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

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Holborn 1919

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

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5
At the last Census on April 2nd, 1911, the population of the Borough was
49,357, and the density 122 persons per acre in comparison with 61 for
London. 33'1 per cent, of the population lived in tenements of only one or two
rooms, and 59'5 per cent, in tenements of one to four rooms.
Although the number of Hotels and Boarding Houses keeps increasing,
the Borough is becoming less and less residential and more and more important
as a business centre. The number of factories, workshops, workplaces and
offices keeps increasing so that we have now a very large day population.
The chief occupations of the Borough are: Professional (Law,
Architecture, etc.); Public, Societies' and Commercial Offices; Hotels and
Boarding Houses; Printing and Bookbinding; Metal Refining; Precious stones
and general trades and businesses.
The birth-rate of the Borough was 13.6 per 1,000, in comparison with 12.1
per 1,000 in 1918.
The death-rate was 16.4 per 1,000 in comparison with 22.3 in 1918. The
death-rates for the past two years have been very high especially on account
of the very large number of deaths from influenza and respiratory diseases,
many of which were really complications of influenza.
The infantile mortality—i.e., the number of deaths of young children
under one year of age per 1,000 corrected births was 96 for the year 1919 in
comparison with 141 for the year 1918. Although the legitimate infantile
mortality was only 75 per 1,000 the illegitimate mortality was 258 per 1,000—
i.e., more than three times as much.
Of the 624 deaths at all ages, 367 died in hospitals and public institutions
either within or without the Borough.

The principal causes of death for the year 1919 in comparison with 1918, were as follows:—

19191918
Influenza46138
Respiratory Diseases112130
Tuberculosis (all forms)75112
Cancer, Malignant Disease6041
Organic Heart Disease5858
Premature Birth, Congenital Malformation and Debility1830
Violent (including Suicide)2951
Seven Principal Epidemic Diseases, viz:— Small-pox, Measles, Scarlet Fever, Diphtheria and Membranous Croup, Whooping Cough, Typhoid and Typhus Fevers and Diarrhoea (under two years)1436