NATIONAL CENTER Series 20 

For HEALTH STATISTICS INumber 2 

VITAL a=d REALTE STATISTICS 

DATA FROM THE NATIONALV~AL STATISTIC= SVSTEM 

Mortality Trends 

in th~ Ihitdl Statw 

1954-1963 .! 

A study of the upward trends during 1954-63 far 12 

of the 15 leading causes of deuth which accounted 

for 85 percent af the 1,813,549 deaths occurring in 

the United States in 1963. 

Washington, D .C. June 1964 

U.S. DEPARTMENT OF 

HEALTH, EDUCATION, AND WELFARE Public Health Service 

John W; Gardner Wil Iiam H. Stewart 

Secretary” surgeon General 
., 

Public Health Service Publication No. 1000-Series 20-No. 2 

For snle by tile Saperintenclent. of I)ocunlemts, 17.S. Govermnel)t Printing office 

Wmhington, D.C., 20402 - Price 40 cents 
NATIONAL CENTER FOR HEALTH STATISTICS 

FORREST E. LINDER, PH. J)., ~iTectoI’ 

THEODORE D. WOOLSEY, DqIuty Director 

OSWALD K. SAGEN, PK. D., Amiftant Director 

WALT R. SIMMONS, M. A., Statistical Advisor 

ALICE M. WATERHOUSE, M.D., Medical Advisor 

JAMES E. KELLY, D.D.S., Dental Advtior 

LOUIS R. STOLCIS, M,A., Executive Oficer 

DIVISION OF VITAL STATISTICS 

ROBERT D. GROVE, PH. D., Chief 

ANDERS S. LUNDE, PH. D., A,i.tati Chi,f 

ARTHUR A. CAMPBELL, Chief, NataMy Statistic. Branch 

CHARLES R. COUNCIL, Chi~f, Registration Method, Branch 

Public Health Service Publication NO. looo.series 213.N0. 2 

Library 01 Congress Catalog Card N;mber 66-60037 
--------------------

-----------------------

---------------------------------------------------

------------------------------

CONTENTS


Introduction -----------------. -------------------: 

Table 1. Mortality tiom.151eading causes of death: UnitedStates, i963--

2. Death rates for 60 selected causes: United States, 1954-63-----

Some Breaks incomparability Between 1957 and 1958------------------

J 

Impact on Annual Rates of Outbreaks ofInfluenza 

Table 3.	 Age-adjusted death rates, by color and sex: United States, 

l954-63--------------------------------------------------

Trends by Personal Characteristics-------V-----------------------:----- !

J 

Age-Specific Deati Rates by Color ad Sex----------------------------

Table 4.	 Death rates by 10-year age groups, sex, and color: United 

States, l954-63-------------------------------------------

5.	 Percent excess ofdeath rates for malesoverthose for females, 

byage andcolor: United States, 1954 and 1963----------------

Sex DifferentialsforMortality----------------------------------------

Trends for Selected Leading Causes, by Age, Color, and Sex---------------

Diseases ofHeart 

Table 6.	 Death rates for arteriosclerotic heart disease, including 

coronary disease, by sex and age: United States, 1954-63------

7.	 Death rates for arteriosclerotic heart disease, including 

coronary disease, by color and sex: UnitedStates, 1954-63-----

8.	 Death rates for hypertensive heart disease, by color and sex: 

United States, l954-63-------------_--------------.----:---

9. Death rates for hypertensive heart disease, bysex and age: 

United States, l954-63-------------------------------------

J 

Malignant Neoplasms, Including Neoplasms of Lymphatic and Hematopoietic Tissues-----------------------1---------------------------

Page 

1


1


2 

6 

6 

7 

7 

7 

8 

10 

10 

11 

11 

12 

14 

14 

15 

16 

16 

17 

18 

20 

22 

./ 

Table 10. 

11. 

12. 

13. 

14. 

Death rates for malignant neoplasms, bycolor and sex: United


States, l954-63-------------------------------------------


Death rates for malignant neoplasm of digestive organs and


peritoneum, not specified as secondary, bysex and age: United


States, l954-63-------------------------------------------


Death rates for malignant neoplasm of digestive organs and


peritoneum, not specified as secondary, by color and sex:


Ufited States, l954-63----------------------=--------------


Death rates for malignant neoplasm of respiratory system,


not specified as secondary, by sex and age: United States,


1954-63-------------------


Death rates for malignant neoplasm of respiratory system,


not specified as secondary, by color and sex: United States,


l954-63--------------------------------------------------

---------------------------------------------------

---------------------------------------------

--------------------------------------------

---------------------------------------------------

------------------------------------

---------------------------------

CONTENTS—Con. 

Page / 

Vascular Lesions 22 

Table 15.	 Death rates for major componentsof vascular lesions affecting 

central nervous system, by color and sex: United States, 1954 

and l963------------------------------------------------- 23 

16. Death rates for cerebral hemorrhage, and cerebral emlmlism 

and thrombosis, bysex and age: United States, 1954 and 1963-- 24 

d’ 

Accidents--------------------------------------i------------------- 24 

J 

Table 17.	 Death rates for all motor vehicle accidents and for motor 

vehicle traffic accident to pedestrian, by color and sex: United 

States, l954-63------------------------------------------- 25 

18.	 Death rates for motor vehicle accidents, by age, sex,and 

color: United States, 1963---------------------------------- 27 

19.	 Death rates for motor vehicle traffic accident to pedestrian, 

byage, sex,and color: United States, 1963------------------- 29 

20.	 Percentage change, 1954-63 and 1961-63, in the death rate for 

motor vehicle accidents, by age, sex, and color: United States-- 31 

21.	 Death rates for accidents, by color and sex: United States, 

l954-63-----------------,--------------------------------- 32 

22.	 Deaths and death rates for accidents, by external causeof 

injury: Un;ted States, 1954 and 1963------------------------- 33 

J 

Influenza andPneumonia 33 

Table 23.	 Death rates for pneumonia, except pneumonia of newborn, by 

color and sex: United States, 1954-63------------------------ 34 

24.	 Death rates for pneumonia, except pneumonia of newborn, by 

sex and age: United States, 1954-63------------------------- ,35 

General Arteriosc~ Lrosis 38 

Table 25.	 Death rates for general arteriosclerosis, by color and sex: 

United States, 1954-63------------------------------------- 38 

26.	 Death rates for general arteriosclerosis, by sex and age: 

United States, 1954-63------------------------------------- 39 

J 

Diabetes Mellitus 38 

Table 27.	 Death rates for diabetes mellitus, by color and sex: United 

States, l954-63-------------------------------------------

28.	 Death rates for diabetes mellitus, by sex and age: United 

States, 1954-63------ 43 

J Other Diseases of CirculatorySystem 43 

Table 29.	 Death rates for other diseases of circulatory system, by sex 

and age: United States, 1954-63----------------------------- 44 

30.	 Death rates for other diseases of circulatory system, bycolor 

and sex: United States. 1954-63----------------------------- 45 
-------------------------------------

--------------

--------------------------------------------------

-------------------------------------------------------------

-----------------------------------------------------------

----------------------------------------------------------

CONTENTS—Con. 

/ Page 

Other Bronchopulmonic Diseases 45 

Table 31.	 Death rates for other bronchopulmonic diseases, by sex and 

age: United States, 1960-63------------------- 46 

32.	 Death rates for other bronchopulmonic diseases, by color and 

sex: United States, l954-63--------------------------------- 47 

33.	 Death rates for emphysema, without mention ofbronchitis, by 

color and sex: United States, 1954-63------------------------ 47 

Cirrhosis d L;ver 48 

Table 34.	 Death rates for cirrhosis of liver, by color and sex: United 

States l954-63------------------------------------------- 48 

35.	 Death rates for cirrhosis of liver, by sex and age: United 

States. l954-63------------------------------------------- 49 

Suicide ------------------------------------------------------------ 50 

Table 36. Death ratesforsuicide,bycolor andsex:.United States, 1954-63- 50 

37. Death rates for suicide, bysexandage: United States, 1954-63-- 52 

Ulcer of Stomach and Duodenum-------------------------------------- 53 

Table 38.	 Death rates for ulcer of stomach and duodenum, by sex and 

age: United States, l954-63--------------------------------- 54 

39.	 Death rates for ulcer of stomach and duodenum, bycolor 

and sex: UnitedStates, l954-63----------------------------- 55 

Smmary 55 

Qualifications of Data-------------------------------------------------- 56 

References 57 

Biblio~aphy 57 

. 
----------------------- ---

------------------

---------------------------

---------- -------

IN THE REPOR T data is pyesented on moztality other than that included 

in annual OY monthly reports. This study of mo~tality trends fo~ 1954-

63 examines death vates for 12 of the 15 leading causes of death by age. 

coloY, and sex. 

FOY white men at ages under 45 yeays theye was a decyease in the rate 

of fall in mof-tality; and at ages 45 yean and over theye was an actual 

halt in the downward tvend during 1954-63. These ‘changes in the vate of 

improvement Yesulted in part from substantial incyeases in the death 

Yates fov ayteyioscleyotic heavt disease, maligwant neoplasm of vespiYatovy system (especially “lung cancey”), motov vehicle accidents, pneumonia, cir~hosis of livey, diabetes mellitus, and othev byonchopulmonic 

diseases (including emphysema). 

The death Yate foy the white female population leveled off duying 1954-

63 foy each 10.-yeav-age group. Contributing to this deceleration in the 

downward trend weye increases in the death rate for a~teyiosclerotic 

heart disease, malignant neoplasm of YespivatoYy system, motoy vehicle 

accidents, othey diseases of cimulatovy system,” ciwhosis of livey, and 

ulcey of stomach and duodenum. 

The downward moytality .Wend fo~ the nonwhite population also leveled 

off duying 1954. FOY nonwhite men this dece.leyation is attributable. to 

incveases foy the same causes of death listed above foy white men. FOY 

some causes, including ayteviosclevotic heayt disease and malignant 

neoplasm of YespivatoYy system, the moytality differential by coloY decyeased duying 1954-63, owing to the gveatey Yelative incwase in moYtality @om these causes in the nonwhite male population. 

ContYibuti~ to the decyease in the Yate of fall in moytality foy the nonwhite female population weye incyeases in moytality from aYteYioscle -

Yotic heayt disease, malignant neoplasm of YespiYatoYy system, motoy 

vehicle accidents, pneumonia, other circulatory diseases, ciwhosis of 

livey, and suicide. 

SYMBOLS 

Data not available 

Categoxy not applicable . . . 

I QuanLity zero -

I 

Quantity more than O but less than 0.05---- 0.0 

Figure does not meet standards of 

* reliability or precision 
-----------------------------------------------

MORTALITY TRENDS IN THE UNITED STATES


A. Joan Klebba, Division of Vital Statistics 

INTRODUCTION 

Thisreportisthesecondina seriesdealing


withmortality
data.The studyexaminesmortality


trendsfor1954-63for12 ofthe15leadingcauses


.ofdeathby age,color,and sex.


Untilabout1954,thetrendinthetotaldeath


ratefor the UnitedStateswas downward;during


theensuingdecade,however,itleveledoff.
Death


ratesfor1954-63forsome oftheleadingcauses


contributing to thisleveling
offof the general


mortalitytrendare analyzedby age,color,and


sexinthisreport.


There were apparentincreasesinthedeath


ratesduringthe 1954-63periodfor12ofthe15


leadingcauses shown intable1.For 10ofthese


causesthe direction of the mortality
curvewas


upward almost over the entiredecade:diseases


of heart;malignantneoplasms,including
neo­


plasms of lymphaticand hematopoietic
tissues;


influenza and pneumonia,excluding
pneumoniaof


newborn;generalarteriosclerosis; diabetes
mel­


litus; otherdiseasesofcirculatory
 system;other


bronchopulmonicdiseases;cirrhosisof liver;


suicide;and ulcer of stomach and duodenum


(table2).For anothercause, vascularlesions


Table 1. Mortality from 15 leading causes of death: United States, 1963 

[Ranked — on the basis of the List of 60 Selected Causes of Death. Numbers after causes of death are category numbers of the -. Seventh Revision of th~ Internatioml Lists, 1s55] 

Rates


Percent
 Rank per


order Cause of death LOO,OOO of


tota1
 popu­


lation ieaths


All causes 961.9 100.0


Diseases of heart------------------------------4OO-4O2,4lO-443 375.4 39.0 

; Malignant neoplasms, including neoplasms of lymphatic 

and hematopoietic tissues-----------------------------l4O-2O5 151.4 15.7


Vascular lesions affecting central nervous system------33O-334 106.7 11.1


Accidents--------------------------------------------E8OO-E962 53.4 5.6
 ... Motor vehicle accidents----------------------------E81O-E835 23.1 

2 

... Other accidents--------------------------E800-E802,E840-E962 30.3 ::: 

Influenza and pneumonia, except pneumonia of newborn---480-493 37.5 3.9 

Certain diseases of early infancy----------------------760-776 33.3 3.5 

General arteriosclerosis-----------------------------------45O 19.9 2.1 

Diabetes mellitus------------------------------------------26O 17.2 1.8 

Other diseases of circulatory system-------------------45l-468 12.9 1.3 

1: Other bronchopulmonicdiseases-------------------------525-527 12.3 1.3 

11 Cirrhosis of liver-----------------------------------------58l 11.9 1.2 

12 Suicide-----------------------------------------E963>E97O-E979 11.0 1.1 

13 Congenital malformations-------------------------------75O-759 11.0 1.1 

2 

; 

14 Other hypertensive disease-----------------------------444-447 0.7


15 Ulcer of Stomach and duodenum--------------------------54O,54l ::; 0.7


.0. All other causes--------------------------------------Residual 94.8 9.9


1 
-----------------------------------------------------------------

-----------------------------------------------------------

-----------------------------------------------------------

Table 2. Death rates for 60 selected causes: United States, 1954-63


[Numbers after causes of death are category numbers of the Seventh Revision of the International Lists, 1955. Deaths are clas­

— 

1 

2


3


14


15


16


17


18


19


20 

21 

22 

23 

24 

25 

26 

27 

28 

32 

33 

34 

35 

sified according to the Sixth Revision for 1954-57 and according to the Seventh Revision for 1958-63] 

Cause of death


All causes


Tuberculosis, all forms---------------------------------------------------OOl-Ol9


Tuberculosis of respiratory system--------------------------------------OOl-OO8


Tuberculosis, other forms--.---------------------------------------------OlO-Ol9


Syphilis and its sequelae-------------------------------------------------O2O-O29


Dysentery, all forms------------------------------------------------------O45-O48


Scarlet fever and streptococcal sore throat-------------------------------O5O ,051


Diphtheria--------------------------------------------------------------------O55


Wh~oping cough----------------------------------------------------------------O56


Meningococcal infections------------------------------------------------------O57


Acute poliomyelitis----------------.=------------------------------------------O8O


Measles ------------(385


Other infective and parasitic


diseases ----------------------------- 030-044,049,052-054,058-074,081-08$,086-138


Malignant neoplasms, including neoplasms of lymphatic and hematopoietic


tissues------------------------------------------------------------------l4O-2O5


Malignant neoplasm of buccal cavity and pharynx-------------------------l4O-l48


Malignant neoplasm of digestive organs and peritoneum, not specified


as secondary--------------------------------------------------l5O-l56A, 157-159


Malignant neoplasm of respiratory system, not specified as secondary----l164l64


Malignant neoplasm of breast------------------------------------------------l7O


Malignant neoplasm of genital organs------------------------------------l7l-l79


Malignant neoplasm of urinary organs------------------------------------l8O,, 181


Malignant neoplasm of other and unspecified sites--------------l56B, 165,190-199


Leukemia and aleukemia------------------------------------------------------2O4


Lymphosarcoma and other neoplasms of lymphatic and hematopoietic


tissues------------------------------------------------------------2OO-2O3', 205


Benign neoplasms and neoplasms of unspecified nature----------------------2lO, 239


Astha-------------,-----------------------------------------------------------24~


Diabetes mellitua --260


Anemias-------------------------------------------------------------------29O-293


Meningitis, except meningococcal and tuberculous------------------------------340


Major cardiovascular-renal diseases ----------------------- 330,334,400-468,592-594


Diseases of cardiovascular system-------------------------------33O-334,4OO-468


Vascular lesions affecting central nervous system---------------------33O-334


Diseases of heart---------------------------------------------4OO-4O2,4lO-443


Rheumatic fever and chronic rheumatic heart disease---------4OO-416,4lO-4l6


Arteriosclerotic heart disease , including coronary disease--------------42O


Nonrheumatic chronic endocarditis and other myocardial


degeneration-------------------------------------------------------42l,422


Other diseases of heart---------------------------------------------43O-434


Hypertensive heart disease ------------------------------------------44o-443


Other hypertensive disease--------------------------------------------444-447


General arteriosclerosis--------------------------------------------------45O


Other diseases of circulatory system----------------------------------45l-468


Chronic and unspecified nephritis and other renal sclerosis-------------592-594


2

--

5

10

15

20

25

30

35

Tab’le 2. Death rates for 60 selected causes: United States, 1954-63—Con. 

[NUmbers after caUsesof death arecate~ow numbers of the Seventh Retision oftbe International Liste, l955. Eeathsareclassified according to the Sixth Revision for 195457 and according to the Seventb Revision for1958-63–Con] 

= 

1963 1962 1961 1960 1959 1958 1957 1956 1955 1954


Rates per 100,000 population 

961.9 945.4 929.6 954.7 938.6 950.8 958.6 935.1 930.4 919.0 

4.9 

4.6 

0.4 

2; 0.4 

5.4 

5.0 

0.4 

6.1 

5.6 

0.4 

6.5 7.8 

6.0 5: 

0.5 0.5 ;:2 

8.4 

;:: 

9.1 

8.3 

0.8 

10.2 

9.3 

0.8 

1.4 1.5 1.6 1.6 1.7 2.0 2.2 2.3 3.0 

0.2 0.2 0.2 0,2 0.2 0.3 ::; 0.3 0.4 

0.1 0.1 0.1 0.l .::: 0.1 0.1 0.1 0.1 0.2 

0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.1’ 0.1 

0.1 0.0 0.0 0.1 0.2 0.1 0.1 0.2 ::: 

0.4 0.3 0.3 0.4 0.4 0.4 0.5 0.5 M 

0.0 0.0 0.0 0.1 0.3 0.1 0.1 0.3 R 0.8 

0.2 0.2 0.2 0.2 0.2 0.3 0.2 0.3 0.’2 0.3 

3.2 3.1 3.1 3.2 3.1 3.0 2.8 2.7 2.6 2.7 

151.4 149.9 149.4 14;� 147.3 146.8 148.6 147.8 146.5 145.6 

3.5 3.5 3.5 . 3.4 3.3 3.4 3.3 3.4 3.3 

49.3 49.5 50.1 50.8 50.7 50.9 51.7 52.4 52.3 53.0 

24.9 24.0 23*1 22.2 21.2 20.4 19.9 19.2 18.2 17.1 

13.5 13.4 13.4 13.4 13.1 ,13.1 ‘13.3 13.3 13.4 13.0 

21.2 21.3 21.4 21.6 21.6 22.1 22.6 22.6 22.8 22.9 

7.1 7.0 

M’ 1;:; 1;:: 16.5 1;:; 1::!? J:+ 16.3 J:: 12:: 

7.2 7.0 7.0 7.1 7.0 6.9 6.9 6.8 6*6 6.5 

7.6 7.4 7.4 7.2 7.1 6.9 7.0 6.8 6.5 6.3 

2.6 2.5 2.6 2.7 2.8 2.9 3.0 2.9 3.1 3.2 

2.7 2.6 2.7 3.0 2.8 2.9 3.6 

17.2 16.8 16.4 16.7 15.9 15.9 1;:; 1;:; 15.5 12:: 

1.8 1.8 1.8 1.9 1.8 1.8 1.9 1.9 

1.2 1.2 1.2 1.3 1.3 R 1.2 1.2 1.1 t ; 

527.6 521.4 511.5 521.8 515.9 523.5 523.5 510.5 506.0 495.2 

521.7 515.2 505.1 515.1 508.9 515.5 514.6 501.4 496.3 484.6 

106.7 106.3 105.4 108.0 108.4 110.1 110.2 106.3 106.0 104.1 

375.4 370.3 362.4 369.0 363.2 367.7 369.4 361.0 356.5 348.3 

10.3 10.4 10.8 11.8 12.0 12.0 12.1 

29;:; 28%$ 27;:; 275.6 268.6 266.2 265.6 255.5 247.0 235.7 

29.7 29.4 29.8 31.8 31.8 33.8 36.8 37.7 39.9 41.0 

14.5 13.9 13.8 14.3 13.8 14.2 12.8 12.6 12.6 13.0 

32.4 33.5 34.6 37.0 38.6 42.7 42.5 43.3 45.0 46.6 

6.7 6.7 7.4 8.0 6.5 

19.9 19.8 18:; 2;:: 19.6 19.9, 1$; 19.1 1;:: 1;:: 

12.9 12.2 11.3 11.0 10.3 9.9 8.4 

6.0 6.1 6.3 6.7 7.0 8.0 k; 9.1 N 1::: 

:


— 

1 

: 

4


6


7


8


9


11


12


13


14


16


17


18


19


21


22


23


24


26


27


28


29


31


32


33


34


36


::


2;


41


3. 
----------

----

-------- ---------------- ----

----------

-------- -------- -------- -------- --------

Table 2. Death rates for 60 selected causes: United States, 1954-63—Con.


[Numbers after causes ofdeath arecatego~ numbers of the Seventh Revision of the International Lists,.l955. Deaths areclassified according to the Sixth Revision for 1954-57 and according to the Seventh Revision for 1958:63] 

= 

— 

42


43


44


45


46


47


48


49


50 

51 

52 

;: 

55 

56 

57 

58 

59 

60 

61 

62 

63 

64 

65 

66 

67 

68 

69 

70 

Cause of death


Influenza and pneumonia, except pneumonia of newborn----------------------48O-493


Influenza ---------------------------------------------------------------48O~483


Pneumonia, except pneumonia of newborn---------------------------,-------49O-493


Bronchitis----------------------------------------------------------------5OO-5O2


Other bronchopulmonic diseases ----------------------------------525-527


Ulcer of stomach and duodenu---------------------------------------------54O,54l


Appendicitis --------------------------------------------------------------55o-553


Hernia and intestinal obstmction-------------------------------------56O,56l,57O


Gastritis, duodenitis, enteritis, and colitis,


except diarrhea of newborn ---------------------~---------------------543,57l,572


Cirrhosis of liver----------------------------------------------------------&-58l


Cholelithiasis, cholecystitis, and cholangitis ----------------------------584,585


Acute nephritis, and nephritis with edema including nephrosis-------------59O, 591


Infections of kidney----------------------------------------------------------6OO


Congenital malformations --------------------------------------------------75o-759


Certain diseases of early infancy -------------- .--------------------------760-776


Birth injuries, postnatal asphyxia, and atelectasis ---------------------760-762


Infections of newborn -----------.-------------------.------------..-.---763-768


Other diseases peculiar to early infancy, and innnaturity


unqualified -------------------.---------..-.-.---------------------769-776


Symptoms, senility, and ill-defined conditions 780-795


A1l other diseases --------------.-------------.------.-------------------Residual


kccidents ...----------.---------..----.-..------.-------------E800-E962


Motor vehicle accidents -------E81O-E835


Other accidents ---------------------------------------------E8OO-E8O2,E84O-E962


Suicide ------------------------------------------------------------E963,E97O-E979


Homicide ----.------------------------------------------------------E964>E98O-E985


4 
Table 2. Death rates for 60 selected causes: United States, 1954-63—Con.


[Numbers after cm.ses of death are category numbers of the Seventh Revision of the International Lists, 1955. Deaths are classified according tothe Sixth Revision for1954-57 andaccording tithe Seventh Revision fot 1958-63] 

= 

1963 1962 1961 1960 1959 1958 1957 1956 1955 1954


— 

Rates per 100,000 population


37.5 32.3 31.2’ 33.1 35.8 28.2 27.1 

1.6 1.7 :: . 3::: 3;:: 29.6 3;:: 3::: 2::: 25.4 44 

1$2 2.4 

9.6 

2.2 

8.5 ::: 

1.9 

7.0 

1.9 

6.1 

1.8 

5.4 

45 

46 

6.6 6.3 6.0 6.1 6.0 5.9 5.8 47 

0.9 1.0 1.0 1.0 1.1 1.2 1.3 1.4 1.4 48 

5.3 5.0 5.1 5.2 5.1 5.0 5.1 5.3 5.3 49 

4.4 4.4 4.3 4.4 4.4 4.5 4.7 4.5 4.7 4.9 50 

11.9 11.7 11.3 11.3 10.9 10.8 11.3 10.7 10.1 

2.5 2.6 2.6 2.7 2.9 3.5 z; 

?3:; N 1:3 ?:; 1.6 53 

::; 4.7 ::: ::; 3.9 3.7 3.4 3:0 2.7 54 

2.3 2.3 2.3 2.5 2.6 2.7 3.0 3.2 3.7 3.8 55 

0.8 0.9 0.9 1.0 1.0 1.2 1.3 56 

0.1 0.2 0.1 0.2 0.1 0.2 0.2 57 

0.6 0.6 0.7 0.7 0.7 0.8 0.9 0.9 1.0 1.1 58 

11.0 11.4 12.0 12.2 12.3 12.4 12.8 12.6 12.5 12.5 59 

33.3 34.6 35.9 37.4 38.5 39.8 39.1 38.6 39.0 39.4 60 

14.3 15.2 15.8 16.6 17.1 18.2 17.8 17.7 17.8 17.8 

2.3 2.4 2.6 2.7 2.9 3.2 3.0 2.8 2.6 2.7 :; 

16.7 16.9 17.5 18.2 18.5 18.4 18.3 18.1 18.6 18.9 63 

11.9 10.6 10.4 11.4 10.8 11.4 11.2 11.3 12.1 12.5 64 

28.7 28:1 28.2 29.0 28;8 28.4 26.9 25.9 25.7 25.7 

53.4 52.3 50.4 52.3 52.2 52.3 55.9 56.7 56.9 55.9 :2 

23.1 22.0 20.8 21.3 21.5 21.3 22.7 23.7 23.4 22.1 67 

30.3 30.3 29.6 31.0 30:7 30.9 33.2 33.0 33.5 33.8 68 

11.0 10.9 10.6 io.6 10.7 10.0 10.2 10.1 69 

4.9 4.9 4.7 4.6 4.5 4.6 4.5 4.8 70 

— 
affecting the central nervous system, the slight 

rise that started about 1955 leveled off around 

1959, with the end result of only about a 2.5 

percent increase in the death rate for the period 

1954-63. For accidents, there was a reversal in 

the mortality trend during the latter part of 

1954-63, resulting inan upturn for the last years 

of the decade. These 12 causes accounted for 85 

percent of the 1,813,549 deaths occurring in the 

United States in 1.963. 

‘rwo of the three remaining 15 leading 

causes, certain diseases of early infancy and 

congenital malformations, will be included in 

another report in this series. The remaining 

cause, other hypertensive disease, contributed 

nothing to the leveling off of the mortality trend 

during 1954-63. The death rate for this cause 

declined from 7.1 deaths per 100,000 persons for 

1954 to 6.7 for 1963 (table 2). 

One step in the analysis of these selected 

leading causes is the identification of opposite 

trends for the principal subcategories of a 

cause. For example, in the analysis of malignant 

neoplasms, both those of the respiratory system, 

for which the trend is upward, and those of the 

digestive organs and peritoneum, for which the 

trend is downward, are treated separately. 

Some Breaks in Comparability 

Between 1957 and 1958 

During 1954-63 the causes of death were 

classified according to two different revisions of 

the International Classification of Diseases. The 

Sixth Revision, issued in 1948, was used for the 

first 4 years (1954-57) and the Seventh Revision, 

issued in 1955, was used for the last 6 years 

(1958-63). A study in which a 10-percent sample 

of deaths occurring in the United States in 1958 

was coded by both the Sixth and Seventh Revisions 

(applying the coding procedures in effect, respectively, with each Revision) shows that breaks in 

comparability were not appreciable in number. 1 

The differences resulting from the use of the 

two revisions are expressed by factors termed 

“comparability ratios” which are computed by 

dividing the numbers of deaths assigned to particular causes using the Seventh Revision by the 

numbers of deaths assigned to the same causes 

by the Sixth Revision. These ratios give an indication of the net changes between the two revisions. 

A comparability ratio of 1.00 indicates that the 

same number of deaths was assigned to a particular cause whether the new or old classification 

was used. A ratio of less than 1.00 indicates a 

decrease in assignment of deaths to a cause in 

the Seventh Revision as compared with the 

Sixth. Conversely, a ratio of more than 1.00 

means that there was an increase in assignments 

under the Seventh Revision. 

For the most part the degree of discontinuity in the trend for the years in which-the 

Sixth and Seventh Revisions were in use is not 

a problem of great concern. With two exceptions, 

the 12 selected leading causes included in this 

report are among those for which the comparability ratios were close to 1.00. 

For the two exceptions, namely, influenza 

and pneumonia and other bronchopulmonic diseases, the ratios were 0.94 and 0.93, indicating 

decreases of, respectively, 6 percent and 7 percent in assignment under the Seventh Revision. 

Impact on Annual Rates of 

Outbreaks of Influenza 

Despite the fact that there has been a gradual 

dimunition over the century in the excess number 

of deatks attributed to heart and other chronic 

diseases and conditions during influenza epidemics, widespread epidemics still tend to raise 

somewhat the level of mortality for the year in 

which they occur. There were four influenza 

epidemics during the 1954-63 decade (in 1957-58, 

1960, 1962, and 1963). During these epidemics, 

with the exception of the ‘1962 outbreak which was 

not widespread, substantial numbers of excess 

deaths were estimated to have occurred. During 

the January-April 1963 epidemic, for example, 

the excess number of deaths from all causes was 

estimated to be about 3 percent of the total number 

of deaths that occurred in 1963. Only about onefifth of these were assigned to influenza and pneumonia as the underlying cause of death. ‘The other 

excess deaths were distributed for the most part 

among the cardiovascular and nonneoplastic respiratory diseases. 

Because of the influence of influenza outbreaks on the total death rate, a clearer view of 

the resulting trend is obtained by looking at the 

6 
--------------

-------

Table 3. Age-adjusted death rates, by color and sex: United States, L954-63


[Computed bythe directmethod, using	 as the standard population the age di&ib.tion of the total population of theUnit.edState.s 

as enumerated in 1940; see Qualifications of Data] 

II 1 

Total White Nonwhite 

Year 

Both Male Female Both Both Male Female sexes Male Female sexes sexes 

Rates per 1,000 population


19631 7.6 9.6 5.8 7.2 9.2 5.5 10.6 12.5 8.9 

19621 ------.- 7.5 9.4 5.8 5.4 10.3 12.0 8.7 

1961--------------- 7.3 9.2 5.7 :::. ;:: 5.4 10.0 11.6 8.6 

1960--------------- 7.6 9.5 5.9 9.2 5.6 10.4 12.1 8.9 

1959--------------- 7.5 9.3 5.9 7:2 9.0 5.5 10.3 11.9 8.8 

1958--------------- 9.4 6.0 9.1 5.7 10.6 12.2 

1957--------------- ~:i 9.6 6.1 ;:; 9.2 5.8 10.8 12.4 ;:: 

1956--------------- 7.6 9.4 6.0 

1955--------------- 7.7 9.3 6.1 7:4 9.1 5.7 10.4 11.9 9.1 

1954---------------L7.6 9.3 6.1 17.3 9.0 5.8 10.6 12.0 9.2

9.1 5.7 10.5 11.9 9.1 

lFigures by color exclude data for residents of New Jersey; see page 6-9,,Section 

6, Volume II, Vital Statistics of the United States, 1963. 

ratesfortheyearswhichwere relatively
 freeof in 1954 to 939 in 1959. In 1961, however, itreinfluenza ,separatelyfrom thoseyearswhichex- turned to the level for 1955 (930 deaths per 

periencedinfluenzaepidemics.Duringthedecade 100,000 population). 

the death rate per 100,000populationwas as In the epidemic years the death rate flucfollows: tuatedaccording to the severity ofthe outbreaks. 

In 1963 it was 962 deaths per 100,000 population, 

Years without in..uenza the highest rate for any year since 1951. 

1961-------------------------------- 929.6 In contrast tothe decided decline in the age1959-------------------------------- 938.6 adjusted death rate prior to the decade 1954-63, 

1956-------------------------------- 935.1 the age-adjusted mortality rates for 1954 and 

955-------------------------------- 930.4 1963 were thesame—7 .6deathsper100 ,OOOpopu954-------------------------------- 919.() lation (table 3). 

Years with in@enza TRENDS BY 

PERSONAL CHARACTERISTICS 

963-------------------------------- 961.9 

1962-------------------------------- 945.4 

1960-------------------------------- 954.7 Age-Specific Death Rates 

1958-------------------------------- 950.8 by Color and Sex 

1957------------------------------’-- 958.6 

The age-specific death rates by color and 

The death rate moved upward in thefirst 4of sex for 1954-63 are shown in table 4. During this 

the 5yearsthat were free ofserious outbreaksof period the mortality rate for the white male popuinfluenza: from 919 deaths per 190,000population Iation continued to decline at ages under45years; 

7. 
-----------

Table 4. Death rates by 10-year age groups, sex, and color: United States, 1954-63


Sex, year, rotal1 Under 1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-74 75-84 85+ 

and color 1 year years years years years years years years years years years 

Both sexes Rates per 1,000 population 

1963------------

1962------------

9.6 25.4 

25.3 

1.0 

1.0 

0.4 1.1 1.5 3.0 7.5 

0.4 1.5 3.0 7.4 

17.3 

16.9 

38.8 

38,0 

;:.; 210.1 

205.1 

1961------------

1960------------ H 

9.5 

25.3 

27.0 +:! 0.4 i:: 1.4 7.3 

0.5 1.1 1.5 R 16.7 

17.4 

37.2 

38,2 

83:6 

87.5 

196.3 

198.6 

1959------------ 9.4 27.5 1.1 0.5 1.1 1.5 2.9 ;:: 17.1 37.6 85.8 194.2 

1958------------ 9.5 28.1 1.1 0.5 1.1 1.5 3.0 7.5 17.4 38.4 87.9 198.0 

1957------------ 9.6 28.0 1.5 7.6 17.8 39.0 88.1 197.9 

1956------------ 9.4 28.2 +:: H ::; 1.5 ::: 7.5 17.4 38.1 87.9 192.3 

1955------------

1954------------

9.3 

9.2 

28.5 

29.3 M 0.5 1.2 1.5 3.1 7.6 

0.5 1.1 1.5 3.0 7.8 

17.3 

17.4 

38.1 

37.9 

87.9 

86.0 

189:8 

181.6 

Male 

1963------------ 11.1 28.7 1.1 0.5 1.5 1.9 3.8 9.8 23.2 51.1 100.9 224.6 

1962------------

1961------------

10.9 

1o.7 

28.7 

28.5 H’ 0.5 1.5 1.9 9.7 

1.5 1.8 H 9.6 

22.7 

22.4 

49.4 

48,1 

98.9 

97.9 

219.0 

209.1 

1960------------ 11.0 30.6 1.2 ;:2 1.5 1.9 3.7 23.1 49.1 101.8 211.9 

1959------------ 10.8 31.1 1.2 0.6 1.5 1.9 3.7 ;:? 22.8 47.9 99.1 205.4 

1958------------ 11.0 31.6 1.2 0.6 1.5 1.9 3.7 9.8 23.0 48.5 101.4 208.3


1957------------ 11.1 31.6 1.2 0.6 1.7 1.9 3.8 9.9 23.5 49.2 101.0 207.3


1956------------ 10.8 32.0 1.2 0.6 1.7 1.9 3.7 9.6 22.9 47.6 100.8 200.5


1955------------ 10.8 32.1 1.2 0.6 1.7 1.9 3.8 9.7 22,6 47.3 100.4 195.9


1954------------ 10.7 33.1 1.3 0.6 1.6 2.0 3.8 9.9 22.5 46.7 98.0 187.4


1963------------ 8.2 21.9 0.9 0.4 0.6 1.1 2.3 5.2 11.8 28.6 73.4 201.1 

1962------------ 8.1 21.8 0.9 0.4 0.6 2.3 5.2 11.6 28.3 73.3 196.3 

1961------------ 21.9 0.9 0.6 i:: 2.2 5.1 11.5 27.9 72.7 187.8 

1960------------ ::: 23.2 1.0 %: 0.6 1.1 5.3 12.0 28.7 76.3 190.1 

1959------------ 8.0 ,23.8 1.0 0.4 0.6 1.1 ::2 5.2 11.8 28.6 75.5 186.8 

1958------------ 8.1 24.5 1.0 0.4 0.6 1.1 2.3 5,4 12.1 29.4 77.4 191.0 

1957------------ 8.1 24.3 1.0 0.4 0.7 1.1 2.4 12.4 30.0 77.8 19i.5 

1956------------ 7.9 24.3 1.0 0.4 0.7 2.3 ::: 12.2 29.6 77.5 186.6 

1955------------ 7.9 24.7 1.0 0.4 0.7 i:+ 2.4 5.4 12.2 29.8 77.9 185.5 

1954------------ 7.8 25.3 1.1 0.4 0.7 1.1 2.4 5.7 12.4 29.8 76.3 1.77.4 

White-both
 sexes


19632----------- 9.5 22.3 0.9 0.4 1.0 1.3 2.6 16.2 37.5 85.8 215.8 

19622 9.4 22.3 0.9 0.4 1.0 2,6 ::; 15.9 36.8 85.1 209.7 

1961------------ 9.3 22.4 0.9 0.4 1.0 +:: 2.5 6.7 15.8 36,4 84.7 200.7 

1960------------ 9.5 23.6 1.0 0.4 1.0 1.2 6.9 16.3 37.4 88.3 203.5 

1959------------ 9.3 24.0 0.9 0.5 1.0 1.2 N 6.8 16.2 36,9 86.8 L99.3 

1958------------ 9.4 24.5 1.0 0.4 1.0 1.2 6.9 16.4 37,6 88.9 203.3 

1957------------ 24.6 1.0 0.5 1.1 ;:: 16.7 38.3 89.1 203.1 

1956------------ R 25.0 0.4 1.1 H 2,6 ::: 16.4 37,5 88.9 L97.8 

1955------------ 9.2 25.3 ::8 0.5 1.1 1.3 6.9 16.4 37,6 89.1 L95.3 

1954------------ 9.1 26.1 1.1 0.5 1.0 1.3 .;:; 7.0 16.5 37.4 87.1 L86.2 

Male 

19632----------- 11.0 25.3 0.9 0.5 1.4 1.7 3.3 9.2 22.3 49.8 102.0 230.7 

19622----------- 10.8 25.4 0.9 0.5 1.4 1.6 3.3 9.1 21.8 48.4 100.2 224.5 

1961------------ 10.7 25.5 1.0 0.5 1.4 3.3 9.0 21.6 47,4 99.6 213.9 

1960------------ 11.0 26.9 1.0 0.5 1.4 H 9.3 22.3 48.5 103.0 217.5 

1959------------ 10.8 27.4 1.0 0.6 1.5 1.6 ::: 9.1 22.0 47.3 100.5 210.9 

1958------------ 10.9 27.7 1.1 0,5 1.6 3.4 9.2 22.1 47.9 102.7 213.5’


1957------------ 11.0 28.0 1.1 0.6 H 1.7 3.4 22.5 48.6 102.4 211.6


1956------------ 10.8 28.5 0.5 1.6 1.7 3.3 ;:: 22.0 47.3 102.3 205.1


1955------------ 10.7 28.8 i:+ 0.6 1.6 1.7 3.4 21.8 47.0 102.0 200.6,


1954------------ 10.6 29.7 1.1 0.6 1.5 1.7 3.4 * ::; 21.7 46.5 99.4 L90.8
 ‘.
 ,


See footnote at end of table.


a 
----------- -----------

---- -----------

-----------

Table 4. Death rates by 10-year age groups, ‘sex,and color: United States, 1954-63_COn.


Sex, year, z-14 15-24 25-34 7.5-84 

and color years years years years 

I 1, I 

Female Rates per 1,000 population 

1963;-----------

1962------------

1961------------

1960------------

1959------------

Hi 

::: 

7.9 

19.0 

19.0 

19.2 

20.1 

20.5 

0.8 

$; 

0.9 

0.8 

0.: 0.6 o.! 1.! 4.t 

0.5 o.! l-f 4.( $: 0.5 1.5 4.! 

0’ 0.5 ::: 1.: 4.t 0:: 0.5 o.! 1.! 4.: 

10.5 

10.4 

10.3 

10.8 

10.7 

27.3 

27.1 

27.0 

27.8 

27.8 

73.8 

73;7 

73.4 

77.0 

76.3 

1958------------ 8.0 21.2 0.9 0.4 0.5 o.! l.: 4.e ‘11.0 28.5 78.1 

1957------------

1956------------

8.0 

7.8 

21.1 

21.4 

0.9 

0.9 

0.6 (). $ 4.i M 0.6 (). ~ ;:: 

11.3 

11.1 

29.2 

28.8 

78.6 

78.4 

1955------------

1954------------

7.8 

7.6 

21.7 

22.4 R 0.4 0.6 2:: 

0.4 0.6 ;:; 2: 4.~ 11.2 

11.4 

29.1 

29.2 

78.8 

77.2 

Nonwhite—


both sexes


19632 10.1 41.7 1.8 0.6 1.6 3.2 6.! 13.2 27.9 52.9 74.6


19622 41.8 1.7 0.6 1.6 3.1 6.3 12.~ 27.0 49.7 72.2


1961------------ ;:: 40.9 1.7 1.5 3.1 6.; 12.7 26.6 47.1 70.3


1960------------ 10.1 46.3 M 1.6 3.2 6.: 13.4 27.7 47.8 76.3


1959------------ 9.9 47.4 H 0.7 1.6 3.: 6.2 13.3 27.1 46.1 72.5


1958------------ 10.3 49.8 2.0 0.6 1.6 3.L . 14.C 28.2 47.8 74.8 

1957------------ 10.5 48.1 2.0 0.7 1.8 3.? & 14.5 29.6 47.6 73.9 

1956------------ 10.1 47.6 1.9 0.7 1.8 3.[ 6.4 14.c 29.0 44.9 72.5 

1955------------ 10.0 48.0 0.7 1.8 3.L 6,4 14.4 28.1 44.4 72.4 

L954------------ 10.1 49.4 ::; 0.7 1.9 3.: 6.C 15.1 28.3 43.3 71.1 

Ifale 

19632-------

19622 

11.5 

11.2 

46.6 

46.5 

1,.9 

1.8 ::; ;:: 4.c 3.5 

7.6 15.7 

15.3 

31.8 

30.5 

64.2 

59.4 

85.0 

81.0 

1961------------ 10.9 45.3 1.8 0.7 2.1 3.t ;:; 14.7 30.0 56.2 78.2 

1960------------ 11.5 51.9 2.1 2.1 7.3 15.5 31.5 56.6 86.6 

1959------------ 11.3 52.6 2.1 R 2.2 ::? 7.2 15.3 31.0 54.5 81.8 

1958------------ 11.6 55.6 2.2 4.1 7.0 15.7 32.0 56.1 .84.4 

1957------------ 11.9 53.4 ;:: ::; 2.3 16.2 33.8 55.6 82.6 

1956------------ 11/4 53.7 2.1 0.8 ::: ;:: 15.5 32.7 51.8 81.2 

1955------------ 11.3 53.5 2.1 0.8 M 4.1 7.2 15.9 31.9 51.6 80.2 

1954------------ 11.4 55.0 2.2 0.8 2.5 4.3 7.2 16.6 32.3 50.1 79.9 

Female


19632----------- 36.7 1.6 0.5 2.5 5.5 11.0 24.2 43.0 65.4 

19622 ::; 37.0 1.5 ::: 2.4 10.7 23.7 41.2 64.1 

1961------------ 8.4 36.5 1.6 %; 1.1 2.5 2:: 10.8 23.4 38.9 62.9 

1960------------ 8.7 40.7 0.5 1.1 2.6 5.5 11.4 24.1 39.8 67.L 

1959------------ 8.6 42.2 H 0.5 1.2 2.6 5.4 H.4 23.4 38.5 64.1 

1958------------ 44.1 0.5 2.8 5.6 12.4 24.7 40.1 66.1 

1957------------ ;:? 42.9 ::: 0.6 M 5.9 12.9 25.6 40.3 65.9 

1956------------ 8.8 41.5 1.8 0.5 1.2 $:; 5.9 12.6 25.3 38.3 64.3 

1955------------ 8.8’ 42.8 1.9 0.6 1.3 2.8 5.8 12.9 24.4 37.8 64.4 

1954------------ 8.8 43.8 1.9 0.6 1.4 2.9 6.0 13.7 24.3 37.0 62.2 

J


lFi~res for age not stated in< lded in ‘!Tot, ‘ but not distributed among age groups.
 2Fi@re5 by color exclude data )r residents of New Jersey; see page 6-9, Section ~Volume 11, Vital


85+


years


206.6


200.4


192.0


194.8


191.8


196.5


197.3


192.7


191.6


182.8


145.7


144.0


142.3


139.1


131.8


134.0


132.5


L26.O


122.7


121.8


161.6


161.0


155.9


152.4


144.4


156.1


L55.O


144.5


L37.7


L43.8


L34.O


L34.8


L32.O


1.28.7


L22.3


L21.7


L20.3


L13.3


L12.1


L1O.5


,.-, Statistics of the United States, 1 >3. 

9

-----------------------

-------------------------

----------------------------

---------------------------

--------------------------

--------------------------

--------------------------

--------------------------

--------------------------

--------------------------

-------------------------- --------------------

Table 5. Percent excess of death rates for males over those for females, by age and 

color: United States, 1954 and 19631 

Age 

All ages 

Under 1 year 

1-4 years 

5-14 years 

15-24 years 

25-34 years 

35-44 years 

45-54 years 

55-64 years 

65-74 years 

75-84 years 

85 years and over 

35.4 

31.2 

18.7 

46.7 

42.3 

79,7 

62.1 

87.0 

97.4 

78.5 

37.4 

11.7 

Percent excess of death rates 

==44


30.5 33.2 

19.1 21.0 

49.8 51.4 

142.5 152.1 

74.7 93.9 

54.1 72.8 

73.5 100.4 

82.3 112.5 

56.9 82.5 

28.5 38.3 

5.6 11.6 

32.8 26.9 

20.4 14.8 

51.5 31.5 

164.4 109.6 

88.8 57.9 

67.2 39.0 

89.0 42.7 

90.8 31.6 

59.2 49.3 

28.8 30.0 

4.4 20.5 

30.5 

25.6 

17.2 

43.5 

83.0 

47.4 

19.1 

21.2 

33.0 

35.3 

28.5 

30.1 

lFi.gures l?y color exclude data for residents of New Jersey: see page 6-9, Section 6, 

Volume II, Vital Statistics of the United States, 1963. 

but the rate of decline was much slower than for 

the years prior to 1954.2 At ages 45 years and 

over, however, there was an upturn in the death 

rate for the white malepopulation—except stages 

45-54 and 75-84 years. 

In the white female population the downward 

trend inthe death rate for every age group under 

85 years sloweddown substantiallyduring 1954-63 

compared with the deceleration in preceding 

years.? For white women 85 years and over 

there was a reversal of the downward trend. 

In the nonwhite male population the death 

rate continued to decline during 1954-63 at ages 

under 35 years and at ages 45-64 years, but the 

rate of decline was substantially slower than in 

preceding years. For the remaining age groups, 

however, there were increases in the death rate. 

In the nonwhite female population, the mortality rate continued to decline during the decade 

at ages under 65years, butataslower rate than in 

preceding years. At ages 65 years andover the 

death rates rose, with the greatest average rate 

of increase at ages 85 years and over. 

Sex Differentials for Mortality 

The formerly rising mortality excess for 

white males as compared with that for white 

females, for all ages combined, leveled off@tring the decade 1954-63. For the nonwhite population, however, the mortality excess for males 

at all ages continued to rise (table 5). 

The decreasein themortalitysex differential 

for the white population occurred primarily at 

age’s 15-24 years. This resulted fromarelatively 

greater increase ,duringthisperiod, in the death 

rates for girls and youngwomenas comparedwith 

that for boys andyoung men for anumberofimportant causes, including malignant neoplasmof 

respiratory system, motor vehicle accidents, and 

suicides. For every age group except 5-14 and 

15-24 years the mortality excess for whitemales 

was greater in 1963 than in 1954. 

On the other hand, in the period 1954-63 the 

mortality excess increased for the nonwhitemale 

population at ages 15-24 years; itdeclinedatages 

1-4, 5-14, 55-64, and85 years and over. 

10 

.-, .. 
TRENDS FOR “ 

SELECTED LEADING CAUSES, 

BY AGE, COLOR, AND SEX 

Mortality trends for 1954-63 for the 12 

selected leading causes are shown below; for each 

of these causes, variations in mortality by age, 

color, and sex are presented. The 12 causes are 

taken up in the order of their appearance in 

table 1. 

Diseases of Heart 

Diseases of the heart accounted for 707,830 

deaths or nearly 40 percent of all deaths occurring 

in 1963. In the period 1954-63 the relative increase in mortality from this cause was about 8 

percent. Consistently the largest component of 

heart disease, arteriosclerotic heart disease, 

including coronary disease accounted for 546,813 

deaths in 1963, representing a rate of 290.0 deaths 

per 100,000 population. This was an increase of 

about 23 percent since 1954. Except for the minor 

subcategory, other diseases of heart, the trend 

was downward for 1954-63 for the other components of heart disease shown in table 2. 

Variations in mortality trends by age, color, 

and sex for arteriosclerotic heart disease, and 

variations by coIor and sex for hypertensive heart 

disease are indicated below. The latter category 

is the largest component of diseases of the heart 

shown in table 2 for which the trend was downward. 

Arteriosclerotic heart disease. — The increase in arteriosclerotic heart disease during 

1954-63 is not attributable to a break in comparability of cause-of-death statistics between 1957 

and 1958. The effect of the adoption of the Seventh 

Revision of the International Lists of Diseases and 

Causes of Death which came into use beginning 

with data year 1958. resulted in fewer deaths 

being coded to this cause than would have been 

the case under the Sixth Revision. The comparability ratio was 0.98. (For a further description 

of classification changes involving arteriosclerotic heart disease, see reference 1.) 

By age, the greatest relative increases during 

1954-63 for mortality from arteriosclerotic heart 

disease were for persoris 65 years and over 

(table 6). But there were also substantial increases 

in the death rate for this group of heart diseases 

at ages 25-64 years. 

There was a more rapid rise in this death 

rate for women (about 31 percent) than for men 

(about lQ percent) in the period 1954-63. !Zvenso, 

the death rate for arteriosclerotic heart disease in 

1963 was still about 64 percent higher for men 

than women (table 6). 

There were increases in the death rate for “ 

both men and women for arteriosclerotic heart 

disease at ages 25 years and over, in the period 

1954-63, with the greatest increase at ages 65 

years and over (fig. 1). The relative increase in 

this rate at ages 25-44 years was about 2(I percent for women as compared with about 17 percent for men. At ages 45 years and over the 

relative increases in mortality were somewhat 

higher for men than for women. 

The excess of the death rate for arteriosclerotic heart disease for men over the corresponding 

death rate for women was greatest among young 

adults and decreased with an advance in age. Thus 

at ages 25-44 years the 1963 death rate for this 

cause for men was about 4.6 times the corresponding rate for women, 3.4 times at ages 

45-64 years, and 1.5 times as high for those 

65 years and over. 

The increase in the death rate for this cause 

was greater for the nonwhite population (37 percent) than for the white population (22 percent). 

The greatest relative increase was for nonwhite 

women, amounting to about 41 percent (table 7). 

Hypertensive heart disease.— The death rate 

for hypertensive heart disease decreased about 

30 percent in the period 1954-63. The greatest 

relative decrease was for the white male population (about 37 percent). The death rate for 

this cause for the nonwhite population was still 

more than twice that for the white population, 

and the rates for both white and nonwhite women 

were still considerably higher than the corresponding rates for white and nonwhite men. 

This reduction is not ascribable to changes in 

the International Lists. Under the Seventh Revision, more deaths were coded to this cause than 

would have been assigned under the Sixth Revision. 

The comparability ratio was 1.11. It is not known 

to what extent the upward trends in mortality from 

arteriosclerotic heart disease reflect inc rc?ased 

recognition of arteriosclerosis in th~’ etiology of 

11

--------

--------

--------

Table 6. Death rates for-arteriosclerotic heart disease, including coronary disease, by sex and age: 

United States, 1954-63 

rDeaths are those attributed tm cateeorv number 420 of tbe Seventh Revision of tbe International Lists. 1955. Deaths are classified accordine . . . -. ta the Sixth

Revision for 1954-57 and ti the Seventh Revision’ for 1958-64 

Sex and age 1963 1962 1961 1960 1959 1958 1957 1956 1955 ‘1954 

Both sexes Rates per 100,000 population 

All ages- 290.0 283.9 274.4 275.6 268.6 266.2 265.6 255.5 247.0 235.7 

1-4 years---- 0.0 0.1 0.0 0.1 0.1 0.1 0:1 0.1 0.1 0.1 5-14 years--- 0.1 0.1 0.1 0.1 0.1 0.1 0.1 0.1 15-24 years-- ::: 0.5 0.6 0.6 u 0.7 0.9 0.9 1.0, ;.;
 25-34 years-- 7.2


35-44 years-- 53.2 5::; 5::; 5::: 4;:; 5::: 5::: 4;:: 4;:; 47:8


45-54 years-- 209.7 208.1 205.2 207.7 206.9 205.7 202.7 197.4 196.9 198.3
 55-64 years-- 583.4 576.4 566.4 580.9 571.9 574.7 580.1 563.7 549.7 540.9
 65;74 years-- 1,413.2 1,384.9 1,344.7 1,356.1 1,332.3 1,329.6 1,340.1 1,297.9 1,265.8 1,225.2
 75-84 years-- 3,051.1 3,010.6 2,934.4 2,998.0 2,912.5 2,920.7 2,932.4 2,868.6 2,780.4 2,624.3
 85 years and


over 7;127.2 6,914.7 6,457.8 6,368.6 6,119.6 6,048.4 6,054.4 5,732.9 5,467.7 5,003.4


Male


All ages- 361.6 354.9 345.5 348.0 339.7 337.9 336.4 325.4 316.2 304.5 

1-4 years----

5-14 years---

o.~ 

0.1 

0.1 

0.1 

0.0 

0.1 

0.1 0.1 

0.1 

0.1 

0.1 

0.1 

0.2 

0.2 

0.1 

0.1 

0.1 

0.2 

0.’2 

15-24 years--

25-34 years--

0.9 

11.1 lH 0.9 10.7 ::: 

10.9 1;:+ 1;:: 1::: 1::: 1+:? 1::; 

35-44 years-- 89.7 87.3 87.0 86.2 85.6 85.9 86.0 84.2 82.5 80.6 

45-54 years-- 348.9 346.0 341.3 347.1 343.7 339.5 335.0 327.1 324.6 325.6 

55-64 years-- 995.2 883.1 868.8 885.2 875.5 876.0 881.6 856.0 834.3 818.2 

65-74 years-- 1,977.5 1,919.8 1,860.2 1,863.2 1,820.5 1,810.1 1,804.5 1,745.2 1,700.6 1,642.8


75-84 years-- 3,740.2 3,661.2 3,565.0 3,636.6 3,499.2 3,513.7 3,490.2 3,414.2 3,311.6 3,130.6
 85 years and


Over 7,754.0 7,571.8 7,057.4 6,930.6 6,606.5 6,570.6 6,473.6 6,118.3 5,777.0 5,292.8


Female


All ages- 220.9 215.3 205.6 205.4 199.5 196.5 196.8 187.5 179.6 168.8


/ 

5-14 years--- 0.0 ‘::; ::? 0.0 0.1 0.1 0.1 0.1 0.1 15-24 years-- 0.4 0..3 0.3 0.4 0.5 ::: 0.7 0.6 0.7 0.7 25-34 years-- 2.6 2.9 3.0 35-44 years-- 1;:2 1::; 15.7 12:: 15.9 1::; 12:: 15.8 1::: 1::! 

45-54 years-- 76.4 75.5, 73.7 72.4 74.2 .75.5 73.7 70.6 71.7 73.2 55-64 years-- 294<0 290.7 283.8 295.6 286.5 290.2 293.9 284.6 275.9 272.2 

1-4 years---- 0.0 0.0 0.0 0.1 0.1 0.1 0.2 0.1 

65-74 years-- 943,4 933.3 903.6 914.8 905.4 906.1 927.1 897.4 873.6 846.3
 75-84 years-- 2,534.1 2,516.1 2,451.1 2,502.5 2,455.1 2,453.9 2,489.1 2,431.5 2,351.4 2,211.4
 85 years and


oveE 6,736.1 6,499.2 6,064.0 6,009.4 5,801.3 5,700.2 5,768.4 5,464.7 5,248.6 4,796.5


— .


12 
MALE 

I0,000 . 

8,000 — 

6,000 — 

4,000 — 

~ 

/ 65 years and over 

2,000 — 

1,000 — 

800.t- i 

600 — 45-64 years 

z 

o 

c 

a 

E! 400 —
 L


~


:


0-


0


0
 200 — 

I 

40 

1- 1 

20 — 

10 — 

8 — 

FEMALE 

10,000 

— 8,000 

— 6,000 

— 4,000 

— 2,000 

65 years and over 

— 1,000 

— 800 

— 600 

z 

17 

—	 400 : 

7J 

G 

-0


z


o
 — 200 

45-64 years T 

0 0 T 

F 

3 

E 

z 

— 100 

— 80 

— 60 

— 40 

,. 

— 20 

25-44 years 

— 8 

I I I I I I I I I I I I I 6 

1354 1956 1958 1960 1962 1954 1956 1958 .1960 1962 

Figure 1. Death rates for arteriosclerotic heart disease, including coronary disease, stages 25 years 

and over: 195W-63. 

13

--------

Table 7. Death rates for arteriosclerotic heart disease, including coronary disease,


by color and sex: United States, 1954-63


[Deaths arethose attributed ticate@ynumber4200ftheSeventh Revision oftheInternational Lists,
1955.Deatheareclas-


sified according to tbe Sixth Revision for 1954-57 and to the Seventh Revision for 1958-63] 

White Nonwhite


Year


Both Male Female Both Male Female
 sexes sexes


Rates per 100,000 population 

19631------------------ 303.3 379.7 229.2 175.3 208.6 143.9 

19621------------------ 297.0 372.8 223.4 169.8 202.2 139.2’ ‘ 

1961------------------- 289.2 365.3 215.2 161.2 190.9 133.3 

1960------------------- 290.5 368.0 215.1 160.4 190.7 131.7 

1959------------------- 283.0 358.8 209.2 154.0 185.9 123.8 

1958------------------- 280.2 356.8 205.6 153.3 183.1 125.2 

1957------------------- 279.3 354.7 205.6 154.6 184.6 126.2 

1956------------------- 269.1 344.0 196.0 144.4 171.3 118.8 

1955------------------- 260.4 334.5 188.1 136.2 162.9 110.9 

1954 ------.” --- 248.6 322.0 177.0 128.0 155.7 101.9 

lFigures by color exclude data for residents of New Jersey; see page 6-9, Section 6, 

Volume II, Vital Statistics of the United States, 1963. 

# 

Table 8. Death rates for hypertensive heart disease, by color and sex: United States,


1954-63


[Deaths are those attributed @catego~numbers 440-4430f the Seventh Revision of the International Lists, l955. Deaths, are 

classified according to the Sixth Revision for 1954-57 and to the Seventh Revision for 1958-631 

White Nonwhite


Year


Both Male Female Both Male Female


sexes sexes


Rates per 100,000 population 

19631------------------ 28.1 24.1 32.0 64.1 61.1 67.0 

19621------------------ 29.3 24.9 33.5 65.1 62.3 67.7 

1961------------------- 30.5 26.2 34.6 66.0 62.3 69.5 

1960------------------- 32.7 28.3 37.1 69.9 67:1 72:4 

1959------------------- 34.4 30’.0 38.7 72.2 68.0 76.1 

1958------------------- 38.1 33.2 43.0 79.0 73.2 84.5 

1957------------------- 37.6 33.5 41.7 81.9 77.7 85.8 

1956------------------- 38.6 34.5 42.6 81.4 78.2 84.4 

1955------------------- 40.4 36.4 44.4 82.5 80.9 83.9 

1954=------------------ 42.0 38.2 45.8 84.4 181.6 87.1

lFi~res by color exclude data for residents of New Jersey; see Page C-% section 6>


Volume II, Vital Statistics of the United States, 1963.


14

Table 9. Death rates for hypertensive heart disease, by sex and age; United States, 1954-63


[Deaths arethose attributed
 tmcategory numbers 440-443 of tbe Seventh Revision of the International Lists, 1955. Deaths are classified according h tbe 

Sex and age


Both sexes


All ages-


1-4 years----


5-14 years---


15-24 years--


25-34 years--


35-44 years--


45-54 years--


55-64 years--


65-74 yeam--


75-84 years--


85 years and
 over-------­


_ 

All ages-


1-4 years----


5-14 year,5---


15-24 years--


25-34 years--


35-44 years--


45-54 years--


55-64 years--


65-74 years--


75-84 years--


85 years and
 over--------


Female 

All ages1-4 years----


5-14 years-:­


15-24 years--


25-34 years--


35-44 years--


45-54 years--


55-64 years--


65-74 years--


75-84 years--


85 years and
 over--------


S,xth Retision for 195&57 andtotbe Seventh Revision for1958-63] 

1963 1962 1961 1960 1959 1958 1957. 1956 1955 1954


1.2 1.2 $2 1.3 1.3 1.3 1.5 ::: 1.4 1.9 

6.0 6.0 6.0 6.4 6.4 6.9 8.0 7.4 8.4 8.9 

19.7 20.6 21.4 22.7 24.2 27.3 29.3 29.6 30.5 34.7 

56.8 57.5 61.15 67.4 69.3 78.9 82.6 83.3 88.1 93.5 

149.5 154.7 159.8 174.9 183.6 205.7 206.8 210.5 222.8 237.1 

373.3 395.3 414.4 450.2 474.9 530.6 512.5 545.9 571.0 578.4 

927.3 949.6 953.9 984.2 1,046.9 L,130.O 1,086.4 L,114.6 1,128.4 1,115.9 

Rates per 100,000 population 

32.4 33.5 34.6 37.0 38.6 42.7 ’42.5 43.3 45.0 46.6 

0.0 0.0 0.0 0.0 0.0 0.0 

0.; 0.6 ::: 0.0 

0.2 R %: R 0.0 0.0 

0.1 0.1 0.2 ::$ 

28.4 29.2 30.3 32.7 34.2 37.5 38.3 39.2 41.1 42.7 

0.;

0.1 

1.4 

0. ii 

M 

0.0 

0.0 

!?:: 

0.6 

0.2 

1.3 

0.6 

0.2 

,1.3 

0.; 

0.2 

1.3 

0.6 

0.2 

1.4 

0.; 

::: 

O.ii 

0.2 

1.5 

‘::: 

t ; 

6.4 6.2 6.2 6.4 6.3 7.0 7.9 7.2 8.5 8.6 

21.0 22.8 22.0 23.9 25.7 27.7 29.7 30.5 31.6 35.1 

60.3 61.7 65.5 71.2 74.2 80.8 86.4 87.1 93.1 99.0 

151.9 153.4 158.7 174.3 180.4 203.6 206.9 210.2 218.9 231.4 

338.4 350.5 375.2 401.2 .425.2 471.3 459.5 498.6 526.2 529.4 

785.2 790.3 803.7 858.2 901.4 957.8 959.1 966.7 987.4 1,001.3 

36.2 37.6 .38.7 41.2 42.9 47.6 46.6 47.2 48.7 50.3 

0.6 0.: 0.6 

0.0 

0.0 0.6 

0.0 

0.0 

0.0 

0.0 M 0.0 0.0 

0.0 

0.0 

::; 

0.1 

1.1 

0.1 

1.2 

0.2 

;.; 

0.2 

1.3 

0.2 

1.3 

0.1 

1.5 ::: 0.1 

1.3 

0.3 

2.0 

5.6 5..8 5.8 . 6.5 6.8 8.1 7.7 8.3 9.1 

18.6 ,18.4 20.7 21.5 22.8 26.9 28.9 28.7 29.3 34.2 

53.5 53.6 58.0 63.9 64.8 77.2 79.0 79.7 83.3 88.2 

147.5 155.8 160.8 175.4 186.4 207.5 206.7 210.8 226.3 242.2 

399.4 429.3 444.6 488.3 513.9 577.3 554.7 583.7 607.2 618.0 

.,016.0 L,050.4 1,048.2 L,064.8 1,142.0 L,244.8 1,173.3 L,217.4 1,228.3 1,197.9 

15

------------------

------------------

-------------------

-------------------

-------------------

-------------------

-------------------

-------------------

-------------------

-------------------

heart disease, particularly when associated with 

hypertension. But inasmuch as the decrease recorded for mortality from hypertensive heart 

disease is little more than one-fourth the increase from arteriosclerotic heart disease, pos ­

.lk sible exchanges in coding assignments between 

these two subcategories of diseases of heart, due 

to changes in medical diagnoses, cann@ account 

for the greater part of the increases in mortality 

from arteriosclerotic heart disease (tables 6 and 

9). 

Neither does the pattern for relative decreases in the death rate for hypertensive heart 

disease by sex and color support the hypothesis 

of change of assignment for deaths from this 

group of diseases to arteriosclerotic heart disease. Whereas relative increases for arteriosclerotic heart disease were greater for women 

than for men and greater for the nonwhite than 

for the white population, for hypertensive heart 

disease the relative decreases were greater for 

men than for women, and greater for the white 

than for the nonwhite population (tables 7 and 8). 

Malignant Neoplasms, Including Neoplasms 

of Lymphatic and Hematopoietic Tissues 

The death rate for malignant neoplasms rose 

about 4 percent in the period 1954-63 owing to an 

increase in mortality from this cause for the male 

population. The relative increase for the white 

male population was about 7 percent, while that 

for the nonwhite male population was about 17 

percent (table 10). There was little change in 

the death rate for malignant neoplasms for 

either the white or the nonwhite female population. 

The digestive organs and peritoneum were 

the site of about one-third of the 29(J ,267 deaths 

from malignant neoplasms for 1963, while the 

respiratory system was the site of about onesixth. But in the decade 1954-63 the mortality 

curves for these two major groups of malignant 

neoplasms were in opposite directions. ne 

death rate for malignant neoplasm of respiratory 

system, not specified as secondary rose about 

46 percent. The relative changes in 1954-63 for 

Table 10. Death rates for malignant neoolasrns. bv color and sex: United StateS Y 

1954:63 ‘ “ 

[Deaths m? those attributed to category numbers 140-205 of the Seventh Revision of the International Lists, 1955. Deaths are 

classified according b the Sixth Revision for 1954-57 and @ the Seventh Revision for 1958-63] 

I 

White I Nonwhite 

Year 

Both 

sexes Male Female Both 

sexes Male Female 

19631 

19621 

1961 

1960 

1959 

1958 

1957 

1956 

1955 

1954 

Rates per 100,000 population 

153.6 168.5 139.3 125.2 142.5 108.9 

152.4 166.6 138.6 122.4 135.9 109.5 

153.0 166.9 139.4 122.2 135.9 109.3 

152.8 166.1 139.8 121.6 134.1 109.8 

150.9 163.4 138.7 118.8 131.7 106.7 

150.4 161.6 139.4 118.0 126.4 110.1 

152.3 163.8 141.0 119.0 129.2 109.3 

151.4 162.4 140.7 118.3 125.4 111.5 

150.4 160.0 141.0 114.0 119.9 108.4 

149.3 158.2 140.7 114.9 121.5 108.7 

lFigures by color exclude data for residents of New Jersey; see page 6-93 Section 6> 

Volume II. Vital Statistics of the United States. 1963. 

16 

T-
Table 11. Death rates for malignant neoplasm of digestive organs and peritoneum, not


specified as secondary, by sex and age: United States, Ig54.63


[Deaths are those attributed to category numbers 15cJ-156A, 157-159 of the Seventh Revision of the International Lists, 1955. 

Deaths are classified according to the Sixtb Revision for 1954-57 andta the Seventh Revision for 1958-681 

Sex and age EIE 1961 1960 1959 1958 1957 1956 1955 1954 

Both sexes Rates per 100,000 population


All ages- 49.3 49.5 50.1 50.8 50.7 50.9 51.7 52.4 52.3 53.0
 —


1-4 years------ 0.2 0.3 0.3 0.3 0.3 0.3 0.2 0.2


5-14 years----- 0.1 ::? ::? 0.2


15-24 years---- ::: ::: %: %: 0.6 0.6 0.5 ::; ::? 0.7


25-34 years---- 2.6 2.9 3.0


35-44 years---- 1::2 1::; 11.9 1::: 12.1 1;:!? 1;:: 1$; 1;:: 13.6


45-54 years---- 42.9 44.3 44.8 45.9 46.4 46.2 46.2 47.7 47.3 50.0


55-64 years---- 120.5 122.1 122.9 127.1 128.9 129.1 132.3 135.3 133.8 136.8


65-74 years---- 266.9 267.4 269.0 272.4 271.0 277.1 283.9 284.2 291.3 296.0


75-84 years---- 449.9 452.2 469.3 482.6 476.3 481.4 $92.0 512.9 510.7 516.3


85 years and over---------- 659.6 647.5 645.5 630.7 633.3 633.4 558.8 649.7 654.9 655.7 

Male


All ages- 54.4 54.7 55.7 56.4 56.4 56.4 57.6 58.6 58.4 59.2 

1-4 years------ 0.3 0.3 0.3 0.3 0.3 0.3 

5-14 years----- 0.1 %; ::? %; ::? 0.2 

15-24 years---- 0.6 0.6 0.6 0.5 %; 0.7 ::: U w 0.8 

25-34 years---- 3.1 2.9 2.9 3.0 

35-44 years---- 1;:; 1;:; 1;:; 1::: 1;:; 12.9 13.2 14.0 1;:? 14.2 

45-54 years---- 50.0 50.9 51.7 53.2 53.4 53.1 52.4 54.4 54.2 56.4 

55-64 years---- 146.0 148.0 148.1 153.7 155.0 154.0 157.9 161.0 158.9 162.4 

65-74 years---- 332.4 327.3 333.4 334.9 332.0 336.1 346.9 343.5 353.4 357.0 

75-84 years---- 526.6 530.1 556.5 559.5 555.8 561.9 570.2 599.6 589.0 590.6 

85 years and over---------- 720.8 717.4 697.1 676.6 691.0 659.6 705.3 700.0 685.8 678.9


Female


All ages- 44.4 44.6 44.7 45.3 45.2 45.5 46.0 46.5 46.3 47.1 

1-4 years------ 0.2 0.3 0.3 0.2 0.2 0.2 0.2 0.2 0.2 

5-14 years----- 0.1 0.1 ::? 

15-24 years---- 0.5 0.4 N ::: ::; 0.5 ::: ::: :;: ::: 

25-34 years---- 2.4 2.8 2.9 

35-44 years---- 1$: 1$: 1?:: 1::; 1::: 11.3 11.5 1;:: 1;:: 13.0 

45-54 years---- 36.1 37.9 38.0 38.9 39.6 39.5 40.1 41.2 40.6 43.8


55-64 years---- 96.8 98.0 99.4 102.2 104.4 105.6 L07.9 110.6 109.7 112.0


65-74 years---- 212.5 216.8 213.9 218.0 217.6 225.0 ~27.8 231.1 235.2 240.8


75-84 years---- 392.4 393.0 402.6 422.9 414.3 418.1 629.8 443.4 447.5 455.6


85 years and
 over---------- 621.4 603.3 611.5 601.4 595.6 615.9 627.1 614.7 633.0 639,1


17


—. 
------- ------- ---- ------- -----

heart disease, particularly when associated wi~. Malignant Neoplasms, including Neoplasms


hypertension. But inasmuch as the decrease re-


corded for mortality from hypertensive heart ef Lymphatic and Hematopoietic Tissues


I 

Table 12.	 Death rates for malignant neoplasm of digestive organs and peritoneum, not 

specified as secondary, by color and sex: United States, 1954-63 

[Deaths are those attributed to category numbers 150-1564,157-159 of the Seventh Revision of the International Lists, 1955. 

, Deaths are classified according to the Sixth Revision for 1954-57 and to the Seventh Revision for 1958-63] 

I 

White Nonwhite I 

Year 

Both Male Female Both Male Female sexes sexes 1’ 

Rates per 100,000 population 

19631------------------ 49.7 54.1 45.5 41.4 51.1 32.1 

;;%;1 50.1 54.7 45.7 40.6 49.2 32.5 

------. 51.2 56.2 46.3 41.9 51.5 32.8 

1960------------------- 51.9 57.0 47.0 41.8 51.4 32.8 

1959------------------- 52.0 57.1 47.0 40.7 50.8 31.1 

1958------------------- 52.1 57.3 47.1 40.8 49.4 32.7 ‘ 

1957------------------- 53.0 58.5 47.8 40.9 50.7 31.7 

1956------------------- 53.8 59.4 48.4 41.0 51.2 31.5 

1955------------------- 53.7 59.3 48.3 40.2 50.2 30.7 

1954------------------- 54.4 60.0 49.0 41.4 52.1 3’1.4 

II 

1 F@ures by color exclude data for residents of NW Jersey; see page 6-9, Section 6, 

Volume II, Vital Statistics of the United States, 1963. 

mortality from malignant neoplasms forthe other 

sites shown in table 2 were less pronounced. 

l%e death rates for malignant neoplasm ofbuccal 

cavity and pharynx, breast, urinary organs, leukemia and aleukemia, and lymphosarcoma and 

other neoplasms of lymphatic and hematopoietic 

tissues rose during this period. The death rates 

for malignant neoplasm of digestive organs and 

peritoneum, not specifiedas secondary andmalignant neoplasm of genital organs declined about 

7 percent. 

Malignant neo@asm of digestive ovgans and 

peritoneum.— The mortality curve for this group 

ofneoplasms continued adownward trendthrough 

1954-63, from 53.0 to 49.3 deaths per 100,000 

population (table 11). The highest rate recorded 

for this cause was 60.5 deaths per 100,000 

for 1945. Almost all of the decline in the death 

rate (about 9 percent) occurred’ for the white 

population (table 12). lnfacttherewasanincrease 

of about2 percent in mortality for this cause for 

nonwhite women. 

The death rate for this group of malignant 

neoplasms continued through 1963 to be higher 

for men than for women (fig. 2) at every age 

over 35 years. For both sexes the direction of 

the mortality curve for every age in the span 

35-84 years was downward d&ing1954-63. Only 

at ages 85 years and over did the rate continue 

to increase during this period, This rise at these 

advanced years occurred for bothmenandwomen. 

Malignant neoplasm of vespi~atoyy system. — 

A total of 46,973 persons died in 1963 from 

malignant neoplasm of respiratory system, not 

specified as secondriry. About 93 percent of these 

deaths (43,568) were attributed to “cancer of the 

lung”. The remaining 7 percent were caused by 

malignant neoplasm of the larynx, mediastinum, 

ar.d other sites of respiratory system. 

More than half of the 370,027 deaths attributed 

to malignant neoplasm ofrespiratory system during 1954-63 occurred at ages under 65 years. 

For this 10-year period the number of fatalities 

from these neoplasms was about six times greater 

formen than for women. 

The total death rate for this group of causes 

and the death rates for age groups 25 years and 

over rose steadily during 1954-63. By age and 

sex, the greatest percentage increase in this 

rate was for women at ages 25-44 years, with 

18

MALE FEMALE 

1,000 1Ipoo 

800 — — 800 

85 years and over 

— 

85 years and over 

~ 600 

75-84 years 

75-84 years . 

400 — 

85-74 years 

65-74 years 

200 — — 200 . 

z w
 o D


i=


a 55-64 years 2


4 -u


a m 

o n 

a- 55-64 yeors E o o 

z 100 — y 100 -g 

o“ 0
 0
 T


a 80 — — 80 %! IL! c L :

-1 ~ 6 cc 60 — — 60 z 

45-54 years 

45-54 years 

40 — — 40 

20 — — 20 

35–44 years 

35–44 years 

10 I I I I I I I I I I I I I I I 10 

1954 1956 1958 1960 1962 I 954 1956 1958 1960 1962 

Figure 2. Death rates for mal gnant neoplasm of digestive organs and peritoneum, by sex, at ages 35 

years and over: 1954-63.


19

------

-----

----------

------

-----

----------

------

-----

----------

Table 13. Death rates for malignant neoplasm of respiratory system, not specified as


secondary, by sex and age: United States, 1954.63


[Deaths are those attributed to category numbers 160-164 of the Seventh Revision of the International Lists,1955. Deaths are 

classified according to the Sixth Revision for 195457 and to the Seventh Revision for 1958-63] 

Sex and age 1963 1962 1961 1960 1959


I


Both sexes Rates per 100,000 population


All ages- 24.9 24.0 23.1 22.2 21.2 20.4 19.9 19.2 18.2 17.1 

1-4 years 0.0 0.0 0.1 0.1 0.1 0.1 0.1 0.1 0.1 0.1 

5-14 years 0.0 0,1 0.0 0.0 0.0 0.1 0.0 0.1 0.1 0.0 

15-24 years---- 0.2 0.2 0.2 0.1 0.1 0.2 0.2 0.2 0.3 0.3 

25-34 years---- 1.2 1.1 

35-44 years---- M M 7.7 7.3 ::; ::; H ::! ;:: R 

45-54 years---- 35.2 34.4 32.6 32.0 30.4 30.0 29.0 28.3 27.4 26.0 , 55-64 years---- 88.8 87.3 84.0 81.5 79.5 76.0 75.2 73.1 68.5 64.8 

65-74 years---- 135.9 128.6 123.8 117.2 .11.4 106.7 103.3 99.3 92.9 87.7 

75-84 years---- 116.8 112.3 106.5 102.9 96.4 94.7 93.0 90.5 88.2 81.1 

85 years and 

over 91.5 84.3 86.7 79.1 77.4 71.5 72.8 66.5 65.8 63.2 

Male


All ages- 43.0 41.7 39.9 38.5 36.7 35.3 34.4 33.1 31.2 29.3’ 

1-4 years 0.0 0.0 0.0 0.0 0.1 0.1 0.1 0.0 0.1 

5-14 years 0.0 0.1 M 0.0 0.1 0.1 0.1 0.1 

15-24 years---- 0.2 0.2 0.3 0.2 0..2 0.3 0.3 ::: ::: 0.5 

25-34 years---- 1.8 1.8 1.8 1.7 1.6 1.5 

35-44 years---- 12.9 12.4 11.9 11.4 10.9 1::: 9.9 1::: ::: ;:: 

45-54years---- 58.7 58.3 55.3 54.7 51.9 51.6 50.1 49.2 48.0 45.1 

55-64 years---- 161.7 159.5 153.8 150.2 .46.1 140.0 138.3 .32.7 123.9 117.1 

65-74 years---- 262.8 247.5 235.8 221.7 !08.4 197.6 189.8 .80.9 166.5 155.9 

75-84 years---- 221.1 208.5 194.3 188.5 .71.2 164.5 160.8 .54.8 150.1 131.1 

85 years and 

over 160.5 145.0 149.5 132.2 .37.5 112.8 117.8 .09.2 100.6 97.7 

Female


All ages- 7.5 7.0 6.7 6.2 6.1 6.0 5.8 5.7 5.6 5.3 

1-4 years 

5-14 years 

15-24 years----

0.0 

0.0 

0.1 

0.0 

0.1 

0.1 

M 

0.1 

::: 

0.0 

H 

0.1 

0.1 

%: 

0.1 

0.0 

0.1 

0.1 

0.1 

0.1 

0.1 

0.1 

0.2 

0.l 

0.0 

0.1 

25-34 years---- 0.7 0.6 0.6 0.6 0.7 0.6 0.6 0.6 0.6 0.5 

35-44 years---- 4.4 3.9 3.7 3.4 3.2 3.3 2.9 2.8 2.7 2.4 

45-54 years---- 12.6 11.3 10.6 10.1 8.9 7.3 

55-64 years---- 21.1 20.0 18.8 17.0 1::2 15.6 1%: 1::: J:: L4.2 

65-74 years---- 30.2 28.1 28.0 26.2 26.5 26.6 26.5 26.2 26.6 25.7 

75-84 years---- 38.5 39.2 39.0 36.5 38.0 39.9 39.1. 39.0 38.3 40.4 

85 years and 

over 48.5 45.9 46.5 45.2 38.1 44.0 42.1 36.8 41.2 38.6 

20

MALE 

300.00 I I 

‘oo”oo~


100,00 — 

80.00 ~ 45-64 years 

T 

60.00


40.00


F !


10.00 

8.00 

g 2.00 

0-

0 

0


Under 25 years 

0.10—


008 —


0.06 — 

0.04 —


0.02 F .1 

o.o;,~ 

1956 1958 1960 . 1962 

FEMALE 

~ 300”00 

200.00


.[ “ 1100.00


— 80,00 

— 60.00 

— 40.00 

~65 years and over 

t j 20.00 

7	 10.00 

8.00 

6.00	 ~ 

> 

4,00	 m


-a


m 

YJ 

0.40


L 

— 0.20 

— 0.10


— 0.04


4

0.02


1. I ~ O1o1 

1954 1956 1958 1960 1962 

Figure 3. Death rates for malignant neoplasm of respiratory system, not specified as secondary, by sex 

and age: 195W-63. ,. 

21


4 
Table 14. Death	 rates for malignant neoplasm of respiratory system, not specified as secondary, by color and sex: United states, 1954.63 

[Deaths are those attributed lm category numbers 160-164 of the Seventh Revision of the International Lists, 1955. Death: are, 

classi fied according to the Sixth Revision for 19.54-57 and to the Seventh Revision for 1958-63] 

Year 

1961-------------------

i960-------------------

1959-------------------

1958-------------------

1957-------------------

1956-------------------

1955-------------------

1954-------------------

Whit e Nonwhite 

Both Male Female Both Male Female sexes sexes 

Rates per 100,000 population 

25.4 43.7 7.6 19.8 34.5 

24.6 42.5 7.2 17.9 31.2 

23.8 41.1 17.3 30.4 

22.8 39.6 2:; 17.3 30.5 

21.9 37.9 6.3 15.7 27.0 

21.2 36.5 14.7 25.4 

20.6 35.6 ::; 14.2 24.6 

20.0 34.4 5.9 13.3 23.0 

18.9 32.5 12.3 20:6 

17.8 30.4 H- 11.5 20.0 

lFigures by color exclude data for residents of New Jersey; see page 6-9, Section 6, 

Volume II, Vital Statistics of the United States, 1963. 

an increase of over 87 percent (table 13 and 

fig. 3). This amounted to almost twice thecorrespending increase formen at these ages (44percent). At ages 45-64yearsthepercentageincrease 

in the death rate for these neoplasrns for women 

(58 percent) was also greater than for men (about 

35 percent). 

At ages under 25 years there were only71 

deaths frommalignant neoplasmofthe respiratory 

system for 1963, as compared with 87 deaths for 

1954. Owingtothe substantialincreaseinthepopuIation at these ages (from 67,837,000 in1954to 

86,451,000 in 1963) these figures represent a 

slight decrease in the death rate for this cause. 

Mortality from malignant neoplasm of the 

respiratory system is greater for the white 

population than for the nonwhite population, but 

the color differential is becoming smaller (table 

14). This is being brought about by the rapidly 

rising death rate from these neoplasms for the 

nonwhite population. By color andsexthegreatest 

percentage increase in this rate during 1954-63 

was for nonwhite men. with an increase of72.5 

percent. The corresponding percentage increase 

for white men was 43.8 percent. For nonwhite 

women there was also amarked increase—66.7 

percent; as compared with 35.7 percent for white 

women. 

Vascular Lesions 

The upturn immortality fromvascularlesions 

affecting the central nervous system that started 

about 1955 leveled off around 1959(table 2).The 

mortality rates for the components ofthis group 

of diseases showed an upturn for cerebral embolism andthrombosis, and subarachnoidhemorrhage, and,a decline for the less specific categories ofcerebral hemorrhage,and othervascular 

lesions (fig. 4). This increase in the death rate 

for subarachnoid hemorrhage during the decade 

and the accompanying fall in the death rate for 

other and ill-defined vascular lesions may reflect more precise diagnosis. During this same 

period the death rate for cerebral hemorrhage 

declined, while the death rate for cerebral 

embolism and thrombosis increased. Part of the 

decline in cerebral hemorrhage over 1954-63 

may be associated withtheuseofdrugsfor lowering blood pressure, which became widely”avail22 
------------

-----------------------

--------------------

--------

-----------------------

--------------------

------------

-----------------------

--------------------

--------------------

---------------------

-----------------------

--------------------

--------------------

-----------------------

---------------------- --------------------

II 

I 

Cerebral hemorrhage 

# 

Table 15. Death rates for major componentsof vas­


cular lesions affectingcentra1 nervous System,


by color and sex: United States, 1954 and 1963


@unbersdter.rmses ofdeath am .mtegmynmnbem of theSeve.th Revision 

of the JDternatioIIal L&S, 1955. Deaths are classified 

Sixth Retision for 195457 and to the seventh Re~&o. 

Cause of death, color, and sex


Vascular lesions‘affectingcentral
 nervous system (330-334)


according tmthe 

for lg5!+63] 

19631 1954


Rates per


100,000


population


106.7 104.1


White male-------------------------100.5 100.4


White female L1O.9 103.9


Nonwhitemale----------------------116.8 117.3


Nonwhite female 120.4 122.8


z 

0 

ij 

4 

n. 

0 

m. 

0 

0 

0-

0 

~ 

.Subarachnoidhemorrhage (330)
 4.2 2.9


3.6 2.6


4.3 2.9


5.5 4.2


6.7 4.5


58.7 67.3


54.6 63.7


60.2 67.2


70.1 79.4


73.8 85.3


33.5 22.8


32.8 23.7


35.4 23.2


29.8 18.3


28.5 16.5


10.3 11.1


10.4
 1::: 10.6 

11.3 15.4 

11.3 16.5 

Other vascular lesions 

White male-------------------------
 White female


Nonwhitemale----------------------
 Nonwhite female


Cerebralhemorrhage (331)


White male-------------------------
 White female


Nonwhitemale----------------------
 Nonwhite famale


Cerebral embolismand


thrombosis (332)


White male--—


White female


Nonwhitemale----------------------
 Nonwhite female


Other and ill-definedvascular


lesionsaffectingcentralnervous
 -Systsm (333-334)


White male------------------------­
 “Whitefemale


Nonwhite.~le


Nonwhite female


r 

4 — 

Subarachnoid hemorrhage 

lFigures by color exclude data for residentsof


New Jersey; see page 6-9, Section 6, Volume II,


Vital Statisticsof the United States,1963.


Figure 4. Death rates for components of vascular


iesions affecting central nervous system: 1954-


63.


23

-----------

-----------

--------------

--------------

--------

-----------

-----------

--------------

--------------

--------

Table 16. Death rates for cerebral hemorrhage, and cerebral embolism and thrombosis, 

by sex and age: United States, 1954 and 1963 

[Numbers after causes of death me category numbers of the Seventh Revision of the International Lists, 1955, Deaths me classi fied according to the Sixth Revision for 1954-57 and to the Seventh Revision for 1958-63] 

Cerebral embolism and 

thrombosis (332) 

Sex and age 1 

1963 1954 

- I 

Male Rates per 100,000 population 

I 

All ages 55.9 I 65.3 32.4 ] 23.1 

I 

Under 25 years 

25-44 years ::: 

45-64 years 59.2 

65 years and over 511.3 

Female 

All ages 61.4 

Under 25 years 0.3


25-44 years


45-64 years 4::;


65 years and over 496.2


able during this period since they may reduce 

the incidence of these hemorrhages. 

For these subcategories of cerebrovascular 

diseases similar trends were observed for both 

white and nonwhite men and women, with one 

minor exception (tables 15 and 16). For the 

residual group other and ill-defined vascular 

lesions affecting the central nervous system, the 

rate for wh~te women was about 4 percent higher 

in 1963 than in 1954; the rates for the total 

population and for each of the other three colorsex groups for this cause were lower in 1963 

thanin 1954. 

Accidents 

Altogether accidents caused 100,669 deaths 

in 1963—more thanin any other year since 1941. 

From 1941 through 1963 accidents constitutedthe 

leading cause of death among preschool and 

school-age children and young adults 1-24 years 

0.5 0.1 u 

7$:; 2::; 20.8 

571.7 328.0 226.2 

69.2 34.6 22.4 

0.6 0.1 0.1 

0.8 0.7 

7::: 15.6 14.0 

562.2 306.1 210.8 

of age; they were the second leading cause 

among persons 25-44 years of age. Since, about 

two-fifths of all accident fatalities for 1963 were 

caused by motor vehicles, deaths involvingmotor 

vehicles and other accidental deaths are considered separately. 

Motor vehicle accidents.— The mortality 

curve for motor vehicle accidents had two points 

of inflection during 1954-63. Thehighpointwas for 

1956 (23.7 deaths per 100,000 population); then 

the curve fell almost steadily to20.8 deaths per 

100,000 for 1961 (table 17). Sincethenitsdirection 

has again been upward, reaching 23.1 deaths per 

100,000 for 1963. This latter rate represents 

43.564 deaths. 

On the other hand, the rate for fatalities to 

pedestrians declined from 4.6 deaths’ per 100,000 

for 1954 to 3.9 per 100,OOO for 1961, andrernained at about this same level through 1963. 

The 7,535 pedestrian deaths in 1963 represent 

a rate of 4.0 deaths perlOO,OOO population. The 

proportion of total motor vehicle fatalities that 

24 
----------------------

------------------ ---------

-------- -------- -------- ---

Table 17. Death rates for all motor vehicle accidents and for motor vehicle traffic accident to 

pedestrian, by colck and sex: United States, 1954-63 

[Numbers
after ~auses of death are category numbers of the SeventhRevision of the International Lista, 1955. Deaths are classified according 

to the Sixth Revision for 1954-57 and fn the Seventh Revision for 1958-631 

Total II White I Nonwhite 

Year


Both Male Female ::::5 Male ! Female ::::5 Ms le Female sexes 

Motor vehicle accidents 

(E810-E835) 

19631--------------------------

19621--------------------------

1961--------------------------c 

1960---------------------------

1959---------------------------

1958---------------------------

1957---------------------’------

1956---------------------------

1955---------------------------

1954-----” 

Motor vehicle traffic 

accid ent to pedestrian (~) 

19631--------------------------

19621--------------------------

1961---------------------------

1960---------

1959--------- --------: 

1958---------------------------

1957---------------------------

1956---------------------------

:;;:---------=----------------

. L

Kaces – —. per ,,-,fi ,-..-.A UJu,uuu .–G.popu~acmn 

23.1 34.2 23.4 34.4 12.7 23.4 36.7 11.0 

22.0 32.4 22.2 32.6 12.1 22.4 34.7 10.8 

20.8 31.1 20.8 30.9 11.0 21.2 32.8 10.3 

21.3 31.8 21.2 31.5 11.2 21.9 34.4 10.1 

21.5 32.3 21.4 31.9 11.1 22.5 35.4 10.2 

21.3 32.2 21.2 31.8 10.9 22.2 35.4 

22.7 

23.7 

34.4 

36.1 

22.5 

23.3 

33.9 

35.3 

11.3 24.7 

11.5 26.8 

38.4 

42.6 

1?:; 

11.9 

23.4 35.5 23.1 35.0 11.5 25.8 40.2 12.1 

22.1 33.7 21.8 33.1 10.8 24.5 38;4 11.4 

5.8 2.1 6.8 10.3 3.5 

N 5.8 N H 2.0 6.6 10.0 

3.9 5.7 3.6 5.2 6.1 9.3 ::: 4.1 

4.1 H 

3.7 

3.8 

5.4 

5.6 

“::; 

2.1 

6.5 

6.6 1::: 

3.7 

3.4 

6,1 9.2 ::: 

4.4 

::; 

6.7 ::: 

4.1 

2:: 

6.3 

;:; 

2.1 

6.6 

1;:; 

R 

4.6 6.9 4.4 6.5 2.3 ::: 10.1 N 

4.6 6.8 4.3 6.5 2.2 6.4 9.7 3.2 II 

lF&ures by color exclude data for residents of New Jersey; see page 6-9,Section 6, Volume II, 

Vital Statistics of the United-States, 1963. 

were deaths to pedestrians decreased fromabout 

21 percent for 1954 to 17 percent for 1963. 

The mortality curve for motor vehicle accidents for the broad age groups shown in figure 

5 had high and low points in 1956 and1961 

respectively that correspond, with minor exception, to the high and low points for the total 

mortality curve for these accidents. For each 

of these five broad age groups there has been 

a decided upturn since 1961 in the mortality rate 

for motor vehicle accidents. 

The age group 15-24 years maintained the 

highest death rate for motor vehicle accidents 

during the decade 1954-63, but the death rate for 

this cause at ages 65 yesrs andover was almost 

as high. For these older persons, however, a 

great part .of these deaths were fatalities to 

pedestrians. For the age groups 45-64 and 65 

years and over the curves for fatalities to 

pedestrians were generally downward. Despite 

this decrease in the rate at the older ages, 

fatalities to pedestrians in 1963 still constituted 

25 

/


‘(”

MOTOR VEHICLE TRAFFIC ACCIDENTS 

ALL MOTOR VEHICLE ACCIDENTS TO PEDESTRIANS 

‘ool~ 

r 1 

20v 

6 — 

4 — 

2 — 

1~ 

1954 1956 1956 1960 1962 

65 years and over 

.— 

45-64 years 

Under 15yeors 

25-44 years 

:Om-’-*\,d*-* , 

~> 

15-24 years 

1954

L_u_uLJ 1956 1958 1960 1962

80 

60 

40


20


6 

4 

2 

Figure 5. Death rates for all motor vehicle acc!dents and for motor vehicle traffic accident to pedestrian, by age: 1954-63. 

26

Table 18. Death rates for motor vehicle accidents, by age, sex, and COlorl: united


States, 1963


[Deaths are those attributed b category numbers E81O-E835 of the ‘Seventh Revision of the International Lists, 1955] 

I Male I Female 

Both
 Age
 sexes


All ages--------------------


Under 1 year----------------------
 1-4 years-------------------------
 5-14 years------------------------
 15-24 years------------------------
 25-34 years-----------------------
 35-44 years-----------------------
 45-54 years-----------------------
 55-64 years-----------------------
 65-74 years-----------------------
 75-84 years-----------------------
 85 years arrdover-----------------


Total White ~;e Total White ~;e


1 II I I II I 

Rates per 100,000 population 

23.1 34.2 34.4 36.7 12.4 12.7 11.0 

1;:: 

8.1 5.6 8.2 8.9 1::; 11.2 14.7 

5.4 

8.6 

10.6 10.4 12.2 %: ::; 6.0 

4::: 63.4 65.6 52.9 17.2 18.1 11.6 

27.0 43.3 42.7 57.9 10.8 10.6 13.9 

21.9 33.7 32.4 49.6 10.7 10.9 11.3 

23.6 34.7 34.0 48.1 13.0 13.0 15.3 

27.0 38.7 37.9 51.3 16.2 16.4 16.1 

33.4 47.9 47.3 58.3 21.3 21.8 16.7 

44.5 69.9 72.2 50.0 25.4 26.2 16.1 

39.8 71.9 72.7 63.6 19.8 20.8 11.1 

lF@ures by color exclude data for residents of New Jersey; see page 6-9, Section


6, Volume 11, Vital Statistics of the United States, 1963.


~7and34percentofthetotalmotor
 vehiclefatality 

rates for the age groups 45-64 and 65 years 

and over,respectively.At ages under 15 years


there was littlechange in the proportionof


thosedeathsthatresultedinfatalities
 topedes-


trians.Bothin 1954andin 1963about43 percent


of the motor vehiclefatalities
 among children


were deathstopedestrians.


Motor vehiclefatalities
 occur more fre­


quentlyamong themale ti-anamong the female


population(table17).About 74 percentof the


387,829fatalities
 in19S4-63weredeathsofmales.


I&ing thisdecade,themortality
differentially


sex grew smallerbecauseof a greaterrelative


increaseinthedeathrateamongthefemalepopu­


lation.
In 1954 the deathrateformotor vehicle


accidentsformales was’3.ltimes the ratefor


females;by1963 thisfigurewas2.8.


The relative reduction
during1954-63inthe


deathrateforpedestrians
waslessforthefemale


thanforthemale population.
 At ages45-64years


and 65years andover thisrelative reduction
for


thefemalepopulation (about15 percent)
was only


abouthalfasmuch as thecorrespondingreduction


for the malepopulation (closeto 30 percent).


The. color differential
 for motor vehicle


accident fatalities
 disappearedduringthedecade.


For 1963 the deathratefor boththe whiteand


nonwhitepopulations
 was23.4 deathsper 100,000


population;
 in 1954therateswere 21.8and24.5,


respectively. For motor vehicleaccidents
other


thanthoseto pedestrians,
thedeathrateforthe


white populationincreased substantially
 over


1954-63,whilethe correspondingdeathratefor


the nonwhitepopulationdecreased.Duringthe


same periodthedeathrateforaccidentstopedes-


triansincreasedfor thenonwhitepopulation
 and


decreasedforthewhitepopulation.


For bothmales and femalesthehigh(1956)


and low (1961)pointsof themortali~curvefor


motor vehicleaccidentsreflect
correspondingly


high and low pointsfor almost allof theage


27


— — 
MALE FEMALE 

45-64 years 

15-24 years 

45-64 years 

25-44 years 

Under 15 years 

30 

40 

IO 

Figure 6. Death rates for motor vehicle accidents, by sex and age: 1954-63. 

28 
--------------------

----------------------

-------------------------

------------------------

-----------------------

-----------------------

-----------------------

-----------------------

-----------------------

-----------------------

-----------------------

-----------------

groups shown in figure 6. ln general, the rank of 

these death rates by sex and age did not change 

during 1954-63. The highest level of mortality for 

motor vehicle accidents other than topedestrians 

was for boys and young men at ages 15-24 years 

(tables 18 and 19). 

During 1954-63 one of the greatest relative 

increases in the death rate for motor vehicle 

accidents. by age, sex, and color, was for white 

girls and women at ages 15-24 years (table 20). 

At ages 15-24 years the relative increase in 

these fatalities for white girls and women was 

substantially greater than for either the white 

male or the nonwhite population at these ages. 

On the other hand, the greatest relative increase 

in this decade in these fatalities among children 

1-4 and 5-14 years of age was for nonwhite boys. 

There was also a substantial increase in the rate 

for these accidents among nonwhite girls 5-14 

years of age, lt is at these younger ages, as well 

as at ages 65 ye~rs and over, that a considerable 

part of these accidental fatalities occur to pedestrians (fig. 7). 

The rise in the death rate for motor vehicle 

accidents since 1961 reflects increases in the 

rates for each of the four color-sex segments of 

the population, with the greatest relative increase 

for the white female population (table 2 1). 

Othey accidental dealh. — The five major 

causes of other accidental fatalities in 1963 were 

accidental falls, accident caused by fire and explosion of combustible material, accidental 

drowning, accident caused by firearm, and accidental poisoning by solid and liquid substances 

(table 22). The first four of these causes were 

also the first four in 19.54. Accidental poisoning 

by solid and liquid substances rose from 10th 

place for 1954 to 5th place for 1963. 

Other important changes took place in the 

period 1954-63 in the rank of accidental deaths 

caused by external injury (table 22). Blow from 

falling or projected object or missile rose from 

Table 19. Death rates for motor vehicle traffic accident to pedestrian, by age, sex, 

and colorl : United States, 1963 

[Deaths are those attributed tm category number E812 of the ,%venth Revision of the International Lists. IgJ~l 

Male Female 

Age sexes E 

All ages 

Under 1 year 

1-4 years 

5-14 years 

15-24 years 

25-34 years 

35-44 years 

45-54 years 

55-64 years 

65-74 years 

75-84 years 

85 years and over 

Total White ~;e 

I I I ‘“’a’ 

Rates per 100,000 population 

4.0 10.3 3.5 

0.9 0, 111 0.1 

9.6 3.2 3.1 4.; 

2.4 I 2.2 4.0 

M 

9.0 

1:0 

0.7 I 0:9 

0.6 

1.2 

1.7 

0.9 

1;:; .; 1.4 ::; 

16.8 3.2 2.8 

27.5 5.6 i!:: 

31.6 2:! 

54.5 6.3 ::; ::: 

I 

lFigures by color exclude data for residents of New Jersey; see page 6-9, Section 6, 

Volume II, Vital Statistics of the United States, 1963. 

29 
80.0 

60.0 

40,0 

\ 

20,0 

10!0 

so 

z 

: 6.C 

d

-1

3 

n 

o 

n. 4,C 

o 

0 

0 

0-

0 

a 

u 

n 2,0


w


+
 6


E


I ,( 

0,[ 

0,( 

0,; 

0,2 

MALE FEMALE 

. 

65 years ond over 

, 65yenrs and over 

45-64 years 

25–44 years 

Under 15 years 

15–24 years 

45-64 years 

I I I I 954 1956 1958 1960 1962 

00.0 

10!0 

S0,0


40,0 

20,0 

10.0 

9.0 

? 6,0	 + 

m 

w 

m 

4.0	 : 

0 

0 

-o 

0 

0 

-n 

o 

-0 

2,() : 

-i 

5 

z 

1.0 

088 

0,6 

0.4 

0,2 

0, I 

. 

Figure i’. Death rates for motor vehicle traffic jaccident to pedestrian, by sex and age: 195~-63. 

30 
--------

Table 20. Percentage charme. 1954-631 and 1961-63.1 in the death rate for motor vehic~e accid&~s, by age, sex, and chl.or: United States 

1954-63 1961-63 I 

Age Male I Female I Male 

I 

Female 

White Nonwhite 

Non- 1White white White Nonwhite 

Non- 1White 

I white 

Percentage change 

All ages- +3.92 -4.18 +17.59 -3.51 +11.68 +11.89 +15.45 +6.79 

Under 1 year1-4 years--m5-14 years---

15-24 years--

25-34 years--

-5.82 

-9.68 

-0.95 

+3.96 

+5.95 

-57.90 

+11.36 

+17.30 

+5.16 

-2.04 

+32.83 -38.64 

-4.40 -23.22 

-1.82 +11.11 

+36.09 -2.53 

+26.19 +15.83 

+12.50 

+2.75 

+6. 12 

+8.07 

+11.48 

-6.67 

+19 .51 

+7.96 

+13.76 

+13.97 

+14. 10 “+12.50 

+7.40 +6.17 

+10 .20 +1.69 

+23.12 -6.46 

+13.97 +16.80 

35-44 years--

45.54 years---

55-64 years--

65-74 years--

75-84 years--

+9.45 

+11.11 

+3.26 

-6.16 

-8.73 

+8.06 

-:;.;; 

+16:60 

-17.36 

+25.28 -14.40 

+16.07 +10.07 

+13.10 -4.17 

+9. 54 +20.14 

+3.96 -18.69 

+13.28 

+14.09 

+13.47 

+5. 34 

+11.93 

+15.88 

+13.71 

+6.65 

+9.58 

-4.04 

+18.47 -2.59 

+14.03 +34. 21 

+10.81 +10 .27 

+15.34 +15.97 

+10.08 -19.91 

85 years and 

over +5. 20 -33.41 -12.98 -40.96 +7. 22 -1.40 +18.85 +362.50 

I I I 

lFi.gures by color exclude data for residents of New Jersey; see page 6-9, Section 

6, Volume 11, Vital Statistics of the United States, 1963. 

llth to 8th place; accidental poisoning by gases 

and vapors from 12th to 9th place,and complications due to nontherapeutic medical and surgical procedures from 15th to llth place. Water 

transport accidents dropped from 7th to 10th 

place; aircraft accidents from 8thto 12th place; 

railway accidents from 9thto 13th place; andexcessive heat and “insolation from 13th to 17th 

place. 

The upturn since 1961 for $he category all 

other accidents (table 21)resultedprimarilyfrom 

increased death rates for accident caused by fire 

and explosion of combustible material and accidental poisoning by solid and Iiquid substances. 

There were 6,083 deaths from fire andexplosion in 1954 (representing arateof3.8 deaths 

per 100,000 population) and8,172 from thiscause 

for 1963 (4.3 deaths per 100,000). About 3percent 

of such deaths in1963(271deaths) occurredamong 

infants, and about 13 percent(l,069 deaths)among 

children 1-4 years of age. The risk of deathby 

fire and explosion was about five times greater 

among nonwhite children under 5 years of age 

(18.7 deaths per 100,000 population) than among 

white children at these ages (3.9 deaths). Mostof 

these deaths occurred in the home. 

In 1963 there were 2,061 deaths from accidental poisoning by solid and liquid substances. 

Among 465 deaths attributed to barbituric acid 

and derivatives, 2430ccurredatages35-54 years. 

Atotalof224deaths werefromaccidental poisoning by alcohol. The majority (140 deaths) of the 

204 fatalities from accidental poisoning byaspirin 

and salicylates occurred among children under 5 

years ofage. 

The death rate for accidental poisoning by 

solid and liquid substances was greater for the 

nonwhite than for the white population, with the 

highest rate for nonwhite males, (3.1 deaths per 

100,000), and the lowest rate for white females 

(0.8 deaths per 100,000 population). 

31 
-----------

Table 21. Death rates for accidents, by color and sex: United States, 1954-63


~Vumbers after causes of death we category numbers of the Seventh Revision of the International Lists. 19551 

Year


Accidents


(E800-E962)


19631-----------


19621------..---


1961------------


1960------------


1959------------


1958------------


1957------------


1956------------


1955------------


1954------------


Motor vehicle


accidents


(E810-E835)


19631


19621-----------


1961------------


1960------------


1959------------


1958------------


1957------------


1956------------


1955------------


1954------------


Other accidents


(E800-E802


E840-E962)


19631-----------


19621-----------


1961------------


1960------------


1959------------


1958------------


1957------------


1956------------


1955------------


1954------------


Total II White I Nonwhite 

Both Female Both Male Female sexes Male Female sexes


II


Rates per 100,000 population


53.4 74.1 33.4 52.3 72.2 33.0


52.3 72.3 32.9 51.2 70.5 32.4


50.4 70.3 31.1 49.0 68.0 30.5


52.3 72.8 32.4 50.5 70.0 31.5


52.2 73.2 31.8 50.5 70.5 31.0


52.3 73.2 32.0 50.5 70.5 31.1


55.9 78.2 34.3 54.2 75.4 33.5


56.7 79.8 34.2 54.9 76.9 33.5


56.9 79.8 34.5 55.3 77.3 33.8


55.9 78.5 33.9 54.3 75.9 33.2


65.5 94.6 38.1 

64.3 92.3 37.9 

61.4 88.2 36.0 

66.1 95.0 38.7 

65.3 94.5 37.6 

::.; 94.7 39.2 

101.0 41.3 

70:7 103.6 39.5 

70.0 100.9 40.i’ 

69.0 99.7 40.1 

23.1 34.2 12.4 23.4 34.4 12.7 23.4 36.7 11.0


22.0 32.4 11.8 22.2 32.6 12.1 22.4 34.7 10.8


20.8 31.1 10.9 20.8 30.9 11.0 21.2 32.8 10.3


21.3 31.8 11.0 21.2 31.5 11.2 21.9 34.4 10.1


21.5 32.3 11.0 21.4 31.9 11.1 22.5 35.4 10.2


21.3 32.2 10.8 21.2 31.8 10.9 22.2 35.4


22.7 34.4 11.3 22.5 33.9 11.3 24.7 38.4 1;:;


23.7 36.1 11.6 23.3 35.3 11.6 26.8 42.6 11.9


23.4 35.5 11.6 23.1 35.0 11.5 25.7 40.1 12.1


22.1 33.6 10.8 21.8 33.1 10.8 24.5 38.3 11.4


30.3 39.9 21.0 28.9 37.8 20.3 42.0 57.9 27.1


30.3 39.9 21.1 29.0 37.9 20.3 41.9 57.6 27.1


29.6 39.2 20.2 28.2 37.2 19.5 40.1, 55.4 25.8


31.0 41.1 21.3 29.4 38.6 20.4 44.1 60.6 28.6


30.7 40.9 20.8 29.2 38.7 19.9 42.8 59.1 27.4


30.9 41.0 21.2 29.,3 38.7 20.1 44.0 59.3 29.5


33.2 43.7 23.0 31.7 41.5 22.2 45.6 62.6 29.5


33.0 43.6 22.6 31.6 41.6 21.9 43.9 61.1 27.6


33.5 44.3 23.0 32.2 42.3 22.3 44.2 60.8 28.6


33.8 44.8 23.1 32.5 42.8 22.4 44.6 61.4 28.7


lFigures by color exclude data for residents of New Jersey; see page 6-9, Section


6, Volume II, Vital Statistics of the United States, 1963.


32

Table 22. Deaths and death rates for accidents, by external cause of injury: United States, 

1954 and 1963 

[Rates per 100,000 population. Numbers after causes of death are category numbers E800-E9620f the Seventh Revision of the International 

Ligts, 1955. Deaths areclassified according ~the Sixth Revision for1954md the Seventh Revisi~f0rl963] 

Cauae of death 

All accidents------------------------------------E800-E962


Motor vehicle accidents --------------------------------E81O-E835


Accidental falls---------------------------------------E9OO-E9O4


Accident caused by fire and explosion of


combustible material ---------------------------------------E916


Accidental drowning -----------------------------------------E929


Accident caused by firearm----------------------------------E9l9


Accidental poisoning by solid and liquid substances----E8E888888


Accident cauaed by machinery --------------------------------E9L2


Inhalation and ingestion of food or other object causing


obstruction or suffocation----------------------------E92l,E922 

Blow from falling or projected object or ~issile------------E9lO 

Accidental poisoning by gases and vapors---------------E89O-E895 

Water transport accidents ------------------------------E850-E858 

Complications due to nontherapeutic medical and surgical 

procedures, therapeutic misadventure, and late complications 

of therapeutic procedures -----------------------------E940-E959 

Aircraft accidents -------------------------------------E860-E866 

Railway accidents --------------------------------------E800-E802


Accident caused by electric current -------------------------E914


Accident caused by hot substance, corrosive liquid, steam,


and radiation-----------------------------------------E9l7,E9l8


Other road vehicle accidents ---------------------------E840-E845


Excessive heat and insolation -’------------------------------E931
 I 

.All other accidents-------------------------------------Residual


1963 1954 

Number Xate umber (ate 

100,669 53.4 90.032 55.9 

43,564 23.1 35,586 22.1 

19,335 10.3 19,771 12.3 

8,172 4.3 6,083 3.8 

5,103 2.7 5,049 3.1 

2,263 ‘1.2 2,281 1,4 

2,061 1.0 1,339 0.8 

1,965 1.0 2,009 1.2 

1,949 1,627 

1,533 U 1,255 ::: 

1,489 0.8 1,223 0.8 

1,416 0.8 1,498 0.9 

1,324 0.7 768 0.5 

1,294 0.7 1,450 0.9 

887 0.5 1,347 0.8 

875 0.5 965 0.6 

375 0.2 742 0.5 

296 0.2 366 0.2 

196 0.1 978 0.6 

6.,569 3.5 5,695 3.5 

l’here was little improvement inthenumkrof 

fatalities caused by firearms during this period, 

with 2,281 accidental deaths from firearms in 

1954 ~1.4 deaths per 100,000 population)and2,263 

such deaths in 1963 (1.2 deaths per 100,OOOpopulation). Over half of these firearm deaths in 

1963 (1,158) occurred at ages under 25 years. 

By age the largest number occurred at 15-19 

years (402 deaths). 

Influenza and Pneumonia 

In the decade 1954-63 there were 558,817 

deaths attributed to this fifth leading cause of 

death—influenza and pneumonia, except pneumonia of newborn. Only about 8 percent of these 

deaths were assigned to influenza. During the 

nonepidemic years of 1954-63 the annual number of deaths attributed to influenza was under 

3,000, while during the severe epidemic years 

this number was more than doubled (7,463 in 

1957, 7,872 in 1960, and 7,083 deaths in 1963). 

Beginning in 1937, with the introduction of 

sulfa drugs and antibiotics, mortality from pneumonia declined rapidly, reaching a low of 23.8 

deaths per 100,000 population in 1954. But the 

death rates for pneumonia for the nonepidemic 

years of the decade 1954-63 suggest that the 

downward trend has been reversed. The rates 

for the 5 nonepidemic years 1954-56, 1959, and 

33 

— — , 
I 

-. 

Table 23. Death rates for pneumonia, except pneumonia of newborn, by color and sex: 

United States, 1954-63 

[Deaths are those attributed to category numbers 490-493 of the Seventh Revision of the International Lists, 1955. Deaths are 

classified according tothe Sixth Revision for1954-57 andtothe Seventh Revision for 1958-63] 

Year 

19631----------*-------

19621------------------

1961-------------------

1960-------------------

1959-------------------

1958-------------------

1957-------------------

1956-------------------

1955-------------------

1954-------------------

White Nonwhite 

Both BO th sexes Male Female sexes Male Female 

Rates per 100,000 population 

31.4 35.9 

28.4 32.4 

27.0 30.9 

30.1 35.1 

27.1 31.2 

28.0 32.6 

28.6 33.6 

24.5 28.2 

23.1 26.4 

21.4 24.8 

27.1 52.8 

24.6 I 46.7 

23.2 44.2 

25.3 54.0 

23.1 49.2 

23.5 51.5 

23.8 54.2 

20.8 45.6 

19.9 44.5 

18.1 43.6 

62.8 43.3 

55.1 38.8 

53.2 35.7 

65.7 43.0 

58.5 40.5 

62.0 41.6 

63.2 45.7 

53.2 38.4 

53.3 36.1 

51.7 35.9 

lFigures by color exclude data for residents of New Jersey; see page 6-9, Section 6, 

Volume 11, Vital Statistics of the United States, 1963. 

1961 were as follows: 23.8, 25.4, 26.8, 29.6, 

and 29.0 deaths per 100,000 population. 

There is no reason to believe that any part 

of this increase is ascribable to changes introduced with the Seventh Revision of the International Lists which was put into use beginning 

with 1958. In fact assignment of deaths according 

to the Sixth and Seventh Revisions of the International Lists for the above described 10-percent 

sample of deaths in 1958 showed that about 6 

percent fewer deaths were assignedto this cause 

as a result of the procedures adopted with the 

Seventh Revision, as compared with the number 

assigned under the Sixth Revision. 

The greatest number of deaths from pneumonia are attributed to bronchopneumonia (19.2 

deaths per 100,000 population), which constituted 

about 57 percent of the 63,678 pneumonia deaths 

in 1963. The death rates for the remaining 

groups of pneumonias wereas follows: 5.3deaths 

perlOO,OOO for lobar pneumonia; 3.l,forprimary 

atypical pneumonia; and 6.2 for pneumonia, other 

and unspecified. 

There werestilllargecolor-sexdifferentials 

in mortality from pneumonia (tables 23and24). In 

1963 the mortality rate for nonwhite males was 

62.8 deaths per 100,000 population; nonwhite 

females, 43.3; white males, 35.9; and white females, 27.1. But during the decade the color and 

sex differentials lessened. In the period 1954-63 

the relative increase in the pneumonia”death rate 

for white persons was 47 percent, as compared 

with only21 percent for nonwhite persons. Using 

the nonepidemic years 1954 and 1961, thelessening of the mortality differential by color is even 

more pronounced: a 26 percent increase in the 

pneumonia death rate for w@epersonsascompared with onlya lpercent increase fornonwhite 

persons. 

The jagged mortality curves for most age 

groups shown in figures 8and9, with pronounced 

peaks for 1957, 1960, and 1963, reflect the 

serious outbreaks of .influenza during the decade. 

They are evident for each of the four color-sex 

groups, at ages 45 years and over. For the 

younger age groups there is less peaking of the 

curves in epidemic years, except for the steep 

rise in pneumonia mortality for school children 

and young adults for 1957. This is associated 

with the first outbreak of Asian influenza in the 

34 
. 

Table 24. Death rates for,pneumonia, except pneumonia of newborn,by sex and age: United States, 1954-63 

[Deaths are those attributed to cateeorv’ number. 490-493 of the Seventh Revision of the International Lists, 1955. Deaths are classified according to the 

Sex and age 

Both sexes 

All ages1-4 years----

5-14 years---

15-24 years--

25-34 years--

35-44 years--

45-54 years--

55-64 years--

65-74 years--

75-84 years--

85 years and over--------

Male 

All ages1-4 years----

5-14 years---

15-24 years--

25-34 years--

35-44 years--

45-54 years--

55-64 years--

65-74 years--

75-84 years--

85 years and over--------

Female 

All ages1-4 years----

5-14 years---

15-24 years--

25-34 years--

35-44 years--

45-54 years--

55-64 years--

65-74 years--

75-84 years--

85 years and over--------

- - Sixth Revision fori95&57and ~the Seventh Revision forl958-63] 

1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 

Rates per 100,000 population 

33.8 30.4 29.0 ) 32.9 29.6 30.6 31.4 26.8 25.4 23.8 —— —— 

13.4 13.0 12.6 15.0 14.5 14.9 1.6.4 14.6 14.L 15.1 

2.1 2.1 1.9 2.3 2.2 2.1 2,9 2.2 2.4 2.2 

2.1 2.5 2.5 2.2 2.5 

~:: $: ;.; ::: 3.6 3.9 2:; 2.9 2.9 M 

. 7.2 . 8.2 7..2 7.2 8.6 6.7 6.4 6.3 

16.6 14.3 13.5 17.1 14.7 15.9 17.7 13.4 13.3 13.3 

36.8 31.4 29.7 37.8 31.7 35.7 38.1 29.1 27.7 26.0 

103.6 88.9 83.3 97.5 82.3 88.2 92.7 76.6 71.5 65.8 

309.6 278.6 262.4 297.0 266.4 268.8 266.3 243.5 233.0 204.3 

1,114.7 978.4 910.8” 966.5 868.6 893.8 863.1 796.5 732.2 661.2 

38.8 34.9 33.5 38.5 34.2 35.8 36.8 30.9 29.3 27.6 

14.0 L3.7 13.3 15.9 15.5 is.1 15.1 15.0 15.8 

2.1 2.1 2.0 2.5 2.2 2.1 2.4 2.4 

2.4 2.6 2.5 M 2.6 2.4 

3.8 3.6 3.5 ;:: 4.1 ::: 3.3 R 3.6 

9.5 8.6 8.5 10.4 8.8 9.4 8.1 8.2 7.9 

22.7 19.3 18.4 23.7 19.9 21.8 24.6 18.2 18.2 18.5 

51..0 43.5 41.5 53.6 44.7 50.8 54.3 41.1 38.7 36.6 

146.7 123.2 117.1 136.3 113.3 122.0 126.6 102.5 93.4 86.9 

390.1 350.1 329.2 372.3 330.2 333.8 325.3 295.9 279.5 241.6 

1,274.8 .,102.9 L,028.7 1,096.1 974.6 L,008.7 967.4 870.3 780.5 719.7 

28.9 26.2 24.6 27.4 25.0 25.5 26.2 22.7 21.7 20.0 

12.9 12.2 11.8 14.2 13.5 14.8 15.8 14.1 1;.; 14.4 

2.1 2.1 1.9 2.2 2.2 2.0 2.3 2.1 

2.0 2.0 1.7 2.1 2.2 ::: 1.9 2:1 2.0 

3.8 3.0 3.9 $; 3.5 :.; 2.5 

5.9 $! 5.7 5.3 H ::: 

1%; 9.6 1;:; 1::: 11:1 

23.7 20.2 1::; 22.9 1;:: 21.4 22.7 1;:: 1%: 1%; 

67.8 59.9 54.4 63.8 55.2 58.4 62.5 53.5 51.7 46.6 

249.3 224.3 211.1 238.6 216.8 217.7 219;4 201.5 195.4 173.9 

1,014.7 899.7 834.0 883.6 799.3 817.2 791.9 745.1 698.0 619.3 

United St:~tcs during the fall of 1957. For each rate for nonwhite “male infants was about three 

of the four color-sex groups, the very young times higher than for white male infants; and 

(under 5 years) and the older segment of the the pneumonia death rate for nonwhite female 

~lo~>Lllation((>5y@ars and over) continued through- infants was about four times higher than the corout the decade to have the highest death rates responding rate for white female infants. 

for pneumonia. For 1963, the pneumonia death 

. 

35 
MALE 

WHITE NONWHITE 

1500 L500 

1.000 — 

a 00 — 

600 — 

400 — 

200 — Under I year 

,- mm*-*­ -*-*- �-*._,_,

65-74 years 

100 — 

z 

o 

; 80


:


i’ 60


a. 55-64 years 

~ 

o 40 — 

og 

E


0.


p 20 —
 a


K


10 — 

e — 

6


4 — 

b 15-24 yeors 

2


I I I I I I I


1954 1956 1958 1960 1962


1,000 

800


600


400


200


55-64 yeors 

100


al 

80 3


m 

60	 ; 

m 

z 

40 “; 

o


T


o


T


c


r


20 ? 

o


z


10


8


#*-%* 8


4


2


I I I I I I I 1 1


1954 1956 1958 1960 1962


Figure 8. Death rates for pneumonia, excluding pneumonia of newborn, among male population, by color 

and age: 1954-63. 

36


0 
� 

F‘EMALE 

WHITE NONWHITE 

“500~ 

~“o” 

1- -1 

75-84 years 

200 — 

100 — 

z 

: 80 — 

a 

A 

i? 60 

a 

o 

0-

g o 

E 

a 

g 20, — 55-64 ySIOrS 

a 

25–34y0ars 

10 — 

e — 

6 — 

L- -1 

4 — 

2 — 1- j2 

1~ 

1954 1956 1958 1960 1962 1954 

Luul--ll

1956 195a 1960 1962 

Figure 9. Death rates for pneumonia , excluding pneumonia of newborn, among female population, by color 

and age: 195U-63. 

37 

—. — 

0 
--- -- - - - - - - - - --

- - - --- -- - - -- - -

I 

Table 25. Death rates for general arteriosclerosis, by color and sex: united States, 

1954-63 

[Deaths are those attributed to category number 450 of the Seventh Revision of the Irrterna,tiorml Lists, 1955. Deaths are classified according to the Sixth Revision for 1954-57 and tothe%venth Revision for 1958-63] 

White Nonwhite 

Year


Both Both Male Female Male Female sexes sexes 

Rates per 100,000 population 

19631 - . - 20.9 19.3 22.4 12.9 13.4 12.5 

19621 - . - . 20.9 19.2 22.5 12.9 13.7 12.2 

1961------------------- 20.3 19.0 21.5 “ 12.1 12.9 11.4 

1960------------------- 20.9 20.0 21.8 13.0 14.0 12.0 

1959------------------- 20.5 19.6 21.3 12.8 13.6 12.0 

1958------------------- 20.7 20.1 21.3 13.7 14.2 13.2 

1957------------------- 20.3 19.8 20.9 13.0 13.5 12;5 

1956------------------- 20.0 19.6 20.4 12.4 13.0 11.8 

1955------------------- 20.6 20.5 20.7 1~.g 14.2 11.7 

1954------------------- 19.5 19.3 19.8 12.4 13.4 11.6 

lF@.mes by color exclude data for residents of New Jersey; see page 6-9, Section 6, 

Volume 11, Vital Statistics of the United States, 1963. 

General Arteriosclerosis	 tion than for the total male population during 

mos~ of 1954-63, the age-specific death rates 

The rise in the death rate forthis groupof were generally higher for the male population. 

diseases resulted primarily from a rise in the This comes about because at ages 65 years and 

death rateforfemales (tables 25and26 ). The death over, when mortality from this cause is high, 

rate for general arteriosclerosis rose mom the number of women is substantially greater 

18.9 to 19.9 deaths per 100,000 females between than the number ofmen. 

1954 and 1957 (the years the Sixth Revision was For both white and nonwhite males the death 

in use) and from 20.4 to 21.2 deaths per 100,000 rate for general arteriosclerosis was the same 

female persons in the period 1958-63. The break for 1954 and 1963 (table 25). For the white popin comparability with the introduction of the ulation the death rate for this cause is higher 

Seventh Revision beginning with data year 1958is for females than for males, whereas for the 

minimal: the comparability ratio is 1.01 for the nonwhite population, males have somewhathigher 

female population. rates than females. 

The increase in the death rate for the total 

female population that occurred despite thede- Diabetes Mellitus 

cline in the age-specific death rates for females 

in the decade 1954-63 is attributable in great The deathratefordiabetes mellitusincreased 

part to the substantial increase in the elderly about 10percent in the period 1954-63 (table 28). 

female population (at ages 65 years and over). Byfarthelargestrelative,increases occurred 

For this latter part of the life span the death in the nonwhite population. For nonwhite males 

rate for these diseases of the arteries rises this rise amounted to about 42 percent, and for 

steeply. 3>4 nonwhite females to about 40 percent. 

Although the death rate for general arterio- In 1963 this cause ranked as the7th leading 

sclerosis was higher for the total female popula- cause of death for nonwhite females, the 8th 

38 
Table 26. Death rates for general arteriosclerosis, by sex and age: United States, 1954-63


;@eaths srethose attributed to cak@~nmber 4500fthe Seventi Retision oftie"k@mationaI Lists, 'l955. I!eaths arecIas&ified according tothe 

Sixth Revision fop 195457 and to the Seventh Revision for 19 58-63] 

Sex end age 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 

I 

Both sexes Rates per 100,000 population 

All ages- 19.9 19.8 19.3 20.0 19.6 19.9 19.5 19.1 19.8 18.8 

1-4 years---- 0.0 0.0 0.0 0.0 0.0 

5-14 years---

15-24 years--

25-34 years--

0.6 

0.1 

%: 

0.0 ~:; 0.6 ::: 0.; 

O.i 0.0 0.”0 

0.0 

0.0’ 

0.0 

0.6 

0.1 

0.6 

0.1 

3,5-44years-- 0.2 0.2 .0:2 0.3 0.3 u 0.2 0.2 0.3 0.3 

45-54 years--

55-64 years-- M ;:; 1;:: 1::: 1::: 1::2 1;:2 M 1;:! 1::: 

65-74 years-- 54.3 52.7 “53.3 56.9 54.8 58.7 58.8 56.7 58.7 57.6 

75-84 years-- 286.1 290.0 284.8 307.4 306.6 313.7 312.0 319.1 340.2 324.0 

85 years and
 over-------- 1,425.8 1,452.8 1,405.4 1,423.3 1,,410.5 1,465.7 1,448.9 1,436.4 L,491.4 1,444.0


Male .“ 

All ages- 18.5 18.5 18.3 —. 19.3 18.9 19.4 19.1 18.9 —. 19.9 “18.6 

1-4 years---- - 0.0 0.0 0.0 0.0 

‘5-14 years--- 0.; 0.0 

15-24 years-- O.li 0.0 0.6 0.6 0.; 0.6 

25-34 yeaks-- 0.i ‘o.i 0.0 0.; ,. ;:: 0.1 0.1 0.0 0.0 0.1 

35-44 years-- 0.3 0.3 0.4 0.4 0.4 0.3 0.2 0.3 0.3 0.3 

45-54 years-- 2.4 2.6 

55-64 years-- 1;:: 1;:: 1::: 1::: 1$! 1::; 13.1 1;:$ 12.8 1::: 

65-74 years-- 65.6 62.1 64.4 68.8 66.3 70.8 72.1 68.1 71.7 69.0 

75-84 years-- 312.7 315.2 312.1 340.9 338.5 351.2 341.9 354.8 383.8 362.9 

85 years and over-------- L,433.2 1,447.6 1,413.6 1,453.3 1,414.4 1,488.1 1,462.3 1,442.5 L,506.6 1,420.1


Female


All ages- 21.2 21.2 20.3 20.7 20.3 20.4 19.9 19.4 19.7 18.9 

1-4 years----

5-14 years---

15-24 years--

25-340years--

35-44 years--

0.6 

0.0 

0.1 

0.0 

::: 

0.2 

0.6 

o.i 

0.1 

o.i 

0.2 

0.0 

0.0 

0.1 

O.i 

0.1 

0.2 

0.6 

0.0 

0.1 

0.; 

%: 

0.2 

,-

0.;

0.1 

0.2 

,-

0.;

0.1 

0.3 

45-54 years-- 1.3 1.2 1.1 1.0 1.4 1.3 1.,4 1.3 ‘1.0 1.3 

55-64 years-- 7..8 

65-74 years-- 4::: 4;:! 4::; 4;:; 4::: 4;:; 47.0 4::: 4n 4;:: 75F84 years-- 266.1 270.8 263.9 281.4 281.8 284.6 288.3 290.5 305.0 292.2 

85 years end over-------- 1,421.2 1,456.1 L,397.8 1,404.1 1,407.9 1,450.8 1,439.7 L,432.1 L,480.6 L,461.2


k’ading cause for white females, and the 12th 

koding cause for white males. For nonwhite 

maks, diabetes mellitus and cirrhosis of liver 

bothmnkdas the llthlcading cause. 

For white males the relative increase in 

the death ‘rate for”diabetes mellitus was about 

12 percent. There wascomparativelylittlechange 

-


over the decade in the corresponding death rate 

for white females. As a result, the mortality 

differential in the white population bysex forthis 

cause narrowed over the decade from an excess 

in the death rate for females of 48 percent for 

1954 to an excess of 35 percent for 1963. In the 

nonwhite population mortality for females re39

MALE 

400,( 

200,C 

I Oo.c 

e.o,c 

60,0 

40.0 

~ 

~ 

< 

n. 

o 

n 20.0 

0


0


0-


0


0


E


n Io.o 

WHITE 

85 years and over 

75-84 years 

65-74 years 

55-64 years 

~ 

45-54 years 

NONWHITE 

— 400.0 

— 200.0 

85 vears and over ...d 

75-84 

years 

— 80,0 

— 60,0 

45-54 years 

4,0 

2.0 

, 

100 

0.8 

~ 0.5 

1954 1958 1960 1962 

? 

2.0 

I ,0 

05~ 

1954 1956 1958 1960 1962 

Figure 10. Death rates for diabetes mel litus among male population, by color and age: 1954-63. 

.40 

— — 
� � 

FEMALE 

WHITE NONWHITE 

400.0 4000 

t -1 1 

-t 

t 

200”01- 100.0 

-

100!0— 65-74 years 

80,0 — / 85 years and over 1 

80!0 

60.0 — 

45-54 years 

— 40,0 — 

z 

o


G 

a 

3! } 

a 

0 

a 20,0 — 

o


0


0,


0 

0 T 

c 

K -I 

c u r & I000 — 45-54 yeors D 

z 880 — 2 

25-34 years 

4,0 

t 35-44 years i 

2!0 — 

25-34 years 

.

I ,0 

I I F=-’l”o OJ3 — 

0.6 — 

I I I I I I I 1“ 0.5 

1954 1956 1958 1960 1962 

— 

Figure Il. Death rates for diabetes mel litus among female population, by color and age: 1954-63. 

41 
------

-----

----------

------

-----

----------

------

-----

----------

,— — 

Table 27. Death rates for diabetes mellitus, by sex and age: United States, 1954-63 

[Deaths are those atttihuted hcategory number 26Oofthe Seventh Retision of the Int.ernational Lists, l955. Deaths areclassified 

Sex and age 

Both sexes 

All ages-


1-4 years


5-14 years


15-24 years----


25-34 years----


,35-44years----


45-54 years----


55-64 years----


65-74 years--T-


75-84 years----


85 years and 

over 

Male

-

All ages1-4 years


5-14 years


15-24 years----


25-34 years----


35-44 years----


45-54 years----


55-64 years----


65-74 years----


75-84 years----


85 years and
 over


Female 

All ages-


1-4 years


5-14 years


15-24 years----


25-34 years----


35-44 years----


45-54 years----


55-64 years----


65-74 years----


75-84 years----


85 years and 

over 

according to the Sixth Revision for 1954-57 and to the Seventh Revieion for1958-63~ 

1963 1962 1961 1960 1959 1958 1957 1956 1955 1954


Rates per 100,000 population 

17.2 16.8 16.4 16.7 15.9 15.9 16.0 15.7 15.5 15.6 

0.2 

0.3 ::: 

0.2 0.3 0.2 0.3 

0.3 0.4 0.4 M 0.4 , ::: ::: 

0.3 

0.4 

0.9 0.8 0.7 0.9 0.9 0.9 1.0 1.0 1.0 

2.6 2.6 H 

5.0 ::; ::; H 3.8 ::; 4.5 $? ::: ;:; 

12.1 11.7 11.3 12.1 11.4 11.2 11.2 11.0 10.9 11.3 

37.5 36.9 35.8 37.9 37.5 37.0 38.0 37.5 37.3 38.3 

95.1 94.0 91.4 93;4 89.9 91.6 92.5 92.1 91.7 92.3 

165.9 160.3 162.9 163.7 154.5 151.7 149.8 151.7 150.6 153.9


206.6 207.1 184.5 181.7 158.8 169.9 158.1 162.6 163.1 155.3


M 

14.2 14.1 13.4 13.8 12.9 12.8 12.6 12.5 12.4 12.4 

0.1 0.2 0.2 0.3 0.4 0.3 0.2 0.3 

0.2 0.3 0.2 0.3 0.4 0.2 0.4 

0.7 0.7 0.7 0.8 0.8 ::; 0.8 0.9 

3.0 3.0 ;:: 

5.5 “;:: 5.5 ::; ::; N 5.0 ::; ::: 

11.8 11.5 11.2 12.1 11.4 10.6 10.4 10.3 

33.3 32.8 31.1 31.9 31.0 30.1 29.3 3::: 2::: 29.4 

80.4 79.0 74.8 76.1 71.7 73.1 71.9 71.5 70.7 70.0 

144.9 141.3, 138.9 144.6 133.5 129.0 127.8 129.8 131.2 131.0


204.9 211.3 170.5 170.6 153.5 163.4 145.1 150.5 143.4 143.1


20.1 19.4 19.3 19.6 18.8 18.8 19.2 18.7 18.5 18.7 

0.2 0.2 0.2 0.3 0.3 0.2 0.3 

0.4 0.3 0.4 0.5 ::; 0.4 ,::: 0.4 M 0.5 

0.9 0.8 0.9 1.2 

H 2.2 H ;:; 2.1 H 2.0 H ;:: -
 4.4 3.4 ::; 4.0 3.5 3.6 4.1 3.5 3>3 “3.4


12.3 11.9 11.4 12.1 11.5 11.9 12.0 12.1 11.9 12.3


41.4 40.7 40.2 43.7 43.6 43.5 46.2 44.0 44.5 46.9


107.3 106.7 105.6 108.4 105.8 107.8 110.8 110.5 110.5 112.5


181.8 174.7 181.4 178.5 170.9 169.6 167.2 169.3 166.3 172.5


207.6 204.5 193.2 188.7 162.2 174.2 167.0 171.1 177.1 164.0


42

. 

Table 28. Death rates for diabetes mellitus, by color and sex: United States, 1954-63


~eaths arethose attributed ticate@~number 2600fthe Seventh Retition of the Intemationd Lists,1955. Deaths areclassifi ed according to the Sixth Revision for 1954-57 and to the Seventh Revision for 1958-6~ 

White Nonwhite


Year


Both Both
 Male Female Male Female
 sexes sexes


Rates per 100,000 population 

1.9631------------------ 16.7 14.2 19.2 19.8 13.9 25.4 

19621------------------ 16.4 14.1 18.6 18.9 13.7 23.8 

1961------------------- 16.2 13.5 18.8 18.2 12.8 23.3 

1960------------------- 16.4 13.7 19.1 18.8 13.9 23.4 

1959------------------- 15.8 13.0 18.5 16.8 12.1 21.2 

1958------------------- 15.8 13.0 18.5 16.3 11.2 21.1 

1957------------------- 16.0 12.8 19.0 15.8 10.8 20.4 

1956------------------- 15.8 12.8 18.6 14.7 10.1 19.1 

1955------------------- 15.7 12.8 18.5 14.3 9.7 18.5 

1954------------------- 15.8 12.7 18.8 14.1 9.8 18.1 

II 

lF@res by color exclude data for residents of New Jersey; see page 6-9,section 6,


.Volume 11, Vital Statistics of the United States, 1963.


mained almostdoublethatformales throughout


thedecade.


For males at the youngerages (under25


years)therewas stillsome slight
improvement


during 1954-63 in the deathratefor diabetes;


but the declinein recentyears constitutes
a


levelingoff in the trend,compared with the


relatively
 steepdeclinesintheyearsimmediately


following1922 when insulinwas discovered.
At


ages 25 years and over the deathrateforthis


cause increasedfor themale population
during


1954-63(table
27).


In 1954 thedeathrateforthiscauseatages


45-54 years was higherfor the firsttime for


whitemen thanforwhitewomen (figs.
10and 11).


During 1954-63theratioof thisdeathratefor


whitemen attheseagestothecorrespondingrate


forwhitewomen continued toincrease.
For 1963


at ages 45-54 years therateforwhitemen was


about21 percenthigherthanforwhitewomen.


In addition
to thisage group,thedeathratefor


whitemen was higherthanthecorrespondingrate


forwhitewomen foragegroups25-34and 35-44


years.Inthenonwhitepopulation, mortality
from


diabeteswas still
higherforfemalesatallages


exceptat ages 5-14, 25-34,and 85 years and


over.


This cause was relativelyunaffectedby


changesin classification
 and codingprocedures


introducedwith the SeventhRevision,in use


beginning
withdatayear 1958.The comparability


ratiobetweentheSixthand theSeventhRevisions


fordiabetes mellitus
was 1-01.


Other Diseases of Circulatory System 

This group of diseasesincludesaortican­


eurysm, nonsypbilitic, and dissecting
 aneurysm;


peripheral ’vasculardisease;arterial
embolism


and thrombosis;phlebitis
and,thrombophlebitis;


pulmonary embolism and infarction;
 and other


diseases of veins and other diseasesof the


circulatorysystem. The death rates for this


groupofcauses,whichwas the12thleadingcause


in 1959,the llthleadingcause in1960,and the


9th in 1963,have increasedevery“yearsince


1950.The rateof 12.9deathsper 100,
000pop-


ulationin 1963 was more thantwicethatof1954


(tables
 29and30).For each ofthefourcolor-sex


groups the ratefor1963isaboutdoublethatfor


43 
Table 29. Death rates for Other diseases of circulatory system, by sex and age:


United States, 1954-63


[Deaths are those attributed tQ category numbers 451-468 of the Seventh Revision of the International Lists, 1955. Deaths are 

classified according to the Sixth Revision for 1954-57 and to the Seventh Revision 

Sex and age 1963 1962 1961


Both sexes


All ages- 12.9 12.2 11.3 

1-4 years------ 0.1 0.1 0.1 

5-14 years----- 0.1 

15-24 years---- ::; ::; 0.8 

25-34 years---- 1.8 1.8 

35-44 years---- ::: 3.9 3.4 

45-54 years---- 10.2 9.5


55-64 years---- 27.6 2%2 24.8


65-74 years---- 68.5 65.1 59.4


75-84 years---- 116.2 107.4 102.9


85 years and
 over---------- 197.3 185.8 163.5


Male


All ages- 15.9 15.0 14.1 

1-4 years------ 5-14 years----- ::: 

0.1 

0.1 8:: 

15-24 years---- 0.5 0.5 0.5 

25-34 years---- 1.5 

35-44 years---- ::: ::: 3.6 

45-54 years---- 13.0 12.3 11.9


55-64 years---- 38.9 37.7 35.4


65-74 years---- 101.7 97.2 86.7


75-84 years---- 151.4 136.7 134.2


85 yeara and
 over---------- 209.6 205.3 185.9


Female


All ages- 10.1 9.4 8.6 

1-4 years------ 0.1 0.1 0.1 

5-14 years----- 0.2 0.2 0.2 

15-24 years---- 1.1 1.0 

25-34 years---- ;:; 2.3 2.1 

35-44 years---- 4.3 3.8 3.2 

45-54 years---- 7.5 6.8 7.1 

55-64 years---- 17.2 16.8 14.9 

65-74 years---- 40.9 38.1 36.1 

75-84 years---- 89.7 85.1 78.9 

85 years and over---------- 189.6 173.5 148.9


1960 1959 1958 1957


Rates per 100,000 population


11.0 10.3 9.9 9.0 

0.1 0.2 0.1 

0.2 ::: 

0.9 ::; 0.7 ::: 

1.5 

;:: H ;:; 3.2 

9.1 8.0 

25.6 2::? 2::: 23.2 

56.1 52.8 52.0 45.8 

100.5 92.9 89.3 74.0 

161.0 137;3 136.5 117.4


13.7 12.8 12.5 11.4 

0.2 0.3 0.2 0.2 

0.1 0.2 

R 0.5 R 0.6 

1,1 1.3 

;:; 3.6 3.5 ::; 

11.5 11.2 11.2 10.4 

36.6 34.9 33.1 33.7 

81.4 77.0 74.6 65.5


127.6 117.2 115.8 95.0


for 1958-631 

1956 1955 1954


8.4 7.3 6.4 

0.2 0.1 0.2 

0.2 0.2 

0.8 %; 0.8 

1.6 1.6 

3.2 HI 2.9 

2::: J:? 1;:; 

43.1 35.8 30.2 

70.1 60.8 47.7 

98.4 95.4 78.9 

10.7 9.2 8.0 

0.1 0.2 

%? 0.1 0.1 

0.4 0.7 0.6 

1.1 

;:: 3.0 ::: 

10.0 9.3 

30.7 2;:; 22.7 

62.5 50.7 427 

90.6 76.8 62.0 

190.7 151.5 155.8 135.0 116.2 117.3 87.2


8.5 7.9 7.5 6.6 6.2 5.5 4.8 

H 

0.2 ::i 0.1 

0.1 

0.1 

0.1 

0.2 w 0.2 

0.3 

1.3 1.0 1.1 1.1 1.0 

;:; 

3.6 

2.0 

;:!? 3.1 

1.9 

2.9 

H 

3.0 u ;:; 

6.8 6.4 6.5 5.7 6.4 5.0 

15.3 15.1 13.1 13.3 11.0 10.7 ;:; 

34.1 31.6 32.1 28.3 25.7 22.3 18.8 

79.5 73.9 68.5 57.4 53.7 47.9 36.1 

142.0 128.0 123.6 105.5 86.0 80.0 72.9 

44 
------------------

Table 30. Death rates for other diseases of circulatory system, by color and sex: 

United States, 1954-63 

[Deaths are those attributed to category numbers 451-468 of the Seventh Revision of the International Lists, 1955. Deaths are 

classified according to the Sixth Revision for 1954-57 and to the Seventh Revision for 1958-63] 

Year 

19631 

19621------------------

1961-------------------

1960-------------------

1959-------------------

1958-------------------

1957-------------------

1956-------------------

1955-------------------

1954-------------------

White 

Both Male sexes 

Rat<


13.0 16.1 

12.3 15.4 

11.4 14.3 

11.1 14.0 

10.4 13.0 

9.9 12.7 

9.0 11.5 

8.4 10.9 

9.3 

::: 8.1 

Nonwhite 

Female Both Male Female sexes 

per 100,000 population 

10.0 12.7 14.1 

9.3 11.1 12.1 

8.5 10.9 12.1 

8.4 10.4 11.6 

7.8 9.8 11.0 

9.9 10.4 

H 9.0 10.5 

6.0 8.1 8.9 

8.0 

H $: 7.3 

11.3 

10.2 

9.7 

9.4 

!:; 

7.6 

::; 

5.9 

lFigures by color exclude data for residents of New Jersey; see page 6-9, Section 6, 

Volume-II, Vital Statistics of the United States, 1963. 

1954. ln the white population, the risk of death 

from this cause is still substantially higher for 

males than for females, but over the decade 

1954-63 this differential decreased from about 

72 to 61 percent. There is still little difference 

in the death rate for these diseases in the white 

and nonwhite populations, for the increases in 

the death rate for the two groups have been 

closely parallel during 1954-63. The mortality 

differential by sex in the nonwhite population, 

however, is smaller than in the white population. 

At ages 65-74, 7.5-84, and 85 years andover 

the death rate for these diseases has more than 

doubled, but there have also been substantial increases at the younger ages. The doubling of 

the risk of death from this group of causes occurred for both the male and female populations 

(table 29). 

The comparability ratio between the Sixth 

and Seventh Revisions was 1.04. Thus the increase in assignments of deaths to this groupof 

causes in the Seventh Revision as compared with 

the Sixth Revision accounted for only a small 

part of the doubling of this death rate in the 

period 1954-63. Part of the 4 percent increase 

in assignment under the SeventhRevision resulted 

from transfers from cerebral embolism and 

thrombosis. 

Other Bronchopulmonic Diseases 

This group of respiratory diseaseshasshown 

a marked increase during 1954-63, especially in 

the male population (tables 31 and 32). The 

risk of dying from other bronchopulmonic diseases (lCD Nos. 525-527) in 1963 was twice as 

high for nonwhite males and almost three times 

as high for white males as the corresponding 

risks in 1954. There were also substantial increases in the death rate for these diseases in 

the female population, both for white and nonwhite persons. 

The color andsexdifferentials widenedduring 

1954-63. Mortality from this cause in 1963 was 

about four times greater for males than for females and about one and one-half times greater 

for the white population than for the nonwhite. 

During 1954-63 an increasing proportion 

of the deaths in this subgroup of respiratory 

45 
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. . — ——–—–——–—– -. .-. ..—

Table 31. Death rates for other bronchopul.monic diseases, by sex and age: United


States, 1960-63


[Deaths are those attributed to category numbers 525-527 of tbe Seventh, Revision of the International Lists, 1955. Deaths me 

classified according to tbe Sixth Revision for1954-57 andto the Seventh Revision for 1958-63] 

Sex and age 

Both sexes


All ages


1-4 years


5-14 years


15-24 years


25-34 years


35-44 years


45-54 years


55-64 years


65-74 years


75-84 years


85 years and over


Ma Ie


All ages


1-4 years


5-14 years


15-24 years


25-34 years


35-44 years


45-54 years


55-64 years


65-74 years


75-84 years


85 years and over----------------------------


Female


All ages


1-4 years


5-14 years


15-24 years


25-34 years


35-44 years


45-54 years


55-64 years


65-74 years


75-84 years


85 years and over


46


1963 1962 1961 1960


Rates per 100,000 population


12.3 10.8 9.7 9.6 

::: A:; ::; 

0.3 0.3 0.3 

0.7 0.6 0.6 

2.1 2.1 1.9 2.1 

6.7 7.4 

3::: 2::; 25.0 24.3 

70.2 59.5 52.4 51.9 

92.3 82.3 73.4 70.3 

115.9 97.2 88.9 79.1 

20.0 17.3 15.5 15.3 

M 1.3 

;:: 

0.3 M 0.3 

0.7 0.7 0.6 0.7 

2.8 2.6 2.5 2.6 

13.5 11.6 10.1 11.6 

54.0 47.4 44.4 42.7 

132.7 112.0 97.0 94.5 

171.1 145.9 129.5 122.6 

206.0 166.1 144.9 128.4 

4.9 4.5 4.1 4.1 

0.9 

::: 0.2 ::: 

0.2 0.3 0.3 

0.7 0.6 0.6 

1.4 1.5 1.2 

4.3 3.9 3.2 

8.8 7.7 ::: 

18.2 15.1 14.3 

33.2 34.0 30.3 29;7 

59.6 53.7 53.0 47.6 

. 
-------- --

-------------------

Table 32. Death rates for other bronchopulmonic diseases, by color and sex: United 

States, 1954-63 

[Deaths arethose attributed ticategory numbers525-527 oftheSeventh Revitior, oftheInternational Lists,l955.
 Deathsace


classified according totheSixth Revision for1954-57 andtotheSeventh Revision
 for1958-63]


White Nonwhite


Year


Both II Male I Female Both Male Female sexes sexes 

Rates per 100,000 “population 

~9621-------------””--- 19631 13.0 21.2 8.4 12.3 4.7 -------. 11.4 18.4 ::: 7.4 10.7 4.4 

1961------------------- 10.1 16.2 4.2 7.0 10.4 3.8 

1960------------------- 10:0 16.0 4.1 6.7 9.8 

1959------------------- 8.7 13.9 3.7 6.7 9.4 ::; 

1958---------------,--- 8.4 13.3 3.6 6.3 8.4 

1957------------------- 8.2 12.8 3.8 6.6 9.1 ::; 

1956------------------- 7.2 11.0 3.4 3.4 

1955-------------------- 6.3 9.5 3.2 H u 2.8 

1954-------:----------- 5.6 8.3 2.9 4.3 6.0 2.7 II 

lF_@res bY color exclude data for residents of New Jersey; see page 6-9,sSCtiOII 6, 

Volume ”II, Vital Statistics of the United States, 1963.


Table 33. Death rates for’emphysema, without mention of bronchitis, by color and sex: 

United States, 1954-63 

[Deaths arethoseattributed hcategoW number527.10ftheSeventh Retision ofthelnternational Lists,l955.
 Deathsar. 

classified according tothe Sixth Revision for 1954-57 andtothe Seventh Revision for 1958-63] 

White Nonwhite


Year


19631


;;::l::::::::::::::::::


1960-------------------


1959-------------------


1958-------------------


1957-------------------


1956-------------------


1955-------------------


1954-------------------


Both


sexes


8.7 

7-2 ..— I

:::


4.7


4.1


3.6


2.9


2.4


2.0
II 

Both
 Male Female
 sexes


Rates Der . 100.000 population
 .-

15.5 2.2 I 3.6 

12.8 1.8 2.9 

iO:

R 

1.3 

1.0 I 2.4 

2-1 I

7.4 0.9 1.8 

6.4 0.8 1.7 

0.6 1.1 

::; 0.6 1.1 

3.5 0.5 0.8 I 1 II 

6 1.5 2.6 

Male Female


1.1 

N 0.9


4.6 0.7


4.2 0.7


3.7 0.7


3:2 0.5


3.1 0.4


1.8 0.3


1.9 0.3


1.5 0.2


lFigures l?ycolor exclude data for residents of New Jersey; see page 6-9, Section 6,


Volume II, Vital Statistics of the United States, 1963.


47 �. 
------------------

------------------

-------------------

-------------------

-------------------

-------------------

-------------------

-------------------

-------------------

diseases was attributed to emphysema, without 

mention of bronchitis. By 1963 this figure had 

grown to 65 percent. The death rate for emphysema 

increased substantially in the white male population, from 3,5 deaths per 100,000 white males 

for 1954 to 15.5 deaths per 100,000 white males 

for 1963 (table 33). In the nonwhite male population the death rate for emphysema for 1963 

(6.3 deaths per 100,000 ) was about four times 

greater than the corresponding rate for 1954. 

Age-sex specific death rates for 1960-63 

(the only years of the decade for which such 

rates are available) show that in the male population the risk of dying from other bronchopulmonic diseases increased at ages 35 years 

and over. At these ages the rate for males was 

higher than the corresponding rate for females. 

For the age group 55-64 years the risk of dying 

from these diseases in 1963 was more than six 

times higher for men than for women. 

For other bronchopulmonic diseases as a 

whole, none of the rise may be ascribed to increased assignments under the Seventh Revision 

of the International Lists as compared with the 

Sixth Revision. As stated above, the comparability ratio between the Seventh and Sixth Revisions was 0.93, indicating that about 7 pcrccnt 

fewer assignments were made to this group of 

causes under the Seventh Revision. For emphysema, without mention of bronchitis, the subcategory for which the death rate more than 

quadrupled during 1954-63, an increase of only 

about 2 percent resulted from transfers in 

classification. 1 

Cirrhosis of Liver 

Cirrhosis of liver moved from the 13th 

leading cause of death in 1954 to the 11th leading 

cause in 1963. The death rate for this chronic 

disease increased about 18 percent over these 

years, chiefly as a result of higher mortality 

in the nonwhite population (table 34). In 1954 the> 

death rate for the white population was about 

one and one-half times the rate for the nonwhite, 

but this differential had almost disappeared by 

1963. For nonwhite males the relative increase 

in this death rate during 1954-63 was 62 percent, 

and for nonwhite females 63 percent. 

In the white population in 1963 the death rate 

for cirrhosis of liver for males was still about 

twice the rate for females. 

Table 34. Death rates for cirrhosis of liver, by color and sex: United States, 1954-63 

[Deaths are those attributed to category number 581 of the Seventh Revision of the International Lists, 1955. Deaths are classified according to tbe Sixth Revision for 1954-57 and to the Seventh Revision for 1958-63] 

Year 

19631


19621


1961


1960


i959-------------------


1958


1957


1956


1955


1954


White Nonwhite 

Both Male Female Both Male Female sexes sexes 

Rate per 100, )0 population 

11.8 15.7 8.0 

11.6 15.7 7,6 

11.4 15.4 7.5 

11.5 15.6 

11.1 14, 9 ;:: 

11.0 14.9 

11.6 15,8 ;:: 

11.0 14.7 7.4 

10.5 14.2 __ll- 10.4 14.1 ::; 

11.5 13.9 

11.5 13.8 

10,8 13.3 

10.2 12.6 

9.7 11,7 

8.5 10.7 

9.4 11.6 

8.5 10.2 

7.5 9.0 

7.1 8.6 

lFQyres by color exclude data for residents of New Jersey; see page 6-9, Section 6, 

Volume II, Vital Statistics of the United States, 1963. 

48 
------

-----

----------

------

-----

----------

------

-----

----------

Table 35. Death rates for cirrhosis of liver, by sex and age: United States, 1954-63


[Deaths arethose attributed ticategory number 5810fthe Seventh Retision of thelntemational Lists,l955. f)eatbsareclwsified aceordingto the Sixtb Revision for 1954-57 and to the Seventb Revision for 1958-68] 

Sex and age 1961 1960 1959 1958 1957 1956 

1 I 1 I I 3T2--

Both sexes Rates per 100,000 population 

All ages- 11.9 11.7 11,3 11.3 10.9 10.8 11.3 10.7 10.2 10.1 

1-4 years 

5-14 years 

0.1 

0.1 ::: 

0.1 0.2 0.2 0.1 0.2 0.2 0.1 

0.1 0.1 0.1 0.1 0.1 0,1 ::: 0.1 

15-24 years---- 0.3 0.3 0.3 0.3 0.3 0.3 0,3 0.3 0.3 0.3 

25-34 years---- 3.2 2.9 2.8 2.5 2.9 2.4 2.1 2.2 

35-44 years---- 1;:; 13.0 1::: 11.8 11.5 11.1 12.1 11.2 10.5 10.4 

45-54 years---- 29.9 28.9 27.5 27.6 26.1 24.9 25.6 23.8 22.8 21.5 

55-64 years---- 36.4 35.4 34.2 32.7 31.8 31.3 33.0 30.9 28.8 29.1 

65-74 years---- 37.5 37.1 35.6 37.4 34.9 36.6 38.2 36.8 36.1 35.5 

75-84 years---- 29.6 29.5 30.1 32.1 33.0 34.0 35.3 37.3 35,9 35.7 

85 years and 

over 26.1 26,3 25.9 28.8 29.6 31.2 32.3 32.7 37.0 37.4 

Male


All ages-. 15.7 15.7 15.1 15.3 14.6 14.5 15.3 14.2 13.6 13.5


1-4 years 

5-14 years 

0.1 

0.1 

0.2 

0.1 

0.2 

0.1 

0.2 

0.1 

0.1 

0.1 

0.2 

0.1 

0.2 

0.1 

0.2 

0.1 

0.1 

0.1 

0.2 

15-24 years---- 0.2 0.3 0.3 0.2 0.2 0.2 0,2 0.3 0.2 ::: 

25-34 years---- 3.6 3.4 3.6 3.1 2.9 2.6 2.4 2.1 

35-44 years---- 15.3 15.7 14.8 14.4 14.1 13.4 1::; 13.6 12.9 1;:; 

45-54 years---- 38.2 38.2 36.1 36,8 34.7 33.9 35.3 31.9 30.9 29.6 

55-64 years---- 52.4 51.7 49.4 48.5 46.1 45.1 48.2 44.2 41.4 42.1 

65-74 years---- 57.8 56.7 55.1 57.4 53.3 56.2 57.4 54.6 52.5 51.5 

75-84 years---- 42.7 43.1 44.8 45.1 46.2 46.1 48.9 48.6 50.1 47,5 

85 years and 

over 34.5 37.9 32.4 40.0 37.5 41.0 42.1 42.8 43.7 47.4 

Female


All ages- 8.3 7.9 7.6 7.5 7.3 7.1 7.5 7.3 6.9 6.7 . 

1-4 years 

5-14 years 

15-24 years----

0.2 

0.1 

0.3 

0.1 

0.l 

0.4 

!:: 

0.4 

0.1 

0.2 

0.3 

0.2 

0.1 

0.3 

0.1 

0.1 

0.4 

0.2 

0.1 

0.4 

0.1 

0.1 

0.4 

0.2 

0.1 

0.3 

0.1 

M 

25-34 years----

35-44 years---- 1;:! 1::: ;:; ‘$:; ::; ;:; ;:; ::: ::; u 

45-54 years---- 21.9 20.0 19.2 18.6 i7.7 16.0 16.2 15.9 14,8 13.6 

55-64 years---- 21.6 20.1 19.9 17.9 18.5 18.2 18.6 18.2 16.6 16.5 

65-74 years---- 20.6 20.6 19.0 20.1 18.8 19.4 21.2 20.8 21.4 21.0 

75-84 years---- 19.7 19.1 18.8 22.0 22.6 24.5 24.4 28.2 24.3 26.1 

85 years and 

over 20.9 19.0 21.7 21.7 22.8 24.6 25.5 25.7 32.3 30.4 

49


.-
------------------

-------- --

-------------------

-------------------

-------------------

-------------------

— .—...— — — 

At ages under 25 years,theperiodof life 

when cirrhosisofliverisa minorcauseofdeath,


the death rate remained almost constant.
But


forevery age group inthespan25-74yearsthe


ratesincreasedduringtheperiod1954-63,while


at ages 75 years and over theydeclined(table


35).This has been the patternfor abouttwo


decades.Since1945therateshavegenerally
 been


increasingat ages 2.5-74years and declining


atages75 yearsandover.


Increasesfor allage groups 25-64 years


during1954-63were in”excess
of20 percentfor


bothmen and women. Formen attheseagesthe


greatestrelative increaseinmortality
from this


causeoccurredatages25-34years(64percent);


andforwomen attheseagesthegreatest
relative


increasewas for the age group45-54years(61


percent).


In 1950 theriskof deathfrom cirrhosis
of


liverwas abouttwiceas greatamong thepop-


ulation75 yearsofageand overas itwas among


persons45-54yearsofage.The increasesinthe


death rate in 1963 at ages 45-54 years have


resulted
ina greaterratefortheseagesthantor


ages 75 years and over.Cirrhosisof theliver


is now one of thefiveleadingcausesofdeathat


theproductive
agesof45-54years.


Suicide 

The increasein thetotalsuicideratethat


began in1958continued,
withminor fluctuations


through1963.The raterosefrom9.8suicides
 per


100,000population
for 1957,thelowestratere­


corded in thiscentury,to 11.0 suicidesper


100,000for 1963.This increasereflects
arise


in suicidesamong teenagersand adultsunder


45 years of age.The upturnin mortalityfrom


suicideamong these younger personsactually


began in 1956,and continuedthrough1963.But


for severalyears thisrisewas obscuredby the


declinein the suiciderate among persons65


years and over.This declinestarteu.,in
 themid


1930’sand continuedthroughout1954-63.As a


consequenceof theinteraction
 of the upturnin


thesuiciderateforyoungpersonsandthedown­


ward trendfor olderpersons,thedeclineinthe


totalsuiciderate leveledoffduring 1955-57


(from 10.2to 9.8suicides
perlOO,OOOpersons).


After thatthe increasein suicideamong per-


sons under 45 years of age tendedto outweigh


thedecreaseamong olderpersons,and resulted


inthenow clearupward trendinthetotal
suicide


rate(fig.
12).


Table 36. Death rates for suicide, by color and sex: United States, 1954.63


~eathsarethoseattributed to category numbers Et)6& E970-E979 of the Seventh Revision of the International Lists, Ms!j. 

Deaths are classified according to the Sixth Revision for 1954-57 and b the Seventh Revision for 195&6~ 

Year


19631


19621 ----.---


1961-------------------
 1960


1959


1958


1957


1956-------------------


1955-------------------


1954-------------------


White Nonwhite


Both Male Female Both Male Female
 sexes sexes
 .


Rates per 100,000 population


11.9 17.8 6.3 

11.8 17.8 5.9 ::; 

11.1 17.1 5.3 4.7 

11.4 17.6 5.3 4.5 

11.3 17.7 5.0 

11.5 18.0 ::: 

10.5 16.5 ::: 4.0 

10.8 16.9 4.8 3.8 

11.0 17.2 4.9 

10.9 17.5 4.5 ::? 

lFigures by color exclude data for residents of New Jersey; see page 6-9,Section 6,


Volume II, Vital Statistics of the United States. 1963.


50 
MALE FEMALE 

— 

8080	 — 

. 

60,0 — 1 

65yeors and over ,’ 

40,0 — 

.. I I 

20”0- I 0.0 — 

8.0 

z 

3 -1 6.0 —

z i

c 

1.0—“ Under 20 years 

0,8
 . -

0,6 l’” --l — 0,6 

L’ -1 

0,4 

Under 20 years 

0!2 — 0.2 

I 

o.1~ 

1954 1956 . 1958 1960 1962 1954 1956 1958 1960 1962 

Figure 12. Death rates for suicide, by sex and age: 1954-63.


51

------

-----

----------

------

-----

----------

------

-----

----------

Table 37. Death rates for suicide, by sex and age: United States, 1954-63


@)eattls
 am thoseattributed to category numbers E963, E970-E979 of the Seventh Revision of the International Lists, 1955. 

Deaths are classified according to the Sixth Revision for 1954-57 and to the Seventh Revision for 1958-63 

Sex and age 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954


Both sexes Rates per 100,000 population


All ages- 11.0 10.9 10.4 10.6 10.6 10.7 9.8 10.0 10.2 10.1 

1-4 years 

5-14 years 

. . . 0.3 

..* 

0.3 . . . 0.2 . . . 0.3 ... 0.2 ... 0.2 ... 0.2 . . . 0.2 . . . 0.1 

..* 

0.1 

15-24 years---- 6.0 5.2 4.9 4.8 4.0 4.0 4.1 4.2 

25-34 years---- 11.8 J:; 1;:: 10.0 9.8 

35-44 years---- 16.0 15.0 14.4 14.2 1%: 13.7 1;:; 1!:? 1::: M 

45-54 years---- 21.1 21.0 20.3 20.7 19.8 20.7 18.2 18.5 19.6 19.3 

55-64 years---- 23.6 23.7 23.1 23.7 24.3 24.1 22.4 24.2 24.8 23.9 

65-74 years---- 22.4 22.2 22.0 23.0 24.8 25.1 23.6 25.2 25.0 25.1 

75-84 years---- 25.4 27.2 26.0 27.9 27.8 27.7 26.5 28.0 27.5 25.6 

85 years and 

over’ 24.6 26.7 25.0 26.0 25.7 25.8 26.4 23.5 27.9 25.1 

Male


All ages- 16.5 16.5 16.1 16.5 16.6 16.8 15.4 15.7 16.0 16.3 

1-4 years . . . . . . ... . . . ... ... ... ... . . . .,. 

5-14 years 0.5 0.5 0.3 0.4 0.4 0.4 0.3 0.3 0.2 0.2 

15-24 years---- 8.5 7.9 8.2 6.3 

25-34 years---- 1::: 15.9 14.9 14.7 1;:; 1::: 1::; 12.7 1::: 1!:; 

35-44 yeara---- 22.4 21.6 21.2 21.0 20.5 21.1 19.1 18.2 18.8 18.9 

45-54 years---- 30.7 30.9 31.0 31.6 31.0 32.1 28.6 28.3 29.7 31.0 

55-64 years---- 37.3 38.0 37.4 38.1 39.4 39.6 35.9 39.1 40.3 39.2 

65-74 years---- 38.3 38.8 37.7 39.6 42.6 43*3 41.4 43.6 42.8 43.7 

75-84 years---- 49.4 53.6 50.4 52.5 54.2 54.9 52.5 54.8 51.7 49.9 

85 years and 

over 55.8 57.4 56.4 57.4 59.4 54.9 58.8 51.1 57.9 50.7 

.
 Female


All ages- 5.8 5.4 4.9 4.9 4.7 4.7 4.3 4.4 4.6 4.1 

1-4 years 

5-14 years . . . 0.1 ... 0.1 � *. 

0.1 ... 0.1 � .. 0.1 . . . 0.1 . . . 

0.1 ... 0.1 . . . 0.1 ... 0.0 

15-24 yeara---- 3.1 2.3 2.3 

25-34 years---- ::: 5.8 ::: ;:: ;:: H ::: ::: 

35-44 years---- ::; 8.8 7.8 7.7 7.0 ;:! 6.6 6.3 6.1 6.3 

45-54 yeara---- 11.9 11.5 9.9 10.2 9.7 8.0 9.0 

55-64 years---- 10.9 10.4 9.7 10.2 1::? 9.4 9.6 ;:: ;:: 

65-74 years---- 9.1 8.2 8.5 8.4 9.3 ::: 8.9 8.3 

75-84 years---- 7.4 7.2 7.2 8.9 7.2 ::: <:; 6.5 7.9 5.9 

85 years and 

over 5.0 7.3 4.9 6.0 3.7 6.4 4.3 4.3 6.7 6.8 

52

The rate for suicide for 1963 was still about 

three times higher for males than for females, 

and about two times higher for white than for 

nonwhite persons (table 36). But owing to the 

accelerated increase in the suicide rate for 

women and for the nonwhite population, the sex 

and color differentials have decreased markedly: 

as late as 1954 the suicide rate in the male 

population was more than four times that in the 

female, and in the white population it was almost 

three times that in the nonwhite population. Over 

the decade 1954-63 the percentage increase in the 

suicide rate for nonwhite females was greater than 

the corresponding increase for any of the other 

color-sex populations. 

Throughout the decade 1954-63 the death rate 

for suicide was higher at every age for boys and 

men than for girls and women (table 37). For 

women this rate was highest at ages 45-64 years, 

while for men the rate was highest at ages 65 years 

and over. 

There were 182,699 known suicides in the 

United States in the 10-year period 1954-63. 

It is generally believed that some suicides are 

unreported. 

As shown in figure 12, the 1958 death rate 

for suicides is markedly higher than that for 1957 

both for males and females and for most age 

groups. About 3.3 percent of the total suicide 

rate for 1958 as compared with that for 1957 

resulted from the transfer of a number of deaths 

from accidents to suicide. In 1958 a change was 

made in the interpretation of injuries where there 

was some doubt as to whether they “were accidentally inflicted or inflicted with suicidal intent. 

Beginning with the Seventh Revision for data year 

1958 “self-inflicted” injuries with no specification as to whether or not they were inflicted with 

suicidal intent and deaths from injuries, whether 

or not self-inflicted, with an indication that it is 

not known whether they were inflicted accidentally 

or with suicidal intent, are classified as suicides. 

The change was made on the assumption that the 

majority of such deaths are properly classified 

as suicide because of the reluctance of the 

certifier to designate a death as suicide unless 

evidence indicates suicidal intent beyond the 

shadow of a doubt. The magnitude of the comparability ratios for suicide varied considerably by 

means of injury, from 1.02 for suicide by firearm and explosive to 1.55 for suicide by jumping 

from high places. 

Ulcer of Stomach and Duodenum 

Ulcer of stomach and duodenum ranked as the 

16th leading cause of death in 1954. As a result 

of increases in the period 1954-63, this cause 

ranked 15th for 1963. This higher mortality is 

attributable chiefly to an increase in the death 

rate among white females (table 39). For these 

persons the risk of dying from this cause increased about 54 percent, while for white males 

the death rate remained almost constant during 

1954-63. Despite the lessening of the sex differential in mortality from this group of ulcers, the 

death rate for this cause in 1963 was still greater 

for males than for females (table 38), 

For males at ages 25-64 years the death rate 

for ulcer of stomach and duodenum decreased 

during 1954-63. For females at ages 45-54 years 

and 55-64 years the death rate increased more 

than 20 percent. For both males and females the 

death rates for this cause continued during 1954-

63 to increase at ages 65 years and over. 

No part of the rise in mortality from this 

cause in the female population is ascribable to 

increased assignments under the Seventh Revision of the International Lists as compared 

with the Sixth Revision. The comparability rate 

for this cause of death is 1.00 for both white 

and nonwhite female persons. 

During 1954-63 the rise in mortality for the 

subgroup ulcer of stomach amounted to about 

17 percent (from 2.9 to 3.4 deaths per 100,000 

population), while that for ulcer of duodenum 

amounted to only 7 percent (from 2.9 to 3.1 

deaths per 100,000 population). Over this decade 

the death rate for ulcer of stomach in the white 

female population increased about 62 percent 

from 1.3 deaths per 100,000 for 1954 to 2.1 

deaths for 1963. 

53 
------

-----

----------

------

-----

----------

------

-----

----------

Table 38. Death rates for ulcer of stomach and duodenum, by sex and age: United


States, 1954-63


[Deaths are those attributed to category numbers540,541 of the Seventh Revision of the International Lists, 1955. Deaths are 

classified according to the Sixth Revision for 1954-57 and to the Seventh Revision 

Sex and age 1963 1962 1961


Both sexes


All ages- 6.5 6.6 6.3 

1-4 years 0.1 0.1 0.1 

5-14 years 0.0 0.1 0.0 

15-24 years---- 0.2 0.2 0.2 

25-34 years---- 0.8 0.7 0.8 

35-44 years---- 2.5 2.6 2.4 

45-54 years---- 7.0 7.0 7.4 

55-64 years---- 14.8 15.4 15.1 

65-74 years---- 30.2 31.1 29.6 

75-84 years---- 55.9 56.9 53.3 

85 years and over 93.0 94.7 82,8 

Male


All ages- 9.5 9.7 9.4


1-4 years 0.2 0.2 0.1 

5-14 years 0.0 0.1 0.0 

15-24 years---- 0.2 0.2 0.3 

25-34 years---- 1.2 1.2 1.3 

35-44 years---- 3.6 3.9 3.7 

45-54 years---- 11.0 10.8 11.4 

55-64 years---- 24.4 25.0 24.7 

65-74 years---- 50.0 51.3 48.9 

75-84 years---- 87.2 88.0 82.8 

85 years and over 132.2 134.7 122.1


Female


All ages- 3.5 3.6 3.3
 ——


1-4 years 0.1 0.1 0.1 

5-14 years 0.0 0.0 0.0 

15-24 years---- 0.1 0.1 

25-34 years---- 0.4 0.3 ::: 

35-44 years---- 1.4 1.4 1.2 

45-54 years----

55-64 years----

3.3 :(: ::: 

65-74 years---- 1::; 14.1 13.2 

75-84 years---- 32.5 33.2 30.7 

85 years and over 68.6 69.4 57.6 

1960 1959 1958 1957


Rates per 100,000 population


6.3 6.0 6.2 6.1 

0.1 0.1 0.1 0.1 

0.0 0.0 0.0 0.0 

0.1 0.2 0.2 0.1 

0.7 0.7 0.9 0.7 

2.5 2.7 2.8 2.8 

7.3 7.1 7.5 7.6 

15.7 14.9 16.1 16.0 

29.9 28.2 28.7 28.6 

53.6 52.1 51.7 47.4 

77.9 66.8 70.7 72.0 

9.6 9.2 9.5 9.4


0.1 0.1 0.1 0.1


0.0 O.i 0.0 0.0


0.2 0.2 0.2 0.2


1.1


3.9 ::: ::: :::


11.6 11.4 11.9 12.5


26.5 25.4 27.1 26.7


49.4 46.0 47.4 $;.;


85.0 80.5 81.7 .


114.3 96.9 100.0 100.3


3.1 3.0 3.0 2.9 

0.1 0.1 0;1 0.1 

0.0 0.0 0.0 

H 0.1 0.1 

:.; :.: ~:; 0.4 . . . 1.1 

3.2 3.0 3.2 2.9 

1;:; 1;:; 1:;; 1::: 

29.3 30.0 28.1 26.3 

54.7 47.1 51.2 52.6 

for 1958-63] 

1956 1955 1954


6.0 5.9 5.8 

0.1 0.1 0.1 

0.0 0.0 0.0 

0.2 0.2 0.2 

0.8 0.8 0.8 

2.6 2.9 3.2 

7.8 

1;:2 16.0 1!:$ 

28.4 28.2 27.3 

48.5 44.9 41.4 

68.5 55.8 53.9 

9.4 9.3 9.4 

0.1 0.1 0.0 

0.0 0.0 0.0 

0.3 0.3 0.3 

1.3 

::: i:; 5.2 

12.4 13.0 13.7 

26.5 27.2 27.3 

47.4 46.4 45.5 

75.3 71.4 66.6 

100.0 76.1 79.3 

2.7 2.6 2.4 

0.1 0.1 0.1 

0.0 0.0 0.0 

0.1 0.1 

y.; 

. :.; 

. ::; 

1.3 

2,8 2.6 

i:; 

l;:: 1?:: 10.8 

27.0 23.5 20.9 

46.6 41.4 35,8 

54

Table 39. Death rates for ulcer	 of stomach and duodenum, by color and sex: Uni-ted


States, 1954-63


[Deaths are those attributed to category numbers 540,541 of the Seventh Revision of the International Lists, 1955. Deaths are 

classified according to the Sixth Revision for 1954-57 and to the Seventh Revision for 1958-63] 

White Nonwhite 

Year 

Both 

sexes 

Both Male Female Male sexes Female 

Rates per 100,000 population 

19631------------------

19621---------------L--

6.7 

6.8 

3.7 4.6 

‘ 1::! 3.8 4.6 

6.7 

7.0 

2.5 

2.3 

1961------------------- 6.5 9.7 3.6 4.6 6.7 2.5 

1960------------------- 6.6 10.0 3.3 4.5 6.9 2.2 

1959------------------- 6.3 9.5 3.1 4.2 6.5 2.0 

1958-------------------

1957-------------------

6.4 

6.3 

9.9 3.1 4:5 II 

9.7 3.0 4.2 

6;5 N 

1956------------------- 6.2 9.8 2.8 4.0 $: 2.2 

1955------------------- 6.1 2.7 4.2 6.3 2.2 

1954------------------- 6.0 ::; 2.4 4.3 6.5 2.2 

lF@ures by color exclude data for residents of New Jersey; see page 6-9,Section 6,


Volume II, Vital Statistics of the United States, 1963.


SUMMARY 

Untilabout1954 the trendinthedeathrate


for the UnitedStateswas downward.Duringthe


ensuing decade, however, it leveledoff.In­


creasesin some of theleadingcauses ofmor­


tality contributed
 tothisresult.


The rateformortality attributed
 toarterio­


scleroticheart diseaseincreased23 percent


during1954-63.The relative i,ncrease
 was more


rapidfor women thanfor men, butin1963men


stillhad a rate which was more thanone and


one-half
timestherateforwomen.


The deathrateformalignantneoplasmofthe


respiratory
system rose about46percent.Over


90percentofthesedeathsin1963wereattributed


to cancer of the lung with more than halfof


these occurringat ages under 65 years.The


number of fatalities
 for men was about six


times the number for women. Mortalityfrom


malignantneoplasm of therespiratorysystem


continuedto be greaterfor thewhitepopulation


than for thenonwhitebut the colordifferential


became smallerduringthedecadewhilethesex


differential
 widened.


There was an increasein thelatterpart


of the decade for accidentswhich were the


leadingcause ofdeathamong childrenand young


adultsand thesecondleadingcauseatages25-44


years.The age group15-24yearshad thehighest


death rate for motor vehicleaccidents.
Males


accountedfor about 74 percentof the motor


vehiclefatalities
 duringthe decade but the sex


differential
 did become smaller.The colordif­


ferential for motor vehiclefatalities
 was re-


versedfor femalesand lessenedformales.The


ratewas higherfornonwhitethanforwhitefe-


males in the earlypartofthedecadeand lower


in the lateryears,Itwas higherfor nonwhite


thanfor whitemaIes throughoutthe decade but


thedifference
 narrowed.


The deathratesforpneumoniafortheyears


withoutinfluenzaepidemics suggest thatthe


downward trend evidentfor thisdiseaseprior


to 1954 has been reversed.There were still


large color-sexdifferentials
 in mortalityfrom


pneumonia,withthe ratesbeinghigherfor the


nonwhite populationand for males, but they


lessenedduringthedecade.


The death rate for diabetesmellitusin­


creased about 6 percentduring 1954-63 with


the largestrelativeincreasein the nonwhite


population.
At the beginningof thedecade,the


white populationhad the higherrate;thiswas


55 
reversed in 1958, however. In “the nonwhite 

population, mortality for females remained almost double that for males throughout the decade. 

In the white population the sex differential narrowed. 

Cirrhosis of liver moved from 13th to llth 

place among the leading causes of death. The 

death rate for the white population was one and 

one-half times the rate for the nonwhite in 

1954, but this color differential had almost 

disappeared by $1963. In the white population 

the death rate for cirrhosis of liver for males 

was about twice the rate for females. The difference was not quite so pronounced in the 

nonwhite population. 

Suicide had increased among teenagers and 

adults under 45 years of age and declined among 

persons 65 years and over. Mortality from suicide 

continued to be greater for males than for females and greater for white than for nonwhite 

persons but the sex and color differentials 

lessened. 

Over the decade the risk of dying from ulcer 

of stomach and duodenum increased some 54 

percent for white females while it remained 

almost constant for white males. In 1963 it was 

about three times greater for males than for 

females, compared with about four times as great 

for males in 1954. 

QUALIFICATIONS IOF DATA 

The rates shown in this report are based on 

deaths tabulated by place of occurrence, that is, 

all deaths occurring in the death-registration 

States from 1900 to 1932, and all deaths occurring 

in the continental United States thereafter, with 

Alaska added beginning 1959, and Hawaii, 1960. 

Deaths among armed forces overseas and among 

U.S. nationals living abroad are excluded for 

all years. Fetal deaths are also excluded. 

The category “White ‘‘ includes, in addition 

to persons reported as “White ,“ persons’reported 

to be Mexican or Puerto Rican. The category 

“Nonwhite” consists of persons reported as 

Negro, American Indian, Chinese, and Japanese; 

other numerically small nonwhite groups; and 

persons of mixed white-nonwhite races. 

Rates were computed on the, bases of population statistics made available by the U.S. 

Bureau of the Census. Rates for decennial years 

are based on the populations enumerated in 

censuses of those years, which are taken as 

of April 1. Rates for all other years are based 

on midyear (July 1) estimates. Sources of the 

populations used, published by the Bureau of the 

Census, are given below. 

Vital Statistics Rates in the United States. 1900-

1940, Washington, U.S. Government Printing 

Office, 1943. 

Cwvent Population Reports, Series P-25: 

No. 98.	 “Estimates of the Population of the 

United States and of the Components of 

Change, by Age, Color, and Sex:’1940 to 

1950,”1954. 

No. 265. “Estimates of the Population of the 

United States, by Age, Color,’ and Sex: 

July 1, 1950 to 1962,” 1963. (Used 

only for data years 1961 an~ 1962) 

No. 276. “Estimates of the, Population of the 

United States; by Age, Color, and Sex:, 

July 1, 1963,”1963. 

No. 310	 “Estimates of the Population of the 

United States and Components of 

Change, by Age, Color, and Sex: 

1950 to 1960;” .1965. 

The population estimates by color used for 1962 

and 1963 exclude New Jersey. The birth, death, 

and fetal death records of the State of New 

Jersey did not contain the race item in the 

beginning of 1962. The certificate revision without this item was used for most of 1962 as well 

as for 1963. Therefore the National Center for 

Health Statistics estimated .a population base 

by color for these years w$ich excluded New 

Jersey. The ~estimates for 1963 are shown in 

table 6-5 Part A, Volume II, of Vital Statistics 

“of the United States, 1963. Those for 1962’ are 

shown in the comparable report for that year. 

56 
REFERENCES


lNational Center for Healtl-i Statistics: Comparability of 

mortality stati skcs for the Sixth and Seventh Revisions, United 

States, 1958, byM. M. Faust and A. B. Dolman.’ Vitaz Statistics 

-S’pecioZ Reports, “Vol. 51, No. 4. Public Health Service. 

Washington, D. C., Mar. 1965. 

2National Center for Health Stati sties: The change in 

mortality trend in the United States. Vitaz and HeaZth Statistics. 

P.HS Pub. No. 1000-Series 3-No. 1. Public Health Service. 

Washington. U.S. Government Printing Office, Mar. 1964. 

3u. s. Bureau of the Census: Estimates “of the population 

of the United States, by age, color, and sex. Current PopuZation Reports, Series P-25, No. 293. Washington, Oct. 1964. 

4U. S. Bureau of the Census: Estimates of the population 

of the United States and components of change, by age, color, 

and sex, 1950 to 1960. Current Population Reports, Series 

P-25, No. 310. Washington, June 1965. 

BIBLIOGRAPHY


Batchelor, I. R. C., smd Napier, N. B.: Broken homes and 

attempted suicide. Z3tit.J.De Zinguency 4(2): 1-10, Oct. 1953. 

Collins, S. D., and Lehmann, J.: Excess Deaths From lnfzuenza and Pneumonia and From lmpo~tant ChTonic Diseases 

During Epidemic Periods, 1918-51. Public Health Monograph 

No. 10, PHS Pub. No. 213. Public Health Service. Washington. 

U.S. Government Printing Office, Feb. 1953. 

Councell, C. E.: Recent trends for pneumonia mortality. 

Pub. HeaZth Rep. 78(2):178-182, Feb. 1963. 

Department of Economic and Social Affairs: Demographic 

Yearbook, 1961. New York. United Nations, 1961. 

Dorpat, T. L., Jackson,’ J. K., and Ripley, H. S.: Broken 

homes and attempted and completed suicide. Archives of Gensraz Psychiatry. .12213-216, Feb. 1956. 

Dublin, L. I.: Suicide, A SocioZogicaZ and Statistical S tudy. 

New York. The Ronald Press Co., 1963. 

Eickhoff, C., Sherman, I. L., and Serfling, R. E.: Observations on excess mortality associated with epidemic influenza. J.A.M.A. 176:776-782, June 1961. 

Kline, N. S.: The practical management of depression. 

J. A.M.A. 190(3):732-739, NOV. 1964. 

Medical Research Council: Cerebraz infarction, the Roze of 

Stenosis of the Extracraniaz CeTebrazArteries, by P. O. Yates 

and E. O. Hutch in son. Special Report Series No. 300. London. 

Her Majesty’e Stationery Office, 1961. 

Moriyama, I. M.: IS diabetes mortality increasing? Pub. 

Herdth Rep. 63(41):1334-1339. oct. 1948. 

National Center for Health Statistics: VitaZ Statistics of 

the United States, 1963, Vol. II, Parts. A and B. Public Health 

Service. Wash~ngtorr. U.S. Government Printing Office, 1965. 

Public Health Conference on Recorde end Statistics: Summary Report-Dot. No. 445. Washington, D.C. Public Health 

Service, Mar. 1958. 

Serfling, R. E.: Methods for current stat&i cal analysis 

of excess pneumonia-influenza deaths. Pub. HscZth Rep. 78: 

494506, June 1963., 

The Surgeon 1General’s Advisory Committee on Smoking 

and Health: Smoking and HecZth: PHS Pub. No. 1103. Public 

Health Service. Washington. U.S. Government Printing Office, 

1964. 

World Health Organization: AnnuaZ EpidemioZogicaZ and 

VitaZ Statistics, 1958. Geneva, 1961. 

World Health Organization: Annrd EpidemioZogicaZ and 

Vita? Statistics, 1959. Geneva, 1962. 

World Health Organization: AnnuaZ EpidemiologicaZ and 

Vital Statistics, 1960. Geneva, 1963. 

Wylie, C. M.: Recent trends in mortality from cerebrovasCUIar accidents in the United States. J. Chronic Dis. 14(2): 

213-220, Aug. 1961. 

000 

57 

* U.S. GOVERNMENT PRINTING OFFICE :,19.136 0-217-500.

OUTLINE OF REPORT SERIES FOR VITAL AND HEALTH STATISTICS 

Public Health Service Publication No. 1000 

Se7ies 1. 

SeTies 2. 

SeYies 3. 

, 

Sevies 4. 

Series, 10. 

Sew”es 11. 

Series12.


Series 20. 

Series 21. 

SeYies 22. 

PYogYams and collection procedures. —Reports which describe the general programs of the National 

Center for Health Statistics and its offices and divisions, data collection methods used, definitions, and 

other material necessary for understanding the data. 

Reports number 1-4 

Data evaluation and methods YeseaYch. —Studies of new statistical methodology including: experimental 

tests of new survey methods, studies of vital statistics collection methods, new analytical techniques, 

objective evaluations of reliability of collected data, contributions to statistical theory. 

Reports number 1-17 

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. 

Reports number 1-4 

Documents and committee vepo??s .—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. 

Reports number 1 and 2 

Data FYom the Health Intevview SuYvey.— Statistics on illness, accidental injuries, disability, use of 

hospital, medical, dentaI, and other services, and other health-related topics, based on data collected in 

a continuing national household interview survey. 

Reports number 1-29 

Data FYom the Health Examination SuYvey.— Statistics based on the direct examination, testing, and 

measurement of national samples of the population, including the medically defined prevalence of specific diseases, and distributions of the population with respect, to various physical, physiological, and 

psychological measurements. 

Reports number 1-14 

Data FYom the Health RecoYds Survey. —StzLti&tics from records of hospital discharges and statistics 

relating to the health characteristics of persons in institutions, and on hospital, medical, nursing, and 

personal care received, based on national samples of establishments providing these services and 

samples of the residents or patients. 

Reporta number 1-4 

Data on moytality. —Various statistics on mortality other than as included in annual or monthly reportaspecial analyses by cause of death, age, and other demographic variables, also geographic and time 

series analyses. 

Reports number 1 and 2 

Data on natality, mavm”age, and divorce. —Various statistics on natality, marriage, and divorce other 

than as included in annual or monthly reporta— special analyses by demographic variables, also geographic and time series analyses, studies of fertility. 

Reports number 1-9 

Data From the Nationul Natality and Mortality SuYveys. — Statistics on characteristics of birtha and 

deatha not available from the ;ital records, based on-sample surveys stemming from these records, 

including such topics as mortality by socioeconomic class, medical experience in the last year of life, 

characteristics of pregnancy, etc. 

Reports number 1 and 2 

For a list of titles of reports published in these series, write to:	 National Center for Health Statistics 

U.S. Public Health Service 

Washington, D.C. 20201