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

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City of London 1869

[Report of the Medical Officer of Health for London, City of]

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18
the census years, for example, of 1841, 1851, and
1861, when the exact number of the population of
England was known, the death-rates of the kingdom
were 21.59, 21.99, and 21.63 per 1,000 of the population;
and even upon the broader basis of a ten
years experience, as during the last three decades,
the average annual death rate has been 22.37, 22.24,
and 22.24 respectively—the mean death-rate for the
whole time having been 22.4 per 1,000 of the people.
At first sight this does not appear to be very encouraging
to our sanitary labours, seeing how much has
been done during the last thirty years for the purpose
of improving the sanitary condition of the country;
but careful observation has shown that wherever the
dwellings of the poor have been improved, and overcrowding
prevented—wherever the soil has been
drained, and kept free from excremental pollution—
and wherever unwholesome branches of industry
have been ameliorated—there has been a marked
diminution in the force of certain classes of diseases.
The researches of Dr. Buchanan, for example, have
exposed the fact—that by draining the subsoil of a
town, and so diminishing the dampness of its atmosphere,
the mortality from phthisis is invariably reduced
; and the experience of every Officer of
Health is to the effect that by freeing the soil from
organic pollution, the force of endemic bowel complaints,
and of typhoid fever and cholera is greatly

Proportion of Deaths from each cause, in every1,000Deaths from all causes.

CAUSES.East London Union.West London Union.City of London Union.Entire City.Average of Ten Tears.
Entire City.England.
Phthisis118144119125130113
Tabes, Scrofula, Atrophy and Infantile Debility785236576182
Hydrocephalus162110151916
Convulsions and Teething778340665665
Alyine disorders ..313521283643
Continued Fevers371324263929
Scarlet Fever676258623539
Small-pox201189
Measles231826232820
"Whooping - cough, Croup, and Dip-theria462534365344
Erysipelas781554
Pneumonia, Bronchitis and Asthma174164180173165149
Violence, Privation, Poison, Child-birth, and Pre-mature Birth355652505758
Other causes, chiefly chronic289319398333308329
Total from all causes1,0001,0001,0001,0001,0001,000