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

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London County Council 1923

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

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18
Deaths.| Approximate death.rates.
Year.
Males. Femalen. Total. Males. Females. Total.
19l4 3,901 2,430 6,331 1.84 1.01 1.40
1915 4,064 2,651 6,715 1.92 1.11 1.49
1916 3,837 2,527 6,364 1.88 1.05 1.44
1917 4,040 2,728 6,768 201 1.14 1.53
1918 3,946 2,974 6,920 1.99 1.24 1.58
1919 2,945 2,252 5,197 1.47 0.94 118
1920 2,675 2,000 4,675 1.29 0.82 1 04
1921 2,737 2,076 4,813 1.32 0.85 107
1922 2,841 2,047 4,888 1.35 0.84 1.08
1923 2,586 1,846 4,432 1.23 0.75 0.97
The table shows that during the previous three years the mortality had increased.
The decrease in 1923 is considerable, and is, in fact, greater than in any year since
1910, if the abnormal figures of the war period be disregarded.

The following table shows the age-distribution of the deaths from phthisis in 1923 in relation to 1922 :—

Year.Age-group.Total.
0-5-10-15-20-25-35- | 45-55-65-75 +
1922562090413605959975934568223454,888
1923572477384529932915832459188354,432
Decrease — Increase ++ 1+ 4-13-29-76-27-60-102-109-35-10-456

The decrease is greatest at the principal ages of influenza mortality and it is, no doubt,
to some extent to the absence of any epidemic prevalence of influenza in 1923
that the decline in phthisis mortality must be ascribed.
The number of notifications of tuberculosis in London during 1923 (52 weeks)
was 12,175 as against 11,548 in 1923. Of these 9,791 were pulmonary and 2,384
other forms of tuberculosis. These figures compare with those published in these
reports prior to 1921. Further correction of the figures by the exclusion of cases
notified as primary but eventually found to have been previously notified, brings
the total number of pulmonary cases down to 7,561 and other cases to 2,221, the
corresponding figures for last year being 7,561and2,158 Notification of tubercu-losis,

The following is an analysis of the corrected notifications in London durinj (52 weeks):—

Form of tuberculosis notified.Sex.Notifications on Form A. (Total ofprimary notifications received in London boroughs, other than elementary school cases, injra.)
0-1-5-10-15-20-25-35-45-55-65 +Total
Pulmonary tuberculosisM537991013084949469217423861454,18.
F8391141313885/0890610350190873,33
Other tuberculosisM39244280173110797469332991.13
F2517124416810010199472920141,02
All forms of tuberculosisM442813792744185731,0209907754151545,323
F332103582994886349896573792101014,358

The following is an analysis of the corrected notifications in London durinj (52 weeks):—

0.5-10 +Total.Poor Law.Other.
Pulmonary tuberculosisM1119211,1623,359
F.118198071,857
Other tuberculosisM219930126501
F115153191443
All forms of tuberculosisM33018511,2883,860
F12623508982,300