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

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Greenwich 1971

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

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63
for Greater London and that returned for England and Wales,
which was also 11.6. Inner London registered a rate of 12.7.
Besides being 2.57 less than the average for the previous 6 years
the current rate for Greenwich of 10.34 is the lowest recorded
since the formation of the present Borough.
Early Neonatal Mortality—Thirty infant deaths occurring during
the first week of birth gives an Early Neonatal Mortality Rate of
9.69 per 1,000 live births compared with rates of 9.7 for Greater
London and 9.87 for England and Wales. The comparable figure
for Inner London was 10.6.
As with our other infant mortality statistics the rate for early
neonatal mortality is 1.87 less than the average for the previous
6 years and the Borough's lowest since its inception.
Of the 30 deaths recorded, 18 (60%) occurred during the first
day.
Perinatal Mortality—The Perinatal Mortality Rate, calculated
from a total of 42 stillbirths and 30 deaths of infants under 1 week,
was 22.95 per 1,000 total births, showing a decrease of 0.46 from
that for 1970. The equivalent rate for England and Wales is 22.3
and that for Greater London 21.3. Inner London recorded a rate
of 22.0.
Reproductive Wastage—A combined total of 95 stillbirths and
infantile deaths gives a Reproductive Wastage Rate of 30.28 per
1,000 total births, a decrease of 2.81 from that calculated for the
previous year. Figures for England and Wales and Greater London
are 29.85 and 28.97 respectively.
REMARKS ON OTHER VARIOUS DEATH CAUSES
For international statistical comparability certain basic requirements
are considered indispensable and these are covered in the
articles of the Nomenclature Regulations, 1967, adopted by the
Twentieth World Health Assembly on 22nd May, 1967.
Following the Nineteenth World Health Assembly in 1966 which,
by resolution, adopted the Eighth Revision and Amendment of
the International Classification of Diseases to come into effect as
from 1st January, 1968, the Registrar-General, from this date, has
brought into use a new classification with regard to records and
statistics. Although these new categories are broadly equivalent to
the old, inevitably occasional difficulties will be met in reconciling
present with previous statistics and exact comparability cannot be
assumed.
Classification of Deaths—It should be borne in mind that the