL APPENOIX, TABLE I.

FOR A LI S11 KG OF ARNLN4BERS AFTER CONGENITAL ANOMALIES ARE CATAGORY NUMBERS OF THE EICHTH REVISION INTERNATIONAL

CLASSIFICATION OF OISEASES, ADAPTED, 1965 (l COAl. RATES ARE NuMBER OF LIVE BIRTHS wITH OESIGNATEO ANOMALY PER 100,000 LIVE BIRTHS

IN SPECIFIED ~OUP. WHERE THERE 1S MORE THAN ONE DEFECT PER BIRTH wITHIN ANY GRDUPING OF lCDA COOES, THE BIRTH IS COUNTEO ONLY

ONCE I

CONGENITAL ANOMALY’ AND RACE2

LIVE BIRTHS UITH CONGENITAL ANOMALI ES-——-—— ——-— --740-759

liH I T E—-——

NEGRO———

AN ENCEPHALUS--—-——--—----————— -—-——-—-———————--- 740

k/HITE-——

NEGRO-———-

S PI NA BI F 1DA—--—--—--——-----——---—— -——————-——T41

HHITE—-—

NE GRO—---—

MITH HyOROCEpHALUs-— -——-—-——-—--——- —-----—------741 .0

uHITE-—-——

NEGRO--—--——

MITHOUT MENT 10N OF HYOROCE PHAL US-—-——--— -—------—-—- 741.9

~H *,&__-———

NE GRO--—

CONGENITAL HYOROCEPHALUS————-— ——-—---— —-- 742

UH lTE—--—-—

NEGRO———

D7HER CONGENITAL ANDMAL lES OF NERVDUS SYSTEM—-—-—---—--—-——---T43

ilHITE——

NE GRO--—-—

ENCEPHALOCELE————---——-—-————----—--——- 743.0

h’HI T E—--—

NEGRO-—-—--

MICROCEPHALUS—---—--—-——- ———-—-—-——----——-743. 1

!4H1TE————————

NE GR0-—-——

OTHER SPECIFIEO ANOMAL lES OF BRA IN—--—-— ——————-—743.2

liHITE———

OT HER 5P EC1 F 1EO ANOMAL lES OF SPINAL CORD--———-—--—-——--—-743 .3

HHITE-—-——

NEGRO———

NEu ROFI BROHATOS IS--—-——-—-—--—————-——--—-- —-743 .4

14HIT E-———————

NccQn—-———————

OTHER SPECIFIED ANOMALIES OF NE RVDUS SYSTEl+—-—-———---

.. ----

743.8

HHITE--—-—--

NEGRO—--——

uNSPECIFIEO ANOMALIES OF BRAIN, SPINAL CORO, ANO NERVWS SYSTE14—-T43.9

WIITE——--

NEGRO——

CONGEN lTAL ANOUAL 1 ES OF EYE----———--———-——-—-— —---T44

.HITF—-—---- . ..-

NE GRO——-—

ANOP HT HAL MDS----—-—-———-—-—-—— _——-—--— —- 744.0

UHITE—-—--

NEGR&—————

MI CRDP HTHALMO S--------——--——-——-—————-—-—-- —-744. 1

‘iiHIT E-———

NEGRO————

W PHT H ALMOS-----—--——-——-—---——— —-----—_— 744.2

HHITE-———

NEGRO—--—

CONGEN ITA CATARACT---——--——-—----— _—___—_______——_ T/+. 3

HHITE-—----—

NGCR&——————

c 0L080MA——-—---——-—---——--——--—-—-—--—----—-744 .4

-------

——-——

NEGRC+----——

ANIR101 A—-—-—--—--—-----—————-—-——--—-—-—-—-744. 5

HHITE--——-

NEGRO—--—----

RET INITIS PIGMENTOSA--———----—— —-—-————--———-744. 6

ltHITE-—---

NEGRO—-————

CDNGENITAL BL EPHt,ROPTD S1S—---———-—— ———-——-T64.7

“.. ..-

NEGR~——

SEE FOOTNOTES AT END OF TABLE.

TOTAL

23,052

19,168

3,205

594

528

49

1,168

1,066

81

233

217

12

935

849

69

450

379

59

324

306

14

101

96

3

163

155

6

5

5

:

;

51

46

5

268

214

42

52

40

10

19

18

1

16

12

4

60

52

5

:;

2

5

2

1

NIJIBER

HALE

13,854

11,639

1,815

283

245

27

575

516

42

93

05

48:

431

36

235

201

30

151

142

7

44

41

3

74

69

3

;

4

4

2

2

26

25

1

15C

117

26

32

26

1:

14

I

14

Ic

4

2?

1$

4

1

WALE

9,198

7,529

1,390

311

283

22

593

550

39

140

132

6

453

418

33

215

1?8

29

173

164

5;

55

89

86

3

4

4

25

21

4

118

97

16

20

14

4

4

4

2

2

37

33

3

9

9

rOTAL

829.8

841.5

743.2

21.4

23.2

11.4

42.0

46.8

18.8

a.4

9.5

2.8

33.7

37.3

16.0

16.2

16.6

13.7

11.7

13.4

3.2

3.6

4.2

0.7

5.9

6.8

1.4

0.2

0.2

0.1

0.2

0.1

0.1

1.8

2.0

1.2

9.6

9.4

9.7

1.9

1. n

2.3

0.7

0. e

0.2

0.6

0.5

0.$

2.2

2.3

1.2

0. !

0.5

0.3

0. i

0.1

o.;

RATE

HALE

972.6

994.5

B29. 3

19.9

20.9

12.3

+0. 4

44.1

19.2

6.5

7.3

2.T

33.0

36. B

16.4

16.5

17.2

13.7

10.6

12.1

3.2

3.1

3.5

1.4

5.2

5.9

1.4

0.1

0.1

0.3

0.3

0.1

0.2

1.8

2.1

0.5

10.5

10.0

11.9

2.2

2.2

2.7

1.1

1.2

0.5

1.0

0.9

1.8

1.6

1.6

0.9

0.3

0.2

0.9

0.4

0.2

0.5

FEMALE

—.

679.3

—- —-

679.8

654.4

23.0

25.6

10.4

43.8

49.7

18.4

10. s

11.9

2.8

33.5

37.7

15.5

15.9

16.1

13.7

12.8

1+.8

3.3

4.2

5.0

6.6

7.0

1.4

0.3

0.4

1.2

1.9

1.!9

8,,7

8.,8

7,,5

1,,5

1.,3

1,,9

0,,3

0,,4

0,,1

0,!2

2,,7

3“0

1.,4

0,,7

0,,8
TASL E 1A. LIVE BIRTHS wrm CONGENITAL ANOMALIES AND RATES FOR EACH ANOMALY, BY SEX ANO RACE:

TOTAL OF 46 REPORTING STATES AND THE OISTRICT OF COLUMBIA, 1973-CON.

1SEE HEAONOTE AT BEGINNING OF TABLE)

CONGENITAL ANOMALY] AND RACE2

CONGEN lTAL ANONAL 1ES OF EYE—CON.

OTHER SPECIFIED ANOMALIES OF EYE—————- 744. t

WHITE—

UNSPECIFIED ANOMALIES OF EYE——————

NEGRO—

744.9

HHITE———

NEGRD————

CONGENITAL ANOMAL 1 ES OF EAR, FACE, ANo NECK——— —7+5

HHITE—

NEGRO——

ANOMALIES OF EAR CAUSING IMPAIRFFENT OF HEARING————— 745. c

16HI TE———-

NEGRO——

ACCESSORY AURICLE -— —- T45.1

HHITE—

NEGRO————

OTHER SPECIFIEO ANO!!ALIES OF EAR——-__———_——— 745.2

!dH17E——

NEGR~

UNSPECIFIED ANOHALIES OF EAR-—-— ——745.3

HHITE——-

NEGRO——

EIRANCH2AL CL EF7, CYST , OR FI STULA ANO PRE AURI CULAR S1 NUS ——745.4

WHITE—

NEGR~

!dEB81 NG OF NECK——-————-————-—— -7+5. 5

lAHITE——

NEGRO-—

D7HER SPECIF1 EO ANOMALIES OF FACE ANO NECK—— 745.0

HHITE———

NEGRo--—-

UNSPECIFIEO ANOMALIES OF FACE ANO NECK— ——7+5.9

lAHITE———

NEGRO——

CONGENITAL ANDMAL 1ES OF HEART—-—— ——746

IIH17E

NEGR~

COIIMO+4 TRuNcu3—-——--——————— 746.0

WHITE—

NEGRO——

T~ANSPOSITION OF GREAT VESSELS- —. 746.1

liHITE——

NEGR~

TETRALOGY OF FALLOT—-——-— —-——— —_____ —-746. 2

HH17~

NEGR~

VENTRICULAR SEPTAL OE FECT———-—————------ 746.3

WHITE—

NEGR~

AT RI AL SEPTAL DEFECT--————--—_ —-746. k

‘dHITE——

NEGRO——

OST IUM AT RI OVENTR ICU. ARE COHFSUNE—————— —-746 .5

HHI’F~

NEGRO

ANOHAL lES OF HEART VALVES— T46.t

HHITE—-

NEGRO—

F [ BROELASTOSI S CO ROI~————— -’746.7

!4HITE—

NEGRO———

OTHER SPECIFIEO ANONALIES OF HEART— ——— 7+6. I

IAHI TE—-—

NEGR~

UNSPECIFIEO ANOMALIES OF HEART—— 746.5

HHITE——————————

oTHER CONG5N lTAL ANOHAL IES OF CIRCULATORY SYSTEH—-— -74i

lAHITE——

NEGRO—

PA7ENT DUCT US ARTER IO SU3-——— 747. c

NWBER

TOTAL

57

42

12

52

43

7

667

564

53

83

65

5

30

29

1

x 57

120

13

286

253

17

::

8

32

30

2

44

39

5:

49

7

1,687

1,481

124

8

8

66

65

4

281

219

1:

149

1,0::

900

76

498

426

13

85

13

MALE

40

29

2:

18

2

395

334

27

47

3a

15

14

1

z

6

179

155

$’

20

6

13

13

21

17

3

31

30

1

9S3

868

79

5

5

44

43

21

17

7:

66

3

14

14

55

51

15:

117

17

105

92

9

581

522

46

271

239

28

57

48

7

I

RATE

FEHALE TOTAL

17 2.1

13 1.8

4 2.8

32 1.9

25 1.9

5 1.6

272 24.0

230 24.8

26 12.3

36 3.0

27 2.9

5 1.2

15 1.1

15 1.3

0.2

60 5.7

43 5.3

3.0

10! 10.3

98 11.1

7 3.9

3 1.1

1 0.9

2 1.9

19 1.2

17 1.3

2 0.5

23 1.6

22 1.7

0.9

2: 2.1

19 2.2

6 1.6

702 60.7

613 65.0

45 28.8

3 0.3

3 0.4

22 2.+

22 2.9

9 1.1

9 1.1

0.9

67 5.0

56 5.4

5 1.9

17 1.1

17 1.4

2 0.1

2 0.1

1.9 2.6

16 2.9

2 0.9

131 10.1

102 9.6

5.3

6; 6.0

57 6.5

4 3.0

425 36.2

378 39.5

30 17.6

227 17.9

187 18.7

27 12.8

47 3.7

37 3.7

6 3.0

ISALE

2.8

2.5

3.7

1.4

1.5

0.9

2T. T

28.5

12.3

3.3

3.2

1.1

1.2

0.5

6.8

6.6

2.7

12.6

13.2

4.6

2.0

1.7

2.7

0.9

1.1

1.5

1.5

1.4

2.2

2.6

0.5

69.2

74.2

36.1

0.4

0.4

3.1

3.7

1.5

1.5

1.8

5.0

5.6

1.4

1.0

1.2

3.9

4.4

0.9

10.5

10.0

7.8

7.4

7.9

4.1

40.8

44.6

21.0

19.0

20.4

12.8

4.0

4.1

3.2

FEMALE

1.3

1.2

1.9

2.4

2.3

2.4

20.1

20.8

12.2

2.7

2.4

2.4

1.1

1.4

4.4

3.9

3.3

T. 9

8.8

3.3

0.2

0.1.

0.9

1.4

1.5

0.9

1.7

2.0

0.5

2.0

1.7

2.8

51.9

35.4

21.2

0.2

0.3

1.6

2.D

O.T

0.8

4.9

5.1

2.4

1.3

1.5

0.1

0.2

1.3

1.4

0.9

9.7

9.2

2.8

4.5

5.1

1.9

31.4

34.1

14.1

16.8

16.9

12.7

3.5

3.3

2.8

SEE FOOTNOTES A7 ENO OF 7ABLE.
TA8LE lh. LIVE BIRTHS HITH CONGENITAL ANOMALIES ANO RATES FOR EACH ANOMALY, BY SEX AND RACE:

TOTAL OF 46 REPORTING STATES ANO THE OISTRICT OF COLUMBIA, 1973--CON.

(sEE HEAONOTE AT 8EG1NN!NG OF TABLEI

CONGENITAL ANOHALY1 ANO RACE2

OTHER CONGENITAL ANOM4L lES OF CIRCULATORY SYSTEM--CON.

COARCTAT I aN a F AOR7A----——-—-— -—-——-——--—. — —-747.1

uHi TE-—--—-

NEGRO--——--

OT HER ANOMALIES OF AORTA——----—--—--————-——--———--T47.2

UHITE———

STENOSIS OR ATRESIA OF PULMONARY ARTERY--———

NEGRO——-

——--———-7 47.3

i+HIT E--———

NEGRO-——-

ANOilAL I ES OF GREAT VEIN S————--—— —--——- 747.4

HHITE--—-

NEGRO-—-—-

ABSENCE OR HYPOPLASIA OF U )!81 LICAL ARTERY——————----———-T47 .5

HH 1TE——-—-

NEGRo-——

OTHER ANOMALIES OF PERIPHERAL VASCULAR SYSTEM------——--——————— -T47.6

llHITE———

NEG RO———--

OTHER SPECIFIEO ANOMALIES OF CIRCULATORY sYsTEM-——-—--—--_—-747. a

HH I T E————

NEGRO——

UNSPECIFIED ANOMAL IES OF CIRCULATORY SYSTEM-—-——-—-----——-747.9

HHITE—-—-

NEGRO-—--—-

CONGENITAL ANOlfALI ES OF RESPIRATORY SYSTEM-—-——-—-——--- 748

HHITE-—-——

NEGRO———-

CHOANAL ATRESIA———-—-——-— -—_-_-—__----- —-74a. o

WIT E--—-—--

MFm n——————————

OTHER ANOMAL 1 ES OF NOSE——-———-—————--—-— -T48. 1

lJHITE—---

NEGRO———

i+E B OF L ARYNX—----——---—-— -—— —--.—-———- T48.2

WHIT E—-—-—

NEGRO-———

OTHER ANOMALIES OF LARYNX, TRACHEA, ANO BRONCHUS—-—-————----748 .3

i+HIT Em-------

NEGRO——----—

CONGEN lTAL CYST IC LuNG——-—-——-——-——--—--——— -748.4

h’HITE——

NEGRLl————

AGENES IS OF LUNG—-—-—--——--————— —-—--—-———-rha.5

!dHITE-—----

NEGRo-——

OTHER ANOMALIES OF L UNG-———---————--—--————--- 748 .6

tiH17E--——

NEGRO-——--

oTHER SPECIFIEO ANOMALIES OF RESPIRATORY SYSTEN————-——---748 .L!

HH IT E—---—--

NEGRO———

UNSPECIFIEO ANOMALIES OF RESPIRATORY SYS7EH-—--——--————--T48.9

WHIT E-—--—

NEGRO--——

CLEFT PALATE ANO CLEFT L 1P—--———————— -——-—-—-——--——-—---?49

~H ~T ~—----—

NEGRo———

CLEF T PAL AT E----—-—-—---—-—————-— -———-——- 749.0

~H~’FE—-———

NEGRO——-——

CLEFT L 1P—-—--——-—-—--——--———---——-——-749 .1

14HITE-———

NE GRO———-----

CLEFT PAL ATE HIT H CLEFT L I P—-———---—-————-—---——- 7+9.2

WI TE--——————

NEGRO-— ------

OTHER CONGENITAL ANO$!ALIES OF UPPER ALIMENTARY TRACT———-— —---750

ilHITE-———

NE GRO———

ANOMALIES OF TON GUE—--—-——-- ———---———’—---—- T50. O

lAHITE——

NEGRO—————

I

TOTAL

21

19

2

9

5

25

25

6

4

2

327

279

37

19

18

1

1

1

317

271

4Q

47

38

9

93

7a

13

:

48

38

10

15

13

;:

99

89

10

2

2

6

b

2,603

2,366

157

798

733

b~

636

41

1,112

999

TO

702

625

2;;

227

40

MALE

15

15

4

2

2

1T2

152

le

7

6

1

1

1

1S6

156

Z8

22

17

5

55

46

9

+

2

35

29

6

6

6

;

61

53

a

4

4.

1,%6

1,403

96

382

343

32

450

410

7R

652

35

424

375

41

179

154

23

I

R ATE

FEMALE TOTAL MALE

6 0.8

4 0.0

2 0.5

4 0.3

4 a. 4

7 a. 9

7 1.1

z 0.2

2 0.2

0.5

155 11.8

127 12.2

19 8.6

12 0.7

lZ 0.8

0.2

a. a

0.0

131 11.4

115 11.9

lZ 9.3

25 1.T

21 1.T

4 2.1

38 3.3

32 3.4

4 3. a

0.1

0.1

13 1.7

9 1.7

4 2.3

9 a.5

T 0.6

6 0.5

6 0.7

38 3.6

36 3.9

2 2.3

2 0.1

z 0.1

2 0.2

2 0.3

1,057 93.7

963 103.9

61 36.4

416 28.7

390 32.2

10.7

2: 25.0

226 27.9

12 9.5

396 40.0

347 43.9

35 16.Z

278 25.3

250 27.+

2a 14.1

96 9.9

73 10.a

17 9.3

1.1

1.3

0.4

0.4

1.3

1.5

0.3

0.2

0.9

12. L

13.0

8.2

0.5

0.5

0.5

0.1

0.1

13.1

13.3

lZ. 8

1.5

1.5

Z.3

3.9

3.9

4.1

0.3

0.2

2.5

2.5

2.7

0.4

0.5

0.6

0.8

+.3

4.5

3.7

0.3

0.3

108.5

119.9

43.9

26.8

29.3

14.6

31.6

35.0

13.3

50.3

55.7

16.0

29.8

32.0

18.7

12.6

13.2

10.5

FEMALE

0.4

a. 4

0.9

0.3

0.4

0.5

0.6

0.1

0.2

11.4

11.5

8.9

0.9

1.1

9.7

10.4

5.6

1.8

1.9

1.9

Z.8

2.9

1.9

1.0

0.8

1.9

0.7

0.6

0.4

0.5

z.a

3.3

0.9

0.1

0.2

0.1

0.2

78. L

07.0

28. T

30.7

35.2

6.6

18.1

20.4

5.6

29.3

31.3

16.5

20.5

22.6

9.4

T.1

6.6

8.0

.

SEE FOOTNOTES AT ENO OF TA8LE.

30
TABLE 1A. LIVE BIRTHS WITH CONGENITAL ANOMALIES AND RATES FOR EACH ANOMALY, BY SEX ANO RACE:

TOTAL OF 46 REPoRTZNG STATES AND THE OISTRICT OF COLUHS. IA, 1973--CON.

( SEE HEADNOTE AT BEGINNING OF TABLE)

CQNGEN 1 TAL ANOMALY1 ANO RAC E2

OTHER CONGENITAL ANOUALIES OF UPPER ALIMENTARY TRACT—CON.

PYLORIC STENOSIS—-——-—— -T50.1

if HITE—

NEGRO—

TRAC HEO-ESOPHAGEAL FISTULA—-— ———— 750.2

HHITF—

NEGR~

ESOPHAGEAL ATRESIA ANO STENOSIS—— 750.3

UHITE—

OTHER SPECIFIEO ANOMALIES OF UPPER ALIMENTARY TRACT 750.8

lAHIT~—

NEGRO—

UNSPECIFIEO ANOMALIES OF UPPER ALIMENTARY TRACT-— 750.9

HHITE-——————

NEGRO——

oTHER CONGENITAL ANOMALIES OF IJIGES71VE SYSTEH——-——— 751

HHITE——

NEGRO—

HECKEL * S OIVERTICULUM——- —751.0

tlHITE—

NEGRO—

ANOHALIES OF INTESTINAL FIXATION————— 751.1

HHITE

NEGRO—

HI RSCHSPRUNG1 S 01S EAS E——-——-————————— 751.2

WHITF—-—

NEGRO——

ATRESIA ANO STENOSIS OF RECTUM ANO ANAL CANAL— -—-751.3

HHITE———

OTHER ANOMALIES OF INTESTINE--—

NEGR~

——— 751.4

WHITE——

NEGRO

ATRESIA OF 81 L1ARY DUCT3—-——— 751.5

HHITE——

NEGR~

OTHER ANOMALIES OF GALL EILAOOER, BILE DUCTS, ANO LIVER 751.6

wHITE

NEGR~—

AWOMALIES OF PANCREAS— —-——-—— —_— —751.-I

iiHITE-——

WEGR~

OTHER SPECIFIEO ANOMALIES OF OIGESTIVE SYSTEH-— 751.8

wHITE—

NEGRO

UNSPECIFIED ANO14AL1ES OF OIGESTIVE SYSTEH— —751.9

h’H1’TE—

NEGR~

CONGEN lTAL ANOUAL 1ES OF GEN1 TAL 0RGAN.3—— —— 752

UHITE—

NEGRC+——————

1NOET ERMINAT E S EX3—————— ——- 752.0

WHITE

NEGRO—

UNOESCENOEO TESTICLE———-—— — —752.1

WHITF

NEGR~

HYPOSPAOI AS——-———— —-—- 752.2

HHITE—

NEGRO

EP 1S PAO1 AS—-—--————— ——-752.3

liHITE—

NEGRO——

CONGENITAL HYDROCELE——— —-752.4

wHITENEGR~—

ANOMALIES OF OVARY, FALLOPIAN TUBE, ANO UTERUS- —752.5

WHITENEGR~

ANOMALIES OF VAGINA ANO EXTERNAL FEMALE GENITALIA-— —752.6

wHITE

NEGRO—————

SEE FOOTNOTES AT ENO OF TABLE.

TOTAL

18

17

20:

186

10

104

102

48

46

2

90

no

8

857

778

66

7

5

19

18

1

;:

5

463

423

31

321

294

23

4

4

37

30

7

5

5

:

16

16

3,102

2,792

231

...

...

...

523

455

51

1,699

1,555

122

19

19

516

446

22

11

11

::

9

MALE

11

10

11:

98

a

68

66

26

24

2

47

40

7

496

455

30

6

4

7

7

13

11

2

291

266

1::

154

10

4

4

6

6

4

4

2,946

2,659

212

...

...

...

523

455

51

1,692

1,%8

122

19

19

516

466

22

...

...

...

...

...

...

FEMALE

7

1

9a

ae

2

36

36

22

22

43

40

1

361

323

36

L

1

12

11

1

5

2

17:

157

15

155

140

13

20

15

5

3

3

12

12

156

133

19

...

...

...

...

. ..

...

7

T

...

...

...

::

78

67

9

RATE

TOTAL

0.6

0.7

0.2

7.2

8.2

2.3

3.7

4.5

1.7

2.0

0.5

3.2

3.5

1.9

30. a

34.2

15.3

0.3

0.2

0.7

0.8

0.2

0.6

0.6

1.2

16.7

18.6

7.2

11.6

12.9

5.3

0.1

0.2

1.3

1.3

1.6

0.2

0.2

0.2

0.3

0.6

0.7

111.7

122.6

53.6

. . .

. . .

. . .

18.8

20.0

ha

61.2

68.3

28.3

0.7

0.8

18.6

20.5

5.1

0.4

0.5

2.8

2.9

2.1

MALE

0.1

0.5

o.!

7.i

8.4

3.:

4.[

S.t

1.1

2.1

o.!

3.:

3.4

3.i

34.1

3a. s

13.7

0.4

0.:

o.!

o..!

0.$

0.5

0.5

20.4

22.7

7.3

11.7

13.2

4.6

0.3

0.3

1.2

1.3

0.9

0.1

D.2

0.4

0.5

0.3

0.3

206.8

227.2

96.9

...

...

...

36.7

38.9

23.3

118.8

132.3

55.7

1.3

1.6

36.2

39. s

10.1

...

...

...

...

. ..

...

FE MALE

0.5

0.6

6.6

7.9

0-9

2.7

3.3

1.6

2.0

3.2

3.6

0.5

26. T

29.2

16.9

0.1

0.1

0.9

1.0

0.5

0.4

0.2

1.4

12.7

14.2

7.1

11.4

12.6

6.1

1.5

1.4

2.4

0.2

0.3

0.9

1.1

11.5

12.0

8.9

. . .

. . .

. . .

. . .

. . .

. . .

0.5

0.6

. . .

. . .

. . .

0.8

1.0

5.8

6.0

4.2

21
TABLE 1A. LIVE BIRTHS HITH CONGENITAL ANOMALIES AND RATES FOR EACH ANOMALY. BY SEX AND RACE:

TOTAL OF 46 REPORTING STATES ANO THE DISTRICT OF COLUMBIA, 1973--CON.

(SEE HEADNOTE AT BEGINNING OF TABLE)

CONGENITAL ANOMALY1 AND RACE2

CONGEN lTAL ANOMAL lES OF GENITAL ORGANS—CON.

PS EU 00 HER MAP HROD 1 T 1SU---—------—----—-—-———--—-—-——-—-752. 7

UH 1T E-——---

NEGRO-————

OTHER SPECIF1 EO ANOMALIES OF GEN1 TAL ORGAN S———-———-—----—--752.8

iiHITE————

NEGRO-—-—-

UNSPECIFIEO ANOMALIES OF GENITAL ORGANS--—-—-—---—-————-752.9

WHI TE--———

NEGRO—--—-

CONGENITAL ANOMALIES OF URINARY SYSTEM_ —--————-—-—-———-—-753

WHIT E--——--

NEGRO-—---—-

RENAL AGENEsl s--------_-_-_-—_ -___-753-0-—_-—-753.0

WHIT E——--—

NEGRO———

CYST IC K I DNEY DI sEASE----.---——__ -—__— ------ —-753.1

MHIT E-—---—

OBSTRUCTIVE DEFECTS OF URINARY TRACT-——---—— -—-----—-—- 753.2

WHIT E-———

NEGRO--—-—

OTHER SPECIFIED ANOMALIES OF KIDNEY--————-------——--—- —753.3

~“ ~~ E-—__-——

NFG m---—-—-

OTHER SPECIFIED ANOMALIES OF URETER—-—-—-——---- ———-753.4

WI 1TE-—-——

EXTROPHY OF URINARY BLAOOE R------—-—--——--—-;;:;——-753 . ~

—.

NEGRO--—--—-

AT RESIA AND STENOSIS OF URETHRA ANO BLAOOER NECK-—-—-—-—-——-753. {

i4HI T E--—--——

NE GRO--———

D1HF3 SPEC [F[ED ANOMALIES OF BLADDER AND uRETHRA---——--—-—---753. f

w-!T, . c—--—— . .-

NEGRO--—-——

UNSPECIFIED ANOMALIES OF URINARY SYSTEM-—-—-—-—--——----—-—-753-$

HHITE-——

NEGRO--—--—–

CLUB FOOT (CONGENITAL 1—--————--————

-- —- —------ _-—--- 7 s,

wHITE———

NEGRO--—-—-

TA~ ~pE s CAVIL+----—————----———————— —- —--- —---— —-— —-754.(

WHITE——-——

NEGRO—— -----

TAL I PES EQUINOVARUS—---——-—--——-—-—-—---——-—-——-754. I

‘dHIT E-—-—--

NEGRO——–––––

TAL IPE S CAL CAN EovALGUS--——---—-— ---—— --___——-———- 754.:

WHIT E——---

NEGRO—-—-

TALIPES, oTHER SPECIFIEO TYPES, NOT ELSEWHERE cLAssIFIABLE---- —-754. 1

WH1T E--——--

NE GRO——--—-

TAL lPES, UNSPECIFIED TYPE--—-— ——---——---—-—--——---754. ,

~H*TE-—_—---

NE GRO--—-—--

OTHER CONGENITAL ANOMAL lES OF L lMBS-——---—-———---———--75’

HHITE—–

NEGRO——-—-–

poLy DAcTYLy---—-—--—-—--_ -—-___—__—_ —-----—-—-—-—-755.

!J+ ~T~-—.—--.

NEGRO--—-—-

syNo*cTyLy—-—---—-—-______—--—_-______-——_755.

MHITE——-—-

NEGRO--———-

REOUCT 10N OEFORM I TY OF UPPER L 1 MB—----—-—--—--——--—-—- 755.

14H1TE-——-

NEGRO-—-—-

RECIUCT 10N DE FORM lTY D F LOWER L1 MB—-—--—-——-—-—- 755.

HHITE-——--

NEGRO——-—--

SEE FOOTNOTES AT ENO OF TABLE.

1

rOT AL

4

4

128

113

11

197

ITO

21

336

308

24

87

T?

8

89

81

8

41

39

Ii

11

9

9

48

48

:;

20

20

43

35

b

2,770

2,430

279

3

3

433

380

37

140

122

16

622

565

45

L,607

1,383

185

5,349

3,581

1,611

2,239

923

1,265

575

514

47

457

391

62

191

16:

1(

NUMBER I

I

MALE FEMALE TOTAL

2

2

120

107

9

138

121

13

31

29

2

5

5

;

33

33

16

14

14

14

26

24

2

1,591

1,416

139

3

3

264

235

21

u

8

3D4

283

15

973

058

95

2,022

1,885

845

1,26T

557

675

369

333

26

26D

219

31

123

109

9

2

2

8

6

5:

49

8

111

104

5

36

34

26

25

1

10

10

6

6

4

4

15

15

;

6

6

1 1

1 1

4

1,18

1,01

7

4

14 0

16 9

1+ 5

1 6

8 2

7 4

8

31 8

28 2

3 0

63 4

52 5

9 0

2,52 7

1,69

7 66

6

9 72

36 6

5 %

2 06

1 81

21

1 97

1 72

25

68

59

7

0.1

0.2

4.6

5.0

2.6

7.1

7.5

4.9

12.1

13.5

5.6

3.1

3.4

1.9

3.2

3.6

1.9

1.5

1.7

0.5

0.4

0.5

0.3

0.4

1.7

2.1

0.8

0.8

0.7

0.9

1.5

1.5

1.4

100. a

106.7

64.7

0.1

0.1

15.6

16.7

8. t

5. c

5.4

3. i

22. d

24. f

lo. ~

57. t

bo. i

42. !

192. !

157.:

373. t

80.1

40. !

294.:

20..

22.1

10.,

16. !

17.;

14.,

6.,

7.$

3.

RATE

+

MALE FEMALE

0.1

0.2

8.4

9.1

4.1

9.7

10.3

5.9

15.8

17.4

8.7

3.6;

3.7’

3.7

4.4

4.8

3.2

2.2

2.5

D.9

0.4

0.4

0.4

0.4

2.3

2.8

1.1

1.2

1.0

1.2

1.8

2.1

0.9

111.7

121.0

63.5

0.2

0.3

18.3

20.1

9.6

4.1

4.1

3.7

21.3

24.2

6.9

68.3

73.3

43.4

198.1

161.1

306.1

89. C

47. e

308.4

25.5

28.5

11. <

18. ?

18.7

16.5

8.(

9.:

4.1

0.1

0.2

0.6

0.5

0.9

4.4

4.4

3.8

8.2

9.4

2.4

2.7

3.1

1.9

2.3

D.5

0.7

0.9

0.4

0.5

0.3

0.4

1.1

1.4

0.4

0.5

0.4

0.5

1.3

1.0

1.9

8T.7

91.6

65.9

12.5

13.1

7.5

6.1

6.7

3.8

2S.5

25.5

1+. 1

46.8

47.4

42.4

186.7

153.1

360.6

T1.8

33.0

279.6

15.2

16.3

9.9

14.6

15.5

11.8

5.0

5.3

3.3

s

,

22
TASLE 1A. LIVE BIRTHS WITH CONGENITAL ANOIEALIES AND RATES FOR EACH ANOMALY, BY SEX AND RACE:

TOTAL OF 46 REPORTING STATES ANO THE DISTRICT OF COLUMBIA, 1973--CON.

(sEE HEAONOTE t.T BEGINNING OF TABLE I

CONGENITAL ANOHALY1 AND RACE2

OTHER CONGENITAL ANOMALIES OF LIMBS--CON.

REOUCTION OEFORHITY, UNSPECIFIED LIMB —-.—— 755.4

lEHITE-——

NEGRO——————

OTHER ANOMALY OF UPPER LIMB ( INCLUOING SHOULDER GIROLEl- 755.5

ldHITE———

NEGRO—————

CCf4GENITAL OISLOCAT!ON OF HIP——————— — -755. f

llHITE——

NEGRO-——

OTHER ANOMALY OF LO!4ER LIMB ( lNCLUOING PELVIC GIRDLE) -——755.7

blHITE-——

NEGRo——

GENERALIZE FLEXION CONTRAC7URE OF LIMB JCINTS-—— -755.t

HHIT~

NEGRO——

OTHER ANO UNSPECIFIED ANOMALIES OF UNSPECIFIED LIf4B———————— 755 .s

HHITE-—

NEGRO—

OTHER CONGENITAL ANOMALIES OF 14USCULOSKELETAL SYSTEM -—75t

WHI’CE——

NEGRO—

ANOMALIES OF SKULL ANO FACE BONES——-————— 756. C

HHITE——

NEGRO—

ANOMALIES OF LUMBOSACRAL JOINT ————— —-756.1

HHITE——

NEGR~

OTHER ANOMALIES OF SPINE-- — —-——- 756.2

HHITE-———

NEGR_-—-

CERVICAL RIB-——-—-—-— — -756.3

UHITE—-----

OTHER ANOMALIES OF RIBS ANO STERNUN—-———————

NEGRO——

756.4

HHITE—-

NEGRO————

CHONDRODYSTRDPHV—————— ——— 756.5

HHITE——————

NEGRO-—

OSTEOGENESIS lMPERFECTA--——————— -T56.6

tlH17E———

NEGR~

OTHER GENERALIZE ANOILALIES OF SKELETON-———— —756. 1

HHITE—-—

NEGRD———

OTHER SPECIFIEO ANOMALIES OF MUSCLE, TENOON, ANO FASCIA———— 756.0

UHITE——

NEGRO—

UNSPECIFIED ANOMALIES OF HL2SCULOSKELETAL SYSTEtE— —-756.9

i4HITE————

NEGRo—-—

CONGENITAL ANOMALIES OF SKIN, HAIR, ANO NAILS———— —757

UHITE——

NEGRO-——

HEREDITARY EOEHA OF LEG3-—-——— ———-T57 .0

‘dHITE———

NEGRO-—

P1 GHENTED NE VU S-—-————-— —757. 1

ldHIT~

NEGRO——

OTHER SPECIFIEO ANOMALIES OF SKIN ——-————-——. 757.2

HHITE——

NEGRO—

SPECIFIEO ANOMALIES OF HAIR——— —— T57.3

IEH1 TE-——

NEGRO———

SPEC IFIEO ANOMALIES OF NAILS-———————— ——-757.4

UHITE—

NEGRO——

UNSPECIFIED ANOMALIES OF SKIN, HAIR, ANO NAILS— 75T.9

HHITE

NEG RO——

SEE FOOTNOTES AT ENO OF TABLE.

NUMBER

TOTAL ] I u

T

27

25

2

561

479

72

414

370

22

1,243

1,016

160

15

14

8:

66

18

948

833

93

333

ZB9

34

lB

18

3

91

81

6

:;

9

76

Z8

67T

469

17B

9

7

13

13

13i

118

12 I

hL E

—

H

32:

285

1::

101

14

576

469

72

1

1

36

30

6

527

459

52

189

158

23

10

10

40

36

59

53

2

41

39

J

12

8

8

140

120

18

55

45

10

507

352

137

2

2

63

38

19

34B

230

110

:

9

9

E

8

FEMALE

$

1

23E

194

42

295

26S

c

667

547

87

14

13

5:

36

Ii

421

374

1:

131

11

8

8

47

4a

3

32

20

4

2

3;

25

6

16

15

1

57

52

5

48

44

4

441

330

BI

53

38

9

329

239

6a

4

4

4

4

51

+5

4

TOTAL

1. c

1.1

0.5

20.2

21. C

16.7

14.5

16.2

5.1

44.7

44.6

37.1

0.5

0.6

0.2

3.1

2.9

4.2

34.1

36.6

21.6

12.0

12.7

T. 9

0.6

0.8

3.1

3.3

0.7

3.3

3.6

1.4

2.9

3.2

2.1

1.5

1.6

1.4

0.9

1.0

0.2

T. 1

7.6

5.3

3-T

3.9

3.2

34.1

29.9

50.5

0.1

0.1

4.2

3.3

6.5

24.4

20.6

41.3

0.3

0.3

0.5

0.6

+.8

5.2

2.8

RATE

MALE

1.3

1.5

0.5

22. T

2+.4

13.7

B.4

8.6

6.4

40.4

40.1

33.4

0.1

0.1

2.5

2.6

2.7

37.0

39.2

23.8

13.3

13.5

10.5

0.7

0.9

2.8

3.1

4.1

4.5

0.9

2.9

3.3

0.9

0.8

1.0

0.6

D.7

9.8

10. s

8.2

3-9

3.B

4.6

35.6

30.1

62.6

0.1

D.2

4.7

3.Z

8.7

24.4

19.7

50.3

0.4

0.3

0.6

0. a

5.8

6.2

3.7

FEMALE

0.7

0.7

0.5

17.6

17.5

19.8

21. B

24.3

3.8

49.3

49.4

41.0

1.0

1.2

0.5

3.7

3.3

5.6

31.1

33.8

19.3

10.6

11.8

5.2

0.6

0.7

3.5

3.6

1.4

2.4

2.5

1.9

3.0

3.0

3.3

2.3

2.3

2.8

1.2

1.4

0.5

4.2

4.T

2.4

3.5

4.0

1.9

32.6

29.8

38.1

3.9

3.4

4.2

24.3

21.6

32.0

0.3

0.4

0.3

0.4

3.8

4.1

1.9

23
TABLE 1A. L] VE BIRTHS HITH CONGENITAL ANCMALIES AND RATES FOR EACH ANOMALY, 8Y SEX AND RACE:

TOTAL OF 46 REPDRTING STATES AND THE DISTRICT OF CDL UMBlb, 197+-CON.

(sEE HEADNOTE AT BEGINNING OF TABLEI

CONGENITAL ANOMALY’ ANO RACE*

OTHER AND UN SPECIF1 ED CONGENITAL ANO14ALIES- —----——-———---7 58

~~,T~—--——

NEGRO———

ANLV4ALI ES OF SPL EEN_--------——--———-——----—-———--758.O

WHITE-—-—

NEGRO———

ANDMAL I ES OF ADRENAL GLAND——--—-——-—-—---—--—— —-758. 1

MHITE——

NEGRO———

ANDMAL XES OF THVRO ID GLAND—--—-—--—— ----——— —-758.2

WHITE———

NEGRD——-———

AhOMAL 1ES OF OTHER EN OQCRINE GLANOS-—----————— —-—--—-758 .3

wHITE———

NEGRO—-——

OTHER SPECIFIEO CONGENITAL ANOMALIES—---———— ——-———-758 .8

WHIT E—---—

NEGRCI-——-——

UNSPECIFIED CDNGEN lTAL ANOHALV—————-—-—— -758.9

wHlTE——-—--

CONGEN 11 AL SYNORDM ES AFFECT 1NG MULTI PLE SY ST EUS__—-—-—--—-----759

WHIT E-—------

NEGRO—--———

s I TtLS lNVER SUS--------—------—---————-——-—-———-759 -o

~~~~&_—-——

NE GRO-—-—--

CONJ 01 NEO TWIN S---—-—--—---—-——-—— —---—--————-759 .1

klHITE———————

OTHER FORMS OF MDNSTER-—-————— ——-—-—- —---759.2

WHIT E——-—

NEGR~——

DOWN* S 01 SEAS ~----—--—-—--— --—---——-——-—-— —759 .3

wHXTE———

NEGRC-————

DTHE R SYNDROMES OUE TO AUTO SOHAL ABND RMAL I TY——--——-- —-759.4

I+HIT E-———

SYNOROMES OUE TO SEX CHROMOSOME ABNORHALITV-—— —-—--—-—-----7 59.5

k’H 1TE-—--——

NEGRO——---

TUB EROUS SCL EROS I S—-—-—-—-——---——— —---———-759 . t

klHITE---———

..-w..-

OTHER SPECIFIED SYNDROME S--————-— ———-— —-759 .e

WHIT E——--

NEGR~-——

MULTIPLE CDNGEN ITAL ANOMALIES. uNSpECIFIED-— —-——-———-759 .5

uHITE——-—

NE GR0—————

ToTAL

390

326

53

u

5

6

6

2

2

208

179

13:

129

24

1,920

1,727

156

11

11

12

lD

2

19

18

1

1,053

958

67

99

83

10

30

24

4

30

2.!

70:

628

6e

NuMBER

HAL E

225

191

24

5

3

2

c1

6

2

2

118

106

8

94

74

1+

977

8s7

75

5

5

9

9

519

470

37

49

43

6

9

9

397

362

32

‘EMALE

165

135

29

11

8

3

90

73

16

65

55

10

951

840

al

6

6

12

lD

2

10

9

i

534

488

3D

50

40

4

29

23

4

21

17

4

308

266

36

RATE

TOTAL

14.0

14.3

12.3

0.6

0.5

1.2

D. 2

0.3

D. 1

D. 1

,-

7.5

7.9

5.6

5.7

5.7

5.6

69.4

75.8

36.2

0.4

0.5

D. 4

0.4

0.5

0.7

0.8

0.2

37.9

42.1

15.5

3.6

3.6

2.3

1.1

1.1

0.9

1.1

1.1

D.9

25.4

27.6

15.8

MALE

15.8

16.3

11.0

0.4

0.3

0.9

0.4

D.5

0.1

0.2

8.3

9.1

3.7

6.6

6.3

6.4

68.6

75.B

34.3

D.4

0.4

.

0.6

0.B

36.4

+0. 2

16.9

3.+

3.7

2.7

0.1

0.1

0.6

0.8

27.9

30.9

14.6

—-

FEMALE

—-

L2.2

12.2

13.7

O.B

0.7

1.4

6,,6

6,6

7,,5

4.,8

5,,0

4,,7

7D,,3

75.,0

38,, 1

0,,4

0.!5

0.,9

0.,9

0.,9

00T

0.,8

0!,5

39,,+

448,1

14,,1

3<,7

3,,6

1,,9

2,,1

2!,1

1,,9

1,,6

1.,5

1“9

22<,8

24.,0

16<.9

—.

1 SUBCATEGORIESOF ANOM4LIESASE NOT ADDITIVES2NCE340R3l13ANONE 03NDITIONMAY EXISTAT B2RTH.

2 TUT.4LFOR EAC15ANOMALY ~~NOES sACES OTSRR TLIANWHITE ANO NSGRO.

3 DATA INCL.NDEDWITL3NNSPEC2FIEDANMALIES OF GSNITALORGANS (752.9).

24
TABLE 16. LIVE BIRTHS ‘dl TH CONGENITAL ANOMALIES ANO RATES FOR EACH ANOMALY, BY SEX AND RACE:

TOTAL OF 46 REPORTING STATES ANO THE OISTRICT OF COLUMBIA, 19T4

( BASEO ON 100 PERCENT OF BIRTHS IN SELECTEO STATES ANO ON A 50-PERCENT SAMPLE OF BIRTHS IN ALL OTHER STATES: SEE TECHNICAL APPENDIX.

REFERS ONLY TO BIRTHS OCCURRING HITHI N THE AREAS REPORTING CONGENITAL ANOMALIES TO RESIDENTS OF THESE AREAS.

EAS, SEE TECHNICAL APPENOIX, TABLE I.

FOR A LISTING OF ARNU14BERS AFTER CONGENITAL ANOMALIES ARE CATAGORY NuMBERS OF THE EIGHTH REVISION INTERNATIONAL

CLASSIFICATION OF OISEASES, bDAPTEO, 1965 (ICOAI.

IN SPECIFIEO GROUP.

RATES ARE NUMBER OF LIVE BIRTHS MITH OESIGNATEO ANOMALY PER 100,000 LIVE BIRTHS

UHERE THERE 1 S MORE THAN ONE DEFECT PER BIRTH WITHIN ANY GROUPING OF ICOA COOES, THE BIRTH 1S COUNTED ONLY

ONCE)

CONGENITAL ANOHALY1 ANO RACE2

LIVE BIRTHS IAITH CONGENITAL ANoliALIES————— -740-75s

liHITE-——

NEGRO———

AN ENCE PHALUS—--——-———---———-——————— —740

HHITE—

NEGRO—

s PINA B 1 F lDA——-———-— ——-— 741

WHITE

NEGRO-—-

HITH HYOROCEPHALUS——— —-——-741 .0

HHITE

NEGRO—

HITHOUT MENTION OF HYOROCEPHALUS——-——-— ——-—- 741.9

HHITE-——

NEGRO——

CONGENITAL HYOROCEPHALUS— ————-— --—_-—c— 742

tlHITE——

NEGRO——

OTHER CONGENITAL ANOMALIES OF NERVOUS SYSTE14—————--- T43

llHITE-——

NEGRO——-—

ENCEPHALOCELE—--————-——--— --_ —-_ 743.0

wHITE———

.s c . “——

uHITF

OTHER SPECIFIEO ANoNALIES OF BRAIN——————

NEGR6———

—743 .2

14H1TE——

NEGRO

OTHER SPECIFIEO ANOMALIES OF SPINAL CORO———————— 743.3

HHITE

NEGRO——

NEUROF IBROHATOS 1S--—————-— ——— 743.4

HHITE

NEGRO———

DTHER SPECIFIEO ANoMALIES OF NERVOUS SYSTE~—- 743.8

HHIT~

NEGRO——

UNSPECXFIEO ANOMALIES OF BRAIN, SPINAL CORO, ANO NERVOCJS SYSTEM——743.9

HHITE—--—

NEGRO

CONGENITAL ANOHAL I ES OF EYE————— -—- 744

HHITE-—

NFGR”——

UHITE——

NEGRO——

? I CRDP HTHALM3 S- —-——-—-————-- -- 744.1

HHIT~

NEGRO

BUPHTHALMOS————-—---———-———— 744.2

wHITE

NEGR~

CONGENITAL CATARACT————— ——-744. 3

I,ml,TF— . . —

NEGRO-——

COLOBOHA——————— —-.— 744.4

UHITE

NEGRO——

AN I R I DI A—-—-—————— 744.5

14HITE

NEGR~

RET INITIS P 1GMENTOSA--—————————— 744.6

h’HIT E———

NEGRO—————

CONGENITAL BL EPHiROPTOS 13—-—-———-———— -T44. 7

UHITE——

NE GRO—-—

ToTAL

22,767

18, 8T3

3,081

576

523

33

1,267

1,150

96

23B

220

14

1,034

935

82

450

391

59

334

305

23

111

100

11

167

1S8

7

H

1

3

3

1

1

:

53

50

3

264

215

41

50

40

6

33

30

2:

17

5

59

51

6

4

2

2

4

4

:

1

NUMBER

MALE

13,513

11,351

1,733

277

253

16

575

512

58

98

85

4%

429

45

269

223

40

6

68

63

3

:

1

1

31

29

2

23

22

1:

9

3

30

26

4

2

2

4

4

2

2

FEMALE

9,254

7,522

1,348

299

27o

17

692

638

1::

135

55:

506

37

189

168

2.9

180

167

11

61

56

5

99

95

4

:

1

2

2

22

21

1

12’3

102

22

28

20

6

10

8

1:

8

2

E

2

2

2

3

2

1

ToTAL

811.3

B18.3

721.6

20.5

22.1

7.7

45.2

49.9

22.5

8.5

9.5

3.3

36.8

40.5

19.2

16.3

lT. O

13.8

11.9

13.2

5.4

4.0

4.3

2.6

6.0

6.9

1.6

0.6

0.5

0.2

0.1

0.1

0.0

0.2

0.1

0.1

1.9

2.2

0.7

9.4

9.3

9.6

1.8

1.7

1.4

1.2

1.3

0.7

0. a

0.7

1.2

2.1

2.2

1.4

0.1

0.1

0.5

0.1

0.2

0.2

0.2

0.2

R ATE

MALE

938.;

956. g

800.:

19.;

21.:

T.I

39. C

43. i

26.1

6.$

7.2

6.(

33.:

36.:

20. C

18.i

18. f

18. !

10.7

11.6

5.!

3.5

3.7

2. f

4.7

5.3

1.4

0.6

0.5

0.2

0.3

0.1

0.5

2.2

2.4

0.9

9.4

9.5

8.8

1.5

1.7

1.6

1.9

0.5

0.8

0.8

1.4

2.1

2.2

1.8

0.1

0.2

0.3

0.3

0.1

0.2

FEMALE

6?7. 6

671.4

640.7

21.9

24.1

8.1

50. T

56.9

LB. 1

10.3

12.1

0.5

40.6

45.2

lT.6

13.8

15.0

9.0

13.2

14.9

5.2

4.5

5.0

2.4

T.2

8.5

1.9

0.6

0.4

0.5

0.1

0.2

1.6

1.9

0.5

9.4

9.1

10.5

2.1

1.s

2.9

0.7

0.7

1.0

0.7

0.7

1.0

2.1

2.2

1.0

0.1

1.0

0.2

0.2

0.5

SEE FOOTNOTES AT ENO OF TABLE.

23
T&BLE 10. LIVE BIRTHS wITH CONGENITAL ANCMALIES AND RATES FOR EACH ANOMALY, BY SEX AND RACE:

TOTAL OF 46 REPORTING STATES ANO THE DISTRICT OF COLUMBIA, 1974--CON.

[ sEE HEADNOTE AT BEGINNING OF TABLE I

CONGENITAL ANOMALY1 AND RACE2

CONGENITAL ANOMALIES OF EYE--CON.

OT HER SP EC1 FI ED ANOMALIES OF EYE——--—-———--—---———-744.8

!#HI TE—-——

NEGRO-—--—-

UNSP EC I FI EO ANOMALIES OF EYE---------—-—-———-———---- —-----744.9

UHITE———--

NEGRO——-

CONGENITAL ANOMALIES OF EAR, FACE , AND NECK————-—--————-—745

WHITE-——

NE GRO-—---—

ANOMALIES OF EAR CAUSING IMPAIRMENT OF HEARING-—--——--—-——— 745.0

uHr.TF-—-—— .

NEGRO-—-——

ACCESSORY AUR I CL E——— ——-—--------————-—-———— 745.1

HH IT E-——

NEGRO———

OTHER SPECIFIED ANOMALIES OF EAR————-— —-————-745. 2

!#~~,E-.-_-_

NEGRO——-——

UNSPEC ZF I ED ANOMALIES OF EAR———------——-—------————-—745 .3

HHITE-——-—

NEGRO-—-———

BRANCHIAL CLEFT, CYST, DR FI STULA AND PREAURI CULAR SINUS—-—-——-745.4

WHIT E———

NEGRO——-—-—

NE BB ING 0 F N ECU----—- —--—------——---—-—--—-------———- 745.5

HH IT E-—-——

NEGRO--—-——

OTHER SPECIFIED ANOMALIES OF FACE AND NECK-———-————— 745.8

wHITE—-—

NE GRO-———

UNSPECIFIED ANoMAL lES OF FACE ANO NECK——————— —-— —--— —- T45.9

tiH I TE-———

NE GRO—-—--

CONGEN lTAL ANDMALIES OF HEAR T—--— ---— ———-—-- —---746

u HI T E——-——

NE GRO—-—--

CDMMDN TRUNCUS—--—-—-—-—-————— _-—-——-———_ 746.0

HHITE--—-——

NEGRO-———

TRANSPOS I T IDN OF GREAT VESSEL S——-——-———---—— —--746. 1

UHITE-—--——

NE GRO--——

TETRALOGY OF FALLOT—-——--———-—-- ——-—-— T46 .2

llHITE—----

NEGRO————-

vENT RI CULAR SEP TAL OE FACT-----—------———-——--—- —-746.3

UH IT E-—--——

NE GR&-—----—

ATR 1 AL SEPTAL DEF EC T-----—-—- —-———— -— ——-— —-746 .4

~“ ~TE—____

NE GRO——-——

DST IUU AT RI OVENTR ICULARE CO MWJNE--—-—---— —--—--—-—-—-746 .5

WHIT E-—----—

NEGRO--—--—--

ANDt4AL I ES D F HEART VA LVES------——-—-——----— --—----—-- 746.6

MHITE——--—--

NE GRO-—--—

F 1 BROELASTOS 1S CO RO 1S—-—------—————-———-———- 746.7

h’HITE———————

N F r.Rn --——--—

OTHER SPECIFIED ANOMALIES DF HEART—-———-———-—-——-—-746.8

-------

~H* ~~--—--—

UNSPECIFIED ANOMAL lES OF HEART--——--———

NE GRO--——--—

——---————- 746.9

kiHITE—-——————

oTHER CONGENITAL ANOMALIES OF CIRCULATORY SYSTEM—--—-——-—— —-747

~H~TE-—---—

NE GRO--—--

PA7ENT OUCTUS ARTER IO SUS——-———---———--———- —-----747. o

W 1TE————

NEGR13-————

TOT AL

58

41

15

40

37

3

653

560

53

77

66

3

21

20

1

187

157

24

255

222

9

38

33

3

20

17

3

54

44

6

43

39

4

1,796

1,558

134

8

6

2

97

91

4

34

30

4

96

87

7

32

30

2

2

2

;;

6

425

316

39

15T

141

12

953

859

7C

527

462

44

107

89

lC

NUMBSR

MALE

30

19

9

20

18

2

3T9

329

26

48

43

1

10

10

110

95

11

147

130

5

29

25

2

e

8

34

24

6

15

14

1

1,02C

a9e

T?

i

72

66

‘

2C

lf

47

b?

~;

1!

4t

4!

19;

144

z

9;

55!

50(

4(

264

23!

21

5,

4,

EMALE

RATE

TOTAL

28

22

6

20

19

1

2T4

.231

27

29

21

2

11

10

1

7T

62

13

108

92

.%

9

8

1

12

9

3

20

20

28

25

3

7T6

660

61

3

3

25

25

14

12

2

49

44

3

15

15

226

lTO

20

59

49

7

398

359

30

261

221

24

53

45

6

2.1

1.8

3.5

1.4

1.6

0.1

23.3

24.3

12.4

2.7

2.9

0.7

0.7

0.9

0.2

6. T

6.8

5.6

9.1

9.6

2.1

1.4

1.4

0.7

0. T

0.7

0.7

1.9

1.9

1.4

1.5

1.7

0.9

64. C

67.5

31.4

0.3

0.3

0.5

3.5

3.s

0.5

1.2

1.2

0.5

3.4

3. E

1.(

1.1

1.?

o.!

0.1

0.1

3.(

3.;

1.,

15.1

13.;

9.1

5.1

6. I

2. t

34. (

37. ;

16. I

18. (

20. I

10.:

3. (

3.<

2.:

MALE

2.1

1.6

4.2

1.4

1.5

0.9

26.3

27.7

12.0

3.3

3.8

0.5

D. 7

0.8

7.6

8.0

5.1

lD.2

11.0

2.3

2.0

2.1

0.9

0.6

0.7

2.4

2.0

2.8

1.0

1.2

0.5

70.0

75.7

33.7

0.3

0.3

0.9

5.0

5.6

1.8

1.4

1.5

0.9

3.3

3.6

1.0

1.2

1.3

0.9

0.1

0.2

3.3

3.8

1.4

13. t

12.3

8. E

6.e

T.e

2.3

38.5

42.2

18.5

18. $

19.8

9.2

3.7

3.7

1.(

FEMALE

2.1

2.0

2.9

1.5

1.7

0.5

20.1

20.6

12.8

2.1

1.9

1.0

0.8

0.9

0.5

5.6

5.5

6.2

T.9

8.2

1.9

O.T

0.7

0.5

0.9

D.8

1.4

1.5

1.8

2.1

2.2

1.4

56.8

58.9

29.0

0.2

0.3

1.8

2.2

1.0

1.1.

1.(I

3.6

3.V

1.<,

1.1

1.3

.

2.6

2.6

1.4

16.8

15.2

9.5

4.3

4.4

3.3

29.1

32.0

14.3

19.1

20.3

il.4

3.9

4. D

2.9

SEE FOOTNOTES AT ENO OF TABLE.

26
TABLE 19. LIVE BIRTHS WITH CONGENITAL ANOMALIES AND RATES FOR EACH ANOMALY, BY SEX AND RACE:

TOTAL OF 46 REPORTING STATES ANO THE OISTRICT OF COLUMBIA, 1974--CON.

( SEE HEADNOTE AT BEGINNING OF TABLEI

CONGENITAL ANOUALY1 ANO RACE=

OTHER CONGEN lTAL ANOMAL lE S OF Cl RCULATORY SYSTE14--CON.

COARCTAT ION o F AORTA-——— ——. -747.1

IAHIT E-——-

NEGRO—

D7HER ANOMAL1 ES OF AORTA-——— 747.i

lAHITE——

STENOSIS OR ATRES IA OF PULMONARY ARTERY-——

NEGRD—————

—7+7.:

HHITE—-

NEGRD——

ANOMALIES OF GREAT VEXNS——— 747.4 .——

HHITE—

NEGRO-—-

A&SENCE OR HYPOPLASIA OF UMBILICAL AR7ERY—— 747. !

UH17E—

NEGRO———

OTHER ANOMALIES OF PERIPHERAL VASCULAR SYSTE14————————— 767.t

WHITE———

NEGRO——

OTHER SPECIFIED ANOMALIES OF CIRCULATORY SYSTEM——-—-— -747.t

llHITE—

NEGRO—

UNSPECIFIEO ANOMALIES OF CIRCULATORY SYSTE14-- 747.5

UHITE—

NEGRO———

CONGENITAL ANOMAL1 ES OF RESPIRATORY SYSTEU- ———7+:

MHITE——

NEGRO——

CHO&NAL ATRES 1A--————- 748. C

uH17E—

NEGRO—

OTHER ANO14ALI ES OF NO SE——-——-———-- —T4B.1

UHITENEGR~

WEB OF LARYNX—————— 740.2

HHITE——-

NEGRO—

OTHER ANOt4AL1 ES OF LARYNX, TRACHEA, AND BRONCHUS-———— —748.3

blHITE——

NEGRO—

CONGENITAL CYSTIC LUNG-————— —.——— —746.4

HHITE—

NEGR~—

AGENESIS OF LUNG-———— 748.5

lAHITE—

NEGRO—

OTHER ANOMALIES OF LUNG——-——————————— -T48.6

UHIT~-—

NEGR~

OTHER SPECIFIEO ANOMALIES OF RESPIRATORY SYSTEll———-- 74G. B

WHITE—

NEGRO——————

UNSPECIFIEO ANOMALIES OF RESPIRATORY SYSTE~ —T48.9

UHIT E——

NEGRO—

CLEFT PALATE AVO CLEFT LIP——— -749

WHIT E——-—

NEGRo——

CLEFT PALATE-—--—-——-——— ———749.0

HHITE—

CLEFT LIP——-———

NEGR~

—------7+9.1

!dHITE—

NEGRo—

CLEFT PALA7E HITH CLEFT LIP——— —— —749.2

ylpR ------

OTHER CONGENITAL ANOMALIES OF UPPER ALIMENTARY TRACT— 750

HHITE-——

NEGRO—--

ANO14ALI ES OF TONGUE—-————— —750.0

‘dHITE——

NEGR~

SEE FOOTNOTES AT ENO OF TABLE.

TOTAL

;

~;

12

2i

2(

t

I

352

31(

3(

If

It

I

261

235

;

27

7:

6C

1

33

32

1;

11

18

16

93

91

:

3

2,619

2,304

206

M

74

638

572

39

1,141

998

93

620

531

72

277

238

32

NLMER

14ALE

5

$

10

t

:

4

i

17t

157

14

4

4

4

4

lze

122

3

10

16

2

27

24

27

21

5

5

8

8

48

47

1

1,497

1,328

115

38+

329

3::

355

7Z

52

395

341

1::

166

25

I

RATE

‘EUALE

,

4

~7:

152

11

M

12

134

113

11

13

11

a

5

1

6

6

10

a

+5

44

1

3

3

1,122

976

91

456

+05

34

244

217

16

422

354

41

225

190

25

;;

7

0. s

0.6 I

0.5

0.6

0.8

0.9

0.5

13. +

T. O

0.6

0.7

0.3

0.3

9.3

10.2

3.3

1.1

1.2

0.9

2.7

2.6

1.6 I

1.2

1.4

0.2

0.4

0.5

0.6

0.7

3.3

3.9

0.5

0.1

0.1

.

93.3

99.9

4S.2

29.9

31.8

17.3

22.7

24.8

9.1

40.7

43.3

21.8

22.1

23.0

16.9

9.9

10.3

7.5

0.6

0.8

0.6

O.B

0.7

0.7

0.9

0.3

0.3

12.2

13.2

6.5

0.3

0.3

0.3

0.3

8.9

10.3

1.4

1.2

1.3

0.9

1.9

2.0

1.9

2.3

0.3

0.4

0.6

o.T

3.3

4.0

0.5

103.9

112.0

53.1

26.7

27.7

18.5

27.4

29.9

10.6

49.9

54.3

24.0

27.4

28. T

21.7

13.5

1+. o

11.5

FENALE

0.4

0.4

0.3

0.4

0.9

1.1

0.1

1.0

13.0

13.7

7.6

0.9

1.1

0.3

0.4

9.8

10.1

5.2

1.0

1.0

1.0

3.6

3.2

3.3

0.6

0.4

0.5

0.4

0.5

0.7

0.7

3.3

3.9

0.5

0.2

0.3

B2. 1

87.1

43.3

33.4

36.2

16.2

17.9

19.4

7.6

30.9

31.6

19.5

16.5

17.0

11.9

6.1

6.4

3.3
TA8LE 10. LIVE BIRTHS WITH CONGENITAL ANOMALIES AND RATES FOR EACH ANOMALY, OY SEX AND RACE:

TOTAL CF 46 REPORTING STATES ANO THE DISTRICT OF COLUM81A, 1974--CON.

(SEE HEADNOTE AT 8EG1NNING OF TABLE)

CONGENITAL ANOMALY1 AND RACEZ

OTHER CONGENITAL ANDMAL IES OF UPPER ALIMENTARY TRACT--CON.

PYLOR I C STENOS 1S---— --—-—-—-——————-— -————-750 .1

ilH I TE—-——

NEGRO—--——

TRACHEO-ESOP I+AGEAL F IS TULA—-——-—-—-——-— ——-750.2

lAHITE--——

NEGRO———

ESOPHAGEAL ATR ES IA ANO STENOSI S———----——-—--—-——- 750.3

!iH I TE————

NEGRO—-——

OTHER SPECIF1 EO ANOMALIES OF UPPER ALIMENTARY TRACT-———— 750..9

UHITE-———

NEGRO--———

UNSPECI FIEO ANOMALIES OF UPPER ALIMENTARY TRACT—-—-———- 750.9

lAHITE———

NEG RO-—-——

OTHER C0NGEN17AL ANOMALIES OF 01 GE5TIVE SYSTEM—----—-—-—--—--- 751

WHIT..-F-—-——_

~E GR@--—-_-—

MECK EL * S OIV ERT lCUL UP—---——— ----------- —————-—-—- 7 ~ ~ . (J

lAHIIE-—--—---

NEGRO——

ANOIIAL [ES OF INTESTINAL FIXA710N——--—-——--——-——-—--751.1

WHITE-———

NEGRO——-—

HIRSCH SPRUNG~ S 01 SEAS E——————————--———- 751.2

WHITE—--——

NEGRO———

AT RESIA AND STENOSIS OF RECTUM AND ANAL C.ANA L-—--—--——-- T51.3

WHIT E—-——

NEGRO————

OTHER ANOUALI ES OF lNTESTINE---——--—— --—-—--—- 751.4

UHITE—-——

NEGRC-—————

AT RESIA OF BILIARY DUC’FS—-——— _——_--— ——— —- 751.5

!#HITE—-——

NEGRC—-—-———

OTHER ANOMALIES OF GALLBLADDER, BILE OUCTS, ANO LIVE R-———-—-751.6

llHITE---——

NEGRO———

ANOHAL I ES OF PAN CR EAS---——-—

-.

—---—— — —--—-—— 751.7

lAHITE—— ---

OTHER SPECIFIEO ANOMALIES OF OIGESTIVE SYSIEU————— —-——-751. a

WHITE—-—

NEGRO-—--—

UNSPECIFIEO ANOMALIES OF OIGESTIVE SYSTEM-—————-—--——--75 I.9

UHITE———

NEGRO—--——

CONGEN lTAL ANOMAL 1 ES OF GEN1 TAL ORGANS-———— -————-—---7 52

lAHITE-———

NEGRO—————

INoET ERU I NATE SEX 3——-—--——--—-———— —-——-—-75 2.0

blHITE-—---

NEGRO—-—

UN OESCENDEO TEST ICLE--———--— ——————---752.1

HHITE—-—-

NEGRO--—————

HVPOSPAOIAS-——--—-——-—— ———-—--—-—-——-752.2

HHITE——-—

EP 15P Ao1 AS--—--—--———-——————

NEGRO——

_—-_————-——— 752.3

lfHITE——

NEGR~—

CONGEN lTAL HVOROCEL E—-—-———— -——-—-752. 4

ANDMALIES OF OVARY, FALLOP14N TUBE, ANO

ANoMALIES OF vAGINA ANO EXTEkNAL FEMALE

SEE FOOTNOTES AT ENO OF TABLE.

h’HITE———

NEGRO—-——

UTERUS—-—— ——75~. ~

HHI T E——-—

NEGRO-—-——

GEN 1TAL 1 A----———-— 752.6

‘dHITE——--

NEGRO———

NIAWBER I RATE

7

7

127

112

6?

65

2

44

32

lH

96

19

74T

659

61

2

2

21

19

.21

18

421

380

31

257

220

25

:

32

27

5

3

3

3

3

7

7

2,855

2,538

235

:::11 ...

451

378

45

1,625

1,462

133

31

31

481

442

23

6

6

49

42

7

5

5

%

4

42

40

2

21

lT

6:

50

12

490

428

44

2

2

Ii

13

19

16

304

270

2T

140

118

16

1

1

11

10

1

3

3

3

3

6

6

2,733

2,431

220

...

...

...

451

370

45

1,621

1,458

133

31

31

481

442

23

...

...

...

...

...

...

I

TOTAL MALE FEMALE ToTAL MALE FEMALE

2 D. 2

2 0.3

47 4.5

38 4.9

2.1

2: 2.4

25 2. B

0.5

23 1.6

15 1.4

2.3

5: 4.2

46 4.2

7 4.4

257 26..5

231 28.6

IT 1+.3

0.1

0.1

6 0. T

6 0.8

2 0.7

2 0.B

117 15.0

110 16.5

4 7.3

117 9.2

102 9.5

9 5.9

1 0.1

!. 0.1

21 1.1

17 1.2

4 1.2

0.1

0.1

D.1

0.1

1 0.2

1 0.3

122 101.7

107 110.0

15 55.0

... ...

... ...

... ...

... 16.1

... 16.4

... 10.5

4

4

. ..

. ..

...

6

6

49

42

7

57.9

63.4

31.1

1.1

1.3

17.1

19.2

3.4

0.2

0.3

1.7

1.8

1.6

0.3

0.4

5.6

6.2

1.8

2.9

3.4

0.9

1.s

1.4

1.8

4.4

4.2

5.5

34.0

36.1

20.3

D. 1

0.2

1.0

1.1

1.3

1.3

21.1

22.13

12.5

9.1

9.9

7.4

0.1

0.1

0.8

0.8

0.5

D.2

0.3

0.2

0.3

0.4

0.5

189.8

2C4.9

101.6

...

.. .

...

31.3

31.9

20.8

112.5

122.9

61.4

2.2

2.6

33.4

37.3

10.6

...

...

...

...

...

...

0.1

0.2

3.4

3.4

2.4

1.8

2.2

1.7

1.3

2.9

3.9

4.1

3.3

1,8.8

20.6

8.1

0.4

0.5

0.1

0.2

8.6

9.8

1.9

8.6

9.1

4.3

0.1

0.1

1.5

1.5

1.9

0.1

0.1

8.9

9.6

7.1

...

.. .

...

...

...

.. .

0.3

0.4

...

...

...

0.4

0.5

3.6

3.7

3.3
TABLE 10. LIVE BIRTHS wITH CONGENITAL ANOMALIES ANO RATES FOR EACH ANOMALY, BY SEX ANO RACE:

TOTAL OF 46 REPORTING STATES ANO THE OISTRICT OF COLUH81A, 19 T4--CON.

( SEE HEAONOTE AT BEGINNING OF TABLEI

CONGENITAL ANOtlALYr ANO RACE 2

CONGEN lTAL ANOMALIES OF GENITAL ORGANS--CON.

PS EU OOHERUAPHRODIT ISN——————————————— 752.T

HHIT~—

NEGR~

MHER SPECIFIED ANOt4ALIES OF GENITAL ORGANS————Z 752.8

i4H1TE———

NEGRO——

UNSPECIFIEO ANOF4ALIEk OF GENITAL ORGANS--——— 752.9

lAHITE———

NEGRO——

CONGENITAL ANOMALIES OF URINARY SYSTEH- ————— 753

UHITE-——

NEGRo——

RENAL AGEN ISIS—---—-———-———————— —-753.0

HHITE———

NEGRO

CYST IC KI L7NEY DI SEA SE———————————- 753.1

blHIT~—

NEGRO—

OBSTRUCTIVE OEFSCTS OF URINARY TRACT—--———- -753.2

HHIT%—

NEGRO—-—

OTHER SPECIFIEO ANONALIES Of KIONEY———-— 753.3

lAHITENEGRD—————

oTHER SPECIFIEO ANOMALIES OF URETER——-———-—— 753.4

HHITE

NEGRO———

EXTROPHY OF URINARY BLAOOER—-———— 753.5

HHITE—-————

NEGRO—

AT RESIA AND STENOSIS OF URETHRA ANO BLAOOER NECK———— -753.6

blHITE——

NEGRO———

OTHF? SPECIFIED ANOMALIFS OF BLAbDER ANO URETHRA—— 753.8

MHITE

NEGRO———————

UNSPECIFIED ANOMALIES OF URINARY SYSTEll—————— 753.9

blHITE——

NEGRO

CLUOFDOT [CONGENITAL 1—-—-—- —754

WHIT E——

NEGRO—

TAL 1 PES CAVUS-—————- -754.0

‘dHIT~—

NEGRO—

TALIPES EQUINOVARUS---— ————-—— 754.1

UHIT~

NEGRO—

TAL 1PES CALCANEOVALGUS———- 754.2

14H1TENEGRO——

TALIPES, OTHER SPECIFIEO TYPES, NOT ELSEHHERE CLASS IFIABL+-—- T54.8

HHITE———

NEGRO——

TAL 1PES, UNSP EC I FI EO TYPE-——————-—— 754.9

IAHITE

NEGRO—

OTHER CONGENITAL ANOMALIES OF LIMBS——— —-755

HHITE——

NEGRPOLY OACTYLY---—-—-——————————-——— -755.0

HHITE——

NEGRO————

WNDACTVLY-————-—-—--—————— -755.1

NHITE

NEGRO

REWCT ION OEFORMITY OF UPPER LIUB—-——————— 755.2

blHITE

NEGRO-——

REWCT 10N OEFORM ITY OF LOHER L I HB———-——— 755.3

UHITE——

NEGRO

SEE FOOTNOTES AT ENO OF TABLE.

NUHBER

I

TOTAL

+

4

111

98

15781

130

22

365

323

32

100

94

6

%

71

66

41

2:

20

27

23

2

46

39

5

2, 7T0

2,444

254

7

6

1

418

372

3+

148

125

17

%

45

1,696

1,499

160

5,231

3,465

1,551

2,130

885

1,20:

504

34

451

389

22

172

30

HAL E

255

226

21

71

6t

3

1

2

34

32

2

18

18

17

13

2

30

29

1

1,612

1,436

1+3

3

3

254

232

16

61

54

27:

244

24

1,042

924

97

2,722

1, 81T

807

1,182

514

64B

359

333

17

270

230

1%

11+

17

FEMALE

;

i

li

li

51

~:

[

11<

97

11

25

Zf

3:

2[

2

12

11

1

7

~

2

2

2

12

5

3

2

2

10

10

16

10

4

1,158

1,008

111

4

3

1

164

140

lB

%

10

267

235

21

654

575

63

2,509

1,668

744

94B

371

554

192

171

17

1s1

159

H

5B

13

RATE

TOTAL

0.1

0.2

.4.0

4.2

1.9

5.6

5.6

5.2

13.0

14.0

7.5

3.6

4.1

1.4

2.9

3.1

1.6

2-o

2.1

1.4

0.6

0.5

0.7

0.2

0.1

0.5

1.6

1..9

1.2

0.7

0.9

1.0

1.0

0.5

1.6

1.7

1.2

98.7

106.0

59.5

0.2

0.3

0.2

14.9

16.1

8.0

5.3

5.4

4.0

19.3

20. B

10.5

60.4

65.0

37.5

186.4

150.2

363.2

75.9

38. +

281.5

19.6

21.9

B. O

16.1

16.9

12.6

7.7

7.5

7.0

HALE

0.1

0.2

6.5

7.3

3.7

7.4

7.3

6.5

17.7

19.1

9.7

+.9

5.6

2.3

3.5

3.7

2.3

3.0

3.2

2.3

0.8

0.5

0.5

0.2

0.1

0.9

2.4

2.7

0.9

1.2

1.5

1.2

1.1

0.9

2.1

2.4

0.5

111.9

121.1

66.0

0.2

0.3

17.6

19.6

7.4

4.2

4.6

3.2

19.0

20.6

11.1

T2.3

77.9

44.8

1S9.0

153.2

372.6

B2. 1

43.3

299.2

24.9

28.1

7.8

18.7

19.4

16.2

9.8

9.6

7.0

FEMALE

0.1

0.2

0.9

1.1

3.T

3.8

3.8

8.1

8.7

5.2

2.1

2.5

0.5

2.2

2.5

1.0

0.9

1.0

0.5

0.5

0.4

1.0

0.1

0.2

D.9

O.a

1.4

0.1

0.2

0.T

0.9

1.2

D.9

1.9

04.8

90.0

52.8

0.3

0.3

0.5

12.0

12.5

0.6

6.4

6.3

4.8

19.5

21. D

10.0

47.9

51.3

29.9

183.7

147.1

353.6

69.4

33.1

263.3

14.1

15.3

8.1

13.3

14.2

9.0

5.4

5.2

6.2

,20
TABLE 10. Ll VE BIRTHS WITH CONGENITAL ANOMALIES AND RATES FOR EACH ANOMALY, BY SEX ANO RACE :

ToTAL OF 46 REPORTING STATES ANO THE DISTRICT DF COLUH81A, 1974--CDN.

( SEE HEADNDTE AT BEGINNING OF TABLE)

CONGENITAL ANOMALY1 ANO RACE2

OTHER CONGENITAL ANOMAL IES OF LIMBS—CON.

REOUCTION OEFORMITY, UNSPECIFIED LX MB-——-——-—-——--———-755.4

14HITE—————-----

NE GRO—--—--

OTHER At40nALY OF uppER L1M8 [ 1 NCLUDI NG 5H0ULDER GIROLEk-———-- 755.5

biHIT E——-—--

NEGRO--—--—-

CONGENITAL D1 SLOCATION OF HI P——-——--—--—-—--. --—--—--——— 755.6

UHITE-—--—

NEGRO-—-—

OTHER ANOMALY DF LOWER LIMB [ INCLUDING PELVIC GIRDLE)-—-——— 755.7

HHITE—-——

NEGRO-—---—

GENERALIZED FL EXIDN CONTRACTURE OF LIMB JOINTS——--———- 755.8

WHITE————

NEGRO———

OTHER AND UNSPECIFIED ANoNALIES OF UNSPECIFIED LIMB—— ———-755. 9

!4HITE—-———

NEGRO——--——

OTHER CONGENITAL ANOMAL 1 ES OF MU SCULOSKELETAL SYS7EM———--—-—-—---756

UHITE——

NEGRO-— -----

ANOMALIES OF SKULL ANO FACE BONES-—--———————-—--—--756 .0

lfHITE—-——

NEGRD——-—-

ANOMALIES OF LuM80sACRAL JDINT-- —- —-—-— ————-—-7 56.1

#~*~&--—-—-

NEGRD——-——

OTHER ANOMAL 1 ES OF SP I NE--—---—-——————-—-—--——- 756.2

~~,,&-——---

NEGRO-——-

CERV IcAL RI B-—--———-----———--—--—--——--—-—-——-756. 3

t4HITE———

OTHER ANOMALIES DF RIBS ANCI STERNUM—-

NEGRO——-—---

—————— ———-756. 4

“~, T&-———_

NEGRO--—-—-

CHONORODYSTROPHY- —-- ——————-————-— ————- 756.5

WH1.T.=————— .

NEGRO--——

OST EOGEN ES 1S IMP ERFEC TA————-—-——-—— -—----—-—-—-756 .6

UHITE-——

NEGRo-—-—

OTHER GENERALIZED ANOMALIES OF SKELETON--— —————-756. 7

WHITE-——

NEGRD--—-—

OTHER SPECIFIEO ANOFIALIES OF MUSCLE, TENOON, ANO FAsCIA-———-856.8

~~~~E—-—--

NEGRO——---—

UNSPEC IFIEO ANOHALIES OF MU SCULOSKELETAL SYSTEW——————---T56.9

UHITE--—-—--

NEGRO————

CONGEN lTAL ANOMALIES OF SKIN, HAIR, ANO NAILS—————--———-—757

wHITE——--

NEGRO-——

HEREO 11 ARY EoEMA OF L EG%-—-——--——---—-- ——-———- 757.0

wHITE——-——

NEGRO--—---—

PIGMENT EC! NEVUS—--——------—— —--—----——————T57 .1

HHITE————

NEGRD--—--—--

MHER SPECIFIED ANoMALIES OF SKIN-—--—--——-——-———- 757.2

HH IT E——--——

NEGRO--—--—--

SPECIFIED ANOMALIES OF HAIR—--——-—— -—--—-—-—- 757.3

wHITE_—__—

NEGRO——

SPEC 1 F1 ED ANO14AL1ES DF NA 1 LS--——-—-————---- ——-——--757.4

wHITE-—-—

NE GRO——-—--

UNSPECIFIED ANDMALIeS OF SKIN, HAIR, ANO NAILS—-——-———-757.9

HH I TE--—-—--

NEGRO-—-—-—

NUMBER

TOTAL

27

22

57;

4T6

77

438

376

28

1,284

985

193

15

11

W4

34

10

980

890

73

349

315

27

10

10

77

74

3

97

86

6

69

59

T

63

59

3:

33

1

210

192

18

95

B5

8

880

653

168

2

2

107

74

17

661

481

145

22

18

4

90

80

2

MALE

19

16

3

313

262

42

133

111

14

575

442

B5

T

6

1

27

22

3

547

4a7

51

178

158

lB

@

B

43

42

1

53

46

4

41

35

4

37

35

2

19

18

1

127

113

L4

50

40

8

430

342

74

45

29

5

3’55

268

6B

7

7

43

3B

1

E14ALE

8

6

2

257

214

35

305

265

14

T09

543

108

8

5

1:

12

7

433

403

22

171

157

9

:

34

32

2

44

40

2

28

24

2:

24

2

15

13

83

79

4

45

45

430

311

94

:

62

+5

12

3D6

213

77

15

11

4

47

42

1

R ATE

TOTAL

1.0

1.0

1.2

2D.3

20.6

18.0

15.6

16.3

6.6

45.8

42.7

45.2

0.5

0.5

0.9

1.6

1.5

2.3

34.9

38.6

17.1

12.4

13.7

6.3

0.4

0.4

2.7

3.2

0.7

3.5

s. 7

1.4

2.5

2.6

1.6

2.2

2.6

0.9

1.2

1.4

0.2

7.5

8.3

4.2

3.4

3.7

s..9

31.4

28.3

39.3

0.1

0.1

3.8

3.2

4.0

23.6

20.9

34.0

0. B

0.8

0.9

3.2

3.5

0.5

MALE

1.3

1.3

1.4

21.7

22.1

19.4

9.2

9.4

6.3

39.9

3T.3

39.2

0.5

0.5

0.5

1.9

1.9

1.4

30.0

41.1

23.5

12.4

13.3

8.3

0.6

0.7

3.0

3.5

0.5

3.7

3.9

l.B

z.8

S.o

1.8

z.6

3.0

0.9

1.3

1.5

0.5

8.8

9.5

6.5

3.5

3.4

3.7

31.2

28.8

34.2

3.1

2.4

2.3

24.6

22.6

31.4

D.5

D.6

3.0

3.2

0.5

FEMALE

0.6

0.5

1.0

1.8.8

19.1

16.6

;!2.3

23.7

6.T

51.9

4B. 5

!il.3

D.6

0.4

1.4

1.4

1.1

3.3

31. T

36.0

10.5

12.5

14.0

4.3

0.1

0.2

2.5

2.9

1.0

3.2

?..6

1.0

2.1

2.1

1.4

1.9

2.1

1.0

1.1

1.3

6.1

7.1

1.9

3.3

4.0

31.5

27.6

44.7

0.1

0.2

4.5

4.0

5.7

22.4

19.0

36.6

1.1

1.0

1.9

3.4

3.7

0.5

SEE FODTNOTES AT END OF TABLE.

20
TABLE lB. LIVE BIRTHS WITH CONGENITAL ANOMALIES ANO RATES FOR EACH ANOMALY, BY SEX ANO RACE:

TOTAL CF 46 REPORTING STATES ANO THE OISTRICT OF COLUH81A, 197-CON.

( SEE HEAONOTE AT BEGINNING OF TABLE)

CONGENITAL ANOMALY1 AND RACE2

OTHER AND UN,3PECIFIE0 CONGENITAL AN014AL1ES-——— —-————75B

!4HITE——

NEGRO—-——

ANOMALIES OF SPL EEN—-—-----—-—-———— ——-758.0

WHITE—-—

NEGRO——-

ANOHAL 1 ES OF AOR ENAL GUANO-————-————-———— 758.1

WHITE——

NEGRO—--——

ANOHAL I ES OF TNVRO IO GLANO—-———---———— 756.2

14HIT E---——

NEGRO——

ANOMALIES OF OTHER EN OOCRINE GLANOS--—-—-— —75a.3

UHITE

NEGRO——

OTHER SPECIFXEO CONGENITAL ANOHALIES-——————— 758.8

IAHIT E-—-——

UNSP EC I FI EO CONGENITAL ANO!lAIY-——-—-_————

NEGRD—-——

-758.9

UHITE—-—

NEGRO——

CONGENITAL SYNOROISES AFFECTING MULTIPLE SYSTEMS-—--————— ----- 759

HHITE———

NEGRO———

S I TUS INVFR SUS-----———-—————- -— T59.O

UH 1T E-—-—

NEGRO—

CONJOINEO TWINS—- —_———-——— —-----759.1

uHITE——————

NEGRO—

OTHER FORMS OF MONSTER—----——— -759.2

UHITE———

NE GRO—-—

00HN , S 01 SEAS &————-— ——759.3

uHITE

NEGRO—

OTHER SWGROHES OUE TO AUTOSONAL ABNORMALITY -759.4

WHIT+——

NEGRO———

SYNORONES OUE TO SEX CHRDNOSOME ALNADRMALITY——-——— 759.5

i6H17E——

NE GRO-—————

TU8EROUS SCLEROSIS-—-—— — —759 .6

HHITE——

OTHER SPECI FI EO SYNORONES--——

NEGR~

—-—— 759-8

HHITE—

NEGR~

NVLTIPLE CONGENITAL ANOMALIES, UNSPECIFIEO—— -——-—759.9

!4HITE——

NEGRO——

NUNBER I

RATE

TOTAL I I MALE I FEMALE I 70TAL I I HALE I FEMALE

%;11 “9’ 154’11.5”

5

5

2

2

109

91

1.?

54

46

6

906

877

84

7

7

8

6

6

2

2

536

50?

%

32

11

;

15

13

378

317

52

T

11.7 11.3

143 132 11.9 12.1 11.8

36 lB 18 B.4 8.3 0.6

13 1 12 0.5 0.1 0.9

9 1 8 0.4 0.1 0.7

4 4 0.9 1.9

1 1 0.0 0.1

1 1 0.0 0.1

-11

911

9

:

190

158

22

110

98

io

1,933 I

1; 715

172

16

14 I -11

16

14

1;

4

1,041

962

60

141

116

17

37

32

5

I

-1 -11

41 0.3tt

4 Q.4

0.1

0.1

81 6.8

67 6.9

2.0 5.2

56 3.9

52 6.2

4 2.3

947 68.9 I

838

8B

9

7

8

8

a

6

2

505

460

::

84

6

29

24

5

74.4

40.3

0.6

0.6

0.6

0.b

0.5

0.3

0.9

37.1

41.7

1+.1

5.0

5.0

4.0

1.3

1.4

1.2

I_____ -1 -[l

14 1.0

14 1.2 I

-1 -11

301 24.2

254 24.8

39 21.3 I

0.3

0.4

0.1

0.2

7.6

T. 7

5.5

3.7

3.9

2.8

68.5

7s.9

38.8

0.5

0.6

0.6

0.5

0.4

0.2

0.9

37.2

42.3

10.2

3.1

2.7

5.1

0.6

0.1

1.0

1.1

26.2

26.7

24.0

0.3

0.4

5.9

6.0

4.$

4.1

4.6

1.9

69.3

74.8

41.8

0.7

0.6

0.6

0.7

0.6

0.5

1.0

37.0

+1.1

18.1

7.0

7.5

2.9

2.1

2.1

2.4

1.0

1.2

22.0

22.7

18-5

1sUBCATSGOR12SOF A3?MAL2ESA30L KIT ADDITIYES7NCS5#x+2TSAN ONE CDWD7.TIONNAY EX7.STAT BIRTH.

21UTALFOR SACS AWDNMJY 32K2NOESRAcSS 0TNE5RTNAN 7?S12’2AND NSGPJY.

3DATA 2NCU7DEDW2TS LNSPEC2FIEDAW3L4LIESOF GSNITALORGANS (752.9).

31
TA8LE 2A. LIVE BIRTHS AND CONGENITAL ANOMALY RATES FOR ALL ANoMALIES COMBINED ANO LIVE OIRTHS H17H sELECTED CONGENITAL

ANOMALIES, BY Rbc E: 46 REPORTING STATES ANO THE DISTRICT OF c0Lut40 IA, 1.773

[BASED ON 100 PERCENT OF OIRTHS IN SELECTED” STATES AND ON A SO-PERCENT SAMPLE OF 81RTHS IN ALL OTHER STATES; SEE TECHNICAL APPENDIX.

REFERS oNLY TO BIRTHS OCCURRING WITH1 N THE AREAS REPORTING CONGENITAL ANOMALIES TO RESIDENTS OF THESE AREAS. NuMBERS AFTER CONGENITAL ANOMALIES ARE CATEGORY NUMBERS OF THE EIGHTH REVISION INTERNATIONAL CL AS S1FICATION OF DISEASES, AOAPTEO, 1965 (l CDAI.

ARE NUMBER OF LIVE BIRTHS 141TH OESIGNATEO ANCMALY PER 100,000 LIVE BIRTHS IN SPECIFIEO GROUP.

RAT ES

!JHERE THERE I S MORE THAN ONE OEFECT

PER BIRTH UITHIN ANY GROUPING OF ICOA COOESr THE BIRTH 1S COUNTEO ONLY ONCE. FOR COMPLETE CATEGORY TITLES, SEE TABLE 1A}

CONGEN lTAL ANOMALY ANO RACE ‘

TOTAL

ALL L 1VE BI RTHS-—----------—-----——------——-—-—

LIVE BIRTHS HITH CONGENITAL ANof4ALIEs-—--

CONGENITAL ANOt4ALY RATE--———-——.-

740-759

—740-759

LIVE BIRTHS WITH SELEC.TEO ANOMALIES:

ANENC EP HAL US—---——-—-—-—-——--—-—— —_,412

SPINA BIFIOA ‘dlTH HYOROCEPHALUS--——-——— —-741 .0

SPINA BIFIOA HITHOU’F HYDROCE PHALUS--——-—— —-741.9

CONGEN lTAL HYOROCEP HALU3——--————— —---742

AN@lAL I ES OF HEAR7---—--———-———— 746.0 -746.9

OTHER ANOMAL lES OF CIRCULATORY SYSTEW--——-04747 -947.9

ANOMAL lES OF RESPIRATORY SYS7EW———— 748.0- 748.9

CLEFT PALATE [W ITHOU7 CLEFT LIPl —-- —-—-T49 .0

CLEFT L 1P [H ITHOUT CLEFT PALATE )——— —749.1

CLEFT PALATE !.IITH CLEFT LIP--------———-———————— -T49.2

ANoMAL lES OF UPPER ALIMENTARY TRACT--—--——T50 .B-T50. B

A7RES1A ANO STEND51S OF RECTUM ANO ANAL CANAL——-T53.3

HYPOSPAD1 AS-—-----—---—-—————— ——-T52.2

CLUB FOOT-——-——--—--———— ———-754.2-754.9

POLYOACTYLY-—- —--—- —- ——---—--—-——-—- 755.0

SYNOACTYLY—————--—----—-——-—-—-—-T55.1

REOVCT ION !2EFORIS1T1ES, ALL L 1i40S—-——----755 .2-l55.4

OlSL OCAT 10W OF HIP---—--—-—-—--—-——---— -755.6

00U N* S 01 SE AS E--—--——---—- ——————-----To 9.3

HHI TE

ALL LIVE B 1RTHS-—------———---———————--------

LIVE BIRTHS WITH CONGEN lTAL ANOMALIES——- 740-T59

CONGENITAL ANOMALY RATE-—-—-—-—————--7 +O-759

LIVE BIRTHS WITH SE LECTEO ANOMALIES:

ANENCEPHALUS——-——------—-——— —-——---740

SP[NA BIFIOA liITH HYOROCEPHALUS——-----—-———-741.O

SPINA 81 FIDA WITHOUT HYOROCEPHALUS——-—————— -741.9

CONGEW lTAL HYDROCEP HALU S——----—---————----- 742

ANCUAL lES OF HEART--—-— -——-——746.0-746.9

OTHER ANOMALIES OF C lRCULATORY SYSTEIS--—-—--747. 0-747.9

ANOMAL lES OF RESPIRATORY SYSTEM--————7748 O-748.9

CLEFT PALATE [WITHOUT CLEFT LIP1-—-——---—-—-749.0

CLEFT L 1P (WITHOUT CLEFT PALATE l—-——— ——-749. 1

CLEFT PALATE WITH CLEFT LIP—---—-—--——-———— -T49.2

ANoMALI ES OF UPPER AL1MEN7ARY TRACT- ——-—750.1-750.8

ATRES 1A ANO STENOSIS OF RECTUM ANO ANAL CANAL——-751.3

MYPOSPAO1 AS--—-—--—--——--——--— —T52.2

CLUBFOOT —--—-—-—-——- ———-—754.0-754.9

PM. YOACTYLY--—-—-—-----——--—--- —-755.0

SYNOACTYLY—— --—-—————-—— —-755.1

RELMJCTIDN OEFORMIT1 ES, ALL LIMB s——-—--——755.2-755.4

OISLOCAT ION OF H lP--—---—---——-—- ——-755.6

00WN ~S OI SE AS E------------—----——— ———-759. 3

NEGRO

ALL LIVE BI RTHS-----—--——-——-—————————

LIVE 131RTHS W17H CDNGEN17AL ANOM4L1ES——-—--74 +759

CONGENITAL ANOUAL Y RATE -—-———-—-——-——T40 -759

LIVE BIRTHS WITH SELECTEO ANOMALIES:

ANENCEPHALUS——--———-——-——-—-— —---T+o

SPINA BXFIOA lilTH HYOROCEPHALUS— ----—---——-741 .0

SPINA B1 FIOA !417WJT HYOROCEPHALU3-—-—--——— -741.9

CONGEN lTAL HYDROC EP HALUS—--————---- —-—-------T42

ANOMALIES OF HEART--—-——-——--——746. O-746.9

OTHER ANOMALIES OF CIRCULATORY SYSTEH-——— T47. o-747.9

ANOMALIES OF RESPIRATORY SYSTEM-———-——74 B.9-74B.9

CLEFT PALATE IwITHOUT CLEFT L lPl ——---——- T49. O

CLEF7 L 1P 1131THOU7 CLEFT PALATE)-——--———- 749.1

CLEFT PALATE !JITH CLEFT LIP—----———-—-——- T49.2

ANOMALIES OF UPPER ALIMENTARY 7RAC7--— ——---750.1-750.8

ATRESIA ANO STENOSIS OF RECTUM ANO ANAL CANAL-—--- 751.3

HYPoSPAOIAS-—-—-—--———————-——- 752.2

CLU8FOOT-—-—-----——-——————-——754.O-754.9

POLYOACTYLY ——--—-———--—-—--—-———-755 .0

SYNOAC7YLY————--—---—--—-—--—-— 755.1

REWCTION DEFORMITIES, ALL LIMB S——— —755.2-T55.4

0 ML OCATION OF H 1P—-—--—----— ----————-755 .6

DDHN*s DIs EAs*-———-——-- -——759.3

TOTAL I

2,7 T8,091 1

23, o52

029.8

594

233

935

450

1,607

498

317

798

695

1,112

341

463

1,699

2,778

2,:;;

624

414

1,053

2,277,705

19,160

841.5

528

217

B49

379

1,481

426

271

733

636

999

322

423

1,555

2,430

923

514

538

370

950

I

431,263

3,205

743.2

49

12

69

59

124

55

40

46

41

70

13

31

122

279

1,269

47

75

22

67

ALA.

58,486

285

407. ?

:

12

12

14

2

2

4

12

B

4

e

::

49

10

6

2

18

37,979

173

+55.5

6

4

10

1:

2

4

la

B

2

4

14

20

9

B

4

2

16

20,308

112

551.5

2

4

4

2

2

2

4

B

12

40

2

2

2

ALAsKh

6, 60C

62

939.4

2

2

6

2

2

2

6

a

4

2

4, 5D9

36

79B. 4

2

4

2

2

6

228

2

877.2

2

ARIZ.

37,885

356

939.6

2

4

6

H

10

4

::

a

4

1:

46

28

4

6

16

10

31,860

266

334.9

2

4

4

12

20

8

4

B

8

6

4

6

L6

38

18

4

:

6

1,624

12

73B. 9

2

4

2

ARK.

33,567

231

608.2

:

8

4

18

8

2

:

12

10

4

::

34

6

2

8

24,951

171

605.3

4

6

2

16

6

2

:

10

10

4

:2

4

6

2

6

8,496

60

706.2

2

2

2

2

2

2

2

4

30

2

CAL IF.

297,969

2,530

849.1

78

1:2

36

198

100

32

58

60

120

34

2%

250

230

in

38

154

253,193

2,1T6

859.4

6B

12

q4

34

176

82

28

54

54

112

2s

48

188

220

130

60

96

l%

29,827

268

898.5

4

B

18

14

4

2

4

2

4

2

14

20

94

12

12

38,:;:

1,017.0

5

9

2?

14

3

J

2T

8

10

22

57

27

1;

2:

36,171

374

1 ,034. D

5

9

3

27

14

3

1;

27

8

10

22

54

19

8

10

1:

1,658

16

965.0

3

8

1

1

37,506

264

70?1.9

17

10

T

19

4

11

12

9

6

R

27

2

12

1:

33,G40

234

70N.2

17

10

7

19

4

1:

9

6

19

22

13

J

J

4,058

3D

739.3

2

2

14

2

2

32
TABLE 2A. LIVE BIRTHS ANO CONGENITAL ANOMALY RATES FOR ALL At#2FEALIES COMBINEO ANO LIVE BIRTHS M17H SELECTEO CONGENITAL

ANOMALIES, BY RACE: 46 REPORTING STATES ANO THE DISTRICT OF CDL UMBIA, 1973--CON.

( sEE HEAONOTE AT BEGINNING OF TABLE]

CONGENITAL ANOMALY AND RACE1

ToTAL

ALL LIVE BIRTHS———-—— ——-

LIVE BIRTHS HITH CONGENITAL ANOMALIES-———— —-740-759

CONGENITAL ANOHALY RATE--————-——— ‘140-755

LIVE BIRTHS !41TH SELECTEO ANOMALIES:

AN ENCEPHALUS——--.--————— —T+c

SPINA BIFIDA HITH HYOROCEPHALU~ ———741 .C

SPINA BIFIDA H17HOUT HYDROCEPHALUS— 741. s

CONGENITAL HYOROC EPHALUS--—— ——742

ANOMALIES OF HEART— —...— T46. O-766.5

MHER ANOMALIES OF CIRCULATORY SYSTEIF— —747. o-747.~

ANOMALIES OF RESPIRATCSIY SYSTEN_——— 768.0-743.9

CLEFT PALATE [wITHoUT CLEFT LIP1 —— 749. c

CLEFT LIP II+ ITHOUT CLEFT PALATE)—- —749 .1

CLEFT PALATE WITH CLEFT LIP—-———— --749.2

ANOHALIES OF UPPER ALIMENTARY TRACT—— 750.1 -750. Z

ATRESIA ANO STENOSIS OF RECTUM ANO ANAL CANAL— T51.2

HYPOSPAOIAS— —-———— ——752.2

CLUBFOOT-————-———- 754.0-754.%

POLY DACTYL Y—-———-——— —-——755.0

SYNOACTYLY—-———-—— 755.1

REDUCT ION DEFORMIT1 ES, ALL L lMBS —-———755. 2-755.4

DISLOCATION OF HIP——-—-———— —-—755.6

OWN, S 01 SE AS E-—-—————-- 759.2

IAHITE

ALL LIVE BIR7HS——--——— ——.

LIVE BIRTHS 141TH CONGEN 17AL ANOPIALIES-———— 740-759

CONGENITAL ANOMALY RATE-—- —---—-74 o-759

LIVE BIRTHS WITH SELECTEO ANONALIES:

AN ENCEPHALUS———-——-———-— 74a

SPINA BIFIOA WITH HYOROCEPHALUS—-—-———— -—__-T41. o

SPINA 01 F1OA WITHOUT HYOROCEPHALUS——-—------ 741. g

CONGENITAL HYDROCEPHALUS———— 742

ANOMALIES OF HEART-———-—— 746.0 -746.9

OTHER ANOI!AL IES OF C IRCULA70RY SYSTEN-—-—————— 747.0-747.9

ANOMALIES OF RESPIRATORY sYs7EN——— 74 B.o-74S.9

CLEFT PALATE 0J!17HOUT CLEFT LIP) ————T49. o

CLEFT LIP [WITHOUT CLEFT PALATE l--— 749.1

CLEF7 PALATE WITH CLEFT LIP—— ---749.2

ANfflALIES OF UPPER AL I14ENTARY TRACT——— 750.1 -750.8

ATRESIA ANO STENOSIS OF RECTUM ANO AHAL CANAL —-—751.3

HYPOSPAOI A3-——— —752.2

CLUB FOOT-— --————-——c 754.0-754.9

POLYOACTYLY—-———-———————— ——T55.o

SYNOACTYLY-—-—- ——-- 755.1

REDUCT ION 0EFOR141TIES, ALL L lHBS-- 755.2-755.4

OISLOCAT ION OF HI P--———-——--- -—755.6

OWNW OISEAS%-—-——-—- —759.3

NEGRO

ALL L lVE BIRTHS-—--—-—-—-——————-

LIVE B lRTHS k!ITH CONGENITAL ANOMALIES———— 740-759

CO+AGENIT AL ANOMALY RA7E———————— --740-759

LIVE BIRTHS !41TH SELECTEO ANOMALIES:

.---- -----

SPINA B1F1OA U17H HYOROCEPHALU~—— 741.0

SPINA 61 FIOA 141THOUT HYOROCEPHALUS—————————— 741.9

CONGENITAL HYOROCEPHALUS—-——-- -—742

ANOMAL 1 ES OF HEART-— 746.0- 746.9

OTHER ANOMALIES OF CIRCULATORY SYSTE*—--——O4747-947.9

ANOMALIES OF RESPIRATORY SYSTEN--—-- —748.0-748.9

CLEFT PALATE (IA ITKNJT CLEF7 LIPI -749.0

CLEFT LIP (WITHOUT CLEFT PALATE I--—— ——749 .1

CLEFT PALATE WITH CLEFT LXP- —749.2

ANOHAL I ES OF UPPER AL lHENTARY 7RACT— 750.1 -750.8

ATRES 1A ANO STENOSIS OF RECTUM AND ANAL CANAL——————— T51.3

HYPoSPAOI A3—-——— T52.2

CLUBFOdT————— —754. 0-75%9

POLYOACTYLY—-—-———----— —————T5S .0

SYNOACTYLY —--———--—— 755.1

REDUCT ION DEFORMITf ES, ALL LIf4BS——————— 755.2-755.4

OISLOCAT 10N OF HIP———-——————————— -755.6

DCWNt S 01 SEASE-—--—-——— ---759.3

l,I~~M INCLUDES RACES OTEESR TRAN WRITE ~ N=M .

=T=

8,235

30

364.3

2

2

2

6

B

6,450

20

310.1

2

2

6

2

1,685

10

593.5

2

6

10,.30?

6:

573.s

2

i

2

2

4

?

2

1:

d

2

1,408

s

56B.2

-

2

2

9, 24T

52

562.3

2

2

2

2

2

2

2

2

16

2

2

FLA.

107. 30i

S71

S1l. i

11

15

27

11

14

1!

14

26

lt

4;

11

::

102

lot

1:

12

17

2t

T9,242

6BI

859.4

1:

25

10

62

::

23

16

3.5

9

3;

93

35

12

10

13

26

27,160

186

684. S

3

1

2

1

11

2

3

3

4

;

6

9

71

1

3

4

2

CA.

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. . .

. . .

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. . .

. . .

. . .

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. . .

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. . .

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4A!AAI 1

15,36t

11[

715.<

i

2

z

12

4

4

1

1:

4

4

4

4

4,291

2E

652.5

2

4

2

2

2

2

2

2

302

IOAHO

14,53?

108

742 .!

:

2

:

4

1:

z

z

1:

4

2

2

4

2

14,166

104

734.2

2

2

2

4

4

1:

2

2

1;

4

2

4

2

44

2

,,545.5

ILL.

168,021

1,55?

924.2

4e

1[

5C

31

8?

14

11

64

33

67

12

lx

205

205

52

28

36

71

!28,287

1,233

961.1

42

10

42

29

70

10

5:

%

::

114

177

71

40

24

32

71

36,885

306

829.6

6

B

1;

4

:

5

B

2

16

1::

10

2

4

6

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...
7A6LE 2A. LIVE BIRTHS AND CONGENITAL ANONALY RATES FOR ALL AWJMALIES COFIBIMED AND LIVE BIRTHS 141TH SELECTED CONGENITAL

ANOMALIES, BY RACE : 46 REPORTING STATES ANO THE OISTRICT OF COLUMBIA, 197+-CON.

{ SEE HEADNOTE AT BEGINNING OF TABLE)

CONGENITAL ANOMALY ANO RACE1 I

TOTAL

ALL L lVE B1RTHS------—-——---—-—-—-——-—-——-——

L lVE BIRTHS MITH CONGENITAL ANOMALIES--—--———---74 O-759

CONGENITAL ANOMALY R ATE--—-—---——— -—-—--T40-759

LIVE BIRTHS UITH SELECTED ANOMALIES:

AN ENCEPHALUS—-—---—-—-—---———---——-——-—-7@3

SPINA BIFIDA UITH HYOROCEPHA LUS-——-—————— —--T41 .0

SPINA BIFIDA II ITNOUT HYDROCEPHALU3—---——---------7+1.9

CONGENITAL HYOROCEP HA LUS————---———— ———,q~

ANOMALIES OF HE ART-—---——.---—------——746. 0-746.9

07 HER ANOMAL r ES 0 F c tRCULArORY sYs7EM---—--——- 747. 0-747.9

ANOMAL lES OF RESPIRATORY SYSTEH--—---———-798 .O-T48.9

CLEFT PALATE (H ITHOUT CLEFT LIPI ———-———---749 .0

CLEFT L 1P [H ITF22uT CLEF7 PA LATE )-————————---749.1

CLEFT PALATE WITH CLEFT LIP-—--——-—— ——749 .2

ANOMALIES OF UPPER AL IMENTARY TRACT—-— —750.1-750. B

ATRES IA ANO STENOSIS OF RECTUM AND ANAL CANAL —--751.3

HYPOSPAOI AS-—-———-—--—--————- —-------752 .2

CL UBFOOT———--——---———- —-—————- 754.0 -754.9

POLYDACTYLY-—----——---————————----755.O

SYNDACTYLY——-—-__--——--———_————__ --755.1

REOUCT ION OEFORMITI ES, ALL L 1M8s----—--———755. 2-755.4

01 SL OCAT ION OF HIP—-———-—--————--—-— 755.6

DOWN, S 01 SEAS E—-----———--———-———————— T59.LI

WHITE

ALL L 1V E S1 RTHS—--—-———--——-——— —-——--

LIVE BIRTHS WITH CONGEN lTAL ANOUALIES---———---74 O-759

CONGEN ZT AL ANOMALY RATE———--—-— ----—-——74 o-759

LIVE BIRTHS WITH SELECTEO ANOMALIES:

AN ENCEPHALUS-——--——--—————— ——— —-— —--740

SPINA BIF1OA lllTH HYOROCEPHALUS-—--—--————--741.O

SPINA 81 FIOA II ITHOU1 HYOROCEPHALUS—-—-—- —-—-—74 1.9

CONGENITAL HVOROCEPHALUS— ——— ——-— ----- 742

ANOMAL 1ES OF HEART-——— ——-——--——--746 .0-746.9

OTHER ANOMbLIES OF CIRCULATORY SYSTEM--——-- 747.0-747.9

ANOMALIES OF RESPIRATORY SYSTEF4--———-———-798 .O-748.9

CLEFT PALATE {wITHoUT CLEFT L1 Pl---—-—-—-— —----749 .0

CLEFT LIP lWITHDUT CLEF7 PALATE)—- ———--749 .1

CLEFT PALATE HITH CLEFT LIP--—-— —-—— 749.2

ANOMAL [ES OF UPPER #.L lMENTARY TRACT-—— 750.1 -750.8

ATRES IA ANO s7ENos1s OF RECTUU ANO ANAL CANAL- —-—751.3

HYPOSPAO 1 AS—-—-——--—-— ————-— ___752.2

CLUBFOOT— ---—-—-_—-__-——--—- 754. o-754.g

POL Y OACTYL Y—--—-—---——---——--—————? 55.0

svioic?yiiL—-—-_ --—-—-— ------ ——755. 1

REWCTl ON DEFORMITIES, ALL LIMBS- —-—----—75 5.2-755. k

OISLOCATION OF HIP--——---—-----— —-——----755 .6

0 01(N* S 01 SEAcE--——-—-—----—-———-- —--759.3

ALL LIVE BIRTHS-——-——-———-——-—-——-—-——

LIVE BIRTHS wITH CONGEN lTAL ANOMALIES—-———-- 740-759

CONGEN lTAL ANOMAL V RAT E--———--—-—--—-- 740-759

L1vE BIRTHS WITH SELECTED ANOMALIES:

AN ENCEPHALUS———--—---—————--—--- —-—-—740

SPINA BI FIOA WITH HYOROCEPHALUS-——— —-——--74 ~ .0

SPINA BIFIOA WITliOUT HYOROCEPHALUS---——-———--——74l_9

CONGENITAL HYOROCEPHA LU3-————— —-—-———7 42

ANOMALIES OF H EART------———---——————————— 746.0- 746.9

OTHER ANOMAL lES OF CIRCULATORY SYSTE14-——---T747 O-747.9

ANOMALIES OF RESPIRATORY SVSTE14—— ————74&Q.749.9

CLEFT PALATE (WITHOUT CLEFT LIP)—--——- ——---749.0

CLEFT LIP (WITHOUT CLEFT PALATE I--——--—-——————— —749 .1

CLEFT PALATE WITH CLEFT LIP————-— ———749 .2,

ANOMALIES OF UPPER AL IMENTARV TRACT———— ——--750.1-750.8

ATRES IA ANO S7ENOS1 S OF RECTUM AND ANAL CANAL———----751.3

HYPOSPAD1 AS-——---—--———--—-—-—— ——752 .2

CLUBFOOT--— _-——_---—-----_-— -—754. 0-754.9

POLVOACTVLY---—-----———---———-—-—— 755.0

SYNOACTVLY-——--—————---——-—---—————————— ——755.1

REOUCT ION 0EFORM171ES, ALL LIMO S-——-——---—755 .2-755.4

O ISL OCAT IoN OF HIP—-—————— —------ ——----T55.6

OCWN~S DI SE AS E-—-—----—--—---—_—-———-------------,5~ .3

111~.1.fi!l ~~ooEs ~CES O~R _ ~~~ AND ~GRO<

IoWA

39, ;3

1,296.9

12

10

14

8

46

12

2:

2+

26

12

2:

63

15

14

10

14

20

37, B29

490

1,295.3

12

2:

63

11

14

1:

20

893

12

1,343.8

2

KANS.

32,120

158

491.9

7

2

6

6

4

4

6

1:

5

4

2

9

13

13

1

8

1

2

29,314

133

453.7

7

4

6

4

‘f

2

12

5

4

2

7

13

7

B

1

2,306

21

910.7

2

2

2

2

2

6

1

KY. Lh. MA lNE MD.

I

53,352 66,419

320 347

599.8 522.4

12 12

4

2$ 14

12

40 2:

6

2: 1:

6 6

16 12

4 10

2 12

18 32

34 2B

18 56

8 11

12 12

1: 2:

40,379 40,131

286 262

591.2 652.9

12 12

2

20 1:

12

38 2;

b

2

20 16

4

1: 8

4 10

2 12

16 2a

30 22

10 20

B a

12 12

6 6

10 22

4,722

32

677.7

2

2

2

4

0

4

26, 0:;

319.0

2

4

4

4

2

2

2

4

6

36

3

2

15,661

135

a62. o

5

3

3

1:

2

1

7

3

a

:

1!

5

2

B

5

11

15,439

132

855.0

;

3

3

13

2

+

3

a

:

1!

5

2

7

5

11

73

1

1,369.9

1

53,694

335

623.9

14

4

14

6

6

13

E

la

2:

42

6a

;;

6

10

39,536

209

52a.6

12

4

14

4

6

2

a

14

12

12

2

22

2a

a

12

6

6

a

13,209

112

847.9

2

2

4

2

4

6

6

::

2

A

HASS.

72,:;;

911.5

10

10

24

:

8

!:

22

22

67,0al

624

930.2

4

9

52

70

31

22

17

32

44

4

2

Pll CH.

140,792

1,402

995.8

43

a

54

21

az

20

11

46

42

6a

21

1::

169

201

39

30

2a

50

11.3,919

1,091

957. T

36

a

47

19

73

16

10

40

40

60

21

9

99

141

53

36

20

24

45

25,741

300

1,165.5

6

7

2

a

4

:

2

7

;

12

27

147

3

10

4

4

3A
‘rim, ,-...s --- 7.. I---- TVF RIRTHS . . . . mm . CONGENITAL -----------—ANOMALY -- RATES FOR ALL AKIMALIES COMBINED ANO LIVE BIRTHS uITH SELECTED CONGENITAL

ANOWAL [ES, BY RACE: 46 REPORTING STATES ANO THE OISTRICT OF COLUtl BIA, 1973 -CCN.

{ sEE HEAONOTE AT BEGINNING OF TA8LEI

CONGEN lTAL ANOMALY AND RACE1

TOTAL

ALL LIVE B 1 RTHS--——-——-———

LIVE BIRTHS h’lTH CONGENITAL ANoNALIE>—-- ——-.740_T59

CONGENITAL ANOMALY RATE—-- 740-759

LIVE BIRTHS WITH SELECTEO ANOMALIES:

ANENCEPHALUS———-————— -—740

SPINA BIFIOA HITH HYDROCEPHALUS——— ——--741.0

SPINA BIFIOA IAITHOUT HYDROCEPHALUS—-———— 7+1.9

CONGENITAL HYOROCEPHALUS—— 742

ANOHAL I ES OF HEART——-————— —7+6.0-746.9

OTHER ANOHAL IES OF CIRCULATORY SYSTEW- 7+7.0 -747.9

ANOHAL I ES OF RESPIRATORY SYSTEk———— —740.0-740.9

CLEFT PALATE (tAITHOUT CLEFT LIP) ——--— 749.0

CLEFT LIP I!41THOUT CLEFT PALATE I———— 749.1

CLEFT PALATE IAITH CLEFT LIP- ——--749 .2

ANOHALI ES OF UPPER ALIMENTARY TRACT——— 750.1 -750.8

ATRESIA ANO STENOSIS OF RECTUM ANO ANAL CANAL -——751.3

HYPOSPAOIAS——— ——— —752.2

c LUBFO07———--—--——————— —754.0-754.9

POLYOACTYLY——-————-—-—— —755 .0

SYNOAC7YLY-———-————— 755.1

REOUCTIOU 0EFORN171ES, ALL L 1M8S--———- —755.2-755. +

0 lSLOCAT ION OF HIP—-—-————— 755.6

00!4N* S OISEAS%—-- -759.3

WHITE

ALL LIVE BIRTHS— —-——-——

LIVE BIRTHS WITH CONGENITAL ANOMALIES——--- 7+0-759

cONGEN ITAL ANOMALY RATE-—- —--740-759

LIVE SIRTHS wITH SELECTEO ANOMALIES:

AN ENCEPHALUS———-—-————- —740

SPINA 81 FIOA HITH HYOROCEPHALUS— ——————7+1 .0

SPINA BI FIOA WITHOUT HYOROCEPHALU>—-- —-—---T4 1.9

CONGENITAL HYOROCEPHALUS——— T42

ANOUAL 1ES OF HEART-—-———— —-----746 .0-746.9

OTHER ANONALIES OF CIRCULATORY SYSTEM-—— ——747.0-747.9

ANO14ALI ES OF RESP IRATCRY SYSTEN——— 740.0-748.9

CLEFT PALA7E IHITHOUT CLEFT LIPl- 7+9 .0

CLEFT LIP IHITHOUT CLEFT PALATE l——-—-- 749.1

CLEFT PALATE UITH CLEF7 LIP——— 749.2

ANOMAL 1 ES OF UPPER AL IU EtATARY TRACT—— —750.1-750.8

ATRESIA ANO STENOSIS OF RECTUM ANO ANAL CANAL— —751.3

HYPOSPAOI AS——--——-——— 752.2

CLUB F007—-—-—-——-— 754.0-734.9

POLYOACTYLY—— —-—————-——— 755.0

SYNOACTYLY—-——————— —755. 1

REWCTILVA OEFORNITIES, ALL LINBS--— —755.2-755.4

O1SLOCATION OF HIP——— ———— ——755.6

OWIN, S 01 SE ASE————-— ——759 .3

NEGRO

ALL LIVE BIRTH3————

LIvE BIRTHS UITH CONGENITAL ANOMALIES ——740-759

CONGENITAL ANOMALY RA7E———- —--740-7 59

LIVE BIRTHS IAITH SELECTEO ANOMALIES:

ANENCEPHALUS——-——-——--————— —740

SPINA BIFIOA WITH HYOROCEPNALUS—--- --741.0

SPINA BIFIOA UIT143UT HYOROCEPHALUS——-—- T41.9

CONGEN 17AL HYDROC EP HA LUS—————— 7+2

ANOMALIES OF HEART———- --—7+6.0-746.9

OTHER ANOMALIES OF CIRCULATORY SYSTEN——— —747.0-747.9

ANOMALIES OF RESPIRATORY SYSTEM———— 748.0-748.9

CLEFT PALATE (IA ITNOUT CLEFT L1 P)--—— -7+9.0

CLEFT LIP !NITHOU7 CLEFT PALATE)—- —7+9 .1

CLEFT PALATE HITH CLEFT LIP————— ——7+9 .2

AtS3NALIES OF UPPER AL11SEN7ARY TRACT—-—— —750.1-750.8

ATRES 1A ANO S7ENOSIS OF RECTUM A NO ANAL CANAL—-— 751.3

HYPOSPAOI AS ——— —752.2

CLUBFOOT—-— — —75+.0-75+.9

POLYOkCTYLY-——-———-— -—755 .0

SYNOACTYLY——-——-———— 755.1

REOUCTION OEFORNITIES, ALL LI!IB3 753.2-755. +

01 SLOCATICt4 OF HIP-——---— ———755.6

OUdN” S OISEASE—-——— ——759 .3

lrl~~ll ~~~Es ~c2s o~~ ~N mIm ~Jj ~M.

UINN.

53,742

5B2

1,083.0

16

2

20

16

36

26

10

22

32

24

14

a

4a

58

22

26

12

12

40

51,675

542

1,048.9

16

2

20

&

24

8

20

32

24

12

6

48

54

:2

12

E

%6

18

1,902.7

4

;

4

2

!41ss.

+4, 582

317

711.0

2

1:

B

22

4

6

12

14

6

4

32

32

58

1:

2

8

23,161

193

833.3

4

a

4

18

4

2

8

12

6

4

24

22

8

4

6

2

6

21,109

124

587.4

2

6

4

4

4

4

2

1:

50

2

6

2

Ho.

68,874

666

967.0

12

9

26

12

+8

15

E

13

30

9

13

5B

77

69

::

E

57,314

513

895.1

12

8

24

11

41

.5

:!

13

24

1:

50

70

15

15

19

::

11,023

144

1,306.4

1

1

i

7

3

3

2

1

3

:

53

2

3

2

4

MONT.

11,3B3

110

966.4

6

1:

4

10

10

4

8

2

20

4

4

10,189

92

902.9

4

2

6

4

8

10

2

8

1:

4

4

68

2

2,941.2

NEBR.

22, B25

288

1,261. S!

6

6

3:

1:

10

12

20

6

6

22

36

22

4

6

12

21,369

270

1,263.5

6

6

4

36

1:

10

10

20

6

6

22

36

L4

4

6

12

1,069

16

L,496.7

2

2

8

NEV.

8,598

74

860.7

2

2

6

+

2

4

2

1:

12

:

2

7,192

52

723.0

2

2

6

2

2

4

2

10

2

2

2

1,012

18

1,778. T

2

2

10

2

N.H.

3

:

2

17

3

2

4

5

5

3

2

4

2

17

3

2

4

5

5

4

4

14

62

2

3,225.8

2

.

26
TABLE 2A. LIVE BIRTHS AND CONGENITAL ANOMALY R&TES FOR ALL ANOMALIES COME INED AND LIVE BIRTHS tAITH SELECTED CONGENITAL

ANOMALIES, BY RACE : 46 REPORTING STATES AND THE DISTRICT OF CDLUMBIA, 1973-CON.

[ SEE HEADNOTE AT BEGINNING OF TA3.LE)

CONGENITAL ANOMALY ANO RACE 1

TOTAL

ALL LIVE 8 I RTHS--—-------— -----—-----— —---——---

LIVE BIRTHS ‘dlTH CONGEN lTAL ANOMALIES--—-———--7 +O-759

CONGENITAL ANOMALY RA7E—— ————------———--740-759

LIvE BIRTHS WITH SELECTEO ANOMALIES:

ANENCEPHALUS--- —-----—-——-----—-—-- ——----740

SPINA B1F1OA HITH HYOROCEPHALUS---——-—— —-—741.0

SPINA 81 F1OA WlTHOUT HYOROCEPHALUS—--—---— ——-7+1 .9

CONGENITAL HYDROCEPHA LUS-———-— —-————742

ANo!4 AL 15S Ofi HE fiRT-—--—----——-————-74b. O-746.9

OTHER ANOUAL IES OF CIRCULATORY SYSTEM--—--—--747. o-747.9

ANOMALIES OF RESPIRATORY SYSTEM--——-—— 748.0-748.9

CLEFT PALATE (WITHOUT CLEFT LI Pl——-—-—--— ——-749 .0

CLEFT LIP IIAITHOUT CLEFT PALATE l-——-————-- 749.1

CLEFT PALATE WITH CLEFT LIP--——-—--—--- ———749 .2

ANOMALIES OF UPPER ALIMENTARY TRPCT-—-—-——750 .8-75O.8

ATRESIA ANO STENOSIS OF RECTUM ANO ANAL CANAL-———-751.3

HY POS PAOI AS—--—---—-——-— ——--———-——-752 .2

CL UBFOOT——----——-—------——-—-——754. 0-754.9

POLYOACTYLY-—-----—-- ------------------ 755.0

SYNDAC7YL Y-—--—-------— ——-—-— ——— -- 755.1

REOUCT ION DEFORMITIES, ALL L lMBS—-———-——755 .2-755.4

O ISLOCAT 10N OF HI ?--—--—-------—--—-——— —----755.6

0011N* S 01 SE AS E—--—————-———-—— ———759 .3

WHITE

ALL LIVE B1 R7HS---------—-———-—-—-———-----—--

LIVE BIRTHS WITH CONGENITAL ANOMALIE~-————759-759

CONGENITAL ANOMALY RATE-——- --——--740-7 59

LIVE BIR7HS WITH SELECTED ANOMALIES:

ANENCE PHAL US-——--——-—---—-—-— —------740

SPINA BIF1D4 WITH HYOROCEPHALUS———-——— —--741.0

SPINA 81 FIOA IA17HOU7 HYOROCEPHALUS-———---— -—---741 .9

CONGENITAL HYOROCEPHALUS--—---————-—— 742

ANOUAL 1 ES O F HEART-—-—-—---——-—-—-746. 0-746.9

OTHER ANOHAL lES OF CIRCULATORY SYSTEW--——— 747.0-747.9

ANOFiAL 1 ES OF RESP lRATORY SYSTEH-———-—— 748.0-740.9

CLEFT PALATE (wITHOUT CLEFT LX P) —--—-—--——--—749. O

CLEFT LIP (W lTHOUT CLEFT PALATE l————— -749.1

CLEFT PALATE IAITH CLEVT LIF-—--————— —-—749 .2

ANOUALIES OF UPPER AL IUENTARY 7RbCT—--—--7750 l-75O.8

ATRESIA ANO S7ENOS1 S UF REC’fUH ANO ANAL CANAL—-——--751.3

HYPOSPAOIAS——---—-———--—-——-—-—————— —752.2

CLUBFOOT— ——--—-———-—--——- 754.0- 754.9

POLYDAC7YLY—-—--—-———-———--———— 75!s.0

SYNDACTYLY— —-————-—--————— 755.1

REWCTION DEF0R!1171ES, ALL LIUBS— ——-——----755 .2-755.4

OISLOCATION OF HIP-—— ---—-—-——-—--——755 .6

DOWN* S D1 SE ASE-----——— --__-—--—— ——759 .3

NEGRO

ALL LIVE BIRTHS -—--—--—-—--—-———-——--

LIVE BIRTHS liITH CONGENITAL ANOMALI ES--—- —-—--74 o-759

CONGENITAL ANOMALY RAT E-————-——-— —740-159

LIVE BIRTHS WITH SELECTED ANOHALIES:

AN ENCEPHALUS—--—---—-—-—————— --—740

SPINA B1F1OA WITH HYOROCEPHALU3--——--——— —---741.0

SPINA BIFIOA UITHOUT HYOROCEPHALUS-————— 741.9

CONGENITAL HVOROCEPHALU ~--—--—-—— 742

ANOMALIES OF HE AR?-—-——-————-—------- 746.0 -746.9

OTHER ANOMALIES DF CIRCULATORY SYSTEW—— —--747. o-747.9

ANOMALIES OF RESPIRATORY SYSTEt4——--——— 74& O-74B .9

CLEFT PALATE (II ITHOUT CLEFT Ll P)--— ——-—-———749 .0

CLEFT LIP (WITHOUT CLEFT PALATE l-———— —-—749 .1

CLEFT PALATE UITH CLEFT LIP--———— ————--749 .2

ANOMALIES OF UPPER ALIMENTARY TRACT————— 750.1 -750.8

ATRESIA ANO STENOSIS OF RECTUM ANO ANAL CANAL——— --751.3

HYPOS PAOI AS-—-—-—---— —-—————— —--752 .2

CLUBFOOT——-----—-—--——— -———--754.0-754.9

POLYOACTYLY-—--—. -—-— —-—--— ——-—--755.0

SYNOACTYLY——-—--—----—----—-——— 755.1

REDUCTION DEFDRMITI ES, ALL L IMBS——-———————

o IsLOCAT 10N OF HIP-—--—

755.2-755.4

--—--———— -—--755 .6

00UN*S OISEASE-— -———-—— —--———759.3

18*mT~u ~~*~~ ~~~s ~~~ - ~~~ ~~ ~~~ -

N.J.

...

...

...

...

...

...

...

...

...

.. .

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

.. .

...

...

...

...

...

...

...

...

...

...

...

...

...

...

N. ME>

2D,841

241

1,156.4

4

6

6

4B

4

6

4

2

13

.s

6

19

11

2

1

8

6

17,460

163

933.6

4

6

4

28

2

6

4

1:

4

6

17

7

2

1

2

466

2

429.2

N.Y.

238,471

1,866

782.5

10

In

254

259

37

52

19

96

18;;%;;

765.5

46

18

72

27

66

37

20

4a

51

BO

44, g

881.4

4

2

1;

6

‘9

3

4

11

1

11

37

168

5

7

8

N.C.

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

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...

...

...

...

...

...

...

...

...

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...

...

...

...

...

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...

....

...

N. OAK.

9,702

100

1,030.7

2

2

10

8,961

98

1,093.6

6

2

6

:

10

20

6

10

10

104

oH1O

160,588

1,743

1 ,085.4

42

1+

70

36

116

36

23

66

z

33

38

162

242

118

50

60

30

70

13;:;:;

1,146.7

38

14

E

116

32

23

z

72

33

38

156

228

74ii

52

30

70

4

4

4

4

2

2

1:

42

6

8

OKLA.

40,778

195

4T12.2

4

2

10

2

14

4

8

5

6

B

4

9

16

20

18

14

6

4

16

33,::;

482.7

4

2

8

2

8

4

8

4

4

8

4

1:

14

14

10

6

4

12

4,01:

199.3

2

2

2

36
TABLE 2A. LIVE BIRTHS AND CONGENITAL ANOMALY RATES FOR ALL ANOMALIES COMBINED AND LIVE BIRTHS WITH SELECTED CONGENITAL

ANOMALIES, BY RACE: 46 REPORTING STATES ANO THE DISTRICT OF COLUNBIA, 1975--Cffl.

( sEE HEAONOTE AT BEGINNING OF TABLE)

CONGENITAL ANOMALY ANO RACE 1

TOTAL

ALL LIVE BIRTHS————-—— ——.-—.

LIVE BIRTHS HITH CONGEN lTAL ANOMALIES————--74D-755

CONGENITAL ANOtlALY RATE————— —-————. — 740-755

LIVE BIRTHS wITH SELECTEO ANOMALIES:

ANENCEPHALUS—-——————————————————— ——-—T4<

SPINA BIFIOA WITH HYOROCEPHALUS--———-—-- 741.C

SPINA BIFIOA IAITHOUT HYOROCEPHALUS—————— ———741 .!

CONGENITAL HYCROCEPHALUS————— —74i

ANOMAL 1 ES OF HEART———-—-———— 746.0 -7+6.<

OTHER ANOMALIES OF CIRCULATORY SYSTEIS————— 747. D-747.!

ANOMALIES GF RESPIRATORY SYSTEM ——748. 0-748.5

CLEFT PALATE [WITHOUT CLEFT LIP I —————749 .{

CLEFT L 1P CUITHOUT CLEFT PALATE l-— —749. )

CLEF7 PALATE WITH CLEFT LIP———— -—-—-——---749 . z

ANOMALIES OF UPPER AL lMENTARY TRACT——————— 750.1 -T50. f

ATRESIA ANO STENOSIS OF RECTUM ANO ANAL CANAL—-————— 751. ?

HY POS PAOI AS-—--—--———-- ——752.2

CLUBFOOT —-——-——-—-—-—-— 754. 0-7s4. 5

POLYOACTYLY-———----——---—————————— 755.C

sYNoAc7vLY——-— _- —--—-— __— T55. I

REDUCT 10N DEFORMITIES, ALL LIMBS——-—————— T55.2-755.4

01 SLOCA710N OF HIP-—-—— —.——-—— -T55. {

00dN~ S OISEASE-———-———— 759. ?

WHITE

ALL LIvE 61 RTHS——-—--———

LIVE BIRTHS MITH CON GEM ITAL ANOf4ALIES— T40-759

CCNGEN IT AL ANOMALY RATE————— —-740-75s

LIvE BIRTHS HITH SELECTEO ANOMALIES:

ANENCEPHALU S———————————— 740

SPINA BIFIOA HITH HYOROCEPHALUS——— —741.o

SPINA BI FIDA WITHOUT HYDROCEPHALUS—-————————————

CONGENITAL HYOROCEPHALUS——-

741.9

T42

ANOMALIES OF HE ART-————-—-- T4b. 13- T46. %

OTHER ANOMAL [ES OF CIRCULATORY SYSTEH-——————— T4T. O-T4T. s

ANOMALIES OF RESPIRATORY SYSTE~—-— 748.0 -748. s

CLEFT PALATE IWITHOUT CLEF7 LIPl-—— ———---749 . c

CLEFT LIP (bllTHOUT CLEFT PALATE)-—— ———749 .1

CLEFT PALATE wITH CLEFT LIP——--—— --749.2

ANoMALIES OF uPPER AL114ENTARY 7RACT—— 750.1 -750.8

ATRESIA ANO STENOSIS OF RECTUM ANO ANAL CANAL T51.3

HYPOSPADI AS— --—-——-——————— T52 .2

CLU8 FOOT——-—----—-—-——-——-— 754.0 -754.9

POLYOACTYLY-—-—-——-——————- 755.0

SYNOACTYLY--_—-————————_—————— 755.1

REDuCTION DEFORMITIES, ALL LIHBS- ————755 .2-T55. JI

O ISLOCAT ION OF HIP---— ——- 755.6

OCASN*S OISEAS%-—-—————-— -T59.3

NEGRO

ALL LIVE BIRTHS———-——-———————-

LIvE BIRTHS wITH CONGENITAL ANOMALIES— ——-- 740-759

CONGENITAL ANOMALY RATE-——— ——-—--740-T59

LIvE BIRTHS HITH SELECTED ANOMALIES:

ANENCE PHAL US—-—-——————————— ——740

SPINA BIFIOA wITH HYOROCEPHALUS ——————T41. O

SPINA BIFIDA HITFKMJ7 HYOROCEPHALUS—————— T41.9

CONGENITAL HYOROCEPHALUS-——-———— —7+2

ANOHAL I ES OF HE ART——-————-— 746.0 -746.9

OTHER ANOMALIES OF CIRCULATORY SYS7EM--—— 747.0 -747.9

ANOMALIES OF RESPIRATORY SYSTEN-——— ——74B. O-T4B.9

CLEFT PALATE IIEITH3UT CLEFT LI Pl— --749. D

CLEFT LIP [WITHOUT CLEFT PALATE)-—— --749.1

CLEFT PALATE WITH CLEFT LIP—---———— -—---749 .2

ANoMALIES OF UPPER ALIMENTARY TRACT——— -750.1 -T50.8

ATRESIA ANO STENOSIS OF RECTUM AND ANAL CANAL——————— -751.3

HYPoSPAD1 AS—-———— ——-752 .2

CLUBFOOT-—-—-—-——- —754.0-754.9

POLYOACTYLY-————-——-— ——755.0

SYNOACTYLY—--——-—— 755.1

REOUCTI~ DEFORMITIES, ALL LIMBS— —755 .2-755.4

DISLOCATION OF HIP-——— —— —755.6

OWN, S DISEASE--——-————------ —759.3

OREG.

30,8+5

304

985.6

6

2

12

It

12

2

12

14

2D

2

2:

38

16

12

4

4

12

29,371

2B0

953.3

6

2

12

16

10

2

12

14

16

2

2

24

34

16

10

4

4

B

614

4

651.5

2

2

PA.

152,741

1,212

T93.5

34

14

%

68

12

10

53

3B

63

M

30

92

173

112

22

30

21

30

132,497

1,02s

775.9

30

12

61

H

J

51

38

55

L4

2s

1;:

46

22

28

::

19,353

16S

86a. 1

4

2

2

6

2

4

2

k

2

2

22

64

2

2

R.I.

12,291

90

T32 .2

6

1

+

1

6

4

2

5

5

5

1

1:

4

7

:

2

4

11,4;;

743.9

6

:

i

+

2

5

5

5

1

2

11

4

5

$

2

4

664

4

602.4

1

2

S.c.

4T, 125

298

632.4

12

4

20

6

20

6

1:

2

18

+

1:

34

6+

2

6

*

6

2S,332

192

6T7.7

12

2%

1:

6

1:

2

16

2

+

::

6

2

4

4

6

18,523

106

572.3

2

2

8

2

2

5;

2

S. OAK

10,681

129

1,207.8

4

4

2

12

3

2

8

s

10

2

6

s

14

8

6

4

9,191

113

1,229.5

4

4

2

6

1

2

8

6

s

2

6

1:

6

6

4

59

TENN.

6+,135

388

605.0

1:

2B

8

18

8

10

10

16

6

a

26

60

42

14

14

2

14

49,809

334

67o.6

8

12

24

1:

s

10

10

16

6

8

26

54

28

12

10

1:

14,032

54

384.8

4

1;

4

TEX.

209,955

1,226

583.9

x

5s

38

116

12

;:

+0

86

2s

30

5+

14s

108

30

2+

24

5s

176,318

1,028

583.0

3+

28

52

34

102

12

20

44

34

74

28

26

52

126

42

24

24

24

52

32,:::

501.5

2

6

4

10

4

4

1;

4

2

20

6+

6

6

27
TABLE 2A. LIVE B lRTHS AND CONGENITAL ANOMALY RATES FnR ---- Al 1 ANnMA1 . ... ..- 1 GC ---------- rniInlNm .AN”.. 8. TV. ... ..,. .*. TLI. ,,,. ur’ru ... ,, ..+E’ECTED COMGEN~TA~

ANOMALIES, BY IIACE: 46 =EPORTiiG” :iATES ANO THE OISTRICT OF COLUMBIA, 1973--CON.

( SEE HEADNOTE AT BEGINNING OF TAOLEl

CONGENITAL ANOMALY ANO RACE]

TOTAL

ALL LIVE 8 I RTHS-—-------—---—------———---—--------

LIVE BIRTHS Ii lTH CONGENITAL ANOMALIES-----——-- 740-759

CDNGEN It AL ANOMALY RATE-—-——--——-------——--74o-759

LIVE BIRTHS !41TH SELECTEO ANOMALIES:

ANENcEpHAL uS—---—--—-----—---—-——--—————---740

SPINA BIFIOA tEITH HYOROCEPHALUS———--———-——----74I.O

SPINA 81 FIDA WITHOUT HYOROCEPHALUS———— -—--741 .9

CONGEN lTAL HVOROCEPHALUS---—---—-—-—————-—-—--7GZ

ANOUAL I ES D F HEART-—--—---—-----———— -746.0- 746.9

OTHER ANOUALIES OF CIRCULATORY SYS7EM———--747. G-747.9

ANOMALIES OF RESPIRATORY SYSTEM———---—-—-798 .0-748.9

CLEFT PALATE (U ITHOUT CLEFT L1 PI————--——-—---749. o

CLEFT LIP (h’lTHOUT CLEFT PALATE l-——-—-——--

CLEFT PALATE WITH CLEFT LIP-—--——--—------

749.1

——--749 .~

ANOMALIES OF UPPER AL U4ENTARY TRACT-—————7750 I-750. O

ATRESIA AND 57 ENOSIs OF RECTUM AND ANAL CANAL--——----7Sl.3

HYPOSPAOIAS—---—--——-——————-—— -—752. 2

CLUB FOOT —-——--—--——-—-— —-———------754. 0-754.9

POLY DACTYL Y—-—-----——----- ———--—————— ---755.0

syNoAcTyL Y——-——-—--—----—--———-—-—----755 .1

REOUCT KIN OEFORHITIES, ALL LIMB S——---—-—---755 .2-755.4

DISLOCATION OF HIP——————--—--——--—-————-755 .6

octiN, s or sEAs E---—--—-—-—---——.—— -—-—-——----759.3

WHITE

ALL LIVE 81 RTHS -------- — -------------

LIVE BIRTHS WITH CDNGEN ITAL ANOMALIES—--————74 O-759

CONGENITAL ANOMALY RAT E-—-—-——-------—-—-- 74o-759

LIVE BIRTHS klITH sELECTEO ANOMALIES:

AN ENCEPHALUS———--—--——-————-—-- ——---740

SPINA B1F1OA HITH HYOROCEPHALUS-——-———— ——741.0

S P lNA BI FIDA U ITHOUT HYTJROCEPHALUS——-——--—----T41. 9

CONGENITAL HYOROC EP HALUS—-—---—---——————-—--742

ANOMAL 1ES OF HE ART--—-—-—---—--————---746. 0-74.5.9

07 HER ANOFEALI ES OF CIRCULATORY SYSTEM--—--- 747.0 -?47.9

ANOMALIES OF RESPIRATORY SYSTEM—---—----——-94 13. O-74G.9

CLEFT PALATE IWITHOU7 CLEFT LI P)--——-—-—--- 749.0

CLEFT LIP [H ITHDUT CLEFT PALATE )--—--———-- 749.1

CLEFT PAL ATE UITH CLEFT L I P—-----—--—-—-— --749.2

ANOUAL lES OF uPPER ALIMENTARY TRAC7---------— 750.1 -750.8

ATRES 1A ANO STENOS1 S OF RECTUM AND ANAL CANAL——----?~I+3

HYPOS PAO I AS-———-— —— ___________

CLUB FDOT——---------——--- ———--—-—---TS+. O-T~I ~

P OLYDA COYLY-—-————--——---—— -—————---------

i

55.0

SYNDAC7YL Y-----—---———--—-—--—---—-—-—————— 55.1

REDUCT ION OEFORHITIES, ALL L lMBs-——--—-—-—755. 2-755.4

0 lSLOCAT 10N DF HIP---—-—---—--—--—- ‘—--755.6

DOH N~S OI SEAS S----——--—----———-—-- ——-—T59 .3

NEGRO

ALL LIVE B 1RTHS-—---—-—-—-——-—————---------

LIVE BIRTHS U It H CONGEN lTAL ANOMAL 1 Es—-—----—_--74o-759

CWGEN lTAL ANOUALY RATE—---—-----—-—--—__ 7+ O-7~9

LIVE BIRTHS HITH SE LECTEO ANOMALIES:

ANENC EPHAL US—-----—-—-------—-—————-—-—----.----T4O

SPINA 81 FIOA WITH HYOROCEPHALUS--- —————-—--74 1.0

S P i NA LII FIDA MI THDUT HYOROCEPHALUS—-—--— ——-—---741 .9

CONGENITAL HYCUOCEP HALUS———————— —-—-—---742

ANOUAL 1ES OF HE ART---— -—- —--————-—---746. 0-746.9

OTHER ANOMALIES OF CIRCULATORY SYSTEH---—-——L747 .9-747.9

ANO14AL 1ES OF RESPIRATORY SYSTEM-----——-————— —748. D-748.9

CLEPT PALATE (M ITHoUT CLEFT LX PI———--—--———--749. o

CLEFT LIP (u ITHDUT CLEF? PALATE l---——— —------749 .1

CLEFT PALATE WITH CLEFt LIP—------——--—-- —--749.2

ANOMALIES OF uPPER AL IUENTARV TRACT—---— —750. 1-730.8

ATRES 1A ANo STENQSr S OF RECTUM AND AKML CANAL-—-——--75L. Z

HYPoS P AOI AS---------—---—--—--—— ———--752 .2

CLU8FDOT—-——---—---—-—-—---- -—-—--— 754.0-7%.9

POLYOACTYLY-—--—--—----—----——---- —--T55. O

SYNOACTYL Y—--—---—---—-----. —-------- —--755.1

RE0uc7 roN 0EFORM171 Es, ALL L114BS-—-————------755. 2-755. +

OlSLOCA710N OF HIP---—---—------—----———— --755.6

OWN* S 01 SEAS E--——-——-————--------- —- —759.3

UTAH

2T,971

231

847. ?

2

e

3:

4

2

4

6

14

12

1:

16

26

4

16

27,142

214

788.4

2

6

6

34

4

2

4

4

14

12

2

::

10

4

16

118

6

5, D04.7

2

4

VT.

6, 75a

71

1,050.6

3

1

6

1

12

2

1

4

1

1

2

1

4

6

1

i

3

6

6,711

71

1,058.0

3

1

6

1

12

2

;

1

1

2

i

6

1

1

1

3

6

21

VA.

71,573

491

686.0

14

12

32

12

30

6

2:

14

26

6

10

35

:

16

4

2:

55,057

399

T24.7

lD

10

30

8

26

6

2:

10

24

6

8

31

62

22

16

4

1:

15, 5s2

90

577.6

4

2

4

4

4

2

4

2

2

4

6

28

2

HASH .

47,617

650

1,365.1

8

4

16

6

::

12

28

12

24

1:

40

48

26

14

20

14

26

43,309

564

1,296.3

6

1:

4

60

28

LO

24

12

20

2

10

38

46

16

14

16

14

26

1,653

52

3, 145.8

14

2

2

2

2

10

.

i+. VA.

27, 55S

234

849.1

10

4

12

1:

4

;:

14

lD

12

44

:

4

2

6

26,395

226

856.2

8

4

12

6

14

4

10

12

14

10

12

44

4

6

4

2

6

1,068

6

561.8

2

WI s.

62,754

626

991.5

E42

RI

14

12

8

so

58,148

582

1 ,000.9

16

2

32

6

60

16

x

28

14

14

22

42

74

14

14

a

3,723

34

913.2

2

4

2

6

6

4

2

UYO.

6,004

88

1,446.4

2

4

14

2

4

2

4

8

:

10

2

6

5,776

02

1,419.7

2

4

14

2

2

:

8

2

2

6

2

6

8T
TABLE 20. LIVE 8 IRTHS AND CONGENITAL ANOMALY RATES FOR ALL ANOMALIES COMBINED ANO LIVE BIRTHS W17H SELECTED CONGENITAL

ANOMALIES, BY RACE: 46 REPORTING STATES ANO THE DISTRICT OF” COLUMBIA, 197+

[BASED ON 100 PERCENT OF BIRTHS IN SELECTEO STATES AND ON A 50-PERCENT SAMPLE OF BIRTHS IN ALL OTHER STATES: SEE TECHNICAL APPENOIX.

REFERS ONLY TO BIRTHS OCCURRING WTHI N THE AREAS REPORTING CONGENITAL ANOMALIES TO RESIOENTS OF THESE AREAS. NUMBERS AFTER CONGENITAL ANOMALIES ARE CATEGORY NUMBERS OF TTiE EIGHTH REVISION INTERNATIONAL CLASSIFICATION OF OISEASES, AOAPTEO, 1965 (! COAl. RATES

ARE NUHBER OF LIvE BIRTHS HITH DESIGNATED ANCMALY PER 100,000 LIVE BIRTHS IN SPECIFIED GROUP.

PER 81RTH !41THIN ANY GROUPING OF ICOA CODES, THE BIRTH IS COUNTEO ONLY ONCE.

HHERE THERE IS MORE THAN ONE OEFECT

FOR COMPLETE CATEGORY TITLES, SEE TABLE 1A]

CONGEN lTAL ANOMALY AND RACE1

TOTAL

ALL LIVE B I RTHS—-—-—————————

LIVE BIRTHS WITH CONGENITAL ANO14ALIES—— —740-759

CONGENITAL ANOMALY RATE-—— ———------740-T 59

LIVE BIRTHS WITH SELECTEO ANOMALIES:

AN ENCEP HAL LIS-—————-————————-—-74O

SPINA BIFIDA HITH HYOROCEPHALUS——-— -741.0

SPINA BIFIDA WITHOUT HYOROCEPHALUS—————————— —-741 .9

CONGENITAL HYDROCEPHALU S-——— —T42

ANOMALIES OF HE ART---———-—-—-— —-7+6 .0-746.9

OTHER ANOMALIES OF CIRCULATORY SYSTE14——— 7+7. O-T47.9

ANOMALIES OF RESPIRATORY SVSTE14—— T+ B. D-748.9

CLEFT PALATE liJITHOUT CLEFT LIPl———-——- T49 .0

CLEFT L 1P IUITHOUT CLEFT PALATE)-—-—--—— -749.1

CLEFT PALATE WITH CLEFT L SP——-——-———- 749.2

ANOMALIES OF UPPER ALIMENTARY TRACT————710.1-T8 O.8

ATRESIA AND STENOSIS OF RECTUM AND ANAL CANAL—----- 751.3

HYPOSPADIAS —--———— ———-—75 2.2

CLUBFOOT—--——--—---———— -—754. O-T54.9

POLYOACTYLY—-——————-———-— —-755.0

sYNOACTYLY—-——--—-————— —755. 1

REOUCTION DEFORMITIES, ALL L 1!40S———-—-755.2-755.4

DISLOCATION OF HIP--——————-- 755.6

0C4LNt S DISEASE——--—————————— T59.3

UHITE

ALL LIVE B I RTHS--—----—-——-——————-

LIVE BIRTHS WITH CONGENITAL ANO14ALIES—-- —7+0-759

CONGEN lTAL ANOMALY RATE- ————- —740-T59

LIvE BIRTHS WITH SELECTED ANOMALIES:

AN ENCE PHAL US—----—-—-—-—--————— —-—740

SPINA BIF1OA WITH HYoROCEPHALUS————-—— -741.0

SPINA BIF1OA HITHOUT HYOROCEPHALU*———- 741.9

CONGENITAL HYOROCEPHALUS——— --—-—— —-742

ANOMALIES OF HEART---——-—-——— 746. O-T46.9

OTHER ANOHAL lES OF CIRCULATORY’ SYSTEH—-—--747. O-T47.9

ANOMALIES OF RESPIRATORY SYSTEM— 748. O-T48 .9

CLEFT PALATE [WITHOUT CLEFT LIPl—-——-— T49 .0

CLEFT LIP (tAITHOUT CLEFT PALATEl——-———- 749.1

CLEFT PALATE HITH CLEFT LIP————-—— -749.2

ANOHALIES OF UPPER ALIMENTARY TRACT—-——————— 750.1-750. B

ATRESIA ANO STENOSIS OF REC7U14 A NO ANAL CANAL— -T51 .3

HYPD SP AD 1 AS——-----—--—-———--—-——- 752.2

C LUBFOOT——-—-———--—--- ———-

POLYOACTYLY-————--——————

754.0 -754.9

——-—-————-755.0

SYNDACT FLY———-—--——---——-——— -755.1

REOUCTION DEFORMITIES, ALL LItSBS- ———-—755.2-755.4

DISLOCATION OF HIP--——— —-———-— 755.6

00dNI S 01 SE ASE--———--————— —T59.3

NEGRO

ALL LIVE BIRTHS-————————- —

LIVE 81RTHS WITH CONGENITAL ANOMALIES—- —740-T59

CONGEN lTAL ANOHALY RATE—————-— 740-T59

LIVE BIRTHS wITH SELECTEO ANOMALIES:

AN ENCEPHALUS—-——--—-—————-—-——

sPINA 81FIOA WITH HYOROCEPHALUS—

T4D

——--——-741 .0

SPINA BIF1OA WIT~UT HYOROCEPHALUS—————- 741.9

CONGENITAL HYOROCEPHALUS---—-— 742

ANOMALIES OF HEART———— 746.0-746.9

OTHER ANOMALIES OF CIRCULATORY SYSTEH-—— 747.0 -747.9

ANDMALIES OF RESPIRATORY SYSTEfl——— ——74B.o-T46.9

CLEFT PALATE (WITHOUT CLEFT LIP)— 749.0

CLEFT L 1P (tAITHOUT CLEFT PALATE )—-—- -749.1

CLEFT PALA7E WITH CLEF7 LIP—————-— 749.2

ANOMALIES OF UPPER ALIMENTARY TRACT—-— T50.1-750.8

ATREs IA ANO STENOSIS OF RECTUM ANO ANAL CANAL—--- 751.3

HYPOS PAOI AS-—---—----————- ————7 52.2

CLUBFOOT-——--—-—--——————— 754. O-T54.9

POLYOACTYLY— —-—— ———-—-———-----75 5.0

SYNOACTYLY————— -——----- 755.1

REDUCT ION DE FORMITI ES, ALL LIMB ~—-—755_75554.4

OISLOCAT IDN OF H 1P-—————-—--—— -755.6

OO#NC S OISEAS&—-———-—————— —759.3

1!!~mll ~=~~~ ~~~ ~~~ - ~~ ~ ~fJRo.

2,806,111

22, T67

811.3

576

238

1,034

458

1,796

527

262

84D

638

1,141

220

421

1,625

2,770

2,130

551

630

430

1,041

2,306,4B1

18,073

818.3

523

220

935

391

1,55B

462

235

734

572

990

199

3B0

1,462

2,444

885

5D4

530

3T6

962

426,982

3,081

721.6

33

14

82

59

134

44

14

74

39

93

21

31

133

254

1,202

34

al

2a

60

58* 50?

325

562.4

4

6

1.4

lC

4

6

10

lC

12

6

3a

40

71

1:

12

6

3avo31

210

552.2

2

6

12

4

4

2

a

10

12

4

2a

2a

B

1:

12

+

20,291

119

586.5

2

4

6

4

2

2

2

12

63

2

2

ALASKA

7,052

62

a79. I

2

2

4

2

2

4

4

2

10

8

4

4, 9B4

38

762.4

2

4

2

4

2

8

2

4

222

4

lvaol. a

2

ARIZ .

39,841

41 i

1,034.1

f

4

6

3C

2C

2:

lC

10

4

6

12

62

Z4

lC

4

Ic

18

33,658

306

909.1

8

4

6

20

la

6

ID

lD

8

2

6

12

6D

a

6

4

1:

1,727

16

926.5

2

+

2

4

ARK.

34,54:

24(

712.2

14

i

22

4

t

4

lC

1:

4

24

24

50

6

6

6

Z5,902

184

710.4

14

2:

4

6

4

10

6

10

4

22

20

14

4

4

2

8,510

60

705.1

2

2

2

4

36

2

2

4

CAL IF.

311,79[

2,496

800.5

7E

14

102

2fl

84

3$

124

1::

2C

40

154

25E

216

42

52

54

128

263,680

2,109

799.8

70

M

92

1:

70

35

110

54

116

12

44

134

234

116

::

1::

31,944

304

951.7

2

10

12

Is

12

14

2

la

:

::

100

6

:

COLO.

39,036

3ac

973.5

1

2

lC

3:

16

1:

15

11

4

11

21

36

28

13

14

6

15

36,657

341

930.2

7

2

10

a

54

15

4

9

12

10

1:

18

33

17

13

12

6

15

1,633

26

1,592.2

1

1

1

1

2

1:

2

C ONN.

36,741

254

69L.3

6

2

4

23

a

14

9

10

+

6

20

21

14

::

4

21

32,193

222

689.6

4

2

2:

6

10

9

10

2

6

20

19

2

12

12

2

21

4,154

2a

674. o

2

2

2

2

1:

2

89
TABLE 20. 11 VE B lRTHS AND CONGENITAL ANOMALY RATES FOR ALL ANUMALIES COMBINEO ANO LIVE B lRTHS WITH SELECTED CONGENITAL

.—

ANOMALIES, OY RACE: 46 REPORTING STATES AND THE DISTRICT OF COLUMBIA, 1974--CON.

( sE.!+ HEAONOTE AT BEGINNING OF TABLE I

CONGEN lTAL ANOMALY AND RACE1 DEL. D. C..

TOTAL

ALL L I VE S I RTHS--—--—--——--—-—------—-————

LIVE BIRTHS WITH CONGENITAL ANOMALIES-——-— —------740-759

CONGENITAL ANotl ALY RAT E--—-—-—----—--- —--—--74 O-7 59

LIVE BIRTHS wITH SELECTEO ANOMALIES:

ANENC EpHALUS--—-—--—----—-------_-__-—-—-——-7+o

SPINA BIFIOA wITH HYDROCEPHALUS—-—-———-——-—---741.O

SPINA B I F1OA 1AlTHOUT HYDROCEPHALUS------——--——-----741 .9

CONGEN lTAL HYDROC EP HA LUS—-—-----——-—— --—-742

ANOMAL I ES OF HEAR T---—---—-—- —--—-————-746.0 -746 .9

OTHER ANOMAL lES OF CIRCULATORY SYSTEM--—— —747. o-747.9

ANOMALIES OF RESPIRATORY SYSTEM—-—-—-——— 748.0- 768.9

CLEFT PALATE (IS17HOU7 CLEFT LI Pl--——---—---- 749.0

CLEFT LIP {U ITHOUT CLEFT PALATE I--——--—-——-—T+9.1

CLEFT PALATE UITH CLEFT LIP----—-————-—-—---T49.2

ANOMALIES OF UPPER ALIMENTARY 7RACT—— ---750. l-750. B

ATRESIA ANO STENOSIS OF RECTUM ANCI ANAL CANAL-— —T51.3

HYPOSPAO I AS--------—--—--—-—--———————-752 .2

C.LU8FOOT——----—-—— -—-—— ———--—-T54. D-754.9

POLY OACTYLY—--------——--—--—--—-—— —--755. o

SYNOACTYLY———————--————-—--— ---755.1

REDUCT ION DE FDRMITIES, ALL L lMBS-——-———---745 .2-755.4

O I SL OCAT 10N OF HIP-— —-—--------———-— ——---755 .6

O&ANs S D 1SE AS E-—-———-——-—-—————-759 .3

WHITE

ALL LIVE 81 RTHS---------—-—-— —-—- ——-—— --

LIVE BIRTHS WITH CDNGEN17AL ANOMALIES———---——--74 O-759

CO+AGENlTAL ANOMALY RAT E——--—--——-—---—-—--74 O-759

LIVE BIRTHS WITH SELECTED ANOMALIES:

AN EN CEPHALUS—-—--——-—---— —-—--——-—740

SPI NA B I F IOA W1TH HYORDC EPHb LUS—----——-———----74l .0

SPINA 81 FIOA WlTHOUT HYDROCEPHALUS--—-—--— ——-741 .9

CONGENITAL HYOROCEP HALUS--——-——— —————---T 42

ANOISAL 1 ES OF HEAR T------—----———-—-—------ 746.0 -746.9

OTHER ANOMALIES OF CIRCULATORY SYSTEt+——--- 747. O-76T.9

ANOMAL1 ES OF RESPIRATORY SYSTEM--——-——— 748.0-748.9

CLEF7 PALATE (IA17HOUT CLEFT LIPl—--————-——————— 749.0

CLEFT LIP lHITHOUT CL,?FT PALATE )-——-———-—-—--749. 1

CLEFT PALATE WITH CLEFT LIP----———-— --749.2

ANOMALIES OF UPPER ALIMENTARY TRACT————T5O. 1-750.8

ATRES IA ANO STENOS1 S OF RECTUM AND ANAL CANAL- ——75 1.3

14YPOS PAD I AS--—-----—--——--—---—--------———--752 .2

CLUBFOOT—-——--—-——---———————754.O-7%.9

POLY OACTYLY-——----— ---------———---—--—--- 755.0

SYNOACTYLY————-——-—— --—- ——-- 755.1

REOUCTION OEFORMITI ES, ALL L 1t4BS—-—————

O1SLOCATION OF HIP---——

755.2 -755.4

—---- —-— —-——--7 55.6

OOMNi S 01 SE AS E--—-—-——---—— --—--— —--759.3

NEGRO

ALL L 1 V E BI RTHS-----—---—-—-—-—-——-— ——---

LIVE BIRTHS tllTH CONGEN 17AL ANOMALI ES——-———--74O-759

CDNGEN IT AL ANOMALY RATE-—-— -- —-—---— —740-759

LIVE BIRTHS WITH SELECTED ANOHALIES:

AN ENCEPHALUS———-----—-—————— 740

SPINA BIFIOA HITH HYOROCEPHALUS—— ---—--—-—--7+ 1.0

SPINA BI FIDA W17HOUT HYOROCEPHALUS————— -—---7+1 .9

CONGEN lTAL HYDROCEP HALUS—--——--—--————--T42

ANOMAL 1ES DF HEART——--——-————-—-—-—746. 0-746.9

OTHER ANOMAL 1ES OF C lRC ULATORY SYSTEM-———---7+7 .0-747.9

ANOMALIES OF RESPIRATORY SYS7EM-——————-— 749. O-748.9

CLEFT PALATE [W17HOUT CLEFT LIPl---——— —---749 .0

CLEFT LIP tUITHOUT CLEFT PALA’FE)-—---—-———---749.1

CLEFT PALATE WITH CLEFT LIP-—-—-— ————-749 .2

ANOMAL 1ES DF UPPER AL Ill ENTARY TRAC T—-—— 750.1 -750.8

ATRESIA AND STENOSIS OF RECTUM AND ANAL CANAL ——-751.3

HY POSP AD 1AS-—-—---—--------—-——-—- ——---T52 .2

CLUB FODT—-—--—--—--—----—--—————754.G-754.9

PoLyoAcTyLY-__-__ --—---- _------—-——---—-—---75 5,.0

SYNOAC7YLY-——-——-—-——--—-——------ 755.1

RETHSCT ICW OEFDRMIT1 ES, ALL L lMBS—-—-——--755 .2-755.4

OISLOCATION OF HIP--—— -——_-—_——-- 755.6

OOti N* S 01 SE AS E--—-—-—-—— ——-——--- 759.3

8,250

42

508.6

2

2

2

2

4

6

4

4

z

2

6,398

30

468.9

2

2

2

2

2

4

2

2

:

1, T70

12

670.0

:

2

2

lD, D30

3e

378.9

2

2

4

4

4

B

14

1,310

6

458.0

2

2

8,601

28

325.5

2

2

2

4

2

1:

109,842

806

733. a

8

7

26

16

76

17

4

19

21

27

2

8

55

97

104

17

18

20

27

01,398

605

743.3

8

6

21

14

62

15

2

17

19

22

2

4:

80

2T

17

14

17

26

27,478

195

709.7

1

5

2

13

2

2

2

2

5

2

6

H

+

3

1

...

...

...

...

...

.. .

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

.. .

.. .

.. .

...

...

...

.. .

...

...

...

.. .

...

.. .

.. .

.. .

...

.. .

...

...

...

...

...

...

...

...

.. .

...

.. .

...

...

...

...

...

...

...

...

...

...

.. .

...

...

HAMAI I

15,503

154

993.4

10

2

6

2

14

12

12

B

12

:

14

16

2

4

2

6

4,211

36

854.9

6

2

2

2

4

8

2

4

2

2

2

4

298

4

1,342.3

2

10AHo

15,615

114

730.1

4

4

10

2

2

3

11

10

13

2

6

2

15,256

109

714.5

4

4

10

2

2

3

11

10

13

2

6

2

53

167,977

1,652

9a3.5

46

E

23

93

9

14

46

44

89

21

1::

207

186

49

53

44

9B

130,029

1,336

1,027;5

41

10

65

19

79

8

H

4D

81

20

32

118

181

62

48

45

42

92

35,054

296

B44.4

3

3

9

4

11

1

1

6

2

8

1

1:

24

124

5

4

...

...

.. .

...

...

...

...

...

...

...

.. .

...

...

...

...

...

...

...

...

...

...

...

...

.. .

...

...

...

...

...

...

.. .

...

...

...

...

.. .

.. .

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

.. .

...

.. .

lII~TKII INCC,LIDESSACKS OTHER TSAN WSITS ANO NEGRO.
TA8LE zB. LIVE s IRTHS AND CONGENITAL ANO14ALY RATES FOR ALL A)63MALIES COMBINED ANO LIVE BIRTHS !417H SELECTED CONGENITAL

ANOMALIES, BY RACE: 46 REPORTING STATE: ANO THE DISTRICT OF COLUH81A, 197+ -Cffl.

(SEE HEAONOTE AT BEGINNING OF TABLE)

CONGENITAL kNOUALY ANO RACE1

TOTAL

ALL LIVE BIRTHS-——-——— —.—-

LIVE BIRTHS blITH CONGENITAL ANO!IALIE% —-————740-75s

CW4GENITAL ANOMALY RATE _. ———-—.- 740-755

LIVE BIRTHS IIITH SELECTED ANONALIES:

AN ENCEPHALUS——-—————— ——T40

SPINA BIFIDA WITH HYDROCEPHALUS——-——-— —741 .0

SPINA BIFIOA IAITHOU7 HYOROCEPHALUS— —-74 1.9

CONGENITAL HYORDCEPHALUS ————742

AN IJMAL 1ES OF HEART—————— —746.0-746.9

OTHER ANoHAL IES OF CIRCULATORY SYSTEN-- ——747.0-747.9

ANOHALIES OF RESPIRATORY SYSTEM 748.0 -743.9

CLEFT PALATE IHITHOUT CLEFT L1 P)———— ———-749 .0

CLEFT LIP IUITHOUT CLEF? PALATEl——- ——749 . L

CLEFT PALATE UITH CLEFT LI-—— T49.2

ANOHALIES OF UPPER AL 118ENTARY TRACT— 750.1-750 .B

ATRESIA ANO STENDSIS OF RECTUH ANO ANAL CANAL——---751.3

HYPOSPADIAS—-—---————-— ——--—752 .2

CLUBFODT —--———— —— 754.0- 754.9

POLYOACTYLY————— —. —————755.0

SYNOACTYLY-———-— — —755. 1

REWCTION DEFORMITIES. ALL LIMBs——- ——755.2-755.4

oISLOCATION OF HIP-——— ——— -- 755.6

0011N~ S 01 SF ASE-——————--——-- ———759 .3

HHITE

ALL LIVE BIRTH S- ——-——

LIVE BIR7HS wITH CONGENITAL ANONALIES— ———— 740-759

CGVGENITAL ANOMALY RATE-—————-- —--760-759

LIVE BIRTHS UITH SELECTEO ANOMALIES:

AN ENCEPHALUS—-—-——--—- —740

SPINA BIF1OA UITH HYDRDCEPHALUS————-- —-741 .0

SPINA B1F1OA uITHOUT HYDROCEPHALUS-——-— ——7+1 .9

CONGENITAL HYOROCEP HAL US————-— 742

ANoMALIES OF HEART ———— —-— —7k6. O-7+6.q

OTHER ANOt4ALIES OF CIRCULATORY SYS7E14——-—--7747 O-747.9

ANOMALIES OF RESPIRATORY SYSTEN----——— 7+8.0-746.9

CLEFT PALATE {IA ITHOUT CLEFT LIPl—— ——7+9 .0

CLEFT LIP (141 THOUT CLEFT PALATE)-——-—— —--769. 1

CLEFT PALATE HITH CLEFT LIP———— 7+9.2

ANOMALIES OF UPPER ALIMENTARY TRACT-—— 750.1 -750.8

ATRESIA ANO ST3NOSIS OF REC7UM ANO ANAL CANAL —751.3

HYPOSPADIAS——-— -— —752-2

CLUB FOOT——---—-——-—-—-- —754.0-754.5

POLYOACTYL Y-——----—-—-— ——-———---755.0

SYNOACTYLY-—— _——— 755.1

REDUCT 10N OEFDRMITIES, ALL L1t4BS- 7’55.2-755.4

DISLOCATION OF HIP-———— ———755. 6

00UNC S 01 SEAS%----———— ———T59. 2

NEGRD

ALL L lVE 8 lRTHS-—---—-—-———————

LIVE BIRTHS WITH CONGENITAL ANOMALIES ————74 0-759

CONGEN lTAL ANOHALY RATE-———— ——74D-T59

LIVE BIRTHS WITH SELECTEO ANOMALIES:

ANENCEPHALUS—-—----—--———-- ——7+0

SPINA BIFIOA IIITH HYOROCEPHALUS--—— ——741 .0

SPINA BIFIOA HITHDUT HYOROCEPHALUS— —741.9

CONGENITAL HYOROCEP HALUS—- 742 -_——

ANO14AL I ES OF HEART--—— _-—-—— 746.0 -746.9

OTHER ANOHALIES OF CIRCULATORY SYSTE*— —747. 0-747.9

ANOMALIES OF RESPIRATORY SYSTE~ —7k B. O-74G.9

CLEFT PALATE (!41THOUT CLEFT LI P)—— 749.0

CLEFT LIP lHITIWUT CLEFT PALATEI— ——749. 1

CLEFT PALATE WITH CLEFT LIP————— -749.2

ANOHALIES OF UPPER ALIMENTARY TRACT— 750. l-;::::

ATRESIA ANO STENOS1 S OF RECTUM A NO ANAL CANAL

HYPOSPAOIAS—----——--— ———752 .2

cLuBFoo7-—————-— —75+.0-754.9

P OLY OACTYLY-——-——--— —755.0

SYNOACTYLY-———-—— —-—-—- ——-—755 .1

REOUCT ION OEFORHITIES, ALL LINOS—— T55.2-755.4

O1SLOCATION OF HIP————— —--755.6

ODNNg S OISEASE-—-—— —————-—— ———759.3

I lll~~lt ~N~~ES ~CES 0= ~ ~1~ ~ ~Ro.

IOHA

40,220

442

1,099.0

13

2:

9

29

7

5

21

7

24

11

9

40

56

21

16

10

26

12

39,136

428

1,093.6

13

2:

2:

6

2:

7

24

10

d

56

16

16

10

26

12

791

12

1,517.1

1

1

.1

5

KANS .

32,911

171

519.6

6

4

5

5

9

2

7

4

7

7

1:

5

20

6

1

3

:

29,949

161

537.6

:

4

;

$

4

7

7

2

10

5

20

3

:

2

7

2,399

8

333.5

1

3

KY.

53,171

378

710.9

12

6

28

14

34

2

4

14

14

20

8

30

42

22

16

+

2

22

48,391

344

710.9

12

2:

E

2

4

12

::

6

26

36

10

16

4

1:

4,539

34

7+9.1

2

2

2

*

6

12

+

LA. I HAINE

T

65,:: 15,11(

14

589.6 972.!

12

26 (

6

28 lf

2

4

8 (

14 (

26

8

10

12

66

50

6

18

2

14

39,918

296

741.5

10

20

2:

2

4

6

x

6

10

6

%

1:

1:

25,599

90

351.6

2

6

2

4

:

2

2

6

12

30

2

4

6

7

18

6

3

5

3

7

L4,95B

144

962.7

3

3

6

1:

8

5

6

6

5

2

6

6

17

5

5

4

3

1

36

5,555.:

1

1

1

MO.

53,448

222

415.4

6

1:

6

8

6

24

24

:;

1:

2

10

39,033

150

384.3

:

10

6

,8

6

1.3

22

20

14

1:

B

13,365

66

493. a

2

2

2

2

14

28

2

2

MASS.

70,071

662

944.8

13

12

26

16

71

13

12

14

z

10

;:

72

28

16

12

28

32

64,024

618

953.4

11

Y4

14

65

11

12

14

E

10

10

50

72

20

;:

::

4,306

38

882.5

2

2

2

6

2

6

b

6

HICH.

23

12

64

24

93

R

::

67

8

1::

188

151

35

24

27

60

19

10

61

22

84

lB

13

53

43

62

23,307

224

961.1

4

2

3

2

9

1

1

2

3

5

41
TABLE 2B. LIVE BIRTHS AND CONGENITAL ANOMALY RATES FOR ALL ANOMALIES COMBINEO AND LIVE BIRTHS HITH SELECTEO CONGENITAL

ANOMAL [ES , BY RACE: 46 REPORTING STATES AND THE OISTRICT OF COLUMBIA, 197k-CON.

ISEE HEAONOTE AT BEGINNING OF TABLE I

CONGENITAL ANOMALY AND RACE]

TOTAL

ALL L I VE 6 f RTHS-—--—-——----—-———_—-—-------

LIVE BIRTHS IIITH CONGENITAL ANoMALIEs ‘—-—--—-—--T 40-759

CONGENITAL ANOMALY RATE---—---—— —--———--740-759

LIVE BIRTHS WITH sELECTEO ANOMALIES:

ANENCEPHALUS—-—--——--——--——--—————

5PINA BI FIOA HITH HYDROCEPHALUS-———-————

—-—T40

—----74 1.0

SPINA B1 FIOA HITHOUT HYOROCEPHAL U+——————---7+I.9

CONGENITAL HYOR DC EP HA LUS—-——— ------- T42

ANOMAL I Es o F H EART.--—-——-——.._-—__.—____— 746. O- T46.9

OTHER ANOMAL lES OF CIRCULATORY SYSTEW——-—— 747.0-747.9

ANOMALIES OF RESPIRATORY SYSTEW--—-—-———---74 B. O-T@.9

CLEFT PALATE (WITHOUT CLEFT LIP)————

CLEFT L 1P IHITHOUT CLEFT PALATE]—_——-————

--749.0

—-—749 .1

CLEFT PALATE HITH CLEFT LIP--————-———— T49 .2

AliOMALIES OF UPPER AL IHENTARY TRACT——-—-— 750.1 -750.8

ATRESIA AND STENOSIS OF RECTUM ANO ANAL CANAL-——----T5L.3

HY POS PAD 1 AS-——-----—---———————--———--------752 .2

C LuB FOOT——-————--——-—-—-—— ------- —754.0-75+.9

POLYDACTYL Y----—--------—---———---.— ———-—-755.0

SYNOAC7YLY —- — --------------- ————755 .1

REOUCTION OEFORMITI ES, ALL LIMBS—— ————755 . 2-755. +

DISLOCATION OF H] P--—---—— ------ ‘--———---755 .6

L20HN* S 01 SE AS6-—-—--—--—-———————.————— —-———-759 .3

WHITE

ALL LIVE B I RTHs----———-————-——--

L lVE B lRTHS HITH CDNGEN ITAL ANOMALIES-——-———--74 O-759

CONGENITAL ANOMALY RATE-—--—— -————74 o-759

L lVE BIRTHS WITH SELECTEO ANOMALIES:

ANENCE PHAL US——-----—-———---————————— —-740

SPINA S1 FICIA WITH HYOROCEPHALUS-——-——————-74I.O

SPINA 81 FIDA WITHOUT HYOROCEPHALU3——————---7 +1.9

CONGENITAL HYOROCEPHALUS—-—--— —————----—742

ANOMALIES OF HEART——-——-- —-766 .0-746.9

OTHER ANOMAL 1ES OF CIRCULATORY SYSTEW--——————— 747.0-747.9

ANOMAL 1 ES OF RESPIRATORY SYSTEW—-——-——-74 B. G-TM .9

CLEFT PALATE IWITHOUT CLEFT LIPl ——-—-— ——749.0

CLEFT LIP (WITHOUT CLEFT PALATE I---——— --—749 .1

CLEFT PALATE iilTH CLEFT LIP-—---—— ——749 .2

ANOMALIES OF UPPER ALIMENTARY 7RACT——— —-750 .1-750.8

ATRESIA ANO STENOSIS OF RECTIJH ANO ANAL cANAL-_—---7t3I.3

HYPOSPAOI AS-—----—---——---- ‘—-——————-752 .2

CL UBFDDT--——-—--—-- ——----——-——— 754.0-7%.9

POLYOACTYLY-----—--—---——--———— ——-_-_---7 Ij .j -0

SYNOACTYLY---—-—-———--—-—--—-———---- ——755. 1

REC4JCTION DEFORMITIES, ALL LIfOJS-- ——-——75 5 .2-755. +

0 IsLocAT loN oF H1 p-——-—-----—-———-————T55 .6

DOHN* S DISEASE—--—--—— -——- ——-—759. 3

NEGRO

ALL LIVE BIRTHs————--———— —- ——— ----

LIVE BIRTHS WITH CONGENITAL ANOMALIES——--— —--740-759

coNGEN ITAL ANOMALY RATE-—-——-—-—_—___ --740-759

LIVE BIRTHS UITH SELECTED ANOMALIES:

AN ENC EPHAL U 3-—----—----—---—-———— ----------- 740

SPINA B1 FIDA HITH HYDROCEPHALUS—-—————-——--—74I.O

SPINA 81 FIOA WITHOUT HYDROCEPHALUS-——--—- ———741 .9

CONGEN lTAL HYOROC EP HJILUS----——-—--—-——-_ ._---742

ANOHAL 1ES OF HE ART——-———-———_--7b 6.o-7+6. g

OTHER ANOMAL lES OF CIRCULATORY SYSTEI.?—--—-—---749 .O-747.9

ANOMALIES OF RESPIRATORY SYSTEW-——-—— T48. O-74B .9

cLEFT pALA7E 1H17HOUT CLEFT LIPJ--———-—— -------- 749.0

CLEFT L 1P [bilTHOUT CLEFT PALATE )——-————--—7+9.1

CLEFT PALATE MITti CLEFT LIP—---——-————— —--T49 .2

ANOMALIES OF UPPER ALIMENTARY TRACT—---—— —750.1-750.8

ATRES 1A ANO STENOSIS OF RECTUIS ANO ANAL CANAL 751.3

$IYPOSPAOI AS—---------—--—-—-———— —752 .2

CLUBFOOT—-—---—-——---—- ————754. 0-734.9

POLY OACTYLY--------—----— —-——-—-———--- —---755 .0

SYNDACTYLY——-—-—--—---—-—— ——-—-—-----755. 1

REDUCT 10N OEFORMIT1 ES, ALL L lHBS--- ———--755 .2-755.4

D [SL OCAT 10N DF HIP-——---—---———.—-————.— --755.6

DCMN, S 01 SE AS E————--—-—_———— —--759.3

MI NN.

55,761

584

1,0+7.2

12

2

28

14

54

16

12

26

lB

22

B

4;

54

30

22

28

3:

53,599

550

1,041.1

10

2

2s

::

16

H

lB

22

8

6

40

E

22

22

3;

1,011

18

1,780.4

2

2

2

6

4

MISS.

44, 1D4

250

566.8

b

4

18

8

16

1:

B

16

8

26

4B

8

4

2

4

22,975

140

609.4

6

1:

J

1:

2

12

6

22

B

4

2

:

20,845

106

50B.5

2

6

4

4

2

4

4

2

4

40

4

2

MO.

69,616

615

883.4

15

7

39

14

44

10

2:

18

29

5

5

54

72

73

1:

12

24

58,231

491

843.2

13

6

35

3;

8

2;

;;

:

4T

60

23

1:

12

22

10,80B

120

1,110.3

2

:

5

9

1

1

2

2

6

12

50

5

1

MONT.

12,264

107

872.5

1

1

2

1

10

2

+

3

5

5

:;

9

1

3

3

11,067

99

894.6

1

1

;

:

4

3

5

5

12

11

7

;

3

60

I

NEBR.

23,707

227

957.5

5

6

6

20

8

6

5

6

9

2

5

24

21

18

10

7

7

14

22,332

210

940.4

1;

1,015

15

1,472. C

1

1

5

1

NE V.

8,966

110

1,226.9

2

10

4

10

6

2

6

6

2:

2

2

6

2

2

7,618

90

l, IB1.4

2

6

4

8

6

2

4

4

18

2

2

6

2

2

974

14

1,437.4

4

2

2

2

4

-,

W. H.

11,64D

‘799%

4

7

1;

3

2

1

2

4

1

3

7

11

1

3

1

3

7

11,522

93

807.2

4

7

4

11

3

2

1

2

4

1

3

7

11

1

3

1

:

57

42
TABLE 2B. LIVE 8 IRTHS AND CONGENITAL ANoMALY RATES FOR ALL AKOMALIES CO1481NE0 ANO LIVE BIRTHS 1417W SELECTED CONGENITAL

ANOMALIES, BY RACE: 46 REPORTING STATES AND THE DISTRICT OF COLUMBIA, 197+-CON.

( sEE HEADNOTE AT BEGINNING OF TA8LE)

CONGENITAL ANOM4LY AND RACE1

TOTAL

ALL L I VE BI RTHS-———-—-—-—-—————--—-

LIVE BIRTHS klITH CONGENITAL ANOMALIES —740-7s9

CONGENITAL ANOMALY RATE ———-_-— ___ —740-759

LIVE BIRTHS wITH SELECTED ANOMALIES:

ANENCEPHALUS—-— -—-—-—--—-—

SPINA 81FIOA IIITH HYOROCEPHALUS-—-

-—740

--741.0

SPINA BI FIOA LIITHOUT HYDROCEPHALU3————————— —-741 .9

CONGENITAL HYOROCEPHALUS—-————— 742

ANOMALIES OF HEART——--——--——— 746.0 -746.9

OTHER ANOMALIES OF CIRCULATORY SYSTEM——-——O4747-947.9

ANOMALIES OF RESPIRATORY SYSTE14————————— 748.0-746.9

CLEFT PALATE (WITHOUT CLEFT LI P)—— ———749.0

CLEFT LIP lUITHOUT CLEFT PALATE)-———— --749.1

CLEFT PALATE 161TH CLEFT LIP-——— T49 .2

ANOMALIES OF UPPER AL I14ENTARY TRACT——--- —750.1-750.8

ATRESIA AND STENOSIS OF RECTUM ANO ANAL CANAL ———,51. ~

HY POS PAD I AS-—---————--—-—— 752.2

CLUBFOOT——---—-——-——-—— 754.0-754.9

PCLYOAC7YLY—-—-—-————— -—755.0

SYNOACTYLY—-——————— 755.1

REWCTION DEFORMITIES, ALL LIUBS-—-——— —755.2-755.4

0 ISLOCAT 10N OF HIP-——-——-———— —755.6

OOWN- S 01 SE AS E———----— —759.3

WHITE

ALL LIVE B I RTHS—-——-———————

LIVE BIRTHS WITH CONGENIAL ANO14ALIES ———--740-7 59

CONGENITAL ANOMALY RATE————- 740-759

LIvE BIRTHS WITH SELECTEO ANOMALIES:

ANENCEPHALUS———— ——740

SPINA BIFIDA WITH HYOROCEPHALUSSplNA BIF1OA WITHOU7 HYOROCEPHALU~

———74 1.0

-T41.9

CONGENITAL HYOROCEPHALUS-—-—— -—742

hNOMAL 1 ES O F HEART--—-——--—— 766.0-746.9

OTHER ANONAL IES OF C lRC ULATORY SYSTEl+-—— 747.0-747.9

ANOt4ALIES OF RESPIRATORY SYSTEW-- 748.0-74S.9

CLEFT PALATE [WITHOUT CLEFT LX Pl -- —749.0

CLEFT LIP IWITHOUT CLEFT PALATEl —— —749.1

CLEFT PALATE wITH CLEFT LIP————— —149.2

ANOMALIES OF UP? ER AL N4ENTARY 7RACT— ——750. 1-750. B

ATRES IA AND STENOSIS OF RECTUM A NO ANAL CANAL— —75L.3

HYPOSPAOIAS-—-—-----— —752.2

CLU8FOOT— --—-_ —____ —754.0-7%.9

POLYOACTYLY-———————---— ——755 .0

SY NOACTYLY—————————— 755.1

REWCT IDN DEFORMITIES, ALL LIMBS-——— 755.2 -755.4

0 lSLOCAT ION OF HI P-————--—-——— 755.6

DGWNI S OISEAS+—-——— 759.3

NEGRO

ALL LIVE 81 RTHS-—-————————— -----------

LIVE BIRTHS WITH CONGENITAL ANOMALIES—-—-- 740-759

C CNGEN IT AL ANONALY RATE—————- —-740-759

LIVE BIRTHS WITH SELECTEO ANOMALIES:

AN ENCEPHALUS—-——-————-------

Spl NA 81 FIOA IE17H HYOROCEPHALUS

7+0

-—————741 .0

SPINA BIFIOA UITHOUT HYOROCEPHALU3————————— -761.9

CONGENITAL HYOROCEP HALUS———— 742

ANOMALIES OF HEAR? ‘-———-—-------746. 0-746.9

OTHER ANOMALIES OF CIRCULATORY SYSTEM- 747. o-74T.9

ANOMALIES’ OF RESPIRATORY SYSTEM————— 740.0-74s.9

CLEFT PALATE (W ITHOU7 CLEFT LI P)--——— ——749 .0

CLEFT LIP [161 THOU7 CLEFT PALATE l————-—— —749.1

CLEFT PALATE HITH CLEFT LIP—————— -749.2

ANOMAL 1 ES OF UPPER ALIMENTARY TRACT——-- —750.1-750 .8

ATREsl A ANo STENOSIS OF RECTUM AND ANAL CANAL ——751.3

HYPOSPADI AS—-——- 752.2

CLUBFOOT—-—-—-———-— 754.0 -734.9

POLYDACTYLY————-———— -755.0

SYNOACTYLY——————— ——--755 .1

REWCT ION OEFORNITIES, ALL LIMBS—- 755.2 -755.4

DISLOCATION OF HIP-———— —-—-— 755.6

D D#Ns S 01 SE USE—--——————_ —-759.3

ll,m~tl ~~~Es RACES O’2SER TNAN ~1~ m ~~ .

N.J.

..

...

...

...

..<

..!

..<

..<

. . .

..<

..4

..!

. . .

. . .

. . .

. . .

. . .

. . .

..<

. . .

. . .

. . .

. . .

. . .

. . .

..4

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

N. ME)

21,311

4 Id

1, 942.?

4

1(

16(

II

li

lt

z

4

3:

(

4

4

1;

1(

17,873

266

1,488.3

4

lC

llC

lC

2

1;

4

2

4

34

4

4

2

6

8

487

4

821.4

2

2

N.Y.

239, 11;

1,725

721.4

35

15

al

3e

71

43

2[

41

+1

82

1:

38

136

205

242

53

69

2C

95

lae, 812

1,328

703.3

35

14

71

33

62

42

;:

+3

T5

12

1:!

170

86

46

55

19

88

45,376

355

782.4

:

:

1

5

4

2

5

3

8

21

34

153

1:

5

N.C.

...

...

...

...

. ..

...

...

...

...

.. .

...

...

...

...

...

...

...

...

..-

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

.. .

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

.. .

...

...

...

...

N. OAK

9,970

120

1,203.6

4

4

2

la

s

8

4

2

2

24

2

4

2

2

14

9,155

110

1,201.5

4

4

2

lB

8

8

4

2

20

2

4

2

12

94

OH1O

160,15!

1,577

984. t

4[

14

5,

4f

loi

42

;:

4

5:

2(

22

I?t

215

1u

Zt

3(

24

44

138,558

1,+15

1,021.2

38

12

:

92

4C

14

52

42

54

20

1%

209

52

26

::

40

20,448

156

762.9

2

1;

2

4

2

4

10

E

:

4

OKLA.

42,+46

316

744.5

6

2:

4

18

10

6

8

18

28

8

s

16

29

16

6

lB

6

16

34,723

228

656.6

4

1

22

1:

B

4

2

16

16

4

1:

17

12

6

16

16

4,141

26

627.9

2

.

.

.

2

2

4

k

4

2

4s
TABLE 20. LIVE 0 lRTHS ANO CONGENITAL ANOMALY RATES FOR ALL ANOMALIES COMBINED ANO LIVE B lRTHS WITH SELECTED CONGENITAL

ANOMALIES, BY RACE: 46 REPORTING STATES AND THE OISTRICT OF COLUHBIA, 1974--CON.

( sEE HEAONOTE AT BEGINNING OF TABLE I

CONGENITAL ANOMALY AND RACE1

ToTAL

ALL L 1VE BI RTP3-----—-—----—------—-—————-——--

L lVE BIRTHS WITH CONGEN ITAL ANoMALIEs--—--———--74 o-759

CONGEN 1T AL ANOMALY RATE--—------—-—-—-——— --740-759

LIVE BIRTHS I117H SELECTED ANOMALIES:

AN ENC EPHAL US——----—-—-—--- ——-—--— ——-—740

SPINh BIFIOA U17H HYORDCEPHALUS--—-— ———-—---741 .0

SPINA 81 FIOA H ITHOUT HYOROCEPHALUS--——---—-—---741.9

C.ONGEN IT AL HYDR OCEPHALUS—-—--————————-—---742

ANOMAL I ES O F HEAR T-----—--—---———-— —746. O-746.9

OTHER ANOMALIES OF CIRCULATORY SYSTEM—-—-——-747 .0-747.9

ANOMALIES OF RESP1RA70RY SYSTEM ‘——----——748 .0-748.9

CLEFT PALA7E {!4 lTHOUT CLEFT L 1 P)--——-—--——-——749. O

CLEFT L 1P IHITHOUT CLEFT PALATE]——-—--——————— --749.1

CLEFT PAL ATE M1TH CLEFT L 1P————--—-—-———--749 .2

ANOMALIES OF UPPER AL I14ENTARY TRACT-----—-— 750.1 -750.8

AT RESIA ANO STENOSIS OF RECTUM A NO ANAL CAN AL-——----751.3

HYPOS PAO1 AS-—---— -—_- —-. —-—_ ——_- 752.2

CLUB FOOT ——------—--—-—----—---————754. 0-754.9

POLY DACTYLY-—-—---—--——----———---——--- 755.0

SYNDAC7YLY-—-————-——-—---————-—- 755.1

RE0UC710N DEFORMITIES, ALL L IMOS—-—--——---745 .2-755.4

D ISLOCAT ION OF H I P---——--—--------—-—--—--755 .6

DOHN ~S 01 SE AS E-—--—--—-—---------———————-T59 .3

WHITE

ALL L 1VE S1 RTHS--------—--———-————----------

LIVE BIRTHS WITH CONGENITAL ANOHALIES——-———--74 O-759

CONGEN lTAL ANOMALY RATE——-—--——--——--74 O-759

LIVE BIRTHS WITH SELECTED ANOMALIES:

AN ENCEPHALUS—-——-—-———-——— ———-—-—T40

SPINA B1 FIOb WITH HYOROCEPHALUS-——— —————-—— -- 74 ~ .0

SPINA BIFIOA 141THOU7 HYOROCEPHALUS---——-—-- 741.9

CONGEN lTAL HYDROC EP HALUS—-—---— -——————T42

ANOMAL 1 ES OF HEART-——-——---———————— 746.0 -746.9

OTHER ANOMALIES OF C lRC ULATORY SYSTEW--—--—--747. O-T47 .9

ANOMALIES OF RESP lRATORY SYS7EM-———-——-748 .O-748.9

CLEFT PALATE (1417wJUT CLEFT LIPl ——— —-——-—----749 .0

CLEFT LIP (U ITHOUT CLEFT PALATE)-—-—--—- ——---749 .1

CLEFT PbLA7E HITH CLEFT LIP————-—-—-— —---749 .2

ANO!4AL 1ES OF UPPER AL 114ENTARY TR ACT—--——- 750.1 -750.8

ATRES 1A AND STENUSIS OF RECIUM A NO ANAL CANAL-——----751.3

HYPOSPAD 1AS—-—----———------——— —-——--7 52.2

CLUB FOOT ——----——---———--————-— 754. o-7% .9

POLYOACTYLY-—--—--—-——--——— ————---755.0

SYNDACTYLY--—--—--—--- —---—————— _____ 755.1

REWCT 10N DEFORMITIES, ALL L 1f40S-—---———--T45 .2-755.4

OISL oCAT ION OF HIP---— -—-———-------——---755 .6

OCUN , S 01 SE ASE-—-—-——-————— ———759 .3

NEGRO

ALL LIVE BIRTHS--—-----—--- _—-—-——— —-—-—

LIVE 61 RTHS HITH CONGEN lTAL ANOMALI ES——— ———---740-759

C ONGEN lTAL ANOMALY RATE------—— ——-——740-759

LIVE BIRTHS WITH SE LECTEO ANOMALIES:

ANENC EP HAL us——----—---——-—--————---- 740

SPINA BIFIOA UITH HYDROCEPHALUS-—-—-————--741.O

SPINA BIF1OA ki17H0UT HYOROCEPHALUS————--———---741.9

CONGENITAL HYOROCEPHA LU3--—-——-———-—— —-——742

ANOMALIES OF HEART-—--——----—-————746 .O-746,9

OTHER ANOMALIES OF CIRCULATORY sYS7EM--———-7747 O-747.9

ANOMALIES OF RE SP [RATOR Y SYSTEt4-——-———————— 748.0 -740.9

CLEFT PALATE (wITHOUT CLEFT LIP) ———-———---749 .0

CLEFT LIP IUITHOUT CLEFT PALA7El—-—--——-—- 749.1

CLEFT PAL ATE U lTH CLEFT L 1P-—----———--———-749. 2

ANOMALIES OF UPPER AL lMENTARY TRACT———— 750.1 -750.8

ATRESIA ANO STENDSI S OF RECTUM A NO ANAL CANAL ——751.3

HYPOSPAO1 AS-—---—-----—-————-—--————752 .2

C LUO FOOT——--—-----— —————— 754.0- 754.9

POLYOAC7YLY—-—-—-——-----—-———-——. 755.0

SVNDACTYLV— —————-—--—-——- 755.1

iiEWCTION DEFORMITIES, ALL LIMB S-——-— —755.2-7<5. +

OISLOCATION OF HIP-—— ---- ——-—-——-- 755.6

OOdNI S OISEASE----—-———-—— —-———--759.3

OREG.

32,519

293

901.0

12

4

a

3

22

10

4

8

10

15

7

5

30

36

lG

7

12

5

11

3D ,829

280

900.2

12

+

B

3

21

10

4

8

10

14

7

3:

34

15

7

11

1?

708

8

1,129.9

1

3

PA.

150,801

1, 10C

729.4

34

B

62

22

64

16

4

40

34

53

2

22

1::

108

26

38

12

53

131,679

910

691.1

30

8

54

20

62

12

2

36

2a

45

2

20

6B

160

36

20

32

12

49

18, 22G

186

1,020.4

4

8

2

2

4

2

4

6

8

2

2:

72

4

6

4

R.1.

11,386

61

535.7

1

5

2

3

1

1

1

4

2

2

6

4

1

4

5

1

10,638

59

554.6

i

2

3

1

1

1

4

2

2

6

4

1

4

4

1

587

1

17D.4

S.c.

46,526

277

595.4

9

2:

1:

2

2

16

9

13

1

3

;:

46

4

12

1

14

2G,013

176

628.3

7

4

14

3

11

2

14

6

11

1

d

24

7

1

6

11

18,1G2

100

550.0

2

6

3

4

2

2

3

1

2

3

7

39

3

6

:

S. DAK

11,185

171

1,528.8

2

2

1

12

2

4

8

8

14

4

;;

14

2

G

9

9,704

139

1,432.4

4

2

1

12

2

6

8

6

4

11

13

12

2

8

7

41

TENN.

63,965

340

531.5

8

12

20

1:

10

8

6

lG

12

10

B

22

70

26

6

4

4

14

49,979

284

560.2

8

12

20

2

14

8

8

4

14

12

10

8

22

62

8

4

4

1:

13,662

54

395.3

2

2

2

2

B

18

2

TEX.

——

211,007

1,3D1

616.6

34

34

69

34

%

K

20

96

8

34

1::

126

32

54

14

60

17B,041

1,135

637.5

30

32

67

32

80

18

14

44

18

88

6

30

1::

68

26

44

;:

31,540

162

513.6

4

2

2

2

4

4

6

:

2

4

6

12

5B

1:

2

6
TABLE 29. LIVE BIRTHS AND CONGENITAL ANOHdLY RATES FOR ALL AMIMALIES COMBINED ANO LIVE BIRTHS 141TH SELECTEO CONGENITAL

ANOHALIES, BY RACE: 46 REPORTING STATES ANO THE DISTRICT DF COLUMBIA, 1974--CON.

( sEE HEAOtiOTE AT BEGINNING OF TABLE)

CONGENITAL ANOMALY ANO RACE1

TOTAL

ALL LIVE 01 RTHS——————————

LIVE 81RTHS HITH CONGENITAL ANO14ALIES-————— ?40-759

C~GEN IT AL ANOMALY RATE-——————————— 740-759

LIVE BIRTHS WITH SELECTEO ANOMALIES:

ANENCEPHALUS—- ————— ——740

SPINA BIFIOA UITH .HYOROCEPHALUS--—— ———741 .0

SPINA BIFIOA WITtA2UT HYOROCEPHALUS——————————— —741.9

CONGENITAL HYDROC EP HALUS—— —742

ANOMALIES OF HEART—-————-—-—— 746.o-7#.9

oTHER ANOMALIES OF CIRCULATORY SYSTEM—— 747.0-747.9

ANOMALIES OF RESPIRATORY SYSTEN———-—— 748.0 -749.9

CLEFT PALATE [WITHOUT CLEFT LIPl— 749.0

CLEFT LIP lHITHOUT CLEFT PALATE )-- —- 749.1

CLEFT PALATE MITH CLEFT LI~ 749.2

ANOUALIES OF UPPER AL IHENTARY TRACT-- 750.1 -750.8

ATRESIA ANO STENOSIS OF RECTUM ANo ANAL CANAL —751.3

HYPOSPAOIAS— ---———————— 752.2

CLUB FOOT————————--———————— 754.0 -754.9

PCLYOACTYLY———————— 755.0

SYNOACTYLY————-— 755.1

REDUCTION OEFORHITIES, ALL LIH02--- 755.2-155.4

DISLOCATION OF HIP-———-— —-755.6

DCA6NSS DISEASE——--- 759.3

WHITE

ALL LIVE 01 RTHS--—-———————

LIVE BIRTHS IIITH CONGENITAL ANOHALIE+——— 740-759

CCNGEN lTAL ANOMALY RATE—— —-—-—--7+ o-759

LIVE BIRTHS WITH SELECTEO ANOMALIES:

AN ENCEPHALUS——--———— ——740

SPINA BIFIOA H17H HYOROCEPHALU~—--74 O.O

SPINA BIFIOA UITNOUT HYDROCEPHALUS——-——— 741.9

CONGENITAL HYOROCEPHALUS———— —742

ANOMALIES OF HEART—— —--—-——— 746.0 -746.9

OTHER ANOHALIES OF CIRCULATORY SYSTE+— —7+7. D-747.9

ANOMALIES OF RESPIRATORY SYSTEM——-— 748.0-748.9

,CLEFT PALATE (u1T143UT CLEF7 LIPI 749.0

CLEFT LIP (NITHOU7 CLEFT PALATE)-—- 749.1

CLEFT PALATE HITH CLEFT LIP—————— 749.2

ANOMAL1 ES OF UPPER AL 1!4ENTARY TRACT-——— —750. 1-750.8

ATRESIA ANLl STENOSIS OF RECTUM AND ANAL CANAL—- 751.3

HYPOSPAOIAS—-———- 752.2

CLUBFOOT-———--—————— 754-0 -754.9

POLYOACTYLY ——— .——— _- 755.0

SYNOACTYLY—————-—— -755.5,

REOUCTION OEFORMITIES, ALL LIHBS— 755.2-755.4

DISLOCATION OF HIP-———--— —T55.6

OWINI S OISEASE————-—-—— —---759.3

ALL LIVE BIRTH3-———

LIVE BIRTHS HITH CONGENITAL ANO14ALIES—— ——741J-759

C fflGEN lTAL ANOMALY RATE———— ——-7+ *,5 9

LIVE BIRTHS IAITH SELECTEO ANOMALIES:

AN ENCEPHALUS———-——————— ——740

SPINA 81 FIOA WITH HYOROCEPHALUS——— 741.0

SPINA BIF1OA HITHfXIT HYOROCEPHALUS—— —-741.9

CONGENITAL HYOROC EP HALUS--——— 742

ANOMALIES OF H EART-————-——— 746.0-746.9

OTHER ANOMALIES OF CIRCULATORY SYSTEl+———— 747.0 -747.9

ANOMALIES OF RESPIRATORY SYS7EN-——— 740.0-742.9

CLEFT PALATE lUITtKN2T CLEFT LI PI —749 .0

CLEFT L 1P (U ITHOUT CLEFT PALATEl —— 749.1

CLEFT PALATE WITH CLEFT LIx——————-— —749.2

ANOHAL 1ES OF UPPER AL HSENTARY TRACT—— -—-—750. 1-750.8

ATRES 1A ANO STENOSIS OF RECTUM ANO ANAL CANAL— 751.3

HYPOSPADI AS--————— ——752.2

CLLNSFOOT—-————-———-—-—— 75+.0 -754.9

POLYOACTYLY——-—-—-— ————755 .0

SYNOACTYLY--——————— 755.1

REOUCTIDN DEFORMITIES, ALL LIMBS 755.2-755. +

DISLOCATION DF HIP--———-- —755.6

CWINS S DISEASE——-———— ———759.3

UTAH

29,96(

24!

817. f

4

:

le

la

14

A

2

t

14

29,03t

234

805.9

2

4

0

2

12

2

16

4

1:

18

10

4

2

6

14

136

VT.

6,881

62

914. f

4

i

2

s

1

2

4

I

:

1

1

3

6,841

62

905.5

4

2

3

9

1

4

2

4

1

5

3

1

1

3

13

VA.

70,721

522

738.C

22

8

+0

2:

4

2

26

14

22

2

18

4D

5a

60

16

10

6

36

54,032

406

751.4

22

8

3’5

2:

4

2

24

10

18

1:

32

56

16

14

10

3:

15,655

10’s

6.99.9

2

2

+

2

4

4

8

5:

4

WASH.

50,039

598

1,195.1

10

10

10

15

96

20

4

11

12

20

:

48

50

36

20

10

12

20

45.542

494

1,0.34.7

10

10

8

15

T+

16

4

9

2:

8

J

42

26

16

8

10

20

1,7::

2,797.2

12

2

2

2

4

4

IA. VA,

27,071

25,

911.;

(

11

4

1;

1

1,

i

11

:

11

4(

If

1(

1(

1(

t

26.607

241

932.1

t

It

t

12

f

4

3.4

4

It

t

4

14

4C

14

10

10

la

8

1,170

6

512..9

2

2

w s.

65,191

613

946.4

22

t

22

;{

18

14

3(

2a

40

12

::

43

40

12

la

lC

37

60,368

503

966.1

22

a

22

8

73

18

14

30

2D

36

12

14

30

41

34

12

18

E

3,8T5

28

722.6

2

4

2

2

6

IAYO.

6,541

79

1,207.8

2

16

8

2

4

2

1

2

16

6

2

2

6,294

1,235::

2

16

8

2

4

2

1

2

16

6

2

2

72

As
TABLE 3. CONGENITAL ANOMALY RATES BY S1 RTH HE lGHT AND RbCE FDR ALL ANOMALIES COMB INEO AND FOR SELECTEO ANOMALIES:

ToTAL OF 46 REPORTING STATES AND THE OISTRICT OF COLUMBIA, 1973-74 bvERAGE

[BASED ON 100 PERCENT OF 81RTHS IN SELECTED STATES AND ON A 50-PERCENT SAMPLE OF BIRTHS IN ALL OTHER STATES; SEE TECHNICAL APPENDIx.

REFERS ONLY TO 81RTHS OCCURRING HITHI N THE AREAS REPORTING CONGENITAL ANOMALIES TO RESIDENTS OF THESE AREAS.

EAS, SEE TECHNICAL APPENDIX, TABLE 1.

FOR A LISTING OF ARNUM8ERS AFTER CONGEN1T!4L ANOMALIES ARE CATEGORY NUMBERS OF THE EIGHTH REVIS1ON INTERNATIONAL

CLASSIFICATION OF DISEASES, ADAPTED, 1965 [l CDA). RATES ARE NUMBER OF LIVE BIRTHS WITH DESIGNATED ANOMALY PER 10 D,OOO LIVE BIRTHS

IN SPECIFIED GRDUP. HHERE THERE IS MDRE THAN DNE OEFECT PER BIRTH wITHIN ANY GRDUPING OF ICOA CODES, THE 61 RTH 1S COUNTEO ONLY

ONCE . FOR COMPLETE CATEGORY TITLES, SEE TABLE LA)

CONGENITAL ANDMALy AND RACE I

BIRTH IJEIGHT3

TDTAL2

1,50D 1,501- 2, Ooi- 2,50D 2,501- 3,001 -

GRAMS 2,000 2,500 GRAM S 3,000 3,500

OR LESS GRAMS GRAMS DR LESS GRAMS GRAMS

3,501-

4,000

GRAMS

+,501

GRAMS

LIR MORE

fr,OD1-

4,500

GRAMS

TOTAL ( ALL ANOMALIES I---—7759759

SELECTEO ANOMALIES:

AN ENCEPHALUS----—--—--—--———74O

SPINA 01 F1OA HITH HYDRDCEPHALU5—-—7 +O. O

SPINA BIFIDA MI THDUT HYOROCEPHALU3--T41.9

CONGENITAL HYDROCEPHALUS—-—-———-742

ANOMAL lES OF HEART--—--——--746 .0-746.9

OTHER ANOU. OF CIRC. SYSTEM--- 74 O.74749.9

ANOM. OF RESPIRATORY SYSTEH---74O.74848. 9

CLEFT PALA7E {H ITHJJUT CLEFT LIP) ----709. O

CLEFT LIP [WITHOUT CLEFT PALATE 1-—-741.1

CLEFT PALATE WITH CLEFT Lrp—-—--—749.2

82o.5 I

2,146.4 2,454.1 1,674.0

96.5

14.0

81.7

28.4

133.3

43.1

36.5

74.0

28.0

T8.8

1,894.1

15T.2

13.3

98.3

48.4

143.2

60.8

45.1

75.8

30.0

84. B

41.4

53. B

98.1

170. B

115.1

36.3

66.9

17.4

84.3

2,176.7

964.1 684.4

7.7

6.7

29.9

8.3

4B.2

13.1

6.7

24.7

21.5

34.1

6.3

12.1

49.0

91.5

77.5

18.5

19.4

15.3

33.7

690.1

8.9

7.5

33.9

8.8

51.9

14.3

7.5

27.7

24.5

37.6

7.2

13.7

54.5

98.5

35.7

20.8

20.5

16.4

3s.1

619.5

2.4

2.1

11.8

5.5

18.8

6.7

3.0

8.5

6.4

11.8

1.B

5.5

22.2

54.3

298.7

6.7

14.3

4.6

11.5

63& 9

3.3

7.3

24.6

13.9

49.3

10.2

5.7

21.9

23.9

32.5

4. B

8.6

62.1

80.6

60.3

16.9

14.3

14.9

20. E

625.1

5.4

7.8

26.5

13.3

49.3

10.6

3.8

22.7

25.0

34.1

5.0

9.0

66.5

85.7

32.3

18.3

14.5

15.2

21.9

655.8

1.3

4.3

10.2

19.2

29.4

3.8

1.9

14.1

9.6

14.7

3.8

3.8

33.3

38.4

301.3

5.1

12.2

3.2

9.6

661.8

4.0

9.7

16.8

22.9

54.5

10.9

3.0

21.2

21.5

40.4

4.5

10.6

62.5

76.2

60.2

20.1

11.6

16.3

12.7

654. B

4.2

10.4

18.0

21.3

53.9

10.7

4.9

20.3

23.7

43.5

4.4

10.1

66.9

75. D

41.4

21.1

12.2

17.7

14.1

714.3

3.1

6.3

47.2

47.2

15.7

6.3

15. T

15.7

25.2

88.1

295. B

6.3

6.3

3.1

929.1

14. D

20.9

16.3

97.7

97.7

23.3

3.5

17.4

34.9

33.5

2.3

17.4

77.9

64.0

81.4

32.6

3.5

15.1

9.3

927.1

1,2. B

23.0

17.9

85.8

99.9

23.0

3.8

16.6

35.9

58.9

19.2

[13.2

67.9

66.6

35.9

3.8

14.1

7.7

051.1

31.5

204.9

,53.0

31.5

31.3

2B3. T

31.5

21.0

8.4

35.3

16.3

62.4

lB.4

10.4

29.3

23.9

40.3

10.2

15.8

59.5

99.4

78.2

20.2

22.5

15.3

37.5

B29.8

324. B

15.9

157.6

92.4

103.5

89.2

55.7

49.4

30.3

82.8

233.2 20.6

9.2

42.5

10.8

74.7

25.9

12.0

35.2

25.9

45.2

8.9

108.3

82.8

2D9. O

99.4

66.3

103.2

37.0

107.0

30.6

41.2

101.3

159.1

12D.4

37.2

58.5

17.3

99.8

1,897.2

ANDM., UPPER AL I14ENTARY TRAc7-750. I-750. 8

AT RES IA ANO STENOSIS DF RECTUM ETC. -751.3

HYPOS PAO I AS—-——-—-—---—-752. 2

CLUB FDoT-———-—--—-—-— 754. 0-754.9

POL YDACTYLY----—---— --—---—--753. O

SyNDACTVLY— —------— ——-------755. 1

REOUCT lDN DE FDRMIT1 ES—-—---755.2-735.4

DISLOCATION OF UIP- —-——--—--755 .6

OOHN* S DI SE ASE-—--—-—-—-------759.3

55.7

81.2

74.8

184.7

86.0

31.8

7a. o

9.6

23.9

67.5

75.2

105.8

200.1

119.8

37.0

86.6

24.2

79.D

16.1

20.4

59.1

126.1

98.7

20.7

29.0

14.0

63.3

WH17E [ALL ANOMAL IESI-—-—-759-759

SELECTED ANOMALIES:

2,634.6 2,014.6 1,028.1

22.9

9.5

38.9

16. B

66.3

19.4

11.0

32.0

26.4

43.6

11.4

17.5

65.8

106.3

39.4

22.2

23.3

16.3

41.9

732.4

9.6

3.0

17.6

13.7

30.1

11.5

6.3

14.0

9.3

19.0

427.6

21.4

211.4

1D4. 5

125.9

111.7

66.5

59.4

38.0

87.9

267.9

12.8

124.8

97.2

253.2

121.1

T3.4

132.1

38.5

126.6

125.2

17.1

94.7

35.7

153.1

51.7

45.0

92.1

31.0

94.2

37.2

53.0

123.1

185.2

66.2

42.4

64. T

18.1

128.3

195.9

16.9

117.3

57.3

168.0

73.5

53.5

94.9

33.5

99.4

51.7

67.3

120.0

2D0.8

69.3

42.4

75.2

19.7

10B .7

25.8

11.0

50.6

12.7

87.5

27.9

13.6

+0.9

29.9

50.2

AN ENCEPHALUS--—---— —--—---—-740

SPINA 01 FIDA MITH HYORDCEPHALUS-----04 I.O

SPINA BIF1OA UITHOUT HYOROCEPHA LU3--T41.9

CONGENIAL HYOROCEPHALUS-——- -—742

ANOMALIES OF HEART--—-—-— 746.9-746.9

OTHER ANOM. OF CIRC. SYSTEU---74O.74749.9

ANDM. DF RESPIRATORY SYSTEM—74B. D-748.9

CLEFT PALATE [W17HOU7 CLEFT LIP I--—740. O

CLEFT L 1P [WITHOUT CLEFT PALATE )----749.1

CLEFT PALATE WITH CLEFT LIF---——--749.2

AND!!., UPPER ALIMENTARY TRACT- 750.1-730.8

ATRESIA AND sTENDSIS OF RECTUM ETC. -751.3

HYPOS PALYI As-—--—---—-——---—--752 .2

CLUBFDOT-—-—-----———----754. 0-754.9

pDLyDAcTyLY—--——-—----——--—-755. o

SYNOACTYL Y-——----—-—-—--—-755 .1

REOUCT 10N OEFORMITI ES—--—---755.2-755.4

OISL OCAT ION OF H] P---—--—-—----- 755.6

DOdN, S 01 SEASE------—-——---—--759. 3

68.9

106.9

97.4

225.7

59.4

38.0

95.0

11.9

35.6

89.9

84.4

126.6

236.7

BB. I

45.9

97.2

31.2

95.4

20.2

25.3

6T. 2

142.8

45. D

23.4

33.0

15.5

76.8

NEGRO [ALL AN014AL1ES I-——-7759759

SELECTEO ANDMALIES :

1,077.7 1,407.7

135.8

76.9

54.3

49.8

27.2

45.3

40.7

22.6

58. B

1

1

.,051.7 1,126.0

19.7 55.1

4.2 3.6

40. B 48.0

11.2 24.9

70.3 63.1

21.1 24.9

14.1 22.2

23.9 26.7

14.1 16.0

35.1 45.3

9.8 11.6

11.2 19.6

39.4 41. B

90.0 96.9

279.8 241. T

26.7 22.2

46.4 46.2

15.5 12.4

21.1 18.7

743.4

2.3

3.6

18.2

5.9

25.5

17.3

6.4

15. D

11.8

21.4

I

ANENCEPHALUS----—--—- —--—--—-T40

SPINA 81 F1DA HITH HYDROCEPHA LU3——-740. O

SPINA BIFIOb WITHOUT HYOROCEPHALUS—741.9

CONGENITAL HYOROCEPHALUS—--——--T42

ANOMAL1 ES OF HEART--—--—---- 746.8-746.9

OTHER ANOM. OF CIRC. SYSTEM-—747 .8-747.9

ANffl. OF RESPIRATORY SYSTEM---74 D.74B49.9

CLEFT PALATE {WITHOUT CLEFT LIP) --—740. O

CLEFT LIP [WITHOUT CLEFT PA LATE1-—-741.1

CLEFT PALATE wITH CLEFT LIP—-——-749.2

93.3

5.2

41.4

41.4

51.0

36.3

25.9

2D.7

15.5

67.4

ANDM., UPPER ALIMENTARY TRACT- 750.1-750.8

ATRESIA ANO STENDS1 S DF RECTUM ETC. -751.3

HYPOS PAO1 AS——-——---—-—-—752. 2

CLUB FoDT--——-----—------ T54. O-754. 9

POLYDACTYL Y—--—---—--——--—-—755. 0

KEz:zGiG;G~::z:;:Ez::

01 SLOCA71DN OF HIP--—--——---—--755.6

OWN$ S 01 SE AS E-—--——-—---——-759. 3 J

4. D

7.2

29. T

62.1

287.9

9.4

18.2

5.8

14.8

20.7 9.1

20.7 45.3

31.1 38.8

98.4 117.7

150.3 199.2

10.4 18.1

36.3 54.3

5.2 9.1

27.2

4.1

3.6

33.2

69.2

284.8

lD.9

15.9

6.8

21.4

1‘lTOT&s$ INcLUDES R4~S OTSER TiiAW k131TE AND N2GR0

2 INC7JIDES B IRTSS WIT35 BIRTH WEIGHT NOT STATED.

3 EQUIVALENTS OF THE GRAM NE IGHTS 2/4TECMS OF FUUNDS ANO OUNCES ARS SHOWN IN THE TECHNICAT.,MP~DM .

46
TABLE 4. CONGEN lTAL ANOMALY RATES BY AGE OF MOTHER ANO RACE FoR ALL AN9MALIES COUOINEO 4No FoR SELECTED ANoMALIEs:

TOTAL OF 46 REPORTING STATES ANO THE oISTRICT OF COLUHBIA, 197S-7+ AVERAGE

(BASED ON 100 PERCENT OF BIRTHS IN SELECTEO STATES ANO ON A 50-PERCENT SAMPLE OF BIRTHS IN ALL OTHER STATES; SEE TECHNICAL APPENOIX.

REFERS ONLY TO BIRTHS OCCURRING WITHIN THE AREAS REPORTING Congenital hNof+AL lEs To REslo ENTs oF THEsE ARE As. FOR A LISTING OF ARE4s, SEE TECHNICAL APPENOIX. TA8LE I. NUM8ERS AFTER CONGENITAL ANoMALIES ARE CATEGORY NUMBERS OF THE EIGHTH RFVIS1ON lNTERNATIDNAL

CLASSIFICATION OF OISEASES, AOAPTEO, 1965 (ICOA). RATES ARE NUMBER OF LIVE BIRTHS WITH OESIGNATEO ANOMALY PER 100,000 LIVE BIRTHS

I! sPECIFIEO GROUP. WHERE THERE 1S MORE THAN ONE OEFECT PER BIRTH HITHIN ANY GRouPING OF ICDA COOES, THE BIRTH IS COUNTED ONLY

ONCE. FoR COMPLETE CATEGORY TITLES, SEE TABLE 1A]

Congenital ANOMALY ANO RACE 1

TOTAL { ALL ANOMALIES )-——7+G_759

SELECTED ANOMALIES:

AN EVCEPHALUS-——--—- ——--—T40

SPINA BIFIOA HITH HYOROCEPHALUS-—--701.0

SPIWA BIFIOA HITHOUT HYOROCEPHALU3--741. S

CONGENITAL HYOROCEPHALUS—-—— T42

ANOHAL I ES OF HEART--—--—----746. 0-746.5

OTHER ANOJ4. OF CIRC. SYSTFN---74D.74749.9

ANOM. OF RESPIRATORY SYSTEM-—748.*748.5

CLEFT PALATE [WITHOUT cl C= I TPI——7KLO

I-I Cn t 10 l“1T14n11T r.1 FF

.- ...- . . . .. .

---- --- . ..- ----- _.FT PALATE 1—--741. I

CLEFT PALA7E UITH CLEFT LIP—-———749.2

ANOM., UPPER ALIMENTARY 7RACT-750.1-750. t

ATRESIA ANO sTENOSI S OF RECTUM ETC. -751.3

HYPCKPAOI AS-—--—--—--—-—— 752.2

CLUB FOOT——------—--—---754. O-T54. 5

PDLVOACTYLY—--—-----—-----—--755 . c

SYNOACTYLY -—-----------—----—--755 .1

REOUCTIDN 0EFO?MITIES---—---755 .4-755.4

OISL OCATION OF HIP--—---—-------- 755.6

001AN9 S 01 SEASE——-----—--——--759. 3

WHITE IALL ANOHALIES)——--74 bT55

SELECTEO ANOMALIES:

AN EVCEPHALUS---——--——-———74C

SPIYA 81 FIOA WITH HYOROCEPHALUS---—TC1. C

sPINA BIFIOA WITHOUT HYOROCEPHALUS--741.5

CONGENITAL HYOROCEPHALUS————742

ANOVAL I ES 3 F HEART--—--—---746 .O-746. !

OTHER ANON. Or CIRC. SYSTEH-—747. *7+7.!

ANON. OF RESPIRATORY SYS7EH-—748. O_74B. $

CLEFT PALATE [WITHOUT CLEFT LIP) ----7C9. C

CLEFT LIP (WITHOUT CLEFT PALATE I—-749. I

CLEFT PALATE WITH CLEFT LIP—————— 749. i

ANOU., UPPER AL lMENTARY TRACT-750 .I-750. I

ATRES!A ANO STENOSIS OF RECTUM ETC. -751.?

HYPOSPAOIAS—---—--—--—-—-— T52. Z

CLUB FOOT——----—--—--—--754. O-75*. !

POLYO&CTYL Y-—-—----—-—-—-——755. [

SYYOAC7YLY-—-------—-———- 755.1

REOUCTIDN DE FORM IT I ES---—---755.4-755.4

oISLOCAT 10N OF HI P--—--—-——-7S5. t

OCMNg S 01S EASE--—---—-—-—-—--759. ?

NEGRO (ALL ANOHALIE S)-—---740-75:

SELECTEO ANOMALIES:

ANEN CE PHALUS—--—-—---—-—--— ’74[

SPIMA BIFIOA HITH HYOROCEPHALUS-—-74[. [

SPINA BIFIOA HITI’WJT HVOROCEPHALUS-741. !

CONGENITAL HYOROCEPWI 11~-——-—7~:

ANnUAt IF% n!= HFART--

------ .

---------- -. .. . --—-—-—746. O-7+6. !

OTHER AN~. OF CIRC. SVSTE14---747. D-74T. !

ANQM. OF RESP lRATO!?Y SYSTEU---748. 0-7+8. $

CLEFT PALATE CWITHOUT CLEFT LIP J-—-74C. C

CLEFT LIP (U ITHOUT CLEFT PALATE )—--741.1

CLEFT PALATE WITH CLEFT LIP————-----749. i

ANON., UPPER AL INENTARV TRACT-750. 1-750.1

AIRESIA ANO STENOSIS OF RECTUM ETC. -751.2

HY POS P AOI A3——--------—-- —-752 .;

cLuBFooT--—-------—-—---754.o-T54.~

P OLVDACTYL Y----—--—--—--—-—75 5.(

SYNOACTYLY----—----—-——-—— 755.1

REWCTION OEFDRMITIES—-—---77552-755.I

oISL OCAT ION OF HIP--—--—-—— 755. !

DOIAN* S OISEASE--—------——— 759.:

TOTAL

h

10-14

YFAeS

B20.5

21.0

8.4

;: j

62.4

18.4

10.4

29.3

23.9

4D.3

10.2

15.8

59.5

99.4

78.2

20.2

22.5

15.3

37.5

829.8

2;:;

38.9

16.8

66.3

19.4

11.0

32.0

26.4

43.6

11.4

17.5

65.B

106.3

39.4

22.2

23.3

16.3

41.9

732.4

9.6

3.0

17.6

13. T

30.1

11.5

6.3

14.0

9.3

19.0

4.0

7.2

29. 7

62.1

287. 9

9. 4

lB. 2

5. 8

14. B

820.2

13.9

69.5

9.5

41.7

9.3

+.6

55.6

13.9

9.3

27.8

115.9

134.4

18.5

32.4

4.6

856.3

91.3

45.7

11.4

ST. 1

34.3

11.4

22.8

137.!I

34.3

22.8

22.8

785.2

24.0

56.1

16.0

40.1

16.0

40.1

8.0

32.0

104.2

208.3

16. C

40.1

8.C

AGE OF MOTHER

15-19 YEARS

811.7

14.2

8.6

36.8

lT.O

50.5

15.3

11.2

25.7

19.8

3T.1

8.9

13.1

57.1

109.8

103.5

21.3

26.1

13.0

17.5

833.4

15.3

10.6

45.2

18.9

56.0

17.3

12.4

29.1

22.5

44.8

11.2

15.0

68.4

126.4

33!.2

25.0

2S.9

14.1

21,2

721.5

10. B

2.9

15.1

11.8

26.9

9.3

6.8

15.4

10.0

12.2

2.5

7.5

30.1

64.9

282.7

11.5

17.6

6.1

6.1

006.7

9.4

6.8

39.5

17.7

54.5

16.1

9.9

26.0

17.1

27.0

3.1

7.8

57.1

111.2

140.3

17.7

29.6

17.1

19.2

B31.5

10.2

6.B

50.1

27.2

54.4

20.4

10.2

29.7

18,7

33.1

3.4

8.5

72.2

134.2

55.2

19.5

41.6

21.2

23.8

737.5

8.4

7.0

23.8

2.8

49.0

5.6

7.0

15.4

14. C

12.6

Z.t

7. c

35.0

72.8

284.1

12. t

11.2

B.4

7.C

lT-19

YEARS

B12.8

15.3

9.0

36.1

16.9

49.6

15.2

11.5

25.7

20.4

39.4

10.1

14.3

57.1

109.5

95.3

22.2

25.3

12.1

17.1

833.7

16.3

11.4

44.3

17.4

56.3

16.7

12.8

29.0

23.2

47.0

12.6

16.3

67.7

125.0

35.0

26. D

26.5

12.8

20.7

715.9

11.6

1.4

12.1

15.0

19.3

10.6

6.8

15.4

8.1

12.1

2.4

7.1

28.5

62.2

282.2

11.1

19. ?

5.?

S.t

22-24

YEAR S

804.1

21. T

10.3

35.5

17.2

62-3

18.1

10.7

27.5

24.7

35. T

9.9

15.0

60.6

102.5

T9. 7

20.1

20.9

15.4

20.2

B1l.6

24.7

11.7

30.4

18.0

66.3

18.3

11.4

30.3

27.2

38.7

10.9

16.2

67.0

109.9

40.3

21.4

21.5

16.7

22.5

717.8

6.5

3.1

19.8

13.6

28.0

12.3

5.8

10.9

10.2

16. C

4.1

7.5

29.7

61.1

296.5

11.6

18.1

5. e

6. f

25-29

YEARS

779.5

23.2

7.0

33.6

15.5

60.6

19.2

8.3

29.1

24. D

43.5

9.5

15.6

61.1

90.8

63.1

19.4

22.5

16.0

29.5

779.7

23.7

7.5

36.1

x5.6

62.1

X9.7

8.7

30.5

26.3

44.5

9.8

IT. O

65.1

94.3

39.1

21.4

22.9

16.7

31.3

714.5

10. E

3.8

17.1

16.5

32.4

14.6

3.8

14.6

+.4

27.3

5.7

5.1

29.2

53.5

283.C

3.t

20.?

5.1

14.t

30-34

YEAR S

835.4

26.0

6.2

32.4

13.3

70.3

20.7

13.0

35.0

26.2

43.5

10.8

lB.9

57.4

91.3

66.6

IB.5

20.0

Z5.4

46.6

B45. O

27.9

6.9

35.6

13.9

74.9

22.2

14.4

37.7

2B.3

46.2

11.6

20.6

60.3

93.5

36.6

21.0

20.8

15.5

52.5

765. D

12.1

1.3

9. k

8.1

29.6

12.1

6.7

13.4

6.7

25.5

5.4

9.4

39. C

69.5

295.8

2.1

18.8

6.7

14.8

35-39

YFARS

,036.5

18.7

8.i

39. f

18. ?

BB. i

20.1

9.1

45. i

25. f

50.7

20. (

25.1

53. !

105. (

80.8

1S.1

23.1

17. f

159. !

,081.1

20.i

9.:

44.:

16.:

93. C

23. (

11.:

49. !

25.1

54. !

24.1

29.1

61.1

121.(

46. !

21.:

28. [

19.1

173.1

802.:

12.:

3.1

18. !

33.!

55.!

9.:

37.1

24.’

21.1

6.;

9.:

12.:

43.:

277.’

9.’

6.:

6.;

89. !

43-49

YEARS

1,710.5

10.6

3.0.6

49.3

17.6

149.6

31.7

14.1

45.8

40.5

91.5

17.6

29.9

BI. O

103.8

96.0

45.8

28.2

22.9

670.5

1,792.8

13.2

11.0

52.7

17.6

158.2

35.2

6.6

52.7

46.1

87.9

22.0

37.4

98.9

109.9

+8.3

48.3

22.0

24.2

T64. 6

L,240.4

10.5

42.0

52.6

21.0

52.6

21.0

84.1

10.5

94.6

336.4

21.0

10.5

283.8

47
TA,BLE 5. CONGENITAL ANOMALY RATES BY PLURALITY OF BIRTH AND RACE FOR ALL ANOMALIES COMBINED AND FOR SELECTFO ANOMALIFS :

TOTAL DF 46 REPORTING STb TES AND THE DISTRICT OF COLIJMBIA, 1973-74 AVERAGE

{BASED ON 100 PERCENT OF BIRTHS 1 N SELECTED STATES AND ON A 5D-PERCENT SAMPLE OF BIRTHS IN ALL OTHER STATES: SEE TECHNICAL APPENOIX.

REFERS ONLY TO BIRTHS OCCURRING WITHI N THE AREAS REPDRTING CONGENITAL ANOMAL lES 10 RESIOENTS OF THESE AREAS.

EIS, SEE TECHNICAL APPENOIX, TABLE 1.

FOR A LIST1 NG OF ARNut4BER5 AFTER congenital ANOMALIES ARE CAT EGORy NUMBERS OF THE EIGHTH REVISION INTERNATIONAL

CLASSIFICATION OF OISEASES, AOAPTFO, 1965 [l COA). RATES ARE NUMBER OF LIVE BIRTHS WITH DESIGNATED ANOMALY PER 100,000 LIVE BIPTHS

TN SPECIFIEO GROUP. WHERE THERE I S MORE THAN ONE DEFECT PER BIRTH WITHIN ANY GRoUP lNG OF ICOA CODES, THE BIPTH IS COUNTED ONLY

ONCE. FOR COMPLETE CATEGORY TITLES, SEE TABLE 1A]

ALL LIVE BIRTHS

I

SINGLE LIVE BIRTHS L

PLU

TOTAL?

—

B117THS IN

OELt VERIES

CONGENITAL 13NQMALY

TOTAL] =1==

ALL AUOMAL 1 ES-- —------ —-—---74 D-759 820.5

21.0

B .4

35.3

16.3

62.4

lB.4

10.4

29.3

23.9

4D.3

lD.2

15. B

59.5

99.4

78.2

20.2

22.5

15.3

31.5

029.8 732 81T. C B26.5 731.7

9.5

3.1

18.0

13.7

29.8

11. +

6.1

13.8

9.1

18.9

3.8

7.3

2B. 8

62.1

289.6

9.2

18.1

5.6

14.4

965.7

35.7

7. T

38.6

22.2

77.3

51.2

13.5

39.6

29.9

39.6

12.6

21.2

71.5

137.1

05. D

30.9

30.9

12.6

18.3

1, O1O.7I 7154.1

10.5

15.7

41.9

15.7

15.7

20.9

20.9

20.9

lD.5

5.2

68.0

62.0

214.6

20.9

20.9

15.7

31. +

SELECTED ANOMALIES:

42.6

9.T

40.6

24.3

76.6

60.8

10.9

45.0

22.6

9.5

3B.7

16.7

66.1

kNEV CEPHAL US--------—---——---——--—------74 o

SPIVA BIF1OA uITH HYDRDCEPHA LUS-————041. O

SPINA 8IF1OA U1THOU7 HYOROCEPHALUS_—--T4149.9

CONGEN 1TAL HYOQ OCEPHALU S—--------—--—----742

ANOMAL 1ES OF HEART--—--——-—---746. Q-746.9

OTHER ANOM. 9F CIRC. SYSTEM-----—--747. o-747. q

ANOM. OF RESPIRATORY SYSTEM---------T9 B.B-7W.9

CLEFT PALATE I WITHOUT CLEFT L1 PI--—------749. O

cLEF7 L rp IUITHOUT CLEFT PALATE I——-——----749. I

CLEFT PALATE UITH CLEFT LIP---—————749.2

9.6 2D.7

3.0 0.4

17.6 35.2

13.7 16.1

30.1 62.1

11.5 17.7

6.3 10.3

14.0 29.1

9.3 23.0

19.0 40.4

22.9

9.5

3B.9

16.0

66.3

19.4

11. D

32.0

26.4

43.6

18.6

11. D

31.8

26.3

43.5

31.6

45.0

ANOM., UPPER AL IMENTARY TRACT--—--15T50 -85O.8

ATRES 1A ANO STENOSIS OF RECTUM ETC. —-----751.3

HY POSP AO 1 As—----------—----------——--752. z

CLU8 F007——---------— --——---—--754. 0-754.9

PDLYOACTYLY-----—--—------—-—-——-7=..3. n

11.4

17.5

65.8

106.3

39.4

22.2

23.3

16.3

41.9

13.4

25.5

74.2

153.2

5T.2

34.1

32. B

12.2

15.8

4.C

7.2

29.7

62.1

287.5

10.1

15.7

11.3

17.4

65.7

105.5

59.3

98.6

70.1 39.1

22. D

23.1

16.3

42.4

SVNDiCiYiY-—--------------—--———-7i5Ii

REOUCTION DE FORM I TIES---—---—-—--755.2-755.4

DISL OCAT 10N OF HIP---—--—-----—- —---755.6

00IIN * S 01 SE ASE------------------—---—-759.3

9.4

lB.2

5.8

14.8

20.0

22.3

15.3

37.9

1

123WLFJDES RACRS OTHSR TSAN WHI’2S AND NEGRO.

TABLE 6. CONGENITAL ANOMALY RATES BY LEGITIMACY STATUS AND RACE FOR ALL ANOMALIES COMB INEO ANO FOR SELECTED ANcIMALIES:

TOTAL OF 35 REPORTING STATES ANO THE OISTRICT OF CDL UMBIA, 1973-74 AVERAGE

[BASED DN 100 PERCENT OF BIRTHS IN SELECTED STATES ANO ON A 50-FERCENT SAMPLE OF SIRTHS IN ALL CITHER STATES; SEE TECHNICAL APPENOIX.

REFERS ONLY TO 81R7HS OCCURR1 NG UITHIN THE AREAS REPORTING SQTH CONGENITAL ANOMALIES ANO LEGITIMACY STATUS TO REsl OENTs @F THEs E

AREAs. FOR A LISTING OF AREAS SEE 7ECHNICAL APPENOIX, TABLE I. NUMBERS AFTER CONGENIAL ANOHALIES ARE CATEGORY NLN4BFRS OF TH=

EIGHTH REV IS1ON 1NTERNATIONAL CLASSIFICATION OF OISEASES, AOAPTEO, 1965 [ lCOAI. RATES ARE NUMBER OF LIVE SIRTHS NITH OF SIGNATEO ANOMALY PER 100,000 LIVE BIRTHS IN SPECIFIEO GROUP. liHERE THERE IS MORE THAN ONE OEFECT PER BIRTH WITHIN ANY GROUPING OF ICDA

COOES, THE BIRTH IS COUNTED ONLY ONCE. FOR COMPLE7E CAT EGDRY TITLES, SEE TABLE 1A 1

LEGI’FIMATE BIRTHS IlLLEGITI MATE 81RTHS

CONGEN17AL ANOMALY

TOT,iL1 I wHITE I NEGRD TOTAL1 WHITE

936.4

NEGRO

ALL ANOMAL I E s---—------— ——-—————-----740-7 59

SELECTEO ANOMAL lES :

805.2 812 700.4 8D7.6 703.5

ANENCEPHALUS------------——----—— ———-—-----—-------740

SPIVA BIF IDA !41 TH HYOROCEPHA LUS---—----——-—-—-----—-7+1 .0

SP INA B 1 F 10 A ii lTHOUT HYDROCE PHAL US———-—-——-—---——---7 +1.9

CONGEN lTAL HYOROCEPHALUS—————---—--——--—-——-—742

ANOMAL 1 ES OF HEART--------------——--—————--746.Q-746 .9

DTHER ANOMALIES DF C lRC ULATORY SYSTEM-—--———----747 .0-747.9

ANOq. OF RESP 1RATORY SY STEM-----———--—--——-—--T4S .Q-74B .9

CLEFT PAL ATE (WITHOUT CLEFT LIP )--——------———---——-749 .0

CLEFT L 1P IU17HOUT CLEFT PALATE I-—-—-—-—-—-----—-749.1

CLEFT PALATE WITH CLEFT LIP--—-———----———-————--749.2

21.6

9.s

37.0

15.9

62.0

16.4

9.9

30.4

25.3

42.2

23. D 10.1

lD.6 3.4

39.5 17.4

16.2 12.5

64. B 31.4

17.0 B. 5

lD.2 6.1

31.6 17.4

26.7 12.2

44.3 19.5

12.2

6.1

29.6

15.8

50.5

12.8

10.7

27.2

17.0

20.4

16.2

11.5

46.6

20.4

77.0

18.9

14.7

54.5

29.3

42.4

9.3

2.s

18.9

12.0

30.6

0.3

7.2

B. 9

8.3

16.2

ANOMALIES OF UPPER ALIMENTARY 7RAC7-—-—--———--85 O. I-75O.8

ATRESIA ANO sTENOSIS OF RECTUM ANO ANAL CANAL---------—---751.3

HVPDSPAOI AS-----—-------—-----——-————----—-------752 _ 2

CL UBFOOT------------------------------754.D-754.9

POL YOACTYLY-----------------------------------------755 .0

SYNOACTVLY--------------———--—-—-—-— ——-—-—-755 .1

REOuc?lDN OEFORUITIES, ALL LIMB S----—----————-----755 .2-755.4

OISL OCAT lDN OF HIP--—-------------—--—-———-------755 .6

0 WNi S 01 SE ASE--—------—------—————-—-——--—---759 .3

1’2NCLUOES EL4CEs o= ~N ~ITE ND ~Ro .

11.2

16.5

5B.6

99.9

62.4

21.0

20.9

15.3

3B.3

12.3 3.0

17.7 6.7

62.6 28.7

1D4.9 53.4

37.5 277.5

22.2 8.2

21.5 14.9

16.6 3.0

40.9 17.1

s. 5

11.5

3B.3

93.4

184.8

18.0

22.5

10.9

19.7

15.2

17.0

61. B

3.1

5.8

24.4

65. T

279.0

11.0

17.2

7.6

10.3

134.1

43.0

27. S

29.3

14.7

32. D

I
TABL8 7. COKENITAL ANCMALY RATES BY ONTCCMEOF LAST PREGNANCY,INTERVALSINCE TE7041tL4TIIll OF LAST PREGNANCY,AND RACE: TOTAL OF 36

RETORTINGSTATESAND THE DISTRICTOF COLUNEIA, 1973-7f+AVERAGE

(BASEDON 100 PERC2NTOF BIRTHS IN SELECTSDSTATESAND Cli A 50 -PERCENT BANPLE OF BIRTHS IN ALL OTHER STATES; SEE TECHNICALAPPENDIX.

REF8RS ONLY TO BIRTNS OCCORRINGWITSIN 2’S2AREAS REPORTINGBOTH CONGENITALAN@fALIESAND

DEATH TO RESIDENTSOF TNESE AREAS.

MTES OF IAST LIVE BIRTH AND LAST FSTAL

FOR A LISTTNC OF ARFAS , SEE TECNNICAL APPENDIX, TABLE 1. RATES ASS NOM8SR OF LIVE BIRTHSWITH

CCNGBNITALANUL4LIESPER 100,000 LIVE BIRTHSIN SPECIFIEDGROUP)

OUTCOMEOF LAST PREGNANCYAND INTERVALSINCE TESMINATI~ OF L4ST PREGNANCY

ALL SECONDAND HIGHSR ORDER PR3GtLANCIESWITH CONCSNTTALAN@LIES* -----------

0 MONTRS (PLURALDELIwRIEs)-------------------------------------------------------

1-11M~HS ------------------------------------------------------------------------

12-17MmS-----------------------------------------------------------------------

1S-23M_S-----------------------------------------------------------------------

26-35MO~S -----------------------------------------------------------------------

36-47M~HS -----------------------------------------------------------------------

4S-59 M_S-----------------------------------------------------------------------

60 MONTHS OR MOM------------------------------------------------------------------

NU2 STAT~-------------------------------------------------------------------------

IA8T PRSCNANCYLIVE BIR~----------------------------------------------------

~ ;fNT~T~LUSAL DELIV~IES)-------------------------------------------------------

------------------------------------------------------------------------

1;-17MmS-----------------------------------------------------------------------

18-23Mm-----------------------------------------------------------------------

24-35M~W-----------------------------------------------------------------------

36-47M------------------------------------------------------------------------

48-59MO~S -----------------------------------------------------------------------

60 MONTNS OR M~------------------------------------------------------------------

NOI S~TED -------------------------------------------------------------------------

LAST PREGNANCYFETAL DWTH ---------------------------------------------------

O MONTHS (TLVSALDELIV~IES)-------------------------------------------------------

1-11M~~S ------------------------------------------------------------------------

12-17Mffl~S -----------------------------------------------------------------------

18-23MO~HS -----------------------------------------------------------------------

24-35 MO~S -----------------------------------------------------------------------

36-47MON~S -----------------------------------------------------------------------

48-59 M_S-----------------------------------------------------------------------

60 MONTHS OR M~------------------------------------------------------------------

NOT SUTED -------------------------------------------------------------------------

IAST PREGNANCYOUTCOMS~------------------------------------------------

o MONTHS (PLVSAL D~ImRIES)-------------------------------------------------------

~il;7M~~&-----------------------------------------------------------------------

-------------------------------------------------------- ---------------

18123MON~S -----------------------------------------------------------------------

24-35M_S-----------------------------------------------------------------------

36~47MONTHS------------------------------------------ ....................---------

48-59MO~S -----------------------------------------------------------------------

60 MONTHS OR M~E------------------------------------------------------------------

NOT STATED-------------------------------------------------------------------------

TUML1

854.5

1,132.2

920.3

827.5

857.3

838.0

Sos.7

7ss.1

916.0

898.9

829.8

1,119.1

860.9

805.9

S25.4

822.6

803.2

774.2

910.0

759.4

1,008.2

1,707.s

l,:clj.g

1,104:8

1,0s0.9

954.1

1,170.2

1,149.8

997.7

1,001.1

*

1,123.;

2,381.;

l,oo6.i

WHITE

1,159.!

930.5

835.t

872.1

845.5

810.:

788.(

946.(

895.(

837.(

1,145.9

575.5

817.4

834.8

S27.9

S02.2

775.6

937.9

730.7

1,024.5

1,9s5.1

996.4

8S9.6

1,152.1

1,128.1

1,025.3

1,148.3

1,255.7

978.8

1,023.8

*

1,351.Z

2,564.i

1,029.;

NEGRO

791.4

959.0

746.2

749.4

771.2

784.7

790.3

738.5

784.0

S91.2

777.0

940.4

661.7

719.9

770.2

7s5.3

8S0.2

723.1

789.6

881.7

875.5

900.9

998.4

921.8

7s3.s

781.4

606.3

1,;;:.:

1,006:3

869.7

*

870.1

‘INCLUDES RACES OTHER THAN WllITEAND NEORO.

2EXCLVDESBIRTNsWTTS BIRTH ORDER NOT STATED.
T6BLE 8. CONGENITAL ANoMALY RATES BY EDKATIONAL ATTAINMENT OF HOTHER AND RACE FOR ALL ANOMALIES COPBINEO

ANO FOR SELECTED ANOMALIES: TDTAL OF 37 REPoRTING STATES ANO THE DISTRICT DF CDL UMOIA, 1973-74 AVERAGE

( BASED ON 100 PERCENT OF BIRTHS 1 N SELECTEO STATES AND ON A 50-PERCENT SAMPLE OF BIRTHS IN ALL OTHER STATES; SEE TECHNICAL APPENOIX .

REFERS WALV TO BIRTHS OCCURRING WITHIN THE AREAS REPORTING B07H CONGENITAL ANOMALIES 6ND EDUC&TIONAL ATTAINMENT TO RESIDENTS OF

THEsE AREAS. FOR A L1S71NG OF AREAS, SEE 7ECHN1CAL APPENOIX, TA8LE 1. NuMBERS AFTER CONGENITAL &NOMALIES ARE CATEGORY NUMBERS nr$

THE EIGHTH REVISION IN7ERNhTIONAL CLASSIFICATION OF OISEASES, AOAPTEO, 1965 (ICOA). RATES ARE NUMBER OF LIVE BIRTHS WITH OE$IGNATEO ANOMALY PER 100,000 LIvE BIR71S 1 N SPECIFIEO GROUP.

ICOA COOES, THE BIRTH 1S COUNTEO ONLY ONCE.

uHERE THERE 1S MORE rHAN OWE OEFECT PER BIRTH IA17HIN ANY GROUPING w

FOR COMPLETE CATEGORY TITLES, SEE TABLE 1A)

CONGENITAL ANOMALY AND RACE 1 TOTAL

ror AL [ ALL ANOMAL fEs )--—-—-——-——-740-7 59

SELEC7E0 ANCIM?4LIES :

AN EN CEPHALUS-----------------——-—---—--——74O

SPINA BIFIOA WITH HYDROCEPHA LUS--——-———-741. O

SPINA BIFIOA U ITHOUT HYOROCEPHALUS--——-——-741.9

CONGEM IT AL HYOROCEP HALuS-—---——-—-—-—--—-— 742

ANOMAL 1 ES OF HE ART-------—- —--——-—746. O-T46. 9

OTHER ANOMALIES OF CIRCULATORY SYSTEM—----04747 -947.9

ANOMALIES OF RESPIRATORY SYSTEM—-—-— 748.0-740.9

CLEFT PALATE [WITHOUT CLEFT LI P) —--—-—-——--749. O

CLEFT L FP (WITHOUT CLEFT PALATE )——-———-749. 1

CLEFT PALATE WITH CLEFT LID.---—— ----- —---749 .2

ANOMAL IES OF UPPER ALIMENTARY TRACT——--710.1-78 O.8

A7RES 1A AND STENOSIS OF RECTUM AND ANbL CA NAL-—-7S3.3

HYPOS P AO lAS-—--—— ---——--—-—-———-752 .2

CLU8 FOOT—--—------------- —---- ——----754. 0-754.9

POLYOACTYLY-—--——-—--——--.——-———-755.O

SYNOAC7YLY--------------———--—-——---—---755.1

REOUCTION DEFORMITIES, ALL LIMBS--—-—755.2-755.6

OISL OCAT ION OF HI P---—-———-—-——-——-755 .6

00 IAN* S 01 SE AS E--—------—--—-——-- ——-759 .3

16HITE (ALI. ANOMAL IESl----—- ———-------740-759

SELECTED ANOMALIES:

ANENCEPHALUS---------—-----—--———---—-—--74O

SPINA 8ZFIDA UITH HYOROCEPHALUS----—----—---7+1.O

SPINA BIFIOA i41THOUT HyoRocEpHALu3—-—-———--74 I.9

CONGENITAL HYDROCEPHALUS--—-—---—-——--—— 742

ANOMALIES OF HEART---—-----—--—--——-7+6 .0-746.9

OTHER ANOMALIES OF CIRCULATORY SYSTEW—----04747 -947.9

ANOMALIES OF RESPIRATORY SYSTEM—-———-- 7%3.9-7%3.9

CLEFT PALATE [WITHOUT C.LEF7 L lPI—-—-———--749. o

CLEFT LIP III ITHOU1 CLEFT PALATE )——-———-7+9.1

CLEFT PALATE ISITH CLEFT LIP—---—-—-— —7+9 .2

ANOHAL lES OF UPPER AL IMENTARY 7RACT—-—-—15750 -85O.8

ATRESIA ANO STENOSIS OF RECTUM AND ANAL CANAL---751.3

HYPOSP AOI AS-----------—----—-——-—--—--752 .2

CL U8FO07—---—-——----—----—— —754. 0-754.9

POLY OACWL Y-—---------—--------—-————-755. 0

SYNDACTYLY-—--—------———--——-——————— 755.1

REOUCT ION DEFORMITIES, ALL L 1!3SS-—-—--755 .2-755.4

DISLOCATION OF HI P---------------——-——-—--755 .6

DOUN* S D1 SE ASE--—--—--—--—--———— 759.3

NEGRO ( ALL ANOMAL IE S1-—-—--—-—-——-740 -759

SELECTEO ANOMALIES:

ANENCE PHAL US-------------—--———--—— 740

SPIVA BIFIOA WlTH HYDROCEPHALUS--—----—--——-741. O

SPINA 81 FIOA WITHOUT HYOROCEPHAL US———--——-7+1.9

CONGE! 1TAL HYOROCEP HA LUS-—-------——--——-—742

ANoMAL 1ES OF HFART--------——-----———746.O-746.9

OTHER ANDMALIES nF CIRCUL#TORY SYSTEH—----O4747-947.9

ANOMAL [ES OF RESPIRATORY SYSTEM--— ——748.0-748.9

CLEFT PALATE (U ITHOUT CLEFT LIP) ----—--— —-.749.0

CLEFT LIP IHITHouT CLEFT PALATE) -—---——-—7+9 .1

CLEFT’ PALATE WITH CLEFT LIP-—------— 769.2

ANOMALIES OF UPPER ALIMENTARY TRACT--——710.1-78 O.8

ATRESIA ANO STENOSIS OF REC7U14 AND ANAL CANAL-—-751.3

HYPOSPAOIAS-—----------—-—-——-—— 752.2

CLUB FOOT —-—--—------——---——-—— 754.0-75%9

POLYOACTYLY.----—-—-—---——--_--—_--__7~~ .0

SYNOACTYLY--------—----—-—-————-—--75 5.1

REOUCT ION DEFORMITIES, ALL LW5S-——--25755- $55.$

OISL0CA710N OF HIP---—--—--—--——-—---——-755. 6

ODI(NS S 01 SEAS E--—---—-—-—--——-—---——-759.3

a41.8

21.1

8.4

36.1

16.8

59.4

17.9

10.0

30.3

25.6

40.1

11.4

15.5

63.4

104. ?

80.8

21.4

22.7

15.8

38.9

863.3

23.5

9.5

+0.2

17.7

65.1

19.5

11.6

33.4

28.5

44. a

13.1

18.1

70.7

112.6

40.3

23.8

23-7

17.4

44.1

714.9

9.0

3.6

17.3

12.6

27.5

8.2

5..3

13.2

9.C

16.6

3.2

5.2

31.2

60.q

286. ?

8.$

17.4

6.5

13.1

YEARS OF SCHCIOL COMPLE7ED BY MOTHER

=?=

853.5

13.2

6.8

37.9

20.9

57.1

13.2

6.8

41.3

20..4

34.9

4.7

14.1

44.3

119.2

a9.9

22.1

23.4

14.1

53.7

a96. a

13.B

7.5

44a

23.D

63a

15.5

a.b

48.3

23.0

35.6

6.3

15.5

50.0

13a. o

49.4

25.9

20.7

14.4

60.4

629.7

9.0

3.9

21.5

13.7

31.3

2.0

13.7

5.9

19.6

7.8

21.5

5a.7

226.0

5.9

31.3

11.7

29.3

079.6

19. a

9.0

40.5

16.3

60.1

la.6

12.1

32. o

25.1

45.7

11.5

15.7

57.2

110.7

117.2

21.9

21.1

12.0

28.6

925.6

25.0

11.3

4a. a

17.3

70.7

22.4

12.9

37a

30.9

32.3

13.3

18.7

71.0

l:g::

25.4

22.6

13.9

35.5

73a. 9

6.9

3.5

19.5

12.6

29.5

9.1

9. t

16.9

8.7

19.5

5.2

6.5

25.1

55.9

309.2

10.0

16.0

6.1

10.4

12

YEARS

a50. I

22.1

9.a

3B.7

lB. O

58.1

18.2

11.2

31.3

26.0

39.4

12.8

17.4

67.6

105.4

73.2

19.6

23.2

16. i’

37.6

a72. o

24.1

10.7

42.7

19.3

63.6

19.4

11.9

34.5

29.6

63.4

14.6

19.9

73.7

112.4

3a.4

21.7

24.5

17.9

4ha

703.0

10.2

5.1

1+.5

11.5

24.7

8.5

4.7

9.a

9.0

14.1

1.7

2.6

36.7

61. a

2a5.6

7.7

16.2

6.8

10.7

13-15

YEAR S

828.7

21.3

6.6

2s. a

13.3

67.7

19.5

9.7

23.1

26.2

43.2

11.3

14.7

7s. 1

92.6

66.0

23.1

22.6

15.9

43.2

834.9

23.9

7.6

30.6

14.0

71.2

21.4

10.5

24.9

27.0

43.9

L2. 1

16.5

76.3

96.3

39.3

25.3

23.9

17.9

+6. 1

759.2

1.7

13.5

10.1

30.4

B.5

5.1

10.1

13.5

23.7

6.8

3.4

47.3

62.6

289.1

10.1

13.5

3.4

13.5

16 YEARS

4N0 OVER

776.7

19.2

4.3

27.8

13.9

54.8

16.7

9.6

27.0

26.5

32.3

11.9

14.1

62.3

99.7

47.7

26.8

25.2

22.5

51.2

7a4.4

17.4

4.5

28.6

14.0

55.5

16.3

10.4

26.6

26.6

35.9

13.2

14.9

64.2

101.0

38.1

27a

24.7

23a

56.7

675.7

26.2

26.2

13.1

17.4

13.1

17.4

8.7

a. 7

34.9

100.2

213.6

13.1

34.9

8.7

4.4

NOT

STATEL7

651.5

42.7

9.5

23.7

23.7

60.7

9.5

13.1

27.3

111.9

27.3

1.2

11.9

35.6

Y5.9

1!7.8

23.1

,14.2

7.1

42.7

640.0

51.9

13.0

;~7. 5

19.4

55.1

9.7

14.6

29.2

13.0

32.4

1.6

11.3

45.4

74.5

30.8

14.6

17.a

9.7

45.4

685.5

19.4

14.6

29.2

29.2

9.T

14.6

9.7

4.9

14.6

9.7

63.2

257.7

9.T

4.9

38.9

lllT~ALll INcL~ES RACEa OTHSR THAN CAHITE AND NEGRO.

60
TABLE 9. BIRTS INJURYsATES FOR TYPE OF INJURY,BY SSS AND FACE: TL72ALOF 41 REPORTINGSTATESAND TIiEDISTRICTOF COLUNEIA,

1973-74AVERAGE

(BASEDON 100 PERCEN2OF BIR’2HSIN SELECTEDSTATESAND ON A 50-PERCENT SAMPLE OF BIRTNS IN

REFERSONLY TO BIRTNS OCCURRINGWITHINTNB AREAS REPORTING BIRTS INJURIESTO RBSIDE2i”2S01

TSCNNICALAPPENDIX,TABLE 1. RATESASS NIRIT!EROF LIVE BIRTSSWITN DESIGNATEDINJURYPER 10I

SSS AND RACE‘

T~AL--------------------------------------------fi~----------------------------------

. -----------------------------

NEGRO--------------------------------

MALE----------------------------------------------------------------------------------------

WRITE--------------------------------

NEGRO--------------------------------

FSMALE--------------------- -----------------------------------------------------------------

WWITE--------------------------------

Negro --------------------------------

.L02NER STATES;SEE TECNMCAL APPENDIX.

X12SEAWS . FOR A LISTINGOF AREAS> SEE

)00LIVE BIRTNS IN SPECIFIEDCROUP)

Y3TAL2

216.0

;;~.:

251.1

256.2

210.1

179.0

177.4

172.0

TYPE OF BIR’lli1NJUR%

—

rum

—

10.2

10.7

6.9

13.0

13.9

7.6

7.3

z::

:PINAL

CORD

mm

I%Js

82.4

84.0

68.2

94.6

97.0

77.8

69.5

70.3

58.2

Omo?.R

AND

JNsPscIFIED

127.5

127.2

120.6

149.4

151.3

130.8

104.4

101.8

110.1

1TOTALFOR SACN SEX GROOP 2NUUDES RACESOTNSR THAN WR2’LSAND NECRO.

2SUSWTECORIESOF INJITcIESARE ??3TADDITIVE SINCE IKIRE TRAN ONE CONOITIOlfMAY EXISTAT BIRTH.

51
TABLE 10. BIRTH INJURYRATES FOR TYPE OF INJURY,BY BIRTHWEIGHTAND RACE: TOTAL OF 41 REPORTINGSTATESAND THE DISTRICTOF COLUMBIA,

1973-74AVBSAGE

(BASEDON 100 PERCENTOF BIRTHS IN SELECTEDSTATESANo ON A 5O-PERCENTSAMPLEOF B12tTHsIN ALL OTHER STATES;SEE TECHNICALAPPENDIX.

REFERS ONLY TO BIRTHS WCOBRING WITHIN THE ARSAS REPORTINGBIRTH INJURIESTO RZSIDENTSOF THESEARSAS. FOR A LISTINGOF AREAB, SEE

TECHNICALAPPENDIX. TABLE 1. BATESARE NONBBR OF LIVE SIRTHSWITH DESIGNATEDINJURYPER 100,000LIVE BIRTHSIN SPECIFIEDGROUP)

BIRTH WEIGHT’AND RACE*

T~AL ------------------------------------------------------------------------------

1,500GRAMS OR LESS----------------------------------------------------------------------

1,501-2,000GWMS ------------------------------------------------------------------------

2,001-2,50DGWMS ------------------------------------------------------------------------

2.500 GRANS OR LESS----------------------------------------------------------------------

2,501-3,000GMS------------------------------------------------------------------------

3,001-3,500G~S------------------------------------------------------------------------

3,501-4,000Gws ------------------------------------------------------------------------

4,001-4,500G~S------------------------------------------------------------------------

4,501-5,000GWS------------------------------------------------------------------------

5,001 GRAMS 0S MO~----------------------------------------------------------------------

NOT STATED-------------------------------------------------------------------------------

WITE ------------------------------------------------------------------------------

1,500 GLVIMS OR LESS----------------------------------------------------------------------

1,501-2,000GMS------------------------------------------------------------------------

2,001-2,500GWMS ------------------------------------------------------------------------

2,500 GRAMS OR LESS----------------------------------------------------------------------

2,501-3,000GMS------------------------------------------------------------------------

3,001-3,500Gws ------------------------------------------------------------------------

3,501-4,000GWMS ------------------------------------------------------------------------

4,001-4,500GWS------------------------------------------------------------------------

4,501-5,000G~S ------------------------------------------------------------------------

5,001GRAMS 0S MORE----------------------------------------------------------------------

NOT STATED-------------------------------------------------------------------------------

NEGRO------------------------------------------------------------------------------

1,500 GRAMS OR LESS----------------------------------------------------------------------

1,501-2,000GMS------------------------------------------------------------------------

2,001-2,500GMS------------------------------------------------------------------------

2,500 GRANS OR ~SS----------------------------------------------------------------------

2,501-3,000GMS ------------------------------------------------------------------------

3,D01-3,500G~S ------------------------------------------------------------------------

3,501-4,000G~S ------------------------------------------------------------------------

4,001-4,500GWS ------------------------------------------------------------------------

4,501-5,000GMMS ------------------------------------------------------------------------

5,D01 GRAMS OR MORE----------------------------------------------------------------------

NOT STATED-------------------------------------------------------------------------------

‘OYAL3

216.0

33s.1

240.4

164. S

205.6

144.5

169.6

233.3

398.5

759.8

!,s37.1

312.6

217.9

399.1

247.6

173.1

220.0

146.8

166.5

22s.s

392.6

720.6

!,720.8

357.9

191.3

227.9

212.s

135.4

166.5

123.5

175.5

244.2

397.t

1,0S2.4

3,663.5

61.6

TYPE OF BIRTH 7.NJDRY

RAIN

10.2

7s.0

56.5

22.s

37.6

z:+

1;:2

16.3

;;,;

10.7

.02,0

67.7

26.9

45.5

;:;

5.4

12.9

14.3

84.;

6.9

32.6

34.5

7.1

16.9

;::

2.4

11.8

47.1

$07.1

;PINAL

CORD

SONE

N&E

S2.4

4s.0

69.4

45.5

50.4

42.1

47.1

91.2

214.9

552.7

Z,245.O

69.5

S4.O

60.0

5s.4

45.9

50.3

44.4

46.0

90.0

207.5

523.4

!,162.7

73.7

6S.2

26.1

69.0

44.5

46.1

26.7

47.7

99.8

263.9

S94.1

2,S49.4

61.6

OTHER

AND

JNsPECIF7.ED

127.5

220.1

119.4

97.5

120.4

95.9

1.20.1

1.3S.2

1s0.9

200.5

!i79.7

173.7

127.3

96.3

117.8

134.5

‘LBO.0

190.0

5B6.O

200.0

120.6 ——

169.3

109.3

S7.3

105.8

91.0

12s.2

146.0

161.5

18S.2

407.1

“EQUIVLBNTS OF THE GRAM WSIGHTSIN TERMS OF POUNDSAND OUNCESARE SHOWN 3N THE TECRNICALAPPENDIS. 2,,mTfitI~~~Es BACSS OTHRR THAN WHITE ~ ~Gp-D.

~SUBCATEGORIESOF INJLELIESARE NOT ADDITIVESINCSM3RE THAN ONE CONDITIONMAY EXIST AT BIRTH.

52
TABLE 11. BIRTH INJURYRATES FOR TYPE OF INJORY, BY PLURALITYOF BIRTHAND RACE: TOTAL OF 41 REPORTINGSTATESAND TNS DISTRICTOF

COLIMSIA, 1973-74AVERAGE

(BASEDON Loo pERc5NTOF BIRTHS IN SELECTEDSTATESAND ON A 50-PERCENTSAMPLEOF BIRTHS IN ALL OTHER STATES;SEE TECHNICALAPPENDIX.

REFERS ONLY TO BIRTHS CCCURRINCWITHIN THE ARSAS REPORTINGBIRTR IN.TNRIESTO RESIDSNTSOF THESE AREAS. FOR A LISTINGOF AREAS, SEE

TECWNICALAPPENOIX, TABLE 1. RATESARE NUMBER OF LIVE BIRTHSWITH DESIGNATEDINJURY PER 100,000LIVE BIRTWSIN SPSCIFIEDGROUP)

●

I II TYPE OF BIRTH INJURY

PLURALITYAND R4CE1 T02AL2

BMIN SPINAL

CORD

ALL LIVS BIR~S ----------------------------------------------------------------------- 216.0 10.2 -

WHITE--------------------------- ;;:.; 10.7 -

NEGRO--------------------------- 6.9 -

sINGLELIVE BIR~------------------------------------------~-i;--------------------------- 215.8 10.0 -

----------------------- ---- 218.1 10.5 -

NEGRO--------------------------- 1s8.6 6.4 -

LIVE BIRTHS IN PLNSAL DELIVERIES----------------------------&-;;--------------------------- 226.5 ::.; -:

- ----.--------------.----. 208.4 I

NEGRO--------------------------- 309.4 32:9 :J t

B~ ~mm

~~w unspecified

82.4 127.5

B4.o 127.2

68.2 120.6

SI.7 128.2

83.6 128.0

65.B 121.0

118.1 B9.2

106.5 86.7

171.1 105.3

1TUTAL FOR EACH FLDTAL7.TYGROUP INGLUOESRACSS OTHER TNAN WRITE AND NSGRO.

ZSNBC4TSGORfESOF 7.NJOXIESARE NIT ADDITIV2SINCS3QRS THAN ONE CXIN07.TION MAY EXIST AT BIRTH.

62
TECHNICAL APPENDIX

CONTENTS

%mces of Data....................................................................................................................................... 55

Sample Size.............................................................................................................................................

55

Birt~ Weight.................................................................................................................................... ........

57

Medmaf Definitions ................................................................................................................................. 57

Indweet Standardization of Congenital Ano rnaly Rates .......................................................................... 58

APPENDIX TABLE

I. Areas reporting congenital anornahes, birth injuries, legitimacy status, dates of last live bkth and

fetal death, and educational attainment of mother: Each State and the District of Columbia,

1973-74 56
TECHNICAL APPENDIX

Sources of Data

Information on congenital anomalies and

birth injuries for this report was derived from

entries on live birth certificates. In 1973 and

1974, 46 States and the District of Columbia

had a descriptive type of question on congenital

anomalies on the face of the birth certificate;

41 States and the District of Columbia had a

descriptive type of question on birth injuries.

The question wordings were usually identical to

or varied slightly from the wording of the 1968

revision of the United States Standard Certificate of Live Birth, which is as follows:

“Congenital malformations or anomalies of child

(Describe or write ‘none’)”

“Birth injuries to child (Describe or write ‘none’)”

Indiana required a. supplementary form to be

compIeted for the reporting of anomalies, but

no provision has yet been made to compile data

for this State. The Georgia birth certificate

contains a checklist of selected anomalies and

birth injuries, but the listing is not sufficiently

detailed to permit inclusion of information from

this State. Massachusetts collects birth injury

data for only a sample of births and is consequently excluded from the reporting area. The

composition of the reporting areas for congenital anomalies and birth injuries is show-n in

table I.

All tables included in this report are by

mother’s place of residence. Births to U.S. residents occurring outside this country are not

reallocated to the United States. Births to nonresidents of the United States occurring in the

United States are also excluded from tabulations.

Data shown in this report refer only to births

occurring within the areas reporting congenital

anomaly or birth injury information to residents

of these areas. Where tables include information

on legitimacy status, outcome of Iast pregnancy,

interval since termination of last pregnancy, and

educational attainment of mother, the number

of States from which information can be drawn

is reduced. This is because the birth certificates

of States which include a question on congenital

anomalies may not also request information for

these other variabIes. Areas reporting these other

variables are shown in table I. The items sex and

race of child, age of mother, live-birth order,

plurality of birth, and birth weight are reported

by all States. Consequently, the size of the

reporting area does not change when these variables are shown.

Sample Size

Birth statistics for 1973 and 1974 are based

on information from two sources. For 9 States

in 1973 and 16 States in 1974, statistics are

based on information from the total file of birth

records provided to the National Center for

Health Statistics through the Cooperative Health

Statistics System. In 1973 these States were

Colorado, Florida, Maine, Michigan, Missouri,

New Hampshire, New York (exclusive of New

York City), Rhode Island, and Vermont. In

1974 Illinois, Iowa, Kansas, Montana, Nebraska,

Oregon, and South Carolina were added to this

listing. Statistics for the remaining States are

based on information obtained from a

50-percent sample of birth records. A discussion

of sampling procedures and sampling errors for

1973 and 1974 may be found in the Technical

55
Table 1. Areas reporting congenital anomalies, birth injuries, legitimacy status, dates of last Iiva birth and fetal death, and educational

attainment of mother: Each State and the District of Columbia, 1973-74

Congenital Dates of last Educational

Area Birth Legitimacy live birth and

anomalles injuries status

attainment

fetal death of mother

Alabama x x

Alaska x x x x x

Arizona x x x x x

Arkansas x x x

California x x x

Colorado x x x x x

Connecticut x x x x—

Delaware x x x x x—

District of Columbia x x x x x

Florida x x x x x

Georg!a x

Hawaii x x x x x

tdaho x x

Illinok x x x x x

Indiana x x x

Iowa x x x x x

Kansas x x x x x

Kentucky x x x x x

Louisiana x x x x—

Maine x x x x x

Maryland x

Massachusetts x x

Michigan x x x x x

Minnesota x x x x x

MISSISSIPPI x x x x x

Missouri x x x x x

Montana x x x x

Nebraska x x x x x

Nevada x x

New Hampshire

x x

x x x x x

New Jersey x x x

New Mexico x x

New York x x x x

North Carolina x x x

North Dakota x x x x x

Ohio x x x—

Oklahoma x x x x x

Oregon x x x x x

Pennsylvania x x x

Rhode Island x x x x x

South Carolina x x

.–’-.—.——————l ;

x x—

South —.Dakota x x x x—

Tennessee x x x x

Texas x x

Utah x x x x x

Vermont x x x x

Virglnla x x x x

Washington x x x x

West Vlrghsla x x x x x

Wlsconshs x x x x x

Wyoming x x x x x

56
Appendix of Volume I of Vital Statistics of the

United States for these years.

Birth Weight

In practically all areas, birth weight is

reported in terms of pounds and ounces rather

than in grams. However, the metric system has

been used in tabulating and presenting the statistics to facilitate comparison with data published

by other groups. The equivalents of the gram

intervals in pounds and ounces are as follows:

500 grams or less= 1 lb 1 oz or Icss

501- 1,000 grams= 1 lb 202 - 21b 3 oz

1,001- 1,500 grams= 21b 40Z - 31b 402

1,501-2,000 grams = 3 lb 5 oz - 4 lb 6 oz

2,001-2,500 grams = 4 lb 7 oz - 5 lb 8 oz

2,501-3,000 grzms = 5 lb 9 oz - 6 lb 9 oz

3,001-3,500 grams= 61b 10 oz - 7 lb 11 oz

3,501-4,000 grams = 7 lb 12 oz - 8 lb 13 oz

4,001-4,500 grams = 8 lb 14 oz - 9 lb 14 oz

4,501-5,000 grams = 9 lb 15 oz -11 lb O oz

5,001 grams or more= 11 lb 1 oz or more

For purposes o f classification, infants

weighing 2,500 grams or less at birth are considered to be of low birth weight. This criterion

was recommended by the American Academy of

Pediatrics in 1935 and adopted by the World

Health Organization in the Sixth Revision of the

International Lkts of Diseases and Causes of

Death (1948).

Medical Definitions

Brief definitions of the selected congenital

anomalies appearing in tables 2-6 and 8 are presented below. For more detailed information

about these anomalies and the complete listing

of anomzdies shown in tables 1A and 1B, referen ce may be made to Congenital Malformations 9 and Birth Defects Atlas and Compendiums 2

ICDA Code

740 Anencephalus

Anencephalus is a developmental

NOTE: A list of references follows the text.

741.0

741.9

742

749.0

749.1

749.2

751.3

752.2

754

anomaly characterized by partial or

total absence of the brain. In a live

birth the condition is lethal soon

after birth.

Spina bifida with hydrocephzdus

Spina bifida without hydrocephalus

Hydrocephalus (without spina bifida)

Spina bifida is a developmental

anomaly characterized by a defect

of the bony spinal canal. Hydroc ephalus is a condition characterized by abnormal accumulation

o f fluid in the cranial cavity,

accompanied by enlargement of the

head, prominence of the forehead,

and atrophy of the brain.

Cleft palate (without cleft lip)

Cleft lip (wilhout cleft palate)

Cleft palate with cleft lip

Cleft paIate is a fissure or opening

along the median line of the roof of

the mouth. cleft lip (sometimes

referred to as harelip) is a defect in

the upper Iipj usually due to the

fadure of the median nasal and

maxillary processes to unite.

Atresia and stenosis of rectum

This term refers to the absence or

closure (atresia) or narrowing or

stricture (stenosis) of rectum and

anal canal.

Hypospadias

H ypospadias is a developmental

anomaIy in the male in which the

urethra opens on the under side of

the penis or on the perineum. In

the female, the urethra opens into

the vagina.

Clubfoot

Clubfoot is a deformity of the foot

in which the foot

shape or position.

is ttisted out of

.57
755.0 Polydactyly

PolydactYlv is a developmental

anomaly characterized by the presence of excess digits (fingers and

toes).

755.1

755.2 -755.4

755.6

759.3

Syndactyly

Sy ndactyly is the condition in

which two or more fingers or toes

are more or less completely grown

together or adherent; webbed

fingers or toes.

Reduction deformities, all limbs

This term refers to incomplete development or total absence of a

limb.

Dislocation of hip

Dislocation of hip is displacement

of hip.

Down’s disease

Down’s disease is an abnormality

characterized by the presence of an

extra chromosome 21. Mental

retardation is almost universal. It is

also called mongolism.

Indirect Standardization of

Congenital Anomaly Rates

To eliminate the effect of differences in the

birth weight distribution between legitimate and

illegitimate births, the indirect method of standardization was used to adjust congenital anomaly rates for these groups. Weight-specific congenital anomaly rates for all births regardless of

legitimacy status for each racial group (table 3)

were used as the standards in this procedure.

Standardization for weight differences was done

separately for each race using the following

formula:

Weight-standardized congenital anomaly

rate for given legitimacy status group and

given race =

c1

A

ZAW bw,l

w

where c1 is the observed number of congenital

anomalies for a given legitimacy status group for

a given race; Aw, the weight-specific rates of the

standard population for a given race; b ~, 1, the

number of births for each birth-weight category

for a given legitimacy status group for a given

race; and A, the crude congenital anomaly rate

of the standard population for a given race.

—ooo —

58

* u. s. 013 VENMENT PIUNTIIW OFFICE :1978 2s1-259/27
VITAL AND HEALTH STATISTICS Series

Series 1. Programs and Collection Pro cedures. – Reports which describe the general programs of the National

Center for HeaIth Statistics and its offices and divisions and data collection methods used and include

definitions and other material necessary for understanding the data.

Series 2. Data Evaluation and Methods Research. –Studies of new statistical methodology including experimental tests of new sutvey methods, studies of vital statistics collection methods, new analytical

techniques, objective evaluations of reliability of collected data, and contributions to statistical the&y.

Series 3. Analytical Studies. –Reports presenting analytical or interpretive studies based on vital and health

statistics, carrying the analysis further than the expository types of reports in the other series.

Series 4, Documents and Committee Reports. –Final reports of major committees concerned with vital and

health statistics and documents such as recommended model vital registration laws and revised birth

and death certificates.

Series 10. Data From the Health Interview Survey. –Statistics on illness, accidental injuries, disability, use of

hospital, medical, dental, and other services, and other health-related topics, all based on data colIected

in a continuing national household interview survey.

Series 11. Data From the Health Examination Sumey and the Health and Nutrition Examination Survey. –Data

from direct examination, testing, and measurement of national samples of the civilian noninstitutionalized population provide the basis for two types of reports: (1) estimates of the medically defined

prevalence of specific diseases in the United States and the distributions of the population with respect

to physical, physiological, and psychological characteristics and (2) analysis of relationships among the

various measurements without reference to an explicit finite universe of persons.

Series 12. Data Fro m the Institutionalized Population Surveys. –Discontinued effective 1975. Future reports from

these surveys will be in Series 13.

Series 13. Data on Health Resources Utilization. –Statistics on the utilization of health manpower and facilities

providing long-term care, ambulatory care, hospital care, and family planning services.

Series 14. Data on Health Resources: Manpower and Facilities. –Statistics on the numbers, geographic distribution, and characteristics of health resources including physicians, dentists, nurses, other health

occupations, hospitals, nursing homes, and outpatient facilities.

Series 20. Data on Mortality. –Various statistics on mortality other than as included in regular annual or monthly

reports. Special analyses by cause of death, age, and other demographic variables; geographic and time

series analyses; and statistics on characteristics of deaths not available from the vital records based on

sample surveys of those records.

Series 21. Data on Natality, Marriage, and Dioorce. –Various statistics on natality, marriage, and divorce other

than as included in regular annual or monthly reports. Special analyses by demographic variables;

geographic and time series analyses; studies of fertility; and statistics on characteristics of births not

available from the vital records based on sample suweys of those records.

Series 22. Data From the National Mortality and Aratality Surveys. –Discontinued effective 1975. Future reports

from these sample surveys based on vital records will be included in Series 20 and 21, respectively.

Series 23. Data From the National Survey of Family Growth. –Statistics on fertility, family formation and dissolution, family planning, and related maternal and infant health topics derived from a biennial survey

of a nationwide probability sample of ever-mazried women 15-44 years of age.

For a list of titles of reports published in these series, write to: Scientific and Technical Information Branch

National Center for Health Statistics

Public Health Service

Hyattsville, hid. 20782