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

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London County Council 1933

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

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18
abnormal presentation. Among the 469 cases of still-birth, 19 maternal deaths
occurred, this being 40.5 per 1,000 still-births, in comparison with 2.93 deaths per
1,000 births among cases terminating in live-birth in the hospitals during the same
period. Thus, the maternal mortality following still-birth in these cases was nearly
fourteen times as great as that following live-birth. Although the proportionate
mortality may not be so excessive in the general population, it is evident that
differences in the percentage of still-births in different localities or at different periods
seriously affect the comparative value of the maternal mortality as at present
calculated.
Enteric
fevers.
There were 164 notifications of fevers of the enteric group in London in 1933
(52 weeks) compared with 195 in 1932. The deaths in the calendar year numbered
25 as against 20 in 1932. The remarkable decrease in the mortality from enteric
fever during the present century will be seen from the figures in the table on page 24.

The seasonal incidence, as shown by the notifications (uncorrected for errors of diagnosis) received in successive four-weekly periods during the year was as follows :—

l-5-9-13-17-21-25-29-33-37-41-45-49-52
327116113313161026197

Influenza.
Rheumatic
fever.
Cancer.
The deaths from influenza during 1933 numbered 2,234, compared with 1,222
in 1932.
An epidemic of some severity occurred during the winter of 1932-3
and in the first 12 weeks of the year 1,976 deaths occurred : the weekly deaths
during the epidemic from influenza, pneumonia and bronchitis are shown in last
year's Report (Vol. III, Part I, p. 12).
The deaths in London from rheumatic fever in 1933 numbered 151, of which
78 were among children under 15 years of age. The corresponding figures in
1932 were 110 and 47 respectively.
There were 7,093 deaths from cancer in 1933, as against 7,019 in 1932. The
death-rate per thousand was 1.65. There was a decrease of 13 in the deaths among
males and an increase of 87 among females compred with the previous year.

The movement of the cancer mortality rate in London at decennial intervals was shown in the annual report for 1931 (Vol. III, Part I, p. 10). The deaths for 1932 were not available when the report was prepared so that the mortality for the three-year period to which the 1931 census was central could not be given. The figures for this period and for the corresponding period for the two previous censuses are as follows :—

Period.Death-rate per 1,000 of the population of age and sex indicated.
25-35.35-45.45-55.55-65.65-75.75-85.
1910-12, Males0.130.482.095.279.1310.51
Females0.170.892.344.626.989.37
1920-22, Males0.120.502.015.7010.0512.49
Females0.170.772.304.527.2110.60
1930-32 Males0.140.542.035.6011.3716.33
Females0.170.782.114.047.5012.25
Increase (+ ) or decreasc( — ) 1930-32 upon 1910-12Males+ 01+ .06-.06+ .33+2.24+5.82
Females--.11-.23-.58+ .52+2.88

The decrease in the mortality among women between 35 and 65 years of age is,
it will be seen, somewhat larger than shown by the figures for 1930-31 given in the
Annual Report for 1931 above referred to.