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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19
Owing to the changes which have occurred in the birth-rate since the middle of
last century and to the movement of population to outside the county boundary in
the course of years, the age-distribution of the London population has become more
and more abnormal, with the result that the cancer-rate calculated on the total
population divided into total deaths does not accurately represent the cancer
mortality.
The rates so calculated for 1930-32 were 1.67 per thousand for males and 1.53
for females. If the rates are calculated on the life-table population, in which the
disturbing factors referred to are, so far as practicable, eliminated, the rates become
2.22 for males and 2.11 for females ; the similar figures for 1920-22 worked on the
life-table for that period are 1.93 for males and 1.97 for females. On the basis of
these corrected figures the intercensal increase in the cancer rate for males, namely
.29, was twice as great as that among females, .14.

The probability of dying from cancer has been calculated for the principal ages of life on the basis of the experience of the three years 1930-32 by means of the life-table referred to. These probabilities and the similar figures for the period 1920-22 are shown in the following table :—

Age (*)Males.Females.
Cancer deaths in the life-table population at age x and over (Ps = 10,000).Probability of dying from cancer after attaining age x.Cancer deaths in the life-table population at age x and over (1s = 10,000).Probability of dying from cancer after attaining age x.
1920-22.1930-32.1920-22.1930-32.1920-22.1930-32.1920-22.1930-32.
01,2031,427.104.1301,3101,449.116.134
51,2001,425.120.1421,3081,446.131.145
151 1981,422.123.1451,3071,444.134.147
251,1931,417.127.1491,3041,440.138.150
351,1821,404.131.1521,2881,424.141.153
451,1391,356.137.1571,2191,353.141.152
559831,190.137.1571,0281,172.131.142
65623813.117.142702864.109.125
75211309.076.102321431.080.096
851732.029.0495575.046.052

Tuberculosis.
The deaths from pulmonary tuberculosis in London during 1933 numbered
3,530, giving a death-rate of 082 per thousand living, the corresponding
figures for 1932 being 3,564 and 0 82 respectively, and 3,907 and 0 88 for 1931.
There were 466 deaths from other forms of tuberculosis in 1933 as against
522 in 1932 and 552 in 1931, the death-rates being 0.11, 0.12 and 0.13,
respectively.

The annual death-rates from pulmonary and non-pulmonary tuberculosis in recent years are shown in the subjoined table :—

Period.Pulmonary tuberculosis death-rates.Non-pulmonary tuberculosis death-rates.
Males.Females.Total.Males.Females.Total.
1922-241.280.781.010.220.170.19
1925-271.190.670.910.180.140.15
19281.140.680.890.170.120.14
19291.240.720.960.150.110.13
19301.130.640.870.130.110.12
19311.140.680.900.150.110.13
19321.080.590.820.140.110 .12
19331.100.580.820.120.100.11

Tuberculosis.