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C: <br />a <br />25 <br />V <br />The total mortality rate for septicemia the county is <br />significantly higher than that of the state <br />(0-C. -9.1; X.C. - 5.4). This increase is evident across <br />both sexes and race groups; however, the greatest disparity <br />between the county and the state lies among nonwhite males <br />(O.C. - 26.1; ',\.C. - 12.5). Further exploration is needed to <br />define the extent of the problem and occupational and <br />environmental factors may need to be explored to explain this <br />difference. (See Tables 16 and 17) <br />Another area of concern for nonwhite men is death due to <br />motor vehicle accidents. The rate on the county level is '9 <br />higher than that of the state and over twice that of white <br />men and white and nonwhite women. The highly preventable <br />nature of these deaths with the use of seat belts and <br />reduction in driving speed seems to indicate a need for an <br />intervention targeted at this population. <br />Areas of concern for white men include in particular <br />death due to arteriosclerosis, cancer of the colon, rectum, <br />and anus, and homicide. All of these rates surpass the state <br />mortality rates. Further investigation into interventions <br />that are currently taking place may indicate a need for <br />interventions to address, in particular, the issues of colon <br />cancer and atherosclerosis among white men in the county. <br />Finally, these stratified rates indicate a general <br />disparity between the health status of nonwhite women in the <br />county as compared to the state. This disparity was also <br />evident in many of the pregnancy outcomes examined earlier. <br />The mortality rates in the county due to chronic pulmonary <br />disease and cancer of the trachea, bronchus, and lungs are of <br />particular concern in this population. (See Tables 16 and <br />17) <br />22 <br />