Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
[Report of the Medical Officer of Health for London County Council]
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TABLE VIII. London. (A) Measles—Death rates per 1,000,000 living.
Period. | All ages. | 0— | 1— | 2— | 3— | 4— | 5— | 10— | 15— | 20 and upwards. |
---|---|---|---|---|---|---|---|---|---|---|
1851-60 | 533 | 2,921 | 7,803 | 4,654 | 2,558 | 1,439 | 318 | 30 | 9 | 4 |
1861-70 | 572 | 3,481 | 8,691 | 4,847 | 2,469 | 1,281 | 245 | 23 | 8 | 4 |
1871-80 | 508 | 3,646 | 7,712 | 3,643 | 1,988 | 1,044 | 256 | 18 | 6 | 4 |
1881-90 | 634 | 4,543 | 9,909 | 4,759 | 2,733 | 1,618 | 366 | 18 | 5 | 3 |
1891-6 | 637 | 5,171 | 11,251 | 4,549 | 2,723 | 1,555 | 300 | 12 | 2 | 3 |
(B) Death rates at " all ages " taken as 100.
1851-60 | 100 | 548 | 1,464 | 873 | 480 | 270 | 60 | 6 | 2 | 1 |
1861-70 | 100 | 609 | 1,519 | 847 | 432 | 224 | 43 | 4 | 1 | 1 |
1871-80 | 100 | 718 | 1,518 | 717 | 391 | 206 | 50 | 4 | 1 | 1 |
1881-90 | 100 | 717 | 1,563 | 751 | 431 | 255 | 58 | 3 | 1 | |
1891-6 | 100 | 812 | 1,766 | 714 | 427 | 244 | 47 | 2 | ... |
Now assume that the population in 1881 had increased to 120,000, distributed as under, while the death rate from whooping cough at each age period remained the same as in 1871, then the following results will be obtained—
All ages. | 0—5. | 5—20. | 20—40. | 40 and upwards. | ||
---|---|---|---|---|---|---|
1881 | Population | 120,000 | 15,000 | 45,000 | 35,000 | 25,000 |
Whooping cough deaths | 351 | 300 | 45 | 3.5 | 2.5 | |
Whooping cough death-rate | ||||||
per 1,000 Death-rate at " All ages' | 2.92 | 20 | 1 | 0.1 | 0.1 | |
taken as 100 | 100 | 685 | 34 | 3 | 3 |
It will thus be seen that the death rate from whooping cough has increased from 2-45 in 1871 to 2 92 in 1881, this
increase being entirely due to the altered age constitution of the population. It follows, therefore, that the two rows of figures
obtained by taking the "all ages" death rate as 100 are not altogether trustworthy for purposes of comparison in the case of
6uch diseases as whooping cough and measles.
Throughout this report, however, the tables showing the increase or decrease per cent, at each age period have been mainly
used for purposes of comparison. It ie, however, interesting to observe the effect of the changes in the age constitution of the
population upon the comparative death rates, and for this purpose the following table has been prepared, in which the "all
ages " death rates used for each period have been approximately corrected for changes in the age constitution of the population
by the following method—
The recorded death rates at each age group for the periods 1851-60, 1861-70, 1871-80 and 1891-6 have been applied to the
mean populations of the period 1881-90, and a death rate at " all ages " has been calculated for each period from the numbers
of deaths thus obtained.
The corrected death rate at "all ages," therefore, for the period 1851-60, for example, represents the death rate at "all
ages" which would have obtained in 1851-60 hal the mean population of that perio I been similar as regards age constitution
to the mean population in 1881-90.
London.—Comparative death rates at certain age periods.—Corrected death rate at "all ages" taken as 100.
Cause of death. | Period. | Corrected death rate per million " all ages." | 0— | 1— | 2— | 3— | 4— | 5— | 10— | 15— | 20 and upwards. |
---|---|---|---|---|---|---|---|---|---|---|---|
Measles | 1851-60 | 524 | 557 | 1,489 | 888 | 488 | 275 | 61 | 6 | 2 | 1 |
1861-70 | 551 | 632 | 1,577 | 880 | 448 | 232 | 44 | 4 | 1 | 1 | |
1871-80 | 485 | 752 | 1,590 | 751 | 410 | 215 | 53 | 4 | 1 | 1 | |
1881-90 | 634 | 717 | 1,563 | 751 | 431 | 255 | 58 | 3 | 1 | _ | |
1891-96 | 669 | 773 | 1,682 | 680 | 407 | 232 | 45 | 2 | — | — | |
Scarlet Fever | 1851-60 | 944 | 212 | 576 | 678 | 657 | 522 | 241 | 50 | 14 | 5 |
1861-70 | 1,118 | 206 | 576 | 710 | 642 | 526 | 236 | 48 | 16 | 5 | |
1871-80 | 586 | 196 | 558 | 692 | 668 | 559 | 239 | 43 | 14 | 5 | |
1881-90 | 328 | 199 | 591 | 694 | 699 | 573 | 223 | 41 | 15 | 5 | |
1891-96 | 219 | 216 | 580 | 720 | 712 | 540 | 209 | 47 | 18 | 5 | |
Whooping Cough | 1851-60 | 846 | 1,120 | 1,335 | 700 | 398 | 206 | 40 | 2 | _ | _ |
1861-70 | 834 | 1,216 | 1,347 | 686 | 353 | 182 | 32 | 1 | _ | _ | |
1871-80 | 771 | 1,354 | 1,326 | 599 | 312 | 173 | 33 | 1 | _ | _ | |
1881-90 | 690 | 1,377 | 1,306 | 573 | 330 | 181 | 32 | 1 | _ | _ | |
1891-96 | 578 | 1,449 | 1,349 | 530 | 282 | 158 | 30 | 1 | — | — | |
Diphtheria and Croup | 1859-60 | 386 | 429 | 834 | 686 | 658 | 430 | 140 | 37 | 14 | 8 |
1861-70 | 418 | 505 | 936 | 785 | 612 | 414 | 121 | 17 | 8 | 6 | |
1871-80 | 290 | 376 | 818 | 718 | 646 | 517 | 164 | 20 | 8 | 6 | |
1881-90 | 419 | 280 | 742 | 710 | 686 | 572 | 190 | 24 | 8 | 5 | |
1891-96 | 619 | 247 | 712 | 656 | 669 | 599 | 214 | 30 | 8 | 4 | |
Scarlet Fever, Diphtheria, and Croup | 1861-70 | 1,536 | 287 | 674 | 730 | 634 | 495 | 204 | 40 | 14 | 5 |
1871-80 | 876 | 255 | 644 | 701 | 661 | 547 | 214 | 36 | 12 | 5 | |
1881-90 | 747 | 245 | 675 | 703 | 692 | 573 | 205 | 31 | 11 | 5 | |
1891-96 | 838 | 239 | 677 | 673 | 680 | 583 | 213 | 34 | 11 | 4 |