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

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City of Westminster 1921

[Report of the Medical Officer of Health for Westminster, City of]

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1920.Males. No. Rate per 1,000.Females. No. Rate per 1,000.Total. No. Rate per 1,000.
St. George's Division331 = 11.5408 = 8.6739 = 9.7
Abbey Division500 = 14.6361 = 9.9861 = 12.2
The City831 = 13.0709 = 9.31,600 = 10.9

Taking the deaths in 1920 as an example, the rates for each sex is
shown in the accompanying table. In St. George's Division, had males
and females been in equal proportion, the death-rate would have been
10.5 instead of 9.7 per 1,000.
The rates in the Abbey Division are higher than those in the St.
George's Division, and this is partly accounted for by the greater proportion
of males, and also by the fact that all the Common Lodging Houses
are in that Division. These have a proportionately higher death rate
on account of their fluctuating population. In 1920, the number of
beds available in these places was 1,529 for males and 57 for women.
The deaths of males was 86. If these are deducted, the death-rate for
males in the Abbey Division would be 12.8 instead of 14.6, and for
males and females 11.3 instead of 12.2. The effect of a similar deduction
on the rates for the whole City would be to reduce the male rate from
13 to 12 per 1,000 and the total rate from 10.9 to 10.1.
The effect of the large proportion of females in the population is shown
also in the incidence of Pulmonary Tuberculosis. In 1920 the new cases
among males was equal to 2.7 per 1,000, and of females 1.65. Consequently,
an increase in the proportion of females results in a smaller
number of cases in the aggregate.
Births.
The number of births registered in Westminster during 1921 was
1,418, of these the home address of 78 was elsewhere, and therefore
these have to be deducted, but 579 children were born to residents of
Westminster in institutions in other parts of London; adding these the
nett number was 1,919, a reduction of 341 on the figure for the year
1920. The fluctuations in past years are shown below.
Calculated on the Census population, a birth-rate of 13.6 per 1,000
persons results; the London birth-rate was 22.3 and for England and
Wales 22.4, both showing a decrease on the 1920 rates, but in each case
4 points above the 1919 rates.