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

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London County Council 1959

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

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Table (VIII)—infant mortality by cause—1950-59 (Rates per 1,000 live births)

Cause of death1950195119521953195419551956195719581959
Whooping cough0.390.170.080.270.060.060.040.02-0.05
Tuberculosis0.170.080.040.140.08-0.02
Measles0.130.060.020.10----
Bronchitis and pneumonia4.254.473.894.042.703.573.322.883.453.50
Gastro-enteritis1.140.730.801.270.430.480.350.420.310.27
Congenital malformations4.143.823.933.413.513.433.703.964.514.27
Injury at birth2.422.982.822.712.342.592.642.982.272.46
Post-natal asphyxia and atelectasis3.713.823.503.904.064.323.664.174.083.59
Haemolytic disease0.950.860.720.530.550.580.610.510.440.51
Immaturity4.624.714.203.983.704.674.104.274.693.86
Convulsions0.020.02-
Accidental mechanical suffocation0.260.250.170.140.120.060.210.230.130.16
Other causes3.523.422.963.403.043.352.552.562.122.83
All causes26252324212321222222

Mortality—A comparison with England and Wales for both neo-natal (deaths in the first four weeks) and infant mortality (deaths in the first year) is as follows :

Rates per 1,000 live births
Neo-natal mortalityInfant mortality
YearLondonEngland and WalesLondonEngland and Wales
195016.918.525.829.6
195117.318.825.429.7
195215.818.323.127.6
195316.117.723.926.8
195415.117.720.725.4
195516.717.323.224.9
195615.916.821.223.8
195716.316.522.023.1
195816.616.222.522.5
195915.715.822.422.2

Perinatal mortality—Comparative rates for perinatal mortality (still-births and deaths in the first week of life) per 1,000 total births are given below for London and England and Wales.

YearLondonEngland and WalesYearLondonEngland and Wales
195033.237.4195534.837.4
195134.638.2195633.336.7
195232.637.5195734.236.3
195334.736.9195834.335.1
195432-838.1195932.7

1 ne medical conditions causing still-birth cannot be determined since certification of the
cause is not at present required in this country although it is in Scotland. However, the
Population (Statistics) Bill* will bring the law in England and Wales into line with that in
Scotland by requiring the certificate to state the cause of death. A special enquiry, under
Ministry auspices, into peri-natal mortality was made in 1958-59, and the National Birthday
Trust Fund also made a similar enquiry in March, 1958; the results of both enquiries are
still awaited.
*The Bill received Royal Assent on 2nd June, 1960.
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