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

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London County Council 1963

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

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It has been remarked in previous years that a complex of factors probably accounts for
the steeper rise in London—proportionately more single women (37.0 per cent. of those
aged 16-44 years in London compared with 26.9 per cent. in England and Wales (Census
1961)), a high immigrant element in the population, a continuous influx of unmarried
women, many of whom are already pregnant and the facilities which London can offer to
an unmarried mother in the way of anonymity, ante-natal care and support from moral
welfare organisations.
The following table gives details of women seen by the moral welfare organisations in
1963, from which it will be seen that 756 (22.0 percent.) were pregnant on arrival in London
and that, in all, 1,331 (38.7 per cent.) were not born in the United Kingdom. It should
be remembered that these components of the illegitimate births are minima; the moral
welfare organisations only deal with 38 per cent. of unmarried mothers, though doubtless
they will tend to deal with proportionately more of the non-Londoners.
* Had lived in London less than 12 months before making contact with moral welfare association.
Mortality
The total death rate at 12.5 per 1,000 population was the highest figure since 1951.
The winter of 1962-63 was exceptionally severe and the very low temperatures in the months
of January and February were accompanied by a high level of mortality. A detailed account
of mortality in the winter of 1962-63 in relation to the effects of temperature and air
pollution was given in 'The Medical Officer' of 5 June, 1964 (iii, 327-330).

T able (v)— Unmarried mothers seen by moral welfare associations in London,1963

(Figures in brackets are for 1962)

British (U.K.)EireEuropeanWest IndianOtherTotal
Non-Londoners pregnant on arrival in London509(483)141(116)43(26)28(60)35(44)756(729)
*Non-Londoners not pregnant on arrival in London89(51)118(96)24(15)7(39)15(21)253(222)
Resident in London one year or more1,506(1,552)425(348)92(78)306(388)97(80)2,426(2,446)
2,104(2,086)684(560)159(119)341(487)147(145)3,435(3,397)

* Excluding pneumonia of the new born (under 4 weeks) which is included in ' Diseases of early infancy '.
The ranking order of the leading causes of death has remained unchanged since 1954.
8

Leading causes of death—The leading causes of death in London in 1963 were as follows:

DeathsRate per 1,000 population
Diseases of the heart12,0733.80
Cancer7,7562.44
Bronchitis, pneumonia*6,2371.96
Vascular lesions of the central nervous system4,0491.27
Other circulatory2,2010.69
Violent causes1,8230.57
Digestive diseases1,1480.36
Diseases of early infancy (international classification nos. 760-776) Congenital malformations (0-4 weeks)710 1640.27
Diseases of genito-urinary system6600.21
Other respiratory including influenza5130.16
Tuberculosis (all forms)2650.08
All other causes1,9910.63
Total39,59012.45