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

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London County Council 1928

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

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and in the following table the age distribution of deaths is shown in comparison with similar figures for certain earlier epidemics:—

1890190019191929
Age-group.(year)(year)(lst quarter)(1st quarter)
0—91537960
5—3219339
15—684112124
25—1076924229
35—17311012775
45—200141131134
55—138184117193
65—11919399229
75+7219051247
1,0001,0001,0001,000

Deaths. Death-rates.
Period.
Males. Females. Total. Males. Females. Total.
1919-21 2,786 2,109 4,895 1.36 0.87 1.10
1922-24 2,685 1,917 4,602 1.27 0.78 1.01
1925 2,571 1,790 4,361 1.21 0.72 0.95
1926 2,474 1,592 4,066 1.16 0.64 0.88
1927 2,521 1,619 4,140 1.20 0.66 0.91
1928 2,356 1,629 3,985 1.14 0.68 0.89
The number of primary notifications in metropolitan boroughs during 1928
(52 weeks), after correction of the figures within each metropolitan borough by the
exclusion of cases notified as primary but subsequently found to have been previously
notified, was 8.586, the corresponding figure for 1927 being 8,777. The following
is an analysis of the notifications in London during 1928 (52 weeks).
Notifications on Form A.
(Total of primary notifications received in London boroughs, other
Form of tuberculosis sex than elementary school cases, infra.)
notified.
0- 1_ 5- 10- 15- 20- | 25- 35- 45- 55- 65 + Total.
Pulmonary tuberculosis M. 4 27 72 82 325 517 809 731 752 386 127 3,832
F. 4 21 55 106 465 597 757 441 287 135 55 2,923
Other tuberculosis M. 17 182 266 122 85 59 80 52 28 31 10 932
F. 19 124 173 106 109 87 116 33 35 19 12 833
All forms of tuberculosis M. 21 209 338 204 410 576 889 783 780 417 137 4,764
F. 23 145 228 212 574 684 873 474 322 154 67 3,756
Rheumatic
fever.
Acute rheumatism among children under 16 years of age is notifiable in three
metropolitan boroughs under local notification orders, namely, in Paddington,
Kensington and Holborn. The deaths in London during 1928 numbered 165, as
compared with 169 in 1927.
In view of the suggestion that the incidence of the disease is governed by social
conditions, the death-rate in London for the ten years, 1901-10, has been calculated
for five groups of boroughs corresponding with those for which similar figures
relating to tuberculosis are given in the Medical Officer of Health's report for 1911
(page 42). The resulting death-rates afford no evidence whatever of there being
any relation between fatal cases of rheumatic fever and social condition in either
sex or at any age period.
Tuberculosis.
The deaths from tuberculosis of the respiratory system in London during 1928
numbered 3,985 giving a death rate of 0'.9 per 1,000 living, and there were 639
deaths from other forms of tuberculosis as against 640 in 1927, the death rate being
014. The annual deaths and death rates from phthisis in recent years are shown
in the following table. It will be noticed that there has been practically no decrease
in the mortality during the past three years:—