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

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St George (Westminster) 1877

[Report of the Medical Officer of Health for Hanover Square, The Vestry of the Parish of Saint George]

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69
years having been 1,718, and the lowest number in any
preceding year having been 1,639 in the year 1873.
I estimate the population of the Parish at the middle
of the year 1877 as 91,037; this is to the estimated population
of London almost exactly as 1 to 38 4/5.
The corrected death-rate of the Parish has therefore
been only 17.46 per thousand per annum, while the average
during the nine previous years was 19.08, and the lowest
rates for any previous years were 18T6 in 1873, and 18.20
in 1876.
The general London death-rate was also low, having
been 219, as against 22.3 in 1876, and 23.7 in 1875. The
Registrar-General says, in his Annual Summary for 1877,
"London maintains its position as the healthiest city in the
world. During the past year its prosperity was indicated
by a birth-rate above the average of the previous ten years,
while a remarkably low death-rate bears testimony to the
success which has attended the efforts that have been made
during the last quarter of a century to promote the public
health and safety." "The mean death-rate of
the seven years, 1863-70 (excluding the year 1866, when
cholera was epidemic), was 24.4 per 1,000, whereas the
mean rate in the seven years, 1871-77, was 22.7."
The death-rate in greater London was only 20.7 per
1,000, as against 21.3 in 1876.
Of the "22 other large towns of the United Kingdom,"
Portsmouth (calculated population, 127,144), with the
unusually low rate of 17.4, was the only one that had a
lower rate than this Parish, Brighton (calculated population
102,264), with a rate of 18.7, coming next. Manchester
(calculated population 359,213) distinguished itself among
English towns by having the high death-rate of 27.4, a
rate 4.5 per thousand higher than that of London with
very nearly ten times the population; this is partly