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

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Hornsey 1913

[Report of the Medical Officer of Health for Hornsey, Borough of]

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The principal causes of death among infants under one year of age were:—

Equal to a death-rate per 1,000 births of
Premature Birth, Injury at Birth, and Congenital Defects2215.4
Bronchitis and Pneumonia1510.5
Atrophy, Debility, Marasmus139.1
Diarrhoeal Diseases107.0
Convulsions53.5
Whooping Cough42.8
Overlying42.8
Tuberculosis (other than Phthisis)21.4
Measles21.4

Almost half the Infantile deaths are due to Premature Birth,
Congenital defects or Weakness or Injury at Birth, i.e., chiefly to
causes which operate at or before birth.
Bronchitis and Pneumonia are responsible more than any
other condition for the remaining deaths.
Diarrhoea caused 10 deaths, and other Infectious diseases 8
deaths.
Special efforts are made, by means of house-to-house visitation
in the poorer districts, to prevent or mitigate conditions likely to
favour the occurrence of diarrhœal diseases, e.g., the proper cleansing
of houses, courts and passages, the prevention of accumulations
of refuse, and the encouragement of sanitation generally. Plainlyworded
leaflets were distributed, giving instructions as to the
storing of food, the feeding and management of infants, and the
prevention of diarrhoea.
Deaths under one year of age of Illegitimate Children.—There
were 42 illegitimate births registered during the
year, and 7 deaths under 1 year of age of illegitimate children
occurred. This gives an infantile mortality among illegitimate
children of 166, i.e., more than three times the infantile mortality
among children born in wedlock.
The number of legitimate births registered was 1,383, and
the number of deaths under 1 year of age of legitimate children
was 74. This gives an infantile mortality among legitimate children
of 53.