CRIPPLED CIIILDREN'S PROGRAM STATISTICS, 1959

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J                                                       statistical   seri-es no. 63




               CRIPPLED CIIILDREN'S PROGRAM STATISTICS, 1959

                                       Sadie Saffian
                                Child Health Studies Branch
 \J                                 Division of Research




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

      Social   Security   Administration                      ChilCrenfs Bureau L96L



 J


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     ,                     Crippled Childrenrs                     Program Statistics         , J-.959
V

                                                               CONTENTS

                                                          TEXT CHARTSAND TABLES


                                                                                                                          Page
         Chart I.          Trend in the number of children served in the
                             nr'-innl pr1 childrenr s program and in the number
                             per 1,000 children under 2L, 1937-59.                                                            iv

         ChartII.          Poliomyelitis,                     L95Oand1959                                       ......        10

         Table I.          Children who received specified types of services under
                             tha nr.inpled.childrents progratn, L959 and 1958......
                               ulrv      vr      +y                                                                              2

         Table 2.          Diagnoses of children served in the crippled                                   childrenrs
                             prograrn,1959 andI95O....     ....                                                                  4

         Table 3.          Children served under the regional congenltal                                    heart
                             center progran, by ref eruing State, :.959                                     ....                 6

         Tab1e 1..         Children reeej-ving physicianf s servj.ces in the
                                    orl childrenrs progra1n with a primary diagnosis
                             nz.inn-l
                              vr      +yy4us


                             of aeute polionyelitis   and late effeets of acute
J                            nnrinmrrafifis, by region and State, I95O ald L959...
                              }Jvrf      vrr\J        v                                                                          I



                                                             Appendix tables
         Table A-1.               of ehildren who recelved specified
                           Nr-unber                                                                  types of
                             physiej-anrs servi.ces, by State, L959                                  .. . .. ...              L3
         Table A-2.    Pereent of total children served who received
                         arranified types of phySieiants services, and average
                                    service received., by State, 1959...........    14
                         "i"r-i-.f
         Table A-3a-g. Diagnoses of children served in the crippled childrenrs
                         program, by State, 1959..........,.........       ...... L5-2L
         Table L-1..       Percentage distribution of children with orthopedic and
                             nonorthopedic diagnoses, by State, L95O and L959....                                             22
         Table B-1.        Children served under the regional congenital heart
                             prograln and mortality      according to primary diagnosis,
                             by eenter, L959        ....       ....                ......                                     23
         Table B-2.        Sex and age of children served under the regional
                             c o n g e n i t a l h e a r t p r o g r a m , b y e e n t e r , L 9 5 9 .. . . . . . . . . . .   24


                                                                    111


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                    Providedby the Maternal and Child Health Library, GeorgetownUniversity
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                                                            -IV




Providedby the Maternal and Child Health Library, GeorgetownUniversity
{t
 V           CRIPPLED CHILDREI.TS PROGRAM STATISTICS, LgSgy
                                                  Servlces

                  Crippled childrents   prograrns throughout the country tn 1959
     continued.  to provide care to larger numbers of handicapped children.
     During the yelr about 339,OOO children with many diff erent impai-rments
     received physiciants diagnostic or treatment servj-ees in official      pro-
     grarns, /r.2 percent more iL"tr in the preceding year    (tante 1) . For every
     lrooo'children    gnd.er zL years of age in the general population there
     were  /r.9 children under care in crippled childrenrs progralns.

                 Some 53 jurisdictions  with crippled childrenrs prograrns are
     now sharing in Federal fund s r.rnder the Soci al Security Act.  Guam is
     incl-uded for the first  time although participation   in the program is not
     for the fu1l report year (l.glg).

     rlNewll cases


                 Children not PreviouslY under t h e c a r e o f o f f i c i a l ageneies,
     constituted 1ess   than two-fifths of all children     served during the Year.

                                                                P ercent    of rrnew rf chi l dren
                             Year                                     in    the p{ogram
                             1950                                              4L. 6
                                                                               . A
                                                                                   < \-.,
                             L95L                                              - /     / t       t
                                                                                                  /


                             L952                                              /rL.2
                                                                                ^n               al

                             L953                                                <\J
                                                                               - . / / t v
                                                                                                 X




                             L95/t                                             /rL.3
                                                                               '20 6
                             l-955                                             ) /o 't



                             l-956                                             39'6
                             L957                                              39'2
                             T958                                              38./r
                             L959                                               2'7 ry
                                                                               , / t         a       I




                                                                             rr
                 The foregoing table indi c ates that while proportions of ngvrtf
     cases have fluctuated    somewhat from year to year si-nce the beginning of
     the decade, there is a tendency for these ehildren to eonstltute less and
     Iess of the pati ent -Ioad . In thi s conneeti-on, it would be of interest  to
     lcrow what categories of impairments are either long-term serviee     cases or
     represent reapplications    for service.


                    lData from State rePorts received from agencies administering crippled children's services
                                                                                                       Guam,
     under Title V, Part 2, of the Social Security Act. Includes 49 States, the Disuict of Columbia,
     Puerto Rlco, and the Virgin Islands   Arizona has not participated in the crippled children's Program under
     the Social Securiw Act since 1950.



                                                         1


VI




       Provided by the Maternal and Child Health Library, Georgetown University
 TABLE 1. --Children who received                              qnonj             f i + osd   trrnesr      nf            services         under the
                                                                                                                                                                        a-,,
                                                                                                                                                                        fj
                                                               u y v v f r             v



                crippled childrenfs                                nr l . n6o ? n( mr ,
                                                                   y      v r      .xr       1qr9
                                                                                             L/        and              1at/ a
                                                                                                                        -)_ r ,\)\_/ /
                                                                                                                          ./

                                                                                                                                                   Percent
                                                                                                                            Year                    nh:no           o

                      T r Lr/n e   nf    s e r r r iVg g                                                                                             1958.
                      lJ_    "     V!    Uvf
                                                                                                       L959                         l-958            '1
                                                                                                                                                       050
                                                                                                                                                     L / . /   /




Total- number of children                      who received                      service               ??q
                                                                                                       ./-/v.
                                                                                                                        a./a
                                                                                                                        /   |   t   3 2 5, 4 / + L + 4 . 2
                                                                                                                    t




Children who received                   serviee for                first             time
      Number                                                                                           L27,735                      r25,O4O + 2 .2
                                                                                                           -nn
      Percent of total                                                                                      </
                                                                                                           /r.
                                                                                                                        /
                                                                                                                        I            38.4
Clinic     service
         Number of children                                                                            264,980                      255,Lt9 + 3 . 9
         Number of visits                                                                              557040
                                                                                                          ,                         534,o6J +4, )
           Average number of visits                           per child                                         2.r                   2.L
Other services        by physicians                        (office               and
  home visits )
     Number of        children                                                                            7 0, 5 O 4                 7r,L/tO         -na
     Nurnber of       visits                                                                           r7r ,637                     1 7/ + o g 3
                                                                                                                                          ,           'I.      /t
       Average        number of visits                        per child                                  2.4                             2.4
Hospital inpatient   care
     Nurnber of children                                                                               53,655 52,7 5 +L.7
                                                                                                                       5
     Number of daysr care                                                                         L , L 6 53 3 Or,zLL,3/r8 - 3. 8
                                                                                                          ,
        Average number of days per ehild                                                               2L.7        23.0                                                 f)
Convalescent home care
     Nurnber of children                                                                                  3,66t          3,gLo                       - 3. 9
     Number of daysr care                                                                              2 9 4 , L O 9 * / | , '/ 12
                                                                                                                     )a'7 | / , /                    -L.2
       Average number of days per child                                                                   An2
                                                                                                          v v a /                    78.2

1/Includes data for 49 States, the Di strict of Columbia, Guam, Puerto fuco, and the Virgin Islands.
Excludes Arizona, which since L950 has not participated in the crippled children's program under the
Social Security AcL Guam included for the flrst time in 1959.


Source: Data obtained from annual reports (Form CB-253-P) Submined by States providing crippled
children's services with Federal financial participation under title V, part2, of the Social Security Act




                                                                             2

                                                                                                                                                                        a

   Provided by the Maternal and Child Health Library, Georgetown University
*t
v    Volume and tlrpes of physicianrs                                                       servi-ces

                 Physiciants services refer here to doctorfs care in clinics,
     through  home or office visits,   or in inpatient faeilities such as hos-
     nitale.)aa nonvalescent homes. A child may receive one or more of these
     y!     vsru           vr


     servi-ces in the report year.    He may also reeeive services from such
     paramedical   personnel as public health nurses, X-ray or laboratory tech-
     n Ii-a\ii a nI Is t
     -t   L Iq.       D              nr hDw\ /s ir e a l
                                     y u r     s           tUh Ie a q y nu iUs t, s
                                                              l Ura r        U        ev tv e, -
                                                                                      v     .                  I e v L sf
                                                                                                   wI hve ln In U v gue rs s a r v J
                                                                                                   w a a
                                                                                                                                       t
                                                                                                                                           hur r t
                                                                                                                                           "
                                                                                                                                                 v   tvhreus e
                                                                                                                                                       r v       are   nOt
     counted for                               statistlcal                   purposes.

                Most children, or about four-fifths  of the total served in
     crippled childrenrs prograrns, obtained medical attention in clinics.
     The approximately 265,0001child.ren seen in outpatient clinics during the
     yeu" rus 3.9 percend trignbr than in L958. The arr:rual average number of
     visits of 2.L per child, has not undergone change for more than a decade.

               A sfisht decllne of less than I percent was noted for physieianrs
     home or office visits.   Only about a f i f t h o f t h e 3 3 9, O O Oc h i l d r e n ( 7 L , O O O,
                                                                                                       )
     however, had care of this kind.

                 While actually more progra-rn children than ever before had some
     hospital care (Str,OO0), the proportion of total children receiving hos-
     pitali zation was' l-ess than at any time since the program began. Only 15. I
     nor"nonr nr
                  "-l-l children in the 53 progralns were given medical or surgical
     treatment in hospitals during L959. The average stay for these children
     conti-nues to become shorter,    and for this year approximated only about 3
 J   weeks.

                  Convalescent home care has never been furni shed to large                                                                                              mun-
     bers of prograrn children,    and only 3,66t children convalesced in an                                                                                             in-
     patient facility     in I9r9.  The length of stay for this type of care                                                                                             has
     haan nrri *a .'ariable, averaging in L959, 8O.3 days per child, only a
                    \as+        vv         v                                                                                                                             little
     more than in the preceding year (Zg.Z days ) .

                                                                                         Diagnoses
     Orthopedic                           and other                diagnoses

                  In an earlier statistical     series ?/ alagnostic conditions
     whlch showed the largest relative      j.ncrease since L95O were primarily
     those of a nonorthopedic type.      Handicaps, such as eye and ear condi-
     tions, epilepsyr congenital heart defects, and so ofl, aJe of this type.
     While indlvidual   State prograrns vary greatly in the extent to which they
     serve orthopedic and other types of cases, &s shown in appendix table A-4t
     nationwid.e, there is a tendency for more and more prograrn emphasis to be
     plaeed on other than orthopedie conditions.        This is reflected in the
     following trend table in which the Childrenrs Bureau list of 4t diagnoses
     have been summarized in 3 broad groups.

                                          2/Crtppled Children's Program, Statistical Highlights, 1958. CtriLdren's Bureau
     StatisticalSeriesNo. 56, L960. 19 pp. (p.3).
 J                                                                                                  3




      Providedby the Maternal and Child Health Library, GeorgetownUniversity
                                                                                                                                                                                                                                                                                                                                                                                          v
                                                                                                  Table          2.--Diagnoses              of     children             served      in   ihe    crippled            childrenrs               program,            1959                  md       I95O
                                                                                                                                                                                                                                                                                                        tJ
                                                                                                                                                                                                                                                                                                                                                                                          d
                                                                                                                                                                                                                                                                                                                  , 'h^    -^^ai     ,rai   nhrrci    ni    rnlc
                                                                                                                                                                                                                                        Nmber   of States                                              Chlldren
                                                                                                                                                                                                                                         whi-ch include                                                                   servl c es
                                                                                                                                                                                                                                   ii        adn^oi       c     in           dafi        -
                                                                                                                                                                                                                                                                                                                                               Par.        er+     e op
                                                                                                                                                                                                                                        - i + i ^ -       ^ f        ^ F i - -
                                                                                                         Primry             diagnosis                                                                                                                                                                                                        distribution
                                                                                                                                                                                                                                        -r     i-d      ^^hri           +i       ^#?




                                                                                                                                                                                                                                                                                                                                                                      L950

                                                                                                                                                                                                                                                                                                                                                                          ,
                                                                                                                                                                                                                                                                                                                                                                     I00.0


          c-in.    Li.j^..n^                  manj-d^^e1e,.,....                                                                      ...,.jit1,--
                                                                                                                                                  ; ,       ,   2                                                                                                                                                                                                         0.1
          Congenital           cataract.                                                                                                .,,,,r/i.;-l

                                      of the circulatory                                                system.                       ...,.f:7:             i.'..i . . . .
                                                                                                                                                                                                                                                                                                                                                                          1.0
          Conlenital  nalformations
                                                                                                                                     .....'.-"r.;./......
                                                                                                                                                                                                                                                                                                                                                                          3.7
          Cleft palate and harelip.
                                    of hip' .                                                                                                . i. .r '::. r.
                                                                                                                                                                                                                                                                                                                                                                          r.2
          Congenital  dislocation
                                  or mspecified                                                                                        '..;.:;.1..'i.....
                                                                                                                                                                                                                                                                                                                                                                          6] .?8
                                                                                                                                                                                                                                                                                                                                                                          ,
          Clubfoot,  congenital
          flallool,          congenfrar.
                                                                                                                                                                                                                                                                                                                                                                          5.7


.,',1\Dis"u"e"         of    the     bones and organs                     of        movement, except                      congenitaL        malformations...'..1r;.1'.....,.,!..?......                                                                                                                           13,r77
-    -                                                                                                                                                                                                                                                                                                                                                                    1.1
                                                                                                    fever.,.                                                                                         . ' . .' . ' . . . . . . .
                                                                                                                                                                                                                                                                                                                                                                          1 R
          nct6^mvnl         iric     2hd       nerincri -lL1Sr            eXCepL           LUOel CUlUUs.
          gnrvature          of     spine,           except     congenital                 or    late       effect          of    poliomyeliti6                 or     tubercu-1osis..........'t,,,i,.,

          Flaif^-+.          anrrrired           or    rrnsoecified
                                                                                                                                                                                                                                                                                                                                                                          b . I
                      diseases           of    the     bones        and    organs           of     rcvement,               except     congenital-               maIformations.....                              ..'.....
          Other
                                                                                                                                                                                                                                                                                                                  ro      ?1/                                             9.4




          Po-Iionyelitrs,                acute...
                                                                                                                                                                                                                                                                                                                                                                      11 .6
          Late effects              of    acute poliornye1itis.......;-.                                  ; j':i.''..




                                                                                                                                                                                                                                                                                                                                                                          1.9
     \,E""*""          *a                              of     the    eye,           except        congenital               or    diabetic         cataract.                           .....i:....i,'.....".".r.'                                                                                L 9, 1 9 3                                                                2.1
 i,
 1r' /                            "o.alf-s
                                                                                                                                                                                                                                                                                                                                                                              .l

                                                                                                                                                                                                                                                                                                                                                                          0.6

   -i\Accidents,            poisonings,               and vlolence..,.).....                         J t r: : . . .
                                                                                                                      I
  i.r                                                                                                                                                                                                                                                                                                                                                                     L .
          Burns. , .
          Other ]IDrbid conditions                          due to accidents,                      poisonings'                   ard vio]'ence
       )iseases        of    the     nervous            System md               sense orgms,                   except            eerebral        patsy,             eye md     ear...j.,..1..,-;.r...'....                                                                                      tr, u4                                                                    t.1
                                                                                                                                                                                                                                                                                                                                                                          0.,1
          Epilepsy.                   .'. .:.'. . .
                                                                                                                                                                                                                                                                                                                                                                          r.c
          O L h e rd i s e a s e s o f t h e n e r v o u s s y s t e m a n d s e n s e o r g m s , e x c e p t e y e , e a r , m d m e n t a l d i . s o r d e r s . ' . . , . . i . . . .
                                                                                                                                                                                                                                                                                                                                                                          ) 1


                                                                                                                                                                                                                                                                                                                                                                          2.2
          Rheunatic    fever,  acute,
                                                                                                                                                                                                                                                                                                                                                                          t ?
          Chronic   rheurati.c  heart                       disease,
                                                             except        congenital               nalfornations....;.
                                                                                                                                                                                                                                                                                                                                                                          0.8
          Other diseases of heart,
                                                                                                                                                                                                                                                                                                                                                                          0.4

          Die^rrlFrc         .f     ...1|qi.n-              cF,r^fi^n               and +.^^+h .lFVclnDnent.                                                                                                                                                                                                                                                              4,3
          OLher       diseases           of     buccal        ca\dty       and esophagus'                                                                                                                                                                                                                                                                                       ,/



          Tuberculosis  of bones md joiats,    active or mspecified....'.'.:,.i.
          Late effects  of tubercul-osis of bones and ioints.
          Obher tubercul-osis,  except respiratory.                                                                                              .i.'..'.



          Fickets, active..                                    ....t.J,i.(,
          Late effects of ri.ckets.                                       .,:.....




                                                                                                                                                                                                                                                                                                21'3rr            L2,rr9
                                                                                      or        handicapping               conditions,            except             prouisional         or    deferred         -
          Obher diagnosed                     diseases,         injuries,
            d].agnoses.

        Provisional           or     deferred           diagnoses              or    no abnormalities...                                                            ..":?1.r.......                                                                                                                                                                                        7.O

          Pro.risional             or deferred diagnoses.                                                                             . .,'.^'.. . .                                                                                                                                            l-r,I1,
          FyrminAti^n              made n^ ahn^rmalitv    rpn^r+.ert                                                                  .'i, ?.(r,.                                                                                                                                               u,961

            1/ Includes dara fo. 49 states,    uE rlsrrict      of cobrbta,     cu@, tue$o     Rico, sd t$e YlIgln   Isleds.                                                                                                                                                           lt]rcn     shce       1910 has mi           larilctlat€d              tr       ihe
        *rrPred    shrldrd's     !rcsre uder fie Sociar seuity          Aci,   Osr included fo. the fi!3t   tiE    in I9r9
            2/ moesls        hcruded tn the adrinisiraltve    deflnltld      of co.dttids   for tnich chtl
                                                           se!!'tce3, lhyslcld's      orric                       hostit&L tnpatle.t                                                                                                             car6, d                  cdElescat                      ]lore care'
            t I..iu&s      ch11d*"
            4/ r"s th$ o.0r peftsr.

               s@ce:    Eta obralned fton                                                                (non         c!-2rr-p)                                                                 ns dippled             chlldm's                       seNtces r4th                           Federar fimcial               lalttcrpaiion              uder            title          v,
        !a!t     2, of the soct31 security rro'!.




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                                                                                                                                                                                                                                                                                                                                                                                          It


                                                 Provided by the Maternal and Child Health Library, Georgetown University
I't
V                                   Pereentage d"istribution                    of diagnoses

         Year        Total       Orthopedi c             Other than orthopedie          Provisional           or deferred

                                    r\2          r7                                                   r7n
         l-950       100.0          . / - / .    I
                                                                 ?o?

         ]95l.       100.0          5 3. 2                         z
                                                                 39.                                  11
         L952        100.0          5 L .2                       41. O                                o. a
         1953        100.0          50.6                         /*2.9                                o.)
         1- 0 4 +)   'lnn   n/       ,n
                                                                 )2         A
         J / /       Ivv.   \-      4Y. I                                                             6.6
         l-955       100.0          / + 9O
                                        '                        4/+.7
                                                                                                      / - 1
                                                                                                      h l


                                                                                                      r7n
         1956        100.0          4 7. 3                       /.   "'t   X


         L957        100.0          / ' t
                                    +t ..)
                                                 h




         l-958       100.0          / 1 6 .B                     4 6 .4                               ,-\     \J



         L959        100.0           t /

                                    40. Z
                                                                 )r7
                                                                 +r.\)
                                                                            n                         l.rX




                 Although the need for servi.ces to children with orthopedic
      problems has not dimini shed , but has i-nereas ed along with the growth in
      crippled ehildrenrs prograrns generally,   patients with nonorthopedic in-
      pairments have increased much more rapidly.      As a result, children with
      other than orthopedic defects now constitute the largest group.

      Regional congenital                       heart   center program, 1959 3,/

                   Among the nonorthopedic diagnoses reported by official       State
      agencies to the Chlldrent s Bureau, congenital malformations of the cir-
      eulatory system have had a striklng     increase in the prograln, attributable
      in large measure to the significant     advarices in heart surgery in reeent
      years.    From a little   more than 2,2OO children with congenital heart
      disease served in 1950, the nr.mber has grown to 14,450 by the close of
      the decade. 0f this , 738 or 5.I percent of the program children rdi      ere
      under the care of the 5 regional congeni-tal heart centers, located re-
      spectively   in California,   Il1inois, Maryland, luli-ruresota, and Texas.
      These centers were established with Childrenfs Bureau Reserve Fund B
      money primarily    because no 1oea1 faeilities   were available for the car-
      diae evaluatj-on and surgery of many ehildren with heart defects from
      birth.

                   The separate reports furnished by these 5 centers supply some-
      what more detailed   information  on the ehildren served than do the alnual
      erippled childrenf s reports.    The 738 children with heart or cj.rculatory
      diseases at birth seen in the eenters in L959 carne from /*3 different
      States and Territories.     Tables B-1 and B-2 of the appendix give further
                                                                                                                            i
      information   on the age and sex of these young patients as wel-l as their                                            I
                                                                                                                            I



      major eardiovascular diagnoses.     In excess of one-third of the group had                                           I
      interventricular                                                                                                      I
                         septal defeets                                                                                     I
      -For                     a *oi   detailed discussion of how the program functions and an analysis of cases            I
       for the first 5 years of operation, see Children Wi*r Congenital Heart Disease Served in Regional Centers,
       L952-56, Alice D. Chenoweth, M.D. and Sadie Saffian. PUBLIC HEALTH REPORTS,            1960, 75 377-386
      (May).


                                                                      5
J


      Providedby the Maternal and Child Health Library, GeorgetownlJniversity
                                                                                                                                                                                   tr
       TAEIE              3.--Chifdren            served   mder   the   regional    congenital      heart        center   progran,      by    relerring        State,       1959
                                                                                                                                                                                   u
                                           qtal.e                                                   Regional        congenital        heart    center     in
                          Refpnrino                                 Total

                                                                                   Calif   omia      I]1inois             l4arylmd            Mimesota             Texas

                                                                        738                                 'L                93                  265               265

       A.1abana.                                                                           0                 0                   0                   4                  0
       Alaska. .                                                            9              9                 0                   0                   0                  0
                                                                            6              5                 0                   0                   t                  0
                                                                            7              0                 0                   0                   7                  0
                                                                                           0                 0                   ,7                  0                  0
                                                                            7

       District                   ol   Colwbia.                           I                 0                0                  I                    0                  0
       Florida.                                                          60                 0                0                /r1                   l6                  0
       use,       5   !o     .                                                              0                0                  3                     I                 0
       Gtan. . . .                                                          1               1                0                  0                     0                 0
       Havaii. .                                                                           r5                0                  C                   L2                  0
       ldaho. . .                                                        2Q                L7                0                  0                     3                 0

                                                                          2                0                 0                   0                   2                  0
                                                                         10                0                IO                   0                   0                  0
       Iova. . , .                                                        3                0                 0                   0                   3                  0
       Kmsas. .                                                           2                0                 0                   0                   2                  0

                                                                            4              0                 0                   0                   1                  o
                                                                            1              1                 0                   0                   0                  0
       M a c e , ^ h , , e F + + e
                                                                            1              0                 0                   I                   0                  0
                                                                         r3                0                10                   0                   3                  0
                                                                         L2                0                 9                   0                   3                  0

       I'lf,ntma             .                                            7                 0                0                   0                   7                  0
                                                                          2                 0                1                   0                   I                  0
       Nevada. .                                                         I6                16                2                   0                   0                  0
       Neu ilanpshire.                                                    I                 0                0                   0                   l                  0
       Nev Jersey.                                                        2                 0                0                   2                   0                  0

                                                                         26                0                 0                   0                   t_                 25
       Nev York.                                                          5                0                 0                   4                   t_                  0
       nliF+h              ^.F^lih.
                                                                          5                0                 0                                       1                   0
       North   Dakota.                                                   79                0                 0                   0                  79                   0
       Ohic, . . .                                                        3                0                 0                   I                   2                   0

                                                                            6              0                 0                   0                   0                  6
                                                                            2              0                 0                   0                   2                  0
       Pemsylvania.                                                         6              0                 0                   6                   0                  0
       D,6r+          ^      ai   ^^
                                                                            7              O                 c                   7                   0                  0
       South               Carolina                                         6              0                 0                   6                   0                  0

                                                                         80                0                 6                   0                  71                  0
                                                                          1                0                 c                   I                   0                  c
       Texai. . .

       do5rrfr€LUri.
                                                                        231
                                                                          6
                                                                          ?
                                                                                           0
                                                                                           0
                                                                                           0
                                                                                                             0
                                                                                                             0
                                                                                                             0
                                                                                                                                 0
                                                                                                                                 1
                                                                                                                                 C
                                                                                                                                                     0

                                                                                                                                                     2
                                                                                                                                                                        0
                                                                                                                                                                        0
                                                                                                                                                                                   td
       west Virginia.                                                     2                0                 0                   2                   0                  0
                                                                         13                0                L)                   0                  3A                  0
       nJv'.:r,16.                                                        I                0                 0                   c                   1                  c




                                                                                                6
                                                                                                                                                                                   f/


Provided by the Maternal and Child Health Library, Georgetown University
-1


     Sl
     .J                Fatalities   alnong these patients appear to be lessening ac-
          cording to comparable data available for the past few years.       The fig-
          ures shown below, however, need qualification      since they refer to mor-
          *ori*rr nnr'rr alnong the children served. during the report year and do not
           uGLI-L             VJ   \JauJ


          necessarily refer to surgical cases.

          Percent of children                                  who died in regional         congenital    heart    center Pfggrggs

                                                                                                I\4ortali_ty
                              Year                   Total   number served        Nu.:nber                        Percent
                                                                                  T
                              L957                             06O                                                  Y.a
                              LY)6
                                                               /
                                                               ozl
                                                                   ^7t
                                                                                      )z
                              l-959                            738                    /o
                                                                                      +./
                                                                                                                    11n




            Poliomyelitis                               in the crippled      children's     prograrn, 1950-59

                      Over the years, the care of ehildren with poliomyelitis    has
          been a major concern of crippled childrenrs   progralns throughout the
          enrrnt.nr, A decade of comparable diagnostic statistics
          v v | # r v r J .                    4 r
                                                                    provides a basis
          for assessing the nationvide trend in serving children    with this condi-
          tion through offieial  progralns.

                      Children treated for acute poliomyelitis   or its aftereffects
          in 1g5o renl<sd third. arnong the broad diagnostic groups in the crippled
          + r l        t / / v t           r | 4 r



          childrent s progratn, aecounting for almost L5 percent of all the chil-dren
          in official  pr-gr.*".   At the close of the decade (wrg) ttris proportion
     l/   d eclined to about 7 percent and poliorqyeliti s eases f ell to fourth plaee
          arnong the definitely  diagnosed groups (taUte 2).   In actual nurnbers there
          was a drop between these two years from 3L,LO9 to 22,9L6 children, or
          about 26 percent.

                        This trend was due to mar\)r factors,   the most notable of whieh
          was the initiation     of the poliomyelitis   inoculation program In L955,
          Sinee that time the number of polio children in the erippled ehildrenfs
          program has been steadily deelining.        Despite this optinistie   outlook
          the care of children with polio will be a eontinuing responsibility          of
          official    agencles for some time to eome, beeause of the cr.rtailment of
          activities    of many national and loca1 facilities     for serving such
          patl ents .

                         Although children in the acute stages of the disease have
          reeeived diagnostie and treatment care in crippled childrenrs              prograns,
          not all States have aceepted this type of ease, or if they have, the num-
          bers served have been relatively           small, primarily   because there were
          other organlzed      facilities     prepared. to meet the needs of chlldren in the
          initial    stages of the dj.sease. Thus in 1950, aeute cases represented
          only    about 20 percent of all poliomyelitis         ehildren in offieial     prograns;
          in 1959    this proportion fell to only about 5 percent.           Praetlcally    all
          State    progralns, on the other hand , have aceepted children already crip-
          pled by the disease, ffid such cases have consequently accounted. for the
          bulk of poliomyelitis         patients in the program.
     .J
                                                                                      7

t,

                         Provided by the Maternal and Child Health Library, Georgetown University
                           TASLE 4.--Children                    recej.ving         physicim's    servlces  in the crippled   children's
                                 p         with                  a primary          diagnosis   of acuie poliomyelitis    and late
                                 - rogrm
                                                                effects   of        acute polionyeU.tis,    by region  Md State,
                                                                                            ]^950 nd   1959



                                                                                        19ro                                                t919

                                                                                      Children    with  acute                            Children         t rith acute
                                                                                       poliomyelitis      md                               pol-iomye- -iti.s      ard
                                                                                        late   effects    of                                 late    ef; lects of
                                                                      Total                                                 Tctal
                    Region Y                    ard State
                                                                   children
                                                                                      acute poliotrVelitis
                                                                                                                           hildren
                                                                                                                                         a c u t e p o f : .omyelitis

                                                                    served                                                 served
                                                                                                       Percent                                            Perc ent
                                                                                                        of a1l                                             of a1l-
                                                                                        Nunber                                              Nmbe
                                                                                                                                                          children
                                                                                                       chi.Idren
                                                                                                        served                                             s erved



                                                                   2r1, 145             3L,tO9                            338,977           22,916              6.8

              Regions                                                32,101               1,28?          13.2                    83r                            5.8

                  Connecticut.                                           151                r37                               zTL                 81
                  Delaware.                                              891                 )1                3.8            81s                               ) Q

                  Maine . , ,                                            856                                o?                187                 66

                  Massachusetts.                                      ? 690                 219                             4 290
                  Nev Hanpshire.                                      t- 287                 95           7.1               I 232               12              1 l

                  New Jersey,                                         1 280                 r22           9.5               6 o/a            L,O22            11.7
                  Nev York.                                          L2                  2, r6L          2A.6                    )az         r,)18
                                                                      6 o57                 573           g5               T3    595           649
                  PeImsyl-vania,
                  Rhode Island,                                       I 218                 u9           a u .o             t    a$             73              7.O
                  Vertrnnt.                                           I                     209                             2    552           r40              5.5

              egion III....                                          31 837              6 038           17.3              o?    7)r         1 9L9

                                                                        2,8A6               r-78                            8,2Lr               110            t?
                  District     of Colwbia...
                  Kentucky.                                             5,26r            L,632           11.0               6,622            L,r21            17.0
                                                                        6,Qa                227                            t1, 172              190            t?
                  l4arylmd,
                  North    Carolina                                     7'139            L,)95           ro.o              11,251            | ,352
                  Vi rginj.a .                                          6,287            l-,710          27.2                                r,098            11.6
                  West Virgj-nia.                                                           580          20.9               3,66r               560           L5.)
                                                                        ?,775
i
1
                  D,ar+^          Pi   n^
                                                                        3,693               l08           8.)               8,t72               182            5.9
                  Ylrgin          Isl,mds                                 )-56                 I                              901                 3            o,)

                                                                     29,1OO               1,97O          16.9              15,065            5,OV             rl. l-

                                                                        8, 5 7 2         1 293           15.i               9,736            r,09r.           1 1 .2
                  Florida.                                              6,r21 2            711           a a - o            9,165              801             8.5
                                                                        -J,61              745           L9.1               R rq?               813           LO.)
                  wur      814.
                  Mississippi.                                          1,4r3              52r           r2.9               1,158              6,3            ] ?     R

                  South Carolina                                                           513           20.?               3,891              119            1 1 .I



                                                                                                                                                                          o
                  Temessee.                                             1,,)21,          I 197           27.7               9,322            r,247            L2.9

                                                                    2 7, 2 7 6           1 629           17.0              31,086            2,o75             6.7

                                                                        I,38o            r 15q           L6.2               9,873                587            5 q

                                                                        ),193               823          23.6               2,756                236           8.6
                                                                        6,721            l, ooB          1t.0                                    523                1
                                                                                                                                                               6 t. q
                                                                                                                                                               -
                                                                        3,065               185          15A                6,181                213
                                                                        5,617               9r4          L7.O               1,6'                 186         1 2. 0

                                                                            ,11:_        ),700           19.0              25,722            2,B7I           1l .2
                                                                  _r,
               Iova, . . .                                              1,90'               998          ,n 1                                  )83
               Kalsa-s, .                                               3,O81               822          26.7                I qrq             587           1 5. 0
               l4imesota.                                               3,886               815          2t.7               , ,160           r,056           L9.)
                                                                                                                   q
               Missottri.                                               2,78L               )59          t 2                1,518              371            8.2
               Nebraska.                                                2,35',              391          16.9               r,922              2L3           11.1
               North Dakota.                                            r,575               rB7          1 1. 9             r,196               80
               South   Dakd'! a .                                         851                92          10.8               1,887              178             9.1

                                                                    2r,732               3,236           l /       O       2 8, 1 7 2        3   126         11.0
                                                                  --;
               Arkarsas.                                                                 L,?79                              1,44)              779           L7.7
                                                                        /   o);            77'           ].5.7              8,07r            ] ]RA           L1.7
               Louisiana.
               Nev Mexico.                                              r,'/13             23L           L3.)               2,?10              121
                                                                        6,872              )91                              6,785              260            ).8
                                                                        3,86)              557           L1.1               6,173              780           1 2. 1

                                                                        9,569            2,O59                             l1, r20               8Q1           7.2

               Colorado.                                                ?,069               )97          L9.2               3,851                212
               Idaho, . .                                               2,249               7r5                             L,227                171         L3.9
               iubntana.                                                f, 891              rao                                                   57
                                                                        2,650               738          27.8               3,259                28r           8.6
               Wyorulng.                                                   710               93          1l .1              L,151                 53           4.o

                                                                     39,717              2,L95                             67,890                382           0.6

               Arizona 4                        ...    .
               Cal-ifornia                  .                        3r,;o               L,377              1.2            58,o12                  0
                                                                                            2i                              1, r88                53
                                                                        ),146              5L2                              2,825                L16
               \\/ashiUg icn .                                          I,t,26             r68           t0.l               2, /r81               89
               A-laska.                                                    627              16
                                                                                                                            r,772
               llavai i. .
               Cran 2/,
                                                                        r"285
                                                                                             2'                                                     L

             rJ      states  are            according  to the regi-onal
                                                      grouped                                           orgmizailon    of the u, s. Depaliment
                     of Health,  nau"it:.ot   and 1{e1{are (children's                                  Bureau, Ilealth Services)'

             u       Arizona  does not partlcipate
                     .Security Act.
                                                       in the crippled                                  childrenrs  program uder   the social


             v       Guan first
                     Security
                                  participated in
                                Act in 1959 (part
                                                                            the crippled
                                                                            of year).
                                                                                                  childrenrs           progran    uder    the    Social




                                                                                                 8                                                                        .t




    Provided by the Maternal and Child Health Library, Georgetown University
J!J
.v                State differences. --Individual   States differ  to a marked ex-
      tentintheffiorpo1iomye1itisehi1d.renserved.(taute4).
      For example, os few as 3.8 percent of the ehildren in the Delaware pro-
      gram in 1950 were affected by this condition.       On the other hand, Kentuclry
      had almost a third   (:f . O percent) of all children in the State prograrn
      treated for poliomyelitis.      This is over twice the national average of
      l/r.5 percent for I95O.

                  While the corresponding percentages for 1959 are eonsiderably
      smaller, it is worth noting that no State program had IIDre than L9.3 per-
      cent (1,{innesota) of its handicapped children under care beeause of this
      disease.   The smallest proportion of ehj.Idren served in erippled ctlil-
      d.renrs programs at the end of the decade was reported by the Virgin Islands
      (O.l percent), followed closely by the District   of Columbia and Maryland
      with 1.3 percent each.

                   The incidence of the disease is only one of malry reasons for
      these   State varj-ations. The availability   of other 1oca1 resources for
      medieal care,   both publie and voluntary,   &s well as the amount of rnoney
      allotted   to the erippled childrents  prograrn, and other program consj.dera-
      tions, aff ect the mimbers of these   children und.er care in official  ageneies.

                 Chart II whieh follows has the dual purpose of showing the
      relative emphasis given to serving children with poliomyelitis      in the
      various States for the two years, l95O and L959,   and at the sarne tirne
      refleets the somewhat deelining role of poliomyelitis   in offieial    prograns.
I




                                             9
J

                                                                                          -*-:-

           Provided by the Maternal and Child Health Library, Georgetown University
V'
'i,
rt.
                                                                                                          v,
l'                                                                                           Chart tr
                                                                                                          L
l.                                    POLIOMYELITIS, 1950 AND 1959


                          1950

                          In 35 States, 10 percent or more of the children in the crippled
                          children's program had poliomyelitis




                                                                                             o   D.C.



                                                                                             o   Alaska



                                                                                             o   Hawaii



                                                                                             o   P. R,.




                          1959
                                                                                             o   v.I.


                                                                                                          tr
                          In only 1? States, 10 percent or more of the children
                          in the crippled children's program had poliomyelitis




                                                                                             o   D .c .


                                                                                             o   Alaska



                                                                                             o   Hawaii
             rcent of aII children in
             ippled ch ildren's program

              l-r                                                                            o   P.R.



              T
                       none or under 10

                       10=19
                                                                                             o   v.I.

              ffil
              I
                       20-29

                       30 and over                                                           o   Guam




                                                            IO                                            L


      Provided by the Maternal and Child Health Library, Georgetown University
Jf
v




                                    APPEIIDIX




                                                                                  :
                                                                                  r{
                                                                                __-l


     Provided by the Maternal and Child Health Library, Georgetown University
                       This pageis blank in the
                         original document,




                                                           University
Proyidedby the Maternal and Child Health Library, Georgetown
                                                                         Other           services                                     g
                                                CIinic       servlce      h !     n h 1 ' . i . i . ^ c
                                                                                                              nuspr    udf      rdr




                                                         9,089                              8)7                       i,361                 106
                                                         1,518                                0                         r28                  0

                                                         + ,t o u                   22/,                                ia2                 va
                                                     25,125                       31,8r8                                                    I?7
                                                         3,250                         800                              210                      7
Comoc LicuL,                                             3 ,27r                        556                                                      r.l
Delavae.                                                 r,815                          25                                63                     0
Distr-icr of Colwbia....                  ...            8,021                           0                              l'0r                     0
Flori da.                                                9,r81                       I,285                            1,691

Ceorgl a.                                                7 ,95r                             ) aa                      i,14,                 101
                                                             20                          0                               T5                   0
Hawaii. .                                                                              ,96                              231
Idaho. ..                                                  750                         659                              I l n                   r3
                                                         R AR2                       r,538                            r,332                     71

                                                         2,637                            0                             87)                   0
                                                         6,19O                            0                           1,028                   0
                                                         3 ,68r                         82                            1,014                   0
                                                         6,336                         5].9                             951                 r)2
                                                         7,85r                       L,655                              811                   0

                                                      2,206                                 172                         2ra                      I
                                                     11,,055                                  o                         625
                                                                                            /o)                                              3
                                                      1,067                                                             3r1
Mi chigil.                                            7 ,234                                  o                       2,0)2                237
Mi.rnesota.                                           1,611                                 598                       r,r23                  0

                                                         3 ,82L                            781                           639                6'
                                                         1,107                             114                        )-,036               r69
                                                         r,o37                             6l-9                          216                 0
                                                                                            12                           299                 9
                                                         1,070                             223                           r58                 7

New Hmpshire.                                            1,110                           89                             r16                  3
New Jersey.                                              6,376                            0                             119                137
Nev Mexlco.                                                                          r,/,2o                             189                  0
llew York.                                           16,815                          1,657                            6,327                331
North Cuolina                                        L3,343                             357                           r,67r                 65

North             Datota                                                             r-,060                             330                  2
                                                      r,659                          5' 1 , ) 9                       2,116                r80
Okfalona. . . .                                       3,r11                                  0                        ? Aqs                252
Oregon. ,                                             r,7o7                          1 ,2 1 1                           628                  0
Pemsy.lvela.                                         \2,398                             128                           r,237                 88

hrerLo Rico.                                         I,O77                                0                             9r5
Rhode lsled.                                           9f8                              /,3                             ]-36                T'
South Cilol-ina                                      3,795                             T?'                              576                12L
Sou Lh Da-koI a.
                                                         I   / O?                      5A6                                                  2A
Temessee.                                            8,369                           r,532                            r '/,73               89

                                                     2,513                           3,222                            2,r92                      0
                                                     },I7O                             l8L                                98                     I
                                                     2,189                             r82                              ].o2                     )
                                                       ?79                              99                              r85                  0
                                                     9,3r7                                                              9/-6                92

w d > r r f r L 6 l u r r . . . . , . ,              2,228                                 ,75                          3r0                      0
w c > u         v 1 1 6 r L r d . , , ,              3,0),6                                859                          598
Visconsin..,,... .                                   3,791                                 r86                          341                      0
r,iyonin€.                                             738                                 58'                          t-t-1                    I

  Vlncludes     dat,a for 49 States, the Distrjct of Colwbia,                    Gum, hrerto               Rico,  ad     the Virgin  Islarrds
Exclud.- Arizona which sir.c" 1950 has not pilticipateo     in                  Lhe crippled              childrenrs     progrm   rnder :he
Soclal  Secuity     Act.




                                                                       - t3




             Provided by the Maternal and Child Health Library, Georgetown University
                   TABLE A-2.--Percent                  of        t,oi,al       chifdren served who received   specllied   tJ'pes of physiciM's                                                                                  services,                            and
                                                                               avFrasp am.r.1 -' .ts-,iF  r'p.Fiv-d    hv qr2rp   1959



                                                                                   Percent of                 chi lorFrr rcceivirrg
                                                                                                                                                                                                         A,rcurt   of   s ervi               ce
                                                                                         e n a ^ : f i a d      r \ m r e         ^ f       . . r . .




                                                                                                                                                                               n , ! 1 n . + i 6 n + .                               Tn         n.1     i   6h+       .


                                                                                                                                                                             3\'pF.d.              nilmh€r
                                                                                                                                        Inpati          ent
                                                                                                                                                                                  of visiis                                ^ f               d . w e        . r r >

                                     State
                                                                                                                                                                                  per child                                          per               child

                                                                                                  0ther                                                                                              0ther
                                                                      C] i n i c                 servfces                                                                  Clinic                  s ervlc es
                                                                                                                                                        cent home                                                                                           cent home
                                                                      servrce                                                 care                                         servlce                                         cue
                                                                                                                                                          cue                                                                                                 cile
                                                                                                   cms                                                                                                   cians



                          rotal Y.                                         78.                        2A.8                    r,.8                            1.1             2.r                         2.4                    r.7                              8 A. 3
                                                                                                                                                              -.        -T-;:---T--_
                A]abma.         .......                                    9).1                          8.o                  1 4 .0                          r.1
                                                                                                                                                                    .         z,s                         .,s              2r.7                                   71.9
                                                                  |                                                                                                    i                       |
                Alaska..              .
                                                                  I
                                                                           97.8                            0                   8.2                                  olr.sio                                                 8.1                                     0
                Arizona.        .......                           I
                Arkasas.         . ...                            I      %.3                             5.r                 r\.1                             3.i         | ..I.               |  ,.0                      2r.9                                   ,9.L
                laliiornia....,.......,                           |      13.8                         ou. a                  1 4 .8                           o.3         l1.8                 lz.o                        1 1 .2                                 80.5

                                                                        81.3                          20.8                        t.1                         o.2            r.3 I 2.0                                     9.5                                    7).7
                                                                       r,00.0                         17.a                        6.9                         o.1            r.1 | 2.5                                    26.7                                    6r.o
                                                                       r00. o                            1.11                                                   0            1.8 i r0.t                                                                              0
                                                                        97.7                             0                        1.9                           0            1.8 10                                       12.1                                       0
                                                                                                                             'tJ
                                                                        97.O                          L3.6                              q
                                                                                                                                                              1.6            2.8    '.'                                   27.O                                    68.3
                                                                                                                                                                                 |
                                                                                                                                                                                 I
               Ceorg                                                    9?.4                          5.8                    I7.T                                            2.5 I 1.9                                    IB. I
               Gum.                                                     71.r                            0                    15.6                               0            1.6 10                                       4B.0                                      0
                awaii
               Hawai          .. .                                      oo.l                         33.6                    13.2                             0.l_           1,8 | r.1                                     1q                                     ,.5
                                                                        6 1 .1                       53.7                    1 0 .5                           1.1            r.) I 2.8                                     7.r                                   \7.2
                 llinois.                                               87.9                                                                                  N J            r.1 | 2.5                                    2/,.3                              t t /        p



                                                                       95.7                               0                  37.7                               0            ).o I
                                                                                                                                                                                              I              0            ?3.6                                     0
                 ou4.....                                             1 0 0 .0                            0                  L5.8                               0            L.rl0                                        ? t            q
                                                                                                                                                                                                                                                                   0
                                                                        q?q                                                                                                  2.6 |
                   sa
               K m s a ss . . .                                                                         2.r                  2r.9                               0                                        e.2              12.1                                     0
                                                                        qa')                                                                                  )1
                 entrucky.
               Kentruc                                                                                                       r1.1                                            r.9 I                       1.6              10.2                                  ,0.0
               Irui si                                                  97.3                                                 1 0 .o                             0            2.5 |                       r.7                   q l
                                                                                                                                                                                                                                                                   0

               Maine.                                                   88.7                         1 9 .0                 I O .I                          2/ i 1.r I r.,                                               21.I                               L23.4
               Maryla                                                  97.r                               0                   4.3                         o.jlr.+lo                                                      8.6                                L3T,1
               Mass ac                                                 91.8                                                   7.3                         0.]   | 2.r 116.7                                                                                  ro.7
               Mi chig                                                 88. 1                           0                    21.7                          2.e | 3.2 I     0                                              26.6                                10.5
               l,[imes                                                 8r.L                         1t.0                    20.6                            olr.Bl1.6                                                    ,0.1                                   0
                                                                                                                                                                tl
           M l s sssissps i .p p i . . . . . . . . . . .
                  si i p                                      I        85.7                         17.6                    1 1. 3                        )-.5 12.+lr.e                                                  lt. 6                                 6 1. 1
                  ss u .
           l u l is s oo iu i . . . . . . . . . . . . . .   . I        96.9                                                 22.8                          ).7i2.91r.7                                                    IB.t
           l,lont ila.                                                 63.8                         lB. 1                   r 5 .1                          0      1.1  3.7                                              v.1                                     c
                                                                       97.6                          2.2                    15.6                          o.i      r..8 2.r                                              7 3. 1                                96.1
               Nevada..                                                90.r                         r.8.8                   l ?         1                 0.6      )..1 2.6                                               8.5                                  JL.6

           Nev Hanpshire,                                              9r.7                          7.2                    r1.9                          o.2                1.6                         2.0             1 2. 1                                )a 1
                                                                       a r a                           0
           Nev Jersey.                                                                                                                                    ?.o                2.I                           0
           Nev Mexico.                                                 11.7                         5r.8                    L7.8                            0                1.0                         1.6             1 8. 1                                 0
           Nev York.                                                   6).1                                                 2).8                          L.3                L,1                         1.0             ?t ,                               r50.9
                                                                                                                                                                             -tq
           North Cilol"ina                                             9).)                           2.5                   ),r.7                         o.5                                                             9.2                                tq 2

           l,lcrth       Dakota,                                       23.7                        70.9                     22.\                          0. 1              t-.0                     2.2                 13.6                                16.O
                                                                       26.8                        nAn                      39.6                          ) a               2.6                      5.t                 15.8                               L22.1
           OkIa.homa.                                                  16.3                           0                     5 7. 1                                          1)                          0                L 5. 5                              76,5
           Oregon. ,                                                   60.1                        12.9                     22.2                            0               r.1                      2.1                 L6.2                                   0
           Pemsyl-vanla.                                               qt 2                         ?r                       qt                           0.6               ),,2                     l.l-                53.o                                93.9

           Flerto Rico,                                                98.8                              0                  11.7                                            2.r                              o          2 0 .0                              r52.7
           nhode Is1md.                                                9 3. 3                         1. ).                 r.l .0                        L.4               ??                       ? a                1 9 .6                               7 5. 5
           South Cuol-ina                                              a'7 a                                                L/+.8                         1.1               ) a                      2,O                1 6 .I                              Ln .9
           South Dakota.                                                                           26.8                     L7.3                          1.1               a . d                    tq                  tf.o                               L2'.I
                                                                      90. o                        rc.1                     1 5. 8                        t.o               1.2                      r.9                t-0.0                                ,3 .5
           l    =ids,     .   .                                        ?q ?                        19,8                     ? 1     q
                                                                                                                                                                0           2.r                      a )                 t q         q
                                                                                                                                                                                                                                                                0

           Verrcnt.
                                                                      q 7 ?
                                                                                                   ]t-. 7
                                                                                                    7.r
                                                                                                                             3.4
                                                                                                                                                          0.1
                                                                                                                                                                4           r.5
                                                                                                                                                                            t-.8
                                                                                                                                                                                                     2.1
                                                                                                                                                                                                     1.9
                                                                                                                                                                                                                         8.9
                                                                                                                                                                                                                        \4.3
                                                                                                                                                                                                                                                             59.4
                                                                                                                                                                                                                                                            253.O
           Virgin    Islmds                                           86.2                         1 1 .0                                                   0               2.4                      2.1                1 7 .1                                  0
           Virginia.                                                  98.i                                                  1 0 .0                        l.o               1.8                      1.6                36.2                                 76.8
                                                                                     I
                                                                      89.7                        23.t                                                     0                L
                                                                                                                                                                            ) ./2
                                                                                                                            1 )     5                                                                t.1
                                                                                     |                                                                                                                                    o - 1                                 0
                                                                      82.1
                                                                      q?             |            'a.?                      16.3                         r.2                                         t.7                r8.7                                  7.6
                                                                               ?     I               4 . b                   7.5                           o                t?                       ? c                22.2                                    0
                                                                      61.O
                                                                                     L::                                     9.6                         o.1                1 .r                     I , )                                                   20.0

           v        Includes   data for 49 Staies,
                    Excludes Arizona which since
                                                                                    ihe District
                                                                                    I9)O has not
                                                                                                                   of Colmbia,
                                                                                                                   pilricipaled
                                                                                                                                                         Cuam, Puerto Rico,
                                                                                                                                                         j.n the criFpLed
                                                                                                                                                                              ard the
                                                                                                                                                                          cnifdren's
                                                                                                                                                                                                                   Virgin
                                                                                                                                                                                                                   protrm
                                                                                                                                                                                                                                         Islands,
                                                                                                                                                                                                                                          uder    Lhe
                    Social   Secuity   Act-

           2/       Less thil           0.0)   percenL.




                                                                                                                                    L4




I   Provided by the Maternal and Child Health Library, Georgetown University
         t                                                                                                Prinary
                                                                                                                     T-ABLE A-3a.--Diagnoses




                                                                                                                             diagnosi-s
                                                                                                                                                           of   chil-dren      served       in    the       cri.ppl-ed




                                                                                                                                                                                                        Al-abam
                                                                                                                                                                                                                         childrenrs




                                                                                                                                                                                                                          Alaska
                                                                                                                                                                                                                                             progran,


                                                                                                                                                                                                                                        Nurber     ol


                                                                                                                                                                                                                                            Arkaasas
                                                                                                                                                                                                                                                                by


                                                                                                                                                                                                                                                            children
                                                                                                                                                                                                                                                                       State,




                                                                                                                                                                                                                                                                    QaIi-.,
                                                                                                                                                                                                                                                                  forni a:'
                                                                                                                                                                                                                                                                                       1919


                                                                                                                                                                                                                                                                                 receiving


                                                                                                                                                                                                                                                                                        Col-orado
                                                                                                                                                                                                                                                                                                   physicianrs


                                                                                                                                                                                                                                                                                                          Corure ct i
                                                                                                                                                                                                                                                                                                                           services


                                                                                                                                                                                                                                                                                                                                 DelaEre
                                                                                                                                                                                                                                                                                                                                                           Dist. of
                                                                                                                                                                                                                                                                                                              cut                                            Col.

                                                                                                                                                                                                         a     naA
                                                                                                                                                                                                                                             1,103                58,O42                 ),854              ),27r                     t,81'                 I,2]-.r

                    Congenital                       malformations..                                                                                                                                     2,474               100                  901             12.081                      962            I     1 0 /
                                                                                                                                                                                                                                                                                                                                                              8)1
                       Spina bifida     and meningocele,. .... .                                                                                                                                              r26
                                                                                                                                                                                                               ol
                                                                                                                                                                                                                                 3                  1'                  250                        ) 1
                                                                                                                                                                                                                                                                                                                    28                       ':. I             I)
                       uu/rtYrlf udf                                                                                                                                                                                             2                   0                  259                          I               0                            Ll           25
                       Conlenital    nalfornations  of the circul-atory                                                            system                                                                      61               69                   1                2 73'                          0            6r)                             i,   l      279
                       uiEI        !     pdrduc                 4'u         rrolsarP                                                                                                                          365                I                r1z                 I 562                   r33                 249                                           ic
                       Congenital    dlslocation      of hip  ,                                                                                                                                                61               T2                 32                   6l.1                  104                  29                        i;                1?
                       Clubfoot,    congenital     or uspecified                                                                                                                                              648               11                368                 2 548                   +6                  r28                                         a))
                       Flatfoot,    congenital     ,. ..                                                                                                                                                      286               1)
                                                                                                                                                                                                                                                    t                    4                     I1
                       other   congenituf    .uf ro.tuiio."                                                                                                                                                   852           llr                   310                   1rl                   271
                                                                                                                                                                                                                                                                                                                     1
                                                                                                                                                                                                                                                                                                                                             4e,
                                                                                                                                                                                                                                                                                                                                                  v
                    Diseases               of         the        bones               md      organs       of    rcvement,          except    congenital         mlformations              ....          L,885                69                   757                 6,713                   918                                       714                   :i1
                      Ar'thritis    and rheMatisn,       except   rheumtic     f ever ..                                                                                                                       99                   2                                   257                    11                          6                 1t
                      Osteomyelitis     and periostitis,        except
                                                excepi congenital
                                                                        tubercu-1ous
                                                                        or -Late effect                                                         of     polion\yelitis          or
                                                                                                                                                                                                              T\1                   )               60                  rr5                    t1                          3                                    2)
                      Curvature    of spine,
                                                                                                                                                                                                              201            25                    61                   71r                    80                      62                 v                    52
                       trr.if^^r                     ..a1riFAd                  nr     ilncnonr'fiod
                                                                                                                                                                                                              510            )1                    26                 1,10t-                  137                                       LT\.                   16
                      Obher diseases                                  of     the       bones       and orgms             of     rcvemenL,      except      congenita-I
                            nal        f^rhe+          i   ^hc
                                                                                                                                                                                                              961            16                                       1'/,89                  379                                       5)\                   801
                   Cerebral               palsy                                                                                                                                                         L,226                                     670                 5 111                   271                 r89                  tlB                    r82
                      Cerebral                   palsy                                                                                                                                                  L,226                35                   670                                         274                 r.89                 t?ft                   r82
                   Po1                                                                                                                                                                                  1     aol            /.4                  779                            o            242                  8l                                         110
                      Late             effects                  of        acute        poli.on1yelitis                                                                                                  L,081                13
                                                                                                                                                                                                                                 t-               L<)
                                                                                                                                                                                                                                                  651                            o            242
                                                                                                                                                                                                                                                                                                                       )                         U1
                                                                                                                                                                                                                                                                                                                    78                                        106
                                                                                                                                                                                                              291                                       0         R    ?RI                    621                 L/.5                 15/+                   610
                      Deafness ald in4:airment   of hearing.                                                                                                                                                  29).           80                         0         8, 5 8 7                    583                 114
                                                                                                                                                                                                                                                                                                                                       154                    610
                      Other diseases  od   conditions   of the                                                         ear    and mastoid       process.                                                        3            oo                         o            196                       1L                      I                 c)                     0
                   Diseases               and         conditions                       of    the       eye,     except        congenital       or    diabetic      caiaract.                                  753          /r1r                         9         8,O11                        7I                      5                      c)            2,rr"
                                                                                                                                                                                                              190          3r7                          0             o                         0                      0                      0             L,776
                                                                                                                                                                                                              2/Q
                                                                                                                                                                                                                            39                          7         6,32r                        56                      I                      C)              2-11
                                                                                                                                                                                                              2L1           T5                          2         r,723                        L'                      1                      C)              122
                   Acciden'us,                  poisonings,                          ard                                                                                                                     713                                  330             I ,080                      L55                  27                    I7                   r19
                                                                                                                                                                                                                                                                                                                   .L,
                      buns.              ..                                                                                                                                                                  288              6                                        690                                                               lc                    1)
                      Obher             rcrbid              condi.tions                     due to       accidents,            poisonings,          and violence                                                             I3                   rt7             )    aq(1                   r00                      6
                                                                                                                                                                                                                                                                  'I
                   nheuati.c                fever                ard        heart           disease.                                                                                                               0         66                   37/,                 Rqq                         7             271                         Ci
                                                                                                                                                                                                                   0         I                    368             L,r73                            0              5A


    o,                                                                                                                                                                                                                                                             610
                                                                                                                                                                                                                   0        18                      b                                              7              91
         '1                                                                                                                                                                                                        0        40                      0                    86                        0             rl0
              t    Diseases              of          the         nervous               system      and         sense     organs,      except        cerebral    pa1sy,      eye     and     ear              192             L2                    59             1,061                      228                   61                        5)               :)+

                     Epilepsy.                                                                                                                                                                               141                2                   I                            0           2L2                   17                        0)
                     Other diseases of the nervous system md sense organs, except eye, ear, and
                            hah+Al              di    c^riaFc
                                                                                                                                                                                                               88           10                     ,8             r)06l                       lo                   L7
                   Diseases              of          buccal                carrity          and esophagus.                                                                                                        0                                 0            2,64r                             0                   0                1lr                     0
                     Discrders  of occlusion,                                               eruption,       md t,ooth developnent.                                                                             o                o                   0            2 aq)                         0                       0                lL.                     0
                     Other diseases  of buccal                                               cavity       and esophagus.                                                                                       0                                    0                    19                    0                       0                                        0
                                                                                                                                                                                                             u6                 3                 12                   168                    2Q                   )6                        I                28
                                                                                                                                                                                                               3                1                   I                  168                     0                       0                     O                 3
                                                                                                                                                                                                             1 ) a              2                  +                         v                20                                                              25
                   Tuberculosis,                       except                                                                                                                                                 66            79                    18                    89                    l0                       0                                      10
                     Tubercu-losis  of bones ard joints,      active or uspecified.                                                                                                                           39            68                    ) a                   89                     8                       0                     ij                 6
                     Late effects   of tuberculosis    of bones md joints.                                                                                                                                    27             8                      1                    !/                    2                       0                     2                  I
                     Other tuberculosis,    except  respiratory,                                                                                                                                               o             3                      1                    0                     0                       0                     cl                 3
                                                                                                                                                                                                              37             2                      3                   t8                     I                       1                     o                i2
                     Ric)rets,                  active.               ,                                                                                                                                       )a             1                      ?                        5/                0
                                                                                                                                                                                                                                                                             I                                         1                     cj                 1
                     1,+p         affa^+a                  nf         rinkotc
                                                                                                                                                                                                              12             I                     0                    ld                     I                       o                     o                  5
                  Diabetes                                                                                                                                                                                      0            t                     0                         0                 0                       0                 O                      )
                     Diabetes                 nellitus.                                                                                                                                                         0            1                     0                         0                 0                    0                    o                      )
                                                                                                                                                                                                            3@            150                    r39             3,O79                                           L56                                         234

                                                                                                                                                                                                            )a)           Ito                    r39             3 ,O79                       78                 I?b                   t6                    230
                      risi.onal                  or        deferred                  diagnoses           or     no     abnormalities,..                                                                     241             77                   295             5.2r                        261                 277                  fO(i                 2,169
                     Provisional                      or deferred diagnoses.                                                                                                                                186            1A                    2]-7                                         88                 23r                   2A                    )63
                     Exanination                      mde,  no abnormality   reported.                                                                                                                        58           37                     78             r,111                       L76                                       ?tt                 2,LO6
                  f/Unduplicated                        coub    of diagnoses    estimated,
                  1/Included    in                    flatfoot,     aeluired  or wspecified.
                  ;lIncluded    in                    iniuries    at birth,   intracrmial    md spinal,                                              except cerebral           palsy      and epilepsy,
                  :/,Tncluded   ir                    tuberculosis      of bones and joinLs,   active or                                             wspecified,
                  2/Included    in                    late   effects   of riskets.




                                                                                                                                                                                        - l5

I




                                       Providedby the Maternal and Child Health Library, GeorgetownUniversity
                                                                                                                                                                                                                                                               \i

                                                                                  TABIE A-lb.--Diagnoses         of     children   served     in    the   crippLed   childrenrs    program,      by State,   1959--Continued                                  L])
                                                                                                                                                                              Nunber   of   children


                                                                           Primary diagnosis
                                                                                                                                                                                                                               Illinois            Ioua

                                                                                                                                                                                                                                                   6,19o


      Spina bifida                  and neningocele......                     .                                                                                         9T                                                                  61        o4
                                                                                                                                                                          2
                                                                                                                                                                       -?l5
                                                                                                                                                                                                                                              ]        ?
      Congenital                rnalformations                of   the     circulatory       system'                                                                                                                                       23!       5L)
                                                                                                                                                                       285                                                                 38'.]
      congenital   dlslocation    or iip,                                                                                                                               )9                                                                           L07
      Clubfoot,   congenital    or unspecified                                                                                                                         16                                                                  262       27r
      Flatfoot,   congenital.                                                                                                                                           23                                                                   0         0
      0ther   congenital   malformations..    ...,                                                                                                                     882                                                                 32\       631
Diseases             of    the           bones        md    organs       of   rcvement,     except     congenital       ml-formations.....'

      Arthritis md rheumatism, except rheuEtic fever...                                                                                                                                                                              100              16
      Osteomyelitis md periostltis,    except tuberculous.                                                                                                                                                                            ?9              21
      Curvature of spine, except congenical oc late effect of poliomyelitis                                                        or
        tuberculosis.                                                                                                                                                                                                                77L               9I
      Flatfoot, acluired or uspecifi.ed                                                                                                                                                                                              r12             t27
      Other diseases of the bones and organs of mvement, except congenital
                                                                                                                                                                                                                                     695             259




      rurruilrJsra          urs,                                                                                                                                                                                                                          I
      LatE      effects             of     acute       poliomyelitls.                                                                                                                                                                                382



      Deafness  and impairment of hearin€.                                                                                                                                                                                                           t1q

      Other diseases  md conditions   of the                                       ear   and mstoid      process.                                                                                                                                     29
Diseases            and conditions                     of    the    eye,      except     congenital    or    diabetic      cataract.

  Refractive erors. .                                                                                                                                                                                                                                  0
  Strabistrus.                                                                                                                                                                                                                                        2L
  Other diseases of the eye, except congeni*"a1" diabetic
                                               or                                                              cataract.                                                                                                                              10
Accidents,                poisonings,                 ad     violence.

  Burns . , .                                                                                                                                                                                                                                          0
  Other rcrbid conditions due to accidents, poisonings, md viol-ence                                                                                                                                                                                  62


                                                                                                                                                                                                                                                      7
                                                                                                                                                                                                                                                    2)9
                                                                                                                                                                                                                                                      ?R


Diseases            of     lne          nervou:        sysLem and sense              organs,    except      cerebral     palsy,    eye ild    ear
                                                                                                                                                                                                                                                              rar
  Epilepsy.
  Other diseases of the nervous system and sense organs, except eye, ear, and
                                                                                                                                                                                                                                                    385       \#
                                                                                                                                                                                                                                                      71


  Disorders   of oeclusion,                                 eruption,      and tooth  development.
  other  diseases  of buccal                                 cavity      and esophagus.                                                                                                                                                                   7


                                                                                                                                                                                                                                                      58



  l:bercuj-csis  of bones and joints,    active or mspecified..
  late  effects  of tuberculosis  of bones and joints.
  Other tuberculosis,    except respiratory.



  Ricket,s,               active.         .
  r    .+   6   affaa+      c      ^f     Fi   ^La+    c




 ProvisionaL                    or deferred di-agnoses.
 axanlnation                    mde,  no abnormali.ty  ieported,




                                                                                                                                              - I6
                                                                                                                                                                                                                                                              ,)




                                                 Provided by the Maternal and Child Health Library, Georgetown University
                                                           PTj.mdy          diagnosis                                                                                               Ilimesota




                                                                                                                                                                                       )   AO)

                                                                                                                                                                                            93
  Spina bifjda      md nedngoce.Le ..".'                                                                                                                                                     0
  Congeniial     catilact                                                                                                                                                                  ??l
  Con[enital     naffornations      cf the cjrculatory                                systen
                                                                                                                                                                                           31r
  Clefi   palate    alid hilelip                                                                                                                                                           ?3/r
  Congenital-    dislocation      of hip  .
                                                                                                                                                                                           523
  Clubfoot,     congenital      or unspecified
                                                                                                                                                                                           317
  Flatfoot, congenital                                                                                                                                                                     423
  Other congenital  malfornations                          . '. "

                                     md        orgms       of    rpvemeni,            except     congenital            malformations             ""'
Diseases     of    the     bones
                                                                                                                                                                               A?           21
  Arthritis     md rheuatism,       except   rheMatic    fever    ' '
                                                                                                                                                                              292           22
  OstecnyeLitis       md periostiils,      except tuberculous
                           except     congenital   or late   effect                                   ol    polio$yelitis              or
  Cu.rvatu-re   of spine'                                                                                                                                                     176          L18
     iuberculos   i s
                                                                                                                                                                              723           D /
  Fla',foot,    acquired  or uspecified
  Otherdiseasesofthebonesmdorgmsofrcvenent,exceptcongenita]-                                                                                                |,)39       L53   82)          3D7
                                                                                                                                                                    |
    malformations



  Cerebral        palsy
                                                                                                                                                                                       r, 056
PoLionyelitis
                                                                                                                                                                                           0
  Polionyelitjs,            acute .'                                                                                                                                                   I n5A
  l,ate effects           of acute polionryeLitis                   ' ' '

Diseases     of    rhe     eu     md      nastoid        process

  Deafness  and inPaiment     of heilj.qg
                   and conditions     of the                          ee      ud       nastoid        process
  Other diseases
                                          of    the    eye,       except      congenital             or    diabetic         cataract
Diseases     md     conditions

  Refractive  errors.
  Strabi. sms
                   of             the     eye,       excepi       congenital           or    diabetic           catilact
  Other diseases

Accidents,        poisonings,           md      vi.olence

  Bu.rns . .
  Other mrbid             conditions           due to accidents,                poisoLings,               ild    violence

Rheunatic       fever      and heart           disease

  Rlerinatic   fever,   acute
                         -heili                disease
  Chronic rhewatic
  Ciher   diseases    of heart,                 except        conge[iial           malfomations

                                          system        and      sense      orgals,         excepi        Cerebral         palsy,      eye   md        eu
Diseases     of    the     nervoUs

  Epi iepsy
                                                         sysim        md       sense        orgms,         except      eye,     eil'        md
  Other diseases of the nervous
    nental disorders  ..''.

Diseases     of    buccal        cavity        ad     esophagus

  Disorders  of occlusion,                     erupiion,          md tooth    development
  Cther dj-seases of buccal                     cavity        md    esophagus


                                                                                                                                                                                             5't
                                                                                                                                                                                                 0


T\rberculosis,           except     respiratory            ...
                                                                                                                                                                               17            L7
  Tuberculosis   of bones md ioints,       active or urspeclfied
                                                                                                                                                                               T5             0
  Late effects   of tubexculosis    of bones ad     ioints
                                                                                                                                                                                3             0
  Other tuberculosis,    except  respiratory


                                                                                                                                                                                              0
   Rickets,  actlve             .
                                                                                                                                                                                             IO
   Late effects   of            rickets

Diabetes     nefl-itus
                                                                                                                                                                                                  0

Miscellaeous

                                diseases,           iniuries,       or      hmdicapping              conditions,            except
   O-lher diagnosed




   Provisional,         or deferred diagnoses
   Bmination            nade, no abnormaLity                     reported




                                                                                                                                                       L7




                           Providedby the Maternal and Child Health Library, GeorgetownUniversity
                                                                                                                                                                                                                                                                                                                       ft
                                                                                                              T A - B I , nA - l d . - - D i a g n o s e s        of   children        served   in   the   crippled       childrenrs

                                                                                                                                                                                                                                  Nunber
                                                                                                                                                                                                                                        program,


                                                                                                                                                                                                                                           of
                                                                                                                                                                                                                                                       by


                                                                                                                                                                                                                                                 children
                                                                                                                                                                                                                                                            State,   ]959--Continued

                                                                                                                                                                                                                                                              receiving   physicimrs    services
                                                                                                                                                                                                                                                                                                                       L)
                                                                                                         Primary         diagnosis
                                                                                                                                                                                                                                                                                                            l\ ew
                                                                                                                                                                                                                                                                                                          Mexico




           Spina bifida                           and meniigocele...,...                                                                                                                                    T                                                                                                  T3
                                                                                                                                                                                                             0                                                                                                  3
           Congenital                     malformations                            of       the         circul-atory           system,                                                                      69               i23lw                                                                             I5
                                                                                                                                                                                                           r78                                                                                               L7I
           Congenital   dislocation          or nrp..                                                                                                                                                       1'                                                                                                 l6
           Clubfoot,  congenital           or \rnspecified                                                                                                                                                 )16                                                                                                62
           rrd!luuLr  u u r L t s E rL d r
                                     u                                                                                                                                                                      ,1                                                                                                   7
           Other congelital          nalfornations.     . .. .                                                                                                                                             106                                                                                               162

     Diseases                 of      the             bones           and organs                   of     movement,            except          congeniial              nalformations...                    895        |   r,221                                                                              n9
       Arthritis     md rhewatism,       except rheumatic   fever...                                                                                                                                       29143t1                                                                                  27         l- ir
       Osteomyelitis      and periostitis,     except tuberculous.                                                                                                                                          431368                                                                                  3B         L2
       Cuvature      of spine,   except    congenital or late   effect                                                                             of        poliotqyelitis       or
         tuberculosis.                                                                                                                                                                                     61lr07l5L                                          63 i            161       1L                    2I
       Flatfoot,     acquired   or unspecified                                                                                                                                                             r22        l/,r2            1267                   86 |            89 i     199           0        66
       Other    diseases   of the bones and orgats     of trDvement,                                                                             except          congenital
         malformations     .                                                                                                                                                                               6tO16261118                                                                             399       115
                                                                                                                                                                                                                                                                                                             lJ6

                                                                                                                                                                                                                                                                                                             118


       rur!urucfa!r5,                                                                                                                                                                                                                            6 |         o                 3i       o                      3
       Late            effects                   of         acute         poliomyelitis.                                                                                                                                                        )1 |        2r3 i             tol      12                    u-8
                                                                                                                                                                                                                                                                                                             L11
       Deafness  ilrd impairment of hearing.                                                                                                                                                                                                                                                                  73
       Other diseases   md conditions   of the                                                                ear      and nastoid                 process.                                                                                                                                                   7l
    Dlseases                  md         conditj.ons                      of       the           eye,     except       congenital                or     diabetic         cataract....,.                                                                                                                      oao


      Refractive errors. .
      Strabismus.                                                                                                                                                                                                                                                                                            rl8
      Other diseases of the eye, except congeni.tal or diabetic cataract.                                                                                                                                                                                                                                    122

                                                                                                                                                                                                                                                                                                              88
                                                                                                                                                                                                                                                                                                             r50
                                                                                                                                                                                                                                                                                       17    '     r1/*

           ' ; . ^ -
                       i .     F L 6 , , h . r        i .     h - . F f        a   i c o . c 6


      liher                  diseases                 cf      heart,               except           congenital             malformations...,.

    Diseases of rhe                               nervous                 systen             md         sense     orgas,             except           cerebral         paIsy,     eye ild
        ear...,.

      EpiIepsy.
      Other diseases of the nervous system and sense organs, except eye, ear, and



      Disorders  of occlusion, eruption,   md tooth   developneni,
      OLher diseases of buccal  cauity   and esophagus.




                                                                                                                                                                                                                                                             r5 )             7)       3)

      iuberculosis    of bones ald joints,     active or mspecified.                                                                                                                                        7
      Late effects   of tubercuLosis    of bones md .ioints.                                                                                                                                               22
      Obher tubercu-losis,   except  respiratory.                                                                                                                                                           1


      Pi       ^La+     d       r^+       i   116




    Diabetes                 mellitus



I




                                                                                                                                                                                                     18

                                                                                                                                                                                                                                                                                                                       )




                                                 Provided by the Maternal and Child Health Library, Georgetown University
                                                                                                                                                                                                                     Nmber        of    children    receiv'rs        nhvsi4i?nrs     .e-vinos


                                                                                                himry             djagnosj.s                                                                                      North                North                                               Perlns.yl-               Puerio
                                                                                                                                                                                                   New Yorl                                         Ohic         0]tlaioma
                                                                                                                                                                                                                 Cadlina               Da-kota                                              vani a                   Rico



                                                                                                                                                                                                    26,562        t4 ,25/.              l./-96     A 1R']         6,785         2,825                               B,T7?

 Congenital                          malf ormations                                                                                                                                                                                        596     3 222             600        i .1+31                             2,irc
      .jni12               hifrrJ2                   end         nan       as.ocle                                                                                                                        2l:6          99                  36       172              3O             20                                 3r
      CongerLital      catilact                                                                                                                                                                            60            0                    I       29               2              0              0
                                        'f  tnr circulalory                                                              syslem                                                                        l, 166
      Congen-ital nalformar:ons                                                                                                                                                                                        36r                  QO       40/,            110            61'           9?o                        0
      Cleft     Dalate    drd hareliD                                                                                                                                                                     660          )?8                l/r1       916              76            219         1,518
      Con€erital       dislocation    of hip .                                                                                                                                                            3)1           71                  oo       187              21             ,6                                 52
      Clubfoot,      congenital     or ulspecified                                                                                                                                                     r,16/r        L,3sa                t 5?       741             1.1r           r76
      Flatfoot,      congeniial                                                                                                                                                                           329          678                   0         6               6              5                98              1I5
      Other congenital- malformations            .....                                                                                                                                                 2,497         L,796                L26        8C4             221            250                                po/


 Diseases                    of               the     bones               md     orgils         of    rcveneni,          except            congenital         maLformations             . . ,. .       8,37O         3 \r7                224        661             1,27                       )                      192
      "ArtbTi-tj.s and rher.matistrr, except rhewatic  fever ..                                                                                                                                          t t o         111                     6         55            rl            11                                 26
      Osteomyelitis md periostitis,        excepi tuberculous                                                                                                                                              55           68                     B         50            3A            L3                                 67
      arrrlrar,,ranf                                 <nino                pwnent nnnr-niial                  .r      larp        pffp._         ^'mli.rvaliric               ^.
         ruDerculosls                                                                                                                                                                                    851           286                 3A        L30               3)           82                                  28
      Ilatfoot,   aequired or                                                unspecjfied                                                                                                               ) o ro          a5t                 72         26               97           a/                                  /.5
      Other diseases   of the                                                bones and organs                   oi    lDovement,            except,       congenital
             h.l        f^rmr+i^nc
                                                                                                                                                                                                       1,123         r ,701               108       400             211            195          L , ) , 5

                                                                                                                                                                                                       r .479          786                118       680             ?41            )97
      farahr'l                       n'l        a1'                                                                                                                                                    r ,179          786                118       680             2A/+           397                                 752
 Pol-lonryelitis                                .....            , ,                                                                                                                                   |,318         L,)52                 80       24)             260                                                482
                                                                                                                                                                                                           q5
      D ^ l i ^ m r r 6 l i l i c                         . - r r + a
                                                                                                                                                                                                                      )3                    0         1               10             0                +2                    6
      Late              effects                      of        acute                                                                                                                                   L,253      r, l19                   80       239             211            145              olJ         /

                                                                                                                                                                                                       |,389             96                    5      T3             L79             0                4.3
     Deafness  md inpaiment     of heuing
                                                                                                                                                process
                                                                                                                                                                                                       L,312             6 l                   )             6        37             0                €                )6
     Other diseases  and conditions    of the                                                              ear       and rnastold                                                                         17                  9                2             7      l / )
                                                                                                                                                                                                                                                                                     0                          c     100
 Diseases                    md               conditions                    of    the     eye,        exeept         congenital             or    diabetic         cat,aract                             975                  9           184       1r7                              0                              2,24r
     Refractive                               errors.                                                                                                                                                     50                  0             9         2                     I        0                      o         109
                                                                                                                                                                                                         722                  1           150       231                              0                      t-      r,258
     i.hor               dicoacac                         ^.        itso d"o         eyccnr           ennqeni-.el           n.     diabeLic             cataraet                                         243                  5            25       181               62             0                      1         831
Accidents,                          poisontngs,                            ild    violence                                                                                                                            9/*2                 88       366                            169                                )22
     B.rrns . .                                                                                                                                                                                         r99           233                  33       2L9             r,58            71                4D              105
     0lher rcrbid                                   conditions due to accidents, poisonirgs, md violence                                                                                                2(x           709                  55       r17             lo?
                                                                                                                                                                                                                                                                                    95                                2r7
Rheuatic                        fever                 md          hetrt          disease                                                                                                                 LO5          805                      1     17                             Lt-                                     0
     Phelrh,+i                  ^        fo,ror                onrria
                                                                                                                                                                                                          to          l-35                     2                    29?              3                4..l                  0
     Clronic  rhematic                                            heut           disease                                                                                                                  61          347                      2     3A              w               I                                      0
     0Lrer diseases    of                                         heur,           except        congenjtal             malformations                                                                      26          363                      0      2             117              0                51                    0
lljeases                   o{            the          nervous               sysien        ild        sense   orgms,              except          cerebral     palsy,         eye and eil            L,532             r82                           L37             I16             t6
     j.pl lepsJr                                                                                                                                                                                    L,292               11                     6         3           57              0               b?               to.
     Cther    diseases                                    of      the       nervous        system          md        sense       orgils,          except     eye,     eil,        md
          hoh+al                    di        c^'^6nc
                                                                                                                                                                                                        214           171                  T7       ]-31             65             r6              2Q,4               59
                                                                                                                                                                                                                        II                     6             5       18              0                      i)         23
     Dlsorders  of occlusion,                                                    eruption,        dd tooth   developnent                                                                                  2I            11                     5         5           I7              0                      D          23
     Other diseases  of buccal                                                    cavity        md esophagus                                                                                               9             o                     I         0           3I              0                      D           0
Tn   irrri         ao      -+            hi    r+h
                                                                                                                                                                                                        r98                                L5                        tq             L7               43                )a

     Injuries  at birth,                                          intracraJLial                 and spinal,   except                   cerebral            palsy     md      epilepsy..                   )a             6                  0            7            5             17                                 i6
     Other injuies     at                                        biT:h,   except                cerebral  palsy md                     epilepsy                                                                       l-39                 L5                        L1              0               2,2                9
Tuberculosis,                                  except                   resp-iraLory                                                                                                                      66           30                   6        63              2A              7               o_u              133
     Tuberculosis   of bones e1d joints,     active or uspecified                                                                                  ..                                                      9            19                  t        12              L3              3               af               LT1
     Late effects   of tubercuLosis   of bones Md joints                                                                                                                                                  5?             9                  5        ),1              0              1                                 L9
                                                                                                                                                                                                                                                                                                          "'l
     Other tuberculosis,    except respiratory                                                                                                                                                             1             2                  0          ?              7              0                                  0
                                                                                                                                                                                                          t7            ) 1
                                                                                                                                                                                                                                          l0         2)-                9            6                    v,           16
     Rickets,  active                                      .                                                                                                                                               5                                0         1                8             6                                  I
     Late effects   of                                     rickets                                                                                                                                        u               I               l-0        T?                t             0                                 T5
Dlabetes                  mellitus                                                                                                                                                                         0              I                 0            l           19              0                    n             0
     Drabetes                       meliitus                                                                                                                                                               0              I                 0            l           19              0                    a)            0
 :icelimecus                                                                                                                                                                                                          916                r10       1)A           3, 5 1 r          60             o / , '             369

                                                                                                                                                                                                   1,901.             916                Ll0       z t?)         3,51r             60                                 )69
                                                                                                                                                                                                        q? l
Provislonal                          or         deferred                   diagnoses            or    no   abnormafities                   ..                                                      1             1    I ??
                                                                                                                                                                                                                                          27                       3L2             u0       |,579t                    428
                                                                                                                                                                                                        5?1         82                     7                                         1            2?.                 )10
                                                                                                                                                                                                   r,400         1,051                    2A             o                         166      L,)14                      88




                                                                                                                                                                                       "Lg




                                                                            Provided by the Maternal and Child Health Library, Georgetown University
                                                                                                                                                                                                                                                            {,1
                                                                                                                                                                                                                                                          L,)
                                                                                                                cf      cl'ildren      served     in     the   crippled   childrenrs   program,   by State,   1959--Continued
                                                                        TAILE A-lf.--Diagnoses



                                                                Prlmary       diagnosis
                                                                                                                                                                                         South
                                                                                                                                                                                        Dakota




                                                                                                                                                                 10                                                                               2
      Spina bifida   and meningocele... ',..
                                                                                                                                                                  0                                                     0t3                0      I
      Congenital- cataract.                                                                                                                                                                                            265 |        zos   r9      6
                   malformatj.ons   of the circulatory                                 system'
      Congenital                                                                                                                                                                                                                          o)      6
                                                                                                                                             """"i
                                                                                                                                                                  7
      CLeftpalateandharelip.                                                                                                                                                                                           rr2
                                  of hip' .                                                                                              "   "''''"              v                                                              |   35            1
      Congenital   dislocation                                                                                                                            I                                                                                      2'
      Clubfoot, congenital or wspecj.fied                                                                                           """'''""'I                   38
                                                                                                                                      '" " "     .' "'            5                                                                       111     l
      Flatfoot, congenital.                                                                                                                               I                                                                                      r9
                                                                                                                                                          I                                                                               518
      Other congenj.tal malfornalions...'.'

                   of    the   bones          and organs        of     movement,       except     congenital              mlformations"".'
    Diseases
                                                                                                                                                                                                                                                      5
      Arthritis     ud   rheumatism,    except rheunatic    fever"'
                                                                                                                                                                                                                                                      0
      Osteomy€litis      md periostiiis,       except tuberculous'
                                 except  congenital   or late   eflect                                of    polion]'elitis             or
      Curvature     of spine,                                                                                                                                                                                                                    IO
          tubercufosis.                                                                                                                                                                                                                          5)
      ilatfoot,     acluired    or \nspecified
      iliher   diseases    of the bones and organs of movement,                                    except         cong€nital
                                                                                                                                                                                                                                                 67


                                                                                                                                                                                                                                                 T3
      Cerebral palsy,..                ...

    Fciicmyeli.tis.

      Poliomyelitisr   3cute'.                  .
      La'ue effecis  of acute                   poliomyelitis.

    Diseases       ol    the    ear     md      mastoid      process.                                    ' ' ' ' ' ' ':
                                                                                                                                                                                                                                                 I4
      D:afless  ild  impairment  of hearing.                                                                                                                                                                                                    tt'1
      Other diseases   and ccnditions   of the                            ear   ild     nastoid       process'

    Diseases       ald    condltions            of    the   eye,       except   congenital         or      diabetiq          cataract'

      Refracr"ive   errors.             .                                                                                                                                                                                                             I
       l:rsbisRLS.                                                                                                                                                                                                                               22
      ::her   diseases of               the     eye,    except         congenital       or    diabetic        catara't'
                                                                                                                                                                                                                                                193
                                                                                                                                                                                                                                                 2L
                                                                                                                                                                                                                                                172


                                                                                                                                                                 26                                                                              1A
      aj..rf,-a*,ic             acute,
                      f ever, , d C u u c '
                      I e vCI
      aj..il:d  LIC
                                                                                                                                                                L79                                                                               0
      l:-r"nic      fhematic
      ;lt,ner dlseas€s
                                   heart
                              of heart,
                                                     disease.
                                                      except      congenital-         malformatlons.           ' ' '                                             19                                                                                   ,
    lliseases      of    the    nervous         systen      ard      sense    orgms,         except     cerebral           pa1sy,      eye and ear

      Epilepsy.
                                                                                                                                                                                                                                                 trfi
      Oiher diseases of the nervous system and sense orgms, excepi eJe, ear' anc                                                                                                                                                                 i]       \'|r
          mental disorders.....

    Diseases       of    buccal       cavity         and esophagus.

      Disorders  of occlusion,  eruption,   and tooih  development.
      Other diseases  ol buccal  cavity   and esophag!s.

    In.iul ies     at    btrth,

       hjuries    a+, brrih,             in-"racranial            and spi-nal-, except cerebrat                        pal.sy   and epilepsy.,.
       -aiher injurres    at            bir*,h,  except           cerebral  pal-sy and epilepsy'

    luJ.ic-Lcs:s,             €rcept         respiratory.       . ..

       :'iDercriosis   cf bones ud     ioints,  active or urspecified.
       i3-"e effec--s of tubercul-osis     of bones and ioints.
       3-uher tubercuiosis,   except respiratory.



       Rickets,  active.          .
       Late effects   of          rickeis.




    l,Liscellmeous.

       Other diagnosed  diseases,                      injuries,         or   handicapping            conditions'            except
         provisional  or deferred                      diagnoses,

    i.i'.isicnal         cr    deferred         diagnoses         or    no abnormalities..

       l:..,,i:1ona1          cr def erred diagnoses.
       ararinai,ic:           made, no abnormaLity    reported.




                                                                                                                                                       -20




I
                                                 Provided by the Maternal and Child Health Library, Georgetown University
                                                                                                                                                                                                                                      Nmber     of    children     receiving        physicianrs        services

                                                                                                                         Primary                   diagnosis                                                                                                             West
                                                                                                                                                                                                                                                     Washington                         Wisconsin          wyoning


                                                                                                                                                                                                                                                       2,481                               1,065             r,151
                                                                                                                                                                                                                                 'I
 Congenital                               nalfornations                                                                                                                                                                               A?q                 142           |,o59                 637                 )1?
       Spina bifida  md meningocele .. . ...                                                                                                                                                                                          ra1                   10             65                     lt                7
       vur€eru udr                                                                                                                                                                                                                       0                   0             11                      0                0
       Congenj La1 malformatjons of Lhe cjrculato:y                                                                                                                syslem                                                             576                    0            211                     22               57
       a l o f +            h . l . + 6                    . n d               h . r a l i n
                                                                                                                                                                                                                                      L93                 t26                                                      1T
      Congenital                             dislocatlon   of hip .                                                                                                                                                                   t0l                  21              54                 101
      Clubfoot,                             eongenital   or ulspecified                                                                                                                                                               174                  96             343                 280
                                                                                                                                                                                                                                         I                 12               6                  U                   i2
      Other                 congenital                                         malformations                            . .. . .                                                                                                      /,32                )-31            215                 r2)                  1,9
 Diseases                     ol            the              bones                      md           orgais             of      rcvenent,                          except   congenital            malformai,ions         ....    1,602                    362             560                663                  387
      Altlritis    md rhewatism,     except rhematic      fever ..                                                                                                                                                                      )q                    13           2T                     18                  6
      Osteomyelitis    md periostitis,     except. tutrerculous                                                                                                                                                                        69                      1           t8                     10                   1
      nrrrlrrtrlrp.f  qninc  Fy.Fn+ e^nopnilal nr 1:lc ^ff..t                                                                                                                    .f     n.li^nwali+          a ^r
         tuberculosl   s                                                                                                                                                                                                              \79                  70                                 71                   ,6
      Flatfoot,     acquired  or                                                               uspecified                                                                                                                             973                  67             203                232                  r68
      Other diseases      oi the                                                               bones ad                   orgms                    of     rcvenent,             except     congenital
        nalfcrmatr    ons                                                                                                                                                                                                             )52                2(B              359                                     L56
                                                                                                                                                                                                                                                                                             329
                                                                                                                                                                                                                                      792                1t1             125                 3r1                  66
                                       PqloJ                       f                                                                                                                                                                  792                151                                                      66
Poliomyeliti                                s                                                                                                                                                                                    1 ,098                   89             560                 186                  53
      D ^ l i ^ n 1 r - l i + i c                              r ^ r r + 6
                                                                                                                                                                                                                                      0                                    9                  l0                   0
      Late              effecis                        of              acute                                                                                                                                                     r, 098                   I5              55L
Diseases                     of             the             eil                 md             mastoid                 process                                                                                                              0            111                   1          L,331                   35
      Deafness  md inpairnent  of heiling                                                                                                                                                                                                   0         1,1r0                    l-         L,331                   27
      Other diseases  md conditions    of the                                                                                              ear          and mastoid              process         . ,. . ,                                   0             I                    0              0                    8
Diseases                     ild                conditions                                     of        rhe      eye,         except                   congenital              cr    diabetic       caLryacL                               0                 2          234                       0              59
                                                                                                                                                                                                                                            0                 0            0                      0                0
                                                                                                                                                                                                                                            0                 0          2)A                      0
                                                                                                                                                                                                                                            0                 2            1                      0                8
Accidents,                           poisonings,                                          md             violence              ..                                                                                                     212                 50             166                  B8
      Buns ..                                                                                                                                                                                                                          98                 24              66                   9                   7
      Other rcrbid                                    conditions due to accldents, poisonings, md viotence                                                                                                                            171                 )6             r00                  79                  28
Rhematic                         fever                     md                  h-rt                 d-iseasr                                                                                                                     1,,
                                                                                                                                                                                                                                   o0l                        2           22                 251                  IL
                                                                                                                                                                                                                                      o)t                     0            I                 r73                   0
                                                                                                                                                                                                                                      312                     I           I7                  78                  l0
                                                                                                                                                                                                                                        9                     I            4                   0                   I
DiJ.ar.s                    -f            tne              nervous                             iystem           md         sense orgms,                                (xcep!        cerebral-     palsy.     eye and eu              981                 22                                  l6                  40
   E!i lepsy                                                                                                                                                                                                                          977                     0          lr8                      0               L7
   Oiher diseases of the nervous system md sense orgms,                                                                                                                               except eye, ear, ard
          mon+.1                     ai     c^r^arc
                                                                                                                                                                                                                                        1                 22              30                  l6                  23
Diseases                    of            buccal                       cavity                       md        esophagus                                                                                                                 0                     0            0                      0               L1
   Disorders  of occlusicn,                                                                         eruption,             and tooth  deveLopmeni                                                                                        0                     0            0                      0               l0
   Other diseases  of buccal                                                                         cavity             md esophagus                                                                                                    0                     0            0                      0                1
 n irrri           oc       rt         Li           rth
                                                                                                                                                                                                                                      8)                      8           2q                  39                   2
   Injuies   at birlh,                                                          intracrMiaf                             md spinal,   excepL cerebra_L palsy                                             md    epilepsy      ..        8)                      1            l                   t                   0
   Clher -injuies   al                                                         birth,  excppL                           cerebral pa]sy  mq epi ]epsy . .                                                                               0                      7                               38                   2
                                                                                                                                                                                                                                      6 t                 12              39                      7                3
  l\berculosis                                       of            bones                       md        jcints,
                                                                                                          c        '
                                                                                                                             actlve                 or        uspecified                                                              72                      /,          ?t                      5               3
   : a r ?          e f f e c L s                    o f           t u b e r c u l - s                                  h ^ F o c          a n d         i . i n t c
                                                                                                                                                                                                                                      11                   B               5                      2               0
  a   r hoF             'rlhoF-rr                     l^ci             c             -v.6nr               ra-hi         r.-^r\r
                                                                                                                                                                                                                                       0                   0               3                      0               0
                                                                                                                                                                                                                                  800                      3              L1                                      2
  P i . ! a +           c           . ^ +       i    v o
                                                                                                                                                                                                                                    0                      3               4                  I                   0
  Late              effects                          of        rickets                                                                                                                                                            800                      0              10                  0                   2
  abetes                    mellitus                                                                                                                                                                                                   0                   0               0                  0                   0
  Diabetes                       mellitus                                                                                                                                                                                              0                   0               0                  0                   0
  scellaeous                                                                                                                                                                                                                      132                    80             L79                  69               18
  Uther dragnosed dlseases,                                                                              tnJuies,                   or       hmdicapping                    condit-ions,            except
    provlsronal  or deferred                                                                             diagnoses                                                                                                                L32                    80             L?9                  69
                                                                                                                                                                                                                                  670                   r-80            )25                 160
  Prcvisional                                   or         deferred                              dlagnoses                                                                                                                                                               99
  [ Y . m : - 2 r
                                                                                                                                                                                                                                  168                    oz                                  65               )5
                                                                           -           . \ r . r h A ]         i r v     r e n n r r o d
                                                                                                                                                                                                                                  202                   r-l-8            26                  q5
                                                                                                                                                                                                                                                                                                              27




                                                                                                                                                                                                  =21




          Provided by the Maternal and Child Health Library, Georgetown University
                                                                                                                                                                                                                                       {-
                                                                            dlstribution   of   children   with   orthopedi.c   md   nonorthopedic         diagnoses,            by   State,   I95Q         nd   \959!/
                                TABLE A-4.--percentage                                                                                                                                                                                 It
                                                                                                                                                                                                                                       \t
                                                                                                                                                                                               r o6q



                                                                                                                                  Provi s ional                                                                       Provi sl onal
                                                                                                                                  cf deferred                                                                         or deferred
                                                                                                              Nonorthopedi                                     0rthopedi                  Nonorthopedi
                                                                                                                                 diagnoses    and                                                                    diagnoses   and
                                                                                                                                no abnormal-ity                                                                     no abnormality



                                                                                                                   39,)                  7.4                       /,6.2                                                   6.8
                totat?/

ududila.
                                                                                                6r.7                                     )/.                       5 6. 5                       41.0
Al-aska , .                                                                                       -
                                                                                                52 '                                   11.7_                                                    67.7                       ,.c
                                                                                                     -o
Arizona.
                                                                                                                   39.'                 4.8                        52.7                         4A.6                       6.7
Arkansas.                                                                                       "^
                                                                                                )4.2               53.O                16.8                        2 8. 5                       62.5                       9.0
3a1i fomia                  .

                                                                                                7L.7               24.3                 8.0                        ,1.1                         38.8                       6.8
Colorado.
                                                                                                11.8               19.O                 6.2                                                     52.O                       8.5
Comecticu-u.
Delauare.                                                                                       69.6               19.0                rt.4                        54.6                                                    5.6
Dlstrict  of                     Co]umbia.                                                                         35.6                L9.2                        20.2                         19.7                      l0.r
                                                                                                                                                                                                2?      l
Florida.                                                                                        66.8               28.5                 1.7                        62.2                                                    4.7

r E Ur t s f d .                                                                                62   3             32.2                  5.t                       5 1 .1                       10.9                       1.7
                                                                                                                                                                   r8.5                         8r.4                         0
luam. . . .
                                                                                                1r.7                                                               ?2.7                         69.)                       8.0
llawaii . .
                                                                                                68.3               22 5                 8.2                        ,o.3                                                    3.L
Idaho. . .
    L I I l I U I J .
                                                                                                /*0.8              53.0                 6.1                                                     59.9                       6.0
I




                                                                                                6L.1               3 8. 5               0.1                        18.'                         ,r .5                              0
Iowa. . . .                                                                                                        1 8. 1               6.5                        32.4                         6 2. 1
                                                                                                                                                                                                1 /     O
                                                                                                72.8               2t.l                 2.r                        7r.O                                                    4.0
(entucky.                                                                                       62.6               ?,,   l               1 ?                       61.5                         32.8
                                                                                                7/ * . I           r7.7                 8.2                                                     2A.6                       6.8

vlaine. . .                                                                                     12.9               /8.3                 o . o                      39.)                         5r.9                       8.8
vlaryLand.                                                                                      36.9               57.5                                            2).6                         6r.3
                                                                                                                                                                                                                           ? ?
vlassachusetts,                                                                                 6r- . r,           34.1                 1.5                                                     39.5
ltichigan.                                                                                      67.6               2 8. 8                                          o r . b                      36.'                       r.9
                                                                                                                                        q?
                                                                                                65.7               25.O                                            6 8. 6                       26.6                       1.7

'tississippi.                                                                                   65.'2                .
                                                                                                                   33 5                 t?                         59.5                         40.r                       4.1
vlissouri.                                                                                                         a1    J              aa                         65.8                         29.2
Ion-Lma.                                                                                        7 0. 8             L9.?                 9.5                                                     1 0. 1                     a )

)iebraska.                                                                                      67.7               28.6                 3.7                        o1 -o                        3 1 .1                     1.O
\levada, .                                                                                      4 6. 0             12.8                tt      ?                   / /       1                                            1 0. 6

                                                                                                '/r.6              l8 .6                q,7                        61.5                         29.7                       ) . d
lew Hatrpshire,
lew Jersey.                                                                                     21.I               71.5                 L.1                        60.1                         39.8                         0
'Jew Mexico.                                                                                    )l,o               1r.7                                            3 0. 0                       61.'                       5.1
                                                                                                68.3               27.1                 1r.3                       55.?                         1 a ^                      7.)
\orth             Carolina                                                                      7 0. 1             25.O                  / Q
                                                                                                                                                                   61.9                         27.2                       7.9

lorth   Dakota.                                                                                 59.6               2r.9                \8.5                        ) Q   l                      /o      n                  1.8
lhio....                                                                                        69.2               30.6                 4.2                        1 , 65
                                                                                                                                                                       .                        5).)                       4.2
lkl-ahom.                                                                                       z_.2               75.8                                            ,9.9                         7 5. 5
                                                                                                69.7               21'7                                            4c.2                         t).7                       6.C
Ji csur'. .
Pemsyl-vania.                                                                                   7l .0              26.7                 a a                                                       (
                                                                                                                                                                                                )(,                       11.O

                                                                                                                                                                                                                           5)
hrerlo R:co,                                                                                                       10.7                 1.8                                                     6iJ.i
trode     fsi.and.                                                                              29.\               57.6                13.2                        )8.1                         14 .2                     2t.1
louth
Sou       CaroLina                                                                              5).6               12.O                 1.1                        16.O                         ,c.,1                      3.7
louth
Sou       Dakota.                                                                               12.2               55.)                                            60.5                         )).)                       6.0
Ten e s s e e .
Iem                                                                                             71.6               25.O                 4.1                        1 5. 3                       t).9                       0.8

rexas . . I
Tex                                                                                             68.8               30.7                 0.,                        59.r                                                    o.3
                                                                                                                                                                                                                           ? q
                                                                                                /,2.3                                                              16.9                         19.2
/e rmon L .                                                                                     78.6               15.2                 6.3                        79.2                         1 6. 8                     1.0
/irgin    lslmds                                                                                76.9               21.2                 r..9                       )9.7                         55.O                       5.3
                                                                                                1/,.7              16.r                 o)                         50.2                         12.8                       7.O
Jirginia.

                                                                                                                   3r.2                15.5                        l1.o                         6r.7                       7.2
                                                                                                                                                                                                                           1 )
                                                                                                62.8               30.4                 6.8                        51.8                         1r.7
Wis cons                                                                                        lrL.9                                                              13.9                         52.2
\y'yoming                                                                                       7t.7               2/..8                                           62.L

    / D 6 1 - a c > ^ f q
I                                 - F i T r F v   d i a p n O S l S .



?/Incluoes                   data for 49 States,                         the District    of Colmbia,  Guam, hterto Rico, and the               Virgin    Islands.     Excludes   Ari.zona               vhich  since l9)0
   ltas not                 participated in the                         crippled  childrenrs   program mder  the social- security              Act.     Gran included     for the first                 time in 1959-




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                                                               -23




I




    Providedby the Maternal and Child Health Library, GeorgetownUniversity
                                                                        Sex
                     R a d i ^ r ^ l . a n + 6 r
                                                    Total

                                                                Mal           Female
                                                                                        Under         t-- 1   5-V      15-20
                                                                                        1 year       Year              years

     Total
                                                   738           J75                      56          ?-1r    ,380      6t
                                                   r00.0          5 0. 8        19.2                   32.6    5r.5      A?

     Cali forni        a

           Percent.
                                                    61
                                                   100.0
                                                                  3A            31
                                                                                           i.,l        I3
                                                                                                       2A.)
                                                                                                               37
                                                                                                               57.8
                                                                                                                        I2
                                                                                                                        1 8. 8

     Ill    inoi s                                                                               I
           Nunber.     .                            51           21            27          3l          T7      3A        L
                                                   r00.0         / * 7. )      52.9        ,.9                 58.8      2.O
                                                                                                 |
     MaryLand                                                                                    I
           Percent
                                                    93
                                                   r00.0
                                                                 16            17
                                                                               5 A. 5     2.,1         21
                                                                                                       25.8
                                                                                                               ,I
                                                                                                               51.8
                                                                                                                        t2
                                                                                                                        12.9

     f4imesota                                                                              I
        Nmber...
        Percent. ,
                                                   265
                                                   r09 .0
                                                                tl8
                                                                  52.r
                                                                              r27
                                                                               17.9      :1,l          90
                                                                                                       )1.a
                                                                                                              r23
                                                                                                               16./t
                                                                                                                        I7
                                                                                                                         6.1

     lexas
                                                   265          t37
                                                                                            I
                                                                                         '3.*
       Nuber.  . .
       Perceni. .                                  1 0 c. 0      5)..?
                                                                              \28
                                                                               48.)         I          97
                                                                                                       )6.6
                                                                                                              t?q       r9




                                                               '24-
                                                              'rU,S, GOVERNMENT PniNTINc OFFICE: l96r O - 599505                 j




Provided by the Maternal and Child Health Library, Georgetown University
                                        -2-
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Providedby the Maternal and Child Health Library, GeorgetownUniversity

				
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