.. .

.. . .... . ;...

. -. 9> .-

1

NATIONAL CEN*ER S&ies,.?o .“

For HEALTH Si$$@S~[CS hlumbeI.4, ~.:~~?

Q.- :%% .: -.. “..:. ., ..:,::

. .

.fw<< :;,:. :.. . ...:: ~ .* ,-:

......

<:Y:E r .,:, .. .<:=:.,,,.,..::: :.:..

.

VITAL and HEALTEI STATISTICS

DATA FROM THE NATIONAL VITAL STATISTICS SYSTEM

Mortality From Diseases

Associated With Smoking:

United States, 1950-64

An analysis af mortality trends by age, colarr and sex af

diseases stated by the Surgeon General’s Advisory Committee in its report Smoking and Health to be associated

with tabacco smaking.

Washington, D.C. October 1966

U.S. DEPARTMENT OF

HEALTH, EDUCATION, AND WELFARE

John W. Gardner

Secretary

Public Health Service

William H. Stewart

Surgeon General
‘Eit FOR DEMOGR&PW

AND ECOLWY

wfimen? OF SOdoiogy

DCIOI$ciew Building

nlvoISEY of Wmcowh

&on,. Wiuonsin 53706

Public Health Service Publication No. Iooi)-%ries ZO.W. 4

~or sale by the Supsrinpndent of Documents, U.S. Gcnrwnment Pfiting Offjce

Washington, D.C., 20402- Price 35 centi
“NATIONAL CENTER

FORREST E.

THEODORE D.

FOR HEALTH STATISTICS

LINDER, PH. D., ~ir.?CtOr

WOOLSEY, DeputyDirector

OSWALD K. SAGEN, Pm D., AssistantDirector

WALT’ R. SIMMOiWS,MA., Statistical Advisor

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

JAMES E. KELLY, D.D.S., ~enta[ zldzhor

LOUIS R. STOLCIS, NM., Executive C@er I

DIVISION OF VITAL STATISTICS

ROBERT D. GROVE,PH. D., Chief

ANDEF.SS.LUNDE,PH.D.,AssistantCh;cf

Arwmm A. CAMPBELL,Chief, Notality St@tim Branch

CHARLESR. COUNCIL,Chief, Rcgistrotioz Mdhodr Bmncb

I

(

Public Health Service Publication No. 1000-Series 20-No. 4

Library of Congress GatalogCard ~umber 66-’$2092
.

NATIONAL CENTER FOR HEALTH STATISTICS

FORREST E. LINDER, PH.D.,Director

THEODORE D. WOOLSEY, Deputy Director

OSWALDK. SAGEN, ~H.D.,AssistunfDirector

WALTR. SIMMONS,M.A.,Statistical Advisor

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

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

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

DONALD GREEN, Information Officer

DIVISION OF VITAL STATISTICS

ROBERT D. GROVE,PH.D., Chiej

ANDERS S.LUNDE, PH.D., Assistant Chief

ROBERT A. ISRAEL,M.S.,Chte\, Mortality Statistics Branch

ARTHUR A. CAMPBELL, Chief, Natality Statistics Branch

CHARLES R. COUNCIL, Chief, Registration Methods Branch

Public Health Service Publication No. 1000-Series 20-No. 4

Library o/ Congress Catalog Card iVurnber66-62092
CONTENTS

Page

Introduction ----------------------------------------------------------

Purpose of This Reprt ---------------------------------------------

Scope of Present Report --------------------------------------------

Mortality From Diseases Causally Related to Smoking ---------------------

Cancer of the Lung --------------------------------------------------

Cancer of tie Larw ------------------------------------------------

Cancer of the Lip---------------------------------------------------

Chronic Bronchitis -------------------------------------------------

MortsliW From Diseases Associated With but not Clearly Related to

Smoking ------------------------------------------------------------

Arteriosclerotic Heart Disease, Including Coronary Artery Disease ------

Cirrhosis of Liver --------------------------------------------------

Emphysema --------------------------------------------------------

Ulcer of Stomach ---------------------------------------------------

Cancer of the Esopha~s ---------------------------------------------

Cancer of Parts of Oral Cavity Other Than Lip-------------------------

Cancer of Bladder and Other Urinary Organs --------------------------

Specified Noncoronsry Cardiovascular Diseases ------------------------

summy -------------------------------------------------------------

Diseases of the Respiratory System -----------------------------------

Diseases of the Cardiovascular System --------------------------------

Diseases of the Digestive System ------------------------------------

Diseases of the Genitourinary System ---------------------------------

Qualification of Data---------------------------------------------------

Deaths ------------------------------------------------------------

Race --------------------------------------------------------------

Age-Specific Rates- ------------------------------------------------

Small Frequencies --------------------------------------------------

Age-Adjusted Rates -------------------------------------------------

Population Bases ---------------------------------------------------

Causes of Wath ----------------------------------------------------

Death-Registration States -------------------------------------------

Selected Bibli~raphy --------------------------------------------------

Detailed Tables -------------------------------------------------------

1

1

1

2

2

5

6

7

9

9

10

12

15

15

17

18

19

21

21

23

23

24

24

24

24

24

24

24

24

25

26

26

27
THIS REPORT is divided into two major sections: (1) trends of mortalityfrom those diseases that ths Surgson General’s Advisoq Committee considered to be causallyrelated to smokiug (particularly cigarette

smokir@ —cance~ of the lung, cancer of the larynx, cancer of the lip, and

chronic bronchitis; and (2) trends of mortality from those diseases that

the Advisory Committee considered to be associated with but not clearly

causally ~elated to smoking- a~teriosclevotic heart disease, including

conww.ry disease; cirrhosis of liver; emphysema; ulcer of stomach;

cancer of the esophagus; cancer of parts of oral cavity othev than lip;

cancer of bladder and other urinary organs; and specified noncoronwy

ca~daovascalar diseases.

The mortality trend for lung cancev continued upward. Cohort analysis

shows that more vece?ttly born cohorts are at highev muskof dying from

lung cancer atyounger ages than were theiv predecessors. The~e we~e

no signs of reversals in the tiend for cancer of the larynx and chronic

bronchitis, the two other diseases stated by the Committee to be caasally

related to cigarette smoking. Both of theee diseases are much lower in

~eqaency than lung cancer. Mortality from cancev of the larynx was aZmost stationary dam”ng1950-64. Mortality from chronic bronchitis nearly

doabled during 1950-64; it is one of those diseases thut by itself may

not be fatal but in combination with another sem”owsdisease inm’eases

the risk of death. For cancer of the lip, cited as caasally related to pipe

smoking, there was a decline in the death vate of about 67 percent.

There were substantial increases dun3tg1950-64 in mortality fvom three

of the eight g?waps of diseases associated with bnt not clearly caasally

related to smoking- avtem”osclerotic heart disease, includitzg coronaYy

disease, especially in the male population; cirrhosis of the liver, with

the most marked increase for the mwhite population; and emphysema,

especially for the white male popalatioa. For the remainingfiue groups,

mortaZity v-ates were either downward or relatively stable dwing 1950-

64. The death vate for other circulatory diseases (a subgvoafi included

under specified noncovonary cardiovascular diseases), however, was

clea~ly upward. This sabgroap includes periphe~al vascular disease and

arteyial embolism and thrombosis.

SYMBOLS

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

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

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

Quanti~ more than O but less than 0.05----- 0.0

Figure does not meet standards of

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

,

I

I

I

I

I

I

i
MORTALITY FROM DISEASES ASSOCIATED

WITH SMOKING

A. Joan Klebba, Division of Vital Statistics

INTRODUCTION

Purpose of This Report

Beginning about 1950 extensive studies using

epidemiological, experimental, and clinical methcds have been made on the effects of tobacco on

health. The Advisory Committee on Smoking and

Health appointed by the Surgeon General of the

Public Health Service in 1962 reviewed and evaluated the studies available at that time and presented the results in the report Smoking and

Health, issued in 1964. In addition to considering

the evidence on lung cancer, the Advisory Committee also weighed the evidence on the relationship

of smoking, particularly of cigarettes, to a number

of other diseases.

As a result of various activities thatwere set

underway following the publication of Smoking and

Health and the interest in measuring the longrange effects of programs to stop the rise in mortality during productive years of life from cancer

of the lung and other diseases linked with cigarette

smoking, it was considered desirable to pay

special attention to current and future mortality

trends from these diseases.

Scope of Present Report

This report is designed to lay the foundation

for the long-range observation of these trends.

It is divided into two major sections: (1) trends

of mortality from those diseases that the Surgeon

General’s Advisory Committee considered to be

causatty related to smoking, and (2) trends of

mortality from those diseases that the Advisor y

Committee considered to be associated with but

not clearly causally related to smoking. hs this

first report the time period covers the years

1950-64; and data for each cause are analyzed by

age, sex, and color. These trend data have been

obtained from the certificates of death filed in

the State offices of vital statistics.

Separate trend figures are presented for 10-

year age groups for persons 25 years and over.

Also included for these diseaees linked to tobacco

usage are age-adjusted rates. Inasmuch as most of

the studies reviewed by the Committee referred

to men, all of the statistics in the present report

are shown separately for men. Because the

Committee concluded that the limited data on

women pointed in the same direction as for men,

considerable data for the female population are

SkO shown.

The data evaluated hy the Committee established that the sex differential for smoking has

grown smaller over the last several decades.

Male cohorts born after 1900 successively began

to smoke earlier in life. Large-scale adoption of

cigarette smoking by women did not occur until

tbe 1920’s and 1930’s. By 1955, 32 percent of the

female population were smoking as compared with

65 percent of the male population. Disparities between male and female mortality rates for some

causes related to smoking were found to be

correlated with the differences in smoking patterns for men and women. Another reason for

presenting selected mortality trends for women

is that the relative rise in mortality from a number

of causes, including lung cancer, has been greater

since about 1960 for the female than for the male

population.

Data for selected causes are also shown

separately for the white and nonwhite populations.

In studies reviewed by the Committee it was

established that as late as the mid- 1950’s the

proportion of smokers was roughly the same

among white and nonwhite persons, but many more

heavy smokers (more than one pack a day) were

found in the white population. At the same time

1
it was found that “amount smoked” was positively

related to income and thatthe smallest percentage

of smokers was within the rural-farm population.

As a result of the large migration of nonwhite

rural-farm families to urban areas during 1955-

64 and the rise in the socioeconomic level of the

nonwhite population, the color differential for the

percentage of heavy smokers may have lessened

over this 10-year period. Furthermore, the

relative rise in mortality from a number of diseases linked to tobacco usage has been greater

over 1950-64 for the nonwhite than for the white

population. Among these are lung cancer and

arteriosclerotic heart disease, including coronary

disease.

Also shown in this report are general mortality trends for the period 1950-64 by age,

color, and sex (table 1). Age-adjusted death rates

for the four color-sex groups are also included.

These general trends serve as baselines for

identifying shifts in the relative importance over

the years from causes of death linked with the

use of tobacco, particnldy cigarettes.

MORTALITY FROM DISEASES

CAUSALLY RELATED TO SMOKING

From the combined results of the studies

reviewed by its members, the Advisory Committee

concluded that tobacco usage is causally related

to the following four diseases: cancer of the long,

cancer of the larynx, cancer of the lip, and

chronic bronchitis. The epidemiologic method

coupled with clinical and laboratory observations

provided the basis for these four conclusions.

Cancer of the Lung

Cigarette smoking is caueally related to lung

cancev in nzetq the ma@tude of the effect

of cigarette smoking far outweighs all other

factors. The data for women, thougk less

extensive, pm”nti?zthe same direction. 1

lPublic HeaLth Service: Skating and ffealth, Report of

the Advisory Commitke to the Surgeon General of the Public

Health Service. PHS Pub. No. LL 03. Washington. U.S. GovernmentPrinting Office, 1964. p. 31.

Total movtality b-end. —The death rate for

cancer of the lung (International List Numbers

162 and 163) almost doubled between 1950 (12.2

deaths per 100,000 population) and 1964 (24.0

deatha per 100,000). Not much of this rise

could be attributed to the changing age composition

of the population. The corresponding age-adjusted

rate likewise almost doubled (11. 1 deaths per

100,000 for 1950 and 20.7 deaths for 1964,

table 2). The annual number of deaths from lung

cancer rose from 18,313 deaths in 1950 to

45,838 in 1964. In this 15-year period deaths

from lung cancer totaled approximately a haIf

million (467 ,442 deaths).

Mortality differentials by sex and color. —

Lung cancer mortality in the male population

increased from 19.9 deaths per 100,000 population

in 1950 to 41.4 deaths in 1964. The corresponding

increase in the femaIe population was from 4,5

to 7.1 deaths per 100,000. Until 1960 the ratio

of the death rate in the maIe population for this

cause to the corresponding death rate in the

female population continued upward, But after

1960 tbie ratio leveIed off, reflecting the greater

relative rise in mortality from lung cancer irt

the female population.

Year

1964 -------------------

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

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

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

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

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

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

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

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

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

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

1953 -------------------

:;;-------------------

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

1950 -------------------

Ratio of male

to female death

rates for:

1

5.8

5.8

6:1

6.o

6.6

::2

6.6

6.5

6.6

6.3

6.0

6.0

5.7

5.1

1

I

I

I

I
In 1964 the death rate for lung cancer,

unadjusted for changing age composition, was

about 40 percent higher for the white population

(24.8 deaths per 100,OOO) than for the nonwhite

population (17.9 deaths per 100,000). This differential by color was lower for 1964, however,

than for 1950, owing to the greater relative

increase in lung cancer mortality in the nonwhite population during 1950-64.

Year

1964 -------------------

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

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

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

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

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

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

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

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

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

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

1953-------------------

1952-------------------

1951-------------------

1950 -------------------

Ratio of white

;O nonwhite death

rates for:

I

1

Totsl Agedeath adjusted

rate death

rate

1.4

1.3

1.4

1.4

1.3

1.4

1.5

::2

1.6

1.6

1.6

i::

1.7

1.0

0.9

1.0

1.0

1.0

1.0

i::

1.1

1.1

1.2

1.1

1.2

i::

I

Mortality from lung cancer rose faster during

1950-64 in the nonwhite male population than in the

other color-sex groups.

Color and sex Tota 1

Agedeath adjusted

rate death

rate

Total ------ 2.0 1.9

Male ------------ 2.1 2.0

Femele ---------- 1.6 1.5

White ----------- 2.0

Male--- 2.1 ;::

Female- 1.6

Nonwhite -------- 2.4 ;:2

l.faLe--- 2.6 2.7

Femsle- 1.9 1.8

Mortality trends in the male population by

color and sge’. —For 1964, as for each year

of the period 1950-64, the death rate for cancer

of the lung for the white male population was

Wlgher for each succeeding age group from

25-34 years through 65-74 years but was lower

for the age groups 75 years and over (fig. 1).

Similarly the death rate for the nonwhite male

population for this cause increased with advance

in age from 25-34 years through 65-74 years

for most of the years during 1950-64 and declined

at agea over 74 years. As pointed out by the

Advisory Committee, however, there actually was

no decline in tbe risk of dying from cancer of the

lung with advance in age. 2 As shown in figure 2,

within each cohort (a group of persons born during

the same 5-year period) the death rates for cancer

of the lung increased steadily to the end of the

life span. Thus the mortality curve for Cohort J

(males born in 1880-84) shows the death rates for

cancer of the lung within the cohort first for 1949,

when its members were 65-69 years of agq then

in 1954, when they we’re 70-74 years of agq in

1959, when they were 75-79 years of age; and in

1964, when they were 80-84 years of age. The death

rates for cancer of the lung within Cohort J

continued to increase with each of these 5-year

advances in age, rising from 87.9 deaths per

100,000 at ages 65-69 years to 174.6 deaths per

100,000 at ages 80-84 years. Similarly for each of

the other 11 cohorts in figure 2, mortality from

lung cancer increased almost steadily throughout

that part of the life span lived by the cohort

during 1949-64.

The mortality experience of the individual

male cohorts during 1949-64 shows thatfor every

5-year age group beginning with 25-29 years

the risk of dying from lung cancer was almost

always higher for successively younger cohorts

than for their predecessors. The increasing steepness of the mortali~ curves indicates that mortality from lung cancer rose more rapidly within

recently born male cohorts.

Mortality trends in the female pofndation by

CO1OYand age. -Between 1950 and 1964 morteli~

from lung cancer among white women more than

doubled for the age groups 35-44 years and45-54

years (table 2). The greatest percentage increase

over this 15- year period (116 percent) was for

‘Ibid., pp. 138and 139.

3
WHITE

400,0

I

40,0 —

>

i

,

>

- 20.0 —

;

>,.

~

J

J 10,0

~

8,0 —

6.0 —

4.0 —

2.0 — —

25-34 years

I .0

0.8 —

.,6~G4

1950 1952 I

NONWHITE

1

t i

400.0

t

Trend for 85 years ..d over n.$ shown

beco.se frequencies less than 20 de. ths {or

mch year of 1950- 5.9

i

65-74 years

— Ioo.o

— 00,0

. 60,0

- 4rMl

k/-’344y1+

t 1

4.0

*

I I I r I I I I I I I I 1 0,6

950 1952 1954 1956 1958 !960 1962 1964

‘Based on less than 20 deoihs

1

I

Figure 1. Death rates among men for cancer of the 1ung, by color and specified age YouPs: 1950-6%

4
2000 —

low

mo —

..zzez~< ~

f

)E ./

8a0

GQO — D~ , — 6a0

: ~. ,8+’

4M

f

?

E /’”/~

COHORT OF PERIOD OF

: Zao —

h4ALES BIRTH

:.

##

— 200

A. 1925 -1s29

/

B,. .-,,- ,.1920-1924

~ no c . 1915-1919

g an —

/

0.,,. 1910-1914

100

;

:/,,,,,,,,,,:

E 1905-lSGS

— SD

* 60 E.

5

7)

J900- 19(34 w

G . 1895-1899

: 4.0

/’/

H ,.,.,.. 1890-1694 40

:

?

1.,.,,”, r885-18a9

/8/’

J 1880-1884

29 K, ,. 1875-1879 20

[/’

L . Before 1875

j

10

on /“

1.0

f

08

cm

i

06

04

a3

04

20 2s 30 35 40 +5 50 55 GO ~~ ~~ ~5 *O ~50”d

Q3

AGE IN YEARS

.“.,

Figure 2. Cancer of the 1ung among men, by birth cohort and age at death: 1949, 195!, 1959, and 1964.

the age group 35-44 yesrs. For succeeding age

groups the relative increase lessened—amounting

to only 13 percent at ages 75-84 years. The

Committee suggested that these age-sex differentials may be attributable to differences in

length of exposure to one or more factors related

to lung cancer.

Unlike the pattern for men, the death rate for

cancer of the lung among women 25 years and over

rose steadily with advsnce in age for each year

of the period 1950-64 (tsble 2). The female cohort

experience shows that the death rates for cancer

of the lung increased for the cohort to the end of

the life span (fig. 3). The steepness of the

mortality curves shows that mortsli~ from

lung cancer also rose more rapidly in more

recently born female cohorts. The cohort approach

shows lsrger rises in mortality from lung cancer

between successive femsle cohorts born after

World War I (Cohorts B, C, and A) than the

corresponding rises between cohorts born earlier.

Cancer of the Larynx

Cigarette smoking is a .@ni..cant factor in

the causation of cancer of the lavyw. 3

Cancer of the larynx as a cause of death is of

relatively low frequency compared with cancer of

lung. Deaths attributed to this cause totsled 2,494

in 1964 as compared with 1,852 in 1950. Almost

all of these deaths occurred in the white male

31bid., p. 32.

233.2010- G6 -2
‘r’

A.

B.

c .

D“-.

E

r.

G

H

1.

J.

K .

)-

1925.!929

‘ 4

ao

1s20.1924

.1915 -1919 40

., . ....1910-0914

..1905- i909

. 1900.1904 m

1895-1892

., 1890.1894

lea5-F8a2 10

.1880 .1884 08

. 187S- 1879

06

B .foro lf375

‘/, ,,, ,,, ,,, ,’‘

04 -. M

QZ 0.2

01 0.1

20 25 30 35 40 45 50 55 60 65 10 75 00 85 md

Uwr

AGE IN VEARS

Figure 3. Cancer of tlie lung among women, by birth cohort and age at death: 1949, 195k, 1959, end 1964.

population-2,000 deaths in 1964 and 1,555 deaths

in 1950.

The total death rate for cancer of the larynx

increased only slightly over the 15-year period—

from 1.2 deaths per 100,000 population in 1950

to 1.3 deaths in 1964 (table A).

In the white malepopolation the 1964 mortality

rate for cancer of the larynx was about eight times

the corresponding rate for the white female

populatiw, and in the nonwhite male population

the mortaliq rate for this cause was about seven

times that for the nonwhite female population.

After the middle years of life mortality from

cancer of the larynx increased substantially in the

male population. In 1964 there were 3.0 deaths

per 100,000 population at ages 45-54 years and

15.3 deaths per 100,000 at ages 75-84 years

(table 3).

The age-adjusted death rate for this cause in

the male population also remained relatively

stable during the period 1950-64-2.0 deatha per

100,000 for 1950 and 2.1 deaths for 1964,

Cancer of the Lip

Pipe smoking appears to be caasally related

to lip cancer. 4

Cancer of the lip was not an important cause

of mortali~ among the female population during

%id.

6
Table A. Death rates for malignant neoplaam of larynx, by color and sex: United

Statea, 1950-64

[Deaths are three attributed f-n category number 161 of the Seventh Revision of the International Lists, 1955. Deaths are &ssified according to khe Sixth Revision for 1950-57 and ta the Seventb Revision for 1958.64. Asterisk indimtas rate based on

less than 20 deaths]

Year

1964----------------------------

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

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

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

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

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

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

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

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

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

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

1953 ----------------------------

1952----------------------------

1951----------------------------

1950 ----------------------------

Total White Nonwhite

Both

aexea Male I?emale Mele Fernsle Male Female

Rate per 100,000 population

1.3

1.4

1.3

;::

1.3

1.3

1.3

:::

1.2

1.3

1.2

1.2

1.2

;::

2.4

:::

2.3

2.4

2.3

2.3

2.4

2.2

2.3

;::

2.2

0.3

:::

0.3

0.3

%:

0.2

0.2

0.2

0.2

0.2

0.2

0.2

0.3

2.4

2.5

:::

2.5

2.4

2.4

2.4

2.4

2.5

2.3

2.4

2.3

2.3

2.3

lFi~es by color exclude data for New. Jersey; see Page 6-9

Vital Statistics of the United States, 1963.

1950-64 (table B). There were only 28 deaths

among women attributed to this cause during 1964

as compared with 157 among men.

During 1950-64 there wasa decline of about

67 percent in mortality from cancer of the lip

smong males. About 15 percent of tbie decline

may be attributed to the br$ak”in comparability

of mortality statistics for this cause between

1957 and 1958 (see Qualifications of Data).

The remaining decline of about 52 percent may

reflect progress in early detection and improved

treatment.

During the period 1958-64 is which the

Seventh Revision of the International Clasaification of Diseases was in use, total mortality

from cancer of the lip among men remained about

the same. By age, however, there were substantial decreases in this death rate for each

10-year age group from 55-84 years (table 4).

2.1

;:;

2.1

2.2

;::

H

1.7

1.8

1.6

1.5

1.3

1.4

0.3

0.4

0.2

0.2

0.3

::2

0.2

0.2

0.3

*

*

*

0.;

, Section 6, Volume 11,

Chronic Bronchitis

Cigarette smoki~ is the most impo?’tant of

tke causes of chronic bronchitis in the United

States, and increases the visk of dying from

chronic bronchitis and emphysema. . ..5

Mortality figures should not be used to

estimate the incidence of bronchitis in the deceased population nor in the general population.

It ia one of thoee chronic diseases appearing

frequently in multiple-cause tabulations that by

itself may not be fatal but in combination with

asother serious disease increases the risk of

death. In the multiple-cause study of deaths

occurring in 1955, the total number of times

%bid., p. 31.

7
Table B. Death rates for malignant neoplasm of lip, by color and sex: United States,

1950-64

[Detibs .,~ those attributed to category number 140 of t.be Seventh Revision of the M,erm4imm1 Lists, 1955. Deaths .re classified according h tjm Sixth Revision for 1950-57 and to the Seventh Revision for 1958-64. Asterisk indicates rate hnsrd on

less than 20 deaths]

Year

1964 ------------------------

19631

19621 :::::::::::::::::::::::

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

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

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

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

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

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

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

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

1953 ------------------------

1952 ------------------------

1951 ------------------------

1950 ------------------------

Total White Nonwhite

0.1

0.1

0.1

0.1

0.1

0.1

0.1

0.2

::;

0.2

0.3

0.3

0.3

0.3

Rate per 100,000 population

0.2 0.0

0.2

0.2 M

0.2 0.0

0.2 0.0

0.0 u 0.0

0.4 0.0

0.4

0.4 :::

0.4 0.0

0.5 0.1

0.5 0.1

0.5 0.1

0.6 0.1

1

0.2

:::

M

0.3

0.3

0.4

0.4

0.5

0.4

0.5

0.5

0.5

0.6

0.0

*

*

*

*

0.:

0.0

0.0

0.0

0.0

0.1

0.1

0.1

0.1

*

*

*

*

*

*

*

*

*

*

*

*

*

*

*

*

*

*

*

*

*

.

*

>,;

*

*

*

*

*

*

lF@res by color exclude data for New Jersey; see page 6-9, Section 6, Volume 11,

Vital Statistics of the United States, 1963.

bronchitis appeared on the certificates of death

was 2.6 times the number of times that it was

coded as an underlying cause. g The certifying

physician may report this cause in Part II of the

medical certification under “Other significant

conditions contributing to death but not related

to the terminal disease condition given in Part b.”

The information supplied will depend on the

physician’s evaluation of the part bronchitis played

in the death.

It was suggeeted in a number of studies reviewed by the Advisory Committee that chronic

bronchitis by virtue of the attenuating effect it

has on the epithelial defenses of tbe host might

6

National Center for Health Statistics: V;td Statistics

of the Um%ed States, 1966, Supplement. Public Health Sewice. WasM1ngton. U.S. Government Printing Office, 1965.

p. XRfx.

make the bronchial epitheliums a target organ for

the action of a carcinogen, such as that in

cigarette smoke. ~ Nevertheless, bronchitis was

coded as an associated or contributory cause for

only 124 of 27,133 deaths attributed to lung

cancer in 1955. In contrast diseases 0$ hem+

(410-443) were coded as associated or contributory conditions for 2,057 of the 27,133 deaths

attributed to lung cancer. As inciicated previously

the information supplied on the death certificate

will. depend on the physician’s evaluation of the

part a disease or condition played in the death.

Total mortality tvend. —The death rate for

chronic and unqualified bronchitis rose from 1.3

deaths per 100,000 population in 1950 to 2.3

deaths in 1964. For each of the 10-year age

8
groups from 35 through 74 years, mortali~ from

these causes at least doubled between 1950 and

1964 (table 5). A small part of this rise in the

death rate for chronic and unqualified bronchitis

is attributable to the break in comparability

between 1957 and 1958 (see Qualifications of Data).

During the 7 years 1958-64, following the adoption

of the Seventh Revision, mortality from these

causes increased about 53 percent.

Mortality differentials by sex. —while mortalityfrom chronic and unqualified bronchitis for

the female population remained at about the

same level during this 15-year period (around 1

death per 100,000 poptdation), it increased about

125 percent for the male population (from 1.6

deaths per 100,000 in 1950 to 3.6 deaths in 1964).

Movta.lity &ends by sex and age. — Within the

male population mortali~ from chronic and unqualified bronchitis more than doubled between

1950 and 1964 for each 10- year age group from

3S through 84 years. The largest of these increases

was for the age group 65-74 years— the death

rate in 1964 (23.2 deaths per 100,000) was 3.3

times greater than the corresponding death rate in

1950. The death rate for chronic and unqualified

bronchitis nearly doubled during the period 1950-

64 for women aged 45-54 and 55-64 years. These

substantial increases at the end of the biologically

reproductive period, however, are not apparent

in the trend of the death rate for all ages. These

increases were almost entirely offset by decreases in the death rates for these causes at

ages 75 years and older.

MORTALITY FROM DISEASES

ASSOCIATED WITH BUT NOT

CLEARLY RELATED TO SMOKING

There are eight causes or groups of causes

of death for which the Advisory Committee found

evidence of an association with tobacco use.

The Committee did not think the data adequate,

however, to decide whether or not these relationships are causal. These causes include the leading

cause of death an’em-osclerotic heart dis.eaee,

including corortavy disease, and three other causes

with relatively high frequencies—cirrhosis of

liver, emphysema, and ulcer of stomach. The

remaining causes are cancer of the esophagus,

cancer of parts of oral cavity other than lip,

cancer of bladder and other urinary organs, and

specified noncoronary cardiovascular diseases.

Arteriosclerotic Heart Disease,

Including Coronary Artery Disease

. . .It is established that male cigarette

smokers have a higher death rate -from

comrza~y artery disease than non-smoking

males. Althoagh the causative ~ole of cigarette smoking in deaths j%om coronary

disease is not proven, the Committee considevs it more pradent from the public health

viewpoint to assume that the established

association has causative meaning than to

suspend judgment until no uncertainty remains. 8

Total mortality trend. —About 73 percent of

the deaths assigned in 1964 to arteriosclerotic

heart disease, including coronary disease (420)

were attributed to the subcategory heart disease

specified as involvi~ covonavy a~terz-es (420.1).

The increase in the total death rate for arter-i -

osclerotic heavt disease, including COrOTWYy

disease,. during 1950-64 amounted to 34 percent,

with a rate of 285.1 deatha per 100,000 population

for 1964 (table 6). About half of this increase,

however, is attributable to the aging of the

population, particularly of the female population.

The changes in mortality from this cause by

color and sex were as follows:

Color and sex

Total --------------

Male -------------------

Female -----------------

White ------------------

Msle----

Female --

Nonwhite ---------------

Male -----

Female--

81bid. , p. 32.

Ratio of 1964

to 1950 death

rates for:

Total

death

rate

1.34

1,28

1.47

1.34

1.27

1.47

1.53

1.50

1.58

Ageadjusted

death

rate

1.17

1.20

1.17

1.16

1.19

1.15

1.42

1.48

1.38

9
The absolute increase in the age-adjusted death

rate for arteriosclerotic heart disease, including

coronary disease, was 31.3 deaths per 100,000

persons as compared with an absolute increase

of 9.6 deaths per 100,000 persons in the ageadjusted death rate for lung cancer (tables 2 and

6).

Mor.taLZy differentials by sex and color.—

The death rate for the wbitepopulation forarteriosclerotic heart disease, including coronary disease, was about 73 percent higher in 1964 than

the corresponding rate for the nonwhite population;

and for the male population it was about 62 percent higher than that for the female population.

As shown by the following figures the mortality

differential by color decreased during 1950-64

when measured both by the total and the ageadjusted death rates:

Year

1964--

1963--

1962--

1961--

1960--

1959--

1958--

1957--

1956--

1955--

1954--

1953--

1952--

1951--

1950--

Ratio of male

to f emsle for:

Total

death

rate

1.62

1.64

1.65

1.68

1.69

1.70

L 72

1.71

1.74

1.76

1.80

1.82

1.83

1-.86

1.86

Age-

~djusted

death

rate

2.16

2.15

2.14

2.15

2.14

2.13

2.12

2.08

2.09

2.10

2.11

2.10

2.08

2.11

2.09

Ratio of white

to nonwhite for:

Total

death

rate

1.73

1.73

1.75

1.79

1.81

1.84

1.83

;.;;

1:91

1.94

1.87

1.93

1.96

1.98

Ageadjusted

death

rate

1.11

1.12

1.14

1.18

1.20

1.22

1.22

1.21

1.26

1.29

;.:;

1:33

1.36

1.36

This lessening of ‘he gap between the death rates

for arteriosclerotic heart disease, including coronary diseaee, for the white end nonwhite populations

resulted from the relatively more rapid rise in

mortality from these causes in the nonwhite

population. On the other hand the lessening of

the mortality differential by sex for these diseases

is attributable to the changing agecompoeitionof

the population, particularly to the increasing

number of older women. As shown by age-sexspecific rates (table 6) the relative rise in

mortality from arteriosclerotic heart disease

during 1950-64 was greater for the male than

for the female population for every age group

under 85 years.

Mortality differentials by sex, CO1OY,and

age.-For every 10-year age group from 25 to 85

years, the relative increase between 1950 and 1964

in the death rate for a~tem.osclerotic heavtdisease, irzcludizgcovomzry dLsease, was more than

twice as high for the nonwhite male population as

for the white male population.

In the white female population there were

substantial increases in this death rate during

1950-64 fortheolder agegroups-witbincreases

of 9 percent at ages 65-74 years, 20percerttat

ages 75-84 years, and 59 percent at ages 85

years and over (table 6). But the increases in

the rate for this cause in the nonwhite female

population occurred at earlier ages and were

even greater-with rises amounting to35percent

at ages 55-64 years, 58 percent at ages 65-74

years, 54 percent at ages 75-84 years, and 93

percent at ages 85 yeara end over.

Cirrhosis of Liver

Increased mortality of smokere from c&-

rhosis of the liver has been shown in the

prospective stadies. Thedata are notsqfficienttosuppoyta diYectoYcaasaJ association.

. .. The increased death rate from cirrhosis

among smokers may re$lect the consumption

of aLcohol and associated nutm.tivnal deficiencies rather than the effect of etgayette

smoking. 9

Total moytality trend. -Cirrhosis of liver ‘

moved up from theranlcof 13th leading cause of ‘

death in 1950 to the llth in 1964, Over these

years the death rate forthis cbronic disease increased about 32 percent, and the age-adjusted .

rate increased about 35 percent. This uptr.trnresulted partly from higher mortality in the non-

‘Ibid., pp. 39and 342.

10
white population. Death rates end rank order by

color andsexare shown below for 1950and 1964.

I

1964 I

1950

Color and sex

~te Rank Rate Rank

order order

Total ------ 12.1 11 9.2 13

I I I

The rise inmortslity from tfdscause in tie

nonwhite population (92percent) isnotattribumble

to changes in age composition (table C). The

percentage increase in the corresponding ageadjusted rate was about 105 percent. The 83 percent increaee for the nonwhite femelepopnlation

(from 5.2 deatbs per 100,000 population in1950

to 9.5 per 100,000 in 1964) also cannot beattributed to changes fn age composition because

the corresponding increase in the age-adjusted

rate was even higher (92 percent).

Tvends by sex and sge.-lvkrke dincreases

for cirrhosis of liver during 1950-64 occurred

for young adult and middle-aged persons (table 7).

For each 10-year age group from 25dwough54

years the relative increase in the death rate

amounted to 49 percent or more. For the age

group 55-64 years the increase amounted to40

percent. Conversely, at theolder ages the death

rate for cirrhosis of the liver decreased. At

ages 75-84 years the decrease amounted to about

20 percent, and at ages 85 yeare and over to

about 35 per”cent. Similer patterns withincreases

at younger ages and decreases at older ages

between 1950 and 1964 cccurred widdnbotht.be

male and female populations.

The downturn ofmortslity from cirrhosis of

liver at older ages does reflect lower risk of death

from this cause with advancing age. As shown

below by themortality rates forthe male cohort

born during the 5-year period 1885-89, this

downturn with advancing age is not an artifact

due to the mixture of cohorts with differing mortality experience:

I Death

Year of death Age at death r;:

100,000

t ,

1964-------------- 75-79 years 45.4

1959 -------------- 70-74 years 49.5

1954-------------- 65-69 years

1949 --------------

52.7

60-64 years 42.7

Both for men and women there is a downturn in

mortality from cirrhosis of liver after about

age 70 years.

Cohort analysis also shows that for both men

and women successively yonnger cohorts are at

bigher risks of dying from cirrhosis of liver

during the most productive ages of life. Following,

for example, are the death rates for this cause

at ages 40-44 years for four male cohorts:

p;::do:f Age et

Death

Year rste

death cohort of death per

100,000

I 11 1

1920 -24--- 40-44 1964------- 20.7

1915-19 --- 40-44 1959 ------- 19.3

1910 -14--- 40-44 1954------- 16.6

1905-09 --- 40-44 1949 ------- 14.1

I Ik I

For women born during the period 1915-19

the death rate for cirrhosis of liver at ages 45-49

years was about 72 percent greater than the

corresponding death rate for women born abont

the beginning of the century (1900-1904):

Death

Pe;~:hof Age at Year rate

death of death per

100,000

1915-1919- 45-49

I

1964------- 18.8

i900-1904- 45-49 1949 ------- 10.9

I II I

11
Table C. Death rates for cirrhosis of liver, by color and sex; and correspondingageadjusted rates: United States, 1950-64

[Deathsarethoseattributed tn.atagmynumber 581 of the Seventh Revision of the International Lists, 1955. Deaths are CbMsi fied according tmthe Sixth Revision for 1950-57 and to tbe Seventh Revision for 1956-64]

Year

1964---------------------------

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

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

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

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

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

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

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

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

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

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

1953---------------------------

1952---------------------------

1951---------------------------

1950---------------------------

1964---------------------------

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

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

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

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

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

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

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

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

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

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

1953---------------------------

1952---------------------------

1951---------------------------

1950---------------------------

Rate per 100,000 population

12.1

11.8

11.6

11.4

11.5

11.1

11.0

11.6

11.0

10.5

10.4

10.7

10.6

1:.;

.

10.9

10.7

10.5

10.3

10.3

10.0

l~:;

9:4

9.3

9.6

9.5

9.2

8.6

16.0

15.7

15.7

15.4

15.6

14.9

14.9

L5.8

14.7

14.2

14.1

14.3

14.3

13.5

12.6

8.2

;::

7.5

7.4

7.3

7.2

7.5

7.4

7.0

6.8

7.2

7.0

::;

12.5

11.5

11.5

10.8

10.2

9.7

8.5

9.4

8.5

7.5

7.1

7.2

7.2

7.1

6.5

15.7

13.9

13.8

13.3

12.6

11.7

10.7

11.6

1:.;

.

8.6

;:;

8.7

7.8

Age-adjusted rate per 100,000 population

15.0

14.7

14.6

14.2

14.4

13.7

13.7

14.4

13.4

12.9

12.8

13.0

13.0

12.3

11.6

7.3

7.2

H

6.6

6.4

::2

6.5

6.1

6.0

6.4

6.2

6.2

5.8

15.2

13.9

13.8

12.8

11.9

1$:

1::;

8:5

8.1

%:

%:

19.5

17.1

16.8

15.9

14.8

13.7

12.5

13.4

11.8

10.3

9.8

10.0

10.6

9.9

9.0

9.5

9.3

9.3

8.4

7.9

7.9

6.5

7.4

6.9

6.o

5.7

5.7

5.1

5.6

5.2

11.3

11.0

11.0

9.9

9.1

9.1

7.4

M

6.8

6.5

6.3

5.7

6.3

5.9

iFigures by color exclude data for New Jersey; see page 6-9, Section 6, Volume IX,

Vital Statistics of the United States, 1963.

In1964thedeathrateforthemalepopulation Emphyseisso

for cirrhosisof liverwas almost twice the

correspondingrate for the female population. A relationship exists between cigavette smokInasmuch as shout the same relativeincrease ing and emphysema but it has not been

cccurredforbothsexes,themortalitydifferential established that the relationships causal.10

by sexremainedaboutthesame from1950to1964. %id.,p.31.

12

I

I

i

i
!fableD. Death rates for emphysema without mention of bronchitis, by color and sex:

United States, 1950-64

[Deaths are those aMribuLedto csLsgmyrmmber%t7.1of the Swmtb Revision of the IntcmmtimrdLists, 1955. Deaths are classified according to tbe Sixtb Revision for1950-57 and bfie Seven& Revisian foc 1958-64]

Year

1964---------------------------

1963i

1962f:::l::::::::l:::l:::::~:1:

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

1960--------------------.-.-.--

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

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

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

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

1955 --------- --------- .........

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

1953---------------------------

1952.........------------------

1951---------------------------

1950---------------------------

White

I

Nonwhite

Both Male Female Both

sexes sexes Male

Rate per 100,000 population

8.9

8.7

7.2

H

4.7

4.1

3.6

2.9

2.4

2.0

.

.

.

0.8

15.7

15.5

12.8

10.6

9.8

8.4

;::

::;

3.5

1.;

2.3

2.2

1.8

1.5

1.3

:::

0.8

0.6

0.6

0.5

0.;

3.4

3.6

2.9

2.6

2.4

2.1

1.8

1.7

1.1

1.1

0.8

0.;

2::

4.9

::$

::1

3.1

1.8

1.9

1.5

0.6

Female

0.8

::;

::;

0,7

0.5

0.4

0.3

0.3

0.2

0.;

lFLgmes by color exclude data for New JerseY; see psge 6-9, Section 6, Volume II,

Vital Statistics of the United States, 1963.

Total mortality tve?wt.-Thedeathratefor

emphysema was 10 times higherfor 1964 than

for 1950.No appreciablepartof thisincrease

resultedfrom thechangingagecompositionofthe

population.The age-adjustedratefor 1964 was

aboutninetimes higherthanthecorresponding

ratefor1950(teble8).

Mortality trende by colorandsex. -A strikingfeatureofemphysema isthepredominanceof

thediseasein men. For 1964 theratioofmortalityfrom thisdiseasein themale andfemale

populationwas approximately7 to 1 (table8).

The sex ratiofor thewhitepopulationwas also

7 to 1, and thatfor thenonwhitepopulationwas

approximately8 to1 (tableD).,A decidedincrease

bssbeenobserved,however,inthedeathratefor

emphyaema inthewhitefemslepopulation-from

0.2 deathsper 100,000for 1950 to 2.3deaths

per 100,000for1964.

The ratesforthemsle poptdationincreased

steadilywith advance in age, risingfrom 1.5

deaths per 100,000populationat ages 35-44

yearsto136.4deathsatages75-84years(table8).

At ages 35-44,45-54,and55-64 yearsmortality

from emphysema is now greatertbsnthatfrom

ulcerof stomac~ and at ages 65-74yearsitis

now greaterthanthatfrom bothulcerofstomach

endcirrhosisofliver(fig.4).

Witbinthe female populationthe greatest

relativeincreasein mortalityfrom emphysema

was for the age group 65-74 years.For this

age group the death rate was about12 times

higherfor1964thanfor1950.

233-2010- Es -9

13
25-34 YEARS

1000—

●For .ge-gmuP.25-34

Y..,, de.fh ..~e. f.r

emphysema ..+ shown

00,0 –becouse annual

_fre(w. n., as of da.fhs

~ao .,. [,ss th,m 20.

Dao —

30.0 —

30.0 —

000 –

BO,O —

60,0 —

40.0 —

20.0 —

,Qo .,..+ ,X”,-.,.., ...!...%h<h< . . .. . .

Arleri.s.ler.tk

8,0 — ““” ‘=’”s’

S.o –

4.0 – Grrho,i, .’ Iiv,,

*.*- ,

*

,*

:8** ●a-.**’

2.0 ~

1.0 —

o.e ulcer of stomach

-\F, ,

0“ -v a/yL,-

0,4 -

i

0,3 –

1111111111111

1950 1955 1960 .S*

35-44 YEARS

—

—

—

,,..s

. ,,,.,,.,”.e~,..., . .. .. .. . . . .. ...

— Arierlmclemttc

heart dlse.se

Girrh.si$ of liver --4*

***.*-- ●

,4-..+

—

Ulcer of stomach

:L

‘*\&p\

1111111111111

1950 1955 1960 ’64

45-54 YEARS

,,,,,,,,,,,,l,,,,., . . . .. . .. . .. .. .. .. ... .

Art.rmclerok

heart disease

Cwrhc.sis OF Iive.r

------

*#*--*

;#”-*

ulcer .af

-

st ormch

+\\

/“”

1111111111111

1950 [955 1960 .64

55-64 YEARS 65-74 YEARS

– 2@Cl c

~,,,.,,i.i.,,., . .....”.~.

,.,,, ... ......”

Aftwi.%derol,c

heart diseose

- 1,0000

. .. .. .. . .. . . ... . .. . . .. . .. .

,,,,” .. . . .. ... .

- moo

Arfefios.1.mii.

II.(W1 dlse.%,

- 600,0

- 400a

— 200,0

—

C,rrhosis

of live,

1 “

G,rfh.,is of fi.ef+e+e ..+-

.++..+

,4

.——. ,/ -It /

:;~=!~~ ““”I

‘---0” fit &y*emafq”””~

~

~

L – 8.0

●.”

- 60

– 4,0

– Z<o

- 1.0

- 0.8

!4ge-specl{lc de.th ml es for amphwma - a6

esiln!. ted f., 195 1-53.

- 0.4

- 0,3

Illlllllllllr Il[llrlllllfr

1950 1955 1960 ‘641950 1955 1960 ’64

Figure 4. Deeth rates among men for four leading causes associated with smoking, by specified age

groups: United States, 1950-6U.
Table E. Death rates for ulcer of stomach, by color and sex: United States, 1950-64

[Deathsacethoseattributed tocategory nutnkx540oftbeSwmtb RevisionftheIntsrnatimrd Lists,1955.Deathsrueda.-

sifiedaccording tothe3ixthRevisionfor1950-57 andtotheSeventbRevisionfm195&64]

Year

-- - -. - - ------------ :~1-::-::--:-:: -:------------

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

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

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

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

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

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

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

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

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

1953 ---------------------------

1952 ---------------------------

1951 ---------------------------

1950 ---------------------------

White

I

Nonwhite

Both Male Female Both

sexes sexes

Male Female

Rate per 100,000 population

2.9

3.4

:::

3.3

3.1

3.2

3.1

3.1

3.0

N

R

3.0

4.0

4.8

4.9

4.?

4.7

4.5

4.7

4.5

4.6

4.5

:::

4.7

4.8

4.8

1.8

2.1

2.2

1.9

1.9

1.8

1.7

1.6

:::

1.3

1.3

1.2

1.2

1.2

2.4

2.6

H

2.5

;:;

::;

2.6

2.7

2.7

2.5

N

3.4

::;

3.9

3.9

3.7

.$;

3:9

4.1

4.2

3.9

4.1

4.8

1.5

1.5

1.3

1.5

1.2

M

1.2

1.4

1.3

::;

1.2

H

~Figures by color exclude data for New Jersey; see page 6-9, Section 6, Volume II,

Vital Statistics of the United States, 1963.

Ulcer of Stomach

Epidemiological studiesindicatean associationbetween cigmette smokiwg amtpeptic

ulcer which is gYeater for gastrictharzfov

hodenal ulcev. II

Total mortality trend.-Mortalityfromu~cev

of the stomach rose slightlyduring 1950-63,

afterwhich therewas a sharp drop (table9).

This drop occurredhehveen1963 and 1964 and

resultedfrom new codingproceduresintroduced

fordatayear 1964 (see QualificationsofData).

The upwardtrendfrom 1950to1963,theyear

ofthebreakincomparability,resultedprimarily

from a risein mortalityfrom thiscauseinthe

whitefemalepopulation(tableE).For 1963the

deathrateforthiscauseforthemale population

‘iIhid., p.99.

was abouttwicethecorrespondingrateforthe

femalepopulationas comparedwifi-fourtimesthe

correspondingrateforthefemalepopulationfor

1950.

Trendby sexaudage.—In themalepopulation

theriskofdeathfrom ulcerofstomachdeclined

ahnost steadilyfrom 1950 to 1963 forpersons

under 65 years of age.Itremainedataboutthe

same levelover thisperiodformen aged65-74

years and rose substantiallyformen of older

ages(fig.4 andtable9).Conversely,inthefemale

populationtheriskofdeathfromr.deerofstomach

increasedsomewhatforpersonsintheagegroups

55-64,65-74,and75-84years.

Cancer of the Esophagus

The evidence supports the belief that an

association em”sts between tobacco use and

cancev of the esophagus. . . but the data

15
Table F. Death rates for mal@nant neoplasm of esophagus, by color and sex: United

States, 1950-64

[Deaths are those attributedto categorynumber150 of theSeventhRevisionof theMsmationalLists, 1955. Deathsare.lassified accordingto the Sixth Revision for 1950-57 and to the Seventh Revision for 1958-641

Year

1964---------------= ----------

19631

19621 ===:: ==:1:=:=:=:::1: ~1:::=

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

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

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

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

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

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

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

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

1953 ---------------------------

1952---------------------------

1951---------------------------

1950 ---------------------------

Rate per 100,000 population

2.5

2.4

2.5

2.5

2.5

2.5

2.5

2.5

2.5

2.5

2.4

2.5

;:2

2.5

1.2

1.1

1.1

1.1

1.1

1.2

1.1

1.2

;::

1.0

::;

1.1

1.1

N

4.5

4.2

4.4

:.:

3:9

3.7

3.5

3.8

3.3

3.2

3.1

3.4

7.8

7.8

;:$

7.1

;::

6.6

6.2

5.7

6.1

5.4

5.3

5.3

5.4

1.8

1.9

;:;

.

1.7

1.5

1.3

1.4

1.5

1.6

1.3

1.2

1.1

1.4

lFigures by color exclude data for New Jersey; aee page 6-9, Section 6, Volume 11,

Vital Statistics of the United States, 1963.

are not adequate to daio!e whether these

relatianshipe are causal. 12

Total mortality wand.—Mortality from cancer of the esophagua rose about 8 percent, from

2.6 deaths per 100,000 in 1950 to 2.8 deaths in

1964 (table 10). This rise reflects increases in

mortality at ages under 65 years, with the

greatest relative increase (60 percent) for the

age group 35-44 years. At ages 65 yeara and over

the death rate for cancer of the esophagus declined.

Trends by colov and sex. —CamceY of the

esophagus is the only cause of death among those

ex-ed in this report for which the level of

mortality was higher in the nonwhite than in the

white population for each year of the period 1950-

64. Moreover, this color differential became

larger during this 15-year period (table F).

121bid.,p. 32.

16

The 1964 death rate for cancer of the esophagus

for nonwhite males was four times the corresponding rate for nonwhite females.

Trends by sex and age. - In 1964 cancer of

tbie site had a death rate thatwaa 3.7 times higher

for the male than for the female population, The

relative increase from 1950 to 1964 in mortality

from this cause waa about the same for both

sexes—about 8 percent for the male population

and about 9 percent for the female population

(table 10).

For men there were substantial increaaes in

this rate at agee 35-64 years, with an increase of

about 71 percent at ages 35-44 years. For older

men aged 65-84 years this rate declined between

1950 sad 1964. For women there were afso substantial increases in mortality from this cause

during the early middle years of life, both at

ages 35-44 years (with an increase of 67 percent)

and at ages 45-54 years (with an increase of

I

I

,

I

I

1

I

I

I

I

I

I
Table G. Death ratea for malignant neoplasm of

malignant neoplasm of lip, by color and

bucca1 cavicy and pharynx,

sex: United States, 1950-64

excluding

rDeaths are those attributed b cat=szorv numbers 141-148 of the Seventh Revision of the International Lists, 1955. Deaths are

classified according; [he Sixth Revision for 1950- 5’/ and t-ntbe Sevesth Revision for 1958-64]

Year

1964---------------------------

19631

;;:;l::::::::::::::::::::::::::

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

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

L959---------------------------

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

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

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

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

~954---------------------------

1953---------------------------

1952---------------------------

~951---------------------------

1950---------------------------

White Nonwhite

Both

sexes

;::

3.4

:::

3.4

%:

3.2

3.2

3.2

3.1

3.0

3.0

3.2

Male Female Both

sexes

Male

Rate per 100,000 population

5.1

:::

5.3

5.2

;:?

5.2

5.1

5.1

5.1

4.8

::?

5.0

1.6

1.7

1.7

1.6

1.7

1.5

:::

1.4

1.4

1.4

1.3

1.4

1.3

1.3

3.2

i:;

2.7

2.6

2.6

$:

2:3

2.3

;:;

2.3

2.4

?+:!

4.4

4.2

3.9

4.2

$;

3:5

3.6

3.2

3.5

3.5

3.5

Female

1.4

1.3

1.3

1.2

1.4

H

1.1

1.3

1.2

~.;

1:2

1.2

1.3

lFigtrres by color exclude data for New Jersey; see page 6-9, Section 6, Volame 11,

Vital Statistics of the United States. 1963

50 percent).The deathrateforwomen at agea

55-64 years remained almost constantover

1950-64,whilethatforwomen atolderagesdeclined.

Cancer of Parts of Oral Cavity

other Than Lip

A.Wwagk there aye auggeetions of Yelationshijs between cancer of othev specific sites

of the o~al cavity and several forms of tobacco use, their causal implication.cannot

atpvesent be stated. ~~

Siteeof the oralcavityotherthanthelip

forwhichassociationbetweencancerand theuse

of tobacco is less well establishedare the

131bid., p.87.

tongue,salivarygland,floorof mouth,mesopharynx,nasophsrynx,andhypopharynx.

Total mortality .tremt.-The totaldeathrate

for cancer of these sitesshowed no marked

change between 1950 (3.1deatheper 100,000

population)and 1964 (3.3deathsper 100,000).

The age-adjustedratefor thisgroup of causes

waa thesame forboth1950and 1964(2.8deaths

per 100,000).Nevertheless,between 1950 and

1964 there were substantialincreasesin the

ratesfor theage groups45-54and55-64years.

These increasesare not reflectedin thetotal

deathratefor tbesecancers,becausetheywere

offsetby decreasesfor the age groups65-74

and75-t34years.

Trends by color and sex.—Mortalityfrom

theseothercancersof theorslcavityremained

relativelystableduring1950-64for eachofthe

fourcolor-sexgroupsexceptthenonwbitemsle

population(tableG). For thisgroup thedeath

17
Table H. Death rates for malignant neoplasm of bladder and other urinary organs, by

color and sex: United States, 1950-64

[Deaths aretiose attibuted hcak@~n.mber 1810fthe SevenWRevision of fie InWmational fists, l955. Deaths areclnssifiedaccordiigta the Sixth Revision for1950-57 and tothe Seventh Revision for 1958-64]

Year

1964------------------------

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

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

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

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

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

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

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

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

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

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

1953------------------------

1952------------------------

1951------------------------

1950------------------------

Total

4.2

4.3

4.3

4.3

4.4

4.3

4.3

4.4

4.3

4.4

4.4

4.4

4.3

4.2

4.2

Rate per 100,000 population

H

6.1

vi

6.1

5.9

6.1

6.0

6.0

6.1

6.0

6.0

5.8

5.8

2.6

2.6

2::

2.7

2.6

2.6

2.7

2.7

2.8

2.7

2.8

2.7

2.6

2.7

6;2

6.3

6.3

6.3

6.5

6.4

6.2

6.4

M

:::

6.3

6.1

6.1

2.6

2.6

2.6

2.7

2.7

$:;

2.8

;;:

2.7

2.8

2.8

2.7

2.8

Male Female

3.4

:::

3.7

3.6

3.6

3.5

;::

3.0

3.5

3.5

3.3

3.5

3.2

2.3

R

2.1 ,

2.6

2.2 ‘

2.3

2.5

::;

2.3

2.4

2.0

2.0

2.2

lFigures by color exclude data for New Jersey; see page 6-9, Section 6, Valuate11,

vital Statistics of the Uniled States, 1963.

ratefrom thesecancererose about40 percent,

causingthemortalityClifferentia lbycolortoall

butdisappear.

fn 1964 thedeathratefor cancerof these

sites in the male population(5.1deathsper

100,000population)was about threetimes the

correspondingratein thefemalepoprdation(l.6

deathsper 100,000).

Trends by sex and oge.-By age thedeath

ratefortheseoralcancersincreasedformen at

ages 2544 years and declinedformen ofolder

ages.For women theincreasein mortalityoccurredatages35-64years(table11).

Cancer of Bladder and

other Urinary Organs

Available data suggest an association betweencigarett esmokingandurinary bladder

cancer in the male but arenotsaficientto

18

.w@oti a judgment on the causal s@rnjZcance of this association.14

Total mortality Wend.-There was nochange

in thedeathratefrom cancerof the bladdev and

other winary ovgans during1950-64(tableH).

This constantdeathrate does notnecessarily

indicate,however,tbattherehasbeennocharrge

intheincidenceofthisdisease.

Tre?xIsby colorandsex.-For l964thedeath

ratefor thiscause for themale population(5.8

deathsper 100,000population)was more than

doublethatfor thefemalepopulation(2.6deaths

per 100,000population) .Thedeath rateforthese

urinary bladder cancers in the white female

populationwas closeto thatin thenonwbitefemale population(tableH).But mortalityfromtbfs

cause in thewhitemale populationwae almost

double that in the nonwhitemale population.

l@id.
Table J. Death rates among msn for specified noncoronary cardiovascular diseases, and correspcmd-

~g age-adjusted death rates: United State a, 1950-64

[Numbersafkwcausesofdeatharecategoryn.mbemofthe.%vsnthRevisionoftbeInternational Lists,1955.Deaths me classified S+cmrdine rn

tbe Sixth Revision for 1950-57 rmd to the Ssventh Revismn for 195s-64]

Year

1964-----

1963-----

1962-----

1961-----

1960-----

1959-----

1958-----

1957-----

;;:g::---

1954--:::

1953-----

1952-----

1951-----

1950-----

Chronic

endocardit is

not specified

as rheumatic

and other

myocardia 1

degeneration

(421,422)

1

Total Ageadjusted

1

27.8

29.8

29.5

30.1

32.0

31.9

33.8

37.4

38.6

40.9

42.6

48.3

51.6

55.5

59.4

22.1

23.7

23.4

24.0

25.7

25.5

27.3

30.4

31.6

33.7

35.5

40.7

44.1

48.2

52.9

Other diseases

of heart

(430-434)

*

$~

16:2

16.2

16.9

16.4

16.8

15.4

15.2

“15,5

15.9

17.7

18.0

18.5

19.3

Hypertensive

heart disease

(440-443)

Diseases of

arteries, excluding geners 1

arteriosclerosis,

and diseases of

veins and other

diseases of circulatory system

(451-456,460-468)

I

rotal Age- Total Ageadjusted adjusted

Rste per 100,000 population

14.1

14.3

13.9

14.0

14.5

14.1

14.5

13.4

13.2

13.5

14.0

15.6

16.1

16.6

17.7

Trend by age. —Cancer of the urinary bladder

may occur at any age, but it bas been estimated

that approximately 90 percent occur after the age

of 50. Also almost all deatha attributable to this

cause occur at ages 50 years and over.

There was a slfght increase in the death rate

for these cancers during the period 1950-64

among men 65 years end over (table 12).

Specified Noncoronary

Cardiovascular Diseases

Although a causal relationship has not been

established, highev mortality of cigarette

smokers is associated with many other

cardiovasealav dissases, including miscellaneous cirealato~ diseases, other heart

26.1

28.4

29.2

30.3

32.7

38,6

42.7

42.5

43.3

45.0

46.6

51.3

53.9

55.6

53.1

22.0

23.8

24.4

25.3

27.4

28.7

31.6

32.4

33.4

35.1

36.7

41.6

44.5

46.2

48.0

16.3

15.9

15.0

14.1

13.7

12.8

12.5

11.4

10.7

M

7.5

2:

5.8

14.4

13.7

13.0

12.2

11.9

11.1

10.9

10.0

::?

H

6.4

5.9

5.4

Genera 1

arteriosclerosis

(450)

1

Total Ageadjusted

17.8

18,5

1s.5

18.3

19.3

18.9

19.4

19.1

18.9

19.9

18.6

20.6

20.4

21.1

20.9

12.1

13.9

13.8

13. s

14. s

14.5

15.0

14.8

14.8

15.7

14.9

16.8

16.9

17.9

18.4

diseases, hypertensive heart disease, and

general arteriosclerosis.

. ..It is apparent that Wch moye~o~k~ll

have to be done todetemnine what relationship may em”st between non-coronary occlusive vasculav disease, an.eurysmal disease, andsmoking.1~

Five diseases of the cardiovascular system

for which the association with smoking is uncertain are specij$eddegenerative heart disease

(421 and 422). other heart

hjpetiensive heart disease

%bid., pp.32 and326.

disease (430-434),

(440-443), general

19
Table K. Death rates for hypertensive heart disease, by color and sex: United States,

1950-64

[Deaths m? those attrihutsd to mtegmg numbers440-443 of the Seventh Revision of the International Lists, 1955, Deaths W.

classified aocordingtn tJe Sixth Revision for1950-57 andtothe Seventh Revision for 1958-64]

Year

:;::i --------------------------

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

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

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

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

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

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

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

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

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

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

1953---------------------------

1952---------------------------

1951---------------------------

1950---------------------------

White Nonwhite

Both Male Female Both

sexes sexes

Male Female

Rate per 100,000 population

26.2

28.1

29.3

30.5

32.7

34.4

38.1

37.6

38.6

40.4

42.0

46.3

48.6

50.5

51.4

22.2

24.1

24.9

26.2

28.3

30.0

33.2

33.5

34.5

36.&

38.2

42.8

45.3

47.1

47.9

30.0

32.0

33.5

34.6

37.1

38.7

43.0

41.7

42.6

44.4

45.8

yl.:

53:8

54.8

58.6

64.1

65.1

66.0

69.9

72.2

79.0

81.9

81.4

82.5

84.4

92.8

98.4

99.0

100.5

55.8

61.1

62.3

62.3

67.1

68.0

73.2

77.7

78.2

80.9

81.6

91.7

98.1

96.5

98.7

61.2

67.0

67.7

69.5

72.4

76.1

84.5

85.8

84.4

83.9

87.1

93.8

98.7

101.4

102.2

lFigures by color exclude data for New Jersey; see page 6-9, Section 6, Volume 7.1,

Vital Statieti.csof the United States, 1963.

arteriosclerosis(450),and other circulato~y

diseases (451-468).

Other circulatory diseases as a group is

uniqueamong thesenoncoronarycardiovascular

diseasesin thatitis theonlyoneforwbichthe

trendin themale populationduringthe15-year

period1950-64was upward.Tbismixedcategory

ofcirculatorydiseasesincludesaorticaneurysm,

phlebitisofthelowerextremities,andpulmonary

embolism (tableJ).

For 1964thedeathrateforotlze~cimulatory

diseaseswas 2.8timesthecorrespondingratefor

1950.This near triplingof therateis notattributsbleto thechangingage compositio~the

age-adjustedrate for 1964 was 2.7 times the

correspondingrate for 1950.Neitherdoes any

appreciableamount of thisincreasereatdtfrom

codingchangesintroducedwiththeSeventhRevision,beginningwithdatayear1958.Assignment

of deathsaccordingtotheSixthand SeventhRevisionsoftheInternational Listsshowedthatonly

about4 percentmore deathswere aasignedto

thiscause as a resultoftheproceduressdopted

withtheSeventhRevisionas comparedwiththe

number assignedunder theSixthRevision.13etween 1958 and 1964therelativeincreaseinthe

deathrateforother cimzdatory diseases amounted

toabout30 percent.

For the othergroupsof causes in tableJ,

the mortalitytrend in the male populationis

clearlydownward during1950-64.The steepest

drop (53percent)was forthedegenerativeheart

diseases(421and422)—chronicerutocavditis not

specijied as rheumatic and othev myocard%al

degeneration.Itis possiblethatduring1950-64

physicianschanged theirdiagnosesfrom these

degenerativeheart diseasesto diseasesof the

coronaryarteries.

Alsoforhypertensiveheartdiseasethere was

a marked dropinthemaledeathrate(51percent),

20
For hypertensive heart disease thegreatest relative decrease was for the white male population

(table K). The death rate for this cause for the

nonwhite population is still more thantwice that

for the white population, and the rates for both

white and nonwhitewomen are still considerably

bigher thanthe corresponding rates for whiteand

nonwhite men. Part of the substantial decline in

hypertensive beart disease within the whitepopulation may be associated with the availability of

drugs for lowering blood pressure during this

15-year period.

SUMMARY

During the period 1950-64 there was a deceleration in the downward trend of mortality

for most age groups (table 1). In fact for white

males in age groups between 45 and 74 years and

for nonwhite males 35-44 years’ and 65 years

and over, there were signs of reversals of the

former downward trend. Trends of mortality

from the diseases linked with tobacco use, some

of which contributed substantially to this unfavorable mortality change, are summarized below under thefollowing four systems: respiratory,

cardiovascular, digestive, and gerdtourinary.

Diseases of the Respiratory System

ht the judgment of the Advisory Committee

lu?ig cancer, cancer of the larynx, and chronic

and unqualified bmrzchitis are causally linked

with cigarette smoking; and emphysema, without

msntion of bronchitis, is strongly associated

with this form of tobacco use. Not only was the

trend of the death rate for each of these diseases

upward during the period 1950-64 but for lung

cancer and emphysema the rises were of unprecedented proportions for noncommunicable

diseases. Cohort analysis shows that for both

men and women successively younger cohorts

are at higher risk of dying from these four diseases during the most productive ages of life.

The gains made during 1950-64 in reducing

mortality through increased control of tuberculosis were more thanoffset by rises in the death

rates for the above-mentioned lung diseases

linked with cigarette smoking. There maybe some

variation in the manner in which physicians categorize on the death certificate deaths from one

or the other of these respiratory diseases or

combinations of them. It is useful, therefore, to

examine the trend of mortality from all of these

diseases together as well as the trends of each of

them. When the death rates for all of these dis- $

eases are combined (table L), it is found that

they account for about 9 percent of thetotal death

rate in 1964 as compared with 8 percent in 1950.

TMs increase occurred even though the death

rate for tuberculosis dropped from 20.6 deaths

per 100,000 population in 1950 to 4.0 deaths per

100,000 in 1964.

The death rate for cancer of the lung almost

doubled between 1950 and 1964. Mortality from

this cause in 1964 was about six times bigher

in the male than in the female population. But

beginning about 1960 there was a greater relative

increase in mortality from lung cancer in the

female than in the male population. The differential by color also decreased over this period,

owing to the greater relative increaae in mortality for this cause in the nonwhite population.

The death rate for lung cancer for nonwhite men

aged 35-44 years more than tripled between

1950 and 1964, reaching 22.8 deaths per 100,000

nonwhitemen for 1964. For nonwhitewomenaged

35-44 years the 1964 death rate for lung cancer

was 2.7 times greater than the corresponding

rate for 1950.

Mortality from cancer of the larynx increased only sightly during 1950-64. This relative stability may be due to improvement in

early detection and successful treatment of these

cancers.

The recorded mortality from chronic and

unqualified bronchitis almost doubledduring1950-

64. This is one of those groups of diseases that

by itself may not be fatal but in combination with

other diseases may cause death. While the death

rate for these causes among the female population remained about the same, mortality in the

male population almost doubled.

For emphysema, a disease associated with

atmospheric pollution as well as with cigarette

smoking, the death rate for the male population

for 1964 was about 10 times the corresponding

rate for 1950. This precipitous rise in mortality from emphysema resulted in the mortality

from this cause becoming higher among men at

ages 35-64 years than mortality from ulcer Of

stomach, and bigher at ages 65-74 years than

21

2.!9-201 0 -66-4
Table L. Dsath rates for all causes and for diseases af the respiratory system, inckdin wberculosis, malignant neoplasm of respiratory system, and asthma: United States, 1950-E4

[Numbersah, cause-sOfd.a~ .,,.a~sw .~be,soffi.S.,..fiR.,i.i0. OE~e 1.~mati.nalLkts,1955.D.aslmareclassified wordingse

tbeSixthRevisionfor1950-57andtmt&aSeventh Revision for 1958-64]

Year

1964--------------------------------

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

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

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

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

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

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

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

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

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

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

1953--------------------------------

1952 --------------------------------

1951 --------------------------------

1950 --------------------------------

Ysar

1964 -------------------------

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

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

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

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

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

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

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

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

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

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

1953-------------------------

1952-------------------------

1951-------------------------

1950-------------------------

Total

$.:

48;5

45.1

52.5

45.1

47.1

49.4

40.2

38.2

35.8

43.6

39.6

40.8

40.2

All

causea

of death

939.7

961.9

% ;9;.:

954:7

938.6

950.8

958.6

935.1

930.4

919.0

959.0

961.4

966.7

963.8

Diseases of the res iratory system, including

tuberculoais, maf-~gnant neoplasm of

respiratory system, and asthma

Malignant

neoplasm

Tuberculosis of reOf spiratory

respiratory syatam

Tots 1 not Asthma

system specifiad

aa

secandary

II (1301-0138) I (160-164) I ,241,

Rate per 100,000 population

81.1

88.0

79.9

75.9

83.3

75.2

77.1

;:.:

68:4

66.1

75.8

74.1

78,4

77.8

:::

4.7

5.0

5.6

u!

7.3

M

17::

14.4

18.5

20.6

25.7

24.9

24.0

23.1

22.2

21.2

20.4

19.9

19.2

18.2

17.1

16.7

15.6

14.7

14.1

H

2.6

M

2.8

::;

3.6

3.6

::!

4.5

4.5

2.9

Othar specified diseaaes of the respiratory system

(470-475, 480-493, 500-527)

8rmlchitia

unqua Iified

and

chronic

bronchitis

501,502)

2.3

2.3

1.9

1.7

1.8

1.5

1.5

1.4

M

1.2

1.3

1.2

1.3

1.3

Emphyssma

without

msntian of

brapchitis

(527.1)

Influsnza

(480-483)

Pneumonia

(490-493)

Rate per 100,000 population

8.3 0.9

8.0 3.8

6.7 1.8

k: ;::

4.4

3.9 ;:2

3.4 4.4

2.7 1.4

2.2 1.7

1.9

M

H 3.6

4.5

i:i 4.4

Residua 1

diac$ses

respirator y

system

I

I

8.0

8.6

8.8

8.2

1.7

7.4

7.6

::$

6.8

I

,
mortality from either ulcer of stomach or civrhosis of liVeY. There was also a substantial increase in deaths attributed to emphysema in the

white female population-from 0.2 deaths per

100,000 in 1950 to 2.3 deaths per 100,000 in

1964. Some of this increase in mortality from

emphysema may result from a growing awareness of this disesse and an interest in it on the

part of physicians. If this is true it would be

logical to presume that many of these deaths

were formerly assigned to one of the other

respiratory diseases.

Diseases of the Cardiovascular System ,

Among the causes of death associated with

use of tobacco, particularly cigarette smoking,

is one with very high frequency in the male population—arteriosclerotic heavt disease, including

coronary disease (420). Mortality from this cause

increased 28 percent in the male population between 1950 and 1964, with a rate of 354.2 deaths

per 100,000 for 1964. No great part of this upturn may be attributed to changes in age composition. The corresponding increase in the ageadjusted rate was 20 percent. The increase in

mortality from this cause among the female

population during this period was even higher

(47 percent). But a substantial part of this rise

resulted from the aging of the female populatio~

the percentage increase in the age-adjusted rate

during 1950-64 was 17 percent. Based on ageadjusted rates, the greatest relative increase

during 1950-64 in mortality from arteriosclerotic beart disease among the four color-sex

groups occurred in the nonwhite male population

(48 percent).

In the opinion of the Advisory Committee

more work is needed to determine the relationship of smoking with the following diseases of

the cardiovascular system: specijieddegenerative

keavt disease (421 and 42.2, other heas’t disease

(430-434), hypertensive heart disease (440-443)

general as’terioscles’osis (45o), and other cimalatosy diseases (451-468).

Diseases of the Digestive System

The relative increase in the death rate for

cir~hosis of the iivey (another cause associated

with cigarette smoking but more directly associated with alcoholism, nutritional deficiencies,

and outbreaks of infectious hepatitis) amounted

to about 32 percent between 1950 and 1964. The

mortality differential by color disappeared during

1950-64 as a result of the near doubling of mortality from this cause in the nonwhite population.

By sex, however, the relative increases were

about equal. Consequently, the death rate in 1964

for cirrhosis of the liver for the male population

(16.0 deatha per 100,000) was still about twice

the corresponding rate for the female population

(8.4 deaths per 100,000) (table 7). Cohort analysis

through data year 1964 shows that for each of the

four color-sex groups successively younger cohorts are at bigher risks of dying from cirrhosis

of liver .at earlier ages, especially in the middle

years of life.

Ulcer of stomach is another dtsease of the

digestive system that has been related to tobacco

usage. Epidemiologicsl studies indicated that

the association of this cause with cigarette

smoking was greater for gastric than for duodenal ulcer. The rise in mortality from gastric

ulcers (540) reflects primarily increased mortality from this cause for the white female population. For 1964, however, the death rate for

gastric ulcers for the white male population was

still more than twice the corresponding rate

for the white female population.

Cancev of the esophagas, also associated

with tobacco usage, increased ahout 8 percent

during 1950-64. Much of this rise resulted from

increased mortality from this cause in the nonwhite male population. For 1964 mortality from

esophageal cancers in the nonwhite population was

about double that in the white population (table F),

The sex differential for 1964 was even

greater— the death rate for this cause in the male

population was 3.7 times the corresponding rate

in the female population (table 10).

Cancer of parts of oral cavity other than lip

is indicated by the Advisory Committee to be

another group of diseases for which there are

suggestions of a relationship with several forms

of tobacco use. Mortality from these cancers

remained fairly constant during 1950-64 for all

persons except the nonwhite male group. The

rise from 3.5 deaths per 100,000 nonwhite population for 1950 to 5.0 deaths caused the mortality

differential by color to all but disappear.

23
Diseases of the Genitourinary System

Mortality from urinary Madder cancer, the

only disease of this system strongly associated

with tobacco use, remained fairly constant during

1950-64 for each of the four color-sex groups

except nonwhitemales. The upturn for this group

resulted in the near disappearance of the mortality differential by color.

QUALIFICATION OF DATA

Deaths

The rates shown in this report are based on

all deaths occurring in the continental United

States for 1950-58, with Alaskaaddedbeginningin

1959 and Hawaii in 1960. Deaths among Armed

Forces overseas and among U.S.nationalsabroad

are excluded for all years.

Race

The category “white” includes in addition to

persons reported as white those reported as

Mexican or Puerto Rican. The category “nonwhite”

consists of persons reported as Negro, American

Indian, Chinese, and Japanes~ other numerically

small nonwhite groups; and persons reported as

being of mixed white-nonwhite races.

Age-Specific Rates

All rates are shown per 100,000populationin

the group for which computed. In many cases the

rates are shown beyond the last significant figure, not because they can be interpreted withthat

degree of accuracy but merely for convenience

in computation and publication.

Small Frequencies

Rates based onfewer than20 deathsare shown

with an asterisk to indicate that such figures are

subject to large sampling fluctuations. The number ‘’20” is arbitrary and is not set forth as a

critical point distinguishing statistically reliable

rates. The standard errors of many of the rates

based on frequencies gfeater than 20 should also

be calculated before conclusive interpretation of

24

differences between rates is made. Events of a

rare nature may be assumed to foIlow a Poisson

probability distribution. For this distribution a

simple approximation may be used to estimate

the error, For approximation formulas often nsed .

to compute the s~andard error of the ntsmberof

deaths, rates, and differences between rates, see

Vital Statistics of the UnitedStates,1950, Volume

1, pp. 28 and 29.

Age-Adiusted Rates

The age-adjusted rates presented in this report were computed by tbe direct method, that

is, by applying the age-specific death rates for

a particular cause to the standard population

distributed by age. The total population as enumerated in 1940 was selected as the standard,

Age-adjusted rates are shown with an asterisk where more than half of theage-specific death

rates were based on fewer than 20 deaths. hI

those instances for which numbers of deaths are

very small (i.e., cancer of the lip in the female

poptdation) age-adjusted rates are, of course,

not shown.

Population Bases

Rates were computed on population bases

made avaitable by the Bureau of tbe Census,

Rates for the decennial yeara 1950 and 1960 are

based on populations enumerated as of Aprfl 1

in censuses of those years. Rates for all other

years are based on midyear (July 1) estimates.

The sources of the populations used are published in the following issues of Ctwrenf Po@-

lation Repo~ts, Series P-25:

No. 98.

No. 265.

No. 276.

“Estimates of the Population of the

United States and of the Components

of Change, by Age, Color, and Sex:

1940 to 1950,”1954.

“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 and

1962.)

“Estimates of tbe Population of the

United States, by Age, Color, and

Sex: July 1, 1963,”1963.
No. 293.

No. 310.

“Estimates of the Population of the

United States, by Age, Color, and

Sex: July 1, 1964,”1964.

“Estimates of the Population of the

United States and Components of

Change, by Age, Color, and Sex,

1950 to 1960,”1965.

Population estimates by color for 1962 and

1963 exclude data for New Jersey. Birth, death,

and fetal death records for the State of New

Jersey did not contain the race item at the beginning of 1962. Tbe 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 which excluded New Jersey.

The estimates for 1963 are shown in table 6-5 of

Vital Statistics of the United States, 1963, Volume

II, Part A. Those for 1962 are shown in the comparable report for that year.

Causes of Deoth

During the period 1950-64 causes of death

were classified according to two revisions of

the International Lista of Causes of Death. The

Sixth Revision, issued in 1948, was in use for

1950-57; and the Seventh Revision, issued in

1955 was in use for 1958-64. The changes incorporated in the Seventh Revision were limited

for the most part to amendments of errors and

inconsistencies in the Sixth Revision. Consequently, for most of the diseases considered in

this report the degree of discontinuity in tbe

trends between 1957 and 1958 resulting from the

adoption of the Seventh Revision is not appreciable.

Any major breaks that did occur are shown in a

study in which a 10-percent sample of deaths occurring in the United States in 1958 were coded

by both the Sixth and Seventh Revisions applying

the coding procedures in effect, respectively,

with each Revision (reference 3).

Tbe differences resulting from the use of

the two Revisions are expressed by factors

termed “comparability ratios” which are computed by dividing the number of deaths assigned

to particular causes using the Seventh Revision

by the numbers of the deaths assigned to the same

causes using 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 were

assigmed 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.

Most of the selected diseases linked with

tobacco usage included in this report are among

those for which the comparability ratios were

close to 1.00. Exceptions relevant to this study

as well as the effects of some changes in assignment of deaths by cause introduced in the United

States subsequent to the adoption of the Seventh

Revision for data year 1958 are summarized

below.

Cancer of the lip.—ilfalignant neoplasm of

lifi (140) bad a comparability ratio of only 0.85.

Thus part of the decrease f~r lip cancer is attributable to the break in comparability of statistics for this cause betwen 1957 and 1958,

occasioned by the transfer of deaths to OWV

malignant ?seoplasm of skin (191) when the histological type indicated origin in the skin.

Arteriosclerotic heart disease. —No part of

the increase in mortality from arteviosctevotic

hewt disease, including cowrkwy disease (420)

during 1950-64 may be attributable to a break @

comparability of cause-of-death statistics between 1957 and 1958 since fewer deaths were

coded to tbia cause under the Seventh Revision

than bad been coded under the Sixth Revision. The

comparability ratio was 0.98. As indicated in the

following paragraph, however, a small part of this

increase may be attributable to changes in interpretation in adapting coding procedures to

reporting practices during 1950-64.

Specified degenerative heart disease.—The

comparability ratio for nowheumatic chvonic

endocarditis and other myocardial degeneration

(421 and 422) was 0.99. Consequently, tbe degree of

discontinuity in the trend of mortality for these

two causes between 1957 and 1958 resulting from

the adoption of the Seventh Revision is not appreciable. The changes in interpretation, however,

in adapting coding procedures to reporting practices during 1950-64 account for a significant part

25
of the drop of about 53 percent in the death rate

for these diseases. Such changes are summa rized

each year in Vital Statistics of the United States.

Hypertensive heart dkease.-The comparabili~ ratio for hypertensive heart disease (4tO443) was 1.11. Thus despite the fact that 11 percent more deaths were assigned to hypertensive

heart disease as a result of the procedure adopted

with the Seventh Revision, the death rate for this

cause declined steeply over 1958-64. As mentioned

earlier, this drop. may be due in part to more

effective drug therapy.

Oihev circrdato~y diseases.—No appreciable

amount of the near tripling of the death rate for

these diseases (451-456, 460-468) resuked from

coding changes introduced with the Seventh Revision. MY about 4 percent more deaths were

assigned to these causes as a result of the procedures adopted with the Seventh Revision.

Chronic bron&.itis.-The effect of the adoption of the Seventh Revision resulted in more

deaths being coded to chvofzic bronchitis (501

and 502) thanbad been coded under the Sixth Revision. The comparability ratio was 1.07. The

major change introduced in 1958 for this cause

was that preference was given to bronchitis over

nonallergic asthma in classifying deatha in which

both conditions were reported on the certificate

of death.

Ulcer of stomach.—The sharp drop between

1963 and 1964 in tbe death rate for ulcer of

stomach (540) resulted from new coding procedures introduced for data year 1964. These

changes resulted in the assignment of deaths to

the presumptive underlying cause as reported,

e.g., pulmonary tuberculosis. Previously, sequences involving gastric ulcers due to most

other conditions were considered “highly improbable’r and consequently deaths for which such

sequences were entered on tbe certificate were

assigned to the ulcer.

Death-Registration States

The geographic area from which these mortality statistics were collected comprised the 48

States and the District of Columbia for the years

1950-58; Alaska was added in 1959 and Hawaii in

1960. Inasmuch as these two States have relatively

smatl populations when compared with the continental United States, it ia unlikely that the extension of the area to include them resulted in a

serious comparability problem. The mortality

trends for the 48 States are available in most of

the tables in this report for a 9-year period (1950-

58] and mortality trends for the entire 50 States

are available for a 5-year period (1960-64).

26

SELECTED BIBLIOGRAPHY

Haenszel, W., Skimkin, M. B., and Miller, H. P.: To6acco

Smoking Patterns in the f.hked States. Public Health Monograph No. 45. PHS Pub. No. 463. P.uhZic Health Service.

Washington. U.,% Government PrintingOffice, 1956. pp. 1-111.

National Center for Health Statistics: Comparability of

mortality statistics for the Sixth and Seventh Revisions, United

States, 1958, by M. M. Faust and A. B. Dolman. VitaZ St!atiitics-Special Reports, Vol. 51, No. 4. Public Health Service.

Washington, D. C., Mar. 1965.

PuhZic Health Service: Smoking and Health, Report of the

Advisory Commit&e b the Surgeon General of the Public Health

Service. PHS Pub. No. 1103. Washington. U.S. Government

Printing Office, 1964.

—ooo — I

I

1

1

I

i
DETAILED TABLES

Table 1.

2.

3,

4.

5.

6.

7.

8.

9.

10.

11.

12.

Page

Death rates for all causes, by age, sex, and color; and corresponding ageadjusted rates: United States, l95O-64-------------------------------------------- 28

Death rates for mslignant neoplasm of bronchus and trachea, and of lung specified

as primary, and malignant neoplasm of lung, unspecified as to whether primary or

secondary, by age, sex, and color; and corresponding age-adjusted rates: United

States, l95O-64------------------------------------------------------------------- 31

Death rates among men for malignant neoplaam of larynx, by age; and corresponding

age-adjusted rates: United States, 1950-64---------------------------------------- 34

Death rates among men for ma li.gnantneoplasm of lip, by age; and corresponding

age-adjusted ratea: United States, 1950-64---------------------------------------- 35

Death rates for bronchitis, unqualified, and chronic bronchitis, by age and sex;

and corresponding age-adjusted rates: United States, 1950-64---------------------- 36

Death rates for arteriosclerotic heart disease ? including coronary disease, by

age, sex, and color; and corresponding age-adjusted rates: United States, 1950-

64-------------------------------------------------------------------------------- 37

Death rates for cirrhosis of liver, by age and sex; and corresponding age-adjuated

rates: United States, l95O-64----------------------------------------------------- 40

Death rates for emphysema without mention of bronchitis, by age and sex; and corresponding age-adjusted rates: United States, 1950-64----------------------------- 41

Death rates for ulcer of stomach, by age and sex; and corresponding age-adjusted

rates: United States, l95O-64----------------------------------------------------- 42

Death rates for mslignant neoplaam of esophagua, by age and sex; and corresponding age-adjusted rates: United States, 1950-64------------------------------------ 43

Death rates for malignant neoplasm of buccal cavity and pharynx, excluding malignant neoplaam of lip, by age and sex; and corresponding age-adjusted rates: United

States, l95O-64------------------------------------------------------------------- 44

Death rates among man for malignant neoplasm of bladder and other urinary organs,

by age; and corresponding age-adjusted rates: United States, 1950-64-------------- 45

27
Table 1. Death rates for all causes,by age, sex, and color; and correspmding age-adjustedrates;

United States, 1950-64

[Deaths are clasdied accmdirg b the Sixth Revision for 1950-57 and to the Seventh Rensicm for 1958-64]

Sex, yesr,

and cokm

Both sexes

1964------------

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

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

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

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

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

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

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

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

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

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

1953------------

1952------------

1951------------

1950------------

~

1964------------

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

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

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

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

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

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

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

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

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

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

1953------------

1952------------

1951------------

1950------------

Fd

1964------------

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

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

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

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

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

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

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

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

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

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

1953------------

1952------------

1951------------

1950------------

939.7

961.9

945.4

929.6

954.7

938.6

950.8

958.6

935.1

930.4

919.0

959.0

%&

963:8

1,083.5

1,109.5

1,089.0

1,073.3

1,104.5

1,084.4

1,096.7

1,108.1

1,082.5

1,076.4

1,065.3

1>112.0

1,111.9

1,114.8

1,106.1

801.1

819.4

806.5

790.3

809.2

797.1

809.0

813.2

791.6

788.2

776.8

810.4

815.0

821.9

823.5

151.7

148.4

145.2

143.5

146.4

147.8

147.4

152.8

149.1

149.6

153.2

162.7

172.7

176.6

178.7

198.0

191.7

186.0

183.8

187.9

189.4

188.0

193.5

191.6

191.8

196.2

206.4

215.6

218.2

216.5

107.1

106.7

106.0

104.8

106.6

107.8

108.4

113.8

108.4

109.4

112.3

121.4

132.1

137.3

142.7

See footnotesat end of table

28

35-44 45-54 55-64 65-74 75-84 85 years ~d;g;ed

years years years years years and over rate

305.6

303.1

298.2

292.5

299.4

293.9

298.9

307.1

300.9

306.8

309.8

332.0

343.9

353.6

358.7

383.6

377.3

371,4

366.3

372.8

367.8

373.1

381.1

370.7

377.0

377.2

406.3

417.0

427.8

428.8

231.5

232.7

228.7

222.4

229.4

223.3

227.9

236.2

233.9

239.2

244.8

260.3

273.2

281.6

290.3

Rate per 100,000 population

738.1

747.4

741.0

731.5

756.0

743.3

753.5

764.9

746.8

756.3

776.2

817.2

833.9

847.2

853.9

964.2

980,5

971.2

956.0

992.2

972.5

977.1

987.6

964.1

973.9

987.1

1,038.1

1,054.5

1,061.8

1,067.1

522.7

524.4

519.7

514.7

526.7

520.7

535.9

547.6

534.1

543.0

569.0

599.7

615.8

634.3

641.5

1,695.7

1,726.2

1,692.9

1,673.6

1,735.1

1,711.7

1,739.8

1,780.6

1,744.0

L,729.7

1,737.4

1,838.5

1,859.9

1,881.2

1,901.0

2,292.4

2,319.7

2,265.3

2,238.6

2,309.5

2,275.1

2,298.1

2,345.7

2,288.7

2,256.9

2,254.2

2,377.8

2,386.4

2,386.2

2,395.3

1,143.9

1,175.3

1,159.4

1,145.6

1,196.4

1,182.3

L,212.7

1,243.2

1,223.7

1,222.6

1,236.7

1,312.3

1,341.0

1,379.0

L,404.8

3,776.8

3,885.0

3,798.4

3,722.4

3,822.1

3,757.3

3,836.0

3,902.7

3,809.3

3,811.1

3,785.1

3,939.0

3,940.7

4,005.5

4,104.3

4,986.9

5,111.3

4,941.3

4,810.2

4,914.4

4,787.6

4,852.4

4,916.9

4,762.2

4,734.6

4,673.8

4,814.2

4,786.6

4,862.0

4,931.4

2,781.9

2,863.9

2,833.3

2,791.7

2,871.8

2,856.5

2,940.2

3,000.7

2,956.1

2,978.0

2,979.1

3,139.9

3,164.0

3,213.4

3,333.2

8,184.9 19,981.9

8,521.4 21,012.1

8,431.5 20,510,0

8,364.7 19,634.3

8,745.2 19,857.5

8,584.9 19,417,5

8,794.4 19,795.3

8,807.5 19,789.8

8,785.6 19,229.7

8,794.6 18,983.3

8,603.5 18,157.5

9>063.5 19,187.3

9,054.6 19,056.6

9,235.9 19,758.8

9,331,1 20,196.9

9,740.8 21,202,3

10,091.7 22,460.3

9,886.6 Z1,902.1

9,793.2 20,914,4

10,178.4 21,186.3

9,912.1 20,543.4

10,135.3 Z0,833.4

10,098.4 20,726.1

10,078.0 20,045.3

10,044.1 19,588.4

9,800.6 18,741.1

10,275.9 19,915.9

10,228.7 19,673.6

10,350.5 20,818.0

10,426.0 z1,636.O

7,029.9 19,231.0

7,343.1 20,108.4

7,325.8 19,629.8

17,270.3 18,783.9

7,633.1 19,008.4

7,551.0 18,681.4

7,738.9 19,103.3

7,781.6 19,151.0

7,750.5 18,662.3

7,785.5 18,554.8

7,625.9 17,740.0

8,064.8 18>663.4

8,081.8 18,614.4

8,296.7 19,005.6

8,399.6 19,194.7

741.3

758.7

746.4

735.4

760.9

750.9

764.6

776.3

m::

763.2

804.7

815.8

829.1

841.5

938.5

956.8

935.5

920.0

949,3

932.4

;::.:

937;4

934.3

928.5

;;;.;

993:2

1,001.6

568.4

584.0

578.1

569.9

590.6

586.0

600.9

611.5

602.6

606.9

609.0

644.7

658.9

673.2

686.4

,

I

I

I

1

1

1

1

1
Table 1. Death rates for all causes,by age, sex, and color; and correspondingage-adjustedrates:

United States, 1950-64—Con.

[DedM am classified according ta the Sixth Revis,mfor1950-57and to the ?mventi Revi.mn for 1958-64]

Sex, year,

and color

White

bot=&

1964------------

1963?-----------

19622-----------

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

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

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

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

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

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

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

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

7-9.53 ------------

1952------------

1951------------

1950------------

White, male

1964------------

19632-----------

19622.----------

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

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

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

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

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

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

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

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

1953------------

1952------------

1951------------

1950------------

White, female

1964------------

19632-----------

19622-----------

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

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

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

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

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

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

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

;;m;------------

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

1952------------

1951------------

1950------------

All 25-34 35-44 45-54 55-64 65-74 75-84 85 years

ages1 years years years years years years and over

Rate per 100,000 population

935.5

954.3

938.9

925.3

947.8

931.6

941.3

947.8

926.3

921.8

908.4

944-.3

944.s

950.0

945.7

1,079.1

1,102.7

1,084.3

1,070.5

1,09s.5

1,078.4

1,0ss.7

yJwg.;

1:069:6

1,055.9

1,098.3

1,095.6

1,099.3

1,089.5

796.5

810.3

797.8

784.1

800.9

788.5

797.6

800.6

780.4

777.4

764.6

795.1

797.5

803.3

803.3

~;;.i

123::

121.:

123.{

125.(

123.;

128.:

125.!

126.!

129.1

136.(

144.:

148.i

148.:

16S.!

165..!

161.(

158.t

163.2

163.4

162.2

166.C

166.0

167.3

169.9

177.6

185.4

18s.7

185.3

86.7

85.5

86.6

84.6

85.0

87.5

86.2

91.7

87.1

S7.9

90.0

97.4

105.2

110.1

112.8

See footnotesat end of table

263.C

262.?

259.5

254.2

260.4

255.6

261.5

267.2

261.4

267.7

269.2

286.7

296.0

304.8

307.6

335.3

334.1

331.4

325.8

332.6

32S.7

336.6

341.9

333.0

338.5

338.3

361.4

369.6

381.5

380.9

193.4

193.3

190.6

185.5

L91.1

185.4

L89.2

L95.1

L92.2

L99.1

?02.3

?14.2

!24.3

?29.9

?35.8

675.(

683.1

679.5

672.5

692.:

681.2

685.5

693.4

678.5

685.1

699.8

733.0

747.9

759.3

765.0

899.8

917.7

911.3

900.6

932.2

914.7

916.1

922.6

903.7

910’:1

917.6

958.8

975.0

980.5

984.5

459.8

457.9

456.8

452.5

458.S

453.8

461.5

469.1

457.8

464.3

485.5

510.4

523.4

539.9

546.4

1,593.!

1,616.(

1,586.(

1,575.;

1,632.[

1,616.:

1>638.:

1,673.:

1,642.2

1,636.2

1,645.:

13737.C

1,756.1

1,774..5

1,799.6

2,206.2

2>228.8

2,179.7

2,162.2

2,225.2

2,195.2

2,212.8

2,251.1

2,201.0

2,175.2

2,170.7

2,282.4

2,289.4

2,289.4

2,304.4

1,029.2

1,048.9

1,035.8

1,029.2

1,078.9

1,073.0

1,097.3

1,125.5

1,109.6

1,119.4

1,137.8

1,205.9

1,232.0

L,265.1

1,293.8

3,668.!

3,750.:

3,681.”

3,638.:

3,739.[

3,686./

3,757.1

3,831.(

3,752.!

3,758.:

3,739.t

3,884.:

3,889.:

3,955.1

4,023.1

4,887.C

4,979.5

k,836.:

4,739.:

k,848.1

i,731.1

i,788.i

$,s63.7

$,726.7

i,698.i

$>645.8

5,771.5

!>751.2

$,827.2

i,864.9

2,670.9

1,728.5

!,707.9

?,699.4

2,779.3

!,775.1

1,851.6

!,915.6

!,8S2.3

!,911.4

!>918.8

),075.5

1,100.3

),151.8

1,242.8

8,279.

8,580.,

8,508.<

8,468..

8,827.:

8,681.’

8,s88.:

8,910.:

8,894,(

8,905./

8,708.!

9,160.!

9,150.:

9,331.!

9,416.!

9,894.:

10,204.:

10,016.1

9,957.!

10,299.(

10,047.<

10>267.{

10,241.t

10,229.(

10,199.2

9,936.:

10,407.(

10,335.2

10,476.2

10,526.2

7,093.$

7,379.6

7,373.4

7,337.3

7,696.6

7,628.1

7,814.5

7,859.6

7,836.4

7,876.1

7,716.0

8,148.3

8,177.2

8,382.0

8,4.$$1.5

20,652.!

21,578.(

20,970.f

20,070.L

20,354.!

19,928.:

20>327.2

20,308.7

19,778.E

19,532.4

18,617.3

19,627.4

19,478.2

20,219.3

20,678.6

22,005.6

23,066.3

22,454.1

21,392.5

21,750.0

21,085.9

21,345.6

21,162.7

20,508.6

20,063.6

19,081.2

20,234.0

19,990.9

21,192.8

22,116.3

19,835.0

20,659.6

20,041.9

19,201.5

19,477.7

L9,180.6

L9,654.2

L9,727.6

L9,271.O

L9,156.1

L8,284.5

19,189.2

19,109.7

L9,524.4

L9,679.5

Age-

.djusted

rate

706.8

721.6

711.7

703.8

727.0

718.5

730.5

741.3

730.7

732.7

730.1

767.7

777.0

790.2

800.4

904.6

921.2

903.2

891.1

917.7

902.1

912.4

922.9

907.5

905.0

897.2

939.3

944.4

956.5

963.1

533.8

546.0

541.5

536.2

555.0

551.9 ~

564.7

574.5

567.6

572.8

574.2

606.8

619.1

632.6

645.0
Table 1. Death rates for all causes,by age, sex, and color; and correspondingage-adjustedrates:

United States, 1950-64—con.

[Deathsam classified according to the. Sixth Revision for 1950-57 and b the Seventh Revision for 1958-64]

Sex, year,

and color

Nonwhite

bo~s

;;:;i -----------

-----------

19622-------.---

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

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

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

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

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

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

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

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

1953------------

1952------------

;;M&-----------

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

Nonwhite,

m>

1964------------

19639-----------

19622______

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

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

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

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

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

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

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

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

1953------------

1952------------

1951------------

1950------------

Nonwhite,

f~e

1964------------

19632-----------

19622______

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

lSJ60------------ W

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

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

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

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

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

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

1953------------

1952------------

1951------------

1950------------

971.(

1,007.:

982.(

962.!

1,008.:

994.$

1,027.1

1,046.1

l,oo7.~

1,001.[

1,006.$

1,077.$

1,101.[

1,109.[

1,119.1

1,116.6

1,153.8

1,118.8

1,094.7

1,152.C

1,133.2

1,162.4

1,186.C

1,140.4

1,133.:

1,144.7

1,228.1

1,251.6

1,248.2

1,251.1

835.0

869.4

852.9

S37.7

872.6

864.2

899.1

913.9

881.6

875.9

877.1

936.4

960.3

976.9

993.5

331.0

323.0

311.5

310.3

318.6

325.6

335.6

351.3

339.1

338.0

354.5

382.2

412.4

416.5

440.2

425.9

402.3

389.1

3s4.4

386.4

405.1

405.6

429.9

413.s

405.9

428.3

460.3

482.5

480.5

496.2

249.0

254.8

244.5

246.2

260.0

257.2

275.3

283.3

274.4

279.0

290.5

314.2

350.9

360.2

390.4

658.3

646.5

631.5

618.2

633.4

627.1

624.5

654.8

643.2

644.7

660.4

724.6

761.1

779.4

805.3

803.8

759.9

736.9

723.3

729.2

719.5

699.2

730.4

704.3

716.1

720.2

803.6

839.1

842.6

860.7

531.5

546.8

538.0

525.0

547.3

543.5

555.8

585.2

587.3

577.9

604.8

651.1

6S8.7

721.1

754.0

45-54 55-64 65-74 75-84 85 years

Ageyears adjusted years years years and wer rate

Rate per 100,000 population

1,316.5

1,323.1

1,294.0

1,271.2

1,342.9

1,330.s

1,397.1

13448.5

1,400.4

1,439.5

1>509.5

1,623.2

1,654.3

1,685.3

1>706.1

1,572.1

1,567.5

1>529.5

1,474.6

1,551.0

1,529.1

1,568.8

1>615.3

1,547.1

1,589.0

1,656.2

1,798.4

1,814.4

1,834.8

1,857.3

~,:m;.:

1:072:6

1,080.0

1,144.9

1,144.0

1,235.9

1,289.2

1,257,7

1,294.5

1,366.5

1,451.3

1,496.2

1,534.8

1,554.9

2>714.7

2,792.5

2,704.2

2,663.1

2,774.6

2,712.4

2,824.3

2,963.6

2,896.2

2>812.7

2,S26.8

3,077.0

3,159.7

3,235.9

3,126.6

3,142.6

3,182.0

3.052.6

2,995.9

3,151.5

3,098.5

3,200.2

3,382.3

3,265.8

3,191.2

3,227.L

3,511.5

3,575.0

3,593.9

3,480.8

2,310.2

2,418.4

2,368,4

2,341.7

2,409.7

2,341.1

2,469.1

2,555.5

2>533.3

2,437.5

2,426.5

2,631.0

2,733.0

2,S63.2

2,763.0

5,058.2

5,288.9

4,965.9

4,707.6

4,784.9

4,610.2

4>7s0.3

4,760.8

4,488.0

4>443.0

4.327.4

4,5’33.4

4,556.6

4,597.8

5,205.0

6,144.0

6,421.6

5,939.9

5,615.6

5,664.0

5,450.5

5,608.5

5,556.7

5>180.1

5,159.4

5,006.0

5>304.1

5,220.0

5,272,8

5,794.9

4,127.3

4,300.9

!,115.3

3,891.6

3,981.4

3,848.7

L,014.8

k,034.o

3,831.9

$>783.2

3,700.5

3>918.4

3,934.2

3,959.8

L610. 7

6,993.:

7,456.6

7,220.4

7,030.1

7,631.I

7,247.!

7,480.E

7,394.6

7,247.8

7,236.2

7,111.1

7,637.2

7,653.5

7,814.1

8,039.7

7,964.5

8,503.4

8,096.4

7,818.4

8,662.6

8,180.6

8,43S.8

8,255.6

8,116.9

8,018.4

7,995.0

8,501.8

8,781..8

8,721.7

9,029.6

6,134.4

6,541.2

6,407.9

6,293.5

6,708.4

6,413.0

6,610.5

6,593.1

6,429.0

6,440.9

6,219.8

6,759.5

6,583.6

6,948.6

7,064.7

12,654.0

14,569.2

14,397.3

14,231.9

13,907.6

13,175.0

13,395.5

13,253.1

12,604.9

12,270.7

12,183.6

13,778.8

13,851.0

14,183.0

14,473.6

13,429.7

16,157.6

16,103.2

15,593.5

15,238.7

14,444.8

15,611.1

15,503.8

14,448.0

13”,766.7

14,381.8

15,857.1

15,660.0

16,142.1

16,022.1

12,080.0

+;,:m:.g

13:202:4

12,871.2

12,230.8

12,173.7

12,029.7

11,325.0

11,214.7

11,053.1

12,371.0

12,603.4

12,853.6

13,366.8

1,031.1

1,062.3

1,027.0

1,000.5

.1,046.1

1,026.0

1,060.1

1,082.8

1,048.3

1,044.7

1,055.5

1,139.7

1,169.6

1,185.7

1,225.7

1,222.8

1,248,6

1,196.2

1,158.0

1,211.0

1,186.9

1,216.2

1,239.8

1,193.1

1,187.5

1,202.2

1,297.1

1,325.1

1,327.9

1,358.5

859.0

894.2

873.4

855.4

893.3

877.5

917.5

938.1

912.1

909.9

918.2

989.1

1,021.7

1,049.5

1,095.7

lFigures for age not stated included in “All ages” but not distributed among age groups.

2Figures by color exclude data for New Jersey; aee page 6-9, Section 6, Voluma II, Vital Statistics of the United States, 1963.

30
Table 2. Death rates for malignant neoplasm of bronchus and trachea,and of lung specifiedas

primary,and malignantneoplasm of lung, unspecifiedas to whether primary or secondary,by age,

sex, and color; and cc.rrespondingage.adjusted rates: United States, 1950-64

[Dmths are thoss attributed ta wd-egory numbers 162 and 163 of the Seventh Revision of the International LAS, 1955. Deaths are classified . . .

cording to tie ~xth Revision for 1950-57 and to the Seventh Revision for 1958-64]

Sex, year,

and w lar

Both sexes

1964------------

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

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

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

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

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

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

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

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

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

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

1953------------

1952------------

1951------------

1950------------

Male

1964------------

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

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

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

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

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

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

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

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

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

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

1953------------

1952------------

1951------------

1950------------

Fsmale

1964------------

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

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

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

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

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

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

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

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

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

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

1953------------

1952------------

1951------------

1950------------

24.(

23.]

22.:

21.:

20.:

19.1

18.(

18.1

17.1

16.:

15.4

14,$

13.$

12.$

12.2

41.4

39.5

3fL7

36.5

35.4

33.7

32.2

31.3

30.1

28.0

26.3

25.3

23.2

21.4

19.9

:::

6.4

::+

5.5

5.4

5.2

::;

2:;

H

4.5

1.(

1.:

1.(

1.:

1.[

1.(

;:;

0.!

13.f

().!

0.(

0.;

0.;

0.[

I.z

1.(

1.:

l.f

1.4

1.4

1.5

1.2

:::

;:;

1.1

::!

0.6

0.6

::2

0.5

0.6

0.5

0.5

0.5

0.5

0.5

0.5

:::

0.5

S.4

8.C

7.5

:::

6.4

6.3

5.8

2::

5.2

5.3

2::

4.5

12.8

12.0

11.6

11.1

10.5

10.1

9.8

9.1

9.3

8.5

%:

S.1

;::

4.2

4.1

3.6

3.4

3.2

2.9

2.9

2.6

2.5

2.4

;::

2.1

2.1

1.9

45-54 55-64 65-7b 75-84 85 years Ageyears years years years and over “d~t~d

Rate per 100,000 population

33.(

32.C

31.!

30.1

29.t

2S.C

27.:

26.5

26.1

25.1

23.9

23.6

21.7

21.5

20.4

56.4

54.5

54.2

51.4

50.6

48.0

47.5

46.0

45.5

44.0

41.5

41.0

37.3

36.9

35.0

11:9

11.7

10.5

9.6

9.2

S.6

8.0

7.3

:::

6.6

6.3

:::

5.8

S6.1

82.:

81.1

77.!

75.:

73.s

70.:

69.!

67.:

62.L

59.:

58.5

55.C

50.7

48.7

158.1

150.7

14s.t

142.E

139.3

135.8

129.7

127.9

122.0

113.0

107.2

105.9

96.7

8s.6

83.8

20.5

19.6

18.6

17.3

15.4

15.4

14.2

14.0

14.8

13.8

12.9

13.1

13.9

13.0

13.6

130.:

126.!

120.:

114.!

108.:

102.!

97.!

94./

90.1

83.;

78.1

72.!

69.1

63.f

59.;

254.(

245.i

231.(

21s.$

204.2

192.1

181.1

173.4

163.7

148.S

139.6

127.1

117.6

108.4

98.7

28.6

28.0

26.1

25.9

24.4

24.2

24.6

24.2

24.1

23.9

22.9

;~.~

22:1

23.3

112.7

106.5

101.t

96.3

91.5

86.1

S3.2

80.6

78.1

75.5

68.6

65.9

61.8

57.1

55.8

213.7

202.2

189.1

175.1

167.1

152.2

143.2

138.8

133.3

126.9

110.5

106.2

95.6

85.2

82.6

37.8

34.7

35.5

35.8

32.8

34.4

36.0

34.3

33.9

34.0

34.5

32.S

33,8

33.6

32.9

75.[

80.;

73.[

74.C

65.t

62.$

58.4

56.5

53.2

48.4

49.8

46.C

46.5

43.0

42.3

132.9

139.7

124.2

127.7

107.7

111.5

91.3

89.6

85.0

73.9

75.0

69.2

71.1

60.5

62.5

39.4

43.9

::.:

38:8

30.9

36.4

34.6

31.1

30.3

31.8

29.4

28.9

30.6

2s.2

20.7

20.0

19.3

18.4

17.7

16.9

16.3

15.8

15.3

14.4

13.6

13.2

12.4

11.6

11.1

37.7

36.3

35.0

33.3

31.9

30.5

29.2

28.3

27.2

25.3

23.8

22.9

21.1

19.6

18.5

::;

5.3

::;

4.6

4.5

4.3

:::

4.0

4.0

;.;

3:9

See fmtnotes at end of table.

31
*

Table 2. Death rates for malignant neoplasm of bronchus and trachea, and of lung specified as

primxr~ xnd malignant neoplasm of lung, unspecified as to whether primary or secondary, by age,

sex, and color; and corresponding age-adjusted rates: United States, 1950-64—Con.

[Deaths are time .t,tnb.ted to categocy mmhers 162 md 163 of the SeventhRevisim.of k Inkmiationd LMS, 1955. Deaths we clmifisd clccmhm to the Sixth Revision for 1950-5’7and tmthe Seventh Revision for 1958-64

sex, year,

and COlOr

White

both%i S

Ma:;-----------

-----------

19622-----------

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

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

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

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

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

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

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

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

1953------------

1952------------

1951------------

1950------------

White, male

1964------------

19632-----------

19622 .----------

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

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

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

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

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

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

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

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

1953------------

1952------------

1951 ------------

1950 ------------

White, fsmale

1964------------

19632---------- .

19622-----------

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

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

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

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

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

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

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

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

1953------------

1952------------

1951------------

1950------------

Alll 25-34 35-44 45-54 55-64 65-74 75-84 85 years ad~ted

.

ages years years years years years years and over rates

24.8

’23.6

22.8

22.0

20.9

20.1

19.3

18.7

18.1

17.0

16.0

;:.:

13:4

12.7

42.7

40.6

39.5

38.0

36.4

34.9

33,4

32.4

31.2

29.2

27.4

26.3

24.2

22.3

20.8

7.4

7.0

6.6

6.4

5.9

5.7

5.6

5.4

5.3

5.1

4.9

4.9

::!

4.7

0.91

:::

:::

1.0

:::

0.8

0.9

0.8

0.8

0.7

0.7

0.7

1.3

1.4

1.3

1.6

1.3

1.4

1.4

1.3

1.2

1.2

1.2

1.2

1.0

1.0

1.0

0.6

M

0.5

0.5

0.6

0.5

0.5

0.5

0.5

0.4

0.4

0.4

0.4

0.4

See footnotes at end of table.

32

7.8

7.3

:::

6.4

6.0

5.9

5.7

H

5.1

:;;

4.5

4.5

11.6

10.9

10.8

10.3

9.7

M

::;

8.2

8.2

8.2

7.8

7.2

7.1

4.1

3.9

3.4

3.4

3.2

2.8

2.8

2.5

2.4

2.?

2.1

2.2

2.C

2.C

l-$

Rate per

32.6

31.3

31. D

29.4

28.8

27.4

26.9

25.8

25.6

24.6

23.4.

23.2

21.5

21.4

20.3

54.3

51.8

52.5

50.0

49.2

:;.:

44:9

44.6

43.3

41.0

40.5

37.1

36.8

35.-1

11.8

11.6

10.3

9.5

9.0

8.2

7.9

7.2

7.0

6.3

6.2

6.1

6.1

6.1

5.7

LOO, 000 population

86.1

81.9

80.8

77.7

75.1

73.8

70.9

69.7

67.4

62.9

59.9

59.3

55.6

51.0

49.6

157.8

149.8

148.3

142.9

139.2

136.3

131.4

128.5

122.8

114.4

108.2

106.8

98.0

89.4

85.4

20.1

19.1

18.1

17.0

15.1

15.1

13.9

13.9

14.6

13.6

13.2

13.0

14.0

12.9

13.7

131.9

126.6

120.4

116.5

109.6

104.4

99.8

96.3

92.4

85.6

80.7

75.2

71.2

65.4

61.1

257.7

245.8

231.7

222.6

207.5

196.4

185.2

177.5

168.4

154.0

144.2

131.4

121.9

111.7

101.5

28.7

27.6

26.6

26.0

24.8

24.2

24.8

24.3

24.6

24. C

23.2

24. C

24.9

22..!

23.7

115.6

107.2

102.8

98.7

92.5

87.6

85.4

82.6

79.9

77.7

70.5

67.7

63.7

59.0

57.5

220.9

203.8

191.2

179.7

170.4

155.7

147.9

142.9

137.1

131.3

113.6

109.2

98.~

88.3

85.5

38.5

35.5

36.2

37.2

32.;

35.C

36.:

35.:

34.7

34.$

35.[

34.(

34,:

34.;

34. (

76.2

82.0

74.6

75.6

66.2

63.7

59.9

59.2

55.2

50.4

51.4

47.3

47.6

44.8

44.9

136.0

141.6

126.0

130.4

109.4

112.6

93.4

92.0

88.1

76.9

77.0

70.9

71.5

63,3

67.4

40.0

45.1

42.4

40.9

39.1

32.1

37.9

37.0

32.3

31.6

33.1

30.2

30.4

31.6

29.3

20.6

19,7

19.1

18,4

17,6

16.9

16,3

15.9

15.4

14,5

13.7

13.3

12.5

~.;

.

37,6

35.7

34.7

33.3

31.9

30.6

29.3

28.4

27.4

25.6

24.1

23.2

21.3

19.8

18.8

5.8

5.6

5.3

2:;

4.6

4.5

4.3

4.3

4.1

4,0

4.0

4.1

3.9

4.0

I

I
●

Table 2. Death rates for malignant neoplasm of brcmchus and trachea, and of lung specifiedas

primary and malignant neoplasm of lung, unspecifiedas tq whether primary or secondary,by age,

sex, and color; and correspondingage-adjustedrates: United States, 1950-64—Con.

[Deaths are those attcib.fed b mfegmy numbers 162 and 163of the SeventhRevision of the lnterrmtimaf L@s, 1955. Deaths are classified acmrdin~ b the Sixth Revision for 1950-57and to the SeventhRevision for 1958-641

Sex, year,

and color

Nanwhite,

both sexes

1964------------

19632.--.-------

:;:;L-.......

1960==:=

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

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

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

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

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

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

1953------------

1952------------

1951------------

1950------------

Nonwhite,

tie

1964------------

19632-----------

19629-----------

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

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

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

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

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

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

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

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

1953------------

1952------------

1951------------

1950------------

Nonwhite,

W

1964------------

19632----------.

19622-----------

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

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

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

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

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

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

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

y;$------------

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

1952------------

1951------------

1950------------

.

All 25-34 35-44 45-54 55-64 65-74 7.5-84 85 ye6US Age.

agesl years years years yeara years years

and over adjusted

rates

17.9

18.2

16.4

15.7

15.6

14.2

13.1

12.7

12.0

10.8

10.2

9.9

8.9

8.3

7.4

31.4

31.9

28.7

29.7

27.5

24.5

22.7

22.1

20.8

18.3

17.5

17.0

15.0

13.8

12.2

5.3

H

4.4

4.3

4.5

4.0

3.8

3.6

3.8

3.2

3.3

3.2

3.1

2.8

1.:

1.E

1.1

1.4

l.:

1.2

;::

1.2

1.2

1.4

1.1

::;

1.3

H

2.9

2.2

2.3

1.7

2.3

0.8

1.8

2.0

2.2

H

0.9

1.6

0.5

1.1

M

0.5

0.6

0.4

;:;

0.5

0.7

0.9

0.4

0.5

1.0

13.L

13.t

11.(

10.:

10. [

9.$

9.$

6.:

7.7

6.$

6.[

6.7

:::

4.!

22.E

22.2

18.2

17.6

17.7

16.8

16.4

10.5

12.2

11.3

10.0

10.5

11.3

6.7

7,4

5.2

::;

3.8

3.0

3.6

3.9

H

2.7

:::

2.5

2.9

1.9

Rate per 100,000 population

43.3

42.9

38.3

37.0

37.0

33.5

33.0

32.5

30.2

29.8

28.2

27.4

23.6

23.2

20.8

76.9

76.9

66.7

64.9

64.2

56.5

58.0

57.1

53.9

50.7

46.5

46.5

39.8

37.7

34.1

12.8

11.6

11.8

10.8

11.1

11.8

9.3

9.0

H

10.3

8.7

;:;

7.4

91.0

85..C

80.1

80.1

77.9

73.2

63.7

67.3

64.8

56.8

52.4

54.7

47.7

47.8

38.7

161.1

151.0

140.1

141.9

140.2

130.5

112.3

121.3

113.4

97.2

95.0

94.4

80.9

79.5

64.8

;f.f+

22:2

20.4

17.6

18.2

16.9

14.7

17.1

16.7

12:?

13.6

14.8

11.9

112.1

119.1

102.4

96.5

90.4

79.6

74.8

72.4

62.1

54.3

50.5

45.1

43.2

41.2

40.3

211.5

220.3

195.3

177.0

167.2

140.9

132.6

126.6

109.4

88.7

85.2

75.9

68.1

70.0

62.6

26.8

30.7

20.5

24.1

20.1

24.0

22.1

22.9

18.5

22.6

18.4

16.3

19.9

13.9

17.9

75.1

86.3

76.2

64.5

77.2

64.6

52.1

51.8

52.2

44.5

41.4

39.3

33.6

29.5

29.0

130.1

155.2

135.1

119.0

125.4

107.6

83.5

85.9

83.8

69.6

68.9

65.8

51.8

43.4

42.6

27.9

26.1

23.7

15.8

34.0

26.1

23.5

20.0

22.5

20.5

15.1

14.0

16.4

16.2

15.6

62.1

65.4

51.4

54.2

58.6

51.5

39.4

28.1

29.5

24.1

29.1

30.8

32.7

21.3

11.2

102.7

112.1

96.8

96.8

89.3

100.0

70.4

61.5

48.0

37.5

50.0

:;.;

26:3

5.4

32.0

31.1

19.0

22.0

34.8

15.4

18.4

&

14.7

15.6

19.4

10.3

17.9

15.3

21.4

21.5

19.2

18.4

18.1

16.5

15.2

14.8

14.0

12.7

11.9

11.7

10.5

10.0

8.9

38.4

38.4

34.2

32.S

32.2

28.7

26.6

25.9

24.4

21.3

20.4

19.7

17.4

16.2

14.4

6.2

H

2:;

:::

H

4.4

3.8

::;

3.7

3.5

~F:guresfor age not stated included in ‘fAllages,t!but not distributedamong age grOuPs-

“F~guresby calar exclude data for New Jersey; see page 6-9, Section 6, V;lume II, Vital Statistics of the United States, 1963.

33
Table 3. Death rates among men for mslignant neoplasm of larynx, by age; and correspondingage.

adjustedrates: United States, 1950-64

[Deathsw. thoseattib.ted tocategory number161 oftheSevembRevisionof tie InternationalLists, 1955. Deaths are classiOed according to

the %th Revision for 165C-57and t-nthe Seventh Revision for 1958-64]

Yeir

1964----------------------

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

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

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

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

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

1958--:-------------------

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

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

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

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

1953----------------------

1952----------------------

1951----------------------

1950----------------------

I

All 25-34

agesl years

2.4 0.0

1

2.5 0.0

2.4 0.0

2.4 0.1

2.5 0.0

2.3 0.0

2.4 0.1

2.3 0.1

0.0

“i:: 0.1

2.2

2.3 O.;

2.2 0.1

0.0

H -

t

35-44 45-54 55-64 65-74 75-s4 S5 years ad*&d

years years years years years and over rate

Rate per 100,000 population

0.4 3.U

L

0.5 3.4

0.5 3.2

0.5 3.1~

0.5 3.2

3.2

M

0.4 M

::: ::!

0.5

0.5 ::;’

0.4 2.8

0.5

0.5 ;::

9.1

9.1

8.9

9.2

8.9

8.3

8.2

S.2

8.4

8.4

7.9

8.3

g.1

7.7

7.7

13.8

14.2

13.1

13.9

14.2

13.4

13.5

12.9

13.7

14.0

13.0

13.1

12.6

13.2

13.3

15.3

15.5

16.1

15.3

16.9

14.9

16.3

17.4

16.3

18.1

16.6

16.2

16.3

15.3

16.0

17.0

15.6

14.2

16.0

17.1

18.0

14.2

18.7

16.2

7.6.4

14.5

18.7

15.4

15.2

16.5

2.1

2.2

2.1

2.2

2.2

2.1

2.1

2.1

2.1

2.2

;::

:::

2,0

1.

Fxgures for age not stated included in “All agesu but not distributedamong age grOuPs.

1

34
Table 4. Death rates among men for malignant neoplasm of lip, by age; and corresponding ageadjusted rates: United States, 1950-64

[Drmths me those attributed h category number 140 of the Seventh Revision of the I.termtional Lists, 1955. Deaths rue classified according to

the Sixth Revision for 1950-57 and to the Seventh Revision for 1958-64]

Year

1964----------------------

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

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

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

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

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

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

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

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

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

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

1953----------------------

1952----------------------

1951----------------------

1950----------------------

Alll

ages

0.2

0.2

0.2

0.2

0.2

0.2

M

0.4

0.4

0.4

0.5

0.5

!::

25-34 35-44 45-.54 55-64 65-74 7’5-84 85 years Ageyears years years years years years snd over ad~t:d

.

Rate per 100,000 population

:::

O.ii

0.0

0.0

0.;

0.1

0.0

6.0

0.0

0.0

0.0

0.0

0.0

0.0

0.1

0.0

0.0

0.0

0.0

0.1

0.1

0.1

:::

0.1

0.1

0.2

0.1

0.1

0.1

0.1

0.1

0.1

0.1

0.3

R

0.3

0.2

0.3

0.3

0.4

0.3

0.3

0.3

0.3

0.5

H

0.5

0.9

0.9

0.6

0.9

0.9

1.0

1.0

0.6

1.0

;::

1.0

i:;

1.9

1.7

2.0

2.4

::;

2.6

2.9

2.0

2.1

3.2

2.8

3.2

3.2

3.s

5.2

5.3

5.2

4.9

5.6

7.0

6.0

8.3

:::

S.2

S.5

7.7

8.5

1;:$

1!:;

15.5

16.3

17.9

16.4

19.0

0.1

0.1

0.2

0.2

0.2

0.2

0.2

0.3

0.3

0.3

0.3

0.4

0.4

0.4

0.5

lFigures for age not stated included in “All agesIIbut not distributed among age grOuPs.

35
Table 5. Death rates fcm bronchitis,unqualified, and chronic brcmchitis, by age and ssx; and

correspondingage-adjustedrates: United States, 1950-64

[Deathsm timeattributed tomtegwymmbm 501*d 502OffieS.,en~R~~siO.oftb.I.temfi..dLk% 1955.Deathm dassif,ad wcmdingb thesixthRevisionfor1950-57andtotheSevemtbRwisionfor195S-&f]

Sex and year

All 25-34 35-44 45-54 55-64 65-74 75-84

agesl years years years years years years

Both saxes Rate per 100,000 population

1964----------------------

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

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

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

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

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

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

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

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

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

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

1953----------------------

1952----------------------

1951----------------------

1950----------------------

Male

1964----------------------

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

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

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

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

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

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

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

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

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

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

1953----------------------

1952----------------------

1951----------------------

1950----------------------

Fsmale

1964----------------------

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

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

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

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

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

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

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

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

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

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

1953----------------------

1952----------------------

1951----------------------

1950----------------------

2.3

2.3

1.9

1.7

1.8

1.5

1.5

1.4

1.2

1.2

1.2

1.3

1.2

1.3

1.3

3.6

3.5

2.9

2.5

2.6

2.3

2.2

2.0

1.8

1.6

1.6

1.8

1.6

1.6

1.6

1.1

;:;

0.8

0.9

0.8

0.8

0.8

0.7

0.8

0.8

0.8

0.8

0.9

1.0

0.1

0.1

0.1

0.1

0.1

0.1

0.1

0.1

0.1

0.1

0.1

0.1

::+

0.1

0.1

0.1

0.1

0.1

0.1

0.1

0.1

0.0

0.1

0.1

0.1

0.1

0.1

0.1

0.1

0.1

0.2

0.1

M

0.1

0.1

0.1

0.0

0.0

0.0

0.0

0.1

0.1

0.1

0.4

0.4

0.3

0.3

0.3

0.2

0.2

0.2

0.2

0.2

0.1

0.2

0.2

0.2

0.2

0.5

0.4

0.3

0.4

0.3

0.3

0.3

0.3

0.2

0.2

0.1

0.2

0.3

0.3

0.2

0.4

0.4

0.3

0.2

0.2

0.2

0.2

0.2

0.1

0.2

0.1

0.1

0.1

0.2

0.1

1.5

1.4

1.2

1.0

1.1

0.9

0.8

0.7

0.5

0.5

0.6

0.7

0.6

0.6

0.6

;::

1.8

1.6

1.8

1.4

1.2

::;

0.7

0.7

1.0

;:;

0.9

0.9

0.7

0.6

0.5

0.5

0.5

0.4

0.3

M

0.4

0.4

0.2

0.3

0.4

5.0

$!

3:6

::;

2.8

2.6

2.3

2.1

2.3

2.0

2.2

2.2

8.6

8.6

7.0

6.0

6.0

5.5

::;

4.4

3.9

::;

3.3

3.5

3.5

1.7

1.2

1.4

1.4

1.3

0.8

0.9

1.0

0.8

0.7

0.6

0.7

0.8

$;

12.41

12.4

9.8

8.3

8.8

7.2

6.6

2::

4.9

4.5

5.1’

:::

5.2

23.2

23.2

18.0

14.9

15.7

13.0

11.8

10.4

7.8

7.9

;::

7.4

7.5

7.0

3.6

3.4

2.8

2.5

2.8

2.1

2.1

2.2

H

;:;

2.8

$:

18.9

19.0

15.5

13.1

13.5

11.3

11.9

10.7

10.4

9.7

10.8

11.4

10.9

11.7

12.2

33.2

32.6

26.0

22.0

22.5

17.8

17.7

15.5

15.6

12.5

15.3

15.0

14.4

14.4

13.9

8.3

8.7

7.5

6.2

6.6

6.3

7.3

6.8

6.2

7.5

7.2

8.4

8.0

9.4

10.7

;5years

md over

32.9

35.0

27.9

21.9

25.4

24.1

22.7

23.1

25.3

24.9

23.2

27.1

24.6

31.0

39.9

53.2

50.4

41.6

31.1

34.8

34.6

30.8

30.9

29.7

28.9

21.4

32.5

28.9

38.7

51.5

20.4

25.4

19.3

16.0

19.4

17.1

17.2

17.8

22.3

22.0

24.5

23.1

21.5

25.6

31.8

Age-

~djusted

rate

1.8

1.8

1.5

1.3

1.4

1.2

l,Z

1.1

1.0

0.9

0.9

1.1

1.0

1.0

1.1

3,0

3.0

2.4

2.1

2.2

1.9

1.9

1.6

H

1.3

;.:

1:4

1.4

0.8

0.8

0.7

0.6

0.7

0.6

0.6

:::

0.6

0.6

::2

0,7

0.8

1

Figures for age not stated included in I‘All~geStibut not distributedamong age grOuPs.

36

I

t
Table 6. Death rates for arterioscleroticheart disease, including coronary disease,by age, sax,

and color; and correspondingage-adjustedrates: United States, 1950-64

[Dwhbsme tb.see.ttnbuted b category number 420 of the Seventh Rev,skmof the International Lists,1955. Deaths are clas.mfied am.mdingto

theSrxthRevisionfor1950-57andtotheSevmtb~wkionf.r1958-(M]

Sex, year,

and color

1964------------

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

1962-..-.-......

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

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

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

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

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

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

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

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

1953------------

1952------------

1951------------

1950------------

~

p:j-------------

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

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

L961------------

L960------------

L959------------

L958------------

L957------------

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

L955------------

L954------------

L953------------

L952------------

L951------------

1950------------

Female

1964------------

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

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

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

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

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

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

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

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

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

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

1953------------

1952------------

1951------------

1950------------

See footnotes

I

Alll 25-34

ages years

285.1

290.0

2S3.9

274.4

275.6

268.6

266.2

265.6

255.5

247.0

235.7

236.1

226.2

219.6

213.0

354.2

361.6

354.9

345.5

348.I3

339.7

337.9

336.4

325.4

316.2

304.5

305.9

293.6

2S6.7

277.8

218.5

220.9

215.3

205.6

205.4

199.5

196.5

196.S

187.5

179.6

168.8

168.3

160.5

153.9

149.1

6.~

7.2

:::

6.E

7.2

7.4

;:;

7.C

6.7

7.1

::;

6.4

11.0

11.1

11.4

10.7

10.9

11.7

11.6

11.0

11.0

11.1

10.7

11.0

11.0

10.3

9.7

3.0

3.4

;::

2.8

::2

M

3.1

3.0

:::

3.3

3.4

t end of table.

35-44

years

53.2

53.:

51.:

50.:

50./

49.$

50.:

50.:

49.:

48.7

47.E

49.4

48.!

48.C

46.7

90.5

89.7

87.?

87.C

86.2

85.6

85.9

86.0

84.2

S2.5

80.6

83.3

81.2

80.0

77.2

17.4

18.4

16.9

15.7

16.4

15.9

16.3

16.4

15.8

16.0

16.2

16.7

16.8

17.0

16.9

45-54 55-64 65-74 75-84 85 years Ageyears years years years ad ~ve= adjusted

rate

Rate per 100,000 population

205.S

209.7

208.1

205.2

207.7

206.9

205.7

202.7

197.4

196.9

198.3

200.4

200.1

196.6

196.0

341.3

348.9

346.0

341.3

347.1

343.7

339.5

335.0

327.1

324.6

325.6

327.2

324.6

318.6

316.6

76.8

76.4

75.5

73.7

72.4

74.2

75.5

73.7

70.6

71.7

73.2

75.6

77.1

75.7

76.0

576.3

583.4

576.4

566.4

580.9

571.9

574.7

5s0.1

563.7

549.7

540.9

556.2

550.6

540.3

534.4

889.8

895.2

883.1

868.8

885.2

875.5

876.0

881.6

856.0

834.3

818.2

835.5

825.1

804.7

792.9

286.4

294.0

290.7

283.8

295.6

286.5

29o.2

293.9

284.6

275.9

272.2

283.5

280.0

277.3

275.0

1,3s4.:

1,413.i

1,384.$

1,344.7

1,356.1

1,332.3

1,329.E

1,340.1

1,297.S

1,265.E

1,225.2

1,239.6

1,189.5

1,175.C

1,180.9

1,942.4

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.S

1,650.0

1,574.0

1,564.o

1,560.7

926.5

943.4

933.3

903.6

914.8

905.4

906.1

927.1

897.4

873.6

846.3

864.9

836.5

815.5

826.8

2,957.7

3,051.1

3,010.6

23934.4

2,998.0

2,912.5

2,920.7

2,932.4

2,868.6

2,780.4

2,624.3

2,645.2

2,532.o

2,479.9

2,423.9

3,623.0

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

3,155.3

3,001.4

2,957.7

2,873.5

2,464.0

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

2,225.6

2,143.0~

2,078.2

2,041.4,

6,882.9

7,127.2

6,914.7

6,457.8

6,36S.6

6,119.6

6,048.4

6,054.4

5,732.9

5,467.7

5,003.4

4,940.5

4,649.1

4,562.8

4,424.0

7,409.4

7,754.0

7,571.8

7,057.4

6,930.6

6,606.5

6,570.6

6,473.6

6,11S.3

5,777.0

5,292.8

53296.2

4,946.9

43981.6

4,907.8

6,559.0

6,736.1

6>499.2

6,064.0

6,009.4

5,s01.3

5,700.2

5,76S.4

5,464.7

5,248.6

4,796.S

4,684.8

4,435.7

4,265.0

4,087.1

216.5

221.2

217.5

211.7

214.6

210.4

210.4

211.2

205.1

200.0

193.4

196.1

190.2

187.0

185.2

303.6

309.4

303.1

295.3

298.3

291.8

291.0

290.Q

281.6

274.5

265.7

268.5

259.7

256.0

252.5

140.7

144.0

141.9

137.1

139.3

136.9

137.3

139.2

134.7

131.0

125.9

128.1

124.6

121.6

120.8

37
Table 6. Death rates far arterioscleroticheart disease, includingcoronary disease,by age, sex,

and color; and correspondingage-adjustedrates: United States, 1950-64—con.

[Deaths me those attiibafsd to cat+sgory number 420 of the Seventh Revision of the International Lists, 1955. Deaths are Awsifiet .cmrding to

the Sixth Revision for 1950-57 and fa the Seventh Revision for 1958-64]

Sex, year,

and color

White,

bot~es

1964------------

19632-----------

19622-----------

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

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

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

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

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

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

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

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

1953------------

1952------------

1951------------

1950------------

White, male

1964------------

lg632______

1962%-----------

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

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

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

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

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

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

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

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

1953------------

1952------------

1951------------

1950------------

White, fmale

1964------------

19632...--------

19629-----------

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

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

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

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

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

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

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

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

1953------------

1952------------

1951------------

1950------------

1

Alll 25-34

ages years

300.1

303.3

297.0

289.2

290.5

283.0

280.2

279.3

269.1

26o.4

24g.6

248.4

238.4

231.5

224.6

373.9

379.7

372.8

365.3

368.0

358.8

356.8

354.7

344.0

334.5

322.0

322.9

310.4

303.3

294.0

228.7

229.2

223.4

215.2

215.1

209.2

205.6

205.6

196.0

188.1

177.0

175.8

168.0

161.0

156.0

See footnotesat and of

6.0

6.1

6.3

5.8

6.1

6.5

6.5

6,1

6.2

6.2

6.1

6.2

6.2

6.0

5.7

9.9

J::

1;::

10.9

10.8

10.2

10.5

10,7

10.2

10.2

10.3

9.8

9.0

2.1

2.4

2.2

1.s

1.9

2.2

2.2

2.1

2.0

1.9

2.1

2.3

2.4

2.4

2.6

Lble.

.

15-44 45-54 55-64 65-74 75-84 S,5years %e -

Tears years years years years and ~er adylsted

rate

Sate per 100,000population

50.7

50.8

49.0

48.9

48.6

48.2

48.9

48.3

47.5

47.3

46.1

47.7

46.8

46.0

45.1

89.2

8S.4

86.4

87.0

86.0

S5.2

86.5

85.6

84.3

83,0

81.1

83.3

81.6

79.8

77.5

13.6

14.7

13.1

12.4

12.7

12.6

12.7

12.4

11.8

12.7

12.2

13.1

12.9

13.0

13.2

202.2

205.4

204..6

203.4

205.2

204.1

202.2

198.8

194.8

193.7

195.9

196.5

197.7

194.5

194.6

343.7

350.7

348.4

347.1

352,5

34s.3

343.6

339.0

332.2

328.9

331.0

330.9

330.2

324.2

323.1

66.7

65.8

65.9

64.2

61.9

63.7

64.2

61.8

60.2

61.1

62.9

64.0

66.7

65.8

66.6

570.4

575.8

568.9

563.8

579.0

571.3

574.2

577.8

563.0

551.1

543.1

55s.0

553.0

543.2

540..4

900.9

905.9

893.6

885.1

901.3

890.8

892.3

g94.9

871.1

850.4

833.7

850.7

840.9

S21.2

812.9

265.7

270.5

267.3

264.5

277.6

271.6

274.4

277.3

269.3

264.0

262.2

273.0

270.2

267.7

267.5

1,392.2

1,412.1

2.,388.6

1,362.1

1,377.2

1,355.9

1,353.5

1,366.8

1,325.3

1,297.2

1,259.0

1,272.2

1,224.9

1,211.2

1,208.9

1,971.5

1,995.8

1,944.8

1,899.3

1,909.2

1,S65.7

1>855.3

1,853.5

1,795.5

1,753.5

1,696.7

1>704.1

1,628.0

1,619.9

1,608.2

917.5

927.2

919.5

904.2

916.3

911.2

912.3

935.4

905.2

886.3

862.3

878.5

856.0

834.9

838.9

3,045.4

3,115.8

3,078.3

3,021.8

3,084.4

2,999:2

3>009.3

3,022.6

2,959.4

2,868.3

2,710.7

2,730.8

2,616.9

2,564.7

2,502.7

3,755.5

3,S46.6

3,763.7

3,694.2

3,758.4

3,617.2

3,633.3

3,610.6

3,538.4

3,433.8

3,244.3

3,268.6

3,113=8

3,074.0

2,978.7

2,524.4

2,574.8

2,562.1

2,511.1

2,566.9

2,522.2

2,523.2

2,559.1

2,500.8

2,417.9

2,279.8

2,293.9

2,208.9

2,142.0

2,101.6

7,188.7

7,366.1

7,114.9

6,675.0

6,625.4

6,370.5

6,304.4

6,301.4

5,986.1

5,715.1

5,220.4

5,152.4

4,848.6

4,773.g

4,634.5

7,779.6

S,039.9

7,828.7

7,326.1

7,248.7

6,gS3.1

6,862.0

6,712.2

6,364.9

6,024.8

5,495.0

5,486.6

5,136.4

5,189.0

5,139.8

6,s31.4

6,949.8

6,668.1

6,252.9

6,233.7

6,038.9

;,;9;.;

5:722:6

5,495.7

5,023.4

4,911.1

4,641.S

6,407.3

4,283.4

217,8

221.3

217.9 .

213,8

216.9

213.0

213.0

213,6

207.9

203.1

196.6

198’9

193.4

190.4

188.4

309.0 :

313.6

307.6

302.0

305.3

298.4

297.8

296,4

288.6

281.6

272.7

275.1

266.7

263.1

259,5

138.6

140.7

138.8

135.5

137.8

136.0

136.1

138.0

133.8

130.6

125.8

127.7

124.4

126.8

120.6

,

38

1

I
Table 6. Death rates for arterioscl~roticheaq disease, includingcoronar disease,by age, sex,

and color; and correspmdmg age-admfsted rates: United s*=tea,?950-64-Cm.

rDo.ths are those attributedto ..temrv number420of tbe SeventhRevision of the InternatiomdLIst6. 1955. DeAbs are classified accmdine to

‘t; Sixth Revision for 1950-57and h the Seventh Revision for 1958-64]

Sex, year,

and color

1964------------

19632...........

19622-----------

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

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

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

195s------------

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

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

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

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

1953------------

1952------------

1951------------

1950------------

Nonwhite,

m~e

1964------------

19632-----------

19622-----------

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

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

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

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

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

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

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

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

1953------------

1952------------

1951------------

1950------------

Nonwhite,

f-e

1964------------

1963L----------

19622 -----------

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

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

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

195s------------

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

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

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

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

1953------------

1952------------

1951------------

1950------------

i

All 25-34

ages1 years

173.4

175.3

169.8

161.2

160.4

154.0

153.3

154.6

144.4

136.2

128.0

132.5

123.3

118.2

113.4

204.9

208.6

202.2

190.9

190.7

185.9

183.1

184.6

171.3

162.9

155.7

160.6

149.6

143.1

136.6

143.7

143.9

139.2

133.3

131.7

123.8

125.2

126.2

118.8

110.9

101.9

106.1

9s.5

94.6

91.2

14.2

14.3

12.7

12.4

12.3

13.0

15.0

13.9

12.7

13.7

12.3

14.9

14.5

12.7

12.5

19.3

19.1

17.6

17.2

15.7

17.9

18.2

17.3

15.3

14.9

15.0

18.2

17.5

15.2

15.2

9.8

10.1

8.6

H

8.8

12.2

11.0

10.5

12.6

1?:?

11.8

10.4

10.2

35-44 45-54 55-64 65-74 75-84 S5 years Ageyears years years years years and over adjusted

rate

74.3

70.0

68.5

63.6

66.1

65.4

62.8

69.6

65.5

60.5

62.9

64.2

63.7

65.3

60.7

105.8

95.“4

94.3

87.4

87.8

89.1

80.7

89.8

82.9

77.7

76.6

82.5

78.0

81.7

74.3

47.0

47.8

45.7

42.5

46.7

43.6

46.4

51.0

49.5

44.5

50.1

47.2

50.4

50.2

48.1

Rate per 100,000 population

239.1

237.E

234.$

221.6

230.S

233.4

239.C

239.$

222.5

227.6

221.4

238.2

222.9

217.1

209.9

318.7

316.6

312.4

286.6

297.0

298,9

300.0

296.6

277.6

283.1

272.9

291.4

270.5

264.7

254.2

166.8

165.4

161.7

160.4

168.0

171.6

1s1.5

185.8

169.2

173.8

171.2

185.9

175.8

169.5

165.7

635.3

631.0

616.2

592.9

601.0

577.8

579.9

606.5

572.4

533.0

515.2

534.6

521.2

504.0

461.6

781.6

758.5

736.7

707.5

723.7

715.9

703.5

736.7

687.1

651.8

638.5

652.4

635.0

602.4

554.1

496.5

508.5

500.1

4S2.1

482.3

445.0

462.0

479.6

459.8

415.1

391.9

414.3

404.3

401.6

366.7

1,29S.4

1,300.7

1,218.1

1,141.3

1,108.6

1,050.9

1,043.9

1,020.5

970.2

S90.3

819.6

84S.9

765.3

737.9

800.5

1,604.2

1,622.6

1,503.7

1,415.8

1,340.2

1,290.7

1,277.8

1,232.7

1,152.6

1,076.0

1,002.8

1,006.1

940.6

904.0

943.1

1,036.3

1,019.9

96S.2

S94.6

897.0

833.6

82S.5

S26.7

798.3

719.3

650.4

700.0

600.8

580.9

656,8

1,849.6

1,923.6

1,880.7

1,798.8

1,823.4

1,713.4

1,687.7

1,673.6

1,580.2

1,528.1

1,379.1

1,392.3

1,2S6.3

1,225.3

1,232.9

2,0S6.9

2,235.6

2,180.4

2,014.7

2,114.1

1>991.7

1,982.7

1>942.2

1,808.5

1,715.2

1,616.8

1,628.1

1,473.6

1,387.7

1,407.3

1,639.1

1,650.8

1,605.8

1,597.s

1,563.4

1,464.6

1,419.6

1,423.4

1,365.2

1,399.4

1,143.7

1,158.7

1,108.6

1,070.3

1,061.1

33543.7

3,871.8

3,816.2

3,766.7

33294.4

33057.4

23968.2

2,995.3

2,677.0

2,443.1

2,249.1

2,336.5

2,185.7

2,008.5

1,922.5

3,827.0

4,366.7

4,300.0

4,067.7

3,574.5

3,496.6

3,403.7

3,619.2

3,140.0

2,741.7

2,700.0

2,866.7

2,550.0

2,394.7

2,196.3

3,334.0

3,508.9

3,550.0

3,539.0

3,076.3

2,730.8

2,736.8

2,637.8

2,355.6

2,232.4

2,009.4

1,977.4

1,934.5

1,746.4

1,726.8

196.S

198.0

191.1

181.6

181.3

174.5

174.2

176.1

165.5

157.1

148.5

154.7

145.2

140.3

138.2

242.9

244.3

234.7

220.6

219.5

215.0

212.0

213.2

198.2

188.8

1s1.0

186.6

175.2

168.3 .

164.0

155.7

156.5

151.7

145.8

145.8

137.1

139.5

141.7

134.6

126.8

117.6

123.9

116.2

113.0

112.6

~F;guresfor age not stated included in ‘tAllages” but not distributedamong age groups.

‘Figuresby color axclude data far New Jersey; see page 6-9,

tistics of the United States. 1963.

Sectim 6, Volume II, Vital Sta39
Table 7. Death rates for cirrhosis of liver,by age and sex; and corresponding age-adjusted rate a:

United States, 1950-64

rDesthsarethoseattributedacateeownumber581oftieSeventhRevisionoftheI.tematkmafLists.1955.Deathsme classified accordh ia L–. .

-.

theSixthRevisionfor1950-57andtatheSeventiRevkim for1958.64J

Sex and year

Both sexes

1964----------------------

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

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

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

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

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

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

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

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

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

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

1953----------------------

1952----------------------

1951----------------------

1950 ----------------------

Male -

p;----------------------

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

1962----------; -----------

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

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

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

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

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

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

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

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

1953----------------------

1952----------------------

1951----------------------

1950 ----------------------

Female

1964----------------------

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

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

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

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

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

195s ----------------------

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

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

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

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

1953 ----------------------

1952----------------------

1951----------------------

1950 ----------------------

All

ages I

25-34

years

12.1

11.9

11.7

11.3

11.3

10.9

10.8

11.3

10.7

10.2

10.1

10.4

10.2

9.8

9.2

16.0

15.7

15.7

15.1

15.3

14.6

14.5

15.3

14.2

13.6

13.5

13.8

13.8

13.0

12.1

8.4

8.3

7.9

7.6

7.5

;::

;::

6.9

6.7

7.1

n

6.3

3.3

3.3

3.2

3.1

2.9

2.8

2.5

2.9

2.4

2.1

2.2

2.3

2.4

2.3

2.1

3.6

3.6

3.4

3.6

3.1

2.9

i:!

2.4

2.1

M

2.4

x

3.0

3.0

3.0

2.7

2.7

2.7

2.3

2.8

2.4

2.1

2.1

2.1

2.3

2.3

2.0

35-44 45-54 55-64 65-74 75-84 85 years

years years years years years and wer

13.9

12.7

13.0

12.3

11.8

11.5

11.1

12.1

11.2

10.5

10.4

10.7

10.6

10.1

9.3

16.7

15.3

15.7

2.4.8

14.4

14.1

13.4

14.7

13.6

12.9

12.7

12.9

13.4

12.6

11.7

11.2

10.2

10.5

9.9

9.3

9.1

8.9

9.7

8.8

8.2

8.2

8.7

8.0

M

Rate per 100,000 population

29.5

29.9

28.9

27.5

27.6

26.1

24.9

25.6

23.8

22.8

21.5

23.o

22.4

21.1

19.1

3S.8

38.2

38.2

36.1

36.8

34.7

33.9

35.3

31.9

30.9

29.6

30”.9

30.1

28.2

25.6

20.7

21.9

20.0

19.2

18.6

17.7

16.0

16.2

15.9

14.s

13.6

15.3

14.7

14.1

12.6

38.1

36.4

35.4

34.2

32.7

31.8

31.3

33.0

30.9

28.8

29.1

29.9

29.9

28.7

27.2

54.5

52.4

51.7

49.4

48.5

46.1

45.1

48.2

44.2

41.4

42.1

43.1

43.6

39.6

38.1

23.0

21.6

20.1

19.9

17.9

18.5

18.2

18.6

18.2

16.6

16.5

17.1

16.4

17.8

16.1

36.7

37.5

37.1

35.6

37.4

34.9

36.6

38.2

36.8

36.1

35.5

34.7

34.4

34.0

33.8

56.6

57.8

56.7

55.1

57.4

53.3

56.2

57.4

54.6

52.5

51.5

49.9

50.4

48.6

4s.0

20.4

20.6

20.6

19.0

20.1

18.8

19.4

21.2

20.8

21.4

21.0

20.8

19.7

20.4

20.6

29.5

29.6

29.5

30.1

32.1

33.0

34.0

35.3

37.3

35.9

35.7

38.8

37.6

38,7

36.9

43.6

42.7

43.1

44.8

45.1

46.2

46.1

4s.9

48.6

50.1

47.5

50.9

50.2

52.8

45.9

19.0

19.7

19.1

18.8

22.0

22.6

24.5

24.4

28.2

24.3

26.1

28.9

27.2

26.9

29.2

25.4

26.1

26.3

25.9

2s.s

28.6

31.2

32.3

32.7

37.0

37.4

37.8

37.9

40.6

39.0

33.2

34.5

37.9

32.4

40.0

37.5

41.0

42.1

42.8

43.7

47.4

45.0

49.5

42.2

43.9

20.6

20.9

19.0

21.7

21.7

22.8

24.6

25.5

25.7

32.3

30.4

32.6

29.7

39.4

35.6

11,5

11.Z

11.0

10.6

10.5

10.1

1;:;

9:4

9.2

u

u

15.5

15.1

15.1

14.5

14.5

13.8

13.6

14.4

13.3

12.7

12.6

12.8

12.8

lZ.1

11.4

7.s

7.7

7.4

::;

6.7

6.5

6.8

6.6

6.z

2:;

6.2

6.2

5.8

lFigures for age not stated included in “ml ages!’but noe distributed among age groups.

i

i

i

1

40
Table 8. Death ratea for emphysemawithout mention of bronchitis,by age and sex; and corresponding age-adjustedratea: United States, 1950-64

~m.thsaceWas.attributed fa.~tegcwn.mb.x527.1of the SevenfJ Revision O, the InternationalLmt.s. 1955. Dembs W. .Assifmd according

tL-tJ~ sixth Revision for 1950-57and to the Seventh Revision for 1956-64]

Sex and year

Both sexes

1964----------------------

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

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

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

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

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

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

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

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

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

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

19532---------------------

1952%--_-- -------------.

19512---------------------

1950----------------------

Male

1964----------------------

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

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

1961--------------------–

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

1.959----------------------

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

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

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

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

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

19532---------------------

1952s---------------------

19512---------------------

1950----------------------

Female

1964----------------------

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

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

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

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

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

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

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

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

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

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

1953~---------------------

1952”.--,--------------------

19519---------------------

1950----------------------

All

ageal

:::

6.7

;::

4.4

3.9

3.4

2.7

2.2

1.9

i::

:::

14.6

14.2

11.8

10.0

9.2

;:?

:::

4.0

3.3

2.9

;;:

1.4

2.1

2.0

1.7

1.4

1.2

t::

0.8

0.6

0.5

0.5

0.4

0.3

):

I I

25-34 35-44 45-54

years years years

! 1

0.1

0.2

0.l

0.1

0.1

0.1

0.1

0.1

0.1

0.1

0.1

-..

---

---

0.0

0.2

0.2

0.2

:::

0.2

0.1

0.1

0.1

0.1

0.1

---

---

---

0.1

0.1

0.1

0.1

0.1

0.1

0,1

0.0

0.1

0.1

0.1

0.0

---

---

---

0.0

;:;

:::

O.E

g::

O.t

0.5

0.4

0.4

---

---

---

0.2

1.5

1.5

1.4

1.2

1.2

0.9

:::

0.8

0.6

0.6

0.4

0.6.

0.4

0.5

0.3

0.5

:::

0.3

0.2

0.3

0.1

---

---

---

0.1

55-64

yeara

65-74 75-81

years years

Rate per 100,000 population

5.;

5.;

4.!

3.;

4.(

3.:

2.t

2.;

2.:

2.C

l.t

---

---

---

1.C

9.6

9.5

i::

7.0

5.8

4.9

4.7

3.9

3.6

2.7

---

---

---

1.9

2.0

2.1

1.6

::$

0.9

0.8

0.7

0.5

0.4

0.4

---

---

---

0.2

22.(

22.:

18,;

16.!

15.!

13.;

12.:

11.(

9.1

7.:

6.:

---

---

---

2.f

41.;

41.2

34.5

31.2

29.1

26.1

23.2

20.$

17.:

14.C

11.9

---

---

---

5.2

i::

3.6

;::

1.9

;:;

:::

0.9

---

---

0.5

52.8

52.1

42.9

35.7

32.6

27.2

24.3

20.7

15.3

13.2

10.9

---

---

---

4.3

105.5

103.8

85.3

69.9

64.0

53.0

:;.:

29:6

25.4

20.3

---

---

---

8.1

;:;

::;

5.3

H

3.8

2.4

2.3

2.4

---

---

---

0.8

67..!

63.2

52.6

43.6

38.[

32.1

28.2

24.7

19.8

15.8

12.9

---

---

---

4.7

136.4

125.3

101.9

84.5

74.5

61.5

55.1

47.1

36.3

28.7

24.1

---

---

---

7.6

17.0

16.6

15.0

12.2

10.7

9.0

::;

6.5

5.3

3.8

---

---

---

2.2

85 years

and over

68.5

70.9

55.5

46.8

38.4

35.2

27.6

22.5

19.4

15.9

15.0

-..

---

---

7.1

134.2

139.7

104.2

.3:.:

.

67.6

46.2

::.;

25:8

23.4

---

---

---

11.8

28.0

27.9

24.6

22.1

16.6

14.0

15.1

:.:

8:9

8.9

..-

---

---

3.8

Ageadjuated

rate

6.6

6.4

;:;

4.2

3.6

3.2

;::

1.9

1.6

---

---

---

0.7

12.6

12.3

10.1

8.6

8.0

6.8

6.0

i::

3.5

2.9

---

---

---

1.3

1.6

1.5

1.3

:::

8::

0.6

0.5

0.4

0.4

---

---

0.2

lFiwe~ fOr age not stated included in “All agea”

‘Death rates by age not available for 1951-53.

but not distributedamong age graups.

41
Table 9. Death rates for ulcer of stomach, by age and sex; and correspondingage-adjustedrates:

United States, 1950-64

[Deaths are those .Uributsd k.categcny number54o.ftbeSeventhRevisi.nOftheIntematiomd Lkks,1955.Deathsaceclassified accordhgb

theSithRevision for 1950-57andb the SevenffiRevision for 1958-64]

Sex and year

Both sexes

1964----------------------

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

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

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

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

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

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

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

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

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

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

1953----------------------

1952----------------------

1951----------------------

1950----------------------

Male

1964----------------------

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

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

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

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

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

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

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

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

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

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

1953----------------------

1952----------------------

1951----------------------

1950----------------------

Female

1964----------------------

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

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

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

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

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

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

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

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

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

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

1953----------------------

1952----------------------

1951----------------------

1950----------------------

All

lgesl

2.9

3.4

3.5

3.2

3.2

3.0

3.2

3.0

3.0

2.9

2.9

3.0

:::

3.0

4.0

4.7

4.9

4.6

4.6

4.4

4.6

4.4

4.5

4.5

4.5

4.7

4.6

4.7

4.8

1.8

2.0

2.1

1.8

1.8

1.7

1..7

1.6

1.5

1.4

~.:

l.:

1.2

1.2

1.2

25-34 35-44 ‘45-54 55-64 65-74 75-84 85 years

years years years years years years and over

I 1 1 1 I ,

Rate per 100,000 population

0.3

0.4

0.3

0.4

0.4

0.2

0.4

0.3

0.4

0.4

0.4

0.4

0.4

0.4

0.5

0.3

0.5

0.5

:::

0.4

0.6

0.4

0.6

0.5

0.6

0.1

0.5

0.7

0.2

0.3

0.2

0.2

0.2

0.2

0.1

0.:

0.2

0.2

0.:

0.2

0.2

0.;

0.;

0.;

1.1

1.3

1.3

1.2

1.1

1.1

1.3

1.3

1.2

1.3

1.4

1.4

1.5

1.6

1.8

1.4

1.7

1.8

1.8

1.6

1.6

1.9

2.0

1.8

2.1

2.2

2.2

2.6

2.8

2.8

0.7

0.9

0.8

0.7

0.6

0.6

0.8

0.6

0.6

0.5

0.7

0.6

0.5

0.6

0.8

2.9

3.6

::2

3.4

3.4

3.6

3.6

3.6

3.6

3.9

?:;

4.3

4.4

;.;

:::

5.2

5.4

5.4

5.7

5.8

6.0

-6.4

6.4

7.1

7.2

7.4

1.6

1.7

L.8

1.8

1.5

1.6

1.8

1.6

1.4

1.3

1.3

H

1.3

1.5

6.6

Z::

7.5

7.9

7.7

7.8

7.6

7.6

7.5

::;

8.5

8.6

9.1

10.6

12.4

13.0

12.1

12.7

12.6

12.9

12.5

12.5

12.5

12.9

14.1

14.2

14.2

15.4

2.8

3.4

3.6

3.2

3.4

3.1

3.1

3.0

2.9

2.7

2.6

2.7

2.8

2.9

2.8

12.9

15.9

16.3

15.1

15.2

14.0

15.0

14.2

14.5

14.2

14.3

14.0

13.8

14.6

14.0

20.4

25.2

26.0

23.9

24.3

22.1

24.2

22.4

23.5

22.4

23.3

22.8

22.8

23.5

22.6

6.E

8.1

8.2

7.6

7.3

:::

6.5

,

::;

6.2

5.5

5.:

6.:

5.:

26.0

29.4

30.5

27.9

27.8

27.1

27.2

24.5

25.7

23.8,

21.21

23.9

20.3

19.9

20.2

37.5

43.7

45.2

42.1

40.3

40.1

40.7

:;.:

36:8

32.6

37.8

30.6

31.3

32.5

17.5

18.8

19.3

17.0

18.1

17.0

16.6

14.7

16.1

~3.2

11.9

12.6

11.7

10.3

9.8

44.1

48.8

51.5

43.4

43.5

37.5

39.1

38.0

3s.1

31.0

32.0

27.8

24.8

25.8

22.9

59.7

64.7

67.6

62.2

62.7

49.9

55.5

50.7

53.2

43.7

43.8

43.6

35.2

38.3

35.5

34.4

38.9

41.3

31.2

31.2

29.5

28.1

29.4

27.7

22.0

23.5

16.4

17.3

16.9

14.1

Ageadjusted

rate

2.3

2.7

2.8

;:2

‘2.5

2.6

2.5

2.6

2.5

2.5

2.6

2.6

2.6

2.7

::;

4.3

4.0

4.0

::;

:::

4.0

4.0

4.2

4.2

4.3

4,4

1.3

::;

1.4

1.3

1.3

1..4

1.3

1.2

1.1

1.1

1.1

1.0

1.1

1.1

lFigures for age not stated included in “All ages” but not distributedamong age groups.

42
Table 10. Death rates for malignant neoplasm of esophagus, by age and sex; and corresponding ageadjusted rates: United States, 1950-64

[De.thswe thoseattributedtocategorynumber 150oftheSeve.thRevisionoftheMemmtkmaf Lists,1965. Deathsareclassifiedaccordingto

tbe%xti Revisionfor1950-5?and totbeseventh Revision for1958.64]

Sex and year

Both sexes

1964----------------------

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

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

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

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

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

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

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

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

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

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

1953----------------------

1952----------------------

1951----------------------

1950----------------------

1964----------------------

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

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

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

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

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

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

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

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

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

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

1953----------------------

1952----------------------

1951----------------------

1950----------------------

Female

1964----------------------

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

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

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

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

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

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

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

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

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

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

1953----------------------

1952----------------------

1951----------------------

1950----------------------

All 25-34 35-44 45-54 55-64 65-74 75-W

ages 1 years years years years years years

Rate per 100,000 population

2.!

2.’

2.”

2.”

2.:

2.:

2.:

2.:

2.(

2.;

2.{

::[

2.:

2.(

4.!

4.:

4.:

4.2

4.:

4.:

4.:

4.2

4.2

4.2

4.1

4.2

:::

4.1

1.2

1.2

1.2

i::

1.2

1.1

M

1.1

1.1

::;

1.1

1.1

0.0

0.1

0.1

0.0

0.0

0.1

0.0

M

0.0

0.0

::;

0.0

0.1

0.0

0.1

0.1

0.0

0.1

0.1

::!

0.0

0.1

0.0

0.1

0.1

0.0

0.1

0.0

0.0

0.1

0.0

0.0

0.0

R

0.0

0.0

0.1

0.0

0.1

0.0

0.1

:::

0.6

0.6

0.6

0.6

0.5

0.6

0.7

0.4

0.5

::;

0.5

0.5

1.2

3::

0.9

0.8

0.9

$;

0.9

0.7

0.7

0.7

0.6

0.7

0.7

0.5

:::

::;

0.4

$$

0.5

0.2

0.3

0.4

0.3

::;

3.(

3.(

3.;

;::

3.L

3.:

3.2

3.1

3.2

3.C

3.C

;::

2.9

5.5

5.6

5.7

M

5.5

5.7

5.2

5.2

5.2

4.9

2:;

4.7

4.6

1.8

1.7

1.8

1.3

1.4

1.4

1.5

1.2

1.1

1.2

1.1

:::

0.9

1.2

2!

8.2

8.!

8.!

8.$

8.!

8.;

s.]

8.(

7.[

80C

;::

8.:

15.:

14.4

15. C

14.2

14.1

15.1

14.1

13.8

13.8

14.7

13.4

13.8

13.3

13.6

13.8

3.0

::;

3.1

3.0

3.0

2.6

2.9

H’

2.4

2.4

2.7

2.9

2.9

14.1

14.6

13.9

13.5

14.4

14.1

13.7

14.4

13.9

14.3

15.0

14.4

14.7

14.5

15.6

25.4

25.9

24.6

23.9

25. o

24.0

23.8

24.5

23.5

24.2

24.8

24.2

24.4

23.7

25.7

4.9

N

4.7

5.2

,2::

?:

5.4

6.0

5.5

M

6.1

18.4

17.1

18.0

18.7

19.8

19.4

19.4

20.0

21.1

20.4

20.4

21.8

22.4

20.8

21.2

29.9

27.7

31.0

31.3

32.3

30.8

32.8

32.5

33.3

32.6

32.8

35.9

37.8

32.6

34.2

9.8

u

1::;

10.4

1%:

11.4

10.6

10.2

10.2

1:::

10.2

85 years

I

Ageand over

adjusted

rate

21. /

23.:

24.1

25. i

2,2.L

21.5

23. C

28.2

21.6

24,6

22.S

24.5

26.8

22.7

22.7

34.7

39.0

38.9

42.0

34.2

32.4

37.5

44.8

35.8

34.9

35.5

36.7

36.6

33.6

32.5

13.2

13.5

14.6

15.3

14.8

15.1

14.3

16.8

11.7

17.4

13.9

15.7

19.7

15.0

15.9

2.3

%::

2.2

2.3

2.3

2.2

2.2

2.2

2.2

2.2

2.2

2.3

2.2

2.3

R

3.9

U

3.8

3.8

3.7

::;

3.6

3.7

3.7

3.5

3.7

1.0

1.0

R

0.9

0.9

0.9

0.9

:::

0.9

0.9

0.9

0.9

0.9

1~ig=e~ .fOr age not stated included in “All ages II but not distributed among age groups.

43
Table 11. Death rates for malignant neoplasm of buccal cavity and pharynx, excluding mslignant

neoplasm of lip, by age and sex; and corresponding age-adjusted rates: United States, 1950-64

[Deaths we those atiihuted ta category numbers141-148of the SeventhRevision of the Intemationd Lists, 1955. Deaths are classified aocord.

ing to the Sixth Revision for 1950-57and fmthe SeventhRevision for 1958-64]

Sex and year

Both sexes

1964----------------------

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

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

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

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

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

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

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

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

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

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

1953----------------------

1952----------------------

1951----------------------

1950----------------------

a

1964----------------------

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

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

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

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

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

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

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

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

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

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

1953----------------------

1952----------------------

1951----------------------

1950----------------------

Femsle

1964----------------------

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

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

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

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

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

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

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

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

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

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

1953----------------------

1952----------------------

1951----------------------

1950----------------------

z

All 25-34

Zges1 years

3.3

3.4

3.4

3.3

3.3

3.3

3.2

3.2

3.1

3.1

3.1

3.0

3.0

2.9

3.1

5.1

5.2

5.2

5.1

5.1

5.2

4.9

:::

4.9

4.9

4.7

4.6

4.6

4.9

1.6

1.6

N

1.6

1.5

1.5

1.4

i::

1.4

1.3

1.3

1.3

1.3

0.2

0.2

0.2

8:;

0.2

0.2

0.2

0.2

0.2

0.2

0.2

0.2

0.1

0.2

%2

0.2

0.4

0.3

0.3

0.3

0.3

0.2

0.3

0.2

0.2

0.3

0.2

0.2

0.2

0.1

0.2

0.1

0.2

0.1

0.2

0.2

0.2

0.2

0.1

0.1

0.2

0.1

0.2

35-44 45-54 55-64 65-74 75-84 85 years ad~;ed

years years years years years and aver rate

1.1

1.1

1.1

1.0

1.1

1.0

1.0

1.0

0.9

1.1

;:;

0.9

1.0

1.0

1.5

1-.5

1.5

1.4

1.4

1.4

1.4

1.4

1.3

1.5

1.4

1.3

1.2

1.4

1.4

0.6

0.8

0.8

0.7

0.7

0.7

0.7

0.5

0.6

0.7

0.7

0.5

0.6

0.6

0.5

Rate per 100,000 population

5.1

M

5.1

5.3

?;

4.5

4.2

4.1

4.0

3.7

H

3.8

7.8

8.3

8..1

7.7

7.8

S.o

6.8

:::

6.3

6.3

5.8

5.9

5.6

5.9

2.5

2.5

2.1

2.5

2.8

2.1

2.1

2.0

1.8

1.9

1.9

H

1.8

1.8

11.0

10.9

10.3

lg.g

9.7

u

;::

:::

S.s

8.8

9.2

17.8

18.2

17.0

17.1

15.9

16.3

16.5

15.5

15.6

15.2

15.2

14.8

15.0

14.6

15.1

:.-j

4;2

3.6

3.8

3.5

3.6

3.3

3.4

3.1

3.1

3.1

2.7

2.9

3.2

14.6

14.7

15.2

15.2

15.1

14.9

14.3

15.5

14.6

15.5

15.6

14.3

15.2

14.9

16.4

25.9

25.1

26.0

25.7

25.5

25.7

24.3

27.0

24.8

26.1

26.1

24.3

24.4

24.6

27.2

5.4

6.1

6.1

H

5.5

5.5

5.3

5.5

5.9

6.1

::?

::!

;;.;

21:2

2L.9

22.9

23.4

23.2

24.7

24.5

24.3

24.1

25.0

24.0

25.1

28.2

34.2

32.8

34,7

36.2

37.3

37.8

37.4

40.2

41.0

40.8

40.1

40.9

38.9

41.8

46.5

9.0

1::;

11.0

11.6

12.1

12.1

12.3

11.3

10.9

11.1

11.9

11.6

11.1

12.7

34.0

33.4

36.6

33.9

31.2

31.2

34.7

35.3

34.1

33.2

34.2

33.9

32.4

31.3

33.8

52.2

53.5

59,2

53.5

53.0

53.2

56.7

57.3

59.0

55.0

54.9

54.7

49.1

48.0

56.2

22.9

20.9

22.3

21.4

17.3

16.8

20.0

20.2

16.8

17.8

19.3

18.9

20.5

19.4

18.2

k:

2.8

2.8

2.8

2.8

;.;

2;7

2.7

2.7

2.5

::2

2.8

4.6

4.6

4.6

4.6

4,5

4.6

4.4

4.5

4.4

4.4

4.3

:::

:::

1.3

1.3

1.3

1.3

1.3

1.2

M

1.1

1.2

1.2

1.1

1.1

1.1

1.2

‘Figures for age not stated included in “All ages” but not distributed among age groups.

44
Table 12. Death rates among men for malignant neoplasm of bladder and other urinary organs, by

age; and correspondingage-adjustedrates: United States, 1950-64

[Deathsacethoseattributedb category number181oftheSeventhRevkion oftheInternational Lists,1955. Deathsare.I.ssif,ed according to

the %xtb Revision for 1950-57and to the seventh Rew+mn for 1958-641

Year

1964----------------------

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

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

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

1960---------------------:

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

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

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

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

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

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

1953----------------------

1952----------------------

1951----------------------

1950----------------------

All 25-34 35-44 45-54 55-64 65-74 75-84 85 years ~d;g;ed

agesl years years yeara years years years and over rate

Rate per 100,000 population

5.8

6.1

6.1

:::

6.1

;::

6:0

;:~

5:8

5.8 1

0.1

0.1

0.1

0.1

0.0

0.1

0.1

0.1

0.1

0.0

0.1

0.0

:::

0.1

0.4

0.5

0.5

0.5

0.6

0.6

0.6

0.5

0.6

0.6

0.6

0.7

0.7

H

3.1 12.8

L

3.5 *$:

::: 13:9

3.6 14.3,

3.6 14.5,

3.4 13.7

3.9 ;;.:

3.7

3.8 14:4

4.1 15.5

4.2 16.1

4.2 15.9

4.7 15.8

4.2 16.6

38.1

40.3

40.7

38.2

38.7

37.5

37.5

37,5

36.5

38.4

3?.3

37.1

37.5

34.5

37.3

72.3

72.7

70.7

70.7

76.7

75.1

74.4

73.7

74.7

74.3

73.8

70.9

72.0

70.3

68.5 1

110.1 4.9

114.5 5.2

114.2 5.1

106.1

104.1 H

108.2

105.5 :::

107.1 5.1

106.7 5.2

95.3 5.1

103.6 5.2

100.3 5.2

96.7

107.8 ::;

101.8 5.2

1 Fig~es for age not stated included in “All ages” but not distributed among age SrOuPS.

45
OUTLINE OF REPORT SERIES FOR VITAL AND HEALTH STATISTICS

Public Health Service Publication No.1OOO

Series 1. Programs andcollectionprocedures.- Reports which describe the genersiprograms of the National

Center for Health Statistics and its offices and divisions, data collection methods used, definitions,

and other materiai necessary for understanding the data.

Sew”es 2. Data eualnution and methods vesearch. —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.

Series 3. Analytical studies. -Reports presenting analytical or interpretive smdies based on vital and health

statistics, carrying the anaiysis further than the expository types of reports in the other series’.

Series 4. Documents and committee reports. —Final reports of major committees concerned with vital and

health statistics, anddocuments such as recommended model vital registration laws and revised birth

and death certificates.

Series 10. Data from the Health Interview Swvey. —Statistics on itiness, accidental injuries, disability, use of

hospitai, medical, dental, and other services, and otherhealth-related topics, bssed on data collected

in a continuing national household interview snrvey.

Sem”es 11. Data porn the Health Examination .%mey.— Data from direct examination, testing, and measurement of national samples of the population provide the basis for two types of reports: (1) estimates

of the medically defined prevalence of specific diseases in the United States and the distributions of

the population with respect to physical, physiological, and psychological characteristics; and (2)

anaiysis of relationships among the various measurements without reference to an explicit finite

universe of persons.

Series 12. Data from the Institutional Population .Sumeys.-Statistica relating to the health characteristics of

persons in institutions, and on medical, nursing, and personal care received, based on national

samples of estshiiahments providing these services and samples of the residents or patients.

Sevtes 13. Data from the HoepitaL Discharge Sursey.-Statistics relating to discharged patients in ehort-stsy

hospitals, based on a sample of patient records in a natiOnsl samPle of hosPitals.

Seties 20. Data on ntotiaEty.-Various statistics on mortality other than as included in annual or monthly

reports-speciai anslysea by cause of death, age, andother demographic variablea, also geographic

and time series analyses.

Series 21. Data on mztality, nzarr&zge, and divorce. —Various statistics onnatali~, marriage, and divorce other

than aa included iu annual or monthly reports-special amlyses by demographic variabIes, also

geographic and time series analyses, studies of fertility.

Series 22. Data front. the NationalMztality and Moztality Surveys. —Statistics on characteristics of births and

deaths not available tiom tbe vital records, basedon sample eorveys stemming from these records,

including such topics as mortality by socioeconomic class, medical experience in the last year of

life, characteristics of pregnancy, etc.

For a iist of tities of reports pubiishedin these series, write to: Office of information and Publications

National Center for Health Statistics

U.S. Public Health Service

Washington, D.C. 20201

U. S.GOv— PSINKNG OFFICE : 196E 0- 2SS-201