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

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London County Council 1956

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

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Age specific death rates from coronary disease, angina, 1950-56

Age Group1950195119521953195419551956
15–44M.0.120.140.140.120.140.150.16
F.0.020.020.010.010.020.020.03
45–64M.2.762.802.922.813.033.093.13
F.0.670.670.640.640.690.750.64
65.74M.8.1710.2611.0010.5510.4210.4311.56
F.3.974.234.594.424.444.215.01
75+M.13.7216.7918.6316.6418.3419.1421.77
F.10.3210.3310.8510.8710.2511.3912.15
All agesM.1.651.831.981.881.992.042.21
F.0.900.981.051.051.081.151.24

To summarise, mortality from heart disease has remained at around 3.5 per 1000
living for the last seven years with a slight excess of male deaths; the rate rises steeply
with age from about 0.21 at ages 15.44 to 46.04 at 75+ years and the male/female
ratio rises to a maximum of 2.59 at ages 45.64 years. Within the heart group coronary
disease, angina is increasing in importance, both absolutely and relatively, and the main
reason for this is a greater increase in respect of males and a higher rate for both sexes
among the middle-aged than for the other components : only in chronic rheumatic
heart disease is there a true female excess of deaths and in the other two—heart disease
due to hypertension and other heart disease—the overall female excess is due to the
high number of female deaths at 75+ years which swamps the overall mortality figures.
Cancer
The cancer death-rate for all ages in 1956 was 2.42 per 1,000, the highest ever
recorded in peace time. The death-rate from cancer, which is largely a disease of the
latter half of life, can be substantially changed by variations in the age constitution of
the population.

Rates for specified age groups since 1948 are shown below :

London A.C.: Cancer Mortality Rates per 1,000 living

Age and Sex194819491950195119521953195419551956
Males:
0–140.030.060.110.100.110.120.110.100.13
15–440.300.290.380.350.370.390.340.330.36
45.644.054.094.454.284.194.284.314.504.51
65+12.5412.7513.2515.6415.5015.6915.2915.7315.77
All Males2.212.272.452.602.612.682.642.732.76
Females:
0–140.030.050.070.090.080.070.060.080.10
15–440.360.330.370.350.350.380.320.330.38
45.642.962.682.842.802.852.852.852.932.77
65+9.089.088.958.798.778.738.398.438.75
All Females1.951.931.981.992.022.042.022.082.12
All Persons2.082.092.202.272.302.342.312.392.42

Over the nine years shown in the table above the cancer death-rate has increased
by 25 per cent. in males and by 9 per cent. in females; the corresponding percentage
increases for England and Wales are, males 14 per cent. and females 6 per cent. Most
of the increase in males is due to cancer of the lung which now accounts for approximately
one-third of all cancer in both London and England and Wales.
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