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

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London County Council 1904

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

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(c) Deaths1 from Cancer (otherwise undistinguished).

Age period.0-5-10 -15-20-25-35-45-55-65-75-85 and upward sAll ages.
Paddington2-----51317133-53
Kensington-----181721185272
Hammersmith-----14101195141
Fulham--1---78962-33
Chelsea------291265-34
Westminster, City of-----131326189171
St. Marylebone-----1713132113-68
Hampstead------224112-21
Pancras---11291429175-78
Islington1--1-21132434692147
Stoke Newington--1---33662-21
Hackney----12101912209-73
Holborn------31974-24
Finsbury1----1541171131
London, City of-----113512215
Shoreditch------2111363-35
Bethnal Green-----33512144142
Stepney--1--562515162171
Poplar------310652-26
Southwark------41916114155
Bermondsey146562125
Lambeth11-1-31115271910l89
Battersea----2141321197168
Wandsworth-----113253220152108
Camberwell------1125321810298
Deptford-----112966-25
Greenwich------516731133
Lewisham447127-34
Woolwich1----26715123-46
London6133429157344445373152201537

The following table shows the proportional age-distribution of the deaths in London classified
under the three headings—

Deaths at each age period per1,000deaths at "all ages."

Age-period.All ages.Under 35-35-45-55-65-75-85 and upwards.
Sarcoma1,0002761201752161315824
Carcinoma1,000331132292762399911
Cancer1,000301022242892439913
Total1,000481102232772339613

With a view to showing whether there is any tendency, such as is exhibited by phthisis, for cancer
mortality to have special incidence upon poor populations as compared with populations better
circumstanced, the sanitary districts in London have been arranged in groups on the basis of the
population living more than two in a room in tenements of less than five rooms. No doubt this is not an
absolutely precise index of poverty, but it is sufficient for the purpose in view, which is to enable comparison
of cancer rates to be made among populations living under varying social conditions.
The following table shows that the incidence of cancer mortality in no way corresponds to the
incidence of phthisis mortality, which appears to be largely governed by the social condition of the
population. As between the accuracy diagnosis of cancer among the rich and the poor there may, of
course, be differences, due to the greater ability of the former class to pay for skilled advice ; but in this
connection it may be recollected that in London, where public institutions are within reach of all, any
difference of this sort must be largely compensated or more than compensated, by the greater use of
such institutions by the poorer classes. For the purpose of comparison, the phthisis death-rates of
groups of districts arranged in the manner stated above are shown in a corresponding table.
1 Sea footnote (1) page 7