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

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Kensington 1893

The annual report on the health, sanitary condition, &c., &c., of the Parish of St. Mary Abbotts, Kensington for the year 1893

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diseases of respiratory system (662), diseases of urinary
system (170), childbirth and puerperal fever (173), accident
(249), suicide (40), and "all other causes" (825). The diminution
being deducted from the excess, a balance of excess and
diminution shows a net excess or loss of 3,989 lives in the
year, compared with 719 in 1892, 4,147 in 1891, and 1,546 in
1890, and contrasted with a net diminution of 13,224 in 1889.
This point may be made clearer by the statement that " had
the death-rate in 1893 been only equal to the average rate in
the preceding decennium, 3,989 fewer persons would have died
in London than was actually the case." The RegistrarGeneral
adds that "among the headings distinguished in the
table contributory to (the above-mentioned) excess, are again
diphtheria, cancer, premature birth, and diseases of the circulatory
and urinary systems, which have, for several successive
years, shown an increased mortality. Besides these, in 1893
there was a considerable excess in the mortality from scarlet
fever, influenza, diarrhceal diseases, diseases of the respiratory
system, childbirth and puerperal fever and accident. The
excess under diphtheria was no less than 1985, the total
deaths from this disease having been 3,265. The deaths under
the heading influenza showed an excess of 970, against an
excess in the preceding year of 1945."
Greater London.—The death-rate in "Greater London,"
which is co-extensive with the Metropolitan and City
Police Districts, the population in 1893 numbering 5,849,707,
was 19.7 per 1000, the rate in the preceding three years
having been successively, 201, 19.8 and 19.3, and the
average for the three years 19'7. The deaths properly
belonging to the Outer Ring, as distinguished from Inner
or Registration London, were equivalent to a rate of
only 15.4 per 1000, the rate in the Inner Ring, as
already shewn, having been 21.3. The death-rate from
the principal zymotic diseases in Inner London, was 3.08 per