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

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Paddington 1900

[Report of the Medical Officer of Health for Paddington, Metropolitan Borough of]

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38
[Appendix IV.
The incidences of disease and death vary widely at the different ages of life, and are unequal
for the two sexes. Moreover, the diseases which are most amenable to hygienic control are those of
certain ages, e.g., extreme youth and young adult life. A rate based on the deaths of persons at all
ages consequently gives but a very incomplete account of the success or failure attaching to the work
of sanitation. The rates for 9 sex-age groups have therefore been calculated, and will be found
in Tables 19 and 19a (see pp. 40 and 41). One rate may be here mentioned to illustrate what has

TABLE 18. Death-rates from "All Causes" and Selected Diseases.

Death-rates* fromInfantile Mortality (0-1 year) per 1,000 births registered.
All Causes.Small-pox.Measles.Scarlet Fever.Diphtheria.Whooping Cough."Fever."Diarrhœa.
England and Wales190018.30.000.390.120.290.340.170.69154
11890-9918.40.010.410.170.250.390.180.70153
33 Great Towns190019.50.000.430.130.350.450.200.94172
1896-9919.30.000.570.170.350.440.201.11176
67 Large Towns190018.10.000.510.120.290.340.190.81166
1896-9917.40.040.440.140.260.350.201.01170
Rest of England and Wales190017.50.000.320.100.240.270.160.48138
1896-9916.50.000.310.110.200.280.160.61134
London190018.80.000.420.070.340.420.160.77158
1890-9919.80.010.610.200.490.530.140.74159
PADDINGTON19001†15-8-0.400.040.200.260.080.79165
1890-99‡16-40.000.390.120.450.390.120.63151
St. Mary, North Paddington1900†17.2-0.490.050.260.310.110.97171
1890-99‡18.00.010.480.130.530.480.110.76155
St. John, South Paddington1900‡11.6-0.12-0.060.12-0.27126
1890-99+12.30.000.130.090.240.160.130.27124

"0'00"— a rate less than 0"01 per 1,000.
" — " — no death recorded.
* Rates calculated per 1,000 estimated living in each year. †The "all causes" rate hero given does
not agree with that mentioned elsewhere, being based on a total of 2,069 deaths obtained by the RegistrarGeneral,
as compared with one of 2,061 obtained by the Department. ‡ Calculated from local statistics.
All other rates are based on the published returns of the Registrar-General.
already been said. The rates for children aged from 1 to 5 years were last year 22.38 per 1,000
for males and 18.96 for females, compared with corresponding rates of 17.16 and 17.34 for 1899.
It will be noticed, too, that these rates for the six years 1895-1900 form two series of alternate
years. The years of high rates have been years of epidemic prevalence of measles, and the years of
low rates years of practical freedom from that disease. On the other hand, the death-rates all ages,.
18.40 for males and 13.92 for females, do not show any special increase in mortality—indeed, that
for females is below the rate for 1899—and thus disguise the increase in loss of life from preventable,
disease.