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

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Greenwich 1959

[Report of the Medical Officer of Health for Greenwich Borough]

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21
Little variation in the pattern of death registrations occurred
during the year, the first and fourth quarters producing 36% and
24.6% respectively, and the second quarter 18.7%.
It will be observed from the following table that during 1959
the deaths occurring at 65 years and upwards accounted for 66.3%
of the total compared with a figure of 22.8% for 1901.

Deaths in the age group 0-5 years show an even more striking comparison; in 1901 the deaths in this group amounted to 37.4% whilst the figure for the current year is 3.2%.

Age Group190119111921193119511959
Under 1 year of age362306175972924
Between 1 and 5 years187158803974
Between 5 and 15 years64675822104
Between 15 and 25 years66606765129
Between 25 and 65 years454474466382311256
65 years and over335356387529633584
Totals1,4681,4211,2431,1341,002881

MATERNAL MORTALITY
One death from puerperal causes was recorded during the
current year, a position similar to that obtaining in 1958, giving a
Maternal Death Rate of 0.74.
The death was in respect of a woman of 38 years who died in
Whipps Cross Hospital, the coroner's verdict being I (a) Paralytic
ileus due to (b) General peritonitis due to (c) Obstructed labour
(caesarian section).
INFANTILE MORTALITY
At the turn of the century, Greenwich infant mortality, i.e.
deaths of children in the first year of life, was at the rate of 140 per
1,000 live births ; the current figure is 18 per 1,000. This remarkable
reduction is nation wide and is doubtless due to a combination
of factors, not the least of which are, the almost complete absence of
malnutrition with its associated disorders such as rickets and scurvy,
the introduction of modern chemotherapy including the "sulpha"
drugs and antibiotics, the prevention of haemolytic disease of the
newborn and lastly, accurate diagnosis with conscientious nursing.
Over the years, however, owing to recent medical advances,
the problem has changed somewhat. The threat to infant life from
the dreaded "diarrhoea and vomiting" has largely disappeared,
scarlet fever and kindred diseases have become much milder, whilst
tuberculosis and diphtheria have been all but eliminated.