London's Pulse: Medical Officer of Health reports 1848-1972

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London County Council 1897

[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.
1851-605332,9217,8034,6542,5581,4393183094
1861-705723,4818,6914,8472,4691,2812452384
1871-805083,6467,7123,6431,9881,0442561864
1881-906344,5439,9094,7592,7331,6183661853
1891-66375,17111,2514,5492,7231,5553001223

(B) Death rates at " all ages " taken as 100.

1851-601005481,46487348027060621
1861-701006091,51984743222443411
1871-801007181,51871739120650411
1881-901007171,5637514312555831
1891-61008121,766714427244472...

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.
1881Population120,00015,00045,00035,00025,000
Whooping cough deaths351300453.52.5
Whooping cough death-rate
per 1,000 Death-rate at " All ages'2.922010.10.1
taken as 1001006853433

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.
Measles1851-605245571,48988848827561621
1861-705516321,57788044823244411
1871-804857521,59075141021553411
1881-906347171,5637514312555831_
1891-966697731,682680407232452
Scarlet Fever1851-6094421257667865752224150145
1861-701,11820657671064252623648165
1871-8058619655869266855923943145
1881-9032819959169469957322341155
1891-9621921658072071254020947185
Whooping Cough1851-608461,1201,335700398206402__
1861-708341,2161,347686353182321__
1871-807711,3541,326599312173331__
1881-906901,3771,306573330181321__
1891-965781,4491,349530282158301
Diphtheria and Croup1859-6038642983468665843014037148
1861-704185059367856124141211786
1871-802903768187186465171642086
1881-904192807427106865721902485
1891-966192477126566695992143084
Scarlet Fever, Diphtheria, and Croup1861-701,53628767473063449520440145
1871-8087625564470166154721436125
1881-9074724567570369257320531115
1891-9683823967767368058321334114