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

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London County Council 1905

[Report of the Medical Officer of Health for London County Council]

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The following table has been prepared with a view to showing the relation of the birth-rate to
social conditions of the population. The rates are shown for groups of sanitary areas arranged with
regard to the proportion of the population living more than two in a room in tenements of less than 5
rooms as shown by the census figures of 1901. The birth-rates have been calculated upon the number
of married females aged 15-45 years in each group of districts, but inasmuch as the addresses of mothers
in lying-in institutions have not been ascertained no correction has been made for the births occurring
in such institutions. The probable effect of this error would be to increase the birth-rate to some
extent in groups II. and V., and to a greater extent in group IV.
No. of
Group.
Proportion of population living
more than two in a room in
tenements of less than five rooms.
Birth-rate in each group
per 100 married females,
aged 13-45.
I. Under 7.5 per cent. 2.03
II. 7.5 to 12.5 „ 2.14
III. 12.5 to 20.0 „ 2.08
IV. 20.0 to 27.5 „ 2.25
V. Over 27.5 „ 2.73
Broadly speaking, and subject to the reservation as to the necessity for distributing the births
in lying-in institutions, the figures show that the birth-rate is higher in the more overcrowded groups
of districts.
Deaths.
The number of deaths in the Administrative County of London in 1905 (52 weeks) was 70,442,
giving au annual death rate of 151 per 1,000 persons living.
The London death-rate in successive periods has been as follows:—

All causes—Death-rates per 1,000 persons living.

1841-5024.8190117.11
1851-6023.7190217.21
1861-7024.4190315.2l
1871-8022.5190416.11
1881-9020.5190515.11
1891-190019.11

The death-rate in each year since 1840 in relation to the mean death-rate of the period
1841-1905 is shown in diagram III.
The following table has been prepared for the purpose of comparing the death-rate of
London with those of other English towns having populations which exceeded 200,000 persons at
the census Of 1901

The columns showing "death-rates corrected for age and sex distribution" have been obtained by multiplying the crude death-rates by the " factors for correction "published by the Registrar-General in the Annual Summary for 1905.

Towns.Estimated Populalion middle of 1905.Crude death-rate per 1,000 persons living.Death-rate per 1,000 persons living (corrected for age and sex distribution).
1895-1904.1905.1895-1904.1905.
London4,684,79418.2215.6219.116.4
Liverpool730,14323.219.624.821.0
Manchester3631,18522.618.025.220.1
Birmingham542,95920.216.221.717.4
Leeds456,78719.115.220.816.6
Sheffield440,41419.617.021.118.3
Bristol358,51516.914.617.415.0
West Ham294,99717.814.819.015.8
Bradford286,79917.715.219.616.8
Newcastle264,51120.916.822.518.1
Hull258,12718.816.319.316.7
Nottingham251,67118.416.519.417.4
Salford231,51422.616.925.018.7
Leicester228,13216.713.317.814.2

London had therefore (comparing the corrected death-rates) both in the decennium 1895-1904
and the year 1905 a lower death-rate than any of these towns excepl Bristol. West Ham and Leicester.
1 These death-rates are fully corrected for institutions, i.e., by the exclusion of deaths of persons not belonging
to but occurring in institutions situated within London, and by the inclusion of deaths of persons belonging to
London but occurring in London institutions situated outside the Administrative County.
2 Including deaths of Londoners in the Metropolitan Workhouses, Hospitals, and Lunatic Asylums outside
the County of London, but excluding deaths of non-Londoners in the Willesden Workhouse, the London Fever
Hospital, the Metropolitan Asylums Board's Hospitals and the Middlesex County Lunatic Asylum, within the
County of London.
3 As extended in 1904.
11476 B