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

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City of Westminster 1967

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

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The 1966 total of live births was 3,651 (1,864 males; 1,787 females), and the live birth rate 13.89,
which when standardized was 10.69. The comparable figures for Greater London and England
and Wales 1967 were 17.0 and 17.2 and for 1966 17.7 and 17.7 respectively.
Illegitimate live births numbered 668 (341 males; 327 females), representing 18.82 per cent,
of the total live births, compared with 11.4 per cent. for Greater London, 15.3 per cent. for Inner
London, and 8.4 per cent. for England and Wales. The total illegitimate live births in 1966 was
678 (341 males and 337 females) which represented 18.57 per cent. of the total live births, compared
with 10.9 per cent. for Greater London, 14.4 per cent. for Inner London and 7.9 per cent. for England
and Wales.
Stillbirths totalled 33, representing a rate of 9.21 per 1,000 total live and stillbirths, compared
with 13.3 for Greater London and 14.8 for England and Wales. In 1966 there were 55 stillbirths,
which represented a rate of 14.84 per 1,000 total live and stillbirths, and the rate for Greater London
and England and Wales was 14.2 and 15.4 respectively.
Deaths
The total number of deaths shown in Table 1, page 64, includes persons who, though normally
resident in Westminster, died elsewhere in England and Wales but excludes persons who, though
they died in the City, were ordinarily resident in other parts of England and Wales. Deaths of
persons ordinarily resident outside the borders of England and Wales are included in the figures
if they occurred in the City, as also are those of members of H.M. Forces who were stationed in
the area.
Deaths registered in 1967 numbered 2,794 equivalent to 10.79 per 1,000, which, when
standardized by the comparability factor, gives a figure of 11.33. In 1966 there were 2,894
deaths (11.01 per 1,000) and the standardized rate was 11.67. The comparable rates for
Greater London and for England and Wales for 1967 were 10.8 and 11.2 and for 1966 11.1 and
11.7 respectively.
Accidental Deaths
During the year, 102 residents died from accidents of all kinds, including 23 motor vehicle
accidents. In 1966 the figures were 115 and 24 respectively.
Infant Mortality
Deaths of infants under one year totalled 75 (52 legitimate; 23 illegitimate), giving a rate of
21.13 per 1,000 live births. The total for 1966 was 83 (55 legitimate; 28 illegitimate), and the
rate was 22.73 per 1,000 live births. The rate for England and Wales for 1967 was 18.3 per
1,000, and for Greater London 18.4, compared with the 1966 rates of 19.0 and 17.8 respectively.
Details showing causes of death according to age group and sex are given in Table 2, page 65.
Of the 75 (83) infant deaths, 44 (60) were under four weeks old, giving a neo-natal mortality
rate of 12.39 (16.43) per 1,000 live births. The neo-natal mortality rate for England and Wales
was 12.5 (12.9) and for Greater London 12.9 (12.4). The early neo-natal mortality rate (deaths
under one week per 1,000 total live births) was 10.99 (14.52). (England and Wales 10.8 (11.1);
Greater London 11.1 (11.0)) and the peri-natal mortality rate (stillbirths and deaths under one
week combined per 1,000 total live and stillbirths) was 20.09 (29.14). (England and Wales
25.4 (26.3); Greater London 24.2 (25.1)).
Maternal Mortality
One maternal death was reported during the year giving a death rate of 0.28 per 1,000 total
live and still births. The cause of death was vagal inhibition during abortion, the patient being
a young unmarried girl of 19 years. At an inquest held by H.M. Coroner into this unfortunate
death it was stated that the abortion was due to natural causes, but as there was insufficient evidence
as to the circumstances an Open Verdict was recorded.
Comparative figures Death Rate
1967 1966
Westminster 0.28 0.27
Greater London 0.33 0.33
England and Wales 0.20 0.20
(See Table 3, page 65)