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

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London County Council 1892

[Report of the Medical Officer of Health for London County Council]

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10
It will be observed by comparing the "factors for correction" that the most marked differences
of age and sex distribution occur between Greenwich (factor 1.02791), and St. Martin-in-the-Fields (factor
1.21665). It is interesting to note the constitution of these two populations as regards age and sex.

Population at each age period and for each sex per cent. of total population.

District.Sex.All ages.0—5—10—15—20—25—35—45—55—65—75 and upwards.
GreenwichM.48.316.616.095.684.554.117.535.604.022.351.34.42
F.51.696.616.145.494.904.838.255.984.342.721.74.69
St. Martin'sM.50.473.463.153.225.426.809.827.640.773.461.43.30
F.49.533.323.493.785.067.289.986.795.052.891.41.41

From the column showing corrected death rates it will be seen that of the 8 western districts, 2
had, in 1892, a death rate above the London average; of the 5 northern, 2; of the 7 central, all; of the 7
eastern, all; and of the 14 southern, 7 were above this standard. The accompanying chart (IV ) shows
the districts which in 1885-92 had a mean death rate of 24 and upwards per 1,000 of population ; those
which had a mean death rate of 20-24 ; those which had a mean death rate of 16-20; and those
which had a mean death rate of less than 16 per 1,000.

Mortality and "overcrowding."

The death rates prevailing during the period 1885-92 in the various groups of districts shown on chart II. (page 4) were as follows: groups 1 and 2 have, for convenience, been combined—

Proportion of total population living more than two in a room (in tenements of less than five rooms).Death rate "all causes" 1885-92.
Districts with under 15 per cent.17.51
„ 15 to 20 „19.51
„ 20 to 25 „20.27
„ 25 to 30 ,,21.76
30 to 3523.92
„ over 35 „25.07

Infant mortality. The number of deaths of children under 1 year of age per 1,000 births is generally regarded as affording a fair test of the healthiness of a district. In London in 1892 the deaths of children of this age were in the proportion of 154 per 1,000 births, and in England 82.4 per 1,000. In the forty-one sanitary districts of London the proportions were as follows —

Infant mortality, 1892.Infant mortality, 1892.
deaths under year of age.Deaths under 1 year to 1,000 births.Deaths under 1 year of ageDeaths under 1 year to 1,000 births.
West —East—
Kensington590159Shoreditch740165
Hammersmith488167Bethnal-green775158
Fulham579166Whitechapel474155
Paddington417142St. George-in-the-East344183
Chelsea458165Limehouse359186
St. George, Hanover-square216142Mile-end Old-town612153
Westminster233169Poplar963164
St. James68129
North—South—
St. Saviour, Southwark158187
Marylebone574132St. George, South wark375174
Hampstead178122Newington704172
Pancras1,186166St. Olave85184
Islington1,417148Bermondsey516162
Hackney901133Rotherhithe198150
Central—Lambeth1,250135
Battersea814163
St. Giles173153Wandsworth620147
St. Martin-in-the-Fields36146Camberwell1,157155
Strand132229Greenwich801148
Holborn187211Lewisham334144
Clerkenwell375172Woolwich182147
St. Luke270142Plumstead312110
London, City of110165London20,361154

The infant mortality rate of the several sanitary districts during 1885-92 is shown in Chart V.
It will be seen that the districts having the heaviest infant mortality correspond closely, but not exactly,
with those having the greatest death rate at all ages from all causes.