I. GENERAL SITUATION 



The Two words "phTsically liandicapped'' bring before the mind 

 a long procession of people coming under the classification of 

 "the lame, the halt, and the blind". In some communities, where 

 there has been recent agitation, the tuber cnlons present them- 

 selves also. These are the spectacular, and it is that quality 

 which catches the eye and stirs the sympathy. Within the last 

 few years attention has been called to another group of as truly 

 "physically handicapped". Their physical condition also renders 

 them unable to compete with normal persons. This is that ever- 

 increasing group of people who suffer from one or more of the 

 so-called heart diseases. 



Organic heart trouble, alone, has ranked first as a cause of 

 death in Indiana for the past six years, with tuberculosis as a 

 second cause. The third cause is chronic nephritis or Bright's 

 disease. This often occurs as a complication with heart trouble. 

 So Taking Indiana alone, heart trouble, both organic and with its 

 comj)lications, ranks first and third as causes of death. 



THREE GREATEST CAUSES OF DEATH IX INDIANA 



Organic Pulmonarv Chronic Nephritis 



Year Heart Trouble Tuberculosis or Bright's Disease 



1910 3,956 3,921 2,021 



1911 3.972 3,588 2.210 



1912 4.419 3,419 2,443 



1913 3,998 3,446 2.533 



1914 3,915 3,471 2,694 



1915 4,214 3,444 2,787 



Total 24,474 21,289 14,688 



For the last four years heart trouble has been the greatest 

 cause of deaTh in Xew York City. For the last five years it has 

 ranked tirsT as a cause of death in The vital statistics of the 

 United States. There has been a steady increase in the per cent 

 of deaths from heart trouble from 1911 to 1915. In 1911 the per 

 cent was 140.9 per 100,000, while in 1915 the per cent was 156.2 

 Der 100.000. 



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