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Notes.— The figures in parentheses show the number of times the patients were admitted to institutions.
In 5 instances the histories were too incomplete for analysis.
The 4 cases treated in lunatic asylums are not included in this analysis.
The total duration of in-patient treatment received by the 87 patients amounted to 391¼
months, which gives an average of 4½ months per patient. That figure should be compared
with the average duration of the disease (3.1) years given above. Such comparison does not
appear to afford any confirmation of the suggestion that the segregation of the tuberculous has
had any real part in the lowering of the mortality from pulmonary tuberculosis.
MORTALITY IN CHILDHOOD.
By "childhood" is here meant the age-group 0-5 years. The mortality rates observed
among males and females during the past year are compared with those for 1912 and the
averages for 1908-12 in Table 23 (page 27). The rate among males was 42.33 per 1,000
estimated living during 1913, as compared with an average of 43.55 during 1908-12. The
maximum rate (66.52 per 1,000) was recorded last year in Church Ward, and the minimum
(21.62) in Lancaster Gate, West. Last year's maximum shows a considerable advance over that
for the five years 1908-12 (59.64, also observed in Church Ward), last year's minimum (21.69 in
Lancaster Gate, West) being also higher than that of the quinquennium (13.95, recorded in
Lancaster Gate, East). On the whole the rates recorded last year among males were below
the averages. In comparison with the previous year, lower rates were recorded last year in the
Borough and in the Wards, except Westbourne, Church, and Lancaster Gate, East.
The mortality rates among females recorded last year show a general increase over those of
1912 and the averages. The rate for the Borough (37.02) was 2 per 1,000 in excess of the
average. Last year's maximum Ward rate was that of Church Ward 53.70, and the minimum
(zero) that of Lancaster Gate, West. The maximum average rate (51.58) was also recorded in
Church Ward and the minimum (17.73) in Lancaster Gate, West. In comparison with 1912 all
the Ward rates show increases, except those of the two Lancaster Gates.
The rate of mortality changes so rapidly during the first five years of life that the subject
requires to be examined with more minuteness. It will be dealt with in two sections, the first
dealing with the mortality in the first year of life, and the second with that of the four following
years.