London's Pulse: Medical Officer of Health reports 1848-1972
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Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
City of London 1904
Report of the Medical Officer of Health for the City of London for the year 1904
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13
VACCINATION.
Of the children born in 1904, 229 had been successfully vaccinated by the
end of the year, and 28 had died before the age for vaccination. Vaccination
was postponed by medical certificate in 14 cases, 1 infant was reported to
be insusceptible to vaccination, 36 had removed into other districts, and 40
vaccinations were pending at the end of the year. There were 5 cases of
conscientious objection.
Vaccination Statistics in the City of London.
| Year. | Number of Births. | Successfully Vaccinated. | Insusceptible. | Had Small pox. | Died before Vaccination. | Vaccination Postponed. | Removed or unaccounted for at the end of the year. | Conscientious Objections. |
|---|---|---|---|---|---|---|---|---|
| per cent. | per cent. | per cent. | per cent. | per cent. | per cent. | per cent. | ||
| 1899 | 430 | 62.8 | .46 | Nil. | 9.5 | 5.3 | 19.52 | 2.3 |
| 1900 | 403 | 60.5 | .99 | „ | 12.6 | 4.4 | 19.30 | 1.9 |
| 1901 | 381 | 67.7 | .52 | „ | 12.8 | 4.2 | 12.00 | 2.6 |
| 1902 | 338 | 63.3 | .29 | „ | 8.3 | 5.0 | 22.50 | 0.6 |
| 1903 | 339 | 67.9 | .29 | „ | 9.7 | 4.4 | 17.70 | 0.0 |
| Average previous 5 years | 378 | 64.4 | .51 | Nil. | 10.6 | 4.6 | 18.2 | 1.5 |
| 1904 | 353 | 648 | 0.28 | Nil. | 7.9 | 4.0 | 21.5 | 1.4 |
MORTALITY.
During the year under review, 865 deaths were registered in the District,
including *644 persons dying in the City, but not belonging thereto. See
Table I. for details.
Deducting the latter we have to deal with 221 deaths, to which we must
add 85 persons who died at City Institutions in outside districts, where they
were registered. The mortality, therefore, upon which our death rate is
calculated is 306.
The death rate for 1904 was 12.9 per 1,000 per annum of the population
(the previous year being 12.0), whilst that for the whole of the Metropolis
was 16.6. These figures are not corrected for sex and age distribution.
Death Rates, per 1,000 per Annum.
| Year. | City of London. | Great Towns of England and Wales. | Metropolis. | |
|---|---|---|---|---|
| 1899 | 18.5 | 20.2 | 33 towns | 20.0 |
| 1900 | 19.4 | 19.5 | 19.2 | |
| 1901 | 16.6 | 18.6 | 17.7 | |
| 1902 | 16.4 | 17.4 | 76 towns | 17.7 |
| 1903 | 12.0 | 16.2 | 15.7 | |
| Average previous five years | 16.6 | 18.4 | 18.1 | |
| 1904 | 12.9 | 17.2 | 16.6 | |
* These deaths occurred in St. Bartholomew's Hospital.