MEDICAL AND PUBLIC HEALTH SERVICES

VITAL STATISTICS

Births and deaths: The old Ahmadnagar District Gazetteer published in 1884 states that during the thirteen years ending 1883 the number of births averaged 20,561 or according to 1881 Census twenty-seven to the thousand people. The yearly total varied from 12,113 in 1878 to 29,386 in 1882.

The following statement gives the vital statistics of births and death from 1871 to 1883:—

Year

Births

Deaths

1871

14,163

12,235

1872

12,468

19,268

1873

18,369

11,062

1874

23,330

13,809

1875

24,294

23,790

1876

24,427

20,640

1877

16,808

30,891

1878

12,113

27,955

1879

18,968

16,564

1880

20,086

14,102

1881

24,313

21,270

1882

29,386

14.658

1883

28,571

28,968

Total

2,67,296

2,55,272

Average

20,561

19,631

The following table gives the vital statistics of births and deaths including their number and ratio per mille for the period from 1893 to 1922:—

TABLE No.1—VITAL STATISTICS OF BIRTHS AND DEATHS AND THEIR RATIO PER THOUSAND, AHMADNAGAR DISTRICT

Year

Population under Registration

Births

Deaths

Number

Ratio per 1,000

Number

Ratio per 1,000

1893

8,87,656

40,240

45.33

33,103

37.29

1894

38,314

43.16

33,927

38.22

1895

42,309

47.66

34,709

39.12

1896

42,207

47.55

32,280

36.36

1897

35,116

39.56

39,393

44.37

1898

31,823

35.85

19,301

21.74

1899

40,621

45.76

29,348

33 06

1900

24,847

27.98

58,782

66.22

1901

8,36.817

26,691

31.89

22,105

26.41

1902

37,381

44.67

25,810

30.84

1903

36,233

43.29

50,955

69.89

1904

38,341

45.82

42,538

50.83

1905

33,489

40.02

26,334

31.47

1906

33,950

40.57

28,174

33.67

1907

37,474

44.78

28,098

33.53

1908

40,400

48.28

22,582

26.99

1909

37,931

24.33

20,750

24.79

1910

39,957

47.75

29,356

35.08

1911

9,45,305

42,799

45.34

21,057

22.31

1912

9.43,991

36,132

38.28

39,807

41.14

1913

32,317

34.23

23,454

24.85

1914

41,775

44.25

34,322

36.36

1915

42,500

45.02

24,149

25.58

1916

37,758

40.00

40,484

42.89

1917

36,336

38.49

36,065

38.21

1918*

31,406

33.26

93,918

99.50

1919

27,293

28.91

28,965

30.68

1920

28,949

30.67

21,840

23.13

1921

25,674

35.46

25,501

35.22

1922

7,23,978

26,721

36.91

21,022

29.04

* Influenza year.

The following statement gives the vital statistics spread over a number of years including the number of births registered, ratio of births per 1,000 of population, number of deaths and excess of births over deaths per 1,000 population:—

Year

Number of births registered

Ratio of births per 1,000 of population

Number of deaths registered

Excess of births over deaths per 1,000 of population

(1)

(2)

(3)

(4)

(5)

1924

33,634

46.46

22,183

15.82

1926

35,621

49.20

22,446

18.21

1927

36,244

50.06

21,587

20.24

1929

40,349

55.73

25,373

20.68

1930

38,404

53.04

25,358

18. 01

1934

41,964

42.66

26,394

15. 83

1935

45,107

45.85

28,322

17.06

1937

38,900

39.54

24,987

N.A.

1938

47,368

48.15

27,905

N.A.

1939

46,608

47.38

24,087

N.A.

1940

41,264

41.95

23,802

N.A.

1945

41,106

33.90

32,310

N.A.

1950

39,576

30.78

26,189

N.A.

1951

46,925

33.06

19,858

N.A.

1952

47,580

33.13

20,122

N.A.

1953

49,361

33.5

26,843

N.A.

1954

48,685

32.3

23,676

N A.

1955

54,401

35.4

24,193

N.A.

1956

53,407

34.1

22,778

N.A.

1957

47,857

30.00

24,634

N.A.

1958

48,877

--

26,129

N.A.

1961

56,939

32

26,568

N.A.

1962

54,900

30

26,793

N.A.

1963

53,492

29

26,863

N.A.

1964

45,432

--

18,744

N.A.

1965

38,326

--

14,426

N,A.

1966

45,035

--

1 7,244

N.A.

1970

48,286

29.4

16,524

N.A.

N.A. Not available.

From the statistics given above it becomes evident that the death-rate as also the birth-rate have come down. The reduction in death-rate can be attributed to the advancement in medical research and general improvement in health facilities. The decreasing trend in the birth-rate may be presumed to be the result of the family planning drive.

Deaths due to different diseases : Table Nos. 2.3 and 4 give the statistics regarding deaths due to different diseases in Ahmadnagar district.

Infant mortality: Table No. 5 shows the infant mortality rate per 1,000 births for the years from 1924 to 1952 and the number of infant deaths from 1953 to 1966 in the district.

Table No. 6 gives details about deaths registered according to age-groups for a few years from 1926.

TABLE No. 2—DEATHS DUE TO DIFFERENT DISEASES, 1871-1922

Year

Cholera

Small pox

Fevers

Bowel complaints

Injuries

Other causes

Total

1871

658

204

7,267

1,775

171

2,160

12,235

1872

1,837

2,254

10,488

2,072

176

2,441

19,268

1 873

--

410

7,262

1,536

188

1,666

11,062

1874

--

22

9,669

2,029

176

1,913

13,809

1875

4,933

40

12,963

2,641

166

3,047

23,790

1876

1,115

350

13,521

2,493

146

3,015

20,640

1877

2,760

1,978

19,424

2,884

196

3,649

50,891

I878

2,267

21

20,248

2,157

247

3,015

27,955

1879

186

5

12,425

1,481

201

2,266

16,564

1880

11

--

10,542

1,236

189

2.124

14,102

1881

2,645

--

13,567

1,709

165

3,184

21,270

1882

182

6

10,712

1,368

1 66

2,224

14,658

1883

7,368

352

1 5,606

2,477

154

3,011

28,968

Total

123,962

5,642

1,63,694

25,858

2,341

33,715

2,55212

Average

2,178

513

12,592

1,989

180

2,593

19,631

TABLE No. 2—contd

Year

Plague

Cholera

Smallpox

Fevers

Bowel complaints

Injuries

Other disease

Total

1893

--

1,745

135

22,923

2,455

129

5,716

33,103

1894

--

1,977

94

24,116

2,502

137

5,101

33,927

1895

--

874

25

25,135

3,026

163

5,436

34,659

1896

--

2,892

50

19,175

2,787

204

7,172

32,280

1897

--

3,700

175

17,173

6,892

238

11,215

39,393

1898

--

2

140

4,191

4,179

217

10,572

19,301

1899

2,681

1

53

5,297

4,031

231

17,054

29.348

1900

147

6,1 62

116

14,999

74,194

308

N.A.

N. A.

1901

20

75

22

10,250

5,594

241

5,903

22,105

1902

1,083

1

19

8,240

4,557

231

11,679

25,810

1903

21,447

10

40

9,761

5,049

230

14,418

55,955

1904

11,979

673

319

10,883

5,086

N.A.

13,338

N.A.

1905

2,336

--

285

8,383

4,796

177

10,357

26,334

1906

863

2,835

30

8,900

5,043

198

10,305

28,174

1907

52

763

56

9,915

5,487

252

11,573

28,098

1908

105

--

112

8,842

2,964

193

10,366

22,582

1909

44

665

142

7,464

3,423

212

8,800

20,750

1910

8

140

124

11,091

6,242

233

11,518

29,346

1911

1,924

162

46

7,074

2,602

248

9,00

21.057

1912

383

8,339

51

12,226

5,221

244

13,343

39,807

1913

58

220

534

9,504

7,947

216

9,975

23,454

1914

227

2,785

141

11,861

2,436

226

14,846

32,522

1915

445

1

--

8,837

2,539

250

12,077

24,149

1916

10,352

2,009

27

10,050

2,472

286

15,018

40,214

1917

6,711

157

117

10,192

3,061

272

15,555

36,065

1918*

705

279

466

73,155

2,710

258

16,345

93,918

1919

51

3,755

189

10,466

3,254

264

10,986

28,965

1920

1

5

7

9,590

1,759

266

10,212

21,940

1921

7

123

6

10,846

3,151

233

11,135

25,501

1922

17

--

23

7,714

1,413

231

11,624

21,022

* Influenza year. N.A.=.Not available.

TABLE NO. 3—DEATHS DUE TO VARIOUS DISEASES, AHMADNAGAR DISTRICT

Disease

1924

1927

1928

1929

1930

1934

1935

1937

1938

1939

1940

(1) Enteric fever

160

129

124

147

194

364

505

297

502

571

364

(2) Measles

105

325

126

291

136

187

243

107

807

75

152

(3) Malaria

2,146

1,614

1,853

2,344

1,890

2,034

2,293

1,783

1,940

2,360

2,131

(4) Other fevers

2,393

2,524

2,540

1,508

3,475

2,913

3,704

2,997

4,136

3,051

3,466

(5) Influenza

1

1

1

3

1

2

1

1

13

11

--

(6) Pneumonia

3 7

50

42

110

211

298

328

431

441

274

384

(7) Phthisis

400

412

505

530

547

618

709

1,470

829

824

839

(8) Other respiratory diseases

3.500

3,349

3,921

4,538

4,120

4,449

4,842

4,364

4,782

4,205

4,243

(9) Dysentery

1,342

124

242

54

114

102

28

172

76

201

21

(10) Diarrhoea

1,001

2,072

2,246

1,274

1,284

2,002

2,103

2,264

3,492

1,588

1,467

(11) Deaths from child-birth.

205

245

189

229

126

192

221

270

329

497

287

(12) Small-pox

164

159

23

283

369

284

462

16

81

140

487

(13) Plague

206

35

5

1

12

111

2

--

--

--

--

(14) Cholera

386

821

3

--

941

1,158

812

1,03 5

386

674

115

(15) Diphtheria

N.A.

N. A.

N.A.

N A.

N.A.

N.A.

N.A.

22

59

20

26

(16) Whooping cough

N.A.

N.A.

N.A.

N.A.

N.A.

N.A.

N.A.

N.A.

N A.

N.A.

24

(17) Leprosy

N.A.

N.A.

N.A.

N A.

N.A.

N.A.

N.A.

N.A.

N.

N.A.

91

(18) Cancer

N A.

N.A.

N.A.

N. A.

N.A.

N.A.

N.A.

N.A

N.A.

N.A.

10

N. A. Not available.

TABLE No. 4—DEATHS REGISTERED FROM CERTAIN DISEASES, 1950-1966

Year

Enteric fever

Measles

Malaria

Other fevers

Dysentery

Diarrhoea

1950

197

35

2,281

2,859

737

271

1951

145

178

1,938

2,537

43

772

1952

57

52

1,483

2,221

39

745

1953

127

95

2,099

2,598

40

1,085

1954

244

217

1.733

2,942

27

1,487

1955

300

90

1,464

3,223

135

1,846

1956

258

161

21,360

2,929

71

1,304

1957

287

116

1,379

2,901

130

1,365

1958

--

--

--

--

--

--

1961*

--

--

--

--

1,032

--

1962

--

--

--

--

1,042

--

1963

--

--

--

--

1,125

--

1964

--

--

--

--

959

--

1965

--

--

519

--

610

--

1966

--

--

170

--

832

--

continued..

Year

Pneumonia

Pulmonary tuberculosis

Whooping cough

Other respiratory diseases

Diphtheria

1950

386

807

304

2,378

--

1951

363

773

212

2,378

10

1952

218

785

38

2,187

26

1953

329

8

58

2,642

11

1954

307

--

61

2,575

32

1955

299

--

42

2.965

74

1956

270

--

42

2,691

50

1957

252

--

19

1,173

65

1958

--

--

--

--

--

1961*

--

--

--

3,113

--

1962

--

--

--

2,897

--

196?

--

--

--

2,945

--

1964

--

--

--

2,288

--

1965

--

--

--

1,827

--

1966

--

--

--

1,740

--

*Note.—The figures for Dysentery and Diarrhoea after the year 1961 are grouped under the head "Dysemen".

TABLE No. 4—contd.

Year

Chicken-pox

Leprosy

Cancer

Deaths from child-birth

Phthisis

Cholera

Small-pox

Plague

Fevers

Injuries

Other causes

1950

57

60

22

221

--

149

1,578

17

--

--

--

1951

4

50

21

478

--

92

191

--

--

--

--

1952

1

37

47

462

--

115

87

--

--

--

--

1953

--

109

48

481

1,010

846

184

--

--

--

--

1954

2

79

56

278

775

6

175

--

--

--

--

1955

6

54

42

314

713

8

124

--

--

--

--

1956

--

57

8O

294

711

283

78

--

--

--

--

1957

1

86

63

266

733

211

128

--

--

--

--

1958

--

--

--

--

--

178

374

--

--

--

--

1961

--

--

--

--

--

35

41

--

3,994

--

13,324

1962

--

--

--

--

--

7

61

--

4,068

423

12,872

1963

--

--

--

--

--

138

243

--

4,018

--

13,380

1964

--

--

--

--

--

475

377

--

3,545

12

11,088

1965

--

--

102

--

--

22

67

--

2,161

32

10,632

1966

--

--

156

--

--

27

130

--

--

34

14,155

TABLE No. 5-INFANT MORTALITY RATE PER 1,000 BIRTHS IN AHMADNAGAR DISTRICT

District/Towns

Infant mortality rate per 1,000 births

1924

1926

1927

1929

1930

1934

1935

1937

1938

A. Ahmadnagar District.

193.76

195.03

173.30

200.22

190.65

180.51

181.54

161.21

176.77

B. Nagar Town

155.44

148.82

138.06

136 15

147.69

180.35

148.99

161.37

174.90

Sangamner

94.63

131.76

116.88

169.93

135.42

270.94

158.83

171.64

155.34

Cantonment

166.09

158.27

161.54

197.41

147.76

163 10

151.24

126.78

155.46

TABLE No. 5—contd.

District/Towns

Infant mortality rate per 1,000 births

Infant deaths

1939

1940

1945

1950

1951

1952

1953

1954

1955

A. Ahmadnagar District.

150.35

170.04

166.57

189.31

109.83

92.12

104

140

138

B. Nagar Town

140.02

152.91

122.49

135.85

79.11

60.81

96

91

87

Sangamner

100.77

127.40

250.62

40.94

31.04

24.26

26

16

15

Cantonment

94.44

76.02

142.12

81.30

47.42

40.29

48

32

35

Belapur Ainatpur

225.35

201.30

137.25

--

--

--

--

--

--

Kopargaon

177.88

254.05

145.00

145.54

125.41

74.18

86

59

77

Pathardi

121.17

135.29

50.95

39.46

14.70

95.23

26

37

20

Shrigonda

100.50

123.71

89.88

32.52

62.01

--

--

--

35

Shrirampur

--

--

--

74.07

7.57

--

--

--

139;

Jamkhed

--

--

--

--

--

117.31

132

137

151

Karjat

--

--

--

--

--

45.45

71

4

69

Kharda

--

--

--

--

--

70.42

96

69

54

Rahuri

--

--

--

--

--

109.91

123

179

87

Shevgaon

--

--

--

--

--

--

--

--

147

Wambori

--

--

--

--

--

--

--

--

65

TABLE No. 5—contd.

District/Towns

Infant deaths

1956

1957

1958

1961

1962

1963

1964

1965

1966

A. Ahmadnagar

117

124

--

--

--

--

--

--

--

District.

--

--

--

--

--

--

--

--

--

B. Nagar City

82

80

841

770

854

661

594

391

601

Cantonment

37

30

--

--

--

--

--

--

--

Kopargaon

79

36

447

396

343

488

299

247

889

Pathardi

35

63

376

378

369

288

143

250

109

Sangamner

10

11

445

387

389

424

557

257

261

Shrirampur

118

83

354

283

324

464

216

317

178

Shrigonda

15

8

382

314

404

287

260

195

149

Jamkhed

82

72

324

249

300

280

171

123

171

Karjat

71

42

315

281

314

306

253

152

210

Kharda

128

97

--

--

--

--

--

--

--

Rahuri

102

99

344

259

302

286

172

213

218

Shevgaon

64

68

548

567

600

371

474

203

386

Wambori

69

68

--

--

--

--

--

--

--

Akola

--

--

351

341

459

339

298

105

305

Newasa

--

--

548

361

321

374

306

202

402

Parner

--

--

573

443

444

500

388

209

278

TABLE No. 6—DEATHS REGISTERED ACCORDING TO AGE-GROUPS IN AHMADNAGAR DISTRICT

Year

--

1 year and under 5

5 and under 10

10 and under 15

15 and under 20

20 and under 30

30 and under 40

40 and under 50

50 and under 60

60 and upwards

Total

(1 to 60)

1926

Males

2,360

389

243

215

432

647

649

815

2,273

8,023

Females

2,254

387

274

289

592

649

478

590

2,034

7,547

1930

Males

2,899

520

308

230

576

717

728

882

2,394

9,254

Females

2,671

555

320

361

741

713

573

610

2,330

8,874

1935

Males

2,990

640

279

268

644

783

853

239

2,706

9,402

Females

2,959

625

302

369

934

795

676

735

2,620

10,015

1940

Males

2,512

583

293

195

516

740

867

919

2,805

9,430

Females

2,649

560

334

295

879

767

487

681

2,723

9,375

1945

Males

3,549

937

565

558

1,135

1,081

1,205

1,507

3,300

13,837

Females

3,493

958

516

714

1,558

1,100

1,034

1,258

3,119

13,750

1951

Males

1,953

452

343

342

674

797

908

1,106

2,146

8,721

Females

1,856

440

342

388

796

764

764

905

2.160

8,415

1956

Males

2,470

472

245

184

382

505

651

796

2,723

8,428

Females

2,436

492

271

261

727

604

497

496

2,631

8,415

1961

Males

2,074

437

158

207

385

548

526

437

2,380

7,152

Females

2,164

404

154

356

506

570

382

329

2,224

7,092

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