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

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City of London 1858

[Report of the Medical Officer of Health for London, City of ]

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7
cholera years of 1849 and 1854 are excluded.
Altogether the reduction of mortality has been to
the extent of rather more than 61 in the 1,000;
but the reduction has not been equal in the
three districts, for it has amounted to only 13 per
1,000 in the Western divisions of the City, to 50
in the Eastern, and to 109 in the Central. A part
of the large reduction in the last-named district is
no doubt due to a falling off in the number of the
resident population ; for if the death-rate is calculated
according to the census returns of 1851, it
will be found that while the mortality in the whole of
the City has been at the rate of 22-4 per 1,000 of
the population; in the Western division it has been
as high as 27.3; in the Eastern, 26.5; and in the
Central only 19.8. So that while 1 in 44 have
died in the whole City; 1 in 36 have died in the
Western districts; 1 in 39 in the Eastern; and
only 1 in 56 in the Central. In all England the
annual mortality is at the average rate of 22'3 per
1,000 of the population: in country districts it is
only 20, and in the large towns it is nearly 26. If,
therefore, the City mortality is measured by these
standards it does not appear, on the whole, to be unsatisfactory;
and it certainly presents a very favorable
contrast to the high death-rate of our large
towns. This indeed will be more apparent hereafter:
but still, it cannot be denied that there are districts
in the City where the mortality is excessive. These,