Annual Report Arizona State Department of Health

              ARIZONA
1940- 1941
EEPOET
A R I Z 0 N a S T A T E D E P A R T M E N T 0 F H E A 1 T H .
1940--1941
JL.'?.IL:.Ol'IA STATE BOiillD OB' HEALTH
Charles S. Powell, M.D., Ghairman
Jane H. Rider, Vice-chairman
Rev. Ermnett l\IIcLoug,i1lin, Secretary
Mrs. D. D. Richardson
I. E. lluffman, M.D.
ARIZONA STATE DEPA.RTJ\ILENT OF HEALTH
G. F'. Manning, IV!. D., Superintendent of Public Health
J. D. Dunshee, M.D., Director, Division of Local Health Administration
Hilda Kroeger, M.D., Director, Division of M&ternal and Child Health
Jefferson I. rlrown, R.N., Director, Division of Nursing Personnel
lV:il.dred T. Wooley, D.P.H., Director, i:ltate Laboratories
George Marx, Director, Division of Sanitation
Florence Olsen, Vital Statistician
COUNTY HEALTH UNIT DIREC'I'OES
0. B· Moon, Cochise County Health Unit
H. L. McMartin, Maricopa County Health Unit
L. H. Howard, Health District No. l - Pima and Santa Cruz Counties
R. 1\1. lv.Iatts, Yuma County Health Unit
Central Administration
Report of Superintendent
New State Law
Outline of Organization
Organization Chart
F'inancial Report 1940-194:1
Financial Summary 1935-194:1
J
REPOHT O.F' S UP.h1UNTE:tWENT
Progress has been made in the state of health of the
people in Arizona, but in certain diseases the public health
worker possesses no specific methods of treatment by which the
diseases may be controlled. Diseases for which the public health
worker has specific means of control show a decrease in incidence
and demonstrates the value of immunization against certain di­seases.
There has been a definite decrease in maternal and
infru::tt death rates in the state du.ring the past year. Much is
being accomplished through organized work in the control and
treatment of' venereal diseases, especially syphilis.
There has been a steady increase in the amount of work
:required of the various divisions of the State department and
local health units, due not only to an increasing population,
but to an ever increasing demand by the people for health ser­vices
as a better understandine~ of their value becomes known.
National Defense has increased the work of the depart­ment
very materially, especially in the divisions of vital
statistics, laboretories, sanitary engineering and venereal
disease control.
Public health has a long way to go in Arizona before its
real wlue to the people of' the State is realized and. its
benefits taken advantage of• There are many unsolved problems
in the field of health in Arizona. The lack of adequate funos
prevents the starting; of :many public health projects at the
present time that 11ould be of definite value to a larg;e propor­tion
of our population. There is urr;ent need of improvement
in sanitation in many areas of the State. Extension of public
health work into all counties of the State where such services
are not available is desirable and expansion of organized
health units that are now rendering valuable service in a few
counties.
There exists a pressing need for a greater amount of
office space for the Depart.m.ento Crowding not only interferes
with efficiency but is detrimental to the health of the employees.
State of Arizona
House of Representatives
Fifteenth Legislature
Regular Session
CHAPTER 105
HOUSE BILL NO, 1
AN ACT
Relating to public health; creating the state department of health and defining
its powers and duties; amending section 68-405; and repealing sections
68-101, 68-102, 68-103, 68-104, 68-105, 68-106 and 50-902, Arizona Code
of 1939, and declaring an emergency.
Be it enacted by the Legislature of the State of Arizona:
Section 1. Definitions. In this Act, unless the context otherwise requires:
11department11 means state department of health;
11board11 means sto.to board of health;
11 superintendent" mec..ns superintendent of public health.
Soc. 2. State department of health. The state department of heul'th sho..l.l
consist of tho state board of hoa1 th, tho superintendent of public health, and
tho sovorul divisions of tho dopartmont. Tho department shall succood to and is
horoby vostod with tho duties, powers, purposes, rosponsibiliUos, and jurisdic­tion
horotoforo by law vostod in (md imposed upon tho stc.t:o boo.rd of health, tho
superintendent of publi.c hocc1th, tho state registrar of vital statistics, tho
suporvisor of public hoa.lth nursing, tho sto.. te laborc.tory, the director of tho
stato la.boro.tory, tho board of rogonts of tho University of Arizona. rolo.ting ·to
tho stato laboratory and tho director thoroo.f.
Sec. 3. Divisions. (a) The department shall include the follmvi.ng
divisions, together with such other divisions and bureaus as the superintendent,
with the approval o.f' the board, may estabLish: 1. division of local health
administration; 2, division of maternal and child health; 3. division of vital I
statistics; 4. division of sa.nitary engineering; 5. state laboratory; und,
6. division of public health nursing.
(b) The superintendent sha.ll prescribe the powors o.nd duties of the several
divisions, and shall appoint the directors thereof, subject to the approval of
tho boo..rd.
Sec. 4. Duties of superintendent. Tho superintendent shall be tho executive
officer of tho department und tho state registrar of vito.l statistics, in which
capacity he sha.ll c.ct e.s director of tho division of vitn.l statistics, but sho..ll
rocoivo no compensation for his sorvicos a.s r0gis tra.r. 1'ho suporintondon·t of
hoo.lth sho.ll perform nll oxocutivo duties now roquirod by law of tho stc:to bon.rd
of henlth, and such othor duties c.s o..ro incident to his position as chief
executive officer. He sho..lJ. c,dministor tho l:wvs rola.ting to hoo.1th e.nd sanita.tion
o.nd tho rogulntions of tho state dopo.rtmont of hoc,lth. Ho shall propo.ro so.nitary
c.nd public hoo..1 th regulations for considoro.tion by tho boo.rd nnd sha.l1 submit t:o
said board rocommondc.tions for now logisla.tion. Ho shall perform such other
CHAPTER 105 - p~go 2
duties ~s mo.y be prescri bod by law or by tho bon.rd, He shall h~vo power to
~uthorizo ~ny officer or employee of tho dopn.rt:m:mt to act in his sto~d. He may
sit o.t meetings of tho boo.rd, but shn.ll ho.vo no vo·tc.
Sec. 5. Dutio s of bon.rd. Tho board shn.ll n.dviso tho supo rintondcn t in tho
performance of his duties, n.nd fonnulo.to general policies n.ffocting tho public
health. It mo.y hold hearings ~nd subpoena. witnesses o.nd documents. Any member
shn.ll hn.vc power to o.dministor oo.ths in connection with tho dutios of tho boo.rd.
Tho boo.rd sho.ll ho.vc no o.dministro.tive or cxocutivo functions other than ·those
sot for·th :in this Act.
Soc. 6. Rules a.nd regulations. (n.) Tho bon.rd sho.ll hn.vo powor to o.dopt,
promulgo.te, repoo.l, o.nd n.mond rules and rogulo.tions consistent with lo.w to:
1. define and control commu..."lico.ble disoo.sos; 2. provont and control public
hoo.lth nuisances; 3. rogulo.to so.nitc.tion o.nd so.nito.ry pro.cti.cos in tho intoros·ts
of public health; 4. cooporn.to with locnl boo.rds of health nnd honlth officers;
5. protect n.nd promote tho public hoo.lth and prevent disability o.nd mortality;
6. isolo.to nny person affected with cmd provont tho spread of nny contn.gious or
infectious discctso; 7. govern tho trnnsporto.tion of don.d bodic s; 8. establish
quo.ro.ntino; o.nd, 9. co..rry out tho purposes of this Act.
(b) A copy of tho rules and rogulo.tions of tho boc.rd shall bo filed with
tho socroto.ry of sto.to. Tho rules nnd rogulo.ti.ons shn.ll bo published not moro
than ten days after adoption i.n a newspaper of general ci.rculation in the state,
and shall be issued in pamphlet form for distribution to local health officers
and to interested citizens.
Sec. 7. Persormel. The board shall adopt, o.nd the superintendent shall
enforce, rules and regulations providing for the 1n.erit system of employment of
all officers and employees of the department.
Sec. 8. Annual report. Not later than August 20 o.r eo.ch year the superin­tendent
shall submit to tho govornor a report setting forth: 1. the condition
o.f public health in tho state; 2. th(? o.ctiviti.es of tho department during tho
preceding fl scnl yo or; 3. tho work done in each county; 4. tho churo,ctor and
extent of all disoo.sos reported; 5. the expenditures of tho dopnrtmont o.nd of
ouch county boa.rd of hoo.lth; o.nd 6. such rocornrnondut:i.ons o.s ho may doom advisublo
for protection of tho public health.
Soc. 9. Supo rintondont. (o.) Tho superintendent of public h<.;o.l th sho.ll bo
appointed by tho boo.rd. Tho term of tho first superintendent appointed under
this net shnll expire Murch l, 1946. Thoroo.ftor tho term of tho superintendent
shall be five yoc..rs. He mo.y bo removed only for ce.uso, on written charges o.nd
after n public hoo.ri.ng thoroon by tho bor.rd. Appointmon:t to fill o. vo.cnncy
rosulti.ng othorwiso tho.n from expiration of term shall bo for tho unexpired
portion of tho torm only.
(b) Tho supo ri.ntondont shall be o. reputable phys icin.n hc.ving tho dogroo of
doctor of medicine from a roputo..ble mcdico..l school recognized by tho Council on
Modicn1 Educction r.md Hospitals of tho Arnorican Modicd Assoch\tion. Ho shall
ho.vo had not loss tho.n fivo years' oxporionco i.n full timo o.dministrc.tion of
public health or, in lieu of five yoo.rs' oxporionco, throe years' oxporionco in
CHAPTER 105 - page 3
ful.l time public health c.dm:ini strati on and a degree from o.n accredited school o.f
public heo.l th. He sho.ll be licensed to pra.ctice in Arizona.
(c) The superintendent sho.ll devote his full time to the duties of the
office, a.nd sho.ll not engo.ge in the privo.te prc..cti.ce of medicine in any other
occupation. He shell receive n. st:clc.ry, to be fixed by tho boo.rd within tho
limits of funds o.vn.ila.blo therefor, of not less than four thousa.nd oi.ght hundred
do.llars por annum.
Soc. 10. Soc. 68-405, Arizona Code of 1939 (Soc. 2705, Rovlsod Code of 1928),
is a.mondod to road:
68-405. Sto.to .l:E:Eoro.tory. (a.) Tho sto.to luboro.tory sha.ll bo under the
supervision of o. director, o.nd sho..U bo located in rooms sot c.sido by tho
University of Arizona. and :in such othor plo.cos as tho board mn.y dotormino. Tho
suporintondont of public hoo.lth sho.ll appoint tho director, who shc.ll bo o.
sk:i.llod pho.rmo.coutico.l chom:ist or bccctoriologist and o..no.lyst of foods, wo.tor
supplio s, o.nd drugs.
(b) Tho state laborn.tory shall oxamino and o.nalyzo such foods, wo.tor
supplies, drugs, and othor specimens as tho suporintondont m.'ly direct. Tho
director shall perform tho duties proscribed in this o.rti.clo c.nd by tho suporin­tondont,
c,nd shall cooporc"to gonorc.Jly with tho dopo.rtmont. Tho cortifieL\to by
tho director of a.no.lysis of an oxamino.tion shall bo prime fn.cio ovidoncc of tho
facts therein stated.
Soc. 11. Stc.to boc,rd of health. (o.) 1'ho stc.to board of heo.l th shall con­sist
of .fivo mombors, who sh~:tll bo appoin'l::od by tho governor, with tho ndvico r.cnd
consent of tho Scmn.to. Ono member shall bo o ppointod for o. term oncling FobruCLry 1,
1942, o.nd ono eo.ch for torms ending ono, two, throe, ccnd four yoo.rs thoroc.ftor
o.nd tho governor shall be ox-officio mombu:r of lho boo.rd without voti.ng privi.logo.
Upon tho uxpiro.tion o.f any of said to.rms o. succossor shall bo uppointod for n
full torm of fi vo yoars. Appointment to fi 11 a v·::tco.ncy resulting othorwiso tho.n
from oxpiro.tion of torm sho.l1 be for tho unoxpirod portion of the term only.
(b) Two members of the board shall be licensed practitioners of medicine
and surgery, who have been engaged in the practice of' medicine in tho state.
Three members shall be persons se lectod for their interest in public heolth.
(c) Members of the board shall recoivo no compensation for their services
as such, but shall be reimbursed .for necessary oxponsos incurred in the perform­ance
of their dutivs, in tho amount provided by law.
Sec. 12. l'v1cotings and organization. Tho boo.rd shflll hold regulo.r quo.rtet-ly
meetings, o.nd such special meetings o.s may be called by tho chnirmc.n, tho suporin­tendont,
or nny throo members. Throe monibors shall consti tuto o. quorum. Tho
boo.rd shall oloct from its momborsh.i.p D chairman and a vi co-cha.irm::m o.nd a
secrotc.ry.
CHAPTER 105 - page 4
Soc. 13. Fino..ncio.l provisions. (o.) Tho public health fund shall consist
of o.pproprintions and of o.1l receipts from any other source for tho use of tho
department. Tho sttlto treo.suror shall rocoivo and disburse moneys dono.tod to or
provided for tho dopo..rtmont by nny person, tmvn, city, bonovolont orgo.ni zation,
or other o.goncy for public health work, ccnd moneys so rocoivod shall bo deposited
in tho public hoo.lth fund. Tho so.lr~rios o.nd oxponsos of tho dopo.rtmont shnll bo
paid from so.i.d fund. Disbursements therefrom sho.l1 bo mc,do upon clo.ims signed
by tho suporintondont, in tho mo.nnor provided by lo.w for po.ymont of other clo.ims
t.\go. ins t tho sto. to •
(b) Iv~oneys received from the United States, or any agency thereof, for
public health purposes, shall be kept in a separate account in the public health
fund. Any unexpended and unencumbered balance of federal funds rorne.ining in the
public health fund at the end of o. fiscal yer,r sho.ll not revert to the genoro.l
fund.
Sec. 14. Pcmo.l ty. Any person violating nny provision of this Act, or any
rules or regulation adopted pursuant to this Act, sho.1l be guilty of o. misdo­meo.
nor, nnd upon conviction sh::.tll bo fined not loss thn.n twonty-f.i.ve nor more
than two hundred dollars, or impri sonod in tho county jo.i 1 not moro thnn thirty
do.ys, or both.
Soc. 15. Repeal. Soctions 68-101, 68-102, 68-103, 68-104, 68-105, 68-106,
o.nd 50-902, Arizona. Code of 1939 (Sections 2678, 2679, Rovisod Code of 1928;
Section l, chnptor 103, lo.ws of 1935; section 2680, Rovisod Code of Arizona.,
1928; section 1, cho.pter 38, laws of 1931; section 2681, Rovi sod Code of 1928
o.nd section 2, chnptor 82, lc..ws of 1931), o.ro horoby ropo::;lod. This section
does no·t nogativo o.n implied ropoo.l of o.ny stc..tuto 11\'hich conflicts with this Act.
0 R G A N I Z A T I 0 N
A. State Board of Health
1. Organization
a. l<'i ve members
b. Terms - five years. staggered
c. Appointed by the e;overnor Vilith advice and consent of the senate
Tv<ro members must be licen~ed practitioners of medicine and
surgery t and three others selected fort heir interest in
public health
e. Compensation - necessary expenses incurred in the perforr~nce
of' their du.ties 9 in the amount provided by law.
2e Duties
a. Appoint the superintendent of public health
b. Adv'ise the superintendent in the ped'o:rmance of his duties
c. F'or;:nule.te general policies affecting public health
d. Adopt, promulgate, repeal, and amend rules and rt,gulations to:
( 1) Define and control communicable disease
( 2) Prevent and control pub lie health nuisances
( 3) la:!:;e sa..l'litation and sanitary practices in
the interests of public health
(4) Cooperate with local boards of' health and health officers
(5) Protect and promote the public health and preYent
disability and mortality
(6) Isolate person affected idth, find or<~vent the
or" any contagious or infectious dises.se
(7) Govern the transportation of dead bodies
(8) Establish quarantine
(9) out the purposes of the state le:~t;
e. Adopt rules and regulations for the merit fWstem of employ­ment
of all officers and employees of the department
f. Have meetin[:;s each quarter, or oftener when called.
B. Superintendent of Public .Health
l. Appointed by the State Board of Health
2. 'I'erm of office is five years, unless removed for cause
3. Duties
a. Prescribe the powers and duties of the several div-isions
b. Appoint the directors of dhrisions subject to the approval of
the Board
c. Act as the executive officer of the department
- 2 -
d. Act as state registrar
e. Carry out all provisions of the law
f. Make an annual report to the governor not later than
August 20th on:
( 1) The condition of publi a health in the state
(2) The activities of the departments during the
preceding fiscal year.
(3) The work done in each county
( 4) The character and extent of' all diseases reported
(5) The expenditures of the department and of each county
board of health
(6) Make recommendations which he m.ay deem advisable
for the protection of the public health
4. Qualifications
a. icie.n h!ll ving the of doctor of mecUein.e
from a medical school recognized by the Council on .Medical
Educa·c:ion and Hospi tala of the American lviedical Association
b. Ji'ive 1 experience in full-tir1e administration of public
health or three years' experience in full-time public health
administration, a.11d a desree from an accredited school of
public health
c. A license to practice in on~'
d. to be fixed by the Board, within the limit of funds
available c;herefor $ o:t' not less than a year
c.. Divisions
1. Division o:C Loca.l Jh;alth Admirliliitration
a. ;:;ion of' loc&,l full-tirrte healtt1 servi<H'Hl to
prom.ote unif'orm ovE>r the state
(1) iull-time health ser·,rices in cochhe,Coconino,
Maricopa~ Pima, and santa Cruz •. ~md Yumrt Counties
(2) Full-tim.e nursing services in l~a:vajo and counties
b. Development of services in unorcanized areas
(1) Six counties, containing 22i~ of the state's population
are without fUll-time health service~. Units are
established as as local groups are able to
cooperate in full-time health work on a matching basis
(2) Development of h0alth services in coope:ra.tion 1~d.th
agencies not established under the State l.'ei)a.rtment
of Health
(a) l{ed Cross
(b) schools
(c) Service clubs
(d) Civic orit;anizations, etc.
c. Communicable disease control
(1) Collection of statistics
(2) Aid in epidemics
(o) Supervision and cooperation in immunization programs
(4) Particular attention to special health problems of Arizona
{a) Tuberculosis control - X-ray and skin testing;
L Heal thmobile
ii. Local health unit programs
(b) Venereal disease control
i o Clinics established and maintained
at population centers
(i) Six full-time clinics in the state
(ii) Average J;mtient load of 1500
ii. F·ree drugs to physicians for the tr:.Jr<tment
of venereal disease cases
(i) Over 100 physicians participating
in program
(ii) All counties represf.mted
(iii) Averar;e monthly patient load - 500
d. Cooperation l!'tnd coordination of health education program
(1) Distribution of literature, films, and press releases
{2) Radio talks and lectures
(3) Classes in health programs in schools
2. Division of Maternal and Child Health
a. Development and di.rection of l'!laternal and child health services
(1) M~dical
(2) ll!ursin~;
(3) Dental
b. Special attention to infant and maternal mortality
(1) lNell bab;y clinics
(2) Matern~:>,l clinics
(3) l~terni~r hospitals in areas not otherwise served
(4) Home delivery medical-nursing services
3. Division of Vital Statistics
a. Hecording births and de:aths in the state
(1) Collection
(a) state is divided into 115 local districts and
a registrar appointed in each. The local re­gistrar
colleets and sends to the state the
records of births and dea.ths for hh district.
Payment is made by the coun~ board of super­visors
at fifty cents (50p!) for each certificate.
(2) Preservation
(a) Records checked for duplioe.tion o:r errors
(b) Card indexed by nan1e
(c) certificates are segregated each month by date
and county and put into permanent binders.
- 4 -
b. Issuing copies of records
(1) Certified copies as requested for legal matters
(2) Notifications of births to parents
( 3) Transcripts of records as requested by Federal bureaus
c. Statistical studies
(1) Births
(2) Deaths
(3) studies
4. E11gineering
a. direction of sanit;ation projects
b. Supervision and inspection of water supplies
c. Supervision and ction of sewap;e disposal plants
d. community sanitation
e. Supervision of local sanitation services
5. Division of State Laboratories
a. }';x.aro.i:na tion and analysis
(1) Foods
( 2 ) 1q'l. ter
(3) Supplies
(4)
(5) Other specimens as directed
b. <woperation in the development of the health pror~ram
6@ Division of Public Health l~ursing
a. llssist in the supervision and development of' nursing; servioes
7. Division o.f Meri·t System Personnel Administration
a. Qelect and maintain qualified personnel
;··ISCAi.. YEAR 194l-i 94-2
PUBLIC HEALTH ORGANIZATiON IN ARIZONA
lN C OOPERA T!ON WiT rl
UNITED STAlES PUBLIC HEALTH SERVICE
AND
FEDERAL (1-IILD RE N'S 8UR£AU
\STATE BOARD Of HEAUH
jsTATE DEPARTMENT-OF HEALTHf
~=~~_j_
~UPERINTENDENT OF PUdliC HEALTH
l
DIVISiONS
. _____:-_~__ __-:=:-:» {~~-----===--·---
!LOCAL HE~LT;-----i1ArER1;~--, r ViTAL I II SANITAR't I I STATE J-1 -,r---;-U=BL=J-C_H_E_A_~;--H-·-..,----~,- PEaSONIU
. A liD I I STATISTICS ENCHNEERllfG I I LABORATORY NURSIN6 . AOMIGIStRA'UO!l
. DMINISTRATION CHILD HEALTH . 1 .. ,_' ---,---
lOCAL HEALTH
SERVICE EPIDEMIOLOGY
CoMMUNICABLE DISEASE
CONTROL, CANCER
CoNTROL
MATERNAL AND
CHILD HEALTH
1 I
BIRTHS AND
DEATHS
GENERAL
SANITATION
WATER SUPPLY
SEWAGE DISPOSAL
fREE SERVICE IN
AI.~ COMMUNICABLE
DtSEASE1 WATER1
FOOD AIIO DRUG
EXA~IIIUTION
SUPERVISING PROGRAM, t1AINTAlNING
STANDARDS AND GOOPERAT lNG WIT
LOCAL HEALTH UNITS Af\10 J COUNTY COOPERATIVE P.UBLIG HEALTH
NURSING SERVICE NOT I COi~NECTEil WITH
HEAL H NITS
NURSING
SuPERVISION
EDUCATION AND
CO!ISULTAT ION
ESTABI.I.'>KUJG AfiP
MA INlAIUftG A
MERIT SvstEM fO&
PERSOlil!lfl.l
SANITATION • NURSING - MATERNA! AND CHilO HEAlTH - CLERICAL ANO STATISTICAl -COMMUNICABLE DISEASE
--------------------~~~~~
MOHAVE
s~~:::j Public Health Nurses only
BUDGET I
Ntunt.Hcll" 1 Description
1
4
5
11
15
16
18
'Locll:i.l Hl'\;alth Admin
'
'r"ivh:ion ot Mtiitor­'
nal Health
I
t 1'u b~:~:rou
Control
11'rairdng
!
1 Apache Cou.nty
!
'Cochise County
• Coconino county
'Mt.ii.ricopa Oounty
t
*Navajo eotu1t;y
t
'Liistriot 1
County
.
JUNI~ 30, 1941
Total
!
~56' '7$316.50! 749.96
.1
6BOe2si 2 .oai
929 .. 12
5ll520.28.6,239 .. 61
r ~
12,464 .. 57~2,36~.75~
~ ~
~
~25 1 Ill
r
3,539.'78f
t
i
1
t 3~439 .. 81
j. f t
'7
• $
3bl.30i
! ~
no.ootlj>•l7o .. oo~
t ~
'
6H5.62~
'l,OOOeOO
y
24·2.50'
I II
95
i' 7 ,056 .. 221 6,001 .. 46'
!
295~95 l 7,614.86'
tl 1
53t 1.'799.76~ 6,680.00~ 646 .. &lll.,250.00'l2.177 .. 26•
i . ! 'l t
28,. 136.19 lO~B39., 70f 941.67*110,9~3 .. 14'
I 't ~
i '~O,E~47 .a.s
· I t! •·
415 .. 171 o,922l.90'~:5,640.1G '·
'j
~
FJCPllilllJITLiR . .b.S BY THE AEIZONA STATE BO.t\Ei; Of' H.EALTH AND
COOPF~l\'A TING AGht"JCihS FOR 1935 to 1941 INCL.
BE;FORE SOCiliL Sii;CUHITY ACT 1
TO'l'AL STATE I LOC.AL
OTHER
AGENCIES
1 9 3 5 ·------~----·----------·------------------------------------------
Appropriation
Per Capita :Rate
1$ 88,114.72' $33.500 I $38,546.88 1 $ 161 067.84 l
.18 I • 07 I o 08 I e 08 I
Per Cent of Total Appropriation' 100% 38~ 43.7%1 18.3% I
After Passage of Social
Security Act
t ....t.....--.--,.--------
1 9 3 6
Per cent
1 9 3 7
I I
Appropriation $165.028.52,
I '2 ,;o Per Capita Rate t ev<JI
of Total Appropriation, lOO%
$35,005
.07
21.1/'0
Appropriation 1 214,105.89, $36,365 1
Per Capita Rate 1 .44, .07
.?er Cent of 'l'otal Appropria t5.ont 100% 16.9% 1
1 9 3 8 l
Appropriation ,$241$160.65' $37,875 1
Per Capita Hate 1 .49 1 .08 '
Per Cent of Total Appropriation, 100~& 15. 7'}~
-----·-------· .!...------::-..,---
l 9 3 9
Appropriation
Per Cadta Hate
Per Gen. t of Total Appropriation 1
I
1 9 4 0
51 9 652.36 I
.51'
1007~
,625.'
.08 '
14.91"~ '
' 638.00 1
.l 't l ...
3;::,.5% 1
'
f
8:38.00 I
.14,
30. 87~,
$ 71,385.52 !
$ll1,902.89 '
o23 I
52.
5,131.00' ~118,154.65 t
.17' .24
$91.278.30' $122t749.06 t
.18' .25 '
36.2%' 48.9% I
Appropriation
Per Capita Rate
1 $268~253.79 1 $45,800 I $89,384.46 1 .133,069.34 I
o 5~") I o 09 t o18 I o 26 1
Per Cent of Total ~~propriation• 1007~ l!l;k 33% 50%
·--,-- I
l 9 4 1 l:j>t.Labontory
Appropriation
Per Capita Rate
1 $364,338.26 1 $45,400 I $96,688.00 1 $207,969.45
.72' .09 ' .19' .41
Per i.Jent of Total Appropriation' 100% 12% 27% 57%
! $>14, 280.81
.03
.047~
-----------------------------------------------------------·----------------------------------------
Vital Statistics
Health Education
Laboratories
Sanitc.tion
:via ternal and Child Health
Loeal Health Administr8.tion
Tu·oerculosi s Control
PHOENIX, ARIZONA JUNE, 1941 VOL. 34-NO. 3
1940 REPORT OF VITAL STATISTICS
The present Arizona State Board of Health presents
this report of Vital Statistics for 1940 as its last report.
According to the provisions of the law passed by the
recent legislature, a new five-member board and full­time
superintendent of health will be welcomed into the
department on June 16, 1941.
During the year 1940, 11,593 certificates of birth and
5,772 certificates of death were filed with the Arizona
State Board of Health. In addition to these, approxi­mately
5,000 affidavits of birth were filed for those per­sons
born in Arizona who had no birth certificates on
file. 18,214 certified copies of birth and death certificates
and affidavits of birth were issued compared with 7,171
issued in 1939.
The 1940 statistical report has been compiled from
data obtained from the original certificates of birth and
death filed in the office of the Arizona State Board of
Health. The completeness and accuracy of the report
depends upon the completeness of the reporting of births
and deaths and the accuracy of the information on the
birth and death certificates.
Since 1940 was a census year, a summary of births,
deaths and deaths from certain causes for the years
1931-1940 is given in Table I with rates calculated on
the new midyear population estimates for those years.
These estimates have been made from the 1930 and 1940
census figures and, therefore, the rates are somewhat
changed from rates given previously for these years. No
race or age specific rates are given as the Bureau of the
Census has not at this time released the final figures on
race and age groups. The number of births and deaths
in each case on this summary has been taken from the
Bureau of the Census publications except for the year
1940.
Causes of death in Tables II-IV in all cases were
classified according to the International List of Causes
of Death and were assigned by the rules of the Manual
of Joint Causes of Death. Since both the International
List and Manual of Joint Causes were revised in 1939
and sent out by the Bureau of the Census in 1940, the
1940 classification of deaths is not comparable with the
1939 one in all cases.
Both births and deaths have been tabulated by place
of occurrence and not by place of residence since the
data on the latter were incomplete until after the new
standard forms of certificates were adopted. This was
not until after many 1940 certificates were filed. How­ever,
the number of out of state residents who died in
Arizona is given in Table II.
Table VIII shows the births classified according to
the occupation of the father. The occupations were
grouped into ten groups based on Alba N. Edward's "A
Social-Economic Grouping of Gainful Workers of the
U. S." and coded by the instructions given in the Index
of Occupations published by the Bureau of the Census.
This is the first time that such a classification has been
made for births in Arizona.
In Table IX measles, mumps, influenza and pneumonia
show the greatest differences in number of cases report­ed
compared with the number of cases in 1939.
This 1940 report shows a slight decrease in death
rate and increase in birth rate. Tuberculosis diseases of
the heart and pneumonia continue as the pri~cipal causes
of death.
ARIZONA PUBLIC HEALTH NEWS
Official Publication of the State Board of Health
SUCCESSOR TO THE ARIZONA STATE BOARD OF HEALTH BULLETIN
Entered at tho Phoenix Post Office as Second Class Mail Matter
F. P. PERKINS, M. D., Superintendent '"4111-
TABLE I.
193L
1932 ..
1933 ..
1934 ..
19.35 ..
1936 ..
1937 ..
1938 ..
1939 ..
1940 ..
VITAL STATISTICS DATA- ARIZONA 1931-1940
II II II DEATHS FROM CERTAIN CAUSES- NUMBER AND RATE PER 100,000 1\
. -~~ 'I II . ~~Motor Vehicle~~ ~~ II II II Whooping I R'f~v':,~~~0~8° Estimated Number Rate per 1000 11 Tuberculosis Deaths Cancer Pneumonia Syphilis II Diphtheria Co ,h 11 r f I
. Population I Births[Death1[ Births [Deaths/ No. I Rate ! No. I Rate I No. I Rate 1 No. 1 Rate 11 No. 1 Rate No. 1 Rate 11 No. !gRate ID:a~~! ~~~~~
::t~~g I ~:m r ~:~~6 \1 i~:~ it~ u~~ ~~~:~ i~~ ~~:~ 1111 m ~g:~ II !~i I ig~:~ ~: ~~ ~:~ I ~~ ::~ I ~~ 10.1 II 1g~-~ ~ 8.2
456,270 8,125 5,539 17.8 12.1 1,110 243.3 154 33.8 I 255 55.9 433 94.9 I 47 10.3 22 4.8 31 ~:~ 111.4 ~- 1
462,640 8,492 5,647 '118.4 12.2 1,055 228.0 211 45.6 311 67.2 552 119.3 58 12.5 20 4.3 110 23.8 103.5 6·
5
469,010 9,139 6,077 19.5 13.0 1,068 227.7 215 45.8 II 298 63.5 645 137.5 76 16.2 17 3.6 76 16.2 111.7 5·~
475,380 9,545 6,551 20.1 13.8 1,115 234.5 242 50.9 309 65.0 671 141.2 80 16.8 25 5.31 23 4.8 119.6 9.1
4
4
8
8
8
1.7
1
s
20
o 1100.~9784 66
.9
00
1
2
9
1
2
2
2
1.
3
8 1
12
4.
3
4 1,0
9
7
6
5
4
2
1
2
9
37
.
5
1 22
5
1
7
4 4
s3
3
.3
8
I 33
7
5
7
0
77
8.3 693 143.8 69 14.3 24 5.0 29 6_0 120:7 5:4
• ,c • • • • • 1.7 668 136.9 73 15.0 32 6.6 58 11.9 98 8 4 8
:~ci:m ~~:m ~:m ~~:~ ~u m ~~~:~ ~;~ !~:~ 11 m ~;:~ m ~~:g m ~~:~ . ~~ u 1 :~ 1~:6 ~:_:33 4
:
4
5.3
TABLE II.
SUMMARY DEATHS-INFANT DEATHS-MATERNAL DEATHS AND STILLBIRTHS-ARIZONA 1940
DEATHS INFANT DEATHS MATERNAL DEATHS STILLBIRTH
COUNTY
APACHE ...................................... .
COCHISE .................................... .
COCONINO ..... .
GILA ..
GRAHAM ....... .
GREENLEE. ... .
MARICOPA ..
MOHAVE. ................................... .
NAVAJO ....... .
PIMA ........................................ .
PINAL ... .
SANTA CRUZ ................................... .
YAVAPAI... ...
YUMA ...
TOTAL ............................... .
269
371
152
222
123
73
2165
81
257
1035
355
82
340
244
.................... // 5772
11.1
10.8
7.9
9.3
10.0
8.4
11.6
9.4
10.2
14.1
12.2
8.6
12.8
12.6
11.5
33
248
77
134
78
34
1509
67
80
614
162
38
280
137
3491
15
108
33
38
35
39
439
6
50
224
113
41
42
75
1258
215
1
37
49
9
85
8
127
158
67
1
15
15
787
6
16
5
1
1
131
39
12
2
3
17
233 3 II
65
24
27
6
10
3
232
10
16
168
34
4
35
40
674
TABLE III.
86
41
29
31
31
13
363
8
58
147
74
11
34
51
977
181.4 I
52.0 I
81.9 I
63.1 I
~~:~ I
79.8 I
40.4 I
114.9 1
90.4 I
91.8 I
50.91
66.3
108.0
84.3
5
15
5
8
13
2
168
4
13
39
29
2
19
16
338
8
24
10
11
17
11
158
3
21
65
33
9
13
28
411
72
1
H
12
1
24
1
24
42
11
2
4
207
13
20
4
2
4
4
1
19
6
9
7
2
4
62
8.4
2.5
11.3
8.1
2.8
4.2
11.9
5.5
8.7
3.9
8.5
5.3
3
1
9
1
2
3
23
2
5
3
21
3
2
1
15
2
3 II 315 I
31.6
30.4
8.5
28.5
28.3
32.5
27.3
35.4
17.8
24.0
29.8
37.0
31.2
29.7
27.2
NUMBER OF DEATHS FROM ALL CAUSES AND RATES PER 100,000 FOR CERTAIN CAUSES AND GROUPS OF CAUSES - ARIZONA 1940
BY COUNTIES, SEX, RACE AND AGE GROUPS
LIST
NO. CAUSE OF DEATH
-"~ -5
0
0
0 ·;":;
§
0
l.rNFECTt~~~;~:~::r;~:~::::z::)~:::i:giti~-- ~ i
1
• I 1 I 31 1
1 J 1 il ~~ ~1 ~1 ~ i 1 I 2 ~ ~ 3
i ~ ~g~:i£:~~~-~~-•---- ·__ - · - ___ ·: ·... .~: : ~·-~-:-~-•. :·:.:::::: !w~"ii~lt:16ioi:".!loi l---;7:iil24~11iil1 h2i2il!i111 -r;~~--:i'1!i~it~-51-:t:~iill~1iii7rl-Tn~l--tr!;ti1;l-1-,i~-i~l~-;;.:2~jl--;u2;;ittl_-tlli-"di~tl-~ --,;;2';;-~[-;-2~ti-t--;;;;~--+t-~-2-;~~-;2'"i+-=~ f.-,;;-;1~=1+-,;=1 ~~i~=+--
Tu bercul.,sis (all forms) .. . . .. . .. ... ..... --'8-"46'-tl.::c1.c.68::..:·.::...9 il j-1 _:7..::.4 j-1 ....:2::..:4TJ :_1 O'i/-=2-'-10 1
1
..::.91-J _:5Tl_:3..::.12=jl_..::.5 \-1 4:.:6TJ .=2::.:25 i/ ___:4~01 :---=Sj-1. c.5:.:0T/ :_18=-jjii___:5:..:4..:J4JI,_:3:.:0.=21-I --111-1_ ___::45 :_::8+-l .::_1::_c64q.l_:c1c::9~4/_::3~0{-J- --+J-11 _:6~/~ 33:>.;/----"3~51.-/ ~13~6'1-/~ 2~15~/ ~2~5~9//~12~3.[..1_ a~·9 '_j.l_
13a
13b
13c
14-22
24a, d
Tuberculosis of respiratory system 11 I I I I I I I I
i~~;~~:~:f: (~n~~!~!~t~~r.)~--~~~t_ell1.::·.·:::··.·.::· .. : !~ 1 1 17 1 ~ ~ ~ 231 28 149 3 2~ 2i 12~ 20~ 7 10~ 1
(occupational) ................................ ·················· 7~: Ill 677 2~ 73, 1~1,. 8 ~ 29g 4 43 19~ a: 8 4~1 171 42~~~ 281~0 4g 14~ 171 30
2 2~~ 7 3~
Tuberculosis (oth<'r forms ............................... 3 8 5 4 9 8
25
27a-c
30a-g
32b
33a-b
35
Sef;}~~~~- and Gen~~~liz~~ --~-~~ill~s __ c~.li.. 11 1 1 1 1
1
1 2 4
1
\ 7 4 4 3 4 3 2 1 2 2 1
Gonococcus infection................................... 3~
1 i 1 i
2 2 1
1 1
1 31
1
19 1~ 2 2
13
1
19 8
1 3 1
Dysentery.................................................. ......... ~I 8 9 ~l_ 9 13 1 1 4 2
~h~~li~i~:~~e;o~~!\~ spir~~h~t~~·:::::::: :::::::: 11g 22.0 14 4 2 3 2 4i i 24 3 8 / 6i 4i 4~ 36 1i 15 26 i 3~~ 4 -15 25 27 7
Influenza... ............................... 139 27.8 6 9 8 1 53 4 10 24 9 11 4 10 II 74 65 73 51 12 3 44 17 5 4 16 14 36
Measles... ......................................... 24 2 1 1 7 8 3 2 I 14 10 2 7 15 7 12 5
36
37a-c
41
42
43
44b
44c
Poliomyelitis (acute).................................. . ........ 1 1 1 1 1 1
~~~~~i~n~~~!~~~s- _e~~~~ha_Ii~is __ (l_e~~~r~_ic_)_....... ~ 1 ~ 1 1
1
: ~ ~ 1 2 2
~~~:§~~e.;.i:.:.~:~~~~\7~~-0~1~:77~.:L .. ·~::: ~ 1 I ~ 1 1 I ~ i ~I ~ I
1
1
1
1
1
TOTAL GROUP I.·················································· 1273 I 254.2 II 100/ 46/ 14/ 39/ 23/ 11/ 453/ 12/ 68/ 309/ 77/ 18/ 61/ 42 II 776/ 497/ II 623/ a1a1 286! 51/ II 139/ 1101 61/ 149/ 243/ 309/ 175/ 86/
H.-CANCER AND OTHER TUMORS i 1 1 t I I 45a-f Cancer of the buccal cavity and pharynx.... 12 2 1 5 2 1 1 I 9 3 1
46a-m Cancer of the digestive organs and
190 37
_
9 2 17 4 9 3 4 74 4 4
1
1 104 86
1
8
47a, c, d, f
48a-b
49a
50
51b-c
52a-b
53
54
c.:',:';~;o~~u'fh~--~-~;p·i·~;.:t~~~···~y:~;:~;;;.":::::::.:.:::::: 31 3 3 12 1
3856~ 1
2
i
1
1i
1
2:
2
5
1 2~1: II 25 6
1 ~~ 3 ~ 8
1
1[ 1 i
4 ~
Cancer of the uterus.. ............... ....... 48 4 3 3 1 2 3 19 1 48 26 13 7 1 2 11 19
Cancer of the ovary............ ......... .......... ....... 7 2 2 7 6 1 I I 1 1 3
Cancer of the breast............................................ 23 2 2 13 1 23 20 2
1
1
2
1_ 3 8
Cancer of the urinary organs......................... 16 3 1 8 2 1 1 8 8 ., 1 1 ~
6
so
13
10
2
9
12
5
4
Cancer of the male genital organs.............. 35 1 4 3 3 1 13 1 1 35 2i75"·7 351 1 4
2:~~=~ ~~ ~t~ •:::in and ·;;th-~~- P~~t~·-;;T···· 17 2 1 5 961 23( 15 2 1 1 2
the central nervous system.... ...................... 6 1 4 6 1 1 2 3
55 b-e
5
60
7
6
1
3
18
5
9
7
56a, b, d, c 1
57c-e
Cancer of other and unspecified organs...... 33 1 6 2 1 9 3 16 17 I 24 61 2 1 3 2 1 8 12
Nonmalignant tumors........................................ 10 1 1 1 3 1 2 I 1 I 10 9 I 1 3 2 3 1
Tumors of unspecified nature... . .................... ---:;;;-;;.7+~:;-;;--fi--;-;-f-;;;;T~-,+---;;;;T--;;t---;;'~:;i3;T--;;t--;-1~-,+-~1T-o-\---;i2;';--:;o-l+--;;;;c4.;+-;;-;-;3;';---H-~:;04;+-~1+-;C2?,--:-;:+---:--H---:-\--:+--::-!--:-1~~1+-,~2l--,...;.3~=,\--
TOTAL GROUP IL............... ·························· 435 I 86.9 II 11/ 43/ 11/ 20/ 9/ 9/ 170/ 7/ 11/ 75/ 16/ 3/ 32/ 18 II 222/ 213/ II 323/ 74/ 22/ 15/ 1 II 1/ 1/ 3/ 11/ 32/ 105/ 160/ 122/
111.-RHEUMATISM, DISEASES OF
NUTRITION. ETC.
58d-f Acute rheumatic fever ..................................... .
59b Chronic rheumatism and other rheumatic
diseases ..... -------················-·-- ........................... .
61 Diabetes mellitus.......... . ........ .
63b, e Diseases of the thyroid and parathyroid
glands........ . ................................... .
64 Diseaes of the thymus gland ......................... .
65 Diseases of the adrenal glands ..................... .
66 Other general diseases ............................. .
69 Pellagra ........... '" .......... -·······"·······························
70 Rickets................. . ................................... .
71 Other avitaminoses..... . ...... --- -------·········
3
57
12
6
3
5
~ I
11.4
I 1 1 I 3 I I t II
~ 2 3 1 2~ 1 1 ~ 1 1 5 4 II
5
1
2
4
3
2
1
1
1
1
1
1
1
1 11
I
4
1
25
4
3
1
3
4
2
32
8
3
2
2
1
1
1
3
2
41
9
3
3
3
4
1
2
7
1
5
2
4
5
2
2
2
2
11
3
1
2
1
3
25
4
1
1
16
1
2
TOTAL GROUP IlL........................... . ..... 98 I 19.6 II 2/ 10/ 2/ 31 1/ 39/ 2/ 2/ 16/ 6/ 11 71 4 II 451 53/ 69! 151 5/ 7/ 5/ 3/ 6/ 5/ 18/ 35/ 19/
7;~"":ol!t~~;i~~;,::: ~;:;:•o- , I I j , I' I .I ,
Anemias (except splenic anemia)................. 4 1 1 2 2 2 2 1
Leukemias .. ................... . ...................... . ...... .- 9 1 4 2 2 I 6 3 I 6 3 1!
2
3
1
3
1
73a-d
74a
74b
75b
76a
Aleukemias.......... . ................. ························· 2 111 1 \1 1 1 2~ I' 1 1 I Diseases of the spleen. --·---········· ........... ............ 1 1
Agranulocytosis ................................ -···············- --;-;;2--\----;;;o-T;---t--t--t---';---;--j---',-ot--T-;;t----,;t--;---,t--T-~t--;;T---;-;;\---';T---,;';2;\---;;i---il--;-\-----c;;--+--;1;-\---;o\-~--;-\--~1\---o-f--o+-
TOTAL GROUP IV... ······················ ·········· 19 I 3.8 II I I I I 1/ I 8/ I 3/ 5/ I 1/ I 1 II 9/ 10/ II 12/ 6j ! 1/ II I 6/ 2/ 2/ 1/ 2/ 5/ 11
V.-CHRONIC POISONING AND INTOXICATION
77c-e Alcoholism... . ............................. .
79a-b Chronic poisoning (other than lead) .. .
TOTAL GROUP V ... 22 I 4.4 II I 3/ I I 11 I 101 I I 21 11 11 4[ II 18/ 4/ II 13/ 8/ 11 1 11 1 1 1 1 5/ 9/ 4/ 4/
VI.-DISf:J:!~~~~:~fn~!:~:e:~~-~~-~~~M ······· 7 I 1 21 1 45\ 2 11 1 ~ 1511 23 I 6 1 I 15~ 2111 44! ~~:=~ Meningitis (not due to meningococcus)....... 14 3 6 4 4 2 2
82 Diseases of the spinal cord (except loco- r I mobr ataxia and disseminated sclerosis)...... 6 2 2 1 1 II 5 1 I 3 2 1 21 1
81a Cerebral hemorrhage............................... .......... 252 50.3 1 28 4 13 6 4 127 2 3 24 14 4 10 12 143 109 196 221 4 30 1/ 6 29
83b-c Cerebral thrombosis and softening.......... ..... 22 1 13 1 7 I I 15 7 20 1 1 I 1 5
83d H~';~~il;i~~a o~f~nother paral~si~ _of··-~n~ .. 14 1 3 3 4 2 1 6 8 7 2 3. 2 I 2 1 1
84a-d Mental diseases and deficiency......... ......... 7 1 3 1 1 1 ~ 5 i ~ 2
1
1 2 2
~~ ~~~~~~~;;~;-,~-· (under ·5··~~~;s of ~;;:~·)·· ............ : ~ 1 ~ 2 I 2 ~ 1 2 2 4 1
1 1
~~~ ~:;:{;~~s (=~ft".:';s_rhe_~ll1_ati_c __ or _al~~~~li_c_) .... ~ 1 1 1 1 ~ I ~ Ill
3
1
1 1
~~~ g;~~m~fs~~~~s~;r~~~s·;-,~~~;;-..~·-~;~;;~;.;:::: : ::: ~ 1 2 1 1 il Ill 2~ 42~ ~~ ~~ i 1 1 1 1 1
~~~ g;~!i~s:e~~a t~~d ,;:~~;~i:i~e,::,"cc:sso~ t~~--~~~:::: --;~~+--;c~-f;--~--;;';;2:1---:o\-~~--;:1---;-\--~i;.';--;;-\--;!,-:';1;-\--;-;;-\--;i--,;-;;Tl__.,~;i-=;;-';-:-:=':C,--\\-\-='4:\--;;;4-\-=-1--,~----';\--:::-\-___:;-\-~i\--'1~-::-:+-~11---,.,-,.\---oc~-
TOTAL GROUP VI. 349 I 69.7 1.1 7/ 32/ 8/ 18/ 6/ 51 169/ 3/ 8/ 42/ 18/ 51 16/ 12 II 198/ 151/ II 255/ 42/ 17/ 35/. II 11/ 4/ 5J 9/ 17/ 50/ 114/ 139/
1
1
2
VII.-DISEASES OF THE CIRCULATORY SYSTEM
90b Pericarditis (not rheumatic) ........................... .
9la Bacterial endocarditis .......................................... .
2
7
~tO J.'lt::Urll..l~ \t:"A\;tpll J.UV ..... U.LU."A'-' '-'"- """'~'-'~··~·•~f·••·••
87c Paralysis agitans--------------------------------------------------
87d Disseminated sclerosis _____________________ ------------------
87e Other diseases of the nervous system ______ _
89a Otitis media and other diseases of the ear ... .
89b Diseases of the mastoid process ................... .
TOTAL GROUP VI.
VII.-DISEASES OF THE CIRCULATORY SYSTEM
90b
9la
91b
91c
92a
92b
92c-d
92e
93a
93b
93c-d
93e
94a
94b
95a-c
96
97
99
100
101
102
103
Pericarditis (not rheumatic) ..................... .
Bacterial endocarditis ......................................... .
Other acute endocarditis................ . ..... .
Endocarditis (unspecified, under 45 years
of age)________ ---------------------------------- _______ _
Diseases of the aortic valve .......................... .
Diseases of the mitral valve ......................... .
Diseases of other and unspecified valves
and chronic endocarditis .............................. .
Endocarditis (unspecified, 45 years of
age and over).. . ...................................... .
Acute myocarditis..... . . .............................. .
Myocarditis (unspecified, under 45 years
of age)___ ------------------ ----- -----------
Chronic myocarditis and myocardial
degeneration.... ........ . ........................ .
Other myocarditis (unspecified) ___________________ _
Dis eases of the coronary arteries ............... .
Angina pectoris .. ~ ................................................. .
Other diseases of the heart _____ -----------------------
Aneurysm (except of heart and aorta) ....... .
Arteriosclerosis ..................................................... .
Other diseases of the arteries---·-----·---------·····--
Diseases of the veins .......................................... .
Diseases of the lymphatic system ________________ _
Hi.o;h blood pressure_____ -----------------------------­Other
diseases of the circulatory system .....
TOTAL GROUP VII ... ____________________ --------------------------
2
3
4
5
4 2
2
4
1
1 1
1 2
2 2
1 4
2 2
1
1
4 II
1
1
2
349 1 69.7 II 7/ 32/ 8/ 18/ 6/ 51 169/ 3/ 8/ 42/ 18/ 51 16/ 12 II 198/ 151/ II 255/ 42/ 17/ 35/ - 11/ 4/ 5] 9/ 171 501 114/ 139/
2
7
4
1
7
37
56
8
17
1
383
50
276
22
85
1
39
5
1
1
3
1
1007
76.5
55.1
1
10
8
~I
3 36
1 2
5 27
2
1 10
2
2
2
2
11
4
5
1
3
3
1
1
3
1 14
1 27
2
9
1
4 155
19
3 121
3 6
1 29
1
13
2
1
1
1
7
2
3
9
1
9
1
4
1
3
3
5
5
2
1
49
8
52
18
10
1
15
3
16
5
8
4
3
2
5
3
6
24
38
4
12
1
1
13
18
4
5
2
6
4
1
4 1
32 2
44 10
5
10
2
3
1~ 1, 2!! 14i 2~;1 5~
10 210 66 232 27
1 18 4 21•
I
2
2
1
1
4
10 21
1 3
3 14
1
4 I 59 26 59 18
61 2~ 1 i 3~ ~ I
4 4
2 2
2
1 1
1 3
2
2
1
3
1
1 1 3 1
1 13 13 7
4 8 18 23
1
5
1
2
7
5
4
6 48 127 200
3 11 17 19
9 54 117 96
4 10 8
7 15 30 29
1
1 8 30
2 2 1
1
I i 1 II il ~ i ~ ~ 2
1
I 201.1 II 101 1021 31/ 3~1 24f 14/ 410/ 15/ 25/ 160/ 44/ 211 121 46 II 697/ 3101 il 796/ 136/ 221 53/ 11 1 1 7/ 111 401 1651 358/ 426/
I I I VIII.-DISEASES OF THE RESPIRATORY SYSTEM I I I I I II I I I I I II I 104b Diseases of the accessory sinuses.. 2 . 1 11 I 1 1 2 2
105 Disea,es of the larynx_ 1 I 1 1 1 1
1 06a-c Bronchi1is.. =------------_--_--1 ----;~2~7T<ii>:OT_.-;1it-----;--.f-??f-;,-;;-f-of--;i--,-i,9ij-'---.,f----.-~llc____,1~2~-ii2j--/ ~12-----;-;;,j-----,il---H------;;~18~;;-;-;9}-----!+----;-;1;;7~~4!----;-75~__:;1~----!!-/-----;;nc5~/L~l~=!---:-cl~I----:~8;)_~5!---79;J_~3~-
Pneumonia (all forms)____ 466 I 93.0 li 50/ 13/ 22/ 28/ 9/ 5/ 161/ 7/ 28/ 731 27/ 8[ 18/ 17 II 255/ 211/ II 180/ 166/ 114/ 6/ 11 207/ 60/ 12/ 101 17/ 32/ 49/ 79]
107
108
109
110a-b
111a, c
Br~;oc::~~i~~moni~- _a~~-c~~-illa_ry ________ ------- 272 ~~~ 37
9
1 10
3
13
9
1
1
'
0
1( 3 2 97 2 14 45 13 51 41 10 I' 139,133 I 921 104 72 4[ 147 42 9 1 8 11 11 431
Lobar pneumonia.. ------------------- ---- --------- 157 I 6 3 56 5 5 21 10 2 12/ 6 95 62 84 51 21 1 40 14 1 8 7 19 34 34
Pneumonia (unspecified) --------- ------------ ------- 37 I 2
41 11 8 9 7 4 1 2/ 1 21 16 4 11 21 1 20 4 2 1 2 2 4 2
Pleurisy, Empyema__ -------------- ------ 10 5 2 1 6 4 8 2 2 1 3 1 3
Hemorrhagic infarction, thrombosis and
chronic congestion of lungs__________________________ 14 1 2 1 2 3 2 1 1 1 8 6 7 4 3 1 1 a 4 5
112 Asthma _____ ------ ------------------- - ----------- --------- 26 I 1 1
2
21 1
1 1
12: 20 6 23 2 1 1 2 2 7 12 2
113 Pulmonary emphysema ______ -----------------·--------------- 2 1 2 1 1 2
m~. d, e ~~~~~sidl~;;,ses of the respirat~-~~---~}--~t~;;;:::: ---i,li-j~,-t,-;--..--HI'---.-;:i----,--,:f-?ofl---;;j~t----;nj-------.-;~~-o[-;;;,1---;-;~---;;:;f------,-nf------,-oi-----;-;ofJT-' -;;;;-~;:t-;;i2~---tt~l--;..,;~}-;--,2-4j--1 --;n-;{-------:oi------+!-=1~----;;'1~--,---;c!-----,-~+--=+--~4+--.,2:;_3~~1~-
TOTAL GROUP VIII... ---------------------------- 560 I 111.8 II 54! 16/ 22/ 34/ 10/ 5/ 192/ 8/ 32/ 108/ 31/ 10/ 19/ 19 I! 321/ 239/ II 247/ 181/ 124/ 8/ II 216/ 64/ 14/ 15/ 25/ 52/ 84/ 90/
IX.-DISEASES OF THE DIGESTIVE SYSTEM
115b Septic sore throat_______ _ __ ----------- ----- --------
115cMd Diseases of pharynx and tonsils and un ...
116
117a-b
118
119a
120a-b
121
122a
122b
123
124
125a-b
126
127
128
129
specified parts of the buccal cavity __________ _
Diseases of the esophagus .... ···--······················
Ulcer of stomach or duodenum .................... .
Other diseases of the stomach (except
cancer).. . ...................................................... .
Diarrhea and enteritis (under 2 years
of age)--------________ -----------------------------
Diarrhea and enteritis (2 years of age
and ovPr) .. . ................................. .
Appendicitis... .............. . ............ "' ..
Hernia._.. . ............................................. .
Intestinal obstruction.. ........... . .................. .
Other diseas~ of the intestines ................... .
Cirrhosis of the liver...... ............. ..... ...... . ...... .
Other diseasps of the liver......... . .......... .
Biliary calculi .................. . ....... .
Cholecystitis and other diseases of the
~allbladder and biliary ducts _____ -------- ---------
Diseases of the pancreas (except diabetes
mellitus)________________ --------------- ------------ ---·----
Peritonitis (cause not stated) ................. .
TOTAL GROUP IX. ____ ---------------------------------
X.-DISEASES OF THE GENITO-URINARY
130
131a-b
132
133a-b
134a, c
135a-b
136a-h
137a-b
139a-b
SYSTEM
Acute nephritis .................................................. .
Chronic nephritis ............................................... .
Nephritis (unspecified, 10 years of age
and over) .......................................................... .
Other diseases of the kidneys and ureters __ _
Calcu1i of the urinary passages ..................... .
Diseases of the urinary bladder ..................... .
Diseases of the urethra ..................................... .
Diseases of the prostate ................................. .
Diseases of the female genital organs ........ .
TOTAL GROUP X ................................................. .
XL-DISEASES OF PREGNANCY. CHILDBIRTH,
140a-d
141a-f
142a-b
144a-d
145
146a-c
147a-d
148a-c
149b
150c
AND THE PUERPERIUM
Abortion with mention of infection ............ .
Abortion without mention of infection ..... .
Ectopic gestation ................................................ .
Toxemias of pregnancy (death before
delivery)------- -------- -----------------
Other diseases and accidents of preg-nancy
(death before delivery) __________ ---------
Hemorrhage of childbirth and the
puerperium........ . ....................................... .
Infection during childbirth and the
puerperium.. . ............................ .
Puerperal toxemias (excluding death
before delivery) ______ ----------------- ----------------
Other specified conditions of childbirth ____ _
Other and unspecified conditions of child-birth
and the puerperium........ ....... . .... .
TOTAL GROUP XL------------------------------------------------
XII.-DISEASES OF THE SKIN AND CELLULAR
TISSUE
151 Carbuncle and furuncle ______ ------------- -------------
152 Phlegmon and acute abscess.... . .................. .
153 Other diseases of the skin and cellular
tissue ........................................................... .
TOTAL GROUP XII ...
XIV.-CONGENITAL MALFORMATIONS
157a-d Congenital malformations of central
157e
157g
157m
nervous system .... -............. . .......... .
Congenital malformations of the heart ....... .
Congenital malformations of the diges-tive
system ..................................................... .
Other and unspecified congenital
----T=o'""T=-Acc~o-:a'-'l-=~0"'I~c=~~t~o~iv. _ ··:: _____________________ ------ ______ _
XVI.-SENILITY
162 Senility-- ················ ······· ·············
XVIL-VIOLENT OR ACCIDENTAL DEATHS
163 Suicide by poisoning ········· ········· ............
164 Suicide by other n1eans .. ............ ·········· ············
166-168 Homicide ........ _ ··················· ..........
169 Railway accidents (except collisions with
motor vehicles). ························ ············· ......
170a,c, d Motor-vehicle accidents .. .... ....
171b Other road-transport accidents .............. ······
173 Air-transport accidents .. ..... ... ., ....... ..........
174 Accidents in mines and quarries .. --- ············
175b, e Agricultural and forestry accidPnt!i
176 Oth02r accidents involving machinery .........
177 Food poisoning ················· ·········· ......
178 Accidc•ntal abso:ptio.n of po!sono':'~ .. gas ·······
5
8
1
I I 1 1 I I 2 1 I II 3 2 I 51
1:
1 4
: l 2il li : 3
1
2
1
1
1
23 7
7
208
28
71
6
2R
3
36
7
18
13
3
2
467 1
13
235
16
11
5
2
93.2 11
46.9
~ I II
301 1 60.1 II
9
3
4
8
1
12
9
7
2
7
1 3
1
23 7
1
4 5
1
2 2
3
1
34/ 23/
1 1
3 20
2
1
2 1
1
62 I II 4/ 2/
1
3
2
2
4
1
I
2
1 1
8/ 20/
20 5
1
' ,: ' : .: '" ' ,j " ! u: .:
1i1·
2
1
2
1
1
1 7 2 1 2 15 13
1 3 1: 3 1 ~I 6 a~ 36
1 11 3 1 1 41 rl 15 13
2 1 II 1 2
12 1 10 2 1 I 5 28 8
3 2 1 II 4 3
8 4 2 2[ 1 il 6 12
5 1 3 2f 11 1 6
2
1
7/ 172/
6
2 90
6
4
1
3
3
3
4/ 19/ 86/ 361
4
8 6 29 14
6
4
1
2
1 1
I
1
·1 1 2
I 1 1
6/ 18/ 26 II 267/ 2001
8 5
2 9 144 91
1 2 9 7
7 4
!I ,
1
5
6 1
45 107
6
13
13
47
5
10
3
I
29
I !
\\ i\
11
4
1
6
1
I
~~
II 2011 158/
8
171
11
7
4
1
7
4
I 1
43
3
1
52
9
4
7 4
1
7
92/ 10/
I 1 3
11 10
1
3
1
1
2
1
1
1
1
1
7
2 1
1
4
1 2
170 38
183/
17 2 2 3 4
3 9 18 12 11 15 3
1 1 2 2
2313462
2 1
2 13 10 11
4 2 1
2 4 6 3 3
3
2
65/ 16/ 23/ 36/ 67/ 51/ 36/
2
3 4
t 1 3 3 3 1
3 5 46 65 109
2
2
2
7
3
2
1
4
4 1 1
7
tl
~~
4/ 231 5/ 2i 116/ 9/ 8/ 46/ 18/ 3/ 29/ 10 II 187/ 114/ II 213/ 521 20/ 16/ 21 6/ 4/ 6/ 131 56/ 86/ 128/
2
1
4/
2
1
'
11
I
I
I
41 1/
3
1
2
4
1 3
1 1
2
2
2 2
2 2
2
9
3
4
8
1
12
11 9
( J
1
1
1
4/
1
1
3
2
5
3
II
1
\ I ~ il
2 1 1 2 1 I I 7 1111 21/ 21/
5
3
1
2
1
I
3/
16/ 2/
4
4
2
2
6
3
4
4
8
4
5
I I
1/ 6/
19/ 40/
I I I I 1 I \1
1
1 1 1
1
1 \ I I I I I
I ,I I 'i ' I ,, ; ' I :' I : I I I 'I I 'I
3/
6 I II I I I I I I 21 I 2/ 3/ I I I II 4/ 2/ II a1 I 3/ : II I 1/ I 11 2/ 1/
I 2]
II I
4)
I II 1111
17 ) 14.0 3 5 ~I 3 ! 11
53 ) 2 7 4 1 18 2 2 81 5 2 44
44 8.8 1 4 1 1 1 19 2 3 2 6 2 34
I
22 1 1 4 1 3 4 4
1rl
1 22
238 47.5 8 13 15 8 4 7 78 6 14 34 26 1 13 170
2 1
21
1 I 2
5 3
6t
3
16 2 1 ;: 3 16
5
II
1 1 1 1
11 I 5
3 I 1 1
1
1
il 3
4 I 2 1 1~ 2
3 11 II 2
I
I II
J\
68
2
2
1
I
I
9[
I
14
49
20
121
185
1
4
12
5
3
2
al
I 15/
I
3
2 1
8 5
I
7
30 19
1
1
4
21
I II I I I
J II I
II I II
u/ II 1 I !I
1!
'
1 6 1:ll
I
I
I I 11 I I
I I ,:: II
i) 3 1 2/
10 12 18 17 3 ~I
I
s~l 10 4 2 1
49 47 47 22
'i 1 1
I 4 1
3/ 6 6 1
I ~I 2 2
11
1 I
1
1 2 11
159
160a-c
161a-c
Premature birth ..
Injury at birth ..
Other diseases peculiar to the first
year of life ..
TOTAL GROUP XV.... . ................. .
XVI.-SENILITY
162 Senility ---------··· ............ ·······--··
XVII.-VIOLENT OR ACCIDENTAL DEATHS
163 Suicide by poisoning .................................... ........
164 Suicide by other means ..... -----···--·-····-······ -······
166-168 Homicide ......... ---------······--· ······--·--
169 Railway accidents (except collisions with
motor vehicles)---------------·-···--····-·····----··· ---· ---···
170a,c,d Motor-vehicle accidents .... -----·················--·-- -----
171b Other road-tranRport accidents ........... ·············
173 Air-transport accidents ..... ................. ················
174 Accidents in mines and quarries ....................
175b,e Agricultural and forestry aecid('nts ...
176 Other accidents involving machinery _____ ······
177 Food poisoning .... ............... ······--··
178 Accidental absorption of poisonous gas .......
179 Acute ::H'cidental poisoning by solids or
liquids ...... ································· ················· ·········
180 Conflagration .. ················· ......................
181 Accidental burns (except conflagration) ......
182 Accidental mechanical suffocation .. ..............
183 Accidental drowning ................ ·······················-····
184 Accidental injury by firearms ...... ·················
185 Accidental injury by cutting or piercing
instruments ........... .................. ··························
186a Accidental injury by fall... ...............................
186b Accidental injury by crushing ...................
188 Injury by animals (not specified as ve-nomous
or occurring in the course of
agricultural and forestry operations) ........
189 Hunger or thirst ...... ················ ....... ·······
190 Excessive cold ...... ············································
191 Excessive heat ......... ············································
192 Lightning ..................... ············································
193 Accidents due to electric currents ..................
194 Poisoning by venomous animals ......................
195d Obstruction. suffocation, or puncture
by ingested objects ............................................
195e Other and unspecified accidents ......................
198 Legal executions ..................... ...................... .......
TOTAL GROUP XVII ....... ........ ............... ..............
XVIII.-ILL-DEFINED AND UNKNOWN CAUSES
199 Sudden death ... ........ ....... ..............................
200a Ill-defined causes ..... ........ ............... ..................
200b-c Found dead, unknown or unspecified
causes .. .......... ....... ··-·································
TOTAL GROUP XVIII. ....... ···································
ll ~I
313 1 171 191 111 91 7! 81 1201
I
17 ) 14.0 3 5
53 ) 2 7 4 1 18
44 8.8 1 4 1 1 1 19
22 1 1 4
238 47.5 8 13 15 8 4 7 78
2 1
21
1
5 3
16 2
5 1 1 1
3 I 1 1
4
11
2
·3
10 1 1 1 3
6 3
29 2 2 1 14
7 1 3
:n 1 1 12
15 1 1 1 1 4
1 1
65 2 4 4 5 1 28
11 3 1 3
11 2 1 2
3
1 1
13 6
1
5 1 2
8 1 1 4
4 16 2 1 ~I
1
650 I 129.8 II 211 46[ 301 221 101 91 2251
I
3 1 :I 1
53 2 1 17
62 2 4 6
118 I 23.6 II 21 31 51 31 I I 241
2
' ~1 2 ~1 1 ~1 ~I ~~ ~~
1( 1 5 4 1 11 3
I'
II
H2O9I
18
31 161 341 231 51 161 25 1741
I I II
\ ~~ I ~I II 3 11
2 2 5 2 44
2 3 2 6 2 34
1il
1 3 4 4 1 22
6 14 34 26 1 13 170
I 2
~t 3
1 4 3 16
1 I 5
1 \I 3
1 1
1t
2
1
I
2
1 2 I 1 5
3 I 5
2 3 2 21 1 14
1 1
2l
1 5
1 4 5 2 3 24
1 1 2
2l
1 11
I 1
3 7 2 61 3 38
1 1 1 1 10
3 3 8
1 1 1 2
I 1
4 1 2 5
11
I
1
1 1 I 5
1 1 3
il ~l 2
2 I 12
1 1
141 381 861 601 61 481 35 II 4671
II
1 I' a)
2 3 4 9 1 11 1 !l 38
1 6 38 4 321
31 91 421 131 11 111 2 II 731
2~~0I
25
1391
\
! 6
9
10
68
2
2 [I
1
II
5
(I
1
15
2
7
1:
4
27 I
1
3 I
~~ I
II
5\ ~I I I
1831 II
II
I
I
15 I
I
29 1 I
441 1 II
261 i51 • 71
2o\ 15\ 8\
1531
I
I
91
I
14
49
20
121
185
1
4
12
5
3
2
3
6'
4
19
5
22
11
I
I
48[
111
I
S'
11
I
41
11 il
2!
1~1
4721
I
2!
221
61
301
1151 381
I
151
3\ \
~) 1
5
7
30 19
1
1
4
2
1 2
2
5 4
1 1
7 1
1 1
5 9
1' 2
1 1
1
8
1
3 2
2
2 2
951 541
I ~~~ 211
! I
31 521
241 621
I 1 1 1
7i II 3131 I I J I
I II I I I
J 1
1
1 \ I I I ,:! 1\ II
i)
3 21
II
ul I 10 12 :I 1 18 17 3
~I I I
II
131 51 10 4 2 1
1 G 53 49 47 47 22
I I 1 1
I 4 1 I 3[ 6 6 1
i 1 2 2
1J 1 1 I
I 1 I 1 1
11 I
1.
1 2
I I I
11 3 3 I ; 21 21
11 I 2 II
61
3
1' 1 8 :I 21 5 1 41
5 11 1 I
1 1 9 ~I :l 1 1 21
2 5[ 8 1
2\
I
1
11 ~I 1
3 " 3 3 6 40
I 1 3 1
I
I I I l I I
I 2l 31 31 2 3 I 1 I
1! I I 1 I
6 1 I 4 2 I
I 11
1
I
1 2 1 I
1 6 1 I
I ~I 31 3 1
,I 41
2 1 2 2
291 II 281 381 391 1051 1331 1291 901 881
II
II I I
\
I I
~I 1~j \ 1 4
41
1 5 11
81 2
I
I 1 221 15 1 1 3 6\ 101
I 2 II 2111 191 41 21 61 141 241 181 '2
TOTAL- ALL CAUSES .. . ............ 5772 11152.4 II 2691 3741 1521 2221 1231 73121651 811 257110351 H55l 821 3401 244 II 3508122631 1 II -~491l12o~S I 7871 2.'1'0 1 3 II 9771 3281 1591 3601 5%1 97111189111891 a
...
~
-
=<
=<
TABLE IV.
PRINCIPAL CAUSES OF INFANT MORTALITY-ARIZONA 1940
BY COUNTIES, SEX AND RACE GROUPS
I
COUNTY SEX
I 0
0
0~ .-<,.C: "' " "
II
... t 0 " " CAUSE OF DEATH W·~ " ~ " E ~ "' Ci 0 0 ·;; "
;;:
<l.Pl "' ·;: " 0 > "' 0 ~ "" :;: " <> .. ·;;; .s " .... " <> 0 "' w ·~ .. o; .. s w
""> .. <> <> .$ " " "" > s " " > o; s -"'
"·~ "' 0 0 " " " 0 .. " E-< P::...:l < 0 0 a <:!> <:!> )!! )!! z ~ ii: Ul >.<. >"< :;;: f"i. ;:":J
Total Principal Causes -----···· -----············· ·I 835 72.011
72 36 271 271 281 12 320 5 47 121 54 10 3~1 46' 459 Pneumonia-all forms ·········· .. 207 17.9 32 4 13 3~~~
1!1
21 1 75 15 23 14 3 61 116
Premature Birth ---------························· ....... 195 16.8 10 14 5 31 5 85 2 7 21 15 3 101 113 82
Diarrhea and Enteritis ..... ..... ................ 170 14.7 20 5 2 101 3 69 1 7 28 12 1 2·
lgj
96 74
Injury at Birth ·--------------··········-- ..... ········· 49 4.2 1 1 2 ll 2 11 4 5 3 1 ;) 29 201
Congenital Malformations ········- 48 4.1 2 3 31
11
23 1 3 9 1 22 261 Influenza ············ 44 3.8 2 3 51 18 4
,;]
3 311 23 21
Other Diseases Peculiar to First Year I
:I
~11 181
of Life ... ·········· ·········--------··········· ...... 43 3.7 6 2 2 31 13 1 4 1 1 25
Whooping Cough ...... ........ ··········· ·········· I 27 2.3 1 2 1 1 I 6 1
171
10
Syphilis 26 2.2 2, !I ~I ll I 9 11 1
2//
11 15
Congenital Debility 26 2.2
141
...... ........... I 11 3 1 1 14 12
All other Causes ......... 142112.2 41 31 1/ 43 3 11! 261 201 ll 4 51 961 651 lll
RACE
~
~
,::; :.C;.. o~Jj .,;0 0 • ..,
-~~ ~:ec: " ";;: ~~ ~.~; 2! "<> " ~ 0 <l.Pl <> ·;; .. " ~-~ w Q,) Q.l .... :;: :e "' -"'
~ ~"' .5 0 ;:"J ~:E O~.:::.:.:.: l:~.i
305 359 1521
lil
6831 65.1
57 86 59 1481 14.1
98 75 16 1791 17.0
37 93 3~1 ~I 1311 12.5
26 15 421 4.0
36 7 41 11
441 4.2
141 28 21 421 4.0
2oJ s/ I
15 i 351 3.3
!I 16 ~I 221 2.1
14 5
111
211 2.0
10 191 1.8
331 521 551 ll 861 8.2
TOTAL ... .. ..... 11 9771 84.311 861 411 291 311 311 H" 3631 81 5811471 741 111 34! 5111 5351 4411 111 338,' 4111 2o71 201 111 7691 73.2
Rate per 1000 Live Births . ..11 11181.41 52.01 81.91 63.11 87.8! 52.8179.8I40.4I114.9I90.4I9L8I50.9!66.3Ilos.oii9L3I76.9i li50.5Il20.0I189.2I53.ll II I
TABLE v.
DEATHS FROM MOTOR VEHICLE ACCIDENTS-BY COUNTIES, MONTHS, SEX AND RACE GROUPS
YEAR 1940
SEX RACE
>. >. ""' ""' " "" "" "' ~ "s" ""' "E" ""E"' 3 " "" "" " " ~ "" " ·~ >. >. " 0 COUNTY " "" " "' "' " .., > <> 0 " " "' " "' ~ " :; " " 0 "" .. E-< ... )!! < )!! "' z o; 2 <> " " "" ... ... < Ul 0 0 " ·;; .. o; E :;: :e ""' "" "' ..,
::;:J fi. ~ )!! .5 0
APACHE .... ·································· ... II 8 I 1 I ~I ~I 31 31
6 2 5 31
COCHISE .... .... ·········· ....................... 13 I 1 2
I
12 1 6 6 I
COCONINO ····· 15 21 3 1 1 ' 41 11 4 14 1 I
GILA ....................................... 8 2 1 ! 1 1 2 6 2 6 21
GRAHAM ......... ··············· ························ 4 I 1 1 3 1 2 1 1 I
GREENLEE :! II
I 2 1 ~ I 2 4 3 6 1 I
MARICOPA 15 4 4 31 10 7 9 58 20 68 ;I I 2
MOHAVE ····················································· 1 21 1 6 5 1 I
NAVAJO ... 1 1 I 3 1 3 3 1 8 6 5 61
PIMA 34 3 31 2 3 2 1 3 2 4 21 13 25 51
PINAL :r I
3 31 2 4 2 3 4 2 19 7 21 ;t 1 I
SANTA CRUZ 1 ~I
I ~I 1 Jl I I
YAVAPAI ········ ·········· I 1 I I 1 1 ~I ~I 4 I
YUMA 13 1 I 3 I 1 1 5 I
TOTAL. ...................................................... 11 238 II 27 I 13 I 141 16 I 26 I 22 I 111 22 I 14 I 18 I 24 I 31 !I· 170 1 68 II 185 1 30 I 19 I 4
TABLE VI.
SUMMARY OF DEATHS FROM TUBERCULOSIS-ARIZONA 1940
BY COUNTIES, SEX, RACE AND AGE GROUPS
SEX RACE AGE AT TIME OF DEATH
0 ~
~ ~ " ~ ""' ~ ""' 0 ~ ~ .. a1 .. .. 0 "' COUNTY 0 "" " " " "" "' " .. 0 ts ~ " >< >< >< >< >< " 0 o; 2! " " " "" "" >< "0 3 ., .... E w ·;; "' " " >< .,. .,. .,. .,. .,. ..,,., " :; ..C:>< '" E :;: :e "' >< ~ ~ "1 '1 "' 0 '1' " "" +'0 )!! " ~ " .5 0 '1 >0 "' E-< O::<l. ll. Ofi. >0 >0 >0 >0 "" :;;: >0 "' "'
..,. >0 "' APACHE ...... ·································· ····················· ... ·II 74 304.9 671 7 II 351 39 2
121
72 121 9 19 12 ~I 5 31 4
COCHISE ································· ············· 24 69.4 24 I! 18 6 11 1 2 3 5 21 5
COCONINO ::::1 10 52.0 7 3 II 6 4 3 7 21 2 2 1 2 ll
GILA 20 87.7 19 1 II 15 5 8 71 5 11 3 2 2 5 41 3
GRAHAM ································ 9 73.1 8 1 5 4 4 7~1 1 4 1 I 3
GREENLEE ·························· 5 57.2 4 1 4 1 3 2 ll 2
MARICOPA ································· 312 166.8 295 17 II 204 108 199 18 18 8 9 52 65 64 59 321 22
MOHAVE ................... 5 57.9 4 1 II 3 2 3 2~1 2 2 3
NAVAJO 46 181.7 44 2
II
14 32 2 43 8 18 9 2 6 3~f 1
PIMA ... .............................. 225 305.81 ':!! 9 149 76 161 33 8
'I
8 4 23 38 51 57 10
PINAL ...................... ·································· 401137.3 2
II
29 11 10 l~i 9 2 1 6 5 6 13 51 4
SANTA CRUZ .......... 8 83.8 7 1 2 1 2 2 1~1 91 1
YAVAPAI ··················��···· ........................ 50 188.61 50 II 43 7 43 ~I 2 1 8 14 6
YUMA .......................... 18 93.2 17 1 12 6 7 2 4 4 1 31 3
TOTAL .... ............................ ..................... .... )i 8461 168.91 8011 45 II 5441 302 458[ 1641 1941 30 61 331 351 1361 1511 1551 1681 951 67
TABLE VII.
SUMMARY OF BIRTHS- ARIZONA 1940
SEX RACE SINGLE or PLURAL ATTENDANT AT BIRTH
P.
3 " " -~~ ... COUNTY "' "' +> ·~ Po ....
0 " ~
.. " 0 ... .! "' ""' ·~.s ·~ ...
E-< " .~ ... " c. ·~ 0 .! s 'K .. 1l "' .. .. ·~ ~~ »..., ::1 .<: "' .<: "' "" "' +> " ·;:: ..::., .<:o +>
::;! "" :;:: ::;! ..5 z 0 ;n E-< E-< P...~ p..., ::;! 0
APACHE .... 474 238 236 128 I 77 245 13 11 456 I 18 280 1471
31 I 16
COCHISE ·················- . ······-········ 789 407 382 4261339 23 1 770 19 448 280 53 I 8
COCONINO .. 354 178 176 183 102 57 7 5 346 8 166 152 9 I 27
GILA -------------···············-··· 491 261 230 261 139 87 2 2 475 16 236 207 a I 45
GRAHAM 353 183 110 II 232 98 21 1 1 347 6 84 250 5 I 14
GREENLEE 246 123 123 II 135 111 232 14 158 88 I
MARICOPA ··-------------------- 4549 2294 2255 1 3097 1092 146 132 82 4437 109 3 3361 923 20~ I 63
MOHAVE 198 104 94 I. 156 16 26 198 134 53 5
NAVAJO ·-··· ···············----·············· 505 244 261 II 232 92 178 3 501 4 272 96 18 I 119
PIMA 1627 840 787 II 758 673 153 36 7 1598 29 979 367 178 I 103
........... 1
PINAL .... ··········--------····· ····-····· 806 386 420 1 428 214 146 11 7 782 24 433 313 41 1~
SANTA CRUZ 216 104 112 li 98 113 1 1 3 210 6 37 132 42 I 5
YAVAPAI ········--······ 513 258 255 II 310 191 8 2 2 505 I 8 258 242 I 13
YUMA ·····-··············· 472 239 233 II 254 167 26 22 3 466 6 314 52 101 I 5
TOTAL ... . II 11593 I 5859 1 5734 II 6698 13424 1 to94 1 25o 1 121 II 11323 1 267 1 a II 7160 3302 689 I 442
TABLE VIII.
BIRffiS-ARIZONA 1940-BY COUNTIES AND OCCUPATIONS OF FATHER
OCCUPATIONAL GROUPS
II Total I 2 I a I 4 5 6 7 8 I X II
APACHE ······························
II
474 19 157 I 18
I
33 I 45 33 13
II
98
I
8 50 0-Professional persons.
COCHISE ··-· ::::1 789 27 36 I 34 41 61 89 12 386 10 93 1-Farmers (owners and
COCONINO 354 21 34 I 24 26 29 51 17 116 9 27 tenants).
GILA ····-········· ·········· 491 12 13 I 19 I 21 34 59 2 280 5 46 2-Proprietors, managers
GRAHAM ·····-······· ··--···· ··············- ··············
I
353 16 80 I 19 21 30 24 28 119 2 14 and officials.
GREENLEE ······· ········· 246 9 8
I
9 9 36 33 4 126 3 9 3---Clerks and kindred workers.
MARICOPA ....... .. ·········· 4549 205 443 297 I 487 404 508 680 1125 72 328
I!
4-Skilled workers.
MOHAVE .. ···················· ...... ·············· 198 H 17 I 13
I
12 18 18 7 91 1 7 5-Semi-skilled workers.
NAVAJO ...... . ........................... ! 505 24 115 I 18 30 64 55 7 145 6 41 &-Farm laborers.
PIMA I 1627 83 98 I 132 179 196 217 58
I
471 30 163 7-0ther laborers.
PINAL ......................... ············! 806 15 208 I 22 23 48 40
I
145 271 6 28 I 8-Servant classes.
SANTA CRUZ ............. ... ::::···. :::.11 216 s 11 I 19
I
22 15 16 16 97 3 9 X-Unemployed, W.P.A. retir-
YAVAPAI ..... ················· ·············· . .... 513 23 35 I 24 35 37 54 11 222 5 67 I ed, unknown, disabled, oth-
YUMA ................... .......... .......... 472 18 I 33 I 28 29 31 41 110 151 6 25 I ers in non-gainful pursuits.
TOTAL... .... . ......... 11 11593 I 491 1 12ss 1 676 I 968 I 1048 I 12as I 1110 11 3698 I 166 1 907
Percentage Distribution of Occupational Groups. --II 100.0 I 4.3 I 11.1 I s.s i 8.4 I 9.o I 10.1 1 '9.6 II at.9 I 1.4 f 7.8
TABLE IX.
REPORTABLE DISEASE MORBIDITY AND MORTALITY SUMMARY-ARIZONA 1940
BY MONTHS
DISEASES II TOTAL !!January IIFcbruary/1 March II April II May /I June
c I D II c I D II c I D II c I D II c I D c I D c I D
~h'!~~~~id ··::·::::::::::::::::::::::::: :::: ::::::::.:II 4~1 I
Chickenpox ............. . ... ............ . 1,009
g~~~~:~~a .. ::::::: ::::::· :::::::::::::::: : ..... lr l.~J.i ~~
Encephalitis ................. ............ ........ .. 10 6
Erysipelas .. ................ ............... 2 4
German Measles ........................ ------·---··· 90
141
29
42
16~1 15
49
1
1
10
1
2
2
70
7
127
2
1
31
13
2 104
3
I ~I 1 1~1
1 106 4
1
1
3
12
5
122
1
4
Gonorrhea ...... ............... ..................... 1,908
~~~~~:::~a .. :::. :::::::::: :·::::::·:::::: :::: ...... :: : 110,9~~
2
5 143
139 1032
157
18 895
8
1 189
10 332 l li~l 9 150
11
1 147
2 97
12J
1
1
4 140
~j zg
Malaria ........................... I 35
::!~~esFe·~-~~----~-~-~~~-~-~~-~~--~:.::::::::::::::::: 2.2~~
~~:~:itis_: ... ~~i~.e-~i~ ::::::::::::: :::::::::::: 1 1 1•5~~
Opthalmia Neonatorum..................... 11
Pellagra ......................................... 30
Pneumonia ................ .............. ...... ....... 1,853
Poliomyelitis ........................ ............. 15
Scarlet Fever........................... ............. 304
Septic Sore Throat................ ........... 1
~~~~lj~x .. ::::::::::: : :.:::::::::.: :··· . . . ... I 2, 7~~
Trachoma ............ ......... 600
Tuberculosis ................ .......... 1,247
Tularemia .. . . .. ..... ... .... 6
Typhoid Fever........... ............................./ 67
~Ji;o':in:ec'::"ugh·::····:::::::::·::::: :··:::::.... 1,14~1
1
31
2
206
1
2
180
1
47
6
110 182
39
846 99
7 10
50 1 80
6
3
1 81
5
190
3
1
64 I 309
51
4
13 274
89
74 140
1
4
1701
2
3
4 364
395
1 5
42 319
2
42
1
9 283
581
925113:
136
5
4
6 441
2
147
3
2
3 242
2
93
1
1 1
38 129 43
1
41 1
1 11
4 22~ 81
76 1~~ 79
811 Ji ~~
38
3
13
1 1
84
1
1
33 29
10
1
21
14 15~1 8
~~\ 661
:!/ J
70 J
3
4
44
36
1
45
2
5
1
240
56
93
4
57
6
9
10
4
60
2
128
3 104
15
1
I
8
2
42
34
1
3
23
2
7
6 179
38
77
2!1
5
34
2 2-1
6 121
1
4
175
3 390
16
3
5
93
2
63
3
44
3
15
8 231
52
1221
631.
3J Jl
5
68
31
5 152
1
12
177
4 680
2
1
3
137
80
2
7
25 200
1
28
8
3 174
45
53 67
3
2 33
:
2
149
6
74
1
1 I 1
I 131
2
1
11 151931 49
I 2
I 203 1
l
lu; 1
I 7
4211 400 64
11 18 1
81 326 14
24
5: I 8:. 69
2 I 531 3
TOTAL ......................... . . ......... /127,213/1728/122761 179/132761 172//30411 196!121341 1461121541 1591113901 13411 9991 1101110391 10111 7671 1021114311 941119151 130/167911205
DISEASES
TABLE X.
REPORTABLE DISEASE MORBIDITY AND MORTALITY SUMMARY-ARIZONA 1940
BY COUNTIES
II c I D II c I D I' c I D II c I D II c I D II c I D II c I D II c I D II c I D II c I D II c I D II c I D II c I D II c I D II c I D
Anthrax ... I 11 II I Chancroid .... 40 2
Chickenpox . .. 1009 131
Diphtheria I 171 16 49
Dysentery . . .. .. 1,0771 351 22
Encephalitis .. 10 6\
Erysipelas .. . 2 4
German Measles 1 90 8
Gonorrhea .. . J 1,908 5 149
Influenza ,.
1
10,902 1391 3151
Impetigo I 12
Malaria . . . . 351
Malta Fever I 1 I) I
(Undulant) .... , 29!
Mea~les. , .............
1
2,2181 241' 12';
Menm.gitls: I
Epidemic........ 18, 6/ 7
~~":h:l,;,i~ ....... I 1,598 Ill 71·
Neonatorum.. 11 6
Pellagra ............ 30 5
Pneumonia ...... 1,853 466 220 50
Poliomyelitis .... 15 1 1
Scarlet Fever.... 304 2 5
Se~~~o!or·e······ 2111! 5 I Smallpox ......... .
Syphilis .............. 2, 788 110 121
Trachoma .... 600 201
Tuberculosis .... 1,2471846 2101
Tularemia 6
Typhoid Fever .. 67 7 7
Typhus Fever .. 21
Whooping
Cough ............ 1,148 50 137
1
38
11
13 29
II
1
30
4 I 22
I 46
24 32
3
62
1
4
22 11 28 50
2
10
6
3~1 27
8
1
15
J 651
201I 1361
211 171
~~~ 2~1I
~II 191
II I II 1
811 3~~1
II I
Ill I
II 3041
II I
II 26
II 11 911 48
II 11
II 7/
II
311 291
II
911 10
111 2
II 1
II 471
8
203
45
1 487
6
42
1 906
1 4696
7
15
1 615
88
2
10
5 882
6
93
1
14
2 957
35
5 175
3
38
1
332
5
2
3
1
I 46
13
I
2~1
53 23:l
: 1:/
1 l 89!
3
161 251 :I 2
:1
43 62
312
3
11
11 1 911
11
79
4
2 158
43
4 547
7
317
460
2
1
92
7
I 41
131
1 3
1 143
2
I 1
8
226
10 881
12
3
82
1
82
2
28 157
1 2
45
8
1
1
15
18
95
14
1 66
24 749
8
2
31
4
26
1 3
73 102
1
28
3
1 879 24 128
124 14
46 481 225 17
51
5
5, 1071 17 32
1 1
27 25
3 104
9
40 7
1 2
211 12
1
177
4
1 2
1
3
43
1 177
I
72
1
8 43
29
2
8 91
8 118
1 20
2
6
131 17
3
5
2 76 3
75
50 23 18
2
2 1
I 75 5
TOTAL ...... /I27,213Il728il1789l 150/15671 5811 5811 3511 4811 6611 5451 3211 855! 161196671 61211 6421 191121501 93//33811 383/113541 10011 7651 261/13891 781120471 60
Annual Report 1940-1941
DIVISION OF' HEALTH EDUCATION
Arizona State Board of Health
College ~ ~ Courses in Health [;duca tion for ~ Training .!!.
Teachers ~ P;:~o_:s_pecti ve Teachers.
1. During the year the health education program in Arizona has
e:mphashed the tF.:tining of teachers and prospective teachers for health
education work in the schools of the state. ..;ourses in health education
were conducted by the director of health education at the Arizona State
Teachers in Tempe and the Arizona State Teachers college in
Flagstaff. This phase of ttre educational pro cram took approxirrJ.S.tely five
months of work on the of' the director of health education. During
that time, however~ 242 teachers and prospective teachers received
instruction in health education, personal and community hygiene, and
environm.ental sani ta.tion.
2. 'l'o these courses in health education at the Arizona
Colleges. field courses have been devised to meet the needs of teachers
already in the sion~ Such field courses have been conducted by
county medical societies under the sup(::rvision of the director of health
education and in cooperation with the local boards of education) superin­tendents
o schools, and loca.l health departments. These courses have been
proven successful in in€; interest in hygiene and health education,
and serve as a basis for establishin~: school health pro,,,:ra=n.s. Materials
for these courses havEJ been prepared and provided by the division of health
education. the last year, approximately 3f:i0 teachers have received
training in health education and hygiene by utilizing these training facilities.
3. In addition to tile col and field courses in health education
the director of hoalth education prepared courses of for seconda!".f and
elementary sGhooh during; the Y~'a.r 1940-1941. At the present time lOi; of
the Arizona. e schools use courses of study prepared by the director
of health education of the State Department.
4. H'"'a.l th Survey-- A health survey sponsored by the State H<Jal th
Departmen-:r;-J5epa~t of Education, and the Arizona state Teachers College
at Tempe conducted by the director of hea.lth education !L.'ll<:mg the elementary
schools of the state for the purpose of discovering the needs of these
schools for physical education and recreation. The results of this survey
will be used by the colleges of the state to aug1nent the training of
teachers of physice.l education and rec:reation.
5. Radio: During tne fiscal year, radio
were continued as a part of the state program.
tica.lly all phases of pub lie health were given
network representing six independent and chain
section of the State.
health educa.tion programs
Broadcasts covering prac­over
the Arizona. health
radio stations in ever;
6. Lectures: From September 23, 1940 to July 1, 1941, the
director of health education gave ninety-five lectures to audiences in
the State of Arizona. The total attenda.nce at these lectures numbered
8,025 persous--an aven~t'e attenciance of 84. t)5 persons per lecture.
7. Motion Pictures: During tne fiscal ;year 1940-1941, motion
pictures were utilized almost entirely in the progr~"ll of visual health
education. Sound fil1l'l.S were used to augment practically all of the
lectures given by the director of health education.
8. Over owe hundred and fifty film showing? were booked by the
health film library. Most of tr"lese films were requested by the element­ary
and seoondar;;' schools of the state for the purpose of promoting
health instruction in u1e schools.
9. A11 estimated 100,000 persons in Arizona were served by the
health film. 1 during the year through film showings in the commun-ities
of the state.
10. 1'hroug:hout the year, requests werEo received from every county
of the State for s@ pamphlets, and the loan of text books. During
the tw~:lve months of the .fiscal ;:,1ear$ approximately 8,152 pamphlets on
maternRl Emd dlild health, venereal disease control$ tuberculosis control,
etca 9 were distributed to schoolsN civic org;anizations, comm.unity groups,
and professional arzencies in Arizona.
11. l'roEesslonal Cooperative Activities: The activities of the
division of hEH?.l\..~J f~duct:..tion have ahva;rs been designed to coincide and
correlatE> with the acti viti es of the Com:mi ttee on Public Eealth Educat-ion
of the .Ar.czo:ru:> J;;;edical p,ssociation. In cooperation with the Corm:nittee,
radio pro;::n1..m, field courses in health education, and public
health prorrBU'JS were and conducted by the director of health
E-~d:u.oati.on. o prOf'.ram was bet:un vdthout the approval of' the Com:mittee.
Tlms, a 1Pell-balanced pr of' health education was developed to meet
the needs of the tm.<mt of he1alth and the medical profession.
12. The director of health education in cooperation vii th ·the
.Mfu·i<:opt?. t>oc a plan of Dental Hee.lth F:;ducation
for the county society. plar.c has b ee:n udopted and is now beine; carried
out by t.'le Committee o.n Public :R,elations of the Dental Societ-.;r.
U!. Additional s; During the fiscal year of 1940-1941
the director of hee.lth assumed the responsibility of cooperating
~rith various es and Com..rnitt-ees interested in state health work.
From the lst of September 1940 to March 15th 1941$ t."le director of health
education served in the capacity of State Re~M.lth Supervisor for the Nationd
Youth .A&ninistra tion.
14. During the year the director of health education served on the
F;xecutive Boards of i~he Arizona Gon[';ress of .Parents and Teachers, .::.tate
Co:mm.i ttee for Human Nutrition, State Committee for the liard of Hearing,
State Gornmi ttee for F'amily !{elations, 11iational Educational Comrni ttee on
gooial Hygiene and the Board of Directors of the Maricopa County Chapter
of the American Eed "ross. The health education director served in the
capacity of Secrt'tary-Treasurer o:f' the Arizona Section of Physical
Education and Hecreati.on of the Arizona Educational Association.
Report of the Director, Arizona state Laboratory,
for the year~ 1940
Introduction
The Arizona State Laboratory was established by an act
of the lE!g:islature in 1912, for the purpose of making such
analyses as might be necessa!"'J in oormection with the enforcement
of the Arizona pure F'ood Law, the examination of waters, tik"l.d such
additional examinations as might be authprized by the Board of
Regents of the University of Arizona and the State Superintendent
of Public H<"al th, acting: in .joint session.
Farly in 1913, due to many requests from physicians, the
Laboratory was authorized to make examinations of' sputum. This
marked the entrance into the field of public health laboratory
work. Since that time the scope of' the Labore tory has been ex­panded
until at present, practically any examination of public
health importance can be made.
Y:i thin the last decade, as a result of increased inten;·st
t>.nd activit;,r in the fiela of public health the number of exami­nations
increased to the point where it seemed desirable to
est€tblish a Branch labon\tory. This was established t'<t Phoer;ix
in 1931.
In October, 1939, the State Boi:!ird of Health estat)lished a.
laboratory at fi'h:gstaff _ which was furnished quarters by t.ne
Coconino County Health Service. This laboratory was established
for the purpose of furnishing laboratory facilities for the vast
northern Arizona region. There had been a need for this service
as shown the constantly' increasing; number of specimens which
are being submitted to that laboratory.
The laboratories have facilities for the performance of
diagnostic tests f~or syphilis, agglutination tests for the diagnosis
of disease, the •:)Ulturinp; of' practically all of' the pathogenic
bacteria, the examination of smears, the chemical and bacteriologi­cal
examine. tion of' milk, water and i'ood, and the laboratory diagnosis
of rabies. Virulence tests, or other examinations which require
the use of animals are made only by special a:rrany;ement. The
Laboratory does not exa..mine tissues or perform clinical chemical
tests. A rslati vely str1all number of' clinical examinations such as
blood counts and urine analyses are made, but these are chiefly
for the Venereal Disease Clinics. Health Units, or for the
University Infirm&.ry. These services are offered to the University
in return for quarters, which are furnished to the laboratory at
Tucson. The Laborat1ry does not prepare or distribute vaccines
or serum.
- 2 -
Laboratory .;:;,xaminations
Tables which are attached. show in detail the exrunina.tions
¥m:tch were perf'ormed the year. The total number of exami-nations
is 240,204. This does not include 28,411 examinations
which ·were peri"ormed in con:<1.ection with the Cooperative Ba:c.g
b~radi cation Project.
'The follovJint; table ,t:;i ves the principal types of examine. tions
,,,hich were performed, and tht} percenta0e of the total which each
represents:
TEST
Serologic tests for syphilis
Other serologic tests
Urine 1\.nalysis
Water
Dairy Products
Smears
Cultures
Total Serologic Tests
Special Investigations
Other Exa.mlnations (.Spinal fluid,
dark field, hemotolog;y,ani:ma.l heads
etc.)
Total
NUM.I3Bt
111,894
93,821
205,715
10,178
'7,375
6, 558
5,876
1,650
1,607
1,245
-----
240.204
PER CENT
OF TO'l'AL
46 .. 6
39.0
85.6
4.3
3.0
2.7
2.5
0.7
o. 7
0.5
100.07~
In the past fe1N yean:, the number of ex&.:ninations performed
has greatly increased, as shown by the followinr: table:
!~umber of i~xami- Bang Irrudication Grand
Year Nations l:)roject TOTAL
1935 8,262 15,258 23.520
1936 15,988 3. 2 ' 425 48,413
1937 44,834 26,256 73,196
1938 108$831 21;286 132,059
1939 156.483 25,065 181,548
1940 240,204 28,411 268,615
The nuu1ber of examinations in 1940, exclusive of those per­formed
by the Bureau of J,nimal Industry is 1"' E.NTY NINE 'l'IME'S the
number iUJr 1936--sn increase of 2900 per cent.
- 3 -
TOTAL TABULATION OF EX&MINATIO:NS :t:IADE DlJRil\IG 1'HE E.AH, 1940.
I WATER
Plate Count
Detection of coli-aerogenes group
Chemical
II MILKS
III
IV
v
VI
VII
VIII
IX
Plate Counts
Butter F'at
Solids not
Miscellaneous
Spo;cial
SMI:;AH.S
Vincents Organisms
Tuberculosis
Gonorrhea
Blood
Diphtherie.
Other
STOOL SPF;CIMENS
Bacteriological--enteric or g;anis:ms
Microscopic parasites
Special
CULTUHES
Diphtheria
Meningitis
Blood
Other
Streptoco<.;oi
SEROLOGICAL
l3rucelliasi.s
Animal--tube method
Human --tube metho,d
1'yphoid Dyse:nter;;/
Typhoid H t:md 0
Par& typhoid 1~. anct B
Syphilis
Proteus O.X:-19
'l'u lar em.ia
Special
URINb ANi,LYS IS
Ch01nical
I\!icroscopic
Special
~--ooDs
Bacteriological
Chemical
tJilSCELLAN.foOUS
Animal Heads--Rabies
Blood Counts
Number of
Examine ti ons
449
6$890
36
2.289
1,822
1,233
190
1,024
404
903
3.'767
16
104
682
380
118
18
2,610
15,076
30,034
30,153
111,894
12,961
2
2,979
5,980
4,141
57
2
10
86
630
- 4-
No. of Examinations
X
Coagulation Times
Spinal Fluids
Other
SPF;CIAL INlJESTIGATIOHS
TO'fAL NO~ OF' l':7;AMINA'fiONS THIS YEAR
Continuous Projects
240,204
Nattonal Kvaluation Study of the Efficiency of
the Perf'orrrtanoe of Laboratory 'I'ests f'or the Dia­nosis
of' Syphilis
1'lu3 .?hoenix Labon>tory part;icipatecl in the National Evaluation
sponsored by the United tates 1:>ublic Health Service. The
results obtained by the Phoenix Laboratory are given below, along
with those obtained by the control laboratory (i.e., the author
of the test):
TEST LABOFI.it TORY SENSITIV!'rY SPECIFICITY
Kline Gl'llntrol 75. 7'}~ 97 .21~
I~rizona 74. 98. 6?'~
Hinton Control 79. 7'Ja 10o.o:r~
Arizona 74. 99.5%
Kahn Standard Control 71.27; 100.0%
Arizona 63. 57~ 100.0"):
The results obtained by the Phoenix Laboratory compare will
with those obtained by the control laboratories. 1'\i th the exception
of the Kline test, the results are will within the limits of
sensitivity and specificity prescribed by the United States Public
Heal tl:l Serv-ice. Ii1 the case of the Kline test, difficulty, due to
certain unsatisfactory lots of antigen, Vvlius encountered by
practically all laborutories ·which entered the Kline test. It
is understood that Dr. Kline has eliminated this difficulty and
the Kline test w.ill be entered in the 1941 study.
- 5 -
The Diagnosis of E~teric Infections
Isolation of the incitants of enteric infections are few,
even in cultures for the release of knovro typhoid cases. ~ihen
compared to the estimated percentage of typhoid cases who be­come
convalescent or permanent carriers, the percentage for
Arizona is extremely low.
In order to improve laboratory procedures, if possible,
a comparative s of methods, preservatives and culture media
has been made by the three laboratories. Results are as yet
inconclusive but this project is being continued. The few
typhoid cultures ?Ihich have 'been isolated have been referred
to llr • .Alf'red s. Lazarus, University of Colorado M:edical
School f'or Bacteriophage t;vping.
The reports of prevalence of' disease in Arizona show
that many cases of d;>nsenter;y are reported. It is not apparent
from examination, how many of these may be amoebic or bacillary.
Since IruL"ly cases are not confirmed laboratory examinations,
there is a possibi that a part of these may be ,gastro-enteritis
or acute indi€;estion rather than bacillary dy senter,y.
In order to obtain some information one coopere.tive project
has been established.
A Study of the Bacterial Flora of Arizona Waters
The 'l'ucson Laboratory has. over a period of time, attempted
to identify organisms isola,ted from water supplies. Particular
attention has been e;i ven to those organisms vd1ich ferment lactose.
Due to the pressure of other examinations, little has been
accomplished during the past year.
Incidence of Agglutinins
The 1'uc son Laboratory has published findinr1:s regarding the
incidence of an;lutinins for Typhoid, Paratyphoid, Brucella and
Proteus OX-19. Similar studies are under way at Flagstaff' and
Phoenix in order to determine to what extent agglutinins might
occur in persons residing in areas served by these laboratories.
- 6 -
Bacteriological Study of' the Colorado River
In May, as a result of~ f>.n earthquake which caused consider­able
damage to water supplies in californial> the Health Officer
at Bl Centro requested that the State Soard of Health make an
investigation at Yuma. water is diverted from the Colorado
River belo>.'t' Yuma throur;h canals, which pass through Mexico and
eventually become the 111>ate:r supply of severe.l cities in southern
california. The C of Yuma has discharged raw sewage into the
Colorado Hiver for yea.rs, but the earthquake damaged treatment
plants to such an extend that the California health officials
feared an epidemic of' water horne diseases. At the request of
the California authorities, the City of Yuma chlorinated all
dewage into the river. A ;survey was made and the data
obtained, although not sufficient to \varrant any definite con­clusions
» indicated that the bactc;rial content of the Colorado
River at Yuma is much greater below the point of discharge of
sewage than above. Chlorination of sewage before discharge re­duces
the numbers of those organisms to some extent. Apparently,
however, self pur:l. .. f'ication proceeds rapidl,y. This confirms a
similar study made several years ago by Miss Jane Hider. In
the mean.time, Boulder Dam has been constructed, and the amount of
silt carried the Colorado River at Yuma has been reduced. It
is hoped that at some future date, Miss Rider's investigation may
be repeated in order to determ.ine what effect, if any, the removal
of silt may have upon the bacterial f'l'Jr~ of the Colorado River
11'J&ter.
National Defense Program
VTi th the pas oi' the Selec·1:i ve Service Ac ~ s t,he Labora-tory
\'lias requested to cooperate with the United States Public
Health SE>rvice, the Selective Service System and the Arizona State
Board of Health by providing laboratory services. At the time
of registration, e,11 registrants in Pima and Mari.oopa counties
were re,quested to report to their physician or to their health
department for a test. Due to the limitation of equipment
and person.."lel~ it >vas impossible to ~-"tend this to other
counties, but a significant number of' regiwtrants in other counties
did voluntarily consult;; 'their ph.J•sicians and blood specimens were
submitted. The results of the tests were reported to the f3tate
Board of Health, who notified tho registrants either that their
tosts had been , or to consv.lt thej_r sician or health
officer re{arding another test. l;.s a result of this prop;ra:m, a
significant m;niber of cases of syphilis have been discovered among
registrants and their families, and a large percentage are already
receiving anti-syphilitic treatment.
- 7 -
A blood test is a part of the physical examina"cion of every
registrant, and the laboratories have placed their facilities at
the disposal of the Selective Service System. An adequate supply
of specimen outfits were sent to every local board.
'rhe f'ollowinr: table gives the results of serologic tests for
the diagnosis of syphilis "ivhich have been made upon registrants who
voluntarily submitted to blood tests and those men who were examined
by· Medical Examining Boards. Numbers refer to men, and not to speci­mens.
Recheck specimens 1.1':ere not included.
Nef:ative Doub;;ful Positive
No. ;:~ No. No. % Total
t5108 92.0 81 1.5 sea €>.5 5557
Selectees 1809 90.4 63 3.1 130 6.5 2002
11otal 691'1 91.6 144 1.9 498 6.5 7559
At present, fort Huachuca is the only Arm;:{ Post in Arizona •
'I'he post is expanded, and the facilities of the Tucson
laboratory have been placed at the disposal of the Post Commander.
A large number of sam.ples of v.'B.ter and milk, as well as blood speci­mens
have been submit-ted.
Nati'onal Youth Administration
Tnis administration nas recently inaugu.rated a health program
which includes a complete ph,ysical examination of all persons em­ployed
on N .. Y .. A. projects. The three laboratories are cooperating
in this program by providing necessary laborator:v facilities. Blood
and urine e.xamina tions are perf'ormed routinely# and other tests are
made when indicated.
State J:;valua.tion Study of Laboratory Tests for Syphilis
In cooperation v.~th the state Board of li alth, an evaluation
study ".;as sponsored. Every laboratory in Arizona was invited to
participate, and the following laboratories accepted.
Pathological Labora-cor:y, Phoenix
St. Joseph's Hospital$ Phoenix
Copper Q1,2een Hosr;ital. Bisbee
(Cont'd):
- 8 -
State lfcelfare Sanitarium,. Tempe
The Thomas laboratories, Yuma
D. S. Veterans' Hospital, Tucson
Drs. Holbrook and Hill, Tucson
Laboratory of Dr. N. C. Bledsoe, 'I'ucson
Thomas-Davis Clinic. Tucson
Wyatt Clinic, Tucson
Arizona State La.bora.tory, Tucson
Phoenix Branch, State Labor&. tory • Phoenix
State Board of Health Laboratory, F'lag;staff
Blood specimens were secured t.l-J.rough cooperation of the Mari­copa
County Health Unit, Phoenix$ The following technios were
entered in t:.nh surve~;: Hinton, Kahn, Kline, Leiboff, I\~azzini$
Kolmer-1Jilasserm.ann and U .. s. Veterans i~dministration ;;;:assermann.
In genera.l the results obtainec: various technics in the several
laboratories showed excellent agreement, except for the fact that
in a few laooratories, complement fixation.tests were low in sensi ...
tivit'r• 1'he results indicated tha.t the laboratories that partici­pated,
a.:re perforrninrr: serolo!J~io tests for the diagnosis of ;yphilis
in a satisfactory Il!f:>.nner. Several laboratories had sensitivity
s of or mor , vri th specificity ra tin§~S of 100%.
Gonococcus Cultures
With the installation of Gonorrhea Clinics at £1l0enix and Tucson
and the use of sulf'anllarnide and similar compounds in the treatment
of this disease, the de:rnand for cultural studies, in addition to con­ventional
microsoopiu examinations became necessary. Consequently
the number of gonococcal cultures has i:ncreasea. Primary cultures
are secured tlirough the use of asci tic fluid swabs described by Greene
and eale, Journal of Laboratory a.'1d Clinical .Medicine, Vol. 23,
p. 1211" 19:.'18. ~·;::r~t;;r--incuTiatio"ii";arid t!ie"€iXamination of stained
preparations from the S\t-abs, the,y arc. used to inocult~te secondary
medii:~. The oxidase test is applied a.nd suspicious colonies are
transferrec to the usual carboh;ydrate media for the biochemical
identification of tne gonococcws. results of this stud;y confirm
the findings o:f' other investigators, that the cultural method is a
valuable aid in the diarc;nosia of' gonococcal infections.
Cooperation v:ith StatE' and i<>edt:!ral Agenci.es
It has been the policy to assist and cooperate to the fullest
extent with other departments$ State and Federa.L Services have been
made available to the followine; departments: Jlrizona State Teachers t
College, Tempe~ Arizona State Teachers College. F'hgstaff, University
of Arizona, State Dair/ Commission, State 'veterinarian, State Prison,
- 9 -
State Hospital. Induscrial School, .Arizona Sc!1ool for Deaf and
Blind, Board of , State High,~y Patrol, U. s. Indian
Service, U. S. Bureau of Animal Industr,y 1 Health Departments • Law
Enforcement Agencies.
1n .iLrizona ma.l surJini t specimens for the diagno­sis
or control of conlln.unicable disease., E1;:anrinations 1 not strictly
health nature 2 ru&y be made a special arrangement for
to pay for the services of a cow. .' llEn·cial laboratory.
1\s tim(;;' ;lft~i $ attention has been
..v ,;~n.ieh !u. .~ :ve &,.risen~
to various
yrith these
been
A list follows:
The Ocm;rrence of' Viruses in ild.life - (Breazeale)
Indians ( Bre;::, eale $ Green, Kantor)
The Reac:·tion of Animal Serum to Laboratory 1'est for the
is oi' Syphilis ( Gree:t:J.e. Br<%>.ze~le, Hardinid
Trandent Positive Laboratory '.i.'asts t'or S;yphilis (Greene and Breazeale)
son of Methods for tl:1(~ Laborator,, Diagnosis of
lis (Greene at1d Breazeale) w ~
l~ormal Blood Jounts of Mexican ldren of Tucson (.Breazeale & Greene)
Ji'oods, 1.~ a ter and I;a.ir;; Products
Due to tb.e increase other types of work. lese attention has
of' to foods. The LalJora.tory has, however,
1'Vith the U. f.. Food ru1G. AcL.~r:tistra:cion •
. As far as foods are concerned, .lirizona is a consumer rathE>r than a
producer stttte. \'c'ith the of Yo;;~e,tables, moats and dairy
prodtv:ts s a proportion of foods are imported. Consequently
cases of e.ctulteration and misb:ra..11ding of' f'oods which have }:JEHim shipped
in interstate cor.1.rn.erce lw.ve been re:f'erred to the United St:<tes l"ood
and Drug Ad minis tn~ t ion.
E._,everal c y,'e:ce received spra;y residues on
fruits u.nd Excessive amounts ·were not found in any case.
Al t!10ugh certain lc"t s o.t' lettu~e did coJ:rc~:; in arsenic t the amounts v.rere
v:i thin the permi ttec. tolerance. Seven: l lots of celery contained
spray residues, but those ·were found to be c:hose of' Bordeau mixture.
- 10 -
In ooopera tion with the Cochise County Health S6rvice. a sxnp­ment
of worm infested fish was destroyed. Samples of insect infested
candy were abo submitted. The matter was referred to the United
States Food and Drug Administration$ with the result that thousands
of worm infested candy bare were seized and destroyed.
Considerable quantities of sea food are imported from Mexico.
Although this is prirn.arily a problem for Federal actim1. the United
States Food and Drug Administration have not been able to have a
full time sea food inspector at ports of entry. 1/lJhen inspectors have
been on duty at lilogales, the Laboratory and the Sanitarian of the
Santa Cruz County Health Service, have cooperated ·with the Food and
Drug Ad:ministration. several thousand pounds of decomposed fish a..11d
shrimp have been seized and destroyed.
Trte (~uartermaster, 1<-'ort Huachuea~ purchases large quantities of
:t"'ood. In some oases, foods have been rejected due to deeo:rnposltion
or failure to meet Standards. 1'here is reason to believe that
in some cases~ foods ted by the l~my have been offered for sale
v.1. thin the ste.te. In view of the expansion of Fort Huachuca, and the
possibi that ons mig:ht become more frequent, arrangements
have been made whereby any necessary action can be taken against
re,jected food.
A few outbreaks of food poisoning have been investigated. In
most cHases$ investigations and laborutorJ findings
have been inconclusive. In one outbreak0 i.nvolving several prisoners,
evidence indicated that macaroni was the food responsible for the
t.mtbreak. A strain of staphylococcus was isola ted fro:rn tile macaroni
which was considered as being; the causative orr;anism.
During the ~years 7 .~~37b examinatious of water have been made. ;1
small part of these were submitted from private suppli'''S• The majority
came from public supplies. 1 Samples have been submitted from every
municipal supply in Arizone-. The water supplies or public carriere-­railroads,
bus lines and air lines--have been examined,and the
results have been used by the State Sar1itarJ' J!:ng;ineer for the ~erti­fication
of these supplies for use by interstate carriers.
There were 6, 558 examina tiona of dairy products. A part of the
samples were submitted by the State Dairy Commission; others were
submitted by the various health units. In Addition to the usual
examinations, the phosphotase test was employed. Several cases of
improper pasteurization were discovered. In some instances, this was
due to inadequate heating or holding ti:me; in others equipment V;1l.S
at fault. There have been seYen~l cases i:n which addition of vtater
to :milk has been suspected. Although the percentage of solids not
f'at was below the legal standard, with a single ex0eption, added
water was not detected.
- 11 -
AVAILABLE PUBLI:JFTIONS OF' THE AHIZONA STATE LABOHA'rORY
1940
Incidence of Spirooha.etes and Fusi.t'orm }3acilli in Tnroa.t and Gum
Smears, South1.\estern Medicine, Jan. LL.Ereazeale & Robert "-reene.
Incidence of Agglutinins for Typhoid, Paratyphoid and Brucella
Abortus, Southwestern Medicine, April, E. L. Breazeale and
Robert A· Greene
Ropiness in 'rea Caused by Aerobacter Aerogenes in a Wat.sr Supply,
Jl.JnBrican Journal of Public Health, Vol. 30, P• 680-682, 1940
Emma Judd., G. • lvi~::r.x, and Robert A. Greene.
tative Study of litic Sermn, Jourrutl of' Laboratory and
Clinical Medicine~ Vol. 25, P• 972-9'74, Robert A. Greene,
f;dward L. Breazeale and Charh··s C. Croft.
Early Mild Infestation with the Parasite Trichinella Spiralis,
Journal of' the American Medical Association, Vol. 114, P• 2271-
2275. Dr. J. :!1. Andes, Robert A. :}reene and :ti:dward L. Brc':azeale
Incidence of A;;;;:c::lutinins for Proteus OX-19, Southwestern Medicine,
Food
September~ Fid¥,'8-rd L. Breazeale, Hobert A. Greene and
Harry •
November,
Noon.
Due to Aerobacter Cloacae, SouthY:estern Madicim,,
Hobert ;l. Greene, Harry B· Harding~ and Dr. z • .o.
Why the B. Coli Group? Bulletin of Arizona Fewage and ifiater
Works Association. Vol. 3. October. Robert • Greene.
The Arizona Ste.te Labor,,
Robert A· G-reene
Arizona Public H .alth News, January
The }i'Ul1Ctions of a Public Health Laborator;yr, Arizona Public Hes.lth
NeYt'S ~ January. Robert A. Greene.
Articles Accepted for Publication
A Comparison of the iiinton, Kahn, Kline a..71d Mazzini Tests for Syphilis.
Journal of Laboratory and Clinical Medicine.
A (..Juantitative Study of tile Reaction of Heated and Vnheated GO'\¥
Sera to the Hinton, Kline and Mazzini Tests. 'J:11e American
Journal of Syphilis, Gonorrhea, and Venereal Diseases.
- 12 -
Articles Accepted for Publication (Conttd)
The J>.bsence of Heterophile .Antibodies in cow Sera and the Occurrence
of Positive Kline Reactions. The American Journal of Syphilis,
Gonorrhea and V <:me rea 1 Diseases.
Transient Positive serolog:ic Tests for Syphilis. Journal of Labora­tory
end Clinical Medicine.
Groups of the Indians. J"o urnal o:t Imxnunology.
Nm."nw.l Blood Counts of' Mexican Children of TUcson, Arizona. j
Southwestern Medich:,e.
The I,eiboff Test. Sout!.nyestern Medicine
a Group of College l;,tudemts.
DIVISION Of SJt.t'lliTATION
1940 - 1941
All municipal and com1nunit:r water supplies receive the super­vision
of the state department. Operators and interested indi­viduals
sub:mi t samples routinely to the state laboratories.
Check samples are taken p~riodioally by state and local health
persorL>''1.el. il. copy of all tvater reports from the laboratory is
submitted to the engineering division. At least one sanitary
survey or." every ma,jor water supply in the state is made once
each year. Promotional effort toward improvements ~here needed
is consta.'ltly an activity.
As a result during t'J.e year, IH1veral major improvements
·were attained as follo'l'S i F'lar;staff 1 complete chemical \"Tater
treatment plant, capacity 1.33 million gallons par day; ~Williams,
complete chemical water trea.tment plant, capacity 400,000 gallons
per ; sanitary development of nenr; springs; Lakeside,
nevr pipeline to r old insanitary earth canal; Navajo, new
system enti ; ~;t. Johns, additional chlorination facilities;
additional capacity; and Cottonwood, chlorination.
Rural ''ater supplies are handled principally by local health
p~3rsonrlel; assistfince is furnished by the state by request.
The fed era 1 housing: projec s, th:rougr1 a c oopera ti ve agreement,
must have the approval of' the Public Health org:tuli zation, either
state or local f'or their v,rater suppl,y and sewage disposal before
its acceptance the F.:H.A ..
Besides a number o:f' r:Hwver extensions several tovms a:re con­templating
new sewer plants, chief of' these are the cities of
i\ilesa e.nd Tucson. 'l'he State1 cr.u·ries on the promotional y.•ork ':here
needed and :reviev'S plans of improvements to insure setisfactory
work.
The Fifteentl1. Leg~islatu:re of the State of Arizona, 1941 passed
an act knovm as uThe Sanitary District Act of 194111
• It provides
for the establishment of sanitary districts. This act will be
of r;r at benefit toward improvement of sev.-age disposal facilities
in communities unincorporated.
In rural se1,vag:e disposal activities local healt;h persor.nel are
most active6 l'he state has issued a bulleti:G for guidance in the
construction of disposal systems for the rural hoxne. 'fhe state
sanitation personnel assist by request.
The community Sanitation p:ro,ject has functioned well during the
past and it is vdth rq:;ret that we learn that it is to be
discontinued.
Although the state department is interested in Housing control.
it has been found imr.ossible to engage actively in it as yet.
Federal slum clearance projects have been completed in Phoenix
and severa 1 other towns are oontempla ting similar improvements.
Local health personnel per:t'orn1 most of the r>romotional activity
in relation to collection and disposal, althou{~h the state
assists r
:Milk sanit&tion and control is not a major activity of the state de­partme.
nt since a t1ta·te Dairy Commissioner is provided for this
activity. Local health personnel no-wever a:r0 in this work.
The state depart:Jnent does make special investigations by request
for instance at the State 'l'eachers Colle1-~e, Fla.gstaff the milk
supply was radically improved by such an investigation and
reoommenda ti ons •
sion of hotels, restaurants, lodgine; houses, etc. is not
done~ although there is a need for this pe of' activity .. I.~ack
of sufficient and let.:islation discourac;es such
extended prof:;:ram. state does act as consultant by request.
LO(}al J:lE,alth per!lonnel c!il.rry on this activity satisfactorily
in those counties ha vinl; such service.
Stream 'lon studies and activit;ies are usually of a minor
occur inf:reql,.lently; the most recent stud;; was made
Creek, Preacotte
~wimmin~: Pool work is limited to educational activities, revievr-of
plan::; and consul vd. th looal health personnel o
Surveys and recommendations for camp and recreational :resort
sanitation are made by request and some local h' alth services
have labor camps under control. In some instances requests for
surveys are made wlthout coe..chin.g.
.hespec1:1'ully submi ttsd
Geo. W4 Marx, C. E.
Acting State Sanitary Engineer.
DIVISION OF MA'rtRNAL .AND C.iiiLD HEALTH
During the past ;y·ea.r the funds allotted to Arizona by the
United St£•tes Children 1 s Bureau under Title V of the Social Security
Act have su:'r"orted. the following programs.
•rrlirty-two nurses have been paid in whole or part from these
funds during year 1940-1941.
These nurses assist in maternal, infant, and preschool
children's clinics. They do follow-up ·work in the home!' of the
patients of above clinics. Nurse conferences are held for instruct­prospective
mothers in proper care durinr; the prenatal period.
stance h to school nurses on general health problems and
in the control of com. m. unicable cliseases.
MATJ::RNAL JU'fD 0HILD H.'"ALTH :;LI.NIGB.
In t1tvo centel'S throurhout the state, :rrv>.ternal clinics
are he lei. In some o:f the densely populated,districts, these clinics
are held or every two ·weeks, but most of the centerr: have
clinics :monthly. Both prenatal and postnatal care, including
regular es, routine blood tests for lis, and hemoglobin
dete:rminat:l ons arl':' obstetricians i.n 'fucson and Phoenix and
1::eners' l practitioners in the smaller Cities. 1'wenty two icians
parti te in th:l.s Yiork. :rhe bulk of the patientr. coming tc these
clinics are from the ent t~nd lov<' income gToups.
In centers throughout the state, ini',ant and child
·welf'are clinics are held regularl,/• Man,y of these clinics have
grown so ly that they are now held weekly in order to accomodate
the ease load. Infe,nt. clinics receive patients from birth to
eighteen months of The food and behavior habits are supervised
by pediatricians in Tucson and Phoenix and by general practitioners
in the smaller ·t~rns. These doctors are paid a small hourly fee for
attending clinics. Immunhation for diphtheria and sme.llpox are
given to all regularly registered babies before t..h.e end of the first
year. Immunization for whooping cough is given in some centers and
is rapidly fs.vor. Preschool clinics receiye babies from
eighteen months to six years of age. These children are checked
regularly from every three to six months. Thirty physicians participate
in the infant and child work.
During 1940-1941, three dentists have pa.rticipated in the ·work
of the maternal and child clinics. 'I'heir v.rork has been mainly
prophylactic.
Eleven physicians participated in post graduate refresher courses
in Pediatricst of b.ro weeks duration, given at the University of
California medical school under the supervision of' Dr. Amos Christie.
Three Health Officers attended a five day refresher course in Pediatrics
also given at the Universi t;/ of California. Nine nurses were aided
in obtaining sufficient post graduate work to complete one year of
academic health training. One nurse attended a. two 'NeAlrs course
in the cane of the prematJ.:re infant.
All of tne above persorm.el were aided with a cash stipend, plus
railroad fare~
A home delivery service was begun in December 1940 in Tucson.
Three nurses rotate to cover the service. The patients are followed
in clinics and again checked af'te:~r deli ve:ry. The deliveries
are done at home by the resident physicians from the two hospitals in
:rucson. This service was 'VI.rell received and growing rapidly vlhen it
i'IJas terminated because the physicians were called to the army in May.
'Phe nurs force and much of the equipment of three maternity
1:1.mHes 9 in ·;cinslo·w, ~inowflake, and st. ,iohYJs 3 were purchased by
these funds. The patients pe~r as they are ableffi to help cover the
current; expenses. One hundred and s pDtj.ents 1rere delivered
in the three homes 1940-1941. Tne medical care is given by
the local p:racti
AI>VI~)()I{Y COf!lMI'l"I'f;F:
F'ive pnysicians comprise the at1visory council, 11\fb.ich gives
technical aid to the Director of lVT.C: .. H. Three meetings wer~; held
during the year. l'hree of the council members are makinr; surveys on
stillbirths, deaths "Where infants were delivered by midwives, and
maternal deaths.
A lay advisory committee meets twice a ;yee.r to offer su1::;[;esti ons
and criticisms.
DIVISIOl~ OF LOCAL i:l.t:':RLTH ADMINIS'f'RATION
l<unction
1. Supervision of local and full-time health services to
promote uniform administration throughout the State.
There are at present full-time health services in six
counties: Cochise, Coconino, Maricopa. Pima and santa
qruz, and Yuma. The Health service for Pima and Santa
Cruz Counties comprise a health district, the only one
in the State 9 and the service of' both counties is under
the supervision of the Pima Count'.[ Health Service Direcwr.
There are full-time health nurs services in ~l'avajo and
counties. At pres,:cnt, of' the State's population
is under full time health service. \'1'e are cooperating
with agencies :not under the cooperative health program$
namely, the American Red Cross and the Public Schools.
The R.ed Gross at various times sponsors a demonstration
nursing service in the Counties. The purpose of' this
is to fa:rrrl.lia:rize such local com.'1lunities with a public
health nursing service and to assist in creating a de-mand
for the pern1.anent establishment o:t' such services.
2. Communicable Disease Control
A. Collection of' Statistics
B. .lussistanc.H'~ in epidemics
C. Supervision and cooperation in im.~unization programs
1. Particular attention to special health problem.s
of' Arizona, as
1. Tuberculosis control
'fhis cons'ists of the continuous tuberculin
testing and x-ray programs in the public schools
and teachers' colleges. The ~ield organization
consists of' an X-ray technician and a public
health nurse who operate with the healthmobile,
a mobile X•rc:;y laboratory, and cooperate in
local health u:nit programs
2. Venereal D:i.seas: Control
a. Clinics
We have established six f'ull-tir!le clinics
in population oe:nters of the State 1~'i th an
average patient load of 1500. seven
clinics in outlying- areas have also been
recently established.
b. Free drugs are supplied physicians for the
treatment of venereal disease patients.
'l'here are more than 100 private physicians
participr;;ting in this prograc""!l, all counties
in the state are repre!"ented and the average
patient load is 500.
c. Selective Service
In addition to the program outlined in
venereal disease control this division
has cooperated with the Selective service in
securing a blood test on selectee 'l'tho
cr~me up i'or examination beJ'ore local i:.Joards
in this state. In positive ctnses tL.'1 effort
is made for follow-up for the purpose of
bringing such oases under treatment and se­curing
their physical rehabilitation. A
total of 7,890 such blood examinations have
been made and 509 were positive, or approxi­mately
7")~.
d. Mexican Border
1%'aoau~se southern boundary of' the State is
also the international boundary line betv.reen
the United Btates and the Hepublic of Mexico,
communicable disease problems on either side
of the border are equall;y a problem :t'o:r both
sides. In view of' this, and because of the
fYrGseFt 111~l:::.te .. ry emerg:enc:,r. the Director of
this division pernom:.lly contacted the lth
off'icET;s of Nosalec;, Naco and Agua Prieta and
aecured their cooperation in a case finding
and treatment progra:n. This is an assistance
that is mtl;terially reducing the risk of in­fection
and is bu~lding up a cordial relation­ship.
Note: Statistical reports from the operation of' the Healthmobile
and statistical a.>td financial reports for all counties
follow as a. part of the repo:rt of the Division of the ~ocal
Health AQministration.
APJ.CH:t; COUNTY
Apache County h~:>.s an ~.rea of 11.174 square miles and a
populations according to t~e 1940 census, of 24,095.
However, ovHr of the county area is federal land and
a proportion of the population lives on Ind1an
RHservatlons as government wards.
year, 'tv<.'o public health nurses served
local funds bEdng available for matcming
In addition during the year • a rn.aternity
hospital was established in cooperation with the State
and Count"y and Federal Children's Bureau. The personnel
consists of: Senior l\lurse, Junior Nurs-e, .A.ttendant and
a relief nurse.
Expenditures for full tin1e health v"ork in cooperation with
stritte and Federal a~:;encies were:
TOTl~L I..OGAL GlHLJJlU.l~' S '3URLAU
,544.76 501.46
Additional expenditur1es for health work made by the
oou.nty were~
Indigent Care
Physician's Fees
Hospitalization
:urugs
Hospittil Hent
Vital statistics
~.2 .. 500.00
640.00
1,199.40
430.00
173.50
.APACHE COUNTY
Population - u. s. Census: 1920 1930 1940
13,196 1'7,765 24.,095
VITAL f'TATIS'I'IGS
---r--·-1985 ---
1930 1935
1 no. rate I no. rate l:'. ~o. 1940R az.; e .ra. . .r.at.a l
--------·~---" .,. --- BIRTHS
no. and rate
per 1000
TOTAL 220 14.2 ' 333 18.6' 297 14.1 474 19.5
t Vc1hite 113 80 95 128
Nlexican 53 39 f>5FV 77
Indian 27 208 ' 118 245
Other 26 6 19 24
DEJl.1'IfS
All causes
No. and I'~';< tO
per 1000
TO'l.'AL I
1 l C\
.!.....;..~· 7'.7, 108 G.O 216 10.2 269 11.1
'\!\hite 34 24 36 33
Mexican 35 14 31 15
Indian 36 69 146 215
Oth.er 14 l s 6
I DrJl1liS
No. and rate per
1000 live birtils
'rOTAL 26 118.2 1 25 75.1 I t)9 232.2 86 181.4
White xv 1 8 5
!l:Iexican 13 21 l'Z <.f 8
Indian 2 ~-- 4? 72
Other 3 l 1
... -·"""'-=-"-~ ........ ~, --- ---------·----------------·~--------__,..,.__._
TUBE:IICVLDSIS Gases
Deaths
Cases
Deaths
22
20
21
18
f
9
1935 1940
54 210
32 74
72 220
45 50 ---------- -~--------·-·-~--·-~---r·--·----r-·----.,--- DIPH'rHERIA Cases 15 4 4 49
Deaths 1 3
TYPHOID Cases 7 6 4 7
Deaths 2 2 1 1
es
Deaths l
SYPHILIS Cases 7 21 121
Deaths l 3 14
Ce .. ses
Deaths -
C 0 C H I S E C 0 U N T Y
Cochise County has an area of 6»256 square mil~~s,
less th.e of "'tlich is Federal land. The 1940
u. S. Census the population as 34,627. There
are ahnorrc no I11dians in the County.
In cooperation with State and Federal agencies,
Cochise maintains a full time health unit
with the Director., Supervis~ ng:
nurse .• 6 publ tc: rJ.urses s 2 sani.tarians and
a clerk.
Expenditures .t•or the past fisc~o,l v<IHH' ....,,.. ..... :
U & PHS
TOTAL STATE LOCAL TITLE VI V.D.
,513.61 049.72 !ii295.94
CHILL•Rl:.N 'S
BUHi'.A U
$7,647.86
COCHISt:. C 0 U N T Y
Population - U. S. Census: 1920
46,465
1930
40,998
1940
34,627
VITAL STATISTICS
--------------------~1~9~2-5 ----------1-9-3-0- ---------1-93. 5 1940
1 Ilo. Rate ' No. lt!ite v l~o. Ra. te t No. IV, te
""B:'::::I";:R';:;;Tl~i::::-S-- -----rj -· --· ' ·----;----··---~:---;.._ __ _:..... _ _
111'0 AND rate
per 1000
'f'OTAL
l:'thite
Mexican
Indian
Other
! 1164 2t3.6 f
462
fi22
80
1071 26e2
522
492
1
56 !
625
291
280
1
53
l6o6 I '789
I 426
I 33fJ
22.8
~··-----~~-~-·-?-· -------·--+---------···-·-·--·----r-----------
DE:i'.THS '
.All causes
No. S.."ld rate
pe:r 1000
·roT.A.L
White
Mexican
Indian
Other
INF:AIYrs D J::;
no. and rate
per 1000 liv~
births
'l'OTAL
·white
M.exican
Indian
Other
550
293
231
2
24
118
34
78
1
c: ,.;
Tui3'EWJULOSIS Gases
Deaths
PNF,.UMONI.A Cases
Deaths
DIPHTHEHil\ Cases
TYPHOID
GONORFJiEA
SYPHILIS
MAL'fA FEVEJ?
Deaths
Cases
Deaths
C!HHHl
Deaths
Cases
Deatl-ts
Cases
Deaths
12.€:> 47'7 11.? 39C 10.5 374. 10.8 I 280 246 24e
178 127 108
e 1
19 17 17
1011>4 1 81 754le t~ ('l
·J~· 94,.4 41 S2.0
~~b 1'7 15
r::-z
'lj~J
'lC)
V'<~' 2." ""-
I -- 1 1
:5 ,., ,,
;,;, J.
1925 1930 1935 1940
--------:3:----::--·--:6:----::----:-:;;41- 6
4S 26 27 24
1 24 57 38
75 59 35 13
---rr- 18 2 28
1' 1 1
62 12
2
·----~--· -- 17
4
7 2
7
5 2
112_ ___1 54--
2
•ll 152
6 4
1 2
C 0 C 0 N I N 0 C 0 U N T Y
with an area of 18,573 square miles is the
in Arizona. and the second lar:'est in the
United St;a.tc ... 9 and of this area$ about is Federal
1'he 1940 ceJ:lSU!'l the :;ounty a population of' lB. 770, or
a fraction over one per:·on for each square mile.
Goconino has county heal t.h unit composed
of a d:t:r"e two hEOalth nurses 9 a sanitarian, and
UsJ.til the present ear the branch of the state
1.1~hich s s the northern part of tne State$ was
t;et up in the Coconino Coun·ty budget» addinl.': the followin€;
personnel& dishwasher1 and the
ll'.tst fE1w months of the year a part time clerk.
es :f'or full ti.me health work for the fie cal
'I'OTAL .L..O.._C_M_ .. _ TITLE VI V.D.
Ctl.ILLEE:N Is
E\Uli::AU
~j\17, 753.53 ,799.76 $5,846.51 $1,250. '177. 26
Additional Counts expenditures fo:r health work ''rare:
Physicians' salaries~ fees, expense and travel
Hospitalization 8,002.19
Vital Statistics 26.00
School Nurses - salaries and expense
COCONil~O COUNTY
Population -u. 0 '"'• Census;
1925
' noo rate !
BIR.TRS
no. and rate
per 1000
TOi'.AL 376 31.3
·white 215
I\!lexican 120 f
Indian 30
Other ll
DEATHS
iilJL· GADS, s
r1o. and rat;e
per 1000
TOTAL 159 13.2
White 64
1Ylexicarl 74
Indian 12
Others
-l·- 9
IN F~liN T f,; DEATHS
no. and rate per
1000 live births
TOTAL b~~ 141.0
. hite ll
Mexican 3S
Indaan 4
Others 3
------------------------------
TUBERCuLOSIS Cases
Dea~Gha
PNEUMONIA Cases
Deaths
DIPHTH.t;;RIA Cases
Deaths
TYPHOID Cases
Deaths
GONOHRB.i:A Cases
Deaths
SYPHiLIS Cases
.Ueaths
;,li~LTA I<'~:vm Cases
Deaths
1920 1930
9,982 14,064
VITAL S Tll'riS TICS
l930
no. rate ' no.
358 25.2 303
140 I 138
133 108
78 42
7 15
166 11.7 I 188
50 93
61 v'){v)';
52 50
3 ..,
1...- f
41 114.5 32
F_I 5
28/ ! !I 11
5 15
l
1925 1930
1 2
.6 16
5 24
26 25
3 9
1
6 10
3 1
5 1
3
1940
18,770
1935 1940
rate I no.
18.1 I 354
183
102
57
12
11.3 I 152
77
33
3'1
5
105.6 I 29
""'
10
13
1...1. 1
1935 1940
15 32
14 10
39 29
24 22
17
7
3
1
16
22
2
rate
18.4
t? 0 i ......
81.9
G I L A C 0 U N T Y
Gila County has an area of 4, 750 squarE:! miles 1 only
a little ov•~>r 1;~ of which is stat'" land. However,
in this small state area i a the concentration
of white and Mexican population as it includes large
mining centers. The 1940 census f~i ves the Gila
County populs.tion as 23~867, and aocordine to pro­visional
su:m.rnaries the Indian population probably
does not exceed 10%.
During; the year a full time distrL1t sanitarian
Wa.s stationed in Gila Count,;. Expenditures for this
item 11vere:
1'0T:AL LOCAL
'362 .150
Other n ea 1 th. expenditures 11·'er e :
sicians' salaries, fees and expenses
care of indigent sick
Hospi tali za tion
Drt:gs
Rentstransportation & m:i.scel expenses
Isolation Hospitals
Count:y nurse. salary and travel
Inocculations-physicians' fees
Expenses and supplies
School nurses
US PHS
TII'LE VI
$; 8- 51? .05
21., 500.00
4 8 502 • :34
3,233.51
2,320.00
2»700.00
723.00
686.53
4,000.00
Population s. Census:
1925
G I L li
1920
26,678
1930
C 0 lJ N T Y
1930
31,016
1935
no. rate 1 no. rate no.
BIRTHS
no. and rate
per 1000
TO'fAL
'Fhi te
lViexican
Indian
Other
11029 36.3 l
I 384
I 560
6't'l
17
IlEATlTS ~- "" ·-.,.-
ALL CAUSES
no. and rate
per 1000
TO'fAL
Yshi te
M.exican
Indian
Other
463
170
216
?l
16.:3
I I
1024
393
523
85
23
422
179
183
56
4
33.2
13.7
I
. I
522
199
204
103
16
259
12ti
68
58
8
1940
23,867
rate ' no.
19.1 I 491
261
139
9.5
I
87
4
222
134
38
49
1
1940
rate
20.6
9.3
1NP1U'JT 1>~;---·"·- ·---------··--------
no. and rate per,
1000 live births,
TOTAL
White
Mexican
Indian
Uthers
l
f
!
120
2'7
79
u
~GlJLOSIS Gas<ls
Deaths
116.6 I 88 85.9 I
21
56
ll
I_;::;::
1925 --------3
nr-
·cases _________ ·-I .J- -........ --.... PNEUMOlHA I
Daatc'J.s 60
DIPHT.HEHIA Cases 4
Deaths l
TYPHOID Cases 19
deaths 4
G6N'tlRRHEA Cases 3
Deaths
SfPHILIS Cases 2
/
.ueaths 2
Nil~LTP.:. FE'VER Cases
Deaths *
3b '72.8 I 31 63.1
b a
16 11
12 12
19~10 1935 ( 1940
8 ~ --a
52 36 20
34 28 28
49 7 1
r"~ I
!:,4
2
17 14
36 34
'l 7 3 .!.
2 6
G R A H A M C 0 U N T Y
Graham County has an area of' 4,610 square miles
about 2 of vvhich is state lande
The population in 1940 was 12,113 with few Indians
and most of the population concentrated in
agricultural districts through which r.tns a
transcontinental 1here is no i'ull time
health ;vork in \J-raham county organized in coopera­tion
with State and l''ederal ar;encies.
G E A II A COU!iTY
Population Census: 1920
10,148
1930
10,373
1940
11,113
Blf~'I'.HS
NO. and rate
per 1000
TOTAL
~F:b.ite
MexictB-n
Indian
Other
DE1i.TB.S
ALL CAUSJiS
no. and rate
per 1000
1''0TAL
\':BITE
Jl!fexican
Indian
Other
' ~
!
1825
no&
304
202
\39
24
9
111
58
32
19
2
VITAL STATISTICS
1930
rate ' no~ rate ' no.
29.6 ' 346 33.2 t 372
! 236 223
8~ ~ 122
21 22
3 5
10.8 I 12[; 12.3 ' 134
89 77
28 46
lO 11
.'1 .
1935 1Sl40
rate ' no. re.te
32.7 ' 353 28.7
I 232
98
21
2
11.8 ' 123 10.0
78
~,5
9
1
no. and ra~~e ::,er
1000 live birtns
'l'OTAL
'White
Mexican
Indian
Other
================--=-=~=.. = ~===========·==·-=--===~=-----------
'l-'DBE;RGULOSIS Cases 1 13
Deaths 11 10 9 9
PN .ElTJ\IlOl~ f:tC Cases --·r-·,......--,2:t"'6,.....-....,....----,5""'0..------
Deaths 9 12 13 9
DIPHTHERIA Cases ~iy- 21 12
Deaths 1 2 1 l
~T~Y~P~H~O~ID~---------C~a-s_e_s--------------------------~1~----,-----r----, 8
GONORRHE.4.
SYPHILIS
Deaths 2
Cases
Deatns
Cas0:s
Deaths
t;ases
Deaths
-------
1
36
36
1
l
50
65
3
1
G R E E N L E E C 0 U N T Y
Greenlee County has an area of 1,874 square miles
about 1074 of y:hit~.h is state land. It has a
population, accordinr; to the 1940 census o.f 8,696
aYJ.d is tb.e second smallest c in the state~
Since Federal lands are not Indian reservations,
the entire population is 1'k!.it-e or
Me~dcan and is concentrated in areas.
consultation S<:rvices are given to
an infant clinic ir~ MorenciB but there is no
full time zed work i.n the count;, under
the direction of the State Department of He,al th.
Count;_, expenditures Cor neal th are:
Indi care:
fees
lization
Indiger1t 1Zolief
$1,875.uO
5.260 •. ,0
901.86
f}b014.31
G R E E N L E E C 0 U N T Y
POPULIVI'ION - U. S • .:ensus ~ 1920
15.362
BIRTHS
no. and rate
per 1000
I'OTAL
li''hite
i:i!.exican
Ind ia:..'l
Vthe:r
ALL 0AUE:H:S
no. and rate
per 1000
TOTJl._L
1Fhi te
no. and rate [Jer
1000 live births
TOTAL
l\ihi te
1 no.
l 262
139
98
21,",
~)1
56
,~; 17
! i)
2
50
lb
Mexican 34
Indian
Other 1
VITAL ST11TIS'l'IGS
1925
:rate
20.8 '
10.4
190.8
no.
316
76
229
11
132
28
10~'!
1
42
4
38
1930
32.1
13.4
132.9
1930
9,886
121
35
76
1l
57
23
32
1
~-~
J..
'I
1935
1940
8,698
rate ' no.
13.0
I t
6.1
57.9
246
135
111
73
34
39
13
2
11
-------------------------
D I PH THPJUA
':}S
Deaths
Ca:.'.tS
Deaths
Cases
Deatns
TY'P~H~O~ID- -----~~C-a-e:-e-s --------
GONORREEA
SYPHILIS
MALTA FEY .::.R
Deatid&
Cases
Deaths
casos
Deaths
Cases
Dea.tl1s
19
6
1
1
l
2
H> ""-'' 5
4 17 -41:5
14 3 5
8
l
10 3 2
1
--y3 31 -- l
4 29
2 2
1940
rate
28.2
a.4
52.8
M A B I C 0 P A C 0 U N T Y
Maricopa county located in the central part of the state
and containin[!' the :rich agricultural district of the Salt
Rivt3:r Valleyg has a population of 186,193, including the
cit~, of the state6 Phoen v1hich has a population
of 6b,414 within the inoo:rpo:r&ted limits and 121,828
1d thin the metropolitan area. Over :.'HJ;:~ of the total
population of the state is in this one county. The area
of the cou.nt;y is 8,231 z.quare ,tdles, about 497; Federal lands.
In cooperation with state and Federal agencies, a full
time local health unit is maintained with the following
personnel: Director, assista.n~ director, supervising nurse,
15 public health nurses, three clinic nvrses, three V. D.
clinicians$ 2 sanitarians, and 2 clerks.
Fixpenditur~'s for the fiscal ye r ended June 30, 1941, f'or
this unit were:
US PHS
TOTAL LOCAL TITLE VI V • De
GHILDI·d:N 'S
BURFAU
941.67 $10,933.14
Additional s ''i thin the county for health work vtere:
Indigent Care
Physicians' fees
Hospitalization
Drugs
School Nurses
Sanitary Inspectors
Vital Statistics
County Hospital
~P:!9, 467. 50
112,214.37
31,108.87
26,000 • .JO
9,900.00
3,357.00
77,244.66
!;~ 11 h I rv; 0 FA c 0 u N 'r y
Population - u. s~ Census: 1920 1930
89-576 150.,9'70
VI TAL S 'fi~~TIS TICS
1925
No-. -rate BIRT'rlS
no. and rate
per 1000
TOTAL 12482
'White tl394
.l\llexican ' 860
Indian 83
Other
A:LL CAUSES
no. and rate
1000
'fOTAL rl804
1.nhi te 11098
! f513
I 103
no. and rate pE:r
1000 live births
TOTAL
INhi te
Jlilexican
Indian
Other
TUBHtCULOSIS
PNEOivfONIA
DIPJITHERIA
TYPHOID
GONOH.Bl1f::A
SYPHILIS
W~LTA FEV.i'R
l 319
78
' 205
2~·
cases
Deaths
Cases
Deaths
cases
Deaths
cases
Deaths
Cases
Deaths
Cases
Deaths
Cases
Deaths
20.6
15.0
128.5
1930 1935
' No. rate I l~o. rate
3314 21.8 3183 18.8
1973 2052
1106 882
60 69
2492 16.4 2190 12.9
1543 1402
730 389
83 79
l~tt . _j,.G.Q___
433 130.7 356 111.8
157 134
238 199
18 14
2Q _it
1925 1930
215 678
565 539
148
137 269
38 93
5 20
70 91
16 16
95 113
94 r- 105
12 30
1 6
1940
186,193
1940
t No.
4549
3097
1092
146
2165
1509
1935
262
391
266
249
58
6
46
8
810
2
2M!
25
5
439
85
l:22
363
16e
158
24
l~
Rate
24.3
11.6
1940
175
312
882
161
45
5
38
3
906
957
43
15
-M-O-H-A-V-E -CO-U-J-:f-TY-
¥ri th an area of 13s 260 s miles,
F'ederal lands, has a population
:in 1940 of' 8, 591. 'rhis is the smallest total
population of the state and has few Indians. 'l'he
f;tate of Health does not have an;,r super-vised
cooperad ve work in this county. all health
work done loeally except for :requested
consul"cative servicem from state officers.
Count,v expenditures for healtn were 1
sicians' l'~ees
Hospitalization
Drugs
School Nurses
Sewer Inspector
Health Oi'ficers
$ 2,400.00
;~o,ooo.oo
3,500.00
1,650.00
1,200.00
600.00
MOHAV.l!:
Population- U. f:. Census:
COUNTY
1930
5,572
VITAL STATISTICS
1925 1930 1935
no. rate ' no. rate 1 no.
1940
8,591
rate ' no.
1940
rate
~B~IE~T~H-S- --------~----------------~------------~----------------~------------
no. and rate
per 1000
TOTAL
White
Mexf,Jan
Indian
vther
DEATHS
ALL CAU:·ES
no. and rate
per 1000
T\Yl'AL
1n·hite
lviexican
Indian
Other
no.. s.nd rate per
1000 live births
TOTAL
1Nhite
Mexican
Indian
Other
83
oC" nI"
23
~·l;
f:.,
.fi_.J,
50
tU
l-;
i
2
4
2
2
--
IS Ca5ea
Deaths
u •• s l 91
58
14
17
2
9.2 I 73
56
3
.1.. .'.).
48.2 I 7
4
l
2
PmN""TI1l"l'OnM~o""'N""!.,.A-- Ca_s_e_s_· ---------------
Deaths
DIPH'TI:IEHIA Cases
Deaths
16.1 I 106
'77
15
10
4
12.9 ' 115
83
8
24
76.9 ' 7
3
l
3
···c-·a-·s~e-·s - -~---·~ ·-------~---=----"--
Deat.'ls
~G~O~N~O~P~Yu~n~E~~-.----~u~·--------------------------
Deaths
SYYrliLIS
MALTA FlW:'h Cases
Deaths
14.8
16.1
66.0
! 198 22.9
' 156
16
26
l 81 9.4
67
6
8
I 8 40.4
4
3
1
--·--19-4-0 ----- 11
5
'25 -
7
25
l
NAVAJO COUNTY
has a.11 area of 9 1 911 square miles, about
is state land. The
to the 1940 census is 25,309 and
visL:nal are !ndial1S e
In coop~~re,tion with State a.YJ.d Federal agenci•'"s, Navajo
count,;/ has two public h.:,1alth nurses and ~i.S a special
h"'o llW. ternity have been established
at; SnOY'tlake fHH:, Vinslo;J'i Each hospital
htts a senior nurse who a junior nurse~
an a tendant, and nur· servi:;es.
kxpendi tu res for ·tr1eae projects for the
y ea:r V/fH'<.c ~
LOGAL
fiscal
GHIWREN 1S
BUH':.AU
:;no,847 .18
In addition ti:le county spent for health servi(HHI t
ieiane' salaries and fees
iv!edical Aid Indi 5,987.27
Quarantine 129 • 55
Vital Sta,ti sti cs 398.00
Clinic rent and supplies 764.70
NAVAJO
Population- D. s. Census:
CODN'J'Y
1920
16,077
VI~C.AL STATISTICS
1925 1930
no~ rate 1 no.
1930
21,202
1940
25.309
1940
rate 1 no.
-----------,·~--------r----------.,---------,.-------
BIETHS
no. a:nci rete
per 1000
TOTAL
Yhite
404
191
f 130
Mexican
Indian
Other --·-f-~=27
no. an::! rate
p1:~. ~OOOTOTAL
<t,uTe
lli.lexican
no.ancl rate p•::r
1000 li-ve ''irth:s
'ro'l'.AL
W